00-27833. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001  

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    AGENCY:

    Health Care Financing Administration (HCFA), HHS.

    ACTION:

    Final rule with comment period.

    SUMMARY:

    This final rule with comment period makes several changes affecting Medicare Part B payment. The changes include: refinement of resource-based practice expense relative value units (RVUs); the geographic practice cost indices; resource-based malpractice RVUs; critical care RVUs; care plan oversight and physician certification and recertification for home health services; observation care codes; ocular photodynamic therapy and other ophthalmological treatments; electrical bioimpedance; antigen supply; and the implantation of ventricular assist devices. This rule also addresses the comments received on the May 3, 2000 interim final rule on the supplemental survey criteria and makes modifications to the criteria for data submitted in 2001. Based on public comments we are withdrawing our proposals related to the global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators and low intensity ultrasound. This final rule also discusses or clarifies the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, HCPCS “G” Codes, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002. In addition, we are finalizing the calendar year (CY) 2000 interim physician work RVUs and are issuing interim RVUs for new and revised codes for CY 2001. We are making these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule also announces the CY 2001 Medicare physician fee schedule conversion factor under the Medicare Supplementary Medical Insurance (Part B) program as required by section 1848(d) of the Social Security Act. The 2001 Medicare physician fee schedule conversion factor is $38.2581.

    DATES:

    Effective date: This rule is effective January 1, 2001.

    Comment date: Comments on interim RVUs for selected procedure codes identified in Addendum C and on interim practice expense RVUs and malpractice RVUs for all codes as shown in Addendum B will be considered if we receive them at the appropriate address, as provided below, no later than 5 p.m. on January 2, 2001.

    ADDRESSES:

    Mail written comments (1 original and 3 copies) to the following address only: Health Care Financing Administration, Department of Health and Human Services, Attention: HCFA-1120-FC, P.O. Box 8013, Baltimore, MD 21244-8013.

    Please allow sufficient time for mailed comments to be timely received in the event of delivery delays. If you prefer, you may deliver your written comments by courier (1 original and 3 copies) to one of the following addresses:

    Room 443-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201 or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244.

    Comments mailed to the two above addresses may be delayed and received too late to be considered. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. In commenting, please refer to file code HCFA-1120-FC. Comments received timely will be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, in Room 443-G of the Department's office at 200 Independence Avenue, SW., Washington, DC, on Monday through Friday of each week from 8:30 to 5 p.m. (phone: (202) 690-7890).

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    FOR FURTHER INFORMATION CONTACT:

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

    Kenneth Marsalek, (410) 786-4502 (for issues related to supplemental practice expense survey data).

    Bob Ulikowski, (410) 786-5721 (for issues related to resource-based malpractice relative value units and geographic practice cost index changes).

    Rick Ensor, (410) 786-5617 (for issues related to care plan oversight and physician certification/recertification).

    Cathleen Scally, (410) 786-5714 (for issues related to observation care codes).

    Jim Menas, (410) 786-4507 (for issues related to incomplete medical direction and the 5-year review).

    Roberta Epps, (410) 786-4503 (for issues related to outpatient/therapy).

    Marc Hartstein, (410) 786-4539 (for issues related to the physician fee schedule update, the sustainable growth rate, the conversion factor, and the regulatory impact analysis).

    Diane Milstead, (410) 786-3355 (for all other issues).

    End Further Info End Preamble Start Supplemental Information

    SUPPLEMENTARY INFORMATION:

    Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa, Discover, or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 or by faxing to (202) 512-2250. The cost for each copy is $8. As an alternative, you can view and photocopy the Federal Register document at most libraries designated as Federal Depository Libraries and at many other public and academic libraries throughout the country that receive the Federal Register.

    To order the disks containing this document, send your request to: Superintendent of Documents, Attention: Electronic Products, P.O. Box 37082, Washington, DC 20013-7082. Please specify, “Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001,” and enclose a check or money order payable to the Superintendent of Documents, or enclose your VISA, Discover, or MasterCard number and expiration date. Credit card orders can be placed by calling the order clerk at (202) 512-1530 (or toll free at 1-888-293-6498) or by faxing to (202) 512-1262. The cost of the four disks is $25.

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

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

    1. Go to the HCFA homepage (­http://www.hcfa.gov).

    2. Click on “Medicare.”

    3. Click on “Professional/Technical Information.”

    4. Select Medicare Payment Systems.

    5. Select Physician Fee Schedule.

    Or, you can go directly to the Physician Fee Schedule page by typing the following: http://www.hcfa.gov/​medicare/​pfsmain.htm. Start Printed Page 65377

    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 regulations impact appears throughout the preamble and is not exclusively in section X.

    Table of Contents

    I. Background

    A. Legislative History

    B. Published Changes to the Fee Schedule

    C. Components of the Fee Schedule Payment Amounts

    D. Development of the Relative Value Units

    II. Specific Proposals for Calendar Year 2001

    A. Resource-Based Practice Expense Relative Value Units

    B. Geographic Practice Cost Index Changes

    C. Resource-Based Malpractice Relative Value Units

    D. Critical Care Relative Value Units

    E. Care Plan Oversight and Physician Certification/Recertification

    F. Observation Care Codes

    G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments

    H. Electrical Bioimpedance

    I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators

    J. Antigen Supply

    K. Low Intensity Ultrasound

    L. Implantation of Ventricular Assist Devices

    III. Other Issues

    A. Incomplete Medical Direction

    B. Payment for Pulse Oximetry Services

    C. Outpatient Therapy Supervision

    D. Outpatient Therapy Caps

    E. HCPCS G Codes

    F. Work RVUs in the Proposed Rule

    G. Five-Year Refinement of Relative Value Units

    IV. Refinement of Relative Value Units for Calendar Year 2001 and Response to Public Comments on Interim Relative Value Units for 2000 (Including the Interim Relative Value Units Contained in the July 2000 Proposed Rule)

    A. Summary of Issues Discussed Related to the Adjustment of Relative Value Units

    B. Process for Establishing Work Relative Value Units for the 2001 Physician Fee Schedule and Clarification of CPT Definitions

    C. Other Changes to the 2001 Physician Fee Schedule and Clarification of CPT Definitions

    V. Physician Fee Schedule Update and Conversion Factor for Calendar Year 2001

    VI. Allowed Expenditures for Physicians' Services and the Sustainable Growth Rate

    A. Medicare Sustainable Growth Rate

    B. Physicians' Services

    C. Provisions Related to the SGR

    D. Preliminary Estimate of the SGR for 2001

    E. Sustainable Growth Rate for CY 2000

    F. Sustainable Growth Rate for FY 2000

    G. Calculation of the FY 2000, CY 2000, and CY 2001 Sustainable Growth Rates

    VII. Provisions of the Final Rule

    VIII. Collection of Information Requirements

    IX. Response to Comments

    X. Regulatory Impact Analysis

    A. Resource-Based Practice Expense Relative Value Units

    B. Geographic Practice Cost Index Changes

    C. Resource-Based Malpractice Relative Value Units

    D. Critical Care Relative Value Units

    E. Care Plan Oversight and Physician Certification/Recertification

    F. Observation Care Codes

    G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments

    H. Electrical Bioimpedance

    I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators

    J. Antigen Supply

    K. Increased Space Allotment in Physical Therapy Salary Equivalency Guidelines

    XI. Federalism

    Addendum A—Explanation and Use of Addendum B

    Addendum B—2001 Relative Value Units and Related Information Used in Determining Medicare Payments for 2001

    Addendum C—Codes with Interim RVUs

    Addendum D—2002 Geographic Practice Cost Indices by Medicare Carrier and Locality

    Addendum E—2001 Geographic Practice Cost Indices by Medicare Carrier and Locality

    Addendum F—Proposed 2002 Versus 1999 Geographic Adjustment Factors (GAF)

    Addendum G—Malpractice

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

    AMA American Medical Association

    BBA Balanced Budget Act of 1997

    BBRA Balanced Budget Refinement Act of 1999

    CF Conversion factor

    CFR Code of Federal Regulations

    CPT [Physicians'] Current Procedural Terminology

    [4th Edition, 1997, copyrighted by the American Medical Association]

    CPEP Clinical Practice Expert Panel

    CRNA Certified Registered Nurse Anesthetist

    E/M Evaluation and management

    EB Electrical bioimpedance

    FMR Fair market rental

    GAF Geographic adjustment factor

    GPCI Geographic practice cost index

    HCFA Health Care Financing Administration

    HCPCS HCFA Common Procedure Coding System

    HHA Home health agency

    HHS [Department of] Health and Human Services

    IDTFs Independent Diagnostic Testing Facilities

    MCM Medicare Carrier Manual

    MedPAC Medicare Payment Advisory Commission

    MEI Medicare Economic Index

    MGMA Medical Group Management Association

    MSA Metropolitan Statistical Area

    NAMCS National Ambulatory Medical Care Survey

    OBRA Omnibus Budget Reconciliation Act

    PC Professional component

    PEAC Practice Expense Advisory Committee

    PPAC Practicing Physicians Advisory Council

    PPS Prospective payment system

    RUC [AMA's Specialty Society] Relative [Value] Update Committee

    RVU Relative value unit

    SGR Sustainable growth rate

    SMS [AMA's] Socioeconomic Monitoring System

    TC Technical component

    I. Background

    A. Legislative History

    Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), “Payment for Physicians' Services.” This section contains three major elements—(1) a fee schedule for the payment of physicians' services; (2) a sustainable growth rate for the rates of increase in Medicare expenditures for physicians' services; and (3) limits on the amounts that nonparticipating physicians can charge beneficiaries. The Act requires that payments under the fee schedule be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense, and malpractice expense.

    Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may not cause total physician fee schedule payments to differ by more than $20 million from what they would have been had the adjustments not been made. If adjustments to RVUs cause expenditures to change by more than $20 million, we must make adjustments to the conversion factors (CFs) to preserve budget neutrality.

    B. Published Changes to the Fee Schedule

    In the July 2000 proposed rule (65 FR 44177), we listed all of the final rules published through November 1999, relating to the updates to the RVUs and revisions to payment policies under the physician fee schedule. In the July 2000 proposed rule (65 FR 44176), we discussed several issues affecting Medicare payment for physicians' services, including: Start Printed Page 65378

    Refinement of resource-based practice expense RVUs;

    • Changes to the geographic practice cost indices;
    • Resource-based malpractice RVUs;
    • Critical care RVUs;
    • Care plan oversight and physician certification/recertification;
    • Observation care codes;
    • Ocular photodynamic therapy and other ophthalmological treatments;
    • Electrical bioimpedance;
    • The global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators;
    • Antigen supply;
    • Low intensity ultrasound; and
    • The implantation of ventricular assist devices.

    This proposed rule also discussed or clarified the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002.

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

    The information in this final rule updates information in the July 2000 proposed rule and the May 3, 2000 interim final rule with comment period (65 FR 25664) discussed later.

    C. Components of the Fee Schedule Payment Amounts

    Under the formula set forth in section 1848(b)(1) of the Act, the payment amount for each service paid under the physician fee schedule is the product of three factors—(1) a nationally uniform relative value for the service; (2) a geographic adjustment factor (GAF) for each physician fee schedule area; and (3) a nationally uniform CF for the service. The CF converts the relative values into payment amounts.

    For each physician fee schedule service, there are three relative values—(1) an RVU for physician work; (2) an RVU for practice expense; and (3) an RVU for malpractice expense. For each of these components of the fee schedule there is a geographic practice cost index (GPCI) for each fee schedule area. The GPCIs reflect the relative costs of practice expenses, malpractice insurance, and physician work in an area compared to the national average for each component.

    The general formula for calculating the Medicare fee schedule amount for a given service in a given fee schedule area can be expressed as:

    Payment = [(RVU work × GPCI work) + (RVU practice expense × GPCI practice expense) + (RVU malpractice × GPCI malpractice)] × CF

    The CF for CY 2001 appears in section V. The RVUs for CY 2001 are in Addendum B. The GPCIs for CY 2001 can be found in Addendum E.

    Section 1848(e) of the Act requires us to develop GAFs for all physician fee schedule areas. The total GAF for a fee schedule area is equal to a weighted average of the individual GPCIs for each of the three components of the service. Thus, the GPCIs reflect the relative practice expenses, malpractice insurance, and physician work in an area compared to the national average. In accordance with the statute, however, the GAF for the physician's work reflects one-quarter of the relative cost of physician's work compared to the national average.

    D. Development of the Relative Value Units

    1. Work Relative Value Units

    Approximately 7,500 codes represent services included in the physician fee schedule. The 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 work RVUs for most codes in a cooperative agreement with us. In constructing the vignettes for the original RVUs, Harvard worked with panels of expert physicians and obtained input from physicians from numerous specialties.

    The RVUs for radiology services were based on the American College of Radiology (ACR) relative value scale, which we integrated into the overall physician fee schedule. The RVUs for anesthesia services were based on RVUs from a uniform relative value guide. We established a separate CF for anesthesia services while we continue to recognize time as a factor in determining payment for these services. As a result, there is a separate payment system for anesthesia services.

    2. Practice Expense and Malpractice Expense Relative Value Units

    Section 121 of the Social Security Act Amendments of 1994 (Pub. L. No. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician service. As amended by the Balanced Budget Act of 1997 (BBA) (Pub. L. No. 105-33), section 1848(c) required the new payment methodology to be phased in over 4 years, effective for services furnished in 1999, with resource-based practice expense RVUs becoming fully effective in 2002. The BBA also requires us to implement resource-based malpractice RVUs for services furnished beginning in 2000.

    II. Specific Proposals for Calendar Year 2001

    In response to the publication of the July 2000 proposed rule, we received approximately 600 comments. We received comments from individual physicians, health care workers, and professional associations and societies. The majority of comments addressed the proposals related to practice expense, observation care, antigen supplies, care plan oversight, and certification and recertification of home health services.

    The proposed rule discussed policies that affected the number of RVUs on which payment for certain services would be based. Certain changes implemented through this final rule are subject to the $20 million limitation on annual adjustments contained in section 1848(c)(2)(B)(ii)(II) of the Act.

    After reviewing the comments and determining the policies we would implement, we have estimated the costs and savings of these policies, and added those costs and savings to the estimated costs associated with any other changes in RVUs for 2001. We discuss in detail the effects of these changes in the Regulatory Impact Analysis (section X).

    For the convenience of the reader, the headings for the policy issues correspond to the headings used in the July 2000 proposed rule. More detailed background information for each issue can be found in the May 2000 interim final rule with comment period and the July 2000 proposed rule.

    A. Resource-Based Practice Expense Relative Value Units

    1. Resource-Based Practice Expense Legislation

    Section 121 of the Social Security Act Amendments of 1994 (Pub. L. No. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's services beginning in 1998. In developing the methodology, we were to consider the staff, equipment, and supplies used in furnishing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of practice expense RVUs, we must apply the same budget-neutrality provisions Start Printed Page 65379that we apply to other adjustments under the physician fee schedule.

    Section 4505(a) of the BBA delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs. The practice expense RVUs for CY 1999 were the product of 75 percent of charge-based RVUs and 25 percent of the resource-based RVUs. For CY 2000, the RVUs were 50 percent charge-based and 50 percent resource-based. For CY 2001, the RVUs are 25 percent charge-based and 75 percent resource-based. After CY 2001, the RVUs will be totally resource-based.

    Section 4505(e) of the BBA provided that, in 1998, the practice expense RVUs would be adjusted for certain services in anticipation of the implementation of resource-based practice expenses beginning in 1999. As a result, we increased practice expense RVUs for office visits. For other services in which practice expense RVUs exceeded 110 percent of the work RVUs and were furnished less than 75 percent of the time in an office setting, we reduced the 1998 practice expense RVUs to a number equal to 110 percent of the work RVUs. This limitation did not apply to services that had proposed resource-based practice expense RVUs that increased from their 1997 practice expense RVUs as reflected in the June 18, 1997 proposed rule (62 FR 33196). The services affected, and the final RVUs for 1998, were published in the October 1997 final rule (62 FR 59103).

    The most recent legislation affecting resource-based practice expense was included in the Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. No. 106-113). Section 212 of the BBRA stated that we must establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002.

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

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

    a. Practice Expense Cost Pools. We used actual practice expense data by specialty, derived from the 1995 through 1997 SMS survey data, to create six cost pools—administrative labor, clinical labor, medical supplies, medical equipment, office supplies, and all other expenses. There were three steps in the creation of the cost pools.

    • Step (1) We used the AMA's SMS survey of actual cost data to determine practice expenses per hour by cost category. The practice expenses per hour for each physician respondent's practice was calculated as the practice expenses for the practice divided by the total number of hours spent in patient care activities. The practice expenses per hour for the specialty were an average of the practice expenses per hour for the respondent physicians in that specialty. In addition, for the CY 2000 physician fee schedule, we used data from a survey submitted by the Society of Thoracic Surgeons (STS) in calculating thoracic and cardiac surgery's practice expense per hour. (See the November 1999 final rule (64 FR 59391) for additional information concerning acceptance of this data.)
    • Step (2) We determined the total number of physician hours (by specialty) spent treating Medicare patients. This was calculated from physician time data for each procedure code and from Medicare claims data.
    • Step (3) We calculated the practice expense pools by specialty and by cost category by multiplying the specialty practice expenses per hour for each category by the total physician hours.

    For services with work RVUs equal to zero (including the technical component (TC) of services with a TC and professional component (PC)), we created a separate practice expense pool, using the average clinical staff time from the CPEP data (since these codes by definition do not have physician time), and the “all physicians” practice expense per hour.

    b. Cost Allocation Methodology. For each specialty, we separated the six practice expense pools into two groups and used a different allocation basis for each group.

    (i) Direct Costs

    For direct costs (including clinical labor, medical supplies, and medical equipment), we used the CPEP data as the allocation basis. The CPEP data for clinical labor, medical supplies, and medical equipment were used to allocate the clinical labor, medical supplies, and medical equipment cost pools, respectively.

    For the separate practice expense pool for services with work RVUs equal to zero, we used 1998 practice expense RVUs to allocate the direct cost pools (clinical labor, medical supplies, and medical equipment cost pools) as an interim measure. Also, for all radiology services that are assigned work RVUs, we used the 1998 practice expense relative values for radiology services as an interim measure to allocate the direct practice expense cost pool for radiology. For all other specialties that perform radiology services, we used the CPEP data for radiology services in the allocation of that specialty's direct practice expense cost pools.

    (ii) Indirect Costs

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

    The SMS pool was divided by the CPEP pool for each specialty to produce a scaling factor that was applied to the CPEP direct cost inputs. This was intended to match costs counted as practice expenses in the SMS survey with items counted as practice expenses in the CPEP process. When the specialty-specific scaling factor exceeds the average scaling factor by more than three standard deviations, we used the average scaling factor. (See the November 1999 final rule (64 FR 59390) for further discussion of this issue).

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

    c. Other Methodological Issues.

    (i) Global Practice Expense Relative Value Units

    For services with the PC and TC paid under the physician fee schedule, the global practice expense RVUs were set equal to the sum of the PC and TC. Start Printed Page 65380

    (ii) Practice Expenses per Hour Adjustments and Specialty Crosswalks

    Since many specialties identified in our claims data did not correspond exactly to the specialties included in the practice expense tables from the SMS survey data, it was necessary to crosswalk these specialties to the most appropriate SMS specialty category. We also made the following adjustments to the practice expense per hour data. (For the rationale for these adjustments to the practice expense per hour see the November 1998 final rule (63 FR 58841).)

    • We set the medical materials and supplies practice expenses per hour for the specialty of “oncology” equal to the “all physician” medical materials and supplies practice expenses per hour.
    • We based the administrative payroll, office, and other practice expenses per hour for the specialties of “physical therapy” and “occupational therapy” on data used to develop the salary equivalency guidelines for these specialties. We set the remaining practice expense per hour categories equal to the “all physician” practice expenses per hour from the SMS survey data.
    • Due to uncertainty concerning the appropriate crosswalk and time data for the nonphysician specialty “audiologist,” we derived the resource-based practice expense RVUs for codes performed by audiologists from the practice expenses per hour of the other specialties that perform these codes.
    • For the specialty of “emergency medicine,” we used the “all physician” practice expense per hour to create practice expense cost pools for the categories “clerical payroll” and “other expenses.”
    • For the specialty of “podiatry,” we used the “all physician” practice expense per hour to create the practice expense pool.
    • For the specialty of “pathology,” we removed the supervision and autopsy hours reimbursed through Part A of the Medicare program from the practice expense per hour calculation.
    • For the specialty “maxillofacial prosthetics,” we used the “all physician” practice expense per hour to create practice expense cost pools and, as an interim measure, allocated these pools using the 1998 practice expense RVUs.
    • We split the practice expenses per hour for the specialty “radiology” into “radiation oncology” and “radiology other than radiation oncology” and used this split practice expense per hour to create practice expense cost pools for these specialties.

    (iii) Time Associated with the Work RVUs

    The time data resulting from the refinement of the work RVUs have been, on average, 25 percent greater than the time data obtained by the Harvard study for the same services. We increased the Harvard research team's time data to ensure consistency between these data sources.

    For services with no assigned physician time (such as, dialysis, physical therapy, psychology, and many radiology and other diagnostic services), we calculated estimated total physician time based on work RVUs, maximum clinical staff time for each service as shown in the CPEP data, or the judgment of our clinical staff.

    We calculated the time for CPT codes 00100 through 01996, using the base and time units from the anesthesia fee schedule and the Medicare allowed claims data.

    3. Refinement

    a. Background

    Section 4505(d)(1)(C) of the BBA required us to develop a refinement process to be used during each of the 4 years of the transition period. We did not propose a specific long-term refinement process in the June 1998 proposed rule (63 FR 30835). Rather, we set out the parameters for an acceptable refinement process for practice expense RVUs and solicited comments on our proposal. We received a large variety of comments about broad methodology issues, practice expense per hour data, and detailed code level data. We made some adjustments to our proposal when we were convinced an adjustment was appropriate. We also indicated that we would consider other comments for possible refinement and that the values of all codes would be considered interim for 1999 and for future years during the transition period.

    We outlined in the November 1998 final rule (63 FR 58832) the steps we were undertaking as part of the initial refinement process. These steps included—

    • Establishment of a mechanism to receive independent advice for dealing with broad practice expense RVU technical and methodological issues;
    • Evaluation of any additional recommendations from the General Accounting Office, the Medicare Payment Advisory Commission (MedPAC), and the Practicing Physicians Advisory Council (PPAC); and
    • Consultation with physician groups and other groups concerning these issues.

    We also discussed a proposal submitted by the AMA's Specialty Society Relative Value Update Committee (RUC) for development of a new advisory committee, the Practice Expense Advisory Committee (PEAC), to review comments and recommendations on the code-specific CPEP data during the refinement period. In addition, we solicited comments and suggestions about our practice expense methodology from organizations that have a broad range of interests and expertise in practice expense and survey issues.

    In the July 22, 1999 proposed rule, the November 1999 final rule, and the July 2000 proposed rule, we provided further information on refinement activities underway, including the recommendations from the PEAC and the support contract that we awarded to focus on methodologic issues. The following is an update on activities with respect to these initiatives, as well as the status of refinement with respect to other areas of concern such as the SMS data and CPEP inputs.

    b. SMS Data

    We have received many comments on both our 1998 and 1999 proposed and final rules from a number of medical specialty societies expressing concerns regarding the accuracy of the SMS data. Some commenters stated their belief that the sample size for their specialty was not large enough to yield reliable data. Other specialties not represented in the SMS survey objected that the crosswalk used for their practice expense per hour was not appropriate and requested that their own data be used instead. Commenters also raised questions about whether the direct patient care hours for their specialty were overstated by the SMS to the specialty's disadvantage.

    We consider dealing with these issues to be one of the major priorities of the refinement effort. Therefore, we have undertaken the following activities:

    (i) Interim Final Rule on Supplemental Practice Expense Survey Data

    On May 3, 2000, we published an interim final rule (65 FR 25664) that set forth the criteria for physician and non-physician specialty groups to submit supplemental practice expense survey data for use in determining payments under the physician fee schedule. Section 212 of the BBRA amended section 1848(c) of the Act to require us to establish a process under which we will accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data will supplement the data we Start Printed Page 65381normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002.

    To obtain data that could be used in computing practice expense RVUs beginning January 1, 2001, we published the criteria in the May 2000 interim final rule (65 FR 25666) that we will apply to supplemental survey data submitted to us by August 1, 2000. We also provided a 60-day period for submission of comments on the criteria that we will consider for survey data submitted between August 2, 2000 and August 1, 2001 for use in computing the practice expense RVUs for the CY 2002 physician fee schedule. (See the May 2000 interim final rule for further information on the criteria and process). We are responding to comments received on the interim final rule in this rule, and are publishing the criteria to be used for 2001 submission.

    The following are specific criteria and discussion in the May 2000 interim final rule.

    • Physician groups must draw their sample from the AMA Physician Masterfile to ensure a nationally representative sample that includes both members and non-members of a physician specialty group.
    • Physician groups must arrange for the AMA to send the sample directly to their survey contractor to ensure confidentiality of the sample; that is, to ensure comparability in the methods and data collected, specialties must not know the names of the specific individuals in the sample.
    • Non-physician specialties not included in the AMA's SMS must develop a method to draw a nationally representative sample of members and non-members. At a minimum, these groups must include former members in their survey sample. The sample must be drawn by the non-physician group's survey contractor, or another independent party, in a way that ensures the confidentiality of the sample; that is, to ensure comparability in the methods and data collected, specialties must not know the names of the specific individuals in the sample.
    • A group (or its contractors) must conduct the survey based on the SMS survey instruments and protocols, including administration and follow-up efforts, and definitions of practice expense and hours in patient care. In addition, any cover letters or other information furnished to survey sample participants must be comparable to such information previously supplied by the SMS contractor to its sample participants.
    • A group must use a contractor that has experience with the SMS or a survey firm with experience successfully conducting national multi-specialty surveys of physicians using nationally representative random samples.
    • A group must submit raw survey data to us, including all complete and incomplete survey responses as well as any cover letters and instructions that accompanied the survey, by August 1, 2000 for data analysis and editing to ensure consistency. All personal identifiers in the raw data must be eliminated. (Send data to Health Care Financing Administration, Department of Health and Human Services, Attn: Kenneth Marsalek, C4-03-06, 7500 Security Boulevard, Baltimore, MD 21244-8013.)
    • Raw survey data submitted to us between August 2, 2000 and August 1, 2001 will be considered for use in computing practice expense RVUs for CY 2002.
    • The physician practice expense data from surveys that we use in our code-level practice expense calculations are the practice expenses per physician hour in the six practice expense categories—clinical labor, medical supplies, medical equipment, administrative labor, office overhead, and other. Supplemental survey data must include data for these categories. Ideally, we would like to calculate practice expense values with precision; however, we recognize that we must achieve a balance. Conducting surveys is expensive, and there is a tension between achieving large sample sizes, which increases precision, and smaller ones, which conserves costs.

    In addition, in the May 2000 interim final rule (65 FR 25666) we indicated that we believed an achievable level of precision is a coefficient of variation, that is, the ratio of the standard error of the mean to the mean expressed as a percent, not greater than 10 percent, for overall practice expenses or practice expenses per hour. For existing surveys the standard deviation is frequently the same magnitude as the mean. If the standard deviation equals the mean, then a usable sample size of 100 will yield a coefficient of variation of 10 percent. For small, homogeneous subspecialties, the variations in practice expenses may be lower because a smaller sample size achieves this level of precision. Other ways of expressing precision (for example, 95 percent confidence intervals) are also acceptable if they are approximately equivalent to a coefficient of variation of 10 percent or better. We indicated that will consider surveys for which the precision of the practice expenses are equal to or better than this level of precision and that meet the other survey criteria. Also, we indicated that we will require documentation regarding how the practice expenses were calculated and we will verify the calculations. We have the statutory authority, however, to determine the final practice expense RVUs.

    We also indicated that, since the physician fee schedule is a national fee schedule, we would require that the survey be representative of the target population of physicians nationwide. We can presume national representativeness if a random sample is drawn from a complete nationwide listing of the physician specialty or subspecialty and the response rate, the percent of usable responses received from the sample, is high, for example, 80 to 90 percent. If any of these conditions (random sample, complete nationwide listing, and high response rate) are not achieved, then the potential impacts of the deviations upon national representativeness must be explored and documented. For example, if the response rate is low, then justification must be furnished to demonstrate that the responders are not significantly different from non-responders with regard to factors affecting practice expense. Differential weighting of subsamples may improve the representativeness. Minor deviations from national representativeness may be acceptable.

    Comments on Criteria for Submitting Supplemental Practice Expense Data

    We received comments from 17 specialty groups concerning the criteria for the acceptance of supplemental data. While many of these comments contained positive feedback on aspects of our interim final rule, they all contained statements of opposition to specific requirements and/or suggestions for improving the process. Outlined below are the comments from specialty groups and our responses concerning the requirements for supplemental survey data.

    Required Sampling From the AMA's Physician Masterfile

    Comment: Four groups stated that the requirement for survey respondents to be drawn solely from the AMA Physician Masterfile is inappropriate for the specialties of radiology and radiation oncology. They believe that hospital-based radiologists and radiation oncologists do not encounter the same practice expenses for staff and supplies as those radiologists and radiation oncologists working in Start Printed Page 65382freestanding centers. According to the groups, radiologists and radiation oncologists working in a freestanding center encounter capital intensive TC services not incurred by hospital-based physicians and, often, these TC component costs are borne by non-physician entities not included in the Physician Masterfile. The groups also believe that the small number of radiologists and radiation oncologists who own and operate a freestanding center will not be represented in a sample from the Physician Masterfile. The groups suggest that we work with the professional community to develop a list of freestanding radiation centers from which we could extract a geographically diverse sample. Alternatively, the groups suggest that, because of potential low response rates, we include all radiation practices in the survey sample and use the data for those physicians not working at freestanding centers only in the calculation of PC services.

    One group expressed concern that by sampling from the AMA Physician Masterfile, a substantial number of emergency medicine practices are overlooked. The small number of physician practice owners leads to a strong possibility that these owners will not be selected in the random sample. They suggest that we permit an additional sample of large emergency medicine practice groups to supplement the current survey.

    Response: The Physician Masterfile is the most extensive list of physicians in the United States, and, therefore, we believe it is the most appropriate list from which to develop a random sample of physicians within a specialty. Currently, we are not aware of a complete list of radiation and radiation oncology practices or emergency medicine practice groups that exists that is more comprehensive than the Physician Masterfile with the information necessary to extract a representative random sample. If such a list were to exist or be developed in the future, we would consider the appropriateness and potential uses for sampling. We would welcome information from physician and other organizations on specific data sources from which representative samples of physicians could be selected, if there is concern that the AMA Masterfile is not a comprehensive list for the specialty.

    Comment: One group commented that the AMA Physician Masterfile may contain “self-designated” dermatologists who do not meet the criteria for “qualified” dermatologists. They defined “qualified” dermatologists as board certified dermatologists, associates and affiliate members such as osteopathic dermatologists, physicians conducting research in dermatology, and practicing dermatologists certified by a foreign board but now practicing in the United States. According to the group, other, “self-designated” dermatologists should not be included in the sample for dermatology because their practice expense data could be unrepresentative and potentially damaging to the practice expense RVUs for dermatology.

    Response: Self-designation of specialty is not unique to dermatologists. In the Physician Masterfile, all specialties are based on self-designation. The SMS survey deals with the issue of self-designation by asking respondents if their specialty designation is representative of the specialty practice from which they gain the majority of their medical income. It is important to note that if any physician who is self-designated as a dermatologist furnishes dermatological services to Medicare patients, it is appropriate for this physician to be included in the sample because this physician receives income for dermatological services.

    Comment: Three groups suggested that the requirement to sample from the Physician Masterfile may not be reasonable, as it serves only to limit specialties' ability to present alternative data to us. They noted that the requirement to sample from the Physician Masterfile is based on the assumption that physicians outside of the specialty group have different costs than members of the group. One commenter maintained that the substantial variance in practice expenses within members' practices makes it unlikely that non-members' practices would extend this variance. In addition, one group suggested that societies representing a smaller proportion of specialty practitioners should be allowed to explore options for addressing potential bias beyond sampling from the Physician Masterfile. According to the group, nonmembers of a specialty society are unlikely to respond to what they consider a time-consuming and intrusive survey about sensitive financial issues.

    Response: We believe that the commenter is arguing that is should be sufficient to draw a sample from the members of a specialty society because there is unlikely to be a difference in practice expense per hour between members and nonmembers of a specialty society. Our goal in collecting practice expense data is to create practice expense values that reflect the costs of both members and non-members of a specialty society. We cannot assume that the average practice expenses of members and non-members of a specialty group are comparable without data to support this finding. The AMA Physician Masterfile is the most comprehensive list of physicians practicing in the United States. A specialty society's members are likely to include only a portion of the physicians practicing in that specialty. Thus, we believe that it is likely that a random sample selected from the AMA Physician Masterfile is going to be more representative of a specialty than a sample drawn from a specialty society's membership list. For this reason, we are maintaining the requirement that the sample of physicians must be drawn from the AMA Physician Masterfile.

    Required Use of SMS Survey Instruments and Protocol

    Comment: One group expressed concern that the SMS survey does not account for care hours induced by the Emergency Treatment and Labor Act (EMTALA) in the patient care hours question, thereby overstating the hours and understating the practice expense costs. They recommend that a question be added to the SMS that asks respondents about the patient care hours they spend in an average week providing EMTALA-induced care. Each specialty's average amount of EMTALA-induced care should then be deducted from the total hours spent in patient care. The commenter recognized that this is a long-term recommendation and wished to work on an interim solution with us.

    Response: We understand the group's concerns and have contracted with The Lewin Group to provide recommendations on both the modification of future surveys to account for EMTALA-induced patient care hours and the use of these data to adjust practice expense values. We have also made specific comments to the AMA requesting that this issue be addressed in any future work they may do with regard to collecting survey data. In the interim, we have made an adjustment to the practice expense per hour for emergency medicine to address this issue. We have no reason to believe emergency medicine is being disadvantaged in the interim as a result of this adjustment. We will consider The Lewin Group's recommendations.

    Comment: Six groups questioned the adequacy of the SMS survey for the purpose of accurately assessing a particular specialty's practice expenses. For example, one group believes that additional questions are needed to account for cardiology TC questions. Start Printed Page 65383They recommend that we revise the criteria for supplemental surveys to allow for the collection of additional data through specialty-specific questions.

    Response: We consider the SMS survey to be adequate for the purpose of accurately assessing practice expenses. However, we agree that additional clarification and examples tailored to specific specialties may improve the accuracy of the data collected. Although we do not want specialties to change the basic structure of the SMS practice expense module, we have not precluded any groups from collecting additional data specific to the specialty in their supplemental surveys.

    Comment: One group suggested that we adopt the AMA's practice level Practice Expense survey in place of the SMS and revise the criteria for supplemental survey data accordingly. They also suggested that our references to the SMS survey may be misunderstood by specialty groups referencing the AMA's practice level survey instrument, and that we must clarify this distinction. Two groups recommended that the specialty groups should collect practice level data, rather than individual physician estimates. One group also suggested that a practice level survey should be developed to more appropriately capture the practice expenses.

    Response: The AMA has fielded the practice expense level survey with minimal success. At this time, we understand that the AMA does not plan to continue with the practice expense level survey. We are currently using the physician level SMS as the basis for supplemental surveys, and will continue to use this survey to maintain consistency with our existing data. We cannot use the AMA's practice level survey, or any other survey, until it has been evaluated to determine if the survey data can be incorporated into our practice expense methodology. In addition, we would have to determine if it is possible to reconcile the outcomes of the physician level and practice level surveys. We have asked The Lewin Group to review the AMA's practice level survey to determine how the data collected could be used to calculate practice expenses per hour values.

    Comment: Four groups requested that specialty groups be allowed to conduct the supplemental surveys by mail with follow-up phone interviews. The groups believe this will reduce the cost of administering a survey.

    Response: As explained previously, to help obtain comparable data, we believe supplemental surveys should follow the SMS methodology.

    Comment: Two groups expressed concern that requiring cover letters and other information furnished to survey participants to be comparable to those supplied by the SMS contractor will hamper response rates. They believe specialty groups should be able to provide correspondence that explains the importance of the data for the benefit of the specialty without our “censorship.”

    Response: Although specialty-specific correspondence may increase response rates, it could potentially introduce bias into the practice expense data. We believe that it is essential to obtain unbiased data.

    Comment: One group suggested we use the tax form 1120 as a foundation for validating practice expense data. They suggested that independent accountants could be used to compare the practice expense data submitted to the actual expenses on the tax form.

    Response: The Lewin Group has considered this recommendation and, after discussions with the AMA and numerous physician specialty groups, has determined that practitioners may not respond to the survey if they believe their data may be audited. However, The Lewin Group does believe that a closer link between the survey worksheet and a practice's tax forms may improve the accuracy of the data. We may consider this as a longer-term refinement issue.

    Comment: One group recommended that we develop a workable alternative to the SMS survey. They noted the indefinite suspension of the SMS survey, and the lack of evidence that the SMS is the best source of obtaining practice expense data at the specialty level as reasons for their suggestion. They suggested we develop a set of core questions and standard definitions to be incorporated in each specialty's survey. If we create an alternative to the SMS, They requested that we take into account the extensive amount of time involved in designing and conducting an effective practice expense survey.

    Response: The Lewin Group has already worked with specialty groups to modify the SMS survey for administration as a supplemental survey. The Lewin Group will continue to help specialty groups field supplemental surveys.

    Comment: One group requested that we keep the specialty groups updated on the status of the SMS survey and any potential solutions or alternate plans we develop to account for the absence of new SMS data. They stated that keeping the specialties current would allow them to anticipate extra spending on survey projects.

    Response: The best source of current information on the status of the SMS survey would, of course, be from the AMA. Any plans on our part would be included in information provided as part of future revisions to practice expenses.

    Comments on the Response Rate

    Comment: Seven groups objected to the response rate of 80 to 90 percent mentioned as a criterion for the presumed national representativeness of a sample. The groups stated that the SMS has never achieved a response rate this high, and that specialty groups should not be expected to achieve a response rate higher than that achieved by the SMS. Two groups suggested an acceptable response rate of 30 to 40 percent, and the American Academy of Ophthalmology (AAO) suggested an acceptable response rate of 30 percent. The ACR requested an acceptable response rate of no higher than 65 percent. Three groups objected to our response rate but did not suggest an alternative rate.

    Response: The 80 to 90 percent response rate was presented as a rate at which we can presume that the sample is nationally representative, but not as an absolute requirement for the acceptance of data. As we stated in the May 3, 2000 interim final rule (65 FR 25666), we are attempting to be as reasonable as possible. However, surveys with a response rate lower than 80 percent cannot be assumed to be nationally representative, and, for us to accept these data, a specialty group must demonstrate that the survey respondents are not significantly different from non-respondents. In addition, based on our review of the supplemental surveys submitted, we are modifying our criteria concerning an acceptable level of precision for surveys. We now believe a reasonable level of precision for surveys to be used for supplementing current data is a 90-percent confidence interval with a range of plus or minus 10 percent of the mean (that is, 1.645 times the standard error of the mean, divided by the mean, should be equal to or less than 10 percent of the mean).

    Comment: One group commented that it is highly unlikely that small specialties will be able to achieve the coefficient of variation of less than 10 percent for overall practice expenses or practice expenses per hour that we require for the acceptance of supplemental data. They note that the original SMS survey did not achieve this threshold for many small specialties and, therefore, question the application Start Printed Page 65384of the requirement to supplemental surveys.

    Response: In developing the resource-based practice expense RVUs, we consulted widely with physician groups, researchers, and others to identify possible data sources. Nearly all commenters agreed that the SMS data, while not specifically designed for the purpose of establishing practice expense RVUs, was the best available data for this purpose. We believe our criteria, as discussed above, help assure that any data used to supplement the SMS data are statistically valid and representative. Further, we believe these criteria are reasonable and achievable. For example, a specialty society for thoracic surgeons submitted supplemental data that we incorporated last year. These data from the STS achieve our statistical criteria for supplemental surveys. We also note that the 90-percent confidence interval requirement seems very reasonable in that, in general, a 95-percent confidence interval is a more typical statistical standard value.

    Comment: One group requested that we provide the specialty groups “with a comprehensive definition of ‘complete' and ‘incomplete' data in addition to an explanation of the extent to which incomplete data will be excluded or utilized in practice expense calculations.” At a minimum, the group requested indicators for required and non-required data fields on the survey instrument.

    Response: The required data fields for the survey instrument are available from our contractor, The Lewin Group, and from the protocols and guidelines we have created for the supplemental surveys. The original SMS survey data obtained from the AMA was accepted only for surveys with complete practice expense and patient care per-hour information. We will continue to use these criteria for the acceptance of data. (A copy of the guidelines and procedures may be obtained by contracting Lane Koeing at The Lewin Group at (703) 269-5659.)

    Data Adjustment

    Comment: Three groups commented on our use of the 1995 through 1997 specialty practice expense per-hour data from the SMS and our deflation of supplemental survey data to 1995 practice costs. The groups stated that we should use the most current data available for all specialties rather than earlier data of questionable relevance.

    Response: We indicated in the July 2000 proposed rule (65 FR 44181) that, based on a recommendation by The Lewin Group, we have incorporated the 1998 SMS data into our practice expense per-hour calculations and that we are now basing our practice expense per-hour calculations on a 4-year average. Regarding the deflation of the practice costs to 1995, as long as the same deflator is used across specialties, the particular year to which the specialties are deflated is insignificant. The base year of 1995 was chosen to be consistent with the data we have already.

    Comment: One group commented on our decision to weight average the supplemental data with the existing SMS data already being used. According to the group, this decision is flawed because it erroneously assumes that the SMS data currently in use is correct. In addition, they believe that the SMS sample size for emergency physicians has been too small to provide valid data for the calculation of practice expenses. The group suggested that it is inappropriate for us to weight average data from this unrepresentative sample with supplemental survey data for emergency physicians.

    Response: The SMS data is the best data currently available for the calculation of practice expenses. As refinements of the practice expense methodology are identified and included, we will extrapolate and apply them to past SMS data to the extent possible. Weight averaging the supplemental survey data with the existing SMS data would be used to increase the sample size. We also established the criteria for supplemental surveys in the May 3, 2000 interim final rule (65 FR 25666) as a guideline for those specialties seeking to increase their sample size.

    Short Time Frame for Data Submission

    Comment: Three groups expressed concern with the short time frame we have provided for specialty groups to develop the survey methodologies, find a contractor, and provide the data for computation of RVUs.

    Response: Section 212 of the BBRA required that we establish, through regulation, a process for any organization to collect and submit supplemental survey data for use in establishing payments for the calendar years 2001 and 2002 physician fee schedules. Thus, the amount of work required to be accomplished in a short time was largely due to the requirements of the statute itself.

    Cost Burden of the Supplemental Surveys

    Comment: Two groups commented that we should share the cost burden for the supplemental surveys. According to the groups, the supplemental surveys will be filling in the data gap left by the SMS and, therefore, we should subsidize the cost of completing the surveys. In addition, one group commented that the efforts needed to meet the supplemental survey requirements may be prohibitively costly for many specialties without subsidization from us. One group also commented that we should take into account the AMA's problems with the expense of administering the SMS before fully adopting the survey protocol. Specifically, they suggested that we look for less costly, and more cost-effective, ways of validating the data than telephone interviews.

    Response: We have no funding for supplemental surveys, and we are not currently considering such approaches. As we have previously explained, we believe the SMS data are currently the best available source of practice cost information. We believe there are significant, methodological advantages to obtaining practice cost information through multi-specialty surveys such as SMS, rather than through surveys of more limited groups of specialties. The supplemental survey process allows specialties the option to provide additional information.

    Comment: Two groups suggested that we should eliminate some of the criteria for the acceptance of outside survey data if a specialty can demonstrate that the collected data are valid practice expense data for the specialty. According to one commenter, some specialty groups may have valid data that does not exactly meet the criteria we outlined, but nevertheless could be a valuable data source.

    Response: In the May 3, 2000 interim final rule (65 FR 25666), we presented the criteria for specialty societies seeking to collect new practice expense data through supplemental surveys. The process established by these criteria, as amended by this final rule, should be followed by specialty societies to collect future supplemental practice expense data.

    Survey Contractor Requirements

    Comment: One group expressed concern about contracting for survey research. According to the group, many specialties have staff capable of analyzing the survey data. Requiring specialties to contract for the surveys could eliminate certain subspecialties from administering a supplemental survey due to cost burden.

    Response: We recognize the cost burden of contracting for the supplemental survey administration; however, to ensure the integrity of the practice expense data, we are requiring Start Printed Page 65385that a disinterested third party administer supplemental surveys.

    Comment: One group questioned our requirement for specialties to use a survey contractor with experience in conducting national multi-specialty surveys of physicians using random samples. They believe that a contractor with experience surveying health care professionals and using random sample techniques should be sufficient.

    Response: We believe our initial requirements represent a preferred way to collect valid and reliable data. We will, however, consider survey contractors with experience surveying health care professionals, collecting financial information, and using random samples.

    Comment: Two groups are concerned with our requirement for raw survey data to be submitted to us. One group believes that we should outsource the analysis of the survey responses. The other group opposes the submission of raw data to us because they believe physicians will be unlikely to respond to sensitive financial questions if they are informed that their individual responses will be sent directly to the government.

    Response: The raw survey data have been submitted to The Lewin Group, and they have provided us with only aggregate practice expense values.

    HCFA's Use of the Supplemental Survey Data

    Comment: One group expressed concern about our use of the supplemental survey data. Before administering an expensive survey, they want assurance from us that the supplemental data will be used. Alternatively, the group believes we should conduct a survey across all specialties. They commented that we must adopt one of these options to remove flawed data that does not account for the unique practice expenses related to emergency medicine.

    Response: The criteria for the consideration of supplemental survey data are described in this final rule. We anticipate incorporating data that meet these criteria in the practice expense methodology.

    Comment: One group requested that we provide specialty groups with the criteria for determining if data supplied between August 2, 2000 and August 1, 2001 is usable. We state in the interim final rule that submitted data will be considered, but we do not state whether the criteria for acceptance will be the same as the criteria for data supplied by August 1, 2000.

    Response: The criteria for accepting supplemental survey data were presented in the May 3, 2000 interim final rule. These criteria were subject to public comment, and any modification we have made to these criteria, as a result of the comments, are part of this final rule.

    Result of Evaluation of Comments

    The criteria published May 3, 2000 will be used for surveys submitted in 2001 with the following modifications.

    • We had proposed that specialty groups use a contractor that has experience with the SMS or a survey firm with experience successfully conducting national multi-specialty surveys of physicians using nationally representative random samples. We have modified the criteria to provide for using a contractor that has experience surveying health care professionals, collecting financial information and using random samples.
    • In addition, based on our review of the supplemental surveys submitted, we are modifying our criteria concerning an acceptable level of precision for surveys. We now believe a reasonable level of precision for surveys to be used for supplementing current data is a 90 percent confidence interval with a range of plus or minus 10 percent of the mean; (that is, 1.645 times the standard error of the mean, divided by the mean, should be equal to or less than 10 percent of the mean).

    With respect to response rates, we are concerned about the low response rates received from supplemental surveys submitted to us in 2000. While we acknowledge that the timing of the surveys (that is, short-field time and time of year) contributed to the low response rates, we believe that groups will have more time to conduct surveys and, thus, are likely to obtain better response rates in future surveys. While we continue to believe that it is impossible and impractical to set rigid cutoffs, we are expecting higher response rates than were achieved in the supplemental surveys submitted to us in 2000. We would like to see detailed analyses that indicate the sample is representative of the population. While The Lewin Group was able to perform some limited analyses of response bias for the supplemental surveys received in 2000, we expect that these supplemental surveys received in 2001 will provide detailed analyses with respect to possible response bias on factors that could affect practice expenses. Such analyses should consider variables such as specialty society membership, years in practice, board certification, gender, geographic distribution of respondents, and practice arrangements (for example, solo practitioners or large group practices). We will not consider supplemental data in the practice expense methodology unless we receive detailed analyses that give us confidence that survey respondents are representative of the profession on items that affect practice expense. In addition, the data must appear reasonable and consistent with other data used to determine practice expense RVUs.

    Submission of Supplemental Surveys

    In response to the May 3, 2000 interim final rule, three organizations submitted supplemental survey data for consideration. One survey was submitted by the American Physical Therapy Association (APTA), and a joint survey was submitted by the American Association of Vascular Surgery (AAVS) and the Society for Vascular Surgery (SVS). Our contractor, The Lewin Group, has evaluated the data submitted by each organization and recommended that we use these data. The full recommendation and discussion will be made available on the HCFA website. We have decided to use the data submitted by the AAVS and SVS to supplement the information we are currently using. However, we have decided not to use the data submitted by the APTA. The revised practice expense per hour figures that we are using for vascular surgery are:

    Clinical staffAdmin staffOffice expenseSuppliesEquipmentOtherTotal
    20.218.117.73.24.511.475.1

    These figures are from the supplemental survey information provided to us from the Lewin Group adjusted by the MEI so the figures reflect 1995 data. That is, we divided the 1999 practice expense per hour data by the cumulative MEI for 1996-1999 (1.0877). Start Printed Page 65386

    Both supplemental surveys have extremely low response rates (about 14 percent for vascular surgeons and 11 percent for physical therapists). We specified the criteria we would apply for supplemental surveys in the May 2000 interim final rule (65 FR 25666). While we did not establish a precise minimum response rate, we did indicate that surveys with response rates less than 80 percent to 90 percent require an analysis to determine to what extent the sample is representative of the population. The extremely low response rates achieved by these two supplemental surveys and the relatively small number of responses make it extremely difficult, and very subjective, to determine whether the data are representative of each specialty. Our contractor was able to make very limited assessments of this issue based on the data provided.

    However, in our May 2000 interim final rule, we indicated that, based on our review of existing physician practice expense surveys, we believe that an achievable level of precision is a coefficient of variation, that is, the ratio of the standard error of the mean to the mean expressed as a percent, not greater than 10 percent, for overall practice expenses or practice expenses per hour. For existing surveys, the standard deviation is frequently the same magnitude as the mean. We indicated in the May 2000 interim final rule that we would consider practice expenses for which the precision of the practice expenses is equal to or better than this level of precision and that meet the other survey criteria.

    The data submitted by the AAVS and the SVS met the level of precision. The data submitted by the APTA did not rise to this level of precision; they did not meet this objective criterion set out in the May 2000 interim final rule. Thus, we do not have, in the survey data submitted by the APTA, data that convince us of both the representativeness or the precision of the surveys. For that reason, we are unable to incorporate the supplemental survey data submitted by the APTA in the practice expense system.

    We note, however, that we have made an adjustment to the practice expense data for physical and occupational therapy services based on other comments received. These comments and adjustments are described elsewhere in this regulation.

    In addition, one specialty society also submitted data concerning clinical staff in the hospital setting. The data submitted were not in the context of supplemental survey data. We discuss the issues addressed by these data elsewhere in this preamble.

    (ii) Proposals for SMS Refinement

    In the July 2000 proposed rule (65 FR 44180), we discussed the tasks that our contractor, The Lewin Group, was undertaking to assist us with broad practice expense technical and methodological issues. We also highlighted the recommendations that were contained in the first draft report that the contractor submitted, “Practice Expense Methodology,” dated September 24, 1999. This report is on our homepage under the title “Practice Expense Methodology Report.” (Access to our homepage is discussed under the “Supplementary Information” section above.)

    The report contained various recommendations aimed at increasing the validity and reliability of the AMA's SMS survey. Although the Lewin Group's recommendations were made specifically to address improving the SMS survey for calculating practice expense RVUs, we believe the recommendations will be useful in making refinements to any other survey instrument that may be used in calculating practice expense RVUs. The recommendations fell into the three following areas:

    • The use of data supplementary to the SMS survey.
    • Suggested changes to the survey instrument.
    • Recommendations for using the data in calculating the specialty-specific practice expense per hour.

    In response to the report's recommendations on the use of the SMS data, we proposed to incorporate data from the 1998 SMS survey, which is the latest data available, into our practice expense per-hour calculations. In addition, we proposed basing the practice expense per hour calculations on a 4-year average, rather than the 3-year average recommended in the contractor's report. We published a table that contained the practice expense per-hour calculations for CY 2001 that resulted from the above proposals. We also proposed standardizing the practice expense data to reflect a 1995 cost year consistent with the pricing information we are using for the estimates of practice expense inputs for individual procedures. To standardize costs, we proposed inflating 1995 cost data by the MEI and deflating 1996 and 1997 costs data. This proposal has virtually no impact on the practice expense per-hour calculations.

    After discussions with the AMA's SMS staff, we did not propose, as recommended by our contractor, to revise edits and trims to the SMS survey data to exclude data that fall outside set acceptable ranges.

    In the July 2000 proposed rule (65 FR 44184), we also discussed the suggestions we made to the AMA for including additional questions in the SMS survey that would make it more useful for calculating specialty-specific practice expenses more precisely. It now appears that the AMA may no longer undertake a multi-specialty survey to collect practice expense information. While we will continue our discussion with the AMA regarding any future plans for practice expense data collection, as stated above, we believe these recommendations will be useful in the design of any other survey used in developing practice expense RVUs.

    As we indicated earlier, we proposed to use data from the 1998 SMS to develop the 2001 practice expense RVUs. Furthermore, data from the 1999 SMS will become available later this year for use in developing the 2002 practice expense RVUs. In addition, section 1848(c)(2)(B) of the Act requires that not less often than every 5 years, we review and make adjustments to RVUs. Thus, we are required by the statute to review and make adjustments to the practice expense RVUs 5 years after the end of the transition period, that is, no later than 2007. Regardless of whether the AMA continues to collect data on practice expenses, we will be developing plans for making refinements to practice expense RVUs beyond 2002.

    Comment: One specialty society indicated that SMS data from 1998 and 1999 is available and we have not used this data in the past because of fears that the data may be tainted now that some physicians know that the responses could affect Medicare fees. The commenter recommended that we use data from 1996 through 1999, rather than the 1995 through 1998 data we have proposed using.

    Response: In the November 2, 1998 final rule (63 FR 58821), we expressed concern about the potential biases that may exist in surveys collected by individual specialties and in any survey data collected in the SMS survey process subsequent to our June 5, 1998 proposed rule. There is no relationship between this concern and any decisions that we have made with respect to incorporating available data from the SMS survey process into the practice expense methodology. Since SMS survey data from 1998 was collected more than 1 year before the June 1998 proposed rule announcing the “top down” methodology, any implication that we did not previously propose use Start Printed Page 65387of the data because of a concern about bias in the data is inaccurate. Rather, we have not previously proposed using the data because it was unavailable to us before this year's proposed rule. In addition, we did not propose using SMS data from 1999 because it was unavailable to us at the time of the proposed rule. We will consider using 1999 data from the SMS for setting 2002 physician fee schedule rates. As we stated in our July 2000 proposed rule (65 FR 44184), we welcome comments on long term strategies for collecting practice expense data in the future.

    Comment: We received two comments that indicated that the SMS sample for gastroenterology is small and inadequate, that the response rate in the SMS is the lowest among any specialty, and that the practice expense calculations are probably inaccurate. One of these commenters also urged us to work with the AMA and the medical community to improve the aggregate specialty-specific data. A specialty society representing pediatrics reiterated the concern that the pediatric specialties are not adequately represented in the SMS, and a society representing geriatrics also believed that the sample size of geriatricians is not large enough to yield reliable data. Another commenter was concerned about the inadequate sample size of radiation oncologists in the SMS and believed that the use of the Physician Masterfile under-samples non-hospital based radiation oncologists and over-samples hospital-based radiation oncologists, who do not incur the same practice expenses for equipment and staff. Several imaging specialties stated that the SMS does not capture the practice expenses for TC services, probably because the SMS sample is skewed toward professional-component only providers. These commenters argued that, even if the sample of TC providers were adequate, the higher TC costs would be diluted by the lower PC costs, and thus it is necessary to perform a survey of only TC providers to use in the practice expense calculations.

    Response: Since concerns regarding the representation of various specialty societies in the SMS data were raised previously, we are reiterating our general response that can be found in more detail in the November 2, 1998 final rule (63 FR 58821). As we indicated in that rule, many of the criticisms of the SMS data could well be made about any other practice expense survey. At the time, we proposed use of the SMS data for developing the practice expense RVUs, we indicated that it was the best available data source on aggregate practice expenses. Since we are continuing to rely on the SMS data in the process for determining practice expense RVUs, we believe that the specialty-specific representation in the data is now improved by incorporating an additional year of data. The practice expense per hour will be based on a larger number of survey responses that will likely result in improved representativeness of the data.

    Comment: One commenter contended that the data in the practice expense per-hour table in the July 2000 proposed rule do not appear logical, objective, or consistent. There is an unexplained range of clerical payroll per hour among similar specialties, and the ranking of the practice expenses among specialties appears to be untenable; for example, the total practice expense per hour for dermatology is almost two times greater than for gastroenterology.

    Response: We believe that different specialties are likely to have differences in practice expense per-hour for indirect types of costs depending upon the nature of the practice. With respect to the examples identified, dermatologists are generally in office-based practices, while gastroenterologists provide most services in hospitals. The nature of these types of practices may result in very different expenses for administrative personnel. Without disaggregating the costs and describing the different administrative activities that are performed by employees of the different types of specialties, it is difficult to explain deviations in the practice expense per hour among specialties. Nevertheless, we reviewed data on administrative practice expenses per hour across specialties for each individual SMS data year and found, with some exceptions, that there is stability among the relative practice expense per hour for this item across years. For instance, for 3 of the 4 years that there is survey data, the administrative practice expense per hour for gastroenterology is between 61 and 63 percent of dermatology (in the remaining year, it is 53 percent). We believe that the apparent stability of the relative practice expense per hour across specialties provide assurance of the data's reliability.

    Comment: We received a number of comments expressing concern about our decision to incorporate 1998 SMS data into the practice expense methodology. Several commenters noted that there were a small number of usable responses for some specialties to calculate the practice expense per hour using the 1998 SMS data, citing that cardiac and thoracic surgeons and radiation oncologists had only three responses. Another commenter stated that, in the past, we have been unwilling to use SMS data if the number of survey respondents is low. Other commenters expressed concern that for some specialties, the small sample of physicians would mean that the practice expense per hour could not be calculated accurately and such unstable data would produce some substantial changes. These commenters suggested that we not incorporate additional data, including the 1998 SMS data, until a representative practice expense sample can be performed with an adequate number of respondents for all specialties.

    One specialty commented that inclusion of the 1998 SMS data is premature because of questions regarding its validity, since AMA is redeveloping the SMS with the possibility of seeking specialty-society input, and there are questions regarding the validity of the 1998 SMS data. While some commenters agreed with the general principle of using the most current data, they argued that the quality of the 1998 SMS data does not merit inclusion into our practice expense per-hour calculations. One commenter stated that the SMS survey does not recognize the unique nature of emergency medicine.

    Alternatively, there were many comments that supported our use of the 1998 SMS data. These commenters generally indicated that we should use the most current data because practice expenses may change over time. In addition, these commenters indicated that there is no evidence that the 1998 SMS data is tainted or otherwise objectionable. Other commenters indicated that including more survey responses from later SMS years will result in practice expense values that are more representative of physicians' costs. Some commenters indicated that practice expense data based on a 4-year sample provides greater assurance of its quality. Many of the commenters that suggested incorporating the 1998 SMS data also indicated that we should use the 1999 data from the SMS when it becomes available. Other commenters supported our proposal to base the practice expense per-hour calculation on a 4-year average of SMS data as opposed to a 3-year average, because it will help to compensate for the low number of survey responses from some specialties in the prior years' SMS surveys.

    One commenter believed that we should follow our contractor's recommendation and use a rolling 3-year average, because using 4 years results in older data completed by persons less familiar with the SMS. Start Printed Page 65388Other commenters supported using only the latest 3 years of data to eliminate the oldest practice expense data from the methodology.

    Response: While the lower response rates in the 1998 SMS data are a concern, we continue to believe it is appropriate to incorporate these additional data into the practice expense methodology. In general, even though there are fewer responses in the 1998 SMS data, it is unclear to us why this alone indicates that we should reject incorporating the data. Generally, the inclusion of more survey data will improve the data's representativeness and lead to more stability in the practice expense methodology. Furthermore, to the extent that there are fewer responses to the 1998 SMS survey, there will be less impact on a given specialty because the practice expense per-hour calculation is weighted by the number of respondents from each respective year. With respect to the stability of the data, the AMA indicated that a statistical test of the data “revealed only marginal evidence of a statistically significant change in PE-HR across specialties when all specialty-level changes were considered jointly. In other words, the combined set of changes in relative PE-HR were with the range of what could be expected by sampling error.” Thus, although there may have been some large changes in practice expense per hour across years for some specialties, there appears to be overall stability across years among all physicians.

    In general, use of the 1998 SMS improves the stability of the practice expense per hour and results in little specialty level impact. For the 35 specialties listed in our impact table in the July 2000 proposed rule (65 FR 44203), 21 specialties will experience an impact that is near zero. There are nine specialties that will experience an impact of approximately 1 percent as a result of inclusion of the data. For two (cardiac and thoracic surgery) of the four specialties that show a payment impact of approximately 2 percent, the data were affected by more than just the inclusion of the 1998 SMS data. In the November 1999 final rule (64 FR 59391), we indicated that supplemental data would be incorporated in the practice expense per hour and we would not include data from the 1995 SMS. We are now adding the 1995 SMS data as well as the 1998 SMS data to the calculation of practice expense per hour and increased the likelihood that there would be a larger impact on the practice expense per hour. For one specialty (physical and occupational therapy, included in the nonphysician practitioner category), we made an error in the practice expense per hour calculation in the July 2000 proposed rule. After correcting this error, there is only approximately a 1-percent increase in the nonphysician practitioner category from incorporating the additional SMS data. We believe that these results support the argument that the practice expense per hour is generally stable and that it is appropriate to include 1998 SMS data in the practice expense methodology.

    With respect to the comment that it is premature to incorporate 1998 SMS data into the practice expense methodology because of AMA efforts to redesign the survey and include specialty society input, we are unsure of the AMA's efforts in this regard. Nevertheless, while we would welcome multispecialty involvement in an effort to collect practice expense data specifically for the purpose of determining relative value units, we believe that such efforts should not have any bearing on our decision to incorporate later SMS data into the practice expense methodology at this time. If new data were to be collected under a redesigned survey process, it could be at least 2 years before such data is available to us. In the interim, we believe it is appropriate to include the latest SMS data into our methodology.

    We disagree with the commenter who suggested that the older SMS data should be eliminated from the practice expense per hour calculations because the surveys were completed by respondents less familiar with the SMS. The SMS is a longstanding survey that was originally developed by the AMA in 1981. There is no evidence that data from earlier SMS surveys is less reliable than later survey information.

    Comment: A commenter representing urologists stated that, if we are not going to accept our contractor's recommendation to revise the edits and trims to the SMS survey data, the use of median values, rather than means, would produce the most fair relative ranking of the practice expense per hour among medical specialties.

    Response: We believe it is appropriate and consistent with the statute to use the mean practice expense per hour rather than the median. Under the practice expense methodology, the practice expense per hour for each specialty is multiplied by the physician time per procedure and number of Medicare allowed services and summed at the specialty level to produce aggregate specialty cost pools. In theory, the aggregate practice expense pools would reflect actual physicians' costs if the utilization data for all payers, not just Medicare payers, were used. (In reality, however, the data is potentially biased by the inclusion of mid-level practitioners. See the June 5, 1998 proposed rule (63 FR 30832) for a more detailed discussion of this issue). If the median practice expense per hour were used, however, the aggregate cost pools would not be reflective of physicians' actual expenses, because very high-cost or low-cost practice data would be excluded. Since the statute indicates that we should “recognize all staff, equipment, supplies and expenses,” we believe use of the mean rather than the median practice expense per hour will result in the practice expense RVUs being more reflective of all physician practice costs.

    Comment: We received several comments that were concerned about the AMA's decision to no longer collect practice expense data from the SMS. One commenter noted that the Lewin Group recommendations described in the proposed rule were aimed at improving the SMS surveys and/or practice level surveys that the AMA no longer intends to perform. Other commenters expressed concern about plans for gathering practice expense data for years after 1999, particularly if the AMA will not continue the SMS survey. Two commenters recommended that we initiate a dialogue with specialty societies to develop a workable alternative and another that we consider creating and funding a survey to collect practice expense data in the future. One organization commented that the AMA's decision to no longer collect practice expense data means that issues related to uncompensated care in the practice expense methodology will not be addressed. This commenter stated that we should continue to work with emergency physicians to ensure that what the society feels are flawed practice expense data are no longer used to determine payment amounts for emergency physicians.

    Response: We share these commenters' concerns about the AMA's decision to no longer collect practice expense data. However, we continue to believe that the recommendations of the Lewin Group and our suggestions to the AMA regarding improvements that could be made to the SMS and practice level survey will be helpful in future practice expense data collection efforts. As the AMA indicated in a letter to us (see 63 FR 30829 for the AMA's more detailed comments), the SMS data were never collected for the purpose of developing relative values. The Lewin Group recommendations and our suggestions to the AMA were intended Start Printed Page 65389to tailor the SMS or a practice level survey to be more suitable for this purpose. While our comments were addressed specifically to improving the ability of the SMS or a practice level survey to be used for developing practice expense RVUs, there is no reason that these suggestions would not be equally valid for any alternative practice expense survey instrument that may be developed. Thus, we continue to believe that there is merit in the work of the Lewin Group and in our suggestions on improvements to the AMA survey.

    With respect to the concerns expressed about gathering practice expense data beyond 1999, we have published criteria that specialties must follow to submit supplementary practice expense survey data that can be included in the practice expense calculations. Thus, there is a process for specialties to collect representative data on practice expenses for a specialty that can be used to influence the calculation of practice expense RVUs. Furthermore, we are currently planning to use 1999 SMS data to determine the practice expense per hour for calculating practice expense RVUs for 2002. Thus, the fully implemented resource-based practice expense RVUs will be based on a weighted 5-year average of the latest SMS survey data.

    Regardless of whether the AMA were to continue the SMS survey, it is unclear whether it would be necessary or even desirable to incorporate more recent practice expense per hour data into the methodology on an annual basis. While the practice expense may increase or decrease over time, the important variable for the practice expense methodology is whether there is a relative change among specialties in practice expense per hour. Again, with exceptions for some specialties, there generally appears to be stability in the relative practice expense per hour among specialties in the SMS data we are using. Indeed, there generally was little redistribution in payment resulting from use of the latest SMS data. For 21 of the 35 specialties listed in Table 1 of the July 2000 proposed rule (65 FR 44203), the percent change in practice expense from using the latest SMS data was near zero. For nine of the remaining 14 specialties, the impact on payments was only 1 percent. For only five of 35 specialties listed was the impact on payments 2 percent or greater. Thus, if there is year to year stability in the relative practice expense per hour among specialties, it will likely make little difference whether we incorporate additional practice expense data into the methodology.

    However, it is possible that there will be more significant changes in relative practice expense per hour over time among specialties. The statute requires that we make refinements in the practice expense RVUs at least every 5 years. While we expect to continue making refinements to the inputs for individual codes on an annual basis, it could be several years before we might require practice expense data from a multi-specialty survey after the initial refinement period ends in 2002. While we consider how to approach this issue, we welcome the comments that suggested that we seek input from the medical community in developing a mutually satisfactory and equitable approach to obtaining the needed information on practice expenses for future refinement efforts.

    Comment: A society representing vascular surgeons commented that separately billable income should be deducted from practice expenses as part of the practice expense per hour calculations, because the inclusion of this income may account for the inexplicably wide range in the practice expense calculations among specialties.

    Response: We agree that it is desirable to identify separately billable services. As explained elsewhere, this is an issue for future SMS revisions.

    Comment: One commenter suggested that we move the SMS clinical labor expenses to the indirect expense category, as was done with the administrative labor cost. The commenter stated that with the inclusion of high administrative costs, the indirect costs will vary considerably among specialties and expressed their concern that the determination of the scaling factor is not an equitable means to distribute these indirect costs. The commenter encouraged us, along with our contractor, to examine this issue in detail.

    Response: We are reviewing issues related to indirect expenses with our contractor.

    Comment: A commenter stated that separately billable income of mid-level practitioners should be deducted from practice expenses as part of the practice expense per hour calculations. The commenter suggested that the total practice expense pools should be adjusted by the Medicare income received by physicians for the work of physician assistants and other mid-level practitioners. The commenter indicated that the pools can be adjusted easily for cardiac and thoracic surgery because the data on billing for these mid-level practitioners are easily available from our data files.

    Response: We believe that the numerator of the practice expense per hour calculation should exclude any costs associated with mid-level practitioners and the denominator should include their patient care hours. Unfortunately, the data from the SMS do not permit the calculations to be performed in this way. We believe that this issue should be addressed in any multispecialty survey instrument that will be used in the future to collect practice expense data and determine practice expense RVUs. We disagree with the commenter that there is a feasible way of making an adjustment to the aggregate practice expense pools themselves to address this issue. While it is unclear from the comment about how such an adjustment would be made, it is possible that the commenter believed that we can use Medicare utilization data to determine the proportion of total allowed services for cardiac thoracic surgery procedures, where the specialty data indicates that the service is performed by a mid-level practitioner assisting at surgery; perhaps the commenter assumes that we would use this proportion to reduce the size of the aggregate cost pool. We believe that it is not possible to make an equitable adjustment in this way. First, the aggregate cost pools are constructed using a total practice per hour figure, and the proportional adjustment would reflect only Medicare data. Second, it is not clear to us how such a calculation would be made. An assumption would have to be made that where a mid-level practitioner is performing a given type of service, the work is being furnished for a given type of physician specialist. For instance, if a physician assistant is assisting at surgery for a heart procedure, we would have to assume that practitioner is working for a cardiac or thoracic surgeon. Even this simplified example presents a dilemma, because it would be unclear whether to adjust the pool of the cardiac or thoracic surgeon in this instance. We believe that, even if these assumptions could be made for some services, it would be difficult to make similar assumptions, for example, for evaluation and management services when the mid-level practitioner could be working for one of many different specialists. For these reasons, we are not making an adjustment to the practice expense pools at this time.

    (iii) Direct Patient Care Hours

    In our July 2000 proposed rule (65 FR 44184), we discussed the many concerns that have been raised from various specialty societies concerning our calculation of direct patient care hours. Several previous commenters Start Printed Page 65390representing surgical specialty societies have raised concern that the hours computed for their specialties have been overstated, because non-billable hours, such as stand-by time, have been included. In addition, commenters representing emergency room physicians raised the issue that the hours spent on uncompensated care were probably also included in the survey responses to the detriment of this specialty.

    We then discussed the steps we were taking to improve the future accuracy of these data. We recommended more precise wording for future survey questions so that only the appropriate practitioner hours are included.

    We also discussed the second draft report issued by our contractor, entitled “Validating Patient Care Hours Used in HCFA's Practice Expense Methodology.” This report, which is on our homepage under the title “Validating Patient Care Hours,” explores alternative methods that we might use to validate the time data collected by the SMS survey. We have extended The Lewin Group's contract so that, among other refinement tasks, the above validations can be performed. We also solicited comments and suggestions as to other steps we could take to verify and improve the accuracy of the specialty-specific patient care hours.

    Comment: We received several comments, primarily from surgical specialty societies, reiterating the concerns about patient care hours discussed in the July 2000 proposed rule. In particular, commenters urged that we find a way to identify non-billable hours, such as down-time between surgeries, stand-by time, phone calls, “curbstone” consultations, and uncompensated care, so that these non-billable hours can be subtracted from the specialties' direct patient care hours. In addition, several commenters raised the concern that the SMS survey data on patient care hours varies considerably by specialty.

    The comments also contained a number of recommendations. One commenter suggested that we could use a blend of the all-physician and the specialty-specific hours. A specialty society, citing concerns about the variability between the SMS and the Harvard/RUC time data, recommended that we collect information on the Medicare share of practice hours in the SMS to produce a check of the meaningfulness of the pool allocations. Another specialty society, claiming that the SMS data on patient care hours are sure to be imprecise, urged us to use a standardized number of hours in the practice expense calculation or to statistically limit the impact of this variable. While one commenter recommended that we use the average number of hours per week that physicians' offices are open to calculate the practice expense per hour, another commenter argued that the assumption of a 40-hour work week for all specialties would result in a significant distortion of practice expenses per hour.

    Response: We do agree that the patient care hours data would be more precise if we could ensure that there is a standard definition understood across specialties, so that non-billable hours would not be included in the data. As discussed in the July 2000 proposed rule (65 FR 44185), we suggested adding a clarifying definition of hours to be included to any future multi-specialty practice expense surveys. In addition, we referred to the work our contractor is doing to validate the patient care hours; one of the tasks will be a comparison between the SMS hours data and the Harvard/RUC physician time data. Once this analysis is completed, it could form a basis for deciding whether any adjustment to the SMS data is either advisable or workable. As for the recommendations that we use either a standard time for all specialties or the actual time the physicians' offices are open, we believe these recommendations stem from the mistaken impression that a specialty that actually works longer billable hours is somehow disadvantaged by our methodology. First, we believe that some specialties do put in more billable hours per week than other specialties, and using a standard number of hours for all specialties would thus be inaccurate and inequitable. Second, while it can be argued, as some commenters claimed, that most practice expense costs are generally incurred during the hours the physician's office is open, we do not have a two-tiered system of payment in which we pay less for surgeries performed at 6:00 a.m. than we do for those performed during office hours on the grounds that the earlier procedure somehow incurs less practice expense. Rather, we average the payments across each service, regardless of the time it is performed. Likewise, the practice expense per hour calculation is an average of the costs per hour, in which some hours would have higher costs and some lower. In addition, the direct patient care that takes place outside of office hours should be reflected in increases in the utilization data for that specialty that, in turn, increases the practice expense cost pools for the same specialty.

    Comment: One commenter urged that any uncompensated care adjustment be allowed only for emergency department services that are furnished by practices in areas that have a disproportionate share of uncompensated care.

    Response: If we were to propose any further adjustments for uncompensated care, we would publish them in a proposed rule, subject to comment by all interested parties.

    Comment: A specialty society expressed concern that, because podiatrists are not surveyed by SMS, any validation of patient care hours performed by our contractor would not apply to podiatry. This commenter also stated that the specialty society has shared with us two of the society's own surveys containing patient care hour data, and requested that we either validate and use this data or take responsibility for collecting this data.

    Response: We understand the points that are made by this commenter and will consider this further if we make adjustments to the patient care hours. In addition, now that a process and criteria have been spelled out for the submission of supplementary practice expense data, the specialty society can also submit additional survey data that should include information on podiatrists' patient care hours.

    (c) CPEP Data

    (i) Relative Value Update Committee's Practice Expense Advisory Committee (PEAC)

    1999 RUC Recommendations on CPEP Inputs

    The PEAC, a subcommittee of the RUC, held its initial meetings last year to begin to refine the clinical staff, supply and equipment inputs for physician fee schedule services. In the November 1999 final rule (64 FR 59394), we responded to the RUC recommendations for the refinement of the direct inputs for 65 codes originally reviewed by the PEAC and subsequently approved by the RUC and noted that our actions on all of the recommended inputs were subject to comment. We received the following comments on our revisions to the RUC recommendations:

    Comment: One specialty society questioned the removal of lysol, tissues, and biohazard bags from the supply list for all codes, since these items represent costs that physicians must pay. Additionally, one organization objected to our removal of self-administered drugs from all codes, and another society, as well as the RUC, objected to the removal of betadine from the supplies recommended for the post-procedure period.

    Response: We believe that the removal of such items as tissues, lysol, Start Printed Page 65391and biohazard bags will help simplify the refinement of the CPEP supply data without having a noticeable impact on the payment for any service. We removed the costs of these minor supplies from the overall CPEP supply list either because of the difficulty in measuring their use or because the supplies were not fully used up during a single procedure. Throughout the supply data, the quantities for biohazard bags and tissues were reported incorrectly; for example, codes were assigned 5 boxes of tissues or 250 tissues when the intention was to assign 5 single tissues at a cost of 5 cents. The PEAC/RUC has since extended this simplification by eliminating paper towels and room disinfectant from their recent recommendations. We proposed to eliminate the very few self-administered drugs on our supply list from the CPEP data because we believe that it is reasonable to exclude non-covered items in the allocation of the specialty-specific cost pools. With respect to betadine, we note that it is included in the recommendations for the post-surgical supply package that we have accepted in this rule, which can be used by any surgical specialty for its codes. Therefore, we will not be adding back any of these individual supplies at this time.

    CPT Code 17003, Destruction by Any Method, Second Through 14 Lesions

    CPT Code 17004, Destruction by Any Method, 15 or More Lesions

    Comment: One organization commented that we should have corrected the obvious and egregious anomaly in these codes whereby the payment for destruction of 14 lesions is considerably higher than the payment for 15 lesions.

    Response: We agree that the values for these two codes appear anomalous. However, we do not assign practice expense RVUs to services. Rather, these RVUs are allocated based on the inputs that are associated with each service. Both of the above codes, along with CPT Code 17001, Destruction by any method, first lesion, were presented by the dermatology specialty societies to the PEAC, but we received recommendations only on the supplies for these services. We accepted these recommendations in general, but deleted many specific supplies from CPT Code 17003 because it is an add-on code. We have re-examined the current CPEP inputs for CPT Code 17001, 17003, and 17004, and believe that the inputs for labor and equipment appear to be appropriate. The source of the anomaly seems to be in the supply inputs for these services. To ensure that the appropriate revisions are made to the supply lists, we need specific recommendations from the RUC or the relevant specialty societies.

    CPT Code 17304 Through 17310, Chemo Surgery (Mohs' Micrographic Technique) [First and Subsequent Stages]

    Comment: A commenter representing Mohs surgeons, while acknowledging the revisions made in the final rule to the lists of supplies, indicated that we erroneously omitted some supplies from the updated list. The commenter provided information on the supplies omitted, as well as the rationale for why these supplies need to be included.

    Response: We appreciate the detailed explanation regarding the use of these supplies. After review, we note that, with few exceptions, all the supplies the commenter claimed were omitted are in fact already included in our CPEP database as originally recommended. We explained in the November 1999 final rule that we were deleting Valium, which is separately billable, and Tylenol, which is self-administrable from all codes; therefore, these drugs will not be included for any of these services. In addition, we are not convinced that it is typical to suture the wound after each stage of surgery, and the commenter stated that the wound is not closed until it is determined that no further procedures are necessary. Therefore, we believe that only one set of sutures and suture kit are typically needed, which we are including in the supplies only for CPT code 17304. We also note that the tincture benzoin swab requested by the commenter was not included in the original RUC recommendation, though we are adding it at this time.

    CPT Code 56340, Laparoscopy, Surgical; Cholecystectomy (Any Method)

    Comment: A specialty society representing surgeons and the RUC objected to the decreases we made to the PEAC/RUC recommendations for the pre- and post-service times for this CPT code. They indicated that there were extensive discussions about this code at the PEAC/RUC meeting, and that adequate information was provided to support this change for pre-service time. The commenters also objected to our elimination of the time for the second registered nurse in the post-service period and requested that we provide the basis for determining that this is not typical practice.

    Response: There was insufficient rationale for the PEAC recommendations transmitted to us. Moreover, the PEAC is currently working on establishing a standardized methodology for refining the pre- and post-procedure clinical staff times. This code, like all other surgical codes involving pre- and post-procedure staff time will undergo further refinement. We are not changing the clinical staff times now, but will review them upon receipt of the PEAC recommendations for pre- and post-procedure time for surgical procedures in general.

    CPT Ophthalmology Codes 65855, 66170, 66172, 66821, 66984, 67036, 67038, 67039, and 67040

    Comment: Three specialty societies representing ophthalmologists and the RUC expressed concern that we did not accept the RUC recommendation to increase the pre-service period to 42 minutes for the above CPT codes, but rather deleted all pre-service clinical staff time. The commenters also noted that the statement in the November 1998 final rule that we were retaining the original CPEP value of zero minutes was in error for CPT codes 66170, 66172, 66984, 67036, 67038, 67039, and 67040 because the CPEP panel had assigned 24 minutes of clinical staff pre-service times to these codes. Commenters requested that we accept RUC recommendations for 42 minutes of clinical staff time in the pre-service period for all these codes because facility-based surgical procedures require significant pre-service clinical staff work.

    Response: We thank the commenters for pointing out our inadvertent error regarding the pre-service time in the original CPEP data for seven of the above ophthalmology codes. Although we are not convinced that each of the codes would have as much as 42 minutes of pre-service clinical staff time, we will use this as an interim value for pre-service time. We understand that the PEAC and RUC are planning to develop standardized approaches to assign the pre- and post-surgical clinical staff times, as well as coordination of care times, across wide ranges of codes for the different global periods. These pre-service times can then be revisited in light of future recommendations.

    Comment: Several ophthalmic societies opposed our decision to decrease the post-service clinical staff time approved by the PEAC/RUC for ophthalmic surgical procedures. The commenter representing three ophthalmic sub-specialties also stated that we did not consider the consensus agreement to replace the Ophthalmic Medical Personnel (OMP) staff type with the Certified Ophthalmic Start Printed Page 65392Technician (COMT) staff type for ophthalmic procedures. Another specialty society believed we should have collapsed the two staff types into the OMP staff type, because this was agreed upon at the 1997 validation panels.

    Response: At the time that the November 1999 final rule was developed, we had received a comment from the specialty society that had presented these codes to the PEAC. This comment described the building-block approach that was used to arrive at the post-service clinical times. Unfortunately, there was a miscommunication regarding the specific building blocks that were used to arrive at the total times, and our total times were different from those of the RUC. We have since received a clarification from the specialty society, and we are restoring the clinical post-service times to their recommended values.

    There appears not be a consensus among the ophthalmic specialty societies regarding which staff type to use for ophthalmology codes. In addition, we have not used any of the decisions from the 1997 validation panels in refining the practice expense inputs, but have accepted the RUC recommendations for the use of the OMP staff types for the codes that have been refined to date. We have not received from the RUC any recommendation regarding a global change in the staff type for ophthalmology services, but would certainly consider any future recommendation from the RUC on this issue.

    CPT Code 85060 Blood Smear, Peripheral, Interpretation by Physician With Written Report and CPT Code 85097 Bone Marrow; Smear Interpretation Only, With or Without Differential Cell Count

    In the November 1999 rule (64 FR 59397), we stated that these were professional services and, if any practice expenses were incurred, they could be reported using other applicable codes. Therefore, we removed all practice expense inputs for these two codes.

    Comment: Two specialty societies and the RUC requested that we use the recommendations of the RUC to establish a TC for CPT Code 85060, even though we would not use the RVUs for payment purposes, because other payers are increasingly using our RVUs to establish fees. The commenters also stated that the interpretation of blood smears can require additional slides and services. Commenters did not agree that the activity associated with the technical portion of CPT Code 85097 is included in payment for other services when this service is performed outside a hospital, as is increasingly occurring. They indicated that creation of a TC component for CPT Code 85097, using the RUC recommendations, would allow the laboratory that receives the specimen to bill for the technical costs in preparing the slide for examination by the physician, and recommended this TC component be paid under the physician fee schedule.

    Response: We do not want, at this time, to create a TC for a code that we do not cover, such as CPT Code 85060. However, as mentioned elsewhere in this final rule, we are further considering the issue of valuing non-covered services. We will publish practice expense RVUs for CPT Code 85097, so that it can be paid when furnished in a nonfacility setting. We will use the RUC recommended inputs to calculate the practice expense RVUs.

    CPT 88104 Cytopathology, Fluids, Washings or Brushings, Except Cervical or Vaginal; Smears With Interpretation

    Comment: Several commenters pointed out that, while we accepted the RUC recommendation that included filter paper in the list of supplies for this code, this was not reflected in the CPEP database.

    Response: This item was omitted inadvertently from the CPEP database and will now be included.

    In the November 1999 final rule, we deferred action on the RUC recommendations for a few groups of CPT codes on which we had significant questions. In the July 2000 proposed rule (65 FR 44185), we proposed to accept two groups of CPT codes of the RUC recommendations with the revisions noted below, while the RUC recommendation discussed below for the antigen service has not been previously addressed.

    Prostate Procedures

    CPT 52647 Non-Contact Laser Coagulation of Prostate, Including Control of Postoperative Bleeding, Complete (Vasectomy, Meatotomy, Cystourethroscopy, Urethral Calibration and/or Dilation, and Internal Urethrotomy Are Included)

    CPT 53850 Transurethral Destruction of Prostate Tissue; by Microwave Thermotherapy

    CPT 53852 Transurethral Destruction of Prostate Tissue; by Radiofrequency Thermotherapy

    We discussed the inputs for these codes at length with the relevant specialty society, and arrived at a consensus on the staff, supplies, and equipment that were needed for these services.

    Comment: The American Urological Association (AUA) applauded us for our proposal to accept the RUC recommendations for the three heat therapy prostate procedures and agreed that all inputs are now included in the CPEP data for these services. One manufacturer recommended that we adopt our proposal for CPT code 53850 in this final rule. Three individual urologists and a manufacturer commented that we should add equipment, such as an autoclave, rigid cystoscope, video system or ultrasound equipment to the equipment inputs for CPT Code 53852. The manufacturer also stated the prices in the CPEP database for the generator system and the hand piece are now outdated, and included the suggested current prices. Two of these commenters also included a list of supplies, most of which are already in the CPEP inputs for this code.

    Response: Because our proposal is based on a recommendation from the RUC, and the AUA has stated that it believes the current inputs for this code are correct, we will not add the suggested equipment or supplies at this time, nor change the prices for any of the equipment. However, we have awarded a contract to have all of our direct cost inputs re-priced and any information that is sent to us on current pricing will be forwarded to our contractor.

    Chemotherapy Procedures

    CPT 96408 Chemotherapy Administration, Intravenous; Push Technique

    CPT 96410 Chemotherapy Administration, Intravenous; Infusion Technique, Up to One Hour

    The RUC had recommended 102 minutes of clinical staff time for CPT code 96408 and 121 minutes for CPT code 96410. After the publication of the November 1999 final rule we met with representatives of the American Society of Clinical Oncology (ASCO) and discussed the society's breakdown by specific tasks of the above staff times. Included in this breakdown were 20 minutes for pre- and post-procedure education and 15 minutes for three phone calls after each visit.

    Because we believed that the times for patient education and phone calls should be averaged over the whole course of chemotherapy treatment, and because there appeared to be some duplication in the pre- and post-procedure education tasks, we reduced both the patient education and phone Start Printed Page 65393call times by 5 minutes. Therefore, we proposed 92 minutes of clinical staff time for CPT code 96408 and 111 minutes for CPT code 96410.

    Comment: ASCO objected to the 10-minute reduction of the clinical staff time for CPT 96408 and 96410. The commenter argued that the original RUC recommendation was reasonable and appropriate for both services and should be adopted. The comment also objected to our revision of a RUC recommendation unless we have a concrete reason to do so.

    Response: Upon reviewing the times the RUC has since recommended for patient education and post-visit phone calls for comparable services, we are adding the 5 minutes we had removed from both patient education and phone calls in the proposed rule. We will now use the RUC-recommended total times of 102 minutes of clinical staff time for CPT code 96408 and 121 minutes for CPT code 96410. We believe that the total time is consistent with subsequent recommendations that we are accepting, though as the PEAC and RUC continue to develop standardized times for clinical staff functions, all previously valued codes are subject to possible review.

    CPT 95165 Allergen Immunotherapy

    The RUC did not forward any recommendations on the specific inputs required to perform the above service. However, we did receive a recommendation about the interpretation of the meaning of a dose for purposes of calculating the practice expense RVUs for this service. Because we did not believe the recommendation resolved the ambiguity and confusion in the medical community surrounding this issue, we did not accept this recommendation in the July proposed rule. Since that time, we have received clarifying comments from relevant specialties on both the definition of dose and the practice expense inputs to use for this code.

    The practice expense inputs have been analyzed and adjusted so that they now correspond to the practice expense of preparing a one cc dose from a ten cc (ten dose) vial. The practice expense inputs for CPT code 95165 are based on an assumption that ten doses are typically included in each vial. Payment will be based on a maximum of ten doses per multidose vial. The practice expense RVUs for preparing a ten dose vial will remain the same, even if twenty doses are obtained from the vial (for example, if the physician administers 0.5cc doses, instead of one cc doses). Therefore, Medicare should be billed for a maximum of ten doses per vial, even if more than ten doses are obtained from the vial. Furthermore, when a physician dilutes a multidose vial (for example, by taking a one cc aliquot from a multidose vial and mixing it with nine cc's of diluent in a new multidose vial), Medicare should not be billed an additional amount for these diluted doses for CPT 95165. The additional clinical staff and supply costs for preparing such a diluted vial are minimal, because allergens represent over 80% of the direct costs of preparing a multidose vial. In a diluted vial there are no associated allergen costs, since they have already been billed in preparation of the initial vial. Therefore, we expect a maximum of ten doses to be billed for each multidose vial. If fewer doses are prepared from this vial, a dose number less than ten per vial should be billed.

    The practice expense inputs per one cc dose are as follows:

    Clinical Staff: 2.2 minutes

    Supplies: Allergen $6.05

    0.5 needles and syringes

    0.1 vial and cap

    one alcohol pad

    1 pair of nonsterile gloves

    If multiplied by ten, the inputs correspond to the total practice expense of a ten cc vial from which ten doses of one cc each are administered. Commenters recommended that a typical ten cc multidose vial contains five antigens and no diluent and that the total number of needles and syringes for the ten cc vial is five. The cost data for allergens was obtained from catalogue information and is based on the typical practice of using standardized extracts when available.

    In view of the clarification we have made regarding practice expense inputs, we will revise Section 15050(B)(7) of the Medicare Carriers Manual. In May 1998, we changed the language of that section, in part, to clarify our payment policy for antigen preparation. At that time we stated, “A dose of code 95165 is the total amount of antigen to be administered to a patient during one treatment session, whether mixed or in separate visits.” Two examples of antigen preparation and administration follow immediately after this language.

    We will revise this section of the carrier manual to define a dose as a one cc aliqout from a single multidose vial. With this clarification physicians will be able to bill Medicare for each dose prepared in each multidose vial. We plan to issue new instructions to the carriers and update the carrier manual to ensure that appropriate payment is made as of January 1, 2001.

    2000 RUC Recommendations on CPEP Inputs

    We believe that the recommendations received this year from the PEAC/RUC for the refinement of the CPEP inputs for existing codes mark a positive step in the CPEP refinement process. We received recommendations for clinical staff, supply and equipment inputs for 49 CPT codes, and for the supply and equipment inputs for four additional services. But the significance of the recommendations goes beyond the number of codes that were refined. First, included in these recommendations were the refinements for the 15 major evaluation and management (E/M) codes. These 15 codes represent over 25% of the payments made under the physician fee schedule. This was a breakthrough not only because the clinical staff times for these codes had previously been a point of major contention, but also because agreement on the inputs for E/M services may make it easier in the future to refine the post-surgical visits for thousands of services. Second, the PEAC/RUC approved supply packages for three specialties: obstetrics-gynecology, ophthalmology and neurosurgery; as a result, the supply inputs for hundreds of codes are now refined. We also understand that the PEAC will be developing further supply packages and is also setting up workgroups to determine approaches to standardizing pre- and post-procedure clinical staff times.

    We have reviewed the submitted RUC recommendations and have accepted all of them with only two minor revisions. In order to be consistent with a revision made previously in the November 1999 final rule, we have deleted the skin marking pen when it appears in a recommended supply list because it is not practical to allocate its use to individual procedures. In addition, for the ophthalmology codes that were refined before the supply packages were adopted, we have substituted the ophthalmology visit supply package as appropriate. If future decisions are made on standard clinical staff times, all of these refined codes can be revisited to determine whether any further refinements would be appropriate.

    Following is a list of the CPT codes that were included in the PEAC/RUC recommendations: (The complete PEAC/RUC recommendations and the revised CPEP database can be found on our website. See the Supplementary Information section of this rule for directions on accessing our web site.)

    CPT 57452 Examination of vagina Start Printed Page 65394

    CPT 57454 Vagina examination and biopsy

    CPT 57500 Biopsy of cervix.

    CPT 59000 Amniocentesis

    CPT 62270 Spinal fluid tap, diagnostic

    CPT 65730 Corneal transplant

    CPT 67311 Revise eye muscle

    CPT 67800 Remove eyelid lesion

    CPT 67961 Revision of eyelid

    CPT 90471 Immunization admin*

    CPT 90472 Immunization admin, each add*

    CPT 90782 Injection, sc/im

    CPT 92270 Electro-oculography

    CPT 92275 Electroretinography

    CPT 92582 Conditioning play audiometry

    CPT 94621 Pulm stress test/complex

    CPT 95812 Electroencephalogram (EEG)

    CPT 95822 Sleep electroencephalogram

    CPT 95829 Surgery electrocorticogram

    CPT 95830 Insert electrodes for EEG

    CPT 95861 Muscle test, two limbs

    CPT 95863 Muscle test, 3 limbs

    CPT 95864 Muscle test, 4 limbs

    CPT 95867 Muscle test, head or neck

    CPT 95868 Muscle test, head or neck

    CPT 95870 Muscle test nonparaspinal

    CPT 95903 Motor nerve conduction test

    CPT 95925 Somatosensory testing

    CPT 95926 Somatosensory testing

    CPT 95930 Visual evoked potential test

    CPT 99141 Sedation, iv/im or inhalant

    CPT 99142 Sedation, oral/rectal/nasal

    CPT 99201 Office/outpatient visit, new

    CPT 99202 Office/outpatient visit, new

    CPT 99203 Office/outpatient visit, new

    CPT 99204 Office/outpatient visit, new

    CPT 99205 Office/outpatient visit, new

    CPT 99211 Office/outpatient visit, est

    CPT 99212 Office/outpatient visit, est

    CPT 99213 Office/outpatient visit, est

    CPT 99214 Office/outpatient visit, est

    CPT 99215 Office/outpatient visit, est

    CPT 99241 Office consultation

    CPT 99242 Office consultation

    CPT 99243 Office consultation

    CPT 99244 Office consultation

    CPT 99245 Office consultation

    CPT 95813 Electroencephalogram (EEG)

    CPT 95816 Electroencephalogram (EEG)

    CPT 94060 Evaluation of wheezing

    CPT 95921 Autonomic nerv function test

    CPT 95922 Autonomic nerv function test

    CPT 95923 Autonomic nerv function test

    *Note:

    These are noncovered under the Medicare physician fee schedule.

    Other Comments on Refinement of CPEP Inputs

    Comment: One commenter asked that we clarify whether we plan to implement the RUC CPEP recommendations on a rolling basis, or whether all changes will be made at once.

    Response: Unless we announce a change in approach, we plan to deal with the RUC's recommendations on a rolling basis as we receive them.

    Comment: A commenter representing three ophthalmology sub-specialty societies expressed disappointment in our belief that it is preferable to have a multi-specialty agreement on changing the CPEP data, rather than accepting the recommendations of a single group. The commenter argued that there is little or no added value from such multi-specialty review when the impact of the changes is limited to a single specialty and when members of other specialties have no additional clinical knowledge.

    Response: We strongly disagree with this comment. We have found that the input and recommendations of the RUC play a crucial role in the practice expense refinement. Also, because there are many codes that are shared across a number of specialties, changes in payment for even a specialty-specific service can affect the payment of the shared services that the specialty performs. Therefore, we believe that it is fair and equitable to have a multi-specialty consensus on these changes. In addition, we have found, in our role as observers at RUC meetings, that RUC members, of whatever specialty, ask pertinent questions and make clinically relevant observations.

    Comment: A specialty society representing many medical specialties recommended that we should use panels, corresponding to the refinement panels we use for work, to make recommendations on code-level refinements that are submitted to us.

    Response: We certainly do not rule out the use of such refinement panels for code-level practice expense recommendations when and if such panels would be necessary and useful. We have used these panels for work RVU refinement in those cases when we have not accepted the RUC recommendations on a number of codes and subsequently have received comments disagreeing with our actions. Because we have made so few revisions in this current final rule to the PEAC/RUC recommendations for practice expense inputs, there may be no need for practice expense panels next year, although we will consider this issue.

    (ii) Clinical Staff Time

    In the November 1999 final rule (64 FR 59399), we removed estimates of all clinical staff time allotted to the use of clinical staff in the facility setting from the CPEP data. Commenters have since noted that the clinical staff times reported by some CPEP panels for pre-and post-service times for 0-day global services performed in the office were recorded in the intra-service field in the CPEP database. These times were, therefore, deleted along with the times for the use of clinical staff in the facility setting.

    In the July 2000 proposed rule (65 FR 44186), we stated that these data are not comparable to the data we excluded for clinical staff used in the facility setting. We reviewed the “CPEP Recorders' Notes Files” compiled for each CPEP panel by Abt Associates, Inc., the contractor managing the CPEP panels. When the notes indicated that clinical staff estimates were for activities performed in physicians' offices, we proposed to reinstate the time data for 0-day global services.

    Comment: Many medical societies representing specialists such as gastroenterologists, internists, rheumatologists, cardiologists, osteopaths and podiatrists, as well as the AMA, expressed strong support for this proposal to reinstate the pre- and post-procedure clinical staff time in the office for 0-day global services. One reason given in the comments for this support is that this time for staff in the office is not comparable to the data excluded for clinical staff used in the facility setting.

    Response: We are pleased that all commenters supported this proposal, and we are implementing this refinement in this rule.

    Comment: An organization representing cardiologists stated, in a comment on the November 1999 final rule, that we should enlist the assistance of medical specialties to identify codes for which clinical staff are used in the physician's office during the intra-service period for facility services. In a comment on the current proposed rule, this society agreed with our proposal to add some pre- and post-service clinical staff time to 0-day global services and listed several 0-day cardiology services for which it recommended the addition of clinical staff time.

    Response: In this proposal, we added only clinical staff time in the facility setting for those 0-day services when the CPEP recorder notes specified that the time was for pre- and post-service time for staff in the office. We believe that this is appropriate because these CPEP data are as valid as all other non-refined CPEP data. We also believe that changes to the CPEP data for this pre- and post-service clinical staff time should go through the same refinement process as other desired changes and that any Start Printed Page 65395group recommending the addition of such time should present this issue to the PEAC/RUC for refinement. We also understand that the issue of “coordination of care” clinical staff time is one that the PEAC may address across the board at some future meeting. In addition, from the description of the staff duties for the codes listed by the commenter, it is not clear that this staff is in the office, rather than in the facility performing facility nursing functions. Therefore, we will not be making these changes at this time.

    Comment: An emergency physician organization recommended that we not limit this proposal to 0-day global period services and submitted the CPEP recorders' notes for emergency room visits, CPT codes 99281 through 99285. The notes indicate that the CPEP panel added 3 minutes of pre-service time and 4 minutes of post-service time for office staff involved in admissions to the emergency room. The commenter recommended that this time be reinstated for these emergency room visit codes.

    Response: These emergency room visits have an XXX global period. By the current definition, XXX services do not include pre- and post-service times. Before implementing this specific recommendation, we hope to receive input from the RUC/PEAC on the general issue of appropriate pre- and post-staff times for the different global periods, in order to ensure consistency in our approach to this issue.

    In the November 1999 final rule (64 FR 59399) we finalized our decision to remove from the CPEP data all clinical staff times associated with physician's staff used in the facility setting. We implemented this policy for the following reasons—(1) We should not pay twice for the same service; (2) It is not typical practice for most specialty societies to use their own staff in the facility setting; and (3) Inclusion of these costs is arguably inconsistent with both the statute and Medicare regulations. In response to the November 1999 final rule, we received many comments on this final decision, which, for the most part, reiterated comments that had been made on the original proposal.

    Comment: Although several primary care groups expressed support for this decision, most of the commenters objected to the exclusion of this clinical staff CPEP data. Many of these organizations urged us to postpone the implementation of this policy and to collect additional information before making a decision on how to treat these costs. However, taking the opposite approach, a primary care organization stated that the clinical staff time should be removed for services furnished in the facility until the PEAC/RUC can determine that the time for these services is typical and not duplicative of physician work. Several commenters again raised the argument that the BBA prohibits us from excluding these clinical staff costs because the BBA requires us to recognize all costs, not just those that can be tied to specific procedures. Many organizations reiterated the claim that the practice of taking staff to the hospital is either typical or prevalent in their specialties. However, only the specialty society representing thoracic surgeons submitted any additional information to support this claim. The STS surveyed their members in July 2000,and reported that 74 percent of the respondents said they employ clinical staff who assist in the hospital, though more than half report that they receive Medicare payment for some of these personnel. Commenters made the following recommendations:

    Several organizations contended that hospitals no longer supply the staff to furnish adequate care. In relation to this point, two commenters recommended that the issue of cost shifts between hospitals and other providers is one that we should not ignore, and, if there is any double payment, Part A payment to the affected hospitals should be adjusted.

    Another specialty society recommended that we establish a modifier to allow for documentation of and payment for non-physician clinical staff who furnish services in a facility setting. This modifier would indicate whether there is a physician practice expense or a hospital practice expense that has been transferred to the physician practice, to ascertain whether payment should come from Medicare Part A or Part B.

    One organization recommended that the SMS data be adjusted by the income received for the work of physician assistants.

    Response: We have considered all the comments that we have received on this issue, both on the July 22, 1999 proposed rule and the November 1999 final rule. Though many of the commenters raised interesting points, there were neither new arguments nor evidence presented that would cause us to delay or abandon this policy. While we particularly appreciate the effort undertaken by the thoracic surgeons to develop data on the prevalence of their use of clinical staff in the hospital, the survey addresses only the question of typicality. As stated above, there are two other reasons why we eliminated this clinical staff time. First, we believe that we already pay the facility for the clinical staff needed for patient care. Much of what is claimed as physician's clinical staff time in the facility is either separately billable (as illustrated by the survey submitted by the commenter) or is accounted for in the work RVUs. Furthermore, by law, the hospital itself must furnish all services and items to a hospital patient, either directly or under arrangement. (For a more detailed description of our rationale for this policy, see the November 1999 final rule (64 FR 59402).)

    As to the recommendations made by the commenters, we agree that it would be desirable to remove costs associated with these mid-level practitioners from the SMS data as well. This would answer the concern raised by another commenter that removing the clinical staff from the CPEP data introduces further inconsistency with the SMS data. It is for that reason that we had recommended to the AMA that several specific questions be added to the SMS survey to capture the needed information on this clinical staff issue, and we anticipate that we will, in the future, be able to obtain such data.

    Although we would be interested in receiving data on the cost shifts between hospitals and other providers, we believe that the suggested use of a modifier for this purpose would be extremely difficult to implement and also burdensome for the practitioner. First, however, we must clarify that, even if the practice of bringing physician staff to the hospital pre-dates the advent of the hospital prospective payment system, any costs associated with such a practice were explicitly included in the hospital Diagnosis Related Group (DRG) payments in the September 1, 1983 interim final rule with comment and in the January 4, 1984 final rule. These rules reference section 1862(a)(14) of the Act, and the discussion makes clear that, with certain limited exceptions, all nonphysician services furnished to hospital inpatients are to be paid under Part A. The exception provided that, for any cost reporting period beginning before October 1, 1986, a hospital that has followed a practice, since before October 1, 1982, of allowing direct billing under Part B to an extent that immediate compliance with the bundling requirements would threaten the stability of patient care, could continue to bill under Part B. There is no indication that the waiver was extended. In response to a comment, we stated the following: “In order for a payment system that is based on a national average rate for a particular Start Printed Page 65396diagnosis to succeed, it is vital that the services and supplies included in the payment be essentially the same in every hospital. If the statute had not included the rebundling provision, it would have been possible for hospitals to collect the full prospective payment rate for inpatient services and, at the same time, reduce their costs by having outside providers and suppliers furnish many of the necessary services and bill Part B.” Furthermore, these rules state that, to calculate the PPS standardized amounts, base year costs were adjusted “to include the costs of services that were billed under Part B of the program by another provider or supplier during the base period but will be billed under Part A as inpatient hospital services effective October 1, 1983.”

    We do agree that it would be helpful to determine whether hospitals are still providing the staffing that is assumed in their DRG payments. To this end, we have requested that the Office of Inspector General conduct an independent assessment of staffing arrangements between hospitals and thoracic surgeons.

    (iii) Supplies

    In the November 1999 final rule, we deleted certain casting supplies from the CPEP data for the casting and strapping CPT codes 29000 through 29750. In the July 2000 proposed rule, we identified additional CPT codes for the treatment of fractures/dislocations and additional casting and splinting supplies that are separately billable under section 1861(s)(5) of the Act. Therefore, we proposed the removal of inputs for 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 archbars, and elastics from the following CPT codes: 23500 through 23680; 24500 through 24685; 25500 through 25695; 26600 through 26785; 27500 through 27566; 27750 through 27848; 28400 through 28675, and 29000 through 29750.

    Comment: Several specialty societies, representing orthopedic surgeons, podiatrists, and occupational therapists supported our proposal to delete casting supplies from the CPEP inputs for all applicable fracture management and cast/strapping application procedure codes for which these supplies are separately billable. The orthopedic surgery specialty society comment also included a list of non-fracture/dislocation codes for which it recommended deleting casting supplies and another list of non-fracture codes from which the supplies should be deleted if they are separately billable for these services and left in the CPEP data if they are not. This commenter also stated that the soft goods, such as stockinette, that we propose to delete do not currently have a HCPCS code, and requested that these supplies remain on the CPEP list until a separate code is established.

    Response: We appreciate the support expressed for our proposal. Consistent with the statute that limits separate payment for casting supplies only to the treatment of fractures and dislocations, we are not deleting these supplies from either of the two lists of additional codes supplied in the above comment. Also, we will delete soft goods, such as stockinette, from the CPEP data for the appropriate codes, because these are casting supplies that may be separately billed. We will, however, also request that HCPCS codes be developed for these items. Therefore, we will implement the policy as proposed.

    Comment: A commenter representing dermatologists sought clarification on whether the unna boot would be separately billable. The commenter stated that the unna boot is not in the list of supplies to be deleted from the CPEP data, but CPT code 29580, Application of paste boot, falls within the range of codes listed under this proposal.

    Response: We are not deleting the unna boot from CPT code 29580, because this code can be appropriately used for cases other than fractures, and in those cases the supply is not separately billable.

    Comment: One supplier of casting supplies agreed with our proposal to delete these casting supplies from the CPEP data, but suggested that we include their product, Procel cast liner, on this list as well, to clarify that it is separately billable.

    Response: The purpose of the proposal was not to list all the casting supplies that could be separately billable, but rather to delete from our CPEP input database any casting supplies that are currently listed. Because the Procel cast liner is not currently in our database, it does not need to be deleted.

    (iv) Equipment

    We currently use the original CPEP definitions for equipment that distinguish between “procedure specific” equipment and “overhead” equipment. Under the “top-down” methodology, the CPEP inputs are used only as allocators of the specialty-specific practice expense pools, and we believe the distinction between types of equipment has served to hinder the process of refining the CPEP inputs while not leading to a substantive distinction in how we value services. Therefore, we proposed to combine both categories of equipment into a single “equipment” category, assuming an average 50 percent utilization for all equipment.

    We also proposed to delete from the CPEP data equipment that is not used typically with any service, but is on “standby” for many services, or that is used for multiple services at the same time. The following is the list of equipment that we proposed to delete from the CPEP inputs of all services: autoclave, wheelchair, refrigerator, film file cabinet, hazard material spill kit, embryo freezer, water system, flammable reagent cabinet, utility freezer, ultra low temperature freezer, acid cabinet, bulk storage refrigerator, abortion clinic security system, abortion clinic security guard, gomco suction machine, doppler, laser printer, lead shielding, defibrillator with cardiac monitor, blood pressure/pulse oximetry monitor, blood pressure monitor, printer, crash cart—no defibrillator, and smoke evacuator.

    The following is a list of equipment that we proposed to delete as “standby” equipment for most codes, but that we believed typically may be used with a designated subset of procedures:

    X-ray view box—four panels (retain when currently in the CPEP data for codes in the range CPT codes 70010 through 79999).

    ECG machine—3 channel (retain when currently in the CPEP data for CPT codes 93000 through 93221).

    Pulse oximeter (retain when currently in the CPEP data for CPT codes 94620, 94621, 94680, 94681 and 94690; 94760 through 94770, 95807 through 95811 and 95819).

    ECG/blood pressure monitor—3 channel (retain when currently in the CPEP data for CPT codes 43200 through 43202 and 43234 through 43239).

    Cardiac monitor (retain when currently in the CPEP data for CPT codes 31615 through 31628).

    ECG-Burdick (except for HCPCS code G0166).

    Comment: All the specialty societies that commented on these proposals were supportive of what one commenter characterized as “HCFA's efforts to streamline the treatment of medical equipment” and agreed that the changes will facilitate the refinement process. One of these commenters stated that a standardized utilization rate overstates the use of some equipment and understates it for others and recommended that we continue to seek reliable data on this issue. Another Start Printed Page 65397commenter recommended that we need to provide clear and specific criteria for including medical equipment in the direct practice expense inputs, and gave three possible options—(1) equipment used primarily for a specific procedure or group of procedures; (2) all equipment used for a specific procedure; or (3) all equipment that typically must be available when a specific procedure is performed.

    Response: We agree that clear criteria are needed for including equipment in the inputs for a given procedure. The major criterion used for clinical staff time and supplies is that the suggested input must be typically used in the performance of a service to be included as a direct practice expense. We believe that the same criterion should be applied to equipment. This criterion can be applied more clearly than the other options mentioned by the commenters, and, thus, should result in more consistent assignment of equipment across all services. Regarding utilization rates, we did solicit information on specific equipment utilization rates in the 1997 Notice of Intent to Regulate, but very little hard data were submitted. For most specialties, equipment costs are a very small portion of total practice expense, averaging less than 5 percent of the total practice expense per hour for the “all physicians” category. In addition, for most equipment, a change in the utilization rate would produce a negligible difference in the practice expense RVUs for any service. Therefore, with perhaps a few specific exceptions, and because of the apparent difficulty in obtaining reliable objective data, we expect that this issue will not be a high priority issue during the refinement process.

    Comment: One specialty society agreed that it is appropriate to capture as indirect expense the costs of the equipment that we have proposed to delete. The specialty society expressed concern that the SMS survey would not include most of this equipment as indirect expense, disadvantaging certain specialties who have relatively higher costs for indirect or stand-by equipment. Other commenters questioned how the costs of stand-by and multiple-use equipment can be reflected if the equipment is not included in the calculation of practice expense. One society stressed that, because of the high costs of radiology equipment, it is critical that overhead costs are accounted for.

    Response: The commenter raised a valid point about the relationship between the deleted “indirect” equipment and the SMS cost pools. The costs for this deleted equipment are included in the SMS cost pools for each specialty. However, we believe this proposal simplifies the refinement of equipment without introducing new problems. First, it is not clear whether much of this equipment, such as laser printers, lead shielding, refrigerators and freezers, cabinets, water systems, security systems, smoke evacuators and hazard material spill kits, would have been included as medical equipment or as indirect costs in the SMS survey. Second, stand-by equipment, such as crash carts, wheelchairs and ECG machines, would often be available for more than one procedure at a time. Allocating costs of these items for every service for which they are available, rather than for services for which they are typically used, can mean that we are allocating more than their actual costs and thus overstating their value. Third, the inclusion of the costs of equipment that is not typically used in a service means that we have different criteria for equipment than we do for other direct inputs. Fourth, most of this equipment is relatively low cost, which is one reason the impacts of this proposal are not significant. We also want to clarify that combining all equipment into one category does not eliminate from the practice expense calculations any of the overhead equipment, such as the most expensive radiology equipment, that is typically used for a given service.

    Comment: Societies representing various imaging specialties requested clarification on the doppler that was included in the list of potentially deleted items, because, if this is an image-directed spectral doppler, it should not be deleted. One of these commenters supported the elimination of x-ray boxes because they are no longer typically used in current radiology practice.

    Response: The doppler we are deleting from all but the relevant procedures is a hand-held doppler, with a cost of $1350, that can be used on obstetric patients, not the ultrasonic doppler at $155,000.

    Comment: A society representing obstetricians and gynecologists recommended that the following equipment that we proposed deleting from all services be retained for specific codes:

    The doppler should be retained for the prenatal codes CPT 59400, 59425, 59426, 59510, 59610 and 59618.

    The blood pressure and pulse oximetry monitors should be retained for procedures requiring anesthesia or sedation, CPT 58555, 58558, 58120, 58800, 59140, 59160, 59812, 59820, 59840 and 59841.

    The suction machine should be maintained for procedures that include evacuation of the uterus, CPT 58120, 59140, 59160, 59812, 59820, 59821, 59840, 59841.

    Response: We will retain the doppler, monitor and suction machine for the recommended services. Because these were the only code-specific changes recommended in comments on our equipment proposals, we will be implementing our proposals with only the above changes.

    Comment: The American Academy of Dermatology (AAD) wanted clarification on whether we are proposing that dermatology-related standby equipment be assigned to the overhead category, because the specialty gains one percent on the overhead proposal and loses one percent on the standby equipment proposal.

    Response: We are proposing to delete from the inputs the identified “standby” equipment from those codes for which the equipment is not typically used. It is a coincidence that the impact came out as it did.

    Comment: One primary care specialty society recommended that we propose a methodology in the 2001 proposed rule for the use of an alpha-numeric code for billing unusual equipment costs associated with a procedure that are not properly captured in the practice expense data.

    Response: We will certainly consider this idea, although we foresee many policy and operational difficulties in implementing this recommendation.

    (v) CPEP Anomalies

    In the November 1999 final rule, we made corrections to the CPEP data for a number of codes when we learned that the data contained errors and anomalies that we could easily correct. In the July 2000 proposed rule, we listed other egregious errors and anomalies that we are proposing to correct. As we have previously stated, though certain revisions may be made now, all practice expense inputs for these codes are still subject to further comment, refinement, and potential PEAC and RUC review and recommendations. We received the following comments on our proposed corrections.

    Comment: A major primary care organization agreed with our decision to correct major errors in the CPEP practice expense data that had been identified by specialty societies. Another association stated appreciation for our correction of the supply list for CPT code 68761 to reflect the cost of a punctal plug.

    Response: We are pleased that there was no disagreement on any of the proposed revisions we made in the November 1999 final rule and the July Start Printed Page 653982000 proposed rule to correct egregious errors and anomalies in CPEP data, with the exception of those discussed below. Therefore, we will be implementing all other changes at this time.

    Comment: Two specialty societies, representing obstetrics and family practice, pointed out that we proposed to crosswalk the CPEP inputs for CPT 59618, which includes antepartum care, delivery and postpartum care, from CPT 59410, which only includes delivery and postpartum care. They recommended that we change the crosswalk to CPT 59510, Routine obstetric care including antepartum care, cesarean delivery, and postpartum care.

    Response: The above proposed crosswalk was a typographical error. We thank the commenters for pointing this out, and we are now crosswalking the CPEP inputs for CPT 59618 from the inputs for CPT 59510 as requested.

    Comment: A specialty society representing interventional radiologists agreed that we had appropriately removed the clinical supplies listed in the facility setting for CPT codes 47510, Insert catheter, bile duct and 47511, Insert bile duct drain. They recommended that these supplies be listed in the office setting, because these are 90-day global services with two post-procedure visits.

    Response: We have added post-procedure supplies to these two codes by crosswalking from the supplies assigned to CPT code 45525, Change bile duct catheter, adjusted for two post-visits.

    Comment: A radiology specialty society objected to our proposal to crosswalk the inputs of CPT code 78206, Liver image (3D) with flow from the inputs of CPT code 78205, Liver imaging (3D). The specialty society suggested that it will work with the PEAC and RUC to determine the appropriate additional expenses.

    Response: We view crosswalks of CPEP inputs as a temporary solution, and we would welcome a recommendation from the RUC.

    Comment: One specialty society commented that they had previously identified inaccurate inputs, which lead to anomalous RVUs that we have not yet addressed. The commenter requested the status of these suggested changes for 13 procedures. For 11 of these procedures there is a request to increase the number of post-operative office visits. For CPT code 52276, Cystourethroscopy with direct vision internal urethrotomy, the commenter questioned why the facility practice expense RVUs are much lower than those for CPT 52340, Cystourethroscopy with incision, fulguration, or resection of congenial posterior urethral valves, or congenital obstructive hypertrophic mucosal folds, even though the practice expenses are similar. The commenter also noted that the supply cost for a double stent (CPEP supply code 93119) should be decreased from $359 to $150.

    Response: We do not view a request to increase the number of post-operative visits as a correction of an egregious error, because it is not clear without supporting evidence that the current number of post-operative visits in our database is inappropriate. It would be most beneficial to discuss this issue with the RUC, which could then make recommendations to us. In regard to the second issue, CPT 52340, a code that will be deleted in 2001, is a 90-day global service, while CPT 52276 is a 0-day global service and therefore has lower practice expense RVUs. The double stent is currently priced at $179.50. We appreciate the information that this may be overpriced. However, we have awarded a contract to have the prices of all the CPEP clinical staff, supply and equipment inputs updated in time for next year's proposed rule and will revise the costs at that time. If the society has documentation on the correct price for this item, we will send this information to our contractor.

    Comment: An association representing psychiatrists reiterated their concern regarding the physician times assigned to the psychotherapy codes that include evaluation and management services (E/M). The society recommended that the times assigned to each psychotherapy E/M code be increased so that the total time would be 7 minutes more than the time assigned to the corresponding psychotherapy code without E/M. The commenter argued that this added time would be equal to the time assigned to CPT 99211, the lowest level office visit with an established patient, and that this corresponds to the adjustment made to the work RVUs for the psychotherapy codes with E/M services. In addition, the comment requested that we make the physician time for CPT 90847, Family psychotherapy (with patient present), equal to CPT 90846, Family psychotherapy (without the patient present) and the time for CPT 90857, Interactive group psychotherapy, equal to CPT 90853, Group psychotherapy.

    Response: We agree that an increase of seven minutes in the physician times for the psychotherapy codes with E/M is reasonable, and we will make the appropriate changes in our physician time database. In addition, we also agree that the times for CPT 90847 and 90846 should be equal, as should the times for CPT 90857 and 90853, and we will make those increases in physician time as well.

    Comment: The association representing psychiatrists also commented that the clinical staff times for psychotherapy with E/M services are underestimated and questioned why we did not correct this as an egregious error.

    Response: We included as egregious errors and anomalies only those instances where there was a clear error or anomaly in the CPEP data and also where the correct input would be obvious, without the benefit of a multi-specialty recommendation. We did not consider the clinical staff times for psychotherapy codes to fall into that category; in fact, we have concerns that the clinical staff time for most of the psychotherapy codes is, in fact, overstated. Therefore, we believe that this issue might better be dealt with initially by the RUC.

    Comment: A manufacturer of diathermy equipment commented that the practice expense RVUs for CPT code 97024, Application of a modality to one or more areas; diathermy, are undervalued. The commenter stated that this payment rate will threaten the ability of providers to make this service available to the Medicare population.

    Response: In checking our direct cost inputs for this service, neither the clinical staff time nor the supplies seem inappropriate. The issue appears to arise from a discrepancy in the cost of the diathermy machine itself. The machine in our database is priced at $2850. The price range quoted by the manufacturer is for $18,000 to $30,000. There is obviously a wide range of machines available, and we will need to determine the most typical cost to a practice. As mentioned earlier, we have granted a contract to re-price all of our direct cost inputs, including equipment. We would welcome information on this and other equipment used by practitioners and would find recent invoices particularly helpful.

    (d) Calculation of Practice Expense Pools—Other Issues

    (i) Technical Refinement to Practice Expense Pools

    The Act requires payment of some practitioner services (services of certified registered nurse anesthetists, nurse practitioners, clinical nurse specialists, physician assistants, and certified nurse mid-wives) based on a percentage of the physician fee schedule payment amount. Since the payment under the physician fee schedule for a service performed by a mid-level Start Printed Page 65399practitioner is required to be based on a percentage of the amount paid to a physician for a service, we proposed using only physician practice expense data in determining the practice expense RVUs for each practitioner service. Removal of the services performed by mid-level practitioners from the practice expense calculations would assist in simplifying the methodology and would also be consistent with the statutory requirement that we pay for their services based on a percentage of the fee schedule amount.

    Comment: A primary care organization expressed concern that removing the services performed by mid-level practitioners from the practice expense calculations might have implications that were not discussed in the proposed rule. The comment encouraged us to withdraw the proposal until there is more information and a thorough discussion of the issue. The AMA stated in its comment that it would be difficult for us to include such mid-level practitioner data since we do not have reliable information concerning the extent to which these practitioners are self-employed or are employed by physicians. The comment further noted that we have recommended that the AMA request in any practice expense survey the amount of revenue and patient care hours generated by mid-level practitioners. Another primary care organization agreed that this proposal will make the methodology more consistent with the statutory requirement.

    Response: The statute specifies the payment amounts for practitioners such as nurse practitioners, physician assistants, and certified nurse specialists. Because payment for these practitioners is not based on the calculation of their own practice expense cost pools, we are removing these services from the practice expense computations and will consider further adjustments as additional information becomes available.

    (ii) Medicare Utilization Data

    We have received, in response to previous rules, comments from several surgical specialties urging us to evaluate the Medicare claims data to eliminate potential errors in the specialties associated with each service. In the June 2000 proposed rule, we described the analyses we ran to determine whether potential errors in the claims data have an adverse impact on any specialty or merely represent “noise” that creates no significant effect. We tested, for neurosurgery, ophthalmology and otolaryngology, the impact of reassigning to the dominant specialty the small proportion of allowed services associated with specialties not expected to perform these services. The impacts did not even approach a 1-percent increase or decrease in any scenario.

    We stated our belief that these simulations demonstrated that the small percentage of potential errors in our very large database have no adverse effect on specialty-specific practice expense RVUs. Therefore, we did not propose any further action at this time.

    Comment: One surgical specialty society expressed concern that we had dismissed the impact of less than 1 percent as inconsequential and encouraged us to develop a software program to reassign obvious errors in the specialty-specific assignment of procedures to the appropriate specialty.

    Response: We believe that developing software would not be an easy solution to what we still see as an issue of little significance for the calculation of practice expense RVUs. On what basis do we decide what an obvious error would be? At this time, we do not have policies that limit payment for given services to only certain physician specialties, and we are not convinced that the medical community would actually support our doing this. In addition, because many services are performed appropriately by more than one specialty, on what basis would we decide to which specialty the services should be reassigned? Therefore, though we would certainly want the possible error rate to be zero, at this time we do not plan to propose any changes in our method of handling the utilization data for the purposes of calculating practice expense.

    (iii) Allocation of Practice Expense Pools to Codes

    In the July 2000 proposed rule, we discussed the work The Lewin Group had recently begun on the third phase of the project, which concentrates specifically on evaluating the indirect cost allocation methodology and considers alternatives to allocating indirect costs by the current method. We expect their report on this analysis, which will be placed on our website, to be available soon.

    Comment: Two specialty societies commented that we should develop and implement ways to reduce or eliminate the pool leakage that can occur in the weight-averaging step of our methodology when procedures are performed by multiple specialties. One commenter argued that the problem is in the allocation formula that sets up the leakage, not the averaging.

    Response: These comments refer to methodological issues surrounding the development of the practice expense relative value units under the “top down” methodology. We use a combination of data on practice expense per hour from the SMS survey, the time estimated to perform individual procedures and Medicare utilization data to create aggregate cost pools. These cost pools are allocated to individual codes. Once the costs are allocated, estimates of practice expenses for individual procedures are then weight-averaged by the specialties performing each procedure to produce practice expense RVUs for a procedure. The above commenters are concerned that this process does not result in practice expense payments to each specialty that equal the aggregate cost pools. To the extent that there is “pool leakage,” it implies that an individual specialty's practice expense payments are less than its aggregate practice expense pool. The implication of the comments we have received on this issue is that specialties that receive aggregate cost payments that are less than the aggregate cost pools are underpaid. We disagree. As we indicated in the November 1999 final rule (64 FR 59390), we believe it is more likely that the aggregate practice expense pools are overstated, rather than that aggregate practice expense payments to a specialty are too low.

    As we indicated both in that rule and in the June 5, 1998 proposed rule (63 FR 30832), there are two potential sources of bias in the practice expense per hour data that may result in an overstatement of the aggregate practice expense pool. First, mid-level practitioners may have been included in the numerator of the practice expense per hour calculation even though there is generally separate payment for their services. Thus, a mid-level practitioner would be analogous to an employee physician who also generates revenue and whose costs are not included in the practice expense calculation, rather than to a registered nurse or other practitioner who cannot furnish a separately billable service. Second, the mid-level practitioner's hours spent are not included in the denominator of the practice expense per hour calculation even though, like a physician, the mid-level practitioner is generating patient care revenues during the hours spent in patient care. To the extent that a specialty depends on the use of mid-level practitioners, then the aggregate specialty practice expense pools are likely to be overstated. Based on information in our utilization data and comments made to us by one of the Start Printed Page 65400commenters, we believe this is the case with thoracic surgery. Rather than developing a process that ensures that aggregate practice expense payments are equal to overstated aggregate practice expense pools, we believe the better option is to address the issue of mid-level practitioners in the practice expense methodology. In this final rule, we have already addressed one aspect of this issue. Specifically, we have eliminated any utilization data that reflects that the service was performed by a mid-level practitioner. The other aspect of this proposal that we would like to address is the practice expense per hour calculation itself. As we have indicated elsewhere, we are interested in addressing this and other issues related to the practice expense methodology as we develop long-term plans for refining the practice expense RVUs beyond 2002.

    (iv) Zero Work Pool

    There were no proposals in the July 2000 proposed rule on this issue. However, in the November 1999 final rule, we implemented the proposal to remove requested services from the zero work pool and return them to the specialty-specific cost pools.

    Comment: Many specialty societies and the AMA expressed approval of our decision to remove a list of CPT codes from the “zero work pool” in response to specific requests to do so. Other organizations, representing specialties with technical services, supported our decisions—(1) not to modify the practice expense RVUs for diagnostic imaging “zero work” services in any substantial way at this time; and (2) to keep the zero work pool intact, at least until we can develop a methodology that accurately captures TC costs. Several commenters did express a concern that we erroneously removed from the pool an amount equal to the increased payment the removed services would receive in their own pools, rather than the payment rate the services were assigned in the zero-work pool. Another specialty society representing TC providers argued that the RVUs of the codes remaining in the pool should have been maintained at their previous level.

    Response: We are pleased that there is general support of our adjustments to the zero work pool. With respect to the concern expressed, we did deal with the removal of services from the zero work pool in a manner that seems consistent with the views of the commenters. We only subtracted from the pool the dollars for the utilization associated with the removed services, which would represent the rate the services were assigned in the zero-work pool, not the increased rate in the specialty-specific pool. With regard to the recommendation that the RVUs of the remaining services in the zero-work pool should be maintained in spite of any adjustment we make, we believe that such an approach would be unfair to the other services in the fee schedule whose practice expense RVUs are not similarly protected from the effects of changes we make in the practice expense calculations.

    (e) Site of Service

    Clarifying the Definition of Facility/Nonfacility

    In the July 2000 proposed rule, we clarified the definition of facility and nonfacility sites of service for the purposes of practice expense calculations. This distinction takes into account the higher expenses of the practitioner in the nonfacility setting. The major purpose of this distinction is to ensure that Medicare does not duplicate payment, to the physician and to the facility, for any of the practice expenses incurred in performing a service for a Medicare patient. For purposes of the site-of-service, we have defined hospitals, skilled nursing facilities (SNFs), and ambulatory surgical centers as facilities, because they will receive a facility payment for their provision of services. In the July 2000 proposed rule, we proposed to revise § 414.22(b)(5)(i) (Practice expense RVUs) to define community mental health centers (CMHCs) as facility settings since CMHCs also receive a separate facility payment for their services.

    In addition, we clarified that the nonfacility practice expense RVUs should be applied to all outpatient therapy services (physical therapy, occupational therapy, and speech language pathology), even when they are provided in a facility. Only the facility can bill for therapy services furnished to hospital and SNF patients. Because there will be only one bill for this service and because the payment must reflect the practice expenses incurred in furnishing the service, the higher nonfacility RVUs are used to pay for therapy services even in the facility setting.

    Comment: Three specialty societies representing gastroenterologists reiterated their disagreement with our site-of-service policy because they believe—

    • The policy offers a financial incentive for physicians to perform certain gastroenterological procedures in their offices, rather than in an ASC or hospital outpatient department;
    • The policy allows the procedures to be furnished in a physician's office that does not have to meet accreditation standards;
    • The wide divergence between the payments in the two settings may be encouraging the performance of gastrointestinal procedures by non-gastroenterologists; and,
    • This reduction of payments for endoscopy services in the facility setting is contrary to the intent of the statute.

    The commenters had varying recommendations on this issue: one comment urged us to provide the same practice expense RVUs in the facility and nonfacility settings for 18 endoscopic gastroenterological procedures. Another commenter suggested that because we now pay therapy services at the nonfacility rate regardless of setting, we should do the same for the colorectal screening codes. A major specialty society stated that it is in the process of working with gastroenterology societies to develop a proposal to create a single site-of-service payment rate for those services that are furnished less than 10 percent of the time in the office.

    Response: We believe that some of the commenters continue to misunderstand the reasons for the distinction between the facility and nonfacility sites of service and the actual implications of this distinction. We have perhaps added to this confusion by continuing, on occasion, to use the term “site-of-service differential” to describe this policy. Under the charge-based practice expense methodology, there was an actual differential; certain services were automatically reduced by a pre-determined amount when furnished in the facility setting. However, in our current resource-based “top-down” approach, we employ no such reduction. Rather, we carry out the statutory requirement to develop practice expense RVUs that reflect the relative resources involved with furnishing each service. We doubt that any specialty society would argue that the direct costs of performing a service in the office setting are not higher than in the facility setting. In the office setting, the physician must bear the costs for all of the clinical staff, supplies and equipment needed to perform a given service; in the facility setting, these costs are the responsibility of the facility. Our RVUs reflect the relative resources used in furnishing the service in each of the facility and nonfacility settings. Therefore, to the extent that we have correctly identified the relative direct costs, there should be no Start Printed Page 65401incentive to perform a service in either setting. It is true that we pay more to the physician if the service is furnished in the office, but that is because greater resources are involved with furnishing the service in that setting. The fact that there is a significant difference between the facility and nonfacility payment for any given service seems to us both expected and appropriate. We believe that properly reflecting the relative resources involved with furnishing services in the facility and nonfacility settings creates no incentive to perform a service in one setting or another. In contrast, a policy that paid the same amount for a service furnished in a facility and nonfacility setting would create an incentive to furnish the service in the facility setting and, thus, would not be incentive-neutral.

    We have serious reservations about adopting a policy to develop a single site-of-service payment for services that are furnished less than 10 percent of the time in the office. First, if there are real concerns regarding patient safety when certain procedures are furnished in the office, sufficient evidence should be presented to the relevant parties so that an appropriate coverage decision can be made. We emphasize that such a decision would be a coverage decision, and would not be a payment policy issue. Second, a 10-percent threshold could eliminate payment in the office setting for some high-volume procedures done thousands of times there. Third, we have some concern that this issue may be a matter of contention between those specialties that generally perform procedures in physician-owned ASCs and other specialties that would utilize the office setting. We would suggest that this issue, either as a general proposal or on a code-specific level, be discussed in the PEAC/RUC, where a multi-specialty recommendation could then be submitted to us.

    The site-of-service policy for therapy services mentioned by a commenter as a precedent is not applicable to other services in the physician fee schedule. As described above, the facility itself must bill for both the technical and professional portion of the therapy service; in these circumstances, the therapist does not bill Medicare at all. Therefore, the nonfacility RVUs are used to ensure that the facility is paid for the direct costs incurred in the service.

    Comment: A specialty society representing pediatricians believed that the site-of-service differentials will likely have an adverse impact on pediatric specialty care that is primarily hospital-based. Most pediatric sub-specialists, most of whom are not hospital-employed, incur practice expense (in the form of a lease or rent) when they provide ambulatory services in a hospital-owned facility. This expense most typically includes administrative and clinical staff.

    Response: We would need more information on the scenario described before we can formulate a definitive response on this issue. For example, it is not clear whether these pediatric services as described would always be considered “facility” services. A visit to a physician's office that is leased from a hospital could, in many circumstances, be considered a “non-facility” service by Medicare, if there is not a Part A bill for the same service. In addition, indirect expenses, such as rent or administrative staff salaries, are treated the same in all sites under our methodology. We would welcome further discussion on this issue.

    Comment: A comment from an association representing providers of services in long-term care facilities contended that there should be a site-of-service differential for settings such as SNFs, where patient acuity is higher and where services must be transported to the patients. Use of data from the SMS survey for services performed outside of the physician's office is not appropriate. An occupational therapy association stated that, though they concur with our clarification that therapy services would always be paid at the nonfacility rate, the resources necessary to provide therapy services in facilities are not adequately reflected in our practice expense calculations. A commenter representing geriatricians commented that pre-and post-care involved in nursing home visits are not reflected in the nursing home visits.

    Response: The practice expense RVUs for the office and facility settings differ primarily as a result of the differences in the direct costs in these sites. Because the SNF would bear the costs of the clinical staff, supplies and equipment, the cost to the practitioner is less than it would be in the office setting. It is not clear to us how the acuity of the patients in a SNF would affect the direct practice expense costs of the practitioner, or what resources are not reflected in our calculations, since the practitioner is not responsible for the direct costs in that setting. If there is clinical staff time for staff back in the office associated with nursing home visits, this issue should be brought to the attention of the PEAC/RUC, because they are considering an approach to standardizing “coordination of care” clinical staff times for various services to make recommendations to us on this issue.

    Comment: A long-term care association recommended that we clarify our policy on mixed facilities, which are SNFs that also have nursing home beds, to state that the presumption should be made that the therapist is treating a nonfacility patient. A society representing podiatrists requested confirmation of this policy.

    Response: We do not agree that the above recommendation would be a clarification of our policy on “mixed” facilities. We explicitly stated in our July 1999 proposed rule that a service in a mixed facility should be designated as a facility service (that is, the place of service would be a SNF), unless the practitioners can verify that no Part A claim will be made for the service. In the latter case, the place of service would be a nursing home, and the service would be paid at the nonfacility rate. We did not change this policy in our November 1999 final rule, and we believe that this is an appropriate policy.

    Comment: Commenters were supportive of the expansion of the definition of facilities to include community mental health centers (CMHCs). However, one commenter, representing a state health department, requested that we clarify the distinction between CMHCs and other types of community mental health entities to which this would not apply.

    Response: A CMHC is a distinct type of facility certified for Medicare participation for the purpose of providing “partial hospitalization services”. As we had explained in the proposed rule, Medicare payment to a facility typically includes the cost of services furnished. If an entity is not participating in the Medicare program, the nonfacility practice expense RVUs would apply to the services. We believe this may not have been clear in the proposed rule. We are revising § 414.22(b)(5)(i)(A) to specifically provide that, for calculation of practice expense RVUs, a CMHC is considered to be a facility and revising § 414.22(b)(5)(i)(B) to parallel the language of § 414.22(b)(5)(i)(A). We also specify that the nonfacility practice expense RVUs are applicable to outpatient therapy services regardless of the actual setting.

    Comment: One organization commented that the proposed rule did not address coverage or payment for “inpatient” only services performed in the outpatient setting, and referenced the outpatient PPS rule published April 7, 2000. Start Printed Page 65402

    Response: This issue is addressed in the outpatient prospective payment system rules.

    (f) Other Practice Expense Issue

    Comment: One specialty society recommended that we keep the practice expense RVUs that will be fully resource-based in 2002 as interim RVUs for a minimum of another three years, during which we would consider comments for further code-level refinement.

    Response: As long as there is a good faith effort on the part of all parties to continue the quality work that the PEAC/RUC has already undertaken, we do not plan to close the door on further code-level refinements in 2002. We understand the magnitude of this task and have an interest in ensuring that there is sufficient time to deal with the CPEP inputs of all services in a thoughtful and equitable manner.

    Comment: A specialty society representing neurological surgeons made a number of comments critical of the methodology used to allocate practice expenses. These criticisms pertained to virtually every aspect of the methodology. For instance, there was criticism of the CPEP data, the SMS data, and the idea that indirect practice expenses are a function of the amount of time spent in patient care activities. The commenter further indicated that the “cursory efforts to ‘validate’ CPEP data by having it reviewed by RUC's Practice Expense Advisory Committee (PEAC) seems more pro forma rather than have it based on some independent appraisal of the real costs that may be involved.” In addition to the criticism cited above with respect to the methodology for allocating indirect costs, the commenter suggested that we should have summed the three indirect cost categories (administrative labor, office expense, and other expense), and allocated the result to individual codes based on the work RVUs. The commenter suggested that this was a better method than the “unnecessarily tortuous” approach we adopted that “used the total SMS pool and divided it by the pool of direct expenses * * * to generate a scaling factor that represented the fraction of the total that the CPEP data calculation claimed as direct.” In addition, the commenter objected to a “single adjustment” of 25 percent made to the Harvard physician time data that are being used to generate the practice cost pools. They indicated that this adjustment distorts time values for many codes. The commenter suggested that RUC time data would be more reliable than Harvard time data and that we should consider establishing a rank order reliability in the time data based on dependability of the process that generated the time values. For instance, the commenter suggested that operative logs would provide a measure of skin-to-skin time for intraoperative portion of surgical procedures that should rank above a group of estimates of the same time made by surgeons.

    Response: With respect to the criticism of the CPEP data, we acknowledge that there are limitations and anomalies in the data that may distort values for some services. As required by the BBA, we have established a refinement process that will address the inputs for many codes. In this final rule, we are reflecting refinements to the practice expense inputs for office visits and office consultations. As a result, services that account for approximately 22 percent of Medicare allowed charges for physicians' services will have been reviewed and the inputs been refined. As we describe elsewhere in this rule, we are making other refinements with respect to how equipment costs are being allocated, and we are continuing to consult with the PEAC on developing supply cost packages that will facilitate refinement of this aspect of the practice expense inputs. Although the commenter believed that surveys of physician practices for resource inputs would be an improvement over the scrutiny being applied by the PEAC, we disagree. A survey process to collect direct cost inputs for the over 7,000 procedures on the Medicare physician fee schedule would be enormously expensive and time consuming and may be unlikely to yield better results than are being recommended by the RUC/PEAC. We believe the RUC/PEAC process allows for a multispecialty review of inputs for particular procedures. These RUC/PEAC recommendations have been helpful to us in simplifying the number of data inputs going into individual codes and in improving the overall quality of the data that are being used to determine practice expense RVUs.

    With respect to the indirect methodology, the commenter is essentially suggesting that we abandon the direct inputs and use the work RVUs as the basis for allocating all indirect costs. While this approach may be simpler, we disagree that such a methodology will improve overall equity in Medicare payment for physicians' services. It would, of course, likely increase payments to specialties with relatively high work values and low direct costs. Furthermore, we do not believe this approach would be consistent with the statutory requirement to recognize “all staff, equipment and supplies and expenses” in determining the practice expense RVUs.

    We do agree with the commenter that it may be helpful to validate physician time data using independent information sources such as operative logs. In fact, as we described in the July 2000 proposed rule (65 FR 44202), we have several efforts underway to obtain information on times spent performing individual procedures, including using inpatient and outpatient records and operative reports on skin-to-skin surgical times for selected procedures.

    Comment: One surgical specialty society reiterated its contention that we have not been providing the impact analysis required by the BBA and requested that we do so. The osteopathic surgeons requested that we publish the impacts rounded to a tenth of a percent and that we display the impact for the entire period of the transition rather than for the individual year. A society representing radiation oncology also requested that we expand the percentage of impact by several decimal places; although the impact table for radiation oncology displays zero percentage impact for each category, there is a total increase of one percent. An ophthalmology society requested that we publish more detailed impacts, and enumerated five additional impact analyses or tables we should include in the final rule. Three other specialty societies urged us to conduct the sensitivity analyses recommended by the GAO, because, without knowing the effect of a change in methodology or data, it is difficult to know whether the proposed change is acceptable.

    Response: We have addressed these comments in previous rules. We provide a discussion of impacts in each proposed and final rule. We also provide detailed information on the HCFA web page, which allows any group to select services of interest and determine the impacts resulting from payment rates.

    Comment: A commenter suggested that we should identify a way to incorporate the cost of compliance with regulations into the practice expense payments or into the annual updates to the physician fee schedule.

    Response: To the extent that these costs are due to increased clinical or administrative staff time, the SMS or supplementary surveys should reflect these expenses, so they are already reflected in the practice expense calculations.

    Comment: A specialty society representing podiatrists requested Start Printed Page 65403clarification concerning the reduction in practice expense RVUs for CPT code 11750, Removal of nail bed, as compared to the previous charge-based RVUs.

    Response: Because the charge-based practice expense RVUs were not based on the resources used to perform a service, the payment for many services either increased or decreased, some significantly, when we implemented resource-based practice expense. In themselves, such changes are not indicative of an error in our calculations. A comparison to the values assigned to codes in the same or similar families would be more important. It appears that the fully implemented practice expense RVUs for CPT 11750 are in the same range as the values for related services. If the specialty society believes this is not the case, we would need more information as to which codes' values appear anomalous.

    Comment: An occupational therapy association noted that the fully-implemented practice expense RVUs for CPT 97110, Therapeutic exercises are greater than those for CPT 97530, Therapeutic activities, even though the CPEP inputs that we accepted should be the same for both services. The commenter also questioned why, in the November 1999 final rule, the practice expense RVUs for the occupational therapy evaluation and re-evaluation services, CPT 97003 and 97004, were lower than those for the physical therapy evaluation and re-evaluation services, CPT 97001 and 97002.

    Response: We checked the CPEP inputs for CPT codes 97110 and 97530. The time associated with the use of procedure-specific equipment for CPT 97110 was inadvertently overstated, causing a slight increase in the equipment cost for that service. We have corrected this error. In addition, as we explained in the November 1999 final rule, we deleted the tables in the equipment lists from CPT 97530 because we believed the service would typically be performed while the patient was standing. However, even when two services have identical inputs, the final practice expense RVUs can differ, if a different mix of specialties perform the two services. One reason for the difference between the occupational and physical therapy evaluation and re-evaluation services is that the occupational therapy codes were only valued by one CPEP panel. The physical therapy codes were valued by two CPEP panels, one of which estimated higher staff times than the other, giving these codes a higher average time. The refinement of these codes should remove this issue, although, for the reason explained above, the practice expense RVUs may still not be identical.

    Comment: Two organizations representing audiologists submitted a joint comment which reiterated their concern regarding our use of data from the other specialties that perform audiology services to calculate the practice expense RVUs for these services. The specialty society intended to perform a survey of audiologists' practice expenses in order to gather more accurate data.

    Response: We have published the criteria and process for the submission of specialty-specific supplementary survey data. We would welcome this additional information.

    Comment: A specialty society representing geriatricians contended that this specialty requires more office space than other providers and wanted us to increase the space requirements beyond what is allowed for internists. They believe we have set a precedent for this by altering the space allotment for physician and occupational therapists.

    Response: Under our current practice expense methodology, we do not have space requirements for any physician specialty. The amount of office space needed would presumably be reflected in the SMS indirect costs for each surveyed specialty, but we have no way of knowing what this is, or of making an adjustment to these costs for a given specialty or sub-specialty. The adjustment for the physical therapists was a different issue. Because we believed that the crosswalk to the “all physician” rate that we used for physical therapy would overstate the indirect costs, we substituted a lower rate based on a study of physical and occupational therapists that computed costs for therapy services partially on the space used for therapy agencies and later made an adjustment to that rate. This adjustment would have no relevance to any other specialty.

    Comment: A commenter objected to the use of salary equivalency guidelines to determine the indirect cost pools for physical therapists. The commenter indicated that the original estimate of 250 square feet was insufficient to reflect expenses for therapists in private practice. While we agreed that these space requirements were insufficient and increased the space to 500 square feet, the commenter continues to believe that the salary equivalency data is not an accurate measure of the expenses associated with operating a physical therapy office since these apply to therapy services furnished by an outside contractor to an outpatient hospital, skilled nursing facility, home health agency, clinic, rehabilitation agency or public health agency.

    Response: In general, we believe it is better to use data that reflect a specific physician specialty or nonphysician practitioners' costs if they are available. For the direct expense items (clinical staff, equipment and medical supplies), there was no data available for physical therapy so we used a crosswalk to the all physician rate. For the indirect cost items, we used the information that is directly applicable to physical therapy for use in the practice expense methodology. While the use of salary equivalency guidelines data may have been developed for contract physical therapists providing services in facilities, we believe that a potential shortcoming for its use is related to the number of square feet of space that are allotted for each therapist. In response to previous comments we increased the space allocation to 500 square feet in the November 1999 final rule (64 FR 59404). While we are currently using 500 square feet for the space allotment and believe that that amount may recognize some components of indirect costs, the figure still may understate the space requirements for private practice physical therapists because it does not recognize other components of indirect costs that are not incurred by contract physical therapists working in a facility setting. In an earlier comment, the American Physical Therapy Association indicated that 250 square feet is inadequate for physical therapists in private practice. The comment indicates that approximately 700 to 850 square feet per therapist are necessary. We are increasing the space requirements from the salary equivalency guidelines for physical therapy to 750 square feet. This revision will result in use of the following practice expense per hour for physical therapy for calculation of the 2001 practice expense RVUs:

    Clinical staffAdmin staffOffice expenseSuppliesEquipmentOtherTotal
    12.35.87.57.33.14.440.4
    Start Printed Page 65404

    Comment: Many individuals and several specialty groups expressed concern about the relatively low rates contained in the July 2000 proposed rule with respect to pain management services. They suggested that this may be due to the practice expense component for these services being undervalued. They also pointed out that a few of the services seemed to have significant reductions.

    Response: A few of the pain management codes were affected by a programming error related to work RVUs. We apologize for the error and ensured that this was corrected in this final rule. To the extent that the rates are low due to the practice expense component being undervalued, we would recommend that specialty groups forward the codes in question to the RUC/PEAC for refinement.

    B. Geographic Practice Cost Index Changes

    The Act requires that payments vary among fee schedule areas to the extent that resource costs vary as measured by the GPCIs. Section 1848(e)(1)(C) of the Act requires us to review and, if necessary, adjust the GPCIs at least every 3 years. This section of the Act also requires us to phase in the adjustment over 2 years and implement only one-half of any adjustment in the first year if more than 1 year has elapsed since the last GPCI revision.

    The GPCIs were first implemented in 1992. (A detailed discussion of the development of the GPCIs and references to obtaining studies on the development of the GPCIs can be found in the July 17, 2000 proposed rule (65 FR 44189).) The first review and revision was implemented in 1995, and the second review was implemented in 1998.

    The 2001 through 2003 GPCIs represent the third GPCI update. The 2002 GPCIs (Addendum D) are the fully-revised GPCIs. The 2001 GPCIs (Addendum E) represent the one-half transition GPCIs. Addendum F shows the estimated effects on area payments of the fully-revised 2002 GPCIs. The payment effects in 2001 will be about one-half of these amounts.

    The same data sources and methodology used for the 1998 through 2000 GPCIs were used for the 2001 through 2003 GPCIs. The only differences between the 1998 through 2000 GPCIs and the proposed GPCIs are in the cost shares and RVU weighting.

    1. Work Geographic Practice Cost Indices

    The work GPCIs are based on the decennial census. The 1992 through 1994 work GPCIs were based on 1980 census data because 1990 census data were not yet available. The work GPCIs were revised in 1995 with new data from the 1990 census. New census data will not be available again until after the 2000 census. We searched for other data that would enable us to update the work GPCIs between the decennial censuses, but no acceptable data sources were found.

    We therefore made no significant changes to the 2001 through 2003 work GPCIs from the 1998 through 2000 work GPCIs, other than the generally negligible changes resulting from using 1998, rather than 1994, RVUs for this GPCI update, because we were unable to find acceptable data for use between the decennial censuses. We believe that making no changes is preferable to making inaccurate changes based on unacceptable data. We believe that this is a reasonable position given the generally small magnitude of the changes in payments resulting from the changes in the work GPCIs from the 1980 to the 1990 census data.

    2. Practice Expense Geographic Practice Cost Indices

    a. Employee Wage Indices

    As with the work GPCIs, the employee wage indices are based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we are not changing the employee wage indices during this GPCI update.

    b. Rent Indices

    The office rental indices are again based on HUD residential rent data. No changes have been made in the methodology. The rental indices are based on 2000 rather than 1994 HUD data.

    c. Medical Equipment, Supplies, and Miscellaneous Expenses

    As with all previous GPCIs, this component will be given a national value of 1.000, indicating no measurable differences among areas in costs.

    3. Malpractice Geographic Practice Cost Indices

    As with the previous GPCIs, malpractice premium data were collected for a mature “claims made” policy with $1 million to $3 million limits of coverage, with adjustments made for mandatory patient compensation funds. The only difference is that we proposed to use more recent data. The proposed malpractice indices are based on 1996 through 1998 data, compared to the 1992 through 1994 data used in the previous GPCI update.

    We received the following comments and responses on our proposed GPCI changes.

    Comment: One commenter stated that Medicare physician reimbursement should not vary by geographic area.

    Response: The law requires that payments vary among payment localities as locality cost differences vary as measured by the GPCIs. However, the work GPCI by law reflects only 1/4 of the difference in the relative value of physicians' work in the area and the national average.

    Comment: One commenter stated that we should not use census data on the earnings of other highly educated professionals as a proxy for physician earnings. The commenter suggested that we instead use IRS income tax data on actual physician income, which also has the advantage of being available on an annual basis rather than every 10 years like the decennial census.

    Response: As stated in this year's proposed rule and in all previous reports on the GPCIs, the actual reported earnings of physicians were not used to adjust geographical differences in fees because the fees are in large part a determinant of the earnings. We believe that the earnings of physicians will vary among areas to the same extent that the earnings of other professionals vary. The GPCI compares average hourly wages of professionals among geographic areas. IRS data on the earnings of physicians and other professionals were previously examined as a possible work GPCI data source. The IRS data were rejected for numerous reasons, chiefly because—(1) they did not control for hours worked, and thus, average hourly earnings could not be determined; (2) the business tax returns of physicians and other professionals include entrepreneurial return, as well as the opportunity cost of time (what a physician on salary could earn per hour); and, (3) the business returns contain no information on the number and mix of employees (physicians are included with other nonphysician employees). The Medicare physician fee schedule is based on the principle that fees should reflect costs, such as opportunity wages, but not other factors, such as entrepreneurial profit.

    Comment: Two commenters stated that the rent GPCI for Puerto Rico is severely understated. They believe the HUD rental data to be inordinately low relative to the national average because of the high level of poverty in Puerto Rico. They believe that physician rents are relatively higher compared to the national average than reflected by the Start Printed Page 65405HUD data. The commenters suggested that we fund a special study to examine the rental costs in Puerto Rico to see if the HUD rent proxy is inadequate to reflect physician rental costs, and, if so, to expand the study to other areas with inordinately high poverty rates.

    Response: For the next GPCI update, we will again look for alternative sources to the HUD data.

    Comment: One commenter whose malpractice GPCI would have decreased under the proposed rule stated that this would reflect decreasing malpractice premiums, while in reality their malpractice premiums have increased since 1997, and, therefore, their malpractice GPCI must be wrong.

    Response: A decreasing malpractice GPCI does not necessarily reflect decreasing malpractice premiums. An area's malpractice GPCI reflects its relative position compared to the national average. An area could have increasing malpractice premiums and still experience a decrease in its malpractice GPCI if its premiums increased less than the national average rate of increase.

    Comment: A commenter from Kansas commented that Kansas prohibits territorial rating of malpractice premiums within the State; yet we show two different malpractice GPCIs for Kansas. They state that one of these must be an error.

    Response: We agree. Kansas is a single statewide locality under the physician fee schedule. We show two sets of GPCIs because Kansas is served by two carriers. However, the GPCIs should be the same. The malpractice GPCI shown in the proposed rule for carrier 00740 was erroneous. Both carriers should have the same malpractice GPCI of 0.823.

    Result of Evaluation of Comments

    The 2002 fully-effective revised GPCIs and the transitional 2001 revised GPCIs can be found at Addendum D and Addendum E, respectively. No changes were made in the 2002 and 2001 GPCIs from those proposed in the July 17, 2000 proposed rule, except to correct the erroneous Kansas malpractice GPCI discussed above. Since the revised GPCIs could result in total payments either greater or less than payments that would have been made if the GPCIs were not revised, it was necessary to adjust the GPCIs for budget neutrality as required by law. Therefore, we adjusted the 2001 through 2002 GPCIs as follows: work by 0.99699; practice expense by 0.99235; and malpractice by 1.00215.

    C. Resource-Based Malpractice Relative Value Units

    Resource-based malpractice RVUs replaced the prior charge-based malpractice RVUs on January 1, 2000. A detailed description of the methodology used in establishing the 2000 malpractice RVUs can be found in the July 1999 proposed rule (64 FR 39610) and the November 1999 final rule (64 FR 59383). The 2000 malpractice RVUs are based on 1993 through 1995 malpractice insurance premium data, the latest data available when we began collecting data to establish the resource-based malpractice RVUs. We stated in last year's proposed and final rules that we were collecting more recent premium data, and would update the malpractice RVUs as soon as we had finished collecting and analyzing the more recent data.

    In the July 2000 proposed rule we stated that we had obtained, and were currently examining, malpractice premium data for 1996 through 1998. We provided a table that compared the 1993 through 1995 average premiums (used to calculate the 2000 malpractice RVUs) with the 1996 through 1998 average premiums (used to calculate the 2001 malpractice RVUs). The table showed that there was very little change in the national average premiums from 1993 through 1995 to 1996 through 1998. We, therefore, anticipated minimal changes in malpractice RVUs from use of the more recent data.

    In addition, in response to comments received on last year's rule, we proposed to accept a comment regarding crosswalking specialties. We proposed to crosswalk surgical oncology to general surgery rather than to all physicians. We also indicated that the malpractice values to be included in the final rule reflecting the updated data would remain interim.

    Comment: Numerous commenters commended the use of more recent 1996 through 1998 malpractice premium data to replace the 1993 through 1995 data in calculating the malpractice RVUs.

    Response: We plan to use the most recent available data in updating malpractice RVUs.

    Comment: Commenters stated that since the proposed 2001 malpractice RVUs were not available for comment in the July proposed rule, and are being seen for the first time in this final rule, they be considered interim and subject to comment and revision.

    Response: We agree. The proposed 2001 malpractice RVUs will be considered interim, subject to revision in 2002 based on comments received on this final rule.

    Comment: Some commenters stated that they were unable to duplicate the malpractice RVU calculations using the premium data and risk factors shown in our previous proposed and final rules. They requested that we provide them with all necessary information to reproduce the malpractice RVUs.

    Response: To address this concern, we had our contractor, KPMG Consulting, prepare a technical addendum. This addendum presents a detailed explanation of all of the information used—a table of specialty premiums, risk factors for each specialty either from the premium data or insurer rating manuals, code crosswalks for new and revised CPT codes, and the budget-neutrality factor used by KPMG—with examples of the methodology used in calculating the malpractice RVUs. It also discusses special circumstances, such as the use of different risk factors for OB/GYN for surgical, nonsurgical, and delivery services, and the use of the surgical risk factor for cardiology for certain cardiac catheterization services even though the services are not in the surgery section of CPT. When combined with our 1999 specialty utilization data, it should be possible to reproduce KPMG's malpractice RVU calculations. This technical document can be found at Addendum G.

    Comment: One commenter stated that we should explore the collection of non-M.D. and non-D.O. premium data (such as for podiatrists, chiropractors, and nurse practitioners) for future malpractice RVU updates.

    Response: We will consider searching for such data for specialties such as podiatrists and chiropractors. We would not expect to collect such information for groups such as nurse practitioners since the law establishes their payments at 85 percent of the physician rate.

    Comment: One commenter suggested that certain invasive electrophysiology codes, have the same relative risks as cardiac catheterization codes, and should be assigned a surgical risk factor similar to the risk factor assigned to cardiac catheterization codes.

    Response: We agree, and have assigned a surgical risk factor to CPT codes 93600 through 93612, 93618 through 93641, and 93650 through 93652.

    Comment: One commenter stated that since most OB/GYNs perform both obstetrics and gynecology, the higher obstetrics premium should be used for all services performed by OB/GYNs.

    Response: We disagree. This comment was also addressed in the November 1999 final rule. To reiterate our response, it is true that a physician furnishing a wide range of services—Start Printed Page 65406from low-risk visits to high-risk surgeries or deliveries—will probably pay a malpractice premium driven by the higher-risk procedures.

    The purpose of the resource-based malpractice RVUs is not to guarantee each physician an absolute return of malpractice costs. It is rather to construct malpractice RVUs based on the relative malpractice costs among services. We believe that it is reasonable to use the lower risk factors for the values of the lower risk services and to allocate the higher relative values to the higher risk services that cause them. In the case of OB/GYN services, the higher obstetrical premiums were used for services that were clearly obstetrical and were causing the higher obstetrical premiums; the gynecological surgical risk factor was used for the surgical services, and the lower nonsurgical GYN risk factor was used for all other services. We would further note that even if we were to adopt the approach suggested by this comment, it would have very little, if any, impact on payment rates since OB/GYN specialties perform such a small proportion of the low risk visits provided to patients in the U.S.

    Result of Evaluation of Comments

    New malpractice RVUs based on the more recent 1996 through 1998 premium data will become effective on January 1, 2001. These malpractice RVUs will be considered interim for 2001 and subject to comment and possible revision in 2002. These malpractice RVUs can be found in Addendum B.

    D. Critical Care Relative Value Units

    Based on revisions to the definition of critical care services (CPT codes 99291 and 99292) in the CPT manual for CY 2001, we proposed to value the physician work at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292.

    In addition, consistent with our discussion in the July 2000 proposed rule for electrical bioimpedance (EB), (see section H), we proposed not to allow separate Medicare payment for EB when it is furnished in conjunction with critical care services (CPT codes 99291 and 99292).

    Comment: Commenters supported the revision to the physician work for these two codes. However, in the regulatory impact section of the July 2000 proposed rule (65 FR 44208), we stated that “* * * any impact of this proposal would be incorporated in the physician fee budget neutrality calculations.” Commenters believed it would be inappropriate to make a budget neutrality adjustment, since we made no adjustment last year. They argue that such an adjustment would skew payments.

    Response: As indicated in the previous response, we are restoring the work RVUs for critical care to 4.0 for CPT code 99291 and 2.0 for CPT code 99292. The earlier reductions to the work RVUs were made assuming there would be a substitution of critical care for other services that would increase net payments if there were no reductions to the work RVUs. We believe this substitution will not occur because of additional revisions to the definition of critical care for 2001. Thus net payments would decrease if we do not restore critical care RVUs to their former levels.

    Comment: One commenter urged that we reconsider including payment for EB services within the critical care codes, because they believed it would have a negative impact on its use in hospitals.

    Response: The physician work required to perform this service involves reading and interpreting a series of numerical measurements. This is generally performed in conjunction with an evaluation and management service because the measurements produced by this procedure are difficult to interpret without a clinical evaluation of the patient. We continue to believe that it is appropriate to include payment for this service within the critical care service since the critical care service includes the review of EB tests. Other services such as the interpretation of cardiac output measurements (CPT 93561 and 93562) are currently included in the payment for critical care services, and we do not believe this has had an adverse impact on their performance in the hospital.

    Result of Evaluation of Comments

    We will finalize our proposal and value the physician work at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292. In addition, we will not allow separate Medicare payment for EB when provided in conjunction with critical care services (CPT codes 99291 and 99292).

    E. Care Plan Oversight and Physician Certification and Recertification

    In anticipation of CPT revisions to the definition of care plan oversight, we proposed establishing two new HCPCS codes for care plan oversight to be consistent with our payment policies. For the 2001 physician fee schedule, we proposed adding a new HCPCS code G0181 (care plan oversight, home health), using the CPT 2000 definition associated with CPT code 99375 and a new HCPCS code G0182 (care plan oversight, hospice) using the CPT 2000 definition associated with CPT code 99378. The definitions proposed for these new codes are:

    G0181 Physician supervision of a patient under care of Medicare-covered home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved with the patient's care, integration of new information into the treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more.

    G0182 Physician supervision of a patient under care of Medicare-covered hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved with the patient's care, integration of new information into the treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more.

    We also stated that current policy guidance that applied to CPT codes 99375 and 99378 will continue to apply to these G codes, and current payments for CPT codes 99375 and 99378 will be maintained in G0181 and G0182.

    In addition, we proposed establishing two new HCPCS codes (G0180 and G0179) to describe the physician's services involved in physician certification (and recertification) of Medicare-covered home health services. These services include creation and review of a plan of care for a patient and verification that the home health agency initially complies with the physician's plan of care. The physician's work in reviewing data collected in the home health agency's patient assessment, including the Outcome and Assessment Information Set (OASIS) data, would be included in these services.

    The proposed text for the new codes was as follows:

    • G0180 (referred to as Gxxx3 in the proposal but renumbered in this final rule) Physician services for the initial certification of Medicare-covered home health services, for a patient's home health certification period, and
    • G0179 (referred to as Gxxx4 in the proposal but renumbered in this final rule) Physician services for the Start Printed Page 65407recertification of Medicare-covered home health services, for a patient's home health certification period.

    Under the proposed rule, the use of these codes would have been restricted to physicians who are permitted to certify that home health services are required by a patient according to section 1814(a)(2)(C) and section 1835(a)(2)(A) of the Act.

    Under the proposed rule, the physician certification for home health code (G0180), could be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode. For services within the episode (generally beyond the first week or two of care plan implementation) that are consistent with the definition of care plan oversight, the care plan oversight code (G0181) would be used.

    Because we believed that the physician work associated with HCPCS code G0180 is equivalent to that of a level 3 established patient office visit (CPT code 99213), we proposed a value of 0.67 for the work RVUs. For G0179, we proposed a value of 0.45 work RVUs because we believe the work equates to a level 2 established patient office visit (CPT code 99212). For practice expense RVUs, we proposed to crosswalk both G0180 and G0179 to the practice expense inputs currently used for care plan oversight (CPT code 99375), since both the certification and recertification and care plan oversight codes do not require a face-to-face encounter between the beneficiary and the physician.

    Care Plan Oversight

    Comment: Several commenters objected to our proposal for G codes for care plan oversight services because the rationale presented in the July 2000 proposed rule (65 FR 44196) for the change was not clear. They stated that the public was not aware of specific definition changes proposed by the CPT panel, so they could not determine whether the new CPT definitions conflicted with Medicare policy. Thus, the commenters challenged the need for such a complicated change.

    Response: We understand the concerns of the commenters but we were at that time unable to provide the full text of the revised CPT codes in the proposed rule. The CPT Committee had not yet released the definitions. The 2001 revised CPT code definitions for CPT codes 99375 and 99378 make a significant change. Specifically, the new definitions include the time the physician spends communicating with non-professional caretakers involved in delivering the home health or hospice services.

    While we recognize that non-health professionals contribute to the care of both home health and hospice patients, our long-standing policy has been that payment for these services is included in the payment for evaluation and management services. As we indicated in the December 8, 1994 final rule (59 FR 63421) that originally established Medicare policies for care plan oversight services, we recognize for separate payment only the physician's communications to the health care professionals involved in the patient's care. The goal in care plan management is to be certain that the home health or hospice professional staff communicate with the patient's physician to allow the beneficiary to receive appropriate care. This continues to be the justification for an additional payment.

    Comment: One organization requested clarification on whether nurse practitioners are able to bill for care plan oversight and physician certification and recertification services. They stated that the preamble discussion suggested only physicians may bill for these services. The commenter believed that under the provisions of the BBA, nurse practitioners practicing within the scope of State law are also permitted to perform these services.

    Response: Under the provisions of the BBA, nurse practitioners, physician assistants and clinical nurse specialists, practicing within the scope of State law, can bill for care plan oversight services. These non-physician practitioners must have been providing ongoing care for the patient through evaluation and management (E/M) services (but not if they are involved only in the delivery of the Medicare-covered home health or hospice service). Sections 1814(a)(2)(C) and 1835(a)(2)(A) of the Act require that physicians certify and recertify the necessity of home health care in order for a particular beneficiary to receive covered services. Thus, without regard to payment issues, in order to be effective, a certification must be made by a physician. We agree with commenters that, according to section 1861(s)(2)(K) of the Act, nurse practitioners and others can perform and, where appropriate, bill for a service that is a physician service and within the scope of their practice. In adopting codes for certification and recertification of home health services and denominating them as billable physician services, we might be perceived as enabling these practitioners to bill those codes. However, nurse practitioners and others not specified under section 1861(r) of the Act cannot meet the requirements for certifying and recertifying home health services under sections 1814 and 1835 of the Act that independently require physician certification and recertification to establish the necessity of treatment.

    Comment: Many commenters indicated they knew about the CPT panel's plans to change the code definition for 2001. They indicated that the CPT definition revision adding the reference to non-health professionals was merely to clarify that communication with these individuals is sometimes just as integral in providing good care. Some commenters also suggested that this was allowable when the codes were originally developed.

    Response: We disagree with the commenters. When we originally established a separate payment for this service, we established a G code to describe the service. The CPT subsequently adopted the code. It was always our intent, as discussed above, to count the time spent with other health care professionals toward the 30-minute threshold. Although we agree that interactions with non-health care professionals are important to the overall care of patients, as explained in the previous response, such communication is included in the pre-visit and post-visit work of evaluation and management codes.

    Comment: Many commenters expressed concern that adopting these G codes would complicate billing for care plan oversight services and exacerbate confusion surrounding these services, particularly since two sets of codes will exist for care plan oversight (CPT and HCPCS).

    Response: Although we understand the commenter's concern, we feel the revised definitions for CPT codes 99375 and 99378 necessitate the establishment of temporary HCPCS codes G0181 and G0182. To assure consistency with current Medicare policy, we find it necessary to retain the current definitions of care plan oversight by the use of temporary HCPCS codes G0181 and G0182.

    Certification and Recertification

    Comment: Commenters generally supported the proposed new codes for certification and recertification, and some commenters emphasized that the codes will have a positive impact on patient care and also enhance the role of the physician in home care. However, some commenters were concerned that the CPT/RUC process was not used for the introduction of these codes, and Start Printed Page 65408recommended that these codes be submitted to the CPT panel for establishment of codes.

    Response: We wanted the home health certification and recertification codes to become active as soon as possible after the implementation of Medicare's new home health prospective payment system that was effective October 1, 2000. Requesting the CPT panel to adopt these codes was likely to delay their introduction. However, we will now ask the CPT panel to consider adopting these codes.

    Comment: A few commenters expressed concern that the proposed values for the codes were provided with no explanation; thus, it was difficult to evaluate the proposal.

    Response: To value these codes, we estimated the value of the work involved. We expect to re-evaluate these services once physicians become more familiar with the new home health payment system and use of this procedure code. In addition, if the CPT panel adopts the codes, we expect that the RUC would also review them.

    Comment: A few commenters asked whether surgeons may bill for this service or whether the service is included in the surgeon's global fee. These commenters recommended that surgeons be allowed to bill outside the global surgery rules.

    Response: Surgeons who refer patients for Medicare-covered home health care and who are certifying (or recertifying) the plan of care will be able to report codes G0179 and G0180.

    Comment: We received comments that objected to our proposal to adjust the conversion factor to assure that physicians expenditures would not increase as a result of separate payment for this service. Some commenters stated that a budget-neutrality adjustment should not be performed because they believed these were new services that should appropriately increase physician expenditures.

    Response: We address this comment in the impact section of this rule.

    Comment: One commenter suggested we revise the definition of certification and delete reference to a “patient who has not received Medicare-covered home health services for at least 60 days.” There are scenarios when a patient may require a new initial certification but 60 days have not lapsed.

    Response: Based on the opinions of our medical experts, we believe that creating a new plan of care is significantly more work than making even major modifications to a home health care plan. We plan to reconsider this issue once we have more experience with these codes.

    Comment: Another commenter expressed concern about the ambiguity of codes for care plan oversight, certification, and recertification. The commenter also believed we needed to take a more comprehensive approach to informing physicians about the home health prospective payment system and new codes.

    Response: We expect the discussion of these codes in this preamble to clarify their use. If additional questions remain, they can be addressed to our contractors who process Medicare bills. Our contractors will notify physicians about fee schedule changes for 2001.

    Result of Evaluation of Comments

    For care plan oversight, we are establishing the following two new codes as proposed:

    • G0181 Physician supervision of a patient receiving Medicare-covered services from a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more, and
    • G0182 Physician supervision of a patient receiving Medicare-covered services from a Medicare-participating hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including phone calls) with other health professionals involved in patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month; 30 minutes or more.

    As stated in the proposed rule, current policy guidance that applied to CPT codes 99375 and 99378 will continue to apply to these G codes, and current payments for CPT codes 99375 and 99378 will be maintained in G0181 and G0182, respectively.

    For the services involved in physician certification (and recertification) and the development of a plan of care for a patient for whom the physician has prescribed Medicare-covered home health services, we are establishing two new codes as proposed:

    • G0180 Physician services for initial certification of Medicare-covered home health services, billable once for a patient's home health certification period. This code will be used when the patient has not received Medicare-covered home health services for at least 60 days.
    • G0179 Physician services for recertification of Medicare-covered home health services, billable once for a patient's home health certification period. This code would be used after a patient has received services for at least 60 days (or one certification period) when the physician signs the certification after the initial certification period.

    The G0179 code will be reported only once every 60 days, except in the rare situation when the patient starts a new episode before 60 days elapses and requires a new plan of care to start a new episode. For services within the episode that are consistent with the definition of care plan oversight, the care plan oversight code (G0181) would be used.

    Consistent with section 1835(a)(2) of the Act, a physician who has a significant ownership interest in, or a significant financial or contractual relationship with a home health agency (HHA), generally cannot bill this code for patients served by that HHA.

    We have retained the proposed relative values, for the reasons stated earlier. The physician work associated with HCPCS code G0180 will be valued at 0.67 and for G0179 the physician work will be valued at 0.45. We will use the practice expense inputs used for care plan oversight (G0181) for both codes.

    F. Observation Care Codes

    In the July 17, 2000 proposed rule (65 FR 44196) we indicated that allowing payment under the fee schedule for CPT codes 99234 through 99236, Observation or inpatient hospital care services (including the admission and discharge services) for a patient on the same date, conflicts with two policies currently in the Medicare Carrier Manual (MCM). Section 15505.1(c) in the MCM states that we only pay for a hospital admission when a patient is admitted as an inpatient and is discharged on the same day. Section 15504.b of the MCM states that CPT codes 99218 through 99220 (Initial Observation Care) should be used if the patient is discharged on the same day as the admission for observation only. Observation care discharge (CPT code Start Printed Page 6540999217) may be used only on the second or subsequent days for observation care.

    These policies also result in different payments for patients whose inpatient stay is less than 24 hours based solely on whether they were in the hospital at midnight. For example, a physician who admits a patient to observation or to inpatient care at 8 a.m. and then discharges the patient at 8 p.m. the same day is paid for only the admission service. On the other hand, a physician who admits a patient to observation or to inpatient care at 8 p.m. and then discharges the patient at 8 a.m. the next day, is allowed payment for both the admission and discharge services.

    In response to these concerns, and to clarify our payment policy, we proposed the following:

    Inpatient Stay of 24 Hours or More

    We would pay for both inpatient hospital admission services (CPT codes 99221 through 99223) and hospital discharge services (CPT codes 99238 and 99239) when a patient is a hospital inpatient for a period of 24 hours or more. The medical record would have to document that the patient was an inpatient for at least 24 hours for both of these services to be paid.

    Inpatient or Observation Stay of Less Than 8 Hours

    If a patient is admitted as a hospital inpatient or an observation care patient for less than 8 hours, we will pay for only the admission service (CPT codes 99221 to 99223 or 99218 to 99220) on that day. The discharge service is not a separately billable service.

    Inpatient or Observation Stay of 8 or More Hours, But Less Than 24 Hours

    If a patient is admitted as a hospital inpatient or an observation care patient for a period of 8 or more hours, but less than 24 hours, we will pay for both the admission and discharge services under CPT codes 99234 through 99236 with the following proposed physician work RVUs and documentation requirements:

    Physician Work RVUs

    To properly value both the admission and discharge work of these services, we proposed to continue valuing the admission portion of the physician work as equivalent to CPT codes 99218 through 99220 (or CPT codes 99221 through 99223) and to reduce the discharge work RVUs from 1.28 to 0.67. Thus, the work RVUs would be as follows: CPT code 99234—1.95 RVUs; CPT code 99235—2.81 RVUs; CPT code 99236—3.66 RVUs. Our policy would allow payment for CPT codes 99234 through 99236 only for stays of equal to or greater than 8 hours, but less than 24 hours.

    In addition to the documentation guidelines for history, physical examination, and medical decision making described in CPT 2000 for CPT codes 99234 through 99236, we proposed requiring the following to be documented in the medical record:

    • A stay involving 8 hours, but less than 24 hours.
    • The billing physician was present and personally performed the services.
    • The admission and discharge notes were written by the billing physician.

    Comment: A number of commenters disagreed with our proposal. They stated that we recently accepted the work values for CPT codes 99234 through 99236 and should not make changes now. They also stated that, instead of finalizing our proposal, we should change our payment policy in the MCM regarding payment for hospital admissions and discharges on the same day. Other commenters said that the proposed documentation requirements were onerous. These commenters said that the work value for discharging a patient on the same day as admission to the hospital or observation was the same as the work value for discharging a patient in the hospital for one or more days.

    Response: We agree with the commenters that the work value for discharging a patient on the same day as admission is similar to the work value for discharging a patient on subsequent days.

    We disagree with the commenters on the subject of documentation. We do not believe it is onerous to require a physician to document the length of time the patient remains in observation status. Minimal documentation, such as noting the hours in observation status, is required in the medical record to do this. There are other reasons to document the time a patient was seen and orders were written. For example, such documentation allows physicians and facilities to improve the quality of care they deliver. We also continue to believe that a recorded time requirement is necessary to assure that patients are truly being observed and treated for conditions that require ongoing care. Regarding payment for admission and discharge on the same day, we have long established policy that we will pay for only one E/M service per physician per patient per day for the same diagnosis, and we do not wish to revisit that policy.

    Admission and discharge of a patient from observation or the hospital on the same calendar date should be billed as CPT code 99234 or 99235 or 99236. The hospital and observation admission/discharge codes should be used when a patient is admitted and discharged on different calendar dates.

    In view of the foregoing explanation, our policy is as follows:

    • The relative work values of CPT codes 99234 through 99236 will remain unchanged.
    • For a physician to appropriately report CPT codes 99234 through 99236 for Medicare payment, the patient must be an inpatient or an observation care patient for a minimum of 8 hours on the same calendar date.
    • When the patient is admitted to observation status for less than 8 hours on the same date, then CPT codes 99218 through 99220 should be used by the physician and no discharge code should be reported.
    • When patients are admitted for observation care and then discharged on a different calendar date, the physician should use CPT codes 99218 through 99220 and CPT observation discharge code 99217.
    • When patients are admitted to inpatient hospital care and then discharged on a different calendar date, the physician should use CPT codes 99221 through 99223 and CPT hospital discharge day management codes 99238 or 99239.
    • For an inpatient admission and discharge less than 8 hours later on the same calendar date, CPT codes 99221 through 99223 should be used for the admission service, and the hospital discharge day management service should not be billed.
    • The physician must satisfy the documentation requirements for both admission to and discharge from inpatient or observation care to bill CPT codes 99234, 99235, or 99236. The length of time for observation care or treatment status must also be documented.

    We believe that this policy meets the concerns of the commenters and allows us to resolve the discrepancies in payment policy regarding same day hospital and observation care admission and discharge.

    Result of Evaluation of Comments

    The work RVUs for CPT codes 99234 through 99236 used for reporting admission for observation care, or inpatient hospital care and discharge on the same calendar date will not be changed. The policies outlined above must be followed when reporting these codes. Start Printed Page 65410

    G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments

    Ocular photodynamic therapy (OPT) is a treatment recently approved by the Food and Drug Administration for age-related macular degeneration, the most common cause of blindness in the elderly. For CPT 2000, ocular photodynamic therapy was added to CPT code 67220, which was formerly limited to photocoagulation by laser. Because we believe that OPT is significantly different from laser photocoagulation, we proposed to establish new HCPCS codes that specifically identify these procedures as follows:

    Gxxx5—“Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation (e.g., by laser), one or more sessions.” We proposed using this code in place of CPT code 67220 and maintaining the work and malpractice RVUs and the CPEP inputs presently used for CPT code 67220 for payment of this new “G” code.

    Gxxx6—“Destruction of localized lesion of choroid (e.g., choroidal neovascularization); ocular photodynamic therapy (includes intravenous infusion).” We proposed a value of 0.55 work RVUs and 0.52 RVUs for the malpractice component with a global period of “XXX.”

    We also proposed the following practice expense inputs for non-facility settings:

    • Clinical Staff Time. Registered nurse/ophthalmology technician—40 minutes;
    • Supplies. Ophthaine, mydriacil, myolfrin, gonisol, post myd spectacles, verteporfin and also infusion supplies including sterile and non-sterile gloves, butterfly needle, syringe, band aid, alcohol swab, staff gown, iv infusion set, and infusion pump cassette;
    • Equipment. Laser, infusion pump, and exam lane. We noted that, while we proposed establishment of procedure codes for ocular photodynamic therapy, coverage of the procedure is at the discretion of the local carrier.

    In instances where both eyes are treated the same day, we proposed the use of the following HCPCS add-on code: Gxxx7—“Destruction of localized lesion of choroid (e.g., choroidal neovascularization); ocular photodynamic therapy (includes intravenous infusion) other eye.” (List separately in addition to Gxxx6.) For this add-on code we proposed a “ZZZ” global period, with .28 work RVUs (half of that proposed for Gxxx6) and .52 malpractice RVUs (identical to that proposed for Gxxx6). The proposed practice expense inputs for services in the non-facility setting were as follows:

    • Clinical Staff Time. Registered nurse/ophthalmology technician—5 minutes;
    • Supplies. Ophthaine, mydriacil, myolfrin, and gonisol.

    In addition, we identified several other specific ophthalmological treatments that are not distinctly identified in CPT 2000. We proposed to establish specific HCPCS codes for these procedures:

    “Destruction of localized lesion of choroid (e.g., choroidal neovascularization); transpupillary thermotherapy, one or more sessions”;

    “Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation, feeder vessel technique, one or more sessions”; and

    “Destruction of macular drusen, photocoagulation, one or more sessions”.

    We did not propose RVUs for HCPCS codes Gxxx8 through Gxx10 and indicated that the procedures represented experimental procedures and that the codes would be used for tracking purposes.

    Since publication of the proposed rule, the AMA CPT editorial panel has approved a CPT code for Ocular Photodynamic Therapy, CPT code 67221, effective for CPT 2001, and removed the procedure as an example of a service included in CPT code 67220. In addition, verteporfin has been approved for inclusion in the United States Pharmacopeia and can now be billed separately as a drug under the Medicare program.

    Comment: Several commenters requested that we withdraw our proposal to establish a G code for OPT in view of the establishment of a CPT code for this service. These commenters also recommended that we continue to recognize CPT code 67220 with its current RVUs.

    Response: We agree with the commenters and are withdrawing our proposed G code for OPT. We will establish RVUs for CPT 67221 as described below. We will also continue to recognize CPT code 67220 and will maintain its current RVUs. We are removing verteporfin from the supplies included in practice expenses because the drug is now separately billable under Medicare.

    Comment: We received comments in agreement with our proposal to establish an add-on G code for OPT performed on a second eye at the same sitting.

    Response: We agree with the commenters and are finalizing this proposal. We will establish RVUs for this G code as described in a response found later in this section.

    Comment: We received comments from physician groups agreeing with our proposal to establish three G codes for transpupillary thermotherapy (TTT), feeder vessel technique, and destruction of macular drusen. It was also pointed out that these services are not necessarily experimental, as we had stated in the proposed rule. All of these commenters said that coding these procedures as CPT 67220 was inappropriate because the work involved in performing these three procedures was substantially less than the work required for 67220. These commenters also agreed with our goal of tracking the utilization of these services and offered to assist us in developing national payment policy when appropriate. One commenter, representing a laser manufacturer, recommended continuing to allow TTT to be coded as 67220. Although this commenter stated that the work of TTT was similar to the work of 67220, no rationale was submitted for this comparison.

    Response: We agree with the commenters who supported our proposal and are finalizing it. However, coverage and payment for these G codes will be at the discretion of each carrier. We want to thank the commenters offering to assist us in developing national payment policy at the appropriate time. We will review the frequency with which these procedures are performed on Medicare beneficiaries, and, when there is sufficient Medicare experience with this procedure, we will consider development of national payment policies for these services.

    Comment: Several national ophthalmologic organizations submitted detailed information and recommendations regarding work RVUs, practice expense inputs, and malpractice RVUs for OPT.

    Comment: Regarding work RVUs, the physician organizations submitted a joint recommendation of 5.08 work RVUs for this service based on a RUC survey and comparison of OPT to similar retinal procedures such as CPT codes 67141 and 67210 and the similar photodynamic procedure 43228 and 96570.

    Response: Based on comments received from specialty societies and a comparison of the work values for this procedure with the work values for CPT code 67210 (Destruction of localized lesion of retina), we have assigned 4.01 work RVUs to this service. The intraservice times and work intensities Start Printed Page 65411for CPT codes 67210 and 67221 are comparable. Therefore, adjusting for the work value of the postoperative visits (because CPT code 67210 has a 90-day global period) and the 20 percent retreatment rate included in CPT code 67210 and then applying the intraservice work intensity of CPT codes 67210 and 67221 yields an appropriate work value for CPT 67221. In addition, we are assigning a 0-day global period to this code, since this most accurately reflects the pre-, intra-, and post-service work and practice expense RVUs for this procedure.

    Comment: Commenters agreed that the work value for performing OPT on a second eye at the same session as the first eye was 10 percent of the work value for the first eye. This was felt to be uniform for pre-, intra-, and post-service work.

    Response: We agree with the commenters and are establishing a work RVU of 0.47 for G0184, the add-on code for the second eye. The global period for this code will be ZZZ as proposed.

    Comment: Commenters agreed with our crosswalk of malpractice RVUs from CPT code 67220.

    Response: We are finalizing our malpractice RVUs as proposed.

    Comment: Commenters submitted a list of practice expense inputs for ocular photodynamic therapy.

    Response: We agree with the practice expense inputs submitted by the commenters; however, we are adjusting the registered nurse time to eliminate a duplication in the counting of tasks reflected in their comments (reduction of two minutes) and have omitted the lens, which is reusable. A list of the direct inputs for practice expense is provided below under “Result of Evaluation of Comments”.

    Result of Evaluation of Comments

    We will continue to recognize CPT code 67220 “Destruction of localized lesion of choroids (e.g., choroidal neovascularization); photocoagulation, one or more sessions, (e.g., by laser)” with its current RVUs. We are recognizing new CPT 67221 “Destruction of localized lesion of choroids (e.g., choroidal neovascularization); photodynamic therapy (includes intravenous infusion)” for ocular photodynamic therapy and establishing a work RVU of 4.01, a malpractice RVU of 0.52 and using the following direct inputs for determining practice expense:

    • Clinical Staff Time. Registered nurse—65 minutes; Certified ophthalmology technician—14 minutes;
    • Equipment. Laser, infusion pump, exam chair and slit lamp; and,
    • Supplies. Opthaine, mydriacyl, myolfrin, gonisol, infusion kit (includes all infusion supplies), gloves, drape, gown, band aid.

    For G0184 “Destruction of localized lesion of choroid (e.g., choroidal neovascularization); ocular photodynamic therapy (includes intravenous infusion) other eye” which is the add-on code for ocular photodynamic therapy of the second eye, we are establishing a work RVU 0.47 and a malpractice RVU of 0.52. The following direct inputs will be used for calculating practice expense:

    • Supplies. Opthaine, mydriacyl, myolfrin, and gonisol.

    In addition, we are establishing the following HCPCS codes for other ophthalmologic procedures:

    G0185 for “Destruction of localized lesion of choroid (e.g., choroidal neovascularization); transpupillary thermotherapy, one or more sessions”; G0186 for “Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photocoagulation, feeder vessel technique, one or more sessions”; and G0187 for “Destruction of macular drusen, photocoagulation, one or more sessions”. Coverage and payment for these G codes will be at the discretion of each carrier.

    H. Electrical Bioimpedance

    Electrical bioimpedance (EB), a noninvasive method of measuring cardiac input, is a covered procedure under Medicare, if medically necessary. Performance of this procedure is reported by the Level 2 HCPCS code M0302, and the procedure is currently carrier-priced. In the July 17, 2000 rule, we proposed the following RVUs for this procedure:

    1. Practice Expense

    We proposed the following direct inputs for determining practice expense RVUs.

    • Clinical staff time. Registered nurse—15 minutes.
    • Supplies. Four disposable sensors, patient gown, exam table paper, and pillowcase.
    • Equipment. Cardiac output monitor and exam table.

    2. Malpractice

    We proposed 0.02 RVUs for this procedure.

    3. Physician Work

    We stated that with respect to RVUs for physician work, we had insufficient information to propose a work value and invited comments on this subject.

    We also proposed that the payment for this procedure be included in reporting critical care. Therefore, separate payment would not be made for this procedure when provided in conjunction with critical care services (CPT codes 99291 and 99292).

    Comment: There was general agreement with the proposed direct practice expense inputs. Commenters agreed that, although the amount of time for the procedure can vary, the typical time is 15 minutes. They noted that the price for the sensors per treatment was higher than the type of sensors used in an EKG. Commenters also indicated that the average cost of the bioimpedance monitor was $27,000 (we had priced the equipment at $22,790). A specialty group provided direct practice data obtained from a survey they had conducted. The data reflected similar supplies as proposed, with the addition of alcohol swabs and also stated the price of the equipment was $26,225. These data also reflected a clinical staff (registered nurse) time of 29 minutes.

    Response: For the practice expense inputs, we are adjusting the cost used for the bioimpedance monitor (increasing the proposed amount $22,790 to $25,700). In addition, the alcohol swabs will be added to the supplies. The specific price allocated to the disposable sensors was $9.95 which was comparable to the $9 to $10 range reflected in the comments received; therefore, no change is being made to the price of the sensors. We are making no adjustment to the clinical staff time because, based on further discussions and observation of the service being performed, we believe 15 minutes of registered nurse time is reasonable.

    Comment: While some commenters agreed with the proposed value of .02 for malpractice, a few commenters indicated that the proposed value of .02 for malpractice was slightly low. They recommended a value of .06 that is the malpractice RVU for CPT code 93720 (plethysmography).

    Response: We will finalize our proposal of .02 RVUs for the malpractice component of this service because we continue to believe it is most similar to the malpractice component for an EKG.

    Comment: Commenters recommended work values ranging from 0 work RVUs to work RVUs similar to EKG Interpretation (CPT code 93010), Total Body Plethysmography (CPT code 93720), Exercise Tolerance Test (CPT code 93018), Cardiac Output Measurement by thermodilution (CPT code 93561) and Echocardiography (CPT code 93320).

    Response: The physician work required for performance of this service involves reading and interpreting a series of numerical measurements. This Start Printed Page 65412is generally done in conjunction with an evaluation and management service because the measurements produced by this procedure are difficult to interpret without a clinical evaluation of the patient. To determine what, if any, work RVUs to establish for this procedure, we identified physician work that would be attributed to this procedure and would not be billed as part of an evaluation and management service.

    The fact that the information gained from a test is used in making treatment decisions is irrelevant to the issue of determining physician work (for example, results of urinalyses, complete blood counts (CBCs) are used to make clinical decisions, but these tests do not contain a physician work component). For example, it is possible to make an electrocardigraphic diagnosis (for example, left ventricular hypertrophy, acute Myocardial Infarction, Heart Block) through analysis of the waveforms on an EKG without a clinical evaluation of the patient. This separately identifiable work is what justifies establishment of work RVUs for interpretation of EKGs. It is not as easy to identify separately identifiable work in the case of cardiac bioimpedance. The measurements produced by cardiac bioimpedance include blood pressure, pulse, cardiac output, vascular resistance and thoracic fluid content. Generally, abnormalities in any of these do not allow a diagnosis to be made (for example, hypertension or heart failure). These measurements are used to provide additional information to a physician who is clinically evaluating a patient, in much the same way that results of a CBC and urinalysis are used. However, after reviewing the comments, we currently believe there is a small amount of physician work in interpreting the measurements produced by cardiac bioimpedance that is not billable as part of an E/M service. For example, if a physician reviews, interprets, and issues a report, then separate work can be identified.

    We believe that this physician work is most similar to the work of interpreting an EKG and have assigned a work RVU of .17 for the professional component of cardiac bioimpedance. We wish to emphasize that in order for the PC to be billed, all the requirements for billing a diagnostic test must be satisfied. We will also bundle the PC into critical care when critical care services are furnished, since the critical care service includes the review of such tests. Furthermore, we will allow this service to be billed once per physician, per patient, per day.

    Result of Evaluation of Comments

    For HCPCS code M0302, we are establishing a work RVU of .17, a malpractice value of .02 and are using the following inputs for PE

    • Clinical Staff Time. Registered nurse—15 minutes.
    • Supplies. Four disposable sensors, patient gown, exam table paper, pillowcase, and four alcohol swabs.
    • Equipment. Cardiac output monitor and exam table (using a price of $25,700 for the monitor).

    We note that there is a TC and a PC for this service. The direct practice expense inputs listed above will be part of the TC.

    I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators

    We proposed to change the global period for the insertion, removal, and replacement of pacemakers and cardioverter defibrillators (CPT codes 33206, 33207, 33208, 33212, 33213, 33214, 33216, 33217, 33218, 33220, 33233, 33234, 33235, 33240, 33241, 33244, 33249, 33282, and 33284) to 0 days. This would permit separate payment for any care furnished during the post-operative period by the physician who performed the pacemaker or cardioverter defibrillator procedure. We also proposed an adjustment to the physician work RVUs and practice expense inputs to reflect the change in global period for these codes.

    Comment: Several physician organizations recommended withdrawal of this proposal. They commented that the proposed reduction in work and payment for these codes was too drastic and was inappropriate since most of the work in these procedures was intraservice work. They also stated that physicians who insert pacemakers and cardioverter defibrillators generally do not see their patients postoperatively and do not render any postoperative care for related conditions.

    Response: We are deferring this proposal because of the concerns raised about the adjustment to the work RVU under our proposed policy. Nonetheless, we believe that some commenters have raised points that, if accurate, suggest that a 0-day global period and adjustment to the work RVU is appropriate. We proposed this policy because of our concern that cardiologists are providing post-operative services during the 90-day global period, as well as evaluation and management services to treat underlying heart conditions that are unrelated to the insertion, removal and replacement of a pacemaker or cardioverter defibrillator.

    Our proposed policy was intended to facilitate separate payment for the evaluation and management services unrelated to the surgical service. Our concern was that the 90-day global period was precluding separate payment for the evaluation and management services. However, we received comments that indicated that cardiologists do not typically provide the post-operative services related to surgical service. If this is the case, we believe that a 0-day global period is appropriate for these procedures. Moreover, if the comment is accurate, the current (not the proposed) work and practice expense RVUs are likely overstated because these values are based on one physician providing both the surgical and post-operative services. In general, we believe that the refinement process is useful for revaluing services when the nature of the service has changed from its previous valuation. If the commenters are correct, the issue of the global period and appropriate relative value units for these services will need further review. We look forward to working with the physician community to better understand the typical practice with regard to the provision of services related to insertion, removal and replacement of pacemakers and cardioverter defibrillators. We welcome any review of this issue that may be undertaken by the RUC as part of their recommendation related to the 5-year review of work and the PEAC on issues related to practice expense.

    Nevertheless, we are not finalizing our proposal with respect to this issue because we believe that physicians have raised valid concerns that the adjustment to the work RVU in the proposal may result in an underpayment for the service. Until there is further review of this issue, we are continuing with current pricing for these services and the use of a 90-day global period.

    Result of Evaluation of Comments

    No change will be made to the global period for CPT codes 33206, 33207, 33208, 33212, 33213, 33214, 33216, 33217, 33218, 33220, 33233, 33234, 33235, 33240, 33241, 33244, 33249, 33282, and 33284 in this rule.

    J. Antigen Supply

    In the July 2000 rule we proposed amending § 410.68(b), Antigens: Scope and conditions, to change the limitation of antigen supply from 12-weeks to 12-months to be more reflective of current industry standards and guidelines. Start Printed Page 65413

    Comments: The majority of commenters, including national and State specialty associations, supported this change and indicated that it was not only reflective of current industry standards but would improve patient care and benefit patients and practitioners alike. However, a few commenters did not agree with this revision, and felt that stability of the extracts over time is still questionable. They recommended that the 12-weeks limitation be maintained, or that it be changed to no more than 6 months.

    Response: We continue to believe that revising the regulation is appropriate, so that it is reflective of current industry standards. To the extent that the 12-month time period is inappropriate for specific antigens, it is a physician's responsibility to assure that the clinical potency of the antigen is preserved by furnishing a supply of antigens for a shorter time frame. The revision to the regulation simply allows a physician to furnish a 12-month supply of antigens when the physician believes it is appropriate, based on the specific antigens involved.

    Result of Evaluation of Comments

    We are revising the regulation at § 410.68(b) as proposed.

    K. Low Intensity Ultrasound

    We proposed to remove the RVUs that were assigned to CPT code 20979, low intensity ultrasound stimulation to aid bone healing. We made this proposal because of concerns raised by commenters, and because the service was a noncovered service under Medicare.

    Comment: One specialty organization pointed out that on July 31, 2000, subsequent to publication of the proposed rule, a HCFA National Coverage Decision Memorandum was issued stating that ultrasound stimulation for the treatment of established nonunions is now covered under Medicare.

    Response: As pointed out by the commenter, since publication of our proposed rule on July 17, 2000, a National Coverage Decision has been made that states that low intensity ultrasound will be covered by Medicare as a treatment modality for nonunion of extremity fractures. This restricted coverage takes effect on April 1, 2001. Therefore, this service will be noncovered until that time. Although low intensity ultrasound was approved under the durable medical equipment benefit, a single training session for the patient in the use of the device is required. This session is generally provided by a physician, or under the direction of a physician, and is appropriately reported as CPT code 20979, “Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative)”. This service is comparable to the service provided under CPT code 20974 “Electrical bone stimulation to aid bone healing; noninvasive (nonoperative)”. Both are training sessions provided to a patient once per course of treatment by a physician or under a physician's direction. Based on this, and in light of concerns raised on the interim RVUs contained in last year's final rule, we will crosswalk the work RVUs and the malpractice RVUs for CPT code 20974 to CPT code 20979. We will use the following direct inputs for determining practice expense:

    • Clinical Staff Time. Technician—45 minutes.
    • Equipment. Exam table.
    • Supplies. Minimum visit package.

    In addition, we are assigning a global period of “XXX”. However, we expect that CPT code 20979 will be billed only once per treatment period, and we will require the use of the -25 modifier with any E/M service billed by a physician for the same patient on the same day as CPT code 20979. Therefore, any E/M service billed in addition to CPT code 20979 must be distinct and separately identifiable.

    Comment: One commenter agreed with our proposed elimination of RVUs for this code, and requested that we eliminate all RVUs for status N codes (that is, codes that are non-covered by Medicare). The commenter felt that the RVUs associated with status N codes may contain overvalued misrepresentations and that since non-governmental insurers use the Medicare Fee Schedule as a basis for payment, use of RVUs for status N codes grossly misrepresents equitable payment for these types of services.

    Response: As noted in the response above, based on the National Coverage Decision Memorandum, we are retaining the RVUs for CPT code 20979 in the Medicare fee schedule. We will further review issues related to publishing RVUs for non-covered services and may address it in future rulemaking.

    Result of Evaluation of Comments

    We are assigning .62 work RVUs and .04 malpractice RVUs to CPT code 20979 (which are the values also used for CPT code 20974) and the direct inputs of: technician time of 45 min., an exam table, and minimum supply package will be used to determine practice expense. We note that the inputs for practice expense are subject to refinement.

    L. Implantation of Ventricular Assist Devices

    In the July 2000 rule, we proposed to revise the practice expense RVUs associated with the CPT codes 33975 and 33976 (implantation of ventricular assist devices) to reflect an “XXX” global period. The purpose of this revision was to ensure that the practice expense RVUs reflect the global period change published in the April 11, 2000 correction notice (65 FR 19332) to the November 1999 final rule. No comments were received on this proposal and we are finalizing it as proposed.

    III. Other Issues

    A. Incomplete Medical Direction

    We currently do not have a national policy that instructs carriers on the method of payment for a service when the anesthesiologist does not fulfill all the medical direction requirements. One option carriers may use is instructing the anesthesiologist to report this service as a reduced or unusual service to determine appropriate payment. We did not make a specific proposal, but indicated that we would like to clarify this policy. We outlined possible options in the July 2000 proposed rule that could be alternatives for future rulemaking consideration. We requested comments, particularly from physicians and practitioners most affected by this policy.

    We received comments from both of the major anesthesia groups, the American Society of Anesthesiologists and the American Association of Nurse Anesthetists, as well as a few state anesthesiology groups and practicing anesthesiologists. We will review these suggestions as we determine whether to make a future proposal.

    B. Payment for Pulse Oximetry Services

    In the July 2000 proposed rule, we clarified that we will continue to pay separately for certain diagnostic codes, including pulse oximetry (CPT codes 94760 and 94761), when they are medically necessary and there are no other services payable under the physician fee schedule billed on the same date by the same supplier.

    Comment: Commenters were appreciative of the policy clarification; however, they continue to believe that we should allow separate payment for this service when provided in conjunction with other services, particularly after years of paying separately for this service. Under current policy, physicians are unable to Start Printed Page 65414receive payment for the practice expense associated with the service if it is provided on the same day as another service (for example, E/M). Commenters continue to believe that there is additional identifiable work involved that should be paid by Medicare. One commenter stated that this activity is not included in an E/M vignette, and thus, it should not be bundled into an E/M service.

    Response: As explained in last year's final rule, we believe pulse oximetry is no more resource intensive, and arguably less so, than recording the patient's temperature, another example of a diagnostic service for which we do not make separate payment. Because this technology has progressed and been simplified and reduced in cost, pulse oximetry is a routine, minor part of a procedure or visit. We will continue to bundle payment for CPT codes 94760 and 94761 when they are provided the same day as other services. The interpretation of pulse oximetry is part of the medical decision making included in the E/M service. The medical decision making process involves the physician's assessment and treatment plan unique to the individual patient. CPT vignettes are examples and do not necessarily include every potential activity which may occur in the medical decision making process.

    Comment: One commenter pointed out that we require an arterial blood gas (ABG) or pulse oximetry for patients requiring oxygen, and that an ABG is a more expensive service than pulse oximetry, and also can be more burdensome to the patient. Therefore, we should continue to reimburse for this service.

    Response: As previously explained, we will make separate payment for pulse oximetry services (CPT codes 94760 and 94761) when it is medically necessary and there are no other services payable under the physician fee schedule billed on the same day by the same supplier.

    Result of Evaluation of Comments

    We will continue with the policy of bundling payment for pulse oximetry (CPT codes 94760 and 94761) when it is provided on the same day as another service. Separate payment for these codes may be made only when the services are medically necessary and there are no other services payable under the physician fee schedule billed on the same date by the same supplier.

    C. Outpatient Therapy Supervision

    In the July 2000 proposed rule, we clarified that therapy assistants must be personally supervised by the therapist in private practice and employed directly by the therapist, by the partnership or group to which the therapist belongs. We did not make a proposal, and the discussion was provided for informational purposes only. We felt that this explanation was necessary, since revisions in the November 1998 final rule (63 FR 58814) had prompted confusion in the therapy industry. They believed that we had misinterpreted the supervision requirement or had established a new requirement for therapy assistants in the private practice setting. We wanted to clarify that the requirements for therapy assistants in a private practice setting had not changed from the longstanding requirements established in Medicare Carriers Manual (MCM) instructions (see section 2215F, HCFA Pub. 6) revised in 1981.

    Comment: Two therapy associations asserted that we have established a new supervision requirement for therapy assistants in the private setting. They base their assertion upon an analysis of the legislative and regulatory history pertaining to supervision of therapy assistants in a private practice setting. According to the associations, we should state in this rule that direct supervision, rather than personal supervision, is required for therapy assistants in the private practice setting. In addition, they requested this statement because Medicare carriers are now examining claims prior to 1999, and seeking money from therapists for services furnished without the therapist being “in the room” with the therapy assistant.

    Response: In light of the comments received, we are carefully examining this issue. We did not propose any change in the supervision requirement for therapy assistants in the private setting in the final rule published November 2, 1998 (63 FR 58860). Any change in the level of supervision would need to be addressed in a future proposed rule.

    Comment: Two medical associations requested clarification as to whether a physical therapist could bill for services without ever providing or supervising the performance of that service. In addition, clarifications were requested about the application of the physical therapy supervision policy and the “incident to” rules applicable to the physician services benefit.

    Response: First, we note that the physical therapy supervision policy only relates to the therapist in the private practice setting. A therapist cannot bill for services that he or she has not either personally performed or supervised the performance of the service. Moreover, there is no “incident to” provision in the physical therapy benefit, unlike the physician services benefit. However, a physician may employ a therapist, and the services of the therapist may be billed as “incident to” the physician's services if all the requirements of section 2050 through 2050.1 of the MCM are met.

    Comment: A revision in section 2050.2 of the MCM is urged by a psychiatric association to allow physicians who own a practice to be off the premises when other legally authorized practitioners, for example, psychologists and clinical social workers are present. An analogy to physical therapists in private practice was provided.

    Response: The regulatory change that allowed physical therapists in private practice to be off the premises when other qualified therapists are present resulted from Congressional statements in both the House and Senate committee reports associated with our fiscal year 1997 appropriations process. To address the concerns expressed in these reports, we revised the regulations at §§ 410.59(c)(2) and 410.60(c)(2). With respect to the commenters reference to section 2050 of the MCM, this section discusses services and supplies furnished “incident to” a physician's professional services. As stated in section 2050.2 of the MCM, in order for the services of a nonphysician practitioner to be covered as incident to the services of the physician, the services must meet all the requirements for coverage specified in sections 2050 through 2050.1. There is no analogy between physicians and therapists in this circumstance, because there is no similar benefit covering services and supplies provided incident to a therapist's professional services. We have, therefore, no plans to revise section 2050.2 of the MCM. We would also note that some practitioners, such as clinical psychologists and clinical social workers, have a statutory benefit under Medicare, and may provide and bill for services without supervision of a psychiatrist.

    D. Outpatient Therapy Caps

    Section 221 of the BBRA placed a 2-year moratorium on Medicare Part B outpatient therapy caps (the $1500 cap on outpatient physical therapy services including speech language-pathology services and the $1500 cap on outpatient occupational therapy services in all nonhospital settings). The two $1500 caps were implemented in 1999 as required by the BBA.

    The BBRA also requires us to submit to the Congress a report by January 1, Start Printed Page 654152001 that includes recommendations on—(1) the establishment of a mechanism for assuring appropriate utilization of outpatient therapy services; (2) the establishment of an alternative payment policy for outpatient therapy services based on classifications of individuals by diagnostic category, functional status, prior use of services (in both inpatient and outpatient settings), and other criteria, in place of uniform dollar limitations, and (3) how to do this in a budget-neutral manner.

    In the July 17, 2000 rule, we provided examples of informal recommendations we have received on this issue, and asked for comments from the public on other alternatives that we might consider in developing a payment policy for outpatient therapy services. We indicated that this information would be considered in preparing our report to Congress on outpatient therapy services.

    Result of Evaluation of Comments

    Several organizations commented on the issue of outpatient therapy caps. Some groups responded to the examples provided in the proposed rule, while others offered other alternatives. We appreciate the information provided and will consider it as we develop the report to Congress.

    E. HCPCS G Codes

    Several commenters recommended that, instead of creating G codes, we work more closely with the AMA CPT Editorial Panel to establish or revise CPT codes to meet our requirements.

    We have a long-established working relationship with the AMA CPT Editorial Panel. We prefer the use of CPT codes to the use of G codes for reporting physicians' services. In fact, this year, we initiated the establishment of a new CPT code that describes ocular photodynamic therapy (67221) for CPT 2001, and the revision of an old CPT code (67220) to remove ocular photodynamic therapy. We did this proactively to avoid the need to establish a G code. We, along with the ophthalmology societies, brought these recommendations to the CPT Editorial Panel. Thus we were able to withdraw our proposal for a G code for ocular photodynamic therapy. We also worked with the panel to establish CPT codes for artificial skin placement and wound care management that will enable to us to retire our G codes for these services.

    We believe that sometimes HCPCS level 2 codes are useful to the CPT Editorial Panel process. For example, use of a new service can be tracked with the G codes to determine if a future CPT code is appropriate.

    Frequently, we create G codes to reflect our own coverage and payment requirements. These requirements are usually very specific, and may make it inappropriate to create a CPT code for general use.

    Moreover, in response to requests from physicians and others, we make coverage decisions on a rolling basis. Because the CPT process requires at least 1 year between approval and implementation of a CPT code, we must create a G code during the interim. We occasionally have specific coverage and payment requirements according to which Medicare payment is not made for a specific CPT code. This was the case with the revision of the care plan oversight codes. We specifically informed the CPT Editorial Panel before the codes were revised that the proposed revisions would be inconsistent with our established payment policy, and, therefore, we would need to create G codes for care plan oversight and not use the revised CPT codes. Similarly, we are finalizing our proposal to create G codes for several ophthalmologic procedures to track the use of these services and permit coverage and payment on a carrier-by-carrier basis. We had comments from the appropriate medical specialty societies, and determined that it was not appropriate to create CPT codes for these services at present. The specialty societies supported our creation of the G codes; this mechanism permits payment for these services while establishing a way to track their use. In the case of physician certification and recertification of a plan of care for home health services, we created two new G codes because of our interest in providing explicit payment for these services as a result of development of the home health prospective payment system (PPS). As we indicated in the home health PPS rule (65 FR 41163), we have decided to “focus our attention on physician certification efforts and education in order to better involve the physician in the delivery of home health services.” While we are imposing no new regulatory requirements on physicians related to these services, we felt that it was important to establish these two new codes quickly to allow separate payment for these services as soon as possible after implementation of the home health PPS on October 1, 2000.

    Use of G codes is also consistent with section 1848(c)(5) of the Act, which specifically provides us with the authority to establish a uniform procedure coding system for the coding of all physicians' services.

    In summary, we support the use of CPT codes. We establish G codes only when absolutely necessary. We would like to assure the medical community that we will continue work with the AMA CPT Editorial Panel to minimize the need for G codes. However, we have the responsibility for developing and implementing payment policy for the Medicare program. On occasion, we need to establish G codes to appropriately administer the Medicare program.

    F. Work RVUs in Proposed Rule

    Comment: A few commenters stated that work RVUs for some services were incorrect due to the incorrect placement of the decimal in Addendum B of the July 2000 proposed rule (65 FR 44210). They requested that we correct them in the final rule.

    Response: Due to a programming error, some services were assigned incorrect work RVUs in Addendum B of the proposed rule. We have taken steps to ensure that this programming error is corrected.

    G. Five-Year Refinement of Relative Value Units

    In the July 17, 2000 proposed rule (65 FR 44201), we included a discussion on the activities underway with respect to the second five-year refinement of work RVUs. We indicated that we had received comments on potentially misvalued services from approximately 30 specialty groups, organizations and individuals, involving over 900 codes. We shared these comments with the RUC, which makes recommendations to us on the assignment of RVUs to new and revised CPT codes. We also discussed current initiatives involving the validation of physician time data.

    Comment: Commenters expressed concern about the discussion on five-year review activities. They were unsure as to how the contractor activities outlined in the proposed rule would be coordinated with the RUC recommendations on work RVUs that will be forwarded to us for consideration. Commenters also expressed concern that contractor activities are primarily focused on physician time. They cautioned that other factors need to be considered in conjunction with time (for example, stress, physician effort, and technical effort) when valuing physician work.

    Response: We discussed the data obtained by our contractors with the RUC. We also discussed with the RUC and the physician community the best Start Printed Page 65416use of the data obtained by our contractors.

    Comment: One organization stated that, during the initial five-year review, budget neutrality was achieved by applying an 8.3 percent reduction to all physician work RVUs. They strongly encouraged us to distribute any impact across all specialties and all CPT codes for the current 5-year review.

    Response: Based on our prior experience, we acknowledge that there has been significant interest in how we make adjustments to achieve budget neutrality as a result of work refinement. We will discuss potential options and propose an adjustment to ensure budget neutrality resulting from the work RVU refinement in next year's proposed rule.

    Comment: One commenter asked when the Health Economics Research (HER) study data discussed in the proposed rule would be available.

    Response: We anticipate that the study data will be available by December 1, 2000. We will be posting this information on our homepage. (Access to the homepage is discussed in the introductory section of this rule under Supplementary Information.)

    IV. Refinement of Relative Value Units for Calendar Year 2001 and Responses to Public Comments on Interim Relative Value Units for 2000 (Including the Interim Relative Value Units Contained in the July 17, 2000 Proposed Rule)

    A. Summary of Issues Discussed Related to the Adjustment of Relative Value Units

    Section IV.B. of this final rule describes the methodology used to review the comments received on the RVUs for physician work and the process used to establish RVUs for new and revised CPT codes. Changes to codes on the physician fee schedule reflected in Addendum B are effective for services furnished beginning January 1, 2001.

    B. Process for Establishing Work Relative Value Units for the 2001 Fee Schedule and Clarification of CPT Definitions

    Our November 2, 1999 final rule on the 2000 physician fee schedule (64 FR 59380) announced the final work RVUs for Medicare payment for existing procedure codes under the physician fee schedule and interim RVUs for new and revised codes. The RVUs contained in the rule apply to physician services furnished beginning January 1, 2000. We announced that we considered the RVUs for the interim codes to be subject to public comment under the annual refinement process. In this section, we summarize the refinements to the interim work RVUs that have occurred since publication of the November 1999 final rule and our establishment of the work RVUs for new and revised codes for the 2001 fee schedule.

    Work Relative Value Unit Refinements of Interim and Related Relative Value Units

    1. Methodology (Includes Table titled Work Relative Value Unit Refinements of the 2000 Interim and Related Relative Value Units)

    Although the RVUs in the November 1999 final rule were used to calculate 2000 payment amounts, we considered the RVUs for the new or revised codes to be interim. We accepted comments for a period of 60 days. We received substantive comments from approximately 11 specialty societies on approximately 29 CPT codes with interim work RVUs. Only comments on codes listed in Addendum C of the November 1999 final rule were considered.

    We used a process similar to the process used in 1997. (See the October 31, 1997 final rule on the physician fee schedule (62 FR 59084) for the discussion of refinement of CPT codes with interim work RVUs.) We convened a multispecialty panel of physicians to assist us in the review of the comments. The comments that we did not submit to panel review are discussed at the end of this section, as well as those that were reviewed by the panel. We invited one representative from each of those specialty societies from which substantive comments were received to attend a panel for discussion of the codes on which they had commented. The panel was moderated by our medical staff, and consisted of the following representatives.

    Voting Members

    • One or two clinicians representing the commenting specialty(s), based upon our determination of those specialties which are most identified with the service(s) in question. Although commenting specialties were welcomed to observe the entire refinement process, they were only involved in the discussion of those services for which they were invited to participate.
    • Two Primary care clinicians nominated by the American Academy of Family Physicians and the American Society of Internal Medicine.
    • Five Carrier medical directors.
    • Four clinicians with practices in related specialties, who were expected to have knowledge of the services under review.

    The panel discussed the work involved in each procedure under review in comparison to the work associated with other services on the fee schedule. We had assembled a set of reference services, and asked the panel members to compare the clinical aspects of the work of services they believed were incorrectly valued to one or more of the reference services. In compiling the set, we attempted to include—(1) services that are commonly performed whose work RVUs are not controversial; (2) services that span the entire spectrum from the easiest to the most difficult; and (3) at least three services performed by each of the major specialties so that each specialty would be represented. The set listed approximately 300 services. Group members were encouraged to make comparisons to reference services. The intent of the panel process was to capture each participant's independent judgement based on the discussion and his or her clinical experience. Following each discussion, each participant rated the work for the procedure. Ratings were individual and confidential, and there was no attempt to achieve consensus among the panel members.

    We then analyzed the ratings based on a presumption that the interim RVUs were correct. To overcome this presumption, the inaccuracy of the interim RVUs had to be apparent to the broad range of physicians participating in each panel.

    Ratings of work were analyzed for consistency among the groups represented on each panel. In general terms, we used statistical tests to determine whether there was enough agreement among the groups of the panel, and whether the agreed-upon RVUs were significantly different from the interim RVUs published in Addendum C of the November 1999 final rule. We did not modify the RVUs unless there was a clear indication for a change. If there was agreement across groups for change, but the groups did not agree on what the new RVUs should be, we eliminated the outlier group, and looked for agreement among the remaining groups as the basis for new RVUs. We used the same methodology in analyzing the ratings that we first used in the refinement process for the 1993 fee schedule. The statistical tests were described in detail in the November 25, 1992 final rule (57 FR 55938).

    Our decision to convene multispecialty panels of physicians and to apply the statistical tests described above was based on our need to balance Start Printed Page 65417the interests of those who commented on the work RVUs against the redistributive effects that would occur in other specialties. Of the 11 codes reviewed by the multispecialty panel, all were the subject of requests for increased values. Of the 11 interim work RVUs that were reviewed, 9 were increased and 2 were unchanged.

    We also received comments on RVUs that were interim for 2000, but which we did not submit to the panel for review for a variety of reasons. These comments and our decisions on those comments are discussed in further detail below.

    The table below lists the interim and related codes reviewed during the refinement process described in this section. This table includes the following information:

    • CPT Code. This is the CPT code for a service.
    • Description. This is an abbreviated version of the narrative description of the code.
    • 2000 Work RVU. The work RVUs that appeared in the November 1999 rule are shown for each reviewed code.
    • Requested Work RVU. This column identifies the work RVUs requested by commenters.
    • 2001 Work RVU. This column contains the final RVUs for physician work.

    Refinement of 2000 Interim Work Relative Value Units

    CPT codeDescription2000 work RVURequested work RVU2001 work RVU
    27096Inject sacroiliac joint1.101.401.40
    61862Implant neurostimul, subcort19.3427.3419.34
    61885Implant neurostim one array5.858.005.85
    62263Lysis epidural adhesions6.027.206.14
    72275Epidurography0.540.830.76
    73542X-ray exam, sacroiliac joint0.540.640.59
    76873Echograp trans r, pros study0.991.921.55
    93741Analyze ht pace device sngl0.640.900.80
    93742Analyze ht pace device sngl0.731.030.91
    93743Analyze ht pace device dual0.831.171.03
    93744Analyze ht pace device dual0.951.331.18
    *All CPT codes and descriptions copyright 2000 American Medical Association.

    2. Interim 2000 Codes.

    CPT code 11980 Subcutaneous hormone pellet implantation.

    We did not receive a work RVU recommendation from the RUC for this code, and therefore crosswalked it to CPT 11980 for the 2000 fee schedule. One commenter indicated that a recommendation for work RVUs would be included in the RUC recommendations for 2001, and urged that we accept this RVU recommendation.

    Final decision: The 2001 RUC recommendation for CPT Code 11980 has been reviewed and accepted.

    CPT Code 27096 Injection Procedure for Sacroiliac Joint Arthrography and/or Aesthetic Steroid

    We reduced the work RVU for 27096 from the RUC proposed value of 1.40 to 1.10 based on a weighted average with CPT code 20610 (Large joint injection-work RVU of 0.79) Commenters pointed out that while this was one of the codes used prior to approval of CPT code 27096, it (20610) was cited as being inadequate, because the sacroiliac joint injection requires more precision and skill than does a large joint (for example, hip) injection. They also indicated that the reduction made by HCFA to account for the fact that this procedure may be performed without contrast was not justified. In light of these comments we referred the code to a refinement panel for review.

    Final decision: As a result of the statistical analysis of the refinement panel ratings, the final work RVUs are established as 1.40 for CPT code 27096. CPT code 61862 Subcortical neurostimulator array implantation.

    The RUC evaluated this code using a building block approach that included the work of sterotactic localization, the device implantation and 140 minutes of intra-operative testing.

    A few commenters expressed concern about our rejection of the RUC recommendation of 27.34 work RVUs and our proposed 19.34 work RVUs. We subtracted 8.00 RVUs attributed to 140 minutes of intra-operative testing, since this time was variable and it could be reported under other CPT codes. The commenters explained that the assignment of surgeon work during this 140 minutes of electrode maneuvering was done by comparing the work, including intensity, to CPT code 99291 at an equivalent rate of 4.00 RVUs for each of the approximately 2 hours in this average. Information was provided during the discussion at the RUC that the time of 140 minutes was truly an average, with some testing requiring as long as 3 to 4 hours to achieve satisfactory electrode placement. The commenters recommended that we restore the missing 8.00 RVUs and accept the RUC recommendation of 27.34 for this code. Due to the questions concerning our reduction of 8.00 RVUs, we referred this code to a refinement panel for review.

    Final decision: As a result of the statistical analysis of the refinement panel ratings we are retaining the work RVU of 19.34 for CPT code 61862.

    CPT Code 61885 Incision and Subcutaneous Placement of Cranial Neurostimulator Pulse Generator or Receiver, Direct or Inductive Coupling; With Connection to a Single Electrode Array

    CPT Code 61885 was revised to add a delimiter to the code that specified connection of the neurostimulator to a single electrode array, and a new code (CPT code 61886) was introduced for situations involving two or more electrode arrays. We had received recommendations for work RVUs for the revised CPT code 61885, as well as the new CPT code 61886. Commenters disagreed with our statement that there was no evidence to justify an increase in the work RVU for CPT code 61885. We also noted that the work RVU for this code had been increased in the last 5-year review. Commenters felt that the RUC analyses presented supported an increase in the work RVU. In light of these comments, we referred this code to the refinement panel for review.

    Final decision: As a result of the statistical analysis of the refinement panel ratings, the final work RVUs are 5.85 for CPT code 61885. Start Printed Page 65418

    CPT Code 62263 Percutaneous Lysis of Epidural Adhesions Using Solution Injection (for Example, Hypertonic Saline, Enzyme) or Mechanical Means (for Example, Spring-wound Catheter) Including Radiologic Localization (Includes Contrast When Administered)

    This was a new CPT code for which the RUC had recommended work RVUs of 7.20. We reduced the value to 6.02 based on two determinations—(1) that the RUC had erroneously counted the insertion of a catheter twice in compiling the component services; and (2) the appropriate building block for the fluoroscopic guidance was code 76003, not 76005. Commenters requested that we reconsider these decisions. They indicated that they had intentionally doubled the value for catheter insertion, as insertion of a catheter into a tight scarred epidural space involved more work than the typical epidural injection. They also felt that the fluoroscopic code the RUC had used was appropriate, and more accurately reflected the work involved. In response to these comments, we referred this code to the refinement panel for review.

    Final decision: As a result of our statistical analysis of the refinement panel ratings the final work RVU for CPT 62263 will be 6.14.

    CPT Codes 62310, 62311, 62318, 62319 Epidural or Subarachnoid Spine Injection Procedures

    We had agreed with the relativity of these new codes established by the RUC, but in order to retain budget neutrality within this family of codes, we had to uniformly reduce the RUC recommended values. Commenters indicated that our calculations of the amount of reduction in the work RVUs needed slight adjustments. The specialties involved in developing the work RVUs submitted the following re-scaled work RVUs that they felt were a better reflection of the budget neutrality adjustment while preserving the intra-family relativity of the new codes (62310-1.95; 62311-1.57; 62318-2.26; and 62319-1.88).

    Final decision: We reviewed the work RVUs submitted by the specialty, and found the proposed work RVUs not to be budget neutral. We apply a standard technique, using the most recent available data, to arrive at budget neutral values. The work RVUs, as published in the November 1999 final rule will be retained.

    CPT Code 72275 Epidurography

    We reduced the work RVUs for this new code by approximately one third, from the 0.83 recommended by RUC to 0.54. Commenters disagreed with this reduction, noting that the comparison codes selected by HCFA medical staff to support this reduction did not accurately reflect the work involved. They indicated that the RUC survey reflected that there was a greater amount of time involved. This code was referred to the refinement panel for review.

    Final decision: As a result of our statistical analysis of the refinement panel ratings, we are assigning a work RVU of 0.76 to CPT code 72275.

    CPT Code 73542 Sacroiliac Joint Arthrography

    The RUC recommended value of 0.64 work RVUs was reduced to 0.54 work RVUs based on our belief that there was no difference in work from the primary survey reference code (CPT code 73525 which has a work RVU of 0.54). Commenters disagreed with this reduction. Although the time estimates between CPT code 73542 and the reference code are similar, the mean intensity/complexity measures are consistently higher for CPT code 73542, and therefore warranted the RUC recommended work RVU of .64. The RUC valued this code not only according to the time required, but also according to the intensity of the service. Commenters recommended adoption of the RUC work RVUs of 0.64 for CPT code 73542. This code was referred to the refinement panel for review.

    Final decision: As a result of our statistical analysis of the refinement panel ratings, we are assigning a work RVU of 0.59 to CPT code 73542.

    CPT Code 76005 Fluoroscopic Guidance and Localization of Needle or Catheter Tip for Spine or Paraspinous Diagnostic or Therapeutic Injection Procedures (Epidural, Transforaminal Epidural, Subarachnoid, Paravertebral Facet Joint, Paravertebral Facet Joint Nerve or Sacroiliac Joint) Including Neurolytic Agent Destruction

    The RUC recommended value of 0.60 work RVUs for this new code was reduced to 0.54, because we did not believe there was enough difference in work from the primary survey reference code 76003 (0.54 work RVUs). Commenters disagreed with this determination, and indicated that the survey data results were evidence that comparison between CPT codes 76005 and 76003 was not appropriate, since the survey showed more time for CPT code 76005, as well as a consistently higher estimation of intensity and complexity. Commenters also pointed out that another established code in the same family (CPT code 76001 with a work RVU of .67) was also previously used to report this service.

    Final decision: The RUC recommended .60 work RVUs for CPT code 76005. We reduced this recommendation to .54 work RVUs based upon reference procedure CPT code 76003. We inadvertently failed to also examine the other reference procedures identified on the RUC survey. Based upon the other reference procedures which were listed, CPT code 76001 (work RVU = .67), we are changing the work RVU to the RUC recommended value of .60.

    CPT Code 76873 Prostate Volume Study

    We reduced the RUC recommendation of 1.92 work RVUs to .99, since we did not believe that general anesthesia is used in this procedure. Commenters disagreed with this point and indicated that, because the patient must remain motionless during the procedure, significant sedation, either general or spinal anesthesia, is used. Thus, this is usually performed in a hospital operating room (outpatient) or ambulatory surgical center. Commenters also objected to the comparison we made between this code (76873) and CPT code 76805 Echography, pregnant uterus, B-scan and/or real time with image documentation; complete. An obstetric ultrasound does not require anesthesia and is done in a physician's office. Commenters also questioned our statement that we would not allow payment for a prostate volume study when performed on the same day as seed implantation or other services that are part of seed implantation. During the RUC deliberations, it was specifically discussed that the prostate volume study was not included in the work for seed implantation (CPT code 55859). This code was referred to the refinement panel for review.

    Final decision: As a result of our statistical analysis of the refinement panel ratings, we are assigning a work RVU of 1.55 to CPT code 76873.

    CPT Codes 90471 and 90472 Immunization Administration

    In the final rule published November 2, 1999, we included a discussion of practice expense inputs and omitted a discussion of the RUC recommended work RVUs for these codes. Commenters encouraged us to publish the values for these codes, noting that while these are not reimbursed under the Medicare program, fee schedule values provide guidance to other payers who use the fee schedule.

    Final decision: While we realize that other payers may use the RVUs under Start Printed Page 65419the physician fee schedule, since these are noncovered services under Medicare, we are not including values for these services in the fee schedule. The discussion on practice expense was erroneously included. As we indicated in an earlier discussion, we will be examining the issue of including values for noncovered services in the fee schedule.

    CPT Codes 93741, 93742, 93743, 93744 Electronic Analysis of Pacing Cardioverter-Defibrillator

    We reduced the RUC recommendations for work RVUs for these codes (93741-0.64; 93742-0.73; 93743-0.83, and 93744-0.95) because we felt there were inconsistencies between the recommendations and the survey data. Commenters stated that the differences in time reflected between the earlier surveys and three 1998 and 1999 surveys were a result of the large increase in the complexity of the technologies associated with these procedures over the last few years. With older devices, there was less information to analyze. The new technology provides more information, thus, the work involved is significantly greater than it was when the reference procedure was initially evaluated. These codes were referred to the refinement panel for review.

    Final decision: As a result of our statistical analysis of the refinement panel ratings, we are assigning the following work RVUs: 93741-0.80, 93742-0.91, 93743-1.03, 93744-1.18.

    Practice Expense Refinements of 2000 Interim and Related Relative Value Units

    We received the following comments on the interim practice expense RVUs assigned to the new and revised CPT codes for 2000:

    CPT Code 33410 Replacement, Aortic Valve, With Cardiopulmonary Bypass; With Stentless Tissue Valve

    A specialty group commented that the practice expense RVUs for this code should be slightly higher than for CPT code 33406, Replacement, aortic valve, with cardiopulmonary bypass; with homograft valve (freehand), due to the difference in the grafts. However, the practice expense RVUs for CPT code 33410 are 0.09 less than the practice expense RVUs for CPT code 33406. The commenter adds that, due to this error, physicians have received unfairly low reimbursement for this procedure in CY 2000, and should receive fair compensation after this error is corrected.

    Response: The RUC made no recommendation on the practice expense inputs for this code, but the Society of Thoracic Surgeons recommended that we crosswalk the direct inputs from those assigned to CPT code 33406, which we did. The identified payment anomaly did not exist in the practice expense RVUs published in our November 1999 final rule. There was a calculation error reflected in the published RVU values in the July 2000 proposed rule (65 FR 44210) that has been corrected in this final rule. We hope that the code will be refined soon, so that it will no longer be necessary to use a crosswalk for the practice expense inputs.

    CPT Code 33249 Insertion or Repositioning of Electrode Lead(s) for Single or Dual Chamber Pacing Cardioverter Defibrillator and Insertion of Pulse Generator

    We received comments from two organizations representing cardiology and pacing electrophysiology on the interim PE RVUs for this procedure. Both commenters indicated that the practice expense RVUs should be increased to account for the fact that under the revised definition, this procedure now includes the implantation of dual chamber ICDs.

    Response: We did not receive a practice expense recommendation on this revised code from either the RUC or the specialty societies, and we kept the practice expense inputs at their original level. Because this is a procedure that would only be performed in the facility setting, an increase in the physician work involved to perform the service would not lead to an increase in the practice expense, unless there would be more post-surgical visits associated with the revised service. No claim has been made that this is the case. Therefore, we believe that there is no justification for increasing the practice expense RVUs.

    CPT code 92961, Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)

    One organization indicated that, for the PE inputs, we crosswalked this code to CPT code 93610, intra-atrial pacing, which does not include costs associated with a cardioversion, which is part of the procedure. They recommended that we use a building block approach, using inputs from CPT code 93610-26 (a similar intra-atrial pacing code) and CPT code 92960 (a similar cardioversion code) for establishing the PE RVUs.

    Response: We did not originally receive a practice expense recommendation on this code from either the RUC or the specialty society. Because this is a 0-day procedure that would only be performed in the facility setting, there would be few or no direct inputs associated with the service. Thus, an increase in the physician work involved to perform the service would not lead to an increase in the practice expense. CPT code 92960 also has no inputs in the facility setting, so including that code as an added crosswalk, as recommended in the comment, would have no effect on the practice expense RVUs for CPT code 92961. Therefore, we are making no change in our recommended crosswalk.

    CPT Code 93727 Electronic Analysis of Implantable Loop Recorder (ILR) System (Includes Retrieval of Recorded and Stored ECG Data, Physician Review and Interpretation of Retrieved ECG Data and Reprogramming)

    Two organizations objected to our crosswalk of the practice expense inputs for this code from CPT code 93272, Patient demand single or multiple event recording with presymptom memory loop, per 30 day period of time; physician review and interpretation only. The commenters stated that this crosswalk does not accurately reflect all the practice expense inputs associated with the service, and recommended we crosswalk the inputs from CPT code 93271, Patient demand single or multiple event recording with presymptom memory loop, per 30 day period of time; monitoring, receipt of transmissions, and analysis.

    Response: We did not originally receive a practice expense recommendation on this revised code from either the RUC or the specialty societies. We have reviewed this comment, and have changed the crosswalk as recommended by the commenters.

    CPT 90471/72 Immunization Administration and CPT 99173 Visual Screening Test

    Two organizations requested that we publish the RUC recommended values for these immunization codes, as well as the visual screening test and other services with RUC recommendations not reimbursed under Medicare, because other payors use the RVUs under the physician fee schedule.

    Response: While we realize that other payers may use the RBRVS fee schedule, since these are non-covered services under Medicare, as indicated above, we are not including values for these services in the fee schedule.

    We received the following comments on HCPCS codes established in the November 2, 1999 Final Rule:Start Printed Page 65420

    G0166 External Counterpulsation

    One commenter indicated this service was undervalued and recommended inputs for this code. We continue to believe that the values assigned in last year's rule are appropriate, and we are retaining these values.

    G0167 Hyperbaric Oxygen Treatment

    We received comments expressing concerns about the new code, G0167, Hyperbaric Oxygen Treatment Not Requiring Physician Attendance, per Treatment. The commenter requested that we clarify the intended use of this code. Our contractors have discretion to cover hyperbaric oxygen with or without physician supervision. Our coverage staff is currently reviewing hyperbaric oxygen therapy services policies generally, including the appropriate levels of physician supervision. The progress of this review can be tracked on our web site, http://www.hcfa.gov,, by selecting Coverage Policies.

    G0168 Wound Closure Utilizing Tissue Adhesives Only

    One specialty was concerned that the services described by this code were not coded as a simple repair as recommended by the CPT panel. The commenter suggested that the cost of the supply, Dermabond, could be reimbursed separately. Another commenter was concerned about the 10-day global period assigned to this code.

    The work and practice expense values for this code were based upon an evaluation and management visit, CPT code 99212, except that the price of Dermabond was added as a practice expense. We assigned these values because many of these wounds could have been closed with Steri-strips, a service that is also coded with evaluation and management, rather than a simple repair. We will be analyzing the use of HCPCS code G0168 to learn more about the use of this product, and will consider revaluing it after that analysis is completed.

    Although we believe that the typical service involving the use of Dermabond as the only closure will typically not involve a visit for suture removal, we concede that, if another visit were needed for a complication, we should allow another evaluation and management visit. For this reason, we will change the global period to 0 days.

    G0169 Removal of Devitalized Tissue, Without Use of Anesthesia

    For 2000, we created G0169 to describe a service that involved removal of devitalized tissue. For 2001, CPT adopted a code 97601 that is sufficiently similar to the services described by G0169 that we will ask providers to utilize that code for selective removal of devitalized tissue, and we will eliminate G0169. We crosswalked the values for G0169 to CPT Code 97601. This code will continue to have no global period. Establishment of Interim Work Relative Value Units for New and Revised Physician's Current Procedural Terminology Codes and New HCFA Common Procedure Coding System Codes for 2001 (Includes Table titled American Medical Association Specialty Relative Value Update Committee and Health Care Professionals Advisory Committee Recommendations and HCFA's Decisions for New and Revised 2001 CPT Codes)

    One aspect of establishing RVUs for 2001 was related to the assignment of interim work RVUs for all new and revised CPT codes. As described in our November 25, 1992 notice in the 1993 fee schedule (57 FR 55983) and in section III.B. of our November 22, 1996 final rule (61 FR 59505 through 59506) we established a process, based on recommendations received from the AMA's RUC, for establishing interim work RVUs for new and revised codes.

    This year we received work RVU recommendations for approximately 131 new and revised CPT codes from the RUC. Our staff and medical officers reviewed the RUC recommendations by comparing them to our reference set or to other comparable services for which work RVUs had been previously established, or to both of these criteria. We also considered the relationships among the new and revised codes for which we received RUC recommendations. We agreed with the majority of these relationships reflected in the RUC values. In some instances, when we agreed with the relationships, we revised the work RVUs to achieve work neutrality within families of codes, that is, the work RVUs have been adjusted so that the sum of the new or revised work RVUs (weighted by projected frequency of use) for a family will be the same as the sum of the current work RVUs (weighted by projected frequency of use). For approximately 91 percent of the RUC recommendations, proposed work RVUs were accepted, and for approximately 9 percent, we disagreed with the RUC recommendation. In a majority of instances, we agreed with the relativity proposed by the RUC, but needed to decrease work RVUs to retain budget neutrality.

    There were also 38 CPT codes for which we did not receive a RUC recommendation. After a review of these CPT codes by our staff and medical officers, we established interim work RVUs for the majority of these services. For those services for which we could not arrive at interim work RVUs, we have assigned a carrier priced status until such time as the RUC provides work RVU recommendations.

    We received 5 recommendations from the Health Care Professionals Advisory Committee (HCPAC). Two of the HCPAC recommendations were reduced while 3 of the recommendations were for services that we do not cover. Additionally, there were 2 services for which we did not receive recommendations from the HCPAC.

    The table titled AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 2001 CPT Codes lists the new or revised CPT codes, and their associated work RVUs, that will be interim in 2001. This table includes the following information:

    • A “#” identifies a new code for 2001.
    • CPT code. This is the CPT code for a service.
    • Modifier. A “26” in this column indicates that the work RVUs are for the professional component of the code.
    • Description. This is an abbreviated version of the narrative description of the code.
    • RUC recommendations. This column identifies the work RVUs recommended by the RUC.
    • HCPAC recommendations. This column identifies the work RVUs recommended by the HCPAC.
    • HCFA decision. This column indicates whether we agreed with the RUC recommendation (“agree”) or we disagreed with the RUC recommendation (“disagree”). Codes for which we did not accept the RUC recommendation are discussed in greater detail following this table. An “(a)” indicates that no RUC recommendation was provided. A discussion follows the table.
    • HCFA Work RVUs. This column contains the RVUs for physician work based on our reviews of the RUC recommendations.
    • 2001 Work RVUs. This column establishes the 2001 work RVUs for physician work. Start Printed Page 65421

    AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 2001 CPT Codes

    CPT* codeMODDescriptionRUC recommendationHCPAC recommendationHCFA decisionHCFA work RVU2000 work RVU
    11980#IMPLANT HORMONE PELLET(S)1.48Agree1.481.48
    15342#CULTURED SKIN GRAFT, 25 CM1.50Disagree1.001.00
    15343#CULTURE SKN GRAFT ADDL 25 CM0.38Disagree0.250.25
    16035INCISION OF BURN SCAB, INITI3.75Agree3.753.75
    16036#INCISE BURN SCAB, ADDL INCIS1.50Agree1.501.50
    19100BX BREAST PERCUT W/O IMAGE1.27Agree1.271.27
    19101BIOPSY OF BREAST, OPEN3.18Agree3.183.18
    19102#BX BREAST PERCUT W/IMAGE2.00Agree2.002.00
    19103#BX BREAST PERCUT W/DEVICE2.37Agree2.372.37
    19120REMOVAL OF BREAST LESION5.56Agree5.565.56
    19125EXCISION, BREAST LESION6.06Agree6.066.06
    19126EXCISION, ADDL BREAST LESION2.93Agree2.932.93
    19295#PLACE BREAST CLIP, PERCUT0.00Agree0.000.00
    21199#RECONSTR LWR JAW W/ADVANCE16.00Agree16.0016.00
    22520#PERCUT VERTEBROPLASTY THOR8.91Agree8.918.91
    22521#PERCUT VERTEBROPLASTY LUMB8.34Agree8.348.34
    22522#PERCUT VERTEBROPLASTY ADDL4.31Disagree3.003.00
    30465#REPAIR NASAL STENOSIS11.64Agree11.6411.64
    33140HEART REVASCULARIZE (TMR)20.00Agree20.0020.00
    33141#HEART TMR W/OTHER PROCEDURE4.84Agree4.844.84
    33533CABG, ARTERIAL, SINGLE25.83Agree25.8325.83
    33534CABG, ARTERIAL, TWO28.82Agree28.8228.82
    33535CABG, ARTERIAL, THREE31.81Agree31.8131.81
    33536CABG, ARTERIAL, FOUR OR MORE34.79Agree34.7934.79
    34800#ENDOVASC ABDO REPAIR W/TUBE20.75Agree20.7520.75
    34802#ENDOVASC ABDO REPR W/DEVICE23.00Agree23.0023.00
    34804#ENDOVASC ABDO REPR W/DEVICE23.00Agree23.0023.00
    34808#ENDOVASC ABDO OCCLUD DEVICE4.13Agree4.134.13
    34812#XPOSE FOR ENDOPROSTH, AORTIC6.75Agree6.756.75
    34813#XPOSE FOR ENDOPROSTH, FEMORL4.80Agree4.804.80
    34820#XPOSE FOR ENDOPROSTH, ILIAC9.75Agree9.759.75
    34825#ENDOVASC EXTEND PROSTH, INIT12.00Agree12.0012.00
    34826#ENDOVASC EXTEN PROSTH, ADDL4.13Agree4.134.13
    34830#OPEN AORTIC TUBE PROSTH REPR32.59Agree32.5932.59
    34831#OPEN AORTOILIAC PROSTH REPR35.34Agree35.3435.34
    34832#OPEN AORTOFEMOR PROSTH REPR35.34Agree35.3435.34
    35600#HARVEST ARTERY FOR CABG4.95Agree4.954.95
    36540#COLLECT BLOOD VENOUS DEVICE0.00Agree0.000.00
    36831AV FISTULA EXCISION, OPEN8.00Agree8.008.00
    36832AV FISTULA REVISION, OPEN10.50Agree10.5010.50
    36870#AV FISTULA REVISION, OPEN5.16Agree5.165.16
    38500BIOPSY/REMOVAL, LYMPH NODES2.88Agree2.882.88
    38530BIOPSY/REMOVAL, LYMPH NODES6.13Agree6.136.13
    43231#ESOPH ENDOSCOPY W/US EXAM4.09Agree4.094.09
    43232#ESOPH ENDOSCOPY W/US FN BX4.71Agree4.714.71
    43240#ESOPH ENDOSCOPE W/DRAIN CYST7.39Agree7.397.39
    43241UPPER GI ENDOSCOPY WITH TUBE2.59Agree2.592.59
    43242#UPPR GI ENDOSCOPY W/US FN BX5.51Agree5.515.51
    43256#UPPR GI ENDOSCOPY W STENT(a)(a)4.354.35
    43752#NASAL/OROGASTRIC W/STENT(a)(a)0.000.00
    44132#ENTERECTOMY, CADAVER DONORcarrierDisagree0.000.00
    44133#ENTERECTOMY, LIVE DONORcarrierDisagree0.000.00
    44135#INTESTINE TRANSPLNT, CADAVERcarrierDisagree0.000.00
    44136#INTESTINE TRANSPLANT, LIVEcarrierDisagree0.000.00
    44370#SMALL BOWEL ENDOSCOPY/STENT(a)(a)4.334.33
    44379#S BOWEL ENDOSCOPE W/STENT(a)(a)7.077.07
    44383#ILEOSCOPY W/STENT(a)(a)2.412.41
    44397#COLONOSCOPY W STENT4.78Disagree4.234.23
    44500INTRO, GASTROINTESTINAL TUBE0.49Agree0.490.49
    45327#PROCTOSIGMOIDOSCOPY W/STENT2.66Disagree1.461.46
    45341#SIGMOIDOSCOPY W/ULTRASOUND3.46Agree3.463.46
    45342#SIGMOIDOSCOPY W/US GUIDE BX4.08Agree4.084.08
    45345#SIGMODOSCOPY W/STENT2.92Disagree2.662.66
    45387#COLONOSCOPY W/STENT5.66Disagree5.625.62
    47379#LAPAROSCOPE PROCEDURE, LIVERcarrierAgreecarriercarrier
    50545#LAPARO RADICAL NEPHRECTOMY24.00Agree24.0024.00
    50546LAPAROSCOPIC NEPHRECTOMY20.48Agree20.4820.48
    50548LAPARO REMOVE K/URETER24.40Agree24.4024.40
    50947#LAPARO NEW URETER/BLADDER24.50Agree24.5024.50
    50948#LAPARO NEW URETER/BLADDER22.50Agree22.5022.50
    Start Printed Page 65422
    50949#LAPAROSCOPE PROC, URETERcarrierAgreecarriercarrier
    52341#CYSTO W/URETER STRICTURE TX6.00Agree6.006.00
    52342#CYSTO W/UP STRICTURE TX6.50Agree6.506.50
    52343#CYSTO W/RENAL STRICTURE TX7.20Agree7.207.20
    52344#CYSTO/URETERO, STONE REMOVE7.70Agree7.707.70
    52345#CYSTO/URETERO W/UP STRICTURE8.20Agree8.208.20
    52346#CYSTOURETERO W/RENAL STRICT9.23Agree9.239.23
    52351#CYSTOURETRO & OR PYELOSCOPE5.86Agree5.865.86
    52352#CYSTOURETRO W/STONE REMOVE6.88Agree6.886.88
    52353#CYSTOURETERO W/LITHOTRIPSY7.97Agree7.977.97
    52354#CYSTOURETERO W/BIOPSY7.34Agree7.347.34
    52355#CYSTOURETERO W/EXCISE TUMOR8.82Agree8.828.82
    52400#CYSTOURETERO W/CONGEN REPR9.68Agree9.689.68
    54512#EXCISE LESION TESTIS8.58Agree8.588.58
    54522#ORCHIECTOMY, PARTIAL9.50Agree9.509.50
    55873#CRYOABLATE PROSTATE17.80Agree17.8017.80
    57022#I &D VAGINAL HEMATOMA, OB2.56Agree2.562.56
    57023#I &D VAG HEMATOMA, TRAUMA(a)(a)2.562.56
    57287#REVISE/REMOVE SLING REPAIR10.71Agree10.7110.71
    58353#ENDOMETR ABLATE, THERMAL3.56Agree3.563.56
    61697#BRAIN ANEURYSM REPR, COMPLX50.52Agree50.5250.52
    61698#BRAIN ANEURYSM REPR, COMPLX48.41Agree48.4148.41
    61700BRAIN ANEURYSM REPR , SIMPLE50.52Agree50.5250.52
    61702INNER SKULL VESSEL SURGERY48.41Agree48.4148.41
    62252#26CSF SHUNT REPROGRAM0.74Agree0.740.74
    63040LAMINOTOMY, SINGLE CERVICAL(a)(a)18.8118.81
    63042LAMINOTOMY, SINGLE LUMBAR(a)(a)17.4717.47
    63043#LAMINOTOMY, ADDL CERVICAL(a)(a)0.000.00
    63044#LAMINOTOMY, ADDL LUMBAR(a)(a)0.000.00
    64612DESTROY NERVE, FACE MUSCLE1.96Agree1.961.96
    64613DESTROY NERVE, SPINE MUSCLE1.96Agree1.961.96
    64614#DESTROY NERVE, EXTREM MUSC2.20Agree2.202.20
    66982#CATARACT SURGERY, COMPLEX13.50Agree13.5013.50
    66984CATARACT SURG W/IOL, I STAGE10.23Agree10.2310.23
    67221#OCULAR PHOTODYNAMIC THER(a)(a)4.014.01
    69714#IMPLANT TEMPLE BONE W/STIMUL14.00Agree14.0014.00
    69715#TEMPLE BNE IMPLNT W/STIMULAT18.25Agree18.2518.25
    69717#TEMPLE BONE IMPLANT REVISION14.98Agree14.9814.98
    69718#REVISE TEMPLE BONE IMPLANT18.50Agree18.5018.50
    70496#CT ANGIOGRAPHY, HEAD1.75Agree1.751.75
    70498#CT ANGIOGRAPHY, NECK1.75Agree1.751.75
    7054026MRI ORBIT/FACE/NECK W/O DYE1.48Disagree0.980.98
    70542#26MRI ORBIT/FACE/NECK W/DYE1.78Disagree1.171.17
    70543#26MRI ORBT/FAC/NCK W/O&W DYE2.36Disagree1.561.56
    70544#26MR ANGIOGRAPHY HEAD W/O DYE1.20Agree1.201.20
    70545#26MR ANGIOGRAPHY HEAD W/DYE1.20Agree1.201.20
    70546#26MR ANGIOGRAPH HEAD W/O&W DYE1.80Agree1.801.80
    70547#26MR ANGIOGRAPHY NECK W/O DYE1.20Agree1.201.20
    70548#26MR ANGIOGRAPHY NECK W/DYE1.20Agree1.201.20
    70549#26MR ANGIOGRAPH NECK W/O&W DYE1.80Agree1.801.80
    71275#26CT ANGIOGRAPHY, CHEST(a)(a)1.201.20
    7155026MRI CHEST W/O DYE(a)(a)1.101.10
    71551#26MRI CHEST W/DYE(a)(a)1.301.30
    71552#26MRI CHEST W/O&W DYE(a)(a)1.701.70
    72191#26CT ANGIOGRAPH PELV W/O&W DYE(a)(a)1.201.20
    72195#26MRI PELVIS W/O DYE(a)(a)1.101.10
    7219626MRI PELVIS W/DYE(a)(a)1.301.30
    72197#26MRI PELVIS W/O & W DYE(a)(a)1.701.70
    73206#26CT ANGIO UPR EXTRM W/O&W DYE(a)(a)1.201.20
    73218#26MRI UPPER EXTREMITY W/O DYE(a)(a)0.980.98
    73219#26MRI UPPER EXTREMITY W/DYE(a)(a)1.171.17
    7322026MRI UPPR EXTREMITY W/O&W DYE(a)(a)1.561.56
    7322126MRI JOINT UPR EXTREM W/O DYE(a)(a)0.980.98
    73222#26MRI JOINT UPR EXTREM W/ DYE(a)(a)1.171.17
    73223#26MRI JOINT UPR EXTR W/O&W DYE(a)(a)1.561.56
    73706#26CT ANGIO LWR EXTR W/O&W DYE(a)(a)1.201.20
    73718#26MRI LOWER EXTREMITY W/O DYE(a)(a)0.980.98
    73719#26MRI LOWER EXTREMITY W/DYE(a)(a)1.171.17
    7372026MRI LWR EXTREMITY W/O&W DYE(a)(a)1.561.56
    Start Printed Page 65423
    7372126MRI JOINT OF LWR EXTRE W/O D(a)(a)0.980.98
    73722#26MRI JOINT OF LWR EXTR W/DYE(a)(a)1.171.17
    73723#26MRI JOINT LWR EXTR W/O&W DYE(a)(a)1.561.56
    74175#26CT ANGIO ABDOM W/O&W DYE(a)(a)1.201.20
    7418126MRI ABDOMEN W/O DYE(a)(a)1.101.10
    74182#26MRI ABDOMEN W/DYE(a)(a)1.301.30
    74183#26MRI ABDOMEN W/O&W DYE(a)(a)1.701.70
    75635#26CT ANGIO ABDOMINAL ARTERIES(a)(a)1.891.89
    75952#ABDOM ANEURYSM ENDOVAS RPR4.00Agree4.004.00
    75953#ABDOM ANEURYSM ENDOVAS RPR1.36Agree1.361.36
    76012#PERCUT VERTEBROPLASTY FLUOR1.31Agree1.311.31
    76013#PERCUT VERTEBROPLASTY, CT1.38Agree1.381.38
    76393#26MR GUIDANCE FOR NEEDLE PLACE1.50Agree1.501.50
    7681826FETL BIOPHYS PROFIL W/STRESS1.05Disagree0.860.86
    76819#26FETL BIOPHYS PROFIL W/O STRS0.77Disagree0.630.63
    7697526GI ENDOSCOPIC ULTRASOUND0.81Agree0.810.81
    7752026PROTON TRMT, SIMPLE W/O COMPcarrierAgreecarriercarrier
    77522#26PROTON TRMT, SIMPLE W/COMPcarrierAgreecarriercarrier
    7752326PROTON TRMT, INTERMEDIATEcarrierAgreecarriercarrier
    77525#26PROTON TREATMENT, COMPLEXcarrierAgreecarriercarrier
    90940#HEMODIALYSIS ACCESS STUDY0.00Agree0.000.00
    91132#ELECTROGASTROGRAPHYcarrierAgreecarriercarrier
    91133#ELECTROGASTROGRAPHY W/TESTcarrierAgreecarriercarrier
    92585AUDITOR EVOKE POTENT, COMPRE0.50Agree0.500.50
    92586#AUDITOR EVOKE POTENT, LIMIT0.00Agree0.000.00
    93662#INTRACARDIAC ECG (ICE)2.80Agree2.802.80
    93668#PERIPHERAL VASCULAR REHAB0.00Agree0.000.00
    96570#PHOTODYNAMIC TX, 30 MIN1.10Agree1.101.10
    96571#PHOTODYNAMIC TX, ADDL 15 MIN0.55Agree0.550.55
    97532#COGNITIVE SKILLS DEVELOPMENT0.51Disagree0.440.44
    97533#SENSORY INTEGRATION0.48Disagree0.440.44
    97601#WOUND CARE SELECTIVE(a)(a)0.500.50
    97602#WOUND CARE NON-SELECTIVE(a)(a)0.000.00
    97802#MEDICAL NUTRITION, INDIV, IN0.45Disagree0.000.00
    97803#MED NUTRITION, INDIV, SUBSEQ0.37Disagree0.000.00
    97804#MEDICAL NUTRITION, GROUP0.25Diagree0.000.00
    99172#OCULAR FUNCTION SCREEN0.00Agree0.000.00
    a No RUC recommendation provided.
    # New Codes.
    * All numeric HCPCS CPT Copyright 2000 American Medical Association.

    Discussion of Codes for Which There Were No RUC Recommendations or for Which the RUC Recommendations Were Not Accepted

    The following is a summary of our rationale for not accepting particular RUC work RVU recommendations. It is arranged by type of service in CPT order. Additionally, we also discuss those CPT codes for which we received no RUC recommendations for physician work RVUs. This summary refers only to work RVUs.

    Bioengineered Tissue Grafts (CPT Codes 15342 and 15343)

    Temporary HCPCS Codes G0170 and G0171, established in the November 1999 final rule, will be deleted. The two aforementioned deleted codes have been replaced by CPT codes 15342 and 15343. The RUC recommended that the work RVUs for CPT codes 15342 and 15343 be crosswalked from deleted HCPCS codes G0170 and G0171, which are currently being used to report bioengineered tissue grafts. The work RVUs for CPT codes 15342 and 15343 are crosswalked from G0170 and G0171, with the following modification. Currently, HCPCS code G0170 includes the work of CPT codes 15000 and 15350. The CPT instructions for CPT code 15342 state that it can be billed with CPT code 15000. For this reason the crosswalk for CPT code 15342 would be to 25 percent of the work RVU of CPT code 15350, or 1.00 work RVUs. This percentage was chosen because CPT code 15342 is for graft sizes of up to 25 square centimeters, and CPT code 15350 is for graft sizes up to 100 square centimeters. Similarly, the RUC recommended work RVUs for CPT code 15343 are adjusted to 25 percent of 15351, or 0.25 work RVUs. Additionally, we note that some commenters requested the global period for HCPCS code G0170 be lowered from ten to seven days. This was not done, because we use only three global period lengths zero, ten, and ninety days. Clearly the ten-day global period is the most appropriate and consistent with the recommendation of the commenters. This decision will be applied to CPT code 15342. CPT code 15343 is an add-on service that does not have a global period.

    Percutaneous Vertebroplasty (CPT Code 22522)

    The RUC recommended a work RVU of 4.31 for CPT code 22522. The RUC arrived at this value based upon the fact that the work involved with CPT code 22522 was 50 percent of the total work of CPT codes 22520 and 22521. The RUC failed to remove the pre-service Start Printed Page 6542499213 and the post-service 99238 associated with CPT codes 22520 and 22521 before performing their calculations. CPT code 22522 is an add-on procedure, and there should be no pre-and post-service work associated with this service. We have removed the work RVUs of 99213 (pre-service) and 99238 (post-service) from the weighted average of CPT codes 22520 and 22521. For this reason, we have assigned a work RVU of 3.00 to CPT code 22522.

    Naso- or Oro-gastric Tube Placement (CPT Code 43752)

    The RUC did not supply us with a recommendation for CPT code 43752. We believe that this service is bundled into evaluation and management services. For this reason, there is no work RVU associated with this service.

    Small Bowel Implantation (CPT Codes 44132, 44133, 44135, and 44136)

    The RUC recommended carrier pricing for these services. These services are not covered transplant services under Medicare. For this reason, there are no work RVUs associated with these services.

    Endoscopic Enteral Stenting (CPT Codes 43256, 44370, 44379, 44383, 44397, 45327, 45345, 45387)

    The RUC determined a work increment, from the applicable endoscopic base code, for transendoscopic stent placement including predilation of 1.96 RVUs. We agree with this increment. For the endoscopic stent placement CPT codes for which we did not receive a work recommendation from the RUC, we applied this increment to the applicable endoscopic basecode. Because endoscopic stent placement is being currently billed under existing endoscopic CPT codes, we needed to make a work neutrality adjustment to each family of codes in which a stent placement code had been created.

    Incision and Drainage of Vaginal Hematoma (CPT Code 57023)

    The RUC did not supply a work RVU recommendation for CPT code 57023. We did receive a work RVU recommendation for similar CPT code 57022. Until such time as we receive more information allowing us to appropriately value CPT code 57023, we will adopt the RUC recommended work RVU for CPT code 57022. For these reasons, we have assigned a work RVU of 2.56 to CPT code 57023.

    Laminotomy Re-Exploration (CPT Codes 63040, 63042, 63043, and 63044)

    The RUC did not supply work RVU recommendations for CPT codes 63040 through 63044. CPT codes 63040 and 63042 were revised to account for single interspace cervical and lumbar laminotomy, respectively. CPT codes 63043 and 63044 were added to account for each additional cervical and lumbar interspace laminotomy(s). We will bundle CPT code 63043 into CPT code 63040 and CPT code 63044 into CPT code 63042, and retain the existing work RVUs for CPT codes 63040 and 63042. We will re-evaluate these services when the RUC supplies work RVU recommendations.

    Ocular Photodynamic Therapy (CPT Code 67221)

    The RUC did not supply work RVU recommendations for CPT code 67221. Subsequent to the publication of the July 2000 proposed rule in which we proposed establishing a new HCPCS code for this service, the CPT editorial panel approved CPT code 67221 for ocular photodynamic therapy. We have deleted our proposed temporary code and established values for CPT code 67221. Based on comments received from specialty societies and a comparison of the work values for this procedure with CPT code 67210, Destruction of localized lesion of retina, we have assigned 4.01 work RVUs to this service. The intraservice times and work intensities for CPT codes 67210 and 67221 are comparable. Therefore, adjusting for the work value of the postoperative visits (because 67210 has a 90-day global period) and the 20 percent retreatment rate included in CPT code 67210, and then applying the intraservice work intensity of 67210 to 67221, yields an appropriate work value for 67221. For a further discussion of this issue, see section II.G.

    Computed Tomographic Angiography (CPT Codes 71275, 72191, 73206, 73706, 74175, and 75635)

    CPT created a series of new codes for 2001 describing computed tomographic (CT) angiography for different parts of the body. The RUC submitted work recommendations of 1.75 RVUs for CPT codes 70496 and 70498, with which we agree. The RUC did not submit work recommendations for the other CT angiography codes. The RUC compared the head and neck CPT angiography codes to MRI angiography and CT scans without contrast followed by contrast of the same region in determining the values for these services. However, upon our review, we determined that the work RVUs recommended by the RUC were more comparable to the work RVUs associated with CPT code 75671, Angiography, carotid, cerebral, bilateral, radiological interpretation and supervision, and CPT code 75680, Angiography, carotid, cervical, bilateral, radiological interpretation and supervision. Both CPT code 75671 and CPT code 75680 have work RVUs of 1.66. The proportional work RVU increase from the angiography supervision and interpretation code to the CT angiography code was 1.05. Therefore, in determining the work RVUs of the other CT angiography codes, we—(1) compared each code to its most comparable angiographic radiological supervision and interpretation code, and (2) applied a proportionate work increase of 1.05 to the CT angiography code. The CPT codes to which we compared the CT angiography codes were 75605, 75736, 75710, 75625, and 75630. Note that CT angiography of the extremities has been valued as a unilateral service. However, CPT code 75635 is valued for bilateral lower extremity run.

    Magnetic Resonance Imaging Procedures (CPT Codes 70540, 70542, 70543, 71550, 71551, 71552, 72195, 72196, 72197, 73218, 73219, 73220, 73221, 73222, 73223, 73718, 73719, 73720, 73721, 73722, 73723, 74181, 74182, and 74183)

    CPT 2000 has a single code to describe MRI of each region of the body except for MRI of the brain, where three separate codes exist that describe MRI of the brain without contrast, with contrast, and without contrast followed by contrast. For CPT 2001 the single MRI code for each area of the body will be broken out into three separate CPT codes describing MRI for that body area without contrast, with contrast, and without contrast followed by contrast.

    The only codes for which we received work RVU recommendations from the RUC were CPT 70540 (MRI orbit/face/neck, w/o contrast), 70542 (MRI orbit/face/neck, w/contrast), and 70543 (MRI orbit/face/neck, w/out then w/contrast). The recommended work RVUs were 1.48, 1.78, and 2.36 respectively. The services that will be described under these three CPT codes are currently being coded under a single CPT code, 70540 (current descriptor is Magnetic Resonance (e.g. proton) imaging, orbit, face, and neck with a current work RVU of 1.48). For this reason we must make the new CPT codes work neutral to the current CPT code; that is, the total work RVUs associated with the three new codes must result in the same total work RVUs of the current CPT code. The RUC Start Printed Page 65425recommendations were not work neutral. Since neither the RUC nor the specialty society supplied us with relative utilization rates for these CPT codes, we applied the current relative utilization pattern for MRI of the brain. MRI of the brain currently has three separate CPT codes for MRI without contrast, with contrast, and without contrast followed by contrast. This resulted in work RVUs of 0.98, 1.17, and 1.56 for MRI of the orbit, face, and neck without contrast, with contrast, and without contrast followed by contrast, respectively.

    We did not receive work recommendations or utilization data for any of the other new MRI codes. In each case, a single MRI code describing MRI of a body area was broken out into three codes describing MRI of that body area without contrast, with contrast, and without contrast followed by contrast. In order to assign appropriate work values for these codes, we followed the following procedure for MRI of each body area—(1) we assigned a work RVU to MRI without contrast, MRI with contrast, and MRI without contrast followed by contrast that maintained the same relationship as the work RVUs the RUC assigned to the three codes for MRI of the orbit, face, and neck, (2) we determined the total work RVUs for the body area by utilization of the current MRI code for that body area, (3) we applied the relative utilization of the brain MRI codes to the new MRI codes for each body area, and (4) we adjusted the work RVUs assigned in step 1 for MRI of each body area to make them work neutral to the work RVUs determined from step 2.

    Fetal Biophysical Profile (CPT Code 76818 and CPT Code 76819)

    The RUC recommended a work RVU of 1.05 for CPT code 76818 and 0.77 for CPT code 76819. Although we agree with the relativity established by the RUC, the codes needed to be adjusted for budget neutrality. For this reason, we have assigned 0.86 work RVUs to CPT code 76818 and 0.63 work RVUs to CPT code 76819.

    Sensory Integrative Techniques (CPT Code 97532 and CPT Code 97533)

    The RUC recommended a work RVU of 0.51 for CPT code 97532 and 0.48 for CPT code 97533. These two new services were created to replace the deleted CPT code 97770. We believe the work associated with these two new services is analogous to deleted CPT code 97770. For this reason, we have assigned the same work RVU (0.44) that was assigned to deleted CPT code 97770 to both CPT code 97532 and CPT code 97533.

    Active Wound Care Management (CPT Code 97601 and CPT Code 97602)

    The HCPAC did not supply a work RVU recommendation for either CPT code 97601 or CPT code 97602. We had established temporary HCPCS code G0169 for the work described in new CPT code 97601. For this reason, we have assigned the same work RVU (0.50) to CPT code 97601 that was assigned to now-deleted HCPCS code G0169. We consider CPT code 97602 to be bundled into CPT code 97601 and therefore will not establish work RVUs for this service.

    Medical Nutrition Therapy (CPT Codes 97802 Through 97804)

    The HCPAC supplied work RVU recommendations of: 0.45 for CPT code 97802, 0.37 for CPT code 97803, and 0.25 for CPT code 97804. These services do not fall under any enumerated category of Medicare services, and thus these services are not covered by Medicare. Additionally, these services are not physician services and, therefore, would not be assigned physician work RVUs. Finally, the American Diabetic Association is unhappy with the descriptors CPT has assigned to CPT codes 97802 through 97804, and is in the process of submitting a request to CPT for a revision to the descriptors for these services. For these reasons, we have decided not to assign work RVUs to these services.

    Establishment of Interim Practice Expense Relative Value Units for New and Revised Physician's Current Procedural Terminology (CPT) Codes and New HCFA Common Procedure Coding System Codes for 2001.

    We have developed a process for establishing interim practice expense RVUs (PERVUs) for new and revised codes that is similar to that used for work RVUs. Under this process, the RUC recommends the practice expense direct inputs, that is, the staff time, supplies and equipment associated with each new code. We then review the recommendations in a manner similar to our evaluation of the recommended work RVUs.

    The RUC recommendations on the practice expense inputs for the new and revised 2001 codes were submitted to us as interim recommendations. We, therefore, consider that these recommendations are still subject to further refinement by the PEAC, or by us, if it is determined that such future review is needed. We do have concerns regarding some of the recommended inputs, particularly clinical staff times, for certain services, and we may revisit these inputs in light of future decisions of the PEAC regarding supply and equipment packages and standardized approaches to pre- and post-service clinical staff times.

    We have accepted, at least in the interim, almost all of the practice expense recommendations submitted by the RUC for the codes listed in the following table titled “AMA RUC and HCPAC Recommendations and HCFA Decisions for New and Revised 2001 CPT Codes.” We made the following minor changes to the inputs where relevant:

    • We rounded all clinical staff time to the nearest minute.
    • For consistency with the CPEP revisions contained in the November 1999 final rule, we deleted separately billable fluid and contrast material, and the skin marking pen, disinfectant and biohazard bag, because these items cannot easily be allocated to individual services.
    • The RUC assigned the E/M visit supply package, which includes a tongue depressor, drape sheet, and disposable otoscope speculum, as well as the E/M equipment package, which includes an otoscope-ophthalmoscope, to several vascular, spine and other post-surgical visits. We deleted the otoscope-ophthalmoscope, because it is not typically used for such post-surgical visits and, instead of the E/M visit supply package, substituted the multi-specialty minimum visit supply package that includes: exam table paper, patient gown, pillow case, nonsterile gloves, and thermometer probe cover. We also added a patient education book.
    • For those codes refined before the multi-specialty minimum visit supply package was adopted, we substituted this package for the list of individual items when they matched exactly. In the same manner, we substituted the ophthalmology visit supply package as appropriate.
    • For CPT 11980, Subcutaneous hormone pellet implantation, we deleted the disinfectant solution because it is already included in the OB-GYN visit supply package assigned to this code.
    • The RUC only priced CPT 36870, Thrombectomy, percutaneous, arteriovenous fistula, in the office setting. We added inputs for the facility setting, using the clinical staff time for coordinating pre-surgery services and providing pre-service education, as well as the clinical staff time for the one post-surgical visit. We also added the supply and equipment inputs for the post-surgical visit. For the non-facility setting, we added a multi-specialty Start Printed Page 65426minimum visit supply package for the post-surgical visit. However, we deleted the oxygen tank from the equipment inputs, because it appeared that it is only used on a stand-by basis, and would thus be considered an indirect cost.
    • The RUC Health Care Professional Advisory Committee submitted a recommendation on the inputs for CPT 97533, Sensory integrative techniques. The inputs included a long list of specific equipment that we have combined into one package called “sensory integration equipment.”
    • The RUC deferred making a recommendation on the practice expense inputs for CPT 43752, Naso- or oro-gastric tube placement. We have assumed that this service is performed only in the facility setting, and, as a 0-day global, has no direct inputs.

    For the following CPT codes we did not receive practice expense recommendations. Therefore, we are providing practice expense inputs through crosswalking to an existing code as indicated below:

    s 

    New CPT codeExisting CPT code
    43256 Upper GI Endoscopy43241 Upper GI endoscopy with tube.
    44370 Small bowel endoscopy/stent44363 Endocholaniopancreatograph.
    44379 S bowel endoscope w/stent44377 Small bowel endoscopy/biopsy.
    44383 Ileoscopy w/stent44382 Small bowel endoscopy.
    57023 I&D vag hematoma, trauma57022 I&D vag hematoma,ob.
    71275 CT angiography, chest71270-TC Contrast CAT scans of chest.
    71551 CT angiography, chest70552-TC Magnetic image, brain (MRI).
    71552 MRI chest w/o&w dye70553-TC Magnetic image, brain (MRI).
    72191 CT angiograph pelv w/o&w dye72194-TC Contrast CAT scans of pelvis.
    72195 MRI pelvis w/o dye70551-TC Magnetic image , brain (MRI).
    72197 MRI pelvis w/o&w dye70553-TC Magnetic image, brain (MRI).
    73206 CT angio upr extrm w&w/o dye73202-TC Contrast CAT scans of arm.
    73218 MRI uppr extremity w/o dye70551-TC Magnetic image , brain (MRI).
    73219 MRI uppr extremity w/ dye70552-TC Magnetic image, brain (MRI).
    73222 MRI joint upr extrem w/dye70552-TC Magnetic image, brain (MRI).
    73223 MRI joint upr extr w/o&w dye70553-TC Magnetic image, brain (MRI).
    73706 CT angio lwr extr w/o&w dye73702-TC Contrast CAT scans of leg.
    73718 MRI lower extremity w/o dye70551-TC Magnetic image , brain (MRI).
    73719 MRI lower extremity w/ dye70552-TC Magnetic image, brain (MRI).
    73722 MRI joint of lwr extr w/dye70552-TC Magnetic image, brain (MRI).
    73723 MRI joint lwr extr w/o&w dye70553-TC Magnetic image, brain (MRI).
    74175 CT angio abdom w/o&w dye74170-TC Contrast CAT scans, abdomen.
    74182 MRI abdomen w/dye70552-TC Magnetic image, brain (MRI).
    74183 MRI abdomen w/o& w dye70553-TC Magnetic image, brain (MRI).
    75635 CT angio abdominal arteries74170-TC Contrast CAT scans, abdomen.

    C. Other Changes to the 2001 Physician Fee Schedule and Clarification of CPT Definitions

    For the 2001 physician fee schedule, we are establishing or revising several alpha-numeric HCPCS codes for reporting certain services that are not clearly described by existing CPT codes. This is in addition to the HCPCS codes for ocular photodynamic therapy, certification/recertification for home health services and care plan oversight previously discussed. We view these codes as temporary since we will be referring them to the CPT Editorial Panel for possible inclusion in future editions of CPT. Additionally, included in this section are some clarifications of proper use of some new or revised codes.

    Evaluation of Swallowing Function

    We are proposing the following new codes to describe the evaluation of swallowing function. These codes will replace the more general CPT 92525, Evaluation of swallowing and oral function for feeding, which represents a combination of these separate examinations. Our contractors requested the more precise coding to improve claims review for evaluation of dysphagia. The new codes are described as follows:

    G0193 Endoscopy study of swallowing function, often referred to as fiberoptic endoscopic evaluation of swallowing (FEES).

    G0194 Sensory testing during endoscoping study of swallowing. This service, often referred to as fiberoptic endoscopic evaluation of swallowing with testing, will be coded as an add-on code to G0193.

    The creation of these two codes does not imply coverage. Coverage of G0193 and G0194 remains at the discretion of the contractor processing the Medicare claim. These codes will be priced by contractors.

    Two additional codes are also used to describe swallowing evaluations:

    G0195 Clinical evaluation of swallowing function. This service describes the clinical examination and evaluation of the patient, typically by a speech and language pathologist.

    G0196 Evaluation of swallowing involving swallowing of radio-opaque materials. This code involves the participation and interpretation of results from the dynamic observation of the patient swallowing materials of various consistencies. It is observed fluoroscopically and typically recorded on video. This evaluation involves using the information to assess the patient's swallowing function and developing a treatment plan for the patient.

    Both codes G0195 and G0196 will be assigned the same work and malpractice RVUs as CPT 92525. For practice expense, we have crosswalked the inputs from 92525 for these codes. CPT 92525 will no longer be an active code for Medicare.

    Note that CPT 31575 (laryngoscopy, flexible fiberoptic, diagnostic) and CPT 31579 (laryngoscopy, flexible or rigid fiberoptic, with stroboscopy) should not be used for evaluations of swallowing.

    Speech-Generating Devices

    Because of the change in coverage policy on speech-generating devices, effective January 1, 2001, we needed codes that more specifically describe the services needed to evaluate and train patients to use these devices. As a result, we will be replacing CPT 92597, Evaluation for use and/or fitting of voice prosthetic or augmentative/alternative Start Printed Page 65427communication device to supplement oral speech) and 92598, Modification of voice prosthetic or augmentative/alternative communication device or supplemental oral speech, with the following new codes:

    G0197 Evaluation of patient for prescription of speech-generating devices. This code describes the services to evaluate a patient to specify the speech-generating device recommended to meet the patient's needs and capacity for use. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work and malpractice RVUs for this new code will be cross-walked to the ones used for CPT code 92597, the code it replaces. For practice expense, we have crosswalked the inputs to CPT code 92527 for these codes.

    G0198 Patient adaptation and training for use of speech-generating devices. This code describes the services delivered to the patient to adapt the device to the patient, and train him or her in its use. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work and malpractice RVUs, as well as the practice expense inputs for this new code, will be crosswalked to the ones used for CPT code 92598, the code it replaces.

    G0199 Re-evaluation of patient using speech-generating devices. This code describes the services to re-evaluate a patient who has previously been evaluated for a speech-generating device, and either is currently using a device or did not have a device recommended. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work RVUs for this new code will be 75 percent of the value for CPT code 92597, reflecting that it is likely to be less intensive than the initial evaluation. The malpractice and practice expense inputs are also crosswalked to CPT code 92957.

    G0200 Evaluation of patient for prescription of voice prosthetic. This code describes the services to evaluate a patient for the use of a voice prosthetic device. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work and malpractice RVUs for this new code will be crosswalked to the ones used for CPT code 92597, the code it replaces. We will also crosswalk practice expense inputs to CPT code 92957.

    G0201 Modification or training in use of voice prosthetic. This code involves the modification or training of a patient in the use of a voice prosthetic. This code involves face-to-face involvement of the practitioner (typically a speech and language pathologist experienced in the use of these devices) with the patient. The work and malpractice RVUs, as well as the practice expense inputs for this new code, will be crosswalked to the ones used for CPT code 92598, the code it replaces. The RUC recommendations, as well as the revised CPEP data for all codes, can be found on our homepage. See the Supplementary Information section of this rule for instructions on accessing our website.

    V. Physician Fee Schedule Update and Conversion Factor for Calendar Year 2001

    The 2001 physician fee schedule conversion factor is $38.2581. The separate 2001 national average anesthesia conversion factor is $17.26.

    The 2001 physician fee schedule update is 5.1 percent. However, miscellaneous adjustments will result in an increase in the conversion factor from 2000 to 2001 of 4.5 percent. The specific calculations to determine the physician fee schedule update and conversion factor for physicians' services for calendar year 2001 are explained below.

    Detail on Calculation of the Calendar Year 2001 Physician Fee Schedule Update and the 2001 Conversion Factor

    Physician Fee Schedule Update and Conversion Factor

    The conversion factor is affected by section 1848(c)(2)(B)(ii)(II) of the Act, which requires that changes to the relative value units of the Medicare physician fee schedule not cause expenditures to increase or decrease by more than $20 million from the amount of expenditures that would have been made if such adjustments had not been made. We implement this requirement through a uniform budget-neutrality adjustment to the conversion factor. There are two changes that will require us to make an adjustment to the conversion factor to meet the budget neutrality requirements in section 1848(c)(2)(B)(ii)(II). We are making a 0.3 percent reduction (0.997) in the conversion factor to account for separate payment for certification and recertification of a plan of care for home health services. We are also making a 0.14 percent (0.9986) reduction in the conversion factor to account for an anticipated increase in the volume and intensity of services.

    After considering this factor, as well as the percent change in the MEI, the update adjustment factor, and statutory adjustment described below, the 2001 conversion factor is calculated as follows:

    2000 Conversion Factor—$36.6137

    2001 Update—1.05163

    2001 Legislative Adjustment—0.998

    Volume and Intensity Adjustment—0.9986

    Other Factors—0.997

    2001 Conversion Factor—$38.2581

    Under section 1848(d)(3) of the Act, the update is equal to the product of the MEI and the update adjustment factor. For 2001, the MEI is equal to 2.1 percent (1.021). A more detailed description of the MEI and its calculation follows. The update adjustment factor is equal to 3.0 percent (1.030). Thus, the product of the MEI (1.021) and the update adjustment factor (1.030) equal the 2001 update (1.05163). Section 1848(d)(4)(F) of the Act provides for an additional adjustment to the update for 2001 of −0.2 percent (0.998). Thus, taking into account the 2001 update, the 2001 legislative adjustment, the 2001 volume and intensity adjustment, and the adjustment for certification and recertification of a plan of care for home health services, the conversion factor for 2001 is determined as follows: $36.6137 × 1.05163 × 0.998 × 0.9986 × 0.997 = $38.2581.

    The MEI and the update adjustment factor are described below.

    The Percentage Change in the Medicare Economic Index

    The MEI measures the weighted-average annual price change for various inputs needed to produce physicians' services. The MEI is a fixed-weight input price index, with an adjustment for the change in economy-wide labor productivity. This index, which has 1996 base weights, is comprised of two broad categories: Physician's own time and physician's practice expense.

    The physician's own time component represents the net income portion of business receipts and primarily reflects the input of the physician's own time into the production of physicians' services in physicians' offices. This category consists of two subcomponents—wages and salaries, and fringe benefits. These components are adjusted by the 10-year moving average annual percent change in output per man-hour for the nonfarm business sector to account for productivity growth in the general economy. Start Printed Page 65428

    The physician's practice expense category represents the rate of price growth in nonphysician inputs to the production of services in physicians' offices. This category consists of wages and salaries and fringe benefits for nonphysician staff and other nonlabor inputs. Like physician's own time, the nonphysician staff categories are adjusted for productivity using the 10-year moving average annual percent change in output per man-hour for the nonfarm business sector. The physician's practice expense component also includes the following categories of nonlabor inputs—office expense, medical materials and supplies, professional liability insurance, medical equipment, professional car, and other expense. The table below presents a listing of the MEI cost categories with associated weights and percent changes for price proxies for the 2001 update. The calendar year 2001 MEI is 2.1 percent.

    Increase in the Medicare Economic Index Update for Calendar Year 2001 1

    Cost categories and price measures1996 weights 2CY 2001 percent changes
    Medicare Economic Index Total100.02.1
    1. Physician's Own Time 3454.51.7
    a. Wages and Salaries: Average hourly earnings private nonfarm, net of productivity44.21.6
    b. Fringe Benefits: Employment Cost Index, Benefits, private nonfarm, net of productivity10.32.4
    2. Physician's Practice Expense 345.52.5
    a. Nonphysician Employee Compensation16.81.8
    1. Wages and Salaries: Employment Cost Index, wages and salaries, weighted by occupation, net of productivity12.41.7
    2. Fringe Benefits: Employment Cost Index, fringe benefits, white collar, net of productivity4.42.6
    b. Office Expense: Consumer Price Index for Urban Consumers (CPI-U), housing11.62.5
    c. Medical Materials and Supplies: Producer Price Index (PPI), ethical drugs/PPI, surgical appliances and supplies/CPI-U, medical equipment and supplies (equally weighted)4.52.0
    d. Professional Liability Insurance: HCFA professional liability insurance survey 53.27.2
    e. Medical Equipment: PPI, medical instruments and equipment.1.9−1.1
    f. Other Professional Expense7.62.8
    1. Professional Car: CPI-U, private transportation1.35.5
    2. Other: CPI-U, all items less food and energy6.32.1
    Addendum:
    Productivity: 10-year moving average of output per man-hour, nonfarm business sectorn/a1.9
    Physician's Own Time, not productivity adjusted54.53.7
    Wages and salaries, not productivity adjusted44.23.6
    Fringe benefits, not productivity adjusted10.34.4
    Nonphysician Employee Compensation, not productivity adjusted16.84.0
    Wages and salaries, not productivity adjusted12.43.9
    Fringe benefits, not productivity adjusted4.44.6
    1 The rates of historical change are for the 12-month period ending June 30, 2000, which is the period used for computing the calendar year 2001 update. The price proxy values are based upon the latest available Bureau of Labor Statistics data as of September 15, 2000.
    2 The weights shown for the MEI components are the 1996 base-year weights, which may not sum to subtotals or totals because of rounding. The MEI is a fixed-weight, Laspeyres-type input price index whose category weights indicate the distribution of expenditures among the inputs to physicians' services for calendar year 1996. To determine the MEI level for a given year, the price proxy level for each component is multiplied by its 1996 weight. The sum of these products (weights multiplied by the price index levels) over all cost categories yields the composite MEI level for a given year. The annual percent change in the MEI levels is an estimate of price change over time for a fixed market basket of inputs to physicians' services.
    3 The Physician's Own Time and Nonphysician Employee Compensation category price measures include an adjustment for productivity. The price measure for each category is divided by the 10-year moving average of output per man-hour in the nonfarm business sector. For example, the fringe benefits component of the Nonphysician Compensation category is calculated by dividing the rate of growth in the employment cost index-benefits for private, white collar workers by the 10-year moving average rate of growth of output per man-hour for the nonfarm business sector. Dividing one plus the decimal form of the percent change in the employment cost index-benefits (1+.046=1.046) by one plus the decimal form of the percent change in the 10-year moving average of labor productivity (1+.019=1.019) equals one plus the change in the employment cost index-benefits for white collar workers net of the change in output per manhour (1.046/1.019=1.026). All Physician's Own Time and Nonphysician Employee Compensation categories are adjusted in this way. Due to a higher level of precision the computer calculated quotient may differ from the quotient calculated from rounded individual percent changes.
    4 The average hourly earnings proxy, the Employment Cost Index proxies, as well as the CPI-U, housing and CPI-U, private transportation are published in the Current Labor Statistics Section of the Bureau of Labor Statistics' Monthly Labor Review. The remaining CPIs and PPIs in the revised index can be obtained from the Bureau of Labor Statistics' CPI Detailed Report or Producer Price Indexes.
    5 Derived from a HCFA survey of several major insurers (the latest available historical percent change data are for the period ending second quarter of 2000).
    N/A Productivity is factored into the MEI compensation categories as an adjustment to the price variables; therefore, no explicit weight exists for productivity in the MEI.

    The Update Adjustment Factor

    Under sections 1848(d)(3) and (d)(4) of the Act, the physician fee schedule update is equal to the product of the Medicare Economic Index and an “update adjustment factor.” The update adjustment factor represents an amount that is applied to the inflation update to reflect success or failure in meeting the expenditure target that the law refers to as “allowed expenditures.” Allowed expenditures are equal to actual expenditures in a base period updated each year by the sustainable growth rate. The sustainable growth rate is a percentage increase that is determined by a formula specified in section 1848(f) of the Act. The next section describes the SGR and its calculation in detail. The update adjustment factor is determined based on a comparison of actual and allowed expenditures. For years beginning with 1999, the BBA required that the update adjustment factor be determined under section 1848(d)(3) of the Act to equal— Start Printed Page 65429

    (i) the difference between—(I) the sum of the allowed expenditures for physicians' services (as determined under subparagraph (C)) for the period beginning April 1, 1997, and ending on March 31 of the year involved, and (II) the amount of actual expenditures for physicians' services furnished during the period beginning April 1, 1997, and ending on March 31 of the preceding year; divided by—

    (ii) the actual expenditures for physicians' services for the 12-month period ending on March 31 of the preceding year, increased by the sustainable growth rate under subsection (f) for the fiscal year which begins during such 12-month period.

    Pub. L. No. 106-113, the Medicare, Medicaid and State Children's Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA) made changes to the methodology for determining the physician fee schedule update beginning in 2001. In particular, it established that the methodology in section 1848(d)(3) of the Act would only be used for determining the physician fee schedule update for 1999 and 2000. The BBRA established that the physician fee schedule update for 2001 and subsequent years would be determined under section 1848(d)(4) of the Act. While the general principle of adjusting the inflation update (the MEI) by the update adjustment factor continues, the BBRA made fundamental changes to the calculation of the update adjustment factor. In general, these changes do two things. First, the measurement of actual expenditures will occur on the basis of a calendar year rather than an April 1 to March 31 year. This essentially conforms the measurement of actual expenditures with other aspects of the SGR system that are also occurring on the basis of a calendar year as a result of BBRA amendments. As we explained in our April 10, 2000 SGR final notice (65 FR 19000), the BBRA essentially changed the SGR system from one that spanned 3 different time periods, ((1) measurement of actual expenditures on the basis of an April 1 to March 31 period; (2) calculation of the SGR rate of increase on a federal fiscal year basis; and (3) application of the update on a calendar year basis) to one that spans only one time period. (All three are on the basis of a calendar year). Second, it ensures that any deviation between cumulative actual expenditures and cumulative allowed expenditures will be corrected over several years rather than in a single year. This will result in less year-to-year volatility in the physician fee schedule update than would occur if adjustments to the update are made to bring expenditures in line with the target in one year.

    Under section 1848(d)(4)(A) of the Act, the physician fee schedule update for a year is equal to the product of— (1) 1 plus the Secretary's estimate of the percentage increase in the MEI for the year, and (2) 1 plus the Secretary's estimate of the update adjustment factor for the year. Under section 1848(d)(4)(B) of the Act, the update adjustment factor for a year beginning with 2001 is equal to the sum of the following:

    (i) Prior Year Adjustment Component. An amount determined by:

    (I) Computing the difference (which may be positive or negative) between the amount of the allowed expenditures for physicians' services for the prior year (the year prior to the year for which the update is being determined) and the amount of the actual expenditures for such services for that year;

    (II) Dividing that difference by the amount of the actual expenditures for such services for that year; and

    (III) Multiplying that quotient by 0.75.

    (ii) Cumulative Adjustment Component. An amount determined by:

    (I) Computing the difference (which may be positive or negative) between the amount of the allowed expenditures for physicians' services from April 1, 1996 through the end of the prior year and the amount of the actual expenditures for such services during that period;

    (II) Dividing that difference by actual expenditures for such services for the prior year as increased by the sustainable growth rate for the year for which the update adjustment factor is to be determined; and

    (III) Multiplying that quotient by 0.33.

    Thus, the CY 2001 update adjustment factor will be determined as the sum of the following:

    (i) Prior Year Adjustment Component. This equals the difference between allowed expenditures in 2000 and our current estimate of actual expenditures for 2000. This difference is divided by our current estimate of actual expenditures for 2000 and the quotient is multiplied by 0.75. Our current estimate of allowed expenditures for CY 2000 is $56.6 billion. Our current estimate of actual expenditures for all of 2000 based on claims received through June 30 is $55.1 billion. Thus, the prior year adjustment component is equal to:

    (($56.6−$55.1)/$55.1)) × 0.75 = .020

    (ii) Cumulative Adjustment Component. This amount equals the difference between allowed expenditures for the period April 1, 1996 through December 31, 2000 ($244.4 billion) and actual expenditures for the same period ($240.6 billion) divided by the product of actual expenditures for the year 2000 ($55.1) increased by the SGR for 2001 (5.6 percent). This quotient is multiplied by 0.33. Thus, the cumulative adjustment component is equal to:

    (($244.4−$240.6)/($55.1×1.056)) × 0.33 = 0.022.

    The prior year adjustment component and the cumulative adjustment component are added. Adding these figures together would make the update adjustment factor equal 0.042. However, section 1848(d)(4)(D) of the Act indicates that the update adjustment factor determined under section 1848(d)(4)(B) of the Act for a year may not be less than −0.07 or greater than 0.03. Since 0.042 exceeds 0.03, we are limiting the update adjustment factor consistent with section 1848(d)(4)(D) of the Act to 0.03. Section 1848(d)(4)(A)(ii) of the Act indicates that 1 should be added to the update adjustment factor determined under section 1848(d)(4)(B) of the Act. Thus, adding 1 to 0.03 makes the update adjustment factor equal 1.030.

    (As indicated in the SGR discussion below, allowed expenditures through the end of CY 2000 will be revised one more time, no later than November 1, 2001. We will also be revising the measurement of actual expenditures for CY 2000 based on claims received through June 30, 2001. These revised figures will be determined no later than November 1, 2001. The SGR for 2001 will also be revised two more times. Any differences that result in the update adjustment factor for 2001 from revision of estimates will be reflected in update adjustment factor determined for 2002.)

    VI. Allowed Expenditures for Physicians' Services and the Sustainable Growth Rate

    A. Medicare Sustainable Growth Rate

    Section 1848(f) of the Social Security Act (the Act), as amended by section 4503 of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, replaced the Medicare Volume Performance Standard (MVPS) with a Sustainable Growth Rate (SGR). Section 1848(f)(2) of the Act specifies the formula for establishing yearly SGR targets for physicians' services under Medicare. The use of SGR targets is intended to control the actual growth in aggregate Medicare expenditures for physicians' services.

    The SGR targets are not limits on expenditures. Payments for services are not withheld if the SGR target is exceeded by actual expenditures. Rather, the appropriate fee schedule Start Printed Page 65430update, as specified in section 1848(d)(3) of the Act, is adjusted to reflect the success or failure in meeting the SGR target. If expenditures exceed the target, the update is reduced. If expenditures are less than the target, the update is increased.

    As with the MVPS, the statute specifies a formula to calculate the SGR based on our estimate of the change in each of four factors. The four factors for calculating the SGR are as follows:

    (1) The estimated change in fees for physicians' services.

    (2) The estimated change in the average number of Medicare fee-for-service beneficiaries.

    (3) The estimated projected growth in real gross domestic product (GDP) per capita.

    (4) The estimated change in expenditures due to changes in law or regulations.

    Section 211 of the BBRA amended sections 1848(d) and 1848(f) of the Act with respect to the physician fee schedule update and the SGR. Section 211(b) of the BBRA maintains the formula for calculating the SGR, but amends section 1848(f)(2) of the Act to apply the SGR on a calendar year (CY) basis beginning with 2000 while maintaining the SGR on a fiscal year (FY) basis for FY 1998 through FY 2000. Specifically, section 1848(f)(2) of the Act, as amended by section 211(b) of the BBRA, states that_“* * * [t]he sustainable growth rate for all physicians' services for a fiscal year (beginning with fiscal 1998 and ending with fiscal year 2000) and a year beginning with 2000 shall be equal to the product of:

    (1) 1 plus the Secretary's estimate of the weighted average percentage increase (divided by 100) in the fees for all physicians' services in the applicable period involved,

    (2) 1 plus the Secretary's estimate of the percentage change (divided by 100) in the average number of individuals enrolled under this part (other than Medicare+Choice plan enrollees) from the previous applicable period to the applicable period involved,

    (3) 1 plus the Secretary's estimate of the projected percentage growth in real gross domestic product per capita (divided by 100) from the previous applicable period to the applicable period involved; and

    (4) 1 plus the Secretary's estimate of the percentage change (divided by 100) in expenditures for all physicians' services in the applicable period (compared with the previous applicable period) which will result from changes in law and regulations, determined without taking into account estimated changes in expenditures resulting from the update adjustment factor determined under section 1834 (d)(3)(B) or (d)(4)(B) of the Act, as the case may be, minus 1 and multiplied by 100.”

    Under section 1848(f)(4)(C) of the Act, as added by section 211(b)(3) of the BBRA, the term “applicable period” means—(1) a FY, in the case of FY 1998, FY 1999 and FY 2000, and (2) a CY with respect to a year beginning with 2000.

    To make the transition from a FY SGR to a CY SGR in 1999 using the FY 2000 SGR, sections 211(b)(2) and (b)(3) of the BBRA require us to calculate SGRs for both FY and CY 2000. Section 1848(d)(4)(C) of the Act, as modified by section 211(a)(1)(B) of the BBRA, required us to determine the allowed expenditures for both the 9-month period beginning April 1, 1999 and for CY 1999. The SGR for CY 2000 is then applied to allowed expenditures for CY 1999.

    As stated in the April 10 final notice (65 FR 19002), the BBRA requires the estimate of the FY 2000 and CY 2000 SGR to be revised based on more recent data, but, as explained below, the BBRA does not provide for revision of either the FY 1998 or the FY 1999 SGR. This means that, for the transition to a calendar year SGR system, allowed expenditures for the period April 1, 1999 through December 31, 1999 (determined by applying the FY 2000 SGR to allowed expenditures for the 12-month period ending March 31, 1999) are subject to change based on revision of the FY 2000 SGR; allowed expenditures for the period January 1, 1999 through March 31, 1999 (determined using the FY 1999 SGR) are not subject to revision.

    In general, the BBRA requires us to publish SGRs for three different time periods, no later than November 1 of each year, using the best data available as of September 1 of each year. Under section 1848(f)(3)(C)(i) of the Act, as added by section 211(b)(5) of the BBRA, the SGR is estimated and subsequently revised twice (beginning with the FY and CY 2000 SGRs) based on later data. Under section 1848(f)(3)(C)(ii) of the Act, there are no further revisions to the SGR once it has been estimated and subsequently revised in each of the 2 years following the initial estimate.

    The requirement of revisions to the SGR based on later data means that we will estimate and publish an SGR for the upcoming year, the contemporaneous year, and the preceding year by not later than November 1 of each year. For example, by not later than November 1, 2002, we will publish an estimate of the SGR for CY 2003, a revision of the CY 2002 SGR estimated in the previous year, and a revision of the CY 2001 SGR first estimated two years earlier and first revised in the previous year. Under section 1848(f)(3)(C)(ii) of the Act, this would be the final revision to the CY 2001 SGR.

    Sections 1848(f)(3)(A) and (f)(3)(B) of the Act, as added by section 211(b)(5) of the BBRA, specify special rules with respect to the SGR and the CY 2001 and CY 2002 updates. Section 1848(f)(3)(A) of the Act requires us, not later than November 1, 2000, to revise the SGRs for FY 2000 and CY 2000 and to establish the SGR for CY 2001, based on the best data available, as of September 1, 2000. Section 1848(f)(3)(B) of the Act requires us, by not later than November 1, 2001, to revise the SGRs for FY 2000 and CYs 2000 and 2001 and to establish the SGR for CY 2002, based on the best data available as of September 1, 2001. In accordance with section 1848(f)(3)(C)(ii) of the Act, there will be no further revisions to the FY 2000 and CY 2000 SGRs after their revision in the 2001 notice.

    Physicians' Services

    Section 1848(f)(4)(A) of the Act defines the scope of physicians' services covered by the SGR. The BBRA made no changes to this definition that was also used for the MVPS. For this reason, we are continuing to use the same definition of physicians' services for the SGR in this notice as we did in prior SGR notices and for the MVPS published in the Federal Register (61 FR 59717) on November 22, 1996.

    C. Provisions Related to the SGR

    We are implementing section 211(b)(1)(A) of the BBRA that requires us to publish in the Federal Register, not later than November 1, 2000, a notice containing—(1) a preliminary estimate of the SGR for 2001; and (2) a revised estimate of the CY 2000 SGR. In addition, consistent with section 1848(f)(3)(A) of the Act, we are revising the SGR for FY 2000 for purposes of determining the physician fee schedule update for 2001 under section 1848(d)(4)(B) of the Act.

    In general, the update for a year is based on the Medicare Economic Index (MEI) as adjusted, within bounds, by the amount of actual expenditures for physicians' services compared to allowed (that is, growth target) expenditures. A key difference between the MVPS and the SGR is that the comparison of actual and allowed expenditures is made on a cumulative basis under the SGR, while it was made on an annual basis under the MVPS. The “update adjustment factor” in section 1848(d)(4)(B) of the Act is an Start Printed Page 65431adjustment to the MEI that reflects the difference between actual expenditures and target expenditures.

    Section 1848(d)(3)(C) of the Act, as modified by the BBA, defines allowed expenditures for the 12-month period ending March 31, 1997 as equal to actual expenditures for physicians' services during that period (that is, April 1, 1996 through March 31, 1997), as we have estimated. Section 1848(d)(3)(C) of the Act defines allowed expenditures for subsequent 12-month periods to be equal to allowed expenditures for physicians' services for the previous year increased by the SGR for the FY which begins during the 12-month period. For example, allowed expenditures for the 12-month period April 1, 1997 through March 31, 1998 are equal to allowed expenditures for the 12-months ending March 31, 1997, increased by the SGR for FY 1998. As explained above, BBRA subsequently provided for a transition to a calendar year SGR system in 1999 with allowed expenditures in 2000 equal to 1999 allowed expenditures increased by the 2000 SGR. Allowed expenditures for each subsequent year will equal expenditures from the prior year updated by the SGR.

    The following table shows annual and cumulative allowed expenditures for physicians' services from April 1, 1996 through December 31, 2001.

    PeriodAnnual allowed expendituresCumulative allowed expendituresFY or CY SGR
    4/1/96-3/31/97$48.9 billion$48.9 billionN/A.
    4/1/97-3/31/98$49.6 billion$98.5 billionFY 1998=1.5%.
    4/1/98-3/31/99$49.4 billion$147.9 billionFY 1999=-0.3%.
    1/1/99-3/31/99$12.5 billion.
    4/1/99-12/31/00$39.5 billion$187.9 billionFY 2000=7.9%.
    1/1/99-12/31/99$52.4 billionIncluded in $187.9 billion aboveSee Note.
    1/1/00-12/31/00$56.6 billion$244.4 billionCY 2000=8.1%.
    1/1/01-12/31/01$59.8 billion$304.2 billionCY 2001=5.6%.

    Note:

    Allowed expenditures for the first quarter of 1999 are based on the FY 1999 SGR and allowed expenditures for the last three quarters of 1999 are based on the FY 2000 SGR.

    In the above table, for the period April 1996 through March 1997, annual allowed expenditures are equal to actual expenditures for the period. Annual allowed expenditures for each subsequent year are equal to the figure from the prior April 1 through March 31 12-month period (shown in the annual allowed expenditure column) multiplied by the SGR figure one row down in the right hand column. For example, allowed expenditures from April 1997 through March 1998 are equal to $48.9 multiplied by 1.015. Cumulative allowed expenditures in a year are equal to the sum of the annual allowed expenditures figure in the same row and annual allowed expenditures for all prior years. The transition to the calendar SGR occurs in 1999. Our current estimates of the FY 2000 SGR of 7.9 percent (2.1 percent for factor 1, 0.8 percent for factor 2, 4.5 percent for factor 3 and 0.3 percent for factor 4), the CY 2000 SGR of 8.1 percent (2.1 percent for factor 1, 1.0 percent for factor 2, 4.3 percent for factor 3, and 0.5 percent for factor 4) and the CY 2001 SGR (1.9 percent for factor 1, 0.9 percent for factor 2, 2.7 percent for factor 3 and 0.0 percent for factor 4) are described in more detail below. All estimates are based on the best data available to the Secretary as of September 1.

    Allowed expenditures for the April 1, 1999 through the December 31, 1999 period are based on the FY 2000 SGR. As previously discussed, section 1848(f)(3) of the Act requires two revisions to the FY 2000 SGR. The first revision must be made not later than November 1, 2000 based on the best data available as of September 1, 2000; the second revision must be made not later than November 1, 2001, based on the best data available as of September 1, 2001. The allowed expenditures figure in the above table for the April 1, 1999 through the December 31, 1999 period reflects the revisions of the FY 2000 SGR contained in this notice. Similarly, the allowed expenditure figure for 2000 reflects our current estimate of the SGR for 2000. Both figures will be revised for the final time not later than November 1, 2001.

    As we explained in our April 10, 2000 SGR notice (65 FR 19002), section 1848(d)(4)(C)(ii)(II) of the Act, as added by section 211(a)(1)(B) of the BBRA, specifies that allowed expenditures for the year of 1999 must be our estimate of the amount of the allowed expenditures that would be permitted under section 1848(d)(3)(C) of the Act for that year. We are, therefore, calculating allowed expenditures for CY 1999 as the sum of allowed expenditures for—(1) The January 1, 1999 through March 31, 1999 period; and (2) allowed expenditures for the April 1, 1999 through December 31, 1999 period.

    Annual allowed expenditures for the period April 1, 1998 through March 31, 1999 are $49.4 billion. Our actuarial estimate of allowed expenditures for the 3-month period January 1, 1999 through March 31, 1999 is $12.5 billion that was determined by updating quarterly allowed expenditures included in the January 1, 1997 through March 31, 1997 period by the SGRs for FY 1998, FY 1999 and FY 2000. Adding this figure to the $39.9 billion figure for April 1, 1999 through December 31, 1999 equals allowed expenditures for 1999 of $52.4 billion. (Due to rounding, the figures may not add precisely to the total for 2000.)

    Allowed expenditures for the period April 1, 1998 through March 30, 1999 are equal to allowed expenditures for the previous 12-month period increased by the FY 1999 SGR. As discussed in the April 10, 2000 SGR final notice (65 FR 19001), because there is no provision in the Act for revising the FY 1999 SGR or, consequently, the allowed expenditures for the April 1, 1998 through March 31, 1999 period, we are not revising the January 1, 1999 through March 31, 1999 portion of allowed expenditures included in the 1999 allowed expenditures. Thus, allowed expenditures for the January 1, 1999 to March 31, 1999 period are the same as those included in our April 10, 2000 final notice (65 FR 19002). However, as indicated above, revisions to the FY 2000 SGR contained in this notice result in an increase in our earlier estimates of allowed expenditures for April 1, 1999 through December 31, 1999 and, hence, allowed expenditures for 1999.

    D. Preliminary Estimate of the SGR for CY 2001

    According to sections 1848(f)(2)(A) through (f)(2)(D) of the Act, as amended by section 211(b) of the BBRA, we have determined the preliminary estimate of the CY 2001 SGR to be 5.6 percent. Our determination is based on estimates of the following four statutory factors as indicated in the table below: Start Printed Page 65432

    Statutory factorsApril 10 estimateCurrent estimate
    Fees1.51.9
    Enrollment−0.60.9
    Real Per Capita GDP1.92.7
    Law and Regulation0.0−0.0
    Total2.85.6

    (Note: Consistent with section 1848(f)(2) of the Act, the statutory factors are multiplied, not added, to produce the total (that is, 1.019 × 0.991 × 1.027 × 1.000 = 1.056.) A more detailed explanation of each figure is provided below.

    E. Sustainable Growth Rate for CY 2000

    According to sections 1848(f)(2)(A) through (f)(2)(D) of the Act, as amended by section 211(b) of the BBRA, our current estimate of the CY 2000 SGR is 8.1 percent. This compares to an estimate of 5.8 percent included in our April 10, 2000 notice (65 FR 19003). The table below shows our April 10 and current estimates of the four statutory factors that determine the CY 2000 SGR:

    Statutory factorsApril 10 estimateCurrent estimate
    Fees2.12.1
    Enrollment−0.61.0
    Real Per Capita GDP2.54.3
    Law and Regulation1.70.5
    Total5.88.1

    A more detailed explanation of each figure is provided below.

    F. Sustainable Growth Rate for FY 2000

    According to sections 1848(f)(2)(A) through (f)(2)(D) of the Act, as amended by section 211(b) of the BBRA, our current estimate of the FY 2000 SGR is 7.9 percent. This is in comparison to an estimate of 2.1 percent included in our October 1, 1999 notice (64 FR 53394). At the time of the April 10, 2000 final (SGR) notice, we estimated the SGR for FY 2000 would be 5.7 percent. The table below shows our October 1, 1999 and current estimates of the four statutory factors that determine the FY 2000 SGR:

    Statutory factorsApril 10 estimateCurrent estimate
    Fees2.12.1
    Enrollment−0.40.8
    Real Per Capita GDP2.74.5
    Law and Regulation1.20.3
    Total5.77.9

    A more detailed explanation of each figure is provided below.

    G. Calculation of the FY 2000 CY 2000 and CY 2001 Sustainable Growth Rate

    1. Detail on the CY 2001 SGR

    A more detailed discussion of our preliminary estimates of the four elements of the 2001 SGR follows.

    Factor 1—Changes in Fees for Physicians' Services (Before Applying Legislative Adjustments) for CY 2001

    This factor was calculated as a weighted average of the CY 2001 fee increases that apply for the different types of services included in the definition of physicians' services for the SGR.

    Physicians' services represent approximately 89 percent of allowed charges for physicians' services under the SGR and are updated by the Medicare Economic Index (MEI). Our current estimate of the MEI for 2001 is 2.1 percent. Diagnostic laboratory tests represent approximately 11 percent of the Medicare allowed charges for physicians' services under the SGR. The BBA provided for a 0.0 percent update for CY 2001 for laboratory services. The table below shows both the physicians' and laboratory service updates that were used to determine the percentage increase in physicians' fees for CY 2001.

    WeightUpdate
    Physician.892.1
    Laboratory.110.0
    Weighted Average1.01.9

    After taking into account the elements described in the table, we estimate that the weighted-average increase in fees for CY 2001 for physicians' services under the SGR (before applying any legislative adjustments) will be 1.9 percent.

    Factor 2—The Percentage Change in the Average Number of Part B Enrollees from CY 2000 to CY 2001

    This factor is our estimate of the percent change in the average number of fee-for-service enrollees for CY 2001 as compared to CY 2000. Medicare+Choice (M+C) plan enrollees, whose Medicare-covered medical care is outside the scope of the SGR, are excluded from this estimate. Our actuaries estimate that the average number of Medicare Part B fee-for-service enrollees (excluding beneficiaries enrolled in M+C plans) will increase by 0.9 percent in calendar year 2001. This estimate was derived by subtracting estimated M+C enrollment from estimated overall Medicare enrollment as illustrated in the table below.

    20002001
    Overall37.476 million37.824 million.
    Medicare+Choice6.303 million6.382 million.
    Net31.174 million31.442 million.
    Percent Increase0.9 percent.

    In our April 10 final notice (65 FR 19005), we indicated that the enrollment factor is one of two elements of the SGR upon which there has been the largest difference between our actuaries' estimates and the actual percentage change in the factor. At this time, our actuary has no information on actual enrollment in M+C organizations for 2001. While we do receive information on whether a M+C Plan will continue to participate or withdraw from the program in 2001, it remains difficult to estimate the number of beneficiaries that will select a M+C plan or fee-for-service before the start of the calendar year. While some managed care organizations will no longer offer a M+C plan, other plans are available as an option to most beneficiaries in areas where there have been plan withdrawals. We have considered this issue in developing our 2001 M+C enrollment estimate. While there have been plan withdrawals the past three years, we have continued to observe increased enrollments. For 2001, we considered the issue of plan withdrawals and are forecasting a smaller increase than in prior years. Since beneficiaries have the option of moving between the fee-for-service and M+C sectors on a monthly basis, there may be movement during the year between the fee-for-service and M+C programs. This is another factor that contributes to the difficulty of estimating the size of the M+C enrollee population prior to the start of a calendar year. Since the fee-for-service enrollment figure is determined net of the change in M+C enrollment, it makes early estimates of this factor difficult. We would further point out that our estimate of this factor will have little bearing on the estimate of the update adjustment factor for 2001; it has no impact since the update adjustment is already at its limit. Since the law requires revisions of the estimates used in setting the SGR, we will have information on actual enrollment in M+C plans for the first eight months of Start Printed Page 654332001, and will be better able to predict the change in fee-for-service enrollment for the year by the time we determine the 2002 physician fee schedule. Thus, our estimate of the increase in fee-for-service enrollment contained in this final rule has no affect on the 2001 physician fee schedule update and will reflect later estimates based largely on actual information for the period by the time we set the 2002 physician fee schedule update.

    Factor 3—Estimated Real Gross Domestic Product Per Capita Growth in CY 2001

    Section 1848(f)(2)(C) of the Act, as amended by section 211 of the BBRA, requires us to estimate growth in real GDP per capita. This factor is applied on a CY basis beginning with the CY 2000 SGR. We estimate that the growth in real GDP will be 2.7 percent in CY 2001. Our past experience indicates that there have also been large changes in estimates of real per capita GDP growth and the actual change in this factor. Again, we note that we will use revised estimates of real per capita GDP growth in setting future year updates.

    Factor 4—Percentage Change in Expenditures for Physicians' Services Resulting From Changes in Law or Regulations in CY 2001 Compared With CY 2000

    There are no statutory or regulatory provisions that will affect expenditures in CY 2001 relative to CY 2000. The percentage change in expenditures for physicians' services resulting from changes in law or regulations is estimated to be 0.0 percent for 2001.

    2. Detail on Calculation of the FY 2000 and CY 2000 SGRs

    A more detailed discussion of our revised estimates of the four elements of the FY 2000 and CY 2000 SGR follows.

    Factor 1—Changes in Fees for Physicians' Services (Before Applying Legislative Adjustments) for FY 2000 SGR and CY 2000 SGR.

    We are continuing to use 2.1 percent for this element of the SGR for the FY 2000 SGR and the CY 2000 SGR. This factor is unchanged from earlier estimates previously described respectively for FY 2000 and CY 2000 in the October 1, 1999 Federal Register (65 FR 53395) and the April 10, 2000 Federal Register (65 FR 19003).

    Factor 2—The Percentage Change in the Average Number of Part B Enrollees for the FY 2000 SGR and CY 2000 SGR.

    This factor is our estimate of the percent change in the average number of fee-for-service enrollees for FY 2000 as compared to FY 1999 and CY 2000 as compared to CY 1999. As we indicated above, this factor is difficult to estimate prior to the beginning of the period for which the estimates are being made because of the interaction of the fee-for-service and M+C program and the lack of availability of actual data on beneficiary selection of M+C enrollment. We currently have such information on actual enrollment in the M+C program for FY 2000 and CY 2000 that permits estimates of the change in fee-for-service enrollment for these years that will be more reflective of the final actual change. The estimates for FY 2000 and CY 2000 were derived by subtracting estimated M+C enrollment from estimated overall Medicare enrollment as illustrated in the tables below.

    19992000
    Overall37.055 million37.746 million.
    Medicare+Choice6.191 million6.303 million.
    Net30.864 million31.174 million.
    Percent Increase1.0 percent.

    Our actuaries' estimate of the percent change in the average number of fee-for-service enrollees, net of M+C enrollment for 2000 compared to 1999 (0.8 percent for fiscal year 2000, and 1.0 percent for calendar year 2000) is greater than earlier estimates of this factor (−4.3 percent for FY 2000 and −0.6 percent for CY 2000). This is because the historical base from which our actuarial estimate is made has changed (that is, we have more information on actual enrollment in M+C plans from CY 1999 and CY 2000 that affects our estimates for these and future years).

    Factor 3—Estimated Real Gross Domestic Product Per Capita Growth in FY 2000 and CY 2000

    In the FY 2000 SGR notice published on October 1, 1999 (64 FR 53396), we estimated that real GDP growth per capita for FY 2000 would be 1.8 percent. In our April 10, 2000 SGR notice, we estimated that real per capita GDP growth for CY 2000 would be 2.5 percent. We are now estimating real GDP growth per capita to be 4.5 percent for FY 2000 and 4.3 percent for CY 2000. As we explained in our April 10, 2000 SGR notice (65 FR 19004), the higher estimate of the FY 2000 SGR is due in part to Bureau of Economic Analysis (BEA) revisions to the historical National Income and Product Accounts (NIPA) and in part due to a change in the outlook for growth in 2000. The historical revisions, released by BEA on October 29, 1999, raised historical real GDP per capita growth by 0.2 percentage points on average between 1959 and 1998, with larger differences in recent years. (For detailed description of changes to NIPA, see Brent R. Moulton, Robert P. Parker, and Eugene P. Seskin, “A Preview of the 1999 Comprehensive Revision of the National Income and Product Accounts,” Survey of Current Business (August, 1999): 7-20.) Subsequently, the projections of growth in real GDP per capita for FY 2000 have been revised upwards to reflect these revisions. Also, projections of real GDP per capita in 2000 (both FY and CY) have been revised upward to reflect stronger than expected stock market performance and less than expected buildup of inventories in preparation for Y2K in 1999.

    Factor 4—Percentage Change in Expenditures for Physicians' Services Resulting From Changes in Law or Regulations in FY 2000 Compared With FY 1999 and CY 2000 Compared With CY 1999

    As we explained in our October 1, 1999 and April 10, 2000 SGR notices, legislative changes contained in the BBA and the BBRA will have an impact on expenditures for physicians' services under the SGR in FY 2000 and CY 2000. Section 4103 of the BBA mandates a new prostate screening benefit effective January 1, 2000. We originally did not include any costs associated with the prostate screening benefit in our FY 2000 SGR notice published on August 1, 1999 (64 FR 53394). In the CY 2000 SGR notice published on April 10, 2000 (65 FR 19004), we indicated that inclusion of the prostate screening benefit would increase the FY 2000 SGR by 1.4 percentage points. We inadvertently included both the estimated physician and hospital expenditures associated with the prostate screening benefit in this figure while only Part B physician expenditures should be included in the SGR. In the April 10, 2000 SGR notice, we estimated that factor 4 would be 1.2 percentage points for the FY 2000 SGR and 1.7 percentage points for the CY 2000 SGR. The corresponding figures are now 0.3 percent for FY 2000 and 0.5 percent for CY 2000. The correction of the prostate screening benefit largely explains the reduction in this factor from our April 10, 2000 notice. We also incorporated a higher price for the prostate screening test itself that has the effect of slightly increasing this component of the FY and CY 2000 SGR. Other factors that affect the FY 2000 and Start Printed Page 65434CY 2000 SGR are the elimination of the requirement that subluxation of the spine be demonstrated by an x-ray before a beneficiary can receive Medicare coverage for chiropractic services. This provision is resulting in a small increase in expenditures in FY 2000 and CY 2000. The impact of BBA Medicare Secondary Payer provisions will have marginal impact on reducing expenditures in FY 2000 and CY 2000.

    Certain BBRA provisions also have a small impact on expenditures in FY 2000 and CY 2000. Section 224 of the BBRA increases payments for pap smears and is slightly increasing expenditures. Section 221 of the BBRA postponed the implementation of payment caps on physical and occupational therapy and speech-language pathology services. The effect of this provision on physicians and independent practitioners is resulting in a small increase in expenditures for these years. There is no effect on the SGR of provisions related to the technical component of a physician pathology service or the use of modifier 25. We are not implementing the proposed policy related to modifier 25, and the savings associated with the technical component of a physician pathology service are not large enough to affect calculation of the FY 2001 SGR.

    After taking into account these provisions, the percentage change in expenditures for physicians' services resulting from changes in law or regulations is estimated to be 0.3 percent for FY 2000 and 0.5 percent for CY 2000.

    VII. Provisions of the Final Rule

    The provisions of this final rule restate the provisions of the July 2000 proposed rule, except as noted elsewhere in the preamble. Following is a highlight of the changes made from the proposed rule:

    For changes related to the Geographic Practice Cost Index (GPCI), we made no changes in the 2002 and 2001 GPCIs from those proposed in the July 2000 proposed rule except to correct the Kansas malpractice GPCI. Since the revised GPCIs could not result in total payments either greater or lesser than payments that would have been made if GPCIs were not revised, it was necessary to adjust the GPCIs for budget neutrality as required by law. Therefore, we adjusted the 2001 through 2002 GPCIs as follows—work by 0.99699; practice expense by 0.99235; and malpractice by 1.00215.

    For malpractice RVUs, new malpractice RVUs, based on the more recent 1996 through 1998 premium data, will become effective January 1, 2001. These malpractice RVUs will be considered interim for 2001 and subject to comment and possible revision in 2002.

    We are not finalizing our proposal relating to global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators, because we believe that physicians have raised valid concerns that the adjustment to the work RVUs in the proposed rule may result in an underpayment for the service. Until we review this issue further, we are continuing with current pricing for these services and the use of the 90-day global period.

    For our proposal relating to low intensity ultrasound, we are assigning .62 work RVUs and .04 malpractice RVUs to CPT code 20979 (which are the values also used for CPT code 20974). To determine the practice expense RVUs, we are applying direct inputs of technician time of 45 minutes and an exam table and minimum supply package. Since the publication of the July 2000 proposed rule, a national coverage decision has been made stating that low intensity ultrasound will be covered by Medicare as a treatment modality for nonunion of extremity fractures beginning April 1, 2001.

    For our proposal concerning observation care codes CPT 99234 through 99236, we are not adjusting the work RVUs as proposed. We are maintaining the current work RVUs and clarifying the policies to be followed for the use of these codes.

    VIII. Collection of Information Requirements

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

    IX. Response to Comments

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

    X. Regulatory Impact Analysis

    We have examined the impacts of this final rule as required by Executive Order 12866, the Unfunded Mandates Reform Act of 1995 (UMRA) (Pub. L. 104-4), the Regulatory Flexibility Act of 1980 (RFA) (Pub. L. 96-354), and Executive Order 13132 of August 4, 1999 (Federalism).

    EO 12866 directs agencies to assess 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 (RIA) must be prepared for major rules with economically significant effects ($100 million or more annually). In the proposed rule impact analysis, we indicated that the rule would not be a major rule because it would not increase or decrease expenditures to a physician specialty or geographic area by more than $100 million. While the changes in the Medicare physician fee schedule are for the most part, budget neutral, they do involve redistribution of Medicare spending among procedures and physician specialties and geographic areas. The redistributive effect of this rule on any particular specialty or geographic area is, in our estimate, likely to exceed $100 million for at least one physician specialty. For this reason, we are considering this to be a major rule. The GPCI changes are expected to increase payments by less than $10 million in one locality and decrease payments by about $20 million in another locality. The effect on all other payment localities is likely to be less than these amounts.

    The UMRA also requires (in section 202) that agencies prepare an assessment of anticipated costs and benefits before developing any rule that may result in expenditure in any one year by State, local, or tribal governments, in the aggregate, or by the private sector, of $100 million or more. We have determined that this rule has no consequential effect on State, local, or tribal governments. We believe the private sector cost of this rule falls below the above-stated threshold as well.

    The RFA requires that we analyze regulatory options for small businesses and other small entities. We prepare a Regulatory Flexibility Analysis unless we certify that a rule would not have a significant economic impact on a substantial number of small entities. The analysis must include a justification concerning the reason action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives and lessen Start Printed Page 65435significant adverse economic impact on the small entities.

    In addition, section 1102(b) of the Act requires us to prepare a regulatory impact analysis if a rule may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 604 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 of a Metropolitan Statistical Area and has fewer than 50 beds.

    For purposes of the RFA, all physicians are considered to be small entities. There are about 700,000 physicians and other practitioners who receive Medicare payment under the physician fee schedule.

    For the purpose of EO 12866 and the RFA we have prepared the following analysis, which, together with the rest of this preamble, meets all four assessment requirements. It explains the rationale for and purpose of the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we considered to minimize the burden on small entities.

    A. Resource-Based Practice Expense Relative Value Units

    Revisions in resource-based practice expense RVUs for physicians' services are calculated to be budget neutral, that is, the total practice expense RVUs for calendar year 2001 are calculated to be the same as the total practice expense RVUs that we estimate would have occurred without the changes in this regulation. This also means that increases in practice expense RVUs for some services will necessarily be offset by corresponding decreases in values for other services.

    The following table shows the impact on total allowed charges by specialty of this rule's practice expense changes. In addition to the provisions of the rule, this table incorporates any impacts that result from using 1999 utilization data and other changes that we have made to practice expense inputs. The column labeled “Year 2001-2002 Impact” shows the impact on the fully implemented practice expense RVUs of changes resulting from this final rule. The column labeled “Year 2001” impact reflects only the 2001 portion of the changes from “Year 2001-2002 Impact” column. The difference between the two columns reflects the effect of the transition to fully implemented practice expense RVUs. That is, the impact in the 2001 column will reflect 75 percent of the impact on the fully implemented RVUs. These impacts are in addition to the impacts announced in previous rules related to the adoption of resource-based practice relative value units.

    Impact of Practice Expense Changes, Transition, and 2001-2002 Impact

    SpecialtyAllowed charges (billions $)Year 2001 impact %2001-2002 impact %
    Anesthesiology1.5−1−1
    Cardiac Surgery0.3−1−2
    Cardiology4.1−1−1
    Chiropractor0.411
    Clinics1.500
    Dermatology1.4−1−2
    Emergency Medicine1.000
    Family Practice3.3−2−2
    Gastroenterology1.212
    General Practice1.0−1−2
    General Surgery1.900
    Hematology Oncology0.6−2−2
    Internal Medicine6.8−1−1
    Nephrology0.923
    Neurology0.800
    Neurosurgery0.3−1−1
    Nonphysician Practitioner1.112
    Obstetrics/Gynecology0.40−1
    Ophthalmology3.700
    Optometrist0.5−1−2
    Orthopedic Surgery2.2−1−1
    Other Physician1.500
    Otolaryngology0.6−2−2
    Pathology0.6−2−3
    Plastic Surgery0.201
    Podiatry1.100
    Psychiatry1.011
    Pulmonary1.001
    Radiation Oncology0.700
    Radiology3.045
    Rheumatology0.3−1−1
    Suppliers0.5−5−6
    Thoracic Surgery0.5−1−1
    Urology1.300
    Vascular Surgery0.3−1−1

    The following table shows the impact of this final rule compared to the proposed rule that was published on July 17. There are 3 major changes that occurred between the proposed and final rule that may have an impact on specialty level payments. First, we corrected an error in the practice expense methodology that affected physical and occupational therapy. We inadvertently used the incorrect practice expense per hour for physical and Start Printed Page 65436occupational therapy in the proposed rule. This caused the nonphysician practitioner category to reflect a 4 percent increase in payments. The correct figure should have been 1 percent. Second, we are using 1999 utilization data. Use of the 1999 utilization data generally appears to have little impact on any particular specialty. It does result in a small reduction in payments for pathology and a somewhat larger reduction in payments for the supplier category. Third, we adopted the recommendations of the RUC and PEAC to make refinements to the practice expense inputs for office visits and office consultation services. This change will have the effect of reducing payments for specialties whose incomes are derived in large part from these services. We note that the table shows the impact of this rule only and does not incorporate practice expense changes from two final rules, November 2, 1998 (63 FR 58895) and November 2, 1999 (64 FR 59433), that resulted in large increases in payments for visit and consultation services provided in physicians' offices. Since the statute requires a transition to payments based on resource-based practice expense RVUs, the increase in payments for these services is occurring over a 4-year period. Payment for these services is continuing to increase under the transition to resource-based practice expense RVUs. However, it is increasing by a lesser amount than earlier anticipated.

    Impact of Practice Expense Changes of the Final Rule Compared to the Proposed Rule

    SpecialtyAllowed charges (billions $)Proposed rule impact %Final 2001-2002 impact %
    Anesthesiology1.5−1−1
    Cardiac Surgery0.3−3−2
    Cardiology3.90−1
    Chiropractor0.411
    Clinics1.500
    Dermatology1.30−2
    Emergency Medicine0.900
    Family Practice3.20−2
    Gastroenterology1.122
    General Practice1.00−2
    General Surgery1.9−10
    Hematology Oncology0.6−1−2
    Internal Medicine6.70−1
    Nephrology0.923
    Neurology0.800
    Neurosurgery0.3−1−1
    Nonphysician Practitioner0.942
    Obstetrics/Gynecology0.4−1−1
    Ophthalmology3.7−10
    Optometrist0.5−2−2
    Orthopedic Surgery2.2−1−1
    Other Physician1.310
    Otolaryngology0.6−1−2
    Pathology0.6−1−3
    Plastic Surgery0.201
    Podiatry1.100
    Psychiatry1.1−11
    Pulmonary1.001
    Radiation Oncology0.610
    Radiology2.935
    Rheumatology0.30−1
    Suppliers0.5−1−6
    Thoracic Surgery0.5−2−1
    Urology1.300
    Vascular Surgery0.3−1−1

    The following table titled Impact of this Final Rule on Payments for Selected Codes shows the percentage change in total payment (in 2001 physician fee schedule dollars) for selected high-volume procedures that result from practice expense and malpractice changes announced in this final rule. These tables reflect the impact of this final rule only on the fully implemented fee schedule amount. The payments in these columns are determined using a conversion factor $38.2581. The RVUs used for calculating payment in the “old” columns are from the November 2, 1999 final rule. The RVUs used in calculating payments in the “new” columns are from this final rule. By using the conversion factor of $38.2581 and the 2001 malpractice RVUs to calculate payments in both the “old” and “new” columns, the impact of changes in practice expense are illustrated. These tables do not show the actual impact on payment from 2000 to 2001 because they do not incorporate the effect of the transition or physician fee schedule update (that is, “old” and “new” payments both reflect use of the 2001 conversion factor). Start Printed Page 65437

    Impact of This Final Rule Only on Payment for Selected Codes

    Procedure codeDescriptionOld facilityNew facilityPercent changeOld nonfacilityNew nonfacilityPercent change
    11721Debride nail, 6 or more$30.22$30.611$41.32$42.473
    17000Destroy benign/premal lesion34.4334.43063.1363.891
    27130Total hip replacement1,487.091,502.781NANANA
    27236Treat thigh fracture1,135.881,153.102NANANA
    27244Treat thigh fracture1,157.311,177.582NANANA
    27447Total knee replacement1,556.721,570.881NANANA
    33533CABG, arterial, single1,904.491,859.73−2NANANA
    35301Rechanneling of artery1,180.641,172.99−1NANANA
    43239Upper GI endoscopy, biopsy143.85157.249283.11298.035
    45385Lesion removal colonoscopy283.49299.946478.99502.335
    66821After cataract laser surgery184.79215.0116212.72229.938
    66984Cataract surg w/iol, i stage680.99698.213NANANA
    67210Treatment of retinal lesion575.40575.780629.73628.200
    7101026Chest x-ray9.189.5649.189.564
    7102026Chest x-ray11.0911.86711.0911.867
    8830526Tissue exam by pathologist42.4742.08−142.4742.08−1
    90801Psy dx interview144.62145.000152.27153.801
    90806Psytx, off, 45-50 min97.5696.41−1101.77102.150
    90807Psytx, off, 45-50 min w/e&m103.68104.441108.27109.801
    90862Medication management48.5948.97153.1853.941
    90921ESRD related services, month272.02278.903272.02278.903
    90935Hemodialysis, one evaluation63.1377.6623NANANA
    92004Eye exam, new patient91.4492.581130.46131.231
    92012Eye exam established pat37.8837.88066.1966.190
    92014Eye exam & treatment61.6062.36194.5094.880
    92980Insert intracoronary stent840.15845.891NANANA
    92982Coronary artery dilation621.69626.671NANANA
    93000Electrocardiogram, completeNANANA27.5527.550
    93010Electrocardiogram report9.189.5649.189.564
    93015Cardiovascular stress testNANANA109.04108.650
    9330726Echo exam of heart50.8851.27150.8851.271
    9351026Left heart catheterization244.47246.381244.47246.381
    98941Chiropractic manipulation32.1432.52136.7337.492
    99202Office/outpatient visit, new47.8248.21176.1363.89−16
    99203Office/outpatient visit, new73.0773.461107.5195.65−11
    99204Office/outpatient visit, new107.89108.651152.27137.73−10
    99205Office/outpatient visit, new142.32143.851187.85174.46−7
    99211Office/outpatient visit, est9.189.18026.4021.04−20
    99212Office/outpatient visit, est24.1024.49240.5537.49−8
    99213Office/outpatient visit, est35.5835.96154.3352.41−4
    99214Office/outpatient visit, est58.5358.92184.5582.64−2
    99215Office/outpatient visit, est94.5095.261120.90120.900
    99221Initial hospital care68.1068.861NANANA
    99222Initial hospital care113.24114.011NANANA
    99223Initial hospital care157.62159.151NANANA
    99231Subsequent hospital care34.0534.431NANANA
    99232Subsequent hospital care55.8656.241NANANA
    99233Subsequent hospital care79.5880.341NANANA
    99236Observ/hosp same date202.39194.344NANANA
    99238Hospital discharge day67.3367.721NANANA
    99239Hospital discharge day91.8292.581NANANA
    99241Office consultation34.4334.81163.8948.97−23
    99242Office consultation70.7871.541106.7491.05−15
    99243Office consultation94.1195.261134.67120.90−10
    99244Office consultation138.88140.791185.17171.78−7
    99245Office consultation184.40186.701232.99223.04−4
    99251Initial inpatient consult37.8838.261NANANA
    99252Initial inpatient consult74.9975.371NANANA
    99253Initial inpatient consult101.77102.150NANANA
    99254Initial inpatient consult145.00146.151NANANA
    99255Initial inpatient consult198.94200.471NANANA
    99261Follow-up inpatient consult24.4924.872NANANA
    99262Follow-up inpatient consult47.4447.821NANANA
    99263Follow-up inpatient consult69.6370.011NANANA
    99282Emergency dept visit27.9327.930NANANA
    99283Emergency dept visit62.7462.740NANANA
    99284Emergency dept visit97.5697.940NANANA
    99285Emergency dept visit152.65153.030NANANA
    99291Critical care, first hour202.39208.893211.18218.453
    99292Critical care, addl 30 min101.00104.063108.27111.713
    99301Nursing facility care63.1363.511NANANA
    99302Nursing facility care84.1784.931NANANA
    99303Nursing facility care104.44105.591NANANA
    99311Nursing fac care, subseq31.3731.751NANANA
    99312Nursing fac care, subseq52.0352.411NANANA
    99313Nursing fac care, subseq73.8474.601NANANA
    99348Home visit, est patient69.6370.01175.7577.282
    99350Home visit, est patient161.83164.131171.78176.373
    Start Printed Page 65438

    B. Geographic Practice Cost Index Changes

    Section 1848(e)(1)(A) of the Act requires that payments under the Medicare physician fee schedule vary among payment areas only to the extent that area costs vary as reflected by the area GPCIs. The GPCIs measure area cost differences in the three components of the physician fee schedule: Physician work, practice expenses (employee wages, rent, medical supplies, and equipment), and malpractice insurance. Section 1848(e)(1)(C) of the Act requires that the GPCIs be reviewed and, if necessary, revised at least every 3 years. The first GPCI revision was implemented in 1995. The second revision was implemented in 1998, and the next revision will be implemented in 2001. Section 1848(e)(1)(C) of the Act also requires that the GPCI revisions be phased in equally over a 2-year period if more than one year has elapsed since the last adjustment.

    An estimate of the overall effects of proposed GPCI changes on fee schedule area payments can be demonstrated by a comparison of area geographic adjustment factors (GAFs). The GAFs are a weighted composite of each area's work, practice expense, and malpractice expense GPCIs using the national GPCI cost share weights. While we do not actually use the GAFs in computing the fee schedule payment for a specific service, they are useful in comparing overall area costs and payments. The actual effect on payment for any actual service will deviate from the GAF to the extent that the service's proportions of work, practice expense, and malpractice expense RVUs differ from those of the GAF. Addendum H shows the estimated effects of the revised GPCIs on area GAFs in descending order.

    Only 14 of the 89 fee schedule areas will change by at least 2 percent. Only 16 areas will change by from 1 to 1.9 percent. The remaining 59 areas are estimated to experience payment changes of less than 1 percent under the revised GPCIs. These are very minor changes that would be expected in that we are revising only the rent indices, comprising 11.6 percent of the total GPCI, and the malpractice expense indices, comprising 3.2 percent of the GPCI. Thus, only about 15 percent of the GPCIs will be subject to change. The effects in the transition year 2001 will only be one-half of these amounts as the revised GPCIs will be phased in over a 2-year period as required by law.

    C. Resource-Based Malpractice Relative Value Units

    The malpractice RVUs in this final rule reflect the newer data and refinements made as a result of comments made on last year's rule. As we anticipated in the proposed rule, use of the updated data results in little impact on the specialty level payments. Tables showing the impacts can be found in the technical addendum at Addendum G. Of the 62 specialties shown, the overall median effect on specialty payments is 0.0 percent. The median impact on specialties whose payments are estimated to increase is +0.2 percent. The median impact on specialties whose payments are expected to decrease is -0.1 percent.

    D. Critical Care Relative Value Units

    As we explained in the preamble in the November 1999 final rule, we established interim work RVUs for 2000 for CPT codes 99291 and 99292 (critical care services). These RVUs were decreased in 2000 due to concerns about changes in the CPT definition for these services. In the proposed rule we indicated our intent to increase the work RVUs for critical care services and value the physician work at 4.0 RVUs for CPT code 99291 and 2.0 RVUs for CPT code 99292 because of changes that were made to the definition of critical care for 2001. The earlier reductions to the work RVUs were made assuming there would be a substitution of use of the critical care codes for other codes that would increase net payments if there were no reductions to the work RVUs. We do not believe this substitution will occur because of additional revisions to the definition of critical care for 2001. Thus net payments would decrease if we do not restore critical care RVUs to their former levels. For this reason we are finalizing our proposal and increasing the work RVUs to 4.0 RVUs for CPT code 99292.

    E. Care Plan Oversight and Physician Certification/Recertification

    We are establishing two new HCPCS codes for care plan oversight that are consistent with our coverage criteria. We are establishing two new HCPCS codes to describe the services involved in physician certification or recertification and development of a plan of care for a patient for whom the physician has prescribed Medicare-covered home health services. We are assuming there would be no additional cost or savings as a result of the two new HCPCS codes for care plan oversight. We are merely instituting these codes for consistency with our coverage criteria, and they would be used in place of the CPT codes when these services are provided.

    In our proposed rule we indicated that new HCPCS codes are being established for physician certification or recertification and development of a plan of care. We stated that payment for these services is currently included in the payment for a variety of services such as E/M services that are provided independently to patients as part of a global surgical service. Under this proposal, we would instead pay separately for the certification and recertification of the plan of care for home health services. Since we are proposing to pay separately for a service that is currently included in our payment for other services, this proposal would increase Medicare expenditures for physicians' services without an adjustment to the physician fee schedule CF. For this reason, we proposed to adjust the physician fee schedule CF to ensure that Medicare payments for physicians' services do not increase as a result of this proposal.

    Comment: We received several comments that objected to any budget neutrality adjustment related to the establishment of new codes related to certification and recertification of a plan of care for home health services. According to the AMA, the home health PPS rule published on July 3, 2000 indicates that we want more physician effort devoted to home health services, and not just a continuation of current efforts. The AMA stated that our home health PPS rule indicates an intent to focus on physician certification efforts and education “in order to better involve the physician in the delivery of home health services.” (65 FR 41127).

    Response: Although we are establishing new codes to describe certification and recertification of a plan of care for home health services, we disagree that the establishment of these codes constitutes a new requirement to furnish a physicians' service as a condition of payment for home health services. We note that the proposed regulations applicable to home health services, published on October 10, 1999, would have modified 42 CFR section 424.22 to add a new paragraph (a)(1)(v) to specify that as a condition for payment of home health services under Medicare Part A or Medicare Part B, a physician must certify that the individual is correctly assigned to one of the home health resource groups. However, in response to comments we eliminated this requirement and did not make a modification to the regulation. We also proposed to make a conforming change at paragraph (b)(1) of § 424.22 Start Printed Page 65439regarding the timing of the recertification. Specifically, we proposed to amend § 424.22(b) by replacing the phrase “at least every 2 months” with “at least every 60 days.” We believe this is a minor conforming change to the regulation that will have little or no impact on expenditures. While we believe it is beneficial to establish separate codes for the certification and recertification services, the home health regulations do not impose any new requirements on physicians that will increase expenditures. As indicated in our April 2000, Program Memorandum (Provider Education Article: Role of Physicians in the Home Health Prospective Payment System, transmittal B-00-16), the prospective payment system does not introduce change to the plan of care. It remains the beneficiary's physician's responsibility to develop a plan of care based on his or her intimate knowledge of the medical condition of the home health patient.

    The sustainable growth rate determined under section 1848(f) of the Act allows for an adjustment for changes in expenditures that “will result from changes in law and regulations.” Since there are no new requirements being imposed upon physicians and there are no regulatory changes that would mandate an adjustment to the SGR, we are making a budget neutrality adjustment to the conversion factor to ensure that expenditures do not increase as a result of this provision. We estimate that paying separately for certification and recertification of a plan of care for home health services will increase Medicare payments without the 0.3 percent offsetting adjustment to the conversion factor that we have applied.

    F. Observation Care Codes

    We believe that there are not any significant costs for this policy clarification. We believe physicians have not typically been billing for the discharge component of a hospital or observation stay of less than 8 hours. However, physicians who have been billing 99234 through 99236 for stays less than 8 hours in length would see a small reduction in payment. This policy clarification will give clear guidance to physicians and Medicare contractors in reviewing medical records and would assure consistent payment across contractors.

    G. Ocular Photodynamic Therapy and Other Ophthalmological Treatments

    As previously stated, we are establishing national HCPCS codes and payment amounts for ocular photodynamic therapy. If we did not establish national codes and pricing for this procedure, carriers that determined that this procedure is covered would use unlisted codes and determine pricing locally. There will be no budget effects associated with establishing national codes and payment amounts for this service since national pricing would substitute for use of unlisted codes and carrier pricing.

    H. Electrical Bioimpedance

    As stated earlier, we are establishing a national payment amount for electrical bioimpedance. This rule establishes national pricing amounts for a service currently priced by carriers. This change will have little impact on the Medicare program costs.

    I. Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators

    We proposed to change the global period for certain CPT codes involving the insertion, removal, and replacement of pacemakers and cardioverter defibrillators from 90 days to 0 days. The proposed changes were not anticipated to result in cost or savings because we proposed to reduce the work and practice expense RVUs to account for any claims that we would receive for post-operative visits that were previously bundled into payment for the 90-day global surgical service. As a result of comments received on the proposed rule, we are not adopting the proposed policy. The global period will remain at 90 days, and we will not implement the proposed reductions to the work and practice expense RVUs. Thus, since there is no change in policy, there are no budget implications of our decision on this issue in the final rule.

    J. Antigen Supply

    Our change from permitting a physician to bill for a 12-month, as opposed to a 12-week supply of antigen could benefit beneficiaries, since they will be able to obtain a year's supply of medication in a single visit. We believe that this change has no impact on program costs. Also, there is no impact on the beneficiary, since this change only aggregates four prescriptions into one, and the cost to the beneficiary remains the same.

    K. Increased Space Allotment in Physical Therapy Salary Equivalency Guidelines

    We are making an adjustment to our application of the salary equivalency guidelines that are used to determine the indirect components of the practice expense per hour for physical and occupational therapy. Payments for all outpatient physical and occupational therapy services will increase by 3 and 4 percent, respectively. This change will be budget neutral among all physician fee schedule services.

    Other issues mentioned in the preamble are merely discussions or clarifications and, therefore, have no budgetary impact.

    Budget-Neutrality

    Each year since the fee schedule has been implemented, our actuaries have determined any adjustments needed to meet the budget-neutrality requirement of the statute. A component of the actuarial determination of budget-neutrality involves estimating the impact of changes in the volume-and-intensity of physicians' services provided to Medicare beneficiaries as a result of the proposed changes. Consistent with the provision in the November 1998 final rule, the actuaries would use a model that assumes a 30 percent volume-and-intensity response to price reductions. This year there will be a 5.0 percent increase in the conversion factor resulting from the physician fee schedule update. Since this update will offset any negative payment impacts resulting from this final rule, no volume and intensity adjustment is being incorporated into the physician fee schedule conversion factor in 2001.

    Impact on Beneficiaries

    Although changes in physicians' payments when the physician fee schedule was implemented in 1992 were large, we detected no problems with beneficiary access to care. Furthermore, since beginning our transition to a resource-based practice expense system in 1999, we have not found that there are problems with beneficiary access to care.

    XI. Federalism

    We have reviewed this final rule under the threshold criteria of EO 13132, Federalism, and we have determined that the final rule does not significantly affect the rights, roles, and responsibilities of States.

    Start List of Subjects

    List of Subjects

    42 CFR Part 410

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

    42 CFR Part 414

    • Administrative practice and procedure
    • Health facilities
    • Health professions
    • Kidney diseases
    • Medicare,
    End List of Subjects Start Amendment Part

    For the reasons set forth in the preamble, HCFA amends 42 CFR chapter IV as follows:

    End Amendment Part Start Part

    PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

    End Part Start Amendment Part

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

    End Amendment Part Start Authority

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

    End Authority Start Amendment Part

    2. In § 410.68, republish the introductory text and revise the introductory text for paragraph (b) to read as follows:

    End Amendment Part
    Antigens: Scope and conditions.

    Medicare Part B pays for—

    * * * * *

    (b) A supply of antigen sufficient for not more than 12 months that is—

    * * * * *
    Start Part

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

    End Part Start Amendment Part

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

    End Amendment Part Start Authority

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

    End Authority Start Amendment Part

    4. Revise § 414.22(b)(5)(i) to read as follows:

    End Amendment Part
    Relative value units (RVUs).
    * * * * *

    (b) * * *

    (5) * * *

    (i) Usually there are two levels of practice expense RVUs that correspond to each code.

    (A) Facility practice expense RVUs. The lower facility practice expense RVUs apply to services furnished to patients in the hospital, skilled nursing facility, community mental health center, or in an ambulatory surgical center when the physician performs procedures on the ASC approved procedures list. (The facility practice expense RVUs for a particular code may not be greater than the non-facility RVUs for the code.)

    (B) Non-facility practice expense RVUs. The higher non-facility practice expense RVUs apply to services performed in a physician's office, a patient's home, an ASC if the physician is performing a procedure not on the ASC approved procedures list, a nursing facility, or a facility or institution other than a hospital or skilled nursing facility, community mental health center, or ASC performing an ASC approved procedure.

    (C) Outpatient therapy services. Outpatient therapy services billed under the physician fee schedule are paid using the non-facility practice expense RVU component.

    * * * * *

    (Catalog of Federal Domestic Assistance Program No. 93.778, Medical Assistance Program)

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

    Start Signature

    Dated: October 20, 2000.

    Michael M. Hash,

    Acting Administrator, Health Care Financing Administration.

    End Signature Start Signature

    Dated: October 23, 2000.

    Donna E. Shalala,

    Secretary.

    End Signature

    Note:

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

    Addendum A—Explanation and Use of Addenda B

    The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2001. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule.

    Addendum B—2001 Relative Value Units and Related Information Used in Determining Medicare Payments for 2001

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

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

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

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

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

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

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

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

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

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

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

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

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

    — If the item or service is covered as incident to a physician's service and is furnished on the same day as a Start Printed Page 65441physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).

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

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

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

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

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

    5. Physician work RVUs. These are the RVUs for the physician work for this service in 2000. Codes that are not used for Medicare payment are identified with a “+.”

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

    7. Year 2000 Transition non-facility practice expense RVUs. Blended non-facility practice expense RVUs for use in 2000.

    8. Fully implemented facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.

    9. Year 2000 transition facility practice expense RVUs. Blended facility practice expense RVUs for use in 2000.

    10. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2000.

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

    12. Year 2000 transition non-facility total. This is the sum of the work, transition non-facility practice expense, and malpractice expense RVUs for use in 2000.

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

    14. Year 2000 transition facility total. This is the sum of the work, transition facility practice expense, and malpractice expense RVUs for use in 2000.

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

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

    XXX = The global concept does not apply.

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

    ZZZ = The code is part of another service and falls within the global period for the other service.

    —————————— 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 1994 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payment. 4 PE RVUs = Practice Expense Relative Value Units.Start Printed Page 65441

    Addendum B.—Relative Value Units (RVU's) and Related Information

    CPT1/HCPCS2MODStatusDescriptionPhysician Work RVUs3Fully Implemented Non-Facility PE RVUsYear 2001 Transitional Non-Facility PE RVUsFully Implemented Facility PE RVUsYear 2001 Transitional Facility PE RVUsMal- Practice RVUsFully Implemented Non-Facility TotalYear 2001 Transitional Non-Facility TotalFully Implemented Facility TotalYear 2001 Transitional Facility TotalGlobal
    10040AAcne surgery of skin abscess1.181.581.270.520.440.052.812.501.751.67010
    10060ADrainage of skin abscess1.171.291.090.650.550.082.542.341.901.80010
    10061ADrainage of skin abscess2.401.991.671.150.950.174.564.243.723.52010
    10080ADrainage of pilonidal cyst1.172.011.640.690.590.093.272.901.951.85010
    10081ADrainage of pilonidal cyst2.452.772.381.601.350.195.415.024.243.99010
    10120ARemove foreign body1.221.751.440.710.600.103.072.762.031.92010
    10121ARemove foreign body2.692.712.311.801.490.255.655.254.744.43010
    10140ADrainage of hematoma/fluid1.531.371.160.860.710.153.052.842.542.39010
    10160APuncture drainage of lesion1.201.481.210.760.620.112.792.522.071.93010
    10180AComplex drainage, wound2.251.461.381.261.230.253.963.883.763.73010
    11000ADebride infected skin0.600.550.520.240.240.051.201.170.890.89000
    11001ADebride infected skin add-on0.300.310.300.110.120.020.630.620.430.44ZZZ
    11010ADebride skin, fx4.202.452.912.012.580.457.107.566.667.23010
    11011ADebride skin/muscle, fx4.953.894.202.663.280.539.379.688.148.76000
    11012ADebride skin/muscle/bone, fx6.885.696.054.224.950.8913.4613.8211.9912.72000
    11040ADebride skin, partial0.500.470.460.210.210.051.021.010.760.76000
    11041ADebride skin, full0.820.640.630.340.330.081.541.531.241.23000
    11042ADebride skin/tissue1.120.900.850.470.440.112.132.081.701.67000
    11043ADebride tissue/muscle2.382.602.441.411.550.245.225.064.034.17010
    11044ADebride tissue/muscle/bone3.063.113.101.832.140.346.516.505.235.54010
    11055RTrim skin lesion0.270.350.330.120.130.020.640.620.410.42000
    11056RTrim skin lesions, 2 to 40.390.390.390.170.180.030.810.810.590.60000
    11057RTrim skin lesions, over 40.500.440.410.210.200.040.980.950.750.74000
    11100ABiopsy of skin lesion0.811.531.290.380.360.042.382.141.231.21000
    11101ABiopsy, skin add-on0.410.740.630.200.190.021.171.060.630.62ZZZ
    11200ARemoval of skin tags0.771.100.940.310.290.041.911.751.121.10010
    11201ARemove skin tags add-on0.290.470.400.120.110.020.780.710.430.42ZZZ
    11300AShave skin lesion0.511.040.930.230.250.031.581.470.770.79000
    11301AShave skin lesion0.851.131.030.390.390.042.021.921.281.28000
    11302AShave skin lesion1.051.231.170.490.490.052.332.271.591.59000
    11303AShave skin lesion1.241.361.390.550.600.062.662.691.851.90000
    Start Printed Page 65442
    11305AShave skin lesion0.670.810.750.300.300.041.521.461.011.01000
    11306AShave skin lesion0.991.081.000.440.430.052.122.041.481.47000
    11307AShave skin lesion1.141.201.160.510.510.052.392.351.701.70000
    11308AShave skin lesion1.411.281.340.640.670.072.762.822.122.15000
    11310AShave skin lesion0.731.141.040.340.350.041.911.811.111.12000
    11311AShave skin lesion1.051.251.170.510.500.052.352.271.611.60000
    11312AShave skin lesion1.201.331.300.580.590.062.592.561.841.85000
    11313AShave skin lesion1.621.601.610.760.770.093.313.322.472.48000
    11400ARemoval of skin lesion0.912.411.950.730.620.063.382.921.701.59010
    11401ARemoval of skin lesion1.322.432.010.890.760.093.843.422.302.17010
    11402ARemoval of skin lesion1.612.512.130.970.850.124.243.862.702.58010
    11403ARemoval of skin lesion1.922.762.391.100.990.164.844.473.183.07010
    11404ARemoval of skin lesion2.202.912.561.201.090.185.294.943.583.47010
    11406ARemoval of skin lesion2.763.192.901.421.580.256.205.914.434.59010
    11420ARemoval of skin lesion1.062.021.660.770.650.083.162.801.911.79010
    11421ARemoval of skin lesion1.532.351.961.000.850.113.993.602.642.49010
    11422ARemoval of skin lesion1.762.502.131.070.930.144.404.032.972.83010
    11423ARemoval of skin lesion2.172.932.551.241.110.175.274.893.583.45010
    11424ARemoval of skin lesion2.623.092.701.441.270.215.925.534.274.10010
    11426ARemoval of skin lesion3.783.733.301.901.920.347.857.426.026.04010
    11440ARemoval of skin lesion1.152.572.120.930.790.083.803.352.162.02010
    11441ARemoval of skin lesion1.612.722.271.170.990.114.443.992.892.71010
    11442ARemoval of skin lesion1.872.792.401.271.110.144.804.413.283.12010
    11443ARemoval of skin lesion2.493.342.901.611.410.186.015.574.284.08010
    11444ARemoval of skin lesion3.423.773.232.031.720.257.446.905.705.39010
    11446ARemoval of skin lesion4.494.233.662.532.140.309.028.457.326.93010
    11450ARemoval, sweat gland lesion2.733.993.721.101.550.266.986.714.094.54090
    11451ARemoval, sweat gland lesion3.954.904.461.662.030.399.248.806.006.37090
    11462ARemoval, sweat gland lesion2.514.083.721.021.420.236.826.463.764.16090
    11463ARemoval, sweat gland lesion3.955.574.721.691.810.409.929.076.046.16090
    11470ARemoval, sweat gland lesion3.254.404.061.331.750.307.957.614.885.30090
    11471ARemoval, sweat gland lesion4.415.414.731.842.050.4010.229.546.656.86090
    11600ARemoval of skin lesion1.412.582.240.950.870.094.083.742.452.37010
    11601ARemoval of skin lesion1.932.662.371.101.020.124.714.423.153.07010
    11602ARemoval of skin lesion2.092.722.541.341.250.134.944.763.563.47010
    11603ARemoval of skin lesion2.352.902.791.411.360.165.415.303.923.87010
    11604ARemoval of skin lesion2.583.093.021.491.470.185.855.784.254.23010
    11606ARemoval of skin lesion3.433.653.581.802.200.287.367.295.515.91010
    11620ARemoval of skin lesion1.342.532.260.890.850.093.963.692.322.28010
    11621ARemoval of skin lesion1.972.702.501.361.260.124.794.593.453.35010
    11622ARemoval of skin lesion2.342.872.751.521.440.155.365.244.013.93010
    11623ARemoval of skin lesion2.932.822.821.741.660.205.955.954.874.79010
    11624ARemoval of skin lesion3.433.193.261.951.900.256.876.945.635.58010
    11626ARemoval of skin lesion4.304.204.082.382.710.358.858.737.037.36010
    11640ARemoval of skin lesion1.532.642.431.111.060.104.274.062.742.69010
    11641ARemoval of skin lesion2.443.002.821.671.540.155.595.414.264.13010
    11642ARemoval of skin lesion2.932.922.891.901.780.186.036.005.014.89010
    11643ARemoval of skin lesion3.503.293.292.192.050.247.037.035.935.79010
    11644ARemoval of skin lesion4.553.943.912.722.520.338.828.797.607.40010
    11646ARemoval of skin lesion5.955.225.093.433.750.4611.6311.509.8410.16010
    11719RTrim nail(s)0.110.490.430.040.060.010.610.550.160.18000
    11720ADebride nail, 1-50.320.420.400.130.140.020.760.740.470.48000
    11721ADebride nail, 6 or more0.540.530.550.220.240.041.111.130.800.82000
    11730ARemoval of nail plate1.130.740.680.460.410.091.961.901.681.63000
    11732ARemove nail plate, add-on0.570.290.290.230.210.050.910.910.850.83ZZZ
    11740ADrain blood from under nail0.370.640.590.140.160.031.040.990.540.56000
    11750ARemoval of nail bed1.861.531.720.790.880.163.553.742.812.90010
    11752ARemove nail bed/finger tip2.671.972.241.731.680.334.975.244.734.68010
    11755ABiopsy, nail unit1.311.041.050.590.710.062.412.421.962.08000
    11760ARepair of nail bed1.581.681.511.171.010.173.433.262.922.76010
    11762AReconstruction of nail bed2.892.132.301.841.730.325.345.515.054.94010
    11765AExcision of nail fold, toe0.690.950.850.440.400.051.691.591.181.14010
    11770ARemoval of pilonidal lesion2.612.952.941.301.700.245.805.794.154.55010
    11771ARemoval of pilonidal lesion5.745.305.203.994.220.5611.6011.5010.2910.52090
    11772ARemoval of pilonidal lesion6.986.065.854.434.630.6813.7213.5112.0912.29090
    11900AInjection into skin lesions0.520.730.620.230.210.021.271.160.770.75000
    11901AAdded skin lesions injection0.800.850.750.370.330.031.681.581.201.16000
    11920RCorrect skin color defects1.612.161.940.850.960.173.943.722.632.74000
    11921RCorrect skin color defects1.932.532.281.051.170.214.674.423.193.31000
    11922RCorrect skin color defects0.490.380.380.260.290.050.920.920.800.83ZZZ
    11950RTherapy for contour defects0.841.271.280.470.680.062.172.181.371.58000
    11951RTherapy for contour defects1.191.691.590.510.710.102.982.881.802.00000
    11952RTherapy for contour defects1.692.091.890.901.000.173.953.752.762.86000
    11954RTherapy for contour defects1.852.762.390.961.040.194.804.433.003.08000
    11960AInsert tissue expander(s)9.08NANA10.499.970.88NANA20.4519.93090
    11970AReplace tissue expander7.06NANA5.065.900.77NANA12.8913.73090
    11971ARemove tissue expander(s)2.136.025.143.813.480.218.367.486.155.82090
    11975NInsert contraceptive cap+1.481.561.460.590.730.143.183.082.212.35XXX
    11976RRemoval of contraceptive cap1.781.551.510.720.890.173.503.462.672.84XXX
    11977NRemoval/reinsert contra cap+3.302.282.351.321.630.315.895.964.935.24XXX
    11980AImplant hormone pellet(s)1.481.141.140.630.630.102.722.722.212.21000
    12001ARepair superficial wound(s)1.702.311.890.840.790.134.143.722.672.62010
    12002ARepair superficial wound(s)1.862.412.020.870.870.154.424.032.882.88010
    Start Printed Page 65443
    12004ARepair superficial wound(s)2.242.602.260.991.050.175.014.673.403.46010
    12005ARepair superficial wound(s)2.863.072.701.251.340.236.165.794.344.43010
    12006ARepair superficial wound(s)3.674.173.611.951.950.318.157.595.935.93010
    12007ARepair superficial wound(s)4.124.623.952.282.200.379.118.446.776.69010
    12011ARepair superficial wound(s)1.762.391.990.850.840.144.293.892.752.74010
    12013ARepair superficial wound(s)1.992.552.190.900.960.164.704.343.053.11010
    12014ARepair superficial wound(s)2.462.862.471.081.130.185.505.113.723.77010
    12015ARepair superficial wound(s)3.193.312.921.281.400.246.746.354.714.83010
    12016ARepair superficial wound(s)3.933.833.491.511.750.328.087.745.766.00010
    12017ARepair superficial wound(s)4.715.354.932.462.760.3910.4510.037.567.86010
    12018ARepair superficial wound(s)5.536.326.142.753.460.4612.3112.138.749.45010
    12020AClosure of split wound2.622.622.291.491.440.245.485.154.354.30010
    12021AClosure of split wound1.842.101.741.150.950.194.133.773.182.98010
    12031ALayer closure of wound(s)2.152.762.271.201.000.155.064.573.503.30010
    12032ALayer closure of wound(s)2.472.842.421.291.110.155.465.043.913.73010
    12034ALayer closure of wound(s)2.923.122.741.461.500.216.255.874.594.63010
    12035ALayer closure of wound(s)3.433.052.811.681.780.306.786.545.415.51010
    12036ALayer closure of wound(s)4.055.224.552.522.520.419.689.016.986.98010
    12037ALayer closure of wound(s)4.675.565.012.883.000.4910.7210.178.048.16010
    12041ALayer closure of wound(s)2.373.062.521.271.070.175.605.063.813.61010
    12042ALayer closure of wound(s)2.743.052.611.421.230.175.965.524.334.14010
    12044ALayer closure of wound(s)3.143.202.841.621.660.246.586.225.005.04010
    12045ALayer closure of wound(s)3.643.583.261.861.970.347.567.245.845.95010
    12046ALayer closure of wound(s)4.255.244.702.592.710.409.899.357.247.36010
    12047ALayer closure of wound(s)4.655.965.562.923.280.4111.0210.627.988.34010
    12051ALayer closure of wound(s)2.473.032.551.421.200.165.665.184.053.83010
    12052ALayer closure of wound(s)2.773.012.661.381.240.175.955.604.324.18010
    12053ALayer closure of wound(s)3.123.162.851.521.620.206.486.174.844.94010
    12054ALayer closure of wound(s)3.463.483.321.651.940.257.197.035.365.65010
    12055ALayer closure of wound(s)4.434.674.382.162.500.359.459.166.947.28010
    12056ALayer closure of wound(s)5.246.706.312.893.450.4312.3711.988.569.12010
    12057ALayer closure of wound(s)5.966.556.423.874.410.5013.0112.8810.3310.87010
    13100ARepair of wound or lesion3.123.412.871.881.570.216.746.205.214.90010
    13101ARepair of wound or lesion3.923.663.312.352.050.227.807.456.496.19010
    13102ARepair wound/lesion add-on1.240.740.740.590.590.102.082.081.931.93ZZZ
    13120ARepair of wound or lesion3.303.523.011.941.640.237.056.545.475.17010
    13121ARepair of wound or lesion4.333.883.632.422.180.258.468.217.006.76010
    13122ARepair wound/lesion add-on1.440.870.870.690.690.122.432.432.252.25ZZZ
    13131ARepair of wound or lesion3.793.763.362.241.950.257.807.406.285.99010
    13132ARepair of wound or lesion5.954.614.703.313.100.3210.8810.979.589.37010
    13133ARepair wound/lesion add-on2.191.221.221.041.040.173.583.583.403.40ZZZ
    13150ARepair of wound or lesion3.815.244.412.682.490.299.348.516.786.59010
    13151ARepair of wound or lesion4.455.194.563.132.680.289.929.297.867.41010
    13152ARepair of wound or lesion6.335.915.834.043.730.3812.6212.5410.7510.44010
    13153ARepair wound/lesion add-on2.381.351.351.131.130.183.913.913.693.69ZZZ
    13160ALate closure of wound10.48NANA6.415.711.19NANA18.0817.38090
    14000ASkin tissue rearrangement5.897.496.544.633.940.4613.8412.8910.9810.29090
    14001ASkin tissue rearrangement8.478.968.016.015.800.6518.0817.1315.1314.92090
    14020ASkin tissue rearrangement6.598.117.415.325.320.5015.2014.5012.4112.41090
    14021ASkin tissue rearrangement10.069.448.777.167.060.6920.1919.5217.9117.81090
    14040ASkin tissue rearrangement7.878.378.126.085.480.5316.7716.5214.4813.88090
    14041ASkin tissue rearrangement11.4910.209.797.977.050.6822.3721.9620.1419.22090
    14060ASkin tissue rearrangement8.508.868.756.957.320.5917.9517.8416.0416.41090
    14061ASkin tissue rearrangement12.2911.0811.168.928.110.7524.1224.2021.9621.15090
    14300ASkin tissue rearrangement11.7610.4310.898.489.430.8823.0723.5321.1222.07090
    14350ASkin tissue rearrangement9.61NANA6.386.431.09NANA17.0817.13090
    15000ASkin graft4.002.512.471.972.060.376.886.846.346.43000
    15001ASkin graft add-on1.000.570.570.440.440.111.681.681.551.55ZZZ
    15050ASkin pinch graft4.304.884.153.953.450.469.648.918.718.21090
    15100ASkin split graft9.056.285.946.195.880.9416.2715.9316.1815.87090
    15101ASkin split graft add-on1.721.201.330.781.020.183.103.232.682.92ZZZ
    15120ASkin split graft9.838.998.396.686.650.8719.6919.0917.3817.35090
    15121ASkin split graft add-on2.671.581.981.281.750.274.524.924.224.69ZZZ
    15200ASkin full graft8.039.618.335.665.370.7318.3717.0914.4214.13090
    15201ASkin full graft add-on1.321.001.210.670.900.142.462.672.132.36ZZZ
    15220ASkin full graft7.879.698.586.215.970.6818.2417.1314.7614.52090
    15221ASkin full graft add-on1.190.981.170.590.800.122.292.481.902.11ZZZ
    15240ASkin full graft9.049.308.637.086.970.7719.1118.4416.8916.78090
    15241ASkin full graft add-on1.861.521.790.971.280.173.553.823.003.31ZZZ
    15260ASkin full graft10.069.248.967.597.720.6319.9319.6518.2818.41090
    15261ASkin full graft add-on2.231.632.001.181.550.174.034.403.583.95ZZZ
    15342ACultured skin graft, 25 cm1.002.202.200.780.780.393.593.592.172.17010
    15343ACulture skn graft addl 25 cm0.250.280.280.100.100.090.620.620.440.44ZZZ
    15350ASkin homograft4.007.226.004.353.850.4211.6410.428.778.27090
    15351ASkin homograft add-on1.000.940.940.430.430.112.052.051.541.54ZZZ
    15400ASkin heterograft4.005.144.145.144.140.409.548.549.548.54090
    15401ASkin heterograft add-on1.001.151.150.480.480.112.262.261.591.59ZZZ
    15570AForm skin pedicle flap9.218.447.826.416.300.9618.6117.9916.5816.47090
    15572AForm skin pedicle flap9.277.547.126.216.120.9317.7417.3216.4116.32090
    15574AForm skin pedicle flap9.888.537.866.936.660.9219.3318.6617.7317.46090
    15576AForm skin pedicle flap8.698.977.586.385.630.7218.3816.9915.7915.04090
    15600ASkin graft1.916.425.502.312.300.198.527.604.414.40090
    15610ASkin graft2.424.494.132.632.700.257.166.805.305.37090
    Start Printed Page 65444
    15620ASkin graft2.946.766.003.243.310.289.989.226.466.53090
    15630ASkin graft3.276.125.573.673.730.289.679.127.227.28090
    15650ATransfer skin pedicle flap3.976.185.823.814.040.3610.5110.158.148.37090
    15732AMuscle-skin graft, head/neck17.84NANA11.5312.851.50NANA30.8732.19090
    15734AMuscle-skin graft, trunk17.79NANA11.4513.751.91NANA31.1533.45090
    15736AMuscle-skin graft, arm16.27NANA10.8012.501.78NANA28.8530.55090
    15738AMuscle-skin graft, leg17.92NANA11.3512.011.95NANA31.2231.88090
    15740AIsland pedicle flap graft10.258.989.567.148.180.6219.8520.4318.0119.05090
    15750ANeurovascular pedicle graft11.41NANA8.149.351.12NANA20.6721.88090
    15756AFree muscle flap, microvasc35.23NANA18.8322.293.11NANA57.1760.63090
    15757AFree skin flap, microvasc35.23NANA22.1824.803.37NANA60.7863.40090
    15758AFree fascial flap, microvasc35.10NANA22.5025.043.52NANA61.1263.66090
    15760AComposite skin graft8.749.298.956.807.080.7218.7518.4116.2616.54090
    15770ADerma-fat-fascia graft7.52NANA6.086.590.78NANA14.3814.89090
    15775RHair transplant punch grafts3.963.083.091.601.980.437.477.485.996.37000
    15776RHair transplant punch grafts5.543.934.042.993.340.6010.0710.189.139.48000
    15780AAbrasion treatment of skin7.296.365.196.364.980.4114.0612.8914.0612.68090
    15781AAbrasion treatment of skin4.854.834.654.834.140.279.959.779.959.26090
    15782AAbrasion treatment of skin4.324.143.434.143.270.218.677.968.677.80090
    15783AAbrasion treatment of skin4.294.493.873.482.860.269.048.428.037.41090
    15786AAbrasion, lesion, single2.031.711.451.291.050.113.853.593.433.19010
    15787AAbrasion, lesions, add-on0.330.380.350.170.160.020.730.700.520.51ZZZ
    15788RChemical peel, face, epiderm2.093.082.711.051.190.115.284.913.253.39090
    15789RChemical peel, face, dermal4.925.684.663.693.170.2710.879.858.888.36090
    15792RChemical peel, nonfacial1.862.842.271.831.510.104.804.233.793.47090
    15793AChemical peel, nonfacial3.74NANA3.382.670.17NANA7.296.58090
    15810ASalabrasion4.743.803.883.803.880.428.969.048.969.04090
    15811ASalabrasion5.394.074.074.074.070.529.989.989.989.98090
    15819APlastic surgery, neck9.38NANA6.877.330.77NANA17.0217.48090
    15820ARevision of lower eyelid5.1510.709.566.606.490.3016.1515.0112.0511.94090
    15821ARevision of lower eyelid5.7211.3110.196.776.790.3117.3416.2212.8012.82090
    15822ARevision of upper eyelid4.458.928.025.995.820.2213.5912.6910.6610.49090
    15823ARevision of upper eyelid7.0510.199.747.177.470.3217.5617.1114.5414.84090
    15824RRemoval of forehead wrinkles0.000.000.000.000.000.000.000.000.000.00XXX
    15825RRemoval of neck wrinkles0.000.000.000.000.000.000.000.000.000.00XXX
    15826RRemoval of brow wrinkles0.000.000.000.000.000.000.000.000.000.00XXX
    15828RRemoval of face wrinkles0.000.000.000.000.000.000.000.000.000.00XXX
    15829RRemoval of skin wrinkles0.000.000.000.000.000.000.000.000.000.00XXX
    15831AExcise excessive skin tissue12.40NANA8.188.811.30NANA21.8822.51090
    15832AExcise excessive skin tissue11.59NANA7.828.121.21NANA20.6220.92090
    15833AExcise excessive skin tissue10.64NANA7.507.311.17NANA19.3119.12090
    15834AExcise excessive skin tissue10.85NANA6.146.551.18NANA18.1718.58090
    15835AExcise excessive skin tissue11.67NANA5.736.201.13NANA18.5319.00090
    15836AExcise excessive skin tissue9.34NANA6.186.210.95NANA16.4716.50090
    15837AExcise excessive skin tissue8.437.857.516.116.200.7817.0616.7215.3215.41090
    15838AExcise excessive skin tissue7.13NANA5.705.870.58NANA13.4113.58090
    15839AExcise excessive skin tissue9.387.606.366.065.210.8817.8616.6216.3215.47090
    15840AGraft for face nerve palsy13.26NANA9.8511.351.15NANA24.2625.76090
    15841AGraft for face nerve palsy23.26NANA15.3016.052.65NANA41.2141.96090
    15842AFlap for face nerve palsy37.96NANA21.9424.323.99NANA63.8966.27090
    15845ASkin and muscle repair, face12.57NANA8.9710.480.80NANA22.3423.85090
    15850BRemoval of sutures+0.781.381.130.310.330.042.201.951.131.15XXX
    15851ARemoval of sutures0.861.561.250.350.310.052.472.161.261.22000
    15852ADressing change,not for burn0.861.751.430.370.340.072.682.361.301.27000
    15860ATest for blood flow in graft1.951.361.390.830.990.133.443.472.913.07000
    15876RSuction assisted lipectomy0.000.000.000.000.000.000.000.000.000.00XXX
    15877RSuction assisted lipectomy0.000.000.000.000.000.000.000.000.000.00XXX
    15878RSuction assisted lipectomy0.000.000.000.000.000.000.000.000.000.00XXX
    15879RSuction assisted lipectomy0.000.000.000.000.000.000.000.000.000.00XXX
    15920ARemoval of tail bone ulcer7.95NANA5.534.950.83NANA14.3113.73090
    15922ARemoval of tail bone ulcer9.90NANA7.277.081.06NANA18.2318.04090
    15931ARemove sacrum pressure sore9.24NANA5.715.080.95NANA15.9015.27090
    15933ARemove sacrum pressure sore10.85NANA7.787.711.14NANA19.7719.70090
    15934ARemove sacrum pressure sore12.69NANA8.458.361.35NANA22.4922.40090
    15935ARemove sacrum pressure sore14.57NANA10.3510.811.56NANA26.4826.94090
    15936ARemove sacrum pressure sore12.38NANA9.019.551.32NANA22.7123.25090
    15937ARemove sacrum pressure sore14.21NANA10.4311.481.51NANA26.1527.20090
    15940ARemove hip pressure sore9.34NANA6.025.480.98NANA16.3415.80090
    15941ARemove hip pressure sore11.43NANA9.759.231.23NANA22.4121.89090
    15944ARemove hip pressure sore11.46NANA8.669.011.21NANA21.3321.68090
    15945ARemove hip pressure sore12.69NANA9.7710.351.38NANA23.8424.42090
    15946ARemove hip pressure sore21.57NANA14.6015.462.32NANA38.4939.35090
    15950ARemove thigh pressure sore7.54NANA5.244.750.80NANA13.5813.09090
    15951ARemove thigh pressure sore10.72NANA7.727.871.14NANA19.5819.73090
    15952ARemove thigh pressure sore11.39NANA7.447.521.19NANA20.0220.10090
    15953ARemove thigh pressure sore12.63NANA8.949.171.38NANA22.9523.18090
    15956ARemove thigh pressure sore15.52NANA10.6612.631.64NANA27.8229.79090
    15958ARemove thigh pressure sore15.48NANA10.9712.851.66NANA28.1129.99090
    15999CRemoval of pressure sore0.000.000.000.000.000.000.000.000.000.00YYY
    16000AInitial treatment of burn(s)0.890.990.840.270.250.061.941.791.221.20000
    16010ATreatment of burn(s)0.871.080.900.380.330.072.021.841.321.27000
    16015ATreatment of burn(s)2.351.791.901.001.300.224.364.473.573.87000
    16020ATreatment of burn(s)0.801.090.910.260.240.061.951.771.121.10000
    Start Printed Page 65445
    16025ATreatment of burn(s)1.851.741.430.690.580.163.753.442.702.59000
    16030ATreatment of burn(s)2.082.982.380.950.850.185.244.643.213.11000
    16035AIncision of burn scab, initi3.75NANA1.591.700.36NANA5.705.81090
    16036AIncise burn scab, addl incis1.50NANA0.640.640.18NANA2.322.32ZZZ
    17000ADestroy benign/premal lesion0.601.040.900.270.260.031.671.530.900.89010
    17003ADestroy lesions, 2-140.150.230.210.070.070.010.390.370.230.23ZZZ
    17004ADestroy lesions, 15 or more2.792.462.461.291.270.125.375.374.204.18010
    17106ADestruction of skin lesions4.594.453.862.642.240.289.328.737.517.11090
    17107ADestruction of skin lesions9.166.545.914.734.050.5316.2315.6014.4213.74090
    17108ADestruction of skin lesions13.208.649.017.267.970.8922.7323.1021.3522.06090
    17110ADestruct lesion, 1-140.651.000.860.260.250.041.691.550.950.94010
    17111ADestruct lesion, 15 or more0.921.151.030.400.380.042.111.991.361.34010
    17250AChemical cautery, tissue0.500.660.590.210.210.041.201.130.750.75000
    17260ADestruction of skin lesions0.911.291.280.420.470.042.242.231.371.42010
    17261ADestruction of skin lesions1.171.411.440.550.600.052.632.661.771.82010
    17262ADestruction of skin lesions1.581.611.700.750.810.073.263.352.402.46010
    17263ADestruction of skin lesions1.791.721.900.830.930.083.593.772.702.80010
    17264ADestruction of skin lesions1.941.802.050.850.990.083.824.072.873.01010
    17266ADestruction of skin lesions2.342.002.350.971.150.114.454.803.423.60010
    17270ADestruction of skin lesions1.321.491.480.620.650.062.872.862.002.03010
    17271ADestruction of skin lesions1.491.571.650.720.780.063.123.202.272.33010
    17272ADestruction of skin lesions1.771.711.880.850.940.073.553.722.692.78010
    17273ADestruction of skin lesions2.051.862.100.981.090.094.004.243.123.23010
    17274ADestruction of skin lesions2.592.122.461.191.330.114.825.163.894.03010
    17276ADestruction of skin lesions3.202.422.741.701.740.155.776.095.055.09010
    17280ADestruction of skin lesions1.171.331.450.540.630.052.552.671.761.85010
    17281ADestruction of skin lesions1.721.691.840.830.910.073.483.632.622.70010
    17282ADestruction of skin lesions2.041.852.090.991.090.093.984.223.123.22010
    17283ADestruction of skin lesions2.642.152.431.251.350.114.905.184.004.10010
    17284ADestruction of skin lesions3.212.442.781.511.610.145.796.134.864.96010
    17286ADestruction of skin lesions4.443.063.472.462.430.227.728.137.127.09010
    17304AChemosurgery of skin lesion7.607.716.873.673.300.3115.6214.7811.5811.21000
    17305A2nd stage chemosurgery2.853.583.301.381.340.126.556.274.354.31000
    17306A3rd stage chemosurgery2.853.623.101.391.230.126.596.074.364.20000
    17307AFollowup skin lesion therapy2.853.172.781.401.250.126.145.754.374.22000
    17310AExtensive skin chemosurgery0.951.491.150.480.380.052.492.151.481.38000
    17340ACryotherapy of skin0.761.351.090.270.240.042.151.891.071.04010
    17360ASkin peel therapy1.431.511.210.690.560.063.002.702.182.05010
    17380RHair removal by electrolysis0.000.000.000.000.000.000.000.000.000.00XXX
    17999CSkin tissue procedure0.000.000.000.000.000.000.000.000.000.00YYY
    19000ADrainage of breast lesion0.841.180.990.300.280.072.091.901.211.19000
    19001ADrain breast lesion add-on0.420.790.660.150.150.031.241.110.600.60ZZZ
    19020AIncision of breast lesion3.576.665.383.382.920.3510.589.307.306.84090
    19030AInjection for breast x-ray1.5310.608.080.540.540.0712.209.682.142.14000
    19100ABx breast percut w/o image1.273.332.670.460.430.104.704.041.831.80000
    19101ABiopsy of breast, open3.189.828.002.972.860.2013.2011.386.356.24010
    19102ABx breast percut w/image2.004.584.580.730.730.086.666.662.812.81000
    19103ABx breast percut w/device2.3710.8310.830.860.860.0813.2813.283.313.31000
    19110ANipple exploration4.308.036.694.423.980.4412.7711.439.168.72090
    19112AExcise breast duct fistula3.676.845.773.082.950.3810.899.827.137.00090
    19120ARemoval of breast lesion5.564.414.103.623.500.5610.5310.229.749.62090
    19125AExcision, breast lesion6.065.044.573.783.620.6111.7111.2410.4510.29090
    19126AExcision, addl breast lesion2.93NANA1.111.230.30NANA4.344.46ZZZ
    19140ARemoval of breast tissue5.148.717.703.763.990.5214.3713.369.429.65090
    19160ARemoval of breast tissue5.99NANA4.564.540.61NANA11.1611.14090
    19162ARemove breast tissue, nodes13.53NANA8.088.611.38NANA22.9923.52090
    19180ARemoval of breast8.80NANA6.016.030.88NANA15.6915.71090
    19182ARemoval of breast7.73NANA5.065.440.79NANA13.5813.96090
    19200ARemoval of breast15.49NANA9.479.881.51NANA26.4726.88090
    19220ARemoval of breast15.72NANA9.409.961.56NANA26.6827.24090
    19240ARemoval of breast16.00NANA9.009.311.62NANA26.6226.93090
    19260ARemoval of chest wall lesion15.44NANA10.559.281.64NANA27.6326.36090
    19271ARevision of chest wall18.90NANA13.9814.272.27NANA35.1535.44090
    19272AExtensive chest wall surgery21.55NANA15.5515.082.54NANA39.6439.17090
    19290APlace needle wire, breast1.274.853.760.450.460.066.185.091.781.79000
    19291APlace needle wire, breast0.631.651.310.220.230.032.311.970.880.89ZZZ
    19295APlace breast clip, percut0.002.612.610.940.940.012.622.620.950.95ZZZ
    19316ASuspension of breast10.69NANA7.638.911.15NANA19.4720.75090
    19318AReduction of large breast15.62NANA10.4811.711.69NANA27.7929.02090
    19324AEnlarge breast5.85NANA4.624.360.63NANA11.1010.84090
    19325AEnlarge breast with implant8.45NANA6.756.660.90NANA16.1016.01090
    19328ARemoval of breast implant5.68NANA4.604.470.61NANA10.8910.76090
    19330ARemoval of implant material7.59NANA5.335.050.81NANA13.7313.45090
    19340AImmediate breast prosthesis6.33NANA3.324.380.68NANA10.3311.39ZZZ
    19342ADelayed breast prosthesis11.20NANA7.968.901.21NANA20.3721.31090
    19350ABreast reconstruction8.9213.9412.386.877.070.9523.8122.2516.7416.94090
    19355ACorrect inverted nipple(s)7.5711.539.995.945.790.8019.9018.3614.3114.16090
    19357ABreast reconstruction18.16NANA13.9213.741.96NANA34.0433.86090
    19361ABreast reconstruction19.26NANA12.2914.682.08NANA33.6336.02090
    19364ABreast reconstruction41.00NANA22.8821.693.91NANA67.7966.60090
    19366ABreast reconstruction21.28NANA12.3813.742.27NANA35.9337.29090
    19367ABreast reconstruction25.73NANA15.6517.202.78NANA44.1645.71090
    19368ABreast reconstruction32.42NANA19.4520.053.51NANA55.3855.98090
    Start Printed Page 65446
    19369ABreast reconstruction29.82NANA18.5919.413.24NANA51.6552.47090
    19370ASurgery of breast capsule8.05NANA6.166.300.86NANA15.0715.21090
    19371ARemoval of breast capsule9.35NANA7.267.591.01NANA17.6217.95090
    19380ARevise breast reconstruction9.14NANA7.157.560.98NANA17.2717.68090
    19396ADesign custom breast implant2.174.994.170.801.030.237.396.573.203.43000
    19499CBreast surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    20000AIncision of abscess2.121.941.691.181.000.174.233.983.473.29010
    20005AIncision of deep abscess3.422.812.612.222.160.346.576.375.985.92010
    20100AExplore wound, neck10.086.005.854.654.840.9917.0716.9215.7215.91010
    20101AExplore wound, chest3.223.042.711.361.450.246.506.174.824.91010
    20102AExplore wound, abdomen3.943.363.041.711.800.357.657.336.006.09010
    20103AExplore wound, extremity5.304.123.793.022.970.579.999.668.898.84010
    20150AExcise epiphyseal bar13.69NANA7.669.110.96NANA22.3123.76090
    20200AMuscle biopsy1.461.701.580.640.790.173.333.212.272.42000
    20205ADeep muscle biopsy2.353.533.161.001.260.236.115.743.583.84000
    20206ANeedle biopsy, muscle0.993.022.530.360.530.064.073.581.411.58000
    20220ABone biopsy, trocar/needle1.274.783.942.872.510.066.115.274.203.84000
    20225ABone biopsy, trocar/needle1.874.283.862.852.700.116.265.844.834.68000
    20240ABone biopsy, excisional3.23NANA4.113.590.33NANA7.677.15010
    20245ABone biopsy, excisional3.95NANA4.694.490.44NANA9.088.88010
    20250AOpen bone biopsy5.03NANA4.294.590.50NANA9.8210.12010
    20251AOpen bone biopsy5.56NANA4.725.130.79NANA11.0711.48010
    20500AInjection of sinus tract1.235.193.993.762.870.106.525.325.094.20010
    20501AInject sinus tract for x-ray0.7612.729.620.270.290.0313.5110.411.061.08000
    20520ARemoval of foreign body1.855.224.113.332.600.177.246.135.354.62010
    20525ARemoval of foreign body3.506.395.404.143.710.4010.299.308.047.61010
    20550AInject tendon/ligament/cyst0.861.961.570.220.220.062.882.491.141.14000
    20600ADrain/inject, joint/bursa0.661.351.140.270.270.062.071.860.990.99000
    20605ADrain/inject, joint/bursa0.681.681.380.270.270.062.422.121.011.01000
    20610ADrain/inject, joint/bursa0.792.081.680.550.480.082.952.551.421.35000
    20615ATreatment of bone cyst2.284.453.472.461.910.196.925.944.934.38010
    20650AInsert and remove bone pin2.234.303.522.882.450.286.816.035.394.96010
    20660AApply,remove fixation device2.51NANA1.471.530.48NANA4.464.52000
    20661AApplication of head brace4.89NANA6.525.930.92NANA12.3311.74090
    20662AApplication of pelvis brace6.07NANA5.115.610.81NANA11.9912.49090
    20663AApplication of thigh brace5.43NANA4.754.820.77NANA10.9511.02090
    20664AHalo brace application8.06NANA8.257.231.49NANA17.8016.78090
    20665ARemoval of fixation device1.312.201.791.231.060.173.683.272.712.54010
    20670ARemoval of support implant1.745.504.333.432.670.237.476.305.404.64010
    20680ARemoval of support implant3.355.024.675.024.670.468.838.488.838.48090
    20690AApply bone fixation device3.52NANA1.882.400.47NANA5.876.39090
    20692AApply bone fixation device6.41NANA2.493.360.60NANA9.5010.37090
    20693AAdjust bone fixation device5.86NANA11.609.380.85NANA18.3116.09090
    20694ARemove bone fixation device4.168.176.835.775.030.5712.9011.5610.509.76090
    20802AReplantation, arm, complete41.15NANA27.9431.195.81NANA74.9078.15090
    20805AReplant, forearm, complete50.00NANA50.2650.223.95NANA104.21104.17090
    20808AReplantation hand, complete61.65NANA43.4648.176.49NANA111.60116.31090
    20816AReplantation digit, complete30.94NANA42.6839.693.01NANA76.6373.64090
    20822AReplantation digit, complete25.59NANA39.1535.713.07NANA67.8164.37090
    20824AReplantation thumb, complete30.94NANA36.4935.053.48NANA70.9169.47090
    20827AReplantation thumb, complete26.41NANA45.6340.753.21NANA75.2570.37090
    20838AReplantation foot, complete41.41NANA28.3731.515.85NANA75.6378.77090
    20900ARemoval of bone for graft5.586.705.795.815.120.7713.0512.1412.1611.47090
    20902ARemoval of bone for graft7.55NANA8.287.551.06NANA16.8916.16090
    20910ARemove cartilage for graft5.348.056.256.515.100.5013.8912.0912.3510.94090
    20912ARemove cartilage for graft6.35NANA7.266.700.55NANA14.1613.60090
    20920ARemoval of fascia for graft5.31NANA5.425.130.54NANA11.2710.98090
    20922ARemoval of fascia for graft6.618.547.606.145.800.8816.0315.0913.6313.29090
    20924ARemoval of tendon for graft6.48NANA6.626.440.82NANA13.9213.74090
    20926ARemoval of tissue for graft5.53NANA6.155.320.73NANA12.4111.58090
    20930BSpinal bone allograft0.000.000.000.000.000.000.000.000.000.00XXX
    20931ASpinal bone allograft1.81NANA0.961.190.34NANA3.113.34ZZZ
    20936BSpinal bone autograft0.000.000.000.000.000.000.000.000.000.00XXX
    20937ASpinal bone autograft2.79NANA1.521.860.43NANA4.745.08ZZZ
    20938ASpinal bone autograft3.02NANA1.622.000.52NANA5.165.54ZZZ
    20950AFluid pressure, muscle1.26NANA2.081.860.16NANA3.503.28000
    20955AFibula bone graft, microvasc39.21NANA29.4331.804.35NANA72.9975.36090
    20956AIliac bone graft, microvasc39.27NANA28.3628.575.77NANA73.4073.61090
    20957AMt bone graft, microvasc40.65NANA24.1725.695.74NANA70.5672.08090
    20962AOther bone graft, microvasc39.27NANA28.6828.815.19NANA73.1473.27090
    20969ABone/skin graft, microvasc43.92NANA32.2035.044.34NANA80.4683.30090
    20970ABone/skin graft, iliac crest43.06NANA29.9633.144.64NANA77.6680.84090
    20972ABone/skin graft, metatarsal42.99NANA18.7224.796.07NANA67.7873.85090
    20973ABone/skin graft, great toe45.76NANA22.1428.074.65NANA72.5578.48090
    20974AElectrical bone stimulation0.620.381.210.340.720.091.091.921.051.43000
    20975AElectrical bone stimulation2.60NANA1.411.830.42NANA4.434.85000
    20979AUs bone stimulation0.620.570.570.250.250.041.231.230.910.91000
    20999CMusculoskeletal surgery0.000.000.000.000.000.000.000.000.000.00YYY
    21010AIncision of jaw joint10.14NANA6.968.000.54NANA17.6418.68090
    21015AResection of facial tumor5.29NANA6.956.790.52NANA12.7612.60090
    21025AExcision of bone, lower jaw10.067.376.656.865.710.7918.2217.5017.7116.56090
    21026AExcision of facial bone(s)4.855.454.944.794.020.4010.7010.1910.049.27090
    21029AContour of face bone lesion7.716.817.416.045.680.7415.2615.8614.4914.13090
    Start Printed Page 65447
    21030ARemoval of face bone lesion6.465.374.944.874.110.6012.4312.0011.9311.17090
    21031ARemove exostosis, mandible3.243.333.502.112.080.286.857.025.635.60090
    21032ARemove exostosis, maxilla3.243.293.522.162.150.276.807.035.675.66090
    21034ARemoval of face bone lesion16.1711.8810.8110.619.851.3729.4228.3528.1527.39090
    21040ARemoval of jaw bone lesion2.112.972.981.861.770.195.275.284.164.07090
    21041ARemoval of jaw bone lesion6.715.595.764.354.050.5612.8613.0311.6211.32090
    21044ARemoval of jaw bone lesion11.86NANA7.908.520.87NANA20.6321.25090
    21045AExtensive jaw surgery16.17NANA10.2611.451.20NANA27.6328.82090
    21050ARemoval of jaw joint10.77NANA11.2211.630.84NANA22.8323.24090
    21060ARemove jaw joint cartilage10.23NANA10.0610.601.16NANA21.4521.99090
    21070ARemove coronoid process8.20NANA6.076.400.67NANA14.9415.27090
    21076APrepare face/oral prosthesis13.429.7511.327.347.511.3624.5326.1022.1222.29010
    21077APrepare face/oral prosthesis33.7524.5328.4718.4618.883.4361.7165.6555.6456.06090
    21079APrepare face/oral prosthesis22.3417.3220.5712.7713.371.5941.2544.5036.7037.30090
    21080APrepare face/oral prosthesis25.1019.4723.1214.3515.022.5547.1250.7742.0042.67090
    21081APrepare face/oral prosthesis22.8817.7421.0613.0813.691.8742.4945.8137.8338.44090
    21082APrepare face/oral prosthesis20.8715.1717.6111.4211.681.4637.5039.9433.7534.01090
    21083APrepare face/oral prosthesis19.3014.9717.7811.0311.551.9636.2339.0432.2932.81090
    21084APrepare face/oral prosthesis22.5117.4520.7212.8713.471.5741.5344.8036.9537.55090
    21085APrepare face/oral prosthesis9.006.537.584.935.040.6516.1817.2314.5814.69010
    21086APrepare face/oral prosthesis24.9219.3322.9514.2514.921.8646.1149.7341.0341.70090
    21087APrepare face/oral prosthesis24.9218.1021.0113.6413.952.2245.2448.1540.7841.09090
    21088CPrepare face/oral prosthesis0.000.000.000.000.000.000.000.000.000.00090
    21089CPrepare face/oral prosthesis0.000.000.000.000.000.000.000.000.000.00090
    21100AMaxillofacial fixation4.225.874.694.003.290.1810.279.098.407.69090
    21110AInterdental fixation5.215.215.414.544.160.2810.7010.9010.039.65090
    21116AInjection, jaw joint x-ray0.817.876.100.310.430.058.736.961.171.29000
    21120AReconstruction of chin4.9310.288.696.235.650.2915.5013.9111.4510.87090
    21121AReconstruction of chin7.648.077.595.815.890.5616.2715.7914.0114.09090
    21122AReconstruction of chin8.52NANA7.377.220.59NANA16.4816.33090
    21123AReconstruction of chin11.16NANA8.468.551.16NANA20.7820.87090
    21125AAugmentation, lower jaw bone10.629.068.088.647.760.7220.4019.4219.9819.10090
    21127AAugmentation, lower jaw bone11.129.549.306.737.190.7621.4221.1818.6119.07090
    21137AReduction of forehead9.82NANA7.117.260.53NANA17.4617.61090
    21138AReduction of forehead12.19NANA9.819.761.47NANA23.4723.42090
    21139AReduction of forehead14.61NANA9.379.921.02NANA25.0025.55090
    21141AReconstruct midface, lefort18.10NANA11.1012.221.63NANA30.8331.95090
    21142AReconstruct midface, lefort18.81NANA11.2612.471.16NANA31.2332.44090
    21143AReconstruct midface, lefort19.58NANA11.2612.620.90NANA31.7433.10090
    21145AReconstruct midface, lefort19.94NANA11.4712.492.09NANA33.5034.52090
    21146AReconstruct midface, lefort20.71NANA12.1113.112.13NANA34.9535.95090
    21147AReconstruct midface, lefort21.77NANA13.2914.151.52NANA36.5837.44090
    21150AReconstruct midface, lefort25.24NANA14.7916.101.09NANA41.1242.43090
    21151AReconstruct midface, lefort28.30NANA18.3619.381.98NANA48.6449.66090
    21154AReconstruct midface, lefort30.52NANA18.3619.784.86NANA53.7455.16090
    21155AReconstruct midface, lefort34.45NANA18.3620.585.48NANA58.2960.51090
    21159AReconstruct midface, lefort42.38NANA21.5324.566.74NANA70.6573.68090
    21160AReconstruct midface, lefort46.44NANA24.5927.664.39NANA75.4278.49090
    21172AReconstruct orbit/forehead27.80NANA18.5219.401.91NANA48.2349.11090
    21175AReconstruct orbit/forehead33.17NANA18.8920.785.16NANA57.2259.11090
    21179AReconstruct entire forehead22.25NANA18.5718.332.48NANA43.3043.06090
    21180AReconstruct entire forehead25.19NANA18.8819.172.15NANA46.2246.51090
    21181AContour cranial bone lesion9.90NANA8.738.480.97NANA19.6019.35090
    21182AReconstruct cranial bone32.19NANA22.4623.262.53NANA57.1857.98090
    21183AReconstruct cranial bone35.31NANA23.7224.802.75NANA61.7862.86090
    21184AReconstruct cranial bone38.24NANA21.5523.784.12NANA63.9166.14090
    21188AReconstruction of midface22.46NANA15.6016.111.85NANA39.9140.42090
    21193AReconst lwr jaw w/o graft17.15NANA10.9911.581.53NANA29.6730.26090
    21194AReconst lwr jaw w/graft19.84NANA12.0612.921.39NANA33.2934.15090
    21195AReconst lwr jaw w/o fixation17.24NANA12.9313.051.20NANA31.3731.49090
    21196AReconst lwr jaw w/fixation18.91NANA12.8413.321.62NANA33.3733.85090
    21198AReconstr lwr jaw segment14.16NANA11.8112.881.05NANA27.0228.09090
    21199AReconstr lwr jaw w/advance16.00NANA10.5310.531.00NANA27.5327.53090
    21206AReconstruct upper jaw bone14.10NANA10.0810.311.01NANA25.1925.42090
    21208AAugmentation of facial bones10.239.9210.498.379.330.9221.0721.6419.5220.48090
    21209AReduction of facial bones6.728.727.795.685.510.6016.0415.1113.0012.83090
    21210AFace bone graft10.238.859.697.957.490.8819.9620.8019.0618.60090
    21215ALower jaw bone graft10.778.669.716.886.771.0420.4721.5218.6918.58090
    21230ARib cartilage graft10.77NANA10.0910.380.96NANA21.8222.11090
    21235AEar cartilage graft6.7211.5910.707.927.950.5218.8317.9415.1615.19090
    21240AReconstruction of jaw joint14.05NANA11.4512.781.15NANA26.6527.98090
    21242AReconstruction of jaw joint12.95NANA11.4712.471.40NANA25.8226.82090
    21243AReconstruction of jaw joint20.79NANA14.6814.921.85NANA37.3237.56090
    21244AReconstruction of lower jaw11.86NANA9.0010.290.95NANA21.8123.10090
    21245AReconstruction of jaw11.8616.5015.4910.1010.690.8829.2428.2322.8423.43090
    21246AReconstruction of jaw12.4712.4111.7010.7510.461.2126.0925.3824.4324.14090
    21247AReconstruct lower jaw bone22.63NANA18.7320.802.21NANA43.5745.64090
    21248AReconstruction of jaw11.488.7910.027.967.691.0121.2822.5120.4520.18090
    21249AReconstruction of jaw17.5211.3113.7110.1510.231.3930.2232.6229.0629.14090
    21255AReconstruct lower jaw bone16.72NANA10.9213.181.13NANA28.7731.03090
    21256AReconstruction of orbit16.19NANA13.3414.841.04NANA30.5732.07090
    21260ARevise eye sockets16.52NANA11.4513.521.25NANA29.2231.29090
    21261ARevise eye sockets31.49NANA19.0819.142.20NANA52.7752.83090
    Start Printed Page 65448
    21263ARevise eye sockets28.42NANA14.9519.702.16NANA45.5350.28090
    21267ARevise eye sockets18.90NANA14.5314.861.35NANA34.7835.11090
    21268ARevise eye sockets24.48NANA12.6013.620.79NANA37.8738.89090
    21270AAugmentation, cheek bone10.2310.3710.389.169.480.7321.3321.3420.1220.44090
    21275ARevision, orbitofacial bones11.24NANA11.1010.751.03NANA23.3723.02090
    21280ARevision of eyelid6.03NANA6.226.470.27NANA12.5212.77090
    21282ARevision of eyelid3.49NANA5.204.940.21NANA8.908.64090
    21295ARevision of jaw muscle/bone1.53NANA3.622.980.13NANA5.284.64090
    21296ARevision of jaw muscle/bone4.25NANA5.204.880.30NANA9.759.43090
    21299CCranio/maxillofacial surgery0.000.000.000.000.000.000.000.000.000.00YYY
    21300ATreatment of skull fracture0.722.342.010.270.420.093.152.821.081.23000
    21310ATreatment of nose fracture0.582.542.110.150.290.053.172.740.780.92000
    21315ATreatment of nose fracture1.513.292.961.241.380.124.924.592.873.01010
    21320ATreatment of nose fracture1.854.824.251.982.040.156.826.253.984.04010
    21325ATreatment of nose fracture3.77NANA3.663.860.31NANA7.747.94090
    21330ATreatment of nose fracture5.38NANA5.415.660.48NANA11.2711.52090
    21335ATreatment of nose fracture8.61NANA7.047.850.64NANA16.2917.10090
    21336ATreat nasal septal fracture5.72NANA5.445.190.45NANA11.6111.36090
    21337ATreat nasal septal fracture2.704.984.503.123.110.227.907.426.046.03090
    21338ATreat nasoethmoid fracture6.46NANA5.885.770.53NANA12.8712.76090
    21339ATreat nasoethmoid fracture8.09NANA6.857.060.76NANA15.7015.91090
    21340ATreatment of nose fracture10.77NANA9.269.360.85NANA20.8820.98090
    21343ATreatment of sinus fracture12.95NANA9.939.941.06NANA23.9423.95090
    21344ATreatment of sinus fracture19.72NANA13.3412.491.72NANA34.7833.93090
    21345ATreat nose/jaw fracture8.168.748.707.417.700.6017.5017.4616.1716.46090
    21346ATreat nose/jaw fracture10.61NANA10.2610.250.85NANA21.7221.71090
    21347ATreat nose/jaw fracture12.69NANA9.319.791.14NANA23.1423.62090
    21348ATreat nose/jaw fracture16.69NANA10.2510.771.50NANA28.4428.96090
    21355ATreat cheek bone fracture3.774.794.022.402.220.298.858.086.466.28010
    21356ATreat cheek bone fracture4.15NANA3.223.660.36NANA7.738.17010
    21360ATreat cheek bone fracture6.46NANA5.726.220.52NANA12.7013.20090
    21365ATreat cheek bone fracture14.95NANA11.2811.811.30NANA27.5328.06090
    21366ATreat cheek bone fracture17.77NANA12.0912.351.41NANA31.2731.53090
    21385ATreat eye socket fracture9.16NANA7.688.360.64NANA17.4818.16090
    21386ATreat eye socket fracture9.16NANA7.988.450.76NANA17.9018.37090
    21387ATreat eye socket fracture9.70NANA8.148.130.78NANA18.6218.61090
    21390ATreat eye socket fracture10.13NANA8.499.390.70NANA19.3220.22090
    21395ATreat eye socket fracture12.68NANA9.9910.111.09NANA23.7623.88090
    21400ATreat eye socket fracture1.402.922.641.081.230.124.444.162.602.75090
    21401ATreat eye socket fracture3.265.564.873.193.090.349.168.476.796.69090
    21406ATreat eye socket fracture7.01NANA6.516.300.59NANA14.1113.90090
    21407ATreat eye socket fracture8.61NANA7.747.730.67NANA17.0217.01090
    21408ATreat eye socket fracture12.38NANA9.639.531.24NANA23.2523.15090
    21421ATreat mouth roof fracture5.147.377.196.296.250.4212.9312.7511.8511.81090
    21422ATreat mouth roof fracture8.32NANA7.137.830.69NANA16.1416.84090
    21423ATreat mouth roof fracture10.40NANA8.108.740.95NANA19.4520.09090
    21431ATreat craniofacial fracture7.05NANA5.285.590.58NANA12.9113.22090
    21432ATreat craniofacial fracture8.61NANA7.287.300.55NANA16.4416.46090
    21433ATreat craniofacial fracture25.35NANA17.7018.152.46NANA45.5145.96090
    21435ATreat craniofacial fracture17.25NANA11.6712.351.66NANA30.5831.26090
    21436ATreat craniofacial fracture28.04NANA18.8518.112.32NANA49.2148.47090
    21440ATreat dental ridge fracture2.705.344.843.373.330.228.267.766.296.25090
    21445ATreat dental ridge fracture5.386.926.855.275.560.5512.8512.7811.2011.49090
    21450ATreat lower jaw fracture2.976.535.672.672.770.239.738.875.875.97090
    21451ATreat lower jaw fracture4.876.516.475.495.570.3911.7711.7310.7510.83090
    21452ATreat lower jaw fracture1.988.857.023.803.230.1410.979.145.925.35090
    21453ATreat lower jaw fracture5.547.437.386.206.300.4913.4613.4112.2312.33090
    21454ATreat lower jaw fracture6.46NANA5.936.380.55NANA12.9413.39090
    21461ATreat lower jaw fracture8.099.579.597.738.210.7318.3918.4116.5517.03090
    21462ATreat lower jaw fracture9.7910.9211.117.878.830.8021.5121.7018.4619.42090
    21465ATreat lower jaw fracture11.91NANA7.397.830.84NANA20.1420.58090
    21470ATreat lower jaw fracture15.34NANA9.7811.911.36NANA26.4828.61090
    21480AReset dislocated jaw0.611.581.400.180.320.052.242.060.840.98000
    21485AReset dislocated jaw3.993.803.453.492.920.318.107.757.797.22090
    21490ARepair dislocated jaw11.86NANA7.457.301.31NANA20.6220.47090
    21493ATreat hyoid bone fracture1.27NANA3.052.670.10NANA4.424.04090
    21494ATreat hyoid bone fracture6.28NANA5.245.970.44NANA11.9612.69090
    21495ATreat hyoid bone fracture5.69NANA4.804.910.41NANA10.9011.01090
    21497AInterdental wiring3.864.724.623.783.910.318.898.797.958.08090
    21499CHead surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    21501ADrain neck/chest lesion3.814.153.613.643.230.368.327.787.817.40090
    21502ADrain chest lesion7.12NANA8.587.580.79NANA16.4915.49090
    21510ADrainage of bone lesion5.74NANA8.107.110.67NANA14.5113.52090
    21550ABiopsy of neck/chest2.062.271.931.241.050.134.464.123.433.24010
    21555ARemove lesion, neck/chest4.354.173.562.542.340.418.938.327.307.10090
    21556ARemove lesion, neck/chest5.57NANA3.313.510.51NANA9.399.59090
    21557ARemove tumor, neck/chest8.88NANA8.038.330.85NANA17.7618.06090
    21600APartial removal of rib6.89NANA8.777.800.81NANA16.4715.50090
    21610APartial removal of rib14.61NANA10.799.501.85NANA27.2525.96090
    21615ARemoval of rib9.87NANA9.659.991.20NANA20.7221.06090
    21616ARemoval of rib and nerves12.04NANA9.028.741.31NANA22.3722.09090
    21620APartial removal of sternum6.79NANA8.898.530.77NANA16.4516.09090
    21627ASternal debridement6.81NANA15.5713.040.82NANA23.2020.67090
    Start Printed Page 65449
    21630AExtensive sternum surgery17.38NANA14.4214.311.95NANA33.7533.64090
    21632AExtensive sternum surgery18.14NANA15.6214.852.16NANA35.9235.15090
    21700ARevision of neck muscle6.198.787.717.386.660.3115.2814.2113.8813.16090
    21705ARevision of neck muscle/rib9.60NANA7.707.090.92NANA18.2217.61090
    21720ARevision of neck muscle5.687.316.537.276.500.8013.7913.0113.7512.98090
    21725ARevision of neck muscle6.99NANA6.856.450.90NANA14.7414.34090
    21740AReconstruction of sternum16.80NANA15.7114.222.03NANA34.5433.05090
    21750ARepair of sternum separation10.77NANA13.1011.811.35NANA25.2223.93090
    21800ATreatment of rib fracture0.962.171.841.000.960.093.222.892.052.01090
    21805ATreatment of rib fracture2.75NANA4.143.470.29NANA7.186.51090
    21810ATreatment of rib fracture(s)6.86NANA7.057.280.60NANA14.5114.74090
    21820ATreat sternum fracture1.282.592.311.471.470.154.023.742.902.90090
    21825ATreat sternum fracture7.41NANA11.8210.740.84NANA20.0718.99090
    21899CNeck/chest surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    21920ABiopsy soft tissue of back2.062.351.980.790.700.124.534.162.972.88010
    21925ABiopsy soft tissue of back4.4910.528.424.403.830.4415.4513.359.338.76090
    21930ARemove lesion, back or flank5.004.594.182.722.780.4910.089.678.218.27090
    21935ARemove tumor, back17.96NANA13.0711.591.87NANA32.9031.42090
    22100ARemove part of neck vertebra9.73NANA8.608.521.55NANA19.8819.80090
    22101ARemove part, thorax vertebra9.81NANA8.478.531.51NANA19.7919.85090
    22102ARemove part, lumbar vertebra9.81NANA8.687.731.46NANA19.9519.00090
    22103ARemove extra spine segment2.34NANA1.291.570.37NANA4.004.28ZZZ
    22110ARemove part of neck vertebra12.74NANA10.4910.512.20NANA25.4325.45090
    22112ARemove part, thorax vertebra12.81NANA10.9110.871.96NANA25.6825.64090
    22114ARemove part, lumbar vertebra12.81NANA10.369.741.98NANA25.1524.53090
    22116ARemove extra spine segment2.32NANA1.181.490.40NANA3.904.21ZZZ
    22210ARevision of neck spine23.82NANA16.8616.404.23NANA44.9144.45090
    22212ARevision of thorax spine19.42NANA14.3315.442.78NANA36.5337.64090
    22214ARevision of lumbar spine19.45NANA14.8715.252.78NANA37.1037.48090
    22216ARevise, extra spine segment6.04NANA3.273.830.98NANA10.2910.85ZZZ
    22220ARevision of neck spine21.37NANA15.4716.123.65NANA40.4941.14090
    22222ARevision of thorax spine21.52NANA13.5913.893.08NANA38.1938.49090
    22224ARevision of lumbar spine21.52NANA15.8115.843.20NANA40.5340.56090
    22226ARevise, extra spine segment6.04NANA3.273.831.01NANA10.3210.88ZZZ
    22305ATreat spine process fracture2.053.022.881.862.010.295.365.224.204.35090
    22310ATreat spine fracture2.614.383.973.273.140.377.366.956.256.12090
    22315ATreat spine fracture8.84NANA8.898.161.37NANA19.1018.37090
    22318ATreat odontoid fx w/o graft21.50NANA14.5314.534.26NANA40.2940.29090
    22319ATreat odontoid fx w/graft24.00NANA16.8016.804.76NANA45.5645.56090
    22325ATreat spine fracture18.30NANA14.1912.902.61NANA35.1033.81090
    22326ATreat neck spine fracture19.59NANA15.2415.753.54NANA38.3738.88090
    22327ATreat thorax spine fracture19.20NANA14.5015.202.75NANA36.4537.15090
    22328ATreat each add spine fx4.61NANA2.292.910.66NANA7.568.18ZZZ
    22505AManipulation of spine1.874.603.812.972.580.276.745.955.114.72010
    22520APercut vertebroplasty thor8.91NANA3.953.950.89NANA13.7513.75010
    22521APercut vertebroplasty lumb8.34NANA3.723.720.84NANA12.9012.90010
    22522APercut vertebroplasty addl3.00NANA1.201.200.30NANA4.504.50ZZZ
    22548ANeck spine fusion25.82NANA17.6619.424.98NANA48.4650.22090
    22554ANeck spine fusion18.62NANA13.6015.583.51NANA35.7337.71090
    22556AThorax spine fusion23.46NANA16.7318.433.78NANA43.9745.67090
    22558ALumbar spine fusion22.28NANA14.4916.343.18NANA39.9541.80090
    22585AAdditional spinal fusion5.53NANA2.903.640.98NANA9.4110.15ZZZ
    22590ASpine & skull spinal fusion20.51NANA15.2717.313.81NANA39.5941.63090
    22595ANeck spinal fusion19.39NANA14.2616.483.62NANA37.2739.49090
    22600ANeck spine fusion16.14NANA12.5514.232.89NANA31.5833.26090
    22610AThorax spine fusion16.02NANA12.5214.172.66NANA31.2032.85090
    22612ALumbar spine fusion21.00NANA15.3017.073.28NANA39.5841.35090
    22614ASpine fusion, extra segment6.44NANA3.494.151.04NANA10.9711.63ZZZ
    22630ALumbar spine fusion20.84NANA15.5316.653.79NANA40.1641.28090
    22632ASpine fusion, extra segment5.23NANA2.803.460.90NANA8.939.59ZZZ
    22800AFusion of spine18.25NANA13.5915.642.71NANA34.5536.60090
    22802AFusion of spine30.88NANA21.2223.604.42NANA56.5258.90090
    22804AFusion of spine36.27NANA23.9025.615.23NANA65.4067.11090
    22808AFusion of spine26.27NANA18.2718.704.36NANA48.9049.33090
    22810AFusion of spine30.27NANA19.8919.914.49NANA54.6554.67090
    22812AFusion of spine32.70NANA21.9423.494.67NANA59.3160.86090
    22818AKyphectomy, 1-2 segments31.83NANA20.9923.415.01NANA57.8360.25090
    22819AKyphectomy, 3 or more36.44NANA20.7323.215.20NANA62.3764.85090
    22830AExploration of spinal fusion10.85NANA9.5810.431.73NANA22.1623.01090
    22840AInsert spine fixation device12.54NANA8.317.862.03NANA22.8822.43ZZZ
    22841BInsert spine fixation device0.000.000.000.000.000.000.000.000.000.00XXX
    22842AInsert spine fixation device12.58NANA6.796.952.04NANA21.4121.57ZZZ
    22843AInsert spine fixation device13.46NANA8.808.922.10NANA24.3624.48ZZZ
    22844AInsert spine fixation device16.44NANA10.4610.682.42NANA29.3229.54ZZZ
    22845AInsert spine fixation device11.96NANA7.907.472.22NANA22.0821.65ZZZ
    22846AInsert spine fixation device12.42NANA8.178.272.26NANA22.8522.95ZZZ
    22847AInsert spine fixation device13.80NANA8.909.062.36NANA25.0625.22ZZZ
    22848AInsert pelv fixation device6.00NANA4.745.110.88NANA11.6211.99ZZZ
    22849AReinsert spinal fixation18.51NANA13.6913.462.87NANA35.0734.84090
    22850ARemove spine fixation device9.52NANA8.418.801.51NANA19.4419.83090
    22851AApply spine prosth device6.71NANA5.075.541.11NANA12.8913.36ZZZ
    22852ARemove spine fixation device9.01NANA8.188.801.40NANA18.5919.21090
    22855ARemove spine fixation device15.13NANA11.2610.472.74NANA29.1328.34090
    Start Printed Page 65450
    22899CSpine surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    22900ARemove abdominal wall lesion5.80NANA4.374.100.58NANA10.7510.48090
    22999CAbdomen surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    23000ARemoval of calcium deposits4.368.917.566.625.850.5013.7712.4211.4810.71090
    23020ARelease shoulder joint8.93NANA9.989.461.23NANA20.1419.62090
    23030ADrain shoulder lesion3.435.784.924.203.740.429.638.778.057.59010
    23031ADrain shoulder bursa2.745.664.383.822.930.338.737.456.896.00010
    23035ADrain shoulder bone lesion8.61NANA14.6312.661.19NANA24.4322.46090
    23040AExploratory shoulder surgery9.20NANA10.8810.681.28NANA21.3621.16090
    23044AExploratory shoulder surgery7.12NANA9.959.340.97NANA18.0417.43090
    23065ABiopsy shoulder tissues2.272.572.111.301.160.144.984.523.713.57010
    23066ABiopsy shoulder tissues4.167.355.836.094.890.5012.0110.4910.759.55090
    23075ARemoval of shoulder lesion2.395.104.283.042.740.257.746.925.685.38010
    23076ARemoval of shoulder lesion7.63NANA7.986.950.87NANA16.4815.45090
    23077ARemove tumor of shoulder16.09NANA14.0012.501.81NANA31.9030.40090
    23100ABiopsy of shoulder joint6.03NANA8.007.800.81NANA14.8414.64090
    23101AShoulder joint surgery5.58NANA8.137.760.77NANA14.4814.11090
    23105ARemove shoulder joint lining8.23NANA9.599.651.13NANA18.9519.01090
    23106AIncision of collarbone joint5.96NANA8.537.690.82NANA15.3114.47090
    23107AExplore treat shoulder joint8.62NANA9.609.771.19NANA19.4119.58090
    23120APartial removal, collar bone7.11NANA8.877.900.99NANA16.9716.00090
    23125ARemoval of collar bone9.39NANA10.2910.021.27NANA20.9520.68090
    23130ARemove shoulder bone, part7.55NANA9.128.751.06NANA17.7317.36090
    23140ARemoval of bone lesion6.89NANA8.327.370.82NANA16.0315.08090
    23145ARemoval of bone lesion9.09NANA11.3210.701.24NANA21.6521.03090
    23146ARemoval of bone lesion7.83NANA9.978.901.11NANA18.9117.84090
    23150ARemoval of humerus lesion8.48NANA9.448.881.14NANA19.0618.50090
    23155ARemoval of humerus lesion10.35NANA10.7910.481.20NANA22.3422.03090
    23156ARemoval of humerus lesion8.68NANA9.699.341.18NANA19.5519.20090
    23170ARemove collar bone lesion6.86NANA10.759.370.84NANA18.4517.07090
    23172ARemove shoulder blade lesion6.90NANA10.989.640.95NANA18.8317.49090
    23174ARemove humerus lesion9.51NANA10.9110.501.30NANA21.7221.31090
    23180ARemove collar bone lesion8.53NANA14.8112.281.18NANA24.5221.99090
    23182ARemove shoulder blade lesion8.15NANA15.5113.421.08NANA24.7422.65090
    23184ARemove humerus lesion9.38NANA14.8713.551.24NANA25.4924.17090
    23190APartial removal of scapula7.24NANA8.007.650.97NANA16.2115.86090
    23195ARemoval of head of humerus9.81NANA10.4310.241.38NANA21.6221.43090
    23200ARemoval of collar bone12.08NANA13.6012.691.48NANA27.1626.25090
    23210ARemoval of shoulder blade12.49NANA13.6212.661.61NANA27.7226.76090
    23220APartial removal of humerus14.56NANA14.4014.072.03NANA30.9930.66090
    23221APartial removal of humerus17.74NANA16.0816.982.51NANA36.3337.23090
    23222APartial removal of humerus23.92NANA19.7318.873.37NANA47.0246.16090
    23330ARemove shoulder foreign body1.855.354.164.633.550.187.386.196.665.58010
    23331ARemove shoulder foreign body7.38NANA8.977.341.02NANA17.3715.74090
    23332ARemove shoulder foreign body11.62NANA11.3311.141.62NANA24.5724.38090
    23350AInjection for shoulder x-ray1.009.367.160.360.410.0510.418.211.411.46000
    23395AMuscle transfer,shoulder/arm16.85NANA13.4413.102.29NANA32.5832.24090
    23397AMuscle transfers16.13NANA13.9814.282.24NANA32.3532.65090
    23400AFixation of shoulder blade13.54NANA12.9512.381.91NANA28.4027.83090
    23405AIncision of tendon & muscle8.37NANA8.938.731.12NANA18.4218.22090
    23406AIncise tendon(s) & muscle(s)10.79NANA10.8210.671.48NANA23.0922.94090
    23410ARepair of tendon(s)12.45NANA11.6911.741.72NANA25.8625.91090
    23412ARepair of tendon(s)13.31NANA12.2712.831.86NANA27.4428.00090
    23415ARelease of shoulder ligament9.97NANA9.618.611.39NANA20.9719.97090
    23420ARepair of shoulder13.30NANA13.0913.791.86NANA28.2528.95090
    23430ARepair biceps tendon9.98NANA10.449.821.40NANA21.8221.20090
    23440ARemove/transplant tendon10.48NANA10.679.951.47NANA22.6221.90090
    23450ARepair shoulder capsule13.40NANA12.4212.781.86NANA27.6828.04090
    23455ARepair shoulder capsule14.37NANA12.8813.882.01NANA29.2630.26090
    23460ARepair shoulder capsule15.37NANA13.5413.972.17NANA31.0831.51090
    23462ARepair shoulder capsule15.30NANA13.3714.132.16NANA30.8331.59090
    23465ARepair shoulder capsule15.85NANA12.3013.071.61NANA29.7630.53090
    23466ARepair shoulder capsule14.22NANA12.8013.842.00NANA29.0230.06090
    23470AReconstruct shoulder joint17.15NANA14.3815.332.40NANA33.9334.88090
    23472AReconstruct shoulder joint16.92NANA14.2915.772.37NANA33.5835.06090
    23480ARevision of collar bone11.18NANA11.1410.141.56NANA23.8822.88090
    23485ARevision of collar bone13.43NANA12.4112.391.84NANA27.6827.66090
    23490AReinforce clavicle11.86NANA10.5310.611.11NANA23.5023.58090
    23491AReinforce shoulder bones14.21NANA12.5812.882.00NANA28.7929.09090
    23500ATreat clavicle fracture2.083.553.112.372.230.265.895.454.714.57090
    23505ATreat clavicle fracture3.695.464.793.773.530.509.658.987.967.72090
    23515ATreat clavicle fracture7.41NANA7.687.641.03NANA16.1216.08090
    23520ATreat clavicle dislocation2.163.472.982.402.180.265.895.404.824.60090
    23525ATreat clavicle dislocation3.605.334.543.633.260.449.378.587.677.30090
    23530ATreat clavicle dislocation7.31NANA8.768.360.85NANA16.9216.52090
    23532ATreat clavicle dislocation8.01NANA8.088.021.13NANA17.2217.16090
    23540ATreat clavicle dislocation2.234.113.502.382.210.246.585.974.854.68090
    23545ATreat clavicle dislocation3.254.724.083.443.120.398.367.727.086.76090
    23550ATreat clavicle dislocation7.24NANA7.687.920.94NANA15.8616.10090
    23552ATreat clavicle dislocation8.45NANA8.298.201.18NANA17.9217.83090
    23570ATreat shoulder blade fx2.233.543.122.492.330.296.065.645.014.85090
    23575ATreat shoulder blade fx4.065.594.943.983.730.5310.189.538.578.32090
    23585ATreat scapula fracture8.96NANA8.828.711.25NANA19.0318.92090
    Start Printed Page 65451
    23600ATreat humerus fracture2.935.414.853.523.430.398.738.176.846.75090
    23605ATreat humerus fracture4.878.147.406.406.090.6713.6812.9411.9411.63090
    23615ATreat humerus fracture9.35NANA9.529.931.31NANA20.1820.59090
    23616ATreat humerus fracture21.27NANA15.5517.722.98NANA39.8041.97090
    23620ATreat humerus fracture2.405.124.623.262.810.327.847.345.985.53090
    23625ATreat humerus fracture3.937.076.345.325.030.5311.5310.809.789.49090
    23630ATreat humerus fracture7.35NANA7.677.951.03NANA16.0516.33090
    23650ATreat shoulder dislocation3.395.174.453.333.070.318.878.157.036.77090
    23655ATreat shoulder dislocation4.57NANA4.033.820.52NANA9.128.91090
    23660ATreat shoulder dislocation7.49NANA7.647.971.01NANA16.1416.47090
    23665ATreat dislocation/fracture4.477.396.455.595.100.6012.4611.5210.6610.17090
    23670ATreat dislocation/fracture7.90NANA8.118.441.10NANA17.1117.44090
    23675ATreat dislocation/fracture6.058.177.206.495.940.8315.0514.0813.3712.82090
    23680ATreat dislocation/fracture10.06NANA9.319.991.39NANA20.7621.44090
    23700AFixation of shoulder2.52NANA3.222.980.35NANA6.095.85010
    23800AFusion of shoulder joint14.16NANA13.5314.381.97NANA29.6630.51090
    23802AFusion of shoulder joint16.60NANA15.0115.082.34NANA33.9534.02090
    23900AAmputation of arm & girdle19.72NANA14.7314.462.47NANA36.9236.65090
    23920AAmputation at shoulder joint14.61NANA13.7414.061.92NANA30.2730.59090
    23921AAmputation follow-up surgery5.49NANA6.556.070.78NANA12.8212.34090
    23929CShoulder surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    23930ADrainage of arm lesion2.945.814.803.913.370.329.078.067.176.63010
    23931ADrainage of arm bursa1.795.384.243.372.630.217.386.245.374.63010
    23935ADrain arm/elbow bone lesion6.09NANA12.0110.280.84NANA18.9417.21090
    24000AExploratory elbow surgery5.82NANA5.686.000.77NANA12.2712.59090
    24006ARelease elbow joint9.31NANA8.128.031.27NANA18.7018.61090
    24065ABiopsy arm/elbow soft tissue2.085.404.273.202.510.147.626.495.424.73010
    24066ABiopsy arm/elbow soft tissue5.218.497.106.365.510.6114.3112.9212.1811.33090
    24075ARemove arm/elbow lesion3.927.816.405.714.820.4312.1610.7510.069.17090
    24076ARemove arm/elbow lesion6.30NANA6.806.100.70NANA13.8013.10090
    24077ARemove tumor of arm/elbow11.76NANA13.1612.531.32NANA26.2425.61090
    24100ABiopsy elbow joint lining4.93NANA5.485.260.62NANA11.0310.81090
    24101AExplore/treat elbow joint6.13NANA6.326.570.84NANA13.2913.54090
    24102ARemove elbow joint lining8.03NANA7.407.951.09NANA16.5217.07090
    24105ARemoval of elbow bursa3.61NANA4.834.650.49NANA8.938.75090
    24110ARemove humerus lesion7.39NANA9.068.880.99NANA17.4417.26090
    24115ARemove/graft bone lesion9.63NANA9.349.091.15NANA20.1219.87090
    24116ARemove/graft bone lesion11.81NANA11.1911.031.66NANA24.6624.50090
    24120ARemove elbow lesion6.65NANA6.296.350.87NANA13.8113.87090
    24125ARemove/graft bone lesion7.89NANA6.546.480.88NANA15.3115.25090
    24126ARemove/graft bone lesion8.31NANA7.077.310.90NANA16.2816.52090
    24130ARemoval of head of radius6.25NANA6.416.630.87NANA13.5313.75090
    24134ARemoval of arm bone lesion9.73NANA15.3713.891.31NANA26.4124.93090
    24136ARemove radius bone lesion7.99NANA6.527.270.85NANA15.3616.11090
    24138ARemove elbow bone lesion8.05NANA7.337.231.12NANA16.5016.40090
    24140APartial removal of arm bone9.18NANA15.6914.151.23NANA26.1024.56090
    24145APartial removal of radius7.58NANA10.259.421.01NANA18.8418.01090
    24147APartial removal of elbow7.54NANA10.309.521.04NANA18.8818.10090
    24149ARadical resection of elbow14.20NANA10.7711.511.90NANA26.8727.61090
    24150AExtensive humerus surgery13.27NANA13.7814.161.81NANA28.8629.24090
    24151AExtensive humerus surgery15.58NANA15.3415.262.19NANA33.1133.03090
    24152AExtensive radius surgery10.06NANA8.928.541.19NANA20.1719.79090
    24153AExtensive radius surgery11.54NANA7.248.260.64NANA19.4220.44090
    24155ARemoval of elbow joint11.73NANA8.759.481.42NANA21.9022.63090
    24160ARemove elbow joint implant7.83NANA7.296.781.07NANA16.1915.68090
    24164ARemove radius head implant6.23NANA6.336.250.84NANA13.4013.32090
    24200ARemoval of arm foreign body1.765.664.403.132.430.157.576.315.044.34010
    24201ARemoval of arm foreign body4.568.527.227.156.190.5613.6412.3412.2711.31090
    24220AInjection for elbow x-ray1.3110.247.820.480.500.0711.629.201.861.88000
    24301AMuscle/tendon transfer10.20NANA8.828.761.30NANA20.3220.26090
    24305AArm tendon lengthening7.45NANA7.116.170.98NANA15.5414.60090
    24310ARevision of arm tendon5.98NANA7.626.520.74NANA14.3413.24090
    24320ARepair of arm tendon10.56NANA9.869.891.00NANA21.4221.45090
    24330ARevision of arm muscles9.60NANA8.318.611.21NANA19.1219.42090
    24331ARevision of arm muscles10.65NANA8.759.171.41NANA20.8121.23090
    24340ARepair of biceps tendon7.89NANA7.197.291.08NANA16.1616.26090
    24341ARepair arm tendon/muscle7.90NANA7.257.341.08NANA16.2316.32090
    24342ARepair of ruptured tendon10.62NANA8.869.461.48NANA20.9621.56090
    24350ARepair of tennis elbow5.25NANA5.885.560.72NANA11.8511.53090
    24351ARepair of tennis elbow5.91NANA6.315.970.82NANA13.0412.70090
    24352ARepair of tennis elbow6.43NANA6.586.480.90NANA13.9113.81090
    24354ARepair of tennis elbow6.48NANA6.536.420.88NANA13.8913.78090
    24356ARevision of tennis elbow6.68NANA6.707.000.90NANA14.2814.58090
    24360AReconstruct elbow joint12.34NANA9.5910.881.69NANA23.6224.91090
    24361AReconstruct elbow joint14.08NANA10.3211.301.95NANA26.3527.33090
    24362AReconstruct elbow joint14.99NANA10.859.921.92NANA27.7626.83090
    24363AReplace elbow joint18.49NANA13.1815.402.52NANA34.1936.41090
    24365AReconstruct head of radius8.39NANA7.597.731.11NANA17.0917.23090
    24366AReconstruct head of radius9.13NANA8.008.731.28NANA18.4119.14090
    24400ARevision of humerus11.06NANA11.8711.191.53NANA24.4623.78090
    24410ARevision of humerus14.82NANA13.8114.171.89NANA30.5230.88090
    24420ARevision of humerus13.44NANA15.3714.871.82NANA30.6330.13090
    24430ARepair of humerus12.81NANA12.1212.911.80NANA26.7327.52090
    Start Printed Page 65452
    24435ARepair humerus with graft13.17NANA13.0913.751.84NANA28.1028.76090
    24470ARevision of elbow joint8.74NANA7.137.501.23NANA17.1017.47090
    24495ADecompression of forearm8.12NANA9.578.740.92NANA18.6117.78090
    24498AReinforce humerus11.92NANA11.5711.491.67NANA25.1625.08090
    24500ATreat humerus fracture3.214.994.433.253.130.418.618.056.876.75090
    24505ATreat humerus fracture5.178.657.716.676.220.7214.5413.6012.5612.11090
    24515ATreat humerus fracture11.65NANA10.7510.681.63NANA24.0323.96090
    24516ATreat humerus fracture11.65NANA11.1410.971.63NANA24.4224.25090
    24530ATreat humerus fracture3.506.035.264.714.270.4710.009.238.688.24090
    24535ATreat humerus fracture6.878.567.746.606.270.9616.3915.5714.4314.10090
    24538ATreat humerus fracture9.43NANA9.739.461.25NANA20.4120.14090
    24545ATreat humerus fracture10.46NANA9.579.881.47NANA21.5021.81090
    24546ATreat humerus fracture15.69NANA12.9812.442.18NANA30.8530.31090
    24560ATreat humerus fracture2.804.814.193.042.870.357.967.346.196.02090
    24565ATreat humerus fracture5.567.826.805.855.320.7414.1213.1012.1511.62090
    24566ATreat humerus fracture7.79NANA9.238.571.10NANA18.1217.46090
    24575ATreat humerus fracture10.66NANA7.988.101.44NANA20.0820.20090
    24576ATreat humerus fracture2.864.533.983.152.950.387.777.226.396.19090
    24577ATreat humerus fracture5.797.937.035.995.580.8114.5313.6312.5912.18090
    24579ATreat humerus fracture11.60NANA10.6710.271.62NANA23.8923.49090
    24582ATreat humerus fracture8.55NANA9.719.081.20NANA19.4618.83090
    24586ATreat elbow fracture15.21NANA10.7012.022.12NANA28.0329.35090
    24587ATreat elbow fracture15.16NANA10.4811.582.14NANA27.7828.88090
    24600ATreat elbow dislocation4.236.775.614.984.270.4911.4910.339.708.99090
    24605ATreat elbow dislocation5.42NANA4.734.170.72NANA10.8710.31090
    24615ATreat elbow dislocation9.42NANA7.538.171.31NANA18.2618.90090
    24620ATreat elbow fracture6.98NANA6.425.840.90NANA14.3013.72090
    24635ATreat elbow fracture13.19NANA15.0514.291.84NANA30.0829.32090
    24640ATreat elbow dislocation1.203.462.871.771.600.114.774.183.082.91010
    24650ATreat radius fracture2.164.453.952.802.410.286.896.395.244.85090
    24655ATreat radius fracture4.407.126.165.154.680.5812.1011.1410.139.66090
    24665ATreat radius fracture8.14NANA8.788.521.13NANA18.0517.79090
    24666ATreat radius fracture9.49NANA9.519.921.32NANA20.3220.73090
    24670ATreat ulnar fracture2.544.383.823.002.780.337.256.695.875.65090
    24675ATreat ulnar fracture4.727.276.415.364.970.6512.6411.7810.7310.34090
    24685ATreat ulnar fracture8.80NANA9.139.131.23NANA19.1619.16090
    24800AFusion of elbow joint11.20NANA9.419.931.41NANA22.0222.54090
    24802AFusion/graft of elbow joint13.69NANA11.1011.631.89NANA26.6827.21090
    24900AAmputation of upper arm9.60NANA10.6110.041.18NANA21.3920.82090
    24920AAmputation of upper arm9.54NANA11.8510.731.22NANA22.6121.49090
    24925AAmputation follow-up surgery7.07NANA8.888.360.95NANA16.9016.38090
    24930AAmputation follow-up surgery10.25NANA11.0010.471.23NANA22.4821.95090
    24931AAmputate upper arm & implant12.72NANA11.2611.481.56NANA25.5425.76090
    24935ARevision of amputation15.56NANA11.8812.631.58NANA29.0229.77090
    24940CRevision of upper arm0.000.000.000.000.000.000.000.000.000.00090
    24999CUpper arm/elbow surgery0.000.000.000.000.000.000.000.000.000.00YYY
    25000AIncision of tendon sheath3.38NANA6.595.950.45NANA10.429.78090
    25020ADecompression of forearm5.92NANA10.298.900.75NANA16.9615.57090
    25023ADecompression of forearm12.96NANA15.9013.401.50NANA30.3627.86090
    25028ADrainage of forearm lesion5.25NANA9.397.600.61NANA15.2513.46090
    25031ADrainage of forearm bursa4.14NANA9.026.950.50NANA13.6611.59090
    25035ATreat forearm bone lesion7.36NANA15.1613.080.98NANA23.5021.42090
    25040AExplore/treat wrist joint7.18NANA8.567.970.96NANA16.7016.11090
    25065ABiopsy forearm soft tissues1.992.452.042.451.940.124.564.154.564.05010
    25066ABiopsy forearm soft tissues4.13NANA7.365.940.49NANA11.9810.56090
    25075ARemoval of forearm lesion3.74NANA6.815.700.40NANA10.959.84090
    25076ARemoval of forearm lesion4.92NANA11.519.660.59NANA17.0215.17090
    25077ARemove tumor, forearm/wrist9.76NANA15.1313.651.10NANA25.9924.51090
    25085AIncision of wrist capsule5.50NANA9.888.660.71NANA16.0914.87090
    25100ABiopsy of wrist joint3.90NANA6.646.150.50NANA11.0410.55090
    25101AExplore/treat wrist joint4.69NANA7.236.820.60NANA12.5212.11090
    25105ARemove wrist joint lining5.85NANA10.059.290.77NANA16.6715.91090
    25107ARemove wrist joint cartilage6.43NANA10.239.110.82NANA17.4816.36090
    25110ARemove wrist tendon lesion3.92NANA7.726.550.48NANA12.1210.95090
    25111ARemove wrist tendon lesion3.39NANA6.015.380.42NANA9.829.19090
    25112AReremove wrist tendon lesion4.53NANA6.886.170.54NANA11.9511.24090
    25115ARemove wrist/forearm lesion8.82NANA15.4513.531.11NANA25.3823.46090
    25116ARemove wrist/forearm lesion7.11NANA14.4312.950.90NANA22.4420.96090
    25118AExcise wrist tendon sheath4.37NANA7.176.680.55NANA12.0911.60090
    25119APartial removal of ulna6.04NANA10.009.300.80NANA16.8416.14090
    25120ARemoval of forearm lesion6.10NANA13.2611.720.81NANA20.1718.63090
    25125ARemove/graft forearm lesion7.48NANA14.5212.751.02NANA23.0221.25090
    25126ARemove/graft forearm lesion7.55NANA13.9512.311.00NANA22.5020.86090
    25130ARemoval of wrist lesion5.26NANA7.506.770.66NANA13.4212.69090
    25135ARemove & graft wrist lesion6.89NANA8.297.700.89NANA16.0715.48090
    25136ARemove & graft wrist lesion5.97NANA6.386.070.58NANA12.9312.62090
    25145ARemove forearm bone lesion6.37NANA14.0012.120.82NANA21.1919.31090
    25150APartial removal of ulna7.09NANA10.9810.050.96NANA19.0318.10090
    25151APartial removal of radius7.39NANA13.7711.890.93NANA22.0920.21090
    25170AExtensive forearm surgery11.09NANA16.0614.701.52NANA28.6727.31090
    25210ARemoval of wrist bone5.95NANA8.027.340.73NANA14.7014.02090
    25215ARemoval of wrist bones7.89NANA11.1510.721.02NANA20.0619.63090
    25230APartial removal of radius5.23NANA7.447.090.66NANA13.3312.98090
    Start Printed Page 65453
    25240APartial removal of ulna5.17NANA9.618.650.69NANA15.4714.51090
    25246AInjection for wrist x-ray1.459.807.490.520.530.0711.329.012.042.05000
    25248ARemove forearm foreign body5.14NANA9.047.370.54NANA14.7213.05090
    25250ARemoval of wrist prosthesis6.60NANA8.157.640.84NANA15.5915.08090
    25251ARemoval of wrist prosthesis9.57NANA11.5510.901.15NANA22.2721.62090
    25260ARepair forearm tendon/muscle7.80NANA15.6012.950.97NANA24.3721.72090
    25263ARepair forearm tendon/muscle7.82NANA14.9512.780.94NANA23.7121.54090
    25265ARepair forearm tendon/muscle9.88NANA15.7513.971.19NANA26.8225.04090
    25270ARepair forearm tendon/muscle6.00NANA14.5211.800.76NANA21.2818.56090
    25272ARepair forearm tendon/muscle7.04NANA15.1712.310.89NANA23.1020.24090
    25274ARepair forearm tendon/muscle8.75NANA14.9613.021.11NANA24.8222.88090
    25280ARevise wrist/forearm tendon7.22NANA14.3111.880.91NANA22.4420.01090
    25290AIncise wrist/forearm tendon5.29NANA16.1812.810.66NANA22.1318.76090
    25295ARelease wrist/forearm tendon6.55NANA14.0211.340.84NANA21.4118.73090
    25300AFusion of tendons at wrist8.80NANA9.519.131.07NANA19.3819.00090
    25301AFusion of tendons at wrist8.40NANA9.298.811.08NANA18.7718.29090
    25310ATransplant forearm tendon8.14NANA14.5812.871.01NANA23.7322.02090
    25312ATransplant forearm tendon9.57NANA15.5313.721.22NANA26.3224.51090
    25315ARevise palsy hand tendon(s)10.20NANA16.3014.411.26NANA27.7625.87090
    25316ARevise palsy hand tendon(s)12.33NANA17.1315.721.74NANA31.2029.79090
    25320ARepair/revise wrist joint10.77NANA10.6810.341.32NANA22.7722.43090
    25332ARevise wrist joint11.41NANA11.1711.091.46NANA24.0423.96090
    25335ARealignment of hand12.88NANA13.3413.101.66NANA27.8827.64090
    25337AReconstruct ulna/radioulnar10.17NANA12.3711.611.31NANA23.8523.09090
    25350ARevision of radius8.78NANA14.8213.181.17NANA24.7723.13090
    25355ARevision of radius10.17NANA15.9014.401.44NANA27.5126.01090
    25360ARevision of ulna8.43NANA14.9712.971.17NANA24.5722.57090
    25365ARevise radius & ulna12.40NANA16.3015.021.67NANA30.3729.09090
    25370ARevise radius or ulna13.36NANA17.8016.541.88NANA33.0431.78090
    25375ARevise radius & ulna13.04NANA17.6216.851.84NANA32.5031.73090
    25390AShorten radius or ulna10.40NANA15.8814.301.38NANA27.6626.08090
    25391ALengthen radius or ulna13.65NANA17.1915.951.73NANA32.5731.33090
    25392AShorten radius & ulna13.95NANA16.6015.831.73NANA32.2831.51090
    25393ALengthen radius & ulna15.87NANA16.7616.431.87NANA34.5034.17090
    25400ARepair radius or ulna10.92NANA16.0714.981.50NANA28.4927.40090
    25405ARepair/graft radius or ulna14.38NANA18.3517.131.95NANA34.6833.46090
    25415ARepair radius & ulna13.35NANA17.4516.191.87NANA32.6731.41090
    25420ARepair/graft radius & ulna16.33NANA19.2318.412.20NANA37.7636.94090
    25425ARepair/graft radius or ulna13.21NANA24.2821.471.61NANA39.1036.29090
    25426ARepair/graft radius & ulna15.82NANA19.5017.812.23NANA37.5535.86090
    25440ARepair/graft wrist bone10.44NANA10.4210.271.41NANA22.2722.12090
    25441AReconstruct wrist joint12.90NANA11.5111.721.83NANA26.2426.45090
    25442AReconstruct wrist joint10.85NANA10.579.841.24NANA22.6621.93090
    25443AReconstruct wrist joint10.39NANA14.2913.261.30NANA25.9824.95090
    25444AReconstruct wrist joint11.15NANA12.3211.991.43NANA24.9024.57090
    25445AReconstruct wrist joint9.69NANA12.3312.061.26NANA23.2823.01090
    25446AWrist replacement16.55NANA13.8515.332.20NANA32.6034.08090
    25447ARepair wrist joint(s)10.37NANA10.4210.431.34NANA22.1322.14090
    25449ARemove wrist joint implant14.49NANA14.6013.081.77NANA30.8629.34090
    25450ARevision of wrist joint7.87NANA11.6210.700.88NANA20.3719.45090
    25455ARevision of wrist joint9.49NANA11.1610.731.07NANA21.7221.29090
    25490AReinforce radius9.54NANA14.9213.551.19NANA25.6524.28090
    25491AReinforce ulna9.96NANA15.3914.011.41NANA26.7625.38090
    25492AReinforce radius and ulna12.33NANA14.1113.621.62NANA28.0627.57090
    25500ATreat fracture of radius2.454.183.772.862.460.286.916.505.595.19090
    25505ATreat fracture of radius5.217.496.595.565.140.6913.3912.4911.4611.04090
    25515ATreat fracture of radius9.18NANA9.228.991.22NANA19.6219.39090
    25520ATreat fracture of radius6.267.817.426.246.240.8514.9214.5313.3513.35090
    25525ATreat fracture of radius12.24NANA10.9611.251.68NANA24.8825.17090
    25526ATreat fracture of radius12.98NANA14.1513.831.80NANA28.9328.61090
    25530ATreat fracture of ulna2.094.093.732.782.400.276.456.095.144.76090
    25535ATreat fracture of ulna5.147.496.595.515.100.6813.3112.4111.3310.92090
    25545ATreat fracture of ulna8.90NANA9.208.961.23NANA19.3319.09090
    25560ATreat fracture radius & ulna2.444.193.762.852.750.276.906.475.565.46090
    25565ATreat fracture radius & ulna5.637.767.095.775.590.7614.1513.4812.1611.98090
    25574ATreat fracture radius & ulna7.01NANA8.108.170.96NANA16.0716.14090
    25575ATreat fracture radius/ulna10.45NANA10.0710.461.46NANA21.9822.37090
    25600ATreat fracture radius/ulna2.634.414.082.992.630.347.387.055.965.60090
    25605ATreat fracture radius/ulna5.817.937.025.965.540.8114.5513.6412.5812.16090
    25611ATreat fracture radius/ulna7.77NANA9.268.581.08NANA18.1117.43090
    25620ATreat fracture radius/ulna8.55NANA9.018.691.17NANA18.7318.41090
    25622ATreat wrist bone fracture2.614.383.902.982.550.337.326.845.925.49090
    25624ATreat wrist bone fracture4.537.146.355.224.410.6112.2811.4910.369.55090
    25628ATreat wrist bone fracture8.43NANA9.068.731.14NANA18.6318.30090
    25630ATreat wrist bone fracture2.884.533.993.072.600.377.787.246.325.85090
    25635ATreat wrist bone fracture4.397.186.304.163.580.3911.9611.088.948.36090
    25645ATreat wrist bone fracture7.25NANA8.978.540.93NANA17.1516.72090
    25650ATreat wrist bone fracture3.054.624.193.122.700.378.047.616.546.12090
    25660ATreat wrist dislocation4.76NANA5.364.520.59NANA10.719.87090
    25670ATreat wrist dislocation7.92NANA8.858.561.07NANA17.8417.55090
    25675ATreat wrist dislocation4.677.165.995.154.480.5712.4011.2310.399.72090
    25676ATreat wrist dislocation8.04NANA8.918.671.10NANA18.0517.81090
    25680ATreat wrist fracture5.99NANA6.395.460.61NANA12.9912.06090
    Start Printed Page 65454
    25685ATreat wrist fracture9.78NANA9.549.541.25NANA20.5720.57090
    25690ATreat wrist dislocation5.50NANA6.866.470.78NANA13.1412.75090
    25695ATreat wrist dislocation8.34NANA8.848.541.07NANA18.2517.95090
    25800AFusion of wrist joint9.76NANA10.0010.421.30NANA21.0621.48090
    25805AFusion/graft of wrist joint11.28NANA10.9511.581.51NANA23.7424.37090
    25810AFusion/graft of wrist joint10.57NANA10.4711.011.37NANA22.4122.95090
    25820AFusion of hand bones7.45NANA8.818.830.96NANA17.2217.24090
    25825AFuse hand bones with graft9.27NANA9.8210.131.20NANA20.2920.60090
    25830AFusion, radioulnar jnt/ulna10.06NANA14.9213.521.27NANA26.2524.85090
    25900AAmputation of forearm9.01NANA13.2711.871.08NANA23.3621.96090
    25905AAmputation of forearm9.12NANA15.1113.261.06NANA25.2923.44090
    25907AAmputation follow-up surgery7.80NANA13.2011.461.01NANA22.0120.27090
    25909AAmputation follow-up surgery8.96NANA15.1512.871.07NANA25.1822.90090
    25915AAmputation of forearm17.08NANA20.2119.452.41NANA39.7038.94090
    25920AAmputate hand at wrist8.68NANA9.288.861.06NANA19.0218.60090
    25922AAmputate hand at wrist7.42NANA9.148.360.93NANA17.4916.71090
    25924AAmputation follow-up surgery8.46NANA9.228.951.07NANA18.7518.48090
    25927AAmputation of hand8.80NANA13.4611.801.02NANA23.2821.62090
    25929AAmputation follow-up surgery7.59NANA7.056.570.89NANA15.5315.05090
    25931AAmputation follow-up surgery7.81NANA13.9411.690.88NANA22.6320.38090
    25999CForearm or wrist surgery0.000.000.000.000.000.000.000.000.000.00YYY
    26010ADrainage of finger abscess1.544.863.783.482.680.146.545.465.164.36010
    26011ADrainage of finger abscess2.196.805.525.694.690.259.247.968.137.13010
    26020ADrain hand tendon sheath4.67NANA11.559.670.59NANA16.8114.93090
    26025ADrainage of palm bursa4.82NANA11.7110.010.60NANA17.1315.43090
    26030ADrainage of palm bursa(s)5.93NANA12.1410.660.72NANA18.7917.31090
    26034ATreat hand bone lesion6.23NANA13.3511.160.79NANA20.3718.18090
    26035ADecompress fingers/hand9.51NANA15.3012.881.12NANA25.9323.51090
    26037ADecompress fingers/hand7.25NANA11.7610.550.87NANA19.8818.67090
    26040ARelease palm contracture3.33NANA11.199.170.45NANA14.9712.95090
    26045ARelease palm contracture5.56NANA12.3710.590.74NANA18.6716.89090
    26055AIncise finger tendon sheath2.697.046.176.765.960.3610.099.229.819.01090
    26060AIncision of finger tendon2.81NANA6.665.300.35NANA9.828.46090
    26070AExplore/treat hand joint3.69NANA10.228.040.35NANA14.2612.08090
    26075AExplore/treat finger joint3.79NANA10.829.140.40NANA15.0113.33090
    26080AExplore/treat finger joint4.24NANA11.599.550.52NANA16.3514.31090
    26100ABiopsy hand joint lining3.67NANA7.396.350.45NANA11.5110.47090
    26105ABiopsy finger joint lining3.71NANA10.689.140.45NANA14.8413.30090
    26110ABiopsy finger joint lining3.53NANA10.698.810.44NANA14.6612.78090
    26115ARemoval of hand lesion3.867.215.957.215.950.4811.5510.2911.5510.29090
    26116ARemoval of hand lesion5.53NANA12.2610.200.69NANA18.4816.42090
    26117ARemove tumor, hand/finger8.55NANA14.4112.181.01NANA23.9721.74090
    26121ARelease palm contracture7.54NANA14.2312.920.94NANA22.7121.40090
    26123ARelease palm contracture9.29NANA15.2213.891.17NANA25.6824.35090
    26125ARelease palm contracture4.61NANA2.572.640.57NANA7.757.82ZZZ
    26130ARemove wrist joint lining5.42NANA14.7712.440.65NANA20.8418.51090
    26135ARevise finger joint, each6.96NANA15.4812.930.87NANA23.3120.76090
    26140ARevise finger joint, each6.17NANA14.4112.000.76NANA21.3418.93090
    26145ATendon excision, palm/finger6.32NANA14.3312.030.77NANA21.4219.12090
    26160ARemove tendon sheath lesion3.157.206.036.965.850.3910.749.5710.509.39090
    26170ARemoval of palm tendon, each4.77NANA7.976.750.60NANA13.3412.12090
    26180ARemoval of finger tendon5.18NANA7.836.960.64NANA13.6512.78090
    26185ARemove finger bone5.25NANA8.357.410.67NANA14.2713.33090
    26200ARemove hand bone lesion5.51NANA12.3910.510.71NANA18.6116.73090
    26205ARemove/graft bone lesion7.70NANA14.0312.260.95NANA22.6820.91090
    26210ARemoval of finger lesion5.15NANA12.9410.760.64NANA18.7316.55090
    26215ARemove/graft finger lesion7.10NANA13.3511.520.77NANA21.2219.39090
    26230APartial removal of hand bone6.33NANA11.8110.010.84NANA18.9817.18090
    26235APartial removal, finger bone6.19NANA11.459.720.78NANA18.4216.69090
    26236APartial removal, finger bone5.32NANA11.299.520.66NANA17.2715.50090
    26250AExtensive hand surgery7.55NANA15.9313.580.92NANA24.4022.05090
    26255AExtensive hand surgery12.43NANA16.8615.071.05NANA30.3428.55090
    26260AExtensive finger surgery7.03NANA15.7613.380.83NANA23.6221.24090
    26261AExtensive finger surgery9.09NANA16.9014.770.84NANA26.8324.70090
    26262APartial removal of finger5.67NANA12.8010.890.70NANA19.1717.26090
    26320ARemoval of implant from hand3.98NANA11.749.770.49NANA16.2114.24090
    26350ARepair finger/hand tendon5.99NANA18.0115.070.73NANA24.7321.79090
    26352ARepair/graft hand tendon7.68NANA17.4814.900.93NANA26.0923.51090
    26356ARepair finger/hand tendon8.07NANA19.3716.480.99NANA28.4325.54090
    26357ARepair finger/hand tendon8.58NANA18.8215.901.02NANA28.4225.50090
    26358ARepair/graft hand tendon9.14NANA18.5615.931.07NANA28.7726.14090
    26370ARepair finger/hand tendon7.11NANA18.6515.810.90NANA26.6623.82090
    26372ARepair/graft hand tendon8.76NANA18.7715.811.06NANA28.5925.63090
    26373ARepair finger/hand tendon8.16NANA21.2217.770.98NANA30.3626.91090
    26390ARevise hand/finger tendon9.19NANA14.4913.031.09NANA24.7723.31090
    26392ARepair/graft hand tendon10.26NANA19.8017.191.26NANA31.3228.71090
    26410ARepair hand tendon4.63NANA14.5011.770.57NANA19.7016.97090
    26412ARepair/graft hand tendon6.31NANA14.9612.850.80NANA22.0719.96090
    26415AExcision, hand/finger tendon8.34NANA14.5112.720.77NANA23.6221.83090
    26416AGraft hand or finger tendon9.37NANA15.8714.251.20NANA26.4424.82090
    26418ARepair finger tendon4.25NANA14.1611.590.50NANA18.9116.34090
    26420ARepair/graft finger tendon6.77NANA15.6813.300.83NANA23.2820.90090
    26426ARepair finger/hand tendon6.15NANA15.0513.000.77NANA21.9719.92090
    Start Printed Page 65455
    26428ARepair/graft finger tendon7.21NANA15.6013.190.84NANA23.6521.24090
    26432ARepair finger tendon4.02NANA11.018.690.48NANA15.5113.19090
    26433ARepair finger tendon4.56NANA12.6610.570.56NANA17.7815.69090
    26434ARepair/graft finger tendon6.09NANA12.0910.410.71NANA18.8917.21090
    26437ARealignment of tendons5.82NANA12.5210.490.74NANA19.0817.05090
    26440ARelease palm/finger tendon5.02NANA16.0913.040.62NANA21.7318.68090
    26442ARelease palm & finger tendon8.16NANA18.2814.630.94NANA27.3823.73090
    26445ARelease hand/finger tendon4.31NANA15.9612.850.54NANA20.8117.70090
    26449ARelease forearm/hand tendon7.00NANA16.7214.050.84NANA24.5621.89090
    26450AIncision of palm tendon3.67NANA7.266.060.46NANA11.3910.19090
    26455AIncision of finger tendon3.64NANA7.526.150.47NANA11.6310.26090
    26460AIncise hand/finger tendon3.46NANA7.095.790.44NANA10.999.69090
    26471AFusion of finger tendons5.73NANA12.4810.490.73NANA18.9416.95090
    26474AFusion of finger tendons5.32NANA12.8210.870.69NANA18.8316.88090
    26476ATendon lengthening5.18NANA12.7810.370.62NANA18.5816.17090
    26477ATendon shortening5.15NANA12.2410.260.60NANA17.9916.01090
    26478ALengthening of hand tendon5.80NANA12.5910.610.77NANA19.1617.18090
    26479AShortening of hand tendon5.74NANA12.8211.050.76NANA19.3217.55090
    26480ATransplant hand tendon6.69NANA17.2114.680.84NANA24.7422.21090
    26483ATransplant/graft hand tendon8.29NANA18.0415.841.03NANA27.3625.16090
    26485ATransplant palm tendon7.70NANA17.1214.600.94NANA25.7623.24090
    26489ATransplant/graft palm tendon9.55NANA16.5713.350.98NANA27.1023.88090
    26490ARevise thumb tendon8.41NANA13.7812.451.05NANA23.2421.91090
    26492ATendon transfer with graft9.62NANA14.8913.541.19NANA25.7024.35090
    26494AHand tendon/muscle transfer8.47NANA14.2112.631.13NANA23.8122.23090
    26496ARevise thumb tendon9.59NANA14.1713.001.17NANA24.9323.76090
    26497AFinger tendon transfer9.57NANA14.4313.001.17NANA25.1723.74090
    26498AFinger tendon transfer14.00NANA16.7215.741.74NANA32.4631.48090
    26499ARevision of finger8.98NANA15.7313.900.94NANA25.6523.82090
    26500AHand tendon reconstruction5.96NANA13.2210.860.66NANA19.8417.48090
    26502AHand tendon reconstruction7.14NANA14.3412.190.87NANA22.3520.20090
    26504AHand tendon reconstruction7.47NANA9.929.260.84NANA18.2317.57090
    26508ARelease thumb contracture6.01NANA13.1210.970.76NANA19.8917.74090
    26510AThumb tendon transfer5.43NANA12.5210.520.71NANA18.6616.66090
    26516AFusion of knuckle joint7.15NANA13.2611.070.90NANA21.3119.12090
    26517AFusion of knuckle joints8.83NANA13.6312.140.96NANA23.4221.93090
    26518AFusion of knuckle joints9.02NANA13.3311.771.13NANA23.4821.92090
    26520ARelease knuckle contracture5.30NANA16.3713.490.65NANA22.3219.44090
    26525ARelease finger contracture5.33NANA16.7613.560.66NANA22.7519.55090
    26530ARevise knuckle joint6.69NANA16.9214.090.86NANA24.4721.64090
    26531ARevise knuckle with implant7.91NANA17.3414.811.01NANA26.2623.73090
    26535ARevise finger joint5.24NANA9.178.190.66NANA15.0714.09090
    26536ARevise/implant finger joint6.37NANA16.0113.910.80NANA23.1821.08090
    26540ARepair hand joint6.43NANA13.4111.860.81NANA20.6519.10090
    26541ARepair hand joint with graft8.62NANA14.7813.511.12NANA24.5223.25090
    26542ARepair hand joint with graft6.78NANA12.8211.150.87NANA20.4718.80090
    26545AReconstruct finger joint6.92NANA14.0511.970.79NANA21.7619.68090
    26546ARepair nonunion hand8.92NANA14.0612.751.14NANA24.1222.81090
    26548AReconstruct finger joint8.03NANA14.2312.240.98NANA23.2421.25090
    26550AConstruct thumb replacement21.24NANA19.6220.091.80NANA42.6643.13090
    26551AGreat toe-hand transfer46.58NANA28.6132.926.57NANA81.7686.07090
    26553ASingle transfer, toe-hand46.27NANA28.3332.631.99NANA76.5980.89090
    26554ADouble transfer, toe-hand54.95NANA33.9039.017.76NANA96.61101.72090
    26555APositional change of finger16.63NANA22.4120.992.13NANA41.1739.75090
    26556AToe joint transfer47.26NANA28.8833.246.67NANA82.8187.17090
    26560ARepair of web finger5.38NANA13.0111.020.60NANA18.9917.00090
    26561ARepair of web finger10.92NANA13.5012.540.69NANA25.1124.15090
    26562ARepair of web finger9.68NANA9.6010.090.98NANA20.2620.75090
    26565ACorrect metacarpal flaw6.74NANA13.1611.450.84NANA20.7419.03090
    26567ACorrect finger deformity6.82NANA13.0510.950.84NANA20.7118.61090
    26568ALengthen metacarpal/finger9.08NANA17.5815.481.10NANA27.7625.66090
    26580ARepair hand deformity18.18NANA16.6517.071.46NANA36.2936.71090
    26585ARepair finger deformity14.05NANA14.4914.381.08NANA29.6229.51090
    26587CReconstruct extra finger0.000.000.000.000.000.000.000.000.000.00090
    26590ARepair finger deformity17.96NANA13.9514.981.32NANA33.2334.26090
    26591ARepair muscles of hand3.25NANA12.5810.060.37NANA16.2013.68090
    26593ARelease muscles of hand5.31NANA11.769.940.64NANA17.7115.89090
    26596AExcision constricting tissue8.95NANA9.039.010.87NANA18.8518.83090
    26597ARelease of scar contracture9.82NANA15.2913.641.20NANA26.3124.66090
    26600ATreat metacarpal fracture1.964.043.452.722.250.256.255.664.934.46090
    26605ATreat metacarpal fracture2.855.804.974.193.460.389.038.207.426.69090
    26607ATreat metacarpal fracture5.36NANA7.896.880.70NANA13.9512.94090
    26608ATreat metacarpal fracture5.36NANA8.036.990.73NANA14.1213.08090
    26615ATreat metacarpal fracture5.33NANA7.667.070.70NANA13.6913.10090
    26641ATreat thumb dislocation3.946.595.244.793.890.4210.959.609.158.25090
    26645ATreat thumb fracture4.416.995.845.114.430.5411.9410.7910.069.38090
    26650ATreat thumb fracture5.72NANA8.207.240.77NANA14.6913.73090
    26665ATreat thumb fracture7.60NANA8.628.200.97NANA17.1916.77090
    26670ATreat hand dislocation3.696.174.894.663.760.3610.228.948.717.81090
    26675ATreat hand dislocation4.645.735.484.424.490.5610.9310.689.629.69090
    26676APin hand dislocation5.52NANA8.107.390.76NANA14.3813.67090
    26685ATreat hand dislocation6.98NANA8.237.740.95NANA16.1615.67090
    26686ATreat hand dislocation7.94NANA9.088.521.05NANA18.0717.51090
    Start Printed Page 65456
    26700ATreat knuckle dislocation3.694.733.792.812.350.358.777.836.856.39090
    26705ATreat knuckle dislocation4.195.904.914.063.530.5010.599.608.758.22090
    26706APin knuckle dislocation5.12NANA5.475.370.64NANA11.2311.13090
    26715ATreat knuckle dislocation5.74NANA7.796.960.75NANA14.2813.45090
    26720ATreat finger fracture, each1.662.822.411.571.330.204.684.273.433.19090
    26725ATreat finger fracture, each3.334.814.033.022.480.438.577.796.786.24090
    26727ATreat finger fracture, each5.23NANA8.216.820.69NANA14.1312.74090
    26735ATreat finger fracture, each5.98NANA8.117.100.77NANA14.8613.85090
    26740ATreat finger fracture, each1.943.512.952.401.960.245.695.134.584.14090
    26742ATreat finger fracture, each3.857.015.805.084.350.4911.3510.149.428.69090
    26746ATreat finger fracture, each5.81NANA8.207.440.74NANA14.7513.99090
    26750ATreat finger fracture, each1.703.352.742.211.880.195.244.634.103.77090
    26755ATreat finger fracture, each3.104.693.812.882.450.378.167.286.355.92090
    26756APin finger fracture, each4.39NANA8.026.530.56NANA12.9711.48090
    26765ATreat finger fracture, each4.17NANA7.176.100.51NANA11.8510.78090
    26770ATreat finger dislocation3.024.473.562.542.110.277.766.855.835.40090
    26775ATreat finger dislocation3.715.764.633.733.110.439.908.777.877.25090
    26776APin finger dislocation4.80NANA8.166.690.63NANA13.5912.12090
    26785ATreat finger dislocation4.21NANA7.146.160.54NANA11.8910.91090
    26820AThumb fusion with graft8.26NANA14.6212.771.11NANA23.9922.14090
    26841AFusion of thumb7.13NANA13.5511.840.97NANA21.6519.94090
    26842AThumb fusion with graft8.24NANA14.3013.051.10NANA23.6422.39090
    26843AFusion of hand joint7.61NANA13.4711.830.99NANA22.0720.43090
    26844AFusion/graft of hand joint8.73NANA13.9212.441.12NANA23.7722.29090
    26850AFusion of knuckle6.97NANA12.9510.970.89NANA20.8118.83090
    26852AFusion of knuckle with graft8.46NANA13.8511.941.05NANA23.3621.45090
    26860AFusion of finger joint4.69NANA11.9110.100.60NANA17.2015.39090
    26861AFusion of finger jnt, add-on1.74NANA0.971.250.22NANA2.933.21ZZZ
    26862AFusion/graft of finger joint7.37NANA13.4711.500.92NANA21.7619.79090
    26863AFuse/graft added joint3.90NANA2.202.570.51NANA6.616.98ZZZ
    26910AAmputate metacarpal bone7.60NANA13.0911.220.90NANA21.5919.72090
    26951AAmputation of finger/thumb4.59NANA11.699.550.56NANA16.8414.70090
    26952AAmputation of finger/thumb6.31NANA13.0010.840.74NANA20.0517.89090
    26989CHand/finger surgery0.000.000.000.000.000.000.000.000.000.00YYY
    26990ADrainage of pelvis lesion7.48NANA14.6411.820.92NANA23.0420.22090
    26991ADrainage of pelvis bursa6.6810.238.169.127.330.8517.7615.6916.6514.86090
    26992ADrainage of bone lesion13.02NANA18.4215.551.75NANA33.1930.32090
    27000AIncision of hip tendon5.62NANA6.945.710.76NANA13.3212.09090
    27001AIncision of hip tendon6.94NANA7.786.470.95NANA15.6714.36090
    27003AIncision of hip tendon7.34NANA8.478.190.93NANA16.7416.46090
    27005AIncision of hip tendon9.66NANA9.898.331.36NANA20.9119.35090
    27006AIncision of hip tendons9.68NANA9.828.631.33NANA20.8319.64090
    27025AIncision of hip/thigh fascia11.16NANA9.718.941.38NANA22.2521.48090
    27030ADrainage of hip joint13.01NANA11.7411.901.81NANA26.5626.72090
    27033AExploration of hip joint13.39NANA11.9112.061.87NANA27.1727.32090
    27035ADenervation of hip joint16.69NANA15.5814.901.70NANA33.9733.29090
    27036AExcision of hip joint/muscle12.88NANA13.1112.941.80NANA27.7927.62090
    27040ABiopsy of soft tissues2.875.794.543.672.950.218.877.626.756.03010
    27041ABiopsy of soft tissues9.89NANA8.236.901.01NANA19.1317.80090
    27047ARemove hip/pelvis lesion7.459.267.466.905.690.7917.5015.7015.1413.93090
    27048ARemove hip/pelvis lesion6.25NANA7.616.880.73NANA14.5913.86090
    27049ARemove tumor, hip/pelvis13.66NANA12.8312.371.60NANA28.0927.63090
    27050ABiopsy of sacroiliac joint4.36NANA6.476.150.53NANA11.3611.04090
    27052ABiopsy of hip joint6.23NANA7.707.630.85NANA14.7814.71090
    27054ARemoval of hip joint lining8.54NANA10.0010.051.17NANA19.7119.76090
    27060ARemoval of ischial bursa5.43NANA7.516.700.60NANA13.5412.73090
    27062ARemove femur lesion/bursa5.37NANA6.766.220.74NANA12.8712.33090
    27065ARemoval of hip bone lesion5.90NANA8.007.520.76NANA14.6614.18090
    27066ARemoval of hip bone lesion10.33NANA11.5910.841.42NANA23.3422.59090
    27067ARemove/graft hip bone lesion13.83NANA13.5713.331.95NANA29.3529.11090
    27070APartial removal of hip bone10.72NANA15.9814.001.36NANA28.0626.08090
    27071APartial removal of hip bone11.46NANA17.0015.061.51NANA29.9728.03090
    27075AExtensive hip surgery17.23NANA16.3615.942.22NANA35.8135.39090
    27076AExtensive hip surgery22.12NANA19.4519.032.86NANA44.4344.01090
    27077AExtensive hip surgery23.13NANA18.6719.153.18NANA44.9845.46090
    27078AExtensive hip surgery13.44NANA14.3113.231.67NANA29.4228.34090
    27079AExtensive hip surgery13.75NANA14.2113.001.86NANA29.8228.61090
    27080ARemoval of tail bone6.39NANA7.576.980.80NANA14.7614.17090
    27086ARemove hip foreign body1.875.063.953.762.900.177.105.995.804.94010
    27087ARemove hip foreign body8.54NANA8.407.281.09NANA18.0316.91090
    27090ARemoval of hip prosthesis11.15NANA10.6410.451.55NANA23.3423.15090
    27091ARemoval of hip prosthesis22.14NANA16.7417.933.11NANA41.9943.18090
    27093AInjection for hip x-ray1.3011.518.860.510.610.0912.9010.251.902.00000
    27095AInjection for hip x-ray1.509.747.560.530.650.1011.349.162.132.25000
    27096AInject sacroiliac joint1.4011.0811.080.540.540.0812.5612.562.022.02000
    27097ARevision of hip tendon8.80NANA9.299.061.22NANA19.3119.08090
    27098ATransfer tendon to pelvis8.83NANA9.469.191.24NANA19.5319.26090
    27100ATransfer of abdominal muscle11.08NANA11.7210.871.57NANA24.3723.52090
    27105ATransfer of spinal muscle11.77NANA11.7310.401.66NANA25.1623.83090
    27110ATransfer of iliopsoas muscle13.26NANA11.1411.231.38NANA25.7825.87090
    27111ATransfer of iliopsoas muscle12.15NANA10.6811.171.48NANA24.3124.80090
    27120AReconstruction of hip socket18.01NANA13.9515.372.45NANA34.4135.83090
    27122AReconstruction of hip socket14.98NANA13.5014.602.08NANA30.5631.66090
    Start Printed Page 65457
    27125APartial hip replacement14.69NANA13.1414.242.05NANA29.8830.98090
    27130ATotal hip replacement20.12NANA16.2618.202.82NANA39.2041.14090
    27132ATotal hip replacement23.30NANA18.0720.513.26NANA44.6347.07090
    27134ARevise hip joint replacement28.52NANA20.7924.103.97NANA53.2856.59090
    27137ARevise hip joint replacement21.17NANA16.9219.012.97NANA41.0643.15090
    27138ARevise hip joint replacement22.17NANA17.4919.693.11NANA42.7744.97090
    27140ATransplant femur ridge12.24NANA11.3211.491.67NANA25.2325.40090
    27146AIncision of hip bone17.43NANA15.0514.242.27NANA34.7533.94090
    27147ARevision of hip bone20.58NANA16.9817.342.61NANA40.1740.53090
    27151AIncision of hip bones22.51NANA18.7118.843.12NANA44.3444.47090
    27156ARevision of hip bones24.63NANA19.6319.693.48NANA47.7447.80090
    27158ARevision of pelvis19.74NANA17.1116.752.60NANA39.4539.09090
    27161AIncision of neck of femur16.71NANA13.7114.172.32NANA32.7433.20090
    27165AIncision/fixation of femur17.91NANA14.2715.252.51NANA34.6935.67090
    27170ARepair/graft femur head/neck16.07NANA13.3614.472.20NANA31.6332.74090
    27175ATreat slipped epiphysis8.46NANA6.935.521.19NANA16.5815.17090
    27176ATreat slipped epiphysis12.05NANA9.7410.131.68NANA23.4723.86090
    27177ATreat slipped epiphysis15.08NANA11.2711.822.11NANA28.4629.01090
    27178ATreat slipped epiphysis11.99NANA9.289.801.68NANA22.9523.47090
    27179ARevise head/neck of femur12.98NANA9.6210.241.84NANA24.4425.06090
    27181ATreat slipped epiphysis14.68NANA10.4411.401.74NANA26.8627.82090
    27185ARevision of femur epiphysis9.18NANA9.668.001.29NANA20.1318.47090
    27187AReinforce hip bones13.54NANA12.7413.601.89NANA28.1729.03090
    27193ATreat pelvic ring fracture5.566.965.885.224.570.7713.2912.2111.5510.90090
    27194ATreat pelvic ring fracture9.659.137.917.476.661.3220.1018.8818.4417.63090
    27200ATreat tail bone fracture1.842.862.551.701.680.224.924.613.763.74090
    27202ATreat tail bone fracture7.04NANA18.6715.670.69NANA26.4023.40090
    27215ATreat pelvic fracture(s)10.05NANA9.8610.401.37NANA21.2821.82090
    27216ATreat pelvic ring fracture15.19NANA14.7112.202.15NANA32.0529.54090
    27217ATreat pelvic ring fracture14.11NANA12.2013.101.95NANA28.2629.16090
    27218ATreat pelvic ring fracture20.15NANA15.7315.752.85NANA38.7338.75090
    27220ATreat hip socket fracture6.187.306.635.565.330.8514.3313.6612.5912.36090
    27222ATreat hip socket fracture12.70NANA9.859.121.77NANA24.3223.59090
    27226ATreat hip wall fracture14.91NANA12.7113.822.07NANA29.6930.80090
    27227ATreat hip fracture(s)23.45NANA16.8517.983.24NANA43.5444.67090
    27228ATreat hip fracture(s)27.16NANA19.0519.703.77NANA49.9850.63090
    27230ATreat thigh fracture5.507.286.365.835.270.7313.5112.5912.0611.50090
    27232ATreat thigh fracture10.68NANA8.819.051.45NANA20.9421.18090
    27235ATreat thigh fracture12.16NANA10.5811.571.71NANA24.4525.44090
    27236ATreat thigh fracture15.60NANA12.3013.812.18NANA30.0831.59090
    27238ATreat thigh fracture5.52NANA5.915.770.76NANA12.1912.05090
    27240ATreat thigh fracture12.50NANA9.8410.011.69NANA24.0324.20090
    27244ATreat thigh fracture15.94NANA12.5413.832.23NANA30.7132.00090
    27245ATreat thigh fracture20.31NANA15.0015.672.85NANA38.1638.83090
    27246ATreat thigh fracture4.716.936.255.515.180.6612.3011.6210.8810.55090
    27248ATreat thigh fracture10.45NANA9.5010.251.45NANA21.4022.15090
    27250ATreat hip dislocation6.95NANA6.025.380.68NANA13.6513.01090
    27252ATreat hip dislocation10.39NANA7.887.091.37NANA19.6418.85090
    27253ATreat hip dislocation12.92NANA10.5011.441.81NANA25.2326.17090
    27254ATreat hip dislocation18.26NANA13.6813.922.52NANA34.4634.70090
    27256ATreat hip dislocation4.12NANA4.143.620.49NANA8.758.23010
    27257ATreat hip dislocation5.22NANA4.514.640.56NANA10.2910.42010
    27258ATreat hip dislocation15.43NANA12.9913.472.06NANA30.4830.96090
    27259ATreat hip dislocation21.55NANA16.9217.362.99NANA41.4641.90090
    27265ATreat hip dislocation5.05NANA5.625.150.65NANA11.3210.85090
    27266ATreat hip dislocation7.49NANA7.046.491.04NANA15.5715.02090
    27275AManipulation of hip joint2.27NANA3.302.990.31NANA5.885.57010
    27280AFusion of sacroiliac joint13.39NANA13.4712.831.98NANA28.8428.20090
    27282AFusion of pubic bones11.34NANA12.1811.581.14NANA24.6624.06090
    27284AFusion of hip joint16.76NANA14.5114.822.36NANA33.6333.94090
    27286AFusion of hip joint16.79NANA14.5315.022.37NANA33.6934.18090
    27290AAmputation of leg at hip23.28NANA16.7319.442.94NANA42.9545.66090
    27295AAmputation of leg at hip18.65NANA13.8714.892.35NANA34.8735.89090
    27299CPelvis/hip joint surgery0.000.000.000.000.000.000.000.000.000.00YYY
    27301ADrain thigh/knee lesion6.4915.1812.0513.6510.910.8022.4719.3420.9418.20090
    27303ADrainage of bone lesion8.28NANA13.6211.811.14NANA23.0421.23090
    27305AIncise thigh tendon & fascia5.92NANA8.757.590.77NANA15.4414.28090
    27306AIncision of thigh tendon4.62NANA7.025.810.62NANA12.2611.05090
    27307AIncision of thigh tendons5.80NANA7.666.560.78NANA14.2413.14090
    27310AExploration of knee joint9.27NANA9.479.711.29NANA20.0320.27090
    27315APartial removal, thigh nerve6.97NANA4.594.900.79NANA12.3512.66090
    27320APartial removal, thigh nerve6.30NANA4.324.650.78NANA11.4011.73090
    27323ABiopsy, thigh soft tissues2.285.634.473.292.590.178.086.925.745.04010
    27324ABiopsy, thigh soft tissues4.90NANA6.485.570.59NANA11.9711.06090
    27327ARemoval of thigh lesion4.478.146.736.165.240.5013.1111.7011.1310.21090
    27328ARemoval of thigh lesion5.57NANA6.746.160.66NANA12.9712.39090
    27329ARemove tumor, thigh/knee14.14NANA13.7513.491.68NANA29.5729.31090
    27330ABiopsy, knee joint lining4.97NANA5.945.940.66NANA11.5711.57090
    27331AExplore/treat knee joint5.88NANA7.007.010.81NANA13.6913.70090
    27332ARemoval of knee cartilage8.27NANA8.358.731.15NANA17.7718.15090
    27333ARemoval of knee cartilage7.30NANA7.898.101.03NANA16.2216.43090
    27334ARemove knee joint lining8.70NANA9.159.461.21NANA19.0619.37090
    27335ARemove knee joint lining10.00NANA9.9110.421.41NANA21.3221.83090
    Start Printed Page 65458
    27340ARemoval of kneecap bursa4.18NANA5.585.230.58NANA10.349.99090
    27345ARemoval of knee cyst5.92NANA6.916.710.81NANA13.6413.44090
    27347ARemove knee cyst5.782.832.832.832.830.769.379.379.379.37090
    27350ARemoval of kneecap8.17NANA8.358.701.15NANA17.6718.02090
    27355ARemove femur lesion7.65NANA9.589.241.07NANA18.3017.96090
    27356ARemove femur lesion/graft9.48NANA10.5710.151.29NANA21.3420.92090
    27357ARemove femur lesion/graft10.53NANA11.1410.741.48NANA23.1522.75090
    27358ARemove femur lesion/fixation4.74NANA2.643.220.67NANA8.058.63ZZZ
    27360APartial removal, leg bone(s)10.50NANA17.0315.101.42NANA28.9527.02090
    27365AExtensive leg surgery16.27NANA13.7014.062.26NANA32.2332.59090
    27370AInjection for knee x-ray0.9611.768.980.350.430.0612.7810.001.371.45000
    27372ARemoval of foreign body5.078.267.126.115.510.6213.9512.8111.8011.20090
    27380ARepair of kneecap tendon7.16NANA7.848.021.00NANA16.0016.18090
    27381ARepair/graft kneecap tendon10.34NANA9.6110.271.44NANA21.3922.05090
    27385ARepair of thigh muscle7.76NANA8.198.461.09NANA17.0417.31090
    27386ARepair/graft of thigh muscle10.56NANA10.3010.881.49NANA22.3522.93090
    27390AIncision of thigh tendon5.33NANA7.146.540.69NANA13.1612.56090
    27391AIncision of thigh tendons7.20NANA8.327.710.99NANA16.5115.90090
    27392AIncision of thigh tendons9.20NANA10.279.781.23NANA20.7020.21090
    27393ALengthening of thigh tendon6.39NANA7.787.370.90NANA15.0714.66090
    27394ALengthening of thigh tendons8.50NANA10.019.061.17NANA19.6818.73090
    27395ALengthening of thigh tendons11.73NANA12.7412.401.63NANA26.1025.76090
    27396ATransplant of thigh tendon7.86NANA9.719.201.11NANA18.6818.17090
    27397ATransplants of thigh tendons11.28NANA11.1210.751.58NANA23.9823.61090
    27400ARevise thigh muscles/tendons9.02NANA10.6010.091.18NANA20.8020.29090
    27403ARepair of knee cartilage8.33NANA8.408.691.16NANA17.8918.18090
    27405ARepair of knee ligament8.65NANA9.099.401.21NANA18.9519.26090
    27407ARepair of knee ligament10.28NANA9.849.791.38NANA21.5021.45090
    27409ARepair of knee ligaments12.90NANA11.2612.301.75NANA25.9126.95090
    27418ARepair degenerated kneecap10.85NANA10.3811.031.51NANA22.7423.39090
    27420ARevision of unstable kneecap9.83NANA9.279.891.38NANA20.4821.10090
    27422ARevision of unstable kneecap9.78NANA9.289.881.37NANA20.4321.03090
    27424ARevision/removal of kneecap9.81NANA9.269.871.38NANA20.4521.06090
    27425ALateral retinacular release5.22NANA6.736.610.73NANA12.6812.56090
    27427AReconstruction, knee9.36NANA8.939.491.29NANA19.5820.14090
    27428AReconstruction, knee14.00NANA11.9012.641.95NANA27.8528.59090
    27429AReconstruction, knee15.52NANA12.9012.732.18NANA30.6030.43090
    27430ARevision of thigh muscles9.67NANA9.289.501.35NANA20.3020.52090
    27435AIncision of knee joint9.49NANA9.188.791.33NANA20.0019.61090
    27437ARevise kneecap8.46NANA9.359.541.18NANA18.9919.18090
    27438ARevise kneecap with implant11.23NANA10.5311.251.56NANA23.3224.04090
    27440ARevision of knee joint10.43NANA10.1610.731.42NANA22.0122.58090
    27441ARevision of knee joint10.82NANA10.6210.451.49NANA22.9322.76090
    27442ARevision of knee joint11.89NANA11.1411.911.68NANA24.7125.48090
    27443ARevision of knee joint10.93NANA10.7911.351.52NANA23.2423.80090
    27445ARevision of knee joint17.68NANA14.4016.082.49NANA34.5736.25090
    27446ARevision of knee joint15.84NANA13.4714.832.22NANA31.5332.89090
    27447ATotal knee replacement21.48NANA16.4918.783.00NANA40.9743.26090
    27448AIncision of thigh11.06NANA11.4311.881.51NANA24.0024.45090
    27450AIncision of thigh13.98NANA13.0813.841.96NANA29.0229.78090
    27454ARealignment of thigh bone17.56NANA15.0915.582.46NANA35.1135.60090
    27455ARealignment of knee12.82NANA11.8512.151.78NANA26.4526.75090
    27457ARealignment of knee13.45NANA11.1211.951.88NANA26.4527.28090
    27465AShortening of thigh bone13.87NANA13.4613.421.86NANA29.1929.15090
    27466ALengthening of thigh bone16.33NANA14.7314.691.92NANA32.9832.94090
    27468AShorten/lengthen thighs18.97NANA16.6217.042.68NANA38.2738.69090
    27470ARepair of thigh16.07NANA15.0615.822.24NANA33.3734.13090
    27472ARepair/graft of thigh17.72NANA15.9917.282.49NANA36.2037.49090
    27475ASurgery to stop leg growth8.64NANA9.088.911.13NANA18.8518.68090
    27477ASurgery to stop leg growth9.85NANA9.199.831.31NANA20.3520.99090
    27479ASurgery to stop leg growth12.80NANA10.2510.841.81NANA24.8625.45090
    27485ASurgery to stop leg growth8.84NANA8.738.691.24NANA18.8118.77090
    27486ARevise/replace knee joint19.27NANA15.3617.272.70NANA37.3339.24090
    27487ARevise/replace knee joint25.27NANA18.6621.533.54NANA47.4750.34090
    27488ARemoval of knee prosthesis15.74NANA13.4814.502.21NANA31.4332.45090
    27495AReinforce thigh15.55NANA14.8415.772.18NANA32.5733.50090
    27496ADecompression of thigh/knee6.11NANA7.196.620.77NANA14.0713.50090
    27497ADecompression of thigh/knee7.17NANA7.296.970.84NANA15.3014.98090
    27498ADecompression of thigh/knee7.99NANA9.178.590.97NANA18.1317.55090
    27499ADecompression of thigh/knee9.00NANA9.058.761.18NANA19.2318.94090
    27500ATreatment of thigh fracture5.929.048.257.026.730.8015.7614.9713.7413.45090
    27501ATreatment of thigh fracture5.9210.049.007.977.450.8316.7915.7514.7214.20090
    27502ATreatment of thigh fracture10.58NANA10.5810.021.49NANA22.6522.09090
    27503ATreatment of thigh fracture10.58NANA10.5710.011.49NANA22.6422.08090
    27506ATreatment of thigh fracture17.45NANA13.4714.452.33NANA33.2534.23090
    27507ATreatment of thigh fracture13.99NANA11.8813.091.95NANA27.8229.03090
    27508ATreatment of thigh fracture5.837.006.405.305.120.8013.6313.0311.9311.75090
    27509ATreatment of thigh fracture7.71NANA8.597.591.08NANA17.3816.38090
    27510ATreatment of thigh fracture9.13NANA7.167.221.26NANA17.5517.61090
    27511ATreatment of thigh fracture13.64NANA12.3913.361.91NANA27.9428.91090
    27513ATreatment of thigh fracture17.92NANA14.7715.432.51NANA35.2035.86090
    27514ATreatment of thigh fracture17.30NANA14.2414.962.41NANA33.9534.67090
    27516ATreat thigh fx growth plate5.377.496.935.775.640.7413.6013.0411.8811.75090
    Start Printed Page 65459
    27517ATreat thigh fx growth plate8.789.649.357.707.901.2219.6419.3517.7017.90090
    27519ATreat thigh fx growth plate15.02NANA12.6312.912.09NANA29.7430.02090
    27520ATreat kneecap fracture2.865.354.843.713.200.388.598.086.956.44090
    27524ATreat kneecap fracture10.00NANA8.449.141.40NANA19.8420.54090
    27530ATreat knee fracture3.785.865.324.224.090.5110.159.618.518.38090
    27532ATreat knee fracture7.307.467.145.675.791.0215.7815.4613.9914.11090
    27535ATreat knee fracture11.50NANA11.2511.611.61NANA24.3624.72090
    27536ATreat knee fracture15.65NANA11.5511.842.19NANA29.3929.68090
    27538ATreat knee fracture(s)4.877.416.475.384.950.6712.9512.0110.9210.49090
    27540ATreat knee fracture13.10NANA9.9710.451.80NANA24.8725.35090
    27550ATreat knee dislocation5.767.366.225.634.920.6813.8012.6612.0711.36090
    27552ATreat knee dislocation7.90NANA7.546.591.10NANA16.5415.59090
    27556ATreat knee dislocation14.41NANA13.6513.622.01NANA30.0730.04090
    27557ATreat knee dislocation16.77NANA14.8515.102.37NANA33.9934.24090
    27558ATreat knee dislocation17.72NANA15.0815.272.51NANA35.3135.50090
    27560ATreat kneecap dislocation3.825.864.783.933.340.4010.089.008.157.56090
    27562ATreat kneecap dislocation5.79NANA5.365.430.69NANA11.8411.91090
    27566ATreat kneecap dislocation12.23NANA9.8010.221.73NANA23.7624.18090
    27570AFixation of knee joint1.74NANA2.982.700.24NANA4.964.68010
    27580AFusion of knee19.37NANA15.7216.052.70NANA37.7938.12090
    27590AAmputate leg at thigh12.03NANA12.5311.871.35NANA25.9125.25090
    27591AAmputate leg at thigh12.68NANA13.4813.301.63NANA27.7927.61090
    27592AAmputate leg at thigh10.02NANA11.9911.191.17NANA23.1822.38090
    27594AAmputation follow-up surgery6.92NANA8.937.690.82NANA16.6715.43090
    27596AAmputation follow-up surgery10.60NANA12.2311.171.24NANA24.0723.01090
    27598AAmputate lower leg at knee10.53NANA11.0311.001.24NANA22.8022.77090
    27599CLeg surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    27600ADecompression of lower leg5.65NANA8.307.150.68NANA14.6313.48090
    27601ADecompression of lower leg5.64NANA7.266.360.69NANA13.5912.69090
    27602ADecompression of lower leg7.35NANA8.377.380.85NANA16.5715.58090
    27603ADrain lower leg lesion4.9415.2512.0810.148.250.5620.7517.5815.6413.75090
    27604ADrain lower leg bursa4.4710.408.087.725.930.5415.4113.0912.7310.94090
    27605AIncision of achilles tendon2.879.667.573.623.040.3812.9110.826.876.29010
    27606AIncision of achilles tendon4.1411.599.274.734.120.5716.3013.989.448.83010
    27607ATreat lower leg bone lesion7.97NANA12.7611.201.08NANA21.8120.25090
    27610AExplore/treat ankle joint8.34NANA9.829.381.15NANA19.3118.87090
    27612AExploration of ankle joint7.33NANA7.557.831.01NANA15.8916.17090
    27613ABiopsy lower leg soft tissue2.175.554.353.042.370.167.886.685.374.70010
    27614ABiopsy lower leg soft tissue5.6611.199.016.795.710.6217.4715.2913.0711.99090
    27615ARemove tumor, lower leg12.56NANA16.2114.391.39NANA30.1628.34090
    27618ARemove lower leg lesion5.0910.828.696.355.330.5416.4514.3211.9810.96090
    27619ARemove lower leg lesion8.4013.1711.008.857.761.0122.5820.4118.2617.17090
    27620AExplore/treat ankle joint5.98NANA7.307.110.83NANA14.1113.92090
    27625ARemove ankle joint lining8.30NANA9.119.201.16NANA18.5718.66090
    27626ARemove ankle joint lining8.91NANA9.7810.001.23NANA19.9220.14090
    27630ARemoval of tendon lesion4.8011.169.216.565.760.6016.5614.6111.9611.16090
    27635ARemove lower leg bone lesion7.78NANA10.309.911.06NANA19.1418.75090
    27637ARemove/graft leg bone lesion9.85NANA11.5710.981.38NANA22.8022.21090
    27638ARemove/graft leg bone lesion10.57NANA12.0611.531.47NANA24.1023.57090
    27640APartial removal of tibia11.37NANA16.8915.331.54NANA29.8028.24090
    27641APartial removal of fibula9.24NANA14.8713.091.22NANA25.3323.55090
    27645AExtensive lower leg surgery14.17NANA16.8615.801.98NANA33.0131.95090
    27646AExtensive lower leg surgery12.66NANA15.4414.501.55NANA29.6528.71090
    27647AExtensive ankle/heel surgery12.24NANA10.7310.751.64NANA24.6124.63090
    27648AInjection for ankle x-ray0.968.986.880.350.400.059.997.891.361.41000
    27650ARepair achilles tendon9.69NANA8.939.141.35NANA19.9720.18090
    27652ARepair/graft achilles tendon10.33NANA9.279.781.45NANA21.0521.56090
    27654ARepair of achilles tendon10.02NANA9.5510.131.41NANA20.9821.56090
    27656ARepair leg fascia defect4.5712.3110.106.005.360.4817.3615.1511.0510.41090
    27658ARepair of leg tendon, each4.9814.1411.708.237.260.6819.8017.3613.8912.92090
    27659ARepair of leg tendon, each6.8116.7314.149.208.490.9624.5021.9116.9716.26090
    27664ARepair of leg tendon, each4.5911.889.848.147.030.6317.1015.0613.3612.25090
    27665ARepair of leg tendon, each5.4013.3511.368.237.520.7519.5017.5114.3813.67090
    27675ARepair lower leg tendons7.18NANA7.437.311.01NANA15.6215.50090
    27676ARepair lower leg tendons8.42NANA8.728.591.15NANA18.2918.16090
    27680ARelease of lower leg tendon5.74NANA7.466.710.80NANA14.0013.25090
    27681ARelease of lower leg tendons6.82NANA7.497.240.92NANA15.2314.98090
    27685ARevision of lower leg tendon6.5010.158.657.656.780.9117.5616.0615.0614.19090
    27686ARevise lower leg tendons7.4616.5114.169.248.711.0525.0222.6717.7517.22090
    27687ARevision of calf tendon6.24NANA7.747.280.88NANA14.8614.40090
    27690ARevise lower leg tendon8.71NANA8.698.351.22NANA18.6218.28090
    27691ARevise lower leg tendon9.96NANA10.279.841.40NANA21.6321.20090
    27692ARevise additional leg tendon1.87NANA0.981.290.26NANA3.113.42ZZZ
    27695ARepair of ankle ligament6.51NANA8.478.300.90NANA15.8815.71090
    27696ARepair of ankle ligaments8.27NANA8.948.621.16NANA18.3718.05090
    27698ARepair of ankle ligament9.36NANA8.659.281.31NANA19.3219.95090
    27700ARevision of ankle joint9.29NANA7.338.271.24NANA17.8618.80090
    27702AReconstruct ankle joint13.67NANA12.2913.301.92NANA27.8828.89090
    27703AReconstruction, ankle joint15.87NANA13.6213.972.24NANA31.7332.08090
    27704ARemoval of ankle implant7.62NANA7.297.050.61NANA15.5215.28090
    27705AIncision of tibia10.38NANA10.8711.071.44NANA22.6922.89090
    27707AIncision of fibula4.37NANA7.717.070.60NANA12.6812.04090
    27709AIncision of tibia & fibula9.95NANA10.7811.061.39NANA22.1222.40090
    Start Printed Page 65460
    27712ARealignment of lower leg14.25NANA12.9212.672.00NANA29.1728.92090
    27715ARevision of lower leg14.39NANA14.1314.022.00NANA30.5230.41090
    27720ARepair of tibia11.79NANA12.7313.071.66NANA26.1826.52090
    27722ARepair/graft of tibia11.82NANA12.3212.091.65NANA25.7925.56090
    27724ARepair/graft of tibia14.99NANA14.5115.092.10NANA31.6032.18090
    27725ARepair of lower leg15.59NANA14.9114.012.20NANA32.7031.80090
    27727ARepair of lower leg14.01NANA12.4311.871.84NANA28.2827.72090
    27730ARepair of tibia epiphysis7.4114.4911.849.628.190.7522.6520.0017.7816.35090
    27732ARepair of fibula epiphysis5.3211.8910.238.267.510.6317.8416.1814.2113.46090
    27734ARepair lower leg epiphyses8.48NANA9.048.830.85NANA18.3718.16090
    27740ARepair of leg epiphyses9.3015.2513.7110.5110.151.3125.8624.3221.1220.76090
    27742ARepair of leg epiphyses10.3015.6414.2511.0910.841.5527.4926.1022.9422.69090
    27745AReinforce tibia10.07NANA10.8410.561.38NANA22.2922.01090
    27750ATreatment of tibia fracture3.195.515.073.893.850.439.138.697.517.47090
    27752ATreatment of tibia fracture5.847.977.365.995.870.8214.6314.0212.6512.53090
    27756ATreatment of tibia fracture6.78NANA9.999.520.94NANA17.7117.24090
    27758ATreatment of tibia fracture11.67NANA11.0911.801.52NANA24.2824.99090
    27759ATreatment of tibia fracture13.76NANA12.6613.221.93NANA28.3528.91090
    27760ATreatment of ankle fracture3.015.294.673.763.170.398.698.077.166.57090
    27762ATreatment of ankle fracture5.257.526.555.575.090.7113.4812.5111.5311.05090
    27766ATreatment of ankle fracture8.36NANA8.058.171.17NANA17.5817.70090
    27780ATreatment of fibula fracture2.655.234.463.562.940.338.217.446.545.92090
    27781ATreatment of fibula fracture4.406.425.714.484.250.5711.3910.689.459.22090
    27784ATreatment of fibula fracture7.11NANA7.997.510.98NANA16.0815.60090
    27786ATreatment of ankle fracture2.845.264.633.683.100.378.477.846.896.31090
    27788ATreatment of ankle fracture4.456.425.704.523.840.6111.4810.769.588.90090
    27792ATreatment of ankle fracture7.66NANA7.637.731.07NANA16.3616.46090
    27808ATreatment of ankle fracture2.836.235.434.354.020.389.448.647.567.23090
    27810ATreatment of ankle fracture5.137.496.995.555.530.7113.3312.8311.3911.37090
    27814ATreatment of ankle fracture10.68NANA10.2410.391.50NANA22.4222.57090
    27816ATreatment of ankle fracture2.895.845.324.384.150.379.108.587.647.41090
    27818ATreatment of ankle fracture5.507.697.415.725.930.7413.9313.6511.9612.17090
    27822ATreatment of ankle fracture9.20NANA11.2311.171.29NANA21.7221.66090
    27823ATreatment of ankle fracture11.80NANA12.6212.941.65NANA26.0726.39090
    27824ATreat lower leg fracture2.896.255.634.354.130.399.538.917.637.41090
    27825ATreat lower leg fracture6.198.077.826.166.390.8515.1114.8613.2013.43090
    27826ATreat lower leg fracture8.54NANA10.8710.701.19NANA20.6020.43090
    27827ATreat lower leg fracture14.06NANA13.9513.641.96NANA29.9729.66090
    27828ATreat lower leg fracture16.23NANA15.1014.802.27NANA33.6033.30090
    27829ATreat lower leg joint5.49NANA7.877.540.77NANA14.1313.80090
    27830ATreat lower leg dislocation3.794.804.484.254.070.449.038.718.488.30090
    27831ATreat lower leg dislocation4.56NANA4.964.800.61NANA10.139.97090
    27832ATreat lower leg dislocation6.49NANA7.757.360.91NANA15.1514.76090
    27840ATreat ankle dislocation4.58NANA5.554.670.47NANA10.609.72090
    27842ATreat ankle dislocation6.21NANA4.894.270.76NANA11.8611.24090
    27846ATreat ankle dislocation9.79NANA9.769.651.36NANA20.9120.80090
    27848ATreat ankle dislocation11.20NANA10.8910.441.55NANA23.6423.19090
    27860AFixation of ankle joint2.34NANA3.482.990.31NANA6.135.64010
    27870AFusion of ankle joint13.91NANA12.9113.301.95NANA28.7729.16090
    27871AFusion of tibiofibular joint9.17NANA10.249.791.29NANA20.7020.25090
    27880AAmputation of lower leg11.85NANA11.7511.081.38NANA24.9824.31090
    27881AAmputation of lower leg12.34NANA12.8112.541.59NANA26.7426.47090
    27882AAmputation of lower leg8.94NANA12.9211.691.03NANA22.8921.66090
    27884AAmputation follow-up surgery8.21NANA10.378.690.95NANA19.5317.85090
    27886AAmputation follow-up surgery9.32NANA10.9910.191.13NANA21.4420.64090
    27888AAmputation of foot at ankle9.67NANA10.3210.321.26NANA21.2521.25090
    27889AAmputation of foot at ankle9.98NANA10.6510.281.19NANA21.8221.45090
    27892ADecompression of leg7.39NANA8.086.980.86NANA16.3315.23090
    27893ADecompression of leg7.35NANA8.387.200.90NANA16.6315.45090
    27894ADecompression of leg10.49NANA9.438.171.25NANA21.1719.91090
    27899CLeg/ankle surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    28001ADrainage of bursa of foot2.734.583.582.842.200.317.626.625.885.24010
    28002ATreatment of foot infection4.626.185.254.093.680.5611.3610.439.278.86010
    28003ATreatment of foot infection8.419.978.439.867.871.0319.4117.8719.3017.31090
    28005ATreat foot bone lesion8.68NANA9.498.231.14NANA19.3118.05090
    28008AIncision of foot fascia4.456.805.835.725.020.5611.8110.8410.7310.03090
    28010AIncision of toe tendon2.846.205.634.503.870.399.438.867.737.10090
    28011AIncision of toe tendons4.148.186.626.034.760.5812.9011.3410.759.48090
    28020AExploration of foot joint5.018.297.415.735.490.6413.9413.0611.3811.14090
    28022AExploration of foot joint4.677.496.365.574.550.6212.7811.6510.869.84090
    28024AExploration of toe joint4.387.226.065.874.730.5012.1010.9410.759.61090
    28030ARemoval of foot nerve6.15NANA3.423.630.85NANA10.4210.63090
    28035ADecompression of tibia nerve5.098.798.274.935.220.7114.5914.0710.7311.02090
    28043AExcision of foot lesion3.546.505.354.603.920.4510.499.348.597.91090
    28045AExcision of foot lesion4.726.876.245.174.960.6212.2111.5810.5110.30090
    28046AResection of tumor, foot10.1811.7810.2910.239.131.1323.0921.6021.5420.44090
    28050ABiopsy of foot joint lining4.255.955.515.184.930.5510.7510.319.989.73090
    28052ABiopsy of foot joint lining3.947.426.605.254.460.5111.8711.059.708.91090
    28054ABiopsy of toe joint lining3.457.015.874.994.350.4510.919.778.898.25090
    28060APartial removal, foot fascia5.237.616.855.825.510.6913.5312.7711.7411.43090
    28062ARemoval of foot fascia6.528.528.315.866.310.8515.8915.6813.2313.68090
    28070ARemoval of foot joint lining5.107.757.035.385.250.6813.5312.8111.1611.03090
    28072ARemoval of foot joint lining4.587.276.326.085.430.6412.4911.5411.3010.65090
    Start Printed Page 65461
    28080ARemoval of foot lesion3.586.676.114.814.710.5010.7510.198.898.79090
    28086AExcise foot tendon sheath4.7810.768.926.675.850.6616.2014.3612.1111.29090
    28088AExcise foot tendon sheath3.867.946.945.805.330.5212.3211.3210.189.71090
    28090ARemoval of foot lesion4.416.966.045.034.590.5711.9411.0210.019.57090
    28092ARemoval of toe lesions3.647.436.125.324.540.4611.5310.229.428.64090
    28100ARemoval of ankle/heel lesion5.6610.719.286.996.490.7617.1315.7013.4112.91090
    28102ARemove/graft foot lesion7.73NANA7.907.780.97NANA16.6016.48090
    28103ARemove/graft foot lesion6.5010.689.536.986.760.8918.0716.9214.3714.15090
    28104ARemoval of foot lesion5.128.027.196.165.800.6913.8313.0011.9711.61090
    28106ARemove/graft foot lesion7.16NANA5.836.121.01NANA14.0014.29090
    28107ARemove/graft foot lesion5.568.547.726.235.990.7414.8414.0212.5312.29090
    28108ARemoval of toe lesions4.166.255.834.744.130.5210.9310.519.428.81090
    28110APart removal of metatarsal4.087.686.715.995.440.4912.2511.2810.5610.01090
    28111APart removal of metatarsal5.0110.309.096.966.590.6315.9414.7312.6012.23090
    28112APart removal of metatarsal4.499.007.836.616.030.6014.0912.9211.7011.12090
    28113APart removal of metatarsal4.798.227.376.355.970.6313.6412.7911.7711.39090
    28114ARemoval of metatarsal heads9.7914.4013.299.949.941.3625.5524.4421.0921.09090
    28116ARevision of foot7.758.007.496.356.251.0316.7816.2715.1315.03090
    28118ARemoval of heel bone5.969.138.406.306.280.7915.8815.1513.0513.03090
    28119ARemoval of heel spur5.397.336.975.385.510.7413.4613.1011.5111.64090
    28120APart removal of ankle/heel5.4011.6710.128.707.890.6917.7616.2114.7913.98090
    28122APartial removal of foot bone7.2910.138.818.407.520.9618.3817.0616.6515.77090
    28124APartial removal of toe4.817.796.966.635.530.6513.2512.4212.0910.99090
    28126APartial removal of toe3.526.686.096.125.130.4910.6910.1010.139.14090
    28130ARemoval of ankle bone8.11NANA7.847.791.11NANA17.0617.01090
    28140ARemoval of metatarsal6.9110.719.377.476.940.8418.4617.1215.2214.69090
    28150ARemoval of toe4.097.746.706.325.630.5212.3511.3110.9310.24090
    28153APartial removal of toe3.666.766.155.224.460.4910.9110.309.378.61090
    28160APartial removal of toe3.747.246.556.295.280.5111.4910.8010.549.53090
    28171AExtensive foot surgery9.60NANA8.558.581.13NANA19.2819.31090
    28173AExtensive foot surgery8.8010.939.767.937.511.0420.7719.6017.7717.35090
    28175AExtensive foot surgery6.057.977.446.186.100.7514.7714.2412.9812.90090
    28190ARemoval of foot foreign body1.965.374.173.132.420.167.496.295.254.54010
    28192ARemoval of foot foreign body4.646.875.685.064.330.5212.0310.8410.229.49090
    28193ARemoval of foot foreign body5.737.256.085.875.050.6313.6112.4412.2311.41090
    28200ARepair of foot tendon4.607.406.925.455.460.5912.5912.1110.6410.65090
    28202ARepair/graft of foot tendon6.8410.719.616.346.340.8618.4117.3114.0414.04090
    28208ARepair of foot tendon4.377.156.135.544.920.5912.1111.0910.509.88090
    28210ARepair/graft of foot tendon6.358.457.865.705.800.7715.5714.9812.8212.92090
    28220ARelease of foot tendon4.536.495.925.534.670.6311.6511.0810.699.83090
    28222ARelease of foot tendons5.626.976.976.485.730.7713.3613.3612.8712.12090
    28225ARelease of foot tendon3.666.375.425.054.430.5010.539.589.218.59090
    28226ARelease of foot tendons4.536.415.736.415.730.6211.5610.8811.5610.88090
    28230AIncision of foot tendon(s)4.246.695.686.174.960.5911.5210.5111.009.79090
    28232AIncision of toe tendon3.396.665.435.784.550.4810.539.309.658.42090
    28234AIncision of foot tendon3.376.725.465.284.170.4610.559.299.118.00090
    28238ARevision of foot tendon7.7310.279.676.877.121.0819.0818.4815.6815.93090
    28240ARelease of big toe4.366.665.575.674.830.6111.6310.5410.649.80090
    28250ARevision of foot fascia5.928.227.386.566.130.8114.9514.1113.2912.86090
    28260ARelease of midfoot joint7.967.817.066.776.281.0816.8516.1015.8115.32090
    28261ARevision of foot tendon11.739.618.818.768.171.6623.0022.2022.1521.56090
    28262ARevision of foot and ankle15.8316.9615.9514.4714.092.2235.0134.0032.5232.14090
    28264ARelease of midfoot joint10.3510.9710.8210.9710.821.4622.7822.6322.7822.63090
    28270ARelease of foot contracture4.767.166.086.315.090.6712.5911.5111.7410.52090
    28272ARelease of toe joint, each3.806.165.174.713.810.5210.489.499.038.13090
    28280AFusion of toes5.198.677.116.235.280.7214.5813.0212.1411.19090
    28285ARepair of hammertoe4.597.366.715.785.520.6412.5911.9411.0110.75090
    28286ARepair of hammertoe4.567.036.255.835.350.6412.2311.4511.0310.55090
    28288APartial removal of foot bone4.748.067.067.216.430.6513.4512.4512.6011.82090
    28289ARepair hallux rigidus7.049.499.497.907.900.9617.4917.4915.9015.90090
    28290ACorrection of bunion5.668.978.187.987.440.7915.4214.6314.4313.89090
    28292ACorrection of bunion7.048.668.416.787.000.9816.6816.4314.8015.02090
    28293ACorrection of bunion9.159.779.927.077.891.2820.2020.3517.5018.32090
    28294ACorrection of bunion8.569.119.327.067.781.1618.8319.0416.7817.50090
    28296ACorrection of bunion9.189.809.747.718.171.2820.2620.2018.1718.63090
    28297ACorrection of bunion9.1812.1411.559.389.481.3122.6322.0419.8719.97090
    28298ACorrection of bunion7.948.698.897.427.931.1217.7517.9516.4816.99090
    28299ACorrection of bunion8.889.639.877.568.321.2419.7519.9917.6818.44090
    28300AIncision of heel bone9.5414.4912.648.898.441.3125.3423.4919.7419.29090
    28302AIncision of ankle bone9.5518.5716.348.648.891.1529.2727.0419.3419.59090
    28304AIncision of midfoot bones9.169.148.607.057.041.0019.3018.7617.2117.20090
    28305AIncise/graft midfoot bones10.5014.4813.538.869.320.5525.5324.5819.9120.37090
    28306AIncision of metatarsal5.869.158.105.745.550.8115.8214.7712.4112.22090
    28307AIncision of metatarsal6.3315.3413.107.617.300.7122.3820.1414.6514.34090
    28308AIncision of metatarsal5.296.776.634.855.190.7412.8012.6610.8811.22090
    28309AIncision of metatarsals12.78NANA10.359.631.64NANA24.7724.05090
    28310ARevision of big toe5.437.967.106.045.660.7614.1513.2912.2311.85090
    28312ARevision of toe4.557.586.926.656.230.6212.7512.0911.8211.40090
    28313ARepair deformity of toe5.017.966.677.966.320.6813.6512.3613.6512.01090
    28315ARemoval of sesamoid bone4.866.626.124.984.890.6612.1411.6410.5010.41090
    28320ARepair of foot bones9.18NANA8.068.401.27NANA18.5118.85090
    28322ARepair of metatarsals8.3411.489.888.147.371.1720.9919.3917.6516.88090
    28340AResect enlarged toe tissue6.988.728.265.635.940.9816.6816.2213.5913.90090
    Start Printed Page 65462
    28341AResect enlarged toe8.418.008.086.476.931.1817.5917.6716.0616.52090
    28344ARepair extra toe(s)4.2612.2810.224.984.740.6017.1415.089.849.60090
    28345ARepair webbed toe(s)5.928.697.976.366.220.8415.4514.7313.1212.98090
    28360AReconstruct cleft foot13.34NANA12.1612.351.88NANA27.3827.57090
    28400ATreatment of heel fracture2.165.604.904.613.810.298.057.357.066.26090
    28405ATreatment of heel fracture4.576.565.985.715.340.6311.7611.1810.9110.54090
    28406ATreatment of heel fracture6.31NANA8.067.700.87NANA15.2414.88090
    28415ATreat heel fracture15.97NANA14.4713.302.24NANA32.6831.51090
    28420ATreat/graft heel fracture16.64NANA14.5413.862.29NANA33.4732.79090
    28430ATreatment of ankle fracture2.095.194.564.133.430.277.556.926.495.79090
    28435ATreatment of ankle fracture3.405.785.254.594.360.479.659.128.468.23090
    28436ATreatment of ankle fracture4.71NANA7.296.610.66NANA12.6611.98090
    28445ATreat ankle fracture9.33NANA9.629.601.29NANA20.2420.22090
    28450ATreat midfoot fracture, each1.905.064.303.983.240.257.216.456.135.39090
    28455ATreat midfoot fracture, each3.095.524.834.863.990.439.048.358.387.51090
    28456ATreat midfoot fracture2.68NANA5.604.820.36NANA8.647.86090
    28465ATreat midfoot fracture, each7.01NANA7.276.960.87NANA15.1514.84090
    28470ATreat metatarsal fracture1.994.403.793.292.710.266.656.045.544.96090
    28475ATreat metatarsal fracture2.975.064.434.263.510.418.447.817.646.89090
    28476ATreat metatarsal fracture3.38NANA5.905.340.46NANA9.749.18090
    28485ATreat metatarsal fracture5.71NANA7.076.570.80NANA13.5813.08090
    28490ATreat big toe fracture1.092.442.082.001.620.133.663.303.222.84090
    28495ATreat big toe fracture1.582.562.232.041.680.194.334.003.813.45090
    28496ATreat big toe fracture2.339.877.974.203.710.3212.5210.626.856.36090
    28505ATreat big toe fracture3.8110.368.585.935.260.5014.6712.8910.249.57090
    28510ATreatment of toe fracture1.092.161.861.971.600.133.383.083.192.82090
    28515ATreatment of toe fracture1.462.392.101.991.650.174.023.733.623.28090
    28525ATreat toe fracture3.329.948.025.744.870.4413.7011.789.508.63090
    28530ATreat sesamoid bone fracture1.062.692.292.321.880.133.883.483.513.07090
    28531ATreat sesamoid bone fracture2.3511.178.903.343.020.3313.8511.586.025.70090
    28540ATreat foot dislocation2.043.312.653.312.570.245.594.935.594.85090
    28545ATreat foot dislocation2.453.583.043.583.040.336.365.826.365.82090
    28546ATreat foot dislocation3.205.154.615.154.610.468.818.278.818.27090
    28555ARepair foot dislocation6.3013.5411.677.837.390.8820.7218.8515.0114.57090
    28570ATreat foot dislocation1.663.603.133.602.920.225.485.015.484.80090
    28575ATreat foot dislocation3.316.005.254.924.440.459.769.018.688.20090
    28576ATreat foot dislocation4.1713.5310.906.035.280.5618.2615.6310.7610.01090
    28585ARepair foot dislocation7.998.467.697.577.021.1317.5816.8116.6916.14090
    28600ATreat foot dislocation1.894.113.273.953.060.246.245.406.085.19090
    28605ATreat foot dislocation2.714.473.974.473.970.357.537.037.537.03090
    28606ATreat foot dislocation4.9015.4912.576.595.890.6821.0718.1512.1711.47090
    28615ARepair foot dislocation7.77NANA8.797.941.09NANA17.6516.80090
    28630ATreat toe dislocation1.702.041.812.041.670.173.913.683.913.54010
    28635ATreat toe dislocation1.912.402.192.402.000.244.554.344.554.15010
    28636ATreat toe dislocation2.776.525.593.113.030.399.688.756.276.19010
    28645ARepair toe dislocation4.225.875.283.963.850.5810.6710.088.768.65090
    28660ATreat toe dislocation1.232.872.322.251.860.114.213.663.593.20010
    28665ATreat toe dislocation1.922.532.162.532.030.244.694.324.694.19010
    28666ATreat toe dislocation2.666.475.522.292.380.389.518.565.335.42010
    28675ARepair of toe dislocation2.928.727.364.464.160.4112.0510.697.797.49090
    28705AFusion of foot bones15.21NANA12.6113.562.13NANA29.9530.90090
    28715AFusion of foot bones13.10NANA11.7812.181.84NANA26.7227.12090
    28725AFusion of foot bones11.61NANA10.6410.541.63NANA23.8823.78090
    28730AFusion of foot bones10.76NANA9.929.881.51NANA22.1922.15090
    28735AFusion of foot bones10.85NANA10.2110.311.51NANA22.5722.67090
    28737ARevision of foot bones9.64NANA8.108.481.36NANA19.1019.48090
    28740AFusion of foot bones8.0213.2911.368.267.591.1322.4420.5117.4116.74090
    28750AFusion of big toe joint7.3014.5412.358.497.811.0322.8720.6816.8216.14090
    28755AFusion of big toe joint4.748.497.375.925.440.6613.8912.7711.3210.84090
    28760AFusion of big toe joint7.759.598.667.006.721.0718.4117.4815.8215.54090
    28800AAmputation of midfoot8.21NANA8.648.290.98NANA17.8317.48090
    28805AAmputation thru metatarsal8.39NANA8.888.380.97NANA18.2417.74090
    28810AAmputation toe & metatarsal6.21NANA7.696.830.70NANA14.6013.74090
    28820AAmputation of toe4.4110.948.916.785.790.5115.8613.8311.7010.71090
    28825APartial amputation of toe3.5910.018.166.575.580.4314.0312.1810.599.60090
    28899CFoot/toes surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    29000AApplication of body cast2.252.692.521.331.500.305.245.073.884.05000
    29010AApplication of body cast2.062.542.541.261.560.274.874.873.593.89000
    29015AApplication of body cast2.412.542.541.151.180.215.165.163.773.80000
    29020AApplication of body cast2.112.472.350.970.980.164.744.623.243.25000
    29025AApplication of body cast2.402.842.331.441.180.265.504.994.103.84000
    29035AApplication of body cast1.772.502.411.081.080.244.514.423.093.09000
    29040AApplication of body cast2.221.571.731.381.580.354.144.303.954.15000
    29044AApplication of body cast2.122.712.601.311.550.295.125.013.723.96000
    29046AApplication of body cast2.412.862.751.381.640.345.615.504.134.39000
    29049AApplication of figure eight0.891.541.270.500.430.122.552.281.511.44000
    29055AApplication of shoulder cast1.782.161.951.071.130.244.183.973.093.15000
    29058AApplication of shoulder cast1.311.811.540.630.650.143.262.992.082.10000
    29065AApplication of long arm cast0.871.301.190.540.520.122.292.181.531.51000
    29075AApplication of forearm cast0.771.241.100.470.440.112.121.981.351.32000
    29085AApply hand/wrist cast0.871.291.100.470.420.112.272.081.451.40000
    29105AApply long arm splint0.871.291.100.400.370.112.272.081.381.35000
    29125AApply forearm splint0.591.140.960.290.270.061.791.610.940.92000
    Start Printed Page 65463
    29126AApply forearm splint0.771.911.540.440.390.062.742.371.271.22000
    29130AApplication of finger splint0.500.910.730.270.230.051.461.280.820.78000
    29131AApplication of finger splint0.551.801.460.380.340.032.382.040.960.92000
    29200AStrapping of chest0.651.361.090.290.260.042.051.780.980.95000
    29220AStrapping of low back0.641.050.890.330.300.071.761.601.041.01000
    29240AStrapping of shoulder0.711.431.150.310.310.052.191.911.071.07000
    29260AStrapping of elbow or wrist0.551.150.930.270.240.041.741.520.860.83000
    29280AStrapping of hand or finger0.511.301.030.270.230.041.851.580.820.78000
    29305AApplication of hip cast2.032.442.341.281.470.294.764.663.603.79000
    29325AApplication of hip casts2.322.592.471.431.600.315.225.104.064.23000
    29345AApplication of long leg cast1.401.681.540.840.770.193.273.132.432.36000
    29355AApplication of long leg cast1.531.691.570.870.800.203.423.302.602.53000
    29358AApply long leg cast brace1.431.861.820.930.910.193.483.442.552.53000
    29365AApplication of long leg cast1.181.521.370.710.650.172.872.722.062.00000
    29405AApply short leg cast0.861.201.120.520.500.122.182.101.501.48000
    29425AApply short leg cast1.011.141.120.560.550.142.292.271.711.70000
    29435AApply short leg cast1.181.791.660.790.750.173.143.012.142.10000
    29440AAddition of walker to cast0.570.910.750.320.270.071.551.390.960.91000
    29445AApply rigid leg cast1.782.001.960.861.110.244.023.982.883.13000
    29450AApplication of leg cast1.021.201.010.570.480.132.352.161.721.63000
    29505AApplication, long leg splint0.691.601.360.420.470.062.352.111.171.22000
    29515AApplication lower leg splint0.731.150.990.420.380.071.951.791.221.18000
    29520AStrapping of hip0.541.541.250.380.340.022.101.810.940.90000
    29530AStrapping of knee0.571.221.010.270.300.041.831.620.880.91000
    29540AStrapping of ankle0.510.510.470.260.240.041.061.020.810.79000
    29550AStrapping of toes0.470.490.440.230.210.051.010.960.750.73000
    29580AApplication of paste boot0.570.840.850.310.280.051.461.470.930.90000
    29590AApplication of foot splint0.760.770.650.410.350.061.591.471.231.17000
    29700ARemoval/revision of cast0.570.810.700.310.280.071.451.340.950.92000
    29705ARemoval/revision of cast0.760.980.830.410.360.101.841.691.271.22000
    29710ARemoval/revision of cast1.341.721.410.850.700.173.232.922.362.21000
    29715ARemoval/revision of cast0.943.642.960.690.640.084.663.981.711.66000
    29720ARepair of body cast0.681.461.160.490.400.102.241.941.271.18000
    29730AWindowing of cast0.750.930.770.390.330.101.781.621.241.18000
    29740AWedging of cast1.121.361.120.530.450.152.632.391.801.72000
    29750AWedging of clubfoot cast1.261.561.310.580.500.162.982.732.001.92000
    29799CCasting/strapping procedure0.000.000.000.000.000.000.000.000.000.00YYY
    29800AJaw arthroscopy/surgery6.43NANA8.447.420.84NANA15.7114.69090
    29804AJaw arthroscopy/surgery8.14NANA8.789.010.66NANA17.5817.81090
    29815AShoulder arthroscopy5.89NANA7.326.800.83NANA14.0413.52090
    29819AShoulder arthroscopy/surgery7.62NANA9.189.161.07NANA17.8717.85090
    29820AShoulder arthroscopy/surgery7.07NANA8.818.720.99NANA16.8716.78090
    29821AShoulder arthroscopy/surgery7.72NANA9.189.191.08NANA17.9817.99090
    29822AShoulder arthroscopy/surgery7.43NANA9.089.031.04NANA17.5517.50090
    29823AShoulder arthroscopy/surgery8.17NANA9.439.511.15NANA18.7518.83090
    29825AShoulder arthroscopy/surgery7.62NANA9.199.171.06NANA17.8717.85090
    29826AShoulder arthroscopy/surgery8.99NANA9.9210.121.26NANA20.1720.37090
    29830AElbow arthroscopy5.76NANA5.705.720.79NANA12.2512.27090
    29834AElbow arthroscopy/surgery6.28NANA6.486.450.86NANA13.6213.59090
    29835AElbow arthroscopy/surgery6.48NANA6.476.490.88NANA13.8313.85090
    29836AElbow arthroscopy/surgery7.55NANA7.207.311.06NANA15.8115.92090
    29837AElbow arthroscopy/surgery6.87NANA6.786.820.96NANA14.6114.65090
    29838AElbow arthroscopy/surgery7.71NANA7.287.371.07NANA16.0616.15090
    29840AWrist arthroscopy5.54NANA8.187.030.69NANA14.4113.26090
    29843AWrist arthroscopy/surgery6.01NANA7.937.470.82NANA14.7614.30090
    29844AWrist arthroscopy/surgery6.37NANA8.087.580.86NANA15.3114.81090
    29845AWrist arthroscopy/surgery7.52NANA8.528.290.84NANA16.8816.65090
    29846AWrist arthroscopy/surgery6.75NANA10.579.940.89NANA18.2117.58090
    29847AWrist arthroscopy/surgery7.08NANA10.519.720.91NANA18.5017.71090
    29848AWrist endoscopy/surgery5.44NANA7.736.840.72NANA13.8913.00090
    29850AKnee arthroscopy/surgery8.19NANA6.916.410.74NANA15.8415.34090
    29851AKnee arthroscopy/surgery13.10NANA11.3311.471.81NANA26.2426.38090
    29855ATibial arthroscopy/surgery10.62NANA9.9910.661.50NANA22.1122.78090
    29856ATibial arthroscopy/surgery14.14NANA11.9412.132.00NANA28.0828.27090
    29860AHip arthroscopy, dx8.05NANA7.607.011.14NANA16.7916.20090
    29861AHip arthroscopy/surgery9.15NANA8.749.101.29NANA19.1819.54090
    29862AHip arthroscopy/surgery9.90NANA9.079.541.39NANA20.3620.83090
    29863AHip arthroscopy/surgery9.90NANA9.719.651.40NANA21.0120.95090
    29870AKnee arthroscopy, dx5.07NANA5.795.430.67NANA11.5311.17090
    29871AKnee arthroscopy/drainage6.55NANA7.757.650.88NANA15.1815.08090
    29874AKnee arthroscopy/surgery7.05NANA7.427.670.87NANA15.3415.59090
    29875AKnee arthroscopy/surgery6.31NANA7.157.250.88NANA14.3414.44090
    29876AKnee arthroscopy/surgery7.92NANA8.578.791.11NANA17.6017.82090
    29877AKnee arthroscopy/surgery7.35NANA7.748.001.03NANA16.1216.38090
    29879AKnee arthroscopy/surgery8.04NANA8.128.491.13NANA17.2917.66090
    29880AKnee arthroscopy/surgery8.50NANA8.388.821.19NANA18.0718.51090
    29881AKnee arthroscopy/surgery7.76NANA7.968.291.09NANA16.8117.14090
    29882AKnee arthroscopy/surgery8.65NANA7.968.551.09NANA17.7018.29090
    29883AKnee arthroscopy/surgery9.46NANA8.919.511.33NANA19.7020.30090
    29884AKnee arthroscopy/surgery7.33NANA8.258.381.03NANA16.6116.74090
    29885AKnee arthroscopy/surgery9.09NANA9.199.131.27NANA19.5519.49090
    29886AKnee arthroscopy/surgery7.54NANA8.368.121.06NANA16.9616.72090
    29887AKnee arthroscopy/surgery9.04NANA9.199.591.27NANA19.5019.90090
    Start Printed Page 65464
    29888AKnee arthroscopy/surgery13.90NANA11.8613.041.95NANA27.7128.89090
    29889AKnee arthroscopy/surgery15.13NANA12.4512.122.11NANA29.6929.36090
    29891AAnkle arthroscopy/surgery8.40NANA8.728.951.17NANA18.2918.52090
    29892AAnkle arthroscopy/surgery9.00NANA8.568.831.26NANA18.8219.09090
    29893AScope, plantar fasciotomy5.22NANA4.714.940.74NANA10.6710.90090
    29894AAnkle arthroscopy/surgery7.21NANA7.367.671.01NANA15.5815.89090
    29895AAnkle arthroscopy/surgery6.99NANA7.667.830.97NANA15.6215.79090
    29897AAnkle arthroscopy/surgery7.18NANA8.298.361.01NANA16.4816.55090
    29898AAnkle arthroscopy/surgery8.32NANA8.128.571.14NANA17.5818.03090
    29909CArthroscopy of joint0.000.000.000.000.000.000.000.000.000.00YYY
    30000ADrainage of nose lesion1.432.411.971.461.180.103.943.502.992.71010
    30020ADrainage of nose lesion1.432.662.161.531.230.084.173.673.042.74010
    30100AIntranasal biopsy0.941.291.160.520.490.062.292.161.521.49000
    30110ARemoval of nose polyp(s)1.632.682.360.890.840.124.434.112.642.59010
    30115ARemoval of nose polyp(s)4.35NANA4.384.050.31NANA9.048.71090
    30117ARemoval of intranasal lesion3.164.654.263.093.090.228.037.646.476.47090
    30118ARemoval of intranasal lesion9.69NANA7.447.750.66NANA17.7918.10090
    30120ARevision of nose5.275.875.985.875.980.4111.5511.6611.5511.66090
    30124ARemoval of nose lesion3.10NANA3.302.660.20NANA6.605.96090
    30125ARemoval of nose lesion7.16NANA6.316.240.54NANA14.0113.94090
    30130ARemoval of turbinate bones3.38NANA3.873.360.22NANA7.476.96090
    30140ARemoval of turbinate bones3.43NANA4.424.140.24NANA8.097.81090
    30150APartial removal of nose9.14NANA8.458.490.76NANA18.3518.39090
    30160ARemoval of nose9.58NANA8.319.090.78NANA18.6719.45090
    30200AInjection treatment of nose0.781.170.980.440.380.062.011.821.281.22000
    30210ANasal sinus therapy1.082.061.620.600.490.083.222.781.761.65010
    30220AInsert nasal septal button1.542.382.200.860.850.114.033.852.512.50010
    30300ARemove nasal foreign body1.042.512.010.380.350.073.623.121.491.46010
    30310ARemove nasal foreign body1.96NANA1.851.830.14NANA3.953.93010
    30320ARemove nasal foreign body4.52NANA5.325.160.36NANA10.2010.04090
    30400RReconstruction of nose9.83NANA8.599.150.80NANA19.2219.78090
    30410RReconstruction of nose12.98NANA10.4311.701.08NANA24.4925.76090
    30420RReconstruction of nose15.88NANA12.1413.851.24NANA29.2630.97090
    30430RRevision of nose7.21NANA7.036.930.62NANA14.8614.76090
    30435RRevision of nose11.71NANA10.2710.461.10NANA23.0823.27090
    30450RRevision of nose18.65NANA13.9113.481.53NANA34.0933.66090
    30460ARevision of nose9.96NANA9.309.300.85NANA20.1120.11090
    30462ARevision of nose19.57NANA14.7715.731.92NANA36.2637.22090
    30465ARepair nasal stenosis11.64NANA9.129.120.82NANA21.5821.58090
    30520ARepair of nasal septum5.70NANA5.715.980.41NANA11.8212.09090
    30540ARepair nasal defect7.75NANA6.386.590.53NANA14.6614.87090
    30545ARepair nasal defect11.38NANA8.219.100.80NANA20.3921.28090
    30560ARelease of nasal adhesions1.262.261.851.461.170.093.613.202.812.52010
    30580ARepair upper jaw fistula6.694.955.414.954.560.5012.1412.6012.1411.75090
    30600ARepair mouth/nose fistula6.025.144.885.144.880.7011.8611.6011.8611.60090
    30620AIntranasal reconstruction5.97NANA6.406.580.45NANA12.8213.00090
    30630ARepair nasal septum defect7.12NANA6.866.840.51NANA14.4914.47090
    30801ACauterization, inner nose1.092.461.972.201.720.083.633.143.372.89010
    30802ACauterization, inner nose2.033.002.512.742.310.155.184.694.924.49010
    30901AControl of nosebleed1.212.051.690.440.410.093.352.991.741.71000
    30903AControl of nosebleed1.542.462.080.620.700.124.123.742.282.36000
    30905AControl of nosebleed1.974.293.700.881.150.156.415.823.003.27000
    30906ARepeat control of nosebleed2.454.523.681.341.300.177.146.303.963.92000
    30915ALigation, nasal sinus artery7.20NANA6.866.490.50NANA14.5614.19090
    30920ALigation, upper jaw artery9.83NANA8.328.830.69NANA18.8419.35090
    30930ATherapy, fracture of nose1.26NANA2.091.760.09NANA3.443.11010
    30999CNasal surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    31000AIrrigation, maxillary sinus1.152.351.880.630.530.083.583.111.861.76010
    31002AIrrigation, sphenoid sinus1.91NANA1.961.530.14NANA4.013.58010
    31020AExploration, maxillary sinus2.944.243.903.543.380.207.387.046.686.52090
    31030AExploration, maxillary sinus5.924.795.364.535.170.4211.1311.7010.8711.51090
    31032AExplore sinus,remove polyps6.57NANA5.906.390.47NANA12.9413.43090
    31040AExploration behind upper jaw9.42NANA6.747.220.71NANA16.8717.35090
    31050AExploration, sphenoid sinus5.28NANA4.935.280.39NANA10.6010.95090
    31051ASphenoid sinus surgery7.11NANA6.346.880.55NANA14.0014.54090
    31070AExploration of frontal sinus4.28NANA4.864.920.30NANA9.449.50090
    31075AExploration of frontal sinus9.16NANA8.028.750.64NANA17.8218.55090
    31080ARemoval of frontal sinus11.42NANA8.739.050.78NANA20.9321.25090
    31081ARemoval of frontal sinus12.75NANA9.329.791.84NANA23.9124.38090
    31084ARemoval of frontal sinus13.51NANA10.3811.800.96NANA24.8526.27090
    31085ARemoval of frontal sinus14.20NANA10.6212.201.18NANA26.0027.58090
    31086ARemoval of frontal sinus12.86NANA9.9410.410.90NANA23.7024.17090
    31087ARemoval of frontal sinus13.10NANA10.4310.641.15NANA24.6824.89090
    31090AExploration of sinuses9.53NANA8.669.340.66NANA18.8519.53090
    31200ARemoval of ethmoid sinus4.97NANA5.855.640.25NANA11.0710.86090
    31201ARemoval of ethmoid sinus8.37NANA7.607.600.58NANA16.5516.55090
    31205ARemoval of ethmoid sinus10.24NANA8.488.540.58NANA19.3019.36090
    31225ARemoval of upper jaw19.23NANA14.8616.421.38NANA35.4737.03090
    31230ARemoval of upper jaw21.94NANA16.1718.031.57NANA39.6841.54090
    31231ANasal endoscopy, dx1.101.901.800.590.820.083.082.981.772.00000
    31233ANasal/sinus endoscopy, dx2.182.532.661.181.270.164.875.003.523.61000
    31235ANasal/sinus endoscopy, dx2.642.802.751.471.430.185.625.574.294.25000
    31237ANasal/sinus endoscopy, surg2.983.073.191.621.660.216.266.384.814.85000
    Start Printed Page 65465
    31238ANasal/sinus endoscopy, surg3.263.583.661.831.860.237.077.155.325.35000
    31239ANasal/sinus endoscopy, surg8.70NANA6.547.500.46NANA15.7016.66010
    31240ANasal/sinus endoscopy, surg2.61NANA1.571.960.18NANA4.364.75000
    31254ARevision of ethmoid sinus4.65NANA2.723.430.32NANA7.698.40000
    31255ARemoval of ethmoid sinus6.96NANA4.025.090.49NANA11.4712.54000
    31256AExploration maxillary sinus3.29NANA1.952.450.23NANA5.475.97000
    31267AEndoscopy, maxillary sinus5.46NANA3.183.810.38NANA9.029.65000
    31276ASinus endoscopy, surgical8.85NANA5.095.640.62NANA14.5615.11000
    31287ANasal/sinus endoscopy, surg3.92NANA2.312.900.27NANA6.507.09000
    31288ANasal/sinus endoscopy, surg4.58NANA2.683.380.32NANA7.588.28000
    31290ANasal/sinus endoscopy, surg17.24NANA11.5713.151.20NANA30.0131.59010
    31291ANasal/sinus endoscopy, surg18.19NANA11.7713.531.73NANA31.6933.45010
    31292ANasal/sinus endoscopy, surg14.76NANA9.9811.120.99NANA25.7326.87010
    31293ANasal/sinus endoscopy, surg16.21NANA10.7712.050.97NANA27.9529.23010
    31294ANasal/sinus endoscopy, surg19.06NANA11.6413.271.04NANA31.7433.37010
    31299CSinus surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    31300ARemoval of larynx lesion14.29NANA16.6115.600.99NANA31.8930.88090
    31320ADiagnostic incision, larynx5.26NANA12.9210.740.40NANA18.5816.40090
    31360ARemoval of larynx17.08NANA18.4418.931.20NANA36.7237.21090
    31365ARemoval of larynx24.16NANA22.0523.751.72NANA47.9349.63090
    31367APartial removal of larynx21.86NANA22.7221.711.57NANA46.1545.14090
    31368APartial removal of larynx27.09NANA27.4927.881.90NANA56.4856.87090
    31370APartial removal of larynx21.38NANA22.6421.641.51NANA45.5344.53090
    31375APartial removal of larynx20.21NANA20.4819.391.43NANA42.1241.03090
    31380APartial removal of larynx20.21NANA20.0619.731.40NANA41.6741.34090
    31382APartial removal of larynx20.52NANA22.2121.021.44NANA44.1742.98090
    31390ARemoval of larynx & pharynx27.53NANA27.9128.281.95NANA57.3957.76090
    31395AReconstruct larynx & pharynx31.09NANA32.9833.832.27NANA66.3467.19090
    31400ARevision of larynx10.31NANA15.0413.400.72NANA26.0724.43090
    31420ARemoval of epiglottis10.22NANA14.9613.410.71NANA25.8924.34090
    31500AInsert emergency airway2.33NANA0.670.810.15NANA3.153.29000
    31502AChange of windpipe airway0.651.821.520.260.350.042.512.210.951.04000
    31505ADiagnostic laryngoscopy0.611.721.410.340.320.042.372.060.990.97000
    31510ALaryngoscopy with biopsy1.922.672.151.010.910.154.744.223.082.98000
    31511ARemove foreign body, larynx2.162.932.460.760.830.165.254.783.083.15000
    31512ARemoval of larynx lesion2.072.872.641.131.330.165.104.873.363.56000
    31513AInjection into vocal cord2.10NANA1.281.590.15NANA3.533.84000
    31515ALaryngoscopy for aspiration1.802.352.070.840.940.124.273.992.762.86000
    31520ADiagnostic laryngoscopy2.56NANA1.401.500.17NANA4.134.23000
    31525ADiagnostic laryngoscopy2.632.802.701.491.420.185.615.514.304.23000
    31526ADiagnostic laryngoscopy2.57NANA1.541.920.18NANA4.294.67000
    31527ALaryngoscopy for treatment3.27NANA1.692.080.21NANA5.175.56000
    31528ALaryngoscopy and dilatation2.37NANA1.301.680.16NANA3.834.21000
    31529ALaryngoscopy and dilatation2.68NANA1.581.850.18NANA4.444.71000
    31530AOperative laryngoscopy3.39NANA1.812.340.24NANA5.445.97000
    31531AOperative laryngoscopy3.59NANA2.132.670.25NANA5.976.51000
    31535AOperative laryngoscopy3.16NANA1.842.330.22NANA5.225.71000
    31536AOperative laryngoscopy3.56NANA2.102.640.25NANA5.916.45000
    31540AOperative laryngoscopy4.13NANA2.413.040.29NANA6.837.46000
    31541AOperative laryngoscopy4.53NANA2.653.230.32NANA7.508.08000
    31560AOperative laryngoscopy5.46NANA3.023.620.38NANA8.869.46000
    31561AOperative laryngoscopy6.00NANA3.484.310.42NANA9.9010.73000
    31570ALaryngoscopy with injection3.874.074.212.252.270.248.188.326.366.38000
    31571ALaryngoscopy with injection4.27NANA2.503.100.30NANA7.077.67000
    31575ADiagnostic laryngoscopy1.102.091.990.620.680.083.273.171.801.86000
    31576ALaryngoscopy with biopsy1.972.362.360.971.320.134.464.463.073.42000
    31577ARemove foreign body, larynx2.472.792.831.321.730.175.435.473.964.37000
    31578ARemoval of larynx lesion2.843.013.111.582.030.206.056.154.625.07000
    31579ADiagnostic laryngoscopy2.262.832.761.211.230.165.255.183.633.65000
    31580ARevision of larynx12.38NANA15.7915.540.87NANA29.0428.79090
    31582ARevision of larynx21.62NANA21.0320.621.52NANA44.1743.76090
    31584ATreat larynx fracture19.64NANA18.3517.211.42NANA39.4138.27090
    31585ATreat larynx fracture4.64NANA8.357.290.30NANA13.2912.23090
    31586ATreat larynx fracture8.03NANA11.9610.750.56NANA20.5519.34090
    31587ARevision of larynx11.99NANA13.3211.950.88NANA26.1924.82090
    31588ARevision of larynx13.11NANA16.4715.260.92NANA30.5029.29090
    31590AReinnervate larynx6.97NANA11.7010.340.50NANA19.1717.81090
    31595ALarynx nerve surgery8.34NANA10.489.720.62NANA19.4418.68090
    31599CLarynx surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    31600AIncision of windpipe3.62NANA1.632.300.34NANA5.596.26000
    31601AIncision of windpipe4.45NANA2.152.940.39NANA6.997.78000
    31603AIncision of windpipe4.15NANA1.722.440.35NANA6.226.94000
    31605AIncision of windpipe3.58NANA1.302.050.33NANA5.215.96000
    31610AIncision of windpipe8.76NANA10.559.720.69NANA20.0019.17090
    31611ASurgery/speech prosthesis5.64NANA9.789.090.40NANA15.8215.13090
    31612APuncture/clear windpipe0.911.471.420.430.600.062.442.391.401.57000
    31613ARepair windpipe opening4.59NANA8.747.160.37NANA13.7012.12090
    31614ARepair windpipe opening7.12NANA11.7610.650.51NANA19.3918.28090
    31615AVisualization of windpipe2.093.493.151.191.420.145.725.383.423.65000
    31622ADx bronchoscope/wash2.783.213.241.171.710.146.136.164.094.63000
    31623ADx bronchoscope/brush2.883.103.161.171.710.146.126.184.194.73000
    31624ADx bronchoscope/lavage2.882.792.931.161.710.135.805.944.174.72000
    31625ABronchoscopy with biopsy3.372.833.131.311.990.166.366.664.845.52000
    Start Printed Page 65466
    31628ABronchoscopy with biopsy3.813.133.491.372.170.147.087.445.326.12000
    31629ABronchoscopy with biopsy3.37NANA1.241.940.13NANA4.745.44000
    31630ABronchoscopy with repair3.82NANA2.132.610.30NANA6.256.73000
    31631ABronchoscopy with dilation4.37NANA2.152.680.31NANA6.837.36000
    31635ARemove foreign body, airway3.68NANA1.742.410.21NANA5.636.30000
    31640ABronchoscopy & remove lesion4.94NANA2.493.230.37NANA7.808.54000
    31641ABronchoscopy, treat blockage5.03NANA2.233.170.30NANA7.568.50000
    31643ADiag bronchoscope/catheter3.501.161.711.161.710.154.815.364.815.36000
    31645ABronchoscopy, clear airways3.16NANA1.211.850.13NANA4.505.14000
    31646ABronchoscopy, reclear airway2.72NANA1.081.620.12NANA3.924.46000
    31656ABronchoscopy, inj for xray2.17NANA0.921.340.10NANA3.193.61000
    31700AInsertion of airway catheter1.342.422.190.730.920.073.833.602.142.33000
    31708AInstill airway contrast dye1.41NANA0.630.680.06NANA2.102.15000
    31710AInsertion of airway catheter1.30NANA0.710.780.06NANA2.072.14000
    31715AInjection for bronchus x-ray1.11NANA0.630.600.06NANA1.801.77000
    31717ABronchial brush biopsy2.122.592.140.870.850.094.804.353.083.06000
    31720AClearance of airways1.061.831.570.330.450.062.952.691.451.57000
    31725AClearance of airways1.96NANA0.610.840.10NANA2.672.90000
    31730AIntro, windpipe wire/tube2.852.342.431.101.500.155.345.434.104.50000
    31750ARepair of windpipe13.02NANA15.8114.271.02NANA29.8528.31090
    31755ARepair of windpipe15.93NANA18.4117.421.15NANA35.4934.50090
    31760ARepair of windpipe22.35NANA12.6812.471.48NANA36.5136.30090
    31766AReconstruction of windpipe30.43NANA20.2720.203.16NANA53.8653.79090
    31770ARepair/graft of bronchus22.51NANA17.9217.532.27NANA42.7042.31090
    31775AReconstruct bronchus23.54NANA16.7316.992.91NANA43.1843.44090
    31780AReconstruct windpipe17.72NANA14.1315.301.55NANA33.4034.57090
    31781AReconstruct windpipe23.53NANA15.4416.162.04NANA41.0141.73090
    31785ARemove windpipe lesion17.23NANA13.2812.381.36NANA31.8730.97090
    31786ARemove windpipe lesion23.98NANA16.2515.802.20NANA42.4341.98090
    31800ARepair of windpipe injury7.43NANA7.827.200.67NANA15.9215.30090
    31805ARepair of windpipe injury13.13NANA11.9911.661.45NANA26.5726.24090
    31820AClosure of windpipe lesion4.497.656.717.656.710.3512.4911.5512.4911.55090
    31825ARepair of windpipe defect6.8111.209.7610.889.520.5018.5117.0718.1916.83090
    31830ARevise windpipe scar4.507.826.867.826.860.3612.6811.7212.6811.72090
    31899CAirways surgical procedure0.000.000.000.000.000.000.000.000.000.00YYY
    32000ADrainage of chest1.542.952.460.500.620.074.564.072.112.23000
    32002ATreatment of collapsed lung2.19NANA0.861.010.11NANA3.163.31000
    32005ATreat lung lining chemically2.19NANA0.941.000.17NANA3.303.36000
    32020AInsertion of chest tube3.98NANA1.601.910.36NANA5.946.25000
    32035AExploration of chest8.67NANA9.689.101.02NANA19.3718.79090
    32036AExploration of chest9.68NANA11.3710.461.20NANA22.2521.34090
    32095ABiopsy through chest wall8.36NANA10.4810.100.99NANA19.8319.45090
    32100AExploration/biopsy of chest11.84NANA11.7211.841.45NANA25.0125.13090
    32110AExplore/repair chest13.62NANA12.7012.651.63NANA27.9527.90090
    32120ARe-exploration of chest11.54NANA12.3211.811.42NANA25.2824.77090
    32124AExplore chest free adhesions12.72NANA11.6911.741.51NANA25.9225.97090
    32140ARemoval of lung lesion(s)13.93NANA12.5512.771.68NANA28.1628.38090
    32141ARemove/treat lung lesions14.00NANA12.9213.331.72NANA28.6429.05090
    32150ARemoval of lung lesion(s)14.15NANA11.8911.721.60NANA27.6427.47090
    32151ARemove lung foreign body14.21NANA12.9112.171.49NANA28.6127.87090
    32160AOpen chest heart massage9.30NANA7.418.041.01NANA17.7218.35090
    32200ADrain, open, lung lesion15.29NANA12.1310.971.46NANA28.8827.72090
    32201ADrain, percut, lung lesion4.00NANA6.555.740.18NANA10.739.92000
    32215ATreat chest lining11.33NANA12.5111.451.34NANA25.1824.12090
    32220ARelease of lung19.27NANA15.3915.832.39NANA37.0537.49090
    32225APartial release of lung13.96NANA12.8312.841.70NANA28.4928.50090
    32310ARemoval of chest lining13.44NANA12.3512.421.65NANA27.4427.51090
    32320AFree/remove chest lining20.54NANA14.9516.122.50NANA37.9939.16090
    32400ANeedle biopsy chest lining1.761.821.770.580.840.073.653.602.412.67000
    32402AOpen biopsy chest lining7.56NANA10.5910.000.91NANA19.0618.47090
    32405ABiopsy, lung or mediastinum1.932.232.250.681.090.094.254.272.703.11000
    32420APuncture/clear lung2.18NANA0.851.050.11NANA3.143.34000
    32440ARemoval of lung21.02NANA15.5616.712.56NANA39.1440.29090
    32442ASleeve pneumonectomy26.24NANA19.0019.123.12NANA48.3648.48090
    32445ARemoval of lung25.09NANA16.7318.103.11NANA44.9346.30090
    32480APartial removal of lung18.32NANA13.5214.792.24NANA34.0835.35090
    32482ABilobectomy19.71NANA14.6315.632.35NANA36.6937.69090
    32484ASegmentectomy20.69NANA14.8815.812.54NANA38.1139.04090
    32486ASleeve lobectomy23.92NANA16.6316.963.00NANA43.5543.88090
    32488ACompletion pneumonectomy25.71NANA17.7618.133.18NANA46.6547.02090
    32491RLung volume reduction21.25NANA17.2317.122.66NANA41.1441.03090
    32500APartial removal of lung14.30NANA13.1513.521.77NANA29.2229.59090
    32501ARepair bronchus add-on4.69NANA1.892.590.56NANA7.147.84ZZZ
    32520ARemove lung & revise chest21.68NANA16.1917.752.71NANA40.5842.14090
    32522ARemove lung & revise chest24.20NANA16.4818.302.84NANA43.5245.34090
    32525ARemove lung & revise chest26.50NANA17.4719.483.25NANA47.2249.23090
    32540ARemoval of lung lesion14.64NANA13.3613.191.84NANA29.8429.67090
    32601AThoracoscopy, diagnostic5.46NANA4.574.370.63NANA10.6610.46000
    32602AThoracoscopy, diagnostic5.96NANA4.814.660.70NANA11.4711.32000
    32603AThoracoscopy, diagnostic7.81NANA5.084.750.76NANA13.6513.32000
    32604AThoracoscopy, diagnostic8.78NANA5.985.540.97NANA15.7315.29000
    32605AThoracoscopy, diagnostic6.93NANA5.555.110.86NANA13.3412.90000
    32606AThoracoscopy, diagnostic8.40NANA5.655.290.99NANA15.0414.68000
    Start Printed Page 65467
    32650AThoracoscopy, surgical10.75NANA10.8810.231.25NANA22.8822.23090
    32651AThoracoscopy, surgical12.91NANA10.8011.311.50NANA25.2125.72090
    32652AThoracoscopy, surgical18.66NANA14.5015.172.30NANA35.4636.13090
    32653AThoracoscopy, surgical12.87NANA11.5911.501.55NANA26.0125.92090
    32654AThoracoscopy, surgical12.44NANA9.149.981.51NANA23.0923.93090
    32655AThoracoscopy, surgical13.10NANA10.9911.881.53NANA25.6226.51090
    32656AThoracoscopy, surgical12.91NANA12.4412.961.61NANA26.9627.48090
    32657AThoracoscopy, surgical13.65NANA11.8112.511.64NANA27.1027.80090
    32658AThoracoscopy, surgical11.63NANA13.1713.351.47NANA26.2726.45090
    32659AThoracoscopy, surgical11.59NANA11.2411.891.39NANA24.2224.87090
    32660AThoracoscopy, surgical17.43NANA13.3415.212.09NANA32.8634.73090
    32661AThoracoscopy, surgical13.25NANA12.6011.961.66NANA27.5126.87090
    32662AThoracoscopy, surgical16.44NANA13.5214.092.01NANA31.9732.54090
    32663AThoracoscopy, surgical18.47NANA14.3915.452.28NANA35.1436.20090
    32664AThoracoscopy, surgical14.20NANA10.9711.091.70NANA26.8726.99090
    32665AThoracoscopy, surgical15.54NANA11.1512.251.79NANA28.4829.58090
    32800ARepair lung hernia13.69NANA11.7811.081.51NANA26.9826.28090
    32810AClose chest after drainage13.05NANA11.9710.741.55NANA26.5725.34090
    32815AClose bronchial fistula23.15NANA17.0316.902.84NANA43.0242.89090
    32820AReconstruct injured chest21.48NANA15.3816.692.31NANA39.1740.48090
    32850XDonor pneumonectomy0.000.000.000.000.000.000.000.000.000.00XXX
    32851ALung transplant, single38.63NANA24.7825.524.90NANA68.3169.05090
    32852ALung transplant with bypass41.80NANA27.8228.385.17NANA74.7975.35090
    32853ALung transplant, double47.81NANA29.3630.696.13NANA83.3084.63090
    32854ALung transplant with bypass50.98NANA29.2231.176.41NANA86.6188.56090
    32900ARemoval of rib(s)20.27NANA14.5213.192.42NANA37.2135.88090
    32905ARevise & repair chest wall20.75NANA15.1814.842.54NANA38.4738.13090
    32906ARevise & repair chest wall26.77NANA18.9818.423.30NANA49.0548.49090
    32940ARevision of lung19.43NANA15.2914.552.47NANA37.1936.45090
    32960ATherapeutic pneumothorax1.841.471.360.610.710.123.433.322.572.67000
    32997ATotal lung lavage6.00NANA2.322.320.55NANA8.878.87000
    32999CChest surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    33010ADrainage of heart sac2.24NANA1.031.190.13NANA3.403.56000
    33011ARepeat drainage of heart sac2.24NANA1.090.970.13NANA3.463.34000
    33015AIncision of heart sac6.80NANA5.245.090.64NANA12.6812.53090
    33020AIncision of heart sac12.61NANA9.9011.021.50NANA24.0125.13090
    33025AIncision of heart sac12.09NANA10.1711.241.50NANA23.7624.83090
    33030APartial removal of heart sac18.71NANA16.3217.822.40NANA37.4338.93090
    33031APartial removal of heart sac21.79NANA17.7216.892.78NANA42.2941.46090
    33050ARemoval of heart sac lesion14.36NANA12.8712.161.73NANA28.9628.25090
    33120ARemoval of heart lesion24.56NANA20.9123.013.06NANA48.5350.63090
    33130ARemoval of heart lesion21.39NANA16.5316.062.51NANA40.4339.96090
    33140AHeart revascularize (tmr)20.00NANA12.7912.792.27NANA35.0635.06090
    33141AHeart tmr w/other procedure4.84NANA1.971.970.60NANA7.417.41ZZZ
    33200AInsertion of heart pacemaker12.48NANA11.7312.131.17NANA25.3825.78090
    33201AInsertion of heart pacemaker10.18NANA12.5312.431.21NANA23.9223.82090
    33206AInsertion of heart pacemaker6.67NANA6.176.620.50NANA13.3413.79090
    33207AInsertion of heart pacemaker8.04NANA6.627.360.57NANA15.2315.97090
    33208AInsertion of heart pacemaker8.13NANA6.747.480.54NANA15.4116.15090
    33210AInsertion of heart electrode3.30NANA1.381.930.17NANA4.855.40000
    33211AInsertion of heart electrode3.40NANA1.482.010.17NANA5.055.58000
    33212AInsertion of pulse generator5.52NANA5.005.210.44NANA10.9611.17090
    33213AInsertion of pulse generator6.37NANA5.355.470.46NANA12.1812.30090
    33214AUpgrade of pacemaker system7.75NANA6.506.340.52NANA14.7714.61090
    33216ARevise eltrd pacing-defib5.39NANA5.395.410.36NANA11.1411.16090
    33217ARevise eltrd pacing-defib5.75NANA5.735.660.36NANA11.8411.77090
    33218ARevise eltrd pacing-defib5.44NANA5.035.020.40NANA10.8710.86090
    33220ARevise eltrd pacing-defib5.52NANA5.095.060.39NANA11.0010.97090
    33222ARevise pocket, pacemaker4.96NANA4.464.830.39NANA9.8110.18090
    33223ARevise pocket, pacing-defib6.46NANA5.765.870.44NANA12.6612.77090
    33233ARemoval of pacemaker system3.29NANA4.333.970.22NANA7.847.48090
    33234ARemoval of pacemaker system7.82NANA6.365.540.56NANA14.7413.92090
    33235ARemoval pacemaker electrode9.40NANA7.156.220.68NANA17.2316.30090
    33236ARemove electrode/thoracotomy12.60NANA11.659.821.49NANA25.7423.91090
    33237ARemove electrode/thoracotomy13.71NANA12.5812.041.57NANA27.8627.32090
    33238ARemove electrode/thoracotomy15.22NANA12.3112.031.56NANA29.0928.81090
    33240AInsert pulse generator7.60NANA6.276.160.53NANA14.4014.29090
    33241ARemove pulse generator3.24NANA3.923.530.21NANA7.376.98090
    33243ARemove eltrd/thoracotomy22.64NANA13.3012.422.53NANA38.4737.59090
    33244ARemove eltrd, transven13.76NANA9.419.511.05NANA24.2224.32090
    33245AInsert epic eltrd pace-defib14.30NANA13.0414.051.28NANA28.6229.63090
    33246AInsert epic eltrd/generator20.71NANA17.9219.082.22NANA40.8542.01090
    33249AEltrd/insert pace-defib14.23NANA9.8011.320.80NANA24.8326.35090
    33250AAblate heart dysrhythm focus21.85NANA14.7014.161.01NANA37.5637.02090
    33251AAblate heart dysrhythm focus24.88NANA18.0818.012.41NANA45.3745.30090
    33253AReconstruct atria31.06NANA21.9322.373.68NANA56.6757.11090
    33261AAblate heart dysrhythm focus24.88NANA18.8517.932.82NANA46.5545.63090
    33282AImplant pat-active ht record4.17NANA5.535.530.39NANA10.0910.09090
    33284ARemove pat-active ht record2.50NANA5.065.060.23NANA7.797.79090
    33300ARepair of heart wound17.92NANA15.1015.221.91NANA34.9335.05090
    33305ARepair of heart wound21.44NANA17.6017.922.68NANA41.7242.04090
    33310AExploratory heart surgery18.51NANA16.1315.162.26NANA36.9035.93090
    33315AExploratory heart surgery22.37NANA18.0717.482.90NANA43.3442.75090
    Start Printed Page 65468
    33320ARepair major blood vessel(s)16.79NANA13.8214.201.66NANA32.2732.65090
    33321ARepair major vessel20.20NANA17.6919.172.70NANA40.5942.07090
    33322ARepair major blood vessel(s)20.62NANA17.1118.732.51NANA40.2441.86090
    33330AInsert major vessel graft21.43NANA16.5915.882.49NANA40.5139.80090
    33332AInsert major vessel graft23.96NANA16.6316.562.45NANA43.0442.97090
    33335AInsert major vessel graft30.01NANA20.9019.763.79NANA54.7053.56090
    33400ARepair of aortic valve25.34NANA22.5123.993.09NANA50.9452.42090
    33401AValvuloplasty, open23.91NANA20.6522.602.71NANA47.2749.22090
    33403AValvuloplasty, w/cp bypass24.89NANA21.1823.002.48NANA48.5550.37090
    33404APrepare heart-aorta conduit28.54NANA23.4126.043.31NANA55.2657.89090
    33405AReplacement of aortic valve30.61NANA21.4924.393.86NANA55.9658.86090
    33406AReplacement of aortic valve32.30NANA21.9126.074.07NANA58.2862.44090
    33410AReplacement of aortic valve32.46NANA22.2522.254.11NANA58.8258.82090
    33411AReplacement of aortic valve32.47NANA22.5826.634.16NANA59.2163.26090
    33412AReplacement of aortic valve34.79NANA28.6531.874.66NANA68.1071.32090
    33413AReplacement of aortic valve35.24NANA26.3130.254.26NANA65.8169.75090
    33414ARepair of aortic valve30.35NANA25.5328.213.79NANA59.6762.35090
    33415ARevision, subvalvular tissue27.15NANA23.8626.003.25NANA54.2656.40090
    33416ARevise ventricle muscle30.35NANA21.7523.953.85NANA55.9558.15090
    33417ARepair of aortic valve28.53NANA25.2727.473.58NANA57.3859.58090
    33420ARevision of mitral valve22.70NANA12.1714.511.48NANA36.3538.69090
    33422ARevision of mitral valve25.94NANA19.4922.363.30NANA48.7351.60090
    33425ARepair of mitral valve27.00NANA18.5021.933.00NANA48.5051.93090
    33426ARepair of mitral valve31.03NANA21.6624.923.87NANA56.5659.82090
    33427ARepair of mitral valve33.72NANA22.3026.144.30NANA60.3264.16090
    33430AReplacement of mitral valve31.43NANA21.8625.783.95NANA57.2461.16090
    33460ARevision of tricuspid valve23.60NANA18.7521.113.02NANA45.3747.73090
    33463AValvuloplasty, tricuspid25.62NANA19.4522.233.17NANA48.2451.02090
    33464AValvuloplasty, tricuspid27.33NANA20.3323.403.47NANA51.1354.20090
    33465AReplace tricuspid valve28.79NANA20.5123.983.61NANA52.9156.38090
    33468ARevision of tricuspid valve30.12NANA29.9231.434.00NANA64.0465.55090
    33470ARevision of pulmonary valve20.81NANA17.4318.452.81NANA41.0542.07090
    33471AValvotomy, pulmonary valve22.25NANA19.3921.193.00NANA44.6446.44090
    33472ARevision of pulmonary valve22.25NANA19.9721.622.92NANA45.1446.79090
    33474ARevision of pulmonary valve23.04NANA17.0519.662.84NANA42.9345.54090
    33475AReplacement, pulmonary valve28.41NANA23.9226.422.64NANA54.9757.47090
    33476ARevision of heart chamber25.77NANA19.0721.942.40NANA47.2450.11090
    33478ARevision of heart chamber26.74NANA20.5423.393.56NANA50.8453.69090
    33496ARepair, prosth valve clot27.25NANA24.2526.323.44NANA54.9457.01090
    33500ARepair heart vessel fistula25.55NANA18.7321.682.80NANA47.0850.03090
    33501ARepair heart vessel fistula17.78NANA14.2114.502.05NANA34.0434.33090
    33502ACoronary artery correction21.04NANA23.7321.642.51NANA47.2845.19090
    33503ACoronary artery graft21.78NANA14.7717.581.42NANA37.9740.78090
    33504ACoronary artery graft24.66NANA23.7425.173.04NANA51.4452.87090
    33505ARepair artery w/tunnel26.84NANA21.5424.171.52NANA49.9052.53090
    33506ARepair artery, translocation26.71NANA16.8720.623.19NANA46.7750.52090
    33510ACABG, vein, single25.12NANA19.1421.853.13NANA47.3950.10090
    33511ACABG, vein, two27.40NANA19.7823.013.34NANA50.5253.75090
    33512ACABG, vein, three29.67NANA20.9524.573.70NANA54.3257.94090
    33513ACABG, vein, four31.95NANA21.9826.023.99NANA57.9261.96090
    33514ACABG, vein, five35.00NANA23.3427.954.37NANA62.7167.32090
    33516ACabg, vein, six or more37.40NANA24.3129.404.62NANA66.3371.42090
    33517ACABG, artery-vein, single2.57NANA1.061.560.32NANA3.954.45ZZZ
    33518ACABG, artery-vein, two4.85NANA1.992.940.61NANA7.458.40ZZZ
    33519ACABG, artery-vein, three7.12NANA2.934.320.89NANA10.9412.33ZZZ
    33521ACABG, artery-vein, four9.40NANA3.885.721.18NANA14.4616.30ZZZ
    33522ACABG, artery-vein, five11.67NANA4.837.111.48NANA17.9820.26ZZZ
    33523ACabg, art-vein, six or more13.95NANA5.768.491.78NANA21.4924.22ZZZ
    33530ACoronary artery, bypass/reop5.86NANA2.393.540.73NANA8.9810.13ZZZ
    33533ACABG, arterial, single25.83NANA19.4422.293.24NANA48.5151.36090
    33534ACABG, arterial, two28.82NANA20.1223.693.63NANA52.5756.14090
    33535ACABG, arterial, three31.81NANA21.0525.283.97NANA56.8361.06090
    33536ACabg, arterial, four or more34.79NANA18.1624.003.29NANA56.2462.08090
    33542ARemoval of heart lesion28.85NANA22.8725.493.61NANA55.3357.95090
    33545ARepair of heart damage36.78NANA25.6428.714.40NANA66.8269.89090
    33572AOpen coronary endarterectomy4.45NANA1.832.250.55NANA6.837.25ZZZ
    33600AClosure of valve29.51NANA20.2223.972.30NANA52.0355.78090
    33602AClosure of valve28.54NANA16.1720.402.90NANA47.6151.84090
    33606AAnastomosis/artery-aorta30.74NANA18.7423.233.59NANA53.0757.56090
    33608ARepair anomaly w/conduit31.09NANA26.7829.374.17NANA62.0464.63090
    33610ARepair by enlargement30.61NANA26.0328.664.02NANA60.6663.29090
    33611ARepair double ventricle32.30NANA24.4527.983.28NANA60.0363.56090
    33612ARepair double ventricle33.26NANA27.4030.484.44NANA65.1068.18090
    33615ARepair, modified fontan32.06NANA28.1830.713.15NANA63.3965.92090
    33617ARepair single ventricle34.03NANA26.4329.984.09NANA64.5568.10090
    33619ARepair single ventricle37.57NANA32.6535.704.71NANA74.9377.98090
    33641ARepair heart septum defect21.39NANA15.5918.082.67NANA39.6542.14090
    33645ARevision of heart veins24.82NANA19.8322.283.27NANA47.9250.37090
    33647ARepair heart septum defects28.73NANA24.1026.653.37NANA56.2058.75090
    33660ARepair of heart defects25.54NANA22.1324.222.82NANA50.4952.58090
    33665ARepair of heart defects28.60NANA24.6726.993.81NANA57.0859.40090
    33670ARepair of heart chambers32.73NANA17.2322.692.18NANA52.1457.60090
    33681ARepair heart septum defect27.67NANA24.2526.453.53NANA55.4557.65090
    Start Printed Page 65469
    33684ARepair heart septum defect29.65NANA22.7825.943.77NANA56.2059.36090
    33688ARepair heart septum defect30.62NANA17.2322.063.89NANA51.7456.57090
    33690AReinforce pulmonary artery19.55NANA19.3620.362.56NANA41.4742.47090
    33692ARepair of heart defects30.75NANA17.9422.633.77NANA52.4657.15090
    33694ARepair of heart defects31.73NANA21.8625.874.27NANA57.8661.87090
    33697ARepair of heart defects33.71NANA25.4729.164.54NANA63.7267.41090
    33702ARepair of heart defects26.54NANA22.2924.643.45NANA52.2854.63090
    33710ARepair of heart defects29.71NANA16.8721.523.85NANA50.4355.08090
    33720ARepair of heart defect26.56NANA20.9723.663.21NANA50.7453.43090
    33722ARepair of heart defect28.41NANA23.2325.693.80NANA55.4457.90090
    33730ARepair heart-vein defect(s)31.67NANA19.9624.422.85NANA54.4858.94090
    33732ARepair heart-vein defect28.16NANA20.8324.032.78NANA51.7754.97090
    33735ARevision of heart chamber21.39NANA14.2017.621.12NANA36.7140.13090
    33736ARevision of heart chamber23.52NANA22.0923.542.70NANA48.3149.76090
    33737ARevision of heart chamber21.76NANA17.8219.862.93NANA42.5144.55090
    33750AMajor vessel shunt21.41NANA17.7119.281.74NANA40.8642.43090
    33755AMajor vessel shunt21.79NANA17.8319.372.93NANA42.5544.09090
    33762AMajor vessel shunt21.79NANA12.7315.541.59NANA36.1138.92090
    33764AMajor vessel shunt & graft21.79NANA14.9417.201.93NANA38.6640.92090
    33766AMajor vessel shunt22.76NANA21.9322.443.04NANA47.7348.24090
    33767AMajor vessel shunt24.50NANA20.5822.413.14NANA48.2250.05090
    33770ARepair great vessels defect33.29NANA22.5026.814.49NANA60.2864.59090
    33771ARepair great vessels defect34.65NANA18.8424.474.67NANA58.1663.79090
    33774ARepair great vessels defect30.98NANA17.3721.514.18NANA52.5356.67090
    33775ARepair great vessels defect32.20NANA17.8621.884.34NANA54.4058.42090
    33776ARepair great vessels defect34.04NANA18.6023.434.58NANA57.2262.05090
    33777ARepair great vessels defect33.46NANA18.3722.264.51NANA56.3460.23090
    33778ARepair great vessels defect35.82NANA19.3125.174.83NANA59.9665.82090
    33779ARepair great vessels defect36.21NANA19.9725.792.40NANA58.5864.40090
    33780ARepair great vessels defect36.94NANA22.6728.035.21NANA64.8270.18090
    33781ARepair great vessels defect36.45NANA19.5625.554.91NANA60.9266.91090
    33786ARepair arterial trunk34.84NANA23.1227.744.69NANA62.6567.27090
    33788ARevision of pulmonary artery26.62NANA19.1022.273.32NANA49.0452.21090
    33800AAortic suspension16.24NANA12.9613.561.11NANA30.3130.91090
    33802ARepair vessel defect17.66NANA10.8113.381.56NANA30.0332.60090
    33803ARepair vessel defect19.60NANA18.7219.892.63NANA40.9542.12090
    33813ARepair septal defect20.65NANA17.3719.022.78NANA40.8042.45090
    33814ARepair septal defect25.77NANA24.7026.222.52NANA52.9954.51090
    33820ARevise major vessel16.29NANA16.7917.462.10NANA35.1835.85090
    33822ARevise major vessel17.32NANA16.0117.182.33NANA35.6636.83090
    33824ARevise major vessel19.52NANA16.1317.922.61NANA38.2640.05090
    33840ARemove aorta constriction20.63NANA17.4619.252.36NANA40.4542.24090
    33845ARemove aorta constriction22.12NANA20.7522.162.90NANA45.7747.18090
    33851ARemove aorta constriction21.27NANA17.6219.572.86NANA41.7543.70090
    33852ARepair septal defect23.71NANA19.9922.073.19NANA46.8948.97090
    33853ARepair septal defect31.72NANA24.9628.194.23NANA60.9164.14090
    33860AAscending aortic graft33.96NANA22.7426.474.30NANA61.0064.73090
    33861AAscending aortic graft34.52NANA22.7726.504.24NANA61.5365.26090
    33863AAscending aortic graft36.47NANA23.6927.194.60NANA64.7668.26090
    33870ATransverse aortic arch graft40.31NANA24.9930.765.09NANA70.3976.16090
    33875AThoracic aortic graft33.06NANA21.7424.784.08NANA58.8861.92090
    33877AThoracoabdominal graft42.60NANA26.5431.875.07NANA74.2179.54090
    33910ARemove lung artery emboli24.59NANA18.5117.863.06NANA46.1645.51090
    33915ARemove lung artery emboli21.02NANA13.3213.251.20NANA35.5435.47090
    33916ASurgery of great vessel25.83NANA16.6417.253.04NANA45.5146.12090
    33917ARepair pulmonary artery24.50NANA22.4424.143.17NANA50.1151.81090
    33918ARepair pulmonary atresia26.45NANA15.5719.573.42NANA45.4449.44090
    33919ARepair pulmonary atresia32.67NANA23.8527.643.48NANA60.0063.79090
    33920ARepair pulmonary atresia31.95NANA18.9423.743.61NANA54.5059.30090
    33922ATransect pulmonary artery23.52NANA17.8620.422.30NANA43.6846.24090
    33924ARemove pulmonary shunt5.50NANA2.222.750.74NANA8.468.99ZZZ
    33930XRemoval of donor heart/lung0.000.000.000.000.000.000.000.000.000.00XXX
    33935RTransplantation, heart/lung60.96NANA34.7444.258.15NANA103.85113.36090
    33940XRemoval of donor heart0.000.000.000.000.000.000.000.000.000.00XXX
    33945RTransplantation of heart42.10NANA27.2232.985.42NANA74.7480.50090
    33960AExternal circulation assist19.36NANA7.487.512.14NANA28.9829.01XXX
    33961AExternal circulation assist10.93NANA4.505.281.47NANA16.9017.68ZZZ
    33968ARemove aortic assist device0.64NANA0.260.260.07NANA0.970.97000
    33970AAortic circulation assist6.75NANA2.804.120.70NANA10.2511.57000
    33971AAortic circulation assist9.69NANA9.888.810.97NANA20.5419.47090
    33973AInsert balloon device9.76NANA4.015.051.01NANA14.7815.82000
    33974ARemove intra-aortic balloon14.41NANA13.3411.511.48NANA29.2327.40090
    33975AImplant ventricular device21.00NANA6.418.661.72NANA29.1331.38XXX
    33976AImplant ventricular device23.00NANA9.3712.272.82NANA35.1938.09XXX
    33977ARemove ventricular device19.29NANA13.4113.432.44NANA35.1435.16090
    33978ARemove ventricular device21.73NANA14.8915.022.66NANA39.2839.41090
    33999CCardiac surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    34001ARemoval of artery clot12.91NANA6.287.311.46NANA20.6521.68090
    34051ARemoval of artery clot15.21NANA8.208.541.90NANA25.3125.65090
    34101ARemoval of artery clot9.97NANA5.176.141.11NANA16.2517.22090
    34111ARemoval of arm artery clot8.07NANA4.355.320.85NANA13.2714.24090
    34151ARemoval of artery clot16.86NANA7.889.161.84NANA26.5827.86090
    34201ARemoval of artery clot9.13NANA5.166.291.02NANA15.3116.44090
    Start Printed Page 65470
    34203ARemoval of leg artery clot12.21NANA6.457.181.37NANA20.0320.76090
    34401ARemoval of vein clot12.86NANA6.477.041.20NANA20.5321.10090
    34421ARemoval of vein clot9.93NANA5.536.170.95NANA16.4117.05090
    34451ARemoval of vein clot14.44NANA7.398.441.59NANA23.4224.47090
    34471ARemoval of vein clot10.18NANA5.244.880.90NANA16.3215.96090
    34490ARemoval of vein clot7.60NANA5.676.230.73NANA14.0014.56090
    34501ARepair valve, femoral vein10.93NANA8.848.631.37NANA21.1420.93090
    34502AReconstruct vena cava26.95NANA12.3914.352.99NANA42.3344.29090
    34510ATransposition of vein valve13.25NANA9.459.501.60NANA24.3024.35090
    34520ACross-over vein graft13.74NANA8.078.591.41NANA23.2223.74090
    34530ALeg vein fusion17.61NANA9.9810.842.06NANA29.6530.51090
    34800AEndovasc abdo repair w/tube20.75NANA9.729.721.49NANA31.9631.96090
    34802AEndovasc abdo repr w/device23.00NANA10.6210.621.65NANA35.2735.27090
    34804AEndovasc abdo repr w/device23.00NANA10.6210.621.65NANA35.2735.27090
    34808AEndovasc abdo occlud device4.13NANA1.651.650.29NANA6.076.07ZZZ
    34812AXpose for endoprosth, aortic6.75NANA2.702.700.49NANA9.949.94000
    34813AXpose for endoprosth, femorl4.80NANA1.921.920.34NANA7.067.06ZZZ
    34820AXpose for endoprosth, iliac9.75NANA3.903.900.70NANA14.3514.35000
    34825AEndovasc extend prosth, init12.00NANA6.236.230.86NANA19.0919.09090
    34826AEndovasc exten prosth, addl4.13NANA1.651.650.29NANA6.076.07ZZZ
    34830AOpen aortic tube prosth repr32.59NANA14.8114.812.34NANA49.7449.74090
    34831AOpen aortoiliac prosth repr35.34NANA15.9015.902.53NANA53.7753.77090
    34832AOpen aortofemor prosth repr35.34NANA15.9015.902.53NANA53.7753.77090
    35001ARepair defect of artery19.64NANA9.2811.282.44NANA31.3633.36090
    35002ARepair artery rupture, neck21.00NANA9.9410.891.82NANA32.7633.71090
    35005ARepair defect of artery18.12NANA8.719.321.35NANA28.1828.79090
    35011ARepair defect of artery11.65NANA5.687.741.30NANA18.6320.69090
    35013ARepair artery rupture, arm17.40NANA7.899.911.91NANA27.2029.22090
    35021ARepair defect of artery19.65NANA10.2212.591.93NANA31.8034.17090
    35022ARepair artery rupture, chest23.18NANA9.8911.431.99NANA35.0636.60090
    35045ARepair defect of arm artery11.26NANA7.028.621.25NANA19.5321.13090
    35081ARepair defect of artery28.01NANA12.7515.383.20NANA43.9646.59090
    35082ARepair artery rupture, aorta36.35NANA15.4217.784.07NANA55.8458.20090
    35091ARepair defect of artery35.40NANA15.4817.764.09NANA54.9757.25090
    35092ARepair artery rupture, aorta38.39NANA16.2019.284.31NANA58.9061.98090
    35102ARepair defect of artery30.76NANA13.5416.173.44NANA47.7450.37090
    35103ARepair artery rupture, groin33.57NANA14.2517.793.79NANA51.6155.15090
    35111ARepair defect of artery16.43NANA7.8110.631.81NANA26.0528.87090
    35112ARepair artery rupture,spleen18.69NANA8.429.151.95NANA29.0629.79090
    35121ARepair defect of artery25.99NANA11.6213.902.93NANA40.5442.82090
    35122ARepair artery rupture, belly33.45NANA14.0515.403.54NANA51.0452.39090
    35131ARepair defect of artery18.55NANA9.0611.102.11NANA29.7231.76090
    35132ARepair artery rupture, groin21.95NANA9.7912.412.48NANA34.2236.84090
    35141ARepair defect of artery14.46NANA7.359.501.65NANA23.4625.61090
    35142ARepair artery rupture, thigh15.86NANA7.6210.081.75NANA25.2327.69090
    35151ARepair defect of artery17.00NANA8.2710.371.93NANA27.2029.30090
    35152ARepair artery rupture, knee16.70NANA8.258.701.93NANA26.8827.33090
    35161ARepair defect of artery18.76NANA9.8811.722.21NANA30.8532.69090
    35162ARepair artery rupture19.78NANA10.0712.622.21NANA32.0634.61090
    35180ARepair blood vessel lesion13.62NANA6.236.671.44NANA21.2921.73090
    35182ARepair blood vessel lesion17.74NANA9.019.651.88NANA28.6329.27090
    35184ARepair blood vessel lesion12.25NANA6.257.331.34NANA19.8420.92090
    35188ARepair blood vessel lesion14.28NANA7.047.481.53NANA22.8523.29090
    35189ARepair blood vessel lesion18.43NANA9.219.982.12NANA29.7630.53090
    35190ARepair blood vessel lesion12.75NANA6.167.431.33NANA20.2421.51090
    35201ARepair blood vessel lesion9.99NANA5.316.721.17NANA16.4717.88090
    35206ARepair blood vessel lesion9.25NANA6.557.671.04NANA16.8417.96090
    35207ARepair blood vessel lesion10.15NANA9.289.891.15NANA20.5821.19090
    35211ARepair blood vessel lesion22.12NANA18.2417.312.83NANA43.1942.26090
    35216ARepair blood vessel lesion18.75NANA14.3413.652.17NANA35.2634.57090
    35221ARepair blood vessel lesion16.42NANA7.828.881.79NANA26.0327.09090
    35226ARepair blood vessel lesion9.06NANA7.198.100.84NANA17.0918.00090
    35231ARepair blood vessel lesion12.00NANA6.528.471.32NANA19.8421.79090
    35236ARepair blood vessel lesion10.54NANA7.038.421.19NANA18.7620.15090
    35241ARepair blood vessel lesion23.12NANA19.2718.112.90NANA45.2944.13090
    35246ARepair blood vessel lesion19.84NANA14.8315.722.22NANA36.8937.78090
    35251ARepair blood vessel lesion17.49NANA8.068.651.87NANA27.4228.01090
    35256ARepair blood vessel lesion11.38NANA7.609.071.32NANA20.3021.77090
    35261ARepair blood vessel lesion11.63NANA5.817.831.34NANA18.7820.80090
    35266ARepair blood vessel lesion10.30NANA7.088.391.16NANA18.5419.85090
    35271ARepair blood vessel lesion22.12NANA17.2416.332.77NANA42.1341.22090
    35276ARepair blood vessel lesion18.75NANA15.4714.552.37NANA36.5935.67090
    35281ARepair blood vessel lesion16.48NANA7.9010.611.82NANA26.2028.91090
    35286ARepair blood vessel lesion11.87NANA7.819.041.36NANA21.0422.27090
    35301ARechanneling of artery18.70NANA9.6611.172.23NANA30.5932.10090
    35311ARechanneling of artery23.85NANA12.0815.052.75NANA38.6841.65090
    35321ARechanneling of artery11.97NANA5.947.971.36NANA19.2721.30090
    35331ARechanneling of artery23.52NANA10.9311.822.71NANA37.1638.05090
    35341ARechanneling of artery25.11NANA11.2513.152.87NANA39.2341.13090
    35351ARechanneling of artery20.11NANA9.4211.122.29NANA31.8233.52090
    35355ARechanneling of artery16.09NANA7.8810.091.80NANA25.7727.98090
    35361ARechanneling of artery23.59NANA10.6713.262.66NANA36.9239.51090
    35363ARechanneling of artery24.66NANA11.1814.562.77NANA38.6141.99090
    Start Printed Page 65471
    35371ARechanneling of artery11.64NANA6.017.901.32NANA18.9720.86090
    35372ARechanneling of artery13.56NANA6.738.091.53NANA21.8223.18090
    35381ARechanneling of artery15.81NANA7.889.621.80NANA25.4927.23090
    35390AReoperation, carotid add-on3.19NANA1.221.370.38NANA4.794.94ZZZ
    35400AAngioscopy3.00NANA1.101.440.34NANA4.444.78ZZZ
    35450ARepair arterial blockage10.07NANA3.915.940.84NANA14.8216.85000
    35452ARepair arterial blockage6.91NANA3.513.810.76NANA11.1811.48000
    35454ARepair arterial blockage6.04NANA3.054.090.67NANA9.7610.80000
    35456ARepair arterial blockage7.35NANA3.564.870.82NANA11.7313.04000
    35458ARepair arterial blockage9.49NANA4.396.041.09NANA14.9716.62000
    35459ARepair arterial blockage8.63NANA3.935.520.96NANA13.5215.11000
    35460ARepair venous blockage6.04NANA2.903.030.66NANA9.609.73000
    35470ARepair arterial blockage8.63NANA4.095.640.50NANA13.2214.77000
    35471ARepair arterial blockage10.07NANA4.786.590.50NANA15.3517.16000
    35472ARepair arterial blockage6.91NANA3.463.580.39NANA10.7610.88000
    35473ARepair arterial blockage6.04NANA3.074.110.34NANA9.4510.49000
    35474ARepair arterial blockage7.36NANA3.604.900.40NANA11.3612.66000
    35475RRepair arterial blockage9.49NANA4.265.940.47NANA14.2215.90000
    35476ARepair venous blockage6.04NANA2.943.060.27NANA9.259.37000
    35480AAtherectomy, open11.08NANA4.967.031.13NANA17.1719.24000
    35481AAtherectomy, open7.61NANA3.804.030.84NANA12.2512.48000
    35482AAtherectomy, open6.65NANA3.284.450.75NANA10.6811.85000
    35483AAtherectomy, open8.10NANA3.895.340.81NANA12.8014.25000
    35484AAtherectomy, open10.44NANA4.676.251.13NANA16.2417.82000
    35485AAtherectomy, open9.49NANA4.404.531.06NANA14.9515.08000
    35490AAtherectomy, percutaneous11.08NANA5.047.090.55NANA16.6718.72000
    35491AAtherectomy, percutaneous7.61NANA3.713.960.49NANA11.8112.06000
    35492AAtherectomy, percutaneous6.65NANA3.364.510.43NANA10.4411.59000
    35493AAtherectomy, percutaneous8.10NANA4.065.460.47NANA12.6314.03000
    35494AAtherectomy, percutaneous10.44NANA4.686.260.48NANA15.6017.18000
    35495AAtherectomy, percutaneous9.49NANA4.794.820.51NANA14.7914.82000
    35500AHarvest vein for bypass6.45NANA2.122.120.63NANA9.209.20ZZZ
    35501AArtery bypass graft19.19NANA9.1412.112.33NANA30.6633.63090
    35506AArtery bypass graft19.67NANA9.1712.082.33NANA31.1734.08090
    35507AArtery bypass graft19.67NANA9.0811.672.27NANA31.0233.61090
    35508AArtery bypass graft18.65NANA8.9211.602.34NANA29.9132.59090
    35509AArtery bypass graft18.07NANA8.3611.402.12NANA28.5531.59090
    35511AArtery bypass graft16.83NANA7.698.591.74NANA26.2627.16090
    35515AArtery bypass graft18.65NANA8.959.772.26NANA29.8630.68090
    35516AArtery bypass graft16.32NANA7.5310.361.88NANA25.7328.56090
    35518AArtery bypass graft15.42NANA7.099.921.78NANA24.2927.12090
    35521AArtery bypass graft16.17NANA7.9910.751.82NANA25.9828.74090
    35526AArtery bypass graft20.00NANA9.9610.982.18NANA32.1433.16090
    35531AArtery bypass graft25.61NANA11.4514.082.91NANA39.9742.60090
    35533AArtery bypass graft20.52NANA9.7513.022.35NANA32.6235.89090
    35536AArtery bypass graft23.11NANA10.3313.552.62NANA36.0639.28090
    35541AArtery bypass graft25.80NANA11.9214.252.74NANA40.4642.79090
    35546AArtery bypass graft25.54NANA11.5114.442.84NANA39.8942.82090
    35548AArtery bypass graft21.57NANA9.7812.642.45NANA33.8036.66090
    35549AArtery bypass graft23.35NANA11.2714.262.77NANA37.3940.38090
    35551AArtery bypass graft26.67NANA12.7614.793.19NANA42.6244.65090
    35556AArtery bypass graft21.76NANA10.1512.692.48NANA34.3936.93090
    35558AArtery bypass graft14.04NANA7.199.581.58NANA22.8125.20090
    35560AArtery bypass graft23.56NANA10.9413.692.73NANA37.2339.98090
    35563AArtery bypass graft15.14NANA7.317.741.68NANA24.1324.56090
    35565AArtery bypass graft15.14NANA7.4910.141.71NANA24.3426.99090
    35566AArtery bypass graft26.92NANA14.6216.563.02NANA44.5646.50090
    35571AArtery bypass graft18.58NANA10.7413.312.14NANA31.4634.03090
    35582AVein bypass graft27.13NANA12.4115.753.11NANA42.6545.99090
    35583AVein bypass graft22.37NANA11.1313.892.53NANA36.0338.79090
    35585AVein bypass graft28.39NANA15.2417.663.21NANA46.8449.26090
    35587AVein bypass graft19.05NANA11.3614.212.17NANA32.5835.43090
    35600AHarvest artery for cabg4.95NANA1.981.980.54NANA7.477.47ZZZ
    35601AArtery bypass graft17.50NANA8.1111.192.08NANA27.6930.77090
    35606AArtery bypass graft18.71NANA8.6511.252.17NANA29.5332.13090
    35612AArtery bypass graft15.76NANA7.4510.131.72NANA24.9327.61090
    35616AArtery bypass graft15.70NANA7.7410.361.84NANA25.2827.90090
    35621AArtery bypass graft14.54NANA7.509.961.68NANA23.7226.18090
    35623ABypass graft, not vein16.62NANA8.248.371.91NANA26.7726.90090
    35626AArtery bypass graft23.63NANA11.4714.172.89NANA37.9940.69090
    35631AArtery bypass graft24.60NANA11.1513.212.83NANA38.5840.64090
    35636AArtery bypass graft22.46NANA10.2611.362.37NANA35.0936.19090
    35641AArtery bypass graft24.57NANA11.5214.222.83NANA38.9241.62090
    35642AArtery bypass graft17.98NANA9.169.671.84NANA28.9829.49090
    35645AArtery bypass graft17.47NANA8.469.371.91NANA27.8428.75090
    35646AArtery bypass graft25.81NANA11.8715.362.98NANA40.6644.15090
    35650AArtery bypass graft14.36NANA6.709.311.64NANA22.7025.31090
    35651AArtery bypass graft25.04NANA11.4215.102.53NANA38.9942.67090
    35654AArtery bypass graft18.61NANA8.8512.192.10NANA29.5632.90090
    35656AArtery bypass graft19.53NANA9.1511.672.21NANA30.8933.41090
    35661AArtery bypass graft13.18NANA6.688.951.50NANA21.3623.63090
    35663AArtery bypass graft14.17NANA7.339.731.55NANA23.0525.45090
    35665AArtery bypass graft15.40NANA7.6310.321.76NANA24.7927.48090
    Start Printed Page 65472
    35666AArtery bypass graft19.19NANA11.5714.122.19NANA32.9535.50090
    35671AArtery bypass graft14.80NANA9.4811.341.68NANA25.9627.82090
    35681AComposite bypass graft1.60NANA2.444.240.18NANA4.226.02ZZZ
    35682AComposite bypass graft7.20NANA2.674.410.83NANA10.7012.44ZZZ
    35683AComposite bypass graft8.50NANA3.184.790.98NANA12.6614.27ZZZ
    35691AArterial transposition18.05NANA8.0211.342.06NANA28.1331.45090
    35693AArterial transposition15.36NANA7.678.301.80NANA24.8325.46090
    35694AArterial transposition19.16NANA8.478.892.13NANA29.7630.18090
    35695AArterial transposition19.16NANA8.458.872.19NANA29.8030.22090
    35700AReoperation, bypass graft3.08NANA3.142.790.36NANA6.586.23ZZZ
    35701AExploration, carotid artery5.55NANA3.654.320.64NANA9.8410.51090
    35721AExploration, femoral artery5.28NANA4.885.170.59NANA10.7511.04090
    35741AExploration popliteal artery5.37NANA4.725.100.60NANA10.6911.07090
    35761AExploration of artery/vein5.37NANA4.665.070.60NANA10.6311.04090
    35800AExplore neck vessels7.02NANA4.254.620.79NANA12.0612.43090
    35820AExplore chest vessels12.88NANA5.316.131.61NANA19.8020.62090
    35840AExplore abdominal vessels9.77NANA5.476.071.06NANA16.3016.90090
    35860AExplore limb vessels5.55NANA3.804.430.63NANA9.9810.61090
    35870ARepair vessel graft defect22.17NANA10.8010.992.47NANA35.4435.63090
    35875ARemoval of clot in graft10.13NANA6.857.370.97NANA17.9518.47090
    35876ARemoval of clot in graft17.00NANA9.519.361.88NANA28.3928.24090
    35879ARevise graft w/vein16.00NANA8.588.581.35NANA25.9325.93090
    35881ARevise graft w/vein18.00NANA9.479.471.44NANA28.9128.91090
    35901AExcision, graft, neck8.19NANA5.816.310.90NANA14.9015.40090
    35903AExcision, graft, extremity9.39NANA8.438.271.03NANA18.8518.69090
    35905AExcision, graft, thorax18.19NANA12.8811.612.15NANA33.2231.95090
    35907AExcision, graft, abdomen19.24NANA9.899.372.17NANA31.3030.78090
    36000APlace needle in vein0.180.620.530.050.070.010.810.720.240.26XXX
    36005AInjection, venography0.9515.3811.660.340.380.0416.3712.651.331.37000
    36010APlace catheter in vein2.43NANA0.881.230.16NANA3.473.82XXX
    36011APlace catheter in vein3.14NANA1.161.390.17NANA4.474.70XXX
    36012APlace catheter in vein3.52NANA1.291.690.17NANA4.985.38XXX
    36013APlace catheter in artery2.52NANA0.811.180.17NANA3.503.87XXX
    36014APlace catheter in artery3.02NANA1.111.450.14NANA4.274.61XXX
    36015APlace catheter in artery3.52NANA1.291.690.16NANA4.975.37XXX
    36100AEstablish access to artery3.02NANA1.261.650.18NANA4.464.85XXX
    36120AEstablish access to artery2.01NANA0.731.150.11NANA2.853.27XXX
    36140AEstablish access to artery2.01NANA0.720.920.12NANA2.853.05XXX
    36145AArtery to vein shunt2.01NANA0.751.160.10NANA2.863.27XXX
    36160AEstablish access to aorta2.52NANA0.981.370.20NANA3.704.09XXX
    36200APlace catheter in aorta3.02NANA1.111.570.15NANA4.284.74XXX
    36215APlace catheter in artery4.68NANA1.722.050.22NANA6.626.95XXX
    36216APlace catheter in artery5.28NANA1.952.360.24NANA7.477.88XXX
    36217APlace catheter in artery6.30NANA2.362.830.32NANA8.989.45XXX
    36218APlace catheter in artery1.01NANA0.410.480.05NANA1.471.54ZZZ
    36245APlace catheter in artery4.68NANA1.862.250.23NANA6.777.16XXX
    36246APlace catheter in artery5.28NANA1.982.380.26NANA7.527.92XXX
    36247APlace catheter in artery6.30NANA2.332.810.32NANA8.959.43XXX
    36248APlace catheter in artery1.01NANA0.420.480.06NANA1.491.55ZZZ
    36260AInsertion of infusion pump9.71NANA5.716.111.00NANA16.4216.82090
    36261ARevision of infusion pump5.45NANA3.613.310.50NANA9.569.26090
    36262ARemoval of infusion pump4.02NANA2.582.460.43NANA7.036.91090
    36299CVessel injection procedure0.000.000.000.000.000.000.000.000.000.00YYY
    36400ADrawing blood0.180.620.490.050.050.010.810.680.240.24XXX
    36405ADrawing blood0.180.550.540.060.110.010.740.730.250.30XXX
    36406ADrawing blood0.180.760.610.050.060.010.950.800.240.25XXX
    36410ADrawing blood0.180.480.420.050.070.010.670.610.240.26XXX
    36415IDrawing blood0.000.000.000.000.000.000.000.000.000.00XXX
    36420AEstablish access to vein1.01NANA0.320.380.09NANA1.421.48XXX
    36425AEstablish access to vein0.763.222.440.170.150.054.033.250.980.96XXX
    36430ABlood transfusion service0.001.001.011.000.880.051.051.061.050.93XXX
    36440ABlood transfusion service1.03NANA0.290.470.08NANA1.401.58XXX
    36450AExchange transfusion service2.23NANA0.730.800.16NANA3.123.19XXX
    36455AExchange transfusion service2.43NANA0.971.340.10NANA3.503.87XXX
    36460ATransfusion service, fetal6.59NANA2.433.100.56NANA9.5810.25XXX
    36468RInjection(s), spider veins0.000.000.000.000.000.000.000.000.000.00XXX
    36469RInjection(s), spider veins0.000.000.000.000.000.000.000.000.000.00XXX
    36470AInjection therapy of vein1.092.592.020.410.350.103.783.211.601.54010
    36471AInjection therapy of veins1.573.232.530.600.500.154.954.252.322.22010
    36481AInsertion of catheter, vein6.99NANA2.883.600.40NANA10.2710.99000
    36488AInsertion of catheter, vein1.35NANA0.750.830.09NANA2.192.27000
    36489AInsertion of catheter, vein1.223.302.780.680.820.084.604.081.982.12000
    36490AInsertion of catheter, vein1.67NANA0.891.040.17NANA2.732.88000
    36491AInsertion of catheter, vein1.43NANA0.781.010.13NANA2.342.57000
    36493ARepositioning of cvc1.21NANA0.850.810.06NANA2.122.08000
    36500AInsertion of catheter, vein3.52NANA1.321.010.14NANA4.984.67000
    36510AInsertion of catheter, vein1.09NANA0.610.510.06NANA1.761.66000
    36520APlasma and/or cell exchange1.74NANA0.981.250.06NANA2.783.05000
    36521AApheresis w/ adsorp/reinfuse1.74NANA0.980.980.06NANA2.782.78000
    36522APhotopheresis1.675.965.141.121.340.077.706.882.863.08000
    36530RInsertion of infusion pump6.20NANA3.754.120.56NANA10.5110.88010
    36531RRevision of infusion pump4.87NANA3.283.650.44NANA8.598.96010
    36532RRemoval of infusion pump3.30NANA1.651.720.34NANA5.295.36010
    Start Printed Page 65473
    36533AInsertion of access device5.324.334.413.513.800.4910.1410.229.329.61010
    36534ARevision of access device2.80NANA1.511.970.19NANA4.504.96010
    36535ARemoval of access device2.272.912.671.981.980.215.395.154.464.46010
    36540BCollect blood venous device0.000.000.000.000.000.000.000.000.000.00XXX
    36550ADeclot vascular device0.000.370.370.060.060.310.680.680.370.37XXX
    36600AWithdrawal of arterial blood0.320.400.380.090.140.020.740.720.430.48XXX
    36620AInsertion catheter, artery1.15NANA0.250.370.06NANA1.461.58000
    36625AInsertion catheter, artery2.11NANA0.610.690.16NANA2.882.96000
    36640AInsertion catheter, artery2.10NANA0.781.210.18NANA3.063.49000
    36660AInsertion catheter, artery1.40NANA0.460.480.08NANA1.941.96000
    36680AInsert needle, bone cavity1.20NANA0.600.790.08NANA1.882.07000
    36800AInsertion of cannula2.43NANA1.671.860.17NANA4.274.46000
    36810AInsertion of cannula3.97NANA2.493.050.40NANA6.867.42000
    36815AInsertion of cannula2.62NANA1.812.140.26NANA4.695.02000
    36819AAv fusion by basilic vein14.00NANA6.906.901.53NANA22.4322.43090
    36821AAv fusion direct any site8.93NANA5.235.890.97NANA15.1315.79090
    36822AInsertion of cannula(s)5.42NANA10.029.040.63NANA16.0715.09090
    36823AInsertion of cannula(s)21.00NANA11.8011.802.18NANA34.9834.98090
    36825AArtery-vein graft9.84NANA5.917.371.09NANA16.8418.30090
    36830AArtery-vein graft12.00NANA6.517.591.32NANA19.8320.91090
    36831AAv fistula excision, open8.002.952.952.952.950.7911.7411.7411.7411.74090
    36832AAv fistula revision, open10.50NANA5.906.351.13NANA17.5317.98090
    36833AAv fistula revision11.954.494.494.494.491.2917.7317.7317.7317.73090
    36834ARepair A-V aneurysm9.93NANA4.095.191.06NANA15.0816.18090
    36835AArtery to vein shunt7.15NANA4.904.600.80NANA12.8512.55090
    36860AExternal cannula declotting2.012.312.431.641.830.104.424.543.753.94000
    36861ACannula declotting2.52NANA1.802.100.14NANA4.464.76000
    36870AAv fistula revision, open5.1630.6730.672.512.510.4036.2336.238.078.07090
    37140ARevision of circulation23.60NANA10.5812.361.21NANA35.3937.17090
    37145ARevision of circulation24.61NANA11.0012.902.48NANA38.0939.99090
    37160ARevision of circulation21.60NANA9.5211.952.16NANA33.2835.71090
    37180ARevision of circulation24.61NANA10.9712.082.63NANA38.2139.32090
    37181ASplice spleen/kidney veins26.68NANA11.7413.262.67NANA41.0942.61090
    37195AThrombolytic therapy, stroke0.007.998.087.998.080.388.378.468.378.46XXX
    37200ATranscatheter biopsy4.56NANA1.651.670.19NANA6.406.42000
    37201ATranscatheter therapy infuse5.00NANA2.593.440.24NANA7.838.68000
    37202ATranscatheter therapy infuse5.68NANA3.273.620.38NANA9.339.68000
    37203ATranscatheter retrieval5.03NANA2.623.000.23NANA7.888.26000
    37204ATranscatheter occlusion18.14NANA6.338.480.85NANA25.3227.47000
    37205ATranscatheter stent8.28NANA3.984.390.43NANA12.6913.10000
    37206ATranscatheter stent add-on4.13NANA1.621.920.22NANA5.976.27ZZZ
    37207ATranscatheter stent8.28NANA3.864.300.89NANA13.0313.47000
    37208ATranscatheter stent add-on4.13NANA1.561.870.44NANA6.136.44ZZZ
    37209AExchange arterial catheter2.27NANA0.851.020.11NANA3.233.40000
    37250AIv us first vessel add-on2.10NANA0.860.960.17NANA3.133.23ZZZ
    37251AIv us each add vessel add-on1.60NANA0.630.710.14NANA2.372.45ZZZ
    37565ALigation of neck vein4.44NANA2.622.990.45NANA7.517.88090
    37600ALigation of neck artery4.57NANA3.343.860.40NANA8.318.83090
    37605ALigation of neck artery6.19NANA3.894.430.77NANA10.8511.39090
    37606ALigation of neck artery6.28NANA3.934.550.79NANA11.0011.62090
    37607ALigation of a-v fistula6.16NANA3.843.710.67NANA10.6710.54090
    37609ATemporal artery procedure2.306.205.252.302.330.218.717.764.814.84010
    37615ALigation of neck artery5.73NANA3.714.310.57NANA10.0110.61090
    37616ALigation of chest artery16.49NANA13.3311.141.93NANA31.7529.56090
    37617ALigation of abdomen artery15.95NANA7.597.861.69NANA25.2325.50090
    37618ALigation of extremity artery4.84NANA3.644.080.54NANA9.029.46090
    37620ARevision of major vein10.56NANA5.606.590.75NANA16.9117.90090
    37650ARevision of major vein5.13NANA3.964.060.56NANA9.659.75090
    37660ARevision of major vein10.61NANA6.146.171.17NANA17.9217.95090
    37700ARevise leg vein3.73NANA3.233.410.40NANA7.367.54090
    37720ARemoval of leg vein5.66NANA3.824.250.61NANA10.0910.52090
    37730ARemoval of leg veins7.33NANA4.745.440.77NANA12.8413.54090
    37735ARemoval of leg veins/lesion10.53NANA5.996.761.17NANA17.6918.46090
    37760ARevision of leg veins10.47NANA6.066.581.11NANA17.6418.16090
    37780ARevision of leg vein3.84NANA2.972.740.41NANA7.226.99090
    37785ARevise secondary varicosity3.886.895.432.952.480.4111.189.727.246.77090
    37788ARevascularization, penis22.01NANA12.6113.571.35NANA35.9736.93090
    37790APenile venous occlusion8.34NANA7.236.970.63NANA16.2015.94090
    37799CVascular surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    38100ARemoval of spleen, total13.01NANA6.367.091.30NANA20.6721.40090
    38101ARemoval of spleen, partial13.74NANA6.696.921.38NANA21.8122.04090
    38102ARemoval of spleen, total4.80NANA1.822.050.49NANA7.117.34ZZZ
    38115ARepair of ruptured spleen14.19NANA6.817.181.40NANA22.4022.77090
    38120ALaparoscopy, splenectomy17.00NANA7.797.791.73NANA26.5226.52090
    38129CLaparoscope proc, spleen0.000.000.000.000.000.000.000.000.000.00YYY
    38200AInjection for spleen x-ray2.64NANA0.981.200.12NANA3.743.96000
    38230RBone marrow collection4.54NANA2.342.510.25NANA7.137.30010
    38231RStem cell collection1.50NANA0.590.820.05NANA2.142.37000
    38240RBone marrow/stem transplant2.24NANA0.851.200.08NANA3.173.52XXX
    38241RBone marrow/stem transplant2.24NANA0.841.180.08NANA3.163.50XXX
    38300ADrainage, lymph node lesion1.534.313.392.521.970.155.995.074.203.65010
    38305ADrainage, lymph node lesion4.617.716.325.744.840.3612.6811.2910.719.81090
    38308AIncision of lymph channels4.95NANA5.104.740.51NANA10.5610.20090
    Start Printed Page 65474
    38380AThoracic duct procedure7.46NANA7.456.790.68NANA15.5914.93090
    38381AThoracic duct procedure12.88NANA12.2211.221.58NANA26.6825.68090
    38382AThoracic duct procedure10.08NANA10.979.541.08NANA22.1320.70090
    38500ABiopsy/removal, lymph nodes2.882.642.412.302.160.285.805.575.465.32010
    38505ANeedle biopsy, lymph nodes1.142.982.541.120.990.094.213.772.352.22000
    38510ABiopsy/removal, lymph nodes4.14NANA4.403.990.38NANA8.928.51090
    38520ABiopsy/removal, lymph nodes5.12NANA5.254.750.52NANA10.8910.39090
    38525ABiopsy/removal, lymph nodes4.66NANA3.933.650.48NANA9.078.79090
    38530ABiopsy/removal, lymph nodes6.13NANA5.364.880.63NANA12.1211.64090
    38542AExplore deep node(s), neck5.91NANA5.995.650.50NANA12.4012.06090
    38550ARemoval, neck/armpit lesion6.92NANA4.944.580.69NANA12.5512.19090
    38555ARemoval, neck/armpit lesion14.14NANA11.7910.821.46NANA27.3926.42090
    38562ARemoval, pelvic lymph nodes10.49NANA6.516.750.97NANA17.9718.21090
    38564ARemoval, abdomen lymph nodes10.83NANA6.516.891.06NANA18.4018.78090
    38570ALaparoscopy, lymph node biop9.25NANA4.615.190.89NANA14.7515.33010
    38571ALaparoscopy, lymphadenectomy12.38NANA5.486.430.80NANA18.6619.61010
    38572ALaparoscopy, lymphadenectomy14.32NANA6.437.541.32NANA22.0723.18010
    38589CLaparoscope proc, lymphatic0.000.000.000.000.000.000.000.000.000.00YYY
    38700ARemoval of lymph nodes, neck8.24NANA13.2312.380.60NANA22.0721.22090
    38720ARemoval of lymph nodes, neck13.61NANA15.6715.821.03NANA30.3130.46090
    38724ARemoval of lymph nodes, neck14.54NANA16.1516.011.10NANA31.7931.65090
    38740ARemove armpit lymph nodes6.77NANA4.734.830.69NANA12.1912.29090
    38745ARemove armpit lymph nodes8.84NANA6.757.310.90NANA16.4917.05090
    38746ARemove thoracic lymph nodes4.39NANA1.781.960.55NANA6.726.90ZZZ
    38747ARemove abdominal lymph nodes4.89NANA1.862.090.50NANA7.257.48ZZZ
    38760ARemove groin lymph nodes8.74NANA5.716.080.88NANA15.3315.70090
    38765ARemove groin lymph nodes16.06NANA10.0811.001.50NANA27.6428.56090
    38770ARemove pelvis lymph nodes13.23NANA6.879.100.94NANA21.0423.27090
    38780ARemove abdomen lymph nodes16.59NANA9.2311.281.60NANA27.4229.47090
    38790AInject for lymphatic x-ray1.2934.7326.490.480.750.0936.1127.871.862.13000
    38792AIdentify sentinel node0.52NANA0.200.200.04NANA0.760.76000
    38794AAccess thoracic lymph duct4.45NANA1.692.040.17NANA6.316.66090
    38999CBlood/lymph system procedure0.000.000.000.000.000.000.000.000.000.00YYY
    39000AExploration of chest6.10NANA9.678.900.73NANA16.5015.73090
    39010AExploration of chest11.79NANA12.6712.611.46NANA25.9225.86090
    39200ARemoval chest lesion13.62NANA12.9712.871.65NANA28.2428.14090
    39220ARemoval chest lesion17.42NANA14.4814.912.10NANA34.0034.43090
    39400AVisualization of chest5.61NANA9.438.460.69NANA15.7314.76010
    39499CChest procedure0.000.000.000.000.000.000.000.000.000.00YYY
    39501ARepair diaphragm laceration13.19NANA8.449.221.38NANA23.0123.79090
    39502ARepair paraesophageal hernia16.33NANA8.879.891.68NANA26.8827.90090
    39503ARepair of diaphragm hernia37.54NANA16.7919.433.52NANA57.8560.49090
    39520ARepair of diaphragm hernia16.10NANA11.3711.931.83NANA29.3029.86090
    39530ARepair of diaphragm hernia15.41NANA9.5610.991.66NANA26.6328.06090
    39531ARepair of diaphragm hernia16.42NANA10.6710.721.83NANA28.9228.97090
    39540ARepair of diaphragm hernia13.32NANA8.549.661.38NANA23.2424.36090
    39541ARepair of diaphragm hernia14.41NANA8.789.891.52NANA24.7125.82090
    39545ARevision of diaphragm13.37NANA11.7210.931.55NANA26.6425.85090
    39560AResect diaphragm, simple12.00NANA8.978.971.35NANA22.3222.32090
    39561AResect diaphragm, complex17.50NANA11.0811.081.97NANA30.5530.55090
    39599CDiaphragm surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    40490ABiopsy of lip1.221.631.420.620.570.062.912.701.901.85000
    40500APartial excision of lip4.285.615.495.495.400.3110.2010.0810.089.99090
    40510APartial excision of lip4.706.596.356.336.150.3811.6711.4311.4111.23090
    40520APartial excision of lip4.677.586.916.716.250.4212.6712.0011.8011.34090
    40525AReconstruct lip with flap7.55NANA8.218.410.68NANA16.4416.64090
    40527AReconstruct lip with flap9.13NANA9.069.520.82NANA19.0119.47090
    40530APartial removal of lip5.406.386.176.186.020.4712.2512.0412.0511.89090
    40650ARepair lip3.645.385.124.524.480.319.339.078.478.43090
    40652ARepair lip4.266.346.036.346.030.3910.9910.6810.9910.68090
    40654ARepair lip5.317.617.297.377.110.4813.4013.0813.1612.90090
    40700ARepair cleft lip/nasal12.79NANA10.3610.070.93NANA24.0823.79090
    40701ARepair cleft lip/nasal15.85NANA10.0912.811.36NANA27.3030.02090
    40702ARepair cleft lip/nasal13.04NANA9.309.521.01NANA23.3523.57090
    40720ARepair cleft lip/nasal13.55NANA12.3911.901.31NANA27.2526.76090
    40761ARepair cleft lip/nasal14.72NANA11.5911.631.41NANA27.7227.76090
    40799CLip surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    40800ADrainage of mouth lesion1.171.911.630.460.450.093.172.891.721.71010
    40801ADrainage of mouth lesion2.532.432.281.901.660.185.144.994.614.37010
    40804ARemoval, foreign body, mouth1.242.562.082.161.700.093.893.413.493.03010
    40805ARemoval, foreign body, mouth2.693.052.972.692.700.175.915.835.555.56010
    40806AIncision of lip fold0.310.850.740.850.740.021.181.071.181.07000
    40808ABiopsy of mouth lesion0.962.051.742.051.640.073.082.773.082.67010
    40810AExcision of mouth lesion1.312.662.322.361.930.094.063.723.763.33010
    40812AExcise/repair mouth lesion2.312.872.562.872.360.175.355.045.354.84010
    40814AExcise/repair mouth lesion3.424.043.914.043.470.267.727.597.727.15090
    40816AExcision of mouth lesion3.674.354.144.353.700.278.298.088.297.64090
    40818AExcise oral mucosa for graft2.414.023.634.023.630.146.576.186.576.18090
    40819AExcise lip or cheek fold2.413.502.963.502.790.176.085.546.085.37090
    40820ATreatment of mouth lesion1.282.331.892.171.700.083.693.253.533.06010
    40830ARepair mouth laceration1.762.462.032.411.990.144.363.934.313.89010
    40831ARepair mouth laceration2.462.782.612.782.610.215.455.285.455.28010
    40840RReconstruction of mouth8.736.166.336.166.330.7915.6815.8515.6815.85090
    Start Printed Page 65475
    40842RReconstruction of mouth8.735.986.195.986.190.6515.3615.5715.3615.57090
    40843RReconstruction of mouth12.108.478.748.478.740.8421.4121.6821.4121.68090
    40844RReconstruction of mouth16.018.959.878.419.461.6326.5927.5126.0527.10090
    40845RReconstruction of mouth18.5810.5313.4410.5313.441.4730.5833.4930.5833.49090
    40899CMouth surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    41000ADrainage of mouth lesion1.302.351.971.541.260.093.743.362.932.65010
    41005ADrainage of mouth lesion1.262.091.741.241.100.093.443.092.592.45010
    41006ADrainage of mouth lesion3.243.512.913.412.830.257.006.406.906.32090
    41007ADrainage of mouth lesion3.103.323.283.043.070.226.646.606.366.39090
    41008ADrainage of mouth lesion3.373.572.973.182.530.247.186.586.796.14090
    41009ADrainage of mouth lesion3.593.593.593.193.290.257.437.437.037.13090
    41010AIncision of tongue fold1.062.902.282.902.280.064.023.404.023.40010
    41015ADrainage of mouth lesion3.964.353.503.212.640.298.607.757.466.89090
    41016ADrainage of mouth lesion4.074.144.113.393.540.288.498.467.747.89090
    41017ADrainage of mouth lesion4.074.023.403.302.860.328.417.797.697.25090
    41018ADrainage of mouth lesion5.104.534.473.893.990.359.989.929.349.44090
    41100ABiopsy of tongue1.632.592.162.572.040.124.343.914.323.79010
    41105ABiopsy of tongue1.422.422.102.421.960.103.943.623.943.48010
    41108ABiopsy of floor of mouth1.052.291.952.231.790.083.423.083.362.92010
    41110AExcision of tongue lesion1.513.032.632.492.050.114.654.254.113.67010
    41112AExcision of tongue lesion2.733.483.263.482.940.206.416.196.415.87090
    41113AExcision of tongue lesion3.193.463.523.463.060.236.886.946.886.48090
    41114AExcision of tongue lesion8.47NANA6.366.500.64NANA15.4715.61090
    41115AExcision of tongue fold1.742.312.222.312.220.134.184.094.184.09010
    41116AExcision of mouth lesion2.443.363.203.363.200.175.975.815.975.81090
    41120APartial removal of tongue9.77NANA8.688.490.70NANA19.1518.96090
    41130APartial removal of tongue11.15NANA9.529.600.81NANA21.4821.56090
    41135ATongue and neck surgery23.09NANA15.8416.851.66NANA40.5941.60090
    41140ARemoval of tongue25.50NANA18.0318.651.85NANA45.3846.00090
    41145ATongue removal, neck surgery30.06NANA21.4322.262.11NANA53.6054.43090
    41150ATongue, mouth, jaw surgery23.04NANA17.0517.931.67NANA41.7642.64090
    41153ATongue, mouth, neck surgery23.77NANA17.7820.121.71NANA43.2645.60090
    41155ATongue, jaw, & neck surgery27.72NANA19.8122.982.02NANA49.5552.72090
    41250ARepair tongue laceration1.912.812.401.651.530.154.874.463.713.59010
    41251ARepair tongue laceration2.272.732.612.242.240.185.185.064.694.69010
    41252ARepair tongue laceration2.973.573.322.322.380.236.776.525.525.58010
    41500AFixation of tongue3.71NANA4.284.100.26NANA8.258.07090
    41510ATongue to lip surgery3.42NANA4.474.040.24NANA8.137.70090
    41520AReconstruction, tongue fold2.733.163.153.163.150.196.086.076.086.07090
    41599CTongue and mouth surgery0.000.000.000.000.000.000.000.000.000.00YYY
    41800ADrainage of gum lesion1.171.881.601.331.090.093.142.862.592.35010
    41805ARemoval foreign body, gum1.241.901.651.901.650.093.232.983.232.98010
    41806ARemoval foreign body,jawbone2.692.562.372.382.010.225.475.285.294.92010
    41820RExcision, gum, each quadrant0.000.000.000.000.000.000.000.000.000.00XXX
    41821RExcision of gum flap0.000.000.000.000.000.000.000.000.000.00XXX
    41822RExcision of gum lesion2.312.842.950.911.510.245.395.503.464.06010
    41823RExcision of gum lesion3.303.713.772.753.050.297.307.366.346.64090
    41825AExcision of gum lesion1.312.342.162.271.910.103.753.573.683.32010
    41826AExcision of gum lesion2.312.602.512.592.230.175.084.995.074.71010
    41827AExcision of gum lesion3.423.553.683.553.170.257.227.357.226.84090
    41828RExcision of gum lesion3.093.003.362.302.830.226.316.675.616.14010
    41830RRemoval of gum tissue3.353.153.363.153.360.236.736.946.736.94010
    41850RTreatment of gum lesion0.000.000.000.000.000.000.000.000.000.00XXX
    41870RGum graft0.000.000.000.000.000.000.000.000.000.00XXX
    41872RRepair gum2.592.672.782.672.780.185.445.555.445.55090
    41874RRepair tooth socket3.092.813.032.342.680.236.136.355.666.00090
    41899CDental surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    42000ADrainage mouth roof lesion1.232.391.961.681.350.103.723.293.012.68010
    42100ABiopsy roof of mouth1.312.361.992.361.880.103.773.403.773.29010
    42104AExcision lesion, mouth roof1.642.432.262.432.040.124.194.024.193.80010
    42106AExcision lesion, mouth roof2.102.602.552.602.250.164.864.814.864.51010
    42107AExcision lesion, mouth roof4.444.024.344.023.680.328.789.108.788.44090
    42120ARemove palate/lesion6.17NANA6.016.350.44NANA12.6212.96090
    42140AExcision of uvula1.623.683.133.222.780.125.424.874.964.52090
    42145ARepair palate, pharynx/uvula8.05NANA7.307.880.56NANA15.9116.49090
    42160ATreatment mouth roof lesion1.803.162.792.622.170.135.094.724.554.10010
    42180ARepair palate2.502.742.662.092.180.195.435.354.784.87010
    42182ARepair palate3.833.943.902.983.180.278.048.007.087.28010
    42200AReconstruct cleft palate12.00NANA9.929.390.97NANA22.8922.36090
    42205AReconstruct cleft palate9.59NANA7.658.600.82NANA18.0619.01090
    42210AReconstruct cleft palate14.50NANA7.949.351.24NANA23.6825.09090
    42215AReconstruct cleft palate8.82NANA7.367.600.96NANA17.1417.38090
    42220AReconstruct cleft palate7.02NANA5.695.730.41NANA13.1213.16090
    42225AReconstruct cleft palate9.54NANA8.878.530.75NANA19.1618.82090
    42226ALengthening of palate10.01NANA9.159.000.73NANA19.8919.74090
    42227ALengthening of palate9.52NANA6.697.030.70NANA16.9117.25090
    42235ARepair palate7.87NANA5.755.820.49NANA14.1114.18090
    42260ARepair nose to lip fistula9.807.336.587.336.580.8517.9817.2317.9817.23090
    42280APreparation, palate mold1.541.411.600.811.150.123.073.262.472.81010
    42281AInsertion, palate prosthesis1.932.011.911.031.170.144.083.983.103.24010
    42299CPalate/uvula surgery0.000.000.000.000.000.000.000.000.000.00YYY
    42300ADrainage of salivary gland1.932.562.181.761.450.154.644.263.843.53010
    42305ADrainage of salivary gland6.07NANA5.164.460.46NANA11.6910.99090
    Start Printed Page 65476
    42310ADrainage of salivary gland1.562.241.961.671.390.113.913.633.343.06010
    42320ADrainage of salivary gland2.352.792.592.122.090.175.315.114.644.61010
    42325ACreate salivary cyst drain2.753.303.051.201.480.176.225.974.124.40090
    42326ACreate salivary cyst drain3.783.283.592.102.700.347.407.716.226.82090
    42330ARemoval of salivary stone2.212.702.321.201.050.165.074.693.573.42010
    42335ARemoval of salivary stone3.313.573.353.573.010.237.116.897.116.55090
    42340ARemoval of salivary stone4.604.574.584.574.010.349.519.529.518.95090
    42400ABiopsy of salivary gland0.782.341.970.390.400.063.182.811.231.24000
    42405ABiopsy of salivary gland3.293.352.933.282.670.246.886.466.816.20010
    42408AExcision of salivary cyst4.544.614.344.614.340.349.499.229.499.22090
    42409ADrainage of salivary cyst2.813.443.343.443.340.206.456.356.456.35090
    42410AExcise parotid gland/lesion9.34NANA7.787.450.77NANA17.8917.56090
    42415AExcise parotid gland/lesion16.89NANA12.4012.741.26NANA30.5530.89090
    42420AExcise parotid gland/lesion19.59NANA13.9714.501.45NANA35.0135.54090
    42425AExcise parotid gland/lesion13.02NANA10.2610.710.98NANA24.2624.71090
    42426AExcise parotid gland/lesion21.26NANA14.7917.441.57NANA37.6240.27090
    42440AExcise submaxillary gland6.97NANA5.886.490.51NANA13.3613.97090
    42450AExcise sublingual gland4.624.924.624.914.610.349.889.589.879.57090
    42500ARepair salivary duct4.304.674.754.674.750.309.279.359.279.35090
    42505ARepair salivary duct6.185.335.845.335.840.4411.9512.4611.9512.46090
    42507AParotid duct diversion6.11NANA5.855.650.66NANA12.6212.42090
    42508AParotid duct diversion9.10NANA7.968.040.64NANA17.7017.78090
    42509AParotid duct diversion11.54NANA7.667.731.24NANA20.4420.51090
    42510AParotid duct diversion8.15NANA7.447.660.57NANA16.1616.38090
    42550AInjection for salivary x-ray1.2512.219.280.440.450.0613.5210.591.751.76000
    42600AClosure of salivary fistula4.826.025.575.545.210.3411.1810.7310.7010.37090
    42650ADilation of salivary duct0.771.060.900.420.370.061.891.731.251.20000
    42660ADilation of salivary duct1.131.151.001.150.930.072.352.202.352.13000
    42665ALigation of salivary duct2.533.733.353.693.320.176.436.056.396.02090
    42699CSalivary surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    42700ADrainage of tonsil abscess1.623.092.551.801.470.124.834.293.543.21010
    42720ADrainage of throat abscess5.424.734.064.674.020.3910.549.8710.489.83010
    42725ADrainage of throat abscess10.72NANA8.377.490.80NANA19.8919.01090
    42800ABiopsy of throat1.392.912.382.501.980.104.403.873.993.47010
    42802ABiopsy of throat1.543.012.542.602.230.114.664.194.253.88010
    42804ABiopsy of upper nose/throat1.242.872.452.452.130.094.203.783.783.46010
    42806ABiopsy of upper nose/throat1.583.292.852.632.350.124.994.554.334.05010
    42808AExcise pharynx lesion2.304.664.183.042.960.177.136.655.515.43010
    42809ARemove pharynx foreign body1.813.342.731.671.480.135.284.673.613.42010
    42810AExcision of neck cyst3.255.284.814.454.190.258.788.317.957.69090
    42815AExcision of neck cyst7.07NANA6.497.030.53NANA14.0914.63090
    42820ARemove tonsils and adenoids3.91NANA3.893.770.28NANA8.087.96090
    42821ARemove tonsils and adenoids4.29NANA4.134.170.30NANA8.728.76090
    42825ARemoval of tonsils3.42NANA3.573.400.24NANA7.237.06090
    42826ARemoval of tonsils3.38NANA3.613.720.23NANA7.227.33090
    42830ARemoval of adenoids2.57NANA2.262.200.18NANA5.014.95090
    42831ARemoval of adenoids2.71NANA2.492.510.19NANA5.395.41090
    42835ARemoval of adenoids2.30NANA2.462.350.17NANA4.934.82090
    42836ARemoval of adenoids3.18NANA3.583.440.22NANA6.986.84090
    42842AExtensive surgery of throat8.76NANA7.717.600.61NANA17.0816.97090
    42844AExtensive surgery of throat14.31NANA11.3111.431.04NANA26.6626.78090
    42845AExtensive surgery of throat24.29NANA17.4718.161.76NANA43.5244.21090
    42860AExcision of tonsil tags2.22NANA3.012.770.16NANA5.395.15090
    42870AExcision of lingual tonsil5.40NANA5.835.000.38NANA11.6110.78090
    42890APartial removal of pharynx12.94NANA10.6210.410.91NANA24.4724.26090
    42892ARevision of pharyngeal walls15.83NANA12.1512.081.14NANA29.1229.05090
    42894ARevision of pharyngeal walls22.88NANA16.8316.981.64NANA41.3541.50090
    42900ARepair throat wound5.25NANA3.733.950.39NANA9.379.59010
    42950AReconstruction of throat8.10NANA7.407.970.58NANA16.0816.65090
    42953ARepair throat, esophagus8.96NANA8.968.440.73NANA18.6518.13090
    42955ASurgical opening of throat7.39NANA6.485.760.63NANA14.5013.78090
    42960AControl throat bleeding2.33NANA2.081.850.17NANA4.584.35010
    42961AControl throat bleeding5.59NANA5.224.390.40NANA11.2110.38090
    42962AControl throat bleeding7.14NANA6.256.310.51NANA13.9013.96090
    42970AControl nose/throat bleeding5.43NANA3.773.110.37NANA9.578.91090
    42971AControl nose/throat bleeding6.21NANA5.695.060.45NANA12.3511.72090
    42972AControl nose/throat bleeding7.20NANA5.295.200.54NANA13.0312.94090
    42999CThroat surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    43020AIncision of esophagus8.09NANA6.756.850.70NANA15.5415.64090
    43030AThroat muscle surgery7.69NANA6.947.500.60NANA15.2315.79090
    43045AIncision of esophagus20.12NANA12.6612.872.15NANA34.9335.14090
    43100AExcision of esophagus lesion9.19NANA7.557.340.79NANA17.5317.32090
    43101AExcision of esophagus lesion16.24NANA9.829.941.81NANA27.8727.99090
    43107ARemoval of esophagus28.79NANA16.9218.803.29NANA49.0050.88090
    43108ARemoval of esophagus34.19NANA17.6620.103.78NANA55.6358.07090
    43112ARemoval of esophagus31.22NANA18.1819.513.67NANA53.0754.40090
    43113ARemoval of esophagus35.27NANA19.4321.434.33NANA59.0361.03090
    43116APartial removal of esophagus31.22NANA20.7422.412.62NANA54.5856.25090
    43117APartial removal of esophagus30.02NANA17.4919.973.51NANA51.0253.50090
    43118APartial removal of esophagus33.20NANA18.2720.563.56NANA55.0357.32090
    43121APartial removal of esophagus29.19NANA17.4518.883.44NANA50.0851.51090
    43122AParital removal of esophagus29.11NANA16.1817.933.27NANA48.5650.31090
    43123APartial removal of esophagus33.20NANA19.6521.593.96NANA56.8158.75090
    Start Printed Page 65477
    43124ARemoval of esophagus27.32NANA17.5219.252.95NANA47.7949.52090
    43130ARemoval of esophagus pouch11.75NANA9.459.941.06NANA22.2622.75090
    43135ARemoval of esophagus pouch16.10NANA11.7111.961.85NANA29.6629.91090
    43200AEsophagus endoscopy1.596.745.611.181.360.118.447.312.883.06000
    43202AEsophagus endoscopy, biopsy1.895.354.671.131.410.127.366.683.143.42000
    43204AEsophagus endoscopy & inject3.77NANA1.642.360.18NANA5.596.31000
    43205AEsophagus endoscopy/ligation3.79NANA1.651.970.17NANA5.615.93000
    43215AEsophagus endoscopy2.60NANA1.251.710.17NANA4.024.48000
    43216AEsophagus endoscopy/lesion2.40NANA1.171.600.15NANA3.724.15000
    43217AEsophagus endoscopy2.90NANA1.331.860.17NANA4.404.93000
    43219AEsophagus endoscopy2.80NANA1.411.890.16NANA4.374.85000
    43220AEsoph endoscopy, dilation2.10NANA1.091.450.12NANA3.313.67000
    43226AEsoph endoscopy, dilation2.34NANA1.161.570.12NANA3.624.03000
    43227AEsoph endoscopy, repair3.60NANA1.592.270.18NANA5.376.05000
    43228AEsoph endoscopy, ablation3.77NANA1.772.450.25NANA5.796.47000
    43231AEsoph endoscopy w/us exam4.09NANA1.841.840.24NANA6.176.17000
    43232AEsoph endoscopy w/us fn bx4.71NANA2.182.180.28NANA7.177.17000
    43234AUpper GI endoscopy, exam2.013.653.441.041.380.135.795.583.183.52000
    43235AUppr gi endoscopy, diagnosis2.394.794.431.171.590.137.316.953.694.11000
    43239AUpper GI endoscopy, biopsy2.694.964.651.281.760.147.797.484.114.59000
    43240AEsoph endoscope w/drain cyst7.39NANA3.053.050.45NANA10.8910.89000
    43241AUpper GI endoscopy with tube2.59NANA1.221.690.14NANA3.954.42000
    43242AUppr gi endoscopy w/us fn bx5.511.981.981.981.980.347.837.837.837.83000
    43243AUpper gi endoscopy & inject4.57NANA1.932.810.21NANA6.717.59000
    43244AUpper GI endoscopy/ligation4.59NANA1.932.390.21NANA6.737.19000
    43245AOperative upper GI endoscopy3.39NANA1.502.140.18NANA5.075.71000
    43246APlace gastrostomy tube4.33NANA1.802.640.24NANA6.377.21000
    43247AOperative upper GI endoscopy3.39NANA1.502.140.17NANA5.065.70000
    43248AUppr gi endoscopy/guide wire3.15NANA1.422.010.15NANA4.725.31000
    43249AEsoph endoscopy, dilation2.90NANA1.331.860.15NANA4.384.91000
    43250AUpper GI endoscopy/tumor3.20NANA1.432.030.17NANA4.805.40000
    43251AOperative upper GI endoscopy3.70NANA1.612.310.19NANA5.506.20000
    43255AOperative upper GI endoscopy4.40NANA1.762.630.20NANA6.367.23000
    43256AUppr gi endoscopy w stent4.351.561.561.561.560.266.176.176.176.17000
    43258AOperative upper GI endoscopy4.55NANA1.922.800.22NANA6.697.57000
    43259AEndoscopic ultrasound exam4.89NANA2.122.680.22NANA7.237.79000
    43260AEndo cholangiopancreatograph5.96NANA2.423.440.27NANA8.659.67000
    43261AEndo cholangiopancreatograph6.27NANA2.533.520.29NANA9.0910.08000
    43262AEndo cholangiopancreatograph7.39NANA2.944.410.34NANA10.6712.14000
    43263AEndo cholangiopancreatograph6.19NANA2.513.470.28NANA8.989.94000
    43264AEndo cholangiopancreatograph8.90NANA3.485.030.41NANA12.7914.34000
    43265AEndo cholangiopancreatograph8.90NANA3.484.460.42NANA12.8013.78000
    43267AEndo cholangiopancreatograph7.39NANA2.954.220.34NANA10.6811.95000
    43268AEndo cholangiopancreatograph7.39NANA2.944.410.34NANA10.6712.14000
    43269AEndo cholangiopancreatograph6.04NANA2.453.640.28NANA8.779.96000
    43271AEndo cholangiopancreatograph7.39NANA2.934.270.34NANA10.6612.00000
    43272AEndo cholangiopancreatograph7.39NANA2.943.730.34NANA10.6711.46000
    43280ALaparoscopy, fundoplasty17.25NANA8.779.801.76NANA27.7828.81090
    43289CLaparoscope proc, esoph0.000.000.000.000.000.000.000.000.000.00YYY
    43300ARepair of esophagus9.14NANA7.638.450.85NANA17.6218.44090
    43305ARepair esophagus and fistula17.39NANA13.1413.581.36NANA31.8932.33090
    43310ARepair of esophagus27.47NANA18.3818.403.18NANA49.0349.05090
    43312ARepair esophagus and fistula30.50NANA23.3121.213.38NANA57.1955.09090
    43320AFuse esophagus & stomach16.07NANA10.2510.861.59NANA27.9128.52090
    43324ARevise esophagus & stomach16.58NANA8.809.821.72NANA27.1028.12090
    43325ARevise esophagus & stomach16.17NANA9.2110.061.65NANA27.0327.88090
    43326ARevise esophagus & stomach15.91NANA10.9410.251.84NANA28.6928.00090
    43330ARepair of esophagus15.94NANA8.769.651.52NANA26.2227.11090
    43331ARepair of esophagus16.23NANA12.2313.061.93NANA30.3931.22090
    43340AFuse esophagus & intestine15.81NANA10.0710.931.53NANA27.4128.27090
    43341AFuse esophagus & intestine16.81NANA15.4214.252.14NANA34.3733.20090
    43350ASurgical opening, esophagus12.72NANA10.6610.131.15NANA24.5324.00090
    43351ASurgical opening, esophagus14.79NANA9.669.631.51NANA25.9625.93090
    43352ASurgical opening, esophagus12.30NANA9.539.551.28NANA23.1123.13090
    43360AGastrointestinal repair28.78NANA16.5518.213.00NANA48.3349.99090
    43361AGastrointestinal repair32.65NANA18.5120.743.52NANA54.6856.91090
    43400ALigate esophagus veins17.09NANA8.669.430.99NANA26.7427.51090
    43401AEsophagus surgery for veins17.81NANA8.939.301.73NANA28.4728.84090
    43405ALigate/staple esophagus16.13NANA9.3910.931.63NANA27.1528.69090
    43410ARepair esophagus wound10.86NANA9.119.251.15NANA21.1221.26090
    43415ARepair esophagus wound17.06NANA11.2311.881.92NANA30.2130.86090
    43420ARepair esophagus opening11.57NANA8.878.250.86NANA21.3020.68090
    43425ARepair esophagus opening16.95NANA11.9711.682.03NANA30.9530.66090
    43450ADilate esophagus1.381.261.130.610.640.072.712.582.062.09000
    43453ADilate esophagus1.51NANA0.650.900.08NANA2.242.49000
    43456ADilate esophagus2.57NANA1.051.460.14NANA3.764.17000
    43458ADilate esophagus3.06NANA1.241.340.17NANA4.474.57000
    43460APressure treatment esophagus3.80NANA1.511.590.21NANA5.525.60000
    43496CFree jejunum flap, microvasc0.000.000.000.000.000.000.000.000.000.00090
    43499CEsophagus surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    43500ASurgical opening of stomach8.44NANA4.384.950.84NANA13.6614.23090
    43501ASurgical repair of stomach15.31NANA7.327.821.55NANA24.1824.68090
    43502ASurgical repair of stomach17.67NANA8.368.601.83NANA27.8628.10090
    Start Printed Page 65478
    43510ASurgical opening of stomach9.99NANA6.567.170.90NANA17.4518.06090
    43520AIncision of pyloric muscle7.63NANA5.725.510.84NANA14.1913.98090
    43600ABiopsy of stomach1.91NANA1.000.890.11NANA3.022.91000
    43605ABiopsy of stomach9.15NANA4.595.050.93NANA14.6715.13090
    43610AExcision of stomach lesion11.15NANA5.746.521.14NANA18.0318.81090
    43611AExcision of stomach lesion13.63NANA6.787.301.38NANA21.7922.31090
    43620ARemoval of stomach22.54NANA10.8312.302.29NANA35.6637.13090
    43621ARemoval of stomach23.06NANA10.8912.342.36NANA36.3137.76090
    43622ARemoval of stomach24.41NANA11.3712.702.48NANA38.2639.59090
    43631ARemoval of stomach, partial19.66NANA8.9710.101.99NANA30.6231.75090
    43632ARemoval of stomach, partial19.66NANA8.9710.102.00NANA30.6331.76090
    43633ARemoval of stomach, partial20.10NANA9.1510.232.05NANA31.3032.38090
    43634ARemoval of stomach, partial21.86NANA9.8413.032.18NANA33.8837.07090
    43635ARemoval of stomach, partial2.06NANA0.780.880.21NANA3.053.15ZZZ
    43638ARemoval of stomach, partial21.76NANA9.9610.932.24NANA33.9634.93090
    43639ARemoval of stomach, partial22.25NANA10.3011.192.31NANA34.8635.75090
    43640AVagotomy & pylorus repair14.81NANA7.148.161.51NANA23.4624.48090
    43641AVagotomy & pylorus repair15.03NANA7.248.241.53NANA23.8024.80090
    43651ALaparoscopy, vagus nerve10.15NANA4.895.041.03NANA16.0716.22090
    43652ALaparoscopy, vagus nerve12.15NANA5.655.891.25NANA19.0519.29090
    43653ALaparoscopy, gastrostomy7.73NANA4.374.960.78NANA12.8813.47090
    43659CLaparoscope proc, stom0.000.000.000.000.000.000.000.000.000.00YYY
    43750APlace gastrostomy tube4.49NANA2.613.140.33NANA7.437.96010
    43752BNasal/orogastric w/stent0.000.000.000.000.000.000.000.000.000.00XXX
    43760AChange gastrostomy tube1.101.341.190.460.530.072.512.361.631.70000
    43761AReposition gastrostomy tube2.01NANA0.830.910.10NANA2.943.02000
    43800AReconstruction of pylorus10.46NANA5.646.091.07NANA17.1717.62090
    43810AFusion of stomach and bowel11.19NANA5.806.421.10NANA18.0918.71090
    43820AFusion of stomach and bowel11.74NANA5.986.741.18NANA18.9019.66090
    43825AFusion of stomach and bowel14.68NANA7.028.271.50NANA23.2024.45090
    43830APlace gastrostomy tube7.28NANA4.254.870.69NANA12.2212.84090
    43831APlace gastrostomy tube7.84NANA4.414.720.81NANA13.0613.37090
    43832APlace gastrostomy tube11.92NANA6.376.941.13NANA19.4219.99090
    43840ARepair of stomach lesion11.89NANA6.026.641.20NANA19.1119.73090
    43842AGastroplasty for obesity14.71NANA10.0711.281.51NANA26.2927.50090
    43843AGastroplasty for obesity14.85NANA9.7611.041.53NANA26.1427.42090
    43846AGastric bypass for obesity19.15NANA11.7012.791.96NANA32.8133.90090
    43847AGastric bypass for obesity21.44NANA13.2213.932.14NANA36.8037.51090
    43848ARevision gastroplasty23.41NANA14.0714.572.39NANA39.8740.37090
    43850ARevise stomach-bowel fusion19.69NANA8.949.861.97NANA30.6031.52090
    43855ARevise stomach-bowel fusion20.83NANA9.6010.032.01NANA32.4432.87090
    43860ARevise stomach-bowel fusion19.91NANA9.099.932.03NANA31.0331.87090
    43865ARevise stomach-bowel fusion21.12NANA9.5710.812.15NANA32.8434.08090
    43870ARepair stomach opening7.40NANA4.374.840.71NANA12.4812.95090
    43880ARepair stomach-bowel fistula19.63NANA9.429.301.94NANA30.9930.87090
    43999CStomach surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    44005AFreeing of bowel adhesion13.84NANA6.717.281.39NANA21.9422.51090
    44010AIncision of small bowel10.68NANA5.936.321.05NANA17.6618.05090
    44015AInsert needle cath bowel2.62NANA0.991.530.25NANA3.864.40ZZZ
    44020AExploration of small bowel11.93NANA5.976.601.20NANA19.1019.73090
    44021ADecompress small bowel12.01NANA6.376.681.18NANA19.5619.87090
    44025AIncision of large bowel12.18NANA6.086.661.21NANA19.4720.05090
    44050AReduce bowel obstruction11.40NANA5.776.441.15NANA18.3218.99090
    44055ACorrect malrotation of bowel13.14NANA6.436.901.32NANA20.8921.36090
    44100ABiopsy of bowel2.01NANA1.041.160.12NANA3.173.29000
    44110AExcision of bowel lesion(s)10.07NANA5.296.051.00NANA16.3617.12090
    44111AExcision of bowel lesion(s)12.19NANA6.627.591.22NANA20.0321.00090
    44120ARemoval of small intestine14.50NANA6.947.771.46NANA22.9023.73090
    44121ARemoval of small intestine4.45NANA1.691.900.45NANA6.596.80ZZZ
    44125ARemoval of small intestine14.96NANA7.108.241.49NANA23.5524.69090
    44130ABowel to bowel fusion12.36NANA6.136.951.23NANA19.7220.54090
    44132NEnterectomy, cadaver donor0.000.000.000.000.000.000.000.000.000.00XXX
    44133NEnterectomy, live donor0.000.000.000.000.000.000.000.000.000.00XXX
    44135NIntestine transplnt, cadaver0.000.000.000.000.000.000.000.000.000.00XXX
    44136NIntestine transplant, live0.000.000.000.000.000.000.000.000.000.00XXX
    44139AMobilization of colon2.23NANA0.850.960.21NANA3.293.40ZZZ
    44140APartial removal of colon18.35NANA8.829.701.83NANA29.0029.88090
    44141APartial removal of colon19.51NANA11.8312.091.95NANA33.2933.55090
    44143APartial removal of colon20.17NANA12.0412.362.02NANA34.2334.55090
    44144APartial removal of colon18.89NANA10.8011.371.89NANA31.5832.15090
    44145APartial removal of colon23.18NANA11.0311.872.22NANA36.4337.27090
    44146APartial removal of colon24.16NANA13.7914.412.20NANA40.1540.77090
    44147APartial removal of colon18.17NANA9.5211.301.74NANA29.4331.21090
    44150ARemoval of colon21.01NANA12.9213.722.05NANA35.9836.78090
    44151ARemoval of colon/ileostomy20.04NANA12.3512.031.97NANA34.3634.04090
    44152ARemoval of colon/ileostomy24.41NANA15.5515.852.36NANA42.3242.62090
    44153ARemoval of colon/ileostomy26.83NANA15.3116.732.33NANA44.4745.89090
    44155ARemoval of colon/ileostomy24.44NANA14.0815.082.26NANA40.7841.78090
    44156ARemoval of colon/ileostomy23.01NANA13.8613.492.19NANA39.0638.69090
    44160ARemoval of colon15.88NANA7.859.261.55NANA25.2826.69090
    44200ALaparoscopy, enterolysis14.44NANA6.987.481.46NANA22.8823.38090
    44201ALaparoscopy, jejunostomy9.78NANA5.285.280.97NANA16.0316.03090
    44202ALaparo, resect intestine22.04NANA10.1711.222.16NANA34.3735.42090
    Start Printed Page 65479
    44209CLaparoscope proc, intestine0.000.000.000.000.000.000.000.000.000.00YYY
    44300AOpen bowel to skin8.88NANA5.585.820.88NANA15.3415.58090
    44310AIleostomy/jejunostomy11.70NANA8.798.731.13NANA21.6221.56090
    44312ARevision of ileostomy5.88NANA4.264.030.54NANA10.6810.45090
    44314ARevision of ileostomy11.04NANA8.748.370.99NANA20.7720.40090
    44316ADevise bowel pouch15.47NANA12.2311.791.41NANA29.1128.67090
    44320AColostomy12.94NANA10.119.611.28NANA24.3323.83090
    44322AColostomy with biopsies11.98NANA9.849.841.18NANA23.0023.00090
    44340ARevision of colostomy5.66NANA3.993.450.56NANA10.219.67090
    44345ARevision of colostomy11.32NANA6.816.421.11NANA19.2418.85090
    44346ARevision of colostomy12.46NANA7.257.241.20NANA20.9120.90090
    44360ASmall bowel endoscopy2.59NANA1.311.850.14NANA4.044.58000
    44361ASmall bowel endoscopy/biopsy2.87NANA1.412.020.15NANA4.435.04000
    44363ASmall bowel endoscopy3.50NANA1.602.010.19NANA5.295.70000
    44364ASmall bowel endoscopy3.74NANA1.732.560.21NANA5.686.51000
    44365ASmall bowel endoscopy3.31NANA1.582.300.18NANA5.075.79000
    44366ASmall bowel endoscopy4.41NANA1.962.960.22NANA6.597.59000
    44369ASmall bowel endoscopy4.52NANA1.952.980.23NANA6.707.73000
    44370ASmall bowel endoscopy/stent4.331.561.561.561.560.266.156.156.156.15000
    44372ASmall bowel endoscopy4.41NANA1.992.980.27NANA6.677.66000
    44373ASmall bowel endoscopy3.50NANA1.702.450.19NANA5.396.14000
    44376ASmall bowel endoscopy5.26NANA2.282.810.29NANA7.838.36000
    44377ASmall bowel endoscopy/biopsy5.53NANA2.382.940.28NANA8.198.75000
    44378ASmall bowel endoscopy7.13NANA2.953.640.37NANA10.4511.14000
    44379AS bowel endoscope w/stent7.072.522.522.522.520.4510.0410.0410.0410.04000
    44380ASmall bowel endoscopy1.05NANA0.741.010.08NANA1.872.14000
    44382ASmall bowel endoscopy1.27NANA0.821.160.09NANA2.182.52000
    44383AIleoscopy w/stent2.410.870.870.870.870.153.433.433.433.43000
    44385AEndoscopy of bowel pouch1.824.193.780.941.250.126.135.722.883.19000
    44386AEndoscopy, bowel pouch/biop2.125.124.261.091.240.157.396.533.363.51000
    44388AColon endoscopy2.505.485.091.261.790.188.167.773.944.47000
    44389AColonoscopy with biopsy2.775.925.531.371.960.188.878.484.324.91000
    44390AColonoscopy for foreign body3.396.565.631.591.910.2210.179.245.205.52000
    44391AColonoscopy for bleeding3.825.605.631.552.450.239.659.685.606.50000
    44392AColonoscopy & polypectomy3.386.125.991.592.330.239.739.605.205.94000
    44393AColonoscopy, lesion removal4.286.796.561.922.880.2711.3411.116.477.43000
    44394AColonoscopy w/snare3.926.546.311.792.670.2610.7210.495.976.85000
    44397AColonoscopy w stent4.23NANA1.901.900.30NANA6.436.43000
    44500AIntro, gastrointestinal tube0.49NANA0.350.360.02NANA0.860.87000
    44602ASuture, small intestine10.61NANA5.486.191.07NANA17.1617.87090
    44603ASuture, small intestine14.00NANA6.747.521.39NANA22.1322.91090
    44604ASuture, large intestine14.28NANA6.877.291.42NANA22.5722.99090
    44605ARepair of bowel lesion15.37NANA7.688.301.54NANA24.5925.21090
    44615AIntestinal stricturoplasty14.19NANA6.806.931.39NANA22.3822.51090
    44620ARepair bowel opening10.87NANA5.505.751.05NANA17.4217.67090
    44625ARepair bowel opening13.41NANA6.497.471.30NANA21.2022.18090
    44626ARepair bowel opening22.59NANA9.9210.532.19NANA34.7035.31090
    44640ARepair bowel-skin fistula14.83NANA7.397.321.46NANA23.6823.61090
    44650ARepair bowel fistula15.25NANA7.557.651.49NANA24.2924.39090
    44660ARepair bowel-bladder fistula14.63NANA7.187.651.14NANA22.9523.42090
    44661ARepair bowel-bladder fistula16.99NANA8.039.811.53NANA26.5528.33090
    44680ASurgical revision, intestine13.72NANA6.997.881.37NANA22.0822.97090
    44700ASuspend bowel w/prosthesis14.35NANA7.018.341.21NANA22.5723.90090
    44799CIntestine surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    44800AExcision of bowel pouch11.23NANA5.705.701.11NANA18.0418.04090
    44820AExcision of mesentery lesion10.31NANA5.415.631.03NANA16.7516.97090
    44850ARepair of mesentery9.57NANA5.495.640.99NANA16.0516.20090
    44899CBowel surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    44900ADrain app abscess, open8.82NANA5.445.240.84NANA15.1014.90090
    44901ADrain app abscess, percut3.38NANA4.994.440.17NANA8.547.99000
    44950AAppendectomy8.70NANA4.935.030.88NANA14.5114.61090
    44955AAppendectomy add-on1.53NANA0.580.890.16NANA2.272.58ZZZ
    44960AAppendectomy10.74NANA6.016.111.09NANA17.8417.94090
    44970ALaparoscopy, appendectomy8.70NANA4.314.560.88NANA13.8914.14090
    44979CLaparoscope proc, app0.000.000.000.000.000.000.000.000.000.00YYY
    45000ADrainage of pelvic abscess4.52NANA3.783.270.37NANA8.678.16090
    45005ADrainage of rectal abscess1.994.223.521.591.540.186.395.693.763.71010
    45020ADrainage of rectal abscess4.72NANA3.833.580.41NANA8.968.71090
    45100ABiopsy of rectum3.684.603.962.112.090.338.617.976.126.10090
    45108ARemoval of anorectal lesion4.765.654.963.083.030.4610.8710.188.308.25090
    45110ARemoval of rectum23.80NANA12.0113.442.26NANA38.0739.50090
    45111APartial removal of rectum16.48NANA8.879.851.60NANA26.9527.93090
    45112ARemoval of rectum25.96NANA12.4013.662.35NANA40.7141.97090
    45113APartial proctectomy25.99NANA11.6913.132.13NANA39.8141.25090
    45114APartial removal of rectum23.22NANA11.3812.712.28NANA36.8838.21090
    45116APartial removal of rectum20.89NANA10.2010.572.00NANA33.0933.46090
    45119ARemove rectum w/reservoir26.21NANA12.2113.522.13NANA40.5541.86090
    45120ARemoval of rectum25.00NANA11.9613.422.28NANA39.2440.70090
    45121ARemoval of rectum and colon27.51NANA12.9712.662.66NANA43.1442.83090
    45123APartial proctectomy14.20NANA6.898.361.04NANA22.1323.60090
    45126APelvic exenteration38.39NANA17.2917.293.23NANA58.9158.91090
    45130AExcision of rectal prolapse13.97NANA7.077.721.12NANA22.1622.81090
    45135AExcision of rectal prolapse16.39NANA8.4910.701.52NANA26.4028.61090
    Start Printed Page 65480
    45150AExcision of rectal stricture5.675.014.683.163.290.4611.1410.819.299.42090
    45160AExcision of rectal lesion13.02NANA6.416.831.07NANA20.5020.92090
    45170AExcision of rectal lesion9.77NANA5.315.240.89NANA15.9715.90090
    45190ADestruction, rectal tumor8.28NANA4.744.940.76NANA13.7813.98090
    45300AProctosigmoidoscopy dx0.381.241.080.230.250.051.671.510.660.68000
    45303AProctosigmoidoscopy dilate0.441.411.230.260.280.061.911.730.760.78000
    45305AProtosigmoidoscopy w/bx0.561.341.230.300.340.091.991.880.950.99000
    45307AProtosigmoidoscopy fb0.942.262.040.440.680.153.353.131.531.77000
    45308AProtosigmoidoscopy removal0.831.491.430.400.460.132.452.391.361.42000
    45309AProtosigmoidoscopy removal1.112.071.860.500.530.173.353.141.781.81000
    45315AProtosigmoidoscopy removal1.402.322.060.620.790.203.923.662.222.39000
    45317AProtosigmoidoscopy bleed1.501.761.660.650.830.203.463.362.352.53000
    45320AProtosigmoidoscopy ablate1.581.711.790.681.020.203.493.572.462.80000
    45321AProtosigmoidoscopy volvul1.17NANA0.530.800.17NANA1.872.14000
    45327AProctosigmoidoscopy w/stent1.46NANA0.830.830.12NANA2.412.41000
    45330ADiagnostic sigmoidoscopy0.881.751.650.420.460.052.682.581.351.39000
    45331ASigmoidoscopy and biopsy1.151.981.920.520.770.073.203.141.741.99000
    45332ASigmoidoscopy w/fb removal1.793.543.130.751.040.115.445.032.652.94000
    45333ASigmoidoscopy & polypectomy1.793.142.960.751.150.125.054.872.663.06000
    45334ASigmoidoscopy for bleeding2.73NANA1.091.550.16NANA3.984.44000
    45337ASigmoidoscopy & decompress2.15NANA0.891.370.15NANA3.193.67000
    45338ASigmoidoscpy w/tumr remove2.343.673.360.951.320.156.165.853.443.81000
    45339ASigmoidoscopy w/ablate tumr2.862.853.021.141.740.175.886.054.174.77000
    45341ASigmoidoscopy w/ultrasound3.46NANA1.661.660.24NANA5.365.36000
    45342ASigmoidoscopy w/us guide bx4.08NANA1.811.810.29NANA6.186.18000
    45345ASigmodoscopy w/stent2.66NANA1.301.300.18NANA4.144.14000
    45355ASurgical colonoscopy3.52NANA1.291.290.26NANA5.075.07000
    45378ADiagnostic colonoscopy3.686.606.071.702.380.2010.489.955.586.26000
    4537853ADiagnostic colonoscopy0.881.751.650.420.460.052.682.581.351.39000
    45379AColonoscopy w/fb removal4.697.336.942.052.950.2512.2711.886.997.89000
    45380AColonoscopy and biopsy3.986.786.391.812.560.2110.9710.586.006.75000
    45382AColonoscopy/control bleeding5.697.957.562.233.270.2713.9113.528.199.23000
    45383ALesion removal colonoscopy5.837.827.472.483.470.3213.9713.628.639.62000
    45384ALesion remove colonoscopy4.677.416.962.062.950.2412.3211.876.977.86000
    45385ALesion removal colonoscopy5.277.577.482.283.300.2813.1213.037.838.85000
    45387AColonoscopy w/stent5.62NANA2.412.410.36NANA8.398.39000
    45500ARepair of rectum7.29NANA4.254.800.56NANA12.1012.65090
    45505ARepair of rectum6.02NANA3.274.160.50NANA9.7910.68090
    45520ATreatment of rectal prolapse0.550.730.710.190.230.041.321.300.780.82000
    45540ACorrect rectal prolapse12.92NANA7.027.951.17NANA21.1122.04090
    45541ACorrect rectal prolapse10.64NANA6.047.290.88NANA17.5618.81090
    45550ARepair rectum/remove sigmoid18.26NANA8.919.801.58NANA28.7529.64090
    45560ARepair of rectocele8.40NANA5.045.080.73NANA14.1714.21090
    45562AExploration/repair of rectum12.21NANA6.336.941.15NANA19.6920.30090
    45563AExploration/repair of rectum18.63NANA9.5610.641.84NANA30.0331.11090
    45800ARepair rect/bladder fistula14.11NANA6.917.851.14NANA22.1623.10090
    45805ARepair fistula w/colostomy16.50NANA8.599.791.47NANA26.5627.76090
    45820ARepair rectourethral fistula14.67NANA7.247.871.17NANA23.0823.71090
    45825ARepair fistula w/colostomy16.87NANA8.679.180.97NANA26.5127.02090
    45900AReduction of rectal prolapse1.83NANA0.780.740.17NANA2.782.74010
    45905ADilation of anal sphincter1.613.062.490.720.730.144.814.242.472.48010
    45910ADilation of rectal narrowing1.964.163.360.850.870.146.265.462.952.97010
    45915ARemove rectal obstruction2.204.103.290.840.840.176.475.663.213.21010
    45999CRectum surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    46030ARemoval of rectal marker1.233.222.521.211.020.114.563.862.552.36010
    46040AIncision of rectal abscess4.965.274.413.092.780.4810.719.858.538.22090
    46045AIncision of rectal abscess4.32NANA2.802.600.40NANA7.527.32090
    46050AIncision of anal abscess1.193.382.701.281.040.114.684.002.582.34010
    46060AIncision of rectal abscess5.69NANA3.804.300.52NANA10.0110.51090
    46070AIncision of anal septum2.71NANA2.452.210.27NANA5.435.19090
    46080AIncision of anal sphincter2.493.653.321.621.790.236.376.044.344.51010
    46083AIncise external hemorrhoid1.404.433.491.451.170.125.955.012.972.69010
    46200ARemoval of anal fissure3.423.813.752.382.680.307.537.476.106.40090
    46210ARemoval of anal crypt2.674.823.832.141.820.267.756.765.074.75090
    46211ARemoval of anal crypts4.255.334.512.922.710.379.959.137.547.33090
    46220ARemoval of anal tab1.561.251.110.590.610.142.952.812.292.31010
    46221ALigation of hemorrhoid(s)1.433.032.450.540.500.124.584.002.092.05010
    46230ARemoval of anal tabs2.574.033.251.691.380.226.826.044.484.17010
    46250AHemorrhoidectomy4.535.324.762.922.960.4310.289.727.887.92090
    46255AHemorrhoidectomy5.365.975.763.213.690.5111.8411.639.089.56090
    46257ARemove hemorrhoids & fissure6.28NANA3.464.020.59NANA10.3310.89090
    46258ARemove hemorrhoids & fistula6.67NANA3.674.350.64NANA10.9811.66090
    46260AHemorrhoidectomy7.42NANA4.414.960.68NANA12.5113.06090
    46261ARemove hemorrhoids & fissure8.24NANA4.585.230.70NANA13.5214.17090
    46262ARemove hemorrhoids & fistula8.73NANA4.855.460.76NANA14.3414.95090
    46270ARemoval of anal fistula3.724.744.062.562.430.368.828.146.646.51090
    46275ARemoval of anal fistula4.564.614.822.833.490.409.579.787.798.45090
    46280ARemoval of anal fistula5.98NANA3.764.470.50NANA10.2410.95090
    46285ARemoval of anal fistula4.093.843.502.642.600.348.277.937.077.03090
    46288ARepair anal fistula7.13NANA4.234.140.60NANA11.9611.87090
    46320ARemoval of hemorrhoid clot1.613.632.911.491.210.145.384.663.242.96010
    46500AInjection into hemorrhoids1.612.552.000.600.500.124.283.732.332.23010
    46600ADiagnostic anoscopy0.500.770.650.150.150.041.311.190.690.69000
    Start Printed Page 65481
    46604AAnoscopy and dilation1.310.960.820.490.420.092.362.221.891.82000
    46606AAnoscopy and biopsy0.810.880.760.310.280.071.761.641.191.16000
    46608AAnoscopy/ remove for body1.511.781.630.470.640.133.423.272.112.28000
    46610AAnoscopy/remove lesion1.321.411.290.500.610.122.852.731.942.05000
    46611AAnoscopy1.811.961.700.680.630.153.923.662.642.59000
    46612AAnoscopy/ remove lesions2.342.292.100.881.040.184.814.623.403.56000
    46614AAnoscopy/control bleeding2.011.621.640.740.770.143.773.792.892.92000
    46615AAnoscopy2.681.751.731.010.970.234.664.643.923.88000
    46700ARepair of anal stricture7.25NANA4.124.760.56NANA11.9312.57090
    46705ARepair of anal stricture7.17NANA4.834.600.73NANA12.7312.50090
    46715ARepair of anovaginal fistula7.46NANA4.634.430.76NANA12.8512.65090
    46716ARepair of anovaginal fistula12.85NANA7.046.921.30NANA21.1921.07090
    46730AConstruction of absent anus22.39NANA10.9211.112.03NANA35.3435.53090
    46735AConstruction of absent anus27.02NANA13.1913.432.64NANA42.8543.09090
    46740AConstruction of absent anus24.19NANA11.0111.391.99NANA37.1937.57090
    46742ARepair of imperforated anus29.67NANA15.6517.102.63NANA47.9549.40090
    46744ARepair of cloacal anomaly33.21NANA14.5516.932.27NANA50.0352.41090
    46746ARepair of cloacal anomaly36.74NANA18.4820.442.51NANA57.7359.69090
    46748ARepair of cloacal anomaly40.52NANA19.9922.332.77NANA63.2865.62090
    46750ARepair of anal sphincter8.14NANA4.845.260.69NANA13.6714.09090
    46751ARepair of anal sphincter8.77NANA6.225.770.78NANA15.7715.32090
    46753AReconstruction of anus6.58NANA3.533.980.58NANA10.6911.14090
    46754ARemoval of suture from anus1.544.984.141.091.220.126.645.802.752.88010
    46760ARepair of anal sphincter11.46NANA5.776.170.86NANA18.0918.49090
    46761ARepair of anal sphincter10.99NANA5.686.110.84NANA17.5117.94090
    46762AImplant artificial sphincter10.09NANA4.945.260.71NANA15.7416.06090
    46900ADestruction, anal lesion(s)1.913.192.500.780.640.135.234.542.822.68010
    46910ADestruction, anal lesion(s)1.863.442.751.481.200.145.444.753.483.20010
    46916ACryosurgery, anal lesion(s)1.863.422.751.601.290.095.374.703.553.24010
    46917ALaser surgery, anal lesions1.864.243.711.541.420.166.265.733.563.44010
    46922AExcision of anal lesion(s)1.863.683.111.431.420.175.715.143.463.45010
    46924ADestruction, anal lesion(s)2.764.914.381.731.990.207.877.344.694.95010
    46934ADestruction of hemorrhoids4.085.744.633.462.760.2610.088.977.807.10090
    46935ADestruction of hemorrhoids2.433.913.370.900.900.176.515.973.503.50010
    46936ADestruction of hemorrhoids4.305.584.813.392.860.3010.189.417.997.46090
    46937ACryotherapy of rectal lesion2.694.053.682.402.440.126.866.495.215.25010
    46938ACryotherapy of rectal lesion4.663.993.673.483.290.409.058.738.548.35090
    46940ATreatment of anal fissure2.322.992.380.880.730.175.484.873.373.22010
    46942ATreatment of anal fissure2.043.072.430.730.610.145.254.612.912.79010
    46945ALigation of hemorrhoids2.143.762.992.121.680.176.075.304.433.99090
    46946ALigation of hemorrhoids3.004.994.002.451.970.228.217.225.675.19090
    46999CAnus surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    47000ANeedle biopsy of liver1.908.466.730.680.890.0910.458.722.672.88000
    47001ANeedle biopsy, liver add-on1.90NANA0.720.920.18NANA2.803.00ZZZ
    47010AOpen drainage, liver lesion10.28NANA7.497.450.65NANA18.4218.38090
    47011APercut drain, liver lesion3.70NANA6.005.260.17NANA9.879.13000
    47015AInject/aspirate liver cyst9.70NANA6.116.420.86NANA16.6716.98090
    47100AWedge biopsy of liver7.49NANA4.964.610.75NANA13.2012.85090
    47120APartial removal of liver22.79NANA12.5612.682.29NANA37.6437.76090
    47122AExtensive removal of liver35.39NANA17.2517.713.60NANA56.2456.70090
    47125APartial removal of liver31.58NANA15.8716.633.18NANA50.6351.39090
    47130APartial removal of liver34.25NANA17.0317.983.47NANA54.7555.70090
    47133XRemoval of donor liver0.000.000.000.000.000.000.000.000.000.00XXX
    47134RPartial removal, donor liver39.15NANA15.0016.813.98NANA58.1359.94XXX
    47135RTransplantation of liver81.52NANA43.4347.358.13NANA133.08137.00090
    47136RTransplantation of liver68.60NANA45.8043.446.93NANA121.33118.97090
    47300ASurgery for liver lesion9.68NANA5.796.420.97NANA16.4417.07090
    47350ARepair liver wound12.56NANA7.017.281.25NANA20.8221.09090
    47360ARepair liver wound17.28NANA9.4510.051.71NANA28.4429.04090
    47361ARepair liver wound30.25NANA14.4714.833.11NANA47.8348.19090
    47362ARepair liver wound11.88NANA7.817.281.22NANA20.9120.38090
    47379CLaparoscope procedure, liver0.000.000.000.000.000.000.000.000.000.00YYY
    47399CLiver surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    47400AIncision of liver duct20.86NANA10.9010.491.82NANA33.5833.17090
    47420AIncision of bile duct16.72NANA8.428.891.70NANA26.8427.31090
    47425AIncision of bile duct16.68NANA8.629.641.60NANA26.9027.92090
    47460AIncise bile duct sphincter15.17NANA7.9210.161.24NANA24.3326.57090
    47480AIncision of gallbladder9.10NANA5.986.550.85NANA15.9316.50090
    47490AIncision of gallbladder7.23NANA7.426.530.33NANA14.9814.09090
    47500AInjection for liver x-rays1.96NANA0.690.930.09NANA2.742.98000
    47505AInjection for liver x-rays0.7614.9711.490.270.430.0315.7612.281.061.22000
    47510AInsert catheter, bile duct7.83NANA8.817.390.36NANA17.0015.58090
    47511AInsert bile duct drain10.50NANA10.088.340.47NANA21.0519.31090
    47525AChange bile duct catheter5.55NANA3.302.910.24NANA9.098.70010
    47530ARevise/reinsert bile tube5.85NANA4.924.100.29NANA11.0610.24090
    47550ABile duct endoscopy add-on3.02NANA1.151.290.30NANA4.474.61ZZZ
    47552ABiliary endoscopy thru skin6.04NANA2.562.290.42NANA9.028.75000
    47553ABiliary endoscopy thru skin6.35NANA2.733.080.30NANA9.389.73000
    47554ABiliary endoscopy thru skin9.06NANA3.663.810.74NANA13.4613.61000
    47555ABiliary endoscopy thru skin7.56NANA3.173.090.35NANA11.0811.00000
    47556ABiliary endoscopy thru skin8.56NANA3.513.350.38NANA12.4512.29000
    47560ALaparoscopy w/cholangio4.89NANA1.982.240.49NANA7.367.62000
    47561ALaparo w/cholangio/biopsy5.18NANA2.262.760.49NANA7.938.43000
    Start Printed Page 65482
    47562ALaparoscopic cholecystectomy11.09NANA5.045.951.13NANA17.2618.17090
    47563ALaparo cholecystectomy/graph11.94NANA5.536.441.21NANA18.6819.59090
    47564ALaparo cholecystectomy/explr14.23NANA7.177.921.44NANA22.8423.59090
    47570ALaparo cholecystoenterostomy12.58NANA6.127.081.28NANA19.9820.94090
    47579CLaparoscope proc, biliary0.000.000.000.000.000.000.000.000.000.00YYY
    47600ARemoval of gallbladder11.42NANA6.166.661.16NANA18.7419.24090
    47605ARemoval of gallbladder12.36NANA6.507.081.25NANA20.1120.69090
    47610ARemoval of gallbladder15.83NANA7.948.501.61NANA25.3825.94090
    47612ARemoval of gallbladder15.80NANA7.769.681.60NANA25.1627.08090
    47620ARemoval of gallbladder17.36NANA8.399.341.77NANA27.5228.47090
    47630ARemove bile duct stone9.11NANA3.253.460.46NANA12.8213.03090
    47700AExploration of bile ducts15.62NANA8.928.761.40NANA25.9425.78090
    47701ABile duct revision29.55NANA14.4913.103.00NANA47.0445.65090
    47711AExcision of bile duct tumor19.37NANA10.1910.921.98NANA31.5432.27090
    47712AExcision of bile duct tumor25.44NANA12.8912.942.67NANA41.0041.05090
    47715AExcision of bile duct cyst15.81NANA7.978.211.59NANA25.3725.61090
    47716AFusion of bile duct cyst13.83NANA8.568.201.41NANA23.8023.44090
    47720AFuse gallbladder & bowel13.38NANA7.958.451.37NANA22.7023.20090
    47721AFuse upper gi structures16.08NANA8.899.771.63NANA26.6027.48090
    47740AFuse gallbladder & bowel15.54NANA8.789.361.59NANA25.9126.49090
    47741AFuse gallbladder & bowel17.95NANA9.5511.061.82NANA29.3230.83090
    47760AFuse bile ducts and bowel21.74NANA10.9911.392.21NANA34.9435.34090
    47765AFuse liver ducts & bowel20.93NANA11.6312.692.18NANA34.7435.80090
    47780AFuse bile ducts and bowel22.29NANA11.2511.982.27NANA35.8136.54090
    47785AFuse bile ducts and bowel26.23NANA13.3713.572.69NANA42.2942.49090
    47800AReconstruction of bile ducts19.60NANA10.1711.221.95NANA31.7232.77090
    47801APlacement, bile duct support12.76NANA9.348.490.69NANA22.7921.94090
    47802AFuse liver duct & intestine18.13NANA10.4810.651.84NANA30.4530.62090
    47900ASuture bile duct injury16.74NANA9.1610.461.65NANA27.5528.85090
    47999CBile tract surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    48000ADrainage of abdomen14.91NANA8.278.121.32NANA24.5024.35090
    48001APlacement of drain, pancreas18.83NANA9.379.231.90NANA30.1029.96090
    48005AResect/debride pancreas22.40NANA10.6510.482.26NANA35.3135.14090
    48020ARemoval of pancreatic stone14.22NANA7.257.281.36NANA22.8322.86090
    48100ABiopsy of pancreas11.08NANA6.626.111.08NANA18.7818.27090
    48102ANeedle biopsy, pancreas4.688.316.892.412.460.2013.1911.777.297.34010
    48120ARemoval of pancreas lesion14.36NANA7.147.991.35NANA22.8523.70090
    48140APartial removal of pancreas20.78NANA10.2911.322.12NANA33.1934.22090
    48145APartial removal of pancreas21.76NANA11.2812.722.25NANA35.2936.73090
    48146APancreatectomy23.91NANA13.0414.262.43NANA39.3840.60090
    48148ARemoval of pancreatic duct15.71NANA8.958.951.61NANA26.2726.27090
    48150APartial removal of pancreas43.48NANA21.0721.924.43NANA68.9869.83090
    48152APancreatectomy39.63NANA19.6620.864.07NANA63.3664.56090
    48153APancreatectomy43.38NANA20.9821.854.40NANA68.7669.63090
    48154APancreatectomy39.95NANA19.9421.074.10NANA63.9965.12090
    48155ARemoval of pancreas22.32NANA13.2515.472.30NANA37.8740.09090
    48160NPancreas removal/transplant0.000.000.000.000.000.000.000.000.000.00XXX
    48180AFuse pancreas and bowel22.39NANA10.6911.442.24NANA35.3236.07090
    48400AInjection, intraop add-on1.95NANA0.700.810.10NANA2.752.86ZZZ
    48500ASurgery of pancreas cyst13.84NANA7.287.781.35NANA22.4722.97090
    48510ADrain pancreatic pseudocyst12.96NANA7.127.391.07NANA21.1521.42090
    48511ADrain pancreatic pseudocyst4.00NANA4.574.250.17NANA8.748.42000
    48520AFuse pancreas cyst and bowel14.12NANA6.988.301.41NANA22.5123.83090
    48540AFuse pancreas cyst and bowel17.86NANA8.459.771.82NANA28.1329.45090
    48545APancreatorrhaphy16.47NANA8.348.331.61NANA26.4226.41090
    48547ADuodenal exclusion23.40NANA10.5010.882.30NANA36.2036.58090
    48550XDonor pancreatectomy0.000.000.000.000.000.000.000.000.000.00XXX
    48554RTranspl allograft pancreas34.17NANA12.8414.483.30NANA50.3151.95090
    48556ARemoval, allograft pancreas15.71NANA8.758.531.52NANA25.9825.76090
    48999CPancreas surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    49000AExploration of abdomen11.68NANA6.326.581.17NANA19.1719.43090
    49002AReopening of abdomen10.49NANA6.216.301.06NANA17.7617.85090
    49010AExploration behind abdomen12.28NANA7.187.271.22NANA20.6820.77090
    49020ADrain abdominal abscess16.79NANA9.528.451.31NANA27.6226.55090
    49021ADrain abdominal abscess3.38NANA6.025.530.16NANA9.569.07000
    49040ADrain, open, abdom abscess9.94NANA6.816.880.84NANA17.5917.66090
    49041ADrain, percut, abdom abscess4.00NANA6.235.500.18NANA10.419.68000
    49060ADrain, open, retrop abscess11.66NANA8.057.540.77NANA20.4819.97090
    49061ADrain, percut, retroper absc3.70NANA6.155.370.17NANA10.029.24000
    49062ADrain to peritoneal cavity11.36NANA7.407.741.08NANA19.8420.18090
    49080APuncture, peritoneal cavity1.352.932.430.610.690.074.353.852.032.11000
    49081ARemoval of abdominal fluid1.262.762.270.580.640.064.083.591.901.96000
    49085ARemove abdomen foreign body8.93NANA5.605.140.88NANA15.4114.95090
    49180ABiopsy, abdominal mass1.737.025.760.610.950.088.837.572.422.76000
    49200ARemoval of abdominal lesion10.25NANA6.457.110.89NANA17.5918.25090
    49201ARemoval of abdominal lesion14.84NANA8.709.811.44NANA24.9826.09090
    49215AExcise sacral spine tumor23.20NANA11.2010.712.48NANA36.8836.39090
    49220AMultiple surgery, abdomen14.88NANA7.909.261.51NANA24.2925.65090
    49250AExcision of umbilicus8.35NANA5.155.090.84NANA14.3414.28090
    49255ARemoval of omentum11.14NANA6.676.401.12NANA18.9318.66090
    49320ADiag laparo separate proc5.10NANA3.043.490.50NANA8.649.09010
    49321ALaparoscopy, biopsy5.40NANA3.123.670.53NANA9.059.60010
    49322ALaparoscopy, aspiration5.70NANA3.403.870.57NANA9.6710.14010
    Start Printed Page 65483
    49323ALaparo drain lymphocele9.48NANA4.144.930.88NANA14.5015.29090
    49329CLaparo proc, abdm/per/oment0.000.000.000.000.000.000.000.000.000.00YYY
    49400AAir injection into abdomen1.88NANA0.830.930.11NANA2.822.92000
    49420AInsert abdominal drain2.22NANA0.971.160.13NANA3.323.51000
    49421AInsert abdominal drain5.54NANA4.144.230.55NANA10.2310.32090
    49422ARemove perm cannula/catheter6.25NANA3.063.420.63NANA9.9410.30010
    49423AExchange drainage catheter1.46NANA0.690.820.07NANA2.222.35000
    49424AAssess cyst, contrast inject0.76NANA0.440.490.03NANA1.231.28000
    49425AInsert abdomen-venous drain11.37NANA7.147.661.21NANA19.7220.24090
    49426ARevise abdomen-venous shunt9.63NANA6.186.100.93NANA16.7416.66090
    49427AInjection, abdominal shunt0.89NANA0.480.490.05NANA1.421.43000
    49428ALigation of shunt2.38NANA1.781.620.31NANA4.474.31010
    49429ARemoval of shunt7.40NANA3.703.680.81NANA11.9111.89010
    49495ARepair inguinal hernia, init5.84NANA3.564.020.55NANA9.9510.41090
    49496ARepair inguinal hernia, init8.79NANA6.556.280.89NANA16.2315.96090
    49500ARepair inguinal hernia4.68NANA3.133.700.46NANA8.278.84090
    49501ARepair inguinal hernia, init7.58NANA4.184.500.76NANA12.5212.84090
    49505ARepair inguinal hernia6.494.174.353.734.020.6511.3111.4910.8711.16090
    49507ARepair inguinal hernia8.17NANA5.595.560.83NANA14.5914.56090
    49520ARerepair inguinal hernia8.22NANA4.985.150.84NANA14.0414.21090
    49521ARepair inguinal hernia, rec10.22NANA5.285.331.04NANA16.5416.59090
    49525ARepair inguinal hernia7.32NANA4.534.900.74NANA12.5912.96090
    49540ARepair lumbar hernia8.87NANA5.175.290.90NANA14.9415.06090
    49550ARepair femoral hernia7.37NANA4.124.340.75NANA12.2412.46090
    49553ARepair femoral hernia, init8.06NANA4.514.630.83NANA13.4013.52090
    49555ARepair femoral hernia7.71NANA4.845.280.79NANA13.3413.78090
    49557ARepair femoral hernia, recur9.52NANA5.045.430.97NANA15.5315.92090
    49560ARepair abdominal hernia9.88NANA5.545.691.00NANA16.4216.57090
    49561ARepair incisional hernia12.17NANA6.076.091.23NANA19.4719.49090
    49565ARerepair abdominal hernia9.88NANA5.706.021.00NANA16.5816.90090
    49566ARepair incisional hernia12.30NANA6.116.321.24NANA19.6519.86090
    49568AHernia repair w/mesh4.89NANA1.862.090.50NANA7.257.48ZZZ
    49570ARepair epigastric hernia4.86NANA3.213.600.50NANA8.578.96090
    49572ARepair epigastric hernia5.75NANA3.654.260.58NANA9.9810.59090
    49580ARepair umbilical hernia3.34NANA2.663.040.34NANA6.346.72090
    49582ARepair umbilical hernia5.68NANA4.454.590.57NANA10.7010.84090
    49585ARepair umbilical hernia5.32NANA3.764.020.53NANA9.619.87090
    49587ARepair umbilical hernia6.46NANA3.884.110.65NANA10.9911.22090
    49590ARepair abdominal hernia7.29NANA4.494.900.74NANA12.5212.93090
    49600ARepair umbilical lesion10.96NANA6.486.291.13NANA18.5718.38090
    49605ARepair umbilical lesion24.94NANA12.3611.602.57NANA39.8739.11090
    49606ARepair umbilical lesion21.31NANA10.5610.182.22NANA34.0933.71090
    49610ARepair umbilical lesion10.50NANA6.606.440.77NANA17.8717.71090
    49611ARepair umbilical lesion8.92NANA6.467.290.65NANA16.0316.86090
    49650ALaparo hernia repair initial6.27NANA3.393.770.64NANA10.3010.68090
    49651ALaparo hernia repair recur8.24NANA4.484.780.84NANA13.5613.86090
    49659CLaparo proc, hernia repair0.000.000.000.000.000.000.000.000.000.00YYY
    49900ARepair of abdominal wall12.28NANA6.916.181.23NANA20.4219.69090
    49905AOmental flap6.55NANA2.432.750.61NANA9.599.91ZZZ
    49906CFree omental flap, microvasc0.000.000.000.000.000.000.000.000.000.00090
    49999CAbdomen surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    50010AExploration of kidney10.98NANA6.777.670.79NANA18.5419.44090
    50020ARenal abscess, open drain14.66NANA13.1511.710.80NANA28.6127.17090
    50021ARenal abscess, percut drain3.38NANA11.649.430.15NANA15.1712.96000
    50040ADrainage of kidney14.94NANA11.0910.270.82NANA26.8526.03090
    50045AExploration of kidney15.46NANA8.148.771.06NANA24.6625.29090
    50060ARemoval of kidney stone19.30NANA9.4810.431.14NANA29.9230.87090
    50065AIncision of kidney20.79NANA7.499.401.13NANA29.4131.32090
    50070AIncision of kidney20.32NANA10.3911.291.20NANA31.9132.81090
    50075ARemoval of kidney stone25.34NANA12.2013.731.51NANA39.0540.58090
    50080ARemoval of kidney stone14.71NANA10.3611.080.86NANA25.9326.65090
    50081ARemoval of kidney stone21.80NANA12.4513.401.30NANA35.5536.50090
    50100ARevise kidney blood vessels16.09NANA9.7410.111.64NANA27.4727.84090
    50120AExploration of kidney15.91NANA8.519.341.04NANA25.4626.29090
    50125AExplore and drain kidney16.52NANA8.649.451.07NANA26.2327.04090
    50130ARemoval of kidney stone17.29NANA8.8110.081.04NANA27.1428.41090
    50135AExploration of kidney19.18NANA9.4111.681.18NANA29.7732.04090
    50200ABiopsy of kidney2.63NANA0.941.410.12NANA3.694.16000
    50205ABiopsy of kidney11.31NANA6.416.340.94NANA18.6618.59090
    50220ARemoval of kidney17.15NANA8.9710.341.16NANA27.2828.65090
    50225ARemoval of kidney20.23NANA9.8911.901.26NANA31.3833.39090
    50230ARemoval of kidney22.07NANA10.4712.851.35NANA33.8936.27090
    50234ARemoval of kidney & ureter22.40NANA10.5412.421.37NANA34.3136.19090
    50236ARemoval of kidney & ureter24.86NANA13.5214.951.50NANA39.8841.31090
    50240APartial removal of kidney22.00NANA12.5613.761.36NANA35.9237.12090
    50280ARemoval of kidney lesion15.67NANA8.329.190.99NANA24.9825.85090
    50290ARemoval of kidney lesion14.73NANA8.198.551.11NANA24.0324.39090
    50300XRemoval of donor kidney0.000.000.000.000.000.000.000.000.000.00XXX
    50320ARemoval of donor kidney22.21NANA10.4912.341.78NANA34.4836.33090
    50340ARemoval of kidney12.15NANA8.779.971.15NANA22.0723.27090
    50360ATransplantation of kidney31.53NANA17.7419.942.97NANA52.2454.44090
    50365ATransplantation of kidney36.81NANA21.3424.343.51NANA61.6664.66090
    50370ARemove transplanted kidney13.72NANA9.6610.251.26NANA24.6425.23090
    Start Printed Page 65484
    50380AReimplantation of kidney20.76NANA13.8813.161.80NANA36.4435.72090
    50390ADrainage of kidney lesion1.96NANA0.690.980.09NANA2.743.03000
    50392AInsert kidney drain3.38NANA1.191.530.15NANA4.725.06000
    50393AInsert ureteral tube4.16NANA1.461.910.18NANA5.806.25000
    50394AInjection for kidney x-ray0.7613.2910.120.270.350.0414.0910.921.071.15000
    50395ACreate passage to kidney3.38NANA1.181.790.16NANA4.725.33000
    50396AMeasure kidney pressure2.09NANA0.880.800.10NANA3.072.99000
    50398AChange kidney tube1.461.301.120.510.530.072.832.652.042.06000
    50400ARevision of kidney/ureter19.50NANA9.5910.901.21NANA30.3031.61090
    50405ARevision of kidney/ureter23.93NANA12.6714.191.45NANA38.0539.57090
    50500ARepair of kidney wound19.57NANA11.1211.721.45NANA32.1432.74090
    50520AClose kidney-skin fistula17.23NANA10.4510.641.26NANA28.9429.13090
    50525ARepair renal-abdomen fistula22.27NANA12.5312.821.51NANA36.3136.60090
    50526ARepair renal-abdomen fistula24.02NANA15.4113.561.62NANA41.0539.20090
    50540ARevision of horseshoe kidney19.93NANA11.8212.501.28NANA33.0333.71090
    50541ALaparo ablate renal cyst16.00NANA6.616.610.99NANA23.6023.60090
    50544ALaparoscopy, pyeloplasty22.40NANA8.788.781.41NANA32.5932.59090
    50545ALaparo radical nephrectomy24.00NANA9.419.411.81NANA35.2235.22090
    50546ALaparoscopic nephrectomy20.48NANA8.318.311.37NANA30.1630.16090
    50547ALaparo removal donor kidney25.50NANA10.9910.992.04NANA38.5338.53090
    50548ALaparo remove k/ureter24.40NANA9.449.441.49NANA35.3335.33090
    50549CLaparoscope proc, renal0.000.000.000.000.000.000.000.000.000.00YYY
    50551AKidney endoscopy5.604.544.001.861.990.3310.479.937.797.92000
    50553AKidney endoscopy5.9915.5812.142.062.000.3521.9218.488.408.34000
    50555AKidney endoscopy & biopsy6.5318.1614.902.202.930.3825.0721.819.119.84000
    50557AKidney endoscopy & treatment6.6218.2814.992.212.940.3925.2922.009.229.95000
    50559ARenal endoscopy/radiotracer6.78NANA2.372.140.27NANA9.429.19000
    50561AKidney endoscopy & treatment7.5916.4213.712.553.300.4424.4521.7410.5811.33000
    50570AKidney endoscopy9.54NANA3.192.790.56NANA13.2912.89000
    50572AKidney endoscopy10.35NANA3.444.550.64NANA14.4315.54000
    50574AKidney endoscopy & biopsy11.02NANA3.674.670.65NANA15.3416.34000
    50575AKidney endoscopy13.98NANA4.676.200.84NANA19.4921.02000
    50576AKidney endoscopy & treatment10.99NANA3.645.090.66NANA15.2916.74000
    50578ARenal endoscopy/radiotracer11.35NANA3.783.860.67NANA15.8015.88000
    50580AKidney endoscopy & treatment11.86NANA3.973.950.70NANA16.5316.51000
    50590AFragmenting of kidney stone9.0910.2110.375.016.470.5419.8420.0014.6416.10090
    50600AExploration of ureter15.84NANA8.388.920.99NANA25.2125.75090
    50605AInsert ureteral support15.46NANA8.648.141.13NANA25.2324.73090
    50610ARemoval of ureter stone15.92NANA8.879.851.08NANA25.8726.85090
    50620ARemoval of ureter stone15.16NANA8.009.120.91NANA24.0725.19090
    50630ARemoval of ureter stone14.94NANA8.099.520.90NANA23.9325.36090
    50650ARemoval of ureter17.41NANA9.1510.141.07NANA27.6328.62090
    50660ARemoval of ureter19.55NANA9.9310.841.19NANA30.6731.58090
    50684AInjection for ureter x-ray0.7613.7410.440.260.330.0414.5411.241.061.13000
    50686AMeasure ureter pressure1.514.643.580.700.630.096.245.182.302.23000
    50688AChange of ureter tube1.17NANA1.711.390.06NANA2.942.62010
    50690AInjection for ureter x-ray1.1614.0710.640.400.390.0615.2911.861.621.61000
    50700ARevision of ureter15.21NANA8.8410.040.86NANA24.9126.11090
    50715ARelease of ureter18.90NANA11.6411.781.68NANA32.2232.36090
    50722ARelease of ureter16.35NANA9.169.671.41NANA26.9227.43090
    50725ARelease/revise ureter18.49NANA10.0210.791.44NANA29.9530.72090
    50727ARevise ureter8.18NANA6.126.050.51NANA14.8114.74090
    50728ARevise ureter12.02NANA7.717.930.88NANA20.6120.83090
    50740AFusion of ureter & kidney18.42NANA9.4210.601.49NANA29.3330.51090
    50750AFusion of ureter & kidney19.51NANA10.1111.391.24NANA30.8632.14090
    50760AFusion of ureters18.42NANA9.6510.891.25NANA29.3230.56090
    50770ASplicing of ureters19.51NANA9.8611.531.25NANA30.6232.29090
    50780AReimplant ureter in bladder18.36NANA9.5610.911.20NANA29.1230.47090
    50782AReimplant ureter in bladder19.54NANA11.0212.001.13NANA31.6932.67090
    50783AReimplant ureter in bladder20.55NANA10.5511.651.35NANA32.4533.55090
    50785AReimplant ureter in bladder20.52NANA10.2711.891.30NANA32.0933.71090
    50800AImplant ureter in bowel14.52NANA9.2710.930.92NANA24.7126.37090
    50810AFusion of ureter & bowel20.05NANA12.7512.971.78NANA34.5834.80090
    50815AUrine shunt to bowel19.93NANA11.3113.841.31NANA32.5535.08090
    50820AConstruct bowel bladder21.89NANA11.1413.501.38NANA34.4136.77090
    50825AConstruct bowel bladder28.18NANA14.5319.181.81NANA44.5249.17090
    50830ARevise urine flow31.28NANA15.2717.132.20NANA48.7550.61090
    50840AReplace ureter by bowel20.00NANA11.4812.231.26NANA32.7433.49090
    50845AAppendico-vesicostomy20.89NANA9.6310.991.26NANA31.7833.14090
    50860ATransplant ureter to skin15.36NANA8.569.381.01NANA24.9325.75090
    50900ARepair of ureter13.62NANA7.818.570.98NANA22.4123.17090
    50920AClosure ureter/skin fistula14.33NANA8.709.110.84NANA23.8724.28090
    50930AClosure ureter/bowel fistula18.72NANA9.7310.691.57NANA30.0230.98090
    50940ARelease of ureter14.51NANA8.088.751.04NANA23.6324.30090
    50945ALaparoscopy ureterolithotomy17.00NANA7.367.361.15NANA25.5125.51090
    50947ALaparo new ureter/bladder24.50NANA11.6211.621.84NANA37.9637.96090
    50948ALaparo new ureter/bladder22.50NANA10.5110.511.70NANA34.7134.71090
    50949CLaparoscope proc, ureter0.000.000.000.000.000.000.000.000.000.00YYY
    50951AEndoscopy of ureter5.844.944.161.961.920.3511.1310.358.158.11000
    50953AEndoscopy of ureter6.2417.4713.552.082.010.3724.0820.168.698.62000
    50955AUreter endoscopy & biopsy6.7518.1914.342.292.410.3825.3221.479.429.54000
    50957AUreter endoscopy & treatment6.7917.7614.002.282.390.4024.9521.199.479.58000
    50959AUreter endoscopy & tracer4.40NANA1.552.080.18NANA6.136.66000
    Start Printed Page 65485
    50961AUreter endoscopy & treatment6.0521.8417.092.052.250.3528.2423.498.458.65000
    50970AUreter endoscopy7.14NANA2.393.200.43NANA9.9610.77000
    50972AUreter endoscopy & catheter6.89NANA2.352.180.39NANA9.639.46000
    50974AUreter endoscopy & biopsy9.17NANA3.014.160.53NANA12.7113.86000
    50976AUreter endoscopy & treatment9.04NANA3.014.000.53NANA12.5813.57000
    50978AUreter endoscopy & tracer5.10NANA1.752.410.30NANA7.157.81000
    50980AUreter endoscopy & treatment6.85NANA2.302.580.41NANA9.569.84000
    51000ADrainage of bladder0.781.881.540.250.320.052.712.371.081.15000
    51005ADrainage of bladder1.023.152.490.350.390.084.253.591.451.49000
    51010ADrainage of bladder3.536.755.331.821.630.2310.519.095.585.39010
    51020AIncise & treat bladder6.71NANA5.295.830.42NANA12.4212.96090
    51030AIncise & treat bladder6.77NANA5.345.240.42NANA12.5312.43090
    51040AIncise & drain bladder4.40NANA4.114.400.27NANA8.789.07090
    51045AIncise bladder/drain ureter6.77NANA5.595.540.47NANA12.8312.78090
    51050ARemoval of bladder stone6.92NANA4.905.610.42NANA12.2412.95090
    51060ARemoval of ureter stone8.85NANA6.047.170.54NANA15.4316.56090
    51065ARemoval of ureter stone8.85NANA5.896.340.53NANA15.2715.72090
    51080ADrainage of bladder abscess5.96NANA5.325.400.35NANA11.6311.71090
    51500ARemoval of bladder cyst10.14NANA5.956.320.88NANA16.9717.34090
    51520ARemoval of bladder lesion9.29NANA6.086.880.58NANA15.9516.75090
    51525ARemoval of bladder lesion13.97NANA7.688.660.85NANA22.5023.48090
    51530ARemoval of bladder lesion12.38NANA7.267.960.82NANA20.4621.16090
    51535ARepair of ureter lesion12.57NANA7.577.760.90NANA21.0421.23090
    51550APartial removal of bladder15.66NANA8.329.151.05NANA25.0325.86090
    51555APartial removal of bladder21.23NANA10.5711.261.37NANA33.1733.86090
    51565ARevise bladder & ureter(s)21.62NANA11.0612.591.40NANA34.0835.61090
    51570ARemoval of bladder24.24NANA12.2313.421.59NANA38.0639.25090
    51575ARemoval of bladder & nodes30.45NANA14.7017.231.88NANA47.0349.56090
    51580ARemove bladder/revise tract31.08NANA15.2316.841.94NANA48.2549.86090
    51585ARemoval of bladder & nodes35.23NANA16.4819.182.18NANA53.8956.59090
    51590ARemove bladder/revise tract32.66NANA15.3818.192.01NANA50.0552.86090
    51595ARemove bladder/revise tract37.14NANA16.8021.772.23NANA56.1761.14090
    51596ARemove bladder/create pouch39.52NANA18.0423.002.39NANA59.9564.91090
    51597ARemoval of pelvic structures38.35NANA17.8421.692.49NANA58.6862.53090
    51600AInjection for bladder x-ray0.8814.3010.800.310.310.0415.2211.721.231.23000
    51605APreparation for bladder xray0.6415.0911.400.220.250.0415.7712.080.900.93000
    51610AInjection for bladder x-ray1.0514.7311.120.360.340.0515.8312.221.461.44000
    51700AIrrigation of bladder0.883.632.780.330.280.054.563.711.261.21000
    51705AChange of bladder tube1.022.451.941.230.980.063.533.022.312.06010
    51710AChange of bladder tube1.494.603.611.371.110.096.185.192.952.69010
    51715AEndoscopic injection/implant3.744.093.791.271.670.248.077.775.255.65000
    51720ATreatment of bladder lesion1.963.933.070.660.560.126.015.152.742.64000
    51725ASimple cystometrogram1.515.334.275.334.270.136.975.916.975.91000
    5172526ASimple cystometrogram1.510.510.550.510.550.102.122.162.122.16000
    51725TCASimple cystometrogram0.004.823.72NANA0.034.853.75NANA000
    51726AComplex cystometrogram1.714.203.514.203.510.156.065.376.065.37000
    5172626AComplex cystometrogram1.710.580.660.580.660.112.402.482.402.48000
    51726TCAComplex cystometrogram0.003.622.85NANA0.043.662.89NANA000
    51736AUrine flow measurement0.610.990.860.990.860.051.651.521.651.52000
    5173626AUrine flow measurement0.610.210.230.210.230.040.860.880.860.88000
    51736TCAUrine flow measurement0.000.780.63NANA0.010.790.64NANA000
    51741AElectro-uroflowmetry, first1.141.741.461.741.460.092.972.692.972.69000
    5174126AElectro-uroflowmetry, first1.140.390.390.390.390.071.601.601.601.60000
    51741TCAElectro-uroflowmetry, first0.001.351.07NANA0.021.371.09NANA000
    51772AUrethra pressure profile1.614.293.484.293.480.166.065.256.065.25000
    5177226AUrethra pressure profile1.610.570.570.570.570.122.302.302.302.30000
    51772TCAUrethra pressure profile0.003.722.91NANA0.043.762.95NANA000
    51784AAnal/urinary muscle study1.533.022.553.022.550.134.684.214.684.21000
    5178426AAnal/urinary muscle study1.530.520.570.520.570.102.152.202.152.20000
    51784TCAAnal/urinary muscle study0.002.501.98NANA0.032.532.01NANA000
    51785AAnal/urinary muscle study1.533.062.583.062.580.124.714.234.714.23000
    5178526AAnal/urinary muscle study1.530.520.570.520.570.092.142.192.142.19000
    51785TCAAnal/urinary muscle study0.002.542.01NANA0.032.572.04NANA000
    51792AUrinary reflex study1.101.831.901.831.900.203.133.203.133.20000
    5179226AUrinary reflex study1.100.440.490.440.490.091.631.681.631.68000
    51792TCAUrinary reflex study0.001.391.41NANA0.111.501.52NANA000
    51795AUrine voiding pressure study1.534.393.694.393.690.186.105.406.105.40000
    5179526AUrine voiding pressure study1.530.520.550.520.550.102.152.182.152.18000
    51795TCAUrine voiding pressure study0.003.873.14NANA0.083.953.22NANA000
    51797AIntraabdominal pressure test1.604.383.554.383.550.146.125.296.125.29000
    5179726AIntraabdominal pressure test1.600.550.550.550.550.102.252.252.252.25000
    51797TCAIntraabdominal pressure test0.003.833.00NANA0.043.873.04NANA000
    51800ARevision of bladder/urethra17.42NANA9.1210.101.17NANA27.7128.69090
    51820ARevision of urinary tract17.89NANA10.459.841.45NANA29.7929.18090
    51840AAttach bladder/urethra10.71NANA6.417.310.87NANA17.9918.89090
    51841AAttach bladder/urethra13.03NANA8.039.011.04NANA22.1023.08090
    51845ARepair bladder neck9.73NANA6.407.700.62NANA16.7518.05090
    51860ARepair of bladder wound12.02NANA7.577.750.89NANA20.4820.66090
    51865ARepair of bladder wound15.04NANA8.469.321.01NANA24.5125.37090
    51880ARepair of bladder opening7.66NANA5.435.420.54NANA13.6313.62090
    51900ARepair bladder/vagina lesion12.97NANA7.819.020.87NANA21.6522.86090
    51920AClose bladder-uterus fistula11.81NANA7.487.650.86NANA20.1520.32090
    51925AHysterectomy/bladder repair15.58NANA8.909.411.48NANA25.9626.47090
    Start Printed Page 65486
    51940ACorrection of bladder defect28.43NANA14.2415.821.97NANA44.6446.22090
    51960ARevision of bladder & bowel23.01NANA12.4415.141.41NANA36.8639.56090
    51980AConstruct bladder opening11.36NANA6.957.240.74NANA19.0519.34090
    51990ALaparo urethral suspension12.50NANA6.286.281.02NANA19.8019.80090
    51992ALaparo sling operation14.01NANA6.396.390.93NANA21.3321.33090
    52000ACystoscopy2.013.142.720.670.680.125.274.852.802.81000
    52005ACystoscopy & ureter catheter2.374.864.240.791.190.157.386.763.313.71000
    52007ACystoscopy and biopsy3.02NANA1.011.520.18NANA4.214.72000
    52010ACystoscopy & duct catheter3.025.214.421.011.020.188.417.624.214.22000
    52204ACystoscopy2.375.574.820.791.240.158.097.343.313.76000
    52214ACystoscopy and treatment3.715.945.221.241.690.229.879.155.175.62000
    52224ACystoscopy and treatment3.145.795.131.051.580.189.118.454.374.90000
    52234ACystoscopy and treatment4.636.706.301.552.440.2711.6011.206.457.34000
    52235ACystoscopy and treatment5.456.996.871.822.990.3212.7612.647.598.76000
    52240ACystoscopy and treatment9.728.419.203.245.320.5818.7119.5013.5415.62000
    52250ACystoscopy and radiotracer4.50NANA1.501.900.27NANA6.276.67000
    52260ACystoscopy and treatment3.92NANA1.311.560.23NANA5.465.71000
    52265ACystoscopy and treatment2.943.553.030.990.930.186.676.154.114.05000
    52270ACystoscopy & revise urethra3.376.325.681.131.790.209.899.254.705.36000
    52275ACystoscopy & revise urethra4.706.816.041.562.100.2811.7911.026.547.08000
    52276ACystoscopy and treatment5.006.926.431.662.490.3012.2211.736.967.79000
    52277ACystoscopy and treatment6.17NANA2.102.880.38NANA8.659.43000
    52281ACystoscopy and treatment2.803.563.300.931.010.176.536.273.903.98000
    52282ACystoscopy, implant stent6.407.076.552.142.850.3813.8513.338.929.63000
    52283ACystoscopy and treatment3.746.215.071.251.350.2210.179.035.215.31000
    52285ACystoscopy and treatment3.616.415.611.211.310.2210.249.445.045.14000
    52290ACystoscopy and treatment4.59NANA1.541.790.27NANA6.406.65000
    52300ACystoscopy and treatment5.31NANA1.772.270.32NANA7.407.90000
    52301ACystoscopy and treatment5.51NANA1.782.280.39NANA7.688.18000
    52305ACystoscopy and treatment5.31NANA1.772.280.31NANA7.397.90000
    52310ACystoscopy and treatment2.8113.8911.230.941.520.1716.8714.213.924.50000
    52315ACystoscopy and treatment5.2114.8612.251.742.410.3120.3817.777.267.93000
    52317ARemove bladder stone6.7225.3720.712.243.360.4032.4927.839.3610.48000
    52318ARemove bladder stone9.19NANA3.074.440.54NANA12.8014.17000
    52320ACystoscopy and treatment4.70NANA1.572.500.28NANA6.557.48000
    52325ACystoscopy, stone removal6.16NANA2.053.380.37NANA8.589.91000
    52327ACystoscopy, inject material5.19NANA1.752.310.32NANA7.267.82000
    52330ACystoscopy and treatment5.0418.7715.021.682.200.3024.1120.367.027.54000
    52332ACystoscopy and treatment2.8328.1321.970.951.560.1731.1324.973.954.56000
    52334ACreate passage to kidney4.83NANA1.622.120.28NANA6.737.23000
    52335DEndoscopy of urinary tract0.00NANA0.000.000.00NANA0.000.00000
    52336DCystoscopy, stone removal0.00NANA0.000.000.00NANA0.000.00000
    52337DCystoscopy, stone removal0.00NANA0.000.000.00NANA0.000.00000
    52338DCystoscopy and treatment0.00NANA0.000.000.00NANA0.000.00000
    52339DCystoscopy and treatment0.00NANA0.000.000.00NANA0.000.00000
    52340DCystoscopy and treatment0.00NANA0.000.000.00NANA0.000.00090
    52341ACysto w/ureter stricture tx6.00NANA2.402.400.34NANA8.748.74000
    52342ACysto w/up stricture tx6.50NANA2.602.600.36NANA9.469.46000
    52343ACysto w/renal stricture tx7.20NANA2.882.880.40NANA10.4810.48000
    52344ACysto/uretero, stone remove7.70NANA3.083.080.42NANA11.2011.20000
    52345ACysto/uretero w/up stricture8.20NANA3.283.280.46NANA11.9411.94000
    52346ACystouretero w/renal strict9.23NANA3.693.690.51NANA13.4313.43000
    52351ACystouretro & or pyeloscope5.86NANA1.962.740.32NANA8.148.92000
    52352ACystouretro w/stone remove6.88NANA2.303.780.38NANA9.5611.04000
    52353ACystouretero w/lithotripsy7.97NANA2.664.380.44NANA11.0712.79000
    52354ACystouretero w/biopsy7.34NANA2.453.440.41NANA10.2011.19000
    52355ACystouretero w/excise tumor8.82NANA2.953.820.50NANA12.2713.14000
    52400ACystouretero w/congen repr9.68NANA5.365.420.53NANA15.5715.63090
    52450AIncision of prostate7.64NANA6.055.890.46NANA14.1513.99090
    52500ARevision of bladder neck8.47NANA6.316.750.50NANA15.2815.72090
    52510ADilation prostatic urethra6.72NANA5.396.050.40NANA12.5113.17090
    52601AProstatectomy (TURP)12.37NANA7.638.940.74NANA20.7422.05090
    52606AControl postop bleeding8.13NANA5.825.270.49NANA14.4413.89090
    52612AProstatectomy, first stage7.98NANA6.177.010.48NANA14.6315.47090
    52614AProstatectomy, second stage6.84NANA5.776.250.41NANA13.0213.50090
    52620ARemove residual prostate6.61NANA5.715.730.39NANA12.7112.73090
    52630ARemove prostate regrowth7.26NANA5.936.620.43NANA13.6214.31090
    52640ARelieve bladder contracture6.62NANA5.295.710.39NANA12.3012.72090
    52647ALaser surgery of prostate10.3656.1345.195.267.040.6167.1056.1616.2318.01090
    52648ALaser surgery of prostate11.21NANA7.268.670.66NANA19.1320.54090
    52700ADrainage of prostate abscess6.80NANA5.855.280.41NANA13.0612.49090
    53000AIncision of urethra2.287.095.802.422.290.139.508.214.834.70010
    53010AIncision of urethra3.64NANA3.893.870.20NANA7.737.71090
    53020AIncision of urethra1.773.783.060.650.710.115.664.942.532.59000
    53025AIncision of urethra1.134.323.460.430.540.075.524.661.631.74000
    53040ADrainage of urethra abscess6.4012.369.777.766.320.4119.1716.5814.5713.13090
    53060ADrainage of urethra abscess2.635.984.622.922.330.238.847.485.785.19010
    53080ADrainage of urinary leakage6.29NANA7.626.800.42NANA14.3313.51090
    53085ADrainage of urinary leakage10.27NANA9.138.680.67NANA20.0719.62090
    53200ABiopsy of urethra2.595.094.120.951.010.177.856.883.713.77000
    53210ARemoval of urethra12.57NANA7.587.490.81NANA20.9620.87090
    53215ARemoval of urethra15.58NANA8.328.950.93NANA24.8325.46090
    53220ATreatment of urethra lesion7.00NANA5.215.200.44NANA12.6512.64090
    Start Printed Page 65487
    53230ARemoval of urethra lesion9.58NANA5.986.640.60NANA16.1616.82090
    53235ARemoval of urethra lesion10.14NANA6.175.990.60NANA16.9116.73090
    53240ASurgery for urethra pouch6.45NANA4.834.800.42NANA11.7011.67090
    53250ARemoval of urethra gland5.89NANA4.154.210.35NANA10.3910.45090
    53260ATreatment of urethra lesion2.985.604.512.272.010.238.817.725.485.22010
    53265ATreatment of urethra lesion3.125.985.002.242.190.209.308.325.565.51010
    53270ARemoval of urethra gland3.095.404.282.341.870.218.707.585.645.17010
    53275ARepair of urethra defect4.53NANA3.173.020.28NANA7.987.83010
    53400ARevise urethra, stage 112.77NANA7.627.740.85NANA21.2421.36090
    53405ARevise urethra, stage 214.48NANA8.038.840.91NANA23.4224.23090
    53410AReconstruction of urethra16.44NANA8.618.780.99NANA26.0426.21090
    53415AReconstruction of urethra19.41NANA9.5110.351.16NANA30.0830.92090
    53420AReconstruct urethra, stage 114.08NANA8.249.130.90NANA23.2224.11090
    53425AReconstruct urethra, stage 215.98NANA8.719.040.97NANA25.6625.99090
    53430AReconstruction of urethra16.34NANA8.728.481.01NANA26.0725.83090
    53440ACorrect bladder function12.34NANA7.559.230.73NANA20.6222.30090
    53442ARemove perineal prosthesis8.27NANA5.685.850.55NANA14.5014.67090
    53443AReconstruction of urethra19.89NANA9.339.721.25NANA30.4730.86090
    53445ACorrect urine flow control14.06NANA8.1410.300.84NANA23.0425.20090
    53447ARemove artificial sphincter13.17NANA7.458.070.79NANA21.4122.03090
    53449ACorrect artificial sphincter9.70NANA6.276.990.57NANA16.5417.26090
    53450ARevision of urethra6.14NANA4.764.310.37NANA11.2710.82090
    53460ARevision of urethra7.12NANA5.134.510.43NANA12.6812.06090
    53502ARepair of urethra injury7.63NANA5.315.330.50NANA13.4413.46090
    53505ARepair of urethra injury7.63NANA5.265.350.46NANA13.3513.44090
    53510ARepair of urethra injury10.11NANA6.336.640.60NANA17.0417.35090
    53515ARepair of urethra injury13.31NANA7.247.880.83NANA21.3822.02090
    53520ARepair of urethra defect8.68NANA5.725.890.53NANA14.9315.10090
    53600ADilate urethra stricture1.213.832.960.500.420.075.114.241.781.70000
    53601ADilate urethra stricture0.983.762.900.420.360.064.803.941.461.40000
    53605ADilate urethra stricture1.28NANA0.430.450.08NANA1.791.81000
    53620ADilate urethra stricture1.625.674.380.540.470.107.396.102.262.19000
    53621ADilate urethra stricture1.355.694.370.450.390.087.125.801.881.82000
    53660ADilation of urethra0.713.612.780.340.290.044.363.531.091.04000
    53661ADilation of urethra0.723.662.810.240.220.044.423.571.000.98000
    53665ADilation of urethra0.76NANA0.260.290.05NANA1.071.10000
    53670AInsert urinary catheter0.503.372.590.210.190.033.903.120.740.72000
    53675AInsert urinary catheter1.474.573.560.480.490.096.135.122.042.05000
    53850AProstatic microwave thermotx9.4580.6362.294.925.510.5690.6472.3014.9315.52090
    53852AProstatic rf thermotx9.8869.0853.715.175.780.5879.5464.1715.6316.24090
    53899CUrology surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    54000ASlitting of prepuce1.545.254.111.371.200.106.895.753.012.84010
    54001ASlitting of prepuce2.195.864.621.981.710.148.196.954.314.04010
    54015ADrain penis lesion5.326.685.243.042.510.3312.3310.898.698.16010
    54050ADestruction, penis lesion(s)1.242.622.070.500.430.073.933.381.811.74010
    54055ADestruction, penis lesion(s)1.226.324.911.381.120.077.616.202.672.41010
    54056ACryosurgery, penis lesion(s)1.242.952.360.530.470.064.253.661.831.77010
    54057ALaser surg, penis lesion(s)1.242.882.571.281.330.084.203.892.602.65010
    54060AExcision of penis lesion(s)1.935.244.251.541.470.127.296.303.593.52010
    54065ADestruction, penis lesion(s)2.425.254.612.051.870.137.807.164.604.42010
    54100ABiopsy of penis1.903.542.830.740.730.105.544.832.742.73000
    54105ABiopsy of penis3.506.094.842.061.820.219.808.555.775.53010
    54110ATreatment of penis lesion10.13NANA7.617.340.60NANA18.3418.07090
    54111ATreat penis lesion, graft13.57NANA8.678.990.79NANA23.0323.35090
    54112ATreat penis lesion, graft15.86NANA9.5010.070.94NANA26.3026.87090
    54115ATreatment of penis lesion6.1510.028.656.355.900.3916.5615.1912.8912.44090
    54120APartial removal of penis9.97NANA7.557.420.60NANA18.1217.99090
    54125ARemoval of penis13.53NANA8.719.670.81NANA23.0524.01090
    54130ARemove penis & nodes20.14NANA11.1912.371.19NANA32.5233.70090
    54135ARemove penis & nodes26.36NANA13.3414.821.58NANA41.2842.76090
    54150ACircumcision1.817.595.841.811.510.179.577.823.793.49010
    54152ACircumcision2.31NANA1.691.760.16NANA4.164.23010
    54160ACircumcision2.485.724.741.681.710.168.367.384.324.35010
    54161ACircumcision3.27NANA1.972.070.20NANA5.445.54010
    54200ATreatment of penis lesion1.062.562.010.370.320.063.683.131.491.44010
    54205ATreatment of penis lesion7.93NANA7.036.660.47NANA15.4315.06090
    54220ATreatment of penis lesion2.421.911.860.991.170.154.484.433.563.74000
    54230APrepare penis study1.34NANA0.450.520.08NANA1.871.94000
    54231ADynamic cavernosometry2.042.131.990.790.980.144.314.172.973.16000
    54235APenile injection1.191.090.940.400.360.072.352.201.661.62000
    54240APenis study1.311.181.161.181.160.132.622.602.622.60000
    5424026APenis study1.310.450.480.450.480.081.841.871.841.87000
    54240TCAPenis study0.000.730.68NANA0.050.780.73NANA000
    54250APenis study2.223.512.853.512.850.165.895.235.895.23000
    5425026APenis study2.220.750.700.750.700.143.113.063.113.06000
    54250TCAPenis study0.002.762.15NANA0.022.782.17NANA000
    54300ARevision of penis10.41NANA8.268.060.64NANA19.3119.11090
    54304ARevision of penis12.49NANA9.269.300.74NANA22.4922.53090
    54308AReconstruction of urethra11.83NANA8.998.330.70NANA21.5220.86090
    54312AReconstruction of urethra13.57NANA10.0810.100.81NANA24.4624.48090
    54316AReconstruction of urethra16.82NANA11.5311.731.00NANA29.3529.55090
    54318AReconstruction of urethra11.25NANA9.098.861.15NANA21.4921.26090
    54322AReconstruction of urethra13.01NANA8.608.520.77NANA22.3822.30090
    Start Printed Page 65488
    54324AReconstruction of urethra16.31NANA11.3011.461.03NANA28.6428.80090
    54326AReconstruction of urethra15.72NANA9.9310.300.93NANA26.5826.95090
    54328ARevise penis/urethra15.65NANA10.2610.600.92NANA26.8327.17090
    54332ARevise penis/urethra17.08NANA11.6212.111.01NANA29.7130.20090
    54336ARevise penis/urethra20.04NANA16.0417.131.90NANA37.9839.07090
    54340ASecondary urethral surgery8.91NANA7.657.390.72NANA17.2817.02090
    54344ASecondary urethral surgery15.94NANA11.4313.081.10NANA28.4730.12090
    54348ASecondary urethral surgery17.15NANA12.4912.521.02NANA30.6630.69090
    54352AReconstruct urethra/penis24.74NANA15.0815.701.62NANA41.4442.06090
    54360APenis plastic surgery11.93NANA8.138.000.72NANA20.7820.65090
    54380ARepair penis13.18NANA9.109.381.16NANA23.4423.72090
    54385ARepair penis15.39NANA11.0811.150.71NANA27.1827.25090
    54390ARepair penis and bladder21.61NANA13.2813.641.28NANA36.1736.53090
    54400AInsert semi-rigid prosthesis8.99NANA6.017.190.53NANA15.5316.71090
    54401AInsert self-contd prosthesis10.28NANA6.828.180.61NANA17.7119.07090
    54402ARemove penis prosthesis9.21NANA6.136.230.55NANA15.8915.99090
    54405AInsert multi-comp prosthesis13.43NANA7.929.950.80NANA22.1524.18090
    54407ARemove multi-comp prosthesis13.34NANA7.518.680.80NANA21.6522.82090
    54409ARevise penis prosthesis12.20NANA7.267.880.73NANA20.1920.81090
    54420ARevision of penis11.42NANA8.048.130.72NANA20.1820.27090
    54430ARevision of penis10.15NANA7.587.580.60NANA18.3318.33090
    54435ARevision of penis6.12NANA5.675.380.36NANA12.1511.86090
    54440CRepair of penis0.000.000.000.000.000.000.000.000.000.00090
    54450APreputial stretching1.120.990.930.460.530.072.182.121.651.72000
    54500ABiopsy of testis1.315.924.560.450.460.087.315.951.841.85000
    54505ABiopsy of testis3.46NANA2.532.400.21NANA6.206.07010
    54510ARemoval of testis lesion5.45NANA3.383.360.35NANA9.189.16090
    54512AExcise lesion testis8.58NANA4.864.860.51NANA13.9513.95090
    54520ARemoval of testis5.23NANA3.514.070.33NANA9.079.63090
    54522AOrchiectomy, partial9.50NANA5.795.790.57NANA15.8615.86090
    54530ARemoval of testis8.58NANA5.135.830.53NANA14.2414.94090
    54535AExtensive testis surgery12.16NANA7.007.570.83NANA19.9920.56090
    54550AExploration for testis7.78NANA4.644.910.49NANA12.9113.18090
    54560AExploration for testis11.13NANA6.757.030.79NANA18.6718.95090
    54600AReduce testis torsion7.01NANA4.164.370.45NANA11.6211.83090
    54620ASuspension of testis4.90NANA3.013.160.31NANA8.228.37010
    54640ASuspension of testis6.90NANA4.195.200.49NANA11.5812.59090
    54650AOrchiopexy (Fowler-Stephens)11.45NANA7.037.400.81NANA19.2919.66090
    54660ARevision of testis5.11NANA3.223.340.35NANA8.688.80090
    54670ARepair testis injury6.41NANA4.094.240.41NANA10.9111.06090
    54680ARelocation of testis(es)12.65NANA7.377.750.94NANA20.9621.34090
    54690ALaparoscopy, orchiectomy10.96NANA6.446.790.99NANA18.3918.74090
    54692ALaparoscopy, orchiopexy12.88NANA5.685.680.87NANA19.4319.43090
    54699CLaparoscope proc, testis0.000.000.000.000.000.000.000.000.000.00YYY
    54700ADrainage of scrotum3.437.926.193.262.690.2311.589.856.926.35010
    54800ABiopsy of epididymis2.336.015.040.831.160.148.487.513.303.63000
    54820AExploration of epididymis5.14NANA3.503.340.33NANA8.978.81090
    54830ARemove epididymis lesion5.38NANA3.593.650.34NANA9.319.37090
    54840ARemove epididymis lesion5.20NANA3.513.950.31NANA9.029.46090
    54860ARemoval of epididymis6.32NANA4.084.460.38NANA10.7811.16090
    54861ARemoval of epididymis8.90NANA4.955.690.52NANA14.3715.11090
    54900AFusion of spermatic ducts13.20NANA7.137.781.34NANA21.6722.32090
    54901AFusion of spermatic ducts17.94NANA9.7910.681.83NANA29.5630.45090
    55000ADrainage of hydrocele1.432.061.650.500.430.103.593.182.031.96000
    55040ARemoval of hydrocele5.36NANA3.363.850.35NANA9.079.56090
    55041ARemoval of hydroceles7.74NANA4.395.320.50NANA12.6313.56090
    55060ARepair of hydrocele5.52NANA3.413.680.37NANA9.309.57090
    55100ADrainage of scrotum abscess2.139.036.943.482.780.1511.319.225.765.06010
    55110AExplore scrotum5.70NANA3.513.580.36NANA9.579.64090
    55120ARemoval of scrotum lesion5.09NANA3.282.950.33NANA8.708.37090
    55150ARemoval of scrotum7.22NANA4.464.820.47NANA12.1512.51090
    55175ARevision of scrotum5.24NANA3.603.920.33NANA9.179.49090
    55180ARevision of scrotum10.72NANA6.286.560.72NANA17.7218.00090
    55200AIncision of sperm duct4.24NANA3.012.790.25NANA7.507.28090
    55250ARemoval of sperm duct(s)3.298.767.282.952.570.2112.2610.786.456.07090
    55300APrepare, sperm duct x-ray3.51NANA1.431.810.20NANA5.145.52000
    55400ARepair of sperm duct8.49NANA5.105.610.50NANA14.0914.60090
    55450ALigation of sperm duct4.127.316.192.392.500.2411.6710.556.756.86010
    55500ARemoval of hydrocele5.59NANA3.593.870.43NANA9.619.89090
    55520ARemoval of sperm cord lesion6.03NANA3.753.660.56NANA10.3410.25090
    55530ARevise spermatic cord veins5.66NANA3.694.180.36NANA9.7110.20090
    55535ARevise spermatic cord veins6.56NANA4.014.200.42NANA10.9911.18090
    55540ARevise hernia & sperm veins7.67NANA4.364.500.74NANA12.7712.91090
    55550ALaparo ligate spermatic vein6.57NANA3.363.720.47NANA10.4010.76090
    55559CLaparo proc, spermatic cord0.000.000.000.000.000.000.000.000.000.00YYY
    55600AIncise sperm duct pouch6.38NANA4.124.260.38NANA10.8811.02090
    55605AIncise sperm duct pouch7.96NANA5.005.270.54NANA13.5013.77090
    55650ARemove sperm duct pouch11.80NANA6.106.540.72NANA18.6219.06090
    55680ARemove sperm pouch lesion5.19NANA3.794.050.31NANA9.299.55090
    55700ABiopsy of prostate1.573.663.150.530.600.105.334.822.202.27000
    55705ABiopsy of prostate4.57NANA3.623.630.26NANA8.458.46010
    55720ADrainage of prostate abscess7.64NANA5.765.270.44NANA13.8413.35090
    55725ADrainage of prostate abscess8.68NANA6.386.310.51NANA15.5715.50090
    Start Printed Page 65489
    55801ARemoval of prostate17.80NANA9.2410.391.08NANA28.1229.27090
    55810AExtensive prostate surgery22.58NANA11.2413.281.35NANA35.1737.21090
    55812AExtensive prostate surgery27.51NANA13.7515.111.69NANA42.9544.31090
    55815AExtensive prostate surgery30.46NANA14.2717.541.84NANA46.5749.84090
    55821ARemoval of prostate14.25NANA7.749.490.85NANA22.8424.59090
    55831ARemoval of prostate15.62NANA8.2210.120.94NANA24.7826.68090
    55840AExtensive prostate surgery22.69NANA11.6313.231.37NANA35.6937.29090
    55842AExtensive prostate surgery24.38NANA12.2514.391.48NANA38.1140.25090
    55845AExtensive prostate surgery28.55NANA13.5716.991.71NANA43.8347.25090
    55859APercut/needle insert, pros12.52NANA7.277.050.74NANA20.5320.31090
    55860ASurgical exposure, prostate14.45NANA8.178.060.82NANA23.4423.33090
    55862AExtensive prostate surgery18.39NANA9.4010.221.14NANA28.9329.75090
    55865AExtensive prostate surgery22.87NANA10.9614.871.37NANA35.2039.11090
    55870AElectroejaculation2.581.821.861.151.360.144.544.583.874.08000
    55873ACryoablate prostate17.80NANA10.1610.161.01NANA28.9728.97090
    55899CGenital surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    55970NSex transformation, M to F0.000.000.000.000.000.000.000.000.000.00XXX
    55980NSex transformation, F to M0.000.000.000.000.000.000.000.000.000.00XXX
    56405AI & D of vulva/perineum1.442.281.921.241.030.143.863.502.822.61010
    56420ADrainage of gland abscess1.392.261.911.201.010.133.783.432.722.53010
    56440ASurgery for vulva lesion2.843.453.302.222.380.286.576.425.345.50010
    56441ALysis of labial lesion(s)1.972.482.311.951.910.174.624.454.094.05010
    56501ADestruction, vulva lesion(s)1.532.231.821.291.040.153.913.502.972.72010
    56515ADestruction, vulva lesion(s)1.882.642.621.901.990.184.704.683.964.05010
    56605ABiopsy of vulva/perineum1.101.731.480.480.450.112.942.691.691.66000
    56606ABiopsy of vulva/perineum0.551.501.220.220.210.062.111.830.830.82ZZZ
    56620APartial removal of vulva7.47NANA4.805.360.76NANA13.0313.59090
    56625AComplete removal of vulva8.40NANA5.696.780.84NANA14.9316.02090
    56630AExtensive vulva surgery12.36NANA7.569.321.23NANA21.1522.91090
    56631AExtensive vulva surgery16.20NANA10.1512.451.63NANA27.9830.28090
    56632AExtensive vulva surgery20.29NANA11.8214.652.03NANA34.1436.97090
    56633AExtensive vulva surgery16.47NANA9.2011.231.66NANA27.3329.36090
    56634AExtensive vulva surgery17.88NANA10.8213.451.78NANA30.4833.11090
    56637AExtensive vulva surgery21.97NANA12.5115.202.18NANA36.6639.35090
    56640AExtensive vulva surgery22.17NANA12.3214.652.26NANA36.7539.08090
    56700APartial removal of hymen2.522.802.601.981.980.245.565.364.744.74010
    56720AIncision of hymen0.681.621.350.680.640.072.372.101.431.39000
    56740ARemove vagina gland lesion3.763.523.422.572.710.377.657.556.706.84010
    56800ARepair of vagina3.89NANA2.632.770.37NANA6.897.03010
    56805ARepair clitoris18.86NANA9.2910.161.82NANA29.9730.84090
    56810ARepair of perineum4.13NANA2.732.760.41NANA7.277.30010
    57000AExploration of vagina2.97NANA2.272.250.28NANA5.525.50010
    57010ADrainage of pelvic abscess6.03NANA3.793.560.57NANA10.3910.16090
    57020ADrainage of pelvic fluid1.501.561.350.630.650.153.213.002.282.30000
    57022AI &d vaginal hematoma, ob2.56NANA1.601.600.14NANA4.304.30010
    57023AI &d vag hematoma, trauma2.56NANA1.601.600.14NANA4.304.30010
    57061ADestruction vagina lesion(s)1.252.181.861.191.010.133.563.242.572.39010
    57065ADestruction vagina lesion(s)2.612.872.932.232.450.265.745.805.105.32010
    57100ABiopsy of vagina0.971.421.230.420.400.102.492.301.491.47000
    57105ABiopsy of vagina1.692.192.072.162.050.174.053.934.023.91010
    57106ARemove vagina wall, partial6.362.482.482.482.480.589.429.429.429.42090
    57107ARemove vagina tissue, part23.00NANA10.3210.322.17NANA35.4935.49090
    57109AVaginectomy partial w/nodes27.00NANA11.9011.901.97NANA40.8740.87090
    57110ARemove vagina wall, complete14.29NANA7.207.541.43NANA22.9223.26090
    57111ARemove vagina tissue, compl27.00NANA12.1712.172.71NANA41.8841.88090
    57112AVaginectomy w/nodes, compl29.00NANA12.7712.772.19NANA43.9643.96090
    57120AClosure of vagina7.41NANA4.545.300.75NANA12.7013.46090
    57130ARemove vagina lesion2.43NANA2.072.260.23NANA4.734.92010
    57135ARemove vagina lesion2.672.852.662.172.150.265.785.595.105.08010
    57150ATreat vagina infection0.550.980.790.210.190.061.591.400.820.80000
    57160AInsert pessary/other device0.891.341.070.350.300.092.322.051.331.28000
    57170AFitting of diaphragm/cap0.911.381.120.330.290.092.382.121.331.29000
    57180ATreat vaginal bleeding1.582.211.811.431.150.163.953.553.172.89010
    57200ARepair of vagina3.94NANA2.932.930.38NANA7.257.25090
    57210ARepair vagina/perineum5.17NANA3.413.450.50NANA9.089.12090
    57220ARevision of urethra4.31NANA3.313.690.42NANA8.048.42090
    57230ARepair of urethral lesion5.64NANA4.164.160.50NANA10.3010.30090
    57240ARepair bladder & vagina6.07NANA4.305.040.53NANA10.9011.64090
    57250ARepair rectum & vagina5.53NANA3.754.460.54NANA9.8210.53090
    57260ARepair of vagina8.27NANA4.855.990.83NANA13.9515.09090
    57265AExtensive repair of vagina11.34NANA6.757.621.14NANA19.2320.10090
    57268ARepair of bowel bulge6.76NANA4.245.090.66NANA11.6612.51090
    57270ARepair of bowel pouch12.11NANA6.186.491.17NANA19.4619.77090
    57280ASuspension of vagina15.04NANA7.317.801.44NANA23.7924.28090
    57282ARepair of vaginal prolapse8.86NANA5.096.180.86NANA14.8115.90090
    57284ARepair paravaginal defect12.70NANA6.947.541.17NANA20.8121.41090
    57287ARevise/remove sling repair10.71NANA7.027.020.64NANA18.3718.37090
    57288ARepair bladder defect13.02NANA6.808.010.86NANA20.6821.89090
    57289ARepair bladder & vagina11.58NANA6.627.190.95NANA19.1519.72090
    57291AConstruction of vagina7.95NANA6.076.010.78NANA14.8014.74090
    57292AConstruct vagina with graft13.09NANA7.257.221.29NANA21.6321.60090
    57300ARepair rectum-vagina fistula7.61NANA4.705.670.70NANA13.0113.98090
    57305ARepair rectum-vagina fistula13.77NANA7.107.371.33NANA22.2022.47090
    Start Printed Page 65490
    57307AFistula repair & colostomy15.93NANA7.777.491.59NANA25.2925.01090
    57308AFistula repair, transperine9.94NANA5.736.260.91NANA16.5817.11090
    57310ARepair urethrovaginal lesion6.78NANA4.634.650.45NANA11.8611.88090
    57311ARepair urethrovaginal lesion7.98NANA5.195.410.51NANA13.6813.90090
    57320ARepair bladder-vagina lesion8.01NANA5.276.340.60NANA13.8814.95090
    57330ARepair bladder-vagina lesion12.35NANA6.607.200.86NANA19.8120.41090
    57335ARepair vagina18.73NANA9.158.741.66NANA29.5429.13090
    57400ADilation of vagina2.27NANA1.291.060.22NANA3.783.55000
    57410APelvic examination1.752.602.051.070.900.144.493.942.962.79000
    57415ARemove vaginal foreign body2.173.372.632.001.600.195.734.994.363.96010
    57452AExamination of vagina0.991.531.330.450.430.102.622.421.541.52000
    57454AVagina examination & biopsy1.271.711.610.590.610.133.113.011.992.01000
    57460ACervix excision2.832.052.091.131.120.285.165.204.244.23000
    57500ABiopsy of cervix0.972.021.670.470.430.103.092.741.541.50000
    57505AEndocervical curettage1.141.891.591.210.990.123.152.852.472.25010
    57510ACauterization of cervix1.903.072.441.521.210.185.154.523.603.29010
    57511ACryocautery of cervix1.902.351.990.740.670.184.434.072.822.75010
    57513ALaser surgery of cervix1.902.502.441.491.690.194.594.533.583.78010
    57520AConization of cervix4.044.104.012.742.990.418.558.467.197.44090
    57522AConization of cervix3.363.653.672.472.790.347.357.376.176.49090
    57530ARemoval of cervix4.79NANA3.523.620.48NANA8.798.89090
    57531ARemoval of cervix, radical28.00NANA13.1614.692.46NANA43.6245.15090
    57540ARemoval of residual cervix12.22NANA6.146.431.21NANA19.5719.86090
    57545ARemove cervix/repair pelvis13.03NANA6.586.181.30NANA20.9120.51090
    57550ARemoval of residual cervix5.53NANA3.754.460.55NANA9.8310.54090
    57555ARemove cervix/repair vagina8.95NANA5.486.780.89NANA15.3216.62090
    57556ARemove cervix, repair bowel8.37NANA4.856.140.80NANA14.0215.31090
    57700ARevision of cervix3.55NANA2.442.480.33NANA6.326.36090
    57720ARevision of cervix4.13NANA3.223.170.41NANA7.767.71090
    57800ADilation of cervical canal0.771.150.990.350.330.082.001.841.201.18000
    57820AD & c of residual cervix1.672.472.422.162.190.174.314.264.004.03010
    58100ABiopsy of uterus lining0.711.991.670.280.300.072.772.451.061.08000
    58120ADilation and curettage3.273.723.522.362.500.337.327.125.966.10010
    58140ARemoval of uterus lesion14.60NANA7.067.561.46NANA23.1223.62090
    58145ARemoval of uterus lesion8.04NANA4.785.820.80NANA13.6214.66090
    58150ATotal hysterectomy15.24NANA7.458.191.53NANA24.2224.96090
    58152ATotal hysterectomy15.09NANA7.408.801.52NANA24.0125.41090
    58180APartial hysterectomy15.29NANA7.448.231.54NANA24.2725.06090
    58200AExtensive hysterectomy21.59NANA11.0411.802.15NANA34.7835.54090
    58210AExtensive hysterectomy28.85NANA13.8915.242.91NANA45.6547.00090
    58240ARemoval of pelvis contents38.39NANA18.9422.003.76NANA61.0964.15090
    58260AVaginal hysterectomy12.20NANA5.926.991.23NANA19.3520.42090
    58262AVaginal hysterectomy13.99NANA6.657.541.42NANA22.0622.95090
    58263AVaginal hysterectomy15.28NANA7.168.171.55NANA23.9925.00090
    58267AHysterectomy & vagina repair15.00NANA7.048.411.51NANA23.5524.92090
    58270AHysterectomy & vagina repair13.48NANA6.457.641.37NANA21.3022.49090
    58275AHysterectomy/revise vagina14.98NANA7.018.251.51NANA23.5024.74090
    58280AHysterectomy/revise vagina15.41NANA7.138.201.54NANA24.0825.15090
    58285AExtensive hysterectomy18.57NANA9.8010.501.88NANA30.2530.95090
    58300NInsert intrauterine device+1.011.391.250.400.510.102.502.361.511.62XXX
    58301ARemove intrauterine device1.271.531.270.500.440.132.932.671.901.84000
    58321AArtificial insemination0.920.880.850.370.470.101.901.871.391.49000
    58322AArtificial insemination1.101.010.950.420.510.112.222.161.631.72000
    58323ASperm washing0.230.510.430.090.110.020.760.680.340.36000
    58340ACatheter for hysterography0.8811.408.710.330.400.0812.369.671.291.36000
    58345AReopen fallopian tube4.66NANA1.802.300.36NANA6.827.32010
    58350AReopen fallopian tube1.011.981.671.060.980.103.092.782.172.09010
    58353AEndometr ablate, thermal3.56NANA2.162.160.19NANA5.915.91010
    58400ASuspension of uterus6.36NANA3.944.490.62NANA10.9211.47090
    58410ASuspension of uterus12.73NANA6.486.361.09NANA20.3020.18090
    58520ARepair of ruptured uterus11.92NANA5.875.551.17NANA18.9618.64090
    58540ARevision of uterus14.64NANA7.036.941.28NANA22.9522.86090
    58550ALaparo-asst vag hysterectomy14.19NANA6.717.581.44NANA22.3423.21010
    58551ALaparoscopy, remove myoma14.21NANA6.656.281.45NANA22.3121.94010
    58555AHysteroscopy, dx, sep proc3.332.782.631.441.620.346.456.305.115.29000
    58558AHysteroscopy, biopsy4.753.363.062.022.060.498.608.307.267.30000
    58559AHysteroscopy, lysis6.172.452.862.452.860.629.249.659.249.65000
    58560AHysteroscopy, resect septum7.002.843.152.843.150.7110.5510.8610.5510.86000
    58561AHysteroscopy, remove myoma10.004.034.364.034.361.0215.0515.3815.0515.38000
    58562AHysteroscopy, remove fb5.21NANA2.202.190.52NANA7.937.92000
    58563AHysteroscopy, ablation6.172.473.042.473.040.629.269.839.269.83000
    58578CLaparo proc, uterus0.000.000.000.000.000.000.000.000.000.00YYY
    58579CHysteroscope procedure0.000.000.000.000.000.000.000.000.000.00YYY
    58600ADivision of fallopian tube3.84NANA2.583.080.39NANA6.817.31090
    58605ADivision of fallopian tube3.34NANA2.402.800.33NANA6.076.47090
    58611ALigate oviduct(s) add-on0.63NANA0.250.320.07NANA0.951.02ZZZ
    58615AOcclude fallopian tube(s)3.90NANA2.642.770.40NANA6.947.07010
    58660ALaparoscopy, lysis11.29NANA5.465.621.14NANA17.8918.05090
    58661ALaparoscopy, remove adnexa11.05NANA5.195.841.12NANA17.3618.01010
    58662ALaparoscopy, excise lesions11.79NANA5.455.591.18NANA18.4218.56090
    58670ALaparoscopy, tubal cautery5.60NANA3.493.900.55NANA9.6410.05090
    58671ALaparoscopy, tubal block5.60NANA3.554.090.56NANA9.7110.25090
    58672ALaparoscopy, fimbrioplasty12.88NANA6.135.991.22NANA20.2320.09090
    Start Printed Page 65491
    58673ALaparoscopy, salpingostomy13.74NANA6.826.551.40NANA21.9621.69090
    58679CLaparo proc, oviduct-ovary0.000.000.000.000.000.000.000.000.000.00YYY
    58700ARemoval of fallopian tube6.49NANA3.824.580.64NANA10.9511.71090
    58720ARemoval of ovary/tube(s)11.36NANA5.776.361.14NANA18.2718.86090
    58740ARevise fallopian tube(s)5.83NANA3.714.520.59NANA10.1310.94090
    58750ARepair oviduct14.84NANA7.247.141.52NANA23.6023.50090
    58752ARevise ovarian tube(s)14.84NANA7.627.541.51NANA23.9723.89090
    58760ARemove tubal obstruction13.13NANA6.436.211.34NANA20.9020.68090
    58770ACreate new tubal opening13.97NANA6.956.651.42NANA22.3422.04090
    58800ADrainage of ovarian cyst(s)4.144.323.974.163.850.368.828.478.668.35090
    58805ADrainage of ovarian cyst(s)5.88NANA3.524.370.56NANA9.9610.81090
    58820ADrain ovary abscess, open4.22NANA3.263.200.29NANA7.777.71090
    58822ADrain ovary abscess, percut10.13NANA5.154.830.92NANA16.2015.88090
    58823ADrain pelvic abscess, percut3.38NANA3.143.050.18NANA6.706.61000
    58825ATransposition, ovary(s)6.13NANA3.884.000.62NANA10.6310.75090
    58900ABiopsy of ovary(s)5.99NANA3.594.100.56NANA10.1410.65090
    58920APartial removal of ovary(s)6.78NANA3.854.730.68NANA11.3112.19090
    58925ARemoval of ovarian cyst(s)11.36NANA5.666.031.14NANA18.1618.53090
    58940ARemoval of ovary(s)7.29NANA4.054.800.73NANA12.0712.82090
    58943ARemoval of ovary(s)18.43NANA9.5310.431.86NANA29.8230.72090
    58950AResect ovarian malignancy15.27NANA8.369.321.55NANA25.1826.14090
    58951AResect ovarian malignancy21.81NANA11.0113.232.20NANA35.0237.24090
    58952AResect ovarian malignancy25.01NANA12.3214.152.50NANA39.8341.66090
    58960AExploration of abdomen14.65NANA8.159.641.47NANA24.2725.76090
    58970ARetrieval of oocyte3.538.657.171.802.030.3612.5411.065.695.92000
    58974CTransfer of embryo0.000.000.000.000.000.000.000.000.000.00000
    58976ATransfer of embryo3.832.282.451.531.890.396.506.675.756.11000
    58999CGenital surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    59000AAmniocentesis1.301.861.660.610.720.233.393.192.142.25000
    59012AFetal cord puncture,prenatal3.45NANA1.651.950.62NANA5.726.02000
    59015AChorion biopsy2.201.321.320.890.990.403.923.923.493.59000
    59020AFetal contract stress test0.660.780.920.780.920.201.641.781.641.78000
    5902026AFetal contract stress test0.660.260.390.260.390.121.041.171.041.17000
    59020TCAFetal contract stress test0.000.520.53NANA0.080.600.61NANA000
    59025AFetal non-stress test0.530.440.490.440.490.121.091.141.091.14000
    5902526AFetal non-stress test0.530.210.260.210.260.100.840.890.840.89000
    59025TCAFetal non-stress test0.000.230.23NANA0.020.250.25NANA000
    59030AFetal scalp blood sample1.99NANA0.931.130.36NANA3.283.48000
    59050AFetal monitor w/report0.89NANA0.350.480.16NANA1.401.53XXX
    59051AFetal monitor/interpret only0.74NANA0.280.430.14NANA1.161.31XXX
    59100ARemove uterus lesion12.35NANA6.035.652.21NANA20.5920.21090
    59120ATreat ectopic pregnancy11.49NANA6.016.642.06NANA19.5620.19090
    59121ATreat ectopic pregnancy11.67NANA6.045.992.09NANA19.8019.75090
    59130ATreat ectopic pregnancy14.22NANA7.106.942.54NANA23.8623.70090
    59135ATreat ectopic pregnancy13.88NANA6.977.902.49NANA23.3424.27090
    59136ATreat ectopic pregnancy13.18NANA6.716.722.36NANA22.2522.26090
    59140ATreat ectopic pregnancy5.46NANA3.173.640.98NANA9.6110.08090
    59150ATreat ectopic pregnancy6.89NANA4.374.511.23NANA12.4912.63090
    59151ATreat ectopic pregnancy7.86NANA4.295.551.41NANA13.5614.82090
    59160AD & c after delivery2.713.473.402.162.420.496.676.605.365.62010
    59200AInsert cervical dilator0.791.311.130.310.310.152.252.071.251.25000
    59300AEpisiotomy or vaginal repair2.412.141.870.960.860.434.984.713.803.70000
    59320ARevision of cervix2.48NANA1.401.530.45NANA4.334.46000
    59325ARevision of cervix4.07NANA2.052.320.73NANA6.857.12000
    59350ARepair of uterus4.95NANA1.952.420.88NANA7.788.25000
    59400AObstetrical care23.06NANA14.6215.034.14NANA41.8242.23MMM
    59409AObstetrical care13.50NANA5.296.542.42NANA21.2122.46MMM
    59410AObstetrical care14.78NANA6.347.552.65NANA23.7724.98MMM
    59412AAntepartum manipulation1.711.281.290.690.850.313.303.312.712.87MMM
    59414ADeliver placenta1.61NANA1.271.270.29NANA3.173.17MMM
    59425AAntepartum care only4.815.104.615.024.160.8610.7710.2810.699.83MMM
    59426AAntepartum care only8.288.727.888.727.211.4918.4917.6518.4916.98MMM
    59430ACare after delivery2.131.221.021.210.960.383.733.533.723.47MMM
    59510ACesarean delivery26.22NANA16.6117.044.70NANA47.5347.96MMM
    59514ACesarean delivery only15.97NANA6.227.652.86NANA25.0526.48MMM
    59515ACesarean delivery17.37NANA7.999.203.12NANA28.4829.69MMM
    59525ARemove uterus after cesarean8.54NANA3.333.531.53NANA13.4013.60ZZZ
    59610AVbac delivery24.62NANA15.0815.384.41NANA44.1144.41MMM
    59612AVbac delivery only15.06NANA6.037.102.70NANA23.7924.86MMM
    59614AVbac care after delivery16.34NANA7.288.262.93NANA26.5527.53MMM
    59618AAttempted vbac delivery27.78NANA17.8617.984.98NANA50.6250.74MMM
    59620AAttempted vbac delivery only17.53NANA6.687.993.15NANA27.3628.67MMM
    59622AAttempted vbac after care18.93NANA8.599.653.39NANA30.9131.97MMM
    59812ATreatment of miscarriage3.253.273.432.122.560.587.107.265.956.39090
    59820ACare of miscarriage4.013.583.702.632.990.728.318.437.367.72090
    59821ATreatment of miscarriage4.473.723.532.822.850.808.998.808.098.12090
    59830ATreat uterus infection6.11NANA3.804.081.10NANA11.0111.29090
    59840RAbortion3.013.883.782.162.490.547.437.335.716.04010
    59841RAbortion5.245.565.193.493.640.9411.7411.379.679.82010
    59850RAbortion5.91NANA2.763.161.06NANA9.7310.13090
    59851RAbortion5.93NANA3.073.461.06NANA10.0610.45090
    59852RAbortion8.24NANA4.354.761.48NANA14.0714.48090
    59855RAbortion6.12NANA3.223.541.10NANA10.4410.76090
    Start Printed Page 65492
    59856RAbortion7.48NANA3.734.191.34NANA12.5513.01090
    59857RAbortion9.29NANA4.455.031.66NANA15.4015.98090
    59866RAbortion (mpr)4.00NANA1.601.980.72NANA6.326.70000
    59870AEvacuate mole of uterus4.28NANA3.063.090.77NANA8.118.14090
    59871ARemove cerclage suture2.131.901.910.871.140.384.414.423.383.65000
    59898CLaparo proc, ob care/deliver0.000.000.000.000.000.000.000.000.000.00YYY
    59899CMaternity care procedure0.000.000.000.000.000.000.000.000.000.00YYY
    60000ADrain thyroid/tongue cyst1.762.361.932.311.820.144.263.834.213.72010
    60001AAspirate/inject thyriod cyst0.971.541.440.370.560.062.572.471.401.59000
    60100ABiopsy of thyroid0.972.322.030.350.410.053.343.051.371.43000
    60200ARemove thyroid lesion9.55NANA6.796.730.84NANA17.1817.12090
    60210APartial thyroid excision10.88NANA6.697.371.01NANA18.5819.26090
    60212AParital thyroid excision16.03NANA8.839.081.51NANA26.3726.62090
    60220APartial removal of thyroid10.53NANA6.607.270.97NANA18.1018.77090
    60225APartial removal of thyroid14.19NANA8.158.961.31NANA23.6524.46090
    60240ARemoval of thyroid16.06NANA9.339.871.50NANA26.8927.43090
    60252ARemoval of thyroid18.20NANA10.7811.791.63NANA30.6131.62090
    60254AExtensive thyroid surgery23.88NANA14.5216.101.96NANA40.3641.94090
    60260ARepeat thyroid surgery15.46NANA9.688.111.39NANA26.5324.96090
    60270ARemoval of thyroid17.94NANA12.0412.821.78NANA31.7632.54090
    60271ARemoval of thyroid14.89NANA9.2710.251.35NANA25.5126.49090
    60280ARemove thyroid duct lesion5.87NANA5.115.650.45NANA11.4311.97090
    60281ARemove thyroid duct lesion8.53NANA6.446.200.67NANA15.6415.40090
    60500AExplore parathyroid glands16.23NANA8.119.171.61NANA25.9527.01090
    60502ARe-explore parathyroids20.35NANA9.9410.552.00NANA32.2932.90090
    60505AExplore parathyroid glands21.49NANA11.7712.392.14NANA35.4036.02090
    60512AAutotransplant parathyroid4.45NANA1.781.970.44NANA6.676.86ZZZ
    60520ARemoval of thymus gland16.81NANA11.1412.031.84NANA29.7930.68090
    60521ARemoval of thymus gland18.87NANA14.4614.522.34NANA35.6735.73090
    60522ARemoval of thymus gland23.09NANA15.8915.592.83NANA41.8141.51090
    60540AExplore adrenal gland17.03NANA8.039.291.42NANA26.4827.74090
    60545AExplore adrenal gland19.88NANA9.8411.251.75NANA31.4732.88090
    60600ARemove carotid body lesion17.93NANA14.0313.631.87NANA33.8333.43090
    60605ARemove carotid body lesion20.24NANA19.8917.822.28NANA42.4140.34090
    60650ALaparoscopy adrenalectomy20.00NANA8.608.601.98NANA30.5830.58090
    60659CLaparo proc, endocrine0.000.000.000.000.000.000.000.000.000.00YYY
    60699CEndocrine surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    61000ARemove cranial cavity fluid1.581.721.581.591.480.133.433.293.303.19000
    61001ARemove cranial cavity fluid1.491.881.651.381.160.153.523.293.022.80000
    61020ARemove brain cavity fluid1.512.252.031.491.460.264.023.803.263.23000
    61026AInjection into brain canal1.692.112.091.681.770.214.013.993.583.67000
    61050ARemove brain canal fluid1.51NANA1.541.490.13NANA3.183.13000
    61055AInjection into brain canal2.10NANA1.711.790.13NANA3.944.02000
    61070ABrain canal shunt procedure0.896.615.091.160.940.097.596.072.141.92000
    61105ATwist drill hole5.14NANA3.624.251.05NANA9.8110.44090
    61107ADrill skull for implantation5.00NANA3.133.841.02NANA9.159.86000
    61108ADrill skull for drainage10.19NANA6.938.242.04NANA19.1620.47090
    61120ABurr hole for puncture8.76NANA5.795.961.81NANA16.3616.53090
    61140APierce skull for biopsy15.90NANA9.8511.223.15NANA28.9030.27090
    61150APierce skull for drainage17.57NANA10.5611.903.52NANA31.6532.99090
    61151APierce skull for drainage12.42NANA8.206.732.45NANA23.0721.60090
    61154APierce skull & remove clot14.99NANA9.4211.543.05NANA27.4629.58090
    61156APierce skull for drainage16.32NANA10.2612.093.42NANA30.0031.83090
    61210APierce skull, implant device5.84NANA3.504.261.16NANA10.5011.26000
    61215AInsert brain-fluid device4.89NANA4.194.600.99NANA10.0710.48090
    61250APierce skull & explore10.42NANA6.687.192.02NANA19.1219.63090
    61253APierce skull & explore12.36NANA7.318.092.26NANA21.9322.71090
    61304AOpen skull for exploration21.96NANA12.5615.984.33NANA38.8542.27090
    61305AOpen skull for exploration26.61NANA14.9019.075.25NANA46.7650.93090
    61312AOpen skull for drainage24.57NANA14.3217.294.99NANA43.8846.85090
    61313AOpen skull for drainage24.93NANA14.5417.435.07NANA44.5447.43090
    61314AOpen skull for drainage24.23NANA12.3816.244.00NANA40.6144.47090
    61315AOpen skull for drainage27.68NANA15.9818.615.62NANA49.2851.91090
    61320AOpen skull for drainage25.62NANA14.9216.265.20NANA45.7447.08090
    61321AOpen skull for drainage28.50NANA15.9917.375.35NANA49.8451.22090
    61330ADecompress eye socket23.32NANA17.0916.342.58NANA42.9942.24090
    61332AExplore/biopsy eye socket27.28NANA19.4720.234.15NANA50.9051.66090
    61333AExplore orbit/remove lesion27.95NANA16.4617.902.24NANA46.6548.09090
    61334AExplore orbit/remove object18.27NANA11.8012.833.02NANA33.0934.12090
    61340ARelieve cranial pressure18.66NANA11.4912.633.66NANA33.8134.95090
    61343AIncise skull (press relief)29.77NANA17.6921.426.04NANA53.5057.23090
    61345ARelieve cranial pressure27.20NANA16.3017.435.23NANA48.7349.86090
    61440AIncise skull for surgery26.63NANA16.0817.695.57NANA48.2849.89090
    61450AIncise skull for surgery25.95NANA14.6216.515.11NANA45.6847.57090
    61458AIncise skull for brain wound27.29NANA15.6619.155.28NANA48.2351.72090
    61460AIncise skull for surgery28.39NANA16.6719.305.13NANA50.1952.82090
    61470AIncise skull for surgery26.06NANA14.0914.334.65NANA44.8045.04090
    61480AIncise skull for surgery26.49NANA13.9814.575.54NANA46.0146.60090
    61490AIncise skull for surgery25.66NANA14.9314.385.37NANA45.9645.41090
    61500ARemoval of skull lesion17.92NANA10.9313.553.26NANA32.1134.73090
    61501ARemove infected skull bone14.84NANA9.1311.282.63NANA26.6028.75090
    61510ARemoval of brain lesion28.45NANA16.3219.585.77NANA50.5453.80090
    61512ARemove brain lining lesion35.09NANA19.8422.757.14NANA62.0764.98090
    Start Printed Page 65493
    61514ARemoval of brain abscess25.26NANA14.5317.825.12NANA44.9148.20090
    61516ARemoval of brain lesion24.61NANA14.7018.214.94NANA44.2547.76090
    61518ARemoval of brain lesion37.32NANA21.9724.627.53NANA66.8269.47090
    61519ARemove brain lining lesion41.39NANA23.8326.348.15NANA73.3775.88090
    61520ARemoval of brain lesion54.84NANA31.4832.8010.10NANA96.4297.74090
    61521ARemoval of brain lesion44.48NANA25.8128.308.85NANA79.1481.63090
    61522ARemoval of brain abscess29.45NANA16.9518.135.30NANA51.7052.88090
    61524ARemoval of brain lesion27.86NANA16.4319.775.01NANA49.3052.64090
    61526ARemoval of brain lesion52.17NANA30.0531.776.72NANA88.9490.66090
    61530ARemoval of brain lesion43.86NANA26.9529.446.17NANA76.9879.47090
    61531AImplant brain electrodes14.63NANA9.1610.942.84NANA26.6328.41090
    61533AImplant brain electrodes19.71NANA11.9813.603.80NANA35.4937.11090
    61534ARemoval of brain lesion20.97NANA12.9711.464.15NANA38.0936.58090
    61535ARemove brain electrodes11.63NANA7.757.892.29NANA21.6721.81090
    61536ARemoval of brain lesion35.52NANA20.3521.226.68NANA62.5563.42090
    61538ARemoval of brain tissue26.81NANA16.0019.895.38NANA48.1952.08090
    61539ARemoval of brain tissue32.08NANA18.8920.406.62NANA57.5959.10090
    61541AIncision of brain tissue28.85NANA16.3417.635.50NANA50.6951.98090
    61542ARemoval of brain tissue31.02NANA18.7519.476.49NANA56.2656.98090
    61543ARemoval of brain tissue29.22NANA17.8018.036.11NANA53.1353.36090
    61544ARemove & treat brain lesion25.50NANA12.1716.744.91NANA42.5847.15090
    61545AExcision of brain tumor43.80NANA24.5225.358.88NANA77.2078.03090
    61546ARemoval of pituitary gland31.30NANA18.1320.936.06NANA55.4958.29090
    61548ARemoval of pituitary gland21.53NANA13.4716.533.63NANA38.6341.69090
    61550ARelease of skull seams14.65NANA7.528.851.14NANA23.3124.64090
    61552ARelease of skull seams19.56NANA10.7011.780.88NANA31.1432.22090
    61556AIncise skull/sutures22.26NANA12.4413.543.57NANA38.2739.37090
    61557AIncise skull/sutures22.38NANA12.8413.874.68NANA39.9040.93090
    61558AExcision of skull/sutures25.58NANA12.5914.262.61NANA40.7842.45090
    61559AExcision of skull/sutures32.79NANA18.9820.486.86NANA58.6360.13090
    61563AExcision of skull tumor26.83NANA15.9217.044.46NANA47.2148.33090
    61564AExcision of skull tumor33.83NANA19.2320.867.08NANA60.1461.77090
    61570ARemove foreign body, brain24.60NANA13.3814.514.60NANA42.5843.71090
    61571AIncise skull for brain wound26.39NANA14.9716.205.23NANA46.5947.82090
    61575ASkull base/brainstem surgery34.36NANA20.9124.635.02NANA60.2964.01090
    61576ASkull base/brainstem surgery52.43NANA29.7129.944.68NANA86.8287.05090
    61580ACraniofacial approach, skull30.35NANA19.3420.212.75NANA52.4453.31090
    61581ACraniofacial approach, skull34.60NANA21.5822.653.37NANA59.5560.62090
    61582ACraniofacial approach, skull31.66NANA19.2720.336.30NANA57.2358.29090
    61583ACraniofacial approach, skull36.21NANA22.2223.376.94NANA65.3766.52090
    61584AOrbitocranial approach/skull34.65NANA20.7922.086.53NANA61.9763.26090
    61585AOrbitocranial approach/skull38.61NANA22.7024.286.19NANA67.5069.08090
    61586AResect nasopharynx, skull25.10NANA15.9617.773.52NANA44.5846.39090
    61590AInfratemporal approach/skull41.78NANA25.5327.044.28NANA71.5973.10090
    61591AInfratemporal approach/skull43.68NANA26.5828.225.26NANA75.5277.16090
    61592AOrbitocranial approach/skull39.64NANA23.2924.987.55NANA70.4872.17090
    61595ATranstemporal approach/skull29.57NANA19.2319.973.05NANA51.8552.59090
    61596ATranscochlear approach/skull35.63NANA22.0323.264.25NANA61.9163.14090
    61597ATranscondylar approach/skull37.96NANA21.8823.546.65NANA66.4968.15090
    61598ATranspetrosal approach/skull33.41NANA20.6321.754.60NANA58.6459.76090
    61600AResect/excise cranial lesion25.85NANA16.5617.233.12NANA45.5346.20090
    61601AResect/excise cranial lesion27.89NANA17.0717.975.29NANA50.2551.15090
    61605AResect/excise cranial lesion29.33NANA18.4519.292.51NANA50.2951.13090
    61606AResect/excise cranial lesion38.83NANA23.1024.626.81NANA68.7470.26090
    61607AResect/excise cranial lesion36.27NANA21.7623.145.69NANA63.7265.10090
    61608AResect/excise cranial lesion42.10NANA24.4126.248.31NANA74.8276.65090
    61609ATransect artery, sinus9.89NANA4.605.402.07NANA16.5617.36ZZZ
    61610ATransect artery, sinus29.67NANA12.4415.183.52NANA45.6348.37ZZZ
    61611ATransect artery, sinus7.42NANA2.973.691.55NANA11.9412.66ZZZ
    61612ATransect artery, sinus27.88NANA14.4016.303.55NANA45.8347.73ZZZ
    61613ARemove aneurysm, sinus40.86NANA23.8525.678.32NANA73.0374.85090
    61615AResect/excise lesion, skull32.07NANA20.3421.244.64NANA57.0557.95090
    61616AResect/excise lesion, skull43.33NANA26.8428.287.02NANA77.1978.63090
    61618ARepair dura16.99NANA11.1911.472.92NANA31.1031.38090
    61619ARepair dura20.71NANA13.2113.763.42NANA37.3437.89090
    61624AOcclusion/embolization cath20.15NANA7.379.671.15NANA28.6730.97000
    61626AOcclusion/embolization cath16.62NANA5.977.900.84NANA23.4325.36000
    61680AIntracranial vessel surgery30.71NANA18.3822.216.04NANA55.1358.96090
    61682AIntracranial vessel surgery61.57NANA33.7934.9212.69NANA108.05109.18090
    61684AIntracranial vessel surgery39.81NANA21.8424.467.87NANA69.5272.14090
    61686AIntracranial vessel surgery64.49NANA35.9236.7013.20NANA113.61114.39090
    61690AIntracranial vessel surgery29.31NANA17.5320.605.51NANA52.3555.42090
    61692AIntracranial vessel surgery51.87NANA29.0829.6210.17NANA91.1291.66090
    61697ABrain aneurysm repr, complx50.52NANA27.7627.769.57NANA87.8587.85090
    61698ABrain aneurysm repr, complx48.41NANA26.8726.879.28NANA84.5684.56090
    61700ABrain aneurysm repr , simple50.52NANA27.7629.4210.18NANA88.4690.12090
    61702AInner skull vessel surgery48.41NANA26.8730.019.75NANA85.0388.17090
    61703AClamp neck artery17.47NANA10.9911.563.62NANA32.0832.65090
    61705ARevise circulation to head36.20NANA20.2023.406.67NANA63.0766.27090
    61708ARevise circulation to head35.30NANA16.0818.902.18NANA53.5656.38090
    61710ARevise circulation to head29.67NANA14.4015.312.42NANA46.4947.40090
    61711AFusion of skull arteries36.33NANA20.0023.977.39NANA63.7267.69090
    61720AIncise skull/brain surgery16.77NANA10.7213.053.51NANA31.0033.33090
    Start Printed Page 65494
    61735AIncise skull/brain surgery20.43NANA12.6012.974.16NANA37.1937.56090
    61750AIncise skull/brain biopsy18.20NANA11.0211.943.71NANA32.9333.85090
    61751ABrain biopsy w/ ct/mr guide17.62NANA10.7513.323.57NANA31.9434.51090
    61760AImplant brain electrodes22.27NANA13.1613.944.59NANA40.0240.80090
    61770AIncise skull for treatment21.44NANA12.7914.854.09NANA38.3240.38090
    61790ATreat trigeminal nerve10.86NANA6.127.831.82NANA18.8020.51090
    61791ATreat trigeminal tract14.61NANA9.289.613.03NANA26.9227.25090
    61793AFocus radiation beam17.24NANA10.8713.303.51NANA31.6234.05090
    61795ABrain surgery using computer4.04NANA2.092.770.81NANA6.947.62ZZZ
    61850AImplant neuroelectrodes12.39NANA7.949.112.23NANA22.5623.73090
    61860AImplant neuroelectrodes20.87NANA12.7411.764.04NANA37.6536.67090
    61862AImplant neurostimul, subcort19.34NANA11.9911.993.97NANA35.3035.30090
    61870AImplant neuroelectrodes14.94NANA11.369.661.70NANA28.0026.30090
    61875AImplant neuroelectrodes15.06NANA10.009.322.42NANA27.4826.80090
    61880ARevise/remove neuroelectrode6.29NANA5.245.231.31NANA12.8412.83090
    61885AImplant neurostim one array5.85NANA4.293.751.22NANA11.3610.82090
    61886AImplant neurostim arrays8.00NANA6.096.091.64NANA15.7315.73090
    61888ARevise/remove neuroreceiver5.07NANA3.883.521.04NANA9.999.63010
    62000ATreat skull fracture12.53NANA5.415.610.87NANA18.8119.01090
    62005ATreat skull fracture16.17NANA8.939.702.33NANA27.4328.20090
    62010ATreatment of head injury19.81NANA11.6113.924.05NANA35.4737.78090
    62100ARepair brain fluid leakage22.03NANA13.9416.324.07NANA40.0442.42090
    62115AReduction of skull defect21.66NANA10.6312.184.53NANA36.8238.37090
    62116AReduction of skull defect23.59NANA13.7814.944.85NANA42.2243.38090
    62117AReduction of skull defect26.60NANA15.1816.605.56NANA47.3448.76090
    62120ARepair skull cavity lesion23.35NANA14.1815.223.07NANA40.6041.64090
    62121AIncise skull repair21.58NANA13.7815.092.47NANA37.8339.14090
    62140ARepair of skull defect13.51NANA8.5410.052.60NANA24.6526.16090
    62141ARepair of skull defect14.91NANA9.7011.732.85NANA27.4629.49090
    62142ARemove skull plate/flap10.79NANA7.208.622.10NANA20.0921.51090
    62143AReplace skull plate/flap13.05NANA8.678.992.55NANA24.2724.59090
    62145ARepair of skull & brain18.82NANA11.2912.043.81NANA33.9234.67090
    62146ARepair of skull with graft16.12NANA10.3910.782.94NANA29.4529.84090
    62147ARepair of skull with graft19.34NANA12.2112.733.64NANA35.1935.71090
    62180AEstablish brain cavity shunt21.06NANA12.8613.504.32NANA38.2438.88090
    62190AEstablish brain cavity shunt11.07NANA7.659.042.18NANA20.9022.29090
    62192AEstablish brain cavity shunt12.25NANA8.219.822.46NANA22.9224.53090
    62194AReplace/irrigate catheter5.03NANA2.082.070.50NANA7.617.60010
    62200AEstablish brain cavity shunt18.32NANA11.4113.163.70NANA33.4335.18090
    62201AEstablish brain cavity shunt14.86NANA9.189.272.52NANA26.5626.65090
    62220AEstablish brain cavity shunt13.00NANA8.6310.352.53NANA24.1625.88090
    62223AEstablish brain cavity shunt12.87NANA8.4510.182.58NANA23.9025.63090
    62225AReplace/irrigate catheter5.41NANA4.064.351.09NANA10.5610.85090
    62230AReplace/revise brain shunt10.54NANA6.597.612.10NANA19.2320.25090
    62252ACsf shunt reprogram0.741.401.401.401.400.042.182.182.182.18XXX
    6225226ACsf shunt reprogram0.740.300.300.300.300.021.061.061.061.06XXX
    62252TCACsf shunt reprogram0.001.101.10NANA0.021.121.12NANAXXX
    62256ARemove brain cavity shunt6.60NANA5.345.741.34NANA13.2813.68090
    62258AReplace brain cavity shunt14.54NANA8.6510.502.91NANA26.1027.95090
    62263ALysis epidural adhesions6.145.705.702.292.290.4212.2612.268.858.85010
    62268ADrain spinal cord cyst4.74NANA2.712.840.29NANA7.747.87000
    62269ANeedle biopsy, spinal cord5.02NANA2.332.220.29NANA7.647.53000
    62270ASpinal fluid tap, diagnostic1.133.492.810.460.540.064.684.001.651.73000
    62272ADrain spinal fluid1.353.002.530.610.730.134.484.012.092.21000
    62273ATreat epidural spine lesion2.151.311.291.251.240.143.603.583.543.53000
    62280ATreat spinal cord lesion2.633.442.770.700.720.176.245.573.503.52010
    62281ATreat spinal cord lesion2.663.763.060.610.690.166.585.883.433.51010
    62282ATreat spinal canal lesion2.335.244.390.610.920.147.716.863.083.39010
    62284AInjection for myelogram1.544.043.570.700.980.105.685.212.342.62000
    62287APercutaneous diskectomy8.08NANA4.705.410.66NANA13.4414.15090
    62290AInject for spine disk x-ray3.005.204.411.271.460.208.407.614.474.66000
    62291AInject for spine disk x-ray2.915.294.451.161.350.178.377.534.244.43000
    62292AInjection into disk lesion7.86NANA4.745.900.65NANA13.2514.41090
    62294AInjection into spinal artery11.83NANA6.086.150.85NANA18.7618.83090
    62310AInject spine c/t1.913.603.600.430.430.115.625.622.452.45000
    62311AInject spine l/s (cd)1.543.883.880.370.370.095.515.512.002.00000
    62318AInject spine w/cath, c/t2.043.663.660.460.460.125.825.822.622.62000
    62319AInject spine w/cath l/s (cd)1.873.143.140.390.390.115.125.122.372.37000
    62350AImplant spinal canal cath6.87NANA3.663.690.64NANA11.1711.20090
    62351AImplant spinal canal cath10.00NANA6.786.491.79NANA18.5718.28090
    62355ARemove spinal canal catheter5.45NANA2.773.030.47NANA8.698.95090
    62360AInsert spine infusion device2.62NANA2.191.950.21NANA5.024.78090
    62361AImplant spine infusion pump5.42NANA3.533.380.50NANA9.459.30090
    62362AImplant spine infusion pump7.04NANA4.074.010.86NANA11.9711.91090
    62365ARemove spine infusion device5.42NANA3.043.220.58NANA9.049.22090
    62367CAnalyze spine infusion pump0.000.000.000.000.000.000.000.000.000.00XXX
    6236726AAnalyze spine infusion pump0.480.140.200.140.200.030.650.710.650.71XXX
    62367TCCAnalyze spine infusion pump0.000.000.000.000.000.000.000.000.000.00XXX
    62368CAnalyze spine infusion pump0.000.000.000.000.000.000.000.000.000.00XXX
    6236826AAnalyze spine infusion pump0.750.200.300.200.300.051.001.101.001.10XXX
    62368TCCAnalyze spine infusion pump0.000.000.000.000.000.000.000.000.000.00XXX
    63001ARemoval of spinal lamina15.82NANA11.5013.353.03NANA30.3532.20090
    63003ARemoval of spinal lamina15.95NANA11.6513.502.98NANA30.5832.43090
    Start Printed Page 65495
    63005ARemoval of spinal lamina14.92NANA11.1212.792.62NANA28.6630.33090
    63011ARemoval of spinal lamina14.52NANA9.279.661.43NANA25.2225.61090
    63012ARemoval of spinal lamina15.40NANA10.0912.162.71NANA28.2030.27090
    63015ARemoval of spinal lamina19.35NANA13.3615.783.84NANA36.5538.97090
    63016ARemoval of spinal lamina19.20NANA13.3415.743.62NANA36.1638.56090
    63017ARemoval of spinal lamina15.94NANA11.6413.492.91NANA30.4932.34090
    63020ANeck spine disk surgery14.81NANA11.0512.642.89NANA28.7530.34090
    63030ALow back disk surgery12.00NANA9.6210.802.21NANA23.8325.01090
    63035ASpinal disk surgery add-on3.15NANA1.642.170.57NANA5.365.89ZZZ
    63040ALaminotomy, single cervical18.81NANA12.9815.353.36NANA35.1537.52090
    63042ALaminotomy, single lumbar17.47NANA12.6014.673.11NANA33.1835.25090
    63043BLaminotomy, addl cervical0.000.000.000.000.000.000.000.000.000.00ZZZ
    63044BLaminotomy, addl lumbar0.000.000.000.000.000.000.000.000.000.00ZZZ
    63045ARemoval of spinal lamina16.50NANA11.9513.893.19NANA31.6433.58090
    63046ARemoval of spinal lamina15.80NANA11.6013.422.89NANA30.2932.11090
    63047ARemoval of spinal lamina14.61NANA11.0512.652.61NANA28.2729.87090
    63048ARemove spinal lamina add-on3.26NANA1.732.270.58NANA5.576.11ZZZ
    63055ADecompress spinal cord21.99NANA14.7417.494.09NANA40.8243.57090
    63056ADecompress spinal cord20.36NANA14.0116.433.34NANA37.7140.13090
    63057ADecompress spine cord add-on5.26NANA2.663.040.81NANA8.739.11ZZZ
    63064ADecompress spinal cord24.61NANA16.6818.984.72NANA46.0148.31090
    63066ADecompress spine cord add-on3.26NANA1.741.980.63NANA5.635.87ZZZ
    63075ANeck spine disk surgery19.41NANA13.5014.893.73NANA36.6438.03090
    63076ANeck spine disk surgery4.05NANA2.132.810.78NANA6.967.64ZZZ
    63077ASpine disk surgery, thorax21.44NANA15.1316.353.44NANA40.0141.23090
    63078ASpine disk surgery, thorax3.28NANA1.701.980.50NANA5.485.76ZZZ
    63081ARemoval of vertebral body23.73NANA16.3319.334.46NANA44.5247.52090
    63082ARemove vertebral body add-on4.37NANA2.313.040.82NANA7.508.23ZZZ
    63085ARemoval of vertebral body26.92NANA18.3221.174.70NANA49.9452.79090
    63086ARemove vertebral body add-on3.19NANA1.662.200.55NANA5.405.94ZZZ
    63087ARemoval of vertebral body35.57NANA22.2024.325.87NANA63.6465.76090
    63088ARemove vertebral body add-on4.33NANA2.283.000.77NANA7.388.10ZZZ
    63090ARemoval of vertebral body28.16NANA18.1121.514.27NANA50.5453.94090
    63091ARemove vertebral body add-on3.03NANA1.531.890.45NANA5.015.37ZZZ
    63170AIncise spinal cord tract(s)19.83NANA13.5815.313.89NANA37.3039.03090
    63172ADrainage of spinal cyst17.66NANA13.0315.053.46NANA34.1536.17090
    63173ADrainage of spinal cyst21.99NANA14.7815.284.14NANA40.9141.41090
    63180ARevise spinal cord ligaments18.27NANA12.4212.473.83NANA34.5234.57090
    63182ARevise spinal cord ligaments20.50NANA12.8714.113.48NANA36.8538.09090
    63185AIncise spinal column/nerves15.04NANA9.7311.522.08NANA26.8528.64090
    63190AIncise spinal column/nerves17.45NANA12.0314.232.88NANA32.3634.56090
    63191AIncise spinal column/nerves17.54NANA12.3712.823.50NANA33.4133.86090
    63194AIncise spinal column & cord19.19NANA13.1113.374.01NANA36.3136.57090
    63195AIncise spinal column & cord18.84NANA12.1312.863.44NANA34.4135.14090
    63196AIncise spinal column & cord22.30NANA12.3713.514.66NANA39.3340.47090
    63197AIncise spinal column & cord21.11NANA13.7114.184.42NANA39.2439.71090
    63198AIncise spinal column & cord25.38NANA13.6014.635.31NANA44.2945.32090
    63199AIncise spinal column & cord26.89NANA14.2016.465.62NANA46.7148.97090
    63200ARelease of spinal cord19.18NANA13.0913.213.61NANA35.8836.00090
    63250ARevise spinal cord vessels40.76NANA20.9523.317.65NANA69.3671.72090
    63251ARevise spinal cord vessels41.20NANA23.0423.457.98NANA72.2272.63090
    63252ARevise spinal cord vessels41.19NANA22.4024.477.75NANA71.3473.41090
    63265AExcise intraspinal lesion21.56NANA13.1715.854.29NANA39.0241.70090
    63266AExcise intraspinal lesion22.30NANA13.5116.794.47NANA40.2843.56090
    63267AExcise intraspinal lesion17.95NANA11.3213.853.50NANA32.7735.30090
    63268AExcise intraspinal lesion18.52NANA10.8311.533.18NANA32.5333.23090
    63270AExcise intraspinal lesion26.80NANA15.9016.855.41NANA48.1149.06090
    63271AExcise intraspinal lesion26.92NANA16.0119.235.56NANA48.4951.71090
    63272AExcise intraspinal lesion25.32NANA15.1717.665.07NANA45.5648.05090
    63273AExcise intraspinal lesion24.29NANA14.6015.725.08NANA43.9745.09090
    63275ABiopsy/excise spinal tumor23.68NANA14.1217.664.68NANA42.4846.02090
    63276ABiopsy/excise spinal tumor23.45NANA14.0417.404.63NANA42.1245.48090
    63277ABiopsy/excise spinal tumor20.83NANA12.8215.834.03NANA37.6840.69090
    63278ABiopsy/excise spinal tumor20.56NANA12.4815.504.02NANA37.0640.08090
    63280ABiopsy/excise spinal tumor28.35NANA16.6420.105.80NANA50.7954.25090
    63281ABiopsy/excise spinal tumor28.05NANA16.3919.805.67NANA50.1153.52090
    63282ABiopsy/excise spinal tumor26.39NANA15.6018.245.33NANA47.3249.96090
    63283ABiopsy/excise spinal tumor25.00NANA14.8316.225.12NANA44.9546.34090
    63285ABiopsy/excise spinal tumor36.00NANA20.2621.847.31NANA63.5765.15090
    63286ABiopsy/excise spinal tumor35.63NANA20.3623.077.07NANA63.0665.77090
    63287ABiopsy/excise spinal tumor36.70NANA20.7422.537.48NANA64.9266.71090
    63290ABiopsy/excise spinal tumor37.38NANA21.3623.397.65NANA66.3968.42090
    63300ARemoval of vertebral body24.43NANA14.8415.824.78NANA44.0545.03090
    63301ARemoval of vertebral body27.60NANA16.0717.065.03NANA48.7049.69090
    63302ARemoval of vertebral body27.81NANA16.1617.925.25NANA49.2250.98090
    63303ARemoval of vertebral body30.50NANA17.5018.155.21NANA53.2153.86090
    63304ARemoval of vertebral body30.33NANA16.1917.934.72NANA51.2452.98090
    63305ARemoval of vertebral body32.03NANA19.1020.435.39NANA56.5257.85090
    63306ARemoval of vertebral body32.22NANA16.6318.652.39NANA51.2453.26090
    63307ARemoval of vertebral body31.63NANA18.4220.444.23NANA54.2856.30090
    63308ARemove vertebral body add-on5.25NANA2.743.161.01NANA9.009.42ZZZ
    63600ARemove spinal cord lesion14.02NANA5.907.331.22NANA21.1422.57090
    63610AStimulation of spinal cord8.73NANA5.095.640.43NANA14.2514.80000
    Start Printed Page 65496
    63615ARemove lesion of spinal cord16.28NANA10.4210.952.85NANA29.5530.08090
    63650AImplant neuroelectrodes6.74NANA2.994.250.48NANA10.2111.47090
    63655AImplant neuroelectrodes10.29NANA7.128.411.85NANA19.2620.55090
    63660ARevise/remove neuroelectrode6.16NANA3.634.560.65NANA10.4411.37090
    63685AImplant neuroreceiver7.04NANA4.415.320.96NANA12.4113.32090
    63688ARevise/remove neuroreceiver5.39NANA3.674.360.70NANA9.7610.45090
    63700ARepair of spinal herniation16.53NANA10.3910.872.69NANA29.6130.09090
    63702ARepair of spinal herniation18.48NANA10.4611.311.36NANA30.3031.15090
    63704ARepair of spinal herniation21.18NANA12.2213.023.84NANA37.2438.04090
    63706ARepair of spinal herniation24.11NANA13.9114.864.73NANA42.7543.70090
    63707ARepair spinal fluid leakage11.26NANA7.859.251.96NANA21.0722.47090
    63709ARepair spinal fluid leakage14.32NANA9.6111.482.49NANA26.4228.29090
    63710AGraft repair of spine defect14.07NANA9.349.652.61NANA26.0226.33090
    63740AInstall spinal shunt11.36NANA7.549.052.15NANA21.0522.56090
    63741AInstall spinal shunt8.25NANA4.705.991.05NANA14.0015.29090
    63744ARevision of spinal shunt8.10NANA5.486.321.51NANA15.0915.93090
    63746ARemoval of spinal shunt6.43NANA4.554.911.15NANA12.1312.49090
    64400AInjection for nerve block1.112.712.160.270.270.063.883.331.441.44000
    64402AInjection for nerve block1.253.913.100.450.510.075.234.421.771.83000
    64405AInjection for nerve block1.322.522.060.310.320.083.923.461.711.72000
    64408AInjection for nerve block1.412.942.490.690.660.094.443.992.192.16000
    64410AInjection for nerve block1.432.532.090.300.420.084.043.601.811.93000
    64412AInjection for nerve block1.182.672.170.270.290.083.933.431.531.55000
    64413AInjection for nerve block1.402.852.340.360.370.094.343.831.851.86000
    64415AInjection for nerve block1.482.642.050.310.300.084.203.611.871.86000
    64417AInjection for nerve block1.442.682.180.330.420.094.213.711.861.95000
    64418AInjection for nerve block1.322.462.080.290.330.073.853.471.681.72000
    64420AInjection for nerve block1.182.462.020.270.380.073.713.271.521.63000
    64421AInjection for nerve block1.682.862.370.390.520.104.644.152.172.30000
    64425AInjection for nerve block1.752.401.960.400.460.114.263.822.262.32000
    64430AInjection for nerve block1.462.662.190.430.510.114.233.762.002.08000
    64435AInjection for nerve block1.452.942.330.540.470.154.543.932.142.07000
    64445AInjection for nerve block1.483.412.690.340.320.084.974.251.901.88000
    64450AInjection for nerve block1.271.691.410.330.320.083.042.761.681.67000
    64470AInj paravertebral c/t1.853.943.940.500.500.125.915.912.472.47000
    64472AInj paravertebral c/t add-on1.293.633.630.350.350.095.015.011.731.73ZZZ
    64475AInj paravertebral l/s1.413.773.770.380.380.095.275.271.881.88000
    64476AInj paravertebral l/s add-on0.984.164.160.260.260.065.205.201.301.30ZZZ
    64479AInj foramen epidural c/t2.204.044.040.620.620.146.386.382.962.96000
    64480AInj foramen epidural add-on1.544.234.230.430.430.095.865.862.062.06ZZZ
    64483AInj foramen epidural l/s1.903.923.920.540.540.125.945.942.562.56000
    64484AInj foramen epidural add-on1.334.154.150.370.370.085.565.561.781.78ZZZ
    64505AInjection for nerve block1.362.401.970.350.350.083.843.411.791.79000
    64508AInjection for nerve block1.122.942.490.390.440.064.123.671.571.62000
    64510AInjection for nerve block1.222.632.170.260.390.073.923.461.551.68000
    64520AInjection for nerve block1.353.512.830.290.410.084.944.261.721.84000
    64530AInjection for nerve block1.583.232.740.360.590.094.904.412.032.26000
    64550AApply neurostimulator0.180.520.510.050.100.010.710.700.240.29000
    64553AImplant neuroelectrodes2.314.853.921.271.090.177.336.403.753.57010
    64555AImplant neuroelectrodes2.272.401.920.710.590.114.784.303.092.97010
    64560AImplant neuroelectrodes2.362.422.210.870.850.174.954.743.403.38010
    64565AImplant neuroelectrodes1.763.062.500.630.580.084.904.342.472.42010
    64573AImplant neuroelectrodes7.50NANA5.464.951.48NANA14.4413.93090
    64575AImplant neuroelectrodes4.35NANA3.153.200.37NANA7.877.92090
    64577AImplant neuroelectrodes4.62NANA3.563.420.50NANA8.688.54090
    64580AImplant neuroelectrodes4.12NANA4.213.950.21NANA8.548.28090
    64585ARevise/remove neuroelectrode2.062.822.382.181.900.295.174.734.534.25010
    64590AImplant neuroreceiver2.40NANA2.372.280.40NANA5.175.08010
    64595ARevise/remove neuroreceiver1.73NANA2.061.850.22NANA4.013.80010
    64600AInjection treatment of nerve3.453.112.792.052.000.286.846.525.785.73010
    64605AInjection treatment of nerve5.614.183.562.782.510.5310.329.708.928.65010
    64610AInjection treatment of nerve7.16NANA3.774.801.12NANA12.0513.08010
    64612ADestroy nerve, face muscle1.962.952.611.651.440.095.004.663.703.49010
    64613ADestroy nerve, spine muscle1.961.611.601.371.230.103.673.663.433.29010
    64614ADestroy nerve, extrem musc2.203.373.370.810.810.165.735.733.173.17010
    64620AInjection treatment of nerve2.843.102.600.700.800.176.115.613.713.81010
    64622ADestr paravertebrl nerve l/s3.004.473.850.731.040.177.647.023.904.21010
    64623ADestr paravertebral n add-on0.993.542.890.240.410.064.593.941.291.46ZZZ
    64626ADestr paravertebrl nerve c/t3.283.953.950.880.880.227.457.454.384.38010
    64627ADestr paravertebral n add-on1.163.303.300.310.310.084.544.541.551.55ZZZ
    64630AInjection treatment of nerve3.003.543.130.811.080.166.706.293.974.24010
    64640AInjection treatment of nerve2.765.754.561.021.020.118.627.433.893.89010
    64680AInjection treatment of nerve2.622.992.660.660.920.155.765.433.433.69010
    64702ARevise finger/toe nerve4.23NANA3.763.970.51NANA8.508.71090
    64704ARevise hand/foot nerve4.57NANA3.133.710.59NANA8.298.87090
    64708ARevise arm/leg nerve6.12NANA4.925.520.82NANA11.8612.46090
    64712ARevision of sciatic nerve7.75NANA4.966.040.54NANA13.2514.33090
    64713ARevision of arm nerve(s)11.00NANA5.906.981.01NANA17.9118.99090
    64714ARevise low back nerve(s)10.33NANA3.924.600.64NANA14.8915.57090
    64716ARevision of cranial nerve6.31NANA5.025.080.59NANA11.9211.98090
    64718ARevise ulnar nerve at elbow5.99NANA5.015.550.87NANA11.8712.41090
    64719ARevise ulnar nerve at wrist4.85NANA4.504.720.63NANA9.9810.20090
    64721ACarpal tunnel surgery4.295.935.735.625.500.5910.8110.6110.5010.38090
    Start Printed Page 65497
    64722ARelieve pressure on nerve(s)4.70NANA2.973.630.32NANA7.998.65090
    64726ARelease foot/toe nerve4.18NANA3.032.470.57NANA7.787.22090
    64727AInternal nerve revision3.10NANA1.622.100.40NANA5.125.60ZZZ
    64732AIncision of brow nerve4.41NANA3.493.790.77NANA8.678.97090
    64734AIncision of cheek nerve4.92NANA3.543.910.83NANA9.299.66090
    64736AIncision of chin nerve4.60NANA2.993.450.71NANA8.308.76090
    64738AIncision of jaw nerve5.73NANA3.644.110.84NANA10.2110.68090
    64740AIncision of tongue nerve5.59NANA4.094.470.43NANA10.1110.49090
    64742AIncision of facial nerve6.22NANA4.915.040.69NANA11.8211.95090
    64744AIncise nerve, back of head5.24NANA3.934.510.98NANA10.1510.73090
    64746AIncise diaphragm nerve5.93NANA5.785.360.75NANA12.4612.04090
    64752AIncision of vagus nerve7.06NANA5.345.070.83NANA13.2312.96090
    64755AIncision of stomach nerves13.52NANA6.357.601.16NANA21.0322.28090
    64760AIncision of vagus nerve6.96NANA4.044.840.51NANA11.5112.31090
    64761AIncision of pelvis nerve6.41NANA3.143.620.26NANA9.8110.29090
    64763AIncise hip/thigh nerve6.93NANA6.235.980.77NANA13.9313.68090
    64766AIncise hip/thigh nerve8.67NANA6.146.420.99NANA15.8016.08090
    64771ASever cranial nerve7.35NANA5.565.911.32NANA14.2314.58090
    64772AIncision of spinal nerve7.21NANA5.015.601.20NANA13.4214.01090
    64774ARemove skin nerve lesion5.17NANA3.673.500.60NANA9.449.27090
    64776ARemove digit nerve lesion5.12NANA3.783.590.63NANA9.539.34090
    64778ADigit nerve surgery add-on3.11NANA1.511.870.38NANA5.005.36ZZZ
    64782ARemove limb nerve lesion6.23NANA3.634.000.79NANA10.6511.02090
    64783ALimb nerve surgery add-on3.72NANA2.022.400.48NANA6.226.60ZZZ
    64784ARemove nerve lesion9.82NANA6.406.331.17NANA17.3917.32090
    64786ARemove sciatic nerve lesion15.46NANA10.3411.192.22NANA28.0228.87090
    64787AImplant nerve end4.30NANA2.212.600.56NANA7.077.46ZZZ
    64788ARemove skin nerve lesion4.61NANA3.323.480.54NANA8.478.63090
    64790ARemoval of nerve lesion11.31NANA7.177.311.68NANA20.1620.30090
    64792ARemoval of nerve lesion14.92NANA9.139.291.88NANA25.9326.09090
    64795ABiopsy of nerve3.01NANA1.862.040.40NANA5.275.45000
    64802ARemove sympathetic nerves9.15NANA5.725.760.87NANA15.7415.78090
    64804ARemove sympathetic nerves14.64NANA8.7510.031.79NANA25.1826.46090
    64809ARemove sympathetic nerves13.67NANA5.416.920.96NANA20.0421.55090
    64818ARemove sympathetic nerves10.30NANA6.287.041.08NANA17.6618.42090
    64820ARemove sympathetic nerves10.37NANA7.817.831.17NANA19.3519.37090
    64831ARepair of digit nerve9.44NANA7.116.251.14NANA17.6916.83090
    64832ARepair nerve add-on5.66NANA3.132.730.68NANA9.479.07ZZZ
    64834ARepair of hand or foot nerve10.19NANA7.166.321.23NANA18.5817.74090
    64835ARepair of hand or foot nerve10.94NANA7.777.451.36NANA20.0719.75090
    64836ARepair of hand or foot nerve10.94NANA7.677.571.32NANA19.9319.83090
    64837ARepair nerve add-on6.26NANA3.403.760.80NANA10.4610.82ZZZ
    64840ARepair of leg nerve13.02NANA9.279.760.86NANA23.1523.64090
    64856ARepair/transpose nerve13.80NANA9.349.231.71NANA24.8524.74090
    64857ARepair arm/leg nerve14.49NANA9.719.871.76NANA25.9626.12090
    64858ARepair sciatic nerve16.49NANA10.2810.692.78NANA29.5529.96090
    64859ANerve surgery4.26NANA2.322.690.50NANA7.087.45ZZZ
    64861ARepair of arm nerves19.24NANA13.0213.412.45NANA34.7135.10090
    64862ARepair of low back nerves19.44NANA9.7113.132.47NANA31.6235.04090
    64864ARepair of facial nerve12.55NANA8.698.651.13NANA22.3722.33090
    64865ARepair of facial nerve15.24NANA9.9710.831.37NANA26.5827.44090
    64866AFusion of facial/other nerve15.74NANA9.8010.391.06NANA26.6027.19090
    64868AFusion of facial/other nerve14.04NANA9.3810.071.40NANA24.8225.51090
    64870AFusion of facial/other nerve15.99NANA8.049.811.08NANA25.1126.88090
    64872ASubsequent repair of nerve1.99NANA1.101.220.24NANA3.333.45ZZZ
    64874ARepair & revise nerve add-on2.98NANA1.581.780.34NANA4.905.10ZZZ
    64876ARepair nerve/shorten bone3.38NANA1.351.680.39NANA5.125.45ZZZ
    64885ANerve graft, head or neck17.53NANA11.1811.831.51NANA30.2230.87090
    64886ANerve graft, head or neck20.75NANA13.0313.881.73NANA35.5136.36090
    64890ANerve graft, hand or foot15.15NANA10.0910.901.74NANA26.9827.79090
    64891ANerve graft, hand or foot16.14NANA7.518.461.38NANA25.0325.98090
    64892ANerve graft, arm or leg14.65NANA8.759.561.65NANA25.0525.86090
    64893ANerve graft, arm or leg15.60NANA10.2911.501.77NANA27.6628.87090
    64895ANerve graft, hand or foot19.25NANA11.2011.972.04NANA32.4933.26090
    64896ANerve graft, hand or foot20.49NANA9.3111.741.85NANA31.6534.08090
    64897ANerve graft, arm or leg18.24NANA11.1311.782.64NANA32.0132.66090
    64898ANerve graft, arm or leg19.50NANA12.2613.102.71NANA34.4735.31090
    64901ANerve graft add-on10.22NANA5.366.780.99NANA16.5717.99ZZZ
    64902ANerve graft add-on11.83NANA5.987.721.10NANA18.9120.65ZZZ
    64905ANerve pedicle transfer14.02NANA8.609.001.52NANA24.1424.54090
    64907ANerve pedicle transfer18.83NANA11.6512.271.79NANA32.2732.89090
    64999CNervous system surgery0.000.000.000.000.000.000.000.000.000.00YYY
    65091ARevise eye6.46NANA9.559.090.26NANA16.2715.81090
    65093ARevise eye with implant6.87NANA9.769.370.28NANA16.9116.52090
    65101ARemoval of eye7.03NANA9.619.310.28NANA16.9216.62090
    65103ARemove eye/insert implant7.57NANA9.979.740.30NANA17.8417.61090
    65105ARemove eye/attach implant8.49NANA10.5110.420.34NANA19.3419.25090
    65110ARemoval of eye13.95NANA14.1014.740.68NANA28.7329.37090
    65112ARemove eye/revise socket16.38NANA17.2416.230.96NANA34.5833.57090
    65114ARemove eye/revise socket17.53NANA16.3715.820.94NANA34.8434.29090
    65125ARevise ocular implant3.124.924.361.531.820.158.197.634.805.09090
    65130AInsert ocular implant7.15NANA9.689.400.28NANA17.1116.83090
    65135AInsert ocular implant7.33NANA9.458.560.29NANA17.0716.18090
    Start Printed Page 65498
    65140AAttach ocular implant8.02NANA9.889.100.31NANA18.2117.43090
    65150ARevise ocular implant6.26NANA9.128.710.25NANA15.6315.22090
    65155AReinsert ocular implant8.66NANA11.1910.980.40NANA20.2520.04090
    65175ARemoval of ocular implant6.28NANA9.128.720.26NANA15.6615.26090
    65205ARemove foreign body from eye0.715.073.900.200.200.035.814.640.940.94000
    65210ARemove foreign body from eye0.845.264.070.310.300.036.134.941.181.17000
    65220ARemove foreign body from eye0.716.555.050.190.210.057.315.810.950.97000
    65222ARemove foreign body from eye0.935.204.060.280.290.046.175.031.251.26000
    65235ARemove foreign body from eye7.57NANA6.826.640.30NANA14.6914.51090
    65260ARemove foreign body from eye10.96NANA11.8011.190.43NANA23.1922.58090
    65265ARemove foreign body from eye12.59NANA13.3612.750.50NANA26.4525.84090
    65270ARepair of eye wound1.903.603.022.011.830.085.585.003.993.81010
    65272ARepair of eye wound3.825.004.203.863.340.168.988.187.847.32090
    65273ARepair of eye wound4.36NANA4.344.130.17NANA8.878.66090
    65275ARepair of eye wound5.345.043.964.663.680.2710.659.5710.279.29090
    65280ARepair of eye wound7.66NANA7.287.750.30NANA15.2415.71090
    65285ARepair of eye wound12.90NANA13.3713.360.51NANA26.7826.77090
    65286ARepair of eye wound5.517.907.236.735.700.2113.6212.9512.4511.42090
    65290ARepair of eye socket wound5.41NANA6.786.700.26NANA12.4512.37090
    65400ARemoval of eye lesion6.067.917.696.516.640.2414.2113.9912.8112.94090
    65410ABiopsy of cornea1.471.691.700.670.940.063.223.232.202.47000
    65420ARemoval of eye lesion4.177.066.466.045.690.1711.4010.8010.3810.03090
    65426ARemoval of eye lesion5.257.287.036.116.150.2012.7312.4811.5611.60090
    65430ACorneal smear1.475.794.490.720.620.067.326.022.252.15000
    65435ACurette/treat cornea0.921.331.210.420.420.042.292.171.381.38000
    65436ACurette/treat cornea4.195.234.344.323.450.179.598.708.687.81090
    65450ATreatment of corneal lesion3.276.805.995.625.110.1310.209.399.028.51090
    65600ARevision of cornea3.404.774.291.491.470.148.317.835.035.01090
    65710ACorneal transplant12.35NANA12.8413.010.49NANA25.6825.85090
    65730ACorneal transplant14.25NANA12.3013.330.56NANA27.1128.14090
    65750ACorneal transplant15.00NANA14.1414.970.59NANA29.7330.56090
    65755ACorneal transplant14.89NANA14.0514.910.58NANA29.5230.38090
    65760NRevision of cornea0.000.000.000.000.000.000.000.000.000.00XXX
    65765NRevision of cornea0.000.000.000.000.000.000.000.000.000.00XXX
    65767NCorneal tissue transplant0.000.000.000.000.000.000.000.000.000.00XXX
    65770ARevise cornea with implant17.56NANA15.1015.070.69NANA33.3533.32090
    65771NRadial keratotomy0.000.000.000.000.000.000.000.000.000.00XXX
    65772ACorrection of astigmatism4.296.306.015.344.650.1710.7610.479.809.11090
    65775ACorrection of astigmatism5.79NANA8.267.920.22NANA14.2713.93090
    65800ADrainage of eye1.912.212.131.401.520.084.204.123.393.51000
    65805ADrainage of eye1.912.212.151.411.300.084.204.143.403.29000
    65810ADrainage of eye4.87NANA7.417.010.19NANA12.4712.07090
    65815ADrainage of eye5.058.107.296.946.420.2013.3512.5412.1911.67090
    65820ARelieve inner eye pressure8.13NANA9.299.560.32NANA17.7418.01090
    65850AIncision of eye10.52NANA9.6310.360.41NANA20.5621.29090
    65855ALaser surgery of eye4.305.155.493.863.710.179.629.968.338.18090
    65860AIncise inner eye adhesions3.553.803.913.012.790.147.497.606.706.48090
    65865AIncise inner eye adhesions5.60NANA6.266.370.22NANA12.0812.19090
    65870AIncise inner eye adhesions6.27NANA6.616.550.24NANA13.1213.06090
    65875AIncise inner eye adhesions6.54NANA6.736.750.25NANA13.5213.54090
    65880AIncise inner eye adhesions7.09NANA6.977.090.28NANA14.3414.46090
    65900ARemove eye lesion10.93NANA12.0711.200.46NANA23.4622.59090
    65920ARemove implant from eye8.40NANA7.658.010.33NANA16.3816.74090
    65930ARemove blood clot from eye7.44NANA8.088.140.29NANA15.8115.87090
    66020AInjection treatment of eye1.592.282.191.491.590.073.943.853.153.25010
    66030AInjection treatment of eye1.252.121.741.321.070.053.423.042.622.37010
    66130ARemove eye lesion7.696.916.626.055.970.3114.9114.6214.0513.97090
    66150AGlaucoma surgery8.30NANA10.2510.170.33NANA18.8818.80090
    66155AGlaucoma surgery8.29NANA10.2110.130.32NANA18.8218.74090
    66160AGlaucoma surgery10.17NANA11.1611.290.41NANA21.7421.87090
    66165AGlaucoma surgery8.01NANA10.1810.030.31NANA18.5018.35090
    66170AGlaucoma surgery12.16NANA12.1712.430.48NANA24.8125.07090
    66172AIncision of eye15.04NANA15.0914.620.59NANA30.7230.25090
    66180AImplant eye shunt14.55NANA12.3213.580.57NANA27.4428.70090
    66185ARevise eye shunt8.14NANA8.408.730.32NANA16.8617.19090
    66220ARepair eye lesion7.77NANA10.019.120.32NANA18.1017.21090
    66225ARepair/graft eye lesion11.05NANA9.7310.600.44NANA21.2222.09090
    66250AFollow-up surgery of eye5.987.927.736.476.640.2314.1313.9412.6812.85090
    66500AIncision of iris3.71NANA4.084.170.15NANA7.948.03090
    66505AIncision of iris4.08NANA4.294.110.17NANA8.548.36090
    66600ARemove iris and lesion8.68NANA9.289.500.34NANA18.3018.52090
    66605ARemoval of iris12.79NANA12.6112.680.61NANA26.0126.08090
    66625ARemoval of iris5.137.977.516.996.770.2013.3012.8412.3212.10090
    66630ARemoval of iris6.16NANA8.047.870.24NANA14.4414.27090
    66635ARemoval of iris6.25NANA6.596.810.24NANA13.0813.30090
    66680ARepair iris & ciliary body5.44NANA6.186.260.21NANA11.8311.91090
    66682ARepair iris & ciliary body6.21NANA8.087.910.24NANA14.5314.36090
    66700ADestruction, ciliary body4.787.677.186.356.190.1912.6412.1511.3211.16090
    66710ADestruction, ciliary body4.787.647.166.376.210.1812.6012.1211.3311.17090
    66720ADestruction, ciliary body4.787.467.026.326.170.1912.4311.9911.2911.14090
    66740ADestruction, ciliary body4.78NANA5.875.830.18NANA10.8310.79090
    66761ARevision of iris4.075.235.144.123.700.169.469.378.357.93090
    66762ARevision of iris4.585.375.404.303.910.1810.1310.169.068.67090
    Start Printed Page 65499
    66770ARemoval of inner eye lesion5.185.685.814.554.190.2011.0611.199.939.57090
    66820AIncision, secondary cataract3.89NANA6.976.390.16NANA11.0210.44090
    66821AAfter cataract laser surgery2.353.563.373.173.080.106.015.825.625.53090
    66825AReposition intraocular lens8.23NANA9.048.770.32NANA17.5917.32090
    66830ARemoval of lens lesion8.20NANA6.807.180.32NANA15.3215.70090
    66840ARemoval of lens material7.91NANA6.767.430.31NANA14.9815.65090
    66850ARemoval of lens material9.11NANA7.308.190.36NANA16.7717.66090
    66852ARemoval of lens material9.97NANA7.798.820.39NANA18.1519.18090
    66920AExtraction of lens8.86NANA7.268.090.35NANA16.4717.30090
    66930AExtraction of lens10.18NANA8.769.420.41NANA19.3520.01090
    66940AExtraction of lens8.93NANA8.168.790.35NANA17.4418.07090
    66982ACataract surgery, complex13.50NANA9.099.090.55NANA23.1423.14090
    66983ACataract surg w/iol, 1 stage8.99NANA5.696.950.37NANA15.0516.31090
    66984ACataract surg w/iol, i stage10.23NANA7.608.770.41NANA18.2419.41090
    66985AInsert lens prosthesis8.39NANA6.757.570.33NANA15.4716.29090
    66986AExchange lens prosthesis12.28NANA8.899.980.49NANA21.6622.75090
    66999CEye surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    67005APartial removal of eye fluid5.70NANA2.803.800.22NANA8.729.72090
    67010APartial removal of eye fluid6.87NANA3.414.610.27NANA10.5511.75090
    67015ARelease of eye fluid6.92NANA7.787.590.27NANA14.9714.78090
    67025AReplace eye fluid6.8414.7012.867.257.270.2721.8119.9714.3614.38090
    67027AImplant eye drug system10.8516.4214.778.568.870.4627.7326.0819.8720.18090
    67028AInjection eye drug2.528.046.901.241.680.1110.679.533.874.31000
    67030AIncise inner eye strands4.84NANA6.326.180.19NANA11.3511.21090
    67031ALaser surgery, eye strands3.673.894.013.082.860.157.717.836.906.68090
    67036ARemoval of inner eye fluid11.89NANA9.0510.340.47NANA21.4122.70090
    67038AStrip retinal membrane21.24NANA15.5417.990.84NANA37.6240.07090
    67039ALaser treatment of retina14.52NANA12.2013.480.57NANA27.2928.57090
    67040ALaser treatment of retina17.23NANA13.5715.320.68NANA31.4833.23090
    67101ARepair detached retina7.5310.6910.278.677.630.2918.5118.0916.4915.45090
    67105ARepair detached retina7.417.418.045.625.460.2915.1115.7413.3213.16090
    67107ARepair detached retina14.84NANA13.1014.250.58NANA28.5229.67090
    67108ARepair detached retina20.82NANA17.4219.280.82NANA39.0640.92090
    67110ARepair detached retina8.8118.1916.2710.0810.190.3527.3525.4319.2419.35090
    67112ARerepair detached retina16.86NANA15.4316.050.66NANA32.9533.57090
    67115ARelease encircling material4.99NANA6.426.310.19NANA11.6011.49090
    67120ARemove eye implant material5.9814.0912.356.826.900.2320.3018.5613.0313.11090
    67121ARemove eye implant material10.67NANA11.6011.260.42NANA22.6922.35090
    67141ATreatment of retina5.207.627.276.585.710.2013.0212.6711.9811.11090
    67145ATreatment of retina5.375.215.674.214.040.2110.7911.259.799.62090
    67208ATreatment of retinal lesion6.708.028.026.756.060.2614.9814.9813.7113.02090
    67210ATreatment of retinal lesion8.827.247.885.875.630.3516.4117.0515.0414.80090
    67218ATreatment of retinal lesion13.52NANA13.0413.390.53NANA27.0927.44090
    67220ATreatment of choroid lesion13.1311.2111.2110.0510.050.5124.8524.8523.6923.69090
    67221AOcular photodynamic ther4.014.404.402.002.000.508.918.916.516.51000
    67227ATreatment of retinal lesion6.588.608.426.877.120.2615.4415.2613.7113.96090
    67228ATreatment of retinal lesion12.749.899.977.476.880.5023.1323.2120.7120.12090
    67250AReinforce eye wall8.66NANA10.229.560.36NANA19.2418.58090
    67255AReinforce/graft eye wall8.90NANA10.3110.390.35NANA19.5619.64090
    67299CEye surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    67311ARevise eye muscle6.65NANA6.376.760.27NANA13.2913.68090
    67312ARevise two eye muscles8.54NANA7.388.080.35NANA16.2716.97090
    67314ARevise eye muscle7.52NANA6.867.390.30NANA14.6815.21090
    67316ARevise two eye muscles9.66NANA7.888.700.40NANA17.9418.76090
    67318ARevise eye muscle(s)7.85NANA7.317.170.31NANA15.4715.33090
    67320ARevise eye muscle(s) add-on4.33NANA6.877.740.17NANA11.3712.24ZZZ
    67331AEye surgery follow-up add-on4.06NANA5.266.370.17NANA9.4910.60ZZZ
    67332ARerevise eye muscles add-on4.49NANA5.937.130.18NANA10.6011.80ZZZ
    67334ARevise eye muscle w/suture3.98NANA5.435.780.16NANA9.579.92ZZZ
    67335AEye suture during surgery2.49NANA1.221.660.10NANA3.814.25ZZZ
    67340ARevise eye muscle add-on4.93NANA7.207.540.19NANA12.3212.66ZZZ
    67343ARelease eye tissue7.35NANA7.257.020.30NANA14.9014.67090
    67345ADestroy nerve of eye muscle2.964.223.771.431.380.137.316.864.524.47010
    67350ABiopsy eye muscle2.87NANA2.462.490.13NANA5.465.49000
    67399CEye muscle surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    67400AExplore/biopsy eye socket9.76NANA11.8611.810.43NANA22.0522.00090
    67405AExplore/drain eye socket7.93NANA10.6510.350.36NANA18.9418.64090
    67412AExplore/treat eye socket9.50NANA13.0412.620.41NANA22.9522.53090
    67413AExplore/treat eye socket10.00NANA11.4710.800.43NANA21.9021.23090
    67414AExplr/decompress eye socket11.13NANA13.6912.550.48NANA25.3024.16090
    67415AAspiration, orbital contents1.76NANA0.851.170.09NANA2.703.02000
    67420AExplore/treat eye socket20.06NANA17.5417.710.84NANA38.4438.61090
    67430AExplore/treat eye socket13.39NANA18.6116.850.97NANA32.9731.21090
    67440AExplore/drain eye socket13.09NANA14.3614.680.58NANA28.0328.35090
    67445AExplr/decompress eye socket14.42NANA15.6814.780.63NANA30.7329.83090
    67450AExplore/biopsy eye socket13.51NANA14.1914.680.56NANA28.2628.75090
    67500AInject/treat eye socket0.792.291.920.200.350.043.122.751.031.18000
    67505AInject/treat eye socket0.820.920.970.210.280.041.781.831.071.14000
    67515AInject/treat eye socket0.610.810.760.300.300.021.441.390.930.93000
    67550AInsert eye socket implant10.19NANA11.9011.540.50NANA22.5922.23090
    67560ARevise eye socket implant10.60NANA11.5710.930.47NANA22.6422.00090
    67570ADecompress optic nerve13.58NANA14.8613.200.69NANA29.1327.47090
    67599COrbit surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    Start Printed Page 65500
    67700ADrainage of eyelid abscess1.355.314.120.620.530.066.725.532.031.94010
    67710AIncision of eyelid1.025.484.390.510.520.046.545.451.571.58010
    67715AIncision of eyelid fold1.22NANA0.610.820.05NANA1.882.09010
    67800ARemove eyelid lesion1.382.261.950.680.640.063.703.392.122.08010
    67801ARemove eyelid lesions1.885.704.650.930.890.087.666.612.892.85010
    67805ARemove eyelid lesions2.225.904.801.101.010.098.217.113.413.32010
    67808ARemove eyelid lesion(s)3.80NANA3.863.470.17NANA7.837.44090
    67810ABiopsy of eyelid1.484.413.530.730.660.065.955.072.272.20000
    67820ARevise eyelashes0.891.561.270.380.340.042.492.201.311.27000
    67825ARevise eyelashes1.386.955.461.681.380.068.396.903.122.82010
    67830ARevise eyelashes1.708.176.701.901.930.079.948.473.673.70010
    67835ARevise eyelashes5.56NANA4.645.140.22NANA10.4210.92090
    67840ARemove eyelid lesion2.045.774.661.010.920.087.896.783.133.04010
    67850ATreat eyelid lesion1.697.015.481.781.450.078.777.243.543.21010
    67875AClosure of eyelid by suture1.358.336.721.841.790.069.748.133.253.20000
    67880ARevision of eyelid3.809.268.022.963.290.1613.2211.986.927.25090
    67882ARevision of eyelid5.0712.0410.554.444.850.2117.3215.839.7210.13090
    67900ARepair brow defect6.1410.068.576.315.760.3016.5015.0112.7512.20090
    67901ARepair eyelid defect6.97NANA6.556.990.32NANA13.8414.28090
    67902ARepair eyelid defect7.03NANA6.647.080.34NANA14.0114.45090
    67903ARepair eyelid defect6.3711.5510.577.127.240.3918.3117.3313.8814.00090
    67904ARepair eyelid defect6.2612.6511.367.457.460.2619.1717.8813.9713.98090
    67906ARepair eyelid defect6.797.326.976.356.250.4214.5314.1813.5613.46090
    67908ARepair eyelid defect5.138.407.835.935.980.2013.7313.1611.2611.31090
    67909ARevise eyelid defect5.409.398.666.516.500.2515.0414.3112.1612.15090
    67911ARevise eyelid defect5.27NANA6.376.350.23NANA11.8711.85090
    67914ARepair eyelid defect3.689.758.413.363.620.1613.5912.257.207.46090
    67915ARepair eyelid defect3.188.516.721.601.370.1311.8210.034.914.68090
    67916ARepair eyelid defect5.3113.0011.345.075.390.2218.5316.8710.6010.92090
    67917ARepair eyelid defect6.029.398.846.446.630.2515.6615.1112.7112.90090
    67921ARepair eyelid defect3.409.408.073.123.360.1412.9411.616.666.90090
    67922ARepair eyelid defect3.068.466.672.942.370.1311.659.866.135.56090
    67923ARepair eyelid defect5.8812.9911.505.245.690.2419.1117.6211.3611.81090
    67924ARepair eyelid defect5.798.778.315.796.070.2314.7914.3311.8112.09090
    67930ARepair eyelid wound3.619.247.282.922.360.1713.0211.066.706.14010
    67935ARepair eyelid wound6.2213.7511.345.234.950.2920.2617.8511.7411.46090
    67938ARemove eyelid foreign body1.336.565.060.540.480.067.956.451.931.87010
    67950ARevision of eyelid5.828.388.027.077.040.3014.5014.1413.1913.16090
    67961ARevision of eyelid5.698.778.285.996.190.2614.7214.2311.9412.14090
    67966ARevision of eyelid6.578.498.336.196.610.3315.3915.2313.0913.51090
    67971AReconstruction of eyelid9.79NANA7.918.830.42NANA18.1219.04090
    67973AReconstruction of eyelid12.87NANA10.0611.220.59NANA23.5224.68090
    67974AReconstruction of eyelid12.84NANA10.0011.320.54NANA23.3824.70090
    67975AReconstruction of eyelid9.13NANA7.566.800.38NANA17.0716.31090
    67999CRevision of eyelid0.000.000.000.000.000.000.000.000.000.00YYY
    68020AIncise/drain eyelid lining1.375.274.090.680.580.066.705.522.112.01010
    68040ATreatment of eyelid lesions0.855.143.980.420.380.036.024.861.301.26000
    68100ABiopsy of eyelid lining1.355.614.480.660.630.067.025.892.072.04000
    68110ARemove eyelid lining lesion1.776.375.121.391.210.078.216.963.233.05010
    68115ARemove eyelid lining lesion2.365.934.971.161.390.108.397.433.623.85010
    68130ARemove eyelid lining lesion4.93NANA2.442.940.19NANA7.568.06090
    68135ARemove eyelid lining lesion1.845.674.450.910.780.077.586.362.822.69010
    68200ATreat eyelid by injection0.495.234.060.240.250.025.744.570.750.76000
    68320ARevise/graft eyelid lining5.375.305.585.305.580.2110.8811.1610.8811.16090
    68325ARevise/graft eyelid lining7.36NANA6.427.010.30NANA14.0814.67090
    68326ARevise/graft eyelid lining7.15NANA6.326.880.30NANA13.7714.33090
    68328ARevise/graft eyelid lining8.18NANA7.067.740.40NANA15.6416.32090
    68330ARevise eyelid lining4.836.796.535.105.270.1911.8111.5510.1210.29090
    68335ARevise/graft eyelid lining7.19NANA5.296.110.29NANA12.7713.59090
    68340ASeparate eyelid adhesions4.1711.819.713.963.820.1716.1514.058.308.16090
    68360ARevise eyelid lining4.376.095.874.874.960.1710.6310.419.419.50090
    68362ARevise eyelid lining7.34NANA7.587.860.29NANA15.2115.49090
    68399CEyelid lining surgery0.000.000.000.000.000.000.000.000.000.00YYY
    68400AIncise/drain tear gland1.698.266.471.891.560.0710.028.233.653.32010
    68420AIncise/drain tear sac2.308.416.592.201.790.1010.818.994.604.19010
    68440AIncise tear duct opening0.945.274.160.470.460.046.255.141.451.44010
    68500ARemoval of tear gland11.02NANA10.089.630.60NANA21.7021.25090
    68505APartial removal, tear gland10.94NANA10.3510.120.57NANA21.8621.63090
    68510ABiopsy of tear gland4.619.918.432.242.680.1914.7113.237.047.48000
    68520ARemoval of tear sac7.51NANA6.827.360.33NANA14.6615.20090
    68525ABiopsy of tear sac4.43NANA2.202.650.18NANA6.817.26000
    68530AClearance of tear duct3.6611.049.052.832.510.1614.8612.876.656.33010
    68540ARemove tear gland lesion10.60NANA8.508.630.46NANA19.5619.69090
    68550ARemove tear gland lesion13.26NANA10.4110.890.66NANA24.3324.81090
    68700ARepair tear ducts6.60NANA6.215.390.27NANA13.0812.26090
    68705ARevise tear duct opening2.065.924.721.020.910.088.066.863.163.05010
    68720ACreate tear sac drain8.96NANA7.378.200.38NANA16.7117.54090
    68745ACreate tear duct drain8.63NANA7.327.270.38NANA16.3316.28090
    68750ACreate tear duct drain8.66NANA7.798.430.37NANA16.8217.46090
    68760AClose tear duct opening1.735.544.410.850.760.077.346.212.652.56010
    68761AClose tear duct opening1.366.294.970.650.610.067.716.392.072.03010
    68770AClose tear system fistula7.0213.6111.365.674.830.2820.9118.6612.9712.13090
    68801ADilate tear duct opening0.946.394.910.450.400.047.375.891.431.38010
    Start Printed Page 65501
    68810AProbe nasolacrimal duct1.908.096.221.921.520.0810.078.203.903.50010
    68811AProbe nasolacrimal duct2.35NANA2.182.040.10NANA4.634.49010
    68815AProbe nasolacrimal duct3.209.947.982.662.260.1413.2811.326.005.60010
    68840AExplore/irrigate tear ducts1.257.015.390.610.530.058.316.691.911.83010
    68850AInjection for tear sac x-ray0.8012.269.330.320.380.0313.0910.161.151.21000
    68899CTear duct system surgery0.000.000.000.000.000.000.000.000.000.00YYY
    69000ADrain external ear lesion1.452.041.630.580.480.103.593.182.132.03010
    69005ADrain external ear lesion2.112.462.162.061.700.164.734.434.333.97010
    69020ADrain outer ear canal lesion1.482.141.730.740.620.113.733.322.332.21010
    69090NPierce earlobes0.000.000.000.000.000.000.000.000.000.00XXX
    69100ABiopsy of external ear0.811.481.290.410.400.042.332.141.261.25000
    69105ABiopsy of external ear canal0.851.461.310.970.840.062.372.221.881.75000
    69110ARemove external ear, partial3.443.443.292.772.790.247.126.976.456.47090
    69120ARemoval of external ear4.05NANA4.383.500.31NANA8.747.86090
    69140ARemove ear canal lesion(s)7.97NANA7.928.110.56NANA16.4516.64090
    69145ARemove ear canal lesion(s)2.623.273.132.452.520.186.075.935.255.32090
    69150AExtensive ear canal surgery13.43NANA11.0911.161.07NANA25.5925.66090
    69155AExtensive ear/neck surgery20.80NANA15.1515.681.51NANA37.4637.99090
    69200AClear outer ear canal0.771.391.160.730.610.052.211.981.551.43000
    69205AClear outer ear canal1.20NANA1.521.430.09NANA2.812.72010
    69210ARemove impacted ear wax0.611.261.010.240.210.041.911.660.890.86000
    69220AClean out mastoid cavity0.831.461.230.420.380.062.352.121.311.27000
    69222AClean out mastoid cavity1.402.141.811.651.340.103.643.313.152.84010
    69300RRevise external ear6.36NANA4.354.700.43NANA11.1411.49YYY
    69310ARebuild outer ear canal10.79NANA9.469.770.77NANA21.0221.33090
    69320ARebuild outer ear canal16.96NANA13.6414.211.17NANA31.7732.34090
    69399COuter ear surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    69400AInflate middle ear canal0.831.451.210.450.400.062.342.101.341.29000
    69401AInflate middle ear canal0.631.351.080.360.310.042.021.751.030.98000
    69405ACatheterize middle ear canal2.632.982.371.471.170.185.795.184.283.98010
    69410AInset middle ear (baffle)0.331.391.210.160.200.021.741.560.510.55000
    69420AIncision of eardrum1.332.241.870.710.630.103.673.302.142.06010
    69421AIncision of eardrum1.732.502.191.851.700.134.364.053.713.56010
    69424ARemove ventilating tube0.851.601.360.890.750.062.512.271.801.66000
    69433ACreate eardrum opening1.522.222.030.850.820.113.853.662.482.45010
    69436ACreate eardrum opening1.96NANA1.982.060.14NANA4.084.16010
    69440AExploration of middle ear7.57NANA7.127.600.53NANA15.2215.70090
    69450AEardrum revision5.57NANA5.936.110.39NANA11.8912.07090
    69501AMastoidectomy9.07NANA7.908.630.65NANA17.6218.35090
    69502AMastoidectomy12.38NANA10.4711.480.86NANA23.7124.72090
    69505ARemove mastoid structures12.99NANA10.6411.860.92NANA24.5525.77090
    69511AExtensive mastoid surgery13.52NANA11.0212.300.96NANA25.5026.78090
    69530AExtensive mastoid surgery19.19NANA14.5915.481.32NANA35.1035.99090
    69535ARemove part of temporal bone36.14NANA24.0824.922.59NANA62.8163.65090
    69540ARemove ear lesion1.202.151.961.541.330.093.443.252.832.62010
    69550ARemove ear lesion10.99NANA9.6810.540.80NANA21.4722.33090
    69552ARemove ear lesion19.46NANA14.2415.221.36NANA35.0636.04090
    69554ARemove ear lesion33.16NANA21.6522.442.32NANA57.1357.92090
    69601AMastoid surgery revision13.24NANA11.6112.510.92NANA25.7726.67090
    69602AMastoid surgery revision13.58NANA11.1612.420.94NANA25.6826.94090
    69603AMastoid surgery revision14.02NANA11.4412.761.00NANA26.4627.78090
    69604AMastoid surgery revision14.02NANA11.2412.610.98NANA26.2427.61090
    69605AMastoid surgery revision18.49NANA13.9214.501.29NANA33.7034.28090
    69610ARepair of eardrum4.434.093.323.372.660.318.838.068.117.40010
    69620ARepair of eardrum5.896.646.742.913.940.4012.9313.039.2010.23090
    69631ARepair eardrum structures9.86NANA9.059.730.69NANA19.6020.28090
    69632ARebuild eardrum structures12.75NANA11.2812.270.89NANA24.9225.91090
    69633ARebuild eardrum structures12.10NANA10.9211.800.84NANA23.8624.74090
    69635ARepair eardrum structures13.33NANA9.4011.030.87NANA23.6025.23090
    69636ARebuild eardrum structures15.22NANA12.7814.131.07NANA29.0730.42090
    69637ARebuild eardrum structures15.11NANA12.7214.051.06NANA28.8930.22090
    69641ARevise middle ear & mastoid12.71NANA10.6211.760.89NANA24.2225.36090
    69642ARevise middle ear & mastoid16.84NANA13.6315.251.18NANA31.6533.27090
    69643ARevise middle ear & mastoid15.32NANA12.7714.151.08NANA29.1730.55090
    69644ARevise middle ear & mastoid16.97NANA13.7115.351.19NANA31.8733.51090
    69645ARevise middle ear & mastoid16.38NANA13.3414.901.16NANA30.8832.44090
    69646ARevise middle ear & mastoid17.99NANA14.2916.091.26NANA33.5435.34090
    69650ARelease middle ear bone9.66NANA8.289.100.68NANA18.6219.44090
    69660ARevise middle ear bone11.90NANA9.5110.690.84NANA22.2523.43090
    69661ARevise middle ear bone15.74NANA12.2813.911.10NANA29.1230.75090
    69662ARevise middle ear bone15.44NANA12.1413.711.08NANA28.6630.23090
    69666ARepair middle ear structures9.75NANA8.339.160.68NANA18.7619.59090
    69667ARepair middle ear structures9.76NANA8.289.130.72NANA18.7619.61090
    69670ARemove mastoid air cells11.51NANA9.9310.210.78NANA22.2222.50090
    69676ARemove middle ear nerve9.52NANA8.648.800.69NANA18.8519.01090
    69700AClose mastoid fistula8.23NANA5.246.060.55NANA14.0214.84090
    69710NImplant/replace hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    69711ARemove/repair hearing aid10.44NANA9.429.360.62NANA20.4820.42090
    69714AImplant temple bone w/stimul14.00NANA8.718.710.97NANA23.6823.68090
    69715ATemple bne implnt w/stimulat18.25NANA10.4910.491.25NANA29.9929.99090
    69717ATemple bone implant revision14.98NANA8.378.371.04NANA24.3924.39090
    69718ARevise temple bone implant18.50NANA10.5810.581.27NANA30.3530.35090
    69720ARelease facial nerve14.38NANA12.0413.321.03NANA27.4528.73090
    Start Printed Page 65502
    69725ARelease facial nerve25.38NANA18.0717.531.78NANA45.2344.69090
    69740ARepair facial nerve15.96NANA11.4811.821.13NANA28.5728.91090
    69745ARepair facial nerve16.69NANA12.1113.411.00NANA29.8031.10090
    69799CMiddle ear surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    69801AIncise inner ear8.56NANA7.688.320.60NANA16.8417.48090
    69802AIncise inner ear13.10NANA10.9511.260.91NANA24.9625.27090
    69805AExplore inner ear13.82NANA10.6911.580.97NANA25.4826.37090
    69806AExplore inner ear12.35NANA10.4911.560.86NANA23.7024.77090
    69820AEstablish inner ear window10.34NANA9.089.210.66NANA20.0820.21090
    69840ARevise inner ear window10.26NANA10.009.800.64NANA20.9020.70090
    69905ARemove inner ear11.10NANA9.3310.310.77NANA21.2022.18090
    69910ARemove inner ear & mastoid13.63NANA10.9612.290.94NANA25.5326.86090
    69915AIncise inner ear nerve21.23NANA15.2216.221.54NANA37.9938.99090
    69930AImplant cochlear device16.81NANA12.4414.351.19NANA30.4432.35090
    69949CInner ear surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    69950AIncise inner ear nerve25.64NANA16.0116.892.90NANA44.5545.43090
    69955ARelease facial nerve27.04NANA18.3419.261.89NANA47.2748.19090
    69960ARelease inner ear canal27.04NANA17.8518.232.43NANA47.3247.70090
    69970ARemove inner ear lesion30.04NANA19.0019.592.34NANA51.3851.97090
    69979CTemporal bone surgery0.000.000.000.000.000.000.000.000.000.00YYY
    69990RMicrosurgery add-on3.47NANA1.861.860.56NANA5.895.89ZZZ
    70010AContrast x-ray of brain1.194.734.814.734.810.246.166.246.166.24XXX
    7001026AContrast x-ray of brain1.190.430.460.430.460.061.681.711.681.71XXX
    70010TCAContrast x-ray of brain0.004.304.35NANA0.184.484.53NANAXXX
    70015AContrast x-ray of brain1.191.791.831.791.830.123.103.143.103.14XXX
    7001526AContrast x-ray of brain1.190.440.470.440.470.051.681.711.681.71XXX
    70015TCAContrast x-ray of brain0.001.351.36NANA0.071.421.43NANAXXX
    70030AX-ray eye for foreign body0.170.470.490.470.490.030.670.690.670.69XXX
    7003026AX-ray eye for foreign body0.170.060.070.060.070.010.240.250.240.25XXX
    70030TCAX-ray eye for foreign body0.000.410.42NANA0.020.430.44NANAXXX
    70100AX-ray exam of jaw0.180.580.600.580.600.030.790.810.790.81XXX
    7010026AX-ray exam of jaw0.180.060.070.060.070.010.250.260.250.26XXX
    70100TCAX-ray exam of jaw0.000.520.53NANA0.020.540.55NANAXXX
    70110AX-ray exam of jaw0.250.700.720.700.720.040.991.010.991.01XXX
    7011026AX-ray exam of jaw0.250.090.100.090.100.010.350.360.350.36XXX
    70110TCAX-ray exam of jaw0.000.610.62NANA0.030.640.65NANAXXX
    70120AX-ray exam of mastoids0.180.670.690.670.690.040.890.910.890.91XXX
    7012026AX-ray exam of mastoids0.180.060.070.060.070.010.250.260.250.26XXX
    70120TCAX-ray exam of mastoids0.000.610.62NANA0.030.640.65NANAXXX
    70130AX-ray exam of mastoids0.340.900.920.900.920.051.291.311.291.31XXX
    7013026AX-ray exam of mastoids0.340.120.130.120.130.010.470.480.470.48XXX
    70130TCAX-ray exam of mastoids0.000.780.79NANA0.040.820.83NANAXXX
    70134AX-ray exam of middle ear0.340.850.870.850.870.051.241.261.241.26XXX
    7013426AX-ray exam of middle ear0.340.120.130.120.130.010.470.480.470.48XXX
    70134TCAX-ray exam of middle ear0.000.730.74NANA0.040.770.78NANAXXX
    70140AX-ray exam of facial bones0.190.680.700.680.700.040.910.930.910.93XXX
    7014026AX-ray exam of facial bones0.190.070.080.070.080.010.270.280.270.28XXX
    70140TCAX-ray exam of facial bones0.000.610.62NANA0.030.640.65NANAXXX
    70150AX-ray exam of facial bones0.260.870.890.870.890.051.181.201.181.20XXX
    7015026AX-ray exam of facial bones0.260.090.100.090.100.010.360.370.360.37XXX
    70150TCAX-ray exam of facial bones0.000.780.79NANA0.040.820.83NANAXXX
    70160AX-ray exam of nasal bones0.170.580.600.580.600.030.780.800.780.80XXX
    7016026AX-ray exam of nasal bones0.170.060.070.060.070.010.240.250.240.25XXX
    70160TCAX-ray exam of nasal bones0.000.520.53NANA0.020.540.55NANAXXX
    70170AX-ray exam of tear duct0.301.051.071.051.070.061.411.431.411.43XXX
    7017026AX-ray exam of tear duct0.300.110.120.110.120.010.420.430.420.43XXX
    70170TCAX-ray exam of tear duct0.000.940.95NANA0.050.991.00NANAXXX
    70190AX-ray exam of eye sockets0.210.680.700.680.700.040.930.950.930.95XXX
    7019026AX-ray exam of eye sockets0.210.070.080.070.080.010.290.300.290.30XXX
    70190TCAX-ray exam of eye sockets0.000.610.62NANA0.030.640.65NANAXXX
    70200AX-ray exam of eye sockets0.280.880.900.880.900.051.211.231.211.23XXX
    7020026AX-ray exam of eye sockets0.280.100.110.100.110.010.390.400.390.40XXX
    70200TCAX-ray exam of eye sockets0.000.780.79NANA0.040.820.83NANAXXX
    70210AX-ray exam of sinuses0.170.670.690.670.690.040.880.900.880.90XXX
    7021026AX-ray exam of sinuses0.170.060.070.060.070.010.240.250.240.25XXX
    70210TCAX-ray exam of sinuses0.000.610.62NANA0.030.640.65NANAXXX
    70220AX-ray exam of sinuses0.250.870.890.870.890.051.171.191.171.19XXX
    7022026AX-ray exam of sinuses0.250.090.100.090.100.010.350.360.350.36XXX
    70220TCAX-ray exam of sinuses0.000.780.79NANA0.040.820.83NANAXXX
    70240AX-ray exam, pituitary saddle0.190.480.500.480.500.030.700.720.700.72XXX
    7024026AX-ray exam, pituitary saddle0.190.070.080.070.080.010.270.280.270.28XXX
    70240TCAX-ray exam, pituitary saddle0.000.410.42NANA0.020.430.44NANAXXX
    70250AX-ray exam of skull0.240.700.720.700.720.040.981.000.981.00XXX
    7025026AX-ray exam of skull0.240.090.100.090.100.010.340.350.340.35XXX
    70250TCAX-ray exam of skull0.000.610.62NANA0.030.640.65NANAXXX
    70260AX-ray exam of skull0.341.001.021.001.020.061.401.421.401.42XXX
    7026026AX-ray exam of skull0.340.120.130.120.130.010.470.480.470.48XXX
    70260TCAX-ray exam of skull0.000.880.89NANA0.050.930.94NANAXXX
    70300AX-ray exam of teeth0.100.300.300.300.300.030.430.430.430.43XXX
    7030026AX-ray exam of teeth0.100.040.040.040.040.010.150.150.150.15XXX
    70300TCAX-ray exam of teeth0.000.260.26NANA0.020.280.28NANAXXX
    70310AX-ray exam of teeth0.160.470.490.470.490.030.660.680.660.68XXX
    7031026AX-ray exam of teeth0.160.060.070.060.070.010.230.240.230.24XXX
    Start Printed Page 65503
    70310TCAX-ray exam of teeth0.000.410.42NANA0.020.430.44NANAXXX
    70320AFull mouth x-ray of teeth0.220.860.880.860.880.051.131.151.131.15XXX
    7032026AFull mouth x-ray of teeth0.220.080.090.080.090.010.310.320.310.32XXX
    70320TCAFull mouth x-ray of teeth0.000.780.79NANA0.040.820.83NANAXXX
    70328AX-ray exam of jaw joint0.180.550.570.550.570.030.760.780.760.78XXX
    7032826AX-ray exam of jaw joint0.180.060.070.060.070.010.250.260.250.26XXX
    70328TCAX-ray exam of jaw joint0.000.490.50NANA0.020.510.52NANAXXX
    70330AX-ray exam of jaw joints0.240.930.950.930.950.051.221.241.221.24XXX
    7033026AX-ray exam of jaw joints0.240.090.100.090.100.010.340.350.340.35XXX
    70330TCAX-ray exam of jaw joints0.000.840.85NANA0.040.880.89NANAXXX
    70332AX-ray exam of jaw joint0.542.282.322.282.320.122.942.982.942.98XXX
    7033226AX-ray exam of jaw joint0.540.200.220.200.220.020.760.780.760.78XXX
    70332TCAX-ray exam of jaw joint0.002.082.10NANA0.102.182.20NANAXXX
    70336AMagnetic image, jaw joint1.4811.6611.7711.6611.770.5613.7013.8113.7013.81XXX
    7033626AMagnetic image, jaw joint1.480.530.520.530.520.072.082.072.082.07XXX
    70336TCAMagnetic image, jaw joint0.0011.1311.25NANA0.4911.6211.74NANAXXX
    70350AX-ray head for orthodontia0.170.430.450.430.450.030.630.650.630.65XXX
    7035026AX-ray head for orthodontia0.170.060.070.060.070.010.240.250.240.25XXX
    70350TCAX-ray head for orthodontia0.000.370.38NANA0.020.390.40NANAXXX
    70355APanoramic x-ray of jaws0.200.640.660.640.660.040.880.900.880.90XXX
    7035526APanoramic x-ray of jaws0.200.070.080.070.080.010.280.290.280.29XXX
    70355TCAPanoramic x-ray of jaws0.000.570.58NANA0.030.600.61NANAXXX
    70360AX-ray exam of neck0.170.470.490.470.490.030.670.690.670.69XXX
    7036026AX-ray exam of neck0.170.060.070.060.070.010.240.250.240.25XXX
    70360TCAX-ray exam of neck0.000.410.42NANA0.020.430.44NANAXXX
    70370AThroat x-ray & fluoroscopy0.321.411.431.411.430.071.801.821.801.82XXX
    7037026AThroat x-ray & fluoroscopy0.320.110.120.110.120.010.440.450.440.45XXX
    70370TCAThroat x-ray & fluoroscopy0.001.301.31NANA0.061.361.37NANAXXX
    70371ASpeech evaluation, complex0.842.382.432.382.430.143.363.413.363.41XXX
    7037126ASpeech evaluation, complex0.840.300.330.300.330.041.181.211.181.21XXX
    70371TCASpeech evaluation, complex0.002.082.10NANA0.102.182.20NANAXXX
    70373AContrast x-ray of larynx0.441.931.971.931.970.112.482.522.482.52XXX
    7037326AContrast x-ray of larynx0.440.160.180.160.180.020.620.640.620.64XXX
    70373TCAContrast x-ray of larynx0.001.771.79NANA0.091.861.88NANAXXX
    70380AX-ray exam of salivary gland0.170.720.740.720.740.040.930.950.930.95XXX
    7038026AX-ray exam of salivary gland0.170.060.070.060.070.010.240.250.240.25XXX
    70380TCAX-ray exam of salivary gland0.000.660.67NANA0.030.690.70NANAXXX
    70390AX-ray exam of salivary duct0.381.901.931.901.930.112.392.422.392.42XXX
    7039026AX-ray exam of salivary duct0.380.130.140.130.140.020.530.540.530.54XXX
    70390TCAX-ray exam of salivary duct0.001.771.79NANA0.091.861.88NANAXXX
    70450ACt head/brain w/o dye0.854.995.074.995.070.256.096.176.096.17XXX
    7045026ACt head/brain w/o dye0.850.300.330.300.330.041.191.221.191.22XXX
    70450TCACt head/brain w/o dye0.004.694.74NANA0.214.904.95NANAXXX
    70460ACt head/brain w/dye1.136.016.116.016.110.307.447.547.447.54XXX
    7046026ACt head/brain w/dye1.130.400.440.400.440.051.581.621.581.62XXX
    70460TCACt head/brain w/dye0.005.615.67NANA0.255.865.92NANAXXX
    70470ACt head/brain w/o&w dye1.277.467.587.467.580.379.109.229.109.22XXX
    7047026ACt head/brain w/o&w dye1.270.450.490.450.490.061.781.821.781.82XXX
    70470TCACt head/brain w/o&w dye0.007.017.09NANA0.317.327.40NANAXXX
    70480ACt orbit/ear/fossa w/o dye1.285.145.235.145.230.276.696.786.696.78XXX
    7048026ACt orbit/ear/fossa w/o dye1.280.450.490.450.490.061.791.831.791.83XXX
    70480TCACt orbit/ear/fossa w/o dye0.004.694.74NANA0.214.904.95NANAXXX
    70481ACt orbit/ear/fossa w/dye1.386.106.206.106.200.317.797.897.797.89XXX
    7048126ACt orbit/ear/fossa w/dye1.380.490.530.490.530.061.931.971.931.97XXX
    70481TCACt orbit/ear/fossa w/dye0.005.615.67NANA0.255.865.92NANAXXX
    70482ACt orbit/ear/fossa w/o&w dye1.457.537.657.537.650.379.359.479.359.47XXX
    7048226ACt orbit/ear/fossa w/o&w dye1.450.520.560.520.560.062.032.072.032.07XXX
    70482TCACt orbit/ear/fossa w/o&w dye0.007.017.09NANA0.317.327.40NANAXXX
    70486ACt maxillofacial w/o dye1.145.105.185.105.180.266.506.586.506.58XXX
    7048626ACt maxillofacial w/o dye1.140.410.440.410.440.051.601.631.601.63XXX
    70486TCACt maxillofacial w/o dye0.004.694.74NANA0.214.904.95NANAXXX
    70487ACt maxillofacial w/dye1.306.076.176.076.170.317.687.787.687.78XXX
    7048726ACt maxillofacial w/dye1.300.460.500.460.500.061.821.861.821.86XXX
    70487TCACt maxillofacial w/dye0.005.615.67NANA0.255.865.92NANAXXX
    70488ACt maxillofacial w/o&w dye1.427.517.647.517.640.379.309.439.309.43XXX
    7048826ACt maxillofacial w/o&w dye1.420.500.550.500.550.061.982.031.982.03XXX
    70488TCACt maxillofacial w/o&w dye0.007.017.09NANA0.317.327.40NANAXXX
    70490ACt soft tissue neck w/o dye1.285.145.235.145.230.276.696.786.696.78XXX
    7049026ACt soft tissue neck w/o dye1.280.450.490.450.490.061.791.831.791.83XXX
    70490TCACt soft tissue neck w/o dye0.004.694.74NANA0.214.904.95NANAXXX
    70491ACt soft tissue neck w/dye1.386.106.206.106.200.317.797.897.797.89XXX
    7049126ACt soft tissue neck w/dye1.380.490.530.490.530.061.931.971.931.97XXX
    70491TCACt soft tissue neck w/dye0.005.615.67NANA0.255.865.92NANAXXX
    70492ACt sft tsue nck w/o & w/dye1.457.537.657.537.650.379.359.479.359.47XXX
    7049226ACt sft tsue nck w/o & w/dye1.450.520.560.520.560.062.032.072.032.07XXX
    70492TCACt sft tsue nck w/o & w/dye0.007.017.09NANA0.317.327.40NANAXXX
    70496ACt angiography, head1.757.717.717.717.710.5410.0010.0010.0010.00XXX
    7049626ACt angiography, head1.750.700.700.700.700.062.512.512.512.51XXX
    70496TCACt angiography, head0.007.017.01NANA0.487.497.49NANAXXX
    70498ACt angiography, neck1.757.717.717.717.710.5410.0010.0010.0010.00XXX
    7049826ACt angiography, neck1.750.700.700.700.700.062.512.512.512.51XXX
    70498TCACt angiography, neck0.007.017.01NANA0.487.497.49NANAXXX
    70540AMri orbit/face/neck w/o dye0.9811.4811.6911.4811.690.3612.8213.0312.8213.03XXX
    Start Printed Page 65504
    7054026AMri orbit/face/neck w/o dye0.980.350.440.350.440.041.371.461.371.46XXX
    70540TCAMri orbit/face/neck w/o dye0.0011.1311.25NANA0.3211.4511.57NANAXXX
    70541DMagnetic image, head (MRA)0.000.000.000.000.000.000.000.000.000.00XXX
    7054126DMagnetic image, head (MRA)0.000.000.000.000.000.000.000.000.000.00XXX
    70541TCDMagnetic image, head (MRA)0.000.000.00NANA0.000.000.00NANAXXX
    70542AMri orbit/face/neck w/dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    7054226AMri orbit/face/neck w/dye1.170.420.420.420.420.041.631.631.631.63XXX
    70542TCAMri orbit/face/neck w/dye0.0013.3413.34NANA0.3913.7313.73NANAXXX
    70543AMri orbt/fac/nck w/o&w dye1.5625.2725.2725.2725.270.7827.6127.6127.6127.61XXX
    7054326AMri orbt/fac/nck w/o&w dye1.560.560.560.560.560.082.202.202.202.20XXX
    70543TCAMri orbt/fac/nck w/o&w dye0.0024.7124.71NANA0.7025.4125.41NANAXXX
    70544AMr angiography head w/o dye1.2011.5611.5611.5611.560.5613.3213.3213.3213.32XXX
    7054426AMr angiography head w/o dye1.200.430.430.430.430.071.701.701.701.70XXX
    70544TCAMr angiography head w/o dye0.0011.1311.13NANA0.4911.6211.62NANAXXX
    70545AMr angiography head w/dye1.2011.5611.5611.5611.560.5613.3213.3213.3213.32XXX
    7054526AMr angiography head w/dye1.200.430.430.430.430.071.701.701.701.70XXX
    70545TCAMr angiography head w/dye0.0011.1311.13NANA0.4911.6211.62NANAXXX
    70546AMr angiograph head w/o&w dye1.8022.8922.8922.8922.890.5625.2525.2525.2525.25XXX
    7054626AMr angiograph head w/o&w dye1.800.640.640.640.640.072.512.512.512.51XXX
    70546TCAMr angiograph head w/o&w dye0.0022.2522.25NANA0.4922.7422.74NANAXXX
    70547AMr angiography neck w/o dye1.2011.5611.5611.5611.560.5613.3213.3213.3213.32XXX
    7054726AMr angiography neck w/o dye1.200.430.430.430.430.071.701.701.701.70XXX
    70547TCAMr angiography neck w/o dye0.0011.1311.13NANA0.4911.6211.62NANAXXX
    70548AMr angiography neck w/dye1.2011.5611.5611.5611.560.5613.3213.3213.3213.32XXX
    7054826AMr angiography neck w/dye1.200.430.430.430.430.071.701.701.701.70XXX
    70548TCAMr angiography neck w/dye0.0011.1311.13NANA0.4911.6211.62NANAXXX
    70549AMr angiograph neck w/o&w dye1.8022.8922.8922.8922.890.5625.2525.2525.2525.25XXX
    7054926AMr angiograph neck w/o&w dye1.800.640.640.640.640.072.512.512.512.51XXX
    70549TCAMr angiograph neck w/o&w dye0.0022.2522.25NANA0.4922.7422.74NANAXXX
    70551AMri brain w/o dye1.4811.6611.8311.6611.830.5613.7013.8713.7013.87XXX
    7055126AMri brain w/o dye1.480.530.580.530.580.072.082.132.082.13XXX
    70551TCAMri brain w/o dye0.0011.1311.25NANA0.4911.6211.74NANAXXX
    70552AMri brain w/dye1.7813.9814.1813.9814.180.6616.4216.6216.4216.62XXX
    7055226AMri brain w/dye1.780.640.700.640.700.082.502.562.502.56XXX
    70552TCAMri brain w/dye0.0013.3413.48NANA0.5813.9214.06NANAXXX
    70553AMri brain w/o&w dye2.3625.5525.8925.5525.891.1929.1029.4429.1029.44XXX
    7055326AMri brain w/o&w dye2.360.840.920.840.920.103.303.383.303.38XXX
    70553TCAMri brain w/o&w dye0.0024.7124.97NANA1.0925.8026.06NANAXXX
    71010AChest x-ray0.180.530.550.530.550.030.740.760.740.76XXX
    7101026AChest x-ray0.180.060.070.060.070.010.250.260.250.26XXX
    71010TCAChest x-ray0.000.470.48NANA0.020.490.50NANAXXX
    71015AChest x-ray0.210.600.620.600.620.030.840.860.840.86XXX
    7101526AChest x-ray0.210.080.090.080.090.010.300.310.300.31XXX
    71015TCAChest x-ray0.000.520.53NANA0.020.540.55NANAXXX
    71020AChest x-ray0.220.690.710.690.710.040.950.970.950.97XXX
    7102026AChest x-ray0.220.080.090.080.090.010.310.320.310.32XXX
    71020TCAChest x-ray0.000.610.62NANA0.030.640.65NANAXXX
    71021AChest x-ray0.270.830.850.830.850.051.151.171.151.17XXX
    7102126AChest x-ray0.270.100.110.100.110.010.380.390.380.39XXX
    71021TCAChest x-ray0.000.730.74NANA0.040.770.78NANAXXX
    71022AChest x-ray0.310.840.860.840.860.061.211.231.211.23XXX
    7102226AChest x-ray0.310.110.120.110.120.020.440.450.440.45XXX
    71022TCAChest x-ray0.000.730.74NANA0.040.770.78NANAXXX
    71023AChest x-ray and fluoroscopy0.380.920.940.920.940.061.361.381.361.38XXX
    7102326AChest x-ray and fluoroscopy0.380.140.150.140.150.020.540.550.540.55XXX
    71023TCAChest x-ray and fluoroscopy0.000.780.79NANA0.040.820.83NANAXXX
    71030AChest x-ray0.310.890.910.890.910.051.251.271.251.27XXX
    7103026AChest x-ray0.310.110.120.110.120.010.430.440.430.44XXX
    71030TCAChest x-ray0.000.780.79NANA0.040.820.83NANAXXX
    71034AChest x-ray and fluoroscopy0.461.611.641.611.640.092.162.192.162.19XXX
    7103426AChest x-ray and fluoroscopy0.460.180.190.180.190.020.660.670.660.67XXX
    71034TCAChest x-ray and fluoroscopy0.001.431.45NANA0.071.501.52NANAXXX
    71035AChest x-ray0.180.580.600.580.600.030.790.810.790.81XXX
    7103526AChest x-ray0.180.060.070.060.070.010.250.260.250.26XXX
    71035TCAChest x-ray0.000.520.53NANA0.020.540.55NANAXXX
    71036DX-ray guidance for biopsy0.000.000.000.000.000.000.000.000.000.00XXX
    7103626DX-ray guidance for biopsy0.000.000.000.000.000.000.000.000.000.00XXX
    71036TCDX-ray guidance for biopsy0.000.000.00NANA0.000.000.00NANAXXX
    71040AContrast x-ray of bronchi0.581.661.701.661.700.102.342.382.342.38XXX
    7104026AContrast x-ray of bronchi0.580.210.230.210.230.030.820.840.820.84XXX
    71040TCAContrast x-ray of bronchi0.001.451.47NANA0.071.521.54NANAXXX
    71060AContrast x-ray of bronchi0.742.452.502.452.500.143.333.383.333.38XXX
    7106026AContrast x-ray of bronchi0.740.260.290.260.290.031.031.061.031.06XXX
    71060TCAContrast x-ray of bronchi0.002.192.21NANA0.112.302.32NANAXXX
    71090AX-ray & pacemaker insertion0.541.901.931.901.930.112.552.582.552.58XXX
    7109026AX-ray & pacemaker insertion0.540.230.240.230.240.020.790.800.790.80XXX
    71090TCAX-ray & pacemaker insertion0.001.671.69NANA0.091.761.78NANAXXX
    71100AX-ray exam of ribs0.220.650.670.650.670.040.910.930.910.93XXX
    7110026AX-ray exam of ribs0.220.080.090.080.090.010.310.320.310.32XXX
    71100TCAX-ray exam of ribs0.000.570.58NANA0.030.600.61NANAXXX
    71101AX-ray exam of ribs/chest0.270.760.780.760.780.041.071.091.071.09XXX
    7110126AX-ray exam of ribs/chest0.270.100.110.100.110.010.380.390.380.39XXX
    71101TCAX-ray exam of ribs/chest0.000.660.67NANA0.030.690.70NANAXXX
    Start Printed Page 65505
    71110AX-ray exam of ribs0.270.880.900.880.900.051.201.221.201.22XXX
    7111026AX-ray exam of ribs0.270.100.110.100.110.010.380.390.380.39XXX
    71110TCAX-ray exam of ribs0.000.780.79NANA0.040.820.83NANAXXX
    71111AX-ray exam of ribs/ chest0.320.991.010.991.010.061.371.391.371.39XXX
    7111126AX-ray exam of ribs/ chest0.320.110.120.110.120.010.440.450.440.45XXX
    71111TCAX-ray exam of ribs/ chest0.000.880.89NANA0.050.930.94NANAXXX
    71120AX-ray exam of breastbone0.200.710.730.710.730.040.950.970.950.97XXX
    7112026AX-ray exam of breastbone0.200.070.080.070.080.010.280.290.280.29XXX
    71120TCAX-ray exam of breastbone0.000.640.65NANA0.030.670.68NANAXXX
    71130AX-ray exam of breastbone0.220.780.800.780.800.041.041.061.041.06XXX
    7113026AX-ray exam of breastbone0.220.080.090.080.090.010.310.320.310.32XXX
    71130TCAX-ray exam of breastbone0.000.700.71NANA0.030.730.74NANAXXX
    71250ACt thorax w/o dye1.166.276.376.276.370.317.747.847.747.84XXX
    7125026ACt thorax w/o dye1.160.410.450.410.450.051.621.661.621.66XXX
    71250TCACt thorax w/o dye0.005.865.92NANA0.266.126.18NANAXXX
    71260ACt thorax w/dye1.247.457.577.457.570.369.059.179.059.17XXX
    7126026ACt thorax w/dye1.240.440.480.440.480.051.731.771.731.77XXX
    71260TCACt thorax w/dye0.007.017.09NANA0.317.327.40NANAXXX
    71270ACt thorax w/o&w dye1.389.279.409.279.400.4411.0911.2211.0911.22XXX
    7127026ACt thorax w/o&w dye1.380.490.530.490.530.061.931.971.931.97XXX
    71270TCACt thorax w/o&w dye0.008.788.87NANA0.389.169.25NANAXXX
    71275ACt angiography, chest1.209.269.269.269.260.3710.8310.8310.8310.83XXX
    7127526ACt angiography, chest1.200.480.480.480.480.051.731.731.731.73XXX
    71275TCACt angiography, chest0.008.788.78NANA0.329.109.10NANAXXX
    71550AMri chest w/o dye1.1011.5211.7411.5211.740.4113.0313.2513.0313.25XXX
    7155026AMri chest w/o dye1.100.390.490.390.490.041.531.631.531.63XXX
    71550TCAMri chest w/o dye0.0011.1311.25NANA0.3711.5011.62NANAXXX
    71551AMri chest w/dye1.3013.8013.8013.8013.800.4815.5815.5815.5815.58XXX
    7155126AMri chest w/dye1.300.460.460.460.460.051.811.811.811.81XXX
    71551TCAMri chest w/dye0.0013.3413.34NANA0.4313.7713.77NANAXXX
    71552AMri chest w/o&w dye1.7025.3125.3125.3125.310.6327.6427.6427.6427.64XXX
    7155226AMri chest w/o&w dye1.700.600.600.600.600.072.372.372.372.37XXX
    71552TCAMri chest w/o&w dye0.0024.7124.71NANA0.5625.2725.27NANAXXX
    71555RMri angio chest w or w/o dye1.8111.7811.9311.7811.930.5714.1614.3114.1614.31XXX
    7155526RMri angio chest w or w/o dye1.810.650.680.650.680.082.542.572.542.57XXX
    71555TCRMri angio chest w or w/o dye0.0011.1311.25NANA0.4911.6211.74NANAXXX
    72010AX-ray exam of spine0.451.181.211.181.210.081.711.741.711.74XXX
    7201026AX-ray exam of spine0.450.160.180.160.180.030.640.660.640.66XXX
    72010TCAX-ray exam of spine0.001.021.03NANA0.051.071.08NANAXXX
    72020AX-ray exam of spine0.150.460.480.460.480.030.640.660.640.66XXX
    7202026AX-ray exam of spine0.150.050.060.050.060.010.210.220.210.22XXX
    72020TCAX-ray exam of spine0.000.410.42NANA0.020.430.44NANAXXX
    72040AX-ray exam of neck spine0.220.680.700.680.700.040.940.960.940.96XXX
    7204026AX-ray exam of neck spine0.220.080.090.080.090.010.310.320.310.32XXX
    72040TCAX-ray exam of neck spine0.000.600.61NANA0.030.630.64NANAXXX
    72050AX-ray exam of neck spine0.310.991.010.991.010.071.371.391.371.39XXX
    7205026AX-ray exam of neck spine0.310.110.120.110.120.020.440.450.440.45XXX
    72050TCAX-ray exam of neck spine0.000.880.89NANA0.050.930.94NANAXXX
    72052AX-ray exam of neck spine0.361.251.271.251.270.071.681.701.681.70XXX
    7205226AX-ray exam of neck spine0.360.130.140.130.140.020.510.520.510.52XXX
    72052TCAX-ray exam of neck spine0.001.121.13NANA0.051.171.18NANAXXX
    72069AX-ray exam of trunk spine0.220.570.590.570.590.040.830.850.830.85XXX
    7206926AX-ray exam of trunk spine0.220.080.090.080.090.020.320.330.320.33XXX
    72069TCAX-ray exam of trunk spine0.000.490.50NANA0.020.510.52NANAXXX
    72070AX-ray exam of thoracic spine0.220.720.740.720.740.040.981.000.981.00XXX
    7207026AX-ray exam of thoracic spine0.220.080.090.080.090.010.310.320.310.32XXX
    72070TCAX-ray exam of thoracic spine0.000.640.65NANA0.030.670.68NANAXXX
    72072AX-ray exam of thoracic spine0.220.810.830.810.830.051.081.101.081.10XXX
    7207226AX-ray exam of thoracic spine0.220.080.090.080.090.010.310.320.310.32XXX
    72072TCAX-ray exam of thoracic spine0.000.730.74NANA0.040.770.78NANAXXX
    72074AX-ray exam of thoracic spine0.220.981.000.981.000.061.261.281.261.28XXX
    7207426AX-ray exam of thoracic spine0.220.080.090.080.090.010.310.320.310.32XXX
    72074TCAX-ray exam of thoracic spine0.000.900.91NANA0.050.950.96NANAXXX
    72080AX-ray exam of trunk spine0.220.740.760.740.760.051.011.031.011.03XXX
    7208026AX-ray exam of trunk spine0.220.080.090.080.090.020.320.330.320.33XXX
    72080TCAX-ray exam of trunk spine0.000.660.67NANA0.030.690.70NANAXXX
    72090AX-ray exam of trunk spine0.280.760.780.760.780.051.091.111.091.11XXX
    7209026AX-ray exam of trunk spine0.280.100.110.100.110.020.400.410.400.41XXX
    72090TCAX-ray exam of trunk spine0.000.660.67NANA0.030.690.70NANAXXX
    72100AX-ray exam of lower spine0.220.740.760.740.760.051.011.031.011.03XXX
    7210026AX-ray exam of lower spine0.220.080.090.080.090.020.320.330.320.33XXX
    72100TCAX-ray exam of lower spine0.000.660.67NANA0.030.690.70NANAXXX
    72110AX-ray exam of lower spine0.311.011.031.011.030.071.391.411.391.41XXX
    7211026AX-ray exam of lower spine0.310.110.120.110.120.020.440.450.440.45XXX
    72110TCAX-ray exam of lower spine0.000.900.91NANA0.050.950.96NANAXXX
    72114AX-ray exam of lower spine0.361.311.331.311.330.081.751.771.751.77XXX
    7211426AX-ray exam of lower spine0.360.130.140.130.140.030.520.530.520.53XXX
    72114TCAX-ray exam of lower spine0.001.181.19NANA0.051.231.24NANAXXX
    72120AX-ray exam of lower spine0.220.960.980.960.980.071.251.271.251.27XXX
    7212026AX-ray exam of lower spine0.220.080.090.080.090.020.320.330.320.33XXX
    72120TCAX-ray exam of lower spine0.000.880.89NANA0.050.930.94NANAXXX
    72125ACt neck spine w/o dye1.166.276.376.276.370.317.747.847.747.84XXX
    7212526ACt neck spine w/o dye1.160.410.450.410.450.051.621.661.621.66XXX
    Start Printed Page 65506
    72125TCACt neck spine w/o dye0.005.865.92NANA0.266.126.18NANAXXX
    72126ACt neck spine w/dye1.227.447.567.447.560.369.029.149.029.14XXX
    7212626ACt neck spine w/dye1.220.430.470.430.470.051.701.741.701.74XXX
    72126TCACt neck spine w/dye0.007.017.09NANA0.317.327.40NANAXXX
    72127ACt neck spine w/o&w dye1.279.239.369.239.360.4410.9411.0710.9411.07XXX
    7212726ACt neck spine w/o&w dye1.270.450.490.450.490.061.781.821.781.82XXX
    72127TCACt neck spine w/o&w dye0.008.788.87NANA0.389.169.25NANAXXX
    72128ACt chest spine w/o dye1.166.276.376.276.370.317.747.847.747.84XXX
    7212826ACt chest spine w/o dye1.160.410.450.410.450.051.621.661.621.66XXX
    72128TCACt chest spine w/o dye0.005.865.92NANA0.266.126.18NANAXXX
    72129ACt chest spine w/dye1.227.447.567.447.560.369.029.149.029.14XXX
    7212926ACt chest spine w/dye1.220.430.470.430.470.051.701.741.701.74XXX
    72129TCACt chest spine w/dye0.007.017.09NANA0.317.327.40NANAXXX
    72130ACt chest spine w/o&w dye1.279.239.369.239.360.4410.9411.0710.9411.07XXX
    7213026ACt chest spine w/o&w dye1.270.450.490.450.490.061.781.821.781.82XXX
    72130TCACt chest spine w/o&w dye0.008.788.87NANA0.389.169.25NANAXXX
    72131ACt lumbar spine w/o dye1.166.276.376.276.370.317.747.847.747.84XXX
    7213126ACt lumbar spine w/o dye1.160.410.450.410.450.051.621.661.621.66XXX
    72131TCACt lumbar spine w/o dye0.005.865.92NANA0.266.126.18NANAXXX
    72132ACt lumbar spine w/dye1.227.447.567.447.560.379.039.159.039.15XXX
    7213226ACt lumbar spine w/dye1.220.430.470.430.470.061.711.751.711.75XXX
    72132TCACt lumbar spine w/dye0.007.017.09NANA0.317.327.40NANAXXX
    72133ACt lumbar spine w/o&w dye1.279.249.379.249.370.4410.9511.0810.9511.08XXX
    7213326ACt lumbar spine w/o&w dye1.270.460.500.460.500.061.791.831.791.83XXX
    72133TCACt lumbar spine w/o&w dye0.008.788.87NANA0.389.169.25NANAXXX
    72141AMri neck spine w/o dye1.6011.7011.8711.7011.870.5613.8614.0313.8614.03XXX
    7214126AMri neck spine w/o dye1.600.570.620.570.620.072.242.292.242.29XXX
    72141TCAMri neck spine w/o dye0.0011.1311.25NANA0.4911.6211.74NANAXXX
    72142AMri neck spine w/dye1.9214.0414.2414.0414.240.6716.6316.8316.6316.83XXX
    7214226AMri neck spine w/dye1.920.700.760.700.760.092.712.772.712.77XXX
    72142TCAMri neck spine w/dye0.0013.3413.48NANA0.5813.9214.06NANAXXX
    72146AMri chest spine w/o dye1.6012.9313.1112.9313.110.6015.1315.3115.1315.31XXX
    7214626AMri chest spine w/o dye1.600.570.620.570.620.072.242.292.242.29XXX
    72146TCAMri chest spine w/o dye0.0012.3612.49NANA0.5312.8913.02NANAXXX
    72147AMri chest spine w/dye1.9214.0314.2314.0314.230.6716.6216.8216.6216.82XXX
    7214726AMri chest spine w/dye1.920.690.750.690.750.092.702.762.702.76XXX
    72147TCAMri chest spine w/dye0.0013.3413.48NANA0.5813.9214.06NANAXXX
    72148AMri lumbar spine w/o dye1.4812.8913.0712.8913.070.6014.9715.1514.9715.15XXX
    7214826AMri lumbar spine w/o dye1.480.530.580.530.580.072.082.132.082.13XXX
    72148TCAMri lumbar spine w/o dye0.0012.3612.49NANA0.5312.8913.02NANAXXX
    72149AMri lumbar spine w/dye1.7813.9914.1913.9914.190.6716.4416.6416.4416.64XXX
    7214926AMri lumbar spine w/dye1.780.650.710.650.710.092.522.582.522.58XXX
    72149TCAMri lumbar spine w/dye0.0013.3413.48NANA0.5813.9214.06NANAXXX
    72156AMri neck spine w/o&w dye2.5725.6325.9725.6325.971.2029.4029.7429.4029.74XXX
    7215626AMri neck spine w/o&w dye2.570.921.000.921.000.113.603.683.603.68XXX
    72156TCAMri neck spine w/o&w dye0.0024.7124.97NANA1.0925.8026.06NANAXXX
    72157AMri chest spine w/o&w dye2.5725.6325.9725.6325.971.2029.4029.7429.4029.74XXX
    7215726AMri chest spine w/o&w dye2.570.921.000.921.000.113.603.683.603.68XXX
    72157TCAMri chest spine w/o&w dye0.0024.7124.97NANA1.0925.8026.06NANAXXX
    72158AMri lumbar spine w/o&w dye2.3625.5525.8925.5525.891.2029.1129.4529.1129.45XXX
    7215826AMri lumbar spine w/o&w dye2.360.840.920.840.920.113.313.393.313.39XXX
    72158TCAMri lumbar spine w/o&w dye0.0024.7124.97NANA1.0925.8026.06NANAXXX
    72159NMr angio spine w/o&w dye+1.8013.0813.2113.0813.210.6115.4915.6215.4915.62XXX
    7215926NMr angio spine w/o&w dye+1.800.720.720.720.720.082.602.602.602.60XXX
    72159TCNMr angio spine w/o&w dye+0.0012.3612.49NANA0.5312.8913.02NANAXXX
    72170AX-ray exam of pelvis0.170.580.600.580.600.030.780.800.780.80XXX
    7217026AX-ray exam of pelvis0.170.060.070.060.070.010.240.250.240.25XXX
    72170TCAX-ray exam of pelvis0.000.520.53NANA0.020.540.55NANAXXX
    72190AX-ray exam of pelvis0.210.740.760.740.760.040.991.010.991.01XXX
    7219026AX-ray exam of pelvis0.210.080.090.080.090.010.300.310.300.31XXX
    72190TCAX-ray exam of pelvis0.000.660.67NANA0.030.690.70NANAXXX
    72191ACt angiograph pelv w/o&w dye1.208.918.918.918.910.3710.4810.4810.4810.48XXX
    7219126ACt angiograph pelv w/o&w dye1.200.480.480.480.480.051.731.731.731.73XXX
    72191TCACt angiograph pelv w/o&w dye0.008.438.43NANA0.328.758.75NANAXXX
    72192ACt pelvis w/o dye1.096.256.346.256.340.317.657.747.657.74XXX
    7219226ACt pelvis w/o dye1.090.390.420.390.420.051.531.561.531.56XXX
    72192TCACt pelvis w/o dye0.005.865.92NANA0.266.126.18NANAXXX
    72193ACt pelvis w/dye1.167.207.317.207.310.358.718.828.718.82XXX
    7219326ACt pelvis w/dye1.160.410.450.410.450.051.621.661.621.66XXX
    72193TCACt pelvis w/dye0.006.796.86NANA0.307.097.16NANAXXX
    72194ACt pelvis w/o&w dye1.228.868.998.868.990.4110.4910.6210.4910.62XXX
    7219426ACt pelvis w/o&w dye1.220.430.470.430.470.051.701.741.701.74XXX
    72194TCACt pelvis w/o&w dye0.008.438.52NANA0.368.798.88NANAXXX
    72195AMri pelvis w/o dye1.1011.5211.5211.5211.520.4113.0313.0313.0313.03XXX
    7219526AMri pelvis w/o dye1.100.390.390.390.390.041.531.531.531.53XXX
    72195TCAMri pelvis w/o dye0.0011.1311.13NANA0.3711.5011.50NANAXXX
    72196AMri pelvis w/dye1.3013.8013.4413.8013.440.4815.5815.2215.5815.22XXX
    7219626AMri pelvis w/dye1.300.460.540.460.540.051.811.891.811.89XXX
    72196TCAMri pelvis w/dye0.0013.3412.90NANA0.4313.7713.33NANAXXX
    72197AMri pelvis w/o & w dye1.7025.3125.3125.3125.310.8527.8627.8627.8627.86XXX
    7219726AMri pelvis w/o & w dye1.700.600.600.600.600.092.392.392.392.39XXX
    72197TCAMri pelvis w/o & w dye0.0024.7124.71NANA0.7625.4725.47NANAXXX
    72198NMr angio pelvis w/o&w dye+1.8011.8511.9911.8511.990.5714.2214.3614.2214.36XXX
    Start Printed Page 65507
    7219826NMr angio pelvis w/o&w dye+1.800.720.740.720.740.082.602.622.602.62XXX
    72198TCNMr angio pelvis w/o&w dye+0.0011.1311.25NANA0.4911.6211.74NANAXXX
    72200AX-ray exam sacroiliac joints0.170.580.600.580.600.030.780.800.780.80XXX
    7220026AX-ray exam sacroiliac joints0.170.060.070.060.070.010.240.250.240.25XXX
    72200TCAX-ray exam sacroiliac joints0.000.520.53NANA0.020.540.55NANAXXX
    72202AX-ray exam sacroiliac joints0.190.680.700.680.700.040.910.930.910.93XXX
    7220226AX-ray exam sacroiliac joints0.190.070.080.070.080.010.270.280.270.28XXX
    72202TCAX-ray exam sacroiliac joints0.000.610.62NANA0.030.640.65NANAXXX
    72220AX-ray exam of tailbone0.170.630.650.630.650.040.840.860.840.86XXX
    7222026AX-ray exam of tailbone0.170.060.070.060.070.010.240.250.240.25XXX
    72220TCAX-ray exam of tailbone0.000.570.58NANA0.030.600.61NANAXXX
    72240AContrast x-ray of neck spine0.915.035.115.035.110.256.196.276.196.27XXX
    7224026AContrast x-ray of neck spine0.910.310.340.310.340.041.261.291.261.29XXX
    72240TCAContrast x-ray of neck spine0.004.724.77NANA0.214.934.98NANAXXX
    72255AContrast x-ray, thorax spine0.914.594.684.594.680.225.725.815.725.81XXX
    7225526AContrast x-ray, thorax spine0.910.290.330.290.330.041.241.281.241.28XXX
    72255TCAContrast x-ray, thorax spine0.004.304.35NANA0.184.484.53NANAXXX
    72265AContrast x-ray, lower spine0.834.314.394.314.390.225.365.445.365.44XXX
    7226526AContrast x-ray, lower spine0.830.270.310.270.310.041.141.181.141.18XXX
    72265TCAContrast x-ray, lower spine0.004.044.08NANA0.184.224.26NANAXXX
    72270AContrast x-ray of spine1.336.496.616.496.610.348.168.288.168.28XXX
    7227026AContrast x-ray of spine1.330.440.490.440.490.071.841.891.841.89XXX
    72270TCAContrast x-ray of spine0.006.056.12NANA0.276.326.39NANAXXX
    72275AEpidurography0.762.332.332.332.330.213.303.303.303.30XXX
    7227526AEpidurography0.760.250.250.250.250.031.041.041.041.04XXX
    72275TCAEpidurography0.002.082.08NANA0.182.262.26NANAXXX
    72285AX-ray c/t spine disk1.168.718.818.718.810.4210.2910.3910.2910.39XXX
    7228526AX-ray c/t spine disk1.160.390.400.390.400.061.611.621.611.62XXX
    72285TCAX-ray c/t spine disk0.008.328.41NANA0.368.688.77NANAXXX
    72295AX-ray of lower spine disk0.838.098.208.098.200.379.299.409.299.40XXX
    7229526AX-ray of lower spine disk0.830.290.320.290.320.041.161.191.161.19XXX
    72295TCAX-ray of lower spine disk0.007.807.88NANA0.338.138.21NANAXXX
    73000AX-ray exam of collar bone0.160.580.600.580.600.030.770.790.770.79XXX
    7300026AX-ray exam of collar bone0.160.060.070.060.070.010.230.240.230.24XXX
    73000TCAX-ray exam of collar bone0.000.520.53NANA0.020.540.55NANAXXX
    73010AX-ray exam of shoulder blade0.170.580.600.580.600.030.780.800.780.80XXX
    7301026AX-ray exam of shoulder blade0.170.060.070.060.070.010.240.250.240.25XXX
    73010TCAX-ray exam of shoulder blade0.000.520.53NANA0.020.540.55NANAXXX
    73020AX-ray exam of shoulder0.150.520.540.520.540.030.700.720.700.72XXX
    7302026AX-ray exam of shoulder0.150.050.060.050.060.010.210.220.210.22XXX
    73020TCAX-ray exam of shoulder0.000.470.48NANA0.020.490.50NANAXXX
    73030AX-ray exam of shoulder0.180.630.650.630.650.040.850.870.850.87XXX
    7303026AX-ray exam of shoulder0.180.060.070.060.070.010.250.260.250.26XXX
    73030TCAX-ray exam of shoulder0.000.570.58NANA0.030.600.61NANAXXX
    73040AContrast x-ray of shoulder0.542.272.312.272.310.132.942.982.942.98XXX
    7304026AContrast x-ray of shoulder0.540.190.210.190.210.030.760.780.760.78XXX
    73040TCAContrast x-ray of shoulder0.002.082.10NANA0.102.182.20NANAXXX
    73050AX-ray exam of shoulders0.200.730.750.730.750.050.981.000.981.00XXX
    7305026AX-ray exam of shoulders0.200.070.080.070.080.020.290.300.290.30XXX
    73050TCAX-ray exam of shoulders0.000.660.67NANA0.030.690.70NANAXXX
    73060AX-ray exam of humerus0.170.630.650.630.650.040.840.860.840.86XXX
    7306026AX-ray exam of humerus0.170.060.070.060.070.010.240.250.240.25XXX
    73060TCAX-ray exam of humerus0.000.570.58NANA0.030.600.61NANAXXX
    73070AX-ray exam of elbow0.150.570.590.570.590.030.750.770.750.77XXX
    7307026AX-ray exam of elbow0.150.050.060.050.060.010.210.220.210.22XXX
    73070TCAX-ray exam of elbow0.000.520.53NANA0.020.540.55NANAXXX
    73080AX-ray exam of elbow0.170.630.650.630.650.040.840.860.840.86XXX
    7308026AX-ray exam of elbow0.170.060.070.060.070.010.240.250.240.25XXX
    73080TCAX-ray exam of elbow0.000.570.58NANA0.030.600.61NANAXXX
    73085AContrast x-ray of elbow0.542.282.322.282.320.132.952.992.952.99XXX
    7308526AContrast x-ray of elbow0.540.200.220.200.220.030.770.790.770.79XXX
    73085TCAContrast x-ray of elbow0.002.082.10NANA0.102.182.20NANAXXX
    73090AX-ray exam of forearm0.160.580.600.580.600.030.770.790.770.79XXX
    7309026AX-ray exam of forearm0.160.060.070.060.070.010.230.240.230.24XXX
    73090TCAX-ray exam of forearm0.000.520.53NANA0.020.540.55NANAXXX
    73092AX-ray exam of arm, infant0.160.550.570.550.570.030.740.760.740.76XXX
    7309226AX-ray exam of arm, infant0.160.060.070.060.070.010.230.240.230.24XXX
    73092TCAX-ray exam of arm, infant0.000.490.50NANA0.020.510.52NANAXXX
    73100AX-ray exam of wrist0.160.550.570.550.570.040.750.770.750.77XXX
    7310026AX-ray exam of wrist0.160.060.070.060.070.020.240.250.240.25XXX
    73100TCAX-ray exam of wrist0.000.490.50NANA0.020.510.52NANAXXX
    73110AX-ray exam of wrist0.170.590.610.590.610.030.790.810.790.81XXX
    7311026AX-ray exam of wrist0.170.060.070.060.070.010.240.250.240.25XXX
    73110TCAX-ray exam of wrist0.000.530.54NANA0.020.550.56NANAXXX
    73115AContrast x-ray of wrist0.541.771.811.771.810.112.422.462.422.46XXX
    7311526AContrast x-ray of wrist0.540.200.220.200.220.030.770.790.770.79XXX
    73115TCAContrast x-ray of wrist0.001.571.59NANA0.081.651.67NANAXXX
    73120AX-ray exam of hand0.160.550.570.550.570.030.740.760.740.76XXX
    7312026AX-ray exam of hand0.160.060.070.060.070.010.230.240.230.24XXX
    73120TCAX-ray exam of hand0.000.490.50NANA0.020.510.52NANAXXX
    73130AX-ray exam of hand0.170.590.610.590.610.030.790.810.790.81XXX
    7313026AX-ray exam of hand0.170.060.070.060.070.010.240.250.240.25XXX
    73130TCAX-ray exam of hand0.000.530.54NANA0.020.550.56NANAXXX
    Start Printed Page 65508
    73140AX-ray exam of finger(s)0.130.460.480.460.480.030.620.640.620.64XXX
    7314026AX-ray exam of finger(s)0.130.050.060.050.060.010.190.200.190.20XXX
    73140TCAX-ray exam of finger(s)0.000.410.42NANA0.020.430.44NANAXXX
    73200ACt upper extremity w/o dye1.095.325.405.325.400.266.676.756.676.75XXX
    7320026ACt upper extremity w/o dye1.090.390.420.390.420.051.531.561.531.56XXX
    73200TCACt upper extremity w/o dye0.004.934.98NANA0.215.145.19NANAXXX
    73201ACt upper extremity w/dye1.166.276.376.276.370.317.747.847.747.84XXX
    7320126ACt upper extremity w/dye1.160.410.450.410.450.051.621.661.621.66XXX
    73201TCACt upper extremity w/dye0.005.865.92NANA0.266.126.18NANAXXX
    73202ACt uppr extremity w/o&w dye1.227.817.937.817.930.389.419.539.419.53XXX
    7320226ACt uppr extremity w/o&w dye1.220.440.480.440.480.061.721.761.721.76XXX
    73202TCACt uppr extremity w/o&w dye0.007.377.45NANA0.327.697.77NANAXXX
    73206ACt angio upr extrm w/o&w dye1.207.857.857.857.850.379.429.429.429.42XXX
    7320626ACt angio upr extrm w/o&w dye1.200.480.480.480.480.051.731.731.731.73XXX
    73206TCACt angio upr extrm w/o&w dye0.007.377.37NANA0.327.697.69NANAXXX
    73218AMri upper extremity w/o dye0.9811.4811.4811.4811.480.3612.8212.8212.8212.82XXX
    7321826AMri upper extremity w/o dye0.980.350.350.350.350.041.371.371.371.37XXX
    73218TCAMri upper extremity w/o dye0.0011.1311.13NANA0.3211.4511.45NANAXXX
    73219AMri upper extremity w/dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    7321926AMri upper extremity w/dye1.170.420.420.420.420.041.631.631.631.63XXX
    73219TCAMri upper extremity w/dye0.0013.3413.34NANA0.3913.7313.73NANAXXX
    73220AMri uppr extremity w/o&w dye1.5625.2722.0325.2722.030.7827.6124.3727.6124.37XXX
    7322026AMri uppr extremity w/o&w dye1.560.560.600.560.600.082.202.242.202.24XXX
    73220TCAMri uppr extremity w/o&w dye0.0024.7121.43NANA0.7025.4122.13NANAXXX
    73221AMri joint upr extrem w/o dye0.9811.4811.6311.4811.630.3612.8212.9712.8212.97XXX
    7322126AMri joint upr extrem w/o dye0.980.350.380.350.380.041.371.401.371.40XXX
    73221TCAMri joint upr extrem w/o dye0.0011.1311.25NANA0.3211.4511.57NANAXXX
    73222AMri joint upr extrem w/ dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    7322226AMri joint upr extrem w/ dye1.170.420.420.420.420.041.631.631.631.63XXX
    73222TCAMri joint upr extrem w/ dye0.0013.3413.34NANA0.3913.7313.73NANAXXX
    73223AMri joint upr extr w/o&w dye1.5625.2725.2725.2725.270.7827.6127.6127.6127.61XXX
    7322326AMri joint upr extr w/o&w dye1.560.560.560.560.560.082.202.202.202.20XXX
    73223TCAMri joint upr extr w/o&w dye0.0024.7124.71NANA0.7025.4125.41NANAXXX
    73225NMr angio upr extr w/o&w dye+1.7311.8211.9511.8211.950.5714.1214.2514.1214.25XXX
    7322526NMr angio upr extr w/o&w dye+1.730.690.700.690.700.082.502.512.502.51XXX
    73225TCNMr angio upr extr w/o&w dye+0.0011.1311.25NANA0.4911.6211.74NANAXXX
    73500AX-ray exam of hip0.170.530.550.530.550.030.730.750.730.75XXX
    7350026AX-ray exam of hip0.170.060.070.060.070.010.240.250.240.25XXX
    73500TCAX-ray exam of hip0.000.470.48NANA0.020.490.50NANAXXX
    73510AX-ray exam of hip0.210.650.670.650.670.050.910.930.910.93XXX
    7351026AX-ray exam of hip0.210.080.090.080.090.020.310.320.310.32XXX
    73510TCAX-ray exam of hip0.000.570.58NANA0.030.600.61NANAXXX
    73520AX-ray exam of hips0.260.750.770.750.770.051.061.081.061.08XXX
    7352026AX-ray exam of hips0.260.090.100.090.100.020.370.380.370.38XXX
    73520TCAX-ray exam of hips0.000.660.67NANA0.030.690.70NANAXXX
    73525AContrast x-ray of hip0.542.272.312.272.310.132.942.982.942.98XXX
    7352526AContrast x-ray of hip0.540.190.210.190.210.030.760.780.760.78XXX
    73525TCAContrast x-ray of hip0.002.082.10NANA0.102.182.20NANAXXX
    73530AX-ray exam of hip0.290.620.640.620.640.030.940.960.940.96XXX
    7353026AX-ray exam of hip0.290.100.110.100.110.010.400.410.400.41XXX
    73530TCAX-ray exam of hip0.000.520.53NANA0.020.540.55NANAXXX
    73540AX-ray exam of pelvis & hips0.200.640.660.640.660.050.890.910.890.91XXX
    7354026AX-ray exam of pelvis & hips0.200.070.080.070.080.020.290.300.290.30XXX
    73540TCAX-ray exam of pelvis & hips0.000.570.58NANA0.030.600.61NANAXXX
    73542AX-ray exam, sacroiliac joint0.592.292.292.292.290.133.013.013.013.01XXX
    7354226AX-ray exam, sacroiliac joint0.590.210.210.210.210.030.830.830.830.83XXX
    73542TCAX-ray exam, sacroiliac joint0.002.082.08NANA0.102.182.18NANAXXX
    73550AX-ray exam of thigh0.170.630.650.630.650.040.840.860.840.86XXX
    7355026AX-ray exam of thigh0.170.060.070.060.070.010.240.250.240.25XXX
    73550TCAX-ray exam of thigh0.000.570.58NANA0.030.600.61NANAXXX
    73560AX-ray exam of knee, 1 or 20.170.580.600.580.600.040.790.810.790.81XXX
    7356026AX-ray exam of knee, 1 or 20.170.060.070.060.070.020.250.260.250.26XXX
    73560TCAX-ray exam of knee, 1 or 20.000.520.53NANA0.020.540.55NANAXXX
    73562AX-ray exam of knee, 30.180.640.660.640.660.050.870.890.870.89XXX
    7356226AX-ray exam of knee, 30.180.070.080.070.080.020.270.280.270.28XXX
    73562TCAX-ray exam of knee, 30.000.570.58NANA0.030.600.61NANAXXX
    73564AX-ray exam, knee, 4 or more0.220.690.710.690.710.050.960.980.960.98XXX
    7356426AX-ray exam, knee, 4 or more0.220.080.090.080.090.020.320.330.320.33XXX
    73564TCAX-ray exam, knee, 4 or more0.000.610.62NANA0.030.640.65NANAXXX
    73565AX-ray exam of knees0.170.560.570.560.570.040.770.780.770.78XXX
    7356526AX-ray exam of knees0.170.070.070.070.070.020.260.260.260.26XXX
    73565TCAX-ray exam of knees0.000.490.50NANA0.020.510.52NANAXXX
    73580AContrast x-ray of knee joint0.542.792.842.792.840.153.483.533.483.53XXX
    7358026AContrast x-ray of knee joint0.540.190.210.190.210.030.760.780.760.78XXX
    73580TCAContrast x-ray of knee joint0.002.602.63NANA0.122.722.75NANAXXX
    73590AX-ray exam of lower leg0.170.580.600.580.600.030.780.800.780.80XXX
    7359026AX-ray exam of lower leg0.170.060.070.060.070.010.240.250.240.25XXX
    73590TCAX-ray exam of lower leg0.000.520.53NANA0.020.540.55NANAXXX
    73592AX-ray exam of leg, infant0.160.550.570.550.570.030.740.760.740.76XXX
    7359226AX-ray exam of leg, infant0.160.060.070.060.070.010.230.240.230.24XXX
    73592TCAX-ray exam of leg, infant0.000.490.50NANA0.020.510.52NANAXXX
    73600AX-ray exam of ankle0.160.550.570.550.570.030.740.760.740.76XXX
    7360026AX-ray exam of ankle0.160.060.070.060.070.010.230.240.230.24XXX
    Start Printed Page 65509
    73600TCAX-ray exam of ankle0.000.490.50NANA0.020.510.52NANAXXX
    73610AX-ray exam of ankle0.170.590.610.590.610.030.790.810.790.81XXX
    7361026AX-ray exam of ankle0.170.060.070.060.070.010.240.250.240.25XXX
    73610TCAX-ray exam of ankle0.000.530.54NANA0.020.550.56NANAXXX
    73615AContrast x-ray of ankle0.542.282.322.282.320.132.952.992.952.99XXX
    7361526AContrast x-ray of ankle0.540.200.220.200.220.030.770.790.770.79XXX
    73615TCAContrast x-ray of ankle0.002.082.10NANA0.102.182.20NANAXXX
    73620AX-ray exam of foot0.160.550.570.550.570.030.740.760.740.76XXX
    7362026AX-ray exam of foot0.160.060.070.060.070.010.230.240.230.24XXX
    73620TCAX-ray exam of foot0.000.490.50NANA0.020.510.52NANAXXX
    73630AX-ray exam of foot0.170.590.610.590.610.030.790.810.790.81XXX
    7363026AX-ray exam of foot0.170.060.070.060.070.010.240.250.240.25XXX
    73630TCAX-ray exam of foot0.000.530.54NANA0.020.550.56NANAXXX
    73650AX-ray exam of heel0.160.530.550.530.550.030.720.740.720.74XXX
    7365026AX-ray exam of heel0.160.060.070.060.070.010.230.240.230.24XXX
    73650TCAX-ray exam of heel0.000.470.48NANA0.020.490.50NANAXXX
    73660AX-ray exam of toe(s)0.130.460.480.460.480.030.620.640.620.64XXX
    7366026AX-ray exam of toe(s)0.130.050.060.050.060.010.190.200.190.20XXX
    73660TCAX-ray exam of toe(s)0.000.410.42NANA0.020.430.44NANAXXX
    73700ACt lower extremity w/o dye1.095.325.405.325.400.266.676.756.676.75XXX
    7370026ACt lower extremity w/o dye1.090.390.420.390.420.051.531.561.531.56XXX
    73700TCACt lower extremity w/o dye0.004.934.98NANA0.215.145.19NANAXXX
    73701ACt lower extremity w/dye1.166.276.376.276.370.317.747.847.747.84XXX
    7370126ACt lower extremity w/dye1.160.410.450.410.450.051.621.661.621.66XXX
    73701TCACt lower extremity w/dye0.005.865.92NANA0.266.126.18NANAXXX
    73702ACt lwr extremity w/o&w dye1.227.807.927.807.920.379.399.519.399.51XXX
    7370226ACt lwr extremity w/o&w dye1.220.430.470.430.470.051.701.741.701.74XXX
    73702TCACt lwr extremity w/o&w dye0.007.377.45NANA0.327.697.77NANAXXX
    73706ACt angio lwr extr w/o&w dye1.207.857.857.857.850.379.429.429.429.42XXX
    7370626ACt angio lwr extr w/o&w dye1.200.480.480.480.480.051.731.731.731.73XXX
    73706TCACt angio lwr extr w/o&w dye0.007.377.37NANA0.327.697.69NANAXXX
    73718AMri lower extremity w/o dye0.9811.4811.4811.4811.480.3612.8212.8212.8212.82XXX
    7371826AMri lower extremity w/o dye0.980.350.350.350.350.041.371.371.371.37XXX
    73718TCAMri lower extremity w/o dye0.0011.1311.13NANA0.3211.4511.45NANAXXX
    73719AMri lower extremity w/dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    7371926AMri lower extremity w/dye1.170.420.420.420.420.041.631.631.631.63XXX
    73719TCAMri lower extremity w/dye0.0013.3413.34NANA0.3913.7313.73NANAXXX
    73720AMri lwr extremity w/o&w dye1.5625.2622.0225.2622.020.7827.6024.3627.6024.36XXX
    7372026AMri lwr extremity w/o&w dye1.560.550.590.550.590.082.192.232.192.23XXX
    73720TCAMri lwr extremity w/o&w dye0.0024.7121.43NANA0.7025.4122.13NANAXXX
    73721AMri joint of lwr extre w/o d0.9811.4811.6311.4811.630.3612.8212.9712.8212.97XXX
    7372126AMri joint of lwr extre w/o d0.980.350.380.350.380.041.371.401.371.40XXX
    73721TCAMri joint of lwr extre w/o d0.0011.1311.25NANA0.3211.4511.57NANAXXX
    73722AMri joint of lwr extr w/dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    7372226AMri joint of lwr extr w/dye1.170.420.420.420.420.041.631.631.631.63XXX
    73722TCAMri joint of lwr extr w/dye0.0013.3413.34NANA0.3913.7313.73NANAXXX
    73723AMri joint lwr extr w/o&w dye1.5625.2725.2725.2725.270.7827.6127.6127.6127.61XXX
    7372326AMri joint lwr extr w/o&w dye1.560.560.560.560.560.082.202.202.202.20XXX
    73723TCAMri joint lwr extr w/o&w dye0.0024.7124.71NANA0.7025.4125.41NANAXXX
    73725RMr ang lwr ext w or w/o dye1.8211.7811.9211.7811.920.5714.1714.3114.1714.31XXX
    7372526RMr ang lwr ext w or w/o dye1.820.650.670.650.670.082.552.572.552.57XXX
    73725TCRMr ang lwr ext w or w/o dye0.0011.1311.25NANA0.4911.6211.74NANAXXX
    74000AX-ray exam of abdomen0.180.580.600.580.600.030.790.810.790.81XXX
    7400026AX-ray exam of abdomen0.180.060.070.060.070.010.250.260.250.26XXX
    74000TCAX-ray exam of abdomen0.000.520.53NANA0.020.540.55NANAXXX
    74010AX-ray exam of abdomen0.230.650.670.650.670.040.920.940.920.94XXX
    7401026AX-ray exam of abdomen0.230.080.090.080.090.010.320.330.320.33XXX
    74010TCAX-ray exam of abdomen0.000.570.58NANA0.030.600.61NANAXXX
    74020AX-ray exam of abdomen0.270.710.730.710.730.041.021.041.021.04XXX
    7402026AX-ray exam of abdomen0.270.100.110.100.110.010.380.390.380.39XXX
    74020TCAX-ray exam of abdomen0.000.610.62NANA0.030.640.65NANAXXX
    74022AX-ray exam series, abdomen0.320.840.860.840.860.051.211.231.211.23XXX
    7402226AX-ray exam series, abdomen0.320.110.120.110.120.010.440.450.440.45XXX
    74022TCAX-ray exam series, abdomen0.000.730.74NANA0.040.770.78NANAXXX
    74150ACt abdomen w/o dye1.196.036.136.036.130.307.527.627.527.62XXX
    7415026ACt abdomen w/o dye1.190.420.460.420.460.051.661.701.661.70XXX
    74150TCACt abdomen w/o dye0.005.615.67NANA0.255.865.92NANAXXX
    74160ACt abdomen w/dye1.277.247.357.247.350.368.878.988.878.98XXX
    7416026ACt abdomen w/dye1.270.450.490.450.490.061.781.821.781.82XXX
    74160TCACt abdomen w/dye0.006.796.86NANA0.307.097.16NANAXXX
    74170ACt abdomen w/o&w dye1.408.939.068.939.060.4210.7510.8810.7510.88XXX
    7417026ACt abdomen w/o&w dye1.400.500.540.500.540.061.962.001.962.00XXX
    74170TCACt abdomen w/o&w dye0.008.438.52NANA0.368.798.88NANAXXX
    74175ACt angio abdom w/o&w dye1.208.918.918.918.910.3710.4810.4810.4810.48XXX
    7417526ACt angio abdom w/o&w dye1.200.480.480.480.480.051.731.731.731.73XXX
    74175TCACt angio abdom w/o&w dye0.008.438.43NANA0.328.758.75NANAXXX
    74181AMri abdomen w/o dye1.1011.5211.7411.5211.740.4113.0313.2513.0313.25XXX
    7418126AMri abdomen w/o dye1.100.390.490.390.490.041.531.631.531.63XXX
    74181TCAMri abdomen w/o dye0.0011.1311.25NANA0.3711.5011.62NANAXXX
    74182AMri abdomen w/dye1.3013.8013.8013.8013.800.4815.5815.5815.5815.58XXX
    7418226AMri abdomen w/dye1.300.460.460.460.460.051.811.811.811.81XXX
    74182TCAMri abdomen w/dye0.0013.3413.34NANA0.4313.7713.77NANAXXX
    74183AMri abdomen w/o&w dye1.7025.3125.3125.3125.310.8527.8627.8627.8627.86XXX
    Start Printed Page 65510
    7418326AMri abdomen w/o&w dye1.700.600.600.600.600.092.392.392.392.39XXX
    74183TCAMri abdomen w/o&w dye0.0024.7124.71NANA0.7625.4725.47NANAXXX
    74185RMri angio, abdom w or w/o dy1.8011.7711.9311.7711.930.5714.1414.3014.1414.30XXX
    7418526RMri angio, abdom w or w/o dy1.800.640.680.640.680.082.522.562.522.56XXX
    74185TCRMri angio, abdom w or w/o dy0.0011.1311.25NANA0.4911.6211.74NANAXXX
    74190AX-ray exam of peritoneum0.481.471.471.471.470.082.032.032.032.03XXX
    7419026AX-ray exam of peritoneum0.480.170.160.170.160.020.670.660.670.66XXX
    74190TCAX-ray exam of peritoneum0.001.301.31NANA0.061.361.37NANAXXX
    74210AContrst x-ray exam of throat0.361.311.331.311.330.071.741.761.741.76XXX
    7421026AContrst x-ray exam of throat0.360.130.140.130.140.020.510.520.510.52XXX
    74210TCAContrst x-ray exam of throat0.001.181.19NANA0.051.231.24NANAXXX
    74220AContrast x-ray, esophagus0.461.341.371.341.370.071.871.901.871.90XXX
    7422026AContrast x-ray, esophagus0.460.160.180.160.180.020.640.660.640.66XXX
    74220TCAContrast x-ray, esophagus0.001.181.19NANA0.051.231.24NANAXXX
    74230ACinema x-ray, throat/esoph0.531.491.521.491.520.082.102.132.102.13XXX
    7423026ACinema x-ray, throat/esoph0.530.190.210.190.210.020.740.760.740.76XXX
    74230TCACinema x-ray, throat/esoph0.001.301.31NANA0.061.361.37NANAXXX
    74235ARemove esophagus obstruction1.193.023.093.023.090.174.384.454.384.45XXX
    7423526ARemove esophagus obstruction1.190.420.460.420.460.051.661.701.661.70XXX
    74235TCARemove esophagus obstruction0.002.602.63NANA0.122.722.75NANAXXX
    74240AX-ray exam, upper gi tract0.691.691.741.691.740.102.482.532.482.53XXX
    7424026AX-ray exam, upper gi tract0.690.240.270.240.270.030.960.990.960.99XXX
    74240TCAX-ray exam, upper gi tract0.001.451.47NANA0.071.521.54NANAXXX
    74241AX-ray exam, upper gi tract0.691.721.771.721.770.102.512.562.512.56XXX
    7424126AX-ray exam, upper gi tract0.690.240.270.240.270.030.960.990.960.99XXX
    74241TCAX-ray exam, upper gi tract0.001.481.50NANA0.071.551.57NANAXXX
    74245AX-ray exam, upper gi tract0.912.682.742.682.740.153.743.803.743.80XXX
    7424526AX-ray exam, upper gi tract0.910.320.350.320.350.041.271.301.271.30XXX
    74245TCAX-ray exam, upper gi tract0.002.362.39NANA0.112.472.50NANAXXX
    74246AContrst x-ray uppr gi tract0.691.871.921.871.920.112.672.722.672.72XXX
    7424626AContrst x-ray uppr gi tract0.690.240.270.240.270.030.960.990.960.99XXX
    74246TCAContrst x-ray uppr gi tract0.001.631.65NANA0.081.711.73NANAXXX
    74247AContrst x-ray uppr gi tract0.691.921.971.921.970.122.732.782.732.78XXX
    7424726AContrst x-ray uppr gi tract0.690.250.280.250.280.030.971.000.971.00XXX
    74247TCAContrst x-ray uppr gi tract0.001.671.69NANA0.091.761.78NANAXXX
    74249AContrst x-ray uppr gi tract0.912.882.942.882.940.163.954.013.954.01XXX
    7424926AContrst x-ray uppr gi tract0.910.320.350.320.350.041.271.301.271.30XXX
    74249TCAContrst x-ray uppr gi tract0.002.562.59NANA0.122.682.71NANAXXX
    74250AX-ray exam of small bowel0.471.471.501.471.500.082.022.052.022.05XXX
    7425026AX-ray exam of small bowel0.470.170.190.170.190.020.660.680.660.68XXX
    74250TCAX-ray exam of small bowel0.001.301.31NANA0.061.361.37NANAXXX
    74251AX-ray exam of small bowel0.691.541.551.541.550.092.322.332.322.33XXX
    7425126AX-ray exam of small bowel0.690.240.240.240.240.030.960.960.960.96XXX
    74251TCAX-ray exam of small bowel0.001.301.31NANA0.061.361.37NANAXXX
    74260AX-ray exam of small bowel0.501.661.701.661.700.092.252.292.252.29XXX
    7426026AX-ray exam of small bowel0.500.180.200.180.200.020.700.720.700.72XXX
    74260TCAX-ray exam of small bowel0.001.481.50NANA0.071.551.57NANAXXX
    74270AContrast x-ray exam of colon0.691.931.981.931.980.122.742.792.742.79XXX
    7427026AContrast x-ray exam of colon0.690.240.270.240.270.030.960.990.960.99XXX
    74270TCAContrast x-ray exam of colon0.001.691.71NANA0.091.781.80NANAXXX
    74280AContrast x-ray exam of colon0.992.572.632.572.630.153.713.773.713.77XXX
    7428026AContrast x-ray exam of colon0.990.350.390.350.390.041.381.421.381.42XXX
    74280TCAContrast x-ray exam of colon0.002.222.24NANA0.112.332.35NANAXXX
    74283AContrast x-ray exam of colon2.023.273.373.273.370.215.505.605.505.60XXX
    7428326AContrast x-ray exam of colon2.020.720.790.720.790.092.832.902.832.90XXX
    74283TCAContrast x-ray exam of colon0.002.552.58NANA0.122.672.70NANAXXX
    74290AContrast x-ray, gallbladder0.320.840.860.840.860.051.211.231.211.23XXX
    7429026AContrast x-ray, gallbladder0.320.110.120.110.120.010.440.450.440.45XXX
    74290TCAContrast x-ray, gallbladder0.000.730.74NANA0.040.770.78NANAXXX
    74291AContrast x-rays, gallbladder0.200.480.500.480.500.030.710.730.710.73XXX
    7429126AContrast x-rays, gallbladder0.200.070.080.070.080.010.280.290.280.29XXX
    74291TCAContrast x-rays, gallbladder0.000.410.42NANA0.020.430.44NANAXXX
    74300CX-ray bile ducts/pancreas0.000.000.000.000.000.000.000.000.000.00XXX
    7430026AX-ray bile ducts/pancreas0.360.130.140.130.140.020.510.520.510.52XXX
    74300TCCX-ray bile ducts/pancreas0.000.000.000.000.000.000.000.000.000.00XXX
    74301CX-rays at surgery add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    7430126AX-rays at surgery add-on0.210.070.080.070.080.010.290.300.290.30ZZZ
    74301TCCX-rays at surgery add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    74305AX-ray bile ducts/pancreas0.420.930.960.930.960.061.411.441.411.44XXX
    7430526AX-ray bile ducts/pancreas0.420.150.170.150.170.020.590.610.590.61XXX
    74305TCAX-ray bile ducts/pancreas0.000.780.79NANA0.040.820.83NANAXXX
    74320AContrast x-ray of bile ducts0.543.323.373.323.370.164.024.074.024.07XXX
    7432026AContrast x-ray of bile ducts0.540.190.210.190.210.020.750.770.750.77XXX
    74320TCAContrast x-ray of bile ducts0.003.133.16NANA0.143.273.30NANAXXX
    74327AX-ray bile stone removal0.702.002.052.002.050.122.822.872.822.87XXX
    7432726AX-ray bile stone removal0.700.250.280.250.280.030.981.010.981.01XXX
    74327TCAX-ray bile stone removal0.001.751.77NANA0.091.841.86NANAXXX
    74328AXray bile duct endoscopy0.703.383.443.383.440.174.254.314.254.31XXX
    7432826AXray bile duct endoscopy0.700.250.280.250.280.030.981.010.981.01XXX
    74328TCAXray bile duct endoscopy0.003.133.16NANA0.143.273.30NANAXXX
    74329AX-ray for pancreas endoscopy0.703.383.443.383.440.174.254.314.254.31XXX
    7432926AX-ray for pancreas endoscopy0.700.250.280.250.280.030.981.010.981.01XXX
    74329TCAX-ray for pancreas endoscopy0.003.133.16NANA0.143.273.30NANAXXX
    Start Printed Page 65511
    74330AX-ray bile/panc endoscopy0.903.453.493.453.490.184.534.574.534.57XXX
    7433026AX-ray bile/panc endoscopy0.900.320.330.320.330.041.261.271.261.27XXX
    74330TCAX-ray bile/panc endoscopy0.003.133.16NANA0.143.273.30NANAXXX
    74340AX-ray guide for GI tube0.542.792.842.792.840.143.473.523.473.52XXX
    7434026AX-ray guide for GI tube0.540.190.210.190.210.020.750.770.750.77XXX
    74340TCAX-ray guide for GI tube0.002.602.63NANA0.122.722.75NANAXXX
    74350AX-ray guide, stomach tube0.763.403.463.403.460.174.334.394.334.39XXX
    7435026AX-ray guide, stomach tube0.760.270.300.270.300.031.061.091.061.09XXX
    74350TCAX-ray guide, stomach tube0.003.133.16NANA0.143.273.30NANAXXX
    74355AX-ray guide, intestinal tube0.762.872.932.872.930.153.783.843.783.84XXX
    7435526AX-ray guide, intestinal tube0.760.270.300.270.300.031.061.091.061.09XXX
    74355TCAX-ray guide, intestinal tube0.002.602.63NANA0.122.722.75NANAXXX
    74360AX-ray guide, GI dilation0.543.323.373.323.370.164.024.074.024.07XXX
    7436026AX-ray guide, GI dilation0.540.190.210.190.210.020.750.770.750.77XXX
    74360TCAX-ray guide, GI dilation0.003.133.16NANA0.143.273.30NANAXXX
    74363AX-ray, bile duct dilation0.886.366.466.366.460.317.557.657.557.65XXX
    7436326AX-ray, bile duct dilation0.880.310.340.310.340.041.231.261.231.26XXX
    74363TCAX-ray, bile duct dilation0.006.056.12NANA0.276.326.39NANAXXX
    74400AContrst x-ray, urinary tract0.491.841.881.841.880.112.442.482.442.48XXX
    7440026AContrst x-ray, urinary tract0.490.170.190.170.190.020.680.700.680.70XXX
    74400TCAContrst x-ray, urinary tract0.001.671.69NANA0.091.761.78NANAXXX
    74410AContrst x-ray, urinary tract0.492.112.152.112.150.112.712.752.712.75XXX
    7441026AContrst x-ray, urinary tract0.490.170.190.170.190.020.680.700.680.70XXX
    74410TCAContrst x-ray, urinary tract0.001.941.96NANA0.092.032.05NANAXXX
    74415AContrst x-ray, urinary tract0.492.272.312.272.310.122.882.922.882.92XXX
    7441526AContrst x-ray, urinary tract0.490.170.190.170.190.020.680.700.680.70XXX
    74415TCAContrst x-ray, urinary tract0.002.102.12NANA0.102.202.22NANAXXX
    74420AContrst x-ray, urinary tract0.362.732.772.732.770.143.233.273.233.27XXX
    7442026AContrst x-ray, urinary tract0.360.130.140.130.140.020.510.520.510.52XXX
    74420TCAContrst x-ray, urinary tract0.002.602.63NANA0.122.722.75NANAXXX
    74425AContrst x-ray, urinary tract0.361.431.451.431.450.081.871.891.871.89XXX
    7442526AContrst x-ray, urinary tract0.360.130.140.130.140.020.510.520.510.52XXX
    74425TCAContrst x-ray, urinary tract0.001.301.31NANA0.061.361.37NANAXXX
    74430AContrast x-ray, bladder0.321.161.181.161.180.071.551.571.551.57XXX
    7443026AContrast x-ray, bladder0.320.110.120.110.120.020.450.460.450.46XXX
    74430TCAContrast x-ray, bladder0.001.051.06NANA0.051.101.11NANAXXX
    74440AX-ray, male genital tract0.381.251.271.251.270.071.701.721.701.72XXX
    7444026AX-ray, male genital tract0.380.130.140.130.140.020.530.540.530.54XXX
    74440TCAX-ray, male genital tract0.001.121.13NANA0.051.171.18NANAXXX
    74445AX-ray exam of penis1.141.521.571.521.570.102.762.812.762.81XXX
    7444526AX-ray exam of penis1.140.400.440.400.440.051.591.631.591.63XXX
    74445TCAX-ray exam of penis0.001.121.13NANA0.051.171.18NANAXXX
    74450AX-ray, urethra/bladder0.331.571.601.571.600.091.992.021.992.02XXX
    7445026AX-ray, urethra/bladder0.330.120.130.120.130.020.470.480.470.48XXX
    74450TCAX-ray, urethra/bladder0.001.451.47NANA0.071.521.54NANAXXX
    74455AX-ray, urethra/bladder0.331.691.721.691.720.102.122.152.122.15XXX
    7445526AX-ray, urethra/bladder0.330.120.130.120.130.020.470.480.470.48XXX
    74455TCAX-ray, urethra/bladder0.001.571.59NANA0.081.651.67NANAXXX
    74470AX-ray exam of kidney lesion0.541.431.461.431.460.082.052.082.052.08XXX
    7447026AX-ray exam of kidney lesion0.540.190.210.190.210.020.750.770.750.77XXX
    74470TCAX-ray exam of kidney lesion0.001.241.25NANA0.061.301.31NANAXXX
    74475AX-ray control, cath insert0.544.234.294.234.290.204.975.034.975.03XXX
    7447526AX-ray control, cath insert0.540.190.210.190.210.020.750.770.750.77XXX
    74475TCAX-ray control, cath insert0.004.044.08NANA0.184.224.26NANAXXX
    74480AX-ray control, cath insert0.544.234.294.234.290.204.975.034.975.03XXX
    7448026AX-ray control, cath insert0.540.190.210.190.210.020.750.770.750.77XXX
    74480TCAX-ray control, cath insert0.004.044.08NANA0.184.224.26NANAXXX
    74485AX-ray guide, GU dilation0.543.323.373.323.370.174.034.084.034.08XXX
    7448526AX-ray guide, GU dilation0.540.190.210.190.210.030.760.780.760.78XXX
    74485TCAX-ray guide, GU dilation0.003.133.16NANA0.143.273.30NANAXXX
    74710AX-ray measurement of pelvis0.341.171.191.171.190.071.581.601.581.60XXX
    7471026AX-ray measurement of pelvis0.340.120.130.120.130.020.480.490.480.49XXX
    74710TCAX-ray measurement of pelvis0.001.051.06NANA0.051.101.11NANAXXX
    74740AX-ray, female genital tract0.381.441.461.441.460.081.901.921.901.92XXX
    7474026AX-ray, female genital tract0.380.140.150.140.150.020.540.550.540.55XXX
    74740TCAX-ray, female genital tract0.001.301.31NANA0.061.361.37NANAXXX
    74742AX-ray, fallopian tube0.613.363.403.363.400.164.134.174.134.17XXX
    7474226AX-ray, fallopian tube0.610.230.240.230.240.020.860.870.860.87XXX
    74742TCAX-ray, fallopian tube0.003.133.16NANA0.143.273.30NANAXXX
    74775AX-ray exam of perineum0.621.671.711.671.710.102.392.432.392.43XXX
    7477526AX-ray exam of perineum0.620.220.240.220.240.030.870.890.870.89XXX
    74775TCAX-ray exam of perineum0.001.451.47NANA0.071.521.54NANAXXX
    75552AHeart mri for morph w/o dye1.6011.7011.8711.7011.870.5613.8614.0313.8614.03XXX
    7555226AHeart mri for morph w/o dye1.600.570.620.570.620.072.242.292.242.29XXX
    75552TCAHeart mri for morph w/o dye0.0011.1311.25NANA0.4911.6211.74NANAXXX
    75553AHeart mri for morph w/dye2.0011.8411.9811.8411.980.5814.4214.5614.4214.56XXX
    7555326AHeart mri for morph w/dye2.000.710.730.710.730.092.802.822.802.82XXX
    75553TCAHeart mri for morph w/dye0.0011.1311.25NANA0.4911.6211.74NANAXXX
    75554ACardiac MRI/function1.8311.8411.9811.8411.980.5614.2314.3714.2314.37XXX
    7555426ACardiac MRI/function1.830.710.730.710.730.072.612.632.612.63XXX
    75554TCACardiac MRI/function0.0011.1311.25NANA0.4911.6211.74NANAXXX
    75555ACardiac MRI/limited study1.7411.8211.9611.8211.960.5614.1214.2614.1214.26XXX
    7555526ACardiac MRI/limited study1.740.690.710.690.710.072.502.522.502.52XXX
    Start Printed Page 65512
    75555TCACardiac MRI/limited study0.0011.1311.25NANA0.4911.6211.74NANAXXX
    75556NCardiac MRI/flow mapping0.000.000.000.000.000.000.000.000.000.00XXX
    75600AContrast x-ray exam of aorta0.4912.7212.8612.7212.860.5613.7713.9113.7713.91XXX
    7560026AContrast x-ray exam of aorta0.490.210.220.210.220.020.720.730.720.73XXX
    75600TCAContrast x-ray exam of aorta0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75605AContrast x-ray exam of aorta1.1412.9513.1112.9513.110.5914.6814.8414.6814.84XXX
    7560526AContrast x-ray exam of aorta1.140.440.470.440.470.051.631.661.631.66XXX
    75605TCAContrast x-ray exam of aorta0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75625AContrast x-ray exam of aorta1.1412.9213.0812.9213.080.5914.6514.8114.6514.81XXX
    7562526AContrast x-ray exam of aorta1.140.410.440.410.440.051.601.631.601.63XXX
    75625TCAContrast x-ray exam of aorta0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75630AX-ray aorta, leg arteries1.7913.7213.8513.7213.850.6516.1616.2916.1616.29XXX
    7563026AX-ray aorta, leg arteries1.790.680.670.680.670.082.552.542.552.54XXX
    75630TCAX-ray aorta, leg arteries0.0013.0413.18NANA0.5713.6113.75NANAXXX
    75635ACt angio abdominal arteries1.899.199.199.199.190.3711.4511.4511.4511.45XXX
    7563526ACt angio abdominal arteries1.890.760.760.760.760.052.702.702.702.70XXX
    75635TCACt angio abdominal arteries0.008.438.43NANA0.328.758.75NANAXXX
    75650AArtery x-rays, head & neck1.4913.0413.2213.0413.220.6115.1415.3215.1415.32XXX
    7565026AArtery x-rays, head & neck1.490.530.580.530.580.072.092.142.092.14XXX
    75650TCAArtery x-rays, head & neck0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75658AArtery x-rays, arm1.3113.0413.2013.0413.200.6014.9515.1114.9515.11XXX
    7565826AArtery x-rays, arm1.310.530.560.530.560.061.901.931.901.93XXX
    75658TCAArtery x-rays, arm0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75660AArtery x-rays, head & neck1.3113.0013.1713.0013.170.6014.9115.0814.9115.08XXX
    7566026AArtery x-rays, head & neck1.310.490.530.490.530.061.861.901.861.90XXX
    75660TCAArtery x-rays, head & neck0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75662AArtery x-rays, head & neck1.6613.1613.3313.1613.330.6215.4415.6115.4415.61XXX
    7566226AArtery x-rays, head & neck1.660.650.690.650.690.082.392.432.392.43XXX
    75662TCAArtery x-rays, head & neck0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75665AArtery x-rays, head & neck1.3112.9913.1612.9913.160.6114.9115.0814.9115.08XXX
    7566526AArtery x-rays, head & neck1.310.480.520.480.520.071.861.901.861.90XXX
    75665TCAArtery x-rays, head & neck0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75671AArtery x-rays, head & neck1.6613.1113.2913.1113.290.6215.3915.5715.3915.57XXX
    7567126AArtery x-rays, head & neck1.660.600.650.600.650.082.342.392.342.39XXX
    75671TCAArtery x-rays, head & neck0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75676AArtery x-rays, neck1.3112.9913.1612.9913.160.6114.9115.0814.9115.08XXX
    7567626AArtery x-rays, neck1.310.480.520.480.520.071.861.901.861.90XXX
    75676TCAArtery x-rays, neck0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75680AArtery x-rays, neck1.6613.1113.2913.1113.290.6215.3915.5715.3915.57XXX
    7568026AArtery x-rays, neck1.660.600.650.600.650.082.342.392.342.39XXX
    75680TCAArtery x-rays, neck0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75685AArtery x-rays, spine1.3112.9813.1512.9813.150.6014.8915.0614.8915.06XXX
    7568526AArtery x-rays, spine1.310.470.510.470.510.061.841.881.841.88XXX
    75685TCAArtery x-rays, spine0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75705AArtery x-rays, spine2.1813.2913.4913.2913.490.6516.1216.3216.1216.32XXX
    7570526AArtery x-rays, spine2.180.780.850.780.850.113.073.143.073.14XXX
    75705TCAArtery x-rays, spine0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75710AArtery x-rays, arm/leg1.1412.9313.0912.9313.090.6014.6714.8314.6714.83XXX
    7571026AArtery x-rays, arm/leg1.140.420.450.420.450.061.621.651.621.65XXX
    75710TCAArtery x-rays, arm/leg0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75716AArtery x-rays, arms/legs1.3112.9813.1512.9813.150.6014.8915.0614.8915.06XXX
    7571626AArtery x-rays, arms/legs1.310.470.510.470.510.061.841.881.841.88XXX
    75716TCAArtery x-rays, arms/legs0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75722AArtery x-rays, kidney1.1412.9513.1112.9513.110.5914.6814.8414.6814.84XXX
    7572226AArtery x-rays, kidney1.140.440.470.440.470.051.631.661.631.66XXX
    75722TCAArtery x-rays, kidney0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75724AArtery x-rays, kidneys1.4913.1313.2913.1313.290.5915.2115.3715.2115.37XXX
    7572426AArtery x-rays, kidneys1.490.620.650.620.650.052.162.192.162.19XXX
    75724TCAArtery x-rays, kidneys0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75726AArtery x-rays, abdomen1.1412.9213.0812.9213.080.5914.6514.8114.6514.81XXX
    7572626AArtery x-rays, abdomen1.140.410.440.410.440.051.601.631.601.63XXX
    75726TCAArtery x-rays, abdomen0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75731AArtery x-rays, adrenal gland1.1412.9213.0812.9213.080.5914.6514.8114.6514.81XXX
    7573126AArtery x-rays, adrenal gland1.140.410.440.410.440.051.601.631.601.63XXX
    75731TCAArtery x-rays, adrenal gland0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75733AArtery x-rays, adrenals1.3112.9913.1612.9913.160.6014.9015.0714.9015.07XXX
    7573326AArtery x-rays, adrenals1.310.480.520.480.520.061.851.891.851.89XXX
    75733TCAArtery x-rays, adrenals0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75736AArtery x-rays, pelvis1.1412.9213.0812.9213.080.5914.6514.8114.6514.81XXX
    7573626AArtery x-rays, pelvis1.140.410.440.410.440.051.601.631.601.63XXX
    75736TCAArtery x-rays, pelvis0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75741AArtery x-rays, lung1.3112.9813.1512.9813.150.6014.8915.0614.8915.06XXX
    7574126AArtery x-rays, lung1.310.470.510.470.510.061.841.881.841.88XXX
    75741TCAArtery x-rays, lung0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75743AArtery x-rays, lungs1.6613.1013.2813.1013.280.6115.3715.5515.3715.55XXX
    7574326AArtery x-rays, lungs1.660.590.640.590.640.072.322.372.322.37XXX
    75743TCAArtery x-rays, lungs0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75746AArtery x-rays, lung1.1412.9213.0812.9213.080.5914.6514.8114.6514.81XXX
    7574626AArtery x-rays, lung1.140.410.440.410.440.051.601.631.601.63XXX
    75746TCAArtery x-rays, lung0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75756AArtery x-rays, chest1.1413.0013.1413.0013.140.5814.7214.8614.7214.86XXX
    7575626AArtery x-rays, chest1.140.490.500.490.500.041.671.681.671.68XXX
    75756TCAArtery x-rays, chest0.0012.5112.64NANA0.5413.0513.18NANAXXX
    Start Printed Page 65513
    75774AArtery x-ray, each vessel0.3612.6512.7912.6512.790.5613.5713.7113.5713.71ZZZ
    7577426AArtery x-ray, each vessel0.360.140.150.140.150.020.520.530.520.53ZZZ
    75774TCAArtery x-ray, each vessel0.0012.5112.64NANA0.5413.0513.18NANAZZZ
    75790AVisualize A-V shunt1.842.002.072.002.070.164.004.074.004.07XXX
    7579026AVisualize A-V shunt1.840.650.710.650.710.092.582.642.582.64XXX
    75790TCAVisualize A-V shunt0.001.351.36NANA0.071.421.43NANAXXX
    75801ALymph vessel x-ray, arm/leg0.815.665.755.665.750.296.766.856.766.85XXX
    7580126ALymph vessel x-ray, arm/leg0.810.290.320.290.320.051.151.181.151.18XXX
    75801TCALymph vessel x-ray, arm/leg0.005.375.43NANA0.245.615.67NANAXXX
    75803ALymph vessel x-ray,arms/legs1.175.795.885.795.880.297.257.347.257.34XXX
    7580326ALymph vessel x-ray,arms/legs1.170.420.450.420.450.051.641.671.641.67XXX
    75803TCALymph vessel x-ray,arms/legs0.005.375.43NANA0.245.615.67NANAXXX
    75805ALymph vessel x-ray, trunk0.816.346.446.346.440.317.467.567.467.56XXX
    7580526ALymph vessel x-ray, trunk0.810.290.320.290.320.041.141.171.141.17XXX
    75805TCALymph vessel x-ray, trunk0.006.056.12NANA0.276.326.39NANAXXX
    75807ALymph vessel x-ray, trunk1.176.476.576.476.570.327.968.067.968.06XXX
    7580726ALymph vessel x-ray, trunk1.170.420.450.420.450.051.641.671.641.67XXX
    75807TCALymph vessel x-ray, trunk0.006.056.12NANA0.276.326.39NANAXXX
    75809ANonvascular shunt, x-ray0.470.950.970.950.970.061.481.501.481.50XXX
    7580926ANonvascular shunt, x-ray0.470.170.180.170.180.020.660.670.660.67XXX
    75809TCANonvascular shunt, x-ray0.000.780.79NANA0.040.820.83NANAXXX
    75810AVein x-ray, spleen/liver1.1412.9113.0812.9113.080.6014.6514.8214.6514.82XXX
    7581026AVein x-ray, spleen/liver1.140.400.440.400.440.061.601.641.601.64XXX
    75810TCAVein x-ray, spleen/liver0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75820AVein x-ray, arm/leg0.701.191.231.191.230.081.972.011.972.01XXX
    7582026AVein x-ray, arm/leg0.700.250.280.250.280.030.981.010.981.01XXX
    75820TCAVein x-ray, arm/leg0.000.940.95NANA0.050.991.00NANAXXX
    75822AVein x-ray, arms/legs1.061.851.901.851.900.123.033.083.033.08XXX
    7582226AVein x-ray, arms/legs1.060.380.410.380.410.051.491.521.491.52XXX
    75822TCAVein x-ray, arms/legs0.001.471.49NANA0.071.541.56NANAXXX
    75825AVein x-ray, trunk1.1412.9213.0812.9213.080.6014.6614.8214.6614.82XXX
    7582526AVein x-ray, trunk1.140.410.440.410.440.061.611.641.611.64XXX
    75825TCAVein x-ray, trunk0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75827AVein x-ray, chest1.1412.9113.0812.9113.080.5914.6414.8114.6414.81XXX
    7582726AVein x-ray, chest1.140.400.440.400.440.051.591.631.591.63XXX
    75827TCAVein x-ray, chest0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75831AVein x-ray, kidney1.1412.9113.0812.9113.080.5914.6414.8114.6414.81XXX
    7583126AVein x-ray, kidney1.140.400.440.400.440.051.591.631.591.63XXX
    75831TCAVein x-ray, kidney0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75833AVein x-ray, kidneys1.4913.0413.2213.0413.220.6115.1415.3215.1415.32XXX
    7583326AVein x-ray, kidneys1.490.530.580.530.580.072.092.142.092.14XXX
    75833TCAVein x-ray, kidneys0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75840AVein x-ray, adrenal gland1.1412.9213.0812.9213.080.6114.6714.8314.6714.83XXX
    7584026AVein x-ray, adrenal gland1.140.410.440.410.440.071.621.651.621.65XXX
    75840TCAVein x-ray, adrenal gland0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75842AVein x-ray, adrenal glands1.4913.0313.2113.0313.210.6115.1315.3115.1315.31XXX
    7584226AVein x-ray, adrenal glands1.490.520.570.520.570.072.082.132.082.13XXX
    75842TCAVein x-ray, adrenal glands0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75860AVein x-ray, neck1.1412.9413.1012.9413.100.6014.6814.8414.6814.84XXX
    7586026AVein x-ray, neck1.140.430.460.430.460.061.631.661.631.66XXX
    75860TCAVein x-ray, neck0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75870AVein x-ray, skull1.1412.9313.0912.9313.090.6014.6714.8314.6714.83XXX
    7587026AVein x-ray, skull1.140.420.450.420.450.061.621.651.621.65XXX
    75870TCAVein x-ray, skull0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75872AVein x-ray, skull1.1412.9113.0812.9113.080.5914.6414.8114.6414.81XXX
    7587226AVein x-ray, skull1.140.400.440.400.440.051.591.631.591.63XXX
    75872TCAVein x-ray, skull0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75880AVein x-ray, eye socket0.701.191.231.191.230.081.972.011.972.01XXX
    7588026AVein x-ray, eye socket0.700.250.280.250.280.030.981.010.981.01XXX
    75880TCAVein x-ray, eye socket0.000.940.95NANA0.050.991.00NANAXXX
    75885AVein x-ray, liver1.4413.0213.2013.0213.200.6015.0615.2415.0615.24XXX
    7588526AVein x-ray, liver1.440.510.560.510.560.062.012.062.012.06XXX
    75885TCAVein x-ray, liver0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75887AVein x-ray, liver1.4413.0213.2013.0213.200.6015.0615.2415.0615.24XXX
    7588726AVein x-ray, liver1.440.510.560.510.560.062.012.062.012.06XXX
    75887TCAVein x-ray, liver0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75889AVein x-ray, liver1.1412.9113.0812.9113.080.5914.6414.8114.6414.81XXX
    7588926AVein x-ray, liver1.140.400.440.400.440.051.591.631.591.63XXX
    75889TCAVein x-ray, liver0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75891AVein x-ray, liver1.1412.9113.0812.9113.080.5914.6414.8114.6414.81XXX
    7589126AVein x-ray, liver1.140.400.440.400.440.051.591.631.591.63XXX
    75891TCAVein x-ray, liver0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75893AVenous sampling by catheter0.5412.7012.8512.7012.850.5613.8013.9513.8013.95XXX
    7589326AVenous sampling by catheter0.540.190.210.190.210.020.750.770.750.77XXX
    75893TCAVenous sampling by catheter0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75894AX-rays, transcath therapy1.3124.4324.7224.4324.721.1226.8627.1526.8627.15XXX
    7589426AX-rays, transcath therapy1.310.470.510.470.510.071.851.891.851.89XXX
    75894TCAX-rays, transcath therapy0.0023.9624.21NANA1.0525.0125.26NANAXXX
    75896AX-rays, transcath therapy1.3121.3221.5821.3221.580.9723.6023.8623.6023.86XXX
    7589626AX-rays, transcath therapy1.310.480.520.480.520.061.851.891.851.89XXX
    75896TCAX-rays, transcath therapy0.0020.8421.06NANA0.9121.7521.97NANAXXX
    75898AFollow-up angiogram1.651.651.711.651.710.123.423.483.423.48XXX
    7589826AFollow-up angiogram1.650.600.650.600.650.072.322.372.322.37XXX
    Start Printed Page 65514
    75898TCAFollow-up angiogram0.001.051.06NANA0.051.101.11NANAXXX
    75900AArterial catheter exchange0.4921.0021.2421.0021.240.9422.4322.6722.4322.67XXX
    7590026AArterial catheter exchange0.490.180.200.180.200.020.690.710.690.71XXX
    75900TCAArterial catheter exchange0.0020.8221.04NANA0.9221.7421.96NANAXXX
    75940AX-ray placement, vein filter0.5412.7012.8512.7012.850.5713.8113.9613.8113.96XXX
    7594026AX-ray placement, vein filter0.540.190.210.190.210.030.760.780.760.78XXX
    75940TCAX-ray placement, vein filter0.0012.5112.64NANA0.5413.0513.18NANAXXX
    75945AIntravascular us0.404.684.754.684.750.235.315.385.315.38XXX
    7594526AIntravascular us0.400.150.170.150.170.030.580.600.580.60XXX
    75945TCAIntravascular us0.004.534.58NANA0.204.734.78NANAXXX
    75946AIntravascular us add-on0.402.432.472.432.470.142.973.012.973.01ZZZ
    7594626AIntravascular us add-on0.400.150.170.150.170.030.580.600.580.60ZZZ
    75946TCAIntravascular us add-on0.002.282.30NANA0.112.392.41NANAZZZ
    75952AEndovasc repair abdom aorta4.001.601.601.601.600.686.286.286.286.28XXX
    75953AAbdom aneurysm endovas rpr1.360.540.540.540.540.682.582.582.582.58XXX
    75960ATranscatheter intro, stent0.8215.1115.2815.1115.280.6816.6116.7816.6116.78XXX
    7596026ATranscatheter intro, stent0.820.310.330.310.330.041.171.191.171.19XXX
    75960TCATranscatheter intro, stent0.0014.8014.95NANA0.6415.4415.59NANAXXX
    75961ARetrieval, broken catheter4.2511.9412.1911.9412.190.6416.8317.0816.8317.08XXX
    7596126ARetrieval, broken catheter4.251.521.661.521.660.185.956.095.956.09XXX
    75961TCARetrieval, broken catheter0.0010.4210.53NANA0.4610.8810.99NANAXXX
    75962ARepair arterial blockage0.5415.8216.0115.8216.010.7217.0817.2717.0817.27XXX
    7596226ARepair arterial blockage0.540.200.220.200.220.030.770.790.770.79XXX
    75962TCARepair arterial blockage0.0015.6215.79NANA0.6916.3116.48NANAXXX
    75964ARepair artery blockage, each0.368.468.568.468.560.389.209.309.209.30ZZZ
    7596426ARepair artery blockage, each0.360.130.140.130.140.020.510.520.510.52ZZZ
    75964TCARepair artery blockage, each0.008.338.42NANA0.368.698.78NANAZZZ
    75966ARepair arterial blockage1.3116.1316.3316.1316.330.7518.1918.3918.1918.39XXX
    7596626ARepair arterial blockage1.310.510.540.510.540.061.881.911.881.91XXX
    75966TCARepair arterial blockage0.0015.6215.79NANA0.6916.3116.48NANAXXX
    75968ARepair artery blockage, each0.368.478.578.478.570.379.209.309.209.30ZZZ
    7596826ARepair artery blockage, each0.360.140.150.140.150.010.510.520.510.52ZZZ
    75968TCARepair artery blockage, each0.008.338.42NANA0.368.698.78NANAZZZ
    75970AVascular biopsy0.8311.7611.9111.7611.910.5413.1313.2813.1313.28XXX
    7597026AVascular biopsy0.830.300.330.300.330.041.171.201.171.20XXX
    75970TCAVascular biopsy0.0011.4611.58NANA0.5011.9612.08NANAXXX
    75978ARepair venous blockage0.5415.8116.0615.8116.060.7117.0617.3117.0617.31XXX
    7597826ARepair venous blockage0.540.190.270.190.270.020.750.830.750.83XXX
    75978TCARepair venous blockage0.0015.6215.79NANA0.6916.3116.48NANAXXX
    75980AContrast xray exam bile duct1.445.885.995.885.990.307.627.737.627.73XXX
    7598026AContrast xray exam bile duct1.440.510.560.510.560.062.012.062.012.06XXX
    75980TCAContrast xray exam bile duct0.005.375.43NANA0.245.615.67NANAXXX
    75982AContrast xray exam bile duct1.446.566.686.566.680.338.338.458.338.45XXX
    7598226AContrast xray exam bile duct1.440.510.560.510.560.062.012.062.012.06XXX
    75982TCAContrast xray exam bile duct0.006.056.12NANA0.276.326.39NANAXXX
    75984AXray control catheter change0.722.192.242.192.240.123.033.083.033.08XXX
    7598426AXray control catheter change0.720.250.280.250.280.031.001.031.001.03XXX
    75984TCAXray control catheter change0.001.941.96NANA0.092.032.05NANAXXX
    75989AAbscess drainage under x-ray1.193.553.623.553.620.194.935.004.935.00XXX
    7598926AAbscess drainage under x-ray1.190.420.460.420.460.051.661.701.661.70XXX
    75989TCAAbscess drainage under x-ray0.003.133.16NANA0.143.273.30NANAXXX
    75992AAtherectomy, x-ray exam0.5415.8316.0215.8316.020.7117.0817.2717.0817.27XXX
    7599226AAtherectomy, x-ray exam0.540.210.230.210.230.020.770.790.770.79XXX
    75992TCAAtherectomy, x-ray exam0.0015.6215.79NANA0.6916.3116.48NANAXXX
    75993AAtherectomy, x-ray exam0.368.488.588.488.580.379.219.319.219.31ZZZ
    7599326AAtherectomy, x-ray exam0.360.150.160.150.160.010.520.530.520.53ZZZ
    75993TCAAtherectomy, x-ray exam0.008.338.42NANA0.368.698.78NANAZZZ
    75994AAtherectomy, x-ray exam1.3116.1316.3316.1316.330.7518.1918.3918.1918.39XXX
    7599426AAtherectomy, x-ray exam1.310.510.540.510.540.061.881.911.881.91XXX
    75994TCAAtherectomy, x-ray exam0.0015.6215.79NANA0.6916.3116.48NANAXXX
    75995AAtherectomy, x-ray exam1.3116.0816.2916.0816.290.7518.1418.3518.1418.35XXX
    7599526AAtherectomy, x-ray exam1.310.460.500.460.500.061.831.871.831.87XXX
    75995TCAAtherectomy, x-ray exam0.0015.6215.79NANA0.6916.3116.48NANAXXX
    75996AAtherectomy, x-ray exam0.368.478.578.478.570.379.209.309.209.30ZZZ
    7599626AAtherectomy, x-ray exam0.360.140.150.140.150.010.510.520.510.52ZZZ
    75996TCAAtherectomy, x-ray exam0.008.338.42NANA0.368.698.78NANAZZZ
    76000AFluoroscope examination0.171.351.371.351.370.071.591.611.591.61XXX
    7600026AFluoroscope examination0.170.050.060.050.060.010.230.240.230.24XXX
    76000TCAFluoroscope examination0.001.301.31NANA0.061.361.37NANAXXX
    76001AFluoroscope exam, extensive0.672.842.902.842.900.153.663.723.663.72XXX
    7600126AFluoroscope exam, extensive0.670.240.270.240.270.030.940.970.940.97XXX
    76001TCAFluoroscope exam, extensive0.002.602.63NANA0.122.722.75NANAXXX
    76003ANeedle localization by x-ray0.541.481.511.481.510.092.112.142.112.14XXX
    7600326ANeedle localization by x-ray0.540.180.200.180.200.030.750.770.750.77XXX
    76003TCANeedle localization by x-ray0.001.301.31NANA0.061.361.37NANAXXX
    76005AFluoroguide for spine inject0.601.491.491.491.490.092.182.182.182.18XXX
    7600526AFluoroguide for spine inject0.600.190.190.190.190.030.820.820.820.82XXX
    76005TCAFluoroguide for spine inject0.001.301.30NANA0.061.361.36NANAXXX
    76006AX-ray stress view0.410.190.190.190.190.040.640.640.640.64XXX
    76010AX-ray, nose to rectum0.180.580.600.580.600.030.790.810.790.81XXX
    7601026AX-ray, nose to rectum0.180.060.070.060.070.010.250.260.250.26XXX
    76010TCAX-ray, nose to rectum0.000.520.53NANA0.020.540.55NANAXXX
    76012APercut vertebroplasty fluor1.310.490.490.490.491.102.902.902.902.90XXX
    Start Printed Page 65515
    76013APercut vertebroplasty, ct1.380.520.520.520.520.482.382.382.382.38XXX
    76020AX-rays for bone age0.190.590.610.590.610.030.810.830.810.83XXX
    7602026AX-rays for bone age0.190.070.080.070.080.010.270.280.270.28XXX
    76020TCAX-rays for bone age0.000.520.53NANA0.020.540.55NANAXXX
    76040AX-rays, bone evaluation0.270.880.900.880.900.071.221.241.221.24XXX
    7604026AX-rays, bone evaluation0.270.100.110.100.110.030.400.410.400.41XXX
    76040TCAX-rays, bone evaluation0.000.780.79NANA0.040.820.83NANAXXX
    76061AX-rays, bone survey0.451.151.181.151.180.071.671.701.671.70XXX
    7606126AX-rays, bone survey0.450.160.180.160.180.020.630.650.630.65XXX
    76061TCAX-rays, bone survey0.000.991.00NANA0.051.041.05NANAXXX
    76062AX-rays, bone survey0.541.621.661.621.660.092.252.292.252.29XXX
    7606226AX-rays, bone survey0.540.190.210.190.210.020.750.770.750.77XXX
    76062TCAX-rays, bone survey0.001.431.45NANA0.071.501.52NANAXXX
    76065AX-rays, bone evaluation0.280.830.850.830.850.051.161.181.161.18XXX
    7606526AX-rays, bone evaluation0.280.100.110.100.110.010.390.400.390.40XXX
    76065TCAX-rays, bone evaluation0.000.730.74NANA0.040.770.78NANAXXX
    76066AJoint(s) survey, single film0.311.211.231.211.230.071.591.611.591.61XXX
    7606626AJoint(s) survey, single film0.310.110.120.110.120.020.440.450.440.45XXX
    76066TCAJoint(s) survey, single film0.001.101.11NANA0.051.151.16NANAXXX
    76070ICT scan, bone density study+0.253.033.073.033.070.143.423.463.423.46XXX
    7607026ICT scan, bone density study+0.250.100.110.100.110.010.360.370.360.37XXX
    76070TCICT scan, bone density study+0.002.932.96NANA0.133.063.09NANAXXX
    76075ADual energy x-ray study0.303.183.223.183.220.153.633.673.633.67XXX
    7607526ADual energy x-ray study0.300.110.120.110.120.010.420.430.420.43XXX
    76075TCADual energy x-ray study0.003.073.10NANA0.143.213.24NANAXXX
    76076ADual energy x-ray study0.220.830.850.830.850.051.101.121.101.12XXX
    7607626ADual energy x-ray study0.220.080.090.080.090.010.310.320.310.32XXX
    76076TCADual energy x-ray study0.000.750.76NANA0.040.790.80NANAXXX
    76078APhotodensitometry0.200.830.850.830.850.051.081.101.081.10XXX
    7607826APhotodensitometry0.200.080.090.080.090.010.290.300.290.30XXX
    76078TCAPhotodensitometry0.000.750.76NANA0.040.790.80NANAXXX
    76080AX-ray exam of fistula0.541.241.271.241.270.071.851.881.851.88XXX
    7608026AX-ray exam of fistula0.540.190.210.190.210.020.750.770.750.77XXX
    76080TCAX-ray exam of fistula0.001.051.06NANA0.051.101.11NANAXXX
    76086AX-ray of mammary duct0.362.732.772.732.770.143.233.273.233.27XXX
    7608626AX-ray of mammary duct0.360.130.140.130.140.020.510.520.510.52XXX
    76086TCAX-ray of mammary duct0.002.602.63NANA0.122.722.75NANAXXX
    76088AX-ray of mammary ducts0.453.803.863.803.860.184.434.494.434.49XXX
    7608826AX-ray of mammary ducts0.450.160.180.160.180.020.630.650.630.65XXX
    76088TCAX-ray of mammary ducts0.003.643.68NANA0.163.803.84NANAXXX
    76090AMammogram, one breast0.581.261.251.261.250.081.921.911.921.91XXX
    7609026AMammogram, one breast0.580.210.190.210.190.030.820.800.820.80XXX
    76090TCAMammogram, one breast0.001.051.06NANA0.051.101.11NANAXXX
    76091AMammogram, both breasts0.691.551.551.551.550.092.332.332.332.33XXX
    7609126AMammogram, both breasts0.690.250.240.250.240.030.970.960.970.96XXX
    76091TCAMammogram, both breasts0.001.301.31NANA0.061.361.37NANAXXX
    76092XMammogram, screening0.000.000.000.000.000.000.000.000.000.00XXX
    76093AMagnetic image, breast1.6318.0718.3118.0718.310.8320.5320.7720.5320.77XXX
    7609326AMagnetic image, breast1.630.580.630.580.630.072.282.332.282.33XXX
    76093TCAMagnetic image, breast0.0017.4917.68NANA0.7618.2518.44NANAXXX
    76094AMagnetic image, both breasts1.6324.3224.6224.3224.621.1027.0527.3527.0527.35XXX
    7609426AMagnetic image, both breasts1.630.580.630.580.630.072.282.332.282.33XXX
    76094TCAMagnetic image, both breasts0.0023.7423.99NANA1.0324.7725.02NANAXXX
    76095AStereotactic breast biopsy1.597.687.817.687.810.409.679.809.679.80XXX
    7609526AStereotactic breast biopsy1.590.570.620.570.620.092.252.302.252.30XXX
    76095TCAStereotactic breast biopsy0.007.117.19NANA0.317.427.50NANAXXX
    76096AX-ray of needle wire, breast0.561.501.531.501.530.092.152.182.152.18XXX
    7609626AX-ray of needle wire, breast0.560.200.220.200.220.030.790.810.790.81XXX
    76096TCAX-ray of needle wire, breast0.001.301.31NANA0.061.361.37NANAXXX
    76098AX-ray exam, breast specimen0.160.470.490.470.490.030.660.680.660.68XXX
    7609826AX-ray exam, breast specimen0.160.060.070.060.070.010.230.240.230.24XXX
    76098TCAX-ray exam, breast specimen0.000.410.42NANA0.020.430.44NANAXXX
    76100AX-ray exam of body section0.581.451.481.451.480.092.122.152.122.15XXX
    7610026AX-ray exam of body section0.580.210.230.210.230.030.820.840.820.84XXX
    76100TCAX-ray exam of body section0.001.241.25NANA0.061.301.31NANAXXX
    76101AComplex body section x-ray0.581.621.661.621.660.102.302.342.302.34XXX
    7610126AComplex body section x-ray0.580.210.230.210.230.030.820.840.820.84XXX
    76101TCAComplex body section x-ray0.001.411.43NANA0.071.481.50NANAXXX
    76102AComplex body section x-rays0.581.931.971.931.970.122.632.672.632.67XXX
    7610226AComplex body section x-rays0.580.210.230.210.230.030.820.840.820.84XXX
    76102TCAComplex body section x-rays0.001.721.74NANA0.091.811.83NANAXXX
    76120ACinematic x-rays0.381.191.211.191.210.071.641.661.641.66XXX
    7612026ACinematic x-rays0.380.140.150.140.150.020.540.550.540.55XXX
    76120TCACinematic x-rays0.001.051.06NANA0.051.101.11NANAXXX
    76125ACinematic x-rays add-on0.270.880.900.880.900.051.201.221.201.22ZZZ
    7612526ACinematic x-rays add-on0.270.100.110.100.110.010.380.390.380.39ZZZ
    76125TCACinematic x-rays add-on0.000.780.79NANA0.040.820.83NANAZZZ
    76140IX-ray consultation0.000.000.000.000.000.000.000.000.000.00XXX
    76150AX-ray exam, dry process0.000.410.42NANA0.020.430.44NANAXXX
    76350CSpecial x-ray contrast study0.000.000.000.000.000.000.000.000.000.00XXX
    76355ACAT scan for localization1.218.628.758.628.750.4110.2410.3710.2410.37XXX
    7635526ACAT scan for localization1.210.430.470.430.470.061.701.741.701.74XXX
    76355TCACAT scan for localization0.008.198.28NANA0.358.548.63NANAXXX
    Start Printed Page 65516
    76360ACAT scan for needle biopsy1.168.608.728.608.720.4010.1610.2810.1610.28XXX
    7636026ACAT scan for needle biopsy1.160.410.440.410.440.051.621.651.621.65XXX
    76360TCACAT scan for needle biopsy0.008.198.28NANA0.358.548.63NANAXXX
    76365DCAT scan for cyst aspiration0.000.000.000.000.000.000.000.000.000.00XXX
    7636526DCAT scan for cyst aspiration0.000.000.000.000.000.000.000.000.000.00XXX
    76365TCDCAT scan for cyst aspiration0.000.000.00NANA0.000.000.00NANAXXX
    76370ACAT scan for therapy guide0.853.233.293.233.290.174.254.314.254.31XXX
    7637026ACAT scan for therapy guide0.850.300.330.300.330.041.191.221.191.22XXX
    76370TCACAT scan for therapy guide0.002.932.96NANA0.133.063.09NANAXXX
    76375A3d/holograph reconstr add-on0.163.583.633.583.630.163.903.953.903.95XXX
    7637526A3d/holograph reconstr add-on0.160.060.070.060.070.010.230.240.230.24XXX
    76375TCA3d/holograph reconstr add-on0.003.523.56NANA0.153.673.71NANAXXX
    76380ACAT scan follow-up study0.983.833.903.833.900.195.005.075.005.07XXX
    7638026ACAT scan follow-up study0.980.350.380.350.380.041.371.401.371.40XXX
    76380TCACAT scan follow-up study0.003.483.52NANA0.153.633.67NANAXXX
    76390AMr spectroscopy1.4011.6311.8111.6311.810.5513.5813.7613.5813.76XXX
    7639026AMr spectroscopy1.400.500.560.500.560.061.962.021.962.02XXX
    76390TCAMr spectroscopy0.0011.1311.25NANA0.4911.6211.74NANAXXX
    76393AMr guidance for needle place1.5011.6611.6611.6611.660.5213.6813.6813.6813.68XXX
    7639326AMr guidance for needle place1.500.530.530.530.530.062.092.092.092.09XXX
    76393TCAMr guidance for needle place0.0011.1311.13NANA0.4611.5911.59NANAXXX
    76400AMagnetic image, bone marrow1.6011.7011.8711.7011.870.5613.8614.0313.8614.03XXX
    7640026AMagnetic image, bone marrow1.600.570.620.570.620.072.242.292.242.29XXX
    76400TCAMagnetic image, bone marrow0.0011.1311.25NANA0.4911.6211.74NANAXXX
    76499CRadiographic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7649926CRadiographic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76499TCCRadiographic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76506AEcho exam of head0.631.671.701.671.700.102.402.432.402.43XXX
    7650626AEcho exam of head0.630.260.270.260.270.030.920.930.920.93XXX
    76506TCAEcho exam of head0.001.411.43NANA0.071.481.50NANAXXX
    76511AEcho exam of eye0.941.781.731.781.730.082.802.752.802.75XXX
    7651126AEcho exam of eye0.940.440.400.440.400.021.401.361.401.36XXX
    76511TCAEcho exam of eye0.001.341.33NANA0.061.401.39NANAXXX
    76512AEcho exam of eye0.661.861.871.861.870.092.612.622.612.62XXX
    7651226AEcho exam of eye0.660.320.320.320.320.010.990.990.990.99XXX
    76512TCAEcho exam of eye0.001.541.55NANA0.081.621.63NANAXXX
    76513AEcho exam of eye, water bath0.662.282.192.282.190.093.032.943.032.94XXX
    7651326AEcho exam of eye, water bath0.660.330.330.330.330.011.001.001.001.00XXX
    76513TCAEcho exam of eye, water bath0.001.951.86NANA0.082.031.94NANAXXX
    76516AEcho exam of eye0.541.361.411.361.410.071.972.021.972.02XXX
    7651626AEcho exam of eye0.540.270.270.270.270.010.820.820.820.82XXX
    76516TCAEcho exam of eye0.001.091.14NANA0.061.151.20NANAXXX
    76519AEcho exam of eye0.541.511.521.511.520.072.122.132.122.13XXX
    7651926AEcho exam of eye0.540.270.270.270.270.010.820.820.820.82XXX
    76519TCAEcho exam of eye0.001.241.25NANA0.061.301.31NANAXXX
    76529AEcho exam of eye0.572.041.952.041.950.082.692.602.692.60XXX
    7652926AEcho exam of eye0.570.270.270.270.270.010.850.850.850.85XXX
    76529TCAEcho exam of eye0.001.771.68NANA0.071.841.75NANAXXX
    76536AEcho exam of head and neck0.561.611.651.611.650.092.262.302.262.30XXX
    7653626AEcho exam of head and neck0.560.200.220.200.220.020.780.800.780.80XXX
    76536TCAEcho exam of head and neck0.001.411.43NANA0.071.481.50NANAXXX
    76604AEcho exam of chest0.551.501.531.501.530.082.132.162.132.16XXX
    7660426AEcho exam of chest0.550.200.220.200.220.020.770.790.770.79XXX
    76604TCAEcho exam of chest0.001.301.31NANA0.061.361.37NANAXXX
    76645AEcho exam of breast(s)0.541.241.271.241.270.081.861.891.861.89XXX
    7664526AEcho exam of breast(s)0.540.190.210.190.210.030.760.780.760.78XXX
    76645TCAEcho exam of breast(s)0.001.051.06NANA0.051.101.11NANAXXX
    76700AEcho exam of abdomen0.812.252.302.252.300.133.193.243.193.24XXX
    7670026AEcho exam of abdomen0.810.290.320.290.320.041.141.171.141.17XXX
    76700TCAEcho exam of abdomen0.001.961.98NANA0.092.052.07NANAXXX
    76705AEcho exam of abdomen0.591.621.661.621.660.102.312.352.312.35XXX
    7670526AEcho exam of abdomen0.590.210.230.210.230.030.830.850.830.85XXX
    76705TCAEcho exam of abdomen0.001.411.43NANA0.071.481.50NANAXXX
    76770AEcho exam abdomen back wall0.742.222.272.222.270.123.083.133.083.13XXX
    7677026AEcho exam abdomen back wall0.740.260.290.260.290.031.031.061.031.06XXX
    76770TCAEcho exam abdomen back wall0.001.961.98NANA0.092.052.07NANAXXX
    76775AEcho exam abdomen back wall0.581.621.661.621.660.102.302.342.302.34XXX
    7677526AEcho exam abdomen back wall0.580.210.230.210.230.030.820.840.820.84XXX
    76775TCAEcho exam abdomen back wall0.001.411.43NANA0.071.481.50NANAXXX
    76778AEcho exam kidney transplant0.742.222.272.222.270.123.083.133.083.13XXX
    7677826AEcho exam kidney transplant0.740.260.290.260.290.031.031.061.031.06XXX
    76778TCAEcho exam kidney transplant0.001.961.98NANA0.092.052.07NANAXXX
    76800AEcho exam spinal canal1.131.741.811.741.810.112.983.052.983.05XXX
    7680026AEcho exam spinal canal1.130.330.380.330.380.041.501.551.501.55XXX
    76800TCAEcho exam spinal canal0.001.411.43NANA0.071.481.50NANAXXX
    76805AEcho exam of pregnant uterus0.992.442.492.442.490.143.573.623.573.62XXX
    7680526AEcho exam of pregnant uterus0.990.360.390.360.390.041.391.421.391.42XXX
    76805TCAEcho exam of pregnant uterus0.002.082.10NANA0.102.182.20NANAXXX
    76810AEcho exam of pregnant uterus1.974.905.004.905.000.257.127.227.127.22XXX
    7681026AEcho exam of pregnant uterus1.970.730.790.730.790.072.772.832.772.83XXX
    76810TCAEcho exam of pregnant uterus0.004.174.21NANA0.184.354.39NANAXXX
    76815AEcho exam of pregnant uterus0.651.651.691.651.690.092.392.432.392.43XXX
    7681526AEcho exam of pregnant uterus0.650.240.260.240.260.020.910.930.910.93XXX
    Start Printed Page 65517
    76815TCAEcho exam of pregnant uterus0.001.411.43NANA0.071.481.50NANAXXX
    76816AEcho exam follow-up/repeat0.571.321.351.321.350.071.961.991.961.99XXX
    7681626AEcho exam follow-up/repeat0.570.220.240.220.240.020.810.830.810.83XXX
    76816TCAEcho exam follow-up/repeat0.001.101.11NANA0.051.151.16NANAXXX
    76818AFetl biophys profil w/stress0.861.931.961.931.960.122.912.942.912.94XXX
    7681826AFetl biophys profil w/stress0.860.330.340.330.340.041.231.241.231.24XXX
    76818TCAFetl biophys profil w/stress0.001.601.62NANA0.081.681.70NANAXXX
    76819AFetl biophys profil w/o strs0.631.841.841.841.840.112.582.582.582.58XXX
    7681926AFetl biophys profil w/o strs0.630.240.240.240.240.030.900.900.900.90XXX
    76819TCAFetl biophys profil w/o strs0.001.601.60NANA0.081.681.68NANAXXX
    76825AEcho exam of fetal heart1.672.572.532.572.530.154.394.354.394.35XXX
    7682526AEcho exam of fetal heart1.670.610.550.610.550.062.342.282.342.28XXX
    76825TCAEcho exam of fetal heart0.001.961.98NANA0.092.052.07NANAXXX
    76826AEcho exam of fetal heart0.831.001.121.001.120.071.902.021.902.02XXX
    7682626AEcho exam of fetal heart0.830.300.410.300.410.031.161.271.161.27XXX
    76826TCAEcho exam of fetal heart0.000.700.71NANA0.040.740.75NANAXXX
    76827AEcho exam of fetal heart0.581.932.071.932.070.122.632.772.632.77XXX
    7682726AEcho exam of fetal heart0.580.220.340.220.340.020.820.940.820.94XXX
    76827TCAEcho exam of fetal heart0.001.711.73NANA0.101.811.83NANAXXX
    76828AEcho exam of fetal heart0.561.321.351.321.350.091.972.001.972.00XXX
    7682826AEcho exam of fetal heart0.560.220.240.220.240.020.800.820.800.82XXX
    76828TCAEcho exam of fetal heart0.001.101.11NANA0.071.171.18NANAXXX
    76830AEcho exam, transvaginal0.691.761.811.761.810.112.562.612.562.61XXX
    7683026AEcho exam, transvaginal0.690.250.280.250.280.030.971.000.971.00XXX
    76830TCAEcho exam, transvaginal0.001.511.53NANA0.081.591.61NANAXXX
    76831AEcho exam, uterus0.721.781.821.781.820.102.602.642.602.64XXX
    7683126AEcho exam, uterus0.720.270.290.270.290.021.011.031.011.03XXX
    76831TCAEcho exam, uterus0.001.511.53NANA0.081.591.61NANAXXX
    76856AEcho exam of pelvis0.691.761.811.761.810.112.562.612.562.61XXX
    7685626AEcho exam of pelvis0.690.250.280.250.280.030.971.000.971.00XXX
    76856TCAEcho exam of pelvis0.001.511.53NANA0.081.591.61NANAXXX
    76857AEcho exam of pelvis0.381.181.201.181.200.071.631.651.631.65XXX
    7685726AEcho exam of pelvis0.380.130.140.130.140.020.530.540.530.54XXX
    76857TCAEcho exam of pelvis0.001.051.06NANA0.051.101.11NANAXXX
    76870AEcho exam of scrotum0.641.741.781.741.780.112.492.532.492.53XXX
    7687026AEcho exam of scrotum0.640.230.250.230.250.030.900.920.900.92XXX
    76870TCAEcho exam of scrotum0.001.511.53NANA0.081.591.61NANAXXX
    76872AEcho exam, transrectal0.691.751.801.751.800.122.562.612.562.61XXX
    7687226AEcho exam, transrectal0.690.240.270.240.270.040.971.000.971.00XXX
    76872TCAEcho exam, transrectal0.001.511.53NANA0.081.591.61NANAXXX
    76873AEchograp trans r, pros study1.552.612.612.612.610.214.374.374.374.37XXX
    7687326AEchograp trans r, pros study1.550.530.530.530.530.082.162.162.162.16XXX
    76873TCAEchograp trans r, pros study0.002.082.08NANA0.132.212.21NANAXXX
    76880AEcho exam of extremity0.591.621.661.621.660.102.312.352.312.35XXX
    7688026AEcho exam of extremity0.590.210.230.210.230.030.830.850.830.85XXX
    76880TCAEcho exam of extremity0.001.411.43NANA0.071.481.50NANAXXX
    76885AEcho exam, infant hips0.741.771.811.771.810.112.622.662.622.66XXX
    7688526AEcho exam, infant hips0.740.260.280.260.280.031.031.051.031.05XXX
    76885TCAEcho exam, infant hips0.001.511.53NANA0.081.591.61NANAXXX
    76886AEcho exam, infant hips0.621.631.671.631.670.102.352.392.352.39XXX
    7688626AEcho exam, infant hips0.620.220.240.220.240.030.870.890.870.89XXX
    76886TCAEcho exam, infant hips0.001.411.43NANA0.071.481.50NANAXXX
    76930AEcho guide, cardiocentesis0.671.791.831.791.830.102.562.602.562.60XXX
    7693026AEcho guide, cardiocentesis0.670.280.300.280.300.020.970.990.970.99XXX
    76930TCAEcho guide, cardiocentesis0.001.511.53NANA0.081.591.61NANAXXX
    76932AEcho guide for heart biopsy0.671.791.831.791.830.102.562.602.562.60XXX
    7693226AEcho guide for heart biopsy0.670.280.300.280.300.020.970.990.970.99XXX
    76932TCAEcho guide for heart biopsy0.001.511.53NANA0.081.591.61NANAXXX
    76934AEcho guide for chest tap0.671.751.801.751.800.112.532.582.532.58XXX
    7693426AEcho guide for chest tap0.670.240.270.240.270.030.940.970.940.97XXX
    76934TCAEcho guide for chest tap0.001.511.53NANA0.081.591.61NANAXXX
    76936AEcho guide for artery repair1.996.967.196.967.190.399.349.579.349.57XXX
    7693626AEcho guide for artery repair1.990.720.880.720.880.112.822.982.822.98XXX
    76936TCAEcho guide for artery repair0.006.246.31NANA0.286.526.59NANAXXX
    76938AEcho exam for drainage0.671.751.801.751.800.122.542.592.542.59XXX
    7693826AEcho exam for drainage0.670.240.270.240.270.040.950.980.950.98XXX
    76938TCAEcho exam for drainage0.001.511.53NANA0.081.591.61NANAXXX
    76941AEcho guide for transfusion1.342.022.082.022.080.133.493.553.493.55XXX
    7694126AEcho guide for transfusion1.340.500.540.500.540.061.901.941.901.94XXX
    76941TCAEcho guide for transfusion0.001.521.54NANA0.071.591.61NANAXXX
    76942AEcho guide for biopsy0.671.741.791.741.790.122.532.582.532.58XXX
    7694226AEcho guide for biopsy0.670.230.260.230.260.040.940.970.940.97XXX
    76942TCAEcho guide for biopsy0.001.511.53NANA0.081.591.61NANAXXX
    76945AEcho guide, villus sampling0.671.761.891.761.890.102.532.662.532.66XXX
    7694526AEcho guide, villus sampling0.670.240.350.240.350.030.941.050.941.05XXX
    76945TCAEcho guide, villus sampling0.001.521.54NANA0.071.591.61NANAXXX
    76946AEcho guide for amniocentesis0.381.651.681.651.680.092.122.152.122.15XXX
    7694626AEcho guide for amniocentesis0.380.140.150.140.150.010.530.540.530.54XXX
    76946TCAEcho guide for amniocentesis0.001.511.53NANA0.081.591.61NANAXXX
    76948AEcho guide, ova aspiration0.381.651.681.651.680.102.132.162.132.16XXX
    7694826AEcho guide, ova aspiration0.380.140.150.140.150.020.540.550.540.55XXX
    76948TCAEcho guide, ova aspiration0.001.511.53NANA0.081.591.61NANAXXX
    76950AEcho guidance radiotherapy0.581.501.531.501.530.092.172.202.172.20XXX
    Start Printed Page 65518
    7695026AEcho guidance radiotherapy0.580.200.220.200.220.030.810.830.810.83XXX
    76950TCAEcho guidance radiotherapy0.001.301.31NANA0.061.361.37NANAXXX
    76960AEcho guidance radiotherapy0.581.501.531.501.530.092.172.202.172.20XXX
    7696026AEcho guidance radiotherapy0.580.200.220.200.220.030.810.830.810.83XXX
    76960TCAEcho guidance radiotherapy0.001.301.31NANA0.061.361.37NANAXXX
    76965AEcho guidance radiotherapy1.345.976.325.976.320.317.627.977.627.97XXX
    7696526AEcho guidance radiotherapy1.340.450.740.450.740.071.862.151.862.15XXX
    76965TCAEcho guidance radiotherapy0.005.525.58NANA0.245.765.82NANAXXX
    76970AUltrasound exam follow-up0.401.191.221.191.220.071.661.691.661.69XXX
    7697026AUltrasound exam follow-up0.400.140.160.140.160.020.560.580.560.58XXX
    76970TCAUltrasound exam follow-up0.001.051.06NANA0.051.101.11NANAXXX
    76975AGI endoscopic ultrasound0.811.801.841.801.840.112.722.762.722.76XXX
    7697526AGI endoscopic ultrasound0.810.290.310.290.310.031.131.151.131.15XXX
    76975TCAGI endoscopic ultrasound0.001.511.53NANA0.081.591.61NANAXXX
    76977AUs bone density measure0.051.431.431.431.430.051.531.531.531.53XXX
    7697726AUs bone density measure0.050.020.020.020.020.010.080.080.080.08XXX
    76977TCAUs bone density measure0.001.411.41NANA0.041.451.45NANAXXX
    76986AUltrasound guide intraoper1.203.033.103.033.100.194.424.494.424.49XXX
    7698626AUltrasound guide intraoper1.200.430.470.430.470.071.701.741.701.74XXX
    76986TCAUltrasound guide intraoper0.002.602.63NANA0.122.722.75NANAXXX
    76999CEcho examination procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7699926CEcho examination procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76999TCCEcho examination procedure0.000.000.000.000.000.000.000.000.000.00XXX
    77261ARadiation therapy planning1.390.550.580.550.580.062.002.032.002.03XXX
    77262ARadiation therapy planning2.110.820.870.820.870.093.023.073.023.07XXX
    77263ARadiation therapy planning3.141.211.291.211.290.134.484.564.484.56XXX
    77280ASet radiation therapy field0.703.703.773.703.770.184.584.654.584.65XXX
    7728026ASet radiation therapy field0.700.250.280.250.280.030.981.010.981.01XXX
    77280TCASet radiation therapy field0.003.453.49NANA0.153.603.64NANAXXX
    77285ASet radiation therapy field1.055.895.985.895.980.297.237.327.237.32XXX
    7728526ASet radiation therapy field1.050.370.400.370.400.041.461.491.461.49XXX
    77285TCASet radiation therapy field0.005.525.58NANA0.255.775.83NANAXXX
    77290ASet radiation therapy field1.567.017.137.017.130.358.929.048.929.04XXX
    7729026ASet radiation therapy field1.560.550.600.550.600.062.172.222.172.22XXX
    77290TCASet radiation therapy field0.006.466.53NANA0.296.756.82NANAXXX
    77295ASet radiation therapy field4.5729.3429.7929.3429.791.4135.3235.7735.3235.77XXX
    7729526ASet radiation therapy field4.571.611.771.611.770.186.366.526.366.52XXX
    77295TCASet radiation therapy field0.0027.7328.02NANA1.2328.9629.25NANAXXX
    77299CRadiation therapy planning0.000.000.000.000.000.000.000.000.000.00XXX
    7729926CRadiation therapy planning0.000.000.000.000.000.000.000.000.000.00XXX
    77299TCCRadiation therapy planning0.000.000.000.000.000.000.000.000.000.00XXX
    77300ARadiation therapy dose plan0.621.561.591.561.590.092.272.302.272.30XXX
    7730026ARadiation therapy dose plan0.620.220.240.220.240.030.870.890.870.89XXX
    77300TCARadiation therapy dose plan0.001.341.35NANA0.061.401.41NANAXXX
    77305ARadiation therapy dose plan0.702.092.142.092.140.122.912.962.912.96XXX
    7730526ARadiation therapy dose plan0.700.250.280.250.280.030.981.010.981.01XXX
    77305TCARadiation therapy dose plan0.001.841.86NANA0.091.931.95NANAXXX
    77310ARadiation therapy dose plan1.052.692.742.692.740.153.893.943.893.94XXX
    7731026ARadiation therapy dose plan1.050.370.400.370.400.041.461.491.461.49XXX
    77310TCARadiation therapy dose plan0.002.322.34NANA0.112.432.45NANAXXX
    77315ARadiation therapy dose plan1.563.193.273.193.270.184.935.014.935.01XXX
    7731526ARadiation therapy dose plan1.560.550.600.550.600.062.172.222.172.22XXX
    77315TCARadiation therapy dose plan0.002.642.67NANA0.122.762.79NANAXXX
    77321ARadiation therapy port plan0.954.354.434.354.430.215.515.595.515.59XXX
    7732126ARadiation therapy port plan0.950.330.370.330.370.041.321.361.321.36XXX
    77321TCARadiation therapy port plan0.004.024.06NANA0.174.194.23NANAXXX
    77326ARadiation therapy dose plan0.932.672.732.672.730.153.753.813.753.81XXX
    7732626ARadiation therapy dose plan0.930.330.360.330.360.041.301.331.301.33XXX
    77326TCARadiation therapy dose plan0.002.342.37NANA0.112.452.48NANAXXX
    77327ARadiation therapy dose plan1.393.944.033.944.030.215.545.635.545.63XXX
    7732726ARadiation therapy dose plan1.390.490.540.490.540.061.941.991.941.99XXX
    77327TCARadiation therapy dose plan0.003.453.49NANA0.153.603.64NANAXXX
    77328ARadiation therapy dose plan2.095.675.795.675.790.308.068.188.068.18XXX
    7732826ARadiation therapy dose plan2.090.740.810.740.810.092.922.992.922.99XXX
    77328TCARadiation therapy dose plan0.004.934.98NANA0.215.145.19NANAXXX
    77331ASpecial radiation dosimetry0.870.810.850.810.850.061.741.781.741.78XXX
    7733126ASpecial radiation dosimetry0.870.310.340.310.340.041.221.251.221.25XXX
    77331TCASpecial radiation dosimetry0.000.500.51NANA0.020.520.53NANAXXX
    77332ARadiation treatment aid(s)0.541.531.561.531.560.082.152.182.152.18XXX
    7733226ARadiation treatment aid(s)0.540.190.210.190.210.020.750.770.750.77XXX
    77332TCARadiation treatment aid(s)0.001.341.35NANA0.061.401.41NANAXXX
    77333ARadiation treatment aid(s)0.842.182.232.182.230.133.153.203.153.20XXX
    7733326ARadiation treatment aid(s)0.840.300.330.300.330.041.181.211.181.21XXX
    77333TCARadiation treatment aid(s)0.001.881.90NANA0.091.971.99NANAXXX
    77334ARadiation treatment aid(s)1.243.673.743.673.740.195.105.175.105.17XXX
    7733426ARadiation treatment aid(s)1.240.440.480.440.480.051.731.771.731.77XXX
    77334TCARadiation treatment aid(s)0.003.233.26NANA0.143.373.40NANAXXX
    77336ARadiation physics consult0.002.962.99NANA0.133.093.12NANAXXX
    77370ARadiation physics consult0.003.473.51NANA0.153.623.66NANAXXX
    77399CExternal radiation dosimetry0.000.000.000.000.000.000.000.000.000.00XXX
    7739926CExternal radiation dosimetry0.000.000.000.000.000.000.000.000.000.00XXX
    77399TCCExternal radiation dosimetry0.000.000.000.000.000.000.000.000.000.00XXX
    77401ARadiation treatment delivery0.001.761.78NANA0.091.851.87NANAXXX
    Start Printed Page 65519
    77402ARadiation treatment delivery0.001.761.78NANA0.091.851.87NANAXXX
    77403ARadiation treatment delivery0.001.761.78NANA0.091.851.87NANAXXX
    77404ARadiation treatment delivery0.001.761.78NANA0.091.851.87NANAXXX
    77406ARadiation treatment delivery0.001.761.78NANA0.091.851.87NANAXXX
    77407ARadiation treatment delivery0.002.082.10NANA0.102.182.20NANAXXX
    77408ARadiation treatment delivery0.002.082.10NANA0.102.182.20NANAXXX
    77409ARadiation treatment delivery0.002.082.10NANA0.102.182.20NANAXXX
    77411ARadiation treatment delivery0.002.082.10NANA0.102.182.20NANAXXX
    77412ARadiation treatment delivery0.002.322.34NANA0.112.432.45NANAXXX
    77413ARadiation treatment delivery0.002.322.34NANA0.112.432.45NANAXXX
    77414ARadiation treatment delivery0.002.322.34NANA0.112.432.45NANAXXX
    77416ARadiation treatment delivery0.002.322.34NANA0.112.432.45NANAXXX
    77417ARadiology port film(s)0.000.590.60NANA0.030.620.63NANAXXX
    77427ARadiation tx management, x53.311.171.171.171.170.144.624.624.624.62XXX
    77431ARadiation therapy management1.810.730.770.730.770.072.612.652.612.65XXX
    77432AStereotactic radiation trmt7.933.213.753.213.750.3311.4712.0111.4712.01XXX
    77470ASpecial radiation treatment2.0911.8011.9911.8011.990.5814.4714.6614.4714.66XXX
    7747026ASpecial radiation treatment2.090.730.800.730.800.092.912.982.912.98XXX
    77470TCASpecial radiation treatment0.0011.0711.19NANA0.4911.5611.68NANAXXX
    77499CRadiation therapy management0.000.000.000.000.000.000.000.000.000.00XXX
    7749926CRadiation therapy management0.000.000.000.000.000.000.000.000.000.00XXX
    77499TCCRadiation therapy management0.000.000.000.000.000.000.000.000.000.00XXX
    77520CProton trmt, simple w/o comp0.000.000.000.000.000.000.000.000.000.00XXX
    77522CProton trmt, simple w/comp0.000.000.000.000.000.000.000.000.000.00XXX
    77523CProton trmt, intermediate0.000.000.000.000.000.000.000.000.000.00XXX
    77525CProton treatment, complex0.000.000.000.000.000.000.000.000.000.00XXX
    77600RHyperthermia treatment1.563.583.663.583.660.215.355.435.355.43XXX
    7760026RHyperthermia treatment1.560.550.600.550.600.082.192.242.192.24XXX
    77600TCRHyperthermia treatment0.003.033.06NANA0.133.163.19NANAXXX
    77605RHyperthermia treatment2.094.774.884.774.880.317.177.287.177.28XXX
    7760526RHyperthermia treatment2.090.730.800.730.800.132.953.022.953.02XXX
    77605TCRHyperthermia treatment0.004.044.08NANA0.184.224.26NANAXXX
    77610RHyperthermia treatment1.563.583.663.583.660.205.345.425.345.42XXX
    7761026RHyperthermia treatment1.560.550.600.550.600.072.182.232.182.23XXX
    77610TCRHyperthermia treatment0.003.033.06NANA0.133.163.19NANAXXX
    77615RHyperthermia treatment2.094.774.884.774.880.277.137.247.137.24XXX
    7761526RHyperthermia treatment2.090.730.800.730.800.092.912.982.912.98XXX
    77615TCRHyperthermia treatment0.004.044.08NANA0.184.224.26NANAXXX
    77620RHyperthermia treatment1.563.603.683.603.680.195.355.435.355.43XXX
    7762026RHyperthermia treatment1.560.570.620.570.620.062.192.242.192.24XXX
    77620TCRHyperthermia treatment0.003.033.06NANA0.133.163.19NANAXXX
    77750AInfuse radioactive materials4.913.063.193.063.190.238.208.338.208.33090
    7775026AInfuse radioactive materials4.911.731.851.731.850.176.816.936.816.93090
    77750TCAInfuse radioactive materials0.001.331.34NANA0.061.391.40NANA090
    77761AApply intrcav radiat simple3.813.743.893.743.890.287.837.987.837.98090
    7776126AApply intrcav radiat simple3.811.251.371.251.370.165.225.345.225.34090
    77761TCAApply intrcav radiat simple0.002.492.52NANA0.122.612.64NANA090
    77762AApply intrcav radiat interm5.725.625.805.625.800.3811.7211.9011.7211.90090
    7776226AApply intrcav radiat interm5.722.042.182.042.180.227.988.127.988.12090
    77762TCAApply intrcav radiat interm0.003.583.62NANA0.163.743.78NANA090
    77763AApply intrcav radiat compl8.577.497.767.497.760.5316.5916.8616.5916.86090
    7776326AApply intrcav radiat compl8.573.033.253.033.250.3411.9412.1611.9412.16090
    77763TCAApply intrcav radiat compl0.004.464.51NANA0.194.654.70NANA090
    77776AApply interstit radiat simpl4.663.303.603.303.600.358.318.618.318.61XXX
    7777626AApply interstit radiat simpl4.661.141.421.141.420.246.046.326.046.32XXX
    77776TCAApply interstit radiat simpl0.002.162.18NANA0.112.272.29NANAXXX
    77777AApply interstit radiat inter7.486.867.096.867.090.5014.8415.0714.8415.07090
    7777726AApply interstit radiat inter7.482.652.842.652.840.3210.4510.6410.4510.64090
    77777TCAApply interstit radiat inter0.004.214.25NANA0.184.394.43NANA090
    77778AApply iterstit radiat compl11.199.019.369.019.360.6920.8921.2420.8921.24090
    7777826AApply iterstit radiat compl11.193.914.213.914.210.4715.5715.8715.5715.87090
    77778TCAApply iterstit radiat compl0.005.105.15NANA0.225.325.37NANA090
    77781AHigh intensity brachytherapy1.6620.7521.0020.7521.000.9523.3623.6123.3623.61090
    7778126AHigh intensity brachytherapy1.660.590.630.590.630.072.322.362.322.36090
    77781TCAHigh intensity brachytherapy0.0020.1620.37NANA0.8821.0421.25NANA090
    77782AHigh intensity brachytherapy2.4921.0421.3221.0421.320.9824.5124.7924.5124.79090
    7778226AHigh intensity brachytherapy2.490.880.950.880.950.103.473.543.473.54090
    77782TCAHigh intensity brachytherapy0.0020.1620.37NANA0.8821.0421.25NANA090
    77783AHigh intensity brachytherapy3.7321.4721.7721.4721.771.0326.2326.5326.2326.53090
    7778326AHigh intensity brachytherapy3.731.311.401.311.400.155.195.285.195.28090
    77783TCAHigh intensity brachytherapy0.0020.1620.37NANA0.8821.0421.25NANA090
    77784AHigh intensity brachytherapy5.6122.1322.4822.1322.481.1028.8429.1928.8429.19090
    7778426AHigh intensity brachytherapy5.611.972.111.972.110.227.807.947.807.94090
    77784TCAHigh intensity brachytherapy0.0020.1620.37NANA0.8821.0421.25NANA090
    77789AApply surface radiation1.120.850.890.850.890.052.022.062.022.06090
    7778926AApply surface radiation1.120.400.430.400.430.031.551.581.551.58090
    77789TCAApply surface radiation0.000.450.46NANA0.020.470.48NANA090
    77790ARadiation handling1.050.870.910.870.910.061.982.021.982.02XXX
    7779026ARadiation handling1.050.370.400.370.400.041.461.491.461.49XXX
    77790TCARadiation handling0.000.500.51NANA0.020.520.53NANAXXX
    77799CRadium/radioisotope therapy0.000.000.000.000.000.000.000.000.000.00XXX
    7779926CRadium/radioisotope therapy0.000.000.000.000.000.000.000.000.000.00XXX
    77799TCCRadium/radioisotope therapy0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65520
    78000AThyroid, single uptake0.191.031.051.031.050.061.281.301.281.30XXX
    7800026AThyroid, single uptake0.190.070.080.070.080.010.270.280.270.28XXX
    78000TCAThyroid, single uptake0.000.960.97NANA0.051.011.02NANAXXX
    78001AThyroid, multiple uptakes0.261.401.421.401.420.071.731.751.731.75XXX
    7800126AThyroid, multiple uptakes0.260.100.110.100.110.010.370.380.370.38XXX
    78001TCAThyroid, multiple uptakes0.001.301.31NANA0.061.361.37NANAXXX
    78003AThyroid suppress/stimul0.331.081.101.081.100.061.471.491.471.49XXX
    7800326AThyroid suppress/stimul0.330.120.130.120.130.010.460.470.460.47XXX
    78003TCAThyroid suppress/stimul0.000.960.97NANA0.051.011.02NANAXXX
    78006AThyroid imaging with uptake0.492.542.592.542.590.133.163.213.163.21XXX
    7800626AThyroid imaging with uptake0.490.180.200.180.200.020.690.710.690.71XXX
    78006TCAThyroid imaging with uptake0.002.362.39NANA0.112.472.50NANAXXX
    78007AThyroid image, mult uptakes0.502.742.792.742.790.143.383.433.383.43XXX
    7800726AThyroid image, mult uptakes0.500.180.200.180.200.020.700.720.700.72XXX
    78007TCAThyroid image, mult uptakes0.002.562.59NANA0.122.682.71NANAXXX
    78010AThyroid imaging0.391.951.981.951.980.112.452.482.452.48XXX
    7801026AThyroid imaging0.390.140.150.140.150.020.550.560.550.56XXX
    78010TCAThyroid imaging0.001.811.83NANA0.091.901.92NANAXXX
    78011AThyroid imaging with flow0.452.562.612.562.610.133.143.193.143.19XXX
    7801126AThyroid imaging with flow0.450.170.190.170.190.020.640.660.640.66XXX
    78011TCAThyroid imaging with flow0.002.392.42NANA0.112.502.53NANAXXX
    78015AThyroid met imaging0.672.802.862.802.860.153.623.683.623.68XXX
    7801526AThyroid met imaging0.670.240.270.240.270.030.940.970.940.97XXX
    78015TCAThyroid met imaging0.002.562.59NANA0.122.682.71NANAXXX
    78016AThyroid met imaging/studies0.823.773.843.773.840.184.774.844.774.84XXX
    7801626AThyroid met imaging/studies0.820.310.340.310.340.031.161.191.161.19XXX
    78016TCAThyroid met imaging/studies0.003.463.50NANA0.153.613.65NANAXXX
    78018AThyroid met imaging, body0.865.705.805.705.800.276.836.936.836.93XXX
    7801826AThyroid met imaging, body0.860.320.360.320.360.031.211.251.211.25XXX
    78018TCAThyroid met imaging, body0.005.385.44NANA0.245.625.68NANAXXX
    78020AThyroid met uptake0.601.531.531.531.530.142.272.272.272.27ZZZ
    7802026AThyroid met uptake0.600.230.230.230.230.020.850.850.850.85ZZZ
    78020TCAThyroid met uptake0.001.301.30NANA0.121.421.42NANAZZZ
    78070AParathyroid nuclear imaging0.822.112.122.112.120.123.053.063.053.06XXX
    7807026AParathyroid nuclear imaging0.820.300.290.300.290.031.151.141.151.14XXX
    78070TCAParathyroid nuclear imaging0.001.811.83NANA0.091.901.92NANAXXX
    78075AAdrenal nuclear imaging0.745.665.745.665.740.276.676.756.676.75XXX
    7807526AAdrenal nuclear imaging0.740.280.300.280.300.031.051.071.051.07XXX
    78075TCAAdrenal nuclear imaging0.005.385.44NANA0.245.625.68NANAXXX
    78099CEndocrine nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7809926CEndocrine nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    78099TCCEndocrine nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    78102ABone marrow imaging, ltd0.552.242.282.242.280.122.912.952.912.95XXX
    7810226ABone marrow imaging, ltd0.550.210.230.210.230.020.780.800.780.80XXX
    78102TCABone marrow imaging, ltd0.002.032.05NANA0.102.132.15NANAXXX
    78103ABone marrow imaging, mult0.753.433.483.433.480.174.354.404.354.40XXX
    7810326ABone marrow imaging, mult0.750.280.300.280.300.031.061.081.061.08XXX
    78103TCABone marrow imaging, mult0.003.153.18NANA0.143.293.32NANAXXX
    78104ABone marrow imaging, body0.804.334.404.334.400.215.345.415.345.41XXX
    7810426ABone marrow imaging, body0.800.290.320.290.320.031.121.151.121.15XXX
    78104TCABone marrow imaging, body0.004.044.08NANA0.184.224.26NANAXXX
    78110APlasma volume, single0.191.021.041.021.040.061.271.291.271.29XXX
    7811026APlasma volume, single0.190.080.090.080.090.010.280.290.280.29XXX
    78110TCAPlasma volume, single0.000.940.95NANA0.050.991.00NANAXXX
    78111APlasma volume, multiple0.222.642.682.642.680.132.993.032.993.03XXX
    7811126APlasma volume, multiple0.220.080.090.080.090.010.310.320.310.32XXX
    78111TCAPlasma volume, multiple0.002.562.59NANA0.122.682.71NANAXXX
    78120ARed cell mass, single0.231.811.841.811.840.102.142.172.142.17XXX
    7812026ARed cell mass, single0.230.090.100.090.100.010.330.340.330.34XXX
    78120TCARed cell mass, single0.001.721.74NANA0.091.811.83NANAXXX
    78121ARed cell mass, multiple0.323.013.053.013.050.133.463.503.463.50XXX
    7812126ARed cell mass, multiple0.320.120.130.120.130.010.450.460.450.46XXX
    78121TCARed cell mass, multiple0.002.892.92NANA0.123.013.04NANAXXX
    78122ABlood volume0.454.744.804.744.800.225.415.475.415.47XXX
    7812226ABlood volume0.450.170.180.170.180.020.640.650.640.65XXX
    78122TCABlood volume0.004.574.62NANA0.204.774.82NANAXXX
    78130ARed cell survival study0.613.063.113.063.110.153.823.873.823.87XXX
    7813026ARed cell survival study0.610.230.250.230.250.030.870.890.870.89XXX
    78130TCARed cell survival study0.002.832.86NANA0.122.952.98NANAXXX
    78135ARed cell survival kinetics0.645.075.145.075.140.245.956.025.956.02XXX
    7813526ARed cell survival kinetics0.640.230.250.230.250.030.900.920.900.92XXX
    78135TCARed cell survival kinetics0.004.844.89NANA0.215.055.10NANAXXX
    78140ARed cell sequestration0.614.134.194.134.190.204.945.004.945.00XXX
    7814026ARed cell sequestration0.610.220.240.220.240.030.860.880.860.88XXX
    78140TCARed cell sequestration0.003.913.95NANA0.174.084.12NANAXXX
    78160APlasma iron turnover0.333.793.833.793.830.194.314.354.314.35XXX
    7816026APlasma iron turnover0.330.150.150.150.150.030.510.510.510.51XXX
    78160TCAPlasma iron turnover0.003.643.68NANA0.163.803.84NANAXXX
    78162AIron absorption exam0.453.363.403.363.400.153.964.003.964.00XXX
    7816226AIron absorption exam0.450.180.190.180.190.010.640.650.640.65XXX
    78162TCAIron absorption exam0.003.183.21NANA0.143.323.35NANAXXX
    78170ARed cell iron utilization0.415.415.485.415.480.276.096.166.096.16XXX
    7817026ARed cell iron utilization0.410.150.160.150.160.040.600.610.600.61XXX
    Start Printed Page 65521
    78170TCARed cell iron utilization0.005.265.32NANA0.235.495.55NANAXXX
    78172CTotal body iron estimation0.000.000.000.000.000.000.000.000.000.00XXX
    7817226ATotal body iron estimation0.530.190.210.190.210.020.740.760.740.76XXX
    78172TCCTotal body iron estimation0.000.000.000.000.000.000.000.000.000.00XXX
    78185ASpleen imaging0.402.482.532.482.530.133.013.063.013.06XXX
    7818526ASpleen imaging0.400.140.160.140.160.020.560.580.560.58XXX
    78185TCASpleen imaging0.002.342.37NANA0.112.452.48NANAXXX
    78190APlatelet survival, kinetics1.096.066.156.066.150.317.467.557.467.55XXX
    7819026APlatelet survival, kinetics1.090.390.420.390.420.061.541.571.541.57XXX
    78190TCAPlatelet survival, kinetics0.005.675.73NANA0.255.925.98NANAXXX
    78191APlatelet survival0.617.507.607.507.600.348.458.558.458.55XXX
    7819126APlatelet survival0.610.220.240.220.240.030.860.880.860.88XXX
    78191TCAPlatelet survival0.007.287.36NANA0.317.597.67NANAXXX
    78195ALymph system imaging1.204.484.504.484.500.235.915.935.915.93XXX
    7819526ALymph system imaging1.200.440.420.440.420.051.691.671.691.67XXX
    78195TCALymph system imaging0.004.044.08NANA0.184.224.26NANAXXX
    78199CBlood/lymph nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7819926CBlood/lymph nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78199TCCBlood/lymph nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78201ALiver imaging0.442.502.542.502.540.133.073.113.073.11XXX
    7820126ALiver imaging0.440.160.170.160.170.020.620.630.620.63XXX
    78201TCALiver imaging0.002.342.37NANA0.112.452.48NANAXXX
    78202ALiver imaging with flow0.513.053.103.053.100.143.703.753.703.75XXX
    7820226ALiver imaging with flow0.510.190.210.190.210.020.720.740.720.74XXX
    78202TCALiver imaging with flow0.002.862.89NANA0.122.983.01NANAXXX
    78205ALiver imaging (3D)0.716.126.216.126.210.297.127.217.127.21XXX
    7820526ALiver imaging (3D)0.710.260.290.260.290.031.001.031.001.03XXX
    78205TCALiver imaging (3D)0.005.865.92NANA0.266.126.18NANAXXX
    78206ALiver image (3d) w/flow0.966.226.226.226.220.137.317.317.317.31XXX
    7820626ALiver image (3d) w/flow0.960.360.360.360.360.041.361.361.361.36XXX
    78206TCALiver image (3d) w/flow0.005.865.86NANA0.095.955.95NANAXXX
    78215ALiver and spleen imaging0.493.103.153.103.150.143.733.783.733.78XXX
    7821526ALiver and spleen imaging0.490.180.200.180.200.020.690.710.690.71XXX
    78215TCALiver and spleen imaging0.002.922.95NANA0.123.043.07NANAXXX
    78216ALiver & spleen image/flow0.573.673.733.673.730.174.414.474.414.47XXX
    7821626ALiver & spleen image/flow0.570.210.230.210.230.020.800.820.800.82XXX
    78216TCALiver & spleen image/flow0.003.463.50NANA0.153.613.65NANAXXX
    78220ALiver function study0.493.883.943.883.940.184.554.614.554.61XXX
    7822026ALiver function study0.490.180.200.180.200.020.690.710.690.71XXX
    78220TCALiver function study0.003.703.74NANA0.163.863.90NANAXXX
    78223AHepatobiliary imaging0.843.944.013.944.010.204.985.054.985.05XXX
    7822326AHepatobiliary imaging0.840.300.330.300.330.041.181.211.181.21XXX
    78223TCAHepatobiliary imaging0.003.643.68NANA0.163.803.84NANAXXX
    78230ASalivary gland imaging0.452.322.362.322.360.132.902.942.902.94XXX
    7823026ASalivary gland imaging0.450.160.180.160.180.020.630.650.630.65XXX
    78230TCASalivary gland imaging0.002.162.18NANA0.112.272.29NANAXXX
    78231ASerial salivary imaging0.523.353.403.353.400.164.034.084.034.08XXX
    7823126ASerial salivary imaging0.520.200.220.200.220.020.740.760.740.76XXX
    78231TCASerial salivary imaging0.003.153.18NANA0.143.293.32NANAXXX
    78232ASalivary gland function exam0.473.703.763.703.760.164.334.394.334.39XXX
    7823226ASalivary gland function exam0.470.180.200.180.200.010.660.680.660.68XXX
    78232TCASalivary gland function exam0.003.523.56NANA0.153.673.71NANAXXX
    78258AEsophageal motility study0.743.133.193.133.190.154.024.084.024.08XXX
    7825826AEsophageal motility study0.740.270.300.270.300.031.041.071.041.07XXX
    78258TCAEsophageal motility study0.002.862.89NANA0.122.983.01NANAXXX
    78261AGastric mucosa imaging0.694.344.404.344.400.215.245.305.245.30XXX
    7826126AGastric mucosa imaging0.690.270.290.270.290.030.991.010.991.01XXX
    78261TCAGastric mucosa imaging0.004.074.11NANA0.184.254.29NANAXXX
    78262AGastroesophageal reflux exam0.684.494.554.494.550.215.385.445.385.44XXX
    7826226AGastroesophageal reflux exam0.680.260.280.260.280.030.970.990.970.99XXX
    78262TCAGastroesophageal reflux exam0.004.234.27NANA0.184.414.45NANAXXX
    78264AGastric emptying study0.784.384.454.384.450.215.375.445.375.44XXX
    7826426AGastric emptying study0.780.280.310.280.310.031.091.121.091.12XXX
    78264TCAGastric emptying study0.004.104.14NANA0.184.284.32NANAXXX
    78267XBreath tst attain/anal c-140.000.000.000.000.000.000.000.000.000.00XXX
    78268XBreath test analysis, c-140.000.000.000.000.000.000.000.000.000.00XXX
    78270AVit B-12 absorption exam0.201.611.641.611.640.091.901.931.901.93XXX
    7827026AVit B-12 absorption exam0.200.070.080.070.080.010.280.290.280.29XXX
    78270TCAVit B-12 absorption exam0.001.541.56NANA0.081.621.64NANAXXX
    78271AVit B-12 absorp exam, IF0.201.701.731.701.730.091.992.021.992.02XXX
    7827126AVit B-12 absorp exam, IF0.200.070.080.070.080.010.280.290.280.29XXX
    78271TCAVit B-12 absorp exam, IF0.001.631.65NANA0.081.711.73NANAXXX
    78272AVit B-12 absorp, combined0.272.412.442.412.440.122.802.832.802.83XXX
    7827226AVit B-12 absorp, combined0.270.100.110.100.110.010.380.390.380.39XXX
    78272TCAVit B-12 absorp, combined0.002.312.33NANA0.112.422.44NANAXXX
    78278AAcute GI blood loss imaging0.995.205.285.205.280.256.446.526.446.52XXX
    7827826AAcute GI blood loss imaging0.990.360.390.360.390.041.391.421.391.42XXX
    78278TCAAcute GI blood loss imaging0.004.844.89NANA0.215.055.10NANAXXX
    78282CGI protein loss exam0.000.000.000.000.000.000.000.000.000.00XXX
    7828226AGI protein loss exam0.380.140.150.140.150.020.540.550.540.55XXX
    78282TCCGI protein loss exam0.000.000.000.000.000.000.000.000.000.00XXX
    78290AMeckel's divert exam0.683.273.333.273.330.164.114.174.114.17XXX
    7829026AMeckel's divert exam0.680.240.270.240.270.030.950.980.950.98XXX
    Start Printed Page 65522
    78290TCAMeckel's divert exam0.003.033.06NANA0.133.163.19NANAXXX
    78291ALeveen/shunt patency exam0.883.373.433.373.430.174.424.484.424.48XXX
    7829126ALeveen/shunt patency exam0.880.320.350.320.350.041.241.271.241.27XXX
    78291TCALeveen/shunt patency exam0.003.053.08NANA0.133.183.21NANAXXX
    78299CGI nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7829926CGI nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    78299TCCGI nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    78300ABone imaging, limited area0.622.692.742.692.740.153.463.513.463.51XXX
    7830026ABone imaging, limited area0.620.220.240.220.240.030.870.890.870.89XXX
    78300TCABone imaging, limited area0.002.472.50NANA0.122.592.62NANAXXX
    78305ABone imaging, multiple areas0.833.944.013.944.010.194.965.034.965.03XXX
    7830526ABone imaging, multiple areas0.830.300.330.300.330.031.161.191.161.19XXX
    78305TCABone imaging, multiple areas0.003.643.68NANA0.163.803.84NANAXXX
    78306ABone imaging, whole body0.864.564.634.564.630.225.645.715.645.71XXX
    7830626ABone imaging, whole body0.860.310.340.310.340.041.211.241.211.24XXX
    78306TCABone imaging, whole body0.004.254.29NANA0.184.434.47NANAXXX
    78315ABone imaging, 3 phase1.025.125.205.125.200.256.396.476.396.47XXX
    7831526ABone imaging, 3 phase1.020.370.400.370.400.041.431.461.431.46XXX
    78315TCABone imaging, 3 phase0.004.754.80NANA0.214.965.01NANAXXX
    78320ABone imaging (3D)1.046.256.346.256.340.307.597.687.597.68XXX
    7832026ABone imaging (3D)1.040.390.420.390.420.041.471.501.471.50XXX
    78320TCABone imaging (3D)0.005.865.92NANA0.266.126.18NANAXXX
    78350ABone mineral, single photon0.220.830.850.830.850.051.101.121.101.12XXX
    7835026ABone mineral, single photon0.220.080.090.080.090.010.310.320.310.32XXX
    78350TCABone mineral, single photon0.000.750.76NANA0.040.790.80NANAXXX
    78351NBone mineral, dual photon+0.301.551.220.120.140.011.861.530.430.45XXX
    78399CMusculoskeletal nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7839926CMusculoskeletal nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78399TCCMusculoskeletal nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78414CNon-imaging heart function0.000.000.000.000.000.000.000.000.000.00XXX
    7841426ANon-imaging heart function0.450.170.180.170.180.020.640.650.640.65XXX
    78414TCCNon-imaging heart function0.000.000.000.000.000.000.000.000.000.00XXX
    78428ACardiac shunt imaging0.782.572.612.572.610.143.493.533.493.53XXX
    7842826ACardiac shunt imaging0.780.330.350.330.350.031.141.161.141.16XXX
    78428TCACardiac shunt imaging0.002.242.26NANA0.112.352.37NANAXXX
    78445AVascular flow imaging0.492.022.062.022.060.112.622.662.622.66XXX
    7844526AVascular flow imaging0.490.180.200.180.200.020.690.710.690.71XXX
    78445TCAVascular flow imaging0.001.841.86NANA0.091.931.95NANAXXX
    78455AVenous thrombosis study0.734.234.294.234.290.205.165.225.165.22XXX
    7845526AVenous thrombosis study0.730.270.290.270.290.031.031.051.031.05XXX
    78455TCAVenous thrombosis study0.003.964.00NANA0.174.134.17NANAXXX
    78456AAcute venous thrombus image1.004.334.334.334.330.285.615.615.615.61XXX
    7845626AAcute venous thrombus image1.000.370.370.370.370.041.411.411.411.41XXX
    78456TCAAcute venous thrombus image0.003.963.96NANA0.244.204.20NANAXXX
    78457AVenous thrombosis imaging0.772.922.982.922.980.153.843.903.843.90XXX
    7845726AVenous thrombosis imaging0.770.280.310.280.310.031.081.111.081.11XXX
    78457TCAVenous thrombosis imaging0.002.642.67NANA0.122.762.79NANAXXX
    78458AVen thrombosis images, bilat0.904.344.404.344.400.205.445.505.445.50XXX
    7845826AVen thrombosis images, bilat0.900.340.360.340.360.031.271.291.271.29XXX
    78458TCAVen thrombosis images, bilat0.004.004.04NANA0.174.174.21NANAXXX
    78459IHeart muscle imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    7845926IHeart muscle imaging (PET)+1.880.750.930.750.930.082.712.892.712.89XXX
    78459TCIHeart muscle imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    78460AHeart muscle blood, single0.862.662.722.662.720.143.663.723.663.72XXX
    7846026AHeart muscle blood, single0.860.320.350.320.350.031.211.241.211.24XXX
    78460TCAHeart muscle blood, single0.002.342.37NANA0.112.452.48NANAXXX
    78461AHeart muscle blood, multiple1.235.165.245.165.240.266.656.736.656.73XXX
    7846126AHeart muscle blood, multiple1.230.470.500.470.500.051.751.781.751.78XXX
    78461TCAHeart muscle blood, multiple0.004.694.74NANA0.214.904.95NANAXXX
    78464AHeart image (3d), single1.097.427.537.427.530.358.868.978.868.97XXX
    7846426AHeart image (3d), single1.090.410.440.410.440.041.541.571.541.57XXX
    78464TCAHeart image (3d), single0.007.017.09NANA0.317.327.40NANAXXX
    78465AHeart image (3d), multiple1.4612.2812.4412.2812.440.5614.3014.4614.3014.46XXX
    7846526AHeart image (3d), multiple1.460.570.610.570.610.052.082.122.082.12XXX
    78465TCAHeart image (3d), multiple0.0011.7111.83NANA0.5112.2212.34NANAXXX
    78466AHeart infarct image0.692.872.922.872.920.153.713.763.713.76XXX
    7846626AHeart infarct image0.690.270.290.270.290.030.991.010.991.01XXX
    78466TCAHeart infarct image0.002.602.63NANA0.122.722.75NANAXXX
    78468AHeart infarct image (ef)0.803.944.003.944.000.194.934.994.934.99XXX
    7846826AHeart infarct image (ef)0.800.300.320.300.320.031.131.151.131.15XXX
    78468TCAHeart infarct image (ef)0.003.643.68NANA0.163.803.84NANAXXX
    78469AHeart infarct image (3D)0.925.535.615.535.610.266.716.796.716.79XXX
    7846926AHeart infarct image (3D)0.920.340.370.340.370.031.291.321.291.32XXX
    78469TCAHeart infarct image (3D)0.005.195.24NANA0.235.425.47NANAXXX
    78472AGated heart, planar, single0.985.845.935.845.930.297.117.207.117.20XXX
    7847226AGated heart, planar, single0.980.370.400.370.400.041.391.421.391.42XXX
    78472TCAGated heart, planar, single0.005.475.53NANA0.255.725.78NANAXXX
    78473AGated heart, multiple1.478.758.888.758.880.4010.6210.7510.6210.75XXX
    7847326AGated heart, multiple1.470.560.600.560.600.052.082.122.082.12XXX
    78473TCAGated heart, multiple0.008.198.28NANA0.358.548.63NANAXXX
    78478AHeart wall motion add-on0.621.801.831.801.830.102.522.552.522.55ZZZ
    7847826AHeart wall motion add-on0.620.250.260.250.260.020.890.900.890.90ZZZ
    78478TCAHeart wall motion add-on0.001.551.57NANA0.081.631.65NANAZZZ
    Start Printed Page 65523
    78480AHeart function add-on0.621.801.831.801.830.102.522.552.522.55ZZZ
    7848026AHeart function add-on0.620.250.260.250.260.020.890.900.890.90ZZZ
    78480TCAHeart function add-on0.001.551.57NANA0.081.631.65NANAZZZ
    78481AHeart first pass, single0.985.595.665.595.660.266.836.906.836.90XXX
    7848126AHeart first pass, single0.980.400.420.400.420.031.411.431.411.43XXX
    78481TCAHeart first pass, single0.005.195.24NANA0.235.425.47NANAXXX
    78483AHeart first pass, multiple1.478.408.518.408.510.3910.2610.3710.2610.37XXX
    7848326AHeart first pass, multiple1.470.590.620.590.620.052.112.142.112.14XXX
    78483TCAHeart first pass, multiple0.007.817.89NANA0.348.158.23NANAXXX
    78491IHeart image (pet), single0.000.000.000.000.000.000.000.000.000.00XXX
    7849126IHeart image (pet), single+1.500.600.810.600.810.052.152.362.152.36XXX
    78491TCIHeart image (pet), single0.000.000.000.000.000.000.000.000.000.00XXX
    78492IHeart image (pet), multiple0.000.000.000.000.000.000.000.000.000.00XXX
    7849226IHeart image (pet), multiple+1.870.750.930.750.930.062.682.862.682.86XXX
    78492TCIHeart image (pet), multiple0.000.000.000.000.000.000.000.000.000.00XXX
    78494AHeart image, spect1.197.467.467.467.460.298.948.948.948.94XXX
    7849426AHeart image, spect1.190.450.450.450.450.041.681.681.681.68XXX
    78494TCAHeart image, spect0.007.017.01NANA0.257.267.26NANAXXX
    78496AHeart first pass add-on0.507.217.217.217.210.277.987.987.987.98ZZZ
    7849626AHeart first pass add-on0.500.200.200.200.200.020.720.720.720.72ZZZ
    78496TCAHeart first pass add-on0.007.017.01NANA0.257.267.26NANAZZZ
    78499CCardiovascular nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7849926CCardiovascular nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78499TCCCardiovascular nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78580ALung perfusion imaging0.743.683.753.683.750.184.604.674.604.67XXX
    7858026ALung perfusion imaging0.740.270.300.270.300.031.041.071.041.07XXX
    78580TCALung perfusion imaging0.003.413.45NANA0.153.563.60NANAXXX
    78584ALung V/Q image single breath0.993.533.603.533.600.184.704.774.704.77XXX
    7858426ALung V/Q image single breath0.990.350.390.350.390.041.381.421.381.42XXX
    78584TCALung V/Q image single breath0.003.183.21NANA0.143.323.35NANAXXX
    78585ALung V/Q imaging1.095.986.075.986.070.307.377.467.377.46XXX
    7858526ALung V/Q imaging1.090.390.420.390.420.051.531.561.531.56XXX
    78585TCALung V/Q imaging0.005.595.65NANA0.255.845.90NANAXXX
    78586AAerosol lung image, single0.402.712.762.712.760.143.253.303.253.30XXX
    7858626AAerosol lung image, single0.400.140.160.140.160.020.560.580.560.58XXX
    78586TCAAerosol lung image, single0.002.572.60NANA0.122.692.72NANAXXX
    78587AAerosol lung image, multiple0.492.973.022.973.020.143.603.653.603.65XXX
    7858726AAerosol lung image, multiple0.490.180.200.180.200.020.690.710.690.71XXX
    78587TCAAerosol lung image, multiple0.002.792.82NANA0.122.912.94NANAXXX
    78588APerfusion lung image1.093.583.583.583.580.204.874.874.874.87XXX
    7858826APerfusion lung image1.090.400.400.400.400.051.541.541.541.54XXX
    78588TCAPerfusion lung image0.003.183.18NANA0.153.333.33NANAXXX
    78591AVent image, 1 breath, 1 proj0.402.973.022.973.020.143.513.563.513.56XXX
    7859126AVent image, 1 breath, 1 proj0.400.140.160.140.160.020.560.580.560.58XXX
    78591TCAVent image, 1 breath, 1 proj0.002.832.86NANA0.122.952.98NANAXXX
    78593AVent image, 1 proj, gas0.493.613.673.613.670.174.274.334.274.33XXX
    7859326AVent image, 1 proj, gas0.490.180.200.180.200.020.690.710.690.71XXX
    78593TCAVent image, 1 proj, gas0.003.433.47NANA0.153.583.62NANAXXX
    78594AVent image, mult proj, gas0.535.145.215.145.210.235.905.975.905.97XXX
    7859426AVent image, mult proj, gas0.530.190.210.190.210.020.740.760.740.76XXX
    78594TCAVent image, mult proj, gas0.004.955.00NANA0.215.165.21NANAXXX
    78596ALung differential function1.277.477.597.477.590.369.109.229.109.22XXX
    7859626ALung differential function1.270.460.500.460.500.051.781.821.781.82XXX
    78596TCALung differential function0.007.017.09NANA0.317.327.40NANAXXX
    78599CRespiratory nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7859926CRespiratory nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78599TCCRespiratory nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78600ABrain imaging, ltd static0.443.023.073.023.070.143.603.653.603.65XXX
    7860026ABrain imaging, ltd static0.440.160.180.160.180.020.620.640.620.64XXX
    78600TCABrain imaging, ltd static0.002.862.89NANA0.122.983.01NANAXXX
    78601ABrain imaging, ltd w/ flow0.513.573.633.573.630.174.254.314.254.31XXX
    7860126ABrain imaging, ltd w/ flow0.510.190.210.190.210.020.720.740.720.74XXX
    78601TCABrain imaging, ltd w/ flow0.003.383.42NANA0.153.533.57NANAXXX
    78605ABrain imaging, complete0.533.583.643.583.640.174.284.344.284.34XXX
    7860526ABrain imaging, complete0.530.200.220.200.220.020.750.770.750.77XXX
    78605TCABrain imaging, complete0.003.383.42NANA0.153.533.57NANAXXX
    78606ABrain imaging, compl w/flow0.644.074.134.074.130.204.914.974.914.97XXX
    7860626ABrain imaging, compl w/flow0.640.230.250.230.250.030.900.920.900.92XXX
    78606TCABrain imaging, compl w/flow0.003.843.88NANA0.174.014.05NANAXXX
    78607ABrain imaging (3D)1.236.967.066.967.060.348.538.638.538.63XXX
    7860726ABrain imaging (3D)1.230.460.490.460.490.051.741.771.741.77XXX
    78607TCABrain imaging (3D)0.006.506.57NANA0.296.796.86NANAXXX
    78608NBrain imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    78609NBrain imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    78610ABrain flow imaging only0.301.681.711.681.710.092.072.102.072.10XXX
    7861026ABrain flow imaging only0.300.110.120.110.120.010.420.430.420.43XXX
    78610TCABrain flow imaging only0.001.571.59NANA0.081.651.67NANAXXX
    78615ACerebral blood flow imaging0.423.984.033.984.030.194.594.644.594.64XXX
    7861526ACerebral blood flow imaging0.420.160.170.160.170.020.600.610.600.61XXX
    78615TCACerebral blood flow imaging0.003.823.86NANA0.173.994.03NANAXXX
    78630ACerebrospinal fluid scan0.685.265.335.265.330.256.196.266.196.26XXX
    7863026ACerebrospinal fluid scan0.680.250.270.250.270.030.960.980.960.98XXX
    78630TCACerebrospinal fluid scan0.005.015.06NANA0.225.235.28NANAXXX
    Start Printed Page 65524
    78635ACSF ventriculography0.612.782.822.782.820.143.533.573.533.57XXX
    7863526ACSF ventriculography0.610.250.260.250.260.020.880.890.880.89XXX
    78635TCACSF ventriculography0.002.532.56NANA0.122.652.68NANAXXX
    78645ACSF shunt evaluation0.573.623.683.623.680.174.364.424.364.42XXX
    7864526ACSF shunt evaluation0.570.210.230.210.230.020.800.820.800.82XXX
    78645TCACSF shunt evaluation0.003.413.45NANA0.153.563.60NANAXXX
    78647ACerebrospinal fluid scan0.906.216.296.216.290.297.407.487.407.48XXX
    7864726ACerebrospinal fluid scan0.900.350.370.350.370.031.281.301.281.30XXX
    78647TCACerebrospinal fluid scan0.005.865.92NANA0.266.126.18NANAXXX
    78650ACSF leakage imaging0.614.844.914.844.910.225.675.745.675.74XXX
    7865026ACSF leakage imaging0.610.230.250.230.250.020.860.880.860.88XXX
    78650TCACSF leakage imaging0.004.614.66NANA0.204.814.86NANAXXX
    78660ANuclear exam of tear flow0.532.292.332.292.330.122.942.982.942.98XXX
    7866026ANuclear exam of tear flow0.530.190.210.190.210.020.740.760.740.76XXX
    78660TCANuclear exam of tear flow0.002.102.12NANA0.102.202.22NANAXXX
    78699CNervous system nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7869926CNervous system nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78699TCCNervous system nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78700AKidney imaging, static0.453.193.243.193.240.153.793.843.793.84XXX
    7870026AKidney imaging, static0.450.160.180.160.180.020.630.650.630.65XXX
    78700TCAKidney imaging, static0.003.033.06NANA0.133.163.19NANAXXX
    78701AKidney imaging with flow0.493.723.783.723.780.174.384.444.384.44XXX
    7870126AKidney imaging with flow0.490.180.200.180.200.020.690.710.690.71XXX
    78701TCAKidney imaging with flow0.003.543.58NANA0.153.693.73NANAXXX
    78704AImaging renogram0.744.204.274.204.270.205.145.215.145.21XXX
    7870426AImaging renogram0.740.270.300.270.300.031.041.071.041.07XXX
    78704TCAImaging renogram0.003.933.97NANA0.174.104.14NANAXXX
    78707AKidney flow/function image0.964.794.874.794.870.235.986.065.986.06XXX
    7870726AKidney flow/function image0.960.350.380.350.380.041.351.381.351.38XXX
    78707TCAKidney flow/function image0.004.444.49NANA0.194.634.68NANAXXX
    78708AKidney flow/function image1.214.884.944.884.940.246.336.396.336.39XXX
    7870826AKidney flow/function image1.210.440.450.440.450.051.701.711.701.71XXX
    78708TCAKidney flow/function image0.004.444.49NANA0.194.634.68NANAXXX
    78709AKidney flow/function image1.414.954.994.954.990.256.616.656.616.65XXX
    7870926AKidney flow/function image1.410.510.500.510.500.061.981.971.981.97XXX
    78709TCAKidney flow/function image0.004.444.49NANA0.194.634.68NANAXXX
    78710AKidney imaging (3D)0.666.106.186.106.180.297.057.137.057.13XXX
    7871026AKidney imaging (3D)0.660.240.260.240.260.030.930.950.930.95XXX
    78710TCAKidney imaging (3D)0.005.865.92NANA0.266.126.18NANAXXX
    78715ARenal vascular flow exam0.301.691.721.691.720.092.082.112.082.11XXX
    7871526ARenal vascular flow exam0.300.120.130.120.130.010.430.440.430.44XXX
    78715TCARenal vascular flow exam0.001.571.59NANA0.081.651.67NANAXXX
    78725AKidney function study0.381.911.941.911.940.102.392.422.392.42XXX
    7872526AKidney function study0.380.140.150.140.150.010.530.540.530.54XXX
    78725TCAKidney function study0.001.771.79NANA0.091.861.88NANAXXX
    78730AUrinary bladder retention0.361.581.611.581.610.092.032.062.032.06XXX
    7873026AUrinary bladder retention0.360.130.140.130.140.020.510.520.510.52XXX
    78730TCAUrinary bladder retention0.001.451.47NANA0.071.521.54NANAXXX
    78740AUreteral reflux study0.572.302.342.302.340.122.993.032.993.03XXX
    7874026AUreteral reflux study0.570.200.220.200.220.020.790.810.790.81XXX
    78740TCAUreteral reflux study0.002.102.12NANA0.102.202.22NANAXXX
    78760ATesticular imaging0.662.902.952.902.950.153.713.763.713.76XXX
    7876026ATesticular imaging0.660.240.260.240.260.030.930.950.930.95XXX
    78760TCATesticular imaging0.002.662.69NANA0.122.782.81NANAXXX
    78761ATesticular imaging/flow0.713.443.503.443.500.174.324.384.324.38XXX
    7876126ATesticular imaging/flow0.710.260.290.260.290.031.001.031.001.03XXX
    78761TCATesticular imaging/flow0.003.183.21NANA0.143.323.35NANAXXX
    78799CGenitourinary nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7879926CGenitourinary nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78799TCCGenitourinary nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78800ATumor imaging, limited area0.663.623.683.623.680.184.464.524.464.52XXX
    7880026ATumor imaging, limited area0.660.240.260.240.260.030.930.950.930.95XXX
    78800TCATumor imaging, limited area0.003.383.42NANA0.153.533.57NANAXXX
    78801ATumor imaging, mult areas0.794.494.564.494.560.215.495.565.495.56XXX
    7880126ATumor imaging, mult areas0.790.290.320.290.320.031.111.141.111.14XXX
    78801TCATumor imaging, mult areas0.004.204.24NANA0.184.384.42NANAXXX
    78802ATumor imaging, whole body0.865.815.905.815.900.286.957.046.957.04XXX
    7880226ATumor imaging, whole body0.860.320.350.320.350.031.211.241.211.24XXX
    78802TCATumor imaging, whole body0.005.495.55NANA0.255.745.80NANAXXX
    78803ATumor imaging (3D)1.096.917.016.917.010.338.338.438.338.43XXX
    7880326ATumor imaging (3D)1.090.410.440.410.440.041.541.571.541.57XXX
    78803TCATumor imaging (3D)0.006.506.57NANA0.296.796.86NANAXXX
    78805AAbscess imaging, ltd area0.733.653.713.653.710.184.564.624.564.62XXX
    7880526AAbscess imaging, ltd area0.730.270.290.270.290.031.031.051.031.05XXX
    78805TCAAbscess imaging, ltd area0.003.383.42NANA0.153.533.57NANAXXX
    78806AAbscess imaging, whole body0.866.706.796.706.790.327.887.977.887.97XXX
    7880626AAbscess imaging, whole body0.860.320.340.320.340.031.211.231.211.23XXX
    78806TCAAbscess imaging, whole body0.006.386.45NANA0.296.676.74NANAXXX
    78807ANuclear localization/abscess1.096.927.026.927.020.338.348.448.348.44XXX
    7880726ANuclear localization/abscess1.090.420.450.420.450.041.551.581.551.58XXX
    78807TCANuclear localization/abscess0.006.506.57NANA0.296.796.86NANAXXX
    78810NTumor imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    7881026NTumor imaging (PET)+1.930.770.950.770.950.092.792.972.792.97XXX
    Start Printed Page 65525
    78810TCNTumor imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    78890BNuclear medicine data proc+0.051.321.331.321.330.061.431.441.431.44XXX
    7889026BNuclear medicine data proc+0.050.020.020.020.020.010.080.080.080.08XXX
    78890TCBNuclear medicine data proc+0.001.301.31NANA0.051.351.36NANAXXX
    78891BNuclear med data proc+0.102.642.672.642.670.122.862.892.862.89XXX
    7889126BNuclear med data proc+0.100.040.040.040.040.010.150.150.150.15XXX
    78891TCBNuclear med data proc+0.002.602.63NANA0.112.712.74NANAXXX
    78990IProvide diag radionuclide(s)0.000.000.000.000.000.000.000.000.000.00XXX
    78999CNuclear diagnostic exam0.000.000.000.000.000.000.000.000.000.00XXX
    7899926CNuclear diagnostic exam0.000.000.000.000.000.000.000.000.000.00XXX
    78999TCCNuclear diagnostic exam0.000.000.000.000.000.000.000.000.000.00XXX
    79000AInit hyperthyroid therapy1.803.253.343.253.340.195.245.335.245.33XXX
    7900026AInit hyperthyroid therapy1.800.650.710.650.710.072.522.582.522.58XXX
    79000TCAInit hyperthyroid therapy0.002.602.63NANA0.122.722.75NANAXXX
    79001ARepeat hyperthyroid therapy1.051.681.721.681.720.102.832.872.832.87XXX
    7900126ARepeat hyperthyroid therapy1.050.380.410.380.410.041.471.501.471.50XXX
    79001TCARepeat hyperthyroid therapy0.001.301.31NANA0.061.361.37NANAXXX
    79020AThyroid ablation1.813.243.333.243.330.195.245.335.245.33XXX
    7902026AThyroid ablation1.810.640.700.640.700.072.522.582.522.58XXX
    79020TCAThyroid ablation0.002.602.63NANA0.122.722.75NANAXXX
    79030AThyroid ablation, carcinoma2.103.373.463.373.460.205.675.765.675.76XXX
    7903026AThyroid ablation, carcinoma2.100.770.830.770.830.082.953.012.953.01XXX
    79030TCAThyroid ablation, carcinoma0.002.602.63NANA0.122.722.75NANAXXX
    79035AThyroid metastatic therapy2.523.543.643.543.640.216.276.376.276.37XXX
    7903526AThyroid metastatic therapy2.520.941.010.941.010.093.553.623.553.62XXX
    79035TCAThyroid metastatic therapy0.002.602.63NANA0.122.722.75NANAXXX
    79100AHematopoetic nuclear therapy1.323.093.163.093.160.174.584.654.584.65XXX
    7910026AHematopoetic nuclear therapy1.320.490.530.490.530.051.861.901.861.90XXX
    79100TCAHematopoetic nuclear therapy0.002.602.63NANA0.122.722.75NANAXXX
    79200AIntracavitary nuclear trmt1.993.353.443.353.440.195.535.625.535.62XXX
    7920026AIntracavitary nuclear trmt1.990.750.810.750.810.072.812.872.812.87XXX
    79200TCAIntracavitary nuclear trmt0.002.602.63NANA0.122.722.75NANAXXX
    79300CInterstitial nuclear therapy0.000.000.000.000.000.000.000.000.000.00XXX
    7930026AInterstitial nuclear therapy1.600.580.630.580.630.072.252.302.252.30XXX
    79300TCCInterstitial nuclear therapy0.000.000.000.000.000.000.000.000.000.00XXX
    79400ANonhemato nuclear therapy1.963.333.413.333.410.205.495.575.495.57XXX
    7940026ANonhemato nuclear therapy1.960.730.780.730.780.082.772.822.772.82XXX
    79400TCANonhemato nuclear therapy0.002.602.63NANA0.122.722.75NANAXXX
    79420CIntravascular nuclear ther0.000.000.000.000.000.000.000.000.000.00XXX
    7942026AIntravascular nuclear ther1.510.540.590.540.590.062.112.162.112.16XXX
    79420TCCIntravascular nuclear ther0.000.000.000.000.000.000.000.000.000.00XXX
    79440ANuclear joint therapy1.993.403.473.403.470.205.595.665.595.66XXX
    7944026ANuclear joint therapy1.990.800.840.800.840.082.872.912.872.91XXX
    79440TCANuclear joint therapy0.002.602.63NANA0.122.722.75NANAXXX
    79900CProvide ther radiopharm(s)0.000.000.000.000.000.000.000.000.000.00XXX
    79999CNuclear medicine therapy0.000.000.000.000.000.000.000.000.000.00XXX
    7999926CNuclear medicine therapy0.000.000.000.000.000.000.000.000.000.00XXX
    79999TCCNuclear medicine therapy0.000.000.000.000.000.000.000.000.000.00XXX
    80048XBasic metabolic panel0.000.000.000.000.000.000.000.000.000.00XXX
    80050NGeneral health panel0.000.000.000.000.000.000.000.000.000.00XXX
    80051XElectrolyte panel0.000.000.000.000.000.000.000.000.000.00XXX
    80053XComprehen metabolic panel0.000.000.000.000.000.000.000.000.000.00XXX
    80055IObstetric panel0.000.000.000.000.000.000.000.000.000.00XXX
    80061XLipid panel0.000.000.000.000.000.000.000.000.000.00XXX
    80069XRenal function panel0.000.000.000.000.000.000.000.000.000.00XXX
    80072XArthritis panel0.000.000.000.000.000.000.000.000.000.00XXX
    80074XAcute hepatitis panel0.000.000.000.000.000.000.000.000.000.00XXX
    80076XHepatic function panel0.000.000.000.000.000.000.000.000.000.00XXX
    80090XTorch antibody panel0.000.000.000.000.000.000.000.000.000.00XXX
    80100XDrug screen, qualitate/multi0.000.000.000.000.000.000.000.000.000.00XXX
    80101XDrug screen, single0.000.000.000.000.000.000.000.000.000.00XXX
    80102XDrug confirmation0.000.000.000.000.000.000.000.000.000.00XXX
    80103XDrug analysis, tissue prep0.000.000.000.000.000.000.000.000.000.00XXX
    80150XAssay of amikacin0.000.000.000.000.000.000.000.000.000.00XXX
    80152XAssay of amitriptyline0.000.000.000.000.000.000.000.000.000.00XXX
    80154XAssay of benzodiazepines0.000.000.000.000.000.000.000.000.000.00XXX
    80156XAssay, carbamazepine, total0.000.000.000.000.000.000.000.000.000.00XXX
    80157XAssay, carbamazepine, free0.000.000.000.000.000.000.000.000.000.00XXX
    80158XAssay of cyclosporine0.000.000.000.000.000.000.000.000.000.00XXX
    80160XAssay of desipramine0.000.000.000.000.000.000.000.000.000.00XXX
    80162XAssay of digoxin0.000.000.000.000.000.000.000.000.000.00XXX
    80164XAssay, dipropylacetic acid0.000.000.000.000.000.000.000.000.000.00XXX
    80166XAssay of doxepin0.000.000.000.000.000.000.000.000.000.00XXX
    80168XAssay of ethosuximide0.000.000.000.000.000.000.000.000.000.00XXX
    80170XAssay of gentamicin0.000.000.000.000.000.000.000.000.000.00XXX
    80172XAssay of gold0.000.000.000.000.000.000.000.000.000.00XXX
    80173XAssay of haloperidol0.000.000.000.000.000.000.000.000.000.00XXX
    80174XAssay of imipramine0.000.000.000.000.000.000.000.000.000.00XXX
    80176XAssay of lidocaine0.000.000.000.000.000.000.000.000.000.00XXX
    80178XAssay of lithium0.000.000.000.000.000.000.000.000.000.00XXX
    80182XAssay of nortriptyline0.000.000.000.000.000.000.000.000.000.00XXX
    80184XAssay of phenobarbital0.000.000.000.000.000.000.000.000.000.00XXX
    80185XAssay of phenytoin, total0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65526
    80186XAssay of phenytoin, free0.000.000.000.000.000.000.000.000.000.00XXX
    80188XAssay of primidone0.000.000.000.000.000.000.000.000.000.00XXX
    80190XAssay of procainamide0.000.000.000.000.000.000.000.000.000.00XXX
    80192XAssay of procainamide0.000.000.000.000.000.000.000.000.000.00XXX
    80194XAssay of quinidine0.000.000.000.000.000.000.000.000.000.00XXX
    80196XAssay of salicylate0.000.000.000.000.000.000.000.000.000.00XXX
    80197XAssay of tacrolimus0.000.000.000.000.000.000.000.000.000.00XXX
    80198XAssay of theophylline0.000.000.000.000.000.000.000.000.000.00XXX
    80200XAssay of tobramycin0.000.000.000.000.000.000.000.000.000.00XXX
    80201XAssay of topiramate0.000.000.000.000.000.000.000.000.000.00XXX
    80202XAssay of vancomycin0.000.000.000.000.000.000.000.000.000.00XXX
    80299XQuantitative assay, drug0.000.000.000.000.000.000.000.000.000.00XXX
    80400XActh stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80402XActh stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80406XActh stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80408XAldosterone suppression eval0.000.000.000.000.000.000.000.000.000.00XXX
    80410XCalcitonin stimul panel0.000.000.000.000.000.000.000.000.000.00XXX
    80412XCRH stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80414XTestosterone response0.000.000.000.000.000.000.000.000.000.00XXX
    80415XEstradiol response panel0.000.000.000.000.000.000.000.000.000.00XXX
    80416XRenin stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80417XRenin stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80418XPituitary evaluation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80420XDexamethasone panel0.000.000.000.000.000.000.000.000.000.00XXX
    80422XGlucagon tolerance panel0.000.000.000.000.000.000.000.000.000.00XXX
    80424XGlucagon tolerance panel0.000.000.000.000.000.000.000.000.000.00XXX
    80426XGonadotropin hormone panel0.000.000.000.000.000.000.000.000.000.00XXX
    80428XGrowth hormone panel0.000.000.000.000.000.000.000.000.000.00XXX
    80430XGrowth hormone panel0.000.000.000.000.000.000.000.000.000.00XXX
    80432XInsulin suppression panel0.000.000.000.000.000.000.000.000.000.00XXX
    80434XInsulin tolerance panel0.000.000.000.000.000.000.000.000.000.00XXX
    80435XInsulin tolerance panel0.000.000.000.000.000.000.000.000.000.00XXX
    80436XMetyrapone panel0.000.000.000.000.000.000.000.000.000.00XXX
    80438XTRH stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80439XTRH stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80440XTRH stimulation panel0.000.000.000.000.000.000.000.000.000.00XXX
    80500ALab pathology consultation0.370.180.190.160.180.010.560.570.540.56XXX
    80502ALab pathology consultation1.330.630.560.580.530.052.011.941.961.91XXX
    81000XUrinalysis, nonauto w/scope0.000.000.000.000.000.000.000.000.000.00XXX
    81001XUrinalysis, auto w/scope0.000.000.000.000.000.000.000.000.000.00XXX
    81002XUrinalysis nonauto w/o scope0.000.000.000.000.000.000.000.000.000.00XXX
    81003XUrinalysis, auto, w/o scope0.000.000.000.000.000.000.000.000.000.00XXX
    81005XUrinalysis0.000.000.000.000.000.000.000.000.000.00XXX
    81007XUrine screen for bacteria0.000.000.000.000.000.000.000.000.000.00XXX
    81015XMicroscopic exam of urine0.000.000.000.000.000.000.000.000.000.00XXX
    81020XUrinalysis, glass test0.000.000.000.000.000.000.000.000.000.00XXX
    81025XUrine pregnancy test0.000.000.000.000.000.000.000.000.000.00XXX
    81050XUrinalysis, volume measure0.000.000.000.000.000.000.000.000.000.00XXX
    81099XUrinalysis test procedure0.000.000.000.000.000.000.000.000.000.00XXX
    82000XAssay of blood acetaldehyde0.000.000.000.000.000.000.000.000.000.00XXX
    82003XAssay of acetaminophen0.000.000.000.000.000.000.000.000.000.00XXX
    82009XTest for acetone/ketones0.000.000.000.000.000.000.000.000.000.00XXX
    82010XAcetone assay0.000.000.000.000.000.000.000.000.000.00XXX
    82013XAcetylcholinesterase assay0.000.000.000.000.000.000.000.000.000.00XXX
    82016XAcylcarnitines, qual0.000.000.000.000.000.000.000.000.000.00XXX
    82017XAcylcarnitines, quant0.000.000.000.000.000.000.000.000.000.00XXX
    82024XAssay of acth0.000.000.000.000.000.000.000.000.000.00XXX
    82030XAssay of adp & amp0.000.000.000.000.000.000.000.000.000.00XXX
    82040XAssay of serum albumin0.000.000.000.000.000.000.000.000.000.00XXX
    82042XAssay of urine albumin0.000.000.000.000.000.000.000.000.000.00XXX
    82043XMicroalbumin, quantitative0.000.000.000.000.000.000.000.000.000.00XXX
    82044XMicroalbumin, semiquant0.000.000.000.000.000.000.000.000.000.00XXX
    82055XAssay of ethanol0.000.000.000.000.000.000.000.000.000.00XXX
    82075XAssay of breath ethanol0.000.000.000.000.000.000.000.000.000.00XXX
    82085XAssay of aldolase0.000.000.000.000.000.000.000.000.000.00XXX
    82088XAssay of aldosterone0.000.000.000.000.000.000.000.000.000.00XXX
    82101XAssay of urine alkaloids0.000.000.000.000.000.000.000.000.000.00XXX
    82103XAlpha-1-antitrypsin, total0.000.000.000.000.000.000.000.000.000.00XXX
    82104XAlpha-1-antitrypsin, pheno0.000.000.000.000.000.000.000.000.000.00XXX
    82105XAlpha-fetoprotein, serum0.000.000.000.000.000.000.000.000.000.00XXX
    82106XAlpha-fetoprotein, amniotic0.000.000.000.000.000.000.000.000.000.00XXX
    82108XAssay of aluminum0.000.000.000.000.000.000.000.000.000.00XXX
    82120XAmines, vaginal fluid qual0.000.000.000.000.000.000.000.000.000.00XXX
    82127XAmino acid, single qual0.000.000.000.000.000.000.000.000.000.00XXX
    82128XAmino acids, mult qual0.000.000.000.000.000.000.000.000.000.00XXX
    82131XAmino acids, single quant0.000.000.000.000.000.000.000.000.000.00XXX
    82135XAssay, aminolevulinic acid0.000.000.000.000.000.000.000.000.000.00XXX
    82136XAmino acids, quant, 2-50.000.000.000.000.000.000.000.000.000.00XXX
    82139XAmino acids, quan, 6 or more0.000.000.000.000.000.000.000.000.000.00XXX
    82140XAssay of ammonia0.000.000.000.000.000.000.000.000.000.00XXX
    82143XAmniotic fluid scan0.000.000.000.000.000.000.000.000.000.00XXX
    82145XAssay of amphetamines0.000.000.000.000.000.000.000.000.000.00XXX
    82150XAssay of amylase0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65527
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    82157XAssay of androstenedione0.000.000.000.000.000.000.000.000.000.00XXX
    82160XAssay of androsterone0.000.000.000.000.000.000.000.000.000.00XXX
    82163XAssay of angiotensin II0.000.000.000.000.000.000.000.000.000.00XXX
    82164XAngiotensin I enzyme test0.000.000.000.000.000.000.000.000.000.00XXX
    82172XAssay of apolipoprotein0.000.000.000.000.000.000.000.000.000.00XXX
    82175XAssay of arsenic0.000.000.000.000.000.000.000.000.000.00XXX
    82180XAssay of ascorbic acid0.000.000.000.000.000.000.000.000.000.00XXX
    82190XAtomic absorption0.000.000.000.000.000.000.000.000.000.00XXX
    82205XAssay of barbiturates0.000.000.000.000.000.000.000.000.000.00XXX
    82232XAssay of beta-2 protein0.000.000.000.000.000.000.000.000.000.00XXX
    82239XBile acids, total0.000.000.000.000.000.000.000.000.000.00XXX
    82240XBile acids, cholylglycine0.000.000.000.000.000.000.000.000.000.00XXX
    82247XBilirubin, total0.000.000.000.000.000.000.000.000.000.00XXX
    82248XBilirubin, direct0.000.000.000.000.000.000.000.000.000.00XXX
    82251DAssay of bilirubin0.000.000.000.000.000.000.000.000.000.00XXX
    82252XFecal bilirubin test0.000.000.000.000.000.000.000.000.000.00XXX
    82261XAssay of biotinidase0.000.000.000.000.000.000.000.000.000.00XXX
    82270XTest for blood, feces0.000.000.000.000.000.000.000.000.000.00XXX
    82273XTest for blood, other source0.000.000.000.000.000.000.000.000.000.00XXX
    82286XAssay of bradykinin0.000.000.000.000.000.000.000.000.000.00XXX
    82300XAssay of cadmium0.000.000.000.000.000.000.000.000.000.00XXX
    82306XAssay of vitamin D0.000.000.000.000.000.000.000.000.000.00XXX
    82307XAssay of vitamin D0.000.000.000.000.000.000.000.000.000.00XXX
    82308XAssay of calcitonin0.000.000.000.000.000.000.000.000.000.00XXX
    82310XAssay of calcium0.000.000.000.000.000.000.000.000.000.00XXX
    82330XAssay of calcium0.000.000.000.000.000.000.000.000.000.00XXX
    82331XCalcium infusion test0.000.000.000.000.000.000.000.000.000.00XXX
    82340XAssay of calcium in urine0.000.000.000.000.000.000.000.000.000.00XXX
    82355XCalculus (stone) analysis0.000.000.000.000.000.000.000.000.000.00XXX
    82360XCalculus (stone) assay0.000.000.000.000.000.000.000.000.000.00XXX
    82365XCalculus (stone) assay0.000.000.000.000.000.000.000.000.000.00XXX
    82370XX-ray assay, calculus0.000.000.000.000.000.000.000.000.000.00XXX
    82373XAssay, c-d transfer measure0.000.000.000.000.000.000.000.000.000.00XXX
    82374XAssay, blood carbon dioxide0.000.000.000.000.000.000.000.000.000.00XXX
    82375XAssay, blood carbon monoxide0.000.000.000.000.000.000.000.000.000.00XXX
    82376XTest for carbon monoxide0.000.000.000.000.000.000.000.000.000.00XXX
    82378XCarcinoembryonic antigen0.000.000.000.000.000.000.000.000.000.00XXX
    82379XAssay of carnitine0.000.000.000.000.000.000.000.000.000.00XXX
    82380XAssay of carotene0.000.000.000.000.000.000.000.000.000.00XXX
    82382XAssay, urine catecholamines0.000.000.000.000.000.000.000.000.000.00XXX
    82383XAssay, blood catecholamines0.000.000.000.000.000.000.000.000.000.00XXX
    82384XAssay, three catecholamines0.000.000.000.000.000.000.000.000.000.00XXX
    82387XAssay of cathepsin-d0.000.000.000.000.000.000.000.000.000.00XXX
    82390XAssay of ceruloplasmin0.000.000.000.000.000.000.000.000.000.00XXX
    82397XChemiluminescent assay0.000.000.000.000.000.000.000.000.000.00XXX
    82415XAssay of chloramphenicol0.000.000.000.000.000.000.000.000.000.00XXX
    82435XAssay of blood chloride0.000.000.000.000.000.000.000.000.000.00XXX
    82436XAssay of urine chloride0.000.000.000.000.000.000.000.000.000.00XXX
    82438XAssay, other fluid chlorides0.000.000.000.000.000.000.000.000.000.00XXX
    82441XTest for chlorohydrocarbons0.000.000.000.000.000.000.000.000.000.00XXX
    82465XAssay, bld/serum cholesterol0.000.000.000.000.000.000.000.000.000.00XXX
    82480XAssay, serum cholinesterase0.000.000.000.000.000.000.000.000.000.00XXX
    82482XAssay, rbc cholinesterase0.000.000.000.000.000.000.000.000.000.00XXX
    82485XAssay, chondroitin sulfate0.000.000.000.000.000.000.000.000.000.00XXX
    82486XGas/liquid chromatography0.000.000.000.000.000.000.000.000.000.00XXX
    82487XPaper chromatography0.000.000.000.000.000.000.000.000.000.00XXX
    82488XPaper chromatography0.000.000.000.000.000.000.000.000.000.00XXX
    82489XThin layer chromatography0.000.000.000.000.000.000.000.000.000.00XXX
    82491XChromotography, quant, sing0.000.000.000.000.000.000.000.000.000.00XXX
    82492XChromotography, quant, mult0.000.000.000.000.000.000.000.000.000.00XXX
    82495XAssay of chromium0.000.000.000.000.000.000.000.000.000.00XXX
    82507XAssay of citrate0.000.000.000.000.000.000.000.000.000.00XXX
    82520XAssay of cocaine0.000.000.000.000.000.000.000.000.000.00XXX
    82523XCollagen crosslinks0.000.000.000.000.000.000.000.000.000.00XXX
    82525XAssay of copper0.000.000.000.000.000.000.000.000.000.00XXX
    82528XAssay of corticosterone0.000.000.000.000.000.000.000.000.000.00XXX
    82530XCortisol, free0.000.000.000.000.000.000.000.000.000.00XXX
    82533XTotal cortisol0.000.000.000.000.000.000.000.000.000.00XXX
    82540XAssay of creatine0.000.000.000.000.000.000.000.000.000.00XXX
    82541XColumn chromotography, qual0.000.000.000.000.000.000.000.000.000.00XXX
    82542XColumn chromotography, quant0.000.000.000.000.000.000.000.000.000.00XXX
    82543XColumn chromotograph/isotope0.000.000.000.000.000.000.000.000.000.00XXX
    82544XColumn chromotograph/isotope0.000.000.000.000.000.000.000.000.000.00XXX
    82550XAssay of ck (cpk)0.000.000.000.000.000.000.000.000.000.00XXX
    82552XAssay of cpk in blood0.000.000.000.000.000.000.000.000.000.00XXX
    82553XCreatine, MB fraction0.000.000.000.000.000.000.000.000.000.00XXX
    82554XCreatine, isoforms0.000.000.000.000.000.000.000.000.000.00XXX
    82565XAssay of creatinine0.000.000.000.000.000.000.000.000.000.00XXX
    82570XAssay of urine creatinine0.000.000.000.000.000.000.000.000.000.00XXX
    82575XCreatinine clearance test0.000.000.000.000.000.000.000.000.000.00XXX
    82585XAssay of cryofibrinogen0.000.000.000.000.000.000.000.000.000.00XXX
    82595XAssay of cryoglobulin0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65528
    82600XAssay of cyanide0.000.000.000.000.000.000.000.000.000.00XXX
    82607XVitamin B-120.000.000.000.000.000.000.000.000.000.00XXX
    82608XB-12 binding capacity0.000.000.000.000.000.000.000.000.000.00XXX
    82615XTest for urine cystines0.000.000.000.000.000.000.000.000.000.00XXX
    82626XDehydroepiandrosterone0.000.000.000.000.000.000.000.000.000.00XXX
    82627XDehydroepiandrosterone0.000.000.000.000.000.000.000.000.000.00XXX
    82633XDesoxycorticosterone0.000.000.000.000.000.000.000.000.000.00XXX
    82634XDeoxycortisol0.000.000.000.000.000.000.000.000.000.00XXX
    82638XAssay of dibucaine number0.000.000.000.000.000.000.000.000.000.00XXX
    82646XAssay of dihydrocodeinone0.000.000.000.000.000.000.000.000.000.00XXX
    82649XAssay of dihydromorphinone0.000.000.000.000.000.000.000.000.000.00XXX
    82651XAssay of dihydrotestosterone0.000.000.000.000.000.000.000.000.000.00XXX
    82652XAssay of dihydroxyvitamin d0.000.000.000.000.000.000.000.000.000.00XXX
    82654XAssay of dimethadione0.000.000.000.000.000.000.000.000.000.00XXX
    82657XEnzyme cell activity0.000.000.000.000.000.000.000.000.000.00XXX
    82658XEnzyme cell activity, ra0.000.000.000.000.000.000.000.000.000.00XXX
    82664XElectrophoretic test0.000.000.000.000.000.000.000.000.000.00XXX
    82666XAssay of epiandrosterone0.000.000.000.000.000.000.000.000.000.00XXX
    82668XAssay of erythropoietin0.000.000.000.000.000.000.000.000.000.00XXX
    82670XAssay of estradiol0.000.000.000.000.000.000.000.000.000.00XXX
    82671XAssay of estrogens0.000.000.000.000.000.000.000.000.000.00XXX
    82672XAssay of estrogen0.000.000.000.000.000.000.000.000.000.00XXX
    82677XAssay of estriol0.000.000.000.000.000.000.000.000.000.00XXX
    82679XAssay of estrone0.000.000.000.000.000.000.000.000.000.00XXX
    82690XAssay of ethchlorvynol0.000.000.000.000.000.000.000.000.000.00XXX
    82693XAssay of ethylene glycol0.000.000.000.000.000.000.000.000.000.00XXX
    82696XAssay of etiocholanolone0.000.000.000.000.000.000.000.000.000.00XXX
    82705XFats/lipids, feces, qual0.000.000.000.000.000.000.000.000.000.00XXX
    82710XFats/lipids, feces, quant0.000.000.000.000.000.000.000.000.000.00XXX
    82715XAssay of fecal fat0.000.000.000.000.000.000.000.000.000.00XXX
    82725XAssay of blood fatty acids0.000.000.000.000.000.000.000.000.000.00XXX
    82726XLong chain fatty acids0.000.000.000.000.000.000.000.000.000.00XXX
    82728XAssay of ferritin0.000.000.000.000.000.000.000.000.000.00XXX
    82731XAssay of fetal fibronectin0.000.000.000.000.000.000.000.000.000.00XXX
    82735XAssay of fluoride0.000.000.000.000.000.000.000.000.000.00XXX
    82742XAssay of flurazepam0.000.000.000.000.000.000.000.000.000.00XXX
    82746XBlood folic acid serum0.000.000.000.000.000.000.000.000.000.00XXX
    82747XAssay of folic acid, rbc0.000.000.000.000.000.000.000.000.000.00XXX
    82757XAssay of semen fructose0.000.000.000.000.000.000.000.000.000.00XXX
    82759XAssay of rbc galactokinase0.000.000.000.000.000.000.000.000.000.00XXX
    82760XAssay of galactose0.000.000.000.000.000.000.000.000.000.00XXX
    82775XAssay galactose transferase0.000.000.000.000.000.000.000.000.000.00XXX
    82776XGalactose transferase test0.000.000.000.000.000.000.000.000.000.00XXX
    82784XAssay of gammaglobulin igm0.000.000.000.000.000.000.000.000.000.00XXX
    82785XAssay of gammaglobulin ige0.000.000.000.000.000.000.000.000.000.00XXX
    82787XIgg 1, 2, 3 or 4, each0.000.000.000.000.000.000.000.000.000.00XXX
    82800XBlood pH0.000.000.000.000.000.000.000.000.000.00XXX
    82803XBlood gases: pH, pO2 & pCO20.000.000.000.000.000.000.000.000.000.00XXX
    82805XBlood gases W/02 saturation0.000.000.000.000.000.000.000.000.000.00XXX
    82810XBlood gases, O2 sat only0.000.000.000.000.000.000.000.000.000.00XXX
    82820XHemoglobin-oxygen affinity0.000.000.000.000.000.000.000.000.000.00XXX
    82926XAssay of gastric acid0.000.000.000.000.000.000.000.000.000.00XXX
    82928XAssay of gastric acid0.000.000.000.000.000.000.000.000.000.00XXX
    82938XGastrin test0.000.000.000.000.000.000.000.000.000.00XXX
    82941XAssay of gastrin0.000.000.000.000.000.000.000.000.000.00XXX
    82943XAssay of glucagon0.000.000.000.000.000.000.000.000.000.00XXX
    82945XGlucose other fluid0.000.000.000.000.000.000.000.000.000.00XXX
    82946XGlucagon tolerance test0.000.000.000.000.000.000.000.000.000.00XXX
    82947XAssay, glucose, blood quant0.000.000.000.000.000.000.000.000.000.00XXX
    82948XReagent strip/blood glucose0.000.000.000.000.000.000.000.000.000.00XXX
    82950XGlucose test0.000.000.000.000.000.000.000.000.000.00XXX
    82951XGlucose tolerance test (GTT)0.000.000.000.000.000.000.000.000.000.00XXX
    82952XGTT-added samples0.000.000.000.000.000.000.000.000.000.00XXX
    82953XGlucose-tolbutamide test0.000.000.000.000.000.000.000.000.000.00XXX
    82955XAssay of g6pd enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    82960XTest for G6PD enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    82962XGlucose blood test0.000.000.000.000.000.000.000.000.000.00XXX
    82963XAssay of glucosidase0.000.000.000.000.000.000.000.000.000.00XXX
    82965XAssay of gdh enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    82975XAssay of glutamine0.000.000.000.000.000.000.000.000.000.00XXX
    82977XAssay of GGT0.000.000.000.000.000.000.000.000.000.00XXX
    82978XAssay of glutathione0.000.000.000.000.000.000.000.000.000.00XXX
    82979XAssay, rbc glutathione0.000.000.000.000.000.000.000.000.000.00XXX
    82980XAssay of glutethimide0.000.000.000.000.000.000.000.000.000.00XXX
    82985XGlycated protein0.000.000.000.000.000.000.000.000.000.00XXX
    83001XGonadotropin (FSH)0.000.000.000.000.000.000.000.000.000.00XXX
    83002XGonadotropin (LH)0.000.000.000.000.000.000.000.000.000.00XXX
    83003XAssay, growth hormone (hgh)0.000.000.000.000.000.000.000.000.000.00XXX
    83008XAssay of guanosine0.000.000.000.000.000.000.000.000.000.00XXX
    83010XAssay of haptoglobin, quant0.000.000.000.000.000.000.000.000.000.00XXX
    83012XAssay of haptoglobins0.000.000.000.000.000.000.000.000.000.00XXX
    83013XH pylori analysis0.000.000.000.000.000.000.000.000.000.00XXX
    83014XH pylori drug admin/collect0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65529
    83015XHeavy metal screen0.000.000.000.000.000.000.000.000.000.00XXX
    83018XQuantitative screen, metals0.000.000.000.000.000.000.000.000.000.00XXX
    83020XHemoglobin electrophoresis0.000.000.000.000.000.000.000.000.000.00XXX
    8302026AHemoglobin electrophoresis0.370.160.180.160.180.010.540.560.540.56XXX
    83021XHemoglobin chromotography0.000.000.000.000.000.000.000.000.000.00XXX
    83026XHemoglobin, copper sulfate0.000.000.000.000.000.000.000.000.000.00XXX
    83030XFetal hemoglobin, chemical0.000.000.000.000.000.000.000.000.000.00XXX
    83033XFetal hemoglobin assay, qual0.000.000.000.000.000.000.000.000.000.00XXX
    83036XGlycated hemoglobin test0.000.000.000.000.000.000.000.000.000.00XXX
    83045XBlood methemoglobin test0.000.000.000.000.000.000.000.000.000.00XXX
    83050XBlood methemoglobin assay0.000.000.000.000.000.000.000.000.000.00XXX
    83051XAssay of plasma hemoglobin0.000.000.000.000.000.000.000.000.000.00XXX
    83055XBlood sulfhemoglobin test0.000.000.000.000.000.000.000.000.000.00XXX
    83060XBlood sulfhemoglobin assay0.000.000.000.000.000.000.000.000.000.00XXX
    83065XAssay of hemoglobin heat0.000.000.000.000.000.000.000.000.000.00XXX
    83068XHemoglobin stability screen0.000.000.000.000.000.000.000.000.000.00XXX
    83069XAssay of urine hemoglobin0.000.000.000.000.000.000.000.000.000.00XXX
    83070XAssay of hemosiderin, qual0.000.000.000.000.000.000.000.000.000.00XXX
    83071XAssay of hemosiderin, quant0.000.000.000.000.000.000.000.000.000.00XXX
    83080XAssay of b hexosaminidase0.000.000.000.000.000.000.000.000.000.00XXX
    83088XAssay of histamine0.000.000.000.000.000.000.000.000.000.00XXX
    83090XAssay of homocystine0.000.000.000.000.000.000.000.000.000.00XXX
    83150XAssay of for hva0.000.000.000.000.000.000.000.000.000.00XXX
    83491XAssay of corticosteroids0.000.000.000.000.000.000.000.000.000.00XXX
    83497XAssay of 5-hiaa0.000.000.000.000.000.000.000.000.000.00XXX
    83498XAssay of progesterone0.000.000.000.000.000.000.000.000.000.00XXX
    83499XAssay of progesterone0.000.000.000.000.000.000.000.000.000.00XXX
    83500XAssay, free hydroxyproline0.000.000.000.000.000.000.000.000.000.00XXX
    83505XAssay, total hydroxyproline0.000.000.000.000.000.000.000.000.000.00XXX
    83516XImmunoassay, nonantibody0.000.000.000.000.000.000.000.000.000.00XXX
    83518XImmunoassay, dipstick0.000.000.000.000.000.000.000.000.000.00XXX
    83519XImmunoassay, nonantibody0.000.000.000.000.000.000.000.000.000.00XXX
    83520XImmunoassay, RIA0.000.000.000.000.000.000.000.000.000.00XXX
    83525XAssay of insulin0.000.000.000.000.000.000.000.000.000.00XXX
    83527XAssay of insulin0.000.000.000.000.000.000.000.000.000.00XXX
    83528XAssay of intrinsic factor0.000.000.000.000.000.000.000.000.000.00XXX
    83540XAssay of iron0.000.000.000.000.000.000.000.000.000.00XXX
    83550XIron binding test0.000.000.000.000.000.000.000.000.000.00XXX
    83570XAssay of idh enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    83582XAssay of ketogenic steroids0.000.000.000.000.000.000.000.000.000.00XXX
    83586XAssay 17- ketosteroids0.000.000.000.000.000.000.000.000.000.00XXX
    83593XFractionation, ketosteroids0.000.000.000.000.000.000.000.000.000.00XXX
    83605XAssay of lactic acid0.000.000.000.000.000.000.000.000.000.00XXX
    83615XLactate (LD) (LDH) enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    83625XAssay of ldh enzymes0.000.000.000.000.000.000.000.000.000.00XXX
    83632XPlacental lactogen0.000.000.000.000.000.000.000.000.000.00XXX
    83633XTest urine for lactose0.000.000.000.000.000.000.000.000.000.00XXX
    83634XAssay of urine for lactose0.000.000.000.000.000.000.000.000.000.00XXX
    83655XAssay of lead0.000.000.000.000.000.000.000.000.000.00XXX
    83661XL/s ratio, fetal lung0.000.000.000.000.000.000.000.000.000.00XXX
    83662XFoam stability, fetal lung0.000.000.000.000.000.000.000.000.000.00XXX
    83663XFluoro polarize, fetal lung0.000.000.000.000.000.000.000.000.000.00XXX
    83664XLamellar bdy, fetal lung0.000.000.000.000.000.000.000.000.000.00XXX
    83670XAssay of lap enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    83690XAssay of lipase0.000.000.000.000.000.000.000.000.000.00XXX
    83715XAssay of blood lipoproteins0.000.000.000.000.000.000.000.000.000.00XXX
    83716XAssay of blood lipoproteins0.000.000.000.000.000.000.000.000.000.00XXX
    83718XAssay of lipoprotein0.000.000.000.000.000.000.000.000.000.00XXX
    83719XAssay of blood lipoprotein0.000.000.000.000.000.000.000.000.000.00XXX
    83721XAssay of blood lipoprotein0.000.000.000.000.000.000.000.000.000.00XXX
    83727XAssay of lrh hormone0.000.000.000.000.000.000.000.000.000.00XXX
    83735XAssay of magnesium0.000.000.000.000.000.000.000.000.000.00XXX
    83775XAssay of md enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    83785XAssay of manganese0.000.000.000.000.000.000.000.000.000.00XXX
    83788XMass spectrometry qual0.000.000.000.000.000.000.000.000.000.00XXX
    83789XMass spectrometry quant0.000.000.000.000.000.000.000.000.000.00XXX
    83805XAssay of meprobamate0.000.000.000.000.000.000.000.000.000.00XXX
    83825XAssay of mercury0.000.000.000.000.000.000.000.000.000.00XXX
    83835XAssay of metanephrines0.000.000.000.000.000.000.000.000.000.00XXX
    83840XAssay of methadone0.000.000.000.000.000.000.000.000.000.00XXX
    83857XAssay of methemalbumin0.000.000.000.000.000.000.000.000.000.00XXX
    83858XAssay of methsuximide0.000.000.000.000.000.000.000.000.000.00XXX
    83864XMucopolysaccharides0.000.000.000.000.000.000.000.000.000.00XXX
    83866XMucopolysaccharides screen0.000.000.000.000.000.000.000.000.000.00XXX
    83872XAssay synovial fluid mucin0.000.000.000.000.000.000.000.000.000.00XXX
    83873XAssay of csf protein0.000.000.000.000.000.000.000.000.000.00XXX
    83874XAssay of myoglobin0.000.000.000.000.000.000.000.000.000.00XXX
    83883XAssay, nephelometry not spec0.000.000.000.000.000.000.000.000.000.00XXX
    83885XAssay of nickel0.000.000.000.000.000.000.000.000.000.00XXX
    83887XAssay of nicotine0.000.000.000.000.000.000.000.000.000.00XXX
    83890XMolecule isolate0.000.000.000.000.000.000.000.000.000.00XXX
    83891XMolecule isolate nucleic0.000.000.000.000.000.000.000.000.000.00XXX
    83892XMolecular diagnostics0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65530
    83893XMolecule dot/slot/blot0.000.000.000.000.000.000.000.000.000.00XXX
    83894XMolecule gel electrophor0.000.000.000.000.000.000.000.000.000.00XXX
    83896XMolecular diagnostics0.000.000.000.000.000.000.000.000.000.00XXX
    83897XMolecule nucleic transfer0.000.000.000.000.000.000.000.000.000.00XXX
    83898XMolecule nucleic ampli0.000.000.000.000.000.000.000.000.000.00XXX
    83901XMolecule nucleic ampli0.000.000.000.000.000.000.000.000.000.00XXX
    83902XMolecular diagnostics0.000.000.000.000.000.000.000.000.000.00XXX
    83903XMolecule mutation scan0.000.000.000.000.000.000.000.000.000.00XXX
    83904XMolecule mutation identify0.000.000.000.000.000.000.000.000.000.00XXX
    83905XMolecule mutation identify0.000.000.000.000.000.000.000.000.000.00XXX
    83906XMolecule mutation identify0.000.000.000.000.000.000.000.000.000.00XXX
    83912XGenetic examination0.000.000.000.000.000.000.000.000.000.00XXX
    8391226AGenetic examination0.370.160.180.160.180.010.540.560.540.56XXX
    83915XAssay of nucleotidase0.000.000.000.000.000.000.000.000.000.00XXX
    83916XOligoclonal bands0.000.000.000.000.000.000.000.000.000.00XXX
    83918XOrganic acids, total, quant0.000.000.000.000.000.000.000.000.000.00XXX
    83919XOrganic acids, qual, each0.000.000.000.000.000.000.000.000.000.00XXX
    83921XOrganic acid, single, quant0.000.000.000.000.000.000.000.000.000.00XXX
    83925XAssay of opiates0.000.000.000.000.000.000.000.000.000.00XXX
    83930XAssay of blood osmolality0.000.000.000.000.000.000.000.000.000.00XXX
    83935XAssay of urine osmolality0.000.000.000.000.000.000.000.000.000.00XXX
    83937XAssay of osteocalcin0.000.000.000.000.000.000.000.000.000.00XXX
    83945XAssay of oxalate0.000.000.000.000.000.000.000.000.000.00XXX
    83970XAssay of parathormone0.000.000.000.000.000.000.000.000.000.00XXX
    83986XAssay of body fluid acidity0.000.000.000.000.000.000.000.000.000.00XXX
    83992XAssay for phencyclidine0.000.000.000.000.000.000.000.000.000.00XXX
    84022XAssay of phenothiazine0.000.000.000.000.000.000.000.000.000.00XXX
    84030XAssay of blood pku0.000.000.000.000.000.000.000.000.000.00XXX
    84035XAssay of phenylketones0.000.000.000.000.000.000.000.000.000.00XXX
    84060XAssay acid phosphatase0.000.000.000.000.000.000.000.000.000.00XXX
    84061XPhosphatase, forensic exam0.000.000.000.000.000.000.000.000.000.00XXX
    84066XAssay prostate phosphatase0.000.000.000.000.000.000.000.000.000.00XXX
    84075XAssay alkaline phosphatase0.000.000.000.000.000.000.000.000.000.00XXX
    84078XAssay alkaline phosphatase0.000.000.000.000.000.000.000.000.000.00XXX
    84080XAssay alkaline phosphatases0.000.000.000.000.000.000.000.000.000.00XXX
    84081XAmniotic fluid enzyme test0.000.000.000.000.000.000.000.000.000.00XXX
    84085XAssay of rbc pg6d enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    84087XAssay phosphohexose enzymes0.000.000.000.000.000.000.000.000.000.00XXX
    84100XAssay of phosphorus0.000.000.000.000.000.000.000.000.000.00XXX
    84105XAssay of urine phosphorus0.000.000.000.000.000.000.000.000.000.00XXX
    84106XTest for porphobilinogen0.000.000.000.000.000.000.000.000.000.00XXX
    84110XAssay of porphobilinogen0.000.000.000.000.000.000.000.000.000.00XXX
    84119XTest urine for porphyrins0.000.000.000.000.000.000.000.000.000.00XXX
    84120XAssay of urine porphyrins0.000.000.000.000.000.000.000.000.000.00XXX
    84126XAssay of feces porphyrins0.000.000.000.000.000.000.000.000.000.00XXX
    84127XAssay of feces porphyrins0.000.000.000.000.000.000.000.000.000.00XXX
    84132XAssay of serum potassium0.000.000.000.000.000.000.000.000.000.00XXX
    84133XAssay of urine potassium0.000.000.000.000.000.000.000.000.000.00XXX
    84134XAssay of prealbumin0.000.000.000.000.000.000.000.000.000.00XXX
    84135XAssay of pregnanediol0.000.000.000.000.000.000.000.000.000.00XXX
    84138XAssay of pregnanetriol0.000.000.000.000.000.000.000.000.000.00XXX
    84140XAssay of pregnenolone0.000.000.000.000.000.000.000.000.000.00XXX
    84143XAssay of 17-hydroxypregneno0.000.000.000.000.000.000.000.000.000.00XXX
    84144XAssay of progesterone0.000.000.000.000.000.000.000.000.000.00XXX
    84146XAssay of prolactin0.000.000.000.000.000.000.000.000.000.00XXX
    84150XAssay of prostaglandin0.000.000.000.000.000.000.000.000.000.00XXX
    84152XAssay of psa, complexed0.000.000.000.000.000.000.000.000.000.00XXX
    84153XAssay of psa, total0.000.000.000.000.000.000.000.000.000.00XXX
    84154XAssay of psa, free0.000.000.000.000.000.000.000.000.000.00XXX
    84155XAssay of protein0.000.000.000.000.000.000.000.000.000.00XXX
    84160XAssay of serum protein0.000.000.000.000.000.000.000.000.000.00XXX
    84165XAssay of serum proteins0.000.000.000.000.000.000.000.000.000.00XXX
    8416526AAssay of serum proteins0.370.160.180.160.180.010.540.560.540.56XXX
    84181XWestern blot test0.000.000.000.000.000.000.000.000.000.00XXX
    8418126AWestern blot test0.370.140.160.140.160.010.520.540.520.54XXX
    84182XProtein, western blot test0.000.000.000.000.000.000.000.000.000.00XXX
    8418226AProtein, western blot test0.370.160.180.160.180.010.540.560.540.56XXX
    84202XAssay RBC protoporphyrin0.000.000.000.000.000.000.000.000.000.00XXX
    84203XTest RBC protoporphyrin0.000.000.000.000.000.000.000.000.000.00XXX
    84206XAssay of proinsulin0.000.000.000.000.000.000.000.000.000.00XXX
    84207XAssay of vitamin b-60.000.000.000.000.000.000.000.000.000.00XXX
    84210XAssay of pyruvate0.000.000.000.000.000.000.000.000.000.00XXX
    84220XAssay of pyruvate kinase0.000.000.000.000.000.000.000.000.000.00XXX
    84228XAssay of quinine0.000.000.000.000.000.000.000.000.000.00XXX
    84233XAssay of estrogen0.000.000.000.000.000.000.000.000.000.00XXX
    84234XAssay of progesterone0.000.000.000.000.000.000.000.000.000.00XXX
    84235XAssay of endocrine hormone0.000.000.000.000.000.000.000.000.000.00XXX
    84238XAssay, nonendocrine receptor0.000.000.000.000.000.000.000.000.000.00XXX
    84244XAssay of renin0.000.000.000.000.000.000.000.000.000.00XXX
    84252XAssay of vitamin b-20.000.000.000.000.000.000.000.000.000.00XXX
    84255XAssay of selenium0.000.000.000.000.000.000.000.000.000.00XXX
    84260XAssay of serotonin0.000.000.000.000.000.000.000.000.000.00XXX
    84270XAssay of sex hormone globul0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65531
    84275XAssay of sialic acid0.000.000.000.000.000.000.000.000.000.00XXX
    84285XAssay of silica0.000.000.000.000.000.000.000.000.000.00XXX
    84295XAssay of serum sodium0.000.000.000.000.000.000.000.000.000.00XXX
    84300XAssay of urine sodium0.000.000.000.000.000.000.000.000.000.00XXX
    84305XAssay of somatomedin0.000.000.000.000.000.000.000.000.000.00XXX
    84307XAssay of somatostatin0.000.000.000.000.000.000.000.000.000.00XXX
    84311XSpectrophotometry0.000.000.000.000.000.000.000.000.000.00XXX
    84315XBody fluid specific gravity0.000.000.000.000.000.000.000.000.000.00XXX
    84375XChromatogram assay, sugars0.000.000.000.000.000.000.000.000.000.00XXX
    84376XSugars, single, qual0.000.000.000.000.000.000.000.000.000.00XXX
    84377XSugars, multiple, qual0.000.000.000.000.000.000.000.000.000.00XXX
    84378XSugars single quant0.000.000.000.000.000.000.000.000.000.00XXX
    84379XSugars multiple quant0.000.000.000.000.000.000.000.000.000.00XXX
    84392XAssay of urine sulfate0.000.000.000.000.000.000.000.000.000.00XXX
    84402XAssay of testosterone0.000.000.000.000.000.000.000.000.000.00XXX
    84403XAssay of total testosterone0.000.000.000.000.000.000.000.000.000.00XXX
    84425XAssay of vitamin b-10.000.000.000.000.000.000.000.000.000.00XXX
    84430XAssay of thiocyanate0.000.000.000.000.000.000.000.000.000.00XXX
    84432XAssay of thyroglobulin0.000.000.000.000.000.000.000.000.000.00XXX
    84436XAssay of total thyroxine0.000.000.000.000.000.000.000.000.000.00XXX
    84437XAssay of neonatal thyroxine0.000.000.000.000.000.000.000.000.000.00XXX
    84439XAssay of free thyroxine0.000.000.000.000.000.000.000.000.000.00XXX
    84442XAssay of thyroid activity0.000.000.000.000.000.000.000.000.000.00XXX
    84443XAssay thyroid stim hormone0.000.000.000.000.000.000.000.000.000.00XXX
    84445XAssay of tsi0.000.000.000.000.000.000.000.000.000.00XXX
    84446XAssay of vitamin e0.000.000.000.000.000.000.000.000.000.00XXX
    84449XAssay of transcortin0.000.000.000.000.000.000.000.000.000.00XXX
    84450XTransferase (AST) (SGOT)0.000.000.000.000.000.000.000.000.000.00XXX
    84460XAlanine amino (ALT) (SGPT)0.000.000.000.000.000.000.000.000.000.00XXX
    84466XAssay of transferrin0.000.000.000.000.000.000.000.000.000.00XXX
    84478XAssay of triglycerides0.000.000.000.000.000.000.000.000.000.00XXX
    84479XAssay of thyroid (t3 or t4)0.000.000.000.000.000.000.000.000.000.00XXX
    84480XAssay, triiodothyronine (t3)0.000.000.000.000.000.000.000.000.000.00XXX
    84481XFree assay (FT-3)0.000.000.000.000.000.000.000.000.000.00XXX
    84482XT3 reverse0.000.000.000.000.000.000.000.000.000.00XXX
    84484XAssay of troponin, quant0.000.000.000.000.000.000.000.000.000.00XXX
    84485XAssay duodenal fluid trypsin0.000.000.000.000.000.000.000.000.000.00XXX
    84488XTest feces for trypsin0.000.000.000.000.000.000.000.000.000.00XXX
    84490XAssay of feces for trypsin0.000.000.000.000.000.000.000.000.000.00XXX
    84510XAssay of tyrosine0.000.000.000.000.000.000.000.000.000.00XXX
    84512XAssay of troponin, qual0.000.000.000.000.000.000.000.000.000.00XXX
    84520XAssay of urea nitrogen0.000.000.000.000.000.000.000.000.000.00XXX
    84525XUrea nitrogen semi-quant0.000.000.000.000.000.000.000.000.000.00XXX
    84540XAssay of urine/urea-n0.000.000.000.000.000.000.000.000.000.00XXX
    84545XUrea-N clearance test0.000.000.000.000.000.000.000.000.000.00XXX
    84550XAssay of blood/uric acid0.000.000.000.000.000.000.000.000.000.00XXX
    84560XAssay of urine/uric acid0.000.000.000.000.000.000.000.000.000.00XXX
    84577XAssay of feces/urobilinogen0.000.000.000.000.000.000.000.000.000.00XXX
    84578XTest urine urobilinogen0.000.000.000.000.000.000.000.000.000.00XXX
    84580XAssay of urine urobilinogen0.000.000.000.000.000.000.000.000.000.00XXX
    84583XAssay of urine urobilinogen0.000.000.000.000.000.000.000.000.000.00XXX
    84585XAssay of urine vma0.000.000.000.000.000.000.000.000.000.00XXX
    84586XAssay of vip0.000.000.000.000.000.000.000.000.000.00XXX
    84588XAssay of vasopressin0.000.000.000.000.000.000.000.000.000.00XXX
    84590XAssay of vitamin a0.000.000.000.000.000.000.000.000.000.00XXX
    84591XAssay of nos vitamin0.000.000.000.000.000.000.000.000.000.00XXX
    84597XAssay of vitamin k0.000.000.000.000.000.000.000.000.000.00XXX
    84600XAssay of volatiles0.000.000.000.000.000.000.000.000.000.00XXX
    84620XXylose tolerance test0.000.000.000.000.000.000.000.000.000.00XXX
    84630XAssay of zinc0.000.000.000.000.000.000.000.000.000.00XXX
    84681XAssay of c-peptide0.000.000.000.000.000.000.000.000.000.00XXX
    84702XChorionic gonadotropin test0.000.000.000.000.000.000.000.000.000.00XXX
    84703XChorionic gonadotropin assay0.000.000.000.000.000.000.000.000.000.00XXX
    84830XOvulation tests0.000.000.000.000.000.000.000.000.000.00XXX
    84999XClinical chemistry test0.000.000.000.000.000.000.000.000.000.00XXX
    85002XBleeding time test0.000.000.000.000.000.000.000.000.000.00XXX
    85007XDifferential WBC count0.000.000.000.000.000.000.000.000.000.00XXX
    85008XNondifferential WBC count0.000.000.000.000.000.000.000.000.000.00XXX
    85009XDifferential WBC count0.000.000.000.000.000.000.000.000.000.00XXX
    85013XHematocrit0.000.000.000.000.000.000.000.000.000.00XXX
    85014XHematocrit0.000.000.000.000.000.000.000.000.000.00XXX
    85018XHemoglobin0.000.000.000.000.000.000.000.000.000.00XXX
    85021XAutomated hemogram0.000.000.000.000.000.000.000.000.000.00XXX
    85022XAutomated hemogram0.000.000.000.000.000.000.000.000.000.00XXX
    85023XAutomated hemogram0.000.000.000.000.000.000.000.000.000.00XXX
    85024XAutomated hemogram0.000.000.000.000.000.000.000.000.000.00XXX
    85025XAutomated hemogram0.000.000.000.000.000.000.000.000.000.00XXX
    85027XAutomated hemogram0.000.000.000.000.000.000.000.000.000.00XXX
    85031XManual hemogram, cbc0.000.000.000.000.000.000.000.000.000.00XXX
    85041XRed blood cell (RBC) count0.000.000.000.000.000.000.000.000.000.00XXX
    85044XReticulocyte count0.000.000.000.000.000.000.000.000.000.00XXX
    85045XReticulocyte count0.000.000.000.000.000.000.000.000.000.00XXX
    85046XReticyte/hgb concentrate0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65532
    85048XWhite blood cell (WBC) count0.000.000.000.000.000.000.000.000.000.00XXX
    85060ABlood smear interpretation0.450.190.200.190.200.020.660.670.660.67XXX
    85095ABone marrow aspiration1.084.473.540.430.510.035.584.651.541.62XXX
    85097ABone marrow interpretation0.941.801.480.400.430.032.772.451.371.40XXX
    85102ABone marrow biopsy1.374.593.660.550.630.046.005.071.962.04XXX
    85130XChromogenic substrate assay0.000.000.000.000.000.000.000.000.000.00XXX
    85170XBlood clot retraction0.000.000.000.000.000.000.000.000.000.00XXX
    85175XBlood clot lysis time0.000.000.000.000.000.000.000.000.000.00XXX
    85210XBlood clot factor II test0.000.000.000.000.000.000.000.000.000.00XXX
    85220XBlood clot factor V test0.000.000.000.000.000.000.000.000.000.00XXX
    85230XBlood clot factor VII test0.000.000.000.000.000.000.000.000.000.00XXX
    85240XBlood clot factor VIII test0.000.000.000.000.000.000.000.000.000.00XXX
    85244XBlood clot factor VIII test0.000.000.000.000.000.000.000.000.000.00XXX
    85245XBlood clot factor VIII test0.000.000.000.000.000.000.000.000.000.00XXX
    85246XBlood clot factor VIII test0.000.000.000.000.000.000.000.000.000.00XXX
    85247XBlood clot factor VIII test0.000.000.000.000.000.000.000.000.000.00XXX
    85250XBlood clot factor IX test0.000.000.000.000.000.000.000.000.000.00XXX
    85260XBlood clot factor X test0.000.000.000.000.000.000.000.000.000.00XXX
    85270XBlood clot factor XI test0.000.000.000.000.000.000.000.000.000.00XXX
    85280XBlood clot factor XII test0.000.000.000.000.000.000.000.000.000.00XXX
    85290XBlood clot factor XIII test0.000.000.000.000.000.000.000.000.000.00XXX
    85291XBlood clot factor XIII test0.000.000.000.000.000.000.000.000.000.00XXX
    85292XBlood clot factor assay0.000.000.000.000.000.000.000.000.000.00XXX
    85293XBlood clot factor assay0.000.000.000.000.000.000.000.000.000.00XXX
    85300XAntithrombin III test0.000.000.000.000.000.000.000.000.000.00XXX
    85301XAntithrombin III test0.000.000.000.000.000.000.000.000.000.00XXX
    85302XBlood clot inhibitor antigen0.000.000.000.000.000.000.000.000.000.00XXX
    85303XBlood clot inhibitor test0.000.000.000.000.000.000.000.000.000.00XXX
    85305XBlood clot inhibitor assay0.000.000.000.000.000.000.000.000.000.00XXX
    85306XBlood clot inhibitor test0.000.000.000.000.000.000.000.000.000.00XXX
    85307XAssay activated protein c0.000.000.000.000.000.000.000.000.000.00XXX
    85335XFactor inhibitor test0.000.000.000.000.000.000.000.000.000.00XXX
    85337XThrombomodulin0.000.000.000.000.000.000.000.000.000.00XXX
    85345XCoagulation time0.000.000.000.000.000.000.000.000.000.00XXX
    85347XCoagulation time0.000.000.000.000.000.000.000.000.000.00XXX
    85348XCoagulation time0.000.000.000.000.000.000.000.000.000.00XXX
    85360XEuglobulin lysis0.000.000.000.000.000.000.000.000.000.00XXX
    85362XFibrin degradation products0.000.000.000.000.000.000.000.000.000.00XXX
    85366XFibrinogen test0.000.000.000.000.000.000.000.000.000.00XXX
    85370XFibrinogen test0.000.000.000.000.000.000.000.000.000.00XXX
    85378XFibrin degradation0.000.000.000.000.000.000.000.000.000.00XXX
    85379XFibrin degradation0.000.000.000.000.000.000.000.000.000.00XXX
    85384XFibrinogen0.000.000.000.000.000.000.000.000.000.00XXX
    85385XFibrinogen0.000.000.000.000.000.000.000.000.000.00XXX
    85390XFibrinolysins screen0.000.000.000.000.000.000.000.000.000.00XXX
    8539026AFibrinolysins screen0.370.130.150.130.150.010.510.530.510.53XXX
    85400XFibrinolytic plasmin0.000.000.000.000.000.000.000.000.000.00XXX
    85410XFibrinolytic antiplasmin0.000.000.000.000.000.000.000.000.000.00XXX
    85415XFibrinolytic plasminogen0.000.000.000.000.000.000.000.000.000.00XXX
    85420XFibrinolytic plasminogen0.000.000.000.000.000.000.000.000.000.00XXX
    85421XFibrinolytic plasminogen0.000.000.000.000.000.000.000.000.000.00XXX
    85441XHeinz bodies, direct0.000.000.000.000.000.000.000.000.000.00XXX
    85445XHeinz bodies, induced0.000.000.000.000.000.000.000.000.000.00XXX
    85460XHemoglobin, fetal0.000.000.000.000.000.000.000.000.000.00XXX
    85461XHemoglobin, fetal0.000.000.000.000.000.000.000.000.000.00XXX
    85475XHemolysin0.000.000.000.000.000.000.000.000.000.00XXX
    85520XHeparin assay0.000.000.000.000.000.000.000.000.000.00XXX
    85525XHeparin0.000.000.000.000.000.000.000.000.000.00XXX
    85530XHeparin-protamine tolerance0.000.000.000.000.000.000.000.000.000.00XXX
    85535XIron stain, blood cells0.000.000.000.000.000.000.000.000.000.00XXX
    85536XIron stain peripheral blood0.000.000.000.000.000.000.000.000.000.00XXX
    85540XWbc alkaline phosphatase0.000.000.000.000.000.000.000.000.000.00XXX
    85547XRBC mechanical fragility0.000.000.000.000.000.000.000.000.000.00XXX
    85549XMuramidase0.000.000.000.000.000.000.000.000.000.00XXX
    85555XRBC osmotic fragility0.000.000.000.000.000.000.000.000.000.00XXX
    85557XRBC osmotic fragility0.000.000.000.000.000.000.000.000.000.00XXX
    85576XBlood platelet aggregation0.000.000.000.000.000.000.000.000.000.00XXX
    8557626ABlood platelet aggregation0.370.160.180.150.170.010.540.560.530.55XXX
    85585XBlood platelet estimation0.000.000.000.000.000.000.000.000.000.00XXX
    85590XPlatelet count, manual0.000.000.000.000.000.000.000.000.000.00XXX
    85595XPlatelet count, automated0.000.000.000.000.000.000.000.000.000.00XXX
    85597XPlatelet neutralization0.000.000.000.000.000.000.000.000.000.00XXX
    85610XProthrombin time0.000.000.000.000.000.000.000.000.000.00XXX
    85611XProthrombin test0.000.000.000.000.000.000.000.000.000.00XXX
    85612XViper venom prothrombin time0.000.000.000.000.000.000.000.000.000.00XXX
    85613XRussell viper venom, diluted0.000.000.000.000.000.000.000.000.000.00XXX
    85635XReptilase test0.000.000.000.000.000.000.000.000.000.00XXX
    85651XRbc sed rate, nonautomated0.000.000.000.000.000.000.000.000.000.00XXX
    85652XRbc sed rate, automated0.000.000.000.000.000.000.000.000.000.00XXX
    85660XRBC sickle cell test0.000.000.000.000.000.000.000.000.000.00XXX
    85670XThrombin time, plasma0.000.000.000.000.000.000.000.000.000.00XXX
    85675XThrombin time, titer0.000.000.000.000.000.000.000.000.000.00XXX
    85705XThromboplastin inhibition0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65533
    85730XThromboplastin time, partial0.000.000.000.000.000.000.000.000.000.00XXX
    85732XThromboplastin time, partial0.000.000.000.000.000.000.000.000.000.00XXX
    85810XBlood viscosity examination0.000.000.000.000.000.000.000.000.000.00XXX
    85999XHematology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    86000XAgglutinins, febrile0.000.000.000.000.000.000.000.000.000.00XXX
    86001XAllergen specific igg0.000.000.000.000.000.000.000.000.000.00XXX
    86003XAllergen specific IgE0.000.000.000.000.000.000.000.000.000.00XXX
    86005XAllergen specific IgE0.000.000.000.000.000.000.000.000.000.00XXX
    86021XWBC antibody identification0.000.000.000.000.000.000.000.000.000.00XXX
    86022XPlatelet antibodies0.000.000.000.000.000.000.000.000.000.00XXX
    86023XImmunoglobulin assay0.000.000.000.000.000.000.000.000.000.00XXX
    86038XAntinuclear antibodies0.000.000.000.000.000.000.000.000.000.00XXX
    86039XAntinuclear antibodies (ANA)0.000.000.000.000.000.000.000.000.000.00XXX
    86060XAntistreptolysin o, titer0.000.000.000.000.000.000.000.000.000.00XXX
    86063XAntistreptolysin o, screen0.000.000.000.000.000.000.000.000.000.00XXX
    86077APhysician blood bank service0.940.480.440.400.380.031.451.411.371.35XXX
    86078APhysician blood bank service0.940.500.470.400.390.031.471.441.371.36XXX
    86079APhysician blood bank service0.940.500.470.410.400.031.471.441.381.37XXX
    86140XC-reactive protein0.000.000.000.000.000.000.000.000.000.00XXX
    86146XGlycoprotein antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86147XCardiolipin antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86148XPhospholipid antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86155XChemotaxis assay0.000.000.000.000.000.000.000.000.000.00XXX
    86156XCold agglutinin, screen0.000.000.000.000.000.000.000.000.000.00XXX
    86157XCold agglutinin, titer0.000.000.000.000.000.000.000.000.000.00XXX
    86160XComplement, antigen0.000.000.000.000.000.000.000.000.000.00XXX
    86161XComplement/function activity0.000.000.000.000.000.000.000.000.000.00XXX
    86162XComplement, total (CH50)0.000.000.000.000.000.000.000.000.000.00XXX
    86171XComplement fixation, each0.000.000.000.000.000.000.000.000.000.00XXX
    86185XCounterimmunoelectrophoresis0.000.000.000.000.000.000.000.000.000.00XXX
    86215XDeoxyribonuclease, antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86225XDNA antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86226XDNA antibody, single strand0.000.000.000.000.000.000.000.000.000.00XXX
    86235XNuclear antigen antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86243XFc receptor0.000.000.000.000.000.000.000.000.000.00XXX
    86255XFluorescent antibody, screen0.000.000.000.000.000.000.000.000.000.00XXX
    8625526AFluorescent antibody, screen0.370.160.180.160.180.010.540.560.540.56XXX
    86256XFluorescent antibody, titer0.000.000.000.000.000.000.000.000.000.00XXX
    8625626AFluorescent antibody, titer0.370.160.180.160.180.010.540.560.540.56XXX
    86277XGrowth hormone antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86280XHemagglutination inhibition0.000.000.000.000.000.000.000.000.000.00XXX
    86294XImmunoassay, tumor qual0.000.000.000.000.000.000.000.000.000.00XXX
    86300XImmunoassay, tumor ca 15-30.000.000.000.000.000.000.000.000.000.00XXX
    86301XImmunoassay, tumor, ca 19-90.000.000.000.000.000.000.000.000.000.00XXX
    86304XImmunoassay, tumor ca 1250.000.000.000.000.000.000.000.000.000.00XXX
    86308XHeterophile antibodies0.000.000.000.000.000.000.000.000.000.00XXX
    86309XHeterophile antibodies0.000.000.000.000.000.000.000.000.000.00XXX
    86310XHeterophile antibodies0.000.000.000.000.000.000.000.000.000.00XXX
    86316XImmunoassay, tumor other0.000.000.000.000.000.000.000.000.000.00XXX
    86317XImmunoassay,infectious agent0.000.000.000.000.000.000.000.000.000.00XXX
    86318XImmunoassay,infectious agent0.000.000.000.000.000.000.000.000.000.00XXX
    86320XSerum immunoelectrophoresis0.000.000.000.000.000.000.000.000.000.00XXX
    8632026ASerum immunoelectrophoresis0.370.160.180.160.180.010.540.560.540.56XXX
    86325XOther immunoelectrophoresis0.000.000.000.000.000.000.000.000.000.00XXX
    8632526AOther immunoelectrophoresis0.370.160.180.160.180.010.540.560.540.56XXX
    86327XImmunoelectrophoresis assay0.000.000.000.000.000.000.000.000.000.00XXX
    8632726AImmunoelectrophoresis assay0.420.180.190.180.190.010.610.620.610.62XXX
    86329XImmunodiffusion0.000.000.000.000.000.000.000.000.000.00XXX
    86331XImmunodiffusion ouchterlony0.000.000.000.000.000.000.000.000.000.00XXX
    86332XImmune complex assay0.000.000.000.000.000.000.000.000.000.00XXX
    86334XImmunofixation procedure0.000.000.000.000.000.000.000.000.000.00XXX
    8633426AImmunofixation procedure0.370.160.180.160.180.010.540.560.540.56XXX
    86337XInsulin antibodies0.000.000.000.000.000.000.000.000.000.00XXX
    86340XIntrinsic factor antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86341XIslet cell antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86343XLeukocyte histamine release0.000.000.000.000.000.000.000.000.000.00XXX
    86344XLeukocyte phagocytosis0.000.000.000.000.000.000.000.000.000.00XXX
    86353XLymphocyte transformation0.000.000.000.000.000.000.000.000.000.00XXX
    86359XT cells, total count0.000.000.000.000.000.000.000.000.000.00XXX
    86360XT cell, absolute count/ratio0.000.000.000.000.000.000.000.000.000.00XXX
    86361XT cell, absolute count0.000.000.000.000.000.000.000.000.000.00XXX
    86376XMicrosomal antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86378XMigration inhibitory factor0.000.000.000.000.000.000.000.000.000.00XXX
    86382XNeutralization test, viral0.000.000.000.000.000.000.000.000.000.00XXX
    86384XNitroblue tetrazolium dye0.000.000.000.000.000.000.000.000.000.00XXX
    86403XParticle agglutination test0.000.000.000.000.000.000.000.000.000.00XXX
    86406XParticle agglutination test0.000.000.000.000.000.000.000.000.000.00XXX
    86430XRheumatoid factor test0.000.000.000.000.000.000.000.000.000.00XXX
    86431XRheumatoid factor, quant0.000.000.000.000.000.000.000.000.000.00XXX
    86485CSkin test, candida0.000.000.000.000.000.000.000.000.000.00XXX
    86490ACoccidioidomycosis skin test0.000.290.29NANA0.020.310.31NANAXXX
    86510AHistoplasmosis skin test0.000.320.32NANA0.020.340.34NANAXXX
    86580ATB intradermal test0.000.250.25NANA0.020.270.27NANAXXX
    Start Printed Page 65534
    86585ATB tine test0.000.200.20NANA0.010.210.21NANAXXX
    86586CSkin test, unlisted0.000.000.000.000.000.000.000.000.000.00XXX
    86590XStreptokinase, antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86592XBlood serology, qualitative0.000.000.000.000.000.000.000.000.000.00XXX
    86593XBlood serology, quantitative0.000.000.000.000.000.000.000.000.000.00XXX
    86602XAntinomyces antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86603XAdenovirus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86606XAspergillus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86609XBacterium antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86611XBartonella antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86612XBlastomyces antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86615XBordetella antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86617XLyme disease antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86618XLyme disease antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86619XBorrelia antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86622XBrucella antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86625XCampylobacter antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86628XCandida antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86631XChlamydia antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86632XChlamydia igm antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86635XCoccidioides antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86638XQ fever antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86641XCryptococcus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86644XCMV antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86645XCMV antibody, IgM0.000.000.000.000.000.000.000.000.000.00XXX
    86648XDiphtheria antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86651XEncephalitis antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86652XEncephalitis antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86653XEncephalitis antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86654XEncephalitis antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86658XEnterovirus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86663XEpstein-barr antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86664XEpstein-barr antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86665XEpstein-barr antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86666XEhrlichia antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86668XFrancisella tularensis0.000.000.000.000.000.000.000.000.000.00XXX
    86671XFungus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86674XGiardia lamblia antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86677XHelicobacter pylori0.000.000.000.000.000.000.000.000.000.00XXX
    86682XHelminth antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86683XHemoglobin, fecal antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86684XHemophilus influenza0.000.000.000.000.000.000.000.000.000.00XXX
    86687XHtlv-i antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86688XHtlv-ii antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86689XHTLV/HIV confirmatory test0.000.000.000.000.000.000.000.000.000.00XXX
    86692XHepatitis, delta agent0.000.000.000.000.000.000.000.000.000.00XXX
    86694XHerpes simplex test0.000.000.000.000.000.000.000.000.000.00XXX
    86695XHerpes simplex test0.000.000.000.000.000.000.000.000.000.00XXX
    86696XHerpes simplex type 20.000.000.000.000.000.000.000.000.000.00XXX
    86698XHistoplasma0.000.000.000.000.000.000.000.000.000.00XXX
    86701XHIV-10.000.000.000.000.000.000.000.000.000.00XXX
    86702XHIV-20.000.000.000.000.000.000.000.000.000.00XXX
    86703XHIV-1/HIV-2, single assay0.000.000.000.000.000.000.000.000.000.00XXX
    86704XHep b core antibody, total0.000.000.000.000.000.000.000.000.000.00XXX
    86705XHep b core antibody, igm0.000.000.000.000.000.000.000.000.000.00XXX
    86706XHep b surface antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86707XHep be antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86708XHep a antibody, total0.000.000.000.000.000.000.000.000.000.00XXX
    86709XHep a antibody, igm0.000.000.000.000.000.000.000.000.000.00XXX
    86710XInfluenza virus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86713XLegionella antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86717XLeishmania antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86720XLeptospira antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86723XListeria monocytogenes ab0.000.000.000.000.000.000.000.000.000.00XXX
    86727XLymph choriomeningitis ab0.000.000.000.000.000.000.000.000.000.00XXX
    86729XLympho venereum antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86732XMucormycosis antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86735XMumps antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86738XMycoplasma antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86741XNeisseria meningitidis0.000.000.000.000.000.000.000.000.000.00XXX
    86744XNocardia antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86747XParvovirus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86750XMalaria antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86753XProtozoa antibody nos0.000.000.000.000.000.000.000.000.000.00XXX
    86756XRespiratory virus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86757XRickettsia antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86759XRotavirus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86762XRubella antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86765XRubeola antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86768XSalmonella antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86771XShigella antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86774XTetanus antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86777XToxoplasma antibody0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65535
    86778XToxoplasma antibody, igm0.000.000.000.000.000.000.000.000.000.00XXX
    86781XTreponema pallidum, confirm0.000.000.000.000.000.000.000.000.000.00XXX
    86784XTrichinella antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86787XVaricella-zoster antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86790XVirus antibody nos0.000.000.000.000.000.000.000.000.000.00XXX
    86793XYersinia antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86800XThyroglobulin antibody0.000.000.000.000.000.000.000.000.000.00XXX
    86803XHepatitis c ab test0.000.000.000.000.000.000.000.000.000.00XXX
    86804XHep c ab test, confirm0.000.000.000.000.000.000.000.000.000.00XXX
    86805XLymphocytotoxicity assay0.000.000.000.000.000.000.000.000.000.00XXX
    86806XLymphocytotoxicity assay0.000.000.000.000.000.000.000.000.000.00XXX
    86807XCytotoxic antibody screening0.000.000.000.000.000.000.000.000.000.00XXX
    86808XCytotoxic antibody screening0.000.000.000.000.000.000.000.000.000.00XXX
    86812XHLA typing, A, B, or C0.000.000.000.000.000.000.000.000.000.00XXX
    86813XHLA typing, A, B, or C0.000.000.000.000.000.000.000.000.000.00XXX
    86816XHLA typing, DR/DQ0.000.000.000.000.000.000.000.000.000.00XXX
    86817XHLA typing, DR/DQ0.000.000.000.000.000.000.000.000.000.00XXX
    86821XLymphocyte culture, mixed0.000.000.000.000.000.000.000.000.000.00XXX
    86822XLymphocyte culture, primed0.000.000.000.000.000.000.000.000.000.00XXX
    86849XImmunology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    86850XRBC antibody screen0.000.000.000.000.000.000.000.000.000.00XXX
    86860XRBC antibody elution0.000.000.000.000.000.000.000.000.000.00XXX
    86870XRBC antibody identification0.000.000.000.000.000.000.000.000.000.00XXX
    86880XCoombs test0.000.000.000.000.000.000.000.000.000.00XXX
    86885XCoombs test0.000.000.000.000.000.000.000.000.000.00XXX
    86886XCoombs test0.000.000.000.000.000.000.000.000.000.00XXX
    86890XAutologous blood process0.000.000.000.000.000.000.000.000.000.00XXX
    86891XAutologous blood, op salvage0.000.000.000.000.000.000.000.000.000.00XXX
    86900XBlood typing, ABO0.000.000.000.000.000.000.000.000.000.00XXX
    86901XBlood typing, Rh (D)0.000.000.000.000.000.000.000.000.000.00XXX
    86903XBlood typing, antigen screen0.000.000.000.000.000.000.000.000.000.00XXX
    86904XBlood typing, patient serum0.000.000.000.000.000.000.000.000.000.00XXX
    86905XBlood typing, RBC antigens0.000.000.000.000.000.000.000.000.000.00XXX
    86906XBlood typing, Rh phenotype0.000.000.000.000.000.000.000.000.000.00XXX
    86910NBlood typing, paternity test0.000.000.000.000.000.000.000.000.000.00XXX
    86911NBlood typing, antigen system0.000.000.000.000.000.000.000.000.000.00XXX
    86915XBone marrow/stem cell prep0.000.000.000.000.000.000.000.000.000.00XXX
    86920XCompatibility test0.000.000.000.000.000.000.000.000.000.00XXX
    86921XCompatibility test0.000.000.000.000.000.000.000.000.000.00XXX
    86922XCompatibility test0.000.000.000.000.000.000.000.000.000.00XXX
    86927XPlasma, fresh frozen0.000.000.000.000.000.000.000.000.000.00XXX
    86930XFrozen blood prep0.000.000.000.000.000.000.000.000.000.00XXX
    86931XFrozen blood thaw0.000.000.000.000.000.000.000.000.000.00XXX
    86932XFrozen blood freeze/thaw0.000.000.000.000.000.000.000.000.000.00XXX
    86940XHemolysins/agglutinins, auto0.000.000.000.000.000.000.000.000.000.00XXX
    86941XHemolysins/agglutinins0.000.000.000.000.000.000.000.000.000.00XXX
    86945XBlood product/irradiation0.000.000.000.000.000.000.000.000.000.00XXX
    86950XLeukacyte transfusion0.000.000.000.000.000.000.000.000.000.00XXX
    86965XPooling blood platelets0.000.000.000.000.000.000.000.000.000.00XXX
    86970XRBC pretreatment0.000.000.000.000.000.000.000.000.000.00XXX
    86971XRBC pretreatment0.000.000.000.000.000.000.000.000.000.00XXX
    86972XRBC pretreatment0.000.000.000.000.000.000.000.000.000.00XXX
    86975XRBC pretreatment, serum0.000.000.000.000.000.000.000.000.000.00XXX
    86976XRBC pretreatment, serum0.000.000.000.000.000.000.000.000.000.00XXX
    86977XRBC pretreatment, serum0.000.000.000.000.000.000.000.000.000.00XXX
    86978XRBC pretreatment, serum0.000.000.000.000.000.000.000.000.000.00XXX
    86985XSplit blood or products0.000.000.000.000.000.000.000.000.000.00XXX
    86999XTransfusion procedure0.000.000.000.000.000.000.000.000.000.00XXX
    87001XSmall animal inoculation0.000.000.000.000.000.000.000.000.000.00XXX
    87003XSmall animal inoculation0.000.000.000.000.000.000.000.000.000.00XXX
    87015XSpecimen concentration0.000.000.000.000.000.000.000.000.000.00XXX
    87040XBlood culture for bacteria0.000.000.000.000.000.000.000.000.000.00XXX
    87045XStool culture, bacteria0.000.000.000.000.000.000.000.000.000.00XXX
    87046XStool cultr, bacteria, each0.000.000.000.000.000.000.000.000.000.00XXX
    87060DNose/throat culture, bact0.000.000.000.000.000.000.000.000.000.00XXX
    87070XCulture, bacteria, other0.000.000.000.000.000.000.000.000.000.00XXX
    87071XCulture bacteri aerobic othr0.000.000.000.000.000.000.000.000.000.00XXX
    87072DCulture of specimen by kit0.000.000.000.000.000.000.000.000.000.00XXX
    87073XCulture bacteria anaerobic0.000.000.000.000.000.000.000.000.000.00XXX
    87075XCulture bacteria anaerobic0.000.000.000.000.000.000.000.000.000.00XXX
    87076XCulture anaerobe ident, each0.000.000.000.000.000.000.000.000.000.00XXX
    87077XCulture aerobic identify0.000.000.000.000.000.000.000.000.000.00XXX
    87081XCulture screen only0.000.000.000.000.000.000.000.000.000.00XXX
    87082DCulture of specimen by kit0.000.000.000.000.000.000.000.000.000.00XXX
    87083DCulture of specimen by kit0.000.000.000.000.000.000.000.000.000.00XXX
    87084XCulture of specimen by kit0.000.000.000.000.000.000.000.000.000.00XXX
    87085DCulture of specimen by kit0.000.000.000.000.000.000.000.000.000.00XXX
    87086XUrine culture/colony count0.000.000.000.000.000.000.000.000.000.00XXX
    87087DUrine bacteria culture0.000.000.000.000.000.000.000.000.000.00XXX
    87088XUrine bacteria culture0.000.000.000.000.000.000.000.000.000.00XXX
    87101XSkin fungi culture0.000.000.000.000.000.000.000.000.000.00XXX
    87102XFungus isolation culture0.000.000.000.000.000.000.000.000.000.00XXX
    87103XBlood fungus culture0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65536
    87106XFungi identification, yeast0.000.000.000.000.000.000.000.000.000.00XXX
    87107XFungi identification, mold0.000.000.000.000.000.000.000.000.000.00XXX
    87109XMycoplasma0.000.000.000.000.000.000.000.000.000.00XXX
    87110XChlamydia culture0.000.000.000.000.000.000.000.000.000.00XXX
    87116XMycobacteria culture0.000.000.000.000.000.000.000.000.000.00XXX
    87117DMycobacteria culture0.000.000.000.000.000.000.000.000.000.00XXX
    87118XMycobacteric identification0.000.000.000.000.000.000.000.000.000.00XXX
    87140XCultur type immunofluoresc0.000.000.000.000.000.000.000.000.000.00XXX
    87143XCulture typing, glc/hplc0.000.000.000.000.000.000.000.000.000.00XXX
    87145XCulture typing, phage method0.000.000.000.000.000.000.000.000.000.00XXX
    87147XCulture type, immunologic0.000.000.000.000.000.000.000.000.000.00XXX
    87149XCulture type, nucleic acid0.000.000.000.000.000.000.000.000.000.00XXX
    87151DCulture typing, serologic0.000.000.000.000.000.000.000.000.000.00XXX
    87152XCulture type pulse field gel0.000.000.000.000.000.000.000.000.000.00XXX
    87155DCulture typing, precipitin0.000.000.000.000.000.000.000.000.000.00XXX
    87158XCulture typing, added method0.000.000.000.000.000.000.000.000.000.00XXX
    87163DSpecial microbiology culture0.000.000.000.000.000.000.000.000.000.00XXX
    87164XDark field examination0.000.000.000.000.000.000.000.000.000.00XXX
    8716426ADark field examination0.370.170.180.160.180.010.550.560.540.56XXX
    87166XDark field examination0.000.000.000.000.000.000.000.000.000.00XXX
    87168XMacroscopic exam arthropod0.000.000.000.000.000.000.000.000.000.00XXX
    87169XMacacroscopic exam parasite0.000.000.000.000.000.000.000.000.000.00XXX
    87172XPinworm exam0.000.000.000.000.000.000.000.000.000.00XXX
    87174DEndotoxin, bacterial0.000.000.000.000.000.000.000.000.000.00XXX
    87175DAssay, endotoxin, bacterial0.000.000.000.000.000.000.000.000.000.00XXX
    87176XTissue homogenization, cultr0.000.000.000.000.000.000.000.000.000.00XXX
    87177XOva and parasites smears0.000.000.000.000.000.000.000.000.000.00XXX
    87181XMicrobe susceptible, diffuse0.000.000.000.000.000.000.000.000.000.00XXX
    87184XMicrobe susceptible, disk0.000.000.000.000.000.000.000.000.000.00XXX
    87185XMicrobe susceptible, enzyme0.000.000.000.000.000.000.000.000.000.00XXX
    87186XMicrobe susceptible, mic0.000.000.000.000.000.000.000.000.000.00XXX
    87187XMicrobe susceptible, mlc0.000.000.000.000.000.000.000.000.000.00XXX
    87188XMicrobe suscept, macrobroth0.000.000.000.000.000.000.000.000.000.00XXX
    87190XMicrobe suscept, mycobacteri0.000.000.000.000.000.000.000.000.000.00XXX
    87192DAntibiotic sensitivity, each0.000.000.000.000.000.000.000.000.000.00XXX
    87197XBactericidal level, serum0.000.000.000.000.000.000.000.000.000.00XXX
    87205XSmear, gram stain0.000.000.000.000.000.000.000.000.000.00XXX
    87206XSmear, fluorescent/acid stai0.000.000.000.000.000.000.000.000.000.00XXX
    87207XSmear, special stain0.000.000.000.000.000.000.000.000.000.00XXX
    8720726ASmear, special stain0.370.160.180.160.180.010.540.560.540.56XXX
    87208XSmear, stain & interpret0.000.000.000.000.000.000.000.000.000.00XXX
    87210XSmear, wet mount, saline/ink0.000.000.000.000.000.000.000.000.000.00XXX
    87211DSmear, stain & interpret0.000.000.000.000.000.000.000.000.000.00XXX
    87220XTissue exam for fungi0.000.000.000.000.000.000.000.000.000.00XXX
    87230XAssay, toxin or antitoxin0.000.000.000.000.000.000.000.000.000.00XXX
    87250XVirus inoculate, eggs/animal0.000.000.000.000.000.000.000.000.000.00XXX
    87252XVirus inoculation, tissue0.000.000.000.000.000.000.000.000.000.00XXX
    87253XVirus inoculate tissue, addl0.000.000.000.000.000.000.000.000.000.00XXX
    87254XVirus inoculation, shell via0.000.000.000.000.000.000.000.000.000.00XXX
    87260XAdenovirus ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87265XPertussis ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87270XChlamydia trachomatis ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87272XCryptosporidum/gardia ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87273XHerpes simplex 2, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87274XHerpes simplex 1, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87275XInfluenza b, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87276XInfluenza a, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87277XLegionella micdadei, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87278XLegion pneumophilia ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87279XParainfluenza, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87280XRespiratory syncytial ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87281XPneumocystis carinii, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87283XRubeola, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87285XTreponema pallidum, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87290XVaricella zoster, ag, if0.000.000.000.000.000.000.000.000.000.00XXX
    87299XAntibody detection, nos, if0.000.000.000.000.000.000.000.000.000.00XXX
    87300XAg detection, polyval, if0.000.000.000.000.000.000.000.000.000.00XXX
    87301XAdenovirus ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87320XChylmd trach ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87324XClostridium ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87327XCryptococcus neoform ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87328XCryptospor ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87332XCytomegalovirus ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87335XE coli 0157 ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87336XEntamoeb hist dispr, ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87337XEntamoeb hist group, ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87338XHpylori, stool, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87339XHpylori ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87340XHepatitis b surface ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87341XHepatitis b surface, ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87350XHepatitis be ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87380XHepatitis delta ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87385XHistoplasma capsul ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65537
    87390XHiv-1 ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87391XHiv-2 ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87400XInfluenza a/b, ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87420XResp syncytial ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87425XRotavirus ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87427XShiga-like toxin ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87430XStrep a ag, eia0.000.000.000.000.000.000.000.000.000.00XXX
    87449XAg detect nos, eia, mult0.000.000.000.000.000.000.000.000.000.00XXX
    87450XAg detect nos, eia, single0.000.000.000.000.000.000.000.000.000.00XXX
    87451XAg detect polyval, eia, mult0.000.000.000.000.000.000.000.000.000.00XXX
    87470XBartonella, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87471XBartonella, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87472XBartonella, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87475XLyme dis, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87476XLyme dis, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87477XLyme dis, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87480XCandida, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87481XCandida, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87482XCandida, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87485XChylmd pneum, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87486XChylmd pneum, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87487XChylmd pneum, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87490XChylmd trach, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87491XChylmd trach, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87492XChylmd trach, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87495XCytomeg, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87496XCytomeg, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87497XCytomeg, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87510XGardner vag, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87511XGardner vag, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87512XGardner vag, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87515XHepatitis b, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87516XHepatitis b , dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87517XHepatitis b , dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87520XHepatitis c , rna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87521XHepatitis c , rna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87522XHepatitis c, rna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87525XHepatitis g , dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87526XHepatitis g, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87527XHepatitis g, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87528XHsv, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87529XHsv, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87530XHsv, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87531XHhv-6, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87532XHhv-6, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87533XHhv-6, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87534XHiv-1, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87535XHiv-1, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87536XHiv-1, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87537XHiv-2, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87538XHiv-2, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87539XHiv-2, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87540XLegion pneumo, dna, dir prob0.000.000.000.000.000.000.000.000.000.00XXX
    87541XLegion pneumo, dna, amp prob0.000.000.000.000.000.000.000.000.000.00XXX
    87542XLegion pneumo, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87550XMycobacteria, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87551XMycobacteria, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87552XMycobacteria, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87555XM.tuberculo, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87556XM.tuberculo, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87557XM.tuberculo, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87560XM.avium-intra, dna, dir prob0.000.000.000.000.000.000.000.000.000.00XXX
    87561XM.avium-intra, dna, amp prob0.000.000.000.000.000.000.000.000.000.00XXX
    87562XM.avium-intra, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87580XM.pneumon, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87581XM.pneumon, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87582XM.pneumon, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87590XN.gonorrhoeae, dna, dir prob0.000.000.000.000.000.000.000.000.000.00XXX
    87591XN.gonorrhoeae, dna, amp prob0.000.000.000.000.000.000.000.000.000.00XXX
    87592XN.gonorrhoeae, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87620XHpv, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87621XHpv, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87622XHpv, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87650XStrep a, dna, dir probe0.000.000.000.000.000.000.000.000.000.00XXX
    87651XStrep a, dna, amp probe0.000.000.000.000.000.000.000.000.000.00XXX
    87652XStrep a, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87797XDetect agent nos, dna, dir0.000.000.000.000.000.000.000.000.000.00XXX
    87798XDetect agent nos, dna, amp0.000.000.000.000.000.000.000.000.000.00XXX
    87799XDetect agent nos, dna, quant0.000.000.000.000.000.000.000.000.000.00XXX
    87800XDetect agnt mult, dna, direc0.000.000.000.000.000.000.000.000.000.00XXX
    87801XDetect agnt mult, dna, ampli0.000.000.000.000.000.000.000.000.000.00XXX
    87810XChylmd trach assay w/optic0.000.000.000.000.000.000.000.000.000.00XXX
    87850XN. gonorrhoeae assay w/optic0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65538
    87880XStrep a assay w/optic0.000.000.000.000.000.000.000.000.000.00XXX
    87899XAgent nos assay w/optic0.000.000.000.000.000.000.000.000.000.00XXX
    87901XGenotype, dna, hiv reverse t0.000.000.000.000.000.000.000.000.000.00XXX
    87903XPhenotype, dna hiv w/culture0.000.000.000.000.000.000.000.000.000.00XXX
    87904XPhenotype, dna hiv w/clt add0.000.000.000.000.000.000.000.000.000.00XXX
    87999XMicrobiology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88000NAutopsy (necropsy), gross0.000.000.000.000.000.000.000.000.000.00XXX
    88005NAutopsy (necropsy), gross0.000.000.000.000.000.000.000.000.000.00XXX
    88007NAutopsy (necropsy), gross0.000.000.000.000.000.000.000.000.000.00XXX
    88012NAutopsy (necropsy), gross0.000.000.000.000.000.000.000.000.000.00XXX
    88014NAutopsy (necropsy), gross0.000.000.000.000.000.000.000.000.000.00XXX
    88016NAutopsy (necropsy), gross0.000.000.000.000.000.000.000.000.000.00XXX
    88020NAutopsy (necropsy), complete0.000.000.000.000.000.000.000.000.000.00XXX
    88025NAutopsy (necropsy), complete0.000.000.000.000.000.000.000.000.000.00XXX
    88027NAutopsy (necropsy), complete0.000.000.000.000.000.000.000.000.000.00XXX
    88028NAutopsy (necropsy), complete0.000.000.000.000.000.000.000.000.000.00XXX
    88029NAutopsy (necropsy), complete0.000.000.000.000.000.000.000.000.000.00XXX
    88036NLimited autopsy0.000.000.000.000.000.000.000.000.000.00XXX
    88037NLimited autopsy0.000.000.000.000.000.000.000.000.000.00XXX
    88040NForensic autopsy (necropsy)0.000.000.000.000.000.000.000.000.000.00XXX
    88045NCoroner's autopsy (necropsy)0.000.000.000.000.000.000.000.000.000.00XXX
    88099NNecropsy (autopsy) procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88104ACytopathology, fluids0.560.790.710.790.710.041.391.311.391.31XXX
    8810426ACytopathology, fluids0.560.240.240.240.240.020.820.820.820.82XXX
    88104TCACytopathology, fluids0.000.550.47NANA0.020.570.49NANAXXX
    88106ACytopathology, fluids0.560.540.510.540.510.041.141.111.141.11XXX
    8810626ACytopathology, fluids0.560.240.240.240.240.020.820.820.820.82XXX
    88106TCACytopathology, fluids0.000.300.27NANA0.020.320.29NANAXXX
    88107ACytopathology, fluids0.760.870.780.870.780.051.681.591.681.59XXX
    8810726ACytopathology, fluids0.760.330.310.330.310.031.121.101.121.10XXX
    88107TCACytopathology, fluids0.000.540.47NANA0.020.560.49NANAXXX
    88108ACytopath, concentrate tech0.560.700.660.700.660.041.301.261.301.26XXX
    8810826ACytopath, concentrate tech0.560.240.250.240.250.020.820.830.820.83XXX
    88108TCACytopath, concentrate tech0.000.460.41NANA0.020.480.43NANAXXX
    88125AForensic cytopathology0.260.320.270.320.270.020.600.550.600.55XXX
    8812526AForensic cytopathology0.260.110.100.110.100.010.380.370.380.37XXX
    88125TCAForensic cytopathology0.000.210.17NANA0.010.220.18NANAXXX
    88130XSex chromatin identification0.000.000.000.000.000.000.000.000.000.00XXX
    88140XSex chromatin identification0.000.000.000.000.000.000.000.000.000.00XXX
    88141ACytopath, c/v, interpret0.420.180.220.180.220.010.610.650.610.65XXX
    88142XCytopath, c/v, thin layer0.000.000.000.000.000.000.000.000.000.00XXX
    88143XCytopath c/v thin layer redo0.000.000.000.000.000.000.000.000.000.00XXX
    88144XCytopath, c/v thin lyr redo0.000.000.000.000.000.000.000.000.000.00XXX
    88145XCytopath, c/v thin lyr sel0.000.000.000.000.000.000.000.000.000.00XXX
    88147XCytopath, c/v, automated0.000.000.000.000.000.000.000.000.000.00XXX
    88148XCytopath, c/v, auto rescreen0.000.000.000.000.000.000.000.000.000.00XXX
    88150XCytopath, c/v, manual0.000.000.000.000.000.000.000.000.000.00XXX
    88152XCytopath, c/v, auto redo0.000.000.000.000.000.000.000.000.000.00XXX
    88153XCytopath, c/v, redo0.000.000.000.000.000.000.000.000.000.00XXX
    88154XCytopath, c/v, select0.000.000.000.000.000.000.000.000.000.00XXX
    88155XCytopath, c/v, index add-on0.000.000.000.000.000.000.000.000.000.00XXX
    88160ACytopath smear, other source0.500.980.820.980.820.041.521.361.521.36XXX
    8816026ACytopath smear, other source0.500.220.210.220.210.020.740.730.740.73XXX
    88160TCACytopath smear, other source0.000.760.61NANA0.020.780.63NANAXXX
    88161ACytopath smear, other source0.500.970.830.970.830.041.511.371.511.37XXX
    8816126ACytopath smear, other source0.500.210.210.210.210.020.730.730.730.73XXX
    88161TCACytopath smear, other source0.000.760.62NANA0.020.780.64NANAXXX
    88162ACytopath smear, other source0.760.840.850.840.850.051.651.661.651.66XXX
    8816226ACytopath smear, other source0.760.330.360.330.360.031.121.151.121.15XXX
    88162TCACytopath smear, other source0.000.510.49NANA0.020.530.51NANAXXX
    88164XCytopath tbs, c/v, manual0.000.000.000.000.000.000.000.000.000.00XXX
    88165XCytopath tbs, c/v, redo0.000.000.000.000.000.000.000.000.000.00XXX
    88166XCytopath tbs, c/v, auto redo0.000.000.000.000.000.000.000.000.000.00XXX
    88167XCytopath tbs, c/v, select0.000.000.000.000.000.000.000.000.000.00XXX
    88170AFine needle aspiration1.270.860.920.860.920.102.232.292.232.29XXX
    8817026AFine needle aspiration1.270.530.540.530.540.071.871.881.871.88XXX
    88170TCAFine needle aspiration0.000.330.38NANA0.030.360.41NANAXXX
    88171AFine needle aspiration1.270.720.910.720.910.082.072.262.072.26XXX
    8817126AFine needle aspiration1.270.490.560.490.560.051.811.881.811.88XXX
    88171TCAFine needle aspiration0.000.230.35NANA0.030.260.38NANAXXX
    88172ACytopathology eval of fna0.601.091.011.091.010.041.731.651.731.65XXX
    8817226ACytopathology eval of fna0.600.260.290.260.290.020.880.910.880.91XXX
    88172TCACytopathology eval of fna0.000.830.72NANA0.020.850.74NANAXXX
    88173ACytopath eval, fna, report1.391.311.221.311.220.072.772.682.772.68XXX
    8817326ACytopath eval, fna, report1.390.600.570.600.570.052.042.012.042.01XXX
    88173TCACytopath eval, fna, report0.000.710.65NANA0.020.730.67NANAXXX
    88180ACell marker study0.360.650.580.650.580.031.040.971.040.97XXX
    8818026ACell marker study0.360.150.160.150.160.010.520.530.520.53XXX
    88180TCACell marker study0.000.500.42NANA0.020.520.44NANAXXX
    88182ACell marker study0.771.691.511.691.510.062.522.342.522.34XXX
    8818226ACell marker study0.770.330.370.330.370.031.131.171.131.17XXX
    88182TCACell marker study0.001.361.14NANA0.031.391.17NANAXXX
    88199CCytopathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65539
    8819926CCytopathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88199TCCCytopathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88230XTissue culture, lymphocyte0.000.000.000.000.000.000.000.000.000.00XXX
    88233XTissue culture, skin/biopsy0.000.000.000.000.000.000.000.000.000.00XXX
    88235XTissue culture, placenta0.000.000.000.000.000.000.000.000.000.00XXX
    88237XTissue culture, bone marrow0.000.000.000.000.000.000.000.000.000.00XXX
    88239XTissue culture, tumor0.000.000.000.000.000.000.000.000.000.00XXX
    88240XCell cryopreserve/storage0.000.000.000.000.000.000.000.000.000.00XXX
    88241XFrozen cell preparation0.000.000.000.000.000.000.000.000.000.00XXX
    88245XChromosome analysis, 20-250.000.000.000.000.000.000.000.000.000.00XXX
    88248XChromosome analysis, 50-1000.000.000.000.000.000.000.000.000.000.00XXX
    88249XChromosome analysis, 1000.000.000.000.000.000.000.000.000.000.00XXX
    88261XChromosome analysis, 50.000.000.000.000.000.000.000.000.000.00XXX
    88262XChromosome analysis, 15-200.000.000.000.000.000.000.000.000.000.00XXX
    88263XChromosome analysis, 450.000.000.000.000.000.000.000.000.000.00XXX
    88264XChromosome analysis, 20-250.000.000.000.000.000.000.000.000.000.00XXX
    88267XChromosome analys, placenta0.000.000.000.000.000.000.000.000.000.00XXX
    88269XChromosome analys, amniotic0.000.000.000.000.000.000.000.000.000.00XXX
    88271XCytogenetics, dna probe0.000.000.000.000.000.000.000.000.000.00XXX
    88272XCytogenetics, 3-50.000.000.000.000.000.000.000.000.000.00XXX
    88273XCytogenetics, 10-300.000.000.000.000.000.000.000.000.000.00XXX
    88274XCytogenetics, 25-990.000.000.000.000.000.000.000.000.000.00XXX
    88275XCytogenetics, 100-3000.000.000.000.000.000.000.000.000.000.00XXX
    88280XChromosome karyotype study0.000.000.000.000.000.000.000.000.000.00XXX
    88283XChromosome banding study0.000.000.000.000.000.000.000.000.000.00XXX
    88285XChromosome count, additional0.000.000.000.000.000.000.000.000.000.00XXX
    88289XChromosome study, additional0.000.000.000.000.000.000.000.000.000.00XXX
    88291ACyto/molecular report0.520.220.220.220.220.020.760.760.760.76XXX
    88299CCytogenetic study0.000.000.000.000.000.000.000.000.000.00XXX
    88300ASurgical path, gross0.080.420.370.420.370.020.520.470.520.47XXX
    8830026ASurgical path, gross0.080.030.050.030.050.010.120.140.120.14XXX
    88300TCASurgical path, gross0.000.390.32NANA0.010.400.33NANAXXX
    88302ATissue exam by pathologist0.131.110.941.110.940.031.271.101.271.10XXX
    8830226ATissue exam by pathologist0.130.060.090.060.090.010.200.230.200.23XXX
    88302TCATissue exam by pathologist0.001.050.85NANA0.021.070.87NANAXXX
    88304ATissue exam by pathologist0.220.890.820.890.820.031.141.071.141.07XXX
    8830426ATissue exam by pathologist0.220.100.140.100.140.010.330.370.330.37XXX
    88304TCATissue exam by pathologist0.000.790.68NANA0.020.810.70NANAXXX
    88305ATissue exam by pathologist0.751.641.511.641.510.052.442.312.442.31XXX
    8830526ATissue exam by pathologist0.750.330.390.330.390.021.101.161.101.16XXX
    88305TCATissue exam by pathologist0.001.311.12NANA0.031.341.15NANAXXX
    88307ATissue exam by pathologist1.592.452.252.452.250.114.153.954.153.95XXX
    8830726ATissue exam by pathologist1.590.690.730.690.730.062.342.382.342.38XXX
    88307TCATissue exam by pathologist0.001.761.52NANA0.051.811.57NANAXXX
    88309ATissue exam by pathologist2.283.463.123.463.120.135.875.535.875.53XXX
    8830926ATissue exam by pathologist2.280.991.010.991.010.083.353.373.353.37XXX
    88309TCATissue exam by pathologist0.002.472.11NANA0.052.522.16NANAXXX
    88311ADecalcify tissue0.240.180.200.180.200.020.440.460.440.46XXX
    8831126ADecalcify tissue0.240.100.110.100.110.010.350.360.350.36XXX
    88311TCADecalcify tissue0.000.080.09NANA0.010.090.10NANAXXX
    88312ASpecial stains0.541.591.261.591.260.032.161.832.161.83XXX
    8831226ASpecial stains0.540.230.210.230.210.020.790.770.790.77XXX
    88312TCASpecial stains0.001.361.05NANA0.011.371.06NANAXXX
    88313ASpecial stains0.241.100.891.100.890.021.361.151.361.15XXX
    8831326ASpecial stains0.240.100.110.100.110.010.350.360.350.36XXX
    88313TCASpecial stains0.001.000.78NANA0.011.010.79NANAXXX
    88314AHistochemical stain0.451.040.951.040.950.041.531.441.531.44XXX
    8831426AHistochemical stain0.450.190.240.190.240.020.660.710.660.71XXX
    88314TCAHistochemical stain0.000.850.71NANA0.020.870.73NANAXXX
    88318AChemical histochemistry0.421.721.361.721.360.022.161.802.161.80XXX
    8831826AChemical histochemistry0.420.180.170.180.170.010.610.600.610.60XXX
    88318TCAChemical histochemistry0.001.541.19NANA0.011.551.20NANAXXX
    88319AEnzyme histochemistry0.531.681.391.681.390.042.251.962.251.96XXX
    8831926AEnzyme histochemistry0.530.230.240.230.240.020.780.790.780.79XXX
    88319TCAEnzyme histochemistry0.001.451.15NANA0.021.471.17NANAXXX
    88321AMicroslide consultation1.300.610.570.560.530.041.951.911.901.87XXX
    88323AMicroslide consultation1.352.191.842.191.840.073.613.263.613.26XXX
    8832326AMicroslide consultation1.350.590.550.590.550.051.991.951.991.95XXX
    88323TCAMicroslide consultation0.001.601.29NANA0.021.621.31NANAXXX
    88325AComprehensive review of data2.220.940.830.940.830.083.243.133.243.13XXX
    88329APath consult introp0.670.390.390.290.320.021.081.080.981.01XXX
    88331APath consult intraop, 1 bloc1.190.810.910.810.910.072.072.172.072.17XXX
    8833126APath consult intraop, 1 bloc1.190.520.540.520.540.041.751.771.751.77XXX
    88331TCAPath consult intraop, 1 bloc0.000.290.37NANA0.030.320.40NANAXXX
    88332APath consult intraop, addl0.590.440.480.440.480.041.071.111.071.11XXX
    8833226APath consult intraop, addl0.590.260.270.260.270.020.870.880.870.88XXX
    88332TCAPath consult intraop, addl0.000.180.21NANA0.020.200.23NANAXXX
    88342AImmunocytochemistry0.851.311.161.311.160.052.212.062.212.06XXX
    8834226AImmunocytochemistry0.850.370.370.370.370.031.251.251.251.25XXX
    88342TCAImmunocytochemistry0.000.940.79NANA0.020.960.81NANAXXX
    88346AImmunofluorescent study0.861.311.141.311.140.052.222.052.222.05XXX
    8834626AImmunofluorescent study0.860.370.360.370.360.031.261.251.261.25XXX
    88346TCAImmunofluorescent study0.000.940.78NANA0.020.960.80NANAXXX
    Start Printed Page 65540
    88347AImmunofluorescent study0.861.821.481.821.480.052.732.392.732.39XXX
    8834726AImmunofluorescent study0.860.370.320.370.320.031.261.211.261.21XXX
    88347TCAImmunofluorescent study0.001.451.16NANA0.021.471.18NANAXXX
    88348AElectron microscopy1.516.225.286.225.280.117.846.907.846.90XXX
    8834826AElectron microscopy1.510.650.810.650.810.052.212.372.212.37XXX
    88348TCAElectron microscopy0.005.574.47NANA0.065.634.53NANAXXX
    88349AScanning electron microscopy0.767.776.257.776.250.088.617.098.617.09XXX
    8834926AScanning electron microscopy0.760.330.460.330.460.031.121.251.121.25XXX
    88349TCAScanning electron microscopy0.007.445.79NANA0.057.495.84NANAXXX
    88355AAnalysis, skeletal muscle1.853.923.413.923.410.125.895.385.895.38XXX
    8835526AAnalysis, skeletal muscle1.850.800.850.800.850.072.722.772.722.77XXX
    88355TCAAnalysis, skeletal muscle0.003.122.56NANA0.053.172.61NANAXXX
    88356AAnalysis, nerve3.024.424.044.424.040.167.607.227.607.22XXX
    8835626AAnalysis, nerve3.021.301.351.301.350.104.424.474.424.47XXX
    88356TCAAnalysis, nerve0.003.122.69NANA0.063.182.75NANAXXX
    88358AAnalysis, tumor2.821.671.881.671.880.164.654.864.654.86XXX
    8835826AAnalysis, tumor2.821.221.231.221.230.104.144.154.144.15XXX
    88358TCAAnalysis, tumor0.000.450.65NANA0.060.510.71NANAXXX
    88362ANerve teasing preparations2.172.712.572.712.570.125.004.865.004.86XXX
    8836226ANerve teasing preparations2.170.930.970.930.970.073.173.213.173.21XXX
    88362TCANerve teasing preparations0.001.781.60NANA0.051.831.65NANAXXX
    88365ATissue hybridization0.931.601.411.601.410.052.582.392.582.39XXX
    8836526ATissue hybridization0.930.390.400.390.400.031.351.361.351.36XXX
    88365TCATissue hybridization0.001.211.01NANA0.021.231.03NANAXXX
    88371XProtein, western blot tissue0.000.000.000.000.000.000.000.000.000.00XXX
    8837126AProtein, western blot tissue0.370.140.160.140.160.010.520.540.520.54XXX
    88372XProtein analysis w/probe0.000.000.000.000.000.000.000.000.000.00XXX
    8837226AProtein analysis w/probe0.370.150.170.150.170.010.530.550.530.55XXX
    88399CSurgical pathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    8839926CSurgical pathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88399TCCSurgical pathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88400XBilirubin total transcut0.000.000.000.000.000.000.000.000.000.00XXX
    89050XBody fluid cell count0.000.000.000.000.000.000.000.000.000.00XXX
    89051XBody fluid cell count0.000.000.000.000.000.000.000.000.000.00XXX
    89060XExam,synovial fluid crystals0.000.000.000.000.000.000.000.000.000.00XXX
    8906026AExam,synovial fluid crystals0.370.170.180.160.180.010.550.560.540.56XXX
    89100ASample intestinal contents0.601.881.530.220.280.022.502.150.840.90XXX
    89105ASample intestinal contents0.502.161.730.180.240.022.682.250.700.76XXX
    89125XSpecimen fat stain0.000.000.000.000.000.000.000.000.000.00XXX
    89130ASample stomach contents0.451.721.400.120.200.022.191.870.590.67XXX
    89132ASample stomach contents0.191.791.400.080.110.011.991.600.280.31XXX
    89135ASample stomach contents0.791.831.530.280.370.032.652.351.101.19XXX
    89136ASample stomach contents0.211.381.100.080.120.011.601.320.300.34XXX
    89140ASample stomach contents0.942.201.870.270.420.033.172.841.241.39XXX
    89141ASample stomach contents0.852.672.200.340.450.033.553.081.221.33XXX
    89160XExam feces for meat fibers0.000.000.000.000.000.000.000.000.000.00XXX
    89190XNasal smear for eosinophils0.000.000.000.000.000.000.000.000.000.00XXX
    89250XFertilization of oocyte0.000.000.000.000.000.000.000.000.000.00XXX
    89251XCulture oocyte w/embryos0.000.000.000.000.000.000.000.000.000.00XXX
    89252XAssist oocyte fertilization0.000.000.000.000.000.000.000.000.000.00XXX
    89253XEmbryo hatching0.000.000.000.000.000.000.000.000.000.00XXX
    89254XOocyte identification0.000.000.000.000.000.000.000.000.000.00XXX
    89255XPrepare embryo for transfer0.000.000.000.000.000.000.000.000.000.00XXX
    89256XPrepare cryopreserved embryo0.000.000.000.000.000.000.000.000.000.00XXX
    89257XSperm identification0.000.000.000.000.000.000.000.000.000.00XXX
    89258XCryopreservation, embryo0.000.000.000.000.000.000.000.000.000.00XXX
    89259XCryopreservation, sperm0.000.000.000.000.000.000.000.000.000.00XXX
    89260XSperm isolation, simple0.000.000.000.000.000.000.000.000.000.00XXX
    89261XSperm isolation, complex0.000.000.000.000.000.000.000.000.000.00XXX
    89264XIdentify sperm tissue0.000.000.000.000.000.000.000.000.000.00XXX
    89300XSemen analysis0.000.000.000.000.000.000.000.000.000.00XXX
    89310XSemen analysis0.000.000.000.000.000.000.000.000.000.00XXX
    89320XSemen analysis0.000.000.000.000.000.000.000.000.000.00XXX
    89321XSemen analysis0.000.000.000.000.000.000.000.000.000.00XXX
    89325XSperm antibody test0.000.000.000.000.000.000.000.000.000.00XXX
    89329XSperm evaluation test0.000.000.000.000.000.000.000.000.000.00XXX
    89330XEvaluation, cervical mucus0.000.000.000.000.000.000.000.000.000.00XXX
    89350ASputum specimen collection0.000.400.41NANA0.020.420.43NANAXXX
    89355XExam feces for starch0.000.000.000.000.000.000.000.000.000.00XXX
    89360ACollect sweat for test0.000.450.46NANA0.020.470.48NANAXXX
    89365XWater load test0.000.000.000.000.000.000.000.000.000.00XXX
    89399CPathology lab procedure0.000.000.000.000.000.000.000.000.000.00XXX
    8939926CPathology lab procedure0.000.000.000.000.000.000.000.000.000.00XXX
    89399TCCPathology lab procedure0.000.000.000.000.000.000.000.000.000.00XXX
    90281IHuman ig, im0.000.000.000.000.000.000.000.000.000.00XXX
    90283IHuman ig, iv0.000.000.000.000.000.000.000.000.000.00XXX
    90287IBotulinum antitoxin0.000.000.000.000.000.000.000.000.000.00XXX
    90288IBotulism ig, iv0.000.000.000.000.000.000.000.000.000.00XXX
    90291ICmv ig, iv0.000.000.000.000.000.000.000.000.000.00XXX
    90296EDiphtheria antitoxin0.000.000.000.000.000.000.000.000.000.00XXX
    90371EHep b ig, im0.000.000.000.000.000.000.000.000.000.00XXX
    90375ERabies ig, im/sc0.000.000.000.000.000.000.000.000.000.00XXX
    90376ERabies ig, heat treated0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65541
    90378XRsv ig, im, 50mg0.000.000.000.000.000.000.000.000.000.00XXX
    90379ERsv ig, iv0.000.000.000.000.000.000.000.000.000.00XXX
    90384IRh ig, full-dose, im0.000.000.000.000.000.000.000.000.000.00XXX
    90385ERh ig, minidose, im0.000.000.000.000.000.000.000.000.000.00XXX
    90386IRh ig, iv0.000.000.000.000.000.000.000.000.000.00XXX
    90389ETetanus ig, im0.000.000.000.000.000.000.000.000.000.00XXX
    90393EVaccina ig, im0.000.000.000.000.000.000.000.000.000.00XXX
    90396EVaricella-zoster ig, im0.000.000.000.000.000.000.000.000.000.00XXX
    90399IImmune globulin0.000.000.000.000.000.000.000.000.000.00XXX
    90471NImmunization admin0.000.000.000.000.000.010.010.010.010.01XXX
    90472NImmunization admin, each add0.000.000.000.000.000.010.010.010.010.01XXX
    90476EAdenovirus vaccine, type 40.000.000.000.000.000.000.000.000.000.00XXX
    90477EAdenovirus vaccine, type 70.000.000.000.000.000.000.000.000.000.00XXX
    90581EAnthrax vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90585EBcg vaccine, percut0.000.000.000.000.000.000.000.000.000.00XXX
    90586EBcg vaccine, intravesical0.000.000.000.000.000.000.000.000.000.00XXX
    90632EHep a vaccine, adult im0.000.000.000.000.000.000.000.000.000.00XXX
    90633EHep a vacc, ped/adol, 2 dose0.000.000.000.000.000.000.000.000.000.00XXX
    90634EHep a vacc, ped/adol, 3 dose0.000.000.000.000.000.000.000.000.000.00XXX
    90636EHep a/hep b vacc, adult im0.000.000.000.000.000.000.000.000.000.00XXX
    90645EHib vaccine, hboc, im0.000.000.000.000.000.000.000.000.000.00XXX
    90646EHib vaccine, prp-d, im0.000.000.000.000.000.000.000.000.000.00XXX
    90647EHib vaccine, prp-omp, im0.000.000.000.000.000.000.000.000.000.00XXX
    90648EHib vaccine, prp-t, im0.000.000.000.000.000.000.000.000.000.00XXX
    90657XFlu vaccine, 6-35 mo, im0.000.000.000.000.000.000.000.000.000.00XXX
    90658XFlu vaccine, 3 yrs, im0.000.000.000.000.000.000.000.000.000.00XXX
    90659XFlu vaccine, whole, im0.000.000.000.000.000.000.000.000.000.00XXX
    90660XFlu vaccine, nasal0.000.000.000.000.000.000.000.000.000.00XXX
    90665ELyme disease vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90669NPneumococcal vacc, ped<50.000.000.000.000.000.000.000.000.000.00XXX
    90675ERabies vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90676ERabies vaccine, id0.000.000.000.000.000.000.000.000.000.00XXX
    90680ERotovirus vaccine, oral0.000.000.000.000.000.000.000.000.000.00XXX
    90690ETyphoid vaccine, oral0.000.000.000.000.000.000.000.000.000.00XXX
    90691ETyphoid vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90692ETyphoid vaccine, h-p, sc/id0.000.000.000.000.000.000.000.000.000.00XXX
    90693ETyphoid vaccine, akd, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90700EDtap vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90701EDtp vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90702EDt vaccine < 7, im0.000.000.000.000.000.000.000.000.000.00XXX
    90703ETetanus vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90704EMumps vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90705EMeasles vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90706ERubella vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90707EMmr vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90708EMeasles-rubella vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90709ERubella & mumps vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90710EMmrv vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90712EOral poliovirus vaccine0.000.000.000.000.000.000.000.000.000.00XXX
    90713EPoliovirus, ipv, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90716EChicken pox vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90717EYellow fever vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90718ETd vaccine > 7, im0.000.000.000.000.000.000.000.000.000.00XXX
    90719EDiphtheria vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90720EDtp/hib vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90721EDtap/hib vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90723XDtap-hep b-ipv vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90725ECholera vaccine, injectable0.000.000.000.000.000.000.000.000.000.00XXX
    90727EPlague vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90732XPneumococcal vacc, adult/ill0.000.000.000.000.000.000.000.000.000.00XXX
    90733EMeningococcal vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90735EEncephalitis vaccine, sc0.000.000.000.000.000.000.000.000.000.00XXX
    90740XHepb vacc, ill pat 3 dose im0.000.000.000.000.000.000.000.000.000.00XXX
    90743XHep b vacc, adol, 2 dose, im0.000.000.000.000.000.000.000.000.000.00XXX
    90744XHepb vacc ped/adol 3 dose im0.000.000.000.000.000.000.000.000.000.00XXX
    90746XHep b vaccine, adult, im0.000.000.000.000.000.000.000.000.000.00XXX
    90747XHepb vacc, ill pat 4 dose im0.000.000.000.000.000.000.000.000.000.00XXX
    90748EHep b/hib vaccine, im0.000.000.000.000.000.000.000.000.000.00XXX
    90749EVaccine toxoid0.000.000.000.000.000.000.000.000.000.00XXX
    90780AIV infusion therapy, 1 hour0.001.101.111.101.110.061.161.171.161.17XXX
    90781AIV infusion, additional hour0.000.560.570.560.570.030.590.600.590.60ZZZ
    90782TInjection, sc/im0.000.110.110.110.110.010.120.120.120.12XXX
    90783TInjection, ia0.000.400.410.400.410.020.420.430.420.43XXX
    90784TInjection, iv0.000.470.480.470.480.030.500.510.500.51XXX
    90788TInjection of antibiotic0.000.120.120.120.120.010.130.130.130.13XXX
    90799CTher/prophylactic/dx inject0.000.000.000.000.000.000.000.000.000.00XXX
    90801APsy dx interview2.801.161.050.930.880.064.023.913.793.74XXX
    90802AIntac psy dx interview3.011.170.980.990.850.074.254.064.073.93XXX
    90804APsytx, office, 20-30 min1.210.540.500.400.400.031.781.741.641.64XXX
    90805APsytx, off, 20-30 min w/e&m1.370.600.550.440.430.032.001.951.841.83XXX
    90806APsytx, off, 45-50 min1.860.770.730.620.610.042.672.632.522.51XXX
    90807APsytx, off, 45-50 min w/e&m2.020.800.750.660.640.052.872.822.732.71XXX
    90808APsytx, office, 75-80 min2.791.091.100.930.980.073.953.963.793.84XXX
    Start Printed Page 65542
    90809APsytx, off, 75-80, w/e&m2.951.131.130.961.010.074.154.153.984.03XXX
    90810AIntac psytx, off, 20-30 min1.320.560.580.440.490.031.911.931.791.84XXX
    90811AIntac psytx, 20-30, w/e&m1.480.640.640.480.520.032.152.151.992.03XXX
    90812AIntac psytx, off, 45-50 min1.970.830.780.650.650.052.852.802.672.67XXX
    90813AIntac psytx, 45-50 min w/e&m2.130.870.810.700.690.053.052.992.882.87XXX
    90814AIntac psytx, off, 75-80 min2.901.201.061.141.020.074.174.034.113.99XXX
    90815AIntac psytx, 75-80 w/e&m3.061.211.070.980.900.074.344.204.114.03XXX
    90816APsytx, hosp, 20-30 min1.250.580.530.430.420.031.861.811.711.70XXX
    90817APsytx, hosp, 20-30 min w/e&m1.410.630.570.460.440.032.072.011.901.88XXX
    90818APsytx, hosp, 45-50 min1.890.820.760.650.640.042.752.692.582.57XXX
    90819APsytx, hosp, 45-50 min w/e&m2.050.830.770.660.640.052.932.872.762.74XXX
    90821APsytx, hosp, 75-80 min2.831.141.140.971.010.064.034.033.863.90XXX
    90822APsytx, hosp, 75-80 min w/e&m2.991.131.130.971.010.074.194.194.034.07XXX
    90823AIntac psytx, hosp, 20-30 min1.360.680.670.450.500.032.072.061.841.89XXX
    90824AIntac psytx, hsp 20-30 w/e&m1.520.720.700.490.530.032.272.252.042.08XXX
    90826AIntac psytx, hosp, 45-50 min2.010.910.840.690.680.042.962.892.742.73XXX
    90827AIntac psytx, hsp 45-50 w/e&m2.160.940.870.690.680.053.153.082.902.89XXX
    90828AIntac psytx, hosp, 75-80 min2.941.231.081.020.930.074.244.094.033.94XXX
    90829AIntac psytx, hsp 75-80 w/e&m3.101.261.111.000.910.074.434.284.174.08XXX
    90845APsychoanalysis1.790.700.640.590.550.042.532.472.422.38XXX
    90846RFamily psytx w/o patient1.830.740.720.620.630.042.612.592.492.50XXX
    90847RFamily psytx w/patient2.210.870.810.750.720.053.133.073.012.98XXX
    90849RMultiple family group psytx0.590.370.350.200.220.010.970.950.800.82XXX
    90853AGroup psychotherapy0.590.350.330.200.220.010.950.930.800.82XXX
    90857AIntac group psytx0.630.380.330.230.210.021.030.980.880.86XXX
    90862AMedication management0.950.440.430.310.330.021.411.401.281.30XXX
    90865ANarcosynthesis2.841.631.360.930.830.074.544.273.843.74XXX
    90870AElectroconvulsive therapy1.880.750.710.750.710.042.672.632.672.63000
    90871AElectroconvulsive therapy2.72NANA1.031.000.06NANA3.813.78000
    90875NPsychophysiological therapy+1.200.880.880.480.480.032.112.111.711.71XXX
    90876NPsychophysiological therapy+1.901.161.160.760.760.043.103.102.702.70XXX
    90880AHypnotherapy2.190.890.840.710.710.053.133.082.952.95XXX
    90882NEnvironmental manipulation0.000.000.000.000.000.000.000.000.000.00XXX
    90885BPsy evaluation of records+0.970.390.380.390.380.021.381.371.381.37XXX
    90887BConsultation with family+1.480.820.710.590.530.032.332.222.102.04XXX
    90889BPreparation of report0.000.000.000.000.000.000.000.000.000.00XXX
    90899CPsychiatric service/therapy0.000.000.000.000.000.000.000.000.000.00XXX
    90901ABiofeedback train, any meth0.410.720.800.180.400.021.151.230.610.83000
    90911ABiofeedback peri/uro/rectal0.890.870.960.370.590.041.801.891.301.52000
    90918AESRD related services, month11.185.304.575.304.570.3016.7816.0516.7816.05XXX
    90919AESRD related services, month8.544.323.844.323.840.2413.1012.6213.1012.62XXX
    90920AESRD related services, month7.273.773.423.773.420.1911.2310.8811.2310.88XXX
    90921AESRD related services, month4.472.702.622.702.620.127.297.217.297.21XXX
    90922AESRD related services, day0.370.160.140.160.140.010.540.520.540.52XXX
    90923AEsrd related services, day0.280.140.130.140.130.010.430.420.430.42XXX
    90924AEsrd related services, day0.240.120.110.120.110.010.370.360.370.36XXX
    90925AEsrd related services, day0.150.090.090.090.090.010.250.250.250.25XXX
    90935AHemodialysis, one evaluation1.22NANA0.780.950.03NANA2.032.20000
    90937AHemodialysis, repeated eval2.11NANA1.101.460.06NANA3.273.63000
    90940XHemodialysis access study0.000.000.000.000.000.000.000.000.000.00XXX
    90945ADialysis, one evaluation1.28NANA0.810.950.04NANA2.132.27000
    90947ADialysis, repeated eval2.16NANA1.121.410.06NANA3.343.63000
    90989XDialysis training, complete0.000.000.000.000.000.000.000.000.000.00XXX
    90993XDialysis training, incompl0.000.000.000.000.000.000.000.000.000.00XXX
    90997AHemoperfusion1.84NANA1.011.310.05NANA2.903.20000
    90999CDialysis procedure0.000.000.000.000.000.000.000.000.000.00XXX
    91000AEsophageal intubation0.730.350.440.350.440.041.121.211.121.21000
    9100026AEsophageal intubation0.730.270.360.270.360.031.031.121.031.12000
    91000TCAEsophageal intubation0.000.080.08NANA0.010.090.09NANA000
    91010AEsophagus motility study1.251.271.541.271.540.102.622.892.622.89000
    9101026AEsophagus motility study1.250.450.710.450.710.051.752.011.752.01000
    91010TCAEsophagus motility study0.000.820.83NANA0.050.870.88NANA000
    91011AEsophagus motility study1.501.571.891.571.890.103.173.493.173.49000
    9101126AEsophagus motility study1.500.550.860.550.860.052.102.412.102.41000
    91011TCAEsophagus motility study0.001.021.03NANA0.051.071.08NANA000
    91012AEsophagus motility study1.461.671.991.671.990.123.253.573.253.57000
    9101226AEsophagus motility study1.460.530.840.530.840.062.052.362.052.36000
    91012TCAEsophagus motility study0.001.141.15NANA0.061.201.21NANA000
    91020AGastric motility1.441.261.571.261.570.112.813.122.813.12000
    9102026AGastric motility1.440.500.800.500.800.062.002.302.002.30000
    91020TCAGastric motility0.000.760.77NANA0.050.810.82NANA000
    91030AAcid perfusion of esophagus0.910.550.560.550.560.051.511.521.511.52000
    9103026AAcid perfusion of esophagus0.910.330.340.330.340.031.271.281.271.28000
    91030TCAAcid perfusion of esophagus0.000.220.22NANA0.020.240.24NANA000
    91032AEsophagus, acid reflux test1.211.171.411.171.410.102.482.722.482.72000
    9103226AEsophagus, acid reflux test1.210.430.660.430.660.051.691.921.691.92000
    91032TCAEsophagus, acid reflux test0.000.740.75NANA0.050.790.80NANA000
    91033AProlonged acid reflux test1.301.812.091.812.090.143.253.533.253.53000
    9103326AProlonged acid reflux test1.300.470.740.470.740.051.822.091.822.09000
    91033TCAProlonged acid reflux test0.001.341.35NANA0.091.431.44NANA000
    91052AGastric analysis test0.790.620.690.620.690.051.461.531.461.53000
    9105226AGastric analysis test0.790.280.350.280.350.031.101.171.101.17000
    91052TCAGastric analysis test0.000.340.34NANA0.020.360.36NANA000
    Start Printed Page 65543
    91055AGastric intubation for smear0.940.580.650.580.650.061.581.651.581.65000
    9105526AGastric intubation for smear0.940.280.350.280.350.041.261.331.261.33000
    91055TCAGastric intubation for smear0.000.300.30NANA0.020.320.32NANA000
    91060AGastric saline load test0.450.350.450.350.450.040.840.940.840.94000
    9106026AGastric saline load test0.450.130.230.130.230.020.600.700.600.70000
    91060TCAGastric saline load test0.000.220.22NANA0.020.240.24NANA000
    91065ABreath hydrogen test0.200.430.470.430.470.030.660.700.660.70000
    9106526ABreath hydrogen test0.200.070.110.070.110.010.280.320.280.32000
    91065TCABreath hydrogen test0.000.360.36NANA0.020.380.38NANA000
    91100APass intestine bleeding tube1.08NANA0.460.500.06NANA1.601.64000
    91105AGastric intubation treatment0.37NANA0.200.260.02NANA0.590.65000
    91122AAnal pressure record1.771.351.491.351.490.173.293.433.293.43000
    9112226AAnal pressure record1.770.650.780.650.780.102.522.652.522.65000
    91122TCAAnal pressure record0.000.700.71NANA0.070.770.78NANA000
    91132CElectrogastrography0.000.000.000.000.000.000.000.000.000.00XXX
    9113226CElectrogastrography0.000.000.000.000.000.000.000.000.000.00XXX
    91132TCCElectrogastrography0.000.000.000.000.000.000.000.000.000.00XXX
    91133CElectrogastrography w/test0.000.000.000.000.000.000.000.000.000.00XXX
    9113326CElectrogastrography w/test0.000.000.000.000.000.000.000.000.000.00XXX
    91133TCCElectrogastrography w/test0.000.000.000.000.000.000.000.000.000.00XXX
    91299CGastroenterology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    9129926CGastroenterology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    91299TCCGastroenterology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    92002AEye exam, new patient0.881.100.960.360.340.022.001.861.261.24XXX
    92004AEye exam, new patient1.671.731.450.720.620.033.433.152.422.32XXX
    92012AEye exam established pat0.671.050.910.310.290.011.731.590.990.97XXX
    92014AEye exam & treatment1.101.361.170.510.460.022.482.291.631.58XXX
    92015NRefraction+0.381.401.140.150.200.011.791.530.540.59XXX
    92018ANew eye exam & treatment1.51NANA0.720.670.03NANA2.262.21XXX
    92019AEye exam & treatment1.31NANA0.620.530.03NANA1.961.87XXX
    92020ASpecial eye evaluation0.370.700.600.170.170.011.080.980.550.55XXX
    92060ASpecial eye evaluation0.691.531.251.531.250.022.241.962.241.96XXX
    9206026ASpecial eye evaluation0.690.300.280.300.280.011.000.981.000.98XXX
    92060TCASpecial eye evaluation0.001.230.97NANA0.011.240.98NANAXXX
    92065AOrthoptic/pleoptic training0.370.800.700.800.700.021.191.091.191.09XXX
    9206526AOrthoptic/pleoptic training0.370.160.180.160.180.010.540.560.540.56XXX
    92065TCAOrthoptic/pleoptic training0.000.640.52NANA0.010.650.53NANAXXX
    92070AFitting of contact lens0.701.031.100.340.420.011.741.811.051.13XXX
    92081AVisual field examination(s)0.361.421.161.421.160.021.801.541.801.54XXX
    9208126AVisual field examination(s)0.360.160.170.160.170.010.530.540.530.54XXX
    92081TCAVisual field examination(s)0.001.260.99NANA0.011.271.00NANAXXX
    92082AVisual field examination(s)0.441.251.071.251.070.021.711.531.711.53XXX
    9208226AVisual field examination(s)0.440.200.230.200.230.010.650.680.650.68XXX
    92082TCAVisual field examination(s)0.001.050.84NANA0.011.060.85NANAXXX
    92083AVisual field examination(s)0.501.231.151.231.150.021.751.671.751.67XXX
    9208326AVisual field examination(s)0.500.230.320.230.320.010.740.830.740.83XXX
    92083TCAVisual field examination(s)0.001.000.83NANA0.011.010.84NANAXXX
    92100ASerial tonometry exam(s)0.920.790.660.400.340.021.731.601.341.28XXX
    92120ATonography & eye evaluation0.810.770.660.320.280.021.601.491.151.11XXX
    92130AWater provocation tonography0.810.870.790.400.370.021.701.621.231.20XXX
    92135AOpthalmic dx imaging0.351.191.191.191.190.021.561.561.561.56XXX
    9213526AOpthalmic dx imaging0.350.160.160.160.160.010.520.520.520.52XXX
    92135TCAOpthalmic dx imaging0.001.031.03NANA0.011.041.04NANAXXX
    92140AGlaucoma provocative tests0.500.950.800.220.210.011.461.310.730.72XXX
    92225ASpecial eye exam, initial0.381.641.350.160.180.012.031.740.550.57XXX
    92226ASpecial eye exam, subsequent0.331.731.410.150.170.012.071.750.490.51XXX
    92230AEye exam with photos0.601.281.150.190.240.021.901.770.810.86XXX
    92235AEye exam with photos0.812.312.162.312.160.073.193.043.193.04XXX
    9223526AEye exam with photos0.810.400.460.400.460.021.231.291.231.29XXX
    92235TCAEye exam with photos0.001.911.70NANA0.051.961.75NANAXXX
    92240AIcg angiography1.102.752.492.752.490.073.923.663.923.66XXX
    9224026AIcg angiography1.100.530.560.530.560.021.651.681.651.68XXX
    92240TCAIcg angiography0.002.221.93NANA0.052.271.98NANAXXX
    92250AEye exam with photos0.441.751.431.751.430.022.211.892.211.89XXX
    9225026AEye exam with photos0.440.210.230.210.230.010.660.680.660.68XXX
    92250TCAEye exam with photos0.001.541.20NANA0.011.551.21NANAXXX
    92260AOphthalmoscopy/dynamometry0.200.220.310.100.150.010.430.520.310.36XXX
    92265AEye muscle evaluation0.811.271.041.271.040.042.121.892.121.89XXX
    9226526AEye muscle evaluation0.810.330.270.330.270.021.161.101.161.10XXX
    92265TCAEye muscle evaluation0.000.940.77NANA0.020.960.79NANAXXX
    92270AElectro-oculography0.811.030.951.030.950.051.891.811.891.81XXX
    9227026AElectro-oculography0.810.350.360.350.360.031.191.201.191.20XXX
    92270TCAElectro-oculography0.000.680.59NANA0.020.700.61NANAXXX
    92275AElectroretinography1.011.171.131.171.130.042.222.182.222.18XXX
    9227526AElectroretinography1.010.450.480.450.480.021.481.511.481.51XXX
    92275TCAElectroretinography0.000.720.65NANA0.020.740.67NANAXXX
    92283AColor vision examination0.170.650.570.650.570.020.840.760.840.76XXX
    9228326AColor vision examination0.170.070.100.070.100.010.250.280.250.28XXX
    92283TCAColor vision examination0.000.580.47NANA0.010.590.48NANAXXX
    92284ADark adaptation eye exam0.241.981.611.981.610.022.241.872.241.87XXX
    9228426ADark adaptation eye exam0.240.080.140.080.140.010.330.390.330.39XXX
    92284TCADark adaptation eye exam0.001.901.47NANA0.011.911.48NANAXXX
    92285AEye photography0.201.901.511.901.510.022.121.732.121.73XXX
    Start Printed Page 65544
    9228526AEye photography0.200.090.120.090.120.010.300.330.300.33XXX
    92285TCAEye photography0.001.811.39NANA0.011.821.40NANAXXX
    92286AInternal eye photography0.662.071.892.071.890.032.762.582.762.58XXX
    9228626AInternal eye photography0.660.320.470.320.470.010.991.140.991.14XXX
    92286TCAInternal eye photography0.001.751.42NANA0.021.771.44NANAXXX
    92287AInternal eye photography0.811.961.880.300.430.022.792.711.131.26XXX
    92310NContact lens fitting+1.171.081.160.470.700.002.252.331.641.87XXX
    92311AContact lens fitting1.081.051.030.400.420.032.162.141.511.53XXX
    92312AContact lens fitting1.261.031.090.460.500.032.322.381.751.79XXX
    92313AContact lens fitting0.921.061.040.320.360.022.001.981.261.30XXX
    92314NPrescription of contact lens+0.690.880.870.280.420.001.571.560.971.11XXX
    92315APrescription of contact lens0.450.770.760.180.230.011.231.220.640.69XXX
    92316APrescription of contact lens0.680.850.900.270.330.011.541.590.961.02XXX
    92317APrescription of contact lens0.450.930.800.190.200.011.391.260.650.66XXX
    92325AModification of contact lens0.000.390.400.390.400.010.400.410.400.41XXX
    92326AReplacement of contact lens0.001.621.641.621.640.051.671.691.671.69XXX
    92330AFitting of artificial eye1.081.021.070.410.460.042.142.191.531.58XXX
    92335AFitting of artificial eye0.450.831.160.180.400.011.291.620.640.86XXX
    92340NFitting of spectacles+0.370.660.610.150.220.001.030.980.520.59XXX
    92341NFitting of spectacles+0.470.690.660.190.280.001.161.130.660.75XXX
    92342NFitting of spectacles+0.530.720.700.210.320.001.251.230.740.85XXX
    92352BSpecial spectacles fitting+0.370.660.580.150.200.011.040.960.530.58XXX
    92353BSpecial spectacles fitting+0.500.710.640.200.260.021.231.160.720.78XXX
    92354BSpecial spectacles fitting+0.008.798.888.798.880.088.878.968.878.96XXX
    92355BSpecial spectacles fitting+0.004.304.354.304.350.014.314.364.314.36XXX
    92358BEye prosthesis service+0.000.960.970.960.970.041.001.011.001.01XXX
    92370NRepair & adjust spectacles+0.320.500.470.130.190.000.820.790.450.51XXX
    92371BRepair & adjust spectacles+0.000.610.620.610.620.020.630.640.630.64XXX
    92390NSupply of spectacles0.000.000.000.000.000.000.000.000.000.00XXX
    92391NSupply of contact lenses0.000.000.000.000.000.000.000.000.000.00XXX
    92392ISupply of low vision aids+0.004.024.064.024.060.024.044.084.044.08XXX
    92393ISupply of artificial eye+0.0012.4612.5912.4612.590.4712.9313.0612.9313.06XXX
    92395ISupply of spectacles+0.001.361.381.361.380.081.441.461.441.46XXX
    92396ISupply of contact lenses+0.002.292.312.292.310.062.352.372.352.37XXX
    92499CEye service or procedure0.000.000.000.000.000.000.000.000.000.00XXX
    9249926CEye service or procedure0.000.000.000.000.000.000.000.000.000.00XXX
    92499TCCEye service or procedure0.000.000.000.000.000.000.000.000.000.00XXX
    92502AEar and throat examination1.51NANA1.331.300.06NANA2.902.87000
    92504AEar microscopy examination0.181.040.850.090.100.011.231.040.280.29XXX
    92506ASpeech/hearing evaluation0.861.471.240.450.410.042.372.141.351.31XXX
    92507ASpeech/hearing therapy0.521.341.100.280.260.021.881.640.820.80XXX
    92508ASpeech/hearing therapy0.260.970.780.150.140.011.241.050.420.41XXX
    92510ARehab for ear implant1.501.941.830.850.820.063.503.392.412.38XXX
    92511ANasopharyngoscopy0.841.281.190.420.430.032.152.061.291.30000
    92512ANasal function studies0.551.090.950.200.220.021.661.520.770.79XXX
    92516AFacial nerve function test0.430.910.790.230.230.021.361.240.680.68XXX
    92520ALaryngeal function studies0.760.560.570.360.340.031.351.361.151.13XXX
    92525NOral function evaluation+1.501.551.440.600.590.073.123.012.172.16XXX
    92526AOral function therapy0.551.451.220.250.250.022.021.790.820.82XXX
    92531BSpontaneous nystagmus study0.000.000.000.000.000.000.000.000.000.00XXX
    92532BPositional nystagmus study0.000.000.000.000.000.000.000.000.000.00XXX
    92533BCaloric vestibular test0.000.000.000.000.000.000.000.000.000.00XXX
    92534BOptokinetic nystagmus0.000.000.000.000.000.000.000.000.000.00XXX
    92541ASpontaneous nystagmus test0.400.430.500.430.500.040.870.940.870.94XXX
    9254126ASpontaneous nystagmus test0.400.200.270.200.270.020.620.690.620.69XXX
    92541TCASpontaneous nystagmus test0.000.230.23NANA0.020.250.25NANAXXX
    92542APositional nystagmus test0.330.420.480.420.480.030.780.840.780.84XXX
    9254226APositional nystagmus test0.330.160.220.160.220.010.500.560.500.56XXX
    92542TCAPositional nystagmus test0.000.260.26NANA0.020.280.28NANAXXX
    92543ACaloric vestibular test0.100.160.180.160.180.020.280.300.280.30XXX
    9254326ACaloric vestibular test0.100.050.070.050.070.010.160.180.160.18XXX
    92543TCACaloric vestibular test0.000.110.11NANA0.010.120.12NANAXXX
    92544AOptokinetic nystagmus test0.260.340.380.340.380.030.630.670.630.67XXX
    9254426AOptokinetic nystagmus test0.260.130.170.130.170.010.400.440.400.44XXX
    92544TCAOptokinetic nystagmus test0.000.210.21NANA0.020.230.23NANAXXX
    92545AOscillating tracking test0.230.320.350.320.350.030.580.610.580.61XXX
    9254526AOscillating tracking test0.230.110.140.110.140.010.350.380.350.38XXX
    92545TCAOscillating tracking test0.000.210.21NANA0.020.230.23NANAXXX
    92546ASinusoidal rotational test0.290.380.430.380.430.030.700.750.700.75XXX
    9254626ASinusoidal rotational test0.290.140.190.140.190.010.440.490.440.49XXX
    92546TCASinusoidal rotational test0.000.240.24NANA0.020.260.26NANAXXX
    92547ASupplemental electrical test0.000.560.57NANA0.050.610.62NANAZZZ
    92548APosturography0.501.721.801.721.800.132.352.432.352.43XXX
    9254826APosturography0.500.260.320.260.320.020.780.840.780.84XXX
    92548TCAPosturography0.001.461.48NANA0.111.571.59NANAXXX
    92551NPure tone hearing test, air0.000.000.000.000.000.000.000.000.000.00XXX
    92552APure tone audiometry, air0.000.440.45NANA0.030.470.48NANAXXX
    92553AAudiometry, air & bone0.000.650.66NANA0.050.700.71NANAXXX
    92555ASpeech threshold audiometry0.000.370.38NANA0.030.400.41NANAXXX
    92556ASpeech audiometry, complete0.000.570.58NANA0.050.620.63NANAXXX
    92557AComprehensive hearing test0.001.181.19NANA0.101.281.29NANAXXX
    92559NGroup audiometric testing0.000.000.000.000.000.000.000.000.000.00XXX
    92560NBekesy audiometry, screen0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65545
    92561ABekesy audiometry, diagnosis0.000.710.72NANA0.050.760.77NANAXXX
    92562ALoudness balance test0.000.400.41NANA0.030.430.44NANAXXX
    92563ATone decay hearing test0.000.370.38NANA0.030.400.41NANAXXX
    92564ASisi hearing test0.000.470.48NANA0.040.510.52NANAXXX
    92565AStenger test, pure tone0.000.390.40NANA0.030.420.43NANAXXX
    92567ATympanometry0.000.520.53NANA0.050.570.58NANAXXX
    92568AAcoustic reflex testing0.000.370.38NANA0.030.400.41NANAXXX
    92569AAcoustic reflex decay test0.000.400.41NANA0.030.430.44NANAXXX
    92571AFiltered speech hearing test0.000.380.39NANA0.030.410.42NANAXXX
    92572AStaggered spondaic word test0.000.090.09NANA0.010.100.10NANAXXX
    92573ALombard test0.000.350.35NANA0.030.380.38NANAXXX
    92575ASensorineural acuity test0.000.300.30NANA0.020.320.32NANAXXX
    92576ASynthetic sentence test0.000.440.45NANA0.040.480.49NANAXXX
    92577AStenger test, speech0.000.710.72NANA0.060.770.78NANAXXX
    92579AVisual audiometry (vra)0.000.720.73NANA0.050.770.78NANAXXX
    92582AConditioning play audiometry0.000.720.73NANA0.050.770.78NANAXXX
    92583ASelect picture audiometry0.000.880.89NANA0.070.950.96NANAXXX
    92584AElectrocochleography0.002.462.49NANA0.172.632.66NANAXXX
    92585AAuditor evoke potent, compre0.502.062.432.062.430.142.703.072.703.07XXX
    9258526AAuditor evoke potent, compre0.500.220.570.220.570.020.741.090.741.09XXX
    92585TCAAuditor evoke potent, compre0.001.841.86NANA0.121.961.98NANAXXX
    92586AAuditor evoke potent, limit0.001.841.84NANA0.121.961.96NANAXXX
    92587AEvoked auditory test0.131.371.391.371.390.101.601.621.601.62XXX
    9258726AEvoked auditory test0.130.070.080.070.080.010.210.220.210.22XXX
    92587TCAEvoked auditory test0.001.301.31NANA0.091.391.40NANAXXX
    92588AEvoked auditory test0.361.631.691.631.690.122.112.172.112.17XXX
    9258826AEvoked auditory test0.360.170.210.170.210.010.540.580.540.58XXX
    92588TCAEvoked auditory test0.001.461.48NANA0.111.571.59NANAXXX
    92589AAuditory function test(s)0.000.530.54NANA0.050.580.59NANAXXX
    92590NHearing aid exam, one ear0.000.000.000.000.000.000.000.000.000.00XXX
    92591NHearing aid exam, both ears0.000.000.000.000.000.000.000.000.000.00XXX
    92592NHearing aid check, one ear0.000.000.000.000.000.000.000.000.000.00XXX
    92593NHearing aid check, both ears0.000.000.000.000.000.000.000.000.000.00XXX
    92594NElectro hearng aid test, one0.000.000.000.000.000.000.000.000.000.00XXX
    92595NElectro hearng aid tst, both0.000.000.000.000.000.000.000.000.000.00XXX
    92596AEar protector evaluation0.000.590.60NANA0.050.640.65NANAXXX
    92597NOral speech device eval+1.351.491.390.540.680.052.892.791.942.08XXX
    92598NModify oral speech device+0.990.760.750.400.480.041.791.781.431.51XXX
    92599CENT procedure/service0.000.000.000.000.000.000.000.000.000.00XXX
    9259926CENT procedure/service0.000.000.000.000.000.000.000.000.000.00XXX
    92599TCCENT procedure/service0.000.000.000.000.000.000.000.000.000.00XXX
    92950AHeart/lung resuscitation cpr3.801.381.651.171.490.215.395.665.185.50000
    92953ATemporary external pacing0.23NANA0.240.250.01NANA0.480.49000
    92960ACardioversion electric, ext2.252.192.150.931.210.084.524.483.263.54000
    92961ACardioversion, electric, int4.60NANA1.961.960.17NANA6.736.73000
    92970ACardioassist, internal3.52NANA1.061.740.17NANA4.755.43000
    92971ACardioassist, external1.77NANA0.920.990.06NANA2.752.82000
    92975ADissolve clot, heart vessel7.25NANA3.163.920.22NANA10.6311.39000
    92977ADissolve clot, heart vessel0.007.998.087.998.080.388.378.468.378.46XXX
    92978AIntravasc us, heart add-on1.805.315.455.315.450.267.377.517.377.51ZZZ
    9297826AIntravasc us, heart add-on1.800.780.870.780.870.062.642.732.642.73ZZZ
    92978TCAIntravasc us, heart add-on0.004.534.58NANA0.204.734.78NANAZZZ
    92979AIntravasc us, heart add-on1.442.913.002.913.000.154.504.594.504.59ZZZ
    9297926AIntravasc us, heart add-on1.440.630.700.630.700.042.112.182.112.18ZZZ
    92979TCAIntravasc us, heart add-on0.002.282.30NANA0.112.392.41NANAZZZ
    92980AInsert intracoronary stent14.84NANA6.479.280.78NANA22.0924.90000
    92981AInsert intracoronary stent4.17NANA1.812.600.21NANA6.196.98ZZZ
    92982ACoronary artery dilation10.98NANA4.816.890.57NANA16.3618.44000
    92984ACoronary artery dilation2.97NANA1.291.860.16NANA4.424.99ZZZ
    92986ARevision of aortic valve21.80NANA11.2211.681.14NANA34.1634.62090
    92987ARevision of mitral valve22.70NANA11.6212.031.18NANA35.5035.91090
    92990ARevision of pulmonary valve17.34NANA9.389.640.90NANA27.6227.88090
    92992CRevision of heart chamber0.000.000.000.000.000.000.000.000.000.00090
    92993CRevision of heart chamber0.000.000.000.000.000.000.000.000.000.00090
    92995ACoronary atherectomy12.09NANA5.277.560.63NANA17.9920.28000
    92996ACoronary atherectomy add-on3.26NANA1.452.060.17NANA4.885.49ZZZ
    92997APul art balloon repr, percut12.00NANA5.067.380.63NANA17.6920.01000
    92998APul art balloon repr, percut6.00NANA2.452.870.31NANA8.769.18ZZZ
    93000AElectrocardiogram, complete0.170.520.56NANA0.030.720.76NANAXXX
    93005AElectrocardiogram, tracing0.000.450.46NANA0.020.470.48NANAXXX
    93010AElectrocardiogram report0.170.070.100.070.100.010.250.280.250.28XXX
    93012ATransmission of ecg0.002.342.37NANA0.152.492.52NANAXXX
    93014AReport on transmitted ecg0.520.200.260.200.260.020.740.800.740.80XXX
    93015ACardiovascular stress test0.751.982.12NANA0.112.842.98NANAXXX
    93016ACardiovascular stress test0.450.190.250.190.250.010.650.710.650.71XXX
    93017ACardiovascular stress test0.001.671.69NANA0.091.761.78NANAXXX
    93018ACardiovascular stress test0.300.120.180.120.180.010.430.490.430.49XXX
    93024ACardiac drug stress test1.171.601.841.601.840.112.883.122.883.12XXX
    9302426ACardiac drug stress test1.170.490.720.490.720.041.701.931.701.93XXX
    93024TCACardiac drug stress test0.001.111.12NANA0.071.181.19NANAXXX
    93040ARhythm ECG with report0.160.190.21NANA0.020.370.39NANAXXX
    93041ARhythm ECG, tracing0.000.140.14NANA0.010.150.15NANAXXX
    93042ARhythm ECG, report0.160.050.070.050.070.010.220.240.220.24XXX
    Start Printed Page 65546
    93224AECG monitor/report, 24 hrs0.523.613.74NANA0.214.344.47NANAXXX
    93225AECG monitor/record, 24 hrs0.001.231.24NANA0.071.301.31NANAXXX
    93226AECG monitor/report, 24 hrs0.002.172.19NANA0.122.292.31NANAXXX
    93227AECG monitor/review, 24 hrs0.520.210.310.210.310.020.750.850.750.85XXX
    93230AECG monitor/report, 24 hrs0.523.884.02NANA0.224.624.76NANAXXX
    93231AEcg monitor/record, 24 hrs0.001.511.53NANA0.091.601.62NANAXXX
    93232AECG monitor/report, 24 hrs0.002.162.18NANA0.112.272.29NANAXXX
    93233AECG monitor/review, 24 hrs0.520.210.310.210.310.020.750.850.750.85XXX
    93235AECG monitor/report, 24 hrs0.452.782.90NANA0.133.363.48NANAXXX
    93236AECG monitor/report, 24 hrs0.002.602.63NANA0.122.722.75NANAXXX
    93237AECG monitor/review, 24 hrs0.450.180.270.180.270.010.640.730.640.73XXX
    93268AECG record/review0.523.773.87NANA0.244.534.63NANAXXX
    93270AECG recording0.001.231.24NANA0.071.301.31NANAXXX
    93271AEcg/monitoring and analysis0.002.342.37NANA0.152.492.52NANAXXX
    93272AEcg/review, interpret only0.520.200.260.200.260.020.740.800.740.80XXX
    93278AECG/signal-averaged0.251.251.311.251.310.101.601.661.601.66XXX
    9327826AECG/signal-averaged0.250.110.160.110.160.010.370.420.370.42XXX
    93278TCAECG/signal-averaged0.001.141.15NANA0.091.231.24NANAXXX
    93303AEcho transthoracic1.304.334.524.334.520.235.866.055.866.05XXX
    9330326AEcho transthoracic1.300.500.650.500.650.041.841.991.841.99XXX
    93303TCAEcho transthoracic0.003.833.87NANA0.194.024.06NANAXXX
    93304AEcho transthoracic0.752.242.372.242.370.133.123.253.123.25XXX
    9330426AEcho transthoracic0.750.310.420.310.420.021.081.191.081.19XXX
    93304TCAEcho transthoracic0.001.931.95NANA0.112.042.06NANAXXX
    93307AEcho exam of heart0.924.224.444.224.440.225.365.585.365.58XXX
    9330726AEcho exam of heart0.920.390.570.390.570.031.341.521.341.52XXX
    93307TCAEcho exam of heart0.003.833.87NANA0.194.024.06NANAXXX
    93308AEcho exam of heart0.532.152.272.152.270.132.812.932.812.93XXX
    9330826AEcho exam of heart0.530.220.320.220.320.020.770.870.770.87XXX
    93308TCAEcho exam of heart0.001.931.95NANA0.112.042.06NANAXXX
    93312AEcho transesophageal2.204.654.844.654.840.327.177.367.177.36XXX
    9331226AEcho transesophageal2.200.891.040.891.040.083.173.323.173.32XXX
    93312TCAEcho transesophageal0.003.763.80NANA0.244.004.04NANAXXX
    93313AEcho transesophageal0.954.303.410.220.350.055.304.411.221.35XXX
    93314AEcho transesophageal1.254.284.374.284.370.285.815.905.815.90XXX
    9331426AEcho transesophageal1.250.520.570.520.570.041.811.861.811.86XXX
    93314TCAEcho transesophageal0.003.763.80NANA0.244.004.04NANAXXX
    93315AEcho transesophageal2.784.864.994.864.990.347.988.117.988.11XXX
    9331526AEcho transesophageal2.781.101.191.101.190.103.984.073.984.07XXX
    93315TCAEcho transesophageal0.003.763.80NANA0.244.004.04NANAXXX
    93316AEcho transesophageal0.953.092.500.230.360.054.093.501.231.36XXX
    93317AEcho transesophageal1.834.524.554.524.550.306.656.686.656.68XXX
    9331726AEcho transesophageal1.830.760.750.760.750.062.652.642.652.64XXX
    93317TCAEcho transesophageal0.003.763.80NANA0.244.004.04NANAXXX
    93318CEcho transesophageal intraop0.000.000.000.000.000.000.000.000.000.00XXX
    9331826CEcho transesophageal intraop0.000.000.000.000.000.000.000.000.000.00XXX
    93318TCCEcho transesophageal intraop0.000.000.000.000.000.000.000.000.000.00XXX
    93320ADoppler echo exam, heart0.381.861.961.861.960.112.352.452.352.45ZZZ
    9332026ADoppler echo exam, heart0.380.160.240.160.240.010.550.630.550.63ZZZ
    93320TCADoppler echo exam, heart0.001.701.72NANA0.101.801.82NANAZZZ
    93321ADoppler echo exam, heart0.151.161.201.161.200.081.391.431.391.43ZZZ
    9332126ADoppler echo exam, heart0.150.060.090.060.090.010.220.250.220.25ZZZ
    93321TCADoppler echo exam, heart0.001.101.11NANA0.071.171.18NANAZZZ
    93325ADoppler color flow add-on0.072.912.942.912.940.183.163.193.163.19ZZZ
    9332526ADoppler color flow add-on0.070.030.030.030.030.010.110.110.110.11ZZZ
    93325TCADoppler color flow add-on0.002.882.91NANA0.173.053.08NANAZZZ
    93350AEcho transthoracic0.782.082.252.082.250.132.993.162.993.16XXX
    9335026AEcho transthoracic0.780.330.480.330.480.021.131.281.131.28XXX
    93350TCAEcho transthoracic0.001.751.77NANA0.111.861.88NANAXXX
    93501ARight heart catheterization3.0217.5918.4617.5918.461.0321.6422.5121.6422.51000
    9350126ARight heart catheterization3.021.271.851.271.850.164.455.034.455.03000
    93501TCARight heart catheterization0.0016.3216.61NANA0.8717.1917.48NANA000
    93503AInsert/place heart catheter2.91NANA0.751.210.16NANA3.824.28000
    93505ABiopsy of heart lining4.383.784.183.784.180.368.528.928.528.92000
    9350526ABiopsy of heart lining4.381.872.231.872.230.236.486.846.486.84000
    93505TCABiopsy of heart lining0.001.911.95NANA0.132.042.08NANA000
    93508ACath placement, angiography4.1013.9414.4713.9414.470.7518.7919.3218.7919.32000
    9350826ACath placement, angiography4.101.772.081.772.080.216.086.396.086.39000
    93508TCACath placement, angiography0.0012.1712.39NANA0.5412.7112.93NANA000
    93510ALeft heart catheterization4.3337.5438.5437.5438.542.1344.0045.0044.0045.00000
    9351026ALeft heart catheterization4.331.882.241.882.240.226.436.796.436.79000
    93510TCALeft heart catheterization0.0035.6636.30NANA1.9137.5738.21NANA000
    93511ALeft heart catheterization5.0336.8937.6936.8937.692.1144.0344.8344.0344.83000
    9351126ALeft heart catheterization5.032.182.352.182.350.267.477.647.477.64000
    93511TCALeft heart catheterization0.0034.7135.34NANA1.8536.5637.19NANA000
    93514ALeft heart catheterization7.0537.4938.6637.4938.662.2246.7647.9346.7647.93000
    9351426ALeft heart catheterization7.052.783.322.783.320.3710.2010.7410.2010.74000
    93514TCALeft heart catheterization0.0034.7135.34NANA1.8536.5637.19NANA000
    93524ALeft heart catheterization6.9548.3149.6648.3149.662.7958.0559.4058.0559.40000
    9352426ALeft heart catheterization6.952.953.482.953.480.3610.2610.7910.2610.79000
    93524TCALeft heart catheterization0.0045.3646.18NANA2.4347.7948.61NANA000
    93526ARt & Lt heart catheters5.9949.2050.8749.2050.872.8158.0059.6758.0059.67000
    9352626ARt & Lt heart catheters5.992.593.422.593.420.318.899.728.899.72000
    Start Printed Page 65547
    93526TCARt & Lt heart catheters0.0046.6147.45NANA2.5049.1149.95NANA000
    93527ARt & Lt heart catheters7.2848.5050.4748.5050.472.8158.5960.5658.5960.56000
    9352726ARt & Lt heart catheters7.283.144.293.144.290.3810.8011.9510.8011.95000
    93527TCARt & Lt heart catheters0.0045.3646.18NANA2.4347.7948.61NANA000
    93528ARt & Lt heart catheters9.0049.3150.3549.3150.352.9061.2162.2561.2162.25000
    9352826ARt & Lt heart catheters9.003.954.173.954.170.4713.4213.6413.4213.64000
    93528TCARt & Lt heart catheters0.0045.3646.18NANA2.4347.7948.61NANA000
    93529ARt, Lt heart catheterization4.8047.4248.5247.4248.522.6854.9056.0054.9056.00000
    9352926ARt, Lt heart catheterization4.802.062.342.062.340.257.117.397.117.39000
    93529TCARt, Lt heart catheterization0.0045.3646.18NANA2.4347.7948.61NANA000
    93530ARt heart cath, congenital4.2317.9118.7817.9118.781.1123.2524.1223.2524.12000
    9353026ARt heart cath, congenital4.231.592.171.592.170.246.066.646.066.64000
    93530TCARt heart cath, congenital0.0016.3216.61NANA0.8717.1917.48NANA000
    93531AR & l heart cath, congenital8.3549.9851.4649.9851.462.9661.2962.7761.2962.77000
    9353126AR & l heart cath, congenital8.353.374.013.374.010.4612.1812.8212.1812.82000
    93531TCAR & l heart cath, congenital0.0046.6147.45NANA2.5049.1149.95NANA000
    93532AR & l heart cath, congenital10.0049.3751.1349.3751.132.9562.3264.0862.3264.08000
    9353226AR & l heart cath, congenital10.004.014.954.014.950.5214.5315.4714.5315.47000
    93532TCAR & l heart cath, congenital0.0045.3646.18NANA2.4347.7948.61NANA000
    93533AR & l heart cath, congenital6.7047.9048.8847.9048.882.8657.4658.4457.4658.44000
    9353326AR & l heart cath, congenital6.702.542.702.542.700.439.679.839.679.83000
    93533TCAR & l heart cath, congenital0.0045.3646.18NANA2.4347.7948.61NANA000
    93536AInsert circulation assi4.85NANA2.123.040.27NANA7.248.16000
    93539AInjection, cardiac cath0.400.830.860.170.250.011.241.270.580.66000
    93540AInjection, cardiac cath0.430.840.870.190.270.011.281.310.630.71000
    93541AInjection for lung angiogram0.29NANA0.130.190.01NANA0.430.49000
    93542AInjection for heart x-rays0.29NANA0.120.180.01NANA0.420.48000
    93543AInjection for heart x-rays0.290.530.550.130.190.010.830.850.430.49000
    93544AInjection for aortography0.250.520.550.110.160.010.780.810.370.42000
    93545AInject for coronary x-rays0.400.830.740.170.250.011.241.150.580.66000
    93555AImaging, cardiac cath0.816.406.506.406.500.317.527.627.527.62XXX
    9355526AImaging, cardiac cath0.810.350.340.350.340.031.191.181.191.18XXX
    93555TCAImaging, cardiac cath0.006.056.16NANA0.286.336.44NANAXXX
    93556AImaging, cardiac cath0.839.9110.119.9110.110.4511.1911.3911.1911.39XXX
    9355626AImaging, cardiac cath0.830.360.390.360.390.031.221.251.221.25XXX
    93556TCAImaging, cardiac cath0.009.559.72NANA0.429.9710.14NANAXXX
    93561ACardiac output measurement0.500.690.810.690.810.071.261.381.261.38000
    9356126ACardiac output measurement0.500.170.280.170.280.020.690.800.690.80000
    93561TCACardiac output measurement0.000.520.53NANA0.050.570.58NANA000
    93562ACardiac output measurement0.160.350.400.350.400.040.550.600.550.60000
    9356226ACardiac output measurement0.160.050.090.050.090.010.220.260.220.26000
    93562TCACardiac output measurement0.000.300.31NANA0.030.330.34NANA000
    93571AHeart flow reserve measure1.805.295.295.295.290.317.407.407.407.40ZZZ
    9357126AHeart flow reserve measure1.800.760.760.760.760.112.672.672.672.67ZZZ
    93571TCAHeart flow reserve measure0.004.534.53NANA0.204.734.73NANAZZZ
    93572AHeart flow reserve measure1.442.882.882.882.880.284.604.604.604.60ZZZ
    9357226AHeart flow reserve measure1.440.600.600.600.600.172.212.212.212.21ZZZ
    93572TCAHeart flow reserve measure0.002.282.28NANA0.112.392.39NANAZZZ
    93600ABundle of His recording2.122.853.282.853.280.225.195.625.195.62000
    9360026ABundle of His recording2.120.911.320.911.320.113.143.553.143.55000
    93600TCABundle of His recording0.001.941.96NANA0.112.052.07NANA000
    93602AIntra-atrial recording2.122.022.282.022.280.184.324.584.324.58000
    9360226AIntra-atrial recording2.120.921.170.921.170.123.163.413.163.41000
    93602TCAIntra-atrial recording0.001.101.11NANA0.061.161.17NANA000
    93603ARight ventricular recording2.122.592.982.592.980.204.915.304.915.30000
    9360326ARight ventricular recording2.120.921.290.921.290.113.153.523.153.52000
    93603TCARight ventricular recording0.001.671.69NANA0.091.761.78NANA000
    93607ALeft ventricular recording3.262.913.172.913.170.266.436.696.436.69000
    9360726ALeft ventricular recording3.261.431.671.431.670.174.865.104.865.10000
    93607TCALeft ventricular recording0.001.481.50NANA0.091.571.59NANA000
    93609AMapping of tachycardia10.077.047.037.047.030.6617.7717.7617.7717.76000
    9360926AMapping of tachycardia10.074.344.304.344.300.5214.9314.8914.9314.89000
    93609TCAMapping of tachycardia0.002.702.73NANA0.142.842.87NANA000
    93610AIntra-atrial pacing3.022.642.962.642.960.255.916.235.916.23000
    9361026AIntra-atrial pacing3.021.291.601.291.600.174.484.794.484.79000
    93610TCAIntra-atrial pacing0.001.351.36NANA0.081.431.44NANA000
    93612AIntraventricular pacing3.022.903.232.903.230.266.186.516.186.51000
    9361226AIntraventricular pacing3.021.301.611.301.610.174.494.804.494.80000
    93612TCAIntraventricular pacing0.001.601.62NANA0.091.691.71NANA000
    93615AEsophageal recording0.990.720.720.720.720.051.761.761.761.76000
    9361526AEsophageal recording0.990.400.400.400.400.031.421.421.421.42000
    93615TCAEsophageal recording0.000.320.32NANA0.020.340.34NANA000
    93616AEsophageal recording1.490.821.070.821.070.082.392.642.392.64000
    9361626AEsophageal recording1.490.500.750.500.750.062.052.302.052.30000
    93616TCAEsophageal recording0.000.320.32NANA0.020.340.34NANA000
    93618AHeart rhythm pacing4.265.786.635.786.630.4210.4611.3110.4611.31000
    9361826AHeart rhythm pacing4.261.842.651.842.650.226.327.136.327.13000
    93618TCAHeart rhythm pacing0.003.943.98NANA0.204.144.18NANA000
    93619AElectrophysiology evaluation7.3210.8012.2810.8012.280.7718.8920.3718.8920.37000
    9361926AElectrophysiology evaluation7.323.154.553.154.550.3810.8512.2510.8512.25000
    93619TCAElectrophysiology evaluation0.007.657.73NANA0.398.048.12NANA000
    93620AElectrophysiology evaluation11.5913.9116.2113.9116.211.0426.5428.8426.5428.84000
    9362026AElectrophysiology evaluation11.595.017.225.017.220.6017.2019.4117.2019.41000
    Start Printed Page 65548
    93620TCAElectrophysiology evaluation0.008.908.99NANA0.449.349.43NANA000
    93621CElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00000
    9362126AElectrophysiology evaluation12.665.477.885.477.880.6618.7921.2018.7921.20000
    93621TCCElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00000
    93622CElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00000
    9362226AElectrophysiology evaluation12.745.487.915.487.910.6718.8921.3218.8921.32000
    93622TCCElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00000
    93623CStimulation, pacing heart0.000.000.000.000.000.000.000.000.000.00ZZZ
    9362326AStimulation, pacing heart2.851.231.681.231.680.154.234.684.234.68ZZZ
    93623TCCStimulation, pacing heart0.000.000.000.000.000.000.000.000.000.00ZZZ
    93624AElectrophysiologic study4.814.034.354.034.350.369.209.529.209.52000
    9362426AElectrophysiologic study4.812.062.362.062.360.257.127.427.127.42000
    93624TCAElectrophysiologic study0.001.971.99NANA0.112.082.10NANA000
    93631AHeart pacing, mapping7.609.3010.139.3010.131.1718.0718.9018.0718.90000
    9363126AHeart pacing, mapping7.603.203.963.203.960.6611.4612.2211.4612.22000
    93631TCAHeart pacing, mapping0.006.106.17NANA0.516.616.68NANA000
    93640AEvaluation heart device3.528.599.358.599.350.5312.6413.4012.6413.40000
    9364026AEvaluation heart device3.521.472.151.472.150.185.175.855.175.85000
    93640TCAEvaluation heart device0.007.127.20NANA0.357.477.55NANA000
    93641AElectrophysiology evaluation5.939.6810.899.6810.890.6616.2717.4816.2717.48000
    9364126AElectrophysiology evaluation5.932.563.692.563.690.318.809.938.809.93000
    93641TCAElectrophysiology evaluation0.007.127.20NANA0.357.477.55NANA000
    93642AElectrophysiology evaluation4.899.1710.209.1710.200.5114.5715.6014.5715.60000
    9364226AElectrophysiology evaluation4.892.053.002.053.000.167.108.057.108.05000
    93642TCAElectrophysiology evaluation0.007.127.20NANA0.357.477.55NANA000
    93650AAblate heart dysrhythm focus10.51NANA4.616.600.55NANA15.6717.66000
    93651AAblate heart dysrhythm focus16.25NANA7.0610.130.85NANA24.1627.23000
    93652AAblate heart dysrhythm focus17.68NANA7.6610.580.92NANA26.2629.18000
    93660ATilt table evaluation1.892.492.682.492.680.084.464.654.464.65000
    9366026ATilt table evaluation1.890.821.010.821.010.062.772.962.772.96000
    93660TCATilt table evaluation0.001.671.67NANA0.021.691.69NANA000
    93662AIntracardiac ecg (ice)2.804.984.984.984.980.418.198.198.198.19ZZZ
    9366226AIntracardiac ecg (ice)2.801.221.221.221.220.114.134.134.134.13ZZZ
    93662TCAIntracardiac ecg (ice)0.003.763.76NANA0.304.064.06NANAZZZ
    93668NPeripheral vascular rehab0.000.000.000.000.000.010.010.010.010.01XXX
    93720ATotal body plethysmography0.170.750.81NANA0.060.981.04NANAXXX
    93721APlethysmography tracing0.000.700.71NANA0.050.750.76NANAXXX
    93722APlethysmography report0.170.050.100.050.090.010.230.280.230.27XXX
    93724AAnalyze pacemaker system4.896.086.376.086.370.3811.3511.6411.3511.64000
    9372426AAnalyze pacemaker system4.892.142.392.142.390.187.217.467.217.46000
    93724TCAAnalyze pacemaker system0.003.943.98NANA0.204.144.18NANA000
    93727AAnalyze ilr system0.520.220.220.220.220.050.790.790.790.79XXX
    93731AAnalyze pacemaker system0.450.680.730.680.730.051.181.231.181.23XXX
    9373126AAnalyze pacemaker system0.450.190.230.190.230.020.660.700.660.70XXX
    93731TCAAnalyze pacemaker system0.000.490.50NANA0.030.520.53NANAXXX
    93732AAnalyze pacemaker system0.920.900.930.900.930.061.881.911.881.91XXX
    9373226AAnalyze pacemaker system0.920.390.410.390.410.031.341.361.341.36XXX
    93732TCAAnalyze pacemaker system0.000.510.52NANA0.030.540.55NANAXXX
    93733ATelephone analy, pacemaker0.170.790.840.790.840.061.021.071.021.07XXX
    9373326ATelephone analy, pacemaker0.170.070.110.070.110.010.250.290.250.29XXX
    93733TCATelephone analy, pacemaker0.000.720.73NANA0.050.770.78NANAXXX
    93734AAnalyze pacemaker system0.380.510.560.510.560.030.920.970.920.97XXX
    9373426AAnalyze pacemaker system0.380.160.210.160.210.010.550.600.550.60XXX
    93734TCAAnalyze pacemaker system0.000.350.35NANA0.020.370.37NANAXXX
    93735AAnalyze pacemaker system0.740.760.810.760.810.061.561.611.561.61XXX
    9373526AAnalyze pacemaker system0.740.320.360.320.360.031.091.131.091.13XXX
    93735TCAAnalyze pacemaker system0.000.440.45NANA0.030.470.48NANAXXX
    93736ATelephone analy, pacemaker0.150.690.730.690.730.060.900.940.900.94XXX
    9373626ATelephone analy, pacemaker0.150.070.100.070.100.010.230.260.230.26XXX
    93736TCATelephone analy, pacemaker0.000.620.63NANA0.050.670.68NANAXXX
    93737AAnalyze cardio/defibrillator0.450.680.720.680.720.041.171.211.171.21XXX
    9373726AAnalyze cardio/defibrillator0.450.190.220.190.220.010.650.680.650.68XXX
    93737TCAAnalyze cardio/defibrillator0.000.490.50NANA0.030.520.53NANAXXX
    93738AAnalyze cardio/defibrillator0.920.900.920.900.920.061.881.901.881.90XXX
    9373826AAnalyze cardio/defibrillator0.920.390.400.390.400.031.341.351.341.35XXX
    93738TCAAnalyze cardio/defibrillator0.000.510.52NANA0.030.540.55NANAXXX
    93740BTemperature gradient studies+0.160.210.280.210.280.020.390.460.390.46XXX
    9374026BTemperature gradient studies+0.160.060.130.060.130.010.230.300.230.30XXX
    93740TCBTemperature gradient studies+0.000.150.15NANA0.010.160.16NANAXXX
    93741AAnalyze ht pace device sngl0.800.980.980.980.980.051.831.831.831.83XXX
    9374126AAnalyze ht pace device sngl0.800.320.320.320.320.021.141.141.141.14XXX
    93741TCAAnalyze ht pace device sngl0.000.660.66NANA0.030.690.69NANAXXX
    93742AAnalyze ht pace device sngl0.911.021.021.021.020.051.981.981.981.98XXX
    9374226AAnalyze ht pace device sngl0.910.360.360.360.360.021.291.291.291.29XXX
    93742TCAAnalyze ht pace device sngl0.000.660.66NANA0.030.690.69NANAXXX
    93743AAnalyze ht pace device dual1.031.141.141.141.140.062.232.232.232.23XXX
    9374326AAnalyze ht pace device dual1.030.410.410.410.410.031.471.471.471.47XXX
    93743TCAAnalyze ht pace device dual0.000.730.73NANA0.030.760.76NANAXXX
    93744AAnalyze ht pace device dual1.181.131.131.131.130.062.372.372.372.37XXX
    9374426AAnalyze ht pace device dual1.180.470.470.470.470.031.681.681.681.68XXX
    93744TCAAnalyze ht pace device dual0.000.660.66NANA0.030.690.69NANAXXX
    93760NCephalic thermogram0.000.000.000.000.000.000.000.000.000.00XXX
    93762NPeripheral thermogram0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65549
    93770BMeasure venous pressure+0.160.090.120.090.120.020.270.300.270.30XXX
    9377026BMeasure venous pressure+0.160.060.090.060.090.010.230.260.230.26XXX
    93770TCBMeasure venous pressure+0.000.030.03NANA0.010.040.04NANAXXX
    93784NAmbulatory BP monitoring0.000.000.000.000.000.000.000.000.000.00XXX
    93786NAmbulatory BP recording0.000.000.000.000.000.000.000.000.000.00XXX
    93788NAmbulatory BP analysis0.000.000.000.000.000.000.000.000.000.00XXX
    93790NReview/report BP recording0.000.000.000.000.000.000.000.000.000.00XXX
    93797ACardiac rehab0.180.400.360.070.080.010.590.550.260.27000
    93798ACardiac rehab/monitor0.280.470.480.120.160.010.760.770.410.45000
    93799CCardiovascular procedure0.000.000.000.000.000.000.000.000.000.00XXX
    9379926CCardiovascular procedure0.000.000.000.000.000.000.000.000.000.00XXX
    93799TCCCardiovascular procedure0.000.000.000.000.000.000.000.000.000.00XXX
    93875AExtracranial study0.221.181.241.181.240.101.501.561.501.56XXX
    9387526AExtracranial study0.220.080.130.080.130.010.310.360.310.36XXX
    93875TCAExtracranial study0.001.101.11NANA0.091.191.20NANAXXX
    93880AExtracranial study0.603.924.013.924.010.334.854.944.854.94XXX
    9388026AExtracranial study0.600.220.270.220.270.040.860.910.860.91XXX
    93880TCAExtracranial study0.003.703.74NANA0.293.994.03NANAXXX
    93882AExtracranial study0.402.612.672.612.670.223.233.293.233.29XXX
    9388226AExtracranial study0.400.150.180.150.180.040.590.620.590.62XXX
    93882TCAExtracranial study0.002.462.49NANA0.182.642.67NANAXXX
    93886AIntracranial study0.944.584.644.584.640.375.895.955.895.95XXX
    9388626AIntracranial study0.940.390.410.390.410.051.381.401.381.40XXX
    93886TCAIntracranial study0.004.194.23NANA0.324.514.55NANAXXX
    93888AIntracranial study0.623.043.093.043.090.263.923.973.923.97XXX
    9388826AIntracranial study0.620.240.260.240.260.040.900.920.900.92XXX
    93888TCAIntracranial study0.002.802.83NANA0.223.023.05NANAXXX
    93922AExtremity study0.251.231.291.231.290.131.611.671.611.67XXX
    9392226AExtremity study0.250.090.140.090.140.020.360.410.360.41XXX
    93922TCAExtremity study0.001.141.15NANA0.111.251.26NANAXXX
    93923AExtremity study0.452.342.452.342.450.223.013.123.013.12XXX
    9392326AExtremity study0.450.170.260.170.260.040.660.750.660.75XXX
    93923TCAExtremity study0.002.172.19NANA0.182.352.37NANAXXX
    93924AExtremity study0.502.542.672.542.670.263.303.433.303.43XXX
    9392426AExtremity study0.500.190.290.190.290.050.740.840.740.84XXX
    93924TCAExtremity study0.002.352.38NANA0.212.562.59NANAXXX
    93925ALower extremity study0.583.934.023.934.020.334.844.934.844.93XXX
    9392526ALower extremity study0.580.210.260.210.260.040.830.880.830.88XXX
    93925TCALower extremity study0.003.723.76NANA0.294.014.05NANAXXX
    93926ALower extremity study0.392.622.692.622.690.223.233.303.233.30XXX
    9392626ALower extremity study0.390.140.180.140.180.030.560.600.560.60XXX
    93926TCALower extremity study0.002.482.51NANA0.192.672.70NANAXXX
    93930AUpper extremity study0.464.124.224.124.220.344.925.024.925.02XXX
    9393026AUpper extremity study0.460.170.230.170.230.030.660.720.660.72XXX
    93930TCAUpper extremity study0.003.953.99NANA0.314.264.30NANAXXX
    93931AUpper extremity study0.312.732.802.732.800.223.263.333.263.33XXX
    9393126AUpper extremity study0.310.110.150.110.150.020.440.480.440.48XXX
    93931TCAUpper extremity study0.002.622.65NANA0.202.822.85NANAXXX
    93965AExtremity study0.351.221.301.221.300.121.691.771.691.77XXX
    9396526AExtremity study0.350.130.200.130.200.020.500.570.500.57XXX
    93965TCAExtremity study0.001.091.10NANA0.101.191.20NANAXXX
    93970AExtremity study0.684.354.444.354.440.385.415.505.415.50XXX
    9397026AExtremity study0.680.250.300.250.300.050.981.030.981.03XXX
    93970TCAExtremity study0.004.104.14NANA0.334.434.47NANAXXX
    93971AExtremity study0.452.892.952.892.950.253.593.653.593.65XXX
    9397126AExtremity study0.450.160.190.160.190.030.640.670.640.67XXX
    93971TCAExtremity study0.002.732.76NANA0.222.952.98NANAXXX
    93975AVascular study1.805.325.325.325.320.477.597.597.597.59XXX
    9397526AVascular study1.800.650.600.650.600.112.562.512.562.51XXX
    93975TCAVascular study0.004.674.72NANA0.365.035.08NANAXXX
    93976AVascular study1.213.543.543.543.540.315.065.065.065.06XXX
    9397626AVascular study1.210.430.400.430.400.061.701.671.701.67XXX
    93976TCAVascular study0.003.113.14NANA0.253.363.39NANAXXX
    93978AVascular study0.654.064.154.064.150.365.075.165.075.16XXX
    9397826AVascular study0.650.240.290.240.290.050.940.990.940.99XXX
    93978TCAVascular study0.003.823.86NANA0.314.134.17NANAXXX
    93979AVascular study0.442.712.772.712.770.243.393.453.393.45XXX
    9397926AVascular study0.440.160.190.160.190.040.640.670.640.67XXX
    93979TCAVascular study0.002.552.58NANA0.202.752.78NANAXXX
    93980APenile vascular study1.253.924.073.924.070.355.525.675.525.67XXX
    9398026APenile vascular study1.250.450.560.450.560.071.771.881.771.88XXX
    93980TCAPenile vascular study0.003.473.51NANA0.283.753.79NANAXXX
    93981APenile vascular study0.443.363.463.363.460.284.084.184.084.18XXX
    9398126APenile vascular study0.440.160.230.160.230.020.620.690.620.69XXX
    93981TCAPenile vascular study0.003.203.23NANA0.263.463.49NANAXXX
    93990ADoppler flow testing0.252.582.642.582.640.213.043.103.043.10XXX
    9399026ADoppler flow testing0.250.100.130.100.130.020.370.400.370.40XXX
    93990TCADoppler flow testing0.002.482.51NANA0.192.672.70NANAXXX
    94010ABreathing capacity test0.170.790.770.790.770.030.990.970.990.97XXX
    9401026ABreathing capacity test0.170.050.110.050.110.010.230.290.230.29XXX
    94010TCABreathing capacity test0.000.740.66NANA0.020.760.68NANAXXX
    94014APatient recorded spirometry0.520.510.51NANA0.031.061.06NANAXXX
    94015APatient recorded spirometry0.000.340.34NANA0.010.350.35NANAXXX
    Start Printed Page 65550
    94016AReview patient spirometry0.520.170.170.170.170.020.710.710.710.71XXX
    94060AEvaluation of wheezing0.311.181.221.181.220.061.551.591.551.59XXX
    9406026AEvaluation of wheezing0.310.100.170.100.170.010.420.490.420.49XXX
    94060TCAEvaluation of wheezing0.001.081.05NANA0.051.131.10NANAXXX
    94070AEvaluation of wheezing0.603.753.303.753.300.104.454.004.454.00XXX
    9407026AEvaluation of wheezing0.600.180.240.180.240.020.800.860.800.86XXX
    94070TCAEvaluation of wheezing0.003.573.06NANA0.083.653.14NANAXXX
    94150BVital capacity test+0.070.610.510.610.510.020.700.600.700.60XXX
    9415026BVital capacity test+0.070.030.050.030.050.010.110.130.110.13XXX
    94150TCBVital capacity test+0.000.580.46NANA0.010.590.47NANAXXX
    94200ALung function test (MBC/MVV)0.110.310.340.310.340.030.450.480.450.48XXX
    9420026ALung function test (MBC/MVV)0.110.030.060.030.060.010.150.180.150.18XXX
    94200TCALung function test (MBC/MVV)0.000.280.28NANA0.020.300.30NANAXXX
    94240AResidual lung capacity0.261.371.271.371.270.051.681.581.681.58XXX
    9424026AResidual lung capacity0.260.080.120.080.120.010.350.390.350.39XXX
    94240TCAResidual lung capacity0.001.291.15NANA0.041.331.19NANAXXX
    94250AExpired gas collection0.110.630.550.630.550.020.760.680.760.68XXX
    9425026AExpired gas collection0.110.030.060.030.060.010.150.180.150.18XXX
    94250TCAExpired gas collection0.000.600.49NANA0.010.610.50NANAXXX
    94260AThoracic gas volume0.130.390.470.390.470.040.560.640.560.64XXX
    9426026AThoracic gas volume0.130.040.070.040.070.010.180.210.180.21XXX
    94260TCAThoracic gas volume0.000.350.40NANA0.030.380.43NANAXXX
    94350ALung nitrogen washout curve0.261.171.081.171.080.041.471.381.471.38XXX
    9435026ALung nitrogen washout curve0.260.080.120.080.120.010.350.390.350.39XXX
    94350TCALung nitrogen washout curve0.001.090.96NANA0.031.120.99NANAXXX
    94360AMeasure airflow resistance0.260.640.780.640.780.060.961.100.961.10XXX
    9436026AMeasure airflow resistance0.260.080.110.080.110.010.350.380.350.38XXX
    94360TCAMeasure airflow resistance0.000.560.67NANA0.050.610.72NANAXXX
    94370ABreath airway closing volume0.262.481.972.481.970.032.772.262.772.26XXX
    9437026ABreath airway closing volume0.260.080.100.080.100.010.350.370.350.37XXX
    94370TCABreath airway closing volume0.002.401.87NANA0.022.421.89NANAXXX
    94375ARespiratory flow volume loop0.310.450.530.450.530.030.790.870.790.87XXX
    9437526ARespiratory flow volume loop0.310.090.130.090.130.010.410.450.410.45XXX
    94375TCARespiratory flow volume loop0.000.360.40NANA0.020.380.42NANAXXX
    94400ACO2 breathing response curve0.400.840.850.840.850.061.301.311.301.31XXX
    9440026ACO2 breathing response curve0.400.130.230.130.230.010.540.640.540.64XXX
    94400TCACO2 breathing response curve0.000.710.62NANA0.050.760.67NANAXXX
    94450AHypoxia response curve0.400.810.770.810.770.041.251.211.251.21XXX
    9445026AHypoxia response curve0.400.100.140.100.140.020.520.560.520.56XXX
    94450TCAHypoxia response curve0.000.710.63NANA0.020.730.65NANAXXX
    94620APulmonary stress test/simple0.642.292.282.292.280.103.033.023.033.02XXX
    9462026APulmonary stress test/simple0.640.200.340.200.340.020.861.000.861.00XXX
    94620TCAPulmonary stress test/simple0.002.091.94NANA0.082.172.02NANAXXX
    94621APulm stress test/complex1.422.122.152.122.150.133.673.703.673.70XXX
    9462126APulm stress test/complex1.420.440.520.440.520.051.911.991.911.99XXX
    94621TCAPulm stress test/complex0.001.681.63NANA0.081.761.71NANAXXX
    94640AAirway inhalation treatment0.000.670.610.220.270.020.690.630.240.29XXX
    94642CAerosol inhalation treatment0.000.000.000.000.000.000.000.000.000.00XXX
    94650APressure breathing (IPPB)0.000.640.580.200.250.020.660.600.220.27XXX
    94651APressure breathing (IPPB)0.000.590.540.190.240.020.610.560.210.26XXX
    94652APressure breathing (IPPB)0.000.720.650.220.280.060.780.710.280.34XXX
    94656AInitial ventilator mgmt1.22NANA0.320.550.06NANA1.601.83XXX
    94657AContinued ventilator mgmt0.83NANA0.250.360.03NANA1.111.22XXX
    94660APos airway pressure, CPAP0.760.660.690.230.370.031.451.481.021.16XXX
    94662ANeg press ventilation, cnp0.76NANA0.240.260.02NANA1.021.04XXX
    94664AAerosol or vapor inhalations0.000.500.510.160.260.030.530.540.190.29XXX
    94665AAerosol or vapor inhalations0.000.510.510.160.250.040.550.550.200.29XXX
    94667AChest wall manipulation0.000.810.760.260.350.040.850.800.300.39XXX
    94668AChest wall manipulation0.000.690.610.220.260.020.710.630.240.28XXX
    94680AExhaled air analysis, o20.260.810.820.810.820.061.131.141.131.14XXX
    9468026AExhaled air analysis, o20.260.090.150.090.150.010.360.420.360.42XXX
    94680TCAExhaled air analysis, o20.000.720.67NANA0.050.770.72NANAXXX
    94681AExhaled air analysis, o2/co20.201.711.701.711.700.112.022.012.022.01XXX
    9468126AExhaled air analysis, o2/co20.200.070.110.070.110.010.280.320.280.32XXX
    94681TCAExhaled air analysis, o2/co20.001.641.59NANA0.101.741.69NANAXXX
    94690AExhaled air analysis0.070.560.570.560.570.040.670.680.670.68XXX
    9469026AExhaled air analysis0.070.020.030.020.030.010.100.110.100.11XXX
    94690TCAExhaled air analysis0.000.540.54NANA0.030.570.57NANAXXX
    94720AMonoxide diffusing capacity0.261.391.321.391.320.061.711.641.711.64XXX
    9472026AMonoxide diffusing capacity0.260.080.120.080.120.010.350.390.350.39XXX
    94720TCAMonoxide diffusing capacity0.001.311.20NANA0.051.361.25NANAXXX
    94725AMembrane diffusion capacity0.260.821.120.821.120.111.191.491.191.49XXX
    9472526AMembrane diffusion capacity0.260.080.110.080.110.010.350.380.350.38XXX
    94725TCAMembrane diffusion capacity0.000.741.01NANA0.100.841.11NANAXXX
    94750APulmonary compliance study0.233.582.903.582.900.043.853.173.853.17XXX
    9475026APulmonary compliance study0.230.070.120.070.120.010.310.360.310.36XXX
    94750TCAPulmonary compliance study0.003.512.78NANA0.033.542.81NANAXXX
    94760TMeasure blood oxygen level0.000.090.14NANA0.020.110.16NANAXXX
    94761TMeasure blood oxygen level0.000.170.30NANA0.050.220.35NANAXXX
    94762AMeasure blood oxygen level0.000.110.38NANA0.080.190.46NANAXXX
    94770AExhaled carbon dioxide test0.150.760.680.760.680.070.980.900.980.90XXX
    9477026AExhaled carbon dioxide test0.150.040.060.040.060.010.200.220.200.22XXX
    94770TCAExhaled carbon dioxide test0.000.720.62NANA0.060.780.68NANAXXX
    Start Printed Page 65551
    94772CBreath recording, infant0.000.000.000.000.000.000.000.000.000.00XXX
    9477226CBreath recording, infant0.000.000.000.000.000.000.000.000.000.00XXX
    94772TCCBreath recording, infant0.000.000.000.000.000.000.000.000.000.00XXX
    94799CPulmonary service/procedure0.000.000.000.000.000.000.000.000.000.00XXX
    9479926CPulmonary service/procedure0.000.000.000.000.000.000.000.000.000.00XXX
    94799TCCPulmonary service/procedure0.000.000.000.000.000.000.000.000.000.00XXX
    95004AAllergy skin tests0.000.100.100.100.100.010.110.110.110.11XXX
    95010ASensitivity skin tests0.150.450.370.070.070.010.610.530.230.23XXX
    95015ASensitivity skin tests0.150.490.400.070.070.010.650.560.230.23XXX
    95024AAllergy skin tests0.000.140.140.140.140.010.150.150.150.15XXX
    95027ASkin end point titration0.000.140.14NANA0.010.150.15NANAXXX
    95028AAllergy skin tests0.000.230.23NANA0.010.240.24NANAXXX
    95044AAllergy patch tests0.000.200.200.200.200.010.210.210.210.21XXX
    95052APhoto patch test0.000.250.250.250.250.010.260.260.260.26XXX
    95056APhotosensitivity tests0.000.170.170.170.150.010.180.180.180.16XXX
    95060AEye allergy tests0.000.350.35NANA0.020.370.37NANAXXX
    95065ANose allergy test0.000.200.20NANA0.010.210.21NANAXXX
    95070ABronchial allergy tests0.002.272.29NANA0.022.292.31NANAXXX
    95071ABronchial allergy tests0.002.902.93NANA0.022.922.95NANAXXX
    95075AIngestion challenge test0.950.891.200.430.590.031.872.181.411.57XXX
    95078AProvocative testing0.000.250.25NANA0.020.270.27NANAXXX
    95115AImmunotherapy, one injection0.000.380.390.380.390.020.400.410.400.41000
    95117AImmunotherapy injections0.000.500.510.500.510.020.520.530.520.53000
    95120IImmunotherapy, one injection0.000.000.000.000.000.000.000.000.000.00XXX
    95125IImmunotherapy, many antigens0.000.000.000.000.000.000.000.000.000.00XXX
    95130IImmunotherapy, insect venom0.000.000.000.000.000.000.000.000.000.00XXX
    95131IImmunotherapy, insect venoms0.000.000.000.000.000.000.000.000.000.00XXX
    95132IImmunotherapy, insect venoms0.000.000.000.000.000.000.000.000.000.00XXX
    95133IImmunotherapy, insect venoms0.000.000.000.000.000.000.000.000.000.00XXX
    95134IImmunotherapy, insect venoms0.000.000.000.000.000.000.000.000.000.00XXX
    95144AAntigen therapy services0.060.250.220.030.040.010.320.290.100.11000
    95145AAntigen therapy services0.060.500.470.030.070.010.570.540.100.14000
    95146AAntigen therapy services0.060.600.620.020.100.010.670.690.090.17000
    95147AAntigen therapy services0.060.860.890.020.140.010.930.960.090.21000
    95148AAntigen therapy services0.060.830.870.030.150.010.900.940.100.22000
    95149AAntigen therapy services0.061.031.080.020.170.011.101.150.090.24000
    95165AAntigen therapy services0.060.200.180.020.030.010.270.250.090.10000
    95170AAntigen therapy services0.060.270.300.020.060.010.340.370.090.13000
    95180ARapid desensitization2.011.711.320.860.670.043.763.372.912.72000
    95199CAllergy immunology services0.000.000.000.000.000.000.000.000.000.00000
    95805AMultiple sleep latency test1.887.667.257.667.250.349.889.479.889.47XXX
    9580526AMultiple sleep latency test1.880.670.660.670.660.062.612.602.612.60XXX
    95805TCAMultiple sleep latency test0.006.996.59NANA0.287.276.87NANAXXX
    95806ASleep study, unattended1.661.733.251.733.080.323.715.233.715.06XXX
    9580626ASleep study, unattended1.660.541.070.540.900.062.262.792.262.62XXX
    95806TCASleep study, unattended0.001.192.18NANA0.261.452.44NANAXXX
    95807ASleep study, attended1.6610.8310.3410.8310.340.4012.8912.4012.8912.40XXX
    9580726ASleep study, attended1.660.530.900.530.900.052.242.612.242.61XXX
    95807TCASleep study, attended0.0010.309.44NANA0.3510.659.79NANAXXX
    95808APolysomnography, 1-32.6517.5215.5117.5215.510.4420.6118.6020.6118.60XXX
    9580826APolysomnography, 1-32.650.931.360.931.360.093.674.103.674.10XXX
    95808TCAPolysomnography, 1-30.0016.5914.15NANA0.3516.9414.50NANAXXX
    95810APolysomnography, 4 or more3.5315.2713.8315.2713.830.4719.2717.8319.2717.83XXX
    9581026APolysomnography, 4 or more3.531.201.571.201.570.124.855.224.855.22XXX
    95810TCAPolysomnography, 4 or more0.0014.0712.26NANA0.3514.4212.61NANAXXX
    95811APolysomnography w/cpap3.8014.0613.0414.0613.040.4918.3517.3318.3517.33XXX
    9581126APolysomnography w/cpap3.801.281.661.281.660.135.215.595.215.59XXX
    95811TCAPolysomnography w/cpap0.0012.7811.38NANA0.3613.1411.74NANAXXX
    95812AElectroencephalogram (EEG)1.083.393.053.393.050.134.604.264.604.26XXX
    9581226AElectroencephalogram (EEG)1.080.460.480.460.480.041.581.601.581.60XXX
    95812TCAElectroencephalogram (EEG)0.002.932.57NANA0.093.022.66NANAXXX
    95813AElectroencephalogram (EEG)1.734.593.954.593.950.156.475.836.475.83XXX
    9581326AElectroencephalogram (EEG)1.730.710.670.710.670.062.502.462.502.46XXX
    95813TCAElectroencephalogram (EEG)0.003.883.28NANA0.093.973.37NANAXXX
    95816AElectroencephalogram (EEG)1.083.152.783.152.780.124.353.984.353.98XXX
    9581626AElectroencephalogram (EEG)1.080.470.430.470.430.041.591.551.591.55XXX
    95816TCAElectroencephalogram (EEG)0.002.682.35NANA0.082.762.43NANAXXX
    95819AElectroencephalogram (EEG)1.083.633.213.633.210.124.834.414.834.41XXX
    9581926AElectroencephalogram (EEG)1.080.470.490.470.490.041.591.611.591.61XXX
    95819TCAElectroencephalogram (EEG)0.003.162.72NANA0.083.242.80NANAXXX
    95822ASleep electroencephalogram1.082.442.462.442.460.153.673.693.673.69XXX
    9582226ASleep electroencephalogram1.080.470.510.470.510.041.591.631.591.63XXX
    95822TCASleep electroencephalogram0.001.971.95NANA0.112.082.06NANAXXX
    95824AElectroencephalography0.740.710.800.710.800.051.501.591.501.59XXX
    9582426HElectroencephalography0.000.000.000.000.000.000.000.000.000.00XXX
    95824TCHElectroencephalography0.000.000.00NANA0.000.000.00NANAXXX
    95827ANight electroencephalogram1.082.702.862.702.860.153.934.093.934.09XXX
    9582726ANight electroencephalogram1.080.420.560.420.560.031.531.671.531.67XXX
    95827TCANight electroencephalogram0.002.282.30NANA0.122.402.42NANAXXX
    95829ASurgery electrocorticogram6.2128.4121.4728.4121.470.3334.9528.0134.9528.01XXX
    9582926ASurgery electrocorticogram6.212.011.632.011.630.318.538.158.538.15XXX
    95829TCASurgery electrocorticogram0.0026.4019.84NANA0.0226.4219.86NANAXXX
    95830AInsert electrodes for EEG1.703.252.650.750.780.075.024.422.522.55XXX
    Start Printed Page 65552
    95831ALimb muscle testing, manual0.280.470.430.130.140.010.760.720.420.43XXX
    95832AHand muscle testing, manual0.290.430.390.110.120.010.730.690.410.42XXX
    95833ABody muscle testing, manual0.470.550.520.240.230.011.031.000.720.71XXX
    95834ABody muscle testing, manual0.600.620.630.290.300.021.241.250.910.92XXX
    95851ARange of motion measurements0.160.520.460.080.090.010.690.630.250.26XXX
    95852ARange of motion measurements0.110.420.360.050.060.010.540.480.170.18XXX
    95857ATensilon test0.530.620.600.240.250.021.171.150.790.80XXX
    95858ATensilon test & myogram1.561.101.111.101.110.072.732.742.732.74XXX
    9585826ATensilon test & myogram1.560.710.710.710.710.042.312.312.312.31XXX
    95858TCATensilon test & myogram0.000.390.40NANA0.030.420.43NANAXXX
    95860AMuscle test, one limb0.961.121.141.121.140.052.132.152.132.15XXX
    9586026AMuscle test, one limb0.960.440.530.440.530.031.431.521.431.52XXX
    95860TCAMuscle test, one limb0.000.680.61NANA0.020.700.63NANAXXX
    95861AMuscle test, two limbs1.541.441.621.441.620.103.083.263.083.26XXX
    9586126AMuscle test, two limbs1.540.710.880.710.880.052.302.472.302.47XXX
    95861TCAMuscle test, two limbs0.000.730.74NANA0.050.780.79NANAXXX
    95863AMuscle test, 3 limbs1.871.771.951.771.950.113.753.933.753.93XXX
    9586326AMuscle test, 3 limbs1.870.841.010.841.010.062.772.942.772.94XXX
    95863TCAMuscle test, 3 limbs0.000.930.94NANA0.050.980.99NANAXXX
    95864AMuscle test, 4 limbs1.992.682.952.682.950.164.835.104.835.10XXX
    9586426AMuscle test, 4 limbs1.990.911.160.911.160.062.963.212.963.21XXX
    95864TCAMuscle test, 4 limbs0.001.771.79NANA0.101.871.89NANAXXX
    95867AMuscle test, head or neck0.790.941.020.941.020.061.791.871.791.87XXX
    9586726AMuscle test, head or neck0.790.360.430.360.430.031.181.251.181.25XXX
    95867TCAMuscle test, head or neck0.000.580.59NANA0.030.610.62NANAXXX
    95868AMuscle test, head or neck1.181.221.441.221.440.082.482.702.482.70XXX
    9586826AMuscle test, head or neck1.180.530.740.530.740.041.751.961.751.96XXX
    95868TCAMuscle test, head or neck0.000.690.70NANA0.040.730.74NANAXXX
    95869AMuscle test, thor paraspinal0.370.380.430.380.430.030.780.830.780.83XXX
    9586926AMuscle test, thor paraspinal0.370.170.220.170.220.010.550.600.550.60XXX
    95869TCAMuscle test, thor paraspinal0.000.210.21NANA0.020.230.23NANAXXX
    95870AMuscle test, nonparaspinal0.370.370.420.370.420.030.770.820.770.82XXX
    9587026AMuscle test, nonparaspinal0.370.160.210.160.210.010.540.590.540.59XXX
    95870TCAMuscle test, nonparaspinal0.000.210.21NANA0.020.230.23NANAXXX
    95872AMuscle test, one fiber1.501.261.291.261.290.082.842.872.842.87XXX
    9587226AMuscle test, one fiber1.500.660.680.660.680.042.202.222.202.22XXX
    95872TCAMuscle test, one fiber0.000.600.61NANA0.040.640.65NANAXXX
    95875ALimb exercise test1.341.321.151.321.150.092.752.582.752.58XXX
    9587526ALimb exercise test1.340.560.480.560.480.041.941.861.941.86XXX
    95875TCALimb exercise test0.000.760.67NANA0.050.810.72NANAXXX
    95900AMotor nerve conduction test0.420.700.700.700.700.031.151.151.151.15XXX
    9590026AMotor nerve conduction test0.420.190.240.190.240.010.620.670.620.67XXX
    95900TCAMotor nerve conduction test0.000.510.46NANA0.020.530.48NANAXXX
    95903AMotor nerve conduction test0.600.520.550.520.550.041.161.191.161.19XXX
    9590326AMotor nerve conduction test0.600.270.300.270.300.020.890.920.890.92XXX
    95903TCAMotor nerve conduction test0.000.250.25NANA0.020.270.27NANAXXX
    95904ASense/mixed n conduction tst0.340.620.620.620.620.030.990.990.990.99XXX
    9590426ASense/mixed n conduction tst0.340.150.210.150.210.010.500.560.500.56XXX
    95904TCASense/mixed n conduction tst0.000.470.41NANA0.020.490.43NANAXXX
    95920AIntraop nerve test add-on2.112.262.422.262.420.204.574.734.574.73ZZZ
    9592026AIntraop nerve test add-on2.110.961.110.961.110.143.213.363.213.36ZZZ
    95920TCAIntraop nerve test add-on0.001.301.31NANA0.061.361.37NANAZZZ
    95921AAutonomic nerv function test0.900.710.720.710.720.051.661.671.661.67XXX
    9592126AAutonomic nerv function test0.900.340.340.340.340.031.271.271.271.27XXX
    95921TCAAutonomic nerv function test0.000.370.38NANA0.020.390.40NANAXXX
    95922AAutonomic nerv function test0.960.790.790.790.790.051.801.801.801.80XXX
    9592226AAutonomic nerv function test0.960.420.410.420.410.031.411.401.411.40XXX
    95922TCAAutonomic nerv function test0.000.370.38NANA0.020.390.40NANAXXX
    95923AAutonomic nerv function test0.902.602.142.602.140.053.553.093.553.09XXX
    9592326AAutonomic nerv function test0.900.390.380.390.380.031.321.311.321.31XXX
    95923TCAAutonomic nerv function test0.002.211.76NANA0.022.231.78NANAXXX
    95925ASomatosensory testing0.541.131.261.131.260.071.741.871.741.87XXX
    9592526ASomatosensory testing0.540.230.350.230.350.020.790.910.790.91XXX
    95925TCASomatosensory testing0.000.900.91NANA0.050.950.96NANAXXX
    95926ASomatosensory testing0.541.141.261.141.260.071.751.871.751.87XXX
    9592626ASomatosensory testing0.540.240.350.240.350.020.800.910.800.91XXX
    95926TCASomatosensory testing0.000.900.91NANA0.050.950.96NANAXXX
    95927ASomatosensory testing0.541.161.281.161.280.081.781.901.781.90XXX
    9592726ASomatosensory testing0.540.260.370.260.370.030.830.940.830.94XXX
    95927TCASomatosensory testing0.000.900.91NANA0.050.950.96NANAXXX
    95930AVisual evoked potential test0.350.700.750.700.750.021.071.121.071.12XXX
    9593026AVisual evoked potential test0.350.150.270.150.270.010.510.630.510.63XXX
    95930TCAVisual evoked potential test0.000.550.48NANA0.010.560.49NANAXXX
    95933ABlink reflex test0.591.021.111.021.110.071.681.771.681.77XXX
    9593326ABlink reflex test0.590.240.320.240.320.020.850.930.850.93XXX
    95933TCABlink reflex test0.000.780.79NANA0.050.830.84NANAXXX
    95934AH-reflex test0.510.440.480.440.480.040.991.030.991.03XXX
    9593426AH-reflex test0.510.230.270.230.270.020.760.800.760.80XXX
    95934TCAH-reflex test0.000.210.21NANA0.020.230.23NANAXXX
    95936AH-reflex test0.550.460.490.460.490.041.051.081.051.08XXX
    9593626AH-reflex test0.550.250.280.250.280.020.820.850.820.85XXX
    95936TCAH-reflex test0.000.210.21NANA0.020.230.23NANAXXX
    95937ANeuromuscular junction test0.650.620.670.620.670.041.311.361.311.36XXX
    Start Printed Page 65553
    9593726ANeuromuscular junction test0.650.280.330.280.330.020.951.000.951.00XXX
    95937TCANeuromuscular junction test0.000.340.34NANA0.020.360.36NANAXXX
    95950AAmbulatory eeg monitoring1.513.794.813.794.810.445.746.765.746.76XXX
    9595026AAmbulatory eeg monitoring1.510.670.830.670.830.082.262.422.262.42XXX
    95950TCAAmbulatory eeg monitoring0.003.123.98NANA0.363.484.34NANAXXX
    95951AEEG monitoring/videorecord6.0023.5220.0423.5220.040.5830.1026.6230.1026.62XXX
    9595126AEEG monitoring/videorecord6.002.612.372.612.370.208.818.578.818.57XXX
    95951TCAEEG monitoring/videorecord0.0020.9117.67NANA0.3821.2918.05NANAXXX
    95953AEEG monitoring/computer3.087.617.687.617.680.4611.1511.2211.1511.22XXX
    9595326AEEG monitoring/computer3.081.331.331.331.330.104.514.514.514.51XXX
    95953TCAEEG monitoring/computer0.006.286.35NANA0.366.646.71NANAXXX
    95954AEEG monitoring/giving drugs2.454.333.884.333.880.156.936.486.936.48XXX
    9595426AEEG monitoring/giving drugs2.451.061.301.061.300.103.613.853.613.85XXX
    95954TCAEEG monitoring/giving drugs0.003.272.58NANA0.053.322.63NANAXXX
    95955AEEG during surgery1.012.302.512.302.510.193.503.713.503.71XXX
    9595526AEEG during surgery1.010.350.540.350.540.051.411.601.411.60XXX
    95955TCAEEG during surgery0.001.951.97NANA0.142.092.11NANAXXX
    95956AEeg monitoring, cable/radio3.0831.2525.4831.2525.480.4734.8029.0334.8029.03XXX
    9595626AEeg monitoring, cable/radio3.081.341.411.341.410.114.534.604.534.60XXX
    95956TCAEeg monitoring, cable/radio0.0029.9124.07NANA0.3630.2724.43NANAXXX
    95957AEEG digital analysis1.982.562.532.562.530.174.714.684.714.68XXX
    9595726AEEG digital analysis1.980.870.820.870.820.072.922.872.922.87XXX
    95957TCAEEG digital analysis0.001.691.71NANA0.101.791.81NANAXXX
    95958AEEG monitoring/function test4.253.533.983.533.980.298.078.528.078.52XXX
    9595826AEEG monitoring/function test4.251.802.231.802.230.186.236.666.236.66XXX
    95958TCAEEG monitoring/function test0.001.731.75NANA0.111.841.86NANAXXX
    95961AElectrode stimulation, brain2.972.632.702.632.700.245.845.915.845.91XXX
    9596126AElectrode stimulation, brain2.971.331.391.331.390.184.484.544.484.54XXX
    95961TCAElectrode stimulation, brain0.001.301.31NANA0.061.361.37NANAXXX
    95962AElectrode stim, brain add-on3.212.712.762.712.760.236.156.206.156.20ZZZ
    9596226AElectrode stim, brain add-on3.211.411.451.411.450.174.794.834.794.83ZZZ
    95962TCAElectrode stim, brain add-on0.001.301.31NANA0.061.361.37NANAZZZ
    95970AAnalyze neurostim, no prog0.450.170.170.140.140.030.650.650.620.62XXX
    95971AAnalyze neurostim, simple0.780.290.290.230.230.061.131.131.071.07XXX
    95972AAnalyze neurostim, complex1.500.630.630.550.550.172.302.302.222.22XXX
    95973AAnalyze neurostim, complex0.920.400.400.370.370.071.391.391.361.36ZZZ
    95974ACranial neurostim, complex3.001.321.321.321.320.154.474.474.474.47XXX
    95975ACranial neurostim, complex1.700.740.740.730.730.072.512.512.502.50ZZZ
    95999CNeurological procedure0.000.000.000.000.000.000.000.000.000.00XXX
    96100APsychological testing0.001.751.771.751.770.151.901.921.901.92XXX
    96105AAssessment of aphasia0.001.751.771.751.770.151.901.921.901.92XXX
    96110CDevelopmental test, lim0.000.000.000.000.000.000.000.000.000.00XXX
    96111ADevelopmental test, extend0.001.751.771.751.770.151.901.921.901.92XXX
    96115ANeurobehavior status exam0.001.751.771.751.770.151.901.921.901.92XXX
    96117ANeuropsych test battery0.001.751.771.751.770.151.901.921.901.92XXX
    96400AChemotherapy, sc/im0.000.130.130.130.130.010.140.140.140.14XXX
    96405AIntralesional chemo admin0.521.821.470.250.240.022.362.010.790.78000
    96406AIntralesional chemo admin0.802.532.050.310.310.023.352.871.131.13000
    96408AChemotherapy, push technique0.000.960.970.960.970.051.011.021.011.02XXX
    96410AChemotherapy,infusion method0.001.541.561.541.560.071.611.631.611.63XXX
    96412AChemo, infuse method add-on0.001.141.151.141.150.061.201.211.201.21ZZZ
    96414AChemo, infuse method add-on0.001.331.341.331.340.071.401.411.401.41XXX
    96420AChemotherapy, push technique0.001.241.251.241.250.071.311.321.311.32XXX
    96422AChemotherapy,infusion method0.001.221.231.221.230.071.291.301.291.30XXX
    96423AChemo, infuse method add-on0.000.480.490.480.490.020.500.510.500.51ZZZ
    96425AChemotherapy,infusion method0.001.421.441.421.440.071.491.511.491.51XXX
    96440AChemotherapy, intracavitary2.377.976.201.121.060.1210.468.693.613.55000
    96445AChemotherapy, intracavitary2.208.336.511.040.910.0710.608.783.313.18000
    96450AChemotherapy, into CNS1.896.735.280.900.790.068.687.232.852.74000
    96520APump refilling, maintenance0.000.880.890.880.890.050.930.940.930.94XXX
    96530APump refilling, maintenance0.001.061.071.061.070.051.111.121.111.12XXX
    96542AChemotherapy injection1.424.023.310.570.580.055.494.782.042.05XXX
    96545BProvide chemotherapy agent0.000.000.000.000.000.000.000.000.000.00XXX
    96549CChemotherapy, unspecified0.000.000.000.000.000.000.000.000.000.00XXX
    96570APhotodynamic tx, 30 min1.100.440.440.440.440.041.581.581.581.58ZZZ
    96571APhotodynamic tx, addl 15 min0.550.220.220.220.220.020.790.790.790.79ZZZ
    96900AUltraviolet light therapy0.000.390.400.390.400.020.410.420.410.42XXX
    96902BTrichogram+0.410.250.270.160.200.010.670.690.580.62XXX
    96910APhotochemotherapy with UV-B0.000.580.590.580.590.030.610.620.610.62XXX
    96912APhotochemotherapy with UV-A0.000.650.660.650.660.040.690.700.690.70XXX
    96913APhotochemotherapy, UV-A or B0.001.351.361.351.360.081.431.441.431.44XXX
    96999CDermatological procedure0.000.000.000.000.000.000.000.000.000.00XXX
    97001APt evaluation1.200.560.520.480.460.101.861.821.781.76XXX
    97002APt re-evaluation0.600.350.270.260.210.040.990.910.900.85XXX
    97003AOt evaluation1.200.670.600.320.340.051.921.851.571.59XXX
    97004AOt re-evaluation0.600.430.330.130.110.021.050.950.750.73XXX
    97010BHot or cold packs therapy+0.060.240.240.010.070.010.310.310.080.14XXX
    97012AMechanical traction therapy0.250.270.260.050.090.010.530.520.310.35XXX
    97014AElectric stimulation therapy0.180.250.240.030.080.010.440.430.220.27XXX
    97016AVasopneumatic device therapy0.180.250.260.030.090.010.440.450.220.28XXX
    97018AParaffin bath therapy0.060.220.230.010.070.010.290.300.080.14XXX
    97020AMicrowave therapy0.060.230.230.010.060.010.300.300.080.13XXX
    97022AWhirlpool therapy0.170.430.380.030.080.010.610.560.210.26XXX
    Start Printed Page 65554
    97024ADiathermy treatment0.060.240.240.010.070.010.310.310.080.14XXX
    97026AInfrared therapy0.060.220.220.010.060.010.290.290.080.13XXX
    97028AUltraviolet therapy0.080.220.220.010.060.010.310.310.100.15XXX
    97032AElectrical stimulation0.250.280.250.050.080.010.540.510.310.34XXX
    97033AElectric current therapy0.260.310.270.050.080.020.590.550.330.36XXX
    97034AContrast bath therapy0.210.270.230.040.060.010.490.450.260.28XXX
    97035AUltrasound therapy0.210.170.160.040.060.010.390.380.260.28XXX
    97036AHydrotherapy0.280.360.330.050.100.010.650.620.340.39XXX
    97039APhysical therapy treatment0.200.270.270.040.100.010.480.480.250.31XXX
    97110ATherapeutic exercises0.450.190.180.080.100.030.670.660.560.58XXX
    97112ANeuromuscular reeducation0.450.300.260.080.100.020.770.730.550.57XXX
    97113AAquatic therapy/exercises0.440.320.300.080.120.030.790.770.550.59XXX
    97116AGait training therapy0.400.300.260.070.080.020.720.680.490.50XXX
    97124AMassage therapy0.350.280.240.060.080.010.640.600.420.44XXX
    97139APhysical medicine procedure0.210.250.230.040.070.010.470.450.260.29XXX
    97140AManual therapy0.430.310.310.080.080.020.760.760.530.53XXX
    97150AGroup therapeutic procedures0.270.270.260.050.090.020.560.550.340.38XXX
    97504AOrthotic training0.450.300.260.080.100.030.780.740.560.58XXX
    97520AProsthetic training0.450.300.270.080.100.020.770.740.550.57XXX
    97530ATherapeutic activities0.440.180.180.080.110.020.640.640.540.57XXX
    97532ACognitive skills development0.440.230.230.080.080.010.680.680.530.53XXX
    97533ASensory integration0.440.290.290.080.080.010.740.740.530.53XXX
    97535ASelf care mngment training0.450.300.270.080.110.020.770.740.550.58XXX
    97537ACommunity/work reintegration0.450.300.270.080.110.010.760.730.540.57XXX
    97542AWheelchair mngment training0.250.260.240.050.080.010.520.500.310.34XXX
    97545RWork hardening0.000.000.000.000.000.000.000.000.000.00XXX
    97546RWork hardening add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    97601AWound care selective0.500.490.490.090.090.041.031.030.630.63XXX
    97602BWound care non-selective0.000.000.000.000.000.000.000.000.000.00XXX
    97703AProsthetic checkout0.250.150.160.050.090.020.420.430.320.36XXX
    97750APhysical performance test0.450.240.250.080.130.020.710.720.550.60XXX
    97770DCognitive skills development0.000.000.000.000.000.000.000.000.000.00XXX
    97780NAcupuncture w/o stimul0.000.000.000.000.000.000.000.000.000.00XXX
    97781NAcupuncture w/stimul0.000.000.000.000.000.000.000.000.000.00XXX
    97799CPhysical medicine procedure0.000.000.000.000.000.000.000.000.000.00XXX
    97802NMedical nutrition, indiv, in0.000.000.000.000.000.000.000.000.000.00XXX
    97803NMed nutrition, indiv, subseq0.000.000.000.000.000.000.000.000.000.00XXX
    97804NMedical nutrition, group0.000.000.000.000.000.000.000.000.000.00XXX
    98925AOsteopathic manipulation0.450.390.360.150.180.010.850.820.610.64000
    98926AOsteopathic manipulation0.650.450.450.260.300.021.121.120.930.97000
    98927AOsteopathic manipulation0.870.520.490.310.340.031.421.391.211.24000
    98928AOsteopathic manipulation1.030.600.570.360.390.031.661.631.421.45000
    98929AOsteopathic manipulation1.190.660.600.380.390.041.891.831.611.62000
    98940AChiropractic manipulation0.450.250.270.130.140.010.710.730.590.60000
    98941AChiropractic manipulation0.650.310.310.180.180.020.980.980.850.85000
    98942AChiropractic manipulation0.870.370.360.250.230.031.271.261.151.13000
    98943NChiropractic manipulation+0.400.360.350.160.200.010.770.760.570.61XXX
    99000BSpecimen handling0.000.000.000.000.000.000.000.000.000.00XXX
    99001BSpecimen handling0.000.000.000.000.000.000.000.000.000.00XXX
    99002BDevice handling0.000.000.000.000.000.000.000.000.000.00XXX
    99024BPostop follow-up visit0.000.000.000.000.000.000.000.000.000.00XXX
    99025BInitial surgical evaluation0.000.000.000.000.000.000.000.000.000.00XXX
    99050BMedical services after hrs0.000.000.000.000.000.000.000.000.000.00XXX
    99052BMedical services at night0.000.000.000.000.000.000.000.000.000.00XXX
    99054BMedical servcs, unusual hrs0.000.000.000.000.000.000.000.000.000.00XXX
    99056BNon-office medical services0.000.000.000.000.000.000.000.000.000.00XXX
    99058BOffice emergency care0.000.000.000.000.000.000.000.000.000.00XXX
    99070BSpecial supplies0.000.000.000.000.000.000.000.000.000.00XXX
    99071BPatient education materials0.000.000.000.000.000.000.000.000.000.00XXX
    99075NMedical testimony0.000.000.000.000.000.000.000.000.000.00XXX
    99078BGroup health education0.000.000.000.000.000.000.000.000.000.00XXX
    99080BSpecial reports or forms0.000.000.000.000.000.000.000.000.000.00XXX
    99082CUnusual physician travel0.000.000.000.000.000.000.000.000.000.00XXX
    99090BComputer data analysis0.000.000.000.000.000.000.000.000.000.00XXX
    99100BSpecial anesthesia service0.000.000.000.000.000.000.000.000.000.00ZZZ
    99116BAnesthesia with hypothermia0.000.000.000.000.000.000.000.000.000.00ZZZ
    99135BSpecial anesthesia procedure0.000.000.000.000.000.000.000.000.000.00ZZZ
    99140BEmergency anesthesia0.000.000.000.000.000.000.000.000.000.00ZZZ
    99141BSedation, iv/im or inhalant+0.802.001.730.390.520.042.842.571.231.36XXX
    99142BSedation, oral/rectal/nasal+0.601.171.050.310.400.031.801.680.941.03XXX
    99170AAnogenital exam, child1.751.871.870.700.700.073.693.692.522.52000
    99172NOcular function screen0.000.000.000.000.000.000.000.000.000.00XXX
    99173NVisual acuity screen0.000.000.000.000.000.000.000.000.000.00XXX
    99175AInduction of vomiting0.001.381.401.381.400.081.461.481.461.48XXX
    99183AHyperbaric oxygen therapy2.34NANA0.761.020.12NANA3.223.48XXX
    99185ARegional hypothermia0.000.630.640.630.640.030.660.670.660.67XXX
    99186ATotal body hypothermia0.001.771.791.771.790.372.142.162.142.16XXX
    99190XSpecial pump services0.000.000.000.000.000.000.000.000.000.00XXX
    99191XSpecial pump services0.000.000.000.000.000.000.000.000.000.00XXX
    99192XSpecial pump services0.000.000.000.000.000.000.000.000.000.00XXX
    99195APhlebotomy0.000.440.450.440.450.020.460.470.460.47XXX
    99199CSpecial service/proc/report0.000.000.000.000.000.000.000.000.000.00XXX
    99201AOffice/outpatient visit, new0.450.460.460.160.170.020.930.930.630.64XXX
    Start Printed Page 65555
    99202AOffice/outpatient visit, new0.880.740.690.330.310.051.671.621.261.24XXX
    99203AOffice/outpatient visit, new1.341.080.970.500.450.082.502.391.921.87XXX
    99204AOffice/outpatient visit, new2.001.501.370.740.660.103.603.472.842.76XXX
    99205AOffice/outpatient visit, new2.671.771.590.970.840.124.564.383.763.63XXX
    99211AOffice/outpatient visit, est0.170.370.340.060.070.010.550.520.240.25XXX
    99212AOffice/outpatient visit, est0.450.510.470.170.170.020.980.940.640.64XXX
    99213AOffice/outpatient visit, est0.670.670.620.240.230.031.371.320.940.93XXX
    99214AOffice/outpatient visit, est1.101.020.920.400.370.042.162.061.541.51XXX
    99215AOffice/outpatient visit, est1.771.321.220.650.590.073.163.062.492.43XXX
    99217AObservation care discharge1.28NANA0.450.480.05NANA1.781.81XXX
    99218AObservation care1.28NANA0.450.520.05NANA1.781.85XXX
    99219AObservation care2.14NANA0.740.840.08NANA2.963.06XXX
    99220AObservation care2.99NANA1.051.100.11NANA4.154.20XXX
    99221AInitial hospital care1.28NANA0.470.540.05NANA1.801.87XXX
    99222AInitial hospital care2.14NANA0.760.850.08NANA2.983.07XXX
    99223AInitial hospital care2.99NANA1.071.110.10NANA4.164.20XXX
    99231ASubsequent hospital care0.64NANA0.240.280.02NANA0.900.94XXX
    99232ASubsequent hospital care1.06NANA0.380.410.03NANA1.471.50XXX
    99233ASubsequent hospital care1.51NANA0.540.570.05NANA2.102.13XXX
    99234AObserv/hosp same date1.95NANA0.700.710.11NANA2.762.77XXX
    99235AObserv/hosp same date2.81NANA0.031.030.13NANA3.934.74XXX
    99236AObserv/hosp same date3.66NANA1.251.250.17NANA5.085.85XXX
    99238AHospital discharge day1.28NANA0.450.480.04NANA1.771.80XXX
    99239AHospital discharge day1.75NANA0.620.600.05NANA2.422.40XXX
    99241AOffice consultation0.640.600.620.230.260.041.281.300.910.94XXX
    99242AOffice consultation1.291.000.960.490.470.092.382.341.871.85XXX
    99243AOffice consultation1.721.341.270.670.640.103.163.092.492.46XXX
    99244AOffice consultation2.581.781.670.970.900.134.494.383.683.61XXX
    99245AOffice consultation3.432.242.141.291.200.165.835.734.884.79XXX
    99251AInitial inpatient consult0.66NANA0.300.410.04NANA1.001.11XXX
    99252AInitial inpatient consult1.32NANA0.570.630.08NANA1.972.03XXX
    99253AInitial inpatient consult1.82NANA0.760.830.09NANA2.672.74XXX
    99254AInitial inpatient consult2.64NANA1.071.130.11NANA3.823.88XXX
    99255AInitial inpatient consult3.65NANA1.441.510.15NANA5.245.31XXX
    99261AFollow-up inpatient consult0.42NANA0.210.250.02NANA0.650.69XXX
    99262AFollow-up inpatient consult0.85NANA0.370.400.03NANA1.251.28XXX
    99263AFollow-up inpatient consult1.27NANA0.520.570.04NANA1.831.88XXX
    99271AConfirmatory consultation0.450.640.640.210.240.031.121.120.690.72XXX
    99272AConfirmatory consultation0.840.870.850.370.380.061.771.751.271.28XXX
    99273AConfirmatory consultation1.191.091.100.510.520.072.352.361.771.78XXX
    99274AConfirmatory consultation1.731.411.390.730.710.093.233.212.552.53XXX
    99275AConfirmatory consultation2.311.641.700.911.160.104.054.113.323.57XXX
    99281AEmergency dept visit0.33NANA0.090.140.02NANA0.440.49XXX
    99282AEmergency dept visit0.55NANA0.150.220.03NANA0.730.80XXX
    99283AEmergency dept visit1.24NANA0.320.370.08NANA1.641.69XXX
    99284AEmergency dept visit1.95NANA0.490.560.12NANA2.562.63XXX
    99285AEmergency dept visit3.06NANA0.740.860.19NANA3.994.11XXX
    99288BDirect advanced life support0.000.000.000.000.000.000.000.000.000.00XXX
    99291ACritical care, first hour4.001.571.571.321.380.145.715.715.465.52XXX
    99292ACritical care, addl 30 min2.000.850.810.650.660.072.922.882.722.73ZZZ
    99295ANeonatal critical care16.00NANA4.865.020.70NANA21.5621.72XXX
    99296ANeonatal critical care8.00NANA2.612.630.23NANA10.8410.86XXX
    99297ANeonatal critical care4.00NANA1.321.320.12NANA5.445.44XXX
    99298ANeonatal critical care2.75NANA0.960.960.10NANA3.813.81XXX
    99301ANursing facility care1.20NANA0.420.440.04NANA1.661.68XXX
    99302ANursing facility care1.61NANA0.560.560.05NANA2.222.22XXX
    99303ANursing facility care2.01NANA0.690.780.06NANA2.762.85XXX
    99311ANursing fac care, subseq0.60NANA0.210.250.02NANA0.830.87XXX
    99312ANursing fac care, subseq1.00NANA0.340.370.03NANA1.371.40XXX
    99313ANursing fac care, subseq1.42NANA0.490.490.04NANA1.951.95XXX
    99315ANursing fac discharge day1.13NANA0.390.430.04NANA1.561.60XXX
    99316ANursing fac discharge day1.50NANA0.520.530.05NANA2.072.08XXX
    99321ARest home visit, new patient0.710.430.420.350.360.021.161.151.081.09XXX
    99322ARest home visit, new patient1.010.680.650.450.480.031.721.691.491.52XXX
    99323ARest home visit, new patient1.280.930.900.560.620.042.252.221.881.94XXX
    99331ARest home visit, est pat0.600.470.430.310.310.021.091.050.930.93XXX
    99332ARest home visit, est pat0.800.590.540.380.380.031.421.371.211.21XXX
    99333ARest home visit, est pat1.000.720.660.450.460.031.751.691.481.49XXX
    99341AHome visit, new patient1.010.540.550.480.510.051.601.611.541.57XXX
    99342AHome visit, new patient1.520.840.790.680.670.052.412.362.252.24XXX
    99343AHome visit, new patient2.271.301.191.281.170.073.643.533.623.51XXX
    99344AHome visit, new patient3.031.601.431.301.210.104.734.564.434.34XXX
    99345AHome visit, new patient3.791.851.621.361.250.125.765.535.275.16XXX
    99347AHome visit, est patient0.760.470.480.360.390.031.261.271.151.18XXX
    99348AHome visit, est patient1.260.720.690.530.540.042.021.991.831.84XXX
    99349AHome visit, est patient2.021.070.970.800.770.063.153.052.882.85XXX
    99350AHome visit, est patient3.031.481.321.161.080.104.614.454.294.21XXX
    99354AProlonged service, office1.771.431.280.630.580.063.263.112.462.41ZZZ
    99355AProlonged service, office1.771.231.130.620.570.063.062.962.452.40ZZZ
    99356AProlonged service, inpatient1.71NANA0.600.680.06NANA2.372.45ZZZ
    99357AProlonged service, inpatient1.71NANA0.620.700.06NANA2.392.47ZZZ
    99358BProlonged serv, w/o contact0.000.000.000.000.000.000.000.000.000.00ZZZ
    99359BProlonged serv, w/o contact0.000.000.000.000.000.000.000.000.000.00ZZZ
    Start Printed Page 65556
    99360XPhysician standby services0.000.000.000.000.000.000.000.000.000.00XXX
    99361BPhysician/team conference0.000.000.000.000.000.000.000.000.000.00XXX
    99362BPhysician/team conference0.000.000.000.000.000.000.000.000.000.00XXX
    99371BPhysician phone consultation0.000.000.000.000.000.000.000.000.000.00XXX
    99372BPhysician phone consultation0.000.000.000.000.000.000.000.000.000.00XXX
    99373BPhysician phone consultation0.000.000.000.000.000.000.000.000.000.00XXX
    99374BHome health care supervision+1.101.421.200.440.470.042.562.341.581.61XXX
    99375NHome health care supervision0.000.000.000.000.000.000.000.000.000.00XXX
    99377BHospice care supervision+1.101.421.200.440.470.042.562.341.581.61XXX
    99378NHospice care supervision0.000.000.000.000.000.000.000.000.000.00XXX
    99379BNursing fac care supervision+1.101.421.200.440.470.032.552.331.571.60XXX
    99380BNursing fac care supervision+1.731.671.390.690.660.053.453.172.472.44XXX
    99381NPrev visit, new, infant+1.191.461.430.480.690.042.692.661.711.92XXX
    99382NPrev visit, new, age 1-4+1.361.501.510.540.790.042.902.911.942.19XXX
    99383NPrev visit, new, age 5-11+1.361.441.460.540.790.042.842.861.942.19XXX
    99384NPrev visit, new, age 12-17+1.531.521.570.610.890.053.103.152.192.47XXX
    99385NPrev visit, new, age 18-39+1.531.521.520.610.840.053.103.102.192.42XXX
    99386NPrev visit, new, age 40-64+1.881.711.750.751.030.063.653.692.692.97XXX
    99387NPrev visit, new, 65 & over+2.061.831.880.821.130.063.954.002.943.25XXX
    99391NPrev visit, est, infant+1.020.991.030.410.600.032.042.081.461.65XXX
    99392NPrev visit, est, age 1-4+1.191.061.130.480.690.042.292.361.711.92XXX
    99393NPrev visit, est, age 5-11+1.191.031.110.480.690.042.262.341.711.92XXX
    99394NPrev visit, est, age 12-17+1.361.111.220.540.790.042.512.621.942.19XXX
    99395NPrev visit, est, age 18-39+1.361.141.200.540.750.042.542.601.942.15XXX
    99396NPrev visit, est, age 40-64+1.531.231.300.610.840.052.812.882.192.42XXX
    99397NPrev visit, est, 65 & over+1.711.341.430.680.930.053.103.192.442.69XXX
    99401NPreventive counseling, indiv+0.480.590.570.190.270.011.081.060.680.76XXX
    99402NPreventive counseling, indiv+0.980.840.870.390.540.021.841.871.391.54XXX
    99403NPreventive counseling, indiv+1.461.081.170.580.800.032.572.662.072.29XXX
    99404NPreventive counseling, indiv+1.951.321.470.781.070.043.313.462.773.06XXX
    99411NPreventive counseling, group+0.150.170.170.060.080.010.330.330.220.24XXX
    99412NPreventive counseling, group+0.250.240.240.100.140.010.500.500.360.40XXX
    99420NHealth risk assessment test0.000.000.000.000.000.000.000.000.000.00XXX
    99429NUnlisted preventive service0.000.000.000.000.000.000.000.000.000.00XXX
    99431AInitial care, normal newborn1.17NANA0.360.600.04NANA1.571.81XXX
    99432ANewborn care, not in hosp1.261.141.210.330.600.062.462.531.651.92XXX
    99433ANormal newborn care/hospital0.62NANA0.200.320.02NANA0.840.96XXX
    99435ANewborn discharge day hosp1.50NANA0.570.850.05NANA2.122.40XXX
    99436AAttendance, birth1.500.600.870.460.770.052.152.422.012.32XXX
    99440ANewborn resuscitation2.93NANA0.861.470.11NANA3.904.51XXX
    99450NLife/disability evaluation0.000.000.000.000.000.000.000.000.000.00XXX
    99455RDisability examination0.000.000.000.000.000.000.000.000.000.00XXX
    99456RDisability examination0.000.000.000.000.000.000.000.000.000.00XXX
    99499CUnlisted e&m service0.000.000.000.000.000.000.000.000.000.00XXX
    A0021IOutside state ambulance serv0.000.000.000.000.000.000.000.000.000.00XXX
    A0030DAir ambulance service0.000.000.000.000.000.000.000.000.000.00XXX
    A0040DHelicopter ambulance service0.000.000.000.000.000.000.000.000.000.00XXX
    A0050DWater amb service emergency0.000.000.000.000.000.000.000.000.000.00XXX
    A0080INoninterest escort in non er0.000.000.000.000.000.000.000.000.000.00XXX
    A0090IInterest escort in non er0.000.000.000.000.000.000.000.000.000.00XXX
    A0100INonemergency transport taxi0.000.000.000.000.000.000.000.000.000.00XXX
    A0110INonemergency transport bus0.000.000.000.000.000.000.000.000.000.00XXX
    A0120INoner transport mini-bus0.000.000.000.000.000.000.000.000.000.00XXX
    A0130INoner transport wheelch van0.000.000.000.000.000.000.000.000.000.00XXX
    A0140INonemergency transport air0.000.000.000.000.000.000.000.000.000.00XXX
    A0160INoner transport case worker0.000.000.000.000.000.000.000.000.000.00XXX
    A0170INoner transport parking fees0.000.000.000.000.000.000.000.000.000.00XXX
    A0180INoner transport lodgng recip0.000.000.000.000.000.000.000.000.000.00XXX
    A0190INoner transport meals recip0.000.000.000.000.000.000.000.000.000.00XXX
    A0200INoner transport lodgng escrt0.000.000.000.000.000.000.000.000.000.00XXX
    A0210INoner transport meals escort0.000.000.000.000.000.000.000.000.000.00XXX
    A0225XNeonatal emergency transport0.000.000.000.000.000.000.000.000.000.00XXX
    A0300DAmbulance basic non-emer all0.000.000.000.000.000.000.000.000.000.00XXX
    A0302DAmbulance basic emergeny all0.000.000.000.000.000.000.000.000.000.00XXX
    A0304DAmb adv non-er no serv all0.000.000.000.000.000.000.000.000.000.00XXX
    A0306DAmb adv non-er spec serv all0.000.000.000.000.000.000.000.000.000.00XXX
    A0308DAmb adv er no spec serv all0.000.000.000.000.000.000.000.000.000.00XXX
    A0310DAmb adv er spec serv all0.000.000.000.000.000.000.000.000.000.00XXX
    A0320DAmb basic non-er + supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A0322DAmb basic emerg + supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A0324DAdv non-er serv sep mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0326DAdv non-er no serv sep mile0.000.000.000.000.000.000.000.000.000.00XXX
    A0328DAdv er no serv sep mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0330DAdv er spec serv sep mile0.000.000.000.000.000.000.000.000.000.00XXX
    A0340DAmb basic non-er + mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0342DAmbul basic emer + mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0344DAmb adv non-er no serv +mile0.000.000.000.000.000.000.000.000.000.00XXX
    A0346DAmb adv non-er serv + mile0.000.000.000.000.000.000.000.000.000.00XXX
    A0348DAdv emer no spec serv + mile0.000.000.000.000.000.000.000.000.000.00XXX
    A0350DAdv emer spec serv + mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0360DBasic non-er sep mile & supp0.000.000.000.000.000.000.000.000.000.00XXX
    A0362DBasic emer sep mile & supply0.000.000.000.000.000.000.000.000.000.00XXX
    A0364DAdv non-er no serv sep mi&su0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65557
    A0366DAdv non-er serv sep mil&supp0.000.000.000.000.000.000.000.000.000.00XXX
    A0368XAdv er no serv sep mile&supp0.000.000.000.000.000.000.000.000.000.00XXX
    A0370DAdv er spec serv sep mi&supp0.000.000.000.000.000.000.000.000.000.00XXX
    A0380DBasic life support mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0382XBasic support routine suppls0.000.000.000.000.000.000.000.000.000.00XXX
    A0384XBls defibrillation supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A0390DAdvanced life support mileag0.000.000.000.000.000.000.000.000.000.00XXX
    A0392XAls defibrillation supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A0394XAls IV drug therapy supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A0396XAls esophageal intub suppls0.000.000.000.000.000.000.000.000.000.00XXX
    A0398XAls routine disposble suppls0.000.000.000.000.000.000.000.000.000.00XXX
    A0420XAmbulance waiting 1/2 hr0.000.000.000.000.000.000.000.000.000.00XXX
    A0422XAmbulance 02 life sustaining0.000.000.000.000.000.000.000.000.000.00XXX
    A0424XExtra ambulance attendant0.000.000.000.000.000.000.000.000.000.00XXX
    A0425XGround mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0426XAls 10.000.000.000.000.000.000.000.000.000.00XXX
    A0427XALS1-emergency0.000.000.000.000.000.000.000.000.000.00XXX
    A0428Xbls0.000.000.000.000.000.000.000.000.000.00XXX
    A0429XBLS-emergency0.000.000.000.000.000.000.000.000.000.00XXX
    A0430XFixed wing air transport0.000.000.000.000.000.000.000.000.000.00XXX
    A0431XRotary wing air transport0.000.000.000.000.000.000.000.000.000.00XXX
    A0432XPI volunteer ambulance co0.000.000.000.000.000.000.000.000.000.00XXX
    A0433Xals 20.000.000.000.000.000.000.000.000.000.00XXX
    A0434XSpecialty care transport0.000.000.000.000.000.000.000.000.000.00XXX
    A0435XFixed wing air mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0436XRotary wing air mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0888NNoncovered ambulance mileage0.000.000.000.000.000.000.000.000.000.00XXX
    A0999XUnlisted ambulance service0.000.000.000.000.000.000.000.000.000.00XXX
    A4206I1 CC sterile syringe&needle0.000.000.000.000.000.000.000.000.000.00XXX
    A4207I2 CC sterile syringe&needle0.000.000.000.000.000.000.000.000.000.00XXX
    A4208I3 CC sterile syringe&needle0.000.000.000.000.000.000.000.000.000.00XXX
    A4209I5+ CC sterile syringe&needle0.000.000.000.000.000.000.000.000.000.00XXX
    A4210NNonneedle injection device0.000.000.000.000.000.000.000.000.000.00XXX
    A4211PSupp for self-adm injections0.000.000.000.000.000.000.000.000.000.00XXX
    A4212PNon coring needle or stylet0.000.000.000.000.000.000.000.000.000.00XXX
    A4213I20+ CC syringe only0.000.000.000.000.000.000.000.000.000.00XXX
    A4214P30 CC sterile water/saline0.000.000.000.000.000.000.000.000.000.00XXX
    A4215ISterile needle0.000.000.000.000.000.000.000.000.000.00XXX
    A4220PInfusion pump refill kit0.000.000.000.000.000.000.000.000.000.00XXX
    A4221XMaint drug infus cath per wk0.000.000.000.000.000.000.000.000.000.00XXX
    A4222XDrug infusion pump supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A4230XInfus insulin pump non needl0.000.000.000.000.000.000.000.000.000.00XXX
    A4231XInfusion insulin pump needle0.000.000.000.000.000.000.000.000.000.00XXX
    A4232XSyringe w/needle insulin 3cc0.000.000.000.000.000.000.000.000.000.00XXX
    A4244IAlcohol or peroxide per pint0.000.000.000.000.000.000.000.000.000.00XXX
    A4245IAlcohol wipes per box0.000.000.000.000.000.000.000.000.000.00XXX
    A4246IBetadine/phisohex solution0.000.000.000.000.000.000.000.000.000.00XXX
    A4247IBetadine/iodine swabs/wipes0.000.000.000.000.000.000.000.000.000.00XXX
    A4250NUrine reagent strips/tablets0.000.000.000.000.000.000.000.000.000.00XXX
    A4253PBlood glucose/reagent strips0.000.000.000.000.000.000.000.000.000.00XXX
    A4254XBattery for glucose monitor0.000.000.000.000.000.000.000.000.000.00XXX
    A4255XGlucose monitor platforms0.000.000.000.000.000.000.000.000.000.00XXX
    A4256PCalibrator solution/chips0.000.000.000.000.000.000.000.000.000.00XXX
    A4258PLancet device each0.000.000.000.000.000.000.000.000.000.00XXX
    A4259PLancets per box0.000.000.000.000.000.000.000.000.000.00XXX
    A4260NLevonorgestrel implant0.000.000.000.000.000.000.000.000.000.00XXX
    A4261NCervical cap contraceptive0.000.000.000.000.000.000.000.000.000.00XXX
    A4262BTemporary tear duct plug0.000.000.000.000.000.000.000.000.000.00XXX
    A4263APermanent tear duct plug0.000.000.260.000.260.000.000.260.000.26XXX
    A4265PParaffin0.000.000.000.000.000.000.000.000.000.00XXX
    A4270BDisposable endoscope sheath0.000.000.000.000.000.000.000.000.000.00XXX
    A4280XBrst prsths adhsv attchmnt0.000.000.000.000.000.000.000.000.000.00XXX
    A4290XSacral nerve stim test lead0.000.000.000.000.000.000.000.000.000.00XXX
    A4300ACath impl vasc access portal0.000.000.260.000.260.000.000.260.000.26XXX
    A4301PImplantable access syst perc0.000.000.000.000.000.000.000.000.000.00XXX
    A4305PDrug delivery system >=50 ML0.000.000.000.000.000.000.000.000.000.00XXX
    A4306PDrug delivery system <=5 ML0.000.000.000.000.000.000.000.000.000.00XXX
    A4310PInsert tray w/o bag/cath0.000.000.000.000.000.000.000.000.000.00XXX
    A4311PCatheter w/o bag 2-way latex0.000.000.000.000.000.000.000.000.000.00XXX
    A4312PCath w/o bag 2-way silicone0.000.000.000.000.000.000.000.000.000.00XXX
    A4313PCatheter w/bag 3-way0.000.000.000.000.000.000.000.000.000.00XXX
    A4314PCath w/drainage 2-way latex0.000.000.000.000.000.000.000.000.000.00XXX
    A4315PCath w/drainage 2-way silcne0.000.000.000.000.000.000.000.000.000.00XXX
    A4316PCath w/drainage 3-way0.000.000.000.000.000.000.000.000.000.00XXX
    A4319XSterile H2O irrigation solut0.000.000.000.000.000.000.000.000.000.00XXX
    A4320PIrrigation tray0.000.000.000.000.000.000.000.000.000.00XXX
    A4321XCath therapeutic irrig agent0.000.000.000.000.000.000.000.000.000.00XXX
    A4322PIrrigation syringe0.000.000.000.000.000.000.000.000.000.00XXX
    A4323PSaline irrigation solution0.000.000.000.000.000.000.000.000.000.00XXX
    A4324XMale ext cath w/adh coating0.000.000.000.000.000.000.000.000.000.00XXX
    A4325XMale ext cath w/adh strip0.000.000.000.000.000.000.000.000.000.00XXX
    A4326PMale external catheter0.000.000.000.000.000.000.000.000.000.00XXX
    A4327PFem urinary collect dev cup0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65558
    A4328PFem urinary collect pouch0.000.000.000.000.000.000.000.000.000.00XXX
    A4329PExternal catheter start set0.000.000.000.000.000.000.000.000.000.00XXX
    A4330PStool collection pouch0.000.000.000.000.000.000.000.000.000.00XXX
    A4331XExtension drainage tubing0.000.000.000.000.000.000.000.000.000.00XXX
    A4332XLubricant for cath insertion0.000.000.000.000.000.000.000.000.000.00XXX
    A4333XUrinary cath anchor device0.000.000.000.000.000.000.000.000.000.00XXX
    A4334XUrinary cath leg strap0.000.000.000.000.000.000.000.000.000.00XXX
    A4335PIncontinence supply0.000.000.000.000.000.000.000.000.000.00XXX
    A4338PIndwelling catheter latex0.000.000.000.000.000.000.000.000.000.00XXX
    A4340PIndwelling catheter special0.000.000.000.000.000.000.000.000.000.00XXX
    A4344PCath indw foley 2 way silicn0.000.000.000.000.000.000.000.000.000.00XXX
    A4346PCath indw foley 3 way0.000.000.000.000.000.000.000.000.000.00XXX
    A4347PMale external catheter0.000.000.000.000.000.000.000.000.000.00XXX
    A4348XMale ext cath extended wear0.000.000.000.000.000.000.000.000.000.00XXX
    A4351PStraight tip urine catheter0.000.000.000.000.000.000.000.000.000.00XXX
    A4352PCoude tip urinary catheter0.000.000.000.000.000.000.000.000.000.00XXX
    A4353XIntermittent urinary cath0.000.000.000.000.000.000.000.000.000.00XXX
    A4354PCath insertion tray w/bag0.000.000.000.000.000.000.000.000.000.00XXX
    A4355PBladder irrigation tubing0.000.000.000.000.000.000.000.000.000.00XXX
    A4356PExt ureth clmp or compr dvc0.000.000.000.000.000.000.000.000.000.00XXX
    A4357PBedside drainage bag0.000.000.000.000.000.000.000.000.000.00XXX
    A4358PUrinary leg bag0.000.000.000.000.000.000.000.000.000.00XXX
    A4359PUrinary suspensory w/o leg b0.000.000.000.000.000.000.000.000.000.00XXX
    A4361POstomy face plate0.000.000.000.000.000.000.000.000.000.00XXX
    A4362PSolid skin barrier0.000.000.000.000.000.000.000.000.000.00XXX
    A4364PLiq adhes for facial prosth0.000.000.000.000.000.000.000.000.000.00XXX
    A4365XAdhesive remover wipes0.000.000.000.000.000.000.000.000.000.00XXX
    A4367POstomy belt0.000.000.000.000.000.000.000.000.000.00XXX
    A4368XOstomy filter0.000.000.000.000.000.000.000.000.000.00XXX
    A4369XSkin barrier liquid per oz0.000.000.000.000.000.000.000.000.000.00XXX
    A4370XSkin barrier paste per oz0.000.000.000.000.000.000.000.000.000.00XXX
    A4371XSkin barrier powder per oz0.000.000.000.000.000.000.000.000.000.00XXX
    A4372XSkin barrier solid 4x4 equiv0.000.000.000.000.000.000.000.000.000.00XXX
    A4373XSkin barrier with flange0.000.000.000.000.000.000.000.000.000.00XXX
    A4374XSkin barrier extended wear0.000.000.000.000.000.000.000.000.000.00XXX
    A4375XDrainable plastic pch w fcpl0.000.000.000.000.000.000.000.000.000.00XXX
    A4376XDrainable rubber pch w fcplt0.000.000.000.000.000.000.000.000.000.00XXX
    A4377XDrainable plstic pch w/o fp0.000.000.000.000.000.000.000.000.000.00XXX
    A4378XDrainable rubber pch w/o fp0.000.000.000.000.000.000.000.000.000.00XXX
    A4379XUrinary plastic pouch w fcpl0.000.000.000.000.000.000.000.000.000.00XXX
    A4380XUrinary rubber pouch w fcplt0.000.000.000.000.000.000.000.000.000.00XXX
    A4381XUrinary plastic pouch w/o fp0.000.000.000.000.000.000.000.000.000.00XXX
    A4382XUrinary hvy plstc pch w/o fp0.000.000.000.000.000.000.000.000.000.00XXX
    A4383XUrinary rubber pouch w/o fp0.000.000.000.000.000.000.000.000.000.00XXX
    A4384XOstomy faceplt/silicone ring0.000.000.000.000.000.000.000.000.000.00XXX
    A4385XOst skn barrier sld ext wear0.000.000.000.000.000.000.000.000.000.00XXX
    A4386XOst skn barrier w flng ex wr0.000.000.000.000.000.000.000.000.000.00XXX
    A4387XOst clsd pouch w att st barr0.000.000.000.000.000.000.000.000.000.00XXX
    A4388XDrainable pch w ex wear barr0.000.000.000.000.000.000.000.000.000.00XXX
    A4389XDrainable pch w st wear barr0.000.000.000.000.000.000.000.000.000.00XXX
    A4390XDrainable pch ex wear convex0.000.000.000.000.000.000.000.000.000.00XXX
    A4391XUrinary pouch w ex wear barr0.000.000.000.000.000.000.000.000.000.00XXX
    A4392XUrinary pouch w st wear barr0.000.000.000.000.000.000.000.000.000.00XXX
    A4393XUrine pch w ex wear bar conv0.000.000.000.000.000.000.000.000.000.00XXX
    A4394XOstomy pouch liq deodorant0.000.000.000.000.000.000.000.000.000.00XXX
    A4395XOstomy pouch solid deodorant0.000.000.000.000.000.000.000.000.000.00XXX
    A4396XPeristomal hernia supprt blt0.000.000.000.000.000.000.000.000.000.00XXX
    A4397PIrrigation supply sleeve0.000.000.000.000.000.000.000.000.000.00XXX
    A4398POstomy irrigation bag0.000.000.000.000.000.000.000.000.000.00XXX
    A4399POstomy irrig cone/cath w brs0.000.000.000.000.000.000.000.000.000.00XXX
    A4400POstomy irrigation set0.000.000.000.000.000.000.000.000.000.00XXX
    A4402PLubricant per ounce0.000.000.000.000.000.000.000.000.000.00XXX
    A4404POstomy ring each0.000.000.000.000.000.000.000.000.000.00XXX
    A4421POstomy supply misc0.000.000.000.000.000.000.000.000.000.00XXX
    A4454PTape all types all sizes0.000.000.000.000.000.000.000.000.000.00XXX
    A4455PAdhesive remover per ounce0.000.000.000.000.000.000.000.000.000.00XXX
    A4460PElastic compression bandage0.000.000.000.000.000.000.000.000.000.00XXX
    A4462XAbdmnl drssng holder/binder0.000.000.000.000.000.000.000.000.000.00XXX
    A4464NJoint support device/garment0.000.000.000.000.000.000.000.000.000.00XXX
    A4465PNon-elastic extremity binder0.000.000.000.000.000.000.000.000.000.00XXX
    A4470PGravlee jet washer0.000.000.000.000.000.000.000.000.000.00XXX
    A4480PVabra aspirator0.000.000.000.000.000.000.000.000.000.00XXX
    A4481XTracheostoma filter0.000.000.000.000.000.000.000.000.000.00XXX
    A4483XMoisture exchanger0.000.000.000.000.000.000.000.000.000.00XXX
    A4490NAbove knee surgical stocking0.000.000.000.000.000.000.000.000.000.00XXX
    A4495NThigh length surg stocking0.000.000.000.000.000.000.000.000.000.00XXX
    A4500NBelow knee surgical stocking0.000.000.000.000.000.000.000.000.000.00XXX
    A4510NFull length surg stocking0.000.000.000.000.000.000.000.000.000.00XXX
    A4550ASurgical trays0.000.000.260.000.260.000.000.260.000.26XXX
    A4554NDisposable underpads0.000.000.000.000.000.000.000.000.000.00XXX
    A4556PElectrodes, pair0.000.000.000.000.000.000.000.000.000.00XXX
    A4557PLead wires, pair0.000.000.000.000.000.000.000.000.000.00XXX
    A4558PConductive paste or gel0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65559
    A4560DPessary0.000.000.000.000.000.000.000.000.000.00XXX
    A4561XPessary rubber, any type0.000.000.000.000.000.000.000.000.000.00XXX
    A4562XPessary, non rubber,any type0.000.000.000.000.000.000.000.000.000.00XXX
    A4565XSlings0.000.000.000.000.000.000.000.000.000.00XXX
    A4570XSplint0.000.000.000.000.000.000.000.000.000.00XXX
    A4572XRib belt0.000.000.000.000.000.000.000.000.000.00XXX
    A4575NHyperbaric o2 chamber disps0.000.000.000.000.000.000.000.000.000.00XXX
    A4580XCast supplies (plaster)0.000.000.000.000.000.000.000.000.000.00XXX
    A4590XSpecial casting material0.000.000.000.000.000.000.000.000.000.00XXX
    A4595XTENS suppl 2 lead per month0.000.000.000.000.000.000.000.000.000.00XXX
    A4608XTranstracheal oxygen cath0.000.000.000.000.000.000.000.000.000.00XXX
    A4611XHeavy duty battery0.000.000.000.000.000.000.000.000.000.00XXX
    A4612XBattery cables0.000.000.000.000.000.000.000.000.000.00XXX
    A4613XBattery charger0.000.000.000.000.000.000.000.000.000.00XXX
    A4614XHand-held PEFR meter0.000.000.000.000.000.000.000.000.000.00XXX
    A4615XCannula nasal0.000.000.000.000.000.000.000.000.000.00XXX
    A4616XTubing (oxygen) per foot0.000.000.000.000.000.000.000.000.000.00XXX
    A4617XMouth piece0.000.000.000.000.000.000.000.000.000.00XXX
    A4618XBreathing circuits0.000.000.000.000.000.000.000.000.000.00XXX
    A4619XFace tent0.000.000.000.000.000.000.000.000.000.00XXX
    A4620XVariable concentration mask0.000.000.000.000.000.000.000.000.000.00XXX
    A4621XTracheotomy mask or collar0.000.000.000.000.000.000.000.000.000.00XXX
    A4622XTracheostomy or larngectomy0.000.000.000.000.000.000.000.000.000.00XXX
    A4623XTracheostomy inner cannula0.000.000.000.000.000.000.000.000.000.00XXX
    A4624XTracheal suction tube0.000.000.000.000.000.000.000.000.000.00XXX
    A4625XTrach care kit for new trach0.000.000.000.000.000.000.000.000.000.00XXX
    A4626XTracheostomy cleaning brush0.000.000.000.000.000.000.000.000.000.00XXX
    A4627NSpacer bag/reservoir0.000.000.000.000.000.000.000.000.000.00XXX
    A4628XOropharyngeal suction cath0.000.000.000.000.000.000.000.000.000.00XXX
    A4629XTracheostomy care kit0.000.000.000.000.000.000.000.000.000.00XXX
    A4630XRepl bat t.e.n.s. own by pt0.000.000.000.000.000.000.000.000.000.00XXX
    A4631XWheelchair battery0.000.000.000.000.000.000.000.000.000.00XXX
    A4635XUnderarm crutch pad0.000.000.000.000.000.000.000.000.000.00XXX
    A4636XHandgrip for cane etc0.000.000.000.000.000.000.000.000.000.00XXX
    A4637XRepl tip cane/crutch/walker0.000.000.000.000.000.000.000.000.000.00XXX
    A4640XAlternating pressure pad0.000.000.000.000.000.000.000.000.000.00XXX
    A4641EDiagnostic imaging agent0.000.000.000.000.000.000.000.000.000.00XXX
    A4642ESatumomab pendetide per dose0.000.000.000.000.000.000.000.000.000.00XXX
    A4643EHigh dose contrast MRI0.000.000.000.000.000.000.000.000.000.00XXX
    A4644EContrast 100-199 MGs iodine0.000.000.000.000.000.000.000.000.000.00XXX
    A4645EContrast 200-299 MGs iodine0.000.000.000.000.000.000.000.000.000.00XXX
    A4646EContrast 300-399 MGs iodine0.000.000.000.000.000.000.000.000.000.00XXX
    A4647BSupp- paramagnetic contr mat0.000.000.000.000.000.000.000.000.000.00XXX
    A4649PSurgical supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A4650XSupp esrd centrifuge0.000.000.000.000.000.000.000.000.000.00XXX
    A4655XEsrd syringe/needle0.000.000.000.000.000.000.000.000.000.00XXX
    A4660XEsrd blood pressure device0.000.000.000.000.000.000.000.000.000.00XXX
    A4663XEsrd blood pressure cuff0.000.000.000.000.000.000.000.000.000.00XXX
    A4670NAuto blood pressure monitor0.000.000.000.000.000.000.000.000.000.00XXX
    A4680XActivated carbon filters0.000.000.000.000.000.000.000.000.000.00XXX
    A4690XDialyzers0.000.000.000.000.000.000.000.000.000.00XXX
    A4700XStandard dialysate solution0.000.000.000.000.000.000.000.000.000.00XXX
    A4705XBicarb dialysate solution0.000.000.000.000.000.000.000.000.000.00XXX
    A4712XSterile water0.000.000.000.000.000.000.000.000.000.00XXX
    A4714XTreated water for dialysis0.000.000.000.000.000.000.000.000.000.00XXX
    A4730XFistula cannulation set dial0.000.000.000.000.000.000.000.000.000.00XXX
    A4735XLocal/topical anesthetics0.000.000.000.000.000.000.000.000.000.00XXX
    A4740XEsrd shunt accessory0.000.000.000.000.000.000.000.000.000.00XXX
    A4750XArterial or venous tubing0.000.000.000.000.000.000.000.000.000.00XXX
    A4755XArterial and venous tubing0.000.000.000.000.000.000.000.000.000.00XXX
    A4760XStandard testing solution0.000.000.000.000.000.000.000.000.000.00XXX
    A4765XDialysate concentrate0.000.000.000.000.000.000.000.000.000.00XXX
    A4770XBlood testing supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A4771XBlood clotting time tube0.000.000.000.000.000.000.000.000.000.00XXX
    A4772XDextrostick/glucose strips0.000.000.000.000.000.000.000.000.000.00XXX
    A4773XHemostix0.000.000.000.000.000.000.000.000.000.00XXX
    A4774XAmmonia test paper0.000.000.000.000.000.000.000.000.000.00XXX
    A4780XEsrd sterilizing agent0.000.000.000.000.000.000.000.000.000.00XXX
    A4790XEsrd cleansing agents0.000.000.000.000.000.000.000.000.000.00XXX
    A4800XHeparin/antidote dialysis0.000.000.000.000.000.000.000.000.000.00XXX
    A4820XSupplies hemodialysis kit0.000.000.000.000.000.000.000.000.000.00XXX
    A4850XRubber tipped hemostats0.000.000.000.000.000.000.000.000.000.00XXX
    A4860XDisposable catheter caps0.000.000.000.000.000.000.000.000.000.00XXX
    A4870XPlumbing/electrical work0.000.000.000.000.000.000.000.000.000.00XXX
    A4880XWater storage tanks0.000.000.000.000.000.000.000.000.000.00XXX
    A4890RContracts/repair/maintenance0.000.000.000.000.000.000.000.000.000.00XXX
    A4900XCapd supply kit0.000.000.000.000.000.000.000.000.000.00XXX
    A4901XCcpd supply kit0.000.000.000.000.000.000.000.000.000.00XXX
    A4905XIpd supply kit0.000.000.000.000.000.000.000.000.000.00XXX
    A4910XEsrd nonmedical supplies0.000.000.000.000.000.000.000.000.000.00XXX
    A4912XGomco drain bottle0.000.000.000.000.000.000.000.000.000.00XXX
    A4913XEsrd supply0.000.000.000.000.000.000.000.000.000.00XXX
    A4914XPreparation kit0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65560
    A4918XVenous pressure clamp0.000.000.000.000.000.000.000.000.000.00XXX
    A4919XSupp dialysis dialyzer holde0.000.000.000.000.000.000.000.000.000.00XXX
    A4920XHarvard pressure clamp0.000.000.000.000.000.000.000.000.000.00XXX
    A4921XMeasuring cylinder0.000.000.000.000.000.000.000.000.000.00XXX
    A4927XGloves0.000.000.000.000.000.000.000.000.000.00XXX
    A5051PPouch clsd w barr attached0.000.000.000.000.000.000.000.000.000.00XXX
    A5052PClsd ostomy pouch w/o barr0.000.000.000.000.000.000.000.000.000.00XXX
    A5053PClsd ostomy pouch faceplate0.000.000.000.000.000.000.000.000.000.00XXX
    A5054PClsd ostomy pouch w/flange0.000.000.000.000.000.000.000.000.000.00XXX
    A5055PStoma cap0.000.000.000.000.000.000.000.000.000.00XXX
    A5061PPouch drainable w barrier at0.000.000.000.000.000.000.000.000.000.00XXX
    A5062PDrnble ostomy pouch w/o barr0.000.000.000.000.000.000.000.000.000.00XXX
    A5063PDrain ostomy pouch w/flange0.000.000.000.000.000.000.000.000.000.00XXX
    A5064IDrain ostomy pouch w/fceplte0.000.000.000.000.000.000.000.000.000.00XXX
    A5065DDrain ostomy pouch on fcplte0.000.000.000.000.000.000.000.000.000.00XXX
    A5071PUrinary pouch w/barrier0.000.000.000.000.000.000.000.000.000.00XXX
    A5072PUrinary pouch w/o barrier0.000.000.000.000.000.000.000.000.000.00XXX
    A5073PUrinary pouch on barr w/flng0.000.000.000.000.000.000.000.000.000.00XXX
    A5074IUrinary pouch w/faceplate0.000.000.000.000.000.000.000.000.000.00XXX
    A5075IUrinary pouch on faceplate0.000.000.000.000.000.000.000.000.000.00XXX
    A5081PContinent stoma plug0.000.000.000.000.000.000.000.000.000.00XXX
    A5082PContinent stoma catheter0.000.000.000.000.000.000.000.000.000.00XXX
    A5093POstomy accessory convex inse0.000.000.000.000.000.000.000.000.000.00XXX
    A5102PBedside drain btl w/wo tube0.000.000.000.000.000.000.000.000.000.00XXX
    A5105PUrinary suspensory0.000.000.000.000.000.000.000.000.000.00XXX
    A5112PUrinary leg bag0.000.000.000.000.000.000.000.000.000.00XXX
    A5113PLatex leg strap0.000.000.000.000.000.000.000.000.000.00XXX
    A5114PFoam/fabric leg strap0.000.000.000.000.000.000.000.000.000.00XXX
    A5119PSkin barrier wipes box pr 500.000.000.000.000.000.000.000.000.000.00XXX
    A5121PSolid skin barrier 6x60.000.000.000.000.000.000.000.000.000.00XXX
    A5122PSolid skin barrier 8x80.000.000.000.000.000.000.000.000.000.00XXX
    A5123PSkin barrier with flange0.000.000.000.000.000.000.000.000.000.00XXX
    A5126PDisk/foam pad +or- adhesive0.000.000.000.000.000.000.000.000.000.00XXX
    A5131PAppliance cleaner0.000.000.000.000.000.000.000.000.000.00XXX
    A5149DIncontinence/ostomy supply0.000.000.000.000.000.000.000.000.000.00XXX
    A5200XPercutaneous catheter anchor0.000.000.000.000.000.000.000.000.000.00XXX
    A5500XDiab shoe for density insert0.000.000.000.000.000.000.000.000.000.00XXX
    A5501XDiabetic custom molded shoe0.000.000.000.000.000.000.000.000.000.00XXX
    A5502XDiabetic shoe density insert0.000.000.000.000.000.000.000.000.000.00XXX
    A5503XDiabetic shoe w/roller/rockr0.000.000.000.000.000.000.000.000.000.00XXX
    A5504XDiabetic shoe with wedge0.000.000.000.000.000.000.000.000.000.00XXX
    A5505XDiab shoe w/metatarsal bar0.000.000.000.000.000.000.000.000.000.00XXX
    A5506XDiabetic shoe w/off set heel0.000.000.000.000.000.000.000.000.000.00XXX
    A5507XModification diabetic shoe0.000.000.000.000.000.000.000.000.000.00XXX
    A5508XDiabetic deluxe shoe0.000.000.000.000.000.000.000.000.000.00XXX
    A6020PCollagen wound dressing0.000.000.000.000.000.000.000.000.000.00XXX
    A6021XCollagen dressing <=16 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6022XCollagen drsg>6<=48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6023XCollagen dressing >48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6024XCollagen dsg wound filler0.000.000.000.000.000.000.000.000.000.00XXX
    A6025ISilicone gel sheet, each0.000.000.000.000.000.000.000.000.000.00XXX
    A6154PWound pouch each0.000.000.000.000.000.000.000.000.000.00XXX
    A6196PAlginate dressing <=16 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6197PAlginate drsg >16 <=48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6198Palginate dressing > 48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6199PAlginate drsg wound filler0.000.000.000.000.000.000.000.000.000.00XXX
    A6200XCompos drsg <=16 no border0.000.000.000.000.000.000.000.000.000.00XXX
    A6201XCompos drsg >16<=48 no bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6202XCompos drsg >48 no border0.000.000.000.000.000.000.000.000.000.00XXX
    A6203PComposite drsg <= 16 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6204PComposite drsg >16<=48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6205PComposite drsg > 48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6206PContact layer <= 16 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6207PContact layer >16<= 48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6208PContact layer > 48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6209PFoam drsg <=16 sq in w/o bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6210PFoam drg >16<=48 sq in w/o b0.000.000.000.000.000.000.000.000.000.00XXX
    A6211PFoam drg > 48 sq in w/o brdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6212PFoam drg <=16 sq in w/border0.000.000.000.000.000.000.000.000.000.00XXX
    A6213PFoam drg >16<=48 sq in w/bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6214PFoam drg > 48 sq in w/border0.000.000.000.000.000.000.000.000.000.00XXX
    A6215PFoam dressing wound filler0.000.000.000.000.000.000.000.000.000.00XXX
    A6216PNon-sterile gauze<=16 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6217PNon-sterile gauze>16<=48 sq0.000.000.000.000.000.000.000.000.000.00XXX
    A6218PNon-sterile gauze > 48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6219PGauze <= 16 sq in w/border0.000.000.000.000.000.000.000.000.000.00XXX
    A6220PGauze >16 <=48 sq in w/bordr0.000.000.000.000.000.000.000.000.000.00XXX
    A6221PGauze > 48 sq in w/border0.000.000.000.000.000.000.000.000.000.00XXX
    A6222PGauze <=16 in no w/sal w/o b0.000.000.000.000.000.000.000.000.000.00XXX
    A6223PGauze >16<=48 no w/sal w/o b0.000.000.000.000.000.000.000.000.000.00XXX
    A6224PGauze > 48 in no w/sal w/o b0.000.000.000.000.000.000.000.000.000.00XXX
    A6228PGauze <= 16 sq in water/sal0.000.000.000.000.000.000.000.000.000.00XXX
    A6229PGauze >16<=48 sq in watr/sal0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65561
    A6230PGauze > 48 sq in water/salne0.000.000.000.000.000.000.000.000.000.00XXX
    A6231XHydrogel dsg<=16 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6232XHydrogel dsg>16<=48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6233XHydrogel dressing >48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6234PHydrocolld drg <=16 w/o bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6235PHydrocolld drg >16<=48 w/o b0.000.000.000.000.000.000.000.000.000.00XXX
    A6236PHydrocolld drg > 48 in w/o b0.000.000.000.000.000.000.000.000.000.00XXX
    A6237PHydrocolld drg <=16 in w/bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6238PHydrocolld drg >16<=48 w/bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6239PHydrocolld drg > 48 in w/bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6240PHydrocolld drg filler paste0.000.000.000.000.000.000.000.000.000.00XXX
    A6241PHydrocolloid drg filler dry0.000.000.000.000.000.000.000.000.000.00XXX
    A6242PHydrogel drg <=16 in w/o bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6243PHydrogel drg >16<=48 w/o bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6244PHydrogel drg >48 in w/o bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6245PHydrogel drg <= 16 in w/bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6246PHydrogel drg >16<=48 in w/b0.000.000.000.000.000.000.000.000.000.00XXX
    A6247PHydrogel drg > 48 sq in w/b0.000.000.000.000.000.000.000.000.000.00XXX
    A6248PHydrogel drsg gel filler0.000.000.000.000.000.000.000.000.000.00XXX
    A6250PSkin seal protect moisturizr0.000.000.000.000.000.000.000.000.000.00XXX
    A6251PAbsorpt drg <=16 sq in w/o b0.000.000.000.000.000.000.000.000.000.00XXX
    A6252PAbsorpt drg >16 <=48 w/o bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6253PAbsorpt drg > 48 sq in w/o b0.000.000.000.000.000.000.000.000.000.00XXX
    A6254PAbsorpt drg <=16 sq in w/bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6255PAbsorpt drg >16<=48 in w/bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6256PAbsorpt drg > 48 sq in w/bdr0.000.000.000.000.000.000.000.000.000.00XXX
    A6257PTransparent film <= 16 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6258PTransparent film >16<=48 in0.000.000.000.000.000.000.000.000.000.00XXX
    A6259PTransparent film > 48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6260PWound cleanser any type/size0.000.000.000.000.000.000.000.000.000.00XXX
    A6261PWound filler gel/paste /oz0.000.000.000.000.000.000.000.000.000.00XXX
    A6262PWound filler dry form / gram0.000.000.000.000.000.000.000.000.000.00XXX
    A6263PNon-sterile elastic gauze/yd0.000.000.000.000.000.000.000.000.000.00XXX
    A6264PNon-sterile no elastic gauze0.000.000.000.000.000.000.000.000.000.00XXX
    A6265PTape per 18 sq inches0.000.000.000.000.000.000.000.000.000.00XXX
    A6266PImpreg gauze no h20/sal/yard0.000.000.000.000.000.000.000.000.000.00XXX
    A6402PSterile gauze <= 16 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6403PSterile gauze>16 <= 48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6404PSterile gauze > 48 sq in0.000.000.000.000.000.000.000.000.000.00XXX
    A6405PSterile elastic gauze /yd0.000.000.000.000.000.000.000.000.000.00XXX
    A6406PSterile non-elastic gauze/yd0.000.000.000.000.000.000.000.000.000.00XXX
    A7000XDisposable canister for pump0.000.000.000.000.000.000.000.000.000.00XXX
    A7001XNondisposable pump canister0.000.000.000.000.000.000.000.000.000.00XXX
    A7002XTubing used w suction pump0.000.000.000.000.000.000.000.000.000.00XXX
    A7003XNebulizer administration set0.000.000.000.000.000.000.000.000.000.00XXX
    A7004XDisposable nebulizer sml vol0.000.000.000.000.000.000.000.000.000.00XXX
    A7005XNondisposable nebulizer set0.000.000.000.000.000.000.000.000.000.00XXX
    A7006XFiltered nebulizer admin set0.000.000.000.000.000.000.000.000.000.00XXX
    A7007XLg vol nebulizer disposable0.000.000.000.000.000.000.000.000.000.00XXX
    A7008XDisposable nebulizer prefill0.000.000.000.000.000.000.000.000.000.00XXX
    A7009XNebulizer reservoir bottle0.000.000.000.000.000.000.000.000.000.00XXX
    A7010XDisposable corrugated tubing0.000.000.000.000.000.000.000.000.000.00XXX
    A7011XNondispos corrugated tubing0.000.000.000.000.000.000.000.000.000.00XXX
    A7012XNebulizer water collec devic0.000.000.000.000.000.000.000.000.000.00XXX
    A7013XDisposable compressor filter0.000.000.000.000.000.000.000.000.000.00XXX
    A7014XCompressor nondispos filter0.000.000.000.000.000.000.000.000.000.00XXX
    A7015XAerosol mask used w nebulize0.000.000.000.000.000.000.000.000.000.00XXX
    A7016XNebulizer dome & mouthpiece0.000.000.000.000.000.000.000.000.000.00XXX
    A7017XNebulizer not used w oxygen0.000.000.000.000.000.000.000.000.000.00XXX
    A7018XWater distilled w/nebulizer0.000.000.000.000.000.000.000.000.000.00XXX
    A7019XSaline solution dispenser0.000.000.000.000.000.000.000.000.000.00XXX
    A7020XSterile H2O or NSS w lgv neb0.000.000.000.000.000.000.000.000.000.00XXX
    A7501XTracheostoma valve w diaphra0.000.000.000.000.000.000.000.000.000.00XXX
    A7502XReplacement diaphragm/fplate0.000.000.000.000.000.000.000.000.000.00XXX
    A7503XHMES filter holder or cap0.000.000.000.000.000.000.000.000.000.00XXX
    A7504XTracheostoma HMES filter0.000.000.000.000.000.000.000.000.000.00XXX
    A7505XHMES or trach valve housing0.000.000.000.000.000.000.000.000.000.00XXX
    A7506XHMES/trachvalve adhesivedisk0.000.000.000.000.000.000.000.000.000.00XXX
    A7507XIntegrated filter & holder0.000.000.000.000.000.000.000.000.000.00XXX
    A7508XHousing & Integrated Adhesiv0.000.000.000.000.000.000.000.000.000.00XXX
    A7509XHeat & moisture exchange sys0.000.000.000.000.000.000.000.000.000.00XXX
    A9150EMisc/exper non-prescript dru0.000.000.000.000.000.000.000.000.000.00XXX
    A9160NPodiatrist non-covered servi0.000.000.000.000.000.000.000.000.000.00XXX
    A9170NChiropractor non-covered ser0.000.000.000.000.000.000.000.000.000.00XXX
    A9190NMisc/expe personal comfort i0.000.000.000.000.000.000.000.000.000.00XXX
    A9270NNon-covered item or service0.000.000.000.000.000.000.000.000.000.00XXX
    A9300NExercise equipment0.000.000.000.000.000.000.000.000.000.00XXX
    A9500ETechnetium TC 99m sestamibi0.000.000.000.000.000.000.000.000.000.00XXX
    A9502XTechnetium TC99M tetrofosmin0.000.000.000.000.000.000.000.000.000.00XXX
    A9503ETechnetium TC 99m medronate0.000.000.000.000.000.000.000.000.000.00XXX
    A9504XTechnetium tc 99m apcitide0.000.000.000.000.000.000.000.000.000.00XXX
    A9505EThallous chloride TL 201/mci0.000.000.000.000.000.000.000.000.000.00XXX
    A9507XIndium/111 capromab pendetid0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65562
    A9508XIobenguane sulfate I-1310.000.000.000.000.000.000.000.000.000.00XXX
    A9510XTechnetium TC99m Disofenin0.000.000.000.000.000.000.000.000.000.00XXX
    A9600XStrontium-89 chloride0.000.000.000.000.000.000.000.000.000.00XXX
    A9605XSamarium sm153 lexidronamm0.000.000.000.000.000.000.000.000.000.00XXX
    A9700XEchocardiography Contrast0.000.000.000.000.000.000.000.000.000.00XXX
    A9900XSupply/accessory/service0.000.000.000.000.000.000.000.000.000.00XXX
    A9901XDelivery/set up/dispensing0.000.000.000.000.000.000.000.000.000.00XXX
    D0120NPeriodic oral evaluation0.000.000.000.000.000.000.000.000.000.00XXX
    D0140NLimit oral eval problm focus0.000.000.000.000.000.000.000.000.000.00XXX
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    D0160NExtensv oral eval prob focus0.000.000.000.000.000.000.000.000.000.00XXX
    D0170NRe-eval,est pt,problem focus0.000.000.000.000.000.000.000.000.000.00XXX
    D0210IIntraor complete film series0.000.000.000.000.000.000.000.000.000.00XXX
    D0220IIntraoral periapical first f0.000.000.000.000.000.000.000.000.000.00XXX
    D0230IIntraoral periapical ea add0.000.000.000.000.000.000.000.000.000.00XXX
    D0240RIntraoral occlusal film0.000.000.000.000.000.000.000.000.000.00YYY
    D0250RExtraoral first film0.000.000.000.000.000.000.000.000.000.00YYY
    D0260RExtraoral ea additional film0.000.000.000.000.000.000.000.000.000.00YYY
    D0270RDental bitewing single film0.000.000.000.000.000.000.000.000.000.00YYY
    D0272RDental bitewings two films0.000.000.000.000.000.000.000.000.000.00YYY
    D0274RDental bitewings four films0.000.000.000.000.000.000.000.000.000.00YYY
    D0277RVert bitewings-sev to eight0.000.000.000.000.000.000.000.000.000.00XXX
    D0290IDental film skull/facial bon0.000.000.000.000.000.000.000.000.000.00XXX
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    D0320IDental tmj arthrogram incl i0.000.000.000.000.000.000.000.000.000.00XXX
    D0321IDental other tmj films0.000.000.000.000.000.000.000.000.000.00XXX
    D0322IDental tomographic survey0.000.000.000.000.000.000.000.000.000.00XXX
    D0330IDental panoramic film0.000.000.000.000.000.000.000.000.000.00XXX
    D0340IDental cephalometric film0.000.000.000.000.000.000.000.000.000.00XXX
    D0350IOral/facial images0.000.000.000.000.000.000.000.000.000.00XXX
    D0415NBacteriologic study0.000.000.000.000.000.000.000.000.000.00XXX
    D0425NCaries susceptibility test0.000.000.000.000.000.000.000.000.000.00XXX
    D0460RPulp vitality test0.000.000.000.000.000.000.000.000.000.00YYY
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    D0474RMicro w exam of surg margins0.000.000.000.000.000.000.000.000.000.00XXX
    D0480RCytopath smear prep & report0.000.000.000.000.000.000.000.000.000.00XXX
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    D1204NTopical fluor w/o prophy adu0.000.000.000.000.000.000.000.000.000.00XXX
    D1205NTopical fluoride w/ prophy a0.000.000.000.000.000.000.000.000.000.00XXX
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    D1320NTobacco counseling0.000.000.000.000.000.000.000.000.000.00XXX
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    D1351NDental sealant per tooth0.000.000.000.000.000.000.000.000.000.00XXX
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    D1515RFixed bilat space maintainer0.000.000.000.000.000.000.000.000.000.00YYY
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    D1525RRemove bilat space maintain0.000.000.000.000.000.000.000.000.000.00YYY
    D1550RRecement space maintainer0.000.000.000.000.000.000.000.000.000.00YYY
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    D2120NAmalgam two surfaces primary0.000.000.000.000.000.000.000.000.000.00XXX
    D2130NAmalgam three surfaces prima0.000.000.000.000.000.000.000.000.000.00XXX
    D2131NAmalgam four/more surf prima0.000.000.000.000.000.000.000.000.000.00XXX
    D2140NAmalgam one surface permanen0.000.000.000.000.000.000.000.000.000.00XXX
    D2150NAmalgam two surfaces permane0.000.000.000.000.000.000.000.000.000.00XXX
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    D2161NAmalgam 4 or > surfaces perm0.000.000.000.000.000.000.000.000.000.00XXX
    D2330NResin one surface-anterior0.000.000.000.000.000.000.000.000.000.00XXX
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    D2336NComposite resin crown0.000.000.000.000.000.000.000.000.000.00XXX
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    D2382NResin three/more surf post p0.000.000.000.000.000.000.000.000.000.00XXX
    D2385NResin one surf poster perman0.000.000.000.000.000.000.000.000.000.00XXX
    D2386NResin two surf poster perman0.000.000.000.000.000.000.000.000.000.00XXX
    D2387NResin three/more surf post p0.000.000.000.000.000.000.000.000.000.00XXX
    D2388NResin four/more, post perm0.000.000.000.000.000.000.000.000.000.00XXX
    D2410NDental gold foil one surface0.000.000.000.000.000.000.000.000.000.00XXX
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    D2530NDental inlay metl 3/more sur0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65563
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    D2544NDental onlay metl 4/more sur0.000.000.000.000.000.000.000.000.000.00XXX
    D2610NInlay porcelain/ceramic 1 su0.000.000.000.000.000.000.000.000.000.00XXX
    D2620NInlay porcelain/ceramic 2 su0.000.000.000.000.000.000.000.000.000.00XXX
    D2630NDental onlay porc 3/more sur0.000.000.000.000.000.000.000.000.000.00XXX
    D2642NDental onlay porcelin 2 surf0.000.000.000.000.000.000.000.000.000.00XXX
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    D2644NDental onlay porc 4/more sur0.000.000.000.000.000.000.000.000.000.00XXX
    D2650NInlay composite/resin one su0.000.000.000.000.000.000.000.000.000.00XXX
    D2651NInlay composite/resin two su0.000.000.000.000.000.000.000.000.000.00XXX
    D2652NDental inlay resin 3/mre sur0.000.000.000.000.000.000.000.000.000.00XXX
    D2662NDental onlay resin 2 surface0.000.000.000.000.000.000.000.000.000.00XXX
    D2663NDental onlay resin 3 surface0.000.000.000.000.000.000.000.000.000.00XXX
    D2664NDental onlay resin 4/mre sur0.000.000.000.000.000.000.000.000.000.00XXX
    D2710NCrown resin laboratory0.000.000.000.000.000.000.000.000.000.00XXX
    D2720NCrown resin w/ high noble me0.000.000.000.000.000.000.000.000.000.00XXX
    D2721NCrown resin w/ base metal0.000.000.000.000.000.000.000.000.000.00XXX
    D2722NCrown resin w/ noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D2740NCrown porcelain/ceramic subs0.000.000.000.000.000.000.000.000.000.00XXX
    D2750NCrown porcelain w/ h noble m0.000.000.000.000.000.000.000.000.000.00XXX
    D2751NCrown porcelain fused base m0.000.000.000.000.000.000.000.000.000.00XXX
    D2752NCrown porcelain w/ noble met0.000.000.000.000.000.000.000.000.000.00XXX
    D2780NCrown 3/4 cast hi noble met0.000.000.000.000.000.000.000.000.000.00XXX
    D2781NCrown 3/4 cast base metal0.000.000.000.000.000.000.000.000.000.00XXX
    D2782NCrown 3/4 cast noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D2783NCrown 3/4 porcelain/ceramic0.000.000.000.000.000.000.000.000.000.00XXX
    D2790NCrown full cast high noble m0.000.000.000.000.000.000.000.000.000.00XXX
    D2791NCrown full cast base metal0.000.000.000.000.000.000.000.000.000.00XXX
    D2792NCrown full cast noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D2799NProvisional crown0.000.000.000.000.000.000.000.000.000.00XXX
    D2910NDental recement inlay0.000.000.000.000.000.000.000.000.000.00XXX
    D2920NDental recement crown0.000.000.000.000.000.000.000.000.000.00XXX
    D2930NPrefab stnlss steel crwn pri0.000.000.000.000.000.000.000.000.000.00XXX
    D2931NPrefab stnlss steel crown pe0.000.000.000.000.000.000.000.000.000.00XXX
    D2932NPrefabricated resin crown0.000.000.000.000.000.000.000.000.000.00XXX
    D2933NPrefab stainless steel crown0.000.000.000.000.000.000.000.000.000.00XXX
    D2940NDental sedative filling0.000.000.000.000.000.000.000.000.000.00XXX
    D2950NCore build-up incl any pins0.000.000.000.000.000.000.000.000.000.00XXX
    D2951NTooth pin retention0.000.000.000.000.000.000.000.000.000.00XXX
    D2952NPost and core cast + crown0.000.000.000.000.000.000.000.000.000.00XXX
    D2953NEach addtnl cast post0.000.000.000.000.000.000.000.000.000.00XXX
    D2954NPrefab post/core + crown0.000.000.000.000.000.000.000.000.000.00XXX
    D2955NPost removal0.000.000.000.000.000.000.000.000.000.00XXX
    D2957NEach addtnl prefab post0.000.000.000.000.000.000.000.000.000.00XXX
    D2960NLaminate labial veneer0.000.000.000.000.000.000.000.000.000.00XXX
    D2961NLab labial veneer resin0.000.000.000.000.000.000.000.000.000.00XXX
    D2962NLab labial veneer porcelain0.000.000.000.000.000.000.000.000.000.00XXX
    D2970RTemporary- fractured tooth0.000.000.000.000.000.000.000.000.000.00YYY
    D2980NCrown repair0.000.000.000.000.000.000.000.000.000.00XXX
    D2999RDental unspec restorative pr0.000.000.000.000.000.000.000.000.000.00YYY
    D3110NPulp cap direct0.000.000.000.000.000.000.000.000.000.00XXX
    D3120NPulp cap indirect0.000.000.000.000.000.000.000.000.000.00XXX
    D3220NTherapeutic pulpotomy0.000.000.000.000.000.000.000.000.000.00XXX
    D3221NGross pulpal debridement0.000.000.000.000.000.000.000.000.000.00XXX
    D3230NPulpal therapy anterior prim0.000.000.000.000.000.000.000.000.000.00XXX
    D3240NPulpal therapy posterior pri0.000.000.000.000.000.000.000.000.000.00XXX
    D3310NAnterior0.000.000.000.000.000.000.000.000.000.00XXX
    D3320NRoot canal therapy 2 canals0.000.000.000.000.000.000.000.000.000.00XXX
    D3330NRoot canal therapy 3 canals0.000.000.000.000.000.000.000.000.000.00XXX
    D3331NNon-surg tx root canal obs0.000.000.000.000.000.000.000.000.000.00XXX
    D3332NIncomplete endodontic tx0.000.000.000.000.000.000.000.000.000.00XXX
    D3333NInternal root repair0.000.000.000.000.000.000.000.000.000.00XXX
    D3346NRetreat root canal anterior0.000.000.000.000.000.000.000.000.000.00XXX
    D3347NRetreat root canal bicuspid0.000.000.000.000.000.000.000.000.000.00XXX
    D3348NRetreat root canal molar0.000.000.000.000.000.000.000.000.000.00XXX
    D3351NApexification/recalc initial0.000.000.000.000.000.000.000.000.000.00XXX
    D3352NApexification/recalc interim0.000.000.000.000.000.000.000.000.000.00XXX
    D3353NApexification/recalc final0.000.000.000.000.000.000.000.000.000.00XXX
    D3410NApicoect/perirad surg anter0.000.000.000.000.000.000.000.000.000.00XXX
    D3421NRoot surgery bicuspid0.000.000.000.000.000.000.000.000.000.00XXX
    D3425NRoot surgery molar0.000.000.000.000.000.000.000.000.000.00XXX
    D3426NRoot surgery ea add root0.000.000.000.000.000.000.000.000.000.00XXX
    D3430NRetrograde filling0.000.000.000.000.000.000.000.000.000.00XXX
    D3450NRoot amputation0.000.000.000.000.000.000.000.000.000.00XXX
    D3460REndodontic endosseous implan0.000.000.000.000.000.000.000.000.000.00YYY
    D3470NIntentional replantation0.000.000.000.000.000.000.000.000.000.00XXX
    D3910NIsolation- tooth w rubb dam0.000.000.000.000.000.000.000.000.000.00XXX
    D3920NTooth splitting0.000.000.000.000.000.000.000.000.000.00XXX
    D3950NCanal prep/fitting of dowel0.000.000.000.000.000.000.000.000.000.00XXX
    D3999REndodontic procedure0.000.000.000.000.000.000.000.000.000.00YYY
    D4210IGingivectomy/plasty per quad0.000.000.000.000.000.000.000.000.000.00XXX
    D4211IGingivectomy/plasty per toot0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65564
    D4220NGingival curettage per quadr0.000.000.000.000.000.000.000.000.000.00XXX
    D4240NGingival flap proc w/ planin0.000.000.000.000.000.000.000.000.000.00XXX
    D4245NApically positioned flap0.000.000.000.000.000.000.000.000.000.00XXX
    D4249NCrown lengthen hard tissue0.000.000.000.000.000.000.000.000.000.00XXX
    D4260ROsseous surgery per quadrant0.000.000.000.000.000.000.000.000.000.00YYY
    D4263RBone replce graft first site0.000.000.000.000.000.000.000.000.000.00YYY
    D4264RBone replce graft each add0.000.000.000.000.000.000.000.000.000.00YYY
    D4266NGuided tiss regen resorble0.000.000.000.000.000.000.000.000.000.00XXX
    D4267NGuided tiss regen nonresorb0.000.000.000.000.000.000.000.000.000.00XXX
    D4268RSurgical revision procedure0.000.000.000.000.000.000.000.000.000.00XXX
    D4270RPedicle soft tissue graft pr0.000.000.000.000.000.000.000.000.000.00YYY
    D4271RFree soft tissue graft proc0.000.000.000.000.000.000.000.000.000.00YYY
    D4273RSubepithelial tissue graft0.000.000.000.000.000.000.000.000.000.00YYY
    D4274NDistal/proximal wedge proc0.000.000.000.000.000.000.000.000.000.00XXX
    D4320NProvision splnt intracoronal0.000.000.000.000.000.000.000.000.000.00XXX
    D4321NProvisional splint extracoro0.000.000.000.000.000.000.000.000.000.00XXX
    D4341NPeriodontal scaling & root0.000.000.000.000.000.000.000.000.000.00XXX
    D4355RFull mouth debridement0.000.000.000.000.000.000.000.000.000.00YYY
    D4381RLocalized chemo delivery0.000.000.000.000.000.000.000.000.000.00YYY
    D4910NPeriodontal maint procedures0.000.000.000.000.000.000.000.000.000.00XXX
    D4920NUnscheduled dressing change0.000.000.000.000.000.000.000.000.000.00XXX
    D4999NUnspecified periodontal proc0.000.000.000.000.000.000.000.000.000.00XXX
    D5110NDentures complete maxillary0.000.000.000.000.000.000.000.000.000.00XXX
    D5120NDentures complete mandible0.000.000.000.000.000.000.000.000.000.00XXX
    D5130NDentures immediat maxillary0.000.000.000.000.000.000.000.000.000.00XXX
    D5140NDentures immediat mandible0.000.000.000.000.000.000.000.000.000.00XXX
    D5211NDentures maxill part resin0.000.000.000.000.000.000.000.000.000.00XXX
    D5212NDentures mand part resin0.000.000.000.000.000.000.000.000.000.00XXX
    D5213NDentures maxill part metal0.000.000.000.000.000.000.000.000.000.00XXX
    D5214NDentures mandibl part metal0.000.000.000.000.000.000.000.000.000.00XXX
    D5281NRemovable partial denture0.000.000.000.000.000.000.000.000.000.00XXX
    D5410NDentures adjust cmplt maxil0.000.000.000.000.000.000.000.000.000.00XXX
    D5411NDentures adjust cmplt mand0.000.000.000.000.000.000.000.000.000.00XXX
    D5421NDentures adjust part maxill0.000.000.000.000.000.000.000.000.000.00XXX
    D5422NDentures adjust part mandbl0.000.000.000.000.000.000.000.000.000.00XXX
    D5510NDentur repr broken compl bas0.000.000.000.000.000.000.000.000.000.00XXX
    D5520NReplace denture teeth complt0.000.000.000.000.000.000.000.000.000.00XXX
    D5610NDentures repair resin base0.000.000.000.000.000.000.000.000.000.00XXX
    D5620NRep part denture cast frame0.000.000.000.000.000.000.000.000.000.00XXX
    D5630NRep partial denture clasp0.000.000.000.000.000.000.000.000.000.00XXX
    D5640NReplace part denture teeth0.000.000.000.000.000.000.000.000.000.00XXX
    D5650NAdd tooth to partial denture0.000.000.000.000.000.000.000.000.000.00XXX
    D5660NAdd clasp to partial denture0.000.000.000.000.000.000.000.000.000.00XXX
    D5710NDentures rebase cmplt maxil0.000.000.000.000.000.000.000.000.000.00XXX
    D5711NDentures rebase cmplt mand0.000.000.000.000.000.000.000.000.000.00XXX
    D5720NDentures rebase part maxill0.000.000.000.000.000.000.000.000.000.00XXX
    D5721NDentures rebase part mandbl0.000.000.000.000.000.000.000.000.000.00XXX
    D5730NDenture reln cmplt maxil ch0.000.000.000.000.000.000.000.000.000.00XXX
    D5731NDenture reln cmplt mand chr0.000.000.000.000.000.000.000.000.000.00XXX
    D5740NDenture reln part maxil chr0.000.000.000.000.000.000.000.000.000.00XXX
    D5741NDenture reln part mand chr0.000.000.000.000.000.000.000.000.000.00XXX
    D5750NDenture reln cmplt max lab0.000.000.000.000.000.000.000.000.000.00XXX
    D5751NDenture reln cmplt mand lab0.000.000.000.000.000.000.000.000.000.00XXX
    D5760NDenture reln part maxil lab0.000.000.000.000.000.000.000.000.000.00XXX
    D5761NDenture reln part mand lab0.000.000.000.000.000.000.000.000.000.00XXX
    D5810NDenture interm cmplt maxill0.000.000.000.000.000.000.000.000.000.00XXX
    D5811NDenture interm cmplt mandbl0.000.000.000.000.000.000.000.000.000.00XXX
    D5820NDenture interm part maxill0.000.000.000.000.000.000.000.000.000.00XXX
    D5821NDenture interm part mandbl0.000.000.000.000.000.000.000.000.000.00XXX
    D5850NDenture tiss conditn maxill0.000.000.000.000.000.000.000.000.000.00XXX
    D5851NDenture tiss condtin mandbl0.000.000.000.000.000.000.000.000.000.00XXX
    D5860NOverdenture complete0.000.000.000.000.000.000.000.000.000.00XXX
    D5861NOverdenture partial0.000.000.000.000.000.000.000.000.000.00XXX
    D5862NPrecision attachment0.000.000.000.000.000.000.000.000.000.00XXX
    D5867NReplacement of precision att0.000.000.000.000.000.000.000.000.000.00XXX
    D5875NProsthesis modification0.000.000.000.000.000.000.000.000.000.00XXX
    D5899NRemovable prosthodontic proc0.000.000.000.000.000.000.000.000.000.00XXX
    D5911RFacial moulage sectional0.000.000.000.000.000.000.000.000.000.00YYY
    D5912RFacial moulage complete0.000.000.000.000.000.000.000.000.000.00YYY
    D5913INasal prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5914IAuricular prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5915IOrbital prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5916IOcular prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5919IFacial prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5922INasal septal prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5923IOcular prosthesis interim0.000.000.000.000.000.000.000.000.000.00XXX
    D5924ICranial prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5925IFacial augmentation implant0.000.000.000.000.000.000.000.000.000.00XXX
    D5926IReplacement nasal prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5927IAuricular replacement0.000.000.000.000.000.000.000.000.000.00XXX
    D5928IOrbital replacement0.000.000.000.000.000.000.000.000.000.00XXX
    D5929IFacial replacement0.000.000.000.000.000.000.000.000.000.00XXX
    D5931ISurgical obturator0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65565
    D5932IPostsurgical obturator0.000.000.000.000.000.000.000.000.000.00XXX
    D5933IRefitting of obturator0.000.000.000.000.000.000.000.000.000.00XXX
    D5934IMandibular flange prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5935IMandibular denture prosth0.000.000.000.000.000.000.000.000.000.00XXX
    D5936ITemp obturator prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5937ITrismus appliance0.000.000.000.000.000.000.000.000.000.00XXX
    D5951RFeeding aid0.000.000.000.000.000.000.000.000.000.00YYY
    D5952IPediatric speech aid0.000.000.000.000.000.000.000.000.000.00XXX
    D5953IAdult speech aid0.000.000.000.000.000.000.000.000.000.00XXX
    D5954ISuperimposed prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5955IPalatal lift prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5958IIntraoral con def inter plt0.000.000.000.000.000.000.000.000.000.00XXX
    D5959IIntraoral con def mod palat0.000.000.000.000.000.000.000.000.000.00XXX
    D5960IModify speech aid prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D5982ISurgical stent0.000.000.000.000.000.000.000.000.000.00XXX
    D5983RRadiation applicator0.000.000.000.000.000.000.000.000.000.00YYY
    D5984RRadiation shield0.000.000.000.000.000.000.000.000.000.00YYY
    D5985RRadiation cone locator0.000.000.000.000.000.000.000.000.000.00YYY
    D5986NFluoride applicator0.000.000.000.000.000.000.000.000.000.00XXX
    D5987RCommissure splint0.000.000.000.000.000.000.000.000.000.00YYY
    D5988ISurgical splint0.000.000.000.000.000.000.000.000.000.00XXX
    D5999IMaxillofacial prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    D6010IOdontics endosteal implant0.000.000.000.000.000.000.000.000.000.00XXX
    D6020IOdontics abutment placement0.000.000.000.000.000.000.000.000.000.00XXX
    D6040IOdontics eposteal implant0.000.000.000.000.000.000.000.000.000.00XXX
    D6050IOdontics transosteal implnt0.000.000.000.000.000.000.000.000.000.00XXX
    D6055IImplant connecting bar0.000.000.000.000.000.000.000.000.000.00XXX
    D6056NPrefabricated abutment0.000.000.000.000.000.000.000.000.000.00XXX
    D6057NCustom abutment0.000.000.000.000.000.000.000.000.000.00XXX
    D6058NAbutment supported crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6059NAbutment supported mtl crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6060NAbutment supported mtl crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6061NAbutment supported mtl crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6062NAbutment supported mtl crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6063NAbutment supported mtl crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6064NAbutment supported mtl crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6065NImplant supported crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6066NImplant supported mtl crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6067NImplant supported mtl crown0.000.000.000.000.000.000.000.000.000.00XXX
    D6068NAbutment supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6069NAbutment supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6070NAbutment supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6071NAbutment supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6072NAbutment supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6073NAbutment supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6074NAbutment supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6075NImplant supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6076NImplant supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6077NImplant supported retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6078NImplnt/abut suprtd fixd dent0.000.000.000.000.000.000.000.000.000.00XXX
    D6079NImplnt/abut suprtd fixd dent0.000.000.000.000.000.000.000.000.000.00XXX
    D6080IImplant maintenance0.000.000.000.000.000.000.000.000.000.00XXX
    D6090IRepair implant0.000.000.000.000.000.000.000.000.000.00XXX
    D6095IOdontics repr abutment0.000.000.000.000.000.000.000.000.000.00XXX
    D6100IRemoval of implant0.000.000.000.000.000.000.000.000.000.00XXX
    D6199IImplant procedure0.000.000.000.000.000.000.000.000.000.00XXX
    D6210NProsthodont high noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6211NBridge base metal cast0.000.000.000.000.000.000.000.000.000.00XXX
    D6212NBridge noble metal cast0.000.000.000.000.000.000.000.000.000.00XXX
    D6240NBridge porcelain high noble0.000.000.000.000.000.000.000.000.000.00XXX
    D6241NBridge porcelain base metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6242NBridge porcelain nobel metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6245NBridge porcelain/ceramic0.000.000.000.000.000.000.000.000.000.00XXX
    D6250NBridge resin w/high noble0.000.000.000.000.000.000.000.000.000.00XXX
    D6251NBridge resin base metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6252NBridge resin w/noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6519NInlay/onlay porce/ceramic0.000.000.000.000.000.000.000.000.000.00XXX
    D6520NDental retainer two surfaces0.000.000.000.000.000.000.000.000.000.00XXX
    D6530NRetainer metallic 3+ surface0.000.000.000.000.000.000.000.000.000.00XXX
    D6543NDental retainr onlay 3 surf0.000.000.000.000.000.000.000.000.000.00XXX
    D6544NDental retainr onlay 4/more0.000.000.000.000.000.000.000.000.000.00XXX
    D6545NDental retainr cast metl0.000.000.000.000.000.000.000.000.000.00XXX
    D6548NPorcelain/ceramic retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6720NRetain crown resin w hi nble0.000.000.000.000.000.000.000.000.000.00XXX
    D6721NCrown resin w/base metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6722NCrown resin w/noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6740NCrown porcelain/ceramic0.000.000.000.000.000.000.000.000.000.00XXX
    D6750NCrown porcelain high noble0.000.000.000.000.000.000.000.000.000.00XXX
    D6751NCrown porcelain base metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6752NCrown porcelain noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6780NCrown 3/4 high noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6781NCrown 3/4 cast based metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6782NCrown 3/4 cast noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65566
    D6783NCrown 3/4 porcelain/ceramic0.000.000.000.000.000.000.000.000.000.00XXX
    D6790NCrown full high noble metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6791NCrown full base metal cast0.000.000.000.000.000.000.000.000.000.00XXX
    D6792NCrown full noble metal cast0.000.000.000.000.000.000.000.000.000.00XXX
    D6920RDental connector bar0.000.000.000.000.000.000.000.000.000.00YYY
    D6930NDental recement bridge0.000.000.000.000.000.000.000.000.000.00XXX
    D6940NStress breaker0.000.000.000.000.000.000.000.000.000.00XXX
    D6950NPrecision attachment0.000.000.000.000.000.000.000.000.000.00XXX
    D6970NPost & core plus retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6971NCast post bridge retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6972NPrefab post & core plus reta0.000.000.000.000.000.000.000.000.000.00XXX
    D6973NCore build up for retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D6975NCoping metal0.000.000.000.000.000.000.000.000.000.00XXX
    D6976NEach addtnl cast post0.000.000.000.000.000.000.000.000.000.00XXX
    D6977NEach addtl prefab post0.000.000.000.000.000.000.000.000.000.00XXX
    D6980NBridge repair0.000.000.000.000.000.000.000.000.000.00XXX
    D6999NFixed prosthodontic proc0.000.000.000.000.000.000.000.000.000.00XXX
    D7110ROral surgery single tooth0.000.000.000.000.000.000.000.000.000.00YYY
    D7120REach add tooth extraction0.000.000.000.000.000.000.000.000.000.00YYY
    D7130RTooth root removal0.000.000.000.000.000.000.000.000.000.00YYY
    D7210RRem imp tooth w mucoper flp0.000.000.000.000.000.000.000.000.000.00YYY
    D7220RImpact tooth remov soft tiss0.000.000.000.000.000.000.000.000.000.00YYY
    D7230RImpact tooth remov part bony0.000.000.000.000.000.000.000.000.000.00YYY
    D7240RImpact tooth remov comp bony0.000.000.000.000.000.000.000.000.000.00YYY
    D7241RImpact tooth rem bony w/comp0.000.000.000.000.000.000.000.000.000.00YYY
    D7250RTooth root removal0.000.000.000.000.000.000.000.000.000.00YYY
    D7260ROral antral fistula closure0.000.000.000.000.000.000.000.000.000.00YYY
    D7270NTooth reimplantation0.000.000.000.000.000.000.000.000.000.00XXX
    D7272NTooth transplantation0.000.000.000.000.000.000.000.000.000.00XXX
    D7280NExposure impact tooth orthod0.000.000.000.000.000.000.000.000.000.00XXX
    D7281NExposure tooth aid eruption0.000.000.000.000.000.000.000.000.000.00XXX
    D7285IBiopsy of oral tissue hard0.000.000.000.000.000.000.000.000.000.00XXX
    D7286IBiopsy of oral tissue soft0.000.000.000.000.000.000.000.000.000.00XXX
    D7290NRepositioning of teeth0.000.000.000.000.000.000.000.000.000.00XXX
    D7291RTransseptal fiberotomy0.000.000.000.000.000.000.000.000.000.00YYY
    D7310IAlveoplasty w/ extraction0.000.000.000.000.000.000.000.000.000.00XXX
    D7320IAlveoplasty w/o extraction0.000.000.000.000.000.000.000.000.000.00XXX
    D7340IVestibuloplasty ridge extens0.000.000.000.000.000.000.000.000.000.00XXX
    D7350IVestibuloplasty exten graft0.000.000.000.000.000.000.000.000.000.00XXX
    D7410IRad exc lesion up to 1.25 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7420ILesion > 1.25 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7430IExc benign tumor to 1.25 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7431IBenign tumor exc > 1.25 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7440IMalig tumor exc to 1.25 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7441IMalig tumor > 1.25 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7450IRem odontogen cyst to 1.25cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7451IRem odontogen cyst > 1.25 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7460IRem nonodonto cyst to 1.25cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7461IRem nonodonto cyst > 1.25 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7465ILesion destruction0.000.000.000.000.000.000.000.000.000.00XXX
    D7471IRem exostosis any site0.000.000.000.000.000.000.000.000.000.00XXX
    D7480IPartial ostectomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7490IMandible resection0.000.000.000.000.000.000.000.000.000.00XXX
    D7510II&d absc intraoral soft tiss0.000.000.000.000.000.000.000.000.000.00XXX
    D7520II&d abscess extraoral0.000.000.000.000.000.000.000.000.000.00XXX
    D7530IRemoval fb skin/areolar tiss0.000.000.000.000.000.000.000.000.000.00XXX
    D7540IRemoval of fb reaction0.000.000.000.000.000.000.000.000.000.00XXX
    D7550IRemoval of sloughed off bone0.000.000.000.000.000.000.000.000.000.00XXX
    D7560IMaxillary sinusotomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7610IMaxilla open reduct simple0.000.000.000.000.000.000.000.000.000.00XXX
    D7620IClsd reduct simpl maxilla fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7630IOpen red simpl mandible fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7640IClsd red simpl mandible fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7650IOpen red simp malar/zygom fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7660IClsd red simp malar/zygom fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7670IClosd rductn splint alveolus0.000.000.000.000.000.000.000.000.000.00XXX
    D7680IReduct simple facial bone fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7710IMaxilla open reduct compound0.000.000.000.000.000.000.000.000.000.00XXX
    D7720IClsd reduct compd maxilla fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7730IOpen reduct compd mandble fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7740IClsd reduct compd mandble fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7750IOpen red comp malar/zygma fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7760IClsd red comp malar/zygma fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7770IOpen reduc compd alveolus fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7780IReduct compnd facial bone fx0.000.000.000.000.000.000.000.000.000.00XXX
    D7810ITmj open reduct-dislocation0.000.000.000.000.000.000.000.000.000.00XXX
    D7820IClosed tmp manipulation0.000.000.000.000.000.000.000.000.000.00XXX
    D7830ITmj manipulation under anest0.000.000.000.000.000.000.000.000.000.00XXX
    D7840IRemoval of tmj condyle0.000.000.000.000.000.000.000.000.000.00XXX
    D7850ITmj meniscectomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7852ITmj repair of joint disc0.000.000.000.000.000.000.000.000.000.00XXX
    D7854ITmj excisn of joint membrane0.000.000.000.000.000.000.000.000.000.00XXX
    D7856ITmj cutting of a muscle0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65567
    D7858ITmj reconstruction0.000.000.000.000.000.000.000.000.000.00XXX
    D7860ITmj cutting into joint0.000.000.000.000.000.000.000.000.000.00XXX
    D7865ITmj reshaping components0.000.000.000.000.000.000.000.000.000.00XXX
    D7870ITmj aspiration joint fluid0.000.000.000.000.000.000.000.000.000.00XXX
    D7871NLysis + lavage w catheters0.000.000.000.000.000.000.000.000.000.00XXX
    D7872ITmj diagnostic arthroscopy0.000.000.000.000.000.000.000.000.000.00XXX
    D7873ITmj arthroscopy lysis adhesn0.000.000.000.000.000.000.000.000.000.00XXX
    D7874ITmj arthroscopy disc reposit0.000.000.000.000.000.000.000.000.000.00XXX
    D7875ITmj arthroscopy synovectomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7876ITmj arthroscopy discectomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7877ITmj arthroscopy debridement0.000.000.000.000.000.000.000.000.000.00XXX
    D7880IOcclusal orthotic appliance0.000.000.000.000.000.000.000.000.000.00XXX
    D7899ITmj unspecified therapy0.000.000.000.000.000.000.000.000.000.00XXX
    D7910IDent sutur recent wnd to 5cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7911IDental suture wound to 5 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7912ISuture complicate wnd > 5 cm0.000.000.000.000.000.000.000.000.000.00XXX
    D7920IDental skin graft0.000.000.000.000.000.000.000.000.000.00XXX
    D7940RReshaping bone orthognathic0.000.000.000.000.000.000.000.000.000.00YYY
    D7941IBone cutting ramus closed0.000.000.000.000.000.000.000.000.000.00XXX
    D7943ICutting ramus open w/graft0.000.000.000.000.000.000.000.000.000.00XXX
    D7944IBone cutting segmented0.000.000.000.000.000.000.000.000.000.00XXX
    D7945IBone cutting body mandible0.000.000.000.000.000.000.000.000.000.00XXX
    D7946IReconstruction maxilla total0.000.000.000.000.000.000.000.000.000.00XXX
    D7947IReconstruct maxilla segment0.000.000.000.000.000.000.000.000.000.00XXX
    D7948IReconstruct midface no graft0.000.000.000.000.000.000.000.000.000.00XXX
    D7949IReconstruct midface w/graft0.000.000.000.000.000.000.000.000.000.00XXX
    D7950IMandible graft0.000.000.000.000.000.000.000.000.000.00XXX
    D7955IRepair maxillofacial defects0.000.000.000.000.000.000.000.000.000.00XXX
    D7960IFrenulectomy/frenulotomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7970IExcision hyperplastic tissue0.000.000.000.000.000.000.000.000.000.00XXX
    D7971IExcision pericoronal gingiva0.000.000.000.000.000.000.000.000.000.00XXX
    D7980ISialolithotomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7981IExcision of salivary gland0.000.000.000.000.000.000.000.000.000.00XXX
    D7982ISialodochoplasty0.000.000.000.000.000.000.000.000.000.00XXX
    D7983IClosure of salivary fistula0.000.000.000.000.000.000.000.000.000.00XXX
    D7990IEmergency tracheotomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7991IDental coronoidectomy0.000.000.000.000.000.000.000.000.000.00XXX
    D7995ISynthetic graft facial bones0.000.000.000.000.000.000.000.000.000.00XXX
    D7996IImplant mandible for augment0.000.000.000.000.000.000.000.000.000.00XXX
    D7997NAppliance removal0.000.000.000.000.000.000.000.000.000.00XXX
    D7999IOral surgery procedure0.000.000.000.000.000.000.000.000.000.00XXX
    D8010NLimited dental tx primary0.000.000.000.000.000.000.000.000.000.00XXX
    D8020NLimited dental tx transition0.000.000.000.000.000.000.000.000.000.00XXX
    D8030NLimited dental tx adolescent0.000.000.000.000.000.000.000.000.000.00XXX
    D8040NLimited dental tx adult0.000.000.000.000.000.000.000.000.000.00XXX
    D8050NIntercep dental tx primary0.000.000.000.000.000.000.000.000.000.00XXX
    D8060NIntercep dental tx transitn0.000.000.000.000.000.000.000.000.000.00XXX
    D8070NCompre dental tx transition0.000.000.000.000.000.000.000.000.000.00XXX
    D8080NCompre dental tx adolescent0.000.000.000.000.000.000.000.000.000.00XXX
    D8090NCompre dental tx adult0.000.000.000.000.000.000.000.000.000.00XXX
    D8210NOrthodontic rem appliance tx0.000.000.000.000.000.000.000.000.000.00XXX
    D8220NFixed appliance therapy habt0.000.000.000.000.000.000.000.000.000.00XXX
    D8660NPreorthodontic tx visit0.000.000.000.000.000.000.000.000.000.00XXX
    D8670NPeriodic orthodontc tx visit0.000.000.000.000.000.000.000.000.000.00XXX
    D8680NOrthodontic retention0.000.000.000.000.000.000.000.000.000.00XXX
    D8690NOrthodontic treatment0.000.000.000.000.000.000.000.000.000.00XXX
    D8691NRepair ortho appliance0.000.000.000.000.000.000.000.000.000.00XXX
    D8692NReplacement retainer0.000.000.000.000.000.000.000.000.000.00XXX
    D8999NOrthodontic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    D9110RTx dental pain minor proc0.000.000.000.000.000.000.000.000.000.00YYY
    D9210IDent anesthesia w/o surgery0.000.000.000.000.000.000.000.000.000.00XXX
    D9211IRegional block anesthesia0.000.000.000.000.000.000.000.000.000.00XXX
    D9212ITrigeminal block anesthesia0.000.000.000.000.000.000.000.000.000.00XXX
    D9215ILocal anesthesia0.000.000.000.000.000.000.000.000.000.00XXX
    D9220IGeneral anesthesia0.000.000.000.000.000.000.000.000.000.00XXX
    D9221IGeneral anesthesia ea ad 15m0.000.000.000.000.000.000.000.000.000.00XXX
    D9230RAnalgesia0.000.000.000.000.000.000.000.000.000.00YYY
    D9241IIntravenous sedation0.000.000.000.000.000.000.000.000.000.00XXX
    D9242IIV sedation ea ad 30 m0.000.000.000.000.000.000.000.000.000.00XXX
    D9248RSedation (non-iv)0.000.000.000.000.000.000.000.000.000.00XXX
    D9310IDental consultation0.000.000.000.000.000.000.000.000.000.00XXX
    D9410IDental house call0.000.000.000.000.000.000.000.000.000.00XXX
    D9420IHospital call0.000.000.000.000.000.000.000.000.000.00XXX
    D9430IOffice visit during hours0.000.000.000.000.000.000.000.000.000.00XXX
    D9440IOffice visit after hours0.000.000.000.000.000.000.000.000.000.00XXX
    D9610IDent therapeutic drug inject0.000.000.000.000.000.000.000.000.000.00XXX
    D9630ROther drugs/medicaments0.000.000.000.000.000.000.000.000.000.00YYY
    D9910NDent appl desensitizing med0.000.000.000.000.000.000.000.000.000.00XXX
    D9911NAppl desensitizing resin0.000.000.000.000.000.000.000.000.000.00XXX
    D9920NBehavior management0.000.000.000.000.000.000.000.000.000.00XXX
    D9930RTreatment of complications0.000.000.000.000.000.000.000.000.000.00YYY
    D9940RDental occlusal guard0.000.000.000.000.000.000.000.000.000.00YYY
    D9941NFabrication athletic guard0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65568
    D9950ROcclusion analysis0.000.000.000.000.000.000.000.000.000.00YYY
    D9951RLimited occlusal adjustment0.000.000.000.000.000.000.000.000.000.00YYY
    D9952RComplete occlusal adjustment0.000.000.000.000.000.000.000.000.000.00YYY
    D9970NEnamel microabrasion0.000.000.000.000.000.000.000.000.000.00XXX
    D9971NOdontoplasty 1-2 teeth0.000.000.000.000.000.000.000.000.000.00XXX
    D9972NExtrnl bleaching per arch0.000.000.000.000.000.000.000.000.000.00XXX
    D9973NExtrnl bleaching per tooth0.000.000.000.000.000.000.000.000.000.00XXX
    D9974NIntrnl bleaching per tooth0.000.000.000.000.000.000.000.000.000.00XXX
    D9999IAdjunctive procedure0.000.000.000.000.000.000.000.000.000.00XXX
    G0001XDrawing blood for specimen0.000.000.000.000.000.000.000.000.000.00XXX
    G0002ATemporary urinary catheter0.503.002.440.170.320.033.532.970.700.85000
    G0004AECG transm phys review & int0.527.417.54NANA0.458.388.51NANAXXX
    G0005AECG 24 hour recording0.001.231.24NANA0.071.301.31NANAXXX
    G0006AECG transmission & analysis0.005.976.03NANA0.366.336.39NANAXXX
    G0007AECG phy review & interpret0.520.210.270.210.270.020.750.810.750.81XXX
    G0008XAdmin influenza virus vac0.000.000.000.000.000.000.000.000.000.00XXX
    G0009XAdmin pneumococcal vaccine0.000.000.000.000.000.000.000.000.000.00XXX
    G0010XAdmin hepatitis b vaccine0.000.000.000.000.000.000.000.000.000.00XXX
    G0015APost symptom ECG tracing0.005.976.03NANA0.366.336.39NANAXXX
    G0016APost symptom ECG md review0.520.230.280.230.280.020.770.820.770.82XXX
    G0025ACollagen skin test kit0.000.000.260.000.260.000.000.260.000.26XXX
    G0026XFecal leukocyte examination0.000.000.000.000.000.000.000.000.000.00XXX
    G0027XSemen analysis0.000.000.000.000.000.000.000.000.000.00XXX
    G0030CPET imaging prev PET single0.000.000.000.000.000.000.000.000.000.00XXX
    G003026APET imaging prev PET single1.500.520.520.520.520.042.062.062.062.06XXX
    G0030TCCPET imaging prev PET single0.000.000.000.000.000.000.000.000.000.00XXX
    G0031CPET imaging prev PET multple0.000.000.000.000.000.000.000.000.000.00XXX
    G003126APET imaging prev PET multple1.870.700.700.700.700.062.632.632.632.63XXX
    G0031TCCPET imaging prev PET multple0.000.000.000.000.000.000.000.000.000.00XXX
    G0032CPET follow SPECT 78464 singl0.000.000.000.000.000.000.000.000.000.00XXX
    G003226APET follow SPECT 78464 singl1.500.520.520.520.520.052.072.072.072.07XXX
    G0032TCCPET follow SPECT 78464 singl0.000.000.000.000.000.000.000.000.000.00XXX
    G0033CPET follow SPECT 78464 mult0.000.000.000.000.000.000.000.000.000.00XXX
    G003326APET follow SPECT 78464 mult1.870.700.700.700.700.062.632.632.632.63XXX
    G0033TCCPET follow SPECT 78464 mult0.000.000.000.000.000.000.000.000.000.00XXX
    G0034CPET follow SPECT 76865 singl0.000.000.000.000.000.000.000.000.000.00XXX
    G003426APET follow SPECT 76865 singl1.500.520.520.520.520.052.072.072.072.07XXX
    G0034TCCPET follow SPECT 76865 singl0.000.000.000.000.000.000.000.000.000.00XXX
    G0035CPET follow SPECT 78465 mult0.000.000.000.000.000.000.000.000.000.00XXX
    G003526APET follow SPECT 78465 mult1.870.700.700.700.700.062.632.632.632.63XXX
    G0035TCCPET follow SPECT 78465 mult0.000.000.000.000.000.000.000.000.000.00XXX
    G0036CPET follow cornry angio sing0.000.000.000.000.000.000.000.000.000.00XXX
    G003626APET follow cornry angio sing1.500.520.520.520.520.042.062.062.062.06XXX
    G0036TCCPET follow cornry angio sing0.000.000.000.000.000.000.000.000.000.00XXX
    G0037CPET follow cornry angio mult0.000.000.000.000.000.000.000.000.000.00XXX
    G003726APET follow cornry angio mult1.870.700.700.700.700.062.632.632.632.63XXX
    G0037TCCPET follow cornry angio mult0.000.000.000.000.000.000.000.000.000.00XXX
    G0038CPET follow myocard perf sing0.000.000.000.000.000.000.000.000.000.00XXX
    G003826APET follow myocard perf sing1.500.520.520.520.520.042.062.062.062.06XXX
    G0038TCCPET follow myocard perf sing0.000.000.000.000.000.000.000.000.000.00XXX
    G0039CPET follow myocard perf mult0.000.000.000.000.000.000.000.000.000.00XXX
    G003926APET follow myocard perf mult1.870.700.700.700.700.072.642.642.642.64XXX
    G0039TCCPET follow myocard perf mult0.000.000.000.000.000.000.000.000.000.00XXX
    G0040CPET follow stress echo singl0.000.000.000.000.000.000.000.000.000.00XXX
    G004026APET follow stress echo singl1.500.520.520.520.520.042.062.062.062.06XXX
    G0040TCCPET follow stress echo singl0.000.000.000.000.000.000.000.000.000.00XXX
    G0041CPET follow stress echo mult0.000.000.000.000.000.000.000.000.000.00XXX
    G004126APET follow stress echo mult1.870.700.700.700.700.052.622.622.622.62XXX
    G0041TCCPET follow stress echo mult0.000.000.000.000.000.000.000.000.000.00XXX
    G0042CPET follow ventriculogm sing0.000.000.000.000.000.000.000.000.000.00XXX
    G004226APET follow ventriculogm sing1.500.520.520.520.520.042.062.062.062.06XXX
    G0042TCCPET follow ventriculogm sing0.000.000.000.000.000.000.000.000.000.00XXX
    G0043CPET follow ventriculogm mult0.000.000.000.000.000.000.000.000.000.00XXX
    G004326APET follow ventriculogm mult1.870.700.700.700.700.062.632.632.632.63XXX
    G0043TCCPET follow ventriculogm mult0.000.000.000.000.000.000.000.000.000.00XXX
    G0044CPET following rest ECG singl0.000.000.000.000.000.000.000.000.000.00XXX
    G004426APET following rest ECG singl1.500.520.520.520.520.042.062.062.062.06XXX
    G0044TCCPET following rest ECG singl0.000.000.000.000.000.000.000.000.000.00XXX
    G0045CPET following rest ECG mult0.000.000.000.000.000.000.000.000.000.00XXX
    G004526APET following rest ECG mult1.870.700.700.700.700.062.632.632.632.63XXX
    G0045TCCPET following rest ECG mult0.000.000.000.000.000.000.000.000.000.00XXX
    G0046CPET follow stress ECG singl0.000.000.000.000.000.000.000.000.000.00XXX
    G004626APET follow stress ECG singl1.500.520.520.520.520.042.062.062.062.06XXX
    G0046TCCPET follow stress ECG singl0.000.000.000.000.000.000.000.000.000.00XXX
    G0047CPET follow stress ECG mult0.000.000.000.000.000.000.000.000.000.00XXX
    G004726APET follow stress ECG mult1.870.700.700.700.700.062.632.632.632.63XXX
    G0047TCCPET follow stress ECG mult0.000.000.000.000.000.000.000.000.000.00XXX
    G0050AResidual urine by ultrasound0.000.850.86NANA0.040.890.90NANAXXX
    G0101ACA screen;pelvic/breast exam0.450.660.570.170.200.011.121.030.630.66XXX
    G0102AProstate ca screening; dre0.170.370.340.060.070.010.550.520.240.25XXX
    G0103XPsa, total screening0.000.000.000.000.000.000.000.000.000.00XXX
    G0104ACA screen;flexi sigmoidscope0.881.751.650.420.460.052.682.581.351.39000
    G0105AColorectal scrn; hi risk ind3.686.606.071.702.380.2010.488.955.586.26000
    Start Printed Page 65569
    G0106AColon CA screen;barium enema0.992.572.632.572.630.153.713.773.713.77XXX
    G010626AColon CA screen;barium enema0.990.350.390.350.390.041.381.421.381.42XXX
    G0106TCAColon CA screen;barium enema0.002.222.24NANA0.112.332.35NANAXXX
    G0107XCA screen; fecal blood test0.000.000.000.000.000.000.000.000.000.00XXX
    G0108ADiab manage trn per indiv0.001.641.64NANA0.011.651.65NANAXXX
    G0109ADiab manage trn ind/group0.000.960.96NANA0.010.970.97NANAXXX
    G0110RNett pulm-rehab educ; ind0.900.740.630.360.340.031.671.561.291.27XXX
    G0111RNett pulm-rehab educ; group0.270.300.280.110.140.010.580.560.390.42XXX
    G0112RNett;nutrition guid, initial1.721.441.340.690.780.053.213.112.462.55XXX
    G0113RNett;nutrition guid,subseqnt1.291.111.040.520.600.042.442.371.851.93XXX
    G0114RNett; psychosocial consult1.200.490.460.480.460.031.721.691.711.69XXX
    G0115RNett; psychological testing1.200.670.600.380.380.041.911.841.621.62XXX
    G0116RNett; psychosocial counsel1.111.201.000.440.430.042.352.151.591.58XXX
    G0120AColon ca scrn; barium enema0.992.572.632.572.630.153.713.773.713.77XXX
    G012026AColon ca scrn; barium enema0.990.350.390.350.390.041.381.421.381.42XXX
    G0120TCAColon ca scrn; barium enema0.002.222.24NANA0.112.332.35NANAXXX
    G0121NColon ca scrn not hi rsk ind+3.706.516.001.482.220.1410.359.845.326.06XXX
    G0122NColon ca scrn; barium enema+0.992.622.662.622.660.153.763.803.763.80XXX
    G012226NColon ca scrn; barium enema+0.990.400.420.400.420.041.431.451.431.45XXX
    G0122TCNColon ca scrn; barium enema+0.002.222.24NANA0.112.332.35NANAXXX
    G0123XScreen cerv/vag thin layer0.000.000.000.000.000.000.000.000.000.00XXX
    G0124AScreen c/v thin layer by MD0.420.180.220.180.220.010.610.650.610.65XXX
    G0125ALung image (PET)1.5056.1056.1156.1056.112.0059.6059.6159.6059.61XXX
    G012526ALung image (PET)1.500.520.520.520.520.052.072.072.072.07XXX
    G0125TCALung image (PET)0.0055.5855.59NANA1.9557.5357.54NANAXXX
    G0126ALung image (PET) staging1.8756.2856.2956.2856.292.0160.1660.1760.1660.17XXX
    G012626ALung image (PET) staging1.870.700.700.700.700.062.632.632.632.63XXX
    G0126TCALung image (PET) staging0.0055.5855.59NANA1.9557.5357.54NANAXXX
    G0127RTrim nail(s)0.110.490.430.040.060.010.610.550.160.18000
    G0128RCORF skilled nursing service0.080.030.030.030.030.010.120.120.120.12XXX
    G0130ASingle energy x-ray study0.220.900.900.900.900.051.171.171.171.17XXX
    G013026ASingle energy x-ray study0.220.110.110.110.110.010.340.340.340.34XXX
    G0130TCASingle energy x-ray study0.000.790.79NANA0.040.830.83NANAXXX
    G0131ACT scan, bone density study0.253.183.183.183.180.143.573.573.573.57XXX
    G013126ACT scan, bone density study0.250.130.130.130.130.010.390.390.390.39XXX
    G0131TCACT scan, bone density study0.003.053.05NANA0.133.183.18NANAXXX
    G0132ACT scan, bone density study0.220.900.900.900.900.051.171.171.171.17XXX
    G013226ACT scan, bone density study0.220.110.110.110.110.010.340.340.340.34XXX
    G0132TCACT scan, bone density study0.000.790.79NANA0.040.830.83NANAXXX
    G0141AScr c/v cyto,autosys and md0.420.180.220.180.220.010.610.650.610.65XXX
    G0143XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.000.000.000.000.00XXX
    G0144XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.000.000.000.000.00XXX
    G0145XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.000.000.000.000.00XXX
    G0147XScr c/v cyto, automated sys0.000.000.000.000.000.000.000.000.000.00XXX
    G0148XScr c/v cyto, autosys, rescr0.000.000.000.000.000.000.000.000.000.00XXX
    G0159DPerc declot dialysis graft0.000.000.000.000.000.000.000.000.000.00XXX
    G0160DCryo. ablation, prostate0.000.000.000.000.000.000.000.000.000.00090
    G0161DEcho guide for cryo probes0.000.000.000.000.000.000.000.000.000.00XXX
    G016126DEcho guide for cryo probes0.000.000.000.000.000.000.000.000.000.00XXX
    G0161TCDEcho guide for cryo probes0.000.000.000.000.000.000.000.000.000.00XXX
    G0163APet for rec of colorectal ca1.5056.1556.1556.1556.152.0059.6559.6559.6559.65XXX
    G016326APet for rec of colorectal ca1.500.570.570.570.570.052.122.122.122.12XXX
    G0163TCAPet for rec of colorectal ca0.0055.5855.58NANA1.9557.5357.53NANAXXX
    G0164APet for lymphoma staging1.8756.2856.2856.2856.282.0160.1660.1660.1660.16XXX
    G016426APet for lymphoma staging1.870.700.700.700.700.062.632.632.632.63XXX
    G0164TCAPet for lymphoma staging0.0055.5855.58NANA1.9557.5357.53NANAXXX
    G0165APet,rec of melanoma/met ca1.5056.1756.1756.1756.172.0059.6759.6759.6759.67XXX
    G016526APet,rec of melanoma/met ca1.500.590.590.590.590.052.142.142.142.14XXX
    G0165TCAPet,rec of melanoma/met ca0.0055.5855.58NANA1.9557.5357.53NANAXXX
    G0166AExtrnl counterpulse, per tx0.073.683.680.030.030.013.763.760.110.11XXX
    G0167CHyperbaric oz tx;no md reqrd0.000.000.000.000.000.000.000.000.000.00XXX
    G0168AWound closure by adhesive0.451.791.790.250.250.012.252.250.710.71000
    G0169DRemoval tissue; no anesthsia0.000.000.000.000.000.000.000.000.000.00XXX
    G0170DSkin biograft0.000.000.000.000.000.000.000.000.000.00010
    G0171DSkin biograft add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    G0173XStereo radoisurgery,complete0.000.000.000.000.000.000.000.000.000.00XXX
    G0174XIntensitymodulatedradiation0.000.000.000.000.000.000.000.000.000.00XXX
    G0175XOPPS Service,sched team conf0.000.000.000.000.000.000.000.000.000.00XXX
    G0176XOPPS/PHP;activity therapy0.000.000.000.000.000.000.000.000.000.00XXX
    G0177XOPPS/PHP; train & educ serv0.000.000.000.000.000.000.000.000.000.00XXX
    G0178XIntensitymodulatedradiation0.000.000.000.000.000.000.000.000.000.00XXX
    G0179AIntensitymodulatedradiation0.451.091.090.180.180.061.601.600.690.69XXX
    G0180AMD certification HHA patient0.671.181.180.270.270.061.911.911.001.00XXX
    G0181AHome health care supervision1.731.401.400.630.630.063.193.192.422.42XXX
    G0182AHospice care supervision1.731.731.730.600.600.063.523.522.392.39XXX
    G0183XOcular photodynamic therapy0.000.000.000.000.000.000.000.000.000.00XXX
    G0184AOcular photocoagulation0.470.230.230.230.230.501.201.201.201.20ZZZ
    G0185CTranspuppillary thermotx0.000.000.000.000.000.000.000.000.000.00YYY
    G0186CDstry eye lesn,fdr vssl tech0.000.000.000.000.000.000.000.000.000.00YYY
    G0187CDstry mclr drusen,photocoag0.000.000.000.000.000.000.000.000.000.00YYY
    G0188CXray lwr extrmty-full lngth0.000.000.000.000.000.000.000.000.000.00XXX
    G018826CXray lwr extrmty-full lngth0.000.000.000.000.000.000.000.000.000.00XXX
    G0188TCCXray lwr extrmty-full lngth0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65570
    G0190XMD recertification HHA patient0.000.000.000.000.000.000.000.000.000.00XXX
    G0191XImmunization admin,each add0.000.000.000.000.000.000.000.000.000.00XXX
    G0192NImmunization oral/intranasal0.000.000.000.000.000.000.000.000.000.00XXX
    G0193CEndoscopicstudyswallowfunctn0.000.000.000.000.000.000.000.000.000.00XXX
    G0194CSensorytestingendoscopicstud0.000.000.000.000.000.000.000.000.000.00XXX
    G0195CClinicalevalswallowingfunct0.000.000.000.000.000.000.000.000.000.00XXX
    G0196CEvalofswallowingwithradioopa0.000.000.000.000.000.000.000.000.000.00XXX
    G0197AEvalofptforprescipspeechdevi1.351.911.910.770.770.043.303.302.162.16XXX
    G0198APatientadapation&trainforspe0.991.051.050.570.570.032.072.071.591.59XXX
    G0199AReevaluationofpatientusespec1.011.721.720.580.580.032.762.761.621.62XXX
    G0200AEvalofpatientprescipofvoicep1.351.911.910.770.770.043.303.302.162.16XXX
    G0201AModifortraininginusevoicepro0.991.051.050.570.570.032.072.071.591.59XXX
    G9001XMCCD, initial rate0.000.000.000.000.000.000.000.000.000.00XXX
    G9002XMCCD,maintenance rate0.000.000.000.000.000.000.000.000.000.00XXX
    G9003XMCCD, risk adj hi, initial0.000.000.000.000.000.000.000.000.000.00XXX
    G9004XMCCD, risk adj lo, initial0.000.000.000.000.000.000.000.000.000.00XXX
    G9005XMCCD, risk adj, maintenance0.000.000.000.000.000.000.000.000.000.00XXX
    G9006XMCCD, Home monitoring0.000.000.000.000.000.000.000.000.000.00XXX
    G9007XMCCD, sch team conf0.000.000.000.000.000.000.000.000.000.00XXX
    G9008XMccd,phys coor-care ovrsght0.000.000.000.000.000.000.000.000.000.00XXX
    G9016NDemo-smoking cessation coun0.000.000.000.000.000.000.000.000.000.00XXX
    H0001IAlcohol and/or drug assess0.000.000.000.000.000.000.000.000.000.00XXX
    H0002IAlcohol and/or drug screenin0.000.000.000.000.000.000.000.000.000.00XXX
    H0003IAlcohol and/or drug screenin0.000.000.000.000.000.000.000.000.000.00XXX
    H0004IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0005IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0006IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0007IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0008IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0009IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0010IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0011IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0012IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0013IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0014IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0015IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0016IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0017IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0018IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0019IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0020IAlcohol and/or drug services0.000.000.000.000.000.000.000.000.000.00XXX
    H0021IAlcohol and/or drug training0.000.000.000.000.000.000.000.000.000.00XXX
    H0022IAlcohol and/or drug interven0.000.000.000.000.000.000.000.000.000.00XXX
    H0023IAlcohol and/or drug outreach0.000.000.000.000.000.000.000.000.000.00XXX
    H0024IAlcohol and/or drug preventi0.000.000.000.000.000.000.000.000.000.00XXX
    H0025IAlcohol and/or drug preventi0.000.000.000.000.000.000.000.000.000.00XXX
    H0026IAlcohol and/or drug preventi0.000.000.000.000.000.000.000.000.000.00XXX
    H0027IAlcohol and/or drug preventi0.000.000.000.000.000.000.000.000.000.00XXX
    H0028IAlcohol and/or drug preventi0.000.000.000.000.000.000.000.000.000.00XXX
    H0029IAlcohol and/or drug preventi0.000.000.000.000.000.000.000.000.000.00XXX
    H0030IAlcohol and/or drug hotline0.000.000.000.000.000.000.000.000.000.00XXX
    J0120ETetracyclin injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0130EAbciximab injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0150EInjection adenosine 6 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J0151EAdenosine injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0170EAdrenalin epinephrin inject0.000.000.000.000.000.000.000.000.000.00XXX
    J0190EInj biperiden lactate/5 mg0.000.000.000.000.000.000.000.000.000.00XXX
    J0200EAlatrofloxacin mesylate0.000.000.000.000.000.000.000.000.000.00XXX
    J0205EAlglucerase injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0207EAmifostine0.000.000.000.000.000.000.000.000.000.00XXX
    J0210EMethyldopate hcl injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0256EAlpha 1 proteinase inhibitor0.000.000.000.000.000.000.000.000.000.00XXX
    J0270EAlprostadil for injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0275EAlprostadil urethral suppos0.000.000.000.000.000.000.000.000.000.00XXX
    J0280EAminophyllin 250 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0282EAmiodarone HCl0.000.000.000.000.000.000.000.000.000.00XXX
    J0285EAmphotericin B0.000.000.000.000.000.000.000.000.000.00XXX
    J0286EAmphotericin B lipid complex0.000.000.000.000.000.000.000.000.000.00XXX
    J0290EAmpicillin 500 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0295EAmpicillin sodium per 1.5 gm0.000.000.000.000.000.000.000.000.000.00XXX
    J0300EAmobarbital 125 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0330ESuccinycholine chloride inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0340ENandrolon phenpropionate inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0350EInjection anistreplase 30 u0.000.000.000.000.000.000.000.000.000.00XXX
    J0360EHydralazine hcl injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0380EInj metaraminol bitartrate0.000.000.000.000.000.000.000.000.000.00XXX
    J0390EChloroquine injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0395EArbutamine HCl injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0400EInj trimethaphan camsylate0.000.000.000.000.000.000.000.000.000.00XXX
    J0456EAzithromycin0.000.000.000.000.000.000.000.000.000.00XXX
    J0460EAtropine sulfate injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0470EDimecaprol injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0475EBaclofen 10 MG injection0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65571
    J0476EBaclofen intrathecal trial0.000.000.000.000.000.000.000.000.000.00XXX
    J0500EDicyclomine injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0510EBenzquinamide injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0515EInj benztropine mesylate0.000.000.000.000.000.000.000.000.000.00XXX
    J0520EBethanechol chloride inject0.000.000.000.000.000.000.000.000.000.00XXX
    J0530EPenicillin g benzathine inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0540EPenicillin g benzathine inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0550EPenicillin g benzathine inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0560EPenicillin g benzathine inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0570EPenicillin g benzathine inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0580EPenicillin g benzathine inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0585EBotulinum toxin a per unit0.000.000.000.000.000.000.000.000.000.00XXX
    J0590EEthylnorepinephrine hcl inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0600EEdetate calcium disodium inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0610ECalcium gluconate injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0620ECalcium glycer & lact/10 ML0.000.000.000.000.000.000.000.000.000.00XXX
    J0630ECalcitonin salmon injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0635ECalcitriol injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0640ELeucovorin calcium injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0670EInj mepivacaine HCL/10 ml0.000.000.000.000.000.000.000.000.000.00XXX
    J0690ECefazolin sodium injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0694ECefoxitin sodium injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0695ECefonocid sodium injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0696ECeftriaxone sodium injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0697ESterile cefuroxime injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0698ECefotaxime sodium injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0702EBetamethasone acet&sod phosp0.000.000.000.000.000.000.000.000.000.00XXX
    J0704EBetamethasone sod phosp/4 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J0710ECephapirin sodium injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0713EInj ceftazidime per 500 mg0.000.000.000.000.000.000.000.000.000.00XXX
    J0715ECeftizoxime sodium / 500 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J0720EChloramphenicol sodium injec0.000.000.000.000.000.000.000.000.000.00XXX
    J0725EChorionic gonadotropin/1000u0.000.000.000.000.000.000.000.000.000.00XXX
    J0730EChlorpheniramin maleate inj0.000.000.000.000.000.000.000.000.000.00XXX
    J0735EClonidine hydrochloride0.000.000.000.000.000.000.000.000.000.00XXX
    J0740ECidofovir injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0743ECilastatin sodium injection0.000.000.000.000.000.000.000.000.000.00XXX
    J0745EInj codeine phosphate /30 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J0760EColchicine injection0.000.000.000.000.000.000.000.000.000.00XXX
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    J3420EVitamin b12 injection0.000.000.000.000.000.000.000.000.000.00XXX
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    J7100EDextran 40 infusion0.000.000.000.000.000.000.000.000.000.00XXX
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    J7130EHypertonic saline solution0.000.000.000.000.000.000.000.000.000.00XXX
    J7190XFactor viii0.000.000.000.000.000.000.000.000.000.00XXX
    J7191XFactor VIII (porcine)0.000.000.000.000.000.000.000.000.000.00XXX
    J7192XFactor viii recombinant0.000.000.000.000.000.000.000.000.000.00XXX
    J7194XFactor ix complex0.000.000.000.000.000.000.000.000.000.00XXX
    J7197XAntithrombin iii injection0.000.000.000.000.000.000.000.000.000.00XXX
    J7198EAnti-inhibitor0.000.000.000.000.000.000.000.000.000.00XXX
    J7199EHemophilia clot factor noc0.000.000.000.000.000.000.000.000.000.00XXX
    J7300NIntraut copper contraceptive0.000.000.000.000.000.000.000.000.000.00XXX
    J7310EGanciclovir long act implant0.000.000.000.000.000.000.000.000.000.00XXX
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    J7330ECultured chondrocytes implnt0.000.000.000.000.000.000.000.000.000.00XXX
    J7500XAzathioprine oral 50mg0.000.000.000.000.000.000.000.000.000.00XXX
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    J7504XLymphocyte immune globulin0.000.000.000.000.000.000.000.000.000.00XXX
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    J7513EDaclizumab, parenteral0.000.000.000.000.000.000.000.000.000.00XXX
    J7515ECyclosporine oral 25 mg0.000.000.000.000.000.000.000.000.000.00XXX
    J7516ECyclosporin parenteral 250mg0.000.000.000.000.000.000.000.000.000.00XXX
    J7517EMycophenolate mofetil oral0.000.000.000.000.000.000.000.000.000.00XXX
    J7520ESirolimus, oral0.000.000.000.000.000.000.000.000.000.00XXX
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    J7599XImmunosuppressive drug noc0.000.000.000.000.000.000.000.000.000.00XXX
    J7608EAcetylcysteine inh sol u d0.000.000.000.000.000.000.000.000.000.00XXX
    J7610DAcetylcysteine 10% injection0.000.000.000.000.000.000.000.000.000.00XXX
    J7615DAcetylcysteine 20% injection0.000.000.000.000.000.000.000.000.000.00XXX
    J7618EAlbuterol inh sol con0.000.000.000.000.000.000.000.000.000.00XXX
    J7619EAlbuterol inh sol u d0.000.000.000.000.000.000.000.000.000.00XXX
    J7620DAlbuterol sulfate .083%/ml0.000.000.000.000.000.000.000.000.000.00XXX
    J7625DAlbuterol sulfate .5% inj0.000.000.000.000.000.000.000.000.000.00XXX
    J7627DBitolterolmesylate inhal sol0.000.000.000.000.000.000.000.000.000.00XXX
    J7628EBitolterol mes inhal sol con0.000.000.000.000.000.000.000.000.000.00XXX
    J7629EBitolterol mes inh sol u d0.000.000.000.000.000.000.000.000.000.00XXX
    J7630DCromolyn sodium injeciton0.000.000.000.000.000.000.000.000.000.00XXX
    J7631ECromolyn sodium inh sol u d0.000.000.000.000.000.000.000.000.000.00XXX
    J7635EAtropine inhal sol con0.000.000.000.000.000.000.000.000.000.00XXX
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    J7637EDexamethasone inhal sol con0.000.000.000.000.000.000.000.000.000.00XXX
    J7638EDexamethasone inhal sol u d0.000.000.000.000.000.000.000.000.000.00XXX
    J7639EDornase alpha inhal sol u d0.000.000.000.000.000.000.000.000.000.00XXX
    J7640DEpinephrine injection0.000.000.000.000.000.000.000.000.000.00XXX
    J7642EGlycopyrrolate inhal sol con0.000.000.000.000.000.000.000.000.000.00XXX
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    Start Printed Page 65575
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    J7648EIsoetharine hcl inh sol con0.000.000.000.000.000.000.000.000.000.00XXX
    J7649EIsoetharine hcl inh sol u d0.000.000.000.000.000.000.000.000.000.00XXX
    J7650DIsoetharine hcl .1% inj0.000.000.000.000.000.000.000.000.000.00XXX
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    J7655DIsoetharine hcl 1% inj0.000.000.000.000.000.000.000.000.000.00XXX
    J7658EIsoproterenolhcl inh sol con0.000.000.000.000.000.000.000.000.000.00XXX
    J7659EIsoproterenol hcl inh sol ud0.000.000.000.000.000.000.000.000.000.00XXX
    J7660DIsoproterenol hcl .5% inj0.000.000.000.000.000.000.000.000.000.00XXX
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    J7670DMetaproterenol sulfate .4%0.000.000.000.000.000.000.000.000.000.00XXX
    J7672DMetaproterenol sulfate .6%0.000.000.000.000.000.000.000.000.000.00XXX
    J7675DMetaproterenol sulfate 5%0.000.000.000.000.000.000.000.000.000.00XXX
    J7680ETerbutaline so4 inh sol con0.000.000.000.000.000.000.000.000.000.00XXX
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    J7682ETobramycin inhalation sol0.000.000.000.000.000.000.000.000.000.00XXX
    J7683ETriamcinolone inh sol con0.000.000.000.000.000.000.000.000.000.00XXX
    J7684ETriamcinolone inh sol u d0.000.000.000.000.000.000.000.000.000.00XXX
    J7699EInhalation solution for DME0.000.000.000.000.000.000.000.000.000.00XXX
    J7799ENon-inhalation drug for DME0.000.000.000.000.000.000.000.000.000.00XXX
    J8499NOral prescrip drug non chemo0.000.000.000.000.000.000.000.000.000.00XXX
    J8510EOral busulfan0.000.000.000.000.000.000.000.000.000.00XXX
    J8520ECapecitabine, oral, 150 mg0.000.000.000.000.000.000.000.000.000.00XXX
    J8521ECapecitabine, oral, 500 mg0.000.000.000.000.000.000.000.000.000.00XXX
    J8530ECyclophosphamide oral 25 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J8560EEtoposide oral 50 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J8600EMelphalan oral 2 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J8610EMethotrexate oral 2.5 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J8700ETemozolmide0.000.000.000.000.000.000.000.000.000.00XXX
    J8999EOral prescription drug chemo0.000.000.000.000.000.000.000.000.000.00XXX
    J9000EDoxorubic hcl 10 MG vl chemo0.000.000.000.000.000.000.000.000.000.00XXX
    J9001EDoxorubicin hcl liposome inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9015EAldesleukin/single use vial0.000.000.000.000.000.000.000.000.000.00XXX
    J9020EAsparaginase injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9031EBcg live intravesical vac0.000.000.000.000.000.000.000.000.000.00XXX
    J9040EBleomycin sulfate injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9045ECarboplatin injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9050ECarmus bischl nitro inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9060ECisplatin 10 MG injeciton0.000.000.000.000.000.000.000.000.000.00XXX
    J9062ECisplatin 50 MG injeciton0.000.000.000.000.000.000.000.000.000.00XXX
    J9065EInj cladribine per 1 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J9070ECyclophosphamide 100 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9080ECyclophosphamide 200 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9090ECyclophosphamide 500 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9091ECyclophosphamide 1.0 grm inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9092ECyclophosphamide 2.0 grm inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9093ECyclophosphamide lyophilized0.000.000.000.000.000.000.000.000.000.00XXX
    J9094ECyclophosphamide lyophilized0.000.000.000.000.000.000.000.000.000.00XXX
    J9095ECyclophosphamide lyophilized0.000.000.000.000.000.000.000.000.000.00XXX
    J9096ECyclophosphamide lyophilized0.000.000.000.000.000.000.000.000.000.00XXX
    J9097ECyclophosphamide lyophilized0.000.000.000.000.000.000.000.000.000.00XXX
    J9100ECytarabine hcl 100 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9110ECytarabine hcl 500 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9120EDactinomycin actinomycin d0.000.000.000.000.000.000.000.000.000.00XXX
    J9130EDacarbazine 10 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9140EDacarbazine 200 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9150EDaunorubicin0.000.000.000.000.000.000.000.000.000.00XXX
    J9151EDaunorubicin citrate liposom0.000.000.000.000.000.000.000.000.000.00XXX
    J9160EDenileukin diftitox, 300 mcg0.000.000.000.000.000.000.000.000.000.00XXX
    J9165EDiethylstilbestrol injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9170EDocetaxel0.000.000.000.000.000.000.000.000.000.00XXX
    J9180EEpirubicin HCl injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9181EEtoposide 10 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9182EEtoposide 100 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9185EFludarabine phosphate inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9190EFluorouracil injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9200EFloxuridine injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9201EGemcitabine HCl0.000.000.000.000.000.000.000.000.000.00XXX
    J9202EGoserelin acetate implant0.000.000.000.000.000.000.000.000.000.00XXX
    J9206EIrinotecan injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9208EIfosfomide injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9209EMesna injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9211EIdarubicin hcl injeciton0.000.000.000.000.000.000.000.000.000.00XXX
    J9212EInterferon alfacon-10.000.000.000.000.000.000.000.000.000.00XXX
    J9213EInterferon alfa-2a inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9214EInterferon alfa-2b inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9215EInterferon alfa-n3 inj0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65576
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    J9217ELeuprolide acetate suspnsion0.000.000.000.000.000.000.000.000.000.00XXX
    J9218ELeuprolide acetate injeciton0.000.000.000.000.000.000.000.000.000.00XXX
    J9219ELeuprolide acetate implant0.000.000.000.000.000.000.000.000.000.00XXX
    J9230EMechlorethamine hcl inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9245EInj melphalan hydrochl 50 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J9250EMethotrexate sodium inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9260EMethotrexate sodium inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9265EPaclitaxel injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9266EPegaspargase/singl dose vial0.000.000.000.000.000.000.000.000.000.00XXX
    J9268EPentostatin injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9270EPlicamycin (mithramycin) inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9280EMitomycin 5 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9290EMitomycin 20 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9291EMitomycin 40 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9293EMitoxantrone hydrochl / 5 MG0.000.000.000.000.000.000.000.000.000.00XXX
    J9310ERituximab cancer treatment0.000.000.000.000.000.000.000.000.000.00XXX
    J9320EStreptozocin injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9340EThiotepa injection0.000.000.000.000.000.000.000.000.000.00XXX
    J9350ETopotecan0.000.000.000.000.000.000.000.000.000.00XXX
    J9355ETrastuzumab0.000.000.000.000.000.000.000.000.000.00XXX
    J9357EValrubicin, 200 mg0.000.000.000.000.000.000.000.000.000.00XXX
    J9360EVinblastine sulfate inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9370EVincristine sulfate 1 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9375EVincristine sulfate 2 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9380EVincristine sulfate 5 MG inj0.000.000.000.000.000.000.000.000.000.00XXX
    J9390EVinorelbine tartrate/10 mg0.000.000.000.000.000.000.000.000.000.00XXX
    J9600EPorfimer sodium0.000.000.000.000.000.000.000.000.000.00XXX
    J9999EChemotherapy drug0.000.000.000.000.000.000.000.000.000.00XXX
    M0064AVisit for drug monitoring0.370.260.250.120.140.010.640.630.500.52XXX
    M0075NCellular therapy0.000.000.000.000.000.000.000.000.000.00XXX
    M0076NProlotherapy0.000.000.000.000.000.000.000.000.000.00XXX
    M0100NIntragastric hypothermia0.000.000.000.000.000.000.000.000.000.00XXX
    M0300NIV chelationtherapy0.000.000.000.000.000.000.000.000.000.00XXX
    M0301NFabric wrapping of aneurysm0.000.000.000.000.000.000.000.000.000.00XXX
    M0302AAssessment of cardiac output0.170.880.880.880.880.021.071.071.071.07XXX
    M030226AAssessment of cardiac output0.170.080.080.080.080.010.260.260.260.26XXX
    M0302TCAAssessment of cardiac output0.000.800.80NANA0.010.810.81NANAXXX
    P2028XCephalin floculation test0.000.000.000.000.000.000.000.000.000.00XXX
    P2029XCongo red blood test0.000.000.000.000.000.000.000.000.000.00XXX
    P2031NHair analysis0.000.000.000.000.000.000.000.000.000.00XXX
    P2033XBlood thymol turbidity0.000.000.000.000.000.000.000.000.000.00XXX
    P2038XBlood mucoprotein0.000.000.000.000.000.000.000.000.000.00XXX
    P3000XScreen pap by tech w md supv0.000.000.000.000.000.000.000.000.000.00XXX
    P3001AScreening pap smear by phys0.420.180.220.180.220.010.610.650.610.65XXX
    P7001ICulture bacterial urine0.000.000.000.000.000.000.000.000.000.00XXX
    P9010EWhole blood for transfusion0.000.000.000.000.000.000.000.000.000.00XXX
    P9011EBlood split unit0.000.000.000.000.000.000.000.000.000.00XXX
    P9012ECryoprecipitate each unit0.000.000.000.000.000.000.000.000.000.00XXX
    P9013DUnit/s blood fibrinogen0.000.000.000.000.000.000.000.000.000.00XXX
    P9016ERBC leukocytes reduced0.000.000.000.000.000.000.000.000.000.00XXX
    P9017EOne donor fresh frozn plasma0.000.000.000.000.000.000.000.000.000.00XXX
    P9018DPlasma protein fract, unit0.000.000.000.000.000.000.000.000.000.00XXX
    P9019EPlatelets, each unit0.000.000.000.000.000.000.000.000.000.00XXX
    P9020EPlaelet rich plasma unit0.000.000.000.000.000.000.000.000.000.00XXX
    P9021ERed blood cells unit0.000.000.000.000.000.000.000.000.000.00XXX
    P9022EWashed red blood cells unit0.000.000.000.000.000.000.000.000.000.00XXX
    P9023XFrozen plasma, pooled, sd0.000.000.000.000.000.000.000.000.000.00XXX
    P9031XPlatelets leukocytes reduced0.000.000.000.000.000.000.000.000.000.00XXX
    P9032XPlatelets, irradiated0.000.000.000.000.000.000.000.000.000.00XXX
    P9033XPlatelets leukoreduced irrad0.000.000.000.000.000.000.000.000.000.00XXX
    P9034XPlatelets, pheresis0.000.000.000.000.000.000.000.000.000.00XXX
    P9035XPlatelet pheres leukoreduced0.000.000.000.000.000.000.000.000.000.00XXX
    P9036XPlatelet pheresis irradiated0.000.000.000.000.000.000.000.000.000.00XXX
    P9037XPlate pheres leukoredu irrad0.000.000.000.000.000.000.000.000.000.00XXX
    P9038XRBC irradiated0.000.000.000.000.000.000.000.000.000.00XXX
    P9039XRBC deglycerolized0.000.000.000.000.000.000.000.000.000.00XXX
    P9040XRBC leukoreduced irradiated0.000.000.000.000.000.000.000.000.000.00XXX
    P9041XAlbumin(human), 5%0.000.000.000.000.000.000.000.000.000.00XXX
    P9042XAlbumin (human), 25%0.000.000.000.000.000.000.000.000.000.00XXX
    P9043XPlasma protein fraction0.000.000.000.000.000.000.000.000.000.00XXX
    P9044XCryoprecipitatereducedplasma0.000.000.000.000.000.000.000.000.000.00XXX
    P9603XOne-way allow prorated miles0.000.000.000.000.000.000.000.000.000.00XXX
    P9604XOne-way allow prorated trip0.000.000.000.000.000.000.000.000.000.00XXX
    P9612XCatheterize for urine spec0.000.000.000.000.000.000.000.000.000.00XXX
    P9615XUrine specimen collect mult0.000.000.000.000.000.000.000.000.000.00XXX
    Q0034DAdmin of influenza vaccine0.000.000.000.000.000.000.000.000.000.00XXX
    Q0035ACardiokymography0.170.450.480.450.480.030.650.680.650.68XXX
    Q003526ACardiokymography0.170.070.090.070.090.010.250.270.250.27XXX
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    S8999IResuscitation bag0.000.000.000.000.000.000.000.000.000.00XXX
    S9001IHome uterine monitor with or0.000.000.000.000.000.000.000.000.000.00XXX
    S9007IUltrafiltration monitor0.000.000.000.000.000.000.000.000.000.00XXX
    S9015IAutomated EEG monitoring0.000.000.000.000.000.000.000.000.000.00XXX
    S9022IDigital subtraction angiogra0.000.000.000.000.000.000.000.000.000.00XXX
    S9023IXenon regional cerebral bloo0.000.000.000.000.000.000.000.000.000.00XXX
    S9024IParanasal sinus ultrasound0.000.000.000.000.000.000.000.000.000.00XXX
    S9025IOmnicardiogram/cardiointegra0.000.000.000.000.000.000.000.000.000.00XXX
    S9033DGait analysis0.000.000.000.000.000.000.000.000.000.00XXX
    S9035IMedical equipment or supplie0.000.000.000.000.000.000.000.000.000.00XXX
    S9055IProcuren or other growth fac0.000.000.000.000.000.000.000.000.000.00XXX
    S9056IComa stimulation per diem0.000.000.000.000.000.000.000.000.000.00XXX
    S9061IMedical supplies and equipme0.000.000.000.000.000.000.000.000.000.00XXX
    S9075ISmoking cessation treatment0.000.000.000.000.000.000.000.000.000.00XXX
    S9085IMeniscal allograft transplan0.000.000.000.000.000.000.000.000.000.00XXX
    S9088IServices provided in urgent0.000.000.000.000.000.000.000.000.000.00XXX
    S9090IVertebral axial decompressio0.000.000.000.000.000.000.000.000.000.00XXX
    S9122IHome health aide or certifie0.000.000.000.000.000.000.000.000.000.00XXX
    S9123INursing care, in the home; b0.000.000.000.000.000.000.000.000.000.00XXX
    S9124INursing care, in the home; b0.000.000.000.000.000.000.000.000.000.00XXX
    S9125IRespite care, in the home, p0.000.000.000.000.000.000.000.000.000.00XXX
    S9126IHospice care, in the home, p0.000.000.000.000.000.000.000.000.000.00XXX
    S9127ISocial work visit, in the ho0.000.000.000.000.000.000.000.000.000.00XXX
    S9128ISpeech therapy, in the home,0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65580
    S9129IOccupational therapy, in the0.000.000.000.000.000.000.000.000.000.00XXX
    S9140IDiabetic Management Program,0.000.000.000.000.000.000.000.000.000.00XXX
    S9141IDiabetic Management Program,0.000.000.000.000.000.000.000.000.000.00XXX
    S9200INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9210INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9220INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9225INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9230INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9300INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9308INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9310INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9395INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9420INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9423INursing services, patient as0.000.000.000.000.000.000.000.000.000.00XXX
    S9425INursing services and all nec0.000.000.000.000.000.000.000.000.000.00XXX
    S9435IMedical foods for inborn err0.000.000.000.000.000.000.000.000.000.00XXX
    S9455IDiabetic Management Program,0.000.000.000.000.000.000.000.000.000.00XXX
    S9460IDiabetic Management Program,0.000.000.000.000.000.000.000.000.000.00XXX
    S9465IDiabetic Management Program,0.000.000.000.000.000.000.000.000.000.00XXX
    S9470INutritional counseling, diet0.000.000.000.000.000.000.000.000.000.00XXX
    S9472ICardiac rehabilitation progr0.000.000.000.000.000.000.000.000.000.00XXX
    S9473IPulmonary rehabilitation pro0.000.000.000.000.000.000.000.000.000.00XXX
    S9474IEnterostomal therapy by a re0.000.000.000.000.000.000.000.000.000.00XXX
    S9475IAmbulatory setting substance0.000.000.000.000.000.000.000.000.000.00XXX
    S9480IIntensive outpatient psychia0.000.000.000.000.000.000.000.000.000.00XXX
    S9485ICrisis intervention mental h0.000.000.000.000.000.000.000.000.000.00XXX
    S9524INursing services related to0.000.000.000.000.000.000.000.000.000.00XXX
    S9526ISkilled nursing visits for0.000.000.000.000.000.000.000.000.000.00XXX
    S9527IInsertion of a peripherally0.000.000.000.000.000.000.000.000.000.00XXX
    S9528IInsertion of midline central0.000.000.000.000.000.000.000.000.000.00XXX
    S9533IPain management, intravenous0.000.000.000.000.000.000.000.000.000.00XXX
    S9535IAdministration of hematopoie0.000.000.000.000.000.000.000.000.000.00XXX
    S9539IAdministration of antibiotic0.000.000.000.000.000.000.000.000.000.00XXX
    S9543IAdministration of medication0.000.000.000.000.000.000.000.000.000.00XXX
    S9545IAdministration of immune glo0.000.000.000.000.000.000.000.000.000.00XXX
    S9550IHome IV therapy, hydration0.000.000.000.000.000.000.000.000.000.00XXX
    S9555IAdditional home infusion0.000.000.000.000.000.000.000.000.000.00XXX
    S9990IServices provided as part of0.000.000.000.000.000.000.000.000.000.00XXX
    S9991IServices provided as part of0.000.000.000.000.000.000.000.000.000.00XXX
    S9992ITransportation costs to and0.000.000.000.000.000.000.000.000.000.00XXX
    S9994ILodging costs (e.g. hotel ch0.000.000.000.000.000.000.000.000.000.00XXX
    S9996IMeals for clinical trial par0.000.000.000.000.000.000.000.000.000.00XXX
    S9999ISales tax0.000.000.000.000.000.000.000.000.000.00XXX
    V2020XVision svcs frames purchases0.000.000.000.000.000.000.000.000.000.00XXX
    V2025NEyeglasses delux frames0.000.000.000.000.000.000.000.000.000.00XXX
    V2100XLens spher single plano 4.000.000.000.000.000.000.000.000.000.000.00XXX
    V2101XSingle visn sphere 4.12-7.000.000.000.000.000.000.000.000.000.000.00XXX
    V2102XSingl visn sphere 7.12-20.000.000.000.000.000.000.000.000.000.000.00XXX
    V2103XSpherocylindr 4.00d/12-2.00d0.000.000.000.000.000.000.000.000.000.00XXX
    V2104XSpherocylindr 4.00d/2.12-4d0.000.000.000.000.000.000.000.000.000.00XXX
    V2105XSpherocylinder 4.00d/4.25-6d0.000.000.000.000.000.000.000.000.000.00XXX
    V2106XSpherocylinder 4.00d/>6.00d0.000.000.000.000.000.000.000.000.000.00XXX
    V2107XSpherocylinder 4.25d/12-2d0.000.000.000.000.000.000.000.000.000.00XXX
    V2108XSpherocylinder 4.25d/2.12-4d0.000.000.000.000.000.000.000.000.000.00XXX
    V2109XSpherocylinder 4.25d/4.25-6d0.000.000.000.000.000.000.000.000.000.00XXX
    V2110XSpherocylinder 4.25d/over 6d0.000.000.000.000.000.000.000.000.000.00XXX
    V2111XSpherocylindr 7.25d/.25-2.250.000.000.000.000.000.000.000.000.000.00XXX
    V2112XSpherocylindr 7.25d/2.25-4d0.000.000.000.000.000.000.000.000.000.00XXX
    V2113XSpherocylindr 7.25d/4.25-6d0.000.000.000.000.000.000.000.000.000.00XXX
    V2114XSpherocylinder over 12.00d0.000.000.000.000.000.000.000.000.000.00XXX
    V2115XLens lenticular bifocal0.000.000.000.000.000.000.000.000.000.00XXX
    V2116XNonaspheric lens bifocal0.000.000.000.000.000.000.000.000.000.00XXX
    V2117XAspheric lens bifocal0.000.000.000.000.000.000.000.000.000.00XXX
    V2118XLens aniseikonic single0.000.000.000.000.000.000.000.000.000.00XXX
    V2199XLens single vision not oth c0.000.000.000.000.000.000.000.000.000.00XXX
    V2200XLens spher bifoc plano 4.00d0.000.000.000.000.000.000.000.000.000.00XXX
    V2201XLens sphere bifocal 4.12-7.00.000.000.000.000.000.000.000.000.000.00XXX
    V2202XLens sphere bifocal 7.12-20.0.000.000.000.000.000.000.000.000.000.00XXX
    V2203XLens sphcyl bifocal 4.00d/.10.000.000.000.000.000.000.000.000.000.00XXX
    V2204XLens sphcy bifocal 4.00d/2.10.000.000.000.000.000.000.000.000.000.00XXX
    V2205XLens sphcy bifocal 4.00d/4.20.000.000.000.000.000.000.000.000.000.00XXX
    V2206XLens sphcy bifocal 4.00d/ove0.000.000.000.000.000.000.000.000.000.00XXX
    V2207XLens sphcy bifocal 4.25-7d/.0.000.000.000.000.000.000.000.000.000.00XXX
    V2208XLens sphcy bifocal 4.25-7/2.0.000.000.000.000.000.000.000.000.000.00XXX
    V2209XLens sphcy bifocal 4.25-7/4.0.000.000.000.000.000.000.000.000.000.00XXX
    V2210XLens sphcy bifocal 4.25-7/ov0.000.000.000.000.000.000.000.000.000.00XXX
    V2211XLens sphcy bifo 7.25-12/.25-0.000.000.000.000.000.000.000.000.000.00XXX
    V2212XLens sphcyl bifo 7.25-12/2.20.000.000.000.000.000.000.000.000.000.00XXX
    V2213XLens sphcyl bifo 7.25-12/4.20.000.000.000.000.000.000.000.000.000.00XXX
    V2214XLens sphcyl bifocal over 12.0.000.000.000.000.000.000.000.000.000.00XXX
    V2215XLens lenticular bifocal0.000.000.000.000.000.000.000.000.000.00XXX
    V2216XLens lenticular nonaspheric0.000.000.000.000.000.000.000.000.000.00XXX
    V2217XLens lenticular aspheric bif0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65581
    V2218XLens aniseikonic bifocal0.000.000.000.000.000.000.000.000.000.00XXX
    V2219XLens bifocal seg width over0.000.000.000.000.000.000.000.000.000.00XXX
    V2220XLens bifocal add over 3.25d0.000.000.000.000.000.000.000.000.000.00XXX
    V2299XLens bifocal speciality0.000.000.000.000.000.000.000.000.000.00XXX
    V2300XLens sphere trifocal 4.00d0.000.000.000.000.000.000.000.000.000.00XXX
    V2301XLens sphere trifocal 4.12-7.0.000.000.000.000.000.000.000.000.000.00XXX
    V2302XLens sphere trifocal 7.12-200.000.000.000.000.000.000.000.000.000.00XXX
    V2303XLens sphcy trifocal 4.0/.12-0.000.000.000.000.000.000.000.000.000.00XXX
    V2304XLens sphcy trifocal 4.0/2.250.000.000.000.000.000.000.000.000.000.00XXX
    V2305XLens sphcy trifocal 4.0/4.250.000.000.000.000.000.000.000.000.000.00XXX
    V2306XLens sphcyl trifocal 4.00/>60.000.000.000.000.000.000.000.000.000.00XXX
    V2307XLens sphcy trifocal 4.25-7/.0.000.000.000.000.000.000.000.000.000.00XXX
    V2308XLens sphc trifocal 4.25-7/2.0.000.000.000.000.000.000.000.000.000.00XXX
    V2309XLens sphc trifocal 4.25-7/4.0.000.000.000.000.000.000.000.000.000.00XXX
    V2310XLens sphc trifocal 4.25-7/>60.000.000.000.000.000.000.000.000.000.00XXX
    V2311XLens sphc trifo 7.25-12/.25-0.000.000.000.000.000.000.000.000.000.00XXX
    V2312XLens sphc trifo 7.25-12/2.250.000.000.000.000.000.000.000.000.000.00XXX
    V2313XLens sphc trifo 7.25-12/4.250.000.000.000.000.000.000.000.000.000.00XXX
    V2314XLens sphcyl trifocal over 120.000.000.000.000.000.000.000.000.000.00XXX
    V2315XLens lenticular trifocal0.000.000.000.000.000.000.000.000.000.00XXX
    V2316XLens lenticular nonaspheric0.000.000.000.000.000.000.000.000.000.00XXX
    V2317XLens lenticular aspheric tri0.000.000.000.000.000.000.000.000.000.00XXX
    V2318XLens aniseikonic trifocal0.000.000.000.000.000.000.000.000.000.00XXX
    V2319XLens trifocal seg width > 280.000.000.000.000.000.000.000.000.000.00XXX
    V2320XLens trifocal add over 3.25d0.000.000.000.000.000.000.000.000.000.00XXX
    V2399XLens trifocal speciality0.000.000.000.000.000.000.000.000.000.00XXX
    V2410XLens variab asphericity sing0.000.000.000.000.000.000.000.000.000.00XXX
    V2430XLens variable asphericity bi0.000.000.000.000.000.000.000.000.000.00XXX
    V2499XVariable asphericity lens0.000.000.000.000.000.000.000.000.000.00XXX
    V2500XContact lens pmma spherical0.000.000.000.000.000.000.000.000.000.00XXX
    V2501XCntct lens pmma-toric/prism0.000.000.000.000.000.000.000.000.000.00XXX
    V2502XContact lens pmma bifocal0.000.000.000.000.000.000.000.000.000.00XXX
    V2503XCntct lens pmma color vision0.000.000.000.000.000.000.000.000.000.00XXX
    V2510XCntct gas permeable sphericl0.000.000.000.000.000.000.000.000.000.00XXX
    V2511XCntct toric prism ballast0.000.000.000.000.000.000.000.000.000.00XXX
    V2512XCntct lens gas permbl bifocl0.000.000.000.000.000.000.000.000.000.00XXX
    V2513XContact lens extended wear0.000.000.000.000.000.000.000.000.000.00XXX
    V2520PContact lens hydrophilic0.000.000.000.000.000.000.000.000.000.00XXX
    V2521XCntct lens hydrophilic toric0.000.000.000.000.000.000.000.000.000.00XXX
    V2522XCntct lens hydrophil bifocl0.000.000.000.000.000.000.000.000.000.00XXX
    V2523XCntct lens hydrophil extend0.000.000.000.000.000.000.000.000.000.00XXX
    V2530XContact lens gas impermeable0.000.000.000.000.000.000.000.000.000.00XXX
    V2531XContact lens gas permeable0.000.000.000.000.000.000.000.000.000.00XXX
    V2599XContact lens/es other type0.000.000.000.000.000.000.000.000.000.00XXX
    V2600XHand held low vision aids0.000.000.000.000.000.000.000.000.000.00XXX
    V2610XSingle lens spectacle mount0.000.000.000.000.000.000.000.000.000.00XXX
    V2615XTelescop/othr compound lens0.000.000.000.000.000.000.000.000.000.00XXX
    V2623XPlastic eye prosth custom0.000.000.000.000.000.000.000.000.000.00XXX
    V2624XPolishing artifical eye0.000.000.000.000.000.000.000.000.000.00XXX
    V2625XEnlargemnt of eye prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    V2626XReduction of eye prosthesis0.000.000.000.000.000.000.000.000.000.00XXX
    V2627XScleral cover shell0.000.000.000.000.000.000.000.000.000.00XXX
    V2628XFabrication & fitting0.000.000.000.000.000.000.000.000.000.00XXX
    V2629XProsthetic eye other type0.000.000.000.000.000.000.000.000.000.00XXX
    V2630XAnter chamber intraocul lens0.000.000.000.000.000.000.000.000.000.00XXX
    V2631XIris support intraoclr lens0.000.000.000.000.000.000.000.000.000.00XXX
    V2632XPost chmbr intraocular lens0.000.000.000.000.000.000.000.000.000.00XXX
    V2700XBalance lens0.000.000.000.000.000.000.000.000.000.00XXX
    V2710XGlass/plastic slab off prism0.000.000.000.000.000.000.000.000.000.00XXX
    V2715XPrism lens/es0.000.000.000.000.000.000.000.000.000.00XXX
    V2718XFresnell prism press-on lens0.000.000.000.000.000.000.000.000.000.00XXX
    V2730XSpecial base curve0.000.000.000.000.000.000.000.000.000.00XXX
    V2740XRose tint plastic0.000.000.000.000.000.000.000.000.000.00XXX
    V2741XNon-rose tint plastic0.000.000.000.000.000.000.000.000.000.00XXX
    V2742XRose tint glass0.000.000.000.000.000.000.000.000.000.00XXX
    V2743XNon-rose tint glass0.000.000.000.000.000.000.000.000.000.00XXX
    V2744XTint photochromatic lens/es0.000.000.000.000.000.000.000.000.000.00XXX
    V2750XAnti-reflective coating0.000.000.000.000.000.000.000.000.000.00XXX
    V2755XUV lens/es0.000.000.000.000.000.000.000.000.000.00XXX
    V2760XScratch resistant coating0.000.000.000.000.000.000.000.000.000.00XXX
    V2770XOccluder lens/es0.000.000.000.000.000.000.000.000.000.00XXX
    V2780XOversize lens/es0.000.000.000.000.000.000.000.000.000.00XXX
    V2781XProgressive lens per lens0.000.000.000.000.000.000.000.000.000.00XXX
    V2785XCorneal tissue processing0.000.000.000.000.000.000.000.000.000.00XXX
    V2790XAmniotic membrane0.000.000.000.000.000.000.000.000.000.00XXX
    V2799XMiscellaneous vision service0.000.000.000.000.000.000.000.000.000.00XXX
    V5008NHearing screening0.000.000.000.000.000.000.000.000.000.00XXX
    V5010NAssessment for hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5011NHearing aid fitting/checking0.000.000.000.000.000.000.000.000.000.00XXX
    V5014NHearing aid repair/modifying0.000.000.000.000.000.000.000.000.000.00XXX
    V5020NConformity evaluation0.000.000.000.000.000.000.000.000.000.00XXX
    V5030NBody-worn hearing aid air0.000.000.000.000.000.000.000.000.000.00XXX
    V5040NBody-worn hearing aid bone0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65582
    V5050NHearing aid monaural in ear0.000.000.000.000.000.000.000.000.000.00XXX
    V5060NBehind ear hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5070NGlasses air conduction0.000.000.000.000.000.000.000.000.000.00XXX
    V5080NGlasses bone conduction0.000.000.000.000.000.000.000.000.000.00XXX
    V5090NHearing aid dispensing fee0.000.000.000.000.000.000.000.000.000.00XXX
    V5100NBody-worn bilat hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5110NHearing aid dispensing fee0.000.000.000.000.000.000.000.000.000.00XXX
    V5120NBody-worn binaur hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5130NIn ear binaural hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5140NBehind ear binaur hearing ai0.000.000.000.000.000.000.000.000.000.00XXX
    V5150NGlasses binaural hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5160NDispensing fee binaural0.000.000.000.000.000.000.000.000.000.00XXX
    V5170NWithin ear cros hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5180NBehind ear cros hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5190NGlasses cros hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5200NCros hearing aid dispens fee0.000.000.000.000.000.000.000.000.000.00XXX
    V5210NIn ear bicros hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5220NBehind ear bicros hearing ai0.000.000.000.000.000.000.000.000.000.00XXX
    V5230NGlasses bicros hearing aid0.000.000.000.000.000.000.000.000.000.00XXX
    V5240NDispensing fee bicros0.000.000.000.000.000.000.000.000.000.00XXX
    V5299RHearing service0.000.000.000.000.000.000.000.000.000.00XXX
    V5336NRepair communication device0.000.000.000.000.000.000.000.000.000.00XXX
    V5362RSpeech screening0.000.000.000.000.000.000.000.000.000.00XXX
    V5363RLanguage screening0.000.000.000.000.000.000.000.000.000.00XXX
    V5364RDysphagia screening0.000.000.000.000.000.000.000.000.000.00XXX
    1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
    2 Copyright 1994 American Dental Association. All rights reserved.
    3 + Indicates RVUs are not used for Medicare payment.
    4 PE RVUs = Practice Expense Relative Value Units.
    —————————— 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 1994 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payment. 4 PE RVUs = Practice Expense Relative Value Units.

    Addendum C.—Codes with Interim RVUs

    CPT1/HCPCS2MODStatusDescriptionPhysician Work RVUs3Fully Implemented Non-Facility PE RVUsYear 2001 Transitional Non-Facility PE RVUsFully Implemented Facility PE RVUsYear 2001 Transitional Facility PE RVUsMal- Practice RVUsFully Implemented Non-Facility TotalYear 2001 Transitional Non-Facility TotalFully Implemented Facility TotalYear 2001 Transitional Facility TotalGlobal
    11980AImplant hormone pellet(s)1.481.141.140.630.630.102.722.722.212.21000
    15342ACultured skin graft, 25 cm1.002.202.200.780.780.393.593.592.172.17010
    15343ACulture skn graft addl 25 cm0.250.280.280.100.100.090.620.620.440.44ZZZ
    16035AIncision of burn scab, initi3.75NANA1.591.700.36NANA5.705.81090
    16036AIncise burn scab, addl incis1.50NANA0.640.640.18NANA2.322.32ZZZ
    19100ABx breast percut w/o image1.273.332.670.460.430.104.704.041.831.80000
    19101ABiopsy of breast, open3.189.828.002.972.860.2013.2011.386.356.24010
    19102ABx breast percut w/image2.004.584.580.730.730.086.666.662.812.81000
    19103ABx breast percut w/device2.3710.8310.830.860.860.0813.2813.283.313.31000
    19120ARemoval of breast lesion5.564.414.103.623.500.5610.5310.229.749.62090
    19125AExcision, breast lesion6.065.044.573.783.620.6111.7111.2410.4510.29090
    19126AExcision, addl breast lesion2.93NANA1.111.230.30NANA4.344.46ZZZ
    19295APlace breast clip, percut0.002.612.610.940.940.012.622.620.950.95ZZZ
    20979AUs bone stimulation0.620.570.570.250.250.041.231.230.910.91000
    21199AReconstr lwr jaw w/advance16.00NANA10.5310.531.00NANA27.5327.53090
    22520APercut vertebroplasty thor8.91NANA3.953.950.89NANA13.7513.75010
    22521APercut vertebroplasty lumb8.34NANA3.723.720.84NANA12.9012.90010
    22522APercut vertebroplasty addl3.00NANA1.201.200.30NANA4.504.50ZZZ
    30465ARepair nasal stenosis11.64NANA9.129.120.82NANA21.5821.58090
    33140AHeart revascularize (tmr)20.00NANA12.7912.792.27NANA35.0635.06090
    33141AHeart tmr w/other procedure4.84NANA1.971.970.60NANA7.417.41ZZZ
    33533ACABG, arterial, single25.83NANA19.4422.293.24NANA48.5151.36090
    33534ACABG, arterial, two28.82NANA20.1223.693.63NANA52.5756.14090
    33535ACABG, arterial, three31.81NANA21.0525.283.97NANA56.8361.06090
    33536ACabg, arterial, four or more34.79NANA18.1624.003.29NANA56.2462.08090
    34800AEndovasc abdo repair w/tube20.75NANA9.729.721.49NANA31.9631.96090
    34802AEndovasc abdo repr w/device23.00NANA10.6210.621.65NANA35.2735.27090
    34804AEndovasc abdo repr w/device23.00NANA10.6210.621.65NANA35.2735.27090
    34808AEndovasc abdo occlud device4.13NANA1.651.650.29NANA6.076.07ZZZ
    34812AXpose for endoprosth, aortic6.75NANA2.702.700.49NANA9.949.94000
    34813AXpose for endoprosth, femorl4.80NANA1.921.920.34NANA7.067.06ZZZ
    34820AXpose for endoprosth, iliac9.75NANA3.903.900.70NANA14.3514.35000
    34825AEndovasc extend prosth, init12.00NANA6.236.230.86NANA19.0919.09090
    34826AEndovasc exten prosth, addl4.13NANA1.651.650.29NANA6.076.07ZZZ
    34830AOpen aortic tube prosth repr32.59NANA14.8114.812.34NANA49.7449.74090
    34831AOpen aortoiliac prosth repr35.34NANA15.9015.902.53NANA53.7753.77090
    34832AOpen aortofemor prosth repr35.34NANA15.9015.902.53NANA53.7753.77090
    35600AHarvest artery for cabg4.95NANA1.981.980.54NANA7.477.47ZZZ
    36540BCollect blood venous device0.000.000.000.000.000.000.000.000.000.00XXX
    36831AAv fistula excision, open8.002.952.952.952.950.7911.7411.7411.7411.74090
    36832AAv fistula revision, open10.50NANA5.906.351.13NANA17.5317.98090
    36870AAv fistula revision, open5.1630.6730.672.512.510.4036.2336.238.078.07090
    Start Printed Page 65583
    38500ABiopsy/removal, lymph nodes2.882.642.412.302.160.285.805.575.465.32010
    38530ABiopsy/removal, lymph nodes6.13NANA5.364.880.63NANA12.1211.64090
    43231AEsoph endoscopy w/us exam4.09NANA1.841.840.24NANA6.176.17000
    43232AEsoph endoscopy w/us fn bx4.71NANA2.182.180.28NANA7.177.17000
    43240AEsoph endoscope w/drain cyst7.39NANA3.053.050.45NANA10.8910.89000
    43241AUpper GI endoscopy with tube2.59NANA1.221.690.14NANA3.954.42000
    43242AUppr gi endoscopy w/us fn bx5.511.981.981.981.980.347.837.837.837.83000
    43256AUppr gi endoscopy w stent4.351.561.561.561.560.266.176.176.176.17000
    43752BNasal/orogastric w/stent0.000.000.000.000.000.000.000.000.000.00XXX
    44132NEnterectomy, cadaver donor0.000.000.000.000.000.000.000.000.000.00XXX
    44133NEnterectomy, live donor0.000.000.000.000.000.000.000.000.000.00XXX
    44135NIntestine transplnt, cadaver0.000.000.000.000.000.000.000.000.000.00XXX
    44136NIntestine transplant, live0.000.000.000.000.000.000.000.000.000.00XXX
    44360ASmall bowel endoscopy2.59NANA1.311.850.14NANA4.044.58000
    44361ASmall bowel endoscopy/biopsy2.87NANA1.412.020.15NANA4.435.04000
    44363ASmall bowel endoscopy3.50NANA1.602.010.19NANA5.295.70000
    44364ASmall bowel endoscopy3.74NANA1.732.560.21NANA5.686.51000
    44365ASmall bowel endoscopy3.31NANA1.582.300.18NANA5.075.79000
    44366ASmall bowel endoscopy4.41NANA1.962.960.22NANA6.597.59000
    44369ASmall bowel endoscopy4.52NANA1.952.980.23NANA6.707.73000
    44370ASmall bowel endoscopy/stent4.331.561.561.561.560.266.156.156.156.15000
    44372ASmall bowel endoscopy4.41NANA1.992.980.27NANA6.677.66000
    44373ASmall bowel endoscopy3.50NANA1.702.450.19NANA5.396.14000
    44376ASmall bowel endoscopy5.26NANA2.282.810.29NANA7.838.36000
    44377ASmall bowel endoscopy/biopsy5.53NANA2.382.940.28NANA8.198.75000
    44378ASmall bowel endoscopy7.13NANA2.953.640.37NANA10.4511.14000
    44379AS bowel endoscope w/stent7.072.522.522.522.520.4510.0410.0410.0410.04000
    44380ASmall bowel endoscopy1.05NANA0.741.010.08NANA1.872.14000
    44382ASmall bowel endoscopy1.27NANA0.821.160.09NANA2.182.52000
    44383AIleoscopy w/stent2.410.870.870.870.870.153.433.433.433.43000
    44388AColon endoscopy2.505.485.091.261.790.188.167.773.944.47000
    44389AColonoscopy with biopsy2.775.925.531.371.960.188.878.484.324.91000
    44390AColonoscopy for foreign body3.396.565.631.591.910.2210.179.245.205.52000
    44391AColonoscopy for bleeding3.825.605.631.552.450.239.659.685.606.50000
    44392AColonoscopy & polypectomy3.386.125.991.592.330.239.739.605.205.94000
    44393AColonoscopy, lesion removal4.286.796.561.922.880.2711.3411.116.477.43000
    44394AColonoscopy w/snare3.926.546.311.792.670.2610.7210.495.976.85000
    44397AColonoscopy w stent4.23NANA1.901.900.30NANA6.436.43000
    44500AIntro, gastrointestinal tube0.49NANA0.350.360.02NANA0.860.87000
    45300AProctosigmoidoscopy dx0.381.241.080.230.250.051.671.510.660.68000
    45303AProctosigmoidoscopy dilate0.441.411.230.260.280.061.911.730.760.78000
    45305AProtosigmoidoscopy w/bx0.561.341.230.300.340.091.991.880.950.99000
    45307AProtosigmoidoscopy fb0.942.262.040.440.680.153.353.131.531.77000
    45308AProtosigmoidoscopy removal0.831.491.430.400.460.132.452.391.361.42000
    45309AProtosigmoidoscopy removal1.112.071.860.500.530.173.353.141.781.81000
    45315AProtosigmoidoscopy removal1.402.322.060.620.790.203.923.662.222.39000
    45317AProtosigmoidoscopy bleed1.501.761.660.650.830.203.463.362.352.53000
    45320AProtosigmoidoscopy ablate1.581.711.790.681.020.203.493.572.462.80000
    45321AProtosigmoidoscopy volvul1.17NANA0.530.800.17NANA1.872.14000
    45327AProctosigmoidoscopy w/stent1.46NANA0.830.830.12NANA2.412.41000
    45330ADiagnostic sigmoidoscopy0.881.751.650.420.460.052.682.581.351.39000
    45331ASigmoidoscopy and biopsy1.151.981.920.520.770.073.203.141.741.99000
    45332ASigmoidoscopy w/fb removal1.793.543.130.751.040.115.445.032.652.94000
    45333ASigmoidoscopy & polypectomy1.793.142.960.751.150.125.054.872.663.06000
    45334ASigmoidoscopy for bleeding2.73NANA1.091.550.16NANA3.984.44000
    45337ASigmoidoscopy & decompress2.15NANA0.891.370.15NANA3.193.67000
    45338ASigmoidoscpy w/tumr remove2.343.673.360.951.320.156.165.853.443.81000
    45339ASigmoidoscopy w/ablate tumr2.862.853.021.141.740.175.886.054.174.77000
    45341ASigmoidoscopy w/ultrasound3.46NANA1.661.660.24NANA5.365.36000
    45342ASigmoidoscopy w/us guide bx4.08NANA1.811.810.29NANA6.186.18000
    45345ASigmodoscopy w/stent2.66NANA1.301.300.18NANA4.144.14000
    45378ADiagnostic colonoscopy3.686.606.071.702.380.2010.489.955.586.26000
    45379AColonoscopy w/fb removal4.697.336.942.052.950.2512.2711.886.997.89000
    45380AColonoscopy and biopsy3.986.786.391.812.560.2110.9710.586.006.75000
    45382AColonoscopy/control bleeding5.697.957.562.233.270.2713.9113.528.199.23000
    45383ALesion removal colonoscopy5.837.827.472.483.470.3213.9713.628.639.62000
    45384ALesion remove colonoscopy4.677.416.962.062.950.2412.3211.876.977.86000
    45385ALesion removal colonoscopy5.277.577.482.283.300.2813.1213.037.838.85000
    45387AColonoscopy w/stent5.62NANA2.412.410.36NANA8.398.39000
    47379CLaparoscope procedure, liver0.000.000.000.000.000.000.000.000.000.00YYY
    50545ALaparo radical nephrectomy24.00NANA9.419.411.81NANA35.2235.22090
    50546ALaparoscopic nephrectomy20.48NANA8.318.311.37NANA30.1630.16090
    50548ALaparo remove k/ureter24.40NANA9.449.441.49NANA35.3335.33090
    50947ALaparo new ureter/bladder24.50NANA11.6211.621.84NANA37.9637.96090
    50948ALaparo new ureter/bladder22.50NANA10.5110.511.70NANA34.7134.71090
    50949CLaparoscope proc, ureter0.000.000.000.000.000.000.000.000.000.00YYY
    52341ACysto w/ureter stricture tx6.00NANA2.402.400.34NANA8.748.74000
    52342ACysto w/up stricture tx6.50NANA2.602.600.36NANA9.469.46000
    52343ACysto w/renal stricture tx7.20NANA2.882.880.40NANA10.4810.48000
    52344ACysto/uretero, stone remove7.70NANA3.083.080.42NANA11.2011.20000
    52345ACysto/uretero w/up stricture8.20NANA3.283.280.46NANA11.9411.94000
    52346ACystouretero w/renal strict9.23NANA3.693.690.51NANA13.4313.43000
    52351ACystouretro & or pyeloscope5.86NANA1.962.740.32NANA8.148.92000
    Start Printed Page 65584
    52352ACystouretro w/stone remove6.88NANA2.303.780.38NANA9.5611.04000
    52353ACystouretero w/lithotripsy7.97NANA2.664.380.44NANA11.0712.79000
    52354ACystouretero w/biopsy7.34NANA2.453.440.41NANA10.2011.19000
    52355ACystouretero w/excise tumor8.82NANA2.953.820.50NANA12.2713.14000
    52400ACystouretero w/congen repr9.68NANA5.365.420.53NANA15.5715.63090
    54512AExcise lesion testis8.58NANA4.864.860.51NANA13.9513.95090
    54522AOrchiectomy, partial9.50NANA5.795.790.57NANA15.8615.86090
    55873ACryoablate prostate17.80NANA10.1610.161.01NANA28.9728.97090
    57022AI &d vaginal hematoma, ob2.56NANA1.601.600.14NANA4.304.30010
    57023AI &d vag hematoma, trauma2.56NANA1.601.600.14NANA4.304.30010
    57287ARevise/remove sling repair10.71NANA7.027.020.64NANA18.3718.37090
    58353AEndometr ablate, thermal3.56NANA2.162.160.19NANA5.915.91010
    61697ABrain aneurysm repr, complx50.52NANA27.7627.769.57NANA87.8587.85090
    61698ABrain aneurysm repr, complx48.41NANA26.8726.879.28NANA84.5684.56090
    61700ABrain aneurysm repr , simple50.52NANA27.7629.4210.18NANA88.4690.12090
    61702AInner skull vessel surgery48.41NANA26.8730.019.75NANA85.0388.17090
    62252ACsf shunt reprogram0.741.401.401.401.400.042.182.182.182.18XXX
    63040ALaminotomy, single cervical18.81NANA12.9815.353.36NANA35.1537.52090
    63042ALaminotomy, single lumbar17.47NANA12.6014.673.11NANA33.1835.25090
    63043BLaminotomy, addl cervical0.000.000.000.000.000.000.000.000.000.00ZZZ
    63044BLaminotomy, addl lumbar0.000.000.000.000.000.000.000.000.000.00ZZZ
    64612ADestroy nerve, face muscle1.962.952.611.651.440.095.004.663.703.49010
    64613ADestroy nerve, spine muscle1.961.611.601.371.230.103.673.663.433.29010
    64614ADestroy nerve, extrem musc2.203.373.370.810.810.165.735.733.173.17010
    66982ACataract surgery, complex13.50NANA9.099.090.55NANA23.1423.14090
    66984ACataract surg w/iol, i stage10.23NANA7.608.770.41NANA18.2419.41090
    67221AOcular photodynamic ther4.014.404.402.002.000.508.918.916.516.51000
    69714AImplant temple bone w/stimul14.00NANA8.718.710.97NANA23.6823.68090
    69715ATemple bne implnt w/stimulat18.25NANA10.4910.491.25NANA29.9929.99090
    69717ATemple bone implant revision14.98NANA8.378.371.04NANA24.3924.39090
    69718ARevise temple bone implant18.50NANA10.5810.581.27NANA30.3530.35090
    70496ACt angiography, head1.757.717.717.717.710.5410.0010.0010.0010.00XXX
    70498ACt angiography, neck1.757.717.717.717.710.5410.0010.0010.0010.00XXX
    70540AMri orbit/face/neck w/o dye0.9811.4811.6911.4811.690.3612.8213.0312.8213.03XXX
    70542AMri orbit/face/neck w/dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    70543AMri orbt/fac/nck w/o&w dye1.5625.2725.2725.2725.270.7827.6127.6127.6127.61XXX
    70544AMr angiography head w/o dye1.2011.5611.5611.5611.560.5613.3213.3213.3213.32XXX
    70545AMr angiography head w/dye1.2011.5611.5611.5611.560.5613.3213.3213.3213.32XXX
    70546AMr angiograph head w/o&w dye1.8022.8922.8922.8922.890.5625.2525.2525.2525.25XXX
    70547AMr angiography neck w/o dye1.2011.5611.5611.5611.560.5613.3213.3213.3213.32XXX
    70548AMr angiography neck w/dye1.2011.5611.5611.5611.560.5613.3213.3213.3213.32XXX
    70549AMr angiograph neck w/o&w dye1.8022.8922.8922.8922.890.5625.2525.2525.2525.25XXX
    71275ACt angiography, chest1.209.269.269.269.260.3710.8310.8310.8310.83XXX
    71550AMri chest w/o dye1.1011.5211.7411.5211.740.4113.0313.2513.0313.25XXX
    71551AMri chest w/dye1.3013.8013.8013.8013.800.4815.5815.5815.5815.58XXX
    71552AMri chest w/o&w dye1.7025.3125.3125.3125.310.6327.6427.6427.6427.64XXX
    72191ACt angiograph pelv w/o&w dye1.208.918.918.918.910.3710.4810.4810.4810.48XXX
    72195AMri pelvis w/o dye1.1011.5211.5211.5211.520.4113.0313.0313.0313.03XXX
    72196AMri pelvis w/dye1.3013.8013.4413.8013.440.4815.5815.2215.5815.22XXX
    72197AMri pelvis w/o & w dye1.7025.3125.3125.3125.310.8527.8627.8627.8627.86XXX
    73206ACt angio upr extrm w/o&w dye1.207.857.857.857.850.379.429.429.429.42XXX
    73218AMri upper extremity w/o dye0.9811.4811.4811.4811.480.3612.8212.8212.8212.82XXX
    73219AMri upper extremity w/dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    73220AMri uppr extremity w/o&w dye1.5625.2722.0325.2722.030.7827.6124.3727.6124.37XXX
    73221AMri joint upr extrem w/o dye0.9811.4811.6311.4811.630.3612.8212.9712.8212.97XXX
    73222AMri joint upr extrem w/ dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    73223AMri joint upr extr w/o&w dye1.5625.2725.2725.2725.270.7827.6127.6127.6127.61XXX
    73706ACt angio lwr extr w/o&w dye1.207.857.857.857.850.379.429.429.429.42XXX
    73718AMri lower extremity w/o dye0.9811.4811.4811.4811.480.3612.8212.8212.8212.82XXX
    73719AMri lower extremity w/dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    73720AMri lwr extremity w/o&w dye1.5625.2622.0225.2622.020.7827.6024.3627.6024.36XXX
    73721AMri joint of lwr extre w/o d0.9811.4811.6311.4811.630.3612.8212.9712.8212.97XXX
    73722AMri joint of lwr extr w/dye1.1713.7613.7613.7613.760.4315.3615.3615.3615.36XXX
    73723AMri joint lwr extr w/o&w dye1.5625.2725.2725.2725.270.7827.6127.6127.6127.61XXX
    74175ACt angio abdom w/o&w dye1.208.918.918.918.910.3710.4810.4810.4810.48XXX
    74181AMri abdomen w/o dye1.1011.5211.7411.5211.740.4113.0313.2513.0313.25XXX
    74182AMri abdomen w/dye1.3013.8013.8013.8013.800.4815.5815.5815.5815.58XXX
    74183AMri abdomen w/o&w dye1.7025.3125.3125.3125.310.8527.8627.8627.8627.86XXX
    75635ACt angio abdominal arteries1.899.199.199.199.190.3711.4511.4511.4511.45XXX
    75952AEndovasc repair abdom aorta4.001.601.601.601.600.686.286.286.286.28XXX
    75953AAbdom aneurysm endovas rpr1.360.540.540.540.540.682.582.582.582.58XXX
    76012APercut vertebroplasty fluor1.310.490.490.490.491.102.902.902.902.90XXX
    76013APercut vertebroplasty, ct1.380.520.520.520.520.482.382.382.382.38XXX
    76393AMr guidance for needle place1.5011.6611.6611.6611.660.5213.6813.6813.6813.68XXX
    76818AFetl biophys profil w/stress0.861.931.961.931.960.122.912.942.912.94XXX
    76819AFetl biophys profil w/o strs0.631.841.841.841.840.112.582.582.582.58XXX
    76975AGI endoscopic ultrasound0.811.801.841.801.840.112.722.762.722.76XXX
    77520CProton trmt, simple w/o comp0.000.000.000.000.000.000.000.000.000.00XXX
    77522CProton trmt, simple w/comp0.000.000.000.000.000.000.000.000.000.00XXX
    77523CProton trmt, intermediate0.000.000.000.000.000.000.000.000.000.00XXX
    77525CProton treatment, complex0.000.000.000.000.000.000.000.000.000.00XXX
    90940XHemodialysis access study0.000.000.000.000.000.000.000.000.000.00XXX
    91132CElectrogastrography0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 65585
    91133CElectrogastrography w/test0.000.000.000.000.000.000.000.000.000.00XXX
    92585AAuditor evoke potent, compre0.502.062.432.062.430.142.703.072.703.07XXX
    92586AAuditor evoke potent, limit0.001.841.84NANA0.121.961.96NANAXXX
    93662AIntracardiac ecg (ice)2.804.984.984.984.980.418.198.198.198.19ZZZ
    93668NPeripheral vascular rehab0.000.000.000.000.000.010.010.010.010.01XXX
    96570APhotodynamic tx, 30 min1.100.440.440.440.440.041.581.581.581.58ZZZ
    96571APhotodynamic tx, addl 15 min0.550.220.220.220.220.020.790.790.790.79ZZZ
    97532ACognitive skills development0.440.230.230.080.080.010.680.680.530.53XXX
    97533ASensory integration0.440.290.290.080.080.010.740.740.530.53XXX
    97601AWound care selective0.500.490.490.090.090.041.031.030.630.63XXX
    97602BWound care non-selective0.000.000.000.000.000.000.000.000.000.00XXX
    97802NMedical nutrition, indiv, in0.000.000.000.000.000.000.000.000.000.00XXX
    97803NMed nutrition, indiv, subseq0.000.000.000.000.000.000.000.000.000.00XXX
    97804NMedical nutrition, group0.000.000.000.000.000.000.000.000.000.00XXX
    99172NOcular function screen0.000.000.000.000.000.000.000.000.000.00XXX
    99234AObserv/hosp same date1.95NANA0.700.710.11NANA2.762.77XXX
    99235AObserv/hosp same date2.81NANA0.991.030.13NANA3.933.97XXX
    99236AObserv/hosp same date3.66NANA1.251.250.17NANA5.085.08XXX
    99291ACritical care, first hour4.001.571.571.321.380.145.715.715.465.52XXX
    99292ACritical care, addl 30 min2.000.850.810.650.660.072.922.882.722.73ZZZ
    G0179AMD recertification HHA patient0.451.091.090.180.180.061.601.600.690.69XXX
    G0180AMD certification HHA patient0.671.181.180.270.270.061.911.911.001.00XXX
    G0181AHome health care supervision1.731.401.400.630.630.063.193.192.422.42XXX
    G0182AHospice care supervision1.731.731.730.600.600.063.523.522.392.39XXX
    G0184AOcular photocoagulation0.470.230.230.230.230.501.201.201.201.20ZZZ
    G0193CEndoscopic study swallow functn0.000.000.000.000.000.000.000.000.000.00XXX
    G0194CSensory testing endoscopic stud0.000.000.000.000.000.000.000.000.000.00XXX
    G0195CClinical eval swallowing funct0.000.000.000.000.000.000.000.000.000.00XXX
    G0196CEval of swallowing with radioopa0.000.000.000.000.000.000.000.000.000.00XXX
    G0197AEval of pt for prescip speech devi1.351.911.910.770.770.043.303.302.162.16XXX
    G0198APatient adapation & train for spe0.991.051.050.570.570.032.072.071.591.59XXX
    G0199AReevaluation of patient use spec1.011.721.720.580.580.032.762.761.621.62XXX
    G0200AEval of patient prescip of voice p1.351.911.910.770.770.043.303.302.162.16XXX
    G0201AModi for training in use voice pro0.991.051.050.570.570.032.072.071.591.59XXX
    M0302AAssessment of cardiac output0.170.880.880.880.880.021.071.071.071.07XXX
    1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
    2 Copyright 1994 American Dental Association. All rights reserved.
    3 + Indicates RVUs are not used for Medicare payment.
    4 PE RVUs = Practice Expense Relative Value Units.

    Addendum D.—2002 Geographic Practice Cost Indices by Medicare Carrier and Locality

    Carrier No.Locality No.Locality nameWorkPractice expenseMalpractice
    0051000ALABAMA0.9780.8700.807
    0083101ALASKA1.0641.1721.223
    0083200ARIZONA0.9940.9781.111
    0052013ARKANSAS0.9530.8470.340
    0205026ANAHEIM/SANTA ANA, CA1.0371.1840.955
    0205018LOS ANGELES, CA1.0561.1390.955
    3114003MARIN/NAPA/SOLANO, CA1.0151.2480.687
    3114007OAKLAND/BERKELEY, CA1.0411.2350.687
    3114005SAN FRANCISCO, CA1.0681.4580.687
    3114006SAN MATEO, CA1.0481.4320.687
    3114009SANTA CLARA, CA1.0631.3800.639
    0205017VENTURA, CA1.0281.1250.783
    0205099REST OF CALIFORNIA*1.0071.0340.748
    3114099REST OF CALIFORNIA*1.0071.0340.748
    0082401COLORADO0.9850.9920.840
    1023000CONNECTICUT1.0501.1560.966
    0090201DELAWARE1.0191.0350.712
    0090301DC + MD/VA SUBURBS1.0501.1660.909
    0059003FORT LAUDERDALE, FL0.9961.0181.877
    0059004MIAMI, FL1.0151.0522.528
    0059099REST OF FLORIDA0.9750.9461.265
    0051101ATLANTA, GA1.0061.0590.935
    0051199REST OF GEORGIA0.9700.8920.935
    0083301HAWAII/GUAM0.9971.1240.834
    0513000IDAHO0.9600.8810.497
    0095216CHICAGO, IL1.0281.0921.797
    0095212EAST ST. LOUIS, IL0.9880.9241.691
    0095215SUBURBAN CHICAGO, IL1.0061.0711.645
    0095299REST OF ILLINOIS0.9640.8891.157
    0063000INDIANA0.9810.9220.481
    0082600IOWA0.9590.8760.596
    Start Printed Page 65586
    0065000KANSAS*0.9630.8950.756
    0074004KANSAS*0.9630.8950.756
    0066000KENTUCKY0.9700.8660.877
    0052801NEW ORLEANS, LA0.9980.9451.283
    0052899REST OF LOUISIANA0.9680.8701.073
    3114203SOUTHERN MAINE0.9790.9990.666
    3114299REST OF MAINE0.9610.9100.666
    0090101BALTIMORE/SURR. CNTYS, MD1.0211.0380.916
    0090199REST OF MARYLAND0.9840.9720.774
    3114301METROPOLITAN BOSTON1.0411.2390.784
    3114399REST OF MASSACHUSETTS1.0101.1290.784
    0095301DETROIT, MI1.0431.0382.738
    0095399REST OF MICHIGAN0.9970.9381.571
    1024000MINNESOTA0.9900.9740.452
    1025000MISSISSIPPI0.9570.8370.779
    0074002METROPOLITAN KANSAS CITY, MO0.9880.9670.846
    0052301METROPOLITAN ST. LOUIS, MO0.9940.9380.846
    0074099REST OF MISSOURI*0.9460.8250.793
    0052399REST OF MISSOURI*0.9460.8250.793
    0075101MONTANA0.9500.8760.727
    0065500NEBRASKA0.9480.8770.430
    0083400NEVADA1.0051.0391.209
    3114440NEW HAMPSHIRE0.9861.0300.825
    0080501NORTHERN NJ1.0581.1930.860
    0080599REST OF NEW JERSEY1.0291.1100.860
    0052105NEW MEXICO0.9730.9000.902
    0080301MANHATTAN, NY1.0941.3511.668
    0080302NYC SUBURBS/LONG I., NY1.0681.2511.952
    0080303POUGHKPSIE/N NYC SUBURBS, NY1.0111.0751.275
    1433004QUEENS, NY1.0581.2281.871
    0080199REST OF NEW YORK0.9980.9440.764
    0553500NORTH CAROLINA0.9700.9310.595
    0082001NORTH DAKOTA0.9500.8800.657
    1636000OHIO0.9880.9440.957
    0052200OKLAHOMA0.9680.8760.444
    0083501PORTLAND, OR0.9961.0490.436
    0083599REST OF OREGON0.9610.9330.436
    0086501METROPOLITAN PHILADELPHIA, PA1.0231.0921.413
    0086599REST OF PENNSYLVANIA0.9890.9290.774
    0097320PUERTO RICO0.8810.7120.275
    0087001RHODE ISLAND1.0171.0650.883
    0088001SOUTH CAROLINA0.9740.9040.279
    0082002SOUTH DAKOTA0.9350.8780.406
    0544035TENNESSEE0.9750.9000.592
    0090031AUSTIN, TX0.9860.9960.859
    0090020BEAUMONT, TX0.9920.8901.338
    0090009BRAZORIA, TX0.9920.9781.338
    0090011DALLAS, TX1.0101.0650.931
    0090028FORT WORTH, TX0.9870.9810.931
    0090015GALVESTON, TX0.9880.9691.338
    0090018HOUSTON, TX1.0201.0071.336
    0090099REST OF TEXAS0.9660.8800.956
    0091009UTAH0.9760.9410.644
    3114550VERMONT0.9730.9860.539
    0097350VIRGIN ISLANDS0.9651.0231.002
    1049000VIRGINIA0.9840.9380.500
    0083602SEATTLE (KING CNTY), WA1.0051.1000.788
    0083699REST OF WASHINGTON0.9810.9720.788
    1651016WEST VIRGINIA0.9630.8501.378
    0095100WISCONSIN0.9810.9290.939
    0082521WYOMING0.9670.8951.005
    * Payment locality is serviced by two carriers.
    Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors for budget netrality: Work = 0.99699; Practice Expense = 0.99235; Malpractice Expense = 1.00215.

    Addendum E.—2001 Geographic Practice Cost Indices by Medicare Carrier and Locality

    Carrier No.Locality No.Locality nameWorkPractice expenseMalpractice
    0051000ALABAMA0.9780.8710.841
    Start Printed Page 65587
    0083101ALASKA1.0631.1721.378
    0083200ARIZONA0.9940.9751.150
    0052013ARKANSAS0.9530.8510.371
    0205026ANAHEIM/SANTA ANA, CA1.0361.1870.901
    0205018LOS ANGELES, CA1.0551.1690.901
    3114003MARIN/NAPA/SOLANO, CA1.0141.2050.677
    3114007OAKLAND/BERKELEY, CA1.0401.2160.677
    3114005SAN FRANCISCO, CA1.0671.3780.677
    3114006SAN MATEO, CA1.0471.3530.677
    3114009SANTA CLARA, CA1.0621.3210.653
    0205017VENTURA, CA1.0271.1280.750
    0205099REST OF CALIFORNIA*1.0071.0390.723
    3114099REST OF CALIFORNIA*1.0071.0390.723
    0082401COLORADO0.9860.9810.817
    1023000CONNECTICUT1.0491.1641.009
    0090201DELAWARE1.0191.0320.786
    0090301DC + MD/VA SUBURBS1.0501.1640.970
    0059003FORT LAUDERDALE, FL0.9961.0221.830
    0059004MIAMI, FL1.0151.0642.439
    0059099REST OF FLORIDA0.9750.9471.296
    0051101ATLANTA, GA1.0061.0460.943
    0051199REST OF GEORGIA0.9700.8960.943
    0083301HAWAII/GUAM0.9971.1540.894
    0513000IDAHO0.9600.8870.532
    0095216CHICAGO, IL1.0271.0901.745
    0095212EAST ST. LOUIS, IL0.9880.9271.589
    0095215SUBURBAN CHICAGO, IL1.0061.0691.505
    0095299REST OF ILLINOIS0.9640.8881.074
    0063000INDIANA0.9810.9190.445
    0082600IOWA0.9590.8790.622
    0065000KANSAS*0.9630.8970.823
    0074004KANSAS*0.9630.8970.823
    0066000KENTUCKY0.9700.8700.842
    0052801NEW ORLEANS, LA0.9980.9471.218
    0052899REST OF LOUISIANA0.9690.8761.052
    3114203SOUTHERN MAINE0.9791.0150.687
    3114299REST OF MAINE0.9610.9170.687
    0090101BALTIMORE/SURR. CNTYS, MD1.0201.0381.007
    0090199REST OF MARYLAND0.9850.9790.820
    3114301METROPOLITAN BOSTON1.0401.2180.748
    3114399REST OF MASSACHUSETTS1.0101.1110.748
    0095301DETROIT, MI1.0421.0302.903
    0095399REST OF MICHIGAN0.9960.9381.700
    1024000MINNESOTA0.9900.9710.479
    1025000MISSISSIPPI0.9570.8410.750
    0074002METROPOLITAN KANSAS CITY, MO0.9880.9581.021
    0052301METROPOLITAN ST. LOUIS, MO0.9940.9401.022
    0074099REST OF MISSOURI*0.9460.8260.979
    0052399REST OF MISSOURI*0.9460.8260.979
    0075101MONTANA0.9510.8770.729
    0065500NEBRASKA0.9490.8750.436
    0083400NEVADA1.0051.0351.103
    3114440NEW HAMPSHIRE0.9871.0320.919
    0080501NORTHERN NJ1.0571.1920.827
    0080599REST OF NEW JERSEY1.0281.1020.827
    0052105NEW MEXICO0.9730.9050.809
    0080301MANHATTAN, NY1.0931.3521.661
    0080302NYC SUBURBS/LONG I., NY1.0671.2421.942
    0080303POUGHKPSIE/N NYC SUBURBS, NY1.0101.0791.300
    1433004QUEENS, NY1.0571.2311.855
    0080199REST OF NEW YORK0.9980.9510.778
    0553500NORTH CAROLINA0.9700.9270.546
    0082001NORTH DAKOTA0.9500.8790.657
    1636000OHIO0.9890.9411.016
    0052200OKLAHOMA0.9690.8790.447
    0083501PORTLAND, OR0.9961.0350.511
    0083599REST OF OREGON0.9610.9350.511
    0086501METROPOLITAN PHILADELPHIA, PA1.0231.0901.310
    0086599REST OF PENNSYLVANIA0.9890.9300.705
    0097320PUERTO RICO0.8820.7200.317
    0087001RHODE ISLAND1.0171.0671.036
    Start Printed Page 65588
    0088001SOUTH CAROLINA0.9750.9050.279
    0082002SOUTH DAKOTA0.9350.8760.420
    0544035TENNESSEE0.9750.9000.572
    0090031AUSTIN, TX0.9860.9980.854
    0090020BEAUMONT, TX0.9920.8951.362
    0090009BRAZORIA, TX0.9920.9781.362
    0090011DALLAS, TX1.0101.0400.930
    0090028FORT WORTH, TX0.9870.9760.930
    0090015GALVESTON, TX0.9880.9691.362
    0090018HOUSTON, TX1.0201.0071.377
    0090099REST OF TEXAS0.9660.8840.914
    0091009UTAH0.9770.9250.619
    3114550VERMONT0.9730.9850.544
    0097350VIRGIN ISLANDS0.9651.0291.017
    1049000VIRGINIA0.9850.9390.529
    0083602SEATTLE (KING CNTY), WA1.0051.0900.765
    0083699REST OF WASHINGTON0.9820.9740.765
    1651016WEST VIRGINIA0.9630.8521.242
    0095100WISCONSIN0.9810.9310.890
    0082521WYOMING0.9670.8950.855
    * Payment locality is serviced by two carriers.
    Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors for budget neutrality: Work = 0.99699; Practice Expense = 0.99235; Malpractice Expense = 1.00215.

    Addendum F.—Proposed 2002 Versus 1999 Geographic Adjustment Factors (GAF)

    [In Descending Order of Difference]

    Locality1999 GAF2002 GAFDifferencePercent difference
    SAN MATEO, CA1.1221.1990.0776.89
    SAN FRANCISCO, CA1.1431.2210.0786.84
    SANTA CLARA, CA1.1251.1840.0595.28
    MARIN/NAPA/SOLANO, CA1.0581.1040.0464.33
    METROPOLITAN BOSTON1.0881.1170.0292.64
    OAKLAND/BERKELEY, CA1.0861.1130.0272.46
    REST OF MASSACHUSETTS1.0301.0530.0232.24
    DALLAS, TX1.0091.0310.0222.19
    UTAH0.9310.9510.0202.10
    SEATTLE (KING CNTY), WA1.0231.0380.0151.48
    INDIANA0.9270.9410.0141.46
    NORTH CAROLINA0.9280.9420.0141.46
    WYOMING0.9250.9380.0131.36
    PORTLAND, OR0.9871.0000.0131.35
    REST OF NEW JERSEY1.0441.0580.0141.34
    COLORADO0.9710.9830.0121.27
    ATLANTA, GA1.0151.0260.0111.10
    SOUTH CAROLINA0.9130.9230.0101.06
    NEVADA1.0161.0260.0101.00
    SOUTH DAKOTA0.8860.8950.0090.99
    MINNESOTA0.9570.9660.0090.99
    REST OF PENNSYLVANIA0.9480.9560.0080.89
    NORTHERN NJ1.0991.1090.0100.89
    VERMONT0.9570.9650.0080.88
    NEBRASKA0.8940.9020.0080.87
    TENNESSEE0.9240.9320.0080.82
    VENTURA, CA1.0551.0620.0070.66
    NORTH DAKOTA0.9060.9120.0060.63
    ANAHEIM/SANTA ANA, CA1.0901.0970.0070.63
    REST OF ILLINOIS0.9330.9390.0060.60
    SUBURBAN CHICAGO, IL1.0481.0540.0060.57
    METROPOLITAN PHILADELPHIA, PA1.0591.0650.0060.56
    FORT WORTH, TX0.9780.9830.0050.55
    OKLAHOMA0.9080.9130.0050.52
    NEW MEXICO0.9350.9400.0050.49
    WEST VIRGINIA0.9250.9290.0040.39
    VIRGINIA0.9460.9500.0040.37
    REST OF WASHINGTON0.9680.9710.0030.35
    REST OF CALIFORNIA1.0071.0100.0030.32
    ARKANSAS0.8860.8890.0030.32
    Start Printed Page 65589
    WISCONSIN0.9550.9570.0020.26
    MONTANA0.9100.9120.0020.19
    AUSTIN, TX0.9850.9860.0010.14
    DELAWARE1.0151.0160.0010.12
    MISSISSIPPI0.9000.9010.0010.08
    IOWA0.9120.9130.0010.08
    KENTUCKY0.9230.9240.0010.07
    REST OF TEXAS0.9290.9300.0010.07
    DC + MD/VA SUBURBS1.0951.095−0.000−0.02
    IDAHO0.9130.912−0.001−0.14
    REST OF OREGON0.9340.933−0.001−0.15
    NEW ORLEANS, LA0.9860.984−0.002−0.17
    ARIZONA0.9940.991−0.003−0.27
    NYC SUBURBS/LONG I., NY1.1771.173−0.004−0.30
    ALABAMA0.9300.927−0.003−0.36
    REST OF MAINE0.9340.931−0.003−0.36
    CHICAGO, IL1.0841.080−0.004−0.38
    OHIO0.9730.968−0.005−0.47
    MANHATTAN, NY1.2271.221−0.006−0.47
    REST OF GEORGIA0.9400.936−0.004−0.47
    PUERTO RICO0.7940.790−0.004−0.47
    BALTIMORE/SURR. CNTYS, MD1.0311.025−0.006−0.57
    VIRGIN ISLANDS0.9970.991−0.006−0.57
    EAST ST. LOUIS, IL0.9890.983−0.006−0.57
    REST OF NEW YORK0.9730.967−0.006−0.57
    KANSAS0.9330.928−0.005−0.58
    CONNECTICUT1.1001.093−0.007−0.65
    REST OF LOUISIANA0.9360.930−0.006−0.68
    BRAZORIA, TX1.0050.997−0.008−0.77
    METROPOLITAN KANSAS CITY, MO0.9820.974−0.008−0.77
    REST OF MARYLAND0.9800.972−0.008−0.77
    HOUSTON, TX1.0341.025−0.009−0.86
    NEW HAMPSHIRE1.0080.999−0.009−0.86
    GALVESTON, TX1.0000.991−0.009−0.87
    REST OF FLORIDA0.9810.972−0.009−0.88
    POUGHKPSIE/N NYC SUBURBS, NY1.0561.046−0.010−0.94
    SOUTHERN MAINE0.9870.977−0.010−0.97
    QUEENS, NY1.1671.156−0.011−0.98
    FORT LAUDERDALE, FL1.0461.033−0.013−1.23
    RHODE ISLAND1.0471.033−0.014−1.33
    BEAUMONT, TX0.9730.959−0.014−1.39
    ALASKA1.1311.115−0.016−1.44
    LOS ANGELES, CA1.1041.088−0.016−1.46
    METROPOLITAN ST. LOUIS, MO0.9830.965−0.018−1.79
    REST OF MISSOURI0.9080.890−0.018−2.00
    REST OF MICHIGAN1.0130.990−0.023−2.24
    MIAMI, FL1.1051.079−0.026−2.36
    HAWAII/GUAM1.0721.046−0.026−2.42
    DETROIT, MI1.1311.095−0.036−3.20

    Addendum G—Technical Addendum To The April 1999 Report On The Development Of Resource Based Malpractice Relative Value Units Prepared By KPMG

    Table of Contents

    Executive Summary

    E.1. Changes in This Update of the Resource Based Malpractice Relative Value Units

    E.2. Impact by Physician Specialty

    E.3. Impact by Class of Procedure

    Background

    B.1. Background of the Malpractice RVU

    B.2. Malpractice Insurance Premium Rate Survey

    Methodology

    M.1. Overview

    M.2. Mapping of Medicare Specialties to ISO Codes

    M.3. Calculating the National Average Specialist Premiums

    M.4. Specialist Risk Factors

    Surgical Codes vs. Non Surgical codes

    Obstetrical Codes

    Obstetrics/Gynecology Risk Factors

    Spinal Surgeries

    Invasive Cardiology Procedures

    Risk Factor Assignment Algorithm

    M.5. Physician Profile Dataset

    M.6. Calculating Average Risk Factors by Procedure

    M.7. Codes Whose RBMRVUS were not Assigned Using the Risk Factor Algorithms

    M.8. Budget Neutrality Adjustment

    M.9. Numerical Example

    Executive Summary

    E.1. Changes in This Update of the Resource Based Malpractice Relative Value Units

    This addendum to the original April 1999 Report on Resource Based Malpractice Relative Value Units (RBMRVUs) describes the first update to the RBMRVUs. The Original Report converted the Malpractice Relative Start Printed Page 65590Value Units (RVUs) to a resource basis from a charge basis and was the source of the 2000 Malpractice RVUs. The conversion was accomplished by deriving physician specialty surgical and non-surgical risk factors from Malpractice premium and rating data. These risk factors were than used to calculate RBMRVUs by procedure based on the composition of physician specialties performing the procedure.

    The changes included in this update are as follows:

    • 1996-98 Malpractice Premium Data replaces 1993-95 Malpractice Premium Data.
    • Where premium data was not available, KPMG consulted the rating manuals of 5 physician malpractice insurers as opposed to using just St. Paul's manual.
    • In the Original Report, Neurosurgeons had separate risk factors for surgical and non-surgical procedures. This has been changed so that the same surgical risk factor is used for all procedures performed by Neurosurgeons.
    • The risk factor used for most surgical procedures performed by Neurologists and Cardiologists is now the factor for minor surgery. In the original report, the factor for major surgery was used. Pursuant to our conversation, the change was made because the surgical procedures performed by Neurologists and Cardiologists are less intensive than those performed by their surgical counterparts This change was made for all procedures except invasive Cardiology procedures, which are discussed in the following item.
    • Risk factors for invasive Cardiology procedures, including Cardiac Catheterizations and Angioplasties, were established separately from risk factors for other procedures, and were based on data from the new malpractice survey for Cardiologists performing these procedures. These invasive Cardiology procedures have the following Current Procedural Terminology (CPT) Codes: 92980-92998, 93501-93536, 93600-93614, 93617-93641 and 93643-93652.
    • 1999 Physician Utilization data provided by HCFA mapped to 2000 CPT codes was used as the basis for the distribution of physician specialty by procedure. The first report used 1997 utilization data mapped to 1999 CPT codes.

    This addendum includes an analysis of the impact of the new risk factors and a numerical example illustrating the calculation of the CPT level RBMRVUs. This addendum has been organized according to the structure of the initial Resource Based Malpractice RVU report. Only those sections with changes have been updated.

    E.2. Impact by Physician Specialty

    The exhibit on pages 6-7 illustrates the impact that this update has on the various physician specialties. All figures are expressed as a percentage of total RVUs, including the impact percentages. Anesthesiologists and Pathologists derive only a small portion of their income from procedures which have explicit Malpractice Relative Value Units. The impact to Anesthesiologists and Pathologists as presented in this exhibit shows the change in the portion of their income attributable only to those codes having explicit Malpractice Relative Value Units. Total RVUs are calculated using the 2000 physician fee schedule. Other changes will take place in 2001 that may change these percentages as a percentage of total RVUs. In particular, an additional year of phasing in the Resource Based Practice Expense RVUs may have a significant impact on the Malpractice RVUs as a percentage of total RVUs by specialty. It is the intention of this exhibit to show only the isolated impact of the RBMRVU change. For this reason, other changes made in the 2001 RBRVS have not been included.

    This update produces more modest changes than were originally made by converting the Malpractice RVUs from a charge basis to a resource basis. The biggest gains are for Orthopedic Surgeons (+1.1%) and Hand Surgeons (+0.7%). These changes occur for the following reasons:

    • Orthopedic Surgeons: The 1993-95 Malpractice Survey only tracked Orthopedic Surgeons that perform spinal surgeries. In the Original Report, a reduction was made in the Orthopedic Surgical Risk Factor to reflect the possibility that the premium data in the survey might be artificially high for other Orthopedic Surgeons. The 1996-98 Malpractice Premium Survey provided additional data on this subject. When Malpractice Insurers differentiate between Orthopedic Surgeons that do and don't perform spinal surgery the differences can be substantial; however, the survey indicated that this practice is not as widespread as originally anticipated. For this reason, the average 1996-98 premium data was used as the basis for the Orthopedic Surgeons' risk factor in this update.
    • Hand Surgeons: Orthopedic Surgeons also perform many of the surgical procedures that Hand Surgeons perform; resulting in a carry over effect to the Hand Surgeon specialty.

    The biggest reductions are for Anesthesiologists (−1.3%), Nephrologists (−0.9%), and Cardiologists (−0.7%). Explanation of these losses are as follows:

    • Anesthesiologists: Based on the 1996-98 Malpractice Survey, Anesthesiologists' premiums are decreasing at the fastest rate (3.75% per year). Because Anesthesiologists receive very little of their Medicare fees from the Malpractice RVUs in this update, this change impacts them less than the −1.3% change would imply.
    • Nephrologists: Nephrologists are not tracked in the survey; their risk factor was based on the St. Paul's underwriting manual in the original RBMRVU report. This update uses five separate underwriting manuals (although only four had risk factors for Nephrologists). St. Paul's assigns Nephrologists the highest risk factor of the four, and was the only insurer to have separate factors for surgical and non-surgical.
    • Cardiologists: Cardiologists have been impacted by the reduction in the risk factor for invasive Cardiology procedures. Our new RBMRVUs for these procedures used risk factors appropriate for Cardiologists performing these procedures.

    Impact Analysis by Medicare Specialty Code

    [All Figures Expressed as a Percentage of Total RVUs]

    Spclty codeMedicare descriptionResource-based RBMRVUs by yearImpact from 2000 to 2001*
    20002001
    01General practice2.6%2.7%+0.1%
    02General surgery4.5%4.5%+0.1%
    03Allergy/Immunology3.9%4.0%+0.1%
    Start Printed Page 65591
    04Otolaryngology3.3%3.4%+0.1%
    05Anesthesiology4.9%3.6%−1.3%
    06Cardiology3.6%2.9%−0.7
    07Dermatology2.4%2.5%+0.1%
    08Family practice2.3%2.5%+0.2%
    10Gastroenterology2.9%2.7%−0.2%
    11Internal medicine2.5%2.5%+0.0%
    12Osteopathic manipulative therapy2.5%2.6%+0.1%
    13Neurology2.7%2.8%+0.0%
    14Neurosurgery6.4%7.0%+0.6%
    16Obstetrics/Gynecology3.1%3.6%+0.5%
    18Ophthalmology2.0%1.9%−0.1%
    19Oral surgery (dentists only)3.1%3.3%+0.2%
    20Orthopedic surgery4.0%5.1%+1.1%
    22Pathology1.9%2.5%+0.6%
    24Plastic and reconstructive surgery3.7%3.9%+0.2%
    25Physical medicine and rehab2.6%2.5%−0.1%
    26Psychiatry2.0%1.9%−0.1%
    28Colorectal surgery (formerly proctology)4.0%3.7%−0.2%
    29Pulmonary disease2.6%2.6%+0.1%
    30Diagnostic radiology3.4%3.6%+0.2%
    33Thoracic surgery5.4%5.3%−0.1%
    34Urology2.8%3.0%+0.2%
    35Chiropractic1.8%1.8%0.0%
    36Nuclear medicine3.4%3.4%+0.0%
    37Pediatric medicine2.9%2.9%+0.0%
    38Geriataric medicine2.4%2.4%+0.1%
    39Nephrology3.2%2.2%−0.9%
    40Hand surgery3.6%4.3%+0.7%
    41Optometrist1.8%1.6%−0.2%
    44Infectious disease2.6%2.6%+0.0%
    46Endocrinology2.4%2.5%+0.1%
    48Podiatry3.1%3.0%−0.1%
    62Psychologist6.3%6.2%−0.1%
    64Audiologist7.1%7.1%+0.0%
    65Physical therapist2.9%2.6%−0.3%
    66Rheumatology2.4%2.7%+0.3%
    67Occupational therapist3.0%2.7%−0.3%
    68Clinical psychologist2.5%2.2%−0.3%
    69Clinical lab2.4%2.8%+0.4%
    70Multispecialty clinic or group practice3.1%3.1%0.0%
    76Peripheral vascular disease4.7%4.7%+0.0%
    77Vascular surgery5.3%5.2%0.0%
    78Cardiac surgery5.6%5.4%−0.1%
    79Addiction medicine2.2%2.2%0.0%
    81Critical care2.8%2.8%−0.1%
    82Hematology2.7%2.7%+0.1%
    83Hematology/oncology2.8%2.9%+0.1%
    84Preventive medicine2.6%2.6%+0.0%
    85Maxillofacial Surgery3.4%3.6%+0.2%
    86Neuropsychiatry2.3%2.3%−0.1%
    90Medical oncology2.9%3.0%+0.1%
    91Surgical oncology4.0%4.3%+0.3%
    92Radiation oncology3.3%3.5%+0.3%
    93Emergency Medicine4.3%4.2%−0.1%
    94Interventional Radiology3.3%3.4%+0.1%
    95Independent physiological lab5.0%5.0%0.0%
    97Physician assistant2.2%2.3%+0.1%
    98Gynecologist/oncologist3.5%4.0%+0.6%
    Total3.0%3.0%+0.0
    * Rounding may create the appearance of arithmetic errors.

    E.3. Impact by Class of Procedure

    The exhibit on pages 9-11 shows the impact that the proposed update to the RBMRVUs will have on different types of procedures. All figures are again expressed as a percentage of total RVUs including the impact percentages. The largest increases are for Maternity (+2.0%), Musculoskeletal surgeries Start Printed Page 65592(+1.4%) and Female Genital surgeries (+1.2%). (Cytogenic Studies also increase +1.3%; however, utilization is very small and there is only one CPT code in this range 88230-88299 that uses RVUs: 88291). Following is an explanation of these gains:

    • Musculoskeletal Surgeries: These surgeries tend to be performed by Orthopedic Surgeons. Since Orthopedic Surgeons' risk factors increased, the Malpractice RVUs for these codes have also increased.
    • Maternity: RVUs for maternity procedures are linked to the risk factor selected for Obstetrics. This is not a specialty tracked in the physician malpractice survey—the risk factor was assigned by reviewing rating manuals. The five malpractice insurers' manuals showed an increased risk factor was needed for Obstetrics.
    • Female Genital Surgeries: Similar to Obstetrics, the five malpractice insurers' manuals showed that an increase was needed in the surgical risk factor for Gynecologists.

    The largest decreases were for Dialysis (−1.6%) and Medical Cardiovascular procedures (−1.4%).

    Following is an explanation of these reductions:

    • Dialysis: The RVUs decreased because of the decrease in risk factor for Nephrologists.
    • Medical Cardiovascular: These procedures include the invasive Cardiology procedures mentioned in the previous section for Cardiologists. The risk factor for Cardiologists was reduced, and the resulting RVUs for these procedures are more reflective of actual insurer practice.

    Impact Analysis by Procedure Type

    [All Figures Expressed as a Percentage of Total RVUs]

    TypeResource-based RBMRVUs by yearImpact by year
    200020012000 to 2001*
    Surgical:
    Auditory System3.2%3.2%+0.0%
    Cardiovascular System5.7%5.3%−0.4%
    Digestive System4.3%4.1%−0.3%
    Endocrine System5.2%5.4%+0.1%
    Eye and Ocular Adnexa2.0%2.1%+0.0%
    Female Genital System4.3%5.5%+1.2%
    Hemic and Lymphatic Systems4.9%5.2%+0.3%
    Integumentary System3.4%3.3%0.0%
    Male Genital System3.1%3.3%+0.2%
    Maternity Care and Delivery8.1%10.1%+2.0%
    Mediastinum and Diaphragm5.5%5.4%0.0%
    Muskuloskeletal System4.6%6.0%+1.4%
    Nervous System7.2%6.8%−0.5%
    Operating Microscope10.8%9.8%−0.9%
    Respiratory System4.0%4.0%0.0%
    Urinary System3.1%3.3%+0.2%
    Subtotal4.1%4.2%+0.1%
    E&M:
    Care Plan Oversight Services2.2%2.2%0.0%
    Consultations2.8%3.0%+0.2%
    Critical Care Services2.8%2.8%0.0%
    Domiciliary, Rest Home or Custodial Care2.2%2.1%0.0%
    Emergency Department Services4.5%4.3%−0.1%
    Home Services2.3%2.3%+0.0%
    Hospital Inpatient Services2.4%2.4%0.0%
    Hospital Observation2.6%2.6%0.0%
    Neonatal Intensive Care2.6%3.0%+0.3%
    Newborn Care1.9%2.0%+0.1%
    Nursing Facility Services2.3%2.2%0.0%
    Office or Other Outpatient1.9%2.3%+0.3%
    Prolonged Services2.2%2.2%0.0%
    Subtotal2.4%2.5%+0.2%
    Medicine:
    Allergy and Clinical Immunology4.7%4.7%0.0%
    Biofeedback2.0%1.8%−0.2%
    Cardiovascular4.4%3.0%−1.4%
    Central Nervous System Tests7.7%7.7%0.0%
    Chemotherapy4.6%4.6%+0.0%
    Chiropractic Manipulative Therapy1.8%1.8%0.0%
    Dialysis3.6%2.0%−1.6%
    Gastroenterology3.3%3.3%0.0%
    Neurology and Neuromuscular Procedures3.0%2.9%−0.2%
    Non-Invasive Vascular Diagnostic Studies6.2%6.2%0.0%
    Opthalmology1.7%1.4%−0.3%
    Osteopathic Manipulative Therapy2.1%1.9%−0.3%
    Start Printed Page 65593
    Physical Medicine and Rehabilitation2.8%2.6%−0.3%
    Subtotal3.4%2.7%−0.7%
    Pathology & Lab:
    Chemistry1.7%1.7%0.0%
    Consultations (Clinical Pathology)1.8%1.9%+0.1%
    Cytogenic Studies1.3%2.6%+1.3%
    Cytopathology2.1%2.7%+0.6%
    Hematology & Coagulation1.5%1.6%+0.1%
    Immunology3.4%3.5%+0.1%
    Microbiology1.8%1.8%0.0%
    Other1.8%1.8%0.0%
    Surgical pathology2.0%2.6%+0.6%
    Subtotal2.0%2.6%0.5%
    Radiology
    Diagnostic Imaging3.6%3.8%+0.2%
    Diagnostic Ultrasound3.5%3.6%+0.1%
    Nuclear Medicine3.6%3.6%+0.1%
    Radiation Oncology3.3%3.6%+0.3%
    Subtotal3.5%3.7%+0.2%
    * Rounding may create the appearance of arithmetic errors.

    Background

    B.1. Background of the Malpractice RVU

    Please see the April 1999 report on RBMRVUs for a complete description of the charge based Malpractice RVUs.

    B.2. Malpractice Insurance Premium Rate Survey

    The original development of Resource Based Malpractice RVUs relied upon malpractice insurance premiums for the 1993-95 period. As part of the update to the Malpractice Geographic Practice Cost Indices (GPCI) scheduled to be implemented in the 2001 fee schedule, KPMG collected physician malpractice insurance data for the 1996-98 period. One of the purposes of this addendum is to establish new specialist risk factors derived from the information collected in the most recent survey.

    In order to collect the necessary premium data, 52 Departments of Insurance (DOI) from all fifty states, Washington D.C. and Puerto Rico were contacted and sent questionnaires. Each Department of Insurance was requested to supply:

    • 1996-98 Premium Rates for the top Physician Malpractice Insurers doing business in the state. These premium rates had to conform to a very specific benefit plan. Annual premiums were collected and/or adjusted to the following specifications: $1 million limit on individual claims/ $3 million limit on aggregate claims, mature “claims-made” coverage (see Section 4.2.2. of the Third Update of the GPCI for a detailed discussion of “claims-made”).
    • Name and number of contacts at the DOI and Insurance Carriers.
    • Definitions of the geographic rating areas used in the state.
    • Definitions of Risk Classifications.

    For the majority of states, copies of rate filings were obtained. A few states summarized this information by specialty across insurer. Some states did not have filings or could not comply with the survey in a timely manner. For these states, malpractice insurers were contacted directly.

    Some states have Joint Underwriting Associations (JUAs) and Patient Compensation Funds (PCFs) that impact physician malpractice costs. The South Carolina JUA was included because it has the majority market share. All other JUAs were excluded. PCFs were included only when participation was mandatory, with one exception. In South Carolina, the PCF was included even though it is not mandatory because the majority of South Carolina physicians that participate in the JUA also participate in the PCF.

    Since PCFs often provide unlimited coverage, states with mandatory PCFs may have a cost level that is higher than the $1 million/$3 million limits mentioned previously. For those states, no actuarial adjustment was made to reduce the premium level to a $1 million/$3 million policy. This was considered appropriate since the intention of the survey was to track actual physician costs as closely as possible.

    Overall KPMG collected physician malpractice insurance premium data on a total of 46 companies across all 50 states, Puerto Rico, and Washington, D.C. Insurance companies that operated in more than one state are counted once in this total. In 38 states KPMG collected data from at least two companies. In the remainder of the states, KPMG received information from one company. In each of these states, the sole insurer had a medical malpractice market share of 49% or more (medical malpractice insurance includes physician and hospital malpractice insurance). On average, data was collected from insurance companies with a 56% medical malpractice market share.

    There is reason to believe that the actual captured physician malpractice insurance market share is larger than stated here. This is due to the fact that market share statistics included hospital malpractice insurance, but companies that primarily deal in hospital Start Printed Page 65594malpractice have been largely excluded. The most credible and consistently available source of medical malpractice insurance premium data comes from National Association of Insurance Commissioners (NAIC) annual statement blanks. Unfortunately, the annual statement line for medical malpractice includes both hospital and physician malpractice insurance. Departments of Insurance provided input regarding significant physician malpractice insurance carriers.

    The Office of Management and Budget (OMB) approved physician malpractice survey was primarily designed to update the GPCI not the Malpractice RVU. The needs of the two updates are not the same. While the GPCI focuses on regional cost differences, the ideal Malpractice RVU survey would provide more detail on premium variations by specialty. In accordance with the OMB approved survey, malpractice data was collected for twenty physician specialties. (There are over 90 HCFA specialty codes.) Since the amount of time it takes to perform the survey is a critical component of OMB approval, the number of specialties tracked in the survey has not been changed. In order to supplement the premium survey, five rating manuals were used from among the largest malpractice insurers in order to derive risk factors for specialties not tracked in the survey. Even for the twenty specialties tracked in the survey, it was necessary to supplement the premium data with risk factors from the selected five insurers. Since the survey specified the level of surgical involvement for a specialty, it was not possible to get a surgical and non-surgical risk factor from the same premium data.

    Typically malpractice insurers sub-divide each specialty into three separate levels of surgical involvement:

    1. Major Surgery

    2. Minor Surgery (typically assisting the surgeon or performing very minor surgeries)

    3. No Surgery

    The surgical risk factors are derived from the highest level of surgical involvement listed for the specialty in the insurers rating manual, typically the “major surgery” category. The non-surgical factors are derived from the lowest level of surgical involvement listed, typically the “no surgery” factors. For those surveyed specialties that had minor surgical involvement, the premium data was used as a reasonability check with the selected surgical and non-surgical risk factors. The minor surgery premium risk factor should fall between the surgical and non-surgical factors and should also be in line with the minor surgery risk factor of the median or most representative rating manual.

    For Cardiologists and Neurologists, the minor surgery premium average was also used to set the surgical risk factors. This is due to the fact that the surgical procedures that these specialties perform tend to fit the minor surgery category.

    One American Medical Association (AMA) suggestion regarding the first calculation of the RBMRVUs was their desire that surgical specialties always be granted their surgical risk factor even for the non-surgical procedures that they perform. This change has been incorporated in this update of the risk factors for specialties defined as surgeons. The two specialties impacted by this change are Neurosurgeons and Surgical Oncologists.

    In the first RBMRVU calculation, Neurologists and Neurosurgeons shared surgical and non-surgical risk factors. This was not inconsistent with the St. Paul's rating manual. Neurosurgeons received higher Malpractice RVU compensation because they performed more surgical procedures. However, the surgical risk factor for Neurosurgeons is now used to calculate the malpractice RVUs for all procedures they perform—surgical and non-surgical. As noted above, Neurologists receive the minor surgery risk factor for the surgical procedures they perform.

    In the original report, Surgical Oncologists were mapped to the Avg. Physician risk factors with separate surgical and non-surgical risk factors. In this update, Surgical Oncologists are given the General Surgeons' risk factors which are the same for surgical and non-surgical procedures.

    The following table (A-1) shows how the premium data was used for each of the twenty tracked physician specialties (note that any risk factor that is not calculated using premium data from the survey was derived from the rating manual risk factors):

    Table A-1.—Uses of the Physician Malpractice Premium Data Collected in the Survey

    SpecialtySurgeryUsed for surgical RF?Used for non-surgical RF?Used for reasonability check?
    OphthalmologyMajorYesNoYes.
    General SurgeryMajorYesYesYes.
    Thoracic SurgeryMajorYesYesYes.
    Urology SurgeryMajorYesYesYes.
    AnesthesiologyMajorYesYesYes.
    NeurosurgeryMajorYesYesYes.
    Orthopedic SurgeryMajorYesYesYes.
    Plastic SurgeryMajorYesYesYes.
    OtorhinolaryngologyMajorYesNoYes.
    GynecologyNoneNoYesYes.
    PsychiatryNoneNoYesYes.
    Pulmonary DiseaseNoneYesYesYes.
    GastroenterologyMinorNoNoYes.
    RadiologyMinorYesYesYes.
    Cardiovascular DiseaseMinorYesNoYes.
    DermatologyMinorNoNoYes.
    Internal MedicineMinorNoNoYes.
    NeurologyMinorYesNoYes.
    PathologyMinorYesYesYes.
    General/Family PracticeMinorNoNoYes.
    Start Printed Page 65595

    Methodology

    M.1. Overview

    Please see the Final Report on the Resource Based Malpractice RVUs for a complete overview of the methodology. This update only describes changes to the original methodology. The following changes are being implemented in this update:

    • 1996-98 Malpractice Premium Data is used in place of 1993-95 Premium Data.
    • Physician premium data from the survey is used to calculate risk factors according to Table A-1 of this update.
    • The premium weighted average risk factors of five selected Malpractice Insurers are used. They are Continental Casualty Company (CNA), St. Paul Fire and Marine Insurance Company (St. Paul), Medical Liability Mutual Insurance Company (MLMIC), Medical Protective Company (Medical Protective), and Doctors Company. These five insurers are among the largest malpractice insurers. This is the methodology used for all specialties that are not based on malpractice premium data.

    M.2. Mapping of Medicare Specialties to ISO Codes

    Please see the April 1999 Report on RBMRVUs for a complete discussion of malpractice insurer's ISO codes and how they are translated into Medicare Physician Specialty Codes.

    M.3. Calculating the National Average Specialist Premiums

    Please see section M.3. of the Final Report on the Resource Based Malpractice RVUs for a complete discussion of methodology. One of the adjustments described in that report “normalizes” the premium data in the survey for the geographic spread of specialties. A geographic bias is measured by calculating the average Malpractice GPCI that a specialty receives. Variations can be noticeable. For example, it was found that Psychiatrists have a Malpractice GPCI that is 5.6% above the average while General/Family Practitioners are 6.2% below the average. Not to adjust for this phenomenon would effectively create a “double count” of the geographic concentration of a given specialty. Specialties more highly concentrated in high malpractice cost areas would receive higher RVUs because their premiums would be higher, in part due to their geographic concentration in higher cost areas. At the same time they would receive a higher Malpractice GPCI for the identical reason. For specialties more highly concentrated in lower malpractice cost areas, the opposite would be true. They would be effectively “double penalized” for their concentration in low malpractice cost areas. By dividing each specialty's premium by its average Malpractice GPCI, risk factors developed from these new adjusted premiums more accurately reflect the relative cost differences of each specialty as opposed to the geographic dispersion of the specialty.

    This normalization calculation has been updated for the risk factors used in this update. A 1998 RVU distribution was used in place of the 1997 RVU distribution used in the original report. The 2002-3 Malpractice GPCI was used as the basis for the normalization. The 2001 “phase-in” Malpractice GPCI was considered, but the 2002-2003 Malpractice GPCI was utilized since it will be in place longer than the 2001 Malpractice GPCI and it is unlikely that Malpractice RVUs will be updated in the interim (beyond updates for new CPT codes).

    In Table A-2, the average malpractice premiums tracked in the survey are shown along with their average 2002-3 Malpractice GPCI and the adjusted premium used for risk factors. Note that Psychiatry has been normalized to a 1.31 risk factor to be consistent with the average non-surgical factor developed from the five malpractice insurers' rate manuals (see Table A-3) for Psychiatry. This makes it easier to perform an “apples to apples” comparison of the risk factors developed from premium data versus the comparable rating manual risk factors.

    M.4. Specialist Risk Factors

    Surgical Codes vs. Non Surgical Codes

    Consistent with the development of the original RBMRVUs, separate surgical and non-surgical risk factors continue to be used. For the purposes of calculating RBMRVUs surgeries are defined as CPT codes falling in the range of 10000 through 69999, and codes 92980-92998, 93501-93536, 93600-93614, 93617-93641 and 93643-93652.

    Obstetrical Codes

    Medicare specialty codes do not distinguish between Obstetricians and Gynecologists. However, malpractice premiums can be quite different for these specialties. Because the majority of Medicare OB/GYN services will be Gynecological, a Gynecology risk factor was used for all OB/GYN procedures, except those that are clearly Obstetrical, such as maternity codes (59000-59899). These codes were assigned a risk factor that is consistent with a risk factor for an Obstetrician who performs surgery in the Original Report. This practice is continued in this addendum. The obstetrical risk factor has been updated.

    Obstetrics/Gynecology Risk Factors

    Obstetricians and Gynecologists have raised the concern about their average malpractice premium and their corresponding Malpractice RVUs. The survey tracked the Malpractice premium for a Gynecologist who does not perform surgery. We recognize that approximately 40% of Work RVUs paid to Gynecologists under the Medicare program are for surgical procedures. We also recognize that Obstetricians have virtually no utilization under the Medicare program and that they will pay much more for Malpractice Insurance than the typical Gynecologist.

    These issues have been addressed in the risk factor methodology. First, Gynecologists receive a risk factor consistent with their Malpractice Survey Premium only for non-surgical procedures. For their surgical procedures they receive a risk factor that is 3.26 times (6.17 vs. 1.89) that which would be granted if we only used their Survey Premium. Second, Obstetricians have been handled by making an explicit adjustment to the maternity codes in order to reflect their higher malpractice costs. These codes are granted a risk factor of 10.83 (based on the rate manuals) which is 76% higher than the Gynecologists' Surgical risk factor and 461% higher than the Gynecologists' Non Surgical risk factor.

    Spinal Surgeries

    If the risk factor calculated for a Spinal Surgery procedure (CPTs 22100-22899) falls below the risk factor for an Orthopedic Surgeon performing Spinal Surgery (8.64), then the risk factor for an Orthopedic Surgeon performing spinal surgery is used.

    Invasive Cardiology Procedures

    The following codes receive the greater of their actual average risk factor or the risk factor for invasive Cardiology (3.16): 92980-92998, 93501-93536, 93600-93614, 93617-93641 and 93643-93652.

    Risk Factor Assignment Algorithm

    The Risk Factor Assignment Algorithm from the original report is presented in this section. Changes are indicated in bold:

    Having discussed the background and issues surrounding the physician risk factors, the actual mechanics of the algorithm used to assign risk factors will now be described. The assignment algorithm was as follows: Start Printed Page 65596

    1. The lowest normalized malpractice premium specialty was determined to be Psychiatry. This specialty was assigned a risk factor value of “1.31”. This factor was selected to be consistent with the risk factor developed for non-surgical Psychiatry developed from rating manuals.

    2. If the specialty's normalized average malpractice premium is the basis for the risk factor (as defined in Table A-1), the Risk Factor was calculated as follows:

    For example, Ophthalmologists' had a 96-98 average premium of $11,209. Their average MGPCI was 0.98915. Dividing $11,209 by .98915 yields $11,332 as the normalized average premium. Dividing this result by the adjusted Psychiatrists' premium ($11,332/$6,263) gives an answer of 1.81. This 1.81 is then multiplied by 1.31 to give the final risk factor of 2.37.

    3. If the risk factor was not being set with malpractice premium data, five rating manuals from among the largest malpractice insurers were consulted and an average risk factor (RF) was developed based on the market share weighted average. Using Psychiatry, non-surgical as an example: C.N.A. Weighting × C.N.A. RF + St. Paul Weighting × St. Paul RF + M.L.M.I.C. Weighting × M.L.M.I.C. RF + Medical Protective Weighting × Medical Protective Risk Factor + Doctors Weighting × Doctors Risk Factor =

    25.955% × 1.50 + 25.547% × 1.00 + 20.923% × 1.00 + 14.637% × 1.33 + 12.938% × 2.00 = Note that Weightings are developed by calculating the Insurers' annual earned premium as a percent of the total for all five insurers.

    M.5. Physician Profile Dataset

    The April 1999 report on the RBMRVU describes this dataset. For this update, we used 1999 utilization data cross walked to 2000 CPT codes. HCFA performed this cross walk before giving the utilization data to KPMG. The most critical task performed on this data by KPMG was the application of the Modifiers to the underlying utilization data. KPMG made the conversions to the Allowed Services counts outlined in the table on the next page. The adjustments in the table are consistent with the modifier adjustments that HCFA specifies for processing physician claims.

    ModifierDescriptionCode typeHandling/value of code
    51Multiple ProceduresRule applies50%.
    Endoscopic Procedure *100%; summary data only. Since claims history could not be taken into account endoscopies are counted 100%.
    Modifier does not apply100%.
    No payment adjustment100%.
    54Surgical OnlySurgery codeIntraoperative % applied.
    Non surgery code0%.
    55Post Operative OnlySurgery codePost Op % applied.
    Non surgery code0%.
    56Pre Operative OnlySurgery codePre Op % applied.
    Non surgery code0%.
    62Co SurgeonsCo Surgeons not permitted0%.
    Co Surgeons permitted with or without documentation62.5%.
    Does not apply0%.
    80Asst. SurgeonDon't pay or does not apply0%.
    Asst Surgeon permitted with or without documentation16%.
    26Prof. Only100%.
    TCTechnical OnlyMalpractice RVUs are unchanged.
    53Terminated endoscopy100%.
    * This is more likely to distort the impact analysis rather than the average risk factor. Endoscopies will be over-weighted in the impact analysis.

    M.6. Calculating Average Risk Factors by Procedure

    Please see the April 1999 report for a complete description of the calculation. The formula for calculating the risk factors is stated below:

    Start Printed Page 65597

    Where:

    SERVICESPROC/MOD, SPEC = Number of procedures performed in 1999 by specialty for specific procedure code

    RFSPEC= Risk factor for specialty calculated in M.4.

    SERVICESPROC/MOD = Number of procedures performed in 1999 for specific procedure code

    Avg. RFPROC/MOD = The average risk factor for the particular combination of procedure and modifier code.

    M.7. Codes Whose RBMRVUs were not Assigned Using the Risk Factor Algorithms

    Please see table A-5 for the assignments made for codes with insufficient utilization data.

    M.8. Budget Neutrality Adjustment

    Please see the April 1999 report for a complete discussion. The new budget neutrality adjustment is .0171569. Note that this adjustment is applied before inclusion of the technical codes which are left unchanged.

    The formula for budget neutrality and the final calculation of RBMRVUs is given below:

    This budget neutrality adjustment is multiplied by the Unadjusted RBMRVUs to get the final RBMRVUs.

    Where:

    SERVICESPROC/MOD = Number of procedures performed in 1999 for specific procedure code

    Raw RBMRVUPROC/MOD = The resource-based RVU allocation for the risk-factor method prior to adjustment for budget neutrality

    2000 Aggregate MP RVUs = 2000 aggregate malpractice RVUs projected from the 1999 utilization data and 2000 malpractice RVUs

    BN Adj = 2001 budget neutrality adjustment, forces RBMRVUs to be budget neutral to the 1999 experience

    RBMRVUPROC/MOD = RBMRVU after applying 2001 budget neutrality adjustment

    M.9. Numerical Example

    The development of risk factors has been demonstrated in a previous section. This numerical example will focus on applying those risk factors to the Procedure Code Malpractice Relative Value Units.

    This example will look at the calculation of the Resource Based Malpractice RVU for code 99213-Office/Outpatient Visit, Established Patient, and is shown on the next page. We start with raw physician specialty utilization databased on 1999 utilization and mapped to 2000 codes by the Health Care Financing Administration. In the exhibit, Column B shows the distribution of services by specialty. Column B is labeled “Adjusted Allowed Services” because certain modifier rules have been applied to the counts.

    Numerical Example for CPT Code 99213 Calculation of the Average Risk Factor

    CodeDescriptionA Risk factorB Adjusted allowed svcsC Percent of totalD Product A X B
    1General practice1.734,507,3615.187,797,735
    2General surgery6.141,516,8081.749,313,201
    3Allergy/Immunology1.05306,5580.35321,886
    4Otolaryngology2.311,484,6731.703,429,595
    5Anesthesiology3.28289,3000.33948,904
    6Cardiology1.815,711,2516.5610,337,364
    7Dermatology1.121,904,5072.192,133,048
    8Family practice1.7318,552,26021.3032,095,410
    10Gastroenterology1.951,564,6201.803,051,009
    11Internal medicine1.8925,202,92128.9447,633,521
    12Osteopathic manipulative therapy2.1986,4520.10189,330
    13Neurology1.961,102,5241.272,160,947
    14Neurosurgery12.64187,6090.222,371,378
    16Obstetrics/Gynecology1.89822,5890.941,554,693
    18Ophthalmology1.183,171,2373.643,742,060
    19Oral surgery (dentists only)2.199,0700.0119,863
    20Orthopedic surgery8.532,643,7303.0422,551,017
    22Pathology2.0725,4230.0352,626
    24Plastic and reconstructive surgery6.57114,4460.13751,910
    25Physical medicine and rehab1.07340,2260.39364,042
    26Psychiatry1.3191,2600.10119,551
    28Colorectal surgery (formerly proctolog)3.8152,1610.06198,733
    29Pulmonary disease1.941,785,4842.053,463,839
    Start Printed Page 65598
    30Diagnostic radiology2.6071,3490.08185,507
    33Thoracic surgery8.1490,1420.10733,756
    34Urology3.583,013,4353.4610,788,097
    36Nuclear medicine1.3810,1510.0114,008
    37Pediatric medicine1.75128,0720.15224,126
    38Geriataric medicine1.16242,7370.28281,575
    39Nephrology1.57661,6490.761,038,789
    40Hand surgery5.7532,7140.04188,106
    41Optometrist2.19629,6140.721,378,855
    44Infectious disease1.57242,0700.28380,050
    46Endocrinology1.57689,5860.791,082,650
    48Podiatry2.191,392,1151.603,048,732
    65Physical therapist1.07180.0019
    66Rheumatology1.681,248,9911.432,098,305
    67Occupational therapist1.0840.004
    68Clinical psychologist1.31100.0013
    69Clinical lab2.07950.00197
    70Multispecialty clinic or group practice2.193,515,6204.047,699,208
    76Peripheral vascular disease2.1915,4710.0233,881
    77Vascular surgery7.41157,0710.181,163,896
    78Cardiac surgery7.9315,7180.02124,644
    79Addiction medicine1.319,5860.0112,558
    81Critical care2.1957,4990.07125,923
    82Hematology1.6270,8540.08114,783
    83Hematology/oncology1.621,531,1601.762,480,479
    84Preventive medicine1.297,7800.0110,036
    85Maxillofacial surgery6.574,7180.0130,997
    86Neuropsychiatry1.312,3580.003,089
    90Medical oncology1.85592,3500.681,095,848
    91Surgical oncology6.1430,9580.04190,082
    92Radiation oncology2.40186,2550.21447,012
    93Emergency medicine4.30294,7260.341,267,322
    94Interventional Radiology2.681,9080.005,113
    95Independent physiological lab2.0730.006
    98Gynecologist/oncologist1.9330,4290.0358,728
    SUBTOTAL FOR RISK FCTR CALCULATION2.2186,449,68699.26190,908,055
     OTHER645,8850.74N/A
    TOTAL87,095,571100.00

    Notice that 0.74% of the services are performed by specialties that have not had risk factors developed for them (“OTHER”). For this 99213 code, this is largely comprised of Physician Assistants and Nurse Practitioners.

    The next step is to determine the average risk factor. Column D shows the product of each specialties' risk factor multiplied by the number of Allowed Services for that specialty. If we add up each specialties' product and divide by the total number of allowed services, we have calculated the average risk factor for the code. For code 99213 this is (190,908,055) / (86,449,686) = 2.21. Note that this is just an application of the following formula shown in Section M6:

    Next we need to multiply the average risk factor for the code by the Work RVUs for the code. For code 99213 this is: 2.21 * 0.67 = 1.48. Finally the budget neutrality adjustment of .0171569 is applied to 1.48. The result is .0171569 * 1.48 = .03 Malpractice RVUs.

    Attachments

    Table A-2: Average Premiums, MGPCI, and Resulting Risk Factors by Specialty Start Printed Page 65599

    Table A-3: Weighted Average Risk Factors Developed from Five Rating Manuals

    Table A-4: Selected Risk Factors by HCFA Specialty

    Table A-5: Cross Walk Assumptions 1

    Table A-2.—Average Premiums, MGPCI and Resulting Risk Factors By Specialty

    ISOSpecialty1996 avg1997 avg1998 avg93-9596-98Annual trendAvg MGPCINormalized 96-98***Risk fctr***
    80114Opthalmology$11,304$11,377$10,945$10,960$11,2090.75%0.989%$11,3322.37
    80143General surgery27,66728,11627,69427,02027,8250.98%0.94829,3676.14
    80144Thoracic surgery39,05639,02038,35938,78938,8120.02%0.99738,9198.14
    80145Urology16,79917,16316,91115,81716,9582.35%0.99117,1163.58
    80151Anesthesiology15,70815,46814,90417,23115,360−3.75%0.98015,6783.28
    80152Neurosurgery58,10458,26356,73554,61057,7011.85%0.95460,45512.64
    80154Orthopedic surgery39,18238,88237,68838,87738,584−0.25%0.94640,7748.53
    80156Plastic surgery31,67031,70831,06230,59931,4800.95%1.00231,4156.57
    80159Otolaryngology20,60319,84519,52119,74819,9900.41%0.98920,2124.23
    80244Gynecology8,4458,6908,790*n/a8,642*n/a0.9579,0331.89
    80249Psychiatry**6,6456,5336,6647,2406,614−2.96%1.0566,2631.31
    80269Pulmonary disease9,3529,5539,6208,5949,5083.42%1.0259,2781.94
    80274Gastroenterology11,69111,89011,65511,00811,7452.18%1.00811,6482.44
    80280Diagnostic radiology12,09912,65112,36510,78312,3724.68%0.99412,4422.60
    80281Cardiology13,26513,36712,98012,46513,2041.94%1.01313,0372.73
    80282Dermatology10,69010,85610,39410,94610,650−0.91%1.03710,2722.15
    80284Internal medicine11,77011,94111,79811,49111,8360.99%1.01911,6112.43
    80288Neurology14,00013,75813,42112,39613,7263.45%1.02913,3352.79
    80292Pathology9,6339,6909,4398,9139,5872.46%0.9699,8952.07
    80423General practice11,18111,35411,16710,46511,2342.39%0.93811,9772.51
    * Data not available.
    ** Psychiatry is set to 1.31 to be consistent with risk factor taken from rating manuals (see Table A-3).
    *** Actual precision on premium and GPCIs is greater than shown. May not be able to reproduce results exactly due to rounding.

    Table A-3.—Weighted Average Risk Factors Developed From Five Rating Manuals

    [Calculation of Weighted Average Risk Factors]

    CodeDescriptionWeights--> Weighted Avg. Risk Factors25.955% C.N.A.25.547% St. Paul20.923% Insurers MLMIC14.637% Med. Prof.12.938% Doctors
    Non SurgSurgNon SurgSurgNon SurgSurgNon SurgSurgNon SurgSurgNon SurgSurg
    01General practice1.734.431.676.171.232.932.245.091.572.602.184.89
    02General surgery6.246.246.176.174.644.648.048.045.385.387.637.63
    03Allergy/Immunology1.051.291.001.001.001.001.001.001.002.601.401.40
    04Otolaryngology2.313.921.003.581.232.933.595.091.332.606.126.12
    05Anesthesiology3.113.113.583.582.432.433.143.143.363.363.153.15
    06Cardiology1.812.851.503.581.231.792.912.911.332.602.373.62
    Cardiac Catheterization3.163.163.583.582.362.363.203.203.363.363.623.62
    07Dermatology1.122.411.001.501.004.641.001.001.002.601.931.93
    08Family practice1.734.431.676.171.232.932.245.091.572.602.184.89
    10Gastroenterology1.952.781.503.581.232.362.912.911.571.573.133.13
    11Internal medicine1.892.531.673.581.231.792.912.911.571.572.372.37
    13Neurology1.962.111.671.671.231.792.392.391.571.473.753.75
    14Neurosurgery12.6712.6710.0010.009.429.4220.9620.9610.6310.6313.3113.31
    16Gynecology1.936.171.506.171.234.643.599.011.335.382.185.48
    Obstetricsn/a10.83n/a10.00n/a7.15n/a15.53n/a10.63n/a12.41
    18Ophthalmology1.182.361.001.501.231.791.003.201.332.601.553.60
    20Orthopedic surgery wo Spinal8.458.458.178.176.016.0112.1812.187.977.978.368.36
    Orthopedic surgery with Spinal8.648.648.178.176.016.0112.1812.189.309.308.368.36
    22Pathology1.571.771.501.501.001.791.811.811.571.572.432.43
    24Plastic Surgery7.197.198.178.174.644.649.019.017.977.976.426.42
    25Physical Med & Rehab1.071.071.001.001.231.231.001.00n/an/a1.001.00
    26Psychiatry1.311.491.501.501.001.001.001.001.332.602.002.00
    28Colorectal surgery3.813.813.583.582.362.365.095.09n/an/a5.025.02
    29Pulmonary disease1.821.821.001.001.231.232.912.911.571.573.133.13
    30Diagnostic radiology2.282.581.671.671.231.794.244.241.572.603.263.26
    33Thoracic surgery7.207.206.176.176.016.018.048.049.309.307.917.91
    34Urology3.593.593.583.582.362.365.095.092.602.604.714.71
    36Nuclear medicine1.381.611.501.501.231.23n/an/a1.332.601.471.47
    37Pediatric medicine1.754.921.676.171.234.64n/an/an/an/a2.972.97
    38Geriataric medicine1.162.081.001.501.232.36n/an/a1.332.60n/an/a
    39Nephrology1.571.941.501.501.232.36n/an/a1.571.572.372.37
    40Hand surgery5.755.756.176.174.644.64n/an/a5.385.387.547.54
    44Infectious disease1.571.751.501.501.231.79n/an/a1.571.572.372.37
    46Endocrinology1.571.941.501.501.232.36n/an/a1.571.572.372.37
    66Rheumatology1.682.011.001.001.231.792.912.911.332.602.372.37
    67Occupational therapist1.081.081.001.001.231.231.001.00n/an/an/an/a
    77Vascular surgery7.417.416.176.176.016.019.019.019.309.307.917.91
    78Cardiac surgery7.937.938.178.176.016.019.019.019.309.307.917.91
    82Hematology1.621.761.501.501.231.791.811.811.571.572.372.37
    83Hematology/oncology1.621.761.501.501.231.791.811.811.571.572.372.37
    84Preventive medicine1.294.431.006.171.232.931.005.091.572.602.184.89
    90Medical oncology1.851.851.501.501.231.232.912.911.571.572.372.37
    92Radiation oncology2.402.401.501.502.362.362.912.912.602.603.263.26
    93Emergency medicine4.304.966.176.172.934.643.253.253.364.826.066.06
    94Interventional Radiology2.682.681.501.502.362.364.244.242.602.603.263.26
    98Gynecologist/oncologist1.936.171.506.171.234.643.599.011.335.382.185.48
    Start Printed Page 65600

    Table A-4.—Medicare Specialties and Risk Factor Assignment

    CodeMedical descriptionNon surgical risk factorSurgical risk factorNotes
    01General practice1.734.43Rating Manuals used.
    02General surgery6.146.14Premium data used.
    03Allergy/Immunology1.051.29Rating Manuals used.
    04Otolaryngology2.314.23Surg RF from survey, Non-Surg RF from manuals.
    05Anesthesiology3.283.28Premium data used.
    06Cardiology1.812.73Surg RF from survey, Non-Surg RF from manuals.
    07Dermatology1.122.41Rating Manuals used.
    08Family practice1.734.43Rating Manuals used.
    10Gastroenterology1.952.78Rating Manuals used.
    11Internal medicine1.892.53Rating Manuals used.
    12Osteopathic manipulative therapy2.193.75Cross walked to All Physician Average Risk Factors.
    13Neurology1.962.79Surg RF from survey, Non-Surg RF from manuals.
    14Neurosurgery12.6412.64Premium data used.
    16Obstetrics/Gynecology1.896.17Surg RF from manuals, Non-Surg RF from survey.
    18Ophthalmology1.182.37Surg RF from survey, Non-Surg RF from Manuals.
    19Oral surgery (dentists only)2.193.75Cross walked to All Physician Average Risk Factors.
    20Orthopedic surgery8.538.53Premium data used.
    22Pathology2.072.07Premium data used.
    24Plastic and reconstructive surgery6.576.57Premium data used.
    25Physical medicine and rehab1.071.07Rating Manuals used.
    26Psychiatry1.311.49Surg RF from manuals, Non-Surg RF from survey.
    28Colorectal surgery (formerly proctology)3.813.81Rating Manuals used.
    29Pulmonary disease1.941.94Premium data used.
    30Diagnostic radiology2.602.60Premium data used.
    33Thoracic surgery8.148.14Premium data used.
    34Urology3.583.58Premium data used.
    35Chiropractic1.892.53Cross walked to Internal Medicine Risk Factor.
    36Nuclear medicine1.381.61Rating Manuals used.
    37Pediatric medicine1.754.92Rating Manuals used.
    38Geriataric medicine1.162.08Rating Manuals used.
    39Nephrology1.571.94Rating Manuals used.
    40Hand surgery5.755.75Rating Manuals used.
    41Optometrist2.193.75Cross walked to All Physician Average Risk Factors.
    44Infectious disease1.571.75Rating Manuals used.
    46Endocrinology1.571.94Rating Manuals used.
    48Podiatry2.193.75Cross walked to All Physician Average Risk Factors.
    62Psychologist1.311.49Cross walked to Psychiatrists' Risk Factors.
    65Physical Therapist1.071.07Cross walked to Physical Med. & Rehab Risk Factors.
    66Rheumatology1.682.01Rating Manuals used.
    67Occupational therapist (independently practicing)1.081.08Rating Manuals used.
    68Clinical psychologist1.311.49Cross walked to Psychiatrists' Risk Factors.
    69Clinical lab2.072.07Cross walked to Pathologists' Risk Factors.
    70Multispecialty clinic or group practice2.193.75Cross walked to All Physician Average Risk Factors.
    76Peripheral vascular disease2.193.75Cross walked to All Physician Average Risk Factors.
    77Vascular surgery7.417.41Rating Manuals used.
    78Cardiac surgery7.937.93Rating Manuals used.
    79Addiction medicine1.311.49Cross walked to Psychiatrists' Risk Factors.
    81Critical care2.193.75Cross walked to All Physician Average Risk Factors.
    82Hematology1.621.76Rating Manuals used.
    83Hematology/oncology1.621.76Rating Manuals used.
    84Preventive medicine1.294.43Rating Manuals used.
    85Maxillofacial surgery6.576.57Cross walked to Plastic Surgeons' Risk Factors.
    86Neuropsychiatry1.311.49Cross walked to Psychiatrists' Risk Factors.
    90Medical oncology1.851.85Rating Manuals used.
    91Surgical Oncology6.146.14Cross walked to General Surgeons' Risk Factors.
    92Radiation oncology2.402.40Rating Manuals used.
    93Emergency medicine4.304.96Rating Manuals used.
    94Interventional Radiology2.682.68Rating Manuals used.
    95Independent physiological lab2.072.07Cross walked to Pathologists' Risk Factors.
    98Gynecologist/oncologist1.936.17Rating Manuals used.
    Start Printed Page 65601

    Exhibit A-5.—Cross Walk Assumptions

    HCPCSMODDescriptionStatusCross walk assumption
    HCPCSMODDescription
    11975Insert contraceptive capN11976Removal of contraceptive cap.
    11977Removal/reinsert contra capN11976Removal of contraceptive cap.
    11980Implant hormone pellet(s)AXXXXXAVG SURGICAL.
    13300Repair of wound or lesionD13102Repair wound/lesion add-on.
    15580Attach skin pedicle graftD15574Form skin pedicle flap.
    15625Skin graftD15350Skin homograft.
    15775Hair transplant punch graftsR15776Hair transplant punch grafts.
    15850Removal of suturesB15851Removal of sutures.
    20979Us bone stimulationNXXXXXInterventional Radiology.
    21077Prepare face/oral prosthesisA21076Prepare face/oral prosthesis.
    21083Prepare face/oral prosthesisA21076Prepare face/oral prosthesis.
    21127Augmentation, lower jaw boneA21125Augmentation, lower jaw bone.
    21155Reconstruct midface, lefortA21154Reconstruct midface, lefort.
    21159Reconstruct midface, lefortA21154Reconstruct midface, lefort.
    21263Revise eye socketsA21260Revise eye sockets.
    24931Amputate upper arm & implantA24900Amputation of upper arm.
    25455Revision of wrist jointA25450Revision of wrist joint.
    26504Hand tendon reconstructionA26500Hand tendon reconstruction.
    26551Great toe-hand transferAXXXXXOrthopedic Surgeon.
    26554Double transfer, toe-handAXXXXXOrthopedic Surgeon.
    26556Toe joint transferAXXXXXOrthopedic Surgeon.
    27734Repair lower leg epiphysesA27730Repair of tibia epiphysis.
    32001Total lung lavageD32997Total lung lavage.
    33242Repair pulse generator/leadsD33218Revise eltrd pacing-defib.
    33247Insert/replace leadsD33216Revise eltrd pacing-defib.
    33506Repair artery, translocationA33502Coronary artery correction.
    33688Repair heart septum defectA33684Repair heart septum defect.
    33710Repair of heart defectsA33702Repair of heart defects.
    33771Repair great vessels defectA33770Repair great vessels defect.
    33774Repair great vessels defectA33770Repair great vessels defect.
    33775Repair great vessels defectA33770Repair great vessels defect.
    33776Repair great vessels defectA33770Repair great vessels defect.
    33777Repair great vessels defectA33770Repair great vessels defect.
    33778Repair great vessels defectA33770Repair great vessels defect.
    33781Repair great vessels defectA33770Repair great vessels defect.
    33918Repair pulmonary atresiaA33917Repair pulmonary atresia.
    33968Remove aortic assist deviceA33971Aortic circulation assist.
    36550Declot vascular deviceA36533Insertion of access device.
    42210Reconstruct cleft palateA42205Reconstruct cleft palate.
    42227Lengthening of palateA42226Lengthening of palate.
    42509Parotid duct diversionA42507Parotid duct diversion.
    42835Removal of adenoidsA42830Removal of adenoids.
    46742Repair of imperforated anusA46753Reconstruction of anus.
    46746Repair of cloacal anomalyA46744Repair of cloacal anomaly.
    46748Repair of cloacal anomalyA46744Repair of cloacal anomaly.
    46751Repair of anal sphincterA46753Reconstruction of anus.
    47136Transplantation of liverR47130Partial removal of liver.
    49611Repair umbilical lesionA49610Repair umbilical lesion.
    50526Repair renal-abdomen fistulaA50525Repair renal-abdomen fistula.
    54316Reconstruction of urethraA54322Reconstruction of urethra.
    54901Fusion of spermatic ductsA54900Fusion of spermatic ducts.
    56300Laparoscopy; diagnosticD49320Diag laparo separate proc.
    56301Laparoscopy; tubal cauteryD58670Laparoscopy, tubal cautery.
    56302Laparoscopy; tubal blockD58671Laparoscopy, tubal block.
    56303Laparoscopy; excise lesionsD58662Laparoscopy, excise lesions.
    56304Laparoscopy; lysisD58660Laparoscopy, lysis.
    56305Laparoscopy; biopsyD49321Laparoscopy, biopsy.
    56306Laparoscopy; aspirationD49322Laparoscopy, aspiration.
    56307Laparoscopy; remove adnexaD58661Laparoscopy, remove adnexa.
    56308Laparoscopy; hysterectomyD58550Laparo-asst vag hysterectomy.
    56309Laparoscopy; remove myomaD58551Laparoscopy, remove myoma.
    56310Laparoscopic enterolysisD44200Laparoscopy, enterolysis.
    56311Laparoscopic lymph node biopD38570Laparoscopy, lymph node biop.
    56312Laparoscopic lymphadenectomyD38571Laparoscopy, lymphadenectomy.
    56313Laparoscopic lymphadenectomyD38572Laparoscopy, lymphadenectomy.
    56314Lapar; drain lymphoceleD49323Laparo drain lymphocele.
    56315Laparoscopic appendectomyD44970Laparoscopy, appendectomy.
    56316Laparoscopic hernia repairD49650Laparo hernia repair initial.
    56317Laparoscopic hernia repairD49651Laparo hernia repair recur.
    56318Laparoscopic orchiectomyD54690Laparoscopy, surgical; orchiectomy.
    Start Printed Page 65602
    56320Laparoscopy, spermatic veinsD55550Laparo ligate spermatic vein.
    56322Laparoscopy, vagus nervesD43651Laparoscopy, vagus nerve.
    56323Laparoscopy, vagus nervesD43652Laparoscopy, vagus nerve.
    56324Laparoscopy, cholecystoenterD47570Laparo cholecystoenterostomy.
    56340Laparoscopic cholecystectomyD47562Laparoscopic cholecystectomy.
    56341Laparoscopic cholecystectomyD47563Laparo cholecystectomy/graph.
    56342Laparoscopic cholecystectomyD47564Laparo cholecystectomy/explr.
    56343Laparoscopic salpingostomyD58673Laparoscopy, salpingostomy.
    56344Laparoscopic fimbrioplastyD58672Laparoscopy, fimbrioplasty.
    56346Laparoscopic gastrostomyD43653Laparoscopy, gastrostomy.
    56348Laparo; resect intestineD44202Laparo, resect intestine.
    56349Laparoscopy; fundoplastyD43280Laparoscopy, fundoplasty.
    56350Hysteroscopy; diagnosticD58555Hysteroscopy, dx, sep proc.
    56351Hysteroscopy; biopsyD58558Hysteroscopy, biopsy.
    56352Hysteroscopy; lysisD58559Hysteroscopy, lysis.
    56353Hysteroscopy; resect septumD58560Hysteroscopy, resect septum.
    56354Hysteroscopy; remove myomaD58561Hysteroscopy, remove myoma.
    56355Hysteroscopy; remove impactD58562Hysteroscopy, remove fb.
    56356Hysteroscopy; ablationD58563Hysteroscopy, ablation.
    56362Laparoscopy w/cholangioD47560Laparoscopy w/cholangio.
    56363Laparoscopy w/biopsyD47561Laparo w/cholangio/biopsy.
    58300Insert intrauterine deviceN58301Remove intrauterine device.
    58970Retrieval of oocyteAXXXXXGynecologist.
    58976Transfer of embryoAXXXXXGynecologist.
    61544Remove & treat brain lesionA61533Implant brain electrodes.
    61609Transect artery, sinusAXXXXXNeurosurgeon.
    61611Transect artery, sinusAXXXXXNeurosurgeon.
    61855Implant neuroelectrodesD61862Implant neurostimul, subcort.
    61865Implant neuroelectrodesD61862Implant neurostimul, subcort.
    61885Implant neurostim one arrayAXXXXXNeurosurgeon.
    62115Reduction of skull defectAXXXXXNeurosurgeon.
    62274Inject spinal anestheticD62310Inject spine c/t.
    62275Inject spinal anestheticD62310Inject spine c/t.
    62276Inject spinal anestheticD62318Inject spine w/cath, c/t.
    62277Inject spinal anestheticD62318Inject spine w/cath, c/t.
    62278Inject spinal anestheticD62311Inject spine l/s (cd).
    62279Inject spinal anestheticD62319Inject spine w/cath l/s (cd).
    62288Injection into spinal canalD62310Inject spine c/t.
    62289Injection into spinal canalD62311Inject spine l/s (cd).
    62298Injection into spinal canalD62310Inject spine c/t.
    63196Incise spinal column & cordA63197Incise spinal column & cord.
    63198Incise spinal column & cordA63197Incise spinal column & cord.
    63199Incise spinal column & cordA63197Incise spinal column & cord.
    64440Injection for nerve blockD64479Inj foramen epidural c/t.
    64441Injection for nerve blockD64480Inj foramen epidural add-on.
    64442Injection for nerve blockD64475Inj paravertebral l/s.
    64443Inject, nerve block add-onD64476Inj paravertebral l/s add-on.
    64862Repair of low back nervesA64861Repair of arm nerves.
    64870Fusion of facial/other nerveA64866Fusion of facial/other nerve.
    64876Repair nerve/shorten boneA64874Repair & revise nerve add-on.
    77419Weekly radiation therapyD77427Radiation tx management, x5.
    77420Weekly radiation therapyD77427Radiation tx management, x5.
    77425Weekly radiation therapyD77427Radiation tx management, x5.
    77430Weekly radiation therapyD77427Radiation tx management, x5.
    78351Bone mineral, dual photonN78350Bone mineral, single photon.
    89136Sample stomach contentsA89135Sample stomach contents.
    90875Psychophysiological therapyNXXXXXPSYCHIATRY.
    90876Psychophysiological therapyNXXXXXPSYCHIATRY.
    90885Psy evaluation of recordsBXXXXXPSYCHIATRY.
    90887Consultation with familyBXXXXXPSYCHIATRY.
    92015RefractionNXXXXXOPTHALMOLOGY.
    92352Special spectacles fittingBXXXXXOPTOMETRIST.
    92353Special spectacles fittingBXXXXXOPTOMETRIST.
    92354Special spectacles fittingBXXXXXOPTOMETRIST.
    92355Special spectacles fittingBXXXXXOPTOMETRIST.
    92358Eye prosthesis serviceBXXXXXOPTHALMOLOGY.
    92371Repair & adjust spectaclesBXXXXXOPTOMETRIST.
    92392Supply of low vision aidsIXXXXXOPTOMETRIST.
    92393Supply of artificial eyeIXXXXXOPTHALMOLOGY.
    92395Supply of spectaclesIXXXXXOPTOMETRIST.
    Start Printed Page 65603
    92396Supply of contact lensesIXXXXXOPTOMETRIST.
    96570Photodynamic tx, 30 minAXXXXXSURGICAL ONCOLOGY.
    96571Photodynamic tx, addl 15 minAXXXXXSURGICAL ONCOLOGY.
    96902TrichogramBXXXXXDERMATOLOGY.
    97010Hot or cold packs therapyBXXXXXPHYSICAL MEDICINE.
    98943Chiropractic manipulationN98942Chiropractic manipulation.
    99141Sedation, iv/im or inhalantBXXXXXANESTHESIOLOGIST.
    99142Sedation, oral/rectal/nasalBXXXXXANESTHESIOLOGIST.
    99170Anogenital exam, childAXXXXXAVG NON SURGICAL.
    99374Home health care supervisionB99375Home health care supervision.
    99377Hospice care supervisionB99378Hospice care supervision.
    99379Nursing fac care supervisionB99313Nursing fac care, subseq.
    99380Nursing fac care supervisionB99313Nursing fac care, subseq.
    99381Prev visit, new, infantNXXXXXPEDIATRICIAN.
    99382Prev visit, new, age 1-4NXXXXXPEDIATRICIAN.
    99383Prev visit, new, age 5-11NXXXXXPEDIATRICIAN.
    99384Prev visit, new, age 12-17NXXXXXFAMILY PRACTITIONER.
    99385Prev visit, new, age 18-39NXXXXXFAMILY PRACTITIONER.
    99386Prev visit, new, age 40-64NXXXXXFAMILY PRACTITIONER.
    99387Prev visit, new, 65 & overNXXXXXFAMILY PRACTITIONER.
    99391Prev visit, est, infantNXXXXXPEDIATRICIAN.
    99392Prev visit, est, age 1-4NXXXXXPEDIATRICIAN.
    99393Prev visit, est, age 5-11NXXXXXPEDIATRICIAN.
    99394Prev visit, est, age 12-17NXXXXXFAMILY PRACTITIONER.
    99395Prev visit, est, age 18-39NXXXXXFAMILY PRACTITIONER.
    99396Prev visit, est, age 40-64NXXXXXFAMILY PRACTITIONER.
    99397Prev visit, est, 65 & overNXXXXXFAMILY PRACTITIONER.
    99401Preventive counseling, indivNXXXXXPSYCHIATRIST.
    99402Preventive counseling, indivNXXXXXPSYCHIATRIST.
    99403Preventive counseling, indivNXXXXXPSYCHIATRIST.
    99404Preventive counseling, indivNXXXXXPSYCHIATRIST.
    99411Preventive counseling, groupNXXXXXPSYCHIATRIST.
    99412Preventive counseling, groupNXXXXXPSYCHIATRIST.
    G0102Prostate ca screening; dreAXXXXXUROLOGIST.
    G0114Nett; psychosocial consultRXXXXXPSYCHIATRIST.
    G0121Colon ca scrn not hi rsk indNXXXXXAVG NON SURGICAL.
    G0128CORF skilled nursing serviceRXXXXXNURSE PRACTITIONER.
    G0166Extrnl counterpulse, per txAXXXXXNURSE PRACTITIONER.
    G0167Hyperbaric oz tx;no md reqrdAXXXXXNURSE PRACTITIONER.
    G0168Wound closure by adhesiveAXXXXXNURSE PRACTITIONER.
    G0169Removal tissue; no anesthsiaAXXXXXAVG SURGICAL.
    G0170Skin biograftA15350Skin homograft.
    G0171Skin biograft add-onA15350Skin homograft.
    Q0068Extracorpeal plasmapheresisDXXXXXAVG NON SURGICAL.
    End Supplemental Information

    [FR Doc. 00-27833 Filed 10-31-00; 8:45 am]

    BILLING CODE 4210-01-P

Document Information

Published:
11/01/2000
Department:
Health Care Finance Administration
Entry Type:
Rule
Action:
Final rule with comment period.
Document Number:
00-27833
Pages:
65375-65603 (229 pages)
Docket Numbers:
HCFA-1120-FC
RINs:
0938-AK11
Topics:
Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays
PDF File:
00-27833.pdf
CFR: (2)
42 CFR 410.68
42 CFR 414.22