06-6843. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2007 and Other Changes to Payment Under Part B
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AGENCY:
Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION:
Proposed rule.
SUMMARY:
This proposed rule would address certain provisions of the Deficit Reduction Act of 2005, as well as make other proposed changes to Medicare Part B payment policy.
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. This proposed rule also discusses geographic practice cost indices (GPCI) changes; requests for additions to the list of telehealth services; payment for covered outpatient drugs and biologicals; payment for renal dialysis services; policies related to private contracts and opt-out; policies related to bone mass measurement services, independent diagnostic testing facilities, the physician self-referral prohibition; laboratory billing for the technical component (TC) of physician pathology services; the clinical laboratory fee schedule; certification of advanced practice nurses; health information technology, and the health care information transparency initiative.
DATES:
Comment Date: Comments will be considered if we receive them at one of the addresses provided below, no later than 5 p.m. on October 10, 2006.
ADDRESSES:
In commenting, please refer to file code CMS-1321-P. Because of staff and resource limitations, we cannot accept comments by facsimile (fax) transmission.
You may submit comments in one of three ways (no duplicates, please):
1. Electronically. You may submit electronic comments on specific issues in this regulation to http://www.cms.hhs.gov/eRulemaking. Click on the link “Submit electronic comments on CMS regulations with an open comment period.” (Attachments should be in Microsoft Word, WordPerfect, or Excel; however, we prefer Microsoft Word.)
2. By mail. You may 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-1321-P, P.O. Box 8015, Baltimore, MD 21244-8015.
Please allow sufficient time for mailed comments to be received before the close of the comment period.
3. By express or overnight mail. You may send 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-1321-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.
4. By hand or courier. If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) before the close of the comment period to one of the following addresses. If you intend to deliver your comments to the Baltimore address, please call telephone number (410) 786-7197 in advance to schedule your arrival with one of our staff members.
Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201; or 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 received after the comment period.
Submission of comments on paperwork requirements. You may submit comments on this document's paperwork requirements by mailing your comments to the addresses provided at the end of the “Collection of Information Requirements” section in this document.
For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.
Start Further InfoFOR FURTHER INFORMATION CONTACT:
Pam West, (410) 786-2302 (for issues related to practice expense).
Stephanie Monroe, (410) 786-6864 (for issues related to the geographic practice cost index).
Craig Dobyski, (410) 786-4584 (for issues related to list of telehealth services).
Roberta Epps, (410) 786-4503 (for issues related to diagnostic imaging services).
Bill Larson, (410) 786-4639 (for issues related to coverage of bone mass measurement and addition of ultrasound screening for abdominal aortic aneurysm to the “Welcome to Medicare” benefit).
Dorothy Shannon, (410) 786-3396 (for issues related to the outpatient therapy cap).
Catherine Jansto, (410) 786-7762 (for issues related to payment for covered outpatient drugs and biologicals).
Henry Richter, (410) 786-4562 (for issues related to payments for end-stage renal disease facilities).
Fred Grabau, (410) 786-0206 (for issues related to private contracts and opt-out provision).
Lisa Ohrin, (410) 786-4565 (for issues related to physician self-referral prohibitions).
David Walczak (410) 786-4475 (for issues related to reassignment provisions).
August Nemec (410) 786-0612 (for issues related to independent diagnostic testing facilities).
Anita Greenberg, (410) 786-4601 (for issues related to the clinical laboratory fee schedule).
James Menas (410) 786-4507 (for issues related to payment for physician pathology services).
Diane Milstead, (410) 786-3355 or Gaysha Brooks (410) 786-9649 (for all other issues).
End Further Info End Preamble Start Supplemental InformationSUPPLEMENTARY INFORMATION:
Submitting Comments: We welcome comments from the public on all issues set forth in this rule to assist us in fully considering issues and developing policies. You can assist us by referencing the file code CMS-1321-P and the specific “issue identifier” that precedes the section on which you choose to comment.
Inspection of Public Comments: All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. We post all comments received before the close of the comment period on the following Web site as soon as possible after they have been received: http://www.cms.hhs.gov/eRulemaking. Click on the link “Electronic Comments on CMS Regulations” on that Web site to view public comments.
Comments received timely will also be available for public inspection as Start Printed Page 48983they are received, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone 1-800-743-3951.
Information on the physician fee schedule can be found on the CMS homepage. You can access this data by using the following directions:
1. Go to the following Web site: http://www.cms.hhs.gov/PhysicianFeeSched/.
2. Select “PFS Federal Regulation Notices.”
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 VI.
Table of Contents
I. Background
A. Development of the Relative Value System
1. Work RVUs
2. Practice Expense Relative Value Units (PE RVUs)
3. Resource-Based Malpractice RVUs
4. Refinements to the RVUs
5. Adjustments to RVUs Are Budget Neutral
B. Components of the Fee Schedule Payment Amounts
C. Most Recent Changes to the Fee Schedule
II. Provisions of the Proposed Rule
A. Resource-Based PE RVUs and Practice Expense Proposals for Calendar Year 2007
B. Geographic Practice Cost Indices
C. Medicare Telehealth Services
D. Miscellaneous Coding Issues
1. Global Period for Remote Afterloading High Intensity Brachytherapy Procedures
2. Assignment of RVUS to CPT Codes for Proton Beam Treatment Delivery Services
E. Deficit Reduction Act (DRA) Related Proposals
1. Section 5102 of the DRA—Proposed Adjustments for Payments to Imaging Services
2. Section 5107 of the DRA—Revisions to Payments for Therapy Services
3. Section 5112 of the DRA—Proposed Addition of Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)
4. Section 5113 of the DRA—Proposed Non-Application of the Part B Deductible for Colorectal Cancer Screening Tests
5. Section 5114—Proposed Addition of Diabetes Outpatient Self-Management Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the FQHC Program
F. Proposed Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)
G. Proposed Provisions Related to Payment for Renal Dialysis Services Furnished by End Stage Renal Disease (ESRD) Facilities
H. Private Contracts and Opt-Out Provision—Practitioner Definition
I. Proposed Changes to Reassignment and Physician Self-Referral Rules Relating to Diagnostic Tests
J. Supplier Access to Claims Billed on Reassignment
K. Coverage of Bone Mass Measurement Tests
L. Independent Diagnostic Testing Facility (IDTF) Issues
1. Proposed IDTF Changes in the Physician Fee Schedule Proposed Rule
2. Proposed Performance Standards for IDTFs
3. Supervision
4. Place of Service
M. Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients
N. Public Consultation for Medicare Payment for New Outpatient Clinical Diagnostic Laboratory Tests
O. Proposal To Establish Criteria for National Certifying Bodies That Certify Advanced Practice Nurses
P. Chiropractic Services Demonstration
Q. Promoting Effective Use of Health Information Technology
R. Health Care Information Transparency Initiative
III. Collection of Information Requirements
IV. Response to Comments
V. Regulatory Impact Analysis
Regulation Text
Addendum A—Explanation and Use of Addendum B
Addendum B—2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007
Addendum C—Codes for Which We Received Practice Expense Review Committee (PERC) Recommendations on Practice Expense Direct Cost Inputs
Addendum D—2007 Geographic Practice Cost Indices (GPCIs) by Medicare Carrier and Locality
Addendum E—2007 Geographic Adjustment Factors (GAF)
Addendum F—Proposed CPT/HCPCS Imaging Codes Defined by Section 5102(b) of the DRA
In addition, because of the many organizations and terms to which we refer by acronym in this proposed final rule, we are listing these acronyms and their corresponding terms in alphabetical order below:
AADA American Academy of Dermatology Association
AAH American Association of Homecare
AAP Average acquisition price
ACC American College of Cardiology
ACG American College of Gastroenterology
ACHPN Advanced Certified Hospice and Palliative Nurse
ACOG American College of Obstetrics and Gynecology
ACR American College of Radiology
ADA American Dietetic Association
AFROC Association of Freestanding Radiation Oncology Centers
AGA American Gastroenterological Association
AHRQ Agency for Healthcare Research and Quality
AMA American Medical Association
AMP Average manufacturer price
ASA American Society of Anesthesiologists
ASGE American Society of Gastrointestinal Endoscopy
ASP Average sales price
ASTRO American Society for Therapeutic Radiation Oncology
ATA American Telemedicine Association
AUA American Urological Association
AWP Average wholesale price
BBA Balanced Budget Act of 1997
BBRA Balanced Budget Refinement Act of 1999
BES (Bureau of the Census) Business Expenditure Survey
BIPA Medicare, Medicaid, and SCHIP Benefits Improvement Protection Act of 2000
BLS Bureau of Labor Statistics
BMD Bone mineral density
BMI Body mass index
BMM Bone mass measurement
BNF Budget neutrality factor
BP Best price
BSA Body surface area
CAH Critical access hospital
CAP College of American Pathologists
CBSA Core-Based Statistical Area
CCI Correct Coding Initiative
CF Conversion factor
CFR Code of Federal Regulations
CMA California Medical Association
CMS Centers for Medicare & Medicaid Services
CNS Clinical nurse specialist
CPEP Clinical Practice Expert Panel
CPI Consumer Price Index
CPO Care Plan Oversight
CPT (Physicians') Current Procedural Terminology (4th Edition, 2002, copyrighted by the American Medical Association)
CRNA Certified Registered Nurse Anesthetist
CT Computed tomography
CTA Computed tomographic angiography
CY Calendar year
DHS Designated health services
DME Durable medical equipment
DMERC Durable Medical Equipment Regional Carrier
DRA Deficit Reduction Act
DSMT Diabetes outpatient self-management training services
DXA Dual energy x-ray absorptiometry
E&M Evaluation and management
EPO Erythopoeitin
ESRD End stage renal disease
FAX Facsimile
FI Fiscal intermediary
FR Federal Register
GAF Geographic adjustment factor
GAO General Accounting Office
GDP Gross domestic product
GPO Group purchasing organizationStart Printed Page 48984
GPCI Geographic practice cost index
HCPAC Health Care Professional Advisory Committee
HCPCS Healthcare Common Procedure Coding System
HCRIS Healthcare Cost Report Information System
HSA Health Savings Account
HHA Home health agency
HHS (Department of) Health and Human Services
HIT Health information technology
HOCM High osmolar contrast media
HPSA Health Professional Shortage Area
HRSA Health Resources Services Administration (HHS)
HUD (Department of) Housing and Urban Development
IDTF Independent diagnostic testing facility
IPF Inpatient psychiatric facility
IPPS Inpatient prospective payment system
IRF Inpatient rehabilitation facility
ISO Insurance Services Office
IVIG Intravenous immune globulin
JCAAI Joint Council of Allergy, Asthma, and Immunology
JUA Joint underwriting association
LCD Local coverage determination
LTCH Long-term care hospital
LOCM Low osmolar contrast media
LOINC® Logical Observation Identifiers Names and Codes
MA Medicare Advantage
MCAC Medicare Coverage Advisory Committee
MCG Medical College of Georgia
MedPAC Medicare Payment Advisory Commission
MEI Medicare Economic Index
MMA Medicare Prescription Drug, Improvement, and Modernization Act of 2003
MNT Medical nutrition therapy
MRA Magnetic resonance angiography
MRI Magnetic resonance imaging
MSA Metropolitan statistical area
NCD National coverage determination
NCQDIS National Coalition of Quality Diagnostic Imaging Services
NDC National drug code
NECMA New England County Metropolitan Area
NECTA New England City and Town Area
NP Nurse practitioner
NPP Nonphysician practitioners
NPWP Nonphysician Work Pool
OBRA Omnibus Budget Reconciliation Act
OIG Office of Inspector General
OMB Office of Management and Budget
OPD Outpatient Department
OPPS Outpatient prospective payment system
OSCAR Online Survey and Certification and Reporting
PA Physician assistant
PBM Pharmacy benefit managers
PC Professional component
PE Practice Expense
PEAC Practice Expense Advisory Committee
PERC Practice Expense Review Committee
PET Positron emission tomography
PFS Physician Fee Schedule
PLI Professional liability insurance
PPI Producer price index
PPO Preferred provider organization
PPS Prospective payment system
PRA Paperwork Reduction Act
PT Physical therapy
QCT Quantitative computerized tomography
RFA Regulatory Flexibility Act
RIA Regulatory impact analysis
RN Registered nurse
RUC (AMA's Specialty Society) Relative (Value) Update Committee
RVU Relative value unit
SXA Single energy x-ray absorptiometry
SPA Single photon absorptiometry
SGR Sustainable growth rate
SMS (AMA's) Socioeconomic Monitoring System
SNF Skilled Nursing Facility
SNM Society for Nuclear Medicine
TA Technology Assessment
TC Technical Component
UAF Update adjustment factor
UPIN Unique Physician Identification Number
WAC Wholesale acquisition cost
WAMP Widely available market price
I. Background
[If you choose to comment on issues in this section, please include the caption “BACKGROUND” at the beginning of your comments.]
Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), “Payment for Physicians’ Services.” The Act requires that payments under the physician fee schedule (PFS) 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 (PE), and malpractice expense. Before the establishment of the resource-based relative value system, Medicare payment for physicians’ services was based on reasonable charges.
A. Development of the Relative Value System
1. Work RVUs
The concepts and methodology underlying the PFS were enacted as part of the Omnibus Budget Reconciliation Act (OBRA) of 1989, Pub. L. 101-239, and OBRA 1990, (Pub. L. 101-508). The final rule, published November 25, 1991 (56 FR 59502), set forth the fee schedule for payment for physicians’ services beginning January 1, 1992. Initially, only the physician work RVUs were resource-based, and the PE and malpractice RVUs were based on average allowable charges.
The physician work RVUs established for the implementation of the fee schedule in January 1992 were developed with extensive input from the physician community. A research team at the Harvard School of Public Health developed the original physician work RVUs for most codes in a cooperative agreement with the Department of Health and Human Services (HHS). In constructing the code-specific vignettes for the original physician work RVUs, Harvard worked with panels of experts, both inside and outside the Federal government, and obtained input from numerous physician specialty groups.
Section 1848(b)(2)(A) of the Act specifies that the RVUs for radiology services are based on relative value scale we adopted under section 1834(b)(1)(A) of the Act, (the American College of Radiology (ACR) relative value scale), which we integrated into the overall PFS. Section 1848(b)(2)(B) of the Act specifies that the RVUs for anesthesia services are based on RVUs from a uniform relative value guide. We established a separate conversion factor (CF) for anesthesia services, and we continue to utilize time units as a factor in determining payment for these services. As a result, there is a separate payment methodology for anesthesia services.
We establish physician work RVUs for new and revised codes based on recommendations received from the American Medical Association's (AMA) Specialty Society Relative Value Update Committee (RUC).
2. Practice Expense Relative Value Units (PE RVUs)
Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 103-432), enacted on October 31, 1994, amended section 1848(c)(2)(C)(ii) of the Act and required us to develop resource-based PE RVUs for each physician's service beginning in 1998. We were to consider general categories of expenses (such as office rent and wages of personnel, but excluding malpractice expenses) comprising practice expenses.
Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), amended section 1848(c)(2)(C)(ii) of the Act to delay implementation of the resource-based PE RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based PE RVUs to resource-based RVUs.
We established the resource-based PE RVUs for each physician's service in a final rule, published November 2, 1998 (63 FR 58814), effective for services furnished in 1999. Based on the requirement to transition to a resource-based system for PE over a 4-year period, resource-based PE RVUs did not become fully effective until 2002.Start Printed Page 48985
This resource-based system was based on two significant sources of actual PE data: The Clinical Practice Expert Panel (CPEP) data and the AMA's Socioeconomic Monitoring System (SMS) data. The CPEP data were collected from panels of physicians, practice administrators, and nonphysicians (for example, registered nurses) nominated by physician specialty societies and other groups. The CPEP panels identified the direct inputs required for each physician's service in both the office setting and out-of-office setting. The AMA's SMS data provided aggregate specialty-specific information on hours worked and practice expenses.
Separate PE RVUs are established for procedures that can be performed in both a nonfacility setting, such as a physician's office, and a facility setting, such as a hospital outpatient department. The difference between the facility and nonfacility RVUs reflects the fact that a facility receives separate payment from Medicare for its costs of providing the service, apart from payment under the PFS. The nonfacility RVUs reflect all of the direct and indirect practice expenses of providing a particular service.
Section 212 of the Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113) directed the Secretary of Health and Human Services (the Secretary) 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 to supplement the data we normally collect in determining the PE component. On May 3, 2000, we published the interim final rule (65 FR 25664) that set forth the criteria for the submission of these supplemental PE survey data. The criteria were modified in response to comments received, and published in the Federal Register (65 FR 65376) as part of a November 1, 2000 final rule. The PFS final rules published in 2001 and 2003, respectively, (66 FR 55246 and 68 FR 63196) extended the period during which we would accept these supplemental data.
3. Resource-Based Malpractice RVUs
Section 4505(f) of the BBA amended section 1848(c) of the Act to require us to implement resource-based malpractice RVUs for services furnished on or after 2000. The resource-based malpractice RVUs were implemented in the PFS final rule published November 2, 1999 (64 FR 59380). The malpractice RVUs were based on malpractice insurance premium data collected from commercial and physician-owned insurers from all the States, the District of Columbia, and Puerto Rico.
4. Refinements to the RVUs
Section 1848(c)(2)(B)(i) of the Act requires that we review all RVUs no less often than every 5 years. The first 5-year review of the physician work RVUs went into effect in 1997, published on November 22, 1996 (61 FR 59489). The second 5-year review went into effect in 2002, published on November 1, 2001 (66 FR 55246). The next scheduled 5-year review is scheduled to go into effect in 2007.
In 1999, the AMA's RUC established the Practice Expense Advisory Committee (PEAC) for the purpose of refining the direct PE inputs. Through March of 2004, the PEAC provided recommendations to CMS for over 7,600 codes (all but a few hundred of the codes currently listed in the AMA's Current Procedural Terminology (CPT) codes).
In the November 15, 2004, PFS final rule (69 FR 66236), we implemented the first 5-year review of the malpractice RVUs (69 FR 66263).
5. Adjustments to RVUS Are Budget Neutral
Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs for a year may not cause total PFS payments to differ by more than $20 million from what they would have been if the adjustments were not made. In accordance with section 1848(c)(2)(B)(ii)(II) of the Act, if adjustments to RVUs cause expenditures to change by more than $20 million, we make adjustments to ensure that expenditures do not increase or decrease by more than $20 million.
B. Components of the Fee Schedule Payment Amounts
To calculate the payment for every physician service, the components of the fee schedule (physician work, PE, and malpractice RVUs) are adjusted by a geographic practice cost index (GPCI). The GPCIs reflect the relative costs of physician work, PEs, and malpractice insurance in an area compared to the national average costs for each component.
Payments are converted to dollar amounts through the application of a CF, which is calculated by the Office of the Actuary and is updated annually for inflation.
The general formula for calculating the Medicare fee schedule amount for a given service and fee schedule area can be expressed as:
Payment = [(RVU work × GPCI work) + (RVU PE × GPCI PE) + (RVU malpractice × GPCI malpractice)] × CF.
(Note: As discussed in the June 29, 2006 proposed notice for the Five-Year Review of Work Relative Value Units Under the Physician Fee Schedule and Proposed Changes to the Practice Expense Methodology (71 FR 37170), we have proposed to establish a separate budget neutrality adjustor that would be applied in the calculation of the work RVUs. Application of this budget neutrality adjustor would enable us to meet the budget neutrality provisions of section 1848(c)(2)(B)(ii) of the Act.)
C. Most Recent Changes to the Fee Schedule
The final rule with comment period that appeared in the Federal Register on November 21, 2005 (70 FR 70116) addressed Medicare Part B payment policy, including the physician fee schedule, that is applicable for calendar year (CY) 2006; and finalized certain provisions of the interim final rule to implement the Competitive Acquisition Program (CAP) for Part B Drugs.
It also revised Medicare Part B payment and related policies regarding: Physician work, practice expense and malpractice RVUs; Medicare telehealth services; multiple diagnostic imaging procedures; covered outpatient drugs and biologicals; supplemental payments to Federally Qualified Health Centers (FQHCs); renal dialysis services; coverage for glaucoma screening services; National Coverage Determination (NCD) timeframes; and physician referrals for nuclear medicine services and supplies to health care entities with which physicians have financial relationships.
In addition, the rule finalized the interim RVUs for CY 2005 and issued interim RVUs for new and revised procedure codes for CY 2006. The rule also updated the codes subject to the physician self-referral prohibition and discussed payment policies relating to teaching anesthesia services, therapy caps, private contracts and opt-out, and chiropractic and oncology demonstrations.
In accordance with section 1848(d)(1)(E)(i) of the Act, we also announced that the PFS update for CY 2006 would be −4.4 percent; the initial estimate for the sustainable growth rate for CY 2006 would be 1.7; and the CF for CY 2006 would be $36.1770. However, subsequent to publication of the CY 2005 PFS final rule with comment period, section 5104 of the Deficit Reduction Act (DRA) of 2005 (Pub. L. 109-171, February 8, 2006), was enacted which amended section 1848(d) Start Printed Page 48986of the statute to provide for a 0 percent update effective January 1, 2006.
We also note that the Five-Year Review of Work Relative Value Units Under the Physician Fee Schedule and Proposed Changes to the Practice Expense Methodology proposed notice appeared in the Federal Register on June 29, 2006 (71 FR 37170). In that notice, we proposed revisions to work RVUs affecting payment for physicians’ services. The revisions reflect changes in medical practice, coding changes, and new data on relative value components that affect the relative amount of physician work required to perform each service, as required by the statute. We also proposed revisions to our methodology for calculating PE RVUs, including changes based on supplemental survey data for PE. This revised methodology would be used to establish payment for services beginning January 1, 2007.
As indicated in the June 29, 2006 proposed notice, we will respond to the comments received on that notice as part of the final Medicare PFS rule for CY 2007 scheduled for publication this fall. If adopted, the RVU revisions would be fully implemented for services furnished to Medicare beneficiaries on or after January 1, 2007. The PE revisions would be phased-in over a four-year period; although, as we gain experience with the new methodology, we will reexamine this policy beginning next year and propose necessary revisions through future rulemaking.
II. Provisions of the Proposed Rule
[If you choose to comment on issues in this section, please include the caption “PROVISIONS” at the beginning of your comments.]
A. Resource-Based Practice Expense (PE) RVU Proposals for CY 2007
Major changes to the PE methodology for 2007, as well as a detailed discussion of the current PE methodology, are discussed in the June 29, 2006 proposed notice (71 FR 37170 through 37430).
This proposed rule contains proposals for direct PE including clinical labor, medical supplies and medical equipment.
1. RUC Recommendations for Direct PE Inputs and Other PE Input Issues
The following discussions are proposals concerning direct PE inputs.
(a) RUC Recommendations
The AMA's Relative Value Update Committee (RUC) established a new committee, the Practice Expense Review Committee (PERC), to assist the RUC in recommending direct PE inputs (clinical staff, supplies, and equipment) for new and existing CPT codes.
The PERC reviewed the PE inputs for over 2000 existing codes, some of which were unresolved PE issues from the CY 2006 PFS final rule with comment period, at their meetings held in September 2005, February 2006 and April 2006. (A list of these reviewed codes can be found in Addendum C of this proposed rule.)
We have reviewed the PERC-submitted recommendations and propose to adopt all of them. We have worked with the AMA staff to make corrections for any typographical errors and to ensure that previously PEAC-accepted standards are incorporated in the recommendations.
The complete PERC recommendations and the revised PE database can be found on our Web site. (See the SUPPLEMENTARY INFORMATION section of this proposed rule for directions on accessing our Web site.)
(b) Standard Supplies and Equipment for 90-Day Global Codes
We are proposing to revise the CPEP supply and equipment inputs for those 90-day global procedures for which the RUC has only refined the clinical labor inputs. We are proposing to apply the standard supply and equipment inputs for the facility setting for 90-day global services to these remaining unrefined 90-day global procedure codes. As recommended by the RUC, for supplies, we propose to include one minimum supply visit package for each post-operative visit assigned to each code and a post-surgical incision care kit (suture, staples, or both) where appropriate, along with additional items recommended by the RUC for certain procedures. For equipment, we are proposing to include an exam table and light. However, there are several issues on which we need input before we finalize the recommended standards. For example, for many of the 90-day codes in question, the current supply input data contain supplies in far larger quantities than are contained in either the visit package or incision care kit. For other codes, the current data includes items that are not contained in the package or kit. In other cases, the recommendations from the RUC contain additional items in quantities that appear excessive. We plan to work with all the concerned specialties to ensure that the finalized inputs do represent the typical supplies needed to perform each procedure.
Because the application of the 90-day global standard supplies and equipment would result in the deletion of some original CPEP inputs, we are requesting that all the medical specialties examine the direct PE inputs on our Web site and let us know whether there are additional items from the original CPEP data that are a necessary part of the post-operative care and if the PE inputs listed are correct. (See the SUPPLEMENTARY INFORMATION section of this proposed rule for directions on accessing our Web site.)
2. Payment for Splint and Cast Supplies
In the PFS final rules published November 1999 (64 FR 59380) and November 2000 (65 FR 65376), we removed splint and cast supplies from the PE database for the CPT codes for fracture management and cast/strapping application procedures. Because splint and cast supplies could be separately billed using Healthcare Common Procedure Coding System (HCPCS) codes (Q4001-Q4051) that were established for payment of these supplies under section 1861(s)(5) of the Act, we did not want to make duplicate payment under the PFS for these items.
In the CY 2006 PFS proposed rule (70 FR 70116), we proposed to reinstate payment for all splints and cast supplies through the PE component of the PFS because we believed we may have unintentionally prohibited remuneration for these supplies when they are not used for reduction of a fracture or dislocation (covered under section 1861(s)(5) of the Act), but rather are provided (and covered) as “incident to” a physician service under section 1861(s)(2)(A) of the Act. This proposal was not finalized; however, in our final rule we asked the medical specialties and the PERC to determine the typical supplies for splints and casts necessary for each of the fracture management codes and the cast/strapping application codes because we wanted to make certain that the supply inputs were correct before we proceeded with rulemaking for the CY 2007 PFS. At its February 2006 meeting, the PERC reviewed and approved the supply inputs submitted by the AAOS for each CPT code for fracture management and cast/strapping application and these were forwarded to us as PERC recommendations. During this interim period we also reassessed the options for payment of materials for splints and casts.
We believe that the majority of the splint and cast supplies that are currently paid through the Q-codes are furnished in relationship to cast/strapping procedures for the management of fractures and dislocations. However, we did not intend for the medically necessary Start Printed Page 48987splint and cast supplies used for other reasons (for example, serial casting, wound care, or protection) not to be paid. Because it may be difficult for the contractors to identify the purpose for the cast/strapping application procedure on a claim form, we believe that contractors may have been paying for the splint and cast supply Q-codes when the service is performed for other purposes than treatment of fractures and dislocations.
Since these splint and cast supplies can be covered under both sections 1861(s)(5) and 1861(s)(2)(A) of the Act, we are proposing to include payment for both statutory benefits using the separate HCPCS Q-codes. This would allow for payment for these medically necessary supplies whether based on sections 1861(s)(5) or 1861(s)(2)(A) of the Act, while ensuring that no duplicate payments are made. Physicians would continue to bill the HCPCS Q-codes, in addition to the cast/strapping application procedure codes, to be paid for these materials.
The following supplies would continue to be paid separately using the HCPCS Q-codes and would not be included in the PE database upon adoption of this proposal:
- Fiberglass roll.
- Cast padding.
- Cast shoe.
- Stockingnet/stockinette.
- Plaster bandage.
- Denver splint.
- Dome paste bandage.
- Cast sole.
- Elastoplast roll.
- Fiberglass splint.
- Ace wrap.
- Kerlix.
- Webril.
- Malleable arch bars and elastics.
The splint and cast supplies would not be included in the PEs for the following CPT codes:
- 24500 through 24685
- 25500 through 25695
- 26600 through 26785
- 27500 through 27566
- 27750 through 27848
- 28400 through 28675
- 29000 through 29750.
We are requesting input, specifically from medical specialties and contractors on this proposal.
3. Medical Nutrition Therapy Services
In 2000, the Health Care Professional Advisory Committee (HCPAC) recommended that we assign work RVUs to three new medical nutrition therapy (MNT) CPT codes—97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes at 0.45 RVUs, 97803 Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes at 0.37 RVUs, and 97804 Medical nutrition therapy; group (two or more individuals), each 30 minutes at 0.25 RVUs. However, during rulemaking for the CY 2001 PFS final rule, we indicated that MNT was not covered because there was yet no statutory benefit category that would allow medical nutritionists to bill these services. We also did not accept the HCPAC recommendations for work RVUs for these MNT services because the codes were designed for use only by nonphysicians. The following year, section 105(c) of the Medicare, Medicaid, and SCHIP Benefits Improvement Protection Act of 2000 (BIPA) provided for the coverage of MNT services when furnished by registered dietitians or nutritional professionals at 85 percent of the amount that a physician would be paid for the same services. As a result, we established values for these MNT services for the 2002 PFS. In keeping with our earlier decision, we did not assign the HCPAC-recommended work values. However, the associated work value for each code was utilized in the conversion of work to clinical labor time for MNTs as part of the PE component. At that time we received several comments, including one from the American Dietetic Association (ADA), urging us to adopt the work values recommended by the HCPAC.
More recently, the ADA has requested us to reconsider our decision not to accept the HCPAC recommended work RVUs. The ADA contends that the payment rate established by section 105(c) of BIPA, 85 percent of the PFS amount that would be paid for the same service if furnished by a physician, is based on the premise that work values are inherent to these MNT services. The ADA believes that without work RVUs, the payment for these services does not reflect 85 percent of what a physician would be paid for performing the same service. Because these MNT codes were created specifically for MNT professionals, the ADA compared the work associated with their services to physician E/M services of CPT 99203 and 99213, which have respective work RVUs of 1.34 and 0.67.
After reviewing the issues and relevant arguments raised by the ADA, we are persuaded that it would be appropriate to include work RVUs for the MNT services. Consequently, we are proposing to establish work RVUs for each code at the level previously recommended by the HCPAC, as follows:
- CPT 97802 = 0.45 RVUs.
- CPT 97803 = 0.37 RVUs.
- CPT 97804 = 0.25.
Because we propose to add the work RVUs to these services, the MNT clinical labor time in the direct input database would be removed with the adoption of this proposal. Additionally, two HCPCS codes, G0270 MNT subs tx for change dx and G0271 Group MNT 2 or more 30 mins were created to track MNT services following the second referral in the same year. These HCPCS codes correspond to CPT codes 97803 and 97804, respectively. Therefore, we would also propose to add the same work RVUs to these HCPCS codes and to delete the clinical labor inputs from the PE database upon adoption of this policy. We encourage specialty societies and other professional groups to comment on this proposal.
4. Surgical Pathology Codes
We heard from the College of American Pathologists (CAP) regarding the equipment times assigned to CPT codes 88304 and 88305 in the basic surgical pathology family of codes. While all six codes in this family have been refined by the PEAC, this refinement occurred at 4 separate PEAC meetings. CPT codes 88304 and 88305 were refined at the first PEAC meeting in April 1999 before time standards were established for the equipment at subsequent PEAC meetings when the other four CPT codes 88300, 88302, 88307, and 88309 were reviewed. Using our proposed bottom-up PE methodology to value these codes, the lack of the equipment time standards for CPT codes 88304 and 88305 create a rank-order anomaly in this family. Consequently, CAP, after reviewing and applying current standards for the equipment times, submitted suggested revised equipment times to us. We are proposing to accept these times and the proposed times will be reflected in the PE database on our Web site (See the SUPPLEMENTARY INFORMATION section of this proposed notice for directions on accessing our Web site.)
5. Other PE Issues
In the CY 2006 PFS final rule with comment period (70 FR 70116), we explained that we were not implementing the PERC or other proposed PE changes for CY 2006 due to issues with the PE methodology. In this proposed rule, we are proposing that the PERC and other PE changes originally proposed for CY 2006 would be implemented and effective with the CY 2007 PFS. The following Start Printed Page 48988subsections, (a) through (j), summarize the PE proposals from the CY 2006 PFS final rule with comment period that we are including in this proposed rule. Additionally, we are including several other items which concern inputs for PE that are discussed below in subsections (k) through (n).
(a) PE Recommendations on CPEP Inputs for CY 2006
We are proposing to use a clinical labor time of 167 minutes for the service period for CPT code 36522, Extracorporeal Photopheresis; maintain the nonfacility setting PE RVUs for CPT code 78350, single photon bone densitometry; and remove the PE inputs for the nonfacility setting for CPT codes 76975, GI endoscopic ultrasound, and 15852, Dressing change not for burn. (70 FR 70136 through 70137)
(b) Supply Items for CPT Code 95015 (Which Is Used for Intradermal Allergy Tests With Drugs, Biologicals, or Venoms)
We are proposing to implement the allergy and immunology specialty's recommendation to change the test substance in CPT code 95015 to venom, at $10.70 (from single antigen, at $5.18) and the quantity to 0.3 ml (from 0.1 ml). (See 70 FR 70138.)
(c) Flow Cytometry Services
Based on information from the society representing independent laboratories, we are proposing to implement the following direct PE inputs:
- Clinical Labor—We are proposing to change the staff type in the service (intra) period in both CPT codes 88184 and 88185 to cytotechnologist, at $0.45 per minute (currently lab technician, at $0.33 per minute).
- Supplies—We are proposing to change the antibody cost for both CPT codes 88184 and 88185 to $8.50 (from $3.544).
- Equipment—We are proposing to add the following equipment to CPT code 88184:
+ Computer.
+ Printer.
+ Slide strainer.
+ Biohazard hood.
+ Wash assistant.
+ FAC loader.
+ We are proposing to add a computer and printer to the equipment for CPT code 88185 (70 FR 70138).
(d) Low Osmolar Contrast Media (LOCM) and High Osmolar Contrast Media (HOCM)
Because separate payment is available for both types of contrast media, we are proposing to delete LOCM and HOCM from the PE database with the CY 2007 PFS rule. (See 70 FR 70138).
(e) Imaging Rooms
We are proposing to implement the updates for the contents and prices of 5 “rooms” used in imaging procedures including—
- Basic radiology room;
- Radiographic-fluoroscopic room;
- Mammography room;
- Computed tomography (CT) room; and
- Magnetic resonance imaging (MRI) room (See 70 FR 70139).
(f) Equipment Pricing for Select Services and Procedures
We are proposing to accept the following equipment pricing information provided by various specialty societies for select services and procedures as discussed in the CY 2006 PFS final rule with comment period. (See 70 FR 70139):
- Equipment pricing for certain radiology services received from the ACR as presented in Table 15 of the CY 2006 PFS proposed rule.
- Equipment pricing on the ultrasound color doppler transducers and vaginal probe received from the American College of Obstetrics and Gynecology (ACOG).
- For CPT 36522, extracorporeal photopheresis, equipment pricing information specific to this procedure.
- Pricing of EMG botox machine used in CPT code 92265 as presented by the American Academy of Ophthalmology.
(g) Supply Item for In Situ Hybridization Codes (CPT Codes 88365, 88367, and 88368)
We are proposing to implement the Society for Clinical Pathologists’ request to change the probe quantity for CPT code 88367 In situ hybridization, auto to 1.5, equal to that of the other two codes in the family.
(h) Supply Item for Percutaneous Vertebroplasty Procedures (CPT codes 22520 and 22525)
Based on documentation provided by the Society for Interventional Radiology, we are proposing to implement a new price of $696.00 for the vertebroplasty kit, to replace a temporary price of $660.50 that was a placeholder price from the CY 2006 PFS final rule with comment period. (See 70 FR 70139.)
(i) Clinical Labor for G-Codes Related to Home Health and Hospice Physician Supervision, Certification and Recertification
We are proposing to apply the refinements made to the PE inputs to CPT codes 99375 and 99378 for home health and hospice supervision to 4 G-codes that are related to home health and hospice physician supervision, certification and recertification, G0179, GO180, GO181, and GO182. These G-codes are incorrectly valued for clinical labor. These G-codes are cross-walked from CPT codes 99375 and 99378, which underwent PEAC refinement in January 2003 for the CY 2004 PFS. However, at that time we inadvertently did not apply the new refinements to these specific G-codes. (See 70 FR 70139 through 70140.)
(j) Programmers for Implantable Neurostimulators and Intrathecal Drug Infusion Pumps
Although we had initially proposed, in the CY 2006 PFS proposed rule, to remove two programmers from the PE database (EQ208 for medication pump from two codes (CPT 62367 and 62368) and EQ209 for the neurostimulator from 8 codes (CPT 95970-97979)), based on comments received as discussed in the CY 2006 PFS final rule with comment period (see 70 FR 70140), we determined that we will retain these programmers in the database. In addition, we added “with printer” to the description of EQ208 based on comments received. We are proposing to implement these decisions for CY 2007.
(k) Cardiac Monitoring Services
We are requesting more specific PE information related to remote cardiac monitoring services because these services do not fit the direct PE model used for typical physician services. These services are overwhelmingly performed by specialized independent diagnostic testing facilities (IDTFs) that are paid under the PFS, but due to the characteristics of cardiac monitoring services, frequently maintain more extensive operating hours than the typical physician office. Specifically, we are looking for data to indicate the typical number and type of transmissions or other encounters per day between the beneficiary and the IDTF for each of the remote monitoring services. We would also like to know the number and type of clinical staff, as well as the corresponding time, that are necessary to ensure appropriate services are available for each patient. Additionally, we are interested in identifying any other direct PE inputs for typical supplies and equipment relating to these services, and any data that would reflect indirect PEs, such as overhead and non-clinical payroll expenses. We believe that the following codes represent atypical PE scenarios Start Printed Page 48989and would like to receive PE information regarding these services:
- Cardiac event monitoring (CPT codes 93271, 93012 and 93270).
- Pacemaker monitoring (CPT codes 93733 and 93736).
- Holter monitoring (CPT codes 93232, 93226, 93231 and 93225).
- INR monitoring (HCPCS codes G0248 and G0249).
(l) Clarification With Respect to Non-Facility PE RVUs
In the CY 2006 PFS final rule with comment (70 FR 70335) we provided a clarification in Addendum A concerning use of “NA” in the PE RVU columns for Addendum B. Commenters requested that further clarification be made concerning the payment amount for procedures performed in the non-facility setting if there is an “NA” in the non-facility PE RVU column. Our policy is that if the Medicare carrier pays for the service in the non-facility setting, the service will be paid at the facility PE RVU rate. In this proposed rule, we are proposing revisions to Addendum A to include this clarification.
(m) Supply for CPT Code 50384, Removal (via Snare/Capture) of Internally Dwelling Ureteral Stent Via Percutaneous Approach, Including Radiological Supervision and Interpretation
Upon review of the RUC-recommended direct PE inputs for CPT 50384, a new procedure for CPT 2006, we identified the inappropriate inclusion of a ureteral stent that we are proposing to delete for CY 2007. We believe that the addition of the ureteral stent, valued by the specialty at $162, to CPT code 50384, which is the procedure for the removal of a stent, was an inadvertent error by the specialty during the April 2005 RUC meeting.
(n) Supply and Equipment Items Needing Specialty Input
We have identified certain supply and equipment items for which we were unable to verify the pricing information (see Table 1: Supply Items Needing Specialty Input for Pricing and Table 2: Equipment Items Needing Specialty Input for Pricing). During the CY 2006 rulemaking process, we listed both supply and equipment items for which pricing documentation was needed from the medical specialty societies and, for many of these items, we received sufficient documentation in the form of catalog listings, vendor Web sites, invoices, and manufacturer quotes. We have accepted the documented prices for many of these items and these prices are reflected in the PE RVUs in Addendum B of this proposed rule. The items listed below in Tables 1 and 2 represent the outstanding items from CY 2006 and new items added from the current RUC recommendations. We are requesting that commenters provide pricing information on items in these tables along with acceptable documentation, as noted in the footnote to each table, to support recommended prices. For supplies or equipment that have previously appeared on this list, and for which we received no or inadequate documentation, we are proposing to delete these items unless we receive adequate information to support current pricing by the conclusion of the comment period for this proposed rule.
Start Printed Page 48990 Start Printed Page 48991 Start Printed Page 48992B. Geographic Practice Cost Indices (GPCI)
[If you choose to comment on issues in this section, please include the caption “GPCI” at the beginning of your comments.]
Section 1848(e)(1)(A) of the Act requires us to develop separate GPCIs to measure resource cost differences among localities compared to the national average for each of the three fee schedule components. While requiring that the PE and malpractice GPCIs reflect the full relative cost differences, section 1848(e)(1)(A)(iii) of the Act requires that the physician work GPCIs reflect only one-quarter of the relative cost differences compared to the national average.
Section 1848(e)(1)(C) of the Act requires us, in consultation with appropriate physician representatives, to review the GPCIs at least every 3 years and allows us to make adjustments based on our review. This section of the Act also requires us to phase-in the adjustment over 2 years, implementing only one-half of any adjustment in the first year 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 and the last GPCI revision was implemented in 2005. The next update is scheduled to be implemented in January 2008.
We do not anticipate proposing significant changes to the GPCIs in response to changes in the source data. There have been no new Census data to affect the work GPCI, the PE GPCI will reflect any changes in the Department of Housing and Urban Development (HUD) rental data, and the malpractice GPCI (based on malpractice RVUs) will reflect the national claims-based premium data for 2004 and 2005. Details of the methodology, data sources, and adjustments to the GPCIs will be made available for public comment in the CY 2008 PFS proposed rule.
In addition, section 412 of the MMA amended section 1848(e)(1) of the Act to establish a floor of 1.0 for the work GPCI for any locality where the GPCI would otherwise fall below 1.0 for purposes of payment for services furnished on or after January 1, 2004 and before January 1, 2007. Beginning on January 1, 2007, the 1.00 floor will be removed and the work GPCI will revert to the fully implemented value. The values for the work GPCI and subsequent changes to the Geographic Adjustment Factor (GAF) published in this proposed rule reflect the removal of the 1.0 floor. For many payment localities this change had no impact on the GAF; however, the GAFs for a number of payment localities were reduced due to this change. The impact of this change on the GAFs for those payment localities is shown below in Table 3.
The proposed GPCIs for 2007 are shown in Addendum D and the proposed GAFs for 2007 are shown in Addendum E. The GPCIs shown in Addendum D are fully implemented and reflect 2007 budget neutrality scaling coefficients provided by the Office of the Actuary.
Table 3.—Payment Localities With Negative Percent Change in GAF 1 Between 2006 and 2007 Due to Removal of the 1.000 Work Floor
Locality name 2006 GAF 2007 GAF Percent change Fort Worth, TX 0.998 0.996 −0.17 Rest of Michigan 0.986 0.984 −0.20 Rest of New York 0.952 0.950 −0.21 Rest of Maryland 0.982 0.978 −0.36 Metropolitan St. Louis, MO 0.978 0.974 −0.41 Rest of Pennsylvania 0.950 0.946 −0.44 Ohio 0.970 0.966 −0.44 Austin, TX 1.020 1.015 −0.47 New Hampshire 1.010 1.005 −0.50 Minnesota 0.980 0.975 −0.53 Galveston, TX 0.991 0.986 −0.54 Metropolitan Kansas City, MO 0.987 0.981 −0.56 Fort Lauderdale, FL 1.022 1.016 −0.59 Arizona 0.999 0.993 −0.65 Wisconsin 0.956 0.950 −0.65 Colorado 0.998 0.991 −0.67 East St. Louis, IL 1.003 0.996 −0.68 New Orleans, LA 0.984 0.977 −0.73 Rest of Washington 0.984 0.976 −0.77 Indiana 0.937 0.930 −0.79 Beaumont, TX 0.951 0.942 −0.96 Alabama 0.923 0.914 −0.99 Virginia 0.958 0.948 −1.06 Southern Maine 0.992 0.981 −1.09 Rest of Georgia 0.943 0.932 −1.14 Tennessee 0.933 0.921 −1.27 Utah 0.960 0.948 −1.30 South Carolina 0.930 0.917 −1.41 Rest of Illinois 0.952 0.938 −1.43 Rest of Florida 0.982 0.968 −1.45 West Virginia 0.942 0.928 −1.47 North Carolina 0.951 0.936 −1.55 New Mexico 0.947 0.932 −1.57 Kansas* 0.934 0.919 −1.60 Rest of Louisiana 0.936 0.919 −1.78 Kentucky 0.932 0.915 −1.80 Kansas* 0.936 0.919 −1.81 Rest of Oregon 0.946 0.929 −1.81 Start Printed Page 48994 Vermont 0.968 0.950 −1.82 Virgin Islands 1.007 0.989 −1.83 Rest of Texas 0.947 0.929 −1.87 Idaho 0.922 0.904 −1.91 Iowa 0.927 0.909 −1.97 Rest of Maine 0.936 0.916 −2.14 Oklahoma 0.913 0.893 −2.14 Mississippi 0.919 0.898 −2.31 Arkansas 0.905 0.884 −2.34 Puerto Rico 0.905 0.883 −2.44 Nebraska 0.925 0.902 −2.44 Wyoming 0.934 0.910 −2.55 Montana 0.928 0.902 −2.83 Rest of Missouri * 0.910 0.883 −2.97 North Dakota 0.924 0.895 −3.16 South Dakota 0.922 0.891 −3.35 1 Calculation for the GAF: (.52466*work gpci) + (.03865*mp gpci) + (.52466*pe gpci). In the CY 2005 PFS proposed rule, published August 15, 2004, we discussed the issue of changes to the GPCI payment localities (69 FR 47504). In that proposed rule, we noted that we look for the support of a State medical society as the impetus for changes to existing payment localities. Because the GPCIs for each locality are calculated using the average of the county-specific data from all of the counties in the locality, removing high cost counties from a locality will result in lower GPCIs for the remaining counties. Therefore, because of this redistributive impact, we have refrained, in the past, from making changes to payment localities unless the State medical association provides evidence that any proposed change has statewide support.
We would be interested in receiving suggestions on alternative ways that we could administratively reconfigure payment localities that could be developed and proposed in future rulemaking. In addition, MEDPAC and the GAO have both expressed interest in studying the physician payment localities. CMS intends to work with both groups to study our current methodology and develop alternative options.
C. Medicare Telehealth Services
[If you choose to comment on issues in this section, please include the caption “TELEHEALTH” at the beginning of your comments.]
1. Requests for Adding Services to the List of Medicare Telehealth Services
Section 1834(m)(4)(F) of the Act defines telehealth services as professional consultations, office visits, and office psychiatry services (identified as of July 1, 2000 by CPT codes 99241 through 99275, 99201 through 99215, 90804 through 90809, and 90862) and any additional service specified by the Secretary. In addition, the statute requires us to establish a process for adding services to or deleting services from the list of telehealth services on an annual basis.
In the December 31, 2002 Federal Register (67 FR 79988), we established a process for adding services to or deleting services from the list of Medicare telehealth services. This process provides the public an ongoing opportunity to submit requests for adding services. We assign any request to make additions to the list of Medicare telehealth services to one of the following categories:
- Category #1: Services that are similar to office and other outpatient visits, consultation, and office psychiatry services. In reviewing these requests, we look for similarities between the proposed and existing telehealth services for the roles of, and interactions among, the beneficiary, the physician (or other practitioner) at the distant site and, if necessary, the telepresenter. We also look for similarities in the telecommunications system used to deliver the proposed service, for example, the use of interactive audio and video equipment.
- Category #2: Services that are not similar to the current list of telehealth services. Our review of these requests includes an assessment of whether the use of a telecommunications system to deliver the service produces similar diagnostic findings or therapeutic interventions as compared with the faceπtoπface “hands on” delivery of the same service. Requestors should submit evidence showing that the use of a telecommunications system does not affect the diagnosis or treatment plan as compared to a faceπtoπface delivery of the requested service.
Since establishing the process, we have added the following to the list of Medicare telehealth services: psychiatric diagnostic interview examination; ESRD services with two to three visits per month and four or more visits per month (although we require at least one visit a month by a physician, CNS, NP, or PA to examine the vascular access site); and individual medical nutritional therapy.
Requests to add services to the list of Medicare telehealth services must be submitted and received no later than December 31 of each CY to be considered for the next proposed rule. For example, requests submitted before the end of CY 2005 are considered for the CY 2007 proposed rule. For more information on submitting a request for an addition to the list of Medicare telehealth services, visit our Web site at www.cms.hhs.gov/telehealth.
2. Submitted Requests for Addition to the List of Telehealth Services
We received the following requests for additional approved services in CY 2005: (1) Nursing facility care; (2) speech language pathology; (3) audiology; and (4) physical therapy services. The following is a discussion of the requests submitted in CY 2005.
Nursing Facility Care
The American Telemedicine Association (ATA) and an individual practitioner submitted a request to add the following services: Initial nursing facility care (as represented by HCPCS Start Printed Page 48995codes 99304 through 99306); subsequent nursing facility care (HCPCS codes 99307 through 99310); nursing facility discharge services (HCPCS codes 99315 and 99316); and other nursing facility services as described by HCPCS code 99318. The requestors explained that the primary purpose of using telehealth in the Skilled Nursing Facility (SNF) setting is to provide urgent consultation when the patient has a sudden change in his or her condition, and to provide increased availability to primary and specialty care on days when the physician is not present in the SNF or when traveling is a hardship. The requestors believe that the current list of Medicare telehealth services is not appropriate because the list does not include codes that are specifically intended for nursing facility residents.
CMS Review
Nursing Facility Care
Section 1834(m)(C)(ii) of the Act defines a telehealth originating site as a physician's or practitioner's office; or a hospital, critical access hospital (CAH), rural health clinic, or FQHC. SNFs are not defined in the statute as originating sites.
However, section 418 of the MMA required the Health Resources Services Administration (HRSA), a component of HHS, in consultation with CMS, to conduct an evaluation of demonstration projects under which SNFs, as defined in section 1819(a) of the Act, are treated as originating sites for Medicare telehealth services. The MMA also required the Secretary to submit a report to the Congress that includes recommendations on “mechanisms to ensure that permitting a SNF to serve as an originating site for the use of telehealth services or any other service delivered via a telecommunications system does not serve as a substitute for in-person visits furnished by a physician, or for in-person visits furnished by a physician assistant (PA), nurse practitioner (NP), or clinical nurse specialist (CNS), as is otherwise required by the Secretary” and provides the authority to include SNFs as a Medicare telehealth originating site, if the Secretary concludes in the report that it is advisable to do so and that mechanisms could be established to ensure that the use of a telecommunications system does not serve as a substitute for the required in-person physician or practitioner SNF visits. This report is currently under review in DHHS.
Given that SNFs are not defined in the statute as a telehealth originating site and the report to the Congress, as discussed above, is currently being reviewed within DHHS, we cannot consider approving nursing facility care for telehealth at this time. We will review and consider the recommendations of the report to the Congress once it is issued. If it is determined that SNFs should be added as an originating site, this change will be considered in future rulemaking.
Speech Language Pathology, Audiology and Physical Therapy
The ATA and an individual practitioner submitted a request to add various speech therapy, audiology and physical therapy services to the list of Medicare telehealth services. The requestors also asked us to add physical therapists, speech language pathologists and audiologists to the list of approved telehealth practitioners.
CMS Review
Physical therapists, speech language pathologists and audiologists are not permitted under current law to provide and receive payment for Medicare telehealth services at the distant site. The statute permits only a physician, as defined by section 1861(r) of the Act or a practitioner as described in section 1842(b)(18)(C) of the Act (CNS, NP, PA, nurse midwife, clinical psychologist, clinical social worker, registered dietitian or other nutrition professional), to furnish Medicare telehealth services. Since speech language pathologists, audiologists and physical therapists are not permitted under current law to provide and receive payment for Medicare telehealth services at the distant site, we cannot fully consider the request to add speech therapy, audiology services and physical therapy to the list of Medicare telehealth services. We are exploring this issue as part of a report to the Congress (required by section 223(d) of BIPA) on additional sites and settings, geographic areas, and types of non-physician practitioners that could be reimbursed for the provision of telehealth services.
D. Miscellaneous Coding Issues
[If you choose to comment on issues in this section, please include the caption “Miscellaneous Coding Issues” at the beginning of your comments.]
The following sections address specific coding issues related to payment for services under the PFS.
1. Global Period for Remote Afterloading High Intensity Brachytherapy Procedures
CPT Code 77783, Remote afterloading high intensity brachytherapy; 9-12 source positions or catheters, resides in a family of codes with varying numbers of source positions. All of the codes in the family, CPT codes 77781-77784 are currently designated as 90-day global services. CPT codes 77781-77784 are used to treat many clinical conditions, but primarily patients with prostate cancer, breast cancer and sarcoma. Patients with any of these conditions usually receive several treatments (2-10) over a two to ten day period of time. Due to the increasing variability in treatment regimens, it is difficult to assign RVUs for a “typical” patient based on a global period of 90 days.
Therefore, we are proposing that this family of codes (CPT codes 77781, 77782, 77783 and 77784) be assigned a global period of “XXX”, which will permit separate payment each time the services are provided and allow payment to be based on the actual service(s) provided. We will request that the RUC revalue the work RVUs and the PE inputs for these services if a change in the global period is finalized. However we are proposing, on an interim basis, to revise the work RVUs and PE inputs to reflect the removal of the postoperative visit, CPT code 99212, that is currently assigned to these services. The proposed interim work RVUs for these services would be as follows:
- 77781 = 1.21
- 77782 = 2.04
- 77783 = 3.27
- 77784 = 5.15
We are also proposing to delete the registered nurse (RN) time in the post-service period as well as the patient gowns for the post-service visit. We would also note that, to the extent that these services are performed as staged procedures, providers may make use of applicable modifiers.
2. Assignment of RVUs to CPT Codes for Proton Beam Treatment Delivery Services
We have received a request to assign PE inputs for the non-facility setting to Proton Beam treatment delivery services represented by CPT codes 77520 through 77525.
These services are currently carrier-priced; therefore, payment in the facility or non-facility setting is established by each carrier. To the extent that physicians and suppliers wish to have national RVUs assigned for these services, there is an established process utilizing the AMA-RUC to recommend work RVUs, as well as the direct PE inputs used to compute the PE RVUs, to CMS. We would strongly encourage the physicians and suppliers to use this established process, and would also be Start Printed Page 48996interested in receiving comments on this issue.
E. Deficit Reduction Act (DRA) Related Proposals
[If you choose to comment on issues in this section, please include the caption “DRA PROPOSALS” at the beginning of your comments.]
The DRA of 2005 (Pub. L. 109-171), was enacted February 8, 2006 and included provisions that affect the Medicare program. The following section addresses the specific DRA provisions that are being addressed in this proposed rule.
1. Section 5102—Proposed Adjustments for Payments to Imaging Services
Section 5102 of the DRA includes two provisions that affect payment of imaging services under the Medicare physician fee schedule. The first provision addresses payment for certain multiple imaging procedures for CY 2007 and application of budget neutrality while the second provision addresses limiting the payment amount under PFS to the outpatient department (OPD) payment amount for the technical component (TC) of certain imaging services.
(a) Payment for Multiple Imaging Procedures for 2007
In general, Medicare prices diagnostic imaging procedures in the following three ways:
- The professional component (PC) represents the physician's interpretation (PC-only services are billed with the 26 modifier).
- The TC represents PE and includes clinical staff, supplies, and equipment (TC-only services are billed with the TC modifier).
- The global service represents both PC and TC.
As discussed in the CY 2006 PFS final rule with comment period (70 FR 70261), in the CY 2006 PFS proposed rule (70 FR 45764 through 46064), we had proposed to reduce payment for the TC of selected diagnostic imaging procedures belonging to one of eleven imaging families when the procedures are performed on contiguous body areas by 50 percent for CY 2006. However, in the final rule with comment period, we stated that we would phase-in the 50 percent reduction over two years, beginning with a 25 percent reduction in 2006. We also sought additional data and comments on the appropriateness of 50 percent as the final level of reduction. The reduction applies to the TC and the technical portion of the global service, but does not apply to the PC of the service. Currently, we make full payment for the highest priced procedure and reduce payment for each additional procedure by 25 percent, when more than one procedure from the same imaging family is performed during the same session on the same day.
As described in the CY 2006 PFS final rule with comment period, at the time, the statute required us to make changes such as this in a budget neutral manner, meaning that the estimated savings generated by the application of the multiple imaging procedure payment reduction were used to increase payment for other physician fee schedule services. We increased the CY 2006 PE RVUs by 0.3 percent to offset the estimated savings generated by the multiple imaging payment reduction policy.
Subsequent to the publication of the CY 2006 PFS final rule with comment period, section 5102(a) of the DRA (Multiple Procedure Payment Reduction for Imaging Exempted From Budget Neutrality), required that “effective for fee schedules established beginning with 2007, reduced expenditures attributable to the multiple procedure payment reduction for imaging under the final rule published by the Secretary in the Federal Register on November 21, 2005 (42 CFR 405, et al.) insofar as it relates to the physician fee schedules for 2006 and 2007” are exempted from the budget neutrality provision. As a result, we are proposing to remove the 0.3 percent increase to the CY 2006 PE RVUs from the CY 2007 PE RVUs in accordance with the statute.
In addition, in response to our request for data on the appropriateness of the 50 percent reduction in the CY 2006 PFS final rule with comment period (70 FR 70261), the ACR provided information for 25 code combinations supporting a reduction of between 21 and 44 percent. Given the expected interaction between the multiple procedure imaging policy and the further imaging payment reductions mandated by section 5102(b) of the DRA described below, along with the new information we have received from the ACR on the multiple imaging procedure policy as it applies to common combinations of imaging services, we believe it would be prudent to maintain the multiple imaging payment reduction at its current 25 percent level while we continue to examine the appropriate payment levels. Therefore, we are proposing to continue the multiple imaging payment reduction for 2007 at the 25 percent level. We would proceed through future rulemaking in the event we determine that revisions to the policy are warranted.
(b) Reduction in TC for Imaging Services Under the PFS to OPD Payment Amount
Section 5102(b)(1) of the DRA amended section 1848 of the Act and requires that, with respect to imaging services, if—
“(i) The technical component (including the technical component portion of a global fee) of the service established for a year under the fee schedule * * *, without application of the geographic adjustment factor * * *, exceeds,
(ii) The Medicare OPD fee schedule amount established under the prospective payment system for hospital outpatient department services * * * for such service for such year, determined without regard to geographic adjustment * * *, the Secretary shall substitute the amount described in clause (ii), adjusted by the geographic adjustment factor [under the PFS] * * *, for the fee schedule amount for such technical component for such year.”
As required by the statute, for imaging services (described below) furnished on or after January 1, 2007, we will cap the PFS payment amount for the year (prior to geographic adjustment) by the CY 2007 outpatient prospective payment system (OPPS) payment amount (prior to geographic adjustment). We will then apply the PFS geographic adjustment to the capped payment amount.
Section 5102(b)(2) of the DRA exempts the estimated savings from this provision from the PFS budget neutrality requirement. Section 5102(b)(1) of the DRA defines imaging services as “* * * imaging and computer-assisted imaging services, including X-ray, ultrasound (including echocardiography), nuclear medicine (including positron emission tomography), magnetic resonance imaging, computed tomography, and fluoroscopy, but excluding diagnostic and screening mammography.”
In order to apply section 5102(b) of the DRA, we needed to determine the CPT and alpha-numeric HCPCS codes that fall within the scope of “imaging services” defined by the DRA provision. In general, we believe that imaging services provide visual information regarding areas of the body that are not normally visible, thereby assisting in the diagnosis or treatment of illness or injury. We began by considering the CPT 7XXXX series codes for radiology services and then adding in other CPT codes and alpha-numeric HCPCS codes that describe imaging services. We then excluded nuclear medicine services that were either non-imaging diagnostic or treatment services. We also excluded all Start Printed Page 48997codes for unlisted procedures, since we would not know in advance of any specific clinical scenario whether or not the unlisted procedure was an imaging service. We excluded all mammography services, consistent with the statute. We excluded radiation oncology services that were not imaging or computer-assisted imaging services. We also excluded all HCPCS codes for imaging services that are not separately paid under the OPPS since there would be no corresponding OPPS payment to serve as a TC cap. We excluded any service where the CPT code describes a procedure for which fluoroscopy, ultrasound, or another imaging modality is either included in the code whether or not it is used or is employed peripherally in the performance of the main procedure, for example, 31622 for bronchoscopy with or without fluoroscopic guidance and 43242 for upper gastrointestinal endoscopy with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s). In these cases, we are unable to clearly distinguish imaging from non-imaging services because, for example, a specific procedure may or may not utilize an imaging modality, or the use of an imaging technology cannot be segregated from the performance of the main procedure. Note that we included carrier priced services since these services are within the statutory definition of imaging services and are also within the statutory definition of PFS services (that is, carrier-priced TCs of PET scans).
Our proposed list of codes that identify imaging services defined by the DRA OPPS cap provision can be found in Addendum F to this proposed rule. Note that this is the list of imaging services for which we propose to make the comparison between the PFS TC payment amount and the OPPS payment amount used to establish OPD payment. Payment for an individual service on this list would only be capped if the PFS TC payment amount exceeds the OPPS payment amount.
To the extent changes are made to codes for services already on the list, we propose to update the list through program instructions to our contractors. To the extent that the same imaging service is coded differently under the PFS and the OPPS, we propose to crosswalk the code under the PFS to the appropriate code under the OPPS that could be reported for the same service provided in the hospital outpatient setting. Our proposed list of crosswalks is below:
MFS code Descriptor OPPS code Desc 74185 Mri angio, abdom w or w/o dye C8900 MRA w/cont, abd. 76093 Magnetic image, breast C8905 MRI w/o fol w/cont, brst, un. 76094 Magnetic image, both breasts C8908 MRI w/o fol w/cont, breast. 71555 Mri angio chest w or w/o dye C8909 MRA w/cont, chest. 73725 Mr ang lwr ext w or w/o dye C8912 MRA w/cont, lwr ext. 72198 Mr angio pelvis w/o & w/dye C8918 MRA w/cont, pelvis. (c) Interaction of the Multiple Imaging Payment Reduction and the OPPS Cap
For CY 2007 imaging services potentially subject to both the multiple imaging reduction and the OPPS cap, we propose to first apply the multiple imaging payment reduction and then apply the OPPS cap to the reduced amount as illustrated in the following example.
HCPCS Pre-OPPS cap MPFS rate 25% Multiple imaging reduction OPPS cap rate Final MPFS payment 7XXX1 $341.89 $256.42 $316.55 $256.42 7XXX2 552.86 414.65 391.83 391.83 We considered first applying the OPPS cap and then applying the multiple procedure reduction. However, as indicated in the CY 2006 OPPS final rule, we received public comments suggesting that the OPPS payment rates may implicitly include at least some multiple imaging discount. While we continue to examine this issue, we believe the most appropriate policy is to apply the multiple imaging payment reduction prior to the application of the OPPS cap.
2. Section 5107—Revisions to Payments for Therapy Services
Section 1833(g) of the Act applies an annual per beneficiary combined cap beginning January 1, 1999, on outpatient physical therapy and speech-language pathology services and a similar separate cap on outpatient occupational therapy services. These caps apply to expenses incurred for the respective therapy services under Medicare Part B, with the exception of outpatient hospital services. The caps were in effect from January 1, through December 31, 1999, from September 1, 2003 through December 7, 2003, and beginning January 1, 2006. In 2000 through 2002, and from December 8, 2003 through December 31, 2005, the Congress placed moratoria on implementation of the caps. Section 1833(g)(2) of the Act provides that, for 1999 through 2001, the caps were $1500, and for years after 2001, the caps are equal to the preceding year's cap increased by the percentage increase in the Medicare Economic Index (MEI) (except that if an increase for a year is not a multiple of $10, it is rounded to the nearest multiple of $10).
We implemented the separate statutory limits of $1740 for outpatient physical therapy and speech-language pathology services and $1740 for occupational therapy on January 1, 2006. The DRA of 2005 was enacted on February 8, 2006. Section 5107(a) of the DRA required the Secretary to develop an exceptions process for the therapy caps effective January 1, 2006. The exceptions process applies only to expenses incurred in 2006. Details of the exceptions process were published in a manual change on February 13, 2006 (CR4364). The change request Start Printed Page 48998consists of three transmittals with current numbers of—
- Transmittal 855, CR 4364, Pub. L. 100-04;
- Transmittal 47, CR 4365, Pub. L. 100-02; and
- Transmittal 140, CR 4364, Pub. L. 100-08.
The transmittals are available on our Web site at http://www.cms.hhs.gov/Transmittals/.
In accordance with the statute, the therapy caps will remain in effect, but without the exceptions process, with respect to expenses incurred beginning on January 1, 2007. The dollar amount of the therapy caps in 2007 will be the 2006 rate ($1740) increased by the percentage increase in the MEI. As noted above, under current law, the exceptions process will not apply to therapy services incurred after December 31, 2006, but the therapy caps will remain inapplicable to therapy services provided in the outpatient hospital setting as provided in section 1833(g) of the Act.
Section 5107(b) of the DRA requires the Secretary to implement, by July 1, 2006, edits for clinically illogical combinations of procedure codes and other edits in order to limit inappropriate payment for therapy services. In January 2006, we implemented Correct Coding Initiative (CCI) edits for the therapy providers that bill to the fiscal intermediaries, thus, addressing the section 5107 of the DRA requirement with respect to edits for clinically illogical combinations of procedure codes. Adoption of these code edits ensures that these providers of outpatient Part B therapy services, including SNFs, comprehensive outpatient rehabilitation facilities, certain outpatient physical therapy and speech-language therapy providers (rehabilitation agencies) and home health agencies (HHAs) (where beneficiary is not under a Part A plan of care) meet the same CCI edit requirements as those that have been in place for physicians, private practice therapists, and OPPS hospitals. We are considering the implementation of other edits in the future to further address concerns about inappropriate payment for therapy services.
3. Section 5112-Proposed Addition of Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)
Section 5112 of the DRA of 2005 amended section 1861 of the Act to provide for coverage under Part B of ultrasound screening for AAAs, effective for services furnished on or after January 1, 2007, subject to certain eligibility and other limitations. This screening test will be available even if the qualifying patient does not present signs or symptoms of disease or illness.
To conform the regulations to the statutory requirements of section 5112 of the DRA, we are proposing to include an exception in § 411.15(a)(1) to permit coverage for ultrasound screening for AAAs that meet the conditions for coverage that we are proposing to specify under new § 410.19(b) (Conditions for coverage of an ultrasound screening for abdominal aortic aneurysms). We are also adding a new § 411.15(k)(12).
As provided in the DRA, this new coverage allows payment for a one-time only screening examination. We are proposing to add new § 410.19(b) to provide for the coverage of the screening examinations for AAAs as specified in section 5112 of the DRA. We are also proposing to add new § 410.19(c) (Limitation on coverage of ultrasound screening for abdominal aortic aneurysms.) to provide the limitation on coverage for an individual who is not an eligible beneficiary as defined in proposed new § 410.19(a).
We are proposing definitions set forth in new § 410.19(a) of this proposed rule that would be included to implement the statutory provisions and to help the reader in understanding the provisions of this regulation. The proposed definitions include the following terms:
- Eligible beneficiary.
- Ultrasound screening for abdominal aortic aneurysms.
Specifically, section 5112(a)(1) of the DRA amended section 1861 of the Act to provide that coverage of ultrasound screening for AAAs will be available for an individual—(i) who receives a referral for such an ultrasound screening as a result of an initial preventive physical examination (as defined in section 1861(ww)(1) of the Act); (ii) who has not been previously furnished such an ultrasound screening under this title; and (iii) who has a family history of AAA or manifests risk factors included in a beneficiary category recommended for screening by the United States Preventive Services Task Force regarding AAAs.
Section 5112(a)(2) of the DRA also adds a definition of the term “ultrasound screening for an Abdominal Aortic Aneurysm” to mean, “(1) a procedure using sound waves (or other procedures using alternative technologies, of commensurate accuracy and cost, that the Secretary may specify) provided for the early detection of abdominal aortic aneurysm; and (2) includes a physician's interpretation of the results of the procedure.”
In developing the proposed rule based on this provision, we reviewed the 2005 United States Preventive Services Task Force (USPSTF) recommendations and related material on ultrasound screening for AAAs. This includes—
- A recommendation for a one-time ultrasound screening for men aged 65 to 75 who have smoked at least 100 cigarettes in their lifetime;
- No recommendation for or against ultrasound screening for AAAs for men who have not smoked at least 100 cigarettes in their lifetime; and
- A recommendation against routine screening for AAAs in women.
Based on the statutory language and the USPSTF recommendations outlined above, we are proposing to define the term “eligible beneficiary” for coverage of ultrasound screening examinations for AAA to mean an individual who—
- Has received a referral for an ultrasound screening as a result of an initial preventive physical examination (as defined in section 1861(ww)(1) of the Act);
- Has not been previously furnished such a covered ultrasound screening examination under the Medicare program; and
- Is included in at least one of the following risk categories:
+ Has a family history of an AAA; or
+ Is a man age 65 to 75 years who smoked at least 100 cigarettes in his lifetime; or
+ Is an individual who manifests other risk factors that are described in a benefit category recommended by the USPSTF regarding an AAA that has been determined by the Secretary through the NCD process.
To facilitate our consideration of possible expansions of coverage in the future for identifying (1) other risk factors in a benefit category recommended for screening for the early detection of AAAs by the USPSTF, and (2) alternative screening technologies to ultrasound screening for AAAs of commensurate accuracy and cost, we are proposing to add language to our regulations that would allow us to make determinations through the NCD process. The NCD process would allow the Secretary to expand coverage more quickly following an assessment of those subjects than is possible under the standard rulemaking process. We intend to use the NCD process, which includes an opportunity for public comments, for evaluating the medical and scientific issues relating to the coverage of alternative screening technologies and the identification of other risk factors for AAAs recommended by the USPSTF that may be brought to our attention in the future. Use of an NCD to establish Start Printed Page 48999a change in the scope of benefits is authorized by section 1871(a)(2) of the Act. An aggrieved party can challenge an NCD under the procedures established by section 1869(f) of the Act. These proposed coverage provisions would be set forth in proposed new § 410.19 (a)(1)(i) and § 410.19(a)(2)(iii)(C).
Section 5112(b) of DRA also amended section 1861(ww)(2) of the Act (the initial preventive physical examination benefit) by adding the new ultrasound screening benefit to the list of preventive services for which physicians and other qualified nonphysician practitioners must provide “education, counseling and referral” to new beneficiaries who take advantage of the initial preventive physical examination benefit within the first 6 months after the effective date of their first Part B coverage period. Therefore, we are also proposing to amend § 410.16(a)(7) of the regulations so that it reflects the additional responsibilities that physicians and qualified nonphysician practitioners will have under the initial preventive physical examination benefit with respect to the new ultrasound screening benefit.
Beginning January 1, 2007, we are proposing to pay for ultrasound screening for AAAs through the use of a new HCPCS code GXXX1, Ultrasound, B-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening. We are proposing that payment for this service be made at the same level as CPT code 76775 Ultrasound, retroperitoneal (e.g., renal, aorta, nodes), B-scan and/or real time with image documentation; limited. CPT code 76775 is used to bill for the service when it is provided as a diagnostic test, and we believe the service associated with the proposed HCPCS code reflects equivalent resources and work intensity to those contained in CPT code 76775.
In addition, since the DRA provides that the Medicare Part B deductible will not apply with respect to ultrasound screening for abdominal aortic aneurysm (as defined in section 1861(bbb) of the Act), we are proposing to revise § 410.160 to include an exception from the Medicare Part B deductible for the ultrasound screening for abdominal aortic aneurysm as described in proposed § 410.19. (Conditions for coverage of an ultrasound screening for abdominal aortic aneurysms.)
4. Section 5113—Proposed Non-Application of the Part B Deductible for Colorectal Cancer Screening Tests
Current Medicare policy requires that, with limited exceptions, incurred expenses for covered part B services are subject to, and count toward meeting the Part B annual deductible. Section 5113 of the DRA amended section 1833(b) of the Act to provide for an exception to the application of the Part B deductible with respect to colorectal cancer screening tests. Beginning January 1, 2007, colorectal cancer screening services, as described in section 1861(pp)(1) of the Act, are no longer subject to the Part B deductible. The conditions for and limitations on coverage for colorectal cancer screening tests under Medicare part B are described in § 410.37.
To conform our regulations to this statutory change, we are proposing to revise § 410.160 to include an exception from the Part B annual deductible for the colorectal cancer screening services described in § 410.37.
5. Section 5114—Proposed Addition of Diabetes Outpatient Self-Management Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the FQHC Program
Section 5114 of the DRA amended section 1861(aa)(3) of the Act to add DSMT and MNT services to the list of Medicare covered and reimbursed services under the Medicare FQHC benefit, effective for services provided on or after January 1, 2006. Although this statutory change has already been implemented in administrative instructions, we are proposing to conform the regulations to the new statutory requirement.
FQHCs certified as DSMT and MNT providers have been allowed to bundle the cost of those services into their FQHC payment rates. But before the enactment of the DRA, the provision of these services would not generate a separate FQHC visit payment. Effective for services furnished on or after January 1, 2006, FQHCs that are certified providers of DSMT and MNT services can receive per visit payments for covered services furnished by registered dietitians or nutrition professionals. In other words, if all relevant program requirements are met, these services are included under the Medicare FQHC benefit as billable visits.
In order to conform the regulations, we are proposing to amend § 405.2446(b) to expand the scope of FQHC services to include certified providers of DSMT and MNT services by adding a new paragraph (10). We are also proposing to revise § 405.2463 by—
- Revising paragraph (a) to expand the definition of an FQHC visit to include certified providers of DSMT and MNT services under new sub-paragraph (a)(1)(ii)(B). We would also revise the definition of an RHC visit in new subparagraph (a)(1)(i) to include a face-to-face encounter between a patient and a clinical psychologist or clinical social worker to conform to statutory language at section 1861(aa)(1)(B) of the Act. We are also proposing to redesignate and revise paragraphs (b) and (c) as new paragraphs (a)(2) and (a)(3), respectively.
- We are proposing to incorporate paragraph (a)(2) into (a)(1), and to redesignate and revise current paragraph (a)(3) as new paragraph (b). We would also clarify that it is generally permissible for both FQHCs and Rural Health Clinics to furnish, when necessary, most types of medical and other health visits on the same day to the same patient. We are also proposing to amend this paragraph to permit a separate additional FQHC visit for DSMT and MNT services (which may occur on the same date of service when the beneficiary receives care from their FQHC physician or non-physician practitioner) when reasonable and necessary, consistent with the Congressional mandate under section 5114 of the DRA to provide coverage and adequate access to these services in the FQHC setting.
- We are proposing to redesignate and revise current paragraph (a)(4) as new paragraph (c).
F. Proposed Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)
[If you choose to comment on issues in this section, please include the caption “ASP Issues” at the beginning of your comments.]
Medicare Part B covers a limited number of prescription drugs and biologicals. For the purposes of this proposed rule, the term “drugs” will hereafter refer to both drugs and biologicals. Medicare Part B covered drugs not paid on a cost or prospective payment basis generally fall into the following three categories:
- Drugs furnished incident to a physician's service.
- DME drugs.
- Drugs specifically covered by statute (certain immunosuppressive drugs, for example).
Beginning in CY 2005, the vast majority of Medicare Part B drugs not paid on a cost or prospective payment basis are paid under the ASP Start Printed Page 49000methodology. The ASP methodology is based on data submitted to us quarterly by manufacturers. In addition to the payment for the drug, Medicare currently pays a furnishing fee for blood clotting factors, a dispensing fee for inhalation drugs, and a supplying fee to pharmacies for certain Part B drugs.
In January 2006, the drug coverage available to Medicare beneficiaries expanded with the implementation of Medicare Part D. The Medicare Part D program does not change Medicare Part B drug coverage.
This section of the preamble discusses proposed changes and issues related to the determination of the payment amounts for covered Part B drugs and furnishing blood clotting factor. This section also discusses proposed changes to how manufacturers calculate and report ASP data to us.
1. ASP Issues
Section 303(c) of the MMA amended Title XVIII of the Act by adding new section 1847A. This new section revised the payment methodology for the vast majority of drugs and biologicals not paid on a cost or prospective payment basis furnished on or after January 1, 2005. The ASP reporting requirements are set forth in section 1927(b) of the Act. Manufacturers must submit ASP data for each 11-digit National Drug Code (NDC) to us quarterly. The manufacturers' submissions are due to us not later than 30 days after the last day of each calendar quarter. The methodology for developing Medicare drug payment allowances based on the manufacturers' submitted ASP data is specified in the regulations in part 414, subpart K. We update the Part B drug payment amounts quarterly based on the data we receive.
In this section of the preamble, we discuss our intent to issue a final rule to implement the provisions in the MMA related to the calculation and submission of manufacturers’ ASP data, and seek further comments on specific issues related to price concessions and certain fees.
On April 6, 2004, we published the Manufacturer's Submission of Average Sales Price Data for Medicare Part B Drugs and Biologicals (ASP) interim final rule with comment period (IFC) (69 FR 17935) to implement the ASP calculation and reporting requirements. Manufacturers were required to submit their initial quarterly ASP data to us shortly thereafter, beginning April 30, 2004. We received comments from drug manufacturers, pharmacies, physicians, national associations of the pharmaceutical industry, national associations of physicians, and consultants. These comments addressed a variety of aspects of calculating and reporting ASPs. On September 16, 2004, we published the Manufacturer's Submission of Average Sales Price Data for Medicare Part B Drugs and Biologicals (ASP) final rule (69 FR 55763) addressing only the comments pertaining to the methodology for estimating lagged price concessions. We have also addressed ASP calculation and reporting requirements in other proposed and final rules and information collection notices, including rulemaking to implement the Competitive Acquisition Program for Part B Drugs and Biologicals (CAP). (See 70 FR 39069, 70 FR 45842, 70 FR 70215, and 70 FR 70477.) In addition, we posted official agency guidance, including responses to frequently asked questions, on our Web site to implement the ASP provisions in accordance with section 1847A(c)(5)(C) of the Act.
We intend to publish a final rule addressing comments on the April 6, 2004 IFC in the near future. We may publish the final rule as part of this rulemaking, or we may publish a separate final rule, in either case after the close of the comment period for this proposed rule. Because the comments received during the comment period in response to the April 6, 2004 IFC were made during the initial months of manufacturers’ experience with calculating and reporting ASPs and prior to publication of payment amounts based on the ASP methodology, we believe there is good reason to provide the public with the opportunity for additional comments based on what is now more than a year and a half of experience with the ASP reporting requirements. Therefore, we seek comments on the ASP reporting provisions in the April 6, 2004 IFC. In particular, we seek comments on the issues discussed in the sections below.
We note that we received many comments in response to the April 6, 2004 interim final rule on the use and potential impacts of the ASP payment methodology. As noted above, we are reopening the comment period on the issue of ASP reporting. Thus, comments about the use or appropriateness of the ASP payment methodology are outside the scope of this rulemaking and the ASP reporting rule (CMS-1380-IFC). Therefore, comments about the appropriateness and use of 106 percent of ASP as the basis for the Medicare Part B drug payment rates will be outside the scope of the comments considered for the final ASP reporting rule we are preparing to publish.
a. Fees Not Considered Price Concessions
Section 1847A(c)(5)(A) of the Act states that the ASP is to be calculated by the manufacturer on a quarterly basis. As a part of that calculation, manufacturers are to take into account price concessions such as—
- Volume discounts;
- Prompt pay discounts;
- Cash discounts;
- Free goods that are contingent on any purchase requirement;
- Chargebacks; and
- Rebates (other than rebates under the Medicaid drug rebate programs).
If the data on these price concessions are lagged, then the manufacturer is required to estimate costs attributable to these price concessions using the required ratio methodology as specified in 42 CFR part 414, subpart J, § 414.804(a)(3).
Among the comments from drug manufacturers and national associations representing wholesalers and distributors, we received requests for clarification and detailed guidance on the treatment of administrative fees, service fees and fees paid to pharmacy benefit managers (PBMs) in the ASP calculation. We posted guidance on our Web site (http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=3323&p_created=1095344721&p_sid=Ghuscgci&p_accessibility=0&p_lva=&p_sp=cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&p_li=&p_topview=1) to clarify that in the absence of specific guidance in the Social Security Act or Federal regulations, the manufacturer may make reasonable assumptions in its calculations of ASP, consistent with the general requirements and intent of the Social Security Act, Federal regulations, and its customary business practices. These assumptions should be submitted along with the ASP data. In December 2004, we posted further guidance on our website addressing service fees and administrative fees paid to buyers (http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=3318&p_created=1095343992&p_sid=a2qUcgci&p_accessibility=0&p_lva=&p_sp=cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9Start Printed Page 49001JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&p_li=&p_topview=1 and http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_adp.php?p_faqid=4136&p_created=1109786814&p_sid=bxw-cgci&p_accessibility=0&p_lva=&p_sp=cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&p_li=&p_topview=1).
On July 6, 2005, we restated our guidance on service fees in the preamble of the Competitive Acquisition of Outpatient Drugs and Biologicals Under Part B (CAP) interim final rule with comment (70 FR 39069). Subsequently, we have received requests for clarification on how fees paid to entities such as group purchasing organizations (GPOs) or PBMs must be treated for purposes of the ASP calculation.
We propose to further clarify in the final ASP reporting rule that, beginning with the ASP reporting for sales during the first calendar quarter of 2007, bona fide service fees that are paid by a manufacturer to an entity, whether or not the entity takes title to the drug, are not considered price concessions under § 414.804(a)(2) insofar as, and to the extent that, they satisfy the definition of a bona fide service fee that we are proposing at § 414.802. In § 414.802, we propose to define bona fide service fees as fees paid by a manufacturer to an entity that represent fair market value for a bona fide, itemized service actually performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for) in the absence of the service arrangement, and that are not passed on, in whole or in part, to a client or customer of an entity, whether or not the entity takes title to the drug. Our current guidance, which provides that bona fide service fees means expenses that would have generally been paid for by the manufacturer at the same rate had these services been performed by other entities, would continue unless we provide an alternative approach as discussed below. Further, we propose to clarify in the final ASP reporting rule that fees, including service fees, administrative fees and other fees, paid to GPOs or PBMs are not considered price concessions under § 414.804(a)(2) insofar as, and to the extent that, they satisfy the definition of a bona fide service fee that we have proposed at § 414.802.
In comments on the April 6, 2004 IFC, groups representing wholesalers, distributors and specialty pharmacies provided some insight into the types of activities that are performed in the distribution of drugs. These commenters suggested that costs for handling, storage, inventory reporting, shipping, receiving, patient education, disease management and data should be borne by manufacturers and be excluded from the ASP calculation as bona fide services. However, these commenters did not provide detailed information about whether and how one would determine the extent to which these activities are bona fide services actually performed on behalf of the manufacturer or otherwise.
Because the scope of appropriate services may vary across categories of drugs, we are considering providing guidance on the types of services that may qualify as bona fide services for purposes of the ASP calculation. We are also considering providing further guidance on or revising the approach or methodology manufacturers must use to determine the fair market value of bona fide services performed on their behalf and whether the service fee paid was passed on in whole or in part. In either case, we may implement our policy through rulemaking or through program instruction or other guidance (consistent with our authority under section 1847A(c)(5)(C) of the Act).
We seek comments on the specific types of services entities perform on behalf of manufacturers that a manufacturer would otherwise perform (or contract for) and the necessity of those services in the efficient distribution of drugs. We also seek comments on activities that should not be considered bona fide services performed on behalf of manufacturers. To better understand which services may be considered bona fide services performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for), we seek to understand the bona fide services that may be appropriate for all or specific types of products, as well as the specific services that may be applicable to unique products or circumstances. We also seek to understand the costs and relative costs of services performed on behalf of manufacturers.
To exclude a bona fide service fee from the ASP calculation, a manufacturer must determine whether the fee paid to an entity represents fair market value for a bona fide service actually performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for), and that the fee is not passed on, in whole or in part, to a client or customer of the entity. Our current guidance provides that bona fide service fees means expenses that would have generally been paid for by the manufacturer at the same rate had these services been performed by other entities. We seek comments on appropriate additional guidance or alternative methods for determining fair market value for purposes of identifying bona fide service fees that are excluded from the calculation of ASP, as well as comments on whether, and the extent to which, fees tied to performance of a service, fixed fee, revenue generated by product sales, or other basis may represent fair market prices for purposes of identifying bona fide service fees that are excluded from the calculation of ASP. In addition, we seek comments on the appropriate methods for determining whether a fee is passed on in whole or in part. We also seek comments on how Medicare's guidance on the treatment of service fees for ASP calculation purposes may differ with the treatment of service fees for financial accounting or other purposes, and any implications that this may have for manufacturers.
b. Estimation Methodology for Lagged Exempted Sales
Section 1847A(c)(2) of the Act requires manufacturers to exclude from the calculation of ASP those sales that are exempt from the Medicaid best price (BP) calculation (for example, Federal sales, sales to State pharmacy assistance programs, sales to a prescription drug plan for use under Medicare Part D). In the comments on the April 6, 2004 IFC, commenters requested more guidance on the method manufacturers should use to exclude exempted sales that are known on a lagged basis. Manufacturers identify exempted sales based on direct sales and through chargeback and rebate data that may not be sufficiently available at the time the ASP is calculated. In the absence of specific guidance on how to account for lagged exempted sales (that is, exempted sales identified through chargeback or rebate processes), manufacturers have relied upon assumptions in accordance with their customary business practices to develop their approach for excluding these sales from the ASP calculation. In our work with manufacturers that submit ASP data, we understand that some manufacturers have used a ratio methodology for estimating exempted sales known on a lagged basis which is similar to the ratio methodology manufacturers must use to estimate Start Printed Page 49002price concessions known on a lagged basis.
To establish a uniform approach, in § 414.804(a)(4), we propose to require, in the final ASP reporting rule, that all manufacturers use a 12-month (or less, if applicable) rolling average ratio methodology to estimate exempted sales known on a lagged basis (through chargebacks or rebates) in order to more accurately exclude these sales from the ASP calculation. Specifically, for exempted sales known on a lagged basis, the manufacturer sums the lagged exempted sales for the most recent 12-month period available (or the number of months the NDC has been sold for NDCs with less than 12 months of sales, except for redesignated NDCs as described in section d below). The manufacturer then calculates a percentage using this summed amount as the numerator and the sales (the number of units after non-lagged exempted sales have been subtracted from total sales) for the same period (12 months or less, if applicable) as the denominator. The result is a rolling average percentage estimate for lagged exempted sales that is applied to the sales (the number of units after non-lagged exempted sales have been subtracted from total sales) for the quarter being reported. The product that results from multiplying the rolling average percentage estimate of lagged exempted sales and sales (the number of units after non-lagged exempted sales have been subtracted from total sales) determines the number of lagged exempted sales (in units) to be excluded from the denominator of the ASP calculation. Manufacturers must make a corresponding adjustment to the numerator of the ASP calculation to ensure that the total in dollars for the reporting quarter does not include revenue related to lagged exempted sales excluded from the denominator using the proposed estimation methodology. Further, manufacturers must remove the dollar value of lagged exempted sales from their estimates of lagged price concessions by subtracting the dollar value of estimated lagged exempted sales from the denominator as specified in § 414.804(a)(3)(i).
Our proposed methodology for excluding lagged exempted sales is similar to the methodology manufacturers are required to use to estimate price concessions known on a lagged basis, and was recommended by manufacturers. We believe requiring similar methods to estimate both lagged exempted sales and lagged price concessions is reasonable and reduces potential errors in the manufacturers’ ASP calculations, while ensuring that exempted sales are appropriately removed from the ASP calculation. In addition, using an estimation methodology to remove lagged exempted sales reduces the likelihood of quarter to quarter variations in the ASP.
We seek comments on the proposed methodology for excluding exempted sales known on a lagged basis from the ASP calculation and estimate of lagged price concessions. We also solicit suggestions on appropriate alternative methodologies that may be less complex.
c. Nominal Sales
Section 1847A(c)(2)(B) of the Act requires manufacturers to exclude from the ASP calculation sales that are merely nominal in amount, as applied for purposes of section 1927(c)(1)(C)(ii)(III) of the Act, except as the Secretary may otherwise provide. Effective January 1, 2007, the DRA (Pub. L. 109-171) modifies section 1927(c)(1)(C)(ii)(III) of the Act. Limitations on nominal sales have been added in new section 1927(c)(1)(D) of the Act. The DRA also modified the average manufacturer price (AMP) calculation and frequency of AMP reporting. Therefore, we are proposing to clarify the method manufacturers must follow, beginning in 2007, to identify nominal sales for ASP reporting purposes and to exclude nominal sales from the calculation of the ASP. We also are seeking comments on whether we should establish an alternative definition of nominal sales for ASP purposes.
In the preamble to the ASP reporting interim final rule, we stated sales to an entity that are nominal in amount are defined in the Medicaid drug rebate agreement (see sample agreement at http://www.cms.hhs.gov/MedicaidDrugRebateProgram/downloads/rebateagreement.pdf). That is, for ASP purposes, a nominal sale is a sale at a price less than 10 percent of the AMP in the same quarter for which the AMP is computed. Effective January 1, 2007, the DRA revises the AMP calculation (to omit customary prompt pay discounts extended to wholesalers), added a monthly AMP reporting requirement, and established limitations on nominal sales (only sales to certain entities may qualify as nominal sales). Section 1927(c)(1)(D) of the Act limits the nominal sales exclusion to nominal sales made to the following entities:
- 340B covered entities as described in section 340B(a)(4) of the Public Health Services Act (PHS Act).
- Intermediate care facilities for the mentally retarded (ICFs/MR).
- State-owned or operated nursing facilities.
- Any other facility or entity that the Secretary determines is a safety net provider to which sales of such drugs at a nominal price would be appropriate based on the factors described in section 1927(c)(1)(D)(ii) of the Act.
Because section 1847A(c)(2)(B) of the Act requires manufacturers to exclude from the ASP calculation sales that are merely nominal in amount, as applied for purposes of section 1927(c)(1)(C)(ii)(III) of the Act, except as the Secretary may otherwise provide, the DRA changes will have implications for ASP reporting beginning January 1, 2007 (unless we provide an alternative policy for determining nominal sales as permitted under section 1847A(c)(2)(B) of the Act). One implication is that the limitations set forth in section 1927(c)(1)(D) of the Act will continue the exclusion of nominal sales to certain entities while requiring that sales to entities not identified under section 1927(c)(1)(D) of the Act are included in the ASP calculation, even if such sales are at very low prices. Another implication is the AMP calculation will exclude customary prompt pay discounts extended to wholesalers, yet prompt pay discounts will continue to be a type of price concession that manufacturers must include in their ASP calculations. The change in treatment of customary prompt pay discounts extended to wholesalers in the AMP calculation may result in a higher number of sales that are at less than 10 percent of the AMP than in past ASP reporting periods (notwithstanding the new limitation on what is considered a nominal sale under section 1927(c)(1)(D) of the Act). Still another implication is that the frequency of AMP reporting will include monthly reporting; thus, for ASP purposes, there is further need to clarify how nominal sales are to be identified in 2007. Separate Medicaid rulemaking will address the DRA provisions related to AMP reporting.
We believe the DRA modifications to section 1927 of the Act noted above will have minimal effect on reported ASPs. We would expect that the exclusion of customary prompt pay discounts extended to wholesalers from AMP would lead to a modest increase in AMP, and as a result a modest increase in the number of sales that would qualify as nominal under the current ASP reporting regulations. At the same time, we anticipate that the limitation on nominal sales in section 1927(c)(1)(D) of the Act will result in a modest reduction in the number of sales that qualify as nominal sales for Start Printed Page 49003purposes of ASP reporting because we believe that the entities outlined in section 1927(c)(1)(D) of the Act generally represent the types of entities to which manufacturers may offer sales at a nominal amount. Consequently, we would expect these two countervailing changes would have a minimal overall impact on nominal sales that would be excluded from the ASP calculation. For 2007 and beyond, we propose to revise § 414.804(a)(4) to clarify that manufacturers must continue to use the Medicaid threshold (less than 10 percent of AMP) to determine nominal sales that are excluded (subject to the limitations in section 1927(c)(1)(D) of the Act) from the ASP calculation. Further, we propose that, in identifying nominal sales, manufacturers must use the AMP for the calendar quarter that is the same calendar quarter for the ASP reporting period. For these reasons, we are proposing to continue the current methodology for identifying and excluding nominal sales (that is, sales that are exempt from the Medicaid best price calculation under section 1927(c)(1)(C)(ii)(III) of the Act) from the manufacturer's calculation of the ASP. We believe this approach helps maintain continuity in the ASP calculation and minimizes manufacturers' reporting burden, as Medicare continues to follow the Medicaid approach for identifying nominal sales and manufacturers can use a single method for identifying nominal sales for both ASP and AMP purposes.
We seek comments on our proposal to continue use of the AMP as the basis for identifying nominal sales excluded from the ASP calculation and on whether an alternative threshold for identifying nominal sales for ASP calculation purposes is necessary or desirable to ensure the accuracy of the ASP payment methodology. Specifically, we seek comments on whether sales at less than 10 percent of the ASP (instead of the AMP) should be used to identify nominal sales for ASP purposes (with the new requirement in section 1927(c)(1)(D) of the Act allowing only sales to certain entities to be considered nominal sales still being applicable). We also seek comments on our belief that the new limitations on nominal sales and change to the AMP calculation will have minimal impact on reported ASPs.
Subsequent to the April 6, 2004 IFC, we received requests for clarification on a technical aspect related to the identification of nominal sales. Specifically, some manufacturers have asked whether nominal sales are identified by performing a series of calculations once or whether the manufacturer repeats the series of calculations until no remaining ASP eligible sales are below the nominal threshold. Consistent with current Medicaid reporting, for 2005 and 2006, manufacturers must identify nominal sales by performing the following steps once:
- The manufacturer calculates the AMP for the reporting quarter to identify the dollar amount that represents 10 percent of the AMP for that reporting period.
- The manufacturer then identifies sales below this amount and excludes these sales from the ASP calculation.
- Beginning in 2007, the limitations in section 1927(c)(1)(D) of the Act must also be met to exclude the sale.
d. Other Price Concession Issues
In our ongoing work with manufacturers that submit ASP data, some manufacturers have posed questions or raised concerns about how the estimate of lagged price concessions is done prior to having 12 months of data for a NDC and, when a product is redesignated with a new NDC, whether price concessions from the prior NDC must be included in calculating the ASP for the new NDC. Manufacturers and other stakeholders have also asked us about how Medicare's ASP guidance concerning price concessions is to be applied when drugs are sold under bundling arrangements.
In response, we are proposing clarifications and seeking comment on these issues.
(1) Price Concessions for NDCs With Less Than 12 Months of Sales
To address situations when a NDC with price concessions known on a lagged basis has not been sold for a full 12 months, we propose to revise § 414.804(a)(3) to specify that the period used to estimate lagged price concessions is the total number of months the NDC has been sold. We propose to require that manufacturers use less than 12 months of data in the estimation methodology for lagged price concessions for NDCs with less than 12 months of sales (except when the manufacturer has redesignated the product's NDC, as discussed below). Manufacturers may include the current ASP reporting quarter in the most recent 12 month period (or less for NDCs with less than 12 months of sales) so long as the manufacturer follows this approach in calculating the ASP for all of its reported NDCs. Using less than 12 months in the estimation methodology for lagged price concessions is consistent with our proposal for estimating lagged excluded sales described in section b. above.
(2) Redesignated NDCs
From time to time, a manufacturer may change the NDC assigned to a specific product and package size while continuing or offering price concessions that span across sales of the product under its prior and redesignated NDCs. For example, an NDC may be changed to reflect a change in the labeler code while lagged price concessions in place under the prior NDC remain in effect and carry over to the redesignated NDC. Another example would be a manufacturer that modifies its package design or other non-drug feature of the NDC and assigns a new NDC to reflect the revised packaging.
We propose to clarify in the final ASP reporting rule that, when an NDC is changed (except when a product is repackaged or relabeled by a different manufacturer or relabeler or is privately labeled) and lagged price concessions offered for the prior NDC remain in effect, the manufacturer must use 12 months (or the total number of months of sales of the prior and redesignated NDCs if the total number of months of sales is less than 12 months) of sales and price concession data from the prior and redesignated NDCs to estimate lagged price concessions applicable to the redesignated NDC. In establishing this methodology, we are relying on our authority under section 1847A(c)(5)(A) of the Act.
We seek comments on our proposed refinements to the estimation of lagged price concessions for NDCs with less than 12 months of sales and when a manufacturer redesignates the NDC assigned to a product. We also solicit suggestions for potentially clarifying these policies further.
(3) Bundled Price Concessions
We have heard a few concerns about how Medicare's ASP guidance concerning price concessions is to be applied when drugs are sold under bundling arrangements (for example, when a purchaser's price for one or more drugs is contingent upon the purchase of other drugs or items). We would like to better understand how bundling affects sales of Part B drugs and the ASP calculation, and any concerns stakeholders may have on this issue. Therefore, we are soliciting comments on a number of these issues. We note that we expect manufacturers of drugs reimbursed by Medicare Part B to comply with all applicable laws, regulations, and legal decisions including, but not limited to the Stark law, other relevant anti-kickback laws, Start Printed Page 49004antitrust laws, and laws governing fair trade practices. Our discussion of this issue in this proposed rule should not be construed as an endorsement or authorization of any pricing practices that contravene any laws, legal decisions, or regulations.
Thus far, we have not provided specific guidance in the ASP context on the issue of apportioning price concessions across drugs that are sold under bundling arrangements. In the absence of specific guidance, the manufacturer may make reasonable assumptions in its calculations of ASP, consistent with the general requirements and the intent of the Social Security Act, Federal regulations, and its customary business practices. Manufacturers must include assumptions in their ASP submissions. We are now considering providing guidance, through rulemaking or through program instruction or other guidance (consistent with our authority under section 1847A(c)(5)(C) of the Act) on the methodology manufacturers must use for apportioning price concessions across Part B drugs sold under bundling arrangements for purposes of the calculation of ASP. As we consider this issue, our goal is to ensure that the ASP is an accurate reflection of market prices for Part B drugs and that the treatment of bundled price concessions in the ASP calculation does not create inappropriate financial incentives.
We are soliciting comments on a number of issues, including how frequently Part B drugs are sold under bundling arrangements, the different structures of bundling arrangements that may exist (for example, the number of products included in a bundling arrangement; whether the price concessions are contingent on the purchase of only one product, the purchase of multiple products, or the inclusion of one or more products on a formulary; and the timing of the price concessions), and the extent to which sales of Part B drugs are bundled with sales of non-Part B drugs or non-drug products. We also seek comment on what effect bundling arrangements may have on the ASP calculation, on beneficiary access to high quality, appropriate care (including access to drugs that may not have clinical alternatives), and on costs to the Medicare program and beneficiaries. In addition, we seek comments on whether additional guidance on apportioning bundled price concessions for purposes of the calculation of ASP is needed and potential methodologies that Medicare could consider requiring. Furthermore, we seek comment on how variation in the structure of bundling arrangements may affect the impact of potential apportionment methodologies on the ASP calculation.
2. Clotting Factor Furnishing Fee
Section 303(e)(1) of the MMA added section 1842(o)(5) of the Act which requires the Secretary, beginning in CY 2005, to pay a furnishing fee, in an amount the Secretary determines to be appropriate, to hemophilia treatment centers and homecare companies for the items and services associated with the furnishing of blood clotting factor. Section 1842(o)(5)(C) of the Act specifies that the furnishing fee for clotting factor for years after CY 2006 and subsequent years will be equal to the fee for the previous year increased by the percentage increase in the consumer price index (CPI) for medical care for the 12 month period ending with June of the previous year. In the CY 2006 PFS final rule, we announced that, based on the percentage increase in the CPI of 4.2 percent for the 12-month period ending June 2005, the furnishing fee is $0.146 per unit clotting factor for CY 2006.
The CPI data for the 12-month period ending in June 2006 is not yet available. In the FY 2007 PFS final rule, we will include the actual figure for the percent change in the CPI for medical care for the 12-month period ending June 2006, and the updated furnishing fee for CY 2007 calculated based on that figure.
3. Widely Available Market Prices (WAMP) and AMP Threshold
Section 1847A(d)(1) of the Act states that “the Inspector General of HHS shall conduct studies, which may include surveys to determine the widely available market prices (WAMP) of drugs and biologicals to which this section applies, as the Inspector General, in consultation with the Secretary, determines to be appropriate.” Section 1847A(d)(2) of the Act states that, “Based upon such studies and other data for drugs and biologicals, the Inspector General shall compare the ASP under this section for drugs and biologicals with—
- The widely available market price (WAMP) for these drugs and biologicals (if any); and
- The average manufacturer price (AMP) (as determined under section 1927(k)(1) of the Act for such drugs and biologicals.”
Section 1847A(d)(3)(A) of the Act states that, “The Secretary may disregard the ASP for a drug or biological that exceeds the WAMP or the AMP for such drug or biological by the applicable threshold percentage (as defined in subparagraph (B)).” The applicable threshold is specified as 5 percent for CY 2005. For CY 2006 and subsequent years, section 1847A(d)(3)(B) of the Act establishes that the applicable threshold is “the percentage applied under this subparagraph subject to such adjustment as the Secretary may specify for the WAMP or the AMP, or both.” In CY 2006, we specified an applicable threshold percentage of 5 percent for both the WAMP and AMP. We based this decision on the limited data available to support a change in the current threshold percentage.
For CY 2007, we propose to specify an applicable threshold percentage of 5 percent for the WAMP and the AMP. At present, the OIG is continuing its comparison of both the WAMP and the AMP. Since, at this time we do not have data that suggest another level is more appropriate, we believe that continuing the 5 percent applicable threshold percentage for both the WAMP and AMP is appropriate.
There are a number of operational issues associated with Medicare's authority to substitute a lower payment amount for a drug if the OIG finds and informs the Secretary, at such times as the Secretary may specify, that the ASP exceeds the WAMP or AMP by more than the established threshold (currently 5 percent). We would welcome public comment on operational issues such as the timing and frequency of the ASP, AMP, and WAMP comparisons and effective date and duration of the rate substitution.
4. Payment for Drugs Furnished During CY 2006 and Subsequent Years in Connection With the Furnishing of Renal Dialysis Services if Separately Billed by Renal Dialysis Facilities
In the November 21, 2005 PFS final rule (70 FR 70116), we stated that payment for a drug furnished during CY 2006 in connection with renal dialysis services and separately billed by freestanding renal dialysis facilities and hospital-based facilities would be based on section 1847A of the Act. We intended this to mean CY 2006 and subsequent years. Therefore, in this proposed rule, we are not proposing a policy change, but rather, we are clarifying that this policy will apply to CY 2006 and subsequent years until otherwise specified.
G. Proposed Provisions Related To Payment for Renal Dialysis Services Furnished by End-Stage Renal Disease (ESRD) Facilities
[If you choose to comment on issues in this section, please include the Start Printed Page 49005caption “ESRD PROVISIONS” at the beginning of your comments.]
Since August 1, 1983, payment for dialysis services furnished by ESRD facilities has been based on a composite rate payment system that provides a fixed, prospectively determined amount per dialysis treatment, adjusted for geographic differences in area wage levels. In accordance with section 1881(b)(7) of the Act, separate composite rates have been established for hospital-based and independent ESRD facilities. The composite rate is designed to cover a package of goods and services needed to furnish dialysis treatments that include certain routinely provided drugs, laboratory tests, supplies, and equipment. Unless specifically included in the composite rate, other injectable drugs and laboratory tests medically necessary for the care of the dialysis patient are separately billable. The base composite rates per treatment, effective on August 1, 1983, were $123 for independent ESRD facilities and $127 for hospital-based ESRD facilities. The Congress has enacted a number of adjustments to the composite rate since that time. The current 2006 base composite rates are $130.40 for independent ESRD facilities and $134.53 for hospital-based ESRD facilities.
Section 623 of the MMA amended section 1881 of the Act to require changes to the composite rate payment methodology, as well as to the pricing methodology for separately billable drugs and biologicals furnished by ESRD facilities.
Section 1881(b)(12) of the Act, as added by MMA, required the establishment of a basic case-mix adjusted prospective payment system (PPS) that would include the services comprising the composite rate and an add-on to the composite rate component for the difference between current payments for separately billed drugs and the revised drug pricing specified in the statute. In addition, section 1881(b)(12) of the Act required that the composite rate be adjusted for a limited number of patient characteristics (case-mix) and section 1881(b)(12)(D) of the Act gave the Secretary discretion to revise the wage indices and the urban and rural definitions used to develop them. Finally, section 1881(b)(12)(E) of the Act imposed a budget neutrality requirement, so that aggregate payments under the basic case-mix adjusted composite payment system for 2005 would equal the aggregate payments that would have been made for the same period if section 1881(b)(12) of the Act did not apply.
Before January 1, 2005, payment to both independent and hospital-based facilities for the anti-anemia drug, Erythropoietin (EPO) was established pursuant to section 1881(b)(11) of the Act at $10.00 per 1,000 units. For independent ESRD facilities, payment for all other separately billable drugs and biologicals was based on the lower of actual charges or 95 percent of the average wholesale price (AWP). Hospital-based ESRD facilities were paid based on the reasonable cost methodology for separately billed drugs and biologicals (other than EPO) furnished to dialysis patients. Changes to the payment methodology for separately billed ESRD drugs and biologicals that were established by the MMA and were effective January 1, 2005 are described in sections G.1. and G.2. below. These changes affected payments in both CYs 2005 and 2006.
1. CY 2005 Revisions
On November 15, 2004, we published the CY 2005 PFS final rule with comment period (69 FR 66319 through 66334), that revised payments to ESRD facilities based on changes enacted by the MMA. The November 15, 2004 final rule with comment period implemented section 1881(b) of the Act, as amended by section 623 of the MMA. Changes effective January 1, 2005, included implementation of a case-mix adjusted payment system that incorporates services that comprise the composite rate; an update of 1.6 percent to the composite rate component of the payment system; and a drug add-on of 8.7 percent to the composite rate for the difference between current payments for separately billable drugs and payments based on the revised drug pricing for 2005 which used acquisition costs. The final rule also implemented case-mix adjustments to the composite rate for a limited number of patient characteristics (age, low body mass index (BMI), and body surface area (BSA)), effective April 1, 2005.
In addition, to implement section 1881(b)(13) of the Act, we revised payments for drugs billed separately by independent ESRD facilities, paying for the top 10 ESRD drugs based on acquisition costs (as determined by the OIG) and for other separately billed drugs at the average sales price +6 percent (hereafter referred to as ASP+6 percent). Hospital-based ESRD facilities continued to receive cost-based payments for all separately billable drugs and biologicals except for EPO which was paid based on average acquisition costs.
2. CY 2006 Revisions
In the November 21, 2005 Federal Register (70 FR 70161), we published the CY 2006 PFS final rule with comment period (70 FR 70161) implementing additional revisions to payments to ESRD facilities under section 623 of the MMA. For CY 2006, we further revised the drug payment methodology applicable to drugs furnished by ESRD facilities. All separately billed drugs and biologicals furnished by both hospital-based and independent ESRD facilities are now paid based on ASP+6 percent.
We recalculated the 2005 drug add-on adjustment to reflect the difference in payments between the pre-MMA AWP pricing and the revised pricing based on ASP+6 percent. The recalculation did not affect the actual add-on adjustment applied to payments in 2005, but provided an estimate of what the adjustment would have been had the 2006 payment methodology been in effect in 2005. The drug add-on adjustment was then updated to reflect the expected growth in expenditures for separately billable drugs in CY 2006.
As of January 1, 2006, we also implemented a revised geographic adjustment authorized by section 1881(b)(12) of the Act. As part of that change, we—
- Revised the labor market areas to incorporate the new CBSA designations established by the Office of Management and Budget (OMB);
- Eliminated the wage index ceiling and reduced the floor to .8500; and
- Revised the labor portion of the composite rate to which the geographic adjustment is applied.
We also provided a 4-year transition from the previous wage-adjusted composite rates to the current wage-adjusted rates. For CY 2006, only 25 percent of the payment is based on the revised geographic adjustments, and the remaining 75 percent of payment is based on the old Metropolitan Statistical Area-based (MSA-based) payments.
In addition, section 5106 of the DRA (Pub. L. 109-171), provided for a 1.6 percent update to the composite rate component of the basic case-mix adjusted payment system, effective January 1, 2006. As a result, the current base composite rate is $130.40 for independent ESRD facilities and $134.53 for hospital-based facilities. The drug add-on adjustment (including the growth update) for 2006 is 14.5 percent.
3. Provisions of the Proposed Rule
For CY 2007, we are proposing the following provisions which are described in more detail below: Start Printed Page 49006
- A method to annually calculate the growth update to the drug add-on adjustment required by section 1881(b)(12) of the Act, as well as an estimated growth update adjustment to the add-on amount of 0.6 percent for CY 2007.
- An update to the wage index adjustments to reflect the latest hospital wage data, including a budget neutrality adjustment of 1.053069 to the wage index for CY 2007.
4. Proposed Growth Update to the Drug Add-On Adjustment to the Composite Rates
Section 623(d) of the MMA added section 1881(b)(12)(B)(ii) of the Act which required the establishment of an add-on to the composite rate to account for changes in the drug payment methodology stemming from enactment of the MMA. Section 1881(b)(12)(C) of the Act provides that the drug add-on must reflect the difference in aggregate payments between the revised drug payment methodology for separately billable ESRD drugs (acquisition costs in CY 2005; ASP+6 percent in CY 2006) and the AWP payment methodology in effect in CY 2004.
In addition, section 1881(b)(12)(F) of the Act requires that, beginning in CY 2006, we establish an annual update to the drug add-on to reflect estimated growth in expenditures for separately billable drugs and biologicals furnished by ESRD facilities. This growth update applies only to the drug add-on portion of the case-mix adjusted payment system.
The CY 2006 drug add-on adjustment to the composite rate is 14.5 percent. The drug add-on adjustment for CY 2006 incorporates an inflation adjustment of 1.4 percent. This computation is explained in detail in the CY 2006 PFS final rule with comment period (70 FR 70162). We note that the drug add-on adjustment of 14.7 percent that was published in November 21, 2005 PFS final rule with comment period did not account for the 1.6 percent update to the composite rate portion of the basic case-mix adjustment payment system that was subsequently enacted by the DRA, effective January 1, 2006. Since we compute the drug add-on adjustment as a percentage of the weighted average base composite rate, the drug add-on percentage was decreased to account for the higher composite payment rate resulting in a 14.5 percent add-on adjustment for CY 2006. This adjustment was necessary to ensure that the total drug add-on dollars remained constant.
a. Estimating Growth in Expenditures for Drugs and Biologicals for CY 2007
In developing the growth update to the drug add-on for CY 2006 we conducted a trend analysis of prior years’ ESRD drug expenditure data (2001 through 2004). All 4 years of data used for the trend analysis reflected expenditures associated with payment for separately billed drugs and biologicals under the AWP methodology. We could, therefore, develop growth estimates for CY 2006 using comparable historical expenditure data. To extend the trend analysis for CY 2007, we would need to include drug expenditure data from CY 2005. However, in CY 2005, section 1881(b)(13)(A)(ii) of the Act required that we use a different drug payment methodology, based on average acquisition costs, rather than the AWP methodology used in prior years. Therefore, ESRD drug expenditure data for CY 2005 are not comparable to expenditure data for CY 2001 through CY 2004 for trend analysis purposes. This data issue will extend to subsequent years’ data as well, as we are now paying for separately billable drugs using ASP+6 percent. Because we do not have comparable data on which to base continuing trend analysis, we believe it is necessary to re-evaluate our methodology for updating the drug add-on adjustment.
In order to address the issue of data comparability described above, we considered using available drug proxy measures to predict growth in ESRD drug expenditures for CY 2007. We note that section 1881(b)(12)(F) of the Act specifies that the drug update must reflect “the estimated growth in expenditures for drugs and biologicals that are separately billable * * *.” By referring to “expenditures”, we believe the statute contemplates that the update would account for both increases in drug prices as well as increases in utilization of those drugs.
One available proxy measure that reflects both price and utilization is the national health expenditure projection for prescription drugs that is developed by CMS. However, because of uncertainties regarding the impact of the Medicare Part D prescription drug program on expenditures, we are concerned that the current estimates for CY 2007 will likely change, as actual Part D expenditure data become available. Therefore, we do not believe this measure would be an appropriate proxy measure for this purpose.
Another widely recognized proxy measure is the producer price index (PPI) for prescription drugs. The PPI is a good measure of drug pricing growth, but does not capture the growth in per patient drug utilization that must also be part of an accurate estimate of growth in ESRD drug expenditures. However, if the PPI is used in conjunction with an estimate of per patient growth in drug utilization, we believe this measure would provide a simple and accurate approach to updating the drug add-on that could be readily used in subsequent years. Moreover, using the PPI would significantly reduce any data bias that is inherent in using historical drug expenditure data that do not reflect current drug payment methodologies. As discussed in detail below, we are proposing to estimate growth in per patient utilization of drugs by using historical data from 2004 and 2005.
Another approach to estimating the growth in ESRD drug expenditures is to continue using historical trend analysis by making adjustments to the available data to permit year to year comparisons. This would be accomplished by making an adjustment to the CY 2005 data based on average acquisition price (AAP) using the weighted average difference between AWP prices and AAP prices. We would use trend analysis to project the growth in drug expenditures for CY 2007.
While we believe this approach is reasonably accurate for developing the CY 2007 growth estimates, since only one year of data would require adjustment, we are concerned about applying this methodology to future updates. Future year updates would require multiple year to year adjustments in prices. Moreover, historical AWP data does not provide an accurate measure of price changes for EPO under the revised drug payment methodology, since EPO pricing was held constant during that historical period.
In addition, our estimate of the weighted average difference between AAP prices and AWP prices (and ASP versus AWP prices in CY 2006) was based on a projection of price levels. It is likely that the weighted average difference would change based on actual pricing data for each of those years. To be consistent with the statute, we expect to update the established adjustment to reflect estimated growth in drug expenditures, but we do not anticipate re-computing the drug add-on adjustment annually. Adjusting our assumptions to estimate projected growth without changing the underlying assumptions in the add-on adjustment would create inconsistencies between the two elements. Therefore, we are proposing to discontinue use of older historical drug spending data to Start Printed Page 49007estimate the growth update to the drug add-on adjustment. We will reconsider our methodology when we have sufficient historical data reflecting the revised drug payment methodology using ASP pricing.
For the reasons discussed above, we are proposing to develop an estimate of the growth in expenditures for ESRD drugs and biologicals using the PPI for prescription drugs as a measure of price increases in conjunction with two years of historical data from 2004 and 2005 as a basis for estimating utilization growth at the per patient level. We believe that this approach will best reflect the estimated growth in expenditures for ESRD drugs and biologicals.
b. Estimating Growth in Per Patient Drug Utilization
To isolate and project the growth in per patient utilization of ESRD drugs for CY 2007, we need to remove the enrollment and price growth components from historical drug expenditure data and consider the residual utilization growth. We propose to use total drug expenditure data from CYs 2004 and 2005 to estimate per patient utilization growth for CY 2007.
We first needed to estimate total drug expenditures. For this proposed rule, we used the final CY 2004 ESRD claims data and the latest available CY 2005 ESRD facility claims, updated through December 31, 2005, that is, claims with dates of service from January 1 through December 31, 2005, that were received, processed, paid, and passed to the National Claims History File as of December 31, 2005. For the final rule, we will use more updated CY 2005 claims with dates of service for the same time period. This updated CY 2005 data file will include claims that are received, processed, paid, and passed to the National Claims History File as of June 30, 2006.
While the December 2005 update of CY 2005 claims used in this proposed rule is the most recently available claims data, we recognize that it is not a fully complete year as claims with dates of service towards the end of the year have not all been processed. To more accurately estimate the update to the drug add-on, we need aggregate drug expenditures. Based on an analysis of the 2004 claims data, we inflated the CY 2005 drug expenditures to estimate the June 30, 2006 update of the 2005 claims file. We used the relationship between the December 2004 and the June 2005 versions of 2004 claims to estimate the more complete 2005 claims that will be available in June 2006. We applied that ratio to the 2005 claims data from the December 2005 claims file. We did this for drug expenditures in aggregate, for each of top ten separately billable drugs, and within each for independent and hospital-based ESRD facilities. All components were then combined to estimate aggregate CY 2005 ESRD drug expenditures. The net adjustment to the CY 2005 claims data was an increase of 13 percent to the 2005 expenditure data. This adjustment allows us to more accurately compare the 2004 and 2005 data, to estimate utilization growth.
The next step is to remove the enrollment and price growth components from that total. As discussed earlier in this section, in developing the per patient utilization growth for this proposed rule, we limited our analysis to the latest 2 years of available ESRD drug data, that is, 2004 and 2005. We believe that per patient utilization growth between these years would be a better proxy for future growth, as it best represents current utilization trends. Furthermore, because of the implementation of the new EPO utilization monitoring policy that took effect on April 1, 2006 (Medicare Claims Processing Manual, Chapter 8, section 60-4ff, p. 51-53), we believe that per patient utilization of ESRD drugs will remain relatively stable or decline slightly in future years. We note that EPO accounts for nearly 70 percent of ESRD drug expenditures.
To calculate the per patient utilization growth, we removed the enrollment component by using the growth in enrollment data between 2004 and 2005. This was approximately 3 percent. To remove the price effect we used a two-step process. First we calculated a weighted average between EPO and non-EPO price growth factors to account for the growth in pre-MMA pricing between 2004 and 2005. Since EPO was priced at $10 per thousand units prior to the enactment of the MMA, there is no growth for EPO. For the non-EPO drugs, we used the PPI as a proxy for the growth between the 2 years to maintain consistency with the established methodology for calculating the drug add-on adjustment which used the PPI to estimate the price growth in separately billable drugs (November 15, 2004, CY 2005 PFS final rule with comment period, 69 FR 66321). Next, we incorporated the estimated negative 13 percent weighted price difference between 2005 AWP and 2005 AAP pricing as was published in the CY 2005 PFS final rule with comment period (69 FR 66319 through 66334). This two-step process to account for the price effect from 2004 to 2005 led to an overall 12 percent reduction in price between 2004 and 2005.
After removing the enrollment and price effects from the expenditure data, we believe the residual growth would reflect the per patient utilization growth. To do this, we divided the product of the enrollment growth of 3 percent (1.03) and the price reduction of 12 percent (1.00 − .12 = .88) into the total drug expenditure decrease between 2004 and 2005 of 9 percent (1.00−.09 = .91). The result is a utilization factor equal to 1.00 (.91/(1.03 * .88) = 1.00).
As we observed no growth in per patient utilization of drugs between 2004 and 2005, we are, therefore, projecting no growth in per patient utilization for CY 2007.
1. Applying the Proposed Growth Update to the Drug Add-on Adjustment
In CY 2006, we estimated the growth update by trending drug expenditures forward based on four years of AWP payment data (CY 2001 through CY 2004). We then applied the estimated growth update percentage to the total amount of drug add-on dollars established for CY 2005 to come up with a dollar amount for the CY 2006 growth update. In addition, we projected the growth in dialysis treatments for CY 2006 based on the projected growth in ESRD enrollment. We divided the projected total dialysis treatments for CY 2006 into the projected dollar amount of the CY 2006 growth to develop the per treatment growth update amount. This growth update amount, combined with the CY 2005 per treatment drug add-on amount, resulted in an average drug add-on amount per treatment of $18.88 (or a 14.5 percent adjustment to the composite rate) for CY 2006.
Beginning in CY 2007, we are proposing to annually update the per treatment drug add-on amount of $18.88 established in CY 2006 and convert the update to an adjustment factor as stipulated in section 1881(b)(12)(F) of the Act. As explained above, we believe this approach is more accurate than recalculating the per treatment add-on adjustment each year using an estimate of growth in treatments. We note that we had received comments that our projections of treatment growth used to calculate the CY 2006 adjustment may have been overstated, however, we believe that the use of enrollment data was and remains the best measure available to predict treatment growth. By proposing to apply the update to the CY 2006 per treatment add-on amount, this estimation component is eliminated for CY 2007 and future years. Start Printed Page 49008
2. Proposed Update to the Drug Add-On Adjustment
As discussed above, we estimate no growth in per patient utilization of ESRD drugs for CY 2007. Using the projected CY 2007 PPI for prescription drugs of 4.9 percent, we are projecting that the combined growth in per patient utilization and pricing for CY 2007 would result in an update equal to the PPI or 4.9 percent (1.0*1.049 = 1.049). This update factor would be applied to the CY 2006 average per treatment drug add-on amount of $18.88 (reflecting a 14.5 percent adjustment in CY 2006), resulting in a proposed weighted average increase to the composite rate of $.93 for CY 2007 or a 0.6 percent increase in the CY 2006 drug add-on percentage. Thus, the total proposed drug add-on adjustment to the composite rate for CY 2007, including the growth update, would be 15.2 percent (1.145*1.006 = 1.152).
In addition, we are proposing to continue to use this method to estimate the growth update to the drug add-on component of the case-mix adjusted payment system until we have at least three years worth of ASP-based historical drug expenditure data that could be used to conduct a trend analysis to estimate the growth in drug expenditures. Given the time lag in the availability of ASP drug expenditure data, we expect that the earliest we could consider using trend analysis to update the drug add-on adjustment would be 2010. We propose to reevaluate our methodology for estimating the growth update at that time.
c. OIG Report on New Drug Codes
Section 623(c)(1) of the MMA mandated that the OIG conduct two studies to determine the difference between the Medicare payment amount for separately billable ESRD drugs and the facilities” acquisition costs for these drugs, as well as estimating the growth rate of expenditures for these drugs. The initial study, “Medicare Reimbursement for Existing End Stage Renal Disease Drugs” (OEI-03-04-00120) was completed in May 2004, and reported on existing ESRD drugs. This report was used to set the CY 2005 reimbursement rates for ESRD drugs billed by independent dialysis facilities (69 FR 66322). The second study (“Medicare Reimbursement for New ESRD Drugs” (OEI-03-06-00200)) focused on new drugs. New drugs for the purpose of this study were defined as an ESRD drug that did not have a BILLING CODE prior to January 1, 2004.
One drug, darbepoetin alfa (Aranesp) accounted for the majority of all payments for new drugs. Therefore, this was the only new ESRD drug studied. The OIG report found that use of this drug was limited to a small number of facilities (only 157 facilities reported using this drug with concentrated use in approximately 55 of these facilities). Because of the recent changes we made to the drug payment methodology and the lack of comparable historical data, the OIG report made no estimate of an expenditure growth rate for this drug.
Darbepoetin alfa (Aranesp) is currently paid as a separately billable drug at ASP+6 percent. Because of the recent (CY 2006) implementation of the ASP+6 percent drug reimbursement methodology, the small number of facilities using this drug for ESRD patients, and the lack of historical data for trending purposes, we have no data to indicate that any difference in payment methods for Aranesp (between 2004 and 2006) would affect our calculation of the drug add-on or of the growth update. Moreover, since Aranesp was approved in 2001 for use in ESRD patients, we believe that expenditures for Aranesp were reflected in the historical data used to establish the 2005 drug add-on under a generic drug code. Therefore, we are proposing to make no additional changes to the drug add-on adjustment for CY 2007.
5. Proposed Update to the Geographic Adjustments to the Composite Rates
Section 1881(b)(12)(D) of the Act, as amended by section 623(d) of the MMA, gave the Secretary the authority to revise the wage indexes previously applied to the ESRD composite rates. The wage indexes are calculated for each urban and rural area. The purpose of the wage index is to adjust the composite rates for differing wage levels covering the areas in which ESRD facilities are located.
a. Updates to CBSA Definitions
In the CY 2006 PFS final rule with comment period (70 FR 70167), we announced our adoption of the OMB's CBSA-based geographic area designations to develop revised urban/rural definitions and corresponding wage index values for purposes of calculating ESRD composite rates. OMB's CBSA-based geographic area designations were described in Bulletin 03-04 originally issued June 6, 2003. On February 22, 2005 and December 5, 2005, OMB released Bulletins 05-02 and 06-01, respectively. Those bulletins contained updates to the metropolitan and micropolitan statistical area designations initially announced in Bulletin 03-04. OMB's revisions had no effect on the classification of counties which comprise the urban and rural areas used to develop the ESRD wage index values. However, Bulletins 05-02 and 06-01 changed the titles of several of the MSAs and Metropolitan Divisions used in connection with the ESRD urban wage index. Table 5 below, which contains the proposed wage index values for the ESRD urban areas, includes all of the changes announced by OMB in the February 22, 2005 and December 5, 2005 bulletins.
b. Updated Wage Index Values
In the CY 2006 PFS final rule with comment period, we stated that we intended to update the wage index values annually (70 FR 70167). Current ESRD wage index values for CY 2006 were developed from FY 2002 wage and employment data obtained from the Medicare hospital cost reports. The values are calculated without regard to geographic reclassifications authorized under sections 1886(d)(8) and (d)(10) of the Act and utilize pre-floor hospital data that is unadjusted for occupational mix.
The methodology for calculating the CY 2006 wage index values was described in the CY 2006 PFS final rule with comment period (70 FR 70168). We propose to use the same methodology for CY 2007, with the exception that FY 2003 hospital data will be used to develop the CY 2007 ESRD wage index values. For a detailed description of the development of the proposed CY 2007 ESRD wage index values based on FY 2003 hospital data, see the FY 2007 IPPS proposed rule entitled, “Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates,” (April 25, 2006, 71 FR 24080). Section III F. (Computation of the Proposed FY 2007 Unadjusted Wage Index) of the preamble to that proposed rule describes the cost report schedules, line items, data elements, adjustments, and wage index computations. The wage index data affecting ESRD composite rates for each urban and rural locale may also be accessed on the CMS website at: http://www.cms.hhs.gov/AcuteInpatientPPS/WIFN/list.asp.
The wage data are located in the section entitled, “FY 2007 Proposed Rule Occupational Mix Adjusted and Unadjusted Average Hourly Wage and Pre-reclassified Wage Index by CBSA”.
(1) Wage Index Values for Areas With No Hospital Data
In CY 2006, while adopting the CBSA designations, we identified a small number of ESRD facilities in both urban and rural geographic areas where there Start Printed Page 49009is no hospital wage data on which to base the calculations of the CY 2006 ESRD wage index values. Our CY 2005 policy and CY 2006 proposal for each area are discussed separately below.
The first situation was rural Massachusetts. Because there were no reasonable proxies for rural data within Massachusetts, we used the prior year's acute care hospital wage index value for rural Massachusetts. For CY 2007, we propose to continue to use this value and request public input on an alternative methodology.
Since there may be additional rural areas in the future similarly impacted by a lack of hospital wage data on which to derive a hospital wage index, we are considering alternative methodologies for imputing a rural wage index for areas in States where no hospital wage data are available. We believe that an evaluation of alternative methodologies for imputing a rural wage index in these areas should adhere to four basic policy criteria. First, an alternative methodology should retain our current longstanding policy to use pre-floor, pre-reclassified hospital wage data to compute wage index values for post acute care facilities, including ESRD facilities. Second, any methodology to impute a rural wage index should use rural wage data to derive the rural wage index value. Third, any methodology to impute a rural wage index should be easy to evaluate. Fourth, any methodology to impute a rural wage index would be able to update wage data from year-to-year.
We arrived at one alternative that meets all of the above policy criteria. Under this alternative, we would impute a rural wage index value by using a simple average CBSA-based rural wage index value at the Census Division level. Census Divisions are defined by the U.S. Census Bureau and may be found at (www.census.gov/geo/www/us_regdiv.pdf). As stated above, for CY 2007, hospital wage data are not available to compute a rural wage index for ESRD facilities in rural Massachusetts, and this alternative methodology could be applied in this case. Massachusetts is located in Census Division I (New England). The States in this Census Division, and their respective rural wage index values (using hospital cost report wage data for FY 2003) include—
- Connecticut (1.1753);
- Maine (0.8410);
- New Hampshire (1.0800);
- Vermont (0.9944)
- Rhode Island (all five counties classified as urban); and
- Massachusetts.
Under this alternative methodology, the States in Census Division I for which rural wage index values are available, as shown above, would be used; this would result in a simple average rural wage index value of 1.0227 (1.0770 after applying budget neutrality factor (BNF)). Although this methodology would result in a rural Massachusetts wage index that is currently greater than the value under the current proposed policy (1.0216, 1.0758 after applying BNF), we believe this methodology may be able to accurately reflect future increases or decreases of wage data for the States within the applicable Census Division.
Rural Puerto Rico is similar to rural Massachusetts in that there are ESRD facilities where there are no acute care hospitals and, therefore, no hospital data. However, the situation for facilities in rural Puerto Rico is different in that the floor would be applied to rural Puerto Rico ESRD facilities. All areas in Puerto Rico that have an index are eligible for the floor because they have wage-index values that are below .8000. For CY 2007, we propose to apply the floor to rural Puerto Rico.
The third situation involves an urban area in Hinesville, GA (CBSA 25980). For CY 2006, we used a wage index value based on wage index values in all of the other urban areas within the same State to serve as a reasonable proxy for the urban areas without hospital wage index data. Specifically, we used the average wage index value for all urban areas within the State of Georgia as the urban wage index for purposes of calculating the value for Hinesville for CY 2006. For CY 2007, we are proposing to continue using this method for Hinesville, GA (CBSA 25980).
We solicit comments on maintaining our current policy for establishing wage index values for rural and urban areas without hospitals, the alternative approach outlined above in developing wage index values for rural areas without hospitals for CY 2007 and subsequent years, and other methods that meet the policy criteria for imputing wage index values. We will also continue to evaluate existing hospital wage data and, possibly, wage data from other sources, such as the Bureau of Labor Statistics, to determine if other methodologies of imputing a wage index value where hospital wage data are not available may be feasible.
(2) Second Year of the Transition
In the CY 2006 PFS final rule with comment period, we indicated that we would apply a 4-year transition period to mitigate the impact on composite rates resulting from our adoption of CBSA-based geographic designations (70 FR 70169). Beginning January 1, 2006, during each year of the transition, an ESRD facility's wage-adjusted composite rate (that is, without regard to any case-mix adjustments) will be a blend of its old MSA-based wage-adjusted payment rate and its new CBSA-based wage adjusted payment rate for the transition year involved. For each transition year, the share of the blended wage-adjusted base payment rate that is derived from the MSA-based and CBSA-based wage index values is shown in Table 4 below. In CY 2006, the first year of the transition, we implemented a 75/25 blend. CY 2007 is the second year of the 4-year transition period. Consistent with the transition blends announced in the November 21, 2005 PFS final rule with comment period (70 FR 70170), we are proposing a 50/50 blend between an ESRD facility's MSA-based composite rate, and its CY 2007 CBSA-based rate reflecting its revised wage index values.
In CY 2006, we also eliminated the wage index cap of 1.30, and stated that we would implement a gradual reduction in the wage index floor of .90. Prior to January 1, 2006, the wage indexes were restricted to values no less than .90 and no greater than 1.30, meaning that payments to facilities in areas where labor costs fell below 90 percent of the national average, or exceeded 130 percent of that average, were not adjusted beyond the 90 percent or 130 percent level. Although we stated that the ESRD wage index values should not be constrained by the application of floors and ceilings, we also expressed concern that the immediate elimination of the floor could adversely affect ESRD beneficiary access to care. Therefore, we reduced the floor to .85 in CY 2006.
For CY 2007, we are proposing to reduce the wage index floor to .80. As we stated in the CY 2006 PFS final rule with comment period, we intend to reassess the continuing need for a wage index floor in CY 2008 and CY 2009 (CY 2006 PFS final rule with comment period, November 21, 2005, 70 FR 70169 through 70170). The proposed wage index floors, caps, and blended shares of the composite rates applicable to all ESRD facilities during CYs 2007 through 2009 are shown in Table 4 below. They are identical to the values shown in Table 20 of the CY 2006 PFS final rule with comment period (70 FR 70170) for the applicable years. Start Printed Page 49010
Table 4.—Wage Index Transition Blend
CY payment Floor Ceiling Old MSA (percent) New CBSA (percent) 2007 .80 * None 50 50 2008 Reassess None 25 75 2009 Reassess None 0 100 * Each wage index floor is multiplied by a budget neutrality adjustment factor. For CY 2007 the budget neutrality adjustment is 1.053069 resulting in an actual wage index floor of 0.8425. An example of how the wage-adjusted composite rates would be blended during CY 2007 and the two subsequent transition years follows.
Example:
An ESRD facility has a wage-adjusted composite rate (without regard to any case-mix adjustments) of $135.00 per treatment in CY 2006. Using CBSA-based geographic area designations, the facility's CY 2007 wage-adjusted composite rate, reflecting its wage index value as shown in Table 5 below, would be $145.00. During the remaining 3 years of the four-year transition period to the new CBSA-based wage index values, this facility's blended rate through 2009 would be calculated as follows:
CY 2007 .50 × $135.00 + .50 × $145.00 = $140.00
CY 2008 .25 × $135.00 + .75 × $145.00 = $142.50
CY 2009 0 × $135.00 + 1.0 × $145.00 = $145.00
We note that this hypothetical example assumes that the calculated wage-adjusted composite rate of $145.00 for CY 2007 does not change in CYs 2008 and 2009. In actuality, the wage-adjusted composite rate would change because of annual revisions to the wage index. However, the example serves only to demonstrate the effect on the composite rate of the CBSA-based wage index values which will be phased-in during the remaining 3 years of the transition period.
c. Budget Neutrality Adjustment
Section 1881(b)(12)(E)(i) of the Act, as added by section 623(d) of the MMA, requires that any revisions to the ESRD composite rate payment system as a result of the MMA provision (including the geographic adjustment) be made in a budget neutral manner. This means that aggregate payments to ESRD facilities in CY 2007 should be the same as aggregate payments that would have been made if we had not made any changes to the geographic adjusters. We note that this budget neutrality adjustment only addresses the impact of changes in the geographic adjustments. A separate budget neutrality adjustment was developed for the case-mix adjustments, currently in effect. Since we are not proposing any changes to the case-mix measures for CY 2007, the current case-mix budget neutrality will remain in effect for CY 2007. For CY 2007, we again propose to apply a BNF directly to the ESRD wage index values, as we did in CY 2006. As we explained in the CY 2006 PFS final rule with comment period (70 FR 70170 through 70171), we believe this is the simplest approach because it allows us to maintain our base composite rates during the transition from the current wage adjustments to the revised wage adjustments described earlier in this section. Because the ESRD wage index is only applied to the labor-related portion of the composite rate, we computed the BNF adjustment based on that proportion (53.711 percent).
In order to compute the proposed CY 2007 wage index BNF, we used the wage index values in Tables 5 and 6 below, 2005 outpatient claims (paid and processed as of December 31, 2005), and geographic location information for each facility which may be found through Dialysis Facility Compare. Dialysis Facility Compare can be found by going to the following Web site: http://www.cms.hhs.gov/DialysisFacilityCompare/.
Using treatment counts from the 2005 claims and facility-specific CY 2006 composite rates, we computed the estimated total dollar amount each ESRD provider would have received in CY 2006 (the first year of the 4-year transition). The total of these payments became the target amount of expenditures for all ESRD facilities for CY 2007. Next, we computed the estimated dollar amount that would have been paid to the same ESRD facilities using the proposed ESRD wage index for CY 2007 (the second year of the 4-year transition). The total of these payments became the second year new amount of wage-adjusted composite rate expenditures for all ESRD facilities.
After comparing these two dollar amounts (target amount divided by second year new amount), we calculated an adjustment factor that, when multiplied by the applicable CY 2007 ESRD wage index shown in Tables 5 and 6 below, will result in payments to each facility that will remain within the target amount of composite rate expenditures when totaled for all ESRD facilities. The proposed budget neutrality adjustment factor for the CY 2007 wage index is 1.053069.
To ensure budget neutrality we also must apply the BNF to the wage index floor of 0.8000 which results in a proposed adjusted wage index floor of 0.8425 for CY 2007.
d. ESRD Wage Index Tables
The following two tables show the proposed CY 2007 ESRD wage index, including the BNF adjustment, for urban areas (Table 5) and rural areas (Table 6).
Start Printed Page 49011 Start Printed Page 49012 Start Printed Page 49013 Start Printed Page 49014 Start Printed Page 49015 Start Printed Page 49016 Start Printed Page 49017 Start Printed Page 49018 Start Printed Page 49019 Start Printed Page 49020 Start Printed Page 49021 Start Printed Page 49022 Start Printed Page 49023 Start Printed Page 49024 Start Printed Page 49025 Start Printed Page 49026 Start Printed Page 49027 Start Printed Page 49028 Start Printed Page 49029 Start Printed Page 49030 Start Printed Page 49031 Start Printed Page 49032 Start Printed Page 49033 Start Printed Page 49034 Start Printed Page 49035 Start Printed Page 49036 Start Printed Page 49037 Start Printed Page 49038 Start Printed Page 49039 Start Printed Page 49040 Start Printed Page 49041 Start Printed Page 49042 Start Printed Page 49043 Start Printed Page 49044 Start Printed Page 49045 Start Printed Page 49046 Start Printed Page 49047 Start Printed Page 49048 Start Printed Page 49049 Start Printed Page 49050 Start Printed Page 49051 Start Printed Page 49052Table 6.—Proposed CY 2007 ESRD Wage Index for Rural Areas Based on CBSA Labor Market Areas
CBSA code Nonurban area Wage index 1 Alabama 0.8425 2 Alaska 1.1247 3 Arizona 0.9398 4 Arkansas 0.8425 5 California 1.1902 6 Colorado 0.9838 7 Connecticut 1.2377 8 Delaware 1.0239 10 Florida 0.9051 11 Georgia 0.8425 12 Hawaii 1.1022 13 Idaho 0.8566 14 Illinois 0.8769 15 Indiana 0.8927 16 Iowa 0.9159 17 Kansas 0.8425 18 Kentucky 0.8425 19 Louisiana 0.8425 20 Maine 0.8856 21 Maryland 0.9417 22 Massachusetts 1.0758 23 Michigan 0.9532 24 Minnesota 0.9653 25 Mississippi 0.8425 26 Missouri 0.8425 27 Montana 0.9062 28 Nebraska 0.9154 29 Nevada 0.9435 30 New Hampshire 1.1373 31 1 New Jersey 32 New Mexico 0.8790 33 New York 0.8688 34 North Carolina 0.9055 35 North Dakota 0.8425 36 Ohio 0.9134 37 Oklahoma 0.8425 38 Oregon 1.0288 39 Pennsylvania 0.8774 41 1 Rhode Island 42 South Carolina 0.8425 43 South Dakota 0.9038 44 Tennessee 0.8425 45 Texas 0.8425 46 Utah 0.8587 47 Vermont 1.0472 48 Virgin Islands 0.8425 49 Virginia 0.8425 50 Washington 1.0827 51 West Virginia 0.8425 52 Wisconsin 0.9970 53 Wyoming 0.9805 1 All counties in the States of New Jersey and Rhode Island are urban. H. Private Contracts and Opt-Out Provision—Practitioner Definition
[If you choose to comment on issues in this section, please include the caption “PRIVATE CONTRACTS AND OPT-OUT” at the beginning of your comments.]
Section 4507 of the BBA of 1997 amended section 1802 of the Act to permit certain physicians and practitioners to opt-out of Medicare if certain conditions were met, and to provide through private contracts services that would otherwise be covered by Medicare. Before enactment of BIPA (Pub.L. 106-554), section 1802(b)(5)(C) of the Act, which refers to the definition of “practitioner” at section 1842(b)(18)(C) of the Act, did not include registered dietitians or nutrition professionals among the practitioners who may choose to opt-out of Medicare. Section 105(d) of BIPA amended the definition of practitioner located at section 1842(b)(18)(c) of the Act to include registered dietitians or nutrition professionals. Because section 1802(b)(5)(C) of the Act references section 1842(b)(18)(c) of the Act in order to define the term practitioner for purposes of opting out of Medicare, current law permits registered dietitians or nutrition professionals to opt-out of Medicare. Because the definition of practitioner located in the current regulations at § 405.400 does not include registered dietitians or nutrition professionals, we are proposing to amend that section so that it is consistent with section 1802(b)(5)(C) of the Act. Start Printed Page 49054
I. Proposed Changes to Reassignment and Physician Self-Referral Rules Relating to Diagnostic Tests
[If you choose to comment on issues in this section, please include the caption “REASSIGNMENT AND PHYSICIAN SELF-REFERRAL” at the beginning of your comments.]
Historically, Medicare rules have prohibited the markup of the TC of certain diagnostic tests that are performed by outside suppliers and billed to Medicare by a different individual or entity. In addition, Medicare rules restrict who may bill Medicare for the PC (hereafter, also referred to as the “interpretation”) of diagnostic tests. Recent changes to our rules on reassignment of the right to receive Medicare payment may have led to some confusion as to whether the anti-markup and purchased interpretation requirements apply to certain situations where a reassignment has occurred pursuant to a contractual arrangement.
Likewise, we are concerned about the existence of certain arrangements that are not within the intended purpose of our physician self-referral rules, which allow physician group practices to bill for services furnished by a contractor physician in a “centralized building.” We are concerned that allowing physician group practices or other suppliers to purchase or otherwise contract for the provision of diagnostic tests and then to realize a profit when billing Medicare may lead to patient and program abuse in the form of overutilization of services and result in higher costs to the Medicare program.
Therefore, we are proposing to amend our reassignment regulations to clarify how the purchased test and purchased test interpretation rules apply in the case of a reassignment made under the contractual arrangement exception set forth at § 424.80(d)(2). Specifically, in our reassignment regulations, we propose to incorporate provisions similar to those that currently appear in § 414.50 of our regulations on purchased tests, and we are considering incorporating provisions on purchased test interpretations that currently appear in our manual instructions. In addition, we are proposing to change the definition of “centralized building” at § 411.351 of the physician self-referral regulations to place certain restrictions on what types of space ownership or leasing arrangements will qualify for purposes of the physician self-referral in-office ancillary services exception and physician services exception.
Our proposals regarding the reassignment regulations are based on existing requirements for purchased tests and purchased test interpretations. Section 1842(n) of the Act contains certain limitations on billing for the TC of diagnostic tests described in section 1861(s)(3) of the Act (other than clinical diagnostic laboratory tests paid under section 1833(a)(2)(D) of the Act, which are subject to the special rules set forth in section 1833(h)(5)(A) of the Act). Section 1842(n)(1)(A) of the Act provides that if the test was not performed by the billing physician and also was not performed or supervised by a physician with whom the billing physician shares a practice, Medicare payment is the lower of the costs (net of any discount) charged by the performing supplier to the billing physician, or the performing supplier's reasonable charge (or other applicable limit). This is commonly known as the anti-markup provision. Section 1842(n)(2) of the Act further provides that a physician may not bill a beneficiary any amount other than the amount specified in section 1842(n)(1)(A) of the Act and any applicable deductible and coinsurance. Under section 1842(n)(3) of the Act, if a physician knowingly, willfully, and repeatedly bills a Medicare beneficiary for more than the amount allowed under section 1842(n)(2) of the Act, he or she is subject to civil monetary penalties and assessments, and exclusion from Medicare and Medicaid for up to 5 years. Our regulations implementing section 1842(n) of the Act appear at § 414.50 and § 402.1(c)(15).
In addition, our Claims Processing Manual (Pub. 100-4) outlines certain conditions regarding who can submit a claim for purchased diagnostic test intepretations. As set forth in Chapter 1, Section 30.2.9.1 of the Claims Processing Manual, the following requirements must be satisfied in order to submit a claim for a purchased diagnostic test interpretation:
- The test must be ordered by a physician or medical group that is independent of the person or entity performing the TC of the test, and also must be independent of the physician or medical group performing the interpretations.
- The physician or medical group performing the interpretations does not see the patient.
- The purchaser (or employee, partner, or owner of the purchaser) performs the TC of the test, and the interpreting physician must be enrolled in the Medicare program.
Section 1842(b)(6) of the Act generally prohibits Medicare payment to anyone other than the Medicare beneficiary or the physician or other person who performed the service for the beneficiary. However, section 1842(b)(6) of the Act, also provides exceptions, known as the reassignment exceptions, to this general rule. These exceptions allow us to make payment to an individual or an entity other than the beneficiary or the physician or other person who performed the service for the beneficiary. For example, the reassignment exceptions allow us to make payment to an employer of a physician, such as a group practice or a hospital, to which the physician employee has reassigned his or her right to payment.
Prior to the MMA, a physician or other individual supplier could reassign his or her right to bill and receive payment under a contractual arrangement, rather than an employee-employer relationship, only if the services being paid for were performed on the premises of the contracting hospital, critical access hospital, clinic, or other facility. Section 952 of the MMA, however, amended section 1842(b)(6)(A)(ii) of the Act to extend the reassignment exception to contractual arrangements regardless of whether the services are performed on the premises of the billing entity. Section 952 of the MMA permits us to recognize this type of reassignment to the extent that the contractual arrangement between the physician or other individual supplier and the billing entity (excluding a billing agent, which cannot receive reassigned benefits) meets program integrity and other safeguards as the Secretary may determine to be appropriate. A motivating factor behind the passage of section 952 of the MMA appears to have been the desire by the Congress to permit us to allow hospital emergency department staffing companies that employ physicians on a contract basis to bill Medicare (if the staffing companies enroll in Medicare).
Our proposed implementation of section 952 of the MMA appeared in the Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 proposed rule, 69 FR 47488, 47524 through 47525 (August 5, 2004). We proposed program safeguards, whereby the parties to the contractual arrangement would have joint and several liability for any Medicare overpayments, and the physician or other individual supplier would have unrestricted access to billings submitted on his or her behalf by the entity receiving reassigned payments. In that proposed rule, we stated our awareness that the changes to the reassignment rules authorized by section 952 of the MMA may create new fraud and abuse vulnerabilities, which may not become apparent until the program has Start Printed Page 49055experience with new contractual arrangements. We solicited comments on these potential program vulnerabilities and on possible additional safeguards to protect against such vulnerabilities.
Comments submitted in response to the CY 2005 PFS proposed rule expressed concern over the recent growth of “pod” or “condo” laboratories (hereinafter “pod labs”). In a typical pod lab arrangement involving pathology services, an entity leases space in a medical building and then subdivides the space into separate areas or cubicles, which are equipped with microscopes and a minimal amount of other laboratory equipment. The entity subleases each space to a physician group practice, even though the space may be located many miles away from any medical office of the group practice and is often located in a different state. The entity hires a histologist who performs the TC of the pathology service, by preparing a microscopic slide of each specimen for review by a pathologist. The entity also makes arrangements with a pathologist, who performs the PC of the pathology service and who also supervises the pod lab.
In one type of arrangement, the pathologist and histologist perform their services for the different group practices by moving from cubicle to cubicle. Each group practice pays the pathologist a fee for every slide reviewed and pays the entity a management fee, which covers the rental of the pod lab and the histologist's salary. The group practice then bills Medicare for the entire pathology service, typically at a markup from what the group practice paid the pathologist for the professional service and the entity for its services. In another common arrangement, the histologist performs the TC of the pathology service for the entity and the entity bills Medicare for that service, while the group practice bills for the interpretation that was performed by its independent contractor pathologist, who has reassigned to the group practice his or her right to receive Medicare payment.
The commenters stated that pod lab arrangements are subject to fraud, waste and abuse, including, but not limited to the following:
- Generation of medically unnecessary biopsies.
- Kickbacks.
- Fee-splitting.
- Referrals that would otherwise be prohibited under the physician self-referral statute.
The commenters provided several suggestions. One commenter suggested that we prohibit a physician from reassigning benefits to another physician if the physicians do not practice in substantially the same medical specialty. Some commenters also stated that our regulations need to state more clearly that all requirements of the purchased diagnostic test rules and purchased test interpretation rules need to be met.
In the CY 2005 PFS final rule, we responded that we shared the commenters concerns, although we declined to incorporate the suggested revisions at that time. We said that we would be paying close attention to this issue, and that we might initiate future rulemaking to address arrangements that are fraudulent or abusive. (See 69 FR 66316, November 15, 2004.) In that final rule, we amended our reassignment regulation at § 424.80(a) to state that nothing in § 424.80 alters an individual's or entity's obligations under other Medicare statutes or rules, including, but not limited to, the physician self-referral law (section 1877 of the Act), the anti-kickback statute (section 1128B(b)(1) of the Act), the regulations regarding purchased diagnostic tests, and the regulations regarding services and supplies provided incident to a physician's service.
At about the same time as we published our proposed rule for implementing section 952 of the MMA, we published an IFC concerning exceptions to the physician self-referral law in section 1877 of the Act (69 FR 16054). Section 1877 of the Act prohibits a physician from making referrals for DHS, as defined in section 1877(h)(6) of the Act, payable by Medicare to an entity with which he or she (or an immediate family member) has a financial relationship (ownership or compensation), and it prohibits the entity from billing Medicare, another payor, or the beneficiary for those referred services, unless an exception applies. The statute establishes a number of specific exceptions to these prohibitions and grants the Secretary the authority to create regulatory exceptions for financial relationships that pose no risk of fraud or abuse.
One significant exception is at § 411.355(a) for the provision of “physician services” as defined in § 410.20(a). Under this exception, professional physician services that are DHS must be furnished personally by another physician who is a member of the referring physician's group practice, or by a physician in the same group practice as the referring physician, or by someone under the supervision of one of these physicians. A “member” of a group practice is a physician owner, a physician employee, a locum tenens physician, or an on-call physician while the physician is providing on-call services for members of the group practice. “Physician in the group practice” means a member of the group practice, as well as an independent contractor physician during the time the independent contractor is furnishing patient care services for the group practice to the group practice's patients in the group practice's facilities. (See § 411.351.)
Another significant exception, at § 411.355(b), is for the provision of in-office ancillary services. This exception allows group practice physicians to refer patients for DHS to other members of their group or to nonphysician staff, provided that certain supervision, location, and billing requirements are satisfied. Specifically, the DHS must be furnished personally by the referring physician, a member of the group practice, or an individual who is supervised by the referring physician or by a physician in the group practice. In addition, the DHS must be furnished in—(1) the “same building” where group physicians perform a certain amount of physician services (as set forth in § 411.355(b)(2)), including physician services unrelated to the provision of DHS; or (2) in a “centralized building.” We define “centralized building,” in pertinent part, as all or part of building that is owned or leased on a full-time basis 24 hours per day, 7 days per week. In the “Phase II” physician self-referral IFC, we reaffirmed our earlier position, set forth in the “Phase I” final rule with comment period that, a group practice may have more than one centralized building (69 FR at 16075).
In response to the Phase II IFC, several commenters strongly criticized the centralized building prong of the in-office ancillary services exception. They requested that the rule be changed to require full-time use of the facility and the addition of a commercially reasonable test. According to the commenters, the Phase II IFC encourages numerous abusive arrangements that are designed solely to permit medical groups to bill in circumvention of the prohibition in section 1877 of the Act. Commenters objected to medical groups establishing satellite DHS facilities, sometimes in different States, specifically to capture ancillary income. Several commenters identified pod labs that rent space to urology groups as among the types of abusive arrangements that are proliferating. Several other commenters requested clarification that the in-office ancillary services exception did not Start Printed Page 49056override our policies on reassignment and purchased diagnostic tests. According to the comments, some of the arrangements do not satisfy the rules regarding purchased diagnostic tests. On the other hand, a professional association complained that the requirement that the centralized building be occupied exclusively by the medical group is too restrictive.
As noted above, we stated, in response to the comments on the proposed rule implementing section 952 of the MMA, that we might address suspect arrangements in a future rulemaking. After additional consideration, including consideration of the comments we received in response to the Phase II IFC, we are now proposing to amend our regulations on reassignment and physician self-referral in this proposed rule.
We are proposing to amend § 424.80 of our regulations to clarify that any reassignment pursuant to the contractual arrangement exception is subject to program integrity safeguards that relate to the right to payment for diagnostic tests. First, we would amend § 424.80 of our regulations to provide that if the TC of a diagnostic test (other than clinical diagnostic laboratory tests paid under section 1833(a)(2)(D) of the Act, which are subject to the special rules set forth in section 1833(h)(5)(A) of the Act) is billed by a physician or medical group (the “billing entity”) under a reassignment involving a contractual arrangement with a physician or other supplier who performs the service, the amount billed to Medicare by the billing entity, less the applicable deductibles and coinsurance, may not exceed the lowest of the following amounts:
- The physician or other supplier's net charge to the billing physician or medical group.
- The billing physician's or medical group's actual charge.
- The fee schedule amount for the service that would be allowed if the physician or other supplier billed directly.
Second, we would also require that, in order to bill for the TC, the billing entity would be required to perform the interpretation. Third, we are considering further amendments to § 424.80(d) that would impose certain conditions on when a physician or medical group can bill for a reassigned PC of a diagnostic test. We are considering the following conditions:
- The test must be ordered by a physician that is financially independent of the person or entity performing the test and also of the physician or medical group performing the interpretation.
- The physician or medical group performing the interpretation does not see the patient.
- The physician or medical group billing for the interpretation must have performed the TC of the test.
We believe that we are comfortably within our authority to place the proposed restrictions on reassignments made before a contractual arrangement, in order to guard against patient and program abuse, and we also believe that we would be within our authority to adopt the conditions on billing for a reassigned PC before a contractual arrangement that we continue to consider.
We note that there is no right to effect a reassignment under section 1842(b)(6) of the Act (rather, this section allows, but does not require us to make payment to someone other than the beneficiary or the physician or other person who performed the service), and that section 952 of the MMA permits us to recognize reassignments under the contractual arrangement exception only to the extent that the arrangement meets program integrity and other safeguards as the Secretary may determine to be appropriate. Moreover, we believe that our current rules on purchased diagnostic tests generally should be applicable to both situations in which the billing entity is purchasing the test without a formal reassignment as well as situations in which the physician performing the test has reassigned his or her right to Medicare payment to the billing physician or medical group.
Although we welcome comments on all aspects of our proposals, we are particularly interested in soliciting comments on the amendments we have proposed, as well as those we are still considering involving reassigned interpretations, to § 424.80(d). In particular, we are soliciting comments as to whether diagnostic tests in the DHS category of radiology and certain other imaging services should be excepted from any those provisions; whether the proposal in whole or in part should apply only to pathology services; whether any of these provisions should apply to services performed on the premises of the billing entity and if so, how to define the premises appropriately. We are also soliciting suggested regulatory text for the proposal under consideration involving purchased test interpretations, as well as any other comments regarding the appropriate scope of the provisions under consideration.
In addition, we are soliciting comments on whether an anti-markup provision should apply to the reassignment of the PC of diagnostic tests performed under a contractual arrangement, and if so, how to determine the correct amount that should be billed to the Medicare program.
In addition to our proposed changes to the reassignment rules, we are proposing to change the definition of “centralized building” in § 411.351 for purposes of our physician self-referral regulations. We are persuaded by the commenters who responded to the Phase II IFC that our present definition may encourage the unnecessary ordering of ancillary services. Section 1877(b)(1) of the Act, in conjunction with section 1877(h)(4)(vi) of the Act, states that the Secretary may define by regulation what constitutes a “group practice” for purposes of the physician services exception. Similarly, section 1877(b)(2) of the Act authorizes the Secretary to determine additional terms and conditions relating to the supervision and location requirements of the in-office ancillary services exception as may be necessary to prevent a risk of program or patient abuse. Accordingly, we propose to modify the definition of “centralized building” to include a minimum square footage requirement of 350 square feet. Our modified definition would be relevant to both the physician services exception and the in-office ancillary services exception. That is because, under § 411.351, a “physician in the group practice” includes an independent contractor physician during the time he or she is providing services to the group's patients in the group's facilities. Thus, to the extent that an independent contractor physician would qualify as a “physician in the group” on the basis of furnishing services to a group's patients in a centralized building, the space owned or leased by the group would need to comply with the proposed modification to the definition of “centralized building” in order for the group to rely on the physician services exception or the in-office ancillary services exception when billing Medicare for services furnished by the independent contractor physician.
Although we believe that the arrangements we seek to address through our proposed change to the definition of “centralized building” primarily involves independent contractor physicians, the proposed definition would also apply to services performed by physicians who are employees of a group practice.
The proposed minimum square footage requirement would not apply to Start Printed Page 49057space owned or rented in a building in which no more than three group practices own or lease space in the “same building,” as defined in § 411.351 (that is, in a building with the same street address) and share the same “physician in the group practice” (as defined in § 411.351). The purpose of the square foot minimum and the exception is to prevent abusive arrangements such as pod labs, while not disqualifying legitimate, stand-alone physician offices that are unusually small. The following examples are intended to illustrate how the proposed exception might apply:
+ Example 1—A space of 200 square feet located in a building in which only two other group practices lease space could qualify as a centralized building, irrespective of whether all three group practices contract with the same individual as a “physician in the group practice.”
+ Example 2—A space of 200 square feet is located in a building in which seven other group practices lease space. Dr. Jones has a contractual relationship with three group practices as a “physician in the group practice.” Dr. Smith also has a contractual relationship with three group practices. No physician has a contractual relationship as a “physician in the group practice” with four or more group practices that are located in that building. The space could qualify as a “centralized building.”
We would also require the space to contain, on a permanent basis, the necessary equipment to perform substantially all of the DHS that are performed in this space, in order to meet the definition of a “centralized building.” That is, we wish to prevent the situation in which an entity would routinely move equipment as needed from one group's space to another group's space (for example, from cubicle to cubicle). We believe these situations are abusive and contrary to the purpose of concept of the “centralized building” concept, but we recognize that there may be an occasional need to bring specialized equipment into the space on a temporary basis.
We believe that the proposed clarification to our reassignment rules, in tandem with our proposed changes to the definition of “centralized building” for purposes of our physician self-referral rules would prevent abusive arrangements while preserving legitimate small physician offices. In particular, we anticipate that restrictions on marking up the TC of diagnostic tests as well as the limits we are considering for who can bill for the PC of diagnostic tests, combined with square footage limits and requirements of having necessary equipment on site would make it not financially feasible for pod labs to exist.
With respect to our proposed change to the definition of “centralized building,” we seek comments on whether there should be a minimum square foot requirement, and if so, whether the minimum should be 350 square feet or an amount more or less than that. In addition, we seek comments regarding whether there should be an exception to any minimum square foot requirement, and if so, the circumstances under which an exception should apply.
With respect to our proposal that the “centralized building” permanently contain the necessary equipment to perform substantially all of the DHS that is furnished in the “centralized building,” we seek comments on whether this test should be imposed, and whether at least 90 percent or some other minimum percentage or measurement is appropriate. We are also considering whether to require that, for space to qualify as a “centralized building,” the group practice must employ, in that space, a nonphysician employee or independent contractor who will perform services exclusively for the group for at least 35 hours per week. We seek comments on whether we should have this requirement or similar requirement, or whether this requirement would be unduly burdensome on a small group practice, and whether this requirement would be likely to reduce the number of existing pod labs and to discourage the development of new pod labs. Finally, we seek comments on whether a group practice should be allowed to maintain a “centralized building” in a State different from the State(s) in which it has an office that meets the criteria of § 411.355(b)(2)(i), and if so, whether space that is located in a different State must be within a certain number of miles from an office of the group practice that meets the criteria of § 411.355(b)(2)(i), in order to qualify as a “centralized building.”
J. Supplier Access to Claims Billed on Reassignment
Section 1833(e) of the Act provides that, “no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period.” Section 1842(b)(6) of the Act generally provides that payment may not be made to anyone other than the beneficiary or the physician or other person who provided the service. There are certain exceptions to this prohibition whereby payment may be made to others. These are commonly referred to as the reassignment exceptions and are found at section 1842(b)(6)(A) of the Act.
Taking these two statutory provisions together, we are permitted, but not required, to make payment to someone other than the beneficiary, or the physician or other person who furnished the service, but only if we have determined that Medicare has received all necessary information to determine the amounts due the provider. Where Medicare makes payment to an entity rather than to the physician or other person who furnished the service, there is a heightened concern that payment may not be correct. By allowing physicians and other individual suppliers who reassign benefits to an entity such as a group practice to have access to the billing information concerning the services they allegedly furnish, we believe we will reduce the risk of inappropriate billing.
Moreover, as noted in section I.2. of this proposed rule, section 952 of the MMA amended section 1842(b)(6)(A)(ii) of the Act to allow a physician or other person who was in a contractual arrangement rather than in an employee-employer relationship to reassign his or her right to bill and receive payment, irrespective of whether the services were performed on the premises of the entity. Section 952 of the MMA permits reassignment to the extent that the contractual arrangement between the physician or other individual supplier and the billing entity meets program integrity and other safeguards that the Secretary may determine to be appropriate.
In the FY 2005 Physician Fee Schedule proposed rule, published August 5, 2005 (69 FR 47488, 47524 through 47525), we stated our awareness that changes in the reassignment rules based on section 952 of the MMA may create new fraud and abuse vulnerabilities, which may not become apparent until the program has experience with new contractual arrangements. We proposed program safeguards, whereby the parties to the contractual arrangement would have joint and several liability for any Medicare overpayments, and the physician or other individual supplier would have unrestricted access to billings submitted on their behalf by the entity receiving reassigned payments. In response to the August 5, 2005 proposed Start Printed Page 49058rule, we received a comment that questioned the need for the two program integrity safeguards (joint and several liability and unrestricted access to billing records) as a requirement for a reassignment of claims involving a contractual arrangement. The commenter believed that it was premature for CMS to implement these program safeguards, that CMS already imposes joint and several liability through Medicare participation agreements and the signing of the enrollment form for billing reassigned claims (the CMS-855-R form), and questioned why the program safeguards applied only to independent contractors and not to employees. (69 FR 66316 through 66317 (November 15, 2004).)
In response to the commenter, we stated that those program integrity safeguards were necessary to monitor the billings of entities with which we have had billing problems (for example, billing for services never furnished and upcoding resulting in Medicare overpayments) in the past, and that the reason the safeguards applied to independent contractors and not to employees, was that the billing problems identified thus far involved certain entities (which, for the most part, contracted with, rather than employed, emergency room (ER) physicians). We also stated that we would study whether the same program integrity safeguards applicable to independent contractors should also apply to employees.
Prior to January 1, 2005, the effective date of the program integrity safeguards for the contractual arrangement reassignment exception, we received public inquiries asking why employees do not have unrestricted access to billing records. Since the January 1, 2005 effective date of the program integrity safeguards, we have received an inquiry from an ER physician employee of a medium-sized ER physician staffing company, who was denied access to billing records for services that he claims to have furnished, and who had his employment terminated. We also note that the MMA Conference Report, in its discussion of section 952 of the MMA, states that the Conference Committee supports appropriate program integrity efforts for any entities billing the Medicare program, including entities with independent contractors as well as employees. Having reconsidered the issue, we find no valid reason why an employee should not have access to records on billings for services furnished by that employee. Therefore, we are proposing to change the title of § 424.80(d) and amend § 424.80(d)(2) of our regulations to state that the supplier who reassigns his or her right to bill and receive Medicare payment to an entity has unrestricted access to claims information submitted by that entity for services supposedly furnished by the individual supplier, irrespective of whether the supplier is an employee or independent contractor of the entity. If adopted, our proposal would also mean that if an entity receiving the reassigned benefits were to refuse to provide the billing information to the employee supplier requesting the information, the entity's right to receive reassigned benefits may be revoked under 42 CFR 424.82(c)(3) (which is currently the case with respect to an entity's refusal to provide billing information to an independent contractor supplier).
K. Coverage of Bone Mass Measurement (BMM) Tests
[If you choose to comment on issues in this section, please include the caption “BONE MASS MEASUREMENT TESTS” at the beginning of your comments.]
In an IFC entitled “Medicare Coverage of and Payment for Bone Mass Measurements” published in the Federal Register on June 24, 1998 (63 FR 34320), we implemented section 4106 of the BBA by establishing a new regulatory section, 42 CFR 410.31 (Bone Mass Measurement: Conditions for Coverage and Frequency Standards). Section 4106 of the BBA statutorily defined BMM and individuals that are qualified to receive a BMM. The June 24, 1998 IFC, under the “reasonable and necessary” provisions of 1862(a)(1)(A) of the Act, also established conditions for coverage of the tests that must be ordered by physicians or nonphysician practitioners. Lastly, as directed by section 4106 of the BBA, we established frequency standards governing the time period when qualified individuals would be eligible to receive covered BMMs.
1. Provisions of the June 24, 1998 IFC
As stated earlier in this section, the June 24, 1998 IFC implemented section 4106 of the BBA by establishing conditions for coverage and frequency standards for BMMs to ensure that they are paid for uniformly throughout the Medicare program and that they are reasonable and necessary for Medicare beneficiaries who are eligible to receive these measurements. This section summarizes the provisions discussed in the June 24, 1998 IFC.
a. Coverage Conditions and Frequency Standards
We established conditions for coverage and frequency standards for medically necessary BMMs for five categories of Medicare beneficiaries in § 410.31.
In § 410.31(a), we defined “bone mass measurement” based on the statutory definition in section 4106 of the BBA. In accordance with the “reasonable and necessary” provisions of section 1862(a)(1)(A) of the Act, we established the conditions for coverage of BMMs in § 410.31(b) of the regulations. Consistent with § 410.32 (Diagnostic x-ray tests, diagnostic laboratory tests, and diagnostic tests: Conditions), we provided that coverage be available for the BMM only if it is ordered by the physician or a qualified nonphysician practitioner (as defined in § 410.32(a)) treating the beneficiary following an evaluation of the beneficiary's need for the test, including a determination as to the medically appropriate procedure to be used for the beneficiary. We believed that BMMs were not demonstrably reasonable and necessary unless (among other things) they are ordered by the physician treating the beneficiary following a careful evaluation of the beneficiary's medical need, and they are employed to manage the beneficiary's care.
To ensure that the BMM is performed as accurately and consistently in accordance with appropriate quality assurance guidelines as possible, we required that it be performed under the appropriate supervision of a physician as defined in § 410.32(b)(3). To ensure that the BMM is medically appropriate for the five categories specified in the law, we provided that it be reasonable and necessary for diagnosing, treating, or monitoring the condition of the beneficiary who meets the coverage requirements specified in § 410.31(d).
Furthermore, in § 410.31(c), we set forth limitations on the frequency for covering a BMM. Generally, we cover a BMM for a beneficiary if at least 23 months have passed since the month the last BMM was performed. However, we allow for coverage of follow-up BMMs performed more frequently than once every 23 months when medically necessary. We listed the following examples of situations where more frequent BMMs procedures may be medically necessary to include:
- Monitoring beneficiaries on long-term glucocorticoid (steroid) therapy of more than 3 months.
- Allowing for a confirmatory baseline bone mass measurement (either central or peripheral) to permit Start Printed Page 49059monitoring of beneficiaries in the future if the initial test was performed with a technique that is different from the proposed monitoring method.
b. Beneficiaries Who May Be Covered
In § 410.31(d), we amended our regulations to conform to the statutory requirement that the following categories of beneficiaries may receive Medicare coverage for a medically necessary BMM:
- A woman who has been determined by the physician or a qualified nonphysician practitioner treating her to be estrogen-deficient and at clinical risk for osteoporosis, based on her medical history and other findings.
- An individual with vertebral abnormalities as demonstrated by an x-ray to be indicative of osteoporosis, osteopenia, or vertebral fracture.
- An individual receiving (or expecting to receive) glucocorticoid (steroid) therapy equivalent to 7.5 mg of prednisone, or greater, per day, for more than 3 months.
- An individual with primary hyperparathyroidism.
- An individual being monitored to assess the response to or efficacy of an FDA-approved osteoporosis drug therapy.
c. Waiver of Liability
Section 410.31(e) provides that Medicare payment would be denied for a BMM in accordance with section 1862(a)(1)(A) of the Act if the regulatory standards are not satisfied. Existing regulations concerning limitation on liability are set forth in §§ 411.400 through 411.406 and are applicable to denial of BMMs under § 410.31.
d. Payments for BMMs
Medicare payments for covered BMMs are paid for under the PFS (42 CFR part 414) as required by statute. In the June 24, 1998 IFC, we revised the definition of “physician services” in § 414.2 to include bone mass measurements. When BMM procedures are furnished to hospital inpatients and outpatients, the TCs of these procedures are payable under existing payment methods for hospital services. These methods include payments under the prospective payment system, on a reasonable cost basis, or under a special provision for determining payment rates for hospital outpatient radiology services.
In the June 24, 1998 IFC, we revised § 414.50(a), regarding physician billing for purchased diagnostic tests, to clarify that the section does not apply to payment for BMMs.
e. Conforming Changes
In the June 24, 1998 IFC, to allow for appropriate placement in the CFR of the BMM coverage requirements, we redesignated § 410.31 (Prescription drugs used in immunosuppressive therapy) as § 410.30.
2. Additional Scientific Evidence
In 2004, the Surgeon General issued a report, Bone Health and Osteoporosis (U.S. Department of Health and Human Services, Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Office of the Surgeon General, 2004). This report provides scientific evidence related to the prevention, assessment, diagnosis, and treatment of bone disease. The report states that identification of those at risk of bone disease and fracture is important so that appropriate interventions can be implemented. However, as the report states, “Assessing the risk of bone disease and fracture remains a challenge. Not all of the risk factors have been identified, and the relative importance of those that are known remains unclear.”
As bone strength is not measured directly, bone mineral density (BMD) remains the single best predictor of fracture risk, with the most widely accepted method for measuring BMD being the dual energy x-ray absorptiometry (DXA) for a bone density study at the axial skeleton (for example, hips and spine). As there are many sources of variability in the measurement of BMD, a quality control system related to both the methodology and reporting of test results is important to ensure the validity of DXA analysis.
In addition to DXA of the axial skeleton, bone mass can also be measured using other techniques. These other techniques include DXA bone density study for the appendicular skeleton (for example, radius, wrist, heel); quantitative computerized tomography (QCT), bone mineral density study for the axial skeleton or appendicular skeleton; radiographic absorptiometry (photodensitometry, radiogrammetry); single-photon absorptiometry (SPA); single energy x-ray absorptiometry (SXA) for the appendicular skeleton; and ultrasound bone mineral density study for the appendicular skeleton. With regard to these techniques (except for SPA which was not discussed), the 2004 Surgeon General report states, “While these methods do assess bone density and may provide an indication of fracture risk, it is important to note that the WHO [World Health Organization] recommendations and other guidelines for using BMD and interpreting BMD results for diagnosis are based on DXA measurements of the hip or spine.” The report further states, “Incorporating these techniques for bone assessment into future clinical trials and observational studies will help in better understanding their appropriate use as a means of predicting the risk of bone disease and fracture.”
3. Proposed Changes to the June 24, 1998 IFC
We received 18 public comments on the June 24, 1998 IFC. The majority of the comments had specific recommendations for changes to the IFC. In addition to responding to comments that we may receive on our proposed revisions to § 410.31, it is our intent to address all these previous comments in the CY 2007 PFS final rule.
Based on the comments received on the IFC, the Surgeon General's report, and other evidence, we are proposing changes to § 410.31. We encourage comments on these proposals.
a. Proposed “BMM” Definition (§ 410.31(a))
We are proposing to revise the definition of “bone mass measurement” at § 410.31(a)(2) to remove coverage for the use of SPA, which uses isotope sources to measure BMD. Many medical experts indicate that SPA has largely been replaced by the newer techniques of DXA, which are believed to be superior in accuracy and precision. Medicare claims data in recent years continue to show a steady decline in the use of the SPA procedure by the beneficiary population. Further, there is a lack of evidence to support continued use of SPA, an older procedure where the metrics have not been correlated with fracture rate.
We are proposing to revise the definition of a “bone mass measurement” to read, “Is performed with either a bone densitometer (other than a single-photon or dual-photon absorptiometry) or with a bone sonometer system that has been cleared for marketing for this use by the FDA under 21 CFR part 807, or approved for marketing by the FDA for this use under 21 CFR part 814.”
We are specifically requesting comments on this proposal regarding the evidence of benefit for SPA, particularly in comparison with other alternatives.
b. Conditions for Coverage (§ 410.31(b))
We are proposing to revise the conditions for coverage for BMMs in Start Printed Page 49060§ 410.31(b) by requiring that for a medically necessary BMM to be covered for an individual being monitored to assess the response to or efficacy of an FDA-approved osteoporosis drug therapy (§ 410.31(d)(5)) the individual would be required to meet the present conditions for coverage under § 410.31(b), and the monitoring would have to be performed by the use of an dual energy x-ray absorptiometry system (axial system).
We recognize that in the June 24, 1998 IFC, we allowed the physician or qualified nonphysician practitioner treating the beneficiary more flexibility in ordering those diagnostic measurements, but we are proposing to limit that flexibility with respect to the type of BMM that is used for monitoring individuals receiving osteoporosis drug therapy and other purposes (as discussed later in this section) because of new evidence and other information received since publication of the June 24, 1998 IFC that supports the need for requiring the use of the DXA measurement (axial skeleton) in those circumstances. In addition to the 2004 Surgeon General's Report that recognized the superiority of the DXA (axial skeleton) for measuring bone mass over time, the International Society for Clinical Densitometry currently recommends that if an individual has a low bone mass using a peripheral measurement (appendicular skeleton) he or she should have a DXA (axial skeleton) performed for monitoring or confirmatory diagnostic purposes.
Therefore, we are also proposing to revise § 410.31(b) by adding a requirement that in the case of any individual who qualifies for a bone mass measurement as provided for in § 410.31(d) and who receives a confirmatory baseline BMM to permit monitoring in the future, Medicare may cover a medically necessary BMM for that individual, if the present conditions for coverage under § 410.31(b) are met, and the BMM is performed by a dual energy x-ray absorptiometry system (axial skeleton) (if the initial measurement was not performed by this system).
As indicated previously, the most widely accepted method for measuring bone mineral density (BMD) is the use of DXA (Surgeons General's Report 2004) at axial skeletal sites. DXA (axial skeleton) measures BMD at the hip and spine (sites likely to fracture in patients who have osteoporosis). DXA is precise, safe, and low in radiation exposure, and permits more accurate and reliable monitoring of individuals over time. DXA of the femoral neck is the best validated test to predict hip fracture and is comparable to forearm measurements for predicting fractures at other sites (Evidence Report/Technology Assessment No 28, Agency for Healthcare Research and Quality (AHRQ), January 2001).
c. Bone Mass Measurement: Standards on Frequency of Coverage (§ 410.31(c))
To conform the examples of a BMM exception to the standards on frequency of coverage in § 410.31(c)(2) to the regulation change we are proposing in § 410.31(b)(3), we are proposing to revise the confirmatory baseline test example in § 410.31(c)(2)(ii) to read, “Allowing for a confirmatory baseline measurement to permit monitoring of beneficiaries in the future if the requirements of paragraph (b)(3) of this section are met.”
d. Bone Mass Measurement: Beneficiaries Who May Be Covered (§ 410.31(d))
The Congress has recognized that individuals receiving long-term glucocorticoid steroid therapy are qualified individuals for purposes of section 1861(rr)(1) of the Act. Therapy to prevent bone loss in most patients beginning long-term therapy has been recommended at a prednisone equivalent of ≥ 5 mg/day for at least 3 months (McIlwain, 2003). Based on our review of the current evidence, we are proposing to reduce the dosage equivalent in § 410.31(d)(3) from an average of 7.5 mg/day of prednisone for at least 3 months to an average of 5.0 mg/day of prednisone for the same period.
e. Use of the NCD Process (§ 410.31(f))
To facilitate future consideration of coverage of additional BMM systems for purposes of proposed paragraphs § 410.31(b)(2) and (b)(3), which would limit coverage of BMMs for monitoring individuals receiving osteoporosis drug therapy and for performing confirmatory baseline measurements, we are proposing to allow CMS, through the NCD process, to identify additional BMM systems for those purposes. By using the NCD process, we could conduct a timely assessment of FDA-approved BMMs. Use of an NCD to add coverage of effective BMM systems for these purposes is authorized by the reasonable and necessary provision of sections 1862(a)(1)(A) and 1871(a)(2) of the Act.
In summary, in view of the 18 comments and our review of the post-1998 medical literature, we have decided to propose several revisions to § 410.31 relative to the definition of the term “Bone Mass Measurement” (§ 410.31(a)(2)), the conditions for coverage (§ 410.31(b)), the examples of exceptions to the standards on frequency of coverage (§ 410.31(c)(2)), the category of individuals receiving (or expecting to receive) glucocorticoid (steroid) therapy (§ 410.31(d)(3)), and the addition of a new subparagraph (§ 410.31(f)) on use of the NCD process.
L. Independent Diagnostic Testing Facility (IDTF) Issues
[If you choose to comment on issues in this section, please include the caption “IDTF ISSUES” at the beginning of your comments.]
1. Proposed IDTF Changes in the Physician Fee Schedule Proposed Rule
During the course of a national review in 2003-2004, the Office of Inspector General (OIG) found a potential $71 million in improper payments made to IDTFs (Review of Claims Billed by Independent Diagnostic Testing Facilities for Services Provided to Medicare Beneficiaries During Calendar Year 2001 (A-03-03-00002)). The OIG found that erroneous payments were made as the result of poor or missing documentation or the lack of medical necessity. Moreover, in recent years, CMS and its contractors have determined that a number of IDTFs in California and other States are perpetrating schemes to defraud the Medicare program.
Since 2000, the number of IDTFs in California has increased by 40 percent, which is a far greater percentage increase than the Medicare population in that State. The number of IDTFs billing Medicare in California alone increased more than 400 percent from 2000 to 2005. The increased use of IDTF services has not lowered the use of diagnostic testing within other settings. The increased rates of utilization within IDTFs is likely to be unrealistic due to an increase in the need of diagnostic testing within California's Medicare population. Also, these IDTFs are growing at a rate faster than CMS can survey these facilities. The actual growth of IDTFs is not a problem, however, the results of the OIG audit make it clear that we need to closely monitor IDTFs and establish standards to ensure quality care for Medicare beneficiaries. To address the erroneous payments identified by the OIG above, we are proposing to establish IDTF supplier standards similar to those we adopted for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers on October 11, 2000 (see 42 CFR 424.57).
We are proposing that each IDTF be required to be in compliance with the Start Printed Page 49061proposed fourteen suppler standards discussed in section L.2. below in order to obtain or retain enrollment in the Medicare program. Accordingly, at proposed § 410.33(h), we are proposing that if an IDTF fails to meet one or more of the proposed standards at the time of enrollment or at the time of re-enrollment, then its enrollment application would be denied. Also, if at any time we determine that an enrolled IDTF no longer meets the proposed supplier standards, its billing privileges would be revoked.
We believe that these supplier standards are needed to ensure that minimum quality standards are met to protect beneficiaries as well as the Medicare Trust Fund. These standards are merely good business practices which will help to ensure that suppliers are providing a quality care to Medicare beneficiaries. Examples of the kind of standards are a primary business phone number and address. Another example is a posting of standards for review by patients and the public.
We are proposing to adopt, for IDTFs, a number of standards we adopted for DMEPOS suppliers, including supplier standard number 6 which requires a supplier to maintain a comprehensive liability insurance policy of $300,000 or 20 percent of its average annual Medicare billings, whichever amount is greater, that covers both the place of business and all customers and employees of the IDTF.
Furthermore, we are proposing in the new performance standard number 7 that an IDTF agrees not to directly solicit patients. This provision does not preclude the IDTF from public advertisement or marketing its services to physicians and other suppliers, however it does prohibit recruitment of beneficiaries through direct solicitation.
Additionally, the IDTF would be required to grant CMS, or its designated fee-for-service contractors, including our agents, to have access to the IDTF physical location, all equipment, and beneficiary medical records during normal business hours. For portable equipment, an IDTF would be required to maintain a catalog of portable equipment and be able to produce the cataloged equipment within two business days. If the IDTF denies this access, the IDTF's Medicare enrollment would be immediately revoked.
To ensure that equipment used by an IDTF is maintained and operates properly, we are seeking public comment regarding IDTF supplier standard number 11, which would require that an IDTF must have its testing equipment calibrated per equipment instructions or in compliance with applicable industry standards. Specifically, we are seeking public comment regarding the organizations or entities that may currently establish testing specifications for diagnostics equipment. Further, if these organizations or entities do not exist, we invite public comment regarding establishment of a supplier standard that relies on the manufacturer's maintenance and calibration standards.
While we understand that these proposed additional standards could lead certain IDTFs to withdraw from the Medicare program rather than comply with the new standards, we believe that legitimate businesses would not oppose these changes. Moreover, we emphasize that services provided by an IDTF are also readily available to beneficiaries through other avenues such as physicians' offices, outpatient laboratories, outpatient radiology facilities, and outpatient clinics. We believe that the implementation of these proposed standards would improve the quality of services provided to Medicare beneficiaries by IDTFs without any associated access concerns.
2. Proposed Performance Standards for IDTFs
The IDTF would be required to meet the following standards as of January 1, 2007 and any newly or reenrolling IDTF would be required to certify in its enrollment application that it meets and would continue to meet the standards. At § 410.33, we are proposing to revise the regulation to specify that the IDTF would be required to—
- Operate its business in compliance with all applicable Federal, State, and local licensure and regulatory requirements with regard to the health and safety of patients;
- Provide complete and accurate information on its enrollment application as stated in the “Requirements for Providers and Suppliers to Establish and Maintain Enrollment final rule” (April 21, 2006 (42 FR 20754)). Any change in enrollment information would be required to be reported to the designated fee-for-service contractor on the Medicare enrollment application within 30 calendar days;
- Maintain a physical facility on an appropriate site. For the purposes of this proposed standard, a post office box or commercial mailbox would not be considered a physical facility. The physical facility would be required to contain space for equipment appropriate to the services designated on the enrollment application, facilities for hand washing, adequate patient privacy accommodations, and the storage of both business records and current medical records;
- Have all applicable testing equipment available at the physical site, excluding portable equipment. A catalog of portable equipment, including equipment serial numbers, would be maintained at the physical site. In addition, portable equipment would be made available for inspection within two business days of our inspection request. The IDTF would be required to maintain a current inventory of the equipment (including serial/registration numbers), provide this information to the designated fee-for-service contractor and notify the contractor of any changes in equipment;
- Maintain a primary business phone under the name of the business. The business phone would be located at the designated site of the business. The telephone number or toll free numbers would be available in a local directory and through directory assistance;
- Have a comprehensive liability insurance policy of at least $300,000 or 20 percent of its average annual Medicare billings, whichever amount is greater, that covers both the place of business and all customers and employees of the IDTF. The insurance policy would be carried by a non-relative owned company. The policy would be required to list the serial numbers of any and all equipment used by the IDTF;
- Agree not to directly solicit patients, which includes, but is not limited to, a prohibition on telephone, computer, or in-person contracts. The IDTF would accept only those patients referred for diagnostic testing by an attending physician, who is furnishing a consultation or treating a beneficiary for a specific medical problem and who uses the results in the management of the beneficiary's specific medical problem. Nonphysician practictioners may order tests as set forth in § 410.32(a)(3);
- Answer beneficiaries' questions and respond to their complaints. Documentation of those contacts would be maintained at the physical site;
- Openly post these standards for review by patients and the public;
- Disclose to the government, any person having ownership, financial or control interest, or any other legal interest in the supplier at the time of enrollment or within 30 days of a change;
- Have its testing equipment calibrated per equipment instructions and in compliance with applicable national standards; Start Printed Page 49062
- Have technical staff on duty with the appropriate credentials to perform tests. The IDTF would be required to produce the applicable Federal or State licenses and/or certifications of the individuals performing these services;
- Have proper medical record storage and be able to retrieve medical records upon request from CMS or its designated fee-for-service contractor within 2 business days; and
- Permit CMS, including its agents or its designated fee-for-service contractors, to conduct unannounced, on-site inspections to confirm the IDTF's compliance with these proposed standards. The IDTF would be required to provide access, during regular business hours, to CMS and beneficiaries, as well as maintain a visible sign posting the normal business hours of the IDTF.
3. Supervision
To ensure quality care is provided to Medicare beneficiaries, we are proposing to revise § 410.33(b)(1) to read that physicians will be limited to providing supervision to “no more than three (3) IDTF sites.”
4. Place of Service
In addition to proposing the establishment of specific supplier standards for IDTFs, at proposed § 410.33(i), we are proposing to define the “point of the actual delivery of service” as the correct “Place of Service” for the claim form in the case of diagnostic testing performed outside the IDTF's physical location. For example, when an IDTF performs a diagnostic test at a beneficiary's residence, we believe that it is reasonable to establish the beneficiary's residence as the “Place of Service.” Previously, there has been no set procedure, so therefore, we believe that the information is gathered at the collection point from the beneficiary, and this is the point service. While most diagnostic tests are performed in an office setting, we are seeking public comment regarding the types of services that can be safely and appropriately used in a residential setting.
M. Independent Laboratory Billing for the TC of Physician Pathology Services to Hospital Patients
[If you choose to comment on issues in this section, please include the caption “INDEPENDENT LAB BILLING” at the beginning of your comments.]
The TC of physician pathology services refers to the preparation of the slide involving tissue or cells that a pathologist will interpret. (In contrast, the pathologist's interpretation of the slide is the PC service. If this service is furnished by the hospital pathologist for a hospital patient, it is separately billable. If the independent laboratory's pathologist furnishes the PC service, it is usually billed with the TC service as a combined service.)
In the “Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2000” final rule published in the Federal Register on November 2, 1999 (64 FR 59380 and 59408 through 59409), we stated that we would implement a policy to pay only the hospital for the TC of physician pathology services furnished to hospital patients. Before that proposal, any independent laboratory could bill the carrier under the PFS for the TC of physician pathology services for hospital patients. As pointed out in the November 2, 1999 final rule, this policy has contributed to the Medicare program paying twice for the TC service, first through the inpatient prospective payment rate to the hospital where the patient is an inpatient and again to the independent laboratory that bills the carrier, instead of the hospital, for the TC service.
Therefore, in that final rule at § 415.130, we provided that, for services furnished on or after January 11, 2001, the carriers would no longer pay claims to the independent laboratory under the physician fee schedule for the TC of physician pathology services for hospital patients.
Ordinarily, the provisions in the final PFS are implemented in the following year. However, in this case, the change to § 415.130 was delayed one year (until January 1, 2001), at the request of the industry, to allow independent laboratories and hospitals sufficient time to negotiate arrangements. Moreover, our full implementation of § 415.130 was further delayed through CY 2006.
We continue to believe, however, that hospital prospective payment amounts already compensate hospitals for the TC of physician pathology tests and that additional payment under the PFS is inappropriate. Therefore, we are proposing to amend § 415.130 to provide that, for services furnished after December 31, 2006, an independent laboratory may not bill the carrier for physician pathology services furnished to a hospital inpatient or outpatient. Under proposed § 415.130(d), we would pay under the PFS for the TC of a physician pathology service furnished by an independent laboratory for services provided to an inpatient or outpatient of a “covered hospital” on or before December 31, 2006. A “covered hospital” is defined in § 415.130(a)(1).
N. Public Consultation for Medicare Payment for New Outpatient Clinical Diagnostic Laboratory Tests
[If you choose to comment on issues in this section, please include the caption “CLINICAL DIAGNOSTIC LAB TESTS” at the beginning of your comments.]
Section 1833(h) of the Act requires the Secretary to establish fee schedules for clinical laboratory tests under Medicare Part B. In this section of the preamble, we are proposing to implement section 942(b) of the MMA which specifies annual procedures for consulting the public on how to establish payment for new clinical laboratory test codes to be included in the annual update of the clinical laboratory fee schedule.
1. BIPA (Pub. L. 106-554)
Section 531(b) of BIPA mandated that we establish, no later than 1 year after the date of enactment, procedures that permit public consultation for payment determinations for new clinical diagnostic laboratory tests under Medicare Part B in a manner consistent with the procedures established for implementing ICD-9-CM coding modifications. In the November 23, 2001 Federal Register (66 FR 58743), we specified the procedures to implement section 531(b) of BIPA.
These procedures were most recently used to determine the payments for new 2006 clinical laboratory fee schedule codes. First, we convened a public meeting to solicit expert input on the nature of the new tests before rate determinations were made. We have held these meetings each year since 2002 to receive this expert input on the next year's codes. Our most recent meeting was announced in the Federal Register on May 27, 2005 (70 FR 30734) and occurred on July 18, 2005. In that meeting, we requested that presenters address the new test codes, each test's purpose, method, cost, and a recommendation for one of two methods (crosswalking or gapfilling) for determining payment for the new clinical laboratory codes. Crosswalking and gapfilling are discussed below in section N.2.d.
Following the public meeting, we posted, on our Website, a summary of the new codes and the payment recommendations that were presented during the public meeting. The summary also displayed our tentative payment determinations and indicated a comment period for interested parties to submit written comments. After reviewing the comments received, we issued Medicare Transmittal 750, 2006 Annual Update for Clinical Laboratory Start Printed Page 49063Fee Schedule, which provided all instructions and final rate determinations for the 2006 clinical laboratory fee schedule including the new codes and fees, on November 18, 2005.
2. Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108-173)
Further legislation affecting public consultation for new clinical laboratory tests was enacted at section 942(b) of the MMA (Pub. L. 108-173), which added section 1833(h)(8) to the Act. Section 1833(h)(8)(A) of the Act requires the Secretary to establish by regulation procedures for determining the basis for and amount of payment for a clinical diagnostic laboratory test that is assigned a new or substantially revised Healthcare Common Procedure Coding System (HCPCS) code on or after January 1, 2005. We refer to these tests as “new tests.”
Section 1833(h)(8)(B) of the Act provides that determinations of payment amounts for new tests shall be made only after the Secretary—
- Makes available to the public (through an Internet Web site and other appropriate mechanisms) a list that includes codes for which establishment of a payment amount is being considered for the next calendar year;
- On the same day the list of codes is made available, publishes a Federal Register notice of a meeting to receive public comments and recommendations (and data on which recommendations are based) on the appropriate basis for establishing payment amounts for the list of codes made available to the public;
- Not less than 30 days after publication of the notice in the Federal Register, convenes a meeting that includes representatives of CMS officials involved in determining payment amounts, to receive public comments and recommendations (and data on which the recommendations are based); and
- Taking into account the comments and recommendations (and accompanying data) received at the public meeting, develops and makes available to the public (through an Internet Web site and other appropriate mechanisms)—
+ A list of proposed determinations with respect to the appropriate basis for establishing a payment amount for each code, together with an explanation of the reasons for each determination, the data on which the determinations are based, and a request for public written comments on the proposed determination; and
+ A list of final determinations of the payment amounts for tests, together with the rationale for each determination, the data on which the determinations are based, and responses to comments and suggestions from the public.
We believe that our current process for providing for public consultation on the establishment of payment amounts for new clinical laboratory tests is consistent with the requirements of section 1833(h)(8)(B) of the Act. We currently make available to the public through a posting on the CMS Web site a list of new laboratory test codes for the next calendar year. We publish a Federal Register notice of a meeting to receive public comments and recommendations and convene the meeting with appropriate CMS officials in attendance. We take into account the input received at the public meeting and we make available to the public on the CMS Web site a list of the proposed determinations and seek comment. We then make available to the public our final determinations in the instructions that we provide to our claims processing contractors to implement the Medicare Part B clinical laboratory fee schedule each year.
The most significant change required by section 1886(h)(8)(A) of the Act with respect to our procedures for public consultation is that we codify this process in regulations. Therefore, in this proposed rule, we are proposing to codify our current process for public consultation for new clinical diagnostic laboratory tests paid under the Medicare Part B clinical laboratory fee schedule at proposed new Subpart F—Payment for New Clinical Diagnostic Laboratory Tests (§ 414.402 through § 414.406).
a. Proposed Basis and Scope (§ 414.400)
This proposed new subpart would implement provisions of section 1833(h)(8) of the Act—procedures for determining the basis for, and amount of, payment for a new clinical diagnostic laboratory test with respect to which a new or substantially revised Healthcare Common Procedure Coding System code is assigned on or after January 1, 2005.
b. Proposed Definition (§ 414.402)
As specified in section 942(b) of the MMA, we propose to define the term “Substantially Revised Healthcare Common Procedure Coding System Code” to mean a code for which there has been a substantive change to the definition of the test or procedure to which the code applies (such as a new analyte or a new methodology for measuring an existing analyte specific test).
c. Proposed Procedures for Public Consultation for Payment for a New Clinical Diagnostic Laboratory Test (§ 414.406)
For a clinical laboratory test that is assigned a new or substantially revised code on or after January 1, 2005, we would establish a local fee schedule amount only after the following:
- We make available to the public (through an Internet Web site and other appropriate mechanisms) a list that includes codes for which establishment of a payment amount is being considered for the next calendar year.
- We publish a Federal Register notice of a meeting to receive public comments and recommendations (and data on which recommendations are based) on the appropriate basis, as specified in proposed new § 414.408, for establishing payment amounts for the list of codes made available to the public.
- Not less than 30 days after publication of the notice in the Federal Register, we convene a meeting, that includes representatives of CMS officials involved in determining payment amounts, to receive public comments and recommendations (and data on which the recommendations are based).
- Taking into account the comments and recommendations (and accompanying data) received at the public meeting, we develop and make available to the public (through an Internet Web site and other appropriate mechanisms)—
+ A list of proposed determinations with respect to the appropriate basis for establishing a payment amount for each code, together with an explanation of the reasons for each determination, the data on which the determinations are based, and a request for public written comments on the proposed determination within a specified time period; and
+ A list of final determinations of the payment amounts for tests, together with the rationale for each determination, the data on which the determinations are based, and responses to comments and suggestions from the public.
d. Proposed Payment for a New Clinical Diagnostic Laboratory Test—Crosswalking and Gapfilling (§ 414.408)
We are proposing to add a new § 414.408 to indicate when, in establishing the payment amount for a new clinical laboratory test, one of two payment methods can be utilized. The Start Printed Page 49064first payment method, called “crosswalking,” is used if a new test is determined to be comparable to an existing test, multiple existing test codes, or a portion of an existing test code. We propose that a new test code would be assigned the related existing local fee schedule amounts and national limitation amount.
In new § 414.408, we propose to use the second method, called “gapfilling,” when no comparable, existing test is available. Currently when using this method, manual instructions are provided to each Medicare carrier to determine a payment amount for its geographic area(s) for use in the first year, and the carrier-specific amounts are used to establish a national limitation amount for following years. Consistent with our current process, the sources of information carriers examine in determining gapfill amounts, if available, include—
- Charges for the test and routine discounts to charges;
- Resources required to perform the test;
- Payment amounts determined by other payers; and
- Charges, payment amounts, and resources required for other tests that may be comparable or otherwise relevant.
Currently, our manual instructions allow carriers to consider other sources of information as appropriate, including clinical studies and information provided by clinicians practicing in the area, manufacturers, or other interested parties. Carriers are also instructed to establish carrier specific amounts on or before March 31 of the year and to revise their carrier specific amount, if necessary, on or before September 1 of the year. In this manner, a carrier may revise its carrier specific amount based on additional information, but there is also a specific time frame to perform this revision so that we have adequate time to receive and use the carrier specific amounts for the calculation of the next year's clinical laboratory fee schedule.
Currently for new gapfilled laboratory tests, the payment amount beginning in the second year is based on the lower of the carrier specific amount determined in the first year or the national limitation amount. In accordance with section 1833(h) of the Act, the national limitation amount is set at the median of the carrier-specific amounts.
In light of new MMA provisions, however, we are proposing, in new § 414.408, to prospectively eliminate payment of new gapfilled tests at a carrier specific amount after the first year. Section 1833(h)(8)(A) of the Act gives the Secretary authority to establish procedures for determining the payment amount for laboratory tests for which new or substantially revised HCPCS codes were established on or after January 1, 2005. Under this authority, we propose, in new § 414.408(b), to pay for a new gapfilled laboratory test under our existing methodology for the first year (the carrier would establish a gapfill amount.) Beginning in the second year, the test would be paid at the national limitation amount. This would result in consistent payment in geographic areas for a new test using the median of the carrier gapfill amounts.
3. Other Laboratory Issues
This section discusses other laboratory issues related to quality and glucose monitoring in SNFs.
a. Quality
In addition to providing payments, Medicare's clinical laboratory fee schedule for both new and existing tests should foster the provision of quality care and the prevention of avoidable health care costs. We are exploring the development of measures related to the quality and efficiency of care, including those involving clinical laboratory fee schedule services. Physicians' decisions are central to the health care their patients receive and are informed by appropriate clinical laboratory testing. We want to work with physicians, providers and the clinical laboratory community to identify ways to promote utilization decisions that clearly increase the quality of care while avoiding unnecessary costs for beneficiaries and the Medicare program.
As part of its strategies to improve quality of care, CMS could require those who perform laboratory tests to submit laboratory values using common vocabulary standards, such as those found in the Logical Observation Identifiers Names and Codes (LOINC®) database.
The LOINC® database currently contains about 41,000 observational terms, of which nearly 31,000 are observational terms related to laboratory testing. The laboratory subset of the LOINC® database provides universal names and codes for identifying the results of clinical laboratory tests and it facilitates the exchange and pooling of clinical laboratory results for clinical care, outcomes management and research. Note that LOINC® describes the test result, but does not provide it. It is, therefore, only one possible component of a comprehensive system of collecting clinical laboratory fee test results. Each LOINC® record corresponds to a single test result or panel. The following are some examples of LOINC records:
LOINC code LOINC name (component: property: timing: specimen: scale)
2951-2 SODIUM:SCNC:PT:SER/PLAS:QN
2955-2 SODIUM:SCNC:PT:UR:QN
2956-1 SODIUM:SRAT:24H:UR:QN
2164-2 CREATININE RENAL CLEARANCE:VRAT:24H:UR:QN
1514-9 GLUCOSE⁁ 2H POST 100 G GLUCOSE
PO:MCNC:PT:SER/PLAS:QN
3665-7 GENTAMICIN⁁ TROUGH:MCNC:PT:SER/PLAS:QN
17863-2 CALCIUM.IONIZED:MCNC:PT:SER/PLAS:QN
2863-9 ALBUMIN:MCNC:PT:SNV:QN:ELECTROPHORESIS
The parts of the LOINC® name refer to different aspects of the test result. The component is the analyte (for example, sodium). The property is the characteristic of the analyte that is measured, evaluated or observed (for example SCNC = substance concentration). Timing indicates whether the measurement is an observation at a moment of time, or an observation integrated over an extended duration of time (for example, PT = point in time). The specimen is the type of sample (for example, SER/PLAS = serum or plasma). The scale is the type of scale (for example QN = quantitative). For further detail, please see the LOINC® Web site at http://www.loinc.org.
On September 23, 2005 (70 FR 55900-56025), we published the proposed rule “HIPAA Administrative Simplification: Standards for Electronic Health Care Claims Attachments.” This rule proposed standards for electronically requesting and supplying particular types of additional health care information in the form of an electronic attachment to support submitted health care claims data. The proposed rule specified a standard attachment form for reporting laboratory results (among other standards) and proposed adoption of LOINC® as the standard code set for reporting such results.
While the laboratory claims attachment standard and use of LOINC® could provide a means for reporting test result data, we recognize that there are significant operational and other challenges that would need to be addressed before Medicare could begin to collect laboratory values in a comprehensive fashion using common vocabulary standards and that these challenges need to be met in partnership with the clinical laboratory community. We look forward to working Start Printed Page 49065collaboratively with the clinical laboratory community on these issues.
b. Blood Glucose Monitoring in SNFs
In response to inquiries regarding our policy on blood glucose monitoring in SNFs, we are taking this opportunity to restate our long-standing policy on coverage of blood glucose monitoring services and to propose to codify physician certification requirements for blood glucose monitoring in SNFs.
Generally, section 1862(a)(1)(A) of the Act requires that a service be reasonable and necessary for diagnosis and treatment in order to be eligible for coverage by Medicare. Our regulations at § 410.32(a) already require that, for any diagnostic test, including a clinical diagnostic laboratory test, to be considered reasonable and necessary, it must be both ordered by the physician and the ordering physician must use the result in the management of the beneficiary's specific medical problem. Tests not ordered by the physician who is treating the beneficiary are not reasonable and necessary.
In the context of blood glucose monitoring, we most recently stated this policy in Transmittal AB-00-108, “Glucose Monitoring”, which is available on our Web site at http://www.cms.hhs.gov/transmittals/downloads/ab00108.pdf. This interpretation of § 410.32 is also the basis for our policy in Chapter 7 of the Medicare Claims Processing Manual (“Skilled Nursing Facility Part B Billing” available on our Web site at http://www.cms.hhs.gov/manuals/downloads/clm104c07.pdf.)
In addition, section 1835(a)(2)(B) of the Act provides that, in the case of certain “medical and other health services” (including clinical diagnostic laboratory services), payment may be made for Part B services that are furnished by a provider of services only if a physician certifies—and recertifies where those services are furnished over a period of time, with such frequency, and accompanied by such supporting material, as may be provided by regulation—that those services were medically necessary. The regulations currently implementing this provision at § 424.24 do not specifically address the issue of blood glucose monitoring in SNFs. Therefore, we are proposing to amend § 424.24 to provide that, for each blood glucose test furnished to a resident of a SNF, the physician must certify that the test is medically necessary. We are also proposing to amend § 424.24 to clarify that a physician's standing order is not sufficient to order routine blood glucose monitoring.
c. Other Lab Issues—Proposed Clinical Diagnostic Laboratory Date of Service (DOS) for Stored Specimens
We are proposing to add a new § 414.410 to address concerns that have been raised regarding the date of service of a clinical diagnostic laboratory test that use a stored (or “archived”) specimen. In the final rule of coverage and administrative policies for clinical diagnostic laboratory services that we published on November 23, 2001 (66 FR 58792), we adopted a policy under which the date of service for clinical diagnostic laboratory services generally is the date the specimen is collected. For laboratory tests that use an archived specimen, however, the date of service is the date the specimen was obtained from the storage. In 2002, we issued Program Memorandum AB-02-134 which permitted contractors discretion in making determinations regarding the length of time a specimen must be stored to be considered archived. In response to comments requesting that we issue a national standard to clarify when a stored specimen can be considered “archived,” in the Procedures for Maintaining Code Lists in the Negotiated National Coverage Determinations for Clinical Diagnostic Laboratory Services final notice, published in the Federal Register on February 25, 2005 (70 FR 9355), we defined an “archived” specimen as a specimen that is stored for more than 30 calendar days before testing. The date of service for these archived specimens is the date the specimen was obtained from storage. Specimens stored 30 days or less have a date of service of the date the specimen was collected. The February 25, 2005 final notice also clarified that the date of service for tests when the collection spanned more than two calendar days is the date the collection ended. Instructions that implemented these policies were added to Chapter 16, section 40.8 of the Medicare Claims Processing Manual (Pub. 100-04) with the issuance of Transmittal 800 (CR 4156), on December 30, 2005.
Recently, we have received correspondence that expressed concern that our policies have created some unintended consequences, especially in situations in which a specimen is taken in a hospital setting, but then later used for a test after the patient has left the hospital. Under the current manual instructions, if the specimen used for a test ordered subsequent to the beneficiary's discharge is obtained less than 31 calendar days following the date the specimen was collected, the date of service of the test is the date of collection. The date of service of a test may affect payment because, if the date of service falls during an inpatient stay or on a day on which the beneficiary had an outpatient procedure, payment for the laboratory test usually is bundled with the hospital service. To address these concerns, we are proposing to change our current policy so that the date of service would be the date the specimen is obtained from storage, even if the specimen is obtained less than 31 days from the date it was collected, without violating the unbundling rules as long as the following conditions are met:
- The test is ordered by the patient's physician at least 14 days following the date of the patient's discharge from the hospital.
- The test could not reasonably have been ordered while the patient was hospitalized.
- The procedure performed while the beneficiary is a patient of the hospital is for purposes other than collection of the specimen needed for the test.
- The test is reasonable and medically necessary.
These conditions are consistent with the guidance in Chapter 16, sec 40.3 of the Claims Processing Manual, which states that “When the hospital obtains laboratory tests for outpatients under arrangements with clinical laboratories or other hospital laboratories, only the hospital can bill for the arranged services.”
In addition, Chapter 3 of the Program Integrity Manual contains instructions for additional documentation if further development of laboratory claims for pre-or postpay are required. Although we believe these changes will help to maintain beneficiary access to care, we are concerned about the potential for these policy changes creating inappropriate incentives in the development of technology and the implications for the unbundling of services. We solicit comment on the proposed changes and these concerns.
O. Proposal to Establish Criteria for National Certifying Bodies That Certify Advanced Practice Nurses
[If you choose to comment on issues in this section, please include the caption “Criteria for National Certifying Bodies-Advanced Practice Nurses” at the beginning of your comments.]
Federal regulatory qualifications for nurse practitioners (NPs) at 42 CFR 410.75 require that an individual be certified as an NP by a recognized national certifying body that has established standards for NPs. Similarly, Federal regulatory qualifications for clinical nurse specialists (CNSs) at 42 Start Printed Page 49066CFR 410.76 require that an individual be certified as a CNS by a national certifying body that has established standards for CNSs and that is approved by the Secretary.
Currently, there is not a list of recognized or approved national certifying bodies for NPs and CNSs in regulations. However, Chapter 15, section 200 of the Benefit Policy Manual, Pub. 100-02 contains a list of national certifying bodies that are recognized by Medicare as being appropriate for certification of NPs. Although the manual provision regarding CNS services at Chapter 15, section 210 of the Benefit Policy Manual lists only the American Nurses Credentialing Center as an approved national certifying body for CNSs, we indicated that the list of recognized certifying bodies in the manual provision for NP services would also apply for CNSs in the “Revisions to Payment Policies Under the CY 2003 Physician Fee Schedule and Inclusion of Registered Nurses in the Personnel Provision of the Critical Access Hospital Emergency Services Requirement for Frontier Areas and Remote Locations; Payment Policies final rule (December 31, 2002, 67 FR 79987). The national certifying bodies that are listed under the manual instruction at section 200, and that currently apply for both NPs and CNSs (collectively, advanced practice nurses) are as follows:
- American Academy of Nurse Practitioners;
- American Nurses Credentialing Center;
- National Certification Corporation for Obstetric, Gynecologic and Neonatal Nursing Specialties;
- National Certification Board of Pediatric Nurse Practitioners and Nurses;
- Oncology Nurses Certification Corporation;
- Critical Care Certification Corporation.
In the December 31, 2002 final rule, in response to a public comment, we stated, “it is not the agency's intention to be overly restrictive in our program requirements and consequently prevent qualified CNSs who specialize in areas of medicine other than those certified by the American Nurses Credentialing Center (ANCC) from participating under the CNS benefit and from rendering care to patients in need of specialized services. Furthermore, the intent of the revision to the certification requirement for CNSs is to recognize all appropriate national certifying bodies for CNSs as the program does for NPs.” Accordingly, in an effort to recognize all appropriate national certifying bodies for CNSs and NPs, we added, at that time, the Oncology Nurses Certification Corporation (ONCC) and the Critical Care Certification Corporation (CCCC) to the list of recognized national certifying bodies for advanced practice nurses.
The National Board on Certification of Hospice and Palliative Care Nurses (NBCHPN) has requested that we now follow the same course of action as we did for the ONCC and the CCCC by adding its name to the list of recognized national certifying bodies. That is, NBCHPN believes that it is an appropriate national certifying body based on its certification experience, principles, services, and the certification exam that it administers to advanced practice nurses who specialize in palliative care for hospice patients.
The NBCHPN stated in information it sent to the agency that its organization is a well-established certification body with more than 12-years history of certification and that it has been certifying advanced practice hospice and palliative nurses since 2003 in partnership with the ANCC. Starting in 2005, the NBCHPN became sole proprietor of the Advanced Certified Hospice and Palliative Nurse (ACHPN) examination. Master's level nurse practitioners and clinical nurse specialists sit for this ACHPN examination that is based on a role delineation study for the advanced practice level of hospice and palliative nursing. Additionally, the NBCHPN stated that it has met the requirements of the American Board of Nursing Specialties and is an active member of the Board of Specialties, as is the ANCC. The Executive Director of the NBCHPN stated that she believes that the absence of the NBCHPN from the current list of recognized national certifying bodies presents a barrier for advanced practice nurses in the hospice palliative care specialty because they are denied enrollment on the basis that they do not meet the certification qualification requirement. The Web site for the NBCHPN can be found at www.nbchpn.com.
We are soliciting public comments on whether it would be appropriate to include the NBCHPN under the list of recognized and approved national certifying bodies for NPs and CNSs under manual instructions for both NPs and CNSs. We are also soliciting public comments on criteria or standards that we could use to determine whether an organization is an appropriate national certifying body for advanced practice nurses. CMS realizes that the agency may receive other requests in the future from organizations that wish to be to be added to the list of recognized or approved national certifying bodies. In anticipation of those requests, the agency is interested in developing certification standards that would facilitate the process for making these decisions.
P. Chiropractic Services Demonstration
[If you choose to comment on issues in this section, please include the caption “Chiropractic Services Demonstration” at the beginning of your comments.]
In the FY 2006 PFS final rule (November 21, 2005), we included a discussion of the 2-year demonstration authorized by section 651 of the MMA to evaluate the feasibility and advisability of covering chiropractic services under Medicare. These services extend beyond the current coverage for manipulation to care for neuromusculoskeletal conditions typical among eligible beneficiaries, and cover diagnostic and other services that a chiropractor is legally authorized to perform by the State or jurisdiction in which the treatment is provided. The demonstration is being conducted in four sites, two rural and two urban. The demonstration must be budget neutral as the statute requires the Secretary to ensure that the aggregate payment made under the Medicare program does not exceed the amount which would be paid in the absence of the demonstration.
Ensuring budget neutrality requires that the Secretary develop a strategy for recouping funds should the demonstration result in costs higher than those that would occur in the absence of the demonstration. As we stated in the FY 2006 PFS, we would make adjustments in the national chiropractor fee schedule to recover the costs of the demonstration in excess of the amount estimated to yield budget neutrality. We will assess budget neutrality by determining the change in costs based on a pre/post comparison of costs and the rate of change for specific diagnoses that are treated by chiropractors and physicians in the demonstration sites and control sites. We will not limit our analysis to reviewing only chiropractor claims, because the costs of the expanded chiropractor services may have an impact on other Medicare costs.
Any needed reduction would be made in the 2010 and 2011 physician fee schedules as it will take approximately 2 years to complete the claims analysis. If we determine that the adjustment for budget neutrality is greater than 2 percent of spending for the chiropractor fee schedule codes (comprised of the 3 Start Printed Page 49067currently covered CPT codes 98940, 98941, and 98942), we would implement the adjustment over a 2-year period. However, if the adjustment is less than 2 percent of spending under the chiropractor fee schedule codes, we would implement the adjustment over a 1-year period. We will include the detailed analysis of budget neutrality and the proposed offset during the 2009 rulemaking process. PT services performed by chiropractors under the demonstration are subject to the PT therapy cap. These services are included under the cap because chiropractors are subject to the same rules as medical doctors for therapy services under the demonstration.
Q. Promoting Effective Use of Health Information Technology (HIT)
(If you choose to comment on issues in this section, please include the caption “Promoting Effective Use of HIT” at the beginning of your comment.)
We recognize the potential for health information technology (HIT) to facilitate improvements in the quality and efficiency of health care services. One recent RAND study found that broad adoption of electronic health records could save more than $81 billion annually and, at the same time, improve quality of care.[1] The largest potential savings that the study identified was in the hospital setting because of shorter hospital stays promoted by better coordinated care; less nursing time spent on administrative tasks; better use of medications in hospitals; and better utilization of drugs, laboratory services, and radiology services in hospital outpatient settings. The study also identified potential quality gains through enhanced patient safety, decision support tools for evidence-based medicine, and reminder mechanisms for screening and preventive care. Despite these large potential benefits, the study found that only about 20 to 25 percent of hospitals have adopted HIT systems.
It is important to note the caveats to the RAND study. The projected savings are across the health care sector, and any Federal savings would be a reduced percentage. In addition, there are significant assumptions made in the RAND study. National savings are projected in some cases based on one or two small studies. Also, the study assumes patient compliance, in the form of participation in disease management programs and following medical advice. For these reasons, extreme caution should be used in interpreting these results.
In summary, there are mixed signals about the potential of HIT to reduce costs. Some studies have indicated that HIT adoption does not necessarily lead to lower costs and improved quality. In addition, some industry experts have stated that factors such as an aging population, medical advances, and increasing provider expenses would make any projected savings impossible.
In his 2004 State of the Union Address, the President announced a plan to ensure that most Americans have electronic health records within 10 years.[2] One part of this plan involves developing voluntary standards and promoting the adoption of interoperable HIT systems that use these standards. The 2007 Budget states that “The Administration supports the adoption of health information technology (IT) as a normal cost of doing business to ensure patients receive high quality care.”
Over the past several years, we have undertaken several activities to promote the adoption and effective use of HIT in coordination with other Federal agencies and with the Office of the National Coordinator for Health Information Technology. One of those activities is promotion of data standards for clinical information, as well as for claims and administrative data.
As noted above, the Administration supports the adoption of HIT as a normal cost of doing business. The adoption and use of HIT may contribute to improved processes and outcomes of care, including shortened illnesses and the avoidance of adverse drug reactions.
R. Health Care Information Transparency Initiative
(If you choose to comment on issues in this section, please include the caption “Health Care Information Transparency Initiative” at the beginning of your comment.)
The United States (U.S.) faces a dilemma in health care. Although the rate of increase in health care spending slowed last year, costs are still growing at an unsustainable rate. The U.S. spends $1.9 trillion on health care, or 16 percent of the gross domestic product (GDP). By 2015, projections are that health care will consume 20 percent of GDP. As indicated in the 2006 Annual Report of the Boards of Trustees, the Medicare program alone consumes 3.2 percent of the GDP and by 2040, it will consume 8.0 percent of the GDP.
Part of the reason health care costs are rising so quickly is that most consumers of health care—the patients—are frequently not aware of the actual cost of their care. Health insurance shields them from the full cost of services, and they have only limited information about the quality and costs of their care. Consequently, consumers do not have the incentive or means to carefully shop for providers offering the best value. Thus, providers of care are not subject to the competitive pressures that exist in other markets for offering quality services at the best possible price. Reducing the rate of increase in health care prices and avoiding health services of little value could help to stem the growth in health care spending, and potentially reduce the number of individuals who are unable to afford health insurance. Part of the President's health care agenda is to expand Health Savings Accounts (HSAs), which would provide consumers with greater financial incentives to compare providers in terms of price and quality, and choose those that offer the best value.
In order to exercise those choices, consumers must have accessible and useful information on the price and quality of health care items and services. Typically, health care providers do not publicly quote or publish their prices. Moreover, list prices, or charges, generally differ from the actual prices negotiated and paid by different health plans. Thus, even if consumers were financially motivated to shop for the best price, it would be very difficult at the current time for them to access usable information.
For these reasons, DHHS is launching a major health care information transparency initiative in 2006. This effort builds on steps taken by CMS to make quality and price information available. For example, Medicare has provided unprecedented information about drug prices in the Medicare drug benefit, and is now adding to these efforts in other areas. Medicare payment information for common elective procedures and other common admissions for all hospitals by county has been posted on our Web site at: http://www.cms.hhs.gov/HealthCareConInit/01 Overview.asp#TopOfP.
We will post geographically-based Medicare payment information for common elective procedures for ambulatory surgery centers this summer and for common hospital outpatient and physician services this fall. Start Printed Page 49068
In addition, a number of tools providing usable healthcare information are already available to Medicare beneficiaries. Supported by the public-private quality alliances, consumers can access “Compare” Web sites through www.medicare.gov where they can evaluate important aspects of their health care options for care at a hospital, nursing home, home health agency, and dialysis facility, as well as compare their costs and coverage when choosing a prescription drug plan.
We are developing a project with the goals of providing more comprehensive information on quality and costs, including more complete measures of health outcomes, satisfaction, and volume of services that matter to consumers, and more comprehensive measures of costs for entire episodes of care, not just payments for particular services and admissions. We intend for the project to combine public and private health care data to measure cost and quality of care information at the physician and hospital levels. Quality, cost, pricing, and patient information will be reported to consumers and purchasers of health care in a meaningful and transparent way.
III. Collection of Information Requirements
Under the Paperwork Reduction Act of 1995, we are required to provide 60-day notice in the Federal Register and solicit public comment before a collection of information requirement is submitted to the Office of Management and Budget (OMB) for review and approval. In order to fairly evaluate whether an information collection should be approved by OMB, section 3506(c)(2)(A) of the Paperwork Reduction Act of 1995 requires that we solicit comment on the following issues:
- The need for the information collection and its usefulness in carrying out the proper functions of our agency.
- The accuracy of our estimate of the information collection burden.
- The quality, utility, and clarity of the information to be collected.
- Recommendations to minimize the information collection burden on the affected public, including automated collection techniques.
We are soliciting public comment on each of these issues for the following sections of this document that contain information collection requirements:
Section 410.33 Independent Diagnostic Testing Facility
Section 410.33(e)(1) imposes a recordkeeping requirement on multi-state entities. Specifically, an independent diagnostic testing facility (IDTF) that operates across State boundaries must maintain documentation that its supervising physicians and technicians are licensed and certified in each of the States in which it operates. The burden associated with this requirement is the time and effort it takes the IDTF to collect and maintain the aforementioned information.
While subject to the PRA, we believe this information collection requirement is exempt as defined in 5 CFR 1320.3(b)(2), because the time, effort, and financial resources necessary to comply with the requirement would be incurred by persons in the normal course of their activities (for example, in compiling and maintaining business records) and is considered to be usual and customary.
Section 410.33(g) discusses the application certification standards that an IDTF must meet. An IDTF must complete an enrollment application and certify the information contained in the application. The certification is part of an application that is subject to the PRA. The burden associated with this requirement is the time and effort necessary to complete the application. This requirement is currently approved in OMB No. 0938-0685, with a current expiration date of April 30, 2009.
If you comment on these information collection and recordkeeping requirements, please mail copies directly to the following:
Centers for Medicare & Medicaid Services, Office of Strategic Operations and Regulatory Affairs, Regulations Development Group, Attn: William N. Parham, III, [CMS-1321-P], Room C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850; and
Office of Information and Regulatory Affairs, Office of Management and Budget, Room 10235, New Executive Office Building, Washington, DC 20503, Attn: Carolyn Lovett, CMS Desk Officer, [CMS-1321-P], carolyn_lovett@omb.eop.gov. Fax (202) 395-6974.
IV. Response to Comments
Because of the large number of public comments we normally receive on Federal Register documents, 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, when we proceed with a subsequent document, we will respond to the comments in the preamble to that document.
V. Regulatory Impact Analysis
[If you choose to comment on issues in this section, please include the caption “IMPACT” at the beginning of your comments.]
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 19, 1980 Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.
Executive Order 12866 (as amended by Executive Order 13258, which merely reassigns responsibilities of duties) directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more in any one year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). As indicated in more detail below, we estimate that the PFS provisions included in this proposed rule will redistribute more than $100 million in one year. We are considering this proposed rule to be economically significant because its provisions are estimated to result in an increase, decrease or aggregate redistribution of Medicare spending that will exceed $100 million. Therefore, this proposed rule is a major rule and 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 with 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 Start Printed Page 49069a 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. We have determined that this proposed rule would have minimal impact on small hospitals located in rural areas. Of the 222 hospital-based ESRD facilities located in rural areas, only 40 are affiliated with hospitals with fewer than 100 beds.
For purposes of the RFA, physicians, nonphysician practitioners, and suppliers are considered small businesses if they generate revenues of $6 million or less. Approximately 95 percent of physicians are considered to be small entities. There are about 980,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the PFS.
For purposes of the RFA, approximately 80 percent of clinical diagnostic laboratories are considered small businesses according to the Small Business Administration's size standards.
In addition, most ESRD facilities are considered small entities, either based on nonprofit status or by having revenues of $29 million or less in any year. We consider a substantial number of entities to be affected if the proposed rule is estimated to impact more than 5 percent of the total number of small entities. Based on our analysis of the 927 nonprofit ESRD facilities considered small entities in accordance with the above definitions, we estimate that the combined impact of the proposed changes to payment for renal dialysis services included in this proposed rule would have a 0.9 percent increase in overall payments relative to current overall payments.
IDTFs are suppliers under the Medicare program. For purposes of the RFA, suppliers with annual sales of $6 million or less are considered to be small entities. (Individuals and States are not included in the definition of a small entity.) We believe that our proposed standards for IDTFs will help bar fraudulent suppliers from participating in the Medicare program and provide an added level of protection to Medicare beneficiaries. Therefore, we expect to have an impact on an unknown number of persons and entities who will effectively be prevented from practicing their aberrant billing activities. The vast majority of suppliers would not be significantly affected by this proposed rule. The reduction in program overpayments and the added level of protection to beneficiaries that we expect to achieve as a result of this proposed rule justifies the relatively small burden this proposed rule would impose on all small entities.
The analysis and discussion provided in this section, as well as elsewhere in this proposed rule, complies 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 expenditures in any year by State, local, or tribal governments, in the aggregate, or by the private sector, of $120 million. Medicare beneficiaries are considered to be part of the private sector for this purpose.
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. A discussion concerning the impact of this rule on beneficiaries is found later in this section.
We have prepared the following analysis, which, together with the information provided in the rest of this preamble, meets all assessment requirements. The analysis explains the rationale for and purposes of this proposed 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 change our methodology for calculating resource-based PE RVUs and make a variety of other changes to our regulations, payments, or payment policies to ensure that our payment systems reflect changes in medical practice and the relative value of services. We provide information for each of the policy changes in the relevant sections of this proposed rule. 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 if applicable.
A. Resource Based PE RVU Proposals for CY 2007 and Section 5102 of the DRA-Proposed Adjustments for Payments for Imaging Services
As required by section 5102(a) of the DRA and described earlier in section II.E.1. of this proposed rule, we are removing, from the PE RVUs under the PFS the 0.3 percent increase made to the PE RVUs in the CY 2006 PFS final rule with comment period to ensure the budget neutrality of the impact of the multiple imaging policy adopted for CY 2006. Section 5102(a) of the DRA exempts the CY 2006 and 2007 impact of the multiple imaging policy from budget neutrality. Because we are proposing to maintain the current 25 percent payment reduction for multiple imaging procedures in CY 2007, there is no additional impact resulting from our proposals for CY 2007. Section 5102 of the DRA also exempts the estimated savings from the application of the OPPS-based payment limitation on PFS imaging services from the PFS budget neutrality requirement. We estimate that the combined impact of the budget neutrality exemptions in section 5102 of the DRA would reduce PFS expenditures by approximately 1.3 percent in CY 2007.
Table 7 below shows the specialty-level impact of section 5102 of the DRA and our most recent estimate (−5.1 percent) of the CY 2007 Medicare PFS update. For reference purposes, we have also included the specialty-level impacts using the methodology from the separate June 29, 2006 proposed notice (71 FR 37170), which solicited comments on proposed changes to the PE methodology as well as changes to work RVUs for certain services based on the agency's completion of a five-year review of work RVUs. The CY 2007 impact of the PE input changes described in section II.A. of this proposed rule that were not included in the June 29, 2006 proposed notice are minimal at the specialty level. Additionally, the impacts in this proposed rule reflect the use of updated physician time data from the AMA-RUC.
Our estimates of changes in Medicare revenues for PFS services compare payment rates for CY 2006 with proposed payment rates for CY 2007 using CY 2005 Medicare utilization for all years. We are using CY 2005 Medicare claims processed and paid through March 30, 2005, that we estimate are 98 percent complete. To the extent that there are year-to-year changes in the volume and mix of services provided by physicians, the actual impact on total Medicare revenues will be different than those shown here. 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 because physicians furnish services to both Medicare and non-Medicare patients Start Printed Page 49070and specialties may receive substantial Medicare revenues for services that are not paid under the PFS. For instance, independent laboratories receive approximately 80 percent of their Medicare revenues from clinical laboratory services that are not paid under the PFS.
Table 7 shows only the payment impact on PFS services. The following is an explanation of the information represented in Table 7:
- Specialty—The physician specialty or type of practitioner/supplier.
- Allowed Charges—Allowed charges are the Medicare Fee Schedule amounts for covered services and include copayments and deductibles (which are the financial responsibility of the beneficiary.) These amounts have been summed across all services provided by physicians, practitioners, or suppliers with a specialty to arrive at the total allowed charges for the specialty.
- Impact of Work and PE RVU Changes using the June 29, 2006 proposed notice methodology—For references purposes, the combined CY 2007 percentage increase or decrease in allowed charges attributed to changes in the work and PE RVUs described in and republished from the June 29, 2006 proposed notice methodology.
- Impact of section 5102 of the DRA—The CY 2007 percentage decrease in allowed charges attributed to section 5102 of the DRA.
- Combined impact of the June 29, 2006 proposed notice methodology and section 5102 of the DRA.
- CY 2007 Update—The percentage decrease in allowed charges attributed to the most recent estimate of the CY 2007 PFS conversion factor update (−5.1 percent).
- Combined impact with CY 2007 update—The CY 2007 percentage decrease in allowed charges attributed to the June 29, 2006 proposed notice methodology, section 5102 of the DRA, and the CY 2007 update.
Table 8 below shows the impact on total payments for selected high-volume procedures of all of the changes previously discussed. We selected these procedures because they are the most commonly provided by a broad Start Printed Page 49072spectrum of physician specialties. There are separate columns that show the change in the facility rates and the nonfacility rates. For an explanation of facility and nonfacility PE refer to Addendum A of this proposed rule. If we change any of the proposed provisions following the consideration of public comments, these figures may change.
Start Printed Page 49073B. Geographic Practice Cost Indices (GPCI)—Payment Localities
As discussed in section II.B. of the preamble to this proposed rule, we are proposing new GPCIs for 2007. In the November 15, 2004 PFS final rule, we published 2005 and 2006 GPCI and GAF values reflecting the 2 year phase-in of updated GPCI data. In 2007, the proposed GPCI and GAF values will reflect new budget neutrality scalers (developed by the Office of the Actuary) and the removal of the 1.000 MMA floor from the physician work GPCI. The negative impact of these changes on a number of payment localities is shown in 4 of section II.B. in this proposed rule.
C. Global Period for Remote Afterloading High Intensity Brachytherapy Procedures
As discussed in section II.D.1. of this proposed rule, we are proposing changes to the global period for these Start Printed Page 49074services. We do not anticipate this proposed change will have a significant impact on Medicare expenditures.
D. DRA 5112—Proposed Addition of the Ultrasound Screening for Abdominal Aortic Aneurysm to Welcome to Medicare Benefit
As discussed earlier in section II.E.3. of this preamble, section 5112 of the DRA authorizes coverage of an ultrasound screening for abdominal aortic aneurysms effective January 1, 2007, subject to certain eligibility and other limitations. We estimate that this new benefit would result in an increase in Medicare expenditures to physicians and other practitioners and suppliers of ultrasound services and related follow-up tests and treatment that may be required as a result of the coverage of these screening examinations. However, this is not expected to have a significant cost impact on the Medicare program.
E. DRA 5113—Proposed Colorectal Screening Exemption From Part B Deductible
As discussed earlier in section II.E.4. of this preamble, beginning January 1, 2007, colorectal cancer screening services as described in section 1861(pp)(1) of the Act are no longer subject to the Part B deductible. While waiver of this deductible will be beneficial to Medicare beneficiaries, we do not anticipate that this change will have a significant cost impact on the Medicare program.
F. Section 5114—Proposed Addition of Diabetes Outpatient Self-Management Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the FQHC Program
As discussed earlier in section E.4. of this preamble, section 5114 of the DRA amended section 1861(aa)(3) the Act to add DSMT and MNT to the list of Medicare covered and reimbursed services under the Medicare FQHC benefit, effective for services provided on or after January 1, 2006. Although this statutory change has already been implemented in administrative instructions, we are proposing to conform the regulations to meet the new statutory requirement. FQHCs certified as DSMT and MNT providers have been allowed to bundle the cost of those services into their FQHC payment rates. But before the enactment of the DRA, the provision of these services would not generate a separate FQHC visit payment. Effective for services furnished on or after January 1, 2006, FQHCs that are certified providers of DSMT and MNT services can receive per visit payments for covered services furnished by registered dietitians or nutrition professionals. In light of the fact there are a limited number of qualified centers for DSMT and MNT services, the increase in Medicare expenditures should be negligible.
G. Proposed Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)
The proposed changes discussed in section II.F. of this proposed rule, with respect to payment for covered outpatient drugs and biologicals, are estimated to have no impact on Medicare expenditures. However, we believe the changes will assist in clarifying existing policy with respect to ASP payment.
H. Proposed Provisions Related to Payment for Renal Dialysis Services Furnished by End State Renal Disease (ESRD) Facilities
The ESRD related provisions in this proposed rule are discussed in section II.G. of this preamble. In order to understand the impact of the proposed changes affecting payments to different categories of ESRD facilities, it is necessary to compare estimated payments under the current year (current 2006 payments) to estimated payments under the proposed revisions to the composite rate payment system as discussed in II.G. of this proposed rule (proposed 2007 payments). To estimate the impact among various classes of ESRD facilities, it is imperative that the estimates of current payments and proposed payments contain similar inputs. Therefore, we simulated payments only for those ESRD facilities that we are able to calculate both current 2006 payments and proposed 2007 payments.
Due to data limitations, we are unable to estimate current and proposed payments for 226 facilities that bill for ESRD dialysis treatments. ESRD providers were grouped into the categories based on characteristics provided in the Online Survey and Certification and Reporting (OSCAR) file and the most recent cost report data from the Healthcare Cost Report Information System (HCRIS). We also used the December 2005 update of CY 2005 National Claims History file as a basis for Medicare dialysis treatments and separately billable drugs and biologicals. While the December 2005 update of the 2005 claims file is not complete, we wanted to use the most recent data available, and plan to use an updated version of the 2005 claims file for the final rule.
Start Printed Page 49075Table 9 above shows the impact of this year's proposed changes to CY 2007 payments to hospital-based and independent ESRD facilities. The first column of Table 9 identifies the type of ESRD provider, the second column Start Printed Page 49076indicates the number of ESRD facilities for each type, and the third column indicates the number of dialysis treatments.
The fourth column shows the effect of CY 2007 proposed changes to the ESRD wage index as it affects the composite rate payments to ESRD facilities. The fourth column compares aggregate ESRD wage adjusted composite rate payments in the second year of the transition (CY 2007) to aggregate ESRD wage adjusted composite rate payments in first year of the transition (CY 2006). In the second year of the transition (CY 2007), ESRD facilities receive 50 percent of the CBSA wage adjusted composite rate and 50 percent of the MSA adjusted composite rate. In the first year of the transition, ESRD facilities receive 25 percent of the CBSA wage adjusted composite rate and 75 percent of the MSA adjusted composite rate. The overall effect to all ESRD providers in aggregate is zero because the proposed CY 2007 ESRD wage index has been multiplied by a budget neutrality factor to comply with the statutory requirement that any wage index revisions be done in a manner that results in the same aggregate amount of expenditures as would have been made without any changes in the wage index. The decreases shown among census regions is primarily due to reducing the wage index floor, as there were areas in these areas with wage index values below the proposed floor.
The fifth column shows the overall effect of the proposed changes in composite rate payments to ESRD providers. The overall effect is measured as the difference between CY 2007 proposed payment with all changes as proposed in this rule and CY 2006 current payment. This amount is computed by multiplying the wage adjusted composite rate with the drug add-on for each provider times dialysis treatments from 2005 claims. The CY 2007 proposed payment is transition year two wage adjusted composite rate for each provider (with the proposed 15.2 percent drug add-on) times dialysis treatments from 2005 claims. The CY 2006 current payment is transition year one wage adjusted composite rate for each provider (with the current 14.5 percent drug add on) times dialysis treatments from 2005 claims.
The overall impact to ESRD providers in aggregate is 0.6 percent. This increase corresponds to the proposed 0.6 percent increase to the drug add-on. The variation seen in column 5 is due to variation in change in the wage index (column 4). All provider types receive the same 0.6 percent increase to the drug add on.
I. Private Contracts and Opt-Out Provision
The changes discussed in this proposed rule, with respect to private contracts and the opt-out provision, are currently estimated to have no significant impact on Medicare expenditures.
J. Proposals Related to Physician Self Referral Prohibitions
As discussed in section II.I of this proposed rule, we would clarify in regulations at § 424.80(d) under the contractual arrangement reassignment exception that, if a physician or other individual supplier reassigns his or her right to bill for the TC of a diagnostic test, the entity to which the reassignment is made may not be paid more than the physician or other individual supplier would have been paid for the TC. In addition, in order to bill for the TC of the diagnostic test, the entity to which the reassignment is made must perform the PC. We also propose that, in order to bill for the PC of a diagnostic test following a reassignment, the billing entity must meet current requirements in our manual instructions.
In addition, as discussed in section II.I., we also propose to revise §§ 424.80(b) and (d) to provide that a physician or other individual supplier who reassigns his or her right to benefits has a right to review the bills for his or her services, irrespective of whether the individual is an employee or an independent contractor of the entity to which the reassignment is made.
We also propose the following changes to the physician self-referral provisions:
- A “centralized building” for purposes of the physician services exception and the in-office ancillary services exception at §§ 411.355(a) and (b), respectively, would have to measure at least 350 square feet and include permanent placement of the equipment used in the provision of substantially all of the designated health services. We believe that these changes would have little effect on Medicare expenditures.
K. Supplier Access to Claims Billed on Reassignment
The reassignment provisions discussed in section II.J.2. of this preamble are currently estimated to have no significant impact on Medicare expenditures.
L. Proposed Coverage of Bone Mass Measurement
As discussed in section II.K. of this preamble, we have decided to propose several revisions to § 410.31 relative to the definition of the term “Bone Mass Measurement” (§ 410.31(a)(2)), the conditions for coverage (§ 410.31(b)), the examples of exceptions to the standards on frequency of coverage (§ 410.31(c)(2)), and the category of individuals receiving glucocorticoid (steroid) therapy (§ 410.31(d)(3)). We are also proposing the addition of a new paragraph (f) that would allow CMS, through the NCD process, to identify additional BMM systems for monitoring individuals receiving osteoporosis drug therapy and for performing confirmatory baseline measurements. We do not expect that this addition would have a significant cost impact on the Medicare program in the next several years.
Based on the projected impact of the first three changes that would place greater reliance on the use of the more expensive DXA (axial skeleton) devices, we estimate that this revised benefit would result in an increase in Medicare payments for providers who use the DXA (axial skeleton) devices and a somewhat smaller decrease in payments to providers who use QCT (axial skeleton) and peripheral devices. However, we do not expect that these changes would have a significant cost impact on the Medicare program due to the fact that at present a very small percentage of our total Medicare payments for bone mass measurements are being made to providers who use QCT or peripheral devices. In addition, we estimate that lowering the eligibility standard for coverage of individuals on steroid therapy from 7.5 mg/day to 5.0 mg/day of prednisone (the fourth change) would result in an increase in Medicare payment for testing of additional patients, but this modest lowering of the steroid standard is not expected to have a significant cost impact on the program.
M. Proposed IDTF Changes
The costs associated with these proposed changes would be as follows:
1. Liability Insurance Requirement (§ 424.57(c)(10))
We estimate that only 10 percent of IDTFs do not already have liability insurance that meets this requirement. Based on Medicare data as of June 2005, 10 percent of the total number of IDTFs is approximately 559 suppliers. Using the previously highest estimate received ($1,800 annually), results in an approximate additional liability insurance cost of $1 million annually (559 times $1,800) to the IDTF industry due to this proposed rule. Start Printed Page 49077
2. Primary Business Telephone Listed Under the Name of the Business Locally or Toll-free for Beneficiaries Proposed Requirement (§ 424.57(c)(9))
We estimate that only 1 percent of IDTFs do not already meet this requirement. Based on Medicare data as of June 2005, we determined that 1 percent of IDTFs is approximately 56 suppliers. Therefore, 56 times the approximate $600 annual cost of telephone service results in an additional cost of $33,600 annually. Total Cost = $1 Million + $33,600 = approximately $1.04 million annually.
N. Independent Lab Billing for TC Component of Physician Pathology Services for Hospital Patients
The most current information on the number of affected hospitals and the impact on laboratories and hospitals comes from a report issued by the General Accounting Office (GAO) in September 2003.
The GAO estimated that approximately 95 percent of the total of all Medicare hospitals on the prospective payment system, as well as CAHs sent the TC of physician pathology services to independent laboratories and the independent laboratories billed the carrier under the PFS.
The GAO estimated that the median number of services sent by each hospital to outside independent laboratories was small, approximately 81 services. The GAO was unable to identify the number of laboratories billing for the TC service because a single laboratory may submit claims under multiple provider numbers. In general, the impact on the individual hospital is small; however, we do not know the impact on the individual independent laboratory
If the independent laboratories had not received payments from the carriers for these TC services for hospital patients, the GAO estimates that Medicare spending would have been $42 million less in 2001 and beneficiary cost sharing obligations for inpatient and outpatient services would have been reduced by $2 million.
Based on what they learned from the hospital industry, the GAO thought that Medicare beneficiaries' access to pathology services would not likely be affected if independent laboratories could not longer bill the carrier for these services. Hospital representatives indicated that they would likely continue to use independent laboratories to provide TC pathology services.
In is unclear if the hospitals contracting with independent laboratories would pay the laboratories at the same rates that the laboratories received by billing the Medicare carriers under the physician fee schedule.
O. Public Consultation for Medicare Payment for New Outpatient Clinical Diagnostic Laboratory Tests
This codification of our process for public consultation for new clinical diagnostic laboratory tests paid under the Medicare Part B clinical laboratory fee schedule, if adopted, would not increase or decrease payment amounts for existing clinical diagnostic laboratory tests because it would not alter our current methodology for calculating payment amounts for existing clinical diagnostic laboratory tests. For new tests, this proposal would primarily codify an existing process for the determination of payment amounts. Because any new laboratory tests to be gapfilled are unknown to us at the current time, we do not have any data to estimate the impact of our proposal to pay for new gapfilled lab tests at the median of the local carrier amounts for all carriers rather than the lower of that amount and the local carrier amount.
P. Alternatives Considered
This proposed rule contains a range of policies, including some proposals related to specific MMA provisions. The preamble provides descriptions of the statutory provisions that are addressed, identifies those policies when discretion has been exercised, presents rationale for our decisions and, where relevant, alternatives that were considered.
Q. Impact on Beneficiaries
There are a number of changes made in this proposed rule that would have an effect on beneficiaries. In general, we believe these proposed changes, particularly the DRA provisions that provide for an exception to the application of the Part B deductible with respect to colorectal cancer screening tests and coverage of an ultrasound screening for the early detection of AAAs, as part of the Initial Preventive Physical Examination benefit (referred to as the Welcome to Medicare benefit) would improve beneficiary access to services that are currently covered or expand the Medicare benefit package to include new services. As explained in more detail below, the regulatory provisions may affect beneficiary liability in some cases. Any changes in aggregate beneficiary liability from a particular provision would be a function of the coinsurance (20 percent if applicable for the particular provision after the beneficiary has met the deductible) and the effect of the aggregate cost (savings) of the provision on the calculation of the Medicare Part B premium rate (generally 25 percent of the provision's cost or savings).
To illustrate this point, as shown in Table 8, the 2006 national payment amount in the nonfacility setting for CPT code 99203 (Office/outpatient visit, new), is $97.02 which means that currently a beneficiary is responsible for 20 percent of this amount, or $19.40. Based on the June 29, 2006 proposed notice (71 FR 37170) and this proposed rule, the 2007 national payment amount in the nonfacility setting for CPT code 99203, as shown in Table 8, is $91.71 which means that, in 2007, the beneficiary coinsurance for this service would be $18.34.
Very few of the changes we are proposing impact overall payments and, therefore, would affect Medicare beneficiaries' coinsurance liability. Proposals discussed above that do affect overall spending, such as DRA 5102 imaging provisions, would similarly impact beneficiaries' coinsurance.
R. Accounting Statement
As required by OMB Circular A-4 (available at http://www.whitehouse.gov/omb/circulars/a004/a-4.pdf), in Table 10 below, we have prepared an accounting statement showing the classification of the expenditures associated with the provisions of this proposed rule. This table includes the impact of the proposed changes in this rule on providers and suppliers.
Expenditures are classified as transfers to Medicare providers/or suppliers (that is, ESRD facilities and physicians, other practitioners, clinical laboratories and medical suppliers that receive payment under the physician fee schedule or Medicare Part B). Based on the proposals contained in this proposed rule, there would be an estimated decrease in expenditures from CY 2006 to 2007. This is a result of the CY 2007 increased payment to ESRD facilities the reduction to the payments for imaging services under the PFS required by section 5102 of the DRA and the −5.1 percent Medicare PFS conversion factor update required by the statutory update formula.
Table 10.—Accounting Statement: Classification of Estimated Expenditures, From CY 2006 to the CY 2007 (in Millions)
Category Transfers Annualized Monetized Transfers Estimated decrease in expenditures of $3,600 Start Printed Page 49078 From Whom To Whom? Federal Government To ESRD Medicare Providers; physicians, other practitioners and suppliers who receive payment under the Medicare Physician Fee Schedule; and Medicare Suppliers billing for Part B drugs. In accordance with the provisions of Executive Order 12866, this final rule was reviewed by the Office of Management and Budget.
Start List of SubjectsList of Subjects
42 CFR Part 405
- Administrative practice and procedure
- Health facilities
- Health professions
- Kidney diseases
- Medical devices
- Medicare
- Reporting and recordkeeping requirements
- Rural areas
- X-rays
42 CFR Part 410
- Health facilities
- Health professions
- Kidney diseases
- Laboratories
- Medicare
- Reporting and recordkeeping requirements
- Rural areas
- X-rays
42 CFR Part 411
- Kidney diseases
- Medicare
- Physician Referral
- Reporting and recordkeeping requirements
42 CFR Part 414
- Administrative practice and procedure
- Health facilities
- Health professions
- Kidney diseases
- Medicare
- Reporting and recordkeeping
42 CFR Part 415
- Health facilities
- Health professions
- Medicare
- Reporting and recordkeeping requirements
42 CFR Part 424
- Emergency medical services
- Health facilities
- Health professions
- Medicare
- Reporting and recordkeeping requirements
For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services proposes to amend 42 CFR chapter IV as set forth below:
Start PartPART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED
1. The authority citation for part 405 continues to read as follows:
Subpart D—Private Contracts
2. Section 405.400 is amended by revising the definition of “Practitioner” to read as follows:
Definitions.* * * * *Practitioner means a physician assistant, nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, certified nurse midwife, clinical psychologist, clinical social worker, registered dietitian or nutrition professional, who is currently legally authorized to practice in that capacity by each State in which he or she furnishes services to patients or clients.
* * * * *Subpart X—Rural Health Clinic and Federally Qualified Health Center Services Payment for Rural Health Clinic and Federally Qualified Health Center Services
3. Section 405.2446 is amended by adding paragraph (b)(10) to read as follows:
Scope of services.* * * * *(b) * * *
(10) Medical nutrition therapy services as specified in part 410, subpart G of this chapter, and diabetes outpatient self-management training services as specified in part 410, subpart H of this chapter.
* * * * *4. Section 405.2463 is revised to read as follows:
What constitutes a visit.(a) Visit—(1) General. (i) For RHCs, a visit is a face-to-face encounter between a clinic or center patient and a physician, physician assistant, nurse practitioner, nurse midwife, visiting nurse, clinical psychologist, or clinical social worker.
(ii) For FQHCs, a visit means—
(A) A face-to-face encounter, as described in paragraph (a)(1)(i) of this section; or
(B) A face-to-face encounter between a patient and a qualified provider of medical nutrition therapy services as defined in part 410, subpart G of this chapter; or a qualified provider of outpatient diabetes self-management training services as defined in part 410, subpart H of this chapter.
(2) Medical visit. For purposes of this section, a medical visit is a face-to-face encounter between a clinic or center patient and a physician, physician assistant, nurse practitioner, nurse midwife, or a visiting nurse; and for FQHCs only, a medical visit also includes a separately billable medical nutrition therapy visit or a diabetes outpatient self-management training visit.
(3) Other health visit. For purposes of this section, a other health visit is a face-to-face encounter between a clinic or center patient and a clinical psychologist, clinical social worker, or other health professional for mental health services.
(b) Encounters. Encounters with more than one health professional and multiple encounters with the same health professional that take place on the same day and at a single location constitute a single visit, except when one of the following conditions exist:
(1) After the first encounter, the patient suffers illness or injury requiring additional diagnosis or treatment.
(2) The patient has a medical visit and other health visit(s), as defined in paragraph (a) of this section.
(c) Payment. Medicare pays for more than one visit per day when the conditions in paragraph (b) of this section are met or a separate visit under paragraph (a)(1)(ii)(B) of this section is made.
PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS
5. The authority citation for part 410 continues to read as follows:
Subpart B—Medical and Other Health Services
6. Section 410.16 is amended in paragraph (a) by revising paragraph (7) of the definition of “Initial preventive physical examination” to read as follows:
Initial preventive physical examination: Conditions for and limitations on coverage.(a) * * *
* * * * *Start Printed Page 49079Initial preventive physical examination * * *
* * * * *(7) Education, counseling, and referral, including a written plan such as a checklist provided to the beneficiary for obtaining the appropriate screening and other preventive services that are covered as separate Medicare Part B benefits as described in section 1861(s)(10), section 1861(jj), section 1861(nn), section 1861(oo), section 1861(pp), section 1861(qq)(1), section 1861(rr), section 1861(uu), section 1861(vv), section 1861(xx)(1), section 1861(yy), and section 1861(bbb) of the Act.
* * * * *7. A new § 410.19 is added to read as follows:
Ultrasound screening for abdominal aortic aneurysms: Condition for and limitation on coverage.(a) Definitions: As used in this section, the following definitions apply:
Eligible beneficiary means an individual who—
(1) Has received a referral for an ultrasound screening for an abdominal aortic aneurysm as a result of an initial preventive physical examination (as defined in section 1861(ww)(1) of the Act);
(2) Has not been previously furnished an ultrasound screening for an abdominal aortic aneurysm under the Medicare program; and
(3) Is included in at least one of the following risk categories:
(i) Has a family history of an abdominal aortic aneurysm.
(ii) Is a man age 65 to 75 who has smoked at least 100 cigarettes in his lifetime.
(iii) Is an individual who manifests other risk factors in a beneficiary category recommended for screening by the United States Preventive Services Task Force regarding abdominal aortic aneurysms, as specified by the Secretary through a national coverage determination process.
Ultrasound screening for abdominal aortic aneurysms means the following services furnished to an asymptomatic individual for the early detection of an abdominal aortic aneurysm:
(1) A procedure using soundwaves (or other procedures using alternative technologies of commensurate accuracy and cost, as specified by the Secretary through a national coverage determination process) provided for the early detection of abdominal aortic aneurysms.
(2) Includes a physician's interpretation of the results of the procedure.
(b) Conditions for coverage of an ultrasound screening for abdominal aortic aneurysms. Medicare Part B pays for one ultrasound screening for an abdominal aortic aneurysm provided to eligible beneficiaries, as described in this section, after a referral from a physician or a qualified nonphysician practitioner as defined in § 410.16(a).
(c) Limitation on coverage of ultrasound screening for abdominal aortic aneurysms. Payment may not be made for an ultrasound screening for an abdominal aortic aneurysm that is performed for an individual who is not an eligible beneficiary, as described in the definition of “Eligible beneficiary” in this section.
8. Section 410.31 is revised to read as follows:
Bone mass measurement: Conditions for coverage and frequency standards.(a) Definition. As used in this section unless specified otherwise, the following definition applies:
Bone mass measurement means a radiologic, radioisotopic, or other procedure that meets the following conditions:
(1) Is performed for the purpose of identifying bone mass, detecting bone loss, or determining bone quality.
(2) Is performed with either a bone densitometer (other than single-photon or dual-photon absorptiometry) or with a bone sonometer system that has been cleared for marketing for this use by the FDA under 21 CFR part 807, or approved for marketing by the FDA for this use under 21 CFR part 814.
(3) Includes a physician's interpretation of the results of the procedure.
(b) Conditions for coverage. (1) Medicare covers a medically necessary bone mass measurement if the following conditions are met:
(i) Following an evaluation of the beneficiary's need for the measurement, including a determination as to the medically appropriate procedure to be used for the beneficiary, it is ordered by the physician or a qualified nonphysician practitioner (as these terms are defined in § 410.32(a)) treating the beneficiary.
(ii) It is performed under the appropriate level of supervision of a physician (as set forth in § 410.32(b)).
(iii) It is reasonable and necessary for diagnosing and treating the condition of a beneficiary who meets the conditions described in paragraph (d) of this section.
(2) Medicare covers a medically necessary bone mass measurement for an individual defined under paragraph (d)(5) of this section if the conditions under paragraph (b)(1) of this section are met and the monitoring is performed by the use of a dual energy x-ray absorptiometry system (axial skeleton).
(3) Medicare covers a medically necessary confirmatory baseline bone mass measurement for an individual defined under paragraph (d) of this section, if the conditions under paragraph (b)(1) of this section are met and the confirmatory baseline bone mass measurement is performed by a dual energy x-ray absorptiometry system (axial skeleton) and the initial measurement was not performed by a dual energy x-ray absorptiometry system (axial skeleton).
(c) Standards on frequency of coverage —(1) General rule. Except as allowed under paragraph (c)(2) of this section, Medicare may cover a bone mass measurement for a beneficiary if at least 23 months have passed since the month the last bone mass measurement was performed.
(2) Exception. If medically necessary, Medicare may cover a bone mass measurement for a beneficiary more frequently than allowed under paragraph (c)(1) of this section. Examples of situations where more frequent bone mass measurement procedures may be medically necessary include, but are not limited to the following medical circumstances.
(i) Monitoring beneficiaries on long-term glucocorticoid (steroid) therapy of more than 3 months.
(ii) Allowing for a confirmatory baseline measurement to permit monitoring of beneficiaries in the future if the requirements of paragraph (b)(3) of this section are met.
(d) Beneficiaries who may be covered. The following categories of beneficiaries may receive Medicare coverage for a medically necessary bone mass measurement:
(1) A woman who has been determined by the physician (or a qualified nonphysician practitioner) treating her to be estrogen-deficient and at clinical risk for osteoporosis, based on her medical history and other findings.
(2) An individual with vertebral abnormalities as demonstrated by an x-ray to be indicative of osteoporosis, osteopenia, or vertebral fracture.
(3) An individual receiving (or expecting to receive) glucocorticoid (steroid) therapy equivalent to an average of 5.0 mg of prednisone, or greater, per day for more than 3 months.
(4) An individual with primary hyperparathyroidism.
(5) An individual being monitored to assess the response to or efficacy of an Start Printed Page 49080FDA-approved osteoporosis drug therapy.
(e) Denial as not reasonable and necessary. If CMS determines that a bone mass measurement does not meet the conditions for coverage in paragraphs (b) or (d) of this section, or the standards on frequency of coverage in paragraph (c) of this section, it is excluded from Medicare coverage as not “reasonable” and “necessary” under section 1862(a)(1)(A) of the Act and § 411.15(k) of this chapter.
(f) Use of the National Coverage Determination Process. For the purposes of paragraphs (b)(2) and (b)(3) of this section, CMS may determine through the National Coverage Determination process that additional bone mass measurement systems are reasonable and necessary under section 1862(a)(1) of the Act for monitoring and confirming baseline bone mass measurements.
* * * * *9. Section 410.33 is amended by—
A. Revising paragraph (b)(1).
B. Revising paragraph (e).
C. Adding paragraphs (g), (h), and (i).
The revision and additions read as follows:
Independent diagnostic testing facility.* * * * **(b) Supervising physician. (1) Each supervising physician must be limited to providing supervision to no more than three (3) IDTF sites. The IDTF supervising physician is responsible for the overall operation and administration of the IDTFs, including the employment of personnel who are competent to perform test procedures, record and report test results promptly, accurately and proficiently, and for assuring compliance with the applicable regulations.
* * * * *(e) Multi-State entities. (1) An IDTF that operates across State boundaries must—
(i) Maintain documentation that its supervising physicians and technicians are licensed and certified in each of the States in which it operates; and
(ii) Operate in compliance with all applicable Federal, State, and local licensure and regulatory requirements with regard to the health and safety of patients.
(2) The point of the actual delivery of services is the Place of Service on the claim form. When an IDTF performs a diagnostic test at the beneficiary's residence, the beneficiary's residence is the Place of Service.
* * * * *(g) Application certification standards. The IDTF must certify in its enrollment application that it meets the following standards:
(1) Operate its business in compliance with all applicable Federal and State licensure and regulatory requirements.
(2) Provide complete and accurate information on their enrollment application. Any change in enrollment information must be reported to the designated fee-for-service contractor on the Medicare enrollment application within 30 calendar days of the change.
(3) Maintain a physical facility on an appropriate site. For the purposes of this standard, a post office box or commercial mail box is not considered a physical facility. The physical facility must contain space for equipment appropriate to the services designated on the enrollment application, facilities for hand washing, adequate patient privacy accommodations, and the storage of both business records and current medical records.
(4) Have all applicable testing equipment available at the physical site excluding portable equipment. A catalog of portable equipment, including equipment serial numbers, must be maintained at the physical site. In addition, portable equipment must be available for inspection within two business days of a CMS inspection request. The IDTF must maintain a current inventory of the equipment, including serial and registration numbers, provide this information to the designated fee-for-service contractor upon request, and notify the contractor of any changes in equipment within 90 days.
(5) Maintain a primary business phone under the name of the designated business. The business phone must be located at the designated site of the business. The telephone number or toll free numbers must be available in a local directory and through directory assistance.
(6) Have a comprehensive liability insurance policy of at least $300,000 or 20 percent of its average annual Medicare billings, whichever amount is greater, that covers both the place of business and all customers and employees of the IDTF. The policy must be carried by a non-relative owned company and list the serial numbers of any and all equipment used by the IDTF.
(7) Agree not to directly solicit patients through any means including, but not limited to, a prohibition on telephone, computer, or in-person contacts. The IDTF must accept only those patients referred for diagnostic testing by an attending physician, who is furnishing a consultation or treating a beneficiary for a specific medical problem and who uses the results in the management of the beneficiary's specific medical problem. Nonphysician practictioners may order tests as set forth in § 410.32(a)(3).
(8) Answer beneficiaries’ questions and respond to their complaints. Documentation of those contacts must be maintained at the physical site.
(9) Openly post these standards for review by patients and the public.
(10) Disclose to the government any person having ownership, financial, or control interest or any other legal interest in the supplier.
(11) Have its testing equipment calibrated per equipment instructions and in compliance with applicable national standards.
(12) Have technical staff on duty with the appropriate credentials to perform tests. The IDTF must be able to produce the applicable Federal or State licenses or certifications of the individuals performing these services.
(13) Have proper medical record storage and be able to retrieve medical records upon request from CMS or its fee-for-service contractor within 2 business days.
(14) Permit CMS, including its agents, or its designated fee-for-service contractors, to conduct unannounced, on-site inspections to confirm the IDTF's compliance with these standards. The IDTF must be accessible during regular business hours to CMS and beneficiaries and must maintain a visible sign posting the normal business hours of the IDTF.
(h) Failure to meet standards. If an IDTF fails to meet one or more of the standards in paragraph (g) of this section at the time of enrollment, its enrollment will be denied. CMS will revoke a supplier's billing privileges if and IDTF is found not to meet the standards in paragraph (g) or (b)(1) of this section.
(i) Definition. For purposes of this section, the following definition applies:
Point of actual delivery of service. The point of the actual delivery of service means the Place of Service on the claim form. When an IDTF performs a diagnostic test at the beneficiary's residence, the beneficiary's residence is the Place of Service.
Subpart I—Payment of SMI Benefits
10. Section 410.160 is amended by adding paragraphs (b)(7) and (b)(8) to read as follows:
Part B annual deductible.* * * * *Start Printed Page 49081(b) * * *
(7) Beginning January 1, 2007, colorectal cancer screening tests as described in § 410.37.
(8) Beginning January 1, 2007, ultrasound screening for abdominal aortic aneurysms described in § 410.19.
* * * * *PART 411—EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT
11. The authority citation for part 411 is amended to read as follows:
Subpart A—General Exclusions and Exclusion of Particular Services
12. Section 411.15 is amended by—
A. Revising paragraph (a)(1).
B. Adding a new paragraph (k)(12).
C. Revising paragraph (o).
The revisions and addition read as follows:
Particular services excluded from coverage.* * * * *(a) * * *
(1) Examinations performed for a purpose other than treatment or diagnosis of a specific illness, symptoms, complaint, or injury, except for screening mammography, colorectal cancer screening tests, screening pelvic exams, prostate cancer screening tests, glaucoma screening exams, initial preventive physical examinations, or ultrasound screening for abdominal aortic aneurysms that meet the criteria specified in paragraphs (k)(6) through (k)(12) of this section.
* * * * *(k) * * *
(12) In the case of ultrasound screening for abdominal aortic aneurysms, with the goal of early detection of abdominal aortic aneurysms, subject to the conditions and limitation specified in § 410.19 of this chapter.
* * * * *(o) Experimental or investigational devices, except for certain devices—
(1) Categorized by the FDA as a Category A or B device defined in § 405.201(b) of this chapter; and
(2) Furnished in accordance with the CMS clinical research policy.
Subpart J—Financial Relationships Between Physicians and Entities Furnishing Designated Health Services
13. Section 411.351 is amended by—
A. Revising the definition “Centralized building”.
B. Revising the definition “Physician in the group practice”.
The revisions read as follows:
Definitions.* * * * *Centralized building means all or part of a building, including, for purposes of this subpart only, a mobile vehicle, van, or trailer that is owned or leased on a full-time basis (that is, 24 hours per day, 7 days per week, for a term of not less than 6 months) by a group practice and that is used exclusively by the group practice. Space in a building or a mobile vehicle, van, or trailer that is shared by more than one group practice, by a group practice and one or more solo practitioners, or by a group practice and another provider or supplier (for example, a diagnostic imaging facility) is not a centralized building for purposes of this subpart. This definition does not preclude a group practice from providing services to other providers or suppliers (for example, purchased diagnostic tests) in the group practice's centralized building. A group practice may have more than one centralized building. A centralized building does not include space that is owned or leased by a group practice if that space is less than 350 square feet. This limitation does not apply to space owned or rented in a building where no more than three group practices own or lease space in the “same building” (as defined in this section) and share the same “physician in the group practice” (as defined in this section). A centralized building does not include space owned or leased by a group practice if equipment needed to perform substantially all (at least 90 percent) of the designated health services furnished in that space in any given calendar year is not permanently located in that space. That is, equipment needed to perform more than 10 percent of the designated health services furnished in that space in a calendar year cannot be temporarily moved into that space from another space in the “same building” or from outside the “same building” (as defined in this section).
* * * * *Physician in the group practice means a member of the group practice, as well as an independent contractor physician during the time the independent contractor is furnishing patient care services (as defined in this section) for the group practice under a contractual arrangement with the group practice to provide services to the group practice's patients in the group practice's facilities. The contract must contain the same restrictions on compensation that apply to members of the group practice under § 411.352(g) (or the contract must fit in the personal services exception in § 411.357(d)), and the independent contractor's arrangement with the group practice and must comply with the reassignment rules at § 424.80(d)(3) of this chapter or section 30.2.9.1 of the CMS Internet-only manual, publication 100-04, Claims Processing Manual, chapter 1 on general billing requirements (as amended or replaced from time to time). Referrals from an independent contractor who is a physician in the group practice are subject to the prohibition on referrals in § 411.353(a), and the group practice is subject to the limitation on billing for those referrals in § 411.353(b).
* * * * *PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES
14. The authority citation for part 414 continues to read as follows:
15. A new subpart F is added as follows:
Subpart F—Payment for New Clinical Diagnostic Laboratory Tests
Subpart F—Payment for New Clinical Diagnostic Laboratory Tests
Basis and scope.This subpart implements provisions of 1833(h)(8) of the Act procedures for determining the basis for, and amount of, payment for a new clinical diagnostic laboratory test with respect to which a new or substantially revised Healthcare Common Procedure Coding System code is assigned on or after January 1, 2005.
Definitions.For purposes of this subpart—
Substantially Revised Healthcare Common Procedure Coding System Code means a code for which there has been a substantive change to the definition of the test or procedure to which the code applies (such as a new Start Printed Page 49082analyte or a new methodology for measuring an existing analyte specific test).
[Reserved]Procedures for public consultation for payment for a new clinical diagnostic laboratory test.For a new clinical diagnostic laboratory test that is assigned a new or substantially revised code on or after January 1, 2005, CMS determines the payment after the performance of the following:
(a) CMS makes available to the public (through an Internet Web site and other appropriate mechanisms) a list that includes codes for which establishment of a payment amount is being considered for the next calendar year.
(b) CMS publishes a Federal Register notice of a meeting to receive public comments and recommendations (and data on which recommendations are based) on the appropriate basis, as specified in § 414.408, for establishing payment amounts for the list of codes made available to the public.
(c) Not fewer than 30 days after publication of the notice in the Federal Register, CMS convenes a meeting that includes representatives of CMS officials involved in determining payment amounts, to receive public comments and recommendations (and data on which the recommendations are based).
(d) Taking into account the comments and recommendations (and accompanying data) received at the public meeting, CMS develops and makes available to the public (through an Internet Web site and other appropriate mechanisms)—
(1) A list of proposed determinations with respect to the appropriate basis for establishing a payment amount for each code, with an explanation of the reasons for each determination, the data on which the determinations are based, and a request for public written comments within a specified time period on the proposed determination; and
(2) A list of final determinations of the payment amounts for tests, with the rationale for each determination, the data on which the determinations are based, and responses to comments and suggestions from the public.
Payment for a new clinical diagnostic laboratory test.For a new clinical diagnostic laboratory test that is assigned a new or substantially revised code on or after January 1, 2005, CMS determines the payment amount based on either of the following:
(a) Crosswalking. Crosswalking is used if it is determined that a new test is comparable to an existing test, multiple existing test codes, or a portion of an existing test code.
(1) CMS assigns to the new test code, the local fee schedule amounts and national limitation amount of the existing test.
(2) Payment for the new test code is made at the lesser of the local fee schedule amount or the national limitation amount.
(b) Gapfilling. Gapfilling is used when no comparable existing test is available.
(1) Carrier-specific amounts are established for the new test code for the first year using the following sources of information to determine gapfill amounts, if available:
(i) Charges for the test and routine discounts to charges;
(ii) Resources required to perform the test;
(iii) Payment amounts determined by other payers; and
(iv) Charges, payment amounts, and resources required for other tests that may be comparable or otherwise relevant.
(2) In the second year, the test code is paid at the national limitation amount, which is the median of the carrier-specific amounts.
Clinical Diagnostic Laboratory Date of Service for Specimens.The date of service for a laboratory test is as follows:
(a) Except as provided under paragraph (b) of this section, the date of service of the test shall be the date the specimen was collected.
(b)(1) If a specimen is collected over a period that spans two calendar days, then the date of service shall be the date the collection ended.
(2) If a specimen was stored for more than 30 calendar days before testing (otherwise known as “an archived specimen”), the date of service of the test shall be the date the specimen was obtained from storage.
(3) If a specimen was stored for less than or equal to 30 calendar days from the date it was collected, the date of service of the test must be the date the specimen was obtained from storage if—
(i) The test is ordered by the patient's physician at least 14 days following the date of the patient's discharge from the hospital.
(ii) The test could not reasonably have been ordered while the patient was hospitalized.
(iii) The procedure performed while the beneficiary is a patient of the hospital is for purposes other than collection of the specimen needed for the test.
(iv) The test is reasonable and medically necessary.
Subpart J—Submission of Manufacturer's Average Sales Price Data
16. Section 414.802 is amended by adding the definition of “Bona fide service fees” in alphabetical order to read as follows:
Definitions.* * * * *Bona fide service fees means fees paid by a manufacturer to an entity, that represent fair market value for a bona fide, itemized service actually performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for) in the absence of the service arrangement, and that are not passed on in whole or in part to a client or customer of an entity, whether or not the entity takes title to the drug.
* * * * *17. Section 414.804 is amended by revising paragraphs (a)(1), (a)(2), (a)(3), and (a)(4).
The revisions read as follows:
Basis of Payment.(a) * * *
(1) The manufacturer's average sales price for a quarter for a drug represented by a particular 11-digit National Drug Code must be calculated as the manufacturer's sales to all purchasers in the United States for that particular 11-digit National Drug Code (after excluding sales as specified in paragraph (a)(4) of this section and then deducting price concessions as specified in paragraphs (a)(2) and (a)(3) of this section) divided by the total number of units sold by the manufacturer in that quarter (after excluding units associated with sales as specified in paragraph (a)(4) of this section).
(2) Price concessions. (i) In calculating the manufacturer's average sales price, a manufacturer must deduct price concessions. Price concessions include the following types of transactions and items:
(A) Volume discounts.
(B) Prompt pay discounts.
(C) Cash discounts.
(D) Free goods that are contingent on any purchase requirement.
(E) Chargebacks and rebates (other than rebates under the Medicaid program).
(ii) For the purposes of paragraph (a)(2)(i), bona fide services fees are not considered price concessions.
(3) To the extent that data on price concessions, as described in paragraph (a)(2) of this section, are available on a Start Printed Page 49083lagged basis, the manufacturer must estimate this amount in accordance with the methodology described in this paragraph.
(i)(A) For each National Drug Code with at least 12 months of sales (including products for which the manufacturer has redesignated the National Drug Code for the specific product and package size and has 12 months of sales across the prior and current National Drug Codes), after adjusting for exempted sales, the manufacturer calculates a percentage equal to the sum of the price concessions for the most recent 12-month period available associated with sales subject to the average sales price reporting requirement divided by the total in dollars for the sales subject to the average sales price reporting requirement for the same 12-month period.
(B) For each National Drug Code with less than 12 months of sales, the calculation described in paragraph (i)(A) of this section is performed for the time period equaling the total number of months of sales.
(ii) The manufacturer multiplies the applicable percentage described in paragraph (a)(3)(i)(A) or (a)(3)(i)(B) of this section by the total in dollars for the sales subject to the average sales price reporting requirement (after adjusting for exempted sales) for the quarter being submitted. (The manufacturer must carry a sufficient number of decimal places in the calculation of the price concessions percentage in order to round accurately the net total sales amount for the quarter to the nearest whole dollar.) The result of this multiplication is then subtracted from the total in dollars for the sales subject to the average sales price reporting requirement (after adjusting for exempted sales) for the quarter being submitted.
(iii) The manufacturer uses the result of the calculation described in paragraph (a)(3)(ii) of this section as the numerator and the number of units sold in the quarter (after adjusting for exempted sales) as the denominator to calculate the manufacturer's average sales price for the National Drug Code for the quarter being submitted.
(iv) Example. After adjusting for exempted sales, the total lagged price concessions (discounts, rebates, etc.) over the most recent 12-month period available associated with sales for National Drug Code 12345-6789-01 subject to the ASP reporting requirement equal $200,000, and the total in dollars for the sales subject to the average sales price reporting requirement for the same period equals $600,000. The lagged price concessions percentage for this period equals 200,000/600,000 = .33333. The total in dollars for the sales subject to the average sales price reporting requirement for the quarter being reported, after accounting for non-lagged price concessions, equals $50,000 for 10,000 units sold. The manufacturer's average sales price calculation for this National Drug Code for this quarter is: $50,000 − (0.33333 × 50,000) = $33,334 (net total sales amount); $33,334/10,000 = $3.33 (average sales price).
(4) Exempted sales. (i) In calculating the manufacturer's average sales price, a manufacturer must exclude sales that are exempt from the Medicaid best price calculation under sections 1927(c)(1)(C)(i) and 1927(c)(1)(C)(ii)(III) of the Act as limited by section 1927(c)(1)(D) of the Act.
(ii) In determining nominal sales exempted under section 1927(c)(1)(C)(ii)(III) of the Act, the manufacturer calculates the average manufacturer price as defined in section 1927(k) of the Act and then identifies sales that are eligible to be considered a nominal sale under section 1927(c)(1)(D) of the Act and are at less than 10 percent of the average manufacturer price. To identify nominal sales, the manufacturer must use the average manufacturer price for the calendar quarter that is the same calendar quarter as the average sales price reporting period.
(iii) For exempted sales under section 1927(c)(1)(C)(i) of the Act known on a lagged basis because of chargebacks or rebates, manufacturers must estimate such lagged exempted sales using the ratio methodology specified in this paragraph to exclude lagged exempted sales before accounting for price concessions as specified in paragraphs (a)(2) and (a)(3) of this section.
(A) For each National Drug Code with at least 12 months of sales (including products for which the manufacturer has redesignated the Nation Drug Code and has 12 months of sales across the prior and current National Drug Codes), the manufacturer calculates a percentage using the sum of lagged exempted sales (in units) for the most recent 12 month period available as the numerator and the sales (the number of units after non-lagged exempted sales have been subtracted from total sales) for the same 12 month period as the denominator. The result is a rolling average percentage estimate of lagged exempted sales that is applied to the sales (the number of units after non-lagged exempted sales have been subtracted from total sales) for the quarter being submitted. The product that results from the multiplication of the rolling average percentage estimate of lagged exempted sales and the sales for the quarter determines the estimated lagged exempted sales in units to subtract from the denominator of the average sales price calculation. Manufacturers must make a corresponding adjustment to the numerator of the average sales price calculation to ensure that the total in dollars for the reporting quarter does not include revenue related to lagged exempted sales removed from the denominator using the estimation methodology.
(B) For National Drug Codes with less than 12 months of sales, the calculation described in paragraph (4)(iii)(A) of this section is calculated based on the sales and exempted sales (lagged and non-lagged) for the period equaling the total number of months of sales.
(C) Manufacturers must exclude lagged exempted sales (as calculated using the ratio methodology in paragraph (a)(4)(iii)(A) of this section) from their estimates of lagged price concessions described in paragraph (a)(3) of this section.
* * * * *Subpart K—Payment for Drugs and Biologicals Under Part B
18. Section 414.904 is amended by revising paragraphs (d)(2)(iii) and (d)(3) to read as follows:
Average sales price as the basis for payment.* * * * *(d) * * *
(2) * * *
(iii) Effective for drugs and biologicals furnished in CY 2006 and subsequent calendar years, the payment for such drugs and biologicals furnished in connection with renal dialysis services and separately billed by freestanding and hospital-based renal dialysis facilities not paid on a cost basis is 106 percent of the average sales price.
(3) Widely available market price and average manufacturer price. If the Inspector General finds that the average sales price exceeds the widely available market price or the average manufacturer price by 5 percent or more in CY 2007, the payment limit in the quarter following the transmittal of this information to the Secretary is the lesser of the widely available market price or 103 percent of the average manufacturer price.
* * * * *PART 415—SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS
19. The authority citation for part 415 continues to read as follows:
Subpart C—Part B Carrier Payments for Physician Services to Beneficiaries in Providers
20. Section 415.130 is amended by revising paragraph (d) to read as follows:
Conditions for payment: Physician pathology services.* * * * *(d) Physician pathology services furnished by an independent laboratory. The technical component of physician pathology services furnished by an independent laboratory to a hospital inpatient or outpatient on or before December 31, 2006 may be paid to the laboratory by the carrier under the physician fee schedule if the Medicare beneficiary is a patient of a covered hospital as defined in paragraph (a)(1) of this section. For services furnished after December 31, 2006, an independent laboratory may not bill the carrier for physician pathology services furnished to a hospital inpatient or outpatient.
* * * * *PART 424—CONDITIONS FOR MEDICARE PAYMENT
21. The authority citation for part 424 continues to read as follows:
Subpart B—Certification and Plan of Treatment Requirements
22. Section 424.24 is amended by—
A. Redesignating paragraph (f) as paragraph (g).
B. Adding a new paragraph (f).
The addition reads as follows:
Requirements for medical and other health services furnished by providers under Medicare Part B.* * * * *(f) Blood glucose monitoring in skilled nursing facilities. For each blood glucose test furnished to a resident of a skilled nursing facility, the physician must certify that the test is medically necessary. A physician's standing order is not sufficient to order a series of blood glucose tests.
* * * * *Subpart F—Limitations on Assignment and Reassignment of Claims
23. Section 424.80 is amended by—
A. Revising the heading of paragraph (d).
B. Revising paragraph (d)(2)
C. Adding a new paragraph (d)(3).
The revisions and addition read as follows:
Prohibition of reassignment of claims by suppliers.* * * * *(d) Reassignment to an entity under an employer-employee relationship or under a contractual arrangement: Conditions and limitations. (1) * * *
(2) Access to records. The supplier who furnishes the service has unrestricted access to claims submitted by an entity for services provided by that supplier. This paragraph applies irrespective of whether the supplier is an employee or whether the service is provided under a contractual arrangement. If an entity refuses to provide, upon request, the billing information to the supplier performing the service, the entity's right to receive reassigned benefits may be revoked under § 424.82(c)(3).
(3) Contractual arrangements for provision of diagnostic test services. If a physician or medical group bills for the technical component of a diagnostic test covered under section 1861(s)(3) of the Act and paid for under part 414 of this chapter (other than clinical diagnostic laboratory tests paid under section 1833(a)(2)(D) of the Act, which are subject to the special rules set forth in section 1833(h)(5)(A) of the Act), following a reassignment involving a contractual arrangement with the physician or other supplier who performed the technical component, each of the following conditions must be met:
(i) The payment to the billing physician, or medical group, less the applicable deductibles and coinsurance, may not exceed the lowest of the following amounts:
(A) The physician or other supplier's net charge to the billing physician or medical group.
(B) The billing physician's or medical group's actual charge.
(C) The fee schedule amount for the service that would be allowed if the physician or other supplier billed directly.
(ii) The physician or medical group billing for the test must identify the physician or other supplier that performed the test and indicate the supplier's net charge for the test. If the physician or medical group billing for the test fails to provide this information, CMS will not make any payment to the physician or medical group billing for the test and the billing physician or medical group can not bill the beneficiary.
(iii) In order to bill for the technical component of the service, the physician or medical group must directly perform the professional component of the service.
(Catalog of Federal Domestic Assistance Program No. 93.774, Medicare—Supplementary Medical Insurance Program)
Dated: June 29, 2006.
Mark B. McClellan,
Administrator, Centers for Medicare & Medicaid Services.
Approved: August 3, 2006.End SignatureMichael O. Leavitt,
Secretary.
Note:
These addenda will not appear in the Code of Federal Regulations.
Addendum A: Explanation and Use of Addenda B
The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2007. Addendum B contains the RVUs for work, non-facility PE, facility PE, and malpractice expense, and other information for all services included in the PFS.
In previous years, we have listed many services in Addendum B that are not paid under the PFS. To avoid publishing as many pages of codes for these services, we are not including clinical laboratory codes or the alphanumeric codes (Healthcare Common Procedure Coding System (HCPCS) codes not included in CPT) not paid under the PFS in Addendum B.
Addendum B—2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007
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 stcodes for nonphysicians' services or items), or L (orthotics); and codes for anesthesiology. Please also note the following:
- An “NA” in the “Non-facility PE RVUs” column of Addendum B means that CMS has not developed a PE RVU Start Printed Page 49085in the non-facility setting for the service because it is typically performed in the hospital (for example, an open heart surgery is generally performed in the hospital setting and not a physician's office). If there is an “NA” in the non-facility PE RVU column, and the contractor determines that this service can be performed in the non-facility setting, the service will be paid at the facility PE RVU rate.
- Services that have an “NA” in the “Facility PE RVUs” column of Addendum B are typically not paid using the PFS when provided in a facility setting. These services (which include “incident to” services and the technical portion of diagnostic tests) are generally paid under either the outpatient hospital prospective payment system or bundled into the hospital inpatient prospective payment system payment.
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. A code for: the global values (both professional and technical); modifier -26 (PC); and, 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, for example, a colonoscopy that is not completed. There will be RVUs for a code with this modifier.
3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the PFS and whether it is separately payable if the service is covered.
A = Active code. These codes are separately payable under the PFS 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 coverage determination regarding the service. Carriers remain responsible for coverage decisions in the absence of a national Medicare policy.
B = Bundled code. Payments for covered services are 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 = Carriers price the code. Carriers will establish RVUs and payment amounts for these services, generally on an individual case basis following review of documentation, such as an operative report.
D* = Deleted/discontinued code.
E = Excluded from the PFS by regulation. These codes are for items and services that CMS chose to exclude from the fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the PFS for these codes. Payment for them, when covered, continues under reasonable charge procedures.
F = Deleted/discontinued codes. (Code not subject to a 90-day grace period.) These codes are deleted effective with the beginning of the year and are never subject to a grace period. This indicator is no longer effective beginning with the 2005 fee schedule as of January 1, 2005.
G = Code not valid for Medicare purposes. Medicare uses another code for reporting of, and payment for, these services. (Codes subject to a 90-day grace period.) This indicator is no longer effective with the 2005 PFS as of January 1, 2005.
H* = Deleted modifier. For 2000 and later years, either the TC or PC component shown for the code has been deleted and the deleted component is shown in the database with the H status indicator.
I = Not valid for Medicare purposes. Medicare uses another code for the reporting of, and the payment for these services. (Codes not subject to a 90-day grace period.)
L = Local codes. Carriers will apply this status to all local codes in effect on January 1, 1998 or subsequently approved by central office for use. Carriers will complete the RVUs and payment amounts for these codes.
M = Measurement codes, used for reporting purposes only. There are no RVUs and no payment amounts for these codes. Medicare uses them to aid with performance measurement. No separate payment is made. These codes should be billed with a zero (($0.00) charge and are denied) on the MPFSDB.
N = Non-covered 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.
R = Restricted coverage. Special coverage instructions apply. If the service is covered and no RVUs are shown, it is carrier-priced.
T = There are RVUs for these services, but they are only paid if there are no other services payable under the PFS billed on the same date by the same provider. If any other services payable under the PFS are billed on the same date by the same provider, these services are bundled into the service(s) for which payment is made.
X = Statutory exclusion. These codes represent an item or service that is not within the statutory definition of “physicians' services” for PFS payment purposes. No RVUs are shown for these codes, and no payment may be made under the PFS. (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 2007. As stated in the June 29, 2006 proposed notice, the RVUs for codes with a 10- or 90-day global period reflect the application of the RUC-recommended values for the E/M services that are included as part of the global period for the service.
Note: The separate budget neutrality adjustor is not reflected in these physician work RVUs.
6. Fully implemented non-facility practice expense RVUs. These are the fully implemented resource-based PE RVUs for non-facility settings.
7. Transitional Non-facility practice expense RVUs. These are the 2007 resource-based PE RVUs for non-facility settings.
8. Fully implemented facility practice expense RVUs. These are the fully implemented resource-based PE RVUs for facility settings.
9. Transitional facility practice expense RVUs. These are the 2007 resource-based PE RVUs for facility settings.
10. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2006.
11. Non-facility total. This is the sum of the work, fully implemented non-facility PE, and malpractice expense RVUs.
12. Transitional non-facility total. This is the sum of the work, 2007 transitional non-facility PE, and malpractice expense RVUs.
13. Facility total. This is the sum of the work, fully implemented facility PE, and malpractice expense RVUs.
14. Transitional facility total. This is the sum of the work, 2007 transitional facility PE, and malpractice expense RVUs.
15. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). Start Printed Page 49086An explanation of the alpha codes follows:
MMM = 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 PE are associated with intra service time and in some instances in the post service time.
*Codes with these indicators had a 90-day grace period before January 1, 2005. Start Printed Page 49087
Start Printed Page 49236Addendum B.—Relative Value Units (RVUs) and Related Information Used In Determining Medicare Payments For 2007
CPT1/HCPCS2 Mod Status Description Physician Work RVUs Fully Implemented Non-Facility PE RVUs Year 2007 Transitional Non-Facility PE RVUs Fully Implemented Facility PE RVUs Year 2007 Transitional Facility PE RVUs Mal-Practice RVUs Fully Implemented Non-Facility Total Year 2007 Transitional Non-Facility Total Fully Implemented Facility Total Year 2007 Transitional Facility Total Global 0003T C Cervicography 0.00 0.00 0.00 0.00 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 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 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 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 0.00 0.00 0.00 0.00 XXX 0019T C Extracorp shock wv tx,ms nos 0.00 0.00 0.00 0.00 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 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 0031T C Speculoscopy 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 0042T C Ct perfusion w/contrast, cbf 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 0045T C Whole body photography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0046T C Cath lavage, mammary duct(s 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0047T C Cath lavage, mammary duct(s) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0048T C Implant ventricular device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0049T C External circulation assist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0050T C Removal circulation assist 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0051T C Implant total heart system 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0052T C Replace component heart syst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0053T C Replace component heart syst 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0054T C Bone surgery using computer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0055T C Bone surgery using computer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0056T C Bone surgery using computer 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0058T C Cryopreservation, ovary tiss 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0059T C Cryopreservation, oocyte 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0060T C Electrical impedance scan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0061T C Destruction of tumor, breast 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0062T C Rep intradisc annulus;1 lev 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0063T C Rep intradisc annulus;>1lev 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0064T C Spectroscop eval expired gas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0065T C Ocular photoscreen bilat 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0067T C Ct colonography;dx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0067T 26 C Ct colonography;dx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0067T TC C Ct colonography;dx 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0068T C Interp/rept heart sound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0069T C Analysis only heart sound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0070T C Interp only heart sound 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0071T C U/s leiomyomata ablate <200 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0072T C U/s leiomyomata ablate >200 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0073T A Delivery, comp imrt 0.00 13.02 16.77 NA NA 0.13 13.15 16.90 NA NA XXX 0075T C Perq stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0075T 26 C Perq stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0075T TC C Perq stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0076T C S&i stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0076T 26 C S&i stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0076T TC C S&i stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0077T C Cereb therm perfusion probe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0078T C Endovasc aort repr w/device 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49088 0079T C Endovasc visc extnsn repr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0080T C Endovasc aort repr rad s&i 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0081T C Endovasc visc extnsn s&i 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0082T C Stereotactic rad delivery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0083T C Stereotactic rad tx mngmt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0084T C Temp prostate urethral stent 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0085T C Breath test heart reject 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0086T C L ventricle fill pressure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0087T C Sperm eval hyaluronan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0088T C Rf tongue base vol reduxn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0089T C Actigraphy testing, 3-day 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0090T C Cervical artific disc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0091T C Lumbar artific disc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0092T C Artific disc addl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0093T C Cervical artific diskectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0094T C Lumbar artific diskectomy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0095T C Artific diskectomy addl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0096T C Rev cervical artific disc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0097T C Rev lumbar artific disc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0098T C Rev artific disc addl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0099T C Implant corneal ring 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0100T C Prosth retina receive&gen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0101T C Extracorp shockwv tx,hi enrg 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0102T C Extracorp shockwv tx,anesth 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0103T C Holotranscobalamin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0104T C At rest cardio gas rebreathe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0105T C Exerc cardio gas rebreathe 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0106T C Touch quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0107T C Vibrate quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0108T C Cool quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0109T C Heat quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0110T C Nos quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0111T C Rbc membranes fatty acids 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0115T C Med tx mngmt 15 min 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0116T C Med tx mngmt subsqt 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0117T C Med tx mngmt addl 15 min 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0120T C Fibroadenoma cryoablate, ea 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0123T C Scleral fistulization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0124T C Conjunctival drug placement 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0126T C Chd risk imt study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0130T C Chron care drug investigatn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0133T C Esophageal implant injexn 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0135T C Perq cryoablate renal tumor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0137T C Prostate saturation sampling 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0140T C Exhaled breath condensate ph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0144T C CT heart wo dye; qual calc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0144T 26 C CT heart wo dye; qual calc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0144T TC C CT heart wo dye; qual calc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0145T C CT heart w/wo dye funct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0145T 26 C CT heart w/wo dye funct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0145T TC C CT heart w/wo dye funct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0146T C CCTA w/wo dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0146T 26 C CCTA w/wo dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0146T TC C CCTA w/wo dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0147T C CCTA w/wo, quan calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0147T 26 C CCTA w/wo, quan calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49089 0147T TC C CCTA w/wo, quan calcium 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0148T C CCTA w/wo, strxr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0148T 26 C CCTA w/wo, strxr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0148T TC C CCTA w/wo, strxr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0149T C CCTA w/wo, strxr quan calc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0149T 26 C CCTA w/wo, strxr quan calc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0149T TC C CCTA w/wo, strxr quan calc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0150T C CCTA w/wo, disease strxr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0150T 26 C CCTA w/wo, disease strxr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0150T TC C CCTA w/wo, disease strxr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0151T C CT heart funct add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0151T 26 C CT heart funct add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0151T TC C CT heart funct add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0152T C Computer chest add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0153T C Implant aneur sensor add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0154T C Implant aneur sensor study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0155T C Lap ins gastr eltrd for mo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0156T C Lap redo gastr eltrd for mo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0157T C Opn ins gastr eltrd for mo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0158T C Opn redo gastr eltrd for mo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0159T C Computer breast MRI add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 0159T 26 C Computer breast MRI add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 0159T TC C Computer breast MRI add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 0160T C Transcran mag stim planning 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0161T C Transcran mag stim delivery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 10021 A Fna w/o image 1.27 2.13 2.15 0.36 0.50 0.10 3.50 3.52 1.73 1.87 XXX 10022 A Fna w/image 1.27 2.13 2.44 0.38 0.41 0.08 3.48 3.79 1.73 1.76 XXX 10040 A Acne surgery 1.18 1.26 1.07 0.93 0.83 0.05 2.49 2.30 2.16 2.06 010 10060 A Drainage of skin abscess 1.17 1.50 1.28 1.08 0.97 0.12 2.79 2.57 2.37 2.26 010 10061 A Drainage of skin abscess 2.40 2.07 1.88 1.51 1.50 0.26 4.73 4.54 4.17 4.16 010 10080 A Drainage of pilonidal cyst 1.17 2.65 2.99 1.09 1.11 0.11 3.93 4.27 2.37 2.39 010 10081 A Drainage of pilonidal cyst 2.45 3.49 3.93 1.44 1.49 0.24 6.18 6.62 4.13 4.18 010 10120 A Remove foreign body 1.22 2.10 2.15 0.94 0.96 0.12 3.44 3.49 2.28 2.30 010 10121 A Remove foreign body 2.69 3.52 3.51 1.65 1.75 0.33 6.54 6.53 4.67 4.77 010 10140 A Drainage of hematoma/fluid 1.53 2.27 1.90 1.29 1.29 0.19 3.99 3.62 3.01 3.01 010 10160 A Puncture drainage of lesion 1.20 1.85 1.66 1.07 1.08 0.14 3.19 3.00 2.41 2.42 010 10180 A Complex drainage, wound 2.25 3.30 3.06 1.83 1.94 0.35 5.90 5.66 4.43 4.54 010 11000 A Debride infected skin 0.60 0.73 0.62 0.16 0.21 0.07 1.40 1.29 0.83 0.88 000 11001 A Debride infected skin add-on 0.30 0.23 0.23 0.08 0.10 0.04 0.57 0.57 0.42 0.44 ZZZ 11004 A Debride genitalia & perineum 10.31 NA NA 3.04 3.69 0.67 NA NA 14.02 14.67 000 11005 A Debride abdom wall 13.75 NA NA 4.06 5.19 0.96 NA NA 18.77 19.90 000 11006 A Debride genit/per/abdom wall 12.61 NA NA 3.61 4.54 1.28 NA NA 17.50 18.43 000 11008 A Remove mesh from abd wall 5.00 NA NA 1.36 1.86 0.61 NA NA 6.97 7.47 ZZZ 11010 A Debride skin, fx 4.19 6.77 6.85 2.33 2.55 0.66 11.62 11.70 7.18 7.40 010 11011 A Debride skin/muscle, fx 4.94 7.09 7.89 2.04 2.27 0.74 12.77 13.57 7.72 7.95 000 11012 A Debride skin/muscle/bone, fx 6.87 9.03 11.33 3.12 3.66 1.16 17.06 19.36 11.15 11.69 000 11040 A Debride skin, partial 0.48 0.68 0.56 0.16 0.20 0.06 1.22 1.10 0.70 0.74 000 11041 A Debride skin, full 0.60 0.73 0.68 0.19 0.30 0.10 1.43 1.38 0.89 1.00 000 11042 A Debride skin/tissue 0.80 0.96 0.97 0.25 0.39 0.13 1.89 1.90 1.18 1.32 000 11043 A Debride tissue/muscle 3.00 3.64 3.45 2.71 2.62 0.32 6.96 6.77 6.03 5.94 010 11044 A Debride tissue/muscle/bone 4.05 4.96 4.58 3.67 3.73 0.43 9.44 9.06 8.15 8.21 010 11055 R Trim skin lesion 0.43 0.82 0.63 0.11 0.16 0.05 1.30 1.11 0.59 0.64 000 11056 R Trim skin lesions, 2 to 4 0.61 0.89 0.70 0.16 0.21 0.07 1.57 1.38 0.84 0.89 000 11057 R Trim skin lesions, over 4 0.79 1.00 0.81 0.21 0.28 0.10 1.89 1.70 1.10 1.17 000 11100 A Biopsy, skin lesion 0.81 1.83 1.40 0.37 0.37 0.03 2.67 2.24 1.21 1.21 000 11101 A Biopsy, skin add-on 0.41 0.40 0.35 0.19 0.19 0.02 0.83 0.78 0.62 0.62 ZZZ 11200 A Removal of skin tags 0.77 1.20 1.08 0.88 0.79 0.04 2.01 1.89 1.69 1.60 010 11201 A Remove skin tags add-on 0.29 0.16 0.16 0.11 0.12 0.02 0.47 0.47 0.42 0.43 ZZZ 11300 A Shave skin lesion 0.51 1.17 1.04 0.20 0.21 0.03 1.71 1.58 0.74 0.75 000 11301 A Shave skin lesion 0.85 1.47 1.20 0.37 0.38 0.04 2.36 2.09 1.26 1.27 000 11302 A Shave skin lesion 1.05 1.73 1.41 0.47 0.46 0.05 2.83 2.51 1.57 1.56 000 11303 A Shave skin lesion 1.24 1.97 1.68 0.53 0.52 0.07 3.28 2.99 1.84 1.83 000 11305 A Shave skin lesion 0.67 1.06 0.90 0.20 0.25 0.07 1.80 1.64 0.94 0.99 000 11306 A Shave skin lesion 0.99 1.39 1.17 0.37 0.41 0.07 2.45 2.23 1.43 1.47 000 11307 A Shave skin lesion 1.14 1.66 1.38 0.46 0.48 0.07 2.87 2.59 1.67 1.69 000 11308 A Shave skin lesion 1.41 1.71 1.52 0.50 0.57 0.13 3.25 3.06 2.04 2.11 000 Start Printed Page 49090 11310 A Shave skin lesion 0.73 1.35 1.17 0.30 0.32 0.04 2.12 1.94 1.07 1.09 000 11311 A Shave skin lesion 1.05 1.60 1.32 0.46 0.48 0.05 2.70 2.42 1.56 1.58 000 11312 A Shave skin lesion 1.20 1.87 1.53 0.54 0.55 0.06 3.13 2.79 1.80 1.81 000 11313 A Shave skin lesion 1.62 2.13 1.88 0.71 0.72 0.10 3.85 3.60 2.43 2.44 000 11400 A Exc tr-ext b9+marg 0.5 < cm 0.85 1.86 1.96 0.92 0.89 0.06 2.77 2.87 1.83 1.80 010 11401 A Exc tr-ext b9+marg 0.6-1 cm 1.23 2.14 2.07 1.12 1.05 0.10 3.47 3.40 2.45 2.38 010 11402 A Exc tr-ext b9+marg 1.1-2 cm 1.40 2.35 2.25 1.18 1.11 0.13 3.88 3.78 2.71 2.64 010 11403 A Exc tr-ext b9+marg 2.1-3 cm 1.79 2.52 2.42 1.54 1.38 0.17 4.48 4.38 3.50 3.34 010 11404 A Exc tr-ext b9+marg 3.1-4 cm 2.06 2.84 2.74 1.61 1.45 0.21 5.11 5.01 3.88 3.72 010 11406 A Exc tr-ext b9+marg > 4.0 cm 3.45 3.50 3.17 2.07 1.76 0.32 7.27 6.94 5.84 5.53 010 11420 A Exc h-f-nk-sp b9+marg 0.5 < 0.98 1.82 1.78 0.92 0.93 0.09 2.89 2.85 1.99 2.00 010 11421 A Exc h-f-nk-sp b9+marg 0.6-1 1.42 2.18 2.09 1.14 1.12 0.13 3.73 3.64 2.69 2.67 010 11422 A Exc h-f-nk-sp b9+marg 1.1-2 1.63 2.39 2.29 1.50 1.37 0.16 4.18 4.08 3.29 3.16 010 11423 A Exc h-f-nk-sp b9+marg 2.1-3 2.01 2.62 2.59 1.62 1.49 0.20 4.83 4.80 3.83 3.70 010 11424 A Exc h-f-nk-sp b9+marg 3.1-4 2.43 2.94 2.84 1.75 1.64 0.25 5.62 5.52 4.43 4.32 010 11426 A Exc h-f-nk-sp b9+marg > 4 cm 4.02 3.58 3.51 2.29 2.15 0.44 8.04 7.97 6.75 6.61 010 11440 A Exc face-mm b9+marg 0.5 < cm 1.00 1.99 2.15 1.30 1.31 0.08 3.07 3.23 2.38 2.39 010 11441 A Exc face-mm b9+marg 0.6-1 cm 1.48 2.34 2.33 1.52 1.50 0.13 3.95 3.94 3.13 3.11 010 11442 A Exc face-mm b9+marg 1.1-2 cm 1.72 2.59 2.55 1.62 1.58 0.16 4.47 4.43 3.50 3.46 010 11443 A Exc face-mm b9+marg 2.1-3 cm 2.29 2.82 2.89 1.79 1.81 0.22 5.33 5.40 4.30 4.32 010 11444 A Exc face-mm b9+marg 3.1-4 cm 3.14 3.23 3.41 2.04 2.15 0.30 6.67 6.85 5.48 5.59 010 11446 A Exc face-mm b9+marg > 4 cm 4.73 4.01 4.03 2.62 2.73 0.43 9.17 9.19 7.78 7.89 010 11450 A Removal, sweat gland lesion 3.11 5.19 5.07 2.44 2.13 0.34 8.64 8.52 5.89 5.58 090 11451 A Removal, sweat gland lesion 4.32 6.17 6.49 2.79 2.60 0.53 11.02 11.34 7.64 7.45 090 11462 A Removal, sweat gland lesion 2.89 5.33 5.17 2.47 2.13 0.32 8.54 8.38 5.68 5.34 090 11463 A Removal, sweat gland lesion 4.32 6.64 6.78 2.98 2.76 0.54 11.50 11.64 7.84 7.62 090 11470 A Removal, sweat gland lesion 3.63 5.61 5.20 2.70 2.37 0.40 9.64 9.23 6.73 6.40 090 11471 A Removal, sweat gland lesion 4.78 6.48 6.65 2.99 2.82 0.58 11.84 12.01 8.35 8.18 090 11600 A Exc tr-ext mlg+marg 0.5 < cm 1.56 2.71 2.65 1.12 1.01 0.10 4.37 4.31 2.78 2.67 010 11601 A Exc tr-ext mlg+marg 0.6-1 cm 2.00 3.37 2.87 1.47 1.28 0.12 5.49 4.99 3.59 3.40 010 11602 A Exc tr-ext mlg+marg 1.1-2 cm 2.20 3.74 3.05 1.63 1.35 0.12 6.06 5.37 3.95 3.67 010 11603 A Exc tr-ext mlg+marg 2.1-3 cm 2.75 3.95 3.29 1.81 1.45 0.16 6.86 6.20 4.72 4.36 010 11604 A Exc tr-ext mlg+marg 3.1-4 cm 3.10 4.26 3.59 1.88 1.51 0.20 7.56 6.89 5.18 4.81 010 11606 A Exc tr-ext mlg+marg > 4 cm 4.95 5.41 4.40 2.41 1.90 0.36 10.72 9.71 7.72 7.21 010 11620 A Exc h-f-nk-sp mlg+marg 0.5 < 1.57 2.81 2.65 1.17 1.01 0.09 4.47 4.31 2.83 2.67 010 11621 A Exc h-f-nk-sp mlg+marg 0.6-1 2.01 3.42 2.88 1.49 1.30 0.12 5.55 5.01 3.62 3.43 010 11622 A Exc h-f-nk-sp mlg+marg 1.1-2 2.34 3.80 3.17 1.69 1.47 0.14 6.28 5.65 4.17 3.95 010 11623 A Exc h-f-nk-sp mlg+marg 2.1-3 3.04 4.03 3.51 1.90 1.66 0.20 7.27 6.75 5.14 4.90 010 11624 A Exc h-f-nk-sp mlg+marg 3.1-4 3.55 4.35 3.89 2.03 1.84 0.27 8.17 7.71 5.85 5.66 010 11626 A Exc h-f-nk-sp mlg+mar > 4 cm 4.54 4.90 4.70 2.28 2.36 0.45 9.89 9.69 7.27 7.35 010 11640 A Exc face-mm malig+marg 0.5 < 1.60 3.00 2.74 1.26 1.15 0.11 4.71 4.45 2.97 2.86 010 11641 A Exc face-mm malig+marg 0.6-1 2.10 3.55 3.15 1.56 1.54 0.16 5.81 5.41 3.82 3.80 010 11642 A Exc face-mm malig+marg 1.1-2 2.55 3.93 3.53 1.78 1.73 0.19 6.67 6.27 4.52 4.47 010 11643 A Exc face-mm malig+marg 2.1-3 3.35 4.18 3.90 2.04 1.98 0.26 7.79 7.51 5.65 5.59 010 11644 A Exc face-mm malig+marg 3.1-4 4.27 4.95 4.75 2.38 2.43 0.37 9.59 9.39 7.02 7.07 010 11646 A Exc face-mm mlg+marg > 4 cm 6.19 5.76 5.75 3.03 3.36 0.61 12.56 12.55 9.83 10.16 010 11719 R Trim nail(s) 0.17 0.38 0.28 0.04 0.06 0.02 0.57 0.47 0.23 0.25 000 11720 A Debride nail, 1-5 0.32 0.47 0.37 0.08 0.11 0.04 0.83 0.73 0.44 0.47 000 11721 A Debride nail, 6 or more 0.54 0.55 0.47 0.14 0.19 0.07 1.16 1.08 0.75 0.80 000 11730 A Removal of nail plate 1.10 1.35 1.11 0.29 0.40 0.14 2.59 2.35 1.53 1.64 000 11732 A Remove nail plate, add-on 0.57 0.55 0.47 0.15 0.20 0.07 1.19 1.11 0.79 0.84 ZZZ 11740 A Drain blood from under nail 0.37 0.80 0.61 0.44 0.37 0.04 1.21 1.02 0.85 0.78 000 11750 A Removal of nail bed 2.36 2.98 2.37 1.89 1.79 0.22 5.56 4.95 4.47 4.37 010 11752 A Remove nail bed/finger tip 3.42 4.12 3.27 2.82 2.95 0.35 7.89 7.04 6.59 6.72 010 11755 A Biopsy, nail unit 1.31 2.02 1.68 0.76 0.77 0.14 3.47 3.13 2.21 2.22 000 11760 A Repair of nail bed 1.58 3.45 2.83 1.44 1.70 0.21 5.24 4.62 3.23 3.49 010 Start Printed Page 49091 11762 A Reconstruction of nail bed 2.89 3.72 3.09 1.69 2.18 0.36 6.97 6.34 4.94 5.43 010 11765 A Excision of nail fold, toe 0.69 2.69 2.01 1.01 0.82 0.08 3.46 2.78 1.78 1.59 010 11770 A Removal of pilonidal lesion 2.61 3.49 3.48 1.53 1.51 0.33 6.43 6.42 4.47 4.45 010 11771 A Removal of pilonidal lesion 5.91 6.72 5.91 3.74 3.42 0.74 13.37 12.56 10.39 10.07 090 11772 A Removal of pilonidal lesion 7.15 8.06 7.64 5.56 5.19 0.89 16.10 15.68 13.60 13.23 090 11900 A Injection into skin lesions 0.52 0.89 0.71 0.24 0.22 0.02 1.43 1.25 0.78 0.76 000 11901 A Added skin lesions injection 0.80 0.98 0.74 0.38 0.36 0.03 1.81 1.57 1.21 1.19 000 11920 R Correct skin color defects 1.61 2.40 3.38 1.12 1.10 0.24 4.25 5.23 2.97 2.95 000 11921 R Correct skin color defects 1.93 2.67 3.64 1.26 1.27 0.29 4.89 5.86 3.48 3.49 000 11922 R Correct skin color defects 0.49 0.93 1.09 0.22 0.24 0.07 1.49 1.65 0.78 0.80 ZZZ 11950 R Therapy for contour defects 0.84 0.86 1.07 0.35 0.38 0.06 1.76 1.97 1.25 1.28 000 11951 R Therapy for contour defects 1.19 1.18 1.41 0.53 0.52 0.11 2.48 2.71 1.83 1.82 000 11952 R Therapy for contour defects 1.69 1.71 1.82 0.81 0.71 0.16 3.56 3.67 2.66 2.56 000 11954 R Therapy for contour defects 1.85 1.76 2.27 0.76 0.87 0.25 3.86 4.37 2.86 2.97 000 11960 A Insert tissue expander(s) 10.85 NA NA 10.58 10.44 1.31 NA NA 22.74 22.60 090 11970 A Replace tissue expander 7.80 NA NA 6.20 6.15 1.05 NA NA 15.05 15.00 090 11971 A Remove tissue expander(s) 3.13 7.42 8.69 4.01 3.85 0.32 10.87 12.14 7.46 7.30 090 11975 N Insert contraceptive cap 1.48 1.55 1.45 0.34 0.51 0.17 3.20 3.10 1.99 2.16 XXX 11976 R Removal of contraceptive cap 1.78 1.71 1.72 0.47 0.63 0.21 3.70 3.71 2.46 2.62 000 11977 N Removal/reinsert contra cap 3.30 2.00 2.20 0.77 1.14 0.37 5.67 5.87 4.44 4.81 XXX 11980 A Implant hormone pellet(s) 1.48 1.17 1.10 0.55 0.54 0.13 2.78 2.71 2.16 2.15 000 11981 A Insert drug implant device 1.48 1.92 1.76 0.59 0.66 0.12 3.52 3.36 2.19 2.26 XXX 11982 A Remove drug implant device 1.78 2.05 1.97 0.71 0.80 0.17 4.00 3.92 2.66 2.75 XXX 11983 A Remove/insert drug implant 3.30 2.67 2.38 1.34 1.44 0.23 6.20 5.91 4.87 4.97 XXX 12001 A Repair superficial wound(s) 1.70 1.73 1.92 0.72 0.76 0.15 3.58 3.77 2.57 2.61 010 12002 A Repair superficial wound(s) 1.86 1.79 1.98 0.83 0.88 0.17 3.82 4.01 2.86 2.91 010 12004 A Repair superficial wound(s) 2.24 2.07 2.26 0.92 0.99 0.21 4.52 4.71 3.37 3.44 010 12005 A Repair superficial wound(s) 2.86 2.52 2.75 1.06 1.17 0.27 5.65 5.88 4.19 4.30 010 12006 A Repair superficial wound(s) 3.66 3.03 3.30 1.30 1.46 0.35 7.04 7.31 5.31 5.47 010 12007 A Repair superficial wound(s) 4.11 3.40 3.72 1.49 1.73 0.45 7.96 8.28 6.05 6.29 010 12011 A Repair superficial wound(s) 1.76 1.89 2.07 0.75 0.77 0.16 3.81 3.99 2.67 2.69 010 12013 A Repair superficial wound(s) 1.99 2.05 2.22 0.88 0.92 0.18 4.22 4.39 3.05 3.09 010 12014 A Repair superficial wound(s) 2.46 2.28 2.50 0.97 1.04 0.23 4.97 5.19 3.66 3.73 010 12015 A Repair superficial wound(s) 3.19 2.76 3.04 1.11 1.22 0.29 6.24 6.52 4.59 4.70 010 12016 A Repair superficial wound(s) 3.92 3.16 3.45 1.29 1.46 0.37 7.45 7.74 5.58 5.75 010 12017 A Repair superficial wound(s) 4.70 NA NA 1.48 1.79 0.47 NA NA 6.65 6.96 010 12018 A Repair superficial wound(s) 5.52 NA NA 1.96 2.18 0.64 NA NA 8.12 8.34 010 12020 A Closure of split wound 2.62 3.75 3.80 1.77 1.88 0.30 6.67 6.72 4.69 4.80 010 12021 A Closure of split wound 1.84 1.86 1.83 1.33 1.39 0.24 3.94 3.91 3.41 3.47 010 12031 A Layer closure of wound(s) 2.15 3.82 2.67 1.73 1.15 0.17 6.14 4.99 4.05 3.47 010 12032 A Layer closure of wound(s) 2.47 5.08 4.15 2.21 1.90 0.16 7.71 6.78 4.84 4.53 010 12034 A Layer closure of wound(s) 2.92 4.50 3.52 1.93 1.57 0.25 7.67 6.69 5.10 4.74 010 12035 A Layer closure of wound(s) 3.42 5.25 5.21 2.08 2.13 0.39 9.06 9.02 5.89 5.94 010 12036 A Layer closure of wound(s) 4.04 5.38 5.51 2.22 2.46 0.55 9.97 10.10 6.81 7.05 010 12037 A Layer closure of wound(s) 4.66 5.94 6.05 2.59 2.87 0.66 11.26 11.37 7.91 8.19 010 12041 A Layer closure of wound(s) 2.37 3.77 2.85 1.72 1.28 0.19 6.33 5.41 4.28 3.84 010 12042 A Layer closure of wound(s) 2.74 4.36 3.54 2.04 1.61 0.17 7.27 6.45 4.95 4.52 010 12044 A Layer closure of wound(s) 3.14 5.27 3.73 1.89 1.67 0.27 8.68 7.14 5.30 5.08 010 12045 A Layer closure of wound(s) 3.63 5.07 5.21 2.06 2.23 0.41 9.11 9.25 6.10 6.27 010 12046 A Layer closure of wound(s) 4.24 5.64 6.29 2.27 2.63 0.54 10.42 11.07 7.05 7.41 010 12047 A Layer closure of wound(s) 4.64 6.16 6.30 2.51 2.94 0.58 11.38 11.52 7.73 8.16 010 12051 A Layer closure of wound(s) 2.47 4.01 3.46 1.86 1.55 0.20 6.68 6.13 4.53 4.22 010 12052 A Layer closure of wound(s) 2.77 4.69 3.59 2.44 1.68 0.17 7.63 6.53 5.38 4.62 010 12053 A Layer closure of wound(s) 3.12 5.23 3.74 2.05 1.66 0.23 8.58 7.09 5.40 5.01 010 12054 A Layer closure of wound(s) 3.45 5.30 4.00 2.01 1.73 0.30 9.05 7.75 5.76 5.48 010 12055 A Layer closure of wound(s) 4.42 6.00 4.86 2.10 2.12 0.45 10.87 9.73 6.97 6.99 010 12056 A Layer closure of wound(s) 5.23 6.21 6.62 2.38 2.88 0.59 12.03 12.44 8.20 8.70 010 12057 A Layer closure of wound(s) 5.95 7.45 6.46 2.79 3.51 0.56 13.96 12.97 9.30 10.02 010 13100 A Repair of wound or lesion 3.12 4.32 4.12 2.39 2.32 0.26 7.70 7.50 5.77 5.70 010 13101 A Repair of wound or lesion 3.91 5.79 4.94 2.88 2.73 0.26 9.96 9.11 7.05 6.90 010 13102 A Repair wound/lesion add-on 1.24 1.34 1.21 0.52 0.56 0.13 2.71 2.58 1.89 1.93 ZZZ 13120 A Repair of wound or lesion 3.30 4.46 4.22 2.50 2.38 0.26 8.02 7.78 6.06 5.94 010 13121 A Repair of wound or lesion 4.32 6.47 5.26 3.46 2.96 0.25 11.04 9.83 8.03 7.53 010 13122 A Repair wound/lesion add-on 1.44 1.37 1.48 0.58 0.62 0.15 2.96 3.07 2.17 2.21 ZZZ 13131 A Repair of wound or lesion 3.78 4.86 4.49 2.78 2.71 0.26 8.90 8.53 6.82 6.75 010 13132 A Repair of wound or lesion 6.44 7.64 6.34 4.77 4.31 0.32 14.40 13.10 11.53 11.07 010 Start Printed Page 49092 13133 A Repair wound/lesion add-on 2.19 1.82 1.70 0.94 1.01 0.18 4.19 4.07 3.31 3.38 ZZZ 13150 A Repair of wound or lesion 3.80 4.59 4.80 2.64 2.73 0.34 8.73 8.94 6.78 6.87 010 13151 A Repair of wound or lesion 4.44 5.35 4.94 3.11 3.13 0.31 10.10 9.69 7.86 7.88 010 13152 A Repair of wound or lesion 6.32 7.31 6.35 3.77 3.97 0.40 14.03 13.07 10.49 10.69 010 13153 A Repair wound/lesion add-on 2.38 1.98 1.94 0.98 1.10 0.24 4.60 4.56 3.60 3.72 ZZZ 13160 A Late closure of wound 11.76 NA NA 7.07 7.14 1.54 NA NA 20.37 20.44 090 14000 A Skin tissue rearrangement 6.76 8.78 8.08 5.92 5.58 0.59 16.13 15.43 13.27 12.93 090 14001 A Skin tissue rearrangement 9.52 10.90 9.78 7.40 7.15 0.82 21.24 20.12 17.74 17.49 090 14020 A Skin tissue rearrangement 7.58 9.79 8.91 6.70 6.57 0.64 18.01 17.13 14.92 14.79 090 14021 A Skin tissue rearrangement 11.10 12.13 10.52 8.40 8.31 0.81 24.04 22.43 20.31 20.22 090 14040 A Skin tissue rearrangement 8.36 9.92 9.08 6.77 7.09 0.62 18.90 18.06 15.75 16.07 090 14041 A Skin tissue rearrangement 12.59 13.17 11.24 9.03 8.76 0.73 26.49 24.56 22.35 22.08 090 14060 A Skin tissue rearrangement 8.99 9.40 8.94 6.94 7.31 0.68 19.07 18.61 16.61 16.98 090 14061 A Skin tissue rearrangement 13.58 14.41 12.30 9.84 9.59 0.76 28.75 26.64 24.18 23.93 090 14300 A Skin tissue rearrangement 13.17 13.26 11.66 9.24 9.19 1.16 27.59 25.99 23.57 23.52 090 14350 A Skin tissue rearrangement 10.73 NA NA 6.92 7.09 1.34 NA NA 18.99 19.16 090 15000 A Wound prep, 1st 100 sq cm 3.99 4.24 3.90 1.73 2.07 0.54 8.77 8.43 6.26 6.60 000 15001 A Wound prep, addl 100 sq cm 1.00 0.56 1.15 0.35 0.40 0.14 1.70 2.29 1.49 1.54 ZZZ 15040 A Harvest cultured skin graft 2.00 3.86 4.39 1.03 1.11 0.24 6.10 6.63 3.27 3.35 000 15050 A Skin pinch graft 5.29 7.65 7.10 5.02 5.09 0.57 13.51 12.96 10.88 10.95 090 15100 A Skin splt grft, trnk/arm/leg 9.66 9.84 11.90 6.73 7.55 1.28 20.78 22.84 17.67 18.49 090 15101 A Skin splt grft t/a/l, add-on 1.72 2.51 3.43 0.87 1.10 0.24 4.47 5.39 2.83 3.06 ZZZ 15110 A Epidrm autogrft trnk/arm/leg 10.82 8.92 10.23 6.50 6.88 1.31 21.05 22.36 18.63 19.01 090 15111 A Epidrm autogrft t/a/l add-on 1.85 0.89 1.19 0.64 0.75 0.26 3.00 3.30 2.75 2.86 ZZZ 15115 A Epidrm a-grft face/nck/hf/g 11.13 9.16 9.21 6.68 7.18 1.15 21.44 21.49 18.96 19.46 090 15116 A Epidrm a-grft f/n/hf/g addl 2.50 1.22 1.49 0.89 1.06 0.33 4.05 4.32 3.72 3.89 ZZZ 15120 A Skn splt a-grft fac/nck/hf/g 10.88 11.18 10.84 7.32 7.67 1.16 23.22 22.88 19.36 19.71 090 15121 A Skn splt a-grft f/n/hf/g add 2.67 3.47 4.24 1.33 1.71 0.36 6.50 7.27 4.36 4.74 ZZZ 15130 A Derm autograft, trnk/arm/leg 7.33 8.03 9.40 5.64 6.17 0.97 16.33 17.70 13.94 14.47 090 15131 A Derm autograft t/a/l add-on 1.50 0.70 0.98 0.52 0.61 0.21 2.41 2.69 2.23 2.32 ZZZ 15135 A Derm autograft face/nck/hf/g 10.83 9.41 9.76 6.98 7.84 1.23 21.47 21.82 19.04 19.90 090 15136 A Derm autograft, f/n/hf/g add 1.50 0.68 0.84 0.53 0.64 0.20 2.38 2.54 2.23 2.34 ZZZ 15150 A Cult epiderm grft t/arm/leg 9.24 7.22 8.15 5.92 6.31 1.14 17.60 18.53 16.30 16.69 090 15151 A Cult epiderm grft t/a/l addl 2.00 0.90 1.21 0.70 0.81 0.28 3.18 3.49 2.98 3.09 ZZZ 15152 A Cult epiderm graft t/a/l +% 2.50 1.08 1.44 0.87 1.01 0.35 3.93 4.29 3.72 3.86 ZZZ 15155 A Cult epiderm graft, f/n/hf/g 9.99 7.60 7.77 6.25 6.78 1.05 18.64 18.81 17.29 17.82 090 15156 A Cult epidrm grft f/n/hfg add 2.75 1.18 1.47 0.98 1.18 0.36 4.29 4.58 4.09 4.29 ZZZ 15157 A Cult epiderm grft f/n/hfg +% 3.00 1.37 1.67 1.07 1.28 0.39 4.76 5.06 4.46 4.67 ZZZ 15170 A Acell graft trunk/arms/legs 5.99 3.65 3.79 2.36 2.36 0.55 10.19 10.33 8.90 8.90 090 15171 A Acell graft t/arm/leg add-on 1.55 0.65 0.67 0.51 0.59 0.19 2.39 2.41 2.25 2.33 ZZZ 15175 A Acellular graft, f/n/hf/g 7.99 5.24 5.38 3.75 3.94 0.82 14.05 14.19 12.56 12.75 090 15176 A Acell graft, f/n/hf/g add-on 2.45 1.07 1.10 0.81 0.95 0.29 3.81 3.84 3.55 3.69 ZZZ 15200 A Skin full graft, trunk 8.90 9.85 9.51 6.29 6.22 0.98 19.73 19.39 16.17 16.10 090 15201 A Skin full graft trunk add-on 1.32 2.11 2.45 0.56 0.61 0.19 3.62 3.96 2.07 2.12 ZZZ 15220 A Skin full graft sclp/arm/leg 7.86 10.21 9.44 6.51 6.64 0.84 18.91 18.14 15.21 15.34 090 15221 A Skin full graft add-on 1.19 2.01 2.24 0.50 0.55 0.16 3.36 3.59 1.85 1.90 ZZZ 15240 A Skin full grft face/genit/hf 10.03 11.73 10.58 8.64 8.12 0.92 22.68 21.53 19.59 19.07 090 15241 A Skin full graft add-on 1.86 2.51 2.46 0.79 0.88 0.23 4.60 4.55 2.88 2.97 ZZZ 15260 A Skin full graft een & lips 11.29 12.63 10.82 9.02 8.69 0.69 24.61 22.80 21.00 20.67 090 15261 A Skin full graft add-on 2.23 2.91 2.75 1.12 1.33 0.21 5.35 5.19 3.56 3.77 ZZZ 15300 A Apply skinallogrft, t/arm/lg 4.65 3.36 3.24 2.10 2.20 0.49 8.50 8.38 7.24 7.34 090 15301 A Apply sknallogrft t/a/l addl 1.00 0.47 0.47 0.34 0.39 0.14 1.61 1.61 1.48 1.53 ZZZ 15320 A Apply skin allogrft f/n/hf/g 5.36 3.75 3.65 2.32 2.48 0.58 9.69 9.59 8.26 8.42 090 15321 A Aply sknallogrft f/n/hfg add 1.50 0.68 0.69 0.50 0.57 0.21 2.39 2.40 2.21 2.28 ZZZ 15330 A Aply acell alogrft t/arm/leg 3.99 3.14 3.18 1.90 2.14 0.49 7.62 7.66 6.38 6.62 090 15331 A Aply acell grft t/a/l add-on 1.00 0.46 0.46 0.34 0.39 0.14 1.60 1.60 1.48 1.53 ZZZ Start Printed Page 49093 15335 A Apply acell graft, f/n/hf/g 4.50 3.40 3.45 2.06 2.35 0.55 8.45 8.50 7.11 7.40 090 15336 A Aply acell grft f/n/hf/g add 1.43 0.72 0.70 0.48 0.55 0.20 2.35 2.33 2.11 2.18 ZZZ 15340 A Apply cult skin substitute 3.72 3.79 3.95 2.72 2.74 0.41 7.92 8.08 6.85 6.87 010 15341 A Apply cult skin sub add-on 0.50 0.72 0.64 0.17 0.19 0.06 1.28 1.20 0.73 0.75 ZZZ 15360 A Apply cult derm sub, t/a/l 3.87 4.31 4.43 3.11 3.09 0.43 8.61 8.73 7.41 7.39 090 15361 A Aply cult derm sub t/a/l add 1.15 0.57 0.58 0.38 0.44 0.14 1.86 1.87 1.67 1.73 ZZZ 15365 A Apply cult derm sub f/n/hf/g 4.15 4.35 4.50 3.19 3.19 0.46 8.96 9.11 7.80 7.80 090 15366 A Apply cult derm f/hf/g add 1.45 0.69 0.70 0.48 0.56 0.17 2.31 2.32 2.10 2.18 ZZZ 15400 A Apply skin xenograft, t/a/l 4.32 4.91 4.24 3.69 3.93 0.47 9.70 9.03 8.48 8.72 090 15401 A Apply skn xenogrft t/a/l add 1.00 1.02 1.67 0.35 0.42 0.14 2.16 2.81 1.49 1.56 ZZZ 15420 A Apply skin xgraft, f/n/hf/g 4.83 5.04 4.85 3.86 3.81 0.52 10.39 10.20 9.21 9.16 090 15421 A Apply skn xgrft f/n/hf/g add 1.50 1.20 1.29 0.52 0.60 0.21 2.91 3.00 2.23 2.31 ZZZ 15430 A Apply acellular xenograft 5.75 7.01 6.93 6.44 6.57 0.66 13.42 13.34 12.85 12.98 090 15431 C Apply acellular xgraft add 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 15570 A Form skin pedicle flap 9.94 10.36 11.07 6.46 6.69 1.34 21.64 22.35 17.74 17.97 090 15572 A Form skin pedicle flap 9.88 9.74 9.55 6.62 6.49 1.20 20.82 20.63 17.70 17.57 090 15574 A Form skin pedicle flap 10.48 10.36 10.60 6.89 7.57 1.20 22.04 22.28 18.57 19.25 090 15576 A Form skin pedicle flap 9.18 9.50 9.69 6.39 6.76 0.87 19.55 19.74 16.44 16.81 090 15600 A Skin graft 1.91 5.28 7.02 2.71 2.97 0.27 7.46 9.20 4.89 5.15 090 15610 A Skin graft 2.42 5.55 4.91 3.03 3.32 0.35 8.32 7.68 5.80 6.09 090 15620 A Skin graft 3.57 6.33 7.42 3.80 3.86 0.35 10.25 11.34 7.72 7.78 090 15630 A Skin graft 3.90 6.89 7.00 4.18 4.16 0.34 11.13 11.24 8.42 8.40 090 15650 A Transfer skin pedicle flap 4.59 7.02 7.11 4.20 4.21 0.42 12.03 12.12 9.21 9.22 090 15732 A Muscle-skin graft, head/neck 19.62 14.71 17.21 11.13 11.94 1.99 36.32 38.82 32.74 33.55 090 15734 A Muscle-skin graft, trunk 19.52 15.75 17.52 11.89 12.25 2.61 37.88 39.65 34.02 34.38 090 15736 A Muscle-skin graft, arm 16.86 13.77 17.12 9.95 10.90 2.45 33.08 36.43 29.26 30.21 090 15738 A Muscle-skin graft, leg 18.86 14.03 16.99 10.41 11.39 2.65 35.54 38.50 31.92 32.90 090 15740 A Island pedicle flap graft 11.48 13.10 10.87 9.05 8.46 0.63 25.21 22.98 21.16 20.57 090 15750 A Neurovascular pedicle graft 12.64 NA NA 8.80 8.98 1.42 NA NA 22.86 23.04 090 15756 A Free myo/skin flap microvasc 36.64 NA NA 18.38 20.02 4.61 NA NA 59.63 61.27 090 15757 A Free skin flap, microvasc 36.85 NA NA 16.63 20.35 3.89 NA NA 57.37 61.09 090 15758 A Free fascial flap, microvasc 36.60 NA NA 16.47 20.30 4.23 NA NA 57.30 61.13 090 15760 A Composite skin graft 9.61 10.14 10.05 6.84 7.16 0.85 20.60 20.51 17.30 17.62 090 15770 A Derma-fat-fascia graft 8.64 NA NA 6.56 6.65 1.05 NA NA 16.25 16.34 090 15775 R Hair transplant punch grafts 3.95 3.50 4.05 1.70 1.40 0.52 7.97 8.52 6.17 5.87 000 15776 R Hair transplant punch grafts 5.53 3.98 5.01 1.61 2.50 0.72 10.23 11.26 7.86 8.75 000 15780 A Abrasion treatment of skin 8.41 11.65 11.55 6.74 7.87 0.67 20.73 20.63 15.82 16.95 090 15781 A Abrasion treatment of skin 4.84 8.43 7.29 5.47 5.39 0.34 13.61 12.47 10.65 10.57 090 15782 A Abrasion treatment of skin 4.31 9.44 9.75 5.43 6.27 0.34 14.09 14.40 10.08 10.92 090 15783 A Abrasion treatment of skin 4.28 7.83 7.11 4.89 4.36 0.28 12.39 11.67 9.45 8.92 090 15786 A Abrasion, lesion, single 2.03 3.76 3.45 1.22 1.30 0.11 5.90 5.59 3.36 3.44 010 15787 A Abrasion, lesions, add-on 0.33 0.83 1.03 0.10 0.15 0.04 1.20 1.40 0.47 0.52 ZZZ 15788 R Chemical peel, face, epiderm 2.09 8.43 7.14 3.66 3.23 0.11 10.63 9.34 5.86 5.43 090 15789 R Chemical peel, face, dermal 4.91 9.00 8.32 5.56 4.99 0.20 14.11 13.43 10.67 10.10 090 15792 R Chemical peel, nonfacial 1.86 6.85 7.03 3.46 4.20 0.13 8.84 9.02 5.45 6.19 090 15793 A Chemical peel, nonfacial 3.73 5.54 6.10 3.27 4.10 0.19 9.46 10.02 7.19 8.02 090 15819 A Plastic surgery, neck 10.37 NA NA 6.67 7.05 0.97 NA NA 18.01 18.39 090 15820 A Revision of lower eyelid 6.02 6.47 6.85 5.25 5.48 0.40 12.89 13.27 11.67 11.90 090 15821 A Revision of lower eyelid 6.59 6.73 7.20 5.41 5.64 0.45 13.77 14.24 12.45 12.68 090 15822 A Revision of upper eyelid 4.44 5.34 5.71 4.18 4.41 0.37 10.15 10.52 8.99 9.22 090 15823 A Revision of upper eyelid 8.04 7.59 7.79 6.29 6.40 0.50 16.13 16.33 14.83 14.94 090 15831 A Excise excessive skin tissue 13.57 NA NA 8.73 8.30 1.75 NA NA 24.05 23.62 090 15832 A Excise excessive skin tissue 12.57 NA NA 8.30 8.33 1.66 NA NA 22.53 22.56 090 15833 A Excise excessive skin tissue 11.62 NA NA 7.09 7.93 1.49 NA NA 20.20 21.04 090 15834 A Excise excessive skin tissue 11.89 NA NA 7.73 7.70 1.61 NA NA 21.23 21.20 090 15835 A Excise excessive skin tissue 12.71 NA NA 7.81 7.61 1.60 NA NA 22.12 21.92 090 15836 A Excise excessive skin tissue 10.33 NA NA 7.02 6.84 1.34 NA NA 18.69 18.51 090 15837 A Excise excessive skin tissue 9.30 8.79 8.61 5.78 6.97 1.18 19.27 19.09 16.26 17.45 090 15838 A Excise excessive skin tissue 8.00 NA NA 4.88 5.77 0.58 NA NA 13.46 14.35 090 15839 A Excise excessive skin tissue 10.25 9.40 8.97 6.19 6.34 1.22 20.87 20.44 17.66 17.81 090 15840 A Graft for face nerve palsy 14.67 NA NA 8.55 9.62 1.32 NA NA 24.54 25.61 090 15841 A Graft for face nerve palsy 25.57 NA NA 13.05 14.51 2.54 NA NA 41.16 42.62 090 15842 A Flap for face nerve palsy 40.55 NA NA 21.01 22.44 4.93 NA NA 66.49 67.92 090 15845 A Skin and muscle repair, face 13.93 NA NA 8.77 9.17 0.81 NA NA 23.51 23.91 090 15850 B Removal of sutures 0.78 1.21 1.47 0.18 0.27 0.05 2.04 2.30 1.01 1.10 XXX 15851 A Removal of sutures 0.86 1.33 1.59 0.24 0.29 0.06 2.25 2.51 1.16 1.21 000 Start Printed Page 49094 15852 A Dressing change not for burn 0.86 1.62 1.79 0.25 0.31 0.09 2.57 2.74 1.20 1.26 000 15860 A Test for blood flow in graft 1.95 NA NA 0.70 0.76 0.27 NA NA 2.92 2.98 000 15920 A Removal of tail bone ulcer 8.06 NA NA 5.83 5.62 1.04 NA NA 14.93 14.72 090 15922 A Removal of tail bone ulcer 10.13 NA NA 7.01 7.16 1.42 NA NA 18.56 18.71 090 15931 A Remove sacrum pressure sore 9.89 NA NA 5.55 5.65 1.25 NA NA 16.69 16.79 090 15933 A Remove sacrum pressure sore 11.49 NA NA 7.34 7.72 1.52 NA NA 20.35 20.73 090 15934 A Remove sacrum pressure sore 13.45 NA NA 7.61 7.93 1.78 NA NA 22.84 23.16 090 15935 A Remove sacrum pressure sore 15.45 NA NA 10.14 10.28 2.09 NA NA 27.68 27.82 090 15936 A Remove sacrum pressure sore 12.96 NA NA 7.49 8.04 1.76 NA NA 22.21 22.76 090 15937 A Remove sacrum pressure sore 14.91 NA NA 8.96 9.61 2.06 NA NA 25.93 26.58 090 15940 A Remove hip pressure sore 10.05 NA NA 5.84 6.09 1.31 NA NA 17.20 17.45 090 15941 A Remove hip pressure sore 12.13 NA NA 8.51 9.22 1.66 NA NA 22.30 23.01 090 15944 A Remove hip pressure sore 12.16 NA NA 8.24 8.51 1.65 NA NA 22.05 22.32 090 15945 A Remove hip pressure sore 13.45 NA NA 9.15 9.52 1.84 NA NA 24.44 24.81 090 15946 A Remove hip pressure sore 23.72 NA NA 13.95 14.27 3.16 NA NA 40.83 41.15 090 15950 A Remove thigh pressure sore 7.83 NA NA 5.40 5.41 1.04 NA NA 14.27 14.28 090 15951 A Remove thigh pressure sore 11.30 NA NA 8.00 7.90 1.49 NA NA 20.79 20.69 090 15952 A Remove thigh pressure sore 12.03 NA NA 7.77 7.76 1.60 NA NA 21.40 21.39 090 15953 A Remove thigh pressure sore 13.27 NA NA 9.10 9.02 1.79 NA NA 24.16 24.08 090 15956 A Remove thigh pressure sore 16.46 NA NA 9.66 10.49 2.21 NA NA 28.33 29.16 090 15958 A Remove thigh pressure sore 16.42 NA NA 10.28 10.85 2.25 NA NA 28.95 29.52 090 15999 C Removal of pressure sore 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 16000 A Initial treatment of burn(s) 0.89 0.73 0.83 0.24 0.26 0.08 1.70 1.80 1.21 1.23 000 16020 A Dress/debrid p-thick burn, s 0.80 1.11 1.25 0.56 0.58 0.08 1.99 2.13 1.44 1.46 000 16025 A Dress/debrid p-thick burn, m 1.85 1.61 1.72 0.88 0.94 0.19 3.65 3.76 2.92 2.98 000 16030 A Dress/debrid p-thick burn, l 2.08 1.98 2.12 0.96 1.08 0.24 4.30 4.44 3.28 3.40 000 16035 A Incision of burn scab, initi 3.74 NA NA 1.27 1.50 0.46 NA NA 5.47 5.70 090 16036 A Escharotomy; addIl incision 1.50 NA NA 0.49 0.57 0.20 NA NA 2.19 2.27 ZZZ 17000 A Destroy benign/premlg lesion 0.60 1.36 1.07 0.71 0.58 0.03 1.99 1.70 1.34 1.21 010 17003 A Destroy lesions, 2-14 0.07 0.10 0.11 0.03 0.06 0.01 0.18 0.19 0.11 0.14 ZZZ 17004 A Destroy lesions, 15 or more 1.58 2.23 2.28 1.20 1.49 0.11 3.92 3.97 2.89 3.18 010 17106 A Destruction of skin lesions 4.58 4.56 4.59 3.18 3.29 0.35 9.49 9.52 8.11 8.22 090 17107 A Destruction of skin lesions 9.15 7.08 7.17 5.01 5.34 0.63 16.86 16.95 14.79 15.12 090 17108 A Destruction of skin lesions 13.18 9.19 9.24 6.64 7.41 0.54 22.91 22.96 20.36 21.13 090 17110 A Destruct lesion, 1-14 0.65 1.74 1.65 0.85 0.74 0.05 2.44 2.35 1.55 1.44 010 17111 A Destruct lesion, 15 or more 0.92 2.23 1.81 1.09 0.88 0.05 3.20 2.78 2.06 1.85 010 17250 A Chemical cautery, tissue 0.50 1.32 1.25 0.38 0.35 0.06 1.88 1.81 0.94 0.91 000 17260 A Destruction of skin lesions 0.91 1.37 1.30 0.68 0.67 0.04 2.32 2.25 1.63 1.62 010 17261 A Destruction of skin lesions 1.17 2.42 1.81 1.02 0.88 0.05 3.64 3.03 2.24 2.10 010 17262 A Destruction of skin lesions 1.58 2.74 2.10 1.22 1.07 0.06 4.38 3.74 2.86 2.71 010 17263 A Destruction of skin lesions 1.79 2.97 2.28 1.31 1.15 0.07 4.83 4.14 3.17 3.01 010 17264 A Destruction of skin lesions 1.94 3.17 2.46 1.38 1.19 0.08 5.19 4.48 3.40 3.21 010 17266 A Destruction of skin lesions 2.34 3.42 2.73 1.54 1.30 0.09 5.85 5.16 3.97 3.73 010 17270 A Destruction of skin lesions 1.32 2.36 1.87 1.05 0.92 0.05 3.73 3.24 2.42 2.29 010 17271 A Destruction of skin lesions 1.49 2.58 1.97 1.17 1.03 0.06 4.13 3.52 2.72 2.58 010 17272 A Destruction of skin lesions 1.77 2.88 2.21 1.31 1.16 0.07 4.72 4.05 3.15 3.00 010 17273 A Destruction of skin lesions 2.05 3.12 2.43 1.43 1.27 0.08 5.25 4.56 3.56 3.40 010 17274 A Destruction of skin lesions 2.59 3.50 2.80 1.68 1.50 0.10 6.19 5.49 4.37 4.19 010 17276 A Destruction of skin lesions 3.20 3.78 3.15 1.91 1.74 0.16 7.14 6.51 5.27 5.10 010 17280 A Destruction of skin lesions 1.17 2.29 1.78 0.99 0.86 0.05 3.51 3.00 2.21 2.08 010 17281 A Destruction of skin lesions 1.72 2.65 2.09 1.28 1.14 0.07 4.44 3.88 3.07 2.93 010 17282 A Destruction of skin lesions 2.04 3.04 2.37 1.43 1.29 0.08 5.16 4.49 3.55 3.41 010 17283 A Destruction of skin lesions 2.64 3.45 2.77 1.70 1.54 0.11 6.20 5.52 4.45 4.29 010 17284 A Destruction of skin lesions 3.21 3.86 3.16 1.95 1.80 0.13 7.20 6.50 5.29 5.14 010 17286 A Destruction of skin lesions 4.43 4.28 3.82 2.38 2.43 0.23 8.94 8.48 7.04 7.09 010 17304 A 1 stage mohs, up to 5 spec 7.59 11.63 9.09 3.58 3.57 0.30 19.52 16.98 11.47 11.46 000 Start Printed Page 49095 17305 A 2 stage mohs, up to 5 spec 2.85 6.74 4.60 1.34 1.34 0.11 9.70 7.56 4.30 4.30 000 17306 A 3 stage mohs, up to 5 spec 2.85 6.99 4.68 1.33 1.35 0.11 9.95 7.64 4.29 4.31 000 17307 A Mohs addl stage up to 5 spec 2.85 6.74 4.36 1.34 1.36 0.11 9.70 7.32 4.30 4.32 000 17310 A Mohs any stage > 5 spec each 0.95 1.94 1.70 0.45 0.46 0.03 2.92 2.68 1.43 1.44 ZZZ 17340 A Cryotherapy of skin 0.76 0.33 0.36 0.36 0.36 0.05 1.14 1.17 1.17 1.17 010 17360 A Skin peel therapy 1.43 1.38 1.43 0.95 0.89 0.06 2.87 2.92 2.44 2.38 010 17999 C Skin tissue procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 19000 A Drainage of breast lesion 0.84 1.90 1.96 0.24 0.29 0.08 2.82 2.88 1.16 1.21 000 19001 A Drain breast lesion add-on 0.42 0.24 0.25 0.12 0.14 0.04 0.70 0.71 0.58 0.60 ZZZ 19020 A Incision of breast lesion 3.68 6.67 6.42 3.05 2.77 0.45 10.80 10.55 7.18 6.90 090 19030 A Injection for breast x-ray 1.53 2.62 2.80 0.48 0.50 0.09 4.24 4.42 2.10 2.12 000 19100 A Bx breast percut w/o image 1.27 2.09 2.08 0.33 0.40 0.16 3.52 3.51 1.76 1.83 000 19101 A Biopsy of breast, open 3.18 4.35 4.46 1.77 1.88 0.39 7.92 8.03 5.34 5.45 010 19102 A Bx breast percut w/image 2.00 3.41 3.73 0.61 0.65 0.14 5.55 5.87 2.75 2.79 000 19103 A Bx breast percut w/device 3.69 10.05 11.13 1.09 1.20 0.30 14.04 15.12 5.08 5.19 000 19110 A Nipple exploration 4.29 6.45 5.96 3.28 2.97 0.57 11.31 10.82 8.14 7.83 090 19112 A Excise breast duct fistula 3.66 6.31 6.12 3.17 2.80 0.48 10.45 10.26 7.31 6.94 090 19120 A Removal of breast lesion 5.80 5.12 4.69 3.39 3.14 0.73 11.65 11.22 9.92 9.67 090 19125 A Excision, breast lesion 6.55 5.60 4.99 3.68 3.38 0.80 12.95 12.34 11.03 10.73 090 19126 A Excision, addl breast lesion 2.93 NA NA 0.76 0.94 0.38 NA NA 4.07 4.25 ZZZ 19140 A Removal of breast tissue 5.13 8.06 7.37 3.85 3.51 0.69 13.88 13.19 9.67 9.33 090 19160 A Partial mastectomy 5.98 NA NA 3.64 3.48 0.79 NA NA 10.41 10.25 090 19162 A P-mastectomy w/ln removal 13.81 NA NA 6.16 6.29 1.79 NA NA 21.76 21.89 090 19180 A Removal of breast 15.61 NA NA 7.07 5.53 1.18 NA NA 23.86 22.32 090 19182 A Removal of breast 7.72 NA NA 5.01 4.82 1.04 NA NA 13.77 13.58 090 19200 A Removal of breast 17.14 NA NA 8.22 8.03 1.92 NA NA 27.28 27.09 090 19220 A Removal of breast 17.74 NA NA 8.69 8.35 2.07 NA NA 28.50 28.16 090 19240 A Removal of breast 17.84 NA NA 8.85 8.36 2.12 NA NA 28.81 28.32 090 19260 A Removal of chest wall lesion 17.53 NA NA 10.33 10.95 2.13 NA NA 29.99 30.61 090 19271 A Revision of chest wall 21.73 NA NA 16.03 17.47 2.62 NA NA 40.38 41.82 090 19272 A Extensive chest wall surgery 24.68 NA NA 17.13 18.48 2.99 NA NA 44.80 46.15 090 19290 A Place needle wire, breast 1.27 2.85 2.85 0.39 0.41 0.07 4.19 4.19 1.73 1.75 000 19291 A Place needle wire, breast 0.63 1.12 1.19 0.20 0.21 0.04 1.79 1.86 0.87 0.88 ZZZ 19295 A Place breast clip, percut 0.00 2.30 2.59 0.00 2.02 0.01 2.31 2.60 0.01 2.03 ZZZ 19296 A Place po breast cath for rad 3.63 85.32 115.4 1.21 1.45 0.36 89.31 119.4 5.20 5.44 000 19297 A Place breast cath for rad 1.72 NA NA 0.47 0.60 0.17 NA NA 2.36 2.49 ZZZ 19298 A Place breast rad tube/caths 6.00 22.79 37.32 1.92 2.29 0.43 29.22 43.75 8.35 8.72 000 19316 A Suspension of breast 10.92 NA NA 7.10 7.41 1.64 NA NA 19.66 19.97 090 19318 A Reduction of large breast 15.85 NA NA 9.99 10.88 2.92 NA NA 28.76 29.65 090 19324 A Enlarge breast 6.59 NA NA 4.67 4.84 0.84 NA NA 12.10 12.27 090 19325 A Enlarge breast with implant 8.44 NA NA 6.46 6.51 1.33 NA NA 16.23 16.28 090 19328 A Removal of breast implant 6.30 NA NA 5.03 5.02 0.91 NA NA 12.24 12.23 090 19330 A Removal of implant material 8.33 NA NA 6.21 6.08 1.26 NA NA 15.80 15.67 090 19340 A Immediate breast prosthesis 6.32 NA NA 2.86 3.05 1.06 NA NA 10.24 10.43 ZZZ 19342 A Delayed breast prosthesis 12.31 NA NA 9.01 8.94 1.83 NA NA 23.15 23.08 090 19350 A Breast reconstruction 8.91 9.93 12.86 6.61 7.03 1.41 20.25 23.18 16.93 17.35 090 19355 A Correct inverted nipple(s) 8.31 7.78 9.63 4.93 4.76 0.92 17.01 18.86 14.16 13.99 090 19357 A Breast reconstruction 20.33 NA NA 15.50 15.58 2.93 NA NA 38.76 38.84 090 19361 A Breast reconstruction 20.63 NA NA 12.36 12.41 2.92 NA NA 35.91 35.96 090 19364 A Breast reconstruction 42.30 NA NA 22.88 23.38 6.22 NA NA 71.40 71.90 090 19366 A Breast reconstruction 21.62 NA NA 10.10 11.21 3.24 NA NA 34.96 36.07 090 19367 A Breast reconstruction 26.51 NA NA 15.33 16.35 4.03 NA NA 45.87 46.89 090 19368 A Breast reconstruction 33.51 NA NA 18.23 18.75 5.52 NA NA 57.26 57.78 090 19369 A Breast reconstruction 30.92 NA NA 15.98 17.80 4.50 NA NA 51.40 53.22 090 19370 A Surgery of breast capsule 8.92 NA NA 6.86 6.89 1.29 NA NA 17.07 17.10 090 19371 A Removal of breast capsule 10.34 NA NA 7.74 7.80 1.62 NA NA 19.70 19.76 090 19380 A Revise breast reconstruction 10.13 NA NA 7.67 7.69 1.44 NA NA 19.24 19.26 090 19396 A Design custom breast implant 2.17 4.52 1.94 1.24 1.05 0.30 6.99 4.41 3.71 3.52 000 19499 C Breast surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 20000 A Incision of abscess 2.12 2.79 2.72 1.53 1.68 0.25 5.16 5.09 3.90 4.05 010 20005 A Incision of deep abscess 3.53 3.72 3.55 2.04 2.20 0.46 7.71 7.54 6.03 6.19 010 20100 A Explore wound, neck 10.31 NA NA 3.63 4.25 1.21 NA NA 15.15 15.77 010 20101 A Explore wound, chest 3.22 6.46 6.06 1.52 1.60 0.44 10.12 9.72 5.18 5.26 010 20102 A Explore wound, abdomen 3.93 6.99 7.34 1.85 1.89 0.49 11.41 11.76 6.27 6.31 010 20103 A Explore wound, extremity 5.29 7.72 8.37 2.73 3.23 0.75 13.76 14.41 8.77 9.27 010 20150 A Excise epiphyseal bar 14.54 NA NA 7.73 7.21 2.03 NA NA 24.30 23.78 090 Start Printed Page 49096 20200 A Muscle biopsy 1.46 3.17 3.07 0.70 0.74 0.23 4.86 4.76 2.39 2.43 000 20205 A Deep muscle biopsy 2.35 3.86 3.88 1.11 1.17 0.33 6.54 6.56 3.79 3.85 000 20206 A Needle biopsy, muscle 0.99 5.25 6.19 0.54 0.61 0.07 6.31 7.25 1.60 1.67 000 20220 A Bone biopsy, trocar/needle 1.27 2.71 4.10 0.65 0.76 0.08 4.06 5.45 2.00 2.11 000 20225 A Bone biopsy, trocar/needle 1.87 13.16 21.63 1.03 1.11 0.22 15.25 23.72 3.12 3.20 000 20240 A Bone biopsy, excisional 3.23 NA NA 2.07 2.43 0.44 NA NA 5.74 6.10 010 20245 A Bone biopsy, excisional 8.71 NA NA 5.79 6.38 1.31 NA NA 15.81 16.40 010 20250 A Open bone biopsy 5.14 NA NA 3.74 3.56 1.02 NA NA 9.90 9.72 010 20251 A Open bone biopsy 5.67 NA NA 3.91 4.10 1.15 NA NA 10.73 10.92 010 20500 A Injection of sinus tract 1.23 1.30 2.02 0.85 1.36 0.12 2.65 3.37 2.20 2.71 010 20501 A Inject sinus tract for x-ray 0.76 2.35 2.77 0.24 0.25 0.04 3.15 3.57 1.04 1.05 000 20520 A Removal of foreign body 1.85 2.59 2.83 1.44 1.68 0.21 4.65 4.89 3.50 3.74 010 20525 A Removal of foreign body 3.49 7.09 8.63 2.20 2.52 0.51 11.09 12.63 6.20 6.52 010 20526 A Ther injection, carp tunnel 0.94 0.82 0.93 0.41 0.49 0.13 1.89 2.00 1.48 1.56 000 20550 A Inj tendon sheath/ligament 0.75 0.63 0.69 0.28 0.24 0.09 1.47 1.53 1.12 1.08 000 20551 A Inj tendon origin/insertion 0.75 0.64 0.67 0.29 0.32 0.08 1.47 1.50 1.12 1.15 000 20552 A Inj trigger point, 1/2 muscl 0.66 0.58 0.69 0.25 0.21 0.05 1.29 1.40 0.96 0.92 000 20553 A Inject trigger points, =/> 3 0.75 0.65 0.78 0.27 0.23 0.04 1.44 1.57 1.06 1.02 000 20600 A Drain/inject, joint/bursa 0.66 0.67 0.66 0.31 0.34 0.08 1.41 1.40 1.05 1.08 000 20605 A Drain/inject, joint/bursa 0.68 0.74 0.76 0.33 0.35 0.08 1.50 1.52 1.09 1.11 000 20610 A Drain/inject, joint/bursa 0.79 1.07 0.98 0.40 0.42 0.11 1.97 1.88 1.30 1.32 000 20612 A Aspirate/inj ganglion cyst 0.70 0.70 0.71 0.32 0.35 0.10 1.50 1.51 1.12 1.15 000 20615 A Treatment of bone cyst 2.28 2.72 3.31 1.41 1.73 0.20 5.20 5.79 3.89 4.21 010 20650 A Insert and remove bone pin 2.23 2.51 2.40 1.48 1.53 0.31 5.05 4.94 4.02 4.07 010 20660 A Apply, rem fixation device 2.51 3.39 3.14 1.50 1.58 0.59 6.49 6.24 4.60 4.68 000 20661 A Application of head brace 5.06 NA NA 6.00 5.18 1.14 NA NA 12.20 11.38 090 20662 A Application of pelvis brace 6.18 NA NA 4.85 5.35 0.56 NA NA 11.59 12.09 090 20663 A Application of thigh brace 5.54 NA NA 5.14 4.91 0.94 NA NA 11.62 11.39 090 20664 A Halo brace application 9.78 NA NA 8.13 7.31 1.74 NA NA 19.65 18.83 090 20665 A Removal of fixation device 1.31 1.38 1.96 0.97 1.26 0.19 2.88 3.46 2.47 2.76 010 20670 A Removal of support implant 1.74 6.70 10.33 1.68 2.00 0.28 8.72 12.35 3.70 4.02 010 20680 A Removal of support implant 5.86 8.20 8.64 4.10 3.82 0.56 14.62 15.06 10.52 10.24 090 20690 A Apply bone fixation device 3.63 NA NA 2.27 2.45 0.59 NA NA 6.49 6.67 090 20692 A Apply bone fixation device 6.40 NA NA 3.29 3.65 1.05 NA NA 10.74 11.10 090 20693 A Adjust bone fixation device 5.91 NA NA 4.54 5.22 0.98 NA NA 11.43 12.11 090 20694 A Remove bone fixation device 4.15 5.37 6.70 3.56 3.92 0.71 10.23 11.56 8.42 8.78 090 20802 A Replantation, arm, complete 42.16 NA NA 24.05 21.73 3.81 NA NA 70.02 67.70 090 20805 A Replant forearm, complete 51.00 NA NA 25.95 32.22 4.84 NA NA 81.79 88.06 090 20808 A Replantation hand, complete 62.63 NA NA 38.79 41.36 6.86 NA NA 108.28 110.85 090 20816 A Replantation digit, complete 31.64 NA NA 24.53 34.48 4.52 NA NA 60.69 70.64 090 20822 A Replantation digit, complete 26.30 NA NA 22.24 31.50 4.18 NA NA 52.72 61.98 090 20824 A Replantation thumb, complete 31.64 NA NA 25.77 33.85 4.61 NA NA 62.02 70.10 090 20827 A Replantation thumb, complete 27.12 NA NA 23.90 33.33 3.66 NA NA 54.68 64.11 090 20838 A Replantation foot, complete 42.42 NA NA 13.65 20.12 1.12 NA NA 57.19 63.66 090 20900 A Removal of bone for graft 5.69 9.33 8.66 4.95 5.49 0.94 15.96 15.29 11.58 12.12 090 20902 A Removal of bone for graft 7.90 NA NA 5.84 6.62 1.30 NA NA 15.04 15.82 090 20910 A Remove cartilage for graft 5.33 NA NA 4.62 5.04 0.71 NA NA 10.66 11.08 090 20912 A Remove cartilage for graft 6.34 NA NA 4.67 5.51 0.69 NA NA 11.70 12.54 090 20920 A Removal of fascia for graft 5.36 NA NA 4.36 4.26 0.66 NA NA 10.38 10.28 090 20922 A Removal of fascia for graft 6.78 7.52 7.54 4.96 4.89 0.70 15.00 15.02 12.44 12.37 090 20924 A Removal of tendon for graft 6.53 NA NA 5.00 5.66 1.04 NA NA 12.57 13.23 090 20926 A Removal of tissue for graft 5.64 NA NA 4.41 4.67 0.87 NA NA 10.92 11.18 090 20931 A Spinal bone allograft 1.81 NA NA 0.69 0.87 0.43 NA NA 2.93 3.11 ZZZ 20937 A Spinal bone autograft 2.79 NA NA 1.09 1.36 0.54 NA NA 4.42 4.69 ZZZ 20938 A Spinal bone autograft 3.02 NA NA 1.16 1.46 0.64 NA NA 4.82 5.12 ZZZ 20950 A Fluid pressure, muscle 1.26 4.19 6.18 0.88 0.96 0.20 5.65 7.64 2.34 2.42 000 Start Printed Page 49097 20955 A Fibula bone graft, microvasc 39.90 NA NA 18.08 22.72 4.89 NA NA 62.87 67.51 090 20956 A Iliac bone graft, microvasc 40.79 NA NA 20.77 23.75 7.01 NA NA 68.57 71.55 090 20957 A Mt bone graft, microvasc 42.17 NA NA 19.43 19.06 7.05 NA NA 68.65 68.28 090 20962 A Other bone graft, microvasc 39.21 NA NA 21.28 25.21 6.55 NA NA 67.04 70.97 090 20969 A Bone/skin graft, microvasc 44.99 NA NA 20.27 25.04 4.79 NA NA 70.05 74.82 090 20970 A Bone/skin graft, iliac crest 44.14 NA NA 20.21 24.09 6.60 NA NA 70.95 74.83 090 20972 A Bone/skin graft, metatarsal 44.07 NA NA 17.61 19.84 5.30 NA NA 66.98 69.21 090 20973 A Bone/skin graft, great toe 46.83 NA NA 15.05 22.63 5.54 NA NA 67.42 75.00 090 20974 A Electrical bone stimulation 0.62 0.99 0.77 0.49 0.53 0.11 1.72 1.50 1.22 1.26 000 20975 A Electrical bone stimulation 2.60 NA NA 1.48 1.65 0.51 NA NA 4.59 4.76 000 20979 A Us bone stimulation 0.62 0.58 0.75 0.19 0.30 0.09 1.29 1.46 0.90 1.01 000 20982 A Ablate, bone tumor(s) perq 7.27 83.20 103.0 2.62 2.88 0.69 91.16 110.9 10.58 10.84 000 20999 C Musculoskeletal surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21010 A Incision of jaw joint 10.82 NA NA 5.85 6.78 1.11 NA NA 17.78 18.71 090 21015 A Resection of facial tumor 5.53 NA NA 4.30 4.83 0.70 NA NA 10.53 11.06 090 21025 A Excision of bone, lower jaw 10.99 12.48 12.30 8.68 9.18 1.32 24.79 24.61 20.99 21.49 090 21026 A Excision of facial bone(s) 5.46 8.70 8.07 5.84 6.20 0.60 14.76 14.13 11.90 12.26 090 21029 A Contour of face bone lesion 8.20 9.26 9.34 6.27 6.83 0.94 18.40 18.48 15.41 15.97 090 21030 A Excise max/zygoma b9 tumor 4.74 7.18 6.54 4.67 4.94 0.54 12.46 11.82 9.95 10.22 090 21031 A Remove exostosis, mandible 3.24 5.99 5.38 3.51 3.59 0.48 9.71 9.10 7.23 7.31 090 21032 A Remove exostosis, maxilla 3.24 6.07 5.52 3.37 3.48 0.47 9.78 9.23 7.08 7.19 090 21034 A Excise max/zygoma mlg tumor 17.09 13.17 15.23 9.51 11.87 1.71 31.97 34.03 28.31 30.67 090 21040 A Excise mandible lesion 4.74 7.25 6.61 4.67 4.71 0.54 12.53 11.89 9.95 9.99 090 21044 A Removal of jaw bone lesion 12.53 NA NA 7.48 8.90 1.12 NA NA 21.13 22.55 090 21045 A Extensive jaw surgery 18.03 NA NA 10.01 11.77 1.52 NA NA 29.56 31.32 090 21046 A Remove mandible cyst complex 13.85 NA NA 11.62 11.83 1.85 NA NA 27.32 27.53 090 21047 A Excise lwr jaw cyst w/repair 19.71 NA NA 9.74 12.52 2.12 NA NA 31.57 34.35 090 21048 A Remove maxilla cyst complex 14.35 NA NA 11.37 11.94 1.76 NA NA 27.48 28.05 090 21049 A Excis uppr jaw cyst w/repair 18.96 NA NA 9.09 12.04 1.59 NA NA 29.64 32.59 090 21050 A Removal of jaw joint 11.44 NA NA 8.18 9.13 1.47 NA NA 21.09 22.04 090 21060 A Remove jaw joint cartilage 10.83 NA NA 7.52 8.34 1.38 NA NA 19.73 20.55 090 21070 A Remove coronoid process 8.44 NA NA 6.15 6.86 1.27 NA NA 15.86 16.57 090 21076 A Prepare face/oral prosthesis 13.40 7.85 11.23 4.80 8.70 1.99 23.24 26.62 20.19 24.09 010 21077 A Prepare face/oral prosthesis 33.70 18.26 28.06 12.31 22.58 4.55 56.51 66.31 50.56 60.83 090 21079 A Prepare face/oral prosthesis 22.31 13.35 19.46 8.28 14.93 3.15 38.81 44.92 33.74 40.39 090 21080 A Prepare face/oral prosthesis 25.06 15.43 22.23 9.22 16.83 3.74 44.23 51.03 38.02 45.63 090 21081 A Prepare face/oral prosthesis 22.85 14.17 20.27 8.48 15.24 3.20 40.22 46.32 34.53 41.29 090 21082 A Prepare face/oral prosthesis 20.84 14.12 18.04 8.42 13.90 3.11 38.07 41.99 32.37 37.85 090 21083 A Prepare face/oral prosthesis 19.27 14.06 17.61 7.91 12.80 2.88 36.21 39.76 30.06 34.95 090 21084 A Prepare face/oral prosthesis 22.48 15.56 20.71 8.82 15.48 2.18 40.22 45.37 33.48 40.14 090 21085 A Prepare face/oral prosthesis 8.99 6.54 7.85 3.57 5.98 1.27 16.80 18.11 13.83 16.24 010 21086 A Prepare face/oral prosthesis 24.88 12.62 20.96 8.63 16.73 3.71 41.21 49.55 37.22 45.32 090 21087 A Prepare face/oral prosthesis 24.88 12.85 20.67 8.82 16.60 3.44 41.17 48.99 37.14 44.92 090 21088 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 090 21100 A Maxillofacial fixation 4.46 13.75 12.09 5.05 4.82 0.34 18.55 16.89 9.85 9.62 090 21110 A Interdental fixation 5.70 13.26 10.49 9.89 8.74 0.72 19.68 16.91 16.31 15.16 090 21116 A Injection, jaw joint x-ray 0.81 2.44 3.86 0.22 0.30 0.06 3.31 4.73 1.09 1.17 000 21120 A Reconstruction of chin 4.92 10.02 10.44 6.88 7.34 0.60 15.54 15.96 12.40 12.86 090 21121 A Reconstruction of chin 7.63 10.59 9.95 7.50 7.74 0.90 19.12 18.48 16.03 16.27 090 21122 A Reconstruction of chin 8.51 NA NA 7.64 8.38 1.07 NA NA 17.22 17.96 090 21123 A Reconstruction of chin 11.14 NA NA 10.06 10.62 1.40 NA NA 22.60 23.16 090 21125 A Augmentation, lower jaw bone 10.60 68.89 58.64 7.04 8.00 0.79 80.28 70.03 18.43 19.39 090 21127 A Augmentation, lower jaw bone 12.16 86.74 53.79 7.70 9.01 1.52 100.4 67.47 21.38 22.69 090 21137 A Reduction of forehead 10.06 NA NA 6.30 7.37 1.32 NA NA 17.68 18.75 090 21138 A Reduction of forehead 12.67 NA NA 8.50 9.27 1.74 NA NA 22.91 23.68 090 21139 A Reduction of forehead 14.84 NA NA 8.49 10.42 1.18 NA NA 24.51 26.44 090 21141 A Reconstruct midface, lefort 19.13 NA NA 11.47 13.11 2.35 NA NA 32.95 34.59 090 21142 A Reconstruct midface, lefort 19.84 NA NA 10.53 12.25 2.38 NA NA 32.75 34.47 090 21143 A Reconstruct midface, lefort 20.61 NA NA 8.90 12.96 1.66 NA NA 31.17 35.23 090 21145 A Reconstruct midface, lefort 23.52 NA NA 12.75 13.61 2.84 NA NA 39.11 39.97 090 21146 A Reconstruct midface, lefort 24.42 NA NA 9.45 13.86 3.09 NA NA 36.96 41.37 090 21147 A Reconstruct midface, lefort 26.01 NA NA 13.58 14.68 1.84 NA NA 41.43 42.53 090 21150 A Reconstruct midface, lefort 25.70 NA NA 13.25 15.88 2.55 NA NA 41.50 44.13 090 21151 A Reconstruct midface, lefort 28.76 NA NA 11.72 20.14 2.30 NA NA 42.78 51.20 090 21154 A Reconstruct midface, lefort 30.95 NA NA 21.25 22.65 2.48 NA NA 54.68 56.08 090 Start Printed Page 49098 21155 A Reconstruct midface, lefort 34.88 NA NA 13.43 21.28 6.64 NA NA 54.95 62.80 090 21159 A Reconstruct midface, lefort 42.80 NA NA 15.27 25.63 8.18 NA NA 66.25 76.61 090 21160 A Reconstruct midface, lefort 46.85 NA NA 23.11 26.38 4.13 NA NA 74.09 77.36 090 21172 A Reconstruct orbit/forehead 28.01 NA NA 13.59 13.71 3.55 NA NA 45.15 45.27 090 21175 A Reconstruct orbit/forehead 33.37 NA NA 12.92 16.57 4.83 NA NA 51.12 54.77 090 21179 A Reconstruct entire forehead 22.47 NA NA 10.96 13.34 2.80 NA NA 36.23 38.61 090 21180 A Reconstruct entire forehead 25.40 NA NA 13.01 14.79 3.48 NA NA 41.89 43.67 090 21181 A Contour cranial bone lesion 10.14 NA NA 7.05 7.36 1.32 NA NA 18.51 18.82 090 21182 A Reconstruct cranial bone 32.39 NA NA 14.29 17.91 2.80 NA NA 49.48 53.10 090 21183 A Reconstruct cranial bone 35.51 NA NA 15.48 19.49 4.47 NA NA 55.46 59.47 090 21184 A Reconstruct cranial bone 38.43 NA NA 21.02 21.71 5.70 NA NA 65.15 65.84 090 21188 A Reconstruction of midface 22.91 NA NA 14.82 17.86 1.69 NA NA 39.42 42.46 090 21193 A Reconst lwr jaw w/o graft 18.55 NA NA 10.06 12.00 2.23 NA NA 30.84 32.78 090 21194 A Reconst lwr jaw w/graft 21.43 NA NA 11.45 13.18 2.02 NA NA 34.90 36.63 090 21195 A Reconst lwr jaw w/o fixation 18.77 NA NA 13.26 14.43 1.64 NA NA 33.67 34.84 090 21196 A Reconst lwr jaw w/fixation 20.44 NA NA 13.20 15.07 2.07 NA NA 35.71 37.58 090 21198 A Reconstr lwr jaw segment 15.39 NA NA 11.05 12.29 1.44 NA NA 27.88 29.12 090 21199 A Reconstr lwr jaw w/advance 16.56 NA NA 6.79 8.53 1.39 NA NA 24.74 26.48 090 21206 A Reconstruct upper jaw bone 15.27 NA NA 11.15 12.26 1.33 NA NA 27.75 28.86 090 21208 A Augmentation of facial bones 11.03 32.43 24.86 7.71 9.11 1.09 44.55 36.98 19.83 21.23 090 21209 A Reduction of facial bones 7.46 12.33 11.18 7.42 7.91 0.90 20.69 19.54 15.78 16.27 090 21210 A Face bone graft 11.28 43.84 29.61 7.70 8.94 1.30 56.42 42.19 20.28 21.52 090 21215 A Lower jaw bone graft 11.82 86.57 53.05 7.99 9.02 1.53 99.92 66.40 21.34 22.37 090 21230 A Rib cartilage graft 11.00 NA NA 6.94 7.77 1.29 NA NA 19.23 20.06 090 21235 A Ear cartilage graft 7.21 9.70 9.81 5.89 6.28 0.61 17.52 17.63 13.71 14.10 090 21240 A Reconstruction of jaw joint 15.65 NA NA 11.31 11.87 2.24 NA NA 29.20 29.76 090 21242 A Reconstruction of jaw joint 14.20 NA NA 10.64 11.29 1.78 NA NA 26.62 27.27 090 21243 A Reconstruction of jaw joint 23.83 NA NA 15.77 17.02 3.25 NA NA 42.85 44.10 090 21244 A Reconstruction of lower jaw 13.23 NA NA 10.93 11.80 1.25 NA NA 25.41 26.28 090 21245 A Reconstruction of jaw 12.78 13.37 14.14 7.99 9.39 1.19 27.34 28.11 21.96 23.36 090 21246 A Reconstruction of jaw 12.70 NA NA 6.67 8.45 1.35 NA NA 20.72 22.50 090 21247 A Reconstruct lower jaw bone 23.91 NA NA 13.59 16.41 2.83 NA NA 40.33 43.15 090 21248 A Reconstruction of jaw 12.46 12.60 12.25 7.51 8.93 1.55 26.61 26.26 21.52 22.94 090 21249 A Reconstruction of jaw 18.49 16.13 16.57 9.94 12.00 2.48 37.10 37.54 30.91 32.97 090 21255 A Reconstruct lower jaw bone 18.00 NA NA 13.33 15.43 2.38 NA NA 33.71 35.81 090 21256 A Reconstruction of orbit 17.32 NA NA 9.98 11.36 1.50 NA NA 28.80 30.18 090 21260 A Revise eye sockets 17.66 NA NA 9.51 11.95 0.97 NA NA 28.14 30.58 090 21261 A Revise eye sockets 33.66 NA NA 14.88 21.89 3.42 NA NA 51.96 58.97 090 21263 A Revise eye sockets 30.60 NA NA 14.17 17.85 2.62 NA NA 47.39 51.07 090 21267 A Revise eye sockets 20.35 NA NA 16.14 18.86 1.70 NA NA 38.19 40.91 090 21268 A Revise eye sockets 26.66 NA NA 15.74 19.09 3.65 NA NA 46.05 49.40 090 21270 A Augmentation, cheek bone 10.46 11.17 11.53 5.89 6.91 0.72 22.35 22.71 17.07 18.09 090 21275 A Revision, orbitofacial bones 11.59 NA NA 7.41 7.97 1.29 NA NA 20.29 20.85 090 21280 A Revision of eyelid 6.84 NA NA 5.84 5.90 0.42 NA NA 13.10 13.16 090 21282 A Revision of eyelid 4.05 NA NA 4.26 4.43 0.26 NA NA 8.57 8.74 090 21295 A Revision of jaw muscle/bone 1.78 NA NA 2.61 2.55 0.16 NA NA 4.55 4.49 090 21296 A Revision of jaw muscle/bone 4.61 NA NA 5.46 5.05 0.34 NA NA 10.41 10.00 090 21299 C Cranio/maxillofacial surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21300 A Treatment of skull fracture 0.72 0.28 1.84 0.28 0.27 0.13 1.13 2.69 1.13 1.12 000 21310 A Treatment of nose fracture 0.58 1.97 2.20 0.11 0.14 0.05 2.60 2.83 0.74 0.77 000 21315 A Treatment of nose fracture 1.76 4.46 4.29 1.65 1.82 0.14 6.36 6.19 3.55 3.72 010 21320 A Treatment of nose fracture 1.85 4.05 3.95 1.25 1.53 0.18 6.08 5.98 3.28 3.56 010 21325 A Treatment of nose fracture 4.01 NA NA 6.72 8.15 0.31 NA NA 11.04 12.47 090 21330 A Treatment of nose fracture 5.62 NA NA 7.44 9.14 0.56 NA NA 13.62 15.32 090 21335 A Treatment of nose fracture 8.85 NA NA 7.74 9.15 0.74 NA NA 17.33 18.74 090 21336 A Treat nasal septal fracture 6.46 NA NA 8.16 9.25 0.55 NA NA 15.17 16.26 090 Start Printed Page 49099 21337 A Treat nasal septal fracture 3.20 5.87 6.06 3.36 3.52 0.28 9.35 9.54 6.84 7.00 090 21338 A Treat nasoethmoid fracture 6.70 NA NA 9.66 12.93 0.82 NA NA 17.18 20.45 090 21339 A Treat nasoethmoid fracture 8.33 NA NA 10.63 13.08 0.96 NA NA 19.92 22.37 090 21340 A Treatment of nose fracture 11.25 NA NA 7.36 8.14 1.15 NA NA 19.76 20.54 090 21343 A Treatment of sinus fracture 14.01 NA NA 12.51 14.73 1.47 NA NA 27.99 30.21 090 21344 A Treatment of sinus fracture 21.26 NA NA 13.04 15.64 2.43 NA NA 36.73 39.33 090 21345 A Treat nose/jaw fracture 8.77 9.69 9.80 5.98 6.87 0.92 19.38 19.49 15.67 16.56 090 21346 A Treat nose/jaw fracture 11.21 NA NA 10.76 11.84 1.21 NA NA 23.18 24.26 090 21347 A Treat nose/jaw fracture 13.29 NA NA 11.56 15.03 1.47 NA NA 26.32 29.79 090 21348 A Treat nose/jaw fracture 17.28 NA NA 6.42 9.94 2.48 NA NA 26.18 29.70 090 21355 A Treat cheek bone fracture 4.26 5.61 6.08 3.00 3.36 0.34 10.21 10.68 7.60 7.96 010 21356 A Treat cheek bone fracture 4.64 6.78 7.04 3.92 4.39 0.46 11.88 12.14 9.02 9.49 010 21360 A Treat cheek bone fracture 6.95 NA NA 5.25 5.76 0.74 NA NA 12.94 13.45 090 21365 A Treat cheek bone fracture 16.42 NA NA 8.90 10.35 1.69 NA NA 27.01 28.46 090 21366 A Treat cheek bone fracture 18.36 NA NA 10.35 11.09 2.49 NA NA 31.20 31.94 090 21385 A Treat eye socket fracture 9.40 NA NA 6.90 7.94 0.97 NA NA 17.27 18.31 090 21386 A Treat eye socket fracture 9.40 NA NA 5.69 6.73 0.97 NA NA 16.06 17.10 090 21387 A Treat eye socket fracture 9.94 NA NA 7.25 8.53 1.08 NA NA 18.27 19.55 090 21390 A Treat eye socket fracture 11.01 NA NA 7.05 7.61 0.90 NA NA 18.96 19.52 090 21395 A Treat eye socket fracture 14.58 NA NA 7.78 8.71 1.44 NA NA 23.80 24.73 090 21400 A Treat eye socket fracture 1.40 2.74 2.64 1.98 1.90 0.15 4.29 4.19 3.53 3.45 090 21401 A Treat eye socket fracture 3.51 7.21 7.80 3.10 3.39 0.38 11.10 11.69 6.99 7.28 090 21406 A Treat eye socket fracture 7.25 NA NA 5.08 5.83 0.73 NA NA 13.06 13.81 090 21407 A Treat eye socket fracture 8.85 NA NA 5.89 6.62 0.94 NA NA 15.68 16.41 090 21408 A Treat eye socket fracture 12.61 NA NA 7.91 8.64 1.44 NA NA 21.96 22.69 090 21421 A Treat mouth roof fracture 5.70 12.09 10.02 8.96 8.47 0.73 18.52 16.45 15.39 14.90 090 21422 A Treat mouth roof fracture 8.56 NA NA 6.79 7.76 0.99 NA NA 16.34 17.31 090 21423 A Treat mouth roof fracture 10.63 NA NA 7.28 8.81 1.27 NA NA 19.18 20.71 090 21431 A Treat craniofacial fracture 7.66 NA NA 9.34 9.48 0.70 NA NA 17.70 17.84 090 21432 A Treat craniofacial fracture 8.72 NA NA 7.18 7.84 0.81 NA NA 16.71 17.37 090 21433 A Treat craniofacial fracture 26.05 NA NA 12.51 15.43 2.78 NA NA 41.34 44.26 090 21435 A Treat craniofacial fracture 19.92 NA NA 10.77 12.22 1.98 NA NA 32.67 34.12 090 21436 A Treat craniofacial fracture 29.89 NA NA 14.38 17.26 3.09 NA NA 47.36 50.24 090 21440 A Treat dental ridge fracture 3.20 10.31 7.90 7.63 6.53 0.38 13.89 11.48 11.21 10.11 090 21445 A Treat dental ridge fracture 5.94 12.48 10.43 8.61 8.43 0.78 19.20 17.15 15.33 15.15 090 21450 A Treat lower jaw fracture 3.47 10.41 8.14 7.64 7.06 0.33 14.21 11.94 11.44 10.86 090 21451 A Treat lower jaw fracture 5.36 12.93 10.25 9.63 8.71 0.63 18.92 16.24 15.62 14.70 090 21452 A Treat lower jaw fracture 2.23 11.77 12.71 5.89 4.93 0.27 14.27 15.21 8.39 7.43 090 21453 A Treat lower jaw fracture 6.28 14.74 11.74 11.59 10.95 0.74 21.76 18.76 18.61 17.97 090 21454 A Treat lower jaw fracture 7.07 NA NA 5.64 6.11 0.82 NA NA 13.53 14.00 090 21461 A Treat lower jaw fracture 8.95 41.23 28.65 12.59 12.64 0.98 51.16 38.58 22.52 22.57 090 21462 A Treat lower jaw fracture 10.65 42.46 31.32 13.17 12.83 1.27 54.38 43.24 25.09 24.75 090 21465 A Treat lower jaw fracture 12.76 NA NA 8.26 9.42 1.50 NA NA 22.52 23.68 090 21470 A Treat lower jaw fracture 17.12 NA NA 10.05 11.53 1.96 NA NA 29.13 30.61 090 21480 A Reset dislocated jaw 0.61 1.51 1.71 0.18 0.19 0.06 2.18 2.38 0.85 0.86 000 21485 A Reset dislocated jaw 4.48 12.20 9.22 9.18 8.04 0.51 17.19 14.21 14.17 13.03 090 21490 A Repair dislocated jaw 12.59 NA NA 7.86 9.23 1.96 NA NA 22.41 23.78 090 21495 A Treat hyoid bone fracture 6.43 NA NA 9.57 8.71 0.46 NA NA 16.46 15.60 090 21497 A Interdental wiring 4.35 11.96 9.33 9.14 8.02 0.50 16.81 14.18 13.99 12.87 090 21499 C Head surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21501 A Drain neck/chest lesion 3.80 6.42 6.42 3.43 3.72 0.43 10.65 10.65 7.66 7.95 090 21502 A Drain chest lesion 7.35 NA NA 4.77 5.42 0.97 NA NA 13.09 13.74 090 21510 A Drainage of bone lesion 5.97 NA NA 4.71 5.42 0.80 NA NA 11.48 12.19 090 21550 A Biopsy of neck/chest 2.06 4.28 3.76 1.73 1.72 0.16 6.50 5.98 3.95 3.94 010 21555 A Remove lesion, neck/chest 4.34 5.76 5.57 3.41 3.25 0.56 10.66 10.47 8.31 8.15 090 21556 A Remove lesion, neck/chest 5.56 NA NA 4.01 4.08 0.65 NA NA 10.22 10.29 090 21557 A Remove tumor, neck/chest 8.87 NA NA 4.42 5.12 1.08 NA NA 14.37 15.07 090 21600 A Partial removal of rib 7.06 NA NA 5.79 5.75 0.99 NA NA 13.84 13.80 090 21610 A Partial removal of rib 15.70 NA NA 8.13 8.68 3.07 NA NA 26.90 27.45 090 21615 A Removal of rib 10.22 NA NA 5.46 6.38 1.45 NA NA 17.13 18.05 090 21616 A Removal of rib and nerves 12.44 NA NA 7.15 7.80 1.86 NA NA 21.45 22.10 090 21620 A Partial removal of sternum 7.08 NA NA 4.88 5.70 0.98 NA NA 12.94 13.76 090 21627 A Sternal debridement 7.10 NA NA 5.62 6.13 1.02 NA NA 13.74 14.25 090 21630 A Extensive sternum surgery 18.90 NA NA 10.55 11.52 2.58 NA NA 32.03 33.00 090 21632 A Extensive sternum surgery 19.40 NA NA 9.62 10.74 2.65 NA NA 31.67 32.79 090 21685 A Hyoid myotomy & suspension 14.77 NA NA 7.81 9.43 1.06 NA NA 23.64 25.26 090 Start Printed Page 49100 21700 A Revision of neck muscle 6.18 NA NA 3.93 4.31 0.32 NA NA 10.43 10.81 090 21705 A Revision of neck muscle/rib 9.77 NA NA 4.71 5.36 1.43 NA NA 15.91 16.56 090 21720 A Revision of neck muscle 5.67 NA NA 4.32 2.93 0.91 NA NA 10.90 9.51 090 21725 A Revision of neck muscle 7.04 NA NA 4.60 5.23 1.21 NA NA 12.85 13.48 090 21740 A Reconstruction of sternum 17.43 NA NA 8.77 8.58 2.36 NA NA 28.56 28.37 090 21742 C Repair stern/nuss w/o scope 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 090 21750 A Repair of sternum separation 11.33 NA NA 5.45 5.95 1.63 NA NA 18.41 18.91 090 21800 A Treatment of rib fracture 0.96 1.35 1.34 1.42 1.36 0.09 2.40 2.39 2.47 2.41 090 21805 A Treatment of rib fracture 2.75 NA NA 3.56 3.29 0.38 NA NA 6.69 6.42 090 21810 A Treatment of rib fracture(s) 6.85 NA NA 5.27 5.05 0.94 NA NA 13.06 12.84 090 21820 A Treat sternum fracture 1.28 1.80 1.82 1.87 1.79 0.16 3.24 3.26 3.31 3.23 090 21825 A Treat sternum fracture 7.58 NA NA 5.46 6.16 1.11 NA NA 14.15 14.85 090 21899 C Neck/chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 21920 A Biopsy soft tissue of back 2.06 4.32 3.54 1.82 1.56 0.14 6.52 5.74 4.02 3.76 010 21925 A Biopsy soft tissue of back 4.48 5.50 5.25 3.45 3.29 0.60 10.58 10.33 8.53 8.37 090 21930 A Remove lesion, back or flank 4.99 6.05 5.80 3.77 3.49 0.66 11.70 11.45 9.42 9.14 090 21935 A Remove tumor, back 18.29 NA NA 8.56 9.36 2.47 NA NA 29.32 30.12 090 22010 A I&d, p-spine, c/t/cerv-thor 12.49 NA NA 8.06 8.68 1.73 NA NA 22.28 22.90 090 22015 A I&d, p-spine, l/s/ls 12.38 NA NA 8.02 8.62 1.71 NA NA 22.11 22.71 090 22100 A Remove part of neck vertebra 10.72 NA NA 8.01 7.65 2.13 NA NA 20.86 20.50 090 22101 A Remove part, thorax vertebra 10.80 NA NA 7.94 7.80 1.90 NA NA 20.64 20.50 090 22102 A Remove part, lumbar vertebra 10.80 NA NA 7.24 7.89 1.87 NA NA 19.91 20.56 090 22103 A Remove extra spine segment 2.34 NA NA 0.89 1.13 0.44 NA NA 3.67 3.91 ZZZ 22110 A Remove part of neck vertebra 13.72 NA NA 9.09 9.14 2.76 NA NA 25.57 25.62 090 22112 A Remove part, thorax vertebra 13.79 NA NA 8.97 9.20 2.52 NA NA 25.28 25.51 090 22114 A Remove part, lumbar vertebra 13.79 NA NA 9.08 9.21 2.63 NA NA 25.50 25.63 090 22116 A Remove extra spine segment 2.32 NA NA 0.87 1.10 0.50 NA NA 3.69 3.92 ZZZ 22210 A Revision of neck spine 25.03 NA NA 14.74 15.24 5.44 NA NA 45.21 45.71 090 22212 A Revision of thorax spine 20.64 NA NA 12.49 13.08 3.90 NA NA 37.03 37.62 090 22214 A Revision of lumbar spine 20.67 NA NA 12.59 13.51 3.91 NA NA 37.17 38.09 090 22216 A Revise, extra spine segment 6.03 NA NA 2.37 2.94 1.29 NA NA 9.69 10.26 ZZZ 22220 A Revision of neck spine 22.59 NA NA 13.42 13.57 5.06 NA NA 41.07 41.22 090 22222 A Revision of thorax spine 22.74 NA NA 12.19 11.40 4.12 NA NA 39.05 38.26 090 22224 A Revision of lumbar spine 22.74 NA NA 13.17 13.96 4.18 NA NA 40.09 40.88 090 22226 A Revise, extra spine segment 6.03 NA NA 2.15 2.86 1.29 NA NA 9.47 10.18 ZZZ 22305 A Treat spine process fracture 2.05 2.16 2.27 1.81 1.89 0.39 4.60 4.71 4.25 4.33 090 22310 A Treat spine fracture 3.61 2.99 2.85 2.50 2.39 0.50 7.10 6.96 6.61 6.50 090 22315 A Treat spine fracture 9.83 9.81 9.71 7.39 7.35 1.85 21.49 21.39 19.07 19.03 090 22318 A Treat odontoid fx w/o graft 22.46 NA NA 13.25 13.35 5.28 NA NA 40.99 41.09 090 22319 A Treat odontoid fx w/graft 25.07 NA NA 14.00 14.53 6.03 NA NA 45.10 45.63 090 22325 A Treat spine fracture 19.52 NA NA 12.03 12.06 3.87 NA NA 35.42 35.45 090 22326 A Treat neck spine fracture 20.56 NA NA 12.13 12.56 4.42 NA NA 37.11 37.54 090 22327 A Treat thorax spine fracture 20.42 NA NA 12.07 12.29 3.98 NA NA 36.47 36.69 090 22328 A Treat each add spine fx 4.60 NA NA 1.80 2.15 0.94 NA NA 7.34 7.69 ZZZ 22505 A Manipulation of spine 1.87 NA NA 1.06 0.97 0.36 NA NA 3.29 3.20 010 22520 A Percut vertebroplasty thor 9.15 44.71 57.42 4.39 4.92 1.71 55.57 68.28 15.25 15.78 010 22521 A Percut vertebroplasty lumb 8.58 45.98 53.47 4.20 4.76 1.60 56.16 63.65 14.38 14.94 010 22522 A Percut vertebroplasty addIl 4.30 NA NA 1.41 1.61 0.82 NA NA 6.53 6.73 ZZZ 22523 A Percut kyphoplasty, thor 9.19 NA NA 4.75 5.61 1.71 NA NA 15.65 16.51 010 22524 A Percut kyphoplasty, lumbar 8.79 NA NA 4.60 5.42 1.60 NA NA 14.99 15.81 010 22525 A Percut kyphoplasty, add-on 4.47 NA NA 1.68 2.12 0.82 NA NA 6.97 7.41 ZZZ 22532 A Lat thorax spine fusion 25.73 NA NA 13.79 14.56 4.34 NA NA 43.86 44.63 090 22533 A Lat lumbar spine fusion 24.53 NA NA 13.43 13.55 3.15 NA NA 41.11 41.23 090 22534 A Lat thor/lumb, addIl seg 5.99 NA NA 2.31 2.85 1.25 NA NA 9.55 10.09 ZZZ 22548 A Neck spine fusion 26.78 NA NA 15.08 15.62 5.59 NA NA 47.45 47.99 090 Start Printed Page 49101 22554 A Neck spine fusion 17.48 NA NA 10.74 11.94 4.45 NA NA 32.67 33.87 090 22556 A Thorax spine fusion 24.42 NA NA 13.07 14.32 4.34 NA NA 41.83 43.08 090 22558 A Lumbar spine fusion 23.25 NA NA 11.53 12.85 3.15 NA NA 37.93 39.25 090 22585 A Additional spinal fusion 5.52 NA NA 2.09 2.62 1.25 NA NA 8.86 9.39 ZZZ 22590 A Spine & skull spinal fusion 21.48 NA NA 13.10 13.27 4.78 NA NA 39.36 39.53 090 22595 A Neck spinal fusion 20.36 NA NA 12.61 12.78 4.40 NA NA 37.37 37.54 090 22600 A Neck spine fusion 17.12 NA NA 11.28 11.21 3.72 NA NA 32.12 32.05 090 22610 A Thorax spine fusion 17.00 NA NA 10.88 11.28 3.52 NA NA 31.40 31.80 090 22612 A Lumbar spine fusion 22.50 NA NA 12.92 13.88 4.46 NA NA 39.88 40.84 090 22614 A Spine fusion, extra segment 6.43 NA NA 2.49 3.14 1.38 NA NA 10.30 10.95 ZZZ 22630 A Lumbar spine fusion 21.81 NA NA 12.64 13.36 4.72 NA NA 39.17 39.89 090 22632 A Spine fusion, extra segment 5.22 NA NA 2.01 2.50 1.16 NA NA 8.39 8.88 ZZZ 22800 A Fusion of spine 19.22 NA NA 11.15 12.37 3.75 NA NA 34.12 35.34 090 22802 A Fusion of spine 31.83 NA NA 16.17 18.74 6.15 NA NA 54.15 56.72 090 22804 A Fusion of spine 37.22 NA NA 18.20 21.57 6.98 NA NA 62.40 65.77 090 22808 A Fusion of spine 27.23 NA NA 13.85 15.69 4.92 NA NA 46.00 47.84 090 22810 A Fusion of spine 31.22 NA NA 14.93 17.50 5.13 NA NA 51.28 53.85 090 22812 A Fusion of spine 33.90 NA NA 16.75 19.23 5.28 NA NA 55.93 58.41 090 22818 A Kyphectomy, 1-2 segments 34.12 NA NA 16.65 18.32 6.45 NA NA 57.22 58.89 090 22819 A Kyphectomy, 3 or more 39.10 NA NA 19.45 19.90 7.65 NA NA 66.20 66.65 090 22830 A Exploration of spinal fusion 11.07 NA NA 7.11 7.75 2.29 NA NA 20.47 21.11 090 22840 A Insert spine fixation device 12.52 NA NA 4.84 6.08 2.78 NA NA 20.14 21.38 ZZZ 22842 A Insert spine fixation device 12.56 NA NA 4.86 6.09 2.74 NA NA 20.16 21.39 ZZZ 22843 A Insert spine fixation device 13.44 NA NA 5.26 6.27 2.85 NA NA 21.55 22.56 ZZZ 22844 A Insert spine fixation device 16.42 NA NA 6.47 8.18 3.18 NA NA 26.07 27.78 ZZZ 22845 A Insert spine fixation device 11.94 NA NA 4.55 5.69 2.85 NA NA 19.34 20.48 ZZZ 22846 A Insert spine fixation device 12.40 NA NA 4.72 5.93 2.95 NA NA 20.07 21.28 ZZZ 22847 A Insert spine fixation device 13.78 NA NA 5.34 6.60 2.99 NA NA 22.11 23.37 ZZZ 22848 A Insert pelv fixation device 5.99 NA NA 2.37 2.98 1.15 NA NA 9.51 10.12 ZZZ 22849 A Reinsert spinal fixation 19.02 NA NA 10.28 11.37 3.89 NA NA 33.19 34.28 090 22850 A Remove spine fixation device 9.69 NA NA 6.51 6.87 2.04 NA NA 18.24 18.60 090 22851 A Apply spine prosth device 6.70 NA NA 2.58 3.17 1.49 NA NA 10.77 11.36 ZZZ 22852 A Remove spine fixation device 9.24 NA NA 6.23 6.65 1.89 NA NA 17.36 17.78 090 22855 A Remove spine fixation device 15.71 NA NA 9.28 9.57 3.51 NA NA 28.50 28.79 090 22899 C Spine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 22900 A Remove abdominal wall lesion 6.09 NA NA 3.56 3.31 0.76 NA NA 10.41 10.16 090 22999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 23000 A Removal of calcium deposits 4.35 7.83 8.36 3.68 4.24 0.68 12.86 13.39 8.71 9.27 090 23020 A Release shoulder joint 9.16 NA NA 6.51 7.30 1.54 NA NA 17.21 18.00 090 23030 A Drain shoulder lesion 3.42 6.32 7.12 2.41 2.78 0.57 10.31 11.11 6.40 6.77 010 23031 A Drain shoulder bursa 2.74 6.53 7.53 2.23 2.60 0.46 9.73 10.73 5.43 5.80 010 23035 A Drain shoulder bone lesion 8.96 NA NA 7.02 7.96 1.47 NA NA 17.45 18.39 090 23040 A Exploratory shoulder surgery 9.55 NA NA 6.80 7.60 1.60 NA NA 17.95 18.75 090 23044 A Exploratory shoulder surgery 7.41 NA NA 5.59 6.22 1.24 NA NA 14.24 14.87 090 23065 A Biopsy shoulder tissues 2.27 2.91 2.59 1.70 1.64 0.20 5.38 5.06 4.17 4.11 010 23066 A Biopsy shoulder tissues 4.15 7.72 7.68 3.60 3.89 0.63 12.50 12.46 8.38 8.67 090 23075 A Removal of shoulder lesion 2.39 3.74 3.68 1.74 1.77 0.34 6.47 6.41 4.47 4.50 010 23076 A Removal of shoulder lesion 7.68 NA NA 5.33 5.50 1.13 NA NA 14.14 14.31 090 23077 A Remove tumor of shoulder 17.98 NA NA 9.81 10.11 2.33 NA NA 30.12 30.42 090 23100 A Biopsy of shoulder joint 6.02 NA NA 5.15 5.53 1.04 NA NA 12.21 12.59 090 23101 A Shoulder joint surgery 5.57 NA NA 4.58 5.14 0.96 NA NA 11.11 11.67 090 23105 A Remove shoulder joint lining 8.28 NA NA 6.12 6.87 1.42 NA NA 15.82 16.57 090 23106 A Incision of collarbone joint 5.95 NA NA 4.62 5.43 0.99 NA NA 11.56 12.37 090 23107 A Explore treat shoulder joint 8.67 NA NA 6.27 7.11 1.49 NA NA 16.43 17.27 090 23120 A Partial removal, collar bone 7.16 NA NA 5.50 6.22 1.23 NA NA 13.89 14.61 090 23125 A Removal of collar bone 9.44 NA NA 6.38 7.27 1.62 NA NA 17.44 18.33 090 23130 A Remove shoulder bone, part 7.54 NA NA 6.10 6.87 1.30 NA NA 14.94 15.71 090 23140 A Removal of bone lesion 6.94 NA NA 4.82 5.12 1.08 NA NA 12.84 13.14 090 23145 A Removal of bone lesion 9.20 NA NA 5.83 7.04 1.49 NA NA 16.52 17.73 090 23146 A Removal of bone lesion 7.88 NA NA 5.99 6.83 1.35 NA NA 15.22 16.06 090 23150 A Removal of humerus lesion 8.71 NA NA 6.06 6.71 1.32 NA NA 16.09 16.74 090 23155 A Removal of humerus lesion 10.63 NA NA 7.36 8.09 1.80 NA NA 19.79 20.52 090 23156 A Removal of humerus lesion 8.91 NA NA 6.42 7.14 1.50 NA NA 16.83 17.55 090 23170 A Remove collar bone lesion 7.03 NA NA 5.08 5.79 1.12 NA NA 13.23 13.94 090 23172 A Remove shoulder blade lesion 7.13 NA NA 4.98 5.96 1.01 NA NA 13.12 14.10 090 23174 A Remove humerus lesion 9.80 NA NA 7.30 8.10 1.65 NA NA 18.75 19.55 090 Start Printed Page 49102 23180 A Remove collar bone lesion 8.76 NA NA 7.08 8.51 1.47 NA NA 17.31 18.74 090 23182 A Remove shoulder blade lesion 8.38 NA NA 6.91 8.14 1.37 NA NA 16.66 17.89 090 23184 A Remove humerus lesion 9.67 NA NA 7.55 8.87 1.63 NA NA 18.85 20.17 090 23190 A Partial removal of scapula 7.29 NA NA 5.43 5.99 1.17 NA NA 13.89 14.45 090 23195 A Removal of head of humerus 10.16 NA NA 6.80 7.50 1.70 NA NA 18.66 19.36 090 23200 A Removal of collar bone 12.60 NA NA 7.51 8.42 1.93 NA NA 22.04 22.95 090 23210 A Removal of shoulder blade 13.07 NA NA 8.24 8.80 2.02 NA NA 23.33 23.89 090 23220 A Partial removal of humerus 15.26 NA NA 9.09 10.39 2.48 NA NA 26.83 28.13 090 23221 A Partial removal of humerus 18.31 NA NA 6.67 10.46 3.05 NA NA 28.03 31.82 090 23222 A Partial removal of humerus 25.36 NA NA 13.58 15.23 3.94 NA NA 42.88 44.53 090 23330 A Remove shoulder foreign body 1.85 3.37 3.60 1.53 1.79 0.24 5.46 5.69 3.62 3.88 010 23331 A Remove shoulder foreign body 7.43 NA NA 5.89 6.57 1.27 NA NA 14.59 15.27 090 23332 A Remove shoulder foreign body 12.14 NA NA 8.03 9.00 2.02 NA NA 22.19 23.16 090 23350 A Injection for shoulder x-ray 1.00 2.72 3.28 0.32 0.33 0.06 3.78 4.34 1.38 1.39 000 23395 A Muscle transfer,shoulder/arm 18.19 NA NA 11.26 12.46 2.93 NA NA 32.38 33.58 090 23397 A Muscle transfers 16.53 NA NA 9.70 10.95 2.73 NA NA 28.96 30.21 090 23400 A Fixation of shoulder blade 13.64 NA NA 8.57 9.70 2.29 NA NA 24.50 25.63 090 23405 A Incision of tendon & muscle 8.36 NA NA 5.97 6.68 1.45 NA NA 15.78 16.49 090 23406 A Incise tendon(s) & muscle(s) 10.83 NA NA 6.95 7.99 1.87 NA NA 19.65 20.69 090 23410 A Repair rotator cuff, acute 12.55 NA NA 7.84 9.01 2.16 NA NA 22.55 23.72 090 23412 A Repair rotator cuff, chronic 13.47 NA NA 8.23 9.48 2.31 NA NA 24.01 25.26 090 23415 A Release of shoulder ligament 10.02 NA NA 6.62 7.65 1.73 NA NA 18.37 19.40 090 23420 A Repair of shoulder 14.65 NA NA 9.78 10.58 2.31 NA NA 26.74 27.54 090 23430 A Repair biceps tendon 9.97 NA NA 6.81 7.78 1.73 NA NA 18.51 19.48 090 23440 A Remove/transplant tendon 10.46 NA NA 6.82 7.90 1.82 NA NA 19.10 20.18 090 23450 A Repair shoulder capsule 13.50 NA NA 8.21 9.43 2.32 NA NA 24.03 25.25 090 23455 A Repair shoulder capsule 14.47 NA NA 8.60 9.98 2.49 NA NA 25.56 26.94 090 23460 A Repair shoulder capsule 15.59 NA NA 9.36 10.87 2.66 NA NA 27.61 29.12 090 23462 A Repair shoulder capsule 15.52 NA NA 9.11 10.34 2.59 NA NA 27.22 28.45 090 23465 A Repair shoulder capsule 16.07 NA NA 9.61 10.79 2.76 NA NA 28.44 29.62 090 23466 A Repair shoulder capsule 15.45 NA NA 10.11 11.06 2.46 NA NA 28.02 28.97 090 23470 A Reconstruct shoulder joint 17.66 NA NA 10.20 11.74 2.98 NA NA 30.84 32.38 090 23472 A Reconstruct shoulder joint 22.39 NA NA 12.25 13.87 3.66 NA NA 38.30 39.92 090 23480 A Revision of collar bone 11.34 NA NA 7.37 8.42 1.94 NA NA 20.65 21.70 090 23485 A Revision of collar bone 13.71 NA NA 8.33 9.50 2.33 NA NA 24.37 25.54 090 23490 A Reinforce clavicle 11.96 NA NA 6.69 8.19 1.47 NA NA 20.12 21.62 090 23491 A Reinforce shoulder bones 14.31 NA NA 8.89 10.26 2.46 NA NA 25.66 27.03 090 23500 A Treat clavicle fracture 2.08 2.64 2.81 2.71 2.57 0.30 5.02 5.19 5.09 4.95 090 23505 A Treat clavicle fracture 3.68 4.03 4.32 3.63 3.79 0.61 8.32 8.61 7.92 8.08 090 23515 A Treat clavicle fracture 7.40 NA NA 5.59 6.31 1.28 NA NA 14.27 14.99 090 23520 A Treat clavicle dislocation 2.16 2.65 2.80 2.72 2.74 0.34 5.15 5.30 5.22 5.24 090 23525 A Treat clavicle dislocation 3.59 4.51 4.53 3.92 3.94 0.46 8.56 8.58 7.97 7.99 090 23530 A Treat clavicle dislocation 7.30 NA NA 5.28 5.77 1.20 NA NA 13.78 14.27 090 23532 A Treat clavicle dislocation 8.00 NA NA 6.08 6.75 1.38 NA NA 15.46 16.13 090 23540 A Treat clavicle dislocation 2.23 2.62 2.80 2.70 2.45 0.29 5.14 5.32 5.22 4.97 090 23545 A Treat clavicle dislocation 3.25 3.75 4.08 3.27 3.34 0.35 7.35 7.68 6.87 6.94 090 23550 A Treat clavicle dislocation 7.41 NA NA 5.54 6.16 1.25 NA NA 14.20 14.82 090 23552 A Treat clavicle dislocation 8.62 NA NA 6.28 7.06 1.46 NA NA 16.36 17.14 090 23570 A Treat shoulder blade fx 2.23 2.80 2.96 2.94 2.90 0.36 5.39 5.55 5.53 5.49 090 23575 A Treat shoulder blade fx 4.05 4.36 4.75 3.86 4.20 0.59 9.00 9.39 8.50 8.84 090 23585 A Treat scapula fracture 9.07 NA NA 6.52 7.36 1.54 NA NA 17.13 17.97 090 23600 A Treat humerus fracture 2.93 4.08 4.43 3.66 3.58 0.48 7.49 7.84 7.07 6.99 090 23605 A Treat humerus fracture 4.86 5.42 5.97 4.63 4.99 0.84 11.12 11.67 10.33 10.69 090 23615 A Treat humerus fracture 10.83 NA NA 8.33 8.71 1.62 NA NA 20.78 21.16 090 23616 A Treat humerus fracture 21.60 NA NA 11.56 13.50 3.69 NA NA 36.85 38.79 090 23620 A Treat humerus fracture 2.40 3.42 3.56 3.16 3.03 0.40 6.22 6.36 5.96 5.83 090 Start Printed Page 49103 23625 A Treat humerus fracture 3.92 4.44 4.82 3.91 4.19 0.67 9.03 9.41 8.50 8.78 090 23630 A Treat humerus fracture 7.40 NA NA 5.69 6.40 1.27 NA NA 14.36 15.07 090 23650 A Treat shoulder dislocation 3.38 3.27 3.65 2.80 2.77 0.30 6.95 7.33 6.48 6.45 090 23655 A Treat shoulder dislocation 4.56 NA NA 4.17 4.17 0.69 NA NA 9.42 9.42 090 23660 A Treat shoulder dislocation 7.48 NA NA 5.63 6.19 1.29 NA NA 14.40 14.96 090 23665 A Treat dislocation/fracture 4.46 4.85 5.21 4.26 4.61 0.71 10.02 10.38 9.43 9.78 090 23670 A Treat dislocation/fracture 7.95 NA NA 5.89 6.60 1.36 NA NA 15.20 15.91 090 23675 A Treat dislocation/fracture 6.04 6.16 6.66 5.16 5.66 1.01 13.21 13.71 12.21 12.71 090 23680 A Treat dislocation/fracture 10.22 NA NA 7.02 7.84 1.75 NA NA 18.99 19.81 090 23700 A Fixation of shoulder 2.52 NA NA 1.92 2.11 0.44 NA NA 4.88 5.07 010 23800 A Fusion of shoulder joint 14.50 NA NA 7.55 9.70 2.35 NA NA 24.40 26.55 090 23802 A Fusion of shoulder joint 18.07 NA NA 10.99 10.38 2.70 NA NA 31.76 31.15 090 23900 A Amputation of arm & girdle 20.47 NA NA 10.72 11.46 3.18 NA NA 34.37 35.11 090 23920 A Amputation at shoulder joint 15.95 NA NA 9.56 9.83 2.46 NA NA 27.97 28.24 090 23921 A Amputation follow-up surgery 5.54 NA NA 4.88 5.03 0.78 NA NA 11.20 11.35 090 23929 C Shoulder surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 23930 A Drainage of arm lesion 2.94 5.00 5.99 1.99 2.23 0.43 8.37 9.36 5.36 5.60 010 23931 A Drainage of arm bursa 1.79 4.34 5.52 1.75 2.07 0.28 6.41 7.59 3.82 4.14 010 23935 A Drain arm/elbow bone lesion 6.20 NA NA 5.14 5.72 1.05 NA NA 12.39 12.97 090 24000 A Exploratory elbow surgery 5.93 NA NA 4.78 5.25 0.97 NA NA 11.68 12.15 090 24006 A Release elbow joint 9.54 NA NA 6.67 7.48 1.50 NA NA 17.71 18.52 090 24065 A Biopsy arm/elbow soft tissue 2.08 4.08 3.43 1.87 1.77 0.17 6.33 5.68 4.12 4.02 010 24066 A Biopsy arm/elbow soft tissue 5.20 8.33 8.78 3.94 4.08 0.80 14.33 14.78 9.94 10.08 090 24075 A Remove arm/elbow lesion 3.91 7.22 7.32 3.27 3.37 0.56 11.69 11.79 7.74 7.84 090 24076 A Remove arm/elbow lesion 6.29 NA NA 4.59 4.79 0.95 NA NA 11.83 12.03 090 24077 A Remove tumor of arm/elbow 11.86 NA NA 6.96 7.55 1.72 NA NA 20.54 21.13 090 24100 A Biopsy elbow joint lining 4.92 NA NA 4.28 4.46 0.85 NA NA 10.05 10.23 090 24101 A Explore/treat elbow joint 6.12 NA NA 5.08 5.72 1.03 NA NA 12.23 12.87 090 24102 A Remove elbow joint lining 8.08 NA NA 5.82 6.60 1.33 NA NA 15.23 16.01 090 24105 A Removal of elbow bursa 3.60 NA NA 4.04 4.30 0.61 NA NA 8.25 8.51 090 24110 A Remove humerus lesion 7.38 NA NA 5.66 6.41 1.28 NA NA 14.32 15.07 090 24115 A Remove/graft bone lesion 9.92 NA NA 6.83 7.12 1.67 NA NA 18.42 18.71 090 24116 A Remove/graft bone lesion 12.03 NA NA 7.67 8.72 2.05 NA NA 21.75 22.80 090 24120 A Remove elbow lesion 6.64 NA NA 5.22 5.75 1.10 NA NA 12.96 13.49 090 24125 A Remove/graft bone lesion 7.94 NA NA 6.03 6.13 1.06 NA NA 15.03 15.13 090 24126 A Remove/graft bone lesion 8.42 NA NA 6.22 6.82 1.16 NA NA 15.80 16.40 090 24130 A Removal of head of radius 6.24 NA NA 5.13 5.80 1.04 NA NA 12.41 13.08 090 24134 A Removal of arm bone lesion 10.02 NA NA 7.49 8.51 1.64 NA NA 19.15 20.17 090 24136 A Remove radius bone lesion 8.22 NA NA 5.67 6.83 1.38 NA NA 15.27 16.43 090 24138 A Remove elbow bone lesion 8.22 NA NA 6.71 7.51 1.34 NA NA 16.27 17.07 090 24140 A Partial removal of arm bone 9.35 NA NA 7.20 8.63 1.51 NA NA 18.06 19.49 090 24145 A Partial removal of radius 7.63 NA NA 6.30 7.62 1.25 NA NA 15.18 16.50 090 24147 A Partial removal of elbow 7.59 NA NA 6.90 8.18 1.30 NA NA 15.79 17.07 090 24149 A Radical resection of elbow 15.80 NA NA 10.86 11.43 2.34 NA NA 29.00 29.57 090 24150 A Extensive humerus surgery 13.61 NA NA 8.54 9.63 2.32 NA NA 24.47 25.56 090 24151 A Extensive humerus surgery 15.98 NA NA 9.77 11.08 2.59 NA NA 28.34 29.65 090 24152 A Extensive radius surgery 10.16 NA NA 6.29 7.37 1.48 NA NA 17.93 19.01 090 24153 A Extensive radius surgery 11.64 NA NA 4.92 5.41 0.74 NA NA 17.30 17.79 090 24155 A Removal of elbow joint 11.89 NA NA 7.61 8.20 1.92 NA NA 21.42 22.01 090 24160 A Remove elbow joint implant 7.82 NA NA 5.82 6.62 1.30 NA NA 14.94 15.74 090 24164 A Remove radius head implant 6.28 NA NA 4.92 5.56 1.03 NA NA 12.23 12.87 090 24200 A Removal of arm foreign body 1.76 2.78 3.25 1.38 1.57 0.20 4.74 5.21 3.34 3.53 010 24201 A Removal of arm foreign body 4.55 7.92 9.34 3.71 4.10 0.72 13.19 14.61 8.98 9.37 090 24220 A Injection for elbow x-ray 1.31 2.64 3.38 0.43 0.44 0.08 4.03 4.77 1.82 1.83 000 24300 A Manipulate elbow w/anesth 3.74 NA NA 5.18 5.58 0.65 NA NA 9.57 9.97 090 24301 A Muscle/tendon transfer 10.18 NA NA 6.85 7.85 1.66 NA NA 18.69 19.69 090 24305 A Arm tendon lengthening 7.44 NA NA 5.66 6.45 1.15 NA NA 14.25 15.04 090 24310 A Revision of arm tendon 5.97 NA NA 4.78 5.38 0.96 NA NA 11.71 12.31 090 24320 A Repair of arm tendon 10.66 NA NA 7.11 7.43 1.73 NA NA 19.50 19.82 090 24330 A Revision of arm muscles 9.59 NA NA 6.64 7.57 1.60 NA NA 17.83 18.76 090 24331 A Revision of arm muscles 10.75 NA NA 6.52 8.13 1.77 NA NA 19.04 20.65 090 24332 A Tenolysis, triceps 7.69 NA NA 5.75 6.52 1.23 NA NA 14.67 15.44 090 24340 A Repair of biceps tendon 7.88 NA NA 6.00 6.74 1.36 NA NA 15.24 15.98 090 24341 A Repair arm tendon/muscle 9.14 NA NA 7.52 7.82 1.36 NA NA 18.02 18.32 090 24342 A Repair of ruptured tendon 10.66 NA NA 7.11 8.17 1.85 NA NA 19.62 20.68 090 24343 A Repr elbow lat ligmnt w/tiss 8.89 NA NA 7.02 7.87 1.43 NA NA 17.34 18.19 090 Start Printed Page 49104 24344 A Reconstruct elbow lat ligmnt 14.85 NA NA 10.06 11.16 2.36 NA NA 27.27 28.37 090 24345 A Repr elbw med ligmnt w/tissu 8.89 NA NA 6.98 7.76 1.44 NA NA 17.31 18.09 090 24346 A Reconstruct elbow med ligmnt 14.85 NA NA 10.06 11.02 2.33 NA NA 27.24 28.20 090 24350 A Repair of tennis elbow 5.24 NA NA 4.89 5.41 0.87 NA NA 11.00 11.52 090 24351 A Repair of tennis elbow 5.90 NA NA 5.01 5.69 1.02 NA NA 11.93 12.61 090 24352 A Repair of tennis elbow 6.42 NA NA 5.23 5.94 1.10 NA NA 12.75 13.46 090 24354 A Repair of tennis elbow 6.47 NA NA 5.25 5.93 1.07 NA NA 12.79 13.47 090 24356 A Revision of tennis elbow 6.67 NA NA 5.32 6.06 1.11 NA NA 13.10 13.84 090 24360 A Reconstruct elbow joint 12.44 NA NA 7.97 9.10 2.05 NA NA 22.46 23.59 090 24361 A Reconstruct elbow joint 14.18 NA NA 8.78 10.13 2.18 NA NA 25.14 26.49 090 24362 A Reconstruct elbow joint 15.09 NA NA 9.30 9.86 2.60 NA NA 26.99 27.55 090 24363 A Replace elbow joint 22.39 NA NA 12.26 13.35 3.01 NA NA 37.66 38.75 090 24365 A Reconstruct head of radius 8.44 NA NA 5.94 6.89 1.41 NA NA 15.79 16.74 090 24366 A Reconstruct head of radius 9.18 NA NA 6.31 7.23 1.52 NA NA 17.01 17.93 090 24400 A Revision of humerus 11.10 NA NA 7.62 8.54 1.92 NA NA 20.64 21.56 090 24410 A Revision of humerus 14.86 NA NA 9.32 10.06 2.57 NA NA 26.75 27.49 090 24420 A Revision of humerus 13.48 NA NA 8.88 10.13 2.17 NA NA 24.53 25.78 090 24430 A Repair of humerus 14.99 NA NA 9.30 9.63 2.21 NA NA 26.50 26.83 090 24435 A Repair humerus with graft 14.64 NA NA 9.86 10.63 2.27 NA NA 26.77 27.54 090 24470 A Revision of elbow joint 8.73 NA NA 6.43 7.40 1.48 NA NA 16.64 17.61 090 24495 A Decompression of forearm 8.23 NA NA 6.68 8.23 1.18 NA NA 16.09 17.64 090 24498 A Reinforce humerus 12.08 NA NA 7.75 8.88 2.06 NA NA 21.89 23.02 090 24500 A Treat humerus fracture 3.21 4.45 4.75 3.80 3.71 0.50 8.16 8.46 7.51 7.42 090 24505 A Treat humerus fracture 5.16 5.87 6.42 4.90 5.27 0.89 11.92 12.47 10.95 11.32 090 24515 A Treat humerus fracture 11.87 NA NA 8.09 9.06 2.02 NA NA 21.98 22.95 090 24516 A Treat humerus fracture 11.99 NA NA 7.71 8.76 2.02 NA NA 21.72 22.77 090 24530 A Treat humerus fracture 3.49 4.74 5.09 4.00 4.03 0.57 8.80 9.15 8.06 8.09 090 24535 A Treat humerus fracture 6.86 6.82 7.59 5.86 6.43 1.18 14.86 15.63 13.90 14.47 090 24538 A Treat humerus fracture 9.54 NA NA 7.22 8.33 1.64 NA NA 18.40 19.51 090 24545 A Treat humerus fracture 10.80 NA NA 7.24 8.15 1.82 NA NA 19.86 20.77 090 24546 A Treat humerus fracture 15.91 NA NA 9.50 10.87 2.73 NA NA 28.14 29.51 090 24560 A Treat humerus fracture 2.80 4.05 4.37 3.38 3.24 0.44 7.29 7.61 6.62 6.48 090 24565 A Treat humerus fracture 5.55 5.86 6.42 4.97 5.38 0.93 12.34 12.90 11.45 11.86 090 24566 A Treat humerus fracture 8.78 NA NA 6.97 7.86 1.30 NA NA 17.05 17.94 090 24575 A Treat humerus fracture 10.94 NA NA 7.27 8.12 1.86 NA NA 20.07 20.92 090 24576 A Treat humerus fracture 2.86 4.45 4.68 3.74 3.72 0.46 7.77 8.00 7.06 7.04 090 24577 A Treat humerus fracture 5.78 6.01 6.70 5.08 5.65 0.95 12.74 13.43 11.81 12.38 090 24579 A Treat humerus fracture 11.88 NA NA 7.87 8.59 2.02 NA NA 21.77 22.49 090 24582 A Treat humerus fracture 9.79 NA NA 8.21 8.89 1.48 NA NA 19.48 20.16 090 24586 A Treat elbow fracture 15.55 NA NA 9.36 10.76 2.64 NA NA 27.55 28.95 090 24587 A Treat elbow fracture 15.56 NA NA 9.37 10.61 2.52 NA NA 27.45 28.69 090 24600 A Treat elbow dislocation 4.22 3.87 4.61 3.29 3.45 0.50 8.59 9.33 8.01 8.17 090 24605 A Treat elbow dislocation 5.41 NA NA 4.96 5.26 0.89 NA NA 11.26 11.56 090 24615 A Treat elbow dislocation 9.65 NA NA 6.59 7.51 1.60 NA NA 17.84 18.76 090 24620 A Treat elbow fracture 6.97 NA NA 5.48 6.06 1.07 NA NA 13.52 14.10 090 24635 A Treat elbow fracture 13.47 NA NA 10.23 13.10 2.28 NA NA 25.98 28.85 090 24640 A Treat elbow dislocation 1.20 1.48 1.75 0.80 0.80 0.12 2.80 3.07 2.12 2.12 010 24650 A Treat radius fracture 2.16 3.44 3.70 3.00 2.81 0.35 5.95 6.21 5.51 5.32 090 24655 A Treat radius fracture 4.39 5.20 5.76 4.41 4.70 0.70 10.29 10.85 9.50 9.79 090 24665 A Treat radius fracture 8.13 NA NA 6.53 7.27 1.41 NA NA 16.07 16.81 090 24666 A Treat radius fracture 9.66 NA NA 7.00 7.80 1.62 NA NA 18.28 19.08 090 24670 A Treat ulnar fracture 2.54 3.74 4.02 3.16 3.09 0.41 6.69 6.97 6.11 6.04 090 24675 A Treat ulnar fracture 4.71 5.30 5.83 4.50 4.85 0.81 10.82 11.35 10.02 10.37 090 24685 A Treat ulnar fracture 8.85 NA NA 6.48 7.26 1.52 NA NA 16.85 17.63 090 24800 A Fusion of elbow joint 11.18 NA NA 7.66 8.47 1.63 NA NA 20.47 21.28 090 24802 A Fusion/graft of elbow joint 14.09 NA NA 8.56 9.93 2.37 NA NA 25.02 26.39 090 Start Printed Page 49105 24900 A Amputation of upper arm 9.95 NA NA 6.47 6.91 1.53 NA NA 17.95 18.39 090 24920 A Amputation of upper arm 9.95 NA NA 6.45 6.82 1.61 NA NA 18.01 18.38 090 24925 A Amputation follow-up surgery 7.12 NA NA 4.95 5.80 1.14 NA NA 13.21 14.06 090 24930 A Amputation follow-up surgery 10.65 NA NA 5.90 6.91 1.67 NA NA 18.22 19.23 090 24931 A Amputate upper arm & implant 13.24 NA NA 8.23 6.35 1.89 NA NA 23.36 21.48 090 24935 A Revision of amputation 16.20 NA NA 8.90 8.24 2.13 NA NA 27.23 26.57 090 24940 C Revision of upper arm 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 25000 A Incision of tendon sheath 3.37 NA NA 5.06 6.42 0.55 NA NA 8.98 10.34 090 25001 A Incise flexor carpi radialis 3.62 NA NA 3.85 4.14 0.55 NA NA 8.02 8.31 090 25020 A Decompress forearm 1 space 5.91 NA NA 6.90 8.90 0.93 NA NA 13.74 15.74 090 25023 A Decompress forearm 1 space 13.60 NA NA 11.48 14.08 2.03 NA NA 27.11 29.71 090 25024 A Decompress forearm 2 spaces 10.52 NA NA 7.20 7.40 1.36 NA NA 19.08 19.28 090 25025 A Decompress forearm 2 spaces 17.67 NA NA 9.03 9.74 1.82 NA NA 28.52 29.23 090 25028 A Drainage of forearm lesion 5.24 NA NA 6.25 7.68 0.81 NA NA 12.30 13.73 090 25031 A Drainage of forearm bursa 4.13 NA NA 5.47 7.31 0.63 NA NA 10.23 12.07 090 25035 A Treat forearm bone lesion 7.47 NA NA 8.88 12.41 1.24 NA NA 17.59 21.12 090 25040 A Explore/treat wrist joint 7.35 NA NA 5.90 6.95 1.15 NA NA 14.40 15.45 090 25065 A Biopsy forearm soft tissues 1.99 4.19 3.46 1.90 1.90 0.15 6.33 5.60 4.04 4.04 010 25066 A Biopsy forearm soft tissues 4.12 NA NA 5.46 6.66 0.64 NA NA 10.22 11.42 090 25075 A Removal forearm lesion subcu 3.73 NA NA 4.90 5.64 0.55 NA NA 9.18 9.92 090 25076 A Removal forearm lesion deep 4.91 NA NA 6.92 8.89 0.74 NA NA 12.57 14.54 090 25077 A Remove tumor, forearm/wrist 9.81 NA NA 8.95 11.30 1.42 NA NA 20.18 22.53 090 25085 A Incision of wrist capsule 5.49 NA NA 5.44 6.70 0.85 NA NA 11.78 13.04 090 25100 A Biopsy of wrist joint 3.89 NA NA 4.28 5.02 0.59 NA NA 8.76 9.50 090 25101 A Explore/treat wrist joint 4.68 NA NA 4.83 5.63 0.75 NA NA 10.26 11.06 090 25105 A Remove wrist joint lining 5.84 NA NA 5.82 6.93 0.92 NA NA 12.58 13.69 090 25107 A Remove wrist joint cartilage 7.42 NA NA 7.16 8.05 0.99 NA NA 15.57 16.46 090 25110 A Remove wrist tendon lesion 3.91 NA NA 5.29 6.61 0.62 NA NA 9.82 11.14 090 25111 A Remove wrist tendon lesion 3.38 NA NA 4.10 4.55 0.53 NA NA 8.01 8.46 090 25112 A Reremove wrist tendon lesion 4.52 NA NA 4.54 5.07 0.70 NA NA 9.76 10.29 090 25115 A Remove wrist/forearm lesion 9.81 NA NA 10.21 13.08 1.31 NA NA 21.33 24.20 090 25116 A Remove wrist/forearm lesion 7.28 NA NA 9.08 12.13 1.11 NA NA 17.47 20.52 090 25118 A Excise wrist tendon sheath 4.36 NA NA 4.63 5.46 0.68 NA NA 9.67 10.50 090 25119 A Partial removal of ulna 6.03 NA NA 5.86 7.17 0.96 NA NA 12.85 14.16 090 25120 A Removal of forearm lesion 6.09 NA NA 7.93 11.04 1.00 NA NA 15.02 18.13 090 25125 A Remove/graft forearm lesion 7.47 NA NA 8.75 11.82 1.06 NA NA 17.28 20.35 090 25126 A Remove/graft forearm lesion 7.54 NA NA 8.78 11.95 1.27 NA NA 17.59 20.76 090 25130 A Removal of wrist lesion 5.25 NA NA 5.21 6.12 0.80 NA NA 11.26 12.17 090 25135 A Remove & graft wrist lesion 6.88 NA NA 6.12 7.16 1.02 NA NA 14.02 15.06 090 25136 A Remove & graft wrist lesion 5.96 NA NA 5.53 6.33 1.03 NA NA 12.52 13.32 090 25145 A Remove forearm bone lesion 6.36 NA NA 8.12 11.08 1.01 NA NA 15.49 18.45 090 25150 A Partial removal of ulna 7.20 NA NA 6.38 7.75 1.14 NA NA 14.72 16.09 090 25151 A Partial removal of radius 7.50 NA NA 8.52 11.67 1.18 NA NA 17.20 20.35 090 25170 A Extensive forearm surgery 11.25 NA NA 10.52 13.99 1.77 NA NA 23.54 27.01 090 25210 A Removal of wrist bone 5.94 NA NA 5.53 6.48 0.88 NA NA 12.35 13.30 090 25215 A Removal of wrist bones 7.94 NA NA 6.83 8.27 1.19 NA NA 15.96 17.40 090 25230 A Partial removal of radius 5.22 NA NA 4.96 5.85 0.79 NA NA 10.97 11.86 090 25240 A Partial removal of ulna 5.16 NA NA 5.27 6.53 0.81 NA NA 11.24 12.50 090 25246 A Injection for wrist x-ray 1.45 2.70 3.26 0.48 0.48 0.09 4.24 4.80 2.02 2.02 000 25248 A Remove forearm foreign body 5.13 NA NA 6.57 8.03 0.72 NA NA 12.42 13.88 090 25250 A Removal of wrist prosthesis 6.59 NA NA 5.32 5.91 1.01 NA NA 12.92 13.51 090 25251 A Removal of wrist prosthesis 9.62 NA NA 6.71 7.62 1.26 NA NA 17.59 18.50 090 25259 A Manipulate wrist w/anesthes 3.74 NA NA 5.14 5.58 0.62 NA NA 9.50 9.94 090 25260 A Repair forearm tendon/muscle 7.79 NA NA 9.22 12.29 1.19 NA NA 18.20 21.27 090 25263 A Repair forearm tendon/muscle 7.81 NA NA 8.96 12.19 1.18 NA NA 17.95 21.18 090 25265 A Repair forearm tendon/muscle 9.87 NA NA 10.00 13.23 1.47 NA NA 21.34 24.57 090 25270 A Repair forearm tendon/muscle 5.99 NA NA 7.90 11.00 0.95 NA NA 14.84 17.94 090 25272 A Repair forearm tendon/muscle 7.03 NA NA 8.37 11.69 1.11 NA NA 16.51 19.83 090 25274 A Repair forearm tendon/muscle 8.74 NA NA 9.20 12.52 1.36 NA NA 19.30 22.62 090 25275 A Repair forearm tendon sheath 8.74 NA NA 6.50 7.31 1.31 NA NA 16.55 17.36 090 25280 A Revise wrist/forearm tendon 7.21 NA NA 8.47 11.59 1.08 NA NA 16.76 19.88 090 25290 A Incise wrist/forearm tendon 5.28 NA NA 9.17 13.54 0.82 NA NA 15.27 19.64 090 25295 A Release wrist/forearm tendon 6.54 NA NA 8.14 11.15 1.00 NA NA 15.68 18.69 090 25300 A Fusion of tendons at wrist 8.79 NA NA 7.19 8.14 1.26 NA NA 17.24 18.19 090 25301 A Fusion of tendons at wrist 8.39 NA NA 6.73 7.73 1.29 NA NA 16.41 17.41 090 Start Printed Page 49106 25310 A Transplant forearm tendon 8.19 NA NA 8.82 11.98 1.21 NA NA 18.22 21.38 090 25312 A Transplant forearm tendon 9.62 NA NA 9.60 12.86 1.41 NA NA 20.63 23.89 090 25315 A Revise palsy hand tendon(s) 10.48 NA NA 10.00 13.30 1.58 NA NA 22.06 25.36 090 25316 A Revise palsy hand tendon(s) 12.67 NA NA 11.08 14.94 1.74 NA NA 25.49 29.35 090 25320 A Repair/revise wrist joint 12.28 NA NA 10.38 11.14 1.61 NA NA 24.27 25.03 090 25332 A Revise wrist joint 11.51 NA NA 7.74 8.81 1.83 NA NA 21.08 22.15 090 25335 A Realignment of hand 13.16 NA NA 7.01 10.45 1.92 NA NA 22.09 25.53 090 25337 A Reconstruct ulna/radioulnar 11.36 NA NA 9.39 10.66 1.61 NA NA 22.36 23.63 090 25350 A Revision of radius 8.89 NA NA 9.27 12.80 1.46 NA NA 19.62 23.15 090 25355 A Revision of radius 10.33 NA NA 10.03 13.47 1.73 NA NA 22.09 25.53 090 25360 A Revision of ulna 8.54 NA NA 9.13 12.69 1.41 NA NA 19.08 22.64 090 25365 A Revise radius & ulna 12.68 NA NA 11.06 14.50 2.15 NA NA 25.89 29.33 090 25370 A Revise radius or ulna 13.82 NA NA 11.97 15.05 2.28 NA NA 28.07 31.15 090 25375 A Revise radius & ulna 13.32 NA NA 11.33 15.15 2.26 NA NA 26.91 30.73 090 25390 A Shorten radius or ulna 10.50 NA NA 9.94 13.42 1.65 NA NA 22.09 25.57 090 25391 A Lengthen radius or ulna 14.05 NA NA 11.65 15.33 2.21 NA NA 27.91 31.59 090 25392 A Shorten radius & ulna 14.35 NA NA 11.78 14.92 2.10 NA NA 28.23 31.37 090 25393 A Lengthen radius & ulna 16.33 NA NA 13.18 16.48 2.76 NA NA 32.27 35.57 090 25394 A Repair carpal bone, shorten 10.63 NA NA 6.80 7.75 1.59 NA NA 19.02 19.97 090 25400 A Repair radius or ulna 11.08 NA NA 10.18 13.94 1.82 NA NA 23.08 26.84 090 25405 A Repair/graft radius or ulna 14.78 NA NA 11.92 15.93 2.32 NA NA 29.02 33.03 090 25415 A Repair radius & ulna 13.57 NA NA 11.02 15.14 2.17 NA NA 26.76 30.88 090 25420 A Repair/graft radius & ulna 16.79 NA NA 12.79 16.90 2.61 NA NA 32.19 36.30 090 25425 A Repair/graft radius or ulna 13.49 NA NA 14.14 19.58 2.08 NA NA 29.71 35.15 090 25426 A Repair/graft radius & ulna 16.22 NA NA 12.50 15.54 2.54 NA NA 31.26 34.30 090 25430 A Vasc graft into carpal bone 9.49 NA NA 7.04 7.27 1.27 NA NA 17.80 18.03 090 25431 A Repair nonunion carpal bone 10.67 NA NA 7.26 8.12 1.90 NA NA 19.83 20.69 090 25440 A Repair/graft wrist bone 10.48 NA NA 7.53 8.93 1.63 NA NA 19.64 21.04 090 25441 A Reconstruct wrist joint 13.06 NA NA 8.50 9.63 2.07 NA NA 23.63 24.76 090 25442 A Reconstruct wrist joint 10.89 NA NA 7.32 8.49 1.53 NA NA 19.74 20.91 090 25443 A Reconstruct wrist joint 10.43 NA NA 6.61 8.23 1.37 NA NA 18.41 20.03 090 25444 A Reconstruct wrist joint 11.19 NA NA 7.65 8.69 1.71 NA NA 20.55 21.59 090 25445 A Reconstruct wrist joint 9.68 NA NA 6.72 7.67 1.55 NA NA 17.95 18.90 090 25446 A Wrist replacement 17.07 NA NA 9.88 11.41 2.47 NA NA 29.42 30.95 090 25447 A Repair wrist joint(s) 10.85 NA NA 7.88 8.46 1.61 NA NA 20.34 20.92 090 25449 A Remove wrist joint implant 14.71 NA NA 9.05 10.27 2.21 NA NA 25.97 27.19 090 25450 A Revision of wrist joint 7.86 NA NA 7.34 9.48 1.36 NA NA 16.56 18.70 090 25455 A Revision of wrist joint 9.48 NA NA 6.50 9.77 0.96 NA NA 16.94 20.21 090 25490 A Reinforce radius 9.53 NA NA 9.47 12.67 1.43 NA NA 20.43 23.63 090 25491 A Reinforce ulna 9.95 NA NA 9.73 13.28 1.60 NA NA 21.28 24.83 090 25492 A Reinforce radius and ulna 12.43 NA NA 10.59 14.12 2.14 NA NA 25.16 28.69 090 25500 A Treat fracture of radius 2.45 3.33 3.51 2.89 2.76 0.35 6.13 6.31 5.69 5.56 090 25505 A Treat fracture of radius 5.20 5.87 6.37 5.01 5.32 0.90 11.97 12.47 11.11 11.42 090 25515 A Treat fracture of radius 9.29 NA NA 6.75 7.28 1.59 NA NA 17.63 18.16 090 25520 A Treat fracture of radius 6.25 6.02 6.65 5.43 5.90 1.08 13.35 13.98 12.76 13.23 090 25525 A Treat fracture of radius 12.59 NA NA 8.74 9.68 2.12 NA NA 23.45 24.39 090 25526 A Treat fracture of radius 13.33 NA NA 10.23 12.68 2.19 NA NA 25.75 28.20 090 25530 A Treat fracture of ulna 2.09 3.48 3.69 2.97 2.89 0.34 5.91 6.12 5.40 5.32 090 25535 A Treat fracture of ulna 5.13 5.68 5.93 4.93 5.20 0.89 11.70 11.95 10.95 11.22 090 25545 A Treat fracture of ulna 9.01 NA NA 6.64 7.41 1.53 NA NA 17.18 17.95 090 25560 A Treat fracture radius & ulna 2.44 3.40 3.62 2.87 2.67 0.35 6.19 6.41 5.66 5.46 090 25565 A Treat fracture radius & ulna 5.62 5.97 6.52 4.99 5.31 0.93 12.52 13.07 11.54 11.86 090 25574 A Treat fracture radius & ulna 7.37 NA NA 6.64 7.06 1.21 NA NA 15.22 15.64 090 25575 A Treat fracture radius/ulna 11.92 NA NA 9.00 9.38 1.81 NA NA 22.73 23.11 090 25600 A Treat fracture radius/ulna 2.63 3.69 3.99 3.18 3.02 0.42 6.74 7.04 6.23 6.07 090 25605 A Treat fracture radius/ulna 6.93 6.91 7.15 6.18 6.21 1.00 14.84 15.08 14.11 14.14 090 Start Printed Page 49107 25611 A Treat fracture radius/ulna 9.14 NA NA 8.34 8.81 1.34 NA NA 18.82 19.29 090 25620 A Treat fracture radius/ulna 8.54 NA NA 6.27 7.01 1.42 NA NA 16.23 16.97 090 25622 A Treat wrist bone fracture 2.61 3.91 4.18 3.36 3.17 0.41 6.93 7.20 6.38 6.19 090 25624 A Treat wrist bone fracture 4.52 5.58 6.12 4.73 4.99 0.76 10.86 11.40 10.01 10.27 090 25628 A Treat wrist bone fracture 9.42 NA NA 7.34 7.70 1.37 NA NA 18.13 18.49 090 25630 A Treat wrist bone fracture 2.88 3.76 4.08 3.25 3.02 0.45 7.09 7.41 6.58 6.35 090 25635 A Treat wrist bone fracture 4.38 5.38 5.80 4.56 4.07 0.74 10.50 10.92 9.68 9.19 090 25645 A Treat wrist bone fracture 7.24 NA NA 5.80 6.42 1.20 NA NA 14.24 14.86 090 25650 A Treat wrist bone fracture 3.05 3.86 4.20 3.46 3.24 0.45 7.36 7.70 6.96 6.74 090 25651 A Pin ulnar styloid fracture 5.60 NA NA 5.13 5.39 0.86 NA NA 11.59 11.85 090 25652 A Treat fracture ulnar styloid 7.84 NA NA 6.21 6.80 1.21 NA NA 15.26 15.85 090 25660 A Treat wrist dislocation 4.75 NA NA 4.48 4.65 0.58 NA NA 9.81 9.98 090 25670 A Treat wrist dislocation 7.91 NA NA 5.99 6.74 1.28 NA NA 15.18 15.93 090 25671 A Pin radioulnar dislocation 6.24 NA NA 5.53 6.00 1.00 NA NA 12.77 13.24 090 25675 A Treat wrist dislocation 4.66 4.88 5.46 4.14 4.52 0.62 10.16 10.74 9.42 9.80 090 25676 A Treat wrist dislocation 8.09 NA NA 6.28 7.05 1.34 NA NA 15.71 16.48 090 25680 A Treat wrist fracture 5.98 NA NA 4.37 4.65 0.78 NA NA 11.13 11.41 090 25685 A Treat wrist fracture 9.89 NA NA 6.70 7.53 1.60 NA NA 18.19 19.02 090 25690 A Treat wrist dislocation 5.49 NA NA 4.82 5.33 0.88 NA NA 11.19 11.70 090 25695 A Treat wrist dislocation 8.33 NA NA 6.19 6.87 1.32 NA NA 15.84 16.52 090 25800 A Fusion of wrist joint 9.87 NA NA 7.28 8.64 1.57 NA NA 18.72 20.08 090 25805 A Fusion/graft of wrist joint 11.50 NA NA 8.17 9.73 1.80 NA NA 21.47 23.03 090 25810 A Fusion/graft of wrist joint 11.67 NA NA 8.56 9.57 1.67 NA NA 21.90 22.91 090 25820 A Fusion of hand bones 7.44 NA NA 6.28 7.46 1.22 NA NA 14.94 16.12 090 25825 A Fuse hand bones with graft 9.44 NA NA 7.56 8.81 1.41 NA NA 18.41 19.66 090 25830 A Fusion, radioulnar jnt/ulna 10.61 NA NA 10.46 13.42 1.55 NA NA 22.62 25.58 090 25900 A Amputation of forearm 9.36 NA NA 9.27 11.74 1.30 NA NA 19.93 22.40 090 25905 A Amputation of forearm 9.41 NA NA 8.44 11.33 1.40 NA NA 19.25 22.14 090 25907 A Amputation follow-up surgery 7.91 NA NA 7.81 10.77 1.10 NA NA 16.82 19.78 090 25909 A Amputation follow-up surgery 9.13 NA NA 9.04 11.46 1.44 NA NA 19.61 22.03 090 25915 A Amputation of forearm 17.30 NA NA 8.23 16.22 2.93 NA NA 28.46 36.45 090 25920 A Amputate hand at wrist 8.85 NA NA 6.72 7.57 1.35 NA NA 16.92 17.77 090 25922 A Amputate hand at wrist 7.47 NA NA 6.40 6.89 1.12 NA NA 14.99 15.48 090 25924 A Amputation follow-up surgery 8.63 NA NA 6.71 7.75 1.32 NA NA 16.66 17.70 090 25927 A Amputation of hand 8.91 NA NA 8.62 10.92 1.27 NA NA 18.80 21.10 090 25929 A Amputation follow-up surgery 7.64 NA NA 5.42 5.76 1.14 NA NA 14.20 14.54 090 25931 A Amputation follow-up surgery 7.86 NA NA 8.53 10.73 1.15 NA NA 17.54 19.74 090 25999 C Forearm or wrist surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 26010 A Drainage of finger abscess 1.54 4.02 5.18 1.51 1.60 0.18 5.74 6.90 3.23 3.32 010 26011 A Drainage of finger abscess 2.19 6.29 8.18 1.98 2.24 0.33 8.81 10.70 4.50 4.76 010 26020 A Drain hand tendon sheath 4.90 NA NA 4.75 5.20 0.73 NA NA 10.38 10.83 090 26025 A Drainage of palm bursa 4.93 NA NA 4.46 4.96 0.76 NA NA 10.15 10.65 090 26030 A Drainage of palm bursa(s) 6.10 NA NA 4.99 5.54 0.92 NA NA 12.01 12.56 090 26034 A Treat hand bone lesion 6.40 NA NA 5.55 6.15 1.01 NA NA 12.96 13.56 090 26035 A Decompress fingers/hand 11.05 NA NA 8.01 7.91 1.47 NA NA 20.53 20.43 090 26037 A Decompress fingers/hand 7.42 NA NA 5.51 6.12 1.13 NA NA 14.06 14.67 090 26040 A Release palm contracture 3.33 NA NA 3.60 3.94 0.53 NA NA 7.46 7.80 090 26045 A Release palm contracture 5.55 NA NA 4.88 5.45 0.93 NA NA 11.36 11.93 090 26055 A Incise finger tendon sheath 2.94 9.07 13.03 3.83 3.91 0.43 12.44 16.40 7.20 7.28 090 26060 A Incision of finger tendon 2.81 NA NA 3.06 3.40 0.45 NA NA 6.32 6.66 090 26070 A Explore/treat hand joint 3.68 NA NA 3.04 3.28 0.48 NA NA 7.20 7.44 090 26075 A Explore/treat finger joint 3.78 NA NA 3.41 3.69 0.53 NA NA 7.72 8.00 090 26080 A Explore/treat finger joint 4.29 NA NA 4.34 4.72 0.66 NA NA 9.29 9.67 090 26100 A Biopsy hand joint lining 3.66 NA NA 3.56 3.99 0.54 NA NA 7.76 8.19 090 26105 A Biopsy finger joint lining 3.70 NA NA 3.74 4.11 0.59 NA NA 8.03 8.40 090 26110 A Biopsy finger joint lining 3.52 NA NA 3.60 3.93 0.53 NA NA 7.65 7.98 090 26115 A Removal hand lesion subcut 3.85 9.84 12.28 4.21 4.63 0.59 14.28 16.72 8.65 9.07 090 26116 A Removal hand lesion, deep 5.52 NA NA 5.29 5.82 0.84 NA NA 11.65 12.18 090 26117 A Remove tumor, hand/finger 8.54 NA NA 6.21 6.85 1.26 NA NA 16.01 16.65 090 26121 A Release palm contracture 7.53 NA NA 5.94 6.71 1.17 NA NA 14.64 15.41 090 26123 A Release palm contracture 10.53 NA NA 8.23 8.70 1.43 NA NA 20.19 20.66 090 26125 A Release palm contracture 4.60 NA NA 1.89 2.30 0.70 NA NA 7.19 7.60 ZZZ 26130 A Remove wrist joint lining 5.41 NA NA 4.85 5.22 0.94 NA NA 11.20 11.57 090 26135 A Revise finger joint, each 6.95 NA NA 5.49 6.22 1.07 NA NA 13.51 14.24 090 26140 A Revise finger joint, each 6.16 NA NA 5.17 5.82 0.92 NA NA 12.25 12.90 090 26145 A Tendon excision, palm/finger 6.31 NA NA 5.19 5.84 0.97 NA NA 12.47 13.12 090 Start Printed Page 49108 26160 A Remove tendon sheath lesion 3.40 9.02 11.53 3.92 4.07 0.49 12.91 15.42 7.81 7.96 090 26170 A Removal of palm tendon, each 4.76 NA NA 4.36 4.80 0.69 NA NA 9.81 10.25 090 26180 A Removal of finger tendon 5.17 NA NA 4.77 5.25 0.78 NA NA 10.72 11.20 090 26185 A Remove finger bone 6.24 NA NA 5.81 5.98 0.81 NA NA 12.86 13.03 090 26200 A Remove hand bone lesion 5.50 NA NA 4.58 5.16 0.88 NA NA 10.96 11.54 090 26205 A Remove/graft bone lesion 7.75 NA NA 5.85 6.63 1.20 NA NA 14.80 15.58 090 26210 A Removal of finger lesion 5.14 NA NA 4.74 5.25 0.79 NA NA 10.67 11.18 090 26215 A Remove/graft finger lesion 7.09 NA NA 5.53 6.12 0.98 NA NA 13.60 14.19 090 26230 A Partial removal of hand bone 6.32 NA NA 5.01 5.69 1.01 NA NA 12.34 13.02 090 26235 A Partial removal, finger bone 6.18 NA NA 4.96 5.60 0.95 NA NA 12.09 12.73 090 26236 A Partial removal, finger bone 5.31 NA NA 4.55 5.13 0.81 NA NA 10.67 11.25 090 26250 A Extensive hand surgery 7.54 NA NA 5.21 6.13 1.07 NA NA 13.82 14.74 090 26255 A Extensive hand surgery 12.71 NA NA 8.39 9.13 1.68 NA NA 22.78 23.52 090 26260 A Extensive finger surgery 7.02 NA NA 5.36 5.98 1.01 NA NA 13.39 14.01 090 26261 A Extensive finger surgery 9.20 NA NA 6.88 6.35 1.14 NA NA 17.22 16.69 090 26262 A Partial removal of finger 5.66 NA NA 4.66 5.16 0.88 NA NA 11.20 11.70 090 26320 A Removal of implant from hand 3.97 NA NA 3.78 4.18 0.59 NA NA 8.34 8.74 090 26340 A Manipulate finger w/anesth 2.50 NA NA 4.60 4.81 0.39 NA NA 7.49 7.70 090 26350 A Repair finger/hand tendon 5.98 NA NA 9.45 13.32 0.93 NA NA 16.36 20.23 090 26352 A Repair/graft hand tendon 7.67 NA NA 10.04 14.03 1.13 NA NA 18.84 22.83 090 26356 A Repair finger/hand tendon 10.06 NA NA 13.68 17.20 1.21 NA NA 24.95 28.47 090 26357 A Repair finger/hand tendon 8.57 NA NA 10.26 14.29 1.33 NA NA 20.16 24.19 090 26358 A Repair/graft hand tendon 9.13 NA NA 10.81 15.18 1.38 NA NA 21.32 25.69 090 26370 A Repair finger/hand tendon 7.10 NA NA 9.50 13.71 1.12 NA NA 17.72 21.93 090 26372 A Repair/graft hand tendon 8.81 NA NA 10.48 15.02 1.40 NA NA 20.69 25.23 090 26373 A Repair finger/hand tendon 8.21 NA NA 10.16 14.57 1.23 NA NA 19.60 24.01 090 26390 A Revise hand/finger tendon 9.24 NA NA 9.08 12.23 1.40 NA NA 19.72 22.87 090 26392 A Repair/graft hand tendon 10.30 NA NA 11.02 15.30 1.57 NA NA 22.89 27.17 090 26410 A Repair hand tendon 4.62 NA NA 7.56 10.85 0.73 NA NA 12.91 16.20 090 26412 A Repair/graft hand tendon 6.30 NA NA 8.57 12.10 0.97 NA NA 15.84 19.37 090 26415 A Excision, hand/finger tendon 8.33 NA NA 6.71 10.51 0.98 NA NA 16.02 19.82 090 26416 A Graft hand or finger tendon 9.36 NA NA 8.70 13.12 0.79 NA NA 18.85 23.27 090 26418 A Repair finger tendon 4.24 NA NA 8.07 11.26 0.67 NA NA 12.98 16.17 090 26420 A Repair/graft finger tendon 6.76 NA NA 8.75 12.41 1.07 NA NA 16.58 20.24 090 26426 A Repair finger/hand tendon 6.14 NA NA 8.52 12.00 0.95 NA NA 15.61 19.09 090 26428 A Repair/graft finger tendon 7.20 NA NA 9.19 12.69 1.09 NA NA 17.48 20.98 090 26432 A Repair finger tendon 4.01 NA NA 6.71 9.37 0.64 NA NA 11.36 14.02 090 26433 A Repair finger tendon 4.55 NA NA 6.93 9.83 0.72 NA NA 12.20 15.10 090 26434 A Repair/graft finger tendon 6.08 NA NA 7.87 10.62 0.93 NA NA 14.88 17.63 090 26437 A Realignment of tendons 5.81 NA NA 7.71 10.61 0.89 NA NA 14.41 17.31 090 26440 A Release palm/finger tendon 5.01 NA NA 8.43 12.18 0.75 NA NA 14.19 17.94 090 26442 A Release palm & finger tendon 9.40 NA NA 11.61 14.86 1.20 NA NA 22.21 25.46 090 26445 A Release hand/finger tendon 4.30 NA NA 8.10 11.88 0.65 NA NA 13.05 16.83 090 26449 A Release forearm/hand tendon 8.24 NA NA 11.30 14.65 1.06 NA NA 20.60 23.95 090 26450 A Incision of palm tendon 3.66 NA NA 5.11 6.78 0.59 NA NA 9.36 11.03 090 26455 A Incision of finger tendon 3.63 NA NA 5.07 6.73 0.58 NA NA 9.28 10.94 090 26460 A Incise hand/finger tendon 3.45 NA NA 5.01 6.61 0.55 NA NA 9.01 10.61 090 26471 A Fusion of finger tendons 5.72 NA NA 7.66 10.35 0.88 NA NA 14.26 16.95 090 26474 A Fusion of finger tendons 5.31 NA NA 7.48 10.41 0.76 NA NA 13.55 16.48 090 26476 A Tendon lengthening 5.17 NA NA 7.39 10.05 0.79 NA NA 13.35 16.01 090 26477 A Tendon shortening 5.14 NA NA 7.47 10.16 0.81 NA NA 13.42 16.11 090 26478 A Lengthening of hand tendon 5.79 NA NA 7.67 10.80 0.90 NA NA 14.36 17.49 090 26479 A Shortening of hand tendon 5.73 NA NA 7.66 10.59 0.92 NA NA 14.31 17.24 090 26480 A Transplant hand tendon 6.68 NA NA 9.57 13.67 1.02 NA NA 17.27 21.37 090 26483 A Transplant/graft hand tendon 8.28 NA NA 10.22 14.18 1.26 NA NA 19.76 23.72 090 26485 A Transplant palm tendon 7.69 NA NA 9.94 14.01 1.15 NA NA 18.78 22.85 090 Start Printed Page 49109 26489 A Transplant/graft palm tendon 9.66 NA NA 10.29 11.62 1.26 NA NA 21.21 22.54 090 26490 A Revise thumb tendon 8.40 NA NA 8.89 11.84 1.21 NA NA 18.50 21.45 090 26492 A Tendon transfer with graft 9.61 NA NA 9.77 12.64 1.40 NA NA 20.78 23.65 090 26494 A Hand tendon/muscle transfer 8.46 NA NA 9.01 11.98 1.28 NA NA 18.75 21.72 090 26496 A Revise thumb tendon 9.58 NA NA 9.46 12.29 1.45 NA NA 20.49 23.32 090 26497 A Finger tendon transfer 9.56 NA NA 9.42 12.53 1.41 NA NA 20.39 23.50 090 26498 A Finger tendon transfer 13.98 NA NA 11.48 14.99 2.10 NA NA 27.56 31.07 090 26499 A Revision of finger 8.97 NA NA 8.72 11.96 1.35 NA NA 19.04 22.28 090 26500 A Hand tendon reconstruction 5.95 NA NA 7.75 10.52 0.90 NA NA 14.60 17.37 090 26502 A Hand tendon reconstruction 7.13 NA NA 8.34 11.10 1.13 NA NA 16.60 19.36 090 26504 A Hand tendon reconstruction 7.46 NA NA 8.59 11.58 1.24 NA NA 17.29 20.28 090 26508 A Release thumb contracture 6.00 NA NA 7.75 10.70 0.98 NA NA 14.73 17.68 090 26510 A Thumb tendon transfer 5.42 NA NA 7.56 10.40 0.79 NA NA 13.77 16.61 090 26516 A Fusion of knuckle joint 7.14 NA NA 8.22 11.23 1.10 NA NA 16.46 19.47 090 26517 A Fusion of knuckle joints 8.88 NA NA 9.21 12.43 1.41 NA NA 19.50 22.72 090 26518 A Fusion of knuckle joints 9.07 NA NA 9.24 12.35 1.35 NA NA 19.66 22.77 090 26520 A Release knuckle contracture 5.29 NA NA 8.81 12.62 0.80 NA NA 14.90 18.71 090 26525 A Release finger contracture 5.32 NA NA 8.82 12.68 0.81 NA NA 14.95 18.81 090 26530 A Revise knuckle joint 6.68 NA NA 5.43 5.96 1.04 NA NA 13.15 13.68 090 26531 A Revise knuckle with implant 7.90 NA NA 6.15 6.88 1.17 NA NA 15.22 15.95 090 26535 A Revise finger joint 5.23 NA NA 4.04 3.82 0.71 NA NA 9.98 9.76 090 26536 A Revise/implant finger joint 6.36 NA NA 9.14 9.52 0.96 NA NA 16.46 16.84 090 26540 A Repair hand joint 6.42 NA NA 7.98 10.90 0.99 NA NA 15.39 18.31 090 26541 A Repair hand joint with graft 8.61 NA NA 9.04 12.30 1.28 NA NA 18.93 22.19 090 26542 A Repair hand joint with graft 6.77 NA NA 8.13 11.06 1.02 NA NA 15.92 18.85 090 26545 A Reconstruct finger joint 6.91 NA NA 8.32 11.18 1.05 NA NA 16.28 19.14 090 26546 A Repair nonunion hand 10.41 NA NA 11.42 14.13 1.44 NA NA 23.27 25.98 090 26548 A Reconstruct finger joint 8.02 NA NA 8.78 11.83 1.20 NA NA 18.00 21.05 090 26550 A Construct thumb replacement 21.46 NA NA 15.40 17.04 2.45 NA NA 39.31 40.95 090 26551 A Great toe-hand transfer 48.09 NA NA 21.71 29.76 7.96 NA NA 77.76 85.81 090 26553 A Single transfer, toe-hand 47.78 NA NA 20.29 22.08 2.41 NA NA 70.48 72.27 090 26554 A Double transfer, toe-hand 56.57 NA NA 19.56 33.04 9.41 NA NA 85.54 99.02 090 26555 A Positional change of finger 16.86 NA NA 13.88 17.11 2.48 NA NA 33.22 36.45 090 26556 A Toe joint transfer 49.27 NA NA 17.86 29.46 2.57 NA NA 69.70 81.30 090 26560 A Repair of web finger 5.37 NA NA 7.09 9.12 0.85 NA NA 13.31 15.34 090 26561 A Repair of web finger 10.90 NA NA 9.41 11.61 1.45 NA NA 21.76 23.96 090 26562 A Repair of web finger 16.30 NA NA 13.88 16.33 2.23 NA NA 32.41 34.86 090 26565 A Correct metacarpal flaw 6.73 NA NA 7.90 10.98 1.00 NA NA 15.63 18.71 090 26567 A Correct finger deformity 6.81 NA NA 8.15 11.00 1.04 NA NA 16.00 18.85 090 26568 A Lengthen metacarpal/finger 9.07 NA NA 10.13 14.11 1.49 NA NA 20.69 24.67 090 26580 A Repair hand deformity 19.40 NA NA 11.01 12.98 2.28 NA NA 32.69 34.66 090 26587 A Reconstruct extra finger 14.28 NA NA 8.43 9.02 1.53 NA NA 24.24 24.83 090 26590 A Repair finger deformity 18.43 NA NA 10.52 13.09 2.77 NA NA 31.72 34.29 090 26591 A Repair muscles of hand 3.25 NA NA 6.26 8.78 0.48 NA NA 9.99 12.51 090 26593 A Release muscles of hand 5.30 NA NA 7.73 10.28 0.78 NA NA 13.81 16.36 090 26596 A Excision constricting tissue 8.94 NA NA 7.48 8.49 1.43 NA NA 17.85 18.86 090 26600 A Treat metacarpal fracture 2.40 3.83 3.67 3.48 2.86 0.30 6.53 6.37 6.18 5.56 090 26605 A Treat metacarpal fracture 2.85 4.09 4.44 3.50 3.61 0.49 7.43 7.78 6.84 6.95 090 26607 A Treat metacarpal fracture 5.35 NA NA 4.88 5.92 0.87 NA NA 11.10 12.14 090 26608 A Treat metacarpal fracture 5.35 NA NA 5.25 6.00 0.88 NA NA 11.48 12.23 090 26615 A Treat metacarpal fracture 5.32 NA NA 4.75 5.16 0.86 NA NA 10.93 11.34 090 26641 A Treat thumb dislocation 3.93 4.17 4.47 3.52 3.53 0.39 8.49 8.79 7.84 7.85 090 26645 A Treat thumb fracture 4.40 4.62 5.03 3.93 4.13 0.67 9.69 10.10 9.00 9.20 090 26650 A Treat thumb fracture 5.71 NA NA 5.62 6.42 0.94 NA NA 12.27 13.07 090 26665 A Treat thumb fracture 7.65 NA NA 5.87 6.43 0.90 NA NA 14.42 14.98 090 26670 A Treat hand dislocation 3.68 3.55 4.08 2.96 2.95 0.39 7.62 8.15 7.03 7.02 090 26675 A Treat hand dislocation 4.63 4.85 5.32 4.15 4.39 0.77 10.25 10.72 9.55 9.79 090 26676 A Pin hand dislocation 5.51 NA NA 5.57 6.41 0.91 NA NA 11.99 12.83 090 26685 A Treat hand dislocation 7.03 NA NA 5.44 5.97 1.09 NA NA 13.56 14.09 090 26686 A Treat hand dislocation 7.99 NA NA 6.12 6.71 1.24 NA NA 15.35 15.94 090 26700 A Treat knuckle dislocation 3.68 3.32 3.65 2.95 2.88 0.35 7.35 7.68 6.98 6.91 090 26705 A Treat knuckle dislocation 4.18 4.82 5.20 4.10 4.25 0.66 9.66 10.04 8.94 9.09 090 26706 A Pin knuckle dislocation 5.11 NA NA 4.69 4.99 0.81 NA NA 10.61 10.91 090 26715 A Treat knuckle dislocation 5.73 NA NA 4.92 5.36 0.91 NA NA 11.56 12.00 090 26720 A Treat finger fracture, each 1.66 2.59 2.73 2.31 2.12 0.24 4.49 4.63 4.21 4.02 090 26725 A Treat finger fracture, each 3.33 4.10 4.60 3.42 3.48 0.53 7.96 8.46 7.28 7.34 090 Start Printed Page 49110 26727 A Treat finger fracture, each 5.22 NA NA 5.21 5.98 0.84 NA NA 11.27 12.04 090 26735 A Treat finger fracture, each 5.97 NA NA 5.00 5.41 0.95 NA NA 11.92 12.33 090 26740 A Treat finger fracture, each 1.94 2.95 3.09 2.66 2.69 0.31 5.20 5.34 4.91 4.94 090 26742 A Treat finger fracture, each 3.84 4.33 4.83 3.62 3.82 0.58 8.75 9.25 8.04 8.24 090 26746 A Treat finger fracture, each 5.80 NA NA 4.96 5.41 0.91 NA NA 11.67 12.12 090 26750 A Treat finger fracture, each 1.70 2.25 2.42 2.26 2.07 0.22 4.17 4.34 4.18 3.99 090 26755 A Treat finger fracture, each 3.10 3.79 4.26 2.98 3.00 0.42 7.31 7.78 6.50 6.52 090 26756 A Pin finger fracture, each 4.38 NA NA 4.86 5.51 0.71 NA NA 9.95 10.60 090 26765 A Treat finger fracture, each 4.16 NA NA 4.02 4.30 0.66 NA NA 8.84 9.12 090 26770 A Treat finger dislocation 3.02 2.91 3.30 2.53 2.44 0.27 6.20 6.59 5.82 5.73 090 26775 A Treat finger dislocation 3.70 4.54 5.03 3.81 3.81 0.54 8.78 9.27 8.05 8.05 090 26776 A Pin finger dislocation 4.79 NA NA 5.01 5.75 0.77 NA NA 10.57 11.31 090 26785 A Treat finger dislocation 4.20 NA NA 4.08 4.42 0.68 NA NA 8.96 9.30 090 26820 A Thumb fusion with graft 8.25 NA NA 8.71 12.12 1.30 NA NA 18.26 21.67 090 26841 A Fusion of thumb 7.12 NA NA 8.69 12.10 1.18 NA NA 16.99 20.40 090 26842 A Thumb fusion with graft 8.29 NA NA 8.95 12.27 1.32 NA NA 18.56 21.88 090 26843 A Fusion of hand joint 7.60 NA NA 8.17 11.31 1.15 NA NA 16.92 20.06 090 26844 A Fusion/graft of hand joint 8.78 NA NA 9.14 12.31 1.33 NA NA 19.25 22.42 090 26850 A Fusion of knuckle 6.96 NA NA 8.29 11.22 1.06 NA NA 16.31 19.24 090 26852 A Fusion of knuckle with graft 8.51 NA NA 9.12 11.95 1.22 NA NA 18.85 21.68 090 26860 A Fusion of finger joint 4.68 NA NA 7.54 10.28 0.73 NA NA 12.95 15.69 090 26861 A Fusion of finger jnt, add-on 1.74 NA NA 0.71 0.88 0.27 NA NA 2.72 2.89 ZZZ 26862 A Fusion/graft of finger joint 7.36 NA NA 8.68 11.43 1.10 NA NA 17.14 19.89 090 26863 A Fuse/graft added joint 3.89 NA NA 1.58 1.98 0.56 NA NA 6.03 6.43 ZZZ 26910 A Amputate metacarpal bone 7.59 NA NA 8.30 10.49 1.16 NA NA 17.05 19.24 090 26951 A Amputation of finger/thumb 5.75 NA NA 8.39 9.71 0.71 NA NA 14.85 16.17 090 26952 A Amputation of finger/thumb 6.30 NA NA 7.94 10.73 0.95 NA NA 15.19 17.98 090 26989 C Hand/finger surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 26990 A Drainage of pelvis lesion 7.77 NA NA 6.29 6.98 1.22 NA NA 15.28 15.97 090 26991 A Drainage of pelvis bursa 6.91 8.60 10.52 4.85 5.29 1.11 16.62 18.54 12.87 13.31 090 26992 A Drainage of bone lesion 13.30 NA NA 8.64 9.95 2.16 NA NA 24.10 25.41 090 27000 A Incision of hip tendon 5.61 NA NA 4.55 5.10 0.98 NA NA 11.14 11.69 090 27001 A Incision of hip tendon 6.99 NA NA 5.23 5.88 1.24 NA NA 13.46 14.11 090 27003 A Incision of hip tendon 7.63 NA NA 5.82 6.32 1.12 NA NA 14.57 15.07 090 27005 A Incision of hip tendon 9.89 NA NA 6.79 7.56 1.72 NA NA 18.40 19.17 090 27006 A Incision of hip tendons 9.91 NA NA 6.84 7.70 1.69 NA NA 18.44 19.30 090 27025 A Incision of hip/thigh fascia 12.57 NA NA 8.10 8.44 1.84 NA NA 22.51 22.85 090 27030 A Drainage of hip joint 13.47 NA NA 8.10 9.26 2.26 NA NA 23.83 24.99 090 27033 A Exploration of hip joint 13.91 NA NA 8.45 9.55 2.32 NA NA 24.68 25.78 090 27035 A Denervation of hip joint 17.14 NA NA 9.53 10.81 2.15 NA NA 28.82 30.10 090 27036 A Excision of hip joint/muscle 14.10 NA NA 8.98 9.75 2.26 NA NA 25.34 26.11 090 27040 A Biopsy of soft tissues 2.87 5.14 5.21 1.81 1.96 0.27 8.28 8.35 4.95 5.10 010 27041 A Biopsy of soft tissues 10.00 NA NA 5.79 6.43 1.35 NA NA 17.14 17.78 090 27047 A Remove hip/pelvis lesion 7.44 7.12 7.11 4.57 4.72 1.03 15.59 15.58 13.04 13.19 090 27048 A Remove hip/pelvis lesion 6.36 NA NA 4.65 4.76 0.92 NA NA 11.93 12.04 090 27049 A Remove tumor, hip/pelvis 15.12 NA NA 8.24 8.36 2.06 NA NA 25.42 25.54 090 27050 A Biopsy of sacroiliac joint 4.59 NA NA 3.79 4.26 0.60 NA NA 8.98 9.45 090 27052 A Biopsy of hip joint 7.21 NA NA 5.68 5.83 1.08 NA NA 13.97 14.12 090 27054 A Removal of hip joint lining 9.01 NA NA 6.49 7.13 1.47 NA NA 16.97 17.61 090 27060 A Removal of ischial bursa 5.72 NA NA 4.38 4.37 0.80 NA NA 10.90 10.89 090 27062 A Remove femur lesion/bursa 5.60 NA NA 4.63 5.05 0.93 NA NA 11.16 11.58 090 27065 A Removal of hip bone lesion 6.37 NA NA 5.12 5.36 1.01 NA NA 12.50 12.74 090 27066 A Removal of hip bone lesion 10.97 NA NA 7.46 8.20 1.79 NA NA 20.22 20.96 090 27067 A Remove/graft hip bone lesion 14.47 NA NA 8.80 10.20 1.84 NA NA 25.11 26.51 090 27070 A Partial removal of hip bone 11.36 NA NA 7.94 8.83 1.74 NA NA 21.04 21.93 090 27071 A Partial removal of hip bone 12.16 NA NA 8.54 9.73 1.92 NA NA 22.62 23.81 090 Start Printed Page 49111 27075 A Extensive hip surgery 36.71 NA NA 16.62 18.56 5.64 NA NA 58.97 60.91 090 27076 A Extensive hip surgery 24.17 NA NA 12.75 14.07 3.70 NA NA 40.62 41.94 090 27077 A Extensive hip surgery 42.48 NA NA 19.99 21.99 6.12 NA NA 68.59 70.59 090 27078 A Extensive hip surgery 14.44 NA NA 8.79 9.65 2.22 NA NA 25.45 26.31 090 27079 A Extensive hip surgery 14.81 NA NA 7.52 9.04 1.94 NA NA 24.27 25.79 090 27080 A Removal of tail bone 6.74 NA NA 4.72 4.80 0.93 NA NA 12.39 12.47 090 27086 A Remove hip foreign body 1.87 3.78 4.36 1.54 1.75 0.25 5.90 6.48 3.66 3.87 010 27087 A Remove hip foreign body 8.65 NA NA 5.66 6.41 1.35 NA NA 15.66 16.41 090 27090 A Removal of hip prosthesis 11.49 NA NA 7.44 8.45 1.94 NA NA 20.87 21.88 090 27091 A Removal of hip prosthesis 24.07 NA NA 13.05 13.76 3.84 NA NA 40.96 41.67 090 27093 A Injection for hip x-ray 1.30 3.09 4.12 0.44 0.47 0.13 4.52 5.55 1.87 1.90 000 27095 A Injection for hip x-ray 1.50 3.73 5.22 0.50 0.52 0.14 5.37 6.86 2.14 2.16 000 27096 A Inject sacroiliac joint 1.40 2.54 3.90 0.33 0.33 0.08 4.02 5.38 1.81 1.81 000 27097 A Revision of hip tendon 9.09 NA NA 6.35 6.40 1.57 NA NA 17.01 17.06 090 27098 A Transfer tendon to pelvis 9.12 NA NA 4.96 6.51 0.95 NA NA 15.03 16.58 090 27100 A Transfer of abdominal muscle 11.12 NA NA 7.39 8.34 1.85 NA NA 20.36 21.31 090 27105 A Transfer of spinal muscle 11.81 NA NA 7.93 8.85 1.72 NA NA 21.46 22.38 090 27110 A Transfer of iliopsoas muscle 13.54 NA NA 8.61 8.99 2.18 NA NA 24.33 24.71 090 27111 A Transfer of iliopsoas muscle 12.37 NA NA 8.13 8.88 1.94 NA NA 22.44 23.19 090 27120 A Reconstruction of hip socket 19.00 NA NA 10.79 11.58 3.08 NA NA 32.87 33.66 090 27122 A Reconstruction of hip socket 15.86 NA NA 9.49 10.65 2.61 NA NA 27.96 29.12 090 27125 A Partial hip replacement 16.39 NA NA 9.69 10.39 2.54 NA NA 28.62 29.32 090 27130 A Total hip arthroplasty 17.40 NA NA 10.24 12.54 3.50 NA NA 31.14 33.44 090 27132 A Total hip arthroplasty 25.41 NA NA 13.57 15.12 4.04 NA NA 43.02 44.57 090 27134 A Revise hip joint replacement 30.07 NA NA 14.86 17.06 4.94 NA NA 49.87 52.07 090 27137 A Revise hip joint replacement 22.49 NA NA 11.85 13.41 3.67 NA NA 38.01 39.57 090 27138 A Revise hip joint replacement 23.49 NA NA 12.24 13.85 3.84 NA NA 39.57 41.18 090 27140 A Transplant femur ridge 12.58 NA NA 7.81 9.01 2.11 NA NA 22.50 23.70 090 27146 A Incision of hip bone 18.64 NA NA 10.74 11.78 2.96 NA NA 32.34 33.38 090 27147 A Revision of hip bone 21.79 NA NA 11.94 12.92 3.57 NA NA 37.30 38.28 090 27151 A Incision of hip bones 23.84 NA NA 12.44 9.07 3.91 NA NA 40.19 36.82 090 27156 A Revision of hip bones 25.95 NA NA 13.54 15.43 4.21 NA NA 43.70 45.59 090 27158 A Revision of pelvis 20.79 NA NA 7.19 10.03 3.16 NA NA 31.14 33.98 090 27161 A Incision of neck of femur 17.64 NA NA 10.42 11.68 2.94 NA NA 31.00 32.26 090 27165 A Incision/fixation of femur 19.97 NA NA 11.73 12.62 3.10 NA NA 34.80 35.69 090 27170 A Repair/graft femur head/neck 17.40 NA NA 9.82 10.93 2.81 NA NA 30.03 31.14 090 27175 A Treat slipped epiphysis 9.23 NA NA 5.80 6.45 1.46 NA NA 16.49 17.14 090 27176 A Treat slipped epiphysis 12.69 NA NA 8.26 8.82 2.22 NA NA 23.17 23.73 090 27177 A Treat slipped epiphysis 15.84 NA NA 9.69 10.59 2.61 NA NA 28.14 29.04 090 27178 A Treat slipped epiphysis 12.69 NA NA 8.26 8.38 2.08 NA NA 23.03 23.15 090 27179 A Revise head/neck of femur 13.74 NA NA 8.56 9.63 2.25 NA NA 24.55 25.62 090 27181 A Treat slipped epiphysis 15.90 NA NA 9.83 10.11 1.57 NA NA 27.30 27.58 090 27185 A Revision of femur epiphysis 9.59 NA NA 6.69 7.31 2.39 NA NA 18.67 19.29 090 27187 A Reinforce hip bones 14.00 NA NA 8.72 9.92 2.37 NA NA 25.09 26.29 090 27193 A Treat pelvic ring fracture 5.92 4.65 4.98 4.78 5.01 0.96 11.53 11.86 11.66 11.89 090 27194 A Treat pelvic ring fracture 10.00 NA NA 6.62 7.39 1.65 NA NA 18.27 19.04 090 27200 A Treat tail bone fracture 1.84 2.09 2.19 2.24 2.17 0.28 4.21 4.31 4.36 4.29 090 27202 A Treat tail bone fracture 7.21 NA NA 11.28 15.47 1.06 NA NA 19.55 23.74 090 27215 A Treat pelvic fracture(s) 10.39 NA NA 6.53 6.94 1.97 NA NA 18.89 19.30 090 27216 A Treat pelvic ring fracture 15.65 NA NA 9.25 9.51 2.63 NA NA 27.53 27.79 090 27217 A Treat pelvic ring fracture 14.57 NA NA 8.70 9.78 2.41 NA NA 25.68 26.76 090 27218 A Treat pelvic ring fracture 20.85 NA NA 11.41 11.40 3.48 NA NA 35.74 35.73 090 27220 A Treat hip socket fracture 6.65 5.28 5.61 5.18 5.52 1.07 13.00 13.33 12.90 13.24 090 27222 A Treat hip socket fracture 13.88 NA NA 8.50 9.60 2.19 NA NA 24.57 25.67 090 27226 A Treat hip wall fracture 15.37 NA NA 9.00 8.11 2.48 NA NA 26.85 25.96 090 27227 A Treat hip fracture(s) 25.13 NA NA 13.44 14.91 4.05 NA NA 42.62 44.09 090 27228 A Treat hip fracture(s) 29.05 NA NA 15.03 16.97 4.66 NA NA 48.74 50.68 090 27230 A Treat thigh fracture 5.61 4.98 5.38 4.91 5.05 0.95 11.54 11.94 11.47 11.61 090 27232 A Treat thigh fracture 11.62 NA NA 6.00 6.88 1.85 NA NA 19.47 20.35 090 27235 A Treat thigh fracture 12.80 NA NA 8.05 9.10 2.11 NA NA 22.96 24.01 090 27236 A Treat thigh fracture 14.54 NA NA 9.10 10.56 2.71 NA NA 26.35 27.81 090 27238 A Treat thigh fracture 5.57 NA NA 4.69 5.03 0.89 NA NA 11.15 11.49 090 27240 A Treat thigh fracture 13.56 NA NA 8.10 9.13 2.16 NA NA 23.82 24.85 090 27244 A Treat thigh fracture 17.00 NA NA 9.71 10.90 2.77 NA NA 29.48 30.67 090 27245 A Treat thigh fracture 21.01 NA NA 11.46 13.17 3.52 NA NA 35.99 37.70 090 27246 A Treat thigh fracture 4.70 3.93 4.33 3.97 4.31 0.81 9.44 9.84 9.48 9.82 090 Start Printed Page 49112 27248 A Treat thigh fracture 10.73 NA NA 7.01 7.91 1.81 NA NA 19.55 20.45 090 27250 A Treat hip dislocation 7.12 NA NA 4.27 4.53 0.62 NA NA 12.01 12.27 090 27252 A Treat hip dislocation 10.85 NA NA 6.52 7.20 1.66 NA NA 19.03 19.71 090 27253 A Treat hip dislocation 13.38 NA NA 8.26 9.40 2.24 NA NA 23.88 25.02 090 27254 A Treat hip dislocation 18.71 NA NA 10.56 11.66 3.17 NA NA 32.44 33.54 090 27256 A Treat hip dislocation 4.23 2.39 3.24 1.39 1.91 0.46 7.08 7.93 6.08 6.60 010 27257 A Treat hip dislocation 5.33 NA NA 2.57 2.75 0.69 NA NA 8.59 8.77 010 27258 A Treat hip dislocation 15.95 NA NA 9.45 10.52 2.64 NA NA 28.04 29.11 090 27259 A Treat hip dislocation 22.95 NA NA 12.91 13.82 3.74 NA NA 39.60 40.51 090 27265 A Treat hip dislocation 5.04 NA NA 3.98 4.59 0.63 NA NA 9.65 10.26 090 27266 A Treat hip dislocation 7.60 NA NA 5.55 6.14 1.29 NA NA 14.44 15.03 090 27275 A Manipulation of hip joint 2.27 NA NA 1.89 2.05 0.39 NA NA 4.55 4.71 010 27280 A Fusion of sacroiliac joint 14.39 NA NA 9.05 9.96 2.53 NA NA 25.97 26.88 090 27282 A Fusion of pubic bones 11.62 NA NA 7.83 7.96 1.86 NA NA 21.31 21.44 090 27284 A Fusion of hip joint 24.85 NA NA 12.86 14.29 3.92 NA NA 41.63 43.06 090 27286 A Fusion of hip joint 24.89 NA NA 13.47 15.21 3.12 NA NA 41.48 43.22 090 27290 A Amputation of leg at hip 24.27 NA NA 12.53 13.68 3.43 NA NA 40.23 41.38 090 27295 A Amputation of leg at hip 19.46 NA NA 9.79 10.93 2.95 NA NA 32.20 33.34 090 27299 C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27301 A Drain thigh/knee lesion 6.60 8.23 9.61 4.66 5.02 1.04 15.87 17.25 12.30 12.66 090 27303 A Drainage of bone lesion 8.45 NA NA 6.07 6.75 1.43 NA NA 15.95 16.63 090 27305 A Incise thigh tendon & fascia 6.03 NA NA 4.63 5.04 1.01 NA NA 11.67 12.08 090 27306 A Incision of thigh tendon 4.61 NA NA 4.07 4.56 0.85 NA NA 9.53 10.02 090 27307 A Incision of thigh tendons 5.91 NA NA 4.81 5.24 1.04 NA NA 11.76 12.19 090 27310 A Exploration of knee joint 9.80 NA NA 6.83 7.39 1.61 NA NA 18.24 18.80 090 27315 A Partial removal, thigh nerve 7.02 NA NA 5.44 5.07 1.09 NA NA 13.55 13.18 090 27320 A Partial removal, thigh nerve 6.29 NA NA 4.75 5.11 1.06 NA NA 12.10 12.46 090 27323 A Biopsy, thigh soft tissues 2.28 4.09 3.66 1.87 1.88 0.24 6.61 6.18 4.39 4.40 010 27324 A Biopsy, thigh soft tissues 4.89 NA NA 3.85 4.10 0.75 NA NA 9.49 9.74 090 27327 A Removal of thigh lesion 4.46 6.08 6.01 3.61 3.69 0.64 11.18 11.11 8.71 8.79 090 27328 A Removal of thigh lesion 5.56 NA NA 4.07 4.30 0.84 NA NA 10.47 10.70 090 27329 A Remove tumor, thigh/knee 15.60 NA NA 8.58 8.91 2.14 NA NA 26.32 26.65 090 27330 A Biopsy, knee joint lining 4.96 NA NA 4.12 4.46 0.86 NA NA 9.94 10.28 090 27331 A Explore/treat knee joint 5.87 NA NA 4.84 5.35 1.02 NA NA 11.73 12.24 090 27332 A Removal of knee cartilage 8.26 NA NA 6.15 6.88 1.43 NA NA 15.84 16.57 090 27333 A Removal of knee cartilage 7.35 NA NA 5.73 6.44 1.26 NA NA 14.34 15.05 090 27334 A Remove knee joint lining 8.99 NA NA 6.49 7.18 1.51 NA NA 16.99 17.68 090 27335 A Remove knee joint lining 10.35 NA NA 7.06 7.93 1.74 NA NA 19.15 20.02 090 27340 A Removal of kneecap bursa 4.17 NA NA 4.05 4.43 0.72 NA NA 8.94 9.32 090 27345 A Removal of knee cyst 5.91 NA NA 4.89 5.44 1.00 NA NA 11.80 12.35 090 27347 A Remove knee cyst 6.52 NA NA 5.26 5.38 0.98 NA NA 12.76 12.88 090 27350 A Removal of kneecap 8.46 NA NA 6.29 7.00 1.41 NA NA 16.16 16.87 090 27355 A Remove femur lesion 7.82 NA NA 5.87 6.55 1.32 NA NA 15.01 15.69 090 27356 A Remove femur lesion/graft 9.89 NA NA 6.86 7.60 1.65 NA NA 18.40 19.14 090 27357 A Remove femur lesion/graft 10.93 NA NA 7.54 8.41 1.95 NA NA 20.42 21.29 090 27358 A Remove femur lesion/fixation 4.73 NA NA 1.90 2.37 0.82 NA NA 7.45 7.92 ZZZ 27360 A Partial removal, leg bone(s) 11.26 NA NA 8.13 9.20 1.83 NA NA 21.22 22.29 090 27365 A Extensive leg surgery 17.85 NA NA 10.52 11.39 2.79 NA NA 31.16 32.03 090 27370 A Injection for knee x-ray 0.96 2.82 3.50 0.33 0.32 0.08 3.86 4.54 1.37 1.36 000 27372 A Removal of foreign body 5.06 8.34 9.62 4.05 4.53 0.84 14.24 15.52 9.95 10.43 090 27380 A Repair of kneecap tendon 7.27 NA NA 6.08 6.98 1.24 NA NA 14.59 15.49 090 27381 A Repair/graft kneecap tendon 10.56 NA NA 7.56 8.71 1.79 NA NA 19.91 21.06 090 27385 A Repair of thigh muscle 7.93 NA NA 6.36 7.31 1.36 NA NA 15.65 16.60 090 27386 A Repair/graft of thigh muscle 10.90 NA NA 7.98 9.13 1.85 NA NA 20.73 21.88 090 27390 A Incision of thigh tendon 5.38 NA NA 4.57 4.98 0.92 NA NA 10.87 11.28 090 27391 A Incision of thigh tendons 7.31 NA NA 5.52 6.30 1.23 NA NA 14.06 14.84 090 Start Printed Page 49113 27392 A Incision of thigh tendons 9.43 NA NA 6.72 7.37 1.57 NA NA 17.72 18.37 090 27393 A Lengthening of thigh tendon 6.44 NA NA 5.01 5.63 1.10 NA NA 12.55 13.17 090 27394 A Lengthening of thigh tendons 8.61 NA NA 6.19 6.96 1.47 NA NA 16.27 17.04 090 27395 A Lengthening of thigh tendons 12.01 NA NA 7.99 8.99 2.04 NA NA 22.04 23.04 090 27396 A Transplant of thigh tendon 7.97 NA NA 5.93 6.73 1.34 NA NA 15.24 16.04 090 27397 A Transplants of thigh tendons 12.38 NA NA 8.42 8.89 1.82 NA NA 22.62 23.09 090 27400 A Revise thigh muscles/tendons 9.13 NA NA 6.17 6.98 1.31 NA NA 16.61 17.42 090 27403 A Repair of knee cartilage 8.44 NA NA 6.09 6.91 1.44 NA NA 15.97 16.79 090 27405 A Repair of knee ligament 8.88 NA NA 6.44 7.23 1.51 NA NA 16.83 17.62 090 27407 A Repair of knee ligament 10.62 NA NA 6.67 7.91 1.78 NA NA 19.07 20.31 090 27409 A Repair of knee ligaments 13.48 NA NA 8.44 9.57 2.24 NA NA 24.16 25.29 090 27412 A Autochondrocyte implant knee 24.43 NA NA 13.66 14.52 4.35 NA NA 42.44 43.30 090 27415 A Osteochondral knee allograft 19.69 NA NA 11.86 12.38 4.35 NA NA 35.90 36.42 090 27418 A Repair degenerated kneecap 11.37 NA NA 7.61 8.58 1.88 NA NA 20.86 21.83 090 27420 A Revision of unstable kneecap 10.06 NA NA 6.96 7.82 1.71 NA NA 18.73 19.59 090 27422 A Revision of unstable kneecap 10.01 NA NA 6.91 7.82 1.70 NA NA 18.62 19.53 090 27424 A Revision/removal of kneecap 10.04 NA NA 6.92 7.80 1.70 NA NA 18.66 19.54 090 27425 A Lat retinacular release open 5.21 NA NA 4.71 5.32 0.90 NA NA 10.82 11.43 090 27427 A Reconstruction, knee 9.59 NA NA 6.70 7.53 1.63 NA NA 17.92 18.75 090 27428 A Reconstruction, knee 15.23 NA NA 10.13 10.96 2.42 NA NA 27.78 28.61 090 27429 A Reconstruction, knee 17.12 NA NA 11.33 12.14 2.70 NA NA 31.15 31.96 090 27430 A Revision of thigh muscles 9.96 NA NA 6.89 7.72 1.69 NA NA 18.54 19.37 090 27435 A Incision of knee joint 10.60 NA NA 7.69 8.28 1.69 NA NA 19.98 20.57 090 27437 A Revise kneecap 8.75 NA NA 6.24 6.99 1.49 NA NA 16.48 17.23 090 27438 A Revise kneecap with implant 11.69 NA NA 7.57 8.30 1.95 NA NA 21.21 21.94 090 27440 A Revision of knee joint 10.89 NA NA 7.16 6.28 1.81 NA NA 19.86 18.98 090 27441 A Revision of knee joint 11.34 NA NA 7.50 6.91 1.88 NA NA 20.72 20.13 090 27442 A Revision of knee joint 12.17 NA NA 7.78 8.63 2.09 NA NA 22.04 22.89 090 27443 A Revision of knee joint 11.21 NA NA 7.40 8.39 1.90 NA NA 20.51 21.50 090 27445 A Revision of knee joint 18.43 NA NA 10.53 11.90 3.08 NA NA 32.04 33.41 090 27446 A Revision of knee joint 16.18 NA NA 9.37 10.80 2.80 NA NA 28.35 29.78 090 27447 A Total knee arthroplasty 20.81 NA NA 11.84 13.91 3.79 NA NA 36.44 38.51 090 27448 A Incision of thigh 11.40 NA NA 7.43 8.31 1.94 NA NA 20.77 21.65 090 27450 A Incision of thigh 14.38 NA NA 8.85 10.15 2.42 NA NA 25.65 26.95 090 27454 A Realignment of thigh bone 18.89 NA NA 10.74 12.06 3.12 NA NA 32.75 34.07 090 27455 A Realignment of knee 13.16 NA NA 8.40 9.51 2.24 NA NA 23.80 24.91 090 27457 A Realignment of knee 13.85 NA NA 8.26 9.51 2.34 NA NA 24.45 25.70 090 27465 A Shortening of thigh bone 18.36 NA NA 10.30 10.24 2.47 NA NA 31.13 31.07 090 27466 A Lengthening of thigh bone 17.03 NA NA 10.15 11.41 2.77 NA NA 29.95 31.21 090 27468 A Shorten/lengthen thighs 19.72 NA NA 11.28 12.08 3.30 NA NA 34.30 35.10 090 27470 A Repair of thigh 16.87 NA NA 10.22 11.40 2.79 NA NA 29.88 31.06 090 27472 A Repair/graft of thigh 18.47 NA NA 10.72 12.19 3.07 NA NA 32.26 33.73 090 27475 A Surgery to stop leg growth 8.75 NA NA 6.65 7.07 1.36 NA NA 16.76 17.18 090 27477 A Surgery to stop leg growth 9.96 NA NA 6.65 7.46 1.73 NA NA 18.34 19.15 090 27479 A Surgery to stop leg growth 12.96 NA NA 5.11 8.51 2.78 NA NA 20.85 24.25 090 27485 A Surgery to stop leg growth 8.95 NA NA 6.24 7.11 1.53 NA NA 16.72 17.59 090 27486 A Revise/replace knee joint 20.84 NA NA 11.74 13.05 3.36 NA NA 35.94 37.25 090 27487 A Revise/replace knee joint 26.83 NA NA 14.14 15.95 4.39 NA NA 45.36 47.17 090 27488 A Removal of knee prosthesis 17.32 NA NA 10.34 11.36 2.74 NA NA 30.40 31.42 090 27495 A Reinforce thigh 16.31 NA NA 9.70 10.98 2.71 NA NA 28.72 30.00 090 27496 A Decompression of thigh/knee 6.58 NA NA 5.02 5.46 0.99 NA NA 12.59 13.03 090 27497 A Decompression of thigh/knee 7.64 NA NA 4.68 5.24 1.15 NA NA 13.47 14.03 090 27498 A Decompression of thigh/knee 8.46 NA NA 5.37 5.81 1.24 NA NA 15.07 15.51 090 27499 A Decompression of thigh/knee 9.23 NA NA 5.83 6.57 1.47 NA NA 16.53 17.27 090 27500 A Treatment of thigh fracture 6.15 5.44 5.95 4.65 4.91 1.02 12.61 13.12 11.82 12.08 090 27501 A Treatment of thigh fracture 6.28 5.04 5.60 4.95 5.27 1.03 12.35 12.91 12.26 12.58 090 27502 A Treatment of thigh fracture 11.16 NA NA 6.92 7.81 1.78 NA NA 19.86 20.75 090 27503 A Treatment of thigh fracture 11.05 NA NA 7.26 8.03 1.84 NA NA 20.15 20.92 090 27506 A Treatment of thigh fracture 19.33 NA NA 11.21 12.39 3.03 NA NA 33.57 34.75 090 27507 A Treatment of thigh fracture 14.33 NA NA 8.20 9.43 2.42 NA NA 24.95 26.18 090 27508 A Treatment of thigh fracture 6.00 5.71 6.27 5.07 5.38 0.97 12.68 13.24 12.04 12.35 090 27509 A Treatment of thigh fracture 7.94 NA NA 6.57 7.61 1.34 NA NA 15.85 16.89 090 27510 A Treatment of thigh fracture 9.60 NA NA 6.34 7.08 1.53 NA NA 17.47 18.21 090 27511 A Treatment of thigh fracture 13.86 NA NA 9.11 10.68 2.37 NA NA 25.34 26.91 090 27513 A Treatment of thigh fracture 19.37 NA NA 11.85 13.37 3.12 NA NA 34.34 35.86 090 27514 A Treatment of thigh fracture 19.00 NA NA 11.98 13.01 3.00 NA NA 33.98 35.01 090 Start Printed Page 49114 27516 A Treat thigh fx growth plate 5.36 5.69 6.19 5.05 5.40 0.81 11.86 12.36 11.22 11.57 090 27517 A Treat thigh fx growth plate 8.89 NA NA 6.04 7.10 1.22 NA NA 16.15 17.21 090 27519 A Treat thigh fx growth plate 15.72 NA NA 9.88 11.16 2.55 NA NA 28.15 29.43 090 27520 A Treat kneecap fracture 2.86 4.11 4.43 3.53 3.46 0.47 7.44 7.76 6.86 6.79 090 27524 A Treat kneecap fracture 10.17 NA NA 6.98 7.92 1.74 NA NA 18.89 19.83 090 27530 A Treat knee fracture 3.89 4.83 5.19 4.27 4.38 0.65 9.37 9.73 8.81 8.92 090 27532 A Treat knee fracture 7.35 6.45 7.13 5.67 6.26 1.26 15.06 15.74 14.28 14.87 090 27535 A Treat knee fracture 11.72 NA NA 8.26 9.65 2.00 NA NA 21.98 23.37 090 27536 A Treat knee fracture 17.11 NA NA 10.29 11.28 2.73 NA NA 30.13 31.12 090 27538 A Treat knee fracture(s) 4.86 5.54 5.98 4.92 5.12 0.84 11.24 11.68 10.62 10.82 090 27540 A Treat knee fracture 13.38 NA NA 8.02 9.14 2.27 NA NA 23.67 24.79 090 27550 A Treat knee dislocation 5.75 5.31 5.84 4.59 4.85 0.76 11.82 12.35 11.10 11.36 090 27552 A Treat knee dislocation 7.95 NA NA 6.12 6.74 1.36 NA NA 15.43 16.05 090 27556 A Treat knee dislocation 14.87 NA NA 9.31 11.07 2.50 NA NA 26.68 28.44 090 27557 A Treat knee dislocation 17.22 NA NA 10.58 12.49 2.97 NA NA 30.77 32.68 090 27558 A Treat knee dislocation 17.93 NA NA 10.62 12.44 3.08 NA NA 31.63 33.45 090 27560 A Treat kneecap dislocation 3.81 3.93 4.61 3.41 3.24 0.40 8.14 8.82 7.62 7.45 090 27562 A Treat kneecap dislocation 5.78 NA NA 4.45 4.69 0.94 NA NA 11.17 11.41 090 27566 A Treat kneecap dislocation 12.51 NA NA 7.85 8.95 2.12 NA NA 22.48 23.58 090 27570 A Fixation of knee joint 1.74 NA NA 1.62 1.73 0.30 NA NA 3.66 3.77 010 27580 A Fusion of knee 20.82 NA NA 12.34 14.19 3.37 NA NA 36.53 38.38 090 27590 A Amputate leg at thigh 13.27 NA NA 6.14 6.54 1.74 NA NA 21.15 21.55 090 27591 A Amputate leg at thigh 13.74 NA NA 7.43 8.34 2.02 NA NA 23.19 24.10 090 27592 A Amputate leg at thigh 10.78 NA NA 5.50 6.00 1.45 NA NA 17.73 18.23 090 27594 A Amputation follow-up surgery 7.09 NA NA 4.76 5.07 1.02 NA NA 12.87 13.18 090 27596 A Amputation follow-up surgery 11.06 NA NA 6.06 6.62 1.57 NA NA 18.69 19.25 090 27598 A Amputate lower leg at knee 10.99 NA NA 6.34 6.85 1.65 NA NA 18.98 19.49 090 27599 C Leg surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27600 A Decompression of lower leg 5.88 NA NA 3.85 4.36 0.86 NA NA 10.59 11.10 090 27601 A Decompression of lower leg 5.87 NA NA 4.26 4.70 0.80 NA NA 10.93 11.37 090 27602 A Decompression of lower leg 7.64 NA NA 4.39 4.95 1.10 NA NA 13.13 13.69 090 27603 A Drain lower leg lesion 5.05 7.05 7.38 3.90 4.10 0.74 12.84 13.17 9.69 9.89 090 27604 A Drain lower leg bursa 4.46 6.47 6.18 3.42 3.83 0.69 11.62 11.33 8.57 8.98 090 27605 A Incision of achilles tendon 2.87 5.28 7.08 1.78 2.19 0.41 8.56 10.36 5.06 5.47 010 27606 A Incision of achilles tendon 4.13 NA NA 2.67 3.19 0.69 NA NA 7.49 8.01 010 27607 A Treat lower leg bone lesion 8.44 NA NA 5.76 6.07 1.31 NA NA 15.51 15.82 090 27610 A Explore/treat ankle joint 8.93 NA NA 6.17 6.79 1.40 NA NA 16.50 17.12 090 27612 A Exploration of ankle joint 7.92 NA NA 5.35 5.91 1.13 NA NA 14.40 14.96 090 27613 A Biopsy lower leg soft tissue 2.17 3.81 3.38 1.72 1.78 0.20 6.18 5.75 4.09 4.15 010 27614 A Biopsy lower leg soft tissue 5.65 7.88 7.32 4.00 4.33 0.78 14.31 13.75 10.43 10.76 090 27615 A Remove tumor, lower leg 12.84 NA NA 8.04 9.05 1.83 NA NA 22.71 23.72 090 27618 A Remove lower leg lesion 5.08 6.40 6.11 3.77 3.94 0.72 12.20 11.91 9.57 9.74 090 27619 A Remove lower leg lesion 8.39 10.08 9.65 5.29 5.79 1.25 19.72 19.29 14.93 15.43 090 27620 A Explore/treat ankle joint 5.97 NA NA 4.61 5.25 0.97 NA NA 11.55 12.19 090 27625 A Remove ankle joint lining 8.29 NA NA 5.59 6.24 1.28 NA NA 15.16 15.81 090 27626 A Remove ankle joint lining 8.90 NA NA 5.95 6.68 1.48 NA NA 16.33 17.06 090 27630 A Removal of tendon lesion 4.79 7.98 7.67 3.80 4.24 0.74 13.51 13.20 9.33 9.77 090 27635 A Remove lower leg bone lesion 7.83 NA NA 5.67 6.47 1.31 NA NA 14.81 15.61 090 27637 A Remove/graft leg bone lesion 10.08 NA NA 7.16 8.01 1.66 NA NA 18.90 19.75 090 27638 A Remove/graft leg bone lesion 10.79 NA NA 6.98 7.96 1.84 NA NA 19.61 20.59 090 27640 A Partial removal of tibia 12.01 NA NA 8.19 9.78 1.88 NA NA 22.08 23.67 090 27641 A Partial removal of fibula 9.65 NA NA 6.78 7.95 1.46 NA NA 17.89 19.06 090 27645 A Extensive lower leg surgery 14.69 NA NA 9.51 11.42 2.41 NA NA 26.61 28.52 090 27646 A Extensive lower leg surgery 13.12 NA NA 8.41 10.38 2.05 NA NA 23.58 25.55 090 27647 A Extensive ankle/heel surgery 12.76 NA NA 6.61 7.36 1.75 NA NA 21.12 21.87 090 27648 A Injection for ankle x-ray 0.96 2.71 3.32 0.31 0.33 0.08 3.75 4.36 1.35 1.37 000 Start Printed Page 49115 27650 A Repair achilles tendon 9.86 NA NA 6.30 7.21 1.59 NA NA 17.75 18.66 090 27652 A Repair/graft achilles tendon 10.55 NA NA 6.45 7.64 1.71 NA NA 18.71 19.90 090 27654 A Repair of achilles tendon 10.24 NA NA 5.96 6.85 1.58 NA NA 17.78 18.67 090 27656 A Repair leg fascia defect 4.56 8.06 8.41 3.65 3.74 0.69 13.31 13.66 8.90 8.99 090 27658 A Repair of leg tendon, each 4.97 NA NA 3.91 4.40 0.79 NA NA 9.67 10.16 090 27659 A Repair of leg tendon, each 6.92 NA NA 4.87 5.45 1.09 NA NA 12.88 13.46 090 27664 A Repair of leg tendon, each 4.58 NA NA 3.95 4.40 0.76 NA NA 9.29 9.74 090 27665 A Repair of leg tendon, each 5.39 NA NA 4.50 4.85 0.89 NA NA 10.78 11.13 090 27675 A Repair lower leg tendons 7.17 NA NA 4.75 5.49 1.11 NA NA 13.03 13.77 090 27676 A Repair lower leg tendons 8.53 NA NA 5.79 6.51 1.37 NA NA 15.69 16.41 090 27680 A Release of lower leg tendon 5.73 NA NA 4.37 4.93 0.93 NA NA 11.03 11.59 090 27681 A Release of lower leg tendons 6.87 NA NA 4.77 5.63 1.15 NA NA 12.79 13.65 090 27685 A Revision of lower leg tendon 6.49 8.82 7.67 4.59 5.24 0.97 16.28 15.13 12.05 12.70 090 27686 A Revise lower leg tendons 7.57 NA NA 5.38 6.21 1.24 NA NA 14.19 15.02 090 27687 A Revision of calf tendon 6.23 NA NA 4.54 5.12 1.00 NA NA 11.77 12.35 090 27690 A Revise lower leg tendon 8.88 NA NA 5.47 6.13 1.33 NA NA 15.68 16.34 090 27691 A Revise lower leg tendon 10.19 NA NA 6.72 7.50 1.64 NA NA 18.55 19.33 090 27692 A Revise additional leg tendon 1.87 NA NA 0.73 0.88 0.32 NA NA 2.92 3.07 ZZZ 27695 A Repair of ankle ligament 6.50 NA NA 5.00 5.65 1.05 NA NA 12.55 13.20 090 27696 A Repair of ankle ligaments 8.38 NA NA 5.39 6.17 1.28 NA NA 15.05 15.83 090 27698 A Repair of ankle ligament 9.41 NA NA 5.93 6.69 1.47 NA NA 16.81 17.57 090 27700 A Revision of ankle joint 9.46 NA NA 5.14 5.55 1.30 NA NA 15.90 16.31 090 27702 A Reconstruct ankle joint 14.19 NA NA 8.73 10.03 2.37 NA NA 25.29 26.59 090 27703 A Reconstruction, ankle joint 16.69 NA NA 9.89 10.90 2.76 NA NA 29.34 30.35 090 27704 A Removal of ankle implant 7.61 NA NA 5.70 5.62 1.27 NA NA 14.58 14.50 090 27705 A Incision of tibia 10.66 NA NA 6.91 7.86 1.80 NA NA 19.37 20.32 090 27707 A Incision of fibula 4.60 NA NA 4.50 4.83 0.76 NA NA 9.86 10.19 090 27709 A Incision of tibia & fibula 17.24 NA NA 9.94 8.58 1.73 NA NA 28.91 27.55 090 27712 A Realignment of lower leg 15.59 NA NA 9.18 10.35 2.47 NA NA 27.24 28.41 090 27715 A Revision of lower leg 15.27 NA NA 9.07 10.35 2.49 NA NA 26.83 28.11 090 27720 A Repair of tibia 12.13 NA NA 7.97 9.04 2.04 NA NA 22.14 23.21 090 27722 A Repair/graft of tibia 12.22 NA NA 8.07 8.87 2.05 NA NA 22.34 23.14 090 27724 A Repair/graft of tibia 19.12 NA NA 10.34 11.86 3.16 NA NA 32.62 34.14 090 27725 A Repair of lower leg 17.07 NA NA 10.61 11.59 2.71 NA NA 30.39 31.37 090 27727 A Repair of lower leg 14.59 NA NA 8.59 9.90 2.43 NA NA 25.61 26.92 090 27730 A Repair of tibia epiphysis 7.52 NA NA 5.30 6.14 1.72 NA NA 14.54 15.38 090 27732 A Repair of fibula epiphysis 5.31 NA NA 4.68 4.87 0.77 NA NA 10.76 10.95 090 27734 A Repair lower leg epiphyses 8.65 NA NA 6.20 6.26 1.35 NA NA 16.20 16.26 090 27740 A Repair of leg epiphyses 9.41 NA NA 6.65 7.66 1.62 NA NA 17.68 18.69 090 27742 A Repair of leg epiphyses 10.40 NA NA 5.20 5.47 1.79 NA NA 17.39 17.66 090 27745 A Reinforce tibia 10.29 NA NA 7.01 7.88 1.75 NA NA 19.05 19.92 090 27750 A Treatment of tibia fracture 3.19 4.33 4.65 3.74 3.82 0.55 8.07 8.39 7.48 7.56 090 27752 A Treatment of tibia fracture 6.07 5.98 6.48 5.14 5.54 1.01 13.06 13.56 12.22 12.62 090 27756 A Treatment of tibia fracture 7.25 NA NA 5.77 6.29 1.17 NA NA 14.19 14.71 090 27758 A Treatment of tibia fracture 12.31 NA NA 8.07 8.90 2.03 NA NA 22.41 23.24 090 27759 A Treatment of tibia fracture 14.23 NA NA 8.73 9.92 2.38 NA NA 25.34 26.53 090 27760 A Treatment of ankle fracture 3.01 4.29 4.58 3.68 3.61 0.48 7.78 8.07 7.17 7.10 090 27762 A Treatment of ankle fracture 5.24 5.58 6.14 4.75 5.14 0.85 11.67 12.23 10.84 11.23 090 27766 A Treatment of ankle fracture 8.65 NA NA 6.29 6.99 1.44 NA NA 16.38 17.08 090 27780 A Treatment of fibula fracture 2.65 3.89 4.11 3.33 3.24 0.41 6.95 7.17 6.39 6.30 090 27781 A Treatment of fibula fracture 4.39 4.97 5.36 4.34 4.57 0.73 10.09 10.48 9.46 9.69 090 27784 A Treatment of fibula fracture 7.34 NA NA 5.62 6.26 1.23 NA NA 14.19 14.83 090 27786 A Treatment of ankle fracture 2.84 4.07 4.36 3.44 3.36 0.46 7.37 7.66 6.74 6.66 090 27788 A Treatment of ankle fracture 4.44 5.00 5.48 4.26 4.55 0.74 10.18 10.66 9.44 9.73 090 27792 A Treatment of ankle fracture 7.83 NA NA 5.95 6.71 1.32 NA NA 15.10 15.86 090 27808 A Treatment of ankle fracture 2.83 4.40 4.70 3.70 3.70 0.46 7.69 7.99 6.99 6.99 090 27810 A Treatment of ankle fracture 5.12 5.46 6.05 4.60 5.01 0.82 11.40 11.99 10.54 10.95 090 27814 A Treatment of ankle fracture 11.02 NA NA 7.28 8.24 1.85 NA NA 20.15 21.11 090 27816 A Treatment of ankle fracture 2.89 4.03 4.29 3.36 3.40 0.43 7.35 7.61 6.68 6.72 090 27818 A Treatment of ankle fracture 5.49 5.44 6.14 4.47 5.00 0.82 11.75 12.45 10.78 11.31 090 27822 A Treatment of ankle fracture 12.04 NA NA 8.87 10.21 1.91 NA NA 22.82 24.16 090 27823 A Treatment of ankle fracture 14.18 NA NA 9.51 10.98 2.25 NA NA 25.94 27.41 090 27824 A Treat lower leg fracture 3.14 3.74 3.98 3.55 3.56 0.45 7.33 7.57 7.14 7.15 090 27825 A Treat lower leg fracture 6.54 5.88 6.42 4.84 5.25 1.02 13.44 13.98 12.40 12.81 090 27826 A Treat lower leg fracture 8.89 NA NA 7.01 8.37 1.47 NA NA 17.37 18.73 090 27827 A Treat lower leg fracture 15.65 NA NA 10.82 12.28 2.43 NA NA 28.90 30.36 090 Start Printed Page 49116 27828 A Treat lower leg fracture 18.07 NA NA 12.36 13.54 2.81 NA NA 33.24 34.42 090 27829 A Treat lower leg joint 5.60 NA NA 5.53 6.47 0.95 NA NA 12.08 13.02 090 27830 A Treat lower leg dislocation 3.78 4.32 4.37 3.76 3.83 0.54 8.64 8.69 8.08 8.15 090 27831 A Treat lower leg dislocation 4.55 NA NA 3.99 4.34 0.73 NA NA 9.27 9.62 090 27832 A Treat lower leg dislocation 6.60 NA NA 4.75 5.82 1.03 NA NA 12.38 13.45 090 27840 A Treat ankle dislocation 4.57 NA NA 3.62 3.73 0.46 NA NA 8.65 8.76 090 27842 A Treat ankle dislocation 6.26 NA NA 4.90 5.07 1.00 NA NA 12.16 12.33 090 27846 A Treat ankle dislocation 10.08 NA NA 6.87 7.67 1.70 NA NA 18.65 19.45 090 27848 A Treat ankle dislocation 11.48 NA NA 7.72 9.21 1.94 NA NA 21.14 22.63 090 27860 A Fixation of ankle joint 2.34 NA NA 1.70 1.91 0.39 NA NA 4.43 4.64 010 27870 A Fusion of ankle joint, open 15.13 NA NA 9.19 10.19 2.36 NA NA 26.68 27.68 090 27871 A Fusion of tibiofibular joint 9.34 NA NA 6.54 7.32 1.59 NA NA 17.47 18.25 090 27880 A Amputation of lower leg 15.18 NA NA 6.78 7.04 1.75 NA NA 23.71 23.97 090 27881 A Amputation of lower leg 13.22 NA NA 7.45 8.49 1.98 NA NA 22.65 23.69 090 27882 A Amputation of lower leg 9.59 NA NA 5.55 6.25 1.29 NA NA 16.43 17.13 090 27884 A Amputation follow-up surgery 8.56 NA NA 5.11 5.59 1.22 NA NA 14.89 15.37 090 27886 A Amputation follow-up surgery 9.79 NA NA 5.75 6.32 1.40 NA NA 16.94 17.51 090 27888 A Amputation of foot at ankle 10.14 NA NA 6.25 7.19 1.51 NA NA 17.90 18.84 090 27889 A Amputation of foot at ankle 10.63 NA NA 5.35 6.19 1.46 NA NA 17.44 18.28 090 27892 A Decompression of leg 7.74 NA NA 4.88 5.41 1.10 NA NA 13.72 14.25 090 27893 A Decompression of leg 7.70 NA NA 5.14 5.38 1.10 NA NA 13.94 14.18 090 27894 A Decompression of leg 12.32 NA NA 7.36 7.67 1.65 NA NA 21.33 21.64 090 27899 C Leg/ankle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 28001 A Drainage of bursa of foot 2.73 4.04 3.25 1.63 1.87 0.33 7.10 6.31 4.69 4.93 010 28002 A Treatment of foot infection 5.72 6.77 5.44 3.62 3.73 0.61 13.10 11.77 9.95 10.06 010 28003 A Treatment of foot infection 8.88 7.86 6.64 4.61 5.07 1.12 17.86 16.64 14.61 15.07 090 28005 A Treat foot bone lesion 9.21 NA NA 5.48 5.90 1.16 NA NA 15.85 16.27 090 28008 A Incision of foot fascia 4.44 6.22 4.97 3.02 3.16 0.57 11.23 9.98 8.03 8.17 090 28010 A Incision of toe tendon 2.84 2.87 2.50 2.35 2.37 0.36 6.07 5.70 5.55 5.57 090 28011 A Incision of toe tendons 4.13 3.83 3.43 3.05 3.24 0.59 8.55 8.15 7.77 7.96 090 28020 A Exploration of foot joint 5.00 7.57 6.40 3.68 4.02 0.72 13.29 12.12 9.40 9.74 090 28022 A Exploration of foot joint 4.66 6.94 5.63 3.33 3.72 0.62 12.22 10.91 8.61 9.00 090 28024 A Exploration of toe joint 4.37 6.71 5.59 3.19 3.74 0.58 11.66 10.54 8.14 8.69 090 28030 A Removal of foot nerve 6.14 NA NA 3.47 3.61 0.74 NA NA 10.35 10.49 090 28035 A Decompression of tibia nerve 5.08 7.52 6.27 3.68 3.99 0.70 13.30 12.05 9.46 9.77 090 28043 A Excision of foot lesion 3.53 4.84 4.07 2.76 3.07 0.46 8.83 8.06 6.75 7.06 090 28045 A Excision of foot lesion 4.71 7.12 5.81 3.29 3.52 0.63 12.46 11.15 8.63 8.86 090 28046 A Resection of tumor, foot 10.46 10.49 9.19 5.84 6.31 1.36 22.31 21.01 17.66 18.13 090 28050 A Biopsy of foot joint lining 4.24 6.93 5.40 3.28 3.51 0.60 11.77 10.24 8.12 8.35 090 28052 A Biopsy of foot joint lining 3.93 6.49 5.31 2.96 3.31 0.53 10.95 9.77 7.42 7.77 090 28054 A Biopsy of toe joint lining 3.44 6.25 5.10 2.78 3.12 0.46 10.15 9.00 6.68 7.02 090 28060 A Partial removal, foot fascia 5.22 7.19 5.90 3.60 3.80 0.70 13.11 11.82 9.52 9.72 090 28062 A Removal of foot fascia 6.51 7.91 6.86 3.86 3.97 0.83 15.25 14.20 11.20 11.31 090 28070 A Removal of foot joint lining 5.09 7.27 5.73 3.48 3.73 0.73 13.09 11.55 9.30 9.55 090 28072 A Removal of foot joint lining 4.57 7.66 6.06 3.65 4.14 0.68 12.91 11.31 8.90 9.39 090 28080 A Removal of foot lesion 4.57 7.73 5.77 4.22 3.82 0.47 12.77 10.81 9.26 8.86 090 28086 A Excise foot tendon sheath 4.77 7.85 7.95 3.80 4.46 0.76 13.38 13.48 9.33 9.99 090 28088 A Excise foot tendon sheath 3.85 7.00 6.06 3.18 3.71 0.61 11.46 10.52 7.64 8.17 090 28090 A Removal of foot lesion 4.40 6.84 5.57 3.21 3.39 0.59 11.83 10.56 8.20 8.38 090 28092 A Removal of toe lesions 3.63 6.55 5.55 3.02 3.40 0.49 10.67 9.67 7.14 7.52 090 28100 A Removal of ankle/heel lesion 5.65 8.29 8.04 4.10 4.54 0.82 14.76 14.51 10.57 11.01 090 28102 A Remove/graft foot lesion 7.72 NA NA 4.97 5.70 1.14 NA NA 13.83 14.56 090 28103 A Remove/graft foot lesion 6.49 NA NA 4.17 4.50 0.91 NA NA 11.57 11.90 090 28104 A Removal of foot lesion 5.11 7.31 5.94 3.50 3.82 0.70 13.12 11.75 9.31 9.63 090 28106 A Remove/graft foot lesion 7.15 NA NA 4.46 4.44 0.97 NA NA 12.58 12.56 090 28107 A Remove/graft foot lesion 5.55 7.90 6.87 3.76 4.09 0.74 14.19 13.16 10.05 10.38 090 Start Printed Page 49117 28108 A Removal of toe lesions 4.15 6.42 5.05 3.01 3.19 0.53 11.10 9.73 7.69 7.87 090 28110 A Part removal of metatarsal 4.07 7.02 5.66 3.10 3.19 0.54 11.63 10.27 7.71 7.80 090 28111 A Part removal of metatarsal 5.00 7.37 6.55 3.33 3.57 0.67 13.04 12.22 9.00 9.24 090 28112 A Part removal of metatarsal 4.48 7.31 6.18 3.30 3.50 0.61 12.40 11.27 8.39 8.59 090 28113 A Part removal of metatarsal 5.78 8.48 6.66 4.67 4.40 0.63 14.89 13.07 11.08 10.81 090 28114 A Removal of metatarsal heads 11.49 13.43 12.07 8.31 8.36 1.42 26.34 24.98 21.22 21.27 090 28116 A Revision of foot 8.86 9.58 7.49 5.41 5.23 1.03 19.47 17.38 15.30 15.12 090 28118 A Removal of heel bone 5.95 8.00 6.68 4.05 4.27 0.84 14.79 13.47 10.84 11.06 090 28119 A Removal of heel spur 5.38 7.28 5.89 3.60 3.69 0.70 13.36 11.97 9.68 9.77 090 28120 A Part removal of ankle/heel 5.57 8.14 7.50 3.98 4.30 0.77 14.48 13.84 10.32 10.64 090 28122 A Partial removal of foot bone 7.46 8.57 7.27 4.83 5.15 0.98 17.01 15.71 13.27 13.59 090 28124 A Partial removal of toe 4.80 6.82 5.45 3.47 3.61 0.60 12.22 10.85 8.87 9.01 090 28126 A Partial removal of toe 3.51 6.00 4.66 2.67 2.91 0.45 9.96 8.62 6.63 6.87 090 28130 A Removal of ankle bone 9.22 NA NA 5.91 6.51 1.26 NA NA 16.39 16.99 090 28140 A Removal of metatarsal 6.96 7.91 7.39 4.16 4.61 0.92 15.79 15.27 12.04 12.49 090 28150 A Removal of toe 4.08 6.46 5.24 3.03 3.22 0.53 11.07 9.85 7.64 7.83 090 28153 A Partial removal of toe 3.65 6.23 4.79 2.89 2.73 0.47 10.35 8.91 7.01 6.85 090 28160 A Partial removal of toe 3.73 6.41 5.02 2.97 3.24 0.49 10.63 9.24 7.19 7.46 090 28171 A Extensive foot surgery 9.77 NA NA 5.34 5.40 1.33 NA NA 16.44 16.50 090 28173 A Extensive foot surgery 8.97 8.85 7.91 4.68 5.06 1.12 18.94 18.00 14.77 15.15 090 28175 A Extensive foot surgery 6.10 7.18 6.07 3.64 3.69 0.73 14.01 12.90 10.47 10.52 090 28190 A Removal of foot foreign body 1.96 4.04 3.55 1.34 1.45 0.22 6.22 5.73 3.52 3.63 010 28192 A Removal of foot foreign body 4.63 6.79 5.80 3.22 3.54 0.61 12.03 11.04 8.46 8.78 090 28193 A Removal of foot foreign body 5.72 7.38 6.05 3.64 3.85 0.73 13.83 12.50 10.09 10.30 090 28200 A Repair of foot tendon 4.59 6.95 5.56 3.26 3.48 0.61 12.15 10.76 8.46 8.68 090 28202 A Repair/graft of foot tendon 6.89 8.03 7.42 4.09 4.39 0.91 15.83 15.22 11.89 12.19 090 28208 A Repair of foot tendon 4.36 6.73 5.29 3.19 3.27 0.58 11.67 10.23 8.13 8.21 090 28210 A Repair/graft of foot tendon 6.34 7.59 6.56 3.91 3.99 0.81 14.74 13.71 11.06 11.14 090 28220 A Release of foot tendon 4.52 6.45 5.12 3.09 3.34 0.57 11.54 10.21 8.18 8.43 090 28222 A Release of foot tendons 5.61 6.93 5.66 3.34 3.93 0.69 13.23 11.96 9.64 10.23 090 28225 A Release of foot tendon 3.65 6.09 4.73 2.75 2.86 0.46 10.20 8.84 6.86 6.97 090 28226 A Release of foot tendons 4.52 7.01 5.35 3.32 3.64 0.58 12.11 10.45 8.42 8.74 090 28230 A Incision of foot tendon(s) 4.23 6.34 5.09 2.91 3.48 0.55 11.12 9.87 7.69 8.26 090 28232 A Incision of toe tendon 3.38 5.99 4.89 2.70 3.16 0.44 9.81 8.71 6.52 6.98 090 28234 A Incision of foot tendon 3.36 6.32 5.08 3.06 3.28 0.44 10.12 8.88 6.86 7.08 090 28238 A Revision of foot tendon 7.78 8.40 7.53 4.37 4.79 1.06 17.24 16.37 13.21 13.63 090 28240 A Release of big toe 4.35 6.47 5.09 3.00 3.36 0.58 11.40 10.02 7.93 8.29 090 28250 A Revision of foot fascia 5.91 7.49 6.09 3.78 4.04 0.82 14.22 12.82 10.51 10.77 090 28260 A Release of midfoot joint 8.01 8.65 6.90 4.73 4.93 1.14 17.80 16.05 13.88 14.08 090 28261 A Revision of foot tendon 12.83 10.79 9.16 6.40 7.08 1.57 25.19 23.56 20.80 21.48 090 28262 A Revision of foot and ankle 16.93 15.68 14.08 9.83 10.64 2.59 35.20 33.60 29.35 30.16 090 28264 A Release of midfoot joint 10.45 10.45 8.41 6.03 6.97 1.54 22.44 20.40 18.02 18.96 090 28270 A Release of foot contracture 4.75 6.97 5.41 3.46 3.66 0.62 12.34 10.78 8.83 9.03 090 28272 A Release of toe joint, each 3.79 5.87 4.60 2.66 2.80 0.46 10.12 8.85 6.91 7.05 090 28280 A Fusion of toes 5.18 7.41 6.53 3.60 4.26 0.73 13.32 12.44 9.51 10.17 090 28285 A Repair of hammertoe 4.58 6.77 5.34 3.37 3.41 0.59 11.94 10.51 8.54 8.58 090 28286 A Repair of hammertoe 4.55 6.54 5.23 3.05 3.20 0.57 11.66 10.35 8.17 8.32 090 28288 A Partial removal of foot bone 5.73 8.69 6.62 4.74 4.85 0.65 15.07 13.00 11.12 11.23 090 28289 A Repair hallux rigidus 8.03 9.52 8.37 5.39 5.67 1.02 18.57 17.42 14.44 14.72 090 28290 A Correction of bunion 5.65 8.24 6.75 3.98 4.54 0.82 14.71 13.22 10.45 11.01 090 28292 A Correction of bunion 8.60 10.42 8.20 6.19 5.70 0.91 19.93 17.71 15.70 15.21 090 28293 A Correction of bunion 10.96 14.60 11.71 6.97 6.32 1.13 26.69 23.80 19.06 18.41 090 28294 A Correction of bunion 8.55 9.19 7.87 4.61 4.69 1.09 18.83 17.51 14.25 14.33 090 28296 A Correction of bunion 9.23 9.66 8.53 4.83 5.27 1.19 20.08 18.95 15.25 15.69 090 28297 A Correction of bunion 9.23 10.54 9.34 5.36 6.03 1.32 21.09 19.89 15.91 16.58 090 28298 A Correction of bunion 7.93 9.30 7.73 4.58 4.90 1.05 18.28 16.71 13.56 13.88 090 28299 A Correction of bunion 11.31 10.63 9.23 5.77 5.99 1.37 23.31 21.91 18.45 18.67 090 28300 A Incision of heel bone 9.53 NA NA 6.11 6.80 1.54 NA NA 17.18 17.87 090 28302 A Incision of ankle bone 9.54 NA NA 5.72 6.59 1.42 NA NA 16.68 17.55 090 28304 A Incision of midfoot bones 9.21 9.57 8.35 5.09 5.57 1.27 20.05 18.83 15.57 16.05 090 28305 A Incise/graft midfoot bones 10.54 NA NA 5.61 6.44 1.27 NA NA 17.42 18.25 090 28306 A Incision of metatarsal 5.85 8.39 7.22 3.87 4.10 0.84 15.08 13.91 10.56 10.79 090 28307 A Incision of metatarsal 6.32 9.57 10.66 4.48 5.08 0.90 16.79 17.88 11.70 12.30 090 28308 A Incision of metatarsal 5.28 7.95 6.29 3.83 3.72 0.70 13.93 12.27 9.81 9.70 090 28309 A Incision of metatarsals 13.88 NA NA 7.79 7.91 2.04 NA NA 23.71 23.83 090 28310 A Revision of big toe 5.42 7.56 6.20 3.42 3.52 0.70 13.68 12.32 9.54 9.64 090 Start Printed Page 49118 28312 A Revision of toe 4.54 7.41 5.93 3.24 3.53 0.63 12.58 11.10 8.41 8.70 090 28313 A Repair deformity of toe 5.00 7.39 5.80 3.67 4.54 0.73 13.12 11.53 9.40 10.27 090 28315 A Removal of sesamoid bone 4.85 6.74 5.35 3.25 3.31 0.63 12.22 10.83 8.73 8.79 090 28320 A Repair of foot bones 9.17 NA NA 5.78 6.48 1.43 NA NA 16.38 17.08 090 28322 A Repair of metatarsals 8.33 10.03 9.39 5.48 6.12 1.27 19.63 18.99 15.08 15.72 090 28340 A Resect enlarged toe tissue 6.97 8.08 6.85 4.07 4.20 0.84 15.89 14.66 11.88 12.01 090 28341 A Resect enlarged toe 8.52 8.70 7.37 4.47 4.73 1.01 18.23 16.90 14.00 14.26 090 28344 A Repair extra toe(s) 4.25 6.83 6.01 3.19 3.52 0.51 11.59 10.77 7.95 8.28 090 28345 A Repair webbed toe(s) 5.91 7.82 6.60 3.89 4.48 0.80 14.53 13.31 10.60 11.19 090 28360 A Reconstruct cleft foot 14.57 NA NA 6.39 9.47 2.28 NA NA 23.24 26.32 090 28400 A Treatment of heel fracture 2.16 3.39 3.57 2.93 3.02 0.35 5.90 6.08 5.44 5.53 090 28405 A Treatment of heel fracture 4.56 4.53 4.76 3.76 4.41 0.73 9.82 10.05 9.05 9.70 090 28406 A Treatment of heel fracture 6.36 NA NA 5.69 6.52 1.11 NA NA 13.16 13.99 090 28415 A Treat heel fracture 17.44 NA NA 10.92 12.69 2.66 NA NA 31.02 32.79 090 28420 A Treat/graft heel fracture 16.98 NA NA 10.21 12.24 2.80 NA NA 29.99 32.02 090 28430 A Treatment of ankle fracture 2.09 3.15 3.33 2.59 2.57 0.31 5.55 5.73 4.99 4.97 090 28435 A Treatment of ankle fracture 3.39 3.76 3.85 3.07 3.57 0.55 7.70 7.79 7.01 7.51 090 28436 A Treatment of ankle fracture 4.70 NA NA 5.00 5.68 0.81 NA NA 10.51 11.19 090 28445 A Treat ankle fracture 16.99 NA NA 9.79 10.72 2.58 NA NA 29.36 30.29 090 28450 A Treat midfoot fracture, each 1.90 2.95 3.07 2.44 2.46 0.28 5.13 5.25 4.62 4.64 090 28455 A Treat midfoot fracture, each 3.09 3.68 3.49 3.05 3.33 0.44 7.21 7.02 6.58 6.86 090 28456 A Treat midfoot fracture 2.68 NA NA 3.63 4.02 0.44 NA NA 6.75 7.14 090 28465 A Treat midfoot fracture, each 7.06 NA NA 5.09 6.01 1.10 NA NA 13.25 14.17 090 28470 A Treat metatarsal fracture 1.99 2.84 3.05 2.40 2.43 0.30 5.13 5.34 4.69 4.72 090 28475 A Treat metatarsal fracture 2.97 3.18 3.29 2.56 3.05 0.44 6.59 6.70 5.97 6.46 090 28476 A Treat metatarsal fracture 3.37 NA NA 4.35 4.82 0.54 NA NA 8.26 8.73 090 28485 A Treat metatarsal fracture 5.70 NA NA 4.57 5.22 0.83 NA NA 11.10 11.75 090 28490 A Treat big toe fracture 1.09 2.11 2.04 1.69 1.65 0.14 3.34 3.27 2.92 2.88 090 28495 A Treat big toe fracture 1.58 2.48 2.25 1.88 2.02 0.20 4.26 4.03 3.66 3.80 090 28496 A Treat big toe fracture 2.33 7.22 7.99 2.90 3.12 0.36 9.91 10.68 5.59 5.81 090 28505 A Treat big toe fracture 3.80 7.53 7.96 3.28 3.75 0.56 11.89 12.32 7.64 8.11 090 28510 A Treatment of toe fracture 1.09 1.68 1.57 1.61 1.55 0.14 2.91 2.80 2.84 2.78 090 28515 A Treatment of toe fracture 1.46 2.25 1.98 1.84 1.88 0.18 3.89 3.62 3.48 3.52 090 28525 A Treat toe fracture 3.32 6.93 7.37 2.92 3.30 0.49 10.74 11.18 6.73 7.11 090 28530 A Treat sesamoid bone fracture 1.06 1.65 1.49 1.36 1.42 0.14 2.85 2.69 2.56 2.62 090 28531 A Treat sesamoid bone fracture 2.47 5.84 6.91 2.13 2.08 0.34 8.65 9.72 4.94 4.89 090 28540 A Treat foot dislocation 2.04 2.78 2.50 2.33 2.38 0.26 5.08 4.80 4.63 4.68 090 28545 A Treat foot dislocation 2.45 3.25 2.57 2.66 2.42 0.37 6.07 5.39 5.48 5.24 090 28546 A Treat foot dislocation 3.20 7.69 7.11 3.45 4.15 0.52 11.41 10.83 7.17 7.87 090 28555 A Repair foot dislocation 6.35 9.82 9.88 4.96 5.49 1.04 17.21 17.27 12.35 12.88 090 28570 A Treat foot dislocation 1.66 2.59 2.46 2.00 2.25 0.23 4.48 4.35 3.89 4.14 090 28575 A Treat foot dislocation 3.31 4.38 3.89 3.68 3.71 0.56 8.25 7.76 7.55 7.58 090 28576 A Treat foot dislocation 4.40 NA NA 4.01 4.13 0.69 NA NA 9.10 9.22 090 28585 A Repair foot dislocation 8.10 9.98 7.99 5.29 5.70 1.25 19.33 17.34 14.64 15.05 090 28600 A Treat foot dislocation 1.89 3.06 2.87 2.40 2.61 0.27 5.22 5.03 4.56 4.77 090 28605 A Treat foot dislocation 2.71 3.76 3.28 3.16 3.13 0.40 6.87 6.39 6.27 6.24 090 28606 A Treat foot dislocation 4.89 NA NA 4.31 4.60 0.82 NA NA 10.02 10.31 090 28615 A Repair foot dislocation 8.88 NA NA 7.00 7.78 1.30 NA NA 17.18 17.96 090 28630 A Treat toe dislocation 1.70 1.96 1.67 0.95 0.99 0.20 3.86 3.57 2.85 2.89 010 28635 A Treat toe dislocation 1.91 2.27 2.08 1.33 1.48 0.26 4.44 4.25 3.50 3.65 010 28636 A Treat toe dislocation 2.77 4.38 4.00 2.05 2.48 0.43 7.58 7.20 5.25 5.68 010 28645 A Repair toe dislocation 4.21 6.90 5.44 3.20 3.25 0.57 11.68 10.22 7.98 8.03 090 28660 A Treat toe dislocation 1.23 1.31 1.27 0.79 0.79 0.13 2.67 2.63 2.15 2.15 010 28665 A Treat toe dislocation 1.92 1.85 1.54 1.34 1.41 0.26 4.03 3.72 3.52 3.59 010 28666 A Treat toe dislocation 2.66 NA NA 1.92 2.42 0.43 NA NA 5.01 5.51 010 28675 A Repair of toe dislocation 2.92 6.72 7.04 2.87 3.23 0.45 10.09 10.41 6.24 6.60 090 Start Printed Page 49119 28705 A Fusion of foot bones 20.04 NA NA 10.77 12.02 3.08 NA NA 33.89 35.14 090 28715 A Fusion of foot bones 14.32 NA NA 8.54 9.45 2.16 NA NA 25.02 25.93 090 28725 A Fusion of foot bones 11.89 NA NA 6.95 7.92 1.86 NA NA 20.70 21.67 090 28730 A Fusion of foot bones 12.11 NA NA 7.79 8.31 1.70 NA NA 21.60 22.12 090 28735 A Fusion of foot bones 11.95 NA NA 6.99 7.61 1.68 NA NA 20.62 21.24 090 28737 A Revision of foot bones 10.75 NA NA 6.13 6.63 1.47 NA NA 18.35 18.85 090 28740 A Fusion of foot bones 9.01 10.96 10.89 6.04 6.36 1.22 21.19 21.12 16.27 16.59 090 28750 A Fusion of big toe joint 8.29 10.90 11.66 5.95 6.48 1.13 20.32 21.08 15.37 15.90 090 28755 A Fusion of big toe joint 4.73 7.30 6.40 3.37 3.66 0.65 12.68 11.78 8.75 9.04 090 28760 A Fusion of big toe joint 8.86 10.01 8.48 5.34 5.47 1.05 19.92 18.39 15.25 15.38 090 28800 A Amputation of midfoot 8.56 NA NA 5.08 5.61 1.15 NA NA 14.79 15.32 090 28805 A Amputation thru metatarsal 12.47 NA NA 6.02 5.74 1.18 NA NA 19.67 19.39 090 28810 A Amputation toe & metatarsal 6.44 NA NA 4.13 4.39 0.86 NA NA 11.43 11.69 090 28820 A Amputation of toe 4.82 7.78 7.61 3.60 3.74 0.61 13.21 13.04 9.03 9.17 090 28825 A Partial amputation of toe 3.64 7.23 7.05 3.16 3.40 0.50 11.37 11.19 7.30 7.54 090 28890 A High energy eswt, plantar f 3.30 4.65 5.45 2.31 2.14 0.41 8.36 9.16 6.02 5.85 090 28899 C Foot/toes surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 29000 A Application of body cast 2.25 4.76 3.41 1.85 1.76 0.41 7.42 6.07 4.51 4.42 000 29010 A Application of body cast 2.06 3.37 3.30 1.33 1.66 0.45 5.88 5.81 3.84 4.17 000 29015 A Application of body cast 2.41 3.37 3.07 1.48 1.57 0.28 6.06 5.76 4.17 4.26 000 29020 A Application of body cast 2.11 3.79 3.33 1.48 1.43 0.28 6.18 5.72 3.87 3.82 000 29025 A Application of body cast 2.40 3.62 3.26 1.59 1.79 0.44 6.46 6.10 4.43 4.63 000 29035 A Application of body cast 1.77 3.71 3.64 1.48 1.56 0.28 5.76 5.69 3.53 3.61 000 29040 A Application of body cast 2.22 3.63 2.75 1.50 1.51 0.36 6.21 5.33 4.08 4.09 000 29044 A Application of body cast 2.12 3.98 3.97 1.66 1.84 0.35 6.45 6.44 4.13 4.31 000 29046 A Application of body cast 2.41 4.21 3.48 1.80 2.02 0.42 7.04 6.31 4.63 4.85 000 29049 A Application of figure eight 0.89 1.13 1.26 0.60 0.55 0.13 2.15 2.28 1.62 1.57 000 29055 A Application of shoulder cast 1.78 2.92 2.97 1.31 1.43 0.30 5.00 5.05 3.39 3.51 000 29058 A Application of shoulder cast 1.31 1.25 1.48 0.68 0.71 0.17 2.73 2.96 2.16 2.19 000 29065 A Application of long arm cast 0.87 1.28 1.32 0.71 0.74 0.15 2.30 2.34 1.73 1.76 000 29075 A Application of forearm cast 0.77 1.24 1.26 0.67 0.68 0.13 2.14 2.16 1.57 1.58 000 29085 A Apply hand/wrist cast 0.87 1.26 1.28 0.69 0.65 0.14 2.27 2.29 1.70 1.66 000 29086 A Apply finger cast 0.62 1.03 0.98 0.53 0.50 0.07 1.72 1.67 1.22 1.19 000 29105 A Apply long arm splint 0.87 1.10 1.20 0.53 0.52 0.12 2.09 2.19 1.52 1.51 000 29125 A Apply forearm splint 0.59 0.97 1.01 0.43 0.40 0.07 1.63 1.67 1.09 1.06 000 29126 A Apply forearm splint 0.77 1.02 1.16 0.48 0.47 0.07 1.86 2.00 1.32 1.31 000 29130 A Application of finger splint 0.50 0.43 0.46 0.18 0.17 0.06 0.99 1.02 0.74 0.73 000 29131 A Application of finger splint 0.55 0.63 0.71 0.26 0.25 0.03 1.21 1.29 0.84 0.83 000 29200 A Strapping of chest 0.65 0.62 0.70 0.35 0.34 0.04 1.31 1.39 1.04 1.03 000 29220 A Strapping of low back 0.64 0.62 0.70 0.35 0.38 0.04 1.30 1.38 1.03 1.06 000 29240 A Strapping of shoulder 0.71 0.67 0.81 0.39 0.37 0.06 1.44 1.58 1.16 1.14 000 29260 A Strapping of elbow or wrist 0.55 0.65 0.72 0.36 0.33 0.05 1.25 1.32 0.96 0.93 000 29280 A Strapping of hand or finger 0.51 0.66 0.77 0.37 0.33 0.03 1.20 1.31 0.91 0.87 000 29305 A Application of hip cast 2.03 3.40 3.36 1.61 1.72 0.35 5.78 5.74 3.99 4.10 000 29325 A Application of hip casts 2.32 3.70 3.57 1.75 1.90 0.40 6.42 6.29 4.47 4.62 000 29345 A Application of long leg cast 1.40 1.67 1.74 0.95 1.03 0.24 3.31 3.38 2.59 2.67 000 29355 A Application of long leg cast 1.53 1.64 1.69 0.95 1.08 0.26 3.43 3.48 2.74 2.87 000 29358 A Apply long leg cast brace 1.43 2.06 2.06 0.94 1.05 0.25 3.74 3.74 2.62 2.73 000 29365 A Application of long leg cast 1.18 1.58 1.64 0.86 0.93 0.20 2.96 3.02 2.24 2.31 000 29405 A Apply short leg cast 0.86 1.21 1.22 0.66 0.70 0.14 2.21 2.22 1.66 1.70 000 29425 A Apply short leg cast 1.01 1.24 1.23 0.67 0.72 0.15 2.40 2.39 1.83 1.88 000 29435 A Apply short leg cast 1.18 1.54 1.56 0.82 0.90 0.20 2.92 2.94 2.20 2.28 000 29440 A Addition of walker to cast 0.57 0.62 0.67 0.25 0.27 0.08 1.27 1.32 0.90 0.92 000 29445 A Apply rigid leg cast 1.78 1.62 1.76 0.93 0.95 0.27 3.67 3.81 2.98 3.00 000 29450 A Application of leg cast 2.08 1.53 1.49 0.86 1.03 0.27 3.88 3.84 3.21 3.38 000 29505 A Application, long leg splint 0.69 1.06 1.15 0.45 0.45 0.08 1.83 1.92 1.22 1.22 000 29515 A Application lower leg splint 0.73 0.96 0.89 0.46 0.46 0.09 1.78 1.71 1.28 1.28 000 29520 A Strapping of hip 0.54 0.68 0.81 0.38 0.45 0.03 1.25 1.38 0.95 1.02 000 29530 A Strapping of knee 0.57 0.65 0.76 0.36 0.34 0.05 1.27 1.38 0.98 0.96 000 29540 A Strapping of ankle and/or ft 0.51 0.55 0.45 0.31 0.31 0.06 1.12 1.02 0.88 0.88 000 29550 A Strapping of toes 0.47 0.57 0.46 0.30 0.29 0.06 1.10 0.99 0.83 0.82 000 29580 A Application of paste boot 0.55 0.73 0.67 0.34 0.35 0.07 1.35 1.29 0.96 0.97 000 29590 A Application of foot splint 0.76 0.60 0.53 0.26 0.28 0.09 1.45 1.38 1.11 1.13 000 29700 A Removal/revision of cast 0.57 0.97 0.91 0.26 0.28 0.08 1.62 1.56 0.91 0.93 000 29705 A Removal/revision of cast 0.76 0.77 0.81 0.37 0.38 0.13 1.66 1.70 1.26 1.27 000 29710 A Removal/revision of cast 1.34 1.45 1.51 0.63 0.68 0.20 2.99 3.05 2.17 2.22 000 Start Printed Page 49120 29715 A Removal/revision of cast 0.94 1.14 1.16 0.41 0.40 0.09 2.17 2.19 1.44 1.43 000 29720 A Repair of body cast 0.68 1.15 1.16 0.34 0.38 0.12 1.95 1.96 1.14 1.18 000 29730 A Windowing of cast 0.75 0.76 0.80 0.35 0.35 0.12 1.63 1.67 1.22 1.22 000 29740 A Wedging of cast 1.12 1.05 1.13 0.49 0.49 0.18 2.35 2.43 1.79 1.79 000 29750 A Wedging of clubfoot cast 1.26 0.91 1.02 0.44 0.55 0.21 2.38 2.49 1.91 2.02 000 29799 C Casting/strapping procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 29800 A Jaw arthroscopy/surgery 6.67 NA NA 5.72 6.66 0.99 NA NA 13.38 14.32 090 29804 A Jaw arthroscopy/surgery 8.63 NA NA 7.34 7.55 1.38 NA NA 17.35 17.56 090 29805 A Shoulder arthroscopy, dx 5.88 NA NA 4.74 5.44 1.02 NA NA 11.64 12.34 090 29806 A Shoulder arthroscopy/surgery 14.85 NA NA 9.41 10.72 2.49 NA NA 26.75 28.06 090 29807 A Shoulder arthroscopy/surgery 14.38 NA NA 9.28 10.56 2.41 NA NA 26.07 27.35 090 29819 A Shoulder arthroscopy/surgery 7.61 NA NA 5.66 6.51 1.32 NA NA 14.59 15.44 090 29820 A Shoulder arthroscopy/surgery 7.06 NA NA 5.21 5.97 1.22 NA NA 13.49 14.25 090 29821 A Shoulder arthroscopy/surgery 7.71 NA NA 5.68 6.52 1.33 NA NA 14.72 15.56 090 29822 A Shoulder arthroscopy/surgery 7.42 NA NA 5.61 6.42 1.28 NA NA 14.31 15.12 090 29823 A Shoulder arthroscopy/surgery 8.16 NA NA 6.07 6.93 1.41 NA NA 15.64 16.50 090 29824 A Shoulder arthroscopy/surgery 8.74 NA NA 6.57 7.29 1.42 NA NA 16.73 17.45 090 29825 A Shoulder arthroscopy/surgery 7.61 NA NA 5.67 6.49 1.32 NA NA 14.60 15.42 090 29826 A Shoulder arthroscopy/surgery 8.98 NA NA 6.22 7.20 1.55 NA NA 16.75 17.73 090 29827 A Arthroscop rotator cuff repr 15.34 NA NA 9.38 10.99 2.66 NA NA 27.38 28.99 090 29830 A Elbow arthroscopy 5.75 NA NA 4.52 5.14 0.99 NA NA 11.26 11.88 090 29834 A Elbow arthroscopy/surgery 6.27 NA NA 4.87 5.59 1.08 NA NA 12.22 12.94 090 29835 A Elbow arthroscopy/surgery 6.47 NA NA 4.99 5.66 1.13 NA NA 12.59 13.26 090 29836 A Elbow arthroscopy/surgery 7.54 NA NA 5.59 6.49 1.22 NA NA 14.35 15.25 090 29837 A Elbow arthroscopy/surgery 6.86 NA NA 5.15 5.89 1.19 NA NA 13.20 13.94 090 29838 A Elbow arthroscopy/surgery 7.70 NA NA 5.70 6.59 1.30 NA NA 14.70 15.59 090 29840 A Wrist arthroscopy 5.53 NA NA 4.62 5.15 0.84 NA NA 10.99 11.52 090 29843 A Wrist arthroscopy/surgery 6.00 NA NA 4.92 5.45 0.92 NA NA 11.84 12.37 090 29844 A Wrist arthroscopy/surgery 6.36 NA NA 4.96 5.61 1.04 NA NA 12.36 13.01 090 29845 A Wrist arthroscopy/surgery 7.51 NA NA 5.51 6.23 0.99 NA NA 14.01 14.73 090 29846 A Wrist arthroscopy/surgery 6.74 NA NA 5.10 5.81 1.07 NA NA 12.91 13.62 090 29847 A Wrist arthroscopy/surgery 7.07 NA NA 5.17 5.94 1.08 NA NA 13.32 14.09 090 29848 A Wrist endoscopy/surgery 6.18 NA NA 5.29 5.52 0.86 NA NA 12.33 12.56 090 29850 A Knee arthroscopy/surgery 8.18 NA NA 5.13 5.07 1.25 NA NA 14.56 14.50 090 29851 A Knee arthroscopy/surgery 13.08 NA NA 8.32 9.42 2.34 NA NA 23.74 24.84 090 29855 A Tibial arthroscopy/surgery 10.60 NA NA 7.39 8.42 1.84 NA NA 19.83 20.86 090 29856 A Tibial arthroscopy/surgery 14.12 NA NA 8.76 10.19 2.39 NA NA 25.27 26.70 090 29860 A Hip arthroscopy, dx 8.79 NA NA 6.23 6.77 1.36 NA NA 16.38 16.92 090 29861 A Hip arthroscopy/surgery 9.89 NA NA 6.64 7.17 1.59 NA NA 18.12 18.65 090 29862 A Hip arthroscopy/surgery 10.89 NA NA 7.62 8.33 1.62 NA NA 20.13 20.84 090 29863 A Hip arthroscopy/surgery 10.89 NA NA 7.53 8.27 1.42 NA NA 19.84 20.58 090 29866 A Autgrft implnt, knee w/scope 14.38 NA NA 9.54 10.90 2.39 NA NA 26.31 27.67 090 29867 A Allgrft implnt, knee w/scope 18.08 NA NA 11.24 12.73 2.78 NA NA 32.10 33.59 090 29868 A Meniscal trnspl, knee w/scpe 24.79 NA NA 13.94 16.08 4.35 NA NA 43.08 45.22 090 29870 A Knee arthroscopy, dx 5.06 NA NA 4.18 4.71 0.85 NA NA 10.09 10.62 090 29871 A Knee arthroscopy/drainage 6.54 NA NA 5.03 5.66 1.14 NA NA 12.71 13.34 090 29873 A Knee arthroscopy/surgery 5.99 NA NA 5.61 6.33 1.04 NA NA 12.64 13.36 090 29874 A Knee arthroscopy/surgery 7.04 NA NA 5.18 5.85 1.11 NA NA 13.33 14.00 090 29875 A Knee arthroscopy/surgery 6.30 NA NA 4.92 5.62 1.09 NA NA 12.31 13.01 090 29876 A Knee arthroscopy/surgery 8.66 NA NA 6.23 6.82 1.37 NA NA 16.26 16.85 090 29877 A Knee arthroscopy/surgery 8.09 NA NA 5.99 6.55 1.28 NA NA 15.36 15.92 090 29879 A Knee arthroscopy/surgery 8.78 NA NA 6.28 6.91 1.39 NA NA 16.45 17.08 090 29880 A Knee arthroscopy/surgery 9.24 NA NA 6.48 7.14 1.47 NA NA 17.19 17.85 090 29881 A Knee arthroscopy/surgery 8.50 NA NA 6.18 6.77 1.34 NA NA 16.02 16.61 090 29882 A Knee arthroscopy/surgery 9.39 NA NA 6.52 7.06 1.50 NA NA 17.41 17.95 090 29883 A Knee arthroscopy/surgery 11.53 NA NA 7.65 8.71 1.92 NA NA 21.10 22.16 090 Start Printed Page 49121 29884 A Knee arthroscopy/surgery 8.07 NA NA 6.01 6.53 1.27 NA NA 15.35 15.87 090 29885 A Knee arthroscopy/surgery 9.96 NA NA 7.05 7.74 1.58 NA NA 18.58 19.28 090 29886 A Knee arthroscopy/surgery 8.28 NA NA 6.08 6.66 1.30 NA NA 15.66 16.24 090 29887 A Knee arthroscopy/surgery 9.91 NA NA 7.04 7.71 1.57 NA NA 18.52 19.19 090 29888 A Knee arthroscopy/surgery 14.06 NA NA 8.34 9.74 2.41 NA NA 24.81 26.21 090 29889 A Knee arthroscopy/surgery 17.05 NA NA 10.75 12.01 2.78 NA NA 30.58 31.84 090 29891 A Ankle arthroscopy/surgery 9.39 NA NA 6.69 7.31 1.39 NA NA 17.47 18.09 090 29892 A Ankle arthroscopy/surgery 9.99 NA NA 6.58 7.45 1.41 NA NA 17.98 18.85 090 29893 A Scope, plantar fasciotomy 5.96 8.86 6.93 4.67 4.16 0.63 15.45 13.52 11.26 10.75 090 29894 A Ankle arthroscopy/surgery 7.20 NA NA 4.72 5.28 1.15 NA NA 13.07 13.63 090 29895 A Ankle arthroscopy/surgery 6.98 NA NA 4.54 5.24 1.11 NA NA 12.63 13.33 090 29897 A Ankle arthroscopy/surgery 7.17 NA NA 4.96 5.65 1.17 NA NA 13.30 13.99 090 29898 A Ankle arthroscopy/surgery 8.31 NA NA 5.29 5.97 1.28 NA NA 14.88 15.56 090 29899 A Ankle arthroscopy/surgery 15.13 NA NA 9.30 10.23 2.40 NA NA 26.83 27.76 090 29900 A Mcp joint arthroscopy, dx 5.66 NA NA 4.74 5.58 0.94 NA NA 11.34 12.18 090 29901 A Mcp joint arthroscopy, surg 6.37 NA NA 5.50 6.07 1.06 NA NA 12.93 13.50 090 29902 A Mcp joint arthroscopy, surg 6.94 NA NA 3.68 5.83 1.12 NA NA 11.74 13.89 090 29999 C Arthroscopy of joint 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 30000 A Drainage of nose lesion 1.43 3.73 3.99 1.23 1.35 0.12 5.28 5.54 2.78 2.90 010 30020 A Drainage of nose lesion 1.43 3.86 3.42 1.26 1.42 0.12 5.41 4.97 2.81 2.97 010 30100 A Intranasal biopsy 0.94 2.40 2.08 0.68 0.79 0.07 3.41 3.09 1.69 1.80 000 30110 A Removal of nose polyp(s) 1.63 3.62 3.34 1.32 1.51 0.14 5.39 5.11 3.09 3.28 010 30115 A Removal of nose polyp(s) 4.34 NA NA 5.47 5.69 0.41 NA NA 10.22 10.44 090 30117 A Removal of intranasal lesion 3.16 16.90 14.08 4.51 4.60 0.26 20.32 17.50 7.93 8.02 090 30118 A Removal of intranasal lesion 9.74 NA NA 7.73 8.83 0.78 NA NA 18.25 19.35 090 30120 A Revision of nose 5.26 6.78 6.56 4.84 5.71 0.52 12.56 12.34 10.62 11.49 090 30124 A Removal of nose lesion 3.10 NA NA 3.59 3.61 0.25 NA NA 6.94 6.96 090 30125 A Removal of nose lesion 7.15 NA NA 7.00 7.99 0.63 NA NA 14.78 15.77 090 30130 A Excise inferior turbinate 3.37 NA NA 5.28 5.51 0.31 NA NA 8.96 9.19 090 30140 A Resect inferior turbinate 3.42 NA NA 6.54 6.28 0.35 NA NA 10.31 10.05 090 30150 A Partial removal of nose 9.37 NA NA 8.50 10.38 0.93 NA NA 18.80 20.68 090 30160 A Removal of nose 9.81 NA NA 8.12 9.69 0.88 NA NA 18.81 20.38 090 30200 A Injection treatment of nose 0.78 1.87 1.68 0.61 0.71 0.06 2.71 2.52 1.45 1.55 000 30210 A Nasal sinus therapy 1.08 2.31 2.15 1.15 1.27 0.09 3.48 3.32 2.32 2.44 010 30220 A Insert nasal septal button 1.54 5.41 4.53 1.29 1.47 0.12 7.07 6.19 2.95 3.13 010 30300 A Remove nasal foreign body 1.04 4.14 4.51 1.79 1.88 0.08 5.26 5.63 2.91 3.00 010 30310 A Remove nasal foreign body 1.96 NA NA 2.71 3.00 0.16 NA NA 4.83 5.12 010 30320 A Remove nasal foreign body 4.51 NA NA 5.93 6.76 0.39 NA NA 10.83 11.66 090 30400 R Reconstruction of nose 10.46 NA NA 13.64 15.03 1.04 NA NA 25.14 26.53 090 30410 R Reconstruction of nose 13.60 NA NA 14.27 17.35 1.42 NA NA 29.29 32.37 090 30420 R Reconstruction of nose 16.50 NA NA 14.69 17.11 1.46 NA NA 32.65 35.07 090 30430 R Revision of nose 7.84 NA NA 12.76 15.20 0.77 NA NA 21.37 23.81 090 30435 R Revision of nose 12.33 NA NA 14.67 18.18 1.22 NA NA 28.22 31.73 090 30450 R Revision of nose 19.26 NA NA 16.12 20.45 1.96 NA NA 37.34 41.67 090 30460 A Revision of nose 10.20 NA NA 7.13 9.24 1.03 NA NA 18.36 20.47 090 30462 A Revision of nose 20.04 NA NA 14.29 18.75 2.53 NA NA 36.86 41.32 090 30465 A Repair nasal stenosis 12.12 NA NA 10.25 11.54 1.06 NA NA 23.43 24.72 090 30520 A Repair of nasal septum 7.63 NA NA 7.58 6.89 0.46 NA NA 15.67 14.98 090 30540 A Repair nasal defect 7.74 NA NA 7.01 8.71 0.67 NA NA 15.42 17.12 090 30545 A Repair nasal defect 11.42 NA NA 10.02 11.43 1.70 NA NA 23.14 24.55 090 30560 A Release of nasal adhesions 1.26 4.93 4.81 1.87 2.07 0.10 6.29 6.17 3.23 3.43 010 30580 A Repair upper jaw fistula 6.68 8.15 7.87 4.69 5.52 0.89 15.72 15.44 12.26 13.09 090 30600 A Repair mouth/nose fistula 6.01 7.47 7.51 4.04 4.78 0.70 14.18 14.22 10.75 11.49 090 30620 A Intranasal reconstruction 5.96 NA NA 8.08 8.64 0.57 NA NA 14.61 15.17 090 30630 A Repair nasal septum defect 7.11 NA NA 7.05 7.73 0.61 NA NA 14.77 15.45 090 30801 A Ablate inf turbinate, superf 1.09 4.03 4.11 1.97 1.93 0.09 5.21 5.29 3.15 3.11 010 30802 A Cauterization, inner nose 2.03 4.60 4.61 2.30 2.35 0.16 6.79 6.80 4.49 4.54 010 30901 A Control of nosebleed 1.21 1.20 1.32 0.28 0.31 0.11 2.52 2.64 1.60 1.63 000 30903 A Control of nosebleed 1.54 3.07 2.80 0.38 0.47 0.13 4.74 4.47 2.05 2.14 000 30905 A Control of nosebleed 1.97 3.73 3.57 0.46 0.69 0.17 5.87 5.71 2.60 2.83 000 30906 A Repeat control of nosebleed 2.45 3.96 3.91 0.66 1.07 0.20 6.61 6.56 3.31 3.72 000 30915 A Ligation, nasal sinus artery 7.31 NA NA 5.80 6.47 0.58 NA NA 13.69 14.36 090 30920 A Ligation, upper jaw artery 10.97 NA NA 8.11 8.76 0.80 NA NA 19.88 20.53 090 30930 A Ther fx, nasal inf turbinate 1.26 NA NA 1.52 1.60 0.12 NA NA 2.90 2.98 010 30999 C Nasal surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31000 A Irrigation, maxillary sinus 1.15 3.00 2.88 1.23 1.36 0.09 4.24 4.12 2.47 2.60 010 Start Printed Page 49122 31002 A Irrigation, sphenoid sinus 1.91 NA NA 2.51 3.06 0.15 NA NA 4.57 5.12 010 31020 A Exploration, maxillary sinus 2.94 8.06 8.41 5.16 5.18 0.29 11.29 11.64 8.39 8.41 090 31030 A Exploration, maxillary sinus 5.91 9.77 11.07 6.01 6.50 0.60 16.28 17.58 12.52 13.01 090 31032 A Explore sinus, remove polyps 6.56 NA NA 6.46 7.04 0.59 NA NA 13.61 14.19 090 31040 A Exploration behind upper jaw 9.59 NA NA 7.26 9.18 0.87 NA NA 17.72 19.64 090 31050 A Exploration, sphenoid sinus 5.27 NA NA 6.12 6.29 0.49 NA NA 11.88 12.05 090 31051 A Sphenoid sinus surgery 7.10 NA NA 7.68 8.10 0.62 NA NA 15.40 15.82 090 31070 A Exploration of frontal sinus 4.27 NA NA 5.68 5.87 0.38 NA NA 10.33 10.52 090 31075 A Exploration of frontal sinus 9.33 NA NA 8.49 9.42 0.75 NA NA 18.57 19.50 090 31080 A Removal of frontal sinus 12.46 NA NA 10.39 12.75 1.23 NA NA 24.08 26.44 090 31081 A Removal of frontal sinus 13.91 NA NA 14.59 14.15 2.46 NA NA 30.96 30.52 090 31084 A Removal of frontal sinus 14.67 NA NA 11.82 13.08 1.19 NA NA 27.68 28.94 090 31085 A Removal of frontal sinus 15.36 NA NA 12.90 13.70 1.72 NA NA 29.98 30.78 090 31086 A Removal of frontal sinus 14.08 NA NA 11.66 12.88 1.07 NA NA 26.81 28.03 090 31087 A Removal of frontal sinus 14.32 NA NA 10.69 12.07 1.44 NA NA 26.45 27.83 090 31090 A Exploration of sinuses 10.78 NA NA 12.26 12.48 0.94 NA NA 23.98 24.20 090 31200 A Removal of ethmoid sinus 4.96 NA NA 7.42 8.76 0.29 NA NA 12.67 14.01 090 31201 A Removal of ethmoid sinus 8.42 NA NA 8.22 8.93 0.82 NA NA 17.46 18.17 090 31205 A Removal of ethmoid sinus 10.40 NA NA 9.52 11.29 0.67 NA NA 20.59 22.36 090 31225 A Removal of upper jaw 26.34 NA NA 16.28 17.44 1.59 NA NA 44.21 45.37 090 31230 A Removal of upper jaw 30.46 NA NA 16.95 18.76 1.77 NA NA 49.18 50.99 090 31231 A Nasal endoscopy, dx 1.10 3.34 3.37 0.69 0.83 0.09 4.53 4.56 1.88 2.02 000 31233 A Nasal/sinus endoscopy, dx 2.18 3.94 4.21 0.99 1.36 0.20 6.32 6.59 3.37 3.74 000 31235 A Nasal/sinus endoscopy, dx 2.64 4.28 4.75 1.12 1.57 0.26 7.18 7.65 4.02 4.47 000 31237 A Nasal/sinus endoscopy, surg 2.98 4.51 5.02 1.22 1.72 0.28 7.77 8.28 4.48 4.98 000 31238 A Nasal/sinus endoscopy, surg 3.26 4.43 5.03 1.30 1.89 0.27 7.96 8.56 4.83 5.42 000 31239 A Nasal/sinus endoscopy, surg 9.19 NA NA 6.27 7.57 0.62 NA NA 16.08 17.38 010 31240 A Nasal/sinus endoscopy, surg 2.61 NA NA 1.12 1.58 0.24 NA NA 3.97 4.43 000 31254 A Revision of ethmoid sinus 4.64 NA NA 1.70 2.56 0.45 NA NA 6.79 7.65 000 31255 A Removal of ethmoid sinus 6.95 NA NA 2.34 3.67 0.73 NA NA 10.02 11.35 000 31256 A Exploration maxillary sinus 3.29 NA NA 1.31 1.91 0.33 NA NA 4.93 5.53 000 31267 A Endoscopy, maxillary sinus 5.45 NA NA 1.92 2.95 0.55 NA NA 7.92 8.95 000 31276 A Sinus endoscopy, surgical 8.84 NA NA 2.87 4.56 0.92 NA NA 12.63 14.32 000 31287 A Nasal/sinus endoscopy, surg 3.91 NA NA 1.48 2.21 0.39 NA NA 5.78 6.51 000 31288 A Nasal/sinus endoscopy, surg 4.57 NA NA 1.67 2.53 0.46 NA NA 6.70 7.56 000 31290 A Nasal/sinus endoscopy, surg 18.46 NA NA 7.99 11.04 1.40 NA NA 27.85 30.90 010 31291 A Nasal/sinus endoscopy, surg 19.41 NA NA 8.60 11.50 1.68 NA NA 29.69 32.59 010 31292 A Nasal/sinus endoscopy, surg 15.75 NA NA 7.20 9.76 1.21 NA NA 24.16 26.72 010 31293 A Nasal/sinus endoscopy, surg 17.32 NA NA 7.82 10.49 1.28 NA NA 26.42 29.09 010 31294 A Nasal/sinus endoscopy, surg 20.16 NA NA 8.72 11.83 1.53 NA NA 30.41 33.52 010 31299 C Sinus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31300 A Removal of larynx lesion 15.63 NA NA 13.43 14.59 1.17 NA NA 30.23 31.39 090 31320 A Diagnostic incision, larynx 5.55 NA NA 9.17 10.02 0.46 NA NA 15.18 16.03 090 31360 A Removal of larynx 27.23 NA NA 17.39 16.89 1.38 NA NA 46.00 45.50 090 31365 A Removal of larynx 34.85 NA NA 19.55 20.16 1.97 NA NA 56.37 56.98 090 31367 A Partial removal of larynx 27.11 NA NA 19.32 21.25 1.78 NA NA 48.21 50.14 090 31368 A Partial removal of larynx 33.73 NA NA 22.12 24.65 2.20 NA NA 58.05 60.58 090 31370 A Partial removal of larynx 27.11 NA NA 20.11 21.72 1.74 NA NA 48.96 50.57 090 31375 A Partial removal of larynx 25.61 NA NA 19.22 20.09 1.63 NA NA 46.46 47.33 090 31380 A Partial removal of larynx 25.11 NA NA 18.90 20.18 1.70 NA NA 45.71 46.99 090 31382 A Partial removal of larynx 28.11 NA NA 20.41 21.31 1.67 NA NA 50.19 51.09 090 31390 A Removal of larynx & pharynx 38.72 NA NA 22.29 23.86 2.23 NA NA 63.24 64.81 090 31395 A Reconstruct larynx & pharynx 43.34 NA NA 25.53 27.61 2.48 NA NA 71.35 73.43 090 31400 A Revision of larynx 11.40 NA NA 11.42 13.18 0.83 NA NA 23.65 25.41 090 31420 A Removal of epiglottis 11.25 NA NA 7.82 9.11 0.83 NA NA 19.90 21.19 090 31500 A Insert emergency airway 2.33 NA NA 0.43 0.52 0.17 NA NA 2.93 3.02 000 Start Printed Page 49123 31502 A Change of windpipe airway 0.65 NA NA 0.20 0.26 0.05 NA NA 0.90 0.96 000 31505 A Diagnostic laryngoscopy 0.61 1.33 1.42 0.54 0.59 0.05 1.99 2.08 1.20 1.25 000 31510 A Laryngoscopy with biopsy 1.92 2.98 3.22 0.91 1.17 0.16 5.06 5.30 2.99 3.25 000 31511 A Remove foreign body, larynx 2.16 2.75 3.03 0.93 1.03 0.19 5.10 5.38 3.28 3.38 000 31512 A Removal of larynx lesion 2.07 2.73 3.08 0.95 1.26 0.18 4.98 5.33 3.20 3.51 000 31513 A Injection into vocal cord 2.10 NA NA 0.97 1.34 0.17 NA NA 3.24 3.61 000 31515 A Laryngoscopy for aspiration 1.80 3.06 3.42 0.83 1.00 0.14 5.00 5.36 2.77 2.94 000 31520 A Dx laryngoscopy, newborn 2.56 NA NA 1.09 1.44 0.20 NA NA 3.85 4.20 000 31525 A Dx laryngoscopy excl nb 2.63 3.22 3.54 1.10 1.52 0.21 6.06 6.38 3.94 4.36 000 31526 A Dx laryngoscopy w/oper scope 2.57 NA NA 1.10 1.57 0.21 NA NA 3.88 4.35 000 31527 A Laryngoscopy for treatment 3.27 NA NA 1.29 1.73 0.26 NA NA 4.82 5.26 000 31528 A Laryngoscopy and dilation 2.37 NA NA 0.97 1.34 0.19 NA NA 3.53 3.90 000 31529 A Laryngoscopy and dilation 2.68 NA NA 1.09 1.56 0.22 NA NA 3.99 4.46 000 31530 A Laryngoscopy w/fb removal 3.38 NA NA 1.29 1.79 0.29 NA NA 4.96 5.46 000 31531 A Laryngoscopy w/fb & op scope 3.58 NA NA 1.39 2.05 0.29 NA NA 5.26 5.92 000 31535 A Laryngoscopy w/biopsy 3.16 NA NA 1.27 1.81 0.26 NA NA 4.69 5.23 000 31536 A Laryngoscopy w/bx & op scope 3.55 NA NA 1.38 2.03 0.29 NA NA 5.22 5.87 000 31540 A Laryngoscopy w/exc of tumor 4.12 NA NA 1.54 2.29 0.33 NA NA 5.99 6.74 000 31541 A Larynscop w/tumr exc + scope 4.52 NA NA 1.66 2.50 0.37 NA NA 6.55 7.39 000 31545 A Remove vc lesion w/scope 6.30 NA NA 2.19 3.15 0.37 NA NA 8.86 9.82 000 31546 A Remove vc lesion scope/graft 9.73 NA NA 3.71 4.66 0.78 NA NA 14.22 15.17 000 31560 A Laryngoscop w/arytenoidectom 5.45 NA NA 1.87 2.83 0.43 NA NA 7.75 8.71 000 31561 A Larynscop, remve cart + scop 5.99 NA NA 2.02 3.03 0.49 NA NA 8.50 9.51 000 31570 A Laryngoscope w/vc inj 3.86 3.93 5.24 1.46 2.15 0.31 8.10 9.41 5.63 6.32 000 31571 A Laryngoscop w/vc inj + scope 4.26 NA NA 1.58 2.35 0.35 NA NA 6.19 6.96 000 31575 A Diagnostic laryngoscopy 1.10 1.56 1.82 0.69 0.84 0.09 2.75 3.01 1.88 2.03 000 31576 A Laryngoscopy with biopsy 1.97 3.26 3.56 0.94 1.20 0.14 5.37 5.67 3.05 3.31 000 31577 A Remove foreign body, larynx 2.47 3.22 3.63 1.09 1.42 0.21 5.90 6.31 3.77 4.10 000 31578 A Removal of larynx lesion 2.84 3.66 4.13 1.18 1.44 0.23 6.73 7.20 4.25 4.51 000 31579 A Diagnostic laryngoscopy 2.26 2.63 3.49 1.02 1.37 0.18 5.07 5.93 3.46 3.81 000 31580 A Revision of larynx 14.38 NA NA 13.35 15.27 1.00 NA NA 28.73 30.65 090 31582 A Revision of larynx 22.73 NA NA 20.27 24.42 1.75 NA NA 44.75 48.90 090 31584 A Treat larynx fracture 20.27 NA NA 14.11 17.14 1.71 NA NA 36.09 39.12 090 31587 A Revision of larynx 15.06 NA NA 7.88 8.92 0.97 NA NA 23.91 24.95 090 31588 A Revision of larynx 14.48 NA NA 11.28 13.03 1.06 NA NA 26.82 28.57 090 31590 A Reinnervate larynx 7.53 NA NA 11.98 14.64 0.84 NA NA 20.35 23.01 090 31595 A Larynx nerve surgery 8.69 NA NA 8.86 10.13 0.68 NA NA 18.23 19.50 090 31599 C Larynx surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31600 A Incision of windpipe 7.17 NA NA 2.19 2.94 0.80 NA NA 10.16 10.91 000 31601 A Incision of windpipe 4.44 NA NA 1.61 2.20 0.40 NA NA 6.45 7.04 000 31603 A Incision of windpipe 4.14 NA NA 1.11 1.56 0.44 NA NA 5.69 6.14 000 31605 A Incision of windpipe 3.57 NA NA 0.82 1.10 0.40 NA NA 4.79 5.07 000 31610 A Incision of windpipe 9.23 NA NA 7.12 7.98 0.79 NA NA 17.14 18.00 090 31611 A Surgery/speech prosthesis 5.87 NA NA 6.44 6.91 0.46 NA NA 12.77 13.24 090 31612 A Puncture/clear windpipe 0.91 1.07 1.09 0.24 0.32 0.08 2.06 2.08 1.23 1.31 000 31613 A Repair windpipe opening 4.58 NA NA 5.79 5.94 0.42 NA NA 10.79 10.94 090 31614 A Repair windpipe opening 8.39 NA NA 8.81 8.74 0.58 NA NA 17.78 17.71 090 31615 A Visualization of windpipe 2.09 2.21 2.50 0.95 1.14 0.16 4.46 4.75 3.20 3.39 000 31620 A Endobronchial us add-on 1.40 6.04 5.74 0.34 0.50 0.11 7.55 7.25 1.85 2.01 ZZZ 31622 A Dx bronchoscope/wash 2.78 5.26 5.55 0.90 1.02 0.18 8.22 8.51 3.86 3.98 000 31623 A Dx bronchoscope/brush 2.88 6.03 6.32 0.90 1.01 0.13 9.04 9.33 3.91 4.02 000 31624 A Dx bronchoscope/lavage 2.88 5.38 5.67 0.90 1.01 0.13 8.39 8.68 3.91 4.02 000 31625 A Bronchoscopy w/biopsy(s) 3.36 5.52 5.74 1.02 1.16 0.18 9.06 9.28 4.56 4.70 000 31628 A Bronchoscopy/lung bx, each 3.80 7.02 7.02 1.11 1.25 0.18 11.00 11.00 5.09 5.23 000 31629 A Bronchoscopy/needle bx, each 4.09 12.10 13.71 1.19 1.35 0.16 16.35 17.96 5.44 5.60 000 31630 A Bronchoscopy dilate/fx repr 3.81 NA NA 1.25 1.60 0.32 NA NA 5.38 5.73 000 31631 A Bronchoscopy, dilate w/stent 4.36 NA NA 1.39 1.67 0.34 NA NA 6.09 6.37 000 31632 A Bronchoscopy/lung bx, addIl 1.03 0.86 0.82 0.24 0.29 0.18 2.07 2.03 1.45 1.50 ZZZ 31633 A Bronchoscopy/needle bx addIl 1.32 0.99 0.94 0.31 0.38 0.16 2.47 2.42 1.79 1.86 ZZZ 31635 A Bronchoscopy w/fb removal 3.67 5.20 5.88 1.13 1.36 0.24 9.11 9.79 5.04 5.27 000 31636 A Bronchoscopy, bronch stents 4.30 NA NA 1.37 1.66 0.31 NA NA 5.98 6.27 000 31637 A Bronchoscopy, stent add-on 1.58 NA NA 0.42 0.53 0.13 NA NA 2.13 2.24 ZZZ 31638 A Bronchoscopy, revise stent 4.88 NA NA 1.55 1.87 0.22 NA NA 6.65 6.97 000 31640 A Bronchoscopy w/tumor excise 4.93 NA NA 1.52 1.93 0.46 NA NA 6.91 7.32 000 31641 A Bronchoscopy, treat blockage 5.02 NA NA 1.49 1.78 0.35 NA NA 6.86 7.15 000 31643 A Diag bronchoscope/catheter 3.49 NA NA 1.05 1.19 0.20 NA NA 4.74 4.88 000 Start Printed Page 49124 31645 A Bronchoscopy, clear airways 3.16 4.77 5.05 0.97 1.08 0.16 8.09 8.37 4.29 4.40 000 31646 A Bronchoscopy, reclear airway 2.72 4.48 4.77 0.86 0.97 0.14 7.34 7.63 3.72 3.83 000 31656 A Bronchoscopy, inj for x-ray 2.17 5.31 6.80 0.65 0.79 0.15 7.63 9.12 2.97 3.11 000 31700 A Insertion of airway catheter 1.34 2.30 2.19 0.68 0.68 0.08 3.72 3.61 2.10 2.10 000 31708 A Instill airway contrast dye 1.41 NA NA 0.40 0.45 0.07 NA NA 1.88 1.93 000 31710 A Insertion of airway catheter 1.30 NA NA 0.42 0.41 0.12 NA NA 1.84 1.83 000 31715 A Injection for bronchus x-ray 1.11 NA NA 0.29 0.33 0.07 NA NA 1.47 1.51 000 31717 A Bronchial brush biopsy 2.12 5.86 7.65 0.76 0.78 0.14 8.12 9.91 3.02 3.04 000 31720 A Clearance of airways 1.06 NA NA 0.25 0.31 0.07 NA NA 1.38 1.44 000 31725 A Clearance of airways 1.96 NA NA 0.45 0.55 0.14 NA NA 2.55 2.65 000 31730 A Intro, windpipe wire/tube 2.85 25.67 8.06 0.72 0.93 0.21 28.73 11.12 3.78 3.99 000 31750 A Repair of windpipe 15.11 NA NA 16.11 17.19 1.05 NA NA 32.27 33.35 090 31755 A Repair of windpipe 17.05 NA NA 22.15 23.93 1.29 NA NA 40.49 42.27 090 31760 A Repair of windpipe 23.28 NA NA 9.76 10.47 2.94 NA NA 35.98 36.69 090 31766 A Reconstruction of windpipe 31.52 NA NA 11.44 13.10 4.52 NA NA 47.48 49.14 090 31770 A Repair/graft of bronchus 23.44 NA NA 8.83 9.89 2.83 NA NA 35.10 36.16 090 31775 A Reconstruct bronchus 24.46 NA NA 9.07 11.11 3.01 NA NA 36.54 38.58 090 31780 A Reconstruct windpipe 19.62 NA NA 7.98 10.28 1.65 NA NA 29.25 31.55 090 31781 A Reconstruct windpipe 24.72 NA NA 9.17 11.38 2.24 NA NA 36.13 38.34 090 31785 A Remove windpipe lesion 18.25 NA NA 5.49 9.01 1.59 NA NA 25.33 28.85 090 31786 A Remove windpipe lesion 25.29 NA NA 9.74 12.25 3.29 NA NA 38.32 40.83 090 31800 A Repair of windpipe injury 8.05 NA NA 8.35 9.02 0.79 NA NA 17.19 17.86 090 31805 A Repair of windpipe injury 13.29 NA NA 6.24 6.97 1.82 NA NA 21.35 22.08 090 31820 A Closure of windpipe lesion 4.54 5.43 5.60 2.98 3.48 0.38 10.35 10.52 7.90 8.40 090 31825 A Repair of windpipe defect 6.92 6.78 7.44 4.00 5.03 0.53 14.23 14.89 11.45 12.48 090 31830 A Revise windpipe scar 4.49 5.60 5.72 3.33 3.82 0.44 10.53 10.65 8.26 8.75 090 31899 C Airways surgical procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 32000 A Drainage of chest 1.54 2.39 2.89 0.43 0.47 0.08 4.01 4.51 2.05 2.09 000 32002 A Treatment of collapsed lung 2.19 2.85 3.12 0.99 1.04 0.12 5.16 5.43 3.30 3.35 000 32005 A Treat lung lining chemically 2.19 5.11 6.12 0.59 0.67 0.23 7.53 8.54 3.01 3.09 000 32019 A Insert pleural catheter 4.17 15.54 18.86 1.45 1.60 0.42 20.13 23.45 6.04 6.19 000 32020 A Insertion of chest tube 3.97 NA NA 1.14 1.30 0.43 NA NA 5.54 5.70 000 32035 A Exploration of chest 11.14 NA NA 6.11 5.92 1.26 NA NA 18.50 18.32 090 32036 A Exploration of chest 12.15 NA NA 6.43 6.43 1.43 NA NA 20.01 20.01 090 32095 A Biopsy through chest wall 10.03 NA NA 5.22 5.33 1.22 NA NA 16.47 16.58 090 32100 A Exploration/biopsy of chest 16.04 NA NA 7.09 7.64 2.23 NA NA 25.36 25.91 090 32110 A Explore/repair chest 25.11 NA NA 10.03 10.56 3.21 NA NA 38.35 38.88 090 32120 A Re-exploration of chest 14.24 NA NA 6.91 7.03 1.63 NA NA 22.78 22.90 090 32124 A Explore chest free adhesions 15.30 NA NA 7.09 7.18 1.89 NA NA 24.28 24.37 090 32140 A Removal of lung lesion(s) 16.51 NA NA 7.48 7.63 1.96 NA NA 25.95 26.10 090 32141 A Remove/treat lung lesions 17.14 NA NA 7.69 7.59 2.00 NA NA 26.83 26.73 090 32150 A Removal of lung lesion(s) 16.67 NA NA 7.54 7.59 2.00 NA NA 26.21 26.26 090 32151 A Remove lung foreign body 16.79 NA NA 8.73 8.18 2.03 NA NA 27.55 27.00 090 32160 A Open chest heart massage 13.00 NA NA 5.89 5.42 1.31 NA NA 20.20 19.73 090 32200 A Drain, open, lung lesion 18.43 NA NA 8.91 8.69 2.13 NA NA 29.47 29.25 090 32201 A Drain, percut, lung lesion 3.99 19.87 20.49 1.26 1.29 0.24 24.10 24.72 5.49 5.52 000 32215 A Treat chest lining 12.90 NA NA 6.43 6.78 1.68 NA NA 21.01 21.36 090 32220 A Release of lung 26.31 NA NA 12.11 12.74 3.56 NA NA 41.98 42.61 090 32225 A Partial release of lung 16.60 NA NA 7.54 7.62 2.06 NA NA 26.20 26.28 090 32310 A Removal of chest lining 15.13 NA NA 6.98 7.29 1.99 NA NA 24.10 24.41 090 32320 A Free/remove chest lining 26.96 NA NA 11.63 12.02 3.51 NA NA 42.10 42.49 090 32400 A Needle biopsy chest lining 1.76 2.12 2.12 0.52 0.54 0.10 3.98 3.98 2.38 2.40 000 32402 A Open biopsy chest lining 8.86 NA NA 4.81 5.04 1.07 NA NA 14.74 14.97 090 32405 A Biopsy, lung or mediastinum 1.93 0.61 0.66 0.61 0.63 0.11 2.65 2.70 2.65 2.67 000 32420 A Puncture/clear lung 2.18 NA NA 0.68 0.68 0.12 NA NA 2.98 2.98 000 32440 A Removal of lung 27.11 NA NA 11.11 12.45 3.68 NA NA 41.90 43.24 090 Start Printed Page 49125 32442 A Sleeve pneumonectomy 37.74 NA NA 13.28 14.39 3.84 NA NA 54.86 55.97 090 32445 A Removal of lung 40.73 NA NA 16.31 14.62 3.71 NA NA 60.75 59.06 090 32480 A Partial removal of lung 25.65 NA NA 10.37 11.64 3.49 NA NA 39.51 40.78 090 32482 A Bilobectomy 27.22 NA NA 11.22 12.49 3.66 NA NA 42.10 43.37 090 32484 A Segmentectomy 22.67 NA NA 8.92 10.77 3.03 NA NA 34.62 36.47 090 32486 A Sleeve lobectomy 31.72 NA NA 11.89 12.90 3.51 NA NA 47.12 48.13 090 32488 A Completion pneumonectomy 32.69 NA NA 12.78 13.53 3.80 NA NA 49.27 50.02 090 32491 R Lung volume reduction 25.03 NA NA 10.69 12.14 2.98 NA NA 38.70 40.15 090 32500 A Partial removal of lung 24.42 NA NA 10.43 11.87 3.25 NA NA 38.10 39.54 090 32501 A Repair bronchus add-on 4.68 NA NA 1.37 1.50 0.65 NA NA 6.70 6.83 ZZZ 32503 A Resect apical lung tumor 31.55 NA NA 12.31 14.38 4.37 NA NA 48.23 50.30 090 32504 A Resect apical lung tum/chest 36.35 NA NA 13.73 15.94 5.07 NA NA 55.15 57.36 090 32540 A Removal of lung lesion 23.68 NA NA 10.25 9.79 2.07 NA NA 36.00 35.54 090 32601 A Thoracoscopy, diagnostic 5.45 NA NA 2.11 2.29 0.80 NA NA 8.36 8.54 000 32602 A Thoracoscopy, diagnostic 5.95 NA NA 2.25 2.45 0.87 NA NA 9.07 9.27 000 32603 A Thoracoscopy, diagnostic 7.80 NA NA 2.99 3.02 1.14 NA NA 11.93 11.96 000 32604 A Thoracoscopy, diagnostic 8.77 NA NA 3.08 3.36 1.25 NA NA 13.10 13.38 000 32605 A Thoracoscopy, diagnostic 6.92 NA NA 2.56 2.82 1.00 NA NA 10.48 10.74 000 32606 A Thoracoscopy, diagnostic 8.39 NA NA 3.02 3.25 1.22 NA NA 12.63 12.86 000 32650 A Thoracoscopy, surgical 10.73 NA NA 5.32 6.40 1.58 NA NA 17.63 18.71 090 32651 A Thoracoscopy, surgical 16.28 NA NA 7.09 7.20 1.86 NA NA 25.23 25.34 090 32652 A Thoracoscopy, surgical 23.34 NA NA 9.65 10.02 2.72 NA NA 35.71 36.08 090 32653 A Thoracoscopy, surgical 19.86 NA NA 8.01 7.23 1.88 NA NA 29.75 28.97 090 32654 A Thoracoscopy, surgical 18.49 NA NA 7.47 7.52 1.63 NA NA 27.59 27.64 090 32655 A Thoracoscopy, surgical 14.95 NA NA 6.74 7.12 1.89 NA NA 23.58 23.96 090 32656 A Thoracoscopy, surgical 13.14 NA NA 6.04 7.47 1.89 NA NA 21.07 22.50 090 32657 A Thoracoscopy, surgical 14.54 NA NA 6.47 7.38 1.99 NA NA 23.00 23.91 090 32658 A Thoracoscopy, surgical 11.61 NA NA 5.64 6.92 1.69 NA NA 18.94 20.22 090 32659 A Thoracoscopy, surgical 11.82 NA NA 5.95 7.08 1.62 NA NA 19.39 20.52 090 32660 A Thoracoscopy, surgical 17.65 NA NA 7.52 8.99 2.08 NA NA 27.25 28.72 090 32661 A Thoracoscopy, surgical 13.23 NA NA 6.22 7.40 1.92 NA NA 21.37 22.55 090 32662 A Thoracoscopy, surgical 17.00 NA NA 7.23 8.42 2.17 NA NA 26.40 27.59 090 32663 A Thoracoscopy, surgical 19.96 NA NA 8.91 10.30 2.72 NA NA 31.59 32.98 090 32664 A Thoracoscopy, surgical 14.18 NA NA 6.42 7.33 2.32 NA NA 22.92 23.83 090 32665 A Thoracoscopy, surgical 17.37 NA NA 7.66 8.01 2.15 NA NA 27.18 27.53 090 32800 A Repair lung hernia 15.56 NA NA 7.13 7.34 1.98 NA NA 24.67 24.88 090 32810 A Close chest after drainage 14.80 NA NA 7.12 7.42 1.93 NA NA 23.85 24.15 090 32815 A Close bronchial fistula 37.94 NA NA 15.43 12.09 3.27 NA NA 56.64 53.30 090 32820 A Reconstruct injured chest 22.27 NA NA 11.75 12.06 2.52 NA NA 36.54 36.85 090 32851 A Lung transplant, single 40.72 NA NA 20.99 25.99 5.56 NA NA 67.27 72.27 090 32852 A Lung transplant with bypass 44.37 NA NA 23.82 30.83 6.00 NA NA 74.19 81.20 090 32853 A Lung transplant, double 49.89 NA NA 23.39 29.66 7.05 NA NA 80.33 86.60 090 32854 A Lung transplant with bypass 53.60 NA NA 26.62 32.70 7.20 NA NA 87.42 93.50 090 32855 C Prepare donor lung, single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 32856 C Prepare donor lung, double 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 32900 A Removal of rib(s) 23.66 NA NA 9.81 9.86 2.93 NA NA 36.40 36.45 090 32905 A Revise & repair chest wall 23.14 NA NA 9.64 10.01 3.15 NA NA 35.93 36.30 090 32906 A Revise & repair chest wall 29.15 NA NA 11.34 11.88 3.97 NA NA 44.46 45.00 090 32940 A Revision of lung 21.19 NA NA 8.66 9.27 2.88 NA NA 32.73 33.34 090 32960 A Therapeutic pneumothorax 1.84 1.59 1.70 0.67 0.59 0.16 3.59 3.70 2.67 2.59 000 32997 A Total lung lavage 5.99 NA NA 1.51 1.81 0.55 NA NA 8.05 8.35 000 32999 C Chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 33010 A Drainage of heart sac 2.24 NA NA 1.02 0.84 0.14 NA NA 3.40 3.22 000 33011 A Repeat drainage of heart sac 2.24 NA NA 1.10 0.88 0.15 NA NA 3.49 3.27 000 33015 A Incision of heart sac 8.41 NA NA 5.08 4.98 0.65 NA NA 14.14 14.04 090 33020 A Incision of heart sac 14.85 NA NA 6.54 6.72 1.79 NA NA 23.18 23.36 090 33025 A Incision of heart sac 13.63 NA NA 5.98 6.26 1.80 NA NA 21.41 21.69 090 33030 A Partial removal of heart sac 22.24 NA NA 9.26 9.46 2.83 NA NA 34.33 34.53 090 33031 A Partial removal of heart sac 25.28 NA NA 9.96 10.01 3.13 NA NA 38.37 38.42 090 33050 A Removal of heart sac lesion 16.82 NA NA 7.63 7.79 2.14 NA NA 26.59 26.75 090 33120 A Removal of heart lesion 27.30 NA NA 10.79 11.38 3.69 NA NA 41.78 42.37 090 33130 A Removal of heart lesion 24.02 NA NA 9.48 9.95 3.00 NA NA 36.50 36.97 090 33140 A Heart revascularize (tmr) 22.72 NA NA 10.09 10.68 2.85 NA NA 35.66 36.25 090 33141 A Heart tmr w/other procedure 4.83 NA NA 1.52 1.57 0.69 NA NA 7.04 7.09 ZZZ 33200 A Insertion of heart pacemaker 14.70 NA NA 7.45 6.99 1.70 NA NA 23.85 23.39 090 33201 A Insertion of heart pacemaker 12.08 NA NA 6.40 6.54 1.36 NA NA 19.84 19.98 090 Start Printed Page 49126 33206 A Insertion of heart pacemaker 7.28 NA NA 5.13 4.63 0.52 NA NA 12.92 12.42 090 33207 A Insertion of heart pacemaker 9.03 NA NA 5.78 4.94 0.59 NA NA 15.40 14.56 090 33208 A Insertion of heart pacemaker 8.12 NA NA 5.43 4.94 0.56 NA NA 14.11 13.62 090 33210 A Insertion of heart electrode 3.30 NA NA 1.70 1.36 0.18 NA NA 5.18 4.84 000 33211 A Insertion of heart electrode 3.39 NA NA 1.67 1.40 0.21 NA NA 5.27 5.00 000 33212 A Insertion of pulse generator 5.51 NA NA 3.75 3.46 0.43 NA NA 9.69 9.40 090 33213 A Insertion of pulse generator 6.36 NA NA 4.17 3.83 0.45 NA NA 10.98 10.64 090 33214 A Upgrade of pacemaker system 7.74 NA NA 5.38 5.01 0.58 NA NA 13.70 13.33 090 33215 A Reposition pacing-defib lead 4.87 NA NA 3.52 3.27 0.37 NA NA 8.76 8.51 090 33216 A Insert lead pace-defib, one 5.77 NA NA 4.58 4.30 0.36 NA NA 10.71 10.43 090 33217 A Insert lead pace-defib, dual 5.74 NA NA 4.50 4.30 0.39 NA NA 10.63 10.43 090 33218 A Repair lead pace-defib, one 5.93 NA NA 4.83 4.43 0.37 NA NA 11.13 10.73 090 33220 A Repair lead pace-defib, dual 6.01 NA NA 4.89 4.43 0.37 NA NA 11.27 10.81 090 33222 A Revise pocket, pacemaker 4.95 NA NA 4.33 4.30 0.42 NA NA 9.70 9.67 090 33223 A Revise pocket, pacing-defib 6.45 NA NA 4.97 4.69 0.45 NA NA 11.87 11.59 090 33224 A Insert pacing lead & connect 9.04 NA NA 5.03 4.26 0.54 NA NA 14.61 13.84 000 33225 A L ventric pacing lead add-on 8.33 NA NA 4.45 3.55 0.45 NA NA 13.23 12.33 ZZZ 33226 A Reposition l ventric lead 8.68 NA NA 4.87 4.08 0.59 NA NA 14.14 13.35 000 33233 A Removal of pacemaker system 3.29 NA NA 3.29 3.28 0.22 NA NA 6.80 6.79 090 33234 A Removal of pacemaker system 7.81 NA NA 5.52 5.06 0.56 NA NA 13.89 13.43 090 33235 A Removal pacemaker electrode 9.85 NA NA 7.32 6.94 0.73 NA NA 17.90 17.52 090 33236 A Remove electrode/thoracotomy 12.58 NA NA 6.70 7.25 1.68 NA NA 20.96 21.51 090 33237 A Remove electrode/thoracotomy 13.69 NA NA 7.68 7.76 1.59 NA NA 22.96 23.04 090 33238 A Remove electrode/thoracotomy 15.20 NA NA 8.35 8.24 2.02 NA NA 25.57 25.46 090 33240 A Insert pulse generator 7.59 NA NA 5.34 4.77 0.41 NA NA 13.34 12.77 090 33241 A Remove pulse generator 3.24 NA NA 3.04 2.98 0.18 NA NA 6.46 6.40 090 33243 A Remove eltrd/thoracotomy 23.36 NA NA 11.00 11.35 2.09 NA NA 36.45 36.80 090 33244 A Remove eltrd, transven 13.74 NA NA 9.53 9.05 0.99 NA NA 24.26 23.78 090 33245 A Insert epic eltrd pace-defib 16.82 NA NA 7.96 7.92 2.01 NA NA 26.79 26.75 090 33246 A Insert epic eltrd/generator 23.11 NA NA 10.73 10.39 2.63 NA NA 36.47 36.13 090 33249 A Eltrd/insert pace-defib 14.96 NA NA 10.33 8.85 0.77 NA NA 26.06 24.58 090 33250 A Ablate heart dysrhythm focus 25.75 NA NA 10.16 10.81 3.18 NA NA 39.09 39.74 090 33251 A Ablate heart dysrhythm focus 28.77 NA NA 11.15 11.53 3.59 NA NA 43.51 43.89 090 33253 A Reconstruct atria 31.33 NA NA 12.15 13.40 4.52 NA NA 48.00 49.25 090 33261 A Ablate heart dysrhythm focus 28.77 NA NA 11.33 11.66 3.45 NA NA 43.55 43.88 090 33282 A Implant pat-active ht record 4.66 NA NA 4.29 4.09 0.23 NA NA 9.18 8.98 090 33284 A Remove pat-active ht record 3.00 NA NA 3.40 3.50 0.14 NA NA 6.54 6.64 090 33300 A Repair of heart wound 29.93 NA NA 11.14 9.71 2.65 NA NA 43.72 42.29 090 33305 A Repair of heart wound 33.67 NA NA 12.24 11.02 3.12 NA NA 49.03 47.81 090 33310 A Exploratory heart surgery 20.19 NA NA 8.83 9.39 2.58 NA NA 31.60 32.16 090 33315 A Exploratory heart surgery 26.02 NA NA 10.46 10.78 3.27 NA NA 39.75 40.07 090 33320 A Repair major blood vessel(s) 18.43 NA NA 8.69 8.34 2.07 NA NA 29.19 28.84 090 33321 A Repair major vessel 20.67 NA NA 10.28 9.91 2.90 NA NA 33.85 33.48 090 33322 A Repair major blood vessel(s) 24.27 NA NA 9.83 10.23 2.85 NA NA 36.95 37.35 090 33330 A Insert major vessel graft 25.14 NA NA 9.80 10.15 2.81 NA NA 37.75 38.10 090 33332 A Insert major vessel graft 24.42 NA NA 9.65 10.30 3.02 NA NA 37.09 37.74 090 33335 A Insert major vessel graft 33.76 NA NA 12.97 13.24 4.27 NA NA 51.00 51.27 090 33400 A Repair of aortic valve 39.23 NA NA 14.57 15.39 4.10 NA NA 57.90 58.72 090 33401 A Valvuloplasty, open 24.33 NA NA 9.83 12.58 3.56 NA NA 37.72 40.47 090 33403 A Valvuloplasty, w/cp bypass 25.31 NA NA 10.53 13.36 3.54 NA NA 39.38 42.21 090 33404 A Prepare heart-aorta conduit 31.22 NA NA 12.26 13.97 4.32 NA NA 47.80 49.51 090 33405 A Replacement of aortic valve 39.97 NA NA 15.12 17.50 5.31 NA NA 60.40 62.78 090 33406 A Replacement of aortic valve 48.87 NA NA 17.72 18.77 5.43 NA NA 72.02 73.07 090 33410 A Replacement of aortic valve 38.69 NA NA 14.63 16.09 4.68 NA NA 58.00 59.46 090 33411 A Replacement of aortic valve 57.11 NA NA 20.12 19.09 5.46 NA NA 82.69 81.66 090 33412 A Replacement of aortic valve 43.71 NA NA 16.57 19.44 6.37 NA NA 66.65 69.52 090 Start Printed Page 49127 33413 A Replacement of aortic valve 55.27 NA NA 19.33 20.44 6.51 NA NA 81.11 82.22 090 33414 A Repair of aortic valve 39.27 NA NA 15.20 14.40 4.56 NA NA 59.03 58.23 090 33415 A Revision, subvalvular tissue 29.70 NA NA 11.14 11.80 4.13 NA NA 44.97 45.63 090 33416 A Revise ventricle muscle 36.39 NA NA 13.63 13.53 4.56 NA NA 54.58 54.48 090 33417 A Repair of aortic valve 29.13 NA NA 12.14 13.24 4.09 NA NA 45.36 46.46 090 33420 A Revision of mitral valve 25.64 NA NA 8.85 9.38 1.81 NA NA 36.30 36.83 090 33422 A Revision of mitral valve 29.58 NA NA 12.50 13.36 3.93 NA NA 46.01 46.87 090 33425 A Repair of mitral valve 38.37 NA NA 14.50 13.41 4.06 NA NA 56.93 55.84 090 33426 A Repair of mitral valve 41.28 NA NA 15.51 16.73 5.01 NA NA 61.80 63.02 090 33427 A Repair of mitral valve 42.78 NA NA 16.33 18.60 6.07 NA NA 65.18 67.45 090 33430 A Replacement of mitral valve 49.81 NA NA 18.75 17.66 5.08 NA NA 73.64 72.55 090 33460 A Revision of tricuspid valve 27.97 NA NA 10.98 11.22 3.44 NA NA 42.39 42.63 090 33463 A Valvuloplasty, tricuspid 42.57 NA NA 15.50 13.56 3.86 NA NA 61.93 59.99 090 33464 A Valvuloplasty, tricuspid 30.93 NA NA 12.13 13.17 4.14 NA NA 47.20 48.24 090 33465 A Replace tricuspid valve 33.58 NA NA 12.60 12.87 4.38 NA NA 50.56 50.83 090 33468 A Revision of tricuspid valve 32.79 NA NA 15.30 14.06 4.06 NA NA 52.15 50.91 090 33470 A Revision of pulmonary valve 21.24 NA NA 8.74 10.20 1.03 NA NA 31.01 32.47 090 33471 A Valvotomy, pulmonary valve 22.79 NA NA 7.77 9.26 3.38 NA NA 33.94 35.43 090 33472 A Revision of pulmonary valve 22.86 NA NA 7.28 10.72 3.54 NA NA 33.68 37.12 090 33474 A Revision of pulmonary valve 25.85 NA NA 12.10 11.19 3.21 NA NA 41.16 40.25 090 33475 A Replacement, pulmonary valve 44.81 NA NA 16.54 15.66 4.92 NA NA 66.27 65.39 090 33476 A Revision of heart chamber 26.37 NA NA 11.78 11.92 2.41 NA NA 40.56 40.70 090 33478 A Revision of heart chamber 27.34 NA NA 11.04 12.55 3.88 NA NA 42.26 43.77 090 33496 A Repair, prosth valve clot 29.67 NA NA 11.51 12.43 4.12 NA NA 45.30 46.22 090 33500 A Repair heart vessel fistula 27.79 NA NA 11.08 11.37 3.86 NA NA 42.73 43.02 090 33501 A Repair heart vessel fistula 19.39 NA NA 8.25 8.27 1.90 NA NA 29.54 29.56 090 33502 A Coronary artery correction 21.65 NA NA 9.32 10.63 2.99 NA NA 33.96 35.27 090 33503 A Coronary artery graft 22.21 NA NA 10.61 9.95 1.77 NA NA 34.59 33.93 090 33504 A Coronary artery graft 25.26 NA NA 10.18 11.40 3.35 NA NA 38.79 40.01 090 33505 A Repair artery w/tunnel 38.33 NA NA 12.33 12.76 2.18 NA NA 52.84 53.27 090 33506 A Repair artery, translocation 37.78 NA NA 15.51 14.80 4.65 NA NA 57.94 57.23 090 33507 A Repair art, intramural 31.33 NA NA 11.78 13.18 4.05 NA NA 47.16 48.56 090 33508 A Endoscopic vein harvest 0.31 NA NA 0.10 0.10 0.04 NA NA 0.45 0.45 ZZZ 33510 A CABG, vein, single 33.45 NA NA 12.81 15.45 4.40 NA NA 50.66 53.30 090 33511 A CABG, vein, two 34.59 NA NA 13.37 16.15 4.55 NA NA 52.51 55.29 090 33512 A CABG, vein, three 38.73 NA NA 14.72 16.88 4.66 NA NA 58.11 60.27 090 33513 A CABG, vein, four 39.69 NA NA 15.13 17.12 4.87 NA NA 59.69 61.68 090 33514 A CABG, vein, five 40.50 NA NA 15.38 17.38 4.76 NA NA 60.64 62.64 090 33516 A Cabg, vein, six or more 41.96 NA NA 16.16 18.14 5.11 NA NA 63.23 65.21 090 33517 A CABG, artery-vein, single 2.57 NA NA 0.79 0.83 0.39 NA NA 3.75 3.79 ZZZ 33518 A CABG, artery-vein, two 4.84 NA NA 1.48 1.56 0.73 NA NA 7.05 7.13 ZZZ 33519 A CABG, artery-vein, three 7.11 NA NA 2.18 2.29 1.04 NA NA 10.33 10.44 ZZZ 33521 A CABG, artery-vein, four 9.39 NA NA 2.89 3.03 1.37 NA NA 13.65 13.79 ZZZ 33522 A CABG, artery-vein, five 11.65 NA NA 3.56 3.75 1.77 NA NA 16.98 17.17 ZZZ 33523 A Cabg, art-vein, six or more 13.93 NA NA 4.29 4.47 2.12 NA NA 20.34 20.52 ZZZ 33530 A Coronary artery, bypass/reop 5.85 NA NA 1.79 1.88 0.88 NA NA 8.52 8.61 ZZZ 33533 A CABG, arterial, single 37.38 NA NA 14.00 15.85 4.55 NA NA 55.93 57.78 090 33534 A CABG, arterial, two 38.81 NA NA 14.74 16.97 4.69 NA NA 58.24 60.47 090 33535 A CABG, arterial, three 41.48 NA NA 15.68 17.52 5.01 NA NA 62.17 64.01 090 33536 A Cabg, arterial, four or more 40.79 NA NA 15.30 17.54 5.42 NA NA 61.51 63.75 090 33542 A Removal of heart lesion 32.65 NA NA 12.64 12.90 4.37 NA NA 49.66 49.92 090 33545 A Repair of heart damage 41.12 NA NA 15.46 15.58 5.19 NA NA 61.77 61.89 090 33548 A Restore/remodel, ventricle 42.46 NA NA 16.52 18.60 5.51 NA NA 64.49 66.57 090 33572 A Open coronary endarterectomy 4.44 NA NA 1.34 1.42 0.65 NA NA 6.43 6.51 ZZZ 33600 A Closure of valve 30.11 NA NA 12.44 12.49 4.41 NA NA 46.96 47.01 090 33602 A Closure of valve 29.14 NA NA 13.30 12.66 3.81 NA NA 46.25 45.61 090 33606 A Anastomosis/artery-aorta 31.33 NA NA 12.17 13.30 4.40 NA NA 47.90 49.03 090 33608 A Repair anomaly w/conduit 31.68 NA NA 13.41 13.93 4.73 NA NA 49.82 50.34 090 33610 A Repair by enlargement 31.20 NA NA 11.20 13.00 4.55 NA NA 46.95 48.75 090 33611 A Repair double ventricle 35.47 NA NA 12.37 13.69 4.36 NA NA 52.20 53.52 090 33612 A Repair double ventricle 36.47 NA NA 12.97 14.61 5.28 NA NA 54.72 56.36 090 33615 A Repair, modified fontan 35.72 NA NA 12.49 12.98 4.31 NA NA 52.52 53.01 090 33617 A Repair single ventricle 38.92 NA NA 16.37 16.09 5.64 NA NA 60.93 60.65 090 33619 A Repair single ventricle 48.56 NA NA 18.36 20.19 6.44 NA NA 73.36 75.19 090 33641 A Repair heart septum defect 28.47 NA NA 10.73 9.86 3.22 NA NA 42.42 41.55 090 33645 A Revision of heart veins 27.95 NA NA 11.02 11.58 3.78 NA NA 42.75 43.31 090 Start Printed Page 49128 33647 A Repair heart septum defects 29.33 NA NA 12.34 13.41 3.31 NA NA 44.98 46.05 090 33660 A Repair of heart defects 31.73 NA NA 11.49 12.98 4.48 NA NA 47.70 49.19 090 33665 A Repair of heart defects 34.75 NA NA 12.45 13.49 3.99 NA NA 51.19 52.23 090 33670 A Repair of heart chambers 36.56 NA NA 12.28 12.95 4.64 NA NA 53.48 54.15 090 33681 A Repair heart septum defect 32.10 NA NA 13.28 14.33 4.44 NA NA 49.82 50.87 090 33684 A Repair heart septum defect 34.27 NA NA 19.40 15.07 3.38 NA NA 57.05 52.72 090 33688 A Repair heart septum defect 34.65 NA NA 9.50 10.23 4.72 NA NA 48.87 49.60 090 33690 A Reinforce pulmonary artery 20.16 NA NA 8.63 9.78 1.96 NA NA 30.75 31.90 090 33692 A Repair of heart defects 31.34 NA NA 9.29 12.76 4.57 NA NA 45.20 48.67 090 33694 A Repair of heart defects 35.47 NA NA 10.16 13.21 5.26 NA NA 50.89 53.94 090 33697 A Repair of heart defects 37.47 NA NA 21.66 16.57 4.08 NA NA 63.21 58.12 090 33702 A Repair of heart defects 27.07 NA NA 11.48 12.29 3.67 NA NA 42.22 43.03 090 33710 A Repair of heart defects 30.24 NA NA 11.69 13.39 4.42 NA NA 46.35 48.05 090 33720 A Repair of heart defect 27.09 NA NA 11.17 12.00 3.83 NA NA 42.09 42.92 090 33722 A Repair of heart defect 29.01 NA NA 8.75 12.58 1.30 NA NA 39.06 42.89 090 33730 A Repair heart-vein defect(s) 35.97 NA NA 13.35 13.93 5.01 NA NA 54.33 54.91 090 33732 A Repair heart-vein defect 28.76 NA NA 14.75 13.72 3.67 NA NA 47.18 46.15 090 33735 A Revision of heart chamber 22.00 NA NA 9.50 9.09 1.91 NA NA 33.41 33.00 090 33736 A Revision of heart chamber 24.12 NA NA 10.80 11.59 3.08 NA NA 38.00 38.79 090 33737 A Revision of heart chamber 22.30 NA NA 7.62 10.10 3.24 NA NA 33.16 35.64 090 33750 A Major vessel shunt 22.02 NA NA 11.30 10.48 1.16 NA NA 34.48 33.66 090 33755 A Major vessel shunt 22.40 NA NA 7.87 8.57 3.25 NA NA 33.52 34.22 090 33762 A Major vessel shunt 22.40 NA NA 7.21 9.42 3.13 NA NA 32.74 34.95 090 33764 A Major vessel shunt & graft 22.40 NA NA 9.29 9.99 3.00 NA NA 34.69 35.39 090 33766 A Major vessel shunt 23.37 NA NA 8.58 10.90 3.69 NA NA 35.64 37.96 090 33767 A Major vessel shunt 25.10 NA NA 9.47 11.16 3.81 NA NA 38.38 40.07 090 33768 A Cavopulmonary shunting 8.00 NA NA 2.22 2.55 1.19 NA NA 11.41 11.74 ZZZ 33770 A Repair great vessels defect 39.00 NA NA 10.67 13.68 5.72 NA NA 55.39 58.40 090 33771 A Repair great vessels defect 40.56 NA NA 10.65 11.95 5.66 NA NA 56.87 58.17 090 33774 A Repair great vessels defect 31.48 NA NA 12.45 14.11 4.80 NA NA 48.73 50.39 090 33775 A Repair great vessels defect 32.79 NA NA 10.21 13.80 4.98 NA NA 47.98 51.57 090 33776 A Repair great vessels defect 34.45 NA NA 13.39 15.20 5.07 NA NA 52.91 54.72 090 33777 A Repair great vessels defect 33.87 NA NA 10.02 14.21 5.47 NA NA 49.36 53.55 090 33778 A Repair great vessels defect 42.58 NA NA 15.26 16.48 6.18 NA NA 64.02 65.24 090 33779 A Repair great vessels defect 43.13 NA NA 11.48 14.40 2.91 NA NA 57.52 60.44 090 33780 A Repair great vessels defect 43.83 NA NA 11.79 17.26 3.67 NA NA 59.29 64.76 090 33781 A Repair great vessels defect 43.14 NA NA 14.18 13.54 5.95 NA NA 63.27 62.63 090 33786 A Repair arterial trunk 41.70 NA NA 11.53 15.42 5.69 NA NA 58.92 62.81 090 33788 A Revision of pulmonary artery 27.22 NA NA 9.69 11.39 4.02 NA NA 40.93 42.63 090 33800 A Aortic suspension 17.21 NA NA 7.32 7.91 2.45 NA NA 26.98 27.57 090 33802 A Repair vessel defect 18.20 NA NA 7.50 8.79 2.26 NA NA 27.96 29.25 090 33803 A Repair vessel defect 20.14 NA NA 7.95 9.31 3.19 NA NA 31.28 32.64 090 33813 A Repair septal defect 21.19 NA NA 9.00 10.43 3.12 NA NA 33.31 34.74 090 33814 A Repair septal defect 26.37 NA NA 10.48 12.10 3.84 NA NA 40.69 42.31 090 33820 A Revise major vessel 16.59 NA NA 8.39 8.37 2.34 NA NA 27.32 27.30 090 33822 A Revise major vessel 17.61 NA NA 6.00 8.21 2.67 NA NA 26.28 28.49 090 33824 A Revise major vessel 20.06 NA NA 8.62 9.64 2.88 NA NA 31.56 32.58 090 33840 A Remove aorta constriction 21.17 NA NA 8.99 9.97 2.15 NA NA 32.31 33.29 090 33845 A Remove aorta constriction 22.73 NA NA 9.64 10.92 3.21 NA NA 35.58 36.86 090 33851 A Remove aorta constriction 21.81 NA NA 9.17 10.30 3.17 NA NA 34.15 35.28 090 33852 A Repair septal defect 24.24 NA NA 9.90 11.00 2.15 NA NA 36.29 37.39 090 33853 A Repair septal defect 32.31 NA NA 13.03 14.37 4.47 NA NA 49.81 51.15 090 33860 A Ascending aortic graft 43.13 NA NA 15.73 16.27 5.74 NA NA 64.60 65.14 090 33861 A Ascending aortic graft 43.88 NA NA 16.12 17.31 6.35 NA NA 66.35 67.54 090 33863 A Ascending aortic graft 48.52 NA NA 17.69 18.44 6.57 NA NA 72.78 73.53 090 33870 A Transverse aortic arch graft 45.87 NA NA 16.67 17.95 6.60 NA NA 69.14 70.42 090 Start Printed Page 49129 33875 A Thoracic aortic graft 35.64 NA NA 13.16 13.86 4.88 NA NA 53.68 54.38 090 33877 A Thoracoabdominal graft 57.75 NA NA 18.83 16.94 5.92 NA NA 82.50 80.61 090 33880 A Endovasc taa repr incl subcl 34.44 NA NA 10.59 12.75 2.74 NA NA 47.77 49.93 090 33881 A Endovasc taa repr w/o subcl 29.44 NA NA 9.35 11.31 2.32 NA NA 41.11 43.07 090 33883 A Insert endovasc prosth, taa 20.95 NA NA 7.01 8.64 2.10 NA NA 30.06 31.69 090 33884 A Endovasc prosth, taa, add-on 8.20 NA NA 2.01 2.43 0.86 NA NA 11.07 11.49 ZZZ 33886 A Endovasc prosth, delayed 17.95 NA NA 6.25 7.74 1.79 NA NA 25.99 27.48 090 33889 A Artery transpose/endovas taa 15.92 NA NA 4.17 4.92 2.17 NA NA 22.26 23.01 000 33891 A Car-car bp grft/endovas taa 20.00 NA NA 6.45 6.83 2.72 NA NA 29.17 29.55 000 33910 A Remove lung artery emboli 29.56 NA NA 11.34 11.41 3.69 NA NA 44.59 44.66 090 33915 A Remove lung artery emboli 24.80 NA NA 10.04 9.73 1.44 NA NA 36.28 35.97 090 33916 A Surgery of great vessel 28.27 NA NA 10.92 11.24 3.66 NA NA 42.85 43.17 090 33917 A Repair pulmonary artery 25.10 NA NA 10.43 11.74 3.69 NA NA 39.22 40.53 090 33920 A Repair pulmonary atresia 32.54 NA NA 11.39 13.21 4.37 NA NA 48.30 50.12 090 33922 A Transect pulmonary artery 24.05 NA NA 11.44 11.04 3.09 NA NA 38.58 38.18 090 33924 A Remove pulmonary shunt 5.49 NA NA 2.12 1.91 0.82 NA NA 8.43 8.22 ZZZ 33925 A Rpr pul art unifocal w/o cpb 31.23 NA NA 10.21 13.55 4.60 NA NA 46.04 49.38 090 33926 A Repr pul art, unifocal w/cpb 44.66 NA NA 14.38 16.86 6.20 NA NA 65.24 67.72 090 33933 C Prepare donor heart/lung 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33935 R Transplantation, heart/lung 61.56 NA NA 23.37 27.42 9.03 NA NA 93.96 98.01 090 33944 C Prepare donor heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33945 R Transplantation of heart 50.14 NA NA 19.01 20.80 6.24 NA NA 75.39 77.18 090 33960 A External circulation assist 19.33 NA NA 5.60 5.08 2.66 NA NA 27.59 27.07 000 33961 A External circulation assist 10.91 NA NA 2.91 3.44 0.88 NA NA 14.70 15.23 ZZZ 33967 A Insert ia percut device 4.84 NA NA 2.44 1.99 0.35 NA NA 7.63 7.18 000 33968 A Remove aortic assist device 0.64 NA NA 0.27 0.24 0.07 NA NA 0.98 0.95 000 33970 A Aortic circulation assist 6.74 NA NA 2.54 2.35 0.82 NA NA 10.10 9.91 000 33971 A Aortic circulation assist 11.89 NA NA 6.09 6.02 1.25 NA NA 19.23 19.16 090 33973 A Insert balloon device 9.75 NA NA 3.88 3.45 1.26 NA NA 14.89 14.46 000 33974 A Remove intra-aortic balloon 14.89 NA NA 7.79 7.86 1.73 NA NA 24.41 24.48 090 33975 A Implant ventricular device 20.97 NA NA 6.63 6.37 3.06 NA NA 30.66 30.40 XXX 33976 A Implant ventricular device 22.97 NA NA 7.92 7.64 3.25 NA NA 34.14 33.86 XXX 33977 A Remove ventricular device 19.99 NA NA 9.37 10.65 2.80 NA NA 32.16 33.44 090 33978 A Remove ventricular device 22.43 NA NA 10.52 11.44 3.30 NA NA 36.25 37.17 090 33979 A Insert intracorporeal device 45.93 NA NA 14.38 14.79 6.95 NA NA 67.26 67.67 XXX 33980 A Remove intracorporeal device 64.76 NA NA 25.09 25.20 8.56 NA NA 98.41 98.52 090 33999 C Cardiac surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 34001 A Removal of artery clot 17.74 NA NA 6.68 6.70 1.84 NA NA 26.26 26.28 090 34051 A Removal of artery clot 16.86 NA NA 6.93 7.57 2.20 NA NA 25.99 26.63 090 34101 A Removal of artery clot 10.81 NA NA 4.44 5.12 1.41 NA NA 16.66 17.34 090 34111 A Removal of arm artery clot 10.81 NA NA 4.50 5.14 1.40 NA NA 16.71 17.35 090 34151 A Removal of artery clot 26.35 NA NA 8.87 10.02 3.55 NA NA 38.77 39.92 090 34201 A Removal of artery clot 18.40 NA NA 6.57 5.70 1.45 NA NA 26.42 25.55 090 34203 A Removal of leg artery clot 17.67 NA NA 6.57 7.69 2.35 NA NA 26.59 27.71 090 34401 A Removal of vein clot 26.35 NA NA 9.64 10.41 3.09 NA NA 39.08 39.85 090 34421 A Removal of vein clot 13.25 NA NA 5.36 6.06 1.55 NA NA 20.16 20.86 090 34451 A Removal of vein clot 28.35 NA NA 9.71 11.01 3.83 NA NA 41.89 43.19 090 34471 A Removal of vein clot 20.94 NA NA 7.73 5.91 1.18 NA NA 29.85 28.03 090 34490 A Removal of vein clot 10.79 NA NA 4.54 5.20 1.41 NA NA 16.74 17.40 090 34501 A Repair valve, femoral vein 16.68 NA NA 6.96 8.11 2.34 NA NA 25.98 27.13 090 34502 A Reconstruct vena cava 27.80 NA NA 10.78 11.91 3.62 NA NA 42.20 43.33 090 34510 A Transposition of vein valve 19.74 NA NA 7.25 8.87 2.32 NA NA 29.31 30.93 090 34520 A Cross-over vein graft 18.99 NA NA 9.19 8.64 2.28 NA NA 30.46 29.91 090 34530 A Leg vein fusion 17.69 NA NA 7.88 8.43 1.73 NA NA 27.30 27.85 090 34800 A Endovas aaa repr w/sm tube 21.42 NA NA 7.49 8.74 2.45 NA NA 31.36 32.61 090 34802 A Endovas aaa repr w/2-p part 23.67 NA NA 8.32 9.42 2.32 NA NA 34.31 35.41 090 34803 A Endovas aaa repr w/3-p part 24.70 NA NA 8.25 9.72 2.00 NA NA 34.95 36.42 090 34804 A Endovas aaa repr w/1-p part 23.67 NA NA 8.18 9.40 2.29 NA NA 34.14 35.36 090 34805 A Endovas aaa repr w/long tube 22.55 NA NA 7.34 9.07 2.00 NA NA 31.89 33.62 090 34808 A Endovas iliac a device addon 4.12 NA NA 1.11 1.31 0.59 NA NA 5.82 6.02 ZZZ 34812 A Xpose for endoprosth, femorl 6.74 NA NA 1.73 2.11 1.18 NA NA 9.65 10.03 000 34813 A Femoral endovas graft add-on 4.79 NA NA 1.21 1.48 0.67 NA NA 6.67 6.94 ZZZ 34820 A Xpose for endoprosth, iliac 9.74 NA NA 2.47 3.04 1.50 NA NA 13.71 14.28 000 34825 A Endovasc extend prosth, init 12.68 NA NA 5.23 5.91 1.28 NA NA 19.19 19.87 090 34826 A Endovasc exten prosth, addIl 4.12 NA NA 1.16 1.32 0.44 NA NA 5.72 5.88 ZZZ 34830 A Open aortic tube prosth repr 35.04 NA NA 10.82 12.97 4.54 NA NA 50.40 52.55 090 Start Printed Page 49130 34831 A Open aortoiliac prosth repr 37.79 NA NA 12.15 11.84 4.88 NA NA 54.82 54.51 090 34832 A Open aortofemor prosth repr 37.79 NA NA 11.68 13.89 4.84 NA NA 54.31 56.52 090 34833 A Xpose for endoprosth, iliac 11.98 NA NA 3.32 4.15 1.69 NA NA 16.99 17.82 000 34834 A Xpose, endoprosth, brachial 5.34 NA NA 1.62 2.05 0.76 NA NA 7.72 8.15 000 34900 A Endovasc iliac repr w/graft 16.73 NA NA 6.34 7.27 1.99 NA NA 25.06 25.99 090 35001 A Repair defect of artery 20.63 NA NA 7.64 9.07 2.80 NA NA 31.07 32.50 090 35002 A Repair artery rupture, neck 22.05 NA NA 7.82 9.22 2.99 NA NA 32.86 34.26 090 35005 A Repair defect of artery 19.11 NA NA 8.14 8.67 1.76 NA NA 29.01 29.54 090 35011 A Repair defect of artery 18.46 NA NA 6.43 7.59 2.54 NA NA 27.43 28.59 090 35013 A Repair artery rupture, arm 23.04 NA NA 7.96 9.24 3.09 NA NA 34.09 35.37 090 35021 A Repair defect of artery 22.04 NA NA 8.70 9.23 2.86 NA NA 33.60 34.13 090 35022 A Repair artery rupture, chest 25.57 NA NA 9.50 9.76 3.16 NA NA 38.23 38.49 090 35045 A Repair defect of arm artery 17.91 NA NA 6.42 7.23 2.44 NA NA 26.77 27.58 090 35081 A Repair defect of artery 33.31 NA NA 11.10 11.37 4.00 NA NA 48.41 48.68 090 35082 A Repair artery rupture, aorta 41.87 NA NA 13.19 14.77 5.42 NA NA 60.48 62.06 090 35091 A Repair defect of artery 35.35 NA NA 10.46 12.79 5.12 NA NA 50.93 53.26 090 35092 A Repair artery rupture, aorta 50.75 NA NA 15.09 17.00 6.38 NA NA 72.22 74.13 090 35102 A Repair defect of artery 36.31 NA NA 11.68 12.18 4.47 NA NA 52.46 52.96 090 35103 A Repair artery rupture, groin 43.43 NA NA 13.31 15.21 5.74 NA NA 62.48 64.38 090 35111 A Repair defect of artery 26.11 NA NA 8.62 10.00 3.46 NA NA 38.19 39.57 090 35112 A Repair artery rupture,spleen 32.38 NA NA 10.53 11.60 4.07 NA NA 46.98 48.05 090 35121 A Repair defect of artery 31.35 NA NA 10.51 11.90 4.29 NA NA 46.15 47.54 090 35122 A Repair artery rupture, belly 37.70 NA NA 12.17 13.39 4.74 NA NA 54.61 55.83 090 35131 A Repair defect of artery 26.23 NA NA 8.92 10.29 3.79 NA NA 38.94 40.31 090 35132 A Repair artery rupture, groin 32.38 NA NA 10.33 11.86 4.29 NA NA 47.00 48.53 090 35141 A Repair defect of artery 20.79 NA NA 7.15 8.47 2.89 NA NA 30.83 32.15 090 35142 A Repair artery rupture, thigh 24.97 NA NA 8.46 9.89 3.35 NA NA 36.78 38.21 090 35151 A Repair defect of artery 23.55 NA NA 7.96 9.48 3.23 NA NA 34.74 36.26 090 35152 A Repair artery rupture, knee 27.47 NA NA 9.15 10.82 3.60 NA NA 40.22 41.89 090 35180 A Repair blood vessel lesion 14.95 NA NA 6.15 6.74 1.00 NA NA 22.10 22.69 090 35182 A Repair blood vessel lesion 31.52 NA NA 11.82 12.55 4.35 NA NA 47.69 48.42 090 35184 A Repair blood vessel lesion 18.67 NA NA 6.96 7.96 2.52 NA NA 28.15 29.15 090 35188 A Repair blood vessel lesion 14.98 NA NA 6.23 7.28 2.15 NA NA 23.36 24.41 090 35189 A Repair blood vessel lesion 29.79 NA NA 10.15 11.50 4.00 NA NA 43.94 45.29 090 35190 A Repair blood vessel lesion 13.27 NA NA 5.34 6.19 1.79 NA NA 20.40 21.25 090 35201 A Repair blood vessel lesion 16.78 NA NA 6.45 7.61 2.33 NA NA 25.56 26.72 090 35206 A Repair blood vessel lesion 13.72 NA NA 5.42 6.27 1.86 NA NA 21.00 21.85 090 35207 A Repair blood vessel lesion 10.79 NA NA 6.60 7.16 1.48 NA NA 18.87 19.43 090 35211 A Repair blood vessel lesion 24.45 NA NA 10.11 10.49 3.19 NA NA 37.75 38.13 090 35216 A Repair blood vessel lesion 36.43 NA NA 13.90 10.20 2.64 NA NA 52.97 49.27 090 35221 A Repair blood vessel lesion 26.50 NA NA 8.59 9.60 3.36 NA NA 38.45 39.46 090 35226 A Repair blood vessel lesion 15.18 NA NA 5.91 7.05 2.01 NA NA 23.10 24.24 090 35231 A Repair blood vessel lesion 21.04 NA NA 7.70 9.25 2.88 NA NA 31.62 33.17 090 35236 A Repair blood vessel lesion 17.90 NA NA 6.50 7.54 2.42 NA NA 26.82 27.86 090 35241 A Repair blood vessel lesion 25.45 NA NA 9.97 10.83 3.52 NA NA 38.94 39.80 090 35246 A Repair blood vessel lesion 28.11 NA NA 11.95 11.55 3.85 NA NA 43.91 43.51 090 35251 A Repair blood vessel lesion 31.79 NA NA 9.83 11.30 4.12 NA NA 45.74 47.21 090 35256 A Repair blood vessel lesion 18.94 NA NA 6.65 7.93 2.62 NA NA 28.21 29.49 090 35261 A Repair blood vessel lesion 18.84 NA NA 7.26 7.82 2.60 NA NA 28.70 29.26 090 35266 A Repair blood vessel lesion 15.71 NA NA 5.72 6.68 2.09 NA NA 23.52 24.48 090 35271 A Repair blood vessel lesion 24.45 NA NA 9.69 10.31 3.15 NA NA 37.29 37.91 090 35276 A Repair blood vessel lesion 25.67 NA NA 9.66 10.82 3.48 NA NA 38.81 39.97 090 35281 A Repair blood vessel lesion 29.87 NA NA 9.81 11.23 3.96 NA NA 43.64 45.06 090 35286 A Repair blood vessel lesion 17.00 NA NA 6.47 7.66 2.34 NA NA 25.81 27.00 090 35301 A Rechanneling of artery 19.49 NA NA 6.90 8.05 2.67 NA NA 29.06 30.21 090 35311 A Rechanneling of artery 28.48 NA NA 9.69 11.23 3.41 NA NA 41.58 43.12 090 Start Printed Page 49131 35321 A Rechanneling of artery 16.47 NA NA 6.00 7.04 2.24 NA NA 24.71 25.75 090 35331 A Rechanneling of artery 27.55 NA NA 9.04 10.68 3.82 NA NA 40.41 42.05 090 35341 A Rechanneling of artery 26.03 NA NA 8.58 10.29 3.77 NA NA 38.38 40.09 090 35351 A Rechanneling of artery 24.49 NA NA 7.98 9.19 3.34 NA NA 35.81 37.02 090 35355 A Rechanneling of artery 19.74 NA NA 6.57 7.70 2.66 NA NA 28.97 30.10 090 35361 A Rechanneling of artery 30.05 NA NA 9.75 11.21 4.14 NA NA 43.94 45.40 090 35363 A Rechanneling of artery 32.16 NA NA 10.60 12.09 4.32 NA NA 47.08 48.57 090 35371 A Rechanneling of artery 15.19 NA NA 5.51 6.59 2.13 NA NA 22.83 23.91 090 35372 A Rechanneling of artery 18.46 NA NA 6.33 7.61 2.62 NA NA 27.41 28.69 090 35381 A Rechanneling of artery 16.63 NA NA 6.33 7.44 2.25 NA NA 25.21 26.32 090 35390 A Reoperation, carotid add-on 3.19 NA NA 0.85 1.01 0.46 NA NA 4.50 4.66 ZZZ 35400 A Angioscopy 3.00 NA NA 0.75 1.02 0.43 NA NA 4.18 4.45 ZZZ 35450 A Repair arterial blockage 10.05 NA NA 3.22 3.48 1.25 NA NA 14.52 14.78 000 35452 A Repair arterial blockage 6.90 NA NA 2.12 2.48 0.94 NA NA 9.96 10.32 000 35454 A Repair arterial blockage 6.03 NA NA 1.83 2.19 0.87 NA NA 8.73 9.09 000 35456 A Repair arterial blockage 7.34 NA NA 2.30 2.65 1.04 NA NA 10.68 11.03 000 35458 A Repair arterial blockage 9.48 NA NA 2.91 3.33 1.26 NA NA 13.65 14.07 000 35459 A Repair arterial blockage 8.62 NA NA 2.53 3.01 1.21 NA NA 12.36 12.84 000 35460 A Repair venous blockage 6.03 NA NA 1.79 2.15 0.83 NA NA 8.65 9.01 000 35470 A Repair arterial blockage 8.62 62.11 82.17 3.47 3.38 0.69 71.42 91.48 12.78 12.69 000 35471 A Repair arterial blockage 10.05 66.97 91.94 4.70 4.14 0.67 77.69 102.7 15.42 14.86 000 35472 A Repair arterial blockage 6.90 48.34 60.35 2.81 2.76 0.58 55.82 67.83 10.29 10.24 000 35473 A Repair arterial blockage 6.03 47.23 56.69 2.51 2.44 0.51 53.77 63.23 9.05 8.98 000 35474 A Repair arterial blockage 7.35 61.24 81.11 3.00 2.92 0.57 69.16 89.03 10.92 10.84 000 35475 R Repair arterial blockage 9.48 49.26 54.39 3.40 3.52 0.62 59.36 64.49 13.50 13.62 000 35476 A Repair venous blockage 6.03 37.43 42.91 2.13 2.30 0.34 43.80 49.28 8.50 8.67 000 35480 A Atherectomy, open 11.06 NA NA 3.96 4.02 1.28 NA NA 16.30 16.36 000 35481 A Atherectomy, open 7.60 NA NA 2.50 2.78 1.13 NA NA 11.23 11.51 000 35482 A Atherectomy, open 6.64 NA NA 2.13 2.45 0.89 NA NA 9.66 9.98 000 35483 A Atherectomy, open 8.09 NA NA 2.79 2.96 1.15 NA NA 12.03 12.20 000 35484 A Atherectomy, open 10.42 NA NA 3.08 3.60 1.27 NA NA 14.77 15.29 000 35485 A Atherectomy, open 9.48 NA NA 3.00 3.40 1.35 NA NA 13.83 14.23 000 35490 A Atherectomy, percutaneous 11.06 NA NA 6.27 5.09 0.71 NA NA 18.04 16.86 000 35491 A Atherectomy, percutaneous 7.60 NA NA 3.97 3.46 0.74 NA NA 12.31 11.80 000 35492 A Atherectomy, percutaneous 6.64 NA NA 3.63 3.30 0.43 NA NA 10.70 10.37 000 35493 A Atherectomy, percutaneous 8.09 NA NA 4.15 3.89 0.56 NA NA 12.80 12.54 000 35494 A Atherectomy, percutaneous 10.42 NA NA 5.23 4.65 0.59 NA NA 16.24 15.66 000 35495 A Atherectomy, percutaneous 9.48 NA NA 4.64 4.45 0.69 NA NA 14.81 14.62 000 35500 A Harvest vein for bypass 6.44 NA NA 1.69 1.94 0.93 NA NA 9.06 9.31 ZZZ 35501 A Artery bypass graft 19.70 NA NA 7.29 8.17 2.80 NA NA 29.79 30.67 090 35506 A Artery bypass graft 25.19 NA NA 8.48 9.22 2.86 NA NA 36.53 37.27 090 35507 A Artery bypass graft 20.60 NA NA 7.54 8.95 2.84 NA NA 30.98 32.39 090 35508 A Artery bypass graft 25.95 NA NA 9.15 9.37 2.77 NA NA 37.87 38.09 090 35509 A Artery bypass graft 18.94 NA NA 6.78 8.27 2.61 NA NA 28.33 29.82 090 35510 A Artery bypass graft 24.25 NA NA 7.80 9.58 2.11 NA NA 34.16 35.94 090 35511 A Artery bypass graft 22.08 NA NA 7.33 8.85 2.90 NA NA 32.31 33.83 090 35512 A Artery bypass graft 23.75 NA NA 7.53 9.38 2.11 NA NA 33.39 35.24 090 35515 A Artery bypass graft 25.95 NA NA 8.45 9.07 2.77 NA NA 37.17 37.79 090 35516 A Artery bypass graft 24.07 NA NA 7.80 7.05 2.33 NA NA 34.20 33.45 090 35518 A Artery bypass graft 22.53 NA NA 7.54 8.61 3.02 NA NA 33.09 34.16 090 35521 A Artery bypass graft 23.94 NA NA 8.15 9.41 3.12 NA NA 35.21 36.47 090 35522 A Artery bypass graft 23.01 NA NA 7.51 9.19 2.11 NA NA 32.63 34.31 090 35525 A Artery bypass graft 21.55 NA NA 7.19 8.83 2.11 NA NA 30.85 32.49 090 35526 A Artery bypass graft 31.43 NA NA 18.22 13.93 3.62 NA NA 53.27 48.98 090 35531 A Artery bypass graft 38.92 NA NA 11.95 13.84 5.16 NA NA 56.03 57.92 090 35533 A Artery bypass graft 29.73 NA NA 9.99 11.29 3.84 NA NA 43.56 44.86 090 35536 A Artery bypass graft 33.54 NA NA 10.69 12.38 4.61 NA NA 48.84 50.53 090 35541 A Artery bypass graft 26.90 NA NA 9.26 10.72 3.70 NA NA 39.86 41.32 090 35546 A Artery bypass graft 26.40 NA NA 9.07 10.41 3.69 NA NA 39.16 40.50 090 35548 A Artery bypass graft 22.50 NA NA 7.97 9.06 2.97 NA NA 33.44 34.53 090 35549 A Artery bypass graft 24.27 NA NA 9.18 10.07 3.29 NA NA 36.74 37.63 090 35551 A Artery bypass graft 27.65 NA NA 9.90 11.09 3.74 NA NA 41.29 42.48 090 35556 A Artery bypass graft 26.56 NA NA 8.93 9.52 3.09 NA NA 38.58 39.17 090 35558 A Artery bypass graft 22.94 NA NA 8.09 9.18 2.99 NA NA 34.02 35.11 090 35560 A Artery bypass graft 33.84 NA NA 10.79 12.68 4.74 NA NA 49.37 51.26 090 35563 A Artery bypass graft 25.93 NA NA 8.62 10.05 3.51 NA NA 38.06 39.49 090 Start Printed Page 49132 35565 A Artery bypass graft 24.94 NA NA 8.51 9.73 3.29 NA NA 36.74 37.96 090 35566 A Artery bypass graft 32.16 NA NA 10.20 11.09 3.82 NA NA 46.18 47.07 090 35571 A Artery bypass graft 25.33 NA NA 8.45 10.24 3.42 NA NA 37.20 38.99 090 35572 A Harvest femoropopliteal vein 6.81 NA NA 1.88 2.15 0.99 NA NA 9.68 9.95 ZZZ 35583 A Vein bypass graft 27.56 NA NA 9.01 9.87 3.16 NA NA 39.73 40.59 090 35585 A Vein bypass graft 32.16 NA NA 10.15 11.70 4.01 NA NA 46.32 47.87 090 35587 A Vein bypass graft 26.02 NA NA 8.69 10.76 3.51 NA NA 38.22 40.29 090 35600 A Harvest artery for cabg 4.94 NA NA 1.54 1.60 0.73 NA NA 7.21 7.27 ZZZ 35601 A Artery bypass graft 18.31 NA NA 6.63 8.12 2.49 NA NA 27.43 28.92 090 35606 A Artery bypass graft 22.32 NA NA 7.68 8.68 2.69 NA NA 32.69 33.69 090 35612 A Artery bypass graft 16.64 NA NA 6.40 7.51 2.08 NA NA 25.12 26.23 090 35616 A Artery bypass graft 21.70 NA NA 7.14 7.86 2.19 NA NA 31.03 31.75 090 35621 A Artery bypass graft 20.91 NA NA 7.04 8.26 2.91 NA NA 30.86 32.08 090 35623 A Bypass graft, not vein 25.73 NA NA 8.65 10.03 3.45 NA NA 37.83 39.21 090 35626 A Artery bypass graft 29.02 NA NA 10.25 11.54 4.07 NA NA 43.34 44.63 090 35631 A Artery bypass graft 35.84 NA NA 11.04 13.13 4.95 NA NA 51.83 53.92 090 35636 A Artery bypass graft 31.56 NA NA 9.94 11.70 4.09 NA NA 45.59 47.35 090 35641 A Artery bypass graft 26.24 NA NA 9.23 10.60 3.53 NA NA 39.00 40.37 090 35642 A Artery bypass graft 18.79 NA NA 7.70 8.44 2.27 NA NA 28.76 29.50 090 35645 A Artery bypass graft 18.28 NA NA 7.32 8.03 2.49 NA NA 28.09 28.80 090 35646 A Artery bypass graft 32.78 NA NA 10.78 12.52 4.43 NA NA 47.99 49.73 090 35647 A Artery bypass graft 29.56 NA NA 9.79 11.28 3.98 NA NA 43.33 44.82 090 35650 A Artery bypass graft 20.04 NA NA 6.80 7.97 2.71 NA NA 29.55 30.72 090 35651 A Artery bypass graft 25.90 NA NA 8.84 10.25 3.35 NA NA 38.09 39.50 090 35654 A Artery bypass graft 26.11 NA NA 8.59 10.14 3.52 NA NA 38.22 39.77 090 35656 A Artery bypass graft 20.35 NA NA 7.05 8.21 2.79 NA NA 30.19 31.35 090 35661 A Artery bypass graft 20.16 NA NA 7.30 8.52 2.71 NA NA 30.17 31.39 090 35663 A Artery bypass graft 23.74 NA NA 8.13 9.51 3.10 NA NA 34.97 36.35 090 35665 A Artery bypass graft 22.16 NA NA 7.65 8.99 3.00 NA NA 32.81 34.15 090 35666 A Artery bypass graft 23.47 NA NA 8.78 10.18 3.15 NA NA 35.40 36.80 090 35671 A Artery bypass graft 20.58 NA NA 7.98 9.02 2.77 NA NA 31.33 32.37 090 35681 A Composite bypass graft 1.60 NA NA 0.42 0.50 0.23 NA NA 2.25 2.33 ZZZ 35682 A Composite bypass graft 7.19 NA NA 1.78 2.23 1.03 NA NA 10.00 10.45 ZZZ 35683 A Composite bypass graft 8.49 NA NA 2.12 2.65 1.20 NA NA 11.81 12.34 ZZZ 35685 A Bypass graft patency/patch 4.04 NA NA 1.01 1.27 0.58 NA NA 5.63 5.89 ZZZ 35686 A Bypass graft/av fist patency 3.34 NA NA 0.85 1.06 0.47 NA NA 4.66 4.87 ZZZ 35691 A Arterial transposition 18.26 NA NA 6.33 7.88 2.58 NA NA 27.17 28.72 090 35693 A Arterial transposition 15.58 NA NA 6.09 7.31 2.21 NA NA 23.88 25.10 090 35694 A Arterial transposition 19.13 NA NA 6.59 8.10 2.69 NA NA 28.41 29.92 090 35695 A Arterial transposition 19.91 NA NA 6.64 8.07 2.73 NA NA 29.28 30.71 090 35697 A Reimplant artery each 3.00 NA NA 0.77 0.96 0.41 NA NA 4.18 4.37 ZZZ 35700 A Reoperation, bypass graft 3.08 NA NA 0.80 0.97 0.44 NA NA 4.32 4.49 ZZZ 35701 A Exploration, carotid artery 9.07 NA NA 4.26 4.93 1.12 NA NA 14.45 15.12 090 35721 A Exploration, femoral artery 7.62 NA NA 3.76 4.26 1.03 NA NA 12.41 12.91 090 35741 A Exploration popliteal artery 8.57 NA NA 3.98 4.49 1.12 NA NA 13.67 14.18 090 35761 A Exploration of artery/vein 5.78 NA NA 3.49 3.88 0.75 NA NA 10.02 10.41 090 35800 A Explore neck vessels 7.94 NA NA 3.96 4.48 0.95 NA NA 12.85 13.37 090 35820 A Explore chest vessels 30.08 NA NA 11.17 8.19 1.94 NA NA 43.19 40.21 090 35840 A Explore abdominal vessels 10.81 NA NA 4.89 5.18 1.34 NA NA 17.04 17.33 090 35860 A Explore limb vessels 6.67 NA NA 3.49 3.90 0.78 NA NA 10.94 11.35 090 35870 A Repair vessel graft defect 24.32 NA NA 8.25 9.38 3.00 NA NA 35.57 36.70 090 35875 A Removal of clot in graft 10.60 NA NA 4.43 4.99 1.41 NA NA 16.44 17.00 090 35876 A Removal of clot in graft 17.70 NA NA 6.16 7.17 2.39 NA NA 26.25 27.26 090 35879 A Revise graft w/vein 17.24 NA NA 6.17 7.31 2.27 NA NA 25.68 26.82 090 35881 A Revise graft w/vein 19.16 NA NA 6.72 8.18 2.55 NA NA 28.43 29.89 090 35901 A Excision, graft, neck 8.18 NA NA 4.32 5.06 1.15 NA NA 13.65 14.39 090 Start Printed Page 49133 35903 A Excision, graft, extremity 9.38 NA NA 4.72 5.79 1.30 NA NA 15.40 16.47 090 35905 A Excision, graft, thorax 33.33 NA NA 10.76 12.58 4.43 NA NA 48.52 50.34 090 35907 A Excision, graft, abdomen 37.08 NA NA 11.35 13.46 4.91 NA NA 53.34 55.45 090 36000 A Place needle in vein 0.18 0.46 0.54 0.06 0.05 0.01 0.65 0.73 0.25 0.24 XXX 36002 A Pseudoaneurysm injection trt 1.96 2.23 2.70 0.82 0.93 0.17 4.36 4.83 2.95 3.06 000 36005 A Injection ext venography 0.95 8.54 7.87 0.37 0.33 0.05 9.54 8.87 1.37 1.33 000 36010 A Place catheter in vein 2.43 11.23 17.28 0.75 0.78 0.20 13.86 19.91 3.38 3.41 XXX 36011 A Place catheter in vein 3.14 19.70 25.79 0.97 1.04 0.27 23.11 29.20 4.38 4.45 XXX 36012 A Place catheter in vein 3.51 20.46 19.33 1.20 1.19 0.23 24.20 23.07 4.94 4.93 XXX 36013 A Place catheter in artery 2.52 19.36 20.86 0.96 0.76 0.25 22.13 23.63 3.73 3.53 XXX 36014 A Place catheter in artery 3.02 19.16 19.88 1.03 1.03 0.19 22.37 23.09 4.24 4.24 XXX 36015 A Place catheter in artery 3.51 18.23 22.30 0.94 1.13 0.21 21.95 26.02 4.66 4.85 XXX 36100 A Establish access to artery 3.02 11.30 11.88 1.20 1.13 0.26 14.58 15.16 4.48 4.41 XXX 36120 A Establish access to artery 2.01 9.35 10.36 0.58 0.63 0.14 11.50 12.51 2.73 2.78 XXX 36140 A Establish access to artery 2.01 10.55 12.22 0.70 0.66 0.16 12.72 14.39 2.87 2.83 XXX 36145 A Artery to vein shunt 2.01 10.36 12.00 0.62 0.65 0.11 12.48 14.12 2.74 2.77 XXX 36160 A Establish access to aorta 2.52 11.88 13.08 0.76 0.82 0.26 14.66 15.86 3.54 3.60 XXX 36200 A Place catheter in aorta 3.02 13.76 15.82 1.00 1.01 0.24 17.02 19.08 4.26 4.27 XXX 36215 A Place catheter in artery 4.67 26.10 26.80 1.83 1.67 0.27 31.04 31.74 6.77 6.61 XXX 36216 A Place catheter in artery 5.27 28.11 28.84 1.99 1.84 0.31 33.69 34.42 7.57 7.42 XXX 36217 A Place catheter in artery 6.29 46.29 53.15 2.30 2.20 0.44 53.02 59.88 9.03 8.93 XXX 36218 A Place catheter in artery 1.01 3.78 4.76 0.36 0.35 0.07 4.86 5.84 1.44 1.43 ZZZ 36245 A Place catheter in artery 4.67 29.09 31.34 2.09 1.78 0.31 34.07 36.32 7.07 6.76 XXX 36246 A Place catheter in artery 5.27 27.75 29.41 1.96 1.86 0.38 33.40 35.06 7.61 7.51 XXX 36247 A Place catheter in artery 6.29 45.77 48.58 2.34 2.19 0.47 52.53 55.34 9.10 8.95 XXX 36248 A Place catheter in artery 1.01 3.21 3.83 0.37 0.35 0.07 4.29 4.91 1.45 1.43 ZZZ 36260 A Insertion of infusion pump 9.76 NA NA 4.86 4.88 1.29 NA NA 15.91 15.93 090 36261 A Revision of infusion pump 5.50 NA NA 3.25 3.56 0.70 NA NA 9.45 9.76 090 36262 A Removal of infusion pump 4.01 NA NA 2.69 2.74 0.54 NA NA 7.24 7.29 090 36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 36400 A Bl draw < 3 yrs fem/jugular 0.38 0.33 0.29 0.11 0.10 0.03 0.74 0.70 0.52 0.51 XXX 36405 A Bl draw < 3 yrs scalp vein 0.31 0.29 0.27 0.08 0.08 0.03 0.63 0.61 0.42 0.42 XXX 36406 A Bl draw < 3 yrs other vein 0.18 0.30 0.29 0.08 0.06 0.01 0.49 0.48 0.27 0.25 XXX 36410 A Non-routine bl draw > 3 yrs 0.18 0.32 0.30 0.05 0.05 0.01 0.51 0.49 0.24 0.24 XXX 36420 A Vein access cutdown < 1 yr 1.01 NA NA 0.21 0.26 0.07 NA NA 1.29 1.34 XXX 36425 A Vein access cutdown > 1 yr 0.76 NA NA 0.22 0.22 0.06 NA NA 1.04 1.04 XXX 36430 A Blood transfusion service 0.00 0.93 0.99 0.00 0.76 0.06 0.99 1.05 0.06 0.82 XXX 36440 A Bl push transfuse, 2 yr or < 1.03 NA NA 0.43 0.33 0.10 NA NA 1.56 1.46 XXX 36450 A Bl exchange/transfuse, nb 2.23 NA NA 0.78 0.73 0.21 NA NA 3.22 3.17 XXX 36455 A Bl exchange/transfuse non-nb 2.43 NA NA 0.74 0.94 0.15 NA NA 3.32 3.52 XXX 36460 A Transfusion service, fetal 6.58 NA NA 1.70 2.11 0.79 NA NA 9.07 9.48 XXX 36470 A Injection therapy of vein 1.09 2.46 2.63 0.66 0.71 0.12 3.67 3.84 1.87 1.92 010 36471 A Injection therapy of veins 1.57 2.58 2.95 0.80 0.92 0.19 4.34 4.71 2.56 2.68 010 36475 A Endovenous rf, 1st vein 6.72 36.90 47.77 1.97 2.39 0.37 43.99 54.86 9.06 9.48 000 36476 A Endovenous rf, vein add-on 3.38 6.04 7.42 0.89 1.08 0.18 9.60 10.98 4.45 4.64 ZZZ 36478 A Endovenous laser, 1st vein 6.72 33.79 43.53 2.08 2.42 0.37 40.88 50.62 9.17 9.51 000 36479 A Endovenous laser vein addon 3.38 6.55 7.63 1.01 1.11 0.18 10.11 11.19 4.57 4.67 ZZZ 36481 A Insertion of catheter, vein 6.98 NA NA 2.14 2.48 0.55 NA NA 9.67 10.01 000 36500 A Insertion of catheter, vein 3.51 NA NA 1.25 1.34 0.20 NA NA 4.96 5.05 000 36510 A Insertion of catheter, vein 1.09 1.09 3.19 0.31 0.54 0.10 2.28 4.38 1.50 1.73 000 36511 A Apheresis wbc 1.74 NA NA 0.58 0.69 0.08 NA NA 2.40 2.51 000 36512 A Apheresis rbc 1.74 NA NA 0.61 0.71 0.08 NA NA 2.43 2.53 000 36513 A Apheresis platelets 1.74 NA NA 0.52 0.68 0.17 NA NA 2.43 2.59 000 36514 A Apheresis plasma 1.74 10.54 15.36 0.53 0.67 0.08 12.36 17.18 2.35 2.49 000 36515 A Apheresis, adsorp/reinfuse 1.74 45.31 61.05 0.51 0.62 0.08 47.13 62.87 2.33 2.44 000 36516 A Apheresis, selective 1.22 49.90 75.51 0.38 0.46 0.08 51.20 76.81 1.68 1.76 000 36522 A Photopheresis 1.67 35.02 33.03 0.85 0.93 0.13 36.82 34.83 2.65 2.73 000 36550 A Declot vascular device 0.00 0.33 0.38 0.06 0.31 0.37 0.70 0.75 0.43 0.68 XXX 36555 A Insert non-tunnel cv cath 2.68 4.16 5.35 0.62 0.76 0.11 6.95 8.14 3.41 3.55 000 36556 A Insert non-tunnel cv cath 2.50 2.91 4.94 0.57 0.70 0.19 5.60 7.63 3.26 3.39 000 36557 A Insert tunneled cv cath 5.09 14.96 19.60 2.37 2.58 0.57 20.62 25.26 8.03 8.24 010 36558 A Insert tunneled cv cath 4.79 15.00 19.53 2.30 2.49 0.57 20.36 24.89 7.66 7.85 010 36560 A Insert tunneled cv cath 6.24 21.22 27.56 2.55 2.91 0.57 28.03 34.37 9.36 9.72 010 36561 A Insert tunneled cv cath 5.99 22.48 27.81 2.61 2.87 0.57 29.04 34.37 9.17 9.43 010 36563 A Insert tunneled cv cath 6.19 23.25 25.87 2.62 2.89 0.84 30.28 32.90 9.65 9.92 010 36565 A Insert tunneled cv cath 5.99 17.83 22.98 2.51 2.84 0.57 24.39 29.54 9.07 9.40 010 Start Printed Page 49134 36566 A Insert tunneled cv cath 6.49 114.71 47.80 2.67 3.00 0.57 121.77 54.86 9.73 10.06 010 36568 A Insert picc cath 1.92 5.73 7.08 0.57 0.58 0.11 7.76 9.11 2.60 2.61 000 36569 A Insert picc cath 1.82 4.46 6.62 0.61 0.58 0.19 6.47 8.63 2.62 2.59 000 36570 A Insert picvad cath 5.31 23.19 30.68 2.34 2.63 0.57 29.07 36.56 8.22 8.51 010 36571 A Insert picvad cath 5.29 25.04 31.19 2.42 2.64 0.57 30.90 37.05 8.28 8.50 010 36575 A Repair tunneled cv cath 0.67 3.33 3.87 0.23 0.25 0.20 4.20 4.74 1.10 1.12 000 36576 A Repair tunneled cv cath 3.19 5.88 6.68 1.55 1.77 0.19 9.26 10.06 4.93 5.15 010 36578 A Replace tunneled cv cath 3.49 9.11 10.63 1.91 2.20 0.19 12.79 14.31 5.59 5.88 010 36580 A Replace cvad cath 1.31 3.99 6.20 0.41 0.41 0.19 5.49 7.70 1.91 1.91 000 36581 A Replace tunneled cv cath 3.43 15.64 18.53 1.66 1.86 0.19 19.26 22.15 5.28 5.48 010 36582 A Replace tunneled cv cath 5.19 20.79 24.71 2.29 2.72 0.19 26.17 30.09 7.67 8.10 010 36583 A Replace tunneled cv cath 5.24 21.00 24.77 2.41 2.76 0.19 26.43 30.20 7.84 8.19 010 36584 A Replace picc cath 1.20 3.97 6.22 0.57 0.56 0.19 5.36 7.61 1.96 1.95 000 36585 A Replace picvad cath 4.79 22.75 26.55 2.30 2.62 0.19 27.73 31.53 7.28 7.60 010 36589 A Removal tunneled cv cath 2.27 1.86 2.15 1.22 1.35 0.24 4.37 4.66 3.73 3.86 010 36590 A Removal tunneled cv cath 3.30 3.64 3.44 1.59 1.69 0.44 7.38 7.18 5.33 5.43 010 36595 A Mech remov tunneled cv cath 3.59 10.85 15.65 1.31 1.42 0.21 14.65 19.45 5.11 5.22 000 36596 A Mech remov tunneled cv cath 0.75 2.59 3.42 0.42 0.48 0.05 3.39 4.22 1.22 1.28 000 36597 A Reposition venous catheter 1.21 2.02 2.31 0.42 0.44 0.07 3.30 3.59 1.70 1.72 000 36598 T Inj w/fluor, eval cv device 0.74 2.25 2.54 0.26 2.05 0.05 3.04 3.33 1.05 2.84 000 36600 A Withdrawal of arterial blood 0.32 0.50 0.49 0.08 0.09 0.02 0.84 0.83 0.42 0.43 XXX 36620 A Insertion catheter, artery 1.15 NA NA 0.17 0.22 0.07 NA NA 1.39 1.44 000 36625 A Insertion catheter, artery 2.11 NA NA 0.49 0.52 0.26 NA NA 2.86 2.89 000 36640 A Insertion catheter, artery 2.10 NA NA 0.91 1.01 0.21 NA NA 3.22 3.32 000 36660 A Insertion catheter, artery 1.40 NA NA 0.20 0.38 0.14 NA NA 1.74 1.92 000 36680 A Insert needle, bone cavity 1.20 NA NA 0.33 0.45 0.11 NA NA 1.64 1.76 000 36800 A Insertion of cannula 2.43 NA NA 1.55 1.74 0.25 NA NA 4.23 4.42 000 36810 A Insertion of cannula 3.96 NA NA 1.36 1.60 0.45 NA NA 5.77 6.01 000 36815 A Insertion of cannula 2.62 NA NA 1.04 1.14 0.35 NA NA 4.01 4.11 000 36818 A Av fuse, uppr arm, cephalic 11.77 NA NA 4.88 5.74 1.89 NA NA 18.54 19.40 090 36819 A Av fuse, uppr arm, basilic 14.35 NA NA 5.26 6.09 1.95 NA NA 21.56 22.39 090 36820 A Av fusion/forearm vein 14.35 NA NA 5.34 6.12 1.94 NA NA 21.63 22.41 090 36821 A Av fusion direct any site 9.10 NA NA 4.04 4.50 1.23 NA NA 14.37 14.83 090 36822 A Insertion of cannula(s) 5.47 NA NA 3.82 4.24 0.79 NA NA 10.08 10.50 090 36823 A Insertion of cannula(s) 22.74 NA NA 8.91 9.26 2.88 NA NA 34.53 34.88 090 36825 A Artery-vein autograft 9.95 NA NA 4.34 4.87 1.35 NA NA 15.64 16.17 090 36830 A Artery-vein nonautograft 11.98 NA NA 4.25 4.99 1.66 NA NA 17.89 18.63 090 36831 A Open thrombect av fistula 7.99 NA NA 3.28 3.78 1.09 NA NA 12.36 12.86 090 36832 A Av fistula revision, open 10.48 NA NA 3.87 4.51 1.44 NA NA 15.79 16.43 090 36833 A Av fistula revision 11.93 NA NA 4.25 4.96 1.65 NA NA 17.83 18.54 090 36834 A Repair A-V aneurysm 11.07 NA NA 4.35 4.68 1.37 NA NA 16.79 17.12 090 36835 A Artery to vein shunt 7.38 NA NA 3.90 4.22 0.98 NA NA 12.26 12.58 090 36838 A Dist revas ligation, hemo 21.55 NA NA 7.14 8.82 3.01 NA NA 31.70 33.38 090 36860 A External cannula declotting 2.01 3.35 2.17 0.62 0.67 0.11 5.47 4.29 2.74 2.79 000 36861 A Cannula declotting 2.52 NA NA 1.25 1.43 0.27 NA NA 4.04 4.22 000 36870 A Percut thrombect av fistula 5.15 41.10 50.05 2.67 3.03 0.29 46.54 55.49 8.11 8.47 090 37140 A Revision of circulation 25.05 NA NA 9.04 10.12 2.01 NA NA 36.10 37.18 090 37145 A Revision of circulation 26.06 NA NA 9.10 10.42 3.25 NA NA 38.41 39.73 090 37160 A Revision of circulation 23.06 NA NA 8.16 8.98 2.81 NA NA 34.03 34.85 090 37180 A Revision of circulation 26.06 NA NA 9.00 9.97 3.34 NA NA 38.40 39.37 090 37181 A Splice spleen/kidney veins 28.19 NA NA 9.34 10.59 3.40 NA NA 40.92 42.17 090 37182 A Insert hepatic shunt (tips) 16.97 NA NA 5.73 5.98 1.00 NA NA 23.70 23.95 000 37183 A Remove hepatic shunt (tips) 7.99 NA NA 2.80 2.96 0.47 NA NA 11.26 11.42 000 37184 A Prim art mech thrombectomy 8.66 49.86 66.23 3.00 3.26 0.55 59.07 75.44 12.21 12.47 000 37185 A Prim art m-thrombect add-on 3.28 16.20 21.21 1.02 1.09 0.21 19.69 24.70 4.51 4.58 ZZZ 37186 A Sec art m-thrombect add-on 4.92 34.21 45.60 1.53 1.63 0.32 39.45 50.84 6.77 6.87 ZZZ Start Printed Page 49135 37187 A Venous mech thrombectomy 8.03 48.71 64.81 2.81 3.06 0.51 57.25 73.35 11.35 11.60 000 37188 A Venous m-thrombectomy add-on 5.71 42.51 57.11 2.09 2.29 0.37 48.59 63.19 8.17 8.37 000 37195 C Thrombolytic therapy, stroke 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 37200 A Transcatheter biopsy 4.55 NA NA 1.49 1.50 0.27 NA NA 6.31 6.32 000 37201 A Transcatheter therapy infuse 4.99 NA NA 2.25 2.47 0.33 NA NA 7.57 7.79 000 37202 A Transcatheter therapy infuse 5.67 NA NA 3.40 3.12 0.43 NA NA 9.50 9.22 000 37203 A Transcatheter retrieval 5.02 30.34 32.24 1.95 2.01 0.29 35.65 37.55 7.26 7.32 000 37204 A Transcatheter occlusion 18.11 NA NA 5.79 5.87 1.48 NA NA 25.38 25.46 000 37205 A Transcath iv stent, percut 8.27 NA NA 3.90 3.79 0.60 NA NA 12.77 12.66 000 37206 A Transcath iv stent/perc addl 4.12 NA NA 1.59 1.47 0.31 NA NA 6.02 5.90 ZZZ 37207 A Transcath iv stent, open 8.27 NA NA 2.45 2.98 1.17 NA NA 11.89 12.42 000 37208 A Transcath iv stent/open addl 4.12 NA NA 1.05 1.30 0.59 NA NA 5.76 6.01 ZZZ 37209 A Change iv cath at thromb tx 2.27 NA NA 0.73 0.74 0.15 NA NA 3.15 3.16 000 37215 R Transcath stent, cca w/eps 19.54 NA NA 10.12 9.35 1.09 NA NA 30.75 29.98 090 37216 N Transcath stent, cca w/o eps 18.81 NA NA 8.74 8.79 1.04 NA NA 28.59 28.64 090 37250 A Iv us first vessel add-on 2.10 NA NA 0.81 0.77 0.21 NA NA 3.12 3.08 ZZZ 37251 A Iv us each add vessel add-on 1.60 NA NA 0.52 0.54 0.19 NA NA 2.31 2.33 ZZZ 37500 A Endoscopy ligate perf veins 11.48 NA NA 5.46 6.50 1.54 NA NA 18.48 19.52 090 37501 C Vascular endoscopy procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 37565 A Ligation of neck vein 11.93 NA NA 5.10 5.49 1.33 NA NA 18.36 18.75 090 37600 A Ligation of neck artery 12.30 NA NA 4.80 6.17 1.41 NA NA 18.51 19.88 090 37605 A Ligation of neck artery 14.16 NA NA 5.57 6.57 1.98 NA NA 21.71 22.71 090 37606 A Ligation of neck artery 8.66 NA NA 4.87 4.64 1.23 NA NA 14.76 14.53 090 37607 A Ligation of a-v fistula 6.15 NA NA 3.11 3.45 0.85 NA NA 10.11 10.45 090 37609 A Temporal artery procedure 3.00 4.24 4.44 1.84 1.93 0.36 7.60 7.80 5.20 5.29 010 37615 A Ligation of neck artery 7.67 NA NA 3.98 4.08 0.68 NA NA 12.33 12.43 090 37616 A Ligation of chest artery 18.84 NA NA 7.94 8.05 2.32 NA NA 29.10 29.21 090 37617 A Ligation of abdomen artery 23.67 NA NA 7.92 8.86 2.97 NA NA 34.56 35.50 090 37618 A Ligation of extremity artery 5.90 NA NA 3.40 3.56 0.67 NA NA 9.97 10.13 090 37620 A Revision of major vein 11.44 NA NA 5.24 5.59 0.91 NA NA 17.59 17.94 090 37650 A Revision of major vein 8.37 NA NA 4.22 4.57 1.01 NA NA 13.60 13.95 090 37660 A Revision of major vein 22.16 NA NA 8.13 8.82 2.48 NA NA 32.77 33.46 090 37700 A Revise leg vein 3.72 NA NA 2.45 2.71 0.53 NA NA 6.70 6.96 090 37718 A Ligate/strip short leg vein 7.01 NA NA 3.53 3.93 0.14 NA NA 10.68 11.08 090 37722 A Ligate/strip long leg vein 8.04 NA NA 3.80 4.26 0.86 NA NA 12.70 13.16 090 37735 A Removal of leg veins/lesion 10.75 NA NA 4.67 5.29 1.48 NA NA 16.90 17.52 090 37760 A Ligation, leg veins, open 10.63 NA NA 4.55 5.14 1.44 NA NA 16.62 17.21 090 37765 A Phleb veins—extrem—to 20 7.59 NA NA 3.60 4.37 0.48 NA NA 11.67 12.44 090 37766 A Phleb veins—extrem 20+ 9.54 NA NA 4.15 5.03 0.48 NA NA 14.17 15.05 090 37780 A Revision of leg vein 3.83 NA NA 2.50 2.76 0.53 NA NA 6.86 7.12 090 37785 A Ligate/divide/excise vein 3.83 4.96 5.13 2.59 2.69 0.54 9.33 9.50 6.96 7.06 090 37788 A Revascularization, penis 23.13 NA NA 11.95 9.80 2.25 NA NA 37.33 35.18 090 37790 A Penile venous occlusion 8.33 NA NA 5.09 4.55 0.59 NA NA 14.01 13.47 090 37799 C Vascular surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38100 A Removal of spleen, total 19.43 NA NA 6.94 6.36 1.91 NA NA 28.28 27.70 090 38101 A Removal of spleen, partial 19.43 NA NA 7.36 6.73 2.04 NA NA 28.83 28.20 090 38102 A Removal of spleen, total 4.79 NA NA 1.27 1.55 0.63 NA NA 6.69 6.97 ZZZ 38115 A Repair of ruptured spleen 21.76 NA NA 7.59 6.88 2.08 NA NA 31.43 30.72 090 38120 A Laparoscopy, splenectomy 16.97 NA NA 7.00 7.29 2.24 NA NA 26.21 26.50 090 38129 C Laparoscope proc, spleen 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38200 A Injection for spleen x-ray 2.64 NA NA 1.00 0.92 0.14 NA NA 3.78 3.70 000 38205 R Harvest allogenic stem cells 1.50 NA NA 0.54 0.64 0.07 NA NA 2.11 2.21 000 38206 R Harvest auto stem cells 1.50 NA NA 0.54 0.64 0.07 NA NA 2.11 2.21 000 38220 A Bone marrow aspiration 1.08 2.67 3.46 0.44 0.50 0.05 3.80 4.59 1.57 1.63 XXX 38221 A Bone marrow biopsy 1.37 2.79 3.65 0.57 0.63 0.07 4.23 5.09 2.01 2.07 XXX 38230 R Bone marrow collection 4.78 NA NA 2.76 3.11 0.48 NA NA 8.02 8.37 010 38240 R Bone marrow/stem transplant 2.24 NA NA 0.93 1.01 0.11 NA NA 3.28 3.36 XXX 38241 R Bone marrow/stem transplant 2.24 NA NA 0.93 1.01 0.11 NA NA 3.28 3.36 XXX 38242 A Lymphocyte infuse transplant 1.71 NA NA 0.69 0.76 0.08 NA NA 2.48 2.55 000 38300 A Drainage, lymph node lesion 2.24 3.63 4.13 1.75 1.98 0.25 6.12 6.62 4.24 4.47 010 38305 A Drainage, lymph node lesion 6.49 NA NA 3.42 4.19 0.88 NA NA 10.79 11.56 090 38308 A Incision of lymph channels 6.69 NA NA 3.59 3.70 0.85 NA NA 11.13 11.24 090 38380 A Thoracic duct procedure 8.26 NA NA 4.64 5.42 0.74 NA NA 13.64 14.42 090 38381 A Thoracic duct procedure 13.28 NA NA 6.11 6.69 1.84 NA NA 21.23 21.81 090 38382 A Thoracic duct procedure 10.42 NA NA 5.47 5.68 1.37 NA NA 17.26 17.47 090 38500 A Biopsy/removal, lymph nodes 3.74 3.78 3.71 2.04 2.07 0.49 8.01 7.94 6.27 6.30 010 Start Printed Page 49136 38505 A Needle biopsy, lymph nodes 1.14 2.08 2.06 0.70 0.76 0.09 3.31 3.29 1.93 1.99 000 38510 A Biopsy/removal, lymph nodes 6.67 5.21 5.46 2.96 3.35 0.72 12.60 12.85 10.35 10.74 010 38520 A Biopsy/removal, lymph nodes 6.91 NA NA 3.71 3.97 0.84 NA NA 11.46 11.72 090 38525 A Biopsy/removal, lymph nodes 6.31 NA NA 3.50 3.34 0.80 NA NA 10.61 10.45 090 38530 A Biopsy/removal, lymph nodes 8.22 NA NA 4.12 4.32 1.12 NA NA 13.46 13.66 090 38542 A Explore deep node(s), neck 6.02 NA NA 3.73 4.29 0.60 NA NA 10.35 10.91 090 38550 A Removal, neck/armpit lesion 6.91 NA NA 4.24 3.99 0.88 NA NA 12.03 11.78 090 38555 A Removal, neck/armpit lesion 15.31 NA NA 7.25 8.21 1.75 NA NA 24.31 25.27 090 38562 A Removal, pelvic lymph nodes 10.83 NA NA 5.77 5.77 1.20 NA NA 17.80 17.80 090 38564 A Removal, abdomen lymph nodes 11.23 NA NA 5.25 5.24 1.32 NA NA 17.80 17.79 090 38570 A Laparoscopy, lymph node biop 9.24 NA NA 3.98 3.97 1.13 NA NA 14.35 14.34 010 38571 A Laparoscopy, lymphadenectomy 14.66 NA NA 6.86 5.95 1.15 NA NA 22.67 21.76 010 38572 A Laparoscopy, lymphadenectomy 16.82 NA NA 6.16 6.84 1.90 NA NA 24.88 25.56 010 38589 C Laparoscope proc, lymphatic 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 38700 A Removal of lymph nodes, neck 12.62 NA NA 5.91 6.15 0.72 NA NA 19.25 19.49 090 38720 A Removal of lymph nodes, neck 21.64 NA NA 9.21 9.32 1.20 NA NA 32.05 32.16 090 38724 A Removal of lymph nodes, neck 23.64 NA NA 9.79 9.82 1.28 NA NA 34.71 34.74 090 38740 A Remove armpit lymph nodes 10.51 NA NA 5.07 4.97 1.32 NA NA 16.90 16.80 090 38745 A Remove armpit lymph nodes 13.65 NA NA 6.12 6.08 1.73 NA NA 21.50 21.46 090 38746 A Remove thoracic lymph nodes 4.88 NA NA 1.45 1.57 0.72 NA NA 7.05 7.17 ZZZ 38747 A Remove abdominal lymph nodes 4.88 NA NA 1.28 1.57 0.64 NA NA 6.80 7.09 ZZZ 38760 A Remove groin lymph nodes 13.43 NA NA 6.01 6.09 1.71 NA NA 21.15 21.23 090 38765 A Remove groin lymph nodes 21.72 NA NA 8.72 8.78 2.47 NA NA 32.91 32.97 090 38770 A Remove pelvis lymph nodes 13.93 NA NA 6.91 6.03 1.40 NA NA 22.24 21.36 090 38780 A Remove abdomen lymph nodes 17.47 NA NA 8.00 8.15 1.88 NA NA 27.35 27.50 090 38790 A Inject for lymphatic x-ray 1.29 NA NA 0.73 0.75 0.13 NA NA 2.15 2.17 000 38792 A Identify sentinel node 0.52 NA NA 0.48 0.45 0.06 NA NA 1.06 1.03 000 38794 A Access thoracic lymph duct 4.44 NA NA 3.04 3.35 0.32 NA NA 7.80 8.11 090 38999 C Blood/lymph system procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 39000 A Exploration of chest 7.46 NA NA 4.36 4.58 0.89 NA NA 12.71 12.93 090 39010 A Exploration of chest 13.08 NA NA 6.17 7.20 1.75 NA NA 21.00 22.03 090 39200 A Removal chest lesion 15.02 NA NA 6.29 7.22 2.02 NA NA 23.33 24.26 090 39220 A Removal chest lesion 18.42 NA NA 7.64 8.93 2.45 NA NA 28.51 29.80 090 39400 A Visualization of chest 5.97 NA NA 3.62 4.54 0.82 NA NA 10.41 11.33 010 39499 C Chest procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 39501 A Repair diaphragm laceration 13.83 NA NA 5.93 6.32 1.77 NA NA 21.53 21.92 090 39502 A Repair paraesophageal hernia 17.03 NA NA 6.66 7.02 2.16 NA NA 25.85 26.21 090 39503 A Repair of diaphragm hernia 108.57 NA NA 30.95 32.77 10.95 NA NA 150.47 152.29 090 39520 A Repair of diaphragm hernia 16.56 NA NA 6.93 7.76 2.23 NA NA 25.72 26.55 090 39530 A Repair of diaphragm hernia 16.17 NA NA 6.43 6.96 2.10 NA NA 24.70 25.23 090 39531 A Repair of diaphragm hernia 17.18 NA NA 6.63 7.19 2.21 NA NA 26.02 26.58 090 39540 A Repair of diaphragm hernia 14.47 NA NA 5.65 6.08 1.79 NA NA 21.91 22.34 090 39541 A Repair of diaphragm hernia 15.62 NA NA 6.21 6.49 1.92 NA NA 23.75 24.03 090 39545 A Revision of diaphragm 14.52 NA NA 7.23 7.46 1.83 NA NA 23.58 23.81 090 39560 A Resect diaphragm, simple 12.91 NA NA 5.58 6.11 1.59 NA NA 20.08 20.61 090 39561 A Resect diaphragm, complex 19.69 NA NA 9.42 9.35 2.44 NA NA 31.55 31.48 090 39599 C Diaphragm surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40490 A Biopsy of lip 1.22 2.02 1.73 0.55 0.60 0.05 3.29 3.00 1.82 1.87 000 40500 A Partial excision of lip 4.27 7.65 7.08 4.18 4.29 0.38 12.30 11.73 8.83 8.94 090 40510 A Partial excision of lip 4.69 6.52 6.59 3.48 3.88 0.49 11.70 11.77 8.66 9.06 090 40520 A Partial excision of lip 4.66 6.79 7.35 3.68 4.00 0.52 11.97 12.53 8.86 9.18 090 40525 A Reconstruct lip with flap 7.54 NA NA 5.23 6.03 0.85 NA NA 13.62 14.42 090 40527 A Reconstruct lip with flap 9.12 NA NA 5.84 6.97 0.97 NA NA 15.93 17.06 090 40530 A Partial removal of lip 5.39 7.28 7.68 4.07 4.45 0.55 13.22 13.62 10.01 10.39 090 40650 A Repair lip 3.63 5.91 6.57 3.12 3.25 0.38 9.92 10.58 7.13 7.26 090 40652 A Repair lip 4.25 6.97 7.55 3.94 4.18 0.52 11.74 12.32 8.71 8.95 090 Start Printed Page 49137 40654 A Repair lip 5.30 7.98 8.45 4.60 4.85 0.60 13.88 14.35 10.50 10.75 090 40700 A Repair cleft lip/nasal 13.89 NA NA 9.13 9.09 0.95 NA NA 23.97 23.93 090 40701 A Repair cleft lip/nasal 16.95 NA NA 11.13 11.28 1.65 NA NA 29.73 29.88 090 40702 A Repair cleft lip/nasal 14.02 NA NA 7.21 7.99 1.23 NA NA 22.46 23.24 090 40720 A Repair cleft lip/nasal 14.47 NA NA 9.01 9.67 1.79 NA NA 25.27 25.93 090 40761 A Repair cleft lip/nasal 15.63 NA NA 8.82 9.91 1.93 NA NA 26.38 27.47 090 40799 C Lip surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40800 A Drainage of mouth lesion 1.17 3.84 3.18 1.88 1.80 0.13 5.14 4.48 3.18 3.10 010 40801 A Drainage of mouth lesion 2.53 4.85 4.23 2.55 2.69 0.31 7.69 7.07 5.39 5.53 010 40804 A Removal, foreign body, mouth 1.24 3.63 3.45 1.75 1.83 0.11 4.98 4.80 3.10 3.18 010 40805 A Removal, foreign body, mouth 2.69 5.04 4.62 2.56 2.75 0.32 8.05 7.63 5.57 5.76 010 40806 A Incision of lip fold 0.31 2.38 1.97 0.50 0.50 0.04 2.73 2.32 0.85 0.85 000 40808 A Biopsy of mouth lesion 0.96 3.51 2.87 1.57 1.50 0.10 4.57 3.93 2.63 2.56 010 40810 A Excision of mouth lesion 1.31 3.57 3.05 1.66 1.66 0.13 5.01 4.49 3.10 3.10 010 40812 A Excise/repair mouth lesion 2.31 4.51 3.92 2.26 2.37 0.28 7.10 6.51 4.85 4.96 010 40814 A Excise/repair mouth lesion 3.41 5.62 5.11 3.64 3.83 0.41 9.44 8.93 7.46 7.65 090 40816 A Excision of mouth lesion 3.66 5.79 5.33 3.68 3.92 0.40 9.85 9.39 7.74 7.98 090 40818 A Excise oral mucosa for graft 2.66 5.77 5.32 3.70 3.90 0.21 8.64 8.19 6.57 6.77 090 40819 A Excise lip or cheek fold 2.41 4.87 4.28 3.06 3.08 0.29 7.57 6.98 5.76 5.78 090 40820 A Treatment of mouth lesion 1.28 5.11 4.23 2.82 2.54 0.11 6.50 5.62 4.21 3.93 010 40830 A Repair mouth laceration 1.76 4.11 3.82 2.02 2.07 0.19 6.06 5.77 3.97 4.02 010 40831 A Repair mouth laceration 2.46 5.33 4.83 2.73 2.97 0.30 8.09 7.59 5.49 5.73 010 40840 R Reconstruction of mouth 8.97 9.99 9.83 5.53 6.61 1.08 20.04 19.88 15.58 16.66 090 40842 R Reconstruction of mouth 8.97 9.71 9.97 5.32 6.42 1.08 19.76 20.02 15.37 16.47 090 40843 R Reconstruction of mouth 12.56 11.76 11.90 6.01 7.36 1.39 25.71 25.85 19.96 21.31 090 40844 R Reconstruction of mouth 16.47 14.78 15.52 8.75 10.86 1.99 33.24 33.98 27.21 29.32 090 40845 R Reconstruction of mouth 19.03 15.15 16.58 9.55 12.30 2.00 36.18 37.61 30.58 33.33 090 40899 C Mouth surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41000 A Drainage of mouth lesion 1.30 2.49 2.36 1.29 1.38 0.12 3.91 3.78 2.71 2.80 010 41005 A Drainage of mouth lesion 1.26 4.23 3.56 1.71 1.72 0.12 5.61 4.94 3.09 3.10 010 41006 A Drainage of mouth lesion 3.24 5.29 4.92 2.73 3.06 0.35 8.88 8.51 6.32 6.65 090 41007 A Drainage of mouth lesion 3.10 5.33 5.19 2.71 2.94 0.31 8.74 8.60 6.12 6.35 090 41008 A Drainage of mouth lesion 3.36 5.41 4.86 2.78 3.10 0.42 9.19 8.64 6.56 6.88 090 41009 A Drainage of mouth lesion 3.58 5.80 5.18 3.11 3.46 0.47 9.85 9.23 7.16 7.51 090 41010 A Incision of tongue fold 1.06 3.44 3.43 1.37 1.54 0.07 4.57 4.56 2.50 2.67 010 41015 A Drainage of mouth lesion 3.95 6.21 5.60 3.93 4.09 0.46 10.62 10.01 8.34 8.50 090 41016 A Drainage of mouth lesion 4.06 6.16 5.75 4.02 4.17 0.53 10.75 10.34 8.61 8.76 090 41017 A Drainage of mouth lesion 4.06 6.31 5.80 4.08 4.25 0.53 10.90 10.39 8.67 8.84 090 41018 A Drainage of mouth lesion 5.09 6.54 6.23 4.32 4.51 0.68 12.31 12.00 10.09 10.28 090 41100 A Biopsy of tongue 1.37 2.57 2.46 1.11 1.34 0.15 4.09 3.98 2.63 2.86 010 41105 A Biopsy of tongue 1.42 2.56 2.37 1.13 1.27 0.13 4.11 3.92 2.68 2.82 010 41108 A Biopsy of floor of mouth 1.05 2.40 2.15 1.02 1.10 0.10 3.55 3.30 2.17 2.25 010 41110 A Excision of tongue lesion 1.51 3.46 3.10 1.54 1.62 0.13 5.10 4.74 3.18 3.26 010 41112 A Excision of tongue lesion 2.73 5.11 4.63 3.14 3.20 0.28 8.12 7.64 6.15 6.21 090 41113 A Excision of tongue lesion 3.19 5.38 4.90 3.29 3.43 0.34 8.91 8.43 6.82 6.96 090 41114 A Excision of tongue lesion 8.64 NA NA 5.94 6.88 0.83 NA NA 15.41 16.35 090 41115 A Excision of tongue fold 1.74 4.27 3.54 1.75 1.83 0.18 6.19 5.46 3.67 3.75 010 41116 A Excision of mouth lesion 2.44 5.31 4.59 2.65 2.76 0.23 7.98 7.26 5.32 5.43 090 41120 A Partial removal of tongue 10.83 NA NA 13.22 14.79 0.79 NA NA 24.84 26.41 090 41130 A Partial removal of tongue 15.43 NA NA 14.55 15.78 0.93 NA NA 30.91 32.14 090 41135 A Tongue and neck surgery 29.71 NA NA 19.86 22.38 1.88 NA NA 51.45 53.97 090 41140 A Removal of tongue 28.69 NA NA 21.36 25.34 2.26 NA NA 52.31 56.29 090 41145 A Tongue removal, neck surgery 37.47 NA NA 26.29 29.48 2.54 NA NA 66.30 69.49 090 41150 A Tongue, mouth, jaw surgery 29.40 NA NA 21.09 23.81 1.94 NA NA 52.43 55.15 090 41153 A Tongue, mouth, neck surgery 33.16 NA NA 21.82 24.22 2.00 NA NA 56.98 59.38 090 41155 A Tongue, jaw, & neck surgery 39.84 NA NA 23.98 26.10 2.33 NA NA 66.15 68.27 090 41250 A Repair tongue laceration 1.91 3.79 3.00 1.58 1.28 0.18 5.88 5.09 3.67 3.37 010 41251 A Repair tongue laceration 2.27 3.15 3.24 1.63 1.57 0.22 5.64 5.73 4.12 4.06 010 41252 A Repair tongue laceration 2.97 4.34 4.00 1.96 2.18 0.29 7.60 7.26 5.22 5.44 010 41500 A Fixation of tongue 3.70 NA NA 6.54 7.22 0.30 NA NA 10.54 11.22 090 41510 A Tongue to lip surgery 3.41 NA NA 7.02 7.70 0.20 NA NA 10.63 11.31 090 41520 A Reconstruction, tongue fold 2.73 5.71 4.89 3.20 3.52 0.27 8.71 7.89 6.20 6.52 090 41599 C Tongue and mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41800 A Drainage of gum lesion 1.17 4.76 3.13 2.09 1.48 0.12 6.05 4.42 3.38 2.77 010 41805 A Removal foreign body, gum 1.24 4.73 3.19 2.75 2.35 0.13 6.10 4.56 4.12 3.72 010 41806 A Removal foreign body,jawbone 2.69 5.91 4.16 3.39 3.12 0.37 8.97 7.22 6.45 6.18 010 Start Printed Page 49138 41822 R Excision of gum lesion 2.31 4.65 4.08 1.77 1.85 0.31 7.27 6.70 4.39 4.47 010 41823 R Excision of gum lesion 3.55 6.48 5.79 3.74 3.94 0.47 10.50 9.81 7.76 7.96 090 41825 A Excision of gum lesion 1.31 3.62 3.20 1.43 2.04 0.15 5.08 4.66 2.89 3.50 010 41826 A Excision of gum lesion 2.31 5.12 3.10 2.59 2.22 0.30 7.73 5.71 5.20 4.83 010 41827 A Excision of gum lesion 3.66 6.60 5.78 3.35 3.58 0.35 10.61 9.79 7.36 7.59 090 41828 R Excision of gum lesion 3.09 4.12 3.88 1.65 2.63 0.44 7.65 7.41 5.18 6.16 010 41830 R Removal of gum tissue 3.34 6.03 5.23 3.13 3.50 0.44 9.81 9.01 6.91 7.28 010 41872 R Repair gum 2.84 5.87 5.23 3.25 3.41 0.30 9.01 8.37 6.39 6.55 090 41874 R Repair tooth socket 3.09 5.76 5.07 2.76 3.07 0.45 9.30 8.61 6.30 6.61 090 41899 C Dental surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42000 A Drainage mouth roof lesion 1.23 2.34 2.51 1.14 1.22 0.12 3.69 3.86 2.49 2.57 010 42100 A Biopsy roof of mouth 1.31 2.18 2.11 1.20 1.32 0.13 3.62 3.55 2.64 2.76 010 42104 A Excision lesion, mouth roof 1.64 3.43 2.76 1.58 1.56 0.16 5.23 4.56 3.38 3.36 010 42106 A Excision lesion, mouth roof 2.10 4.41 3.52 2.04 2.34 0.25 6.76 5.87 4.39 4.69 010 42107 A Excision lesion, mouth roof 4.43 6.31 5.86 3.53 3.85 0.44 11.18 10.73 8.40 8.72 090 42120 A Remove palate/lesion 11.62 NA NA 11.41 11.68 0.52 NA NA 23.55 23.82 090 42140 A Excision of uvula 1.62 4.22 3.85 1.93 2.05 0.13 5.97 5.60 3.68 3.80 090 42145 A Repair palate, pharynx/uvula 9.57 NA NA 6.75 7.31 0.65 NA NA 16.97 17.53 090 42160 A Treatment mouth roof lesion 1.80 3.61 4.09 1.60 2.12 0.17 5.58 6.06 3.57 4.09 010 42180 A Repair palate 2.50 3.21 3.11 1.76 2.02 0.21 5.92 5.82 4.47 4.73 010 42182 A Repair palate 3.82 4.01 3.91 2.36 2.86 0.40 8.23 8.13 6.58 7.08 010 42200 A Reconstruct cleft palate 12.35 NA NA 8.11 9.69 1.27 NA NA 21.73 23.31 090 42205 A Reconstruct cleft palate 13.51 NA NA 7.46 9.42 1.58 NA NA 22.55 24.51 090 42210 A Reconstruct cleft palate 14.85 NA NA 9.72 11.03 2.16 NA NA 26.73 28.04 090 42215 A Reconstruct cleft palate 8.81 NA NA 7.21 8.61 1.31 NA NA 17.33 18.73 090 42220 A Reconstruct cleft palate 7.01 NA NA 6.71 6.76 0.73 NA NA 14.45 14.50 090 42225 A Reconstruct cleft palate 9.59 NA NA 12.00 15.80 0.86 NA NA 22.45 26.25 090 42226 A Lengthening of palate 10.17 NA NA 11.33 13.86 1.01 NA NA 22.51 25.04 090 42227 A Lengthening of palate 9.75 NA NA 9.68 14.08 0.98 NA NA 20.41 24.81 090 42235 A Repair palate 7.86 NA NA 10.27 11.46 0.72 NA NA 18.85 20.04 090 42260 A Repair nose to lip fistula 10.04 9.54 10.03 5.81 6.75 1.26 20.84 21.33 17.11 18.05 090 42280 A Preparation, palate mold 1.54 2.25 2.03 0.84 1.07 0.19 3.98 3.76 2.57 2.80 010 42281 A Insertion, palate prosthesis 1.93 2.82 2.68 1.56 1.79 0.17 4.92 4.78 3.66 3.89 010 42299 C Palate/uvula surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42300 A Drainage of salivary gland 1.93 2.92 2.85 1.59 1.76 0.16 5.01 4.94 3.68 3.85 010 42305 A Drainage of salivary gland 6.18 NA NA 3.65 4.45 0.51 NA NA 10.34 11.14 090 42310 A Drainage of salivary gland 1.56 2.18 2.24 1.31 1.48 0.13 3.87 3.93 3.00 3.17 010 42320 A Drainage of salivary gland 2.35 3.54 3.34 1.76 2.01 0.21 6.10 5.90 4.32 4.57 010 42330 A Removal of salivary stone 2.21 3.19 3.15 1.59 1.78 0.19 5.59 5.55 3.99 4.18 010 42335 A Removal of salivary stone 3.31 5.43 5.03 2.65 3.02 0.29 9.03 8.63 6.25 6.62 090 42340 A Removal of salivary stone 4.59 6.27 6.10 3.21 3.75 0.42 11.28 11.11 8.22 8.76 090 42400 A Biopsy of salivary gland 0.78 1.90 1.71 0.60 0.69 0.06 2.74 2.55 1.44 1.53 000 42405 A Biopsy of salivary gland 3.29 3.71 3.93 1.99 2.34 0.28 7.28 7.50 5.56 5.91 010 42408 A Excision of salivary cyst 4.53 6.07 5.95 3.05 3.47 0.45 11.05 10.93 8.03 8.45 090 42409 A Drainage of salivary cyst 2.81 5.05 4.65 2.37 2.66 0.27 8.13 7.73 5.45 5.74 090 42410 A Excise parotid gland/lesion 9.39 NA NA 4.90 5.89 0.91 NA NA 15.20 16.19 090 42415 A Excise parotid gland/lesion 17.92 NA NA 7.69 10.07 1.43 NA NA 27.04 29.42 090 42420 A Excise parotid gland/lesion 20.80 NA NA 8.50 11.40 1.65 NA NA 30.95 33.85 090 42425 A Excise parotid gland/lesion 13.24 NA NA 6.03 7.97 1.05 NA NA 20.32 22.26 090 42426 A Excise parotid gland/lesion 22.46 NA NA 8.77 11.95 1.80 NA NA 33.03 36.21 090 42440 A Excise submaxillary gland 7.02 NA NA 3.46 4.46 0.59 NA NA 11.07 12.07 090 42450 A Excise sublingual gland 4.61 5.87 5.89 3.66 4.10 0.42 10.90 10.92 8.69 9.13 090 42500 A Repair salivary duct 4.29 5.79 5.71 3.62 4.04 0.41 10.49 10.41 8.32 8.74 090 42505 A Repair salivary duct 6.17 6.73 7.02 4.32 5.10 0.55 13.45 13.74 11.04 11.82 090 42507 A Parotid duct diversion 6.10 NA NA 5.90 6.37 0.49 NA NA 12.49 12.96 090 42508 A Parotid duct diversion 9.15 NA NA 7.50 8.13 1.04 NA NA 17.69 18.32 090 Start Printed Page 49139 42509 A Parotid duct diversion 11.58 NA NA 8.70 9.82 0.93 NA NA 21.21 22.33 090 42510 A Parotid duct diversion 8.20 NA NA 6.33 7.43 0.66 NA NA 15.19 16.29 090 42550 A Injection for salivary x-ray 1.25 2.24 2.97 0.39 0.41 0.07 3.56 4.29 1.71 1.73 000 42600 A Closure of salivary fistula 4.81 6.46 6.55 3.32 3.92 0.43 11.70 11.79 8.56 9.16 090 42650 A Dilation of salivary duct 0.77 1.20 1.13 0.61 0.69 0.07 2.04 1.97 1.45 1.53 000 42660 A Dilation of salivary duct 1.13 1.43 1.37 0.73 0.82 0.09 2.65 2.59 1.95 2.04 000 42665 A Ligation of salivary duct 2.53 4.71 4.31 2.20 2.49 0.23 7.47 7.07 4.96 5.25 090 42699 C Salivary surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 42700 A Drainage of tonsil abscess 1.62 2.74 2.67 1.51 1.65 0.13 4.49 4.42 3.26 3.40 010 42720 A Drainage of throat abscess 6.31 4.28 4.69 2.84 3.55 0.44 11.03 11.44 9.59 10.30 010 42725 A Drainage of throat abscess 12.22 NA NA 6.56 7.81 0.91 NA NA 19.69 20.94 090 42800 A Biopsy of throat 1.39 2.27 2.20 1.17 1.34 0.11 3.77 3.70 2.67 2.84 010 42802 A Biopsy of throat 1.54 3.83 4.53 1.52 1.93 0.12 5.49 6.19 3.18 3.59 010 42804 A Biopsy of upper nose/throat 1.24 3.33 3.64 1.37 1.64 0.10 4.67 4.98 2.71 2.98 010 42806 A Biopsy of upper nose/throat 1.58 3.55 3.94 1.47 1.82 0.13 5.26 5.65 3.18 3.53 010 42808 A Excise pharynx lesion 2.30 2.96 3.06 1.44 1.81 0.19 5.45 5.55 3.93 4.30 010 42809 A Remove pharynx foreign body 1.81 2.12 2.28 1.25 1.31 0.16 4.09 4.25 3.22 3.28 010 42810 A Excision of neck cyst 3.25 5.73 5.72 3.40 3.51 0.29 9.27 9.26 6.94 7.05 090 42815 A Excision of neck cyst 7.18 NA NA 5.70 6.23 0.61 NA NA 13.49 14.02 090 42820 A Remove tonsils and adenoids 4.15 NA NA 2.53 3.10 0.31 NA NA 6.99 7.56 090 42821 A Remove tonsils and adenoids 4.28 NA NA 2.68 3.30 0.35 NA NA 7.31 7.93 090 42825 A Removal of tonsils 3.41 NA NA 2.42 2.98 0.25 NA NA 6.08 6.64 090 42826 A Removal of tonsils 3.37 NA NA 2.42 2.88 0.27 NA NA 6.06 6.52 090 42830 A Removal of adenoids 2.57 NA NA 2.19 2.47 0.20 NA NA 4.96 5.24 090 42831 A Removal of adenoids 2.71 NA NA 2.41 2.73 0.22 NA NA 5.34 5.66 090 42835 A Removal of adenoids 2.30 NA NA 1.79 2.29 0.21 NA NA 4.30 4.80 090 42836 A Removal of adenoids 3.18 NA NA 2.40 2.82 0.26 NA NA 5.84 6.26 090 42842 A Extensive surgery of throat 11.94 NA NA 10.96 10.98 0.71 NA NA 23.61 23.63 090 42844 A Extensive surgery of throat 17.49 NA NA 13.99 15.67 1.16 NA NA 32.64 34.32 090 42845 A Extensive surgery of throat 32.27 NA NA 19.00 22.14 1.98 NA NA 53.25 56.39 090 42860 A Excision of tonsil tags 2.22 NA NA 2.10 2.33 0.18 NA NA 4.50 4.73 090 42870 A Excision of lingual tonsil 5.39 NA NA 7.97 8.42 0.44 NA NA 13.80 14.25 090 42890 A Partial removal of pharynx 18.84 NA NA 13.79 14.06 1.05 NA NA 33.68 33.95 090 42892 A Revision of pharyngeal walls 25.67 NA NA 17.34 17.21 1.28 NA NA 44.29 44.16 090 42894 A Revision of pharyngeal walls 33.49 NA NA 21.04 21.78 1.86 NA NA 56.39 57.13 090 42900 A Repair throat wound 5.24 NA NA 2.70 3.42 0.50 NA NA 8.44 9.16 010 42950 A Reconstruction of throat 8.09 NA NA 10.21 11.46 0.72 NA NA 19.02 20.27 090 42953 A Repair throat, esophagus 9.25 NA NA 12.87 16.22 0.88 NA NA 23.00 26.35 090 42955 A Surgical opening of throat 7.86 NA NA 9.37 10.35 0.80 NA NA 18.03 19.01 090 42960 A Control throat bleeding 2.33 NA NA 1.59 1.87 0.19 NA NA 4.11 4.39 010 42961 A Control throat bleeding 5.64 NA NA 4.08 4.74 0.45 NA NA 10.17 10.83 090 42962 A Control throat bleeding 7.25 NA NA 4.69 5.61 0.58 NA NA 12.52 13.44 090 42970 A Control nose/throat bleeding 5.72 NA NA 3.49 4.01 0.39 NA NA 9.60 10.12 090 42971 A Control nose/throat bleeding 6.50 NA NA 4.08 4.86 0.51 NA NA 11.09 11.87 090 42972 A Control nose/throat bleeding 7.49 NA NA 4.42 5.38 0.62 NA NA 12.53 13.49 090 42999 C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43020 A Incision of esophagus 8.08 NA NA 4.32 5.14 0.87 NA NA 13.27 14.09 090 43030 A Throat muscle surgery 7.86 NA NA 4.13 5.15 0.70 NA NA 12.69 13.71 090 43045 A Incision of esophagus 21.63 NA NA 10.07 10.54 2.58 NA NA 34.28 34.75 090 43100 A Excision of esophagus lesion 9.48 NA NA 5.07 5.93 0.93 NA NA 15.48 16.34 090 43101 A Excision of esophagus lesion 16.94 NA NA 7.27 7.73 2.31 NA NA 26.52 26.98 090 43107 A Removal of esophagus 43.89 NA NA 16.66 17.86 5.22 NA NA 65.77 66.97 090 43108 A Removal of esophagus 63.23 NA NA 20.50 15.78 4.07 NA NA 87.80 83.08 090 43112 A Removal of esophagus 47.21 NA NA 17.15 18.81 5.79 NA NA 70.15 71.81 090 43113 A Removal of esophagus 46.95 NA NA 17.99 15.83 4.42 NA NA 69.36 67.20 090 43116 A Partial removal of esophagus 71.39 NA NA 22.74 18.20 3.05 NA NA 97.18 92.64 090 43117 A Partial removal of esophagus 43.46 NA NA 15.40 16.80 5.17 NA NA 64.03 65.43 090 43118 A Partial removal of esophagus 52.07 NA NA 17.39 14.68 4.10 NA NA 73.56 70.85 090 43121 A Partial removal of esophagus 46.35 NA NA 17.01 14.51 3.90 NA NA 67.26 64.76 090 43122 A Partial removal of esophagus 43.89 NA NA 15.83 17.00 5.40 NA NA 65.12 66.29 090 43123 A Partial removal of esophagus 63.83 NA NA 21.00 15.83 4.15 NA NA 88.98 83.81 090 43124 A Removal of esophagus 64.63 NA NA 22.76 15.50 3.73 NA NA 91.12 83.86 090 43130 A Removal of esophagus pouch 12.33 NA NA 5.93 7.15 1.16 NA NA 19.42 20.64 090 43135 A Removal of esophagus pouch 22.37 NA NA 8.93 8.30 2.33 NA NA 33.63 33.00 090 43200 A Esophagus endoscopy 1.59 3.53 3.98 0.91 1.03 0.13 5.25 5.70 2.63 2.75 000 43201 A Esoph scope w/submucous inj 2.09 5.56 4.86 1.18 1.12 0.15 7.80 7.10 3.42 3.36 000 Start Printed Page 49140 43202 A Esophagus endoscopy, biopsy 1.89 5.13 5.44 0.97 0.95 0.15 7.17 7.48 3.01 2.99 000 43204 A Esoph scope w/sclerosis inj 3.76 NA NA 1.93 1.62 0.30 NA NA 5.99 5.68 000 43205 A Esophagus endoscopy/ligation 3.78 NA NA 2.02 1.65 0.28 NA NA 6.08 5.71 000 43215 A Esophagus endoscopy 2.60 NA NA 1.25 1.21 0.22 NA NA 4.07 4.03 000 43216 A Esophagus endoscopy/lesion 2.40 3.00 1.55 1.21 1.10 0.20 5.60 4.15 3.81 3.70 000 43217 A Esophagus endoscopy 2.90 6.58 6.86 1.40 1.24 0.26 9.74 10.02 4.56 4.40 000 43219 A Esophagus endoscopy 2.80 NA NA 1.53 1.40 0.24 NA NA 4.57 4.44 000 43220 A Esoph endoscopy, dilation 2.10 NA NA 1.12 1.01 0.17 NA NA 3.39 3.28 000 43226 A Esoph endoscopy, dilation 2.34 NA NA 1.27 1.09 0.19 NA NA 3.80 3.62 000 43227 A Esoph endoscopy, repair 3.59 NA NA 1.81 1.54 0.28 NA NA 5.68 5.41 000 43228 A Esoph endoscopy, ablation 3.76 NA NA 1.84 1.62 0.34 NA NA 5.94 5.72 000 43231 A Esoph endoscopy w/us exam 3.19 NA NA 1.72 1.41 0.23 NA NA 5.14 4.83 000 43232 A Esoph endoscopy w/us fn bx 4.47 NA NA 2.34 1.94 0.34 NA NA 7.15 6.75 000 43234 A Upper GI endoscopy, exam 2.01 4.98 5.24 1.01 0.91 0.17 7.16 7.42 3.19 3.09 000 43235 A Uppr gi endoscopy, diagnosis 2.39 5.26 5.19 1.34 1.10 0.19 7.84 7.77 3.92 3.68 000 43236 A Uppr gi scope w/submuc inj 2.92 6.67 6.47 1.64 1.33 0.21 9.80 9.60 4.77 4.46 000 43237 A Endoscopic us exam, esoph 3.98 NA NA 2.12 1.72 0.43 NA NA 6.53 6.13 000 43238 A Uppr gi endoscopy w/us fn bx 5.02 NA NA 2.52 2.10 0.43 NA NA 7.97 7.55 000 43239 A Upper GI endoscopy, biopsy 2.87 6.01 5.79 1.54 1.28 0.22 9.10 8.88 4.63 4.37 000 43240 A Esoph endoscope w/drain cyst 6.85 NA NA 3.41 2.80 0.56 NA NA 10.82 10.21 000 43241 A Upper GI endoscopy with tube 2.59 NA NA 1.40 1.18 0.21 NA NA 4.20 3.98 000 43242 A Uppr gi endoscopy w/us fn bx 7.30 NA NA 3.65 2.96 0.53 NA NA 11.48 10.79 000 43243 A Upper gi endoscopy & inject 4.56 NA NA 2.34 1.93 0.33 NA NA 7.23 6.82 000 43244 A Upper GI endoscopy/ligation 5.04 NA NA 2.62 2.13 0.37 NA NA 8.03 7.54 000 43245 A Uppr gi scope dilate strictr 3.18 NA NA 1.62 1.38 0.26 NA NA 5.06 4.82 000 43246 A Place gastrostomy tube 4.32 NA NA 2.10 1.79 0.34 NA NA 6.76 6.45 000 43247 A Operative upper GI endoscopy 3.38 NA NA 1.77 1.47 0.27 NA NA 5.42 5.12 000 43248 A Uppr gi endoscopy/guide wire 3.15 NA NA 1.76 1.42 0.23 NA NA 5.14 4.80 000 43249 A Esoph endoscopy, dilation 2.90 NA NA 1.61 1.31 0.22 NA NA 4.73 4.43 000 43250 A Upper GI endoscopy/tumor 3.20 NA NA 1.62 1.39 0.26 NA NA 5.08 4.85 000 43251 A Operative upper GI endoscopy 3.69 NA NA 1.91 1.59 0.29 NA NA 5.89 5.57 000 43255 A Operative upper GI endoscopy 4.81 NA NA 2.50 2.04 0.35 NA NA 7.66 7.20 000 43256 A Uppr gi endoscopy w/stent 4.34 NA NA 2.23 1.84 0.32 NA NA 6.89 6.50 000 43257 A Uppr gi scope w/thrml txmnt 5.50 NA NA 2.05 2.16 0.36 NA NA 7.91 8.02 000 43258 A Operative upper GI endoscopy 4.54 NA NA 2.36 1.93 0.33 NA NA 7.23 6.80 000 43259 A Endoscopic ultrasound exam 5.19 NA NA 2.66 2.16 0.35 NA NA 8.20 7.70 000 43260 A Endo cholangiopancreatograph 5.95 NA NA 3.04 2.47 0.43 NA NA 9.42 8.85 000 43261 A Endo cholangiopancreatograph 6.26 NA NA 3.19 2.59 0.46 NA NA 9.91 9.31 000 43262 A Endo cholangiopancreatograph 7.38 NA NA 3.69 3.01 0.54 NA NA 11.61 10.93 000 43263 A Endo cholangiopancreatograph 7.28 NA NA 3.70 3.00 0.54 NA NA 11.52 10.82 000 43264 A Endo cholangiopancreatograph 8.89 NA NA 4.41 3.59 0.65 NA NA 13.95 13.13 000 43265 A Endo cholangiopancreatograph 10.00 NA NA 4.90 3.99 0.73 NA NA 15.63 14.72 000 43267 A Endo cholangiopancreatograph 7.38 NA NA 3.60 2.99 0.54 NA NA 11.52 10.91 000 43268 A Endo cholangiopancreatograph 7.38 NA NA 3.85 3.12 0.54 NA NA 11.77 11.04 000 43269 A Endo cholangiopancreatograph 8.20 NA NA 4.07 3.32 0.60 NA NA 12.87 12.12 000 43271 A Endo cholangiopancreatograph 7.38 NA NA 3.70 3.01 0.54 NA NA 11.62 10.93 000 43272 A Endo cholangiopancreatograph 7.38 NA NA 3.77 3.03 0.54 NA NA 11.69 10.95 000 43280 A Laparoscopy, fundoplasty 17.96 NA NA 6.73 7.14 2.27 NA NA 26.96 27.37 090 43289 C Laparoscope proc, esoph 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43300 A Repair of esophagus 9.13 NA NA 5.17 6.07 1.12 NA NA 15.42 16.32 090 43305 A Repair esophagus and fistula 17.90 NA NA 7.46 9.88 1.54 NA NA 26.90 29.32 090 43310 A Repair of esophagus 26.13 NA NA 10.13 10.83 3.60 NA NA 39.86 40.56 090 43312 A Repair esophagus and fistula 29.22 NA NA 9.96 11.41 4.00 NA NA 43.18 44.63 090 43313 A Esophagoplasty congenital 48.07 NA NA 17.38 18.45 5.45 NA NA 70.90 71.97 090 43314 A Tracheo-esophagoplasty cong 53.05 NA NA 18.43 18.99 6.63 NA NA 78.11 78.67 090 43320 A Fuse esophagus & stomach 23.12 NA NA 8.85 9.11 2.73 NA NA 34.70 34.96 090 Start Printed Page 49141 43324 A Revise esophagus & stomach 22.80 NA NA 8.42 8.68 2.75 NA NA 33.97 34.23 090 43325 A Revise esophagus & stomach 22.41 NA NA 8.39 8.68 2.59 NA NA 33.39 33.68 090 43326 A Revise esophagus & stomach 22.09 NA NA 9.37 9.31 2.84 NA NA 34.30 34.24 090 43330 A Repair of esophagus 22.00 NA NA 8.27 8.47 2.62 NA NA 32.89 33.09 090 43331 A Repair of esophagus 22.87 NA NA 9.58 9.73 2.93 NA NA 35.38 35.53 090 43340 A Fuse esophagus & intestine 22.80 NA NA 9.09 8.99 2.45 NA NA 34.34 34.24 090 43341 A Fuse esophagus & intestine 24.04 NA NA 10.12 10.04 2.91 NA NA 37.07 36.99 090 43350 A Surgical opening, esophagus 19.23 NA NA 8.06 8.35 1.42 NA NA 28.71 29.00 090 43351 A Surgical opening, esophagus 21.79 NA NA 9.60 9.74 2.46 NA NA 33.85 33.99 090 43352 A Surgical opening, esophagus 17.62 NA NA 8.19 8.33 2.05 NA NA 27.86 28.00 090 43360 A Gastrointestinal repair 39.82 NA NA 15.81 15.26 4.96 NA NA 60.59 60.04 090 43361 A Gastrointestinal repair 45.42 NA NA 16.89 16.88 4.49 NA NA 66.80 66.79 090 43400 A Ligate esophagus veins 25.41 NA NA 13.74 10.51 1.95 NA NA 41.10 37.87 090 43401 A Esophagus surgery for veins 26.30 NA NA 9.49 9.48 3.04 NA NA 38.83 38.82 090 43405 A Ligate/staple esophagus 24.47 NA NA 10.42 9.79 2.83 NA NA 37.72 37.09 090 43410 A Repair esophagus wound 16.22 NA NA 7.53 7.61 1.71 NA NA 25.46 25.54 090 43415 A Repair esophagus wound 28.62 NA NA 11.99 11.80 3.52 NA NA 44.13 43.94 090 43420 A Repair esophagus opening 16.59 NA NA 6.86 7.27 1.43 NA NA 24.88 25.29 090 43425 A Repair esophagus opening 24.85 NA NA 10.38 10.07 3.02 NA NA 38.25 37.94 090 43450 A Dilate esophagus 1.38 2.66 2.64 0.92 0.75 0.11 4.15 4.13 2.41 2.24 000 43453 A Dilate esophagus 1.51 6.29 6.12 1.00 0.80 0.11 7.91 7.74 2.62 2.42 000 43456 A Dilate esophagus 2.57 12.99 13.55 1.45 1.19 0.20 15.76 16.32 4.22 3.96 000 43458 A Dilate esophagus 3.06 6.93 6.72 1.61 1.36 0.24 10.23 10.02 4.91 4.66 000 43460 A Pressure treatment esophagus 3.79 NA NA 1.70 1.54 0.31 NA NA 5.80 5.64 000 43496 C Free jejunum flap, microvasc 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 43500 A Surgical opening of stomach 12.67 NA NA 5.27 5.05 1.45 NA NA 19.39 19.17 090 43501 A Surgical repair of stomach 22.41 NA NA 8.18 8.27 2.64 NA NA 33.23 33.32 090 43502 A Surgical repair of stomach 25.50 NA NA 9.04 9.35 3.09 NA NA 37.63 37.94 090 43510 A Surgical opening of stomach 14.95 NA NA 6.89 6.66 1.48 NA NA 23.32 23.09 090 43520 A Incision of pyloric muscle 11.17 NA NA 4.89 5.16 1.36 NA NA 17.42 17.69 090 43600 A Biopsy of stomach 1.91 NA NA 0.80 0.70 0.14 NA NA 2.85 2.75 000 43605 A Biopsy of stomach 13.60 NA NA 5.46 5.33 1.58 NA NA 20.64 20.51 090 43610 A Excision of stomach lesion 16.22 NA NA 6.11 6.13 1.93 NA NA 24.26 24.28 090 43611 A Excision of stomach lesion 20.19 NA NA 7.61 7.57 2.35 NA NA 30.15 30.11 090 43620 A Removal of stomach 33.85 NA NA 11.16 11.63 3.95 NA NA 48.96 49.43 090 43621 A Removal of stomach 39.34 NA NA 12.57 12.12 4.03 NA NA 55.94 55.49 090 43622 A Removal of stomach 39.84 NA NA 12.71 12.61 4.29 NA NA 56.84 56.74 090 43631 A Removal of stomach, partial 24.32 NA NA 8.68 9.03 2.98 NA NA 35.98 36.33 090 43632 A Removal of stomach, partial 34.95 NA NA 11.43 9.72 2.98 NA NA 49.36 47.65 090 43633 A Removal of stomach, partial 32.95 NA NA 10.92 9.72 3.05 NA NA 46.92 45.72 090 43634 A Removal of stomach, partial 36.45 NA NA 11.97 10.55 3.32 NA NA 51.74 50.32 090 43635 A Removal of stomach, partial 2.06 NA NA 0.53 0.66 0.27 NA NA 2.86 2.99 ZZZ 43640 A Vagotomy & pylorus repair 19.37 NA NA 7.42 7.29 2.25 NA NA 29.04 28.91 090 43641 A Vagotomy & pylorus repair 19.62 NA NA 7.72 7.45 2.24 NA NA 29.58 29.31 090 43644 A Lap gastric bypass/roux-en-y 29.18 NA NA 10.29 10.98 3.15 NA NA 42.62 43.31 090 43645 A Lap gastr bypass incl smll i 31.31 NA NA 11.27 11.83 3.53 NA NA 46.11 46.67 090 43651 A Laparoscopy, vagus nerve 10.13 NA NA 4.67 4.74 1.33 NA NA 16.13 16.20 090 43652 A Laparoscopy, vagus nerve 12.13 NA NA 5.23 5.62 1.55 NA NA 18.91 19.30 090 43653 A Laparoscopy, gastrostomy 8.34 NA NA 4.43 4.24 1.01 NA NA 13.78 13.59 090 43659 C Laparoscope proc, stom 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43750 A Place gastrostomy tube 4.60 NA NA 1.96 2.13 0.43 NA NA 6.99 7.16 010 43752 A Nasal/orogastric w/stent 0.81 NA NA 0.24 0.26 0.02 NA NA 1.07 1.09 000 43760 A Change gastrostomy tube 1.10 13.09 4.83 0.39 0.44 0.09 14.28 6.02 1.58 1.63 000 43761 A Reposition gastrostomy tube 2.01 0.98 1.12 0.64 0.66 0.13 3.12 3.26 2.78 2.80 000 43770 A Lap, place gastr adjust band 17.79 NA NA 7.57 7.68 2.18 NA NA 27.54 27.65 090 43771 A Lap, revise adjust gast band 20.58 NA NA 8.22 8.50 2.54 NA NA 31.34 31.62 090 43772 A Lap, remove adjust gast band 15.58 NA NA 6.03 6.32 1.92 NA NA 23.53 23.82 090 43773 A Lap, change adjust gast band 20.58 NA NA 8.22 8.50 2.55 NA NA 31.35 31.63 090 43774 A Lap remov adj gast band/port 15.62 NA NA 6.22 6.48 1.84 NA NA 23.68 23.94 090 43800 A Reconstruction of pylorus 15.31 NA NA 5.91 5.90 1.81 NA NA 23.03 23.02 090 43810 A Fusion of stomach and bowel 16.76 NA NA 6.28 6.20 1.93 NA NA 24.97 24.89 090 43820 A Fusion of stomach and bowel 22.34 NA NA 8.19 6.85 2.03 NA NA 32.56 31.22 090 43825 A Fusion of stomach and bowel 21.57 NA NA 7.96 8.00 2.53 NA NA 32.06 32.10 090 43830 A Place gastrostomy tube 10.71 NA NA 5.22 4.94 1.25 NA NA 17.18 16.90 090 43831 A Place gastrostomy tube 8.31 NA NA 5.17 4.68 1.03 NA NA 14.51 14.02 090 Start Printed Page 49142 43832 A Place gastrostomy tube 17.22 NA NA 7.15 6.92 1.97 NA NA 26.34 26.11 090 43840 A Repair of stomach lesion 22.64 NA NA 8.26 7.14 2.05 NA NA 32.95 31.83 090 43842 N V-band gastroplasty 20.84 NA NA 7.81 7.80 2.44 NA NA 31.09 31.08 090 43843 A Gastroplasty w/o v-band 21.02 NA NA 7.88 7.79 2.45 NA NA 31.35 31.26 090 43845 A Gastroplasty duodenal switch 33.04 NA NA 12.63 11.24 4.05 NA NA 49.72 48.33 090 43846 A Gastric bypass for obesity 27.15 NA NA 10.09 10.04 3.18 NA NA 40.42 40.37 090 43847 A Gastric bypass incl small i 30.02 NA NA 10.72 10.85 3.55 NA NA 44.29 44.42 090 43848 A Revision gastroplasty 32.49 NA NA 11.41 11.71 3.87 NA NA 47.77 48.07 090 43850 A Revise stomach-bowel fusion 27.39 NA NA 9.48 9.73 3.27 NA NA 40.14 40.39 090 43855 A Revise stomach-bowel fusion 28.50 NA NA 9.83 10.20 3.46 NA NA 41.79 42.16 090 43860 A Revise stomach-bowel fusion 27.70 NA NA 9.57 9.86 3.30 NA NA 40.57 40.86 090 43865 A Revise stomach-bowel fusion 28.86 NA NA 10.17 10.42 3.50 NA NA 42.53 42.78 090 43870 A Repair stomach opening 11.32 NA NA 5.05 4.65 1.27 NA NA 17.64 17.24 090 43880 A Repair stomach-bowel fistula 26.99 NA NA 9.42 9.77 3.26 NA NA 39.67 40.02 090 43886 A Revise gastric port, open 4.50 NA NA 3.45 3.21 0.25 NA NA 8.20 7.96 090 43887 A Remove gastric port, open 4.20 NA NA 3.00 2.83 0.51 NA NA 7.71 7.54 090 43888 A Change gastric port, open 6.30 NA NA 3.94 3.81 0.70 NA NA 10.94 10.81 090 43999 C Stomach surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44005 A Freeing of bowel adhesion 18.34 NA NA 6.67 6.70 2.14 NA NA 27.15 27.18 090 44010 A Incision of small bowel 14.14 NA NA 5.58 5.48 1.64 NA NA 21.36 21.26 090 44015 A Insert needle cath bowel 2.62 NA NA 0.69 0.83 0.35 NA NA 3.66 3.80 ZZZ 44020 A Explore small intestine 16.10 NA NA 6.06 5.96 1.85 NA NA 24.01 23.91 090 44021 A Decompress small bowel 16.19 NA NA 6.33 6.05 1.86 NA NA 24.38 24.10 090 44025 A Incision of large bowel 16.39 NA NA 6.19 6.06 1.89 NA NA 24.47 24.34 090 44050 A Reduce bowel obstruction 15.40 NA NA 5.89 5.94 1.85 NA NA 23.14 23.19 090 44055 A Correct malrotation of bowel 25.49 NA NA 8.60 8.69 2.90 NA NA 36.99 37.08 090 44100 A Biopsy of bowel 2.01 NA NA 0.88 0.75 0.17 NA NA 3.06 2.93 000 44110 A Excise intestine lesion(s) 13.92 NA NA 5.58 5.31 1.55 NA NA 21.05 20.78 090 44111 A Excision of bowel lesion(s) 16.40 NA NA 6.20 6.13 1.86 NA NA 24.46 24.39 090 44120 A Removal of small intestine 20.70 NA NA 7.24 7.11 2.24 NA NA 30.18 30.05 090 44121 A Removal of small intestine 4.44 NA NA 1.14 1.43 0.58 NA NA 6.16 6.45 ZZZ 44125 A Removal of small intestine 19.89 NA NA 7.10 7.21 2.26 NA NA 29.25 29.36 090 44126 A Enterectomy w/o taper, cong 41.94 NA NA 13.97 14.08 4.68 NA NA 60.59 60.70 090 44127 A Enterectomy w/taper, cong 49.01 NA NA 14.84 15.49 5.75 NA NA 69.60 70.25 090 44128 A Enterectomy cong, add-on 4.44 NA NA 1.07 1.42 0.61 NA NA 6.12 6.47 ZZZ 44130 A Bowel to bowel fusion 21.92 NA NA 8.05 6.67 1.87 NA NA 31.84 30.46 090 44137 C Remove intestinal allograft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44139 A Mobilization of colon 2.23 NA NA 0.56 0.71 0.28 NA NA 3.07 3.22 ZZZ 44140 A Partial removal of colon 22.40 NA NA 8.17 8.52 2.70 NA NA 33.27 33.62 090 44141 A Partial removal of colon 29.69 NA NA 11.96 10.52 2.52 NA NA 44.17 42.73 090 44143 A Partial removal of colon 27.57 NA NA 10.40 10.61 3.04 NA NA 41.01 41.22 090 44144 A Partial removal of colon 29.69 NA NA 10.75 9.90 2.85 NA NA 43.29 42.44 090 44145 A Partial removal of colon 28.39 NA NA 9.58 10.50 3.28 NA NA 41.25 42.17 090 44146 A Partial removal of colon 35.08 NA NA 13.46 13.00 3.40 NA NA 51.94 51.48 090 44147 A Partial removal of colon 33.50 NA NA 11.06 9.28 2.55 NA NA 47.11 45.33 090 44150 A Removal of colon 29.91 NA NA 12.74 12.20 3.03 NA NA 45.68 45.14 090 44151 A Removal of colon/ileostomy 34.65 NA NA 14.19 13.59 3.48 NA NA 52.32 51.72 090 44152 A Removal of colon/ileostomy 29.91 NA NA 10.53 11.33 3.51 NA NA 43.95 44.75 090 44153 A Removal of colon/ileostomy 33.18 NA NA 14.40 14.38 3.54 NA NA 51.12 51.10 090 44155 A Removal of colon/ileostomy 34.15 NA NA 13.59 13.37 3.27 NA NA 51.01 50.79 090 44156 A Removal of colon/ileostomy 37.15 NA NA 14.84 14.98 3.94 NA NA 55.93 56.07 090 44160 A Removal of colon 20.72 NA NA 7.60 7.71 2.36 NA NA 30.68 30.79 090 44180 A Lap, enterolysis 15.15 NA NA 5.87 6.14 1.85 NA NA 22.87 23.14 090 44186 A Lap, jejunostomy 10.26 NA NA 4.63 4.75 1.27 NA NA 16.16 16.28 090 44187 A Lap, ileo/jejuno-stomy 17.21 NA NA 8.25 8.27 1.95 NA NA 27.41 27.43 090 44188 A Lap, colostomy 19.14 NA NA 8.82 8.84 2.23 NA NA 30.19 30.21 090 Start Printed Page 49143 44202 A Lap, enterectomy 23.20 NA NA 8.41 8.79 2.84 NA NA 34.45 34.83 090 44203 A Lap resect s/intestine, addl 4.44 NA NA 1.14 1.41 0.57 NA NA 6.15 6.42 ZZZ 44204 A Laparo partial colectomy 26.23 NA NA 9.00 9.71 3.10 NA NA 38.33 39.04 090 44205 A Lap colectomy part w/ileum 22.80 NA NA 7.89 8.60 2.74 NA NA 33.43 34.14 090 44206 A Lap part colectomy w/stoma 29.57 NA NA 10.60 11.09 3.45 NA NA 43.62 44.11 090 44207 A L colectomy/coloproctostomy 31.73 NA NA 10.22 11.17 3.66 NA NA 45.61 46.56 090 44208 A L colectomy/coloproctostomy 33.80 NA NA 12.15 12.89 3.87 NA NA 49.82 50.56 090 44210 A Laparo total proctocolectomy 29.80 NA NA 11.27 11.72 3.41 NA NA 44.48 44.93 090 44211 A Laparo total proctocolectomy 36.79 NA NA 13.90 14.48 4.16 NA NA 54.85 55.43 090 44212 A Laparo total proctocolectomy 34.29 NA NA 13.27 13.58 3.77 NA NA 51.33 51.64 090 44213 A Lap, mobil splenic fl add-on 3.50 NA NA 0.89 1.14 0.44 NA NA 4.83 5.08 ZZZ 44227 A Lap, close enterostomy 28.43 NA NA 9.59 10.36 3.37 NA NA 41.39 42.16 090 44238 C Laparoscope proc, intestine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44300 A Open bowel to skin 13.61 NA NA 5.63 5.52 1.60 NA NA 20.84 20.73 090 44310 A Ileostomy/jejunostomy 17.45 NA NA 6.46 6.63 1.98 NA NA 25.89 26.06 090 44312 A Revision of ileostomy 9.29 NA NA 4.66 4.16 0.92 NA NA 14.87 14.37 090 44314 A Revision of ileostomy 16.55 NA NA 6.88 6.63 1.74 NA NA 25.17 24.92 090 44316 A Devise bowel pouch 23.40 NA NA 9.34 8.74 2.37 NA NA 35.11 34.51 090 44320 A Colostomy 19.69 NA NA 7.69 7.66 2.25 NA NA 29.63 29.60 090 44322 A Colostomy with biopsies 13.04 NA NA 9.47 8.80 1.54 NA NA 24.05 23.38 090 44340 A Revision of colostomy 9.06 NA NA 4.99 4.44 0.99 NA NA 15.04 14.49 090 44345 A Revision of colostomy 17.00 NA NA 6.98 6.91 1.96 NA NA 25.94 25.87 090 44346 A Revision of colostomy 19.41 NA NA 7.60 7.44 2.12 NA NA 29.13 28.97 090 44360 A Small bowel endoscopy 2.59 NA NA 1.50 1.20 0.19 NA NA 4.28 3.98 000 44361 A Small bowel endoscopy/biopsy 2.87 NA NA 1.63 1.31 0.21 NA NA 4.71 4.39 000 44363 A Small bowel endoscopy 3.49 NA NA 1.92 1.52 0.27 NA NA 5.68 5.28 000 44364 A Small bowel endoscopy 3.73 NA NA 2.00 1.62 0.27 NA NA 6.00 5.62 000 44365 A Small bowel endoscopy 3.31 NA NA 1.77 1.46 0.24 NA NA 5.32 5.01 000 44366 A Small bowel endoscopy 4.40 NA NA 2.37 1.89 0.32 NA NA 7.09 6.61 000 44369 A Small bowel endoscopy 4.51 NA NA 2.40 1.90 0.33 NA NA 7.24 6.74 000 44370 A Small bowel endoscopy/stent 4.79 NA NA 2.53 2.11 0.37 NA NA 7.69 7.27 000 44372 A Small bowel endoscopy 4.40 NA NA 2.12 1.83 0.35 NA NA 6.87 6.58 000 44373 A Small bowel endoscopy 3.49 NA NA 1.73 1.50 0.27 NA NA 5.49 5.26 000 44376 A Small bowel endoscopy 5.25 NA NA 2.44 2.13 0.42 NA NA 8.11 7.80 000 44377 A Small bowel endoscopy/biopsy 5.52 NA NA 2.77 2.29 0.40 NA NA 8.69 8.21 000 44378 A Small bowel endoscopy 7.12 NA NA 3.52 2.90 0.52 NA NA 11.16 10.54 000 44379 A S bowel endoscope w/stent 7.46 NA NA 3.28 3.00 0.62 NA NA 11.36 11.08 000 44380 A Small bowel endoscopy 1.05 NA NA 0.75 0.60 0.08 NA NA 1.88 1.73 000 44382 A Small bowel endoscopy 1.27 NA NA 0.79 0.67 0.12 NA NA 2.18 2.06 000 44383 A Ileoscopy w/stent 2.94 NA NA 1.63 1.36 0.21 NA NA 4.78 4.51 000 44385 A Endoscopy of bowel pouch 1.82 4.90 3.74 0.89 0.79 0.15 6.87 5.71 2.86 2.76 000 44386 A Endoscopy, bowel pouch/biop 2.12 6.75 6.67 1.04 0.92 0.20 9.07 8.99 3.36 3.24 000 44388 A Colonoscopy 2.82 6.11 5.34 1.34 1.20 0.26 9.19 8.42 4.42 4.28 000 44389 A Colonoscopy with biopsy 3.13 7.07 6.73 1.56 1.34 0.27 10.47 10.13 4.96 4.74 000 44390 A Colonoscopy for foreign body 3.82 7.98 7.33 1.78 1.56 0.32 12.12 11.47 5.92 5.70 000 44391 A Colonoscopy for bleeding 4.31 8.93 8.77 2.19 1.82 0.34 13.58 13.42 6.84 6.47 000 44392 A Colonoscopy & polypectomy 3.81 7.38 6.78 1.71 1.55 0.34 11.53 10.93 5.86 5.70 000 44393 A Colonoscopy, lesion removal 4.83 7.89 7.15 2.04 1.91 0.42 13.14 12.40 7.29 7.16 000 44394 A Colonoscopy w/snare 4.42 8.47 7.98 2.05 1.80 0.38 13.27 12.78 6.85 6.60 000 44397 A Colonoscopy w/stent 4.70 NA NA 2.28 1.91 0.39 NA NA 7.37 7.00 000 44500 A Intro, gastrointestinal tube 0.49 NA NA 0.15 0.16 0.03 NA NA 0.67 0.68 000 44602 A Suture, small intestine 24.60 NA NA 7.73 6.73 2.11 NA NA 34.44 33.44 090 44603 A Suture, small intestine 27.97 NA NA 9.10 7.73 2.41 NA NA 39.48 38.11 090 44604 A Suture, large intestine 18.02 NA NA 6.14 6.37 2.11 NA NA 26.27 26.50 090 44605 A Repair of bowel lesion 21.96 NA NA 7.98 8.29 2.51 NA NA 32.45 32.76 090 44615 A Intestinal stricturoplasty 18.04 NA NA 6.64 6.66 2.06 NA NA 26.74 26.76 090 44620 A Repair bowel opening 14.31 NA NA 5.55 5.38 1.51 NA NA 21.37 21.20 090 44625 A Repair bowel opening 17.16 NA NA 6.22 6.28 1.85 NA NA 25.23 25.29 090 44626 A Repair bowel opening 27.78 NA NA 9.02 9.61 3.26 NA NA 40.06 40.65 090 44640 A Repair bowel-skin fistula 24.08 NA NA 8.15 8.47 2.77 NA NA 35.00 35.32 090 44650 A Repair bowel fistula 25.00 NA NA 8.40 8.76 2.92 NA NA 36.32 36.68 090 44660 A Repair bowel-bladder fistula 23.79 NA NA 9.72 8.69 2.13 NA NA 35.64 34.61 090 44661 A Repair bowel-bladder fistula 27.23 NA NA 9.46 9.53 2.80 NA NA 39.49 39.56 090 44680 A Surgical revision, intestine 17.84 NA NA 6.64 6.49 1.99 NA NA 26.47 26.32 090 44700 A Suspend bowel w/prosthesis 17.36 NA NA 6.27 6.56 1.83 NA NA 25.46 25.75 090 44701 A Intraop colon lavage add-on 3.10 NA NA 0.78 0.99 0.37 NA NA 4.25 4.46 ZZZ Start Printed Page 49144 44715 C Prepare donor intestine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44720 A Prep donor intestine/venous 5.00 NA NA 1.25 1.60 0.37 NA NA 6.62 6.97 XXX 44721 A Prep donor intestine/artery 7.00 NA NA 1.81 2.25 0.97 NA NA 9.78 10.22 XXX 44799 C Unlisted procedure intestine 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44800 A Excision of bowel pouch 11.87 NA NA 5.56 5.43 1.47 NA NA 18.90 18.77 090 44820 A Excision of mesentery lesion 13.59 NA NA 5.66 5.53 1.59 NA NA 20.84 20.71 090 44850 A Repair of mesentery 11.99 NA NA 5.06 5.02 1.39 NA NA 18.44 18.40 090 44899 C Bowel surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44900 A Drain app abscess, open 12.38 NA NA 5.07 4.79 1.33 NA NA 18.78 18.50 090 44901 A Drain app abscess, percut 3.37 19.86 25.88 1.05 1.10 0.22 23.45 29.47 4.64 4.69 000 44950 A Appendectomy 10.48 NA NA 4.09 4.26 1.31 NA NA 15.88 16.05 090 44955 A Appendectomy add-on 1.53 NA NA 0.40 0.51 0.20 NA NA 2.13 2.24 ZZZ 44960 A Appendectomy 14.33 NA NA 5.47 5.37 1.63 NA NA 21.43 21.33 090 44970 A Laparoscopy, appendectomy 9.31 NA NA 4.24 4.12 1.14 NA NA 14.69 14.57 090 44979 C Laparoscope proc, app 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 45000 A Drainage of pelvic abscess 6.16 NA NA 3.56 3.11 0.52 NA NA 10.24 9.79 090 45005 A Drainage of rectal abscess 1.99 4.00 4.04 1.60 1.59 0.25 6.24 6.28 3.84 3.83 010 45020 A Drainage of rectal abscess 8.37 NA NA 4.58 3.60 0.55 NA NA 13.50 12.52 090 45100 A Biopsy of rectum 3.92 NA NA 2.84 2.48 0.44 NA NA 7.20 6.84 090 45108 A Removal of anorectal lesion 5.00 NA NA 3.08 2.85 0.59 NA NA 8.67 8.44 090 45110 A Removal of rectum 30.49 NA NA 11.98 12.29 3.35 NA NA 45.82 46.13 090 45111 A Partial removal of rectum 17.81 NA NA 7.08 7.14 2.06 NA NA 26.95 27.01 090 45112 A Removal of rectum 32.99 NA NA 10.39 11.42 3.42 NA NA 46.80 47.83 090 45113 A Partial proctectomy 33.03 NA NA 11.60 12.34 3.48 NA NA 48.11 48.85 090 45114 A Partial removal of rectum 30.57 NA NA 10.45 10.77 3.35 NA NA 44.37 44.69 090 45116 A Partial removal of rectum 27.50 NA NA 9.50 9.89 2.87 NA NA 39.87 40.26 090 45119 A Remove rectum w/reservoir 33.29 NA NA 11.71 12.27 3.35 NA NA 48.35 48.91 090 45120 A Removal of rectum 26.15 NA NA 9.44 9.95 2.89 NA NA 38.48 38.99 090 45121 A Removal of rectum and colon 28.83 NA NA 10.34 10.91 3.24 NA NA 42.41 42.98 090 45123 A Partial proctectomy 18.64 NA NA 7.07 6.91 1.85 NA NA 27.56 27.40 090 45126 A Pelvic exenteration 48.81 NA NA 17.39 18.75 4.32 NA NA 70.52 71.88 090 45130 A Excision of rectal prolapse 18.31 NA NA 6.73 6.75 1.79 NA NA 26.83 26.85 090 45135 A Excision of rectal prolapse 22.07 NA NA 9.28 8.63 2.35 NA NA 33.70 33.05 090 45136 A Excise ileoanal reservior 30.55 NA NA 11.86 12.35 2.81 NA NA 45.22 45.71 090 45150 A Excision of rectal stricture 5.72 NA NA 3.40 3.07 0.61 NA NA 9.73 9.40 090 45160 A Excision of rectal lesion 16.11 NA NA 6.59 6.63 1.67 NA NA 24.37 24.41 090 45170 A Excision of rectal lesion 12.42 NA NA 5.41 5.28 1.35 NA NA 19.18 19.05 090 45190 A Destruction, rectal tumor 10.23 NA NA 5.55 4.85 1.13 NA NA 16.91 16.21 090 45300 A Proctosigmoidoscopy dx 0.38 2.00 1.65 0.35 0.30 0.04 2.42 2.07 0.77 0.72 000 45303 A Proctosigmoidoscopy dilate 0.44 19.63 18.92 0.38 0.34 0.05 20.12 19.41 0.87 0.83 000 45305 A Proctosigmoidoscopy w/bx 1.01 3.31 2.80 0.53 0.51 0.11 4.43 3.92 1.65 1.63 000 45307 A Proctosigmoidoscopy fb 0.94 3.52 3.15 0.51 0.49 0.11 4.57 4.20 1.56 1.54 000 45308 A Proctosigmoidoscopy removal 0.83 3.30 2.32 0.49 0.45 0.09 4.22 3.24 1.41 1.37 000 45309 A Proctosigmoidoscopy removal 2.01 3.73 3.04 0.83 0.84 0.22 5.96 5.27 3.06 3.07 000 45315 A Proctosigmoidoscopy removal 1.40 3.74 3.08 0.65 0.64 0.15 5.29 4.63 2.20 2.19 000 45317 A Proctosigmoidoscopy bleed 1.50 3.83 2.78 0.66 0.66 0.15 5.48 4.43 2.31 2.31 000 45320 A Proctosigmoidoscopy ablate 1.58 4.49 3.31 0.75 0.72 0.16 6.23 5.05 2.49 2.46 000 45321 A Proctosigmoidoscopy volvul 1.17 NA NA 0.65 0.58 0.13 NA NA 1.95 1.88 000 45327 A Proctosigmoidoscopy w/stent 1.65 NA NA 0.83 0.73 0.16 NA NA 2.64 2.54 000 45330 A Diagnostic sigmoidoscopy 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000 45331 A Sigmoidoscopy and biopsy 1.15 3.24 3.11 0.78 0.64 0.09 4.48 4.35 2.02 1.88 000 45332 A Sigmoidoscopy w/fb removal 1.79 5.62 5.16 1.02 0.86 0.16 7.57 7.11 2.97 2.81 000 45333 A Sigmoidoscopy & polypectomy 1.79 5.63 5.06 0.98 0.85 0.15 7.57 7.00 2.92 2.79 000 45334 A Sigmoidoscopy for bleeding 2.73 NA NA 1.52 1.24 0.20 NA NA 4.45 4.17 000 45335 A Sigmoidoscopy w/submuc inj 1.46 5.32 3.74 0.90 0.74 0.11 6.89 5.31 2.47 2.31 000 45337 A Sigmoidoscopy & decompress 2.36 NA NA 1.23 1.06 0.21 NA NA 3.80 3.63 000 Start Printed Page 49145 45338 A Sigmoidoscopy w/tumr remove 2.34 5.85 5.37 1.26 1.07 0.19 8.38 7.90 3.79 3.60 000 45339 A Sigmoidoscopy w/ablate tumr 3.14 5.73 4.03 1.66 1.38 0.26 9.13 7.43 5.06 4.78 000 45340 A Sig w/balloon dilation 1.89 10.25 7.19 1.03 0.88 0.15 12.29 9.23 3.07 2.92 000 45341 A Sigmoidoscopy w/ultrasound 2.60 NA NA 1.45 1.17 0.19 NA NA 4.24 3.96 000 45342 A Sigmoidoscopy w/us guide bx 4.05 NA NA 2.15 1.69 0.30 NA NA 6.50 6.04 000 45345 A Sigmoidoscopy w/stent 2.92 NA NA 1.53 1.25 0.23 NA NA 4.68 4.40 000 45355 A Surgical colonoscopy 3.51 NA NA 1.55 1.42 0.36 NA NA 5.42 5.29 000 45378 A Diagnostic colonoscopy 3.69 6.36 6.20 1.81 1.56 0.30 10.35 10.19 5.80 5.55 000 45378 53 A Diagnostic colonoscopy 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000 45379 A Colonoscopy w/fb removal 4.68 8.14 7.78 2.20 1.91 0.39 13.21 12.85 7.27 6.98 000 45380 A Colonoscopy and biopsy 4.43 7.71 7.32 2.22 1.85 0.35 12.49 12.10 7.00 6.63 000 45381 A Colonoscopy, submucous inj 4.19 7.68 7.25 2.14 1.77 0.30 12.17 11.74 6.63 6.26 000 45382 A Colonoscopy/control bleeding 5.68 10.31 10.03 2.87 2.35 0.41 16.40 16.12 8.96 8.44 000 45383 A Lesion removal colonoscopy 5.86 8.54 8.08 2.63 2.32 0.48 14.88 14.42 8.97 8.66 000 45384 A Lesion remove colonoscopy 4.69 7.20 6.90 2.19 1.91 0.38 12.27 11.97 7.26 6.98 000 45385 A Lesion removal colonoscopy 5.30 8.33 7.93 2.57 2.17 0.42 14.05 13.65 8.29 7.89 000 45386 A Colonoscopy dilate stricture 4.57 12.31 12.38 2.16 1.88 0.39 17.27 17.34 7.12 6.84 000 45387 A Colonoscopy w/stent 5.90 NA NA 2.89 2.47 0.48 NA NA 9.27 8.85 000 45391 A Colonoscopy w/endoscope us 5.09 NA NA 2.54 2.11 0.42 NA NA 8.05 7.62 000 45392 A Colonoscopy w/endoscopic fnb 6.54 NA NA 3.10 2.64 0.42 NA NA 10.06 9.60 000 45395 A Lap, removal of rectum 32.71 NA NA 13.06 13.52 3.62 NA NA 49.39 49.85 090 45397 A Lap, remove rectum w/pouch 36.21 NA NA 13.59 14.09 3.66 NA NA 53.46 53.96 090 45400 A Laparoscopic proctopexy 19.25 NA NA 7.18 7.67 2.02 NA NA 28.45 28.94 090 45402 A Lap proctopexy w/sig resect 26.32 NA NA 8.87 9.70 2.81 NA NA 38.00 38.83 090 45499 C Laparoscope proc, rectum 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 45500 A Repair of rectum 7.58 NA NA 4.35 3.74 0.75 NA NA 12.68 12.07 090 45505 A Repair of rectum 8.14 NA NA 5.11 4.17 0.86 NA NA 14.11 13.17 090 45520 A Treatment of rectal prolapse 0.55 3.07 2.00 0.41 0.38 0.05 3.67 2.60 1.01 0.98 000 45540 A Correct rectal prolapse 17.98 NA NA 5.89 6.57 1.84 NA NA 25.71 26.39 090 45541 A Correct rectal prolapse 14.66 NA NA 6.59 6.10 1.55 NA NA 22.80 22.31 090 45550 A Repair rectum/remove sigmoid 24.61 NA NA 9.02 9.16 2.61 NA NA 36.24 36.38 090 45560 A Repair of rectocele 11.38 NA NA 5.52 5.17 1.13 NA NA 18.03 17.68 090 45562 A Exploration/repair of rectum 17.74 NA NA 8.17 7.28 1.83 NA NA 27.74 26.85 090 45563 A Exploration/repair of rectum 26.14 NA NA 10.97 10.63 3.10 NA NA 40.21 39.87 090 45800 A Repair rect/bladder fistula 20.12 NA NA 9.23 7.87 1.85 NA NA 31.20 29.84 090 45805 A Repair fistula w/colostomy 23.13 NA NA 9.26 9.44 2.02 NA NA 34.41 34.59 090 45820 A Repair rectourethral fistula 20.18 NA NA 9.29 8.04 1.58 NA NA 31.05 29.80 090 45825 A Repair fistula w/colostomy 23.93 NA NA 10.94 10.09 2.31 NA NA 37.18 36.33 090 45900 A Reduction of rectal prolapse 2.94 NA NA 1.70 1.55 0.30 NA NA 4.94 4.79 010 45905 A Dilation of anal sphincter 2.30 NA NA 1.65 1.49 0.27 NA NA 4.22 4.06 010 45910 A Dilation of rectal narrowing 2.80 NA NA 1.80 1.70 0.30 NA NA 4.90 4.80 010 45915 A Remove rectal obstruction 3.14 4.26 4.31 2.04 2.08 0.30 7.70 7.75 5.48 5.52 010 45990 A Surg dx exam, anorectal 1.80 NA NA 0.78 0.79 0.17 NA NA 2.75 2.76 000 45999 C Rectum surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 46020 A Placement of seton 2.90 3.29 2.57 2.37 1.98 0.31 6.50 5.78 5.58 5.19 010 46030 A Removal of rectal marker 1.23 1.90 1.49 0.81 0.74 0.14 3.27 2.86 2.18 2.11 010 46040 A Incision of rectal abscess 5.20 6.58 5.76 4.01 3.69 0.62 12.40 11.58 9.83 9.51 090 46045 A Incision of rectal abscess 5.75 NA NA 3.93 3.15 0.54 NA NA 10.22 9.44 090 46050 A Incision of anal abscess 1.19 3.21 2.71 0.98 0.88 0.14 4.54 4.04 2.31 2.21 010 46060 A Incision of rectal abscess 6.18 NA NA 3.99 3.43 0.67 NA NA 10.84 10.28 090 46070 A Incision of anal septum 2.71 NA NA 2.35 1.96 0.36 NA NA 5.42 5.03 090 46080 A Incision of anal sphincter 2.49 3.09 2.54 1.13 1.13 0.30 5.88 5.33 3.92 3.92 010 46083 A Incise external hemorrhoid 1.40 2.36 2.48 0.95 0.93 0.15 3.91 4.03 2.50 2.48 010 46200 A Removal of anal fissure 3.41 6.32 4.47 3.74 3.08 0.39 10.12 8.27 7.54 6.88 090 46210 A Removal of anal crypt 2.67 6.00 5.33 3.39 2.81 0.31 8.98 8.31 6.37 5.79 090 46211 A Removal of anal crypts 4.24 7.18 5.85 4.13 3.66 0.48 11.90 10.57 8.85 8.38 090 46220 A Removal of anal tag 1.56 3.01 2.47 1.10 0.99 0.17 4.74 4.20 2.83 2.72 010 46221 A Ligation of hemorrhoid(s) 2.29 3.75 2.92 2.00 1.81 0.23 6.27 5.44 4.52 4.33 010 46230 A Removal of anal tags 2.57 3.52 3.18 1.34 1.30 0.30 6.39 6.05 4.21 4.17 010 46250 A Hemorrhoidectomy 4.13 6.02 5.48 2.86 2.67 0.48 10.63 10.09 7.47 7.28 090 46255 A Hemorrhoidectomy 4.84 6.44 5.98 3.12 2.90 0.58 11.86 11.40 8.54 8.32 090 46257 A Remove hemorrhoids & fissure 5.64 NA NA 3.80 3.10 0.64 NA NA 10.08 9.38 090 46258 A Remove hemorrhoids & fistula 6.22 NA NA 4.01 3.46 0.68 NA NA 10.91 10.36 090 46260 A Hemorrhoidectomy 6.61 NA NA 4.06 3.40 0.76 NA NA 11.43 10.77 090 46261 A Remove hemorrhoids & fissure 7.57 NA NA 4.32 3.78 0.79 NA NA 12.68 12.14 090 46262 A Remove hemorrhoids & fistula 7.74 NA NA 4.68 3.97 0.83 NA NA 13.25 12.54 090 Start Printed Page 49146 46270 A Removal of anal fistula 4.75 6.33 5.33 3.91 3.10 0.46 11.54 10.54 9.12 8.31 090 46275 A Removal of anal fistula 5.25 6.66 5.14 4.00 3.23 0.52 12.43 10.91 9.77 9.00 090 46280 A Removal of anal fistula 6.22 NA NA 4.26 3.50 0.66 NA NA 11.14 10.38 090 46285 A Removal of anal fistula 5.25 6.54 4.46 3.95 3.04 0.44 12.23 10.15 9.64 8.73 090 46288 A Repair anal fistula 7.62 NA NA 4.67 3.92 0.79 NA NA 13.08 12.33 090 46320 A Removal of hemorrhoid clot 1.61 2.42 2.20 0.89 0.86 0.18 4.21 3.99 2.68 2.65 010 46500 A Injection into hemorrhoid(s) 1.61 3.61 2.49 1.25 1.18 0.16 5.38 4.26 3.02 2.95 010 46505 A Chemodenervation anal musc 3.11 3.30 3.11 2.31 2.05 0.14 6.55 6.36 5.56 5.30 010 46600 A Diagnostic anoscopy 0.50 1.48 1.54 0.37 0.35 0.05 2.03 2.09 0.92 0.90 000 46604 A Anoscopy and dilation 1.31 12.65 10.00 0.58 0.61 0.12 14.08 11.43 2.01 2.04 000 46606 A Anoscopy and biopsy 0.81 4.02 3.84 0.48 0.44 0.09 4.92 4.74 1.38 1.34 000 46608 A Anoscopy, remove for body 1.51 4.06 4.32 0.62 0.64 0.16 5.73 5.99 2.29 2.31 000 46610 A Anoscopy, remove lesion 1.32 4.29 4.10 0.66 0.62 0.15 5.76 5.57 2.13 2.09 000 46611 A Anoscopy 1.81 2.88 3.22 0.72 0.77 0.19 4.88 5.22 2.72 2.77 000 46612 A Anoscopy, remove lesions 2.34 5.51 5.26 0.95 0.97 0.28 8.13 7.88 3.57 3.59 000 46614 A Anoscopy, control bleeding 2.01 2.78 2.44 0.82 0.84 0.20 4.99 4.65 3.03 3.05 000 46615 A Anoscopy 2.68 2.43 2.47 0.97 1.05 0.33 5.44 5.48 3.98 4.06 000 46700 A Repair of anal stricture 9.62 NA NA 4.72 4.33 0.94 NA NA 15.28 14.89 090 46705 A Repair of anal stricture 7.25 NA NA 4.08 3.78 0.91 NA NA 12.24 11.94 090 46706 A Repr of anal fistula w/glue 2.39 NA NA 1.45 1.30 0.28 NA NA 4.12 3.97 010 46710 A Repr per/vag pouch sngl proc 16.95 NA NA 7.79 7.76 1.38 NA NA 26.12 26.09 090 46712 A Repr per/vag pouch dbl proc 36.26 NA NA 14.16 14.82 3.66 NA NA 54.08 54.74 090 46715 A Rep perf anoper fistu 7.49 NA NA 3.77 3.62 0.92 NA NA 12.18 12.03 090 46716 A Rep perf anoper/vestib fistu 17.04 NA NA 9.66 8.39 1.58 NA NA 28.28 27.01 090 46730 A Construction of absent anus 30.05 NA NA 11.66 11.93 2.46 NA NA 44.17 44.44 090 46735 A Construction of absent anus 35.54 NA NA 13.36 13.50 3.20 NA NA 52.10 52.24 090 46740 A Construction of absent anus 33.30 NA NA 14.66 13.58 2.41 NA NA 50.37 49.29 090 46742 A Repair of imperforated anus 39.54 NA NA 16.19 17.08 3.19 NA NA 58.92 59.81 090 46744 A Repair of cloacal anomaly 58.34 NA NA 21.08 21.10 6.38 NA NA 85.80 85.82 090 46746 A Repair of cloacal anomaly 64.79 NA NA 19.85 23.82 7.68 NA NA 92.32 96.29 090 46748 A Repair of cloacal anomaly 70.77 NA NA 21.25 23.04 3.36 NA NA 95.38 97.17 090 46750 A Repair of anal sphincter 11.96 NA NA 5.81 5.24 1.10 NA NA 18.87 18.30 090 46751 A Repair of anal sphincter 9.12 NA NA 4.45 5.17 0.94 NA NA 14.51 15.23 090 46753 A Reconstruction of anus 8.77 NA NA 4.61 4.03 0.94 NA NA 14.32 13.74 090 46754 A Removal of suture from anus 2.82 3.73 3.63 2.27 1.82 0.19 6.74 6.64 5.28 4.83 010 46760 A Repair of anal sphincter 17.11 NA NA 8.26 7.38 1.59 NA NA 26.96 26.08 090 46761 A Repair of anal sphincter 15.10 NA NA 6.45 6.11 1.43 NA NA 22.98 22.64 090 46762 A Implant artificial sphincter 14.58 NA NA 6.79 5.83 1.24 NA NA 22.61 21.65 090 46900 A Destruction, anal lesion(s) 1.91 3.62 2.84 1.30 1.28 0.17 5.70 4.92 3.38 3.36 010 46910 A Destruction, anal lesion(s) 1.86 3.88 3.15 1.20 1.10 0.19 5.93 5.20 3.25 3.15 010 46916 A Cryosurgery, anal lesion(s) 1.86 3.70 3.29 1.54 1.43 0.11 5.67 5.26 3.51 3.40 010 46917 A Laser surgery, anal lesions 1.86 8.73 9.02 1.21 1.14 0.21 10.80 11.09 3.28 3.21 010 46922 A Excision of anal lesion(s) 1.86 4.15 3.49 1.20 1.10 0.22 6.23 5.57 3.28 3.18 010 46924 A Destruction, anal lesion(s) 2.76 9.61 8.91 1.52 1.39 0.26 12.63 11.93 4.54 4.41 010 46934 A Destruction of hemorrhoids 3.75 5.41 5.16 2.80 2.91 0.32 9.48 9.23 6.87 6.98 090 46935 A Destruction of hemorrhoids 2.43 3.70 3.52 1.08 1.18 0.23 6.36 6.18 3.74 3.84 010 46936 A Destruction of hemorrhoids 3.68 6.16 5.19 2.60 2.52 0.34 10.18 9.21 6.62 6.54 090 46937 A Cryotherapy of rectal lesion 2.69 4.01 3.08 1.80 1.37 0.14 6.84 5.91 4.63 4.20 010 46938 A Cryotherapy of rectal lesion 4.65 5.85 4.46 3.66 3.20 0.58 11.08 9.69 8.89 8.43 090 46940 A Treatment of anal fissure 2.32 2.85 2.21 1.04 1.08 0.23 5.40 4.76 3.59 3.63 010 46942 A Treatment of anal fissure 2.04 2.80 2.07 0.95 1.00 0.19 5.03 4.30 3.18 3.23 010 46945 A Ligation of hemorrhoids 2.09 4.83 3.65 3.00 2.60 0.19 7.11 5.93 5.28 4.88 090 46946 A Ligation of hemorrhoids 2.58 4.65 3.95 2.66 2.46 0.27 7.50 6.80 5.51 5.31 090 46947 A Hemorrhoidopexy by stapling 5.45 NA NA 3.12 2.81 0.75 NA NA 9.32 9.01 090 46999 C Anus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47000 A Needle biopsy of liver 1.90 7.68 4.22 0.63 0.63 0.12 9.70 6.24 2.65 2.65 000 Start Printed Page 49147 47001 A Needle biopsy, liver add-on 1.90 NA NA 0.49 0.61 0.25 NA NA 2.64 2.76 ZZZ 47010 A Open drainage, liver lesion 19.21 NA NA 8.34 8.38 1.80 NA NA 29.35 29.39 090 47011 A Percut drain, liver lesion 3.69 NA NA 1.18 1.20 0.22 NA NA 5.09 5.11 000 47015 A Inject/aspirate liver cyst 18.31 NA NA 7.92 7.59 1.83 NA NA 28.06 27.73 090 47100 A Wedge biopsy of liver 12.72 NA NA 6.39 6.12 1.53 NA NA 20.64 20.37 090 47120 A Partial removal of liver 38.74 NA NA 14.23 14.91 4.65 NA NA 57.62 58.30 090 47122 A Extensive removal of liver 59.29 NA NA 19.03 20.84 7.19 NA NA 85.51 87.32 090 47125 A Partial removal of liver 52.85 NA NA 17.27 18.94 6.45 NA NA 76.57 78.24 090 47130 A Partial removal of liver 57.00 NA NA 18.28 20.29 6.94 NA NA 82.22 84.23 090 47135 R Transplantation of liver 83.15 NA NA 28.01 30.63 9.93 NA NA 121.09 123.71 090 47136 R Transplantation of liver 70.25 NA NA 23.80 26.21 8.41 NA NA 102.46 104.87 090 47140 A Partial removal, donor liver 59.14 NA NA 21.89 22.18 5.17 NA NA 86.20 86.49 090 47141 A Partial removal, donor liver 71.17 NA NA 25.67 26.59 5.17 NA NA 102.01 102.93 090 47142 A Partial removal, donor liver 79.11 NA NA 27.72 29.03 5.17 NA NA 112.00 113.31 090 47143 C Prep donor liver, whole 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 47144 C Prep donor liver, 3-segment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090 47145 C Prep donor liver, lobe split 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090 47146 A Prep donor liver/venous 6.00 NA NA 1.54 1.92 0.83 NA NA 8.37 8.75 XXX 47147 A Prep donor liver/arterial 7.00 NA NA 1.80 2.24 0.97 NA NA 9.77 10.21 XXX 47300 A Surgery for liver lesion 17.95 NA NA 7.71 7.34 1.98 NA NA 27.64 27.27 090 47350 A Repair liver wound 22.30 NA NA 8.95 8.88 2.58 NA NA 33.83 33.76 090 47360 A Repair liver wound 31.12 NA NA 11.51 11.56 3.37 NA NA 46.00 46.05 090 47361 A Repair liver wound 52.41 NA NA 16.93 18.12 5.85 NA NA 75.19 76.38 090 47362 A Repair liver wound 23.35 NA NA 9.35 8.87 2.50 NA NA 35.20 34.72 090 47370 A Laparo ablate liver tumor rf 20.61 NA NA 7.75 8.04 2.55 NA NA 30.91 31.20 090 47371 A Laparo ablate liver cryosurg 20.61 NA NA 8.16 8.15 2.60 NA NA 31.37 31.36 090 47379 C Laparoscope procedure, liver 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47380 A Open ablate liver tumor rf 24.37 NA NA 8.69 9.19 2.86 NA NA 35.92 36.42 090 47381 A Open ablate liver tumor cryo 24.64 NA NA 9.23 9.49 2.84 NA NA 36.71 36.97 090 47382 A Percut ablate liver rf 15.17 NA NA 5.68 5.97 0.96 NA NA 21.81 22.10 010 47399 C Liver surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47400 A Incision of liver duct 36.17 NA NA 13.24 13.38 3.07 NA NA 52.48 52.62 090 47420 A Incision of bile duct 21.86 NA NA 8.69 8.74 2.62 NA NA 33.17 33.22 090 47425 A Incision of bile duct 22.14 NA NA 8.70 8.78 2.61 NA NA 33.45 33.53 090 47460 A Incise bile duct sphincter 20.35 NA NA 9.06 8.54 2.20 NA NA 31.61 31.09 090 47480 A Incision of gallbladder 13.06 NA NA 6.72 6.11 1.42 NA NA 21.20 20.59 090 47490 A Incision of gallbladder 8.00 NA NA 5.02 5.43 0.43 NA NA 13.45 13.86 090 47500 A Injection for liver x-rays 1.96 NA NA 0.64 0.64 0.12 NA NA 2.72 2.72 000 47505 A Injection for liver x-rays 0.76 NA NA 0.25 0.25 0.04 NA NA 1.05 1.05 000 47510 A Insert catheter, bile duct 7.88 NA NA 4.35 4.85 0.46 NA NA 12.69 13.19 090 47511 A Insert bile duct drain 10.72 NA NA 4.67 4.98 0.62 NA NA 16.01 16.32 090 47525 A Change bile duct catheter 5.54 14.92 15.05 2.51 2.73 0.33 20.79 20.92 8.38 8.60 010 47530 A Revise/reinsert bile tube 5.90 30.79 33.03 3.26 3.60 0.37 37.06 39.30 9.53 9.87 090 47550 A Bile duct endoscopy add-on 3.02 NA NA 0.79 0.96 0.40 NA NA 4.21 4.38 ZZZ 47552 A Biliary endoscopy thru skin 6.03 NA NA 2.32 2.36 0.42 NA NA 8.77 8.81 000 47553 A Biliary endoscopy thru skin 6.34 NA NA 2.05 2.06 0.37 NA NA 8.76 8.77 000 47554 A Biliary endoscopy thru skin 9.05 NA NA 3.12 3.29 0.96 NA NA 13.13 13.30 000 47555 A Biliary endoscopy thru skin 7.55 NA NA 2.50 2.47 0.45 NA NA 10.50 10.47 000 47556 A Biliary endoscopy thru skin 8.55 NA NA 2.77 2.78 0.50 NA NA 11.82 11.83 000 47560 A Laparoscopy w/cholangio 4.88 NA NA 1.26 1.57 0.65 NA NA 6.79 7.10 000 47561 A Laparo w/cholangio/biopsy 5.17 NA NA 1.57 1.83 0.66 NA NA 7.40 7.66 000 47562 A Laparoscopic cholecystectomy 11.57 NA NA 5.32 5.07 1.46 NA NA 18.35 18.10 090 47563 A Laparo cholecystectomy/graph 11.98 NA NA 5.13 5.25 1.58 NA NA 18.69 18.81 090 47564 A Laparo cholecystectomy/explr 14.21 NA NA 5.50 5.83 1.88 NA NA 21.59 21.92 090 47570 A Laparo cholecystoenterostomy 12.56 NA NA 5.10 5.30 1.65 NA NA 19.31 19.51 090 47579 C Laparoscope proc, biliary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47600 A Removal of gallbladder 15.44 NA NA 6.82 6.30 1.79 NA NA 24.05 23.53 090 47605 A Removal of gallbladder 15.86 NA NA 6.46 6.48 1.94 NA NA 24.26 24.28 090 47610 A Removal of gallbladder 20.80 NA NA 7.78 7.89 2.48 NA NA 31.06 31.17 090 47612 A Removal of gallbladder 21.09 NA NA 7.78 7.85 2.47 NA NA 31.34 31.41 090 47620 A Removal of gallbladder 22.95 NA NA 8.29 8.46 2.73 NA NA 33.97 34.14 090 47630 A Remove bile duct stone 9.52 NA NA 4.55 4.80 0.65 NA NA 14.72 14.97 090 47700 A Exploration of bile ducts 16.32 NA NA 7.33 7.38 2.06 NA NA 25.71 25.76 090 47701 A Bile duct revision 28.55 NA NA 10.18 11.15 3.67 NA NA 42.40 43.37 090 47711 A Excision of bile duct tumor 25.71 NA NA 9.68 9.85 3.04 NA NA 38.43 38.60 090 47712 A Excision of bile duct tumor 33.53 NA NA 11.69 12.22 3.92 NA NA 49.14 49.67 090 Start Printed Page 49148 47715 A Excision of bile duct cyst 21.36 NA NA 8.64 8.48 2.48 NA NA 32.48 32.32 090 47716 A Fusion of bile duct cyst 19.01 NA NA 7.99 7.86 2.14 NA NA 29.14 29.01 090 47720 A Fuse gallbladder & bowel 18.15 NA NA 7.80 7.55 2.10 NA NA 28.05 27.80 090 47721 A Fuse upper gi structures 21.80 NA NA 8.69 8.59 2.52 NA NA 33.01 32.91 090 47740 A Fuse gallbladder & bowel 21.04 NA NA 8.56 8.41 2.41 NA NA 32.01 31.86 090 47741 A Fuse gallbladder & bowel 24.02 NA NA 9.33 9.29 2.82 NA NA 36.17 36.13 090 47760 A Fuse bile ducts and bowel 38.08 NA NA 13.24 11.43 3.41 NA NA 54.73 52.92 090 47765 A Fuse liver ducts & bowel 51.95 NA NA 17.09 12.36 3.29 NA NA 72.33 67.60 090 47780 A Fuse bile ducts and bowel 42.08 NA NA 14.27 11.96 3.49 NA NA 59.84 57.53 090 47785 A Fuse bile ducts and bowel 55.95 NA NA 18.09 14.19 4.09 NA NA 78.13 74.23 090 47800 A Reconstruction of bile ducts 25.98 NA NA 9.84 9.99 3.07 NA NA 38.89 39.04 090 47801 A Placement, bile duct support 17.41 NA NA 8.19 8.15 1.16 NA NA 26.76 26.72 090 47802 A Fuse liver duct & intestine 24.74 NA NA 9.64 9.65 2.85 NA NA 37.23 37.24 090 47900 A Suture bile duct injury 22.25 NA NA 8.82 8.84 2.64 NA NA 33.71 33.73 090 47999 C Bile tract surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 48000 A Drainage of abdomen 31.76 NA NA 11.07 11.39 3.47 NA NA 46.30 46.62 090 48001 A Placement of drain, pancreas 39.50 NA NA 12.81 13.60 4.68 NA NA 56.99 57.78 090 48005 A Resect/debride pancreas 48.97 NA NA 16.10 16.43 5.54 NA NA 70.61 70.94 090 48020 A Removal of pancreatic stone 18.90 NA NA 7.68 7.39 2.12 NA NA 28.70 28.41 090 48100 A Biopsy of pancreas, open 14.34 NA NA 5.96 5.68 1.62 NA NA 21.92 21.64 090 48102 A Needle biopsy, pancreas 4.67 9.57 8.36 1.74 1.89 0.28 14.52 13.31 6.69 6.84 010 48120 A Removal of pancreas lesion 18.29 NA NA 6.98 6.88 2.09 NA NA 27.36 27.26 090 48140 A Partial removal of pancreas 26.13 NA NA 9.48 9.51 3.02 NA NA 38.63 38.66 090 48145 A Partial removal of pancreas 27.20 NA NA 9.83 9.82 3.17 NA NA 40.20 40.19 090 48146 A Pancreatectomy 30.34 NA NA 12.02 11.98 3.49 NA NA 45.85 45.81 090 48148 A Removal of pancreatic duct 20.20 NA NA 8.14 7.73 2.29 NA NA 30.63 30.22 090 48150 A Partial removal of pancreas 52.55 NA NA 18.29 19.18 6.30 NA NA 77.14 78.03 090 48152 A Pancreatectomy 48.39 NA NA 16.84 17.85 5.78 NA NA 71.01 72.02 090 48153 A Pancreatectomy 52.53 NA NA 18.15 19.18 6.29 NA NA 76.97 78.00 090 48154 A Pancreatectomy 48.62 NA NA 17.15 17.95 5.82 NA NA 71.59 72.39 090 48155 A Removal of pancreas 29.19 NA NA 12.09 11.76 3.26 NA NA 44.54 44.21 090 48180 A Fuse pancreas and bowel 27.90 NA NA 10.01 10.11 3.27 NA NA 41.18 41.28 090 48400 A Injection, intraop add-on 1.95 NA NA 0.84 0.69 0.15 NA NA 2.94 2.79 ZZZ 48500 A Surgery of pancreatic cyst 17.97 NA NA 8.12 7.52 2.02 NA NA 28.11 27.51 090 48510 A Drain pancreatic pseudocyst 17.00 NA NA 7.64 7.48 1.82 NA NA 26.46 26.30 090 48511 A Drain pancreatic pseudocyst 3.99 20.24 20.73 1.27 1.30 0.24 24.47 24.96 5.50 5.53 000 48520 A Fuse pancreas cyst and bowel 18.03 NA NA 6.85 6.73 2.05 NA NA 26.93 26.81 090 48540 A Fuse pancreas cyst and bowel 21.82 NA NA 7.81 8.03 2.60 NA NA 32.23 32.45 090 48545 A Pancreatorrhaphy 22.04 NA NA 8.16 8.02 2.37 NA NA 32.57 32.43 090 48547 A Duodenal exclusion 30.19 NA NA 10.36 10.44 3.41 NA NA 43.96 44.04 090 48551 C Prep donor pancreas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48552 A Prep donor pancreas/venous 4.30 NA NA 1.14 1.38 0.31 NA NA 5.75 5.99 XXX 48554 R Transpl allograft pancreas 36.77 NA NA 20.69 18.86 4.18 NA NA 61.64 59.81 090 48556 A Removal, allograft pancreas 19.16 NA NA 9.48 8.42 2.07 NA NA 30.71 29.65 090 48999 C Pancreas surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49000 A Exploration of abdomen 12.40 NA NA 5.25 5.34 1.52 NA NA 19.17 19.26 090 49002 A Reopening of abdomen 17.51 NA NA 6.47 5.38 1.37 NA NA 25.35 24.26 090 49010 A Exploration behind abdomen 15.94 NA NA 6.36 6.01 1.51 NA NA 23.81 23.46 090 49020 A Drain abdominal abscess 26.38 NA NA 9.95 10.12 2.84 NA NA 39.17 39.34 090 49021 A Drain abdominal abscess 3.37 19.73 20.72 1.08 1.10 0.20 23.30 24.29 4.65 4.67 000 49040 A Drain, open, abdom abscess 16.35 NA NA 6.57 6.45 1.69 NA NA 24.61 24.49 090 49041 A Drain, percut, abdom abscess 3.99 19.97 19.63 1.28 1.30 0.24 24.20 23.86 5.51 5.53 000 49060 A Drain, open, retrop abscess 18.36 NA NA 7.30 7.39 1.74 NA NA 27.40 27.49 090 49061 A Drain, percut, retroper absc 3.69 19.83 19.67 1.18 1.20 0.22 23.74 23.58 5.09 5.11 000 49062 A Drain to peritoneal cavity 12.08 NA NA 5.26 5.38 1.39 NA NA 18.73 18.85 090 49080 A Puncture, peritoneal cavity 1.35 2.72 3.67 0.44 0.46 0.08 4.15 5.10 1.87 1.89 000 Start Printed Page 49149 49081 A Removal of abdominal fluid 1.26 2.93 2.67 0.44 0.43 0.09 4.28 4.02 1.79 1.78 000 49085 A Remove abdomen foreign body 13.97 NA NA 5.61 5.52 1.62 NA NA 21.20 21.11 090 49180 A Biopsy, abdominal mass 1.73 2.43 2.93 0.55 0.57 0.10 4.26 4.76 2.38 2.40 000 49200 A Removal of abdominal lesion 10.89 NA NA 4.90 4.99 1.24 NA NA 17.03 17.12 090 49201 A Remove abdom lesion, complex 15.60 NA NA 6.48 6.89 1.87 NA NA 23.95 24.36 090 49215 A Excise sacral spine tumor 37.60 NA NA 12.80 13.73 4.37 NA NA 54.77 55.70 090 49220 A Multiple surgery, abdomen 15.64 NA NA 6.30 6.54 1.88 NA NA 23.82 24.06 090 49250 A Excision of umbilicus 8.88 NA NA 4.32 4.28 1.08 NA NA 14.28 14.24 090 49255 A Removal of omentum 12.35 NA NA 5.68 5.62 1.43 NA NA 19.46 19.40 090 49320 A Diag laparo separate proc 5.34 NA NA 2.54 2.61 0.65 NA NA 8.53 8.60 010 49321 A Laparoscopy, biopsy 5.39 NA NA 2.59 2.63 0.70 NA NA 8.68 8.72 010 49322 A Laparoscopy, aspiration 5.94 NA NA 2.66 2.91 0.71 NA NA 9.31 9.56 010 49323 A Laparo drain lymphocele 10.09 NA NA 4.72 4.55 1.20 NA NA 16.01 15.84 090 49329 C Laparo proc, abdm/per/oment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49400 A Air injection into abdomen 1.88 2.44 2.91 0.57 0.61 0.15 4.47 4.94 2.60 2.64 000 49419 A Insrt abdom cath for chemotx 7.01 NA NA 3.49 3.54 0.81 NA NA 11.31 11.36 090 49420 A Insert abdom drain, temp 2.22 NA NA 1.16 1.11 0.21 NA NA 3.59 3.54 000 49421 A Insert abdom drain, perm 5.83 NA NA 3.16 3.15 0.74 NA NA 9.73 9.72 090 49422 A Remove perm cannula/catheter 6.24 NA NA 2.64 2.83 0.83 NA NA 9.71 9.90 010 49423 A Exchange drainage catheter 1.46 13.26 13.87 0.51 0.52 0.09 14.81 15.42 2.06 2.07 000 49424 A Assess cyst, contrast inject 0.76 3.09 3.56 0.28 0.29 0.04 3.89 4.36 1.08 1.09 000 49425 A Insert abdomen-venous drain 12.07 NA NA 5.32 5.52 1.54 NA NA 18.93 19.13 090 49426 A Revise abdomen-venous shunt 10.28 NA NA 4.55 4.71 1.28 NA NA 16.11 16.27 090 49427 A Injection, abdominal shunt 0.89 NA NA 0.28 0.30 0.07 NA NA 1.24 1.26 000 49428 A Ligation of shunt 6.75 NA NA 3.08 3.71 0.80 NA NA 10.63 11.26 010 49429 A Removal of shunt 7.39 NA NA 3.01 3.32 1.02 NA NA 11.42 11.73 010 49491 A Rpr hern preemie reduc 12.36 NA NA 5.47 5.16 1.40 NA NA 19.23 18.92 090 49492 A Rpr ing hern premie, blocked 15.26 NA NA 5.86 6.04 1.80 NA NA 22.92 23.10 090 49495 A Rpr ing hernia baby, reduc 6.13 NA NA 3.00 2.96 0.74 NA NA 9.87 9.83 090 49496 A Rpr ing hernia baby, blocked 9.28 NA NA 4.39 4.30 1.07 NA NA 14.74 14.65 090 49500 A Rpr ing hernia, init, reduce 5.72 NA NA 3.62 3.24 0.71 NA NA 10.05 9.67 090 49501 A Rpr ing hernia, init blocked 9.24 NA NA 4.28 4.22 1.12 NA NA 14.64 14.58 090 49505 A Prp i/hern init reduc >5 yr 7.84 NA NA 3.92 3.79 1.03 NA NA 12.79 12.66 090 49507 A Prp i/hern init block >5 yr 9.93 NA NA 4.50 4.46 1.27 NA NA 15.70 15.66 090 49520 A Rerepair ing hernia, reduce 9.87 NA NA 4.42 4.43 1.28 NA NA 15.57 15.58 090 49521 A Rerepair ing hernia, blocked 12.32 NA NA 5.04 5.18 1.59 NA NA 18.95 19.09 090 49525 A Repair ing hernia, sliding 8.81 NA NA 4.17 4.10 1.13 NA NA 14.11 14.04 090 49540 A Repair lumbar hernia 10.62 NA NA 4.67 4.72 1.37 NA NA 16.66 16.71 090 49550 A Rpr rem hernia, init, reduce 8.87 NA NA 4.15 4.13 1.14 NA NA 14.16 14.14 090 49553 A Rpr fem hernia, init blocked 9.80 NA NA 4.45 4.42 1.24 NA NA 15.49 15.46 090 49555 A Rerepair fem hernia, reduce 9.27 NA NA 4.26 4.26 1.20 NA NA 14.73 14.73 090 49557 A Rerepair fem hernia, blocked 11.50 NA NA 4.90 4.96 1.47 NA NA 17.87 17.93 090 49560 A Rpr ventral hern init, reduc 11.80 NA NA 4.93 5.09 1.52 NA NA 18.25 18.41 090 49561 A Rpr ventral hern init, block 15.26 NA NA 5.86 6.00 1.88 NA NA 23.00 23.14 090 49565 A Rerepair ventrl hern, reduce 12.25 NA NA 5.17 5.20 1.52 NA NA 18.94 18.97 090 49566 A Rerepair ventrl hern, block 15.41 NA NA 5.92 6.07 1.90 NA NA 23.23 23.38 090 49568 A Hernia repair w/mesh 4.88 NA NA 1.26 1.57 0.64 NA NA 6.78 7.09 ZZZ 49570 A Rpr epigastric hern, reduce 5.93 NA NA 3.36 3.21 0.75 NA NA 10.04 9.89 090 49572 A Rpr epigastric hern, blocked 7.75 NA NA 3.87 3.56 0.88 NA NA 12.50 12.19 090 49580 A Rpr umbil hern, reduc < 5 yr 4.35 NA NA 3.03 2.70 0.54 NA NA 7.92 7.59 090 49582 A Rpr umbil hern, block < 5 yr 7.01 NA NA 3.64 3.51 0.88 NA NA 11.53 11.40 090 49585 A Rpr umbil hern, reduc > 5 yr 6.47 NA NA 3.54 3.35 0.82 NA NA 10.83 10.64 090 49587 A Rpr umbil hern, block > 5 yr 7.92 NA NA 3.90 3.77 0.99 NA NA 12.81 12.68 090 49590 A Repair spigelian hernia 8.78 NA NA 4.14 4.10 1.13 NA NA 14.05 14.01 090 49600 A Repair umbilical lesion 11.42 NA NA 5.20 5.29 1.32 NA NA 17.94 18.03 090 49605 A Repair umbilical lesion 86.79 NA NA 26.58 28.02 9.36 NA NA 122.73 124.17 090 49606 A Repair umbilical lesion 18.87 NA NA 6.66 7.43 2.45 NA NA 27.98 28.75 090 49610 A Repair umbilical lesion 10.78 NA NA 4.73 5.08 1.07 NA NA 16.58 16.93 090 49611 A Repair umbilical lesion 9.21 NA NA 3.66 6.14 0.78 NA NA 13.65 16.13 090 49650 A Laparo hernia repair initial 6.26 NA NA 3.37 3.24 0.93 NA NA 10.56 10.43 090 49651 A Laparo hernia repair recur 8.23 NA NA 4.26 4.10 1.14 NA NA 13.63 13.47 090 49659 C Laparo proc, hernia repair 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49900 A Repair of abdominal wall 12.26 NA NA 6.35 6.25 1.62 NA NA 20.23 20.13 090 49904 A Omental flap, extra-abdom 22.06 NA NA 12.17 14.45 2.69 NA NA 36.92 39.20 090 49905 A Omental flap, intra-abdom 6.54 NA NA 1.74 2.15 0.75 NA NA 9.03 9.44 ZZZ 49906 C Free omental flap, microvasc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090 Start Printed Page 49150 49999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50010 A Exploration of kidney 12.07 NA NA 6.90 5.63 0.93 NA NA 19.90 18.63 090 50020 A Renal abscess, open drain 17.80 NA NA 8.63 7.96 1.34 NA NA 27.77 27.10 090 50021 A Renal abscess, percut drain 3.37 21.26 21.55 1.09 1.10 0.20 24.83 25.12 4.66 4.67 000 50040 A Drainage of kidney 16.40 NA NA 8.91 7.33 1.03 NA NA 26.34 24.76 090 50045 A Exploration of kidney 16.61 NA NA 8.55 7.08 1.24 NA NA 26.40 24.93 090 50060 A Removal of kidney stone 20.74 NA NA 11.10 8.64 1.36 NA NA 33.20 30.74 090 50065 A Incision of kidney 22.11 NA NA 11.69 7.48 1.59 NA NA 35.39 31.18 090 50070 A Incision of kidney 21.64 NA NA 11.49 9.03 1.44 NA NA 34.57 32.11 090 50075 A Removal of kidney stone 26.84 NA NA 13.79 10.87 1.80 NA NA 42.43 39.51 090 50080 A Removal of kidney stone 15.56 NA NA 8.64 6.86 1.04 NA NA 25.24 23.46 090 50081 A Removal of kidney stone 23.25 NA NA 12.32 9.64 1.54 NA NA 37.11 34.43 090 50100 A Revise kidney blood vessels 17.24 NA NA 7.34 7.67 2.06 NA NA 26.64 26.97 090 50120 A Exploration of kidney 17.00 NA NA 8.80 7.27 1.21 NA NA 27.01 25.48 090 50125 A Explore and drain kidney 17.61 NA NA 9.85 7.68 1.43 NA NA 28.89 26.72 090 50130 A Removal of kidney stone 18.61 NA NA 10.12 7.90 1.22 NA NA 29.95 27.73 090 50135 A Exploration of kidney 20.38 NA NA 10.81 8.53 1.33 NA NA 32.52 30.24 090 50200 A Biopsy of kidney 2.63 NA NA 1.13 1.25 0.16 NA NA 3.92 4.04 000 50205 A Biopsy of kidney 12.15 NA NA 5.62 5.16 1.30 NA NA 19.07 18.61 090 50220 A Remove kidney, open 18.47 NA NA 9.64 7.83 1.35 NA NA 29.46 27.65 090 50225 A Removal kidney open, complex 21.67 NA NA 11.14 8.89 1.50 NA NA 34.31 32.06 090 50230 A Removal kidney open, radical 23.63 NA NA 11.81 9.38 1.55 NA NA 36.99 34.56 090 50234 A Removal of kidney & ureter 23.84 NA NA 12.20 9.67 1.59 NA NA 37.63 35.10 090 50236 A Removal of kidney & ureter 26.66 NA NA 14.10 11.21 1.76 NA NA 42.52 39.63 090 50240 A Partial removal of kidney 23.93 NA NA 12.78 9.95 1.55 NA NA 38.26 35.43 090 50250 A Cryoablate renal mass open 21.98 NA NA 11.01 9.62 1.39 NA NA 34.38 32.99 090 50280 A Removal of kidney lesion 16.88 NA NA 9.35 7.35 1.19 NA NA 27.42 25.42 090 50290 A Removal of kidney lesion 15.94 NA NA 8.19 6.89 1.41 NA NA 25.54 24.24 090 50320 A Remove kidney, living donor 22.18 NA NA 12.52 11.12 2.35 NA NA 37.05 35.65 090 50323 C Prep cadaver renal allograft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50325 C Prep donor renal graft 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50327 A Prep renal graft/venous 4.00 NA NA 1.10 1.29 0.29 NA NA 5.39 5.58 XXX 50328 A Prep renal graft/arterial 3.50 NA NA 0.98 1.13 0.26 NA NA 4.74 4.89 XXX 50329 A Prep renal graft/ureteral 3.34 NA NA 0.97 1.09 0.25 NA NA 4.56 4.68 XXX 50340 A Removal of kidney 13.79 NA NA 7.70 6.79 1.65 NA NA 23.14 22.23 090 50360 A Transplantation of kidney 40.27 NA NA 18.95 16.34 3.81 NA NA 63.03 60.42 090 50365 A Transplantation of kidney 45.50 NA NA 19.63 18.55 4.42 NA NA 69.55 68.47 090 50370 A Remove transplanted kidney 18.60 NA NA 9.35 7.69 1.67 NA NA 29.62 27.96 090 50380 A Reimplantation of kidney 29.48 NA NA 16.43 13.12 2.50 NA NA 48.41 45.10 090 50382 A Change ureter stent, percut 5.50 26.41 33.69 1.86 1.86 0.34 32.25 39.53 7.70 7.70 000 50384 A Remove ureter stent, percut 5.00 20.77 31.61 1.69 1.71 0.31 26.08 36.92 7.00 7.02 000 50387 A Change ext/int ureter stent 2.00 12.75 16.85 0.66 0.67 0.12 14.87 18.97 2.78 2.79 000 50389 A Remove renal tube w/fluoro 1.10 6.75 11.24 0.36 0.37 0.07 7.92 12.41 1.53 1.54 000 50390 A Drainage of kidney lesion 1.96 NA NA 0.64 0.64 0.12 NA NA 2.72 2.72 000 50391 A Instll rx agnt into rnal tub 1.96 1.51 1.56 0.79 0.67 0.14 3.61 3.66 2.89 2.77 000 50392 A Insert kidney drain 3.37 NA NA 1.40 1.49 0.20 NA NA 4.97 5.06 000 50393 A Insert ureteral tube 4.15 NA NA 1.66 1.75 0.25 NA NA 6.06 6.15 000 50394 A Injection for kidney x-ray 0.76 1.88 2.48 0.56 0.64 0.05 2.69 3.29 1.37 1.45 000 50395 A Create passage to kidney 3.37 NA NA 1.48 1.50 0.21 NA NA 5.06 5.08 000 50396 A Measure kidney pressure 2.09 NA NA 1.02 1.07 0.13 NA NA 3.24 3.29 000 50398 A Change kidney tube 1.46 11.99 15.23 0.52 0.52 0.09 13.54 16.78 2.07 2.07 000 50400 A Revision of kidney/ureter 21.06 NA NA 11.12 8.68 1.38 NA NA 33.56 31.12 090 50405 A Revision of kidney/ureter 25.61 NA NA 13.16 10.06 1.78 NA NA 40.55 37.45 090 50500 A Repair of kidney wound 21.01 NA NA 9.29 8.61 2.01 NA NA 32.31 31.63 090 50520 A Close kidney-skin fistula 18.67 NA NA 9.40 7.92 1.49 NA NA 29.56 28.08 090 50525 A Repair renal-abdomen fistula 24.14 NA NA 10.99 9.49 1.83 NA NA 36.96 35.46 090 Start Printed Page 49151 50526 A Repair renal-abdomen fistula 26.06 NA NA 8.23 9.45 1.96 NA NA 36.25 37.47 090 50540 A Revision of horseshoe kidney 20.89 NA NA 10.79 8.94 1.36 NA NA 33.04 31.19 090 50541 A Laparo ablate renal cyst 16.72 NA NA 8.81 7.06 1.13 NA NA 26.66 24.91 090 50542 A Laparo ablate renal mass 21.12 NA NA 11.24 8.91 1.39 NA NA 33.75 31.42 090 50543 A Laparo partial nephrectomy 27.10 NA NA 14.20 11.19 1.80 NA NA 43.10 40.09 090 50544 A Laparoscopy, pyeloplasty 23.23 NA NA 11.51 9.27 1.58 NA NA 36.32 34.08 090 50545 A Laparo radical nephrectomy 24.89 NA NA 12.35 9.97 1.70 NA NA 38.94 36.56 090 50546 A Laparoscopic nephrectomy 21.63 NA NA 11.39 9.12 1.57 NA NA 34.59 32.32 090 50547 A Laparo removal donor kidney 26.20 NA NA 12.68 11.50 2.76 NA NA 41.64 40.46 090 50548 A Laparo remove w/ureter 25.22 NA NA 12.27 9.95 1.72 NA NA 39.21 36.89 090 50549 C Laparoscope proc, renal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50551 A Kidney endoscopy 5.59 4.61 4.26 2.66 2.14 0.40 10.60 10.25 8.65 8.13 000 50553 A Kidney endoscopy 5.98 4.45 4.38 2.55 2.27 0.39 10.82 10.75 8.92 8.64 000 50555 A Kidney endoscopy & biopsy 6.52 5.12 4.89 3.03 2.51 0.45 12.09 11.86 10.00 9.48 000 50557 A Kidney endoscopy & treatment 6.61 5.28 4.76 3.07 2.49 0.47 12.36 11.84 10.15 9.57 000 50561 A Kidney endoscopy & treatment 7.58 5.80 5.26 3.42 2.84 0.54 13.92 13.38 11.54 10.96 000 50562 A Renal scope w/tumor resect 10.90 NA NA 5.42 4.59 0.73 NA NA 17.05 16.22 090 50570 A Kidney endoscopy 9.53 NA NA 4.27 3.48 0.68 NA NA 14.48 13.69 000 50572 A Kidney endoscopy 10.33 NA NA 4.60 3.78 0.85 NA NA 15.78 14.96 000 50574 A Kidney endoscopy & biopsy 11.00 NA NA 4.78 4.00 0.77 NA NA 16.55 15.77 000 50575 A Kidney endoscopy 13.96 NA NA 6.06 4.99 0.99 NA NA 21.01 19.94 000 50576 A Kidney endoscopy & treatment 10.97 NA NA 4.86 3.96 0.78 NA NA 16.61 15.71 000 50580 A Kidney endoscopy & treatment 11.84 NA NA 5.17 4.26 0.83 NA NA 17.84 16.93 000 50590 A Fragmenting of kidney stone 9.58 17.26 13.61 6.19 4.63 0.65 27.49 23.84 16.42 14.86 090 50592 A Perc rf ablate renal tumor 6.75 77.05 131.0 2.81 2.94 0.43 84.23 138.2 9.99 10.12 010 50600 A Exploration of ureter 16.99 NA NA 8.60 7.15 1.13 NA NA 26.72 25.27 090 50605 A Insert ureteral support 16.61 NA NA 8.00 7.05 1.45 NA NA 26.06 25.11 090 50610 A Removal of ureter stone 17.07 NA NA 9.12 7.50 1.43 NA NA 27.62 26.00 090 50620 A Removal of ureter stone 16.25 NA NA 8.97 6.99 1.07 NA NA 26.29 24.31 090 50630 A Removal of ureter stone 16.03 NA NA 8.30 6.78 1.09 NA NA 25.42 23.90 090 50650 A Removal of ureter 18.61 NA NA 10.15 7.95 1.23 NA NA 29.99 27.79 090 50660 A Removal of ureter 20.81 NA NA 10.87 8.68 1.38 NA NA 33.06 30.87 090 50684 A Injection for ureter x-ray 0.76 4.12 4.76 0.64 0.51 0.05 4.93 5.57 1.45 1.32 000 50686 A Measure ureter pressure 1.51 2.07 3.10 0.71 0.79 0.11 3.69 4.72 2.33 2.41 000 50688 A Change of ureter tube/stent 1.17 NA NA 0.92 1.03 0.07 NA NA 2.16 2.27 010 50690 A Injection for ureter x-ray 1.16 1.43 1.72 0.72 0.72 0.07 2.66 2.95 1.95 1.95 000 50700 A Revision of ureter 16.48 NA NA 8.46 7.45 1.27 NA NA 26.21 25.20 090 50715 A Release of ureter 20.43 NA NA 8.65 8.71 2.13 NA NA 31.21 31.27 090 50722 A Release of ureter 17.74 NA NA 8.02 7.86 1.90 NA NA 27.66 27.50 090 50725 A Release/revise ureter 19.99 NA NA 9.70 8.46 1.52 NA NA 31.21 29.97 090 50727 A Revise ureter 8.17 NA NA 5.78 4.65 0.61 NA NA 14.56 13.43 090 50728 A Revise ureter 12.00 NA NA 7.21 5.97 1.00 NA NA 20.21 18.97 090 50740 A Fusion of ureter & kidney 19.86 NA NA 9.03 8.06 1.96 NA NA 30.85 29.88 090 50750 A Fusion of ureter & kidney 21.01 NA NA 9.84 8.45 1.38 NA NA 32.23 30.84 090 50760 A Fusion of ureters 19.86 NA NA 9.84 8.21 1.55 NA NA 31.25 29.62 090 50770 A Splicing of ureters 21.01 NA NA 10.70 8.65 1.45 NA NA 33.16 31.11 090 50780 A Reimplant ureter in bladder 19.74 NA NA 10.14 8.22 1.51 NA NA 31.39 29.47 090 50782 A Reimplant ureter in bladder 19.51 NA NA 8.30 8.65 1.61 NA NA 29.42 29.77 090 50783 A Reimplant ureter in bladder 20.52 NA NA 10.07 8.68 1.98 NA NA 32.57 31.18 090 50785 A Reimplant ureter in bladder 22.02 NA NA 11.19 9.02 1.45 NA NA 34.66 32.49 090 50800 A Implant ureter in bowel 16.16 NA NA 9.32 7.18 1.19 NA NA 26.67 24.53 090 50810 A Fusion of ureter & bowel 22.29 NA NA 9.65 9.22 2.31 NA NA 34.25 33.82 090 50815 A Urine shunt to intestine 21.98 NA NA 11.63 9.24 1.54 NA NA 35.15 32.76 090 50820 A Construct bowel bladder 23.82 NA NA 12.00 9.47 1.89 NA NA 37.71 35.18 090 50825 A Construct bowel bladder 30.40 NA NA 15.09 12.11 2.07 NA NA 47.56 44.58 090 50830 A Revise urine flow 33.49 NA NA 15.92 13.10 2.37 NA NA 51.78 48.96 090 50840 A Replace ureter by bowel 22.11 NA NA 11.93 9.30 1.47 NA NA 35.51 32.88 090 50845 A Appendico-vesicostomy 22.11 NA NA 12.42 9.77 1.57 NA NA 36.10 33.45 090 50860 A Transplant ureter to skin 16.87 NA NA 9.05 7.22 1.29 NA NA 27.21 25.38 090 50900 A Repair of ureter 14.83 NA NA 8.10 6.62 1.14 NA NA 24.07 22.59 090 50920 A Closure ureter/skin fistula 15.60 NA NA 8.54 7.06 1.01 NA NA 25.15 23.67 090 50930 A Closure ureter/bowel fistula 19.98 NA NA 10.29 8.54 1.28 NA NA 31.55 29.80 090 50940 A Release of ureter 15.72 NA NA 8.27 6.86 1.26 NA NA 25.25 23.84 090 50945 A Laparoscopy ureterolithotomy 17.83 NA NA 8.78 7.47 1.36 NA NA 27.97 26.66 090 50947 A Laparo new ureter/bladder 25.57 NA NA 12.50 10.39 2.16 NA NA 40.23 38.12 090 50948 A Laparo new ureter/bladder 23.65 NA NA 12.02 9.52 1.70 NA NA 37.37 34.87 090 Start Printed Page 49152 50949 C Laparoscope proc, ureter 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50951 A Endoscopy of ureter 5.83 4.87 4.44 2.79 2.24 0.41 11.11 10.68 9.03 8.48 000 50953 A Endoscopy of ureter 6.23 5.05 4.56 3.31 2.60 0.43 11.71 11.22 9.97 9.26 000 50955 A Ureter endoscopy & biopsy 6.74 5.28 6.13 3.52 2.89 0.48 12.50 13.35 10.74 10.11 000 50957 A Ureter endoscopy & treatment 6.78 5.37 4.76 3.15 2.57 0.48 12.63 12.02 10.41 9.83 000 50961 A Ureter endoscopy & treatment 6.04 4.85 4.48 2.82 2.34 0.41 11.30 10.93 9.27 8.79 000 50970 A Ureter endoscopy 7.13 NA NA 3.30 2.67 0.52 NA NA 10.95 10.32 000 50972 A Ureter endoscopy & catheter 6.88 NA NA 3.14 2.63 0.49 NA NA 10.51 10.00 000 50974 A Ureter endoscopy & biopsy 9.16 NA NA 3.97 3.32 0.64 NA NA 13.77 13.12 000 50976 A Ureter endoscopy & treatment 9.03 NA NA 3.76 3.24 0.66 NA NA 13.45 12.93 000 50980 A Ureter endoscopy & treatment 6.84 NA NA 3.13 2.56 0.48 NA NA 10.45 9.88 000 51000 A Drainage of bladder 0.78 0.94 1.69 0.28 0.25 0.05 1.77 2.52 1.11 1.08 000 51005 A Drainage of bladder 1.02 2.43 4.13 0.30 0.33 0.10 3.55 5.25 1.42 1.45 000 51010 A Drainage of bladder 4.25 4.78 5.40 2.38 2.00 0.28 9.31 9.93 6.91 6.53 010 51020 A Incise & treat bladder 7.51 NA NA 5.35 4.23 0.47 NA NA 13.33 12.21 090 51030 A Incise & treat bladder 7.63 NA NA 4.80 4.18 0.58 NA NA 13.01 12.39 090 51040 A Incise & drain bladder 4.39 NA NA 3.72 3.00 0.31 NA NA 8.42 7.70 090 51045 A Incise bladder/drain ureter 7.63 NA NA 5.23 4.25 0.52 NA NA 13.38 12.40 090 51050 A Removal of bladder stone 7.83 NA NA 5.38 4.08 0.49 NA NA 13.70 12.40 090 51060 A Removal of ureter stone 9.77 NA NA 6.42 4.98 0.62 NA NA 16.81 15.37 090 51065 A Remove ureter calculus 9.77 NA NA 6.35 4.85 0.63 NA NA 16.75 15.25 090 51080 A Drainage of bladder abscess 6.57 NA NA 4.35 3.74 0.43 NA NA 11.35 10.74 090 51500 A Removal of bladder cyst 10.87 NA NA 5.85 5.21 1.03 NA NA 17.75 17.11 090 51520 A Removal of bladder lesion 10.03 NA NA 6.51 5.13 0.69 NA NA 17.23 15.85 090 51525 A Removal of bladder lesion 15.24 NA NA 8.66 6.76 0.99 NA NA 24.89 22.99 090 51530 A Removal of bladder lesion 13.53 NA NA 7.33 6.14 1.05 NA NA 21.91 20.72 090 51535 A Repair of ureter lesion 13.72 NA NA 7.54 6.46 1.23 NA NA 22.49 21.41 090 51550 A Partial removal of bladder 17.05 NA NA 8.91 7.27 1.31 NA NA 27.27 25.63 090 51555 A Partial removal of bladder 22.97 NA NA 11.51 9.37 1.69 NA NA 36.17 34.03 090 51565 A Revise bladder & ureter(s) 23.43 NA NA 12.07 9.73 1.63 NA NA 37.13 34.79 090 51570 A Removal of bladder 27.25 NA NA 13.39 10.65 1.71 NA NA 42.35 39.61 090 51575 A Removal of bladder & nodes 33.93 NA NA 16.79 13.21 2.16 NA NA 52.88 49.30 090 51580 A Remove bladder/revise tract 35.05 NA NA 17.64 13.77 2.24 NA NA 54.93 51.06 090 51585 A Removal of bladder & nodes 39.32 NA NA 19.63 15.18 2.48 NA NA 61.43 56.98 090 51590 A Remove bladder/revise tract 36.08 NA NA 17.47 13.82 2.27 NA NA 55.82 52.17 090 51595 A Remove bladder/revise tract 41.04 NA NA 19.79 15.54 2.59 NA NA 63.42 59.17 090 51596 A Remove bladder/create pouch 43.91 NA NA 21.37 16.76 2.77 NA NA 68.04 63.44 090 51597 A Removal of pelvic structures 42.51 NA NA 20.13 16.15 2.81 NA NA 65.45 61.47 090 51600 A Injection for bladder x-ray 0.88 4.25 4.85 0.31 0.30 0.06 5.19 5.79 1.25 1.24 000 51605 A Preparation for bladder xray 0.64 NA NA 0.42 0.37 0.04 NA NA 1.10 1.05 000 51610 A Injection for bladder x-ray 1.05 1.93 2.19 0.70 0.63 0.07 3.05 3.31 1.82 1.75 000 51700 A Irrigation of bladder 0.88 1.52 1.58 0.34 0.30 0.06 2.46 2.52 1.28 1.24 000 51701 A Insert bladder catheter 0.50 1.05 1.45 0.25 0.21 0.04 1.59 1.99 0.79 0.75 000 51702 A Insert temp bladder cath 0.50 1.54 1.95 0.34 0.27 0.04 2.08 2.49 0.88 0.81 000 51703 A Insert bladder cath, complex 1.47 2.29 2.62 0.81 0.62 0.10 3.86 4.19 2.38 2.19 000 51705 A Change of bladder tube 1.02 2.04 2.21 0.85 0.67 0.07 3.13 3.30 1.94 1.76 010 51710 A Change of bladder tube 1.49 2.75 3.19 1.19 0.88 0.11 4.35 4.79 2.79 2.48 010 51715 A Endoscopic injection/implant 3.73 4.47 4.04 1.76 1.45 0.29 8.49 8.06 5.78 5.47 000 51720 A Treatment of bladder lesion 1.50 1.64 1.72 0.75 0.71 0.14 3.28 3.36 2.39 2.35 000 51725 A Simple cystometrogram 1.51 4.32 5.27 4.32 5.27 0.16 5.99 6.94 5.99 6.94 000 51725 26 A Simple cystometrogram 1.51 0.57 0.51 0.57 0.51 0.12 2.20 2.14 2.20 2.14 000 51725 TC A Simple cystometrogram 0.00 3.75 4.76 3.75 4.76 0.04 3.79 4.80 3.79 4.80 000 51726 A Complex cystometrogram 1.71 7.18 7.42 7.18 7.42 0.18 9.07 9.31 9.07 9.31 000 51726 26 A Complex cystometrogram 1.71 0.65 0.58 0.65 0.58 0.13 2.49 2.42 2.49 2.42 000 51726 TC A Complex cystometrogram 0.00 6.53 6.84 6.53 6.84 0.05 6.58 6.89 6.58 6.89 000 51736 A Urine flow measurement 0.61 0.91 0.66 0.91 0.66 0.06 1.58 1.33 1.58 1.33 000 Start Printed Page 49153 51736 26 A Urine flow measurement 0.61 0.23 0.21 0.23 0.21 0.05 0.89 0.87 0.89 0.87 000 51736 TC A Urine flow measurement 0.00 0.68 0.46 0.68 0.46 0.01 0.69 0.47 0.69 0.47 000 51741 A Electro-uroflowmetry, first 1.14 1.27 0.91 1.27 0.91 0.11 2.52 2.16 2.52 2.16 000 51741 26 A Electro-uroflowmetry, first 1.14 0.44 0.39 0.44 0.39 0.09 1.67 1.62 1.67 1.62 000 51741 TC A Electro-uroflowmetry, first 0.00 0.83 0.52 0.83 0.52 0.02 0.85 0.54 0.85 0.54 000 51772 A Urethra pressure profile 1.61 5.09 5.45 5.09 5.45 0.20 6.90 7.26 6.90 7.26 000 51772 26 A Urethra pressure profile 1.61 0.55 0.55 0.55 0.55 0.15 2.31 2.31 2.31 2.31 000 51772 TC A Urethra pressure profile 0.00 4.54 4.91 4.54 4.91 0.05 4.59 4.96 4.59 4.96 000 51784 A Anal/urinary muscle study 1.53 3.85 3.95 3.85 3.95 0.16 5.54 5.64 5.54 5.64 000 51784 26 A Anal/urinary muscle study 1.53 0.52 0.51 0.52 0.51 0.12 2.17 2.16 2.17 2.16 000 51784 TC A Anal/urinary muscle study 0.00 3.33 3.44 3.33 3.44 0.04 3.37 3.48 3.37 3.48 000 51785 A Anal/urinary muscle study 1.53 4.54 4.47 4.54 4.47 0.15 6.22 6.15 6.22 6.15 000 51785 26 A Anal/urinary muscle study 1.53 0.56 0.52 0.56 0.52 0.11 2.20 2.16 2.20 2.16 000 51785 TC A Anal/urinary muscle study 0.00 3.97 3.95 3.97 3.95 0.04 4.01 3.99 4.01 3.99 000 51792 A Urinary reflex study 1.10 5.01 5.75 5.01 5.75 0.20 6.31 7.05 6.31 7.05 000 51792 26 A Urinary reflex study 1.10 0.40 0.41 0.40 0.41 0.07 1.57 1.58 1.57 1.58 000 51792 TC A Urinary reflex study 0.00 4.61 5.34 4.61 5.34 0.13 4.74 5.47 4.74 5.47 000 51795 A Urine voiding pressure study 1.53 6.78 7.16 6.78 7.16 0.22 8.53 8.91 8.53 8.91 000 51795 26 A Urine voiding pressure study 1.53 0.58 0.52 0.58 0.52 0.12 2.23 2.17 2.23 2.17 000 51795 TC A Urine voiding pressure study 0.00 6.21 6.65 6.21 6.65 0.10 6.31 6.75 6.31 6.75 000 51797 A Intraabdominal pressure test 1.60 4.88 5.56 4.88 5.56 0.17 6.65 7.33 6.65 7.33 000 51797 26 A Intraabdominal pressure test 1.60 0.60 0.55 0.60 0.55 0.12 2.32 2.27 2.32 2.27 000 51797 TC A Intraabdominal pressure test 0.00 4.28 5.01 4.28 5.01 0.05 4.33 5.06 4.33 5.06 000 51798 A Us urine capacity measure 0.00 0.60 0.41 NA NA 0.08 0.68 0.49 NA NA XXX 51800 A Revision of bladder/urethra 18.68 NA NA 10.11 8.20 1.32 NA NA 30.11 28.20 090 51820 A Revision of urinary tract 19.34 NA NA 10.54 8.85 1.74 NA NA 31.62 29.93 090 51840 A Attach bladder/urethra 11.23 NA NA 5.81 5.62 1.06 NA NA 18.10 17.91 090 51841 A Attach bladder/urethra 13.55 NA NA 6.85 6.49 1.24 NA NA 21.64 21.28 090 51845 A Repair bladder neck 10.02 NA NA 5.88 5.03 0.79 NA NA 16.69 15.84 090 51860 A Repair of bladder wound 12.42 NA NA 6.83 6.02 1.16 NA NA 20.41 19.60 090 51865 A Repair of bladder wound 15.62 NA NA 8.47 7.12 1.23 NA NA 25.32 23.97 090 51880 A Repair of bladder opening 7.77 NA NA 4.73 4.15 0.72 NA NA 13.22 12.64 090 51900 A Repair bladder/vagina lesion 14.42 NA NA 8.04 6.56 1.21 NA NA 23.67 22.19 090 51920 A Close bladder-uterus fistula 13.20 NA NA 7.77 6.17 1.18 NA NA 22.15 20.55 090 51925 A Hysterectomy/bladder repair 17.28 NA NA 10.27 9.03 2.03 NA NA 29.58 28.34 090 51940 A Correction of bladder defect 30.41 NA NA 11.41 11.91 2.14 NA NA 43.96 44.46 090 51960 A Revision of bladder & bowel 25.12 NA NA 13.18 10.52 1.63 NA NA 39.93 37.27 090 51980 A Construct bladder opening 12.39 NA NA 7.29 5.85 0.86 NA NA 20.54 19.10 090 51990 A Laparo urethral suspension 13.22 NA NA 5.99 6.10 1.39 NA NA 20.60 20.71 090 51992 A Laparo sling operation 14.73 NA NA 6.65 6.31 1.41 NA NA 22.79 22.45 090 51999 C Laparoscope proc, bladder 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 52000 A Cystoscopy 2.23 3.70 3.40 1.33 0.90 0.14 6.07 5.77 3.70 3.27 000 52001 A Cystoscopy, removal of clots 5.44 5.14 5.09 2.62 2.05 0.39 10.97 10.92 8.45 7.88 000 52005 A Cystoscopy & ureter catheter 2.37 5.79 5.62 1.39 1.02 0.17 8.33 8.16 3.93 3.56 000 52007 A Cystoscopy and biopsy 3.02 10.83 15.04 1.64 1.27 0.22 14.07 18.28 4.88 4.51 000 52010 A Cystoscopy & duct catheter 3.02 8.20 10.11 1.65 1.28 0.21 11.43 13.34 4.88 4.51 000 52204 A Cystoscopy 2.59 8.39 12.98 1.40 1.03 0.17 11.15 15.74 4.16 3.79 000 52214 A Cystoscopy and treatment 3.70 20.07 33.59 1.86 1.46 0.26 24.03 37.55 5.82 5.42 000 52224 A Cystoscopy and treatment 3.14 19.25 32.15 1.63 1.27 0.22 22.61 35.51 4.99 4.63 000 52234 A Cystoscopy and treatment 4.62 NA NA 2.31 1.82 0.33 NA NA 7.26 6.77 000 52235 A Cystoscopy and treatment 5.44 NA NA 2.68 2.12 0.39 NA NA 8.51 7.95 000 52240 A Cystoscopy and treatment 9.71 NA NA 4.42 3.58 0.69 NA NA 14.82 13.98 000 52250 A Cystoscopy and radiotracer 4.49 NA NA 2.35 1.83 0.32 NA NA 7.16 6.64 000 52260 A Cystoscopy and treatment 3.91 NA NA 1.97 1.56 0.28 NA NA 6.16 5.75 000 52265 A Cystoscopy and treatment 2.94 7.74 11.94 1.53 1.22 0.22 10.90 15.10 4.69 4.38 000 52270 A Cystoscopy & revise urethra 3.36 7.08 10.04 1.77 1.37 0.24 10.68 13.64 5.37 4.97 000 52275 A Cystoscopy & revise urethra 4.69 9.39 14.01 2.31 1.82 0.33 14.41 19.03 7.33 6.84 000 52276 A Cystoscopy and treatment 4.99 NA NA 2.48 1.96 0.35 NA NA 7.82 7.30 000 52277 A Cystoscopy and treatment 6.16 NA NA 2.91 2.39 0.44 NA NA 9.51 8.99 000 52281 A Cystoscopy and treatment 2.80 5.34 6.65 1.56 1.20 0.20 8.34 9.65 4.56 4.20 000 52282 A Cystoscopy, implant stent 6.39 NA NA 3.01 2.43 0.45 NA NA 9.85 9.27 000 52283 A Cystoscopy and treatment 3.73 4.14 3.99 1.90 1.51 0.26 8.13 7.98 5.89 5.50 000 52285 A Cystoscopy and treatment 3.60 4.40 4.11 1.87 1.47 0.26 8.26 7.97 5.73 5.33 000 52290 A Cystoscopy and treatment 4.58 NA NA 2.30 1.81 0.32 NA NA 7.20 6.71 000 52300 A Cystoscopy and treatment 5.30 NA NA 2.65 2.09 0.38 NA NA 8.33 7.77 000 52301 A Cystoscopy and treatment 5.50 NA NA 2.13 2.02 0.46 NA NA 8.09 7.98 000 Start Printed Page 49154 52305 A Cystoscopy and treatment 5.30 NA NA 2.53 2.02 0.38 NA NA 8.21 7.70 000 52310 A Cystoscopy and treatment 2.81 4.05 4.53 1.45 1.14 0.20 7.06 7.54 4.46 4.15 000 52315 A Cystoscopy and treatment 5.20 6.70 8.17 2.51 2.00 0.37 12.27 13.74 8.08 7.57 000 52317 A Remove bladder stone 6.71 17.25 26.02 3.04 2.47 0.48 24.44 33.21 10.23 9.66 000 52318 A Remove bladder stone 9.18 NA NA 4.11 3.35 0.65 NA NA 13.94 13.18 000 52320 A Cystoscopy and treatment 4.69 NA NA 2.24 1.78 0.33 NA NA 7.26 6.80 000 52325 A Cystoscopy, stone removal 6.15 NA NA 2.86 2.30 0.44 NA NA 9.45 8.89 000 52327 A Cystoscopy, inject material 5.18 17.98 28.35 2.36 1.95 0.37 23.53 33.90 7.91 7.50 000 52330 A Cystoscopy and treatment 5.03 20.61 34.27 2.38 1.91 0.36 26.00 39.66 7.77 7.30 000 52332 A Cystoscopy and treatment 2.83 12.54 7.44 1.58 1.18 0.21 15.58 10.48 4.62 4.22 000 52334 A Create passage to kidney 4.82 NA NA 2.34 1.88 0.35 NA NA 7.51 7.05 000 52341 A Cysto w/ureter stricture tx 5.99 NA NA 3.04 2.42 0.43 NA NA 9.46 8.84 000 52342 A Cysto w/up stricture tx 6.49 NA NA 3.26 2.57 0.46 NA NA 10.21 9.52 000 52343 A Cysto w/renal stricture tx 7.19 NA NA 3.54 2.82 0.51 NA NA 11.24 10.52 000 52344 A Cysto/uretero, stricture tx 7.69 NA NA 3.91 3.07 0.55 NA NA 12.15 11.31 000 52345 A Cysto/uretero w/up stricture 8.19 NA NA 4.12 3.24 0.58 NA NA 12.89 12.01 000 52346 A Cystouretero w/renal strict 9.22 NA NA 4.52 3.59 0.65 NA NA 14.39 13.46 000 52351 A Cystouretero & or pyeloscope 5.85 NA NA 3.00 2.36 0.41 NA NA 9.26 8.62 000 52352 A Cystouretero w/stone remove 6.87 NA NA 3.52 2.76 0.49 NA NA 10.88 10.12 000 52353 A Cystouretero w/lithotripsy 7.96 NA NA 3.96 3.13 0.57 NA NA 12.49 11.66 000 52354 A Cystouretero w/biopsy 7.33 NA NA 3.71 2.93 0.52 NA NA 11.56 10.78 000 52355 A Cystouretero w/excise tumor 8.81 NA NA 4.30 3.43 0.63 NA NA 13.74 12.87 000 52400 A Cystouretero w/congen repr 10.04 NA NA 5.47 4.17 0.68 NA NA 16.19 14.89 090 52402 A Cystourethro cut ejacul duct 5.27 NA NA 2.20 1.83 0.40 NA NA 7.87 7.50 000 52450 A Incision of prostate 7.63 NA NA 5.56 4.14 0.54 NA NA 13.73 12.31 090 52500 A Revision of bladder neck 9.33 NA NA 6.24 4.50 0.60 NA NA 16.17 14.43 090 52510 A Dilation prostatic urethra 7.45 NA NA 4.95 3.57 0.48 NA NA 12.88 11.50 090 52601 A Prostatectomy (TURP) 15.07 NA NA 8.54 5.96 0.87 NA NA 24.48 21.90 090 52606 A Control postop bleeding 8.80 NA NA 5.57 4.06 0.57 NA NA 14.94 13.43 090 52612 A Prostatectomy, first stage 9.02 NA NA 5.94 4.28 0.56 NA NA 15.52 13.86 090 52614 A Prostatectomy, second stage 7.76 NA NA 5.44 3.87 0.48 NA NA 13.68 12.11 090 52620 A Remove residual prostate 7.16 NA NA 4.64 3.40 0.47 NA NA 12.27 11.03 090 52630 A Remove prostate regrowth 7.61 NA NA 4.85 3.61 0.51 NA NA 12.97 11.73 090 52640 A Relieve bladder contracture 6.85 NA NA 4.45 3.33 0.47 NA NA 11.77 10.65 090 52647 A Laser surgery of prostate 11.09 42.33 66.04 6.97 5.14 0.73 54.15 77.86 18.79 16.96 090 52648 A Laser surgery of prostate 11.94 42.86 66.17 7.30 5.42 0.79 55.59 78.90 20.03 18.15 090 52700 A Drainage of prostate abscess 7.35 NA NA 5.00 3.64 0.48 NA NA 12.83 11.47 090 53000 A Incision of urethra 2.28 NA NA 1.81 1.61 0.16 NA NA 4.25 4.05 010 53010 A Incision of urethra 4.31 NA NA 3.83 3.14 0.24 NA NA 8.38 7.69 090 53020 A Incision of urethra 1.77 NA NA 0.96 0.74 0.13 NA NA 2.86 2.64 000 53025 A Incision of urethra 1.13 NA NA 0.68 0.55 0.08 NA NA 1.89 1.76 000 53040 A Drainage of urethra abscess 6.45 NA NA 4.45 3.69 0.45 NA NA 11.35 10.59 090 53060 A Drainage of urethra abscess 2.63 2.01 2.06 1.47 1.40 0.28 4.92 4.97 4.38 4.31 010 53080 A Drainage of urinary leakage 6.78 NA NA 4.94 5.70 0.52 NA NA 12.24 13.00 090 53085 A Drainage of urinary leakage 11.00 NA NA 4.54 6.69 0.92 NA NA 16.46 18.60 090 53200 A Biopsy of urethra 2.59 1.71 1.42 1.30 1.06 0.20 4.50 4.21 4.09 3.85 000 53210 A Removal of urethra 13.54 NA NA 7.80 6.32 0.89 NA NA 22.23 20.75 090 53215 A Removal of urethra 16.67 NA NA 9.22 7.27 1.10 NA NA 26.99 25.04 090 53220 A Treatment of urethra lesion 7.49 NA NA 5.04 4.04 0.49 NA NA 13.02 12.02 090 53230 A Removal of urethra lesion 10.26 NA NA 6.49 5.16 0.73 NA NA 17.48 16.15 090 53235 A Removal of urethra lesion 10.81 NA NA 6.96 5.42 0.72 NA NA 18.49 16.95 090 53240 A Surgery for urethra pouch 6.94 NA NA 4.80 3.84 0.52 NA NA 12.26 11.30 090 53250 A Removal of urethra gland 6.38 NA NA 4.72 3.65 0.49 NA NA 11.59 10.52 090 53260 A Treatment of urethra lesion 2.98 2.48 2.30 1.86 1.53 0.25 5.71 5.53 5.09 4.76 010 53265 A Treatment of urethra lesion 3.12 2.98 2.78 2.02 1.57 0.24 6.34 6.14 5.38 4.93 010 53270 A Removal of urethra gland 3.09 2.31 2.23 1.72 1.59 0.30 5.70 5.62 5.11 4.98 010 Start Printed Page 49155 53275 A Repair of urethra defect 4.52 NA NA 2.79 2.39 0.32 NA NA 7.63 7.23 010 53400 A Revise urethra, stage 1 13.92 NA NA 8.23 6.57 0.98 NA NA 23.13 21.47 090 53405 A Revise urethra, stage 2 15.45 NA NA 8.96 6.97 1.10 NA NA 25.51 23.52 090 53410 A Reconstruction of urethra 17.47 NA NA 9.84 7.75 1.16 NA NA 28.47 26.38 090 53415 A Reconstruction of urethra 20.49 NA NA 11.00 8.25 1.37 NA NA 32.86 30.11 090 53420 A Reconstruct urethra, stage 1 14.99 NA NA 6.51 6.34 0.96 NA NA 22.46 22.29 090 53425 A Reconstruct urethra, stage 2 16.89 NA NA 9.30 7.49 1.13 NA NA 27.32 25.51 090 53430 A Reconstruction of urethra 17.25 NA NA 8.73 7.43 1.15 NA NA 27.13 25.83 090 53431 A Reconstruct urethra/bladder 20.97 NA NA 11.08 8.81 1.41 NA NA 33.46 31.19 090 53440 A Male sling procedure 15.33 NA NA 9.31 6.81 0.96 NA NA 25.60 23.10 090 53442 A Remove/revise male sling 13.28 NA NA 8.50 6.20 0.82 NA NA 22.60 20.30 090 53444 A Insert tandem cuff 14.00 NA NA 8.09 6.43 0.94 NA NA 23.03 21.37 090 53445 A Insert uro/ves nck sphincter 15.15 NA NA 8.86 7.53 0.99 NA NA 25.00 23.67 090 53446 A Remove uro sphincter 10.83 NA NA 7.10 5.68 0.72 NA NA 18.65 17.23 090 53447 A Remove/replace ur sphincter 14.09 NA NA 8.48 6.94 0.95 NA NA 23.52 21.98 090 53448 A Remov/replc ur sphinctr comp 23.20 NA NA 12.52 9.91 1.50 NA NA 37.22 34.61 090 53449 A Repair uro sphincter 10.38 NA NA 6.70 5.22 0.68 NA NA 17.76 16.28 090 53450 A Revision of urethra 6.63 NA NA 4.81 3.67 0.43 NA NA 11.87 10.73 090 53460 A Revision of urethra 7.61 NA NA 5.17 4.06 0.50 NA NA 13.28 12.17 090 53500 A Urethrlys, transvag w/scope 12.81 NA NA 7.47 6.52 0.90 NA NA 21.18 20.23 090 53502 A Repair of urethra injury 8.12 NA NA 5.06 4.25 0.62 NA NA 13.80 12.99 090 53505 A Repair of urethra injury 8.12 NA NA 5.45 4.26 0.54 NA NA 14.11 12.92 090 53510 A Repair of urethra injury 10.78 NA NA 6.78 5.57 0.74 NA NA 18.30 17.08 090 53515 A Repair of urethra injury 14.04 NA NA 7.89 6.41 1.05 NA NA 22.98 21.50 090 53520 A Repair of urethra defect 9.30 NA NA 6.17 4.90 0.61 NA NA 16.08 14.81 090 53600 A Dilate urethra stricture 1.21 1.16 1.15 0.57 0.47 0.09 2.46 2.45 1.87 1.77 000 53601 A Dilate urethra stricture 0.98 1.38 1.30 0.53 0.41 0.07 2.43 2.35 1.58 1.46 000 53605 A Dilate urethra stricture 1.28 NA NA 0.52 0.44 0.09 NA NA 1.89 1.81 000 53620 A Dilate urethra stricture 1.62 1.72 1.92 0.84 0.65 0.11 3.45 3.65 2.57 2.38 000 53621 A Dilate urethra stricture 1.35 1.83 2.01 0.68 0.54 0.10 3.28 3.46 2.13 1.99 000 53660 A Dilation of urethra 0.71 1.33 1.32 0.46 0.35 0.05 2.09 2.08 1.22 1.11 000 53661 A Dilation of urethra 0.72 1.31 1.30 0.42 0.32 0.05 2.08 2.07 1.19 1.09 000 53665 A Dilation of urethra 0.76 NA NA 0.27 0.26 0.06 NA NA 1.09 1.08 000 53850 A Prostatic microwave thermotx 9.94 49.68 82.97 5.94 4.44 0.67 60.29 93.58 16.55 15.05 090 53852 A Prostatic rf thermotx 10.62 46.82 78.28 6.74 4.96 0.70 58.14 89.60 18.06 16.28 090 53853 A Prostatic water thermother 5.48 29.37 48.85 4.39 3.24 0.37 35.22 54.70 10.24 9.09 090 53899 C Urology surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54000 A Slitting of prepuce 1.54 2.72 2.86 1.49 1.07 0.11 4.37 4.51 3.14 2.72 010 54001 A Slitting of prepuce 2.19 3.07 3.15 1.67 1.25 0.15 5.41 5.49 4.01 3.59 010 54015 A Drain penis lesion 5.31 NA NA 3.22 2.72 0.38 NA NA 8.91 8.41 010 54050 A Destruction, penis lesion(s) 1.24 2.05 1.76 1.35 1.11 0.08 3.37 3.08 2.67 2.43 010 54055 A Destruction, penis lesion(s) 1.22 1.97 1.67 1.23 0.91 0.08 3.27 2.97 2.53 2.21 010 54056 A Cryosurgery, penis lesion(s) 1.24 2.29 1.84 1.48 1.22 0.06 3.59 3.14 2.78 2.52 010 54057 A Laser surg, penis lesion(s) 1.24 2.61 2.31 1.36 0.96 0.09 3.94 3.64 2.69 2.29 010 54060 A Excision of penis lesion(s) 1.93 3.11 3.10 1.64 1.21 0.13 5.17 5.16 3.70 3.27 010 54065 A Destruction, penis lesion(s) 2.42 3.22 2.78 1.94 1.41 0.13 5.77 5.33 4.49 3.96 010 54100 A Biopsy of penis 1.90 3.30 2.93 1.34 0.95 0.10 5.30 4.93 3.34 2.95 000 54105 A Biopsy of penis 3.49 4.03 4.22 2.47 2.07 0.25 7.77 7.96 6.21 5.81 010 54110 A Treatment of penis lesion 10.74 NA NA 6.58 5.21 0.72 NA NA 18.03 16.67 090 54111 A Treat penis lesion, graft 14.24 NA NA 8.13 6.35 0.96 NA NA 23.33 21.55 090 54112 A Treat penis lesion, graft 16.77 NA NA 9.42 7.45 1.11 NA NA 27.30 25.33 090 54115 A Treatment of penis lesion 6.77 5.87 4.75 5.03 3.85 0.43 13.07 11.95 12.23 11.05 090 54120 A Partial removal of penis 10.83 NA NA 6.81 5.21 0.68 NA NA 18.32 16.72 090 54125 A Removal of penis 14.38 NA NA 8.25 6.43 0.95 NA NA 23.58 21.76 090 54130 A Remove penis & nodes 21.59 NA NA 11.40 8.98 1.52 NA NA 34.51 32.09 090 54135 A Remove penis & nodes 27.92 NA NA 14.31 11.20 1.87 NA NA 44.10 40.99 090 54150 A Circumcision 1.81 2.56 3.90 0.57 0.67 0.16 4.53 5.87 2.54 2.64 000 54152 A Circumcision 2.31 NA NA 1.72 1.33 0.19 NA NA 4.22 3.83 010 54160 A Circumcision 2.48 3.69 4.03 1.45 1.18 0.19 6.36 6.70 4.12 3.85 010 54161 A Circumcision 3.27 NA NA 2.22 1.73 0.23 NA NA 5.72 5.23 010 54162 A Lysis penil circumic lesion 3.25 4.02 4.49 2.27 1.65 0.21 7.48 7.95 5.73 5.11 010 54163 A Repair of circumcision 3.25 NA NA 2.89 2.22 0.21 NA NA 6.35 5.68 010 54164 A Frenulotomy of penis 2.75 NA NA 2.65 2.04 0.18 NA NA 5.58 4.97 010 54200 A Treatment of penis lesion 1.06 2.03 1.85 1.31 1.06 0.08 3.17 2.99 2.45 2.20 010 54205 A Treatment of penis lesion 8.79 NA NA 6.12 5.04 0.56 NA NA 15.47 14.39 090 54220 A Treatment of penis lesion 2.42 3.35 3.72 1.37 1.06 0.17 5.94 6.31 3.96 3.65 000 Start Printed Page 49156 54230 A Prepare penis study 1.34 1.41 1.16 0.91 0.70 0.09 2.84 2.59 2.34 2.13 000 54231 A Dynamic cavernosometry 2.04 1.87 1.50 1.18 0.95 0.16 4.07 3.70 3.38 3.15 000 54235 A Penile injection 1.19 1.40 1.07 0.90 0.66 0.08 2.67 2.34 2.17 1.93 000 54240 A Penis study 1.31 1.55 1.16 1.55 1.16 0.17 3.03 2.64 3.03 2.64 000 54240 26 A Penis study 1.31 0.50 0.45 0.50 0.45 0.11 1.92 1.87 1.92 1.87 000 54240 TC A Penis study 0.00 1.05 0.71 1.05 0.71 0.06 1.11 0.77 1.11 0.77 000 54250 A Penis study 2.22 1.25 1.00 1.25 1.00 0.18 3.65 3.40 3.65 3.40 000 54250 26 A Penis study 2.22 0.88 0.75 0.88 0.75 0.16 3.26 3.13 3.26 3.13 000 54250 TC A Penis study 0.00 0.37 0.24 0.37 0.24 0.02 0.39 0.26 0.39 0.26 000 54300 A Revision of penis 11.02 NA NA 6.80 5.87 0.76 NA NA 18.58 17.65 090 54304 A Revision of penis 13.10 NA NA 7.89 6.71 0.88 NA NA 21.87 20.69 090 54308 A Reconstruction of urethra 12.44 NA NA 7.58 6.36 0.84 NA NA 20.86 19.64 090 54312 A Reconstruction of urethra 14.30 NA NA 8.58 7.38 1.24 NA NA 24.12 22.92 090 54316 A Reconstruction of urethra 17.84 NA NA 10.07 8.47 1.21 NA NA 29.12 27.52 090 54318 A Reconstruction of urethra 12.22 NA NA 6.25 5.90 1.39 NA NA 19.86 19.51 090 54322 A Reconstruction of urethra 13.80 NA NA 7.94 6.82 0.92 NA NA 22.66 21.54 090 54324 A Reconstruction of urethra 17.34 NA NA 9.83 8.42 1.14 NA NA 28.31 26.90 090 54326 A Reconstruction of urethra 16.81 NA NA 9.65 8.24 1.11 NA NA 27.57 26.16 090 54328 A Revise penis/urethra 16.68 NA NA 9.73 7.86 0.98 NA NA 27.39 25.52 090 54332 A Revise penis/urethra 18.16 NA NA 10.20 8.34 1.21 NA NA 29.57 27.71 090 54336 A Revise penis/urethra 21.37 NA NA 11.88 10.68 2.20 NA NA 35.45 34.25 090 54340 A Secondary urethral surgery 9.53 NA NA 6.43 5.38 0.63 NA NA 16.58 15.54 090 54344 A Secondary urethral surgery 16.85 NA NA 9.79 8.25 1.54 NA NA 28.18 26.64 090 54348 A Secondary urethral surgery 18.11 NA NA 6.40 7.86 1.23 NA NA 25.74 27.20 090 54352 A Reconstruct urethra/penis 25.88 NA NA 13.72 11.81 2.24 NA NA 41.84 39.93 090 54360 A Penis plastic surgery 12.60 NA NA 7.54 6.40 0.84 NA NA 20.98 19.84 090 54380 A Repair penis 13.97 NA NA 5.59 6.35 0.93 NA NA 20.49 21.25 090 54385 A Repair penis 16.31 NA NA 8.37 8.28 0.86 NA NA 25.54 25.45 090 54390 A Repair penis and bladder 22.52 NA NA 7.49 8.92 1.54 NA NA 31.55 32.98 090 54400 A Insert semi-rigid prosthesis 9.04 NA NA 5.80 4.71 0.64 NA NA 15.48 14.39 090 54401 A Insert self-contd prosthesis 10.26 NA NA 8.26 6.36 0.73 NA NA 19.25 17.35 090 54405 A Insert multi-comp penis pros 14.34 NA NA 8.22 6.49 0.95 NA NA 23.51 21.78 090 54406 A Remove muti-comp penis pros 12.70 NA NA 7.70 5.98 0.86 NA NA 21.26 19.54 090 54408 A Repair multi-comp penis pros 13.67 NA NA 8.31 6.37 0.90 NA NA 22.88 20.94 090 54410 A Remove/replace penis prosth 16.42 NA NA 9.45 7.32 1.10 NA NA 26.97 24.84 090 54411 A Remov/replc penis pros, comp 18.06 NA NA 10.50 7.90 1.13 NA NA 29.69 27.09 090 54415 A Remove self-contd penis pros 8.69 NA NA 6.06 4.66 0.58 NA NA 15.33 13.93 090 54416 A Remv/repl penis contain pros 11.79 NA NA 7.96 6.01 0.77 NA NA 20.52 18.57 090 54417 A Remv/replc penis pros, compl 15.88 NA NA 9.22 6.93 1.00 NA NA 26.10 23.81 090 54420 A Revision of penis 12.21 NA NA 7.61 6.07 0.81 NA NA 20.63 19.08 090 54430 A Revision of penis 10.88 NA NA 6.99 5.57 0.72 NA NA 18.58 17.17 090 54435 A Revision of penis 6.67 NA NA 4.98 3.95 0.43 NA NA 12.08 11.05 090 54440 C Repair of penis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 090 54450 A Preputial stretching 1.12 0.86 0.93 0.49 0.45 0.08 2.06 2.13 1.69 1.65 000 54500 A Biopsy of testis 1.31 NA NA 0.80 0.62 0.10 NA NA 2.21 2.03 000 54505 A Biopsy of testis 3.45 NA NA 2.41 2.04 0.27 NA NA 6.13 5.76 010 54512 A Excise lesion testis 9.19 NA NA 5.72 4.52 0.67 NA NA 15.58 14.38 090 54520 A Removal of testis 5.22 NA NA 3.76 3.03 0.50 NA NA 9.48 8.75 090 54522 A Orchiectomy, partial 10.11 NA NA 5.80 5.10 0.89 NA NA 16.80 16.10 090 54530 A Removal of testis 9.26 NA NA 6.13 4.71 0.66 NA NA 16.05 14.63 090 54535 A Extensive testis surgery 13.01 NA NA 7.59 6.05 0.95 NA NA 21.55 20.01 090 54550 A Exploration for testis 8.27 NA NA 5.38 4.20 0.59 NA NA 14.24 13.06 090 54560 A Exploration for testis 11.92 NA NA 6.32 5.44 0.90 NA NA 19.14 18.26 090 54600 A Reduce testis torsion 7.50 NA NA 5.18 3.95 0.51 NA NA 13.19 11.96 090 54620 A Suspension of testis 5.14 NA NA 3.28 2.64 0.37 NA NA 8.79 8.15 010 54640 A Suspension of testis 7.53 NA NA 5.50 4.17 0.62 NA NA 13.65 12.32 090 Start Printed Page 49157 54650 A Orchiopexy (Fowler-Stephens) 12.18 NA NA 7.72 5.97 1.16 NA NA 21.06 19.31 090 54660 A Revision of testis 5.60 NA NA 4.44 3.35 0.44 NA NA 10.48 9.39 090 54670 A Repair testis injury 6.52 NA NA 4.84 3.86 0.47 NA NA 11.83 10.85 090 54680 A Relocation of testis(es) 13.86 NA NA 7.78 6.55 1.16 NA NA 22.80 21.57 090 54690 A Laparoscopy, orchiectomy 11.56 NA NA 6.20 5.25 1.02 NA NA 18.78 17.83 090 54692 A Laparoscopy, orchiopexy 13.60 NA NA 7.66 5.98 1.30 NA NA 22.56 20.88 090 54699 C Laparoscope proc, testis 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54700 A Drainage of scrotum 3.42 NA NA 2.40 2.05 0.28 NA NA 6.10 5.75 010 54800 A Biopsy of epididymis 2.33 NA NA 1.00 0.93 0.23 NA NA 3.56 3.49 000 54820 A Exploration of epididymis 5.63 NA NA 4.32 3.28 0.40 NA NA 10.35 9.31 090 54830 A Remove epididymis lesion 5.87 NA NA 4.48 3.38 0.41 NA NA 10.76 9.66 090 54840 A Remove epididymis lesion 5.19 NA NA 3.84 3.04 0.37 NA NA 9.40 8.60 090 54860 A Removal of epididymis 6.81 NA NA 4.92 3.71 0.45 NA NA 12.18 10.97 090 54861 A Removal of epididymis 9.52 NA NA 6.32 4.81 0.63 NA NA 16.47 14.96 090 54900 A Fusion of spermatic ducts 13.99 NA NA 5.29 5.66 0.93 NA NA 20.21 20.58 090 54901 A Fusion of spermatic ducts 18.85 NA NA 6.64 7.29 1.82 NA NA 27.31 27.96 090 55000 A Drainage of hydrocele 1.43 1.86 2.01 0.92 0.72 0.11 3.40 3.55 2.46 2.26 000 55040 A Removal of hydrocele 5.35 NA NA 3.98 3.16 0.43 NA NA 9.76 8.94 090 55041 A Removal of hydroceles 8.36 NA NA 5.74 4.41 0.60 NA NA 14.70 13.37 090 55060 A Repair of hydrocele 6.01 NA NA 4.47 3.42 0.46 NA NA 10.94 9.89 090 55100 A Drainage of scrotum abscess 2.38 3.52 3.63 2.12 1.70 0.17 6.07 6.18 4.67 4.25 010 55110 A Explore scrotum 6.19 NA NA 4.52 3.47 0.43 NA NA 11.14 10.09 090 55120 A Removal of scrotum lesion 5.58 NA NA 4.30 3.28 0.39 NA NA 10.27 9.25 090 55150 A Removal of scrotum 7.96 NA NA 5.49 4.25 0.56 NA NA 14.01 12.77 090 55175 A Revision of scrotum 5.73 NA NA 4.38 3.35 0.37 NA NA 10.48 9.45 090 55180 A Revision of scrotum 11.57 NA NA 7.32 5.84 0.90 NA NA 19.79 18.31 090 55200 A Incision of sperm duct 4.48 8.27 11.30 3.38 2.62 0.33 13.08 16.11 8.19 7.43 090 55250 A Removal of sperm duct(s) 3.29 7.74 10.54 3.00 2.41 0.25 11.28 14.08 6.54 5.95 090 55300 A Prepare, sperm duct x-ray 3.50 NA NA 1.63 1.39 0.25 NA NA 5.38 5.14 000 55400 A Repair of sperm duct 8.48 NA NA 5.50 4.41 0.64 NA NA 14.62 13.53 090 55450 A Ligation of sperm duct 4.36 6.00 6.74 2.86 2.11 0.29 10.65 11.39 7.51 6.76 010 55500 A Removal of hydrocele 6.08 NA NA 4.26 3.38 0.55 NA NA 10.89 10.01 090 55520 A Removal of sperm cord lesion 6.52 NA NA 3.86 3.40 0.75 NA NA 11.13 10.67 090 55530 A Revise spermatic cord veins 5.65 NA NA 4.16 3.29 0.45 NA NA 10.26 9.39 090 55535 A Revise spermatic cord veins 7.05 NA NA 4.88 3.76 0.47 NA NA 12.40 11.28 090 55540 A Revise hernia & sperm veins 8.16 NA NA 4.32 3.92 0.94 NA NA 13.42 13.02 090 55550 A Laparo ligate spermatic vein 7.06 NA NA 4.58 3.61 0.57 NA NA 12.21 11.24 090 55559 C Laparo proc, spermatic cord 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 55600 A Incise sperm duct pouch 6.87 NA NA 4.95 3.73 0.62 NA NA 12.44 11.22 090 55605 A Incise sperm duct pouch 8.58 NA NA 4.94 4.45 0.64 NA NA 14.16 13.67 090 55650 A Remove sperm duct pouch 12.47 NA NA 7.31 5.77 0.92 NA NA 20.70 19.16 090 55680 A Remove sperm pouch lesion 5.56 NA NA 3.90 3.20 0.47 NA NA 9.93 9.23 090 55700 A Biopsy of prostate 2.58 3.75 4.08 1.34 0.82 0.11 6.44 6.77 4.03 3.51 000 55705 A Biopsy of prostate 4.56 NA NA 2.89 2.44 0.32 NA NA 7.77 7.32 010 55720 A Drainage of prostate abscess 7.63 NA NA 4.84 4.07 0.95 NA NA 13.42 12.65 090 55725 A Drainage of prostate abscess 9.84 NA NA 6.41 4.96 0.70 NA NA 16.95 15.50 090 55801 A Removal of prostate 19.55 NA NA 10.68 8.37 1.34 NA NA 31.57 29.26 090 55810 A Extensive prostate surgery 24.08 NA NA 12.49 9.81 1.60 NA NA 38.17 35.49 090 55812 A Extensive prostate surgery 29.61 NA NA 15.07 11.99 2.04 NA NA 46.72 43.64 090 55815 A Extensive prostate surgery 32.67 NA NA 16.50 13.03 2.16 NA NA 51.33 47.86 090 55821 A Removal of prostate 15.58 NA NA 8.79 6.84 1.01 NA NA 25.38 23.43 090 55831 A Removal of prostate 17.01 NA NA 9.37 7.32 1.10 NA NA 27.48 25.43 090 55840 A Extensive prostate surgery 24.38 NA NA 12.82 10.15 1.61 NA NA 38.81 36.14 090 55842 A Extensive prostate surgery 26.24 NA NA 13.67 10.78 1.72 NA NA 41.63 38.74 090 55845 A Extensive prostate surgery 30.46 NA NA 14.90 11.91 2.02 NA NA 47.38 44.39 090 55859 A Percut/needle insert, pros 13.25 NA NA 7.90 6.35 0.89 NA NA 22.04 20.49 090 55860 A Surgical exposure, prostate 15.66 NA NA 8.73 6.98 1.02 NA NA 25.41 23.66 090 55862 A Extensive prostate surgery 19.83 NA NA 10.84 8.58 1.49 NA NA 32.16 29.90 090 55865 A Extensive prostate surgery 24.32 NA NA 12.97 10.17 1.63 NA NA 38.92 36.12 090 55866 A Laparo radical prostatectomy 32.17 NA NA 16.15 12.81 2.16 NA NA 50.48 47.14 090 55870 A Electroejaculation 2.58 2.47 1.77 1.44 1.17 0.16 5.21 4.51 4.18 3.91 000 55873 A Cryoablate prostate 20.19 NA NA 11.44 9.56 1.38 NA NA 33.01 31.13 090 55899 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 56405 A I & D of vulva/perineum 1.44 1.18 1.29 1.16 1.15 0.17 2.79 2.90 2.77 2.76 010 56420 A Drainage of gland abscess 1.39 1.52 2.08 0.78 0.98 0.16 3.07 3.63 2.33 2.53 010 56440 A Surgery for vulva lesion 2.84 NA NA 1.54 1.67 0.34 NA NA 4.72 4.85 010 Start Printed Page 49158 56441 A Lysis of labial lesion(s) 1.97 1.71 1.79 1.56 1.45 0.20 3.88 3.96 3.73 3.62 010 56501 A Destroy, vulva lesions, sim 1.53 1.64 1.75 1.22 1.24 0.18 3.35 3.46 2.93 2.95 010 56515 A Destroy vulva lesion/s compl 3.01 2.37 2.50 1.73 1.79 0.33 5.71 5.84 5.07 5.13 010 56605 A Biopsy of vulva/perineum 1.10 0.91 1.03 0.35 0.43 0.13 2.14 2.26 1.58 1.66 000 56606 A Biopsy of vulva/perineum 0.55 0.36 0.46 0.16 0.21 0.07 0.98 1.08 0.78 0.83 ZZZ 56620 A Partial removal of vulva 8.39 NA NA 4.41 4.70 0.90 NA NA 13.70 13.99 090 56625 A Complete removal of vulva 9.50 NA NA 4.77 5.18 1.02 NA NA 15.28 15.70 090 56630 A Extensive vulva surgery 14.62 NA NA 6.28 6.69 1.49 NA NA 22.39 22.80 090 56631 A Extensive vulva surgery 18.75 NA NA 7.74 8.54 1.95 NA NA 28.44 29.24 090 56632 A Extensive vulva surgery 21.51 NA NA 9.30 9.46 2.38 NA NA 33.19 33.35 090 56633 A Extensive vulva surgery 19.41 NA NA 7.79 8.39 1.97 NA NA 29.17 29.77 090 56634 A Extensive vulva surgery 20.42 NA NA 8.18 9.11 2.16 NA NA 30.76 31.69 090 56637 A Extensive vulva surgery 24.51 NA NA 9.20 10.60 2.60 NA NA 36.31 37.71 090 56640 A Extensive vulva surgery 24.60 NA NA 9.07 10.23 2.88 NA NA 36.55 37.71 090 56700 A Partial removal of hymen 2.77 NA NA 1.77 1.82 0.30 NA NA 4.84 4.89 010 56720 A Incision of hymen 0.68 NA NA 0.52 0.51 0.08 NA NA 1.28 1.27 000 56740 A Remove vagina gland lesion 4.81 NA NA 2.32 2.50 0.56 NA NA 7.69 7.87 010 56800 A Repair of vagina 3.88 NA NA 2.00 2.14 0.44 NA NA 6.32 6.46 010 56805 A Repair clitoris 19.69 NA NA 9.28 9.38 2.14 NA NA 31.11 31.21 090 56810 A Repair of perineum 4.24 NA NA 2.06 2.23 0.49 NA NA 6.79 6.96 010 56820 A Exam of vulva w/scope 1.50 1.20 1.28 0.53 0.62 0.18 2.88 2.96 2.21 2.30 000 56821 A Exam/biopsy of vulva w/scope 2.05 1.55 1.70 0.69 0.86 0.25 3.85 4.00 2.99 3.16 000 57000 A Exploration of vagina 2.97 NA NA 1.72 1.72 0.31 NA NA 5.00 5.00 010 57010 A Drainage of pelvic abscess 6.70 NA NA 3.85 3.81 0.71 NA NA 11.26 11.22 090 57020 A Drainage of pelvic fluid 1.50 0.76 0.90 0.45 0.56 0.18 2.44 2.58 2.13 2.24 000 57022 A I & d vaginal hematoma, pp 2.68 NA NA 1.44 1.48 0.26 NA NA 4.38 4.42 010 57023 A I & d vag hematoma, non-ob 5.11 NA NA 2.40 2.53 0.58 NA NA 8.09 8.22 010 57061 A Destroy vag lesions, simple 1.25 1.52 1.62 1.12 1.12 0.15 2.92 3.02 2.52 2.52 010 57065 A Destroy vag lesions, complex 2.61 2.03 2.23 1.49 1.63 0.31 4.95 5.15 4.41 4.55 010 57100 A Biopsy of vagina 1.20 0.93 1.04 0.37 0.45 0.14 2.27 2.38 1.71 1.79 000 57105 A Biopsy of vagina 1.69 1.59 1.74 1.34 1.40 0.20 3.48 3.63 3.23 3.29 010 57106 A Remove vagina wall, partial 7.29 NA NA 4.26 4.20 0.73 NA NA 12.28 12.22 090 57107 A Remove vagina tissue, part 24.37 NA NA 9.11 10.12 2.71 NA NA 36.19 37.20 090 57109 A Vaginectomy partial w/nodes 28.19 NA NA 10.34 11.02 3.21 NA NA 41.74 42.42 090 57110 A Remove vagina wall, complete 15.34 NA NA 6.27 7.02 1.73 NA NA 23.34 24.09 090 57111 A Remove vagina tissue, compl 28.19 NA NA 10.26 12.02 3.17 NA NA 41.62 43.38 090 57112 A Vaginectomy w/nodes, compl 30.31 NA NA 11.58 11.96 3.07 NA NA 44.96 45.34 090 57120 A Closure of vagina 8.14 NA NA 4.21 4.50 0.89 NA NA 13.24 13.53 090 57130 A Remove vagina lesion 2.43 1.99 2.11 1.49 1.53 0.29 4.71 4.83 4.21 4.25 010 57135 A Remove vagina lesion 2.67 2.03 2.20 1.54 1.62 0.31 5.01 5.18 4.52 4.60 010 57150 A Treat vagina infection 0.55 0.58 0.97 0.16 0.20 0.07 1.20 1.59 0.78 0.82 000 57155 A Insert uteri tandems/ovoids 6.75 NA NA 3.11 4.20 0.43 NA NA 10.29 11.38 090 57160 A Insert pessary/other device 0.89 1.05 1.02 0.26 0.32 0.10 2.04 2.01 1.25 1.31 000 57170 A Fitting of diaphragm/cap 0.91 0.57 1.25 0.25 0.31 0.11 1.59 2.27 1.27 1.33 000 57180 A Treat vaginal bleeding 1.58 1.85 2.08 0.92 1.18 0.19 3.62 3.85 2.69 2.95 010 57200 A Repair of vagina 4.31 NA NA 2.95 2.91 0.46 NA NA 7.72 7.68 090 57210 A Repair vagina/perineum 5.60 NA NA 3.28 3.39 0.62 NA NA 9.50 9.61 090 57220 A Revision of urethra 4.74 NA NA 3.03 3.08 0.51 NA NA 8.28 8.33 090 57230 A Repair of urethral lesion 6.19 NA NA 3.78 3.50 0.54 NA NA 10.51 10.23 090 57240 A Repair bladder & vagina 11.38 NA NA 5.47 4.23 0.62 NA NA 17.47 16.23 090 57250 A Repair rectum & vagina 11.38 NA NA 5.04 3.94 0.65 NA NA 17.07 15.97 090 57260 A Repair of vagina 14.32 NA NA 5.86 5.09 0.97 NA NA 21.15 20.38 090 57265 A Extensive repair of vagina 15.82 NA NA 6.33 6.11 1.32 NA NA 23.47 23.25 090 57267 A Insert mesh/pelvic flr addon 4.88 NA NA 1.52 1.86 0.64 NA NA 7.04 7.38 ZZZ 57268 A Repair of bowel bulge 7.43 NA NA 4.31 4.22 0.79 NA NA 12.53 12.44 090 57270 A Repair of bowel pouch 13.53 NA NA 5.71 6.11 1.42 NA NA 20.66 21.06 090 Start Printed Page 49159 57280 A Suspension of vagina 16.58 NA NA 7.02 7.28 1.67 NA NA 25.27 25.53 090 57282 A Colpopexy, extraperitoneal 7.79 NA NA 4.43 4.48 1.02 NA NA 13.24 13.29 090 57283 A Colpopexy, intraperitoneal 11.54 NA NA 5.24 5.74 1.02 NA NA 17.80 18.30 090 57284 A Repair paravaginal defect 13.43 NA NA 6.77 7.05 1.41 NA NA 21.61 21.89 090 57287 A Revise/remove sling repair 11.43 NA NA 6.47 5.72 0.90 NA NA 18.80 18.05 090 57288 A Repair bladder defect 13.95 NA NA 7.09 6.20 1.12 NA NA 22.16 21.27 090 57289 A Repair bladder & vagina 12.63 NA NA 6.23 6.08 1.21 NA NA 20.07 19.92 090 57291 A Construction of vagina 8.50 NA NA 4.39 4.79 0.93 NA NA 13.82 14.22 090 57292 A Construct vagina with graft 13.87 NA NA 5.99 6.70 1.58 NA NA 21.44 22.15 090 57295 A Change vaginal graft 7.70 NA NA 3.77 4.27 0.91 NA NA 12.38 12.88 090 57300 A Repair rectum-vagina fistula 8.53 NA NA 4.48 4.33 0.87 NA NA 13.88 13.73 090 57305 A Repair rectum-vagina fistula 15.18 NA NA 6.20 6.25 1.72 NA NA 23.10 23.15 090 57307 A Fistula repair & colostomy 16.96 NA NA 7.04 7.00 2.01 NA NA 26.01 25.97 090 57308 A Fistula repair, transperine 10.42 NA NA 4.88 5.04 1.14 NA NA 16.44 16.60 090 57310 A Repair urethrovaginal lesion 7.51 NA NA 5.05 4.14 0.54 NA NA 13.10 12.19 090 57311 A Repair urethrovaginal lesion 8.77 NA NA 5.16 4.37 0.65 NA NA 14.58 13.79 090 57320 A Repair bladder-vagina lesion 8.74 NA NA 5.34 4.61 0.69 NA NA 14.77 14.04 090 57330 A Repair bladder-vagina lesion 13.07 NA NA 7.18 6.07 1.06 NA NA 21.31 20.20 090 57335 A Repair vagina 19.81 NA NA 8.80 8.97 1.91 NA NA 30.52 30.69 090 57400 A Dilation of vagina 2.27 NA NA 0.99 1.08 0.26 NA NA 3.52 3.61 000 57410 A Pelvic examination 1.75 NA NA 0.92 0.90 0.18 NA NA 2.85 2.83 000 57415 A Remove vaginal foreign body 2.42 NA NA 1.51 1.44 0.24 NA NA 4.17 4.10 010 57420 A Exam of vagina w/scope 1.60 1.24 1.32 0.57 0.65 0.19 3.03 3.11 2.36 2.44 000 57421 A Exam/biopsy of vag w/scope 2.20 1.60 1.78 0.73 0.90 0.27 4.07 4.25 3.20 3.37 000 57425 A Laparoscopy, surg, colpopexy 16.89 NA NA 7.00 6.72 1.75 NA NA 25.64 25.36 090 57452 A Exam of cervix w/scope 1.50 1.19 1.26 0.75 0.76 0.18 2.87 2.94 2.43 2.44 000 57454 A Bx/curett of cervix w/scope 2.33 1.41 1.58 0.97 1.11 0.28 4.02 4.19 3.58 3.72 000 57455 A Biopsy of cervix w/scope 1.99 1.51 1.67 0.67 0.82 0.24 3.74 3.90 2.90 3.05 000 57456 A Endocerv curettage w/scope 1.85 1.47 1.61 0.63 0.77 0.22 3.54 3.68 2.70 2.84 000 57460 A Bx of cervix w/scope, leep 2.83 4.33 5.46 1.11 1.31 0.34 7.50 8.63 4.28 4.48 000 57461 A Conz of cervix w/scope, leep 3.43 4.63 5.73 1.08 1.37 0.41 8.47 9.57 4.92 5.21 000 57500 A Biopsy of cervix 1.20 2.03 2.41 0.65 0.64 0.12 3.35 3.73 1.97 1.96 000 57505 A Endocervical curettage 1.14 1.32 1.43 1.07 1.09 0.14 2.60 2.71 2.35 2.37 010 57510 A Cauterization of cervix 1.90 1.32 1.50 0.91 1.01 0.23 3.45 3.63 3.04 3.14 010 57511 A Cryocautery of cervix 1.90 1.61 1.77 1.27 1.35 0.23 3.74 3.90 3.40 3.48 010 57513 A Laser surgery of cervix 1.90 1.57 1.68 1.28 1.37 0.23 3.70 3.81 3.41 3.50 010 57520 A Conization of cervix 4.03 3.39 3.80 2.52 2.78 0.49 7.91 8.32 7.04 7.30 090 57522 A Conization of cervix 3.60 2.79 3.06 2.27 2.41 0.41 6.80 7.07 6.28 6.42 090 57530 A Removal of cervix 5.16 NA NA 3.12 3.32 0.58 NA NA 8.86 9.06 090 57531 A Removal of cervix, radical 29.71 NA NA 10.66 12.54 3.34 NA NA 43.71 45.59 090 57540 A Removal of residual cervix 13.15 NA NA 5.61 6.08 1.49 NA NA 20.25 20.72 090 57545 A Remove cervix/repair pelvis 13.96 NA NA 6.23 6.56 1.52 NA NA 21.71 22.04 090 57550 A Removal of residual cervix 6.20 NA NA 3.65 3.78 0.67 NA NA 10.52 10.65 090 57555 A Remove cervix/repair vagina 9.80 NA NA 4.80 5.01 1.09 NA NA 15.69 15.90 090 57556 A Remove cervix, repair bowel 9.22 NA NA 4.68 4.81 0.92 NA NA 14.82 14.95 090 57700 A Revision of cervix 4.17 NA NA 3.31 3.15 0.41 NA NA 7.89 7.73 090 57720 A Revision of cervix 4.50 NA NA 2.92 3.06 0.49 NA NA 7.91 8.05 090 57800 A Dilation of cervical canal 0.77 0.71 0.75 0.42 0.46 0.09 1.57 1.61 1.28 1.32 000 57820 A D & c of residual cervix 1.67 1.35 1.44 1.05 1.12 0.20 3.22 3.31 2.92 2.99 010 58100 A Biopsy of uterus lining 1.53 1.14 1.28 0.59 0.69 0.18 2.85 2.99 2.30 2.40 000 58110 A Bx done w/colposcopy add-on 0.77 0.40 0.51 0.21 0.29 0.09 1.26 1.37 1.07 1.15 ZZZ 58120 A Dilation and curettage 3.52 2.72 2.41 1.67 1.82 0.39 6.63 6.32 5.58 5.73 010 58140 A Myomectomy abdom method 15.65 NA NA 6.25 6.89 1.81 NA NA 23.71 24.35 090 58145 A Myomectomy vag method 8.77 NA NA 4.28 4.66 0.97 NA NA 14.02 14.40 090 58146 A Myomectomy abdom complex 20.20 NA NA 7.36 8.59 2.32 NA NA 29.88 31.11 090 58150 A Total hysterectomy 17.17 NA NA 6.59 7.26 1.84 NA NA 25.60 26.27 090 58152 A Total hysterectomy 21.68 NA NA 8.18 9.43 2.47 NA NA 32.33 33.58 090 58180 A Partial hysterectomy 16.46 NA NA 6.38 7.18 1.64 NA NA 24.48 25.28 090 58200 A Extensive hysterectomy 22.96 NA NA 8.15 9.53 2.54 NA NA 33.65 35.03 090 58210 A Extensive hysterectomy 30.70 NA NA 10.71 12.57 3.37 NA NA 44.78 46.64 090 58240 A Removal of pelvis contents 43.13 NA NA 15.92 17.19 4.22 NA NA 63.27 64.54 090 58260 A Vaginal hysterectomy 13.98 NA NA 5.83 6.48 1.57 NA NA 21.38 22.03 090 58262 A Vag hyst including t/o 15.77 NA NA 6.31 7.11 1.79 NA NA 23.87 24.67 090 58263 A Vag hyst w/t/o & vag repair 17.06 NA NA 6.67 7.58 1.94 NA NA 25.67 26.58 090 58267 A Vag hyst w/urinary repair 18.18 NA NA 7.06 8.04 2.06 NA NA 27.30 28.28 090 58270 A Vag hyst w/enterocele repair 15.16 NA NA 5.99 6.79 1.73 NA NA 22.88 23.68 090 Start Printed Page 49160 58275 A Hysterectomy/revise vagina 16.85 NA NA 6.70 7.50 1.91 NA NA 25.46 26.26 090 58280 A Hysterectomy/revise vagina 18.15 NA NA 7.08 7.96 2.06 NA NA 27.28 28.17 090 58285 A Extensive hysterectomy 23.26 NA NA 7.96 9.45 2.70 NA NA 33.92 35.41 090 58290 A Vag hyst complex 20.13 NA NA 7.44 8.70 2.29 NA NA 29.86 31.12 090 58291 A Vag hyst incl t/o, complex 21.92 NA NA 7.87 9.37 2.52 NA NA 32.31 33.81 090 58292 A Vag hyst t/o & repair, compl 23.21 NA NA 8.34 9.86 2.67 NA NA 34.22 35.74 090 58293 A Vag hyst w/uro repair, compl 24.19 NA NA 8.55 10.13 2.78 NA NA 35.52 37.10 090 58294 A Vag hyst w/enterocele, compl 21.41 NA NA 7.22 8.97 2.39 NA NA 31.02 32.77 090 58300 N Insert intrauterine device 1.01 0.63 1.22 0.24 0.35 0.12 1.76 2.35 1.37 1.48 XXX 58301 A Remove intrauterine device 1.27 1.06 1.26 0.35 0.45 0.15 2.48 2.68 1.77 1.87 000 58321 A Artificial insemination 0.92 0.98 1.11 0.25 0.34 0.10 2.00 2.13 1.27 1.36 000 58322 A Artificial insemination 1.10 1.05 1.16 0.31 0.39 0.13 2.28 2.39 1.54 1.62 000 58323 A Sperm washing 0.23 0.15 0.44 0.07 0.09 0.03 0.41 0.70 0.33 0.35 000 58340 A Catheter for hysterography 0.88 2.17 2.91 0.57 0.63 0.09 3.14 3.88 1.54 1.60 000 58345 A Reopen fallopian tube 4.65 NA NA 2.08 2.34 0.41 NA NA 7.14 7.40 010 58346 A Insert heyman uteri capsule 7.44 NA NA 3.34 3.78 0.56 NA NA 11.34 11.78 090 58350 A Reopen fallopian tube 1.01 1.34 1.45 0.87 0.91 0.12 2.47 2.58 2.00 2.04 010 58353 A Endometr ablate, thermal 3.55 23.12 32.53 1.72 1.97 0.43 27.10 36.51 5.70 5.95 010 58356 A Endometrial cryoablation 6.36 43.78 57.02 1.86 2.48 0.82 50.96 64.20 9.04 9.66 010 58400 A Suspension of uterus 7.03 NA NA 3.85 3.91 0.75 NA NA 11.63 11.69 090 58410 A Suspension of uterus 13.66 NA NA 5.91 6.30 1.45 NA NA 21.02 21.41 090 58520 A Repair of ruptured uterus 13.34 NA NA 5.48 5.89 1.47 NA NA 20.29 20.70 090 58540 A Revision of uterus 15.57 NA NA 6.25 6.78 1.78 NA NA 23.60 24.13 090 58545 A Laparoscopic myomectomy 15.65 NA NA 6.03 6.89 1.77 NA NA 23.45 24.31 090 58546 A Laparo-myomectomy, complex 20.20 NA NA 7.26 8.50 2.30 NA NA 29.76 31.00 090 58550 A Laparo-asst vag hysterectomy 14.91 NA NA 6.20 7.02 1.72 NA NA 22.83 23.65 090 58552 A Laparo-vag hyst incl t/o 16.23 NA NA 6.49 7.63 1.72 NA NA 24.44 25.58 090 58553 A Laparo-vag hyst, complex 20.13 NA NA 7.24 8.49 2.30 NA NA 29.67 30.92 090 58554 A Laparo-vag hyst w/t/o, compl 23.13 NA NA 8.41 9.90 2.27 NA NA 33.81 35.30 090 58555 A Hysteroscopy, dx, sep proc 3.33 2.76 2.33 1.25 1.48 0.40 6.49 6.06 4.98 5.21 000 58558 A Hysteroscopy, biopsy 4.74 3.63 2.54 1.68 2.05 0.57 8.94 7.85 6.99 7.36 000 58559 A Hysteroscopy, lysis 6.16 NA NA 2.07 2.57 0.74 NA NA 8.97 9.47 000 58560 A Hysteroscopy, resect septum 6.99 NA NA 2.31 2.89 0.84 NA NA 10.14 10.72 000 58561 A Hysteroscopy, remove myoma 9.99 NA NA 3.16 4.00 1.21 NA NA 14.36 15.20 000 58562 A Hysteroscopy, remove fb 5.20 3.53 2.65 1.78 2.21 0.63 9.36 8.48 7.61 8.04 000 58563 A Hysteroscopy, ablation 6.16 37.70 51.57 2.08 2.58 0.74 44.60 58.47 8.98 9.48 000 58565 A Hysteroscopy, sterilization 7.02 34.73 45.85 3.39 3.77 1.19 42.94 54.06 11.60 11.98 090 58578 C Laparo proc, uterus 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 58600 A Division of fallopian tube 5.84 NA NA 2.94 3.23 0.66 NA NA 9.44 9.73 090 58605 A Division of fallopian tube 5.23 NA NA 2.69 3.01 0.59 NA NA 8.51 8.83 090 58611 A Ligate oviduct(s) add-on 1.45 NA NA 0.40 0.53 0.18 NA NA 2.03 2.16 ZZZ 58615 A Occlude fallopian tube(s) 3.89 NA NA 2.00 2.53 0.47 NA NA 6.36 6.89 010 58660 A Laparoscopy, lysis 11.52 NA NA 4.56 5.08 1.40 NA NA 17.48 18.00 090 58661 A Laparoscopy, remove adnexa 11.28 NA NA 4.04 4.85 1.34 NA NA 16.66 17.47 010 58662 A Laparoscopy, excise lesions 12.06 NA NA 4.83 5.54 1.43 NA NA 18.32 19.03 090 58670 A Laparoscopy, tubal cautery 5.84 NA NA 2.98 3.20 0.67 NA NA 9.49 9.71 090 58671 A Laparoscopy, tubal block 5.84 NA NA 2.97 3.20 0.68 NA NA 9.49 9.72 090 58672 A Laparoscopy, fimbrioplasty 12.86 NA NA 4.79 5.83 1.60 NA NA 19.25 20.29 090 58673 A Laparoscopy, salpingostomy 13.97 NA NA 5.23 6.24 1.69 NA NA 20.89 21.90 090 58679 C Laparo proc, oviduct-ovary 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 58700 A Removal of fallopian tube 12.80 NA NA 5.56 5.88 1.51 NA NA 19.87 20.19 090 58720 A Removal of ovary/tube(s) 12.04 NA NA 5.13 5.61 1.39 NA NA 18.56 19.04 090 58740 A Revise fallopian tube(s) 14.75 NA NA 6.11 6.88 1.71 NA NA 22.57 23.34 090 58750 A Repair oviduct 15.52 NA NA 6.14 7.06 1.84 NA NA 23.50 24.42 090 58752 A Revise ovarian tube(s) 15.52 NA NA 6.04 6.72 1.80 NA NA 23.36 24.04 090 Start Printed Page 49161 58760 A Remove tubal obstruction 13.81 NA NA 5.66 6.45 1.79 NA NA 21.26 22.05 090 58770 A Create new tubal opening 14.65 NA NA 5.81 6.63 1.73 NA NA 22.19 23.01 090 58800 A Drainage of ovarian cyst(s) 4.51 3.20 3.53 2.68 2.85 0.43 8.14 8.47 7.62 7.79 090 58805 A Drainage of ovarian cyst(s) 6.31 NA NA 3.49 3.50 0.69 NA NA 10.49 10.50 090 58820 A Drain ovary abscess, open 4.59 NA NA 2.89 3.19 0.52 NA NA 8.00 8.30 090 58822 A Drain ovary abscess, percut 11.67 NA NA 5.18 5.20 1.16 NA NA 18.01 18.03 090 58823 A Drain pelvic abscess, percut 3.37 20.10 21.02 1.04 1.10 0.24 23.71 24.63 4.65 4.71 000 58825 A Transposition, ovary(s) 11.66 NA NA 4.98 5.59 1.32 NA NA 17.96 18.57 090 58900 A Biopsy of ovary(s) 6.48 NA NA 3.49 3.55 0.69 NA NA 10.66 10.72 090 58920 A Partial removal of ovary(s) 11.84 NA NA 5.24 5.49 1.43 NA NA 18.51 18.76 090 58925 A Removal of ovarian cyst(s) 12.29 NA NA 5.31 5.59 1.41 NA NA 19.01 19.29 090 58940 A Removal of ovary(s) 8.08 NA NA 4.07 4.09 0.91 NA NA 13.06 13.08 090 58943 A Removal of ovary(s) 19.38 NA NA 7.25 8.29 2.22 NA NA 28.85 29.89 090 58950 A Resect ovarian malignancy 18.18 NA NA 7.29 8.12 2.04 NA NA 27.51 28.34 090 58951 A Resect ovarian malignancy 24.11 NA NA 8.61 9.98 2.63 NA NA 35.35 36.72 090 58952 A Resect ovarian malignancy 27.09 NA NA 9.81 11.27 3.02 NA NA 39.92 41.38 090 58953 A Tah, rad dissect for debulk 33.91 NA NA 11.63 13.81 3.83 NA NA 49.37 51.55 090 58954 A Tah rad debulk/lymph remove 36.91 NA NA 12.49 14.90 4.17 NA NA 53.57 55.98 090 58956 A Bso, omentectomy w/tah 22.59 NA NA 8.59 9.88 4.00 NA NA 35.18 36.47 090 58960 A Exploration of abdomen 15.64 NA NA 6.29 7.09 1.79 NA NA 23.72 24.52 090 58970 A Retrieval of oocyte 3.52 1.83 2.19 1.26 1.43 0.43 5.78 6.14 5.21 5.38 000 58974 C Transfer of embryo 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 58976 A Transfer of embryo 3.82 1.96 2.50 1.22 1.67 0.47 6.25 6.79 5.51 5.96 000 58999 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59000 A Amniocentesis, diagnostic 1.30 1.75 1.99 0.56 0.64 0.31 3.36 3.60 2.17 2.25 000 59001 A Amniocentesis, therapeutic 3.00 NA NA 1.09 1.33 0.71 NA NA 4.80 5.04 000 59012 A Fetal cord puncture,prenatal 3.44 NA NA 1.16 1.45 0.82 NA NA 5.42 5.71 000 59015 A Chorion biopsy 2.20 1.43 1.52 0.81 0.98 0.52 4.15 4.24 3.53 3.70 000 59020 A Fetal contract stress test 0.66 1.08 0.86 1.08 0.86 0.26 2.00 1.78 2.00 1.78 000 59020 26 A Fetal contract stress test 0.66 0.19 0.24 0.19 0.24 0.16 1.01 1.06 1.01 1.06 000 59020 TC A Fetal contract stress test 0.00 0.90 0.62 0.90 0.62 0.10 1.00 0.72 1.00 0.72 000 59025 A Fetal non-stress test 0.53 0.63 0.49 0.63 0.49 0.15 1.31 1.17 1.31 1.17 000 59025 26 A Fetal non-stress test 0.53 0.15 0.20 0.15 0.20 0.13 0.81 0.86 0.81 0.86 000 59025 TC A Fetal non-stress test 0.00 0.49 0.30 0.49 0.30 0.02 0.51 0.32 0.51 0.32 000 59030 A Fetal scalp blood sample 1.99 NA NA 0.56 0.72 0.47 NA NA 3.02 3.18 000 59050 A Fetal monitor w/report 0.89 NA NA 0.26 0.33 0.21 NA NA 1.36 1.43 XXX 59051 A Fetal monitor/interpret only 0.74 NA NA 0.21 0.27 0.17 NA NA 1.12 1.18 XXX 59070 A Transabdom amnioinfus w/us 5.24 4.48 4.98 1.83 2.19 0.28 10.00 10.50 7.35 7.71 000 59072 A Umbilical cord occlud w/us 8.99 NA NA 2.88 3.06 0.16 NA NA 12.03 12.21 000 59074 A Fetal fluid drainage w/us 5.24 3.91 4.41 1.71 2.16 0.28 9.43 9.93 7.23 7.68 000 59076 A Fetal shunt placement, w/us 8.99 NA NA 2.42 2.95 0.16 NA NA 11.57 12.10 000 59100 A Remove uterus lesion 13.22 NA NA 5.80 6.29 2.94 NA NA 21.96 22.45 090 59120 A Treat ectopic pregnancy 12.52 NA NA 5.47 6.05 2.72 NA NA 20.71 21.29 090 59121 A Treat ectopic pregnancy 12.60 NA NA 5.42 6.10 2.78 NA NA 20.80 21.48 090 59130 A Treat ectopic pregnancy 14.94 NA NA 6.09 5.12 3.38 NA NA 24.41 23.44 090 59135 A Treat ectopic pregnancy 14.78 NA NA 5.12 6.70 3.30 NA NA 23.20 24.78 090 59136 A Treat ectopic pregnancy 14.11 NA NA 5.77 6.39 3.13 NA NA 23.01 23.63 090 59140 A Treat ectopic pregnancy 5.83 NA NA 2.91 2.39 1.29 NA NA 10.03 9.51 090 59150 A Treat ectopic pregnancy 12.15 NA NA 5.26 5.81 2.78 NA NA 20.19 20.74 090 59151 A Treat ectopic pregnancy 11.97 NA NA 4.93 5.77 2.73 NA NA 19.63 20.47 090 59160 A D & c after delivery 2.71 2.00 2.97 1.19 1.90 0.64 5.35 6.32 4.54 5.25 010 59200 A Insert cervical dilator 0.79 0.95 1.13 0.22 0.28 0.19 1.93 2.11 1.20 1.26 000 59300 A Episiotomy or vaginal repair 2.41 2.21 2.18 1.03 0.98 0.57 5.19 5.16 4.01 3.96 000 59320 A Revision of cervix 2.48 NA NA 1.02 1.19 0.59 NA NA 4.09 4.26 000 59325 A Revision of cervix 4.06 NA NA 1.24 1.73 0.88 NA NA 6.18 6.67 000 59350 A Repair of uterus 4.94 NA NA 1.41 1.76 1.17 NA NA 7.52 7.87 000 59400 A Obstetrical care 26.53 NA NA 14.36 15.08 5.48 NA NA 46.37 47.09 MMM 59409 A Obstetrical care 13.48 NA NA 3.76 4.92 3.21 NA NA 20.45 21.61 MMM 59410 A Obstetrical care 15.26 NA NA 4.97 5.97 3.51 NA NA 23.74 24.74 MMM 59412 A Antepartum manipulation 1.71 NA NA 0.65 0.77 0.40 NA NA 2.76 2.88 MMM 59414 A Deliver placenta 1.61 NA NA 0.44 0.59 0.38 NA NA 2.43 2.58 MMM 59425 A Antepartum care only 6.12 4.25 4.21 1.68 1.81 1.14 11.51 11.47 8.94 9.07 MMM 59426 A Antepartum care only 10.84 7.82 7.61 2.97 3.16 1.97 20.63 20.42 15.78 15.97 MMM 59430 A Care after delivery 2.13 1.04 1.18 0.66 0.87 0.50 3.67 3.81 3.29 3.50 MMM 59510 A Cesarean delivery 30.05 NA NA 16.03 16.95 6.23 NA NA 52.31 53.23 MMM 59514 A Cesarean delivery only 15.95 NA NA 4.51 5.79 3.79 NA NA 24.25 25.53 MMM Start Printed Page 49162 59515 A Cesarean delivery 18.21 NA NA 6.25 7.44 4.12 NA NA 28.58 29.77 MMM 59525 A Remove uterus after cesarean 8.53 NA NA 2.40 3.08 1.94 NA NA 12.87 13.55 ZZZ 59610 A Vbac delivery 27.95 NA NA 14.66 15.56 5.85 NA NA 48.46 49.36 MMM 59612 A Vbac delivery only 15.04 NA NA 4.28 5.61 3.58 NA NA 22.90 24.23 MMM 59614 A Vbac care after delivery 16.57 NA NA 5.19 6.50 3.88 NA NA 25.64 26.95 MMM 59618 A Attempted vbac delivery 31.48 NA NA 16.38 17.77 6.59 NA NA 54.45 55.84 MMM 59620 A Attempted vbac delivery only 17.50 NA NA 4.80 6.27 4.16 NA NA 26.46 27.93 MMM 59622 A Attempted vbac after care 19.64 NA NA 6.69 8.15 4.49 NA NA 30.82 32.28 MMM 59812 A Treatment of miscarriage 4.37 3.12 2.69 2.38 2.50 0.95 8.44 8.01 7.70 7.82 090 59820 A Care of miscarriage 4.64 4.10 4.34 3.49 3.54 0.95 9.69 9.93 9.08 9.13 090 59821 A Treatment of miscarriage 4.94 3.85 4.17 3.19 3.35 1.06 9.85 10.17 9.19 9.35 090 59830 A Treat uterus infection 6.48 NA NA 3.47 3.85 1.44 NA NA 11.39 11.77 090 59840 R Abortion 3.01 2.04 2.10 1.81 2.04 0.71 5.76 5.82 5.53 5.76 010 59841 R Abortion 5.55 3.19 3.42 2.61 2.88 1.24 9.98 10.21 9.40 9.67 010 59850 R Abortion 5.90 NA NA 2.66 3.10 1.28 NA NA 9.84 10.28 090 59851 R Abortion 5.92 NA NA 3.33 3.64 1.28 NA NA 10.53 10.84 090 59852 R Abortion 8.23 NA NA 3.84 4.74 1.80 NA NA 13.87 14.77 090 59855 R Abortion 6.36 NA NA 3.00 3.41 1.45 NA NA 10.81 11.22 090 59856 R Abortion 7.72 NA NA 3.85 4.01 1.78 NA NA 13.35 13.51 090 59857 R Abortion 9.28 NA NA 3.17 4.33 2.01 NA NA 14.46 15.62 090 59866 R Abortion (mpr) 3.99 NA NA 1.26 1.73 0.87 NA NA 6.12 6.59 000 59870 A Evacuate mole of uterus 6.32 NA NA 4.31 4.44 1.42 NA NA 12.05 12.18 090 59871 A Remove cerclage suture 2.13 NA NA 0.94 1.08 0.50 NA NA 3.57 3.71 000 59897 C Fetal invas px w/us 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59898 C Laparo proc, ob care/deliver 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY 60000 A Drain thyroid/tongue cyst 1.76 2.06 1.96 1.67 1.70 0.15 3.97 3.87 3.58 3.61 010 60001 A Aspirate/inject thyriod cyst 0.97 1.93 1.54 0.28 0.32 0.07 2.97 2.58 1.32 1.36 000 60100 A Biopsy of thyroid 1.56 1.27 1.37 0.47 0.52 0.10 2.93 3.03 2.13 2.18 000 60200 A Remove thyroid lesion 9.84 NA NA 5.20 5.79 1.01 NA NA 16.05 16.64 090 60210 A Partial thyroid excision 11.11 NA NA 5.04 5.48 1.23 NA NA 17.38 17.82 090 60212 A Partial thyroid excision 16.26 NA NA 6.55 7.39 1.94 NA NA 24.75 25.59 090 60220 A Partial removal of thyroid 12.25 NA NA 5.37 5.95 1.32 NA NA 18.94 19.52 090 60225 A Partial removal of thyroid 14.59 NA NA 6.65 7.21 1.64 NA NA 22.88 23.44 090 60240 A Removal of thyroid 16.16 NA NA 6.14 7.22 1.85 NA NA 24.15 25.23 090 60252 A Removal of thyroid 21.82 NA NA 8.38 9.66 2.29 NA NA 32.49 33.77 090 60254 A Extensive thyroid surgery 28.23 NA NA 10.28 13.18 2.60 NA NA 41.11 44.01 090 60260 A Repeat thyroid surgery 18.14 NA NA 6.96 8.22 1.93 NA NA 27.03 28.29 090 60270 A Removal of thyroid 23.01 NA NA 8.90 10.06 2.32 NA NA 34.23 35.39 090 60271 A Removal of thyroid 17.50 NA NA 6.77 8.13 1.74 NA NA 26.01 27.37 090 60280 A Remove thyroid duct lesion 5.98 NA NA 4.07 4.51 0.54 NA NA 10.59 11.03 090 60281 A Remove thyroid duct lesion 8.64 NA NA 4.63 5.53 0.73 NA NA 14.00 14.90 090 60500 A Explore parathyroid glands 16.63 NA NA 6.74 7.24 2.00 NA NA 25.37 25.87 090 60502 A Re-explore parathyroids 20.92 NA NA 8.47 9.13 2.53 NA NA 31.92 32.58 090 60505 A Explore parathyroid glands 22.81 NA NA 9.23 10.50 2.64 NA NA 34.68 35.95 090 60512 A Autotransplant parathyroid 4.44 NA NA 1.18 1.51 0.53 NA NA 6.15 6.48 ZZZ 60520 A Removal of thymus gland 17.03 NA NA 6.97 7.96 2.19 NA NA 26.19 27.18 090 60521 A Removal of thymus gland 19.09 NA NA 8.31 9.23 2.81 NA NA 30.21 31.13 090 60522 A Removal of thymus gland 23.31 NA NA 9.80 10.90 3.26 NA NA 36.37 37.47 090 60540 A Explore adrenal gland 17.84 NA NA 8.14 7.72 1.74 NA NA 27.72 27.30 090 60545 A Explore adrenal gland 20.75 NA NA 8.92 8.63 2.07 NA NA 31.74 31.45 090 60600 A Remove carotid body lesion 24.95 NA NA 8.78 10.42 2.19 NA NA 35.92 37.56 090 60605 A Remove carotid body lesion 31.82 NA NA 12.29 12.26 2.49 NA NA 46.60 46.57 090 60650 A Laparoscopy adrenalectomy 20.59 NA NA 8.20 8.04 2.28 NA NA 31.07 30.91 090 60659 C Laparo proc, endocrine 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 YYY Start Printed Page 49163 61000 A Remove cranial cavity fluid 1.58 NA NA 1.23 1.02 0.13 NA NA 2.94 2.73 000 61001 A Remove cranial cavity fluid 1.49 NA NA 1.20 1.10 0.16 NA NA 2.85 2.75 000 61020 A Remove brain cavity fluid 1.51 NA NA 1.58 1.40 0.34 NA NA 3.43 3.25 000 61026 A Injection into brain canal 1.69 NA NA 1.49 1.42 0.33 NA NA 3.51 3.44 000 61050 A Remove brain canal fluid 1.51 NA NA 1.13 1.24 0.11 NA NA 2.75 2.86 000 61055 A Injection into brain canal 2.10 NA NA 1.29 1.39 0.17 NA NA 3.56 3.66 000 61070 A Brain canal shunt procedure 0.89 NA NA 1.17 1.05 0.17 NA NA 2.23 2.11 000 61105 A Twist drill hole 5.38 NA NA 4.89 4.17 1.32 NA NA 11.59 10.87 090 61107 A Drill skull for implantation 4.99 NA NA 1.85 2.36 1.29 NA NA 8.13 8.64 000 61108 A Drill skull for drainage 11.46 NA NA 8.43 7.46 2.63 NA NA 22.52 21.55 090 61120 A Burr hole for puncture 9.49 NA NA 6.69 6.17 2.09 NA NA 18.27 17.75 090 61140 A Pierce skull for biopsy 17.05 NA NA 10.39 10.01 4.11 NA NA 31.55 31.17 090 61150 A Pierce skull for drainage 18.76 NA NA 10.73 10.46 4.31 NA NA 33.80 33.53 090 61151 A Pierce skull for drainage 13.38 NA NA 8.49 7.98 3.00 NA NA 24.87 24.36 090 61154 A Pierce skull & remove clot 16.86 NA NA 10.76 9.80 4.20 NA NA 31.82 30.86 090 61156 A Pierce skull for drainage 17.34 NA NA 9.88 9.84 4.22 NA NA 31.44 31.40 090 61210 A Pierce skull, implant device 5.83 NA NA 2.18 2.73 1.50 NA NA 9.51 10.06 000 61215 A Insert brain-fluid device 5.74 NA NA 5.44 4.36 1.26 NA NA 12.44 11.36 090 61250 A Pierce skull & explore 11.38 NA NA 7.49 7.01 2.76 NA NA 21.63 21.15 090 61253 A Pierce skull & explore 13.38 NA NA 7.80 7.74 2.61 NA NA 23.79 23.73 090 61304 A Open skull for exploration 23.27 NA NA 12.61 12.78 5.61 NA NA 41.49 41.66 090 61305 A Open skull for exploration 28.46 NA NA 15.07 15.25 6.07 NA NA 49.60 49.78 090 61312 A Open skull for drainage 30.03 NA NA 15.34 15.12 6.34 NA NA 51.71 51.49 090 61313 A Open skull for drainage 27.88 NA NA 15.48 14.97 6.43 NA NA 49.79 49.28 090 61314 A Open skull for drainage 25.72 NA NA 14.22 13.33 6.26 NA NA 46.20 45.31 090 61315 A Open skull for drainage 29.47 NA NA 15.56 15.90 7.14 NA NA 52.17 52.51 090 61316 A Implt cran bone flap to abdo 1.39 NA NA 0.52 0.58 0.35 NA NA 2.26 2.32 ZZZ 61320 A Open skull for drainage 27.28 NA NA 14.29 14.64 6.60 NA NA 48.17 48.52 090 61321 A Open skull for drainage 30.35 NA NA 14.29 15.66 7.12 NA NA 51.76 53.13 090 61322 A Decompressive craniotomy 34.00 NA NA 17.78 16.19 7.61 NA NA 59.39 57.80 090 61323 A Decompressive lobectomy 34.87 NA NA 17.00 16.31 8.01 NA NA 59.88 59.19 090 61330 A Decompress eye socket 25.12 NA NA 11.88 13.26 2.31 NA NA 39.31 40.69 090 61332 A Explore/biopsy eye socket 28.46 NA NA 13.45 15.06 4.82 NA NA 46.73 48.34 090 61333 A Explore orbit/remove lesion 29.13 NA NA 13.31 15.01 3.91 NA NA 46.35 48.05 090 61334 A Explore orbit/remove object 19.46 NA NA 9.11 10.25 1.74 NA NA 30.31 31.45 090 61340 A Subtemporal decompression 19.97 NA NA 11.40 11.19 4.83 NA NA 36.20 35.99 090 61343 A Incise skull (press relief) 31.68 NA NA 16.14 16.64 7.62 NA NA 55.44 55.94 090 61345 A Relieve cranial pressure 29.05 NA NA 15.24 15.35 7.02 NA NA 51.31 51.42 090 61440 A Incise skull for surgery 28.48 NA NA 14.06 14.17 6.88 NA NA 49.42 49.53 090 61450 A Incise skull for surgery 27.55 NA NA 12.70 13.89 5.77 NA NA 46.02 47.21 090 61458 A Incise skull for brain wound 28.66 NA NA 15.01 15.39 7.01 NA NA 50.68 51.06 090 61460 A Incise skull for surgery 30.06 NA NA 15.14 16.09 6.02 NA NA 51.22 52.17 090 61470 A Incise skull for surgery 27.48 NA NA 13.11 13.67 5.88 NA NA 46.47 47.03 090 61480 A Incise skull for surgery 27.91 NA NA 8.23 13.51 6.71 NA NA 42.85 48.13 090 61490 A Incise skull for surgery 27.08 NA NA 14.34 14.33 6.90 NA NA 48.32 48.31 090 61500 A Removal of skull lesion 19.00 NA NA 10.64 10.76 4.10 NA NA 33.74 33.86 090 61501 A Remove infected skull bone 16.17 NA NA 9.52 9.28 3.21 NA NA 28.90 28.66 090 61510 A Removal of brain lesion 30.55 NA NA 17.08 16.79 7.33 NA NA 54.96 54.67 090 61512 A Remove brain lining lesion 36.93 NA NA 18.56 19.39 9.05 NA NA 64.54 65.37 090 61514 A Removal of brain abscess 27.05 NA NA 14.53 14.46 6.52 NA NA 48.10 48.03 090 61516 A Removal of brain lesion 26.40 NA NA 14.28 14.27 6.33 NA NA 47.01 47.00 090 61517 A Implt brain chemotx add-on 1.38 NA NA 0.51 0.61 0.35 NA NA 2.24 2.34 ZZZ 61518 A Removal of brain lesion 39.61 NA NA 20.45 20.93 9.62 NA NA 69.68 70.16 090 61519 A Remove brain lining lesion 43.22 NA NA 20.82 22.19 10.60 NA NA 74.64 76.01 090 61520 A Removal of brain lesion 56.81 NA NA 25.64 29.15 11.18 NA NA 93.63 97.14 090 61521 A Removal of brain lesion 46.78 NA NA 22.16 23.70 11.36 NA NA 80.30 81.84 090 61522 A Removal of brain abscess 31.36 NA NA 15.56 16.20 7.60 NA NA 54.52 55.16 090 61524 A Removal of brain lesion 29.71 NA NA 15.78 15.69 7.14 NA NA 52.63 52.54 090 61526 A Removal of brain lesion 53.84 NA NA 21.66 27.53 7.05 NA NA 82.55 88.42 090 61530 A Removal of brain lesion 45.38 NA NA 18.18 23.33 6.13 NA NA 69.69 74.84 090 61531 A Implant brain electrodes 16.24 NA NA 10.26 9.41 3.78 NA NA 30.28 29.43 090 61533 A Implant brain electrodes 21.32 NA NA 11.76 11.59 5.10 NA NA 38.18 38.01 090 61534 A Removal of brain lesion 22.83 NA NA 13.21 12.36 5.42 NA NA 41.46 40.61 090 61535 A Remove brain electrodes 13.01 NA NA 8.93 7.80 3.01 NA NA 24.95 23.82 090 61536 A Removal of brain lesion 37.54 NA NA 18.46 19.45 9.18 NA NA 65.18 66.17 090 61537 A Removal of brain tissue 36.31 NA NA 17.52 15.44 6.92 NA NA 60.75 58.67 090 Start Printed Page 49164 61538 A Removal of brain tissue 39.31 NA NA 18.80 16.18 6.92 NA NA 65.03 62.41 090 61539 A Removal of brain tissue 34.10 NA NA 15.51 17.20 8.30 NA NA 57.91 59.60 090 61540 A Removal of brain tissue 31.24 NA NA 15.91 16.91 8.30 NA NA 55.45 56.45 090 61541 A Incision of brain tissue 30.76 NA NA 16.10 16.18 6.58 NA NA 53.44 53.52 090 61542 A Removal of brain tissue 32.98 NA NA 16.23 17.42 8.01 NA NA 57.22 58.41 090 61543 A Removal of brain tissue 31.13 NA NA 16.35 16.37 7.54 NA NA 55.02 55.04 090 61544 A Remove & treat brain lesion 27.22 NA NA 14.39 13.96 5.95 NA NA 47.56 47.13 090 61545 A Excision of brain tumor 46.15 NA NA 22.36 23.75 10.60 NA NA 79.11 80.50 090 61546 A Removal of pituitary gland 33.26 NA NA 16.62 17.27 7.65 NA NA 57.53 58.17 090 61548 A Removal of pituitary gland 23.23 NA NA 11.37 12.43 3.42 NA NA 38.02 39.08 090 61550 A Release of skull seams 15.38 NA NA 5.70 6.62 0.98 NA NA 22.06 22.98 090 61552 A Release of skull seams 20.22 NA NA 6.71 8.51 1.06 NA NA 27.99 29.78 090 61556 A Incise skull/sutures 23.96 NA NA 12.76 11.71 4.64 NA NA 41.36 40.31 090 61557 A Incise skull/sutures 23.10 NA NA 13.73 13.65 5.78 NA NA 42.61 42.53 090 61558 A Excision of skull/sutures 26.29 NA NA 8.24 12.70 1.36 NA NA 35.89 40.35 090 61559 A Excision of skull/sutures 33.74 NA NA 18.83 19.19 8.48 NA NA 61.05 61.41 090 61563 A Excision of skull tumor 28.31 NA NA 14.31 15.01 5.15 NA NA 47.77 48.47 090 61564 A Excision of skull tumor 34.53 NA NA 16.25 17.77 8.75 NA NA 59.53 61.05 090 61566 A Removal of brain tissue 32.26 NA NA 16.65 17.49 6.92 NA NA 55.83 56.67 090 61567 A Incision of brain tissue 36.76 NA NA 16.84 19.71 6.52 NA NA 60.12 62.99 090 61570 A Remove foreign body, brain 26.33 NA NA 14.16 13.97 5.86 NA NA 46.35 46.16 090 61571 A Incise skull for brain wound 28.24 NA NA 15.21 15.16 6.77 NA NA 50.22 50.17 090 61575 A Skull base/brainstem surgery 36.38 NA NA 15.53 18.61 5.32 NA NA 57.23 60.31 090 61576 A Skull base/brainstem surgery 55.03 NA NA 25.88 32.52 5.56 NA NA 86.47 93.11 090 61580 A Craniofacial approach, skull 34.26 NA NA 20.69 24.36 3.36 NA NA 58.31 61.98 090 61581 A Craniofacial approach, skull 38.78 NA NA 24.86 23.80 3.91 NA NA 67.55 66.49 090 61582 A Craniofacial approach, skull 34.83 NA NA 30.37 28.07 7.19 NA NA 72.39 70.09 090 61583 A Craniofacial approach, skull 38.37 NA NA 25.79 25.28 9.18 NA NA 73.34 72.83 090 61584 A Orbitocranial approach/skull 37.57 NA NA 25.56 24.78 8.16 NA NA 71.29 70.51 090 61585 A Orbitocranial approach/skull 42.40 NA NA 24.83 26.08 7.01 NA NA 74.24 75.49 090 61586 A Resect nasopharynx, skull 27.20 NA NA 23.97 22.93 4.36 NA NA 55.53 54.49 090 61590 A Infratemporal approach/skull 46.79 NA NA 23.16 27.26 5.29 NA NA 75.24 79.34 090 61591 A Infratemporal approach/skull 46.81 NA NA 23.73 28.07 5.64 NA NA 76.18 80.52 090 61592 A Orbitocranial approach/skull 42.94 NA NA 27.58 26.77 10.04 NA NA 80.56 79.75 090 61595 A Transtemporal approach/skull 33.49 NA NA 19.29 21.59 3.97 NA NA 56.75 59.05 090 61596 A Transcochlear approach/skull 39.25 NA NA 18.52 22.96 3.39 NA NA 61.16 65.60 090 61597 A Transcondylar approach/skull 40.67 NA NA 22.86 22.96 8.81 NA NA 72.34 72.44 090 61598 A Transpetrosal approach/skull 36.35 NA NA 20.81 22.63 5.68 NA NA 62.84 64.66 090 61600 A Resect/excise cranial lesion 29.76 NA NA 18.31 19.41 3.78 NA NA 51.85 52.95 090 61601 A Resect/excise cranial lesion 31.00 NA NA 22.32 20.95 6.61 NA NA 59.93 58.56 090 61605 A Resect/excise cranial lesion 32.32 NA NA 17.57 20.86 2.85 NA NA 52.74 56.03 090 61606 A Resect/excise cranial lesion 41.88 NA NA 24.31 24.94 8.94 NA NA 75.13 75.76 090 61607 A Resect/excise cranial lesion 40.76 NA NA 20.51 22.96 6.88 NA NA 68.15 70.60 090 61608 A Resect/excise cranial lesion 45.39 NA NA 26.51 26.56 10.72 NA NA 82.62 82.67 090 61609 A Transect artery, sinus 9.88 NA NA 3.73 4.57 2.55 NA NA 16.16 17.00 ZZZ 61610 A Transect artery, sinus 29.63 NA NA 11.19 12.65 7.66 NA NA 48.48 49.94 ZZZ 61611 A Transect artery, sinus 7.41 NA NA 2.80 3.57 1.88 NA NA 12.09 12.86 ZZZ 61612 A Transect artery, sinus 27.84 NA NA 8.15 12.02 4.30 NA NA 40.29 44.16 ZZZ 61613 A Remove aneurysm, sinus 44.88 NA NA 27.54 26.58 8.42 NA NA 80.84 79.88 090 61615 A Resect/excise lesion, skull 35.57 NA NA 19.35 21.88 4.72 NA NA 59.64 62.17 090 61616 A Resect/excise lesion, skull 46.54 NA NA 26.45 28.10 8.24 NA NA 81.23 82.88 090 61618 A Repair dura 18.52 NA NA 10.11 10.36 3.71 NA NA 32.34 32.59 090 61619 A Repair dura 21.95 NA NA 10.97 11.92 3.94 NA NA 36.86 37.81 090 61623 A Endovasc tempory vessel occl 9.95 NA NA 3.40 3.91 1.05 NA NA 14.40 14.91 000 61624 A Transcath occlusion, cns 20.12 NA NA 6.80 6.87 1.95 NA NA 28.87 28.94 000 61626 A Transcath occlusion, non-cns 16.60 NA NA 5.43 5.49 1.24 NA NA 23.27 23.33 000 Start Printed Page 49165 61630 N Intracranial angioplasty 22.03 NA NA 6.50 10.99 2.01 NA NA 30.54 35.03 090 61635 N Intracran angioplsty w/stent 24.24 NA NA 7.02 11.91 2.20 NA NA 33.46 38.35 090 61680 A Intracranial vessel surgery 32.34 NA NA 16.85 17.29 7.93 NA NA 57.12 57.56 090 61682 A Intracranial vessel surgery 63.27 NA NA 27.31 30.99 15.85 NA NA 106.43 110.11 090 61684 A Intracranial vessel surgery 41.43 NA NA 20.46 21.62 10.28 NA NA 72.17 73.33 090 61686 A Intracranial vessel surgery 67.26 NA NA 30.29 33.61 16.66 NA NA 114.21 117.53 090 61690 A Intracranial vessel surgery 31.14 NA NA 15.88 16.51 6.92 NA NA 53.94 54.57 090 61692 A Intracranial vessel surgery 54.39 NA NA 24.71 26.78 13.39 NA NA 92.49 94.56 090 61697 A Brain aneurysm repr, complx 63.16 NA NA 28.85 28.22 12.81 NA NA 104.82 104.19 090 61698 A Brain aneurysm repr, complx 69.39 NA NA 30.92 27.75 12.50 NA NA 112.81 109.64 090 61700 A Brain aneurysm repr, simple 50.44 NA NA 24.03 26.86 12.98 NA NA 87.45 90.28 090 61702 A Inner skull vessel surgery 59.80 NA NA 27.94 26.51 10.76 NA NA 98.50 97.07 090 61703 A Clamp neck artery 18.66 NA NA 10.84 10.56 4.05 NA NA 33.55 33.27 090 61705 A Revise circulation to head 37.92 NA NA 17.61 18.84 8.84 NA NA 64.37 65.60 090 61708 A Revise circulation to head 37.02 NA NA 13.19 14.66 2.50 NA NA 52.71 54.18 090 61710 A Revise circulation to head 31.15 NA NA 13.35 13.57 4.51 NA NA 49.01 49.23 090 61711 A Fusion of skull arteries 38.05 NA NA 18.57 19.49 9.39 NA NA 66.01 66.93 090 61720 A Incise skull/brain surgery 17.48 NA NA 8.13 9.51 2.78 NA NA 28.39 29.77 090 61735 A Incise skull/brain surgery 22.17 NA NA 11.32 11.95 2.72 NA NA 36.21 36.84 090 61750 A Incise skull/brain biopsy 19.69 NA NA 10.97 10.70 4.71 NA NA 35.37 35.10 090 61751 A Brain biopsy w/ct/mr guide 18.58 NA NA 11.42 10.97 4.55 NA NA 34.55 34.10 090 61760 A Implant brain electrodes 22.24 NA NA 11.94 9.52 5.40 NA NA 39.58 37.16 090 61770 A Incise skull for treatment 23.05 NA NA 9.87 11.66 3.54 NA NA 36.46 38.25 090 61790 A Treat trigeminal nerve 11.46 NA NA 7.79 6.38 2.81 NA NA 22.06 20.65 090 61791 A Treat trigeminal tract 15.27 NA NA 7.61 8.59 3.39 NA NA 26.27 27.25 090 61793 A Focus radiation beam 17.71 NA NA 9.79 10.04 4.45 NA NA 31.95 32.20 090 61795 A Brain surgery using computer 4.03 NA NA 1.37 1.87 0.79 NA NA 6.19 6.69 ZZZ 61850 A Implant neuroelectrodes 13.23 NA NA 5.56 7.14 3.21 NA NA 22.00 23.58 090 61860 A Implant neuroelectrodes 22.12 NA NA 11.19 11.84 4.94 NA NA 38.25 38.90 090 61863 A Implant neuroelectrode 20.50 NA NA 12.48 11.95 5.41 NA NA 38.39 37.86 090 61864 A Implant neuroelectrde, addl 4.49 NA NA 1.70 2.14 5.41 NA NA 11.60 12.04 ZZZ 61867 A Implant neuroelectrode 32.82 NA NA 16.69 17.69 5.41 NA NA 54.92 55.92 090 61868 A Implant neuroelectrde, addIl 7.91 NA NA 2.96 3.75 5.41 NA NA 16.28 17.07 ZZZ 61870 A Implant neuroelectrodes 16.20 NA NA 8.63 9.43 3.86 NA NA 28.69 29.49 090 61875 A Implant neuroelectrodes 16.32 NA NA 5.38 7.77 2.94 NA NA 24.64 27.03 090 61880 A Revise/remove neuroelectrode 6.84 NA NA 5.47 4.80 1.66 NA NA 13.97 13.30 090 61885 A Insrt/redo neurostim 1 array 7.29 NA NA 7.42 5.83 1.59 NA NA 16.30 14.71 090 61886 A Implant neurostim arrays 9.65 NA NA 8.74 6.95 1.96 NA NA 20.35 18.56 090 61888 A Revise/remove neuroreceiver 5.18 NA NA 3.59 3.65 1.33 NA NA 10.10 10.16 010 62000 A Treat skull fracture 13.79 NA NA 7.21 5.94 1.06 NA NA 22.06 20.79 090 62005 A Treat skull fracture 17.49 NA NA 9.47 8.96 3.86 NA NA 30.82 30.31 090 62010 A Treatment of head injury 21.25 NA NA 11.91 11.76 5.12 NA NA 38.28 38.13 090 62100 A Repair brain fluid leakage 23.35 NA NA 11.84 12.55 4.83 NA NA 40.02 40.73 090 62115 A Reduction of skull defect 22.63 NA NA 13.97 12.22 5.49 NA NA 42.09 40.34 090 62116 A Reduction of skull defect 24.82 NA NA 13.12 13.30 6.09 NA NA 44.03 44.21 090 62117 A Reduction of skull defect 28.20 NA NA 14.69 15.20 4.52 NA NA 47.41 47.92 090 62120 A Repair skull cavity lesion 24.31 NA NA 15.76 17.80 2.99 NA NA 43.06 45.10 090 62121 A Incise skull repair 22.89 NA NA 14.03 15.10 4.16 NA NA 41.08 42.15 090 62140 A Repair of skull defect 14.41 NA NA 8.60 8.39 3.46 NA NA 26.47 26.26 090 62141 A Repair of skull defect 15.93 NA NA 9.30 9.11 3.75 NA NA 28.98 28.79 090 62142 A Remove skull plate/flap 11.69 NA NA 7.72 7.17 2.72 NA NA 22.13 21.58 090 62143 A Replace skull plate/flap 14.01 NA NA 8.79 8.23 3.36 NA NA 26.16 25.60 090 62145 A Repair of skull & brain 19.95 NA NA 10.20 10.72 4.49 NA NA 34.64 35.16 090 62146 A Repair of skull with graft 17.14 NA NA 9.04 9.48 3.61 NA NA 29.79 30.23 090 62147 A Repair of skull with graft 20.53 NA NA 10.59 11.12 4.31 NA NA 35.43 35.96 090 62148 A Retr bone flap to fix skull 2.00 NA NA 0.76 0.84 0.48 NA NA 3.24 3.32 ZZZ 62160 A Neuroendoscopy add-on 3.00 NA NA 1.12 1.43 0.77 NA NA 4.89 5.20 ZZZ 62161 A Dissect brain w/scope 21.04 NA NA 12.12 12.10 5.17 NA NA 38.33 38.31 090 62162 A Remove colloid cyst w/scope 26.61 NA NA 13.85 14.60 5.89 NA NA 46.35 47.10 090 62163 A Neuroendoscopy w/fb removal 16.34 NA NA 10.53 10.07 4.00 NA NA 30.87 30.41 090 62164 A Remove brain tumor w/scope 29.19 NA NA 14.93 14.95 5.36 NA NA 49.48 49.50 090 62165 A Remove pituit tumor w/scope 23.04 NA NA 11.46 12.90 3.00 NA NA 37.50 38.94 090 62180 A Establish brain cavity shunt 22.41 NA NA 12.00 12.21 4.97 NA NA 39.38 39.59 090 62190 A Establish brain cavity shunt 12.03 NA NA 7.67 7.23 2.79 NA NA 22.49 22.05 090 62192 A Establish brain cavity shunt 13.21 NA NA 8.40 7.82 3.01 NA NA 24.62 24.04 090 62194 A Replace/irrigate catheter 5.64 NA NA 3.81 2.78 0.92 NA NA 10.37 9.34 010 Start Printed Page 49166 62200 A Establish brain cavity shunt 19.15 NA NA 10.69 10.80 4.64 NA NA 34.48 34.59 090 62201 A Brain cavity shunt w/scope 15.83 NA NA 10.52 9.71 3.67 NA NA 30.02 29.21 090 62220 A Establish brain cavity shunt 13.96 NA NA 8.39 8.08 3.34 NA NA 25.69 25.38 090 62223 A Establish brain cavity shunt 13.84 NA NA 9.42 8.54 3.13 NA NA 26.39 25.51 090 62225 A Replace/irrigate catheter 6.08 NA NA 5.49 4.44 1.39 NA NA 12.96 11.91 090 62230 A Replace/revise brain shunt 11.32 NA NA 7.28 6.68 2.70 NA NA 21.30 20.70 090 62252 A Csf shunt reprogram 0.74 1.78 1.55 NA NA 0.21 2.73 2.50 NA NA XXX 62252 26 A Csf shunt reprogram 0.74 0.27 0.35 0.27 0.35 0.19 1.20 1.28 1.20 1.28 XXX 62252 TC A Csf shunt reprogram 0.00 1.51 1.20 NA NA 0.02 1.53 1.22 NA NA XXX 62256 A Remove brain cavity shunt 7.27 NA NA 5.88 4.99 1.71 NA NA 14.86 13.97 090 62258 A Replace brain cavity shunt 15.50 NA NA 9.25 8.85 3.73 NA NA 28.48 28.08 090 62263 A Epidural lysis mult sessions 6.37 9.18 11.81 2.88 3.11 0.41 15.96 18.59 9.66 9.89 010 62264 A Epidural lysis on single day 4.42 5.78 7.24 1.31 1.39 0.27 10.47 11.93 6.00 6.08 010 62268 A Drain spinal cord cyst 4.73 6.76 10.34 1.74 2.04 0.43 11.92 15.50 6.90 7.20 000 62269 A Needle biopsy, spinal cord 5.01 6.84 12.72 1.67 1.90 0.37 12.22 18.10 7.05 7.28 000 62270 A Spinal fluid tap, diagnostic 1.37 2.38 2.84 0.55 0.56 0.08 3.83 4.29 2.00 2.01 000 62272 A Drain cerebro spinal fluid 1.35 3.14 3.49 0.61 0.69 0.18 4.67 5.02 2.14 2.22 000 62273 A Inject epidural patch 2.15 1.70 2.46 0.58 0.68 0.13 3.98 4.74 2.86 2.96 000 62280 A Treat spinal cord lesion 2.63 4.30 6.27 1.07 1.03 0.30 7.23 9.20 4.00 3.96 010 62281 A Treat spinal cord lesion 2.66 3.79 5.19 0.91 0.90 0.19 6.64 8.04 3.76 3.75 010 62282 A Treat spinal canal lesion 2.33 3.97 7.26 1.07 0.96 0.17 6.47 9.76 3.57 3.46 010 62284 A Injection for myelogram 1.54 3.79 4.67 0.67 0.68 0.13 5.46 6.34 2.34 2.35 000 62287 A Percutaneous diskectomy 8.82 NA NA 4.24 5.22 0.58 NA NA 13.64 14.62 090 62290 A Inject for spine disk x-ray 3.00 4.46 6.46 1.13 1.32 0.23 7.69 9.69 4.36 4.55 000 62291 A Inject for spine disk x-ray 2.91 4.25 5.51 1.07 1.19 0.26 7.42 8.68 4.24 4.36 000 62292 A Injection into disk lesion 9.10 NA NA 3.19 4.15 0.82 NA NA 13.11 14.07 090 62294 A Injection into spinal artery 12.73 NA NA 5.63 5.59 1.24 NA NA 19.60 19.56 090 62310 A Inject spine c/t 1.91 3.06 4.37 0.58 0.63 0.12 5.09 6.40 2.61 2.66 000 62311 A Inject spine l/s (cd) 1.54 2.70 4.37 0.54 0.58 0.09 4.33 6.00 2.17 2.21 000 62318 A Inject spine w/cath, c/t 2.04 3.24 5.10 0.48 0.61 0.12 5.40 7.26 2.64 2.77 000 62319 A Inject spine w/cath l/s (cd) 1.87 2.90 4.46 0.47 0.58 0.11 4.88 6.44 2.45 2.56 000 62350 A Implant spinal canal cath 7.96 NA NA 4.19 4.00 1.02 NA NA 13.17 12.98 090 62351 A Implant spinal canal cath 11.46 NA NA 7.73 7.27 2.24 NA NA 21.43 20.97 090 62355 A Remove spinal canal catheter 6.54 NA NA 3.61 3.27 0.71 NA NA 10.86 10.52 090 62360 A Insert spine infusion device 3.60 NA NA 3.46 2.88 0.34 NA NA 7.40 6.82 090 62361 A Implant spine infusion pump 6.51 NA NA 4.00 3.94 0.80 NA NA 11.31 11.25 090 62362 A Implant spine infusion pump 8.50 NA NA 4.78 4.47 1.18 NA NA 14.46 14.15 090 62365 A Remove spine infusion device 6.51 NA NA 3.85 3.65 0.86 NA NA 11.22 11.02 090 62367 A Analyze spine infusion pump 0.48 0.41 0.56 0.11 0.10 0.03 0.92 1.07 0.62 0.61 XXX 62368 A Analyze spine infusion pump 0.75 0.60 0.67 0.19 0.18 0.06 1.41 1.48 1.00 0.99 XXX 63001 A Removal of spinal lamina 17.47 NA NA 9.89 9.61 3.76 NA NA 31.12 30.84 090 63003 A Removal of spinal lamina 17.60 NA NA 9.80 9.85 3.72 NA NA 31.12 31.17 090 63005 A Removal of spinal lamina 16.22 NA NA 9.78 9.92 3.34 NA NA 29.34 29.48 090 63011 A Removal of spinal lamina 15.73 NA NA 9.22 8.51 3.37 NA NA 28.32 27.61 090 63012 A Removal of spinal lamina 16.67 NA NA 9.84 10.05 3.48 NA NA 29.99 30.20 090 63015 A Removal of spinal lamina 20.64 NA NA 12.01 11.91 4.75 NA NA 37.40 37.30 090 63016 A Removal of spinal lamina 21.85 NA NA 11.95 11.82 4.58 NA NA 38.38 38.25 090 63017 A Removal of spinal lamina 17.12 NA NA 10.43 10.40 3.63 NA NA 31.18 31.15 090 63020 A Neck spine disk surgery 15.99 NA NA 9.99 9.75 3.71 NA NA 29.69 29.45 090 63030 A Low back disk surgery 12.97 NA NA 8.67 8.48 3.00 NA NA 24.64 24.45 090 63035 A Spinal disk surgery add-on 3.15 NA NA 1.21 1.50 0.79 NA NA 5.15 5.44 ZZZ 63040 A Laminotomy, single cervical 20.13 NA NA 11.08 11.40 4.67 NA NA 35.88 36.20 090 63042 A Laminotomy, single lumbar 18.55 NA NA 10.68 11.18 4.25 NA NA 33.48 33.98 090 63043 C Laminotomy, addIl cervical 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63044 C Laminotomy, addIl lumbar 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63045 A Removal of spinal lamina 17.77 NA NA 10.41 10.37 3.98 NA NA 32.16 32.12 090 Start Printed Page 49167 63046 A Removal of spinal lamina 17.07 NA NA 9.88 10.11 3.55 NA NA 30.50 30.73 090 63047 A Removal of spinal lamina 15.16 NA NA 9.41 9.77 3.23 NA NA 27.80 28.16 090 63048 A Remove spinal lamina add-on 3.26 NA NA 1.25 1.56 0.72 NA NA 5.23 5.54 ZZZ 63050 A Cervical laminoplasty 21.82 NA NA 8.87 11.10 4.66 NA NA 35.35 37.58 090 63051 A C-laminoplasty w/graft/plate 25.32 NA NA 11.71 13.03 4.66 NA NA 41.69 43.01 090 63055 A Decompress spinal cord 23.37 NA NA 12.40 12.95 5.27 NA NA 41.04 41.59 090 63056 A Decompress spinal cord 21.68 NA NA 11.41 12.27 4.75 NA NA 37.84 38.70 090 63057 A Decompress spine cord add-on 5.25 NA NA 1.97 2.47 1.22 NA NA 8.44 8.94 ZZZ 63064 A Decompress spinal cord 26.04 NA NA 13.41 14.17 5.69 NA NA 45.14 45.90 090 63066 A Decompress spine cord add-on 3.26 NA NA 1.24 1.56 0.69 NA NA 5.19 5.51 ZZZ 63075 A Neck spine disk surgery 19.41 NA NA 11.11 11.84 4.62 NA NA 35.14 35.87 090 63076 A Neck spine disk surgery 4.04 NA NA 1.53 1.92 0.96 NA NA 6.53 6.92 ZZZ 63077 A Spine disk surgery, thorax 22.70 NA NA 11.20 12.39 3.98 NA NA 37.88 39.07 090 63078 A Spine disk surgery, thorax 3.28 NA NA 1.20 1.53 0.66 NA NA 5.14 5.47 ZZZ 63081 A Removal of vertebral body 25.92 NA NA 13.62 14.15 5.54 NA NA 45.08 45.61 090 63082 A Remove vertebral body add-on 4.36 NA NA 1.66 2.08 1.02 NA NA 7.04 7.46 ZZZ 63085 A Removal of vertebral body 29.29 NA NA 13.77 15.05 4.48 NA NA 47.54 48.82 090 63086 A Remove vertebral body add-on 3.19 NA NA 1.17 1.49 0.59 NA NA 4.95 5.27 ZZZ 63087 A Removal of vertebral body 37.32 NA NA 16.85 18.80 6.20 NA NA 60.37 62.32 090 63088 A Remove vertebral body add-on 4.32 NA NA 1.64 2.04 0.82 NA NA 6.78 7.18 ZZZ 63090 A Removal of vertebral body 30.72 NA NA 14.16 15.56 4.21 NA NA 49.09 50.49 090 63091 A Remove vertebral body add-on 3.03 NA NA 1.13 1.38 0.48 NA NA 4.64 4.89 ZZZ 63101 A Removal of vertebral body 33.84 NA NA 17.18 18.75 5.69 NA NA 56.71 58.28 090 63102 A Removal of vertebral body 33.84 NA NA 16.90 18.68 5.69 NA NA 56.43 58.21 090 63103 A Remove vertebral body add-on 4.82 NA NA 1.78 2.32 0.69 NA NA 7.29 7.83 ZZZ 63170 A Incise spinal cord tract(s) 22.03 NA NA 12.64 12.06 4.86 NA NA 39.53 38.95 090 63172 A Drainage of spinal cyst 19.62 NA NA 11.31 10.81 4.48 NA NA 35.41 34.91 090 63173 A Drainage of spinal cyst 24.13 NA NA 13.38 12.95 5.68 NA NA 43.19 42.76 090 63180 A Revise spinal cord ligaments 20.35 NA NA 10.94 10.97 3.95 NA NA 35.24 35.27 090 63182 A Revise spinal cord ligaments 22.64 NA NA 7.25 10.03 5.30 NA NA 35.19 37.97 090 63185 A Incise spinal column/nerves 16.31 NA NA 10.11 8.60 2.79 NA NA 29.21 27.70 090 63190 A Incise spinal column/nerves 18.71 NA NA 10.16 10.14 3.24 NA NA 32.11 32.09 090 63191 A Incise spinal column/nerves 18.74 NA NA 10.78 10.55 6.34 NA NA 35.86 35.63 090 63194 A Incise spinal column & cord 21.92 NA NA 8.65 10.95 3.26 NA NA 33.83 36.13 090 63195 A Incise spinal column & cord 21.50 NA NA 12.18 11.33 4.87 NA NA 38.55 37.70 090 63196 A Incise spinal column & cord 25.09 NA NA 13.88 13.51 5.76 NA NA 44.73 44.36 090 63197 A Incise spinal column & cord 23.90 NA NA 13.43 12.51 5.36 NA NA 42.69 41.77 090 63198 A Incise spinal column & cord 29.69 NA NA 9.01 8.58 6.43 NA NA 45.13 44.70 090 63199 A Incise spinal column & cord 31.26 NA NA 9.38 13.62 1.40 NA NA 42.04 46.28 090 63200 A Release of spinal cord 21.26 NA NA 11.74 11.40 4.96 NA NA 37.96 37.62 090 63250 A Revise spinal cord vessels 43.68 NA NA 21.09 20.21 9.01 NA NA 73.78 72.90 090 63251 A Revise spinal cord vessels 44.43 NA NA 21.36 22.28 10.41 NA NA 76.20 77.12 090 63252 A Revise spinal cord vessels 44.42 NA NA 21.41 22.03 10.64 NA NA 76.47 77.09 090 63265 A Excise intraspinal lesion 23.64 NA NA 13.10 12.85 5.43 NA NA 42.17 41.92 090 63266 A Excise intraspinal lesion 24.50 NA NA 13.27 13.20 5.54 NA NA 43.31 43.24 090 63267 A Excise intraspinal lesion 19.27 NA NA 11.22 11.11 4.37 NA NA 34.86 34.75 090 63268 A Excise intraspinal lesion 19.84 NA NA 10.84 10.48 3.69 NA NA 34.37 34.01 090 63270 A Excise intraspinal lesion 29.62 NA NA 15.73 15.53 6.82 NA NA 52.17 51.97 090 63271 A Excise intraspinal lesion 29.74 NA NA 15.34 15.51 6.90 NA NA 51.98 52.15 090 63272 A Excise intraspinal lesion 27.32 NA NA 14.33 14.59 6.18 NA NA 47.83 48.09 090 63273 A Excise intraspinal lesion 26.29 NA NA 13.84 14.21 5.74 NA NA 45.87 46.24 090 63275 A Biopsy/excise spinal tumor 25.68 NA NA 13.51 13.70 5.80 NA NA 44.99 45.18 090 63276 A Biopsy/excise spinal tumor 25.51 NA NA 13.73 13.69 5.83 NA NA 45.07 45.03 090 63277 A Biopsy/excise spinal tumor 22.21 NA NA 12.17 12.43 5.01 NA NA 39.39 39.65 090 63278 A Biopsy/excise spinal tumor 21.94 NA NA 12.07 12.30 4.55 NA NA 38.56 38.79 090 63280 A Biopsy/excise spinal tumor 30.08 NA NA 16.02 16.23 7.27 NA NA 53.37 53.58 090 63281 A Biopsy/excise spinal tumor 29.78 NA NA 15.82 16.08 7.17 NA NA 52.77 53.03 090 63282 A Biopsy/excise spinal tumor 27.94 NA NA 15.14 15.28 6.76 NA NA 49.84 49.98 090 63283 A Biopsy/excise spinal tumor 26.55 NA NA 14.20 14.54 6.26 NA NA 47.01 47.35 090 63285 A Biopsy/excise spinal tumor 37.84 NA NA 19.05 19.71 9.18 NA NA 66.07 66.73 090 63286 A Biopsy/excise spinal tumor 37.41 NA NA 18.80 19.62 9.21 NA NA 65.42 66.24 090 63287 A Biopsy/excise spinal tumor 39.87 NA NA 19.48 20.18 9.39 NA NA 68.74 69.43 090 63290 A Biopsy/excise spinal tumor 40.61 NA NA 20.06 20.45 9.02 NA NA 69.68 70.07 090 63295 A Repair of laminectomy defect 5.25 NA NA 1.33 1.94 1.03 NA NA 7.61 8.22 ZZZ 63300 A Removal of vertebral body 26.62 NA NA 13.54 14.10 5.97 NA NA 46.13 46.69 090 63301 A Removal of vertebral body 31.36 NA NA 15.06 15.42 5.39 NA NA 51.81 52.17 090 Start Printed Page 49168 63302 A Removal of vertebral body 30.94 NA NA 14.83 15.59 5.53 NA NA 51.30 52.06 090 63303 A Removal of vertebral body 33.37 NA NA 14.68 16.35 4.68 NA NA 52.73 54.40 090 63304 A Removal of vertebral body 33.64 NA NA 17.05 17.21 6.41 NA NA 57.10 57.26 090 63305 A Removal of vertebral body 36.03 NA NA 17.60 17.93 5.71 NA NA 59.34 59.67 090 63306 A Removal of vertebral body 35.34 NA NA 15.77 17.29 8.33 NA NA 59.43 60.96 090 63307 A Removal of vertebral body 34.75 NA NA 17.66 17.02 4.46 NA NA 56.87 56.23 090 63308 A Remove vertebral body add-on 5.24 NA NA 1.93 2.43 1.29 NA NA 8.46 8.96 ZZZ 63600 A Remove spinal cord lesion 14.98 NA NA 4.61 5.20 1.52 NA NA 21.11 21.70 090 63610 A Stimulation of spinal cord 8.72 14.20 48.31 1.58 2.08 0.86 23.78 57.89 11.16 11.66 000 63615 A Remove lesion of spinal cord 17.18 NA NA 5.98 8.44 2.84 NA NA 26.00 28.46 090 63650 A Implant neuroelectrodes 7.53 NA NA 2.98 3.12 0.53 NA NA 11.04 11.18 090 63655 A Implant neuroelectrodes 11.38 NA NA 7.84 7.13 2.43 NA NA 21.65 20.94 090 63660 A Revise/remove neuroelectrode 6.83 NA NA 3.36 3.55 0.78 NA NA 10.97 11.16 090 63685 A Insrt/redo spine n generator 7.83 NA NA 3.74 4.04 1.05 NA NA 12.62 12.92 090 63688 A Revise/remove neuroreceiver 6.06 NA NA 3.60 3.56 0.89 NA NA 10.55 10.51 090 63700 A Repair of spinal herniation 17.26 NA NA 9.78 10.17 3.52 NA NA 30.56 30.95 090 63702 A Repair of spinal herniation 19.20 NA NA 10.93 11.01 4.12 NA NA 34.25 34.33 090 63704 A Repair of spinal herniation 22.15 NA NA 12.60 12.83 4.57 NA NA 39.32 39.55 090 63706 A Repair of spinal herniation 25.07 NA NA 15.07 13.95 6.23 NA NA 46.37 45.25 090 63707 A Repair spinal fluid leakage 12.47 NA NA 7.90 7.75 2.51 NA NA 22.88 22.73 090 63709 A Repair spinal fluid leakage 15.47 NA NA 9.06 9.31 3.09 NA NA 27.62 27.87 090 63710 A Graft repair of spine defect 15.22 NA NA 9.26 9.09 3.40 NA NA 27.88 27.71 090 63740 A Install spinal shunt 12.45 NA NA 8.25 7.57 2.93 NA NA 23.63 22.95 090 63741 A Install spinal shunt 8.98 NA NA 4.85 4.78 1.66 NA NA 15.49 15.42 090 63744 A Revision of spinal shunt 8.83 NA NA 6.06 5.45 1.89 NA NA 16.78 16.17 090 63746 A Removal of spinal shunt 7.22 NA NA 4.75 4.02 1.53 NA NA 13.50 12.77 090 64400 A N block inj, trigeminal 1.11 1.41 1.77 0.45 0.44 0.07 2.59 2.95 1.63 1.62 000 64402 A N block inj, facial 1.25 1.46 1.57 0.53 0.58 0.09 2.80 2.91 1.87 1.92 000 64405 A N block inj, occipital 1.32 1.17 1.39 0.51 0.47 0.08 2.57 2.79 1.91 1.87 000 64408 A N block inj, vagus 1.41 1.45 1.55 0.70 0.81 0.10 2.96 3.06 2.21 2.32 000 64410 A N block inj, phrenic 1.43 1.82 2.33 0.52 0.48 0.09 3.34 3.85 2.04 2.00 000 64412 A N block inj, spinal accessor 1.18 2.05 2.50 0.55 0.46 0.08 3.31 3.76 1.81 1.72 000 64413 A N block inj, cervical plexus 1.40 1.30 1.71 0.47 0.49 0.08 2.78 3.19 1.95 1.97 000 64415 A N block inj, brachial plexus 1.48 1.50 2.48 0.34 0.43 0.09 3.07 4.05 1.91 2.00 000 64416 A N block cont infuse, b plex 3.85 NA NA 0.57 0.74 0.31 NA NA 4.73 4.90 010 64417 A N block inj, axillary 1.44 1.51 2.65 0.35 0.46 0.11 3.06 4.20 1.90 2.01 000 64418 A N block inj, suprascapular 1.32 1.90 2.44 0.52 0.46 0.07 3.29 3.83 1.91 1.85 000 64420 A N block inj, intercost, sng 1.18 2.40 3.51 0.44 0.43 0.08 3.66 4.77 1.70 1.69 000 64421 A N block inj, intercost, mlt 1.68 3.55 5.45 0.53 0.52 0.11 5.34 7.24 2.32 2.31 000 64425 A N block inj, ilio-ing/hypogi 1.75 1.34 1.57 0.56 0.55 0.13 3.22 3.45 2.44 2.43 000 64430 A N block inj, pudendal 1.46 2.41 2.49 0.78 0.61 0.10 3.97 4.05 2.34 2.17 000 64435 A N block inj, paracervical 1.45 2.00 2.39 0.56 0.66 0.16 3.61 4.00 2.17 2.27 000 64445 A N block inj, sciatic, sng 1.48 1.67 2.42 0.52 0.51 0.10 3.25 4.00 2.10 2.09 000 64446 A N blk inj, sciatic, cont inf 3.61 NA NA 0.59 0.90 0.20 NA NA 4.40 4.71 010 64447 A N block inj fem, single 1.50 NA NA 0.21 0.38 0.09 NA NA 1.80 1.97 000 64448 A N block inj fem, cont inf 3.36 NA NA 0.47 0.73 0.18 NA NA 4.01 4.27 010 64449 A N block inj, lumbar plexus 3.24 NA NA 0.49 0.84 0.15 NA NA 3.88 4.23 010 64450 A N block, other peripheral 1.27 1.29 1.25 0.50 0.49 0.13 2.69 2.65 1.90 1.89 000 64470 A Inj paravertebral c/t 1.85 3.87 6.39 0.71 0.71 0.11 5.83 8.35 2.67 2.67 000 64472 A Inj paravertebral c/t add-on 1.29 1.23 2.06 0.34 0.34 0.08 2.60 3.43 1.71 1.71 ZZZ 64475 A Inj paravertebral l/s 1.41 3.72 6.09 0.60 0.62 0.10 5.23 7.60 2.11 2.13 000 64476 A Inj paravertebral l/s add-on 0.98 1.12 1.87 0.23 0.24 0.07 2.17 2.92 1.28 1.29 ZZZ 64479 A Inj foramen epidural c/t 2.20 3.81 6.57 0.82 0.87 0.12 6.13 8.89 3.14 3.19 000 64480 A Inj foramen epidural add-on 1.54 1.50 2.51 0.38 0.45 0.10 3.14 4.15 2.02 2.09 ZZZ 64483 A Inj foramen epidural l/s 1.90 3.85 6.88 0.76 0.81 0.11 5.86 8.89 2.77 2.82 000 64484 A Inj foramen epidural add-on 1.33 1.63 2.87 0.32 0.36 0.08 3.04 4.28 1.73 1.77 ZZZ Start Printed Page 49169 64505 A N block, spenopalatine gangl 1.36 1.11 1.21 0.73 0.68 0.10 2.57 2.67 2.19 2.14 000 64508 A N block, carotid sinus s/p 1.12 1.89 2.96 0.48 0.68 0.07 3.08 4.15 1.67 1.87 000 64510 A N block, stellate ganglion 1.22 1.92 3.07 0.44 0.49 0.07 3.21 4.36 1.73 1.78 000 64517 A N block inj, hypogas plxs 2.20 1.70 2.47 0.67 0.82 0.11 4.01 4.78 2.98 3.13 000 64520 A N block, lumbar/thoracic 1.35 2.62 4.51 0.52 0.54 0.08 4.05 5.94 1.95 1.97 000 64530 A N block inj, celiac pelus 1.58 2.65 4.00 0.60 0.64 0.10 4.33 5.68 2.28 2.32 000 64550 A Apply neurostimulator 0.18 0.20 0.26 0.06 0.05 0.01 0.39 0.45 0.25 0.24 000 64553 A Implant neuroelectrodes 2.31 2.50 2.75 1.35 1.73 0.18 4.99 5.24 3.84 4.22 010 64555 A Implant neuroelectrodes 2.27 2.57 2.97 1.36 1.23 0.19 5.03 5.43 3.82 3.69 010 64560 A Implant neuroelectrodes 2.36 2.49 2.60 1.33 1.29 0.22 5.07 5.18 3.91 3.87 010 64561 A Implant neuroelectrodes 7.05 20.04 27.55 3.87 3.05 0.51 27.60 35.11 11.43 10.61 010 64565 A Implant neuroelectrodes 1.76 2.47 3.08 1.28 1.27 0.13 4.36 4.97 3.17 3.16 010 64573 A Implant neuroelectrodes 8.11 NA NA 5.44 5.29 1.60 NA NA 15.15 15.00 090 64575 A Implant neuroelectrodes 4.34 NA NA 2.00 2.50 0.61 NA NA 6.95 7.45 090 64577 A Implant neuroelectrodes 4.61 NA NA 2.87 3.18 1.04 NA NA 8.52 8.83 090 64580 A Implant neuroelectrodes 4.11 NA NA 2.69 3.34 0.36 NA NA 7.16 7.81 090 64581 A Implant neuroelectrodes 14.13 NA NA 6.72 5.71 1.05 NA NA 21.90 20.89 090 64585 A Revise/remove neuroelectrode 2.06 5.79 9.91 2.24 2.16 0.20 8.05 12.17 4.50 4.42 010 64590 A Insrt/redo perph n generator 2.40 6.44 6.97 2.47 2.33 0.19 9.03 9.56 5.06 4.92 010 64595 A Revise/remove neuroreceiver 1.73 6.52 9.42 2.20 1.99 0.19 8.44 11.34 4.12 3.91 010 64600 A Injection treatment of nerve 3.44 5.28 8.33 1.58 1.63 0.34 9.06 12.11 5.36 5.41 010 64605 A Injection treatment of nerve 5.60 7.65 9.08 2.39 2.23 0.79 14.04 15.47 8.78 8.62 010 64610 A Injection treatment of nerve 7.15 9.41 9.00 3.52 3.66 1.58 18.14 17.73 12.25 12.39 010 64612 A Destroy nerve, face muscle 1.96 1.61 2.26 1.36 1.33 0.11 3.68 4.33 3.43 3.40 010 64613 A Destroy nerve, neck muscle 1.96 1.36 2.54 1.13 1.20 0.11 3.43 4.61 3.20 3.27 010 64614 A Destroy nerve, extrem musc 2.20 1.62 2.82 1.31 1.31 0.10 3.92 5.12 3.61 3.61 010 64620 A Injection treatment of nerve 2.84 3.44 4.66 1.17 1.29 0.20 6.48 7.70 4.21 4.33 010 64622 A Destr paravertebrl nerve l/s 3.00 4.10 6.85 1.27 1.35 0.18 7.28 10.03 4.45 4.53 010 64623 A Destr paravertebral n add-on 0.99 1.65 2.63 0.22 0.22 0.06 2.70 3.68 1.27 1.27 ZZZ 64626 A Destr paravertebrl nerve c/t 3.78 4.74 7.02 1.87 1.94 0.20 8.72 11.00 5.85 5.92 010 64627 A Destr paravertebral n add-on 1.16 2.38 3.99 0.25 0.27 0.07 3.61 5.22 1.48 1.50 ZZZ 64630 A Injection treatment of nerve 3.00 2.81 2.75 1.88 1.53 0.22 6.03 5.97 5.10 4.75 010 64640 A Injection treatment of nerve 2.76 2.45 3.75 1.44 1.74 0.29 5.50 6.80 4.49 4.79 010 64650 A Chemodenerv eccrine glands 0.70 0.78 0.85 0.18 0.27 0.06 1.54 1.61 0.94 1.03 000 64653 A Chemodenerv eccrine glands 0.88 0.83 0.90 0.22 0.34 0.08 1.79 1.86 1.18 1.30 000 64680 A Injection treatment of nerve 2.62 4.01 6.04 1.09 1.35 0.18 6.81 8.84 3.89 4.15 010 64681 A Injection treatment of nerve 3.78 4.92 8.20 1.32 1.88 0.28 8.98 12.26 5.38 5.94 010 64702 A Revise finger/toe nerve 6.02 NA NA 5.27 4.21 0.61 NA NA 11.90 10.84 090 64704 A Revise hand/foot nerve 4.56 NA NA 3.20 3.28 0.61 NA NA 8.37 8.45 090 64708 A Revise arm/leg nerve 6.17 NA NA 4.29 4.72 0.96 NA NA 11.42 11.85 090 64712 A Revision of sciatic nerve 7.92 NA NA 4.55 4.86 0.95 NA NA 13.42 13.73 090 64713 A Revision of arm nerve(s) 11.22 NA NA 6.47 6.02 1.82 NA NA 19.51 19.06 090 64714 A Revise low back nerve(s) 10.37 NA NA 4.91 4.38 1.19 NA NA 16.47 15.94 090 64716 A Revision of cranial nerve 6.80 NA NA 5.15 5.77 0.63 NA NA 12.58 13.20 090 64718 A Revise ulnar nerve at elbow 6.98 NA NA 6.23 6.05 1.05 NA NA 14.26 14.08 090 64719 A Revise ulnar nerve at wrist 4.84 NA NA 4.16 4.43 0.77 NA NA 9.77 10.04 090 64721 A Carpal tunnel surgery 4.78 4.72 5.20 4.66 5.19 0.73 10.23 10.71 10.17 10.70 090 64722 A Relieve pressure on nerve(s) 4.69 NA NA 2.83 2.99 0.48 NA NA 8.00 8.16 090 64726 A Release foot/toe nerve 4.17 NA NA 2.73 2.78 0.54 NA NA 7.44 7.49 090 64727 A Internal nerve revision 3.10 NA NA 1.23 1.43 0.48 NA NA 4.81 5.01 ZZZ 64732 A Incision of brow nerve 4.78 NA NA 4.27 3.69 0.98 NA NA 10.03 9.45 090 64734 A Incision of cheek nerve 5.41 NA NA 4.64 4.20 0.89 NA NA 10.94 10.50 090 64736 A Incision of chin nerve 5.09 NA NA 3.87 3.98 0.52 NA NA 9.48 9.59 090 64738 A Incision of jaw nerve 6.22 NA NA 4.22 4.51 1.08 NA NA 11.52 11.81 090 64740 A Incision of tongue nerve 6.08 NA NA 4.41 4.94 0.69 NA NA 11.18 11.71 090 64742 A Incision of facial nerve 6.71 NA NA 4.35 4.61 0.73 NA NA 11.79 12.05 090 64744 A Incise nerve, back of head 5.61 NA NA 4.59 3.98 1.16 NA NA 11.36 10.75 090 64746 A Incise diaphragm nerve 6.42 NA NA 3.88 4.35 0.82 NA NA 11.12 11.59 090 64752 A Incision of vagus nerve 7.55 NA NA 4.06 4.23 0.93 NA NA 12.54 12.71 090 64755 A Incision of stomach nerves 14.93 NA NA 5.84 5.68 1.83 NA NA 22.60 22.44 090 64760 A Incision of vagus nerve 7.45 NA NA 3.85 3.55 0.81 NA NA 12.11 11.81 090 64761 A Incision of pelvis nerve 6.90 NA NA 3.99 3.64 0.53 NA NA 11.42 11.07 090 64763 A Incise hip/thigh nerve 7.42 NA NA 5.07 5.16 0.94 NA NA 13.43 13.52 090 64766 A Incise hip/thigh nerve 9.29 NA NA 5.31 5.26 1.06 NA NA 15.66 15.61 090 64771 A Sever cranial nerve 7.97 NA NA 5.28 5.48 1.23 NA NA 14.48 14.68 090 64772 A Incision of spinal nerve 7.70 NA NA 5.32 5.02 1.40 NA NA 14.42 14.12 090 Start Printed Page 49170 64774 A Remove skin nerve lesion 5.66 NA NA 3.97 3.87 0.74 NA NA 10.37 10.27 090 64776 A Remove digit nerve lesion 5.49 NA NA 3.73 3.69 0.76 NA NA 9.98 9.94 090 64778 A Digit nerve surgery add-on 3.11 NA NA 1.19 1.42 0.46 NA NA 4.76 4.99 ZZZ 64782 A Remove limb nerve lesion 6.72 NA NA 4.11 3.86 0.86 NA NA 11.69 11.44 090 64783 A Limb nerve surgery add-on 3.71 NA NA 1.41 1.73 0.51 NA NA 5.63 5.95 ZZZ 64784 A Remove nerve lesion 10.44 NA NA 6.20 6.49 1.38 NA NA 18.01 18.30 090 64786 A Remove sciatic nerve lesion 16.07 NA NA 8.97 9.62 2.60 NA NA 27.64 28.29 090 64787 A Implant nerve end 4.29 NA NA 1.60 1.99 0.58 NA NA 6.47 6.86 ZZZ 64788 A Remove skin nerve lesion 5.10 NA NA 3.87 3.56 0.73 NA NA 9.70 9.39 090 64790 A Removal of nerve lesion 11.92 NA NA 6.81 7.10 2.10 NA NA 20.83 21.12 090 64792 A Removal of nerve lesion 15.65 NA NA 8.40 8.72 2.48 NA NA 26.53 26.85 090 64795 A Biopsy of nerve 3.01 NA NA 1.44 1.53 0.52 NA NA 4.97 5.06 000 64802 A Remove sympathetic nerves 10.19 NA NA 4.22 4.90 1.29 NA NA 15.70 16.38 090 64804 A Remove sympathetic nerves 15.73 NA NA 6.10 6.90 2.14 NA NA 23.97 24.77 090 64809 A Remove sympathetic nerves 14.57 NA NA 6.60 5.97 1.50 NA NA 22.67 22.04 090 64818 A Remove sympathetic nerves 11.20 NA NA 4.36 5.05 1.33 NA NA 16.89 17.58 090 64820 A Remove sympathetic nerves 10.60 NA NA 7.04 7.10 1.49 NA NA 19.13 19.19 090 64821 A Remove sympathetic nerves 9.11 NA NA 6.64 7.17 1.24 NA NA 16.99 17.52 090 64822 A Remove sympathetic nerves 9.11 NA NA 6.45 7.04 1.30 NA NA 16.86 17.45 090 64823 A Remove sympathetic nerves 10.72 NA NA 7.11 7.88 1.57 NA NA 19.40 20.17 090 64831 A Repair of digit nerve 10.18 NA NA 6.67 6.97 1.41 NA NA 18.26 18.56 090 64832 A Repair nerve add-on 5.65 NA NA 2.36 2.79 0.85 NA NA 8.86 9.29 ZZZ 64834 A Repair of hand or foot nerve 10.67 NA NA 6.57 6.96 1.54 NA NA 18.78 19.17 090 64835 A Repair of hand or foot nerve 11.55 NA NA 7.32 7.60 1.73 NA NA 20.60 20.88 090 64836 A Repair of hand or foot nerve 11.55 NA NA 7.04 7.51 1.67 NA NA 20.26 20.73 090 64837 A Repair nerve add-on 6.25 NA NA 2.67 3.09 0.97 NA NA 9.89 10.31 ZZZ 64840 A Repair of leg nerve 13.81 NA NA 5.07 7.46 1.37 NA NA 20.25 22.64 090 64856 A Repair/transpose nerve 14.89 NA NA 8.60 9.04 2.12 NA NA 25.61 26.05 090 64857 A Repair arm/leg nerve 15.64 NA NA 8.93 9.46 2.21 NA NA 26.78 27.31 090 64858 A Repair sciatic nerve 17.64 NA NA 10.15 10.62 3.33 NA NA 31.12 31.58 090 64859 A Nerve surgery 4.25 NA NA 1.88 2.11 0.67 NA NA 6.80 7.03 ZZZ 64861 A Repair of arm nerves 20.68 NA NA 10.04 11.34 4.08 NA NA 34.80 36.10 090 64862 A Repair of low back nerves 20.88 NA NA 6.83 10.66 4.31 NA NA 32.02 35.85 090 64864 A Repair of facial nerve 13.27 NA NA 7.03 8.33 1.26 NA NA 21.56 22.86 090 64865 A Repair of facial nerve 15.91 NA NA 9.89 12.61 1.50 NA NA 27.30 30.02 090 64866 A Fusion of facial/other nerve 16.65 NA NA 12.27 12.94 2.04 NA NA 30.96 31.63 090 64868 A Fusion of facial/other nerve 14.76 NA NA 9.07 10.84 1.43 NA NA 25.26 27.03 090 64870 A Fusion of facial/other nerve 16.90 NA NA 8.42 8.65 1.30 NA NA 26.62 26.85 090 64872 A Subsequent repair of nerve 1.99 NA NA 0.81 1.01 0.29 NA NA 3.09 3.29 ZZZ 64874 A Repair & revise nerve add-on 2.98 NA NA 1.21 1.45 0.42 NA NA 4.61 4.85 ZZZ 64876 A Repair nerve/shorten bone 3.37 NA NA 0.78 1.50 0.47 NA NA 4.62 5.34 ZZZ 64885 A Nerve graft, head or neck 17.50 NA NA 8.84 10.91 1.63 NA NA 27.97 30.04 090 64886 A Nerve graft, head or neck 20.72 NA NA 9.68 12.58 2.08 NA NA 32.48 35.38 090 64890 A Nerve graft, hand or foot 16.06 NA NA 9.05 9.76 2.29 NA NA 27.40 28.11 090 64891 A Nerve graft, hand or foot 17.17 NA NA 9.87 8.15 1.63 NA NA 28.67 26.95 090 64892 A Nerve graft, arm or leg 15.56 NA NA 8.95 8.88 2.47 NA NA 26.98 26.91 090 64893 A Nerve graft, arm or leg 16.69 NA NA 9.67 9.81 2.61 NA NA 28.97 29.11 090 64895 A Nerve graft, hand or foot 20.21 NA NA 10.02 9.74 2.57 NA NA 32.80 32.52 090 64896 A Nerve graft, hand or foot 21.75 NA NA 11.89 11.21 3.16 NA NA 36.80 36.12 090 64897 A Nerve graft, arm or leg 19.20 NA NA 10.43 10.63 2.54 NA NA 32.17 32.37 090 64898 A Nerve graft, arm or leg 20.76 NA NA 11.28 11.66 2.77 NA NA 34.81 35.19 090 64901 A Nerve graft add-on 10.20 NA NA 3.82 4.90 1.37 NA NA 15.39 16.47 ZZZ 64902 A Nerve graft add-on 11.81 NA NA 4.25 5.53 1.55 NA NA 17.61 18.89 ZZZ 64905 A Nerve pedicle transfer 14.93 NA NA 6.84 8.08 2.00 NA NA 23.77 25.01 090 64907 A Nerve pedicle transfer 19.85 NA NA 6.41 10.99 3.16 NA NA 29.42 34.00 090 64999 C Nervous system surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY Start Printed Page 49171 65091 A Revise eye 7.08 NA NA 6.91 7.99 0.32 NA NA 14.31 15.39 090 65093 A Revise eye with implant 6.86 NA NA 7.00 8.28 0.34 NA NA 14.20 15.48 090 65101 A Removal of eye 8.02 NA NA 8.15 9.18 0.35 NA NA 16.52 17.55 090 65103 A Remove eye/insert implant 8.56 NA NA 8.37 9.39 0.37 NA NA 17.30 18.32 090 65105 A Remove eye/attach implant 9.61 NA NA 9.06 10.11 0.42 NA NA 19.09 20.14 090 65110 A Removal of eye 15.31 NA NA 11.58 13.15 0.81 NA NA 27.70 29.27 090 65112 A Remove eye/revise socket 18.05 NA NA 13.05 15.36 1.30 NA NA 32.40 34.71 090 65114 A Remove eye/revise socket 19.19 NA NA 13.69 15.68 1.02 NA NA 33.90 35.89 090 65125 A Revise ocular implant 3.12 6.82 8.31 3.18 3.50 0.19 10.13 11.62 6.49 6.81 090 65130 A Insert ocular implant 8.14 NA NA 7.92 8.85 0.35 NA NA 16.41 17.34 090 65135 A Insert ocular implant 8.32 NA NA 7.97 8.98 0.36 NA NA 16.65 17.66 090 65140 A Attach ocular implant 9.14 NA NA 8.59 9.55 0.40 NA NA 18.13 19.09 090 65150 A Revise ocular implant 6.25 NA NA 6.47 7.60 0.31 NA NA 13.03 14.16 090 65155 A Reinsert ocular implant 9.78 NA NA 8.85 10.07 0.50 NA NA 19.13 20.35 090 65175 A Removal of ocular implant 7.15 NA NA 7.27 8.18 0.31 NA NA 14.73 15.64 090 65205 A Remove foreign body from eye 0.71 0.59 0.63 0.33 0.30 0.03 1.33 1.37 1.07 1.04 000 65210 A Remove foreign body from eye 0.84 0.74 0.79 0.41 0.39 0.04 1.62 1.67 1.29 1.27 000 65220 A Remove foreign body from eye 0.71 0.60 0.63 0.29 0.28 0.05 1.36 1.39 1.05 1.04 000 65222 A Remove foreign body from eye 0.93 0.81 0.87 0.43 0.39 0.04 1.78 1.84 1.40 1.36 000 65235 A Remove foreign body from eye 8.69 NA NA 6.99 6.80 0.37 NA NA 16.05 15.86 090 65260 A Remove foreign body from eye 12.19 NA NA 9.03 9.50 0.57 NA NA 21.79 22.26 090 65265 A Remove foreign body from eye 13.95 NA NA 9.90 10.44 0.62 NA NA 24.47 25.01 090 65270 A Repair of eye wound 1.90 3.88 4.89 1.22 1.35 0.09 5.87 6.88 3.21 3.34 010 65272 A Repair of eye wound 4.44 6.50 7.41 3.27 3.29 0.19 11.13 12.04 7.90 7.92 090 65273 A Repair of eye wound 4.98 NA NA 3.43 3.54 0.22 NA NA 8.63 8.74 090 65275 A Repair of eye wound 6.08 6.43 6.34 3.99 3.95 0.26 12.77 12.68 10.33 10.29 090 65280 A Repair of eye wound 8.78 NA NA 6.02 6.18 0.38 NA NA 15.18 15.34 090 65285 A Repair of eye wound 14.32 NA NA 8.70 9.08 0.64 NA NA 23.66 24.04 090 65286 A Repair of eye wound 6.38 8.96 10.60 4.53 4.60 0.27 15.61 17.25 11.18 11.25 090 65290 A Repair of eye socket wound 6.28 NA NA 4.55 4.69 0.31 NA NA 11.14 11.28 090 65400 A Removal of eye lesion 7.18 7.66 8.16 6.03 6.10 0.30 15.14 15.64 13.51 13.58 090 65410 A Biopsy of cornea 1.47 1.72 2.01 0.90 0.95 0.07 3.26 3.55 2.44 2.49 000 65420 A Removal of eye lesion 4.16 7.03 8.40 4.07 4.35 0.21 11.40 12.77 8.44 8.72 090 65426 A Removal of eye lesion 5.85 8.41 9.73 4.71 4.87 0.25 14.51 15.83 10.81 10.97 090 65430 A Corneal smear 1.47 1.13 1.25 0.90 0.96 0.07 2.67 2.79 2.44 2.50 000 65435 A Curette/treat cornea 0.92 0.89 0.97 0.67 0.70 0.04 1.85 1.93 1.63 1.66 000 65436 A Curette/treat cornea 4.68 3.88 4.04 3.55 3.64 0.21 8.77 8.93 8.44 8.53 090 65450 A Treatment of corneal lesion 3.27 3.76 3.99 3.68 3.88 0.16 7.19 7.42 7.11 7.31 090 65600 A Revision of cornea 4.02 4.58 4.90 3.51 3.39 0.17 8.77 9.09 7.70 7.58 090 65710 A Corneal transplant 13.97 NA NA 10.49 11.02 0.61 NA NA 25.07 25.60 090 65730 A Corneal transplant 15.87 NA NA 11.29 11.84 0.70 NA NA 27.86 28.41 090 65750 A Corneal transplant 16.48 NA NA 11.00 11.73 0.74 NA NA 28.22 28.95 090 65755 A Corneal transplant 16.37 NA NA 10.97 11.66 0.73 NA NA 28.07 28.76 090 65770 A Revise cornea with implant 19.28 NA NA 12.09 12.92 0.87 NA NA 32.24 33.07 090 65772 A Correction of astigmatism 4.91 4.99 5.40 4.04 4.11 0.21 10.11 10.52 9.16 9.23 090 65775 A Correction of astigmatism 6.66 NA NA 5.46 5.83 0.28 NA NA 12.40 12.77 090 65780 A Ocular reconst, transplant 10.23 NA NA 9.18 10.01 0.44 NA NA 19.85 20.68 090 65781 A Ocular reconst, transplant 17.64 NA NA 11.94 13.24 0.44 NA NA 30.02 31.32 090 65782 A Ocular reconst, transplant 14.98 NA NA 10.53 11.63 0.44 NA NA 25.95 27.05 090 65800 A Drainage of eye 1.91 1.45 1.71 1.07 1.15 0.09 3.45 3.71 3.07 3.15 000 65805 A Drainage of eye 1.91 1.76 2.07 1.07 1.16 0.09 3.76 4.07 3.07 3.16 000 65810 A Drainage of eye 5.61 NA NA 4.82 4.73 0.24 NA NA 10.67 10.58 090 65815 A Drainage of eye 5.79 8.14 9.54 4.72 4.79 0.25 14.18 15.58 10.76 10.83 090 65820 A Relieve inner eye pressure 8.62 NA NA 7.88 8.76 0.40 NA NA 16.90 17.78 090 65850 A Incision of eye 11.14 NA NA 7.56 8.22 0.52 NA NA 19.22 19.88 090 65855 A Laser surgery of eye 3.84 3.59 4.13 2.71 3.00 0.19 7.62 8.16 6.74 7.03 010 65860 A Incise inner eye adhesions 3.54 3.37 3.87 2.16 2.42 0.18 7.09 7.59 5.88 6.14 090 65865 A Incise inner eye adhesions 5.59 NA NA 4.84 5.43 0.28 NA NA 10.71 11.30 090 65870 A Incise inner eye adhesions 7.14 NA NA 5.88 6.28 0.31 NA NA 13.33 13.73 090 65875 A Incise inner eye adhesions 7.53 NA NA 6.33 6.68 0.32 NA NA 14.18 14.53 090 65880 A Incise inner eye adhesions 8.08 NA NA 6.54 6.91 0.35 NA NA 14.97 15.34 090 65900 A Remove eye lesion 12.16 NA NA 9.15 9.98 0.54 NA NA 21.85 22.68 090 65920 A Remove implant of eye 9.64 NA NA 7.72 8.06 0.41 NA NA 17.77 18.11 090 65930 A Remove blood clot from eye 8.18 NA NA 5.98 6.62 0.37 NA NA 14.53 15.17 090 66020 A Injection treatment of eye 1.59 2.49 2.96 1.31 1.41 0.08 4.16 4.63 2.98 3.08 010 66030 A Injection treatment of eye 1.25 2.36 2.81 1.18 1.26 0.06 3.67 4.12 2.49 2.57 010 Start Printed Page 49172 66130 A Remove eye lesion 7.68 7.75 9.15 5.04 5.47 0.38 15.81 17.21 13.10 13.53 090 66150 A Glaucoma surgery 10.04 NA NA 9.04 9.31 0.46 NA NA 19.54 19.81 090 66155 A Glaucoma surgery 10.03 NA NA 9.02 9.27 0.41 NA NA 19.46 19.71 090 66160 A Glaucoma surgery 11.90 NA NA 9.78 10.09 0.50 NA NA 22.18 22.49 090 66165 A Glaucoma surgery 9.75 NA NA 8.97 9.17 0.40 NA NA 19.12 19.32 090 66170 A Glaucoma surgery 14.39 NA NA 11.90 12.14 0.60 NA NA 26.89 27.13 090 66172 A Incision of eye 18.02 NA NA 15.09 15.17 0.74 NA NA 33.85 33.93 090 66180 A Implant eye shunt 15.91 NA NA 10.05 10.58 0.71 NA NA 26.67 27.20 090 66185 A Revise eye shunt 9.26 NA NA 7.28 7.36 0.40 NA NA 16.94 17.01 090 66220 A Repair eye lesion 8.89 NA NA 7.21 7.13 0.40 NA NA 16.50 16.42 090 66225 A Repair/graft eye lesion 12.28 NA NA 8.41 8.65 0.55 NA NA 21.24 21.48 090 66250 A Follow-up surgery of eye 6.85 9.51 11.15 5.42 5.47 0.30 16.66 18.30 12.57 12.62 090 66500 A Incision of iris 3.70 NA NA 4.07 4.50 0.18 NA NA 7.95 8.38 090 66505 A Incision of iris 4.07 NA NA 4.43 4.85 0.20 NA NA 8.70 9.12 090 66600 A Remove iris and lesion 9.80 NA NA 8.55 8.30 0.43 NA NA 18.78 18.53 090 66605 A Removal of iris 13.90 NA NA 9.43 9.87 0.77 NA NA 24.10 24.54 090 66625 A Removal of iris 5.12 NA NA 4.34 4.63 0.26 NA NA 9.72 10.01 090 66630 A Removal of iris 7.03 NA NA 5.52 5.66 0.31 NA NA 12.86 13.00 090 66635 A Removal of iris 7.12 NA NA 5.55 5.69 0.31 NA NA 12.98 13.12 090 66680 A Repair iris & ciliary body 6.18 NA NA 5.23 5.26 0.27 NA NA 11.68 11.71 090 66682 A Repair iris & ciliary body 7.08 NA NA 6.92 6.69 0.31 NA NA 14.31 14.08 090 66700 A Destruction, ciliary body 5.02 4.96 5.17 3.73 3.88 0.24 10.22 10.43 8.99 9.14 090 66710 A Ciliary transsleral therapy 5.02 4.73 5.06 3.71 3.81 0.23 9.98 10.31 8.96 9.06 090 66711 A Ciliary endoscopic ablation 7.60 NA NA 6.49 6.48 0.30 NA NA 14.39 14.38 090 66720 A Destruction, ciliary body 4.77 5.47 5.71 4.40 4.64 0.26 10.50 10.74 9.43 9.67 090 66740 A Destruction, ciliary body 5.02 4.68 4.99 3.73 3.91 0.23 9.93 10.24 8.98 9.16 090 66761 A Revision of iris 4.81 5.17 5.49 4.32 4.31 0.20 10.18 10.50 9.33 9.32 090 66762 A Revision of iris 5.20 5.26 5.55 4.20 4.27 0.23 10.69 10.98 9.63 9.70 090 66770 A Removal of inner eye lesion 5.92 5.71 5.99 4.74 4.79 0.26 11.89 12.17 10.92 10.97 090 66820 A Incision, secondary cataract 3.88 NA NA 4.76 5.55 0.19 NA NA 8.83 9.62 090 66821 A After cataract laser surgery 3.28 3.93 4.05 3.51 3.59 0.11 7.32 7.44 6.90 6.98 090 66825 A Reposition intraocular lens 8.72 NA NA 8.01 8.80 0.40 NA NA 17.13 17.92 090 66830 A Removal of lens lesion 9.19 NA NA 6.57 6.86 0.36 NA NA 16.12 16.41 090 66840 A Removal of lens material 8.90 NA NA 6.51 6.77 0.39 NA NA 15.80 16.06 090 66850 A Removal of lens material 10.23 NA NA 7.31 7.56 0.45 NA NA 17.99 18.24 090 66852 A Removal of lens material 11.09 NA NA 7.65 7.99 0.49 NA NA 19.23 19.57 090 66920 A Extraction of lens 9.85 NA NA 6.87 7.19 0.44 NA NA 17.16 17.48 090 66930 A Extraction of lens 11.29 NA NA 7.73 8.04 0.49 NA NA 19.51 19.82 090 66940 A Extraction of lens 10.05 NA NA 7.25 7.51 0.43 NA NA 17.73 17.99 090 66982 A Cataract surgery, complex 14.73 NA NA 9.28 9.72 0.63 NA NA 24.64 25.08 090 66983 A Cataract surg w/iol, 1 stage 10.11 NA NA 6.30 6.16 0.14 NA NA 16.55 16.41 090 66984 A Cataract surg w/iol, 1 stage 10.28 NA NA 6.62 7.22 0.39 NA NA 17.29 17.89 090 66985 A Insert lens prosthesis 9.63 NA NA 7.33 7.42 0.36 NA NA 17.32 17.41 090 66986 A Exchange lens prosthesis 12.26 NA NA 8.38 8.97 0.60 NA NA 21.24 21.83 090 66990 A Ophthalmic endoscope add-on 1.51 NA NA 0.57 0.66 0.07 NA NA 2.15 2.24 ZZZ 66999 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67005 A Partial removal of eye fluid 5.69 NA NA 4.72 4.83 0.28 NA NA 10.69 10.80 090 67010 A Partial removal of eye fluid 6.86 NA NA 5.16 5.35 0.34 NA NA 12.36 12.55 090 67015 A Release of eye fluid 6.91 NA NA 5.88 6.31 0.34 NA NA 13.13 13.56 090 67025 A Replace eye fluid 7.83 8.11 8.94 6.11 6.19 0.34 16.28 17.11 14.28 14.36 090 67027 A Implant eye drug system 11.33 NA NA 7.61 7.90 0.54 NA NA 19.48 19.77 090 67028 A Injection eye drug 2.52 2.23 2.58 1.30 1.42 0.12 4.87 5.22 3.94 4.06 000 67030 A Incise inner eye strands 5.83 NA NA 5.77 5.83 0.24 NA NA 11.84 11.90 090 67031 A Laser surgery, eye strands 4.29 4.21 4.50 3.53 3.61 0.18 8.68 8.97 8.00 8.08 090 67036 A Removal of inner eye fluid 13.00 NA NA 8.35 8.93 0.58 NA NA 21.93 22.51 090 67038 A Strip retinal membrane 23.15 NA NA 13.97 15.11 1.04 NA NA 38.16 39.30 090 Start Printed Page 49173 67039 A Laser treatment of retina 16.25 NA NA 11.08 11.91 0.71 NA NA 28.04 28.87 090 67040 A Laser treatment of retina 19.08 NA NA 12.45 13.37 0.85 NA NA 32.38 33.30 090 67101 A Repair detached retina 8.52 8.75 9.03 6.38 6.49 0.37 17.64 17.92 15.27 15.38 090 67105 A Repair detached retina 8.28 7.65 7.97 5.99 6.11 0.37 16.30 16.62 14.64 14.75 090 67107 A Repair detached retina 16.26 NA NA 10.74 11.16 0.73 NA NA 27.73 28.15 090 67108 A Repair detached retina 22.39 NA NA 13.45 14.18 1.02 NA NA 36.86 37.59 090 67110 A Repair detached retina 9.93 9.22 9.98 7.20 7.34 0.44 19.59 20.35 17.57 17.71 090 67112 A Rerepair detached retina 18.33 NA NA 11.27 11.68 0.83 NA NA 30.43 30.84 090 67115 A Release encircling material 5.86 NA NA 5.07 5.08 0.25 NA NA 11.18 11.19 090 67120 A Remove eye implant material 6.85 7.57 8.33 5.45 5.51 0.29 14.71 15.47 12.59 12.65 090 67121 A Remove eye implant material 11.90 NA NA 8.25 8.46 0.53 NA NA 20.68 20.89 090 67141 A Treatment of retina 5.94 5.59 5.79 4.81 4.85 0.26 11.79 11.99 11.01 11.05 090 67145 A Treatment of retina 6.11 5.51 5.67 4.87 4.92 0.27 11.89 12.05 11.25 11.30 090 67208 A Treatment of retinal lesion 7.44 5.84 6.05 5.38 5.48 0.33 13.61 13.82 13.15 13.25 090 67210 A Treatment of retinal lesion 9.31 6.14 6.46 5.65 5.82 0.44 15.89 16.21 15.40 15.57 090 67218 A Treatment of retinal lesion 20.14 NA NA 11.08 11.88 0.92 NA NA 32.14 32.94 090 67220 A Treatment of choroid lesion 14.11 9.55 10.20 8.47 8.88 0.65 24.31 24.96 23.23 23.64 090 67221 R Ocular photodynamic ther 3.45 3.03 4.01 1.45 1.71 0.20 6.68 7.66 5.10 5.36 000 67225 A Eye photodynamic ther add-on 0.47 0.24 0.25 0.18 0.20 0.02 0.73 0.74 0.67 0.69 ZZZ 67227 A Treatment of retinal lesion 7.32 6.19 6.48 5.33 5.47 0.33 13.84 14.13 12.98 13.12 090 67228 A Treatment of retinal lesion 13.60 10.27 11.18 7.98 8.40 0.63 24.50 25.41 22.21 22.63 090 67250 A Reinforce eye wall 9.40 NA NA 7.90 8.85 0.47 NA NA 17.77 18.72 090 67255 A Reinforce/graft eye wall 9.89 NA NA 8.71 9.60 0.44 NA NA 19.04 19.93 090 67299 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67311 A Revise eye muscle 7.52 NA NA 5.68 5.94 0.37 NA NA 13.57 13.83 090 67312 A Revise two eye muscles 9.41 NA NA 6.42 6.67 0.43 NA NA 16.26 16.51 090 67314 A Revise eye muscle 8.51 NA NA 6.37 6.51 0.39 NA NA 15.27 15.41 090 67316 A Revise two eye muscles 10.65 NA NA 7.18 7.42 0.49 NA NA 18.32 18.56 090 67318 A Revise eye muscle(s) 8.84 NA NA 6.76 6.89 0.41 NA NA 16.01 16.14 090 67320 A Revise eye muscle(s) add-on 4.32 NA NA 1.62 1.87 0.22 NA NA 6.16 6.41 ZZZ 67331 A Eye surgery follow-up add-on 4.05 NA NA 1.51 1.75 0.21 NA NA 5.77 6.01 ZZZ 67332 A Rerevise eye muscles add-on 4.48 NA NA 1.68 1.94 0.23 NA NA 6.39 6.65 ZZZ 67334 A Revise eye muscle w/suture 3.97 NA NA 1.48 1.71 0.20 NA NA 5.65 5.88 ZZZ 67335 A Eye suture during surgery 2.49 NA NA 0.93 1.07 0.13 NA NA 3.55 3.69 ZZZ 67340 A Revise eye muscle add-on 4.92 NA NA 1.84 2.11 0.25 NA NA 7.01 7.28 ZZZ 67343 A Release eye tissue 8.22 NA NA 6.25 6.45 0.37 NA NA 14.84 15.04 090 67345 A Destroy nerve of eye muscle 2.96 2.27 2.50 1.77 1.95 0.17 5.40 5.63 4.90 5.08 010 67350 A Biopsy eye muscle 2.87 NA NA 1.69 1.83 0.15 NA NA 4.71 4.85 000 67399 C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67400 A Explore/biopsy eye socket 10.88 NA NA 9.71 10.87 0.56 NA NA 21.15 22.31 090 67405 A Explore/drain eye socket 8.92 NA NA 8.48 9.45 0.44 NA NA 17.84 18.81 090 67412 A Explore/treat eye socket 10.12 NA NA 8.81 10.40 0.48 NA NA 19.41 21.00 090 67413 A Explore/treat eye socket 9.99 NA NA 8.94 10.31 0.50 NA NA 19.43 20.80 090 67414 A Explr/decompress eye socket 17.72 NA NA 11.99 12.03 0.65 NA NA 30.36 30.40 090 67415 A Aspiration, orbital contents 1.76 NA NA 0.63 0.73 0.09 NA NA 2.48 2.58 000 67420 A Explore/treat eye socket 21.52 NA NA 14.59 16.69 1.15 NA NA 37.26 39.36 090 67430 A Explore/treat eye socket 14.87 NA NA 12.66 14.33 0.86 NA NA 28.39 30.06 090 67440 A Explore/drain eye socket 14.45 NA NA 12.12 13.73 0.70 NA NA 27.27 28.88 090 67445 A Explr/decompress eye socket 18.90 NA NA 12.58 13.58 0.90 NA NA 32.38 33.38 090 67450 A Explore/biopsy eye socket 14.99 NA NA 12.63 14.18 0.68 NA NA 28.30 29.85 090 67500 A Inject/treat eye socket 1.44 0.61 0.66 0.48 0.34 0.05 2.10 2.15 1.97 1.83 000 67505 A Inject/treat eye socket 1.27 0.53 0.65 0.40 0.33 0.05 1.85 1.97 1.72 1.65 000 67515 A Inject/treat eye socket 1.40 0.81 0.65 0.64 0.45 0.03 2.24 2.08 2.07 1.88 000 67550 A Insert eye socket implant 11.42 NA NA 10.04 10.99 0.72 NA NA 22.18 23.13 090 67560 A Revise eye socket implant 11.83 NA NA 10.07 11.05 0.60 NA NA 22.50 23.48 090 67570 A Decompress optic nerve 14.13 NA NA 11.33 13.02 0.68 NA NA 26.14 27.83 090 67599 C Orbit surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67700 A Drainage of eyelid abscess 1.35 4.42 5.62 1.21 1.26 0.07 5.84 7.04 2.63 2.68 010 67710 A Incision of eyelid 1.02 3.79 4.98 1.10 1.18 0.05 4.86 6.05 2.17 2.25 010 67715 A Incision of eyelid fold 1.22 3.91 5.01 1.18 1.26 0.06 5.19 6.29 2.46 2.54 010 67800 A Remove eyelid lesion 1.38 1.44 1.58 0.93 1.01 0.07 2.89 3.03 2.38 2.46 010 67801 A Remove eyelid lesions 1.88 1.73 1.90 1.12 1.23 0.09 3.70 3.87 3.09 3.20 010 67805 A Remove eyelid lesions 2.22 2.25 2.45 1.46 1.60 0.11 4.58 4.78 3.79 3.93 010 67808 A Remove eyelid lesion(s) 4.42 NA NA 3.70 3.75 0.19 NA NA 8.31 8.36 090 67810 A Biopsy of eyelid 1.48 3.87 3.47 0.66 0.68 0.06 5.41 5.01 2.20 2.22 000 67820 A Revise eyelashes 0.71 0.45 0.56 0.52 0.55 0.04 1.20 1.31 1.27 1.30 000 Start Printed Page 49174 67825 A Revise eyelashes 1.38 1.44 1.66 1.30 1.38 0.07 2.89 3.11 2.75 2.83 010 67830 A Revise eyelashes 1.70 4.10 5.17 1.36 1.47 0.08 5.88 6.95 3.14 3.25 010 67835 A Revise eyelashes 5.55 NA NA 4.18 4.51 0.28 NA NA 10.01 10.34 090 67840 A Remove eyelid lesion 2.04 4.01 5.11 1.50 1.61 0.10 6.15 7.25 3.64 3.75 010 67850 A Treat eyelid lesion 1.69 3.26 3.34 1.43 1.46 0.07 5.02 5.10 3.19 3.22 010 67875 A Closure of eyelid by suture 1.35 2.45 3.09 0.86 0.92 0.07 3.87 4.51 2.28 2.34 000 67880 A Revision of eyelid 4.42 5.58 6.35 3.67 3.77 0.19 10.19 10.96 8.28 8.38 090 67882 A Revision of eyelid 5.81 6.56 7.36 4.62 4.76 0.25 12.62 13.42 10.68 10.82 090 67900 A Repair brow defect 6.63 7.52 8.68 4.72 5.12 0.38 14.53 15.69 11.73 12.13 090 67901 A Repair eyelid defect 7.39 9.25 6.36 5.46 5.42 0.54 17.18 14.29 13.39 13.35 090 67902 A Repair eyelid defect 9.60 NA NA 6.58 5.74 0.60 NA NA 16.78 15.94 090 67903 A Repair eyelid defect 6.36 6.82 8.88 4.48 5.25 0.47 13.65 15.71 11.31 12.08 090 67904 A Repair eyelid defect 7.75 8.47 9.34 5.54 5.31 0.41 16.63 17.50 13.70 13.47 090 67906 A Repair eyelid defect 6.78 NA NA 4.63 4.93 0.46 NA NA 11.87 12.17 090 67908 A Repair eyelid defect 5.12 5.71 6.40 4.25 5.07 0.28 11.11 11.80 9.65 10.47 090 67909 A Revise eyelid defect 5.39 6.39 7.62 4.31 4.79 0.31 12.09 13.32 10.01 10.49 090 67911 A Revise eyelid defect 7.30 NA NA 5.21 4.89 0.31 NA NA 12.82 12.50 090 67912 A Correction eyelid w/implant 6.17 13.18 17.49 4.74 5.33 0.28 19.63 23.94 11.19 11.78 090 67914 A Repair eyelid defect 3.67 4.88 5.98 2.76 2.98 0.19 8.74 9.84 6.62 6.84 090 67915 A Repair eyelid defect 3.18 4.54 5.62 2.57 2.74 0.16 7.88 8.96 5.91 6.08 090 67916 A Repair eyelid defect 5.30 6.53 7.67 4.26 4.64 0.28 12.11 13.25 9.84 10.22 090 67917 A Repair eyelid defect 6.01 6.91 8.07 4.54 4.94 0.36 13.28 14.44 10.91 11.31 090 67921 A Repair eyelid defect 3.39 4.75 5.83 2.64 2.83 0.17 8.31 9.39 6.20 6.39 090 67922 A Repair eyelid defect 3.06 4.44 5.54 2.51 2.69 0.15 7.65 8.75 5.72 5.90 090 67923 A Repair eyelid defect 5.87 6.63 7.75 4.46 4.84 0.30 12.80 13.92 10.63 11.01 090 67924 A Repair eyelid defect 5.78 7.11 8.47 4.19 4.56 0.30 13.19 14.55 10.27 10.64 090 67930 A Repair eyelid wound 3.60 4.50 5.41 1.85 2.09 0.19 8.29 9.20 5.64 5.88 010 67935 A Repair eyelid wound 6.21 6.95 8.13 3.70 4.23 0.39 13.55 14.73 10.30 10.83 090 67938 A Remove eyelid foreign body 1.33 3.95 5.02 1.27 1.26 0.06 5.34 6.41 2.66 2.65 010 67950 A Revision of eyelid 5.81 6.80 8.17 4.47 5.03 0.36 12.97 14.34 10.64 11.20 090 67961 A Revision of eyelid 5.68 7.00 8.26 4.43 4.88 0.33 13.01 14.27 10.44 10.89 090 67966 A Revision of eyelid 8.75 8.29 8.92 5.93 5.65 0.37 17.41 18.04 15.05 14.77 090 67971 A Reconstruction of eyelid 9.78 NA NA 6.40 7.06 0.53 NA NA 16.71 17.37 090 67973 A Reconstruction of eyelid 12.85 NA NA 8.02 8.99 0.75 NA NA 21.62 22.59 090 67974 A Reconstruction of eyelid 12.82 NA NA 8.04 8.93 0.75 NA NA 21.61 22.50 090 67975 A Reconstruction of eyelid 9.12 NA NA 6.16 6.75 0.50 NA NA 15.78 16.37 090 67999 C Revision of eyelid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68020 A Incise/drain eyelid lining 1.37 1.28 1.38 1.09 1.18 0.06 2.71 2.81 2.52 2.61 010 68040 A Treatment of eyelid lesions 0.85 0.62 0.69 0.37 0.42 0.04 1.51 1.58 1.26 1.31 000 68100 A Biopsy of eyelid lining 1.35 2.41 3.04 0.88 0.93 0.07 3.83 4.46 2.30 2.35 000 68110 A Remove eyelid lining lesion 1.77 3.15 3.86 1.52 1.62 0.09 5.01 5.72 3.38 3.48 010 68115 A Remove eyelid lining lesion 2.36 4.44 5.58 1.74 1.87 0.12 6.92 8.06 4.22 4.35 010 68130 A Remove eyelid lining lesion 4.92 6.84 8.24 4.16 4.49 0.24 12.00 13.40 9.32 9.65 090 68135 A Remove eyelid lining lesion 1.84 1.63 1.77 1.51 1.62 0.09 3.56 3.70 3.44 3.55 010 68200 A Treat eyelid by injection 0.49 0.47 0.52 0.30 0.32 0.02 0.98 1.03 0.81 0.83 000 68320 A Revise/graft eyelid lining 6.36 9.42 10.82 5.47 5.51 0.27 16.05 17.45 12.10 12.14 090 68325 A Revise/graft eyelid lining 8.35 NA NA 6.16 6.45 0.44 NA NA 14.95 15.24 090 68326 A Revise/graft eyelid lining 8.14 NA NA 6.12 6.34 0.35 NA NA 14.61 14.83 090 68328 A Revise/graft eyelid lining 9.17 NA NA 6.66 7.13 0.54 NA NA 16.37 16.84 090 68330 A Revise eyelid lining 5.57 7.64 8.97 4.59 4.69 0.24 13.45 14.78 10.40 10.50 090 68335 A Revise/graft eyelid lining 8.18 NA NA 6.13 6.32 0.36 NA NA 14.67 14.86 090 68340 A Separate eyelid adhesions 4.79 7.07 8.42 3.99 4.07 0.21 12.07 13.42 8.99 9.07 090 68360 A Revise eyelid lining 4.99 6.60 7.68 4.07 4.15 0.22 11.81 12.89 9.28 9.36 090 68362 A Revise eyelid lining 8.33 NA NA 6.18 6.35 0.36 NA NA 14.87 15.04 090 68371 A Harvest eye tissue, alograft 4.89 NA NA 4.18 4.59 0.44 NA NA 9.51 9.92 010 68399 C Eyelid lining surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY Start Printed Page 49175 68400 A Incise/drain tear gland 1.69 4.44 5.54 1.22 1.67 0.08 6.21 7.31 2.99 3.44 010 68420 A Incise/drain tear sac 2.30 4.70 5.82 1.46 1.94 0.11 7.11 8.23 3.87 4.35 010 68440 A Incise tear duct opening 0.94 1.28 1.88 1.21 1.26 0.05 2.27 2.87 2.20 2.25 010 68500 A Removal of tear gland 12.38 NA NA 8.97 9.54 0.55 NA NA 21.90 22.47 090 68505 A Partial removal, tear gland 12.30 NA NA 9.11 10.27 0.55 NA NA 21.96 23.12 090 68510 A Biopsy of tear gland 4.60 5.37 6.84 2.11 2.10 0.23 10.20 11.67 6.94 6.93 000 68520 A Removal of tear sac 8.50 NA NA 6.68 7.24 0.37 NA NA 15.55 16.11 090 68525 A Biopsy of tear sac 4.42 NA NA 1.64 1.93 0.22 NA NA 6.28 6.57 000 68530 A Clearance of tear duct 3.65 5.75 7.57 2.14 2.52 0.18 9.58 11.40 5.97 6.35 010 68540 A Remove tear gland lesion 11.83 NA NA 8.71 9.22 0.52 NA NA 21.06 21.57 090 68550 A Remove tear gland lesion 14.74 NA NA 10.52 11.14 0.80 NA NA 26.06 26.68 090 68700 A Repair tear ducts 7.59 NA NA 5.74 5.92 0.32 NA NA 13.65 13.83 090 68705 A Revise tear duct opening 2.06 3.12 3.91 1.63 1.75 0.10 5.28 6.07 3.79 3.91 010 68720 A Create tear sac drain 9.70 NA NA 7.10 7.67 0.44 NA NA 17.24 17.81 090 68745 A Create tear duct drain 9.62 NA NA 7.45 7.76 0.52 NA NA 17.59 17.90 090 68750 A Create tear duct drain 9.78 NA NA 7.64 8.11 0.43 NA NA 17.85 18.32 090 68760 A Close tear duct opening 1.73 2.66 3.32 1.50 1.60 0.09 4.48 5.14 3.32 3.42 010 68761 A Close tear duct opening 1.36 1.88 2.17 1.28 1.31 0.06 3.30 3.59 2.70 2.73 010 68770 A Close tear system fistula 8.01 NA NA 5.88 3.86 0.35 NA NA 14.24 12.22 090 68801 A Dilate tear duct opening 0.94 1.82 1.91 1.45 1.47 0.05 2.81 2.90 2.44 2.46 010 68810 A Probe nasolacrimal duct 2.59 3.49 3.62 2.76 2.69 0.10 6.18 6.31 5.45 5.38 010 68811 A Probe nasolacrimal duct 2.35 NA NA 2.17 2.35 0.13 NA NA 4.65 4.83 010 68815 A Probe nasolacrimal duct 3.20 6.57 7.82 2.49 2.73 0.17 9.94 11.19 5.86 6.10 010 68840 A Explore/irrigate tear ducts 1.25 1.56 1.59 1.32 1.17 0.06 2.87 2.90 2.63 2.48 010 68850 A Injection for tear sac x-ray 0.80 0.72 0.84 0.60 0.66 0.04 1.56 1.68 1.44 1.50 000 68899 C Tear duct system surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69000 A Drain external ear lesion 1.45 2.70 2.84 1.24 1.33 0.12 4.27 4.41 2.81 2.90 010 69005 A Drain external ear lesion 2.11 2.74 2.88 1.45 1.74 0.17 5.02 5.16 3.73 4.02 010 69020 A Drain outer ear canal lesion 1.48 3.84 3.95 1.76 1.99 0.12 5.44 5.55 3.36 3.59 010 69100 A Biopsy of external ear 0.81 1.80 1.73 0.38 0.39 0.03 2.64 2.57 1.22 1.23 000 69105 A Biopsy of external ear canal 0.85 2.47 2.37 0.65 0.74 0.07 3.39 3.29 1.57 1.66 000 69110 A Remove external ear, partial 3.43 7.50 6.93 4.23 4.41 0.30 11.23 10.66 7.96 8.14 090 69120 A Removal of external ear 4.04 NA NA 5.09 5.91 0.38 NA NA 9.51 10.33 090 69140 A Remove ear canal lesion(s) 7.96 NA NA 12.30 13.04 0.65 NA NA 20.91 21.65 090 69145 A Remove ear canal lesion(s) 2.62 6.53 5.97 3.10 3.25 0.21 9.36 8.80 5.93 6.08 090 69150 A Extensive ear canal surgery 13.41 NA NA 10.55 12.69 1.22 NA NA 25.18 27.32 090 69155 A Extensive ear/neck surgery 22.96 NA NA 15.01 18.41 1.92 NA NA 39.89 43.29 090 69200 A Clear outer ear canal 0.77 2.03 2.29 0.57 0.56 0.06 2.86 3.12 1.40 1.39 000 69205 A Clear outer ear canal 1.20 NA NA 1.14 1.31 0.10 NA NA 2.44 2.61 010 69210 A Remove impacted ear wax 0.61 0.55 0.61 0.16 0.21 0.05 1.21 1.27 0.82 0.87 000 69220 A Clean out mastoid cavity 0.83 2.37 2.36 0.61 0.70 0.07 3.27 3.26 1.51 1.60 000 69222 A Clean out mastoid cavity 1.40 3.66 3.80 1.73 1.98 0.12 5.18 5.32 3.25 3.50 010 69300 R Revise external ear 6.35 9.61 5.57 4.51 4.29 0.72 16.68 12.64 11.58 11.36 YYY 69310 A Rebuild outer ear canal 10.77 NA NA 14.19 15.76 0.85 NA NA 25.81 27.38 090 69320 A Rebuild outer ear canal 16.93 NA NA 18.16 20.92 1.37 NA NA 36.46 39.22 090 69399 C Outer ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69400 A Inflate middle ear canal 0.83 2.60 2.27 0.61 0.66 0.07 3.50 3.17 1.51 1.56 000 69401 A Inflate middle ear canal 0.63 1.46 1.30 0.56 0.63 0.05 2.14 1.98 1.24 1.31 000 69405 A Catheterize middle ear canal 2.63 3.38 3.47 1.78 2.18 0.21 6.22 6.31 4.62 5.02 010 69420 A Incision of eardrum 1.33 3.05 3.13 1.41 1.55 0.11 4.49 4.57 2.85 2.99 010 69421 A Incision of eardrum 1.73 NA NA 1.68 2.04 0.15 NA NA 3.56 3.92 010 69424 A Remove ventilating tube 0.85 2.18 2.18 0.62 0.67 0.07 3.10 3.10 1.54 1.59 000 69433 A Create eardrum opening 1.52 3.06 3.08 1.44 1.59 0.13 4.71 4.73 3.09 3.24 010 69436 A Create eardrum opening 1.96 NA NA 1.72 2.15 0.19 NA NA 3.87 4.30 010 69440 A Exploration of middle ear 7.56 NA NA 8.31 8.66 0.61 NA NA 16.48 16.83 090 69450 A Eardrum revision 5.56 NA NA 6.96 7.01 0.45 NA NA 12.97 13.02 090 69501 A Mastoidectomy 9.06 NA NA 7.80 8.70 0.73 NA NA 17.59 18.49 090 69502 A Mastoidectomy 12.36 NA NA 10.02 11.20 1.00 NA NA 23.38 24.56 090 69505 A Remove mastoid structures 12.97 NA NA 14.81 16.60 1.05 NA NA 28.83 30.62 090 69511 A Extensive mastoid surgery 13.50 NA NA 14.89 16.83 1.09 NA NA 29.48 31.42 090 69530 A Extensive mastoid surgery 20.15 NA NA 17.97 20.72 1.54 NA NA 39.66 42.41 090 69535 A Remove part of temporal bone 37.17 NA NA 24.19 30.02 2.92 NA NA 64.28 70.11 090 69540 A Remove ear lesion 1.20 3.62 3.71 1.70 1.90 0.10 4.92 5.01 3.00 3.20 010 69550 A Remove ear lesion 10.97 NA NA 13.06 14.41 0.89 NA NA 24.92 26.27 090 69552 A Remove ear lesion 19.61 NA NA 16.55 19.64 1.59 NA NA 37.75 40.84 090 69554 A Remove ear lesion 35.63 NA NA 22.41 28.35 2.91 NA NA 60.95 66.89 090 Start Printed Page 49176 69601 A Mastoid surgery revision 13.22 NA NA 10.84 12.21 1.07 NA NA 25.13 26.50 090 69602 A Mastoid surgery revision 13.56 NA NA 11.56 12.81 1.10 NA NA 26.22 27.47 090 69603 A Mastoid surgery revision 14.00 NA NA 15.03 17.53 1.14 NA NA 30.17 32.67 090 69604 A Mastoid surgery revision 14.00 NA NA 11.67 13.19 1.14 NA NA 26.81 28.33 090 69605 A Mastoid surgery revision 18.46 NA NA 17.50 20.09 1.50 NA NA 37.46 40.05 090 69610 A Repair of eardrum 4.42 4.47 5.28 2.30 3.03 0.36 9.25 10.06 7.08 7.81 010 69620 A Repair of eardrum 5.88 10.04 10.85 5.29 6.04 0.48 16.40 17.21 11.65 12.40 090 69631 A Repair eardrum structures 9.85 NA NA 10.50 11.03 0.80 NA NA 21.15 21.68 090 69632 A Rebuild eardrum structures 12.73 NA NA 12.08 13.12 1.03 NA NA 25.84 26.88 090 69633 A Rebuild eardrum structures 12.08 NA NA 11.91 12.77 0.98 NA NA 24.97 25.83 090 69635 A Repair eardrum structures 13.31 NA NA 14.83 16.26 1.08 NA NA 29.22 30.65 090 69636 A Rebuild eardrum structures 15.20 NA NA 16.60 18.63 1.23 NA NA 33.03 35.06 090 69637 A Rebuild eardrum structures 15.09 NA NA 16.58 18.56 1.22 NA NA 32.89 34.87 090 69641 A Revise middle ear & mastoid 12.69 NA NA 11.31 12.41 1.03 NA NA 25.03 26.13 090 69642 A Revise middle ear & mastoid 16.81 NA NA 14.05 15.72 1.36 NA NA 32.22 33.89 090 69643 A Revise middle ear & mastoid 15.36 NA NA 12.81 14.32 1.24 NA NA 29.41 30.92 090 69644 A Revise middle ear & mastoid 17.00 NA NA 17.09 19.57 1.37 NA NA 35.46 37.94 090 69645 A Revise middle ear & mastoid 16.48 NA NA 17.01 19.27 1.33 NA NA 34.82 37.08 090 69646 A Revise middle ear & mastoid 18.14 NA NA 17.42 19.93 1.46 NA NA 37.02 39.53 090 69650 A Release middle ear bone 9.65 NA NA 8.64 9.59 0.78 NA NA 19.07 20.02 090 69660 A Revise middle ear bone 11.88 NA NA 9.52 10.77 0.96 NA NA 22.36 23.61 090 69661 A Revise middle ear bone 15.72 NA NA 12.17 14.07 1.27 NA NA 29.16 31.06 090 69662 A Revise middle ear bone 15.42 NA NA 11.29 13.14 1.25 NA NA 27.96 29.81 090 69666 A Repair middle ear structures 9.74 NA NA 8.92 9.71 0.79 NA NA 19.45 20.24 090 69667 A Repair middle ear structures 9.75 NA NA 8.83 9.69 0.79 NA NA 19.37 20.23 090 69670 A Remove mastoid air cells 11.55 NA NA 10.15 11.32 0.93 NA NA 22.63 23.80 090 69676 A Remove middle ear nerve 9.51 NA NA 9.63 10.47 0.81 NA NA 19.95 20.79 090 69700 A Close mastoid fistula 8.22 NA NA 7.65 8.84 0.67 NA NA 16.54 17.73 090 69711 A Remove/repair hearing aid 10.42 NA NA 9.42 10.45 0.83 NA NA 20.67 21.70 090 69714 A Implant temple bone w/stimul 14.23 NA NA 10.56 12.14 1.13 NA NA 25.92 27.50 090 69715 A Temple bne implnt w/stimulat 18.72 NA NA 11.94 14.26 1.48 NA NA 32.14 34.46 090 69717 A Temple bone implant revision 15.21 NA NA 11.31 13.68 0.90 NA NA 27.42 29.79 090 69718 A Revise temple bone implant 18.97 NA NA 20.26 16.54 3.21 NA NA 42.44 38.72 090 69720 A Release facial nerve 14.48 NA NA 12.75 14.08 1.16 NA NA 28.39 29.72 090 69725 A Release facial nerve 27.36 NA NA 16.30 19.17 2.44 NA NA 46.10 48.97 090 69740 A Repair facial nerve 16.12 NA NA 11.17 12.85 1.27 NA NA 28.56 30.24 090 69745 A Repair facial nerve 16.84 NA NA 11.87 14.20 1.14 NA NA 29.85 32.18 090 69799 C Middle ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69801 A Incise inner ear 8.55 NA NA 8.75 9.28 0.69 NA NA 17.99 18.52 090 69802 A Incise inner ear 13.32 NA NA 10.54 11.88 1.06 NA NA 24.92 26.26 090 69805 A Explore inner ear 14.49 NA NA 9.80 11.36 1.12 NA NA 25.41 26.97 090 69806 A Explore inner ear 12.45 NA NA 9.37 10.62 1.00 NA NA 22.82 24.07 090 69820 A Establish inner ear window 10.32 NA NA 9.83 10.87 0.90 NA NA 21.05 22.09 090 69840 A Revise inner ear window 10.24 NA NA 11.67 12.80 0.79 NA NA 22.70 23.83 090 69905 A Remove inner ear 11.08 NA NA 10.08 11.03 0.90 NA NA 22.06 23.01 090 69910 A Remove inner ear & mastoid 13.73 NA NA 9.79 11.39 1.07 NA NA 24.59 26.19 090 69915 A Incise inner ear nerve 22.57 NA NA 13.38 15.69 1.69 NA NA 37.64 39.95 090 69930 A Implant cochlear device 17.54 NA NA 11.81 14.02 1.36 NA NA 30.71 32.92 090 69949 C Inner ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69950 A Incise inner ear nerve 27.38 NA NA 15.12 17.96 2.28 NA NA 44.78 47.62 090 69955 A Release facial nerve 29.14 NA NA 17.30 20.36 2.48 NA NA 48.92 51.98 090 69960 A Release inner ear canal 29.14 NA NA 15.41 18.89 2.17 NA NA 46.72 50.20 090 69970 A Remove inner ear lesion 32.13 NA NA 17.78 21.90 2.41 NA NA 52.32 56.44 090 69979 C Temporal bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69990 R Microsurgery add-on 3.46 NA NA 1.29 1.67 0.89 NA NA 5.64 6.02 ZZZ 70010 A Contrast x-ray of brain 1.19 2.77 4.23 NA NA 0.27 4.23 5.69 NA NA XXX Start Printed Page 49177 70010 26 A Contrast x-ray of brain 1.19 0.37 0.39 0.37 0.39 0.05 1.61 1.63 1.61 1.63 XXX 70010 TC A Contrast x-ray of brain 0.00 2.40 3.85 NA NA 0.22 2.62 4.07 NA NA XXX 70015 A Contrast x-ray of brain 1.19 2.85 2.01 NA NA 0.16 4.20 3.36 NA NA XXX 70015 26 A Contrast x-ray of brain 1.19 0.38 0.39 0.38 0.39 0.08 1.65 1.66 1.65 1.66 XXX 70015 TC A Contrast x-ray of brain 0.00 2.47 1.63 NA NA 0.08 2.55 1.71 NA NA XXX 70030 A X-ray eye for foreign body 0.17 0.60 0.51 NA NA 0.03 0.80 0.71 NA NA XXX 70030 26 A X-ray eye for foreign body 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 70030 TC A X-ray eye for foreign body 0.00 0.55 0.45 NA NA 0.02 0.57 0.47 NA NA XXX 70100 A X-ray exam of jaw 0.18 0.63 0.59 NA NA 0.03 0.84 0.80 NA NA XXX 70100 26 A X-ray exam of jaw 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX 70100 TC A X-ray exam of jaw 0.00 0.58 0.54 NA NA 0.02 0.60 0.56 NA NA XXX 70110 A X-ray exam of jaw 0.25 0.80 0.73 NA NA 0.05 1.10 1.03 NA NA XXX 70110 26 A X-ray exam of jaw 0.25 0.08 0.08 0.08 0.08 0.01 0.34 0.34 0.34 0.34 XXX 70110 TC A X-ray exam of jaw 0.00 0.72 0.65 NA NA 0.04 0.76 0.69 NA NA XXX 70120 A X-ray exam of mastoids 0.18 0.69 0.68 NA NA 0.05 0.92 0.91 NA NA XXX 70120 26 A X-ray exam of mastoids 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX 70120 TC A X-ray exam of mastoids 0.00 0.64 0.63 NA NA 0.04 0.68 0.67 NA NA XXX 70130 A X-ray exam of mastoids 0.34 1.16 0.96 NA NA 0.07 1.57 1.37 NA NA XXX 70130 26 A X-ray exam of mastoids 0.34 0.10 0.11 0.10 0.11 0.02 0.46 0.47 0.46 0.47 XXX 70130 TC A X-ray exam of mastoids 0.00 1.06 0.85 NA NA 0.05 1.11 0.90 NA NA XXX 70134 A X-ray exam of middle ear 0.34 0.92 0.86 NA NA 0.07 1.33 1.27 NA NA XXX 70134 26 A X-ray exam of middle ear 0.34 0.11 0.11 0.11 0.11 0.02 0.47 0.47 0.47 0.47 XXX 70134 TC A X-ray exam of middle ear 0.00 0.82 0.75 NA NA 0.05 0.87 0.80 NA NA XXX 70140 A X-ray exam of facial bones 0.19 0.55 0.65 NA NA 0.05 0.79 0.89 NA NA XXX 70140 26 A X-ray exam of facial bones 0.19 0.05 0.06 0.05 0.06 0.01 0.25 0.26 0.25 0.26 XXX 70140 TC A X-ray exam of facial bones 0.00 0.50 0.59 NA NA 0.04 0.54 0.63 NA NA XXX 70150 A X-ray exam of facial bones 0.26 0.85 0.86 NA NA 0.06 1.17 1.18 NA NA XXX 70150 26 A X-ray exam of facial bones 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX 70150 TC A X-ray exam of facial bones 0.00 0.77 0.78 NA NA 0.05 0.82 0.83 NA NA XXX 70160 A X-ray exam of nasal bones 0.17 0.70 0.61 NA NA 0.03 0.90 0.81 NA NA XXX 70160 26 A X-ray exam of nasal bones 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 70160 TC A X-ray exam of nasal bones 0.00 0.65 0.55 NA NA 0.02 0.67 0.57 NA NA XXX 70170 A X-ray exam of tear duct 0.30 NA NA NA NA 0.07 NA NA NA NA XXX 70170 26 A X-ray exam of tear duct 0.30 0.09 0.10 0.09 0.10 0.01 0.40 0.41 0.40 0.41 XXX 70170 TC A X-ray exam of tear duct 0.00 NA NA NA NA 0.06 NA NA NA NA XXX 70190 A X-ray exam of eye sockets 0.21 0.72 0.70 NA NA 0.05 0.98 0.96 NA NA XXX 70190 26 A X-ray exam of eye sockets 0.21 0.06 0.07 0.06 0.07 0.01 0.28 0.29 0.28 0.29 XXX 70190 TC A X-ray exam of eye sockets 0.00 0.66 0.63 NA NA 0.04 0.70 0.67 NA NA XXX 70200 A X-ray exam of eye sockets 0.28 0.87 0.87 NA NA 0.06 1.21 1.21 NA NA XXX 70200 26 A X-ray exam of eye sockets 0.28 0.08 0.09 0.08 0.09 0.01 0.37 0.38 0.37 0.38 XXX 70200 TC A X-ray exam of eye sockets 0.00 0.79 0.78 NA NA 0.05 0.84 0.83 NA NA XXX 70210 A X-ray exam of sinuses 0.17 0.57 0.65 NA NA 0.05 0.79 0.87 NA NA XXX 70210 26 A X-ray exam of sinuses 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 70210 TC A X-ray exam of sinuses 0.00 0.52 0.60 NA NA 0.04 0.56 0.64 NA NA XXX 70220 A X-ray exam of sinuses 0.25 0.72 0.83 NA NA 0.06 1.03 1.14 NA NA XXX 70220 26 A X-ray exam of sinuses 0.25 0.07 0.08 0.07 0.08 0.01 0.33 0.34 0.33 0.34 XXX 70220 TC A X-ray exam of sinuses 0.00 0.65 0.75 NA NA 0.05 0.70 0.80 NA NA XXX 70240 A X-ray exam, pituitary saddle 0.19 0.61 0.51 NA NA 0.03 0.83 0.73 NA NA XXX 70240 26 A X-ray exam, pituitary saddle 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX 70240 TC A X-ray exam, pituitary saddle 0.00 0.55 0.45 NA NA 0.02 0.57 0.47 NA NA XXX 70250 A X-ray exam of skull 0.24 0.70 0.70 NA NA 0.05 0.99 0.99 NA NA XXX 70250 26 A X-ray exam of skull 0.24 0.07 0.08 0.07 0.08 0.01 0.32 0.33 0.32 0.33 XXX 70250 TC A X-ray exam of skull 0.00 0.64 0.63 NA NA 0.04 0.68 0.67 NA NA XXX 70260 A X-ray exam of skull 0.34 0.88 0.97 NA NA 0.08 1.30 1.39 NA NA XXX 70260 26 A X-ray exam of skull 0.34 0.10 0.11 0.10 0.11 0.02 0.46 0.47 0.46 0.47 XXX 70260 TC A X-ray exam of skull 0.00 0.78 0.86 NA NA 0.06 0.84 0.92 NA NA XXX 70300 A X-ray exam of teeth 0.10 0.24 0.29 NA NA 0.03 0.37 0.42 NA NA XXX 70300 26 A X-ray exam of teeth 0.10 0.03 0.05 0.03 0.05 0.01 0.14 0.16 0.14 0.16 XXX 70300 TC A X-ray exam of teeth 0.00 0.21 0.25 NA NA 0.02 0.23 0.27 NA NA XXX 70310 A X-ray exam of teeth 0.16 0.82 0.58 NA NA 0.03 1.01 0.77 NA NA XXX 70310 26 A X-ray exam of teeth 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.22 0.24 XXX 70310 TC A X-ray exam of teeth 0.00 0.77 0.51 NA NA 0.02 0.79 0.53 NA NA XXX 70320 A Full mouth x-ray of teeth 0.22 0.98 0.89 NA NA 0.06 1.26 1.17 NA NA XXX 70320 26 A Full mouth x-ray of teeth 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31 XXX 70320 TC A Full mouth x-ray of teeth 0.00 0.91 0.81 NA NA 0.05 0.96 0.86 NA NA XXX 70328 A X-ray exam of jaw joint 0.18 0.62 0.57 NA NA 0.03 0.83 0.78 NA NA XXX Start Printed Page 49178 70328 26 A X-ray exam of jaw joint 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX 70328 TC A X-ray exam of jaw joint 0.00 0.57 0.51 NA NA 0.02 0.59 0.53 NA NA XXX 70330 A X-ray exam of jaw joints 0.24 1.01 0.94 NA NA 0.06 1.31 1.24 NA NA XXX 70330 26 A X-ray exam of jaw joints 0.24 0.07 0.08 0.07 0.08 0.01 0.32 0.33 0.32 0.33 XXX 70330 TC A X-ray exam of jaw joints 0.00 0.94 0.87 NA NA 0.05 0.99 0.92 NA NA XXX 70332 A X-ray exam of jaw joint 0.54 1.46 2.09 NA NA 0.14 2.14 2.77 NA NA XXX 70332 26 A X-ray exam of jaw joint 0.54 0.16 0.19 0.16 0.19 0.02 0.72 0.75 0.72 0.75 XXX 70332 TC A X-ray exam of jaw joint 0.00 1.30 1.90 NA NA 0.12 1.42 2.02 NA NA XXX 70336 A Magnetic image, jaw joint 1.48 12.60 11.92 NA NA 0.66 14.74 14.06 NA NA XXX 70336 26 A Magnetic image, jaw joint 1.48 0.50 0.49 0.50 0.49 0.07 2.05 2.04 2.05 2.04 XXX 70336 TC A Magnetic image, jaw joint 0.00 12.10 11.43 NA NA 0.59 12.69 12.02 NA NA XXX 70350 A X-ray head for orthodontia 0.17 0.33 0.42 NA NA 0.03 0.53 0.62 NA NA XXX 70350 26 A X-ray head for orthodontia 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX 70350 TC A X-ray head for orthodontia 0.00 0.27 0.35 NA NA 0.02 0.29 0.37 NA NA XXX 70355 A Panoramic x-ray of jaws 0.20 0.30 0.56 NA NA 0.05 0.55 0.81 NA NA XXX 70355 26 A Panoramic x-ray of jaws 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX 70355 TC A Panoramic x-ray of jaws 0.00 0.24 0.49 NA NA 0.04 0.28 0.53 NA NA XXX 70360 A X-ray exam of neck 0.17 0.58 0.51 NA NA 0.03 0.78 0.71 NA NA XXX 70360 26 A X-ray exam of neck 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 70360 TC A X-ray exam of neck 0.00 0.52 0.45 NA NA 0.02 0.54 0.47 NA NA XXX 70370 A Throat x-ray & fluoroscopy 0.32 1.65 1.47 NA NA 0.08 2.05 1.87 NA NA XXX 70370 26 A Throat x-ray & fluoroscopy 0.32 0.09 0.10 0.09 0.10 0.01 0.42 0.43 0.42 0.43 XXX 70370 TC A Throat x-ray & fluoroscopy 0.00 1.56 1.37 NA NA 0.07 1.63 1.44 NA NA XXX 70371 A Speech evaluation, complex 0.84 1.50 2.16 NA NA 0.16 2.50 3.16 NA NA XXX 70371 26 A Speech evaluation, complex 0.84 0.26 0.28 0.26 0.28 0.04 1.14 1.16 1.14 1.16 XXX 70371 TC A Speech evaluation, complex 0.00 1.24 1.89 NA NA 0.12 1.36 2.01 NA NA XXX 70373 A Contrast x-ray of larynx 0.44 1.71 1.87 NA NA 0.13 2.28 2.44 NA NA XXX 70373 26 A Contrast x-ray of larynx 0.44 0.13 0.14 0.13 0.14 0.02 0.59 0.60 0.59 0.60 XXX 70373 TC A Contrast x-ray of larynx 0.00 1.58 1.73 NA NA 0.11 1.69 1.84 NA NA XXX 70380 A X-ray exam of salivary gland 0.17 0.82 0.75 NA NA 0.05 1.04 0.97 NA NA XXX 70380 26 A X-ray exam of salivary gland 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 70380 TC A X-ray exam of salivary gland 0.00 0.76 0.69 NA NA 0.04 0.80 0.73 NA NA XXX 70390 A X-ray exam of salivary duct 0.38 2.34 2.01 NA NA 0.13 2.85 2.52 NA NA XXX 70390 26 A X-ray exam of salivary duct 0.38 0.12 0.12 0.12 0.12 0.02 0.52 0.52 0.52 0.52 XXX 70390 TC A X-ray exam of salivary duct 0.00 2.22 1.89 NA NA 0.11 2.33 2.00 NA NA XXX 70450 A Ct head/brain w/o dye 0.85 4.90 4.98 NA NA 0.29 6.04 6.12 NA NA XXX 70450 26 A Ct head/brain w/o dye 0.85 0.27 0.28 0.27 0.28 0.04 1.16 1.17 1.16 1.17 XXX 70450 TC A Ct head/brain w/o dye 0.00 4.64 4.70 NA NA 0.25 4.89 4.95 NA NA XXX 70460 A Ct head/brain w/dye 1.13 6.52 6.15 NA NA 0.35 8.00 7.63 NA NA XXX 70460 26 A Ct head/brain w/dye 1.13 0.36 0.37 0.36 0.37 0.05 1.54 1.55 1.54 1.55 XXX 70460 TC A Ct head/brain w/dye 0.00 6.16 5.79 NA NA 0.30 6.46 6.09 NA NA XXX 70470 A Ct head/brain w/o & w/dye 1.27 7.96 7.61 NA NA 0.43 9.66 9.31 NA NA XXX 70470 26 A Ct head/brain w/o & w/dye 1.27 0.40 0.42 0.40 0.42 0.06 1.73 1.75 1.73 1.75 XXX 70470 TC A Ct head/brain w/o & w/dye 0.00 7.56 7.19 NA NA 0.37 7.93 7.56 NA NA XXX 70480 A Ct orbit/ear/fossa w/o dye 1.28 8.52 5.99 NA NA 0.31 10.11 7.58 NA NA XXX 70480 26 A Ct orbit/ear/fossa w/o dye 1.28 0.41 0.42 0.41 0.42 0.06 1.75 1.76 1.75 1.76 XXX 70480 TC A Ct orbit/ear/fossa w/o dye 0.00 8.11 5.57 NA NA 0.25 8.36 5.82 NA NA XXX 70481 A Ct orbit/ear/fossa w/dye 1.38 10.04 7.09 NA NA 0.36 11.78 8.83 NA NA XXX 70481 26 A Ct orbit/ear/fossa w/dye 1.38 0.44 0.45 0.44 0.45 0.06 1.88 1.89 1.88 1.89 XXX 70481 TC A Ct orbit/ear/fossa w/dye 0.00 9.60 6.65 NA NA 0.30 9.90 6.95 NA NA XXX 70482 A Ct orbit/ear/fossa w/o&w/dye 1.45 11.56 8.55 NA NA 0.43 13.44 10.43 NA NA XXX 70482 26 A Ct orbit/ear/fossa w/o&w/dye 1.45 0.47 0.48 0.47 0.48 0.06 1.98 1.99 1.98 1.99 XXX 70482 TC A Ct orbit/ear/fossa w/o&w/dye 0.00 11.09 8.08 NA NA 0.37 11.46 8.45 NA NA XXX 70486 A Ct maxillofacial w/o dye 1.14 6.81 5.52 NA NA 0.30 8.25 6.96 NA NA XXX 70486 26 A Ct maxillofacial w/o dye 1.14 0.36 0.37 0.36 0.37 0.05 1.55 1.56 1.55 1.56 XXX 70486 TC A Ct maxillofacial w/o dye 0.00 6.44 5.15 NA NA 0.25 6.69 5.40 NA NA XXX Start Printed Page 49179 70487 A Ct maxillofacial w/dye 1.30 8.39 6.67 NA NA 0.36 10.05 8.33 NA NA XXX 70487 26 A Ct maxillofacial w/dye 1.30 0.42 0.43 0.42 0.43 0.06 1.78 1.79 1.78 1.79 XXX 70487 TC A Ct maxillofacial w/dye 0.00 7.97 6.24 NA NA 0.30 8.27 6.54 NA NA XXX 70488 A Ct maxillofacial w/o & w/dye 1.42 10.48 8.27 NA NA 0.43 12.33 10.12 NA NA XXX 70488 26 A Ct maxillofacial w/o & w/dye 1.42 0.46 0.46 0.46 0.46 0.06 1.94 1.94 1.94 1.94 XXX 70488 TC A Ct maxillofacial w/o & w/dye 0.00 10.03 7.81 NA NA 0.37 10.40 8.18 NA NA XXX 70490 A Ct soft tissue neck w/o dye 1.28 6.52 5.49 NA NA 0.31 8.11 7.08 NA NA XXX 70490 26 A Ct soft tissue neck w/o dye 1.28 0.41 0.42 0.41 0.42 0.06 1.75 1.76 1.75 1.76 XXX 70490 TC A Ct soft tissue neck w/o dye 0.00 6.11 5.07 NA NA 0.25 6.36 5.32 NA NA XXX 70491 A Ct soft tissue neck w/dye 1.38 8.06 6.60 NA NA 0.36 9.80 8.34 NA NA XXX 70491 26 A Ct soft tissue neck w/dye 1.38 0.44 0.45 0.44 0.45 0.06 1.88 1.89 1.88 1.89 XXX 70491 TC A Ct soft tissue neck w/dye 0.00 7.62 6.15 NA NA 0.30 7.92 6.45 NA NA XXX 70492 A Ct sft tsue nck w/o & w/dye 1.45 10.18 8.20 NA NA 0.43 12.06 10.08 NA NA XXX 70492 26 A Ct sft tsue nck w/o & w/dye 1.45 0.47 0.47 0.47 0.47 0.06 1.98 1.98 1.98 1.98 XXX 70492 TC A Ct sft tsue nck w/o & w/dye 0.00 9.71 7.73 NA NA 0.37 10.08 8.10 NA NA XXX 70496 A Ct angiography, head 1.75 17.16 12.67 NA NA 0.66 19.57 15.08 NA NA XXX 70496 26 A Ct angiography, head 1.75 0.57 0.57 0.57 0.57 0.08 2.40 2.40 2.40 2.40 XXX 70496 TC A Ct angiography, head 0.00 16.59 12.10 NA NA 0.58 17.17 12.68 NA NA XXX 70498 A Ct angiography, neck 1.75 17.26 12.69 NA NA 0.66 19.67 15.10 NA NA XXX 70498 26 A Ct angiography, neck 1.75 0.58 0.57 0.58 0.57 0.08 2.41 2.40 2.41 2.40 XXX 70498 TC A Ct angiography, neck 0.00 16.68 12.12 NA NA 0.58 17.26 12.70 NA NA XXX 70540 A Mri orbit/face/neck w/o dye 1.35 14.58 12.38 NA NA 0.45 16.38 14.18 NA NA XXX 70540 26 A Mri orbit/face/neck w/o dye 1.35 0.45 0.44 0.45 0.44 0.06 1.86 1.85 1.86 1.85 XXX 70540 TC A Mri orbit/face/neck w/o dye 0.00 14.13 11.93 NA NA 0.39 14.52 12.32 NA NA XXX 70542 A Mri orbit/face/neck w/dye 1.62 15.53 14.36 NA NA 0.54 17.69 16.52 NA NA XXX 70542 26 A Mri orbit/face/neck w/dye 1.62 0.53 0.53 0.53 0.53 0.07 2.22 2.22 2.22 2.22 XXX 70542 TC A Mri orbit/face/neck w/dye 0.00 15.00 13.83 NA NA 0.47 15.47 14.30 NA NA XXX 70543 A Mri orbt/fac/nck w/o & w/dye 2.15 19.26 24.01 NA NA 0.94 22.35 27.10 NA NA XXX 70543 26 A Mri orbt/fac/nck w/o & w/dye 2.15 0.72 0.71 0.72 0.71 0.10 2.97 2.96 2.97 2.96 XXX 70543 TC A Mri orbt/fac/nck w/o & w/dye 0.00 18.54 23.30 NA NA 0.84 19.38 24.14 NA NA XXX 70544 A Mr angiography head w/o dye 1.20 16.05 12.71 NA NA 0.64 17.89 14.55 NA NA XXX 70544 26 A Mr angiography head w/o dye 1.20 0.39 0.40 0.39 0.40 0.05 1.64 1.65 1.64 1.65 XXX 70544 TC A Mr angiography head w/o dye 0.00 15.67 12.32 NA NA 0.59 16.26 12.91 NA NA XXX 70545 A Mr angiography head w/dye 1.20 15.97 12.69 NA NA 0.64 17.81 14.53 NA NA XXX 70545 26 A Mr angiography head w/dye 1.20 0.38 0.39 0.38 0.39 0.05 1.63 1.64 1.63 1.64 XXX 70545 TC A Mr angiography head w/dye 0.00 15.59 12.30 NA NA 0.59 16.18 12.89 NA NA XXX 70546 A Mr angiograph head w/o&w/dye 1.80 24.49 23.37 NA NA 0.67 26.96 25.84 NA NA XXX 70546 26 A Mr angiograph head w/o&w/dye 1.80 0.58 0.59 0.58 0.59 0.08 2.46 2.47 2.46 2.47 XXX 70546 TC A Mr angiograph head w/o&w/dye 0.00 23.91 22.79 NA NA 0.59 24.50 23.38 NA NA XXX 70547 A Mr angiography neck w/o dye 1.20 16.09 12.72 NA NA 0.64 17.93 14.56 NA NA XXX 70547 26 A Mr angiography neck w/o dye 1.20 0.39 0.39 0.39 0.39 0.05 1.64 1.64 1.64 1.64 XXX 70547 TC A Mr angiography neck w/o dye 0.00 15.70 12.33 NA NA 0.59 16.29 12.92 NA NA XXX 70548 A Mr angiography neck w/dye 1.20 16.79 12.89 NA NA 0.64 18.63 14.73 NA NA XXX 70548 26 A Mr angiography neck w/dye 1.20 0.38 0.39 0.38 0.39 0.05 1.63 1.64 1.63 1.64 XXX 70548 TC A Mr angiography neck w/dye 0.00 16.41 12.50 NA NA 0.59 17.00 13.09 NA NA XXX 70549 A Mr angiograph neck w/o&w/dye 1.80 24.41 23.35 NA NA 0.67 26.88 25.82 NA NA XXX 70549 26 A Mr angiograph neck w/o&w/dye 1.80 0.58 0.59 0.58 0.59 0.08 2.46 2.47 2.46 2.47 XXX 70549 TC A Mr angiograph neck w/o&w/dye 0.00 23.83 22.77 NA NA 0.59 24.42 23.36 NA NA XXX 70551 A Mri brain w/o dye 1.48 14.69 12.44 NA NA 0.66 16.83 14.58 NA NA XXX 70551 26 A Mri brain w/o dye 1.48 0.48 0.49 0.48 0.49 0.07 2.03 2.04 2.03 2.04 XXX 70551 TC A Mri brain w/o dye 0.00 14.22 11.96 NA NA 0.59 14.81 12.55 NA NA XXX 70552 A Mri brain w/dye 1.78 15.73 14.46 NA NA 0.78 18.29 17.02 NA NA XXX 70552 26 A Mri brain w/dye 1.78 0.57 0.59 0.57 0.59 0.08 2.43 2.45 2.43 2.45 XXX 70552 TC A Mri brain w/dye 0.00 15.16 13.87 NA NA 0.70 15.86 14.57 NA NA XXX 70553 A Mri brain w/o & w/dye 2.36 18.37 23.84 NA NA 1.41 22.14 27.61 NA NA XXX 70553 26 A Mri brain w/o & w/dye 2.36 0.76 0.78 0.76 0.78 0.10 3.22 3.24 3.22 3.24 XXX 70553 TC A Mri brain w/o & w/dye 0.00 17.61 23.06 NA NA 1.31 18.92 24.37 NA NA XXX 70557 C Mri brain w/o dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 70557 26 A Mri brain w/o dye 2.90 0.92 1.08 0.92 1.08 0.08 3.90 4.06 3.90 4.06 XXX 70557 TC C Mri brain w/o dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 70558 C Mri brain w/dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 70558 26 A Mri brain w/dye 3.20 1.15 1.22 1.15 1.22 0.10 4.45 4.52 4.45 4.52 XXX 70558 TC C Mri brain w/dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 70559 C Mri brain w/o & w/dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 70559 26 A Mri brain w/o & w/dye 3.20 1.03 1.19 1.03 1.19 0.12 4.35 4.51 4.35 4.51 XXX 70559 TC C Mri brain w/o & w/dye 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX Start Printed Page 49180 71010 A Chest x-ray 0.18 0.43 0.51 NA NA 0.03 0.64 0.72 NA NA XXX 71010 26 A Chest x-ray 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX 71010 TC A Chest x-ray 0.00 0.37 0.45 NA NA 0.02 0.39 0.47 NA NA XXX 71015 A Chest x-ray 0.21 0.57 0.59 NA NA 0.03 0.81 0.83 NA NA XXX 71015 26 A Chest x-ray 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 XXX 71015 TC A Chest x-ray 0.00 0.51 0.52 NA NA 0.02 0.53 0.54 NA NA XXX 71020 A Chest x-ray 0.22 0.57 0.66 NA NA 0.05 0.84 0.93 NA NA XXX 71020 26 A Chest x-ray 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 71020 TC A Chest x-ray 0.00 0.50 0.59 NA NA 0.04 0.54 0.63 NA NA XXX 71021 A Chest x-ray 0.27 0.71 0.79 NA NA 0.06 1.04 1.12 NA NA XXX 71021 26 A Chest x-ray 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX 71021 TC A Chest x-ray 0.00 0.63 0.71 NA NA 0.05 0.68 0.76 NA NA XXX 71022 A Chest x-ray 0.31 0.89 0.85 NA NA 0.06 1.26 1.22 NA NA XXX 71022 26 A Chest x-ray 0.31 0.09 0.10 0.09 0.10 0.01 0.41 0.42 0.41 0.42 XXX 71022 TC A Chest x-ray 0.00 0.80 0.75 NA NA 0.05 0.85 0.80 NA NA XXX 71023 A Chest x-ray and fluoroscopy 0.38 1.57 1.08 NA NA 0.06 2.01 1.52 NA NA XXX 71023 26 A Chest x-ray and fluoroscopy 0.38 0.14 0.13 0.14 0.13 0.01 0.53 0.52 0.53 0.52 XXX 71023 TC A Chest x-ray and fluoroscopy 0.00 1.42 0.94 NA NA 0.05 1.47 0.99 NA NA XXX 71030 A Chest x-ray 0.31 0.91 0.89 NA NA 0.06 1.28 1.26 NA NA XXX 71030 26 A Chest x-ray 0.31 0.09 0.10 0.09 0.10 0.01 0.41 0.42 0.41 0.42 XXX 71030 TC A Chest x-ray 0.00 0.82 0.79 NA NA 0.05 0.87 0.84 NA NA XXX 71034 A Chest x-ray and fluoroscopy 0.46 2.04 1.71 NA NA 0.10 2.60 2.27 NA NA XXX 71034 26 A Chest x-ray and fluoroscopy 0.46 0.18 0.17 0.18 0.17 0.02 0.66 0.65 0.66 0.65 XXX 71034 TC A Chest x-ray and fluoroscopy 0.00 1.86 1.55 NA NA 0.08 1.94 1.63 NA NA XXX 71035 A Chest x-ray 0.18 0.77 0.63 NA NA 0.03 0.98 0.84 NA NA XXX 71035 26 A Chest x-ray 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX 71035 TC A Chest x-ray 0.00 0.72 0.57 NA NA 0.02 0.74 0.59 NA NA XXX 71040 A Contrast x-ray of bronchi 0.58 2.08 1.76 NA NA 0.11 2.77 2.45 NA NA XXX 71040 26 A Contrast x-ray of bronchi 0.58 0.16 0.18 0.16 0.18 0.03 0.77 0.79 0.77 0.79 XXX 71040 TC A Contrast x-ray of bronchi 0.00 1.92 1.58 NA NA 0.08 2.00 1.66 NA NA XXX 71060 A Contrast x-ray of bronchi 0.74 3.07 2.60 NA NA 0.16 3.97 3.50 NA NA XXX 71060 26 A Contrast x-ray of bronchi 0.74 0.23 0.24 0.23 0.24 0.03 1.00 1.01 1.00 1.01 XXX 71060 TC A Contrast x-ray of bronchi 0.00 2.84 2.36 NA NA 0.13 2.97 2.49 NA NA XXX 71090 A X-ray & pacemaker insertion 0.54 NA NA NA NA 0.13 NA NA NA NA XXX 71090 26 A X-ray & pacemaker insertion 0.54 0.28 0.23 0.28 0.23 0.02 0.84 0.79 0.84 0.79 XXX 71090 TC A X-ray & pacemaker insertion 0.00 NA NA NA NA 0.11 NA NA NA NA XXX 71100 A X-ray exam of ribs 0.22 0.62 0.64 NA NA 0.05 0.89 0.91 NA NA XXX 71100 26 A X-ray exam of ribs 0.22 0.06 0.07 0.06 0.07 0.01 0.29 0.30 0.29 0.30 XXX 71100 TC A X-ray exam of ribs 0.00 0.55 0.57 NA NA 0.04 0.59 0.61 NA NA XXX 71101 A X-ray exam of ribs/chest 0.27 0.76 0.76 NA NA 0.05 1.08 1.08 NA NA XXX 71101 26 A X-ray exam of ribs/chest 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX 71101 TC A X-ray exam of ribs/chest 0.00 0.68 0.67 NA NA 0.04 0.72 0.71 NA NA XXX 71110 A X-ray exam of ribs 0.27 0.78 0.85 NA NA 0.06 1.11 1.18 NA NA XXX 71110 26 A X-ray exam of ribs 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX 71110 TC A X-ray exam of ribs 0.00 0.70 0.76 NA NA 0.05 0.75 0.81 NA NA XXX 71111 A X-ray exam of ribs/chest 0.32 1.06 1.01 NA NA 0.07 1.45 1.40 NA NA XXX 71111 26 A X-ray exam of ribs/chest 0.32 0.09 0.10 0.09 0.10 0.01 0.42 0.43 0.42 0.43 XXX 71111 TC A X-ray exam of ribs/chest 0.00 0.97 0.91 NA NA 0.06 1.03 0.97 NA NA XXX 71120 A X-ray exam of breastbone 0.20 0.62 0.70 NA NA 0.05 0.87 0.95 NA NA XXX 71120 26 A X-ray exam of breastbone 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX 71120 TC A X-ray exam of breastbone 0.00 0.56 0.63 NA NA 0.04 0.60 0.67 NA NA XXX 71130 A X-ray exam of breastbone 0.22 0.75 0.77 NA NA 0.05 1.02 1.04 NA NA XXX 71130 26 A X-ray exam of breastbone 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 71130 TC A X-ray exam of breastbone 0.00 0.68 0.70 NA NA 0.04 0.72 0.74 NA NA XXX 71250 A Ct thorax w/o dye 1.16 6.47 6.34 NA NA 0.36 7.99 7.86 NA NA XXX 71250 26 A Ct thorax w/o dye 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX Start Printed Page 49181 71250 TC A Ct thorax w/o dye 0.00 6.10 5.96 NA NA 0.31 6.41 6.27 NA NA XXX 71260 A Ct thorax w/dye 1.24 8.01 7.61 NA NA 0.42 9.67 9.27 NA NA XXX 71260 26 A Ct thorax w/dye 1.24 0.39 0.41 0.39 0.41 0.05 1.68 1.70 1.68 1.70 XXX 71260 TC A Ct thorax w/dye 0.00 7.61 7.21 NA NA 0.37 7.98 7.58 NA NA XXX 71270 A Ct thorax w/o & w/dye 1.38 10.15 9.51 NA NA 0.52 12.05 11.41 NA NA XXX 71270 26 A Ct thorax w/o & w/dye 1.38 0.44 0.45 0.44 0.45 0.06 1.88 1.89 1.88 1.89 XXX 71270 TC A Ct thorax w/o & w/dye 0.00 9.71 9.07 NA NA 0.46 10.17 9.53 NA NA XXX 71275 A Ct angiography, chest 1.92 11.77 12.70 NA NA 0.48 14.17 15.10 NA NA XXX 71275 26 A Ct angiography, chest 1.92 0.62 0.63 0.62 0.63 0.09 2.63 2.64 2.63 2.64 XXX 71275 TC A Ct angiography, chest 0.00 11.14 12.07 NA NA 0.39 11.53 12.46 NA NA XXX 71550 A Mri chest w/o dye 1.46 16.75 12.95 NA NA 0.51 18.72 14.92 NA NA XXX 71550 26 A Mri chest w/o dye 1.46 0.48 0.48 0.48 0.48 0.06 2.00 2.00 2.00 2.00 XXX 71550 TC A Mri chest w/o dye 0.00 16.27 12.47 NA NA 0.45 16.72 12.92 NA NA XXX 71551 A Mri chest w/dye 1.73 18.16 15.05 NA NA 0.60 20.49 17.38 NA NA XXX 71551 26 A Mri chest w/dye 1.73 0.56 0.57 0.56 0.57 0.08 2.37 2.38 2.37 2.38 XXX 71551 TC A Mri chest w/dye 0.00 17.59 14.48 NA NA 0.52 18.11 15.00 NA NA XXX 71552 A Mri chest w/o & w/dye 2.26 22.91 24.94 NA NA 0.78 25.95 27.98 NA NA XXX 71552 26 A Mri chest w/o & w/dye 2.26 0.75 0.74 0.75 0.74 0.10 3.11 3.10 3.11 3.10 XXX 71552 TC A Mri chest w/o & w/dye 0.00 22.16 24.20 NA NA 0.68 22.84 24.88 NA NA XXX 71555 R Mri angio chest w or w/o dye 1.81 15.55 12.74 NA NA 0.67 18.03 15.22 NA NA XXX 71555 26 R Mri angio chest w or w/o dye 1.81 0.62 0.61 0.62 0.61 0.08 2.51 2.50 2.51 2.50 XXX 71555 TC R Mri angio chest w or w/o dye 0.00 14.94 12.14 NA NA 0.59 15.53 12.73 NA NA XXX 72010 A X-ray exam of spine 0.45 1.45 1.24 NA NA 0.08 1.98 1.77 NA NA XXX 72010 26 A X-ray exam of spine 0.45 0.13 0.15 0.13 0.15 0.02 0.60 0.62 0.60 0.62 XXX 72010 TC A X-ray exam of spine 0.00 1.32 1.10 NA NA 0.06 1.38 1.16 NA NA XXX 72020 A X-ray exam of spine 0.15 0.46 0.47 NA NA 0.03 0.64 0.65 NA NA XXX 72020 26 A X-ray exam of spine 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.21 0.21 XXX 72020 TC A X-ray exam of spine 0.00 0.42 0.42 NA NA 0.02 0.44 0.44 NA NA XXX 72040 A X-ray exam of neck spine 0.22 0.77 0.70 NA NA 0.05 1.04 0.97 NA NA XXX 72040 26 A X-ray exam of neck spine 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 72040 TC A X-ray exam of neck spine 0.00 0.70 0.63 NA NA 0.04 0.74 0.67 NA NA XXX 72050 A X-ray exam of neck spine 0.31 1.07 1.01 NA NA 0.07 1.45 1.39 NA NA XXX 72050 26 A X-ray exam of neck spine 0.31 0.10 0.10 0.10 0.10 0.01 0.42 0.42 0.42 0.42 XXX 72050 TC A X-ray exam of neck spine 0.00 0.97 0.91 NA NA 0.06 1.03 0.97 NA NA XXX 72052 A X-ray exam of neck spine 0.36 1.39 1.29 NA NA 0.08 1.83 1.73 NA NA XXX 72052 26 A X-ray exam of neck spine 0.36 0.11 0.12 0.11 0.12 0.02 0.49 0.50 0.49 0.50 XXX 72052 TC A X-ray exam of neck spine 0.00 1.27 1.17 NA NA 0.06 1.33 1.23 NA NA XXX 72069 A X-ray exam of trunk spine 0.22 0.77 0.62 NA NA 0.03 1.02 0.87 NA NA XXX 72069 26 A X-ray exam of trunk spine 0.22 0.08 0.08 0.08 0.08 0.01 0.31 0.31 0.31 0.31 XXX 72069 TC A X-ray exam of trunk spine 0.00 0.69 0.54 NA NA 0.02 0.71 0.56 NA NA XXX 72070 A X-ray exam of thoracic spine 0.22 0.64 0.70 NA NA 0.05 0.91 0.97 NA NA XXX 72070 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 72070 TC A X-ray exam of thoracic spine 0.00 0.57 0.63 NA NA 0.04 0.61 0.67 NA NA XXX 72072 A X-ray exam of thoracic spine 0.22 0.77 0.79 NA NA 0.06 1.05 1.07 NA NA XXX 72072 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 72072 TC A X-ray exam of thoracic spine 0.00 0.70 0.72 NA NA 0.05 0.75 0.77 NA NA XXX 72074 A X-ray exam of thoracic spine 0.22 0.95 0.97 NA NA 0.07 1.24 1.26 NA NA XXX 72074 26 A X-ray exam of thoracic spine 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 72074 TC A X-ray exam of thoracic spine 0.00 0.88 0.90 NA NA 0.06 0.94 0.96 NA NA XXX 72080 A X-ray exam of trunk spine 0.22 0.70 0.73 NA NA 0.05 0.97 1.00 NA NA XXX 72080 26 A X-ray exam of trunk spine 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 72080 TC A X-ray exam of trunk spine 0.00 0.62 0.66 NA NA 0.04 0.66 0.70 NA NA XXX 72090 A X-ray exam of trunk spine 0.28 1.01 0.82 NA NA 0.05 1.34 1.15 NA NA XXX 72090 26 A X-ray exam of trunk spine 0.28 0.10 0.09 0.10 0.09 0.01 0.39 0.38 0.39 0.38 XXX 72090 TC A X-ray exam of trunk spine 0.00 0.92 0.73 NA NA 0.04 0.96 0.77 NA NA XXX 72100 A X-ray exam of lower spine 0.22 0.81 0.76 NA NA 0.05 1.08 1.03 NA NA XXX 72100 26 A X-ray exam of lower spine 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 72100 TC A X-ray exam of lower spine 0.00 0.74 0.69 NA NA 0.04 0.78 0.73 NA NA XXX 72110 A X-ray exam of lower spine 0.31 1.14 1.04 NA NA 0.07 1.52 1.42 NA NA XXX 72110 26 A X-ray exam of lower spine 0.31 0.10 0.10 0.10 0.10 0.01 0.42 0.42 0.42 0.42 XXX 72110 TC A X-ray exam of lower spine 0.00 1.04 0.94 NA NA 0.06 1.10 1.00 NA NA XXX 72114 A X-ray exam of lower spine 0.36 1.57 1.38 NA NA 0.08 2.01 1.82 NA NA XXX 72114 26 A X-ray exam of lower spine 0.36 0.12 0.12 0.12 0.12 0.02 0.50 0.50 0.50 0.50 XXX 72114 TC A X-ray exam of lower spine 0.00 1.45 1.26 NA NA 0.06 1.51 1.32 NA NA XXX 72120 A X-ray exam of lower spine 0.22 1.07 0.99 NA NA 0.07 1.36 1.28 NA NA XXX 72120 26 A X-ray exam of lower spine 0.22 0.08 0.07 0.08 0.07 0.01 0.31 0.30 0.31 0.30 XXX Start Printed Page 49182 72120 TC A X-ray exam of lower spine 0.00 1.00 0.92 NA NA 0.06 1.06 0.98 NA NA XXX 72125 A Ct neck spine w/o dye 1.16 6.46 6.33 NA NA 0.36 7.98 7.85 NA NA XXX 72125 26 A Ct neck spine w/o dye 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX 72125 TC A Ct neck spine w/o dye 0.00 6.09 5.96 NA NA 0.31 6.40 6.27 NA NA XXX 72126 A Ct neck spine w/dye 1.22 8.04 7.61 NA NA 0.42 9.68 9.25 NA NA XXX 72126 26 A Ct neck spine w/dye 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX 72126 TC A Ct neck spine w/dye 0.00 7.65 7.22 NA NA 0.37 8.02 7.59 NA NA XXX 72127 A Ct neck spine w/o & w/dye 1.27 10.17 9.50 NA NA 0.52 11.96 11.29 NA NA XXX 72127 26 A Ct neck spine w/o & w/dye 1.27 0.43 0.42 0.43 0.42 0.06 1.76 1.75 1.76 1.75 XXX 72127 TC A Ct neck spine w/o & w/dye 0.00 9.73 9.07 NA NA 0.46 10.19 9.53 NA NA XXX 72128 A Ct chest spine w/o dye 1.16 6.47 6.34 NA NA 0.36 7.99 7.86 NA NA XXX 72128 26 A Ct chest spine w/o dye 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX 72128 TC A Ct chest spine w/o dye 0.00 6.10 5.96 NA NA 0.31 6.41 6.27 NA NA XXX 72129 A Ct chest spine w/dye 1.22 8.03 7.61 NA NA 0.42 9.67 9.25 NA NA XXX 72129 26 A Ct chest spine w/dye 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX 72129 TC A Ct chest spine w/dye 0.00 7.64 7.21 NA NA 0.37 8.01 7.58 NA NA XXX 72130 A Ct chest spine w/o & w/dye 1.27 10.14 9.49 NA NA 0.52 11.93 11.28 NA NA XXX 72130 26 A Ct chest spine w/o & w/dye 1.27 0.43 0.42 0.43 0.42 0.06 1.76 1.75 1.76 1.75 XXX 72130 TC A Ct chest spine w/o & w/dye 0.00 9.70 9.06 NA NA 0.46 10.16 9.52 NA NA XXX 72131 A Ct lumbar spine w/o dye 1.16 6.47 6.34 NA NA 0.36 7.99 7.86 NA NA XXX 72131 26 A Ct lumbar spine w/o dye 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX 72131 TC A Ct lumbar spine w/o dye 0.00 6.10 5.96 NA NA 0.31 6.41 6.27 NA NA XXX 72132 A Ct lumbar spine w/dye 1.22 8.03 7.61 NA NA 0.42 9.67 9.25 NA NA XXX 72132 26 A Ct lumbar spine w/dye 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX 72132 TC A Ct lumbar spine w/dye 0.00 7.64 7.21 NA NA 0.37 8.01 7.58 NA NA XXX 72133 A Ct lumbar spine w/o & w/dye 1.27 10.21 9.51 NA NA 0.52 12.00 11.30 NA NA XXX 72133 26 A Ct lumbar spine w/o & w/dye 1.27 0.41 0.42 0.41 0.42 0.06 1.74 1.75 1.74 1.75 XXX 72133 TC A Ct lumbar spine w/o & w/dye 0.00 9.79 9.09 NA NA 0.46 10.25 9.55 NA NA XXX 72141 A Mri neck spine w/o dye 1.60 12.80 12.00 NA NA 0.66 15.06 14.26 NA NA XXX 72141 26 A Mri neck spine w/o dye 1.60 0.53 0.53 0.53 0.53 0.07 2.20 2.20 2.20 2.20 XXX 72141 TC A Mri neck spine w/o dye 0.00 12.26 11.47 NA NA 0.59 12.85 12.06 NA NA XXX 72142 A Mri neck spine w/dye 1.92 15.86 14.53 NA NA 0.79 18.57 17.24 NA NA XXX 72142 26 A Mri neck spine w/dye 1.92 0.63 0.64 0.63 0.64 0.09 2.64 2.65 2.64 2.65 XXX 72142 TC A Mri neck spine w/dye 0.00 15.24 13.89 NA NA 0.70 15.94 14.59 NA NA XXX 72146 A Mri chest spine w/o dye 1.60 12.77 12.92 NA NA 0.71 15.08 15.23 NA NA XXX 72146 26 A Mri chest spine w/o dye 1.60 0.53 0.53 0.53 0.53 0.07 2.20 2.20 2.20 2.20 XXX 72146 TC A Mri chest spine w/o dye 0.00 12.24 12.39 NA NA 0.64 12.88 13.03 NA NA XXX 72147 A Mri chest spine w/dye 1.92 13.70 13.98 NA NA 0.79 16.41 16.69 NA NA XXX 72147 26 A Mri chest spine w/dye 1.92 0.62 0.63 0.62 0.63 0.09 2.63 2.64 2.63 2.64 XXX 72147 TC A Mri chest spine w/dye 0.00 13.08 13.35 NA NA 0.70 13.78 14.05 NA NA XXX 72148 A Mri lumbar spine w/o dye 1.48 12.77 12.89 NA NA 0.71 14.96 15.08 NA NA XXX 72148 26 A Mri lumbar spine w/o dye 1.48 0.50 0.49 0.50 0.49 0.07 2.05 2.04 2.05 2.04 XXX 72148 TC A Mri lumbar spine w/o dye 0.00 12.28 12.40 NA NA 0.64 12.92 13.04 NA NA XXX 72149 A Mri lumbar spine w/dye 1.78 15.83 14.49 NA NA 0.78 18.39 17.05 NA NA XXX 72149 26 A Mri lumbar spine w/dye 1.78 0.59 0.60 0.59 0.60 0.08 2.45 2.46 2.45 2.46 XXX 72149 TC A Mri lumbar spine w/dye 0.00 15.25 13.89 NA NA 0.70 15.95 14.59 NA NA XXX 72156 A Mri neck spine w/o & w/dye 2.57 18.13 23.83 NA NA 1.42 22.12 27.82 NA NA XXX 72156 26 A Mri neck spine w/o & w/dye 2.57 0.84 0.85 0.84 0.85 0.11 3.52 3.53 3.52 3.53 XXX 72156 TC A Mri neck spine w/o & w/dye 0.00 17.29 22.98 NA NA 1.31 18.60 24.29 NA NA XXX 72157 A Mri chest spine w/o & w/dye 2.57 16.43 23.40 NA NA 1.42 20.42 27.39 NA NA XXX 72157 26 A Mri chest spine w/o & w/dye 2.57 0.83 0.84 0.83 0.84 0.11 3.51 3.52 3.51 3.52 XXX 72157 TC A Mri chest spine w/o & w/dye 0.00 15.60 22.56 NA NA 1.31 16.91 23.87 NA NA XXX 72158 A Mri lumbar spine w/o & w/dye 2.36 18.10 23.77 NA NA 1.41 21.87 27.54 NA NA XXX 72158 26 A Mri lumbar spine w/o & w/dye 2.36 0.78 0.78 0.78 0.78 0.10 3.24 3.24 3.24 3.24 XXX 72158 TC A Mri lumbar spine w/o & w/dye 0.00 17.32 22.99 NA NA 1.31 18.63 24.30 NA NA XXX 72159 N Mr angio spine w/o&w/dye 1.80 14.79 13.39 NA NA 0.74 17.33 15.93 NA NA XXX Start Printed Page 49183 72159 26 N Mr angio spine w/o&w/dye 1.80 0.42 0.62 0.42 0.62 0.10 2.32 2.52 2.32 2.52 XXX 72159 TC N Mr angio spine w/o&w/dye 0.00 14.37 12.77 NA NA 0.64 15.01 13.41 NA NA XXX 72170 A X-ray exam of pelvis 0.17 0.50 0.56 NA NA 0.03 0.70 0.76 NA NA XXX 72170 26 A X-ray exam of pelvis 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX 72170 TC A X-ray exam of pelvis 0.00 0.44 0.50 NA NA 0.02 0.46 0.52 NA NA XXX 72190 A X-ray exam of pelvis 0.21 0.85 0.77 NA NA 0.05 1.11 1.03 NA NA XXX 72190 26 A X-ray exam of pelvis 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 XXX 72190 TC A X-ray exam of pelvis 0.00 0.78 0.70 NA NA 0.04 0.82 0.74 NA NA XXX 72191 A Ct angiograph pelv w/o&w/dye 1.81 11.43 12.32 NA NA 0.47 13.71 14.60 NA NA XXX 72191 26 A Ct angiograph pelv w/o&w/dye 1.81 0.60 0.60 0.60 0.60 0.08 2.49 2.49 2.49 2.49 XXX 72191 TC A Ct angiograph pelv w/o&w/dye 0.00 10.83 11.73 NA NA 0.39 11.22 12.12 NA NA XXX 72192 A Ct pelvis w/o dye 1.09 6.02 6.21 NA NA 0.36 7.47 7.66 NA NA XXX 72192 26 A Ct pelvis w/o dye 1.09 0.34 0.36 0.34 0.36 0.05 1.48 1.50 1.48 1.50 XXX 72192 TC A Ct pelvis w/o dye 0.00 5.68 5.85 NA NA 0.31 5.99 6.16 NA NA XXX 72193 A Ct pelvis w/dye 1.16 7.55 7.30 NA NA 0.41 9.12 8.87 NA NA XXX 72193 26 A Ct pelvis w/dye 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX 72193 TC A Ct pelvis w/dye 0.00 7.18 6.93 NA NA 0.36 7.54 7.29 NA NA XXX 72194 A Ct pelvis w/o & w/dye 1.22 10.18 9.21 NA NA 0.48 11.88 10.91 NA NA XXX 72194 26 A Ct pelvis w/o & w/dye 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX 72194 TC A Ct pelvis w/o & w/dye 0.00 9.78 8.81 NA NA 0.43 10.21 9.24 NA NA XXX 72195 A Mri pelvis w/o dye 1.46 14.74 12.45 NA NA 0.51 16.71 14.42 NA NA XXX 72195 26 A Mri pelvis w/o dye 1.46 0.48 0.48 0.48 0.48 0.06 2.00 2.00 2.00 2.00 XXX 72195 TC A Mri pelvis w/o dye 0.00 14.25 11.96 NA NA 0.45 14.70 12.41 NA NA XXX 72196 A Mri pelvis w/dye 1.73 15.67 14.43 NA NA 0.60 18.00 16.76 NA NA XXX 72196 26 A Mri pelvis w/dye 1.73 0.56 0.57 0.56 0.57 0.08 2.37 2.38 2.37 2.38 XXX 72196 TC A Mri pelvis w/dye 0.00 15.11 13.86 NA NA 0.52 15.63 14.38 NA NA XXX 72197 A Mri pelvis w/o & w/dye 2.26 19.28 24.04 NA NA 1.02 22.56 27.32 NA NA XXX 72197 26 A Mri pelvis w/o & w/dye 2.26 0.74 0.74 0.74 0.74 0.10 3.10 3.10 3.10 3.10 XXX 72197 TC A Mri pelvis w/o & w/dye 0.00 18.54 23.30 NA NA 0.92 19.46 24.22 NA NA XXX 72198 A Mr angio pelvis w/o & w/dye 1.80 15.34 12.68 NA NA 0.67 17.81 15.15 NA NA XXX 72198 26 A Mr angio pelvis w/o & w/dye 1.80 0.60 0.59 0.60 0.59 0.08 2.48 2.47 2.48 2.47 XXX 72198 TC A Mr angio pelvis w/o & w/dye 0.00 14.75 12.09 NA NA 0.59 15.34 12.68 NA NA XXX 72200 A X-ray exam sacroiliac joints 0.17 0.60 0.59 NA NA 0.03 0.80 0.79 NA NA XXX 72200 26 A X-ray exam sacroiliac joints 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 72200 TC A X-ray exam sacroiliac joints 0.00 0.55 0.53 NA NA 0.02 0.57 0.55 NA NA XXX 72202 A X-ray exam sacroiliac joints 0.19 0.74 0.70 NA NA 0.05 0.98 0.94 NA NA XXX 72202 26 A X-ray exam sacroiliac joints 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX 72202 TC A X-ray exam sacroiliac joints 0.00 0.68 0.64 NA NA 0.04 0.72 0.68 NA NA XXX 72220 A X-ray exam of tailbone 0.17 0.58 0.62 NA NA 0.05 0.80 0.84 NA NA XXX 72220 26 A X-ray exam of tailbone 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 72220 TC A X-ray exam of tailbone 0.00 0.53 0.56 NA NA 0.04 0.57 0.60 NA NA XXX 72240 A Contrast x-ray of neck spine 0.91 2.53 4.41 NA NA 0.29 3.73 5.61 NA NA XXX 72240 26 A Contrast x-ray of neck spine 0.91 0.28 0.29 0.28 0.29 0.04 1.23 1.24 1.23 1.24 XXX 72240 TC A Contrast x-ray of neck spine 0.00 2.25 4.13 NA NA 0.25 2.50 4.38 NA NA XXX 72255 A Contrast x-ray, thorax spine 0.91 2.27 4.02 NA NA 0.26 3.44 5.19 NA NA XXX 72255 26 A Contrast x-ray, thorax spine 0.91 0.27 0.27 0.27 0.27 0.04 1.22 1.22 1.22 1.22 XXX 72255 TC A Contrast x-ray, thorax spine 0.00 2.00 3.75 NA NA 0.22 2.22 3.97 NA NA XXX 72265 A Contrast x-ray, lower spine 0.83 2.50 3.87 NA NA 0.26 3.59 4.96 NA NA XXX 72265 26 A Contrast x-ray, lower spine 0.83 0.26 0.25 0.26 0.25 0.04 1.13 1.12 1.13 1.12 XXX 72265 TC A Contrast x-ray, lower spine 0.00 2.24 3.61 NA NA 0.22 2.46 3.83 NA NA XXX 72270 A Contrast x-ray, spine 1.33 3.95 5.88 NA NA 0.39 5.67 7.60 NA NA XXX 72270 26 A Contrast x-ray, spine 1.33 0.43 0.42 0.43 0.42 0.06 1.82 1.81 1.82 1.81 XXX 72270 TC A Contrast x-ray, spine 0.00 3.52 5.46 NA NA 0.33 3.85 5.79 NA NA XXX 72275 A Epidurography 0.76 1.71 2.15 NA NA 0.26 2.73 3.17 NA NA XXX 72275 26 A Epidurography 0.76 0.19 0.20 0.19 0.20 0.04 0.99 1.00 0.99 1.00 XXX 72275 TC A Epidurography 0.00 1.52 1.96 NA NA 0.22 1.74 2.18 NA NA XXX 72285 A X-ray c/t spine disk 1.16 1.42 6.90 NA NA 0.50 3.08 8.56 NA NA XXX 72285 26 A X-ray c/t spine disk 1.16 0.29 0.34 0.29 0.34 0.07 1.52 1.57 1.52 1.57 XXX 72285 TC A X-ray c/t spine disk 0.00 1.13 6.57 NA NA 0.43 1.56 7.00 NA NA XXX 72295 A X-ray of lower spine disk 0.83 1.41 6.45 NA NA 0.46 2.70 7.74 NA NA XXX 72295 26 A X-ray of lower spine disk 0.83 0.23 0.26 0.23 0.26 0.06 1.12 1.15 1.12 1.15 XXX 72295 TC A X-ray of lower spine disk 0.00 1.18 6.19 NA NA 0.40 1.58 6.59 NA NA XXX 73000 A X-ray exam of collar bone 0.16 0.56 0.57 NA NA 0.03 0.75 0.76 NA NA XXX 73000 26 A X-ray exam of collar bone 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 73000 TC A X-ray exam of collar bone 0.00 0.50 0.52 NA NA 0.02 0.52 0.54 NA NA XXX 73010 A X-ray exam of shoulder blade 0.17 0.58 0.58 NA NA 0.03 0.78 0.78 NA NA XXX Start Printed Page 49184 73010 26 A X-ray exam of shoulder blade 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX 73010 TC A X-ray exam of shoulder blade 0.00 0.53 0.52 NA NA 0.02 0.55 0.54 NA NA XXX 73020 A X-ray exam of shoulder 0.15 0.45 0.50 NA NA 0.03 0.63 0.68 NA NA XXX 73020 26 A X-ray exam of shoulder 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.21 0.21 XXX 73020 TC A X-ray exam of shoulder 0.00 0.40 0.45 NA NA 0.02 0.42 0.47 NA NA XXX 73030 A X-ray exam of shoulder 0.18 0.57 0.62 NA NA 0.05 0.80 0.85 NA NA XXX 73030 26 A X-ray exam of shoulder 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX 73030 TC A X-ray exam of shoulder 0.00 0.51 0.56 NA NA 0.04 0.55 0.60 NA NA XXX 73040 A Contrast x-ray of shoulder 0.54 2.24 2.27 NA NA 0.14 2.92 2.95 NA NA XXX 73040 26 A Contrast x-ray of shoulder 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX 73040 TC A Contrast x-ray of shoulder 0.00 2.06 2.09 NA NA 0.12 2.18 2.21 NA NA XXX 73050 A X-ray exam of shoulders 0.20 0.74 0.74 NA NA 0.05 0.99 0.99 NA NA XXX 73050 26 A X-ray exam of shoulders 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 XXX 73050 TC A X-ray exam of shoulders 0.00 0.66 0.67 NA NA 0.04 0.70 0.71 NA NA XXX 73060 A X-ray exam of humerus 0.17 0.57 0.62 NA NA 0.05 0.79 0.84 NA NA XXX 73060 26 A X-ray exam of humerus 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 73060 TC A X-ray exam of humerus 0.00 0.52 0.56 NA NA 0.04 0.56 0.60 NA NA XXX 73070 A X-ray exam of elbow 0.15 0.56 0.57 NA NA 0.03 0.74 0.75 NA NA XXX 73070 26 A X-ray exam of elbow 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.21 0.21 XXX 73070 TC A X-ray exam of elbow 0.00 0.51 0.52 NA NA 0.02 0.53 0.54 NA NA XXX 73080 A X-ray exam of elbow 0.17 0.75 0.66 NA NA 0.05 0.97 0.88 NA NA XXX 73080 26 A X-ray exam of elbow 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 73080 TC A X-ray exam of elbow 0.00 0.70 0.60 NA NA 0.04 0.74 0.64 NA NA XXX 73085 A Contrast x-ray of elbow 0.54 1.82 2.17 NA NA 0.14 2.50 2.85 NA NA XXX 73085 26 A Contrast x-ray of elbow 0.54 0.17 0.19 0.17 0.19 0.02 0.73 0.75 0.73 0.75 XXX 73085 TC A Contrast x-ray of elbow 0.00 1.65 1.99 NA NA 0.12 1.77 2.11 NA NA XXX 73090 A X-ray exam of forearm 0.16 0.55 0.57 NA NA 0.03 0.74 0.76 NA NA XXX 73090 26 A X-ray exam of forearm 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 73090 TC A X-ray exam of forearm 0.00 0.50 0.52 NA NA 0.02 0.52 0.54 NA NA XXX 73092 A X-ray exam of arm, infant 0.16 0.59 0.55 NA NA 0.03 0.78 0.74 NA NA XXX 73092 26 A X-ray exam of arm, infant 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 73092 TC A X-ray exam of arm, infant 0.00 0.54 0.50 NA NA 0.02 0.56 0.52 NA NA XXX 73100 A X-ray exam of wrist 0.16 0.61 0.56 NA NA 0.03 0.80 0.75 NA NA XXX 73100 26 A X-ray exam of wrist 0.16 0.06 0.05 0.06 0.05 0.01 0.23 0.22 0.23 0.22 XXX 73100 TC A X-ray exam of wrist 0.00 0.55 0.51 NA NA 0.02 0.57 0.53 NA NA XXX 73110 A X-ray exam of wrist 0.17 0.78 0.64 NA NA 0.03 0.98 0.84 NA NA XXX 73110 26 A X-ray exam of wrist 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 73110 TC A X-ray exam of wrist 0.00 0.72 0.58 NA NA 0.02 0.74 0.60 NA NA XXX 73115 A Contrast x-ray of wrist 0.54 2.38 1.91 NA NA 0.12 3.04 2.57 NA NA XXX 73115 26 A Contrast x-ray of wrist 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX 73115 TC A Contrast x-ray of wrist 0.00 2.20 1.74 NA NA 0.10 2.30 1.84 NA NA XXX 73120 A X-ray exam of hand 0.16 0.56 0.55 NA NA 0.03 0.75 0.74 NA NA XXX 73120 26 A X-ray exam of hand 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 73120 TC A X-ray exam of hand 0.00 0.51 0.50 NA NA 0.02 0.53 0.52 NA NA XXX 73130 A X-ray exam of hand 0.17 0.66 0.61 NA NA 0.03 0.86 0.81 NA NA XXX 73130 26 A X-ray exam of hand 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 73130 TC A X-ray exam of hand 0.00 0.61 0.55 NA NA 0.02 0.63 0.57 NA NA XXX 73140 A X-ray exam of finger(s) 0.13 0.68 0.52 NA NA 0.03 0.84 0.68 NA NA XXX 73140 26 A X-ray exam of finger(s) 0.13 0.04 0.04 0.04 0.04 0.01 0.18 0.18 0.18 0.18 XXX 73140 TC A X-ray exam of finger(s) 0.00 0.64 0.48 NA NA 0.02 0.66 0.50 NA NA XXX 73200 A Ct upper extremity w/o dye 1.09 6.45 5.60 NA NA 0.30 7.84 6.99 NA NA XXX 73200 26 A Ct upper extremity w/o dye 1.09 0.35 0.36 0.35 0.36 0.05 1.49 1.50 1.49 1.50 XXX 73200 TC A Ct upper extremity w/o dye 0.00 6.10 5.25 NA NA 0.25 6.35 5.50 NA NA XXX 73201 A Ct upper extremity w/dye 1.16 7.97 6.71 NA NA 0.36 9.49 8.23 NA NA XXX 73201 26 A Ct upper extremity w/dye 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX 73201 TC A Ct upper extremity w/dye 0.00 7.60 6.33 NA NA 0.31 7.91 6.64 NA NA XXX Start Printed Page 49185 73202 A Ct uppr extremity w/o&w/dye 1.22 10.74 8.55 NA NA 0.44 12.40 10.21 NA NA XXX 73202 26 A Ct uppr extremity w/o&w/dye 1.22 0.39 0.40 0.39 0.40 0.05 1.66 1.67 1.66 1.67 XXX 73202 TC A Ct uppr extremity w/o&w/dye 0.00 10.35 8.15 NA NA 0.39 10.74 8.54 NA NA XXX 73206 A Ct angio upr extrm w/o&w/dye 1.81 10.85 11.38 NA NA 0.47 13.13 13.66 NA NA XXX 73206 26 A Ct angio upr extrm w/o&w/dye 1.81 0.60 0.59 0.60 0.59 0.08 2.49 2.48 2.49 2.48 XXX 73206 TC A Ct angio upr extrm w/o&w/dye 0.00 10.25 10.78 NA NA 0.39 10.64 11.17 NA NA XXX 73218 A Mri upper extremity w/o dye 1.35 15.03 12.49 NA NA 0.45 16.83 14.29 NA NA XXX 73218 26 A Mri upper extremity w/o dye 1.35 0.45 0.44 0.45 0.44 0.06 1.86 1.85 1.86 1.85 XXX 73218 TC A Mri upper extremity w/o dye 0.00 14.58 12.05 NA NA 0.39 14.97 12.44 NA NA XXX 73219 A Mri upper extremity w/dye 1.62 15.68 14.41 NA NA 0.54 17.84 16.57 NA NA XXX 73219 26 A Mri upper extremity w/dye 1.62 0.53 0.54 0.53 0.54 0.07 2.22 2.23 2.22 2.23 XXX 73219 TC A Mri upper extremity w/dye 0.00 15.15 13.87 NA NA 0.47 15.62 14.34 NA NA XXX 73220 A Mri uppr extremity w/o&w/dye 2.15 19.37 24.04 NA NA 0.94 22.46 27.13 NA NA XXX 73220 26 A Mri uppr extremity w/o&w/dye 2.15 0.70 0.71 0.70 0.71 0.10 2.95 2.96 2.95 2.96 XXX 73220 TC A Mri uppr extremity w/o&w/dye 0.00 18.67 23.33 NA NA 0.84 19.51 24.17 NA NA XXX 73221 A Mri joint upr extrem w/o dye 1.35 13.95 12.22 NA NA 0.45 15.75 14.02 NA NA XXX 73221 26 A Mri joint upr extrem w/o dye 1.35 0.46 0.45 0.46 0.45 0.06 1.87 1.86 1.87 1.86 XXX 73221 TC A Mri joint upr extrem w/o dye 0.00 13.49 11.77 NA NA 0.39 13.88 12.16 NA NA XXX 73222 A Mri joint upr extrem w/dye 1.62 14.71 14.16 NA NA 0.54 16.87 16.32 NA NA XXX 73222 26 A Mri joint upr extrem w/dye 1.62 0.55 0.54 0.55 0.54 0.07 2.24 2.23 2.24 2.23 XXX 73222 TC A Mri joint upr extrem w/dye 0.00 14.16 13.62 NA NA 0.47 14.63 14.09 NA NA XXX 73223 A Mri joint upr extr w/o&w/dye 2.15 18.04 23.70 NA NA 0.94 21.13 26.79 NA NA XXX 73223 26 A Mri joint upr extr w/o&w/dye 2.15 0.71 0.71 0.71 0.71 0.10 2.96 2.96 2.96 2.96 XXX 73223 TC A Mri joint upr extr w/o&w/dye 0.00 17.33 22.99 NA NA 0.84 18.17 23.83 NA NA XXX 73225 N Mr angio upr extr w/o&w/dye 1.73 14.77 12.45 NA NA 0.69 17.19 14.87 NA NA XXX 73225 26 N Mr angio upr extr w/o&w/dye 1.73 0.40 0.60 0.40 0.60 0.10 2.23 2.43 2.23 2.43 XXX 73225 TC N Mr angio upr extr w/o&w/dye 0.00 14.37 11.85 NA NA 0.59 14.96 12.44 NA NA XXX 73500 A X-ray exam of hip 0.17 0.49 0.52 NA NA 0.03 0.69 0.72 NA NA XXX 73500 26 A X-ray exam of hip 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX 73500 TC A X-ray exam of hip 0.00 0.43 0.46 NA NA 0.02 0.45 0.48 NA NA XXX 73510 A X-ray exam of hip 0.21 0.78 0.68 NA NA 0.05 1.04 0.94 NA NA XXX 73510 26 A X-ray exam of hip 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 XXX 73510 TC A X-ray exam of hip 0.00 0.71 0.61 NA NA 0.04 0.75 0.65 NA NA XXX 73520 A X-ray exam of hips 0.26 0.79 0.77 NA NA 0.05 1.10 1.08 NA NA XXX 73520 26 A X-ray exam of hips 0.26 0.08 0.09 0.08 0.09 0.01 0.35 0.36 0.35 0.36 XXX 73520 TC A X-ray exam of hips 0.00 0.71 0.68 NA NA 0.04 0.75 0.72 NA NA XXX 73525 A Contrast x-ray of hip 0.54 1.79 2.16 NA NA 0.15 2.48 2.85 NA NA XXX 73525 26 A Contrast x-ray of hip 0.54 0.17 0.18 0.17 0.18 0.03 0.74 0.75 0.74 0.75 XXX 73525 TC A Contrast x-ray of hip 0.00 1.62 1.98 NA NA 0.12 1.74 2.10 NA NA XXX 73530 A X-ray exam of hip 0.29 NA NA NA NA 0.03 NA NA NA NA XXX 73530 26 A X-ray exam of hip 0.29 0.09 0.10 0.09 0.10 0.01 0.39 0.40 0.39 0.40 XXX 73530 TC A X-ray exam of hip 0.00 NA NA NA NA 0.02 NA NA NA NA XXX 73540 A X-ray exam of pelvis & hips 0.20 0.80 0.68 NA NA 0.05 1.05 0.93 NA NA XXX 73540 26 A X-ray exam of pelvis & hips 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 XXX 73540 TC A X-ray exam of pelvis & hips 0.00 0.73 0.61 NA NA 0.04 0.77 0.65 NA NA XXX 73542 A X-ray exam, sacroiliac joint 0.59 1.12 1.98 NA NA 0.15 1.86 2.72 NA NA XXX 73542 26 A X-ray exam, sacroiliac joint 0.59 0.14 0.16 0.14 0.16 0.03 0.76 0.78 0.76 0.78 XXX 73542 TC A X-ray exam, sacroiliac joint 0.00 0.98 1.82 NA NA 0.12 1.10 1.94 NA NA XXX 73550 A X-ray exam of thigh 0.17 0.54 0.61 NA NA 0.05 0.76 0.83 NA NA XXX 73550 26 A X-ray exam of thigh 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 73550 TC A X-ray exam of thigh 0.00 0.49 0.55 NA NA 0.04 0.53 0.59 NA NA XXX 73560 A X-ray exam of knee, 1 or 2 0.17 0.59 0.58 NA NA 0.03 0.79 0.78 NA NA XXX 73560 26 A X-ray exam of knee, 1 or 2 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX 73560 TC A X-ray exam of knee, 1 or 2 0.00 0.53 0.52 NA NA 0.02 0.55 0.54 NA NA XXX 73562 A X-ray exam of knee, 3 0.18 0.73 0.66 NA NA 0.05 0.96 0.89 NA NA XXX 73562 26 A X-ray exam of knee, 3 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX 73562 TC A X-ray exam of knee, 3 0.00 0.67 0.60 NA NA 0.04 0.71 0.64 NA NA XXX 73564 A X-ray exam, knee, 4 or more 0.22 0.87 0.74 NA NA 0.05 1.14 1.01 NA NA XXX 73564 26 A X-ray exam, knee, 4 or more 0.22 0.08 0.07 0.08 0.07 0.01 0.31 0.30 0.31 0.30 XXX 73564 TC A X-ray exam, knee, 4 or more 0.00 0.79 0.66 NA NA 0.04 0.83 0.70 NA NA XXX 73565 A X-ray exam of knees 0.17 0.65 0.58 NA NA 0.03 0.85 0.78 NA NA XXX 73565 26 A X-ray exam of knees 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX 73565 TC A X-ray exam of knees 0.00 0.59 0.52 NA NA 0.02 0.61 0.54 NA NA XXX 73580 A Contrast x-ray of knee joint 0.54 2.40 2.69 NA NA 0.17 3.11 3.40 NA NA XXX 73580 26 A Contrast x-ray of knee joint 0.54 0.18 0.17 0.18 0.17 0.03 0.75 0.74 0.75 0.74 XXX 73580 TC A Contrast x-ray of knee joint 0.00 2.22 2.52 NA NA 0.14 2.36 2.66 NA NA XXX Start Printed Page 49186 73590 A X-ray exam of lower leg 0.17 0.54 0.57 NA NA 0.03 0.74 0.77 NA NA XXX 73590 26 A X-ray exam of lower leg 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 73590 TC A X-ray exam of lower leg 0.00 0.49 0.51 NA NA 0.02 0.51 0.53 NA NA XXX 73592 A X-ray exam of leg, infant 0.16 0.60 0.56 NA NA 0.03 0.79 0.75 NA NA XXX 73592 26 A X-ray exam of leg, infant 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 73592 TC A X-ray exam of leg, infant 0.00 0.55 0.51 NA NA 0.02 0.57 0.53 NA NA XXX 73600 A X-ray exam of ankle 0.16 0.57 0.55 NA NA 0.03 0.76 0.74 NA NA XXX 73600 26 A X-ray exam of ankle 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 73600 TC A X-ray exam of ankle 0.00 0.51 0.50 NA NA 0.02 0.53 0.52 NA NA XXX 73610 A X-ray exam of ankle 0.17 0.67 0.61 NA NA 0.03 0.87 0.81 NA NA XXX 73610 26 A X-ray exam of ankle 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 73610 TC A X-ray exam of ankle 0.00 0.62 0.55 NA NA 0.02 0.64 0.57 NA NA XXX 73615 A Contrast x-ray of ankle 0.54 1.89 2.18 NA NA 0.15 2.58 2.87 NA NA XXX 73615 26 A Contrast x-ray of ankle 0.54 0.17 0.18 0.17 0.18 0.03 0.74 0.75 0.74 0.75 XXX 73615 TC A Contrast x-ray of ankle 0.00 1.72 2.01 NA NA 0.12 1.84 2.13 NA NA XXX 73620 A X-ray exam of foot 0.16 0.53 0.54 NA NA 0.03 0.72 0.73 NA NA XXX 73620 26 A X-ray exam of foot 0.16 0.04 0.05 0.04 0.05 0.01 0.21 0.22 0.21 0.22 XXX 73620 TC A X-ray exam of foot 0.00 0.49 0.49 NA NA 0.02 0.51 0.51 NA NA XXX 73630 A X-ray exam of foot 0.17 0.66 0.61 NA NA 0.03 0.86 0.81 NA NA XXX 73630 26 A X-ray exam of foot 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 73630 TC A X-ray exam of foot 0.00 0.60 0.55 NA NA 0.02 0.62 0.57 NA NA XXX 73650 A X-ray exam of heel 0.16 0.56 0.53 NA NA 0.03 0.75 0.72 NA NA XXX 73650 26 A X-ray exam of heel 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 73650 TC A X-ray exam of heel 0.00 0.51 0.48 NA NA 0.02 0.53 0.50 NA NA XXX 73660 A X-ray exam of toe(s) 0.13 0.64 0.51 NA NA 0.03 0.80 0.67 NA NA XXX 73660 26 A X-ray exam of toe(s) 0.13 0.04 0.04 0.04 0.04 0.01 0.18 0.18 0.18 0.18 XXX 73660 TC A X-ray exam of toe(s) 0.00 0.60 0.47 NA NA 0.02 0.62 0.49 NA NA XXX 73700 A Ct lower extremity w/o dye 1.09 6.44 5.59 NA NA 0.30 7.83 6.98 NA NA XXX 73700 26 A Ct lower extremity w/o dye 1.09 0.35 0.36 0.35 0.36 0.05 1.49 1.50 1.49 1.50 XXX 73700 TC A Ct lower extremity w/o dye 0.00 6.09 5.24 NA NA 0.25 6.34 5.49 NA NA XXX 73701 A Ct lower extremity w/dye 1.16 7.95 6.71 NA NA 0.36 9.47 8.23 NA NA XXX 73701 26 A Ct lower extremity w/dye 1.16 0.36 0.38 0.36 0.38 0.05 1.57 1.59 1.57 1.59 XXX 73701 TC A Ct lower extremity w/dye 0.00 7.59 6.33 NA NA 0.31 7.90 6.64 NA NA XXX 73702 A Ct lwr extremity w/o&w/dye 1.22 10.81 8.57 NA NA 0.44 12.47 10.23 NA NA XXX 73702 26 A Ct lwr extremity w/o&w/dye 1.22 0.40 0.40 0.40 0.40 0.05 1.67 1.67 1.67 1.67 XXX 73702 TC A Ct lwr extremity w/o&w/dye 0.00 10.41 8.17 NA NA 0.39 10.80 8.56 NA NA XXX 73706 A Ct angio lwr extr w/o&w/dye 1.90 12.39 11.78 NA NA 0.47 14.76 14.15 NA NA XXX 73706 26 A Ct angio lwr extr w/o&w/dye 1.90 0.66 0.63 0.66 0.63 0.08 2.64 2.61 2.64 2.61 XXX 73706 TC A Ct angio lwr extr w/o&w/dye 0.00 11.73 11.15 NA NA 0.39 12.12 11.54 NA NA XXX 73718 A Mri lower extremity w/o dye 1.35 14.74 12.42 NA NA 0.45 16.54 14.22 NA NA XXX 73718 26 A Mri lower extremity w/o dye 1.35 0.46 0.45 0.46 0.45 0.06 1.87 1.86 1.87 1.86 XXX 73718 TC A Mri lower extremity w/o dye 0.00 14.28 11.97 NA NA 0.39 14.67 12.36 NA NA XXX 73719 A Mri lower extremity w/dye 1.62 15.59 14.38 NA NA 0.54 17.75 16.54 NA NA XXX 73719 26 A Mri lower extremity w/dye 1.62 0.52 0.53 0.52 0.53 0.07 2.21 2.22 2.21 2.22 XXX 73719 TC A Mri lower extremity w/dye 0.00 15.07 13.85 NA NA 0.47 15.54 14.32 NA NA XXX 73720 A Mri lwr extremity w/o&w/dye 2.15 19.28 24.01 NA NA 0.94 22.37 27.10 NA NA XXX 73720 26 A Mri lwr extremity w/o&w/dye 2.15 0.69 0.70 0.69 0.70 0.10 2.94 2.95 2.94 2.95 XXX 73720 TC A Mri lwr extremity w/o&w/dye 0.00 18.59 23.31 NA NA 0.84 19.43 24.15 NA NA XXX 73721 A Mri jnt of lwr extre w/o dye 1.35 14.27 12.30 NA NA 0.45 16.07 14.10 NA NA XXX 73721 26 A Mri jnt of lwr extre w/o dye 1.35 0.46 0.45 0.46 0.45 0.06 1.87 1.86 1.87 1.86 XXX 73721 TC A Mri jnt of lwr extre w/o dye 0.00 13.81 11.85 NA NA 0.39 14.20 12.24 NA NA XXX 73722 A Mri joint of lwr extr w/dye 1.62 14.86 14.19 NA NA 0.54 17.02 16.35 NA NA XXX 73722 26 A Mri joint of lwr extr w/dye 1.62 0.54 0.53 0.54 0.53 0.07 2.23 2.22 2.23 2.22 XXX 73722 TC A Mri joint of lwr extr w/dye 0.00 14.32 13.66 NA NA 0.47 14.79 14.13 NA NA XXX 73723 A Mri joint lwr extr w/o&w/dye 2.15 17.91 23.67 NA NA 0.94 21.00 26.76 NA NA XXX 73723 26 A Mri joint lwr extr w/o&w/dye 2.15 0.70 0.71 0.70 0.71 0.10 2.95 2.96 2.95 2.96 XXX Start Printed Page 49187 73723 TC A Mri joint lwr extr w/o&w/dye 0.00 17.21 22.96 NA NA 0.84 18.05 23.80 NA NA XXX 73725 R Mr ang lwr ext w or w/o dye 1.82 15.34 12.69 NA NA 0.67 17.83 15.18 NA NA XXX 73725 26 R Mr ang lwr ext w or w/o dye 1.82 0.60 0.60 0.60 0.60 0.08 2.50 2.50 2.50 2.50 XXX 73725 TC R Mr ang lwr ext w or w/o dye 0.00 14.75 12.09 NA NA 0.59 15.34 12.68 NA NA XXX 74000 A X-ray exam of abdomen 0.18 0.46 0.55 NA NA 0.03 0.67 0.76 NA NA XXX 74000 26 A X-ray exam of abdomen 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX 74000 TC A X-ray exam of abdomen 0.00 0.40 0.49 NA NA 0.02 0.42 0.51 NA NA XXX 74010 A X-ray exam of abdomen 0.23 0.79 0.69 NA NA 0.05 1.07 0.97 NA NA XXX 74010 26 A X-ray exam of abdomen 0.23 0.07 0.08 0.07 0.08 0.01 0.31 0.32 0.31 0.32 XXX 74010 TC A X-ray exam of abdomen 0.00 0.72 0.61 NA NA 0.04 0.76 0.65 NA NA XXX 74020 A X-ray exam of abdomen 0.27 0.80 0.73 NA NA 0.05 1.12 1.05 NA NA XXX 74020 26 A X-ray exam of abdomen 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX 74020 TC A X-ray exam of abdomen 0.00 0.71 0.64 NA NA 0.04 0.75 0.68 NA NA XXX 74022 A X-ray exam series, abdomen 0.32 0.97 0.87 NA NA 0.06 1.35 1.25 NA NA XXX 74022 26 A X-ray exam series, abdomen 0.32 0.10 0.10 0.10 0.10 0.01 0.43 0.43 0.43 0.43 XXX 74022 TC A X-ray exam series, abdomen 0.00 0.87 0.77 NA NA 0.05 0.92 0.82 NA NA XXX 74150 A Ct abdomen w/o dye 1.19 6.06 6.05 NA NA 0.35 7.60 7.59 NA NA XXX 74150 26 A Ct abdomen w/o dye 1.19 0.38 0.39 0.38 0.39 0.05 1.62 1.63 1.62 1.63 XXX 74150 TC A Ct abdomen w/o dye 0.00 5.68 5.67 NA NA 0.30 5.98 5.97 NA NA XXX 74160 A Ct abdomen w/dye 1.27 8.83 7.65 NA NA 0.42 10.52 9.34 NA NA XXX 74160 26 A Ct abdomen w/dye 1.27 0.40 0.42 0.40 0.42 0.06 1.73 1.75 1.73 1.75 XXX 74160 TC A Ct abdomen w/dye 0.00 8.43 7.24 NA NA 0.36 8.79 7.60 NA NA XXX 74170 A Ct abdomen w/o & w/dye 1.40 12.27 9.77 NA NA 0.49 14.16 11.66 NA NA XXX 74170 26 A Ct abdomen w/o & w/dye 1.40 0.45 0.46 0.45 0.46 0.06 1.91 1.92 1.91 1.92 XXX 74170 TC A Ct abdomen w/o & w/dye 0.00 11.82 9.32 NA NA 0.43 12.25 9.75 NA NA XXX 74175 A Ct angio abdom w/o & w/dye 1.90 12.34 12.57 NA NA 0.47 14.71 14.94 NA NA XXX 74175 26 A Ct angio abdom w/o & w/dye 1.90 0.63 0.62 0.63 0.62 0.08 2.61 2.60 2.61 2.60 XXX 74175 TC A Ct angio abdom w/o & w/dye 0.00 11.71 11.95 NA NA 0.39 12.10 12.34 NA NA XXX 74181 A Mri abdomen w/o dye 1.46 12.60 11.91 NA NA 0.51 14.57 13.88 NA NA XXX 74181 26 A Mri abdomen w/o dye 1.46 0.47 0.48 0.47 0.48 0.06 1.99 2.00 1.99 2.00 XXX 74181 TC A Mri abdomen w/o dye 0.00 12.13 11.43 NA NA 0.45 12.58 11.88 NA NA XXX 74182 A Mri abdomen w/dye 1.73 17.59 14.91 NA NA 0.60 19.92 17.24 NA NA XXX 74182 26 A Mri abdomen w/dye 1.73 0.55 0.57 0.55 0.57 0.08 2.36 2.38 2.36 2.38 XXX 74182 TC A Mri abdomen w/dye 0.00 17.04 14.34 NA NA 0.52 17.56 14.86 NA NA XXX 74183 A Mri abdomen w/o & w/dye 2.26 19.27 24.03 NA NA 1.02 22.55 27.31 NA NA XXX 74183 26 A Mri abdomen w/o & w/dye 2.26 0.73 0.74 0.73 0.74 0.10 3.09 3.10 3.09 3.10 XXX 74183 TC A Mri abdomen w/o & w/dye 0.00 18.54 23.30 NA NA 0.92 19.46 24.22 NA NA XXX 74185 R Mri angio, abdom w orw/o dye 1.80 15.31 12.67 NA NA 0.67 17.78 15.14 NA NA XXX 74185 26 R Mri angio, abdom w orw/o dye 1.80 0.59 0.59 0.59 0.59 0.08 2.47 2.47 2.47 2.47 XXX 74185 TC R Mri angio, abdom w orw/o dye 0.00 14.72 12.08 NA NA 0.59 15.31 12.67 NA NA XXX 74190 A X-ray exam of peritoneum 0.48 NA NA NA NA 0.09 NA NA NA NA XXX 74190 26 A X-ray exam of peritoneum 0.48 0.15 0.16 0.15 0.16 0.02 0.65 0.66 0.65 0.66 XXX 74190 TC A X-ray exam of peritoneum 0.00 NA NA NA NA 0.07 NA NA NA NA XXX 74210 A Contrst x-ray exam of throat 0.36 1.76 1.42 NA NA 0.08 2.20 1.86 NA NA XXX 74210 26 A Contrst x-ray exam of throat 0.36 0.11 0.12 0.11 0.12 0.02 0.49 0.50 0.49 0.50 XXX 74210 TC A Contrst x-ray exam of throat 0.00 1.65 1.31 NA NA 0.06 1.71 1.37 NA NA XXX 74220 A Contrast x-ray, esophagus 0.46 2.01 1.51 NA NA 0.08 2.55 2.05 NA NA XXX 74220 26 A Contrast x-ray, esophagus 0.46 0.14 0.15 0.14 0.15 0.02 0.62 0.63 0.62 0.63 XXX 74220 TC A Contrast x-ray, esophagus 0.00 1.87 1.36 NA NA 0.06 1.93 1.42 NA NA XXX 74230 A Cine/vid x-ray, throat/esoph 0.53 1.93 1.59 NA NA 0.09 2.55 2.21 NA NA XXX 74230 26 A Cine/vid x-ray, throat/esoph 0.53 0.17 0.17 0.17 0.17 0.02 0.72 0.72 0.72 0.72 XXX 74230 TC A Cine/vid x-ray, throat/esoph 0.00 1.76 1.42 NA NA 0.07 1.83 1.49 NA NA XXX 74235 C Remove esophagus obstruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74235 26 A Remove esophagus obstruction 1.19 0.40 0.39 0.40 0.39 0.05 1.64 1.63 1.64 1.63 XXX 74235 TC C Remove esophagus obstruction 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74240 A X-ray exam, upper gi tract 0.69 2.28 1.84 NA NA 0.11 3.08 2.64 NA NA XXX 74240 26 A X-ray exam, upper gi tract 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX 74240 TC A X-ray exam, upper gi tract 0.00 2.07 1.61 NA NA 0.08 2.15 1.69 NA NA XXX 74241 A X-ray exam, upper gi tract 0.69 2.55 1.93 NA NA 0.11 3.35 2.73 NA NA XXX 74241 26 A X-ray exam, upper gi tract 0.69 0.21 0.23 0.21 0.23 0.03 0.93 0.95 0.93 0.95 XXX 74241 TC A X-ray exam, upper gi tract 0.00 2.34 1.70 NA NA 0.08 2.42 1.78 NA NA XXX 74245 A X-ray exam, upper gi tract 0.91 3.94 3.00 NA NA 0.17 5.02 4.08 NA NA XXX 74245 26 A X-ray exam, upper gi tract 0.91 0.29 0.30 0.29 0.30 0.04 1.24 1.25 1.24 1.25 XXX 74245 TC A X-ray exam, upper gi tract 0.00 3.65 2.70 NA NA 0.13 3.78 2.83 NA NA XXX 74246 A Contrst x-ray uppr gi tract 0.69 2.78 2.09 NA NA 0.13 3.60 2.91 NA NA XXX 74246 26 A Contrst x-ray uppr gi tract 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX Start Printed Page 49188 74246 TC A Contrst x-ray uppr gi tract 0.00 2.57 1.87 NA NA 0.10 2.67 1.97 NA NA XXX 74247 A Contrst x-ray uppr gi tract 0.69 3.21 2.23 NA NA 0.14 4.04 3.06 NA NA XXX 74247 26 A Contrst x-ray uppr gi tract 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX 74247 TC A Contrst x-ray uppr gi tract 0.00 2.99 2.01 NA NA 0.11 3.10 2.12 NA NA XXX 74249 A Contrst x-ray uppr gi tract 0.91 4.33 3.24 NA NA 0.18 5.42 4.33 NA NA XXX 74249 26 A Contrst x-ray uppr gi tract 0.91 0.29 0.30 0.29 0.30 0.04 1.24 1.25 1.24 1.25 XXX 74249 TC A Contrst x-ray uppr gi tract 0.00 4.05 2.94 NA NA 0.14 4.19 3.08 NA NA XXX 74250 A X-ray exam of small bowel 0.47 2.48 1.72 NA NA 0.09 3.04 2.28 NA NA XXX 74250 26 A X-ray exam of small bowel 0.47 0.15 0.15 0.15 0.15 0.02 0.64 0.64 0.64 0.64 XXX 74250 TC A X-ray exam of small bowel 0.00 2.33 1.57 NA NA 0.07 2.40 1.64 NA NA XXX 74251 A X-ray exam of small bowel 0.69 10.01 3.66 NA NA 0.10 10.80 4.45 NA NA XXX 74251 26 A X-ray exam of small bowel 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX 74251 TC A X-ray exam of small bowel 0.00 9.80 3.43 NA NA 0.07 9.87 3.50 NA NA XXX 74260 A X-ray exam of small bowel 0.50 8.32 3.32 NA NA 0.10 8.92 3.92 NA NA XXX 74260 26 A X-ray exam of small bowel 0.50 0.15 0.16 0.15 0.16 0.02 0.67 0.68 0.67 0.68 XXX 74260 TC A X-ray exam of small bowel 0.00 8.17 3.16 NA NA 0.08 8.25 3.24 NA NA XXX 74270 A Contrast x-ray exam of colon 0.69 3.57 2.33 NA NA 0.14 4.40 3.16 NA NA XXX 74270 26 A Contrast x-ray exam of colon 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX 74270 TC A Contrast x-ray exam of colon 0.00 3.35 2.11 NA NA 0.11 3.46 2.22 NA NA XXX 74280 A Contrast x-ray exam of colon 0.99 4.94 3.15 NA NA 0.17 6.10 4.31 NA NA XXX 74280 26 A Contrast x-ray exam of colon 0.99 0.31 0.32 0.31 0.32 0.04 1.34 1.35 1.34 1.35 XXX 74280 TC A Contrast x-ray exam of colon 0.00 4.63 2.83 NA NA 0.13 4.76 2.96 NA NA XXX 74283 A Contrast x-ray exam of colon 2.02 3.42 3.27 NA NA 0.23 5.67 5.52 NA NA XXX 74283 26 A Contrast x-ray exam of colon 2.02 0.61 0.65 0.61 0.65 0.09 2.72 2.76 2.72 2.76 XXX 74283 TC A Contrast x-ray exam of colon 0.00 2.80 2.62 NA NA 0.14 2.94 2.76 NA NA XXX 74290 A Contrast x-ray, gallbladder 0.32 1.56 1.01 NA NA 0.06 1.94 1.39 NA NA XXX 74290 26 A Contrast x-ray, gallbladder 0.32 0.10 0.10 0.10 0.10 0.01 0.43 0.43 0.43 0.43 XXX 74290 TC A Contrast x-ray, gallbladder 0.00 1.46 0.91 NA NA 0.05 1.51 0.96 NA NA XXX 74291 A Contrast x-rays, gallbladder 0.20 1.60 0.77 NA NA 0.03 1.83 1.00 NA NA XXX 74291 26 A Contrast x-rays, gallbladder 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX 74291 TC A Contrast x-rays, gallbladder 0.00 1.54 0.70 NA NA 0.02 1.56 0.72 NA NA XXX 74300 C X-ray bile ducts/pancreas 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74300 26 A X-ray bile ducts/pancreas 0.36 0.11 0.12 0.11 0.12 0.02 0.49 0.50 0.49 0.50 XXX 74300 TC C X-ray bile ducts/pancreas 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 ZZZ 74301 26 A X-rays at surgery add-on 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 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 0.00 0.00 0.00 0.00 ZZZ 74305 A X-ray bile ducts/pancreas 0.42 NA NA NA NA 0.07 NA NA NA NA XXX 74305 26 A X-ray bile ducts/pancreas 0.42 0.14 0.14 0.14 0.14 0.02 0.58 0.58 0.58 0.58 XXX 74305 TC A X-ray bile ducts/pancreas 0.00 NA NA NA NA 0.05 NA NA NA NA XXX 74320 A Contrast x-ray of bile ducts 0.54 2.13 3.03 NA NA 0.19 2.86 3.76 NA NA XXX 74320 26 A Contrast x-ray of bile ducts 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX 74320 TC A Contrast x-ray of bile ducts 0.00 1.95 2.85 NA NA 0.17 2.12 3.02 NA NA XXX 74327 A X-ray bile stone removal 0.70 2.99 2.24 NA NA 0.14 3.83 3.08 NA NA XXX 74327 26 A X-ray bile stone removal 0.70 0.23 0.23 0.23 0.23 0.03 0.96 0.96 0.96 0.96 XXX 74327 TC A X-ray bile stone removal 0.00 2.76 2.01 NA NA 0.11 2.87 2.12 NA NA XXX 74328 A X-ray bile duct endoscopy 0.70 NA NA NA NA 0.20 NA NA NA NA XXX 74328 26 A X-ray bile duct endoscopy 0.70 0.23 0.23 0.23 0.23 0.03 0.96 0.96 0.96 0.96 XXX 74328 TC A X-ray bile duct endoscopy 0.00 NA NA NA NA 0.17 NA NA NA NA XXX 74329 C X-ray for pancreas endoscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74329 26 A X-ray for pancreas endoscopy 0.70 0.23 0.23 0.23 0.23 0.03 0.96 0.96 0.96 0.96 XXX 74329 TC C X-ray for pancreas endoscopy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74330 A X-ray bile/panc endoscopy 0.90 NA NA NA NA 0.21 NA NA NA NA XXX 74330 26 A X-ray bile/panc endoscopy 0.90 0.30 0.29 0.30 0.29 0.04 1.24 1.23 1.24 1.23 XXX 74330 TC A X-ray bile/panc endoscopy 0.00 NA NA NA NA 0.17 NA NA NA NA XXX 74340 A X-ray guide for GI tube 0.54 NA NA NA NA 0.16 NA NA NA NA XXX Start Printed Page 49189 74340 26 A X-ray guide for GI tube 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX 74340 TC A X-ray guide for GI tube 0.00 NA NA NA NA 0.14 NA NA NA NA XXX 74350 A X-ray guide, stomach tube 0.76 2.22 3.11 NA NA 0.20 3.18 4.07 NA NA XXX 74350 26 A X-ray guide, stomach tube 0.76 0.25 0.25 0.25 0.25 0.03 1.04 1.04 1.04 1.04 XXX 74350 TC A X-ray guide, stomach tube 0.00 1.97 2.86 NA NA 0.17 2.14 3.03 NA NA XXX 74355 A X-ray guide, intestinal tube 0.76 NA NA NA NA 0.17 NA NA NA NA XXX 74355 26 A X-ray guide, intestinal tube 0.76 0.25 0.25 0.25 0.25 0.03 1.04 1.04 1.04 1.04 XXX 74355 TC A X-ray guide, intestinal tube 0.00 NA NA NA NA 0.14 NA NA NA NA XXX 74360 A X-ray guide, GI dilation 0.54 NA NA NA NA 0.19 NA NA NA NA XXX 74360 26 A X-ray guide, GI dilation 0.54 0.24 0.20 0.24 0.20 0.02 0.80 0.76 0.80 0.76 XXX 74360 TC A X-ray guide, GI dilation 0.00 NA NA NA NA 0.17 NA NA NA NA XXX 74363 C X-ray, bile duct dilation 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 74363 26 A X-ray, bile duct dilation 0.88 0.29 0.29 0.29 0.29 0.04 1.21 1.21 1.21 1.21 XXX 74363 TC C X-ray, bile duct dilation 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 74400 A Contrst x-ray, urinary tract 0.49 2.60 2.02 NA NA 0.13 3.22 2.64 NA NA XXX 74400 26 A Contrst x-ray, urinary tract 0.49 0.16 0.16 0.16 0.16 0.02 0.67 0.67 0.67 0.67 XXX 74400 TC A Contrst x-ray, urinary tract 0.00 2.44 1.87 NA NA 0.11 2.55 1.98 NA NA XXX 74410 A Contrst x-ray, urinary tract 0.49 2.73 2.27 NA NA 0.13 3.35 2.89 NA NA XXX 74410 26 A Contrst x-ray, urinary tract 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX 74410 TC A Contrst x-ray, urinary tract 0.00 2.56 2.10 NA NA 0.11 2.67 2.21 NA NA XXX 74415 A Contrst x-ray, urinary tract 0.49 3.29 2.53 NA NA 0.14 3.92 3.16 NA NA XXX 74415 26 A Contrst x-ray, urinary tract 0.49 0.16 0.16 0.16 0.16 0.02 0.67 0.67 0.67 0.67 XXX 74415 TC A Contrst x-ray, urinary tract 0.00 3.13 2.37 NA NA 0.12 3.25 2.49 NA NA XXX 74420 A Contrst x-ray, urinary tract 0.36 NA NA NA NA 0.16 NA NA NA NA XXX 74420 26 A Contrst x-ray, urinary tract 0.36 0.13 0.12 0.13 0.12 0.02 0.51 0.50 0.51 0.50 XXX 74420 TC A Contrst x-ray, urinary tract 0.00 NA NA NA NA 0.14 NA NA NA NA XXX 74425 A Contrst x-ray, urinary tract 0.36 NA NA NA NA 0.09 NA NA NA NA XXX 74425 26 A Contrst x-ray, urinary tract 0.36 0.12 0.12 0.12 0.12 0.02 0.50 0.50 0.50 0.50 XXX 74425 TC A Contrst x-ray, urinary tract 0.00 NA NA NA NA 0.07 NA NA NA NA XXX 74430 A Contrast x-ray, bladder 0.32 1.96 1.35 NA NA 0.08 2.36 1.75 NA NA XXX 74430 26 A Contrast x-ray, bladder 0.32 0.11 0.10 0.11 0.10 0.02 0.45 0.44 0.45 0.44 XXX 74430 TC A Contrast x-ray, bladder 0.00 1.85 1.25 NA NA 0.06 1.91 1.31 NA NA XXX 74440 A X-ray, male genital tract 0.38 2.20 1.49 NA NA 0.08 2.66 1.95 NA NA XXX 74440 26 A X-ray, male genital tract 0.38 0.15 0.13 0.15 0.13 0.02 0.55 0.53 0.55 0.53 XXX 74440 TC A X-ray, male genital tract 0.00 2.06 1.36 NA NA 0.06 2.12 1.42 NA NA XXX 74445 A X-ray exam of penis 1.14 NA NA NA NA 0.13 NA NA NA NA XXX 74445 26 A X-ray exam of penis 1.14 0.44 0.39 0.44 0.39 0.07 1.65 1.60 1.65 1.60 XXX 74445 TC A X-ray exam of penis 0.00 NA NA NA NA 0.06 NA NA NA NA XXX 74450 A X-ray, urethra/bladder 0.33 NA NA NA NA 0.10 NA NA NA NA XXX 74450 26 A X-ray, urethra/bladder 0.33 0.11 0.11 0.11 0.11 0.02 0.46 0.46 0.46 0.46 XXX 74450 TC A X-ray, urethra/bladder 0.00 NA NA NA NA 0.08 NA NA NA NA XXX 74455 A X-ray, urethra/bladder 0.33 2.18 1.81 NA NA 0.12 2.63 2.26 NA NA XXX 74455 26 A X-ray, urethra/bladder 0.33 0.12 0.11 0.12 0.11 0.02 0.47 0.46 0.47 0.46 XXX 74455 TC A X-ray, urethra/bladder 0.00 2.06 1.70 NA NA 0.10 2.16 1.80 NA NA XXX 74470 A X-ray exam of kidney lesion 0.54 NA NA NA NA 0.09 NA NA NA NA XXX 74470 26 A X-ray exam of kidney lesion 0.54 0.16 0.18 0.16 0.18 0.02 0.72 0.74 0.72 0.74 XXX 74470 TC A X-ray exam of kidney lesion 0.00 NA NA NA NA 0.07 NA NA NA NA XXX 74475 A X-ray control, cath insert 0.54 2.12 3.72 NA NA 0.24 2.90 4.50 NA NA XXX 74475 26 A X-ray control, cath insert 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX 74475 TC A X-ray control, cath insert 0.00 1.94 3.54 NA NA 0.22 2.16 3.76 NA NA XXX 74480 A X-ray control, cath insert 0.54 2.13 3.72 NA NA 0.24 2.91 4.50 NA NA XXX 74480 26 A X-ray control, cath insert 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX 74480 TC A X-ray control, cath insert 0.00 1.95 3.54 NA NA 0.22 2.17 3.76 NA NA XXX 74485 A X-ray guide, GU dilation 0.54 2.29 3.06 NA NA 0.20 3.03 3.80 NA NA XXX 74485 26 A X-ray guide, GU dilation 0.54 0.19 0.18 0.19 0.18 0.03 0.76 0.75 0.76 0.75 XXX 74485 TC A X-ray guide, GU dilation 0.00 2.10 2.89 NA NA 0.17 2.27 3.06 NA NA XXX 74710 A X-ray measurement of pelvis 0.34 0.64 1.03 NA NA 0.08 1.06 1.45 NA NA XXX 74710 26 A X-ray measurement of pelvis 0.34 0.11 0.11 0.11 0.11 0.02 0.47 0.47 0.47 0.47 XXX 74710 TC A X-ray measurement of pelvis 0.00 0.53 0.92 NA NA 0.06 0.59 0.98 NA NA XXX 74740 A X-ray, female genital tract 0.38 1.77 1.52 NA NA 0.09 2.24 1.99 NA NA XXX 74740 26 A X-ray, female genital tract 0.38 0.12 0.13 0.12 0.13 0.02 0.52 0.53 0.52 0.53 XXX 74740 TC A X-ray, female genital tract 0.00 1.65 1.40 NA NA 0.07 1.72 1.47 NA NA XXX 74742 C X-ray, fallopian tube 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74742 26 A X-ray, fallopian tube 0.61 0.17 0.19 0.17 0.19 0.03 0.81 0.83 0.81 0.83 XXX 74742 TC C X-ray, fallopian tube 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 74775 A X-ray exam of perineum 0.62 NA NA NA NA 0.11 NA NA NA NA XXX Start Printed Page 49190 74775 26 A X-ray exam of perineum 0.62 0.19 0.21 0.19 0.21 0.03 0.84 0.86 0.84 0.86 XXX 74775 TC A X-ray exam of perineum 0.00 NA NA NA NA 0.08 NA NA NA NA XXX 75552 A Heart mri for morph w/o dye 1.60 19.30 13.62 NA NA 0.66 21.56 15.88 NA NA XXX 75552 26 A Heart mri for morph w/o dye 1.60 0.57 0.54 0.57 0.54 0.07 2.24 2.21 2.24 2.21 XXX 75552 TC A Heart mri for morph w/o dye 0.00 18.73 13.08 NA NA 0.59 19.32 13.67 NA NA XXX 75553 A Heart mri for morph w/dye 2.00 24.28 14.96 NA NA 0.66 26.94 17.62 NA NA XXX 75553 26 A Heart mri for morph w/dye 2.00 0.94 0.72 0.94 0.72 0.07 3.01 2.79 3.01 2.79 XXX 75553 TC A Heart mri for morph w/dye 0.00 23.34 14.24 NA NA 0.59 23.93 14.83 NA NA XXX 75554 A Cardiac MRI/function 1.83 27.20 15.68 NA NA 0.66 29.69 18.17 NA NA XXX 75554 26 A Cardiac MRI/function 1.83 0.79 0.68 0.79 0.68 0.07 2.69 2.58 2.69 2.58 XXX 75554 TC A Cardiac MRI/function 0.00 26.41 15.00 NA NA 0.59 27.00 15.59 NA NA XXX 75555 A Cardiac MRI/limited study 1.74 27.64 15.79 NA NA 0.66 30.04 18.19 NA NA XXX 75555 26 A Cardiac MRI/limited study 1.74 0.84 0.69 0.84 0.69 0.07 2.65 2.50 2.65 2.50 XXX 75555 TC A Cardiac MRI/limited study 0.00 26.80 15.10 NA NA 0.59 27.39 15.69 NA NA XXX 75600 A Contrast x-ray exam of aorta 0.49 6.49 11.22 NA NA 0.67 7.65 12.38 NA NA XXX 75600 26 A Contrast x-ray exam of aorta 0.49 0.25 0.21 0.25 0.21 0.02 0.76 0.72 0.76 0.72 XXX 75600 TC A Contrast x-ray exam of aorta 0.00 6.24 11.01 NA NA 0.65 6.89 11.66 NA NA XXX 75605 A Contrast x-ray exam of aorta 1.14 3.63 10.66 NA NA 0.70 5.47 12.50 NA NA XXX 75605 26 A Contrast x-ray exam of aorta 1.14 0.51 0.43 0.51 0.43 0.05 1.70 1.62 1.70 1.62 XXX 75605 TC A Contrast x-ray exam of aorta 0.00 3.13 10.23 NA NA 0.65 3.78 10.88 NA NA XXX 75625 A Contrast x-ray exam of aorta 1.14 3.38 10.58 NA NA 0.71 5.23 12.43 NA NA XXX 75625 26 A Contrast x-ray exam of aorta 1.14 0.42 0.39 0.42 0.39 0.06 1.62 1.59 1.62 1.59 XXX 75625 TC A Contrast x-ray exam of aorta 0.00 2.96 10.19 NA NA 0.65 3.61 10.84 NA NA XXX 75630 A X-ray aorta, leg arteries 1.79 3.80 11.26 NA NA 0.80 6.39 13.85 NA NA XXX 75630 26 A X-ray aorta, leg arteries 1.79 0.72 0.64 0.72 0.64 0.11 2.62 2.54 2.62 2.54 XXX 75630 TC A X-ray aorta, leg arteries 0.00 3.08 10.62 NA NA 0.69 3.77 11.31 NA NA XXX 75635 A Ct angio abdominal arteries 2.40 12.87 15.74 NA NA 0.50 15.77 18.64 NA NA XXX 75635 26 A Ct angio abdominal arteries 2.40 0.83 0.80 0.83 0.80 0.11 3.34 3.31 3.34 3.31 XXX 75635 TC A Ct angio abdominal arteries 0.00 12.04 14.94 NA NA 0.39 12.43 15.33 NA NA XXX 75650 A Artery x-rays, head & neck 1.49 3.53 10.70 NA NA 0.72 5.74 12.91 NA NA XXX 75650 26 A Artery x-rays, head & neck 1.49 0.55 0.51 0.55 0.51 0.07 2.11 2.07 2.11 2.07 XXX 75650 TC A Artery x-rays, head & neck 0.00 2.97 10.19 NA NA 0.65 3.62 10.84 NA NA XXX 75658 A Artery x-rays, arm 1.31 3.86 10.77 NA NA 0.72 5.89 12.80 NA NA XXX 75658 26 A Artery x-rays, arm 1.31 0.48 0.47 0.48 0.47 0.07 1.86 1.85 1.86 1.85 XXX 75658 TC A Artery x-rays, arm 0.00 3.37 10.29 NA NA 0.65 4.02 10.94 NA NA XXX 75660 A Artery x-rays, head & neck 1.31 3.94 10.77 NA NA 0.71 5.96 12.79 NA NA XXX 75660 26 A Artery x-rays, head & neck 1.31 0.49 0.45 0.49 0.45 0.06 1.86 1.82 1.86 1.82 XXX 75660 TC A Artery x-rays, head & neck 0.00 3.45 10.31 NA NA 0.65 4.10 10.96 NA NA XXX 75662 A Artery x-rays, head & neck 1.66 5.11 11.17 NA NA 0.71 7.48 13.54 NA NA XXX 75662 26 A Artery x-rays, head & neck 1.66 0.72 0.62 0.72 0.62 0.06 2.44 2.34 2.44 2.34 XXX 75662 TC A Artery x-rays, head & neck 0.00 4.39 10.55 NA NA 0.65 5.04 11.20 NA NA XXX 75665 A Artery x-rays, head & neck 1.31 4.10 10.81 NA NA 0.74 6.15 12.86 NA NA XXX 75665 26 A Artery x-rays, head & neck 1.31 0.46 0.45 0.46 0.45 0.09 1.86 1.85 1.86 1.85 XXX 75665 TC A Artery x-rays, head & neck 0.00 3.64 10.36 NA NA 0.65 4.29 11.01 NA NA XXX 75671 A Artery x-rays, head & neck 1.66 5.09 11.14 NA NA 0.72 7.47 13.52 NA NA XXX 75671 26 A Artery x-rays, head & neck 1.66 0.61 0.57 0.61 0.57 0.07 2.34 2.30 2.34 2.30 XXX 75671 TC A Artery x-rays, head & neck 0.00 4.48 10.57 NA NA 0.65 5.13 11.22 NA NA XXX 75676 A Artery x-rays, neck 1.31 3.86 10.75 NA NA 0.72 5.89 12.78 NA NA XXX 75676 26 A Artery x-rays, neck 1.31 0.47 0.45 0.47 0.45 0.07 1.85 1.83 1.85 1.83 XXX 75676 TC A Artery x-rays, neck 0.00 3.40 10.30 NA NA 0.65 4.05 10.95 NA NA XXX 75680 A Artery x-rays, neck 1.66 4.61 11.02 NA NA 0.72 6.99 13.40 NA NA XXX 75680 26 A Artery x-rays, neck 1.66 0.64 0.57 0.64 0.57 0.07 2.37 2.30 2.37 2.30 XXX 75680 TC A Artery x-rays, neck 0.00 3.98 10.45 NA NA 0.65 4.63 11.10 NA NA XXX 75685 A Artery x-rays, spine 1.31 3.90 10.75 NA NA 0.71 5.92 12.77 NA NA XXX 75685 26 A Artery x-rays, spine 1.31 0.49 0.45 0.49 0.45 0.06 1.86 1.82 1.86 1.82 XXX 75685 TC A Artery x-rays, spine 0.00 3.41 10.30 NA NA 0.65 4.06 10.95 NA NA XXX Start Printed Page 49191 75705 A Artery x-rays, spine 2.18 4.07 11.02 NA NA 0.78 7.03 13.98 NA NA XXX 75705 26 A Artery x-rays, spine 2.18 0.72 0.73 0.72 0.73 0.13 3.03 3.04 3.03 3.04 XXX 75705 TC A Artery x-rays, spine 0.00 3.35 10.29 NA NA 0.65 4.00 10.94 NA NA XXX 75710 A Artery x-rays, arm/leg 1.14 3.99 10.74 NA NA 0.72 5.85 12.60 NA NA XXX 75710 26 A Artery x-rays, arm/leg 1.14 0.42 0.40 0.42 0.40 0.07 1.63 1.61 1.63 1.61 XXX 75710 TC A Artery x-rays, arm/leg 0.00 3.57 10.34 NA NA 0.65 4.22 10.99 NA NA XXX 75716 A Artery x-rays, arms/legs 1.31 4.94 11.01 NA NA 0.72 6.97 13.04 NA NA XXX 75716 26 A Artery x-rays, arms/legs 1.31 0.49 0.45 0.49 0.45 0.07 1.87 1.83 1.87 1.83 XXX 75716 TC A Artery x-rays, arms/legs 0.00 4.45 10.56 NA NA 0.65 5.10 11.21 NA NA XXX 75722 A Artery x-rays, kidney 1.14 3.89 10.72 NA NA 0.70 5.73 12.56 NA NA XXX 75722 26 A Artery x-rays, kidney 1.14 0.47 0.42 0.47 0.42 0.05 1.66 1.61 1.66 1.61 XXX 75722 TC A Artery x-rays, kidney 0.00 3.42 10.31 NA NA 0.65 4.07 10.96 NA NA XXX 75724 A Artery x-rays, kidneys 1.49 5.20 11.17 NA NA 0.70 7.39 13.36 NA NA XXX 75724 26 A Artery x-rays, kidneys 1.49 0.75 0.61 0.75 0.61 0.05 2.29 2.15 2.29 2.15 XXX 75724 TC A Artery x-rays, kidneys 0.00 4.44 10.56 NA NA 0.65 5.09 11.21 NA NA XXX 75726 A Artery x-rays, abdomen 1.14 3.73 10.66 NA NA 0.70 5.57 12.50 NA NA XXX 75726 26 A Artery x-rays, abdomen 1.14 0.38 0.37 0.38 0.37 0.05 1.57 1.56 1.57 1.56 XXX 75726 TC A Artery x-rays, abdomen 0.00 3.35 10.29 NA NA 0.65 4.00 10.94 NA NA XXX 75731 A Artery x-rays, adrenal gland 1.14 3.90 10.70 NA NA 0.71 5.75 12.55 NA NA XXX 75731 26 A Artery x-rays, adrenal gland 1.14 0.42 0.38 0.42 0.38 0.06 1.62 1.58 1.62 1.58 XXX 75731 TC A Artery x-rays, adrenal gland 0.00 3.48 10.32 NA NA 0.65 4.13 10.97 NA NA XXX 75733 A Artery x-rays, adrenals 1.31 5.27 11.10 NA NA 0.71 7.29 13.12 NA NA XXX 75733 26 A Artery x-rays, adrenals 1.31 0.59 0.48 0.59 0.48 0.06 1.96 1.85 1.96 1.85 XXX 75733 TC A Artery x-rays, adrenals 0.00 4.68 10.62 NA NA 0.65 5.33 11.27 NA NA XXX 75736 A Artery x-rays, pelvis 1.14 3.87 10.70 NA NA 0.71 5.72 12.55 NA NA XXX 75736 26 A Artery x-rays, pelvis 1.14 0.41 0.39 0.41 0.39 0.06 1.61 1.59 1.61 1.59 XXX 75736 TC A Artery x-rays, pelvis 0.00 3.46 10.32 NA NA 0.65 4.11 10.97 NA NA XXX 75741 A Artery x-rays, lung 1.31 3.14 10.56 NA NA 0.71 5.16 12.58 NA NA XXX 75741 26 A Artery x-rays, lung 1.31 0.45 0.44 0.45 0.44 0.06 1.82 1.81 1.82 1.81 XXX 75741 TC A Artery x-rays, lung 0.00 2.70 10.13 NA NA 0.65 3.35 10.78 NA NA XXX 75743 A Artery x-rays, lungs 1.66 3.53 10.74 NA NA 0.72 5.91 13.12 NA NA XXX 75743 26 A Artery x-rays, lungs 1.66 0.57 0.55 0.57 0.55 0.07 2.30 2.28 2.30 2.28 XXX 75743 TC A Artery x-rays, lungs 0.00 2.96 10.19 NA NA 0.65 3.61 10.84 NA NA XXX 75746 A Artery x-rays, lung 1.14 3.46 10.60 NA NA 0.70 5.30 12.44 NA NA XXX 75746 26 A Artery x-rays, lung 1.14 0.36 0.38 0.36 0.38 0.05 1.55 1.57 1.55 1.57 XXX 75746 TC A Artery x-rays, lung 0.00 3.10 10.23 NA NA 0.65 3.75 10.88 NA NA XXX 75756 A Artery x-rays, chest 1.14 4.45 10.90 NA NA 0.69 6.28 12.73 NA NA XXX 75756 26 A Artery x-rays, chest 1.14 0.60 0.49 0.60 0.49 0.04 1.78 1.67 1.78 1.67 XXX 75756 TC A Artery x-rays, chest 0.00 3.84 10.41 NA NA 0.65 4.49 11.06 NA NA XXX 75774 A Artery x-ray, each vessel 0.36 2.53 10.17 2.53 10.17 0.67 3.56 11.20 3.56 11.20 ZZZ 75774 26 A Artery x-ray, each vessel 0.36 0.13 0.12 0.13 0.12 0.02 0.51 0.50 0.51 0.50 ZZZ 75774 TC A Artery x-ray, each vessel 0.00 2.40 10.05 2.40 10.05 0.65 3.05 10.70 3.05 10.70 ZZZ 75790 A Visualize A-V shunt 1.84 3.11 2.23 NA NA 0.17 5.12 4.24 NA NA XXX 75790 26 A Visualize A-V shunt 1.84 0.57 0.59 0.57 0.59 0.09 2.50 2.52 2.50 2.52 XXX 75790 TC A Visualize A-V shunt 0.00 2.54 1.65 NA NA 0.08 2.62 1.73 NA NA XXX 75801 A Lymph vessel x-ray, arm/leg 0.81 NA NA NA NA 0.37 NA NA NA NA XXX 75801 26 A Lymph vessel x-ray, arm/leg 0.81 0.22 0.26 0.22 0.26 0.08 1.11 1.15 1.11 1.15 XXX 75801 TC A Lymph vessel x-ray, arm/leg 0.00 NA NA NA NA 0.29 NA NA NA NA XXX 75803 A Lymph vessel x-ray,arms/legs 1.17 NA NA NA NA 0.34 NA NA NA NA XXX 75803 26 A Lymph vessel x-ray,arms/legs 1.17 0.35 0.37 0.35 0.37 0.05 1.57 1.59 1.57 1.59 XXX 75803 TC A Lymph vessel x-ray,arms/legs 0.00 NA NA NA NA 0.29 NA NA NA NA XXX 75805 A Lymph vessel x-ray, trunk 0.81 NA NA NA NA 0.38 NA NA NA NA XXX 75805 26 A Lymph vessel x-ray, trunk 0.81 0.23 0.26 0.23 0.26 0.05 1.09 1.12 1.09 1.12 XXX 75805 TC A Lymph vessel x-ray, trunk 0.00 NA NA NA NA 0.33 NA NA NA NA XXX 75807 C Lymph vessel x-ray, trunk 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75807 26 A Lymph vessel x-ray, trunk 1.17 0.37 0.38 0.37 0.38 0.05 1.59 1.60 1.59 1.60 XXX 75807 TC C Lymph vessel x-ray, trunk 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75809 A Nonvascular shunt, x-ray 0.47 2.18 1.24 NA NA 0.07 2.72 1.78 NA NA XXX 75809 26 A Nonvascular shunt, x-ray 0.47 0.15 0.15 0.15 0.15 0.02 0.64 0.64 0.64 0.64 XXX 75809 TC A Nonvascular shunt, x-ray 0.00 2.03 1.09 NA NA 0.05 2.08 1.14 NA NA XXX 75810 A Vein x-ray, spleen/liver 1.14 NA NA NA NA 0.70 NA NA NA NA XXX 75810 26 A Vein x-ray, spleen/liver 1.14 0.39 0.38 0.39 0.38 0.05 1.58 1.57 1.58 1.57 XXX 75810 TC A Vein x-ray, spleen/liver 0.00 NA NA NA NA 0.65 NA NA NA NA XXX 75820 A Vein x-ray, arm/leg 0.70 3.02 1.64 NA NA 0.09 3.81 2.43 NA NA XXX 75820 26 A Vein x-ray, arm/leg 0.70 0.28 0.24 0.28 0.24 0.03 1.01 0.97 1.01 0.97 XXX 75820 TC A Vein x-ray, arm/leg 0.00 2.74 1.40 NA NA 0.06 2.80 1.46 NA NA XXX Start Printed Page 49192 75822 A Vein x-ray, arms/legs 1.06 3.18 2.16 NA NA 0.13 4.37 3.35 NA NA XXX 75822 26 A Vein x-ray, arms/legs 1.06 0.35 0.35 0.35 0.35 0.05 1.46 1.46 1.46 1.46 XXX 75822 TC A Vein x-ray, arms/legs 0.00 2.83 1.82 NA NA 0.08 2.91 1.90 NA NA XXX 75825 A Vein x-ray, trunk 1.14 2.93 10.46 NA NA 0.72 4.79 12.32 NA NA XXX 75825 26 A Vein x-ray, trunk 1.14 0.36 0.37 0.36 0.37 0.07 1.57 1.58 1.57 1.58 XXX 75825 TC A Vein x-ray, trunk 0.00 2.57 10.09 NA NA 0.65 3.22 10.74 NA NA XXX 75827 A Vein x-ray, chest 1.14 2.98 10.47 NA NA 0.70 4.82 12.31 NA NA XXX 75827 26 A Vein x-ray, chest 1.14 0.36 0.37 0.36 0.37 0.05 1.55 1.56 1.55 1.56 XXX 75827 TC A Vein x-ray, chest 0.00 2.61 10.10 NA NA 0.65 3.26 10.75 NA NA XXX 75831 A Vein x-ray, kidney 1.14 3.05 10.49 NA NA 0.71 4.90 12.34 NA NA XXX 75831 26 A Vein x-ray, kidney 1.14 0.36 0.37 0.36 0.37 0.06 1.56 1.57 1.56 1.57 XXX 75831 TC A Vein x-ray, kidney 0.00 2.69 10.12 NA NA 0.65 3.34 10.77 NA NA XXX 75833 A Vein x-ray, kidneys 1.49 3.71 10.75 NA NA 0.74 5.94 12.98 NA NA XXX 75833 26 A Vein x-ray, kidneys 1.49 0.48 0.49 0.48 0.49 0.09 2.06 2.07 2.06 2.07 XXX 75833 TC A Vein x-ray, kidneys 0.00 3.23 10.26 NA NA 0.65 3.88 10.91 NA NA XXX 75840 A Vein x-ray, adrenal gland 1.14 3.29 10.56 NA NA 0.72 5.15 12.42 NA NA XXX 75840 26 A Vein x-ray, adrenal gland 1.14 0.45 0.40 0.45 0.40 0.07 1.66 1.61 1.66 1.61 XXX 75840 TC A Vein x-ray, adrenal gland 0.00 2.84 10.16 NA NA 0.65 3.49 10.81 NA NA XXX 75842 A Vein x-ray, adrenal glands 1.49 3.68 10.73 NA NA 0.72 5.89 12.94 NA NA XXX 75842 26 A Vein x-ray, adrenal glands 1.49 0.49 0.48 0.49 0.48 0.07 2.05 2.04 2.05 2.04 XXX 75842 TC A Vein x-ray, adrenal glands 0.00 3.19 10.25 NA NA 0.65 3.84 10.90 NA NA XXX 75860 A Vein x-ray, neck 1.14 3.45 10.61 NA NA 0.69 5.28 12.44 NA NA XXX 75860 26 A Vein x-ray, neck 1.14 0.50 0.42 0.50 0.42 0.04 1.68 1.60 1.68 1.60 XXX 75860 TC A Vein x-ray, neck 0.00 2.96 10.19 NA NA 0.65 3.61 10.84 NA NA XXX 75870 A Vein x-ray, skull 1.14 3.23 10.55 NA NA 0.70 5.07 12.39 NA NA XXX 75870 26 A Vein x-ray, skull 1.14 0.39 0.39 0.39 0.39 0.05 1.58 1.58 1.58 1.58 XXX 75870 TC A Vein x-ray, skull 0.00 2.84 10.16 NA NA 0.65 3.49 10.81 NA NA XXX 75872 A Vein x-ray, skull 1.14 3.91 10.71 NA NA 0.79 5.84 12.64 NA NA XXX 75872 26 A Vein x-ray, skull 1.14 0.42 0.38 0.42 0.38 0.14 1.70 1.66 1.70 1.66 XXX 75872 TC A Vein x-ray, skull 0.00 3.48 10.32 NA NA 0.65 4.13 10.97 NA NA XXX 75880 A Vein x-ray, eye socket 0.70 2.99 1.63 NA NA 0.09 3.78 2.42 NA NA XXX 75880 26 A Vein x-ray, eye socket 0.70 0.23 0.23 0.23 0.23 0.03 0.96 0.96 0.96 0.96 XXX 75880 TC A Vein x-ray, eye socket 0.00 2.76 1.40 NA NA 0.06 2.82 1.46 NA NA XXX 75885 A Vein x-ray, liver 1.44 3.17 10.60 NA NA 0.71 5.32 12.75 NA NA XXX 75885 26 A Vein x-ray, liver 1.44 0.47 0.47 0.47 0.47 0.06 1.97 1.97 1.97 1.97 XXX 75885 TC A Vein x-ray, liver 0.00 2.70 10.13 NA NA 0.65 3.35 10.78 NA NA XXX 75887 A Vein x-ray, liver 1.44 3.35 10.64 NA NA 0.71 5.50 12.79 NA NA XXX 75887 26 A Vein x-ray, liver 1.44 0.51 0.48 0.51 0.48 0.06 2.01 1.98 2.01 1.98 XXX 75887 TC A Vein x-ray, liver 0.00 2.84 10.16 NA NA 0.65 3.49 10.81 NA NA XXX 75889 A Vein x-ray, liver 1.14 3.07 10.50 NA NA 0.70 4.91 12.34 NA NA XXX 75889 26 A Vein x-ray, liver 1.14 0.38 0.37 0.38 0.37 0.05 1.57 1.56 1.57 1.56 XXX 75889 TC A Vein x-ray, liver 0.00 2.70 10.13 NA NA 0.65 3.35 10.78 NA NA XXX 75891 A Vein x-ray, liver 1.14 3.05 10.49 NA NA 0.70 4.89 12.33 NA NA XXX 75891 26 A Vein x-ray, liver 1.14 0.37 0.37 0.37 0.37 0.05 1.56 1.56 1.56 1.56 XXX 75891 TC A Vein x-ray, liver 0.00 2.68 10.12 NA NA 0.65 3.33 10.77 NA NA XXX 75893 A Venous sampling by catheter 0.54 2.87 10.30 NA NA 0.67 4.08 11.51 NA NA XXX 75893 26 A Venous sampling by catheter 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX 75893 TC A Venous sampling by catheter 0.00 2.69 10.12 NA NA 0.65 3.34 10.77 NA NA XXX 75894 A X-rays, transcath therapy 1.31 NA NA NA NA 1.35 NA NA NA NA XXX 75894 26 A X-rays, transcath therapy 1.31 0.42 0.43 0.42 0.43 0.08 1.81 1.82 1.81 1.82 XXX 75894 TC A X-rays, transcath therapy 0.00 NA NA NA NA 1.27 NA NA NA NA XXX 75896 A X-rays, transcath therapy 1.31 NA NA NA NA 1.15 NA NA NA NA XXX 75896 26 A X-rays, transcath therapy 1.31 0.51 0.47 0.51 0.47 0.05 1.87 1.83 1.87 1.83 XXX 75896 TC A X-rays, transcath therapy 0.00 NA NA NA NA 1.10 NA NA NA NA XXX 75898 A Follow-up angiography 1.65 NA NA NA NA 0.13 NA NA NA NA XXX 75898 26 A Follow-up angiography 1.65 0.60 0.56 0.60 0.56 0.07 2.32 2.28 2.32 2.28 XXX Start Printed Page 49193 75898 TC A Follow-up angiography 0.00 NA NA NA NA 0.06 NA NA NA NA XXX 75900 C Intravascular cath exchange 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75900 26 A Intravascular cath exchange 0.49 0.16 0.16 0.16 0.16 0.03 0.68 0.68 0.68 0.68 XXX 75900 TC C Intravascular cath exchange 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75901 A Remove cva device obstruct 0.49 4.20 2.15 NA NA 0.85 5.54 3.49 NA NA XXX 75901 26 A Remove cva device obstruct 0.49 0.16 0.16 0.16 0.16 0.02 0.67 0.67 0.67 0.67 XXX 75901 TC A Remove cva device obstruct 0.00 4.04 1.99 NA NA 0.83 4.87 2.82 NA NA XXX 75902 A Remove cva lumen obstruct 0.39 1.64 1.49 NA NA 0.85 2.88 2.73 NA NA XXX 75902 26 A Remove cva lumen obstruct 0.39 0.13 0.13 0.13 0.13 0.02 0.54 0.54 0.54 0.54 XXX 75902 TC A Remove cva lumen obstruct 0.00 1.52 1.36 NA NA 0.83 2.35 2.19 NA NA XXX 75940 A X-ray placement, vein filter 0.54 NA NA NA NA 0.69 NA NA NA NA XXX 75940 26 A X-ray placement, vein filter 0.54 0.17 0.18 0.17 0.18 0.04 0.75 0.76 0.75 0.76 XXX 75940 TC A X-ray placement, vein filter 0.00 NA NA NA NA 0.65 NA NA NA NA XXX 75945 A Intravascular us 0.40 NA NA NA NA 0.28 NA NA NA NA XXX 75945 26 A Intravascular us 0.40 0.15 0.14 0.15 0.14 0.04 0.59 0.58 0.59 0.58 XXX 75945 TC A Intravascular us 0.00 NA NA NA NA 0.24 NA NA NA NA XXX 75946 C Intravascular us add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 75946 26 A Intravascular us add-on 0.40 0.13 0.14 0.13 0.14 0.05 0.58 0.59 0.58 0.59 ZZZ 75946 TC C Intravascular us add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 75952 C Endovasc repair abdom aorta 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75952 26 A Endovasc repair abdom aorta 4.49 1.31 1.45 1.31 1.45 0.43 6.23 6.37 6.23 6.37 XXX 75952 TC C Endovasc repair abdom aorta 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 75953 26 A Abdom aneurysm endovas rpr 1.36 0.40 0.44 0.40 0.44 0.13 1.89 1.93 1.89 1.93 XXX 75953 TC C Abdom aneurysm endovas rpr 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 75954 26 A Iliac aneurysm endovas rpr 2.25 0.66 0.75 0.66 0.75 0.15 3.06 3.15 3.06 3.15 XXX 75954 TC C Iliac aneurysm endovas rpr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75956 C Xray, endovasc thor ao repr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75956 26 A Xray, endovasc thor ao repr 7.00 1.63 2.43 1.63 2.43 0.69 9.32 10.12 9.32 10.12 XXX 75956 TC C Xray, endovasc thor ao repr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75957 C Xray, endovasc thor ao repr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75957 26 A Xray, endovasc thor ao repr 6.00 1.40 2.08 1.40 2.08 0.59 7.99 8.67 7.99 8.67 XXX 75957 TC C Xray, endovasc thor ao repr 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75958 C Xray, place prox ext thor ao 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75958 26 A Xray, place prox ext thor ao 4.00 0.93 1.40 0.93 1.40 0.39 5.32 5.79 5.32 5.79 XXX 75958 TC C Xray, place prox ext thor ao 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75959 C Xray, place dist ext thor ao 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75959 26 A Xray, place dist ext thor ao 3.50 0.82 1.23 0.82 1.23 0.34 4.66 5.07 4.66 5.07 XXX 75959 TC C Xray, place dist ext thor ao 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 75960 A Transcath iv stent rs&i 0.82 NA NA NA NA 0.82 NA NA NA NA XXX 75960 26 A Transcath iv stent rs&i 0.82 0.32 0.29 0.32 0.29 0.05 1.19 1.16 1.19 1.16 XXX 75960 TC A Transcath iv stent rs&i 0.00 NA NA NA NA 0.77 NA NA NA NA XXX 75961 A Retrieval, broken catheter 4.24 4.59 10.07 NA NA 0.73 9.56 15.04 NA NA XXX 75961 26 A Retrieval, broken catheter 4.24 1.38 1.39 1.38 1.39 0.18 5.80 5.81 5.80 5.81 XXX 75961 TC A Retrieval, broken catheter 0.00 3.20 8.68 NA NA 0.55 3.75 9.23 NA NA XXX 75962 A Repair arterial blockage 0.54 3.54 12.83 NA NA 0.86 4.94 14.23 NA NA XXX 75962 26 A Repair arterial blockage 0.54 0.20 0.19 0.20 0.19 0.03 0.77 0.76 0.77 0.76 XXX 75962 TC A Repair arterial blockage 0.00 3.34 12.64 NA NA 0.83 4.17 13.47 NA NA XXX 75964 A Repair artery blockage, each 0.36 2.38 6.98 2.38 6.98 0.46 3.20 7.80 3.20 7.80 ZZZ 75964 26 A Repair artery blockage, each 0.36 0.13 0.12 0.13 0.12 0.03 0.52 0.51 0.52 0.51 ZZZ 75964 TC A Repair artery blockage, each 0.00 2.26 6.86 2.26 6.86 0.43 2.69 7.29 2.69 7.29 ZZZ 75966 A Repair arterial blockage 1.31 4.21 13.20 NA NA 0.89 6.41 15.40 NA NA XXX 75966 26 A Repair arterial blockage 1.31 0.57 0.49 0.57 0.49 0.06 1.94 1.86 1.94 1.86 XXX 75966 TC A Repair arterial blockage 0.00 3.64 12.72 NA NA 0.83 4.47 13.55 NA NA XXX 75968 A Repair artery blockage, each 0.36 2.44 7.00 2.44 7.00 0.45 3.25 7.81 3.25 7.81 ZZZ 75968 26 A Repair artery blockage, each 0.36 0.16 0.14 0.16 0.14 0.02 0.54 0.52 0.54 0.52 ZZZ 75968 TC A Repair artery blockage, each 0.00 2.29 6.87 2.29 6.87 0.43 2.72 7.30 2.72 7.30 ZZZ 75970 A Vascular biopsy 0.83 NA NA NA NA 0.64 NA NA NA NA XXX 75970 26 A Vascular biopsy 0.83 0.28 0.28 0.28 0.28 0.04 1.15 1.15 1.15 1.15 XXX 75970 TC A Vascular biopsy 0.00 NA NA NA NA 0.60 NA NA NA NA XXX 75978 A Repair venous blockage 0.54 3.27 12.76 NA NA 0.85 4.66 14.15 NA NA XXX 75978 26 A Repair venous blockage 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX 75978 TC A Repair venous blockage 0.00 3.11 12.58 NA NA 0.83 3.94 13.41 NA NA XXX 75980 A Contrast xray exam bile duct 1.44 NA NA NA NA 0.35 NA NA NA NA XXX 75980 26 A Contrast xray exam bile duct 1.44 0.47 0.47 0.47 0.47 0.06 1.97 1.97 1.97 1.97 XXX Start Printed Page 49194 75980 TC A Contrast xray exam bile duct 0.00 NA NA NA NA 0.29 NA NA NA NA XXX 75982 C Contrast xray exam bile duct 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75982 26 A Contrast xray exam bile duct 1.44 0.47 0.47 0.47 0.47 0.06 1.97 1.97 1.97 1.97 XXX 75982 TC C Contrast xray exam bile duct 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75984 A Xray control catheter change 0.72 2.31 2.21 NA NA 0.14 3.17 3.07 NA NA XXX 75984 26 A Xray control catheter change 0.72 0.24 0.23 0.24 0.23 0.03 0.99 0.98 0.99 0.98 XXX 75984 TC A Xray control catheter change 0.00 2.08 1.98 NA NA 0.11 2.19 2.09 NA NA XXX 75989 A Abscess drainage under x-ray 1.19 2.21 3.21 NA NA 0.22 3.62 4.62 NA NA XXX 75989 26 A Abscess drainage under x-ray 1.19 0.38 0.39 0.38 0.39 0.05 1.62 1.63 1.62 1.63 XXX 75989 TC A Abscess drainage under x-ray 0.00 1.83 2.82 NA NA 0.17 2.00 2.99 NA NA XXX 75992 A Atherectomy, x-ray exam 0.54 NA NA NA NA 0.86 NA NA NA NA XXX 75992 26 A Atherectomy, x-ray exam 0.54 0.23 0.20 0.23 0.20 0.03 0.80 0.77 0.80 0.77 XXX 75992 TC A Atherectomy, x-ray exam 0.00 NA NA NA NA 0.83 NA NA NA NA XXX 75993 C Atherectomy, x-ray exam 0.00 NA NA NA NA 0.00 NA NA NA NA ZZZ 75993 26 A Atherectomy, x-ray exam 0.36 0.15 0.14 0.15 0.14 0.02 0.53 0.52 0.53 0.52 ZZZ 75993 TC C Atherectomy, x-ray exam 0.00 NA NA NA NA 0.00 NA NA NA NA ZZZ 75994 C Atherectomy, x-ray exam 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75994 26 A Atherectomy, x-ray exam 1.31 0.62 0.50 0.62 0.50 0.07 2.00 1.88 2.00 1.88 XXX 75994 TC C Atherectomy, x-ray exam 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75995 C Atherectomy, x-ray exam 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75995 26 A Atherectomy, x-ray exam 1.31 0.51 0.48 0.51 0.48 0.05 1.87 1.84 1.87 1.84 XXX 75995 TC C Atherectomy, x-ray exam 0.00 NA NA NA NA 0.00 NA NA NA NA XXX 75996 C Atherectomy, x-ray exam 0.00 NA NA NA NA 0.00 NA NA NA NA ZZZ 75996 26 A Atherectomy, x-ray exam 0.36 0.15 0.13 0.15 0.13 0.02 0.53 0.51 0.53 0.51 ZZZ 75996 TC C Atherectomy, x-ray exam 0.00 NA NA NA NA 0.00 NA NA NA NA ZZZ 75998 A Fluoroguide for vein device 0.38 2.73 1.76 NA NA 0.11 3.22 2.25 NA NA ZZZ 75998 26 A Fluoroguide for vein device 0.38 0.12 0.13 0.12 0.13 0.01 0.51 0.52 0.51 0.52 ZZZ 75998 TC A Fluoroguide for vein device 0.00 2.61 1.64 NA NA 0.10 2.71 1.74 NA NA ZZZ 76000 A Fluoroscope examination 0.17 2.75 1.71 NA NA 0.08 3.00 1.96 NA NA XXX 76000 26 A Fluoroscope examination 0.17 0.06 0.05 0.06 0.05 0.01 0.24 0.23 0.24 0.23 XXX 76000 TC A Fluoroscope examination 0.00 2.70 1.66 NA NA 0.07 2.77 1.73 NA NA XXX 76001 A Fluoroscope exam, extensive 0.67 NA NA NA NA 0.19 NA NA NA NA XXX 76001 26 A Fluoroscope exam, extensive 0.67 0.22 0.22 0.22 0.22 0.05 0.94 0.94 0.94 0.94 XXX 76001 TC A Fluoroscope exam, extensive 0.00 NA NA NA NA 0.14 NA NA NA NA XXX 76003 A Needle localization by x-ray 0.54 1.21 1.41 NA NA 0.09 1.84 2.04 NA NA XXX 76003 26 A Needle localization by x-ray 0.54 0.15 0.17 0.15 0.17 0.02 0.71 0.73 0.71 0.73 XXX 76003 TC A Needle localization by x-ray 0.00 1.06 1.25 NA NA 0.07 1.13 1.32 NA NA XXX 76005 A Fluoroguide for spine inject 0.60 0.76 1.29 NA NA 0.10 1.46 1.99 NA NA XXX 76005 26 A Fluoroguide for spine inject 0.60 0.14 0.15 0.14 0.15 0.03 0.77 0.78 0.77 0.78 XXX 76005 TC A Fluoroguide for spine inject 0.00 0.62 1.14 NA NA 0.07 0.69 1.21 NA NA XXX 76006 A X-ray stress view 0.41 0.77 0.33 0.77 0.33 0.06 1.24 0.80 1.24 0.80 XXX 76010 A X-ray, nose to rectum 0.18 0.55 0.57 NA NA 0.03 0.76 0.78 NA NA XXX 76010 26 A X-ray, nose to rectum 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX 76010 TC A X-ray, nose to rectum 0.00 0.49 0.51 NA NA 0.02 0.51 0.53 NA NA XXX 76012 C Percut vertebroplasty fluor 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76012 26 A Percut vertebroplasty fluor 1.31 0.44 0.46 0.44 0.46 0.10 1.85 1.87 1.85 1.87 XXX 76012 TC C Percut vertebroplasty fluor 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 76013 26 A Percut vertebroplasty, ct 1.38 0.45 0.47 0.45 0.47 0.07 1.90 1.92 1.90 1.92 XXX 76013 TC C Percut vertebroplasty, ct 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76020 A X-rays for bone age 0.19 0.42 0.54 NA NA 0.03 0.64 0.76 NA NA XXX 76020 26 A X-rays for bone age 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX 76020 TC A X-rays for bone age 0.00 0.36 0.48 NA NA 0.02 0.38 0.50 NA NA XXX 76040 A X-rays, bone evaluation 0.27 0.67 0.82 NA NA 0.06 1.00 1.15 NA NA XXX 76040 26 A X-rays, bone evaluation 0.27 0.10 0.09 0.10 0.09 0.01 0.38 0.37 0.38 0.37 XXX 76040 TC A X-rays, bone evaluation 0.00 0.57 0.73 NA NA 0.05 0.62 0.78 NA NA XXX Start Printed Page 49195 76061 A X-rays, bone survey 0.45 1.43 1.22 NA NA 0.08 1.96 1.75 NA NA XXX 76061 26 A X-rays, bone survey 0.45 0.14 0.15 0.14 0.15 0.02 0.61 0.62 0.61 0.62 XXX 76061 TC A X-rays, bone survey 0.00 1.28 1.07 NA NA 0.06 1.34 1.13 NA NA XXX 76062 A X-rays, bone survey 0.54 2.28 1.79 NA NA 0.10 2.92 2.43 NA NA XXX 76062 26 A X-rays, bone survey 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX 76062 TC A X-rays, bone survey 0.00 2.10 1.61 NA NA 0.08 2.18 1.69 NA NA XXX 76065 A X-rays, bone evaluation 0.70 2.01 1.22 NA NA 0.08 2.79 2.00 NA NA XXX 76065 26 A X-rays, bone evaluation 0.70 0.20 0.22 0.20 0.22 0.03 0.93 0.95 0.93 0.95 XXX 76065 TC A X-rays, bone evaluation 0.00 1.81 1.00 NA NA 0.05 1.86 1.05 NA NA XXX 76066 A Joint survey, single view 0.31 0.65 1.07 NA NA 0.08 1.04 1.46 NA NA XXX 76066 26 A Joint survey, single view 0.31 0.11 0.10 0.11 0.10 0.02 0.44 0.43 0.44 0.43 XXX 76066 TC A Joint survey, single view 0.00 0.55 0.97 NA NA 0.06 0.61 1.03 NA NA XXX 76070 A Ct bone density, axial 0.25 4.78 3.47 NA NA 0.17 5.20 3.89 NA NA XXX 76070 26 A Ct bone density, axial 0.25 0.08 0.08 0.08 0.08 0.01 0.34 0.34 0.34 0.34 XXX 76070 TC A Ct bone density, axial 0.00 4.70 3.39 NA NA 0.16 4.86 3.55 NA NA XXX 76071 A Ct bone density, peripheral 0.22 0.78 2.46 NA NA 0.06 1.06 2.74 NA NA XXX 76071 26 A Ct bone density, peripheral 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX 76071 TC A Ct bone density, peripheral 0.00 0.71 2.39 NA NA 0.05 0.76 2.44 NA NA XXX 76075 A Dxa bone density, axial 0.20 0.53 2.53 NA NA 0.18 0.91 2.91 NA NA XXX 76075 26 A Dxa bone density, axial 0.20 0.06 0.09 0.06 0.09 0.01 0.27 0.30 0.27 0.30 XXX 76075 TC A Dxa bone density, axial 0.00 0.47 2.44 NA NA 0.17 0.64 2.61 NA NA XXX 76076 A Dxa bone density/peripheral 0.22 0.57 0.77 NA NA 0.06 0.85 1.05 NA NA XXX 76076 26 A Dxa bone density/peripheral 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31 XXX 76076 TC A Dxa bone density/peripheral 0.00 0.50 0.69 NA NA 0.05 0.55 0.74 NA NA XXX 76077 A Dxa bone density/v-fracture 0.17 0.41 0.71 NA NA 0.06 0.64 0.94 NA NA XXX 76077 26 A Dxa bone density/v-fracture 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX 76077 TC A Dxa bone density/v-fracture 0.00 0.36 0.65 NA NA 0.05 0.41 0.70 NA NA XXX 76078 A Radiographic absorptiometry 0.20 0.38 0.71 NA NA 0.06 0.64 0.97 NA NA XXX 76078 26 A Radiographic absorptiometry 0.20 0.05 0.07 0.05 0.07 0.01 0.26 0.28 0.26 0.28 XXX 76078 TC A Radiographic absorptiometry 0.00 0.33 0.65 NA NA 0.05 0.38 0.70 NA NA XXX 76080 A X-ray exam of fistula 0.54 1.08 1.19 NA NA 0.08 1.70 1.81 NA NA XXX 76080 26 A X-ray exam of fistula 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX 76080 TC A X-ray exam of fistula 0.00 0.90 1.01 NA NA 0.06 0.96 1.07 NA NA XXX 76082 A Computer mammogram add-on 0.06 0.20 0.38 0.20 0.38 0.02 0.28 0.46 0.28 0.46 ZZZ 76082 26 A Computer mammogram add-on 0.06 0.02 0.02 0.02 0.02 0.01 0.09 0.09 0.09 0.09 ZZZ 76082 TC A Computer mammogram add-on 0.00 0.18 0.36 0.18 0.36 0.01 0.19 0.37 0.19 0.37 ZZZ 76083 A Computer mammogram add-on 0.06 0.20 0.38 0.20 0.38 0.02 0.28 0.46 0.28 0.46 ZZZ 76083 26 A Computer mammogram add-on 0.06 0.02 0.02 0.02 0.02 0.01 0.09 0.09 0.09 0.09 ZZZ 76083 TC A Computer mammogram add-on 0.00 0.18 0.36 0.18 0.36 0.01 0.19 0.37 0.19 0.37 ZZZ 76086 A X-ray of mammary duct 0.36 1.22 2.36 NA NA 0.16 1.74 2.88 NA NA XXX 76086 26 A X-ray of mammary duct 0.36 0.11 0.12 0.11 0.12 0.02 0.49 0.50 0.49 0.50 XXX 76086 TC A X-ray of mammary duct 0.00 1.11 2.24 NA NA 0.14 1.25 2.38 NA NA XXX 76088 A X-ray of mammary ducts 0.45 1.66 3.27 NA NA 0.21 2.32 3.93 NA NA XXX 76088 26 A X-ray of mammary ducts 0.45 0.14 0.15 0.14 0.15 0.02 0.61 0.62 0.61 0.62 XXX 76088 TC A X-ray of mammary ducts 0.00 1.52 3.13 NA NA 0.19 1.71 3.32 NA NA XXX 76090 A Mammogram, one breast 0.70 1.62 1.37 NA NA 0.09 2.41 2.16 NA NA XXX 76090 26 A Mammogram, one breast 0.70 0.22 0.23 0.22 0.23 0.03 0.95 0.96 0.95 0.96 XXX 76090 TC A Mammogram, one breast 0.00 1.40 1.14 NA NA 0.06 1.46 1.20 NA NA XXX 76091 A Mammogram, both breasts 0.87 2.11 1.72 NA NA 0.11 3.09 2.70 NA NA XXX 76091 26 A Mammogram, both breasts 0.87 0.27 0.28 0.27 0.28 0.04 1.18 1.19 1.18 1.19 XXX 76091 TC A Mammogram, both breasts 0.00 1.84 1.44 NA NA 0.07 1.91 1.51 NA NA XXX 76092 A Mammogram, screening 0.70 1.42 1.45 NA NA 0.10 2.22 2.25 NA NA XXX 76092 26 A Mammogram, screening 0.70 0.22 0.23 0.22 0.23 0.03 0.95 0.96 0.95 0.96 XXX 76092 TC A Mammogram, screening 0.00 1.20 1.22 NA NA 0.07 1.27 1.29 NA NA XXX 76093 A Magnetic image, breast 1.63 22.03 19.12 NA NA 0.99 24.65 21.74 NA NA XXX 76093 26 A Magnetic image, breast 1.63 0.53 0.53 0.53 0.53 0.07 2.23 2.23 2.23 2.23 XXX 76093 TC A Magnetic image, breast 0.00 21.50 18.59 NA NA 0.92 22.42 19.51 NA NA XXX 76094 A Magnetic image, both breasts 1.63 22.03 23.84 NA NA 1.31 24.97 26.78 NA NA XXX 76094 26 A Magnetic image, both breasts 1.63 0.53 0.53 0.53 0.53 0.07 2.23 2.23 2.23 2.23 XXX 76094 TC A Magnetic image, both breasts 0.00 21.50 23.31 NA NA 1.24 22.74 24.55 NA NA XXX 76095 A Stereotactic breast biopsy 1.59 1.82 6.22 NA NA 0.46 3.87 8.27 NA NA XXX 76095 26 A Stereotactic breast biopsy 1.59 0.48 0.51 0.48 0.51 0.09 2.16 2.19 2.16 2.19 XXX 76095 TC A Stereotactic breast biopsy 0.00 1.34 5.71 NA NA 0.37 1.71 6.08 NA NA XXX 76096 A X-ray of needle wire, breast 0.56 0.82 1.32 NA NA 0.09 1.47 1.97 NA NA XXX 76096 26 A X-ray of needle wire, breast 0.56 0.18 0.18 0.18 0.18 0.02 0.76 0.76 0.76 0.76 XXX 76096 TC A X-ray of needle wire, breast 0.00 0.64 1.14 NA NA 0.07 0.71 1.21 NA NA XXX Start Printed Page 49196 76098 A X-ray exam, breast specimen 0.16 0.32 0.43 NA NA 0.03 0.51 0.62 NA NA XXX 76098 26 A X-ray exam, breast specimen 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 76098 TC A X-ray exam, breast specimen 0.00 0.27 0.38 NA NA 0.02 0.29 0.40 NA NA XXX 76100 A X-ray exam of body section 0.58 3.54 1.97 NA NA 0.10 4.22 2.65 NA NA XXX 76100 26 A X-ray exam of body section 0.58 0.20 0.19 0.20 0.19 0.03 0.81 0.80 0.81 0.80 XXX 76100 TC A X-ray exam of body section 0.00 3.35 1.78 NA NA 0.07 3.42 1.85 NA NA XXX 76101 A Complex body section x-ray 0.58 5.35 2.55 NA NA 0.11 6.04 3.24 NA NA XXX 76101 26 A Complex body section x-ray 0.58 0.19 0.19 0.19 0.19 0.03 0.80 0.80 0.80 0.80 XXX 76101 TC A Complex body section x-ray 0.00 5.16 2.36 NA NA 0.08 5.24 2.44 NA NA XXX 76102 A Complex body section x-rays 0.58 7.74 3.38 NA NA 0.14 8.46 4.10 NA NA XXX 76102 26 A Complex body section x-rays 0.58 0.18 0.19 0.18 0.19 0.03 0.79 0.80 0.79 0.80 XXX 76102 TC A Complex body section x-rays 0.00 7.56 3.19 NA NA 0.11 7.67 3.30 NA NA XXX 76120 A Cine/video x-rays 0.38 2.00 1.39 NA NA 0.08 2.46 1.85 NA NA XXX 76120 26 A Cine/video x-rays 0.38 0.15 0.14 0.15 0.14 0.02 0.55 0.54 0.55 0.54 XXX 76120 TC A Cine/video x-rays 0.00 1.85 1.25 NA NA 0.06 1.91 1.31 NA NA XXX 76125 A Cine/video x-rays add-on 0.27 NA NA NA NA 0.06 NA NA NA NA ZZZ 76125 26 A Cine/video x-rays add-on 0.27 0.10 0.09 0.10 0.09 0.01 0.38 0.37 0.38 0.37 ZZZ 76125 TC A Cine/video x-rays add-on 0.00 NA NA NA NA 0.05 NA NA NA NA ZZZ 76150 A X-ray exam, dry process 0.00 0.68 0.49 NA NA 0.02 0.70 0.51 NA NA XXX 76350 C Special x-ray contrast study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 76355 A Ct scan for localization 1.21 20.46 11.60 NA NA 0.47 22.14 13.28 NA NA XXX 76355 26 A Ct scan for localization 1.21 0.37 0.39 0.37 0.39 0.05 1.63 1.65 1.63 1.65 XXX 76355 TC A Ct scan for localization 0.00 20.09 11.22 NA NA 0.42 20.51 11.64 NA NA XXX 76360 A Ct scan for needle biopsy 1.16 2.30 7.05 NA NA 0.47 3.93 8.68 NA NA XXX 76360 26 A Ct scan for needle biopsy 1.16 0.37 0.38 0.37 0.38 0.05 1.58 1.59 1.58 1.59 XXX 76360 TC A Ct scan for needle biopsy 0.00 1.93 6.68 NA NA 0.42 2.35 7.10 NA NA XXX 76362 A Ct guide for tissue ablation 3.99 NA NA NA NA 1.64 NA NA NA NA XXX 76362 26 A Ct guide for tissue ablation 3.99 1.25 1.29 1.25 1.29 0.18 5.42 5.46 5.42 5.46 XXX 76362 TC A Ct guide for tissue ablation 0.00 NA NA NA NA 1.46 NA NA NA NA XXX 76370 A Ct scan for therapy guide 0.85 4.43 3.53 NA NA 0.20 5.48 4.58 NA NA XXX 76370 26 A Ct scan for therapy guide 0.85 0.24 0.27 0.24 0.27 0.04 1.13 1.16 1.13 1.16 XXX 76370 TC A Ct scan for therapy guide 0.00 4.19 3.26 NA NA 0.16 4.35 3.42 NA NA XXX 76376 A 3d render w/o postprocess 0.20 1.40 2.97 NA NA 0.10 1.70 3.27 NA NA XXX 76376 26 A 3d render w/o postprocess 0.20 0.06 0.07 0.06 0.07 0.02 0.28 0.29 0.28 0.29 XXX 76376 TC A 3d render w/o postprocess 0.00 1.34 2.90 NA NA 0.08 1.42 2.98 NA NA XXX 76377 A 3d rendering w/postprocess 0.79 1.38 3.11 NA NA 0.39 2.56 4.29 NA NA XXX 76377 26 A 3d rendering w/postprocess 0.79 0.25 0.27 0.25 0.27 0.08 1.12 1.14 1.12 1.14 XXX 76377 TC A 3d rendering w/postprocess 0.00 1.13 2.85 NA NA 0.31 1.44 3.16 NA NA XXX 76380 A CAT scan follow-up study 0.98 4.72 4.05 NA NA 0.22 5.92 5.25 NA NA XXX 76380 26 A CAT scan follow-up study 0.98 0.31 0.32 0.31 0.32 0.04 1.33 1.34 1.33 1.34 XXX 76380 TC A CAT scan follow-up study 0.00 4.42 3.73 NA NA 0.18 4.60 3.91 NA NA XXX 76390 N Mr spectroscopy 1.40 9.51 10.99 NA NA 0.66 11.57 13.05 NA NA XXX 76390 26 N Mr spectroscopy 1.40 0.33 0.44 0.33 0.44 0.07 1.80 1.91 1.80 1.91 XXX 76390 TC N Mr spectroscopy 0.00 9.19 10.56 NA NA 0.59 9.78 11.15 NA NA XXX 76393 A Mr guidance for needle place 1.50 9.83 11.23 NA NA 0.64 11.97 13.37 NA NA XXX 76393 26 A Mr guidance for needle place 1.50 0.49 0.50 0.49 0.50 0.09 2.08 2.09 2.08 2.09 XXX 76393 TC A Mr guidance for needle place 0.00 9.34 10.74 NA NA 0.55 9.89 11.29 NA NA XXX 76394 A Mri for tissue ablation 4.24 NA NA NA NA 1.81 NA NA NA NA XXX 76394 26 A Mri for tissue ablation 4.24 1.34 1.37 1.34 1.37 0.24 5.82 5.85 5.82 5.85 XXX 76394 TC A Mri for tissue ablation 0.00 NA NA NA NA 1.57 NA NA NA NA XXX 76400 A Magnetic image, bone marrow 1.60 14.85 12.50 NA NA 0.66 17.11 14.76 NA NA XXX 76400 26 A Magnetic image, bone marrow 1.60 0.56 0.53 0.56 0.53 0.07 2.23 2.20 2.23 2.20 XXX 76400 TC A Magnetic image, bone marrow 0.00 14.30 11.98 NA NA 0.59 14.89 12.57 NA NA XXX 76496 C Fluoroscopic procedure 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX Start Printed Page 49197 76497 C Ct procedure 0.00 0.00 0.00 0.00 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 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 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 76506 A Echo exam of head 0.63 2.83 1.95 NA NA 0.14 3.60 2.72 NA NA XXX 76506 26 A Echo exam of head 0.63 0.20 0.23 0.20 0.23 0.06 0.89 0.92 0.89 0.92 XXX 76506 TC A Echo exam of head 0.00 2.63 1.72 NA NA 0.08 2.71 1.80 NA NA XXX 76510 A Ophth us, b & quant a 1.55 2.31 2.72 NA NA 0.10 3.96 4.37 NA NA XXX 76510 26 A Ophth us, b & quant a 1.55 0.58 0.66 0.58 0.66 0.03 2.16 2.24 2.16 2.24 XXX 76510 TC A Ophth us, b & quant a 0.00 1.73 2.07 NA NA 0.07 1.80 2.14 NA NA XXX 76511 A Ophth us, quant a only 0.94 1.39 2.17 NA NA 0.10 2.43 3.21 NA NA XXX 76511 26 A Ophth us, quant a only 0.94 0.35 0.39 0.35 0.39 0.03 1.32 1.36 1.32 1.36 XXX 76511 TC A Ophth us, quant a only 0.00 1.05 1.79 NA NA 0.07 1.12 1.86 NA NA XXX 76512 A Ophth us, b w/non-quant a 0.94 1.19 1.97 NA NA 0.12 2.25 3.03 NA NA XXX 76512 26 A Ophth us, b w/non-quant a 0.94 0.35 0.40 0.35 0.40 0.02 1.31 1.36 1.31 1.36 XXX 76512 TC A Ophth us, b w/non-quant a 0.00 0.85 1.57 NA NA 0.10 0.95 1.67 NA NA XXX 76513 A Echo exam of eye, water bath 0.66 1.58 1.75 NA NA 0.12 2.36 2.53 NA NA XXX 76513 26 A Echo exam of eye, water bath 0.66 0.25 0.28 0.25 0.28 0.02 0.93 0.96 0.93 0.96 XXX 76513 TC A Echo exam of eye, water bath 0.00 1.33 1.47 NA NA 0.10 1.43 1.57 NA NA XXX 76514 A Echo exam of eye, thickness 0.17 0.17 0.14 NA NA 0.02 0.36 0.33 NA NA XXX 76514 26 A Echo exam of eye, thickness 0.17 0.06 0.08 0.06 0.08 0.01 0.24 0.26 0.24 0.26 XXX 76514 TC A Echo exam of eye, thickness 0.00 0.11 0.07 NA NA 0.01 0.12 0.08 NA NA XXX 76516 A Echo exam of eye 0.54 1.19 1.39 NA NA 0.08 1.81 2.01 NA NA XXX 76516 26 A Echo exam of eye 0.54 0.19 0.23 0.19 0.23 0.01 0.74 0.78 0.74 0.78 XXX 76516 TC A Echo exam of eye 0.00 1.00 1.17 NA NA 0.07 1.07 1.24 NA NA XXX 76519 A Echo exam of eye 0.54 1.33 1.50 NA NA 0.08 1.95 2.12 NA NA XXX 76519 26 A Echo exam of eye 0.54 0.20 0.23 0.20 0.23 0.01 0.75 0.78 0.75 0.78 XXX 76519 TC A Echo exam of eye 0.00 1.12 1.26 NA NA 0.07 1.19 1.33 NA NA XXX 76529 A Echo exam of eye 0.57 1.19 1.33 NA NA 0.10 1.86 2.00 NA NA XXX 76529 26 A Echo exam of eye 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.80 0.82 XXX 76529 TC A Echo exam of eye 0.00 0.98 1.09 NA NA 0.08 1.06 1.17 NA NA XXX 76536 A Us exam of head and neck 0.56 2.69 1.87 NA NA 0.10 3.35 2.53 NA NA XXX 76536 26 A Us exam of head and neck 0.56 0.17 0.18 0.17 0.18 0.02 0.75 0.76 0.75 0.76 XXX 76536 TC A Us exam of head and neck 0.00 2.52 1.70 NA NA 0.08 2.60 1.78 NA NA XXX 76604 A Us exam, chest, b-scan 0.55 1.81 1.57 NA NA 0.09 2.45 2.21 NA NA XXX 76604 26 A Us exam, chest, b-scan 0.55 0.17 0.18 0.17 0.18 0.02 0.74 0.75 0.74 0.75 XXX 76604 TC A Us exam, chest, b-scan 0.00 1.64 1.39 NA NA 0.07 1.71 1.46 NA NA XXX 76645 A Us exam, breast(s) 0.54 2.11 1.45 NA NA 0.08 2.73 2.07 NA NA XXX 76645 26 A Us exam, breast(s) 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74 XXX 76645 TC A Us exam, breast(s) 0.00 1.94 1.27 NA NA 0.06 2.00 1.33 NA NA XXX 76700 A Us exam, abdom, complete 0.81 3.04 2.44 NA NA 0.15 4.00 3.40 NA NA XXX 76700 26 A Us exam, abdom, complete 0.81 0.26 0.27 0.26 0.27 0.04 1.11 1.12 1.11 1.12 XXX 76700 TC A Us exam, abdom, complete 0.00 2.78 2.17 NA NA 0.11 2.89 2.28 NA NA XXX 76705 A Echo exam of abdomen 0.59 2.34 1.79 NA NA 0.11 3.04 2.49 NA NA XXX 76705 26 A Echo exam of abdomen 0.59 0.19 0.19 0.19 0.19 0.03 0.81 0.81 0.81 0.81 XXX 76705 TC A Echo exam of abdomen 0.00 2.16 1.61 NA NA 0.08 2.24 1.69 NA NA XXX 76770 A Us exam abdo back wall, comp 0.74 2.94 2.39 NA NA 0.14 3.82 3.27 NA NA XXX 76770 26 A Us exam abdo back wall, comp 0.74 0.24 0.24 0.24 0.24 0.03 1.01 1.01 1.01 1.01 XXX 76770 TC A Us exam abdo back wall, comp 0.00 2.70 2.15 NA NA 0.11 2.81 2.26 NA NA XXX 76775 A Us exam abdo back wall, lim 0.58 2.42 1.81 NA NA 0.11 3.11 2.50 NA NA XXX 76775 26 A Us exam abdo back wall, lim 0.58 0.19 0.19 0.19 0.19 0.03 0.80 0.80 0.80 0.80 XXX 76775 TC A Us exam abdo back wall, lim 0.00 2.23 1.62 NA NA 0.08 2.31 1.70 NA NA XXX 76778 A Us exam kidney transplant 0.74 3.21 2.46 NA NA 0.14 4.09 3.34 NA NA XXX 76778 26 A Us exam kidney transplant 0.74 0.23 0.24 0.23 0.24 0.03 1.00 1.01 1.00 1.01 XXX 76778 TC A Us exam kidney transplant 0.00 2.98 2.22 NA NA 0.11 3.09 2.33 NA NA XXX 76800 A Us exam, spinal canal 1.13 2.34 1.90 NA NA 0.13 3.60 3.16 NA NA XXX 76800 26 A Us exam, spinal canal 1.13 0.30 0.33 0.30 0.33 0.05 1.48 1.51 1.48 1.51 XXX 76800 TC A Us exam, spinal canal 0.00 2.04 1.58 NA NA 0.08 2.12 1.66 NA NA XXX 76801 A Ob us < 14 wks, single fetus 0.99 2.46 2.45 NA NA 0.16 3.61 3.60 NA NA XXX 76801 26 A Ob us < 14 wks, single fetus 0.99 0.30 0.33 0.30 0.33 0.04 1.33 1.36 1.33 1.36 XXX 76801 TC A Ob us < 14 wks, single fetus 0.00 2.16 2.12 NA NA 0.12 2.28 2.24 NA NA XXX Start Printed Page 49198 76802 A Ob us < 14 wks, addIl fetus 0.83 0.97 1.25 0.97 1.25 0.16 1.96 2.24 1.96 2.24 ZZZ 76802 26 A Ob us < 14 wks, addIl fetus 0.83 0.25 0.28 0.25 0.28 0.04 1.12 1.15 1.12 1.15 ZZZ 76802 TC A Ob us < 14 wks, addIl fetus 0.00 0.72 0.97 0.72 0.97 0.12 0.84 1.09 0.84 1.09 ZZZ 76805 A Ob us >/= 14 wks, sngl fetus 0.99 3.05 2.59 NA NA 0.16 4.20 3.74 NA NA XXX 76805 26 A Ob us >/= 14 wks, sngl fetus 0.99 0.29 0.33 0.29 0.33 0.04 1.32 1.36 1.32 1.36 XXX 76805 TC A Ob us >/= 14 wks, sngl fetus 0.00 2.75 2.26 NA NA 0.12 2.87 2.38 NA NA XXX 76810 A Ob us >/= 14 wks, addl fetus 0.98 1.66 1.46 1.66 1.46 0.26 2.90 2.70 2.90 2.70 ZZZ 76810 26 A Ob us >/= 14 wks, addl fetus 0.98 0.29 0.33 0.29 0.33 0.04 1.31 1.35 1.31 1.35 ZZZ 76810 TC A Ob us >/= 14 wks, addl fetus 0.00 1.37 1.13 1.37 1.13 0.22 1.59 1.35 1.59 1.35 ZZZ 76811 A Ob us, detailed, sngl fetus 1.90 3.07 3.95 NA NA 0.52 5.49 6.37 NA NA XXX 76811 26 A Ob us, detailed, sngl fetus 1.90 0.54 0.67 0.54 0.67 0.09 2.53 2.66 2.53 2.66 XXX 76811 TC A Ob us, detailed, sngl fetus 0.00 2.53 3.28 NA NA 0.43 2.96 3.71 NA NA XXX 76812 A Ob us, detailed, addl fetus 1.78 3.98 2.28 3.98 2.28 0.49 6.25 4.55 6.25 4.55 ZZZ 76812 26 A Ob us, detailed, addl fetus 1.78 0.51 0.62 0.51 0.62 0.08 2.37 2.48 2.37 2.48 ZZZ 76812 TC A Ob us, detailed, addl fetus 0.00 3.47 1.66 3.47 1.66 0.41 3.88 2.07 3.88 2.07 ZZZ 76815 A Ob us, limited, fetus(s) 0.65 1.80 1.69 NA NA 0.11 2.56 2.45 NA NA XXX 76815 26 A Ob us, limited, fetus(s) 0.65 0.19 0.22 0.19 0.22 0.03 0.87 0.90 0.87 0.90 XXX 76815 TC A Ob us, limited, fetus(s) 0.00 1.61 1.47 NA NA 0.08 1.69 1.55 NA NA XXX 76816 A Ob us, follow-up, per fetus 0.85 2.40 1.67 NA NA 0.10 3.35 2.62 NA NA XXX 76816 26 A Ob us, follow-up, per fetus 0.85 0.24 0.30 0.24 0.30 0.04 1.13 1.19 1.13 1.19 XXX 76816 TC A Ob us, follow-up, per fetus 0.00 2.15 1.37 NA NA 0.06 2.21 1.43 NA NA XXX 76817 A Transvaginal us, obstetric 0.75 2.02 1.83 NA NA 0.09 2.86 2.67 NA NA XXX 76817 26 A Transvaginal us, obstetric 0.75 0.22 0.25 0.22 0.25 0.03 1.00 1.03 1.00 1.03 XXX 76817 TC A Transvaginal us, obstetric 0.00 1.80 1.59 NA NA 0.06 1.86 1.65 NA NA XXX 76818 A Fetal biophys profile w/nst 1.05 2.22 2.05 NA NA 0.15 3.42 3.25 NA NA XXX 76818 26 A Fetal biophys profile w/nst 1.05 0.30 0.37 0.30 0.37 0.05 1.40 1.47 1.40 1.47 XXX 76818 TC A Fetal biophys profile w/nst 0.00 1.92 1.69 NA NA 0.10 2.02 1.79 NA NA XXX 76819 A Fetal biophys profil w/o nst 0.77 1.63 1.82 NA NA 0.13 2.53 2.72 NA NA XXX 76819 26 A Fetal biophys profil w/o nst 0.77 0.23 0.27 0.23 0.27 0.03 1.03 1.07 1.03 1.07 XXX 76819 TC A Fetal biophys profil w/o nst 0.00 1.41 1.56 NA NA 0.10 1.51 1.66 NA NA XXX 76820 A Umbilical artery echo 0.50 0.57 1.49 NA NA 0.15 1.22 2.14 NA NA XXX 76820 26 A Umbilical artery echo 0.50 0.14 0.18 0.14 0.18 0.03 0.67 0.71 0.67 0.71 XXX 76820 TC A Umbilical artery echo 0.00 0.43 1.32 NA NA 0.12 0.55 1.44 NA NA XXX 76821 A Middle cerebral artery echo 0.70 1.88 1.87 NA NA 0.15 2.73 2.72 NA NA XXX 76821 26 A Middle cerebral artery echo 0.70 0.20 0.25 0.20 0.25 0.03 0.93 0.98 0.93 0.98 XXX 76821 TC A Middle cerebral artery echo 0.00 1.68 1.63 NA NA 0.12 1.80 1.75 NA NA XXX 76825 A Echo exam of fetal heart 1.67 4.37 3.02 NA NA 0.18 6.22 4.87 NA NA XXX 76825 26 A Echo exam of fetal heart 1.67 0.49 0.57 0.49 0.57 0.07 2.23 2.31 2.23 2.31 XXX 76825 TC A Echo exam of fetal heart 0.00 3.88 2.45 NA NA 0.11 3.99 2.56 NA NA XXX 76826 A Echo exam of fetal heart 0.83 2.75 1.44 NA NA 0.08 3.66 2.35 NA NA XXX 76826 26 A Echo exam of fetal heart 0.83 0.24 0.28 0.24 0.28 0.03 1.10 1.14 1.10 1.14 XXX 76826 TC A Echo exam of fetal heart 0.00 2.51 1.16 NA NA 0.05 2.56 1.21 NA NA XXX 76827 A Echo exam of fetal heart 0.58 1.07 1.71 NA NA 0.14 1.79 2.43 NA NA XXX 76827 26 A Echo exam of fetal heart 0.58 0.17 0.20 0.17 0.20 0.02 0.77 0.80 0.77 0.80 XXX 76827 TC A Echo exam of fetal heart 0.00 0.90 1.52 NA NA 0.12 1.02 1.64 NA NA XXX 76828 A Echo exam of fetal heart 0.56 0.64 1.16 NA NA 0.11 1.31 1.83 NA NA XXX 76828 26 A Echo exam of fetal heart 0.56 0.16 0.21 0.16 0.21 0.03 0.75 0.80 0.75 0.80 XXX 76828 TC A Echo exam of fetal heart 0.00 0.48 0.95 NA NA 0.08 0.56 1.03 NA NA XXX 76830 A Transvaginal us, non-ob 0.69 2.77 2.00 NA NA 0.13 3.59 2.82 NA NA XXX 76830 26 A Transvaginal us, non-ob 0.69 0.21 0.23 0.21 0.23 0.03 0.93 0.95 0.93 0.95 XXX 76830 TC A Transvaginal us, non-ob 0.00 2.56 1.78 NA NA 0.10 2.66 1.88 NA NA XXX 76831 A Echo exam, uterus 0.72 2.76 2.01 NA NA 0.13 3.61 2.86 NA NA XXX 76831 26 A Echo exam, uterus 0.72 0.21 0.24 0.21 0.24 0.03 0.96 0.99 0.96 0.99 XXX 76831 TC A Echo exam, uterus 0.00 2.55 1.78 NA NA 0.10 2.65 1.88 NA NA XXX 76856 A Us exam, pelvic, complete 0.69 2.81 2.01 NA NA 0.13 3.63 2.83 NA NA XXX 76856 26 A Us exam, pelvic, complete 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX Start Printed Page 49199 76856 TC A Us exam, pelvic, complete 0.00 2.59 1.79 NA NA 0.10 2.69 1.89 NA NA XXX 76857 A Us exam, pelvic, limited 0.38 2.53 2.00 NA NA 0.08 2.99 2.46 NA NA XXX 76857 26 A Us exam, pelvic, limited 0.38 0.14 0.13 0.14 0.13 0.02 0.54 0.53 0.54 0.53 XXX 76857 TC A Us exam, pelvic, limited 0.00 2.38 1.88 NA NA 0.06 2.44 1.94 NA NA XXX 76870 A Us exam, scrotum 0.64 2.83 2.00 NA NA 0.13 3.60 2.77 NA NA XXX 76870 26 A Us exam, scrotum 0.64 0.21 0.21 0.21 0.21 0.03 0.88 0.88 0.88 0.88 XXX 76870 TC A Us exam, scrotum 0.00 2.62 1.80 NA NA 0.10 2.72 1.90 NA NA XXX 76872 A Us, transrectal 0.69 3.43 2.54 NA NA 0.14 4.26 3.37 NA NA XXX 76872 26 A Us, transrectal 0.69 0.27 0.23 0.27 0.23 0.04 1.00 0.96 1.00 0.96 XXX 76872 TC A Us, transrectal 0.00 3.16 2.31 NA NA 0.10 3.26 2.41 NA NA XXX 76873 A Echograp trans r, pros study 1.55 3.39 2.80 NA NA 0.25 5.19 4.60 NA NA XXX 76873 26 A Echograp trans r, pros study 1.55 0.51 0.50 0.51 0.50 0.09 2.15 2.14 2.15 2.14 XXX 76873 TC A Echograp trans r, pros study 0.00 2.87 2.29 NA NA 0.16 3.03 2.45 NA NA XXX 76880 A Us exam, extremity 0.59 3.19 2.01 NA NA 0.11 3.89 2.71 NA NA XXX 76880 26 A Us exam, extremity 0.59 0.18 0.19 0.18 0.19 0.03 0.80 0.81 0.80 0.81 XXX 76880 TC A Us exam, extremity 0.00 3.01 1.82 NA NA 0.08 3.09 1.90 NA NA XXX 76885 A Us exam infant hips, dynamic 0.74 3.21 2.12 NA NA 0.13 4.08 2.99 NA NA XXX 76885 26 A Us exam infant hips, dynamic 0.74 0.22 0.24 0.22 0.24 0.03 0.99 1.01 0.99 1.01 XXX 76885 TC A Us exam infant hips, dynamic 0.00 2.99 1.89 NA NA 0.10 3.09 1.99 NA NA XXX 76886 A Us exam infant hips, static 0.62 2.30 1.79 NA NA 0.11 3.03 2.52 NA NA XXX 76886 26 A Us exam infant hips, static 0.62 0.18 0.20 0.18 0.20 0.03 0.83 0.85 0.83 0.85 XXX 76886 TC A Us exam infant hips, static 0.00 2.12 1.60 NA NA 0.08 2.20 1.68 NA NA XXX 76930 A Echo guide, cardiocentesis 0.67 2.11 1.85 NA NA 0.12 2.90 2.64 NA NA XXX 76930 26 A Echo guide, cardiocentesis 0.67 0.34 0.27 0.34 0.27 0.02 1.03 0.96 1.03 0.96 XXX 76930 TC A Echo guide, cardiocentesis 0.00 1.76 1.58 NA NA 0.10 1.86 1.68 NA NA XXX 76932 A Echo guide for heart biopsy 0.67 NA NA NA NA 0.12 NA NA NA NA XXX 76932 26 A Echo guide for heart biopsy 0.67 0.35 0.28 0.35 0.28 0.02 1.04 0.97 1.04 0.97 XXX 76932 TC A Echo guide for heart biopsy 0.00 NA NA NA NA 0.10 NA NA NA NA XXX 76936 A Echo guide for artery repair 1.99 6.05 6.73 NA NA 0.47 8.51 9.19 NA NA XXX 76936 26 A Echo guide for artery repair 1.99 0.67 0.66 0.67 0.66 0.13 2.79 2.78 2.79 2.78 XXX 76936 TC A Echo guide for artery repair 0.00 5.38 6.06 NA NA 0.34 5.72 6.40 NA NA XXX 76937 A Us guide, vascular access 0.30 0.61 0.51 0.61 0.51 0.13 1.04 0.94 1.04 0.94 ZZZ 76937 26 A Us guide, vascular access 0.30 0.09 0.10 0.09 0.10 0.03 0.42 0.43 0.42 0.43 ZZZ 76937 TC A Us guide, vascular access 0.00 0.52 0.42 0.52 0.42 0.10 0.62 0.52 0.62 0.52 ZZZ 76940 A Us guide, tissue ablation 2.00 NA NA NA NA 0.60 NA NA NA NA XXX 76940 26 A Us guide, tissue ablation 2.00 0.60 0.64 0.60 0.64 0.31 2.91 2.95 2.91 2.95 XXX 76940 TC A Us guide, tissue ablation 0.00 NA NA NA NA 0.29 NA NA NA NA XXX 76941 A Echo guide for transfusion 1.34 NA NA NA NA 0.15 NA NA NA NA XXX 76941 26 A Echo guide for transfusion 1.34 0.44 0.46 0.44 0.46 0.07 1.85 1.87 1.85 1.87 XXX 76941 TC A Echo guide for transfusion 0.00 NA NA NA NA 0.08 NA NA NA NA XXX 76942 A Echo guide for biopsy 0.67 4.83 3.48 NA NA 0.13 5.63 4.28 NA NA XXX 76942 26 A Echo guide for biopsy 0.67 0.23 0.22 0.23 0.22 0.03 0.93 0.92 0.93 0.92 XXX 76942 TC A Echo guide for biopsy 0.00 4.60 3.26 NA NA 0.10 4.70 3.36 NA NA XXX 76945 A Echo guide, villus sampling 0.67 NA NA NA NA 0.11 NA NA NA NA XXX 76945 26 A Echo guide, villus sampling 0.67 0.21 0.22 0.21 0.22 0.03 0.91 0.92 0.91 0.92 XXX 76945 TC A Echo guide, villus sampling 0.00 NA NA NA NA 0.08 NA NA NA NA XXX 76946 A Echo guide for amniocentesis 0.38 0.45 1.36 NA NA 0.12 0.95 1.86 NA NA XXX 76946 26 A Echo guide for amniocentesis 0.38 0.11 0.13 0.11 0.13 0.02 0.51 0.53 0.51 0.53 XXX 76946 TC A Echo guide for amniocentesis 0.00 0.34 1.23 NA NA 0.10 0.44 1.33 NA NA XXX 76948 A Echo guide, ova aspiration 0.38 0.45 1.35 NA NA 0.12 0.95 1.85 NA NA XXX 76948 26 A Echo guide, ova aspiration 0.38 0.11 0.13 0.11 0.13 0.02 0.51 0.53 0.51 0.53 XXX 76948 TC A Echo guide, ova aspiration 0.00 0.34 1.23 NA NA 0.10 0.44 1.33 NA NA XXX 76950 A Echo guidance radiotherapy 0.58 1.16 1.42 NA NA 0.10 1.84 2.10 NA NA XXX 76950 26 A Echo guidance radiotherapy 0.58 0.16 0.18 0.16 0.18 0.03 0.77 0.79 0.77 0.79 XXX 76950 TC A Echo guidance radiotherapy 0.00 1.00 1.23 NA NA 0.07 1.07 1.30 NA NA XXX 76965 A Echo guidance radiotherapy 1.34 1.18 4.80 NA NA 0.37 2.89 6.51 NA NA XXX 76965 26 A Echo guidance radiotherapy 1.34 0.48 0.44 0.48 0.44 0.08 1.90 1.86 1.90 1.86 XXX 76965 TC A Echo guidance radiotherapy 0.00 0.70 4.35 NA NA 0.29 0.99 4.64 NA NA XXX 76970 A Ultrasound exam follow-up 0.40 2.14 1.42 NA NA 0.08 2.62 1.90 NA NA XXX 76970 26 A Ultrasound exam follow-up 0.40 0.11 0.13 0.11 0.13 0.02 0.53 0.55 0.53 0.55 XXX 76970 TC A Ultrasound exam follow-up 0.00 2.03 1.30 NA NA 0.06 2.09 1.36 NA NA XXX 76975 A GI endoscopic ultrasound 0.81 NA NA NA NA 0.14 NA NA NA NA XXX 76975 26 A GI endoscopic ultrasound 0.81 0.29 0.28 0.29 0.28 0.04 1.14 1.13 1.14 1.13 XXX 76975 TC A GI endoscopic ultrasound 0.00 NA NA NA NA 0.10 NA NA NA NA XXX 76977 A Us bone density measure 0.05 0.11 0.66 NA NA 0.06 0.22 0.77 NA NA XXX 76977 26 A Us bone density measure 0.05 0.01 0.02 0.01 0.02 0.01 0.07 0.08 0.07 0.08 XXX Start Printed Page 49200 76977 TC A Us bone density measure 0.00 0.09 0.64 NA NA 0.05 0.14 0.69 NA NA XXX 76986 A Ultrasound guide intraoper 1.20 NA NA NA NA 0.27 NA NA NA NA XXX 76986 26 A Ultrasound guide intraoper 1.20 0.35 0.39 0.35 0.39 0.13 1.68 1.72 1.68 1.72 XXX 76986 TC A Ultrasound guide intraoper 0.00 NA NA NA NA 0.14 NA NA NA NA XXX 76999 C Echo examination procedure 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 77261 A Radiation therapy planning 1.39 0.41 0.49 0.41 0.49 0.07 1.87 1.95 1.87 1.95 XXX 77262 A Radiation therapy planning 2.11 0.58 0.71 0.58 0.71 0.11 2.80 2.93 2.80 2.93 XXX 77263 A Radiation therapy planning 3.14 0.86 1.05 0.86 1.05 0.16 4.16 4.35 4.16 4.35 XXX 77280 A Set radiation therapy field 0.70 4.35 3.86 NA NA 0.22 5.27 4.78 NA NA XXX 77280 26 A Set radiation therapy field 0.70 0.19 0.21 0.19 0.21 0.04 0.93 0.95 0.93 0.95 XXX 77280 TC A Set radiation therapy field 0.00 4.16 3.64 NA NA 0.18 4.34 3.82 NA NA XXX 77285 A Set radiation therapy field 1.05 7.91 6.41 NA NA 0.35 9.31 7.81 NA NA XXX 77285 26 A Set radiation therapy field 1.05 0.29 0.33 0.29 0.33 0.05 1.39 1.43 1.39 1.43 XXX 77285 TC A Set radiation therapy field 0.00 7.62 6.08 NA NA 0.30 7.92 6.38 NA NA XXX 77290 A Set radiation therapy field 1.56 13.23 8.57 NA NA 0.43 15.22 10.56 NA NA XXX 77290 26 A Set radiation therapy field 1.56 0.43 0.48 0.43 0.48 0.08 2.07 2.12 2.07 2.12 XXX 77290 TC A Set radiation therapy field 0.00 12.81 8.09 NA NA 0.35 13.16 8.44 NA NA XXX 77295 A Set radiation therapy field 4.56 6.90 23.76 NA NA 1.71 13.17 30.03 NA NA XXX 77295 26 A Set radiation therapy field 4.56 1.25 1.41 1.25 1.41 0.23 6.04 6.20 6.04 6.20 XXX 77295 TC A Set radiation therapy field 0.00 5.65 22.36 NA NA 1.48 7.13 23.84 NA NA XXX 77299 C Radiation therapy planning 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 77300 A Radiation therapy dose plan 0.62 1.08 1.43 NA NA 0.10 1.80 2.15 NA NA XXX 77300 26 A Radiation therapy dose plan 0.62 0.17 0.19 0.17 0.19 0.03 0.82 0.84 0.82 0.84 XXX 77300 TC A Radiation therapy dose plan 0.00 0.91 1.23 NA NA 0.07 0.98 1.30 NA NA XXX 77301 A Radiotherapy dose plan, imrt 7.99 53.43 36.23 NA NA 1.88 63.30 46.10 NA NA XXX 77301 26 A Radiotherapy dose plan, imrt 7.99 2.19 2.47 2.19 2.47 0.40 10.58 10.86 10.58 10.86 XXX 77301 TC A Radiotherapy dose plan, imrt 0.00 51.24 33.76 NA NA 1.48 52.72 35.24 NA NA XXX 77305 A Teletx isodose plan simple 0.70 0.85 1.78 NA NA 0.15 1.70 2.63 NA NA XXX 77305 26 A Teletx isodose plan simple 0.70 0.19 0.22 0.19 0.22 0.04 0.93 0.96 0.93 0.96 XXX 77305 TC A Teletx isodose plan simple 0.00 0.65 1.56 NA NA 0.11 0.76 1.67 NA NA XXX 77310 A Teletx isodose plan intermed 1.05 1.17 2.30 NA NA 0.18 2.40 3.53 NA NA XXX 77310 26 A Teletx isodose plan intermed 1.05 0.28 0.33 0.28 0.33 0.05 1.38 1.43 1.38 1.43 XXX 77310 TC A Teletx isodose plan intermed 0.00 0.89 1.97 NA NA 0.13 1.02 2.10 NA NA XXX 77315 A Teletx isodose plan complex 1.56 1.97 2.86 NA NA 0.22 3.75 4.64 NA NA XXX 77315 26 A Teletx isodose plan complex 1.56 0.43 0.48 0.43 0.48 0.08 2.07 2.12 2.07 2.12 XXX 77315 TC A Teletx isodose plan complex 0.00 1.54 2.38 NA NA 0.14 1.68 2.52 NA NA XXX 77321 A Special teletx port plan 0.95 1.38 3.60 NA NA 0.26 2.59 4.81 NA NA XXX 77321 26 A Special teletx port plan 0.95 0.26 0.29 0.26 0.29 0.05 1.26 1.29 1.26 1.29 XXX 77321 TC A Special teletx port plan 0.00 1.12 3.31 NA NA 0.21 1.33 3.52 NA NA XXX 77326 A Brachytx isodose calc simp 0.93 2.78 2.69 NA NA 0.18 3.89 3.80 NA NA XXX 77326 26 A Brachytx isodose calc simp 0.93 0.25 0.29 0.25 0.29 0.05 1.23 1.27 1.23 1.27 XXX 77326 TC A Brachytx isodose calc simp 0.00 2.53 2.40 NA NA 0.13 2.66 2.53 NA NA XXX 77327 A Brachytx isodose calc interm 1.39 3.84 3.89 NA NA 0.25 5.48 5.53 NA NA XXX 77327 26 A Brachytx isodose calc interm 1.39 0.38 0.43 0.38 0.43 0.07 1.84 1.89 1.84 1.89 XXX 77327 TC A Brachytx isodose calc interm 0.00 3.46 3.47 NA NA 0.18 3.64 3.65 NA NA XXX 77328 A Brachytx isodose plan compl 2.09 4.93 5.45 NA NA 0.36 7.38 7.90 NA NA XXX 77328 26 A Brachytx isodose plan compl 2.09 0.57 0.65 0.57 0.65 0.11 2.77 2.85 2.77 2.85 XXX 77328 TC A Brachytx isodose plan compl 0.00 4.36 4.81 NA NA 0.25 4.61 5.06 NA NA XXX 77331 A Special radiation dosimetry 0.87 0.72 0.77 NA NA 0.06 1.65 1.70 NA NA XXX 77331 26 A Special radiation dosimetry 0.87 0.24 0.27 0.24 0.27 0.04 1.15 1.18 1.15 1.18 XXX 77331 TC A Special radiation dosimetry 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX 77332 A Radiation treatment aid(s) 0.54 1.52 1.51 NA NA 0.10 2.16 2.15 NA NA XXX Start Printed Page 49201 77332 26 A Radiation treatment aid(s) 0.54 0.15 0.17 0.15 0.17 0.03 0.72 0.74 0.72 0.74 XXX 77332 TC A Radiation treatment aid(s) 0.00 1.37 1.35 NA NA 0.07 1.44 1.42 NA NA XXX 77333 A Radiation treatment aid(s) 0.84 0.46 1.74 NA NA 0.15 1.45 2.73 NA NA XXX 77333 26 A Radiation treatment aid(s) 0.84 0.23 0.26 0.23 0.26 0.04 1.11 1.14 1.11 1.14 XXX 77333 TC A Radiation treatment aid(s) 0.00 0.23 1.48 NA NA 0.11 0.34 1.59 NA NA XXX 77334 A Radiation treatment aid(s) 1.24 2.61 3.39 NA NA 0.23 4.08 4.86 NA NA XXX 77334 26 A Radiation treatment aid(s) 1.24 0.34 0.39 0.34 0.39 0.06 1.64 1.69 1.64 1.69 XXX 77334 TC A Radiation treatment aid(s) 0.00 2.27 3.01 NA NA 0.17 2.44 3.18 NA NA XXX 77336 A Radiation physics consult 0.00 0.92 2.47 NA NA 0.16 1.08 2.63 NA NA XXX 77370 A Radiation physics consult 0.00 2.33 3.20 NA NA 0.18 2.51 3.38 NA NA XXX 77399 C External radiation dosimetry 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 77401 A Radiation treatment delivery 0.00 0.49 1.45 NA NA 0.11 0.60 1.56 NA NA XXX 77402 A Radiation treatment delivery 0.00 4.15 2.37 NA NA 0.11 4.26 2.48 NA NA XXX 77403 A Radiation treatment delivery 0.00 3.73 2.26 NA NA 0.11 3.84 2.37 NA NA XXX 77404 A Radiation treatment delivery 0.00 4.19 2.38 NA NA 0.11 4.30 2.49 NA NA XXX 77406 A Radiation treatment delivery 0.00 4.18 2.37 NA NA 0.11 4.29 2.48 NA NA XXX 77407 A Radiation treatment delivery 0.00 5.39 2.92 NA NA 0.12 5.51 3.04 NA NA XXX 77408 A Radiation treatment delivery 0.00 5.18 2.86 NA NA 0.12 5.30 2.98 NA NA XXX 77409 A Radiation treatment delivery 0.00 5.78 3.01 NA NA 0.12 5.90 3.13 NA NA XXX 77411 A Radiation treatment delivery 0.00 5.68 2.99 NA NA 0.12 5.80 3.11 NA NA XXX 77412 A Radiation treatment delivery 0.00 6.78 3.44 NA NA 0.13 6.91 3.57 NA NA XXX 77413 A Radiation treatment delivery 0.00 6.80 3.45 NA NA 0.13 6.93 3.58 NA NA XXX 77414 A Radiation treatment delivery 0.00 7.66 3.66 NA NA 0.13 7.79 3.79 NA NA XXX 77416 A Radiation treatment delivery 0.00 7.65 3.66 NA NA 0.13 7.78 3.79 NA NA XXX 77417 A Radiology port film(s) 0.00 0.35 0.53 NA NA 0.04 0.39 0.57 NA NA XXX 77418 A Radiation tx delivery, imrt 0.00 13.02 16.77 NA NA 0.13 13.15 16.90 NA NA XXX 77421 A Stereoscopic x-ray guidance 0.39 1.95 3.10 NA NA 0.12 2.46 3.61 NA NA XXX 77421 26 A Stereoscopic x-ray guidance 0.39 0.11 0.13 0.11 0.13 0.02 0.52 0.54 0.52 0.54 XXX 77421 TC A Stereoscopic x-ray guidance 0.00 1.84 2.97 NA NA 0.10 1.94 3.07 NA NA XXX 77422 A Neutron beam tx, simple 0.00 11.79 4.23 NA NA 0.13 11.92 4.36 NA NA XXX 77423 A Neutron beam tx, complex 0.00 7.83 3.65 NA NA 0.13 7.96 3.78 NA NA XXX 77427 A Radiation tx management, x5 3.31 1.08 1.07 1.08 1.07 0.17 4.56 4.55 4.56 4.55 XXX 77431 A Radiation therapy management 1.81 0.68 0.68 0.68 0.68 0.09 2.58 2.58 2.58 2.58 XXX 77432 A Stereotactic radiation trmt 7.92 2.17 2.72 2.17 2.72 0.41 10.50 11.05 10.50 11.05 XXX 77470 A Special radiation treatment 2.09 1.76 9.31 NA NA 0.70 4.55 12.10 NA NA XXX 77470 26 A Special radiation treatment 2.09 0.57 0.65 0.57 0.65 0.11 2.77 2.85 2.77 2.85 XXX 77470 TC A Special radiation treatment 0.00 1.19 8.66 NA NA 0.59 1.78 9.25 NA NA XXX 77499 C Radiation therapy management 0.00 0.00 0.00 0.00 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 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 77600 R Hyperthermia treatment 1.56 9.32 4.99 NA NA 0.24 11.12 6.79 NA NA XXX 77600 26 R Hyperthermia treatment 1.56 0.35 0.46 0.35 0.46 0.08 1.99 2.10 1.99 2.10 XXX 77600 TC R Hyperthermia treatment 0.00 8.97 4.53 NA NA 0.16 9.13 4.69 NA NA XXX 77605 R Hyperthermia treatment 2.09 16.90 7.77 NA NA 0.38 19.37 10.24 NA NA XXX 77605 26 R Hyperthermia treatment 2.09 0.53 0.63 0.53 0.63 0.16 2.78 2.88 2.78 2.88 XXX 77605 TC R Hyperthermia treatment 0.00 16.36 7.14 NA NA 0.22 16.58 7.36 NA NA XXX 77610 R Hyperthermia treatment 1.56 16.54 6.81 NA NA 0.24 18.34 8.61 NA NA XXX 77610 26 R Hyperthermia treatment 1.56 0.43 0.49 0.43 0.49 0.08 2.07 2.13 2.07 2.13 XXX 77610 TC R Hyperthermia treatment 0.00 16.12 6.32 NA NA 0.16 16.28 6.48 NA NA XXX 77615 R Hyperthermia treatment 2.09 24.51 9.67 NA NA 0.33 26.93 12.09 NA NA XXX 77615 26 R Hyperthermia treatment 2.09 0.55 0.63 0.55 0.63 0.11 2.75 2.83 2.75 2.83 XXX 77615 TC R Hyperthermia treatment 0.00 23.95 9.03 NA NA 0.22 24.17 9.25 NA NA XXX 77620 R Hyperthermia treatment 1.56 9.58 5.07 NA NA 0.36 11.50 6.99 NA NA XXX 77620 26 R Hyperthermia treatment 1.56 0.41 0.49 0.41 0.49 0.20 2.17 2.25 2.17 2.25 XXX 77620 TC R Hyperthermia treatment 0.00 9.18 4.58 NA NA 0.16 9.34 4.74 NA NA XXX 77750 A Infuse radioactive materials 4.90 4.19 3.22 4.19 3.22 0.32 9.41 8.44 9.41 8.44 090 77750 26 A Infuse radioactive materials 4.90 1.35 1.52 1.35 1.52 0.25 6.50 6.67 6.50 6.67 090 77750 TC A Infuse radioactive materials 0.00 2.84 1.71 2.84 1.71 0.07 2.91 1.78 2.91 1.78 090 77761 A Apply intrcav radiat simple 3.80 5.59 4.09 5.59 4.09 0.33 9.72 8.22 9.72 8.22 090 77761 26 A Apply intrcav radiat simple 3.80 1.05 1.08 1.05 1.08 0.19 5.04 5.07 5.04 5.07 090 Start Printed Page 49202 77761 TC A Apply intrcav radiat simple 0.00 4.54 3.01 4.54 3.01 0.14 4.68 3.15 4.68 3.15 090 77762 A Apply intrcav radiat interm 5.71 6.58 5.73 6.58 5.73 0.48 12.77 11.92 12.77 11.92 090 77762 26 A Apply intrcav radiat interm 5.71 1.56 1.76 1.56 1.76 0.29 7.56 7.76 7.56 7.76 090 77762 TC A Apply intrcav radiat interm 0.00 5.03 3.97 5.03 3.97 0.19 5.22 4.16 5.22 4.16 090 77763 A Apply intrcav radiat compl 8.56 8.87 7.64 8.87 7.64 0.66 18.09 16.86 18.09 16.86 090 77763 26 A Apply intrcav radiat compl 8.56 2.33 2.64 2.33 2.64 0.43 11.32 11.63 11.32 11.63 090 77763 TC A Apply intrcav radiat compl 0.00 6.54 5.00 6.54 5.00 0.23 6.77 5.23 6.77 5.23 090 77776 A Apply interstit radiat simpl 4.65 6.66 4.01 6.66 4.01 0.57 11.88 9.23 11.88 9.23 090 77776 26 A Apply interstit radiat simpl 4.65 1.54 1.10 1.54 1.10 0.44 6.63 6.19 6.63 6.19 090 77776 TC A Apply interstit radiat simpl 0.00 5.12 2.92 5.12 2.92 0.13 5.25 3.05 5.25 3.05 090 77777 A Apply interstit radiat inter 7.47 6.93 6.68 6.93 6.68 0.61 15.01 14.76 15.01 14.76 090 77777 26 A Apply interstit radiat inter 7.47 2.18 2.32 2.18 2.32 0.39 10.04 10.18 10.04 10.18 090 77778 A Apply interstit radiat compl 11.17 9.61 8.92 9.61 8.92 0.84 21.62 20.93 21.62 20.93 090 77778 26 A Apply interstit radiat compl 11.17 3.08 3.45 3.08 3.45 0.57 14.82 15.19 14.82 15.19 090 77778 TC A Apply interstit radiat compl 0.00 6.54 5.48 6.54 5.48 0.27 6.81 5.75 6.81 5.75 090 77781 A High intensity brachytherapy 1.21 4.23 16.68 NA NA 1.14 6.58 19.03 NA NA XXX 77781 26 A High intensity brachytherapy 1.21 0.33 0.48 0.33 0.48 0.08 1.62 1.77 1.62 1.77 XXX 77781 TC A High intensity brachytherapy 0.00 3.90 16.20 NA NA 1.06 4.96 17.26 NA NA XXX 77782 A High intensity brachytherapy 2.04 12.03 18.83 NA NA 1.19 15.26 22.06 NA NA XXX 77782 26 A High intensity brachytherapy 2.04 0.55 0.74 0.55 0.74 0.13 2.72 2.91 2.72 2.91 XXX 77782 TC A High intensity brachytherapy 0.00 11.48 18.10 NA NA 1.06 12.54 19.16 NA NA XXX 77783 A High intensity brachytherapy 3.27 23.55 22.01 NA NA 1.25 28.07 26.53 NA NA XXX 77783 26 A High intensity brachytherapy 3.27 0.89 1.12 0.89 1.12 0.19 4.35 4.58 4.35 4.58 XXX 77783 TC A High intensity brachytherapy 0.00 22.67 20.89 NA NA 1.06 23.73 21.95 NA NA XXX 77784 A High intensity brachytherapy 5.15 44.52 27.71 NA NA 1.35 51.02 34.21 NA NA XXX 77784 26 A High intensity brachytherapy 5.15 1.40 1.69 1.40 1.69 0.29 6.84 7.13 6.84 7.13 XXX 77784 TC A High intensity brachytherapy 0.00 43.12 26.01 NA NA 1.06 44.18 27.07 NA NA XXX 77789 A Apply surface radiation 1.12 1.95 1.10 1.95 1.10 0.08 3.15 2.30 3.15 2.30 000 77789 26 A Apply surface radiation 1.12 0.35 0.37 0.35 0.37 0.06 1.53 1.55 1.53 1.55 000 77789 TC A Apply surface radiation 0.00 1.60 0.74 1.60 0.74 0.02 1.62 0.76 1.62 0.76 000 77790 A Radiation handling 1.05 1.16 0.92 NA NA 0.07 2.28 2.04 NA NA XXX 77790 26 A Radiation handling 1.05 0.29 0.33 0.29 0.33 0.05 1.39 1.43 1.39 1.43 XXX 77790 TC A Radiation handling 0.00 0.87 0.59 NA NA 0.02 0.89 0.61 NA NA XXX 77799 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 77799 26 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 78000 A Thyroid, single uptake 0.19 1.85 1.24 NA NA 0.07 2.11 1.50 NA NA XXX 78000 26 A Thyroid, single uptake 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX 78000 TC A Thyroid, single uptake 0.00 1.79 1.18 NA NA 0.06 1.85 1.24 NA NA XXX 78001 A Thyroid, multiple uptakes 0.26 2.27 1.62 NA NA 0.08 2.61 1.96 NA NA XXX 78001 26 A Thyroid, multiple uptakes 0.26 0.08 0.09 0.08 0.09 0.01 0.35 0.36 0.35 0.36 XXX 78001 TC A Thyroid, multiple uptakes 0.00 2.19 1.53 NA NA 0.07 2.26 1.60 NA NA XXX 78003 A Thyroid suppress/stimul 0.33 1.89 1.28 NA NA 0.07 2.29 1.68 NA NA XXX 78003 26 A Thyroid suppress/stimul 0.33 0.10 0.11 0.10 0.11 0.01 0.44 0.45 0.44 0.45 XXX 78003 TC A Thyroid suppress/stimul 0.00 1.78 1.17 NA NA 0.06 1.84 1.23 NA NA XXX 78006 A Thyroid imaging with uptake 0.49 6.24 3.47 NA NA 0.15 6.88 4.11 NA NA XXX 78006 26 A Thyroid imaging with uptake 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX 78006 TC A Thyroid imaging with uptake 0.00 6.08 3.31 NA NA 0.13 6.21 3.44 NA NA XXX 78007 A Thyroid image, mult uptakes 0.50 3.02 2.81 NA NA 0.16 3.68 3.47 NA NA XXX 78007 26 A Thyroid image, mult uptakes 0.50 0.16 0.17 0.16 0.17 0.02 0.68 0.69 0.68 0.69 XXX 78007 TC A Thyroid image, mult uptakes 0.00 2.86 2.64 NA NA 0.14 3.00 2.78 NA NA XXX 78010 A Thyroid imaging 0.39 4.20 2.51 NA NA 0.13 4.72 3.03 NA NA XXX 78010 26 A Thyroid imaging 0.39 0.12 0.13 0.12 0.13 0.02 0.53 0.54 0.53 0.54 XXX 78010 TC A Thyroid imaging 0.00 4.08 2.39 NA NA 0.11 4.19 2.50 NA NA XXX 78011 A Thyroid imaging with flow 0.45 4.55 3.06 NA NA 0.15 5.15 3.66 NA NA XXX 78011 26 A Thyroid imaging with flow 0.45 0.14 0.15 0.14 0.15 0.02 0.61 0.62 0.61 0.62 XXX Start Printed Page 49203 78011 TC A Thyroid imaging with flow 0.00 4.41 2.91 NA NA 0.13 4.54 3.04 NA NA XXX 78015 A Thyroid met imaging 0.67 5.43 3.46 NA NA 0.17 6.27 4.30 NA NA XXX 78015 26 A Thyroid met imaging 0.67 0.21 0.23 0.21 0.23 0.03 0.91 0.93 0.91 0.93 XXX 78015 TC A Thyroid met imaging 0.00 5.22 3.23 NA NA 0.14 5.36 3.37 NA NA XXX 78016 A Thyroid met imaging/studies 0.82 8.63 4.98 NA NA 0.21 9.66 6.01 NA NA XXX 78016 26 A Thyroid met imaging/studies 0.82 0.26 0.28 0.26 0.28 0.03 1.11 1.13 1.11 1.13 XXX 78016 TC A Thyroid met imaging/studies 0.00 8.37 4.70 NA NA 0.18 8.55 4.88 NA NA XXX 78018 A Thyroid met imaging, body 0.86 7.96 6.28 NA NA 0.33 9.15 7.47 NA NA XXX 78018 26 A Thyroid met imaging, body 0.86 0.27 0.29 0.27 0.29 0.04 1.17 1.19 1.17 1.19 XXX 78018 TC A Thyroid met imaging, body 0.00 7.69 5.99 NA NA 0.29 7.98 6.28 NA NA XXX 78020 A Thyroid met uptake 0.60 1.79 1.59 1.79 1.59 0.16 2.55 2.35 2.55 2.35 ZZZ 78020 26 A Thyroid met uptake 0.60 0.18 0.20 0.18 0.20 0.02 0.80 0.82 0.80 0.82 ZZZ 78020 TC A Thyroid met uptake 0.00 1.60 1.38 1.60 1.38 0.14 1.74 1.52 1.74 1.52 ZZZ 78070 A Parathyroid nuclear imaging 0.82 3.43 4.27 NA NA 0.15 4.40 5.24 NA NA XXX 78070 26 A Parathyroid nuclear imaging 0.82 0.26 0.28 0.26 0.28 0.04 1.12 1.14 1.12 1.14 XXX 78070 TC A Parathyroid nuclear imaging 0.00 3.17 4.00 NA NA 0.11 3.28 4.11 NA NA XXX 78075 A Adrenal nuclear imaging 0.74 11.67 7.18 NA NA 0.32 12.73 8.24 NA NA XXX 78075 26 A Adrenal nuclear imaging 0.74 0.23 0.25 0.23 0.25 0.03 1.00 1.02 1.00 1.02 XXX 78075 TC A Adrenal nuclear imaging 0.00 11.44 6.93 NA NA 0.29 11.73 7.22 NA NA XXX 78099 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 78102 A Bone marrow imaging, ltd 0.55 4.17 2.72 NA NA 0.14 4.86 3.41 NA NA XXX 78102 26 A Bone marrow imaging, ltd 0.55 0.17 0.19 0.17 0.19 0.02 0.74 0.76 0.74 0.76 XXX 78102 TC A Bone marrow imaging, ltd 0.00 4.00 2.53 NA NA 0.12 4.12 2.65 NA NA XXX 78103 A Bone marrow imaging, mult 0.75 5.43 3.93 NA NA 0.20 6.38 4.88 NA NA XXX 78103 26 A Bone marrow imaging, mult 0.75 0.23 0.25 0.23 0.25 0.03 1.01 1.03 1.01 1.03 XXX 78103 TC A Bone marrow imaging, mult 0.00 5.20 3.68 NA NA 0.17 5.37 3.85 NA NA XXX 78104 A Bone marrow imaging, body 0.80 6.30 4.83 NA NA 0.25 7.35 5.88 NA NA XXX 78104 26 A Bone marrow imaging, body 0.80 0.27 0.27 0.27 0.27 0.03 1.10 1.10 1.10 1.10 XXX 78104 TC A Bone marrow imaging, body 0.00 6.02 4.56 NA NA 0.22 6.24 4.78 NA NA XXX 78110 A Plasma volume, single 0.19 2.16 1.31 NA NA 0.07 2.42 1.57 NA NA XXX 78110 26 A Plasma volume, single 0.19 0.06 0.07 0.06 0.07 0.01 0.26 0.27 0.26 0.27 XXX 78110 TC A Plasma volume, single 0.00 2.10 1.24 NA NA 0.06 2.16 1.30 NA NA XXX 78111 A Plasma volume, multiple 0.22 2.16 2.53 NA NA 0.15 2.53 2.90 NA NA XXX 78111 26 A Plasma volume, multiple 0.22 0.07 0.08 0.07 0.08 0.01 0.30 0.31 0.30 0.31 XXX 78111 TC A Plasma volume, multiple 0.00 2.09 2.45 NA NA 0.14 2.23 2.59 NA NA XXX 78120 A Red cell mass, single 0.23 2.09 1.88 NA NA 0.12 2.44 2.23 NA NA XXX 78120 26 A Red cell mass, single 0.23 0.07 0.08 0.07 0.08 0.01 0.31 0.32 0.31 0.32 XXX 78120 TC A Red cell mass, single 0.00 2.02 1.80 NA NA 0.11 2.13 1.91 NA NA XXX 78121 A Red cell mass, multiple 0.32 2.19 2.81 NA NA 0.15 2.66 3.28 NA NA XXX 78121 26 A Red cell mass, multiple 0.32 0.10 0.11 0.10 0.11 0.01 0.43 0.44 0.43 0.44 XXX 78121 TC A Red cell mass, multiple 0.00 2.10 2.71 NA NA 0.14 2.24 2.85 NA NA XXX 78122 A Blood volume 0.45 2.25 4.13 NA NA 0.26 2.96 4.84 NA NA XXX 78122 26 A Blood volume 0.45 0.14 0.16 0.14 0.16 0.02 0.61 0.63 0.61 0.63 XXX 78122 TC A Blood volume 0.00 2.11 3.98 NA NA 0.24 2.35 4.22 NA NA XXX 78130 A Red cell survival study 0.61 3.55 3.18 NA NA 0.17 4.33 3.96 NA NA XXX 78130 26 A Red cell survival study 0.61 0.20 0.21 0.20 0.21 0.03 0.84 0.85 0.84 0.85 XXX 78130 TC A Red cell survival study 0.00 3.35 2.98 NA NA 0.14 3.49 3.12 NA NA XXX 78135 A Red cell survival kinetics 0.64 8.59 5.97 NA NA 0.28 9.51 6.89 NA NA XXX 78135 26 A Red cell survival kinetics 0.64 0.20 0.22 0.20 0.22 0.03 0.87 0.89 0.87 0.89 XXX 78135 TC A Red cell survival kinetics 0.00 8.39 5.75 NA NA 0.25 8.64 6.00 NA NA XXX 78140 A Red cell sequestration 0.61 2.87 3.82 NA NA 0.24 3.72 4.67 NA NA XXX 78140 26 A Red cell sequestration 0.61 0.19 0.20 0.19 0.20 0.03 0.83 0.84 0.83 0.84 XXX 78140 TC A Red cell sequestration 0.00 2.68 3.62 NA NA 0.21 2.89 3.83 NA NA XXX 78185 A Spleen imaging 0.40 5.22 3.18 NA NA 0.15 5.77 3.73 NA NA XXX 78185 26 A Spleen imaging 0.40 0.12 0.14 0.12 0.14 0.02 0.54 0.56 0.54 0.56 XXX 78185 TC A Spleen imaging 0.00 5.10 3.05 NA NA 0.13 5.23 3.18 NA NA XXX 78190 A Platelet survival, kinetics 1.09 9.05 6.84 NA NA 0.38 10.52 8.31 NA NA XXX 78190 26 A Platelet survival, kinetics 1.09 0.34 0.38 0.34 0.38 0.08 1.51 1.55 1.51 1.55 XXX 78190 TC A Platelet survival, kinetics 0.00 8.71 6.46 NA NA 0.30 9.01 6.76 NA NA XXX 78191 A Platelet survival 0.61 3.43 6.51 NA NA 0.40 4.44 7.52 NA NA XXX 78191 26 A Platelet survival 0.61 0.19 0.20 0.19 0.20 0.03 0.83 0.84 0.83 0.84 XXX 78191 TC A Platelet survival 0.00 3.24 6.32 NA NA 0.37 3.61 6.69 NA NA XXX 78195 A Lymph system imaging 1.20 8.66 5.53 NA NA 0.28 10.14 7.01 NA NA XXX 78195 26 A Lymph system imaging 1.20 0.37 0.40 0.37 0.40 0.06 1.63 1.66 1.63 1.66 XXX Start Printed Page 49204 78195 TC A Lymph system imaging 0.00 8.29 5.13 NA NA 0.22 8.51 5.35 NA NA XXX 78199 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 78201 A Liver imaging 0.44 4.75 3.07 NA NA 0.15 5.34 3.66 NA NA XXX 78201 26 A Liver imaging 0.44 0.13 0.15 0.13 0.15 0.02 0.59 0.61 0.59 0.61 XXX 78201 TC A Liver imaging 0.00 4.61 2.92 NA NA 0.13 4.74 3.05 NA NA XXX 78202 A Liver imaging with flow 0.51 5.34 3.62 NA NA 0.16 6.01 4.29 NA NA XXX 78202 26 A Liver imaging with flow 0.51 0.16 0.17 0.16 0.17 0.02 0.69 0.70 0.69 0.70 XXX 78202 TC A Liver imaging with flow 0.00 5.19 3.46 NA NA 0.14 5.33 3.60 NA NA XXX 78205 A Liver imaging (3D) 0.71 5.26 5.93 NA NA 0.34 6.31 6.98 NA NA XXX 78205 26 A Liver imaging (3D) 0.71 0.22 0.24 0.22 0.24 0.03 0.96 0.98 0.96 0.98 XXX 78205 TC A Liver imaging (3D) 0.00 5.04 5.69 NA NA 0.31 5.35 6.00 NA NA XXX 78206 A Liver image (3d) with flow 0.96 14.57 8.32 NA NA 0.15 15.68 9.43 NA NA XXX 78206 26 A Liver image (3d) with flow 0.96 0.30 0.32 0.30 0.32 0.04 1.30 1.32 1.30 1.32 XXX 78206 TC A Liver image (3d) with flow 0.00 14.26 8.00 NA NA 0.11 14.37 8.11 NA NA XXX 78215 A Liver and spleen imaging 0.49 4.81 3.53 NA NA 0.16 5.46 4.18 NA NA XXX 78215 26 A Liver and spleen imaging 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX 78215 TC A Liver and spleen imaging 0.00 4.66 3.37 NA NA 0.14 4.80 3.51 NA NA XXX 78216 A Liver & spleen image/flow 0.57 2.82 3.46 NA NA 0.20 3.59 4.23 NA NA XXX 78216 26 A Liver & spleen image/flow 0.57 0.18 0.19 0.18 0.19 0.02 0.77 0.78 0.77 0.78 XXX 78216 TC A Liver & spleen image/flow 0.00 2.64 3.27 NA NA 0.18 2.82 3.45 NA NA XXX 78220 A Liver function study 0.49 3.04 3.67 NA NA 0.21 3.74 4.37 NA NA XXX 78220 26 A Liver function study 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX 78220 TC A Liver function study 0.00 2.89 3.51 NA NA 0.19 3.08 3.70 NA NA XXX 78223 A Hepatobiliary imaging 0.84 8.49 5.08 NA NA 0.23 9.56 6.15 NA NA XXX 78223 26 A Hepatobiliary imaging 0.84 0.26 0.28 0.26 0.28 0.04 1.14 1.16 1.14 1.16 XXX 78223 TC A Hepatobiliary imaging 0.00 8.23 4.80 NA NA 0.19 8.42 4.99 NA NA XXX 78230 A Salivary gland imaging 0.45 4.16 2.79 NA NA 0.15 4.76 3.39 NA NA XXX 78230 26 A Salivary gland imaging 0.45 0.14 0.15 0.14 0.15 0.02 0.61 0.62 0.61 0.62 XXX 78230 TC A Salivary gland imaging 0.00 4.02 2.64 NA NA 0.13 4.15 2.77 NA NA XXX 78231 A Serial salivary imaging 0.52 2.81 3.22 NA NA 0.19 3.52 3.93 NA NA XXX 78231 26 A Serial salivary imaging 0.52 0.16 0.18 0.16 0.18 0.02 0.70 0.72 0.70 0.72 XXX 78231 TC A Serial salivary imaging 0.00 2.64 3.04 NA NA 0.17 2.81 3.21 NA NA XXX 78232 A Salivary gland function exam 0.47 2.78 3.47 NA NA 0.20 3.45 4.14 NA NA XXX 78232 26 A Salivary gland function exam 0.47 0.15 0.16 0.15 0.16 0.02 0.64 0.65 0.64 0.65 XXX 78232 TC A Salivary gland function exam 0.00 2.64 3.32 NA NA 0.18 2.82 3.50 NA NA XXX 78258 A Esophageal motility study 0.74 5.83 3.81 NA NA 0.17 6.74 4.72 NA NA XXX 78258 26 A Esophageal motility study 0.74 0.27 0.26 0.27 0.26 0.03 1.04 1.03 1.04 1.03 XXX 78258 TC A Esophageal motility study 0.00 5.56 3.55 NA NA 0.14 5.70 3.69 NA NA XXX 78261 A Gastric mucosa imaging 0.69 6.07 4.77 NA NA 0.25 7.01 5.71 NA NA XXX 78261 26 A Gastric mucosa imaging 0.69 0.22 0.24 0.22 0.24 0.03 0.94 0.96 0.94 0.96 XXX 78261 TC A Gastric mucosa imaging 0.00 5.85 4.54 NA NA 0.22 6.07 4.76 NA NA XXX 78262 A Gastroesophageal reflux exam 0.68 5.94 4.85 NA NA 0.25 6.87 5.78 NA NA XXX 78262 26 A Gastroesophageal reflux exam 0.68 0.20 0.22 0.20 0.22 0.03 0.91 0.93 0.91 0.93 XXX 78262 TC A Gastroesophageal reflux exam 0.00 5.74 4.62 NA NA 0.22 5.96 4.84 NA NA XXX 78264 A Gastric emptying study 0.78 7.16 5.08 NA NA 0.25 8.19 6.11 NA NA XXX 78264 26 A Gastric emptying study 0.78 0.25 0.26 0.25 0.26 0.03 1.06 1.07 1.06 1.07 XXX 78264 TC A Gastric emptying study 0.00 6.91 4.83 NA NA 0.22 7.13 5.05 NA NA XXX 78270 A Vit B-12 absorption exam 0.20 1.94 1.70 NA NA 0.11 2.25 2.01 NA NA XXX 78270 26 A Vit B-12 absorption exam 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX 78270 TC A Vit B-12 absorption exam 0.00 1.88 1.63 NA NA 0.10 1.98 1.73 NA NA XXX 78271 A Vit b-12 absrp exam, int fac 0.20 1.90 1.76 NA NA 0.11 2.21 2.07 NA NA XXX 78271 26 A Vit b-12 absrp exam, int fac 0.20 0.05 0.07 0.05 0.07 0.01 0.26 0.28 0.26 0.28 XXX 78271 TC A Vit b-12 absrp exam, int fac 0.00 1.85 1.69 NA NA 0.10 1.95 1.79 NA NA XXX 78272 A Vit B-12 absorp, combined 0.27 2.02 2.31 NA NA 0.14 2.43 2.72 NA NA XXX Start Printed Page 49205 78272 26 A Vit B-12 absorp, combined 0.27 0.07 0.09 0.07 0.09 0.01 0.35 0.37 0.35 0.37 XXX 78272 TC A Vit B-12 absorp, combined 0.00 1.95 2.23 NA NA 0.13 2.08 2.36 NA NA XXX 78278 A Acute GI blood loss imaging 0.99 8.57 6.04 NA NA 0.29 9.85 7.32 NA NA XXX 78278 26 A Acute GI blood loss imaging 0.99 0.31 0.33 0.31 0.33 0.04 1.34 1.36 1.34 1.36 XXX 78278 TC A Acute GI blood loss imaging 0.00 8.26 5.72 NA NA 0.25 8.51 5.97 NA NA XXX 78282 C GI protein loss exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78282 26 A GI protein loss exam 0.38 0.12 0.13 0.12 0.13 0.02 0.52 0.53 0.52 0.53 XXX 78282 TC C GI protein loss exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78290 A MeckelIs divert exam 0.68 8.46 4.58 NA NA 0.19 9.33 5.45 NA NA XXX 78290 26 A MeckelIs divert exam 0.68 0.21 0.23 0.21 0.23 0.03 0.92 0.94 0.92 0.94 XXX 78290 TC A MeckelIs divert exam 0.00 8.25 4.35 NA NA 0.16 8.41 4.51 NA NA XXX 78291 A Leveen/shunt patency exam 0.88 6.17 4.06 NA NA 0.20 7.25 5.14 NA NA XXX 78291 26 A Leveen/shunt patency exam 0.88 0.27 0.29 0.27 0.29 0.04 1.19 1.21 1.19 1.21 XXX 78291 TC A Leveen/shunt patency exam 0.00 5.90 3.77 NA NA 0.16 6.06 3.93 NA NA XXX 78299 C GI nuclear procedure 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 78300 A Bone imaging, limited area 0.62 4.20 3.07 NA NA 0.17 4.99 3.86 NA NA XXX 78300 26 A Bone imaging, limited area 0.62 0.19 0.21 0.19 0.21 0.03 0.84 0.86 0.84 0.86 XXX 78300 TC A Bone imaging, limited area 0.00 4.01 2.86 NA NA 0.14 4.15 3.00 NA NA XXX 78305 A Bone imaging, multiple areas 0.83 5.46 4.32 NA NA 0.23 6.52 5.38 NA NA XXX 78305 26 A Bone imaging, multiple areas 0.83 0.26 0.28 0.26 0.28 0.04 1.13 1.15 1.13 1.15 XXX 78305 TC A Bone imaging, multiple areas 0.00 5.20 4.05 NA NA 0.19 5.39 4.24 NA NA XXX 78306 A Bone imaging, whole body 0.86 6.05 4.93 NA NA 0.26 7.17 6.05 NA NA XXX 78306 26 A Bone imaging, whole body 0.86 0.27 0.29 0.27 0.29 0.04 1.17 1.19 1.17 1.19 XXX 78306 TC A Bone imaging, whole body 0.00 5.78 4.65 NA NA 0.22 6.00 4.87 NA NA XXX 78315 A Bone imaging, 3 phase 1.02 8.59 5.99 NA NA 0.29 9.90 7.30 NA NA XXX 78315 26 A Bone imaging, 3 phase 1.02 0.32 0.34 0.32 0.34 0.04 1.38 1.40 1.38 1.40 XXX 78315 TC A Bone imaging, 3 phase 0.00 8.27 5.65 NA NA 0.25 8.52 5.90 NA NA XXX 78320 A Bone imaging (3D) 1.04 5.36 6.04 NA NA 0.35 6.75 7.43 NA NA XXX 78320 26 A Bone imaging (3D) 1.04 0.33 0.35 0.33 0.35 0.04 1.41 1.43 1.41 1.43 XXX 78320 TC A Bone imaging (3D) 0.00 5.03 5.69 NA NA 0.31 5.34 6.00 NA NA XXX 78350 A Bone mineral, single photon 0.22 0.56 0.76 NA NA 0.06 0.84 1.04 NA NA XXX 78350 26 A Bone mineral, single photon 0.22 0.06 0.07 0.06 0.07 0.01 0.29 0.30 0.29 0.30 XXX 78350 TC A Bone mineral, single photon 0.00 0.49 0.69 NA NA 0.05 0.54 0.74 NA NA XXX 78351 N Bone mineral, dual photon 0.30 2.80 1.99 0.07 0.11 0.01 3.11 2.30 0.38 0.42 XXX 78399 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 XXX 78414 26 A Non-imaging heart function 0.45 0.14 0.16 0.14 0.16 0.02 0.61 0.63 0.61 0.63 XXX 78414 TC C Non-imaging heart function 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78428 A Cardiac shunt imaging 0.78 5.36 3.25 NA NA 0.16 6.30 4.19 NA NA XXX 78428 26 A Cardiac shunt imaging 0.78 0.38 0.31 0.38 0.31 0.03 1.19 1.12 1.19 1.12 XXX 78428 TC A Cardiac shunt imaging 0.00 4.98 2.93 NA NA 0.13 5.11 3.06 NA NA XXX 78445 A Vascular flow imaging 0.49 4.63 2.68 NA NA 0.13 5.25 3.30 NA NA XXX 78445 26 A Vascular flow imaging 0.49 0.18 0.17 0.18 0.17 0.02 0.69 0.68 0.69 0.68 XXX 78445 TC A Vascular flow imaging 0.00 4.45 2.51 NA NA 0.11 4.56 2.62 NA NA XXX 78456 A Acute venous thrombus image 1.00 10.04 5.75 NA NA 0.33 11.37 7.08 NA NA XXX 78456 26 A Acute venous thrombus image 1.00 0.50 0.38 0.50 0.38 0.04 1.54 1.42 1.54 1.42 XXX 78456 TC A Acute venous thrombus image 0.00 9.54 5.37 NA NA 0.29 9.83 5.66 NA NA XXX 78457 A Venous thrombosis imaging 0.77 4.73 3.38 NA NA 0.17 5.67 4.32 NA NA XXX 78457 26 A Venous thrombosis imaging 0.77 0.24 0.26 0.24 0.26 0.03 1.04 1.06 1.04 1.06 XXX 78457 TC A Venous thrombosis imaging 0.00 4.49 3.12 NA NA 0.14 4.63 3.26 NA NA XXX 78458 A Ven thrombosis images, bilat 0.90 4.59 4.40 NA NA 0.25 5.74 5.55 NA NA XXX 78458 26 A Ven thrombosis images, bilat 0.90 0.28 0.31 0.28 0.31 0.04 1.22 1.25 1.22 1.25 XXX 78458 TC A Ven thrombosis images, bilat 0.00 4.31 4.09 NA NA 0.21 4.52 4.30 NA NA XXX 78459 C Heart muscle imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78459 26 A Heart muscle imaging (PET) 1.50 0.55 0.57 0.55 0.57 0.05 2.10 2.12 2.10 2.12 XXX 78459 TC C Heart muscle imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78460 A Heart muscle blood, single 0.86 4.68 3.16 NA NA 0.17 5.71 4.19 NA NA XXX 78460 26 A Heart muscle blood, single 0.86 0.29 0.29 0.29 0.29 0.04 1.19 1.19 1.19 1.19 XXX 78460 TC A Heart muscle blood, single 0.00 4.39 2.87 NA NA 0.13 4.52 3.00 NA NA XXX 78461 A Heart muscle blood, multiple 1.23 4.01 4.87 NA NA 0.30 5.54 6.40 NA NA XXX 78461 26 A Heart muscle blood, multiple 1.23 0.42 0.43 0.42 0.43 0.05 1.70 1.71 1.70 1.71 XXX 78461 TC A Heart muscle blood, multiple 0.00 3.59 4.44 NA NA 0.25 3.84 4.69 NA NA XXX Start Printed Page 49206 78464 A Heart image (3d), single 1.09 5.91 7.07 NA NA 0.41 7.41 8.57 NA NA XXX 78464 26 A Heart image (3d), single 1.09 0.49 0.41 0.49 0.41 0.04 1.62 1.54 1.62 1.54 XXX 78464 TC A Heart image (3d), single 0.00 5.42 6.66 NA NA 0.37 5.79 7.03 NA NA XXX 78465 A Heart image (3d), multiple 1.46 11.58 12.12 NA NA 0.67 13.71 14.25 NA NA XXX 78465 26 A Heart image (3d), multiple 1.46 0.71 0.57 0.71 0.57 0.05 2.22 2.08 2.22 2.08 XXX 78465 TC A Heart image (3d), multiple 0.00 10.87 11.56 NA NA 0.62 11.49 12.18 NA NA XXX 78466 A Heart infarct image 0.69 4.52 3.28 NA NA 0.17 5.38 4.14 NA NA XXX 78466 26 A Heart infarct image 0.69 0.25 0.24 0.25 0.24 0.03 0.97 0.96 0.97 0.96 XXX 78466 TC A Heart infarct image 0.00 4.27 3.03 NA NA 0.14 4.41 3.17 NA NA XXX 78468 A Heart infarct image (ef) 0.80 6.06 4.46 NA NA 0.22 7.08 5.48 NA NA XXX 78468 26 A Heart infarct image (ef) 0.80 0.42 0.31 0.42 0.31 0.03 1.25 1.14 1.25 1.14 XXX 78468 TC A Heart infarct image (ef) 0.00 5.64 4.16 NA NA 0.19 5.83 4.35 NA NA XXX 78469 A Heart infarct image (3D) 0.92 6.29 5.72 NA NA 0.31 7.52 6.95 NA NA XXX 78469 26 A Heart infarct image (3D) 0.92 0.43 0.34 0.43 0.34 0.03 1.38 1.29 1.38 1.29 XXX 78469 TC A Heart infarct image (3D) 0.00 5.85 5.38 NA NA 0.28 6.13 5.66 NA NA XXX 78472 A Gated heart, planar, single 0.98 6.15 5.93 NA NA 0.34 7.47 7.25 NA NA XXX 78472 26 A Gated heart, planar, single 0.98 0.40 0.36 0.40 0.36 0.04 1.42 1.38 1.42 1.38 XXX 78472 TC A Gated heart, planar, single 0.00 5.75 5.57 NA NA 0.30 6.05 5.87 NA NA XXX 78473 A Gated heart, multiple 1.47 7.79 8.52 NA NA 0.48 9.74 10.47 NA NA XXX 78473 26 A Gated heart, multiple 1.47 0.62 0.54 0.62 0.54 0.06 2.15 2.07 2.15 2.07 XXX 78473 TC A Gated heart, multiple 0.00 7.17 7.99 NA NA 0.42 7.59 8.41 NA NA XXX 78478 A Heart wall motion add-on 0.50 0.81 1.54 NA NA 0.12 1.43 2.16 NA NA XXX 78478 26 A Heart wall motion add-on 0.50 0.24 0.23 0.24 0.23 0.02 0.76 0.75 0.76 0.75 XXX 78478 TC A Heart wall motion add-on 0.00 0.57 1.31 NA NA 0.10 0.67 1.41 NA NA XXX 78480 A Heart function add-on 0.30 0.71 1.51 NA NA 0.12 1.13 1.93 NA NA XXX 78480 26 A Heart function add-on 0.30 0.15 0.20 0.15 0.20 0.02 0.47 0.52 0.47 0.52 XXX 78480 TC A Heart function add-on 0.00 0.57 1.31 NA NA 0.10 0.67 1.41 NA NA XXX 78481 A Heart first pass, single 0.98 5.12 5.47 NA NA 0.31 6.41 6.76 NA NA XXX 78481 26 A Heart first pass, single 0.98 0.49 0.39 0.49 0.39 0.03 1.50 1.40 1.50 1.40 XXX 78481 TC A Heart first pass, single 0.00 4.62 5.07 NA NA 0.28 4.90 5.35 NA NA XXX 78483 A Heart first pass, multiple 1.47 6.93 8.04 NA NA 0.46 8.86 9.97 NA NA XXX 78483 26 A Heart first pass, multiple 1.47 0.79 0.60 0.79 0.60 0.05 2.31 2.12 2.31 2.12 XXX 78483 TC A Heart first pass, multiple 0.00 6.14 7.44 NA NA 0.41 6.55 7.85 NA NA XXX 78491 C Heart image (pet), single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78491 26 A Heart image (pet), single 1.50 0.62 0.60 0.62 0.60 0.06 2.18 2.16 2.18 2.16 XXX 78491 TC C Heart image (pet), single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78492 C Heart image (pet), multiple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78492 26 A Heart image (pet), multiple 1.87 0.91 0.78 0.91 0.78 0.07 2.85 2.72 2.85 2.72 XXX 78492 TC C Heart image (pet), multiple 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78494 A Heart image, spect 1.19 6.30 7.19 NA NA 0.35 7.84 8.73 NA NA XXX 78494 26 A Heart image, spect 1.19 0.54 0.45 0.54 0.45 0.05 1.78 1.69 1.78 1.69 XXX 78494 TC A Heart image, spect 0.00 5.75 6.74 NA NA 0.30 6.05 7.04 NA NA XXX 78496 A Heart first pass add-on 0.50 0.93 5.67 0.93 5.67 0.32 1.75 6.49 1.75 6.49 ZZZ 78496 26 A Heart first pass add-on 0.50 0.25 0.20 0.25 0.20 0.02 0.77 0.72 0.77 0.72 ZZZ 78496 TC A Heart first pass add-on 0.00 0.68 5.47 0.68 5.47 0.30 0.98 5.77 0.98 5.77 ZZZ 78499 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 78580 A Lung perfusion imaging 0.74 5.12 4.04 NA NA 0.21 6.07 4.99 NA NA XXX 78580 26 A Lung perfusion imaging 0.74 0.24 0.25 0.24 0.25 0.03 1.01 1.02 1.01 1.02 XXX 78580 TC A Lung perfusion imaging 0.00 4.88 3.79 NA NA 0.18 5.06 3.97 NA NA XXX 78584 A Lung V/Q image single breath 0.99 2.93 3.38 NA NA 0.21 4.13 4.58 NA NA XXX 78584 26 A Lung V/Q image single breath 0.99 0.31 0.33 0.31 0.33 0.04 1.34 1.36 1.34 1.36 XXX 78584 TC A Lung V/Q image single breath 0.00 2.62 3.06 NA NA 0.17 2.79 3.23 NA NA XXX 78585 A Lung V/Q imaging 1.09 8.60 6.65 NA NA 0.35 10.04 8.09 NA NA XXX 78585 26 A Lung V/Q imaging 1.09 0.34 0.36 0.34 0.36 0.05 1.48 1.50 1.48 1.50 XXX Start Printed Page 49207 78585 TC A Lung V/Q imaging 0.00 8.26 6.30 NA NA 0.30 8.56 6.60 NA NA XXX 78586 A Aerosol lung image, single 0.40 4.13 3.07 NA NA 0.16 4.69 3.63 NA NA XXX 78586 26 A Aerosol lung image, single 0.40 0.12 0.13 0.12 0.13 0.02 0.54 0.55 0.54 0.55 XXX 78586 TC A Aerosol lung image, single 0.00 4.01 2.95 NA NA 0.14 4.15 3.09 NA NA XXX 78587 A Aerosol lung image, multiple 0.49 5.43 3.59 NA NA 0.16 6.08 4.24 NA NA XXX 78587 26 A Aerosol lung image, multiple 0.49 0.15 0.17 0.15 0.17 0.02 0.66 0.68 0.66 0.68 XXX 78587 TC A Aerosol lung image, multiple 0.00 5.27 3.42 NA NA 0.14 5.41 3.56 NA NA XXX 78588 A Perfusion lung image 1.09 8.63 4.83 NA NA 0.23 9.95 6.15 NA NA XXX 78588 26 A Perfusion lung image 1.09 0.34 0.36 0.34 0.36 0.05 1.48 1.50 1.48 1.50 XXX 78588 TC A Perfusion lung image 0.00 8.29 4.47 NA NA 0.18 8.47 4.65 NA NA XXX 78591 A Vent image, 1 breath, 1 proj 0.40 4.12 3.27 NA NA 0.16 4.68 3.83 NA NA XXX 78591 26 A Vent image, 1 breath, 1 proj 0.40 0.12 0.13 0.12 0.13 0.02 0.54 0.55 0.54 0.55 XXX 78591 TC A Vent image, 1 breath, 1 proj 0.00 4.00 3.14 NA NA 0.14 4.14 3.28 NA NA XXX 78593 A Vent image, 1 proj, gas 0.49 4.79 3.91 NA NA 0.20 5.48 4.60 NA NA XXX 78593 26 A Vent image, 1 proj, gas 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX 78593 TC A Vent image, 1 proj, gas 0.00 4.64 3.75 NA NA 0.18 4.82 3.93 NA NA XXX 78594 A Vent image, mult proj, gas 0.53 5.29 5.19 NA NA 0.27 6.09 5.99 NA NA XXX 78594 26 A Vent image, mult proj, gas 0.53 0.16 0.18 0.16 0.18 0.02 0.71 0.73 0.71 0.73 XXX 78594 TC A Vent image, mult proj, gas 0.00 5.13 5.02 NA NA 0.25 5.38 5.27 NA NA XXX 78596 A Lung differential function 1.27 8.73 7.80 NA NA 0.42 10.42 9.49 NA NA XXX 78596 26 A Lung differential function 1.27 0.37 0.41 0.37 0.41 0.05 1.69 1.73 1.69 1.73 XXX 78596 TC A Lung differential function 0.00 8.36 7.39 NA NA 0.37 8.73 7.76 NA NA XXX 78599 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 78600 A Brain imaging, ltd static 0.44 7.30 4.10 NA NA 0.16 7.90 4.70 NA NA XXX 78600 26 A Brain imaging, ltd static 0.44 0.14 0.15 0.14 0.15 0.02 0.60 0.61 0.60 0.61 XXX 78600 TC A Brain imaging, ltd static 0.00 7.16 3.95 NA NA 0.14 7.30 4.09 NA NA XXX 78601 A Brain imaging, ltd w/flow 0.51 5.35 4.02 NA NA 0.20 6.06 4.73 NA NA XXX 78601 26 A Brain imaging, ltd w/flow 0.51 0.16 0.17 0.16 0.17 0.02 0.69 0.70 0.69 0.70 XXX 78601 TC A Brain imaging, ltd w/flow 0.00 5.19 3.85 NA NA 0.18 5.37 4.03 NA NA XXX 78605 A Brain imaging, complete 0.53 4.75 3.87 NA NA 0.20 5.48 4.60 NA NA XXX 78605 26 A Brain imaging, complete 0.53 0.17 0.18 0.17 0.18 0.02 0.72 0.73 0.72 0.73 XXX 78605 TC A Brain imaging, complete 0.00 4.59 3.70 NA NA 0.18 4.77 3.88 NA NA XXX 78606 A Brain imaging, compl w/flow 0.64 8.54 5.20 NA NA 0.24 9.42 6.08 NA NA XXX 78606 26 A Brain imaging, compl w/flow 0.64 0.20 0.21 0.20 0.21 0.03 0.87 0.88 0.87 0.88 XXX 78606 TC A Brain imaging, compl w/flow 0.00 8.34 4.99 NA NA 0.21 8.55 5.20 NA NA XXX 78607 A Brain imaging (3D) 1.23 15.23 9.04 NA NA 0.40 16.86 10.67 NA NA XXX 78607 26 A Brain imaging (3D) 1.23 0.38 0.42 0.38 0.42 0.05 1.66 1.70 1.66 1.70 XXX 78607 TC A Brain imaging (3D) 0.00 14.85 8.63 NA NA 0.35 15.20 8.98 NA NA XXX 78608 C Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78608 26 A Brain imaging (PET) 1.50 0.47 0.50 0.47 0.50 0.06 2.03 2.06 2.03 2.06 XXX 78608 TC C Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78609 C Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78609 26 A Brain imaging (PET) 1.50 0.47 0.50 0.47 0.50 0.06 2.03 2.06 2.03 2.06 XXX 78609 TC C Brain imaging (PET) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78610 A Brain flow imaging only 0.30 4.44 2.38 NA NA 0.11 4.85 2.79 NA NA XXX 78610 26 A Brain flow imaging only 0.30 0.09 0.11 0.09 0.11 0.01 0.40 0.42 0.40 0.42 XXX 78610 TC A Brain flow imaging only 0.00 4.35 2.27 NA NA 0.10 4.45 2.37 NA NA XXX 78615 A Cerebral vascular flow image 0.42 5.34 4.34 NA NA 0.23 5.99 4.99 NA NA XXX 78615 26 A Cerebral vascular flow image 0.42 0.13 0.15 0.13 0.15 0.02 0.57 0.59 0.57 0.59 XXX 78615 TC A Cerebral vascular flow image 0.00 5.21 4.19 NA NA 0.21 5.42 4.40 NA NA XXX 78630 A Cerebrospinal fluid scan 0.68 8.61 6.10 NA NA 0.30 9.59 7.08 NA NA XXX 78630 26 A Cerebrospinal fluid scan 0.68 0.21 0.23 0.21 0.23 0.03 0.92 0.94 0.92 0.94 XXX 78630 TC A Cerebrospinal fluid scan 0.00 8.40 5.88 NA NA 0.27 8.67 6.15 NA NA XXX 78635 A CSF ventriculography 0.61 8.54 4.21 NA NA 0.16 9.31 4.98 NA NA XXX 78635 26 A CSF ventriculography 0.61 0.19 0.22 0.19 0.22 0.02 0.82 0.85 0.82 0.85 XXX 78635 TC A CSF ventriculography 0.00 8.35 3.99 NA NA 0.14 8.49 4.13 NA NA XXX 78645 A CSF shunt evaluation 0.57 8.43 4.82 NA NA 0.20 9.20 5.59 NA NA XXX 78645 26 A CSF shunt evaluation 0.57 0.18 0.19 0.18 0.19 0.02 0.77 0.78 0.77 0.78 XXX 78645 TC A CSF shunt evaluation 0.00 8.25 4.64 NA NA 0.18 8.43 4.82 NA NA XXX 78647 A Cerebrospinal fluid scan 0.90 14.31 8.24 NA NA 0.35 15.56 9.49 NA NA XXX 78647 26 A Cerebrospinal fluid scan 0.90 0.27 0.30 0.27 0.30 0.04 1.21 1.24 1.21 1.24 XXX 78647 TC A Cerebrospinal fluid scan 0.00 14.05 7.95 NA NA 0.31 14.36 8.26 NA NA XXX 78650 A CSF leakage imaging 0.61 8.62 5.79 NA NA 0.27 9.50 6.67 NA NA XXX 78650 26 A CSF leakage imaging 0.61 0.19 0.21 0.19 0.21 0.03 0.83 0.85 0.83 0.85 XXX Start Printed Page 49208 78650 TC A CSF leakage imaging 0.00 8.43 5.59 NA NA 0.24 8.67 5.83 NA NA XXX 78660 A Nuclear exam of tear flow 0.53 4.24 2.79 NA NA 0.14 4.91 3.46 NA NA XXX 78660 26 A Nuclear exam of tear flow 0.53 0.17 0.18 0.17 0.18 0.02 0.72 0.73 0.72 0.73 XXX 78660 TC A Nuclear exam of tear flow 0.00 4.07 2.61 NA NA 0.12 4.19 2.73 NA NA XXX 78699 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 78700 A Kidney imaging, static 0.45 4.47 3.52 NA NA 0.18 5.10 4.15 NA NA XXX 78700 26 A Kidney imaging, static 0.45 0.15 0.15 0.15 0.15 0.02 0.62 0.62 0.62 0.62 XXX 78700 TC A Kidney imaging, static 0.00 4.32 3.37 NA NA 0.16 4.48 3.53 NA NA XXX 78701 A Kidney imaging with flow 0.49 5.36 4.13 NA NA 0.20 6.05 4.82 NA NA XXX 78701 26 A Kidney imaging with flow 0.49 0.15 0.16 0.15 0.16 0.02 0.66 0.67 0.66 0.67 XXX 78701 TC A Kidney imaging with flow 0.00 5.21 3.97 NA NA 0.18 5.39 4.15 NA NA XXX 78704 A Imaging renogram 0.74 5.42 4.51 NA NA 0.24 6.40 5.49 NA NA XXX 78704 26 A Imaging renogram 0.74 0.23 0.25 0.23 0.25 0.03 1.00 1.02 1.00 1.02 XXX 78704 TC A Imaging renogram 0.00 5.19 4.26 NA NA 0.21 5.40 4.47 NA NA XXX 78707 A Kidney flow/function image 0.96 5.48 4.96 NA NA 0.27 6.71 6.19 NA NA XXX 78707 26 A Kidney flow/function image 0.96 0.30 0.32 0.30 0.32 0.04 1.30 1.32 1.30 1.32 XXX 78707 TC A Kidney flow/function image 0.00 5.18 4.65 NA NA 0.23 5.41 4.88 NA NA XXX 78708 A Kidney flow/function image 1.21 3.41 4.51 NA NA 0.28 4.90 6.00 NA NA XXX 78708 26 A Kidney flow/function image 1.21 0.38 0.40 0.38 0.40 0.05 1.64 1.66 1.64 1.66 XXX 78708 TC A Kidney flow/function image 0.00 3.03 4.11 NA NA 0.23 3.26 4.34 NA NA XXX 78709 A Kidney flow/function image 1.41 8.88 5.93 NA NA 0.29 10.58 7.63 NA NA XXX 78709 26 A Kidney flow/function image 1.41 0.45 0.47 0.45 0.47 0.06 1.92 1.94 1.92 1.94 XXX 78709 TC A Kidney flow/function image 0.00 8.43 5.46 NA NA 0.23 8.66 5.69 NA NA XXX 78710 A Kidney imaging (3D) 0.66 5.29 5.92 NA NA 0.34 6.29 6.92 NA NA XXX 78710 26 A Kidney imaging (3D) 0.66 0.21 0.22 0.21 0.22 0.03 0.90 0.91 0.90 0.91 XXX 78710 TC A Kidney imaging (3D) 0.00 5.08 5.70 NA NA 0.31 5.39 6.01 NA NA XXX 78715 A Renal vascular flow exam 0.30 4.82 2.47 NA NA 0.11 5.23 2.88 NA NA XXX 78715 26 A Renal vascular flow exam 0.30 0.13 0.12 0.13 0.12 0.01 0.44 0.43 0.44 0.43 XXX 78715 TC A Renal vascular flow exam 0.00 4.69 2.36 NA NA 0.10 4.79 2.46 NA NA XXX 78725 A Kidney function study 0.38 2.35 2.02 NA NA 0.13 2.86 2.53 NA NA XXX 78725 26 A Kidney function study 0.38 0.12 0.13 0.12 0.13 0.02 0.52 0.53 0.52 0.53 XXX 78725 TC A Kidney function study 0.00 2.23 1.89 NA NA 0.11 2.34 2.00 NA NA XXX 78730 A Urinary bladder retention 0.36 1.85 1.65 1.85 1.65 0.10 2.31 2.11 2.31 2.11 XXX 78730 26 A Urinary bladder retention 0.36 0.14 0.13 0.14 0.13 0.02 0.52 0.51 0.52 0.51 XXX 78730 TC A Urinary bladder retention 0.00 1.71 1.52 1.71 1.52 0.08 1.79 1.60 1.79 1.60 XXX 78740 A Ureteral reflux study 0.57 5.48 3.10 NA NA 0.15 6.20 3.82 NA NA XXX 78740 26 A Ureteral reflux study 0.57 0.18 0.19 0.18 0.19 0.03 0.78 0.79 0.78 0.79 XXX 78740 TC A Ureteral reflux study 0.00 5.30 2.92 NA NA 0.12 5.42 3.04 NA NA XXX 78760 A Testicular imaging 0.66 4.52 3.31 NA NA 0.17 5.35 4.14 NA NA XXX 78760 26 A Testicular imaging 0.66 0.22 0.22 0.22 0.22 0.03 0.91 0.91 0.91 0.91 XXX 78760 TC A Testicular imaging 0.00 4.30 3.09 NA NA 0.14 4.44 3.23 NA NA XXX 78761 A Testicular imaging/flow 0.71 4.96 3.82 NA NA 0.20 5.87 4.73 NA NA XXX 78761 26 A Testicular imaging/flow 0.71 0.23 0.24 0.23 0.24 0.03 0.97 0.98 0.97 0.98 XXX 78761 TC A Testicular imaging/flow 0.00 4.72 3.58 NA NA 0.17 4.89 3.75 NA NA XXX 78799 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 78800 A Tumor imaging, limited area 0.66 4.29 3.79 NA NA 0.22 5.17 4.67 NA NA XXX 78800 26 A Tumor imaging, limited area 0.66 0.20 0.22 0.20 0.22 0.04 0.90 0.92 0.90 0.92 XXX 78800 TC A Tumor imaging, limited area 0.00 4.09 3.57 NA NA 0.18 4.27 3.75 NA NA XXX 78801 A Tumor imaging, mult areas 0.79 6.10 4.89 NA NA 0.27 7.16 5.95 NA NA XXX 78801 26 A Tumor imaging, mult areas 0.79 0.24 0.26 0.24 0.26 0.05 1.08 1.10 1.08 1.10 XXX 78801 TC A Tumor imaging, mult areas 0.00 5.86 4.63 NA NA 0.22 6.08 4.85 NA NA XXX 78802 A Tumor imaging, whole body 0.86 8.17 6.41 NA NA 0.34 9.37 7.61 NA NA XXX Start Printed Page 49209 78802 26 A Tumor imaging, whole body 0.86 0.27 0.29 0.27 0.29 0.04 1.17 1.19 1.17 1.19 XXX 78802 TC A Tumor imaging, whole body 0.00 7.90 6.12 NA NA 0.30 8.20 6.42 NA NA XXX 78803 A Tumor imaging (3D) 1.09 15.02 8.95 NA NA 0.40 16.51 10.44 NA NA XXX 78803 26 A Tumor imaging (3D) 1.09 0.34 0.37 0.34 0.37 0.05 1.48 1.51 1.48 1.51 XXX 78803 TC A Tumor imaging (3D) 0.00 14.67 8.58 NA NA 0.35 15.02 8.93 NA NA XXX 78804 A Tumor imaging, whole body 1.07 14.91 12.30 NA NA 0.34 16.32 13.71 NA NA XXX 78804 26 A Tumor imaging, whole body 1.07 0.34 0.36 0.34 0.36 0.04 1.45 1.47 1.45 1.47 XXX 78804 TC A Tumor imaging, whole body 0.00 14.58 11.94 NA NA 0.30 14.88 12.24 NA NA XXX 78805 A Abscess imaging, ltd area 0.73 4.20 3.79 NA NA 0.21 5.14 4.73 NA NA XXX 78805 26 A Abscess imaging, ltd area 0.73 0.23 0.25 0.23 0.25 0.03 0.99 1.01 0.99 1.01 XXX 78805 TC A Abscess imaging, ltd area 0.00 3.97 3.54 NA NA 0.18 4.15 3.72 NA NA XXX 78806 A Abscess imaging, whole body 0.86 8.35 7.13 NA NA 0.39 9.60 8.38 NA NA XXX 78806 26 A Abscess imaging, whole body 0.86 0.27 0.29 0.27 0.29 0.04 1.17 1.19 1.17 1.19 XXX 78806 TC A Abscess imaging, whole body 0.00 8.08 6.84 NA NA 0.35 8.43 7.19 NA NA XXX 78807 A Nuclear localization/abscess 1.09 14.28 8.78 NA NA 0.39 15.76 10.26 NA NA XXX 78807 26 A Nuclear localization/abscess 1.09 0.34 0.38 0.34 0.38 0.04 1.47 1.51 1.47 1.51 XXX 78807 TC A Nuclear localization/abscess 0.00 13.94 8.40 NA NA 0.35 14.29 8.75 NA NA XXX 78811 C Tumor imaging (pet), limited 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78811 26 A Tumor imaging (pet), limited 1.54 0.48 0.52 0.48 0.52 0.11 2.13 2.17 2.13 2.17 XXX 78811 TC C Tumor imaging (pet), limited 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78812 C Tumor image (pet)/skul-thigh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78812 26 A Tumor image (pet)/skul-thigh 1.93 0.61 0.65 0.61 0.65 0.11 2.65 2.69 2.65 2.69 XXX 78812 TC C Tumor image (pet)/skul-thigh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78813 C Tumor image (pet) full body 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78813 26 A Tumor image (pet) full body 2.00 0.62 0.67 0.62 0.67 0.11 2.73 2.78 2.73 2.78 XXX 78813 TC C Tumor image (pet) full body 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78814 C Tumor image pet/ct, limited 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78814 26 A Tumor image pet/ct, limited 2.20 0.68 0.74 0.68 0.74 0.11 2.99 3.05 2.99 3.05 XXX 78814 TC C Tumor image pet/ct, limited 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78815 C Tumorimage pet/ct skul-thigh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78815 26 A Tumorimage pet/ct skul-thigh 2.44 0.77 0.82 0.77 0.82 0.11 3.32 3.37 3.32 3.37 XXX 78815 TC C Tumorimage pet/ct skul-thigh 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78816 C Tumor image pet/ct full body 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78816 26 A Tumor image pet/ct full body 2.50 0.78 0.84 0.78 0.84 0.11 3.39 3.45 3.39 3.45 XXX 78816 TC C Tumor image pet/ct full body 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78890 B Nuclear medicine data proc 0.05 0.39 1.10 NA NA 0.07 0.51 1.22 NA NA XXX 78890 26 B Nuclear medicine data proc 0.05 0.01 0.02 0.01 0.02 0.01 0.07 0.08 0.07 0.08 XXX 78890 TC B Nuclear medicine data proc 0.00 0.38 1.08 NA NA 0.06 0.44 1.14 NA NA XXX 78891 B Nuclear med data proc 0.10 0.89 2.22 NA NA 0.14 1.13 2.46 NA NA XXX 78891 26 B Nuclear med data proc 0.10 0.02 0.04 0.02 0.04 0.01 0.13 0.15 0.13 0.15 XXX 78891 TC B Nuclear med data proc 0.00 0.86 2.18 NA NA 0.13 0.99 2.31 NA NA XXX 78999 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78999 26 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 79005 A Nuclear rx, oral admin 1.80 1.78 2.86 NA NA 0.22 3.80 4.88 NA NA XXX 79005 26 A Nuclear rx, oral admin 1.80 0.53 0.58 0.53 0.58 0.08 2.41 2.46 2.41 2.46 XXX 79005 TC A Nuclear rx, oral admin 0.00 1.25 2.28 NA NA 0.14 1.39 2.42 NA NA XXX 79101 A Nuclear rx, iv admin 1.96 2.10 2.99 NA NA 0.22 4.28 5.17 NA NA XXX 79101 26 A Nuclear rx, iv admin 1.96 0.68 0.67 0.68 0.67 0.08 2.72 2.71 2.72 2.71 XXX 79101 TC A Nuclear rx, iv admin 0.00 1.41 2.32 NA NA 0.14 1.55 2.46 NA NA XXX 79200 A Nuclear rx, intracav admin 1.99 2.18 3.03 NA NA 0.23 4.40 5.25 NA NA XXX 79200 26 A Nuclear rx, intracav admin 1.99 0.59 0.67 0.59 0.67 0.09 2.67 2.75 2.67 2.75 XXX 79200 TC A Nuclear rx, intracav admin 0.00 1.60 2.37 NA NA 0.14 1.74 2.51 NA NA XXX 79300 C Nuclr rx, interstit colloid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79300 26 A Nuclr rx, interstit colloid 1.60 0.46 0.54 0.46 0.54 0.13 2.19 2.27 2.19 2.27 XXX 79300 TC C Nuclr rx, interstit colloid 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79403 A Hematopoietic nuclear tx 2.25 2.83 4.58 NA NA 0.24 5.32 7.07 NA NA XXX 79403 26 A Hematopoietic nuclear tx 2.25 0.68 0.84 0.68 0.84 0.10 3.03 3.19 3.03 3.19 XXX 79403 TC A Hematopoietic nuclear tx 0.00 2.15 3.74 NA NA 0.14 2.29 3.88 NA NA XXX 79440 A Nuclear rx, intra-articular 1.99 1.77 2.95 NA NA 0.22 3.98 5.16 NA NA XXX 79440 26 A Nuclear rx, intra-articular 1.99 0.61 0.69 0.61 0.69 0.08 2.68 2.76 2.68 2.76 XXX 79440 TC A Nuclear rx, intra-articular 0.00 1.16 2.26 NA NA 0.14 1.30 2.40 NA NA XXX 79445 C Nuclear rx, intra-arterial 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 79445 26 A Nuclear rx, intra-arterial 2.40 0.77 0.81 0.77 0.81 0.12 3.29 3.33 3.29 3.33 XXX 79445 TC C Nuclear rx, intra-arterial 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX Start Printed Page 49210 79999 26 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 80500 A Lab pathology consultation 0.37 0.20 0.21 0.11 0.15 0.01 0.58 0.59 0.49 0.53 XXX 80502 A Lab pathology consultation 1.33 0.31 0.48 0.25 0.47 0.04 1.68 1.85 1.62 1.84 XXX 83020 26 A Hemoglobin electrophoresis 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 83912 26 A Genetic examination 0.37 0.11 0.12 0.11 0.12 0.01 0.49 0.50 0.49 0.50 XXX 84165 26 A Protein e-phoresis, serum 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 84166 26 A Protein e-phoresis/urine/csf 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 84181 26 A Western blot test 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 84182 26 A Protein, western blot test 0.37 0.12 0.15 0.12 0.15 0.02 0.51 0.54 0.51 0.54 XXX 85060 A Blood smear interpretation 0.45 0.14 0.17 0.14 0.17 0.02 0.61 0.64 0.61 0.64 XXX 85097 A Bone marrow interpretation 0.94 1.30 1.76 0.28 0.38 0.04 2.28 2.74 1.26 1.36 XXX 85390 26 A Fibrinolysins screen 0.37 0.12 0.13 0.12 0.13 0.01 0.50 0.51 0.50 0.51 XXX 85396 A Clotting assay, whole blood 0.37 NA NA 0.05 0.13 0.04 NA NA 0.46 0.54 XXX 85576 26 A Blood platelet aggregation 0.37 0.12 0.15 0.12 0.15 0.01 0.50 0.53 0.50 0.53 XXX 86077 A Physician blood bank service 0.94 0.38 0.39 0.29 0.37 0.03 1.35 1.36 1.26 1.34 XXX 86078 A Physician blood bank service 0.94 0.38 0.44 0.29 0.37 0.03 1.35 1.41 1.26 1.34 XXX 86079 A Physician blood bank service 0.94 0.38 0.43 0.30 0.38 0.03 1.35 1.40 1.27 1.35 XXX 86255 26 A Fluorescent antibody, screen 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 86256 26 A Fluorescent antibody, titer 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 86320 26 A Serum immunoelectrophoresis 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 86325 26 A Other immunoelectrophoresis 0.37 0.11 0.13 0.11 0.13 0.01 0.49 0.51 0.49 0.51 XXX 86327 26 A Immunoelectrophoresis assay 0.42 0.13 0.17 0.13 0.17 0.02 0.57 0.61 0.57 0.61 XXX 86334 26 A Immunofix e-phoresis, serum 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 86335 26 A Immunfix e-phorsis/urine/csf 0.37 0.12 0.14 0.12 0.14 0.01 0.50 0.52 0.50 0.52 XXX 86485 C Skin test, candida 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86490 A Coccidioidomycosis skin test 0.00 0.12 0.25 NA NA 0.02 0.14 0.27 NA NA XXX 86510 A Histoplasmosis skin test 0.00 0.14 0.28 NA NA 0.02 0.16 0.30 NA NA XXX 86580 A TB intradermal test 0.00 0.16 0.23 NA NA 0.02 0.18 0.25 NA NA XXX 87164 26 A Dark field examination 0.37 0.12 0.12 0.12 0.12 0.01 0.50 0.50 0.50 0.50 XXX 87207 26 A Smear, special stain 0.37 0.11 0.15 0.11 0.15 0.01 0.49 0.53 0.49 0.53 XXX 88104 A Cytopathology, fluids 0.56 1.16 0.93 NA NA 0.04 1.76 1.53 NA NA XXX 88104 26 A Cytopathology, fluids 0.56 0.16 0.22 0.16 0.22 0.02 0.74 0.80 0.74 0.80 XXX 88104 TC A Cytopathology, fluids 0.00 1.01 0.71 NA NA 0.02 1.03 0.73 NA NA XXX 88106 A Cytopathology, fluids 0.56 1.52 1.39 NA NA 0.04 2.12 1.99 NA NA XXX 88106 26 A Cytopathology, fluids 0.56 0.15 0.22 0.15 0.22 0.02 0.73 0.80 0.73 0.80 XXX 88106 TC A Cytopathology, fluids 0.00 1.36 1.17 NA NA 0.02 1.38 1.19 NA NA XXX 88107 A Cytopathology, fluids 0.76 2.02 1.66 NA NA 0.05 2.83 2.47 NA NA XXX 88107 26 A Cytopathology, fluids 0.76 0.23 0.31 0.23 0.31 0.03 1.02 1.10 1.02 1.10 XXX 88107 TC A Cytopathology, fluids 0.00 1.79 1.36 NA NA 0.02 1.81 1.38 NA NA XXX 88108 A Cytopath, concentrate tech 0.56 1.49 1.28 NA NA 0.04 2.09 1.88 NA NA XXX 88108 26 A Cytopath, concentrate tech 0.56 0.16 0.22 0.16 0.22 0.02 0.74 0.80 0.74 0.80 XXX 88108 TC A Cytopath, concentrate tech 0.00 1.33 1.06 NA NA 0.02 1.35 1.08 NA NA XXX 88112 A Cytopath, cell enhance tech 1.18 1.53 1.85 NA NA 0.04 2.75 3.07 NA NA XXX 88112 26 A Cytopath, cell enhance tech 1.18 0.31 0.46 0.31 0.46 0.02 1.51 1.66 1.51 1.66 XXX 88112 TC A Cytopath, cell enhance tech 0.00 1.22 1.40 NA NA 0.02 1.24 1.42 NA NA XXX 88125 A Forensic cytopathology 0.26 0.25 0.27 NA NA 0.02 0.53 0.55 NA NA XXX 88125 26 A Forensic cytopathology 0.26 0.06 0.10 0.06 0.10 0.01 0.33 0.37 0.33 0.37 XXX 88125 TC A Forensic cytopathology 0.00 0.20 0.17 NA NA 0.01 0.21 0.18 NA NA XXX 88141 A Cytopath, c/v, interpret 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX 88160 A Cytopath smear, other source 0.50 0.91 0.85 NA NA 0.04 1.45 1.39 NA NA XXX 88160 26 A Cytopath smear, other source 0.50 0.13 0.19 0.13 0.19 0.02 0.65 0.71 0.65 0.71 XXX 88160 TC A Cytopath smear, other source 0.00 0.78 0.66 NA NA 0.02 0.80 0.68 NA NA XXX 88161 A Cytopath smear, other source 0.50 1.13 0.99 NA NA 0.04 1.67 1.53 NA NA XXX 88161 26 A Cytopath smear, other source 0.50 0.15 0.20 0.15 0.20 0.02 0.67 0.72 0.67 0.72 XXX 88161 TC A Cytopath smear, other source 0.00 0.98 0.79 NA NA 0.02 1.00 0.81 NA NA XXX Start Printed Page 49211 88162 A Cytopath smear, other source 0.76 1.18 1.06 NA NA 0.05 1.99 1.87 NA NA XXX 88162 26 A Cytopath smear, other source 0.76 0.17 0.29 0.17 0.29 0.03 0.96 1.08 0.96 1.08 XXX 88162 TC A Cytopath smear, other source 0.00 1.01 0.77 NA NA 0.02 1.03 0.79 NA NA XXX 88172 A Cytopathology eval of fna 0.60 0.86 0.76 NA NA 0.04 1.50 1.40 NA NA XXX 88172 26 A Cytopathology eval of fna 0.60 0.18 0.24 0.18 0.24 0.02 0.80 0.86 0.80 0.86 XXX 88172 TC A Cytopathology eval of fna 0.00 0.68 0.52 NA NA 0.02 0.70 0.54 NA NA XXX 88173 A Cytopath eval, fna, report 1.39 2.33 2.18 NA NA 0.07 3.79 3.64 NA NA XXX 88173 26 A Cytopath eval, fna, report 1.39 0.40 0.54 0.40 0.54 0.05 1.84 1.98 1.84 1.98 XXX 88173 TC A Cytopath eval, fna, report 0.00 1.93 1.65 NA NA 0.02 1.95 1.67 NA NA XXX 88182 A Cell marker study 0.77 1.97 1.97 NA NA 0.07 2.81 2.81 NA NA XXX 88182 26 A Cell marker study 0.77 0.13 0.28 0.13 0.28 0.03 0.93 1.08 0.93 1.08 XXX 88182 TC A Cell marker study 0.00 1.85 1.70 NA NA 0.04 1.89 1.74 NA NA XXX 88184 A Flowcytometry/tc, 1 marker 0.00 2.51 1.62 NA NA 0.02 2.53 1.64 NA NA XXX 88185 A Flowcytometry/tc, add-on 0.00 1.52 0.86 NA NA 0.02 1.54 0.88 NA NA ZZZ 88187 A Flowcytometry/read, 2-8 1.36 0.39 0.44 0.39 0.44 0.01 1.76 1.81 1.76 1.81 XXX 88188 A Flowcytometry/read, 9-15 1.69 0.44 0.54 0.44 0.54 0.01 2.14 2.24 2.14 2.24 XXX 88189 A Flowcytometry/read, 16 & > 2.23 0.49 0.69 0.49 0.69 0.01 2.73 2.93 2.73 2.93 XXX 88199 C Cytopathology procedure 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 88291 A Cyto/molecular report 0.52 0.28 0.20 0.28 0.20 0.02 0.82 0.74 0.82 0.74 XXX 88299 C Cytogenetic study 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88300 A Surgical path, gross 0.08 0.60 0.49 NA NA 0.02 0.70 0.59 NA NA XXX 88300 26 A Surgical path, gross 0.08 0.02 0.03 0.02 0.03 0.01 0.11 0.12 0.11 0.12 XXX 88300 TC A Surgical path, gross 0.00 0.57 0.46 NA NA 0.01 0.58 0.47 NA NA XXX 88302 A Tissue exam by pathologist 0.13 1.30 1.10 NA NA 0.03 1.46 1.26 NA NA XXX 88302 26 A Tissue exam by pathologist 0.13 0.04 0.06 0.04 0.06 0.01 0.18 0.20 0.18 0.20 XXX 88302 TC A Tissue exam by pathologist 0.00 1.27 1.05 NA NA 0.02 1.29 1.07 NA NA XXX 88304 A Tissue exam by pathologist 0.22 1.57 1.38 NA NA 0.03 1.82 1.63 NA NA XXX 88304 26 A Tissue exam by pathologist 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31 XXX 88304 TC A Tissue exam by pathologist 0.00 1.50 1.30 NA NA 0.02 1.52 1.32 NA NA XXX 88305 A Tissue exam by pathologist 0.75 2.20 1.98 NA NA 0.07 3.02 2.80 NA NA XXX 88305 26 A Tissue exam by pathologist 0.75 0.21 0.30 0.21 0.30 0.03 0.99 1.08 0.99 1.08 XXX 88305 TC A Tissue exam by pathologist 0.00 1.99 1.68 NA NA 0.04 2.03 1.72 NA NA XXX 88307 A Tissue exam by pathologist 1.59 4.54 3.50 NA NA 0.12 6.25 5.21 NA NA XXX 88307 26 A Tissue exam by pathologist 1.59 0.48 0.63 0.48 0.63 0.06 2.13 2.28 2.13 2.28 XXX 88307 TC A Tissue exam by pathologist 0.00 4.06 2.87 NA NA 0.06 4.12 2.93 NA NA XXX 88309 A Tissue exam by pathologist 2.80 6.37 4.89 NA NA 0.14 9.31 7.83 NA NA XXX 88309 26 A Tissue exam by pathologist 2.80 0.84 0.94 0.84 0.94 0.08 3.72 3.82 3.72 3.82 XXX 88309 TC A Tissue exam by pathologist 0.00 5.52 3.95 NA NA 0.06 5.58 4.01 NA NA XXX 88311 A Decalcify tissue 0.24 0.26 0.24 NA NA 0.02 0.52 0.50 NA NA XXX 88311 26 A Decalcify tissue 0.24 0.07 0.09 0.07 0.09 0.01 0.32 0.34 0.32 0.34 XXX 88311 TC A Decalcify tissue 0.00 0.18 0.14 NA NA 0.01 0.19 0.15 NA NA XXX 88312 A Special stains 0.54 2.51 1.77 NA NA 0.03 3.08 2.34 NA NA XXX 88312 26 A Special stains 0.54 0.15 0.21 0.15 0.21 0.02 0.71 0.77 0.71 0.77 XXX 88312 TC A Special stains 0.00 2.36 1.56 NA NA 0.01 2.37 1.57 NA NA XXX 88313 A Special stains 0.24 1.96 1.43 NA NA 0.02 2.22 1.69 NA NA XXX 88313 26 A Special stains 0.24 0.06 0.09 0.06 0.09 0.01 0.31 0.34 0.31 0.34 XXX 88313 TC A Special stains 0.00 1.90 1.34 NA NA 0.01 1.91 1.35 NA NA XXX 88314 A Histochemical stain 0.45 1.96 2.04 NA NA 0.04 2.45 2.53 NA NA XXX 88314 26 A Histochemical stain 0.45 0.14 0.18 0.14 0.18 0.02 0.61 0.65 0.61 0.65 XXX 88314 TC A Histochemical stain 0.00 1.83 1.86 NA NA 0.02 1.85 1.88 NA NA XXX 88318 A Chemical histochemistry 0.42 3.01 1.99 NA NA 0.03 3.46 2.44 NA NA XXX 88318 26 A Chemical histochemistry 0.42 0.13 0.17 0.13 0.17 0.02 0.57 0.61 0.57 0.61 XXX 88318 TC A Chemical histochemistry 0.00 2.89 1.83 NA NA 0.01 2.90 1.84 NA NA XXX 88319 A Enzyme histochemistry 0.53 3.29 3.38 NA NA 0.04 3.86 3.95 NA NA XXX 88319 26 A Enzyme histochemistry 0.53 0.15 0.20 0.15 0.20 0.02 0.70 0.75 0.70 0.75 XXX 88319 TC A Enzyme histochemistry 0.00 3.14 3.18 NA NA 0.02 3.16 3.20 NA NA XXX 88321 A Microslide consultation 1.63 0.74 0.78 0.48 0.54 0.05 2.42 2.46 2.16 2.22 XXX 88323 A Microslide consultation 1.83 2.23 1.89 NA NA 0.07 4.13 3.79 NA NA XXX 88323 26 A Microslide consultation 1.83 0.47 0.55 0.47 0.55 0.05 2.35 2.43 2.35 2.43 XXX 88323 TC A Microslide consultation 0.00 1.77 1.35 NA NA 0.02 1.79 1.37 NA NA XXX 88325 A Comprehensive review of data 2.50 2.27 2.77 0.63 0.87 0.07 4.84 5.34 3.20 3.44 XXX 88329 A Path consult introp 0.67 0.69 0.66 0.21 0.27 0.02 1.38 1.35 0.90 0.96 XXX 88331 A Path consult intraop, 1 bloc 1.19 1.25 1.14 NA NA 0.08 2.52 2.41 NA NA XXX 88331 26 A Path consult intraop, 1 bloc 1.19 0.37 0.48 0.37 0.48 0.04 1.60 1.71 1.60 1.71 XXX Start Printed Page 49212 88331 TC A Path consult intraop, 1 bloc 0.00 0.88 0.66 NA NA 0.04 0.92 0.70 NA NA XXX 88332 A Path consult intraop, addIl 0.59 0.48 0.47 NA NA 0.04 1.11 1.10 NA NA XXX 88332 26 A Path consult intraop, addIl 0.59 0.18 0.23 0.18 0.23 0.02 0.79 0.84 0.79 0.84 XXX 88332 TC A Path consult intraop, addIl 0.00 0.30 0.23 NA NA 0.02 0.32 0.25 NA NA XXX 88333 A Intraop cyto path consult, 1 1.20 1.36 1.15 NA NA 0.08 2.64 2.43 NA NA XXX 88333 26 A Intraop cyto path consult, 1 1.20 0.38 0.49 0.38 0.49 0.04 1.62 1.73 1.62 1.73 XXX 88333 TC A Intraop cyto path consult, 1 0.00 0.98 0.66 NA NA 0.04 1.02 0.70 NA NA XXX 88334 A Intraop cyto path consult, 2 0.59 0.75 0.64 NA NA 0.04 1.38 1.27 NA NA XXX 88334 26 A Intraop cyto path consult, 2 0.59 0.18 0.24 0.18 0.24 0.02 0.79 0.85 0.79 0.85 XXX 88334 TC A Intraop cyto path consult, 2 0.00 0.57 0.40 NA NA 0.02 0.59 0.42 NA NA XXX 88342 A Immunohistochemistry 0.85 2.05 1.61 NA NA 0.05 2.95 2.51 NA NA XXX 88342 26 A Immunohistochemistry 0.85 0.23 0.33 0.23 0.33 0.03 1.11 1.21 1.11 1.21 XXX 88342 TC A Immunohistochemistry 0.00 1.82 1.28 NA NA 0.02 1.84 1.30 NA NA XXX 88346 A Immunofluorescent study 0.86 1.97 1.67 NA NA 0.05 2.88 2.58 NA NA XXX 88346 26 A Immunofluorescent study 0.86 0.23 0.33 0.23 0.33 0.03 1.12 1.22 1.12 1.22 XXX 88346 TC A Immunofluorescent study 0.00 1.74 1.34 NA NA 0.02 1.76 1.36 NA NA XXX 88347 A Immunofluorescent study 0.86 1.30 1.27 NA NA 0.05 2.21 2.18 NA NA XXX 88347 26 A Immunofluorescent study 0.86 0.18 0.31 0.18 0.31 0.03 1.07 1.20 1.07 1.20 XXX 88347 TC A Immunofluorescent study 0.00 1.12 0.96 NA NA 0.02 1.14 0.98 NA NA XXX 88348 A Electron microscopy 1.51 18.27 11.58 NA NA 0.13 19.91 13.22 NA NA XXX 88348 26 A Electron microscopy 1.51 0.42 0.59 0.42 0.59 0.06 1.99 2.16 1.99 2.16 XXX 88348 TC A Electron microscopy 0.00 17.85 11.00 NA NA 0.07 17.92 11.07 NA NA XXX 88349 A Scanning electron microscopy 0.76 8.97 4.91 NA NA 0.09 9.82 5.76 NA NA XXX 88349 26 A Scanning electron microscopy 0.76 0.22 0.30 0.22 0.30 0.03 1.01 1.09 1.01 1.09 XXX 88349 TC A Scanning electron microscopy 0.00 8.75 4.61 NA NA 0.06 8.81 4.67 NA NA XXX 88355 A Analysis, skeletal muscle 1.85 3.40 7.42 NA NA 0.13 5.38 9.40 NA NA XXX 88355 26 A Analysis, skeletal muscle 1.85 0.40 0.69 0.40 0.69 0.07 2.32 2.61 2.32 2.61 XXX 88355 TC A Analysis, skeletal muscle 0.00 2.99 6.73 NA NA 0.06 3.05 6.79 NA NA XXX 88356 A Analysis, nerve 3.02 6.75 4.82 NA NA 0.19 9.96 8.03 NA NA XXX 88356 26 A Analysis, nerve 3.02 0.79 1.14 0.79 1.14 0.12 3.93 4.28 3.93 4.28 XXX 88356 TC A Analysis, nerve 0.00 5.96 3.68 NA NA 0.07 6.03 3.75 NA NA XXX 88358 A Analysis, tumor 0.95 1.14 0.92 NA NA 0.17 2.26 2.04 NA NA XXX 88358 26 A Analysis, tumor 0.95 0.17 0.34 0.17 0.34 0.10 1.22 1.39 1.22 1.39 XXX 88358 TC A Analysis, tumor 0.00 0.97 0.57 NA NA 0.07 1.04 0.64 NA NA XXX 88360 A Tumor immunohistochem/manual 1.10 2.33 1.87 NA NA 0.08 3.51 3.05 NA NA XXX 88360 26 A Tumor immunohistochem/manual 1.10 0.28 0.42 0.28 0.42 0.06 1.44 1.58 1.44 1.58 XXX 88360 TC A Tumor immunohistochem/manual 0.00 2.04 1.46 NA NA 0.02 2.06 1.48 NA NA XXX 88361 A Tumor immunohistochem/comput 1.18 2.79 2.96 NA NA 0.17 4.14 4.31 NA NA XXX 88361 26 A Tumor immunohistochem/comput 1.18 0.26 0.43 0.26 0.43 0.10 1.54 1.71 1.54 1.71 XXX 88361 TC A Tumor immunohistochem/comput 0.00 2.53 2.53 NA NA 0.07 2.60 2.60 NA NA XXX 88362 A Nerve teasing preparations 2.17 5.31 4.85 NA NA 0.15 7.63 7.17 NA NA XXX 88362 26 A Nerve teasing preparations 2.17 0.61 0.84 0.61 0.84 0.09 2.87 3.10 2.87 3.10 XXX 88362 TC A Nerve teasing preparations 0.00 4.71 4.01 NA NA 0.06 4.77 4.07 NA NA XXX 88365 A Insitu hybridization (fish) 1.20 2.99 2.34 NA NA 0.05 4.24 3.59 NA NA XXX 88365 26 A Insitu hybridization (fish) 1.20 0.25 0.45 0.25 0.45 0.03 1.48 1.68 1.48 1.68 XXX 88365 TC A Insitu hybridization (fish) 0.00 2.74 1.90 NA NA 0.02 2.76 1.92 NA NA XXX 88367 A Insitu hybridization, auto 1.30 5.30 4.35 NA NA 0.12 6.72 5.77 NA NA XXX 88367 26 A Insitu hybridization, auto 1.30 0.23 0.46 0.23 0.46 0.06 1.59 1.82 1.59 1.82 XXX 88367 TC A Insitu hybridization, auto 0.00 5.06 3.88 NA NA 0.06 5.12 3.94 NA NA XXX 88368 A Insitu hybridization, manual 1.40 4.83 3.00 NA NA 0.12 6.35 4.52 NA NA XXX 88368 26 A Insitu hybridization, manual 1.40 0.22 0.51 0.22 0.51 0.06 1.68 1.97 1.68 1.97 XXX 88368 TC A Insitu hybridization, manual 0.00 4.60 2.49 NA NA 0.06 4.66 2.55 NA NA XXX 88371 26 A Protein, western blot tissue 0.37 0.10 0.12 0.10 0.12 0.01 0.48 0.50 0.48 0.50 XXX 88372 26 A Protein analysis w/probe 0.37 0.11 0.15 0.11 0.15 0.01 0.49 0.53 0.49 0.53 XXX 88380 C Microdissection 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX Start Printed Page 49213 88380 TC C Microdissection 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88384 C Eval molecular probes, 11-50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88384 26 C Eval molecular probes, 11-50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88384 TC C Eval molecular probes, 11-50 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88385 A Eval molecul probes, 51-250 1.50 14.75 9.00 NA NA 0.12 16.37 10.62 NA NA XXX 88385 26 A Eval molecul probes, 51-250 1.50 0.24 0.55 0.24 0.55 0.06 1.80 2.11 1.80 2.11 XXX 88385 TC A Eval molecul probes, 51-250 0.00 14.51 8.45 NA NA 0.06 14.57 8.51 NA NA XXX 88386 A Eval molecul probes, 251-500 1.88 14.65 8.94 NA NA 0.16 16.69 10.98 NA NA XXX 88386 26 A Eval molecul probes, 251-500 1.88 0.30 0.69 0.30 0.69 0.08 2.26 2.65 2.26 2.65 XXX 88386 TC A Eval molecul probes, 251-500 0.00 14.35 8.25 NA NA 0.08 14.43 8.33 NA NA XXX 88399 C Surgical pathology procedure 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 89049 A Chct for mal hyperthermia 1.40 3.62 3.57 0.20 0.25 0.06 5.08 5.03 1.66 1.71 XXX 89060 26 A Exam,synovial fluid crystals 0.37 0.12 0.15 0.12 0.15 0.01 0.50 0.53 0.50 0.53 XXX 89100 A Sample intestinal contents 0.60 8.87 3.59 0.59 0.31 0.03 9.50 4.22 1.22 0.94 XXX 89105 A Sample intestinal contents 0.50 7.68 3.59 0.45 0.24 0.02 8.20 4.11 0.97 0.76 XXX 89130 A Sample stomach contents 0.45 6.95 3.04 0.39 0.20 0.02 7.42 3.51 0.86 0.67 XXX 89132 A Sample stomach contents 0.19 6.51 2.79 0.29 0.12 0.01 6.71 2.99 0.49 0.32 XXX 89135 A Sample stomach contents 0.79 8.87 3.64 0.67 0.36 0.04 9.70 4.47 1.50 1.19 XXX 89136 A Sample stomach contents 0.21 7.13 3.08 0.32 0.15 0.01 7.35 3.30 0.54 0.37 XXX 89140 A Sample stomach contents 0.94 6.89 3.28 0.50 0.33 0.04 7.87 4.26 1.48 1.31 XXX 89141 A Sample stomach contents 0.85 5.54 3.48 0.40 0.35 0.03 6.42 4.36 1.28 1.23 XXX 89220 A Sputum specimen collection 0.00 0.36 0.41 NA NA 0.02 0.38 0.43 NA NA XXX 89230 A Collect sweat for test 0.00 0.08 0.10 NA NA 0.02 0.10 0.12 NA NA XXX 89240 C Pathology lab procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90465 A Immune admin 1 inj, < 8 yrs 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX 90466 A Immune admin addl inj, < 8 y 0.15 0.12 0.13 0.04 0.11 0.01 0.28 0.29 0.20 0.27 ZZZ 90467 R Immune admin o or n, < 8 yrs 0.17 0.17 0.17 0.07 0.09 0.01 0.35 0.35 0.25 0.27 XXX 90468 R Immune admin o/n, addl < 8 y 0.15 0.10 0.11 0.03 0.05 0.01 0.26 0.27 0.19 0.21 ZZZ 90471 A Immunization admin 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX 90472 A Immunization admin, each add 0.15 0.12 0.13 0.04 0.11 0.01 0.28 0.29 0.20 0.27 ZZZ 90473 R Immune admin oral/nasal 0.17 0.16 0.18 0.04 0.06 0.01 0.34 0.36 0.22 0.24 XXX 90474 R Immune admin oral/nasal addl 0.15 0.08 0.10 0.03 0.05 0.01 0.24 0.26 0.19 0.21 ZZZ 90760 A Hydration iv infusion, init 0.17 1.31 1.40 NA NA 0.07 1.55 1.64 NA NA XXX 90761 A Hydrate iv infusion, add-on 0.09 0.32 0.38 NA NA 0.04 0.45 0.51 NA NA ZZZ 90765 A Ther/proph/diag iv inf, init 0.21 1.62 1.72 NA NA 0.07 1.90 2.00 NA NA XXX 90766 A Ther/proph/dg iv inf, add-on 0.18 0.37 0.44 NA NA 0.04 0.59 0.66 NA NA ZZZ 90767 A Tx/proph/dg addl seq iv inf 0.19 0.69 0.84 NA NA 0.04 0.92 1.07 NA NA ZZZ 90768 A Ther/diag concurrent inf 0.17 0.33 0.41 NA NA 0.04 0.54 0.62 NA NA ZZZ 90772 A Ther/proph/diag inj, sc/im 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX 90773 A Ther/proph/diag inj, ia 0.17 0.30 0.31 NA NA 0.02 0.49 0.50 NA NA XXX 90774 A Ther/proph/diag inj, iv push 0.18 1.34 1.31 NA NA 0.04 1.56 1.53 NA NA XXX 90775 A Ther/proph/diag inj add-on 0.10 0.51 0.56 NA NA 0.04 0.65 0.70 NA NA ZZZ 90779 C Ther/prop/diag inj/inf proc 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90801 A Psy dx interview 2.80 1.47 1.25 0.59 0.85 0.06 4.33 4.11 3.45 3.71 XXX 90802 A Intac psy dx interview 3.01 1.51 1.28 0.65 0.90 0.07 4.59 4.36 3.73 3.98 XXX 90804 A Psytx, office, 20-30 min 1.21 0.54 0.50 0.21 0.34 0.03 1.78 1.74 1.45 1.58 XXX 90805 A Psytx, off, 20-30 min w/e&m 1.37 0.59 0.52 0.24 0.38 0.03 1.99 1.92 1.64 1.78 XXX 90806 A Psytx, off, 45-50 min 1.86 0.51 0.65 0.32 0.53 0.04 2.41 2.55 2.22 2.43 XXX 90807 A Psytx, off, 45-50 min w/e&m 2.02 0.70 0.70 0.35 0.56 0.05 2.77 2.77 2.42 2.63 XXX 90808 A Psytx, office, 75-80 min 2.79 0.67 0.94 0.48 0.80 0.06 3.52 3.79 3.33 3.65 XXX 90809 A Psytx, off, 75-80, w/e&m 2.95 0.85 0.96 0.51 0.82 0.07 3.87 3.98 3.53 3.84 XXX 90810 A Intac psytx, off, 20-30 min 1.32 0.51 0.51 0.23 0.37 0.04 1.87 1.87 1.59 1.73 XXX 90811 A Intac psytx, 20-30, w/e&m 1.48 0.72 0.61 0.26 0.41 0.04 2.24 2.13 1.78 1.93 XXX 90812 A Intac psytx, off, 45-50 min 1.97 0.63 0.75 0.33 0.56 0.04 2.64 2.76 2.34 2.57 XXX 90813 A Intac psytx, 45-50 min w/e&m 2.13 0.82 0.78 0.37 0.60 0.05 3.00 2.96 2.55 2.78 XXX 90814 A Intac psytx, off, 75-80 min 2.90 0.77 1.02 0.50 0.86 0.06 3.73 3.98 3.46 3.82 XXX 90815 A Intac psytx, 75-80 w/e&m 3.06 0.98 1.03 0.53 0.85 0.07 4.11 4.16 3.66 3.98 XXX 90816 A Psytx, hosp, 20-30 min 1.25 NA NA 0.31 0.42 0.03 NA NA 1.59 1.70 XXX 90817 A Psytx, hosp, 20-30 min w/e&m 1.41 NA NA 0.35 0.43 0.03 NA NA 1.79 1.87 XXX 90818 A Psytx, hosp, 45-50 min 1.89 NA NA 0.42 0.62 0.04 NA NA 2.35 2.55 XXX 90819 A Psytx, hosp, 45-50 min w/e&m 2.05 NA NA 0.46 0.60 0.05 NA NA 2.56 2.70 XXX 90821 A Psytx, hosp, 75-80 min 2.83 NA NA 0.58 0.90 0.06 NA NA 3.47 3.79 XXX 90822 A Psytx, hosp, 75-80 min w/e&m 2.99 NA NA 0.62 0.87 0.08 NA NA 3.69 3.94 XXX 90823 A Intac psytx, hosp, 20-30 min 1.36 NA NA 0.33 0.44 0.03 NA NA 1.72 1.83 XXX Start Printed Page 49214 90824 A Intac psytx, hsp 20-30 w/e&m 1.52 NA NA 0.37 0.46 0.04 NA NA 1.93 2.02 XXX 90826 A Intac psytx, hosp, 45-50 min 2.01 NA NA 0.44 0.65 0.05 NA NA 2.50 2.71 XXX 90827 A Intac psytx, hsp 45-50 w/e&m 2.16 NA NA 0.48 0.63 0.05 NA NA 2.69 2.84 XXX 90828 A Intac psytx, hosp, 75-80 min 2.94 NA NA 0.60 0.95 0.06 NA NA 3.60 3.95 XXX 90829 A Intac psytx, hsp 75-80 w/e&m 3.10 NA NA 0.64 0.90 0.07 NA NA 3.81 4.07 XXX 90845 A Psychoanalysis 1.79 0.38 0.53 0.31 0.49 0.04 2.21 2.36 2.14 2.32 XXX 90846 R Family psytx w/o patient 1.83 0.50 0.61 0.42 0.59 0.04 2.37 2.48 2.29 2.46 XXX 90847 R Family psytx w/patient 2.21 0.72 0.80 0.48 0.69 0.05 2.98 3.06 2.74 2.95 XXX 90849 R Multiple family group psytx 0.59 0.30 0.28 0.20 0.23 0.02 0.91 0.89 0.81 0.84 XXX 90853 A Group psychotherapy 0.59 0.27 0.26 0.20 0.22 0.01 0.87 0.86 0.80 0.82 XXX 90857 A Intac group psytx 0.63 0.36 0.31 0.20 0.24 0.01 1.00 0.95 0.84 0.88 XXX 90862 A Medication management 0.95 0.62 0.46 0.27 0.31 0.02 1.59 1.43 1.24 1.28 XXX 90865 A Narcosynthesis 2.84 1.18 1.32 0.63 0.84 0.12 4.14 4.28 3.59 3.80 XXX 90870 A Electroconvulsive therapy 1.88 1.90 1.92 0.38 0.54 0.04 3.82 3.84 2.30 2.46 000 90875 N Psychophysiological therapy 1.20 0.53 0.81 0.28 0.42 0.04 1.77 2.05 1.52 1.66 XXX 90876 N Psychophysiological therapy 1.90 0.68 1.04 0.44 0.66 0.05 2.63 2.99 2.39 2.61 XXX 90880 A Hypnotherapy 2.19 0.56 0.92 0.37 0.61 0.05 2.80 3.16 2.61 2.85 XXX 90885 B Psy evaluation of records 0.97 0.23 0.34 0.23 0.34 0.02 1.22 1.33 1.22 1.33 XXX 90887 B Consultation with family 1.48 0.62 0.77 0.34 0.51 0.04 2.14 2.29 1.86 2.03 XXX 90899 C Psychiatric service/therapy 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90901 A Biofeedback train, any meth 0.41 0.48 0.61 0.11 0.13 0.02 0.91 1.04 0.54 0.56 000 90911 A Biofeedback peri/uro/rectal 0.89 1.38 1.52 0.30 0.31 0.06 2.33 2.47 1.25 1.26 000 90918 I ESRD related services, month 11.16 4.75 5.77 3.78 5.53 0.36 16.27 17.29 15.30 17.05 XXX 90919 I ESRD related services, month 8.53 3.06 3.77 2.58 3.65 0.29 11.88 12.59 11.40 12.47 XXX 90920 I ESRD related services, month 7.26 2.77 3.51 2.29 3.39 0.23 10.26 11.00 9.78 10.88 XXX 90921 I ESRD related services, month 4.46 1.73 2.26 1.63 2.24 0.14 6.33 6.86 6.23 6.84 XXX 90922 I ESRD related services, day 0.37 0.16 0.20 0.13 0.19 0.01 0.54 0.58 0.51 0.57 XXX 90923 I Esrd related services, day 0.28 0.10 0.12 0.08 0.12 0.01 0.39 0.41 0.37 0.41 XXX 90924 I Esrd related services, day 0.24 0.09 0.11 0.08 0.11 0.01 0.34 0.36 0.33 0.36 XXX 90925 I Esrd related services, day 0.15 0.06 0.08 0.05 0.07 0.01 0.22 0.24 0.21 0.23 XXX 90935 A Hemodialysis, one evaluation 1.22 NA NA 0.54 0.64 0.04 NA NA 1.80 1.90 000 90937 A Hemodialysis, repeated eval 2.11 NA NA 0.78 0.92 0.07 NA NA 2.96 3.10 000 90945 A Dialysis, one evaluation 1.28 NA NA 0.56 0.66 0.04 NA NA 1.88 1.98 000 90947 A Dialysis, repeated eval 2.16 NA NA 0.80 0.94 0.07 NA NA 3.03 3.17 000 90997 A Hemoperfusion 1.84 NA NA 0.50 0.62 0.06 NA NA 2.40 2.52 000 90999 C Dialysis procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91000 A Esophageal intubation 0.73 2.22 0.80 2.22 0.80 0.04 2.99 1.57 2.99 1.57 000 91000 26 A Esophageal intubation 0.73 0.24 0.25 0.24 0.25 0.03 1.00 1.01 1.00 1.01 000 91000 TC A Esophageal intubation 0.00 1.98 0.56 1.98 0.56 0.01 1.99 0.57 1.99 0.57 000 91010 A Esophagus motility study 1.25 3.66 4.22 3.66 4.22 0.12 5.03 5.59 5.03 5.59 000 91010 26 A Esophagus motility study 1.25 0.55 0.47 0.55 0.47 0.06 1.86 1.78 1.86 1.78 000 91010 TC A Esophagus motility study 0.00 3.11 3.76 3.11 3.76 0.06 3.17 3.82 3.17 3.82 000 91011 A Esophagus motility study 1.50 5.31 5.24 5.31 5.24 0.13 6.94 6.87 6.94 6.87 000 91011 26 A Esophagus motility study 1.50 0.70 0.57 0.70 0.57 0.07 2.27 2.14 2.27 2.14 000 91011 TC A Esophagus motility study 0.00 4.61 4.68 4.61 4.68 0.06 4.67 4.74 4.67 4.74 000 91012 A Esophagus motility study 1.46 5.49 5.69 5.49 5.69 0.13 7.08 7.28 7.08 7.28 000 91012 26 A Esophagus motility study 1.46 0.68 0.55 0.68 0.55 0.06 2.20 2.07 2.20 2.07 000 91012 TC A Esophagus motility study 0.00 4.81 5.13 4.81 5.13 0.07 4.88 5.20 4.88 5.20 000 91020 A Gastric motility studies 1.44 4.79 4.59 4.79 4.59 0.13 6.36 6.16 6.36 6.16 000 91020 26 A Gastric motility studies 1.44 0.61 0.52 0.61 0.52 0.07 2.12 2.03 2.12 2.03 000 91020 TC A Gastric motility studies 0.00 4.19 4.07 4.19 4.07 0.06 4.25 4.13 4.25 4.13 000 91022 A Duodenal motility study 1.44 3.09 4.07 3.09 4.07 0.13 4.66 5.64 4.66 5.64 000 91022 26 A Duodenal motility study 1.44 0.61 0.54 0.61 0.54 0.07 2.12 2.05 2.12 2.05 000 91022 TC A Duodenal motility study 0.00 2.48 3.54 2.48 3.54 0.06 2.54 3.60 2.54 3.60 000 91030 A Acid perfusion of esophagus 0.91 2.92 2.55 2.92 2.55 0.06 3.89 3.52 3.89 3.52 000 91030 26 A Acid perfusion of esophagus 0.91 0.43 0.35 0.43 0.35 0.04 1.38 1.30 1.38 1.30 000 Start Printed Page 49215 91030 TC A Acid perfusion of esophagus 0.00 2.49 2.21 2.49 2.21 0.02 2.51 2.23 2.51 2.23 000 91034 A Gastroesophageal reflux test 0.97 4.12 4.95 4.12 4.95 0.12 5.21 6.04 5.21 6.04 000 91034 26 A Gastroesophageal reflux test 0.97 0.41 0.36 0.41 0.36 0.06 1.44 1.39 1.44 1.39 000 91034 TC A Gastroesophageal reflux test 0.00 3.70 4.60 3.70 4.60 0.06 3.76 4.66 3.76 4.66 000 91035 A G-esoph reflx tst w/electrod 1.59 11.33 10.93 11.33 10.93 0.12 13.04 12.64 13.04 12.64 000 91035 26 A G-esoph reflx tst w/electrod 1.59 0.70 0.60 0.70 0.60 0.06 2.35 2.25 2.35 2.25 000 91035 TC A G-esoph reflx tst w/electrod 0.00 10.63 10.34 10.63 10.34 0.06 10.69 10.40 10.69 10.40 000 91037 A Esoph imped function test 0.97 3.41 3.05 3.41 3.05 0.12 4.50 4.14 4.50 4.14 000 91037 26 A Esoph imped function test 0.97 0.42 0.36 0.42 0.36 0.06 1.45 1.39 1.45 1.39 000 91037 TC A Esoph imped function test 0.00 2.99 2.69 2.99 2.69 0.06 3.05 2.75 3.05 2.75 000 91038 A Esoph imped funct test > 1h 1.10 2.78 2.36 2.78 2.36 0.12 4.00 3.58 4.00 3.58 000 91038 26 A Esoph imped funct test > 1h 1.10 0.50 0.42 0.50 0.42 0.06 1.66 1.58 1.66 1.58 000 91038 TC A Esoph imped funct test > 1h 0.00 2.28 1.94 2.28 1.94 0.06 2.34 2.00 2.34 2.00 000 91040 A Esoph balloon distension tst 0.97 9.35 10.69 9.35 10.69 0.12 10.44 11.78 10.44 11.78 000 91040 26 A Esoph balloon distension tst 0.97 0.37 0.35 0.37 0.35 0.06 1.40 1.38 1.40 1.38 000 91040 TC A Esoph balloon distension tst 0.00 8.97 10.34 8.97 10.34 0.06 9.03 10.40 9.03 10.40 000 91052 A Gastric analysis test 0.79 2.99 2.59 2.99 2.59 0.05 3.83 3.43 3.83 3.43 000 91052 26 A Gastric analysis test 0.79 0.37 0.30 0.37 0.30 0.03 1.19 1.12 1.19 1.12 000 91052 TC A Gastric analysis test 0.00 2.62 2.28 2.62 2.28 0.02 2.64 2.30 2.64 2.30 000 91055 A Gastric intubation for smear 0.94 2.44 2.82 2.44 2.82 0.07 3.45 3.83 3.45 3.83 000 91055 26 A Gastric intubation for smear 0.94 0.27 0.27 0.27 0.27 0.05 1.26 1.26 1.26 1.26 000 91055 TC A Gastric intubation for smear 0.00 2.17 2.55 2.17 2.55 0.02 2.19 2.57 2.19 2.57 000 91060 A Gastric saline load test 0.45 1.65 1.88 1.65 1.88 0.05 2.15 2.38 2.15 2.38 000 91060 26 A Gastric saline load test 0.45 0.11 0.13 0.11 0.13 0.03 0.59 0.61 0.59 0.61 000 91060 TC A Gastric saline load test 0.00 1.54 1.75 1.54 1.75 0.02 1.56 1.77 1.56 1.77 000 91065 A Breath hydrogen test 0.20 1.41 1.45 1.41 1.45 0.03 1.64 1.68 1.64 1.68 000 91065 26 A Breath hydrogen test 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 000 91065 TC A Breath hydrogen test 0.00 1.34 1.38 1.34 1.38 0.02 1.36 1.40 1.36 1.40 000 91100 A Pass intestine bleeding tube 1.08 2.15 2.63 0.37 0.30 0.07 3.30 3.78 1.52 1.45 000 91105 A Gastric intubation treatment 0.37 1.76 2.02 0.07 0.09 0.03 2.16 2.42 0.47 0.49 000 91110 A Gi tract capsule endoscopy 3.64 20.55 21.77 NA NA 0.16 24.35 25.57 NA NA XXX 91110 26 A Gi tract capsule endoscopy 3.64 1.66 1.38 1.66 1.38 0.09 5.39 5.11 5.39 5.11 XXX 91110 TC A Gi tract capsule endoscopy 0.00 18.90 20.40 NA NA 0.07 18.97 20.47 NA NA XXX 91120 A Rectal sensation test 0.97 9.12 10.52 9.12 10.52 0.11 10.20 11.60 10.20 11.60 XXX 91120 26 A Rectal sensation test 0.97 0.30 0.33 0.30 0.33 0.07 1.34 1.37 1.34 1.37 XXX 91120 TC A Rectal sensation test 0.00 8.82 10.19 8.82 10.19 0.04 8.86 10.23 8.86 10.23 XXX 91122 A Anal pressure record 1.77 3.76 4.77 3.76 4.77 0.21 5.74 6.75 5.74 6.75 000 91122 26 A Anal pressure record 1.77 0.52 0.58 0.52 0.58 0.13 2.42 2.48 2.42 2.48 000 91122 TC A Anal pressure record 0.00 3.24 4.19 3.24 4.19 0.08 3.32 4.27 3.32 4.27 000 91132 C Electrogastrography 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 91132 26 A Electrogastrography 0.52 0.25 0.20 0.25 0.20 0.02 0.79 0.74 0.79 0.74 XXX 91132 TC C Electrogastrography 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 91133 26 A Electrogastrography w/test 0.66 0.30 0.25 0.30 0.25 0.03 0.99 0.94 0.99 0.94 XXX 91133 TC C Electrogastrography w/test 0.00 0.00 0.00 0.00 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 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 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 0.00 0.00 0.00 0.00 XXX 92002 A Eye exam, new patient 0.88 0.97 0.97 0.27 0.32 0.02 1.87 1.87 1.17 1.22 XXX 92004 A Eye exam, new patient 1.67 1.59 1.67 0.54 0.65 0.04 3.30 3.38 2.25 2.36 XXX 92012 A Eye exam established pat 0.67 0.94 1.01 0.24 0.28 0.02 1.63 1.70 0.93 0.97 XXX 92014 A Eye exam & treatment 1.10 1.32 1.39 0.38 0.45 0.03 2.45 2.52 1.51 1.58 XXX 92015 N Refraction 0.38 0.10 1.14 0.09 0.14 0.01 0.49 1.53 0.48 0.53 XXX 92018 A New eye exam & treatment 2.50 NA NA 0.91 1.03 0.07 NA NA 3.48 3.60 XXX 92019 A Eye exam & treatment 1.31 NA NA 0.44 0.53 0.03 NA NA 1.78 1.87 XXX 92020 A Special eye evaluation 0.37 0.26 0.32 0.13 0.15 0.01 0.64 0.70 0.51 0.53 XXX 92060 A Special eye evaluation 0.69 0.79 0.75 NA NA 0.03 1.51 1.47 NA NA XXX 92060 26 A Special eye evaluation 0.69 0.23 0.28 0.23 0.28 0.02 0.94 0.99 0.94 0.99 XXX 92060 TC A Special eye evaluation 0.00 0.56 0.47 NA NA 0.01 0.57 0.48 NA NA XXX 92065 A Orthoptic/pleoptic training 0.37 0.89 0.62 NA NA 0.02 1.28 1.01 NA NA XXX 92065 26 A Orthoptic/pleoptic training 0.37 0.09 0.14 0.09 0.14 0.01 0.47 0.52 0.47 0.52 XXX 92065 TC A Orthoptic/pleoptic training 0.00 0.79 0.48 NA NA 0.01 0.80 0.49 NA NA XXX 92070 A Fitting of contact lens 0.70 0.94 1.04 0.24 0.30 0.02 1.66 1.76 0.96 1.02 XXX 92081 A Visual field examination(s) 0.36 0.97 0.95 NA NA 0.02 1.35 1.33 NA NA XXX 92081 26 A Visual field examination(s) 0.36 0.11 0.14 0.11 0.14 0.01 0.48 0.51 0.48 0.51 XXX 92081 TC A Visual field examination(s) 0.00 0.86 0.81 NA NA 0.01 0.87 0.82 NA NA XXX Start Printed Page 49216 92082 A Visual field examination(s) 0.44 1.36 1.26 NA NA 0.02 1.82 1.72 NA NA XXX 92082 26 A Visual field examination(s) 0.44 0.14 0.18 0.14 0.18 0.01 0.59 0.63 0.59 0.63 XXX 92082 TC A Visual field examination(s) 0.00 1.22 1.09 NA NA 0.01 1.23 1.10 NA NA XXX 92083 A Visual field examination(s) 0.50 1.56 1.46 NA NA 0.02 2.08 1.98 NA NA XXX 92083 26 A Visual field examination(s) 0.50 0.17 0.21 0.17 0.21 0.01 0.68 0.72 0.68 0.72 XXX 92083 TC A Visual field examination(s) 0.00 1.39 1.26 NA NA 0.01 1.40 1.27 NA NA XXX 92100 A Serial tonometry exam(s) 0.92 1.28 1.33 0.29 0.34 0.02 2.22 2.27 1.23 1.28 XXX 92120 A Tonography & eye evaluation 0.81 1.00 1.05 0.26 0.31 0.02 1.83 1.88 1.09 1.14 XXX 92130 A Water provocation tonography 0.81 1.21 1.26 0.28 0.35 0.02 2.04 2.09 1.11 1.18 XXX 92135 A Opthalmic dx imaging 0.35 0.81 0.80 NA NA 0.02 1.18 1.17 NA NA XXX 92135 26 A Opthalmic dx imaging 0.35 0.12 0.14 0.12 0.14 0.01 0.48 0.50 0.48 0.50 XXX 92135 TC A Opthalmic dx imaging 0.00 0.69 0.65 NA NA 0.01 0.70 0.66 NA NA XXX 92136 A Ophthalmic biometry 0.54 1.46 1.60 NA NA 0.08 2.08 2.22 NA NA XXX 92136 26 A Ophthalmic biometry 0.54 0.20 0.23 0.20 0.23 0.01 0.75 0.78 0.75 0.78 XXX 92136 TC A Ophthalmic biometry 0.00 1.26 1.37 NA NA 0.07 1.33 1.44 NA NA XXX 92140 A Glaucoma provocative tests 0.50 0.92 0.97 0.15 0.20 0.01 1.43 1.48 0.66 0.71 XXX 92225 A Special eye exam, initial 0.38 0.25 0.23 0.13 0.15 0.01 0.64 0.62 0.52 0.54 XXX 92226 A Special eye exam, subsequent 0.33 0.24 0.22 0.12 0.14 0.01 0.58 0.56 0.46 0.48 XXX 92230 A Eye exam with photos 0.60 0.73 1.33 0.21 0.20 0.02 1.35 1.95 0.83 0.82 XXX 92235 A Eye exam with photos 0.81 2.33 2.54 NA NA 0.08 3.22 3.43 NA NA XXX 92235 26 A Eye exam with photos 0.81 0.30 0.35 0.30 0.35 0.02 1.13 1.18 1.13 1.18 XXX 92235 TC A Eye exam with photos 0.00 2.02 2.19 NA NA 0.06 2.08 2.25 NA NA XXX 92240 A Icg angiography 1.10 4.51 5.70 NA NA 0.09 5.70 6.89 NA NA XXX 92240 26 A Icg angiography 1.10 0.41 0.48 0.41 0.48 0.03 1.54 1.61 1.54 1.61 XXX 92240 TC A Icg angiography 0.00 4.09 5.22 NA NA 0.06 4.15 5.28 NA NA XXX 92250 A Eye exam with photos 0.44 1.34 1.48 NA NA 0.02 1.80 1.94 NA NA XXX 92250 26 A Eye exam with photos 0.44 0.15 0.18 0.15 0.18 0.01 0.60 0.63 0.60 0.63 XXX 92250 TC A Eye exam with photos 0.00 1.19 1.30 NA NA 0.01 1.20 1.31 NA NA XXX 92260 A Ophthalmoscopy/dynamometry 0.20 0.23 0.25 0.07 0.09 0.01 0.44 0.46 0.28 0.30 XXX 92265 A Eye muscle evaluation 0.81 1.01 1.37 NA NA 0.06 1.88 2.24 NA NA XXX 92265 26 A Eye muscle evaluation 0.81 0.24 0.27 0.24 0.27 0.04 1.09 1.12 1.09 1.12 XXX 92265 TC A Eye muscle evaluation 0.00 0.76 1.10 NA NA 0.02 0.78 1.12 NA NA XXX 92270 A Electro-oculography 0.81 1.42 1.50 NA NA 0.05 2.28 2.36 NA NA XXX 92270 26 A Electro-oculography 0.81 0.24 0.31 0.24 0.31 0.03 1.08 1.15 1.08 1.15 XXX 92270 TC A Electro-oculography 0.00 1.17 1.19 NA NA 0.02 1.19 1.21 NA NA XXX 92275 A Electroretinography 1.01 2.48 2.07 NA NA 0.05 3.54 3.13 NA NA XXX 92275 26 A Electroretinography 1.01 0.36 0.41 0.36 0.41 0.03 1.40 1.45 1.40 1.45 XXX 92275 TC A Electroretinography 0.00 2.12 1.66 NA NA 0.02 2.14 1.68 NA NA XXX 92283 A Color vision examination 0.17 1.02 0.89 NA NA 0.02 1.21 1.08 NA NA XXX 92283 26 A Color vision examination 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX 92283 TC A Color vision examination 0.00 0.96 0.82 NA NA 0.01 0.97 0.83 NA NA XXX 92284 A Dark adaptation eye exam 0.24 1.25 1.72 NA NA 0.02 1.51 1.98 NA NA XXX 92284 26 A Dark adaptation eye exam 0.24 0.09 0.08 0.09 0.08 0.01 0.34 0.33 0.34 0.33 XXX 92284 TC A Dark adaptation eye exam 0.00 1.16 1.64 NA NA 0.01 1.17 1.65 NA NA XXX 92285 A Eye photography 0.20 0.82 0.95 NA NA 0.02 1.04 1.17 NA NA XXX 92285 26 A Eye photography 0.20 0.07 0.09 0.07 0.09 0.01 0.28 0.30 0.28 0.30 XXX 92285 TC A Eye photography 0.00 0.75 0.86 NA NA 0.01 0.76 0.87 NA NA XXX 92286 A Internal eye photography 0.66 2.16 2.83 NA NA 0.04 2.86 3.53 NA NA XXX 92286 26 A Internal eye photography 0.66 0.24 0.28 0.24 0.28 0.02 0.92 0.96 0.92 0.96 XXX 92286 TC A Internal eye photography 0.00 1.92 2.55 NA NA 0.02 1.94 2.57 NA NA XXX 92287 A Internal eye photography 0.81 1.98 2.28 0.30 0.31 0.02 2.81 3.11 1.13 1.14 XXX 92310 N Contact lens fitting 1.17 1.07 1.11 0.27 0.41 0.04 2.28 2.32 1.48 1.62 XXX 92311 A Contact lens fitting 1.08 1.31 1.15 0.32 0.34 0.03 2.42 2.26 1.43 1.45 XXX 92312 A Contact lens fitting 1.26 1.51 1.19 0.36 0.47 0.03 2.80 2.48 1.65 1.76 XXX 92313 A Contact lens fitting 0.92 1.49 1.17 0.33 0.30 0.02 2.43 2.11 1.27 1.24 XXX 92314 N Prescription of contact lens 0.69 1.15 0.99 0.16 0.24 0.01 1.85 1.69 0.86 0.94 XXX Start Printed Page 49217 92315 A Prescription of contact lens 0.45 1.35 0.98 0.13 0.15 0.01 1.81 1.44 0.59 0.61 XXX 92316 A Prescription of contact lens 0.68 1.69 1.11 0.24 0.28 0.02 2.39 1.81 0.94 0.98 XXX 92317 A Prescription of contact lens 0.45 1.46 1.07 0.14 0.15 0.01 1.92 1.53 0.60 0.61 XXX 92325 A Modification of contact lens 0.00 0.85 0.51 NA NA 0.01 0.86 0.52 NA NA XXX 92326 A Replacement of contact lens 0.00 0.76 1.41 NA NA 0.06 0.82 1.47 NA NA XXX 92340 N Fitting of spectacles 0.37 0.45 0.64 0.09 0.13 0.01 0.83 1.02 0.47 0.51 XXX 92341 N Fitting of spectacles 0.47 0.47 0.67 0.11 0.16 0.01 0.95 1.15 0.59 0.64 XXX 92342 N Fitting of spectacles 0.53 0.48 0.69 0.12 0.19 0.01 1.02 1.23 0.66 0.73 XXX 92352 B Special spectacles fitting 0.37 0.57 0.65 0.09 0.13 0.01 0.95 1.03 0.47 0.51 XXX 92353 B Special spectacles fitting 0.50 0.60 0.70 0.12 0.17 0.02 1.12 1.22 0.64 0.69 XXX 92354 B Special spectacles fitting 0.00 0.29 6.72 NA NA 0.10 0.39 6.82 NA NA XXX 92355 B Special spectacles fitting 0.00 0.45 3.36 NA NA 0.01 0.46 3.37 NA NA XXX 92358 B Eye prosthesis service 0.00 0.24 0.79 NA NA 0.05 0.29 0.84 NA NA XXX 92370 N Repair & adjust spectacles 0.32 0.39 0.51 0.07 0.12 0.02 0.73 0.85 0.41 0.46 XXX 92371 B Repair & adjust spectacles 0.00 0.24 0.53 NA NA 0.02 0.26 0.55 NA NA XXX 92499 C Eye service or procedure 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 92502 A Ear and throat examination 1.51 NA NA 0.77 1.03 0.05 NA NA 2.33 2.59 000 92504 A Ear microscopy examination 0.18 0.55 0.51 0.05 0.08 0.01 0.74 0.70 0.24 0.27 XXX 92506 A Speech/hearing evaluation 0.86 3.28 2.76 0.24 0.36 0.03 4.17 3.65 1.13 1.25 XXX 92507 A Speech/hearing therapy 0.52 1.19 1.13 0.14 0.21 0.02 1.73 1.67 0.68 0.75 XXX 92508 A Speech/hearing therapy 0.26 0.52 0.51 0.08 0.11 0.01 0.79 0.78 0.35 0.38 XXX 92511 A Nasopharyngoscopy 0.84 2.92 3.21 0.61 0.74 0.03 3.79 4.08 1.48 1.61 000 92512 A Nasal function studies 0.55 0.93 1.09 0.15 0.17 0.02 1.50 1.66 0.72 0.74 XXX 92516 A Facial nerve function test 0.43 1.15 1.19 0.12 0.20 0.01 1.59 1.63 0.56 0.64 XXX 92520 A Laryngeal function studies 0.75 0.91 0.61 0.23 0.35 0.03 1.69 1.39 1.01 1.13 XXX 92526 A Oral function therapy 0.55 1.68 1.65 0.16 0.19 0.02 2.25 2.22 0.73 0.76 XXX 92541 A Spontaneous nystagmus test 0.40 1.16 1.06 NA NA 0.04 1.60 1.50 NA NA XXX 92541 26 A Spontaneous nystagmus test 0.40 0.12 0.17 0.12 0.17 0.02 0.54 0.59 0.54 0.59 XXX 92541 TC A Spontaneous nystagmus test 0.00 1.04 0.89 NA NA 0.02 1.06 0.91 NA NA XXX 92542 A Positional nystagmus test 0.33 1.30 1.18 NA NA 0.03 1.66 1.54 NA NA XXX 92542 26 A Positional nystagmus test 0.33 0.10 0.15 0.10 0.15 0.01 0.44 0.49 0.44 0.49 XXX 92542 TC A Positional nystagmus test 0.00 1.20 1.04 NA NA 0.02 1.22 1.06 NA NA XXX 92543 A Caloric vestibular test 0.10 0.66 0.59 NA NA 0.02 0.78 0.71 NA NA XXX 92543 26 A Caloric vestibular test 0.10 0.03 0.05 0.03 0.05 0.01 0.14 0.16 0.14 0.16 XXX 92543 TC A Caloric vestibular test 0.00 0.63 0.55 NA NA 0.01 0.64 0.56 NA NA XXX 92544 A Optokinetic nystagmus test 0.26 1.06 0.94 NA NA 0.03 1.35 1.23 NA NA XXX 92544 26 A Optokinetic nystagmus test 0.26 0.08 0.11 0.08 0.11 0.01 0.35 0.38 0.35 0.38 XXX 92544 TC A Optokinetic nystagmus test 0.00 0.98 0.83 NA NA 0.02 1.00 0.85 NA NA XXX 92545 A Oscillating tracking test 0.23 1.03 0.86 NA NA 0.03 1.29 1.12 NA NA XXX 92545 26 A Oscillating tracking test 0.23 0.07 0.10 0.07 0.10 0.01 0.31 0.34 0.31 0.34 XXX 92545 TC A Oscillating tracking test 0.00 0.96 0.76 NA NA 0.02 0.98 0.78 NA NA XXX 92546 A Sinusoidal rotational test 0.29 1.90 1.96 NA NA 0.03 2.22 2.28 NA NA XXX 92546 26 A Sinusoidal rotational test 0.29 0.09 0.12 0.09 0.12 0.01 0.39 0.42 0.39 0.42 XXX 92546 TC A Sinusoidal rotational test 0.00 1.81 1.84 NA NA 0.02 1.83 1.86 NA NA XXX 92547 A Supplemental electrical test 0.00 0.11 0.09 0.11 0.09 0.06 0.17 0.15 0.17 0.15 ZZZ 92548 A Posturography 0.50 1.72 2.12 NA NA 0.15 2.37 2.77 NA NA XXX 92548 26 A Posturography 0.50 0.15 0.23 0.15 0.23 0.02 0.67 0.75 0.67 0.75 XXX 92548 TC A Posturography 0.00 1.57 1.89 NA NA 0.13 1.70 2.02 NA NA XXX 92552 A Pure tone audiometry, air 0.00 0.56 0.47 NA NA 0.04 0.60 0.51 NA NA XXX 92553 A Audiometry, air & bone 0.00 0.71 0.67 NA NA 0.06 0.77 0.73 NA NA XXX 92555 A Speech threshold audiometry 0.00 0.38 0.38 NA NA 0.04 0.42 0.42 NA NA XXX 92556 A Speech audiometry, complete 0.00 0.52 0.56 NA NA 0.06 0.58 0.62 NA NA XXX 92557 A Comprehensive hearing test 0.00 1.27 1.21 NA NA 0.12 1.39 1.33 NA NA XXX 92561 A Bekesy audiometry, diagnosis 0.00 0.79 0.74 NA NA 0.06 0.85 0.80 NA NA XXX 92562 A Loudness balance test 0.00 0.67 0.48 NA NA 0.04 0.71 0.52 NA NA XXX 92563 A Tone decay hearing test 0.00 0.53 0.42 NA NA 0.04 0.57 0.46 NA NA XXX 92564 A Sisi hearing test 0.00 0.51 0.48 NA NA 0.05 0.56 0.53 NA NA XXX 92565 A Stenger test, pure tone 0.00 0.27 0.37 NA NA 0.04 0.31 0.41 NA NA XXX 92567 A Tympanometry 0.00 0.50 0.52 NA NA 0.06 0.56 0.58 NA NA XXX 92568 A Acoustic refl threshold tst 0.00 0.15 0.32 NA NA 0.04 0.19 0.36 NA NA XXX 92569 A Acoustic reflex decay test 0.00 0.16 0.35 NA NA 0.04 0.20 0.39 NA NA XXX 92571 A Filtered speech hearing test 0.00 0.40 0.39 NA NA 0.04 0.44 0.43 NA NA XXX 92572 A Staggered spondaic word test 0.00 0.61 0.22 NA NA 0.01 0.62 0.23 NA NA XXX 92573 A Lombard test 0.00 0.49 0.39 NA NA 0.04 0.53 0.43 NA NA XXX Start Printed Page 49218 92575 A Sensorineural acuity test 0.00 1.10 0.50 NA NA 0.02 1.12 0.52 NA NA XXX 92576 A Synthetic sentence test 0.00 0.54 0.47 NA NA 0.05 0.59 0.52 NA NA XXX 92577 A Stenger test, speech 0.00 0.28 0.61 NA NA 0.07 0.35 0.68 NA NA XXX 92579 A Visual audiometry (vra) 0.00 0.84 0.76 NA NA 0.06 0.90 0.82 NA NA XXX 92582 A Conditioning play audiometry 0.00 1.08 0.82 NA NA 0.06 1.14 0.88 NA NA XXX 92583 A Select picture audiometry 0.00 0.70 0.84 NA NA 0.08 0.78 0.92 NA NA XXX 92584 A Electrocochleography 0.00 1.28 2.17 NA NA 0.21 1.49 2.38 NA NA XXX 92585 A Auditor evoke potent, compre 0.50 2.01 2.05 NA NA 0.17 2.68 2.72 NA NA XXX 92585 26 A Auditor evoke potent, compre 0.50 0.15 0.20 0.15 0.20 0.03 0.68 0.73 0.68 0.73 XXX 92585 TC A Auditor evoke potent, compre 0.00 1.86 1.85 NA NA 0.14 2.00 1.99 NA NA XXX 92586 A Auditor evoke potent, limit 0.00 1.41 1.74 NA NA 0.14 1.55 1.88 NA NA XXX 92587 A Evoked auditory test 0.13 0.61 1.18 NA NA 0.12 0.86 1.43 NA NA XXX 92587 26 A Evoked auditory test 0.13 0.04 0.06 0.04 0.06 0.01 0.18 0.20 0.18 0.20 XXX 92587 TC A Evoked auditory test 0.00 0.58 1.13 NA NA 0.11 0.69 1.24 NA NA XXX 92588 A Evoked auditory test 0.36 1.05 1.49 NA NA 0.14 1.55 1.99 NA NA XXX 92588 26 A Evoked auditory test 0.36 0.11 0.15 0.11 0.15 0.01 0.48 0.52 0.48 0.52 XXX 92588 TC A Evoked auditory test 0.00 0.95 1.34 NA NA 0.13 1.08 1.47 NA NA XXX 92596 A Ear protector evaluation 0.00 0.93 0.68 NA NA 0.06 0.99 0.74 NA NA XXX 92597 A Oral speech device eval 0.86 1.69 1.69 0.24 0.40 0.03 2.58 2.58 1.13 1.29 XXX 92601 A Cochlear implt f/up exam < 7 0.00 4.87 3.84 NA NA 0.07 4.94 3.91 NA NA XXX 92602 A Reprogram cochlear implt < 7 0.00 3.34 2.62 NA NA 0.07 3.41 2.69 NA NA XXX 92603 A Cochlear implt f/up exam 7 > 0.00 3.17 2.40 NA NA 0.07 3.24 2.47 NA NA XXX 92604 A Reprogram cochlear implt 7 > 0.00 2.09 1.54 NA NA 0.07 2.16 1.61 NA NA XXX 92607 A Ex for speech device rx, 1hr 0.00 4.28 3.38 NA NA 0.05 4.33 3.43 NA NA XXX 92608 A Ex for speech device rx addl 0.00 0.87 0.63 NA NA 0.05 0.92 0.68 NA NA XXX 92609 A Use of speech device service 0.00 2.30 1.77 NA NA 0.04 2.34 1.81 NA NA XXX 92610 A Evaluate swallowing function 0.00 1.62 2.98 NA NA 0.08 1.70 3.06 NA NA XXX 92611 A Motion fluoroscopy/swallow 0.00 1.90 3.05 NA NA 0.08 1.98 3.13 NA NA XXX 92612 A Endoscopy swallow tst (fees) 1.27 2.74 2.74 0.36 0.59 0.04 4.05 4.05 1.67 1.90 XXX 92613 A Endoscopy swallow tst (fees) 0.71 0.22 0.36 0.22 0.35 0.05 0.98 1.12 0.98 1.11 XXX 92614 A Laryngoscopic sensory test 1.27 2.23 2.43 0.36 0.59 0.04 3.54 3.74 1.67 1.90 XXX 92615 A Eval laryngoscopy sense tst 0.63 0.18 0.31 0.18 0.31 0.05 0.86 0.99 0.86 0.99 XXX 92616 A Fees w/laryngeal sense test 1.88 2.91 3.27 0.53 0.88 0.06 4.85 5.21 2.47 2.82 XXX 92617 A Interprt fees/laryngeal test 0.79 0.22 0.39 0.22 0.39 0.05 1.06 1.23 1.06 1.23 XXX 92620 A Auditory function, 60 min 0.00 1.87 1.32 NA NA 0.06 1.93 1.38 NA NA XXX 92621 A Auditory function, + 15 min 0.00 0.40 0.29 NA NA 0.06 0.46 0.35 NA NA ZZZ 92625 A Tinnitus assessment 0.00 1.82 1.30 1.82 1.30 0.06 1.88 1.36 1.88 1.36 XXX 92626 A Eval aud rehab status 0.00 1.85 2.11 NA NA 0.06 1.91 2.17 NA NA XXX 92627 A Eval aud status rehab add-on 0.00 0.42 0.52 0.42 0.52 0.02 0.44 0.54 0.44 0.54 ZZZ 92700 C Ent procedure/service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 92950 A Heart/lung resuscitation cpr 3.79 3.24 3.96 0.77 0.92 0.28 7.31 8.03 4.84 4.99 000 92953 A Temporary external pacing 0.23 NA NA 0.07 0.07 0.02 NA NA 0.32 0.32 000 92960 A Cardioversion electric, ext 2.25 4.42 5.84 1.47 1.25 0.07 6.74 8.16 3.79 3.57 000 92961 A Cardioversion, electric, int 4.59 NA NA 2.49 2.18 0.29 NA NA 7.37 7.06 000 92970 A Cardioassist, internal 3.51 NA NA 1.61 1.20 0.16 NA NA 5.28 4.87 000 92971 A Cardioassist, external 1.77 NA NA 1.08 0.91 0.06 NA NA 2.91 2.74 000 92973 A Percut coronary thrombectomy 3.28 NA NA 1.79 1.42 0.23 NA NA 5.30 4.93 ZZZ 92974 A Cath place, cardio brachytx 3.00 NA NA 1.67 1.30 0.21 NA NA 4.88 4.51 ZZZ 92975 A Dissolve clot, heart vessel 7.24 NA NA 3.88 3.08 0.50 NA NA 11.62 10.82 000 92977 A Dissolve clot, heart vessel 0.00 1.73 6.47 NA NA 0.46 2.19 6.93 NA NA XXX 92978 A Intravasc us, heart add-on 1.80 NA NA NA NA 0.30 NA NA NA NA ZZZ 92978 26 A Intravasc us, heart add-on 1.80 0.98 0.78 0.98 0.78 0.06 2.84 2.64 2.84 2.64 ZZZ 92978 TC A Intravasc us, heart add-on 0.00 NA NA NA NA 0.24 NA NA NA NA ZZZ 92979 A Intravasc us, heart add-on 1.44 NA NA NA NA 0.19 NA NA NA NA ZZZ 92979 26 A Intravasc us, heart add-on 1.44 0.78 0.62 0.78 0.62 0.06 2.28 2.12 2.28 2.12 ZZZ 92979 TC A Intravasc us, heart add-on 0.00 NA NA NA NA 0.13 NA NA NA NA ZZZ Start Printed Page 49219 92980 A Insert intracoronary stent 14.82 NA NA 8.29 6.61 1.03 NA NA 24.14 22.46 000 92981 A Insert intracoronary stent 4.16 NA NA 2.27 1.79 0.29 NA NA 6.72 6.24 ZZZ 92982 A Coronary artery dilation 10.96 NA NA 6.20 4.95 0.76 NA NA 17.92 16.67 000 92984 A Coronary artery dilation 2.97 NA NA 1.61 1.27 0.21 NA NA 4.79 4.45 ZZZ 92986 A Revision of aortic valve 22.64 NA NA 15.66 12.79 1.51 NA NA 39.81 36.94 090 92987 A Revision of mitral valve 23.42 NA NA 16.09 13.18 1.59 NA NA 41.10 38.19 090 92990 A Revision of pulmonary valve 18.06 NA NA 11.18 10.14 1.20 NA NA 30.44 29.40 090 92992 C Revision of heart chamber 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 090 92995 A Coronary atherectomy 12.07 NA NA 6.81 5.42 0.84 NA NA 19.72 18.33 000 92996 A Coronary atherectomy add-on 3.26 NA NA 1.78 1.40 0.10 NA NA 5.14 4.76 ZZZ 92997 A Pul art balloon repr, percut 11.98 NA NA 5.18 4.91 0.40 NA NA 17.56 17.29 000 92998 A Pul art balloon repr, percut 5.99 NA NA 2.74 2.34 0.28 NA NA 9.01 8.61 ZZZ 93000 A Electrocardiogram, complete 0.17 0.35 0.47 0.35 0.47 0.03 0.55 0.67 0.55 0.67 XXX 93005 A Electrocardiogram, tracing 0.00 0.28 0.41 NA NA 0.02 0.30 0.43 NA NA XXX 93010 A Electrocardiogram report 0.17 0.07 0.06 0.07 0.06 0.01 0.25 0.24 0.25 0.24 XXX 93012 A Transmission of ecg 0.00 1.65 4.92 NA NA 0.18 1.83 5.10 NA NA XXX 93014 A Report on transmitted ecg 0.52 0.21 0.20 0.21 0.20 0.02 0.75 0.74 0.75 0.74 XXX 93015 A Cardiovascular stress test 0.75 1.93 1.95 1.93 1.95 0.14 2.82 2.84 2.82 2.84 XXX 93016 A Cardiovascular stress test 0.45 0.23 0.19 0.23 0.19 0.02 0.70 0.66 0.70 0.66 XXX 93017 A Cardiovascular stress test 0.00 1.55 1.65 NA NA 0.11 1.66 1.76 NA NA XXX 93018 A Cardiovascular stress test 0.30 0.15 0.12 0.15 0.12 0.01 0.46 0.43 0.46 0.43 XXX 93024 A Cardiac drug stress test 1.17 2.42 1.78 NA NA 0.12 3.71 3.07 NA NA XXX 93024 26 A Cardiac drug stress test 1.17 0.59 0.49 0.59 0.49 0.04 1.80 1.70 1.80 1.70 XXX 93024 TC A Cardiac drug stress test 0.00 1.84 1.30 NA NA 0.08 1.92 1.38 NA NA XXX 93025 A Microvolt t-wave assess 0.75 3.94 6.68 NA NA 0.14 4.83 7.57 NA NA XXX 93025 26 A Microvolt t-wave assess 0.75 0.38 0.31 0.38 0.31 0.03 1.16 1.09 1.16 1.09 XXX 93025 TC A Microvolt t-wave assess 0.00 3.56 6.37 NA NA 0.11 3.67 6.48 NA NA XXX 93040 A Rhythm ECG with report 0.16 0.19 0.20 0.19 0.20 0.02 0.37 0.38 0.37 0.38 XXX 93041 A Rhythm ECG, tracing 0.00 0.14 0.15 NA NA 0.01 0.15 0.16 NA NA XXX 93042 A Rhythm ECG, report 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX 93224 A ECG monitor/report, 24 hrs 0.52 1.99 3.21 1.99 3.21 0.24 2.75 3.97 2.75 3.97 XXX 93225 A ECG monitor/record, 24 hrs 0.00 1.08 1.20 NA NA 0.08 1.16 1.28 NA NA XXX 93226 A ECG monitor/report, 24 hrs 0.00 0.62 1.79 NA NA 0.14 0.76 1.93 NA NA XXX 93227 A ECG monitor/review, 24 hrs 0.52 0.28 0.21 0.28 0.21 0.02 0.82 0.75 0.82 0.75 XXX 93230 A ECG monitor/report, 24 hrs 0.52 1.79 3.37 1.79 3.37 0.26 2.57 4.15 2.57 4.15 XXX 93231 A Ecg monitor/record, 24 hrs 0.00 0.94 1.38 NA NA 0.11 1.05 1.49 NA NA XXX 93232 A ECG monitor/report, 24 hrs 0.00 0.62 1.79 NA NA 0.13 0.75 1.92 NA NA XXX 93233 A ECG monitor/review, 24 hrs 0.52 0.23 0.20 0.23 0.20 0.02 0.77 0.74 0.77 0.74 XXX 93235 A ECG monitor/report, 24 hrs 0.45 0.21 2.14 0.21 2.14 0.16 0.82 2.75 0.82 2.75 XXX 93236 C ECG monitor/report, 24 hrs 0.00 0.00 0.00 NA NA 0.00 0.00 0.00 NA NA XXX 93237 A ECG monitor/review, 24 hrs 0.45 0.21 0.17 0.21 0.17 0.02 0.68 0.64 0.68 0.64 XXX 93268 A ECG record/review 0.52 0.83 5.79 0.83 5.79 0.28 1.63 6.59 1.63 6.59 XXX 93270 A ECG recording 0.00 0.31 1.01 NA NA 0.08 0.39 1.09 NA NA XXX 93271 A Ecg/monitoring and analysis 0.00 1.99 5.01 NA NA 0.18 2.17 5.19 NA NA XXX 93272 A Ecg/review, interpret only 0.52 0.24 0.20 0.24 0.20 0.02 0.78 0.74 0.78 0.74 XXX 93278 A ECG/signal-averaged 0.25 0.59 1.09 NA NA 0.12 0.96 1.46 NA NA XXX 93278 26 A ECG/signal-averaged 0.25 0.10 0.10 0.10 0.10 0.01 0.36 0.36 0.36 0.36 XXX 93278 TC A ECG/signal-averaged 0.00 0.49 0.99 NA NA 0.11 0.60 1.10 NA NA XXX 93303 A Echo transthoracic 1.30 4.65 4.42 NA NA 0.27 6.22 5.99 NA NA XXX 93303 26 A Echo transthoracic 1.30 0.57 0.50 0.57 0.50 0.04 1.91 1.84 1.91 1.84 XXX 93303 TC A Echo transthoracic 0.00 4.07 3.91 NA NA 0.23 4.30 4.14 NA NA XXX 93304 A Echo transthoracic 0.75 3.18 2.46 NA NA 0.15 4.08 3.36 NA NA XXX 93304 26 A Echo transthoracic 0.75 0.31 0.29 0.31 0.29 0.02 1.08 1.06 1.08 1.06 XXX 93304 TC A Echo transthoracic 0.00 2.87 2.17 NA NA 0.13 3.00 2.30 NA NA XXX 93307 A Echo exam of heart 0.92 3.78 4.10 NA NA 0.26 4.96 5.28 NA NA XXX 93307 26 A Echo exam of heart 0.92 0.46 0.38 0.46 0.38 0.03 1.41 1.33 1.41 1.33 XXX 93307 TC A Echo exam of heart 0.00 3.32 3.73 NA NA 0.23 3.55 3.96 NA NA XXX 93308 A Echo exam of heart 0.53 2.65 2.27 NA NA 0.15 3.33 2.95 NA NA XXX 93308 26 A Echo exam of heart 0.53 0.27 0.22 0.27 0.22 0.02 0.82 0.77 0.82 0.77 XXX 93308 TC A Echo exam of heart 0.00 2.38 2.05 NA NA 0.13 2.51 2.18 NA NA XXX 93312 A Echo transesophageal 2.20 7.55 5.32 NA NA 0.37 10.12 7.89 NA NA XXX 93312 26 A Echo transesophageal 2.20 1.01 0.85 1.01 0.85 0.08 3.29 3.13 3.29 3.13 XXX 93312 TC A Echo transesophageal 0.00 6.54 4.47 NA NA 0.29 6.83 4.76 NA NA XXX 93313 A Echo transesophageal 0.95 NA NA 0.14 0.19 0.06 NA NA 1.15 1.20 XXX 93314 A Echo transesophageal 1.25 7.28 5.01 NA NA 0.33 8.86 6.59 NA NA XXX Start Printed Page 49220 93314 26 A Echo transesophageal 1.25 0.57 0.50 0.57 0.50 0.04 1.86 1.79 1.86 1.79 XXX 93314 TC A Echo transesophageal 0.00 6.71 4.51 NA NA 0.29 7.00 4.80 NA NA XXX 93315 C Echo transesophageal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93315 26 A Echo transesophageal 2.78 1.32 1.09 1.32 1.09 0.09 4.19 3.96 4.19 3.96 XXX 93315 TC C Echo transesophageal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93316 A Echo transesophageal 0.95 NA NA 0.26 0.25 0.05 NA NA 1.26 1.25 XXX 93317 C Echo transesophageal 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93317 26 A Echo transesophageal 1.83 0.74 0.69 0.74 0.69 0.08 2.65 2.60 2.65 2.60 XXX 93317 TC C Echo transesophageal 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 93318 26 A Echo transesophageal intraop 2.20 0.89 0.58 0.89 0.58 0.14 3.23 2.92 3.23 2.92 XXX 93318 TC C Echo transesophageal intraop 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93320 A Doppler echo exam, heart 0.38 1.70 1.81 1.70 1.81 0.13 2.21 2.32 2.21 2.32 ZZZ 93320 26 A Doppler echo exam, heart 0.38 0.19 0.16 0.19 0.16 0.01 0.58 0.55 0.58 0.55 ZZZ 93320 TC A Doppler echo exam, heart 0.00 1.51 1.66 1.51 1.66 0.12 1.63 1.78 1.63 1.78 ZZZ 93321 A Doppler echo exam, heart 0.15 0.62 1.03 0.62 1.03 0.09 0.86 1.27 0.86 1.27 ZZZ 93321 26 A Doppler echo exam, heart 0.15 0.08 0.07 0.08 0.07 0.01 0.24 0.23 0.24 0.23 ZZZ 93321 TC A Doppler echo exam, heart 0.00 0.55 0.97 0.55 0.97 0.08 0.63 1.05 0.63 1.05 ZZZ 93325 A Doppler color flow add-on 0.07 0.67 2.37 0.67 2.37 0.22 0.96 2.66 0.96 2.66 ZZZ 93325 26 A Doppler color flow add-on 0.07 0.04 0.03 0.04 0.03 0.01 0.12 0.11 0.12 0.11 ZZZ 93325 TC A Doppler color flow add-on 0.00 0.64 2.34 0.64 2.34 0.21 0.85 2.55 0.85 2.55 ZZZ 93350 A Echo transthoracic 1.48 5.16 3.04 NA NA 0.18 6.82 4.70 NA NA XXX 93350 26 A Echo transthoracic 1.48 0.78 0.62 0.78 0.62 0.05 2.31 2.15 2.31 2.15 XXX 93350 TC A Echo transthoracic 0.00 4.38 2.42 NA NA 0.13 4.51 2.55 NA NA XXX 93501 A Right heart catheterization 3.02 23.11 19.32 23.11 19.32 1.26 27.39 23.60 27.39 23.60 000 93501 26 A Right heart catheterization 3.02 1.61 1.27 1.61 1.27 0.21 4.84 4.50 4.84 4.50 000 93501 TC A Right heart catheterization 0.00 21.49 18.05 21.49 18.05 1.05 22.54 19.10 22.54 19.10 000 93503 A Insert/place heart catheter 2.91 NA NA 0.49 0.63 0.20 NA NA 3.60 3.74 000 93505 A Biopsy of heart lining 4.37 25.12 9.03 25.12 9.03 0.46 29.95 13.86 29.95 13.86 000 93505 26 A Biopsy of heart lining 4.37 2.33 1.84 2.33 1.84 0.30 7.00 6.51 7.00 6.51 000 93505 TC A Biopsy of heart lining 0.00 22.78 7.18 22.78 7.18 0.16 22.94 7.34 22.94 7.34 000 93508 A Cath placement, angiography 4.09 18.46 15.63 18.46 15.63 0.93 23.48 20.65 23.48 20.65 000 93508 26 A Cath placement, angiography 4.09 2.23 2.12 2.23 2.12 0.28 6.60 6.49 6.60 6.49 000 93508 TC A Cath placement, angiography 0.00 16.23 13.51 16.23 13.51 0.65 16.88 14.16 16.88 14.16 000 93510 C Left heart catheterization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93510 26 A Left heart catheterization 4.32 2.35 2.22 2.35 2.22 0.30 6.97 6.84 6.97 6.84 000 93510 TC C Left heart catheterization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93511 C Left heart catheterization 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93511 26 A Left heart catheterization 5.02 2.66 2.50 2.66 2.50 0.35 8.03 7.87 8.03 7.87 000 93511 TC C Left heart catheterization 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93514 C Left heart catheterization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93514 26 A Left heart catheterization 7.04 3.22 3.15 3.22 3.15 0.49 10.75 10.68 10.75 10.68 000 93514 TC C Left heart catheterization 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93524 C Left heart catheterization 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93524 26 A Left heart catheterization 6.94 3.72 3.31 3.72 3.31 0.48 11.14 10.73 11.14 10.73 000 93524 TC C Left heart catheterization 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93526 C Rt & Lt heart catheters 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93526 26 A Rt & Lt heart catheters 5.98 3.25 2.92 3.25 2.92 0.42 9.65 9.32 9.65 9.32 000 93526 TC C Rt & Lt heart catheters 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93527 C Rt & Lt heart catheters 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93527 26 A Rt & Lt heart catheters 7.27 3.99 3.48 3.99 3.48 0.51 11.77 11.26 11.77 11.26 000 93527 TC C Rt & Lt heart catheters 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93528 C Rt & Lt heart catheters 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93528 26 A Rt & Lt heart catheters 8.99 4.69 4.20 4.69 4.20 0.62 14.30 13.81 14.30 13.81 000 93528 TC C Rt & Lt heart catheters 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93529 C Rt, lt heart catheterization 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 Start Printed Page 49221 93529 26 A Rt, lt heart catheterization 4.79 2.62 2.36 2.62 2.36 0.33 7.74 7.48 7.74 7.48 000 93529 TC C Rt, lt heart catheterization 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93530 C Rt heart cath, congenital 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93530 26 A Rt heart cath, congenital 4.22 1.84 1.91 1.84 1.91 0.29 6.35 6.42 6.35 6.42 000 93530 TC C Rt heart cath, congenital 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93531 C R & l heart cath, congenital 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93531 26 A R & l heart cath, congenital 8.34 3.72 3.62 3.72 3.62 0.58 12.64 12.54 12.64 12.54 000 93531 TC C R & l heart cath, congenital 0.00 NA NA 0.00 0.00 0.00 NA NA 0.00 0.00 000 93532 C R & l heart cath, congenital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93532 26 A R & l heart cath, congenital 9.99 4.60 4.34 4.60 4.34 0.69 15.28 15.02 15.28 15.02 000 93532 TC C R & l heart cath, congenital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93533 C R & l heart cath, congenital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93533 26 A R & l heart cath, congenital 6.69 3.03 2.85 3.03 2.85 0.47 10.19 10.01 10.19 10.01 000 93533 TC C R & l heart cath, congenital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93539 A Injection, cardiac cath 0.40 NA NA 0.22 0.18 0.01 NA NA 0.63 0.59 000 93540 A Injection, cardiac cath 0.43 NA NA 0.24 0.19 0.01 NA NA 0.68 0.63 000 93541 A Injection for lung angiogram 0.29 NA NA 0.15 0.12 0.01 NA NA 0.45 0.42 000 93542 A Injection for heart x-rays 0.29 NA NA 0.15 0.12 0.01 NA NA 0.45 0.42 000 93543 A Injection for heart x-rays 0.29 NA NA 0.16 0.12 0.01 NA NA 0.46 0.42 000 93544 A Injection for aortography 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 000 93545 A Inject for coronary x-rays 0.40 NA NA 0.22 0.18 0.01 NA NA 0.63 0.59 000 93555 A Imaging, cardiac cath 0.81 0.65 5.11 NA NA 0.37 1.83 6.29 NA NA XXX 93555 26 A Imaging, cardiac cath 0.81 0.44 0.35 0.44 0.35 0.03 1.28 1.19 1.28 1.19 XXX 93555 TC A Imaging, cardiac cath 0.00 0.21 4.76 NA NA 0.34 0.55 5.10 NA NA XXX 93556 A Imaging, cardiac cath 0.83 0.93 7.89 NA NA 0.54 2.30 9.26 NA NA XXX 93556 26 A Imaging, cardiac cath 0.83 0.45 0.35 0.45 0.35 0.03 1.31 1.21 1.31 1.21 XXX 93556 TC A Imaging, cardiac cath 0.00 0.48 7.54 NA NA 0.51 0.99 8.05 NA NA XXX 93561 A Cardiac output measurement 0.50 NA NA NA NA 0.08 NA NA NA NA 000 93561 26 A Cardiac output measurement 0.50 0.14 0.16 0.14 0.16 0.02 0.66 0.68 0.66 0.68 000 93561 TC A Cardiac output measurement 0.00 NA NA NA NA 0.06 NA NA NA NA 000 93562 A Cardiac output measurement 0.16 NA NA NA NA 0.05 NA NA NA NA 000 93562 26 A Cardiac output measurement 0.16 0.03 0.05 0.03 0.05 0.01 0.20 0.22 0.20 0.22 000 93562 TC A Cardiac output measurement 0.00 NA NA NA NA 0.04 NA NA NA NA 000 93571 A Heart flow reserve measure 1.80 NA NA NA NA 0.30 NA NA NA NA ZZZ 93571 26 A Heart flow reserve measure 1.80 0.98 0.76 0.98 0.76 0.06 2.84 2.62 2.84 2.62 ZZZ 93571 TC A Heart flow reserve measure 0.00 NA NA NA NA 0.24 NA NA NA NA ZZZ 93572 C Heart flow reserve measure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93572 26 A Heart flow reserve measure 1.44 0.74 0.56 0.74 0.56 0.04 2.22 2.04 2.22 2.04 ZZZ 93572 TC C Heart flow reserve measure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93580 A Transcath closure of asd 17.97 NA NA 9.50 7.91 1.25 NA NA 28.72 27.13 000 93581 A Transcath closure of vsd 24.39 NA NA 13.17 10.34 1.71 NA NA 39.27 36.44 000 93600 A Bundle of His recording 2.12 NA NA NA NA 0.29 NA NA NA NA 000 93600 26 A Bundle of His recording 2.12 1.09 0.90 1.09 0.90 0.16 3.37 3.18 3.37 3.18 000 93600 TC A Bundle of His recording 0.00 NA NA NA NA 0.13 NA NA NA NA 000 93602 A Intra-atrial recording 2.12 NA NA NA NA 0.24 NA NA NA NA 000 93602 26 A Intra-atrial recording 2.12 1.07 0.88 1.07 0.88 0.17 3.36 3.17 3.36 3.17 000 93602 TC A Intra-atrial recording 0.00 NA NA NA NA 0.07 NA NA NA NA 000 93603 A Right ventricular recording 2.12 NA NA NA NA 0.29 NA NA NA NA 000 93603 26 A Right ventricular recording 2.12 1.06 0.87 1.06 0.87 0.18 3.36 3.17 3.36 3.17 000 93603 TC A Right ventricular recording 0.00 NA NA NA NA 0.11 NA NA NA NA 000 93609 A Map tachycardia, add-on 4.99 NA NA NA NA 0.52 NA NA NA NA ZZZ 93609 26 A Map tachycardia, add-on 4.99 2.68 2.13 2.68 2.13 0.35 8.02 7.47 8.02 7.47 ZZZ 93609 TC A Map tachycardia, add-on 0.00 NA NA NA NA 0.17 NA NA NA NA ZZZ 93610 A Intra-atrial pacing 3.02 NA NA NA NA 0.34 NA NA NA NA 000 93610 26 A Intra-atrial pacing 3.02 1.50 1.25 1.50 1.25 0.24 4.76 4.51 4.76 4.51 000 93610 TC A Intra-atrial pacing 0.00 NA NA NA NA 0.10 NA NA NA NA 000 93612 A Intraventricular pacing 3.02 NA NA NA NA 0.36 NA NA NA NA 000 93612 26 A Intraventricular pacing 3.02 1.45 1.23 1.45 1.23 0.25 4.72 4.50 4.72 4.50 000 93612 TC A Intraventricular pacing 0.00 NA NA NA NA 0.11 NA NA NA NA 000 93613 A Electrophys map 3d, add-on 6.99 NA NA 3.78 3.02 0.49 NA NA 11.26 10.50 ZZZ 93615 A Esophageal recording 0.99 NA NA NA NA 0.05 NA NA NA NA 000 93615 26 A Esophageal recording 0.99 0.49 0.33 0.49 0.33 0.03 1.51 1.35 1.51 1.35 000 93615 TC A Esophageal recording 0.00 NA NA NA NA 0.02 NA NA NA NA 000 93616 C Esophageal recording 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93616 26 A Esophageal recording 1.49 0.37 0.42 0.37 0.42 0.09 1.95 2.00 1.95 2.00 000 93616 TC C Esophageal recording 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 Start Printed Page 49222 93618 A Heart rhythm pacing 4.25 NA NA NA NA 0.54 NA NA NA NA 000 93618 26 A Heart rhythm pacing 4.25 2.32 1.83 2.32 1.83 0.30 6.87 6.38 6.87 6.38 000 93618 TC A Heart rhythm pacing 0.00 NA NA NA NA 0.24 NA NA NA NA 000 93619 A Electrophysiology evaluation 7.31 NA NA NA NA 0.98 NA NA NA NA 000 93619 26 A Electrophysiology evaluation 7.31 3.87 3.35 3.87 3.35 0.51 11.69 11.17 11.69 11.17 000 93619 TC A Electrophysiology evaluation 0.00 NA NA NA NA 0.47 NA NA NA NA 000 93620 C Electrophysiology evaluation 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93620 26 A Electrophysiology evaluation 11.57 6.24 5.19 6.24 5.19 0.80 18.61 17.56 18.61 17.56 000 93620 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 ZZZ 93621 26 A Electrophysiology evaluation 2.10 1.13 0.90 1.13 0.90 0.15 3.38 3.15 3.38 3.15 ZZZ 93621 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 ZZZ 93622 26 A Electrophysiology evaluation 3.10 1.68 1.33 1.68 1.33 0.22 5.00 4.65 5.00 4.65 ZZZ 93622 TC C Electrophysiology evaluation 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 ZZZ 93623 26 A Stimulation, pacing heart 2.85 1.54 1.22 1.54 1.22 0.20 4.59 4.27 4.59 4.27 ZZZ 93623 TC C Stimulation, pacing heart 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93624 A Electrophysiologic study 4.80 NA NA . 4.18 0.46 NA NA 5.26 9.44 000 93624 26 A Electrophysiologic study 4.80 2.63 2.30 2.63 2.30 0.33 7.76 7.43 7.76 7.43 000 93624 TC A Electrophysiologic study 0.00 NA NA . 1.98 0.13 NA NA 0.13 2.11 000 93631 C Heart pacing, mapping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93631 26 A Heart pacing, mapping 7.59 2.74 2.76 2.74 2.76 0.97 11.30 11.32 11.30 11.32 000 93631 TC C Heart pacing, mapping 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 000 93640 A Evaluation heart device 3.51 NA NA NA NA 0.66 NA NA NA NA 000 93640 26 A Evaluation heart device 3.51 1.89 1.49 1.89 1.49 0.24 5.64 5.24 5.64 5.24 000 93640 TC A Evaluation heart device 0.00 NA NA NA NA 0.42 NA NA NA NA 000 93641 A Electrophysiology evaluation 5.92 NA NA NA NA 0.83 NA NA NA NA 000 93641 26 A Electrophysiology evaluation 5.92 3.18 2.53 3.18 2.53 0.41 9.51 8.86 9.51 8.86 000 93641 TC A Electrophysiology evaluation 0.00 NA NA NA NA 0.42 NA NA NA NA 000 93642 A Electrophysiology evaluation 4.88 7.45 8.90 7.45 8.90 0.57 12.90 14.35 12.90 14.35 000 93642 26 A Electrophysiology evaluation 4.88 2.63 2.32 2.63 2.32 0.15 7.66 7.35 7.66 7.35 000 93642 TC A Electrophysiology evaluation 0.00 4.81 6.58 4.81 6.58 0.42 5.23 7.00 5.23 7.00 000 93650 A Ablate heart dysrhythm focus 10.49 NA NA 5.97 4.82 0.73 NA NA 17.19 16.04 000 93651 A Ablate heart dysrhythm focus 16.23 NA NA 8.75 6.93 1.13 NA NA 26.11 24.29 000 93652 A Ablate heart dysrhythm focus 17.65 NA NA 9.52 7.54 1.23 NA NA 28.40 26.42 000 93660 A Tilt table evaluation 1.89 3.05 2.57 3.05 2.57 0.08 5.02 4.54 5.02 4.54 000 93660 26 A Tilt table evaluation 1.89 0.99 0.80 0.99 0.80 0.06 2.94 2.75 2.94 2.75 000 93660 TC A Tilt table evaluation 0.00 2.06 1.78 2.06 1.78 0.02 2.08 1.80 2.08 1.80 000 93662 C Intracardiac ecg (ice) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93662 26 A Intracardiac ecg (ice) 2.80 1.51 1.21 1.51 1.21 0.09 4.40 4.10 4.40 4.10 ZZZ 93662 TC C Intracardiac ecg (ice) 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 93701 A Bioimpedance, thoracic 0.17 0.70 0.91 NA NA 0.02 0.89 1.10 NA NA XXX 93701 26 A Bioimpedance, thoracic 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX 93701 TC A Bioimpedance, thoracic 0.00 0.64 0.84 NA NA 0.01 0.65 0.85 NA NA XXX 93720 A Total body plethysmography 0.17 1.30 0.90 1.30 0.90 0.07 1.54 1.14 1.54 1.14 XXX 93721 A Plethysmography tracing 0.00 1.15 0.82 NA NA 0.06 1.21 0.88 NA NA XXX 93722 A Plethysmography report 0.17 0.04 0.05 0.04 0.05 0.01 0.22 0.23 0.22 0.23 XXX 93724 A Analyze pacemaker system 4.88 3.49 5.28 3.49 5.28 0.39 8.76 10.55 8.76 10.55 000 93724 26 A Analyze pacemaker system 4.88 2.58 2.08 2.58 2.08 0.15 7.61 7.11 7.61 7.11 000 93724 TC A Analyze pacemaker system 0.00 0.92 3.20 0.92 3.20 0.24 1.16 3.44 1.16 3.44 000 93727 A Analyze ilr system 0.52 0.65 0.31 0.65 0.31 0.02 1.19 0.85 1.19 0.85 XXX 93731 A Analyze pacemaker system 0.45 0.80 0.70 NA NA 0.05 1.30 1.20 NA NA XXX 93731 26 A Analyze pacemaker system 0.45 0.24 0.19 0.24 0.19 0.01 0.70 0.65 0.70 0.65 XXX 93731 TC A Analyze pacemaker system 0.00 0.56 0.51 NA NA 0.04 0.60 0.55 NA NA XXX 93732 A Analyze pacemaker system 0.92 1.17 0.94 NA NA 0.07 2.16 1.93 NA NA XXX Start Printed Page 49223 93732 26 A Analyze pacemaker system 0.92 0.49 0.39 0.49 0.39 0.03 1.44 1.34 1.44 1.34 XXX 93732 TC A Analyze pacemaker system 0.00 0.68 0.55 NA NA 0.04 0.72 0.59 NA NA XXX 93733 A Telephone analy, pacemaker 0.17 0.32 0.68 NA NA 0.07 0.56 0.92 NA NA XXX 93733 26 A Telephone analy, pacemaker 0.17 0.09 0.08 0.09 0.08 0.01 0.27 0.26 0.27 0.26 XXX 93733 TC A Telephone analy, pacemaker 0.00 0.23 0.61 NA NA 0.06 0.29 0.67 NA NA XXX 93734 A Analyze pacemaker system 0.38 0.71 0.55 NA NA 0.03 1.12 0.96 NA NA XXX 93734 26 A Analyze pacemaker system 0.38 0.20 0.16 0.20 0.16 0.01 0.59 0.55 0.59 0.55 XXX 93734 TC A Analyze pacemaker system 0.00 0.51 0.39 NA NA 0.02 0.53 0.41 NA NA XXX 93735 A Analyze pacemaker system 0.74 0.97 0.78 NA NA 0.06 1.77 1.58 NA NA XXX 93735 26 A Analyze pacemaker system 0.74 0.39 0.31 0.39 0.31 0.02 1.15 1.07 1.15 1.07 XXX 93735 TC A Analyze pacemaker system 0.00 0.58 0.48 NA NA 0.04 0.62 0.52 NA NA XXX 93736 A Telephonic analy, pacemaker 0.15 0.28 0.59 NA NA 0.07 0.50 0.81 NA NA XXX 93736 26 A Telephonic analy, pacemaker 0.15 0.08 0.07 0.08 0.07 0.01 0.24 0.23 0.24 0.23 XXX 93736 TC A Telephonic analy, pacemaker 0.00 0.21 0.53 NA NA 0.06 0.27 0.59 NA NA XXX 93740 B Temperature gradient studies 0.16 0.04 0.15 NA NA 0.02 0.22 0.33 NA NA XXX 93740 26 B Temperature gradient studies 0.16 0.04 0.04 0.04 0.04 0.01 0.21 0.21 0.21 0.21 XXX 93740 TC B Temperature gradient studies 0.00 0.00 0.11 NA NA 0.01 0.01 0.12 NA NA XXX 93741 A Analyze ht pace device sngl 0.80 1.04 1.00 NA NA 0.07 1.91 1.87 NA NA XXX 93741 26 A Analyze ht pace device sngl 0.80 0.43 0.34 0.43 0.34 0.03 1.26 1.17 1.26 1.17 XXX 93741 TC A Analyze ht pace device sngl 0.00 0.60 0.65 NA NA 0.04 0.64 0.69 NA NA XXX 93742 A Analyze ht pace device sngl 0.91 1.17 1.07 NA NA 0.07 2.15 2.05 NA NA XXX 93742 26 A Analyze ht pace device sngl 0.91 0.50 0.40 0.50 0.40 0.03 1.44 1.34 1.44 1.34 XXX 93742 TC A Analyze ht pace device sngl 0.00 0.68 0.67 NA NA 0.04 0.72 0.71 NA NA XXX 93743 A Analyze ht pace device dual 1.03 1.21 1.15 NA NA 0.07 2.31 2.25 NA NA XXX 93743 26 A Analyze ht pace device dual 1.03 0.56 0.44 0.56 0.44 0.03 1.62 1.50 1.62 1.50 XXX 93743 TC A Analyze ht pace device dual 0.00 0.65 0.71 NA NA 0.04 0.69 0.75 NA NA XXX 93744 A Analyze ht pace device dual 1.18 1.36 1.19 NA NA 0.08 2.62 2.45 NA NA XXX 93744 26 A Analyze ht pace device dual 1.18 0.64 0.51 0.64 0.51 0.04 1.86 1.73 1.86 1.73 XXX 93744 TC A Analyze ht pace device dual 0.00 0.73 0.69 NA NA 0.04 0.77 0.73 NA NA XXX 93745 C Set-up cardiovert-defibrill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93745 26 C Set-up cardiovert-defibrill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93745 TC C Set-up cardiovert-defibrill 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93770 B Measure venous pressure 0.16 0.04 0.07 NA NA 0.02 0.22 0.25 NA NA XXX 93770 26 B Measure venous pressure 0.16 0.04 0.05 0.04 0.05 0.01 0.21 0.22 0.21 0.22 XXX 93770 TC B Measure venous pressure 0.00 0.00 0.02 NA NA 0.01 0.01 0.03 NA NA XXX 93784 A Ambulatory BP monitoring 0.38 1.36 1.50 1.36 1.50 0.03 1.77 1.91 1.77 1.91 XXX 93786 A Ambulatory BP recording 0.00 1.09 0.96 NA NA 0.01 1.10 0.97 NA NA XXX 93788 A Ambulatory BP analysis 0.00 0.73 0.57 NA NA 0.01 0.74 0.58 NA NA XXX 93790 A Review/report BP recording 0.38 0.14 0.13 0.14 0.13 0.01 0.53 0.52 0.53 0.52 XXX 93797 A Cardiac rehab 0.18 0.32 0.31 0.09 0.08 0.01 0.51 0.50 0.28 0.27 000 93798 A Cardiac rehab/monitor 0.28 0.44 0.46 0.13 0.12 0.01 0.73 0.75 0.42 0.41 000 93799 C Cardiovascular procedure 0.00 0.00 0.00 0.00 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 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 0.00 0.00 0.00 0.00 XXX 93875 A Extracranial study 0.22 2.65 2.41 NA NA 0.12 2.99 2.75 NA NA XXX 93875 26 A Extracranial study 0.22 0.08 0.08 0.08 0.08 0.01 0.31 0.31 0.31 0.31 XXX 93875 TC A Extracranial study 0.00 2.57 2.33 NA NA 0.11 2.68 2.44 NA NA XXX 93880 A Extracranial study 0.60 6.23 5.72 NA NA 0.39 7.22 6.71 NA NA XXX 93880 26 A Extracranial study 0.60 0.21 0.20 0.21 0.20 0.04 0.85 0.84 0.85 0.84 XXX 93880 TC A Extracranial study 0.00 6.03 5.52 NA NA 0.35 6.38 5.87 NA NA XXX 93882 A Extracranial study 0.40 4.17 3.67 NA NA 0.26 4.83 4.33 NA NA XXX 93882 26 A Extracranial study 0.40 0.12 0.14 0.12 0.14 0.04 0.56 0.58 0.56 0.58 XXX 93882 TC A Extracranial study 0.00 4.05 3.53 NA NA 0.22 4.27 3.75 NA NA XXX 93886 A Intracranial study 0.94 7.31 6.88 NA NA 0.45 8.70 8.27 NA NA XXX 93886 26 A Intracranial study 0.94 0.31 0.36 0.31 0.36 0.06 1.31 1.36 1.31 1.36 XXX 93886 TC A Intracranial study 0.00 7.00 6.53 NA NA 0.39 7.39 6.92 NA NA XXX 93888 A Intracranial study 0.62 4.91 4.41 NA NA 0.32 5.85 5.35 NA NA XXX 93888 26 A Intracranial study 0.62 0.20 0.22 0.20 0.22 0.05 0.87 0.89 0.87 0.89 XXX 93888 TC A Intracranial study 0.00 4.71 4.19 NA NA 0.27 4.98 4.46 NA NA XXX 93890 A Tcd, vasoreactivity study 1.00 6.47 5.29 NA NA 0.45 7.92 6.74 NA NA XXX 93890 26 A Tcd, vasoreactivity study 1.00 0.33 0.38 0.33 0.38 0.06 1.39 1.44 1.39 1.44 XXX 93890 TC A Tcd, vasoreactivity study 0.00 6.13 4.91 NA NA 0.39 6.52 5.30 NA NA XXX 93892 A Tcd, emboli detect w/o inj 1.15 7.00 5.62 NA NA 0.45 8.60 7.22 NA NA XXX 93892 26 A Tcd, emboli detect w/o inj 1.15 0.38 0.44 0.38 0.44 0.06 1.59 1.65 1.59 1.65 XXX 93892 TC A Tcd, emboli detect w/o inj 0.00 6.62 5.18 NA NA 0.39 7.01 5.57 NA NA XXX 93893 A Tcd, emboli detect w/inj 1.15 6.67 5.44 NA NA 0.45 8.27 7.04 NA NA XXX Start Printed Page 49224 93893 26 A Tcd, emboli detect w/inj 1.15 0.38 0.44 0.38 0.44 0.06 1.59 1.65 1.59 1.65 XXX 93893 TC A Tcd, emboli detect w/inj 0.00 6.29 5.00 NA NA 0.39 6.68 5.39 NA NA XXX 93922 A Extremity study 0.25 3.16 2.80 NA NA 0.15 3.56 3.20 NA NA XXX 93922 26 A Extremity study 0.25 0.08 0.08 0.08 0.08 0.02 0.35 0.35 0.35 0.35 XXX 93922 TC A Extremity study 0.00 3.08 2.72 NA NA 0.13 3.21 2.85 NA NA XXX 93923 A Extremity study 0.45 4.80 4.22 NA NA 0.26 5.51 4.93 NA NA XXX 93923 26 A Extremity study 0.45 0.14 0.15 0.14 0.15 0.04 0.63 0.64 0.63 0.64 XXX 93923 TC A Extremity study 0.00 4.66 4.08 NA NA 0.22 4.88 4.30 NA NA XXX 93924 A Extremity study 0.50 6.06 5.11 NA NA 0.30 6.86 5.91 NA NA XXX 93924 26 A Extremity study 0.50 0.17 0.17 0.17 0.17 0.05 0.72 0.72 0.72 0.72 XXX 93924 TC A Extremity study 0.00 5.89 4.94 NA NA 0.25 6.14 5.19 NA NA XXX 93925 A Lower extremity study 0.58 8.24 7.15 NA NA 0.39 9.21 8.12 NA NA XXX 93925 26 A Lower extremity study 0.58 0.20 0.20 0.20 0.20 0.04 0.82 0.82 0.82 0.82 XXX 93925 TC A Lower extremity study 0.00 8.04 6.95 NA NA 0.35 8.39 7.30 NA NA XXX 93926 A Lower extremity study 0.39 5.25 4.35 NA NA 0.27 5.91 5.01 NA NA XXX 93926 26 A Lower extremity study 0.39 0.12 0.13 0.12 0.13 0.04 0.55 0.56 0.55 0.56 XXX 93926 TC A Lower extremity study 0.00 5.13 4.22 NA NA 0.23 5.36 4.45 NA NA XXX 93930 A Upper extremity study 0.46 6.35 5.60 NA NA 0.41 7.22 6.47 NA NA XXX 93930 26 A Upper extremity study 0.46 0.15 0.16 0.15 0.16 0.04 0.65 0.66 0.65 0.66 XXX 93930 TC A Upper extremity study 0.00 6.20 5.44 NA NA 0.37 6.57 5.81 NA NA XXX 93931 A Upper extremity study 0.31 4.32 3.69 NA NA 0.27 4.90 4.27 NA NA XXX 93931 26 A Upper extremity study 0.31 0.10 0.10 0.10 0.10 0.03 0.44 0.44 0.44 0.44 XXX 93931 TC A Upper extremity study 0.00 4.22 3.59 NA NA 0.24 4.46 3.83 NA NA XXX 93965 A Extremity study 0.35 3.13 2.88 NA NA 0.14 3.62 3.37 NA NA XXX 93965 26 A Extremity study 0.35 0.12 0.12 0.12 0.12 0.02 0.49 0.49 0.49 0.49 XXX 93965 TC A Extremity study 0.00 3.02 2.76 NA NA 0.12 3.14 2.88 NA NA XXX 93970 A Extremity study 0.68 6.32 5.51 NA NA 0.46 7.46 6.65 NA NA XXX 93970 26 A Extremity study 0.68 0.21 0.23 0.21 0.23 0.06 0.95 0.97 0.95 0.97 XXX 93970 TC A Extremity study 0.00 6.11 5.29 NA NA 0.40 6.51 5.69 NA NA XXX 93971 A Extremity study 0.45 4.12 3.72 NA NA 0.30 4.87 4.47 NA NA XXX 93971 26 A Extremity study 0.45 0.14 0.15 0.14 0.15 0.03 0.62 0.63 0.62 0.63 XXX 93971 TC A Extremity study 0.00 3.98 3.58 NA NA 0.27 4.25 3.85 NA NA XXX 93975 A Vascular study 1.80 8.56 7.86 NA NA 0.56 10.92 10.22 NA NA XXX 93975 26 A Vascular study 1.80 0.62 0.61 0.62 0.61 0.13 2.55 2.54 2.55 2.54 XXX 93975 TC A Vascular study 0.00 7.95 7.26 NA NA 0.43 8.38 7.69 NA NA XXX 93976 A Vascular study 1.21 4.57 4.39 NA NA 0.35 6.13 5.95 NA NA XXX 93976 26 A Vascular study 1.21 0.39 0.40 0.39 0.40 0.05 1.65 1.66 1.65 1.66 XXX 93976 TC A Vascular study 0.00 4.18 3.99 NA NA 0.30 4.48 4.29 NA NA XXX 93978 A Vascular study 0.65 6.15 4.92 NA NA 0.43 7.23 6.00 NA NA XXX 93978 26 A Vascular study 0.65 0.23 0.22 0.23 0.22 0.06 0.94 0.93 0.94 0.93 XXX 93978 TC A Vascular study 0.00 5.93 4.70 NA NA 0.37 6.30 5.07 NA NA XXX 93979 A Vascular study 0.44 4.40 3.51 NA NA 0.27 5.11 4.22 NA NA XXX 93979 26 A Vascular study 0.44 0.16 0.15 0.16 0.15 0.03 0.63 0.62 0.63 0.62 XXX 93979 TC A Vascular study 0.00 4.23 3.35 NA NA 0.24 4.47 3.59 NA NA XXX 93980 A Penile vascular study 1.25 3.49 3.01 NA NA 0.42 5.16 4.68 NA NA XXX 93980 26 A Penile vascular study 1.25 0.44 0.42 0.44 0.42 0.08 1.77 1.75 1.77 1.75 XXX 93980 TC A Penile vascular study 0.00 3.05 2.59 NA NA 0.34 3.39 2.93 NA NA XXX 93981 A Penile vascular study 0.44 2.88 2.87 NA NA 0.33 3.65 3.64 NA NA XXX 93981 26 A Penile vascular study 0.44 0.16 0.15 0.16 0.15 0.02 0.62 0.61 0.62 0.61 XXX 93981 TC A Penile vascular study 0.00 2.71 2.73 NA NA 0.31 3.02 3.04 NA NA XXX 93990 A Doppler flow testing 0.25 5.34 4.33 NA NA 0.26 5.85 4.84 NA NA XXX 93990 26 A Doppler flow testing 0.25 0.07 0.09 0.07 0.09 0.03 0.35 0.37 0.35 0.37 XXX 93990 TC A Doppler flow testing 0.00 5.27 4.24 NA NA 0.23 5.50 4.47 NA NA XXX 94010 A Breathing capacity test 0.17 0.74 0.69 NA NA 0.03 0.94 0.89 NA NA XXX 94010 26 A Breathing capacity test 0.17 0.04 0.05 0.04 0.05 0.01 0.22 0.23 0.22 0.23 XXX 94010 TC A Breathing capacity test 0.00 0.70 0.64 NA NA 0.02 0.72 0.66 NA NA XXX Start Printed Page 49225 94014 A Patient recorded spirometry 0.52 0.93 0.80 0.93 0.80 0.03 1.48 1.35 1.48 1.35 XXX 94015 A Patient recorded spirometry 0.00 0.76 0.63 NA NA 0.01 0.77 0.64 NA NA XXX 94016 A Review patient spirometry 0.52 0.17 0.17 0.17 0.17 0.02 0.71 0.71 0.71 0.71 XXX 94060 A Evaluation of wheezing 0.31 1.32 1.13 1.32 1.13 0.07 1.70 1.51 1.70 1.51 XXX 94060 26 A Evaluation of wheezing 0.31 0.08 0.09 0.08 0.09 0.01 0.40 0.41 0.40 0.41 XXX 94060 TC A Evaluation of wheezing 0.00 1.24 1.05 1.24 1.05 0.06 1.30 1.11 1.30 1.11 XXX 94070 A Evaluation of wheezing 0.60 1.01 0.87 NA NA 0.13 1.74 1.60 NA NA XXX 94070 26 A Evaluation of wheezing 0.60 0.15 0.17 0.15 0.17 0.03 0.78 0.80 0.78 0.80 XXX 94070 TC A Evaluation of wheezing 0.00 0.85 0.69 NA NA 0.10 0.95 0.79 NA NA XXX 94150 B Vital capacity test 0.07 0.48 0.47 NA NA 0.02 0.57 0.56 NA NA XXX 94150 26 B Vital capacity test 0.07 0.02 0.03 0.02 0.03 0.01 0.10 0.11 0.10 0.11 XXX 94150 TC B Vital capacity test 0.00 0.47 0.45 NA NA 0.01 0.48 0.46 NA NA XXX 94200 A Lung function test (MBC/MVV) 0.11 0.51 0.46 NA NA 0.03 0.65 0.60 NA NA XXX 94200 26 A Lung function test (MBC/MVV) 0.11 0.03 0.03 0.03 0.03 0.01 0.15 0.15 0.15 0.15 XXX 94200 TC A Lung function test (MBC/MVV) 0.00 0.48 0.43 NA NA 0.02 0.50 0.45 NA NA XXX 94240 A Residual lung capacity 0.26 0.84 0.71 NA NA 0.06 1.16 1.03 NA NA XXX 94240 26 A Residual lung capacity 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX 94240 TC A Residual lung capacity 0.00 0.77 0.63 NA NA 0.05 0.82 0.68 NA NA XXX 94250 A Expired gas collection 0.11 0.57 0.62 NA NA 0.02 0.70 0.75 NA NA XXX 94250 26 A Expired gas collection 0.11 0.04 0.03 0.04 0.03 0.01 0.16 0.15 0.16 0.15 XXX 94250 TC A Expired gas collection 0.00 0.53 0.59 NA NA 0.01 0.54 0.60 NA NA XXX 94260 A Thoracic gas volume 0.13 0.77 0.63 NA NA 0.05 0.95 0.81 NA NA XXX 94260 26 A Thoracic gas volume 0.13 0.03 0.04 0.03 0.04 0.01 0.17 0.18 0.17 0.18 XXX 94260 TC A Thoracic gas volume 0.00 0.74 0.59 NA NA 0.04 0.78 0.63 NA NA XXX 94350 A Lung nitrogen washout curve 0.26 0.67 0.74 NA NA 0.05 0.98 1.05 NA NA XXX 94350 26 A Lung nitrogen washout curve 0.26 0.08 0.08 0.08 0.08 0.01 0.35 0.35 0.35 0.35 XXX 94350 TC A Lung nitrogen washout curve 0.00 0.59 0.66 NA NA 0.04 0.63 0.70 NA NA XXX 94360 A Measure airflow resistance 0.26 0.99 0.77 NA NA 0.07 1.32 1.10 NA NA XXX 94360 26 A Measure airflow resistance 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX 94360 TC A Measure airflow resistance 0.00 0.92 0.70 NA NA 0.06 0.98 0.76 NA NA XXX 94370 A Breath airway closing volume 0.26 0.67 0.71 NA NA 0.03 0.96 1.00 NA NA XXX 94370 26 A Breath airway closing volume 0.26 0.09 0.08 0.09 0.08 0.01 0.36 0.35 0.36 0.35 XXX 94370 TC A Breath airway closing volume 0.00 0.58 0.63 NA NA 0.02 0.60 0.65 NA NA XXX 94375 A Respiratory flow volume loop 0.31 0.75 0.64 NA NA 0.03 1.09 0.98 NA NA XXX 94375 26 A Respiratory flow volume loop 0.31 0.08 0.09 0.08 0.09 0.01 0.40 0.41 0.40 0.41 XXX 94375 TC A Respiratory flow volume loop 0.00 0.66 0.55 NA NA 0.02 0.68 0.57 NA NA XXX 94400 A CO2 breathing response curve 0.40 1.03 0.89 NA NA 0.09 1.52 1.38 NA NA XXX 94400 26 A CO2 breathing response curve 0.40 0.10 0.12 0.10 0.12 0.03 0.53 0.55 0.53 0.55 XXX 94400 TC A CO2 breathing response curve 0.00 0.93 0.77 NA NA 0.06 0.99 0.83 NA NA XXX 94450 A Hypoxia response curve 0.40 1.03 0.90 NA NA 0.04 1.47 1.34 NA NA XXX 94450 26 A Hypoxia response curve 0.40 0.09 0.11 0.09 0.11 0.02 0.51 0.53 0.51 0.53 XXX 94450 TC A Hypoxia response curve 0.00 0.95 0.79 NA NA 0.02 0.97 0.81 NA NA XXX 94452 A Hast w/report 0.31 1.21 1.07 NA NA 0.04 1.56 1.42 NA NA XXX 94452 26 A Hast w/report 0.31 0.09 0.09 0.09 0.09 0.02 0.42 0.42 0.42 0.42 XXX 94452 TC A Hast w/report 0.00 1.12 0.98 NA NA 0.02 1.14 1.00 NA NA XXX 94453 A Hast w/oxygen titrate 0.40 1.69 1.56 NA NA 0.04 2.13 2.00 NA NA XXX 94453 26 A Hast w/oxygen titrate 0.40 0.11 0.12 0.11 0.12 0.02 0.53 0.54 0.53 0.54 XXX 94453 TC A Hast w/oxygen titrate 0.00 1.58 1.44 NA NA 0.02 1.60 1.46 NA NA XXX 94620 A Pulmonary stress test/simple 0.64 0.88 2.09 NA NA 0.13 1.65 2.86 NA NA XXX 94620 26 A Pulmonary stress test/simple 0.64 0.20 0.20 0.20 0.20 0.03 0.87 0.87 0.87 0.87 XXX 94620 TC A Pulmonary stress test/simple 0.00 0.68 1.89 NA NA 0.10 0.78 1.99 NA NA XXX 94621 A Pulm stress test/complex 1.42 3.18 2.45 NA NA 0.16 4.76 4.03 NA NA XXX 94621 26 A Pulm stress test/complex 1.42 0.45 0.44 0.45 0.44 0.06 1.93 1.92 1.93 1.92 XXX 94621 TC A Pulm stress test/complex 0.00 2.73 2.00 NA NA 0.10 2.83 2.10 NA NA XXX 94640 A Airway inhalation treatment 0.00 0.37 0.32 NA NA 0.02 0.39 0.34 NA NA XXX 94642 C Aerosol inhalation treatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 94656 A Initial ventilator mgmt 1.22 1.12 1.15 0.24 0.30 0.06 2.40 2.43 1.52 1.58 XXX 94657 A Continued ventilator mgmt 0.83 1.15 1.02 0.19 0.24 0.04 2.02 1.89 1.06 1.11 XXX 94660 A Pos airway pressure, CPAP 0.76 0.82 0.69 0.20 0.22 0.04 1.62 1.49 1.00 1.02 XXX 94662 A Neg press ventilation, cnp 0.76 NA NA 0.18 0.22 0.03 NA NA 0.97 1.01 XXX 94664 A Evaluate pt use of inhaler 0.00 0.40 0.33 NA NA 0.04 0.44 0.37 NA NA XXX 94667 A Chest wall manipulation 0.00 0.55 0.53 NA NA 0.05 0.60 0.58 NA NA XXX 94668 A Chest wall manipulation 0.00 0.51 0.47 NA NA 0.02 0.53 0.49 NA NA XXX 94680 A Exhaled air analysis, o2 0.26 1.11 1.67 1.11 1.67 0.07 1.44 2.00 1.44 2.00 XXX 94680 26 A Exhaled air analysis, o2 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX 94680 TC A Exhaled air analysis, o2 0.00 1.04 1.60 1.04 1.60 0.06 1.10 1.66 1.10 1.66 XXX Start Printed Page 49226 94681 A Exhaled air analysis, o2/co2 0.20 1.10 2.17 NA NA 0.13 1.43 2.50 NA NA XXX 94681 26 A Exhaled air analysis, o2/co2 0.20 0.05 0.06 0.05 0.06 0.01 0.26 0.27 0.26 0.27 XXX 94681 TC A Exhaled air analysis, o2/co2 0.00 1.04 2.11 NA NA 0.12 1.16 2.23 NA NA XXX 94690 A Exhaled air analysis 0.07 0.89 1.72 NA NA 0.05 1.01 1.84 NA NA XXX 94690 26 A Exhaled air analysis 0.07 0.02 0.02 0.02 0.02 0.01 0.10 0.10 0.10 0.10 XXX 94690 TC A Exhaled air analysis 0.00 0.87 1.70 NA NA 0.04 0.91 1.74 NA NA XXX 94720 A Monoxide diffusing capacity 0.26 1.18 1.05 NA NA 0.07 1.51 1.38 NA NA XXX 94720 26 A Monoxide diffusing capacity 0.26 0.06 0.08 0.06 0.08 0.01 0.33 0.35 0.33 0.35 XXX 94720 TC A Monoxide diffusing capacity 0.00 1.11 0.97 NA NA 0.06 1.17 1.03 NA NA XXX 94725 A Membrane diffusion capacity 0.26 1.10 2.46 NA NA 0.13 1.49 2.85 NA NA XXX 94725 26 A Membrane diffusion capacity 0.26 0.09 0.08 0.09 0.08 0.01 0.36 0.35 0.36 0.35 XXX 94725 TC A Membrane diffusion capacity 0.00 1.01 2.38 NA NA 0.12 1.13 2.50 NA NA XXX 94750 A Pulmonary compliance study 0.23 1.90 1.48 NA NA 0.05 2.18 1.76 NA NA XXX 94750 26 A Pulmonary compliance study 0.23 0.08 0.07 0.08 0.07 0.01 0.32 0.31 0.32 0.31 XXX 94750 TC A Pulmonary compliance study 0.00 1.82 1.41 NA NA 0.04 1.86 1.45 NA NA XXX 94760 T Measure blood oxygen level 0.00 0.06 0.05 NA NA 0.02 0.08 0.07 NA NA XXX 94761 T Measure blood oxygen level 0.00 0.12 0.08 NA NA 0.06 0.18 0.14 NA NA XXX 94762 A Measure blood oxygen level 0.00 0.96 0.59 NA NA 0.10 1.06 0.69 NA NA XXX 94770 A Exhaled carbon dioxide test 0.15 0.85 0.78 NA NA 0.08 1.08 1.01 NA NA XXX 94770 26 A Exhaled carbon dioxide test 0.15 0.04 0.04 0.04 0.04 0.01 0.20 0.20 0.20 0.20 XXX 94770 TC A Exhaled carbon dioxide test 0.00 0.81 0.74 NA NA 0.07 0.88 0.81 NA NA XXX 94772 C Breath recording, infant 0.00 0.00 0.00 0.00 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 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 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 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 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 0.00 0.00 0.00 0.00 XXX 95004 A Percut allergy skin tests 0.00 0.16 0.12 NA NA 0.01 0.17 0.13 NA NA XXX 95010 A Percut allergy titrate test 0.15 0.30 0.32 0.04 0.06 0.01 0.46 0.48 0.20 0.22 XXX 95015 A Id allergy titrate-drug/bug 0.15 0.20 0.16 0.04 0.06 0.01 0.36 0.32 0.20 0.22 XXX 95024 A Id allergy test, drug/bug 0.00 0.21 0.17 NA NA 0.01 0.22 0.18 NA NA XXX 95027 A Id allergy titrate-airborne 0.00 0.24 0.17 NA NA 0.01 0.25 0.18 NA NA XXX 95028 A Id allergy test-delayed type 0.00 0.29 0.25 NA NA 0.01 0.30 0.26 NA NA XXX 95044 A Allergy patch tests 0.00 0.15 0.19 NA NA 0.01 0.16 0.20 NA NA XXX 95052 A Photo patch test 0.00 0.15 0.23 NA NA 0.01 0.16 0.24 NA NA XXX 95056 A Photosensitivity tests 0.00 1.18 0.42 NA NA 0.01 1.19 0.43 NA NA XXX 95060 A Eye allergy tests 0.00 0.75 0.45 NA NA 0.02 0.77 0.47 NA NA XXX 95065 A Nose allergy test 0.00 0.67 0.32 NA NA 0.01 0.68 0.33 NA NA XXX 95070 A Bronchial allergy tests 0.00 0.80 1.91 NA NA 0.02 0.82 1.93 NA NA XXX 95071 A Bronchial allergy tests 0.00 0.89 2.41 NA NA 0.02 0.91 2.43 NA NA XXX 95075 A Ingestion challenge test 0.95 0.67 0.78 0.25 0.35 0.03 1.65 1.76 1.23 1.33 XXX 95078 A Provocative testing 0.00 0.33 0.27 NA NA 0.02 0.35 0.29 NA NA XXX 95115 A Immunotherapy, one injection 0.00 0.22 0.35 0.00 0.29 0.02 0.24 0.37 0.02 0.31 XXX 95117 A Immunotherapy injections 0.00 0.27 0.44 0.00 0.38 0.02 0.29 0.46 0.02 0.40 XXX 95144 A Antigen therapy services 0.06 0.26 0.21 0.02 0.02 0.01 0.33 0.28 0.09 0.09 XXX 95145 A Antigen therapy services 0.06 0.35 0.33 0.02 0.02 0.01 0.42 0.40 0.09 0.09 XXX 95146 A Antigen therapy services 0.06 0.66 0.50 0.02 0.03 0.01 0.73 0.57 0.09 0.10 XXX 95147 A Antigen therapy services 0.06 0.64 0.48 0.02 0.02 0.01 0.71 0.55 0.09 0.09 XXX 95148 A Antigen therapy services 0.06 0.94 0.67 0.02 0.03 0.01 1.01 0.74 0.09 0.10 XXX 95149 A Antigen therapy services 0.06 1.25 0.91 0.02 0.03 0.01 1.32 0.98 0.09 0.10 XXX 95165 A Antigen therapy services 0.06 0.25 0.21 0.02 0.02 0.01 0.32 0.28 0.09 0.09 XXX 95170 A Antigen therapy services 0.06 0.20 0.15 0.02 0.03 0.01 0.27 0.22 0.09 0.10 XXX 95180 A Rapid desensitization 2.01 1.57 1.92 0.71 0.88 0.04 3.62 3.97 2.76 2.93 XXX 95199 C Allergy immunology services 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95250 A Glucose monitoring, cont 0.00 3.53 3.96 NA NA 0.01 3.54 3.97 NA NA XXX 95251 A Gluc monitor, cont, phys i&r 0.52 0.16 0.18 0.16 0.18 0.02 0.70 0.72 0.70 0.72 XXX Start Printed Page 49227 95805 A Multiple sleep latency test 1.88 7.27 14.76 NA NA 0.43 9.58 17.07 NA NA XXX 95805 26 A Multiple sleep latency test 1.88 0.51 0.62 0.51 0.62 0.09 2.48 2.59 2.48 2.59 XXX 95805 TC A Multiple sleep latency test 0.00 6.76 14.14 NA NA 0.34 7.10 14.48 NA NA XXX 95806 A Sleep study, unattended 1.66 4.02 3.50 NA NA 0.39 6.07 5.55 NA NA XXX 95806 26 A Sleep study, unattended 1.66 0.50 0.53 0.50 0.53 0.08 2.24 2.27 2.24 2.27 XXX 95806 TC A Sleep study, unattended 0.00 3.52 2.97 NA NA 0.31 3.83 3.28 NA NA XXX 95807 A Sleep study, attended 1.66 12.81 12.09 NA NA 0.50 14.97 14.25 NA NA XXX 95807 26 A Sleep study, attended 1.66 0.51 0.53 0.51 0.53 0.08 2.25 2.27 2.25 2.27 XXX 95807 TC A Sleep study, attended 0.00 12.30 11.57 NA NA 0.42 12.72 11.99 NA NA XXX 95808 A Polysomnography, 1-3 2.65 15.72 13.82 NA NA 0.55 18.92 17.02 NA NA XXX 95808 26 A Polysomnography, 1-3 2.65 0.69 0.86 0.69 0.86 0.13 3.47 3.64 3.47 3.64 XXX 95808 TC A Polysomnography, 1-3 0.00 15.03 12.96 NA NA 0.42 15.45 13.38 NA NA XXX 95810 A Polysomnography, 4 or more 3.52 18.60 17.77 NA NA 0.59 22.71 21.88 NA NA XXX 95810 26 A Polysomnography, 4 or more 3.52 0.98 1.13 0.98 1.13 0.17 4.67 4.82 4.67 4.82 XXX 95810 TC A Polysomnography, 4 or more 0.00 17.62 16.64 NA NA 0.42 18.04 17.06 NA NA XXX 95811 A Polysomnography w/cpap 3.79 20.70 19.56 NA NA 0.61 25.10 23.96 NA NA XXX 95811 26 A Polysomnography w/cpap 3.79 1.05 1.22 1.05 1.22 0.18 5.02 5.19 5.02 5.19 XXX 95811 TC A Polysomnography w/cpap 0.00 19.66 18.36 NA NA 0.43 20.09 18.79 NA NA XXX 95812 A Eeg, 41-60 minutes 1.08 5.90 4.50 NA NA 0.17 7.15 5.75 NA NA XXX 95812 26 A Eeg, 41-60 minutes 1.08 0.31 0.42 0.31 0.42 0.06 1.45 1.56 1.45 1.56 XXX 95812 TC A Eeg, 41-60 minutes 0.00 5.59 4.08 NA NA 0.11 5.70 4.19 NA NA XXX 95813 A Eeg, over 1 hour 1.73 6.64 5.43 NA NA 0.20 8.57 7.36 NA NA XXX 95813 26 A Eeg, over 1 hour 1.73 0.50 0.65 0.50 0.65 0.09 2.32 2.47 2.32 2.47 XXX 95813 TC A Eeg, over 1 hour 0.00 6.14 4.78 NA NA 0.11 6.25 4.89 NA NA XXX 95816 A Eeg, awake and drowsy 1.08 5.30 4.11 NA NA 0.16 6.54 5.35 NA NA XXX 95816 26 A Eeg, awake and drowsy 1.08 0.30 0.42 0.30 0.42 0.06 1.44 1.56 1.44 1.56 XXX 95816 TC A Eeg, awake and drowsy 0.00 4.99 3.69 NA NA 0.10 5.09 3.79 NA NA XXX 95819 A Eeg, awake and asleep 1.08 6.15 3.77 NA NA 0.16 7.39 5.01 NA NA XXX 95819 26 A Eeg, awake and asleep 1.08 0.30 0.42 0.30 0.42 0.06 1.44 1.56 1.44 1.56 XXX 95819 TC A Eeg, awake and asleep 0.00 5.84 3.35 NA NA 0.10 5.94 3.45 NA NA XXX 95822 A Eeg, coma or sleep only 1.08 5.53 4.83 NA NA 0.19 6.80 6.10 NA NA XXX 95822 26 A Eeg, coma or sleep only 1.08 0.30 0.42 0.30 0.42 0.06 1.44 1.56 1.44 1.56 XXX 95822 TC A Eeg, coma or sleep only 0.00 5.23 4.41 NA NA 0.13 5.36 4.54 NA NA XXX 95824 C Eeg, cerebral death only 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95824 26 A Eeg, cerebral death only 0.74 0.21 0.29 0.21 0.29 0.04 0.99 1.07 0.99 1.07 XXX 95824 TC C Eeg, cerebral death only 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95827 A Eeg, all night recording 1.08 11.57 4.92 NA NA 0.19 12.84 6.19 NA NA XXX 95827 26 A Eeg, all night recording 1.08 0.29 0.38 0.29 0.38 0.05 1.42 1.51 1.42 1.51 XXX 95827 TC A Eeg, all night recording 0.00 11.28 4.54 NA NA 0.14 11.42 4.68 NA NA XXX 95829 A Surgery electrocorticogram 6.20 25.44 29.61 NA NA 0.50 32.14 36.31 NA NA XXX 95829 26 A Surgery electrocorticogram 6.20 1.79 2.18 1.79 2.18 0.48 8.47 8.86 8.47 8.86 XXX 95829 TC A Surgery electrocorticogram 0.00 23.65 27.43 NA NA 0.02 23.67 27.45 NA NA XXX 95830 A Insert electrodes for EEG 1.70 2.99 3.22 0.42 0.65 0.11 4.80 5.03 2.23 2.46 XXX 95831 A Limb muscle testing, manual 0.28 0.39 0.44 0.09 0.12 0.01 0.68 0.73 0.38 0.41 XXX 95832 A Hand muscle testing, manual 0.29 0.37 0.34 0.10 0.12 0.02 0.68 0.65 0.41 0.43 XXX 95833 A Body muscle testing, manual 0.47 0.47 0.55 0.13 0.21 0.02 0.96 1.04 0.62 0.70 XXX 95834 A Body muscle testing, manual 0.60 0.55 0.61 0.18 0.26 0.03 1.18 1.24 0.81 0.89 XXX 95851 A Range of motion measurements 0.16 0.26 0.34 0.04 0.07 0.01 0.43 0.51 0.21 0.24 XXX 95852 A Range of motion measurements 0.11 0.21 0.25 0.03 0.05 0.01 0.33 0.37 0.15 0.17 XXX 95857 A Tensilon test 0.53 0.59 0.60 0.16 0.21 0.02 1.14 1.15 0.71 0.76 XXX 95860 A Muscle test, one limb 0.96 1.16 1.36 NA NA 0.07 2.19 2.39 NA NA XXX 95860 26 A Muscle test, one limb 0.96 0.32 0.40 0.32 0.40 0.05 1.33 1.41 1.33 1.41 XXX 95860 TC A Muscle test, one limb 0.00 0.84 0.96 NA NA 0.02 0.86 0.98 NA NA XXX 95861 A Muscle test, 2 limbs 1.54 1.67 1.48 NA NA 0.13 3.34 3.15 NA NA XXX 95861 26 A Muscle test, 2 limbs 1.54 0.51 0.64 0.51 0.64 0.07 2.12 2.25 2.12 2.25 XXX 95861 TC A Muscle test, 2 limbs 0.00 1.16 0.84 NA NA 0.06 1.22 0.90 NA NA XXX 95863 A Muscle test, 3 limbs 1.87 1.94 1.78 NA NA 0.15 3.96 3.80 NA NA XXX 95863 26 A Muscle test, 3 limbs 1.87 0.58 0.75 0.58 0.75 0.09 2.54 2.71 2.54 2.71 XXX 95863 TC A Muscle test, 3 limbs 0.00 1.36 1.05 NA NA 0.06 1.42 1.11 NA NA XXX 95864 A Muscle test, 4 limbs 1.99 2.20 2.54 NA NA 0.21 4.40 4.74 NA NA XXX 95864 26 A Muscle test, 4 limbs 1.99 0.63 0.81 0.63 0.81 0.09 2.71 2.89 2.71 2.89 XXX 95864 TC A Muscle test, 4 limbs 0.00 1.57 1.73 NA NA 0.12 1.69 1.85 NA NA XXX 95865 A Muscle test, larynx 1.57 1.34 1.42 NA NA 0.11 3.02 3.10 NA NA XXX 95865 26 A Muscle test, larynx 1.57 0.46 0.69 0.46 0.69 0.08 2.11 2.34 2.11 2.34 XXX 95865 TC A Muscle test, larynx 0.00 0.88 0.73 NA NA 0.03 0.91 0.76 NA NA XXX 95866 A Muscle test, hemidiaphragm 1.25 1.34 0.91 NA NA 0.10 2.69 2.26 NA NA XXX Start Printed Page 49228 95866 26 A Muscle test, hemidiaphragm 1.25 0.40 0.52 0.40 0.52 0.07 1.72 1.84 1.72 1.84 XXX 95866 TC A Muscle test, hemidiaphragm 0.00 0.94 0.39 NA NA 0.03 0.97 0.42 NA NA XXX 95867 A Muscle test cran nerv unilat 0.79 1.12 0.98 NA NA 0.07 1.98 1.84 NA NA XXX 95867 26 A Muscle test cran nerv unilat 0.79 0.23 0.32 0.23 0.32 0.03 1.05 1.14 1.05 1.14 XXX 95867 TC A Muscle test cran nerv unilat 0.00 0.89 0.66 NA NA 0.04 0.93 0.70 NA NA XXX 95868 A Muscle test cran nerve bilat 1.18 1.43 1.27 NA NA 0.10 2.71 2.55 NA NA XXX 95868 26 A Muscle test cran nerve bilat 1.18 0.35 0.47 0.35 0.47 0.05 1.58 1.70 1.58 1.70 XXX 95868 TC A Muscle test cran nerve bilat 0.00 1.08 0.80 NA NA 0.05 1.13 0.85 NA NA XXX 95869 A Muscle test, thor paraspinal 0.37 1.03 0.54 NA NA 0.04 1.44 0.95 NA NA XXX 95869 26 A Muscle test, thor paraspinal 0.37 0.12 0.15 0.12 0.15 0.02 0.51 0.54 0.51 0.54 XXX 95869 TC A Muscle test, thor paraspinal 0.00 0.91 0.39 NA NA 0.02 0.93 0.41 NA NA XXX 95870 A Muscle test, nonparaspinal 0.37 1.00 0.53 NA NA 0.04 1.41 0.94 NA NA XXX 95870 26 A Muscle test, nonparaspinal 0.37 0.12 0.15 0.12 0.15 0.02 0.51 0.54 0.51 0.54 XXX 95870 TC A Muscle test, nonparaspinal 0.00 0.88 0.38 NA NA 0.02 0.90 0.40 NA NA XXX 95872 A Muscle test, one fiber 2.00 1.42 1.28 NA NA 0.13 3.55 3.41 NA NA XXX 95872 26 A Muscle test, one fiber 2.00 0.65 0.64 0.65 0.64 0.08 2.73 2.72 2.73 2.72 XXX 95872 TC A Muscle test, one fiber 0.00 0.78 0.65 NA NA 0.05 0.83 0.70 NA NA XXX 95873 A Guide nerv destr, elec stim 0.37 0.95 0.51 0.95 0.51 0.04 1.36 0.92 1.36 0.92 ZZZ 95873 26 A Guide nerv destr, elec stim 0.37 0.12 0.15 0.12 0.15 0.02 0.51 0.54 0.51 0.54 ZZZ 95873 TC A Guide nerv destr, elec stim 0.00 0.83 0.36 0.83 0.36 0.02 0.85 0.38 0.85 0.38 ZZZ 95874 A Guide nerv destr, needle emg 0.37 0.96 0.52 0.96 0.52 0.04 1.37 0.93 1.37 0.93 ZZZ 95874 26 A Guide nerv destr, needle emg 0.37 0.12 0.16 0.12 0.16 0.02 0.51 0.55 0.51 0.55 ZZZ 95874 TC A Guide nerv destr, needle emg 0.00 0.84 0.36 0.84 0.36 0.02 0.86 0.38 0.86 0.38 ZZZ 95875 A Limb exercise test 1.10 1.31 1.42 NA NA 0.11 2.52 2.63 NA NA XXX 95875 26 A Limb exercise test 1.10 0.31 0.43 0.31 0.43 0.05 1.46 1.58 1.46 1.58 XXX 95875 TC A Limb exercise test 0.00 1.00 0.99 NA NA 0.06 1.06 1.05 NA NA XXX 95900 A Motor nerve conduction test 0.42 0.94 1.18 NA NA 0.04 1.40 1.64 NA NA XXX 95900 26 A Motor nerve conduction test 0.42 0.14 0.17 0.14 0.17 0.02 0.58 0.61 0.58 0.61 XXX 95900 TC A Motor nerve conduction test 0.00 0.80 1.01 NA NA 0.02 0.82 1.03 NA NA XXX 95903 A Motor nerve conduction test 0.60 1.04 1.15 NA NA 0.05 1.69 1.80 NA NA XXX 95903 26 A Motor nerve conduction test 0.60 0.18 0.24 0.18 0.24 0.03 0.81 0.87 0.81 0.87 XXX 95903 TC A Motor nerve conduction test 0.00 0.86 0.91 NA NA 0.02 0.88 0.93 NA NA XXX 95904 A Sense nerve conduction test 0.34 0.88 1.04 NA NA 0.04 1.26 1.42 NA NA XXX 95904 26 A Sense nerve conduction test 0.34 0.11 0.14 0.11 0.14 0.02 0.47 0.50 0.47 0.50 XXX 95904 TC A Sense nerve conduction test 0.00 0.77 0.90 NA NA 0.02 0.79 0.92 NA NA XXX 95920 A Intraop nerve test add-on 2.11 1.80 2.12 1.80 2.12 0.23 4.14 4.46 4.14 4.46 ZZZ 95920 26 A Intraop nerve test add-on 2.11 0.66 0.86 0.66 0.86 0.16 2.93 3.13 2.93 3.13 ZZZ 95920 TC A Intraop nerve test add-on 0.00 1.14 1.27 1.14 1.27 0.07 1.21 1.34 1.21 1.34 ZZZ 95921 A Autonomic nerv function test 0.90 1.14 0.82 NA NA 0.06 2.10 1.78 NA NA XXX 95921 26 A Autonomic nerv function test 0.90 0.24 0.31 0.24 0.31 0.04 1.18 1.25 1.18 1.25 XXX 95921 TC A Autonomic nerv function test 0.00 0.89 0.51 NA NA 0.02 0.91 0.53 NA NA XXX 95922 A Autonomic nerv function test 0.96 1.65 1.00 NA NA 0.07 2.68 2.03 NA NA XXX 95922 26 A Autonomic nerv function test 0.96 0.27 0.37 0.27 0.37 0.05 1.28 1.38 1.28 1.38 XXX 95922 TC A Autonomic nerv function test 0.00 1.38 0.63 NA NA 0.02 1.40 0.65 NA NA XXX 95923 A Autonomic nerv function test 0.90 2.12 1.98 NA NA 0.07 3.09 2.95 NA NA XXX 95923 26 A Autonomic nerv function test 0.90 0.24 0.35 0.24 0.35 0.05 1.19 1.30 1.19 1.30 XXX 95923 TC A Autonomic nerv function test 0.00 1.88 1.64 NA NA 0.02 1.90 1.66 NA NA XXX 95925 A Somatosensory testing 0.54 3.19 1.65 NA NA 0.10 3.83 2.29 NA NA XXX 95925 26 A Somatosensory testing 0.54 0.17 0.21 0.17 0.21 0.04 0.75 0.79 0.75 0.79 XXX 95925 TC A Somatosensory testing 0.00 3.02 1.44 NA NA 0.06 3.08 1.50 NA NA XXX 95926 A Somatosensory testing 0.54 3.06 1.62 NA NA 0.09 3.69 2.25 NA NA XXX 95926 26 A Somatosensory testing 0.54 0.16 0.21 0.16 0.21 0.03 0.73 0.78 0.73 0.78 XXX 95926 TC A Somatosensory testing 0.00 2.90 1.41 NA NA 0.06 2.96 1.47 NA NA XXX 95927 A Somatosensory testing 0.54 3.08 1.64 NA NA 0.10 3.72 2.28 NA NA XXX 95927 26 A Somatosensory testing 0.54 0.16 0.23 0.16 0.23 0.04 0.74 0.81 0.74 0.81 XXX 95927 TC A Somatosensory testing 0.00 2.93 1.42 NA NA 0.06 2.99 1.48 NA NA XXX Start Printed Page 49229 95928 A C motor evoked, uppr limbs 1.50 3.98 3.26 NA NA 0.09 5.57 4.85 NA NA XXX 95928 26 A C motor evoked, uppr limbs 1.50 0.46 0.60 0.46 0.60 0.06 2.02 2.16 2.02 2.16 XXX 95928 TC A C motor evoked, uppr limbs 0.00 3.53 2.66 NA NA 0.03 3.56 2.69 NA NA XXX 95929 A C motor evoked, lwr limbs 1.50 4.30 3.48 NA NA 0.09 5.89 5.07 NA NA XXX 95929 26 A C motor evoked, lwr limbs 1.50 0.46 0.60 0.46 0.60 0.06 2.02 2.16 2.02 2.16 XXX 95930 A Visual evoked potential test 0.35 2.64 2.34 NA NA 0.03 3.02 2.72 NA NA XXX 95930 26 A Visual evoked potential test 0.35 0.10 0.14 0.10 0.14 0.02 0.47 0.51 0.47 0.51 XXX 95930 TC A Visual evoked potential test 0.00 2.54 2.20 NA NA 0.01 2.55 2.21 NA NA XXX 95933 A Blink reflex test 0.59 1.10 1.04 NA NA 0.10 1.79 1.73 NA NA XXX 95933 26 A Blink reflex test 0.59 0.17 0.22 0.17 0.22 0.04 0.80 0.85 0.80 0.85 XXX 95933 TC A Blink reflex test 0.00 0.93 0.82 NA NA 0.06 0.99 0.88 NA NA XXX 95934 A H-reflex test 0.51 0.90 0.55 NA NA 0.04 1.45 1.10 NA NA XXX 95934 26 A H-reflex test 0.51 0.16 0.21 0.16 0.21 0.02 0.69 0.74 0.69 0.74 XXX 95934 TC A H-reflex test 0.00 0.73 0.34 NA NA 0.02 0.75 0.36 NA NA XXX 95936 A H-reflex test 0.55 0.62 0.49 NA NA 0.05 1.22 1.09 NA NA XXX 95936 26 A H-reflex test 0.55 0.17 0.22 0.17 0.22 0.03 0.75 0.80 0.75 0.80 XXX 95936 TC A H-reflex test 0.00 0.44 0.27 NA NA 0.02 0.46 0.29 NA NA XXX 95937 A Neuromuscular junction test 0.65 0.92 0.69 NA NA 0.10 1.67 1.44 NA NA XXX 95937 26 A Neuromuscular junction test 0.65 0.20 0.25 0.20 0.25 0.08 0.93 0.98 0.93 0.98 XXX 95937 TC A Neuromuscular junction test 0.00 0.72 0.44 NA NA 0.02 0.74 0.46 NA NA XXX 95950 A Ambulatory eeg monitoring 1.51 4.93 4.18 NA NA 0.51 6.95 6.20 NA NA XXX 95950 26 A Ambulatory eeg monitoring 1.51 0.42 0.59 0.42 0.59 0.08 2.01 2.18 2.01 2.18 XXX 95950 TC A Ambulatory eeg monitoring 0.00 4.52 3.60 NA NA 0.43 4.95 4.03 NA NA XXX 95951 C EEG monitoring/videorecord 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95951 26 A EEG monitoring/videorecord 5.99 1.69 2.34 1.69 2.34 0.32 8.00 8.65 8.00 8.65 XXX 95951 TC C EEG monitoring/videorecord 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95953 A EEG monitoring/computer 3.30 7.24 7.53 NA NA 0.60 11.14 11.43 NA NA XXX 95953 26 A EEG monitoring/computer 3.30 0.93 1.20 0.93 1.20 0.17 4.40 4.67 4.40 4.67 XXX 95953 TC A EEG monitoring/computer 0.00 6.31 6.33 NA NA 0.43 6.74 6.76 NA NA XXX 95954 A EEG monitoring/giving drugs 2.45 4.90 4.39 NA NA 0.19 7.54 7.03 NA NA XXX 95954 26 A EEG monitoring/giving drugs 2.45 0.51 0.91 0.51 0.91 0.13 3.09 3.49 3.09 3.49 XXX 95954 TC A EEG monitoring/giving drugs 0.00 4.39 3.48 NA NA 0.06 4.45 3.54 NA NA XXX 95955 A EEG during surgery 1.01 2.83 2.45 2.83 2.45 0.22 4.06 3.68 4.06 3.68 XXX 95955 26 A EEG during surgery 1.01 0.29 0.34 0.29 0.34 0.05 1.35 1.40 1.35 1.40 XXX 95955 TC A EEG during surgery 0.00 2.54 2.11 2.54 2.11 0.17 2.71 2.28 2.71 2.28 XXX 95956 A Eeg monitoring, cable/radio 3.08 17.21 15.86 NA NA 0.59 20.88 19.53 NA NA XXX 95956 26 A Eeg monitoring, cable/radio 3.08 1.03 1.23 1.03 1.23 0.16 4.27 4.47 4.27 4.47 XXX 95956 TC A Eeg monitoring, cable/radio 0.00 16.18 14.63 NA NA 0.43 16.61 15.06 NA NA XXX 95957 A EEG digital analysis 1.98 5.88 3.38 NA NA 0.23 8.09 5.59 NA NA XXX 95957 26 A EEG digital analysis 1.98 0.55 0.78 0.55 0.78 0.11 2.64 2.87 2.64 2.87 XXX 95957 TC A EEG digital analysis 0.00 5.32 2.61 NA NA 0.12 5.44 2.73 NA NA XXX 95958 A EEG monitoring/function test 4.24 6.67 4.29 NA NA 0.34 11.25 8.87 NA NA XXX 95958 26 A EEG monitoring/function test 4.24 1.21 1.61 1.21 1.61 0.21 5.66 6.06 5.66 6.06 XXX 95958 TC A EEG monitoring/function test 0.00 5.46 2.67 NA NA 0.13 5.59 2.80 NA NA XXX 95961 A Electrode stimulation, brain 2.97 3.12 2.75 NA NA 0.55 6.64 6.27 NA NA XXX 95961 26 A Electrode stimulation, brain 2.97 0.90 1.22 0.90 1.22 0.48 4.35 4.67 4.35 4.67 XXX 95961 TC A Electrode stimulation, brain 0.00 2.22 1.54 NA NA 0.07 2.29 1.61 NA NA XXX 95962 A Electrode stim, brain add-on 3.21 2.21 2.57 2.21 2.57 0.39 5.81 6.17 5.81 6.17 ZZZ 95962 26 A Electrode stim, brain add-on 3.21 0.91 1.27 0.91 1.27 0.32 4.44 4.80 4.44 4.80 ZZZ 95962 TC A Electrode stim, brain add-on 0.00 1.30 1.31 1.30 1.31 0.07 1.37 1.38 1.37 1.38 ZZZ 95965 C Meg, spontaneous 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95965 26 A Meg, spontaneous 7.99 2.29 3.14 2.29 3.14 0.46 10.74 11.59 10.74 11.59 XXX 95965 TC C Meg, spontaneous 0.00 0.00 0.00 0.00 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 0.00 0.00 0.00 0.00 XXX 95966 26 A Meg, evoked, single 3.99 1.22 1.59 1.22 1.59 0.19 5.40 5.77 5.40 5.77 XXX 95966 TC C Meg, evoked, single 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95967 C Meg, evoked, each addIl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 95967 26 A Meg, evoked, each addIl 3.49 1.04 1.15 1.04 1.15 0.16 4.69 4.80 4.69 4.80 ZZZ 95967 TC C Meg, evoked, each addIl 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 95970 A Analyze neurostim, no prog 0.45 0.89 0.86 0.13 0.14 0.03 1.37 1.34 0.61 0.62 XXX 95971 A Analyze neurostim, simple 0.78 0.62 0.67 0.20 0.22 0.07 1.47 1.52 1.05 1.07 XXX 95972 A Analyze neurostim, complex 1.50 1.20 1.21 0.46 0.48 0.14 2.84 2.85 2.10 2.12 XXX 95973 A Analyze neurostim, complex 0.92 0.56 0.61 0.24 0.32 0.07 1.55 1.60 1.23 1.31 ZZZ 95974 A Cranial neurostim, complex 3.00 1.48 1.65 0.85 1.19 0.16 4.64 4.81 4.01 4.35 XXX 95975 A Cranial neurostim, complex 1.70 0.74 0.85 0.48 0.67 0.12 2.56 2.67 2.30 2.49 ZZZ 95978 A Analyze neurostim brain/1h 3.50 1.84 1.91 1.04 1.24 0.18 5.52 5.59 4.72 4.92 XXX Start Printed Page 49230 95979 A Analyz neurostim brain addon 1.64 0.73 0.84 0.47 0.64 0.08 2.45 2.56 2.19 2.36 ZZZ 95990 A Spin/brain pump refil & main 0.00 1.67 1.54 NA NA 0.06 1.73 1.60 NA NA XXX 95991 A Spin/brain pump refil & main 0.77 1.67 1.54 NA NA 0.06 2.50 2.37 NA NA XXX 95999 C Neurological procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96000 A Motion analysis, video/3d 1.80 NA NA 0.58 0.54 0.11 NA NA 2.49 2.45 XXX 96001 A Motion test w/ft press meas 2.15 NA NA 0.53 0.63 0.10 NA NA 2.78 2.88 XXX 96002 A Dynamic surface emg 0.41 NA NA 0.11 0.14 0.02 NA NA 0.54 0.57 XXX 96003 A Dynamic fine wire emg 0.37 NA NA 0.14 0.13 0.02 NA NA 0.53 0.52 XXX 96004 A Phys review of motion tests 2.14 0.54 0.84 0.54 0.84 0.11 2.79 3.09 2.79 3.09 XXX 96101 A Psycho testing by psych/phys 1.86 0.34 0.57 0.33 0.56 0.05 2.25 2.48 2.24 2.47 XXX 96102 A Psycho testing by technician 0.50 1.20 0.80 0.09 0.15 0.01 1.71 1.31 0.60 0.66 XXX 96103 A Psycho testing admin by comp 0.51 1.31 0.49 0.09 0.15 0.02 1.84 1.02 0.62 0.68 XXX 96105 A Assessment of aphasia 0.00 2.06 1.84 NA NA 0.18 2.24 2.02 NA NA XXX 96110 A Developmental test, lim 0.00 0.18 0.18 NA NA 0.18 0.36 0.36 NA NA XXX 96111 A Developmental test, extend 2.60 0.66 0.95 0.53 0.92 0.18 3.44 3.73 3.31 3.70 XXX 96116 A Neurobehavioral status exam 1.86 0.53 0.76 0.42 0.59 0.18 2.57 2.80 2.46 2.63 XXX 96118 A Neuropsych tst by psych/phys 1.86 0.81 1.25 0.32 0.55 0.18 2.85 3.29 2.36 2.59 XXX 96119 A Neuropsych testing by tech 0.55 1.53 1.15 0.09 0.17 0.18 2.26 1.88 0.82 0.90 XXX 96120 A Neuropsych tst admin w/comp 0.51 1.91 1.03 0.09 0.15 0.02 2.44 1.56 0.62 0.68 XXX 96150 A Assess hlth/behave, init 0.50 0.10 0.16 0.09 0.16 0.01 0.61 0.67 0.60 0.67 XXX 96151 A Assess hlth/behave, subseq 0.48 0.09 0.16 0.09 0.15 0.01 0.58 0.65 0.58 0.64 XXX 96152 A Intervene hlth/behave, indiv 0.46 0.09 0.15 0.08 0.14 0.01 0.56 0.62 0.55 0.61 XXX 96153 A Intervene hlth/behave, group 0.10 0.02 0.04 0.02 0.03 0.01 0.13 0.15 0.13 0.14 XXX 96154 A Interv hlth/behav, fam w/pt 0.45 0.09 0.15 0.08 0.14 0.01 0.55 0.61 0.54 0.60 XXX 96155 N Interv hlth/behav fam no pt 0.44 0.10 0.16 0.10 0.15 0.02 0.56 0.62 0.56 0.61 XXX 96401 A Chemo, anti-neopl, sq/im 0.21 1.87 1.35 NA NA 0.01 2.09 1.57 NA NA XXX 96402 A Chemo hormon antineopl sq/im 0.19 0.72 0.94 NA NA 0.01 0.92 1.14 NA NA XXX 96405 A Chemo intralesional, up to 7 0.52 3.49 2.70 0.22 0.24 0.03 4.04 3.25 0.77 0.79 000 96406 A Chemo intralesional over 7 0.80 3.26 3.07 0.27 0.29 0.03 4.09 3.90 1.10 1.12 000 96409 A Chemo, iv push, sngl drug 0.24 2.78 2.89 NA NA 0.06 3.08 3.19 NA NA XXX 96411 A Chemo, iv push, addl drug 0.20 1.50 1.58 NA NA 0.06 1.76 1.84 NA NA ZZZ 96413 A Chemo, iv infusion, 1 hr 0.28 3.63 4.05 NA NA 0.08 3.99 4.41 NA NA XXX 96415 A Chemo, iv infusion, addl hr 0.19 0.66 0.74 NA NA 0.07 0.92 1.00 NA NA ZZZ 96416 A Chemo prolong infuse w/pump 0.21 4.08 4.47 NA NA 0.08 4.37 4.76 NA NA XXX 96417 A Chemo iv infus each addl seq 0.21 1.72 1.89 NA NA 0.07 2.00 2.17 NA NA ZZZ 96420 A Chemo, ia, push tecnique 0.17 2.70 2.67 NA NA 0.08 2.95 2.92 NA NA XXX 96422 A Chemo ia infusion up to 1 hr 0.17 3.70 4.55 NA NA 0.08 3.95 4.80 NA NA XXX 96423 A Chemo ia infuse each addl hr 0.17 1.93 1.89 NA NA 0.02 2.12 2.08 NA NA ZZZ 96425 A Chemotherapy,infusion method 0.17 4.54 4.49 NA NA 0.08 4.79 4.74 NA NA XXX 96440 A Chemotherapy, intracavitary 2.37 5.56 7.49 1.00 1.17 0.17 8.10 10.03 3.54 3.71 000 96445 A Chemotherapy, intracavitary 2.20 5.45 7.39 0.94 1.12 0.14 7.79 9.73 3.28 3.46 000 96450 A Chemotherapy, into CNS 1.53 5.02 6.47 0.83 1.18 0.09 6.64 8.09 2.45 2.80 000 96521 A Refill/maint, portable pump 0.21 3.14 3.61 NA NA 0.06 3.41 3.88 NA NA XXX 96522 A Refill/maint pump/resvr syst 0.21 2.74 2.67 NA NA 0.06 3.01 2.94 NA NA XXX 96523 T Irrig drug delivery device 0.04 0.64 0.68 NA NA 0.01 0.69 0.73 NA NA XXX 96542 A Chemotherapy injection 0.75 3.55 4.08 0.32 0.58 0.07 4.37 4.90 1.14 1.40 XXX 96549 C Chemotherapy, unspecified 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 96567 A Photodynamic tx, skin 0.00 3.65 2.38 NA NA 0.04 3.69 2.42 NA NA XXX 96570 A Photodynamic tx, 30 min 1.10 0.41 0.38 0.41 0.38 0.11 1.62 1.59 1.62 1.59 ZZZ 96571 A Photodynamic tx, addl 15 min 0.55 0.20 0.19 0.20 0.19 0.03 0.78 0.77 0.78 0.77 ZZZ 96900 A Ultraviolet light therapy 0.00 0.55 0.47 NA NA 0.02 0.57 0.49 NA NA XXX 96902 B Trichogram 0.41 0.11 0.16 0.10 0.15 0.01 0.53 0.58 0.52 0.57 XXX 96910 A Photochemotherapy with UV-B 0.00 1.95 1.23 NA NA 0.04 1.99 1.27 NA NA XXX 96912 A Photochemotherapy with UV-A 0.00 2.51 1.57 NA NA 0.05 2.56 1.62 NA NA XXX 96913 A Photochemotherapy, UV-A or B 0.00 3.55 2.15 NA NA 0.10 3.65 2.25 NA NA XXX 96920 A Laser tx, skin < 250 sq cm 1.15 3.48 2.77 0.54 0.56 0.02 4.65 3.94 1.71 1.73 000 Start Printed Page 49231 96921 A Laser tx, skin 250-500 sq cm 1.17 3.39 2.80 0.51 0.56 0.03 4.59 4.00 1.71 1.76 000 96922 A Laser tx, skin > 500 sq cm 2.10 4.46 3.73 0.98 0.71 0.04 6.60 5.87 3.12 2.85 000 96999 C Dermatological procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97001 A Pt evaluation 1.20 0.68 0.73 NA NA 0.05 1.93 1.98 NA NA XXX 97002 A Pt re-evaluation 0.60 0.43 0.44 NA NA 0.02 1.05 1.06 NA NA XXX 97003 A Ot evaluation 1.20 0.77 0.85 NA NA 0.06 2.03 2.11 NA NA XXX 97004 A Ot re-evaluation 0.60 0.54 0.64 NA NA 0.02 1.16 1.26 NA NA XXX 97010 B Hot or cold packs therapy 0.06 0.07 0.06 NA NA 0.01 0.14 0.13 NA NA XXX 97012 A Mechanical traction therapy 0.25 0.15 0.14 NA NA 0.01 0.41 0.40 NA NA XXX 97014 I Electric stimulation therapy 0.18 0.19 0.19 NA NA 0.01 0.38 0.38 NA NA XXX 97016 A Vasopneumatic device therapy 0.18 0.25 0.20 NA NA 0.01 0.44 0.39 NA NA XXX 97018 A Paraffin bath therapy 0.06 0.17 0.12 NA NA 0.01 0.24 0.19 NA NA XXX 97022 A Whirlpool therapy 0.17 0.34 0.24 NA NA 0.01 0.52 0.42 NA NA XXX 97024 A Diathermy eg, microwave 0.06 0.08 0.07 NA NA 0.01 0.15 0.14 NA NA XXX 97026 A Infrared therapy 0.06 0.07 0.06 NA NA 0.01 0.14 0.13 NA NA XXX 97028 A Ultraviolet therapy 0.08 0.09 0.08 NA NA 0.01 0.18 0.17 NA NA XXX 97032 A Electrical stimulation 0.25 0.20 0.17 NA NA 0.01 0.46 0.43 NA NA XXX 97033 A Electric current therapy 0.26 0.46 0.32 NA NA 0.01 0.73 0.59 NA NA XXX 97034 A Contrast bath therapy 0.21 0.21 0.17 NA NA 0.01 0.43 0.39 NA NA XXX 97035 A Ultrasound therapy 0.21 0.10 0.10 NA NA 0.01 0.32 0.32 NA NA XXX 97036 A Hydrotherapy 0.28 0.45 0.35 NA NA 0.01 0.74 0.64 NA NA XXX 97039 C Physical therapy treatment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97110 A Therapeutic exercises 0.45 0.33 0.29 NA NA 0.02 0.80 0.76 NA NA XXX 97112 A Neuromuscular reeducation 0.45 0.36 0.32 NA NA 0.01 0.82 0.78 NA NA XXX 97113 A Aquatic therapy/exercises 0.44 0.55 0.43 NA NA 0.01 1.00 0.88 NA NA XXX 97116 A Gait training therapy 0.40 0.29 0.25 NA NA 0.01 0.70 0.66 NA NA XXX 97124 A Massage therapy 0.35 0.28 0.24 NA NA 0.01 0.64 0.60 NA NA XXX 97139 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97140 A Manual therapy 0.43 0.30 0.26 NA NA 0.01 0.74 0.70 NA NA XXX 97150 A Group therapeutic procedures 0.27 0.22 0.19 NA NA 0.01 0.50 0.47 NA NA XXX 97530 A Therapeutic activities 0.44 0.39 0.34 NA NA 0.01 0.84 0.79 NA NA XXX 97532 A Cognitive skills development 0.44 0.23 0.21 NA NA 0.01 0.68 0.66 NA NA XXX 97533 A Sensory integration 0.44 0.28 0.25 NA NA 0.01 0.73 0.70 NA NA XXX 97535 A Self care mngment training 0.45 0.39 0.35 NA NA 0.01 0.85 0.81 NA NA XXX 97537 A Community/work reintegration 0.45 0.29 0.27 NA NA 0.01 0.75 0.73 NA NA XXX 97542 A Wheelchair mngment training 0.45 0.30 0.29 NA NA 0.01 0.76 0.75 NA NA XXX 97597 A Active wound care/20 cm or < 0.58 1.13 0.78 0.13 0.53 0.05 1.76 1.41 0.76 1.16 XXX 97598 A Active wound care > 20 cm 0.80 1.31 0.92 0.18 0.64 0.05 2.16 1.77 1.03 1.49 XXX 97605 A Neg press wound tx, < 50 cm 0.55 0.42 0.36 0.12 0.20 0.02 0.99 0.93 0.69 0.77 XXX 97606 A Neg press wound tx, > 50 cm 0.60 0.43 0.37 0.13 0.21 0.03 1.06 1.00 0.76 0.84 XXX 97750 A Physical performance test 0.45 0.34 0.33 NA NA 0.02 0.81 0.80 NA NA XXX 97755 A Assistive technology assess 0.62 0.29 0.28 NA NA 0.02 0.93 0.92 NA NA XXX 97760 A Orthotic mgmt and training 0.45 0.44 0.37 NA NA 0.03 0.92 0.85 NA NA XXX 97761 A Prosthetic training 0.45 0.34 0.30 NA NA 0.02 0.81 0.77 NA NA XXX 97762 A C/o for orthotic/prosth use 0.25 0.75 0.50 NA NA 0.02 1.02 0.77 NA NA XXX 97799 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97802 A Medical nutrition, indiv, in 0.45 0.12 0.38 0.11 0.38 0.01 0.58 0.84 0.57 0.84 XXX 97803 A Med nutrition, indiv, subseq 0.37 0.10 0.38 0.09 0.38 0.01 0.48 0.76 0.47 0.76 XXX 97804 A Medical nutrition, group 0.25 0.06 0.15 0.06 0.15 0.01 0.32 0.41 0.32 0.41 XXX 97810 N Acupunct w/o stimul 15 min 0.60 0.26 0.35 0.14 0.21 0.03 0.89 0.98 0.77 0.84 XXX 97811 N Acupunct w/o stimul addl 15m 0.50 0.16 0.23 0.12 0.17 0.03 0.69 0.76 0.65 0.70 ZZZ 97813 N Acupunct w/stimul 15 min 0.65 0.27 0.37 0.15 0.23 0.03 0.95 1.05 0.83 0.91 XXX 97814 N Acupunct w/stimul addl 15m 0.55 0.19 0.27 0.13 0.19 0.03 0.77 0.85 0.71 0.77 ZZZ 98925 A Osteopathic manipulation 0.45 0.28 0.31 0.12 0.14 0.02 0.75 0.78 0.59 0.61 000 98926 A Osteopathic manipulation 0.65 0.36 0.40 0.16 0.23 0.03 1.04 1.08 0.84 0.91 000 98927 A Osteopathic manipulation 0.87 0.45 0.49 0.22 0.27 0.03 1.35 1.39 1.12 1.17 000 98928 A Osteopathic manipulation 1.03 0.50 0.57 0.26 0.32 0.04 1.57 1.64 1.33 1.39 000 98929 A Osteopathic manipulation 1.19 0.57 0.65 0.29 0.35 0.05 1.81 1.89 1.53 1.59 000 98940 A Chiropractic manipulation 0.45 0.21 0.23 0.12 0.12 0.01 0.67 0.69 0.58 0.58 000 98941 A Chiropractic manipulation 0.65 0.27 0.29 0.17 0.17 0.01 0.93 0.95 0.83 0.83 000 98942 A Chiropractic manipulation 0.87 0.33 0.35 0.23 0.23 0.02 1.22 1.24 1.12 1.12 000 98943 N Chiropractic manipulation 0.40 0.18 0.23 0.09 0.14 0.01 0.59 0.64 0.50 0.55 XXX 99082 C Unusual physician travel 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99143 C Mod cs by same phys, < 5 yrs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99144 C Mod cs by same phys, 5 yrs + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99145 C Mod cs by same phys add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ Start Printed Page 49232 99148 C Mod cs diff phys < 5 yrs 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99149 C Mod cs diff phys 5 yrs + 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99150 C Mod cs diff phys add-on 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 99170 A Anogenital exam, child 1.75 1.51 1.70 0.50 0.54 0.08 3.34 3.53 2.33 2.37 000 99175 A Induction of vomiting 0.00 0.34 1.13 NA NA 0.10 0.44 1.23 NA NA XXX 99183 A Hyperbaric oxygen therapy 2.34 2.61 3.08 0.58 0.69 0.16 5.11 5.58 3.08 3.19 XXX 99185 A Regional hypothermia 0.00 1.66 0.90 NA NA 0.04 1.70 0.94 NA NA XXX 99186 A Total body hypothermia 0.00 1.41 1.69 NA NA 0.45 1.86 2.14 NA NA XXX 99195 A Phlebotomy 0.00 2.60 0.98 NA NA 0.02 2.62 1.00 NA NA XXX 99199 C Special service/proc/report 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99201 A Office/outpatient visit, new 0.45 0.54 0.50 0.15 0.15 0.03 1.02 0.98 0.63 0.63 XXX 99202 A Office/outpatient visit, new 0.88 0.83 0.80 0.29 0.31 0.05 1.76 1.73 1.22 1.24 XXX 99203 A Office/outpatient visit, new 1.34 1.10 1.12 0.42 0.47 0.09 2.53 2.55 1.85 1.90 XXX 99204 A Office/outpatient visit, new 2.30 1.49 1.50 0.71 0.71 0.12 3.91 3.92 3.13 3.13 XXX 99205 A Office/outpatient visit, new 3.00 1.79 1.78 0.91 0.94 0.15 4.94 4.93 4.06 4.09 XXX 99211 A Office/outpatient visit, est 0.17 0.33 0.38 0.06 0.06 0.01 0.51 0.56 0.24 0.24 XXX 99212 A Office/outpatient visit, est 0.45 0.55 0.54 0.15 0.16 0.03 1.03 1.02 0.63 0.64 XXX 99213 A Office/outpatient visit, est 0.92 0.76 0.71 0.28 0.25 0.03 1.71 1.66 1.23 1.20 XXX 99214 A Office/outpatient visit, est 1.42 1.10 1.05 0.44 0.42 0.05 2.57 2.52 1.91 1.89 XXX 99215 A Office/outpatient visit, est 2.00 1.39 1.34 0.61 0.64 0.08 3.47 3.42 2.69 2.72 XXX 99217 A Observation care discharge 1.28 NA NA 0.50 0.52 0.06 NA NA 1.84 1.86 XXX 99218 A Observation care 1.28 NA NA 0.38 0.43 0.06 NA NA 1.72 1.77 XXX 99219 A Observation care 2.14 NA NA 0.60 0.69 0.10 NA NA 2.84 2.93 XXX 99220 A Observation care 2.99 NA NA 0.86 0.99 0.14 NA NA 3.99 4.12 XXX 99221 A Initial hospital care 1.88 NA NA 0.55 0.48 0.07 NA NA 2.50 2.43 XXX 99222 A Initial hospital care 2.56 NA NA 0.71 0.73 0.10 NA NA 3.37 3.39 XXX 99223 A Initial hospital care 3.78 NA NA 1.08 1.04 0.13 NA NA 4.99 4.95 XXX 99231 A Subsequent hospital care 0.76 NA NA 0.24 0.23 0.03 NA NA 1.03 1.02 XXX 99232 A Subsequent hospital care 1.39 NA NA 0.43 0.39 0.04 NA NA 1.86 1.82 XXX 99233 A Subsequent hospital care 2.00 NA NA 0.60 0.54 0.06 NA NA 2.66 2.60 XXX 99234 A Observ/hosp same date 2.56 NA NA 0.78 0.86 0.13 NA NA 3.47 3.55 XXX 99235 A Observ/hosp same date 3.41 NA NA NA NA 0.16 NA NA NA NA XXX 99236 A Observ/hosp same date 4.26 NA NA 1.25 1.39 0.19 NA NA 5.70 5.84 XXX 99238 A Hospital discharge day 1.28 NA NA 0.50 0.53 0.05 NA NA 1.83 1.86 XXX 99239 A Hospital discharge day 1.90 NA NA 0.68 0.72 0.07 NA NA 2.65 2.69 XXX 99241 A Office consultation 0.64 0.66 0.65 0.22 0.22 0.05 1.35 1.34 0.91 0.91 XXX 99242 A Office consultation 1.34 1.08 1.05 0.47 0.46 0.10 2.52 2.49 1.91 1.90 XXX 99243 A Office consultation 1.88 1.45 1.41 0.67 0.64 0.13 3.46 3.42 2.68 2.65 XXX 99244 A Office consultation 3.02 1.95 1.85 1.09 0.96 0.16 5.13 5.03 4.27 4.14 XXX 99245 A Office consultation 3.77 2.27 2.27 1.31 1.26 0.21 6.25 6.25 5.29 5.24 XXX 99251 A Initial inpatient consult 1.00 NA NA 0.31 0.26 0.05 NA NA 1.36 1.31 XXX 99252 A Initial inpatient consult 1.50 NA NA 0.50 0.50 0.09 NA NA 2.09 2.09 XXX 99253 A Initial inpatient consult 2.27 NA NA 0.81 0.71 0.11 NA NA 3.19 3.09 XXX 99254 A Initial inpatient consult 3.29 NA NA 1.19 1.03 0.13 NA NA 4.61 4.45 XXX 99255 A Initial inpatient consult 4.00 NA NA 1.40 1.36 0.18 NA NA 5.58 5.54 XXX 99281 A Emergency dept visit 0.45 NA NA 0.09 0.09 0.02 NA NA 0.56 0.56 XXX 99282 A Emergency dept visit 0.88 NA NA 0.17 0.15 0.04 NA NA 1.09 1.07 XXX 99283 A Emergency dept visit 1.34 NA NA 0.25 0.30 0.09 NA NA 1.68 1.73 XXX 99284 A Emergency dept visit 2.56 NA NA 0.46 0.47 0.14 NA NA 3.16 3.17 XXX 99285 A Emergency dept visit 3.80 NA NA 0.67 0.71 0.23 NA NA 4.70 4.74 XXX 99289 A Ped crit care transport 4.79 NA NA 1.11 1.37 0.24 NA NA 6.14 6.40 XXX 99290 A Ped crit care transport addl 2.40 NA NA 0.60 0.76 0.12 NA NA 3.12 3.28 ZZZ 99291 A Critical care, first hour 4.50 2.28 2.50 1.12 1.24 0.21 6.99 7.21 5.83 5.95 XXX 99292 A Critical care, addIl 30 min 2.25 0.83 0.88 0.59 0.63 0.11 3.19 3.24 2.95 2.99 ZZZ 99293 A Ped critical care, initial 15.98 NA NA 3.59 4.46 1.12 NA NA 20.69 21.56 XXX 99294 A Ped critical care, subseq 7.99 NA NA 1.72 2.23 0.45 NA NA 10.16 10.67 XXX Start Printed Page 49233 99295 A Neonate crit care, initial 18.46 NA NA 4.34 5.11 1.16 NA NA 23.96 24.73 XXX 99296 A Neonate critical care subseq 7.99 NA NA 1.76 2.35 0.32 NA NA 10.07 10.66 XXX 99298 A Ic for lbw infant < 1500 gm 2.75 NA NA 0.66 0.86 0.17 NA NA 3.58 3.78 XXX 99299 A Ic, lbw infant 1500-2500 gm 2.50 NA NA 0.75 0.83 0.16 NA NA 3.41 3.49 XXX 99300 A Ic, infant pbw 2501-5000 gm 2.40 NA NA 0.72 0.81 0.15 NA NA 3.27 3.36 XXX 99304 A Nursing facility care, init 1.20 0.45 0.48 0.45 0.48 0.05 1.70 1.73 1.70 1.73 XXX 99305 A Nursing facility care, init 1.61 0.56 0.61 0.56 0.61 0.07 2.24 2.29 2.24 2.29 XXX 99306 A Nursing facility care, init 2.01 0.65 0.73 0.65 0.73 0.09 2.75 2.83 2.75 2.83 XXX 99307 A Nursing fac care, subseq 0.60 0.27 0.27 0.27 0.27 0.03 0.90 0.90 0.90 0.90 XXX 99308 A Nursing fac care, subseq 1.00 0.43 0.45 0.43 0.45 0.04 1.47 1.49 1.47 1.49 XXX 99309 A Nursing fac care, subseq 1.42 0.58 0.61 0.58 0.61 0.06 2.06 2.09 2.06 2.09 XXX 99310 A Nursing fac care, subseq 1.77 0.73 0.77 0.73 0.77 0.08 2.58 2.62 2.58 2.62 XXX 99315 A Nursing fac discharge day 1.13 0.41 0.44 0.41 0.44 0.05 1.59 1.62 1.59 1.62 XXX 99316 A Nursing fac discharge day 1.50 0.51 0.57 0.51 0.57 0.06 2.07 2.13 2.07 2.13 XXX 99318 A Annual nursing fac assessmnt 1.20 0.45 0.48 0.45 0.48 0.05 1.70 1.73 1.70 1.73 XXX 99324 A Domicil/r-home visit new pat 1.01 0.43 0.48 NA NA 0.05 1.49 1.54 NA NA XXX 99325 A Domicil/r-home visit new pat 1.52 0.56 0.65 NA NA 0.07 2.15 2.24 NA NA XXX 99326 A Domicil/r-home visit new pat 2.27 0.73 0.87 NA NA 0.10 3.10 3.24 NA NA XXX 99327 A Domicil/r-home visit new pat 3.03 0.92 1.11 NA NA 0.13 4.08 4.27 NA NA XXX 99328 A Domicil/r-home visit new pat 3.78 1.10 1.34 NA NA 0.16 5.04 5.28 NA NA XXX 99334 A Domicil/r-home visit est pat 0.76 0.36 0.39 NA NA 0.04 1.16 1.19 NA NA XXX 99335 A Domicil/r-home visit est pat 1.26 0.48 0.56 NA NA 0.06 1.80 1.88 NA NA XXX 99336 A Domicil/r-home visit est pat 2.02 0.66 0.78 NA NA 0.09 2.77 2.89 NA NA XXX 99337 A Domicil/r-home visit est pat 3.03 0.90 1.09 NA NA 0.13 4.06 4.25 NA NA XXX 99341 A Home visit, new patient 1.01 0.37 0.45 NA NA 0.05 1.43 1.51 NA NA XXX 99342 A Home visit, new patient 1.52 0.50 0.64 NA NA 0.07 2.09 2.23 NA NA XXX 99343 A Home visit, new patient 2.27 0.69 0.88 NA NA 0.10 3.06 3.25 NA NA XXX 99344 A Home visit, new patient 3.03 0.91 1.11 NA NA 0.13 4.07 4.27 NA NA XXX 99345 A Home visit, new patient 3.78 1.08 1.34 NA NA 0.16 5.02 5.28 NA NA XXX 99347 A Home visit, est patient 0.76 0.36 0.39 NA NA 0.04 1.16 1.19 NA NA XXX 99348 A Home visit, est patient 1.26 0.49 0.56 NA NA 0.06 1.81 1.88 NA NA XXX 99349 A Home visit, est patient 2.02 0.66 0.79 NA NA 0.09 2.77 2.90 NA NA XXX 99350 A Home visit, est patient 3.03 0.91 1.11 NA NA 0.13 4.07 4.27 NA NA XXX 99354 A Prolonged service, office 1.77 0.65 0.74 0.50 0.62 0.08 2.50 2.59 2.35 2.47 ZZZ 99355 A Prolonged service, office 1.77 0.67 0.73 0.52 0.60 0.07 2.51 2.57 2.36 2.44 ZZZ 99356 A Prolonged service, inpatient 1.71 NA NA 0.51 0.59 0.07 NA NA 2.29 2.37 ZZZ 99357 A Prolonged service, inpatient 1.71 NA NA 0.50 0.60 0.08 NA NA 2.29 2.39 ZZZ 99374 B Home health care supervision 1.10 0.55 0.66 0.26 0.38 0.05 1.70 1.81 1.41 1.53 XXX 99375 I Home health care supervision 1.73 0.76 1.35 0.40 1.26 0.07 2.56 3.15 2.20 3.06 XXX 99377 B Hospice care supervision 1.10 0.55 0.66 0.26 0.38 0.05 1.70 1.81 1.41 1.53 XXX 99378 I Hospice care supervision 1.73 0.76 1.65 0.40 1.56 0.07 2.56 3.45 2.20 3.36 XXX 99379 B Nursing fac care supervision 1.10 0.55 0.66 0.26 0.38 0.04 1.69 1.80 1.40 1.52 XXX 99380 B Nursing fac care supervision 1.73 0.76 0.93 0.40 0.60 0.06 2.55 2.72 2.19 2.39 XXX 99381 N Prev visit, new, infant 1.19 1.01 1.38 0.28 0.41 0.05 2.25 2.62 1.52 1.65 XXX 99382 N Prev visit, new, age 1-4 1.36 1.05 1.42 0.32 0.47 0.05 2.46 2.83 1.73 1.88 XXX 99383 N Prev visit, new, age 5-11 1.36 1.04 1.37 0.32 0.47 0.05 2.45 2.78 1.73 1.88 XXX 99384 N Prev visit, new, age 12-17 1.53 1.08 1.43 0.36 0.53 0.06 2.67 3.02 1.95 2.12 XXX 99385 N Prev visit, new, age 18-39 1.53 1.08 1.43 0.36 0.53 0.06 2.67 3.02 1.95 2.12 XXX 99386 N Prev visit, new, age 40-64 1.88 1.16 1.60 0.44 0.65 0.07 3.11 3.55 2.39 2.60 XXX 99387 N Prev visit, new, 65 & over 2.06 1.29 1.73 0.48 0.71 0.07 3.42 3.86 2.61 2.84 XXX 99391 N Prev visit, est, infant 1.02 0.87 0.98 0.24 0.35 0.04 1.93 2.04 1.30 1.41 XXX 99392 N Prev visit, est, age 1-4 1.19 0.91 1.05 0.28 0.41 0.05 2.15 2.29 1.52 1.65 XXX 99393 N Prev visit, est, age 5-11 1.19 0.91 1.02 0.28 0.41 0.05 2.15 2.26 1.52 1.65 XXX 99394 N Prev visit, est, age 12-17 1.36 0.95 1.09 0.32 0.47 0.05 2.36 2.50 1.73 1.88 XXX 99395 N Prev visit, est, age 18-39 1.36 0.95 1.11 0.32 0.47 0.05 2.36 2.52 1.73 1.88 XXX 99396 N Prev visit, est, age 40-64 1.53 0.99 1.19 0.36 0.53 0.06 2.58 2.78 1.95 2.12 XXX 99397 N Prev visit, est, 65 & over 1.71 1.13 1.30 0.40 0.60 0.06 2.90 3.07 2.17 2.37 XXX 99401 N Preventive counseling, indiv 0.48 0.36 0.56 0.11 0.17 0.01 0.85 1.05 0.60 0.66 XXX 99402 N Preventive counseling, indiv 0.98 0.48 0.77 0.23 0.34 0.02 1.48 1.77 1.23 1.34 XXX 99403 N Preventive counseling, indiv 1.46 0.59 0.97 0.34 0.51 0.04 2.09 2.47 1.84 2.01 XXX 99404 N Preventive counseling, indiv 1.95 0.71 1.17 0.45 0.68 0.05 2.71 3.17 2.45 2.68 XXX 99411 N Preventive counseling, group 0.15 0.22 0.19 0.03 0.05 0.01 0.38 0.35 0.19 0.21 XXX 99412 N Preventive counseling, group 0.25 0.25 0.25 0.06 0.09 0.01 0.51 0.51 0.32 0.35 XXX 99431 A Initial care, normal newborn 1.17 NA NA 0.27 0.35 0.05 NA NA 1.49 1.57 XXX 99432 A Newborn care, not in hosp 1.26 1.02 0.95 0.29 0.37 0.07 2.35 2.28 1.62 1.70 XXX 99433 A Normal newborn care/hospital 0.62 NA NA 0.14 0.19 0.02 NA NA 0.78 0.83 XXX Start Printed Page 49234 99435 A Newborn discharge day hosp 1.50 NA NA 0.47 0.56 0.06 NA NA 2.03 2.12 XXX 99436 A Attendance, birth 1.50 NA NA 0.35 0.44 0.06 NA NA 1.91 2.00 XXX 99440 A Newborn resuscitation 2.93 NA NA 0.68 0.87 0.12 NA NA 3.73 3.92 XXX 99499 C Unlisted e&m service 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0101 A CA screen;pelvic/breast exam 0.45 0.49 0.51 NA NA 0.02 0.96 0.98 NA NA XXX G0102 A Prostate ca screening; dre 0.17 0.33 0.38 0.06 0.06 0.01 0.51 0.56 0.24 0.24 XXX G0104 A CA screen;flexi sigmoidscope 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000 G0105 A Colorectal scrn; hi risk ind 3.69 6.36 6.20 1.81 1.56 0.30 10.35 10.19 5.80 5.55 000 G0105 53 A Colorectal scrn; hi risk ind 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000 G0106 A Colon CA screen;barium enema 0.99 4.94 3.15 NA NA 0.17 6.10 4.31 NA NA XXX G0106 26 A Colon CA screen;barium enema 0.99 0.31 0.32 0.31 0.32 0.04 1.34 1.35 1.34 1.35 XXX G0106 TC A Colon CA screen;barium enema 0.00 4.63 2.83 NA NA 0.13 4.76 2.96 NA NA XXX G0108 A Diab manage trn per indiv 0.00 0.59 0.77 NA NA 0.01 0.60 0.78 NA NA XXX G0109 A Diab manage trn ind/group 0.00 0.31 0.44 NA NA 0.01 0.32 0.45 NA NA XXX G0117 T Glaucoma scrn hgh risk direc 0.45 0.80 0.74 NA NA 0.01 1.26 1.20 NA NA XXX G0118 T Glaucoma scrn hgh risk direc 0.17 0.79 0.60 NA NA 0.01 0.97 0.78 NA NA XXX G0120 A Colon ca scrn; barium enema 0.99 4.94 3.15 NA NA 0.17 6.10 4.31 NA NA XXX G0120 26 A Colon ca scrn; barium enema 0.99 0.31 0.32 0.31 0.32 0.04 1.34 1.35 1.34 1.35 XXX G0120 TC A Colon ca scrn; barium enema 0.00 4.63 2.83 NA NA 0.13 4.76 2.96 NA NA XXX G0121 A Colon ca scrn not hi rsk ind 3.69 6.36 6.20 1.81 1.56 0.30 10.35 10.19 5.80 5.55 000 G0121 53 A Colon ca scrn not hi rsk ind 0.96 2.49 2.33 0.61 0.53 0.08 3.53 3.37 1.65 1.57 000 G0122 N Colon ca scrn; barium enema 0.99 5.69 3.35 NA NA 0.18 6.86 4.52 NA NA XXX G0122 26 N Colon ca scrn; barium enema 0.99 0.23 0.34 0.23 0.34 0.05 1.27 1.38 1.27 1.38 XXX G0122 TC N Colon ca scrn; barium enema 0.00 5.46 3.01 NA NA 0.13 5.59 3.14 NA NA XXX G0124 A Screen c/v thin layer by MD 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX G0127 R Trim nail(s) 0.17 0.39 0.29 0.04 0.06 0.01 0.57 0.47 0.22 0.24 000 G0128 R CORF skilled nursing service 0.08 0.02 0.03 0.02 0.03 0.01 0.11 0.12 0.11 0.12 XXX G0130 A Single energy x-ray study 0.22 0.55 0.79 NA NA 0.06 0.83 1.07 NA NA XXX G0130 26 A Single energy x-ray study 0.22 0.06 0.07 0.06 0.07 0.01 0.29 0.30 0.29 0.30 XXX G0130 TC A Single energy x-ray study 0.00 0.49 0.72 NA NA 0.05 0.54 0.77 NA NA XXX G0141 A Scr c/v cyto,autosys and md 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX G0166 A Extrnl counterpulse, per tx 0.07 4.56 3.82 NA NA 0.01 4.64 3.90 NA NA XXX G0168 A Wound closure by adhesive 0.45 1.57 1.84 0.21 0.22 0.03 2.05 2.32 0.69 0.70 000 G0179 A MD recertification HHA PT 0.45 0.48 0.89 NA NA 0.02 0.95 1.36 NA NA XXX G0180 A MD certification HHA patient 0.67 0.56 1.09 NA NA 0.03 1.26 1.79 NA NA XXX G0181 A Home health care supervision 1.73 0.81 1.31 NA NA 0.07 2.61 3.11 NA NA XXX G0182 A Hospice care supervision 1.73 0.83 1.45 NA NA 0.07 2.63 3.25 NA NA XXX G0186 C Dstry eye lesn,fdr vssl tech 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 YYY G0202 A Screeningmammographydigital 0.70 2.82 2.78 NA NA 0.10 3.62 3.58 NA NA XXX G0202 26 A Screeningmammographydigital 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.97 0.96 XXX G0202 TC A Screeningmammographydigital 0.00 2.58 2.55 NA NA 0.07 2.65 2.62 NA NA XXX G0204 A Diagnosticmammographydigital 0.87 3.42 2.94 NA NA 0.11 4.40 3.92 NA NA XXX G0204 26 A Diagnosticmammographydigital 0.87 0.30 0.29 0.30 0.29 0.04 1.21 1.20 1.21 1.20 XXX G0204 TC A Diagnosticmammographydigital 0.00 3.12 2.66 NA NA 0.07 3.19 2.73 NA NA XXX G0206 A Diagnosticmammographydigital 0.70 2.68 2.36 NA NA 0.09 3.47 3.15 NA NA XXX G0206 26 A Diagnosticmammographydigital 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.97 0.96 XXX G0206 TC A Diagnosticmammographydigital 0.00 2.44 2.13 NA NA 0.06 2.50 2.19 NA NA XXX G0237 A Therapeutic procd strg endur 0.00 0.22 0.41 NA NA 0.02 0.24 0.43 NA NA XXX G0238 A Oth resp proc, indiv 0.00 0.23 0.43 NA NA 0.02 0.25 0.45 NA NA XXX G0239 A Oth resp proc, group 0.00 0.32 0.33 NA NA 0.02 0.34 0.35 NA NA XXX G0245 R Initial foot exam pt lops 0.88 0.83 0.80 0.29 0.31 0.04 1.75 1.72 1.21 1.23 XXX G0246 R Followup eval of foot pt lop 0.45 0.55 0.54 0.15 0.16 0.02 1.02 1.01 0.62 0.63 XXX G0247 R Routine footcare pt w lops 0.50 0.68 0.56 0.16 0.20 0.02 1.20 1.08 0.68 0.72 ZZZ G0248 R Demonstrate use home inr mon 0.00 3.30 5.78 NA NA 0.01 3.31 5.79 NA NA XXX G0249 R Provide test material,equipm 0.00 2.38 3.57 NA NA 0.01 2.39 3.58 NA NA XXX G0250 R MD review interpret of test 0.18 0.08 0.07 NA NA 0.01 0.27 0.26 NA NA XXX Start Printed Page 49235 G0252 26 N PET imaging initial dx 1.50 0.35 0.54 0.35 0.54 0.04 1.89 2.08 1.89 2.08 XXX G0268 A Removal of impacted wax md 0.61 0.60 0.62 0.17 0.22 0.02 1.23 1.25 0.80 0.85 000 G0270 A MNT subs tx for change dx 0.37 0.10 0.38 0.09 0.38 0.01 0.48 0.76 0.47 0.76 XXX G0271 A Group MNT 2 or more 30 mins 0.25 0.06 0.15 0.06 0.15 0.01 0.32 0.41 0.32 0.41 XXX G0275 A Renal angio, cardiac cath 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 ZZZ G0278 A Iliac art angio,cardiac cath 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 ZZZ G0281 A Elec stim unattend for press 0.18 0.15 0.12 NA NA 0.01 0.34 0.31 NA NA XXX G0283 A Elec stim other than wound 0.18 0.15 0.12 NA NA 0.01 0.34 0.31 NA NA XXX G0288 A Recon, CTA for surg plan 0.00 0.99 8.21 NA NA 0.18 1.17 8.39 NA NA XXX G0289 A Arthro, loose body + chondro 1.48 NA NA 0.59 0.75 0.26 NA NA 2.33 2.49 ZZZ G0308 A ESRD related svc 4+mo < 2yrs 12.74 5.52 7.79 5.52 7.79 0.42 18.68 20.95 18.68 20.95 XXX G0309 A ESRD related svc 2-3mo <2yrs 10.61 4.80 6.53 4.80 6.53 0.36 15.77 17.50 15.77 17.50 XXX G0310 A ESRD related svc 1 vst <2yrs 8.49 2.87 4.98 2.87 4.98 0.28 11.64 13.75 11.64 13.75 XXX G0311 A ESRD related svs 4+mo 2-11yr 9.73 3.59 4.44 3.59 4.44 0.34 13.66 14.51 13.66 14.51 XXX G0312 A ESRD relate svs 2-3 mo 2-11y 8.11 2.67 3.61 2.67 3.61 0.29 11.07 12.01 11.07 12.01 XXX G0313 A ESRD related svs 1 mon 2-11y 6.49 1.86 2.82 1.86 2.82 0.22 8.57 9.53 8.57 9.53 XXX G0314 A ESRD related svs 4+ mo 12-19 8.28 3.43 4.17 3.43 4.17 0.27 11.98 12.72 11.98 12.72 XXX G0315 A ESRD related svs 2-3mo/12-19 6.90 2.61 3.41 2.61 3.41 0.23 9.74 10.54 9.74 10.54 XXX G0316 A ESRD related svs 1vis/12-19y 5.52 1.69 2.63 1.69 2.63 0.17 7.38 8.32 7.38 8.32 XXX G0317 A ESRD related svs 4+mo 20+yrs 5.09 2.27 2.71 2.27 2.71 0.17 7.53 7.97 7.53 7.97 XXX G0318 A ESRD related svs 2-3 mo 20+y 4.24 1.71 2.21 1.71 2.21 0.14 6.09 6.59 6.09 6.59 XXX G0319 A ESRD related svs 1visit 20+y 3.39 1.14 1.71 1.14 1.71 0.11 4.64 5.21 4.64 5.21 XXX G0320 A ESD related svs home undr 2 10.61 2.68 6.00 2.68 6.00 0.36 13.65 16.97 13.65 16.97 XXX G0321 A ESRDrelatedsvs home mo 2-11y 8.11 1.99 3.44 1.99 3.44 0.29 10.39 11.84 10.39 11.84 XXX G0322 A ESRD related svs hom mo12-19 6.90 1.73 3.19 1.73 3.19 0.23 8.86 10.32 8.86 10.32 XXX G0323 A ESRD related svs home mo 20+ 4.24 1.16 2.08 1.16 2.08 0.14 5.54 6.46 5.54 6.46 XXX G0324 A ESRD relate svs home/dy <2yr 0.35 0.16 0.22 0.16 0.22 0.01 0.52 0.58 0.52 0.58 XXX G0325 A ESRD relate home/day/ 2-11yr 0.23 0.09 0.11 0.09 0.11 0.01 0.33 0.35 0.33 0.35 XXX G0326 A ESRD relate home/dy 12-19yr 0.27 0.10 0.12 0.10 0.12 0.01 0.38 0.40 0.38 0.40 XXX G0327 A ESRD relate home/dy 20+yrs 0.14 0.06 0.08 0.06 0.08 0.01 0.21 0.23 0.21 0.23 XXX G0329 A Electromagntic tx for ulcers 0.06 0.16 0.15 NA NA 0.01 0.23 0.22 NA NA XXX G0332 D Preadmin IV immunoglobulin 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0337 X Hospice evaluation preelecti 1.34 0.31 0.46 0.31 0.46 0.09 1.74 1.89 1.74 1.89 XXX G0339 C Robot lin-radsurg com, first 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0340 C Robt lin-radsurg fractx 2-5 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX G0341 A Percutaneous islet celltrans 6.98 NA NA 2.14 2.48 0.48 NA NA 9.60 9.94 000 G0342 A Laparoscopy islet cell trans 11.92 NA NA 5.13 5.25 1.46 NA NA 18.51 18.63 090 G0343 A Laparotomy islet cell transp 19.85 NA NA 8.69 8.74 2.06 NA NA 30.60 30.65 090 G0344 A Initial preventive exam 1.34 1.10 1.12 0.42 0.47 0.10 2.54 2.56 1.86 1.91 XXX G0364 A Bone marrow aspirate &biopsy 0.16 0.16 0.15 0.07 0.06 0.04 0.36 0.35 0.27 0.26 ZZZ G0365 A Vessel mapping hemo access 0.25 5.34 4.33 NA NA 0.25 5.84 4.83 NA NA XXX G0365 26 A Vessel mapping hemo access 0.25 0.07 0.09 0.07 0.09 0.02 0.34 0.36 0.34 0.36 XXX G0365 TC A Vessel mapping hemo access 0.00 5.27 4.24 NA NA 0.23 5.50 4.47 NA NA XXX G0366 A EKG for initial prevent exam 0.17 0.35 0.47 0.35 0.47 0.03 0.55 0.67 0.55 0.67 XXX G0367 A EKG tracing for initial prev 0.00 0.28 0.41 NA NA 0.02 0.30 0.43 NA NA XXX G0368 A EKG interpret & report preve 0.17 0.07 0.06 0.07 0.06 0.01 0.25 0.24 0.25 0.24 XXX G0372 A MD service required for PMD 0.17 0.04 0.30 0.04 0.06 0.01 0.22 0.48 0.22 0.24 XXX G0375 A Smoke/tobacco counselng 3-10 0.24 0.07 0.09 0.07 0.09 0.01 0.32 0.34 0.32 0.34 XXX G0376 A Smoke/tobacco counseling >10 0.48 0.13 0.17 0.13 0.16 0.01 0.62 0.66 0.62 0.65 XXX Gxxx1 A Ultrasound exam AAA screen 0.58 2.42 1.81 NA NA 0.11 3.11 2.50 NA NA XXX Gxxx1 26 A Ultrasound exam AAA screen 0.58 0.19 0.19 0.19 0.19 0.03 0.80 0.80 0.80 0.80 XXX Gxxx1 TC A Ultrasound exam AAA screen 0.00 2.23 1.62 NA NA 0.08 2.31 1.70 NA NA XXX M0064 A Visit for drug monitoring 0.37 0.89 0.48 0.06 0.11 0.01 1.27 0.86 0.44 0.49 XXX P3001 A Screening pap smear by phys 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX Q0035 A Cardiokymography 0.17 0.30 0.41 NA NA 0.03 0.50 0.61 NA NA XXX Q0035 26 A Cardiokymography 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX Q0035 TC A Cardiokymography 0.00 0.25 0.36 NA NA 0.02 0.27 0.38 NA NA XXX Q0091 A Obtaining screen pap smear 0.37 0.76 0.69 0.10 0.13 0.02 1.15 1.08 0.49 0.52 XXX Q0092 A Set up port xray equipment 0.00 0.50 0.37 0.50 0.37 0.01 0.51 0.38 0.51 0.38 XXX Q3001 C Brachytherapy Radioelements 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 XXX R0070 C Transport portable x-ray 0.00 0.00 0.00 0.00 0.00 0 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 0.00 0.00 0.00 0.00 XXX 1 CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. 2 Copyright 2005 American Dental Association. All rights reserved. Addendum C.—Codes for Which We Received PERC Recommendations on PE Direct Cost Inputs
CPT Codes Short descriptor 00100 Anesth, salivary gland 00102 Anesth, repair of cleft lip 00103 Anesth, blepharoplasty 00104 Anesth, electroshock 00120 Anesth, ear surgery 00124 Anesth, ear exam 00126 Anesth, tympanotomy 00140 Anesth, procedures on eye 00142 Anesth, lens surgery 00144 Anesth, corneal transplant 00145 Anesth, vitreoretinal surg 00147 Anesth, iridectomy 00148 Anesth, eye exam 00160 Anesth, nose/sinus surgery 00162 Anesth, nose/sinus surgery 00164 Anesth, biopsy of nose 00170 Anesth, procedure on mouth 00172 Anesth, cleft palate repair 00174 Anesth, pharyngeal surgery 00176 Anesth, pharyngeal surgery 00190 Anesth, face/skull bone surg 00192 Anesth, facial bone surgery 00210 Anesth, open head surgery 00212 Anesth, skull drainage 00214 Anesth, skull drainage 00215 Anesth, skull repair/fract 00216 Anesth, head vessel surgery 00218 Anesth, special head surgery 00220 Anesth, intrcrn nerve 00222 Anesth, head nerve surgery 00300 Anesth, head/neck/ptrunk 00320 Anesth, neck organ, 1 & over 00322 Anesth, biopsy of thyroid 00326 Anesth, larynx/trach, < 1 yr 00350 Anesth, neck vessel surgery 00352 Anesth, neck vessel surgery 00400 Anesth, skin, ext/per/atrunk 00402 Anesth, surgery of breast 00404 Anesth, surgery of breast 00406 Anesth, surgery of breast 00410 Anesth, correct heart rhythm 00450 Anesth, surgery of shoulder 00452 Anesth, surgery of shoulder 00454 Anesth, collar bone biopsy 00470 Anesth, removal of rib 00472 Anesth, chest wall repair 00474 Anesth, surgery of rib(s) 00500 Anesth, esophageal surgery 00520 Anesth, chest procedure 00522 Anesth, chest lining biopsy 00524 Anesth, chest drainage 00528 Anesth, chest partition view 00529 Anesth, chest partition view 00530 Anesth, pacemaker insertion 00532 Anesth, vascular access 00534 Anesth, cardioverter/defib 00537 Anesth, cardiac electrophys 00539 Anesth, trach-bronch reconst 00540 Anesth, chest surgery 00541 Anesth, one lung ventilation 00542 Anesth, release of lung 00546 Anesth, lung,chest wall surg 00548 Anesth, trachea,bronchi surg 00550 Anesth, sternal debridement 00560 Anesth, heart surg w/o pump 00561 Anesth, heart surg < age 1 00562 Anesth, heart surg w/pump 00563 Anesth, heart surg w/arrest 00566 Anesth, cabg w/o pump 00580 Anesth, heart/lung transplnt 00600 Anesth, spine, cord surgery 00604 Anesth, sitting procedure 00620 Anesth, spine, cord surgery 00622 Anesth, removal of nerves 00630 Anesth, spine, cord surgery 00632 Anesth, removal of nerves 00634 Anesth for chemonucleolysis 00635 Anesth, lumbar puncture 00640 Anesth, spine manipulation 00670 Anesth, spine, cord surgery 00700 Anesth, abdominal wall surg 00702 Anesth, for liver biopsy 00730 Anesth, abdominal wall surg 00740 Anesth, upper gi visualize 00750 Anesth, repair of hernia 00752 Anesth, repair of hernia 00754 Anesth, repair of hernia 00756 Anesth, repair of hernia 00770 Anesth, blood vessel repair 00790 Anesth, surg upper abdomen 00792 Anesth, hemorr/excise liver 00794 Anesth, pancreas removal 00796 Anesth, for liver transplant 00797 Anesth, surgery for obesity 00800 Anesth, abdominal wall surg 00802 Anesth, fat layer removal 00810 Anesth, low intestine scope 00820 Anesth, abdominal wall surg 00830 Anesth, repair of hernia 00832 Anesth, repair of hernia 00834 Anesth, hernia repair < 1 yr 00836 Anesth hernia repair preemie 00840 Anesth, surg lower abdomen 00842 Anesth, amniocentesis 00844 Anesth, pelvis surgery 00846 Anesth, hysterectomy 00848 Anesth, pelvic organ surg 00851 Anesth, tubal ligation 00860 Anesth, surgery of abdomen 00862 Anesth, kidney/ureter surg 00864 Anesth, removal of bladder 00865 Anesth, removal of prostate 00866 Anesth, removal of adrenal 00868 Anesth, kidney transplant 00870 Anesth, bladder stone surg 00872 Anesth kidney stone destruct 00873 Anesth kidney stone destruct 00880 Anesth, abdomen vessel surg 00882 Anesth, major vein ligation 00902 Anesth, anorectal surgery 00904 Anesth, perineal surgery 00906 Anesth, removal of vulva 00908 Anesth, removal of prostate 00910 Anesth, bladder surgery 00912 Anesth, bladder tumor surg 00914 Anesth, removal of prostate 00916 Anesth, bleeding control 00918 Anesth, stone removal 00920 Anesth, genitalia surgery 00921 Anesth, vasectomy 00922 Anesth, sperm duct surgery 00924 Anesth, testis exploration 00926 Anesth, removal of testis 00928 Anesth, removal of testis 00930 Anesth, testis suspension 00932 Anesth, amputation of penis 00934 Anesth, penis, nodes removal 00936 Anesth, penis, nodes removal 00938 Anesth, insert penis device 00940 Anesth, vaginal procedures 00942 Anesth, surg on vag/urethral 00944 Anesth, vaginal hysterectomy 00948 Anesth, repair of cervix 00950 Anesth, vaginal endoscopy 00952 Anesth, hysteroscope/graph 01112 Anesth, bone aspirate/bx 01120 Anesth, pelvis surgery 01130 Anesth, body cast procedure 01140 Anesth, amputation at pelvis 01150 Anesth, pelvic tumor surgery 01160 Anesth, pelvis procedure 01170 Anesth, pelvis surgery 01173 Anesth, fx repair, pelvis 01180 Anesth, pelvis nerve removal 01190 Anesth, pelvis nerve removal 01200 Anesth, hip joint procedure 01202 Anesth, arthroscopy of hip 01210 Anesth, hip joint surgery 01212 Anesth, hip disarticulation 01214 Anesth, hip arthroplasty 01215 Anesth, revise hip repair 01220 Anesth, procedure on femur 01230 Anesth, surgery of femur 01232 Anesth, amputation of femur 01234 Anesth, radical femur surg 01250 Anesth, upper leg surgery 01260 Anesth, upper leg veins surg 01270 Anesth, thigh arteries surg 01272 Anesth, femoral artery surg 01274 Anesth, femoral embolectomy 01320 Anesth, knee area surgery 01340 Anesth, knee area procedure 01360 Anesth, knee area surgery 01380 Anesth, knee joint procedure 01382 Anesth, dx knee arthroscopy 01390 Anesth, knee area procedure 01392 Anesth, knee area surgery 01400 Anesth, knee joint surgery 01402 Anesth, knee arthroplasty 01404 Anesth, amputation at knee 01420 Anesth, knee joint casting 01430 Anesth, knee veins surgery 01432 Anesth, knee vessel surg 01440 Anesth, knee arteries surg 01442 Anesth, knee artery surg 01444 Anesth, knee artery repair 01462 Anesth, lower leg procedure 01464 Anesth, ankle/ft arthroscopy 01470 Anesth, lower leg surgery 01472 Anesth, achilles tendon surg 01474 Anesth, lower leg surgery 01480 Anesth, lower leg bone surg 01482 Anesth, radical leg surgery 01484 Anesth, lower leg revision 01486 Anesth, ankle replacement 01490 Anesth, lower leg casting 01500 Anesth, leg arteries surg 01502 Anesth, lwr leg embolectomy 01520 Anesth, lower leg vein surg 01522 Anesth, lower leg vein surg 01610 Anesth, surgery of shoulder Start Printed Page 49237 01620 Anesth, shoulder procedure 01622 Anes dx shoulder arthroscopy 01630 Anesth, surgery of shoulder 01632 Anesth, surgery of shoulder 01634 Anesth, shoulder joint amput 01636 Anesth, forequarter amput 01638 Anesth, shoulder replacement 01650 Anesth, shoulder artery surg 01652 Anesth, shoulder vessel surg 01654 Anesth, shoulder vessel surg 01656 Anesth, arm-leg vessel surg 01670 Anesth, shoulder vein surg 01680 Anesth, shoulder casting 01682 Anesth, airplane cast 01710 Anesth, elbow area surgery 01712 Anesth, uppr arm tendon surg 01714 Anesth, uppr arm tendon surg 01716 Anesth, biceps tendon repair 01730 Anesth, uppr arm procedure 01732 Anesth, dx elbow arthroscopy 01740 Anesth, upper arm surgery 01742 Anesth, humerus surgery 01744 Anesth, humerus repair 01756 Anesth, radical humerus surg 01758 Anesth, humeral lesion surg 01760 Anesth, elbow replacement 01770 Anesth, uppr arm artery surg 01772 Anesth, uppr arm embolectomy 01780 Anesth, upper arm vein surg 01782 Anesth, uppr arm vein repair 01810 Anesth, lower arm surgery 01820 Anesth, lower arm procedure 01829 Anesth, dx wrist arthroscopy 01830 Anesth, lower arm surgery 01832 Anesth, wrist replacement 01840 Anesth, lwr arm artery surg 01842 Anesth, lwr arm embolectomy 01844 Anesth, vascular shunt surg 01850 Anesth, lower arm vein surg 01852 Anesth, lwr arm vein repair 01860 Anesth, lower arm casting 01905 Anes, spine inject, x-ray/re 01916 Anesth, dx arteriography 01920 Anesth, catheterize heart 01922 Anesth, cat or mri scan 01924 Anes, ther interven rad, art 01925 Anes, ther interven rad, car 01926 Anes, tx interv rad hrt/cran 01930 Anes, ther interven rad, vei 01931 Anes, ther interven rad, tip 01932 Anes, tx interv rad, th vein 01933 Anes, tx interv rad, cran v 01951 Anesth, burn, less 4 percent 01952 Anesth, burn, 4-9 percent 01953 Anesth, burn, each 9 percent 01958 Anesth, antepartum manipul 01960 Anesth, vaginal delivery 01961 Anesth, cs delivery 01962 Anesth, emer hysterectomy 01963 Anesth, cs hysterectomy 01965 Anesth, inc/missed ab proc 01966 Anesth, induced ab procedure 01967 Anesth/analg, vag delivery 01968 Anes/analg cs deliver add-on 01969 Anesth/analg cs hyst add-on 01990 Support for organ donor 01991 Anesth, nerve block/inj 01992 Anesth, n block/inj, prone 01995 Regional anesthesia limb 01996 Hosp manage cont drug admin 01999 Unlisted anesth procedure 23500 Treat clavicle fracture 23680 Treat dislocation/fracture 24130 Removal of head of radius 24134 Removal of arm bone lesion 24136 Remove radius bone lesion 24138 Remove elbow bone lesion 24140 Partial removal of arm bone 24145 Partial removal of radius 24147 Partial removal of elbow 24495 Decompression of forearm 24500 Treat humerus fracture 24500 Treat humerus fracture 24505 Treat humerus fracture 24515 Treat humerus fracture 24516 Treat humerus fracture 24530 Treat humerus fracture 24535 Treat humerus fracture 24538 Treat humerus fracture 24545 Treat humerus fracture 24546 Treat humerus fracture 24560 Treat humerus fracture 24565 Treat humerus fracture 24566 Treat humerus fracture 24575 Treat humerus fracture 24576 Treat humerus fracture 24577 Treat humerus fracture 24579 Treat humerus fracture 24582 Treat humerus fracture 24586 Treat elbow fracture 24587 Treat elbow fracture 24600 Treat elbow dislocation 24605 Treat elbow dislocation 24615 Treat elbow dislocation 24620 Treat elbow fracture 24635 Treat elbow fracture 24640 Treat elbow dislocation 24650 Treat radius fracture 24655 Treat radius fracture 24665 Treat radius fracture 24666 Treat radius fracture 24670 Treat ulnar fracture 24675 Treat ulnar fracture 24685 Treat ulnar fracture 25000 Incision of tendon sheath 25020 Decompress forearm 1 space 25023 Decompress forearm 1 space 25028 Drainage of forearm lesion 25031 Drainage of forearm bursa 25035 Treat forearm bone lesion 25040 Explore/treat wrist joint 25066 Biopsy forearm soft tissues 25075 Removal forearm lesion subcu 25076 Removal forearm lesion deep 25077 Remove tumor, forearm/wrist 25085 Incision of wrist capsule 25100 Biopsy of wrist joint 25101 Explore/treat wrist joint 25105 Remove wrist joint lining 25107 Remove wrist joint cartilage 25110 Remove wrist tendon lesion 25111 Remove wrist tendon lesion 25112 Reremove wrist tendon lesion 25115 Remove wrist/forearm lesion 25116 Remove wrist/forearm lesion 25118 Excise wrist tendon sheath 25119 Partial removal of ulna 25120 Removal of forearm lesion 25125 Remove/graft forearm lesion 25126 Remove/graft forearm lesion 25130 Removal of wrist lesion 25135 Remove & graft wrist lesion 25136 Remove & graft wrist lesion 25145 Remove forearm bone lesion 25150 Partial removal of ulna 25151 Partial removal of radius 25170 Extensive forearm surgery 25210 Removal of wrist bone 25215 Removal of wrist bones 25230 Partial removal of radius 25240 Partial removal of ulna 25248 Remove forearm foreign body 25260 Repair forearm tendon/muscle 25263 Repair forearm tendon/muscle 25265 Repair forearm tendon/muscle 25270 Repair forearm tendon/muscle 25272 Repair forearm tendon/muscle 25274 Repair forearm tendon/muscle 25280 Revise wrist/forearm tendon 25290 Incise wrist/forearm tendon 25295 Release wrist/forearm tendon 25300 Fusion of tendons at wrist 25301 Fusion of tendons at wrist 25310 Transplant forearm tendon 25312 Transplant forearm tendon 25315 Revise palsy hand tendon(s) 25316 Revise palsy hand tendon(s) 25320 Repair/revise wrist joint 25335 Realignment of hand 25337 Reconstruct ulna/radioulnar 25350 Revision of radius 25355 Revision of radius 25360 Revision of ulna 25365 Revise radius & ulna 25370 Revise radius or ulna 25375 Revise radius & ulna 25390 Shorten radius or ulna 25391 Lengthen radius or ulna 25392 Shorten radius & ulna 25393 Lengthen radius & ulna 25400 Repair radius or ulna 25405 Repair/graft radius or ulna 25415 Repair radius & ulna 25420 Repair/graft radius & ulna 25425 Repair/graft radius or ulna 25426 Repair/graft radius & ulna 25440 Repair/graft wrist bone 25450 Revision of wrist joint 25455 Revision of wrist joint 25490 Reinforce radius 25491 Reinforce ulna 25492 Reinforce radius and ulna 25500 Treat fracture of radius 25505 Treat fracture of radius 25515 Treat fracture of radius 25520 Treat fracture of radius 25525 Treat fracture of radius 25526 Treat fracture of radius 25530 Treat fracture of ulna 25535 Treat fracture of ulna 25545 Treat fracture of ulna Start Printed Page 49238 25560 Treat fracture radius & ulna 25565 Treat fracture radius & ulna 25574 Treat fracture radius & ulna 25575 Treat fracture radius/ulna 25600 Treat fracture radius/ulna 25605 Treat fracture radius/ulna 25611 Treat fracture radius/ulna 25620 Treat fracture radius/ulna 25622 Treat wrist bone fracture 25624 Treat wrist bone fracture 25628 Treat wrist bone fracture 25630 Treat wrist bone fracture 25635 Treat wrist bone fracture 25645 Treat wrist bone fracture 25650 Treat wrist bone fracture 25651 Pin ulnar styloid fracture 25652 Treat fracture ulnar styloid 25660 Treat wrist dislocation 25670 Treat wrist dislocation 25671 Pin radioulnar dislocation 25675 Treat wrist dislocation 25676 Treat wrist dislocation 25680 Treat wrist fracture 25685 Treat wrist fracture 25690 Treat wrist dislocation 25695 Treat wrist dislocation 25800 Fusion of wrist joint 25805 Fusion/graft of wrist joint 25810 Fusion/graft of wrist joint 25820 Fusion of hand bones 25825 Fuse hand bones with graft 25830 Fusion, radioulnar jnt/ulna 25900 Amputation of forearm 25905 Amputation of forearm 25907 Amputation follow-up surgery 25909 Amputation follow-up surgery 25915 Amputation of forearm 25920 Amputate hand at wrist 25922 Amputate hand at wrist 25924 Amputation follow-up surgery 25927 Amputation of hand 25929 Amputation follow-up surgery 25931 Amputation follow-up surgery 26350 Repair finger/hand tendon 26352 Repair/graft hand tendon 26356 Repair finger/hand tendon 26357 Repair finger/hand tendon 26358 Repair/graft hand tendon 26370 Repair finger/hand tendon 26372 Repair/graft hand tendon 26373 Repair finger/hand tendon 26390 Revise hand/finger tendon 26392 Repair/graft hand tendon 26410 Repair hand tendon 26412 Repair/graft hand tendon 26415 Excision, hand/finger tendon 26416 Graft hand or finger tendon 26418 Repair finger tendon 26420 Repair/graft finger tendon 26426 Repair finger/hand tendon 26428 Repair/graft finger tendon 26432 Repair finger tendon 26433 Repair finger tendon 26434 Repair/graft finger tendon 26437 Realignment of tendons 26440 Release palm/finger tendon 26442 Release palm & finger tendon 26445 Release hand/finger tendon 26449 Release forearm/hand tendon 26450 Incision of palm tendon 26455 Incision of finger tendon 26460 Incise hand/finger tendon 26471 Fusion of finger tendons 26474 Fusion of finger tendons 26476 Tendon lengthening 26477 Tendon shortening 26478 Lengthening of hand tendon 26479 Shortening of hand tendon 26480 Transplant hand tendon 26483 Transplant/graft hand tendon 26485 Transplant palm tendon 26489 Transplant/graft palm tendon 26490 Revise thumb tendon 26492 Tendon transfer with graft 26494 Hand tendon/muscle transfer 26496 Revise thumb tendon 26497 Finger tendon transfer 26498 Finger tendon transfer 26499 Revision of finger 26500 Hand tendon reconstruction 26502 Hand tendon reconstruction 26504 Hand tendon reconstruction 26508 Release thumb contracture 26510 Thumb tendon transfer 26516 Fusion of knuckle joint 26517 Fusion of knuckle joints 26518 Fusion of knuckle joints 26520 Release knuckle contracture 26525 Release finger contracture 26536 Revise/implant finger joint 26540 Repair hand joint 26541 Repair hand joint with graft 26542 Repair hand joint with graft 26545 Reconstruct finger joint 26548 Reconstruct finger joint 26550 Construct thumb replacement 26555 Positional change of finger 26560 Repair of web finger 26561 Repair of web finger 26562 Repair of web finger 26565 Correct metacarpal flaw 26567 Correct finger deformity 26568 Lengthen metacarpal/finger 26580 Repair hand deformity 26590 Repair finger deformity 26591 Repair muscles of hand 26593 Release muscles of hand 26596 Excision constricting tissue 26600 Treat metacarpal fracture 26605 Treat metacarpal fracture 26607 Treat metacarpal fracture 26608 Treat metacarpal fracture 26615 Treat metacarpal fracture 26641 Treat thumb dislocation 26645 Treat thumb fracture 26650 Treat thumb fracture 26665 Treat thumb fracture 26670 Treat hand dislocation 26675 Treat hand dislocation 26676 Pin hand dislocation 26685 Treat hand dislocation 26686 Treat hand dislocation 26700 Treat knuckle dislocation 26705 Treat knuckle dislocation 26706 Pin knuckle dislocation 26715 Treat knuckle dislocation 26720 Treat finger fracture, each 26725 Treat finger fracture, each 26727 Treat finger fracture, each 26735 Treat finger fracture, each 26740 Treat finger fracture, each 26742 Treat finger fracture, each 26746 Treat finger fracture, each 26750 Treat finger fracture, each 26755 Treat finger fracture, each 26756 Pin finger fracture, each 26765 Treat finger fracture, each 26770 Treat finger dislocation 26775 Treat finger dislocation 26776 Pin finger dislocation 26785 Treat finger dislocation 26820 Thumb fusion with graft 26841 Fusion of thumb 26842 Thumb fusion with graft 26843 Fusion of hand joint 26844 Fusion/graft of hand joint 26850 Fusion of knuckle 26852 Fusion of knuckle with graft 26860 Fusion of finger joint 26862 Fusion/graft of finger joint 26910 Amputate metacarpal bone 26951 Amputation of finger/thumb 26952 Amputation of finger/thumb 27000 Incision of hip tendon 27001 Incision of hip tendon 27003 Incision of hip tendon 27005 Incision of hip tendon 27006 Incision of hip tendons 27025 Incision of hip/thigh fascia 27030 Drainage of hip joint 27033 Exploration of hip joint 27035 Denervation of hip joint 27041 Biopsy of soft tissues 27048 Remove hip/pelvis lesion 27049 Remove tumor, hip/pelvis 27050 Biopsy of sacroiliac joint 27052 Biopsy of hip joint 27054 Removal of hip joint lining 27060 Removal of ischial bursa 27062 Remove femur lesion/bursa 27065 Removal of hip bone lesion 27066 Removal of hip bone lesion 27067 Remove/graft hip bone lesion 27075 Extensive hip surgery 27076 Extensive hip surgery 27077 Extensive hip surgery 27078 Extensive hip surgery 27079 Extensive hip surgery 27080 Removal of tail bone 27087 Remove hip foreign body 27202 Treat tail bone fracture 27310 Exploration of knee joint 27315 Partial removal, thigh nerve 27320 Partial removal, thigh nerve 27324 Biopsy, thigh soft tissues 27328 Removal of thigh lesion 27329 Remove tumor, thigh/knee 27330 Biopsy, knee joint lining 27331 Explore/treat knee joint 27332 Removal of knee cartilage 27333 Removal of knee cartilage Start Printed Page 49239 27334 Remove knee joint lining 27335 Remove knee joint lining 27340 Removal of kneecap bursa 27345 Removal of knee cyst 27350 Removal of kneecap 27355 Remove femur lesion 27356 Remove femur lesion/graft 27357 Remove femur lesion/graft 27365 Extensive leg surgery 27380 Repair of kneecap tendon 27381 Repair/graft kneecap tendon 27385 Repair of thigh muscle 27386 Repair/graft of thigh muscle 27455 Realignment of knee 27500 Treatment of thigh fracture 27501 Treatment of thigh fracture 27502 Treatment of thigh fracture 27506 Treatment of thigh fracture 27507 Treatment of thigh fracture 27508 Treatment of thigh fracture 27509 Treatment of thigh fracture 27510 Treatment of thigh fracture 27511 Treatment of thigh fracture 27513 Treatment of thigh fracture 27514 Treatment of thigh fracture 27516 Treat thigh fx growth plate 27517 Treat thigh fx growth plate 27519 Treat thigh fx growth plate 27520 Treat kneecap fracture 27524 Treat kneecap fracture 27530 Treat knee fracture 27532 Treat knee fracture 27535 Treat knee fracture 27536 Treat knee fracture 27538 Treat knee fracture(s) 27540 Treat knee fracture 27550 Treat knee dislocation 27552 Treat knee dislocation 27556 Treat knee dislocation 27557 Treat knee dislocation 27558 Treat knee dislocation 27560 Treat kneecap dislocation 27562 Treat kneecap dislocation 27566 Treat kneecap dislocation 27580 Fusion of knee 27590 Amputate leg at thigh 27591 Amputate leg at thigh 27592 Amputate leg at thigh 27594 Amputation follow-up surgery 27596 Amputation follow-up surgery 27598 Amputate lower leg at knee 27600 Decompression of lower leg 27601 Decompression of lower leg 27602 Decompression of lower leg 27607 Treat lower leg bone lesion 27610 Explore/treat ankle joint 27612 Exploration of ankle joint 27615 Remove tumor, lower leg 27620 Explore/treat ankle joint 27625 Remove ankle joint lining 27626 Remove ankle joint lining 27635 Remove lower leg bone lesion 27637 Remove/graft leg bone lesion 27638 Remove/graft leg bone lesion 27640 Partial removal of tibia 27641 Partial removal of fibula 27645 Extensive lower leg surgery 27646 Extensive lower leg surgery 27647 Extensive ankle/heel surgery 27650 Repair achilles tendon 27652 Repair/graft achilles tendon 27654 Repair of achilles tendon 27675 Repair lower leg tendons 27676 Repair lower leg tendons 27680 Release of lower leg tendon 27681 Release of lower leg tendons 27687 Revision of calf tendon 27690 Revise lower leg tendon 27691 Revise lower leg tendon 27695 Repair of ankle ligament 27696 Repair of ankle ligaments 27698 Repair of ankle ligament 27705 Incision of tibia 27707 Incision of fibula 27709 Incision of tibia & fibula 27712 Realignment of lower leg 27715 Revision of lower leg 27720 Repair of tibia 27722 Repair/graft of tibia 27724 Repair/graft of tibia 27725 Repair of lower leg 27727 Repair of lower leg 27734 Repair lower leg epiphyses 27745 Reinforce tibia 27750 Treatment of tibia fracture 27752 Treatment of tibia fracture 27756 Treatment of tibia fracture 27758 Treatment of tibia fracture 27759 Treatment of tibia fracture 27760 Treatment of ankle fracture 27762 Treatment of ankle fracture 27766 Treatment of ankle fracture 27780 Treatment of fibula fracture 27781 Treatment of fibula fracture 27784 Treatment of fibula fracture 27786 Treatment of ankle fracture 27788 Treatment of ankle fracture 27792 Treatment of ankle fracture 27808 Treatment of ankle fracture 27810 Treatment of ankle fracture 27814 Treatment of ankle fracture 27816 Treatment of ankle fracture 27818 Treatment of ankle fracture 27822 Treatment of ankle fracture 27823 Treatment of ankle fracture 27824 Treat lower leg fracture 27825 Treat lower leg fracture 27826 Treat lower leg fracture 27827 Treat lower leg fracture 27828 Treat lower leg fracture 27829 Treat lower leg joint 27830 Treat lower leg dislocation 27831 Treat lower leg dislocation 27832 Treat lower leg dislocation 27840 Treat ankle dislocation 27842 Treat ankle dislocation 27846 Treat ankle dislocation 27848 Treat ankle dislocation 27870 Fusion of ankle joint, open 27871 Fusion of tibiofibular joint 27880 Amputation of lower leg 27881 Amputation of lower leg 27882 Amputation of lower leg 27884 Amputation follow-up surgery 27886 Amputation follow-up surgery 27888 Amputation of foot at ankle 27889 Amputation of foot at ankle 27892 Decompression of leg 27893 Decompression of leg 27894 Decompression of leg 28030 Removal of foot nerve 28102 Remove/graft foot lesion 28106 Remove/graft foot lesion 28130 Removal of ankle bone 28309 Incision of metatarsals 28320 Repair of foot bones 28400 Treatment of heel fracture 28405 Treatment of heel fracture 28406 Treatment of heel fracture 28415 Treat heel fracture 28420 Treat/graft heel fracture 28430 Treatment of ankle fracture 28435 Treatment of ankle fracture 28436 Treatment of ankle fracture 28445 Treat ankle fracture 28450 Treat midfoot fracture, each 28455 Treat midfoot fracture, each 28456 Treat midfoot fracture 28465 Treat midfoot fracture, each 28470 Treat metatarsal fracture 28475 Treat metatarsal fracture 28476 Treat metatarsal fracture 28485 Treat metatarsal fracture 28490 Treat big toe fracture 28495 Treat big toe fracture 28496 Treat big toe fracture 28505 Treat big toe fracture 28510 Treatment of toe fracture 28515 Treatment of toe fracture 28525 Treat toe fracture 28530 Treat sesamoid bone fracture 28531 Treat sesamoid bone fracture 28540 Treat foot dislocation 28545 Treat foot dislocation 28546 Treat foot dislocation 28555 Repair foot dislocation 28570 Treat foot dislocation 28575 Treat foot dislocation 28576 Treat foot dislocation 28585 Repair foot dislocation 28600 Treat foot dislocation 28605 Treat foot dislocation 28606 Treat foot dislocation 28615 Repair foot dislocation 28630 Treat toe dislocation 28635 Treat toe dislocation 28636 Treat toe dislocation 28645 Repair toe dislocation 28660 Treat toe dislocation 28665 Treat toe dislocation 28666 Treat toe dislocation 28675 Repair of toe dislocation 28705 Fusion of foot bones 28715 Fusion of foot bones 28725 Fusion of foot bones 28730 Fusion of foot bones 28735 Fusion of foot bones 28737 Revision of foot bones 29000 Application of body cast 29010 Application of body cast 29015 Application of body cast Start Printed Page 49240 29020 Application of body cast 29025 Application of body cast 29035 Application of body cast 29040 Application of body cast 29044 Application of body cast 29046 Application of body cast 29049 Application of figure eight 29055 Application of shoulder cast 29058 Application of shoulder cast 29065 Application of long arm cast 29075 Application of forearm cast 29085 Apply hand/wrist cast 29086 Apply finger cast 29105 Apply long arm splint 29125 Apply forearm splint 29126 Apply forearm splint 29130 Application of finger splint 29131 Application of finger splint 29200 Strapping of chest 29220 Strapping of low back 29240 Strapping of shoulder 29260 Strapping of elbow or wrist 29280 Strapping of hand or finger 29305 Application of hip cast 29325 Application of hip casts 29345 Application of long leg cast 29355 Application of long leg cast 29358 Apply long leg cast brace 29365 Application of long leg cast 29405 Apply short leg cast 29425 Apply short leg cast 29435 Apply short leg cast 29440 Addition of walker to cast 29445 Apply rigid leg cast 29450 Application of leg cast 29505 Application, long leg splint 29515 Application lower leg splint 29520 Strapping of hip 29530 Strapping of knee 29540 Strapping of ankle and/or ft 29550 Strapping of toes 29580 Application of paste boot 29590 Application of foot splint 29700 Removal/revision of cast 29705 Removal/revision of cast 29710 Removal/revision of cast 29715 Removal/revision of cast 29720 Repair of body cast 29730 Windowing of cast 29740 Wedging of cast 29750 Wedging of clubfoot cast 29800 Jaw arthroscopy/surgery 29804 Jaw arthroscopy/surgery 31760 Repair of windpipe 31766 Reconstruction of windpipe 31770 Repair/graft of bronchus 31775 Reconstruct bronchus 31780 Reconstruct windpipe 31781 Reconstruct windpipe 31785 Remove windpipe lesion 31786 Remove windpipe lesion 31805 Repair of windpipe injury 32035 Exploration of chest 32036 Exploration of chest 32095 Biopsy through chest wall 32100 Exploration/biopsy of chest 32110 Explore/repair chest 32120 Re-exploration of chest 32124 Explore chest free adhesions 32140 Removal of lung lesion(s) 32141 Remove/treat lung lesions 32150 Removal of lung lesion(s) 32151 Remove lung foreign body 32160 Open chest heart massage 32200 Drain, open, lung lesion 33015 Incision of heart sac 33414 Repair of aortic valve 33415 Revision, subvalvular tissue 33417 Repair of aortic valve 33468 Revision of tricuspid valve 33470 Revision of pulmonary valve 33471 Valvotomy, pulmonary valve 33503 Coronary artery graft 33504 Coronary artery graft 33505 Repair artery w/tunnel 33506 Repair artery, translocation 33600 Closure of valve 33602 Closure of valve 33606 Anastomosis/artery-aorta 33608 Repair anomaly w/conduit 33610 Repair by enlargement 33611 Repair double ventricle 33612 Repair double ventricle 33615 Repair, modified fontan 33617 Repair single ventricle 33619 Repair single ventricle 33645 Revision of heart veins 33647 Repair heart septum defects 33660 Repair of heart defects 33665 Repair of heart defects 33670 Repair of heart chambers 33681 Repair heart septum defect 33684 Repair heart septum defect 33688 Repair heart septum defect 33690 Reinforce pulmonary artery 33692 Repair of heart defects 33694 Repair of heart defects 33697 Repair of heart defects 33702 Repair of heart defects 33710 Repair of heart defects 33720 Repair of heart defect 33722 Repair of heart defect 33730 Repair heart-vein defect(s) 33732 Repair heart-vein defect 33735 Revision of heart chamber 33736 Revision of heart chamber 33737 Revision of heart chamber 33750 Major vessel shunt 33755 Major vessel shunt 33762 Major vessel shunt 33764 Major vessel shunt & graft 33766 Major vessel shunt 33767 Major vessel shunt 33770 Repair great vessels defect 33771 Repair great vessels defect 33774 Repair great vessels defect 33775 Repair great vessels defect 33776 Repair great vessels defect 33777 Repair great vessels defect 33778 Repair great vessels defect 33779 Repair great vessels defect 33780 Repair great vessels defect 33781 Repair great vessels defect 33786 Repair arterial trunk 33788 Revision of pulmonary artery 33800 Aortic suspension 33802 Repair vessel defect 33803 Repair vessel defect 33813 Repair septal defect 33814 Repair septal defect 33820 Revise major vessel 33822 Revise major vessel 33840 Remove aorta constriction 33845 Remove aorta constriction 33851 Remove aorta constriction 33852 Repair septal defect 33853 Repair septal defect 33917 Repair pulmonary artery 33920 Repair pulmonary atresia 33922 Transect pulmonary artery 34001 Removal of artery clot 34051 Removal of artery clot 34101 Removal of artery clot 34111 Removal of arm artery clot 34201 Removal of artery clot 34203 Removal of leg artery clot 34401 Removal of vein clot 34421 Removal of vein clot 34451 Removal of vein clot 34471 Removal of vein clot 34490 Removal of vein clot 34501 Repair valve, femoral vein 34502 Reconstruct vena cava 34510 Transposition of vein valve 34520 Cross-over vein graft 34530 Leg vein fusion 35001 Repair defect of artery 35002 Repair artery rupture, neck 35005 Repair defect of artery 35011 Repair defect of artery 35013 Repair artery rupture, arm 35021 Repair defect of artery 35022 Repair artery rupture, chest 35045 Repair defect of arm artery 35111 Repair defect of artery 35141 Repair defect of artery 35142 Repair artery rupture, thigh 35151 Repair defect of artery 35152 Repair artery rupture, knee 35180 Repair blood vessel lesion 35184 Repair blood vessel lesion 35188 Repair blood vessel lesion 35190 Repair blood vessel lesion 35201 Repair blood vessel lesion 35206 Repair blood vessel lesion 35207 Repair blood vessel lesion 35226 Repair blood vessel lesion 35231 Repair blood vessel lesion 35236 Repair blood vessel lesion 35246 Repair blood vessel lesion 35261 Repair blood vessel lesion 35266 Repair blood vessel lesion 35286 Repair blood vessel lesion 35311 Rechanneling of artery 35321 Rechanneling of artery 35371 Rechanneling of artery 35372 Rechanneling of artery 35381 Rechanneling of artery 35501 Artery bypass graft 35506 Artery bypass graft 35507 Artery bypass graft Start Printed Page 49241 35508 Artery bypass graft 35509 Artery bypass graft 35511 Artery bypass graft 35515 Artery bypass graft 35516 Artery bypass graft 35518 Artery bypass graft 35526 Artery bypass graft 35556 Artery bypass graft 35558 Artery bypass graft 35571 Artery bypass graft 35583 Vein bypass graft 35585 Vein bypass graft 35587 Vein bypass graft 35601 Artery bypass graft 35606 Artery bypass graft 35612 Artery bypass graft 35616 Artery bypass graft 35626 Artery bypass graft 35642 Artery bypass graft 35645 Artery bypass graft 35650 Artery bypass graft 35656 Artery bypass graft 35661 Artery bypass graft 35666 Artery bypass graft 35671 Artery bypass graft 35691 Arterial transposition 35693 Arterial transposition 35694 Arterial transposition 35695 Arterial transposition 35701 Exploration, carotid artery 35721 Exploration, femoral artery 35741 Exploration popliteal artery 35761 Exploration of artery/vein 35800 Explore neck vessels 35860 Explore limb vessels 35875 Removal of clot in graft 35876 Removal of clot in graft 35901 Excision, graft, neck 35903 Excision, graft, extremity 36260 Insertion of infusion pump 36261 Revision of infusion pump 36262 Removal of infusion pump 36475 Endovenous rf, 1st vein 36476 Endovenous rf, vein add-on 36478 Endovenous laser, 1st vein 36479 Endovenous laser vein addon 36566 Insert tunneled cv cath 36835 Artery to vein shunt 37565 Ligation of neck vein 37600 Ligation of neck artery 37605 Ligation of neck artery 37606 Ligation of neck artery 38740 Remove armpit lymph nodes 38745 Remove armpit lymph nodes 38760 Remove groin lymph nodes 38765 Remove groin lymph nodes 38770 Remove pelvis lymph nodes 38780 Remove abdomen lymph nodes 39501 Repair diaphragm laceration 39502 Repair paraesophageal hernia 39503 Repair of diaphragm hernia 39520 Repair of diaphragm hernia 39530 Repair of diaphragm hernia 39531 Repair of diaphragm hernia 39540 Repair of diaphragm hernia 39541 Repair of diaphragm hernia 39545 Revision of diaphragm 43045 Incision of esophagus 43100 Excision of esophagus lesion 43101 Excision of esophagus lesion 43108 Removal of esophagus 43113 Removal of esophagus 43116 Partial removal of esophagus 43118 Partial removal of esophagus 43123 Partial removal of esophagus 43124 Removal of esophagus 43130 Removal of esophagus pouch 43135 Removal of esophagus pouch 43300 Repair of esophagus 43320 Fuse esophagus & stomach 43324 Revise esophagus & stomach 43325 Revise esophagus & stomach 43326 Revise esophagus & stomach 43330 Repair of esophagus 43331 Repair of esophagus 43340 Fuse esophagus & intestine 43341 Fuse esophagus & intestine 43350 Surgical opening, esophagus 43351 Surgical opening, esophagus 43352 Surgical opening, esophagus 43360 Gastrointestinal repair 43361 Gastrointestinal repair 43400 Ligate esophagus veins 43401 Esophagus surgery for veins 43405 Ligate/staple esophagus 43410 Repair esophagus wound 43415 Repair esophagus wound 43420 Repair esophagus opening 43425 Repair esophagus opening 43500 Surgical opening of stomach 43501 Surgical repair of stomach 43502 Surgical repair of stomach 43520 Incision of pyloric muscle 43605 Biopsy of stomach 43610 Excision of stomach lesion 43611 Excision of stomach lesion 43620 Removal of stomach 43621 Removal of stomach 43622 Removal of stomach 43631 Removal of stomach, partial 43632 Removal of stomach, partial 43633 Removal of stomach, partial 43634 Removal of stomach, partial 43640 Vagotomy & pylorus repair 43641 Vagotomy & pylorus repair 43800 Reconstruction of pylorus 43810 Fusion of stomach and bowel 43820 Fusion of stomach and bowel 43825 Fusion of stomach and bowel 43830 Place gastrostomy tube 43831 Place gastrostomy tube 43832 Place gastrostomy tube 43840 Repair of stomach lesion 43842 V-band gastroplasty 43846 Gastric bypass for obesity 43847 Gastric bypass incl small i 43848 Revision gastroplasty 43850 Revise stomach-bowel fusion 43855 Revise stomach-bowel fusion 43860 Revise stomach-bowel fusion 43865 Revise stomach-bowel fusion 43870 Repair stomach opening 43880 Repair stomach-bowel fistula 44005 Freeing of bowel adhesion 44010 Incision of small bowel 44020 Explore small intestine 44021 Decompress small bowel 44025 Incision of large bowel 44050 Reduce bowel obstruction 44055 Correct malrotation of bowel 44110 Excise intestine lesion(s) 44111 Excision of bowel lesion(s) 45190 Destruction, rectal tumor 45500 Repair of rectum 45505 Repair of rectum 45541 Correct rectal prolapse 45550 Repair rectum/remove sigmoid 45560 Repair of rectocele 45562 Exploration/repair of rectum 45563 Exploration/repair of rectum 45800 Repair rect/bladder fistula 45805 Repair fistula w/colostomy 45820 Repair rectourethral fistula 45825 Repair fistula w/colostomy 46045 Incision of rectal abscess 46060 Incision of rectal abscess 46070 Incision of anal septum 46257 Remove hemorrhoids & fissure 46258 Remove hemorrhoids & fistula 46260 Hemorrhoidectomy 46261 Remove hemorrhoids & fissure 46262 Remove hemorrhoids & fistula 46280 Removal of anal fistula 46288 Repair anal fistula 46700 Repair of anal stricture 46705 Repair of anal stricture 46715 Rep perf anoper fistu 46716 Rep perf anoper/vestib fistu 46730 Construction of absent anus 46735 Construction of absent anus 46740 Construction of absent anus 46742 Repair of imperforated anus 46744 Repair of cloacal anomaly 46746 Repair of cloacal anomaly 46748 Repair of cloacal anomaly 46750 Repair of anal sphincter 46751 Repair of anal sphincter 46753 Reconstruction of anus 46760 Repair of anal sphincter 46761 Repair of anal sphincter 46762 Implant artificial sphincter 47010 Open drainage, liver lesion 47015 Inject/aspirate liver cyst 47100 Wedge biopsy of liver 47120 Partial removal of liver 47122 Extensive removal of liver 47125 Partial removal of liver 47130 Partial removal of liver 47300 Surgery for liver lesion 47350 Repair liver wound 47360 Repair liver wound 47400 Incision of liver duct 47420 Incision of bile duct 47425 Incision of bile duct 47460 Incise bile duct sphincter 47480 Incision of gallbladder 47490 Incision of gallbladder 47600 Removal of gallbladder 47605 Removal of gallbladder 47610 Removal of gallbladder 47612 Removal of gallbladder Start Printed Page 49242 47620 Removal of gallbladder 47700 Exploration of bile ducts 47701 Bile duct revision 47711 Excision of bile duct tumor 47712 Excision of bile duct tumor 47715 Excision of bile duct cyst 47716 Fusion of bile duct cyst 47720 Fuse gallbladder & bowel 47721 Fuse upper gi structures 47740 Fuse gallbladder & bowel 47741 Fuse gallbladder & bowel 47760 Fuse bile ducts and bowel 47765 Fuse liver ducts & bowel 47780 Fuse bile ducts and bowel 47785 Fuse bile ducts and bowel 47800 Reconstruction of bile ducts 47801 Placement, bile duct support 47802 Fuse liver duct & intestine 47900 Suture bile duct injury 48000 Drainage of abdomen 48001 Placement of drain, pancreas 48005 Resect/debride pancreas 48020 Removal of pancreatic stone 48100 Biopsy of pancreas, open 48120 Removal of pancreas lesion 48140 Partial removal of pancreas 48145 Partial removal of pancreas 48146 Pancreatectomy 48148 Removal of pancreatic duct 48150 Partial removal of pancreas 48152 Pancreatectomy 48153 Pancreatectomy 48154 Pancreatectomy 48155 Removal of pancreas 48180 Fuse pancreas and bowel 48500 Surgery of pancreatic cyst 48510 Drain pancreatic pseudocyst 48520 Fuse pancreas cyst and bowel 48540 Fuse pancreas cyst and bowel 48545 Pancreatorrhaphy 48547 Duodenal exclusion 49215 Excise sacral spine tumor 49900 Repair of abdominal wall 51020 Incise & treat bladder 51500 Removal of bladder cyst 51530 Removal of bladder lesion 51535 Repair of ureter lesion 51550 Partial removal of bladder 51555 Partial removal of bladder 51565 Revise bladder & ureter(s) 51570 Removal of bladder 51575 Removal of bladder & nodes 51580 Remove bladder/revise tract 51585 Removal of bladder & nodes 51590 Remove bladder/revise tract 51595 Remove bladder/revise tract 51596 Remove bladder/create pouch 51597 Removal of pelvic structures 51715 Endoscopic injection/implant 51800 Revision of bladder/urethra 51820 Revision of urinary tract 51845 Repair bladder neck 51860 Repair of bladder wound 51865 Repair of bladder wound 51880 Repair of bladder opening 51900 Repair bladder/vagina lesion 51920 Close bladder-uterus fistula 51925 Hysterectomy/bladder repair 51940 Correction of bladder defect 51960 Revision of bladder & bowel 51980 Construct bladder opening 52000 Cystoscopy 52001 Cystoscopy, removal of clots 52005 Cystoscopy & ureter catheter 52281 Cystoscopy and treatment 52283 Cystoscopy and treatment 52285 Cystoscopy and treatment 52332 Cystoscopy and treatment 52647 Laser surgery of prostate 52648 Laser surgery of prostate 53010 Incision of urethra 53080 Drainage of urinary leakage 53085 Drainage of urinary leakage 53210 Removal of urethra 53215 Removal of urethra 53220 Treatment of urethra lesion 53230 Removal of urethra lesion 53235 Removal of urethra lesion 53240 Surgery for urethra pouch 53250 Removal of urethra gland 53400 Revise urethra, stage 1 53405 Revise urethra, stage 2 53410 Reconstruction of urethra 53415 Reconstruction of urethra 53420 Reconstruct urethra, stage 1 53425 Reconstruct urethra, stage 2 53430 Reconstruction of urethra 53445 Insert uro/ves nck sphincter 53449 Repair uro sphincter 53450 Revision of urethra 53460 Revision of urethra 53502 Repair of urethra injury 53505 Repair of urethra injury 53510 Repair of urethra injury 53515 Repair of urethra injury 53520 Repair of urethra defect 54205 Treatment of penis lesion 54300 Revision of penis 54304 Revision of penis 54308 Reconstruction of urethra 54312 Reconstruction of urethra 54316 Reconstruction of urethra 54318 Reconstruction of urethra 54322 Reconstruction of urethra 54324 Reconstruction of urethra 54326 Reconstruction of urethra 54328 Revise penis/urethra 54332 Revise penis/urethra 54336 Revise penis/urethra 54340 Secondary urethral surgery 54344 Secondary urethral surgery 54348 Secondary urethral surgery 54352 Reconstruct urethra/penis 54360 Penis plastic surgery 54380 Repair penis 54385 Repair penis 54390 Repair penis and bladder 54400 Insert semi-rigid prosthesis 54401 Insert self-contd prosthesis 54405 Insert multi-comp penis pros 54520 Removal of testis 54530 Removal of testis 54535 Extensive testis surgery 54550 Exploration for testis 54560 Exploration for testis 54600 Reduce testis torsion 54640 Suspension of testis 54650 Orchiopexy (fowler-stephens) 54660 Revision of testis 54670 Repair testis injury 54680 Relocation of testis(es) 54820 Exploration of epididymis 54830 Remove epididymis lesion 54840 Remove epididymis lesion 54860 Removal of epididymis 54861 Removal of epididymis 54900 Fusion of spermatic ducts 54901 Fusion of spermatic ducts 55040 Removal of hydrocele 55041 Removal of hydroceles 55060 Repair of hydrocele 55500 Removal of hydrocele 55520 Removal of sperm cord lesion 55530 Revise spermatic cord veins 55535 Revise spermatic cord veins 55540 Revise hernia & sperm veins 55600 Incise sperm duct pouch 55605 Incise sperm duct pouch 55650 Remove sperm duct pouch 55680 Remove sperm pouch lesion 55720 Drainage of prostate abscess 55725 Drainage of prostate abscess 55801 Removal of prostate 55810 Extensive prostate surgery 55812 Extensive prostate surgery 55815 Extensive prostate surgery 55821 Removal of prostate 55831 Removal of prostate 55840 Extensive prostate surgery 55842 Extensive prostate surgery 55845 Extensive prostate surgery 55860 Surgical exposure, prostate 55862 Extensive prostate surgery 55865 Extensive prostate surgery 56620 Partial removal of vulva 56625 Complete removal of vulva 56630 Extensive vulva surgery 56631 Extensive vulva surgery 56632 Extensive vulva surgery 56633 Extensive vulva surgery 56634 Extensive vulva surgery 56637 Extensive vulva surgery 56640 Extensive vulva surgery 56805 Repair clitoris 57010 Drainage of pelvic abscess 57106 Remove vagina wall, partial 57107 Remove vagina tissue, part 57109 Vaginectomy partial w/nodes 57110 Remove vagina wall, complete 57111 Remove vagina tissue, compl 57112 Vaginectomy w/nodes, compl 57120 Closure of vagina 57210 Repair vagina/perineum 57307 Fistula repair & colostomy 57308 Fistula repair, transperine 57310 Repair urethrovaginal lesion 57311 Repair urethrovaginal lesion 57320 Repair bladder-vagina lesion 57330 Repair bladder-vagina lesion 57335 Repair vagina 57530 Removal of cervix Start Printed Page 49243 57531 Removal of cervix, radical 57540 Removal of residual cervix 57545 Remove cervix/repair pelvis 57550 Removal of residual cervix 57555 Remove cervix/repair vagina 57556 Remove cervix, repair bowel 57700 Revision of cervix 57720 Revision of cervix 58120 Dilation and curettage 58140 Myomectomy abdom method 58145 Myomectomy vag method 58400 Suspension of uterus 58410 Suspension of uterus 58520 Repair of ruptured uterus 58540 Revision of uterus 58555 Hysteroscopy, dx, sep proc 58558 Hysteroscopy, biopsy 58562 Hysteroscopy, remove fb 58600 Division of fallopian tube 58605 Division of fallopian tube 58660 Laparoscopy, lysis 58662 Laparoscopy, excise lesions 58670 Laparoscopy, tubal cautery 58672 Laparoscopy, fimbrioplasty 58673 Laparoscopy, salpingostomy 58700 Removal of fallopian tube 58720 Removal of ovary/tube(s) 58740 Revise fallopian tube(s) 58750 Repair oviduct 58752 Revise ovarian tube(s) 58760 Remove tubal obstruction 58770 Create new tubal opening 58805 Drainage of ovarian cyst(s) 58820 Drain ovary abscess, open 58822 Drain ovary abscess, percut 58825 Transposition, ovary(s) 58900 Biopsy of ovary(s) 58920 Partial removal of ovary(s) 58925 Removal of ovarian cyst(s) 58940 Removal of ovary(s) 58943 Removal of ovary(s) 58950 Resect ovarian malignancy 58951 Resect ovarian malignancy 58952 Resect ovarian malignancy 58960 Exploration of abdomen 59100 Remove uterus lesion 59120 Treat ectopic pregnancy 59121 Treat ectopic pregnancy 59130 Treat ectopic pregnancy 59130 Treat ectopic pregnancy 59135 Treat ectopic pregnancy 59136 Treat ectopic pregnancy 59150 Treat ectopic pregnancy 59151 Treat ectopic pregnancy 59812 Treatment of miscarriage 59850 Abortion 59851 Abortion 59852 Abortion 59855 Abortion 59856 Abortion 59857 Abortion 59870 Evacuate mole of uterus 60200 Remove thyroid lesion 60210 Partial thyroid excision 60212 Partial thyroid excision 60220 Partial removal of thyroid 60225 Partial removal of thyroid 60240 Removal of thyroid 60252 Removal of thyroid 60254 Extensive thyroid surgery 60260 Repeat thyroid surgery 60270 Removal of thyroid 60271 Removal of thyroid 60280 Remove thyroid duct lesion 60281 Remove thyroid duct lesion 60500 Explore parathyroid glands 60502 Re-explore parathyroids 60505 Explore parathyroid glands 60520 Removal of thymus gland 60521 Removal of thymus gland 60522 Removal of thymus gland 60540 Explore adrenal gland 60545 Explore adrenal gland 60600 Remove carotid body lesion 60605 Remove carotid body lesion 61343 Incise skull (press relief) 61345 Relieve cranial pressure 61440 Incise skull for surgery 61450 Incise skull for surgery 61458 Incise skull for brain wound 61460 Incise skull for surgery 61470 Incise skull for surgery 61480 Incise skull for surgery 61490 Incise skull for surgery 61500 Removal of skull lesion 61501 Remove infected skull bone 61510 Removal of brain lesion 61512 Remove brain lining lesion 61514 Removal of brain abscess 61516 Removal of brain lesion 61518 Removal of brain lesion 61519 Remove brain lining lesion 61520 Removal of brain lesion 61521 Removal of brain lesion 61522 Removal of brain abscess 61524 Removal of brain lesion 61526 Removal of brain lesion 61530 Removal of brain lesion 61531 Implant brain electrodes 61533 Implant brain electrodes 61534 Removal of brain lesion 61535 Remove brain electrodes 61536 Removal of brain lesion 61538 Removal of brain tissue 61539 Removal of brain tissue 61541 Incision of brain tissue 61542 Removal of brain tissue 61543 Removal of brain tissue 61544 Remove & treat brain lesion 61545 Excision of brain tumor 61546 Removal of pituitary gland 61548 Removal of pituitary gland 61550 Release of skull seams 61552 Release of skull seams 61556 Incise skull/sutures 61557 Incise skull/sutures 61558 Excision of skull/sutures 61559 Excision of skull/sutures 61563 Excision of skull tumor 61564 Excision of skull tumor 61570 Remove foreign body, brain 61571 Incise skull for brain wound 61575 Skull base/brainstem surgery 61618 Repair dura 61619 Repair dura 61680 Intracranial vessel surgery 61682 Intracranial vessel surgery 61684 Intracranial vessel surgery 61686 Intracranial vessel surgery 61690 Intracranial vessel surgery 61692 Intracranial vessel surgery 61700 Brain aneurysm repr, simple 61702 Inner skull vessel surgery 61703 Clamp neck artery 61705 Revise circulation to head 61708 Revise circulation to head 61710 Revise circulation to head 61711 Fusion of skull arteries 61720 Incise skull/brain surgery 61735 Incise skull/brain surgery 61750 Incise skull/brain biopsy 61751 Brain biopsy w/ct/mr guide 61760 Implant brain electrodes 61770 Incise skull for treatment 61790 Treat trigeminal nerve 61791 Treat trigeminal tract 61793 Focus radiation beam 61850 Implant neuroelectrodes 61860 Implant neuroelectrodes 61870 Implant neuroelectrodes 61875 Implant neuroelectrodes 61880 Revise/remove neuroelectrode 61885 Insrt/redo neurostim 1 array 62000 Treat skull fracture 62005 Treat skull fracture 62010 Treatment of head injury 62100 Repair brain fluid leakage 62115 Reduction of skull defect 62116 Reduction of skull defect 62117 Reduction of skull defect 62140 Repair of skull defect 62141 Repair of skull defect 62142 Remove skull plate/flap 62143 Replace skull plate/flap 62145 Repair of skull & brain 62146 Repair of skull with graft 62147 Repair of skull with graft 62180 Establish brain cavity shunt 62190 Establish brain cavity shunt 62192 Establish brain cavity shunt 62200 Establish brain cavity shunt 62201 Brain cavity shunt w/scope 62220 Establish brain cavity shunt 62223 Establish brain cavity shunt 62225 Replace/irrigate catheter 62230 Replace/revise brain shunt 62256 Remove brain cavity shunt 62258 Replace brain cavity shunt 62287 Percutaneous diskectomy 63170 Incise spinal cord tract(s) 63172 Drainage of spinal cyst 63173 Drainage of spinal cyst 63180 Revise spinal cord ligaments 63182 Revise spinal cord ligaments 63185 Incise spinal column/nerves 63190 Incise spinal column/nerves 63191 Incise spinal column/nerves 63195 Incise spinal column & cord 63196 Incise spinal column & cord 63197 Incise spinal column & cord 63198 Incise spinal column & cord Start Printed Page 49244 63199 Incise spinal column & cord 63200 Release of spinal cord 63250 Revise spinal cord vessels 63251 Revise spinal cord vessels 63252 Revise spinal cord vessels 63265 Excise intraspinal lesion 63266 Excise intraspinal lesion 63267 Excise intraspinal lesion 63268 Excise intraspinal lesion 63270 Excise intraspinal lesion 63271 Excise intraspinal lesion 63272 Excise intraspinal lesion 63273 Excise intraspinal lesion 63275 Biopsy/excise spinal tumor 63276 Biopsy/excise spinal tumor 63277 Biopsy/excise spinal tumor 63278 Biopsy/excise spinal tumor 63280 Biopsy/excise spinal tumor 63281 Biopsy/excise spinal tumor 63282 Biopsy/excise spinal tumor 63283 Biopsy/excise spinal tumor 63285 Biopsy/excise spinal tumor 63286 Biopsy/excise spinal tumor 63287 Biopsy/excise spinal tumor 63290 Biopsy/excise spinal tumor 63300 Removal of vertebral body 63301 Removal of vertebral body 63302 Removal of vertebral body 63303 Removal of vertebral body 63304 Removal of vertebral body 63305 Removal of vertebral body 63306 Removal of vertebral body 63307 Removal of vertebral body 63650 Implant neuroelectrodes 63655 Implant neuroelectrodes 63660 Revise/remove neuroelectrode 63685 Insrt/redo spine n generator 63688 Revise/remove neuroreceiver 63700 Repair of spinal herniation 63702 Repair of spinal herniation 63704 Repair of spinal herniation 63706 Repair of spinal herniation 63707 Repair spinal fluid leakage 63709 Repair spinal fluid leakage 63710 Graft repair of spine defect 63740 Install spinal shunt 63741 Install spinal shunt 63744 Revision of spinal shunt 63746 Removal of spinal shunt 64573 Implant neuroelectrodes 64575 Implant neuroelectrodes 64577 Implant neuroelectrodes 64580 Implant neuroelectrodes 64612 Destroy nerve, face muscle 64702 Revise finger/toe nerve 64704 Revise hand/foot nerve 64708 Revise arm/leg nerve 64712 Revision of sciatic nerve 64713 Revision of arm nerve(s) 64714 Revise low back nerve(s) 64718 Revise ulnar nerve at elbow 64719 Revise ulnar nerve at wrist 64721 Carpal tunnel surgery 64722 Relieve pressure on nerve(s) 64726 Release foot/toe nerve 64732 Incision of brow nerve 64734 Incision of cheek nerve 64736 Incision of chin nerve 64738 Incision of jaw nerve 64742 Incision of facial nerve 64744 Incise nerve, back of head 64746 Incise diaphragm nerve 64752 Incision of vagus nerve 64755 Incision of stomach nerves 64760 Incision of vagus nerve 64761 Incision of pelvis nerve 64763 Incise hip/thigh nerve 64766 Incise hip/thigh nerve 64771 Sever cranial nerve 64772 Incision of spinal nerve 64774 Remove skin nerve lesion 64776 Remove digit nerve lesion 64782 Remove limb nerve lesion 64784 Remove nerve lesion 64786 Remove sciatic nerve lesion 64788 Remove skin nerve lesion 64790 Removal of nerve lesion 64792 Removal of nerve lesion 64802 Remove sympathetic nerves 64804 Remove sympathetic nerves 64809 Remove sympathetic nerves 64818 Remove sympathetic nerves 64820 Remove sympathetic nerves 64831 Repair of digit nerve 64834 Repair of hand or foot nerve 64835 Repair of hand or foot nerve 64836 Repair of hand or foot nerve 64840 Repair of leg nerve 64856 Repair/transpose nerve 64857 Repair arm/leg nerve 64858 Repair sciatic nerve 64861 Repair of arm nerves 64862 Repair of low back nerves 64870 Fusion of facial/other nerve 64890 Nerve graft, hand or foot 64891 Nerve graft, hand or foot 64892 Nerve graft, arm or leg 64893 Nerve graft, arm or leg 64895 Nerve graft, hand or foot 64896 Nerve graft, hand or foot 64897 Nerve graft, arm or leg 64898 Nerve graft, arm or leg 64905 Nerve pedicle transfer 64907 Nerve pedicle transfer 65091 Revise eye 65093 Revise eye with implant 65101 Removal of eye 65103 Remove eye/insert implant 65105 Remove eye/attach implant 65110 Removal of eye 65112 Remove eye/revise socket 65114 Remove eye/revise socket 65125 Revise ocular implant 65130 Insert ocular implant 65135 Insert ocular implant 65140 Attach ocular implant 65150 Revise ocular implant 65155 Reinsert ocular implant 65175 Removal of ocular implant 65205 Remove foreign body from eye 65210 Remove foreign body from eye 65220 Remove foreign body from eye 65222 Remove foreign body from eye 65235 Remove foreign body from eye 65260 Remove foreign body from eye 65265 Remove foreign body from eye 65270 Repair of eye wound 65272 Repair of eye wound 65273 Repair of eye wound 65275 Repair of eye wound 65280 Repair of eye wound 65285 Repair of eye wound 65286 Repair of eye wound 65290 Repair of eye socket wound 65400 Removal of eye lesion 65410 Biopsy of cornea 65420 Removal of eye lesion 65426 Removal of eye lesion 65430 Corneal smear 65435 Curette/treat cornea 65436 Curette/treat cornea 65450 Treatment of corneal lesion 65600 Revision of cornea 65710 Corneal transplant 65730 Corneal transplant 65750 Corneal transplant 65755 Corneal transplant 65760 Revision of cornea 65765 Revision of cornea 65767 Corneal tissue transplant 65770 Revise cornea with implant 65771 Radial keratotomy 65772 Correction of astigmatism 65775 Correction of astigmatism 65780 Ocular reconst, transplant 65781 Ocular reconst, transplant 65782 Ocular reconst, transplant 65800 Drainage of eye 65805 Drainage of eye 65810 Drainage of eye 65815 Drainage of eye 65820 Relieve inner eye pressure 65850 Incision of eye 65855 Laser surgery of eye 65860 Incise inner eye adhesions 65865 Incise inner eye adhesions 65870 Incise inner eye adhesions 65875 Incise inner eye adhesions 65880 Incise inner eye adhesions 65900 Remove eye lesion 65920 Remove implant of eye 65930 Remove blood clot from eye 66020 Injection treatment of eye 66030 Injection treatment of eye 66130 Remove eye lesion 66150 Glaucoma surgery 66155 Glaucoma surgery 66160 Glaucoma surgery 66165 Glaucoma surgery 66170 Glaucoma surgery 66172 Incision of eye 66180 Implant eye shunt 66185 Revise eye shunt 66220 Repair eye lesion 66225 Repair/graft eye lesion 66250 Follow-up surgery of eye 66500 Incision of iris 66505 Incision of iris 66600 Remove iris and lesion 66605 Removal of iris 66625 Removal of iris Start Printed Page 49245 66630 Removal of iris 66635 Removal of iris 66680 Repair iris & ciliary body 66682 Repair iris & ciliary body 66700 Destruction, ciliary body 66710 Ciliary transsleral therapy 66711 Ciliary endoscopic ablation 66720 Destruction, ciliary body 66740 Destruction, ciliary body 66761 Revision of iris 66762 Revision of iris 66770 Removal of inner eye lesion 66820 Incision, secondary cataract 66821 After cataract laser surgery 66825 Reposition intraocular lens 66830 Removal of lens lesion 66840 Removal of lens material 66850 Removal of lens material 66852 Removal of lens material 66920 Extraction of lens 66930 Extraction of lens 66940 Extraction of lens 66982 Cataract surgery, complex 66983 Cataract surg w/iol, 1 stage 66984 Cataract surg w/iol, 1 stage 66985 Insert lens prosthesis 66986 Exchange lens prosthesis 66990 Ophthalmic endoscope add-on 66999 Eye surgery procedure 67005 Partial removal of eye fluid 67010 Partial removal of eye fluid 67015 Release of eye fluid 67025 Replace eye fluid 67027 Implant eye drug system 67028 Injection eye drug 67030 Incise inner eye strands 67031 Laser surgery, eye strands 67036 Removal of inner eye fluid 67038 Strip retinal membrane 67039 Laser treatment of retina 67040 Laser treatment of retina 67101 Repair detached retina 67105 Repair detached retina 67107 Repair detached retina 67108 Repair detached retina 67110 Repair detached retina 67112 Rerepair detached retina 67115 Release encircling material 67120 Remove eye implant material 67121 Remove eye implant material 67141 Treatment of retina 67145 Treatment of retina 67208 Treatment of retinal lesion 67210 Treatment of retinal lesion 67218 Treatment of retinal lesion 67220 Treatment of choroid lesion 67221 Ocular photodynamic ther 67225 Eye photodynamic ther add-on 67227 Treatment of retinal lesion 67228 Treatment of retinal lesion 67250 Reinforce eye wall 67255 Reinforce/graft eye wall 67299 Eye surgery procedure 67311 Revise eye muscle 67312 Revise two eye muscles 67314 Revise eye muscle 67316 Revise two eye muscles 67318 Revise eye muscle(s) 67320 Revise eye muscle(s) add-on 67331 Eye surgery follow-up add-on 67332 Rerevise eye muscles add-on 67334 Revise eye muscle w/suture 67335 Eye suture during surgery 67340 Revise eye muscle add-on 67343 Release eye tissue 67345 Destroy nerve of eye muscle 67350 Biopsy eye muscle 67399 Eye muscle surgery procedure 67400 Explore/biopsy eye socket 67405 Explore/drain eye socket 67412 Explore/treat eye socket 67413 Explore/treat eye socket 67414 Explr/decompress eye socket 67415 Aspiration, orbital contents 67420 Explore/treat eye socket 67430 Explore/treat eye socket 67440 Explore/drain eye socket 67445 Explr/decompress eye socket 67450 Explore/biopsy eye socket 67500 Inject/treat eye socket 67505 Inject/treat eye socket 67515 Inject/treat eye socket 67550 Insert eye socket implant 67560 Revise eye socket implant 67570 Decompress optic nerve 67599 Orbit surgery procedure 67700 Drainage of eyelid abscess 67710 Incision of eyelid 67715 Incision of eyelid fold 67800 Remove eyelid lesion 67801 Remove eyelid lesions 67805 Remove eyelid lesions 67808 Remove eyelid lesion(s) 67810 Biopsy of eyelid 67820 Revise eyelashes 67825 Revise eyelashes 67830 Revise eyelashes 67835 Revise eyelashes 67840 Remove eyelid lesion 67850 Treat eyelid lesion 67875 Closure of eyelid by suture 67880 Revision of eyelid 67882 Revision of eyelid 67900 Repair brow defect 67901 Repair eyelid defect 67902 Repair eyelid defect 67903 Repair eyelid defect 67904 Repair eyelid defect 67906 Repair eyelid defect 67908 Repair eyelid defect 67909 Revise eyelid defect 67911 Revise eyelid defect 67912 Correction eyelid w/implant 67914 Repair eyelid defect 67915 Repair eyelid defect 67916 Repair eyelid defect 67917 Repair eyelid defect 67921 Repair eyelid defect 67922 Repair eyelid defect 67923 Repair eyelid defect 67924 Repair eyelid defect 67930 Repair eyelid wound 67935 Repair eyelid wound 67938 Remove eyelid foreign body 67950 Revision of eyelid 67961 Revision of eyelid 67966 Revision of eyelid 67971 Reconstruction of eyelid 67973 Reconstruction of eyelid 67974 Reconstruction of eyelid 67975 Reconstruction of eyelid 67999 Revision of eyelid 68020 Incise/drain eyelid lining 68040 Treatment of eyelid lesions 68100 Biopsy of eyelid lining 68110 Remove eyelid lining lesion 68115 Remove eyelid lining lesion 68130 Remove eyelid lining lesion 68135 Remove eyelid lining lesion 68200 Treat eyelid by injection 68320 Revise/graft eyelid lining 68325 Revise/graft eyelid lining 68326 Revise/graft eyelid lining 68328 Revise/graft eyelid lining 68330 Revise eyelid lining 68335 Revise/graft eyelid lining 68340 Separate eyelid adhesions 68360 Revise eyelid lining 68362 Revise eyelid lining 68371 Harvest eye tissue, alograft 68399 Eyelid lining surgery 68400 Incise/drain tear gland 68420 Incise/drain tear sac 68440 Incise tear duct opening 68500 Removal of tear gland 68505 Partial removal, tear gland 68510 Biopsy of tear gland 68520 Removal of tear sac 68525 Biopsy of tear sac 68530 Clearance of tear duct 68540 Remove tear gland lesion 68550 Remove tear gland lesion 68700 Repair tear ducts 68705 Revise tear duct opening 68720 Create tear sac drain 68745 Create tear duct drain 68750 Create tear duct drain 68760 Close tear duct opening 68761 Close tear duct opening 68770 Close tear system fistula 68801 Dilate tear duct opening 68810 Probe nasolacrimal duct 68811 Probe nasolacrimal duct 68815 Probe nasolacrimal duct 68840 Explore/irrigate tear ducts 68850 Injection for tear sac x-ray 68899 Tear duct system surgery 76075 Dxa bone density, axial 76510 Ophth us, b & quant a 76511 Ophth us, quant a only 76512 Ophth us, b w/non-quant a 76513 Echo exam of eye, water bath 76514 Echo exam of eye, thickness 76516 Echo exam of eye 76519 Echo exam of eye 76529 Echo exam of eye 78350 Bone mineral, single photon 78472 Gated heart, planar, single 78481 Heart first pass, single 78483 Heart first pass, multiple 91010 Esophagus motility study Start Printed Page 49246 91034 Gastroesophageal reflux test 91037 Esoph imped function test 91038 Esoph imped funct test >1h 92002 Eye exam, new patient 92004 Eye exam, new patient 92012 Eye exam established pat 92014 Eye exam & treatment 92015 Refraction 92018 New eye exam & treatment 92019 Eye exam & treatment 92020 Special eye evaluation 92060 Special eye evaluation 92065 Orthoptic/pleoptic training 92070 Fitting of contact lens 92081 Visual field examination(s) 92082 Visual field examination(s) 92083 Visual field examination(s) 92100 Serial tonometry exam(s) 92120 Tonography & eye evaluation 92130 Water provocation tonography 92135 Opthalmic dx imaging 92136 Ophthalmic biometry 92140 Glaucoma provocative tests 92225 Special eye exam, initial 92226 Special eye exam, subsequent 92230 Eye exam with photos 92235 Eye exam with photos 92240 Icg angiography 92250 Eye exam with photos 92260 Ophthalmoscopy/dynamome try 92265 Eye muscle evaluation 92270 Electro-oculography 92275 Electroretinography 92283 Color vision examination 92284 Dark adaptation eye exam 92285 Eye photography 92286 Internal eye photography 92287 Internal eye photography 92310 Contact lens fitting 92311 Contact lens fitting 92312 Contact lens fitting 92313 Contact lens fitting 92314 Prescription of contact lens 92315 Prescription of contact lens 92316 Prescription of contact lens 92317 Prescription of contact lens 92325 Modification of contact lens 92326 Replacement of contact lens Addendum D.—Proposed 2007 Geographic Practice Cost Indices by Medicare Carrier and Locality
Carrier Locality Locality name Work GPCI PE GPCI MP GPCI 00510 00 Alabama 0.982 0.847 0.740 00831 01 Alaska 1.017 1.105 1.013 00832 00 Arizona 0.987 0.994 1.052 00520 13 Arkansas 0.961 0.832 0.431 31140 03 Marin/Napa/Solano, CA 1.035 1.342 0.640 31140 05 San Francisco, CA 1.060 1.546 0.640 31140 06 San Mateo, CA 1.073 1.539 0.629 31140 07 Oakland/Berkley, CA 1.054 1.373 0.640 31140 09 Santa Clara, CA 1.083 1.543 0.595 31146 17 Ventura, CA 1.028 1.181 0.732 31146 18 Los Angeles, CA 1.041 1.158 0.939 31146 26 Anaheim/Santa Ana, CA 1.034 1.238 0.939 31140 99 Rest of California* 1.007 1.054 0.721 31146 99 Rest of California* 1.007 1.054 0.721 00824 01 Colorado 0.986 1.015 0.790 00591 00 Connecticut 1.038 1.172 0.886 00903 01 DC + MD/VA Suburbs 1.048 1.252 0.911 00902 01 Delaware 1.012 1.020 0.877 00590 03 Fort Lauderdale, FL 0.988 0.990 1.675 00590 04 Miami, FL 1.000 1.048 2.233 00590 99 Rest of Florida 0.973 0.936 1.251 00511 01 Atlanta, GA 1.010 1.091 0.950 00511 99 Rest of Georgia 0.979 0.874 0.950 00833 01 Hawaii/Guam 1.005 1.113 0.787 05130 00 Idaho 0.968 0.869 0.452 00952 12 East St. Louis, IL 0.988 0.940 1.722 00952 15 Suburban Chicago, IL 1.018 1.117 1.626 00952 16 Chicago, IL 1.025 1.128 1.837 00952 99 Rest of Illinois 0.974 0.874 1.174 00630 00 Indiana 0.985 0.908 0.429 00826 00 Iowa 0.967 0.869 0.579 00650 00 Kansas* 0.968 0.880 0.709 00740 04 Kansas* 0.968 0.880 0.709 00660 00 Kentucky 0.970 0.855 0.859 00528 01 New Orleans, LA 0.986 0.947 1.178 00528 99 Rest of Louisiana 0.970 0.848 1.000 31142 03 Southern Maine 0.980 1.014 0.626 31142 99 Rest of Maine 0.962 0.887 0.626 00901 01 Baltimore/Surr. Cntys, MD 1.012 1.080 0.932 00901 99 Rest of Maryland 0.993 0.981 0.748 31143 01 Metropolitan Boston 1.030 1.331 0.810 31143 99 Rest of Massachusetts 1.007 1.015 0.810 00953 01 Detroit, MI 1.037 1.056 2.700 00953 99 Rest of Michigan 0.997 0.922 1.494 00954 00 Minnesota 0.991 1.006 0.404 Start Printed Page 49247 00512 00 Mississippi 0.960 0.841 0.711 00523 01 Metropolitan St. Louis, MO 0.992 0.956 0.926 00740 02 Metropolitan Kansas City, MO 0.989 0.977 0.931 00523 99 Rest of Missouri* 0.950 0.803 0.878 00740 99 Rest of Missouri* 0.950 0.803 0.878 00751 01 Montana 0.950 0.845 0.889 00655 00 Nebraska 0.959 0.876 0.447 00834 00 Nevada 1.003 1.045 1.050 31144 40 New Hampshire 0.981 1.029 0.927 00805 01 Northern NJ 1.058 1.222 0.958 00805 99 Rest of New Jersey 1.043 1.121 0.958 00521 05 New Mexico 0.972 0.888 0.880 00801 99 Rest of New York 0.997 0.919 0.666 00803 01 Manhattan, NY 1.065 1.300 1.000 00803 02 NYC Suburbs/Long I., NY 1.052 1.283 1.756 00803 03 Poughkpsie/N NYC Suburbs, NY 1.014 1.076 1.148 14330 04 Queens, NY 1.032 1.230 1.682 05535 00 North Carolina 0.971 0.922 0.630 00820 01 North Dakota 0.946 0.861 0.593 00883 00 Ohio 0.992 0.934 0.960 00522 00 Oklahoma 0.964 0.856 0.376 00835 01 Portland, OR 1.002 1.059 0.434 00835 99 Rest of Oregon 0.968 0.927 0.434 00865 01 Metropolitan Philadelphia, PA 1.016 1.106 1.364 00865 99 Rest of Pennsylvania 0.992 0.904 0.793 00973 20 Puerto Rico 0.906 0.699 0.257 00524 01 Rhode Island 1.045 0.991 0.895 00880 01 South Carolina 0.975 0.894 0.388 00820 02 South Dakota 0.943 0.877 0.359 05440 35 Tennessee 0.977 0.881 0.621 00900 09 Brazoria, TX 1.020 0.963 1.277 00900 11 Dallas, TX 1.009 1.064 1.044 00900 15 Galveston, TX 0.990 0.954 1.277 00900 18 Houston, TX 1.016 1.016 1.276 00900 20 Beaumont, TX 0.983 0.862 1.277 00900 28 Fort Worth, TX 0.997 0.991 1.044 00900 31 Austin, TX 0.991 1.048 0.970 00900 99 Rest of Texas 0.968 0.866 1.120 00910 09 Utah 0.977 0.938 0.651 31145 50 Vermont 0.968 0.970 0.505 00973 50 Virgin Islands 0.967 1.015 0.987 00904 00 Virginia 0.981 0.942 0.569 00836 02 Seattle (King Cnty), WA 1.014 1.133 0.805 00836 99 Rest of Washington 0.987 0.980 0.805 00884 16 West Virginia 0.973 0.820 1.522 00951 00 Wisconsin 0.987 0.920 0.777 00825 21 Wyoming 0.956 0.855 0.920 Addendum E.—2007 Proposed GAFs
Carrier Locality Locality name GAF 31140 09 Santa Clara, CA 1.265 31140 06 San Mateo, CA 1.259 31140 05 San Francisco, CA 1.256 00803 02 NYC Suburbs/Long I., NY 1.180 31140 07 Oakland/Berkley, CA 1.177 00803 01 Manhattan, NY 1.165 31140 03 Marin/Napa/Solano, CA 1.154 31143 01 Metropolitan Boston 1.153 14330 04 Queens, NY 1.144 00903 01 DC + MD/VA Suburbs 1.132 00805 01 Northern NJ 1.126 31146 26 Anaheim/Santa Ana, CA 1.120 00953 01 Detroit, MI 1.110 00952 16 Chicago, IL 1.102 00591 00 Connecticut 1.091 31146 18 Los Angeles, CA 1.088 00952 15 Suburban Chicago, IL 1.085 Start Printed Page 49248 31146 17 Ventura, CA 1.084 00805 99 Rest of New Jersey 1.074 00865 01 Metropolitan Philadelphia, PA 1.069 00590 04 Miami, FL 1.069 00836 02 Seattle (King Cnty), WA 1.058 00831 01 Alaska 1.055 00803 03 Poughkpsie/N NYC Suburbs, NY 1.046 00833 01 Hawaii/Guam 1.044 00511 01 Atlanta, GA 1.043 00901 01 Baltimore/Surr. Cntys, MD 1.039 00900 11 Dallas, TX 1.035 00900 18 Houston, TX 1.026 00834 00 Nevada 1.023 31140 99 Rest of California* 1.017 31146 99 Rest of California* 1.017 00524 01 Rhode Island 1.016 00590 03 Fort Lauderdale, FL 1.015 00900 31 Austin, TX 1.015 00902 01 Delaware 1.011 00900 09 Brazoria, TX 1.005 00835 01 Portland, OR 1.005 31143 99 Rest of Massachusetts 1.003 31144 40 New Hampshire 1.000 00900 28 Fort Worth, TX 0.996 00952 12 East St. Louis, IL 0.995 00832 00 Arizona 0.993 00824 01 Colorado 0.991 00973 50 Virgin Islands 0.989 00900 15 Galveston, TX 0.985 00953 99 Rest of Michigan 0.984 00740 02 Metropolitan Kansas City, MO 0.982 31142 03 Southern Maine 0.981 00901 99 Rest of Maryland 0.978 00836 99 Rest of Washington 0.977 00528 01 New Orleans, LA 0.976 00954 00 Minnesota 0.975 00523 01 Metropolitan St. Louis, MO 0.974 00590 99 Rest of Florida 0.968 00883 00 Ohio 0.965 31145 50 Vermont 0.951 00801 99 Rest of New York 0.950 00951 00 Wisconsin 0.950 00904 00 Virginia 0.948 00910 09 Utah 0.947 00865 99 Rest of Pennsylvania 0.946 00900 20 Beaumont, TX 0.942 00952 99 Rest of Illinois 0.938 05535 00 North Carolina 0.936 00511 99 Rest of Georgia 0.932 00521 05 New Mexico 0.932 00630 00 Indiana 0.930 00835 99 Rest of Oregon 0.929 00900 99 Rest of Texas 0.929 00884 16 West Virginia 0.927 05440 35 Tennessee 0.921 00650 00 Kansas* 0.919 00740 04 Kansas* 0.919 00528 99 Rest of Louisiana 0.918 00880 01 South Carolina 0.917 31142 99 Rest of Maine 0.916 00660 00 Kentucky 0.915 00510 00 Alabama 0.914 00825 21 Wyoming 0.910 00826 00 Iowa 0.909 05130 00 Idaho 0.905 00655 00 Nebraska 0.903 00751 01 Montana 0.902 00512 00 Mississippi 0.898 00820 01 North Dakota 0.895 00522 00 Oklahoma 0.894 00820 02 South Dakota 0.891 00520 13 Arkansas 0.884 Start Printed Page 49249 00523 99 Rest of Missouri 0.883 00740 99 Rest of Missouri 0.883 00973 20 Puerto Rico 0.790 End Part End Supplemental InformationAddendum F.—Proposed CPT/HCPCS Imaging Codes Defined by Section 5102(b) of the DRA
HCPCS/ CPT Short descriptor 31620 Endobronchial us add-on 37250 Iv us first vessel add-on 37251 Iv us each add vessel add-on 51798 Us urine capacity measure 70010 Contrast x-ray of brain 70015 Contrast x-ray of brain 70030 X-ray eye for foreign body 70100 X-ray exam of jaw 70110 X-ray exam of jaw 70120 X-ray exam of mastoids 70130 X-ray exam of mastoids 70134 X-ray exam of middle ear 70140 X-ray exam of facial bones 70150 X-ray exam of facial bones 70160 X-ray exam of nasal bones 70170 X-ray exam of tear duct 70190 X-ray exam of eye sockets 70200 X-ray exam of eye sockets 70210 X-ray exam of sinuses 70220 X-ray exam of sinuses 70240 X-ray exam, pituitary saddle 70250 X-ray exam of skull 70260 X-ray exam of skull 70300 X-ray exam of teeth 70310 X-ray exam of teeth 70320 Full mouth x-ray of teeth 70328 X-ray exam of jaw joint 70330 X-ray exam of jaw joints 70332 X-ray exam of jaw joint 70336 Magnetic image, jaw joint 70350 X-ray head for orthodontia 70355 Panoramic x-ray of jaws 70360 X-ray exam of neck 70370 Throat x-ray & fluoroscopy 70371 Speech evaluation, complex 70373 Contrast x-ray of larynx 70380 X-ray exam of salivary gland 70390 X-ray exam of salivary duct 70450 Ct head/brain w/o dye 70460 Ct head/brain w/dye 70470 Ct head/brain w/o & w/dye 70480 Ct orbit/ear/fossa w/o dye 70481 Ct orbit/ear/fossa w/dye 70482 Ct orbit/ear/fossa w/o& w/dye 70486 Ct maxillofacial w/o dye 70487 Ct maxillofacial w/dye 70488 Ct maxillofacial w/o & w/dye 70490 Ct soft tissue neck w/o dye 70491 Ct soft tissue neck w/dye 70492 Ct sft tsue nck w/o & w/dye 70496 Ct angiography, head 70498 Ct angiography, neck 70540 Mri orbit/face/neck w/o dye 70542 Mri orbit/face/neck w/dye 70543 Mri orbt/fac/nck w/o & w/dye 70544 Mr angiography head w/o dye 70545 Mr angiography head w/dye 70546 Mr angiograph head w/o & w/dye 70547 Mr angiography neck w/o dye 70548 Mr angiography neck w/dye 70549 Mr angiograph neck w/o & w/dye 70551 Mri brain w/o dye 70552 Mri brain w/dye 70553 Mri brain w/o & w/dye 70557 Mri brain w/o dye 70558 Mri brain w/dye 70559 Mri brain w/o & w/dye 71010 Chest x-ray 71015 Chest x-ray 71020 Chest x-ray 71021 Chest x-ray 71022 Chest x-ray 71023 Chest x-ray and fluoroscopy 71030 Chest x-ray 71034 Chest x-ray and fluoroscopy 71035 Chest x-ray 71040 Contrast x-ray of bronchi 71060 Contrast x-ray of bronchi 71090 X-ray & pacemaker insertion 71100 X-ray exam of ribs 71101 X-ray exam of ribs/chest 71110 X-ray exam of ribs 71111 X-ray exam of ribs/chest 71120 X-ray exam of breastbone 71130 X-ray exam of breastbone 71250 Ct thorax w/o dye 71260 Ct thorax w/dye 71270 Ct thorax w/o & w/dye 71275 Ct angiography, chest 71550 Mri chest w/o dye 71551 Mri chest w/dye 71552 Mri chest w/o & w/dye 71555 Mri angio chest w or w/o dye 72010 X-ray exam of spine 72020 X-ray exam of spine 72040 X-ray exam of neck spine 72050 X-ray exam of neck spine 72052 X-ray exam of neck spine 72069 X-ray exam of trunk spine 72070 X-ray exam of thoracic spine 72072 X-ray exam of thoracic spine 72074 X-ray exam of thoracic spine 72080 X-ray exam of trunk spine 72090 X-ray exam of trunk spine 72100 X-ray exam of lower spine 72110 X-ray exam of lower spine 72114 X-ray exam of lower spine 72120 X-ray exam of lower spine 72125 Ct neck spine w/o dye 72126 Ct neck spine w/dye 72127 Ct neck spine w/o & w/dye 72128 Ct chest spine w/o dye 72129 Ct chest spine w/dye 72130 Ct chest spine w/o & w/dye 72131 Ct lumbar spine w/o dye 72132 Ct lumbar spine w/dye 72133 Ct lumbar spine w/o & w/dye 72141 Mri neck spine w/o dye 72142 Mri neck spine w/dye 72146 Mri chest spine w/o dye 72147 Mri chest spine w/dye 72148 Mri lumbar spine w/o dye 72149 Mri lumbar spine w/dye 72156 Mri neck spine w/o & w/dye 72157 Mri chest spine w/o & w/dye 72158 Mri lumbar spine w/o & w/dye 72159 Mr angio spine w/o & w/dye 72170 X-ray exam of pelvis 72190 X-ray exam of pelvis 72191 Ct angiograph pelv w/o & w/dye 72192 Ct pelvis w/o dye 72193 Ct pelvis w/dye 72194 Ct pelvis w/o & w/dye 72195 Mri pelvis w/o dye 72196 Mri pelvis w/dye 72197 Mri pelvis w/o & w/dye 72198 Mr angio pelvis w/o & w/dye 72200 X-ray exam sacroiliac joints 72202 X-ray exam sacroiliac joints 72220 X-ray exam of tailbone 72240 Contrast x-ray of neck spine 72255 Contrast x-ray, thorax spine 72265 Contrast x-ray, lower spine 72270 Contrast x-ray, spine 72275 Epidurography 72285 X-ray c/t spine disk 72295 X-ray of lower spine disk 73000 X-ray exam of collar bone 73010 X-ray exam of shoulder blade 73020 X-ray exam of shoulder 73030 X-ray exam of shoulder 73040 Contrast x-ray of shoulder 73050 X-ray exam of shoulders 73060 X-ray exam of humerus 73070 X-ray exam of elbow 73080 X-ray exam of elbow 73085 Contrast x-ray of elbow 73090 X-ray exam of forearm 73092 X-ray exam of arm, infant 73100 X-ray exam of wrist 73110 X-ray exam of wrist 73115 Contrast x-ray of wrist 73120 X-ray exam of hand 73130 X-ray exam of hand 73140 X-ray exam of finger(s) 73200 Ct upper extremity w/o dye 73201 Ct upper extremity w/dye 73202 Ct uppr extremity w/o & w/dye 73206 Ct angio upr extrm w/o & w/dye 73218 Mri upper extremity w/o dye 73219 Mri upper extremity w/dye 73220 Mri uppr extremity w/o & w/dye 73221 Mri joint upr extrem w/o dye 73222 Mri joint upr extrem w/dye 73223 Mri joint upr extr w/o & w/dye 73225 Mr angio upr extr w/o & w/dye 73500 X-ray exam of hip Start Printed Page 49250 73510 X-ray exam of hip 73520 X-ray exam of hips 73525 Contrast x-ray of hip 73530 X-ray exam of hip 73540 X-ray exam of pelvis & hips 73542 X-ray exam, sacroiliac joint 73550 X-ray exam of thigh 73560 X-ray exam of knee, 1 or 2 73562 X-ray exam of knee, 3 73564 X-ray exam, knee, 4 or more 73565 X-ray exam of knees 73580 Contrast x-ray of knee joint 73590 X-ray exam of lower leg 73592 X-ray exam of leg, infant 73600 X-ray exam of ankle 73610 X-ray exam of ankle 73615 Contrast x-ray of ankle 73620 X-ray exam of foot 73630 X-ray exam of foot 73650 X-ray exam of heel 73660 X-ray exam of toe(s) 73700 Ct lower extremity w/o dye 73701 Ct lower extremity w/dye 73702 Ct lwr extremity w/o & w/dye 73706 Ct angio lwr extr w/o & w/dye 73718 Mri lower extremity w/o dye 73719 Mri lower extremity w/dye 73720 Mri lwr extremity w/o & w/dye 73721 Mri jnt of lwr extre w/o dye 73722 Mri joint of lwr extr w/dye 73723 Mri joint lwr extr w/o & w/dye 73725 Mr ang lwr ext w or w/o dye 74000 X-ray exam of abdomen 74010 X-ray exam of abdomen 74020 X-ray exam of abdomen 74022 X-ray exam series, abdomen 74150 Ct abdomen w/o dye 74160 Ct abdomen w/dye 74170 Ct abdomen w/o & w/dye 74175 Ct angio abdom w/o & w/dye 74181 Mri abdomen w/o dye 74182 Mri abdomen w/dye 74183 Mri abdomen w/o & w/dye 74185 Mri angio, abdom w orw/o dye 74190 X-ray exam of peritoneum 74210 Contrst x-ray exam of throat 74220 Contrast x-ray, esophagus 74230 Cine/vid x-ray, throat/esoph 74235 Remove esophagus obstruction 74240 X-ray exam, upper gi tract 74241 X-ray exam, upper gi tract 74245 X-ray exam, upper gi tract 74246 Contrst x-ray uppr gi tract 74247 Contrst x-ray uppr gi tract 74249 Contrst x-ray uppr gi tract 74250 X-ray exam of small bowel 74251 X-ray exam of small bowel 74260 X-ray exam of small bowel 74270 Contrast x-ray exam of colon 74280 Contrast x-ray exam of colon 74283 Contrast x-ray exam of colon 74290 Contrast x-ray, gallbladder 74291 Contrast x-rays, gallbladder 74300 X-ray bile ducts/pancreas 74301 X-rays at surgery add-on 74305 X-ray bile ducts/pancreas 74320 Contrast x-ray of bile ducts 74327 X-ray bile stone removal 74328 X-ray bile duct endoscopy 74329 X-ray for pancreas endoscopy 74330 X-ray bile/panc endoscopy 74340 X-ray guide for GI tube 74350 X-ray guide, stomach tube 74355 X-ray guide, intestinal tube 74360 X-ray guide, GI dilation 74363 X-ray, bile duct dilation 74400 Contrst x-ray, urinary tract 74410 Contrst x-ray, urinary tract 74415 Contrst x-ray, urinary tract 74420 Contrst x-ray, urinary tract 74425 Contrst x-ray, urinary tract 74430 Contrast x-ray, bladder 74440 X-ray, male genital tract 74445 X-ray exam of penis 74450 X-ray, urethra/bladder 74455 X-ray, urethra/bladder 74470 X-ray exam of kidney lesion 74475 X-ray control, cath insert 74480 X-ray control, cath insert 74485 X-ray guide, GU dilation 74710 X-ray measurement of pelvis 74740 X-ray, female genital tract 74742 X-ray, fallopian tube 74775 X-ray exam of perineum 75552 Heart mri for morph w/o dye 75553 Heart mri for morph w/dye 75554 Cardiac MRI/function 75555 Cardiac MRI/limited study 75556 Cardiac MRI/flow mapping 75600 Contrast x-ray exam of aorta 75605 Contrast x-ray exam of aorta 75625 Contrast x-ray exam of aorta 75630 X-ray aorta, leg arteries 75635 Ct angio abdominal arteries 75650 Artery x-rays, head & neck 75658 Artery x-rays, arm 75660 Artery x-rays, head & neck 75662 Artery x-rays, head & neck 75665 Artery x-rays, head & neck 75671 Artery x-rays, head & neck 75676 Artery x-rays, neck 75680 Artery x-rays, neck 75685 Artery x-rays, spine 75705 Artery x-rays, spine 75710 Artery x-rays, arm/leg 75716 Artery x-rays, arms/legs 75722 Artery x-rays, kidney 75724 Artery x-rays, kidneys 75726 Artery x-rays, abdomen 75731 Artery x-rays, adrenal gland 75733 Artery x-rays, adrenals 75736 Artery x-rays, pelvis 75741 Artery x-rays, lung 75743 Artery x-rays, lungs 75746 Artery x-rays, lung 75756 Artery x-rays, chest 75774 Artery x-ray, each vessel 75790 Visualize A-V shunt 75801 Lymph vessel x-ray, arm/leg 75803 Lymph vessel x-ray,arms/legs 75805 Lymph vessel x-ray, trunk 75807 Lymph vessel x-ray, trunk 75809 Nonvascular shunt, x-ray 75810 Vein x-ray, spleen/liver 75820 Vein x-ray, arm/leg 75822 Vein x-ray, arms/legs 75825 Vein x-ray, trunk 75827 Vein x-ray, chest 75831 Vein x-ray, kidney 75833 Vein x-ray, kidneys 75840 Vein x-ray, adrenal gland 75842 Vein x-ray, adrenal glands 75860 Vein x-ray, neck 75870 Vein x-ray, skull 75872 Vein x-ray, skull 75880 Vein x-ray, eye socket 75885 Vein x-ray, liver 75887 Vein x-ray, liver 75889 Vein x-ray, liver 75891 Vein x-ray, liver 75893 Venous sampling by catheter 75894 X-rays, transcath therapy 75896 X-rays, transcath therapy 75898 Follow-up angiography 75900 Intravascular cath exchange 75901 Remove cva device obstruct 75902 Remove cva lumen obstruct 75940 X-ray placement, vein filter 75945 Intravascular us 75946 Intravascular us add-on 75952 Endovasc repair abdom aorta 75953 Abdom aneurysm endovas rpr 75954 Iliac aneurysm endovas rpr 75956 Xray, endovasc thor ao repr 75957 Xray, endovasc thor ao repr 75958 Xray, place prox ext thor ao 75959 Xray, place dist ext thor ao 75960 Transcath iv stent rs&i 75961 Retrieval, broken catheter 75962 Repair arterial blockage 75964 Repair artery blockage, each 75966 Repair arterial blockage 75968 Repair artery blockage, each 75970 Vascular biopsy 75978 Repair venous blockage 75980 Contrast xray exam bile duct 75982 Contrast xray exam bile duct 75984 Xray control catheter change 75989 Abscess drainage under x-ray 75992 Atherectomy, x-ray exam 75993 Atherectomy, x-ray exam 75994 Atherectomy, x-ray exam 75995 Atherectomy, x-ray exam 75996 Atherectomy, x-ray exam 75998 Fluoroguide for vein device 76000 Fluoroscope examination 76001 Fluoroscope exam, extensive 76003 Needle localization by x-ray 76005 Fluoroguide for spine inject 76006 X-ray stress view 76010 X-ray, nose to rectum 76012 Percut vertebroplasty fluor 76013 Percut vertebroplasty, ct 76020 X-rays for bone age 76040 X-rays, bone evaluation 76061 X-rays, bone survey 76062 X-rays, bone survey 76065 X-rays, bone evaluation 76066 Joint survey, single view 76070 Ct bone density, axial 76071 Ct bone density, peripheral Start Printed Page 49251 76075 Dxa bone density, axial 76076 Dxa bone density/peripheral 76077 Dxa bone density/v-fracture 76078 Radiographic absorptiometry 76080 X-ray exam of fistula 76086 X-ray of mammary duct 76088 X-ray of mammary ducts 76093 Magnetic image, breast 76094 Magnetic image, both breasts 76095 Stereotactic breast biopsy 76096 X-ray of needle wire, breast 76098 X-ray exam, breast specimen 76100 X-ray exam of body section 76101 Complex body section x-ray 76102 Complex body section x-rays 76120 Cine/video x-rays 76125 Cine/video x-rays add-on 76140 X-ray consultation 76150 X-ray exam, dry process 76350 Special x-ray contrast study 76355 Ct scan for localization 76360 Ct scan for needle biopsy 76362 Ct guide for tissue ablation 76370 Ct scan for therapy guide 76376 3d render w/o postprocess 76377 3d rendering w/postprocess 76380 CAT scan follow-up study 76390 Mr spectroscopy 76393 Mr guidance for needle place 76394 Mri for tissue ablation 76400 Magnetic image, bone marrow 76496 Fluoroscopic procedure 76497 Ct procedure 76498 Mri procedure 76506 Echo exam of head 76510 Ophth us, b & quant a 76511 Ophth us, quant a only 76512 Ophth us, b w/non-quant a 76513 Echo exam of eye, water bath 76514 Echo exam of eye, thickness 76516 Echo exam of eye 76519 Echo exam of eye 76529 Echo exam of eye 76536 Us exam of head and neck 76604 Us exam, chest, b-scan 76645 Us exam, breast(s) 76700 Us exam, abdom, complete 76705 Echo exam of abdomen 76770 Us exam abdo back wall, comp 76775 Us exam abdo back wall, lim 76778 Us exam kidney transplant 76800 Us exam, spinal canal 76801 Ob us < 14 wks, single fetus 76802 Ob us < 14 wks, add'l fetus 76805 Ob us >/= 14 wks, sngl fetus 76810 Ob us >/= 14 wks, addl fetus 76811 Ob us, detailed, sngl fetus 76812 Ob us, detailed, addl fetus 76815 Ob us, limited, fetus(s) 76816 Ob us, follow-up, per fetus 76817 Transvaginal us, obstetric 76818 Fetal biophys profile w/nst 76819 Fetal biophys profil w/o nst 76820 Umbilical artery echo 76821 Middle cerebral artery echo 76825 Echo exam of fetal heart 76826 Echo exam of fetal heart 76827 Echo exam of fetal heart 76828 Echo exam of fetal heart 76830 Transvaginal us, non-ob 76831 Echo exam, uterus 76856 Us exam, pelvic, complete 76857 Us exam, pelvic, limited 76870 Us exam, scrotum 76872 Us, transrectal 76873 Echograp trans r, pros study 76880 Us exam, extremity 76885 Us exam infant hips, dynamic 76886 Us exam infant hips, static 76930 Echo guide, cardiocentesis 76932 Echo guide for heart biopsy 76936 Echo guide for artery repair 76937 Us guide, vascular access 76940 Us guide, tissue ablation 76941 Echo guide for transfusion 76942 Echo guide for biopsy 76945 Echo guide, villus sampling 76946 Echo guide for amniocentesis 76948 Echo guide, ova aspiration 76950 Echo guidance radiotherapy 76965 Echo guidance radiotherapy 76970 Ultrasound exam follow-up 76975 GI endoscopic ultrasound 76977 Us bone density measure 76986 Ultrasound guide intraoper 77417 Radiology port film(s) 77421 Stereoscopic x-ray guidance 78006 Thyroid imaging with uptake 78007 Thyroid image, mult uptakes 78010 Thyroid imaging 78011 Thyroid imaging with flow 78015 Thyroid met imaging 78016 Thyroid met imaging/studies 78018 Thyroid met imaging, body 78020 Thyroid met uptake 78070 Parathyroid nuclear imaging 78075 Adrenal nuclear imaging 78102 Bone marrow imaging, ltd 78103 Bone marrow imaging, mult 78104 Bone marrow imaging, body 78135 Red cell survival kinetics 78140 Red cell sequestration 78185 Spleen imaging 78190 Platelet survival, kinetics 78195 Lymph system imaging 78201 Liver imaging 78202 Liver imaging with flow 78205 Liver imaging (3D) 78206 Liver image (3d) with flow 78215 Liver and spleen imaging 78216 Liver & spleen image/flow 78220 Liver function study 78223 Hepatobiliary imaging 78230 Salivary gland imaging 78231 Serial salivary imaging 78232 Salivary gland function exam 78258 Esophageal motility study 78261 Gastric mucosa imaging 78262 Gastroesophageal reflux exam 78264 Gastric emptying study 78278 Acute GI blood loss imaging 78282 GI protein loss exam 78290 Meckel's divert exam 78291 Leveen/shunt patency exam 78300 Bone imaging, limited area 78305 Bone imaging, multiple areas 78306 Bone imaging, whole body 78315 Bone imaging, 3 phase 78320 Bone imaging (3D) 78350 Bone mineral, single photon 78351 Bone mineral, dual photon 78428 Cardiac shunt imaging 78445 Vascular flow imaging 78456 Acute venous thrombus image 78457 Venous thrombosis imaging 78458 Ven thrombosis images, bilat 78459 Heart muscle imaging (PET) 78460 Heart muscle blood, single 78461 Heart muscle blood, multiple 78464 Heart image (3d), single 78465 Heart image (3d), multiple 78466 Heart infarct image 78468 Heart infarct image (ef) 78469 Heart infarct image (3D) 78472 Gated heart, planar, single 78473 Gated heart, multiple 78478 Heart wall motion add-on 78480 Heart function add-on 78481 Heart first pass, single 78483 Heart first pass, multiple 78491 Heart image (pet), single 78492 Heart image (pet), multiple 78494 Heart image, spect 78496 Heart first pass add-on 78580 Lung perfusion imaging 78584 Lung V/Q image single breath 78585 Lung V/Q imaging 78586 Aerosol lung image, single 78587 Aerosol lung image, multiple 78588 Perfusion lung image 78591 Vent image, 1 breath, 1 proj 78593 Vent image, 1 proj, gas 78594 Vent image, mult proj, gas 78596 Lung differential function 78600 Brain imaging, ltd static 78601 Brain imaging, ltd w/flow 78605 Brain imaging, complete 78606 Brain imaging, compl w/flow 78607 Brain imaging (3D) 78608 Brain imaging (PET) 78609 Brain imaging (PET) 78610 Brain flow imaging only 78615 Cerebral vascular flow image 78630 Cerebrospinal fluid scan 78635 CSF ventriculography 78645 CSF shunt evaluation 78647 Cerebrospinal fluid scan 78650 CSF leakage imaging 78660 Nuclear exam of tear flow 78700 Kidney imaging, static 78701 Kidney imaging with flow 78704 Imaging renogram 78707 Kidney flow/function image 78708 Kidney flow/function image 78709 Kidney flow/function image 78710 Kidney imaging (3D) 78715 Renal vascular flow exam 78730 Urinary bladder retention 78740 Ureteral reflux study 78760 Testicular imaging 78761 Testicular imaging/flow Start Printed Page 49252 78800 Tumor imaging, limited area 78801 Tumor imaging, mult areas 78802 Tumor imaging, whole body 78803 Tumor imaging (3D) 78804 Tumor imaging, whole body 78805 Abscess imaging, ltd area 78806 Abscess imaging, whole body 78807 Nuclear localization/absce ss 78811 Tumor imaging (pet), limited 78812 Tumor image (pet)/skul-thigh 78813 Tumor image (pet) full body 78814 Tumor image pet/ct, limited 78815 Tumorimage pet/ct skul-thigh 78816 Tumor image pet/ct full body 78890 Nuclear medicine data proc 78891 Nuclear med data proc 93303 Echo transthoracic 93304 Echo transthoracic 93307 Echo exam of heart 93308 Echo exam of heart 93312 Echo transesophageal 93313 Echo transesophageal 93314 Echo transesophageal 93315 Echo transesophageal 93316 Echo transesophageal 93317 Echo transesophageal 93318 Echo transesophageal intraop 93320 Doppler echo exam, heart 93321 Doppler echo exam, heart 93325 Doppler color flow add-on 93350 Echo transthoracic 93555 Imaging, cardiac cath 93556 Imaging, cardiac cath 93571 Heart flow reserve measure 93572 Heart flow reserve measure 93875 Extracranial study 93880 Extracranial study 93882 Extracranial study 93886 Intracranial study 93888 Intracranial study 93890 Tcd, vasoreactivity study 93892 Tcd, emboli detect w/o inj 93893 Tcd, emboli detect w/inj 93922 Extremity study 93923 Extremity study 93924 Extremity study 93925 Lower extremity study 93926 Lower extremity study 93930 Upper extremity study 93931 Upper extremity study 93965 Extremity study 93970 Extremity study 93971 Extremity study 93975 Vascular study 93976 Vascular study 93978 Vascular study 93979 Vascular study 93980 Penile vascular study 93981 Penile vascular study 93990 Doppler flow testing 0028T Dexa body composition study 0042T Ct perfusion w/contrast, cbf 0066T Ct colonography;scree n 0067T Ct colonography;dx 0080T Endovasc aort repr rad s&i 0081T Endovasc visc extnsn s&i 0144T CT heart wo dye; qual calc 0145T CT heart w/wo dye funct 0146T CCTA w/wo dye 0147T CCTA w/wo, quan calcium 0148T CCTA w/wo, strxr 0149T CCTA w/wo, strxr quan calc 0150T CCTA w/wo, disease strxr 0151T CT heart funct add-on 0152T Computer chest add-on G0120 Colon ca scrn; barium enema G0122 Colon ca scrn; barium enema G0130 Single energy x-ray study G0219 PET img wholbod melano nonco G0235 PET not otherwise specified G0275 Renal angio, cardiac cath G0278 Iliac art angio,cardiac cath G0288 Recon, CTA for surg plan G0365 Vessel mapping hemo access Footnotes
1. RAND News Release: Rand Study Says Computerizing Medical Records Could Save $81 Billion Annually and Improve the Quality of Medical Care, September 14, 2005, available at http://rand.org/news/press.05/09.14.html.
Back to Citation2. Transforming Health Care: The President's Health Information Technology Plan, available at: http://www.whitehouse.gov/infocus/technology/economic_policy200404/chap3.html.
Back to CitationBILLING CODE 4120-01-P
BILLING CODE 4120-01-CStart Printed Page 48993
BILLING CODE 4120-01-P
BILLING CODE 4120-01-CStart Printed Page 49053
BILLING CODE 4120-01-P
[FR Doc. 06-6843 Filed 8-8-06; 4:15 pm]
BILLING CODE 4120-03-P
Document Information
- Published:
- 08/22/2006
- Department:
- Centers for Medicare & Medicaid Services
- Entry Type:
- Proposed Rule
- Action:
- Proposed rule.
- Document Number:
- 06-6843
- Pages:
- 48981-49252 (272 pages)
- Docket Numbers:
- CMS-1321-P
- RINs:
- 0938-AO24
- Topics:
- Administrative practice and procedure, Emergency medical services, Health facilities, Health professions, Kidney diseases, Laboratories, Medical devices, Medicare, Reporting and recordkeeping requirements, Reporting and recordkeeping requirements, Rural areas, X-rays
- PDF File:
- 06-6843.pdf
- CFR: (22)
- 42 CFR 405.400
- 42 CFR 405.2446
- 42 CFR 405.2463
- 42 CFR 410.16
- 42 CFR 410.19
- More ...