03-20662. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004  

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    AGENCY:

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

    ACTION:

    Proposed rule.

    SUMMARY:

    This proposed rule would refine the resource-based practice expense relative value units (RVUs) and make other changes to Medicare Part B payment policy. The policy changes concern: Medicare Economic Index, practice expense for professional component services, definition of diabetes for diabetes self-management training, supplemental survey data for practice expense, geographic practice cost indices, and several coding issues.

    We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We solicit comments on these proposed policy changes.

    We also discuss the non-physician work-pool, the 5-year review of anesthesia services, and outpatient therapy services performed “incident to” physician services.

    DATES:

    We will consider comments if we receive them at the address, provided below, no later than 5 p.m. on October 7, 2003.

    ADDRESSES:

    In commenting, please refer to file code CMS-1476-P. Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission or e-mail. Mail written comments (one original and two copies) to the following address ONLY: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1476-P, P.O. Box 8013, Baltimore, MD 21244-8013. Please allow sufficient time for us to receive mailed comments on time in the event of delivery delays.

    If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) to one of the following addresses: Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201, or Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    (Because access to the interior of the HHH Building is not readily available to persons without Federal Government identification, commenters are encouraged to leave their comments in the CMS drop slots located in the main lobby of the building. A stamp-in clock is available for persons wishing to retain a proof of filing by stamping in and retaining an extra copy of the comments being filed.)

    Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and could be considered late.

    For information on viewing public comments, see the beginning of the SUPPLEMENTARY INFORMATION section.

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    FOR FURTHER INFORMATION CONTACT:

    Gail Addis (410) 786-4522 (for issues related to repricing of supplies for practice expense inputs.)

    Pam West (410) 786-2302 (for issues related to Practice Expense Advisory Committee (PEAC) recommendations.)

    Jim Menas (410) 786-4507 (for issues related to anesthesia).

    Rick Ensor (410) 786-5617 (for issues related to Geographic Cost Price Index (GPCI)).

    Mary Stojak (410) 786-6939 (for issues related to the definition of diabetes for diabetes self-management training (DSMT)).

    Shannon Martin (410) 786-7939 (for issues related to rebasing of the Medicare Economic Index (MEI)).

    Dorothy Shannon (410) 786-3396 (for issues related to the “Incident To” Therapy Discussion).

    Diane Milstead (410) 786-3355, Latesha Walker (410) 786-1101, or Gaysha Brooks (410) 786-3355 (for all other issues).

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    SUPPLEMENTARY INFORMATION:

    Inspection of Public Comments: Comments received timely will be available for public inspection as they are processed, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone (410) 786-7197.

    Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 (or toll-free at 1-888-293-6498) or by faxing to (202) 512-2250. The cost for each copy is $10. As an alternative, you can view and photocopy the Federal Register document at most libraries designated as Federal Depository Libraries and at many other public and academic libraries throughout the country that receive the Federal Register.

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

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

    1. Go to the CMS homepage (http://www.cms.hhs.gov).

    2. Place your cursor over the word “Professionals” in the blue area near the top of the page. Select “physicians” from the drop-down menu.

    3. Under “Policies/Regulations” select “Physician Fee Schedule.”

    Or, you can go directly to the Physician Fee Schedule page by typing the following: http://www.cms.hhs.gov/​physicians/​pfs.

    To assist readers in referencing sections contained in this preamble, we are providing the following table of contents. Some of the issues discussed in this preamble affect the payment policies but do not require changes to the regulations in the Code of Federal Regulations. Information on the regulation's impact appears throughout the preamble and is not exclusively in section VII.

    Table of Contents

    I. Background

    A. Legislative History

    B. Published Changes to the Fee Schedule

    II. Provisions of the Proposed Regulation

    A. Resource-Based Practice Expense Relative Value Units

    1. Resource-Based Practice Expense Legislation

    2. Current Methodology

    3. Practice Expense Proposals for Calendar Year 2004

    B. Geographic Practice Cost Indices (GPCIs)

    C. Coding Issues

    III. Other Issues

    A. Rebasing of the Medicare Economic Index (MEI)

    B. Definition of Diabetes for Diabetes Self-Management Training (DSMT)

    C. Outpatient Therapy Services Performed “Incident To” Physicians Services

    D. Status of Anesthesia Work and 5-Year Review

    E. Payment Policies for Anesthesia ServicesStart Printed Page 49031

    F. Technical Correction

    IV. Collection of Information Requirements

    V. Response to Comments

    VI. Regulatory Impact Analysis

    Addendum A—Explanation and Use of Addendum B

    Addendum B—2004 Relative Value Units and Related Information Used in Determining Medicare Payments for 2004.

    Addendum C—Codes for Which We Received PEAC Recommendations on Practice Expense Direct Cost Inputs.

    Addendum D—Proposed Changes to Practice Expense Supply Description and Pricing.

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

    AMA American Medical Association

    BBA Balanced Budget Act of 1997

    BBRA Balanced Budget Refinement Act of 1999

    CF Conversion factor

    CFR Code of Federal Regulations

    CMS Centers for Medicare & Medicaid Services

    CNS Clinical Nurse Specialist

    CPT [Physicians'] Current Procedural Terminology [4th Edition, 2002, copyrighted by the American Medical Association]

    CPEP Clinical Practice Expert Panel

    CRNA Certified Registered Nurse Anesthetist

    E/M Evaluation and management

    FMR Fair market rental

    GAF Geographic adjustment factor

    GPCI Geographic practice cost index

    HCPCS Healthcare Common Procedure Coding System

    HHA Home health agency

    HHS [Department of] Health and Human Services

    IDTFs Independent Diagnostic Testing Facilities

    MCM Medicare Carrier Manual

    MedPAC Medicare Payment Advisory Commission

    MEI Medicare Economic Index

    MGMA Medical Group Management Association

    MPFS Medicare Physician Fee Schedule

    MSA Metropolitan Statistical Area

    NAMCS National Ambulatory Medical Care Survey

    PC Professional component

    PEAC Practice Expense Advisory Committee

    PPS Prospective payment system

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

    RVU Relative value unit

    SGR Sustainable growth rate

    SMS [AMA's] Socioeconomic Monitoring System

    SNF Skilled Nursing Facility

    TC Technical component

    I. Background

    A. Legislative History

    Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), “Payment for Physicians' Services.” This section provides for three major elements: (1) A fee schedule for the payment of physicians' services; (2) limits on the amounts that nonparticipating physicians can charge beneficiaries; and (3) a sustainable growth rate for the rates of increase in Medicare expenditures for physicians' services. The Act requires that payments under the fee schedule be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense, and malpractice expense. Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs may not cause total physician fee schedule payments to differ by more than $20 million from what they would have been had the adjustments not been made. If adjustments to RVUs cause expenditures to change by more than $20 million, we must make adjustments to ensure that they do not increase or decrease by more than $20 million.

    B. Published Changes to the Fee Schedule

    In the July 2000 proposed rule, (65 FR 44177), we listed all of the final rules published through November 1999. In the August 2001 proposed rule (66 FR 40372) we discussed the November 2000 final rule relating to the updates to the RVUs and revisions to payment policies under the physician fee schedule.

    In the November 2001 final rule with comment period (66 FR 55246), we made revisions to resource-based practice expense RVUs; services and supplies incident to a physician's professional service; anesthesia base unit variations; recognition of CPT tracking codes; and nurse practitioners, physician assistants, and clinical nurse specialists performing screening sigmoidoscopies. We also addressed comments received on the June 8, 2001 proposed notice (66 FR 31028) for the 5-year review of work RVUs and finalized these work RVUs. In addition, we acknowledged comments received in response to a discussion of modifier-62, which is used to report the work of co-surgeons. The November 2001 final rule also updated the list of services that are subject to the physician self-referral prohibitions in order to reflect CPT and Healthcare Common Procedure Coding System (HCPCS) code changes that were effective January 1, 2002. All these revisions ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule also conformed our regulations to reflect statutory provisions of Medicare, Medicaid, and State Child Health Insurance Program (SCHIP) Benefits Improvement and Protection Act of 2000 (Pub. L. 106-554) (BIPA) concerning: The mammography screening benefit; biennial screening pelvic examinations for certain beneficiaries; expanded coverage for screening colonoscopies to all beneficiaries; provided for annual glaucoma screenings for high-risk beneficiaries; established coverage for medical nutrition therapy services for certain beneficiaries; expanded payment for telehealth services; required certain Indian Health Service providers to be paid for some services under the physician fee schedule; and revised the payment for certain physician pathology services.

    In the December 31, 2002 final rule with comment period (67 FR 79966), we refined resource-based practice expense RVUs and made other changes to Medicare Part B policy. These included: The pricing of the technical component for positron emission tomography (PET) scans, Medicare qualifications for clinical nurse specialists, a process to add or delete services to the definition of telehealth, the definition for ZZZ global periods, global period for surface radiation, and application of endoscopic reduction rules for certain codes. In addition, this rule: Updated the codes subject to physician self-referral prohibitions, expanded the definition of a screening fecal-occult blood test, and modified our regulations to expand coverage for additional colorectal cancer screening tests through our national coverage determination process. We also made revisions to the sustainable growth rate, the anesthesia conversion factor (CF), and the work values for some gastroenterologic services. We finalized the CY 2002 interim RVUs and assigned interim RVUs for new and revised procedure codes for calendar year CY 2003, clarified the enrollment of therapists in private practice and the policy regarding services and supplies incident to a physician's professional services, and made technical changes to the definition of outpatient rehabilitation services.

    This final rule also revised the regulations at 42 CFR 485.618 to allow registered nurses (RNs) to provide Start Printed Page 49032emergency care in certain critical access hospitals (CAHs) in frontier areas (an area with fewer than six residents per square mile) or remote locations (locations designated in a State's rural health plan that we have approved).

    As required by statute this final rule also announced that the physician fee schedule update for CY 2003 was −4.4 percent, the initial estimate of the sustainable growth rate (SGR) for CY 2003 was 7.6 percent, and the CF for CY 2003 was $34.5920, effective March 1, 2003. However, on February 28, 2003 (68 FR 9567), after enactment of the Consolidated Appropriations Resolution of 2003 (Pub. L. 108-7), we published a final rule that revised the estimates used to establish the SGRs for fiscal years 1998 and 1999 and announced a 1.6 percent increase in the CY 2003 physician fee schedule CF for March 1 to December 31, 2003. The CF from March 1 to December 31, 2003 is $36.7856. The anesthesia CF for this period is $17.05. All other provisions of the December 31, 2002 final rule were unchanged by the rule published February 28, 2003.

    II. Provisions of the Proposed Rule

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

    A. Resource-Based Practice Expense Relative Value Units

    1. Resource-Based Practice Expense Legislation

    Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's service beginning in 1998. In developing the methodology, we were to consider the staff, equipment, and supplies used in providing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of practice expense RVUs, we apply the same budget-neutrality provisions that we apply to other adjustments under the physician fee schedule.

    Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), enacted on August 5, 1997, amended section 1848(c)(2)(ii) of the Act and delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs.

    Further legislation affecting resource-based practice expense RVUs was included in the Medicare, Medicaid and State Child Health Insurance Program (SCHIP) Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113) enacted on November 29, 1999. Section 212 of the BBRA amended section 1848(c)(2)(ii) of the Act by directing us to establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002. (In the 1999 final rule (64 FR 59380), we extended, for an additional 2 years, the period during which we would accept supplementary data.)

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

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

    a. Major Steps

    A brief discussion of the major steps involved in the determination of the practice expense RVUs follows. (Please see the November 1, 2001 final rule (66 FR 55249) for a more detailed explanation of the top-down methodology.)

    • Step 1—Determine the specialty specific practice expense per hour of physician direct patient care. We used the AMA's SMS survey of actual aggregate cost data by specialty to determine the practice expenses per hour for each specialty. We calculated the practice expenses per hour for the specialty by dividing the aggregate practice expenses for the specialty by the total number of hours spent in patient care activities.
    • Step 2—Create a specialty specific practice expense pool of practice expense costs for treating Medicare patients. To calculate the total number of hours spent treating Medicare patients for each specialty, we used the physician time assigned to each procedure code and the Medicare utilization data. We then calculated the specialty specific practice expense pools by multiplying the specialty practice expenses per hour by the total physician hours.
    • Step 3—Allocate the specialty specific practice expense pool to the specific services performed by each specialty. For each specialty, we divided the practice expense pool into two groups based on whether direct or indirect costs were involved and used a different allocation basis for each group.

    (i) Direct costs—For direct costs (which include clinical labor, medical supplies, and medical equipment), we used the procedure specific CPEP data on the staff time, supplies, and equipment as the allocation basis.

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

    • Step 4—For procedures performed by more than one specialty, the final procedure code allocation was a weighted average of allocations for the specialties that perform the procedure, with the weights being the frequency with which each specialty performs the procedure on Medicare patients.

    b. Other Methodological Issues

    (i) Non-Physician Work Pool

    For services with physician work RVUs equal to zero (including the technical components of radiology services and other diagnostic tests), we created a separate practice expense pool using the average clinical staff time from the CPEP data and the “all physicians” practice expense per hour.

    We then used the adjusted 1998 practice expense RVUs to allocate this pool to each service. We have removed services from the non-physician work pool if the requesting specialty predominates utilization of the service. Also, for all radiology services that are assigned physician work RVUs, we used the adjusted 1998 practice expense RVUs for radiology services as an Start Printed Page 49033interim measure to allocate the direct practice expense cost pool for radiology.

    (ii) Crosswalks for Specialties Without Practice Expense Survey Data

    Since many specialties identified in our claims data did not correspond exactly to the specialties included in the SMS survey data, it was necessary to crosswalk these specialties to the most appropriate SMS specialty.

    (iii) Physical Therapy Services

    Because we believe that most physical therapy services furnished in physicians' offices are performed by physical therapists, we crosswalked all utilization for therapy services in the CPT 97000 series to the physical and occupational therapy practice expense pool.

    3. Practice Expense Proposals for Calendar Year 2004

    a. Non-Physician Work Pool

    The non-physician work pool was created as an interim measure until we could further analyze the effect of the top-down methodology on the Medicare payment for services that do not have physician work RVUs (see the November 1998 final rule (63 FR 58841)).

    In the June 28, 2002 proposed rule (67 FR 43849), we discussed alternatives that we have considered to address the non-physician work pool issue, including ideas raised by the Lewin Group as well as recommendations in a 2001 GAO report. While we have not reached a final resolution on how to best address this issue, we are continuing to study the alternatives that are available. We also believe that our proposal extending the deadline for the submission of supplemental survey data (see following discussion) will provide an opportunity for specialties whose services are affected by the non-physician work pool to submit practice expense data that can be used for determining practice expense RVUs under the physician fee schedule. Any modifications to the non-physician work pool would be published in proposed rulemaking.

    b. Supplemental Practice Expense Survey Data

    As required by the BBRA, we established criteria to evaluate data collected by organizations to supplement the data normally used in determining the practice expense component of the physician fee schedule. Due to the time constraints imposed by the statute for publication of the physician fee schedule final rule, we have required supplementary survey data to be submitted by August 1 to be considered for computing practice expense RVUs for the following year. We are proposing to change the required submission date to March 1. This would allow us to publish our decisions regarding survey data in the proposed rule and would provide an opportunity for public comment on survey results.

    To continue to ensure the maximum opportunity for specialties to submit supplementary practice expense data, we are again proposing to extend for an additional 2 years the period for accepting survey data that meets the criteria set forth in the November 2000 final rule (as modified in the December 31, 2002 final rule). The deadline for submission of the supplemental data to be considered in CY 2005 and CY 2006 are March 1, 2004 and March 1, 2005, respectively.

    In the December 31, 2002 final rule (67 FR 79979), we responded to comments expressing concern about the impact of making the technical component the difference between the global and professional component practice expense RVUs for services that are not affected by the non-physician work pool calculations. We agreed to a one-year moratorium on implementation of the proposed change for pathology services paid under the physician fee schedule to allow for a supplemental survey of independent laboratories. Consistent with the change to making the survey deadline March 1, we are considering whether to extend the moratorium by one additional year. By extending the moratorium, we can show the impact of the independent laboratory survey in the 2004 proposed rule and allow public comment on its results prior to making changes to the practice expense RVUs on January 1, 2005. We welcome public comment on whether we should adopt the proposed change for 2004 in this year's final rule or extend the moratorium by 1 year.

    c. Oncology Survey Data

    In the December 31, 2002 final rule (67 FR 79973), we indicated that the American Society of Clinical Oncology (ASCO) submitted a supplemental practice expense survey. Our contractor, the Lewin Group, raised specific concerns to us about the survey results. Consequently, we did not incorporate the survey into the practice expense methodology but indicated that we would further examine its results with the Lewin Group and confer with ASCO about our concerns. We have discussed the oncology survey together with the Lewin Group and ASCO. These discussions were useful in providing us with more information upon which to make a final decision regarding incorporation of the oncology survey into the practice expense methodology. We expect to make our decision known in a subsequent proposed rule that will address Medicare payment for drugs currently paid based on 95 percent of the average wholesale price.

    d. Practice Expense for a Professional Component Service

    Since the inception of the resource-based practice expense methodology, we have assigned all staff equipment and supply costs for services with professional and technical components (PC and TC) to the technical portion of the service. We have done this because we believe that generally all of these direct cost inputs are associated with obtaining the diagnostic information and there would be no direct costs associated with the physician interpretation. However, we now believe that there may be limited exceptions where it is appropriate to assign direct inputs to a PC service. For instance, the Practice Expense Advisory Committee (PEAC) recommended that we include clinical staff time in certain codes that have both a PC and TC component for activities such as scheduling the procedure and educating the patient when the procedure is done in the facility setting. We accepted these recommendations but, because the practice expense methodology currently does not assign direct inputs to PC services and the TC is not paid in the facility setting, these procedures were not credited with the recommended practice expense inputs.

    We propose to modify the practice expense methodology to allow direct inputs to be added to PC services when these inputs are clearly associated with the professional service, including when the PEAC makes such recommendations. We are proposing to add the PEAC recommended staff times to the PC of the following cardiac services: CPT codes 93508, 93510, 93511, 93514, 93524, 93526, 93527, 93528, 93529, 93530, 93531, 93532, 93533 and 93624. The practice expense RVUs for these codes will increase slightly from this change resulting in minor reductions in practice expense RVUs for some other services performed by cardiologists. There will be no impact on the practice expense RVUs for any other specialty.

    e. Utilization Data

    We use Medicare utilization data in the development of specialty-specific practice expense RVUs that are then weight averaged to determine a single practice expense RVU per code. Prior to Start Printed Page 490342003, we used the most recent complete year of utilization data to determine the practice expense RVUs. For instance, we determined the 2001 practice expense RVUs using Medicare utilization data from 1999 for most procedure codes. However, if a procedure code was new in 2000, we did not have any 1999 utilization data to determine its 2001 practice expense RVU and could not use specialty-specific data until 2000 utilization data was available to us. In some cases, the new code was clearly related to an older code or codes and we were able to use an estimation of the probable specialty utilization for 2001 until actual specialty-specific utilization was available for 2002. Where we were not able to determine the probable specialty-specific utilization we assigned the “all physician” average practice expenses to the service until we obtained specialty-specific utilization. Thus, in this case, we used the “all physician average” to determine the code's 2001 practice expense RVU and specialty-specific utilization to determine the 2002 practice expense RVU.

    In the December 31, 2002 final rule (67 FR 79982), we adopted a policy of using the 1997 through 2000 Medicare utilization in the practice expense methodology. For new codes created since 2000, there are no Medicare utilization data in the 1997 through 2000 period upon which to determine specialty-specific practice expenses. We are proposing to follow a similar practice to the one described above and use specialty-specific Medicare utilization data for codes created after 2000 at the first opportunity they become available to us. Therefore, we are proposing to use 1997 through 2000 Medicare utilization data for all codes that were in existence at that time. If a code did not exist during the 1997 through 2000 period, we propose using the first available utilization data for the code in order to develop the practice expense RVU. Since we will not have any utilization data at the time we first establish practice expense RVUs for a new code, we propose that we continue, whenever possible, to make an assumption about the specialty that will likely provide the service or to use the “all physician” average when we do not have sufficient information to assign any given specialty. We will make available on the CMS web site (http://cms.hhs.gov) files containing the data that we will use in determining the proposed rule practice expense RVUs. We propose in each year's proposed rule to substitute actual for estimated utilization once the data become available. For instance, in this proposed rule, we will substitute actual 2002 utilization data for estimated 2002 utilization data to determine the 2004 practice expense RVUs for codes that were new in 2002. Practice expense RVUs may change as we make updates to the utilization data that we use in the practice expense methodology. We encourage the AMA's Specialty Society Relative Value Update Committee (RUC) and other interested parties to provide information on the specialties that will likely perform a new service to minimize the potential changes to the practice expense RVUs that will occur when we substitute actual for estimated utilization.

    For the proposed rule, the utilization data from the prior year are 96 percent complete. In the past, we used 100 percent complete data from a prior year in the proposed rule (for example, we used 2000 utilization data to simulate impacts for the June 28, 2002 proposed rule) and did not use the preceding year's utilization data until the final rule (for example, we used 2001 utilization data to simulate impacts for the December 31, 2002 final rule). Beginning with this year's proposed rule, we are using the prior year's utilization data for developing practice expense RVUs and simulating impacts. Because the utilization file that we are using for the proposed rule is only 96 percent complete, there may be minor changes to the payment impacts and practice expense RVUs between the proposed rule and the final rule for which we will use 100 percent complete data from the prior year.

    f. Practice Expense Advisory Committee (PEAC)

    Recommendations on CPEP Inputs for 2004

    The PEAC, a subcommittee of the RUC, has, since 1999, been providing us with recommendations for refining the direct practice expense inputs (clinical staff, supplies, and equipment) for existing CPT codes. In the past, our actions on these PEAC recommendations have been incorporated into the physician fee schedule final rule and have been used as interim values for services provided in the following calendar year. We have accepted comments on these refinements and addressed them in rulemaking the following year. This year we are including the PEAC recommendations in the proposed rule, which will enable specialty groups to assess the impact of these changes on their services and make comments on the recommendations before the final rule.

    These PEAC recommendations are the result of meetings held in September of 2002 and January 2003 and account for approximately 772 codes from many specialties. (A list of these codes can be found in Addendum C.) The PEAC has also submitted recommendations on the refinements to the clinical staff time for all 90-day global services (accounting for a further 3,604 CPT codes).

    This massive refinement was possible because the PEAC adopted a standardized approach to the refinement of the clinical staff times for 90-day global codes. The PEAC has recommended that the following standard clinical staff times be applied to all 90-day codes, except for those in which the specialty argued for an exception to the standard:

    • Pre-service time—35 minutes of pre-service clinical staff time in the office and 60 minutes for services performed in the facility setting;
    • Discharge day management time—6 minutes of clinical staff time if the procedure is performed predominantly in the outpatient facility setting and 12 minutes if performed predominantly in the inpatient setting. (This standard is also recommended for all of the 10-day global procedures); and
    • Post-service office visit time—equal to the clinical staff times associated with the evaluation and management visit codes assigned to each service.

    Several specialties, including the neurosurgeons/spine surgeons, thoracic surgeons and colorectal surgeons requested and received increased pre-service times for some of their services. There were also a few services that are usually performed on an emergent basis when the pre-service time was reduced or omitted altogether. We believe that the standards recommended by the PEAC are appropriate and that the exceptions to these standards are also reasonable. Therefore, we are proposing to use the PEAC's recommendations for the clinical staff time for these global codes.

    In addition, the PEAC convened a workgroup to make recommendations on the refinement of all the 116 remaining evaluation and management codes. These are important achievements that have significantly advanced the pace of the refinement process. A total of 5358 codes have been refined; these codes represent 87 percent of physician fee schedule dollars. We greatly appreciate the dedication and hard work of the specialty societies and the AMA that are helping to ensure that this refinement process is successful. Start Printed Page 49035

    We have reviewed the submitted PEAC recommendations and propose to accept them. The complete PEAC recommendations and the revised CPEP database can be found on our web site. (See the Supplementary Information section of this proposed rule for directions on accessing our web site.)

    g. Repricing of Clinical Practice Expense Inputs—Supplies

    We use the practice expense inputs (the clinical staff, supplies, and equipment assigned to each procedure) to allocate the specialty-specific practice expense cost pools to the procedures performed by each specialty. The costs of the original inputs assigned by the CPEP were determined by our contractor, Abt Associates, based primarily on 1994 and 1995 pricing data from supply catalogs. In addition, for many items on the equipment and supply list, the associated costs were based on the recommendations of a CPEP panel member, rather than on actual catalog prices. Subsequent to the CPEP panels, equipment and supply items have also been added to the CPEP data, with the costs of the inputs provided by the relevant specialty society.

    In the August 2, 2001 proposed rule (66 FR 40378), we proposed updates and revisions to the clinical staff salary data which were finalized in the final rule published November 1, 2001 (66 FR 55255). In that final rule, we also indicated that in future rulemaking we would be proposing updates to the supply and equipment inputs that are used in the CPEP database. We, therefore, contracted with a consultant to assist us in obtaining the current price for each supply item in our CPEP database. The consultant has been able to determine the current prices for most of the supply inputs and has submitted documentation for the proposed new pricing from vendor catalogs or websites. Whenever possible, multiple sources were obtained for frequently used supplies so that a typical price could be determined.

    In addition, we asked the consultant to help identify and clarify those supplies for which the original descriptions in the CPEP database are too general to price (for example “laser” or “antigen”) or are otherwise unidentifiable. Our consultant worked closely with the specialty societies to ensure that accurate information was obtained in identifying as many of these supplies as possible.

    Addendum D contains the proposed new unit prices for supply items when current pricing was obtained, as well as new descriptions when needed. A more detailed spreadsheet can be found on our Web site, (http://www.cms.hhs.gov/​physicians/​pfs), that contains additional information regarding the sources used to price each item.

    There are items that have either not yet been identified or for which pricing information has not yet been found. These supply items are included in Table 1 below. In this table we have identified the supply code (if assigned), the existing item description, unit and price, the procedures or specialties associated with the item, as well as the proposed new description and standardized unit of use. We have also identified items for deletion from the database. We are requesting that commenters, particularly the relevant specialty groups, provide us with the needed pricing information with appropriate documentation. Whenever possible, multiple sources of documentation should be provided so that a typical price can be determined. If we are not able to obtain any verified pricing information for an item, we may eliminate it from the database.

    Start Printed Page 49036

    Start Printed Page 49037

    Start Printed Page 49038

    In addition to reviewing and updating the cost information for supplies in the database, our contractor also recommended database revisions to provide uniformity and consistency in the CPEP supply database. All of the following recommendations are noted in Addendum D:

    • Assignment of supply categories. In the original CPEP data, a number was assigned to each supply. The contractor has recommended that each supply item also be assigned a “category” to allow for easier selection and sorting of items. We agree and are proposing that supplies be assigned to one of the following 14 categories:

    Accessory, Diagnostics;

    Accessory, Equipment;

    Accessory, Procedure;

    Booklets/Forms;

    Cutters, Closures/Cautery;

    Gown, Drape;

    Hypodermic/IV;

    Infection Control;

    Kit, Pack, Tray;

    Lab;

    Office, Grocery;

    Pharmacy, NonRx;

    Pharmacy, Rx; and

    Wound Care, Dressings.

    These categories could also be used to establish a new numbering system for supplies. We would assign a letter to each supply category and use this in conjunction with a number (000 through 999) to identify each supply. This would enable specialty groups to identify more easily whether a supply has already been included in the CPEP database and would help ensure uniformity in the items used for calculating practice expenses. If we proceed in the final rule with this proposed method for categorizing supplies, we will assign new identifying numbers to each supply input item and these will be available on our website.

    • Consolidation/standardization of item descriptions.

    When items appear to be duplicative, we are proposing to combine the items. For example, “Mayo stand cover” and “drape, sterile Mayo” have both been changed to “drape, sterile, for Mayo stand”. We also have attempted to better describe the supply items in a way that will make identification easier, using a key first word when possible. For example, all catheters are described as “catheter, * * *”, all needles are described as “needle * * *.” In addition, references to proprietary or trademark names for multisource items have been included as parenthetical references (for example, “Polibar TM” is renamed barium suspension “(Polibar TM).”

    • Standardization of unit descriptions.

    The current CPEP database contains over 72 unit descriptions associated with supplies (for example, item, gram, and cup). To provide consistency and ensure that inputs in the database accurately reflect the quantity of an item used, we are proposing to standardize the unit description of items. If an item is intended for single use, even if it is not completely used, we propose to identify this by indicating the item size followed by “uou” (unit of use). For example “soap bath” has been renamed “bath soap (one bar uou)” and “bacitracin unit dose pack, 9g” has been renamed “bacitracin oint (0.9 gm uou)”.

    We welcome any comments on the proposed pricing and all other proposed revisions. To help us evaluate the information provided, comments should include documentation such as information from a supply catalog or website or from a current invoice.

    h. Miscellaneous Practice Expense Issues

    Hyperbaric Oxygen Services

    We have received a request from a freestanding hyperbaric oxygen center to price the service in the office setting, so that those providing this service in a nonfacility can receive an appropriate payment. Therefore, we are proposing to assign on an interim basis the following practice expense inputs to CPT code 99183, Physician attendance and supervision of hyperbaric oxygen therapy, per session:

    Staff: Respiratory Therapist for 135 minutes (for a 2 hour treatment).

    Supplies: Minimum Visit Supply Package, 180 liters of oxygen, 187 cubic feet of air.

    Equipment: Hyperbaric chamber.

    We will request that the Practice Expense Advisory Committee review these inputs at a meeting in the near future.

    Maxillofacial Prosthetics PE/hour

    In the November 2, 1998 final rule (63 FR 58824), we created a special practice expense pool for maxillofacial prosthetics (CPT codes 21076 through 21087) using the “all physician” practice expense per hour. Because the practice expense survey submitted in 1998 by the American Academy of Maxillofacial Prosthetics (AAMP) differed significantly in format and content from the SMS survey, we were not able to use the submitted data to calculate a practice expense per hour for maxillofacial prosthetics. AAMP has contended that the “all physician” rate underestimates the high costs for the staff, supplies and equipment associated with the provision of maxillofacial prosthetic services.

    We have asked our contractor, The Lewin Group, to analyze the submitted survey data to determine if the data would or would not support a change in the crosswalk for this specialty. The Lewin Group's finding suggests, “the all-physician average may underestimate the practice expense per hour for maxillofacial prosthodontists.” Based on the Lewin Group's finding, we reviewed the Medicare utilization of the maxillofacial prosthetics codes. Oral surgeons (specialty code 19) and maxillofacial surgeons (specialty code 85) overwhelmingly provide these services. We believe the practice expenses for these practitioners are likely to be similar to otolaryngologists since these physicians also provide office procedures affecting the head and face. We are proposing to eliminate the special practice expense pool for procedure codes 21076 through 21087 and use otolaryngology as the crosswalk for oral surgeons and maxillofacial surgeons as a more appropriate approximation of the specialties' practice expense per hour. This proposal will increase payment for the maxillofacial prosthetics and other services that are predominantly billed by oral and maxillofacial surgeons. There will be no impact on payment for services provided by any other specialty from this change.

    Holter Monitoring Codes

    A representative of an independent diagnostic testing facility has communicated to us that their review of the practice expense inputs for the holter monitoring codes, CPT 93225, 93226, 93231, and 93232 has revealed the inclusion of items that are not needed to perform these services. The correspondent suggested the following deletions:

    • For CPT codes 93225 and 93231 delete the ECG electrodes and laser paper, as well as the electric bed, computer and holter monitor; and
    • For CPT codes 93226 and 93232 delete the razor, nonsterile gloves, alcohol swab and tape, as well as the electric bed and exam table.

    We agree that these revisions appear reasonable and will make the above deletions on an interim basis until the PEAC can review these codes. It should be noted these codes are currently in the nonphysician work pool and that the CPEP data is not currently used to calculate their practice expense RVUs. Therefore, these changes will not at this time have any effect on the payment for these codes. Start Printed Page 49039

    B. Geographic Practice Cost Index Changes

    1. Background

    The Act requires that payments vary among Medicare physician fee schedule (MPFS) areas according to the extent that resource costs vary as measured by the Geographic Practice Cost Indices (GPCIs). In general, the MPFS areas that existed under the prior reasonable charge system were retained under the MPFS from calendar years 1992 through 1996. We implemented a comprehensive revision in MPFS payment areas (localities) in 1997, reducing the number of localities from 210 to 89. Thirty-four states have a single statewide locality. In contrast, under the hospital inpatient prospective payment system (IPPS), costs are adjusted across more than 350 metropolitan statistical areas (MSAs).

    A detailed discussion of the MPFS payment localities can be found in the July 2, 1996 proposed rule (61 FR 34615) and the November 22, 1996 final rule (61 FR 59494).

    2. Implication of GPCIs for Rural Areas

    The GPCIs do not affect total national payments under the MPFS, but instead distribute payments among areas according to area cost differences. In general, the data show that urban areas usually have higher costs, while rural areas have generally lower costs. Thus, on average the costs associated with operating a private medical practice, as measured by factors such as wages and rent, are higher in urban areas. Alternatively, the average costs associated with the operation of a private medical practice in a rural area are lower. Since the costs associated with operating a private medical practice are measurably different based upon geographic location, varying payments according to the GPCIs will benefit lower cost areas, usually rural, since the law provides that only one-quarter of the area cost difference in physician work, the largest of the three fee schedule GPCI components, be recognized. We believe this was an attempt by the Congress to shift payments to rural areas. Thus, about 40 percent of MPFS payments (.75 × .52) are by statute not adjusted for area cost differences. Additionally, one component of the practice expense GPCI, supplies, equipment and other, is also, by statute, not adjusted for area cost differences. Supplies, equipment and other represent about 13 percent of total physician resource costs. This means that, effectively, there is a nationwide MPFS for about 53 percent of the average physician payment (40 percent physician work, 13 percent supplies, equipment and other). That is, only about 47 percent of overall physician payment is adjusted for area resource cost differences. In addition, 34 states are statewide payment localities in which all physicians, whether urban or rural, are paid the same. All of these factors shift payments from higher cost, usually urban, areas to lower cost, usually rural areas.

    3. GPCI Composition

    Section 1848(e)(1)(C) of the Act requires us to review, and if necessary, adjust the GPCIs at least every 3 years. This section of the Act also requires us to phase in the adjustment over 2 years and implement only one-half of any adjustment if more than 1 year has elapsed since the last GPCI revision. The GPCIs were first implemented in 1992. The first review and revision was implemented in 1995, the second review was implemented in 1998, and the third review was implemented in 2001. The next GPCI review and revision is scheduled for implementation in 2004. However, as will be discussed in more detail, because the work and practice expense GPCIs rely primarily on special tabulations of U.S. Census data not yet available, review and revision of only the malpractice GPCI component will be implemented in 2004. Review and revision of the work and practice expense GPCIs will be implemented in 2005.

    Currently, only one data source is available for the practice expense GPCI (relative cost of office rent space collected by the Department of Housing and Urban Development (HUD)). Since we have not received the primary data upon which practice expense GPCIs are calculated and since the office rent component of the practice expense GPCI has proven not to be very substantial in past GPCI updates (it accounts for approximately 11.0 percent of the total GPCI calculation and is phased in over a two year period), we have decided not to revise the practice expense GPCIs for 2004. The work GPCI relies solely on data collected from the 2000 U.S. Census that is not yet available, so we are not able to propose updates to the work GPCI in this proposed rule.

    Although there are general discussions of both the background and composition of all three GPCI components in this proposed rule, a detailed discussion of only the 2004 revised malpractice GPCI is included in this proposal while a detailed discussion of the revised work and practice expense GPCIs will be included in the 2005 proposed rule.

    4. Development of the Geographic Practice Cost Indices

    The GPCIs were developed by a joint effort of the Urban Institute and the Center for Health Economics Research under contract to CMS. The resource inputs and their weights are obtained from the AMA's Socioeconomic Characteristics of Medical Practices Survey. Indices were developed that measured the relative cost differences among areas compared to the national average in a “market basket” of goods. In this case, the market basket consists of the resources involved in operating a private medical practice. The resource inputs are physician work or net income; employee wages; office rents; medical equipment, supplies, other miscellaneous expenses; and malpractice insurance. Employee wages, rents, and miscellaneous expenses are combined to comprise the practice expense component of the GPCI. Table 2 below illustrates the cost share weights that have been utilized for each GPCI update:

    Table 2.—GPCI (Medicare Economic Index) Cost Share Weights

    Expense category1992-94*1995-97**1998-00**2001-03***2004-07****
    Physician Earnings54.254.254.254.552.466
    Practice Expenses40.241.041.042.343.669
    Employee Wages15.716.316.316.818.654
    Rents11.110.310.311.612.209
    Equip., Supplies, Other13.414.414.413.912.807
    Malpractice Insurance5.64.84.83.23.865
    100.0100.0100.0100.0100.000
    *Weights from 1987 AMA survey. Start Printed Page 49040
    **Weights from 1989 AMA survey.
    ***Weights from 1997 AMA survey
    ****Weights from Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce, Bureau Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002 Current Population Survey. (See section III.A. Rebasing and Revising of the Medicare Economic Index.)

    The Medicare economic index (MEI) is a measure of the average increases in the price of inputs used in operating a private medical practice and is used in the annual update of the MPFS CF. Because the GPCIs and the MEI use the same resource inputs to measure the costs of a private medical practice (the GPCIs measure relative costs among areas while the MEI measures the national average rate of increase in prices), as in the past, the same weights will be used for both the MEI and the GPCIs.

    Once the components and their weights were determined, we had to find data sources that were widely and consistently available to measure costs in all MPFS payment areas. After examining many sources, the following proxies were selected as the best available sources for measuring each component of the original 1992 through 1994 GPCIs:

    • Physician work—The median hourly earnings, based on a 20 percent sample of 1980 census data, of workers in six professional specialty occupation categories (engineers, surveyors, and architects; natural scientists and mathematicians; teachers, counselors, and librarians; social scientists, social workers, and lawyers; registered nurses and pharmacists; writers, artists, and editors) with 5 or more years of college. Adjustments were made to produce a standard occupational mix in each area. The actual reported earnings of physicians were not used to adjust geographical differences in fees because these fees are, in large part, the determinants of the earnings. We believe that the earnings of physicians will vary among areas to the same degree that the earnings of other professionals vary.
    • Employee wages—Median hourly wages of clerical workers, registered nurses, licensed practical nurses, and health technicians were also based on a 20 percent sample of 1980 census data.
    • Office rents—Residential apartment rental data produced annually by the Department of Housing and Urban Development (HUD) were used because there were insufficient data on commercial rents across all physician fee schedule areas.
    • Equipment, supplies, other expenses—The Urban Institute and the Center for Health Economics research assumed that a national market represents this component and that costs do not vary appreciably among areas. This component's index is 1.000 for all areas to indicate no variation from the national average.
    • Malpractice—Premiums in 1985 and 1986 for a mature “claims made” policy (a policy that covers malpractice claims made during the covered period) providing $100,000 to $300,000 of coverage were used. Adjustments were made to incorporate the costs of $1 million to $3 million coverage and mandatory patient compensation fund (PCF) requirements. Some States legally require physicians to join a PCF that provides coverage for catastrophic claims. Premium data were collected for physicians in three risk classes: low-risk (general practitioners who do not perform surgery), moderate risk (general surgeons), and high-risk (orthopedic surgeons).

    The areas selected for measurement purposes were the MSAs. Non-MSA areas within a State were aggregated into one residual area. Using MSAs for measurement satisfied our criteria to have (1) areas in which resource input prices were homogenous, and (2) areas of a large enough size so that market areas are self-contained to minimize border crossing; that is, physicians would probably not move their offices a few miles to secure higher payments and patients who would tend to receive services within their area.

    The Act requires, however, that the GPCIs reflect cost differences among MPFS payment areas. Thus, it was necessary to map Medicare localities to the MSA and non-MSA aggregation of GPCI data. Where localities crossed MSA boundaries, MSA indices were converted to Medicare locality indices by population weights.

    Detailed discussions of the methodology and data sources of the 1992 through 1994 GPCIs can be obtained by requesting studies from the National Technical Information Service by calling 1-800-553-NTIS, or, for residents of Springfield, Virginia, (703) 487-4650. The studies are as follows:

    • The Urban Institute report “The Geographic Medicare Index: Alternative Approaches,” NTIS PB89-216592;
    • The supplement to “The Geographic Medicare Index: Alternative Approaches,” NTIS PB91-113506. This was published in the Federal Register in the September 4, 1990 notice (55 FR 36238) for the model fee schedule; and
    • The Urban Institute report, “Refining the Malpractice Geographic Practice Cost Index,” February 1991, NTIS PB91-155218. The related diskette is NTIS PB91-507491. This is the final version of the 1992 through 1994 GPCIs as published in the Federal Register in the November 25, 1991 final rule (56 FR 59785).

    5. Revised 1995 Through 1997 Geographic Practice Cost Indices

    The main criticism of the original GPCIs, that existed from 1992 until 1994, was that they were outdated because they were based on old data; for example, 1980 census data and 1985 and 1986 malpractice premium data, was the most recent data available when the GPCIs were established. The revised 1995 through 1997 GPCIs were based on the most current data available when they were developed in 1993 and 1994. We also made some minor changes from the original GPCI methodology in calculating some of the revised 1995 through 1997 indices.

    One methodological change was made that applied across all indices. As mentioned earlier, under the original GPCIs, where Medicare payment localities crossed MSA boundaries, MSA indices were converted to locality indices by population weights. Medicare expenditure weights were not used because the expenditures under the reasonable charge system contained large differences unrelated to actual resource cost differences among areas. In calculating the revised GPCIs, where payment localities crossed MSA boundaries, locality indices were calculated by weights based on full MPFS RVUs, which reflect resource cost differences among areas. Full MPFS RVUs were used rather than actual 1993 payments because 1993 fee schedule payments still reflected some reasonable charge payment levels. The advantages of RVU weighting are (1) the GPCIs will more closely reflect physician practice costs in the area where the services are provided rather than where the population lives, and (2) budget neutrality is preserved when we combine multiple payment localities into larger areas, such as statewide localities. Start Printed Page 49041

    a. Work Geographic Practice Cost Indices

    Data from the 20 percent sample of census data of median hourly earnings for the same six categories of professional specialty occupations as used in the 1992 through 1994 work GPCIs were used in calculating the 1995 through 1997 work GPCIs. The 1992 through 1994 work GPCIs were calculated using 1980 census data of earnings for professionals with 5 or more years of college. That sample was no longer available with the 1990 census. The 1990 census educational classifications are by highest degree earned, rather than the 1980 census classification by years of schooling. Thus, it was not possible to obtain earnings data exactly comparable to the 1980 data.

    For 1990, data were available for all-education and advanced-degree samples, but not for 5 or more years of college. We elected to use the all-education sample because its larger sample sizes made it more stable and accurate in the less populous areas. Although it could be argued that physicians' earnings might more closely approximate the earnings of professionals with advanced degrees, the differences between the all-education and advanced-degree indices were negligible in all but a few of the smallest localities. We believed that the small sample sizes of advanced-degree occupations in these small localities would produce inaccurate results.

    The 1992 through 1994 work GPCIs used metropolitan-wide median wages for each county within an MSA. That is, all counties within an MSA were assigned the MSA-wide median wage even if there were wage variations within the MSA. We believed that this was appropriate for all but Consolidated Metropolitan Statistical Areas (CMSAs), the largest of the MSAs, such as New York. In these CMSAs, we replaced metropolitan-wide earnings with county-specific earnings. We believed this change was appropriate because costs were, in fact, higher in central city areas (for example, Manhattan and San Francisco) than in the rest of the CMSA. County earnings were a better account of the cost variation within these large metropolitan areas.

    b. Practice Expense Geographic Practice Cost Indices

    (1) Employee Wage Indices.

    Data from the 20 percent sample of census data of median hourly earnings for the same categories of medical and clerical occupations used in the 1992 through 1994 practice expense GPCIs were also used in the 1995 through 1997 practice expense GPCIs. The 1995 through 1997 practice expense GPCIs used 1990 rather than 1980 census data. As with the work GPCIs, county level data were used for CMSAs to better reflect the cost variations within these large metropolitan areas.

    (2) Rent Indices.

    As with the original rent indices, the HUD fair market rental (FMR) data for residential rents were again used as the proxy for physician office rents. The 1995 through 1997 practice expense GPCIs reflect 1994 HUD FMRs. Like the work GPCI and the employee wage index of the practice expense GPCIs, county level data were used in CMSAs to recognize the variations within the CMSA.

    The major criticism of the rent indices was that residential rather than commercial rent data were used. As mentioned earlier, for constructing the GPCIs we needed data that were widely and consistently available across all physician fee schedule areas.

    As with the original GPCIs, we again searched for private sources of commercial rent data that were widely and consistently available. The private sources we found were not adequate. None of the sources collected data for non-metropolitan areas, nor did any collect data for all metropolitan areas. The sources did not reflect the average commercial space in the area, but rather the particular type of space most relevant to the needs of a particular source's clients. In addition, the sample sizes were small. A comparison of the average rental for any particular city showed significant variation depending upon the source. Also, the private commercial rent data tended to be for very high priced real estate of the type likely to be used by large institutions such as banks, insurance companies, or financial firms and not for the type of office space most likely used by physicians.

    Among the sources of commercial rent data that were available, the most promising were data from the Building Owners and Managers Association, the General Services Administration, and the U.S. Postal Service. These data were analyzed in depth. We did not use data from the Building Owners and Managers Association and the General Services Administration because of poor geographic coverage, especially outside of large metropolitan areas. That is, data were not widely and consistently available for all physician fee schedule areas. The U.S. Postal Service data had much better geographic coverage, but sample sizes in many areas were unacceptably small and could have led to erroneous results.

    No acceptable national commercial rent data were readily available for physician office rents. Thus, some proxy needed to be used for this portion of the index. In addition, commercial rent data were not available for all areas from published statistical sources. We believed that the HUD FMR data remained the best available data for constructing the office rental index. HUD FMR data were available for all areas, were updated on an annual basis, and were consistent among areas and from year to year. Moreover, we believed that physicians frequently locate in areas and office space that are residential rather than commercial, for example, in apartment complexes and small strip commercial centers adjacent to residential areas. Residential rents may, in fact, be a better measure of the differences among areas in the physician office market than a general commercial rental index.

    (3) Medical Equipment, Supplies, and Miscellaneous Expenses.

    Consistent with the original 1992 through 1994 update for medical equipment, supplies, and miscellaneous, this index assumes a national market in which input prices do not vary among geographic areas. We were unable to find any data sources that demonstrated price differences by geographic area. Anecdotal and interview data with suppliers and manufacturers were inconclusive. While some price differences may exist, we believed they were more likely to be based on volume discounts rather than on geographic areas. Generally, it appears that manufacturers' prices do not vary among areas except for shipping costs. Since manufacturers and suppliers are located all over the country, shipping costs do not vary significantly.

    c. Malpractice Geographic Practice Cost Indices

    Again, malpractice premium data for a $1 million to $3 million mature “claims made” policy were collected, with mandatory Patient Compensation Funds (PCFs) considered. Some States have legally required physicians to join PCFs that provide coverage for catastrophic claims. The PCF charges a premium or surcharge just as any other insurer. However, more recent and more comprehensive malpractice insurance data were used in calculating the 1995 through 1997 malpractice GPCIs. The 1995 through 1997 malpractice GPCIs were based on 1990 through 1992 malpractice premium data. Since malpractice premiums may change Start Printed Page 49042significantly from year to year, we decided to use the most recent 3-year average available rather than just the most recent single year to smooth out this volatility and present a more accurate indication of malpractice premium trends over time.

    We collected data on more specialties and from more insurers. We collected data on 20 specialties, rather than on only 3 as in the 1992 through 1994 malpractice GPCIs. The 1992 through 1994 malpractice GPCI data were largely drawn from a single nationwide insurer (St. Paul Fire and Marine) and were supplemented by several State-specific carriers in States in which St. Paul did not offer coverage. Subsequent analyses suggest that these data may not be representative of insurers operating in many States. For the revised malpractice GPCI, data were collected from insurers that, on average, represented 82 percent of the market in each State, with the lowest State market share being 60 percent. We believed that the more recent and much more comprehensive data greatly improved the accuracy of the malpractice GPCIs for 1995 through 1997.

    Detailed discussions of the methodology and data sources of the 1995 through 1997 GPCIs can be obtained by requesting the following studies from NTIS by calling 1-800-553-NTIS, or (703) 487-4650 in Springfield, Virginia:

    • “Updating the Geographic Practice Cost Index: Revised Cost Shares.” Debra A. Dayhoff, John E. Schneider, and Gregory C. Pope. NTIS PB94-161072.
    • “Updating the Geographic Practice Cost Index: The Physician Work GPCI.” Gregory C. Pope and Deborah A. Dayhoff. NTIS PB94-161080.
    • “Updating the Geographic Practice Cost Index: The Practice Expense GPCI.” Gregory C. Pope, Deborah A. Dayhoff, Angella R. Merrill, and Killard W. Adamache. NTIS PB94-161098.

    “Updating the Geographic Practice Cost Index: The Malpractice GPCI.” Stephen Zuckerman and Stephen Norton. NTIS PB94-161106.

    6. Revised 1998 Through 2000 Geographic Practice Cost Indices

    The same data sources and methodology used for the 1995 through 1997 GPCIs were also used for the revised 1998 through 2000 GPCIs with a few very minor modifications. No acceptable additional data sources were found. The cost shares were the same as in the 1995 through 1997 GPCIs because no changes were made in the MEI weights. Indices for fee schedule areas were based on the indices for the individual counties within the fee schedule area. Fee schedule RVUs were again used to weight the county indices (to reflect volumes of services within counties) when mapping to MPFS payment areas and in constructing the national average indices. However, we used more recent data, 1994 rather than 1992 RVUs, in the county, locality, and national mapping for the proposed GPCIs. The payment effect of using more current RVU weights was negligible in most cases and generally resulted in changes at the third decimal point if at all.

    a. Work Geographic Practice Cost Indices

    The work GPCIs were based on the decennial census. The 1992 through 1994 work GPCIs were based on 1980 census data, because 1990 census data were not yet available. The work GPCIs were revised in 1995 with new data from the 1990 census. New census data will not be available again until sometime after the 2000 census is compiled. We searched for other data that would enable us to update the work GPCIs between the decennial censuses. No acceptable data sources were found. The most promising sources of data were the hospital wage data collected by us to calculate the IPPS hospital wage index and the payroll per worker data collected by the U.S. Bureau of Labor Statistics from State unemployment insurance agencies (the ES-202 data).

    The IPPS hospital wage data were examined when we constructed the original GPCIs. They were rejected as a physician fee schedule data source in favor of census data because of their lack of an occupation mix adjustment and their unrepresentative occupational composition (hospital employees rather than professionals or physician office employees). ES-202 data consist of total payroll divided by counts of wage and salary workers. The major disadvantage we identified was that they do not measure hourly earnings, only payroll per employee, and no occupational detail is available. Also, they did not adjust for part-time or full-time and hours worked, and the numbers of workers was too small for certain States, all of which led to unstable estimates of payroll per worker. We compared the changes by State from 1989 to 1993 in the IPPS wage data and the ES-202 data to see if there was any correlation between the two series. The correlation between the two was only moderate, 0.55. The changes indicated by both series were generally small, for example, a few percentage points. The difference between the two series by State was in many cases as large as or greater than the change indicated by either series. The average difference between the two series (2.1 percent) is as large as the change indicated by either series. In addition, changes for particular States were substantially different between the two series. For example, Indiana relative wages rose by 1.9 percent according to the IPPS data, but fell 5.7 percent according to the ES-202 data.

    Since we were unable to find an acceptable data source for updating the work GPCIs, we examined the consequences of not updating the work GPCIs between the decennial censuses. We compared the changes between the 1992 through 1994 work GPCIs, based on the 1980 census, and the 1995 through 1997 GPCIs, based on the 1990 census. On average, the full variation in State work GPCIs changed by about 5 percent. This translates to about a 1.2 percent change in the one-quarter work GPCI calculation prescribed by law. Since work makes up about one-half of the GPCI cost shares, this translated into an average payment change per State of about 0.6 percent from updating the work GPCI based on the 10-year change in relative wages indicated by the census data. Even the maximum change in the full variation in State work GPCIs from the 1992 through 1994 to the 1995 through 1997 GPCIs of 14 percent translates into only about a 1.8 percent change in payments. The largest full work GPCI changes for individual payment areas were from 16 to 20 percent, or about a 4 to 5 percent change in the one-quarter work GPCI, or about a 2.4 percent change in payments. However, 80 percent of payment areas experienced payment changes of less than 1 percent, and 50 percent of payment localities experienced payment changes of less than 0.5 percent as a result of changes in the census data from 1980 to 1990.

    We, therefore, made no changes in the 1998 through 2000 work GPCIs from the 1995 through 1997 work GPCIs, other than the generally negligible changes resulting from using 1994, rather than 1992, RVUs for this GPCI update because we were unable to find acceptable data for use between the decennial censuses. We believed it is preferable that we make no changes rather than make inaccurate changes based on inappropriate data. We felt that this was a reasonable position given the generally small magnitude of the changes in payments resulting from the changes in the work GPCIs from the 1980 to the 1990 census data.

    b. Practice Expense Geographic Practice Cost Indices

    (1) Employee Wage Indices. Start Printed Page 49043

    As with the work GPCIs, the employee wage portion of the practice expense GPCIs were also based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we made no changes in the employee wage indices during the 1998 through 2000 GPCI update. The average change from the 1992 through 1994 to 1995 through 1997 employee wage indices across States was about 6 percent. Since the employee wage index has a weight of about 16 percent in the GPCI cost shares, this translates into a 1 percent average change in payments. The maximum payment change in any payment area resulting from changes from the 1992 through 1994 to 1995 through 1997 employee wage indices was about 3.2 percent. Payment changes in over two-thirds of the payment areas were less than 1 percent.

    (2) Rent Indices.

    The office rental indices were again based on HUD residential rent data. The rental indices were based on 1996 HUD data as opposed to 1994 HUD data in the 1995 through 1997 GPCIs. HUD made two small methodological changes in developing the data. First, HUD used the 40th percentile of area rents rather than the 45th percentile. This did not materially affect the GPCIs, which measure relative rents among areas. Second, HUD established a rental floor for rural counties at the statewide rural average. This had the effect of raising the office rental indices slightly in rural areas.

    We made one methodological change in the rent indices. HUD publishes FMRs only for metropolitan areas as a whole. For the 1995 through 1997 GPCIs, HUD used a special tabulation of the 1990 census data to allocate rents by county within CMSAs. In some metropolitan areas, this had the effect of reducing the central city index below the suburban index, probably because of lower unmeasured housing quality in central cities than in suburbs. We did not feel that this was a representative indicator of relative physician rents, since the GPCIs are intended to measure rental costs for offices of similar quality in different areas. The metropolitan-wide rent was most appropriate for measuring the cost of space of an average quality across the metropolitan area, which is why HUD publishes only metropolitan-wide FMRs. Also, the census county adjustments can be updated only once every 10 years. For this reason, we believed that the county-specific adjustment should not be made for all large metropolitan areas but should be retained only for the New York City Primary Metropolitan Statistical Area. Available evidence suggests that rents vary substantially among the boroughs of New York City and that, given the current locality configuration, the county-specific rental adjustment appropriately reflects these patterns in the New York City area, especially the higher rents in Manhattan.

    (3) Medical Equipment, Supplies, and Miscellaneous Expenses. As with the 1992 through 1994 and 1995 through 1997 GPCIs, this component was given a national value of 1.000, indicating no measurable difference among areas in costs.

    c. Malpractice Geographic Practice Cost Indices.

    Again, malpractice premium data were collected for a mature “claims made” policy with $1 million to $3 million limits of coverage, with adjustments made for mandatory patient compensation funds. As with the 1995 through 1997 GPCIs, data were collected for the 20 largest Medicare-billing physician specialties. The premium data represent at least 50 percent of the market in each State. Again, we used an average of the 3 most recent premium years to smooth out the considerable year-to-year fluctuations that can occur in malpractice premiums. The revised 1998 through 2000 malpractice indices were based on 1992 through 1994 premium data, the latest years available when this revision was being conducted in 1995 through 1996, compared to the 1990 through 1992 data used in the current 1995 through 1997 indices. Another change from the 1995 through 1997 indices is that the specialty shares of the 20 specialties were weighted by fee schedule RVUs rather than allowed charges.

    Detailed discussions of the methodology and data sources of the 1998 through 2000 GPCIs may be obtained by requesting the following study from NTIS by calling 1-800-533-NTIS, or, for residents of Springfield, Virginia, (703) 487-4650: “Second Update of the Geographic Practice Cost Index.” Gregory C. Pope and Killard W. Adamache.

    7. Revised 2001-2003 Geographic Practice Cost Indices

    The same data sources and methodology used for the 1998 through 2000 GPCIs were used for the 2001 through 2003 GPCIs. No acceptable additional data sources were found. The only changes from the 1998 through 2000 GPCI were in the cost shares and RVU weighting. As shown in the cost share table in the discussion of the development of the GPCIs, the cost shares were changed to reflect the revisions in the MEI. This does not affect the work or malpractice GPCIs since they are stand-alone indices (not composed of multiple indices). This cost share revision has a slight effect on the practice expense GPCIs because it changes slightly the weights among the employee wage, rents and miscellaneous components of the practice expense index. We used more recent RVU data, 1998 rather than 1994, in the county, locality, and national mapping in the proposed GPCIs. The payment effect of this was generally negligible.

    a. Work Geographic Practice Cost Indices.

    For the same reasons discussed in the section on the 1998 through 2000 work GPCIs, no changes were proposed in the work GPCIs, other than the generally negligible changes resulting from the use of 1998 rather than 1994 RVUs for weighting, because we were unable to find acceptable data for use between the decennial census.

    b. Practice Expense Geographic Practice Cost Indices

    (1) Employee Wage Indices.

    As with the work GPCIs, the employee wage indices were based on decennial census data. For the same reasons discussed above pertaining to the work GPCIs, we proposed no changes in the employee wage indices during this GPCI update.

    (2) Rent Indices.

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

    (3) Medical Equipment, Supplies, and Miscellaneous Expenses. As with all previous GPCIs, this component is given a national value of 1.000, indicating no measurable differences among areas in costs.

    c. Malpractice Geographic Practice Cost Indices

    The same methodology described in the 1998 through 2000 malpractice GPCI section was used in the revision of malpractice GPCIs section for 2001 through 2003, the only difference being the use of more recent data. The malpractice indices were based on 1996 through 1998 malpractice premium data rather than the 1992 through 1994 malpractice premium data that was used in the previous GPCI update.

    8. Proposed 2004 through 2007 Geographic Practice Cost Indices

    The main criticism of the 2001 through 2003 GPCIs was that they were Start Printed Page 49044outdated because they were based on old data; for example, 1990 decennial census data and 1996 through 1998 malpractice premiums, the most recent data available when the GPCIs for 2001 through 2003 were established. The calculation of the proposed 2004 through 2007 GPCIs will be based upon the same data sources and methodology, but the 2004 through 2007 GPCIs will utilize more current data: 2000 decennial census data, 2000 HUD fair market rental (FMR) data for residential rents, and 1999 through 2003 malpractice premium data. This should address the criticism of the 2001 through 2003 GPCIs being out of date.

    a. Proposed Work Geographic Practice Cost Indices

    We have not yet received the 2000 decennial census data that will be utilized for the revision of the work GPCIs. For this reason, revisions to the work GPCIs will be included in the proposed rule for calendar year 2005.

    b. Proposed Practice Expense Geographic Practice Cost Indices

    We have not yet received the 2000 decennial census data that will be utilized for the revision of the majority of the practice expense GPCI. We have obtained 2000 HUD fair market rental (FMR) data for residential rents that is utilized for a portion of the practice expense revision. Since we have not received the primary data upon which practice expense GPCIs are calculated and since the office rent component of the practice expense GPCI has not proven to be a substantially variable component in past GPCI updates and accounts for only approximately 12.0 percent of the total GPCI calculation (phased in over a two year period), we have decided not to revise the practice expense GPCIs now based on our limited data. For these reasons, revisions to the practice expense GPCIs will be included in the proposed rule for calendar year 2005.

    c. Proposed Malpractice Geographic Practice Cost Indices

    The malpractice GPCI is the most volatile of the three indexes with relatively large variations existing between localities. Malpractice premium data for a $1 million to $3 million mature “claims made” policy were collected, with mandatory patient compensation funds considered. However, due to the recent concerns regarding the escalating cost of professional liability insurance, especially in 2002 and 2003, we will be collecting more recent malpractice premium data. We propose using actual 1999 through 2002 malpractice premium data and projecting the malpractice premium rates for 2003. The methodology for forecasting 2003 medical malpractice premiums will consist of calculating the geometric mean rate of growth between 1999 through 2002 and applying that rate to the 2002 premium. We will also obtain a national aggregate malpractice premium series with which to benchmark the 2003 forecast. At this point, we are still collecting the 2002 malpractice premium data and are thus unable to project 2003 malpractice premium data in this proposed rule. We are proposing to base the malpractice GPCIs upon actual 2001 and 2002 malpractice premium data and projected 2003 malpractice premium data by January 1, 2004. These revised malpractice GPCIs will be published in this year's final physician fee schedule regulation. They will be considered interim and subject to public comment.

    9. Payment Localities

    We are also interested in receiving comments on the composition of the current Medicare physician payment localities (89 separate payment localities) to which the GPCIs are applied. For additional information regarding the composition of the 89 Medicare physician payment localities please refer to both the July 2, 1996 proposed rule (61 FR 34615) and the November 22, 1996 final rule (61 FR 59494) for the Medicare physician fee schedule.

    C. Coding Issues

    1. Payment Policy for CPT Tracking Codes

    In the November 1, 2001 final rule (66 FR 55269), we stated that carriers have discretion for coverage and payment of services described by CPT tracking codes, also known as CPT Category III codes, unless we have made a national coverage determination (NCD). (These CPT Category III codes are distinct from the HCPCS Level III codes used by local claims processors which are to be discontinued under HIPAA implementation.) We have received several requests to create national payment amounts for some CPT tracking codes even if there has been no NCD with respect to the services. After review of these requests, we are proposing to change our policy regarding payment for CPT tracking codes.

    We propose to create national payment policy and determine national payment amounts for CPT tracking codes when there is a significant programmatic need for us to do so. Such a need could arise, for example, if we receive requests from carrier medical directors that we establish a national payment amount because of carrier inability to do so. This policy change would not change the contractor's discretion over coverage for the CPT tracking codes, but would establish a payment level if the contractor finds that coverage is warranted. Carriers do not need to establish a payment amount for a tracking code until they receive a claim for the code.

    2. Excision of Benign and Malignant Lesions

    In the CPT 2003 book, the definitions for excision of benign lesions (CPT codes 11400 through 11446 inclusive) and excision of malignant lesions (CPT codes 11600 through 11646 inclusive) were substantively changed. Starting in 2003, these codes are to be reported based on the excised diameter (actual skin removed) rather than on the size of the lesion. We have reviewed the new code descriptors and are proposing to make the work RVUs the same for removal of all skin lesions with the same excised diameters that are from the same area of the body, whether the lesions are benign or malignant For example, the work RVUs for the removal of benign skin lesions from the trunk, arms or legs with excised diameter 1.1-2.0 cm, CPT code 11402, would be the same as the work RVUs for CPT code 11602, which is the removal of malignant skin lesions from trunk, arms or legs with excised diameter of 1.1-2.0 cm. Therefore, to retain budget neutrality within each code pair, the total work RVUs associated with each code pair will be constant both before and after the work adjustment. We will accomplish this by dividing the total 2003 work RVUs (2003 work RVUs for a given code pair multiplied by 2002 utilization) by the total 2002 utilization for the given code pair. For example:

    CPT code2002 utilization2003 work RVUTotal work RVUs
    1140069,041×0.85=58,685
    Start Printed Page 49045
    1160013,768×1.31=18,036
    Total82,80976,721
    76,721 divided by 82,809 = 0.93 work RVU

    The proposed work RVUs for these codes follow:

    Start Printed Page 49046

    Start Printed Page 49047

    3. Create G Codes for Monitoring Heart Rhythms

    Technological advances have made cardiac telemetry equipment, typically used in hospitals, available in the home setting. It is now possible to discharge patients with arrhythmias to a home setting and have them monitored at home in a manner similar to hospital monitoring. This monitoring can be used to diagnose arrhythmias or to monitor patients with known arrhythmias to determine, on a real-time basis, whether the patient is having ongoing arrhythmias. The equipment consists of patient leads and a home telemetry station that is connected to a distant monitoring station via the telephone. The monitoring station is attended twenty-four hours a day, seven days a week by a technician. Upon receipt of rhythm strips, the technician records and formats the strips and faxes them to the treating physician.

    This equipment automatically records the patient's heart rhythm and is not triggered by the patient (for example, his response to symptoms). The equipment is pre-set with parameters (for example, heart rate of over 120) that trigger it to transmit the patient's cardiac rhythm to monitoring station. Additionally, the technician at the monitoring station can interrogate the home station and have it transmit rhythm strips upon request even when no arrhythmia has triggered an automatic transmission. These latter transmissions are at the discretion of the technician and may or may not be faxed to the treating physician based on previous orders.

    Depending on the clinical need, patients may be monitored by this equipment for varying lengths of time. Furthermore, the frequency of transmission of cardiac rhythms varies, as does the amount of material that must be reviewed by the physician. For example, a patient may have no cardiac rhythms transmitted for one or more days while on other days the patient may have several minutes of arrhythmias transmitted for physician review.

    To ensure this technology is available to Medicare beneficiaries for covered indications (coverage is currently at the discretion of the local Medicare contractors because there is no national coverage determination for this service) we are creating several HCPCS G codes to describe this service and are establishing national payment amounts for these services. Currently Medicare contractors are requiring both the PC and TC of this service to be billed under CPT code 93799, Unlisted cardiovascular procedure or service. This service is covered under the diagnostic test benefit category at section 1861(s)(3) of the Act.

    Medicare is establishing the following HCPCS codes to describe this service:

    GXXX1—Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; includes recording, monitoring, receipt of transmissions, analysis, and physician review and interpretation. (global)

    GXXX2—Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; recording (includes hook-up, recording and disconnection)

    GXXX3—Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; monitoring, receipt of transmissions, and analysis

    GXXX4—Electrocardiographic monitoring for diagnosis of arrhythmias, utilizing a home computerized telemetry station and trans-telephonic transmission, with automatic activation and real time notification of monitoring station, 24-hour attended monitoring, per 30-day period of time; physician review and interpretation.

    We are establishing the following payment amounts for these codes:

    GXXX1—We are assigning 0.52 physician work RVUs and 0.24 malpractice RVUs which is equivalent to CPT Code, 93268 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; includes transmission physician review and interpretation. We are also crosswalking the practice expense inputs from CPT Code 93268.

    GXXX2—We are assigning 0.07 malpractice RVUs which is equivalent to CPT Code 93270, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; recording (includes hook-up, recording, and disconnection) and crosswalking the practice expense inputs from CPT Code 93270.

    GXXX3—We are assigning 0.15 malpractice RVUs which is equivalent to CPT Code 93271, Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; monitoring, receipt of transmission, and analysis and also are crosswalking the practice expense inputs from CPT Code 93271.

    GXXX4—We are assigning 0.52 physician work RVUs and 0.02 malpractice RVUs which is equivalent to CPT Code 93272 Patient demand single or multiple event recording with presymptom memory loop, 24-hour attended monitoring, per 30 day period of time; physician review and interpretation only. We are also crosswalking the practice expense inputs, from CPT Code 93272.

    We believe these proposed RVUs and crosswalks are appropriate as the services provided in the new codes are very similar in terms of physician work, resource use, and malpractice risk to the existing CPT Codes.

    4. CPT Code 88180 (Flow Cytometry; Each Cell Surface, Cytoplasmic or Nuclear Marker)

    Flow cytometry is a technique to analyze single cell suspensions from blood, bone marrow, body fluids, lymph nodes, and other tissues. The technique, currently coded as CPT code 88180, Flow cytometry, each cell surface, cytoplasmic or nuclear marker, quantifies cell surface, cytoplasmic, and nuclear antigens. The results are frequently used to diagnose lymphomas and leukemias. They are also used to monitor lymphocyte subpopulations in patients with HIV infection or solid organ transplantation. For example, in patients with HIV infection, physicians evaluate CD4+ lymphocytes as a measure of the severity of the infection (some physicians also measure other markers although their clinical relevance is not as well established). In patients with solid organ transplantation, physicians measure various lymphocyte subpopulations to help assess early rejection, identify bone marrow toxicity during immunosuppressive therapy, and differentiate infections from transplant rejection. In these cases the treating physician, not the pathologist, makes the diagnosis. It is inappropriate for the pathologist to report the professional component (PC) of this service. In general, flow cytometry results must be utilized along with clinical data to make Start Printed Page 49048a diagnosis. Other clinical situations where flow cytometry tests have some value include stem cell transplantation, paroxysmal nocturnal hemoglobinuria, immune deficiency disorders, etc.

    When flow cytometry is performed to diagnose lymphoma or leukemia, there is a single interpretation based on the quantification of all markers tested. There is not an interpretation of each marker individually.

    Moreover, for a given clinical indication (for example, diagnosis of lymphoma based on lymph node examination) there is variation in the number of markers performed. The number of markers that are necessary depends, in part, on the pathologic information available to the pathologist at the time he/she orders flow cytometry. Therefore, for a given clinical indication (for example, diagnosis of lymphoma from a lymph node) a pathologist who chooses to perform flow cytometry before performing a microscopic examination of the tissue specimen (for example, a lymph node) may order more markers than a pathologist who orders flow cytometry after performing a microscopic examination of the tissue specimen.

    The current coding scheme (payment on a per marker basis) may encourage the performance of more markers than may be medically necessary because the pathologist determines what markers to perform and when to perform them.

    Our review of flow cytometry reports confirms that markers are interpreted (and reported) on a panel basis. From our review, physicians do not typically interpret individual markers. This is consistent with most of the clinical indications for flow cytometry that require performance of several markers to make a diagnosis. There may also be clinical situations where no professional component is performed although it is appropriate to perform the technical component (TC) (for example, monitoring of HIV infected patients, monitoring of solid organ transplantations).

    The fact that markers are generally analyzed on a “panel” basis, not an “individual” basis, means that the current practice and use of flow cytometry is not appropriately reflected by the PC of CPT code 88180.

    However, we do believe that it is appropriate to pay for the TC of each marker separately, although at a lower rate of payment (due to economies of scale) when multiple markers are performed. A coding scheme that pays per marker for the TC and per panel for the PC would more accurately reflect the actual practice of flow cytometry.

    The laboratory community is aware of our concerns about the coding of flow cytometery and will review this issue and consider whether changes should be made to the current coding for the procedure. If no changes in coding are forthcoming, we would consider creating HCPCS codes for flow cytometry. We welcome comments and recommendations on appropriate values for the procedure that we could use in developing any future proposal.

    5. Create G Codes for Dialysis Patient Seeing the Doctor

    We have reviewed our current payment policy for the monthly dialysis capitation, CPT codes 90918 through 90921 in response to concerns that have been raised over whether our payment policy is consistent with current medical practice.

    Specifically, we understand that physician involvement in dialysis for end stage renal disease (ESRD) varies based on a patient's condition, response to dialysis, and comorbidities. A physician involvement for a single patient may also vary from month to month. It is our intent to ensure that beneficiaries with ESRD receive the highest quality dialysis care available and that physician involvement in dialysis for ESRD patients is appropriate and consistent with the needs of the patient in any month.

    Observers of the quality of care for dialysis patients have noted that some dialysis patients may benefit from being evaluated by their physician frequently. A recent international comparison study suggested that longer physician-patient contact time in hemodialysis facilities was associated with lower mortality risk.

    To align the payment incentives with the frequency of the physician personally evaluating the dialysis patient, we are proposing to make CPT codes 90918, 90919, 90920, 90921 invalid for Medicare and to create G codes. We are proposing to create 3 new G codes in place of each CPT code with higher payments associated with providing more visits within each month to an ESRD patient. Under our proposal, there will be separate codes when the physician provides 1 visit per month, 2-3 visits per month and 4 or more visits per month. The code for 1 visit per month will have the lowest payment while a higher payment will be provided for 2 to 3 visits per month and the highest payment for 4 or more visits per month. Our methodology for determining payment is described below. These new codes will be reported once per month for services performed in an outpatient setting and related to the patient's ESRD. These physician services will continue to include the establishment of a dialyzing cycle, outpatient evaluation and management of the dialysis visits, telephone calls, and patient management, provided during a full month. These codes would not be used if a hospitalization occurred during the month.

    GXXX5—End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month.

    GXXX6—End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.

    GXXX7—End Stage Renal Disease (ESRD) related services per full month, for patients under 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.

    GXXX8—End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face physician visits per month.

    GXXX9—End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.

    GXX10—End Stage Renal Disease (ESRD) related services per full month, for patients between 2 and 11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.

    GXX11—End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and Start Printed Page 49049counseling of parents; with 4 or more face-to-face physician visits per month.

    GXX12—End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2 or 3 face-to-face physician visits per month.

    GXX13—End Stage Renal Disease (ESRD) related services per full month, for patients between 12 and 19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face physician visit per month.

    GXX14—End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 4 or more face-to-face physician visits per month.

    GXX15—End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 2 or 3 face-to-face physician visits per month.

    GXX16—End Stage Renal Disease (ESRD) related services per full month, for patients 20 years of age and over; with 1 face-to-face physician visit per month.

    We are assuming that most physicians will provide 4 or more visits to their ESRD patients and a small proportion will provide 2-3 visits or only 1 visit per month. Using these assumptions and Medicare utilization data from 2002, we developed relative value units for the new G codes that will make the Medicare's aggregate payments for ESRD related services under the physician fee schedule approximately equal to current payments that are occurring using procedure codes 90918 to 90921. Relative to our current payments, we are proposing to lower payment when the physician provides 1 visit per month or 2-3 visits per month. Since we are proposing to lower payment if the physician provides fewer than 4 visits per month, in order to maintain the same aggregate payments for ESRD related services, we are proposing to increase payment if the physician provides 4 or more visits per month. Using these assumptions, the proposed work, practice expense and malpractice RVUs for procedure codes GXXX5 through GXXX16 are shown below:

    Table 4

    CodePhysician workPractice expenseMalpractice
    GXXX512.928.700.60
    GXXX65.193.490.24
    GXXX73.392.290.16
    GXXX89.914.860.43
    GXXX93.551.740.15
    GXX102.321.140.10
    GXX118.474.540.35
    GXX123.141.680.13
    GXX132.051.100.08
    GXX145.162.940.22
    GXX151.941.100.08
    GXX161.270.730.06

    We believe that stratifying payment amounts by physician face-to-face involvement would be an improvement over the current method, but still may not be optimal to foster improved outcomes.

    Both the Institute of Medicine and Medicare Payment Advisory Commission (MedPAC) have advocated an increased role for CMS in encouraging improved quality outcomes. In their June 2003 Report to Congress (Variation and Innovation in Medicare), MedPAC recommended “the Secretary should conduct demonstrations to evaluate provider payment differentials and structures that reward and improve quality.”

    We responded to this call by increasing the focus of our Quality Improvement Organizations (formerly called Peer Review Organizations) and ESRD Networks on developing quality measures and also performing or assisting providers with the performance of quality improvement activities. We have also implemented initiatives to address the quality of care provided in various settings. These include: The Home Health Quality Initiative; the Hospital Quality Initiative; the Nursing Home Quality Initiative; the Home Health Quality Initiative and Doctors Office Quality Project (see http://cms.hhs.gov/​quality/​ for more information).

    Additionally, we have developed various demonstration projects that provide incentives to improve quality. For example, as part of an ongoing effort to achieve improved patient outcomes, we announced the ESRD Disease Management Demonstration in the Federal Register on June 4, 2003. The goal of this demonstration is to achieve improved patient outcomes through disease management services and quality incentives. This demonstration does not directly involve renal physicians, but we are considering the use of quality incentives in potential future payment systems for them as well. Renal physicians play a central role in leading the interdisciplinary team charged with managing an ESRD patient's care.

    Thus, we are seeking comment on how to further revise our payment methodology to improve quality of care and outcomes. We are also interested in information that could help us design future demonstrations that would incorporate both dimensions of care (quality and utilization) and help ensure that payment is based on appropriate patient-specific care that has been shown to lead to improved outcomes for this complex patient population.

    6. Extracorporeal Shock Wave Lithotripsy for Musculoskeletal Conditions

    We received several comments on the G codes for extracorporeal shock wave lithotripsy created in the December 31, 2002 final rule. We will be responding to those comments as part of this year's final rule, but we would appreciate any additional information on the physician work, practice expenses, and duration of treatment and intensity or energy of the shock waves applied for various conditions at various anatomic sites.

    7. Late RUC recommendations for 2003 CPT codes.

    RUC recommendations for RVUs for approximately 20 new CPT codes for 2003 were received too late for incorporation in the December 31, 2002 final rule. We proposed interim RVUs for these codes and, as with all interim values, these were subject to comment. In their comments on the December 2002 final rule, the AMA-RUC requested that we consider their late recommendations for these codes. We will be addressing these, as well as other comments received on the interim RVUs in the upcoming final rule.

    III. Other Issues

    A. Rebasing and Revising of the Medicare Economic Index

    1. Background

    The Medicare Economic Index (MEI) is required by section 1842(b)(3) of the Act, which states that prevailing charge levels beginning after June 30, 1973 may not exceed the level from the previous year except to the extent that the Secretary finds, on the basis of appropriate economic index data, that the higher level is justified by year-to-year economic changes. Beginning July 1, 1975, and continuing through today, the MEI has met this requirement by reflecting the weighted sum of the annual price changes of the inputs used Start Printed Page 49050to produce physicians' services. As such, the MEI attempts to be an equitable measure of price changes associated with physician time and operating expenses.

    The current form of the MEI was detailed in the November 25, 1992 Federal Register (57 FR 55896) and was based in part on the recommendations of a Congressionally-mandated meeting of experts held in March 1987. Since that time, the structure of the MEI has remained essentially unchanged, with two exceptions. First, the MEI was rebased in 1998 (63 FR 58845), which moved the cost structure of the index from 1992 data to 1996 data. Second, the methodology for the productivity adjustment was revised in 2002 (67 FR 80019) to reflect the percentage change in the 10-year moving average of economy-wide multifactor productivity.

    We are proposing to rebase and revise the MEI for the 2004 physician fee schedule update. The terms “rebasing” and “revising”, while often used interchangeably, actually denote different activities. Rebasing means moving the base year for the structure of costs of an input price index, while revising means changing data sources, cost categories, or price proxies used in the input price index. As is always the case with a rebasing and revising exercise, we have attempted to use the most recently available, relevant, and appropriate information to develop the MEI cost category weights and price proxies. We detail below the updated cost weights for the MEI expense categories, our rationale for selecting the price proxies in the MEI, and the results of the proposed rebasing and revising of the MEI.

    2. Use of More Current Data

    The MEI was last rebased and revised in 1998 for the 1999 physician fee schedule update (63 FR 58845). The current base year for the MEI is 1996, which means that the cost weights in the index reflect physicians' expenses in 1996. However, we believe it is desirable to periodically rebase and revise the index so that the expense shares and proxies reflect more current conditions. For this reason, we propose to rebase the MEI to reflect physicians' expenses in 2000. In addition, we are proposing to revise the cost categories in the MEI and to change three of the proxies we currently use to ensure that the index is appropriately reflecting price changes. We will continue to adjust the MEI for economy-wide multifactor productivity.

    The expense categories in the proposed MEI were primarily derived from the 2003 AMA Physician Socioeconomic Characteristics publication (2003 Patient Care Physician Survey data), which measures physicians' earnings and overall practice expenses for 2000. The AMA data were used to determine expenditure weights for total expenses, physicians' earnings, and malpractice expenses, the only information detailed in this survey. To further disaggregate into subcategories reflecting more detailed expenses, we used data from previous AMA surveys, the 1997 Bureau of Economic Analysis Benchmark Input-Output table (I/O), the 2003 Bureau of Labor Statistics (BLS) Employment Cost Index (ECI), and the 2002 Bureau of the Census Current Population Survey (CPS).

    3. Rebasing and Revising Expense Categories in the MEI

    a. Developing the Weights For Use in the MEI

    Developing a rebased and revised MEI requires selecting a base year and determining the number and composition of expense categories. We are proposing to rebase the MEI to CY 2000. CY 2000 was chosen as the base year for two main reasons: (1) CY 2000 was the most recent year for which data were available from the AMA, and (2) we believed that the CY 2000 data were representative of the changing distribution of physicians' earnings and practice expenses over time.

    We determined the number and composition of expense categories based on the criteria used to develop the current MEI and other CMS input price index expenditure weights. These criteria are timeliness, reliability, relevance, and public availability. For more information on these criteria, see the May 9, 2002 Federal Register (67 FR 31444) and the detail later in this preamble. Table 5 lists the set of mutually exclusive and exhaustive cost categories that make up the proposed rebased and revised MEI.

    Table 5.—Proposed Revised Medicare Economic Index Expenditure Categories, Weights, and Price Proxies

    Expense categoryProposed 2000—Expense weights 121996 Expense weightsProposed price proxies
    Total100.000100.000
    Physician Earnings 352.46654.460
    Wages and Salaries42.73044.197AHE—Private.
    Benefits 49.73510.263ECI—Ben: Private.
    Physician Practice Expenses47.53445.540
    Nonphysician Employee Compensation18.65416.812
    Employee Wages and Salaries13.80912.424
    Prof/Tech Wages5.8875.662ECI-W/S: Private P&T.
    Managerial Wages3.3332.410ECI-W/S: Private Admin.
    Clerical Wages3.8923.830ECI-W/S: Private Clerical.
    Services Wages0.6960.522ECI-W/S: Private Service.
    Employee Benefits 44.8454.388ECI-Ben: Priv. White Collar.
    Office Expenses12.20911.581CPI(U)—Housing
    Professional Liability Insurance3.8653.152CMS—Prof. Liab. Phys. Premiums.
    Medical Equipment2.0551.878PPI—Medical Instruments & Equip.
    Pharmaceuticals and Medical Materials and Supplies4.3204.516
    Medical Materials and Supplies2.011PPI Surg. Appliances and Supplies/CPI(U) Med Supplies.
    Pharmaceuticals2.308PPI Ethical Prescription Preparations.
    Other Professional Expenses6.4337.601CPI-U All Items Less Food and Energy.
    1 Due to rounding, weights may not sum to 100.000 percent. Start Printed Page 49051
    2 Sources: Physician Socioeconomic Statistics, 2000-2002 Edition (SMS Survey), Physician Socioeconomic Statistics, 2003 Edition (PCPS Survey), Center for Health Policy Research, American Medical Association; 2003 Employment Cost Index, U.S. Department of Labor, Bureau of Labor Statistics; U.S. Department of Commerce, Bureau of Economic Analysis 1997 Benchmark Input Output Tables, and U.S. Department of Commerce, Bureau of the Census, 2002 Current Population Survey.
    3 Includes employee physician payroll.
    4 Includes paid leave.

    To determine the expenditure weights for the proposed rebased and revised MEI, we used currently available and statistically valid data sources on physician earnings and practice expenses. While we consulted numerous data sources, we used five data sources to determine proposed MEI expenditure weights: (1) The 2003 AMA Physician Socioeconomic Statistics (2000 survey data) for self-employed physicians, (2) the 2000-2002 AMA Physician Socioeconomic Statistics (1998 data) for self-employed physicians, (3) the March 2003 BLS Employment Cost Index, (4) the 2002 Bureau of the Census CPS, and (5) the Bureau of Economic Analysis (BEA) 1997 Benchmark Input-Output tables (I/O). No one data source provided all of the information needed to determine expenditure weights according to our criteria. The development of each of the cost categories using these sources is described in detail below.

    b. Physician Earnings

    Like the current MEI, the proposed rebased and revised MEI will use AMA data on mean physician net income (physician earnings) for self-employed physicians to develop a weight for physician earnings. The weight for this expense category was based on AMA data for 2000 and was calculated as a percentage of total mean expenses (physician earnings and practice expenses, including malpractice). The physician earnings expenditure category also includes employee physician compensation. Currently, physician earnings and overhead expenses generated by employee physicians are included in the AMA practice expenses category. However, we believe it is appropriate, for our purposes, to place employee physician compensation in the MEI cost category of physician earnings since employee physician compensation represents actual expenditures made in the delivery of services. In addition, including employee physician payroll in physician earnings in the MEI is consistent with the current payment methodologies in accordance with the physician fee schedule, where the work RVU is computed based on what service is provided and not on who provides the service. Since employee physicians perform the same services as self-employed physicians, employee physician time is reflected in the work RVU. By including the compensation of employee physicians in the physician earnings expense category, these expenses will be adjusted by the appropriate price proxies for a physician's own time.

    To obtain further detail for both wages/salaries and benefits, the ratio between these categories for 1996 (based on current MEI) was updated to 2000 using the growth in the overall employment cost index for private employees for wages/salaries and benefits. Alternative data for determining this split were not readily available from any other source. The main shortcoming of this method is that any changes in quantity and intensity (mix of physicians) are not reflected. However, faced with the lack of alternative data, we deemed this approach to be the most feasible, and the results appear to be consistent with anecdotal evidence on this ratio. Its application resulted in a wage-fringe benefit split of 81.4 and 18.6 percent, respectively, in the proposed revised and rebased MEI compared with a wage-fringe benefit split of 81.2 and 18.8 percent, respectively in the 1996-based MEI.

    c. Physician Practice Expenses

    To determine the remaining individual practice expense weights, we updated AMA expense data from 1998 to 2000 using the relative price change in an appropriate price index. After the levels were updated to 2000 values, it was necessary to normalize these levels to equal the 2000 mean total expense data provided by the 2003 AMA survey. The detailed explanations for the derivation of the individual weights are listed below.

    (i) Nonphysician Employee Compensation

    The cost share for nonphysician employee compensation was developed by updating the 1998 AMA Socioeconomic Survey data on nonphysician employee compensation costs for self-employed physicians to 2000, using the current proxy for this category, and dividing the resulting amount into total expenses (physician earnings plus practice expenses) for 2000 from the AMA survey. We further divided this cost share into wages/salaries and benefits using BLS Employment Cost Index data. The ECI survey contains data on the proportion of total compensation accounted for by wages/salaries and benefits (including paid leave) by private industry health services occupational category. These proportions can be used to distribute the total non-physician employee compensation weight to wages/salaries and benefits for non-physician employees. We used 2000 data from the March 2003 publication. Although this survey does not contain data specifically for offices of physicians, data are available on wage/fringe shares for private industry health services, which include hospitals, nursing homes, offices of physicians, and offices of dentists. We believe the data for health services from the survey do provide a reasonable estimate of the split between wages and fringe benefits for employees in physicians' offices. Data for 2000 in the ECI survey for total health services indicate that wages and fringe benefits are 74.02 percent and 25.98 percent of compensation, respectively.

    As in the 1996-based MEI, we are proposing to use CPS data on earnings by occupation to develop cost shares for wages for nonphysician occupational groups shown in Table 6. To arrive at a distribution for these separate categories, we multiplied the overall share for nonphysician employee wages/salaries by each of the occupational proportions from the 2000 CPS. The proposed distribution and the distribution in the current MEI are presented in Table 6.

    Table 6.—Percent Distribution of Nonphysician Payroll Expense by Occupational Group: 2000 and 1996

    BLS Occupational Group2000 Expenditure Shares1996 Expenditure Shares
    Total100.000100.000
    Professional & Technical Workers42.63545.573
    Managers24.13819.398
    Clerical Workers28.18730.827
    Service Workers5.0404.202
    Note: Values may not sum to 100 due to rounding.
    Start Printed Page 49052

    (ii) Professional Liability Expense

    The weight for professional liability expense was derived from the 2003 AMA survey (2000 data) and was calculated as the mean professional liability expense expressed as a percentage of total expenses (physician earnings plus practice expenses). This calculation resulted in a 3.865 percent share of total costs in 2000 compared to a 3.152 percent share in the 1996-based index. The increase in weight for professional liability insurance represents the increases in premiums and increases in the amount of coverage purchased by physicians in 2000 compared to 1996. Since the data do not reflect any changes caused by increases in these expenses in 2001 and 2002, they do not take into account the recent acceleration in the growth in premiums that physicians have experienced and, therefore, the weights will not reflect these changes. However, the proxy that we currently use in the 1996-based index—and will continue to use in the proposed rebased and revised index—does reflect the price increases associated with the recent rise in malpractice costs.

    (iii) Office, Medical Equipment, Pharmaceuticals and Medical Materials and Supplies Expenses, and All Other Expenses

    The 2003 AMA survey provides less detail for expenses with respect to prior years' publications. Therefore, we calculated the share of each of the above categories by updating the AMA data for 1998 to 2000 using an appropriate price proxy. The primary reason for using the price proxy was that we lacked other data to develop cost weights for each of these categories. As stated previously, the main deficiency of this method is that it does not account for any changes in the quantity or intensity effects associated with these expenses. Our belief, however, was that it was important to continue using these detailed breakouts so that each would be proxied by an appropriate price index and that the quantity/intensity effects over a short period of time are not likely to be large. In fact, we have found that even over longer periods of time, the distribution of costs tends to be relatively similar.

    Office expenses and medical equipment levels were moved to 2000 using the growth from 1998 to 2000 in their respective MEI price proxies. In the case of office expenses, we used the growth in the CPI-U Housing; for medical equipment expenses, we used the growth in the PPI for Medical Instruments and Equipment.

    The share for pharmaceuticals (prescription drugs) and medical materials and supplies was calculated by separating out pharmaceuticals and other medical materials and supplies using 1997 BEA Benchmark Input-Output data. First, the sum of all the pharmaceuticals and medical supplies categories from the Benchmark Input-Output tables for 1997 was calculated. The share of pharmaceuticals and medical supplies was then calculated as a percentage of this total and applied to the 1997 AMA medical supplies data. These calculated levels were then inflated to 2000 using the growth in an appropriate price proxy. We thought it was important and appropriate to account for each of these categories separately so that differences in relative price growth between pharmaceuticals (prescription drugs) and other medical materials and supplies would be more accurately represented. The resulting 2000 data for the two separate categories were then aggregated (summed) together to form the overall total for the share for the pharmaceuticals and medical materials and supplies category in the rebased and revised MEI. The pharmaceuticals category was inflated using the Producer Price Index (PPI) for ethical prescription preparations and the medical materials and supplies category was updated using the PPI for surgical appliances and supplies.

    Finally, the All Other Expense category was calculated as a residual (total expenses less the percentage of all categories currently accounted for). The additional detail for transportation expenses found in the prior MEI was removed because the data were not readily available for measurement of a cost share for 2000. The effect on the MEI of removing the detail is negligible.

    4. Selection of Price Proxies for Use in the MEI

    After the 2000 cost weights for the rebased and revised MEI were developed, we reviewed the current set of price proxies to determine whether they were still the most appropriate for each expenditure category. As was the case in the development of the 1996-based MEI (57 FR 55901), most of the indicators we considered are based on BLS data and are grouped into one of the following five categories:

    Producer Price Indices (PPIs)

    PPIs measure price changes for goods sold in other than retail markets. They are the preferred proxies for physician purchases at the wholesale level. These fixed-weight indices are a measure of price change at the producer or at the intermediate stage of production, a more likely mode of purchase for physicians.

    Consumer Price Indices (CPIs)

    CPIs measure change in the prices of final goods and services purchased by consumers. Like the PPIs, they are fixed-weight. Since they may not represent the price changes faced by producers, CPIs were used if there were no appropriate PPI or if the expenditure category was similar to expenditure of retail consumers in general.

    Average Hourly Earnings (AHEs)

    AHEs are available for production and nonsupervisory workers for specific industries as well as for the nonfarm business economy. They are calculated by dividing gross payrolls for wages/salaries by total hours. The series reflects shifts in employment mix and, thus, is representative of actual changes in hourly earnings for industries or for the nonfarm business economy.

    ECIs for Wages/Salaries

    These ECIs measure the rate of change in employee wage rates per hour worked. These fixed-weight indices are not affected by shifts in industry or occupation employment levels and measure only the pure rate of change in wages.

    ECIs for Employee Benefits

    These ECIs measure the rate of change in employer costs of employee benefits, such as the employer's share of Social Security taxes, pension and other retirement plans, insurance benefits (life, health, disability, and accident), and paid leave. Like ECIs for wages/salaries, the ECIs for employee benefits are not affected by changes in industry output or occupational shifts.

    When choosing wage and price proxies for each expense category, we evaluate the strengths and weaknesses of each proxy variable using four criteria. The first criterion is relevance. The price variable should appropriately represent price changes for specific goods or services within the expense category. Relevance may encompass judgments about relative efficiency of the market generating the price and wage increases.

    The second criterion is reliability or low sampling variability. If the proxy wage-price variable has a high sampling variability or inexplicable erratic patterns over time, its value is greatly diminished, since it is unlikely to accurately reflect price changes in its associated expenditure category. Low sampling variability can conflict with relevance, since the more specifically a price variable is defined in terms of Start Printed Page 49053service, commodity, or geographic area, the higher the possibility of sampling variability. The length of time the time-series data have been published is also important. A well-established time series is needed to assess the reasonableness of the series and to provide a solid base from which to forecast future price changes in the series. We need to forecast the MEI to make Federal budget and Trustees Report estimates.

    The third criterion is timeliness of actual published data. For this reason, we prefer monthly and quarterly data to annual data.

    The fourth criterion is public availability. We prefer to use data sources that are publicly available for our indices so that the public may track each of the individual components in the MEI.

    The BLS price proxy categories previously described meet the criteria of relevance, reliability and timeliness, and public availability. Below we discuss the price-wage proxies for the rebased and revised MEI (shown in Table 1).

    (a) Expense Categories in the MEI

    Physician Time

    In the proposed revised and rebased MEI, we are using the AHE for the private nonfarm economy as the proxy for the physician wages/salaries component; this is the same price measure used in the 1996-based MEI. In our judgment, this proxy still most closely comports with Congressional intent as expressed in the Senate Finance Committee's 1972 report (S. Rept. No. 92-1230 at 191 (1972)). AHEs change in accordance with changes in the type and mix of workers.

    As we discussed extensively in the November 2, 1998 final rule (63 FR 58848) and again in the December 31, 2002 final rule (67 FR 80019), we believe that the current price proxy for physicians' earnings—AHE in the nonfarm business economy—is the most appropriate proxy to use in the MEI. The AHE for the nonfarm business economy reflects the impacts of supply, demand, and economy-wide productivity for the average worker in the economy. Using this measure as the proxy for physicians' earnings captures the parity in the rate of change in wages for the average worker and for physicians. In addition, use of this proxy is consistent with the original legislative intent that the change in the physicians' earnings portion of the MEI parallel the change in general earnings for the economy. Since earnings are expressed per hour, a constant quantity of labor input per unit of time is reflected. The use of the AHE data is also consistent with our using the BLS economy-wide multifactor productivity measures since economy-wide wage increases reflect economy-wide productivity increases.

    Using the ECI for professional and technical workers or other occupational-specific wage proxies has a major shortcoming; in many instances, occupations such as engineering, computer science, and nursing have unique characteristics that are not representative of the overall economy or the physician market. Specifically, wage changes for such occupations can be influenced by excess supply or demand for these types of workers. We believe it would not be appropriate to proxy the physician earnings portion of the MEI with a wage proxy that reflects these other occupation's unique characteristics.

    The current MEI uses the ECI for fringe benefits for total private industry as the price proxy for physician fringe benefits. We are proposing to use the same proxy for the 2000-based MEI. This means that both the wage and fringe benefit proxies for physician earnings are derived from the nonfarm private sector and are computed on a per-hour basis.

    Nonphysician Employee Compensation

    As in the 1996-based MEI, we are proposing to use Current Population Survey data on earnings and employment by occupation to develop labor cost shares for the nonphysician occupational groups shown in Table 6. BLS maintains an ECI for each occupational group, and we propose to use these ECIs as price proxies for nonphysician employee wages in the same manner they are used in the current MEI.

    The skill mix shift in employees of physician offices in the last few years has been towards managerial occupations. While these skill mix shifts are captured in the expenditure weights, they are appropriately held constant in a Laspeyres price index such as the MEI. Skill mix shifts, which may reflect the changing intensity of services provided in physicians' offices, are accounted for in the payment system outside of the MEI.

    The current MEI uses the ECI for fringe benefits for white collar employees in the private sector as a proxy for nonphysician benefits. Since most nonphysician employees in physicians' offices are white-collar employees, we are again proposing to use the ECI for benefits for white collar employees in the proposed rebased and revised MEI.

    Office Expense

    Office expenses include rent or mortgage for office space, furnishings, insurance, utilities, and telephone. We are proposing the continued use of the CPI-U for housing because it is a comprehensive measure of the cost of housing, including rent, owner's equivalent rent, and the types of goods and services associated with running an office. This proxy covers about 80 percent of the population.

    Pharmaceuticals and Medical Materials and Supplies

    This cost category includes drugs, outside laboratory work, x-ray films, and other related services. There is not one price proxy that includes this complete mix of materials and supplies. In the absence of one index, we are proposing to separately account for pharmaceuticals and medical materials and supplies in the 2000-based MEI.

    • Medical Materials and Supplies

    We equally weighted two proxies together (the PPI Surgical Appliances and Supplies and the CPI-U for Medical Equipment and Supplies) since one proxy does not accurately measure the price change associated with these types of products used nor the mode of purchase used in physicians' offices. While both indexes include such items as bandages, dressings, catheters, I.V. equipment, syringes, and other general disposable medical supplies and nonprescription equipment, the indexes reflect significant differences in the mode of purchase. The PPI measures actual transaction prices at the wholesale level, the mode most likely used by physicians, while the CPI measures prices at the retail level or the final stage of production. The price movements in these two indexes can be different and we believe that it is appropriate to combine these indexes into one proxy since physicians likely use both purchasing methods when obtaining medical supplies.

    • Pharmaceuticals

    The PPI for ethical prescription drugs is used to proxy pharmaceutical prices in other CMS market baskets and reflects the price change associated with the average mix of pharmaceuticals purchased economy-wide. We propose to use the PPI for ethical prescription drugs, rather than the CPI for prescription drugs, because physicians generally purchase drugs directly from a wholesaler. The PPIs that we use measure price changes at the final stage of production. Start Printed Page 49054

    Professional Liability Insurance

    It is vital that the MEI accurately reflect the price changes associated with professional liability costs. Accordingly, we continue to incorporate into the MEI a price proxy that accomplishes this goal by making the maximum use of available data on professional liability premiums.

    Each year, we solicit professional liability premium data for physicians from a small sample of commercial carriers. This information is not collected through a survey form, but instead is requested, on a voluntary basis, from a few national commercial carriers via letter. Generally between 5 and 8 carriers volunteer this information. While the sample size certainly does not cover the entire professional liability insurance market, we have attempted to maximize the market share in terms of both national coverage and coverage within States.

    As we require for our other price proxies, the professional liability price proxy should reflect the pure price change associated with this particular cost category. Thus, it should not capture changes in the mix or level of liability coverage. To accomplish this result, we obtain premium information from commercial carriers for a fixed level of coverage, currently $1 million per occurrence and a $3 million annual limit. This information is collected for every State by physician specialty and risk class. Finally, the State-level, physician-specialty data are aggregated by effective premium date to compute a national total, using counts of physicians by State and specialty as provided in the AMA publication, Physician Characteristics and Distribution in the U.S.

    The resulting data provide a quarterly time series, indexed to a base year consistent with the MEI and reflect the national trend in the average professional liability premium for a given level of coverage. From this series, quarterly and annual percent changes in professional liability insurance are estimated for inclusion in the MEI.

    The most comprehensive data on professional liability costs are held by the State insurance commissioners but these data are available only with a substantial time lag and, therefore, the data currently incorporated into the MEI are much more timely. We believe that, given the limited data available on professional liability premiums, this methodology adequately reflects the price trends facing physicians.

    Medical Equipment

    Medical equipment includes depreciation, leases, and rent on medical equipment. We propose to use the PPI for medical instruments and equipment as the price proxy for this category, consistent with the price proxy used in the 1996-based MEI and other CMS input price indexes.

    Other Professional Expenses

    This category includes the residual subcategory of other professional expenses such as accounting services, legal services, office management services, continuing education, professional association memberships, journals, professional car expenses, and other professional expenses. In the absence of one price proxy or even a group of price proxies that might reflect this heterogeneous mix of goods and services, we use the CPI-U for all items, less food and energy, consistent with the price proxy used in the 1996-based MEI. We also propose to condense the structure used in the previous 1996-based MEI because we lack the data to develop a representative weight for transportation, as discussed above. This change would result in only a negligible effect on the overall MEI over the past 8 years; the average increase differs by less than a tenth of a percentage point over that time.

    (b) Productivity Adjustment to the MEI

    In the December 2002 final rule, we indicated that we were changing the methodology for adjusting for productivity in the MEI. The MEI used for the 2003 physician payment update reflected changes in the 10-year moving average of private nonfarm business (economy-wide) multifactor productivity applied to the entire index; we had previously used economy-wide private nonfarm business labor productivity applied to the labor portions of the index. We will continue to use the method of adjusting for multifactor productivity applied to the entire index in the proposed rebased and revised MEI.

    As described in the December 31, 2002 final rule, we used multifactor productivity because: (1) it is theoretically more appropriate to explicitly reflect the productivity gains associated with all inputs (both labor and nonlabor); (2) the recent growth rate in economy-wide multifactor productivity appears to be more consistent with the current market conditions facing physicians; and (3) the MEI still uses economy-wide wage changes as a proxy for physician wage changes. We believe that using a 10-year moving average change in economy-wide multifactor productivity produces a stable and predictable adjustment and is consistent with the moving-average methodology used in the current 1996-based MEI. The adjustment will be based on the latest available actual historical economy-wide multifactor productivity data, as measured by BLS.

    5. Results of Rebasing

    Updating the MEI from a 1996 base year to a 2000 base year resulted in small changes in expense category weights. Physicians' earnings dropped slightly, from 54.5 percent of the index in 1996 to 52.5 percent in 2000. The expense shares for non-physician employee compensation, office expenses, professional liability insurance, and medical equipment all rose slightly, while expense shares for medical materials and supplies and all other expenses declined.

    The rebased and revised MEI is similar in structure to the current MEI. Except for two-tenths of a percentage point difference in 2000, the annual percent change in the rebased and revised MEI was within one-tenth of a percentage point of the percent change in the 1996-based MEI each year between 1996 and 2003. Therefore, the revision and rebasing proposed in this rule, while making the expense shares more timely, has little impact on the percent changes in the MEI as a whole. Table 7 below shows the average calendar-year percent change from 1996 to 2003 for both the 1996- and 2000-based MEIs.

    Table 7.—Annual Percent Change in the Current and Proposed Revised and Rebased Medicare Economic Index

    Update year (A)Proposed 2000-based MEICurrent 1996-based MEI
    19961.71.8
    19971.91.9
    Start Printed Page 49055
    19982.42.4
    19992.72.6
    20002.92.7
    20012.82.8
    20023.33.3
    20033.13.0
    Avg Change 1996-20032.62.6
    (A) Update year based on historical data through the second quarter of the prior calendar year. For example, the 2003 update is based on historical data through the second quarter 2002.

    The forecast of the proposed rebased and revised MEI for the 2004 Physician Fee Schedule is an increase of 2.5 percent, nearly identical to the forecasted increase using the previous 1996-based MEI. In the final rule we will incorporate historical data through the second quarter of 2003; therefore, the current estimated increase of 2.5 percent for 2004 may differ in the final rule.

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    6. Adjustments to RVUs To Match the New MEI Weights

    As described in the previous section, we are proposing to rebase the MEI and establish new weights for physician work, practice expense and malpractice. Based on 2002 Medicare utilization data, we compared the proportion of total RVUs attributable to physician work, practice expense and malpractice to the new MEI weights. We show the proportion of total RVUs attributable to work, practice expense and malpractice and their respective proposed new MEI weights across all physicians' services in the following table:

    Table 10

    Proposed MEI weight2002 RVUs
    Physician Work52.466%52.649%
    Practice Expense43.669%44.175%
    Malpractice3.865%3.176%

    The MEI weights for physician work and practice expense are lower than the proportion of 2002 aggregate RVUS attributable to these categories. The malpractice weight within the MEI is higher than its share of total aggregate 2002 RVUs. (The 2002 shares from the Medicare utilization do not match the 1996 MEI weights because deviations occur over time based on changes in the mix of services billed by physicians and other factors).

    We believe there is merit in adjusting the RVUs to match the revised MEI weights. By giving more weight to malpractice and less weight to physician work and practice expenses, Medicare's payments will better reflect each component of physician practice expenses. Section 1848(c)(2)(B)(ii)(II) of the Act requires that increases or decreases in RVUs may not cause the amount of expenditures for the year to differ by more than $20 million from what expenditures would have been in the absence of these changes. If this threshold is exceeded, we make across-the-board adjustments to preserve budget neutrality. Therefore, if we adjust the work, practice expense and malpractice RVUs to match the new MEI weights, we are required by statute to ensure that the adjustments do not increase or decrease Medicare expenditures by more than $20 million. To meet the requirements of the statute and ensure that aggregate pools of RVUs match the proposed new MEI weights, we considered two options. We considered making no adjustments to the physician work RVUs and adjusting only the practice expense and malpractice RVUs or adjusting all 3 categories of RVUs. We considered the first option because the medical community, in the past, has expressed interest in avoiding adjustments to physician work RVUs. However, we could only meet the requirements of section 1848(c)(2)(B)(ii)(II) if we reduced the physician fee schedule conversion factor by an additional 0.3 percentage points in addition to the −4.2 percent reduction we are already forecasting. We believe a small reduction to the physician work RVUs is preferable to a reducing the conversion factor by an additional 0.3 percent. For this reason, we are proposing to reduce the physician work RVUs by 0.35 percent (0.9965) and the practice expense RVUs by 1.15 percent (0.9885) and increase the malpractice RVUs by 21.7 percent (1.217) to match the rebased MEI weights. The effects of these adjustments to the RVUs are included in the RVUs shown in Addendum B of this proposed rule and, as explained previously, would not require a compensating adjustment to the conversion factor.

    B. Definition of Diabetes for Diabetes Self-Management Training

    Section 4105(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33, enacted on August 5, 1997) provides coverage for outpatient diabetes self-management training in outpatient settings without limiting this coverage to hospital outpatient departments. The BBA provided that the services would be provided “to an individual with diabetes.” In the December 29, 2000, final rule entitled, “Expanded Coverage for Outpatient Diabetes Self-Management Training and Diabetes Outcome Measurements”, (65 FR 83129) we established criteria to define “an individual with diabetes.” At that time, we did not have a definition of diabetes that had been widely accepted. Therefore, we established a set of medical conditions to determine who should receive the service.

    In § 410.141(d), we stated that any beneficiary who has one or more of the following medical conditions occurring within the 12-month period before the physician's order for the training would be eligible for Medicare coverage for training from an approved entity:

    • New onset diabetes.
    • Inadequate glycemic control as evidenced by a glycosylated hemoglobin (HbA1C) level of 8.5 percent or more on two consecutive HbA1C determinations 3 or more months apart in the year before the beneficiary begins receiving training.
    • A change in treatment regimen from no diabetes medications to any diabetes medication, or from oral diabetes medication to insulin.
    • High risk for complications based on inadequate glycemic control (documented acute episodes of severe hyperglycemia or acute severe hyperglycemia occurring in the past year during which the beneficiary needed emergency room visits or hospitalization).
    • High risk based on at least one of the following documented complications:

    —Lack of feeling in the foot or other foot complications such as foot ulcers, deformities, or amputation;

    —Pre-proliferative or proliferative retinopathy or prior laser treatment of the eye; and

    —Kidney complications related to diabetes, when manifested by albuminuria, without other cause, or elevated creatinine.

    These requirements have been shown to be burdensome to the public and to Medicare contractors. Therefore, we are proposing that the requirements be streamlined to use the definition of diabetes that was established in a later regulation at § 410.130 and is used to determine beneficiary eligibility for Medical Nutrition Therapy when the beneficiary has a diagnosis of diabetes. The definition is:

    Diabetes means diabetes mellitus consisting of two types. Type 1 is an autoimmune disease that destroys the beta cells of the pancreas, leading to insulin deficiency. Type 2 is familial hyperglycemia that occurs primarily in adults but can also occur in children Start Printed Page 49059and adolescents. It is caused by an insulin resistance whose etiology is multiple and not totally understood. Gestational diabetes is any degree of glucose intolerance with onset or first recognition during pregnancy. The diagnostic criterion for a diagnosis of diabetes for a fasting glucose intolerance test is greater than or equal to 126 mg/dL.

    C. Outpatient Therapy Services Performed “Incident To” Physicians' Services—Discussion Only

    In almost all settings, our policy provides that outpatient therapy services can be delivered only by physical therapists, occupational therapists, physical therapy assistants, occupational therapy assistants, and speech and language pathologists as defined by our regulations at § 484.4. While there are currently no national standards for qualifications of individuals providing outpatient therapy services incident to physicians' services, we believe that standards similar to those in § 484.4 are appropriate. Section 1862(a)(20) of the Act requires that any therapy services furnished incident to a physician's professional services must meet the standards and conditions that would apply to such therapy services if they were furnished by a therapist, with the exception of the licensing requirement.

    The OIG conducted a study in March of 1994 (OEI-02-09-00590) which revealed that 78 percent of “incident to” physical therapy services did represent therapy services covered under Medicare (that is, reasonable and necessary as defined in section 1862(a)(1)(A) of the Act). The study also questioned the training of staff providing these services. Also, in 2002 we contracted for a report on the utilization of therapy services. The text of that report is available at www.cms.hhs.gov/​medlearn/​therapy under Research Tools for Specific Therapy Topics, DynCorp Report—Outpatient Therapy Utilization September 2002. The study found that 25 percent of the beneficiaries in 2000 were treated in the offices of physicians and nonphysician practitioners. There is currently no process to ensure the quality of the services provided in those settings.

    The pending implementation of financial limitations on outpatient therapy services emphasizes the need to define the qualifications of those providing therapy services. The limited therapy services covered by Medicare must be provided by people who meet qualifications needed to render skilled services.

    In order to conform to section 1862(a)(20) of the Act, we are considering adopting the existing qualification and training standards (with the exception of licensure) in § 484.4 for individuals providing therapy services independently and incident to physicians' services. We are not proposing a change at this time, but are interested in receiving comments from the public, particularly physicians and staff who would be affected, on adoption of the existing standards in § 484.4, to services of independent therapists and “incident to” services as well as alternatives that we might use to ensure that qualified staff are providing “incident to” therapy services. These comments would assist us in the development of any future proposal concerning this issue.

    D. Status of Anesthesia Work and Five-Year Review

    In the December 2002 final rule, we modestly increased the work of anesthesia services. These changes were based on the analysis submitted by the RUC of its review of the work of 19 high-volume anesthesia codes. The RUC had provided us with its analysis but did not furnish us with a definitive recommendation. The increase in anesthesia work resulted in an increase in the national anesthesia conversion factor. (We increased the physician work component of the anesthesia conversion factor by 2.10 percent to reflect a 9.13 percent increase in anesthesia work applied to 23 percent of anesthesia allowed charges represented by the 19 codes. We applied a 1.6 percent increase to the anesthesia CF.)

    The American Society of Anesthesiologists expressed concerns about the completeness of the review of anesthesia under the five-year review, and, in February 2003, we asked the RUC to continue its review of anesthesia work values; we expected to develop a final recommendation for a change in the anesthesia CF involving all anesthesia codes. We asked that the RUC complete this analysis in 2003. The RUC is considering our request and will respond to us about what action they plan to take on this issue.

    E. Payment Policies for Anesthesia Services

    Currently there are different payment policies for teaching anesthesiologists and teaching certified registered nurse anesthetists (CRNAs). We are seeking comments on the appropriateness of applying the CRNA teaching/resident policy to teaching anesthesiologists.

    F. Technical Correction

    CPT Code 96155 (Health and behavior intervention, each 15 minutes, face-to-face; family (without the patient present)).

    This code describes a visit with a patient's family without the patient being present and was first included in the November 1, 2001 final rule. It was incorrectly listed as an active code for which payment could be made under the physician fee schedule. Our longstanding payment policy is that we do not pay for visits with family where the patient is not present. Payment for such visits is included in the pre- and post-service work of a visit where the patient is present. Consistent with this policy, this code is non-payable under the physician fee schedule.

    IV. Collection of Information Requirements

    This document does not impose information collection and recordkeeping requirements. Consequently, it need not be reviewed by the Office of Management and Budget under the authority of the Paperwork Reduction Act of 1995.

    V. Response to Comments

    Because of the large number of items of correspondence we normally receive on Federal Register documents published for comment, we are not able to acknowledge or respond to them individually. We will consider all comments we receive by the date and time specified in the “DATES” section of this preamble, and, if we proceed with a subsequent document, we will respond to the major comments in the preamble to that document.

    VI. Regulatory Impact Analysis

    We have examined the impact of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 16, 1980 Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.

    Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more in any Start Printed Page 490601 year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). We have simulated the effect of the proposed changes to the practice expense RVUs described earlier. The net effect of the changes we are proposing will not materially increase or decrease Medicare expenditures for physicians' services because the statute requires that changes to RVUs cannot increase or decrease expenditures more than $20 million. Since increases in payments resulting from RVU changes must be offset by decreases in payments for other services, the proposed practice expense changes will result in a redistribution of payments among physician specialties. The RVU changes in this proposed rule have an estimated aggregate redistributive effect of approximately $190 million dollars. (Tables 11 and 12 which appear later in this section reflect the estimated specialty impacts.) Therefore, we are considering this proposed rule to be a major rule because it is economically significant, and, thus, we have prepared a regulatory impact analysis.

    The RFA requires that we analyze regulatory options for small businesses and other entities. We prepare a Regulatory Flexibility Analysis unless we certify that a rule would not have a significant economic impact on a substantial number of small entities. The analysis must include a justification concerning the reason action is being taken, the kinds and number of small entities the rule affects, and an explanation of any meaningful options that achieve the objectives and less significant adverse economic impact on the small entities.

    Section 1102(b) of the Act requires us to prepare a regulatory impact analysis for any proposed rule that may have a significant impact on the operations of a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside a Metropolitan Statistical Area and has fewer than 100 beds.

    For purposes of the RFA, physicians, nonphysicians, and suppliers are considered small businesses if they generate revenues of $6 million or less. Approximately 95 percent of physicians (except mental health specialists) are considered to be small entities. There are about 700,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the physician fee schedule. The analysis and discussion provided in this section as well as elsewhere in this proposed rule is intended to comply with the RFA requirements.

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

    We have examined this proposed rule in accordance with Executive Order 13132 and have determined that this regulation would not have any significant impact on the rights, roles, or responsibilities of State, local, or tribal governments.

    We have prepared the following analysis, which together with the rest of this preamble, meets all assessment requirements. It explains the rationale for, and purposes of, the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we propose to use to minimize the burden on small entities. As indicated elsewhere in this proposed rule, we propose to make changes to the Medicare Economic Index, refine resource-based practice based practice expense RVUs and make a variety of other minor changes to our regulations, payments or payment policy to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We provide information for each of the proposed policy changes in the relevant sections in this proposed rule. As discussed elsewhere in this proposed rule, the provisions of this proposed rule, if adopted, would only change Medicare payment rates for physician fee schedule services. While this rule would revise the definition of diabetes for the purposes of outpatient diabetes self-management training, it does not impose reporting, record-keeping and other compliance requirements. We are unaware of any relevant Federal rules that duplicate, overlap or conflict with this proposed rule. The relevant sections of this proposed rule contain a description of significant alternatives.

    A. Resource-Based Practice Expense Relative Value Units

    Under section 1848(c)(2) of the Act, adjustments to RVUs may not cause the amount of expenditures to differ by more than $20 million from the amount of expenditures that would have resulted without such adjustments. We are proposing several changes that would result in a change of expenditures that would exceed $20 million if we made no offsetting adjustments to either the conversion factor or RVUs.

    With respect to practice expense, our policy has been to meet the budget neutrality requirements in the statute by incorporating a rescaling adjustment in the practice expense methodology. That is, we estimate the aggregate number of practice expense relative values that will be paid under current and proposed policy in CY 2004. We apply a uniform adjustment factor to make the aggregate number of proposed practice expense relative values equal the number estimated that would be paid under current policy.

    Table 11 shows the specialty level impact on payment of changes being proposed for CY 2004. The payment impacts reflect averages for each specialty based on Medicare utilization. The payment impact for an individual physician would be different from the average, based on the mix of services the physician provides. The average change in total revenues would be less than the impact displayed here since physicians furnish services to both Medicare and non-Medicare patients and specialties may receive substantial Medicare revenues for services that are not paid under the physician fee schedule. For instance, independent laboratories receive more than 80 percent of their Medicare revenues from clinical laboratory services that are not paid under the physician fee schedules. The table shows only the payment impact on physician fee schedule services.

    We modeled the impact of four changes to the practice expense methodology and illustrated the effect in table 11 below. The column labeled “Utilization Data” shows the effect of updating the practice expense methodology to add 2002 utilization data for codes that did not exist in the 1997-2000 period. In general, updating the methodology with the latest utilization data will have the largest impact on payment for a new service where a code was established in 2002. In some cases, the practice expense RVU will increase (for example, 64561—Implant Neuroelectrodes and 52001, Cystoscopy Removal of Clots). In other cases, they will go down (96567—photodynamic treatment skin and G0249—Providing test materials and equipment for home INR Monitoring, 77418—Radiation Treatment Delivery—Intensity Modulated Radiation). For most specialties, new codes represent a Start Printed Page 49061small proportion of the specialties' revenues and updating the practice expense RVUs with utilization will have little impact on payment across all of the services the specialty provides. However, updating the practice expense methodology with the 2002 utilization data will reduce payment to radiation oncologists by approximately 1 percent. The payment reduction occurs because the practice expense RVUs for radiotherapy dose planning and radiation treatment by intensity modulated radiation are going down. Because this service represents 8 percent of Medicare revenues to radiation oncology in 2002, there is a somewhat larger impact on this specialty than will generally occur for most specialties.

    The column labeled “Practice Expense Refinements” shows the impact on payment from proposed refinements to the practice expense RVUs. In general, the largest impact of the refinements is occurring to surgical procedures with 10 and 90-day global periods. Most of the impacts on these procedures will occur because of the standardization of the intra and post period time for clinical staff. There are also modest impacts on some specialties in the non-facility practice expense RVUs from the refinements to clinical staff and medical supplies. Orthopedic surgery and hand surgery will experience an approximate reduction of 2 percent from the practice expense refinements while payments to otolaryngology will increase by nearly 2 percent. There will be more modest payment increases or decreases for all other specialties from the practice expense refinements.

    The column labeled “Maxillofacial Prosthetics” shows the impact on payment from changing the specialty practice expense per hour crosswalk for oral surgery (specialty 19) and maxillofacial surgery (specialty 85) to otolaryngology. Payments to these specialties will increase from this change and there will be virtually no impact on payment to any other specialty.

    As indicated earlier, we are also adding clinical staff time to the professional component of several cardiac catheterization services increasing payments for these services by a small amount. The proposed change will cause minor payment reductions for a few other cardiology services. All other services are unaffected by this proposal. The column labeled “Professional Component of a Diagnostic Test” shows the payment impact of the proposed change.

    The column labeled “Total” in table 11 below shows the payment impact by specialty of all the changes described above. If we change any of these proposals following our consideration of comments, these figures may change.

    Start Printed Page 49062

    Start Printed Page 49063

    Start Printed Page 49064

    Start Printed Page 49065

    The statutory methodology for updating physician fee schedule conversion factor is specified in section 1848(d)(4) of the Act. Consistent with the requirements of section 1848(d)(1)(E) of the Act, we made an estimate of the physician fee schedule update for CY 2004 available to the Medicare Payment Advisory Commission (MedPAC) and the public in March of this year. Using our point estimate of −4.2 percent, on table 12, we are showing the estimated change in average payments by specialty based on provisions of this proposed rule and the estimated physician fee schedule update. As indicated above, figures will change if we change any of our proposals following consideration of public comment. Further, we believe it is highly likely that our estimate of the 2004 physician fee schedule update will change before we determine the final figure later this year.

    Start Printed Page 49066

    Start Printed Page 49067

    Table 13 shows the impact on payments for selected high volume procedures of all of the changes previously discussed. This table shows the combined impact of the change in the practice expense RVUs and the estimated physician fee schedule update on total payment for the procedure. There are separate columns that show the change in the facility rates and the non-facility rates. For an explanation of facility and non-facility practice expense refer to § 414.22(b)(5)(i). The table shows the estimated change in payment rates based on provisions of this proposed rule and the estimated physician fee schedule update. If we change any of the provisions following the consideration of public comments, these figures may change. Further, the payment amounts shown for 2003 will change once we determine the final figure for the physician fee schedule update.

    Start Printed Page 49068

    Start Printed Page 49069

    B. Geographic Practice Cost Indices

    As discussed in section II.B., we are proposing to revise the malpractice GPCIs based upon actual 2001 and 2002 malpractice premium data and projected 2003 malpractice premium data. Data collection is not yet complete therefore we were unable to include the proposed malpractice GPCIs in this proposed rule. The revised malpractice GPCIs in the final rule will be subject to public comment. Any changes in the GPCIs will redistribute payments among geographic areas and will not increase or decrease Medicare expenditures. Because the malpractice RVUs only represent 3.9 percent on total payments on average across all physician fee schedule services, we expect any payment impact to be modest. We will illustrate the change in the GPCIs from use of the new malpractice data in the final rule.

    C. Tracking Codes

    We are proposing a change in policy that will allow CMS to create national payment policy and determine national payment amounts for CPT tracking codes regardless of whether a national coverage determination for a specific service has been made. This proposal will have no effect on Medicare expenditures but will allow for more flexibility in determining payment rates for new services.

    D. Excision of Lesions

    We are proposing to make the work RVUs the same for removal of benign and malignant skin lesions that have the same excised diameters that are from similar locations (for example, torso, arms, and legs). This would result in minor redistribution in payment of these services. Any impact on payment from this proposal is included in the specialty and code level impacts shown above.

    E. G Codes for Monitoring Heart Rhythms

    As discussed earlier, we are creating several HCPCS G codes and establishing national payment for new technology services that allow patients with cardiac arrhythmias to be monitored in a home setting. Currently, Medicare is making payment for these services under CPT code 93799, Unlisted cardiovascular procedure or service. Medicare carriers make local payment determinations for unlisted procedure codes. Our proposal will have no impact on Medicare payment for these services since national payment will replace local carrier payment.

    F. G Codes for Managing Dialysis Patients

    As we previously discussed in section II.C., we have reviewed our current payment policy for the monthly dialysis capitation payment in response to concerns that have been raised over whether our payment policy is consistent with current medical practice. We are proposing new G codes for these services that would allow us to align the payment incentives to match the frequency of the physician personally evaluating the dialysis patient. We believe that this restructuring of payment will assist in assuring that beneficiaries with ESRD receive the highest quality dialysis care available as the proposed codes provide for reimbursement for physician involvement that is consistent with the needs of the patient in any specific month. Our proposal will not increase or decrease Medicare payments for Start Printed Page 49070treatment of dialysis patients. We are decreasing our current payment to the physician for providing fewer than four visits per month. If the physician provides four or more visits per month, we are increasing our current payment.

    G. Rebasing and Revising the MEI

    As indicated in section III.A. of this proposed rule, we are proposing to rebase and revise the MEI for the CY 2004 physician fee schedule. Substituting the 2000 MEI weights in place of the 1996 weights currently in use will increase the MEI by approximately 0.1 percent for 2004. Based on our current estimates, we expect no impact from this proposal on any subsequent year MEI.

    H. Definition of Diabetes for Diabetes Self-Management Training

    We are proposing to revise the definition of diabetes for purposes of the Outpatient Diabetes Self-Management Training benefit and use the definition established to determine beneficiary eligibility for Medical Nutrition Therapy when the beneficiary has a diagnosis of diabetes. The streamlining of the beneficiary eligibility requirements for Outpatient Diabetes Self-Management Training will reduce administrative burden for the referring physician or qualified non-physician practitioner and for the accredited Outpatient Diabetes Self-Management Training programs by simplifying documentation requirements and eliminating the need for reconsiderations and appeals to clarify that the requirements have been met. As indicated in the February 28, 2003 Federal Register (68 FR 9572), we incorporated an adjustment to the SGR consistent with our original estimates of expenditures associated with this new benefit. Our experience is that expenditures have been less than originally estimated. We expect that simplifying administrative requirements associated with this new benefit will make it more likely that expenditures for diabetes self-management training will be consistent with original estimates and there will be no increase in Medicare expenditures from making these modifications.

    I. Alternatives Considered

    This proposed rule contains a range of policies. The preamble identifies those policies when discretion has been exercised and presents rationale for our decisions, including a presentation of nonselected options.

    J. Impact on Beneficiaries

    Although changes in physicians' payments were large when the physician fee schedule was implemented in 1992, we detected no problems with beneficiary access to care. We do not believe that there would be any problem with access to care as a result of the proposed changes in this rule. While it has been suggested that the negative update for 2004 may affect beneficiary access to care, we note that the formula to determine this update is set by statute and this regulation cannot, and does not, change it. Furthermore, since beginning our transition to a resource-based practice expense system in CY 1999, we have not found that there are problems with beneficiary access to care.

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

    Start List of Subjects

    List of Subjects

    42 CFR Part 410

    • Health facilities
    • Health professions
    • Kidney diseases
    • Laboratories
    • Medicare
    • Rural areas
    • X-rays

    42 CFR Part 414

    End List of Subjects

    Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays.

    For the reasons set forth in the preamble, the Centers for Medicare & Medicaid Services proposes to amend 42 CFR chapter IV as follows:

    Start Part

    PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

    1. The authority citation for part 410 continues to read as follows:

    Start Authority

    Authority: Secs. 1102 and 1871 of the Social Security Act (42 U.S.C. 1302 and 1395hh).

    End Authority

    2. Section 410.140 is amended by adding the definition of “Diabetes” to read as follows:

    Definitions.
    * * * * *

    Diabetes means diabetes mellitus consisting of two types. Type 1 is an autoimmune disease that destroys the beta cells of the pancreas, leading to insulin deficiency. Type 2 is familial hyperglycemia that occurs primarily in adults but can also occur in children and adolescents. It is caused by an insulin resistance whose etiology is multiple and not totally understood. Gestational diabetes is any degree of glucose intolerance with onset or first recognition during pregnancy. The diagnostic criterion for a diagnosis of diabetes for a fasting glucose intolerance test is greater than or equal to 126 mg/dL.

    * * * * *

    3. Section 410.141 is amended by adding paragraph (f) to read as follows:

    Outpatient diabetes self-management training.
    * * * * *

    (f) Beneficiaries who may be covered. Medicare Part B covers outpatient diabetes self-management training for a beneficiary who has been diagnosed with diabetes.

    * * * * *
    End Part Start Part

    PART 414—PAYMENT FOR PART B MEDICAL AND OTHER HEALTH SERVICES

    1. The authority citation for part 414 continues to read as follows:

    Start Authority

    Authority: Secs. 1102, 1871, and 1881(b)(1) of the Social Security Act (42 U.S.C. 1302, 1395hh, and 1395rr(b)(1)).

    End Authority

    2. Section 414.22(b)(6)(iii) is revised to read as follows:

    Relative value units.
    * * * * *

    (b) * * *

    (6) * * *

    (iii) CMS will consider for use in determining practice expense RVUs for the physician fee schedule survey data and related materials submitted to CMS by March 1, 2004 to determine CY 2005 practice expense RVUs.

    * * * * *

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

    Start Signature

    Dated: June 20, 2003.

    Thomas A Scully,

    Administrator, Centers for Medicare & Medicaid Services.

    End Signature Start Signature
    Approved: July 22, 2003.

    Tommy G. Thompson,

    Secretary.

    End Signature

    Addendum A—Explanation and Use of Addenda B

    The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2003. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule.

    In previous years, we have listed many services in Addendum B that are not paid under the physician fee schedule. To avoid publishing as many pages of codes for these services, we are not including clinical laboratory codes Start Printed Page 49071and most alpha-numeric codes (Healthcare Common Procedure Coding System (HCPCS) codes not included in CPT) in Addendum B.

    Addendum B—2003 Relative Value Units and Related Information Used in Determining Medicare Payments for 2003

    This addendum contains the following information for each CPT code and alphanumeric HCPCS code, except for alphanumeric codes beginning with B (enteral and parenteral therapy), E (durable medical equipment), K (temporary codes for nonphysicians' services or items), or L (orthotics), and codes for anesthesiology.

    1. CPT/HCPCS code. This is the CPT or alphanumeric HCPCS number for the service. Alphanumeric HCPCS codes are included at the end of this addendum.

    2. Modifier. A modifier is shown if there is a technical component (modifier TC) and a professional component (PC) (modifier -26) for the service. If there is a PC and a TC for the service, Addendum B contains three entries for the code: One for the global values (both professional and technical); one for modifier -26 (PC); and one for modifier TC. The global service is not designated by a modifier, and physicians must bill using the code without a modifier if the physician furnishes both the PC and the TC of the service.

    Modifier -53 is shown for a discontinued procedure. There will be RVUs for the code (CPT code 45378) with this modifier.

    3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the physician fee schedule and whether it is separately payable if the service is covered.

    A = Active code. These codes are separately payable under the fee schedule if covered. There will be RVUs for codes with this status. The presence of an “A” indicator does not mean that Medicare has made a national decision regarding the coverage of the service. Carriers remain responsible for coverage decisions in the absence of a national Medicare policy.

    B = Bundled code. Payment for covered services is always bundled into payment for other services not specified. If RVUs are shown, they are not used for Medicare payment. If these services are covered, payment for them is subsumed by the payment for the services to which they are incident. (An example is a telephone call from a hospital nurse regarding care of a patient.)

    C = Carrier-priced code. Carriers will establish RVUs and payment amounts for these services, generally on a case-by-case basis following review of documentation, such as an operative report.

    D = Deleted code. These codes are deleted effective with the beginning of the calendar year.

    E = Excluded from physician fee schedule by regulation. These codes are for items or services that we chose to exclude from the physician fee schedule payment by regulation. No RVUs are shown, and no payment may be made under the physician fee schedule for these codes. Payment for them, if they are covered, continues under reasonable charge or other payment procedures.

    F = Deleted/discontinued codes. Code not subject to a 90-day grace period.

    G = Code not valid for Medicare purposes. Medicare does not recognize codes assigned this status. Medicare uses another code for reporting of, and payment for, these services.

    H = Deleted modifier. Either the TC or PC component shown for the code has been deleted, and the deleted component is shown in the data base with the H status indicator. (Code subject to a 90-day grace period.)

    I = Not valid for Medicare purposes. Medicare uses another code for the reporting of, and the payment for these services. (Code NOT subject to a 90-day grace period.)

    N = Noncovered service. These codes are noncovered services. Medicare payment may not be made for these codes. If RVUs are shown, they are not used for Medicare payment.

    P = Bundled or excluded code. There are no RVUs for these services. No separate payment should be made for them under the physician fee schedule.

    End Part

    — If the item or service is covered as incident to a physician's service and is furnished on the same day as a physician's service, payment for it is bundled into the payment for the physician's service to which it is incident (an example is an elastic bandage furnished by a physician incident to a physician's service).

    — If the item or service is covered as other than incident to a physician's service, it is excluded from the physician fee schedule (for example, colostomy supplies) and is paid under the other payment provisions of the Act.

    R = Restricted coverage. Special coverage instructions apply. If the service is covered and no RVUs are shown, it is carrier-priced.

    T = Injections. There are RVUs for these services, but they are only paid if there are no other services payable under the physician fee schedule billed on the same date by the same provider. If any other services payable under the physician fee schedule are billed on the same date by the same provider, these services are bundled into the service(s) for which payment is made.

    X = Exclusion by law. These codes represent an item or service that is not within the definition of “physicians’ services” for physician fee schedule payment purposes. No RVUs are shown for these codes, and no payment may be made under the physician fee schedule. (Examples are ambulance services and clinical diagnostic laboratory services.)

    4. Description of code. This is an abbreviated version of the narrative description of the code.

    5. Physician work RVUs. These are the RVUs for the physician work for this service in 2003. Codes that are not used for Medicare payment are identified with a “+.”

    6. Facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for facility settings.

    7. Non-facility practice expense RVUs. These are the fully implemented resource-based practice expense RVUs for non-facility settings.

    8. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2003.

    9. Facility total. This is the sum of the work, fully implemented facility practice expense, and malpractice expense RVUs.

    10. Non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.

    11. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). An explanation of the alpha codes follows:

    MMM = The code describes a service furnished in uncomplicated maternity cases including antepartum care, delivery, and postpartum care. The usual global surgical concept does not apply. See the 1999 Physicians' Current Procedural Terminology for specific definitions.

    XXX = The global concept does not apply.

    YYY = The global period is to be set by the carrier (for example, unlisted surgery codes).

    ZZZ = Code related to another service that is always included in the global period of the other service. (Note: Physician work and practice expense are associated with intra service time and in some instances the post service time.)

    —————————— 1 CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright American Dental Association. All rights reserved.Start Printed Page 49072

    Addendum B.—Relative Value Units (RVUS) and Related Information

    1 CPT/2 HCPCSMODStatusDescriptionPhysician work RVUsNon- facility PE RVUsFacility PE RVUsMalpractice RVUsNon- facility totalFacility totalGlobal
    0001TCEndovas repr abdo ao aneurys0.000.000.000.000.000.00XXX
    0002TCEndovas repr abdo ao aneurys0.000.000.000.000.000.00XXX
    0003TCCervicography0.000.000.000.000.000.00XXX
    0005TCPerc cath stent/brain cv art0.000.000.000.000.000.00XXX
    0006TCPerc cath stent/brain cv art0.000.000.000.000.000.00XXX
    0007TCPerc cath stent/brain cv art0.000.000.000.000.000.00XXX
    0008TCUpper gi endoscopy w/suture0.000.000.000.000.000.00XXX
    0009TCEndometrial cryoablation0.000.000.000.000.000.00XXX
    0010TCTb test, gamma interferon0.000.000.000.000.000.00XXX
    0012TCOsteochondral knee autograft0.000.000.000.000.000.00XXX
    0013TCOsteochondral knee allograft0.000.000.000.000.000.00XXX
    0014TCMeniscal transplant, knee0.000.000.000.000.000.00XXX
    0016TCThermotx choroid vasc lesion0.000.000.000.000.000.00XXX
    0017TCPhotocoagulat macular drusen0.000.000.000.000.000.00XXX
    0018TCTranscranial magnetic stimul0.000.000.000.000.000.00XXX
    0019TIExtracorp shock wave tx, ms0.000.000.000.000.000.00XXX
    0020TCExtracorp shock wave tx, ft0.000.000.000.000.000.00XXX
    0021TCFetal oximetry, trnsvag/cerv0.000.000.000.000.000.00XXX
    0023TCPhenotype drug test, hiv 10.000.000.000.000.000.00XXX
    0024TCTranscath cardiac reduction0.000.000.000.000.000.00XXX
    0025TCUltrasonic pachymetry0.000.000.000.000.000.00XXX
    0026TCMeasure remnant lipoproteins0.000.000.000.000.000.00XXX
    0027TCEndoscopic epidural lysis0.000.000.000.000.000.00XXX
    0028TCDexa body composition study0.000.000.000.000.000.00XXX
    0029TCMagnetic tx for incontinence0.000.000.000.000.000.00XXX
    0030TCAntiprothrombin antibody0.000.000.000.000.000.00XXX
    0031TCSpeculoscopy0.000.000.000.000.000.00XXX
    0032TCSpeculoscopy w/direct sample0.000.000.000.000.000.00XXX
    0033TCEndovasc taa repr incl subcl0.000.000.000.000.000.00XXX
    0034TCEndovasc taa repr w/o subcl0.000.000.000.000.000.00XXX
    0035TCInsert endovasc prosth, taa0.000.000.000.000.000.00XXX
    0036TCEndovasc prosth, taa, add-on0.000.000.000.000.000.00XXX
    0037TCArtery transpose/endovas taa0.000.000.000.000.000.00XXX
    0038TCRad endovasc taa rpr w/cover0.000.000.000.000.000.00XXX
    0039TCRad s/i, endovasc taa repair0.000.000.000.000.000.00XXX
    0040TCRad s/i, endovasc taa prosth0.000.000.000.000.000.00XXX
    0041TCDetect ur infect agnt w/cpas0.000.000.000.000.000.00XXX
    Start Printed Page 49073
    0042TCCt perfusion w/contrast, cbf0.000.000.000.000.000.00XXX
    0043TCCo expired gas analysis0.000.000.000.000.000.00XXX
    0044TCWhole body photography0.000.000.000.000.000.00XXX
    10021AFna w/o image1.272.240.550.073.581.89XXX
    10022AFna w/image1.272.670.430.053.991.75XXX
    10040AAcne surgery1.181.030.690.052.261.92010
    10060ADrainage of skin abscess1.170.970.480.082.221.73010
    10061ADrainage of skin abscess2.401.851.540.174.424.11010
    10080ADrainage of pilonidal cyst1.173.111.170.094.372.43010
    10081ADrainage of pilonidal cyst2.454.081.530.196.724.17010
    10120ARemove foreign body1.221.500.420.102.821.74010
    10121ARemove foreign body2.693.391.910.256.334.85010
    10140ADrainage of hematoma/fluid1.531.540.920.153.222.60010
    10160APuncture drainage of lesion1.200.740.470.112.051.78010
    10180AComplex drainage, wound2.253.282.100.255.784.60010
    11000ADebride infected skin0.600.580.220.051.230.87000
    11001ADebride infected skin add-on0.300.230.110.020.550.43ZZZ
    11010ADebride skin, fx4.206.852.370.4511.507.02010
    11011ADebride skin/muscle, fx4.958.172.410.5313.657.89000
    11012ADebride skin/muscle/bone, fx6.8812.073.930.8919.8411.70000
    11040ADebride skin, partial0.500.540.210.051.090.76000
    11041ADebride skin, full0.820.680.330.061.561.21000
    11042ADebride skin/tissue1.121.010.470.092.221.68000
    11043ADebride tissue/muscle2.383.522.640.246.145.26010
    11044ADebride tissue/muscle/bone3.064.643.810.348.047.21010
    11055RTrim skin lesion0.430.580.170.021.030.62000
    11056RTrim skin lesions, 2 to 40.610.660.240.031.300.88000
    11057RTrim skin lesions, over 40.790.760.310.041.591.14000
    11100ABiopsy of skin lesion0.811.290.370.042.141.22000
    11101ABiopsy, skin add-on0.410.340.190.020.770.62ZZZ
    11200ARemoval of skin tags0.771.080.780.041.891.59010
    11201ARemove skin tags add-on0.290.160.120.020.470.43ZZZ
    11300AShave skin lesion0.511.030.220.031.570.76000
    11301AShave skin lesion0.851.150.390.042.041.28000
    11302AShave skin lesion1.051.340.470.052.441.57000
    11303AShave skin lesion1.241.630.530.062.931.83000
    11305AShave skin lesion0.670.860.270.041.570.98000
    11306AShave skin lesion0.991.130.430.052.171.47000
    11307AShave skin lesion1.141.320.500.052.511.69000
    11308AShave skin lesion1.411.480.610.072.962.09000
    11310AShave skin lesion0.731.160.330.041.931.10000
    11311AShave skin lesion1.051.270.500.052.371.60000
    11312AShave skin lesion1.201.470.570.062.731.83000
    11313AShave skin lesion1.621.860.730.093.572.44000
    11400AExc tr-ext b9+marg 0.5 < cm0.932.100.940.063.091.93010
    11401AExc tr-ext b9+marg 0.6-1 cm1.442.221.120.093.752.65010
    11402AExc tr-ext b9+marg 1.1-2 cm1.722.391.190.124.233.03010
    11403AExc tr-ext b9+marg 2.1-3 cm1.972.551.420.164.683.55010
    11404AExc tr-ext b9+marg 3.1-4 cm2.212.861.480.185.253.87010
    11406AExc tr-ext b9+marg > 4.0 cm3.033.271.790.256.555.07010
    11420AExc h-f-nk-sp b9+marg 0.5 <1.011.830.960.082.922.05010
    11421AExc h-f-nk-sp b9+marg 0.6-11.552.191.190.113.852.85010
    Start Printed Page 49074
    11422AExc h-f-nk-sp b9+marg 1.1-21.842.421.450.144.403.43010
    11423AExc h-f-nk-sp b9+marg 2.1-32.282.781.590.175.234.04010
    11424AExc h-f-nk-sp b9+marg 3.1-42.723.011.750.215.944.68010
    11426AExc h-f-nk-sp b9+marg > 4 cm4.033.712.240.348.086.61010
    11440AExc face-mm b9+marg 0.5 < cm1.162.381.400.083.622.64010
    11441AExc face-mm b9+marg 0.6-1 cm1.892.641.720.114.643.72010
    11442AExc face-mm b9+marg 1.1-2 cm2.312.921.870.145.374.32010
    11443AExc face-mm b9+marg 2.1-3 cm2.863.302.110.186.345.15010
    11444AExc face-mm b9+marg 3.1-4 cm3.783.932.520.257.966.55010
    11446AExc face-mm b9+marg > 4 cm5.574.703.320.3010.579.19010
    11450ARemoval, sweat gland lesion2.735.222.040.268.215.03090
    11451ARemoval, sweat gland lesion3.956.872.570.3911.216.91090
    11462ARemoval, sweat gland lesion2.515.312.020.238.054.76090
    11463ARemoval, sweat gland lesion3.957.122.710.4011.477.06090
    11470ARemoval, sweat gland lesion3.255.252.280.308.805.83090
    11471ARemoval, sweat gland lesion4.417.032.800.4011.847.61090
    11600AExc tr-ext mlg+marg 0.5 < cm0.932.580.840.093.601.86010
    11601AExc tr-ext mlg+marg 0.6-1 cm1.442.631.100.124.192.66010
    11602AExc tr-ext mlg+marg 1.1-2 cm1.722.821.200.134.673.05010
    11603AExc tr-ext mlg+marg 2.1-3 cm1.973.081.270.165.213.40010
    11604AExc tr-ext mlg+marg 3.1-4 cm2.213.411.350.185.803.74010
    11606AExc tr-ext mlg+marg > 4 cm3.034.021.620.287.334.93010
    11620AExc h-f-nk-sp mlg+marg 0.5 <1.012.620.900.093.722.00010
    11621AExc h-f-nk-sp mlg+marg 0.6-11.552.701.180.124.372.85010
    11622AExc h-f-nk-sp mlg+marg 1.1-21.842.951.310.154.943.30010
    11623AExc h-f-nk-sp mlg+marg 2.1-32.283.301.480.205.783.96010
    11624AExc h-f-nk-sp mlg+marg 3.1-42.723.721.670.256.694.64010
    11626AExc h-f-nk-sp mlg+mar > 4 cm4.034.672.330.359.056.71010
    11640AExc face-mm malig+marg 0.5 <1.162.681.060.103.942.32010
    11641AExc face-mm malig+marg 0.6-11.893.011.440.155.053.48010
    11642AExc face-mm malig+marg 1.1-22.313.391.630.185.884.12010
    11643AExc face-mm malig+marg 2.1-32.863.821.890.246.924.99010
    11644AExc face-mm malig+marg 3.1-43.784.722.400.338.836.51010
    Start Printed Page 49075
    11646AExc face-mm mlg+marg > 4 cm5.575.763.380.4611.799.41010
    11719RTrim nail(s)0.170.250.070.010.430.25000
    11720ADebride nail, 1-50.320.340.130.020.680.47000
    11721ADebride nail, 6 or more0.540.440.210.041.020.79000
    11730ARemoval of nail plate1.131.050.440.092.271.66000
    11732ARemove nail plate, add-on0.570.450.230.051.070.85ZZZ
    11740ADrain blood from under nail0.370.870.150.031.270.55000
    11750ARemoval of nail bed1.862.181.760.164.203.78010
    11752ARemove nail bed/finger tip2.672.501.920.335.504.92010
    11755ABiopsy, nail unit1.311.120.560.062.491.93000
    11760ARepair of nail bed1.581.881.240.173.632.99010
    11762AReconstruction of nail bed2.892.321.860.325.535.07010
    11765AExcision of nail fold, toe0.691.180.530.051.921.27010
    11770ARemoval of pilonidal lesion2.613.501.530.246.354.38010
    11771ARemoval of pilonidal lesion5.745.803.350.5612.109.65090
    11772ARemoval of pilonidal lesion6.987.343.910.6815.0011.57090
    11900AInjection into skin lesions0.520.670.220.021.210.76000
    11901AAdded skin lesions injection0.800.680.360.031.511.19000
    11920RCorrect skin color defects1.612.030.790.173.812.57000
    11921RCorrect skin color defects1.932.411.000.214.553.14000
    11922RCorrect skin color defects0.490.380.250.050.920.79ZZZ
    11950RTherapy for contour defects0.841.180.420.062.081.32000
    11951RTherapy for contour defects1.191.530.520.102.821.81000
    11952RTherapy for contour defects1.691.900.700.173.762.56000
    11954RTherapy for contour defects1.852.480.920.194.522.96000
    11960AInsert tissue expander(s)9.08N/A10.740.88N/A20.70090
    11970AReplace tissue expander7.06N/A6.220.77N/A14.05090
    11971ARemove tissue expander(s)2.137.244.840.219.587.18090
    11975NInsert contraceptive cap1.481.500.570.143.122.19XXX
    11976RRemoval of contraceptive cap1.781.740.700.173.692.65000
    11977NRemoval/reinsert contra cap3.302.421.280.316.034.89XXX
    11980AImplant hormone pellet(s)1.481.120.560.102.702.14000
    11981AInsert drug implant device1.481.770.700.143.392.32XXX
    11982ARemove drug implant device1.782.010.860.173.962.81XXX
    11983ARemove/insert drug implant3.302.371.500.315.985.11XXX
    12001ARepair superficial wound(s)1.702.070.500.133.902.33010
    12002ARepair superficial wound(s)1.862.140.950.154.152.96010
    12004ARepair superficial wound(s)2.242.431.060.174.843.47010
    12005ARepair superficial wound(s)2.862.941.250.236.034.34010
    12006ARepair superficial wound(s)3.673.531.570.317.515.55010
    12007ARepair superficial wound(s)4.123.971.870.378.466.36010
    12011ARepair superficial wound(s)1.762.240.510.144.142.41010
    12013ARepair superficial wound(s)1.992.390.990.164.543.14010
    12014ARepair superficial wound(s)2.462.691.110.185.333.75010
    Start Printed Page 49076
    12015ARepair superficial wound(s)3.193.281.310.246.714.74010
    12016ARepair superficial wound(s)3.933.701.590.327.955.84010
    12017ARepair superficial wound(s)4.71N/A1.950.39N/A7.05010
    12018ARepair superficial wound(s)5.53N/A2.320.46N/A8.31010
    12020AClosure of split wound2.622.741.770.245.604.63010
    12021AClosure of split wound1.841.811.430.193.843.46010
    12031ALayer closure of wound(s)2.152.360.830.154.663.13010
    12032ALayer closure of wound(s)2.473.881.870.156.504.49010
    12034ALayer closure of wound(s)2.923.241.440.216.374.57010
    12035ALayer closure of wound(s)3.435.272.220.309.005.95010
    12036ALayer closure of wound(s)4.055.532.420.419.996.88010
    12037ALayer closure of wound(s)4.676.622.830.4911.787.99010
    12041ALayer closure of wound(s)2.372.530.880.175.073.42010
    12042ALayer closure of wound(s)2.743.281.400.176.194.31010
    12044ALayer closure of wound(s)3.143.281.590.246.664.97010
    12045ALayer closure of wound(s)3.643.792.210.347.776.19010
    12046ALayer closure of wound(s)4.256.612.820.4011.267.47010
    12047ALayer closure of wound(s)4.656.503.150.4111.568.21010
    12051ALayer closure of wound(s)2.473.301.390.165.934.02010
    12052ALayer closure of wound(s)2.773.241.370.176.184.31010
    12053ALayer closure of wound(s)3.123.291.530.206.614.85010
    12054ALayer closure of wound(s)3.463.631.630.257.345.34010
    12055ALayer closure of wound(s)4.434.632.180.359.416.96010
    12056ALayer closure of wound(s)5.246.923.130.4312.598.80010
    12057ALayer closure of wound(s)5.966.273.840.5012.7310.30010
    13100ARepair of wound or lesion3.123.591.810.216.925.14010
    13101ARepair of wound or lesion3.923.832.260.227.976.40010
    13102ARepair wound/lesion add-on1.240.750.580.102.091.92ZZZ
    13120ARepair of wound or lesion3.303.691.850.237.225.38010
    13121ARepair of wound or lesion4.334.052.360.258.636.94010
    13122ARepair wound/lesion add-on1.440.880.640.122.442.20ZZZ
    13131ARepair of wound or lesion3.793.962.180.258.006.22010
    13132ARepair of wound or lesion5.954.783.230.3211.059.50010
    13133ARepair wound/lesion add-on2.191.221.050.173.583.41ZZZ
    13150ARepair of wound or lesion3.815.622.650.299.726.75010
    13151ARepair of wound or lesion4.455.523.100.2810.257.83010
    13152ARepair of wound or lesion6.336.214.010.3812.9210.72010
    13153ARepair wound/lesion add-on2.381.371.170.183.933.73ZZZ
    13160ALate closure of wound10.48N/A7.241.19N/A18.91090
    14000ASkin tissue rearrangement5.898.695.210.4615.0411.56090
    14001ASkin tissue rearrangement8.4710.166.700.6519.2815.82090
    14020ASkin tissue rearrangement6.599.356.100.5016.4413.19090
    14021ASkin tissue rearrangement10.0610.677.880.6921.4218.63090
    14040ASkin tissue rearrangement7.878.447.010.5516.8615.43090
    14041ASkin tissue rearrangement11.4910.878.870.7123.0721.07090
    14060ASkin tissue rearrangement8.509.277.820.5918.3616.91090
    14061ASkin tissue rearrangement12.2911.909.690.7524.9422.73090
    14300ASkin tissue rearrangement11.7611.419.320.8824.0521.96090
    14350ASkin tissue rearrangement9.61N/A7.261.09N/A17.96090
    15000ASkin graft4.003.892.240.378.266.61000
    15001ASkin graft add-on1.001.390.420.112.501.53ZZZ
    15050ASkin pinch graft4.306.084.810.4610.849.57090
    15100ASkin split graft9.0512.837.890.9422.8217.88090
    15101ASkin split graft add-on1.723.891.690.185.793.59ZZZ
    15120ASkin split graft9.8311.047.950.9021.7718.68090
    15121ASkin split graft add-on2.674.661.910.277.604.85ZZZ
    15200ASkin full graft8.0310.936.110.7319.6914.87090
    15201ASkin full graft add-on1.321.060.630.142.522.09ZZZ
    Start Printed Page 49077
    15220ASkin full graft7.8710.826.550.6819.3715.10090
    15221ASkin full graft add-on1.190.920.580.122.231.89ZZZ
    15240ASkin full graft9.0410.387.800.8020.2217.64090
    15241ASkin full graft add-on1.861.480.930.173.512.96ZZZ
    15260ASkin full graft10.0610.108.800.6320.7919.49090
    15261ASkin full graft add-on2.232.781.450.175.183.85ZZZ
    15342ACultured skin graft, 25 cm1.001.840.560.092.931.65010
    15343ACulture skn graft addl 25 cm0.250.270.100.020.540.37ZZZ
    15350ASkin homograft4.008.374.900.4212.799.32090
    15351ASkin homograft add-on1.000.950.400.112.061.51ZZZ
    15400ASkin heterograft4.004.284.210.408.688.61090
    15401ASkin heterograft add-on1.001.230.450.112.341.56ZZZ
    15570AForm skin pedicle flap9.219.276.550.9619.4416.72090
    15572AForm skin pedicle flap9.278.586.270.9318.7816.47090
    15574AForm skin pedicle flap9.888.987.080.9219.7817.88090
    15576AForm skin pedicle flap8.699.616.550.7219.0215.96090
    15600ASkin graft1.917.242.750.199.344.85090
    15610ASkin graft2.423.833.090.256.505.76090
    15620ASkin graft2.947.643.750.2810.866.97090
    15630ASkin graft3.277.004.020.2810.557.57090
    15650ATransfer skin pedicle flap3.976.864.100.3611.198.43090
    15732AMuscle-skin graft, head/neck17.8418.4212.481.5037.7631.82090
    15734AMuscle-skin graft, trunk17.7918.2812.551.9137.9832.25090
    15736AMuscle-skin graft, arm16.2718.5011.431.7836.5529.48090
    15738AMuscle-skin graft, leg17.9218.2811.951.9538.1531.82090
    15740AIsland pedicle flap graft10.259.977.910.6220.8418.78090
    15750ANeurovascular pedicle graft11.41N/A9.161.16N/A21.73090
    15756AFree myo/skin flap microvasc35.23N/A21.183.11N/A59.52090
    15757AFree skin flap, microvasc35.23N/A22.243.37N/A60.84090
    15758AFree fascial flap, microvasc35.10N/A22.233.52N/A60.85090
    15760AComposite skin graft8.749.957.160.7219.4116.62090
    15770ADerma-fat-fascia graft7.52N/A6.840.78N/A15.14090
    15775RHair transplant punch grafts3.962.831.350.437.225.74000
    15776RHair transplant punch grafts5.545.492.870.6011.639.01000
    15780AAbrasion treatment of skin7.297.237.230.4114.9314.93090
    15781AAbrasion treatment of skin4.855.465.460.2710.5810.58090
    15782AAbrasion treatment of skin4.324.444.440.218.978.97090
    15783AAbrasion treatment of skin4.295.044.260.269.598.81090
    15786AAbrasion, lesion, single2.031.661.300.113.803.44010
    15787AAbrasion, lesions, add-on0.330.320.160.020.670.51ZZZ
    15788RChemical peel, face, epiderm2.093.392.240.115.594.44090
    15789RChemical peel, face, dermal4.926.545.060.2711.7310.25090
    15792RChemical peel, nonfacial1.863.222.820.105.184.78090
    15793AChemical peel, nonfacial3.74N/A4.250.17N/A8.16090
    15810ASalabrasion4.743.993.990.429.159.15090
    15811ASalabrasion5.396.435.620.5212.3411.53090
    15819APlastic surgery, neck9.38N/A7.360.77N/A17.51090
    15820ARevision of lower eyelid5.157.015.480.3012.4610.93090
    15821ARevision of lower eyelid5.727.405.640.3113.4311.67090
    15822ARevision of upper eyelid4.455.934.450.2210.609.12090
    15823ARevision of upper eyelid7.057.936.350.3215.3013.72090
    15824RRemoval of forehead wrinkles0.000.000.000.000.000.00000
    15825RRemoval of neck wrinkles0.000.000.000.000.000.00000
    15826RRemoval of brow wrinkles0.000.000.000.000.000.00000
    15828RRemoval of face wrinkles0.000.000.000.000.000.00000
    15829RRemoval of skin wrinkles0.000.000.000.000.000.00000
    Start Printed Page 49078
    15831AExcise excessive skin tissue12.40N/A8.361.30N/A22.06090
    15832AExcise excessive skin tissue11.59N/A8.521.21N/A21.32090
    15833AExcise excessive skin tissue10.64N/A8.221.17N/A20.03090
    15834AExcise excessive skin tissue10.85N/A7.801.18N/A19.83090
    15835AExcise excessive skin tissue11.6711.707.761.1324.5020.56090
    15836AExcise excessive skin tissue9.34N/A6.920.95N/A17.21090
    15837AExcise excessive skin tissue8.438.107.120.7817.3116.33090
    15838AExcise excessive skin tissue7.13N/A6.230.58N/A13.94090
    15839AExcise excessive skin tissue9.388.026.310.8818.2816.57090
    15840AGraft for face nerve palsy13.26N/A10.321.15N/A24.73090
    15841AGraft for face nerve palsy23.26N/A15.382.65N/A41.29090
    15842AFlap for face nerve palsy37.96N/A23.493.99N/A65.44090
    15845ASkin and muscle repair, face12.57N/A9.340.80N/A22.71090
    15850BRemoval of sutures0.781.620.300.042.441.12XXX
    15851ARemoval of sutures0.861.780.340.052.691.25000
    15852ADressing change,not for burn0.861.900.360.072.831.29000
    15860ATest for blood flow in graft1.951.300.800.133.382.88000
    15876RSuction assisted lipectomy0.000.000.000.000.000.00000
    15877RSuction assisted lipectomy0.000.000.000.000.000.00000
    15878RSuction assisted lipectomy0.000.000.000.000.000.00000
    15879RSuction assisted lipectomy0.000.000.000.000.000.00000
    15920ARemoval of tail bone ulcer7.95N/A5.680.83N/A14.46090
    15922ARemoval of tail bone ulcer9.90N/A7.501.06N/A18.46090
    15931ARemove sacrum pressure sore9.24N/A5.830.95N/A16.02090
    15933ARemove sacrum pressure sore10.85N/A8.071.14N/A20.06090
    15934ARemove sacrum pressure sore12.69N/A8.351.35N/A22.39090
    15935ARemove sacrum pressure sore14.57N/A10.511.56N/A26.64090
    15936ARemove sacrum pressure sore12.38N/A8.661.32N/A22.36090
    15937ARemove sacrum pressure sore14.21N/A10.231.51N/A25.95090
    15940ARemove hip pressure sore9.34N/A6.330.98N/A16.65090
    15941ARemove hip pressure sore11.43N/A9.751.23N/A22.41090
    15944ARemove hip pressure sore11.46N/A8.871.21N/A21.54090
    15945ARemove hip pressure sore12.69N/A9.921.38N/A23.99090
    15946ARemove hip pressure sore21.57N/A14.862.32N/A38.75090
    15950ARemove thigh pressure sore7.54N/A5.540.80N/A13.88090
    15951ARemove thigh pressure sore10.72N/A8.081.14N/A19.94090
    15952ARemove thigh pressure sore11.39N/A7.811.19N/A20.39090
    15953ARemove thigh pressure sore12.63N/A9.221.38N/A23.23090
    15956ARemove thigh pressure sore15.52N/A10.961.64N/A28.12090
    15958ARemove thigh pressure sore15.48N/A11.241.66N/A28.38090
    15999CRemoval of pressure sore0.000.000.000.000.000.00YYY
    16000AInitial treatment of burn(s)0.890.890.270.061.841.22000
    16010ATreatment of burn(s)0.870.680.650.071.621.59000
    Start Printed Page 49079
    16015ATreatment of burn(s)2.35N/A1.180.22N/A3.75000
    16020ATreatment of burn(s)0.801.310.620.062.171.48000
    16025ATreatment of burn(s)1.851.820.990.163.833.00000
    16030ATreatment of burn(s)2.082.241.140.184.503.40000
    16035AIncision of burn scab, initi3.75N/A1.490.36N/A5.60090
    16036AIncise burn scab, addl incis1.50N/A0.610.11N/A2.22ZZZ
    17000ADestroy benign/premlg lesion0.601.000.320.031.630.95010
    17003ADestroy lesions, 2-140.150.110.070.010.270.23ZZZ
    17004ADestroy lesions, 15 or more2.792.371.320.125.284.23010
    17106ADestruction of skin lesions4.595.013.290.289.888.16090
    17107ADestruction of skin lesions9.167.695.450.5317.3815.14090
    17108ADestruction of skin lesions13.209.827.720.8923.9121.81090
    17110ADestruct lesion, 1-140.651.680.510.042.371.20010
    17111ADestruct lesion, 15 or more0.921.730.610.042.691.57010
    17250AChemical cautery, tissue0.501.260.350.041.800.89000
    17260ADestruction of skin lesions0.911.320.460.042.271.41010
    17261ADestruction of skin lesions1.171.660.600.052.881.82010
    17262ADestruction of skin lesions1.581.940.800.073.592.45010
    17263ADestruction of skin lesions1.792.120.870.083.992.74010
    17264ADestruction of skin lesions1.942.280.900.084.302.92010
    17266ADestruction of skin lesions2.342.581.010.115.033.46010
    17270ADestruction of skin lesions1.321.750.650.063.132.03010
    17271ADestruction of skin lesions1.491.830.760.063.382.31010
    17272ADestruction of skin lesions1.772.050.900.073.892.74010
    17273ADestruction of skin lesions2.052.261.010.094.403.15010
    17274ADestruction of skin lesions2.592.631.230.115.333.93010
    17276ADestruction of skin lesions3.203.031.470.156.384.82010
    17280ADestruction of skin lesions1.171.660.580.052.881.80010
    17281ADestruction of skin lesions1.721.960.870.073.752.66010
    17282ADestruction of skin lesions2.042.211.030.094.343.16010
    17283ADestruction of skin lesions2.642.611.280.115.364.03010
    17284ADestruction of skin lesions3.213.011.550.146.364.90010
    17286ADestruction of skin lesions4.443.792.240.228.456.90010
    17304A1 stage mohs, up to 5 spec7.608.283.650.3116.1911.56000
    17305A2 stage mohs, up to 5 spec2.853.901.370.126.874.34000
    17306A3 stage mohs, up to 5 spec2.853.921.380.126.894.35000
    17307AMohs addl stage up to 5 spec2.853.871.400.126.844.37000
    17310AMohs any stage > 5 spec each0.621.510.310.052.180.98ZZZ
    17340ACryotherapy of skin0.760.380.310.041.181.11010
    17360ASkin peel therapy1.431.500.770.062.992.26010
    17380RHair removal by electrolysis0.000.000.000.000.000.00000
    17999CSkin tissue procedure0.000.000.000.000.000.00YYY
    19000ADrainage of breast lesion0.842.060.360.072.971.27000
    19001ADrain breast lesion add-on0.420.800.140.031.250.59ZZZ
    19020AIncision of breast lesion3.576.132.840.3510.056.76090
    19030AInjection for breast x-ray1.533.400.510.075.002.11000
    19100ABx breast percut w/o image1.272.170.430.103.541.80000
    19101ABiopsy of breast, open3.184.741.710.208.125.09010
    19102ABx breast percut w/image2.004.020.670.136.152.80000
    19103ABx breast percut w/device3.7012.241.260.1616.105.12000
    19110ANipple exploration4.307.473.210.4412.217.95090
    19112AExcise breast duct fistula3.677.852.740.3811.906.79090
    19120ARemoval of breast lesion5.564.643.110.5610.769.23090
    19125AExcision, breast lesion6.064.883.340.6111.5510.01090
    Start Printed Page 49080
    19126AExcision, addl breast lesion2.93N/A1.020.30N/A4.25ZZZ
    19140ARemoval of breast tissue5.147.353.440.5213.019.10090
    19160ARemoval of breast tissue5.99N/A3.480.61N/A10.08090
    19162ARemove breast tissue, nodes13.53N/A6.461.38N/A21.37090
    19180ARemoval of breast8.80N/A5.110.88N/A14.79090
    19182ARemoval of breast7.73N/A4.840.79N/A13.36090
    19200ARemoval of breast15.49N/A8.121.51N/A25.12090
    19220ARemoval of breast15.72N/A8.391.56N/A25.67090
    19240ARemoval of breast16.00N/A8.371.62N/A25.99090
    19260ARemoval of chest wall lesion15.44N/A11.091.64N/A28.17090
    19271ARevision of chest wall18.90N/A17.482.27N/A38.65090
    19272AExtensive chest wall surgery21.55N/A18.272.54N/A42.36090
    19290APlace needle wire, breast1.273.030.430.064.361.76000
    19291APlace needle wire, breast0.631.760.210.032.420.87ZZZ
    19295APlace breast clip, percut0.002.83N/A0.012.84N/AZZZ
    19316ASuspension of breast10.69N/A7.831.15N/A19.67090
    19318AReduction of large breast15.62N/A11.421.69N/A28.73090
    19324AEnlarge breast5.85N/A5.010.63N/A11.49090
    19325AEnlarge breast with implant8.45N/A6.710.90N/A16.06090
    19328ARemoval of breast implant5.68N/A5.170.61N/A11.46090
    19330ARemoval of implant material7.59N/A6.090.81N/A14.49090
    19340AImmediate breast prosthesis6.33N/A3.180.68N/A10.19ZZZ
    19342ADelayed breast prosthesis11.20N/A8.951.21N/A21.36090
    19350ABreast reconstruction8.9214.467.250.9524.3317.12090
    19355ACorrect inverted nipple(s)7.5713.065.120.8021.4313.49090
    19357ABreast reconstruction18.16N/A14.131.96N/A34.25090
    19361ABreast reconstruction19.26N/A12.012.08N/A33.35090
    19364ABreast reconstruction41.00N/A24.083.91N/A68.99090
    19366ABreast reconstruction21.28N/A11.442.27N/A34.99090
    19367ABreast reconstruction25.73N/A16.892.78N/A45.40090
    19368ABreast reconstruction32.42N/A20.653.51N/A56.58090
    19369ABreast reconstruction29.82N/A20.173.24N/A53.23090
    19370ASurgery of breast capsule8.05N/A6.980.86N/A15.89090
    19371ARemoval of breast capsule9.35N/A8.021.01N/A18.38090
    19380ARevise breast reconstruction9.14N/A7.900.98N/A18.02090
    19396ADesign custom breast implant2.175.911.010.238.313.41000
    19499CBreast surgery procedure0.000.000.000.000.000.00YYY
    20000AIncision of abscess2.122.441.630.174.733.92010
    20005AIncision of deep abscess3.423.442.150.347.205.91010
    20100AExplore wound, neck10.085.924.440.9916.9915.51010
    20101AExplore wound, chest3.223.021.610.246.485.07010
    20102AExplore wound, abdomen3.943.571.820.357.866.11010
    20103AExplore wound, extremity5.304.253.280.5710.129.15010
    20150AExcise epiphyseal bar13.69N/A7.370.96N/A22.02090
    20200AMuscle biopsy1.463.200.790.174.832.42000
    20205ADeep muscle biopsy2.354.211.230.236.793.81000
    20206ANeedle biopsy, muscle0.993.230.350.064.281.40000
    20220ABone biopsy, trocar/needle1.274.832.800.066.164.13000
    20225ABone biopsy, trocar/needle1.874.372.950.116.354.93000
    20240ABone biopsy, excisional3.23N/A2.560.33N/A6.12010
    20245ABone biopsy, excisional7.78N/A6.390.44N/A14.61010
    20250AOpen bone biopsy5.03N/A4.610.50N/A10.14010
    20251AOpen bone biopsy5.56N/A5.260.79N/A11.61010
    20500AInjection of sinus tract1.236.003.860.107.335.19010
    20501AInject sinus tract for x-ray0.763.040.250.033.831.04000
    20520ARemoval of foreign body1.852.281.820.174.303.84010
    20525ARemoval of foreign body3.503.442.680.407.346.58010
    Start Printed Page 49081
    20526ATher injection, carp tunnel0.940.980.520.061.981.52000
    20550AInj tendon sheath/ligament0.750.730.240.061.541.05000
    20551AInject tendon origin/insert0.750.700.340.061.511.15000
    20552AInject trigger point, 1 or 20.660.740.210.061.460.93000
    20553AInject trigger points, =/> 30.750.850.220.061.661.03000
    20600ADrain/inject, joint/bursa0.660.660.360.061.381.08000
    20605ADrain/inject, joint/bursa0.680.770.370.061.511.11000
    20610ADrain/inject, joint/bursa0.790.960.420.081.831.29000
    20612AAspirate/inj ganglion cyst0.700.730.340.061.491.10000
    20615ATreatment of bone cyst2.282.591.820.195.064.29010
    20650AInsert and remove bone pin2.232.471.970.284.984.48010
    20660AApply, rem fixation device2.513.121.740.486.114.73000
    20661AApplication of head brace4.89N/A5.050.92N/A10.86090
    20662AApplication of pelvis brace6.07N/A5.540.81N/A12.42090
    20663AApplication of thigh brace5.43N/A4.860.77N/A11.06090
    20664AHalo brace application8.06N/A7.161.49N/A16.71090
    20665ARemoval of fixation device1.311.981.320.173.462.80010
    20670ARemoval of support implant1.746.833.980.238.805.95010
    20680ARemoval of support implant3.353.443.440.467.257.25090
    20690AApply bone fixation device3.52N/A2.510.47N/A6.50090
    20692AApply bone fixation device6.41N/A3.800.60N/A10.81090
    20693AAdjust bone fixation device5.86N/A8.430.85N/A15.14090
    20694ARemove bone fixation device4.167.104.640.5711.839.37090
    20802AReplantation, arm, complete41.15N/A21.975.81N/A68.93090
    20805AReplant forearm, complete50.00N/A35.963.95N/A89.91090
    20808AReplantation hand, complete61.65N/A44.226.49N/A112.36090
    20816AReplantation digit, complete30.94N/A40.193.01N/A74.14090
    20822AReplantation digit, complete25.59N/A36.643.07N/A65.30090
    20824AReplantation thumb, complete30.94N/A38.923.48N/A73.34090
    20827AReplantation thumb, complete26.41N/A38.683.21N/A68.30090
    20838AReplantation foot, complete41.41N/A22.965.85N/A70.22090
    20900ARemoval of bone for graft5.587.435.570.7713.7811.92090
    20902ARemoval of bone for graft7.55N/A7.061.06N/A15.67090
    20910ARemove cartilage for graft5.347.195.510.5013.0311.35090
    20912ARemove cartilage for graft6.35N/A6.210.55N/A13.11090
    20920ARemoval of fascia for graft5.31N/A4.480.54N/A10.33090
    20922ARemoval of fascia for graft6.616.905.180.8814.3912.67090
    20924ARemoval of tendon for graft6.48N/A6.000.82N/A13.30090
    20926ARemoval of tissue for graft5.53N/A5.060.73N/A11.32090
    20931ASpinal bone allograft1.81N/A0.950.34N/A3.10ZZZ
    20937ASpinal bone autograft2.79N/A1.490.43N/A4.71ZZZ
    20938ASpinal bone autograft3.02N/A1.590.52N/A5.13ZZZ
    20950AFluid pressure, muscle1.261.391.020.162.812.44000
    20955AFibula bone graft, microvasc39.21N/A25.694.35N/A69.25090
    20956AIliac bone graft, microvasc39.27N/A25.405.77N/A70.44090
    20957AMt bone graft, microvasc40.65N/A19.475.74N/A65.86090
    20962AOther bone graft, microvasc39.27N/A26.915.19N/A71.37090
    20969ABone/skin graft, microvasc43.92N/A28.254.34N/A76.51090
    20970ABone/skin graft, iliac crest43.06N/A26.584.64N/A74.28090
    20972ABone/skin graft, metatarsal42.9921.8820.346.0770.9469.40090
    20973ABone/skin graft, great toe45.76N/A25.644.65N/A76.05090
    20974AElectrical bone stimulation0.620.630.560.091.341.27000
    Start Printed Page 49082
    20975AElectrical bone stimulation2.60N/A1.760.42N/A4.78000
    20979AUs bone stimulation0.620.780.340.041.441.00000
    20999CMusculoskeletal surgery0.000.000.000.000.000.00YYY
    21010AIncision of jaw joint10.14N/A7.410.54N/A18.09090
    21015AResection of facial tumor5.29N/A5.730.52N/A11.54090
    21025AExcision of bone, lower jaw10.0610.508.400.7921.3519.25090
    21026AExcision of facial bone(s)4.857.205.700.4012.4510.95090
    21029AContour of face bone lesion7.718.896.440.7417.3414.89090
    21030AExcise max/zygoma b9 tumor3.895.934.170.6010.428.66090
    21031ARemove exostosis, mandible3.244.743.180.288.266.70090
    21032ARemove exostosis, maxilla3.244.783.290.278.296.80090
    21034AExcise max/zygoma mlg tumor16.1713.9111.511.3731.4529.05090
    21040AExcise mandible lesion3.895.793.840.199.877.92090
    21044ARemoval of jaw bone lesion11.86N/A8.950.87N/A21.68090
    21045AExtensive jaw surgery16.17N/A11.751.20N/A29.12090
    21046ARemove mandible cyst complex13.00N/A13.211.01N/A27.22090
    21047AExcise lwr jaw cyst w/repair18.75N/A13.841.53N/A34.12090
    21048ARemove maxilla cyst complex13.50N/A13.501.01N/A28.01090
    21049AExcis uppr jaw cyst w/repair18.00N/A13.411.01N/A32.42090
    21050ARemoval of jaw joint10.77N/A10.660.84N/A22.27090
    21060ARemove jaw joint cartilage10.23N/A10.181.16N/A21.57090
    21070ARemove coronoid process8.20N/A7.250.67N/A16.12090
    21076APrepare face/oral prosthesis13.4213.1910.521.3627.9725.30010
    21077APrepare face/oral prosthesis33.7533.4527.143.4370.6364.32090
    21079APrepare face/oral prosthesis22.3423.1118.121.5947.0442.05090
    21080APrepare face/oral prosthesis25.1026.2120.482.5553.8648.13090
    21081APrepare face/oral prosthesis22.8823.8718.421.8748.6243.17090
    21082APrepare face/oral prosthesis20.8720.6616.571.4642.9938.90090
    21083APrepare face/oral prosthesis19.3020.1315.241.9641.3936.50090
    21084APrepare face/oral prosthesis22.5123.9418.601.5748.0242.68090
    21085APrepare face/oral prosthesis9.008.847.110.6518.4916.76010
    21086APrepare face/oral prosthesis24.9225.2520.191.8652.0346.97090
    21087APrepare face/oral prosthesis24.9224.8220.062.2251.9647.20090
    21088CPrepare face/oral prosthesis0.000.000.000.000.000.00090
    21089CPrepare face/oral prosthesis0.000.000.000.000.000.00090
    21100AMaxillofacial fixation4.225.724.670.1810.129.07090
    21110AInterdental fixation5.217.235.780.2812.7211.27090
    21116AInjection, jaw joint x-ray0.815.670.340.056.531.20000
    21120AReconstruction of chin4.939.005.390.2914.2210.61090
    21121AReconstruction of chin7.6410.716.820.5618.9115.02090
    21122AReconstruction of chin8.52N/A7.350.59N/A16.46090
    21123AReconstruction of chin11.16N/A8.491.16N/A20.81090
    Start Printed Page 49083
    21125AAugmentation, lower jaw bone10.6212.098.470.7223.4319.81090
    21127AAugmentation, lower jaw bone11.1214.959.290.7626.8321.17090
    21137AReduction of forehead9.82N/A7.620.53N/A17.97090
    21138AReduction of forehead12.19N/A9.531.47N/A23.19090
    21139AReduction of forehead14.61N/A10.041.02N/A25.67090
    21141AReconstruct midface, lefort18.10N/A14.301.63N/A34.03090
    21142AReconstruct midface, lefort18.81N/A13.411.16N/A33.38090
    21143AReconstruct midface, lefort19.58N/A14.550.90N/A35.03090
    21145AReconstruct midface, lefort19.94N/A14.572.09N/A36.60090
    21146AReconstruct midface, lefort20.71N/A16.022.13N/A38.86090
    21147AReconstruct midface, lefort21.77N/A15.701.52N/A38.99090
    21150AReconstruct midface, lefort25.24N/A14.421.09N/A40.75090
    21151AReconstruct midface, lefort28.30N/A17.701.98N/A47.98090
    21154AReconstruct midface, lefort30.52N/A20.754.86N/A56.13090
    21155AReconstruct midface, lefort34.45N/A21.925.48N/A61.85090
    21159AReconstruct midface, lefort42.38N/A25.086.74N/A74.20090
    21160AReconstruct midface, lefort46.44N/A24.974.39N/A75.80090
    21172AReconstruct orbit/forehead27.80N/A14.451.91N/A44.16090
    21175AReconstruct orbit/forehead33.17N/A18.805.16N/A57.13090
    21179AReconstruct entire forehead22.25N/A15.412.48N/A40.14090
    21180AReconstruct entire forehead25.19N/A16.642.15N/A43.98090
    21181AContour cranial bone lesion9.90N/A7.690.97N/A18.56090
    21182AReconstruct cranial bone32.19N/A20.182.53N/A54.90090
    21183AReconstruct cranial bone35.31N/A21.892.75N/A59.95090
    21184AReconstruct cranial bone38.24N/A22.404.12N/A64.76090
    21188AReconstruction of midface22.46N/A15.691.85N/A40.00090
    21193AReconst lwr jaw w/o graft17.15N/A13.391.53N/A32.07090
    21194AReconst lwr jaw w/graft19.84N/A14.471.39N/A35.70090
    21195AReconst lwr jaw w/o fixation17.24N/A13.701.20N/A32.14090
    21196AReconst lwr jaw w/fixation18.91N/A14.311.62N/A34.84090
    21198AReconstr lwr jaw segment14.16N/A11.321.05N/A26.53090
    21199AReconstr lwr jaw w/advance16.00N/A9.401.26N/A26.66090
    21206AReconstruct upper jaw bone14.10N/A11.141.01N/A26.25090
    21208AAugmentation of facial bones10.2314.959.400.9226.1020.55090
    21209AReduction of facial bones6.7212.177.280.6019.4914.60090
    21210AFace bone graft10.2314.179.660.8825.2820.77090
    21215ALower jaw bone graft10.7713.969.861.0425.7721.67090
    21230ARib cartilage graft10.77N/A8.860.96N/A20.59090
    21235AEar cartilage graft6.7211.677.250.5218.9114.49090
    21240AReconstruction of jaw joint14.05N/A13.171.15N/A28.37090
    21242AReconstruction of jaw joint12.95N/A12.631.40N/A26.98090
    21243AReconstruction of jaw joint20.79N/A18.481.85N/A41.12090
    21244AReconstruction of lower jaw11.86N/A10.350.95N/A23.16090
    21245AReconstruction of jaw11.8616.6910.050.8829.4322.79090
    21246AReconstruction of jaw12.4715.0510.131.2128.7323.81090
    21247AReconstruct lower jaw bone22.63N/A18.532.21N/A43.37090
    21248AReconstruction of jaw11.4813.469.591.0125.9522.08090
    21249AReconstruction of jaw17.5217.1213.051.3936.0331.96090
    21255AReconstruct lower jaw bone16.72N/A12.981.13N/A30.83090
    21256AReconstruction of orbit16.19N/A12.471.04N/A29.70090
    21260ARevise eye sockets16.52N/A9.131.25N/A26.90090
    21261ARevise eye sockets31.49N/A19.672.20N/A53.36090
    21263ARevise eye sockets28.42N/A13.142.16N/A43.72090
    21267ARevise eye sockets18.90N/A13.581.35N/A33.83090
    Start Printed Page 49084
    21268ARevise eye sockets24.48N/A15.660.79N/A40.93090
    21270AAugmentation, cheek bone10.2312.358.360.7323.3119.32090
    21275ARevision, orbitofacial bones11.24N/A9.101.03N/A21.37090
    21280ARevision of eyelid6.03N/A6.180.27N/A12.48090
    21282ARevision of eyelid3.49N/A4.840.21N/A8.54090
    21295ARevision of jaw muscle/bone1.53N/A3.020.13N/A4.68090
    21296ARevision of jaw muscle/bone4.25N/A4.650.30N/A9.20090
    21299CCranio/maxillofacial surgery0.000.000.000.000.000.00YYY
    21300ATreatment of skull fracture0.722.480.260.093.291.07000
    21310ATreatment of nose fracture0.582.440.150.053.070.78000
    21315ATreatment of nose fracture1.513.181.310.124.812.94010
    21320ATreatment of nose fracture1.854.441.890.156.443.89010
    21325ATreatment of nose fracture3.77N/A3.840.31N/A7.92090
    21330ATreatment of nose fracture5.38N/A5.440.48N/A11.30090
    21335ATreatment of nose fracture8.61N/A7.020.64N/A16.27090
    21336ATreat nasal septal fracture5.72N/A6.180.45N/A12.35090
    21337ATreat nasal septal fracture2.705.273.750.228.196.67090
    21338ATreat nasoethmoid fracture6.46N/A6.140.53N/A13.13090
    21339ATreat nasoethmoid fracture8.09N/A6.900.76N/A15.75090
    21340ATreatment of nose fracture10.77N/A8.990.85N/A20.61090
    21343ATreatment of sinus fracture12.95N/A10.371.06N/A24.38090
    21344ATreatment of sinus fracture19.72N/A14.001.72N/A35.44090
    21345ATreat nose/jaw fracture8.1612.018.210.6020.7716.97090
    21346ATreat nose/jaw fracture10.6113.679.410.8525.1320.87090
    21347ATreat nose/jaw fracture12.69N/A10.021.14N/A23.85090
    21348ATreat nose/jaw fracture16.69N/A11.601.50N/A29.79090
    21355ATreat cheek bone fracture3.774.862.430.298.926.49010
    21356ATreat cheek bone fracture4.1512.213.310.3616.727.82010
    21360ATreat cheek bone fracture6.4614.596.320.5221.5713.30090
    21365ATreat cheek bone fracture14.95N/A12.081.30N/A28.33090
    21366ATreat cheek bone fracture17.77N/A11.971.41N/A31.15090
    21385ATreat eye socket fracture9.16N/A7.320.64N/A17.12090
    21386ATreat eye socket fracture9.16N/A7.730.76N/A17.65090
    21387ATreat eye socket fracture9.70N/A7.810.78N/A18.29090
    21390ATreat eye socket fracture10.13N/A8.270.70N/A19.10090
    21395ATreat eye socket fracture12.68N/A9.621.09N/A23.39090
    21400ATreat eye socket fracture1.403.802.100.125.323.62090
    21401ATreat eye socket fracture3.265.113.840.348.717.44090
    21406ATreat eye socket fracture7.01N/A6.580.59N/A14.18090
    21407ATreat eye socket fracture8.61N/A7.380.67N/A16.66090
    21408ATreat eye socket fracture12.38N/A9.491.24N/A23.11090
    21421ATreat mouth roof fracture5.1410.226.310.4215.7811.87090
    21422ATreat mouth roof fracture8.3211.737.380.6920.7416.39090
    21423ATreat mouth roof fracture10.40N/A8.720.95N/A20.07090
    21431ATreat craniofacial fracture7.0511.107.150.5818.7314.78090
    21432ATreat craniofacial fracture8.61N/A6.530.55N/A15.69090
    21433ATreat craniofacial fracture25.35N/A17.382.46N/A45.19090
    21435ATreat craniofacial fracture17.25N/A13.411.66N/A32.32090
    21436ATreat craniofacial fracture28.04N/A18.942.32N/A49.30090
    21440ATreat dental ridge fracture2.708.324.220.2211.247.14090
    21445ATreat dental ridge fracture5.3810.816.480.5516.7412.41090
    21450ATreat lower jaw fracture2.9711.003.860.2314.207.06090
    21451ATreat lower jaw fracture4.879.156.000.3914.4111.26090
    21452ATreat lower jaw fracture1.988.193.810.1410.315.93090
    21453ATreat lower jaw fracture5.5410.897.070.4916.9213.10090
    21454ATreat lower jaw fracture6.46N/A6.620.55N/A13.63090
    21461ATreat lower jaw fracture8.0912.998.580.7321.8117.40090
    21462ATreat lower jaw fracture9.7914.589.310.8025.1719.90090
    Start Printed Page 49085
    21465ATreat lower jaw fracture11.91N/A10.160.84N/A22.91090
    21470ATreat lower jaw fracture15.34N/A12.411.36N/A29.11090
    21480AReset dislocated jaw0.612.060.190.052.720.85000
    21485AReset dislocated jaw3.996.154.920.3110.459.22090
    21490ARepair dislocated jaw11.86N/A10.031.31N/A23.20090
    21493ATreat hyoid bone fracture1.27N/A2.960.10N/A4.33090
    21494ATreat hyoid bone fracture6.28N/A5.910.44N/A12.63090
    21495ATreat hyoid bone fracture5.69N/A6.180.41N/A12.28090
    21497AInterdental wiring3.866.775.160.3110.949.33090
    21499CHead surgery procedure0.000.000.000.000.000.00YYY
    21501ADrain neck/chest lesion3.814.793.950.368.968.12090
    21502ADrain chest lesion7.12N/A5.710.79N/A13.62090
    21510ADrainage of bone lesion5.74N/A5.650.67N/A12.06090
    21550ABiopsy of neck/chest2.063.651.750.135.843.94010
    21555ARemove lesion, neck/chest4.355.153.210.419.917.97090
    21556ARemove lesion, neck/chest5.57N/A4.090.51N/A10.17090
    21557ARemove tumor, neck/chest8.88N/A5.680.85N/A15.41090
    21600APartial removal of rib6.89N/A5.790.81N/A13.49090
    21610APartial removal of rib14.61N/A9.251.85N/A25.71090
    21615ARemoval of rib9.87N/A6.631.20N/A17.70090
    21616ARemoval of rib and nerves12.04N/A8.001.31N/A21.35090
    21620APartial removal of sternum6.79N/A6.090.77N/A13.65090
    21627ASternal debridement6.81N/A6.820.82N/A14.45090
    21630AExtensive sternum surgery17.38N/A11.991.95N/A31.32090
    21632AExtensive sternum surgery18.14N/A10.782.16N/A31.08090
    21700ARevision of neck muscle6.196.234.880.3112.7311.38090
    21705ARevision of neck muscle/rib9.60N/A5.790.92N/A16.31090
    21720ARevision of neck muscle5.685.684.780.8012.1611.26090
    21725ARevision of neck muscle6.99N/A5.720.90N/A13.61090
    21740AReconstruction of sternum16.50N/A8.672.03N/A27.20090
    21742CRepair stern/nuss w/o scope0.000.000.000.000.000.00090
    21743CRepair sternum/nuss w/scope0.000.000.000.000.000.00090
    21750ARepair of sternum separation10.77N/A6.161.35N/A18.28090
    21800ATreatment of rib fracture0.962.151.430.093.202.48090
    21805ATreatment of rib fracture2.75N/A3.310.29N/A6.35090
    21810ATreatment of rib fracture(s)6.86N/A5.040.60N/A12.50090
    21820ATreat sternum fracture1.282.681.850.154.113.28090
    21825ATreat sternum fracture7.41N/A6.480.84N/A14.73090
    21899CNeck/chest surgery procedure0.000.000.000.000.000.00YYY
    21920ABiopsy soft tissue of back2.063.271.500.125.453.68010
    21925ABiopsy soft tissue of back4.499.163.440.4414.098.37090
    21930ARemove lesion, back or flank5.005.493.420.4910.988.91090
    21935ARemove tumor, back17.96N/A10.501.87N/A30.33090
    22100ARemove part of neck vertebra9.73N/A7.821.55N/A19.10090
    22101ARemove part, thorax vertebra9.81N/A8.041.51N/A19.36090
    22102ARemove part, lumbar vertebra9.81N/A8.301.46N/A19.57090
    22103ARemove extra spine segment2.34N/A1.240.37N/A3.95ZZZ
    22110ARemove part of neck vertebra12.74N/A9.542.20N/A24.48090
    22112ARemove part, thorax vertebra12.81N/A9.561.96N/A24.33090
    22114ARemove part, lumbar vertebra12.81N/A9.581.98N/A24.37090
    22116ARemove extra spine segment2.32N/A1.190.40N/A3.91ZZZ
    22210ARevision of neck spine23.82N/A15.884.23N/A43.93090
    Start Printed Page 49086
    22212ARevision of thorax spine19.42N/A13.572.78N/A35.77090
    22214ARevision of lumbar spine19.45N/A14.042.78N/A36.27090
    22216ARevise, extra spine segment6.04N/A3.200.98N/A10.22ZZZ
    22220ARevision of neck spine21.37N/A14.103.65N/A39.12090
    22222ARevision of thorax spine21.52N/A11.933.08N/A36.53090
    22224ARevision of lumbar spine21.52N/A14.603.20N/A39.32090
    22226ARevise, extra spine segment6.04N/A3.161.01N/A10.21ZZZ
    22305ATreat spine process fracture2.053.252.430.295.594.77090
    22310ATreat spine fracture2.614.984.200.377.967.18090
    22315ATreat spine fracture8.8418.697.741.3728.9017.95090
    22318ATreat odontoid fx w/o graft21.50N/A13.814.26N/A39.57090
    22319ATreat odontoid fx w/graft24.00N/A15.334.76N/A44.09090
    22325ATreat spine fracture18.30N/A12.412.61N/A33.32090
    22326ATreat neck spine fracture19.59N/A13.203.54N/A36.33090
    22327ATreat thorax spine fracture19.20N/A12.712.75N/A34.66090
    22328ATreat each add spine fx4.61N/A2.320.66N/A7.59ZZZ
    22505AManipulation of spine1.87N/A0.950.27N/A3.09010
    22520APercut vertebroplasty thor8.91104.964.400.99114.8614.30010
    22521APercut vertebroplasty lumb8.3493.704.240.93102.9713.51010
    22522APercut vertebroplasty addl4.31N/A1.720.33N/A6.36ZZZ
    22548ANeck spine fusion25.82N/A16.154.98N/A46.95090
    22554ANeck spine fusion18.62N/A12.573.51N/A34.70090
    22556AThorax spine fusion23.46N/A14.913.78N/A42.15090
    22558ALumbar spine fusion22.28N/A13.453.18N/A38.91090
    22585AAdditional spinal fusion5.53N/A2.860.98N/A9.37ZZZ
    22590ASpine & skull spinal fusion20.51N/A13.573.81N/A37.89090
    22595ANeck spinal fusion19.39N/A13.063.62N/A36.07090
    22600ANeck spine fusion16.14N/A11.372.89N/A30.40090
    22610AThorax spine fusion16.02N/A11.552.66N/A30.23090
    22612ALumbar spine fusion21.00N/A14.363.28N/A38.64090
    22614ASpine fusion, extra segment6.44N/A3.431.04N/A10.91ZZZ
    22630ALumbar spine fusion20.84N/A13.823.79N/A38.45090
    22632ASpine fusion, extra segment5.23N/A2.730.90N/A8.86ZZZ
    22800AFusion of spine18.25N/A12.882.71N/A33.84090
    22802AFusion of spine30.88N/A19.844.42N/A55.14090
    22804AFusion of spine36.27N/A23.005.23N/A64.50090
    22808AFusion of spine26.27N/A16.554.36N/A47.18090
    22810AFusion of spine30.27N/A18.614.49N/A53.37090
    22812AFusion of spine32.70N/A20.214.67N/A57.58090
    22818AKyphectomy, 1-2 segments31.83N/A19.305.01N/A56.14090
    22819AKyphectomy, 3 or more36.44N/A20.385.20N/A62.02090
    22830AExploration of spinal fusion10.85N/A8.131.73N/A20.71090
    22840AInsert spine fixation device12.54N/A6.642.03N/A21.21ZZZ
    22842AInsert spine fixation device12.58N/A6.662.04N/A21.28ZZZ
    22843AInsert spine fixation device13.46N/A6.752.10N/A22.31ZZZ
    22844AInsert spine fixation device16.44N/A8.952.42N/A27.81ZZZ
    22845AInsert spine fixation device11.96N/A6.222.22N/A20.40ZZZ
    22846AInsert spine fixation device12.42N/A6.482.26N/A21.16ZZZ
    22847AInsert spine fixation device13.80N/A7.192.36N/A23.35ZZZ
    22848AInsert pelv fixation device6.00N/A3.260.88N/A10.14ZZZ
    22849AReinsert spinal fixation18.51N/A12.172.87N/A33.55090
    22850ARemove spine fixation device9.52N/A7.281.51N/A18.31090
    22851AApply spine prosth device6.71N/A3.441.11N/A11.26ZZZ
    22852ARemove spine fixation device9.01N/A7.061.40N/A17.47090
    22855ARemove spine fixation device15.13N/A10.022.74N/A27.89090
    22899CSpine surgery procedure0.000.000.000.000.000.00YYY
    Start Printed Page 49087
    22900ARemove abdominal wall lesion5.80N/A3.320.58N/A9.70090
    22999CAbdomen surgery procedure0.000.000.000.000.000.00YYY
    23000ARemoval of calcium deposits4.365.594.740.5010.459.60090
    23020ARelease shoulder joint8.93N/A7.821.23N/A17.98090
    23030ADrain shoulder lesion3.433.072.970.426.926.82010
    23031ADrain shoulder bursa2.742.732.730.335.805.80010
    23035ADrain shoulder bone lesion8.61N/A9.121.19N/A18.92090
    23040AExploratory shoulder surgery9.20N/A8.201.28N/A18.68090
    23044AExploratory shoulder surgery7.12N/A6.800.97N/A14.89090
    23065ABiopsy shoulder tissues2.272.881.550.145.293.96010
    23066ABiopsy shoulder tissues4.165.194.180.509.858.84090
    23075ARemoval of shoulder lesion2.392.271.820.254.914.46010
    23076ARemoval of shoulder lesion7.63N/A5.880.87N/A14.38090
    23077ARemove tumor of shoulder16.09N/A11.031.81N/A28.93090
    23100ABiopsy of shoulder joint6.03N/A5.890.81N/A12.73090
    23101AShoulder joint surgery5.58N/A5.680.77N/A12.03090
    23105ARemove shoulder joint lining8.23N/A7.411.13N/A16.77090
    23106AIncision of collarbone joint5.96N/A5.930.82N/A12.71090
    23107AExplore treat shoulder joint8.62N/A7.631.19N/A17.44090
    23120APartial removal, collar bone7.11N/A6.700.99N/A14.80090
    23125ARemoval of collar bone9.39N/A7.851.27N/A18.51090
    23130ARemove shoulder bone, part7.55N/A7.231.06N/A15.84090
    23140ARemoval of bone lesion6.89N/A5.560.82N/A13.27090
    23145ARemoval of bone lesion9.09N/A7.921.24N/A18.25090
    23146ARemoval of bone lesion7.83N/A7.391.11N/A16.33090
    23150ARemoval of humerus lesion8.48N/A7.191.14N/A16.81090
    23155ARemoval of humerus lesion10.35N/A8.641.20N/A20.19090
    23156ARemoval of humerus lesion8.68N/A7.631.18N/A17.49090
    23170ARemove collar bone lesion6.86N/A6.600.84N/A14.30090
    23172ARemove shoulder blade lesion6.90N/A6.700.95N/A14.55090
    23174ARemove humerus lesion9.51N/A8.631.30N/A19.44090
    23180ARemove collar bone lesion8.53N/A9.761.18N/A19.47090
    23182ARemove shoulder blade lesion8.15N/A9.361.08N/A18.59090
    23184ARemove humerus lesion9.38N/A10.121.24N/A20.74090
    23190APartial removal of scapula7.24N/A6.340.97N/A14.55090
    23195ARemoval of head of humerus9.81N/A8.001.38N/A19.19090
    23200ARemoval of collar bone12.08N/A9.241.48N/A22.80090
    23210ARemoval of shoulder blade12.49N/A9.611.61N/A23.71090
    23220APartial removal of humerus14.56N/A11.282.03N/A27.87090
    23221APartial removal of humerus17.74N/A12.232.51N/A32.48090
    23222APartial removal of humerus23.92N/A16.443.37N/A43.73090
    23330ARemove shoulder foreign body1.852.081.890.184.113.92010
    23331ARemove shoulder foreign body7.38N/A7.021.02N/A15.42090
    23332ARemove shoulder foreign body11.62N/A9.491.62N/A22.73090
    Start Printed Page 49088
    23350AInjection for shoulder x-ray1.003.880.340.054.931.39000
    23395AMuscle transfer,shoulder/arm16.85N/A12.872.29N/A32.01090
    23397AMuscle transfers16.13N/A11.592.24N/A29.96090
    23400AFixation of shoulder blade13.54N/A10.421.91N/A25.87090
    23405AIncision of tendon & muscle8.37N/A7.081.12N/A16.57090
    23406AIncise tendon(s) & muscle(s)10.79N/A8.661.48N/A20.93090
    23410ARepair rotator cuff, acute12.45N/A9.691.72N/A23.86090
    23412ARepair rotator cuff, chronic13.31N/A10.191.86N/A25.36090
    23415ARelease of shoulder ligament9.97N/A8.121.39N/A19.48090
    23420ARepair of shoulder13.30N/A11.081.86N/A26.24090
    23430ARepair biceps tendon9.98N/A8.361.40N/A19.74090
    23440ARemove/transplant tendon10.48N/A8.551.47N/A20.50090
    23450ARepair shoulder capsule13.40N/A10.161.86N/A25.42090
    23455ARepair shoulder capsule14.37N/A10.752.01N/A27.13090
    23460ARepair shoulder capsule15.37N/A11.582.17N/A29.12090
    23462ARepair shoulder capsule15.30N/A11.082.16N/A28.54090
    23465ARepair shoulder capsule15.85N/A11.521.61N/A28.98090
    23466ARepair shoulder capsule14.22N/A11.482.00N/A27.70090
    23470AReconstruct shoulder joint17.15N/A12.302.40N/A31.85090
    23472AReconstruct shoulder joint21.10N/A14.542.37N/A38.01090
    23480ARevision of collar bone11.18N/A9.041.56N/A21.78090
    23485ARevision of collar bone13.43N/A10.191.84N/A25.46090
    23490AReinforce clavicle11.86N/A8.961.11N/A21.93090
    23491AReinforce shoulder bones14.21N/A10.902.00N/A27.11090
    23500ATreat clavicle fracture2.083.732.610.266.074.95090
    23505ATreat clavicle fracture3.695.523.920.509.718.11090
    23515ATreat clavicle fracture7.41N/A6.651.03N/A15.09090
    23520ATreat clavicle dislocation2.163.732.760.266.155.18090
    23525ATreat clavicle dislocation3.605.353.950.449.397.99090
    23530ATreat clavicle dislocation7.31N/A6.080.85N/A14.24090
    23532ATreat clavicle dislocation8.01N/A7.051.13N/A16.19090
    23540ATreat clavicle dislocation2.234.342.510.246.814.98090
    23545ATreat clavicle dislocation3.254.593.450.398.237.09090
    23550ATreat clavicle dislocation7.24N/A6.510.94N/A14.69090
    23552ATreat clavicle dislocation8.45N/A7.401.18N/A17.03090
    23570ATreat shoulder blade fx2.233.742.920.296.265.44090
    23575ATreat shoulder blade fx4.065.874.330.5310.468.92090
    23585ATreat scapula fracture8.96N/A7.741.25N/A17.95090
    23600ATreat humerus fracture2.935.733.800.399.057.12090
    23605ATreat humerus fracture4.877.035.360.6712.5710.90090
    23615ATreat humerus fracture9.35N/A8.861.31N/A19.52090
    23616ATreat humerus fracture21.27N/A14.392.98N/A38.64090
    23620ATreat humerus fracture2.405.293.290.328.016.01090
    23625ATreat humerus fracture3.936.544.740.5311.009.20090
    23630ATreat humerus fracture7.35N/A6.711.03N/A15.09090
    23650ATreat shoulder dislocation3.394.872.990.318.576.69090
    23655ATreat shoulder dislocation4.57N/A4.170.52N/A9.26090
    23660ATreat shoulder dislocation7.49N/A6.481.01N/A14.98090
    23665ATreat dislocation/fracture4.476.815.130.6011.8810.20090
    23670ATreat dislocation/fracture7.90N/A6.951.10N/A15.95090
    23675ATreat dislocation/fracture6.057.706.170.8314.5813.05090
    23680ATreat dislocation/fracture10.06N/A8.241.39N/A19.69090
    23700AFixation of shoulder2.52N/A2.390.35N/A5.26010
    23800AFusion of shoulder joint14.16N/A10.761.97N/A26.89090
    23802AFusion of shoulder joint16.60N/A10.492.34N/A29.43090
    23900AAmputation of arm & girdle19.72N/A12.212.47N/A34.40090
    23920AAmputation at shoulder joint14.61N/A10.451.92N/A26.98090
    23921AAmputation follow-up surgery5.495.325.320.7811.5911.59090
    23929CShoulder surgery procedure0.000.000.000.000.000.00YYY
    Start Printed Page 49089
    23930ADrainage of arm lesion2.943.072.500.326.335.76010
    23931ADrainage of arm bursa1.792.762.310.214.764.31010
    23935ADrain arm/elbow bone lesion6.09N/A6.740.84N/A13.67090
    24000AExploratory elbow surgery5.82N/A5.560.77N/A12.15090
    24006ARelease elbow joint9.31N/A7.931.27N/A18.51090
    24065ABiopsy arm/elbow soft tissue2.082.451.940.144.674.16010
    24066ABiopsy arm/elbow soft tissue5.215.904.410.6111.7210.23090
    24075ARemove arm/elbow lesion3.925.183.790.439.538.14090
    24076ARemove arm/elbow lesion6.30N/A5.170.70N/A12.17090
    24077ARemove tumor of arm/elbow11.76N/A8.971.32N/A22.05090
    24100ABiopsy elbow joint lining4.93N/A4.720.62N/A10.27090
    24101AExplore/treat elbow joint6.13N/A6.070.84N/A13.04090
    24102ARemove elbow joint lining8.03N/A7.051.09N/A16.17090
    24105ARemoval of elbow bursa3.61N/A4.530.49N/A8.63090
    24110ARemove humerus lesion7.39N/A6.930.99N/A15.31090
    24115ARemove/graft bone lesion9.63N/A7.581.15N/A18.36090
    24116ARemove/graft bone lesion11.81N/A9.341.66N/A22.81090
    24120ARemove elbow lesion6.65N/A6.080.87N/A13.60090
    24125ARemove/graft bone lesion7.89N/A6.380.88N/A15.15090
    24126ARemove/graft bone lesion8.31N/A7.190.90N/A16.40090
    24130ARemoval of head of radius6.25N/A6.160.87N/A13.28090
    24134ARemoval of arm bone lesion9.73N/A9.791.31N/A20.83090
    24136ARemove radius bone lesion7.99N/A7.660.85N/A16.50090
    24138ARemove elbow bone lesion8.05N/A7.711.12N/A16.88090
    24140APartial removal of arm bone9.18N/A10.171.23N/A20.58090
    24145APartial removal of radius7.58N/A8.801.01N/A17.39090
    24147APartial removal of elbow7.54N/A9.191.04N/A17.77090
    24149ARadical resection of elbow14.20N/A11.531.90N/A27.63090
    24150AExtensive humerus surgery13.27N/A10.471.81N/A25.55090
    24151AExtensive humerus surgery15.58N/A12.082.19N/A29.85090
    24152AExtensive radius surgery10.06N/A8.271.19N/A19.52090
    24153AExtensive radius surgery11.54N/A6.080.64N/A18.26090
    24155ARemoval of elbow joint11.73N/A8.621.42N/A21.77090
    24160ARemove elbow joint implant7.83N/A6.851.07N/A15.75090
    24164ARemove radius head implant6.23N/A5.770.84N/A12.84090
    24200ARemoval of arm foreign body1.762.381.820.154.293.73010
    24201ARemoval of arm foreign body4.565.844.460.5610.969.58090
    24220AInjection for elbow x-ray1.317.420.450.078.801.83000
    24300AManipulate elbow w/anesth3.75N/A5.700.49N/A9.94090
    24301AMuscle/tendon transfer10.20N/A8.401.30N/A19.90090
    24305AArm tendon lengthening7.45N/A6.870.98N/A15.30090
    24310ARevision of arm tendon5.98N/A5.900.74N/A12.62090
    24320ARepair of arm tendon10.56N/A7.951.00N/A19.51090
    24330ARevision of arm muscles9.60N/A8.091.21N/A18.90090
    24331ARevision of arm muscles10.65N/A8.751.41N/A20.81090
    24332ATenolysis, triceps7.45N/A6.760.77N/A14.98090
    24340ARepair of biceps tendon7.89N/A7.111.08N/A16.08090
    24341ARepair arm tendon/muscle7.90N/A7.861.08N/A16.84090
    24342ARepair of ruptured tendon10.62N/A8.681.48N/A20.78090
    24343ARepr elbow lat ligmnt w/tiss8.65N/A8.211.13N/A17.99090
    Start Printed Page 49090
    24344AReconstruct elbow lat ligmnt14.00N/A11.531.83N/A27.36090
    24345ARepr elbw med ligmnt w/tissu8.65N/A8.111.13N/A17.89090
    24346AReconstruct elbow med ligmnt14.00N/A11.381.83N/A27.21090
    24350ARepair of tennis elbow5.25N/A5.680.72N/A11.65090
    24351ARepair of tennis elbow5.91N/A6.040.82N/A12.77090
    24352ARepair of tennis elbow6.43N/A6.300.90N/A13.63090
    24354ARepair of tennis elbow6.48N/A6.260.88N/A13.62090
    24356ARevision of tennis elbow6.68N/A6.440.90N/A14.02090
    24360AReconstruct elbow joint12.34N/A9.481.69N/A23.51090
    24361AReconstruct elbow joint14.08N/A10.561.95N/A26.59090
    24362AReconstruct elbow joint14.99N/A10.121.92N/A27.03090
    24363AReplace elbow joint18.49N/A13.782.52N/A34.79090
    24365AReconstruct head of radius8.39N/A7.161.11N/A16.66090
    24366AReconstruct head of radius9.13N/A7.511.28N/A17.92090
    24400ARevision of humerus11.06N/A9.141.53N/A21.73090
    24410ARevision of humerus14.82N/A10.691.89N/A27.40090
    24420ARevision of humerus13.44N/A11.041.82N/A26.30090
    24430ARepair of humerus12.81N/A10.011.80N/A24.62090
    24435ARepair humerus with graft13.17N/A11.101.84N/A26.11090
    24470ARevision of elbow joint8.74N/A7.831.23N/A17.80090
    24495ADecompression of forearm8.12N/A9.090.92N/A18.13090
    24498AReinforce humerus11.92N/A9.521.67N/A23.11090
    24500ATreat humerus fracture3.215.403.590.419.027.21090
    24505ATreat humerus fracture5.177.645.580.7213.5311.47090
    24515ATreat humerus fracture11.65N/A9.481.63N/A22.76090
    24516ATreat humerus fracture11.65N/A9.451.63N/A22.73090
    24530ATreat humerus fracture3.505.594.110.479.568.08090
    24535ATreat humerus fracture6.878.546.530.9616.3714.36090
    24538ATreat humerus fracture9.43N/A8.851.25N/A19.53090
    24545ATreat humerus fracture10.46N/A8.551.47N/A20.48090
    24546ATreat humerus fracture15.69N/A11.632.18N/A29.50090
    24560ATreat humerus fracture2.805.073.190.358.226.34090
    24565ATreat humerus fracture5.567.425.500.7413.7211.80090
    24566ATreat humerus fracture7.79N/A8.361.10N/A17.25090
    24575ATreat humerus fracture10.66N/A8.421.44N/A20.52090
    24576ATreat humerus fracture2.864.943.570.388.186.81090
    24577ATreat humerus fracture5.797.705.800.8114.3012.40090
    24579ATreat humerus fracture11.60N/A9.101.62N/A22.32090
    24582ATreat humerus fracture8.55N/A9.171.20N/A18.92090
    24586ATreat elbow fracture15.21N/A11.192.12N/A28.52090
    24587ATreat elbow fracture15.16N/A11.002.14N/A28.30090
    24600ATreat elbow dislocation4.235.863.740.4910.588.46090
    24605ATreat elbow dislocation5.42N/A5.160.72N/A11.30090
    24615ATreat elbow dislocation9.42N/A7.841.31N/A18.57090
    24620ATreat elbow fracture6.98N/A6.230.90N/A14.11090
    24635ATreat elbow fracture13.19N/A14.761.84N/A29.79090
    24640ATreat elbow dislocation1.202.060.910.113.372.22010
    24650ATreat radius fracture2.164.642.790.287.085.23090
    24655ATreat radius fracture4.406.894.780.5811.879.76090
    24665ATreat radius fracture8.14N/A7.621.13N/A16.89090
    24666ATreat radius fracture9.49N/A8.301.32N/A19.11090
    24670ATreat ulnar fracture2.544.523.070.337.395.94090
    24675ATreat ulnar fracture4.726.945.010.6512.3110.38090
    24685ATreat ulnar fracture8.80N/A7.771.23N/A17.80090
    24800AFusion of elbow joint11.20N/A8.951.41N/A21.56090
    24802AFusion/graft of elbow joint13.69N/A10.591.89N/A26.17090
    24900AAmputation of upper arm9.60N/A7.531.18N/A18.31090
    24920AAmputation of upper arm9.54N/A7.881.22N/A18.64090
    24925AAmputation follow-up surgery7.07N/A6.450.95N/A14.47090
    Start Printed Page 49091
    24930AAmputation follow-up surgery10.25N/A7.781.23N/A19.26090
    24931AAmputate upper arm & implant12.72N/A6.311.56N/A20.59090
    24935ARevision of amputation15.56N/A8.641.58N/A25.78090
    24940CRevision of upper arm0.000.000.000.000.000.00090
    24999CUpper arm/elbow surgery0.000.000.000.000.000.00YYY
    25000AIncision of tendon sheath3.38N/A6.950.45N/A10.78090
    25001AIncise flexor carpi radialis3.38N/A4.290.45N/A8.12090
    25020ADecompress forearm 1 space5.92N/A10.240.76N/A16.92090
    25023ADecompress forearm 1 space12.96N/A15.711.52N/A30.19090
    25024ADecompress forearm 2 spaces9.50N/A7.631.24N/A18.37090
    25025ADecompress forarm 2 spaces16.54N/A10.252.18N/A28.97090
    25028ADrainage of forearm lesion5.25N/A8.790.61N/A14.65090
    25031ADrainage of forearm bursa4.14N/A8.650.50N/A13.29090
    25035ATreat forearm bone lesion7.36N/A14.640.98N/A22.98090
    25040AExplore/treat wrist joint7.18N/A7.680.96N/A15.82090
    25065ABiopsy forearm soft tissues1.992.892.890.125.005.00010
    25066ABiopsy forearm soft tissues4.13N/A7.430.49N/A12.05090
    25075ARemovel forearm lesion subcu3.74N/A6.280.40N/A10.42090
    25076ARemovel forearm lesion deep4.92N/A10.350.59N/A15.86090
    25077ARemove tumor, forearm/wrist9.76N/A12.981.10N/A23.84090
    25085AIncision of wrist capsule5.50N/A7.810.71N/A14.02090
    25100ABiopsy of wrist joint3.90N/A5.670.50N/A10.07090
    25101AExplore/treat wrist joint4.69N/A6.250.60N/A11.54090
    25105ARemove wrist joint lining5.85N/A7.880.77N/A14.50090
    25107ARemove wrist joint cartilage6.43N/A8.830.82N/A16.08090
    25110ARemove wrist tendon lesion3.92N/A7.460.48N/A11.86090
    25111ARemove wrist tendon lesion3.39N/A5.080.42N/A8.89090
    25112AReremove wrist tendon lesion4.53N/A5.690.54N/A10.76090
    25115ARemove wrist/forearm lesion8.82N/A14.841.11N/A24.77090
    25116ARemove wrist/forearm lesion7.11N/A13.820.90N/A21.83090
    25118AExcise wrist tendon sheath4.37N/A6.170.55N/A11.09090
    25119APartial removal of ulna6.04N/A8.170.80N/A15.01090
    25120ARemoval of forearm lesion6.10N/A12.830.81N/A19.74090
    25125ARemove/graft forearm lesion7.48N/A13.611.02N/A22.11090
    25126ARemove/graft forearm lesion7.55N/A13.691.00N/A22.24090
    25130ARemoval of wrist lesion5.26N/A6.720.66N/A12.64090
    25135ARemove & graft wrist lesion6.89N/A7.750.89N/A15.53090
    25136ARemove & graft wrist lesion5.97N/A6.870.58N/A13.42090
    25145ARemove forearm bone lesion6.37N/A12.840.82N/A20.03090
    25150APartial removal of ulna7.09N/A8.850.96N/A16.90090
    25151APartial removal of radius7.39N/A13.460.93N/A21.78090
    25170AExtensive forearm surgery11.09N/A15.811.52N/A28.42090
    25210ARemoval of wrist bone5.95N/A7.100.73N/A13.78090
    25215ARemoval of wrist bones7.89N/A9.321.02N/A18.23090
    Start Printed Page 49092
    25230APartial removal of radius5.23N/A6.510.66N/A12.40090
    25240APartial removal of ulna5.17N/A7.590.69N/A13.45090
    25246AInjection for wrist x-ray1.457.160.490.078.682.01000
    25248ARemove forearm foreign body5.14N/A9.000.54N/A14.68090
    25250ARemoval of wrist prosthesis6.60N/A6.060.84N/A13.50090
    25251ARemoval of wrist prosthesis9.57N/A7.951.15N/A18.67090
    25259AManipulate wrist w/anesthes3.75N/A5.700.50N/A9.95090
    25260ARepair forearm tendon/muscle7.80N/A14.220.97N/A22.99090
    25263ARepair forearm tendon/muscle7.82N/A14.090.94N/A22.85090
    25265ARepair forearm tendon/muscle9.88N/A14.981.19N/A26.05090
    25270ARepair forearm tendon/muscle6.00N/A12.990.76N/A19.75090
    25272ARepair forearm tendon/muscle7.04N/A13.700.89N/A21.63090
    25274ARepair forearm tendon/muscle8.75N/A14.411.14N/A24.30090
    25275ARepair forearm tendon sheath8.50N/A7.721.13N/A17.35090
    25280ARevise wrist/forearm tendon7.22N/A13.390.91N/A21.52090
    25290AIncise wrist/forearm tendon5.29N/A16.390.66N/A22.34090
    25295ARelease wrist/forearm tendon6.55N/A12.950.86N/A20.36090
    25300AFusion of tendons at wrist8.80N/A8.661.07N/A18.53090
    25301AFusion of tendons at wrist8.40N/A8.381.08N/A17.86090
    25310ATransplant forearm tendon8.14N/A13.811.01N/A22.96090
    25312ATransplant forearm tendon9.57N/A14.721.22N/A25.51090
    25315ARevise palsy hand tendon(s)10.20N/A15.321.26N/A26.78090
    25316ARevise palsy hand tendon(s)12.33N/A16.981.74N/A31.05090
    25320ARepair/revise wrist joint10.77N/A11.401.32N/A23.49090
    25332ARevise wrist joint11.41N/A9.181.46N/A22.05090
    25335ARealignment of hand12.88N/A11.901.66N/A26.44090
    25337AReconstruct ulna/radioulnar10.17N/A11.551.31N/A23.03090
    25350ARevision of radius8.78N/A14.681.17N/A24.63090
    25355ARevision of radius10.17N/A15.361.44N/A26.97090
    25360ARevision of ulna8.43N/A14.591.17N/A24.19090
    25365ARevise radius & ulna12.40N/A16.321.67N/A30.39090
    25370ARevise radius or ulna13.36N/A16.541.88N/A31.78090
    25375ARevise radius & ulna13.04N/A17.151.84N/A32.03090
    25390AShorten radius or ulna10.40N/A15.341.38N/A27.12090
    25391ALengthen radius or ulna13.65N/A17.221.73N/A32.60090
    25392AShorten radius & ulna13.95N/A16.311.73N/A31.99090
    25393ALengthen radius & ulna15.87N/A18.231.87N/A35.97090
    25394ARepair carpal bone, shorten10.40N/A8.531.40N/A20.33090
    25400ARepair radius or ulna10.92N/A15.931.50N/A28.35090
    25405ARepair/graft radius or ulna14.38N/A17.961.95N/A34.29090
    25415ARepair radius & ulna13.35N/A17.201.87N/A32.42090
    25420ARepair/graft radius & ulna16.33N/A18.972.20N/A37.50090
    25425ARepair/graft radius or ulna13.21N/A23.021.61N/A37.84090
    25426ARepair/graft radius & ulna15.82N/A17.552.23N/A35.60090
    25430AVasc graft into carpal bone9.25N/A7.541.07N/A17.86090
    25431ARepair nonunion carpal bone10.44N/A8.520.56N/A19.52090
    Start Printed Page 49093
    25440ARepair/graft wrist bone10.44N/A9.691.41N/A21.54090
    25441AReconstruct wrist joint12.90N/A10.011.83N/A24.74090
    25442AReconstruct wrist joint10.85N/A8.881.24N/A20.97090
    25443AReconstruct wrist joint10.39N/A8.761.30N/A20.45090
    25444AReconstruct wrist joint11.15N/A9.071.43N/A21.65090
    25445AReconstruct wrist joint9.69N/A8.021.26N/A18.97090
    25446AWrist replacement16.55N/A11.982.20N/A30.73090
    25447ARepair wrist joint(s)10.37N/A8.641.34N/A20.35090
    25449ARemove wrist joint implant14.49N/A10.721.77N/A26.98090
    25450ARevision of wrist joint7.87N/A10.710.88N/A19.46090
    25455ARevision of wrist joint9.49N/A11.661.07N/A22.22090
    25490AReinforce radius9.54N/A14.461.19N/A25.19090
    25491AReinforce ulna9.96N/A15.211.41N/A26.58090
    25492AReinforce radius and ulna12.33N/A15.971.62N/A29.92090
    25500ATreat fracture of radius2.454.062.770.286.795.50090
    25505ATreat fracture of radius5.217.365.340.6913.2611.24090
    25515ATreat fracture of radius9.18N/A7.701.22N/A18.10090
    25520ATreat fracture of radius6.267.585.980.8514.6913.09090
    25525ATreat fracture of radius12.24N/A10.121.68N/A24.04090
    25526ATreat fracture of radius12.98N/A13.931.80N/A28.71090
    25530ATreat fracture of ulna2.094.222.850.276.585.21090
    25535ATreat fracture of ulna5.146.985.270.6812.8011.09090
    25545ATreat fracture of ulna8.90N/A7.901.23N/A18.03090
    25560ATreat fracture radius & ulna2.444.122.700.276.835.41090
    25565ATreat fracture radius & ulna5.637.495.410.7613.8811.80090
    25574ATreat fracture radius & ulna7.01N/A7.260.96N/A15.23090
    25575ATreat fracture radius/ulna10.45N/A9.571.46N/A21.48090
    25600ATreat fracture radius/ulna2.634.563.000.347.535.97090
    25605ATreat fracture radius/ulna5.818.186.130.8114.8012.75090
    25611ATreat fracture radius/ulna7.77N/A8.901.08N/A17.75090
    25620ATreat fracture radius/ulna8.55N/A7.511.17N/A17.23090
    25622ATreat wrist bone fracture2.614.633.100.337.576.04090
    25624ATreat wrist bone fracture4.537.105.000.6112.2410.14090
    25628ATreat wrist bone fracture8.43N/A8.051.14N/A17.62090
    25630ATreat wrist bone fracture2.884.653.000.377.906.25090
    25635ATreat wrist bone fracture4.396.873.960.3911.658.74090
    25645ATreat wrist bone fracture7.25N/A7.010.93N/A15.19090
    25650ATreat wrist bone fracture3.054.823.210.378.246.63090
    25651APin ulnar styloid fracture5.36N/A5.620.72N/A11.70090
    25652ATreat fracture ulnar styloid7.60N/A7.111.02N/A15.73090
    25660ATreat wrist dislocation4.76N/A4.750.59N/A10.10090
    25670ATreat wrist dislocation7.92N/A7.311.07N/A16.30090
    25671APin radioulnar dislocation6.00N/A6.230.81N/A13.04090
    25675ATreat wrist dislocation4.676.624.690.5711.869.93090
    25676ATreat wrist dislocation8.04N/A7.561.10N/A16.70090
    25680ATreat wrist fracture5.99N/A4.990.61N/A11.59090
    25685ATreat wrist fracture9.78N/A8.121.25N/A19.15090
    25690ATreat wrist dislocation5.50N/A5.690.78N/A11.97090
    25695ATreat wrist dislocation8.34N/A7.431.07N/A16.84090
    25800AFusion of wrist joint9.76N/A9.351.30N/A20.41090
    25805AFusion/graft of wrist joint11.28N/A10.421.51N/A23.21090
    25810AFusion/graft of wrist joint10.57N/A10.151.37N/A22.09090
    25820AFusion of hand bones7.45N/A8.100.96N/A16.51090
    25825AFuse hand bones with graft9.27N/A9.371.20N/A19.84090
    25830AFusion, radioulnar jnt/ulna10.06N/A15.111.27N/A26.44090
    25900AAmputation of forearm9.01N/A13.061.08N/A23.15090
    25905AAmputation of forearm9.12N/A13.131.06N/A23.31090
    25907AAmputation follow-up surgery7.80N/A12.591.01N/A21.40090
    25909AAmputation follow-up surgery8.96N/A13.101.07N/A23.13090
    25915AAmputation of forearm17.08N/A20.052.41N/A39.54090
    Start Printed Page 49094
    25920AAmputate hand at wrist8.68N/A8.221.06N/A17.96090
    25922AAmputate hand at wrist7.42N/A7.250.93N/A15.60090
    25924AAmputation follow-up surgery8.46N/A8.461.07N/A17.99090
    25927AAmputation of hand8.80N/A12.401.02N/A22.22090
    25929AAmputation follow-up surgery7.59N/A6.130.89N/A14.61090
    25931AAmputation follow-up surgery7.81N/A12.400.88N/A21.09090
    25999CForearm or wrist surgery0.000.000.000.000.000.00YYY
    26010ADrainage of finger abscess1.545.851.700.147.533.38010
    26011ADrainage of finger abscess2.199.222.350.2511.664.79010
    26020ADrain hand tendon sheath4.67N/A5.610.59N/A10.87090
    26025ADrainage of palm bursa4.82N/A5.450.60N/A10.87090
    26030ADrainage of palm bursa(s)5.93N/A6.110.72N/A12.76090
    26034ATreat hand bone lesion6.23N/A6.330.79N/A13.35090
    26035ADecompress fingers/hand9.51N/A8.211.12N/A18.84090
    26037ADecompress fingers/hand7.25N/A6.720.87N/A14.84090
    26040ARelease palm contracture3.33N/A4.000.45N/A7.78090
    26045ARelease palm contracture5.56N/A5.600.74N/A11.90090
    26055AIncise finger tendon sheath2.6914.743.860.3617.796.91090
    26060AIncision of finger tendon2.81N/A3.520.35N/A6.68090
    26070AExplore/treat hand joint3.69N/A3.390.35N/A7.43090
    26075AExplore/treat finger joint3.79N/A3.800.40N/A7.99090
    26080AExplore/treat finger joint4.24N/A4.820.52N/A9.58090
    26100ABiopsy hand joint lining3.67N/A4.120.45N/A8.24090
    26105ABiopsy finger joint lining3.71N/A4.200.45N/A8.36090
    26110ABiopsy finger joint lining3.53N/A4.000.44N/A7.97090
    26115ARemovel hand lesion subcut3.8613.554.710.4817.899.05090
    26116ARemovel hand lesion, deep5.53N/A5.980.69N/A12.20090
    26117ARemove tumor, hand/finger8.55N/A7.151.01N/A16.71090
    26121ARelease palm contracture7.54N/A7.020.94N/A15.50090
    26123ARelease palm contracture9.29N/A8.901.17N/A19.36090
    26125ARelease palm contracture4.61N/A2.500.57N/A7.68ZZZ
    26130ARemove wrist joint lining5.42N/A5.350.65N/A11.42090
    26135ARevise finger joint, each6.96N/A6.470.87N/A14.30090
    26140ARevise finger joint, each6.17N/A6.030.76N/A12.96090
    26145ATendon excision, palm/finger6.32N/A6.040.77N/A13.13090
    26160ARemove tendon sheath lesion3.1512.954.110.3916.497.65090
    26170ARemoval of palm tendon, each4.77N/A4.970.60N/A10.34090
    26180ARemoval of finger tendon5.18N/A5.400.64N/A11.22090
    26185ARemove finger bone5.25N/A6.010.67N/A11.93090
    26200ARemove hand bone lesion5.51N/A5.390.71N/A11.61090
    26205ARemove/graft bone lesion7.70N/A6.910.95N/A15.56090
    26210ARemoval of finger lesion5.15N/A5.410.64N/A11.20090
    26215ARemove/graft finger lesion7.10N/A6.310.77N/A14.18090
    26230APartial removal of hand bone6.33N/A5.960.84N/A13.13090
    26235APartial removal, finger bone6.19N/A5.850.78N/A12.82090
    26236APartial removal, finger bone5.32N/A5.370.66N/A11.35090
    26250AExtensive hand surgery7.55N/A6.460.92N/A14.93090
    26255AExtensive hand surgery12.43N/A9.491.05N/A22.97090
    26260AExtensive finger surgery7.03N/A6.200.83N/A14.06090
    26261AExtensive finger surgery9.09N/A6.350.84N/A16.28090
    26262APartial removal of finger5.67N/A5.390.70N/A11.76090
    26320ARemoval of implant from hand3.98N/A4.280.49N/A8.75090
    Start Printed Page 49095
    26340AManipulate finger w/anesth2.50N/A4.950.30N/A7.75090
    26350ARepair finger/hand tendon5.99N/A16.020.73N/A22.74090
    26352ARepair/graft hand tendon7.68N/A16.690.93N/A25.30090
    26356ARepair finger/hand tendon8.07N/A19.200.99N/A28.26090
    26357ARepair finger/hand tendon8.58N/A17.141.02N/A26.74090
    26358ARepair/graft hand tendon9.14N/A17.961.07N/A28.17090
    26370ARepair finger/hand tendon7.11N/A16.570.90N/A24.58090
    26372ARepair/graft hand tendon8.76N/A17.971.06N/A27.79090
    26373ARepair finger/hand tendon8.16N/A17.540.98N/A26.68090
    26390ARevise hand/finger tendon9.19N/A14.341.09N/A24.62090
    26392ARepair/graft hand tendon10.26N/A18.341.26N/A29.86090
    26410ARepair hand tendon4.63N/A13.170.57N/A18.37090
    26412ARepair/graft hand tendon6.31N/A14.430.80N/A21.54090
    26415AExcision, hand/finger tendon8.34N/A12.790.77N/A21.90090
    26416AGraft hand or finger tendon9.37N/A15.711.20N/A26.28090
    26418ARepair finger tendon4.25N/A13.340.50N/A18.09090
    26420ARepair/graft finger tendon6.77N/A14.780.83N/A22.38090
    26426ARepair finger/hand tendon6.15N/A14.250.77N/A21.17090
    26428ARepair/graft finger tendon7.21N/A15.060.84N/A23.11090
    26432ARepair finger tendon4.02N/A11.130.48N/A15.63090
    26433ARepair finger tendon4.56N/A11.830.56N/A16.95090
    26434ARepair/graft finger tendon6.09N/A12.430.71N/A19.23090
    26437ARealignment of tendons5.82N/A12.340.74N/A18.90090
    26440ARelease palm/finger tendon5.02N/A14.830.62N/A20.47090
    26442ARelease palm & finger tendon8.16N/A17.100.94N/A26.20090
    26445ARelease hand/finger tendon4.31N/A14.590.54N/A19.44090
    26449ARelease forearm/hand tendon7.00N/A16.900.84N/A24.74090
    26450AIncision of palm tendon3.67N/A7.790.46N/A11.92090
    26455AIncision of finger tendon3.64N/A7.710.47N/A11.82090
    26460AIncise hand/finger tendon3.46N/A7.520.44N/A11.42090
    26471AFusion of finger tendons5.73N/A12.000.73N/A18.46090
    26474AFusion of finger tendons5.32N/A12.200.69N/A18.21090
    26476ATendon lengthening5.18N/A11.710.62N/A17.51090
    26477ATendon shortening5.15N/A11.870.60N/A17.62090
    26478ALengthening of hand tendon5.80N/A12.620.77N/A19.19090
    26479AShortening of hand tendon5.74N/A12.450.76N/A18.95090
    26480ATransplant hand tendon6.69N/A16.270.84N/A23.80090
    26483ATransplant/graft hand tendon8.29N/A16.721.03N/A26.04090
    26485ATransplant palm tendon7.70N/A16.600.94N/A25.24090
    26489ATransplant/graft palm tendon9.55N/A13.020.98N/A23.55090
    26490ARevise thumb tendon8.41N/A13.551.05N/A23.01090
    26492ATendon transfer with graft9.62N/A14.301.19N/A25.11090
    26494AHand tendon/muscle transfer8.47N/A13.781.13N/A23.38090
    26496ARevise thumb tendon9.59N/A13.971.17N/A24.73090
    26497AFinger tendon transfer9.57N/A14.361.17N/A25.10090
    26498AFinger tendon transfer14.00N/A16.901.74N/A32.64090
    26499ARevision of finger8.98N/A13.900.94N/A23.82090
    26500AHand tendon reconstruction5.96N/A12.480.66N/A19.10090
    26502AHand tendon reconstruction7.14N/A12.950.87N/A20.96090
    26504AHand tendon reconstruction7.47N/A13.060.84N/A21.37090
    26508ARelease thumb contracture6.01N/A12.480.76N/A19.25090
    26510AThumb tendon transfer5.43N/A12.160.71N/A18.30090
    Start Printed Page 49096
    26516AFusion of knuckle joint7.15N/A13.020.90N/A21.07090
    26517AFusion of knuckle joints8.83N/A14.370.96N/A24.16090
    26518AFusion of knuckle joints9.02N/A14.191.13N/A24.34090
    26520ARelease knuckle contracture5.30N/A15.210.65N/A21.16090
    26525ARelease finger contracture5.33N/A15.330.66N/A21.32090
    26530ARevise knuckle joint6.69N/A6.130.86N/A13.68090
    26531ARevise knuckle with implant7.91N/A7.071.01N/A15.99090
    26535ARevise finger joint5.24N/A3.760.66N/A9.66090
    26536ARevise/implant finger joint6.37N/A10.060.80N/A17.23090
    26540ARepair hand joint6.43N/A12.730.81N/A19.97090
    26541ARepair hand joint with graft8.62N/A14.251.12N/A23.99090
    26542ARepair hand joint with graft6.78N/A12.780.87N/A20.43090
    26545AReconstruct finger joint6.92N/A13.160.79N/A20.87090
    26546ARepair nonunion hand8.92N/A15.441.14N/A25.50090
    26548AReconstruct finger joint8.03N/A13.810.98N/A22.82090
    26550AConstruct thumb replacement21.24N/A18.801.80N/A41.84090
    26551AGreat toe-hand transfer46.58N/A32.796.57N/A85.94090
    26553ASingle transfer, toe-hand46.27N/A23.661.99N/A71.92090
    26554ADouble transfer, toe-hand54.95N/A35.887.76N/A98.59090
    26555APositional change of finger16.63N/A19.122.13N/A37.88090
    26556AToe joint transfer47.26N/A30.966.67N/A84.89090
    26560ARepair of web finger5.38N/A10.710.60N/A16.69090
    26561ARepair of web finger10.92N/A13.300.69N/A24.91090
    26562ARepair of web finger15.00N/A17.990.98N/A33.97090
    26565ACorrect metacarpal flaw6.74N/A12.830.84N/A20.41090
    26567ACorrect finger deformity6.82N/A12.760.84N/A20.42090
    26568ALengthen metacarpal/finger9.08N/A16.651.10N/A26.83090
    26580ARepair hand deformity18.18N/A14.081.46N/A33.72090
    26587AReconstruct extra finger14.05N/A9.301.12N/A24.47090
    26590ARepair finger deformity17.96N/A14.841.32N/A34.12090
    26591ARepair muscles of hand3.25N/A10.880.37N/A14.50090
    26593ARelease muscles of hand5.31N/A11.840.64N/A17.79090
    26596AExcision constricting tissue8.95N/A9.200.87N/A19.02090
    26600ATreat metacarpal fracture1.964.152.690.256.364.90090
    26605ATreat metacarpal fracture2.855.453.740.388.686.97090
    26607ATreat metacarpal fracture5.36N/A6.650.70N/A12.71090
    26608ATreat metacarpal fracture5.36N/A6.560.73N/A12.65090
    26615ATreat metacarpal fracture5.33N/A5.830.70N/A11.86090
    26641ATreat thumb dislocation3.945.593.720.429.958.08090
    26645ATreat thumb fracture4.416.314.340.5411.269.29090
    26650ATreat thumb fracture5.72N/A6.880.77N/A13.37090
    26665ATreat thumb fracture7.60N/A7.020.97N/A15.59090
    26670ATreat hand dislocation3.695.173.210.369.227.26090
    26675ATreat hand dislocation4.646.264.410.5611.469.61090
    26676APin hand dislocation5.52N/A6.920.76N/A13.20090
    26685ATreat hand dislocation6.98N/A6.570.95N/A14.50090
    26686ATreat hand dislocation7.94N/A7.261.05N/A16.25090
    26700ATreat knuckle dislocation3.694.743.020.358.787.06090
    26705ATreat knuckle dislocation4.196.054.240.5010.748.93090
    26706APin knuckle dislocation5.12N/A5.190.64N/A10.95090
    26715ATreat knuckle dislocation5.74N/A6.020.75N/A12.51090
    26720ATreat finger fracture, each1.663.972.650.205.834.51090
    26725ATreat finger fracture, each3.336.204.110.439.967.87090
    26727ATreat finger fracture, each5.23N/A6.620.69N/A12.54090
    26735ATreat finger fracture, each5.98N/A6.170.77N/A12.92090
    26740ATreat finger fracture, each1.943.632.740.245.814.92090
    26742ATreat finger fracture, each3.856.114.110.4910.458.45090
    26746ATreat finger fracture, each5.81N/A6.220.74N/A12.77090
    26750ATreat finger fracture, each1.703.292.190.195.184.08090
    26755ATreat finger fracture, each3.104.893.110.378.366.58090
    Start Printed Page 49097
    26756APin finger fracture, each4.39N/A6.240.56N/A11.19090
    26765ATreat finger fracture, each4.17N/A5.050.51N/A9.73090
    26770ATreat finger dislocation3.024.492.600.277.785.89090
    26775ATreat finger dislocation3.715.873.820.4310.017.96090
    26776APin finger dislocation4.80N/A6.410.63N/A11.84090
    26785ATreat finger dislocation4.21N/A5.090.54N/A9.84090
    26820AThumb fusion with graft8.26N/A14.031.11N/A23.40090
    26841AFusion of thumb7.13N/A13.840.97N/A21.94090
    26842AThumb fusion with graft8.24N/A14.111.10N/A23.45090
    26843AFusion of hand joint7.61N/A13.010.99N/A21.61090
    26844AFusion/graft of hand joint8.73N/A14.071.12N/A23.92090
    26850AFusion of knuckle6.97N/A12.930.89N/A20.79090
    26852AFusion of knuckle with graft8.46N/A13.621.05N/A23.13090
    26860AFusion of finger joint4.69N/A11.900.60N/A17.19090
    26861AFusion of finger jnt, add-on1.74N/A0.950.22N/A2.91ZZZ
    26862AFusion/graft of finger joint7.37N/A13.100.92N/A21.39090
    26863AFuse/graft added joint3.90N/A2.160.51N/A6.57ZZZ
    26910AAmputate metacarpal bone7.60N/A12.030.90N/A20.53090
    26951AAmputation of finger/thumb4.59N/A10.940.56N/A16.09090
    26952AAmputation of finger/thumb6.31N/A12.510.74N/A19.56090
    26989CHand/finger surgery0.000.000.000.000.000.00YYY
    26990ADrainage of pelvis lesion7.48N/A8.160.92N/A16.56090
    26991ADrainage of pelvis bursa6.687.776.240.8515.3013.77090
    26992ADrainage of bone lesion13.02N/A11.571.75N/A26.34090
    27000AIncision of hip tendon5.62N/A5.490.76N/A11.87090
    27001AIncision of hip tendon6.94N/A6.360.95N/A14.25090
    27003AIncision of hip tendon7.34N/A6.770.93N/A15.04090
    27005AIncision of hip tendon9.66N/A8.091.36N/A19.11090
    27006AIncision of hip tendons9.68N/A8.251.33N/A19.26090
    27025AIncision of hip/thigh fascia11.16N/A8.731.38N/A21.27090
    27030ADrainage of hip joint13.01N/A9.941.81N/A24.76090
    27033AExploration of hip joint13.39N/A10.211.87N/A25.47090
    27035ADenervation of hip joint16.69N/A12.661.70N/A31.05090
    27036AExcision of hip joint/muscle12.88N/A10.411.80N/A25.09090
    27040ABiopsy of soft tissues2.872.922.200.216.005.28010
    27041ABiopsy of soft tissues9.89N/A6.831.01N/A17.73090
    27047ARemove hip/pelvis lesion7.456.665.070.7914.9013.31090
    27048ARemove hip/pelvis lesion6.25N/A5.190.73N/A12.17090
    27049ARemove tumor, hip/pelvis13.66N/A9.201.60N/A24.46090
    27050ABiopsy of sacroiliac joint4.36N/A4.640.53N/A9.53090
    27052ABiopsy of hip joint6.23N/A6.190.85N/A13.27090
    27054ARemoval of hip joint lining8.54N/A7.711.17N/A17.42090
    27060ARemoval of ischial bursa5.43N/A4.990.60N/A11.02090
    27062ARemove femur lesion/bursa5.37N/A5.420.74N/A11.53090
    27065ARemoval of hip bone lesion5.90N/A5.730.76N/A12.39090
    27066ARemoval of hip bone lesion10.33N/A8.761.42N/A20.51090
    27067ARemove/graft hip bone lesion13.83N/A10.971.95N/A26.75090
    27070APartial removal of hip bone10.72N/A10.401.36N/A22.48090
    27071APartial removal of hip bone11.46N/A11.321.51N/A24.29090
    27075AExtensive hip surgery35.00N/A20.422.22N/A57.64090
    27076AExtensive hip surgery22.12N/A15.352.86N/A40.33090
    27077AExtensive hip surgery40.00N/A23.943.18N/A67.12090
    27078AExtensive hip surgery13.44N/A10.811.67N/A25.92090
    27079AExtensive hip surgery13.75N/A10.451.86N/A26.06090
    Start Printed Page 49098
    27080ARemoval of tail bone6.39N/A5.240.80N/A12.43090
    27086ARemove hip foreign body1.872.332.030.174.374.07010
    27087ARemove hip foreign body8.54N/A6.841.09N/A16.47090
    27090ARemoval of hip prosthesis11.15N/A8.811.55N/A21.51090
    27091ARemoval of hip prosthesis22.14N/A14.123.11N/A39.37090
    27093AInjection for hip x-ray1.308.650.490.0910.041.88000
    27095AInjection for hip x-ray1.507.800.530.109.402.13000
    27096AInject sacroiliac joint1.406.890.330.088.371.81000
    27097ARevision of hip tendon8.80N/A6.651.22N/A16.67090
    27098ATransfer tendon to pelvis8.83N/A7.281.24N/A17.35090
    27100ATransfer of abdominal muscle11.08N/A8.971.57N/A21.62090
    27105ATransfer of spinal muscle11.77N/A9.451.66N/A22.88090
    27110ATransfer of iliopsoas muscle13.26N/A9.661.38N/A24.30090
    27111ATransfer of iliopsoas muscle12.15N/A9.311.48N/A22.94090
    27120AReconstruction of hip socket18.01N/A11.962.45N/A32.42090
    27122AReconstruction of hip socket14.98N/A11.062.08N/A28.12090
    27125APartial hip replacement14.69N/A10.632.05N/A27.37090
    27130ATotal hip arthroplasty20.12N/A13.412.82N/A36.35090
    27132ATotal hip arthroplasty23.30N/A15.783.26N/A42.34090
    27134ARevise hip joint replacement28.52N/A18.033.97N/A50.52090
    27137ARevise hip joint replacement21.17N/A14.082.97N/A38.22090
    27138ARevise hip joint replacement22.17N/A14.553.11N/A39.83090
    27140ATransplant femur ridge12.24N/A9.661.67N/A23.57090
    27146AIncision of hip bone17.43N/A12.652.27N/A32.35090
    27147ARevision of hip bone20.58N/A13.762.61N/A36.95090
    27151AIncision of hip bones22.51N/A8.403.12N/A34.03090
    27156ARevision of hip bones24.63N/A16.523.48N/A44.63090
    27158ARevision of pelvis19.74N/A11.582.60N/A33.92090
    27161AIncision of neck of femur16.71N/A12.282.32N/A31.31090
    27165AIncision/fixation of femur17.91N/A13.072.51N/A33.49090
    27170ARepair/graft femur head/neck16.07N/A11.682.20N/A29.95090
    27175ATreat slipped epiphysis8.46N/A6.701.19N/A16.35090
    27176ATreat slipped epiphysis12.05N/A9.031.68N/A22.76090
    27177ATreat slipped epiphysis15.08N/A10.902.11N/A28.09090
    27178ATreat slipped epiphysis11.99N/A8.451.68N/A22.12090
    27179ARevise head/neck of femur12.98N/A9.841.84N/A24.66090
    27181ATreat slipped epiphysis14.68N/A10.311.74N/A26.73090
    27185ARevision of femur epiphysis9.18N/A7.811.29N/A18.28090
    27187AReinforce hip bones13.54N/A10.601.89N/A26.03090
    27193ATreat pelvic ring fracture5.566.995.410.7713.3211.74090
    27194ATreat pelvic ring fracture9.658.927.651.3219.8918.62090
    27200ATreat tail bone fracture1.843.092.220.225.154.28090
    27202ATreat tail bone fracture7.04N/A18.090.69N/A25.82090
    27215ATreat pelvic fracture(s)10.05N/A7.461.37N/A18.88090
    27216ATreat pelvic ring fracture15.19N/A10.142.15N/A27.48090
    27217ATreat pelvic ring fracture14.11N/A10.421.95N/A26.48090
    27218ATreat pelvic ring fracture20.15N/A11.782.85N/A34.78090
    27220ATreat hip socket fracture6.187.185.620.8514.2112.65090
    27222ATreat hip socket fracture12.70N/A9.821.77N/A24.29090
    27226ATreat hip wall fracture14.91N/A8.112.07N/A25.09090
    27227ATreat hip fracture(s)23.45N/A15.723.24N/A42.41090
    27228ATreat hip fracture(s)27.16N/A17.993.77N/A48.92090
    27230ATreat thigh fracture5.506.645.140.7312.8711.37090
    27232ATreat thigh fracture10.68N/A7.531.45N/A19.66090
    27235ATreat thigh fracture12.16N/A9.541.71N/A23.41090
    27236ATreat thigh fracture15.60N/A11.142.18N/A28.92090
    Start Printed Page 49099
    27238ATreat thigh fracture5.52N/A5.190.76N/A11.47090
    27240ATreat thigh fracture12.50N/A9.451.69N/A23.64090
    27244ATreat thigh fracture15.94N/A11.442.23N/A29.61090
    27245ATreat thigh fracture20.31N/A13.922.85N/A37.08090
    27246ATreat thigh fracture4.715.874.600.6611.249.97090
    27248ATreat thigh fracture10.45N/A8.311.45N/A20.21090
    27250ATreat hip dislocation6.95N/A4.790.68N/A12.42090
    27252ATreat hip dislocation10.39N/A7.531.37N/A19.29090
    27253ATreat hip dislocation12.92N/A9.871.81N/A24.60090
    27254ATreat hip dislocation18.26N/A12.232.52N/A33.01090
    27256ATreat hip dislocation4.123.502.130.498.116.74010
    27257ATreat hip dislocation5.22N/A3.020.56N/A8.80010
    27258ATreat hip dislocation15.43N/A11.192.06N/A28.68090
    27259ATreat hip dislocation21.55N/A14.532.99N/A39.07090
    27265ATreat hip dislocation5.05N/A4.850.65N/A10.55090
    27266ATreat hip dislocation7.49N/A6.391.04N/A14.92090
    27275AManipulation of hip joint2.27N/A2.250.31N/A4.83010
    27280AFusion of sacroiliac joint13.39N/A10.561.98N/A25.93090
    27282AFusion of pubic bones11.34N/A8.441.14N/A20.92090
    27284AFusion of hip joint23.45N/A15.392.36N/A41.20090
    27286AFusion of hip joint23.45N/A16.282.37N/A42.10090
    27290AAmputation of leg at hip23.28N/A14.302.94N/A40.52090
    27295AAmputation of leg at hip18.65N/A11.792.35N/A32.79090
    27299CPelvis/hip joint surgery0.000.000.000.000.000.00YYY
    27301ADrain thigh/knee lesion6.497.816.330.8015.1013.62090
    27303ADrainage of bone lesion8.28N/A7.851.14N/A17.27090
    27305AIncise thigh tendon & fascia5.92N/A5.580.77N/A12.27090
    27306AIncision of thigh tendon4.62N/A4.960.62N/A10.20090
    27307AIncision of thigh tendons5.80N/A5.690.78N/A12.27090
    27310AExploration of knee joint9.27N/A8.101.29N/A18.66090
    27315APartial removal, thigh nerve6.97N/A4.810.79N/A12.57090
    27320APartial removal, thigh nerve6.30N/A5.120.78N/A12.20090
    27323ABiopsy, thigh soft tissues2.282.542.070.174.994.52010
    27324ABiopsy, thigh soft tissues4.90N/A4.500.59N/A9.99090
    27327ARemoval of thigh lesion4.475.474.030.5010.449.00090
    27328ARemoval of thigh lesion5.57N/A4.710.66N/A10.94090
    27329ARemove tumor, thigh/knee14.14N/A9.911.68N/A25.73090
    27330ABiopsy, knee joint lining4.97N/A4.820.66N/A10.45090
    27331AExplore/treat knee joint5.88N/A5.810.81N/A12.50090
    27332ARemoval of knee cartilage8.27N/A7.301.15N/A16.72090
    27333ARemoval of knee cartilage7.30N/A6.831.03N/A15.16090
    27334ARemove knee joint lining8.70N/A7.721.21N/A17.63090
    27335ARemove knee joint lining10.00N/A8.541.41N/A19.95090
    27340ARemoval of kneecap bursa4.18N/A4.710.58N/A9.47090
    27345ARemoval of knee cyst5.92N/A5.800.81N/A12.53090
    27347ARemove knee cyst5.78N/A5.700.76N/A12.24090
    27350ARemoval of kneecap8.17N/A7.431.15N/A16.75090
    27355ARemove femur lesion7.65N/A7.031.07N/A15.75090
    27356ARemove femur lesion/graft9.48N/A8.131.29N/A18.90090
    27357ARemove femur lesion/graft10.53N/A8.871.48N/A20.88090
    27358ARemove femur lesion/fixation4.74N/A2.580.67N/A7.99ZZZ
    27360APartial removal, leg bone(s)10.50N/A10.591.42N/A22.51090
    27365AExtensive leg surgery16.27N/A12.202.26N/A30.73090
    27370AInjection for knee x-ray0.968.430.330.069.451.35000
    27372ARemoval of foreign body5.076.194.840.6211.8810.53090
    27380ARepair of kneecap tendon7.16N/A7.381.00N/A15.54090
    27381ARepair/graft kneecap tendon10.34N/A9.211.44N/A20.99090
    27385ARepair of thigh muscle7.76N/A7.731.09N/A16.58090
    27386ARepair/graft of thigh muscle10.56N/A9.641.49N/A21.69090
    Start Printed Page 49100
    27390AIncision of thigh tendon5.33N/A5.320.69N/A11.34090
    27391AIncision of thigh tendons7.20N/A6.620.99N/A14.81090
    27392AIncision of thigh tendons9.20N/A7.831.23N/A18.26090
    27393ALengthening of thigh tendon6.39N/A5.930.90N/A13.22090
    27394ALengthening of thigh tendons8.50N/A7.381.17N/A17.05090
    27395ALengthening of thigh tendons11.73N/A9.531.63N/A22.89090
    27396ATransplant of thigh tendon7.86N/A7.261.11N/A16.23090
    27397ATransplants of thigh tendons11.28N/A9.271.58N/A22.13090
    27400ARevise thigh muscles/tendons9.02N/A7.541.18N/A17.74090
    27403ARepair of knee cartilage8.33N/A7.321.16N/A16.81090
    27405ARepair of knee ligament8.65N/A7.771.21N/A17.63090
    27407ARepair of knee ligament10.28N/A8.531.38N/A20.19090
    27409ARepair of knee ligaments12.90N/A10.161.75N/A24.81090
    27418ARepair degenerated kneecap10.85N/A9.091.51N/A21.45090
    27420ARevision of unstable kneecap9.83N/A8.271.38N/A19.48090
    27422ARevision of unstable kneecap9.78N/A8.291.37N/A19.44090
    27424ARevision/removal of kneecap9.81N/A8.261.38N/A19.45090
    27425ALat retinacular release open5.22N/A5.620.73N/A11.57090
    27427AReconstruction, knee9.36N/A7.941.29N/A18.59090
    27428AReconstruction, knee14.00N/A11.361.95N/A27.31090
    27429AReconstruction, knee15.52N/A12.542.18N/A30.24090
    27430ARevision of thigh muscles9.67N/A8.181.35N/A19.20090
    27435AIncision of knee joint9.49N/A8.551.33N/A19.37090
    27437ARevise kneecap8.46N/A7.201.18N/A16.84090
    27438ARevise kneecap with implant11.23N/A8.581.56N/A21.37090
    27440ARevision of knee joint10.43N/A6.081.42N/A17.93090
    27441ARevision of knee joint10.82N/A6.771.49N/A19.08090
    27442ARevision of knee joint11.89N/A8.971.68N/A22.54090
    27443ARevision of knee joint10.93N/A8.751.52N/A21.20090
    27445ARevision of knee joint17.68N/A12.412.49N/A32.58090
    27446ARevision of knee joint15.84N/A11.362.22N/A29.42090
    27447ATotal knee arthroplasty21.48N/A14.723.00N/A39.20090
    27448AIncision of thigh11.06N/A8.881.51N/A21.45090
    27450AIncision of thigh13.98N/A10.761.96N/A26.70090
    27454ARealignment of thigh bone17.56N/A12.802.46N/A32.82090
    27455ARealignment of knee12.82N/A9.941.78N/A24.54090
    27457ARealignment of knee13.45N/A9.911.88N/A25.24090
    27465AShortening of thigh bone13.87N/A10.501.86N/A26.23090
    27466ALengthening of thigh bone16.33N/A12.171.92N/A30.42090
    27468AShorten/lengthen thighs18.97N/A12.592.68N/A34.24090
    27470ARepair of thigh16.07N/A12.132.24N/A30.44090
    27472ARepair/graft of thigh17.72N/A13.042.49N/A33.25090
    27475ASurgery to stop leg growth8.64N/A7.431.13N/A17.20090
    27477ASurgery to stop leg growth9.85N/A7.951.31N/A19.11090
    27479ASurgery to stop leg growth12.80N/A10.121.81N/A24.73090
    27485ASurgery to stop leg growth8.84N/A7.591.24N/A17.67090
    27486ARevise/replace knee joint19.27N/A13.592.70N/A35.56090
    27487ARevise/replace knee joint25.27N/A16.723.54N/A45.53090
    27488ARemoval of knee prosthesis15.74N/A11.762.21N/A29.71090
    27495AReinforce thigh15.55N/A11.752.18N/A29.48090
    27496ADecompression of thigh/knee6.11N/A5.770.77N/A12.65090
    27497ADecompression of thigh/knee7.17N/A5.800.84N/A13.81090
    Start Printed Page 49101
    27498ADecompression of thigh/knee7.99N/A6.150.97N/A15.11090
    27499ADecompression of thigh/knee9.00N/A7.071.18N/A17.25090
    27500ATreatment of thigh fracture5.927.245.180.8013.9611.90090
    27501ATreatment of thigh fracture5.927.825.870.8314.5712.62090
    27502ATreatment of thigh fracture10.58N/A8.361.49N/A20.43090
    27503ATreatment of thigh fracture10.58N/A8.521.49N/A20.59090
    27506ATreatment of thigh fracture17.45N/A12.812.33N/A32.59090
    27507ATreatment of thigh fracture13.99N/A10.131.95N/A26.07090
    27508ATreatment of thigh fracture5.837.105.420.8013.7312.05090
    27509ATreatment of thigh fracture7.71N/A8.041.08N/A16.83090
    27510ATreatment of thigh fracture9.13N/A7.311.26N/A17.70090
    27511ATreatment of thigh fracture13.64N/A11.391.91N/A26.94090
    27513ATreatment of thigh fracture17.92N/A14.082.51N/A34.51090
    27514ATreatment of thigh fracture17.30N/A13.442.41N/A33.15090
    27516ATreat thigh fx growth plate5.377.415.480.7413.5211.59090
    27517ATreat thigh fx growth plate8.789.067.491.2219.0617.49090
    27519ATreat thigh fx growth plate15.02N/A11.832.09N/A28.94090
    27520ATreat kneecap fracture2.865.323.480.388.566.72090
    27524ATreat kneecap fracture10.00N/A8.291.40N/A19.69090
    27530ATreat knee fracture3.785.994.350.5110.288.64090
    27532ATreat knee fracture7.307.866.271.0216.1814.59090
    27535ATreat knee fracture11.50N/A10.271.61N/A23.38090
    27536ATreat knee fracture15.65N/A11.702.19N/A29.54090
    27538ATreat knee fracture(s)4.877.205.170.6712.7410.71090
    27540ATreat knee fracture13.10N/A9.641.80N/A24.54090
    27550ATreat knee dislocation5.766.715.020.6813.1511.46090
    27552ATreat knee dislocation7.90N/A6.991.10N/A15.99090
    27556ATreat knee dislocation14.41N/A12.072.01N/A28.49090
    27557ATreat knee dislocation16.77N/A13.472.37N/A32.61090
    27558ATreat knee dislocation17.72N/A13.522.51N/A33.75090
    27560ATreat kneecap dislocation3.825.683.350.409.907.57090
    27562ATreat kneecap dislocation5.79N/A4.870.69N/A11.35090
    27566ATreat kneecap dislocation12.23N/A9.431.73N/A23.39090
    27570AFixation of knee joint1.74N/A1.910.24N/A3.89010
    27580AFusion of knee19.37N/A15.132.70N/A37.20090
    27590AAmputate leg at thigh12.03N/A7.331.35N/A20.71090
    27591AAmputate leg at thigh12.68N/A9.271.63N/A23.58090
    27592AAmputate leg at thigh10.02N/A6.841.17N/A18.03090
    27594AAmputation follow-up surgery6.92N/A5.560.82N/A13.30090
    27596AAmputation follow-up surgery10.60N/A7.441.24N/A19.28090
    27598AAmputate lower leg at knee10.53N/A7.491.24N/A19.26090
    27599CLeg surgery procedure0.000.000.000.000.000.00YYY
    27600ADecompression of lower leg5.65N/A4.790.68N/A11.12090
    27601ADecompression of lower leg5.64N/A5.070.69N/A11.40090
    27602ADecompression of lower leg7.35N/A5.360.85N/A13.56090
    27603ADrain lower leg lesion4.9411.055.100.5616.5510.60090
    27604ADrain lower leg bursa4.478.904.780.5413.919.79090
    27605AIncision of achilles tendon2.879.172.510.3812.425.76010
    27606AIncision of achilles tendon4.1410.433.570.5715.148.28010
    27607ATreat lower leg bone lesion7.97N/A7.191.08N/A16.24090
    27610AExplore/treat ankle joint8.34N/A7.381.15N/A16.87090
    27612AExploration of ankle joint7.33N/A6.241.01N/A14.58090
    27613ABiopsy lower leg soft tissue2.174.031.900.166.364.23010
    27614ABiopsy lower leg soft tissue5.668.994.770.6215.2711.05090
    27615ARemove tumor, lower leg12.56N/A10.911.39N/A24.86090
    Start Printed Page 49102
    27618ARemove lower leg lesion5.099.294.350.5414.929.98090
    27619ARemove lower leg lesion8.4010.826.341.0120.2315.75090
    27620AExplore/treat ankle joint5.98N/A5.690.83N/A12.50090
    27625ARemove ankle joint lining8.30N/A6.831.16N/A16.29090
    27626ARemove ankle joint lining8.91N/A7.311.23N/A17.45090
    27630ARemoval of tendon lesion4.809.264.620.6014.6610.02090
    27635ARemove lower leg bone lesion7.78N/A7.161.06N/A16.00090
    27637ARemove/graft leg bone lesion9.85N/A8.601.38N/A19.83090
    27638ARemove/graft leg bone lesion10.57N/A8.741.47N/A20.78090
    27640APartial removal of tibia11.37N/A11.191.54N/A24.10090
    27641APartial removal of fibula9.24N/A9.221.22N/A19.68090
    27645AExtensive lower leg surgery14.17N/A12.761.98N/A28.91090
    27646AExtensive lower leg surgery12.66N/A11.721.55N/A25.93090
    27647AExtensive ankle/heel surgery12.24N/A8.091.64N/A21.97090
    27648AInjection for ankle x-ray0.966.700.340.057.711.35000
    27650ARepair achilles tendon9.69N/A7.651.35N/A18.69090
    27652ARepair/graft achilles tendon10.33N/A8.081.45N/A19.86090
    27654ARepair of achilles tendon10.02N/A7.451.41N/A18.88090
    27656ARepair leg fascia defect4.5710.224.120.4815.279.17090
    27658ARepair of leg tendon, each4.989.505.120.6815.1610.78090
    27659ARepair of leg tendon, each6.8111.616.080.9619.3813.85090
    27664ARepair of leg tendon, each4.5911.665.100.6316.8810.32090
    27665ARepair of leg tendon, each5.4011.375.450.7517.5211.60090
    27675ARepair lower leg tendons7.18N/A5.991.01N/A14.18090
    27676ARepair lower leg tendons8.42N/A7.001.15N/A16.57090
    27680ARelease of lower leg tendon5.74N/A5.470.80N/A12.01090
    27681ARelease of lower leg tendons6.82N/A6.170.92N/A13.91090
    27685ARevision of lower leg tendon6.508.315.690.9115.7213.10090
    27686ARevise lower leg tendons7.4612.796.811.0521.3015.32090
    27687ARevision of calf tendon6.24N/A5.610.88N/A12.73090
    27690ARevise lower leg tendon8.71N/A6.731.22N/A16.66090
    27691ARevise lower leg tendon9.96N/A8.051.40N/A19.41090
    27692ARevise additional leg tendon1.87N/A0.950.26N/A3.08ZZZ
    27695ARepair of ankle ligament6.51N/A6.220.90N/A13.63090
    27696ARepair of ankle ligaments8.27N/A6.791.16N/A16.22090
    27698ARepair of ankle ligament9.36N/A7.201.31N/A17.87090
    27700ARevision of ankle joint9.29N/A5.751.24N/A16.28090
    27702AReconstruct ankle joint13.67N/A10.461.92N/A26.05090
    27703AReconstruction, ankle joint15.87N/A11.302.24N/A29.41090
    27704ARemoval of ankle implant7.62N/A5.620.61N/A13.85090
    27705AIncision of tibia10.38N/A8.491.44N/A20.31090
    27707AIncision of fibula4.37N/A5.210.60N/A10.18090
    27709AIncision of tibia & fibula9.95N/A8.411.39N/A19.75090
    27712ARealignment of lower leg14.25N/A11.022.00N/A27.27090
    27715ARevision of lower leg14.39N/A11.152.00N/A27.54090
    27720ARepair of tibia11.79N/A9.731.66N/A23.18090
    27722ARepair/graft of tibia11.82N/A9.491.65N/A22.96090
    27724ARepair/graft of tibia18.20N/A13.002.10N/A33.30090
    27725ARepair of lower leg15.59N/A12.312.20N/A30.10090
    27727ARepair of lower leg14.01N/A10.701.84N/A26.55090
    27730ARepair of tibia epiphysis7.4118.676.640.7526.8314.80090
    27732ARepair of fibula epiphysis5.3211.915.280.6317.8611.23090
    27734ARepair lower leg epiphyses8.48N/A6.620.85N/A15.95090
    27740ARepair of leg epiphyses9.3021.058.181.3131.6618.79090
    Start Printed Page 49103
    27742ARepair of leg epiphyses10.3012.747.411.5524.5919.26090
    27745AReinforce tibia10.07N/A8.461.38N/A19.91090
    27750ATreatment of tibia fracture3.195.473.840.439.097.46090
    27752ATreatment of tibia fracture5.847.625.700.8214.2812.36090
    27756ATreatment of tibia fracture6.78N/A6.850.94N/A14.57090
    27758ATreatment of tibia fracture11.67N/A9.361.52N/A22.55090
    27759ATreatment of tibia fracture13.76N/A10.621.93N/A26.31090
    27760ATreatment of ankle fracture3.015.353.600.398.757.00090
    27762ATreatment of ankle fracture5.257.265.260.7113.2211.22090
    27766ATreatment of ankle fracture8.36N/A7.301.17N/A16.83090
    27780ATreatment of fibula fracture2.655.023.270.338.006.25090
    27781ATreatment of fibula fracture4.406.474.580.5711.449.55090
    27784ATreatment of fibula fracture7.11N/A6.580.98N/A14.67090
    27786ATreatment of ankle fracture2.845.193.380.378.406.59090
    27788ATreatment of ankle fracture4.456.594.580.6111.659.64090
    27792ATreatment of ankle fracture7.66N/A7.031.07N/A15.76090
    27808ATreatment of ankle fracture2.835.893.760.389.106.97090
    27810ATreatment of ankle fracture5.137.185.190.7113.0211.03090
    27814ATreatment of ankle fracture10.68N/A8.811.50N/A20.99090
    27816ATreatment of ankle fracture2.895.183.550.378.446.81090
    27818ATreatment of ankle fracture5.507.295.230.7413.5311.47090
    27822ATreatment of ankle fracture11.00N/A10.921.29N/A23.21090
    27823ATreatment of ankle fracture13.00N/A11.801.65N/A26.45090
    27824ATreat lower leg fracture2.895.773.900.399.057.18090
    27825ATreat lower leg fracture6.198.556.180.8515.5913.22090
    27826ATreat lower leg fracture8.54N/A9.121.19N/A18.85090
    27827ATreat lower leg fracture14.06N/A12.941.96N/A28.96090
    27828ATreat lower leg fracture16.23N/A14.012.27N/A32.51090
    27829ATreat lower leg joint5.49N/A6.890.77N/A13.15090
    27830ATreat lower leg dislocation3.795.233.900.449.468.13090
    27831ATreat lower leg dislocation4.56N/A4.520.61N/A9.69090
    27832ATreat lower leg dislocation6.49N/A6.270.91N/A13.67090
    27840ATreat ankle dislocation4.58N/A3.960.47N/A9.01090
    27842ATreat ankle dislocation6.21N/A5.090.76N/A12.06090
    27846ATreat ankle dislocation9.79N/A8.171.36N/A19.32090
    27848ATreat ankle dislocation11.20N/A9.891.55N/A22.64090
    27860AFixation of ankle joint2.34N/A2.200.31N/A4.85010
    27870AFusion of ankle joint, open13.91N/A10.901.95N/A26.76090
    27871AFusion of tibiofibular joint9.17N/A7.861.29N/A18.32090
    27880AAmputation of lower leg11.85N/A7.601.38N/A20.83090
    27881AAmputation of lower leg12.34N/A9.231.59N/A23.16090
    27882AAmputation of lower leg8.94N/A7.171.03N/A17.14090
    27884AAmputation follow-up surgery8.21N/A6.280.95N/A15.44090
    27886AAmputation follow-up surgery9.32N/A6.981.13N/A17.43090
    27888AAmputation of foot at ankle9.67N/A7.811.26N/A18.74090
    27889AAmputation of foot at ankle9.98N/A6.871.19N/A18.04090
    Start Printed Page 49104
    27892ADecompression of leg7.39N/A5.920.86N/A14.17090
    27893ADecompression of leg7.35N/A5.830.90N/A14.08090
    27894ADecompression of leg10.49N/A7.961.25N/A19.70090
    27899CLeg/ankle surgery procedure0.000.000.000.000.000.00YYY
    28001ADrainage of bursa of foot2.735.983.580.319.026.62010
    28002ATreatment of foot infection4.627.394.720.5612.579.90010
    28003ATreatment of foot infection8.417.936.421.0317.3715.86090
    28005ATreat foot bone lesion8.68N/A6.701.14N/A16.52090
    28008AIncision of foot fascia4.455.873.770.5610.888.78090
    28010AIncision of toe tendon2.845.693.090.398.926.32090
    28011AIncision of toe tendons4.147.634.500.5812.359.22090
    28020AExploration of foot joint5.017.294.420.6412.9410.07090
    28022AExploration of foot joint4.676.274.130.6211.569.42090
    28024AExploration of toe joint4.386.394.200.5011.279.08090
    28030ARemoval of foot nerve6.15N/A3.750.85N/A10.75090
    28035ADecompression of tibia nerve5.097.074.280.7112.8710.08090
    28043AExcision of foot lesion3.545.943.400.459.937.39090
    28045AExcision of foot lesion4.726.303.890.6211.649.23090
    28046AResection of tumor, foot10.189.677.591.1320.9818.90090
    28050ABiopsy of foot joint lining4.255.953.860.5510.758.66090
    28052ABiopsy of foot joint lining3.946.163.760.5110.618.21090
    28054ABiopsy of toe joint lining3.456.003.560.459.907.46090
    28060APartial removal, foot fascia5.236.574.210.6912.4910.13090
    28062ARemoval of foot fascia6.527.344.360.8514.7111.73090
    28070ARemoval of foot joint lining5.106.134.080.6811.919.86090
    28072ARemoval of foot joint lining4.586.624.560.6411.849.78090
    28080ARemoval of foot lesion3.586.103.840.5010.187.92090
    28086AExcise foot tendon sheath4.789.754.960.6615.1910.40090
    28088AExcise foot tendon sheath3.867.264.240.5211.648.62090
    28090ARemoval of foot lesion4.416.203.730.5711.188.71090
    28092ARemoval of toe lesions3.646.523.820.4610.627.92090
    28100ARemoval of ankle/heel lesion5.669.505.040.7615.9211.46090
    28102ARemove/graft foot lesion7.73N/A6.290.97N/A14.99090
    28103ARemove/graft foot lesion6.508.724.970.8916.1112.36090
    28104ARemoval of foot lesion5.126.544.290.6912.3510.10090
    28106ARemove/graft foot lesion7.16N/A4.761.01N/A12.93090
    28107ARemove/graft foot lesion5.567.464.520.7413.7610.82090
    28108ARemoval of toe lesions4.165.603.520.5210.288.20090
    28110APart removal of metatarsal4.086.243.940.4910.818.51090
    28111APart removal of metatarsal5.017.454.450.6313.0910.09090
    28112APart removal of metatarsal4.496.934.350.6012.029.44090
    28113APart removal of metatarsal4.797.014.850.6312.4310.27090
    28114ARemoval of metatarsal heads9.7912.258.831.3623.4019.98090
    28116ARevision of foot7.757.385.381.0316.1614.16090
    28118ARemoval of heel bone5.967.334.730.7914.0811.48090
    28119ARemoval of heel spur5.396.384.030.7412.5110.16090
    28120APart removal of ankle/heel5.409.045.480.6915.1311.57090
    28122APartial removal of foot bone7.298.156.010.9616.4014.26090
    28124APartial removal of toe4.816.304.350.6511.769.81090
    28126APartial removal of toe3.525.523.790.499.537.80090
    28130ARemoval of ankle bone8.11N/A6.921.11N/A16.14090
    28140ARemoval of metatarsal6.918.475.190.8416.2212.94090
    28150ARemoval of toe4.096.194.050.5210.808.66090
    28153APartial removal of toe3.665.593.270.499.747.42090
    28160APartial removal of toe3.745.884.140.5110.138.39090
    28171AExtensive foot surgery9.60N/A5.901.13N/A16.63090
    28173AExtensive foot surgery8.808.495.861.0418.3315.70090
    28175AExtensive foot surgery6.056.894.260.7513.6911.06090
    28190ARemoval of foot foreign body1.966.713.550.168.835.67010
    Start Printed Page 49105
    28192ARemoval of foot foreign body4.646.613.850.5211.779.01090
    28193ARemoval of foot foreign body5.736.534.280.6312.8910.64090
    28200ARepair of foot tendon4.606.133.940.5911.329.13090
    28202ARepair/graft of foot tendon6.848.304.820.8616.0012.52090
    28208ARepair of foot tendon4.375.913.670.5910.878.63090
    28210ARepair/graft of foot tendon6.357.334.360.7714.4511.48090
    28220ARelease of foot tendon4.535.733.780.6310.898.94090
    28222ARelease of foot tendons5.626.134.490.7712.5210.88090
    28225ARelease of foot tendon3.665.433.280.509.597.44090
    28226ARelease of foot tendons4.535.784.110.6210.939.26090
    28230AIncision of foot tendon(s)4.245.814.080.5910.648.91090
    28232AIncision of toe tendon3.395.853.720.489.727.59090
    28234AIncision of foot tendon3.376.013.660.469.847.49090
    28238ARevision of foot tendon7.738.195.271.0817.0014.08090
    28240ARelease of big toe4.365.773.880.6110.748.85090
    28250ARevision of foot fascia5.926.734.500.8113.4611.23090
    28260ARelease of midfoot joint7.967.275.341.0816.3114.38090
    28261ARevision of foot tendon11.739.147.591.6622.5320.98090
    28262ARevision of foot and ankle15.8314.7311.922.2232.7829.97090
    28264ARelease of midfoot joint10.358.748.191.4620.5520.00090
    28270ARelease of foot contracture4.766.094.430.6711.529.86090
    28272ARelease of toe joint, each3.805.313.220.529.637.54090
    28280AFusion of toes5.197.464.760.7213.3710.67090
    28285ARepair of hammertoe4.596.144.050.6411.379.28090
    28286ARepair of hammertoe4.565.933.910.6411.139.11090
    28288APartial removal of foot bone4.746.885.530.6512.2710.92090
    28289ARepair hallux rigidus7.049.246.530.9617.2414.53090
    28290ACorrection of bunion5.667.235.590.7913.6812.04090
    28292ACorrection of bunion7.048.005.930.9816.0213.95090
    28293ACorrection of bunion9.1510.196.161.2820.6216.59090
    28294ACorrection of bunion8.567.875.281.1617.5915.00090
    28296ACorrection of bunion9.188.386.041.2818.8416.50090
    28297ACorrection of bunion9.189.387.081.3119.8717.57090
    28298ACorrection of bunion7.947.525.641.1216.5814.70090
    28299ACorrection of bunion10.588.956.661.2420.7718.48090
    28300AIncision of heel bone9.5413.407.281.3124.2518.13090
    28302AIncision of ankle bone9.5513.397.161.1524.0917.86090
    28304AIncision of midfoot bones9.168.365.971.0018.5216.13090
    28305AIncise/graft midfoot bones10.5011.126.950.5522.1718.00090
    28306AIncision of metatarsal5.867.404.450.8114.0711.12090
    28307AIncision of metatarsal6.3311.845.500.7118.8812.54090
    28308AIncision of metatarsal5.296.223.890.7412.259.92090
    28309AIncision of metatarsals12.78N/A8.331.64N/A22.75090
    28310ARevision of big toe5.436.454.190.7612.6410.38090
    28312ARevision of toe4.556.184.400.6211.359.57090
    28313ARepair deformity of toe5.016.655.910.6812.3411.60090
    28315ARemoval of sesamoid bone4.866.033.890.6611.559.41090
    28320ARepair of foot bones9.18N/A6.971.27N/A17.42090
    28322ARepair of metatarsals8.3410.376.521.1719.8816.03090
    28340AResect enlarged toe tissue6.987.254.590.9815.2112.55090
    28341AResect enlarged toe8.417.435.131.1817.0214.72090
    28344ARepair extra toe(s)4.266.933.890.6011.798.75090
    28345ARepair webbed toe(s)5.927.195.010.8413.9511.77090
    28360AReconstruct cleft foot13.34N/A10.871.88N/A26.09090
    28400ATreatment of heel fracture2.164.633.310.297.085.76090
    28405ATreatment of heel fracture4.575.774.820.6310.9710.02090
    28406ATreatment of heel fracture6.31N/A7.020.87N/A14.20090
    28415ATreat heel fracture15.97N/A13.492.24N/A31.70090
    28420ATreat/graft heel fracture16.64N/A13.202.29N/A32.13090
    28430ATreatment of ankle fracture2.094.332.810.276.695.17090
    Start Printed Page 49106
    28435ATreatment of ankle fracture3.404.743.900.478.617.77090
    28436ATreatment of ankle fracture4.71N/A6.110.66N/A11.48090
    28445ATreat ankle fracture15.62N/A11.421.29N/A28.33090
    28450ATreat midfoot fracture, each1.904.312.720.256.464.87090
    28455ATreat midfoot fracture, each3.094.223.760.437.747.28090
    28456ATreat midfoot fracture2.68N/A4.370.36N/A7.41090
    28465ATreat midfoot fracture, each7.01N/A6.490.87N/A14.37090
    28470ATreat metatarsal fracture1.993.952.530.266.204.78090
    28475ATreat metatarsal fracture2.974.203.340.417.586.72090
    28476ATreat metatarsal fracture3.38N/A5.090.46N/A8.93090
    28485ATreat metatarsal fracture5.71N/A5.720.80N/A12.23090
    28490ATreat big toe fracture1.092.331.830.133.553.05090
    28495ATreat big toe fracture1.582.602.180.194.373.95090
    28496ATreat big toe fracture2.339.953.780.3212.606.43090
    28505ATreat big toe fracture3.819.954.860.5014.269.17090
    28510ATreatment of toe fracture1.092.081.780.133.303.00090
    28515ATreatment of toe fracture1.462.442.100.174.073.73090
    28525ATreat toe fracture3.329.544.410.4413.308.17090
    28530ATreat sesamoid bone fracture1.062.261.690.133.452.88090
    28531ATreat sesamoid bone fracture2.359.222.630.3311.905.31090
    28540ATreat foot dislocation2.043.032.880.245.315.16090
    28545ATreat foot dislocation2.452.992.990.335.775.77090
    28546ATreat foot dislocation3.208.114.920.4611.778.58090
    28555ARepair foot dislocation6.3011.766.660.8818.9413.84090
    28570ATreat foot dislocation1.663.122.600.225.004.48090
    28575ATreat foot dislocation3.314.544.210.458.307.97090
    28576ATreat foot dislocation4.1710.435.600.5615.1610.33090
    28585ARepair foot dislocation7.998.306.661.1317.4215.78090
    28600ATreat foot dislocation1.893.492.900.245.625.03090
    28605ATreat foot dislocation2.713.883.770.356.946.83090
    28606ATreat foot dislocation4.9016.306.120.6821.8811.70090
    28615ARepair foot dislocation7.77N/A8.131.09N/A16.99090
    28630ATreat toe dislocation1.701.411.180.173.283.05010
    28635ATreat toe dislocation1.911.771.610.243.923.76010
    28636ATreat toe dislocation2.776.413.160.399.576.32010
    28645ARepair toe dislocation4.225.783.580.5810.588.38090
    28660ATreat toe dislocation1.231.791.230.113.132.57010
    28665ATreat toe dislocation1.921.761.730.243.923.89010
    28666ATreat toe dislocation2.666.132.280.389.175.32010
    28675ARepair of toe dislocation2.928.973.840.4112.307.17090
    28705AFusion of foot bones18.80N/A12.852.13N/A33.78090
    28715AFusion of foot bones13.10N/A10.111.84N/A25.05090
    28725AFusion of foot bones11.61N/A8.631.63N/A21.87090
    28730AFusion of foot bones10.76N/A8.721.51N/A20.99090
    28735AFusion of foot bones10.85N/A8.181.51N/A20.54090
    28737ARevision of foot bones9.64N/A7.131.36N/A18.13090
    28740AFusion of foot bones8.0211.916.721.1321.0615.87090
    28750AFusion of big toe joint7.3013.326.901.0321.6515.23090
    28755AFusion of big toe joint4.747.044.110.6612.449.51090
    28760AFusion of big toe joint7.758.255.781.0717.0714.60090
    28800AAmputation of midfoot8.21N/A6.170.98N/A15.36090
    28805AAmputation thru metatarsal8.39N/A6.010.97N/A15.37090
    28810AAmputation toe & metatarsal6.21N/A4.900.70N/A11.81090
    28820AAmputation of toe4.418.644.180.5113.569.10090
    28825APartial amputation of toe3.598.093.880.4312.117.90090
    28899CFoot/toes surgery procedure0.000.000.000.000.000.00YYY
    Start Printed Page 49107
    29000AApplication of body cast2.253.181.750.305.734.30000
    29010AApplication of body cast2.063.361.750.275.694.08000
    29015AApplication of body cast2.413.061.610.215.684.23000
    29020AApplication of body cast2.113.331.430.165.603.70000
    29025AApplication of body cast2.403.311.870.265.974.53000
    29035AApplication of body cast1.773.521.570.245.533.58000
    29040AApplication of body cast2.222.631.530.355.204.10000
    29044AApplication of body cast2.123.871.880.296.284.29000
    29046AApplication of body cast2.413.342.060.346.094.81000
    29049AApplication of figure eight0.891.270.550.122.281.56000
    29055AApplication of shoulder cast1.782.871.460.244.893.48000
    29058AApplication of shoulder cast1.311.530.740.142.982.19000
    29065AApplication of long arm cast0.871.290.750.122.281.74000
    29075AApplication of forearm cast0.771.230.680.112.111.56000
    29085AApply hand/wrist cast0.871.260.640.112.241.62000
    29086AApply finger cast0.620.950.520.061.631.20000
    29105AApply long arm splint0.871.210.530.112.191.51000
    29125AApply forearm splint0.591.010.410.061.661.06000
    29126AApply forearm splint0.771.220.480.062.051.31000
    29130AApplication of finger splint0.500.470.170.051.020.72000
    29131AApplication of finger splint0.550.750.250.031.330.83000
    29200AStrapping of chest0.650.750.360.041.441.05000
    29220AStrapping of low back0.640.730.400.071.441.11000
    29240AStrapping of shoulder0.710.880.380.051.641.14000
    29260AStrapping of elbow or wrist0.550.760.340.041.350.93000
    29280AStrapping of hand or finger0.510.830.340.041.380.89000
    29305AApplication of hip cast2.033.241.740.295.564.06000
    29325AApplication of hip casts2.323.431.930.316.064.56000
    29345AApplication of long leg cast1.401.721.060.193.312.65000
    29355AApplication of long leg cast1.531.681.120.203.412.85000
    29358AApply long leg cast brace1.432.001.090.193.622.71000
    29365AApplication of long leg cast1.181.610.940.172.962.29000
    29405AApply short leg cast0.861.200.710.122.181.69000
    29425AApply short leg cast1.011.210.740.142.361.89000
    29435AApply short leg cast1.181.520.920.172.872.27000
    29440AAddition of walker to cast0.570.680.280.071.320.92000
    29445AApply rigid leg cast1.781.780.980.243.803.00000
    29450AApplication of leg cast2.081.481.110.133.693.32000
    29505AApplication, long leg splint0.691.180.480.061.931.23000
    29515AApplication lower leg splint0.730.870.490.071.671.29000
    29520AStrapping of hip0.540.900.470.021.461.03000
    29530AStrapping of knee0.570.810.350.041.420.96000
    29540AStrapping of ankle and/or ft0.510.420.320.040.970.87000
    29550AStrapping of toes0.470.420.280.050.940.80000
    29580AApplication of paste boot0.570.660.360.051.280.98000
    29590AApplication of foot splint0.760.520.300.061.341.12000
    29700ARemoval/revision of cast0.570.880.290.071.520.93000
    29705ARemoval/revision of cast0.760.810.390.101.671.25000
    29710ARemoval/revision of cast1.341.510.710.173.022.22000
    29715ARemoval/revision of cast0.941.150.410.082.171.43000
    29720ARepair of body cast0.681.120.390.101.901.17000
    29730AWindowing of cast0.750.800.360.101.651.21000
    29740AWedging of cast1.121.130.500.152.401.77000
    29750AWedging of clubfoot cast1.261.060.590.162.482.01000
    29799CCasting/strapping procedure0.000.000.000.000.000.00YYY
    29800AJaw arthroscopy/surgery6.43N/A7.280.84N/A14.55090
    29804AJaw arthroscopy/surgery8.14N/A8.750.66N/A17.55090
    29805AShoulder arthroscopy, dx5.89N/A5.820.84N/A12.55090
    Start Printed Page 49108
    29806AShoulder arthroscopy/surgery14.37N/A11.302.00N/A27.67090
    29807AShoulder arthroscopy/surgery13.90N/A11.121.94N/A26.96090
    29819AShoulder arthroscopy/surgery7.62N/A6.731.07N/A15.42090
    29820AShoulder arthroscopy/surgery7.07N/A6.230.99N/A14.29090
    29821AShoulder arthroscopy/surgery7.72N/A6.751.08N/A15.55090
    29822AShoulder arthroscopy/surgery7.43N/A6.631.04N/A15.10090
    29823AShoulder arthroscopy/surgery8.17N/A7.221.15N/A16.54090
    29824AShoulder arthroscopy/surgery8.25N/A7.471.15N/A16.87090
    29825AShoulder arthroscopy/surgery7.62N/A6.711.06N/A15.39090
    29826AShoulder arthroscopy/surgery8.99N/A7.501.26N/A17.75090
    29827AArthroscop rotator cuff repr15.36N/A11.531.86N/A28.75090
    29830AElbow arthroscopy5.76N/A5.300.79N/A11.85090
    29834AElbow arthroscopy/surgery6.28N/A5.830.86N/A12.97090
    29835AElbow arthroscopy/surgery6.48N/A5.880.88N/A13.24090
    29836AElbow arthroscopy/surgery7.55N/A6.731.06N/A15.34090
    29837AElbow arthroscopy/surgery6.87N/A6.130.96N/A13.96090
    29838AElbow arthroscopy/surgery7.71N/A6.841.07N/A15.62090
    29840AWrist arthroscopy5.54N/A5.340.69N/A11.57090
    29843AWrist arthroscopy/surgery6.01N/A5.640.82N/A12.47090
    29844AWrist arthroscopy/surgery6.37N/A5.820.86N/A13.05090
    29845AWrist arthroscopy/surgery7.52N/A6.460.84N/A14.82090
    29846AWrist arthroscopy/surgery6.75N/A6.060.89N/A13.70090
    29847AWrist arthroscopy/surgery7.08N/A6.210.91N/A14.20090
    29848AWrist endoscopy/surgery5.44N/A5.590.72N/A11.75090
    29850AKnee arthroscopy/surgery8.19N/A5.130.74N/A14.06090
    29851AKnee arthroscopy/surgery13.10N/A9.851.81N/A24.76090
    29855ATibial arthroscopy/surgery10.62N/A8.771.50N/A20.89090
    29856ATibial arthroscopy/surgery14.14N/A10.712.00N/A26.85090
    29860AHip arthroscopy, dx8.05N/A6.951.14N/A16.14090
    29861AHip arthroscopy/surgery9.15N/A7.361.29N/A17.80090
    29862AHip arthroscopy/surgery9.90N/A8.551.39N/A19.84090
    29863AHip arthroscopy/surgery9.90N/A8.491.40N/A19.79090
    29870AKnee arthroscopy, dx5.07N/A4.840.67N/A10.58090
    29871AKnee arthroscopy/drainage6.55N/A5.870.88N/A13.30090
    29873AKnee arthroscopy/surgery6.00N/A6.490.73N/A13.22090
    29874AKnee arthroscopy/surgery7.05N/A6.080.87N/A14.00090
    29875AKnee arthroscopy/surgery6.31N/A5.840.88N/A13.03090
    29876AKnee arthroscopy/surgery7.92N/A7.011.11N/A16.04090
    29877AKnee arthroscopy/surgery7.35N/A6.721.03N/A15.10090
    29879AKnee arthroscopy/surgery8.04N/A7.101.13N/A16.27090
    29880AKnee arthroscopy/surgery8.50N/A7.351.19N/A17.04090
    29881AKnee arthroscopy/surgery7.76N/A6.941.09N/A15.79090
    29882AKnee arthroscopy/surgery8.65N/A7.241.09N/A16.98090
    29883AKnee arthroscopy/surgery11.05N/A9.071.33N/A21.45090
    29884AKnee arthroscopy/surgery7.33N/A6.681.03N/A15.04090
    29885AKnee arthroscopy/surgery9.09N/A7.901.27N/A18.26090
    29886AKnee arthroscopy/surgery7.54N/A6.821.06N/A15.42090
    29887AKnee arthroscopy/surgery9.04N/A7.871.27N/A18.18090
    29888AKnee arthroscopy/surgery13.90N/A10.271.95N/A26.12090
    29889AKnee arthroscopy/surgery16.00N/A12.452.11N/A30.56090
    29891AAnkle arthroscopy/surgery8.40N/A7.481.17N/A17.05090
    29892AAnkle arthroscopy/surgery9.00N/A7.731.26N/A17.99090
    29893AScope, plantar fasciotomy5.226.444.020.7412.409.98090
    29894AAnkle arthroscopy/surgery7.21N/A5.491.01N/A13.71090
    29895AAnkle arthroscopy/surgery6.99N/A5.490.97N/A13.45090
    Start Printed Page 49109
    29897AAnkle arthroscopy/surgery7.18N/A5.901.01N/A14.09090
    29898AAnkle arthroscopy/surgery8.32N/A6.191.14N/A15.65090
    29899AAnkle arthroscopy/surgery13.91N/A10.021.95N/A25.88090
    29900AMcp joint arthroscopy, dx5.42N/A5.950.75N/A12.12090
    29901AMcp joint arthroscopy, surg6.13N/A6.340.85N/A13.32090
    29902AMcp joint arthroscopy, surg6.70N/A6.630.93N/A14.26090
    29999CArthroscopy of joint0.000.000.000.000.000.00YYY
    30000ADrainage of nose lesion1.434.271.450.105.802.98010
    30020ADrainage of nose lesion1.433.431.530.084.943.04010
    30100AIntranasal biopsy0.942.160.830.063.161.83000
    30110ARemoval of nose polyp(s)1.633.481.630.125.233.38010
    30115ARemoval of nose polyp(s)4.35N/A4.190.31N/A8.85090
    30117ARemoval of intranasal lesion3.164.793.400.228.176.78090
    30118ARemoval of intranasal lesion9.69N/A7.530.66N/A17.88090
    30120ARevision of nose5.275.715.630.4111.3911.31090
    30124ARemoval of nose lesion3.10N/A3.120.20N/A6.42090
    30125ARemoval of nose lesion7.16N/A6.100.54N/A13.80090
    30130ARemoval of turbinate bones3.38N/A3.670.22N/A7.27090
    30140ARemoval of turbinate bones3.43N/A4.160.24N/A7.83090
    30150APartial removal of nose9.14N/A7.880.76N/A17.78090
    30160ARemoval of nose9.58N/A7.890.78N/A18.25090
    30200AInjection treatment of nose0.781.790.790.062.631.63000
    30210ANasal sinus therapy1.082.221.360.083.382.52010
    30220AInsert nasal septal button1.544.671.590.116.323.24010
    30300ARemove nasal foreign body1.044.271.910.075.383.02010
    30310ARemove nasal foreign body1.96N/A2.930.14N/A5.03010
    30320ARemove nasal foreign body4.52N/A4.650.36N/A9.53090
    30400RReconstruction of nose9.83N/A9.350.80N/A19.98090
    30410RReconstruction of nose12.98N/A11.131.08N/A25.19090
    30420RReconstruction of nose15.88N/A12.701.24N/A29.82090
    30430RRevision of nose7.21N/A8.160.62N/A15.99090
    30435RRevision of nose11.71N/A10.781.10N/A23.59090
    30450RRevision of nose18.65N/A14.351.53N/A34.53090
    30460ARevision of nose9.96N/A8.070.85N/A18.88090
    30462ARevision of nose19.57N/A14.001.92N/A35.49090
    30465ARepair nasal stenosis11.64N/A7.880.97N/A20.49090
    30520ARepair of nasal septum5.70N/A5.370.41N/A11.48090
    30540ARepair nasal defect7.75N/A5.810.53N/A14.09090
    30545ARepair nasal defect11.38N/A8.930.80N/A21.11090
    30560ARelease of nasal adhesions1.264.381.990.095.733.34010
    30580ARepair upper jaw fistula6.697.436.340.5014.6213.53090
    30600ARepair mouth/nose fistula6.026.515.690.7013.2312.41090
    30620AIntranasal reconstruction5.97N/A6.010.45N/A12.43090
    30630ARepair nasal septum defect7.12N/A6.430.51N/A14.06090
    30801ACauterization, inner nose1.092.292.170.083.463.34010
    30802ACauterization, inner nose2.032.852.700.155.034.88010
    30901AControl of nosebleed1.211.410.330.092.711.63000
    30903AControl of nosebleed1.542.920.510.124.582.17000
    30905AControl of nosebleed1.973.730.780.155.852.90000
    30906ARepeat control of nosebleed2.454.121.230.176.743.85000
    30915ALigation, nasal sinus artery7.20N/A6.070.50N/A13.77090
    30920ALigation, upper jaw artery9.83N/A7.760.69N/A18.28090
    30930ATherapy, fracture of nose1.26N/A1.690.09N/A3.04010
    30999CNasal surgery procedure0.000.000.000.000.000.00YYY
    Start Printed Page 49110
    31000AIrrigation, maxillary sinus1.152.991.460.084.222.69010
    31002AIrrigation, sphenoid sinus1.91N/A3.100.14N/A5.15010
    31020AExploration, maxillary sinus2.944.313.660.207.456.80090
    31030AExploration, maxillary sinus5.925.824.950.4212.1611.29090
    31032AExplore sinus, remove polyps6.57N/A5.820.47N/A12.86090
    31040AExploration behind upper jaw9.42N/A6.440.71N/A16.57090
    31050AExploration, sphenoid sinus5.28N/A4.680.39N/A10.35090
    31051ASphenoid sinus surgery7.11N/A6.080.55N/A13.74090
    31070AExploration of frontal sinus4.28N/A4.400.30N/A8.98090
    31075AExploration of frontal sinus9.16N/A7.480.64N/A17.28090
    31080ARemoval of frontal sinus11.42N/A8.680.78N/A20.88090
    31081ARemoval of frontal sinus12.75N/A9.701.84N/A24.29090
    31084ARemoval of frontal sinus13.51N/A10.360.96N/A24.83090
    31085ARemoval of frontal sinus14.20N/A10.721.18N/A26.10090
    31086ARemoval of frontal sinus12.86N/A10.180.90N/A23.94090
    31087ARemoval of frontal sinus13.10N/A10.101.15N/A24.35090
    31090AExploration of sinuses9.53N/A8.910.66N/A19.10090
    31200ARemoval of ethmoid sinus4.97N/A5.150.25N/A10.37090
    31201ARemoval of ethmoid sinus8.37N/A7.090.58N/A16.04090
    31205ARemoval of ethmoid sinus10.24N/A7.830.58N/A18.65090
    31225ARemoval of upper jaw19.23N/A14.191.38N/A34.80090
    31230ARemoval of upper jaw21.94N/A15.601.57N/A39.11090
    31231ANasal endoscopy, dx1.102.920.930.084.102.11000
    31233ANasal/sinus endoscopy, dx2.183.671.540.166.013.88000
    31235ANasal/sinus endoscopy, dx2.644.131.790.186.954.61000
    31237ANasal/sinus endoscopy, surg2.984.411.950.217.605.14000
    31238ANasal/sinus endoscopy, surg3.264.422.160.237.915.65000
    31239ANasal/sinus endoscopy, surg8.70N/A7.860.46N/A17.02010
    31240ANasal/sinus endoscopy, surg2.61N/A1.790.18N/A4.58000
    31254ARevision of ethmoid sinus4.65N/A2.940.32N/A7.91000
    31255ARemoval of ethmoid sinus6.96N/A4.240.49N/A11.69000
    31256AExploration maxillary sinus3.29N/A2.190.23N/A5.71000
    31267AEndoscopy, maxillary sinus5.46N/A3.400.38N/A9.24000
    31276ASinus endoscopy, surgical8.85N/A5.270.62N/A14.74000
    31287ANasal/sinus endoscopy, surg3.92N/A2.540.27N/A6.73000
    31288ANasal/sinus endoscopy, surg4.58N/A2.910.32N/A7.81000
    31290ANasal/sinus endoscopy, surg17.24N/A11.741.20N/A30.18010
    31291ANasal/sinus endoscopy, surg18.19N/A12.231.73N/A32.15010
    31292ANasal/sinus endoscopy, surg14.76N/A10.330.99N/A26.08010
    31293ANasal/sinus endoscopy, surg16.21N/A11.160.97N/A28.34010
    31294ANasal/sinus endoscopy, surg19.06N/A12.691.04N/A32.79010
    31299CSinus surgery procedure0.000.000.000.000.000.00YYY
    31300ARemoval of larynx lesion14.29N/A12.710.99N/A27.99090
    31320ADiagnostic incision, larynx5.26N/A7.770.40N/A13.43090
    31360ARemoval of larynx17.08N/A14.711.20N/A32.99090
    31365ARemoval of larynx24.16N/A18.451.72N/A44.33090
    31367APartial removal of larynx21.86N/A18.321.57N/A41.75090
    31368APartial removal of larynx27.09N/A22.101.90N/A51.09090
    31370APartial removal of larynx21.38N/A17.911.51N/A40.80090
    Start Printed Page 49111
    31375APartial removal of larynx20.21N/A16.141.43N/A37.78090
    31380APartial removal of larynx20.21N/A16.081.40N/A37.69090
    31382APartial removal of larynx20.52N/A17.461.44N/A39.42090
    31390ARemoval of larynx & pharynx27.53N/A22.311.95N/A51.79090
    31395AReconstruct larynx & pharynx31.09N/A26.492.27N/A59.85090
    31400ARevision of larynx10.31N/A10.680.72N/A21.71090
    31420ARemoval of epiglottis10.22N/A10.510.71N/A21.44090
    31500AInsert emergency airway2.33N/A0.670.15N/A3.15000
    31502AChange of windpipe airway0.651.520.260.042.210.95000
    31505ADiagnostic laryngoscopy0.611.520.640.042.171.29000
    31510ALaryngoscopy with biopsy1.923.361.310.155.433.38000
    31511ARemove foreign body, larynx2.163.191.130.165.513.45000
    31512ARemoval of larynx lesion2.073.261.420.165.493.65000
    31513AInjection into vocal cord2.10N/A1.520.15N/A3.77000
    31515ALaryngoscopy for aspiration1.803.411.110.125.333.03000
    31520ADiagnostic laryngoscopy2.56N/A1.630.17N/A4.36000
    31525ADiagnostic laryngoscopy2.633.611.720.186.424.53000
    31526ADiagnostic laryngoscopy2.57N/A1.780.18N/A4.53000
    31527ALaryngoscopy for treatment3.27N/A1.940.21N/A5.42000
    31528ALaryngoscopy and dilation2.37N/A1.470.16N/A4.00000
    31529ALaryngoscopy and dilation2.68N/A1.750.18N/A4.61000
    31530AOperative laryngoscopy3.39N/A2.010.24N/A5.64000
    31531AOperative laryngoscopy3.59N/A2.360.25N/A6.20000
    31535AOperative laryngoscopy3.16N/A2.060.22N/A5.44000
    31536AOperative laryngoscopy3.56N/A2.330.25N/A6.14000
    31540AOperative laryngoscopy4.13N/A2.630.29N/A7.05000
    31541AOperative laryngoscopy4.53N/A2.870.32N/A7.72000
    31560AOperative laryngoscopy5.46N/A3.220.38N/A9.06000
    31561AOperative laryngoscopy6.00N/A3.440.42N/A9.86000
    31570ALaryngoscopy with injection3.875.442.470.249.556.58000
    31571ALaryngoscopy with injection4.27N/A2.690.30N/A7.26000
    31575ADiagnostic laryngoscopy1.101.950.920.083.132.10000
    31576ALaryngoscopy with biopsy1.973.521.340.135.623.44000
    31577ARemove foreign body, larynx2.473.651.600.176.294.24000
    31578ARemoval of larynx lesion2.844.151.590.207.194.63000
    31579ADiagnostic laryngoscopy2.263.301.550.165.723.97000
    31580ARevision of larynx12.38N/A11.780.87N/A25.03090
    31582ARevision of larynx21.62N/A18.171.52N/A41.31090
    31584ATreat larynx fracture19.64N/A15.251.42N/A36.31090
    31585ATreat larynx fracture4.64N/A6.010.30N/A10.95090
    31586ATreat larynx fracture8.03N/A8.900.56N/A17.49090
    31587ARevision of larynx11.99N/A10.610.88N/A23.48090
    31588ARevision of larynx13.11N/A13.800.92N/A27.83090
    31590AReinnervate larynx6.97N/A9.290.50N/A16.76090
    31595ALarynx nerve surgery8.34N/A8.090.62N/A17.05090
    31599CLarynx surgery procedure0.000.000.000.000.000.00YYY
    31600AIncision of windpipe7.18N/A3.240.34N/A10.76000
    31601AIncision of windpipe4.45N/A2.440.39N/A7.28000
    31603AIncision of windpipe4.15N/A1.750.35N/A6.25000
    31605AIncision of windpipe3.58N/A1.210.33N/A5.12000
    31610AIncision of windpipe8.76N/A7.720.69N/A17.17090
    31611ASurgery/speech prosthesis5.64N/A6.310.40N/A12.35090
    31612APuncture/clear windpipe0.911.160.360.062.131.33000
    31613ARepair windpipe opening4.59N/A5.600.37N/A10.56090
    31614ARepair windpipe opening7.12N/A8.180.51N/A15.81090
    31615AVisualization of windpipe2.092.681.220.144.913.45000
    31622ADx bronchoscope/wash2.784.300.900.147.223.82000
    Start Printed Page 49112
    31623ADx bronchoscope/brush2.885.160.910.148.183.93000
    31624ADx bronchoscope/lavage2.884.370.910.137.383.92000
    31625ABronchoscopy w/biopsy(s)3.379.221.060.1612.754.59000
    31628ABronchoscopy/lung bx, each3.813.051.400.147.005.35000
    31629ABronchoscopy/needle bx, each3.37N/A1.280.13N/A4.78000
    31630ABronchoscopy dilate/fx repr3.82N/A2.000.30N/A6.12000
    31631ABronchoscopy, dilate w/stent4.37N/A2.030.31N/A6.71000
    31635ABronchoscopy w/fb removal3.68N/A1.690.21N/A5.58000
    31640ABronchoscopy w/tumor excise4.94N/A2.350.37N/A7.66000
    31641ABronchoscopy, treat blockage5.03N/A2.140.30N/A7.47000
    31643ADiag bronchoscope/catheter3.50N/A1.330.15N/A4.98000
    31645ABronchoscopy, clear airways3.16N/A1.220.13N/A4.51000
    31646ABronchoscopy, reclear airway2.72N/A1.090.12N/A3.93000
    31656ABronchoscopy, inj for x-ray2.17N/A0.930.10N/A3.20000
    31700AInsertion of airway catheter1.342.120.690.073.532.10000
    31708AInstill airway contrast dye1.41N/A0.590.06N/A2.06000
    31710AInsertion of airway catheter1.30N/A0.710.06N/A2.07000
    31715AInjection for bronchus x-ray1.11N/A0.600.06N/A1.77000
    31717ABronchial brush biopsy2.122.920.880.095.133.09000
    31720AClearance of airways1.061.510.330.062.631.45000
    31725AClearance of airways1.961.820.590.103.882.65000
    31730AIntro, windpipe wire/tube2.852.271.100.155.274.10000
    31750ARepair of windpipe13.02N/A12.061.02N/A26.10090
    31755ARepair of windpipe15.93N/A14.741.15N/A31.82090
    31760ARepair of windpipe22.35N/A10.511.48N/A34.34090
    31766AReconstruction of windpipe30.43N/A13.603.16N/A47.19090
    31770ARepair/graft of bronchus22.51N/A10.162.27N/A34.94090
    31775AReconstruct bronchus23.54N/A11.782.91N/A38.23090
    31780AReconstruct windpipe17.72N/A11.121.55N/A30.39090
    31781AReconstruct windpipe23.53N/A12.152.04N/A37.72090
    31785ARemove windpipe lesion17.23N/A10.461.36N/A29.05090
    31786ARemove windpipe lesion23.98N/A13.242.20N/A39.42090
    31800ARepair of windpipe injury7.43N/A4.920.67N/A13.02090
    31805ARepair of windpipe injury13.13N/A7.171.45N/A21.75090
    31820AClosure of windpipe lesion4.495.805.150.3510.649.99090
    31825ARepair of windpipe defect6.817.977.400.5015.2814.71090
    31830ARevise windpipe scar4.505.925.470.3610.7810.33090
    31899CAirways surgical procedure0.000.000.000.000.000.00YYY
    32000ADrainage of chest1.543.160.490.074.772.10000
    32002ATreatment of collapsed lung2.193.390.850.115.693.15000
    32005ATreat lung lining chemically2.196.470.700.178.833.06000
    32020AInsertion of chest tube3.98N/A1.460.36N/A5.80000
    32035AExploration of chest8.67N/A5.721.02N/A15.41090
    32036AExploration of chest9.68N/A6.241.20N/A17.12090
    32095ABiopsy through chest wall8.36N/A5.270.99N/A14.62090
    32100AExploration/biopsy of chest15.24N/A7.731.45N/A24.42090
    32110AExplore/repair chest23.00N/A10.631.63N/A35.26090
    32120ARe-exploration of chest11.54N/A6.931.42N/A19.89090
    Start Printed Page 49113
    32124AExplore chest free adhesions12.72N/A7.101.51N/A21.33090
    32140ARemoval of lung lesion(s)13.93N/A7.571.68N/A23.18090
    32141ARemove/treat lung lesions14.00N/A7.451.72N/A23.17090
    32150ARemoval of lung lesion(s)14.15N/A7.541.60N/A23.29090
    32151ARemove lung foreign body14.21N/A7.941.49N/A23.64090
    32160AOpen chest heart massage9.30N/A5.321.01N/A15.63090
    32200ADrain, open, lung lesion15.29N/A8.501.46N/A25.25090
    32201ADrain, percut, lung lesion4.00N/A5.600.18N/A9.78000
    32215ATreat chest lining11.33N/A6.841.34N/A19.51090
    32220ARelease of lung24.00N/A12.612.39N/A39.00090
    32225APartial release of lung13.96N/A7.641.70N/A23.30090
    32310ARemoval of chest lining13.44N/A7.381.65N/A22.47090
    32320AFree/remove chest lining24.00N/A11.972.50N/A38.47090
    32400ANeedle biopsy chest lining1.761.730.560.073.562.39000
    32402AOpen biopsy chest lining7.56N/A5.110.91N/A13.58090
    32405ABiopsy, lung or mediastinum1.932.140.640.094.162.66000
    32420APuncture/clear lung2.18N/A0.840.11N/A3.13000
    32440ARemoval of lung25.00N/A12.612.56N/A40.17090
    32442ASleeve pneumonectomy26.24N/A14.343.12N/A43.70090
    32445ARemoval of lung25.09N/A13.753.11N/A41.95090
    32480APartial removal of lung23.75N/A11.812.24N/A37.80090
    32482ABilobectomy25.00N/A12.682.35N/A40.03090
    32484ASegmentectomy20.69N/A11.122.54N/A34.35090
    32486ASleeve lobectomy23.92N/A12.893.00N/A39.81090
    32488ACompletion pneumonectomy25.71N/A13.443.18N/A42.33090
    32491RLung volume reduction21.25N/A12.232.66N/A36.14090
    32500APartial removal of lung22.00N/A12.021.77N/A35.79090
    32501ARepair bronchus add-on4.69N/A1.540.56N/A6.79ZZZ
    32520ARemove lung & revise chest21.68N/A11.012.71N/A35.40090
    32522ARemove lung & revise chest24.20N/A11.842.84N/A38.88090
    32525ARemove lung & revise chest26.50N/A12.543.25N/A42.29090
    32540ARemoval of lung lesion14.64N/A9.351.84N/A25.83090
    32601AThoracoscopy, diagnostic5.46N/A2.370.63N/A8.46000
    32602AThoracoscopy, diagnostic5.96N/A2.540.70N/A9.20000
    32603AThoracoscopy, diagnostic7.81N/A3.070.76N/A11.64000
    32604AThoracoscopy, diagnostic8.78N/A3.490.97N/A13.24000
    32605AThoracoscopy, diagnostic6.93N/A2.910.86N/A10.70000
    32606AThoracoscopy, diagnostic8.40N/A3.350.99N/A12.74000
    32650AThoracoscopy, surgical10.75N/A6.581.25N/A18.58090
    32651AThoracoscopy, surgical12.91N/A7.101.50N/A21.51090
    32652AThoracoscopy, surgical18.66N/A9.912.30N/A30.87090
    32653AThoracoscopy, surgical12.87N/A6.821.55N/A21.24090
    32654AThoracoscopy, surgical12.44N/A7.311.51N/A21.26090
    32655AThoracoscopy, surgical13.10N/A7.121.53N/A21.75090
    32656AThoracoscopy, surgical12.91N/A7.681.61N/A22.20090
    32657AThoracoscopy, surgical13.65N/A7.511.64N/A22.80090
    32658AThoracoscopy, surgical11.63N/A7.111.47N/A20.21090
    32659AThoracoscopy, surgical11.59N/A7.231.39N/A20.21090
    32660AThoracoscopy, surgical17.43N/A9.202.09N/A28.72090
    32661AThoracoscopy, surgical13.25N/A7.571.66N/A22.48090
    32662AThoracoscopy, surgical16.44N/A8.602.01N/A27.05090
    32663AThoracoscopy, surgical18.47N/A10.452.28N/A31.20090
    32664AThoracoscopy, surgical14.20N/A7.541.70N/A23.44090
    32665AThoracoscopy, surgical15.54N/A8.061.79N/A25.39090
    32800ARepair lung hernia13.69N/A7.481.51N/A22.68090
    32810AClose chest after drainage13.05N/A7.541.55N/A22.14090
    32815AClose bronchial fistula23.15N/A10.902.84N/A36.89090
    32820AReconstruct injured chest21.48N/A12.202.31N/A35.99090
    32851ALung transplant, single38.63N/A22.544.90N/A66.07090
    Start Printed Page 49114
    32852ALung transplant with bypass41.80N/A26.195.17N/A73.16090
    32853ALung transplant, double47.81N/A26.096.13N/A80.03090
    32854ALung transplant with bypass50.98N/A28.636.41N/A86.02090
    32900ARemoval of rib(s)20.27N/A9.962.42N/A32.65090
    32905ARevise & repair chest wall20.75N/A10.152.54N/A33.44090
    32906ARevise & repair chest wall26.77N/A12.073.30N/A42.14090
    32940ARevision of lung19.43N/A9.392.47N/A31.29090
    32960ATherapeutic pneumothorax1.841.820.570.123.782.53000
    32997ATotal lung lavage6.00N/A1.930.55N/A8.48000
    32999CChest surgery procedure0.000.000.000.000.000.00YYY
    33010ADrainage of heart sac2.24N/A0.980.13N/A3.35000
    33011ARepeat drainage of heart sac2.24N/A1.010.13N/A3.38000
    33015AIncision of heart sac6.80N/A4.850.64N/A12.29090
    33020AIncision of heart sac12.61N/A6.831.50N/A20.94090
    33025AIncision of heart sac12.09N/A6.391.50N/A19.98090
    33030APartial removal of heart sac18.71N/A9.432.40N/A30.54090
    33031APartial removal of heart sac21.79N/A10.012.78N/A34.58090
    33050ARemoval of heart sac lesion14.36N/A7.801.73N/A23.89090
    33120ARemoval of heart lesion24.56N/A11.603.06N/A39.22090
    33130ARemoval of heart lesion21.39N/A10.152.51N/A34.05090
    33140AHeart revascularize (tmr)20.00N/A10.622.27N/A32.89090
    33141AHeart tmr w/other procedure4.84N/A1.560.55N/A6.95ZZZ
    33200AInsertion of heart pacemaker12.48N/A6.961.17N/A20.61090
    33201AInsertion of heart pacemaker10.18N/A6.591.21N/A17.98090
    33206AInsertion of heart pacemaker6.67N/A4.600.50N/A11.77090
    33207AInsertion of heart pacemaker8.04N/A4.890.57N/A13.50090
    33208AInsertion of heart pacemaker8.13N/A5.030.54N/A13.70090
    33210AInsertion of heart electrode3.30N/A1.280.17N/A4.75000
    33211AInsertion of heart electrode3.40N/A1.340.17N/A4.91000
    33212AInsertion of pulse generator5.52N/A3.500.44N/A9.46090
    33213AInsertion of pulse generator6.37N/A3.880.46N/A10.71090
    33214AUpgrade of pacemaker system7.75N/A5.070.52N/A13.34090
    33215AReposition pacing-defib lead4.76N/A3.210.36N/A8.33090
    33216AInsert lead pace-defib, one5.78N/A4.320.36N/A10.46090
    33217AInsert lead pace-defib, dual5.75N/A4.400.36N/A10.51090
    33218ARepair lead pace-defib, one5.44N/A4.360.40N/A10.20090
    33220ARepair lead pace-defib, dual5.52N/A4.350.39N/A10.26090
    33222ARevise pocket, pacemaker4.96N/A4.270.39N/A9.62090
    33223ARevise pocket, pacing-defib6.46N/A4.740.44N/A11.64090
    33224AInsert pacing lead & connect9.05N/A4.080.36N/A13.49000
    33225AL ventric pacing lead add-on8.34N/A3.280.36N/A11.98ZZZ
    33226AReposition l ventric lead8.69N/A3.940.36N/A12.99000
    33233ARemoval of pacemaker system3.29N/A3.390.22N/A6.90090
    Start Printed Page 49115
    33234ARemoval of pacemaker system7.82N/A5.040.56N/A13.42090
    33235ARemoval pacemaker electrode9.40N/A6.920.68N/A17.00090
    33236ARemove electrode/thoracotomy12.60N/A7.281.49N/A21.37090
    33237ARemove electrode/thoracotomy13.71N/A7.671.57N/A22.95090
    33238ARemove electrode/thoracotomy15.22N/A8.101.56N/A24.88090
    33240AInsert pulse generator7.60N/A4.740.53N/A12.87090
    33241ARemove pulse generator3.24N/A3.080.21N/A6.53090
    33243ARemove eltrd/thoracotomy22.64N/A11.132.53N/A36.30090
    33244ARemove eltrd, transven13.76N/A8.811.05N/A23.62090
    33245AInsert epic eltrd pace-defib14.30N/A8.001.28N/A23.58090
    33246AInsert epic eltrd/generator20.71N/A10.312.22N/A33.24090
    33249AEltrd/insert pace-defib14.23N/A8.630.80N/A23.66090
    33250AAblate heart dysrhythm focus21.85N/A11.611.01N/A34.47090
    33251AAblate heart dysrhythm focus24.88N/A11.562.41N/A38.85090
    33253AReconstruct atria31.06N/A13.683.68N/A48.42090
    33261AAblate heart dysrhythm focus24.88N/A11.682.82N/A39.38090
    33282AImplant pat-active ht record4.17N/A4.210.39N/A8.77090
    33284ARemove pat-active ht record2.50N/A3.770.23N/A6.50090
    33300ARepair of heart wound17.92N/A9.281.91N/A29.11090
    33305ARepair of heart wound21.44N/A10.502.68N/A34.62090
    33310AExploratory heart surgery18.51N/A9.472.26N/A30.24090
    33315AExploratory heart surgery22.37N/A10.742.90N/A36.01090
    33320ARepair major blood vessel(s)16.79N/A8.361.66N/A26.81090
    33321ARepair major vessel20.20N/A9.732.70N/A32.63090
    33322ARepair major blood vessel(s)20.62N/A10.292.51N/A33.42090
    33330AInsert major vessel graft21.43N/A10.262.49N/A34.18090
    33332AInsert major vessel graft23.96N/A10.592.45N/A37.00090
    33335AInsert major vessel graft30.01N/A13.223.79N/A47.02090
    33400ARepair of aortic valve28.50N/A15.233.09N/A46.82090
    33401AValvuloplasty, open23.91N/A13.302.71N/A39.92090
    33403AValvuloplasty, w/cp bypass24.89N/A13.942.48N/A41.31090
    33404APrepare heart-aorta conduit28.54N/A14.103.31N/A45.95090
    33405AReplacement of aortic valve35.00N/A17.753.86N/A56.61090
    33406AReplacement of aortic valve37.50N/A18.554.07N/A60.12090
    33410AReplacement of aortic valve32.46N/A16.194.11N/A52.76090
    33411AReplacement of aortic valve36.25N/A18.204.16N/A58.61090
    33412AReplacement of aortic valve42.00N/A19.944.66N/A66.60090
    33413AReplacement of aortic valve43.50N/A20.314.26N/A68.07090
    33414ARepair of aortic valve30.35N/A13.853.79N/A47.99090
    33415ARevision, subvalvular tissue27.15N/A11.873.25N/A42.27090
    33416ARevise ventricle muscle30.35N/A13.343.85N/A47.54090
    33417ARepair of aortic valve28.53N/A13.333.58N/A45.44090
    33420ARevision of mitral valve22.70N/A9.761.48N/A33.94090
    33422ARevision of mitral valve25.94N/A13.213.30N/A42.45090
    33425ARepair of mitral valve27.00N/A12.703.00N/A42.70090
    33426ARepair of mitral valve33.00N/A16.663.87N/A53.53090
    Start Printed Page 49116
    33427ARepair of mitral valve40.00N/A18.854.30N/A63.15090
    33430AReplacement of mitral valve33.50N/A16.793.95N/A54.24090
    33460ARevision of tricuspid valve23.60N/A11.133.02N/A37.75090
    33463AValvuloplasty, tricuspid25.62N/A12.743.17N/A41.53090
    33464AValvuloplasty, tricuspid27.33N/A13.323.47N/A44.12090
    33465AReplace tricuspid valve28.79N/A12.813.61N/A45.21090
    33468ARevision of tricuspid valve30.12N/A13.404.00N/A47.52090
    33470ARevision of pulmonary valve20.81N/A10.782.81N/A34.40090
    33471AValvotomy, pulmonary valve22.25N/A9.803.00N/A35.05090
    33472ARevision of pulmonary valve22.25N/A11.632.92N/A36.80090
    33474ARevision of pulmonary valve23.04N/A10.792.84N/A36.67090
    33475AReplacement, pulmonary valve33.00N/A15.092.64N/A50.73090
    33476ARevision of heart chamber25.77N/A11.972.40N/A40.14090
    33478ARevision of heart chamber26.74N/A12.703.56N/A43.00090
    33496ARepair, prosth valve clot27.25N/A12.643.44N/A43.33090
    33500ARepair heart vessel fistula25.55N/A11.342.80N/A39.69090
    33501ARepair heart vessel fistula17.78N/A8.282.05N/A28.11090
    33502ACoronary artery correction21.04N/A11.042.51N/A34.59090
    33503ACoronary artery graft21.78N/A9.911.42N/A33.11090
    33504ACoronary artery graft24.66N/A11.763.04N/A39.46090
    33505ARepair artery w/tunnel26.84N/A12.971.52N/A41.33090
    33506ARepair artery, translocation35.50N/A14.563.19N/A53.25090
    33508AEndoscopic vein harvest0.31N/A0.100.03N/A0.44ZZZ
    33510ACABG, vein, single29.00N/A15.823.13N/A47.95090
    33511ACABG, vein, two30.00N/A16.543.34N/A49.88090
    33512ACABG, vein, three31.80N/A17.073.70N/A52.57090
    33513ACABG, vein, four32.00N/A17.233.99N/A53.22090
    33514ACABG, vein, five32.75N/A17.494.37N/A54.61090
    33516ACabg, vein, six or more35.00N/A18.244.62N/A57.86090
    33517ACABG, artery-vein, single2.57N/A0.830.32N/A3.72ZZZ
    33518ACABG, artery-vein, two4.85N/A1.570.61N/A7.03ZZZ
    33519ACABG, artery-vein, three7.12N/A2.310.89N/A10.32ZZZ
    33521ACABG, artery-vein, four9.40N/A3.051.18N/A13.63ZZZ
    33522ACABG, artery-vein, five11.67N/A3.781.48N/A16.93ZZZ
    33523ACabg, art-vein, six or more13.95N/A4.481.78N/A20.21ZZZ
    33530ACoronary artery, bypass/reop5.86N/A1.890.73N/A8.48ZZZ
    33533ACABG, arterial, single30.00N/A15.963.24N/A49.20090
    33534ACABG, arterial, two32.20N/A17.153.63N/A52.98090
    33535ACABG, arterial, three34.50N/A17.623.97N/A56.09090
    33536ACabg, arterial, four or more37.50N/A17.893.29N/A58.68090
    33542ARemoval of heart lesion28.85N/A12.983.61N/A45.44090
    33545ARepair of heart damage36.78N/A15.694.40N/A56.87090
    33572AOpen coronary endarterectomy4.45N/A1.440.55N/A6.44ZZZ
    33600AClosure of valve29.51N/A12.642.30N/A44.45090
    33602AClosure of valve28.54N/A12.792.90N/A44.23090
    33606AAnastomosis/artery-aorta30.74N/A13.653.59N/A47.98090
    33608ARepair anomaly w/conduit31.09N/A13.824.17N/A49.08090
    33610ARepair by enlargement30.61N/A14.174.02N/A48.80090
    33611ARepair double ventricle34.00N/A13.953.28N/A51.23090
    33612ARepair double ventricle35.00N/A15.014.44N/A54.45090
    33615ARepair, modified fontan34.00N/A15.113.15N/A52.26090
    33617ARepair single ventricle37.00N/A15.824.09N/A56.91090
    33619ARepair single ventricle45.00N/A20.084.71N/A69.79090
    33641ARepair heart septum defect21.39N/A9.472.67N/A33.53090
    33645ARevision of heart veins24.82N/A11.503.27N/A39.59090
    Start Printed Page 49117
    33647ARepair heart septum defects28.73N/A13.553.37N/A45.65090
    33660ARepair of heart defects30.00N/A13.242.82N/A46.06090
    33665ARepair of heart defects28.60N/A13.363.81N/A45.77090
    33670ARepair of heart chambers35.00N/A13.572.18N/A50.75090
    33681ARepair heart septum defect30.61N/A14.283.53N/A48.42090
    33684ARepair heart septum defect29.65N/A13.473.77N/A46.89090
    33688ARepair heart septum defect30.62N/A11.913.89N/A46.42090
    33690AReinforce pulmonary artery19.55N/A10.072.56N/A32.18090
    33692ARepair of heart defects30.75N/A13.893.77N/A48.41090
    33694ARepair of heart defects34.00N/A14.424.27N/A52.69090
    33697ARepair of heart defects36.00N/A14.664.54N/A55.20090
    33702ARepair of heart defects26.54N/A12.293.45N/A42.28090
    33710ARepair of heart defects29.71N/A13.903.85N/A47.46090
    33720ARepair of heart defect26.56N/A12.153.21N/A41.92090
    33722ARepair of heart defect28.41N/A13.383.80N/A45.59090
    33730ARepair heart-vein defect(s)34.25N/A14.282.85N/A51.38090
    33732ARepair heart-vein defect28.16N/A13.452.78N/A44.39090
    33735ARevision of heart chamber21.39N/A10.241.12N/A32.75090
    33736ARevision of heart chamber23.52N/A11.802.70N/A38.02090
    33737ARevision of heart chamber21.76N/A11.012.93N/A35.70090
    33750AMajor vessel shunt21.41N/A10.461.74N/A33.61090
    33755AMajor vessel shunt21.79N/A9.312.93N/A34.03090
    33762AMajor vessel shunt21.79N/A10.491.59N/A33.87090
    33764AMajor vessel shunt & graft21.79N/A10.311.93N/A34.03090
    33766AMajor vessel shunt22.76N/A11.293.04N/A37.09090
    33767AMajor vessel shunt24.50N/A11.723.14N/A39.36090
    33770ARepair great vessels defect37.00N/A14.714.49N/A56.20090
    33771ARepair great vessels defect34.65N/A12.794.67N/A52.11090
    33774ARepair great vessels defect30.98N/A13.754.18N/A48.91090
    33775ARepair great vessels defect32.20N/A14.584.34N/A51.12090
    33776ARepair great vessels defect34.04N/A15.384.58N/A54.00090
    33777ARepair great vessels defect33.46N/A15.264.51N/A53.23090
    33778ARepair great vessels defect40.00N/A16.754.83N/A61.58090
    33779ARepair great vessels defect36.21N/A15.622.40N/A54.23090
    33780ARepair great vessels defect41.75N/A18.875.21N/A65.83090
    33781ARepair great vessels defect36.45N/A13.944.91N/A55.30090
    33786ARepair arterial trunk39.00N/A16.664.69N/A60.35090
    33788ARevision of pulmonary artery26.62N/A12.193.32N/A42.13090
    33800AAortic suspension16.24N/A7.871.11N/A25.22090
    33802ARepair vessel defect17.66N/A9.041.56N/A28.26090
    33803ARepair vessel defect19.60N/A9.612.63N/A31.84090
    33813ARepair septal defect20.65N/A10.592.78N/A34.02090
    33814ARepair septal defect25.77N/A12.382.52N/A40.67090
    33820ARevise major vessel16.29N/A8.132.10N/A26.52090
    33822ARevise major vessel17.32N/A8.712.33N/A28.36090
    33824ARevise major vessel19.52N/A9.872.61N/A32.00090
    33840ARemove aorta constriction20.63N/A10.082.36N/A33.07090
    33845ARemove aorta constriction22.12N/A11.072.90N/A36.09090
    33851ARemove aorta constriction21.27N/A10.452.86N/A34.58090
    33852ARepair septal defect23.71N/A11.323.19N/A38.22090
    Start Printed Page 49118
    33853ARepair septal defect31.72N/A14.464.23N/A50.41090
    33860AAscending aortic graft38.00N/A16.224.30N/A58.52090
    33861AAscending aortic graft42.00N/A17.494.24N/A63.73090
    33863AAscending aortic graft45.00N/A18.454.60N/A68.05090
    33870ATransverse aortic arch graft44.00N/A18.165.09N/A67.25090
    33875AThoracic aortic graft33.06N/A14.044.08N/A51.18090
    33877AThoracoabdominal graft42.60N/A16.815.07N/A64.48090
    33910ARemove lung artery emboli24.59N/A11.373.06N/A39.02090
    33915ARemove lung artery emboli21.02N/A9.781.20N/A32.00090
    33916ASurgery of great vessel25.83N/A11.483.04N/A40.35090
    33917ARepair pulmonary artery24.50N/A11.963.17N/A39.63090
    33918ARepair pulmonary atresia26.45N/A12.373.42N/A42.24090
    33919ARepair pulmonary atresia40.00N/A17.323.48N/A60.80090
    33920ARepair pulmonary atresia31.95N/A13.903.61N/A49.46090
    33922ATransect pulmonary artery23.52N/A10.912.30N/A36.73090
    33924ARemove pulmonary shunt5.50N/A1.820.74N/A8.06ZZZ
    33935RTransplantation, heart/lung60.96N/A25.808.15N/A94.91090
    33945RTransplantation of heart42.10N/A18.745.42N/A66.26090
    33960AExternal circulation assist19.36N/A4.932.14N/A26.43000
    33961AExternal circulation assist10.93N/A3.631.47N/A16.03ZZZ
    33967AInsert ia percut device4.85N/A1.870.28N/A7.00000
    33968ARemove aortic assist device0.64N/A0.230.07N/A0.94000
    33970AAortic circulation assist6.75N/A2.280.70N/A9.73000
    33971AAortic circulation assist9.69N/A6.060.97N/A16.72090
    33973AInsert balloon device9.76N/A3.301.01N/A14.07000
    33974ARemove intra-aortic balloon14.41N/A8.041.48N/A23.93090
    33975AImplant ventricular device21.00N/A6.251.72N/A28.97XXX
    33976AImplant ventricular device23.00N/A7.502.82N/A33.32XXX
    33977ARemove ventricular device19.29N/A10.792.44N/A32.52090
    33978ARemove ventricular device21.73N/A11.662.66N/A36.05090
    33979AInsert intracorporeal device46.00N/A14.793.98N/A64.77XXX
    33980ARemove intracorporeal device56.25N/A24.814.60N/A85.66090
    33999CCardiac surgery procedure0.000.000.000.000.000.00YYY
    34001ARemoval of artery clot12.91N/A6.721.46N/A21.09090
    34051ARemoval of artery clot15.21N/A7.621.90N/A24.73090
    34101ARemoval of artery clot10.00N/A5.401.11N/A16.51090
    34111ARemoval of arm artery clot10.00N/A5.420.85N/A16.27090
    34151ARemoval of artery clot25.00N/A10.631.84N/A37.47090
    34201ARemoval of artery clot10.03N/A5.501.02N/A16.55090
    34203ARemoval of leg artery clot16.50N/A8.151.37N/A26.02090
    34401ARemoval of vein clot25.00N/A10.821.20N/A37.02090
    34421ARemoval of vein clot12.00N/A6.380.95N/A19.33090
    34451ARemoval of vein clot27.00N/A11.531.59N/A40.12090
    34471ARemoval of vein clot10.18N/A5.440.90N/A16.52090
    34490ARemoval of vein clot9.86N/A5.510.73N/A16.10090
    34501ARepair valve, femoral vein16.00N/A8.441.37N/A25.81090
    34502AReconstruct vena cava26.95N/A12.312.99N/A42.25090
    34510ATransposition of vein valve18.95N/A9.421.60N/A29.97090
    34520ACross-over vein graft17.95N/A8.861.41N/A28.22090
    34530ALeg vein fusion16.64N/A8.672.06N/A27.37090
    34800AEndovasc abdo repair w/tube20.75N/A9.231.49N/A31.47090
    34802AEndovasc abdo repr w/device23.00N/A9.931.65N/A34.58090
    34804AEndovasc abdo repr w/device23.00N/A9.921.65N/A34.57090
    34808AEndovasc abdo occlud device4.13N/A1.390.29N/A5.81ZZZ
    Start Printed Page 49119
    34812AXpose for endoprosth, femorl6.75N/A2.270.49N/A9.51000
    34813AFemoral endovas graft add-on4.80N/A1.590.34N/A6.73ZZZ
    34820AXpose for endoprosth, iliac9.75N/A3.290.70N/A13.74000
    34825AEndovasc extend prosth, init12.00N/A6.210.86N/A19.07090
    34826AEndovasc exten prosth, addl4.13N/A1.400.29N/A5.82ZZZ
    34830AOpen aortic tube prosth repr32.59N/A13.762.34N/A48.69090
    34831AOpen aortoiliac prosth repr35.34N/A11.912.53N/A49.78090
    34832AOpen aortofemor prosth repr35.34N/A14.762.53N/A52.63090
    34833AXpose for endoprosth, iliac12.00N/A4.580.70N/A17.28000
    34834AXpose, endoprosth, brachial5.35N/A2.260.49N/A8.10000
    34900AEndovasc iliac repr w/graft16.38N/A7.961.49N/A25.83090
    35001ARepair defect of artery19.64N/A9.522.44N/A31.60090
    35002ARepair artery rupture, neck21.00N/A9.791.82N/A32.61090
    35005ARepair defect of artery18.12N/A8.861.35N/A28.33090
    35011ARepair defect of artery18.00N/A8.071.30N/A27.37090
    35013ARepair artery rupture, arm22.00N/A9.761.91N/A33.67090
    35021ARepair defect of artery19.65N/A9.291.93N/A30.87090
    35022ARepair artery rupture, chest23.18N/A10.081.99N/A35.25090
    35045ARepair defect of arm artery17.57N/A7.731.25N/A26.55090
    35081ARepair defect of artery28.01N/A11.523.20N/A42.73090
    35082ARepair artery rupture, aorta38.50N/A15.524.07N/A58.09090
    35091ARepair defect of artery35.40N/A13.784.09N/A53.27090
    35092ARepair artery rupture, aorta45.00N/A17.924.31N/A67.23090
    35102ARepair defect of artery30.76N/A12.603.44N/A46.80090
    35103ARepair artery rupture, groin40.50N/A16.133.79N/A60.42090
    35111ARepair defect of artery25.00N/A10.581.81N/A37.39090
    35112ARepair artery rupture,spleen30.00N/A12.221.95N/A44.17090
    35121ARepair defect of artery30.00N/A12.572.93N/A45.50090
    35122ARepair artery rupture, belly35.00N/A14.093.54N/A52.63090
    35131ARepair defect of artery25.00N/A10.892.11N/A38.00090
    35132ARepair artery rupture, groin30.00N/A12.582.48N/A45.06090
    35141ARepair defect of artery20.00N/A9.011.65N/A30.66090
    35142ARepair artery rupture, thigh23.30N/A10.481.75N/A35.53090
    35151ARepair defect of artery22.64N/A10.111.93N/A34.68090
    35152ARepair artery rupture, knee25.62N/A11.431.93N/A38.98090
    35161ARepair defect of artery18.76N/A9.162.21N/A30.13090
    35162ARepair artery rupture19.78N/A9.642.21N/A31.63090
    35180ARepair blood vessel lesion13.62N/A7.021.44N/A22.08090
    35182ARepair blood vessel lesion30.00N/A12.931.88N/A44.81090
    35184ARepair blood vessel lesion18.00N/A8.381.34N/A27.72090
    35188ARepair blood vessel lesion14.28N/A7.601.53N/A23.41090
    35189ARepair blood vessel lesion28.00N/A12.092.12N/A42.21090
    35190ARepair blood vessel lesion12.75N/A6.541.33N/A20.62090
    35201ARepair blood vessel lesion16.14N/A8.011.17N/A25.32090
    35206ARepair blood vessel lesion13.25N/A6.721.04N/A21.01090
    35207ARepair blood vessel lesion10.15N/A7.851.15N/A19.15090
    35211ARepair blood vessel lesion22.12N/A10.472.83N/A35.42090
    35216ARepair blood vessel lesion18.75N/A8.952.17N/A29.87090
    35221ARepair blood vessel lesion24.39N/A10.201.79N/A36.38090
    35226ARepair blood vessel lesion14.50N/A7.720.84N/A23.06090
    Start Printed Page 49120
    35231ARepair blood vessel lesion20.00N/A9.911.32N/A31.23090
    35236ARepair blood vessel lesion17.11N/A8.081.19N/A26.38090
    35241ARepair blood vessel lesion23.12N/A10.912.90N/A36.93090
    35246ARepair blood vessel lesion26.45N/A11.402.22N/A40.07090
    35251ARepair blood vessel lesion30.20N/A12.111.87N/A44.18090
    35256ARepair blood vessel lesion18.36N/A8.441.32N/A28.12090
    35261ARepair blood vessel lesion17.80N/A8.101.34N/A27.24090
    35266ARepair blood vessel lesion14.91N/A7.161.16N/A23.23090
    35271ARepair blood vessel lesion22.12N/A10.372.77N/A35.26090
    35276ARepair blood vessel lesion24.25N/A11.172.37N/A37.79090
    35281ARepair blood vessel lesion28.00N/A11.931.82N/A41.75090
    35286ARepair blood vessel lesion16.16N/A8.181.36N/A25.70090
    35301ARechanneling of artery18.70N/A8.492.23N/A29.42090
    35311ARechanneling of artery27.00N/A11.612.75N/A41.36090
    35321ARechanneling of artery16.00N/A7.411.36N/A24.77090
    35331ARechanneling of artery26.20N/A11.372.71N/A40.28090
    35341ARechanneling of artery25.11N/A11.022.87N/A39.00090
    35351ARechanneling of artery23.00N/A9.802.29N/A35.09090
    35355ARechanneling of artery18.50N/A8.281.80N/A28.58090
    35361ARechanneling of artery28.20N/A11.912.66N/A42.77090
    35363ARechanneling of artery30.20N/A12.732.77N/A45.70090
    35371ARechanneling of artery14.72N/A7.081.32N/A23.12090
    35372ARechanneling of artery18.00N/A8.201.53N/A27.73090
    35381ARechanneling of artery15.81N/A7.851.80N/A25.46090
    35390AReoperation, carotid add-on3.19N/A1.070.38N/A4.64ZZZ
    35400AAngioscopy3.00N/A1.050.34N/A4.39ZZZ
    35450ARepair arterial blockage10.07N/A4.070.84N/A14.98000
    35452ARepair arterial blockage6.91N/A3.170.76N/A10.84000
    35454ARepair arterial blockage6.04N/A2.850.67N/A9.56000
    35456ARepair arterial blockage7.35N/A3.290.82N/A11.46000
    35458ARepair arterial blockage9.49N/A4.001.09N/A14.58000
    35459ARepair arterial blockage8.63N/A3.660.96N/A13.25000
    35460ARepair venous blockage6.04N/A2.700.66N/A9.40000
    35470ARepair arterial blockage8.63N/A3.890.50N/A13.02000
    35471ARepair arterial blockage10.07N/A4.510.50N/A15.08000
    35472ARepair arterial blockage6.91N/A3.270.39N/A10.57000
    35473ARepair arterial blockage6.04N/A2.940.34N/A9.32000
    35474ARepair arterial blockage7.36N/A2.920.40N/A10.68000
    35475RRepair arterial blockage9.49N/A4.100.47N/A14.06000
    35476ARepair venous blockage6.04N/A2.870.27N/A9.18000
    35480AAtherectomy, open11.08N/A4.551.13N/A16.76000
    35481AAtherectomy, open7.61N/A3.460.84N/A11.91000
    35482AAtherectomy, open6.65N/A3.100.75N/A10.50000
    35483AAtherectomy, open8.10N/A3.550.81N/A12.46000
    35484AAtherectomy, open10.44N/A4.261.13N/A15.83000
    35485AAtherectomy, open9.49N/A4.081.06N/A14.63000
    35490AAtherectomy, percutaneous11.08N/A4.780.55N/A16.41000
    35491AAtherectomy, percutaneous7.61N/A3.340.49N/A11.44000
    35492AAtherectomy, percutaneous6.65N/A3.220.43N/A10.30000
    35493AAtherectomy, percutaneous8.10N/A3.850.47N/A12.42000
    35494AAtherectomy, percutaneous10.44N/A4.440.48N/A15.36000
    35495AAtherectomy, percutaneous9.49N/A4.450.51N/A14.45000
    35500AHarvest vein for bypass6.45N/A2.060.63N/A9.14ZZZ
    35501AArtery bypass graft19.19N/A8.452.33N/A29.97090
    35506AArtery bypass graft19.67N/A9.382.33N/A31.38090
    35507AArtery bypass graft19.67N/A9.362.27N/A31.30090
    35508AArtery bypass graft18.65N/A9.272.34N/A30.26090
    35509AArtery bypass graft18.07N/A8.752.12N/A28.94090
    35511AArtery bypass graft21.20N/A9.431.74N/A32.37090
    Start Printed Page 49121
    35515AArtery bypass graft18.65N/A9.222.26N/A30.13090
    35516AArtery bypass graft16.32N/A6.811.88N/A25.01090
    35518AArtery bypass graft21.20N/A9.121.78N/A32.10090
    35521AArtery bypass graft22.20N/A9.941.82N/A33.96090
    35526AArtery bypass graft29.95N/A12.492.18N/A44.62090
    35531AArtery bypass graft36.20N/A14.732.91N/A53.84090
    35533AArtery bypass graft28.00N/A11.912.35N/A42.26090
    35536AArtery bypass graft31.70N/A13.212.62N/A47.53090
    35541AArtery bypass graft25.80N/A11.282.74N/A39.82090
    35546AArtery bypass graft25.54N/A10.992.84N/A39.37090
    35548AArtery bypass graft21.57N/A9.542.45N/A33.56090
    35549AArtery bypass graft23.35N/A10.392.77N/A36.51090
    35551AArtery bypass graft26.67N/A11.523.19N/A41.38090
    35556AArtery bypass graft21.76N/A9.822.48N/A34.06090
    35558AArtery bypass graft21.20N/A9.641.58N/A32.42090
    35560AArtery bypass graft32.00N/A13.462.73N/A48.19090
    35563AArtery bypass graft24.20N/A10.671.68N/A36.55090
    35565AArtery bypass graft23.20N/A10.311.71N/A35.22090
    35566AArtery bypass graft26.92N/A11.513.02N/A41.45090
    35571AArtery bypass graft24.06N/A11.252.14N/A37.45090
    35572AHarvest femoropopliteal vein6.82N/A2.370.63N/A9.82ZZZ
    35582AVein bypass graft27.13N/A11.673.11N/A41.91090
    35583AVein bypass graft22.37N/A10.372.53N/A35.27090
    35585AVein bypass graft28.39N/A12.613.21N/A44.21090
    35587AVein bypass graft24.75N/A11.882.17N/A38.80090
    35600AHarvest artery for cabg4.95N/A1.610.60N/A7.16ZZZ
    35601AArtery bypass graft17.50N/A8.582.08N/A28.16090
    35606AArtery bypass graft18.71N/A8.962.17N/A29.84090
    35612AArtery bypass graft15.76N/A7.821.72N/A25.30090
    35616AArtery bypass graft15.70N/A8.001.84N/A25.54090
    35621AArtery bypass graft20.00N/A8.861.68N/A30.54090
    35623ABypass graft, not vein24.00N/A10.641.91N/A36.55090
    35626AArtery bypass graft27.75N/A11.902.89N/A42.54090
    35631AArtery bypass graft34.00N/A14.072.83N/A50.90090
    35636AArtery bypass graft29.50N/A12.602.37N/A44.47090
    35641AArtery bypass graft24.57N/A11.102.83N/A38.50090
    35642AArtery bypass graft17.98N/A8.741.84N/A28.56090
    35645AArtery bypass graft17.47N/A8.391.91N/A27.77090
    35646AArtery bypass graft31.00N/A13.163.63N/A47.79090
    35647AArtery bypass graft28.00N/A11.843.28N/A43.12090
    35650AArtery bypass graft19.00N/A8.461.64N/A29.10090
    35651AArtery bypass graft25.04N/A10.962.53N/A38.53090
    35654AArtery bypass graft25.00N/A10.842.10N/A37.94090
    35656AArtery bypass graft19.53N/A8.732.21N/A30.47090
    35661AArtery bypass graft19.00N/A9.001.50N/A29.50090
    35663AArtery bypass graft22.00N/A10.091.55N/A33.64090
    35665AArtery bypass graft21.00N/A9.611.76N/A32.37090
    35666AArtery bypass graft22.19N/A11.022.19N/A35.40090
    35671AArtery bypass graft19.33N/A9.721.68N/A30.73090
    35681AComposite bypass graft1.60N/A0.540.18N/A2.32ZZZ
    35682AComposite bypass graft7.20N/A2.430.83N/A10.46ZZZ
    35683AComposite bypass graft8.50N/A2.870.98N/A12.35ZZZ
    35685ABypass graft patency/patch4.05N/A1.380.25N/A5.68ZZZ
    35686ABypass graft/av fist patency3.35N/A1.150.21N/A4.71ZZZ
    35691AArterial transposition18.05N/A8.502.06N/A28.61090
    35693AArterial transposition15.36N/A7.701.80N/A24.86090
    35694AArterial transposition19.16N/A8.732.13N/A30.02090
    35695AArterial transposition19.16N/A8.652.19N/A30.00090
    35700AReoperation, bypass graft3.08N/A1.030.36N/A4.47ZZZ
    35701AExploration, carotid artery8.50N/A5.220.64N/A14.36090
    35721AExploration, femoral artery7.18N/A4.520.59N/A12.29090
    35741AExploration popliteal artery8.00N/A4.790.60N/A13.39090
    35761AExploration of artery/vein5.37N/A4.100.60N/A10.07090
    Start Printed Page 49122
    35800AExplore neck vessels7.02N/A4.640.79N/A12.45090
    35820AExplore chest vessels12.88N/A6.961.61N/A21.45090
    35840AExplore abdominal vessels9.77N/A5.411.06N/A16.24090
    35860AExplore limb vessels5.55N/A4.070.63N/A10.25090
    35870ARepair vessel graft defect22.17N/A10.152.47N/A34.79090
    35875ARemoval of clot in graft10.13N/A5.350.97N/A16.45090
    35876ARemoval of clot in graft17.00N/A7.751.88N/A26.63090
    35879ARevise graft w/vein16.00N/A7.801.35N/A25.15090
    35881ARevise graft w/vein18.00N/A8.751.44N/A28.19090
    35901AExcision, graft, neck8.19N/A5.350.90N/A14.44090
    35903AExcision, graft, extremity9.39N/A6.241.03N/A16.66090
    35905AExcision, graft, thorax31.25N/A13.302.15N/A46.70090
    35907AExcision, graft, abdomen35.00N/A14.572.17N/A51.74090
    36000APlace needle in vein0.180.620.050.010.810.24XXX
    36002APseudoaneurysm injection trt1.962.921.000.104.983.06000
    36005AInjection ext venography0.958.450.320.049.441.31000
    36010APlace catheter in vein2.43N/A0.800.16N/A3.39XXX
    36011APlace catheter in vein3.14N/A1.050.17N/A4.36XXX
    36012APlace catheter in vein3.52N/A1.180.17N/A4.87XXX
    36013APlace catheter in artery2.52N/A0.660.17N/A3.35XXX
    36014APlace catheter in artery3.02N/A1.010.14N/A4.17XXX
    36015APlace catheter in artery3.52N/A1.180.16N/A4.86XXX
    36100AEstablish access to artery3.02N/A1.120.18N/A4.32XXX
    36120AEstablish access to artery2.01N/A0.660.11N/A2.78XXX
    36140AEstablish access to artery2.01N/A0.650.12N/A2.78XXX
    36145AArtery to vein shunt2.01N/A0.670.10N/A2.78XXX
    36160AEstablish access to aorta2.52N/A0.860.20N/A3.58XXX
    36200APlace catheter in aorta3.0272.761.040.1575.934.21XXX
    36215APlace catheter in artery4.68N/A1.610.22N/A6.51XXX
    36216APlace catheter in artery5.28N/A1.790.24N/A7.31XXX
    36217APlace catheter in artery6.30N/A2.180.32N/A8.80XXX
    36218APlace catheter in artery1.01N/A0.350.05N/A1.41ZZZ
    36245APlace catheter in artery4.68N/A1.680.23N/A6.59XXX
    36246APlace catheter in artery5.28N/A1.820.26N/A7.36XXX
    36247APlace catheter in artery6.30N/A2.150.32N/A8.77XXX
    36248APlace catheter in artery1.01N/A0.350.06N/A1.42ZZZ
    36260AInsertion of infusion pump9.71N/A5.041.00N/A15.75090
    36261ARevision of infusion pump5.45N/A3.660.50N/A9.61090
    36262ARemoval of infusion pump4.02N/A2.830.43N/A7.28090
    36299CVessel injection procedure0.000.000.000.000.000.00YYY
    36400ABl draw < 3 yrs fem/jugular0.380.280.090.010.670.48XXX
    36405ABl draw < 3 yrs scalp vein0.310.260.080.010.580.40XXX
    36406ABl draw < 3 yrs other vein0.180.300.050.010.490.24XXX
    36410ANon-routine bl draw > 3 yrs0.180.300.050.010.490.24XXX
    36415IRoutine venipuncture0.000.000.000.000.000.00XXX
    36416ICapillary blood draw0.000.000.000.000.000.00XXX
    36420AVein access cutdown < 1 yr1.013.180.280.094.281.38XXX
    36425AVein access cutdown > 1 yr0.76N/A0.220.05N/A1.03XXX
    36430ABlood transfusion service0.001.01N/A0.051.06N/AXXX
    36440ABl push transfuse, 2 yr or <1.03N/A0.290.08N/A1.40XXX
    36450ABl exchange/transfuse, nb2.23N/A0.710.16N/A3.10XXX
    36455ABl exchange/transfuse non-nb2.43N/A0.840.10N/A3.37XXX
    36460ATransfusion service, fetal6.59N/A2.260.56N/A9.41XXX
    36468RInjection(s), spider veins0.000.000.000.000.000.00000
    36469RInjection(s), spider veins0.000.000.000.000.000.00000
    36470AInjection therapy of vein1.092.750.450.103.941.64010
    36471AInjection therapy of veins1.573.100.610.154.822.33010
    36481AInsertion of catheter, vein6.997.022.760.4014.4110.15000
    36488AInsertion of catheter, vein1.353.450.750.094.892.19000
    Start Printed Page 49123
    36489AInsertion of catheter, vein2.504.131.060.086.713.64000
    36490AInsertion of catheter, vein1.674.060.850.175.902.69000
    36491AInsertion of catheter, vein1.433.410.780.134.972.34000
    36493ARepositioning of cvc1.214.110.860.065.382.13000
    36500AInsertion of catheter, vein3.52N/A1.250.14N/A4.91000
    36510AInsertion of catheter, vein1.093.830.630.064.981.78000
    36511AApheresis wbc1.74N/A0.700.06N/A2.50000
    36512AApheresis rbc1.74N/A0.700.06N/A2.50000
    36513AApheresis platelets1.74N/A0.700.06N/A2.50000
    36514AApheresis plasma1.74N/A0.700.06N/A2.50000
    36515AApheresis, adsorp/reinfuse1.74N/A0.760.06N/A2.56000
    36516AApheresis, selective1.74N/A0.760.06N/A2.56000
    36522APhotopheresis1.676.781.150.078.522.89000
    36530RInsertion of infusion pump6.20N/A3.930.56N/A10.69010
    36531RRevision of infusion pump4.87N/A3.450.44N/A8.76010
    36532RRemoval of infusion pump3.30N/A1.640.34N/A5.28010
    36533AInsertion of access device5.3214.773.650.4920.589.46010
    36534ARevision of access device2.80N/A1.580.19N/A4.57010
    36535ARemoval of access device2.272.961.990.215.444.47010
    36536ARemove cva device obstruct3.6018.731.470.2322.565.30000
    36537ARemove cva lumen obstruct0.754.440.490.045.231.28000
    36550ADeclot vascular device0.000.41N/A0.310.72N/AXXX
    36600AWithdrawal of arterial blood0.320.490.090.020.830.43XXX
    36620AInsertion catheter, artery1.15N/A0.240.06N/A1.45000
    36625AInsertion catheter, artery2.11N/A0.530.16N/A2.80000
    36640AInsertion catheter, artery2.10N/A1.040.18N/A3.32000
    36660AInsertion catheter, artery1.40N/A0.440.08N/A1.92000
    36680AInsert needle, bone cavity1.20N/A0.500.08N/A1.78000
    36800AInsertion of cannula2.43N/A1.810.17N/A4.41000
    36810AInsertion of cannula3.97N/A1.700.40N/A6.07000
    36815AInsertion of cannula2.62N/A1.180.26N/A4.06000
    36819AAv fusion/uppr arm vein14.00N/A6.451.56N/A22.01090
    36820AAv fusion/forearm vein14.00N/A6.451.56N/A22.01090
    36821AAv fusion direct any site8.93N/A4.740.97N/A14.64090
    36822AInsertion of cannula(s)5.42N/A4.310.63N/A10.36090
    36823AInsertion of cannula(s)21.00N/A9.512.18N/A32.69090
    36825AArtery-vein autograft9.84N/A5.171.09N/A16.10090
    36830AArtery-vein nonautograft12.00N/A5.391.32N/A18.71090
    36831AOpen thrombect av fistula8.00N/A4.060.79N/A12.85090
    36832AAv fistula revision, open10.50N/A4.891.13N/A16.52090
    36833AAv fistula revision11.95N/A5.371.29N/A18.61090
    36834ARepair A-V aneurysm9.93N/A4.791.06N/A15.78090
    36835AArtery to vein shunt7.15N/A4.350.80N/A12.30090
    36860AExternal cannula declotting2.012.541.350.104.653.46000
    36861ACannula declotting2.52N/A1.480.14N/A4.14000
    36870APercut thrombect av fistula5.1647.673.150.2353.068.54090
    37140ARevision of circulation23.60N/A10.651.21N/A35.46090
    37145ARevision of circulation24.61N/A11.192.48N/A38.28090
    37160ARevision of circulation21.60N/A9.462.16N/A33.22090
    37180ARevision of circulation24.61N/A10.562.63N/A37.80090
    37181ASplice spleen/kidney veins26.68N/A11.222.67N/A40.57090
    37182AInsert hepatic shunt (tips)17.00N/A6.371.49N/A24.86000
    37183ARemove hepatic shunt (tips)8.00N/A3.130.43N/A11.56000
    37195AThrombolytic therapy, stroke0.008.06N/A0.388.44N/AXXX
    37200ATranscatheter biopsy4.56N/A1.530.19N/A6.28000
    37201ATranscatheter therapy infuse5.00N/A2.530.24N/A7.77000
    37202ATranscatheter therapy infuse5.68N/A2.300.38N/A8.36000
    37203ATranscatheter retrieval5.03N/A2.540.23N/A7.80000
    Start Printed Page 49124
    37204ATranscatheter occlusion18.14N/A6.050.91N/A25.10000
    37205ATranscatheter stent8.28N/A3.780.43N/A12.49000
    37206ATranscatheter stent add-on4.13N/A1.470.22N/A5.82ZZZ
    37207ATranscatheter stent8.28N/A3.200.89N/A12.37000
    37208ATranscatheter stent add-on4.13N/A1.410.44N/A5.98ZZZ
    37209AExchange arterial catheter2.27N/A0.760.11N/A3.14000
    37250AIv us first vessel add-on2.10N/A0.760.17N/A3.03ZZZ
    37251AIv us each add vessel add-on1.60N/A0.570.14N/A2.31ZZZ
    37500AEndoscopy ligate perf veins11.00N/A7.100.40N/A18.50090
    37501CVascular endoscopy procedure0.000.000.000.000.000.00YYY
    37565ALigation of neck vein10.88N/A5.710.45N/A17.04090
    37600ALigation of neck artery11.25N/A6.790.40N/A18.44090
    37605ALigation of neck artery13.11N/A7.050.77N/A20.93090
    37606ALigation of neck artery6.28N/A4.640.79N/A11.71090
    37607ALigation of a-v fistula6.16N/A3.640.67N/A10.47090
    37609ATemporal artery procedure3.004.622.000.217.835.21010
    37615ALigation of neck artery5.73N/A4.230.57N/A10.53090
    37616ALigation of chest artery16.49N/A8.141.93N/A26.56090
    37617ALigation of abdomen artery22.06N/A9.481.69N/A33.23090
    37618ALigation of extremity artery4.84N/A3.770.54N/A9.15090
    37620ARevision of major vein10.56N/A5.840.75N/A17.15090
    37650ARevision of major vein7.80N/A4.760.56N/A13.12090
    37660ARevision of major vein21.00N/A9.371.17N/A31.54090
    37700ARevise leg vein3.73N/A2.950.40N/A7.08090
    37720ARemoval of leg vein5.66N/A3.740.61N/A10.01090
    37730ARemoval of leg veins7.33N/A4.480.77N/A12.58090
    37735ARemoval of leg veins/lesion10.53N/A5.751.17N/A17.45090
    37760ALigation, leg veins, open10.47N/A5.591.11N/A17.17090
    37780ARevision of leg vein3.84N/A2.910.41N/A7.16090
    37785ARevise secondary varicosity3.847.052.930.4111.307.18090
    37788ARevascularization, penis22.01N/A10.071.35N/A33.43090
    37790APenile venous occlusion8.34N/A5.070.63N/A14.04090
    37799CVascular surgery procedure0.000.000.000.000.000.00YYY
    38100ARemoval of spleen, total14.50N/A6.301.30N/A22.10090
    38101ARemoval of spleen, partial15.31N/A6.661.38N/A23.35090
    38102ARemoval of spleen, total4.80N/A1.670.49N/A6.96ZZZ
    38115ARepair of ruptured spleen15.82N/A6.781.40N/A24.00090
    38120ALaparoscopy, splenectomy17.00N/A7.491.73N/A26.22090
    38129CLaparoscope proc, spleen0.000.000.000.000.000.00YYY
    38200AInjection for spleen x-ray2.64N/A0.910.12N/A3.67000
    38205RHarvest allogenic stem cells1.50N/A0.610.05N/A2.16000
    38206RHarvest auto stem cells1.50N/A0.610.05N/A2.16000
    38207ICryopreserve stem cells0.000.000.000.000.000.00XXX
    38208IThaw preserved stem cells0.000.000.000.000.000.00XXX
    38209IWash harvest stem cells0.000.000.000.000.000.00XXX
    38210IT-cell depletion of harvest0.000.000.000.000.000.00XXX
    38211ITumor cell deplete of harvst0.000.000.000.000.000.00XXX
    38212IRbc depletion of harvest0.000.000.000.000.000.00XXX
    38213IPlatelet deplete of harvest0.000.000.000.000.000.00XXX
    38214IVolume deplete of harvest0.000.000.000.000.000.00XXX
    38215IHarvest stem cell concentrte0.000.000.000.000.000.00XXX
    38220ABone marrow aspiration1.083.990.430.035.101.54XXX
    38221ABone marrow biopsy1.374.170.540.045.581.95XXX
    38230RBone marrow collection4.54N/A2.530.25N/A7.32010
    Start Printed Page 49125
    38240RBone marrow/stem transplant2.24N/A0.830.08N/A3.15XXX
    38241RBone marrow/stem transplant2.24N/A0.830.08N/A3.15XXX
    38242ALymphocyte infuse transplant1.71N/A0.690.05N/A2.45000
    38300ADrainage, lymph node lesion1.994.392.100.156.534.24010
    38305ADrainage, lymph node lesion6.006.124.440.3612.4810.80090
    38308AIncision of lymph channels6.455.873.830.5112.8310.79090
    38380AThoracic duct procedure7.46N/A5.730.68N/A13.87090
    38381AThoracic duct procedure12.88N/A6.891.58N/A21.35090
    38382AThoracic duct procedure10.08N/A6.101.08N/A17.26090
    38500ABiopsy/removal, lymph nodes3.753.842.130.287.876.16010
    38505ANeedle biopsy, lymph nodes1.142.190.790.093.422.02000
    38510ABiopsy/removal, lymph nodes6.435.773.570.3812.5810.38010
    38520ABiopsy/removal, lymph nodes6.67N/A4.100.52N/A11.29090
    38525ABiopsy/removal, lymph nodes6.07N/A3.390.48N/A9.94090
    38530ABiopsy/removal, lymph nodes7.98N/A4.440.63N/A13.05090
    38542AExplore deep node(s), neck5.91N/A4.550.50N/A10.96090
    38550ARemoval, neck/armpit lesion6.92N/A3.940.69N/A11.55090
    38555ARemoval, neck/armpit lesion14.14N/A8.461.46N/A24.06090
    38562ARemoval, pelvic lymph nodes10.49N/A5.840.97N/A17.30090
    38564ARemoval, abdomen lymph nodes10.83N/A5.351.06N/A17.24090
    38570ALaparoscopy, lymph node biop9.25N/A4.020.89N/A14.16010
    38571ALaparoscopy, lymphadenectomy14.68N/A5.730.80N/A21.21010
    38572ALaparoscopy, lymphadenectomy16.59N/A7.291.32N/A25.20010
    38589CLaparoscope proc, lymphatic0.000.000.000.000.000.00YYY
    38700ARemoval of lymph nodes, neck8.24N/A8.460.60N/A17.30090
    38720ARemoval of lymph nodes, neck13.61N/A11.491.03N/A26.13090
    38724ARemoval of lymph nodes, neck14.54N/A12.021.10N/A27.66090
    38740ARemove armpit lymph nodes10.03N/A5.040.69N/A15.76090
    38745ARemove armpit lymph nodes13.10N/A6.360.90N/A20.36090
    38746ARemove thoracic lymph nodes4.89N/A1.600.55N/A7.04ZZZ
    38747ARemove abdominal lymph nodes4.89N/A1.700.50N/A7.09ZZZ
    38760ARemove groin lymph nodes12.95N/A6.310.88N/A20.14090
    38765ARemove groin lymph nodes19.98N/A9.271.50N/A30.75090
    38770ARemove pelvis lymph nodes13.23N/A5.970.99N/A20.19090
    38780ARemove abdomen lymph nodes16.59N/A8.471.60N/A26.66090
    Start Printed Page 49126
    38790AInject for lymphatic x-ray1.297.560.800.098.942.18000
    38792AIdentify sentinel node0.52N/A0.450.04N/A1.01000
    38794AAccess thoracic lymph duct4.45N/A3.410.17N/A8.03090
    38999CBlood/lymph system procedure0.000.000.000.000.000.00YYY
    39000AExploration of chest6.10N/A4.650.73N/A11.48090
    39010AExploration of chest11.79N/A6.431.46N/A19.68090
    39200ARemoval chest lesion13.62N/A6.641.65N/A21.91090
    39220ARemoval chest lesion17.42N/A8.322.10N/A27.84090
    39400AVisualization of chest5.61N/A4.660.69N/A10.96010
    39499CChest procedure0.000.000.000.000.000.00YYY
    39501ARepair diaphragm laceration13.19N/A6.601.38N/A21.17090
    39502ARepair paraesophageal hernia16.33N/A7.331.68N/A25.34090
    39503ARepair of diaphragm hernia95.00N/A34.013.52N/A132.53090
    39520ARepair of diaphragm hernia16.10N/A8.041.83N/A25.97090
    39530ARepair of diaphragm hernia15.41N/A7.241.66N/A24.31090
    39531ARepair of diaphragm hernia16.42N/A7.491.83N/A25.74090
    39540ARepair of diaphragm hernia13.32N/A6.401.38N/A21.10090
    39541ARepair of diaphragm hernia14.41N/A6.731.52N/A22.66090
    39545ARevision of diaphragm13.37N/A7.481.55N/A22.40090
    39560AResect diaphragm, simple12.00N/A6.421.35N/A19.77090
    39561AResect diaphragm, complex17.50N/A9.401.97N/A28.87090
    39599CDiaphragm surgery procedure0.000.000.000.000.000.00YYY
    40490ABiopsy of lip1.221.890.620.063.171.90000
    40500APartial excision of lip4.286.225.000.3110.819.59090
    40510APartial excision of lip4.707.105.010.3812.1810.09090
    40520APartial excision of lip4.677.605.260.4212.6910.35090
    40525AReconstruct lip with flap7.55N/A7.100.68N/A15.33090
    40527AReconstruct lip with flap9.13N/A8.100.82N/A18.05090
    40530APartial removal of lip5.406.755.350.4712.6211.22090
    40650ARepair lip3.645.713.890.319.667.84090
    40652ARepair lip4.266.695.360.3911.3410.01090
    40654ARepair lip5.317.346.120.4813.1311.91090
    40700ARepair cleft lip/nasal12.79N/A9.770.93N/A23.49090
    40701ARepair cleft lip/nasal15.85N/A12.081.36N/A29.29090
    40702ARepair cleft lip/nasal13.04N/A8.621.01N/A22.67090
    40720ARepair cleft lip/nasal13.55N/A10.751.31N/A25.61090
    40761ARepair cleft lip/nasal14.72N/A11.171.41N/A27.30090
    40799CLip surgery procedure0.000.000.000.000.000.00YYY
    40800ADrainage of mouth lesion1.172.321.180.093.582.44010
    40801ADrainage of mouth lesion2.533.322.090.186.034.80010
    40804ARemoval, foreign body, mouth1.242.661.140.093.992.47010
    40805ARemoval, foreign body, mouth2.693.572.030.176.434.89010
    40806AIncision of lip fold0.311.420.970.021.751.30000
    40808ABiopsy of mouth lesion0.962.421.110.073.452.14010
    40810AExcision of mouth lesion1.312.501.250.093.902.65010
    40812AExcise/repair mouth lesion2.313.401.820.175.884.30010
    40814AExcise/repair mouth lesion3.424.953.380.268.637.06090
    40816AExcision of mouth lesion3.675.133.490.279.077.43090
    40818AExcise oral mucosa for graft2.415.373.640.147.926.19090
    40819AExcise lip or cheek fold2.414.613.090.177.195.67090
    40820ATreatment of mouth lesion1.282.802.450.084.163.81010
    Start Printed Page 49127
    40830ARepair mouth laceration1.763.172.570.145.074.47010
    40831ARepair mouth laceration2.463.743.160.216.415.83010
    40840RReconstruction of mouth8.738.837.540.7918.3517.06090
    40842RReconstruction of mouth8.738.947.280.6518.3216.66090
    40843RReconstruction of mouth12.1011.258.890.8424.1921.83090
    40844RReconstruction of mouth16.0114.1612.011.6331.8029.65090
    40845RReconstruction of mouth18.5816.3013.911.4736.3533.96090
    40899CMouth surgery procedure0.000.000.000.000.000.00YYY
    41000ADrainage of mouth lesion1.302.571.450.093.962.84010
    41005ADrainage of mouth lesion1.262.791.670.094.143.02010
    41006ADrainage of mouth lesion3.244.573.620.258.067.11090
    41007ADrainage of mouth lesion3.104.403.460.227.726.78090
    41008ADrainage of mouth lesion3.374.733.660.248.347.27090
    41009ADrainage of mouth lesion3.595.043.990.258.887.83090
    41010AIncision of tongue fold1.063.573.570.064.694.69010
    41015ADrainage of mouth lesion3.965.564.190.299.818.44090
    41016ADrainage of mouth lesion4.075.644.210.289.998.56090
    41017ADrainage of mouth lesion4.075.554.280.329.948.67090
    41018ADrainage of mouth lesion5.106.004.400.3511.459.85090
    41100ABiopsy of tongue1.632.671.460.124.423.21010
    41105ABiopsy of tongue1.422.581.350.104.102.87010
    41108ABiopsy of floor of mouth1.052.321.160.083.452.29010
    41110AExcision of tongue lesion1.512.631.370.114.252.99010
    41112AExcision of tongue lesion2.734.442.790.207.375.72090
    41113AExcision of tongue lesion3.194.813.060.238.236.48090
    41114AExcision of tongue lesion8.479.086.460.6418.1915.57090
    41115AExcision of tongue fold1.743.592.680.135.464.55010
    41116AExcision of mouth lesion2.444.412.930.177.025.54090
    41120APartial removal of tongue9.77N/A7.880.70N/A18.35090
    41130APartial removal of tongue11.15N/A8.670.81N/A20.63090
    41135ATongue and neck surgery23.09N/A15.271.66N/A40.02090
    41140ARemoval of tongue25.50N/A16.531.85N/A43.88090
    41145ATongue removal, neck surgery30.06N/A19.742.11N/A51.91090
    41150ATongue, mouth, jaw surgery23.04N/A16.021.67N/A40.73090
    41153ATongue, mouth, neck surgery23.77N/A16.501.71N/A41.98090
    41155ATongue, jaw, & neck surgery27.72N/A18.572.02N/A48.31090
    41250ARepair tongue laceration1.913.191.660.155.253.72010
    41251ARepair tongue laceration2.273.702.000.186.154.45010
    41252ARepair tongue laceration2.974.332.350.237.535.55010
    41500AFixation of tongue3.71N/A3.800.26N/A7.77090
    41510ATongue to lip surgery3.42N/A3.310.24N/A6.97090
    41520AReconstruction, tongue fold2.734.223.350.197.146.27090
    41599CTongue and mouth surgery0.000.000.000.000.000.00YYY
    41800ADrainage of gum lesion1.172.761.490.094.022.75010
    41805ARemoval foreign body, gum1.242.832.420.094.163.75010
    41806ARemoval foreign body,jawbone2.693.743.250.226.656.16010
    41820RExcision, gum, each quadrant0.000.000.000.000.000.00000
    41821RExcision of gum flap0.000.000.000.000.000.00000
    41822RExcision of gum lesion2.314.251.360.246.803.91010
    41823RExcision of gum lesion3.306.074.280.299.667.87090
    41825AExcision of gum lesion1.313.422.460.104.833.87010
    41826AExcision of gum lesion2.314.003.010.176.485.49010
    41827AExcision of gum lesion3.425.803.980.259.477.65090
    41828RExcision of gum lesion3.094.573.460.227.886.77010
    41830RRemoval of gum tissue3.355.103.710.238.687.29010
    41850RTreatment of gum lesion0.000.000.000.000.000.00000
    41870RGum graft0.000.000.000.000.000.00000
    Start Printed Page 49128
    41872RRepair gum2.594.773.630.187.546.40090
    41874RRepair tooth socket3.094.823.360.238.146.68090
    41899CDental surgery procedure0.000.000.000.000.000.00YYY
    42000ADrainage mouth roof lesion1.232.831.290.104.162.62010
    42100ABiopsy roof of mouth1.312.401.400.103.812.81010
    42104AExcision lesion, mouth roof1.642.891.610.124.653.37010
    42106AExcision lesion, mouth roof2.103.882.940.166.145.20010
    42107AExcision lesion, mouth roof4.446.294.330.3211.059.09090
    42120ARemove palate/lesion6.17N/A5.780.44N/A12.39090
    42140AExcision of uvula1.622.662.520.124.404.26090
    42145ARepair palate, pharynx/uvula8.05N/A6.880.56N/A15.49090
    42160ATreatment mouth roof lesion1.803.842.780.135.774.71010
    42180ARepair palate2.503.552.190.196.244.88010
    42182ARepair palate3.834.433.140.278.537.24010
    42200AReconstruct cleft palate12.00N/A9.280.97N/A22.25090
    42205AReconstruct cleft palate13.29N/A9.620.82N/A23.73090
    42210AReconstruct cleft palate14.50N/A10.831.24N/A26.57090
    42215AReconstruct cleft palate8.82N/A7.780.96N/A17.56090
    42220AReconstruct cleft palate7.02N/A5.830.41N/A13.26090
    42225AReconstruct cleft palate9.54N/A7.900.75N/A18.19090
    42226ALengthening of palate10.01N/A8.160.73N/A18.90090
    42227ALengthening of palate9.52N/A7.560.70N/A17.78090
    42235ARepair palate7.87N/A5.480.49N/A13.84090
    42260ARepair nose to lip fistula9.809.487.610.8520.1318.26090
    42280APreparation, palate mold1.542.080.900.123.742.56010
    42281AInsertion, palate prosthesis1.933.071.950.145.144.02010
    42299CPalate/uvula surgery0.000.000.000.000.000.00YYY
    42300ADrainage of salivary gland1.933.091.880.155.173.96010
    42305ADrainage of salivary gland6.07N/A5.120.46N/A11.65090
    42310ADrainage of salivary gland1.562.431.590.114.103.26010
    42320ADrainage of salivary gland2.353.702.170.176.224.69010
    42325ACreate salivary cyst drain2.753.662.190.176.585.11090
    42326ACreate salivary cyst drain3.784.703.020.348.827.14090
    42330ARemoval of salivary stone2.213.441.910.165.814.28010
    42335ARemoval of salivary stone3.314.063.530.237.607.07090
    42340ARemoval of salivary stone4.605.354.470.3410.299.41090
    42400ABiopsy of salivary gland0.781.820.730.062.661.57000
    42405ABiopsy of salivary gland3.294.332.540.247.866.07010
    42408AExcision of salivary cyst4.545.254.230.3410.139.11090
    42409ADrainage of salivary cyst2.813.703.250.206.716.26090
    42410AExcise parotid gland/lesion9.34N/A6.850.77N/A16.96090
    42415AExcise parotid gland/lesion16.89N/A11.601.26N/A29.75090
    42420AExcise parotid gland/lesion19.59N/A13.151.45N/A34.19090
    42425AExcise parotid gland/lesion13.02N/A9.370.98N/A23.37090
    42426AExcise parotid gland/lesion21.26N/A13.821.57N/A36.65090
    42440AExcise submaxillary gland6.97N/A5.250.51N/A12.73090
    42450AExcise sublingual gland4.625.904.420.3410.869.38090
    42500ARepair salivary duct4.305.694.370.3010.298.97090
    42505ARepair salivary duct6.187.185.580.4413.8012.20090
    42507AParotid duct diversion6.11N/A5.400.66N/A12.17090
    42508AParotid duct diversion9.10N/A7.300.64N/A17.04090
    42509AParotid duct diversion11.54N/A8.481.24N/A21.26090
    42510AParotid duct diversion8.15N/A6.300.57N/A15.02090
    42550AInjection for salivary x-ray1.2510.770.420.0612.081.73000
    42600AClosure of salivary fistula4.826.094.700.3411.259.86090
    42650ADilation of salivary duct0.771.230.730.062.061.56000
    42660ADilation of salivary duct1.131.560.850.072.762.05000
    42665ALigation of salivary duct2.533.733.120.176.435.82090
    42699CSalivary surgery procedure0.000.000.000.000.000.00YYY
    42700ADrainage of tonsil abscess1.622.901.790.124.643.53010
    Start Printed Page 49129
    42720ADrainage of throat abscess5.425.243.930.3911.059.74010
    42725ADrainage of throat abscess10.72N/A8.260.80N/A19.78090
    42800ABiopsy of throat1.392.351.450.103.842.94010
    42802ABiopsy of throat1.543.171.620.114.823.27010
    42804ABiopsy of upper nose/throat1.243.161.540.094.492.87010
    42806ABiopsy of upper nose/throat1.583.171.660.124.873.36010
    42808AExcise pharynx lesion2.303.311.990.175.784.46010
    42809ARemove pharynx foreign body1.812.461.400.134.403.34010
    42810AExcision of neck cyst3.255.053.530.258.557.03090
    42815AExcision of neck cyst7.07N/A5.630.53N/A13.23090
    42820ARemove tonsils and adenoids3.91N/A3.630.28N/A7.82090
    42821ARemove tonsils and adenoids4.29N/A3.810.30N/A8.40090
    42825ARemoval of tonsils3.42N/A3.430.24N/A7.09090
    42826ARemoval of tonsils3.38N/A3.330.23N/A6.94090
    42830ARemoval of adenoids2.57N/A2.680.18N/A5.43090
    42831ARemoval of adenoids2.71N/A2.940.19N/A5.84090
    42835ARemoval of adenoids2.30N/A2.720.17N/A5.19090
    42836ARemoval of adenoids3.18N/A3.260.22N/A6.66090
    42842AExtensive surgery of throat8.76N/A7.010.61N/A16.38090
    42844AExtensive surgery of throat14.31N/A10.361.04N/A25.71090
    42845AExtensive surgery of throat24.29N/A16.601.76N/A42.65090
    42860AExcision of tonsil tags2.22N/A2.680.16N/A5.06090
    42870AExcision of lingual tonsil5.40N/A5.020.38N/A10.80090
    42890APartial removal of pharynx12.94N/A9.670.91N/A23.52090
    42892ARevision of pharyngeal walls15.83N/A11.271.14N/A28.24090
    42894ARevision of pharyngeal walls22.88N/A15.551.64N/A40.07090
    42900ARepair throat wound5.25N/A3.790.39N/A9.43010
    42950AReconstruction of throat8.10N/A6.820.58N/A15.50090
    42953ARepair throat, esophagus8.96N/A7.770.73N/A17.46090
    42955ASurgical opening of throat7.39N/A5.730.63N/A13.75090
    42960AControl throat bleeding2.33N/A2.080.17N/A4.58010
    42961AControl throat bleeding5.59N/A5.020.40N/A11.01090
    42962AControl throat bleeding7.14N/A5.910.51N/A13.56090
    42970AControl nose/throat bleeding5.43N/A3.720.37N/A9.52090
    42971AControl nose/throat bleeding6.21N/A5.170.45N/A11.83090
    42972AControl nose/throat bleeding7.20N/A5.640.54N/A13.38090
    42999CThroat surgery procedure0.000.000.000.000.000.00YYY
    43020AIncision of esophagus8.09N/A5.750.70N/A14.54090
    43030AThroat muscle surgery7.69N/A6.000.60N/A14.29090
    43045AIncision of esophagus20.12N/A10.512.15N/A32.78090
    43100AExcision of esophagus lesion9.19N/A6.310.79N/A16.29090
    43101AExcision of esophagus lesion16.24N/A7.831.81N/A25.88090
    43107ARemoval of esophagus40.00N/A17.033.29N/A60.32090
    43108ARemoval of esophagus34.19N/A14.363.78N/A52.33090
    43112ARemoval of esophagus43.50N/A18.143.67N/A65.31090
    43113ARemoval of esophagus35.27N/A15.194.33N/A54.79090
    43116APartial removal of esophagus31.22N/A17.102.62N/A50.94090
    43117APartial removal of esophagus40.00N/A16.273.51N/A59.78090
    43118APartial removal of esophagus33.20N/A13.893.56N/A50.65090
    Start Printed Page 49130
    43121APartial removal of esophagus29.19N/A12.583.44N/A45.21090
    43122APartial removal of esophagus40.00N/A16.473.27N/A59.74090
    43123APartial removal of esophagus33.20N/A14.103.96N/A51.26090
    43124ARemoval of esophagus27.32N/A13.152.95N/A43.42090
    43130ARemoval of esophagus pouch11.75N/A7.691.06N/A20.50090
    43135ARemoval of esophagus pouch16.10N/A8.041.85N/A25.99090
    43200AEsophagus endoscopy1.594.491.110.116.192.81000
    43201AEsoph scope w/submucous inj2.094.921.290.127.133.50000
    43202AEsophagus endoscopy, biopsy1.895.610.980.127.622.99000
    43204AEsoph scope w/sclerosis inj3.77N/A1.570.18N/A5.52000
    43205AEsophagus endoscopy/ligation3.79N/A1.580.17N/A5.54000
    43215AEsophagus endoscopy2.60N/A1.240.17N/A4.01000
    43216AEsophagus endoscopy/lesion2.40N/A1.210.15N/A3.76000
    43217AEsophagus endoscopy2.906.991.240.1710.064.31000
    43219AEsophagus endoscopy2.80N/A1.390.16N/A4.35000
    43220AEsoph endoscopy, dilation2.10N/A1.000.12N/A3.22000
    43226AEsoph endoscopy, dilation2.34N/A1.070.12N/A3.53000
    43227AEsoph endoscopy, repair3.60N/A1.500.18N/A5.28000
    43228AEsoph endoscopy, ablation3.77N/A1.600.25N/A5.62000
    43231AEsoph endoscopy w/us exam3.19N/A1.350.20N/A4.74000
    43232AEsoph endoscopy w/us fn bx4.48N/A1.870.26N/A6.61000
    43234AUpper GI endoscopy, exam2.015.370.910.137.513.05000
    43235AUppr gi endoscopy, diagnosis2.395.181.060.137.703.58000
    43236AUppr gi scope w/submuc inj2.926.111.260.149.174.32000
    43239AUpper GI endoscopy, biopsy2.875.731.230.148.744.24000
    43240AEsoph endoscope w/drain cyst6.86N/A2.680.36N/A9.90000
    43241AUpper GI endoscopy with tube2.59N/A1.140.14N/A3.87000
    43242AUppr gi endoscopy w/us fn bx7.31N/A2.810.29N/A10.41000
    43243AUpper gi endoscopy & inject4.57N/A1.850.21N/A6.63000
    43244AUpper GI endoscopy/ligation5.05N/A2.020.21N/A7.28000
    43245AUppr gi scope dilate strictr3.18N/A1.340.18N/A4.70000
    43246APlace gastrostomy tube4.33N/A1.750.24N/A6.32000
    43247AOperative upper GI endoscopy3.39N/A1.420.17N/A4.98000
    43248AUppr gi endoscopy/guide wire3.15N/A1.350.15N/A4.65000
    43249AEsoph endoscopy, dilation2.90N/A1.250.15N/A4.30000
    43250AUpper GI endoscopy/tumor3.20N/A1.350.17N/A4.72000
    43251AOperative upper GI endoscopy3.70N/A1.530.19N/A5.42000
    43255AOperative upper GI endoscopy4.82N/A1.940.20N/A6.96000
    43256AUppr gi endoscopy w stent4.35N/A1.770.23N/A6.35000
    Start Printed Page 49131
    43258AOperative upper GI endoscopy4.55N/A1.840.22N/A6.61000
    43259AEndoscopic ultrasound exam4.89N/A1.950.22N/A7.06000
    43260AEndo cholangiopancreatograph5.96N/A2.350.27N/A8.58000
    43261AEndo cholangiopancreatograph6.27N/A2.460.29N/A9.02000
    43262AEndo cholangiopancreatograph7.39N/A2.860.34N/A10.59000
    43263AEndo cholangiopancreatograph7.29N/A2.840.28N/A10.41000
    43264AEndo cholangiopancreatograph8.90N/A3.400.41N/A12.71000
    43265AEndo cholangiopancreatograph10.02N/A3.800.42N/A14.24000
    43267AEndo cholangiopancreatograph7.39N/A2.860.34N/A10.59000
    43268AEndo cholangiopancreatograph7.39N/A2.960.34N/A10.69000
    43269AEndo cholangiopancreatograph8.21N/A3.160.28N/A11.65000
    43271AEndo cholangiopancreatograph7.39N/A2.860.34N/A10.59000
    43272AEndo cholangiopancreatograph7.39N/A2.870.34N/A10.60000
    43280ALaparoscopy, fundoplasty17.25N/A7.531.76N/A26.54090
    43289CLaparoscope proc, esoph0.000.000.000.000.000.00YYY
    43300ARepair of esophagus9.14N/A6.590.85N/A16.58090
    43305ARepair esophagus and fistula17.39N/A10.981.36N/A29.73090
    43310ARepair of esophagus25.39N/A11.213.18N/A39.78090
    43312ARepair esophagus and fistula28.42N/A12.163.38N/A43.96090
    43313AEsophagoplasty congenital45.28N/A20.575.43N/A71.28090
    43314ATracheo-esophagoplasty cong50.27N/A22.505.53N/A78.30090
    43320AFuse esophagus & stomach19.93N/A9.301.59N/A30.82090
    43324ARevise esophagus & stomach20.57N/A8.981.72N/A31.27090
    43325ARevise esophagus & stomach20.06N/A8.961.65N/A30.67090
    43326ARevise esophagus & stomach19.74N/A9.271.84N/A30.85090
    43330ARepair of esophagus19.77N/A8.731.52N/A30.02090
    43331ARepair of esophagus20.13N/A9.751.93N/A31.81090
    43340AFuse esophagus & intestine19.61N/A9.081.53N/A30.22090
    43341AFuse esophagus & intestine20.85N/A10.022.14N/A33.01090
    43350ASurgical opening, esophagus15.78N/A8.571.15N/A25.50090
    43351ASurgical opening, esophagus18.35N/A9.691.51N/A29.55090
    Start Printed Page 49132
    43352ASurgical opening, esophagus15.26N/A8.451.28N/A24.99090
    43360AGastrointestinal repair35.70N/A15.163.00N/A53.86090
    43361AGastrointestinal repair40.50N/A16.973.52N/A60.99090
    43400ALigate esophagus veins21.20N/A9.640.99N/A31.83090
    43401AEsophagus surgery for veins22.09N/A9.721.73N/A33.54090
    43405ALigate/staple esophagus20.01N/A9.561.63N/A31.20090
    43410ARepair esophagus wound13.47N/A7.661.15N/A22.28090
    43415ARepair esophagus wound25.00N/A11.701.92N/A38.62090
    43420ARepair esophagus opening14.35N/A7.630.86N/A22.84090
    43425ARepair esophagus opening21.03N/A9.942.03N/A33.00090
    43450ADilate esophagus1.382.540.720.073.992.17000
    43453ADilate esophagus1.516.120.790.087.712.38000
    43456ADilate esophagus2.5714.111.170.1416.823.88000
    43458ADilate esophagus3.066.731.360.179.964.59000
    43460APressure treatment esophagus3.80N/A1.510.21N/A5.52000
    43496CFree jejunum flap, microvasc0.000.000.000.000.000.00090
    43499CEsophagus surgery procedure0.000.000.000.000.000.00YYY
    43500ASurgical opening of stomach11.05N/A5.230.84N/A17.12090
    43501ASurgical repair of stomach20.04N/A8.631.55N/A30.22090
    43502ASurgical repair of stomach23.13N/A9.791.83N/A34.75090
    43510ASurgical opening of stomach13.08N/A6.840.90N/A20.82090
    43520AIncision of pyloric muscle9.99N/A5.440.84N/A16.27090
    43600ABiopsy of stomach1.91N/A1.040.11N/A3.06000
    43605ABiopsy of stomach11.98N/A5.540.93N/A18.45090
    43610AExcision of stomach lesion14.60N/A6.471.14N/A22.21090
    43611AExcision of stomach lesion17.84N/A7.881.38N/A27.10090
    43620ARemoval of stomach30.04N/A12.222.29N/A44.55090
    43621ARemoval of stomach30.73N/A12.432.36N/A45.52090
    43622ARemoval of stomach32.53N/A13.032.48N/A48.04090
    43631ARemoval of stomach, partial22.59N/A9.491.99N/A34.07090
    43632ARemoval of stomach, partial22.59N/A9.502.00N/A34.09090
    43633ARemoval of stomach, partial23.10N/A9.672.05N/A34.82090
    43634ARemoval of stomach, partial25.12N/A10.432.18N/A37.73090
    43635ARemoval of stomach, partial2.06N/A0.720.21N/A2.99ZZZ
    43638ARemoval of stomach, partial29.00N/A12.202.24N/A43.44090
    43639ARemoval of stomach, partial29.65N/A12.032.31N/A43.99090
    43640AVagotomy & pylorus repair17.02N/A7.561.51N/A26.09090
    43641AVagotomy & pylorus repair17.27N/A7.661.53N/A26.46090
    43651ALaparoscopy, vagus nerve10.15N/A4.821.03N/A16.00090
    43652ALaparoscopy, vagus nerve12.15N/A5.531.25N/A18.93090
    43653ALaparoscopy, gastrostomy7.73N/A4.430.78N/A12.94090
    43659CLaparoscope proc, stom0.000.000.000.000.000.00YYY
    43750APlace gastrostomy tube4.49N/A2.750.33N/A7.57010
    43760AChange gastrostomy tube1.101.680.460.072.851.63000
    43761AReposition gastrostomy tube2.01N/A0.800.10N/A2.91000
    43800AReconstruction of pylorus13.69N/A6.201.07N/A20.96090
    43810AFusion of stomach and bowel14.65N/A6.501.10N/A22.25090
    43820AFusion of stomach and bowel15.37N/A6.741.18N/A23.29090
    Start Printed Page 49133
    43825AFusion of stomach and bowel19.22N/A8.331.50N/A29.05090
    43830APlace gastrostomy tube9.53N/A5.100.69N/A15.32090
    43831APlace gastrostomy tube7.84N/A4.650.81N/A13.30090
    43832APlace gastrostomy tube15.60N/A7.191.13N/A23.92090
    43840ARepair of stomach lesion15.56N/A7.051.20N/A23.81090
    43842AGastroplasty for obesity18.47N/A8.441.51N/A28.42090
    43843AGastroplasty for obesity18.65N/A8.381.53N/A28.56090
    43846AGastric bypass for obesity24.05N/A10.701.96N/A36.71090
    43847AGastric bypass for obesity26.92N/A11.692.14N/A40.75090
    43848ARevision gastroplasty29.39N/A12.622.39N/A44.40090
    43850ARevise stomach-bowel fusion24.72N/A10.171.97N/A36.86090
    43855ARevise stomach-bowel fusion26.16N/A10.742.01N/A38.91090
    43860ARevise stomach-bowel fusion25.00N/A10.332.03N/A37.36090
    43865ARevise stomach-bowel fusion26.52N/A10.862.15N/A39.53090
    43870ARepair stomach opening9.69N/A4.800.71N/A15.20090
    43880ARepair stomach-bowel fistula24.65N/A10.311.94N/A36.90090
    43999CStomach surgery procedure0.000.000.000.000.000.00YYY
    44005AFreeing of bowel adhesion16.23N/A6.911.39N/A24.53090
    44010AIncision of small bowel12.52N/A5.651.05N/A19.22090
    44015AInsert needle cath bowel2.62N/A0.900.25N/A3.77ZZZ
    44020AExplore small intestine13.99N/A6.111.20N/A21.30090
    44021ADecompress small bowel14.08N/A6.181.18N/A21.44090
    44025AIncision of large bowel14.28N/A6.201.21N/A21.69090
    44050AReduce bowel obstruction14.03N/A6.131.15N/A21.31090
    44055ACorrect malrotation of bowel22.00N/A8.961.32N/A32.28090
    44100ABiopsy of bowel2.01N/A1.110.12N/A3.24000
    44110AExcise intestine lesion(s)11.81N/A5.401.00N/A18.21090
    44111AExcision of bowel lesion(s)14.29N/A6.351.22N/A21.86090
    44120ARemoval of small intestine17.00N/A7.231.46N/A25.69090
    44121ARemoval of small intestine4.45N/A1.550.46N/A6.46ZZZ
    44125ARemoval of small intestine17.54N/A7.411.49N/A26.44090
    44126AEnterectomy w/o taper, cong35.50N/A14.380.36N/A50.24090
    44127AEnterectomy w/taper, cong41.00N/A18.390.41N/A59.80090
    44128AEnterectomy cong, add-on4.45N/A1.580.45N/A6.48ZZZ
    44130ABowel to bowel fusion14.49N/A6.351.23N/A22.07090
    44132REnterectomy, cadaver donor0.000.000.000.000.000.00XXX
    44133REnterectomy, live donor0.000.000.000.000.000.00XXX
    44135RIntestine transplnt, cadaver0.000.000.000.000.000.00XXX
    44136RIntestine transplant, live0.000.000.000.000.000.00XXX
    44139AMobilization of colon2.23N/A0.780.21N/A3.22ZZZ
    44140APartial removal of colon21.00N/A8.832.14N/A31.97090
    44141APartial removal of colon19.51N/A10.291.95N/A31.75090
    44143APartial removal of colon22.99N/A10.912.02N/A35.92090
    44144APartial removal of colon21.53N/A9.761.89N/A33.18090
    44145APartial removal of colon26.42N/A11.052.22N/A39.69090
    44146APartial removal of colon27.54N/A13.152.20N/A42.89090
    44147APartial removal of colon20.71N/A8.851.74N/A31.30090
    44150ARemoval of colon23.95N/A12.302.05N/A38.30090
    44151ARemoval of colon/ileostomy26.88N/A13.731.97N/A42.58090
    44152ARemoval of colon/ileostomy27.83N/A11.882.36N/A42.07090
    44153ARemoval of colon/ileostomy30.59N/A14.772.33N/A47.69090
    Start Printed Page 49134
    44155ARemoval of colon/ileostomy27.86N/A13.642.26N/A43.76090
    44156ARemoval of colon/ileostomy30.79N/A15.332.19N/A48.31090
    44160ARemoval of colon18.62N/A7.911.86N/A28.39090
    44200ALaparoscopy, enterolysis14.44N/A6.321.46N/A22.22090
    44201ALaparoscopy, jejunostomy9.78N/A4.740.97N/A15.49090
    44202ALap resect s/intestine singl22.04N/A9.122.16N/A33.32090
    44203ALap resect s/intestine, addl4.45N/A1.530.46N/A6.44ZZZ
    44204ALaparo partial colectomy25.08N/A10.152.55N/A37.78090
    44205ALap colectomy part w/ileum22.23N/A9.022.23N/A33.48090
    44206ALap part colectomy w/stoma27.00N/A11.542.02N/A40.56090
    44207AL colectomy/coloproctostomy30.00N/A11.782.22N/A44.00090
    44208AL colectomy/coloproctostomy32.00N/A13.482.20N/A47.68090
    44210ALaparo total proctocolectomy28.00N/A12.212.05N/A42.26090
    44211ALaparo total proctocolectomy35.00N/A14.982.33N/A52.31090
    44212ALaparo total proctocolectomy32.50N/A14.092.26N/A48.85090
    44238CLaparoscope proc, intestine0.000.000.000.000.000.00YYY
    44239CLaparoscope proc, rectum0.000.000.000.000.000.00YYY
    44300AOpen bowel to skin12.11N/A5.590.88N/A18.58090
    44310AIleostomy/jejunostomy15.95N/A6.841.13N/A23.92090
    44312ARevision of ileostomy8.02N/A4.080.54N/A12.64090
    44314ARevision of ileostomy15.05N/A6.710.99N/A22.75090
    44316ADevise bowel pouch21.09N/A8.731.41N/A31.23090
    44320AColostomy17.64N/A7.831.28N/A26.75090
    44322AColostomy with biopsies11.98N/A8.801.18N/A21.96090
    44340ARevision of colostomy7.72N/A4.360.56N/A12.64090
    44345ARevision of colostomy15.43N/A7.031.11N/A23.57090
    44346ARevision of colostomy16.99N/A7.541.20N/A25.73090
    44360ASmall bowel endoscopy2.59N/A1.140.14N/A3.87000
    44361ASmall bowel endoscopy/biopsy2.87N/A1.240.15N/A4.26000
    44363ASmall bowel endoscopy3.50N/A1.430.19N/A5.12000
    44364ASmall bowel endoscopy3.74N/A1.550.21N/A5.50000
    44365ASmall bowel endoscopy3.31N/A1.410.18N/A4.90000
    44366ASmall bowel endoscopy4.41N/A1.790.22N/A6.42000
    44369ASmall bowel endoscopy4.52N/A1.790.23N/A6.54000
    44370ASmall bowel endoscopy/stent4.80N/A2.030.21N/A7.04000
    44372ASmall bowel endoscopy4.41N/A1.780.27N/A6.46000
    44373ASmall bowel endoscopy3.50N/A1.470.19N/A5.16000
    44376ASmall bowel endoscopy5.26N/A2.080.29N/A7.63000
    44377ASmall bowel endoscopy/biopsy5.53N/A2.200.28N/A8.01000
    44378ASmall bowel endoscopy7.13N/A2.770.37N/A10.27000
    44379AS bowel endoscope w/stent7.47N/A2.990.38N/A10.84000
    44380ASmall bowel endoscopy1.05N/A0.580.08N/A1.71000
    44382ASmall bowel endoscopy1.27N/A0.660.09N/A2.02000
    44383AIleoscopy w/stent2.94N/A1.310.13N/A4.38000
    44385AEndoscopy of bowel pouch1.825.200.980.127.142.92000
    44386AEndoscopy, bowel pouch/biop2.126.701.130.158.973.40000
    44388AColon endoscopy2.825.291.190.188.294.19000
    44389AColonoscopy with biopsy3.136.681.310.189.994.62000
    44390AColonoscopy for foreign body3.836.921.540.2210.975.59000
    Start Printed Page 49135
    44391AColonoscopy for bleeding4.328.971.750.2313.526.30000
    44392AColonoscopy & polypectomy3.826.741.540.2310.795.59000
    44393AColonoscopy, lesion removal4.847.091.920.2712.207.03000
    44394AColonoscopy w/snare4.437.951.780.2612.646.47000
    44397AColonoscopy w/stent4.71N/A2.100.28N/A7.09000
    44500AIntro, gastrointestinal tube0.49N/A0.360.02N/A0.87000
    44602ASuture, small intestine16.03N/A6.531.07N/A23.63090
    44603ASuture, small intestine18.66N/A7.431.39N/A27.48090
    44604ASuture, large intestine16.03N/A6.601.42N/A24.05090
    44605ARepair of bowel lesion19.53N/A8.591.54N/A29.66090
    44615AIntestinal stricturoplasty15.93N/A6.821.39N/A24.14090
    44620ARepair bowel opening12.20N/A5.441.05N/A18.69090
    44625ARepair bowel opening15.05N/A6.441.30N/A22.79090
    44626ARepair bowel opening25.36N/A10.022.53N/A37.91090
    44640ARepair bowel-skin fistula21.65N/A8.761.46N/A31.87090
    44650ARepair bowel fistula22.57N/A9.071.49N/A33.13090
    44660ARepair bowel-bladder fistula21.36N/A8.551.14N/A31.05090
    44661ARepair bowel-bladder fistula24.81N/A9.771.53N/A36.11090
    44680ASurgical revision, intestine15.40N/A6.591.37N/A23.36090
    44700ASuspend bowel w/prosthesis16.11N/A6.811.21N/A24.13090
    44701AIntraop colon lavage add-on3.10N/A1.080.21N/A4.39ZZZ
    44799CIntestine surgery procedure0.000.000.000.000.000.00YYY
    44800AExcision of bowel pouch11.23N/A5.491.11N/A17.83090
    44820AExcision of mesentery lesion12.09N/A5.601.03N/A18.72090
    44850ARepair of mesentery10.74N/A5.090.99N/A16.82090
    44899CBowel surgery procedure0.000.000.000.000.000.00YYY
    44900ADrain app abscess, open10.14N/A4.800.84N/A15.78090
    44901ADrain app abscess, percut3.38N/A4.610.17N/A8.16000
    44950AAppendectomy10.00N/A4.410.88N/A15.29090
    44955AAppendectomy add-on1.53N/A0.550.16N/A2.24ZZZ
    44960AAppendectomy12.34N/A5.461.09N/A18.89090
    44970ALaparoscopy, appendectomy8.70N/A4.300.88N/A13.88090
    44979CLaparoscope proc, app0.000.000.000.000.000.00YYY
    45000ADrainage of pelvic abscess4.52N/A3.010.37N/A7.90090
    45005ADrainage of rectal abscess1.994.921.710.187.093.88010
    45020ADrainage of rectal abscess4.72N/A3.340.41N/A8.47090
    45100ABiopsy of rectum3.68N/A2.420.33N/A6.43090
    45108ARemoval of anorectal lesion4.76N/A2.950.46N/A8.17090
    45110ARemoval of rectum28.00N/A12.692.26N/A42.95090
    45111APartial removal of rectum16.48N/A7.331.60N/A25.41090
    45112ARemoval of rectum30.54N/A12.032.35N/A44.92090
    45113APartial proctectomy30.58N/A12.922.13N/A45.63090
    45114APartial removal of rectum27.32N/A11.182.28N/A40.78090
    45116APartial removal of rectum24.58N/A10.262.00N/A36.84090
    45119ARemove rectum w/reservoir30.84N/A12.772.13N/A45.74090
    45120ARemoval of rectum24.60N/A10.362.28N/A37.24090
    45121ARemoval of rectum and colon27.04N/A11.342.66N/A41.04090
    45123APartial proctectomy16.71N/A7.011.04N/A24.76090
    45126APelvic exenteration45.16N/A19.843.23N/A68.23090
    45130AExcision of rectal prolapse16.44N/A6.921.12N/A24.48090
    45135AExcision of rectal prolapse19.28N/A8.571.52N/A29.37090
    45136AExcise ileoanal reservior27.30N/A12.702.72N/A42.72090
    45150AExcision of rectal stricture5.67N/A3.010.46N/A9.14090
    Start Printed Page 49136
    45160AExcision of rectal lesion15.32N/A6.791.07N/A23.18090
    45170AExcision of rectal lesion11.49N/A5.350.89N/A17.73090
    45190ADestruction, rectal tumor9.74N/A4.710.76N/A15.21090
    45300AProctosigmoidoscopy dx0.381.500.310.051.930.74000
    45303AProctosigmoidoscopy dilate0.4419.740.350.0620.240.85000
    45305AProctosigmoidoscopy w/bx1.012.620.530.093.721.63000
    45307AProctosigmoidoscopy fb0.943.070.510.154.161.60000
    45308AProctosigmoidoscopy removal0.831.970.470.132.931.43000
    45309AProctosigmoidoscopy removal2.012.820.870.175.003.05000
    45315AProctosigmoidoscopy removal1.402.850.670.204.452.27000
    45317AProctosigmoidoscopy bleed1.502.430.690.204.132.39000
    45320AProctosigmoidoscopy ablate1.582.890.740.204.672.52000
    45321AProctosigmoidoscopy volvul1.17N/A0.590.17N/A1.93000
    45327AProctosigmoidoscopy w/stent1.65N/A0.710.10N/A2.46000
    45330ADiagnostic sigmoidoscopy0.962.250.530.053.261.54000
    45331ASigmoidoscopy and biopsy1.152.900.640.074.121.86000
    45332ASigmoidoscopy w/fb removal1.794.860.860.116.762.76000
    45333ASigmoidoscopy & polypectomy1.794.810.860.126.722.77000
    45334ASigmoidoscopy for bleeding2.73N/A1.210.16N/A4.10000
    45335ASigmoidoscope w/submuc inj1.363.270.660.074.702.09000
    45337ASigmoidoscopy & decompress2.36N/A1.060.15N/A3.57000
    45338ASigmoidoscpy w/tumr remove2.345.131.070.157.623.56000
    45339ASigmoidoscopy w/ablate tumr3.143.361.350.176.674.66000
    45340ASig w/balloon dilation1.666.600.760.078.332.49000
    45341ASigmoidoscopy w/ultrasound2.60N/A1.150.20N/A3.95000
    45342ASigmoidoscopy w/us guide bx4.06N/A1.620.23N/A5.91000
    45345ASigmoidoscopy w/stent2.92N/A1.220.15N/A4.29000
    45355ASurgical colonoscopy3.52N/A1.430.26N/A5.21000
    45378ADiagnostic colonoscopy3.706.301.680.2010.205.58000
    4537853ADiagnostic colonoscopy0.962.250.530.053.261.54000
    45379AColonoscopy w/fb removal4.697.831.940.2512.776.88000
    45380AColonoscopy and biopsy4.447.261.810.2111.916.46000
    45381AColonoscope, submucous inj4.208.001.720.2112.416.13000
    45382AColonoscopy/control bleeding5.6910.032.320.2715.998.28000
    45383ALesion removal colonoscopy5.878.052.310.3214.248.50000
    45384ALesion remove colonoscopy4.706.871.910.2411.816.85000
    45385ALesion removal colonoscopy5.317.902.120.2813.497.71000
    45386AColonoscope dilate stricture4.5814.091.860.2118.886.65000
    45387AColonoscopy w/stent5.91N/A2.400.33N/A8.64000
    45500ARepair of rectum7.29N/A3.630.56N/A11.48090
    45505ARepair of rectum7.58N/A3.870.50N/A11.95090
    45520ATreatment of rectal prolapse0.550.860.190.041.450.78000
    Start Printed Page 49137
    45540ACorrect rectal prolapse16.27N/A6.961.17N/A24.40090
    45541ACorrect rectal prolapse13.40N/A6.060.88N/A20.34090
    45550ARepair rectum/remove sigmoid23.00N/A9.401.58N/A33.98090
    45560ARepair of rectocele10.58N/A5.220.73N/A16.53090
    45562AExploration/repair of rectum15.38N/A7.071.15N/A23.60090
    45563AExploration/repair of rectum23.47N/A10.691.84N/A36.00090
    45800ARepair rect/bladder fistula17.77N/A7.571.14N/A26.48090
    45805ARepair fistula w/colostomy20.78N/A9.711.47N/A31.96090
    45820ARepair rectourethral fistula18.48N/A7.761.17N/A27.41090
    45825ARepair fistula w/colostomy21.25N/A9.990.97N/A32.21090
    45900AReduction of rectal prolapse2.61N/A1.350.17N/A4.13010
    45905ADilation of anal sphincter2.3010.781.250.1413.223.69010
    45910ADilation of rectal narrowing2.8015.081.460.1418.024.40010
    45915ARemove rectal obstruction3.144.881.190.178.194.50010
    45999CRectum surgery procedure0.000.000.000.000.000.00YYY
    46020APlacement of seton2.902.301.880.225.425.00010
    46030ARemoval of rectal marker1.231.370.720.112.712.06010
    46040AIncision of rectal abscess4.965.333.170.4810.778.61090
    46045AIncision of rectal abscess4.32N/A2.880.40N/A7.60090
    46050AIncision of anal abscess1.192.610.870.113.912.17010
    46060AIncision of rectal abscess5.69N/A3.310.52N/A9.52090
    46070AIncision of anal septum2.71N/A2.020.27N/A5.00090
    46080AIncision of anal sphincter2.492.421.150.235.143.87010
    46083AIncise external hemorrhoid1.402.570.960.124.092.48010
    46200ARemoval of anal fissure3.423.662.400.307.386.12090
    46210ARemoval of anal crypt2.674.852.140.267.785.07090
    46211ARemoval of anal crypts4.255.112.910.379.737.53090
    46220ARemoval of anal tag1.562.310.950.144.012.65010
    46221ALigation of hemorrhoid(s)2.041.641.140.123.803.30010
    46230ARemoval of anal tags2.573.101.300.225.894.09010
    46250AHemorrhoidectomy3.894.972.480.439.296.80090
    46255AHemorrhoidectomy4.605.522.710.5110.637.82090
    46257ARemove hemorrhoids & fissure5.40N/A2.910.59N/A8.90090
    46258ARemove hemorrhoids & fistula5.73N/A3.270.64N/A9.64090
    46260AHemorrhoidectomy6.37N/A3.290.68N/A10.34090
    46261ARemove hemorrhoids & fissure7.08N/A3.670.70N/A11.45090
    46262ARemove hemorrhoids & fistula7.50N/A3.810.76N/A12.07090
    46270ARemoval of anal fistula3.724.732.400.368.816.48090
    46275ARemoval of anal fistula4.564.432.610.409.397.57090
    46280ARemoval of anal fistula5.98N/A3.320.50N/A9.80090
    46285ARemoval of anal fistula4.093.672.390.348.106.82090
    46288ARepair anal fistula7.13N/A3.750.60N/A11.48090
    46320ARemoval of hemorrhoid clot1.612.160.870.143.912.62010
    46500AInjection into hemorrhoid(s)1.612.830.630.124.562.36010
    46600ADiagnostic anoscopy0.501.640.390.042.180.93000
    46604AAnoscopy and dilation1.319.680.650.0911.082.05000
    46606AAnoscopy and biopsy0.813.940.450.074.821.33000
    46608AAnoscopy, remove for body1.514.580.700.136.222.34000
    46610AAnoscopy, remove lesion1.324.170.650.125.612.09000
    46611AAnoscopy1.813.450.810.155.412.77000
    46612AAnoscopy, remove lesions2.345.301.020.187.823.54000
    46614AAnoscopy, control bleeding2.012.330.880.144.483.03000
    46615AAnoscopy2.682.571.110.235.484.02000
    46700ARepair of anal stricture9.13N/A4.290.56N/A13.98090
    Start Printed Page 49138
    46705ARepair of anal stricture6.90N/A3.710.73N/A11.34090
    46706ARepr of anal fistula w/glue2.39N/A1.270.17N/A3.83010
    46715ARepair of anovaginal fistula7.20N/A3.650.76N/A11.61090
    46716ARepair of anovaginal fistula15.07N/A8.181.30N/A24.55090
    46730AConstruction of absent anus26.75N/A12.312.03N/A41.09090
    46735AConstruction of absent anus32.17N/A14.152.64N/A48.96090
    46740AConstruction of absent anus30.00N/A13.531.99N/A45.52090
    46742ARepair of imperforated anus35.80N/A17.842.63N/A56.27090
    46744ARepair of cloacal anomaly52.63N/A21.452.27N/A76.35090
    46746ARepair of cloacal anomaly58.22N/A25.922.51N/A86.65090
    46748ARepair of cloacal anomaly64.21N/A25.762.77N/A92.74090
    46750ARepair of anal sphincter10.25N/A5.170.69N/A16.11090
    46751ARepair of anal sphincter8.77N/A5.390.78N/A14.94090
    46753AReconstruction of anus8.29N/A3.900.58N/A12.77090
    46754ARemoval of suture from anus2.203.731.720.126.054.04010
    46760ARepair of anal sphincter14.43N/A7.130.86N/A22.42090
    46761ARepair of anal sphincter13.84N/A6.160.84N/A20.84090
    46762AImplant artificial sphincter12.71N/A5.590.71N/A19.01090
    46900ADestruction, anal lesion(s)1.913.600.810.135.642.85010
    46910ADestruction, anal lesion(s)1.862.751.120.144.753.12010
    46916ACryosurgery, anal lesion(s)1.863.141.440.095.093.39010
    46917ALaser surgery, anal lesions1.8614.081.150.1616.103.17010
    46922AExcision of anal lesion(s)1.863.381.100.175.413.13010
    46924ADestruction, anal lesion(s)2.7612.561.390.2015.524.35010
    46934ADestruction of hemorrhoids3.515.182.810.268.956.58090
    46935ADestruction of hemorrhoids2.433.551.230.176.153.83010
    46936ADestruction of hemorrhoids3.694.612.380.308.606.37090
    46937ACryotherapy of rectal lesion2.692.791.250.125.604.06010
    46938ACryotherapy of rectal lesion4.664.282.740.409.347.80090
    46940ATreatment of anal fissure2.322.041.110.174.533.60010
    46942ATreatment of anal fissure2.041.871.020.144.053.20010
    46945ALigation of hemorrhoids1.843.601.910.175.613.92090
    46946ALigation of hemorrhoids2.584.341.920.227.144.72090
    46999CAnus surgery procedure0.000.000.000.000.000.00YYY
    47000ANeedle biopsy of liver1.903.290.640.095.282.63000
    47001ANeedle biopsy, liver add-on1.90N/A0.660.18N/A2.74ZZZ
    47010AOpen drainage, liver lesion16.01N/A8.750.65N/A25.41090
    47011APercut drain, liver lesion3.70N/A4.420.17N/A8.29000
    47015AInject/aspirate liver cyst15.11N/A7.700.86N/A23.67090
    47100AWedge biopsy of liver11.67N/A6.220.75N/A18.64090
    47120APartial removal of liver35.50N/A15.572.29N/A53.36090
    47122AExtensive removal of liver55.13N/A22.073.60N/A80.80090
    47125APartial removal of liver49.19N/A20.053.18N/A72.42090
    47130APartial removal of liver53.35N/A21.543.47N/A78.36090
    47134RPartial removal, donor liver39.15N/A13.513.98N/A56.64XXX
    47135RTransplantation of liver81.52N/A32.188.13N/A121.83090
    47136RTransplantation of liver68.60N/A29.486.93N/A105.01090
    47300ASurgery for liver lesion15.08N/A7.440.97N/A23.49090
    47350ARepair liver wound19.56N/A9.101.25N/A29.91090
    47360ARepair liver wound26.92N/A11.931.71N/A40.56090
    47361ARepair liver wound47.12N/A19.023.11N/A69.25090
    47362ARepair liver wound18.51N/A9.021.22N/A28.75090
    Start Printed Page 49139
    47370ALaparo ablate liver tumor rf19.69N/A8.310.85N/A28.85090
    47371ALaparo ablate liver cryosurg19.69N/A8.430.85N/A28.97090
    47379CLaparoscope procedure, liver0.000.000.000.000.000.00YYY
    47380AOpen ablate liver tumor rf23.00N/A9.550.85N/A33.40090
    47381AOpen ablate liver tumor cryo23.27N/A9.860.85N/A33.98090
    47382APercut ablate liver rf15.19N/A6.001.14N/A22.33010
    47399CLiver surgery procedure0.000.000.000.000.000.00YYY
    47400AIncision of liver duct32.49N/A13.861.82N/A48.17090
    47420AIncision of bile duct19.88N/A8.991.70N/A30.57090
    47425AIncision of bile duct19.83N/A9.041.60N/A30.47090
    47460AIncise bile duct sphincter18.04N/A8.611.24N/A27.89090
    47480AIncision of gallbladder10.82N/A6.130.85N/A17.80090
    47490AIncision of gallbladder7.23N/A5.970.33N/A13.53090
    47500AInjection for liver x-rays1.96N/A0.650.09N/A2.70000
    47505AInjection for liver x-rays0.762.590.250.033.381.04000
    47510AInsert catheter, bile duct7.83N/A5.020.36N/A13.21090
    47511AInsert bile duct drain10.50N/A5.120.47N/A16.09090
    47525AChange bile duct catheter5.55N/A3.260.24N/A9.05010
    47530ARevise/reinsert bile tube5.85N/A4.300.29N/A10.44090
    47550ABile duct endoscopy add-on3.02N/A1.050.30N/A4.37ZZZ
    47552ABiliary endoscopy thru skin6.04N/A2.430.42N/A8.89000
    47553ABiliary endoscopy thru skin6.35N/A2.620.30N/A9.27000
    47554ABiliary endoscopy thru skin9.06N/A3.430.74N/A13.23000
    47555ABiliary endoscopy thru skin7.56N/A3.040.35N/A10.95000
    47556ABiliary endoscopy thru skin8.56N/A3.370.38N/A12.31000
    47560ALaparoscopy w/cholangio4.89N/A1.850.49N/A7.23000
    47561ALaparo w/cholangio/biopsy5.18N/A2.160.49N/A7.83000
    47562ALaparoscopic cholecystectomy11.09N/A5.041.13N/A17.26090
    47563ALaparo cholecystectomy/graph11.94N/A5.351.21N/A18.50090
    47564ALaparo cholecystectomy/explr14.23N/A6.061.44N/A21.73090
    47570ALaparo cholecystoenterostomy12.58N/A5.471.28N/A19.33090
    47579CLaparoscope proc, biliary0.000.000.000.000.000.00YYY
    47600ARemoval of gallbladder13.58N/A6.361.16N/A21.10090
    47605ARemoval of gallbladder14.69N/A6.721.25N/A22.66090
    47610ARemoval of gallbladder18.82N/A8.201.61N/A28.63090
    47612ARemoval of gallbladder18.78N/A8.141.60N/A28.52090
    47620ARemoval of gallbladder20.64N/A8.791.77N/A31.20090
    47630ARemove bile duct stone9.11N/A4.810.46N/A14.38090
    47700AExploration of bile ducts15.62N/A7.601.40N/A24.62090
    47701ABile duct revision27.81N/A11.873.00N/A42.68090
    47711AExcision of bile duct tumor23.03N/A10.221.98N/A35.23090
    47712AExcision of bile duct tumor30.24N/A12.772.67N/A45.68090
    47715AExcision of bile duct cyst18.80N/A8.661.59N/A29.05090
    47716AFusion of bile duct cyst16.44N/A8.091.41N/A25.94090
    47720AFuse gallbladder & bowel15.91N/A7.691.37N/A24.97090
    47721AFuse upper gi structures19.12N/A8.811.63N/A29.56090
    47740AFuse gallbladder & bowel18.48N/A8.611.59N/A28.68090
    47741AFuse gallbladder & bowel21.34N/A9.541.82N/A32.70090
    47760AFuse bile ducts and bowel25.85N/A11.132.21N/A39.19090
    47765AFuse liver ducts & bowel24.88N/A11.162.18N/A38.22090
    47780AFuse bile ducts and bowel26.50N/A11.502.27N/A40.27090
    47785AFuse bile ducts and bowel31.18N/A13.322.69N/A47.19090
    47800AReconstruction of bile ducts23.30N/A10.331.95N/A35.58090
    47801APlacement, bile duct support15.17N/A8.430.69N/A24.29090
    47802AFuse liver duct & intestine21.55N/A9.991.84N/A33.38090
    Start Printed Page 49140
    47900ASuture bile duct injury19.90N/A9.111.65N/A30.66090
    47999CBile tract surgery procedure0.000.000.000.000.000.00YYY
    48000ADrainage of abdomen28.07N/A11.831.32N/A41.22090
    48001APlacement of drain, pancreas35.45N/A14.271.90N/A51.62090
    48005AResect/debride pancreas42.17N/A16.952.26N/A61.38090
    48020ARemoval of pancreatic stone15.70N/A7.521.36N/A24.58090
    48100ABiopsy of pancreas, open12.23N/A5.821.08N/A19.13090
    48102ANeedle biopsy, pancreas4.689.012.470.2013.897.35010
    48120ARemoval of pancreas lesion15.85N/A7.101.35N/A24.30090
    48140APartial removal of pancreas22.94N/A9.792.12N/A34.85090
    48145APartial removal of pancreas24.02N/A10.142.25N/A36.41090
    48146APancreatectomy26.40N/A12.292.43N/A41.12090
    48148ARemoval of pancreatic duct17.34N/A7.881.61N/A26.83090
    48150APartial removal of pancreas48.00N/A20.044.43N/A72.47090
    48152APancreatectomy43.75N/A18.704.07N/A66.52090
    48153APancreatectomy47.89N/A20.154.40N/A72.44090
    48154APancreatectomy44.10N/A18.764.10N/A66.96090
    48155ARemoval of pancreas24.64N/A12.082.30N/A39.02090
    48180AFuse pancreas and bowel24.72N/A10.462.24N/A37.42090
    48400AInjection, intraop add-on1.95N/A0.660.10N/A2.71ZZZ
    48500ASurgery of pancreatic cyst15.28N/A7.571.35N/A24.20090
    48510ADrain pancreatic pseudocyst14.31N/A7.671.07N/A23.05090
    48511ADrain pancreatic pseudocyst4.00N/A3.750.17N/A7.92000
    48520AFuse pancreas cyst and bowel15.59N/A6.941.41N/A23.94090
    48540AFuse pancreas cyst and bowel19.72N/A8.371.82N/A29.91090
    48545APancreatorrhaphy18.18N/A8.231.61N/A28.02090
    48547ADuodenal exclusion25.83N/A10.762.30N/A38.89090
    48554RTranspl allograft pancreas34.17N/A16.003.30N/A53.47090
    48556ARemoval, allograft pancreas15.71N/A7.811.52N/A25.04090
    48999CPancreas surgery procedure0.000.000.000.000.000.00YYY
    49000AExploration of abdomen11.68N/A5.441.17N/A18.29090
    49002AReopening of abdomen10.49N/A5.101.06N/A16.65090
    49010AExploration behind abdomen12.28N/A5.961.22N/A19.46090
    49020ADrain abdominal abscess22.84N/A10.321.31N/A34.47090
    49021ADrain abdominal abscess3.38N/A5.370.16N/A8.91000
    49040ADrain, open, abdom abscess13.52N/A6.540.84N/A20.90090
    49041ADrain, percut, abdom abscess4.00N/A5.690.18N/A9.87000
    49060ADrain, open, retrop abscess15.86N/A7.560.77N/A24.19090
    49061ADrain, percut, retroper absc3.70N/A5.680.17N/A9.55000
    49062ADrain to peritoneal cavity11.36N/A5.591.08N/A18.03090
    49080APuncture, peritoneal cavity1.354.180.460.075.601.88000
    49081ARemoval of abdominal fluid1.262.680.580.064.001.90000
    49085ARemove abdomen foreign body12.14N/A5.620.88N/A18.64090
    49180ABiopsy, abdominal mass1.733.340.580.085.152.39000
    Start Printed Page 49141
    49200ARemoval of abdominal lesion10.25N/A5.120.92N/A16.29090
    49201ARemove abdom lesion, complex14.84N/A7.231.47N/A23.54090
    49215AExcise sacral spine tumor33.50N/A14.502.48N/A50.48090
    49220AMultiple surgery, abdomen14.88N/A6.741.51N/A23.13090
    49250AExcision of umbilicus8.35N/A4.350.84N/A13.54090
    49255ARemoval of omentum11.14N/A5.741.12N/A18.00090
    49320ADiag laparo separate proc5.10N/A2.600.50N/A8.20010
    49321ALaparoscopy, biopsy5.40N/A2.610.53N/A8.54010
    49322ALaparoscopy, aspiration5.70N/A2.940.57N/A9.21010
    49323ALaparo drain lymphocele9.48N/A4.490.88N/A14.85090
    49329CLaparo proc, abdm/per/oment0.000.000.000.000.000.00YYY
    49400AAir injection into abdomen1.88N/A0.790.11N/A2.78000
    49419AInsrt abdom cath for chemotx6.65N/A3.600.55N/A10.80090
    49420AInsert abdom drain, temp2.22N/A1.130.13N/A3.48000
    49421AInsert abdom drain, perm5.54N/A3.180.55N/A9.27090
    49422ARemove perm cannula/catheter6.25N/A2.900.63N/A9.78010
    49423AExchange drainage catheter1.46N/A0.670.07N/A2.20000
    49424AAssess cyst, contrast inject0.76N/A0.440.03N/A1.23000
    49425AInsert abdomen-venous drain11.37N/A5.621.21N/A18.20090
    49426ARevise abdomen-venous shunt9.63N/A4.820.93N/A15.38090
    49427AInjection, abdominal shunt0.89N/A0.480.05N/A1.42000
    49428ALigation of shunt6.06N/A3.330.31N/A9.70010
    49429ARemoval of shunt7.40N/A3.530.81N/A11.74010
    49491ARpr hern preemie reduc11.13N/A5.301.10N/A17.53090
    49492ARpr ing hern premie, blocked14.03N/A6.291.47N/A21.79090
    49495ARpr ing hernia baby, reduc5.89N/A3.070.58N/A9.54090
    49496ARpr ing hernia baby, blocked8.79N/A4.420.92N/A14.13090
    49500ARpr ing hernia, init, reduce5.48N/A3.200.46N/A9.14090
    49501ARpr ing hernia, init blocked8.88N/A4.290.76N/A13.93090
    49505APrp i/hern init reduc>5 yr7.604.043.830.6512.2912.08090
    49507APrp i/hern init block>5 yr9.57N/A4.670.83N/A15.07090
    49520ARerepair ing hernia, reduce9.63N/A4.630.84N/A15.10090
    49521ARerepair ing hernia, blocked11.97N/A5.361.04N/A18.37090
    49525ARepair ing hernia, sliding8.57N/A4.230.74N/A13.54090
    49540ARepair lumbar hernia10.39N/A4.910.90N/A16.20090
    49550ARpr rem hernia, init, reduce8.63N/A4.220.75N/A13.60090
    49553ARpr fem hernia, init blocked9.44N/A4.550.83N/A14.82090
    49555ARerepair fem hernia, reduce9.03N/A4.420.79N/A14.24090
    49557ARerepair fem hernia, blocked11.15N/A5.140.97N/A17.26090
    49560ARpr ventral hern init, reduc11.57N/A5.321.00N/A17.89090
    49561ARpr ventral hern init, block14.25N/A6.241.23N/A21.72090
    49565ARerepair ventrl hern, reduce11.57N/A5.391.00N/A17.96090
    49566ARerepair ventrl hern, block14.40N/A6.311.24N/A21.95090
    49568AHernia repair w/mesh4.89N/A1.710.50N/A7.10ZZZ
    49570ARpr epigastric hern, reduce5.69N/A3.230.50N/A9.42090
    49572ARpr epigastric hern, blocked6.73N/A3.590.58N/A10.90090
    Start Printed Page 49142
    49580ARpr umbil hern, reduc < 5 yr4.11N/A2.680.34N/A7.13090
    49582ARpr umbil hern, block < 5 yr6.65N/A3.650.57N/A10.87090
    49585ARpr umbil hern, reduc > 5 yr6.23N/A3.430.53N/A10.19090
    49587ARpr umbil hern, block > 5 yr7.56N/A3.830.65N/A12.04090
    49590ARepair spigilian hernia8.54N/A4.230.74N/A13.51090
    49600ARepair umbilical lesion10.96N/A5.391.13N/A17.48090
    49605ARepair umbilical lesion76.00N/A29.132.57N/A107.70090
    49606ARepair umbilical lesion18.60N/A7.892.22N/A28.71090
    49610ARepair umbilical lesion10.50N/A5.420.77N/A16.69090
    49611ARepair umbilical lesion8.92N/A6.510.65N/A16.08090
    49650ALaparo hernia repair initial6.27N/A3.220.64N/A10.13090
    49651ALaparo hernia repair recur8.24N/A4.140.84N/A13.22090
    49659CLaparo proc, hernia repair0.000.000.000.000.000.00YYY
    49900ARepair of abdominal wall12.28N/A6.351.23N/A19.86090
    49904AOmental flap, extra-abdom20.00N/A15.881.91N/A37.79090
    49905AOmental flap, intra-abdom6.55N/A2.330.61N/A9.49ZZZ
    49906CFree omental flap, microvasc0.000.000.000.000.000.00090
    49999CAbdomen surgery procedure0.000.000.000.000.000.00YYY
    50010AExploration of kidney10.98N/A5.690.79N/A17.46090
    50020ARenal abscess, open drain14.66N/A9.320.80N/A24.78090
    50021ARenal abscess, percut drain3.38N/A1.450.15N/A4.98000
    50040ADrainage of kidney14.94N/A8.840.82N/A24.60090
    50045AExploration of kidney15.46N/A7.121.06N/A23.64090
    50060ARemoval of kidney stone19.30N/A8.411.14N/A28.85090
    50065AIncision of kidney20.79N/A6.401.13N/A28.32090
    50070AIncision of kidney20.32N/A8.811.20N/A30.33090
    50075ARemoval of kidney stone25.34N/A10.621.51N/A37.47090
    50080ARemoval of kidney stone14.71N/A8.290.86N/A23.86090
    50081ARemoval of kidney stone21.80N/A10.791.30N/A33.89090
    50100ARevise kidney blood vessels16.09N/A8.171.64N/A25.90090
    50120AExploration of kidney15.91N/A7.331.04N/A24.28090
    50125AExplore and drain kidney16.52N/A7.501.07N/A25.09090
    50130ARemoval of kidney stone17.29N/A7.731.04N/A26.06090
    50135AExploration of kidney19.18N/A8.361.18N/A28.72090
    50200ABiopsy of kidney2.63N/A0.920.12N/A3.67000
    50205ABiopsy of kidney11.31N/A5.470.94N/A17.72090
    50220ARemove kidney, open17.15N/A7.771.16N/A26.08090
    50225ARemoval kidney open, complex20.23N/A8.731.26N/A30.22090
    50230ARemoval kidney open, radical22.07N/A9.221.35N/A32.64090
    50234ARemoval of kidney & ureter22.40N/A9.431.37N/A33.20090
    50236ARemoval of kidney & ureter24.86N/A11.851.50N/A38.21090
    50240APartial removal of kidney22.00N/A10.921.36N/A34.28090
    50280ARemoval of kidney lesion15.67N/A7.220.99N/A23.88090
    50290ARemoval of kidney lesion14.73N/A6.921.11N/A22.76090
    50320ARemoval of donor kidney22.21N/A9.471.78N/A33.46090
    50340ARemoval of kidney12.15N/A7.141.15N/A20.44090
    50360ATransplantation of kidney31.53N/A14.852.97N/A49.35090
    50365ATransplantation of kidney36.81N/A17.603.51N/A57.92090
    50370ARemove transplanted kidney13.72N/A7.751.26N/A22.73090
    50380AReimplantation of kidney20.76N/A12.311.80N/A34.87090
    50390ADrainage of kidney lesion1.96N/A0.650.09N/A2.70000
    50392AInsert kidney drain3.38N/A1.120.15N/A4.65000
    50393AInsert ureteral tube4.16N/A1.380.18N/A5.72000
    Start Printed Page 49143
    50394AInjection for kidney x-ray0.762.520.250.043.321.05000
    50395ACreate passage to kidney3.38N/A1.120.16N/A4.66000
    50396AMeasure kidney pressure2.09N/A0.870.10N/A3.06000
    50398AChange kidney tube1.461.210.490.072.742.02000
    50400ARevision of kidney/ureter19.50N/A8.461.21N/A29.17090
    50405ARevision of kidney/ureter23.93N/A10.801.45N/A36.18090
    50500ARepair of kidney wound19.57N/A9.011.45N/A30.03090
    50520AClose kidney-skin fistula17.23N/A9.111.26N/A27.60090
    50525ARepair renal-abdomen fistula22.27N/A10.501.51N/A34.28090
    50526ARepair renal-abdomen fistula24.02N/A11.181.62N/A36.82090
    50540ARevision of horseshoe kidney19.93N/A8.831.28N/A30.04090
    50541ALaparo ablate renal cyst16.00N/A6.550.99N/A23.54090
    50542ALaparo ablate renal mass20.00N/A8.321.36N/A29.68090
    50543ALaparo partial nephrectomy25.50N/A10.501.36N/A37.36090
    50544ALaparoscopy, pyeloplasty22.40N/A8.661.41N/A32.47090
    50545ALaparo radical nephrectomy24.00N/A9.441.53N/A34.97090
    50546ALaparoscopic nephrectomy20.48N/A8.401.37N/A30.25090
    50547ALaparo removal donor kidney25.50N/A10.332.04N/A37.87090
    50548ALaparo remove k/ureter24.40N/A9.301.49N/A35.19090
    50549CLaparoscope proc, renal0.000.000.000.000.000.00YYY
    50551AKidney endoscopy5.605.031.830.3310.967.76000
    50553AKidney endoscopy5.9918.931.990.3525.278.33000
    50555AKidney endoscopy & biopsy6.5319.592.160.3826.509.07000
    50557AKidney endoscopy & treatment6.6220.382.170.3927.399.18000
    50559ARenal endoscopy/radiotracer6.78N/A2.240.27N/A9.29000
    50561AKidney endoscopy & treatment7.5918.032.490.4426.0610.52000
    50562ARenal scope w/tumor resect10.92N/A3.930.84N/A15.69090
    50570AKidney endoscopy9.54N/A3.120.56N/A13.22000
    50572AKidney endoscopy10.35N/A3.390.64N/A14.38000
    50574AKidney endoscopy & biopsy11.02N/A3.620.65N/A15.29000
    50575AKidney endoscopy13.98N/A4.580.84N/A19.40000
    50576AKidney endoscopy & treatment10.99N/A3.590.66N/A15.24000
    50578ARenal endoscopy/radiotracer11.35N/A3.710.67N/A15.73000
    50580AKidney endoscopy & treatment11.86N/A3.880.70N/A16.44000
    50590AFragmenting of kidney stone9.0910.524.930.5420.1514.56090
    50600AExploration of ureter15.84N/A7.330.99N/A24.16090
    50605AInsert ureteral support15.46N/A7.311.13N/A23.90090
    50610ARemoval of ureter stone15.92N/A7.601.08N/A24.60090
    50620ARemoval of ureter stone15.16N/A6.970.91N/A23.04090
    50630ARemoval of ureter stone14.94N/A6.900.90N/A22.74090
    50650ARemoval of ureter17.41N/A7.871.07N/A26.35090
    50660ARemoval of ureter19.55N/A8.611.19N/A29.35090
    50684AInjection for ureter x-ray0.7610.780.250.0411.581.05000
    50686AMeasure ureter pressure1.514.660.660.096.262.26000
    50688AChange of ureter tube1.17N/A1.720.06N/A2.95010
    50690AInjection for ureter x-ray1.1610.980.380.0612.201.60000
    50700ARevision of ureter15.21N/A7.590.86N/A23.66090
    50715ARelease of ureter18.90N/A9.551.68N/A30.13090
    50722ARelease of ureter16.35N/A8.381.41N/A26.14090
    50725ARelease/revise ureter18.49N/A8.731.44N/A28.66090
    Start Printed Page 49144
    50727ARevise ureter8.18N/A5.440.51N/A14.13090
    50728ARevise ureter12.02N/A6.960.88N/A19.86090
    50740AFusion of ureter & kidney18.42N/A8.271.49N/A28.18090
    50750AFusion of ureter & kidney19.51N/A8.661.24N/A29.41090
    50760AFusion of ureters18.42N/A8.301.25N/A27.97090
    50770ASplicing of ureters19.51N/A8.621.25N/A29.38090
    50780AReimplant ureter in bladder18.36N/A8.221.20N/A27.78090
    50782AReimplant ureter in bladder19.54N/A9.911.13N/A30.58090
    50783AReimplant ureter in bladder20.55N/A9.671.35N/A31.57090
    50785AReimplant ureter in bladder20.52N/A8.961.30N/A30.78090
    50800AImplant ureter in bowel14.52N/A7.340.92N/A22.78090
    50810AFusion of ureter & bowel20.05N/A9.891.78N/A31.72090
    50815AUrine shunt to intestine19.93N/A9.341.31N/A30.58090
    50820AConstruct bowel bladder21.89N/A9.501.38N/A32.77090
    50825AConstruct bowel bladder28.18N/A12.201.81N/A42.19090
    50830ARevise urine flow31.28N/A13.122.20N/A46.60090
    50840AReplace ureter by bowel20.00N/A9.321.26N/A30.58090
    50845AAppendico-vesicostomy20.89N/A9.081.26N/A31.23090
    50860ATransplant ureter to skin15.36N/A7.231.01N/A23.60090
    50900ARepair of ureter13.62N/A6.660.98N/A21.26090
    50920AClosure ureter/skin fistula14.33N/A7.090.84N/A22.26090
    50930AClosure ureter/bowel fistula18.72N/A8.531.57N/A28.82090
    50940ARelease of ureter14.51N/A6.961.04N/A22.51090
    50945ALaparoscopy ureterolithotomy17.00N/A7.111.15N/A25.26090
    50947ALaparo new ureter/bladder24.50N/A10.141.99N/A36.63090
    50948ALaparo new ureter/bladder22.50N/A9.111.83N/A33.44090
    50949CLaparoscope proc, ureter0.000.000.000.000.000.00YYY
    50951AEndoscopy of ureter5.845.451.910.3511.648.10000
    50953AEndoscopy of ureter6.2418.932.050.3725.548.66000
    50955AUreter endoscopy & biopsy6.7519.812.250.3826.949.38000
    50957AUreter endoscopy & treatment6.7918.542.230.4025.739.42000
    50959AUreter endoscopy & tracer4.40N/A1.400.18N/A5.98000
    50961AUreter endoscopy & treatment6.0525.861.980.3532.268.38000
    50970AUreter endoscopy7.14N/A2.350.43N/A9.92000
    50972AUreter endoscopy & catheter6.89N/A2.310.39N/A9.59000
    50974AUreter endoscopy & biopsy9.17N/A2.990.53N/A12.69000
    50976AUreter endoscopy & treatment9.04N/A2.970.53N/A12.54000
    50978AUreter endoscopy & tracer5.10N/A1.730.30N/A7.13000
    50980AUreter endoscopy & treatment6.85N/A2.250.41N/A9.51000
    51000ADrainage of bladder0.782.030.240.052.861.07000
    51005ADrainage of bladder1.023.410.340.084.511.44000
    51010ADrainage of bladder3.535.881.940.239.645.70010
    51020AIncise & treat bladder6.71N/A4.270.42N/A11.40090
    51030AIncise & treat bladder6.77N/A4.370.42N/A11.56090
    51040AIncise & drain bladder4.40N/A3.120.27N/A7.79090
    51045AIncise bladder/drain ureter6.77N/A4.330.47N/A11.57090
    51050ARemoval of bladder stone6.92N/A4.010.42N/A11.35090
    51060ARemoval of ureter stone8.85N/A4.930.54N/A14.32090
    51065ARemove ureter calculus8.85N/A4.770.53N/A14.15090
    51080ADrainage of bladder abscess5.96N/A3.970.35N/A10.28090
    51500ARemoval of bladder cyst10.14N/A5.240.88N/A16.26090
    51520ARemoval of bladder lesion9.29N/A5.100.58N/A14.97090
    Start Printed Page 49145
    51525ARemoval of bladder lesion13.97N/A6.590.85N/A21.41090
    51530ARemoval of bladder lesion12.38N/A6.180.82N/A19.38090
    51535ARepair of ureter lesion12.57N/A6.560.90N/A20.03090
    51550APartial removal of bladder15.66N/A7.171.05N/A23.88090
    51555APartial removal of bladder21.23N/A9.181.37N/A31.78090
    51565ARevise bladder & ureter(s)21.62N/A9.511.40N/A32.53090
    51570ARemoval of bladder24.24N/A10.351.59N/A36.18090
    51575ARemoval of bladder & nodes30.45N/A12.711.88N/A45.04090
    51580ARemove bladder/revise tract31.08N/A13.171.94N/A46.19090
    51585ARemoval of bladder & nodes35.23N/A14.422.18N/A51.83090
    51590ARemove bladder/revise tract32.66N/A13.302.01N/A47.97090
    51595ARemove bladder/revise tract37.14N/A14.862.23N/A54.23090
    51596ARemove bladder/create pouch39.52N/A16.012.39N/A57.92090
    51597ARemoval of pelvic structures38.35N/A15.572.49N/A56.41090
    51600AInjection for bladder x-ray0.885.840.290.046.761.21000
    51605APreparation for bladder xray0.646.110.350.046.791.03000
    51610AInjection for bladder x-ray1.051.710.610.052.811.71000
    51700AIrrigation of bladder0.881.690.290.052.621.22000
    51701AInsert bladder catheter0.501.680.190.032.210.72000
    51702AInsert temp bladder cath0.502.390.260.032.920.79000
    51703AInsert bladder cath, complex1.473.110.580.094.672.14000
    51705AChange of bladder tube1.022.390.630.063.471.71010
    51710AChange of bladder tube1.493.510.790.095.092.37010
    51715AEndoscopic injection/implant3.744.091.390.248.075.37000
    51720ATreatment of bladder lesion1.961.820.720.123.902.80000
    51725ASimple cystometrogram1.515.90N/A0.137.54N/A000
    5172526ASimple cystometrogram1.510.510.510.102.122.12000
    51725TCASimple cystometrogram0.005.40N/A0.035.43N/A000
    51726AComplex cystometrogram1.717.93N/A0.159.79N/A000
    5172626AComplex cystometrogram1.710.570.570.112.392.39000
    51726TCAComplex cystometrogram0.007.36N/A0.047.40N/A000
    51736AUrine flow measurement0.610.61N/A0.051.27N/A000
    5173626AUrine flow measurement0.610.200.200.040.850.85000
    51736TCAUrine flow measurement0.000.40N/A0.010.41N/A000
    51741AElectro-uroflowmetry, first1.140.83N/A0.092.06N/A000
    5174126AElectro-uroflowmetry, first1.140.380.380.071.591.59000
    51741TCAElectro-uroflowmetry, first0.000.45N/A0.020.47N/A000
    51772AUrethra pressure profile1.615.89N/A0.167.66N/A000
    5177226AUrethra pressure profile1.610.560.560.122.292.29000
    51772TCAUrethra pressure profile0.005.33N/A0.045.37N/A000
    51784AAnal/urinary muscle study1.534.18N/A0.135.84N/A000
    5178426AAnal/urinary muscle study1.530.520.520.102.152.15000
    51784TCAAnal/urinary muscle study0.003.66N/A0.033.69N/A000
    51785AAnal/urinary muscle study1.534.69N/A0.126.34N/A000
    5178526AAnal/urinary muscle study1.530.510.510.092.132.13000
    51785TCAAnal/urinary muscle study0.004.17N/A0.034.20N/A000
    51792AUrinary reflex study1.106.13N/A0.207.43N/A000
    5179226AUrinary reflex study1.100.420.420.091.611.61000
    51792TCAUrinary reflex study0.005.70N/A0.115.81N/A000
    51795AUrine voiding pressure study1.537.72N/A0.189.43N/A000
    5179526AUrine voiding pressure study1.530.510.510.102.142.14000
    51795TCAUrine voiding pressure study0.007.20N/A0.087.28N/A000
    Start Printed Page 49146
    51797AIntraabdominal pressure test1.606.08N/A0.147.82N/A000
    5179726AIntraabdominal pressure test1.600.540.540.102.242.24000
    51797TCAIntraabdominal pressure test0.005.54N/A0.045.58N/A000
    51798AUs urine capacity measure0.000.36N/A0.070.43N/AXXX
    51800ARevision of bladder/urethra17.42N/A8.051.17N/A26.64090
    51820ARevision of urinary tract17.89N/A8.711.45N/A28.05090
    51840AAttach bladder/urethra10.71N/A5.660.87N/A17.24090
    51841AAttach bladder/urethra13.03N/A6.491.04N/A20.56090
    51845ARepair bladder neck9.73N/A5.180.62N/A15.53090
    51860ARepair of bladder wound12.02N/A6.180.89N/A19.09090
    51865ARepair of bladder wound15.04N/A7.141.01N/A23.19090
    51880ARepair of bladder opening7.66N/A4.350.54N/A12.55090
    51900ARepair bladder/vagina lesion12.97N/A6.530.87N/A20.37090
    51920AClose bladder-uterus fistula11.81N/A6.050.86N/A18.72090
    51925AHysterectomy/bladder repair15.58N/A9.021.48N/A26.08090
    51940ACorrection of bladder defect28.43N/A12.861.97N/A43.26090
    51960ARevision of bladder & bowel23.01N/A10.371.41N/A34.79090
    51980AConstruct bladder opening11.36N/A5.810.74N/A17.91090
    51990ALaparo urethral suspension12.50N/A6.231.02N/A19.75090
    51992ALaparo sling operation14.01N/A6.270.93N/A21.21090
    52000ACystoscopy2.013.450.780.125.582.91000
    52001ACystoscopy, removal of clots5.455.281.910.3211.057.68000
    52005ACystoscopy & ureter catheter2.376.170.920.158.693.44000
    52007ACystoscopy and biopsy3.02N/A1.180.18N/A4.38000
    52010ACystoscopy & duct catheter3.02N/A1.160.18N/A4.36000
    52204ACystoscopy2.373.700.930.156.223.45000
    52214ACystoscopy and treatment3.71N/A1.360.22N/A5.29000
    52224ACystoscopy and treatment3.14N/A1.180.18N/A4.50000
    52234ACystoscopy and treatment4.63N/A1.670.27N/A6.57000
    52235ACystoscopy and treatment5.45N/A1.950.32N/A7.72000
    52240ACystoscopy and treatment9.72N/A3.370.58N/A13.67000
    52250ACystoscopy and radiotracer4.50N/A1.700.27N/A6.47000
    52260ACystoscopy and treatment3.92N/A1.460.23N/A5.61000
    52265ACystoscopy and treatment2.943.831.140.186.954.26000
    52270ACystoscopy & revise urethra3.37N/A1.280.20N/A4.85000
    52275ACystoscopy & revise urethra4.70N/A1.710.28N/A6.69000
    52276ACystoscopy and treatment5.00N/A1.830.30N/A7.13000
    52277ACystoscopy and treatment6.17N/A2.310.38N/A8.86000
    52281ACystoscopy and treatment2.807.561.110.1710.534.08000
    52282ACystoscopy, implant stent6.40N/A2.290.38N/A9.07000
    52283ACystoscopy and treatment3.744.111.420.228.075.38000
    52285ACystoscopy and treatment3.614.181.370.228.015.20000
    52290ACystoscopy and treatment4.59N/A1.700.27N/A6.56000
    52300ACystoscopy and treatment5.31N/A1.960.32N/A7.59000
    52301ACystoscopy and treatment5.51N/A2.040.39N/A7.94000
    52305ACystoscopy and treatment5.31N/A1.900.31N/A7.52000
    52310ACystoscopy and treatment2.813.601.060.176.584.04000
    52315ACystoscopy and treatment5.21N/A1.880.31N/A7.40000
    52317ARemove bladder stone6.72N/A2.330.40N/A9.45000
    52318ARemove bladder stone9.19N/A3.170.54N/A12.90000
    Start Printed Page 49147
    52320ACystoscopy and treatment4.70N/A1.680.28N/A6.66000
    52325ACystoscopy, stone removal6.16N/A2.160.37N/A8.69000
    52327ACystoscopy, inject material5.19N/A1.870.32N/A7.38000
    52330ACystoscopy and treatment5.04N/A1.790.30N/A7.13000
    52332ACystoscopy and treatment2.83N/A1.080.17N/A4.08000
    52334ACreate passage to kidney4.83N/A1.800.28N/A6.91000
    52341ACysto w/ureter stricture tx6.00N/A2.270.37N/A8.64000
    52342ACysto w/up stricture tx6.50N/A2.410.40N/A9.31000
    52343ACysto w/renal stricture tx7.20N/A2.690.44N/A10.33000
    52344ACysto/uretero, stone remove7.70N/A2.870.47N/A11.04000
    52345ACysto/uretero w/up stricture8.20N/A3.030.50N/A11.73000
    52346ACystouretero w/renal strict9.23N/A3.380.57N/A13.18000
    52347ACystoscopy, resect ducts5.28N/A1.760.33N/A7.37000
    52351ACystouretero & or pyeloscope5.86N/A2.200.36N/A8.42000
    52352ACystouretero w/stone remove6.88N/A2.570.42N/A9.87000
    52353ACystouretero w/lithotripsy7.97N/A2.930.49N/A11.39000
    52354ACystouretero w/biopsy7.34N/A2.740.45N/A10.53000
    52355ACystouretero w/excise tumor8.82N/A3.220.55N/A12.59000
    52400ACystouretero w/congen repr9.68N/A4.060.60N/A14.34090
    52450AIncision of prostate7.64N/A3.800.46N/A11.90090
    52500ARevision of bladder neck8.47N/A4.060.50N/A13.03090
    52510ADilation prostatic urethra6.72N/A3.310.40N/A10.43090
    52601AProstatectomy (TURP)12.37N/A5.270.74N/A18.38090
    52606AControl postop bleeding8.13N/A3.670.49N/A12.29090
    52612AProstatectomy, first stage7.98N/A3.870.48N/A12.33090
    52614AProstatectomy, second stage6.84N/A3.470.41N/A10.72090
    52620ARemove residual prostate6.61N/A3.180.39N/A10.18090
    52630ARemove prostate regrowth7.26N/A3.380.43N/A11.07090
    52640ARelieve bladder contracture6.62N/A3.150.39N/A10.16090
    52647ALaser surgery of prostate10.3633.534.680.6144.5015.65090
    52648ALaser surgery of prostate11.21N/A4.950.66N/A16.82090
    52700ADrainage of prostate abscess6.80N/A3.370.41N/A10.58090
    53000AIncision of urethra2.28N/A1.590.13N/A4.00010
    53010AIncision of urethra3.64N/A3.150.20N/A6.99090
    53020AIncision of urethra1.773.150.690.115.032.57000
    53025AIncision of urethra1.133.930.520.075.131.72000
    53040ADrainage of urethra abscess6.4011.796.710.4118.6013.52090
    53060ADrainage of urethra abscess2.63N/A1.490.23N/A4.35010
    53080ADrainage of urinary leakage6.29N/A6.490.42N/A13.20090
    53085ADrainage of urinary leakage10.27N/A8.000.67N/A18.94090
    53200ABiopsy of urethra2.594.401.000.177.163.76000
    53210ARemoval of urethra12.57N/A6.410.81N/A19.79090
    53215ARemoval of urethra15.58N/A7.220.93N/A23.73090
    53220ATreatment of urethra lesion7.00N/A4.240.44N/A11.68090
    53230ARemoval of urethra lesion9.58N/A5.150.60N/A15.33090
    53235ARemoval of urethra lesion10.14N/A5.340.60N/A16.08090
    53240ASurgery for urethra pouch6.45N/A4.010.42N/A10.88090
    53250ARemoval of urethra gland5.89N/A3.650.35N/A9.89090
    53260ATreatment of urethra lesion2.983.361.840.236.575.05010
    Start Printed Page 49148
    53265ATreatment of urethra lesion3.12N/A1.880.20N/A5.20010
    53270ARemoval of urethra gland3.09N/A1.920.21N/A5.22010
    53275ARepair of urethra defect4.53N/A2.330.28N/A7.14010
    53400ARevise urethra, stage 112.77N/A6.520.85N/A20.14090
    53405ARevise urethra, stage 214.48N/A6.900.91N/A22.29090
    53410AReconstruction of urethra16.44N/A7.670.99N/A25.10090
    53415AReconstruction of urethra19.41N/A7.871.16N/A28.44090
    53420AReconstruct urethra, stage 114.08N/A6.840.90N/A21.82090
    53425AReconstruct urethra, stage 215.98N/A7.500.97N/A24.45090
    53430AReconstruction of urethra16.34N/A7.591.01N/A24.94090
    53431AReconstruct urethra/bladder19.89N/A8.591.30N/A29.78090
    53440AMale sling procedure13.62N/A6.270.73N/A20.62090
    53442ARemove/revise male sling11.57N/A5.720.55N/A17.84090
    53444AInsert tandem cuff13.40N/A6.050.88N/A20.33090
    53445AInsert uro/ves nck sphincter14.06N/A7.720.84N/A22.62090
    53446ARemove uro sphincter10.23N/A5.400.67N/A16.30090
    53447ARemove/replace ur sphincter13.49N/A6.630.79N/A20.91090
    53448ARemov/replc ur sphinctr comp21.15N/A9.321.39N/A31.86090
    53449ARepair uro sphincter9.70N/A5.170.57N/A15.44090
    53450ARevision of urethra6.14N/A3.790.37N/A10.30090
    53460ARevision of urethra7.12N/A4.210.43N/A11.76090
    53502ARepair of urethra injury7.63N/A4.500.50N/A12.63090
    53505ARepair of urethra injury7.63N/A4.370.46N/A12.46090
    53510ARepair of urethra injury10.11N/A5.600.60N/A16.31090
    53515ARepair of urethra injury13.31N/A6.380.83N/A20.52090
    53520ARepair of urethra defect8.68N/A4.910.53N/A14.12090
    53600ADilate urethra stricture1.211.200.450.072.481.73000
    53601ADilate urethra stricture0.981.330.390.062.371.43000
    53605ADilate urethra stricture1.28N/A0.420.08N/A1.78000
    53620ADilate urethra stricture1.622.090.620.103.812.34000
    53621ADilate urethra stricture1.352.170.510.083.601.94000
    53660ADilation of urethra0.711.380.330.042.131.08000
    53661ADilation of urethra0.721.370.310.042.131.07000
    53665ADilation of urethra0.76N/A0.260.05N/A1.07000
    53850AProstatic microwave thermotx9.45100.814.410.56110.8214.42090
    53852AProstatic rf thermotx9.8894.954.800.58105.4115.26090
    53853AProstatic water thermother5.2458.793.250.2764.308.76090
    53899CUrology surgery procedure0.000.000.000.000.000.00YYY
    54000ASlitting of prepuce1.54N/A1.370.10N/A3.01010
    54001ASlitting of prepuce2.194.391.540.146.723.87010
    54015ADrain penis lesion5.32N/A2.640.33N/A8.29010
    54050ADestruction, penis lesion(s)1.241.721.070.073.032.38010
    54055ADestruction, penis lesion(s)1.221.640.820.072.932.11010
    54056ACryosurgery, penis lesion(s)1.242.531.400.063.832.70010
    54057ALaser surg, penis lesion(s)1.24N/A0.890.08N/A2.21010
    54060AExcision of penis lesion(s)1.933.961.480.126.013.53010
    54065ADestruction, penis lesion(s)2.42N/A1.740.13N/A4.29010
    54100ABiopsy of penis1.902.930.840.104.932.84000
    54105ABiopsy of penis3.50N/A2.010.21N/A5.72010
    54110ATreatment of penis lesion10.13N/A5.970.60N/A16.70090
    54111ATreat penis lesion, graft13.57N/A7.050.79N/A21.41090
    54112ATreat penis lesion, graft15.86N/A8.070.94N/A24.87090
    54115ATreatment of penis lesion6.158.784.660.3915.3211.20090
    54120APartial removal of penis9.97N/A5.930.60N/A16.50090
    Start Printed Page 49149
    54125ARemoval of penis13.53N/A7.110.81N/A21.45090
    54130ARemove penis & nodes20.14N/A9.501.19N/A30.83090
    54135ARemove penis & nodes26.36N/A11.541.58N/A39.48090
    54150ACircumcision1.81N/A1.000.17N/A2.98010
    54152ACircumcision2.31N/A1.230.16N/A3.70010
    54160ACircumcision2.48N/A1.130.16N/A3.77010
    54161ACircumcision3.27N/A1.610.20N/A5.08010
    54162ALysis penil circumic lesion3.00N/A2.050.20N/A5.25010
    54163ARepair of circumcision3.00N/A2.070.20N/A5.27010
    54164AFrenulotomy of penis2.50N/A1.890.16N/A4.55010
    54200ATreatment of penis lesion1.061.881.020.063.002.14010
    54205ATreatment of penis lesion7.93N/A5.140.47N/A13.54090
    54220ATreatment of penis lesion2.424.030.980.156.603.55000
    54230APrepare penis study1.341.140.640.082.562.06000
    54231ADynamic cavernosometry2.041.430.890.143.613.07000
    54235APenile injection1.191.000.600.072.261.86000
    54240APenis study1.311.04N/A0.132.48N/A000
    5424026APenis study1.310.440.440.081.831.83000
    54240TCAPenis study0.000.61N/A0.050.66N/A000
    54250APenis study2.220.94N/A0.163.32N/A000
    5425026APenis study2.220.730.730.143.093.09000
    54250TCAPenis study0.000.22N/A0.020.24N/A000
    54300ARevision of penis10.41N/A6.170.64N/A17.22090
    54304ARevision of penis12.49N/A7.070.74N/A20.30090
    54308AReconstruction of urethra11.83N/A6.670.70N/A19.20090
    54312AReconstruction of urethra13.57N/A7.740.81N/A22.12090
    54316AReconstruction of urethra16.82N/A8.751.00N/A26.57090
    54318AReconstruction of urethra11.25N/A6.611.15N/A19.01090
    54322AReconstruction of urethra13.01N/A6.990.77N/A20.77090
    54324AReconstruction of urethra16.31N/A8.781.03N/A26.12090
    54326AReconstruction of urethra15.72N/A8.480.93N/A25.13090
    54328ARevise penis/urethra15.65N/A7.990.92N/A24.56090
    54332ARevise penis/urethra17.08N/A8.471.01N/A26.56090
    54336ARevise penis/urethra20.04N/A11.271.90N/A33.21090
    54340ASecondary urethral surgery8.91N/A5.610.72N/A15.24090
    54344ASecondary urethral surgery15.94N/A8.461.10N/A25.50090
    54348ASecondary urethral surgery17.15N/A9.201.02N/A27.37090
    54352AReconstruct urethra/penis24.74N/A12.151.62N/A38.51090
    54360APenis plastic surgery11.93N/A6.530.72N/A19.18090
    54380ARepair penis13.18N/A7.231.16N/A21.57090
    54385ARepair penis15.39N/A8.840.71N/A24.94090
    54390ARepair penis and bladder21.61N/A10.731.28N/A33.62090
    54400AInsert semi-rigid prosthesis8.99N/A4.780.53N/A14.30090
    54401AInsert self-contd prosthesis10.28N/A6.090.61N/A16.98090
    54405AInsert multi-comp penis pros13.43N/A6.490.80N/A20.72090
    54406ARemove muti-comp penis pros12.10N/A5.590.75N/A18.44090
    54408ARepair multi-comp penis pros12.75N/A5.910.79N/A19.45090
    54410ARemove/replace penis prosth15.50N/A6.820.96N/A23.28090
    54411ARemov/replc penis pros, comp16.00N/A7.250.80N/A24.05090
    54415ARemove self-contd penis pros8.20N/A4.330.54N/A13.07090
    54416ARemv/repl penis contain pros10.87N/A5.540.55N/A16.96090
    54417ARemv/replc penis pros, compl14.19N/A6.360.55N/A21.10090
    54420ARevision of penis11.42N/A6.390.72N/A18.53090
    54430ARevision of penis10.15N/A5.970.60N/A16.72090
    54435ARevision of penis6.12N/A4.410.36N/A10.89090
    Start Printed Page 49150
    54440CRepair of penis0.000.000.000.000.000.00090
    54450APreputial stretching1.121.130.480.072.321.67000
    54500ABiopsy of testis1.310.620.580.082.011.97000
    54505ABiopsy of testis3.46N/A1.980.21N/A5.65010
    54512AExcise lesion testis8.58N/A4.370.56N/A13.51090
    54520ARemoval of testis5.23N/A3.010.33N/A8.57090
    54522AOrchiectomy, partial9.50N/A5.120.62N/A15.24090
    54530ARemoval of testis8.58N/A4.520.53N/A13.63090
    54535AExtensive testis surgery12.16N/A5.960.83N/A18.95090
    54550AExploration for testis7.78N/A4.120.49N/A12.39090
    54560AExploration for testis11.13N/A5.560.79N/A17.48090
    54600AReduce testis torsion7.01N/A3.790.45N/A11.25090
    54620ASuspension of testis4.90N/A2.520.31N/A7.73010
    54640ASuspension of testis6.90N/A3.970.49N/A11.36090
    54650AOrchiopexy (Fowler-Stephens)11.45N/A5.830.81N/A18.09090
    54660ARevision of testis5.11N/A3.190.35N/A8.65090
    54670ARepair testis injury6.41N/A3.700.41N/A10.52090
    54680ARelocation of testis(es)12.65N/A6.510.94N/A20.10090
    54690ALaparoscopy, orchiectomy10.96N/A5.450.99N/A17.40090
    54692ALaparoscopy, orchiopexy12.88N/A5.570.87N/A19.32090
    54699CLaparoscope proc, testis0.000.000.000.000.000.00YYY
    54700ADrainage of scrotum3.43N/A2.000.23N/A5.66010
    54800ABiopsy of epididymis2.330.970.920.143.443.39000
    54820AExploration of epididymis5.14N/A3.160.33N/A8.63090
    54830ARemove epididymis lesion5.38N/A3.250.34N/A8.97090
    54840ARemove epididymis lesion5.20N/A3.010.31N/A8.52090
    54860ARemoval of epididymis6.32N/A3.610.38N/A10.31090
    54861ARemoval of epididymis8.90N/A4.550.52N/A13.97090
    54900AFusion of spermatic ducts13.20N/A6.131.34N/A20.67090
    54901AFusion of spermatic ducts17.94N/A8.121.83N/A27.89090
    55000ADrainage of hydrocele1.432.150.660.103.682.19000
    55040ARemoval of hydrocele5.36N/A3.070.35N/A8.78090
    55041ARemoval of hydroceles7.74N/A4.140.50N/A12.38090
    55060ARepair of hydrocele5.52N/A3.250.37N/A9.14090
    55100ADrainage of scrotum abscess2.133.851.620.156.133.90010
    55110AExplore scrotum5.70N/A3.310.36N/A9.37090
    55120ARemoval of scrotum lesion5.098.733.110.3314.158.53090
    55150ARemoval of scrotum7.22N/A4.100.47N/A11.79090
    55175ARevision of scrotum5.24N/A3.240.33N/A8.81090
    55180ARevision of scrotum10.72N/A5.690.72N/A17.13090
    55200AIncision of sperm duct4.249.102.600.2513.597.09090
    55250ARemoval of sperm duct(s)3.299.292.890.2112.796.39090
    55300APrepare, sperm duct x-ray3.51N/A1.340.20N/A5.05000
    55400ARepair of sperm duct8.49N/A4.380.50N/A13.37090
    55450ALigation of sperm duct4.127.341.920.2411.706.28010
    55500ARemoval of hydrocele5.59N/A3.280.43N/A9.30090
    55520ARemoval of sperm cord lesion6.03N/A3.410.56N/A10.00090
    55530ARevise spermatic cord veins5.66N/A3.240.36N/A9.26090
    55535ARevise spermatic cord veins6.56N/A3.630.42N/A10.61090
    55540ARevise hernia & sperm veins7.67N/A3.960.74N/A12.37090
    55550ALaparo ligate spermatic vein6.57N/A3.630.47N/A10.67090
    55559CLaparo proc, spermatic cord0.000.000.000.000.000.00YYY
    55600AIncise sperm duct pouch6.38N/A3.630.38N/A10.39090
    55605AIncise sperm duct pouch7.96N/A4.550.54N/A13.05090
    55650ARemove sperm duct pouch11.80N/A5.580.72N/A18.10090
    55680ARemove sperm pouch lesion5.19N/A3.190.31N/A8.69090
    Start Printed Page 49151
    55700ABiopsy of prostate1.574.420.730.106.092.40000
    55705ABiopsy of prostate4.57N/A2.370.26N/A7.20010
    55720ADrainage of prostate abscess7.64N/A4.320.44N/A12.40090
    55725ADrainage of prostate abscess8.68N/A4.970.51N/A14.16090
    55801ARemoval of prostate17.80N/A8.101.08N/A26.98090
    55810AExtensive prostate surgery22.58N/A9.581.35N/A33.51090
    55812AExtensive prostate surgery27.51N/A11.671.69N/A40.87090
    55815AExtensive prostate surgery30.46N/A12.611.84N/A44.91090
    55821ARemoval of prostate14.25N/A6.660.85N/A21.76090
    55831ARemoval of prostate15.62N/A7.120.94N/A23.68090
    55840AExtensive prostate surgery22.69N/A9.941.37N/A34.00090
    55842AExtensive prostate surgery24.38N/A10.501.48N/A36.36090
    55845AExtensive prostate surgery28.55N/A11.731.71N/A41.99090
    55859APercut/needle insert, pros12.52N/A6.230.74N/A19.49090
    55860ASurgical exposure, prostate14.45N/A6.710.82N/A21.98090
    55862AExtensive prostate surgery18.39N/A8.361.14N/A27.89090
    55865AExtensive prostate surgery22.87N/A9.791.37N/A34.03090
    55866ALaparo radical prostatectomy30.74N/A12.081.37N/A44.19090
    55870AElectroejaculation2.581.591.110.144.313.83000
    55873ACryoablate prostate19.47N/A9.341.02N/A29.83090
    55899CGenital surgery procedure0.000.000.000.000.000.00YYY
    56405AI & D of vulva/perineum1.441.371.180.142.952.76010
    56420ADrainage of gland abscess1.392.371.110.133.892.63010
    56440ASurgery for vulva lesion2.84N/A1.750.28N/A4.87010
    56441ALysis of labial lesion(s)1.971.871.460.174.013.60010
    56501ADestroy, vulva lesions, sim1.531.841.300.153.522.98010
    56515ADestroy vulva lesion/s compl2.762.631.880.185.574.82010
    56605ABiopsy of vulva/perineum1.101.120.470.112.331.68000
    56606ABiopsy of vulva/perineum0.550.510.220.061.120.83ZZZ
    56620APartial removal of vulva7.47N/A5.160.76N/A13.39090
    56625AComplete removal of vulva8.40N/A5.810.84N/A15.05090
    56630AExtensive vulva surgery12.36N/A7.401.23N/A20.99090
    56631AExtensive vulva surgery16.20N/A9.641.63N/A27.47090
    56632AExtensive vulva surgery20.29N/A10.112.03N/A32.43090
    56633AExtensive vulva surgery16.47N/A9.241.66N/A27.37090
    56634AExtensive vulva surgery17.88N/A10.311.78N/A29.97090
    56637AExtensive vulva surgery21.97N/A11.982.18N/A36.13090
    56640AExtensive vulva surgery22.17N/A11.352.26N/A35.78090
    56700APartial removal of hymen2.52N/A1.780.24N/A4.54010
    56720AIncision of hymen0.68N/A0.410.07N/A1.16000
    56740ARemove vagina gland lesion4.57N/A2.530.37N/A7.47010
    56800ARepair of vagina3.89N/A2.250.37N/A6.51010
    56805ARepair clitoris18.86N/A9.801.82N/A30.48090
    56810ARepair of perineum4.13N/A2.360.41N/A6.90010
    56820AExam of vulva w/scope1.501.390.650.102.992.25000
    56821AExam/biopsy of vulva w/scope2.051.820.920.134.003.10000
    57000AExploration of vagina2.97N/A1.780.28N/A5.03010
    57010ADrainage of pelvic abscess6.03N/A4.070.57N/A10.67090
    57020ADrainage of pelvic fluid1.500.980.610.152.632.26000
    57022AI & d vaginal hematoma, pp2.56N/A1.550.24N/A4.35010
    57023AI & d vag hematoma, non-ob4.75N/A2.660.24N/A7.65010
    57061ADestroy vag lesions, simple1.251.721.170.133.102.55010
    57065ADestroy vag lesions, complex2.612.381.760.265.254.63010
    57100ABiopsy of vagina1.201.140.490.102.441.79000
    Start Printed Page 49152
    57105ABiopsy of vagina1.692.011.380.173.873.24010
    57106ARemove vagina wall, partial6.36N/A4.460.58N/A11.40090
    57107ARemove vagina tissue, part23.00N/A10.902.17N/A36.07090
    57109AVaginectomy partial w/nodes27.00N/A11.821.97N/A40.79090
    57110ARemove vagina wall, complete14.29N/A7.631.43N/A23.35090
    57111ARemove vagina tissue, compl27.00N/A13.012.71N/A42.72090
    57112AVaginectomy w/nodes, compl29.00N/A12.662.19N/A43.85090
    57120AClosure of vagina7.41N/A4.880.75N/A13.04090
    57130ARemove vagina lesion2.432.241.600.234.904.26010
    57135ARemove vagina lesion2.672.331.700.265.264.63010
    57150ATreat vagina infection0.551.140.220.061.750.83000
    57155AInsert uteri tandems/ovoids6.27N/A4.040.59N/A10.90090
    57160AInsert pessary/other device0.891.120.400.092.101.38000
    57170AFitting of diaphragm/cap0.911.540.340.092.541.34000
    57180ATreat vaginal bleeding1.582.281.350.164.023.09010
    57200ARepair of vagina3.94N/A2.970.38N/A7.29090
    57210ARepair vagina/perineum5.17N/A3.510.50N/A9.18090
    57220ARevision of urethra4.31N/A3.180.42N/A7.91090
    57230ARepair of urethral lesion5.64N/A3.470.50N/A9.61090
    57240ARepair bladder & vagina6.07N/A3.940.53N/A10.54090
    57250ARepair rectum & vagina5.53N/A3.650.54N/A9.72090
    57260ARepair of vagina8.27N/A4.980.83N/A14.08090
    57265AExtensive repair of vagina11.34N/A6.211.14N/A18.69090
    57268ARepair of bowel bulge6.76N/A4.330.66N/A11.75090
    57270ARepair of bowel pouch12.11N/A6.441.17N/A19.72090
    57280ASuspension of vagina15.04N/A7.581.44N/A24.06090
    57282ARepair of vaginal prolapse8.86N/A5.430.86N/A15.15090
    57284ARepair paravaginal defect12.70N/A7.301.17N/A21.17090
    57287ARevise/remove sling repair10.71N/A5.650.74N/A17.10090
    57288ARepair bladder defect13.02N/A6.090.86N/A19.97090
    57289ARepair bladder & vagina11.58N/A6.220.95N/A18.75090
    57291AConstruction of vagina7.95N/A5.080.78N/A13.81090
    57292AConstruct vagina with graft13.09N/A7.171.29N/A21.55090
    57300ARepair rectum-vagina fistula7.61N/A4.370.70N/A12.68090
    57305ARepair rectum-vagina fistula13.77N/A6.401.33N/A21.50090
    57307AFistula repair & colostomy15.93N/A7.181.59N/A24.70090
    57308AFistula repair, transperine9.94N/A5.280.91N/A16.13090
    57310ARepair urethrovaginal lesion6.78N/A4.220.45N/A11.45090
    57311ARepair urethrovaginal lesion7.98N/A4.700.51N/A13.19090
    57320ARepair bladder-vagina lesion8.01N/A4.770.60N/A13.38090
    57330ARepair bladder-vagina lesion12.35N/A6.170.86N/A19.38090
    57335ARepair vagina18.73N/A9.531.66N/A29.92090
    57400ADilation of vagina2.27N/A1.160.22N/A3.65000
    57410APelvic examination1.752.100.910.143.992.80000
    57415ARemove vaginal foreign body2.17N/A1.470.19N/A3.83010
    57420AExam of vagina w/scope1.601.430.690.103.132.39000
    57421AExam/biopsy of vag w/scope2.201.910.980.134.243.31000
    57452AExam of cervix w/scope1.501.450.640.103.052.24000
    57454ABx/curett of cervix w/scope2.331.801.020.134.263.48000
    57455ABiopsy of cervix w/scope1.991.790.890.133.913.01000
    Start Printed Page 49153
    57456AEndocerv curettage w/scope1.851.720.840.133.702.82000
    57460ABx of cervix w/scope, leep2.836.231.250.289.344.36000
    57461AConz of cervix w/scope, leep3.446.481.430.2810.205.15000
    57500ABiopsy of cervix0.972.760.480.103.831.55000
    57505AEndocervical curettage1.141.521.140.122.782.40010
    57510ACauterization of cervix1.901.611.070.183.693.15010
    57511ACryocautery of cervix1.901.881.420.183.963.50010
    57513ALaser surgery of cervix1.901.931.450.194.023.54010
    57520AConization of cervix4.045.052.860.419.507.31090
    57522AConization of cervix3.364.552.810.348.256.51090
    57530ARemoval of cervix4.79N/A3.670.48N/A8.94090
    57531ARemoval of cervix, radical28.00N/A13.742.46N/A44.20090
    57540ARemoval of residual cervix12.22N/A6.551.21N/A19.98090
    57545ARemove cervix/repair pelvis13.03N/A7.001.30N/A21.33090
    57550ARemoval of residual cervix5.53N/A4.080.55N/A10.16090
    57555ARemove cervix/repair vagina8.95N/A5.390.89N/A15.23090
    57556ARemove cervix, repair bowel8.37N/A5.130.80N/A14.30090
    57700ARevision of cervix3.55N/A3.280.33N/A7.16090
    57720ARevision of cervix4.13N/A3.360.41N/A7.90090
    57800ADilation of cervical canal0.770.790.490.081.641.34000
    57820AD & c of residual cervix1.671.521.170.173.363.01010
    58100ABiopsy of uterus lining1.531.370.740.072.972.34000
    58120ADilation and curettage3.272.371.920.335.975.52010
    58140AMyomectomy abdom method14.60N/A7.391.46N/A23.45090
    58145AMyomectomy vag method8.04N/A5.080.80N/A13.92090
    58146AMyomectomy abdom complex19.00N/A8.971.46N/A29.43090
    58150ATotal hysterectomy15.24N/A7.701.57N/A24.51090
    58152ATotal hysterectomy20.60N/A10.091.52N/A32.21090
    58180APartial hysterectomy15.29N/A7.671.54N/A24.50090
    58200AExtensive hysterectomy21.59N/A10.362.15N/A34.10090
    58210AExtensive hysterectomy28.85N/A13.722.91N/A45.48090
    58240ARemoval of pelvis contents38.39N/A18.323.76N/A60.47090
    58260AVaginal hysterectomy12.98N/A6.871.23N/A21.08090
    58262AVag hyst including t/o14.77N/A7.631.42N/A23.82090
    58263AVag hyst w/t/o & vag repair16.06N/A8.151.55N/A25.76090
    58267AVag hyst w/urinary repair17.04N/A8.571.51N/A27.12090
    58270AVag hyst w/enterocele repair14.26N/A7.251.37N/A22.88090
    58275AHysterectomy/revise vagina15.76N/A7.921.51N/A25.19090
    58280AHysterectomy/revise vagina17.01N/A8.421.54N/A26.97090
    58285AExtensive hysterectomy22.26N/A10.451.88N/A34.59090
    58290AVag hyst complex19.00N/A9.071.23N/A29.30090
    58291AVag hyst incl t/o, complex20.79N/A10.101.42N/A32.31090
    58292AVag hyst t/o & repair, compl22.08N/A10.641.55N/A34.27090
    58293AVag hyst w/uro repair, compl23.06N/A11.151.51N/A35.72090
    58294AVag hyst w/enterocele, compl20.28N/A9.891.37N/A31.54090
    58300NInsert intrauterine device1.011.550.390.102.661.50XXX
    58301ARemove intrauterine device1.271.370.490.132.771.89000
    58321AArtificial insemination0.921.190.380.102.211.40000
    58322AArtificial insemination1.101.250.430.112.461.64000
    58323ASperm washing0.230.240.100.020.490.35000
    Start Printed Page 49154
    58340ACatheter for hysterography0.883.090.660.084.051.62000
    58345AReopen fallopian tube4.66N/A2.480.36N/A7.50010
    58346AInsert heyman uteri capsule6.75N/A4.030.64N/A11.42090
    58350AReopen fallopian tube1.011.540.950.102.652.06010
    58353AEndometr ablate, thermal3.562.932.130.376.866.06010
    58400ASuspension of uterus6.36N/A4.210.62N/A11.19090
    58410ASuspension of uterus12.73N/A6.751.09N/A20.57090
    58520ARepair of ruptured uterus11.92N/A6.271.17N/A19.36090
    58540ARevision of uterus14.64N/A7.231.28N/A23.15090
    58545ALaparoscopic myomectomy14.60N/A7.531.45N/A23.58090
    58546ALaparo-myomectomy, complex19.00N/A9.381.45N/A29.83090
    58550ALaparo-asst vag hysterectomy14.19N/A7.611.44N/A23.24090
    58552ALaparo-vag hyst incl t/o14.19N/A7.541.44N/A23.17090
    58553ALaparo-vag hyst, complex19.00N/A9.351.23N/A29.58090
    58554ALaparo-vag hyst w/t/o, compl19.00N/A9.581.23N/A29.81090
    58555AHysteroscopy, dx, sep proc3.332.121.490.345.795.16000
    58558AHysteroscopy, biopsy4.75N/A2.110.49N/A7.35000
    58559AHysteroscopy, lysis6.17N/A2.680.62N/A9.47000
    58560AHysteroscopy, resect septum7.00N/A3.030.71N/A10.74000
    58561AHysteroscopy, remove myoma10.00N/A4.261.02N/A15.28000
    58562AHysteroscopy, remove fb5.21N/A2.260.52N/A7.99000
    58563AHysteroscopy, ablation6.17N/A2.690.62N/A9.48000
    58578CLaparo proc, uterus0.000.000.000.000.000.00YYY
    58579CHysteroscope procedure0.000.000.000.000.000.00YYY
    58600ADivision of fallopian tube5.60N/A3.560.39N/A9.55090
    58605ADivision of fallopian tube5.00N/A3.360.33N/A8.69090
    58611ALigate oviduct(s) add-on1.45N/A0.580.07N/A2.10ZZZ
    58615AOcclude fallopian tube(s)3.90N/A2.780.40N/A7.08010
    58660ALaparoscopy, lysis11.29N/A5.501.14N/A17.93090
    58661ALaparoscopy, remove adnexa11.05N/A5.261.12N/A17.43010
    58662ALaparoscopy, excise lesions11.79N/A6.051.18N/A19.02090
    58670ALaparoscopy, tubal cautery5.60N/A3.380.55N/A9.53090
    58671ALaparoscopy, tubal block5.60N/A3.400.56N/A9.56090
    58672ALaparoscopy, fimbrioplasty12.88N/A6.511.22N/A20.61090
    58673ALaparoscopy, salpingostomy13.74N/A6.921.40N/A22.06090
    58679CLaparo proc, oviduct-ovary0.000.000.000.000.000.00YYY
    58700ARemoval of fallopian tube12.05N/A6.240.64N/A18.93090
    58720ARemoval of ovary/tube(s)11.36N/A6.071.14N/A18.57090
    58740ARevise fallopian tube(s)14.00N/A7.460.59N/A22.05090
    58750ARepair oviduct14.84N/A7.691.52N/A24.05090
    58752ARevise ovarian tube(s)14.84N/A7.351.51N/A23.70090
    58760ARemove tubal obstruction13.13N/A7.011.34N/A21.48090
    58770ACreate new tubal opening13.97N/A7.231.42N/A22.62090
    58800ADrainage of ovarian cyst(s)4.144.803.160.369.307.66090
    58805ADrainage of ovarian cyst(s)5.88N/A3.710.56N/A10.15090
    58820ADrain ovary abscess, open4.22N/A3.490.29N/A8.00090
    58822ADrain ovary abscess, percut10.13N/A5.440.92N/A16.49090
    58823ADrain pelvic abscess, percut3.38N/A1.540.18N/A5.10000
    58825ATransposition, ovary(s)10.98N/A6.080.62N/A17.68090
    58900ABiopsy of ovary(s)5.99N/A3.790.56N/A10.34090
    Start Printed Page 49155
    58920APartial removal of ovary(s)11.36N/A5.830.68N/A17.87090
    58925ARemoval of ovarian cyst(s)11.36N/A5.921.14N/A18.42090
    58940ARemoval of ovary(s)7.29N/A4.320.73N/A12.34090
    58943ARemoval of ovary(s)18.43N/A9.161.86N/A29.45090
    58950AResect ovarian malignancy16.93N/A8.941.55N/A27.42090
    58951AResect ovarian malignancy22.38N/A11.072.20N/A35.65090
    58952AResect ovarian malignancy25.01N/A12.402.57N/A39.98090
    58953ATah, rad dissect for debulk32.00N/A15.033.30N/A50.33090
    58954ATah rad debulk/lymph remove35.00N/A16.193.56N/A54.75090
    58960AExploration of abdomen14.65N/A7.901.47N/A24.02090
    58970ARetrieval of oocyte3.532.371.530.366.265.42000
    58974CTransfer of embryo0.000.000.000.000.000.00000
    58976ATransfer of embryo3.832.691.870.396.916.09000
    58999CGenital surgery procedure0.000.000.000.000.000.00YYY
    59000AAmniocentesis, diagnostic1.302.170.700.233.702.23000
    59001AAmniocentesis, therapeutic3.00N/A1.440.23N/A4.67000
    59012AFetal cord puncture,prenatal3.45N/A1.590.62N/A5.66000
    59015AChorion biopsy2.201.611.080.404.213.68000
    59020AFetal contract stress test0.660.79N/A0.201.65N/A000
    5902026AFetal contract stress test0.660.270.270.121.051.05000
    59020TCAFetal contract stress test0.000.52N/A0.080.60N/A000
    59025AFetal non-stress test0.530.45N/A0.121.10N/A000
    5902526AFetal non-stress test0.530.210.210.100.840.84000
    59025TCAFetal non-stress test0.000.23N/A0.020.25N/A000
    59030AFetal scalp blood sample1.99N/A1.070.36N/A3.42000
    59050AFetal monitor w/report0.89N/A0.360.16N/A1.41XXX
    59051AFetal monitor/interpret only0.74N/A0.300.14N/A1.18XXX
    59100ARemove uterus lesion12.35N/A6.742.21N/A21.30090
    59120ATreat ectopic pregnancy11.49N/A6.542.06N/A20.09090
    59121ATreat ectopic pregnancy11.67N/A6.612.09N/A20.37090
    59130ATreat ectopic pregnancy14.22N/A6.312.54N/A23.07090
    59135ATreat ectopic pregnancy13.88N/A7.392.49N/A23.76090
    59136ATreat ectopic pregnancy13.18N/A6.922.36N/A22.46090
    59140ATreat ectopic pregnancy5.465.393.720.9811.8310.16090
    59150ATreat ectopic pregnancy11.67N/A6.311.23N/A19.21090
    59151ATreat ectopic pregnancy11.49N/A6.301.41N/A19.20090
    59160AD & c after delivery2.713.352.170.496.555.37010
    59200AInsert cervical dilator0.791.250.310.152.191.25000
    59300AEpisiotomy or vaginal repair2.412.210.980.435.053.82000
    59320ARevision of cervix2.48N/A1.290.45N/A4.22000
    59325ARevision of cervix4.07N/A1.960.73N/A6.76000
    59350ARepair of uterus4.95N/A2.000.88N/A7.83000
    59400AObstetrical care23.06N/A15.874.14N/A43.07MMM
    59409AObstetrical care13.50N/A5.422.42N/A21.34MMM
    59410AObstetrical care14.78N/A6.462.65N/A23.89MMM
    59412AAntepartum manipulation1.71N/A0.830.31N/A2.85MMM
    59414ADeliver placenta1.61N/A0.640.29N/A2.54MMM
    59425AAntepartum care only4.814.381.900.8610.057.57MMM
    59426AAntepartum care only8.287.853.291.4917.6213.06MMM
    59430ACare after delivery2.131.270.960.383.783.47MMM
    59510ACesarean delivery26.22N/A17.864.70N/A48.78MMM
    59514ACesarean delivery only15.97N/A6.352.86N/A25.18MMM
    59515ACesarean delivery17.37N/A8.033.12N/A28.52MMM
    59525ARemove uterus after cesarean8.54N/A3.381.53N/A13.45ZZZ
    59610AVbac delivery24.62N/A16.444.41N/A45.47MMM
    59612AVbac delivery only15.06N/A6.182.70N/A23.94MMM
    59614AVbac care after delivery16.34N/A7.102.93N/A26.37MMM
    59618AAttempted vbac delivery27.78N/A18.974.98N/A51.73MMM
    Start Printed Page 49156
    59620AAttempted vbac delivery only17.53N/A6.913.15N/A27.59MMM
    59622AAttempted vbac after care18.93N/A8.853.39N/A31.17MMM
    59812ATreatment of miscarriage4.01N/A2.620.58N/A7.21090
    59820ACare of miscarriage4.01N/A3.620.72N/A8.35090
    59821ATreatment of miscarriage4.47N/A3.520.80N/A8.79090
    59830ATreat uterus infection6.11N/A4.101.10N/A11.31090
    59840RAbortion3.01N/A2.180.54N/A5.73010
    59841RAbortion5.243.593.050.949.779.23010
    59850RAbortion5.91N/A3.331.06N/A10.30090
    59851RAbortion5.93N/A3.891.06N/A10.88090
    59852RAbortion8.24N/A5.391.48N/A15.11090
    59855RAbortion6.12N/A3.721.10N/A10.94090
    59856RAbortion7.48N/A4.291.34N/A13.11090
    59857RAbortion9.29N/A4.781.66N/A15.73090
    59866RAbortion (mpr)4.00N/A1.860.72N/A6.58000
    59870AEvacuate mole of uterus6.01N/A4.620.77N/A11.40090
    59871ARemove cerclage suture2.131.811.160.384.323.67000
    59898CLaparo proc, ob care/deliver0.000.000.000.000.000.00YYY
    59899CMaternity care procedure0.000.000.000.000.000.00YYY
    60000ADrain thyroid/tongue cyst1.762.232.090.144.133.99010
    60001AAspirate/inject thyriod cyst0.971.540.350.062.571.38000
    60100ABiopsy of thyroid1.561.450.540.053.062.15000
    60200ARemove thyroid lesion9.55N/A6.240.84N/A16.63090
    60210APartial thyroid excision10.88N/A5.941.01N/A17.83090
    60212APartial thyroid excision16.03N/A7.961.51N/A25.50090
    60220APartial removal of thyroid11.90N/A6.470.97N/A19.34090
    60225APartial removal of thyroid14.19N/A7.671.31N/A23.17090
    60240ARemoval of thyroid16.06N/A7.951.50N/A25.51090
    60252ARemoval of thyroid20.57N/A10.511.63N/A32.71090
    60254AExtensive thyroid surgery26.99N/A14.721.96N/A43.67090
    60260ARepeat thyroid surgery17.47N/A9.091.39N/A27.95090
    60270ARemoval of thyroid20.27N/A10.691.78N/A32.74090
    60271ARemoval of thyroid16.83N/A8.981.35N/A27.16090
    60280ARemove thyroid duct lesion5.87N/A4.950.45N/A11.27090
    60281ARemove thyroid duct lesion8.53N/A6.140.67N/A15.34090
    60500AExplore parathyroid glands16.23N/A7.661.61N/A25.50090
    60502ARe-explore parathyroids20.35N/A9.592.00N/A31.94090
    60505AExplore parathyroid glands21.49N/A11.122.14N/A34.75090
    60512AAutotransplant parathyroid4.45N/A1.660.44N/A6.55ZZZ
    60520ARemoval of thymus gland16.81N/A8.371.84N/A27.02090
    60521ARemoval of thymus gland18.87N/A9.392.34N/A30.60090
    60522ARemoval of thymus gland23.09N/A11.112.83N/A37.03090
    60540AExplore adrenal gland17.03N/A7.791.42N/A26.24090
    60545AExplore adrenal gland19.88N/A8.761.75N/A30.39090
    60600ARemove carotid body lesion17.93N/A10.941.87N/A30.74090
    60605ARemove carotid body lesion20.24N/A12.952.28N/A35.47090
    60650ALaparoscopy adrenalectomy20.00N/A8.131.98N/A30.11090
    60659CLaparo proc, endocrine0.000.000.000.000.000.00YYY
    60699CEndocrine surgery procedure0.000.000.000.000.000.00YYY
    61000ARemove cranial cavity fluid1.58N/A0.980.13N/A2.69000
    61001ARemove cranial cavity fluid1.49N/A1.090.15N/A2.73000
    61020ARemove brain cavity fluid1.51N/A1.390.26N/A3.16000
    61026AInjection into brain canal1.69N/A1.450.21N/A3.35000
    61050ARemove brain canal fluid1.51N/A1.280.13N/A2.92000
    61055AInjection into brain canal2.10N/A1.430.13N/A3.66000
    61070ABrain canal shunt procedure0.89N/A1.050.09N/A2.03000
    61105ATwist drill hole5.14N/A4.031.05N/A10.22090
    Start Printed Page 49157
    61107ADrill skull for implantation5.00N/A3.391.02N/A9.41000
    61108ADrill skull for drainage10.19N/A7.292.04N/A19.52090
    61120ABurr hole for puncture8.76N/A6.111.81N/A16.68090
    61140APierce skull for biopsy15.90N/A10.093.15N/A29.14090
    61150APierce skull for drainage17.57N/A10.623.52N/A31.71090
    61151APierce skull for drainage12.42N/A7.992.45N/A22.86090
    61154APierce skull & remove clot14.99N/A9.683.05N/A27.72090
    61156APierce skull for drainage16.32N/A10.043.42N/A29.78090
    61210APierce skull, implant device5.84N/A3.791.16N/A10.79000
    61215AInsert brain-fluid device4.89N/A4.080.99N/A9.96090
    61250APierce skull & explore10.42N/A6.992.02N/A19.43090
    61253APierce skull & explore12.36N/A7.872.26N/A22.49090
    61304AOpen skull for exploration21.96N/A13.144.33N/A39.43090
    61305AOpen skull for exploration26.61N/A15.665.25N/A47.52090
    61312AOpen skull for drainage24.57N/A15.394.99N/A44.95090
    61313AOpen skull for drainage24.93N/A15.165.07N/A45.16090
    61314AOpen skull for drainage24.23N/A13.324.00N/A41.55090
    61315AOpen skull for drainage27.68N/A16.375.62N/A49.67090
    61316AImplt cran bone flap to abdo1.39N/A0.570.43N/A2.39ZZZ
    61320AOpen skull for drainage25.62N/A15.115.20N/A45.93090
    61321AOpen skull for drainage28.50N/A16.495.35N/A50.34090
    61322ADecompressive craniotomy29.50N/A14.574.99N/A49.06090
    61323ADecompressive lobectomy31.00N/A14.764.99N/A50.75090
    61330ADecompress eye socket23.32N/A14.052.58N/A39.95090
    61332AExplore/biopsy eye socket27.28N/A15.974.15N/A47.40090
    61333AExplore orbit/remove lesion27.95N/A15.972.24N/A46.16090
    61334AExplore orbit/remove object18.27N/A10.913.02N/A32.20090
    61340ASubtemporal decompression18.66N/A11.393.66N/A33.71090
    61343AIncise skull (press relief)29.77N/A17.436.04N/A53.24090
    61345ARelieve cranial pressure27.20N/A15.985.23N/A48.41090
    61440AIncise skull for surgery26.63N/A14.765.57N/A46.96090
    61450AIncise skull for surgery25.95N/A14.845.11N/A45.90090
    61458AIncise skull for brain wound27.29N/A16.055.28N/A48.62090
    61460AIncise skull for surgery28.39N/A16.965.13N/A50.48090
    61470AIncise skull for surgery26.06N/A14.404.65N/A45.11090
    61480AIncise skull for surgery26.49N/A15.235.54N/A47.26090
    61490AIncise skull for surgery25.66N/A14.875.37N/A45.90090
    61500ARemoval of skull lesion17.92N/A11.263.26N/A32.44090
    61501ARemove infected skull bone14.84N/A9.622.63N/A27.09090
    61510ARemoval of brain lesion28.45N/A17.225.77N/A51.44090
    61512ARemove brain lining lesion35.09N/A20.367.14N/A62.59090
    61514ARemoval of brain abscess25.26N/A14.955.12N/A45.33090
    61516ARemoval of brain lesion24.61N/A14.784.94N/A44.33090
    61517AImplt brain chemotx add-on1.38N/A0.570.08N/A2.03ZZZ
    61518ARemoval of brain lesion37.32N/A21.827.53N/A66.67090
    61519ARemove brain lining lesion41.39N/A23.448.15N/A72.98090
    61520ARemoval of brain lesion54.84N/A31.2610.10N/A96.20090
    61521ARemoval of brain lesion44.48N/A25.058.85N/A78.38090
    61522ARemoval of brain abscess29.45N/A17.035.30N/A51.78090
    61524ARemoval of brain lesion27.86N/A16.265.01N/A49.13090
    61526ARemoval of brain lesion52.17N/A30.386.72N/A89.27090
    61530ARemoval of brain lesion43.86N/A25.886.17N/A75.91090
    61531AImplant brain electrodes14.63N/A9.512.84N/A26.98090
    61533AImplant brain electrodes19.71N/A11.983.80N/A35.49090
    61534ARemoval of brain lesion20.97N/A12.624.15N/A37.74090
    61535ARemove brain electrodes11.63N/A7.822.29N/A21.74090
    61536ARemoval of brain lesion35.52N/A20.476.68N/A62.67090
    Start Printed Page 49158
    61538ARemoval of brain tissue26.81N/A15.955.38N/A48.14090
    61539ARemoval of brain tissue32.08N/A18.436.62N/A57.13090
    61541AIncision of brain tissue28.85N/A16.775.50N/A51.12090
    61542ARemoval of brain tissue31.02N/A18.466.49N/A55.97090
    61543ARemoval of brain tissue29.22N/A16.986.11N/A52.31090
    61544ARemove & treat brain lesion25.50N/A14.214.91N/A44.62090
    61545AExcision of brain tumor43.80N/A24.998.88N/A77.67090
    61546ARemoval of pituitary gland31.30N/A18.136.06N/A55.49090
    61548ARemoval of pituitary gland21.53N/A13.293.63N/A38.45090
    61550ARelease of skull seams14.65N/A7.341.14N/A23.13090
    61552ARelease of skull seams19.56N/A9.680.88N/A30.12090
    61556AIncise skull/sutures22.26N/A11.813.57N/A37.64090
    61557AIncise skull/sutures22.38N/A13.914.68N/A40.97090
    61558AExcision of skull/sutures25.58N/A14.752.61N/A42.94090
    61559AExcision of skull/sutures32.79N/A19.616.86N/A59.26090
    61563AExcision of skull tumor26.83N/A15.804.46N/A47.09090
    61564AExcision of skull tumor33.83N/A18.747.08N/A59.65090
    61570ARemove foreign body, brain24.60N/A14.324.60N/A43.52090
    61571AIncise skull for brain wound26.39N/A15.585.23N/A47.20090
    61575ASkull base/brainstem surgery34.36N/A20.345.02N/A59.72090
    61576ASkull base/brainstem surgery52.43N/A30.424.68N/A87.53090
    61580ACraniofacial approach, skull30.35N/A24.852.75N/A57.95090
    61581ACraniofacial approach, skull34.60N/A22.573.37N/A60.54090
    61582ACraniofacial approach, skull31.66N/A26.656.30N/A64.61090
    61583ACraniofacial approach, skull36.21N/A25.036.94N/A68.18090
    61584AOrbitocranial approach/skull34.65N/A24.406.53N/A65.58090
    61585AOrbitocranial approach/skull38.61N/A26.376.19N/A71.17090
    61586AResect nasopharynx, skull25.10N/A21.803.52N/A50.42090
    61590AInfratemporal approach/skull41.78N/A29.484.28N/A75.54090
    61591AInfratemporal approach/skull43.68N/A30.385.26N/A79.32090
    61592AOrbitocranial approach/skull39.64N/A27.037.55N/A74.22090
    61595ATranstemporal approach/skull29.57N/A23.103.05N/A55.72090
    61596ATranscochlear approach/skull35.63N/A25.144.25N/A65.02090
    61597ATranscondylar approach/skull37.96N/A23.446.65N/A68.05090
    61598ATranspetrosal approach/skull33.41N/A23.824.60N/A61.83090
    61600AResect/excise cranial lesion25.85N/A20.353.12N/A49.32090
    61601AResect/excise cranial lesion27.89N/A20.885.29N/A54.06090
    61605AResect/excise cranial lesion29.33N/A22.752.51N/A54.59090
    61606AResect/excise cranial lesion38.83N/A25.686.81N/A71.32090
    61607AResect/excise cranial lesion36.27N/A24.325.69N/A66.28090
    61608AResect/excise cranial lesion42.10N/A27.118.31N/A77.52090
    61609ATransect artery, sinus9.89N/A4.892.07N/A16.85ZZZ
    Start Printed Page 49159
    61610ATransect artery, sinus29.67N/A13.443.52N/A46.63ZZZ
    61611ATransect artery, sinus7.42N/A3.391.55N/A12.36ZZZ
    61612ATransect artery, sinus27.88N/A13.623.55N/A45.05ZZZ
    61613ARemove aneurysm, sinus40.86N/A26.778.32N/A75.95090
    61615AResect/excise lesion, skull32.07N/A23.284.64N/A59.99090
    61616AResect/excise lesion, skull43.33N/A29.317.02N/A79.66090
    61618ARepair dura16.99N/A10.912.92N/A30.82090
    61619ARepair dura20.71N/A12.753.42N/A36.88090
    61623AEndovasc tempory vessel occl9.96N/A4.310.50N/A14.77000
    61624ATranscath occlusion, cns20.15N/A7.071.15N/A28.37000
    61626ATranscath occlusion, non-cns16.62N/A5.650.84N/A23.11000
    61680AIntracranial vessel surgery30.71N/A18.076.04N/A54.82090
    61682AIntracranial vessel surgery61.57N/A33.2412.69N/A107.50090
    61684AIntracranial vessel surgery39.81N/A22.757.87N/A70.43090
    61686AIntracranial vessel surgery64.49N/A35.7713.20N/A113.46090
    61690AIntracranial vessel surgery29.31N/A17.385.51N/A52.20090
    61692AIntracranial vessel surgery51.87N/A28.4210.17N/A90.46090
    61697ABrain aneurysm repr, complx50.52N/A28.8210.31N/A89.65090
    61698ABrain aneurysm repr, complx48.41N/A27.469.99N/A85.86090
    61700ABrain aneurysm repr, simple50.52N/A28.6410.18N/A89.34090
    61702AInner skull vessel surgery48.41N/A26.919.75N/A85.07090
    61703AClamp neck artery17.47N/A10.943.62N/A32.03090
    61705ARevise circulation to head36.20N/A19.886.67N/A62.75090
    61708ARevise circulation to head35.30N/A15.612.18N/A53.09090
    61710ARevise circulation to head29.67N/A14.102.42N/A46.19090
    61711AFusion of skull arteries36.33N/A20.477.39N/A64.19090
    61720AIncise skull/brain surgery16.77N/A10.433.51N/A30.71090
    61735AIncise skull/brain surgery20.43N/A12.624.16N/A37.21090
    61750AIncise skull/brain biopsy18.20N/A11.043.71N/A32.95090
    61751ABrain biopsy w/ct/mr guide17.62N/A11.213.57N/A32.40090
    61760AImplant brain electrodes22.27N/A8.964.59N/A35.82090
    61770AIncise skull for treatment21.44N/A12.694.09N/A38.22090
    61790ATreat trigeminal nerve10.86N/A6.211.82N/A18.89090
    61791ATreat trigeminal tract14.61N/A9.293.03N/A26.93090
    61793AFocus radiation beam17.24N/A10.563.51N/A31.31090
    61795ABrain surgery using computer4.04N/A2.080.81N/A6.93ZZZ
    61850AImplant neuroelectrodes12.39N/A7.962.23N/A22.58090
    61860AImplant neuroelectrodes20.87N/A12.514.04N/A37.42090
    61862AImplant neurostimul, subcort19.34N/A12.473.97N/A35.78090
    61870AImplant neuroelectrodes14.94N/A10.151.70N/A26.79090
    61875AImplant neuroelectrodes15.06N/A8.972.42N/A26.45090
    61880ARevise/remove neuroelectrode6.29N/A4.841.31N/A12.44090
    61885AImplant neurostim one array5.85N/A5.511.22N/A12.58090
    61886AImplant neurostim arrays8.00N/A6.571.64N/A16.21090
    61888ARevise/remove neuroreceiver5.07N/A3.971.04N/A10.08010
    62000ATreat skull fracture12.53N/A5.970.87N/A19.37090
    62005ATreat skull fracture16.17N/A9.282.33N/A27.78090
    62010ATreatment of head injury19.81N/A12.154.05N/A36.01090
    62100ARepair brain fluid leakage22.03N/A13.314.07N/A39.41090
    62115AReduction of skull defect21.66N/A12.024.53N/A38.21090
    62116AReduction of skull defect23.59N/A13.804.85N/A42.24090
    62117AReduction of skull defect26.60N/A15.645.56N/A47.80090
    62120ARepair skull cavity lesion23.35N/A14.713.07N/A41.13090
    62121AIncise skull repair21.58N/A13.172.47N/A37.22090
    62140ARepair of skull defect13.51N/A8.692.60N/A24.80090
    62141ARepair of skull defect14.91N/A9.482.85N/A27.24090
    Start Printed Page 49160
    62142ARemove skull plate/flap10.79N/A7.342.10N/A20.23090
    62143AReplace skull plate/flap13.05N/A8.442.55N/A24.04090
    62145ARepair of skull & brain18.82N/A11.383.81N/A34.01090
    62146ARepair of skull with graft16.12N/A10.082.94N/A29.14090
    62147ARepair of skull with graft19.34N/A11.843.64N/A34.82090
    62148ARetr bone flap to fix skull2.00N/A0.830.43N/A3.26ZZZ
    62160ANeuroendoscopy add-on3.00N/A1.160.52N/A4.68ZZZ
    62161ADissect brain w/scope20.00N/A9.733.70N/A33.43090
    62162ARemove colloid cyst w/scope25.25N/A11.905.77N/A42.92090
    62163ANeuroendoscopy w/fb removal15.50N/A7.983.70N/A27.18090
    62164ARemove brain tumor w/scope27.50N/A13.135.77N/A46.40090
    62165ARemove pituit tumor w/scope22.00N/A10.693.63N/A36.32090
    62180AEstablish brain cavity shunt21.06N/A12.734.32N/A38.11090
    62190AEstablish brain cavity shunt11.07N/A7.402.18N/A20.65090
    62192AEstablish brain cavity shunt12.25N/A7.962.46N/A22.67090
    62194AReplace/irrigate catheter5.03N/A2.840.50N/A8.37010
    62200AEstablish brain cavity shunt18.32N/A11.263.70N/A33.28090
    62201ABrain cavity shunt w/scope14.86N/A9.792.52N/A27.17090
    62220AEstablish brain cavity shunt13.00N/A8.322.53N/A23.85090
    62223AEstablish brain cavity shunt12.87N/A8.552.58N/A24.00090
    62225AReplace/irrigate catheter5.41N/A4.301.09N/A10.80090
    62230AReplace/revise brain shunt10.54N/A6.752.10N/A19.39090
    62252ACsf shunt reprogram0.741.48N/A0.182.40N/AXXX
    6225226ACsf shunt reprogram0.740.380.380.161.281.28XXX
    62252TCACsf shunt reprogram0.001.10N/A0.021.12N/AXXX
    62256ARemove brain cavity shunt6.60N/A4.961.34N/A12.90090
    62258AReplace brain cavity shunt14.54N/A9.032.91N/A26.48090
    62263AEpidural lysis mult sessions6.1412.342.410.4218.908.97010
    62264AEpidural lysis on single day4.437.851.420.3012.586.15010
    62268ADrain spinal cord cyst4.7410.782.210.2915.817.24000
    62269ANeedle biopsy, spinal cord5.0212.442.040.2917.757.35000
    62270ASpinal fluid tap, diagnostic1.133.100.500.064.291.69000
    62272ADrain cerebro spinal fluid1.353.720.650.135.202.13000
    62273ATreat epidural spine lesion2.152.830.580.145.122.87000
    62280ATreat spinal cord lesion2.636.810.890.179.613.69010
    62281ATreat spinal cord lesion2.665.960.780.168.783.60010
    62282ATreat spinal canal lesion2.338.370.800.1410.843.27010
    62284AInjection for myelogram1.544.980.610.106.622.25000
    62287APercutaneous diskectomy8.08N/A5.750.66N/A14.49090
    62290AInject for spine disk x-ray3.006.941.300.2010.144.50000
    62291AInject for spine disk x-ray2.915.811.150.178.894.23000
    62292AInjection into disk lesion7.86N/A4.600.65N/A13.11090
    62294AInjection into spinal artery11.83N/A5.790.85N/A18.47090
    62310AInject spine c/t1.915.020.510.117.042.53000
    62311AInject spine l/s (cd)1.545.080.450.096.712.08000
    62318AInject spine w/cath, c/t2.045.720.520.127.882.68000
    62319AInject spine w/cath l/s (cd)1.875.010.480.116.992.46000
    62350AImplant spinal canal cath6.87N/A4.060.64N/A11.57090
    62351AImplant spinal canal cath10.00N/A7.261.79N/A19.05090
    62355ARemove spinal canal catheter5.45N/A3.260.47N/A9.18090
    62360AInsert spine infusion device2.62N/A2.760.21N/A5.59090
    Start Printed Page 49161
    62361AImplant spine infusion pump5.42N/A3.990.50N/A9.91090
    62362AImplant spine infusion pump7.04N/A4.480.86N/A12.38090
    62365ARemove spine infusion device5.42N/A3.660.58N/A9.66090
    62367CAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    6236726AAnalyze spine infusion pump0.480.130.130.030.640.64XXX
    62367TCCAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    62368CAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    6236826AAnalyze spine infusion pump0.750.190.190.050.990.99XXX
    62368TCCAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    63001ARemoval of spinal lamina15.82N/A9.723.03N/A28.57090
    63003ARemoval of spinal lamina15.95N/A10.062.98N/A28.99090
    63005ARemoval of spinal lamina14.92N/A10.132.62N/A27.67090
    63011ARemoval of spinal lamina14.52N/A8.391.43N/A24.34090
    63012ARemoval of spinal lamina15.40N/A10.252.71N/A28.36090
    63015ARemoval of spinal lamina19.35N/A12.143.84N/A35.33090
    63016ARemoval of spinal lamina19.20N/A12.003.62N/A34.82090
    63017ARemoval of spinal lamina15.94N/A10.572.91N/A29.42090
    63020ANeck spine disk surgery14.81N/A9.872.89N/A27.57090
    63030ALow back disk surgery12.00N/A8.562.21N/A22.77090
    63035ASpinal disk surgery add-on3.15N/A1.620.57N/A5.34ZZZ
    63040ALaminotomy, single cervical18.81N/A11.703.36N/A33.87090
    63042ALaminotomy, single lumbar17.47N/A11.533.11N/A32.11090
    63043CLaminotomy, addl cervical0.000.000.000.000.000.00ZZZ
    63044CLaminotomy, addl lumbar0.000.000.000.000.000.00ZZZ
    63045ARemoval of spinal lamina16.50N/A10.543.19N/A30.23090
    63046ARemoval of spinal lamina15.80N/A10.342.89N/A29.03090
    63047ARemoval of spinal lamina14.61N/A10.042.61N/A27.26090
    63048ARemove spinal lamina add-on3.26N/A1.700.58N/A5.54ZZZ
    63055ADecompress spinal cord21.99N/A13.384.09N/A39.46090
    63056ADecompress spinal cord20.36N/A12.763.34N/A36.46090
    63057ADecompress spine cord add-on5.26N/A2.700.81N/A8.77ZZZ
    63064ADecompress spinal cord24.61N/A14.714.72N/A44.04090
    63066ADecompress spine cord add-on3.26N/A1.700.63N/A5.59ZZZ
    63075ANeck spine disk surgery19.41N/A12.333.73N/A35.47090
    63076ANeck spine disk surgery4.05N/A2.100.78N/A6.93ZZZ
    63077ASpine disk surgery, thorax21.44N/A12.923.44N/A37.80090
    63078ASpine disk surgery, thorax3.28N/A1.670.50N/A5.45ZZZ
    63081ARemoval of vertebral body23.73N/A14.594.46N/A42.78090
    63082ARemove vertebral body add-on4.37N/A2.280.82N/A7.47ZZZ
    63085ARemoval of vertebral body26.92N/A15.674.70N/A47.29090
    63086ARemove vertebral body add-on3.19N/A1.620.55N/A5.36ZZZ
    63087ARemoval of vertebral body35.57N/A19.785.87N/A61.22090
    63088ARemove vertebral body add-on4.33N/A2.230.77N/A7.33ZZZ
    63090ARemoval of vertebral body28.16N/A16.274.27N/A48.70090
    63091ARemove vertebral body add-on3.03N/A1.490.45N/A4.97ZZZ
    63170AIncise spinal cord tract(s)19.83N/A12.383.89N/A36.10090
    63172ADrainage of spinal cyst17.66N/A11.223.46N/A32.34090
    63173ADrainage of spinal cyst21.99N/A13.394.14N/A39.52090
    Start Printed Page 49162
    63180ARevise spinal cord ligaments18.27N/A11.523.83N/A33.62090
    63182ARevise spinal cord ligaments20.50N/A11.443.48N/A35.42090
    63185AIncise spinal column/nerves15.04N/A8.462.08N/A25.58090
    63190AIncise spinal column/nerves17.45N/A10.592.88N/A30.92090
    63191AIncise spinal column/nerves17.54N/A11.043.50N/A32.08090
    63194AIncise spinal column & cord19.19N/A12.054.01N/A35.25090
    63195AIncise spinal column & cord18.84N/A11.563.44N/A33.84090
    63196AIncise spinal column & cord22.30N/A12.344.66N/A39.30090
    63197AIncise spinal column & cord21.11N/A12.554.42N/A38.08090
    63198AIncise spinal column & cord25.38N/A9.915.31N/A40.60090
    63199AIncise spinal column & cord26.89N/A15.195.62N/A47.70090
    63200ARelease of spinal cord19.18N/A11.783.61N/A34.57090
    63250ARevise spinal cord vessels40.76N/A20.527.65N/A68.93090
    63251ARevise spinal cord vessels41.20N/A23.247.98N/A72.42090
    63252ARevise spinal cord vessels41.19N/A22.897.75N/A71.83090
    63265AExcise intraspinal lesion21.56N/A13.184.29N/A39.03090
    63266AExcise intraspinal lesion22.30N/A13.614.47N/A40.38090
    63267AExcise intraspinal lesion17.95N/A11.453.50N/A32.90090
    63268AExcise intraspinal lesion18.52N/A10.733.18N/A32.43090
    63270AExcise intraspinal lesion26.80N/A15.945.41N/A48.15090
    63271AExcise intraspinal lesion26.92N/A16.055.56N/A48.53090
    63272AExcise intraspinal lesion25.32N/A15.155.07N/A45.54090
    63273AExcise intraspinal lesion24.29N/A14.755.08N/A44.12090
    63275ABiopsy/excise spinal tumor23.68N/A14.214.68N/A42.57090
    63276ABiopsy/excise spinal tumor23.45N/A14.114.63N/A42.19090
    63277ABiopsy/excise spinal tumor20.83N/A12.924.03N/A37.78090
    63278ABiopsy/excise spinal tumor20.56N/A12.784.02N/A37.36090
    63280ABiopsy/excise spinal tumor28.35N/A16.815.80N/A50.96090
    63281ABiopsy/excise spinal tumor28.05N/A16.665.67N/A50.38090
    63282ABiopsy/excise spinal tumor26.39N/A15.805.33N/A47.52090
    63283ABiopsy/excise spinal tumor25.00N/A15.125.12N/A45.24090
    63285ABiopsy/excise spinal tumor36.00N/A20.537.31N/A63.84090
    63286ABiopsy/excise spinal tumor35.63N/A20.487.07N/A63.18090
    63287ABiopsy/excise spinal tumor36.70N/A21.047.48N/A65.22090
    63290ABiopsy/excise spinal tumor37.38N/A21.207.65N/A66.23090
    63300ARemoval of vertebral body24.43N/A14.754.78N/A43.96090
    63301ARemoval of vertebral body27.60N/A15.965.03N/A48.59090
    63302ARemoval of vertebral body27.81N/A16.285.25N/A49.34090
    63303ARemoval of vertebral body30.50N/A17.395.21N/A53.10090
    63304ARemoval of vertebral body30.33N/A17.804.72N/A52.85090
    63305ARemoval of vertebral body32.03N/A18.475.39N/A55.89090
    63306ARemoval of vertebral body32.22N/A18.102.39N/A52.71090
    63307ARemoval of vertebral body31.63N/A17.314.23N/A53.17090
    63308ARemove vertebral body add-on5.25N/A2.671.01N/A8.93ZZZ
    63600ARemove spinal cord lesion14.02N/A5.591.22N/A20.83090
    63610AStimulation of spinal cord8.7356.962.320.4366.1211.48000
    63615ARemove lesion of spinal cord16.28N/A9.522.85N/A28.65090
    63650AImplant neuroelectrodes6.74N/A3.300.48N/A10.52090
    63655AImplant neuroelectrodes10.29N/A7.171.85N/A19.31090
    63660ARevise/remove neuroelectrode6.16N/A3.800.65N/A10.61090
    63685AImplant neuroreceiver7.04N/A4.340.96N/A12.34090
    Start Printed Page 49163
    63688ARevise/remove neuroreceiver5.39N/A3.750.70N/A9.84090
    63700ARepair of spinal herniation16.53N/A10.632.69N/A29.85090
    63702ARepair of spinal herniation18.48N/A11.001.36N/A30.84090
    63704ARepair of spinal herniation21.18N/A13.143.84N/A38.16090
    63706ARepair of spinal herniation24.11N/A14.004.73N/A42.84090
    63707ARepair spinal fluid leakage11.26N/A7.991.96N/A21.21090
    63709ARepair spinal fluid leakage14.32N/A9.712.49N/A26.52090
    63710AGraft repair of spine defect14.07N/A9.362.61N/A26.04090
    63740AInstall spinal shunt11.36N/A7.632.15N/A21.14090
    63741AInstall spinal shunt8.25N/A4.961.05N/A14.26090
    63744ARevision of spinal shunt8.10N/A5.491.51N/A15.10090
    63746ARemoval of spinal shunt6.43N/A3.961.15N/A11.54090
    64400AN block inj, trigeminal1.112.060.370.063.231.54000
    64402AN block inj, facial1.251.790.540.073.111.86000
    64405AN block inj, occipital1.321.550.400.082.951.80000
    64408AN block inj, vagus1.411.630.670.093.132.17000
    64410AN block inj, phrenic1.432.670.400.084.181.91000
    64412AN block inj, spinal accessor1.182.800.370.084.061.63000
    64413AN block inj, cervical plexus1.401.950.440.093.441.93000
    64415AN block inj, brachial plexus1.482.950.400.084.511.96000
    64416AN block cont infuse, b plex3.50N/A0.730.08N/A4.31010
    64417AN block inj, axillary1.443.190.430.094.721.96000
    64418AN block inj, suprascapular1.322.760.370.074.151.76000
    64420AN block inj, intercost, sng1.183.620.360.074.871.61000
    64421AN block inj, intercost, mlt1.685.530.460.107.312.24000
    64425AN block inj ilio-ing/hypogi1.751.740.480.113.602.34000
    64430AN block inj, pudendal1.462.660.500.114.232.07000
    64435AN block inj, paracervical1.452.670.640.154.272.24000
    64445AN block inj, sciatic, sng1.482.780.380.084.341.94000
    64446AN blk inj, sciatic, cont inf3.25N/A1.210.08N/A4.54010
    64447AN block inj fem, single1.50N/A0.520.08N/A2.10000
    64448AN block inj fem, cont inf3.00N/A1.040.08N/A4.12010
    64450AN block, other peripheral1.271.300.420.082.651.77000
    64470AInj paravertebral c/t1.854.970.570.126.942.54000
    64472AInj paravertebral c/t add-on1.291.990.310.093.371.69ZZZ
    64475AInj paravertebral l/s1.414.670.480.096.171.98000
    64476AInj paravertebral l/s add-on0.981.870.250.062.911.29ZZZ
    64479AInj foramen epidural c/t2.207.220.730.149.563.07000
    64480AInj foramen epidural add-on1.542.460.480.094.092.11ZZZ
    64483AInj foramen epidural l/s1.907.740.660.129.762.68000
    64484AInj foramen epidural add-on1.332.880.380.084.291.79ZZZ
    64505AN block, spenopalatine gangl1.361.260.480.082.701.92000
    64508AN block, carotid sinus s/p1.123.180.520.064.361.70000
    64510AN block, stellate ganglion1.223.320.380.074.611.67000
    64520AN block, lumbar/thoracic1.354.670.420.086.101.85000
    64530AN block inj, celiac pelus1.584.080.480.095.752.15000
    64550AApply neurostimulator0.180.280.050.010.470.24000
    64553AImplant neuroelectrodes2.312.951.900.175.434.38010
    64555AImplant neuroelectrodes2.273.221.230.115.603.61010
    64560AImplant neuroelectrodes2.362.731.340.175.263.87010
    64561AImplant neuroelectrodes6.74N/A3.230.11N/A10.08010
    64565AImplant neuroelectrodes1.763.381.290.085.223.13010
    64573AImplant neuroelectrodes7.50N/A5.431.48N/A14.41090
    64575AImplant neuroelectrodes4.35N/A2.940.37N/A7.66090
    64577AImplant neuroelectrodes4.62N/A3.430.50N/A8.55090
    64580AImplant neuroelectrodes4.12N/A3.780.21N/A8.11090
    64581AImplant neuroelectrodes13.50N/A5.530.37N/A19.40090
    64585ARevise/remove neuroelectrode2.0611.731.750.2914.084.10010
    64590AImplant neuroreceiver2.407.411.940.4010.214.74010
    Start Printed Page 49164
    64595ARevise/remove neuroreceiver1.7310.901.520.2212.853.47010
    64600AInjection treatment of nerve3.457.831.600.2811.565.33010
    64605AInjection treatment of nerve5.619.332.080.5315.478.22010
    64610AInjection treatment of nerve7.167.943.651.1216.2211.93010
    64612ADestroy nerve, face muscle1.962.671.090.094.723.14010
    64613ADestroy nerve, spine muscle1.963.041.010.105.103.07010
    64614ADestroy nerve, extrem musc2.203.301.130.095.593.42010
    64620AInjection treatment of nerve2.844.721.190.177.734.20010
    64622ADestr paravertebrl nerve l/s3.007.631.250.1710.804.42010
    64623ADestr paravertebral n add-on0.992.440.230.063.491.28ZZZ
    64626ADestr paravertebrl nerve c/t3.286.631.860.2210.135.36010
    64627ADestr paravertebral n add-on1.162.630.270.083.871.51ZZZ
    64630AInjection treatment of nerve3.002.801.290.165.964.45010
    64640AInjection treatment of nerve2.764.291.680.117.164.55010
    64680AInjection treatment of nerve2.626.181.280.158.954.05010
    64702ARevise finger/toe nerve4.23N/A4.220.51N/A8.96090
    64704ARevise hand/foot nerve4.57N/A3.480.59N/A8.64090
    64708ARevise arm/leg nerve6.12N/A5.210.82N/A12.15090
    64712ARevision of sciatic nerve7.75N/A5.290.54N/A13.58090
    64713ARevision of arm nerve(s)11.00N/A6.101.01N/A18.11090
    64714ARevise low back nerve(s)10.33N/A4.400.64N/A15.37090
    64716ARevision of cranial nerve6.31N/A5.540.59N/A12.44090
    64718ARevise ulnar nerve at elbow5.99N/A6.220.87N/A13.08090
    64719ARevise ulnar nerve at wrist4.85N/A4.900.63N/A10.38090
    64721ACarpal tunnel surgery4.295.255.250.5910.1310.13090
    64722ARelieve pressure on nerve(s)4.70N/A3.290.32N/A8.31090
    64726ARelease foot/toe nerve4.18N/A3.040.57N/A7.79090
    64727AInternal nerve revision3.10N/A1.530.40N/A5.03ZZZ
    64732AIncision of brow nerve4.41N/A3.760.77N/A8.94090
    64734AIncision of cheek nerve4.92N/A4.300.83N/A10.05090
    64736AIncision of chin nerve4.60N/A4.270.71N/A9.58090
    64738AIncision of jaw nerve5.73N/A4.870.84N/A11.44090
    64740AIncision of tongue nerve5.59N/A4.630.43N/A10.65090
    64742AIncision of facial nerve6.22N/A5.060.69N/A11.97090
    64744AIncise nerve, back of head5.24N/A4.020.98N/A10.24090
    64746AIncise diaphragm nerve5.93N/A4.630.75N/A11.31090
    64752AIncision of vagus nerve7.06N/A4.430.83N/A12.32090
    64755AIncision of stomach nerves13.52N/A5.911.16N/A20.59090
    64760AIncision of vagus nerve6.96N/A3.720.51N/A11.19090
    64761AIncision of pelvis nerve6.41N/A3.820.26N/A10.49090
    64763AIncise hip/thigh nerve6.93N/A5.660.77N/A13.36090
    64766AIncise hip/thigh nerve8.67N/A5.530.99N/A15.19090
    64771ASever cranial nerve7.35N/A5.831.32N/A14.50090
    64772AIncision of spinal nerve7.21N/A5.191.20N/A13.60090
    64774ARemove skin nerve lesion5.17N/A4.110.60N/A9.88090
    64776ARemove digit nerve lesion5.12N/A4.000.63N/A9.75090
    64778ADigit nerve surgery add-on3.11N/A1.530.38N/A5.02ZZZ
    64782ARemove limb nerve lesion6.23N/A3.980.79N/A11.00090
    Start Printed Page 49165
    64783ALimb nerve surgery add-on3.72N/A1.880.48N/A6.08ZZZ
    64784ARemove nerve lesion9.82N/A6.961.17N/A17.95090
    64786ARemove sciatic nerve lesion15.46N/A10.362.22N/A28.04090
    64787AImplant nerve end4.30N/A2.170.56N/A7.03ZZZ
    64788ARemove skin nerve lesion4.61N/A3.750.54N/A8.90090
    64790ARemoval of nerve lesion11.31N/A7.571.68N/A20.56090
    64792ARemoval of nerve lesion14.92N/A9.201.88N/A26.00090
    64795ABiopsy of nerve3.01N/A1.620.40N/A5.03000
    64802ARemove sympathetic nerves9.15N/A5.270.87N/A15.29090
    64804ARemove sympathetic nerves14.64N/A7.251.79N/A23.68090
    64809ARemove sympathetic nerves13.67N/A5.940.96N/A20.57090
    64818ARemove sympathetic nerves10.30N/A5.421.08N/A16.80090
    64820ARemove sympathetic nerves10.37N/A7.351.17N/A18.89090
    64821ARemove sympathestic nerves8.75N/A7.600.99N/A17.34090
    64822ARemove sympathetic nerves8.75N/A7.530.99N/A17.27090
    64823ARemove sympathetic nerves10.37N/A8.451.17N/A19.99090
    64831ARepair of digit nerve9.44N/A7.531.14N/A18.11090
    64832ARepair nerve add-on5.66N/A3.000.68N/A9.34ZZZ
    64834ARepair of hand or foot nerve10.19N/A7.561.23N/A18.98090
    64835ARepair of hand or foot nerve10.94N/A8.161.36N/A20.46090
    64836ARepair of hand or foot nerve10.94N/A8.131.32N/A20.39090
    64837ARepair nerve add-on6.26N/A3.310.80N/A10.37ZZZ
    64840ARepair of leg nerve13.02N/A8.700.86N/A22.58090
    64856ARepair/transpose nerve13.80N/A9.681.71N/A25.19090
    64857ARepair arm/leg nerve14.49N/A10.151.76N/A26.40090
    64858ARepair sciatic nerve16.49N/A11.152.78N/A30.42090
    64859ANerve surgery4.26N/A2.240.50N/A7.00ZZZ
    64861ARepair of arm nerves19.24N/A12.132.45N/A33.82090
    64862ARepair of low back nerves19.44N/A12.182.47N/A34.09090
    64864ARepair of facial nerve12.55N/A8.521.13N/A22.20090
    64865ARepair of facial nerve15.24N/A10.231.37N/A26.84090
    64866AFusion of facial/other nerve15.74N/A10.061.06N/A26.86090
    64868AFusion of facial/other nerve14.04N/A9.221.40N/A24.66090
    64870AFusion of facial/other nerve15.99N/A9.101.08N/A26.17090
    64872ASubsequent repair of nerve1.99N/A1.100.24N/A3.33ZZZ
    64874ARepair & revise nerve add-on2.98N/A1.570.34N/A4.89ZZZ
    64876ARepair nerve/shorten bone3.38N/A1.310.39N/A5.08ZZZ
    64885ANerve graft, head or neck17.53N/A11.261.51N/A30.30090
    64886ANerve graft, head or neck20.75N/A13.131.73N/A35.61090
    64890ANerve graft, hand or foot15.15N/A10.521.74N/A27.41090
    64891ANerve graft, hand or foot16.14N/A7.971.38N/A25.49090
    64892ANerve graft, arm or leg14.65N/A9.311.65N/A25.61090
    64893ANerve graft, arm or leg15.60N/A10.301.77N/A27.67090
    64895ANerve graft, hand or foot19.25N/A10.062.04N/A31.35090
    64896ANerve graft, hand or foot20.49N/A11.531.85N/A33.87090
    64897ANerve graft, arm or leg18.24N/A11.192.64N/A32.07090
    64898ANerve graft, arm or leg19.50N/A12.292.71N/A34.50090
    64901ANerve graft add-on10.22N/A5.390.99N/A16.60ZZZ
    Start Printed Page 49166
    64902ANerve graft add-on11.83N/A6.101.10N/A19.03ZZZ
    64905ANerve pedicle transfer14.02N/A8.981.52N/A24.52090
    64907ANerve pedicle transfer18.83N/A12.641.79N/A33.26090
    64999CNervous system surgery0.000.000.000.000.000.00YYY
    65091ARevise eye6.46N/A9.880.26N/A16.60090
    65093ARevise eye with implant6.87N/A10.250.28N/A17.40090
    65101ARemoval of eye7.03N/A10.830.28N/A18.14090
    65103ARemove eye/insert implant7.57N/A11.040.30N/A18.91090
    65105ARemove eye/attach implant8.49N/A11.700.34N/A20.53090
    65110ARemoval of eye13.95N/A14.980.68N/A29.61090
    65112ARemove eye/revise socket16.38N/A17.380.96N/A34.72090
    65114ARemove eye/revise socket17.53N/A17.500.94N/A35.97090
    65125ARevise ocular implant3.129.353.020.1512.626.29090
    65130AInsert ocular implant7.15N/A10.420.28N/A17.85090
    65135AInsert ocular implant7.33N/A10.590.29N/A18.21090
    65140AAttach ocular implant8.02N/A11.060.31N/A19.39090
    65150ARevise ocular implant6.26N/A9.430.25N/A15.94090
    65155AReinsert ocular implant8.66N/A11.800.40N/A20.86090
    65175ARemoval of ocular implant6.28N/A9.810.26N/A16.35090
    65205ARemove foreign body from eye0.710.610.190.031.350.93000
    65210ARemove foreign body from eye0.840.750.300.031.621.17000
    65220ARemove foreign body from eye0.710.610.180.051.370.94000
    65222ARemove foreign body from eye0.930.770.270.041.741.24000
    65235ARemove foreign body from eye7.57N/A7.410.30N/A15.28090
    65260ARemove foreign body from eye10.96N/A11.710.43N/A23.10090
    65265ARemove foreign body from eye12.59N/A12.910.50N/A26.00090
    65270ARepair of eye wound1.903.902.280.085.884.26010
    65272ARepair of eye wound3.825.895.300.169.879.28090
    65273ARepair of eye wound4.36N/A5.630.17N/A10.16090
    65275ARepair of eye wound5.345.785.780.2711.3911.39090
    65280ARepair of eye wound7.66N/A8.320.30N/A16.28090
    65285ARepair of eye wound12.90N/A12.770.51N/A26.18090
    65286ARepair of eye wound5.518.577.650.2114.2913.37090
    65290ARepair of eye socket wound5.41N/A6.610.26N/A12.28090
    65400ARemoval of eye lesion6.068.787.600.2415.0813.90090
    65410ABiopsy of cornea1.471.740.660.063.272.19000
    65420ARemoval of eye lesion4.177.656.840.1711.9911.18090
    65426ARemoval of eye lesion5.257.626.660.2013.0712.11090
    65430ACorneal smear1.475.020.670.066.552.20000
    65435ACurette/treat cornea0.921.350.400.042.311.36000
    65436ACurette/treat cornea4.195.955.310.1710.319.67090
    65450ATreatment of corneal lesion3.277.326.430.1310.729.83090
    65600ARevision of cornea3.405.733.170.149.276.71090
    65710ACorneal transplant12.35N/A12.720.49N/A25.56090
    65730ACorneal transplant14.25N/A12.080.56N/A26.89090
    65750ACorneal transplant15.00N/A13.750.59N/A29.34090
    65755ACorneal transplant14.89N/A13.660.58N/A29.13090
    65770ARevise cornea with implant17.56N/A14.780.69N/A33.03090
    65772ACorrection of astigmatism4.297.176.460.1711.6310.92090
    65775ACorrection of astigmatism5.79N/A7.650.22N/A13.66090
    65800ADrainage of eye1.912.311.140.084.303.13000
    65805ADrainage of eye1.912.311.150.084.303.14000
    65810ADrainage of eye4.87N/A8.080.19N/A13.14090
    65815ADrainage of eye5.058.417.510.2013.6612.76090
    65820ARelieve inner eye pressure8.13N/A10.620.32N/A19.07090
    Start Printed Page 49167
    65850AIncision of eye10.52N/A9.710.41N/A20.64090
    65855ALaser surgery of eye3.855.294.120.179.318.14010
    65860AIncise inner eye adhesions3.554.023.360.147.717.05090
    65865AIncise inner eye adhesions5.60N/A6.650.22N/A12.47090
    65870AIncise inner eye adhesions6.27N/A7.320.24N/A13.83090
    65875AIncise inner eye adhesions6.54N/A7.620.25N/A14.41090
    65880AIncise inner eye adhesions7.09N/A7.870.28N/A15.24090
    65900ARemove eye lesion10.93N/A11.890.46N/A23.28090
    65920ARemove implant of eye8.40N/A8.870.33N/A17.60090
    65930ARemove blood clot from eye7.44N/A8.120.29N/A15.85090
    66020AInjection treatment of eye1.592.421.610.074.083.27010
    66030AInjection treatment of eye1.252.251.450.053.552.75010
    66130ARemove eye lesion7.697.617.040.3115.6115.04090
    66150AGlaucoma surgery8.30N/A10.070.33N/A18.70090
    66155AGlaucoma surgery8.29N/A10.040.32N/A18.65090
    66160AGlaucoma surgery10.17N/A10.900.41N/A21.48090
    66165AGlaucoma surgery8.01N/A9.920.31N/A18.24090
    66170AGlaucoma surgery12.16N/A12.620.48N/A25.26090
    66172AIncision of eye15.04N/A15.190.59N/A30.82090
    66180AImplant eye shunt14.55N/A11.870.57N/A26.99090
    66185ARevise eye shunt8.14N/A8.420.32N/A16.88090
    66220ARepair eye lesion7.77N/A9.000.32N/A17.09090
    66225ARepair/graft eye lesion11.05N/A9.570.44N/A21.06090
    66250AFollow-up surgery of eye5.987.846.660.2314.0512.87090
    66500AIncision of iris3.71N/A5.080.15N/A8.94090
    66505AIncision of iris4.08N/A5.370.17N/A9.62090
    66600ARemove iris and lesion8.68N/A8.960.34N/A17.98090
    66605ARemoval of iris12.79N/A11.570.61N/A24.97090
    66625ARemoval of iris5.137.076.330.2012.4011.66090
    66630ARemoval of iris6.16N/A7.480.24N/A13.88090
    66635ARemoval of iris6.25N/A6.790.24N/A13.28090
    66680ARepair iris & ciliary body5.44N/A6.200.21N/A11.85090
    66682ARepair iris & ciliary body6.21N/A7.480.24N/A13.93090
    66700ADestruction, ciliary body4.785.444.130.1910.419.10090
    66710ADestruction, ciliary body4.785.313.920.1810.278.88090
    66720ADestruction, ciliary body4.785.764.690.1910.739.66090
    66740ADestruction, ciliary body4.785.474.300.1810.439.26090
    66761ARevision of iris4.075.654.310.169.888.54090
    66762ARevision of iris4.585.734.300.1810.499.06090
    66770ARemoval of inner eye lesion5.186.164.810.2011.5410.19090
    66820AIncision, secondary cataract3.89N/A7.120.16N/A11.17090
    66821AAfter cataract laser surgery2.354.043.950.106.496.40090
    66825AReposition intraocular lens8.23N/A10.050.32N/A18.60090
    66830ARemoval of lens lesion8.20N/A7.260.32N/A15.78090
    66840ARemoval of lens material7.91N/A7.170.31N/A15.39090
    66850ARemoval of lens material9.11N/A7.890.36N/A17.36090
    66852ARemoval of lens material9.97N/A8.350.39N/A18.71090
    66920AExtraction of lens8.86N/A7.620.35N/A16.83090
    66930AExtraction of lens10.18N/A8.720.41N/A19.31090
    66940AExtraction of lens8.93N/A8.170.35N/A17.45090
    66982ACataract surgery, complex13.50N/A10.100.56N/A24.16090
    66983ACataract surg w/iol, 1 stage8.99N/A6.310.37N/A15.67090
    66984ACataract surg w/iol, 1 stage10.23N/A7.810.41N/A18.45090
    66985AInsert lens prosthesis8.39N/A7.600.33N/A16.32090
    66986AExchange lens prosthesis12.28N/A9.380.49N/A22.15090
    66990AOphthalmic endoscope add-on1.51N/A0.700.06N/A2.27ZZZ
    66999CEye surgery procedure0.000.000.000.000.000.00YYY
    67005APartial removal of eye fluid5.70N/A4.470.22N/A10.39090
    67010APartial removal of eye fluid6.87N/A5.020.27N/A12.16090
    Start Printed Page 49168
    67015ARelease of eye fluid6.92N/A7.660.27N/A14.85090
    67025AReplace eye fluid6.8414.247.490.2721.3514.60090
    67027AImplant eye drug system10.8512.868.860.4624.1720.17090
    67028AInjection eye drug2.526.591.160.119.223.79000
    67030AIncise inner eye strands4.84N/A6.780.19N/A11.81090
    67031ALaser surgery, eye strands3.674.774.110.158.597.93090
    67036ARemoval of inner eye fluid11.89N/A9.530.47N/A21.89090
    67038AStrip retinal membrane21.24N/A16.170.84N/A38.25090
    67039ALaser treatment of retina14.52N/A12.870.57N/A27.96090
    67040ALaser treatment of retina17.23N/A14.330.68N/A32.24090
    67101ARepair detached retina7.5310.088.310.2917.9016.13090
    67105ARepair detached retina7.418.146.350.2915.8414.05090
    67107ARepair detached retina14.84N/A13.110.58N/A28.53090
    67108ARepair detached retina20.82N/A17.420.82N/A39.06090
    67110ARepair detached retina8.8115.639.410.3524.7918.57090
    67112ARerepair detached retina16.86N/A14.890.66N/A32.41090
    67115ARelease encircling material4.99N/A7.070.19N/A12.25090
    67120ARemove eye implant material5.9812.346.900.2318.5513.11090
    67121ARemove eye implant material10.67N/A11.450.42N/A22.54090
    67141ATreatment of retina5.207.286.510.2012.6811.91090
    67145ATreatment of retina5.375.875.040.2111.4510.62090
    67208ATreatment of retinal lesion6.706.065.480.2613.0212.44090
    67210ATreatment of retinal lesion8.826.375.900.3515.5415.07090
    67218ATreatment of retinal lesion18.53N/A14.520.53N/A33.58090
    67220ATreatment of choroid lesion13.1310.029.010.5123.6622.65090
    67221ROcular photodynamic ther4.014.771.840.168.946.01000
    67225AEye photodynamic ther add-on0.470.260.220.010.740.70ZZZ
    67227ATreatment of retinal lesion6.586.555.480.2613.3912.32090
    67228ATreatment of retinal lesion12.7411.108.550.5024.3421.79090
    67250AReinforce eye wall8.66N/A10.530.36N/A19.55090
    67255AReinforce/graft eye wall8.90N/A11.130.35N/A20.38090
    67299CEye surgery procedure0.000.000.000.000.000.00YYY
    67311ARevise eye muscle6.65N/A6.520.27N/A13.44090
    67312ARevise two eye muscles8.54N/A7.540.35N/A16.43090
    67314ARevise eye muscle7.52N/A7.250.30N/A15.07090
    67316ARevise two eye muscles9.66N/A8.230.40N/A18.29090
    67318ARevise eye muscle(s)7.85N/A7.630.31N/A15.79090
    67320ARevise eye muscle(s) add-on4.33N/A2.000.17N/A6.50ZZZ
    67331AEye surgery follow-up add-on4.06N/A1.950.17N/A6.18ZZZ
    67332ARerevise eye muscles add-on4.49N/A2.070.18N/A6.74ZZZ
    67334ARevise eye muscle w/suture3.98N/A1.840.16N/A5.98ZZZ
    67335AEye suture during surgery2.49N/A1.150.10N/A3.74ZZZ
    67340ARevise eye muscle add-on4.93N/A2.270.19N/A7.39ZZZ
    67343ARelease eye tissue7.35N/A7.330.30N/A14.98090
    67345ADestroy nerve of eye muscle2.964.461.400.137.554.49010
    67350ABiopsy eye muscle2.87N/A1.910.13N/A4.91000
    67399CEye muscle surgery procedure0.000.000.000.000.000.00YYY
    67400AExplore/biopsy eye socket9.76N/A12.740.43N/A22.93090
    67405AExplore/drain eye socket7.93N/A11.440.36N/A19.73090
    67412AExplore/treat eye socket9.50N/A13.200.41N/A23.11090
    67413AExplore/treat eye socket10.00N/A12.380.43N/A22.81090
    67414AExplr/decompress eye socket11.13N/A14.330.48N/A25.94090
    67415AAspiration, orbital contents1.76N/A0.780.09N/A2.63000
    67420AExplore/treat eye socket20.06N/A19.130.84N/A40.03090
    Start Printed Page 49169
    67430AExplore/treat eye socket13.39N/A15.970.97N/A30.33090
    67440AExplore/drain eye socket13.09N/A15.800.58N/A29.47090
    67445AExplr/decompress eye socket14.42N/A16.000.63N/A31.05090
    67450AExplore/biopsy eye socket13.51N/A16.160.56N/A30.23090
    67500AInject/treat eye socket0.790.840.190.041.671.02000
    67505AInject/treat eye socket0.820.930.210.041.791.07000
    67515AInject/treat eye socket0.610.840.280.021.470.91000
    67550AInsert eye socket implant10.19N/A12.610.50N/A23.30090
    67560ARevise eye socket implant10.60N/A12.570.47N/A23.64090
    67570ADecompress optic nerve13.58N/A15.480.69N/A29.75090
    67599COrbit surgery procedure0.000.000.000.000.000.00YYY
    67700ADrainage of eyelid abscess1.354.900.640.066.312.05010
    67710AIncision of eyelid1.025.060.540.046.121.60010
    67715AIncision of eyelid fold1.224.640.630.055.911.90010
    67800ARemove eyelid lesion1.382.530.700.063.972.14010
    67801ARemove eyelid lesions1.885.410.940.087.372.90010
    67805ARemove eyelid lesions2.225.561.090.097.873.40010
    67808ARemove eyelid lesion(s)3.80N/A5.280.17N/A9.25090
    67810ABiopsy of eyelid1.483.710.690.065.252.23000
    67820ARevise eyelashes0.891.130.380.042.061.31000
    67825ARevise eyelashes1.381.611.090.063.052.53010
    67830ARevise eyelashes1.707.581.990.079.353.76010
    67835ARevise eyelashes5.56N/A5.100.22N/A10.88090
    67840ARemove eyelid lesion2.045.391.010.087.513.13010
    67850ATreat eyelid lesion1.696.171.930.077.933.69010
    67875AClosure of eyelid by suture1.357.711.260.069.122.67000
    67880ARevision of eyelid3.809.814.380.1613.778.34090
    67882ARevision of eyelid5.0711.095.500.2116.3710.78090
    67900ARepair brow defect6.1410.726.390.3017.1612.83090
    67901ARepair eyelid defect6.97N/A6.540.32N/A13.83090
    67902ARepair eyelid defect7.03N/A6.610.34N/A13.98090
    67903ARepair eyelid defect6.3711.506.810.3918.2613.57090
    67904ARepair eyelid defect6.2612.717.300.2619.2313.82090
    67906ARepair eyelid defect6.799.266.120.4216.4713.33090
    67908ARepair eyelid defect5.138.995.780.2014.3211.11090
    67909ARevise eyelid defect5.409.556.190.2515.2011.84090
    67911ARevise eyelid defect5.27N/A6.160.23N/A11.66090
    67914ARepair eyelid defect3.689.444.020.1613.287.86090
    67915ARepair eyelid defect3.188.022.630.1311.335.94090
    67916ARepair eyelid defect5.3111.985.800.2217.5111.33090
    67917ARepair eyelid defect6.029.906.260.2516.1712.53090
    67921ARepair eyelid defect3.409.243.820.1412.787.36090
    67922ARepair eyelid defect3.067.973.550.1311.166.74090
    67923ARepair eyelid defect5.8811.445.910.2417.5612.03090
    67924ARepair eyelid defect5.799.265.760.2315.2811.78090
    67930ARepair eyelid wound3.618.543.000.1712.326.78010
    67935ARepair eyelid wound6.2211.465.970.2917.9712.48090
    67938ARemove eyelid foreign body1.335.900.570.067.291.96010
    67950ARevision of eyelid5.828.426.700.3014.5412.82090
    67961ARevision of eyelid5.6910.325.790.2616.2711.74090
    67966ARevision of eyelid6.578.505.780.3315.4012.68090
    67971AReconstruction of eyelid9.79N/A7.410.42N/A17.62090
    67973AReconstruction of eyelid12.87N/A9.410.59N/A22.87090
    67974AReconstruction of eyelid12.84N/A9.320.54N/A22.70090
    67975AReconstruction of eyelid9.13N/A7.080.38N/A16.59090
    67999CRevision of eyelid0.000.000.000.000.000.00YYY
    68020AIncise/drain eyelid lining1.375.770.690.067.202.12010
    68040ATreatment of eyelid lesions0.854.880.390.035.761.27000
    68100ABiopsy of eyelid lining1.355.080.620.066.492.03000
    68110ARemove eyelid lining lesion1.776.141.430.077.983.27010
    Start Printed Page 49170
    68115ARemove eyelid lining lesion2.365.631.160.108.093.62010
    68130ARemove eyelid lining lesion4.938.014.030.1913.139.15090
    68135ARemove eyelid lining lesion1.845.390.920.077.302.83010
    68200ATreat eyelid by injection0.490.740.230.021.250.74000
    68320ARevise/graft eyelid lining5.376.685.510.2112.2611.09090
    68325ARevise/graft eyelid lining7.36N/A6.520.30N/A14.18090
    68326ARevise/graft eyelid lining7.15N/A6.390.30N/A13.84090
    68328ARevise/graft eyelid lining8.18N/A7.130.40N/A15.71090
    68330ARevise eyelid lining4.837.376.160.1912.3911.18090
    68335ARevise/graft eyelid lining7.19N/A6.920.29N/A14.40090
    68340ASeparate eyelid adhesions4.1710.964.830.1715.309.17090
    68360ARevise eyelid lining4.376.725.680.1711.2610.22090
    68362ARevise eyelid lining7.34N/A7.860.29N/A15.49090
    68399CEyelid lining surgery0.000.000.000.000.000.00YYY
    68400AIncise/drain tear gland1.697.732.090.079.493.85010
    68420AIncise/drain tear sac2.308.072.380.1010.474.78010
    68440AIncise tear duct opening0.945.000.500.045.981.48010
    68500ARemoval of tear gland11.02N/A10.360.60N/A21.98090
    68505APartial removal, tear gland10.94N/A11.400.57N/A22.91090
    68510ABiopsy of tear gland4.618.572.140.1913.376.94000
    68520ARemoval of tear sac7.51N/A7.940.33N/A15.78090
    68525ABiopsy of tear sac4.43N/A2.060.18N/A6.67000
    68530AClearance of tear duct3.669.592.900.1613.416.72010
    68540ARemove tear gland lesion10.60N/A10.030.46N/A21.09090
    68550ARemove tear gland lesion13.26N/A12.030.66N/A25.95090
    68700ARepair tear ducts6.60N/A7.420.27N/A14.29090
    68705ARevise tear duct opening2.065.521.020.087.663.16010
    68720ACreate tear sac drain8.96N/A8.430.38N/A17.77090
    68745ACreate tear duct drain8.63N/A8.400.38N/A17.41090
    68750ACreate tear duct drain8.66N/A8.850.37N/A17.88090
    68760AClose tear duct opening1.734.051.260.075.853.06010
    68761AClose tear duct opening1.363.481.000.064.902.42010
    68770AClose tear system fistula7.0212.976.930.2820.2714.23090
    68801ADilate tear duct opening0.940.950.610.041.931.59010
    68810AProbe nasolacrimal duct1.902.360.940.084.342.92010
    68811AProbe nasolacrimal duct2.35N/A2.400.10N/A4.85010
    68815AProbe nasolacrimal duct3.208.292.730.1411.636.07010
    68840AExplore/irrigate tear ducts1.251.670.980.052.972.28010
    68850AInjection for tear sac x-ray0.8012.840.300.0313.671.13000
    68899CTear duct system surgery0.000.000.000.000.000.00YYY
    69000ADrain external ear lesion1.453.111.440.104.662.99010
    69005ADrain external ear lesion2.113.101.900.165.374.17010
    69020ADrain outer ear canal lesion1.483.111.910.114.703.50010
    69100ABiopsy of external ear0.811.780.400.042.631.25000
    69105ABiopsy of external ear canal0.851.960.780.062.871.69000
    69110ARemove external ear, partial3.444.173.110.247.856.79090
    69120ARemoval of external ear4.05N/A4.110.31N/A8.47090
    69140ARemove ear canal lesion(s)7.97N/A6.990.56N/A15.52090
    69145ARemove ear canal lesion(s)2.623.732.690.186.535.49090
    69150AExtensive ear canal surgery13.43N/A10.231.07N/A24.73090
    69155AExtensive ear/neck surgery20.80N/A14.881.51N/A37.19090
    69200AClear outer ear canal0.771.640.590.052.461.41000
    69205AClear outer ear canal1.20N/A1.310.09N/A2.60010
    69210ARemove impacted ear wax0.610.660.240.041.310.89000
    69220AClean out mastoid cavity0.831.720.750.062.611.64000
    69222AClean out mastoid cavity1.403.231.860.104.733.36010
    Start Printed Page 49171
    69300RRevise external ear6.36N/A4.350.43N/A11.14YYY
    69310ARebuild outer ear canal10.79N/A8.700.77N/A20.26090
    69320ARebuild outer ear canal16.96N/A12.521.17N/A30.65090
    69399COuter ear surgery procedure0.000.000.000.000.000.00YYY
    69400AInflate middle ear canal0.832.140.690.063.031.58000
    69401AInflate middle ear canal0.631.040.660.041.711.33000
    69405ACatheterize middle ear canal2.633.322.370.186.135.18010
    69410AInset middle ear (baffle)0.331.410.500.021.760.85000
    69420AIncision of eardrum1.332.491.640.103.923.07010
    69421AIncision of eardrum1.73N/A1.890.13N/A3.75010
    69424ARemove ventilating tube0.851.580.700.062.491.61000
    69433ACreate eardrum opening1.522.481.710.114.113.34010
    69436ACreate eardrum opening1.96N/A2.020.14N/A4.12010
    69440AExploration of middle ear7.57N/A6.540.53N/A14.64090
    69450AEardrum revision5.57N/A5.260.39N/A11.22090
    69501AMastoidectomy9.07N/A7.340.65N/A17.06090
    69502AMastoidectomy12.38N/A9.610.86N/A22.85090
    69505ARemove mastoid structures12.99N/A9.870.92N/A23.78090
    69511AExtensive mastoid surgery13.52N/A10.210.96N/A24.69090
    69530AExtensive mastoid surgery19.19N/A13.441.32N/A33.95090
    69535ARemove part of temporal bone36.14N/A22.992.59N/A61.72090
    69540ARemove ear lesion1.203.171.750.094.463.04010
    69550ARemove ear lesion10.99N/A8.640.80N/A20.43090
    69552ARemove ear lesion19.46N/A13.331.36N/A34.15090
    69554ARemove ear lesion33.16N/A21.442.32N/A56.92090
    69601AMastoid surgery revision13.24N/A10.400.92N/A24.56090
    69602AMastoid surgery revision13.58N/A10.320.94N/A24.84090
    69603AMastoid surgery revision14.02N/A10.541.00N/A25.56090
    69604AMastoid surgery revision14.02N/A10.520.98N/A25.52090
    69605AMastoid surgery revision18.49N/A13.241.29N/A33.02090
    69610ARepair of eardrum4.434.593.360.319.338.10010
    69620ARepair of eardrum5.896.464.590.4012.7510.88090
    69631ARepair eardrum structures9.86N/A8.180.69N/A18.73090
    69632ARebuild eardrum structures12.75N/A10.120.89N/A23.76090
    69633ARebuild eardrum structures12.10N/A9.780.84N/A22.72090
    69635ARepair eardrum structures13.33N/A9.730.87N/A23.93090
    69636ARebuild eardrum structures15.22N/A11.581.07N/A27.87090
    69637ARebuild eardrum structures15.11N/A11.521.06N/A27.69090
    69641ARevise middle ear & mastoid12.71N/A9.840.89N/A23.44090
    69642ARevise middle ear & mastoid16.84N/A12.561.18N/A30.58090
    69643ARevise middle ear & mastoid15.32N/A11.581.08N/A27.98090
    69644ARevise middle ear & mastoid16.97N/A12.501.19N/A30.66090
    69645ARevise middle ear & mastoid16.38N/A12.141.16N/A29.68090
    69646ARevise middle ear & mastoid17.99N/A13.081.26N/A32.33090
    69650ARelease middle ear bone9.66N/A7.690.68N/A18.03090
    69660ARevise middle ear bone11.90N/A8.920.84N/A21.66090
    69661ARevise middle ear bone15.74N/A11.461.10N/A28.30090
    69662ARevise middle ear bone15.44N/A11.171.08N/A27.69090
    69666ARepair middle ear structures9.75N/A7.770.68N/A18.20090
    69667ARepair middle ear structures9.76N/A7.750.72N/A18.23090
    Start Printed Page 49172
    69670ARemove mastoid air cells11.51N/A8.970.78N/A21.26090
    69676ARemove middle ear nerve9.52N/A7.920.69N/A18.13090
    69700AClose mastoid fistula8.23N/A6.030.55N/A14.81090
    69711ARemove/repair hearing aid10.44N/A8.370.62N/A19.43090
    69714AImplant temple bone w/stimul14.00N/A10.181.01N/A25.19090
    69715ATemple bne implnt w/stimulat18.25N/A12.721.32N/A32.29090
    69717ATemple bone implant revision14.98N/A9.791.08N/A25.85090
    69718ARevise temple bone implant18.50N/A12.611.34N/A32.45090
    69720ARelease facial nerve14.38N/A11.181.03N/A26.59090
    69725ARelease facial nerve25.38N/A17.371.78N/A44.53090
    69740ARepair facial nerve15.96N/A10.681.13N/A27.77090
    69745ARepair facial nerve16.69N/A11.711.00N/A29.40090
    69799CMiddle ear surgery procedure0.000.000.000.000.000.00YYY
    69801AIncise inner ear8.56N/A7.090.60N/A16.25090
    69802AIncise inner ear13.10N/A9.960.91N/A23.97090
    69805AExplore inner ear13.82N/A10.380.97N/A25.17090
    69806AExplore inner ear12.35N/A9.520.86N/A22.73090
    69820AEstablish inner ear window10.34N/A8.080.66N/A19.08090
    69840ARevise inner ear window10.26N/A7.050.64N/A17.95090
    69905ARemove inner ear11.10N/A8.630.77N/A20.50090
    69910ARemove inner ear & mastoid13.63N/A10.060.94N/A24.63090
    69915AIncise inner ear nerve21.23N/A14.591.54N/A37.36090
    69930AImplant cochlear device16.81N/A12.161.19N/A30.16090
    69949CInner ear surgery procedure0.000.000.000.000.000.00YYY
    69950AIncise inner ear nerve25.64N/A16.472.90N/A45.01090
    69955ARelease facial nerve27.04N/A18.101.89N/A47.03090
    69960ARelease inner ear canal27.04N/A17.532.43N/A47.00090
    69970ARemove inner ear lesion30.04N/A18.822.34N/A51.20090
    69979CTemporal bone surgery0.000.000.000.000.000.00YYY
    69990RMicrosurgery add-on3.47N/A1.830.56N/A5.86ZZZ
    70010AContrast x-ray of brain1.194.74N/A0.246.17N/AXXX
    7001026AContrast x-ray of brain1.190.400.400.061.651.65XXX
    70010TCAContrast x-ray of brain0.004.33N/A0.184.51N/AXXX
    70015AContrast x-ray of brain1.191.76N/A0.123.07N/AXXX
    7001526AContrast x-ray of brain1.190.400.400.051.641.64XXX
    70015TCAContrast x-ray of brain0.001.35N/A0.071.42N/AXXX
    70030AX-ray eye for foreign body0.170.47N/A0.030.67N/AXXX
    7003026AX-ray eye for foreign body0.170.060.060.010.240.24XXX
    70030TCAX-ray eye for foreign body0.000.42N/A0.020.44N/AXXX
    70100AX-ray exam of jaw0.180.58N/A0.030.79N/AXXX
    7010026AX-ray exam of jaw0.180.060.060.010.250.25XXX
    70100TCAX-ray exam of jaw0.000.52N/A0.020.54N/AXXX
    70110AX-ray exam of jaw0.250.70N/A0.040.99N/AXXX
    7011026AX-ray exam of jaw0.250.080.080.010.340.34XXX
    70110TCAX-ray exam of jaw0.000.62N/A0.030.65N/AXXX
    70120AX-ray exam of mastoids0.180.68N/A0.040.90N/AXXX
    7012026AX-ray exam of mastoids0.180.060.060.010.250.25XXX
    70120TCAX-ray exam of mastoids0.000.62N/A0.030.65N/AXXX
    70130AX-ray exam of mastoids0.340.90N/A0.051.29N/AXXX
    7013026AX-ray exam of mastoids0.340.110.110.010.460.46XXX
    70130TCAX-ray exam of mastoids0.000.78N/A0.040.82N/AXXX
    70134AX-ray exam of middle ear0.340.85N/A0.051.24N/AXXX
    7013426AX-ray exam of middle ear0.340.110.110.010.460.46XXX
    70134TCAX-ray exam of middle ear0.000.73N/A0.040.77N/AXXX
    70140AX-ray exam of facial bones0.190.68N/A0.040.91N/AXXX
    7014026AX-ray exam of facial bones0.190.060.060.010.260.26XXX
    70140TCAX-ray exam of facial bones0.000.62N/A0.030.65N/AXXX
    70150AX-ray exam of facial bones0.260.87N/A0.051.18N/AXXX
    7015026AX-ray exam of facial bones0.260.090.090.010.360.36XXX
    Start Printed Page 49173
    70150TCAX-ray exam of facial bones0.000.78N/A0.040.82N/AXXX
    70160AX-ray exam of nasal bones0.170.58N/A0.030.78N/AXXX
    7016026AX-ray exam of nasal bones0.170.060.060.010.240.24XXX
    70160TCAX-ray exam of nasal bones0.000.52N/A0.020.54N/AXXX
    70170AX-ray exam of tear duct0.301.05N/A0.061.41N/AXXX
    7017026AX-ray exam of tear duct0.300.100.100.010.410.41XXX
    70170TCAX-ray exam of tear duct0.000.95N/A0.051.00N/AXXX
    70190AX-ray exam of eye sockets0.210.69N/A0.040.94N/AXXX
    7019026AX-ray exam of eye sockets0.210.070.070.010.290.29XXX
    70190TCAX-ray exam of eye sockets0.000.62N/A0.030.65N/AXXX
    70200AX-ray exam of eye sockets0.280.88N/A0.051.21N/AXXX
    7020026AX-ray exam of eye sockets0.280.090.090.010.380.38XXX
    70200TCAX-ray exam of eye sockets0.000.78N/A0.040.82N/AXXX
    70210AX-ray exam of sinuses0.170.68N/A0.040.89N/AXXX
    7021026AX-ray exam of sinuses0.170.060.060.010.240.24XXX
    70210TCAX-ray exam of sinuses0.000.62N/A0.030.65N/AXXX
    70220AX-ray exam of sinuses0.250.87N/A0.051.17N/AXXX
    7022026AX-ray exam of sinuses0.250.080.080.010.340.34XXX
    70220TCAX-ray exam of sinuses0.000.78N/A0.040.82N/AXXX
    70240AX-ray exam, pituitary saddle0.190.48N/A0.030.70N/AXXX
    7024026AX-ray exam, pituitary saddle0.190.060.060.010.260.26XXX
    70240TCAX-ray exam, pituitary saddle0.000.42N/A0.020.44N/AXXX
    70250AX-ray exam of skull0.240.70N/A0.040.98N/AXXX
    7025026AX-ray exam of skull0.240.080.080.010.330.33XXX
    70250TCAX-ray exam of skull0.000.62N/A0.030.65N/AXXX
    70260AX-ray exam of skull0.341.00N/A0.061.40N/AXXX
    7026026AX-ray exam of skull0.340.110.110.010.460.46XXX
    70260TCAX-ray exam of skull0.000.89N/A0.050.94N/AXXX
    70300AX-ray exam of teeth0.100.31N/A0.030.44N/AXXX
    7030026AX-ray exam of teeth0.100.050.050.010.160.16XXX
    70300TCAX-ray exam of teeth0.000.26N/A0.020.28N/AXXX
    70310AX-ray exam of teeth0.160.50N/A0.030.69N/AXXX
    7031026AX-ray exam of teeth0.160.080.080.010.250.25XXX
    70310TCAX-ray exam of teeth0.000.42N/A0.020.44N/AXXX
    70320AFull mouth x-ray of teeth0.220.86N/A0.051.13N/AXXX
    7032026AFull mouth x-ray of teeth0.220.080.080.010.310.31XXX
    70320TCAFull mouth x-ray of teeth0.000.78N/A0.040.82N/AXXX
    70328AX-ray exam of jaw joint0.180.55N/A0.030.76N/AXXX
    7032826AX-ray exam of jaw joint0.180.060.060.010.250.25XXX
    70328TCAX-ray exam of jaw joint0.000.49N/A0.020.51N/AXXX
    70330AX-ray exam of jaw joints0.240.92N/A0.051.21N/AXXX
    7033026AX-ray exam of jaw joints0.240.080.080.010.330.33XXX
    70330TCAX-ray exam of jaw joints0.000.84N/A0.040.88N/AXXX
    70332AX-ray exam of jaw joint0.542.30N/A0.122.96N/AXXX
    7033226AX-ray exam of jaw joint0.540.200.200.020.760.76XXX
    70332TCAX-ray exam of jaw joint0.002.10N/A0.102.20N/AXXX
    70336AMagnetic image, jaw joint1.4811.71N/A0.5613.75N/AXXX
    7033626AMagnetic image, jaw joint1.480.500.500.072.052.05XXX
    70336TCAMagnetic image, jaw joint0.0011.21N/A0.4911.70N/AXXX
    70350AX-ray head for orthodontia0.170.45N/A0.030.65N/AXXX
    7035026AX-ray head for orthodontia0.170.070.070.010.250.25XXX
    70350TCAX-ray head for orthodontia0.000.38N/A0.020.40N/AXXX
    70355APanoramic x-ray of jaws0.200.65N/A0.040.89N/AXXX
    7035526APanoramic x-ray of jaws0.200.080.080.010.290.29XXX
    70355TCAPanoramic x-ray of jaws0.000.57N/A0.030.60N/AXXX
    70360AX-ray exam of neck0.170.47N/A0.030.67N/AXXX
    7036026AX-ray exam of neck0.170.060.060.010.240.24XXX
    70360TCAX-ray exam of neck0.000.42N/A0.020.44N/AXXX
    70370AThroat x-ray & fluoroscopy0.321.41N/A0.071.80N/AXXX
    7037026AThroat x-ray & fluoroscopy0.320.110.110.010.440.44XXX
    Start Printed Page 49174
    70370TCAThroat x-ray & fluoroscopy0.001.31N/A0.061.37N/AXXX
    70371ASpeech evaluation, complex0.842.38N/A0.143.36N/AXXX
    7037126ASpeech evaluation, complex0.840.280.280.041.161.16XXX
    70371TCASpeech evaluation, complex0.002.10N/A0.102.20N/AXXX
    70373AContrast x-ray of larynx0.441.93N/A0.112.48N/AXXX
    7037326AContrast x-ray of larynx0.440.150.150.020.610.61XXX
    70373TCAContrast x-ray of larynx0.001.78N/A0.091.87N/AXXX
    70380AX-ray exam of salivary gland0.170.72N/A0.040.93N/AXXX
    7038026AX-ray exam of salivary gland0.170.060.060.010.240.24XXX
    70380TCAX-ray exam of salivary gland0.000.67N/A0.030.70N/AXXX
    70390AX-ray exam of salivary duct0.381.91N/A0.112.40N/AXXX
    7039026AX-ray exam of salivary duct0.380.130.130.020.530.53XXX
    70390TCAX-ray exam of salivary duct0.001.78N/A0.091.87N/AXXX
    70450ACt head/brain w/o dye0.855.00N/A0.256.10N/AXXX
    7045026ACt head/brain w/o dye0.850.280.280.041.171.17XXX
    70450TCACt head/brain w/o dye0.004.72N/A0.214.93N/AXXX
    70460ACt head/brain w/dye1.136.04N/A0.307.47N/AXXX
    7046026ACt head/brain w/dye1.130.380.380.051.561.56XXX
    70460TCACt head/brain w/dye0.005.66N/A0.255.91N/AXXX
    70470ACt head/brain w/o&w dye1.277.49N/A0.379.13N/AXXX
    7047026ACt head/brain w/o&w dye1.270.430.430.061.761.76XXX
    70470TCACt head/brain w/o&w dye0.007.07N/A0.317.38N/AXXX
    70480ACt orbit/ear/fossa w/o dye1.285.15N/A0.276.70N/AXXX
    7048026ACt orbit/ear/fossa w/o dye1.280.430.430.061.771.77XXX
    70480TCACt orbit/ear/fossa w/o dye0.004.72N/A0.214.93N/AXXX
    70481ACt orbit/ear/fossa w/dye1.386.12N/A0.317.81N/AXXX
    7048126ACt orbit/ear/fossa w/dye1.380.460.460.061.901.90XXX
    70481TCACt orbit/ear/fossa w/dye0.005.66N/A0.255.91N/AXXX
    70482ACt orbit/ear/fossa w/o&w dye1.457.56N/A0.379.38N/AXXX
    7048226ACt orbit/ear/fossa w/o&w dye1.450.490.490.062.002.00XXX
    70482TCACt orbit/ear/fossa w/o&w dye0.007.07N/A0.317.38N/AXXX
    70486ACt maxillofacial w/o dye1.145.10N/A0.266.50N/AXXX
    7048626ACt maxillofacial w/o dye1.140.380.380.051.571.57XXX
    70486TCACt maxillofacial w/o dye0.004.72N/A0.214.93N/AXXX
    70487ACt maxillofacial w/dye1.306.09N/A0.317.70N/AXXX
    7048726ACt maxillofacial w/dye1.300.440.440.061.801.80XXX
    70487TCACt maxillofacial w/dye0.005.66N/A0.255.91N/AXXX
    70488ACt maxillofacial w/o&w dye1.427.54N/A0.379.33N/AXXX
    7048826ACt maxillofacial w/o&w dye1.420.480.480.061.961.96XXX
    70488TCACt maxillofacial w/o&w dye0.007.07N/A0.317.38N/AXXX
    70490ACt soft tissue neck w/o dye1.285.15N/A0.276.70N/AXXX
    7049026ACt soft tissue neck w/o dye1.280.430.430.061.771.77XXX
    70490TCACt soft tissue neck w/o dye0.004.72N/A0.214.93N/AXXX
    70491ACt soft tissue neck w/dye1.386.12N/A0.317.81N/AXXX
    7049126ACt soft tissue neck w/dye1.380.460.460.061.901.90XXX
    70491TCACt soft tissue neck w/dye0.005.66N/A0.255.91N/AXXX
    70492ACt sft tsue nck w/o & w/dye1.457.55N/A0.379.37N/AXXX
    7049226ACt sft tsue nck w/o & w/dye1.450.490.490.062.002.00XXX
    Start Printed Page 49175
    70492TCACt sft tsue nck w/o & w/dye0.007.07N/A0.317.38N/AXXX
    70496ACt angiography, head1.7511.19N/A0.5613.50N/AXXX
    7049626ACt angiography, head1.750.590.590.082.422.42XXX
    70496TCACt angiography, head0.0010.61N/A0.4811.09N/AXXX
    70498ACt angiography, neck1.7511.20N/A0.5613.51N/AXXX
    7049826ACt angiography, neck1.750.590.590.082.422.42XXX
    70498TCACt angiography, neck0.0010.61N/A0.4811.09N/AXXX
    70540AMri orbit/face/neck w/o dye1.3511.66N/A0.3613.37N/AXXX
    7054026AMri orbit/face/neck w/o dye1.350.450.450.041.841.84XXX
    70540TCAMri orbit/face/neck w/o dye0.0011.21N/A0.3211.53N/AXXX
    70542AMri orbit/face/neck w/dye1.6213.99N/A0.4416.05N/AXXX
    7054226AMri orbit/face/neck w/dye1.620.550.550.052.222.22XXX
    70542TCAMri orbit/face/neck w/dye0.0013.44N/A0.3913.83N/AXXX
    70543AMri orbt/fac/nck w/o&w dye2.1525.62N/A0.7728.54N/AXXX
    7054326AMri orbt/fac/nck w/o&w dye2.150.720.720.072.942.94XXX
    70543TCAMri orbt/fac/nck w/o&w dye0.0024.89N/A0.7025.59N/AXXX
    70544AMr angiography head w/o dye1.2011.61N/A0.5413.35N/AXXX
    7054426AMr angiography head w/o dye1.200.400.400.051.651.65XXX
    70544TCAMr angiography head w/o dye0.0011.21N/A0.4911.70N/AXXX
    70545AMr angiography head w/dye1.2011.61N/A0.5413.35N/AXXX
    7054526AMr angiography head w/dye1.200.400.400.051.651.65XXX
    70545TCAMr angiography head w/dye0.0011.21N/A0.4911.70N/AXXX
    70546AMr angiograph head w/o&w dye1.8023.02N/A0.5725.39N/AXXX
    7054626AMr angiograph head w/o&w dye1.800.610.610.082.492.49XXX
    70546TCAMr angiograph head w/o&w dye0.0022.42N/A0.4922.91N/AXXX
    70547AMr angiography neck w/o dye1.2011.61N/A0.5413.35N/AXXX
    7054726AMr angiography neck w/o dye1.200.400.400.051.651.65XXX
    70547TCAMr angiography neck w/o dye0.0011.21N/A0.4911.70N/AXXX
    70548AMr angiography neck w/dye1.2011.61N/A0.5413.35N/AXXX
    7054826AMr angiography neck w/dye1.200.400.400.051.651.65XXX
    70548TCAMr angiography neck w/dye0.0011.21N/A0.4911.70N/AXXX
    70549AMr angiograph neck w/o&w dye1.8023.03N/A0.5725.40N/AXXX
    7054926AMr angiograph neck w/o&w dye1.800.610.610.082.492.49XXX
    70549TCAMr angiograph neck w/o&w dye0.0022.42N/A0.4922.91N/AXXX
    70551AMri brain w/o dye1.4811.71N/A0.5613.75N/AXXX
    7055126AMri brain w/o dye1.480.500.500.072.052.05XXX
    70551TCAMri brain w/o dye0.0011.21N/A0.4911.70N/AXXX
    70552AMri brain w/dye1.7814.05N/A0.6616.49N/AXXX
    7055226AMri brain w/dye1.780.610.610.082.472.47XXX
    70552TCAMri brain w/dye0.0013.44N/A0.5814.02N/AXXX
    70553AMri brain w/o&w dye2.3625.69N/A1.1929.24N/AXXX
    7055326AMri brain w/o&w dye2.360.790.790.103.253.25XXX
    70553TCAMri brain w/o&w dye0.0024.89N/A1.0925.98N/AXXX
    71010AChest x-ray0.180.53N/A0.030.74N/AXXX
    Start Printed Page 49176
    7101026AChest x-ray0.180.060.060.010.250.25XXX
    71010TCAChest x-ray0.000.47N/A0.020.49N/AXXX
    71015AChest x-ray0.210.59N/A0.030.83N/AXXX
    7101526AChest x-ray0.210.070.070.010.290.29XXX
    71015TCAChest x-ray0.000.52N/A0.020.54N/AXXX
    71020AChest x-ray0.220.69N/A0.040.95N/AXXX
    7102026AChest x-ray0.220.070.070.010.300.30XXX
    71020TCAChest x-ray0.000.62N/A0.030.65N/AXXX
    71021AChest x-ray0.270.83N/A0.051.15N/AXXX
    7102126AChest x-ray0.270.090.090.010.370.37XXX
    71021TCAChest x-ray0.000.73N/A0.040.77N/AXXX
    71022AChest x-ray0.310.84N/A0.061.21N/AXXX
    7102226AChest x-ray0.310.100.100.020.430.43XXX
    71022TCAChest x-ray0.000.73N/A0.040.77N/AXXX
    71023AChest x-ray and fluoroscopy0.380.92N/A0.061.36N/AXXX
    7102326AChest x-ray and fluoroscopy0.380.130.130.020.530.53XXX
    71023TCAChest x-ray and fluoroscopy0.000.78N/A0.040.82N/AXXX
    71030AChest x-ray0.310.89N/A0.051.25N/AXXX
    7103026AChest x-ray0.310.100.100.010.420.42XXX
    71030TCAChest x-ray0.000.78N/A0.040.82N/AXXX
    71034AChest x-ray and fluoroscopy0.461.60N/A0.092.15N/AXXX
    7103426AChest x-ray and fluoroscopy0.460.160.160.020.640.64XXX
    71034TCAChest x-ray and fluoroscopy0.001.44N/A0.071.51N/AXXX
    71035AChest x-ray0.180.58N/A0.030.79N/AXXX
    7103526AChest x-ray0.180.060.060.010.250.25XXX
    71035TCAChest x-ray0.000.52N/A0.020.54N/AXXX
    71040AContrast x-ray of bronchi0.581.65N/A0.102.33N/AXXX
    7104026AContrast x-ray of bronchi0.580.190.190.030.800.80XXX
    71040TCAContrast x-ray of bronchi0.001.46N/A0.071.53N/AXXX
    71060AContrast x-ray of bronchi0.742.45N/A0.143.33N/AXXX
    7106026AContrast x-ray of bronchi0.740.250.250.031.021.02XXX
    71060TCAContrast x-ray of bronchi0.002.20N/A0.112.31N/AXXX
    71090AX-ray & pacemaker insertion0.541.89N/A0.112.54N/AXXX
    7109026AX-ray & pacemaker insertion0.540.210.210.020.770.77XXX
    71090TCAX-ray & pacemaker insertion0.001.68N/A0.091.77N/AXXX
    71100AX-ray exam of ribs0.220.64N/A0.040.90N/AXXX
    7110026AX-ray exam of ribs0.220.070.070.010.300.30XXX
    71100TCAX-ray exam of ribs0.000.57N/A0.030.60N/AXXX
    71101AX-ray exam of ribs/chest0.270.76N/A0.041.07N/AXXX
    7110126AX-ray exam of ribs/chest0.270.090.090.010.370.37XXX
    71101TCAX-ray exam of ribs/chest0.000.67N/A0.030.70N/AXXX
    71110AX-ray exam of ribs0.270.87N/A0.051.19N/AXXX
    7111026AX-ray exam of ribs0.270.090.090.010.370.37XXX
    71110TCAX-ray exam of ribs0.000.78N/A0.040.82N/AXXX
    71111AX-ray exam of ribs/ chest0.321.00N/A0.061.38N/AXXX
    7111126AX-ray exam of ribs/ chest0.320.110.110.010.440.44XXX
    71111TCAX-ray exam of ribs/ chest0.000.89N/A0.050.94N/AXXX
    71120AX-ray exam of breastbone0.200.71N/A0.040.95N/AXXX
    7112026AX-ray exam of breastbone0.200.070.070.010.280.28XXX
    71120TCAX-ray exam of breastbone0.000.65N/A0.030.68N/AXXX
    71130AX-ray exam of breastbone0.220.78N/A0.041.04N/AXXX
    7113026AX-ray exam of breastbone0.220.070.070.010.300.30XXX
    71130TCAX-ray exam of breastbone0.000.71N/A0.030.74N/AXXX
    71250ACt thorax w/o dye1.166.30N/A0.317.77N/AXXX
    7125026ACt thorax w/o dye1.160.390.390.051.601.60XXX
    71250TCACt thorax w/o dye0.005.91N/A0.266.17N/AXXX
    71260ACt thorax w/dye1.247.48N/A0.369.08N/AXXX
    Start Printed Page 49177
    7126026ACt thorax w/dye1.240.410.410.051.701.70XXX
    71260TCACt thorax w/dye0.007.07N/A0.317.38N/AXXX
    71270ACt thorax w/o&w dye1.389.31N/A0.4411.13N/AXXX
    7127026ACt thorax w/o&w dye1.380.460.460.061.901.90XXX
    71270TCACt thorax w/o&w dye0.008.85N/A0.389.23N/AXXX
    71275ACt angiography, chest1.9213.03N/A0.3815.33N/AXXX
    7127526ACt angiography, chest1.920.640.640.062.622.62XXX
    71275TCACt angiography, chest0.0012.39N/A0.3212.71N/AXXX
    71550AMri chest w/o dye1.4611.70N/A0.4113.57N/AXXX
    7155026AMri chest w/o dye1.460.490.490.041.991.99XXX
    71550TCAMri chest w/o dye0.0011.21N/A0.3711.58N/AXXX
    71551AMri chest w/dye1.7314.02N/A0.4916.24N/AXXX
    7155126AMri chest w/dye1.730.580.580.062.372.37XXX
    71551TCAMri chest w/dye0.0013.44N/A0.4313.87N/AXXX
    71552AMri chest w/o&w/dye2.2625.65N/A0.6428.55N/AXXX
    7155226AMri chest w/o&w/dye2.260.760.760.083.103.10XXX
    71552TCAMri chest w/o&w/dye0.0024.89N/A0.5625.45N/AXXX
    71555RMri angio chest w or w/o dye1.8111.82N/A0.5714.20N/AXXX
    7155526RMri angio chest w or w/o dye1.810.610.610.082.502.50XXX
    71555TCRMri angio chest w or w/o dye0.0011.21N/A0.4911.70N/AXXX
    72010AX-ray exam of spine0.451.18N/A0.081.71N/AXXX
    7201026AX-ray exam of spine0.450.150.150.030.630.63XXX
    72010TCAX-ray exam of spine0.001.03N/A0.051.08N/AXXX
    72020AX-ray exam of spine0.150.47N/A0.030.65N/AXXX
    7202026AX-ray exam of spine0.150.050.050.010.210.21XXX
    72020TCAX-ray exam of spine0.000.42N/A0.020.44N/AXXX
    72040AX-ray exam of neck spine0.220.67N/A0.040.93N/AXXX
    7204026AX-ray exam of neck spine0.220.070.070.010.300.30XXX
    72040TCAX-ray exam of neck spine0.000.60N/A0.030.63N/AXXX
    72050AX-ray exam of neck spine0.310.99N/A0.071.37N/AXXX
    7205026AX-ray exam of neck spine0.310.100.100.020.430.43XXX
    72050TCAX-ray exam of neck spine0.000.89N/A0.050.94N/AXXX
    72052AX-ray exam of neck spine0.361.25N/A0.071.68N/AXXX
    7205226AX-ray exam of neck spine0.360.120.120.020.500.50XXX
    72052TCAX-ray exam of neck spine0.001.13N/A0.051.18N/AXXX
    72069AX-ray exam of trunk spine0.220.57N/A0.040.83N/AXXX
    7206926AX-ray exam of trunk spine0.220.080.080.020.320.32XXX
    72069TCAX-ray exam of trunk spine0.000.49N/A0.020.51N/AXXX
    72070AX-ray exam of thoracic spine0.220.72N/A0.040.98N/AXXX
    7207026AX-ray exam of thoracic spine0.220.070.070.010.300.30XXX
    72070TCAX-ray exam of thoracic spine0.000.65N/A0.030.68N/AXXX
    72072AX-ray exam of thoracic spine0.220.81N/A0.051.08N/AXXX
    7207226AX-ray exam of thoracic spine0.220.070.070.010.300.30XXX
    72072TCAX-ray exam of thoracic spine0.000.73N/A0.040.77N/AXXX
    72074AX-ray exam of thoracic spine0.220.98N/A0.061.26N/AXXX
    7207426AX-ray exam of thoracic spine0.220.070.070.010.300.30XXX
    72074TCAX-ray exam of thoracic spine0.000.91N/A0.050.96N/AXXX
    72080AX-ray exam of trunk spine0.220.74N/A0.051.01N/AXXX
    7208026AX-ray exam of trunk spine0.220.070.070.020.310.31XXX
    72080TCAX-ray exam of trunk spine0.000.67N/A0.030.70N/AXXX
    72090AX-ray exam of trunk spine0.280.76N/A0.051.09N/AXXX
    7209026AX-ray exam of trunk spine0.280.100.100.020.400.40XXX
    72090TCAX-ray exam of trunk spine0.000.67N/A0.030.70N/AXXX
    72100AX-ray exam of lower spine0.220.74N/A0.051.01N/AXXX
    Start Printed Page 49178
    7210026AX-ray exam of lower spine0.220.070.070.020.310.31XXX
    72100TCAX-ray exam of lower spine0.000.67N/A0.030.70N/AXXX
    72110AX-ray exam of lower spine0.311.01N/A0.071.39N/AXXX
    7211026AX-ray exam of lower spine0.310.100.100.020.430.43XXX
    72110TCAX-ray exam of lower spine0.000.91N/A0.050.96N/AXXX
    72114AX-ray exam of lower spine0.361.31N/A0.081.75N/AXXX
    7211426AX-ray exam of lower spine0.360.120.120.030.510.51XXX
    72114TCAX-ray exam of lower spine0.001.19N/A0.051.24N/AXXX
    72120AX-ray exam of lower spine0.220.96N/A0.071.25N/AXXX
    7212026AX-ray exam of lower spine0.220.070.070.020.310.31XXX
    72120TCAX-ray exam of lower spine0.000.89N/A0.050.94N/AXXX
    72125ACt neck spine w/o dye1.166.30N/A0.317.77N/AXXX
    7212526ACt neck spine w/o dye1.160.390.390.051.601.60XXX
    72125TCACt neck spine w/o dye0.005.91N/A0.266.17N/AXXX
    72126ACt neck spine w/dye1.227.48N/A0.369.06N/AXXX
    7212626ACt neck spine w/dye1.220.410.410.051.681.68XXX
    72126TCACt neck spine w/dye0.007.07N/A0.317.38N/AXXX
    72127ACt neck spine w/o&w/dye1.279.28N/A0.4410.99N/AXXX
    7212726ACt neck spine w/o&w/dye1.270.430.430.061.761.76XXX
    72127TCACt neck spine w/o&w/dye0.008.85N/A0.389.23N/AXXX
    72128ACt chest spine w/o dye1.166.30N/A0.317.77N/AXXX
    7212826ACt chest spine w/o dye1.160.390.390.051.601.60XXX
    72128TCACt chest spine w/o dye0.005.91N/A0.266.17N/AXXX
    72129ACt chest spine w/dye1.227.48N/A0.369.06N/AXXX
    7212926ACt chest spine w/dye1.220.410.410.051.681.68XXX
    72129TCACt chest spine w/dye0.007.07N/A0.317.38N/AXXX
    72130ACt chest spine w/o&w/dye1.279.27N/A0.4410.98N/AXXX
    7213026ACt chest spine w/o&w/dye1.270.430.430.061.761.76XXX
    72130TCACt chest spine w/o&w/dye0.008.85N/A0.389.23N/AXXX
    72131ACt lumbar spine w/o dye1.166.30N/A0.317.77N/AXXX
    7213126ACt lumbar spine w/o dye1.160.390.390.051.601.60XXX
    72131TCACt lumbar spine w/o dye0.005.91N/A0.266.17N/AXXX
    72132ACt lumbar spine w/dye1.227.48N/A0.379.07N/AXXX
    7213226ACt lumbar spine w/dye1.220.410.410.061.691.69XXX
    72132TCACt lumbar spine w/dye0.007.07N/A0.317.38N/AXXX
    72133ACt lumbar spine w/o&w/dye1.279.28N/A0.4410.99N/AXXX
    7213326ACt lumbar spine w/o&w/dye1.270.430.430.061.761.76XXX
    72133TCACt lumbar spine w/o&w/dye0.008.85N/A0.389.23N/AXXX
    72141AMri neck spine w/o dye1.6011.75N/A0.5613.91N/AXXX
    7214126AMri neck spine w/o dye1.600.540.540.072.212.21XXX
    72141TCAMri neck spine w/o dye0.0011.21N/A0.4911.70N/AXXX
    72142AMri neck spine w/dye1.9214.10N/A0.6716.69N/AXXX
    7214226AMri neck spine w/dye1.920.660.660.092.672.67XXX
    72142TCAMri neck spine w/dye0.0013.44N/A0.5814.02N/AXXX
    72146AMri chest spine w/o dye1.6012.98N/A0.6015.18N/AXXX
    7214626AMri chest spine w/o dye1.600.540.540.072.212.21XXX
    72146TCAMri chest spine w/o dye0.0012.45N/A0.5312.98N/AXXX
    72147AMri chest spine w/dye1.9214.09N/A0.6716.68N/AXXX
    7214726AMri chest spine w/dye1.920.650.650.092.662.66XXX
    72147TCAMri chest spine w/dye0.0013.44N/A0.5814.02N/AXXX
    72148AMri lumbar spine w/o dye1.4812.95N/A0.6015.03N/AXXX
    7214826AMri lumbar spine w/o dye1.480.500.500.072.052.05XXX
    72148TCAMri lumbar spine w/o dye0.0012.45N/A0.5312.98N/AXXX
    72149AMri lumbar spine w/dye1.7814.05N/A0.6716.50N/AXXX
    7214926AMri lumbar spine w/dye1.780.610.610.092.482.48XXX
    72149TCAMri lumbar spine w/dye0.0013.44N/A0.5814.02N/AXXX
    72156AMri neck spine w/o&w/dye2.5725.76N/A1.2029.53N/AXXX
    7215626AMri neck spine w/o&w/dye2.570.870.870.113.553.55XXX
    72156TCAMri neck spine w/o&w/dye0.0024.89N/A1.0925.98N/AXXX
    72157AMri chest spine w/o&w/dye2.5725.76N/A1.2029.53N/AXXX
    7215726AMri chest spine w/o&w/dye2.570.860.860.113.543.54XXX
    72157TCAMri chest spine w/o&w/dye0.0024.89N/A1.0925.98N/AXXX
    Start Printed Page 49179
    72158AMri lumbar spine w/o&w/dye2.3625.69N/A1.2029.25N/AXXX
    7215826AMri lumbar spine w/o&w/dye2.360.790.790.113.263.26XXX
    72158TCAMri lumbar spine w/o&w/dye0.0024.89N/A1.0925.98N/AXXX
    72159NMr angio spine w/o&w/dye1.8013.14N/A0.6115.55N/AXXX
    7215926NMr angio spine w/o&w/dye1.800.700.700.082.582.58XXX
    72159TCNMr angio spine w/o&w/dye0.0012.45N/A0.5312.98N/AXXX
    72170AX-ray exam of pelvis0.170.58N/A0.030.78N/AXXX
    7217026AX-ray exam of pelvis0.170.060.060.010.240.24XXX
    72170TCAX-ray exam of pelvis0.000.52N/A0.020.54N/AXXX
    72190AX-ray exam of pelvis0.210.74N/A0.040.99N/AXXX
    7219026AX-ray exam of pelvis0.210.070.070.010.290.29XXX
    72190TCAX-ray exam of pelvis0.000.67N/A0.030.70N/AXXX
    72191ACt angiograph pelv w/o&w/dye1.8112.64N/A0.3814.83N/AXXX
    7219126ACt angiograph pelv w/o&w/dye1.810.610.610.062.482.48XXX
    72191TCACt angiograph pelv w/o&w/dye0.0012.03N/A0.3212.35N/AXXX
    72192ACt pelvis w/o dye1.096.27N/A0.317.67N/AXXX
    7219226ACt pelvis w/o dye1.090.360.360.051.501.50XXX
    72192TCACt pelvis w/o dye0.005.91N/A0.266.17N/AXXX
    72193ACt pelvis w/dye1.167.23N/A0.358.74N/AXXX
    7219326ACt pelvis w/dye1.160.390.390.051.601.60XXX
    72193TCACt pelvis w/dye0.006.85N/A0.307.15N/AXXX
    72194ACt pelvis w/o&w/dye1.228.90N/A0.4110.53N/AXXX
    7219426ACt pelvis w/o&w/dye1.220.410.410.051.681.68XXX
    72194TCACt pelvis w/o&w/dye0.008.49N/A0.368.85N/AXXX
    72195AMri pelvis w/o dye1.4611.70N/A0.4213.58N/AXXX
    7219526AMri pelvis w/o dye1.460.490.490.052.002.00XXX
    72195TCAMri pelvis w/o dye0.0011.21N/A0.3711.58N/AXXX
    72196AMri pelvis w/dye1.7314.02N/A0.4816.23N/AXXX
    7219626AMri pelvis w/dye1.730.580.580.052.362.36XXX
    72196TCAMri pelvis w/dye0.0013.44N/A0.4313.87N/AXXX
    72197AMri pelvis w/o & w/dye2.2625.65N/A0.8428.75N/AXXX
    7219726AMri pelvis w/o & w/dye2.260.760.760.083.103.10XXX
    72197TCAMri pelvis w/o & w/dye0.0024.89N/A0.7625.65N/AXXX
    72198AMr angio pelvis w/o&w/dye1.8011.91N/A0.5714.28N/AXXX
    7219826AMr angio pelvis w/o&w/dye1.800.700.700.082.582.58XXX
    72198TCAMr angio pelvis w/o&w/dye0.0011.21N/A0.4911.70N/AXXX
    72200AX-ray exam sacroiliac joints0.170.58N/A0.030.78N/AXXX
    7220026AX-ray exam sacroiliac joints0.170.060.060.010.240.24XXX
    72200TCAX-ray exam sacroiliac joints0.000.52N/A0.020.54N/AXXX
    72202AX-ray exam sacroiliac joints0.190.68N/A0.040.91N/AXXX
    7220226AX-ray exam sacroiliac joints0.190.060.060.010.260.26XXX
    72202TCAX-ray exam sacroiliac joints0.000.62N/A0.030.65N/AXXX
    72220AX-ray exam of tailbone0.170.63N/A0.040.84N/AXXX
    7222026AX-ray exam of tailbone0.170.060.060.010.240.24XXX
    72220TCAX-ray exam of tailbone0.000.57N/A0.030.60N/AXXX
    72240AContrast x-ray of neck spine0.915.04N/A0.256.20N/AXXX
    7224026AContrast x-ray of neck spine0.910.290.290.041.241.24XXX
    72240TCAContrast x-ray of neck spine0.004.75N/A0.214.96N/AXXX
    72255AContrast x-ray, thorax spine0.914.61N/A0.225.74N/AXXX
    Start Printed Page 49180
    7225526AContrast x-ray, thorax spine0.910.280.280.041.231.23XXX
    72255TCAContrast x-ray, thorax spine0.004.33N/A0.184.51N/AXXX
    72265AContrast x-ray, lower spine0.834.33N/A0.225.38N/AXXX
    7226526AContrast x-ray, lower spine0.830.260.260.041.131.13XXX
    72265TCAContrast x-ray, lower spine0.004.07N/A0.184.25N/AXXX
    72270AContrast x-ray of spine1.336.53N/A0.348.20N/AXXX
    7227026AContrast x-ray of spine1.330.430.430.071.831.83XXX
    72270TCAContrast x-ray of spine0.006.10N/A0.276.37N/AXXX
    72275AEpidurography0.762.30N/A0.213.27N/AXXX
    7227526AEpidurography0.760.200.200.030.990.99XXX
    72275TCAEpidurography0.002.10N/A0.182.28N/AXXX
    72285AX-ray c/t spine disk1.168.75N/A0.4210.33N/AXXX
    7228526AX-ray c/t spine disk1.160.360.360.061.581.58XXX
    72285TCAX-ray c/t spine disk0.008.38N/A0.368.74N/AXXX
    72295AX-ray of lower spine disk0.838.14N/A0.379.34N/AXXX
    7229526AX-ray of lower spine disk0.830.270.270.041.141.14XXX
    72295TCAX-ray of lower spine disk0.007.86N/A0.338.19N/AXXX
    73000AX-ray exam of collar bone0.160.58N/A0.030.77N/AXXX
    7300026AX-ray exam of collar bone0.160.050.050.010.220.22XXX
    73000TCAX-ray exam of collar bone0.000.52N/A0.020.54N/AXXX
    73010AX-ray exam of shoulder blade0.170.58N/A0.030.78N/AXXX
    7301026AX-ray exam of shoulder blade0.170.060.060.010.240.24XXX
    73010TCAX-ray exam of shoulder blade0.000.52N/A0.020.54N/AXXX
    73020AX-ray exam of shoulder0.150.52N/A0.030.70N/AXXX
    7302026AX-ray exam of shoulder0.150.050.050.010.210.21XXX
    73020TCAX-ray exam of shoulder0.000.47N/A0.020.49N/AXXX
    73030AX-ray exam of shoulder0.180.63N/A0.040.85N/AXXX
    7303026AX-ray exam of shoulder0.180.060.060.010.250.25XXX
    73030TCAX-ray exam of shoulder0.000.57N/A0.030.60N/AXXX
    73040AContrast x-ray of shoulder0.542.28N/A0.132.95N/AXXX
    7304026AContrast x-ray of shoulder0.540.180.180.030.750.75XXX
    73040TCAContrast x-ray of shoulder0.002.10N/A0.102.20N/AXXX
    73050AX-ray exam of shoulders0.200.74N/A0.050.99N/AXXX
    7305026AX-ray exam of shoulders0.200.070.070.020.290.29XXX
    73050TCAX-ray exam of shoulders0.000.67N/A0.030.70N/AXXX
    73060AX-ray exam of humerus0.170.63N/A0.040.84N/AXXX
    7306026AX-ray exam of humerus0.170.060.060.010.240.24XXX
    73060TCAX-ray exam of humerus0.000.57N/A0.030.60N/AXXX
    73070AX-ray exam of elbow0.150.57N/A0.030.75N/AXXX
    7307026AX-ray exam of elbow0.150.050.050.010.210.21XXX
    73070TCAX-ray exam of elbow0.000.52N/A0.020.54N/AXXX
    73080AX-ray exam of elbow0.170.63N/A0.040.84N/AXXX
    7308026AX-ray exam of elbow0.170.060.060.010.240.24XXX
    73080TCAX-ray exam of elbow0.000.57N/A0.030.60N/AXXX
    73085AContrast x-ray of elbow0.542.29N/A0.132.96N/AXXX
    7308526AContrast x-ray of elbow0.540.190.190.030.760.76XXX
    73085TCAContrast x-ray of elbow0.002.10N/A0.102.20N/AXXX
    73090AX-ray exam of forearm0.160.58N/A0.030.77N/AXXX
    7309026AX-ray exam of forearm0.160.050.050.010.220.22XXX
    73090TCAX-ray exam of forearm0.000.52N/A0.020.54N/AXXX
    73092AX-ray exam of arm, infant0.160.55N/A0.030.74N/AXXX
    7309226AX-ray exam of arm, infant0.160.050.050.010.220.22XXX
    73092TCAX-ray exam of arm, infant0.000.49N/A0.020.51N/AXXX
    73100AX-ray exam of wrist0.160.55N/A0.040.75N/AXXX
    7310026AX-ray exam of wrist0.160.060.060.020.240.24XXX
    73100TCAX-ray exam of wrist0.000.49N/A0.020.51N/AXXX
    73110AX-ray exam of wrist0.170.59N/A0.030.79N/AXXX
    7311026AX-ray exam of wrist0.170.060.060.010.240.24XXX
    73110TCAX-ray exam of wrist0.000.53N/A0.020.55N/AXXX
    73115AContrast x-ray of wrist0.541.76N/A0.112.41N/AXXX
    7311526AContrast x-ray of wrist0.540.190.190.030.760.76XXX
    Start Printed Page 49181
    73115TCAContrast x-ray of wrist0.001.58N/A0.081.66N/AXXX
    73120AX-ray exam of hand0.160.55N/A0.030.74N/AXXX
    7312026AX-ray exam of hand0.160.060.060.010.230.23XXX
    73120TCAX-ray exam of hand0.000.49N/A0.020.51N/AXXX
    73130AX-ray exam of hand0.170.59N/A0.030.79N/AXXX
    7313026AX-ray exam of hand0.170.060.060.010.240.24XXX
    73130TCAX-ray exam of hand0.000.53N/A0.020.55N/AXXX
    73140AX-ray exam of finger(s)0.130.46N/A0.030.62N/AXXX
    7314026AX-ray exam of finger(s)0.130.040.040.010.180.18XXX
    73140TCAX-ray exam of finger(s)0.000.42N/A0.020.44N/AXXX
    73200ACt upper extremity w/o dye1.095.33N/A0.266.68N/AXXX
    7320026ACt upper extremity w/o dye1.090.370.370.051.511.51XXX
    73200TCACt upper extremity w/o dye0.004.96N/A0.215.17N/AXXX
    73201ACt upper extremity w/dye1.166.30N/A0.317.77N/AXXX
    7320126ACt upper extremity w/dye1.160.390.390.051.601.60XXX
    73201TCACt upper extremity w/dye0.005.91N/A0.266.17N/AXXX
    73202ACt uppr extremity w/o&w/dye1.227.84N/A0.389.44N/AXXX
    7320226ACt uppr extremity w/o&w/dye1.220.410.410.061.691.69XXX
    73202TCACt uppr extremity w/o&w/dye0.007.43N/A0.327.75N/AXXX
    73206ACt angio upr extrm w/o&w/dye1.8111.57N/A0.3813.76N/AXXX
    7320626ACt angio upr extrm w/o&w/dye1.810.610.610.062.482.48XXX
    73206TCACt angio upr extrm w/o&w/dye0.0010.97N/A0.3211.29N/AXXX
    73218AMri upper extremity w/o dye1.3511.66N/A0.3613.37N/AXXX
    7321826AMri upper extremity w/o dye1.350.450.450.041.841.84XXX
    73218TCAMri upper extremity w/o dye0.0011.21N/A0.3211.53N/AXXX
    73219AMri upper extremity w/dye1.6213.99N/A0.4416.05N/AXXX
    7321926AMri upper extremity w/dye1.620.550.550.052.222.22XXX
    73219TCAMri upper extremity w/dye0.0013.44N/A0.3913.83N/AXXX
    73220AMri uppr extremity w/o&w/dye2.1525.62N/A0.7828.55N/AXXX
    7322026AMri uppr extremity w/o&w/dye2.150.730.730.082.962.96XXX
    73220TCAMri uppr extremity w/o&w/dye0.0024.89N/A0.7025.59N/AXXX
    73221AMri joint upr extrem w/o dye1.3511.66N/A0.3613.37N/AXXX
    7322126AMri joint upr extrem w/o dye1.350.460.460.041.851.85XXX
    73221TCAMri joint upr extrem w/o dye0.0011.21N/A0.3211.53N/AXXX
    73222AMri joint upr extrem w/dye1.6213.99N/A0.4416.05N/AXXX
    7322226AMri joint upr extrem w/dye1.620.540.540.052.212.21XXX
    73222TCAMri joint upr extrem w/dye0.0013.44N/A0.3913.83N/AXXX
    73223AMri joint upr extr w/o&w/dye2.1525.62N/A0.7728.54N/AXXX
    7322326AMri joint upr extr w/o&w/dye2.150.730.730.072.952.95XXX
    73223TCAMri joint upr extr w/o&w/dye0.0024.89N/A0.7025.59N/AXXX
    73225NMr angio upr extr w/o&w/dye1.7311.88N/A0.5714.18N/AXXX
    7322526NMr angio upr extr w/o&w/dye1.730.670.670.082.482.48XXX
    Start Printed Page 49182
    73225TCNMr angio upr extr w/o&w/dye0.0011.21N/A0.4911.70N/AXXX
    73500AX-ray exam of hip0.170.53N/A0.030.73N/AXXX
    7350026AX-ray exam of hip0.170.060.060.010.240.24XXX
    73500TCAX-ray exam of hip0.000.47N/A0.020.49N/AXXX
    73510AX-ray exam of hip0.210.64N/A0.050.90N/AXXX
    7351026AX-ray exam of hip0.210.070.070.020.300.30XXX
    73510TCAX-ray exam of hip0.000.57N/A0.030.60N/AXXX
    73520AX-ray exam of hips0.260.76N/A0.051.07N/AXXX
    7352026AX-ray exam of hips0.260.090.090.020.370.37XXX
    73520TCAX-ray exam of hips0.000.67N/A0.030.70N/AXXX
    73525AContrast x-ray of hip0.542.28N/A0.132.95N/AXXX
    7352526AContrast x-ray of hip0.540.180.180.030.750.75XXX
    73525TCAContrast x-ray of hip0.002.10N/A0.102.20N/AXXX
    73530AX-ray exam of hip0.290.62N/A0.030.94N/AXXX
    7353026AX-ray exam of hip0.290.100.100.010.400.40XXX
    73530TCAX-ray exam of hip0.000.52N/A0.020.54N/AXXX
    73540AX-ray exam of pelvis & hips0.200.64N/A0.050.89N/AXXX
    7354026AX-ray exam of pelvis & hips0.200.070.070.020.290.29XXX
    73540TCAX-ray exam of pelvis & hips0.000.57N/A0.030.60N/AXXX
    73542AX-ray exam, sacroiliac joint0.592.26N/A0.132.98N/AXXX
    7354226AX-ray exam, sacroiliac joint0.590.160.160.030.780.78XXX
    73542TCAX-ray exam, sacroiliac joint0.002.10N/A0.102.20N/AXXX
    73550AX-ray exam of thigh0.170.63N/A0.040.84N/AXXX
    7355026AX-ray exam of thigh0.170.060.060.010.240.24XXX
    73550TCAX-ray exam of thigh0.000.57N/A0.030.60N/AXXX
    73560AX-ray exam of knee, 1 or 20.170.58N/A0.040.79N/AXXX
    7356026AX-ray exam of knee, 1 or 20.170.060.060.020.250.25XXX
    73560TCAX-ray exam of knee, 1 or 20.000.52N/A0.020.54N/AXXX
    73562AX-ray exam of knee, 30.180.63N/A0.050.86N/AXXX
    7356226AX-ray exam of knee, 30.180.060.060.020.260.26XXX
    73562TCAX-ray exam of knee, 30.000.57N/A0.030.60N/AXXX
    73564AX-ray exam, knee, 4 or more0.220.70N/A0.050.97N/AXXX
    7356426AX-ray exam, knee, 4 or more0.220.080.080.020.320.32XXX
    73564TCAX-ray exam, knee, 4 or more0.000.62N/A0.030.65N/AXXX
    73565AX-ray exam of knees0.170.56N/A0.040.77N/AXXX
    7356526AX-ray exam of knees0.170.060.060.020.250.25XXX
    73565TCAX-ray exam of knees0.000.49N/A0.020.51N/AXXX
    73580AContrast x-ray of knee joint0.542.80N/A0.153.49N/AXXX
    7358026AContrast x-ray of knee joint0.540.180.180.030.750.75XXX
    73580TCAContrast x-ray of knee joint0.002.62N/A0.122.74N/AXXX
    73590AX-ray exam of lower leg0.170.58N/A0.030.78N/AXXX
    7359026AX-ray exam of lower leg0.170.060.060.010.240.24XXX
    73590TCAX-ray exam of lower leg0.000.52N/A0.020.54N/AXXX
    73592AX-ray exam of leg, infant0.160.55N/A0.030.74N/AXXX
    7359226AX-ray exam of leg, infant0.160.060.060.010.230.23XXX
    73592TCAX-ray exam of leg, infant0.000.49N/A0.020.51N/AXXX
    73600AX-ray exam of ankle0.160.55N/A0.030.74N/AXXX
    7360026AX-ray exam of ankle0.160.060.060.010.230.23XXX
    73600TCAX-ray exam of ankle0.000.49N/A0.020.51N/AXXX
    73610AX-ray exam of ankle0.170.59N/A0.030.79N/AXXX
    Start Printed Page 49183
    7361026AX-ray exam of ankle0.170.060.060.010.240.24XXX
    73610TCAX-ray exam of ankle0.000.53N/A0.020.55N/AXXX
    73615AContrast x-ray of ankle0.542.29N/A0.132.96N/AXXX
    7361526AContrast x-ray of ankle0.540.190.190.030.760.76XXX
    73615TCAContrast x-ray of ankle0.002.10N/A0.102.20N/AXXX
    73620AX-ray exam of foot0.160.55N/A0.030.74N/AXXX
    7362026AX-ray exam of foot0.160.050.050.010.220.22XXX
    73620TCAX-ray exam of foot0.000.49N/A0.020.51N/AXXX
    73630AX-ray exam of foot0.170.59N/A0.030.79N/AXXX
    7363026AX-ray exam of foot0.170.060.060.010.240.24XXX
    73630TCAX-ray exam of foot0.000.53N/A0.020.55N/AXXX
    73650AX-ray exam of heel0.160.53N/A0.030.72N/AXXX
    7365026AX-ray exam of heel0.160.050.050.010.220.22XXX
    73650TCAX-ray exam of heel0.000.47N/A0.020.49N/AXXX
    73660AX-ray exam of toe(s)0.130.46N/A0.030.62N/AXXX
    7366026AX-ray exam of toe(s)0.130.040.040.010.180.18XXX
    73660TCAX-ray exam of toe(s)0.000.42N/A0.020.44N/AXXX
    73700ACt lower extremity w/o dye1.095.33N/A0.266.68N/AXXX
    7370026ACt lower extremity w/o dye1.090.360.360.051.501.50XXX
    73700TCACt lower extremity w/o dye0.004.96N/A0.215.17N/AXXX
    73701ACt lower extremity w/dye1.166.30N/A0.317.77N/AXXX
    7370126ACt lower extremity w/dye1.160.390.390.051.601.60XXX
    73701TCACt lower extremity w/dye0.005.91N/A0.266.17N/AXXX
    73702ACt lwr extremity w/o&w/dye1.227.84N/A0.379.43N/AXXX
    7370226ACt lwr extremity w/o&w/dye1.220.410.410.051.681.68XXX
    73702TCACt lwr extremity w/o&w/dye0.007.43N/A0.327.75N/AXXX
    73706ACt angio lwr extr w/o&w/dye1.9011.60N/A0.3813.88N/AXXX
    7370626ACt angio lwr extr w/o&w/dye1.900.640.640.062.602.60XXX
    73706TCACt angio lwr extr w/o&w/dye0.0010.97N/A0.3211.29N/AXXX
    73718AMri lower extremity w/o dye1.3511.66N/A0.3613.37N/AXXX
    7371826AMri lower extremity w/o dye1.350.450.450.041.841.84XXX
    73718TCAMri lower extremity w/o dye0.0011.21N/A0.3211.53N/AXXX
    73719AMri lower extremity w/dye1.6213.99N/A0.4416.05N/AXXX
    7371926AMri lower extremity w/dye1.620.540.540.052.212.21XXX
    73719TCAMri lower extremity w/dye0.0013.44N/A0.3913.83N/AXXX
    73720AMri lwr extremity w/o&w/dye2.1525.61N/A0.7828.54N/AXXX
    7372026AMri lwr extremity w/o&w/dye2.150.720.720.082.952.95XXX
    73720TCAMri lwr extremity w/o&w/dye0.0024.89N/A0.7025.59N/AXXX
    73721AMri jnt of lwr extre w/o dye1.3511.66N/A0.3613.37N/AXXX
    7372126AMri jnt of lwr extre w/o dye1.350.460.460.041.851.85XXX
    73721TCAMri jnt of lwr extre w/o dye0.0011.21N/A0.3211.53N/AXXX
    73722AMri joint of lwr extr w/dye1.6213.99N/A0.4516.06N/AXXX
    7372226AMri joint of lwr extr w/dye1.620.550.550.062.232.23XXX
    73722TCAMri joint of lwr extr w/dye0.0013.44N/A0.3913.83N/AXXX
    73723AMri joint lwr extr w/o&w/dye2.1525.62N/A0.7728.54N/AXXX
    7372326AMri joint lwr extr w/o&w/dye2.150.730.730.072.952.95XXX
    73723TCAMri joint lwr extr w/o&w/dye0.0024.89N/A0.7025.59N/AXXX
    73725RMr ang lwr ext w or w/o dye1.8211.82N/A0.5714.21N/AXXX
    7372526RMr ang lwr ext w or w/o dye1.820.610.610.082.512.51XXX
    Start Printed Page 49184
    73725TCRMr ang lwr ext w or w/o dye0.0011.21N/A0.4911.70N/AXXX
    74000AX-ray exam of abdomen0.180.58N/A0.030.79N/AXXX
    7400026AX-ray exam of abdomen0.180.060.060.010.250.25XXX
    74000TCAX-ray exam of abdomen0.000.52N/A0.020.54N/AXXX
    74010AX-ray exam of abdomen0.230.65N/A0.040.92N/AXXX
    7401026AX-ray exam of abdomen0.230.080.080.010.320.32XXX
    74010TCAX-ray exam of abdomen0.000.57N/A0.030.60N/AXXX
    74020AX-ray exam of abdomen0.270.71N/A0.041.02N/AXXX
    7402026AX-ray exam of abdomen0.270.090.090.010.370.37XXX
    74020TCAX-ray exam of abdomen0.000.62N/A0.030.65N/AXXX
    74022AX-ray exam series, abdomen0.320.84N/A0.051.21N/AXXX
    7402226AX-ray exam series, abdomen0.320.110.110.010.440.44XXX
    74022TCAX-ray exam series, abdomen0.000.73N/A0.040.77N/AXXX
    74150ACt abdomen w/o dye1.196.06N/A0.307.55N/AXXX
    7415026ACt abdomen w/o dye1.190.400.400.051.641.64XXX
    74150TCACt abdomen w/o dye0.005.66N/A0.255.91N/AXXX
    74160ACt abdomen w/dye1.277.27N/A0.368.90N/AXXX
    7416026ACt abdomen w/dye1.270.420.420.061.751.75XXX
    74160TCACt abdomen w/dye0.006.85N/A0.307.15N/AXXX
    74170ACt abdomen w/o&w/dye1.408.96N/A0.4210.78N/AXXX
    7417026ACt abdomen w/o&w/dye1.400.470.470.061.931.93XXX
    74170TCACt abdomen w/o&w/dye0.008.49N/A0.368.85N/AXXX
    74175ACt angio abdom w/o&w/dye1.9012.67N/A0.3814.95N/AXXX
    7417526ACt angio abdom w/o&w/dye1.900.640.640.062.602.60XXX
    74175TCACt angio abdom w/o&w/dye0.0012.03N/A0.3212.35N/AXXX
    74181AMri abdomen w/o dye1.4611.70N/A0.4313.59N/AXXX
    7418126AMri abdomen w/o dye1.460.490.490.062.012.01XXX
    74181TCAMri abdomen w/o dye0.0011.21N/A0.3711.58N/AXXX
    74182AMri abdomen w/dye1.7314.02N/A0.4916.24N/AXXX
    7418226AMri abdomen w/dye1.730.580.580.062.372.37XXX
    74182TCAMri abdomen w/dye0.0013.44N/A0.4313.87N/AXXX
    74183AMri abdomen w/o&w/dye2.2625.65N/A0.8428.75N/AXXX
    7418326AMri abdomen w/o&w/dye2.260.760.760.083.103.10XXX
    74183TCAMri abdomen w/o&w/dye0.0024.89N/A0.7625.65N/AXXX
    74185RMri angio, abdom w or w/o dy1.8011.81N/A0.5714.18N/AXXX
    7418526RMri angio, abdom w or w/o dy1.800.600.600.082.482.48XXX
    74185TCRMri angio, abdom w or w/o dy0.0011.21N/A0.4911.70N/AXXX
    74190AX-ray exam of peritoneum0.481.47N/A0.082.03N/AXXX
    7419026AX-ray exam of peritoneum0.480.160.160.020.660.66XXX
    74190TCAX-ray exam of peritoneum0.001.31N/A0.061.37N/AXXX
    74210AContrst x-ray exam of throat0.361.31N/A0.071.74N/AXXX
    7421026AContrst x-ray exam of throat0.360.120.120.020.500.50XXX
    74210TCAContrst x-ray exam of throat0.001.19N/A0.051.24N/AXXX
    74220AContrast x-ray, esophagus0.461.34N/A0.071.87N/AXXX
    7422026AContrast x-ray, esophagus0.460.150.150.020.630.63XXX
    74220TCAContrast x-ray, esophagus0.001.19N/A0.051.24N/AXXX
    74230ACine/vid x-ray, throat/esoph0.531.48N/A0.082.09N/AXXX
    7423026ACine/vid x-ray, throat/esoph0.530.180.180.020.730.73XXX
    74230TCACine/vid x-ray, throat/esoph0.001.31N/A0.061.37N/AXXX
    Start Printed Page 49185
    74235ARemove esophagus obstruction1.193.02N/A0.174.38N/AXXX
    7423526ARemove esophagus obstruction1.190.400.400.051.641.64XXX
    74235TCARemove esophagus obstruction0.002.62N/A0.122.74N/AXXX
    74240AX-ray exam, upper gi tract0.691.69N/A0.102.48N/AXXX
    7424026AX-ray exam, upper gi tract0.690.230.230.030.950.95XXX
    74240TCAX-ray exam, upper gi tract0.001.46N/A0.071.53N/AXXX
    74241AX-ray exam, upper gi tract0.691.72N/A0.102.51N/AXXX
    7424126AX-ray exam, upper gi tract0.690.230.230.030.950.95XXX
    74241TCAX-ray exam, upper gi tract0.001.49N/A0.071.56N/AXXX
    74245AX-ray exam, upper gi tract0.912.68N/A0.153.74N/AXXX
    7424526AX-ray exam, upper gi tract0.910.300.300.041.251.25XXX
    74245TCAX-ray exam, upper gi tract0.002.38N/A0.112.49N/AXXX
    74246AContrst x-ray uppr gi tract0.691.87N/A0.112.67N/AXXX
    7424626AContrst x-ray uppr gi tract0.690.230.230.030.950.95XXX
    74246TCAContrst x-ray uppr gi tract0.001.64N/A0.081.72N/AXXX
    74247AContrst x-ray uppr gi tract0.691.91N/A0.122.72N/AXXX
    7424726AContrst x-ray uppr gi tract0.690.230.230.030.950.95XXX
    74247TCAContrst x-ray uppr gi tract0.001.68N/A0.091.77N/AXXX
    74249AContrst x-ray uppr gi tract0.912.88N/A0.163.95N/AXXX
    7424926AContrst x-ray uppr gi tract0.910.300.300.041.251.25XXX
    74249TCAContrst x-ray uppr gi tract0.002.57N/A0.122.69N/AXXX
    74250AX-ray exam of small bowel0.471.46N/A0.082.01N/AXXX
    7425026AX-ray exam of small bowel0.470.160.160.020.650.65XXX
    74250TCAX-ray exam of small bowel0.001.31N/A0.061.37N/AXXX
    74251AX-ray exam of small bowel0.691.54N/A0.092.32N/AXXX
    7425126AX-ray exam of small bowel0.690.230.230.030.950.95XXX
    74251TCAX-ray exam of small bowel0.001.31N/A0.061.37N/AXXX
    74260AX-ray exam of small bowel0.501.66N/A0.092.25N/AXXX
    7426026AX-ray exam of small bowel0.500.170.170.020.690.69XXX
    74260TCAX-ray exam of small bowel0.001.49N/A0.071.56N/AXXX
    74270AContrast x-ray exam of colon0.691.93N/A0.122.74N/AXXX
    7427026AContrast x-ray exam of colon0.690.230.230.030.950.95XXX
    74270TCAContrast x-ray exam of colon0.001.70N/A0.091.79N/AXXX
    74280AContrast x-ray exam of colon0.992.57N/A0.153.71N/AXXX
    7428026AContrast x-ray exam of colon0.990.330.330.041.361.36XXX
    74280TCAContrast x-ray exam of colon0.002.23N/A0.112.34N/AXXX
    74283AContrast x-ray exam of colon2.023.24N/A0.215.47N/AXXX
    7428326AContrast x-ray exam of colon2.020.680.680.092.792.79XXX
    74283TCAContrast x-ray exam of colon0.002.56N/A0.122.68N/AXXX
    74290AContrast x-ray, gallbladder0.320.84N/A0.051.21N/AXXX
    7429026AContrast x-ray, gallbladder0.320.110.110.010.440.44XXX
    74290TCAContrast x-ray, gallbladder0.000.73N/A0.040.77N/AXXX
    74291AContrast x-rays, gallbladder0.200.48N/A0.030.71N/AXXX
    7429126AContrast x-rays, gallbladder0.200.070.070.010.280.28XXX
    74291TCAContrast x-rays, gallbladder0.000.42N/A0.020.44N/AXXX
    74300CX-ray bile ducts/pancreas0.000.000.000.000.000.00XXX
    7430026AX-ray bile ducts/pancreas0.360.120.120.020.500.50XXX
    74300TCCX-ray bile ducts/pancreas0.000.000.000.000.000.00XXX
    74301CX-rays at surgery add-on0.000.000.000.000.000.00ZZZ
    7430126AX-rays at surgery add-on0.210.070.070.010.290.29ZZZ
    74301TCCX-rays at surgery add-on0.000.000.000.000.000.00ZZZ
    Start Printed Page 49186
    74305AX-ray bile ducts/pancreas0.420.92N/A0.061.40N/AXXX
    7430526AX-ray bile ducts/pancreas0.420.140.140.020.580.58XXX
    74305TCAX-ray bile ducts/pancreas0.000.78N/A0.040.82N/AXXX
    74320AContrast x-ray of bile ducts0.543.33N/A0.164.03N/AXXX
    7432026AContrast x-ray of bile ducts0.540.180.180.020.740.74XXX
    74320TCAContrast x-ray of bile ducts0.003.15N/A0.143.29N/AXXX
    74327AX-ray bile stone removal0.701.99N/A0.122.81N/AXXX
    7432726AX-ray bile stone removal0.700.230.230.030.960.96XXX
    74327TCAX-ray bile stone removal0.001.76N/A0.091.85N/AXXX
    74328AX-ray bile duct endoscopy0.703.39N/A0.174.26N/AXXX
    7432826AX-ray bile duct endoscopy0.700.240.240.030.970.97XXX
    74328TCAX-ray bile duct endoscopy0.003.15N/A0.143.29N/AXXX
    74329AX-ray for pancreas endoscopy0.703.39N/A0.174.26N/AXXX
    7432926AX-ray for pancreas endoscopy0.700.230.230.030.960.96XXX
    74329TCAX-ray for pancreas endoscopy0.003.15N/A0.143.29N/AXXX
    74330AX-ray bile/panc endoscopy0.903.45N/A0.184.53N/AXXX
    7433026AX-ray bile/panc endoscopy0.900.300.300.041.241.24XXX
    74330TCAX-ray bile/panc endoscopy0.003.15N/A0.143.29N/AXXX
    74340AX-ray guide for GI tube0.542.80N/A0.143.48N/AXXX
    7434026AX-ray guide for GI tube0.540.180.180.020.740.74XXX
    74340TCAX-ray guide for GI tube0.002.62N/A0.122.74N/AXXX
    74350AX-ray guide, stomach tube0.763.41N/A0.174.34N/AXXX
    7435026AX-ray guide, stomach tube0.760.250.250.031.041.04XXX
    74350TCAX-ray guide, stomach tube0.003.15N/A0.143.29N/AXXX
    74355AX-ray guide, intestinal tube0.762.87N/A0.153.78N/AXXX
    7435526AX-ray guide, intestinal tube0.760.250.250.031.041.04XXX
    74355TCAX-ray guide, intestinal tube0.002.62N/A0.122.74N/AXXX
    74360AX-ray guide, GI dilation0.543.34N/A0.164.04N/AXXX
    7436026AX-ray guide, GI dilation0.540.190.190.020.750.75XXX
    74360TCAX-ray guide, GI dilation0.003.15N/A0.143.29N/AXXX
    74363AX-ray, bile duct dilation0.886.39N/A0.317.58N/AXXX
    7436326AX-ray, bile duct dilation0.880.290.290.041.211.21XXX
    74363TCAX-ray, bile duct dilation0.006.10N/A0.276.37N/AXXX
    74400AContrst x-ray, urinary tract0.491.85N/A0.112.45N/AXXX
    7440026AContrst x-ray, urinary tract0.490.160.160.020.670.67XXX
    74400TCAContrst x-ray, urinary tract0.001.68N/A0.091.77N/AXXX
    74410AContrst x-ray, urinary tract0.492.12N/A0.112.72N/AXXX
    7441026AContrst x-ray, urinary tract0.490.160.160.020.670.67XXX
    74410TCAContrst x-ray, urinary tract0.001.95N/A0.092.04N/AXXX
    74415AContrst x-ray, urinary tract0.492.28N/A0.122.89N/AXXX
    7441526AContrst x-ray, urinary tract0.490.160.160.020.670.67XXX
    74415TCAContrst x-ray, urinary tract0.002.12N/A0.102.22N/AXXX
    74420AContrst x-ray, urinary tract0.362.74N/A0.143.24N/AXXX
    7442026AContrst x-ray, urinary tract0.360.120.120.020.500.50XXX
    74420TCAContrst x-ray, urinary tract0.002.62N/A0.122.74N/AXXX
    74425AContrst x-ray, urinary tract0.361.43N/A0.081.87N/AXXX
    7442526AContrst x-ray, urinary tract0.360.120.120.020.500.50XXX
    74425TCAContrst x-ray, urinary tract0.001.31N/A0.061.37N/AXXX
    74430AContrast x-ray, bladder0.321.16N/A0.071.55N/AXXX
    7443026AContrast x-ray, bladder0.320.110.110.020.450.45XXX
    74430TCAContrast x-ray, bladder0.001.05N/A0.051.10N/AXXX
    74440AX-ray, male genital tract0.381.26N/A0.071.71N/AXXX
    7444026AX-ray, male genital tract0.380.120.120.020.520.52XXX
    74440TCAX-ray, male genital tract0.001.13N/A0.051.18N/AXXX
    74445AX-ray exam of penis1.141.51N/A0.102.75N/AXXX
    7444526AX-ray exam of penis1.140.380.380.051.571.57XXX
    74445TCAX-ray exam of penis0.001.13N/A0.051.18N/AXXX
    74450AX-ray, urethra/bladder0.331.57N/A0.091.99N/AXXX
    7445026AX-ray, urethra/bladder0.330.110.110.020.460.46XXX
    74450TCAX-ray, urethra/bladder0.001.46N/A0.071.53N/AXXX
    Start Printed Page 49187
    74455AX-ray, urethra/bladder0.331.69N/A0.102.12N/AXXX
    7445526AX-ray, urethra/bladder0.330.110.110.020.460.46XXX
    74455TCAX-ray, urethra/bladder0.001.58N/A0.081.66N/AXXX
    74470AX-ray exam of kidney lesion0.541.43N/A0.082.05N/AXXX
    7447026AX-ray exam of kidney lesion0.540.180.180.020.740.74XXX
    74470TCAX-ray exam of kidney lesion0.001.25N/A0.061.31N/AXXX
    74475AX-ray control, cath insert0.544.25N/A0.204.99N/AXXX
    7447526AX-ray control, cath insert0.540.180.180.020.740.74XXX
    74475TCAX-ray control, cath insert0.004.07N/A0.184.25N/AXXX
    74480AX-ray control, cath insert0.544.25N/A0.204.99N/AXXX
    7448026AX-ray control, cath insert0.540.180.180.020.740.74XXX
    74480TCAX-ray control, cath insert0.004.07N/A0.184.25N/AXXX
    74485AX-ray guide, GU dilation0.543.33N/A0.174.04N/AXXX
    7448526AX-ray guide, GU dilation0.540.180.180.030.750.75XXX
    74485TCAX-ray guide, GU dilation0.003.15N/A0.143.29N/AXXX
    74710AX-ray measurement of pelvis0.341.17N/A0.071.58N/AXXX
    7471026AX-ray measurement of pelvis0.340.110.110.020.470.47XXX
    74710TCAX-ray measurement of pelvis0.001.05N/A0.051.10N/AXXX
    74740AX-ray, female genital tract0.381.43N/A0.081.89N/AXXX
    7474026AX-ray, female genital tract0.380.130.130.020.530.53XXX
    74740TCAX-ray, female genital tract0.001.31N/A0.061.37N/AXXX
    74742AX-ray, fallopian tube0.613.36N/A0.164.13N/AXXX
    7474226AX-ray, fallopian tube0.610.210.210.020.840.84XXX
    74742TCAX-ray, fallopian tube0.003.15N/A0.143.29N/AXXX
    74775AX-ray exam of perineum0.621.67N/A0.102.39N/AXXX
    7477526AX-ray exam of perineum0.620.210.210.030.860.86XXX
    74775TCAX-ray exam of perineum0.001.46N/A0.071.53N/AXXX
    75552AHeart mri for morph w/o dye1.6011.75N/A0.5613.91N/AXXX
    7555226AHeart mri for morph w/o dye1.600.540.540.072.212.21XXX
    75552TCAHeart mri for morph w/o dye0.0011.21N/A0.4911.70N/AXXX
    75553AHeart mri for morph w/dye2.0011.88N/A0.5814.46N/AXXX
    7555326AHeart mri for morph w/dye2.000.670.670.092.762.76XXX
    75553TCAHeart mri for morph w/dye0.0011.21N/A0.4911.70N/AXXX
    75554ACardiac MRI/function1.8311.87N/A0.5614.26N/AXXX
    7555426ACardiac MRI/function1.830.660.660.072.562.56XXX
    75554TCACardiac MRI/function0.0011.21N/A0.4911.70N/AXXX
    75555ACardiac MRI/limited study1.7411.86N/A0.5614.16N/AXXX
    7555526ACardiac MRI/limited study1.740.650.650.072.462.46XXX
    75555TCACardiac MRI/limited study0.0011.21N/A0.4911.70N/AXXX
    75600AContrast x-ray exam of aorta0.4912.79N/A0.5613.84N/AXXX
    7560026AContrast x-ray exam of aorta0.490.190.190.020.700.70XXX
    75600TCAContrast x-ray exam of aorta0.0012.60N/A0.5413.14N/AXXX
    75605AContrast x-ray exam of aorta1.1413.01N/A0.5914.74N/AXXX
    7560526AContrast x-ray exam of aorta1.140.410.410.051.601.60XXX
    75605TCAContrast x-ray exam of aorta0.0012.60N/A0.5413.14N/AXXX
    75625AContrast x-ray exam of aorta1.1412.99N/A0.5914.72N/AXXX
    7562526AContrast x-ray exam of aorta1.140.390.390.051.581.58XXX
    75625TCAContrast x-ray exam of aorta0.0012.60N/A0.5413.14N/AXXX
    Start Printed Page 49188
    75630AX-ray aorta, leg arteries1.7913.76N/A0.6516.20N/AXXX
    7563026AX-ray aorta, leg arteries1.790.630.630.082.502.50XXX
    75630TCAX-ray aorta, leg arteries0.0013.13N/A0.5713.70N/AXXX
    75635ACt angio abdominal arteries2.4016.73N/A0.4119.54N/AXXX
    7563526ACt angio abdominal arteries2.400.810.810.093.303.30XXX
    75635TCACt angio abdominal arteries0.0015.92N/A0.3216.24N/AXXX
    75650AArtery x-rays, head & neck1.4913.10N/A0.6115.20N/AXXX
    7565026AArtery x-rays, head & neck1.490.500.500.072.062.06XXX
    75650TCAArtery x-rays, head & neck0.0012.60N/A0.5413.14N/AXXX
    75658AArtery x-rays, arm1.3113.08N/A0.6014.99N/AXXX
    7565826AArtery x-rays, arm1.310.480.480.061.851.85XXX
    75658TCAArtery x-rays, arm0.0012.60N/A0.5413.14N/AXXX
    75660AArtery x-rays, head & neck1.3113.05N/A0.6014.96N/AXXX
    7566026AArtery x-rays, head & neck1.310.450.450.061.821.82XXX
    75660TCAArtery x-rays, head & neck0.0012.60N/A0.5413.14N/AXXX
    75662AArtery x-rays, head & neck1.6613.21N/A0.6215.49N/AXXX
    7566226AArtery x-rays, head & neck1.660.610.610.082.352.35XXX
    75662TCAArtery x-rays, head & neck0.0012.60N/A0.5413.14N/AXXX
    75665AArtery x-rays, head & neck1.3113.05N/A0.6114.97N/AXXX
    7566526AArtery x-rays, head & neck1.310.450.450.071.831.83XXX
    75665TCAArtery x-rays, head & neck0.0012.60N/A0.5413.14N/AXXX
    75671AArtery x-rays, head & neck1.6613.16N/A0.6215.44N/AXXX
    7567126AArtery x-rays, head & neck1.660.560.560.082.302.30XXX
    75671TCAArtery x-rays, head & neck0.0012.60N/A0.5413.14N/AXXX
    75676AArtery x-rays, neck1.3113.05N/A0.6114.97N/AXXX
    7567626AArtery x-rays, neck1.310.450.450.071.831.83XXX
    75676TCAArtery x-rays, neck0.0012.60N/A0.5413.14N/AXXX
    75680AArtery x-rays, neck1.6613.16N/A0.6215.44N/AXXX
    7568026AArtery x-rays, neck1.660.560.560.082.302.30XXX
    75680TCAArtery x-rays, neck0.0012.60N/A0.5413.14N/AXXX
    75685AArtery x-rays, spine1.3113.05N/A0.6014.96N/AXXX
    7568526AArtery x-rays, spine1.310.440.440.061.811.81XXX
    75685TCAArtery x-rays, spine0.0012.60N/A0.5413.14N/AXXX
    75705AArtery x-rays, spine2.1813.35N/A0.6516.18N/AXXX
    7570526AArtery x-rays, spine2.180.750.750.113.043.04XXX
    75705TCAArtery x-rays, spine0.0012.60N/A0.5413.14N/AXXX
    75710AArtery x-rays, arm/leg1.1413.00N/A0.6014.74N/AXXX
    7571026AArtery x-rays, arm/leg1.140.390.390.061.591.59XXX
    75710TCAArtery x-rays, arm/leg0.0012.60N/A0.5413.14N/AXXX
    75716AArtery x-rays, arms/legs1.3113.04N/A0.6014.95N/AXXX
    7571626AArtery x-rays, arms/legs1.310.440.440.061.811.81XXX
    75716TCAArtery x-rays, arms/legs0.0012.60N/A0.5413.14N/AXXX
    75722AArtery x-rays, kidney1.1413.01N/A0.5914.74N/AXXX
    7572226AArtery x-rays, kidney1.140.410.410.051.601.60XXX
    75722TCAArtery x-rays, kidney0.0012.60N/A0.5413.14N/AXXX
    75724AArtery x-rays, kidneys1.4913.17N/A0.5915.25N/AXXX
    7572426AArtery x-rays, kidneys1.490.570.570.052.112.11XXX
    75724TCAArtery x-rays, kidneys0.0012.60N/A0.5413.14N/AXXX
    75726AArtery x-rays, abdomen1.1412.98N/A0.5914.71N/AXXX
    7572626AArtery x-rays, abdomen1.140.380.380.051.571.57XXX
    75726TCAArtery x-rays, abdomen0.0012.60N/A0.5413.14N/AXXX
    75731AArtery x-rays, adrenal gland1.1412.98N/A0.5914.71N/AXXX
    7573126AArtery x-rays, adrenal gland1.140.380.380.051.571.57XXX
    75731TCAArtery x-rays, adrenal gland0.0012.60N/A0.5413.14N/AXXX
    75733AArtery x-rays, adrenals1.3113.05N/A0.6014.96N/AXXX
    7573326AArtery x-rays, adrenals1.310.450.450.061.821.82XXX
    75733TCAArtery x-rays, adrenals0.0012.60N/A0.5413.14N/AXXX
    75736AArtery x-rays, pelvis1.1412.99N/A0.5914.72N/AXXX
    7573626AArtery x-rays, pelvis1.140.380.380.051.571.57XXX
    75736TCAArtery x-rays, pelvis0.0012.60N/A0.5413.14N/AXXX
    Start Printed Page 49189
    75741AArtery x-rays, lung1.3113.04N/A0.6014.95N/AXXX
    7574126AArtery x-rays, lung1.310.440.440.061.811.81XXX
    75741TCAArtery x-rays, lung0.0012.60N/A0.5413.14N/AXXX
    75743AArtery x-rays, lungs1.6613.16N/A0.6115.43N/AXXX
    7574326AArtery x-rays, lungs1.660.560.560.072.292.29XXX
    75743TCAArtery x-rays, lungs0.0012.60N/A0.5413.14N/AXXX
    75746AArtery x-rays, lung1.1412.99N/A0.5914.72N/AXXX
    7574626AArtery x-rays, lung1.140.390.390.051.581.58XXX
    75746TCAArtery x-rays, lung0.0012.60N/A0.5413.14N/AXXX
    75756AArtery x-rays, chest1.1413.06N/A0.5814.78N/AXXX
    7575626AArtery x-rays, chest1.140.460.460.041.641.64XXX
    75756TCAArtery x-rays, chest0.0012.60N/A0.5413.14N/AXXX
    75774AArtery x-ray, each vessel0.3612.73N/A0.5613.65N/AZZZ
    7577426AArtery x-ray, each vessel0.360.130.130.020.510.51ZZZ
    75774TCAArtery x-ray, each vessel0.0012.60N/A0.5413.14N/AZZZ
    75790AVisualize A-V shunt1.841.97N/A0.163.97N/AXXX
    7579026AVisualize A-V shunt1.840.620.620.092.552.55XXX
    75790TCAVisualize A-V shunt0.001.35N/A0.071.42N/AXXX
    75801ALymph vessel x-ray, arm/leg0.815.69N/A0.296.79N/AXXX
    7580126ALymph vessel x-ray, arm/leg0.810.270.270.051.131.13XXX
    75801TCALymph vessel x-ray, arm/leg0.005.42N/A0.245.66N/AXXX
    75803ALymph vessel x-ray,arms/legs1.175.81N/A0.297.27N/AXXX
    7580326ALymph vessel x-ray,arms/legs1.170.390.390.051.611.61XXX
    75803TCALymph vessel x-ray,arms/legs0.005.42N/A0.245.66N/AXXX
    75805ALymph vessel x-ray, trunk0.816.38N/A0.317.50N/AXXX
    7580526ALymph vessel x-ray, trunk0.810.270.270.041.121.12XXX
    75805TCALymph vessel x-ray, trunk0.006.10N/A0.276.37N/AXXX
    75807ALymph vessel x-ray, trunk1.176.49N/A0.327.98N/AXXX
    7580726ALymph vessel x-ray, trunk1.170.390.390.051.611.61XXX
    75807TCALymph vessel x-ray, trunk0.006.10N/A0.276.37N/AXXX
    75809ANonvascular shunt, x-ray0.470.94N/A0.061.47N/AXXX
    7580926ANonvascular shunt, x-ray0.470.160.160.020.650.65XXX
    75809TCANonvascular shunt, x-ray0.000.78N/A0.040.82N/AXXX
    75810AVein x-ray, spleen/liver1.1412.98N/A0.6014.72N/AXXX
    7581026AVein x-ray, spleen/liver1.140.380.380.061.581.58XXX
    75810TCAVein x-ray, spleen/liver0.0012.60N/A0.5413.14N/AXXX
    75820AVein x-ray, arm/leg0.701.18N/A0.081.96N/AXXX
    7582026AVein x-ray, arm/leg0.700.230.230.030.960.96XXX
    75820TCAVein x-ray, arm/leg0.000.95N/A0.051.00N/AXXX
    75822AVein x-ray, arms/legs1.061.83N/A0.123.01N/AXXX
    7582226AVein x-ray, arms/legs1.060.350.350.051.461.46XXX
    75822TCAVein x-ray, arms/legs0.001.48N/A0.071.55N/AXXX
    75825AVein x-ray, trunk1.1412.98N/A0.6014.72N/AXXX
    7582526AVein x-ray, trunk1.140.380.380.061.581.58XXX
    75825TCAVein x-ray, trunk0.0012.60N/A0.5413.14N/AXXX
    75827AVein x-ray, chest1.1412.98N/A0.5914.71N/AXXX
    7582726AVein x-ray, chest1.140.380.380.051.571.57XXX
    75827TCAVein x-ray, chest0.0012.60N/A0.5413.14N/AXXX
    75831AVein x-ray, kidney1.1412.98N/A0.5914.71N/AXXX
    7583126AVein x-ray, kidney1.140.380.380.051.571.57XXX
    75831TCAVein x-ray, kidney0.0012.60N/A0.5413.14N/AXXX
    75833AVein x-ray, kidneys1.4913.10N/A0.6115.20N/AXXX
    7583326AVein x-ray, kidneys1.490.500.500.072.062.06XXX
    75833TCAVein x-ray, kidneys0.0012.60N/A0.5413.14N/AXXX
    75840AVein x-ray, adrenal gland1.1412.99N/A0.6114.74N/AXXX
    7584026AVein x-ray, adrenal gland1.140.390.390.071.601.60XXX
    75840TCAVein x-ray, adrenal gland0.0012.60N/A0.5413.14N/AXXX
    75842AVein x-ray, adrenal glands1.4913.10N/A0.6115.20N/AXXX
    7584226AVein x-ray, adrenal glands1.490.500.500.072.062.06XXX
    75842TCAVein x-ray, adrenal glands0.0012.60N/A0.5413.14N/AXXX
    Start Printed Page 49190
    75860AVein x-ray, neck1.1413.00N/A0.6014.74N/AXXX
    7586026AVein x-ray, neck1.140.400.400.061.601.60XXX
    75860TCAVein x-ray, neck0.0012.60N/A0.5413.14N/AXXX
    75870AVein x-ray, skull1.1413.00N/A0.6014.74N/AXXX
    7587026AVein x-ray, skull1.140.400.400.061.601.60XXX
    75870TCAVein x-ray, skull0.0012.60N/A0.5413.14N/AXXX
    75872AVein x-ray, skull1.1412.98N/A0.5914.71N/AXXX
    7587226AVein x-ray, skull1.140.380.380.051.571.57XXX
    75872TCAVein x-ray, skull0.0012.60N/A0.5413.14N/AXXX
    75880AVein x-ray, eye socket0.701.18N/A0.081.96N/AXXX
    7588026AVein x-ray, eye socket0.700.240.240.030.970.97XXX
    75880TCAVein x-ray, eye socket0.000.95N/A0.051.00N/AXXX
    75885AVein x-ray, liver1.4413.08N/A0.6015.12N/AXXX
    7588526AVein x-ray, liver1.440.480.480.061.981.98XXX
    75885TCAVein x-ray, liver0.0012.60N/A0.5413.14N/AXXX
    75887AVein x-ray, liver1.4413.08N/A0.6015.12N/AXXX
    7588726AVein x-ray, liver1.440.480.480.061.981.98XXX
    75887TCAVein x-ray, liver0.0012.60N/A0.5413.14N/AXXX
    75889AVein x-ray, liver1.1412.98N/A0.5914.71N/AXXX
    7588926AVein x-ray, liver1.140.380.380.051.571.57XXX
    75889TCAVein x-ray, liver0.0012.60N/A0.5413.14N/AXXX
    75891AVein x-ray, liver1.1412.98N/A0.5914.71N/AXXX
    7589126AVein x-ray, liver1.140.380.380.051.571.57XXX
    75891TCAVein x-ray, liver0.0012.60N/A0.5413.14N/AXXX
    75893AVenous sampling by catheter0.5412.78N/A0.5613.88N/AXXX
    7589326AVenous sampling by catheter0.540.180.180.020.740.74XXX
    75893TCAVenous sampling by catheter0.0012.60N/A0.5413.14N/AXXX
    75894AX-rays, transcath therapy1.3124.58N/A1.1227.01N/AXXX
    7589426AX-rays, transcath therapy1.310.440.440.071.821.82XXX
    75894TCAX-rays, transcath therapy0.0024.14N/A1.0525.19N/AXXX
    75896AX-rays, transcath therapy1.3121.45N/A0.9723.73N/AXXX
    7589626AX-rays, transcath therapy1.310.460.460.061.831.83XXX
    75896TCAX-rays, transcath therapy0.0020.99N/A0.9121.90N/AXXX
    75898AFollow-up angiography1.651.62N/A0.123.39N/AXXX
    7589826AFollow-up angiography1.650.560.560.072.282.28XXX
    75898TCAFollow-up angiography0.001.05N/A0.051.10N/AXXX
    75900AArterial catheter exchange0.4921.14N/A0.9422.57N/AXXX
    7590026AArterial catheter exchange0.490.160.160.020.670.67XXX
    75900TCAArterial catheter exchange0.0020.98N/A0.9221.90N/AXXX
    75901ARemove cva device obstruct0.491.47N/A0.712.67N/AXXX
    7590126ARemove cva device obstruct0.490.160.160.020.670.67XXX
    75901TCARemove cva device obstruct0.001.31N/A0.692.00N/AXXX
    75902ARemove cva lumen obstruct0.391.44N/A0.712.54N/AXXX
    7590226ARemove cva lumen obstruct0.390.130.130.020.540.54XXX
    75902TCARemove cva lumen obstruct0.001.31N/A0.692.00N/AXXX
    75940AX-ray placement, vein filter0.5412.78N/A0.5713.89N/AXXX
    7594026AX-ray placement, vein filter0.540.180.180.030.750.75XXX
    75940TCAX-ray placement, vein filter0.0012.60N/A0.5413.14N/AXXX
    75945AIntravascular us0.404.71N/A0.235.34N/AXXX
    7594526AIntravascular us0.400.140.140.030.570.57XXX
    75945TCAIntravascular us0.004.56N/A0.204.76N/AXXX
    75946AIntravascular us add-on0.402.43N/A0.142.97N/AZZZ
    7594626AIntravascular us add-on0.400.140.140.030.570.57ZZZ
    75946TCAIntravascular us add-on0.002.29N/A0.112.40N/AZZZ
    75952CEndovasc repair abdom aorta0.000.000.000.000.000.00XXX
    Start Printed Page 49191
    7595226AEndovasc repair abdom aorta4.501.521.520.686.706.70XXX
    75952TCCEndovasc repair abdom aorta0.000.000.000.000.000.00XXX
    75953CAbdom aneurysm endovas rpr0.000.000.000.000.000.00XXX
    7595326AAbdom aneurysm endovas rpr1.360.460.460.682.502.50XXX
    75953TCCAbdom aneurysm endovas rpr0.000.000.000.000.000.00XXX
    75954CIliac aneurysm endovas rpr0.000.000.000.000.000.00XXX
    7595426AIliac aneurysm endovas rpr1.360.480.480.682.522.52XXX
    75954TCCIliac aneurysm endovas rpr0.000.000.000.000.000.00XXX
    75960ATranscatheter intro, stent0.8215.19N/A0.6816.69N/AXXX
    7596026ATranscatheter intro, stent0.820.290.290.041.151.15XXX
    75960TCATranscatheter intro, stent0.0014.90N/A0.6415.54N/AXXX
    75961ARetrieval, broken catheter4.2511.93N/A0.6416.82N/AXXX
    7596126ARetrieval, broken catheter4.251.431.430.185.865.86XXX
    75961TCARetrieval, broken catheter0.0010.50N/A0.4610.96N/AXXX
    75962ARepair arterial blockage0.5415.93N/A0.7217.19N/AXXX
    7596226ARepair arterial blockage0.540.190.190.030.760.76XXX
    75962TCARepair arterial blockage0.0015.74N/A0.6916.43N/AXXX
    75964ARepair artery blockage, each0.368.52N/A0.389.26N/AZZZ
    7596426ARepair artery blockage, each0.360.120.120.020.500.50ZZZ
    75964TCARepair artery blockage, each0.008.39N/A0.368.75N/AZZZ
    75966ARepair arterial blockage1.3116.22N/A0.7518.28N/AXXX
    7596626ARepair arterial blockage1.310.470.470.061.841.84XXX
    75966TCARepair arterial blockage0.0015.74N/A0.6916.43N/AXXX
    75968ARepair artery blockage, each0.368.53N/A0.379.26N/AZZZ
    7596826ARepair artery blockage, each0.360.130.130.010.500.50ZZZ
    75968TCARepair artery blockage, each0.008.39N/A0.368.75N/AZZZ
    75970AVascular biopsy0.8311.83N/A0.5413.20N/AXXX
    7597026AVascular biopsy0.830.290.290.041.161.16XXX
    75970TCAVascular biopsy0.0011.55N/A0.5012.05N/AXXX
    75978ARepair venous blockage0.5415.92N/A0.7117.17N/AXXX
    7597826ARepair venous blockage0.540.180.180.020.740.74XXX
    75978TCARepair venous blockage0.0015.74N/A0.6916.43N/AXXX
    75980AContrast xray exam bile duct1.445.89N/A0.307.63N/AXXX
    7598026AContrast xray exam bile duct1.440.480.480.061.981.98XXX
    75980TCAContrast xray exam bile duct0.005.42N/A0.245.66N/AXXX
    75982AContrast xray exam bile duct1.446.58N/A0.338.35N/AXXX
    7598226AContrast xray exam bile duct1.440.480.480.061.981.98XXX
    75982TCAContrast xray exam bile duct0.006.10N/A0.276.37N/AXXX
    75984AXray control catheter change0.722.19N/A0.123.03N/AXXX
    7598426AXray control catheter change0.720.240.240.030.990.99XXX
    75984TCAXray control catheter change0.001.95N/A0.092.04N/AXXX
    75989AAbscess drainage under x-ray1.193.55N/A0.194.93N/AXXX
    Start Printed Page 49192
    7598926AAbscess drainage under x-ray1.190.400.400.051.641.64XXX
    75989TCAAbscess drainage under x-ray0.003.15N/A0.143.29N/AXXX
    75992AAtherectomy, x-ray exam0.5415.94N/A0.7117.19N/AXXX
    7599226AAtherectomy, x-ray exam0.540.190.190.020.750.75XXX
    75992TCAAtherectomy, x-ray exam0.0015.74N/A0.6916.43N/AXXX
    75993AAtherectomy, x-ray exam0.368.53N/A0.379.26N/AZZZ
    7599326AAtherectomy, x-ray exam0.360.140.140.010.510.51ZZZ
    75993TCAAtherectomy, x-ray exam0.008.39N/A0.368.75N/AZZZ
    75994AAtherectomy, x-ray exam1.3116.22N/A0.7518.28N/AXXX
    7599426AAtherectomy, x-ray exam1.310.470.470.061.841.84XXX
    75994TCAAtherectomy, x-ray exam0.0015.74N/A0.6916.43N/AXXX
    75995AAtherectomy, x-ray exam1.3116.23N/A0.7518.29N/AXXX
    7599526AAtherectomy, x-ray exam1.310.480.480.061.851.85XXX
    75995TCAAtherectomy, x-ray exam0.0015.74N/A0.6916.43N/AXXX
    75996AAtherectomy, x-ray exam0.368.52N/A0.379.25N/AZZZ
    7599626AAtherectomy, x-ray exam0.360.120.120.010.490.49ZZZ
    75996TCAAtherectomy, x-ray exam0.008.39N/A0.368.75N/AZZZ
    76000AFluoroscope examination0.171.36N/A0.071.60N/AXXX
    7600026AFluoroscope examination0.170.050.050.010.230.23XXX
    76000TCAFluoroscope examination0.001.31N/A0.061.37N/AXXX
    76001AFluoroscope exam, extensive0.672.85N/A0.153.67N/AXXX
    7600126AFluoroscope exam, extensive0.670.230.230.030.930.93XXX
    76001TCAFluoroscope exam, extensive0.002.62N/A0.122.74N/AXXX
    76003ANeedle localization by x-ray0.541.48N/A0.092.11N/AXXX
    7600326ANeedle localization by x-ray0.540.170.170.030.740.74XXX
    76003TCANeedle localization by x-ray0.001.31N/A0.061.37N/AXXX
    76005AFluoroguide for spine inject0.601.46N/A0.092.15N/AXXX
    7600526AFluoroguide for spine inject0.600.160.160.030.790.79XXX
    76005TCAFluoroguide for spine inject0.001.31N/A0.061.37N/AXXX
    76006AX-ray stress view0.410.190.190.040.640.64XXX
    76010AX-ray, nose to rectum0.180.58N/A0.030.79N/AXXX
    7601026AX-ray, nose to rectum0.180.060.060.010.250.25XXX
    76010TCAX-ray, nose to rectum0.000.52N/A0.020.54N/AXXX
    76012CPercut vertebroplasty fluor0.000.000.000.000.000.00XXX
    7601226APercut vertebroplasty fluor1.310.480.480.232.022.02XXX
    76012TCCPercut vertebroplasty fluor0.000.000.000.000.000.00XXX
    76013CPercut vertebroplasty, ct0.000.000.000.000.000.00XXX
    7601326APercut vertebroplasty, ct1.380.490.490.482.352.35XXX
    76013TCCPercut vertebroplasty, ct0.000.000.000.000.000.00XXX
    76020AX-rays for bone age0.190.59N/A0.030.81N/AXXX
    7602026AX-rays for bone age0.190.060.060.010.260.26XXX
    76020TCAX-rays for bone age0.000.52N/A0.020.54N/AXXX
    76040AX-rays, bone evaluation0.270.88N/A0.071.22N/AXXX
    7604026AX-rays, bone evaluation0.270.090.090.030.390.39XXX
    76040TCAX-rays, bone evaluation0.000.78N/A0.040.82N/AXXX
    76061AX-rays, bone survey0.451.15N/A0.071.67N/AXXX
    7606126AX-rays, bone survey0.450.150.150.020.620.62XXX
    76061TCAX-rays, bone survey0.001.00N/A0.051.05N/AXXX
    76062AX-rays, bone survey0.541.62N/A0.092.25N/AXXX
    7606226AX-rays, bone survey0.540.180.180.020.740.74XXX
    76062TCAX-rays, bone survey0.001.44N/A0.071.51N/AXXX
    76065AX-rays, bone evaluation0.700.97N/A0.051.72N/AXXX
    7606526AX-rays, bone evaluation0.700.240.240.010.950.95XXX
    76065TCAX-rays, bone evaluation0.000.73N/A0.040.77N/AXXX
    76066AJoint survey, single view0.311.22N/A0.071.60N/AXXX
    Start Printed Page 49193
    7606626AJoint survey, single view0.310.110.110.020.440.44XXX
    76066TCAJoint survey, single view0.001.11N/A0.051.16N/AXXX
    76070ACt bone density, axial0.253.03N/A0.143.42N/AXXX
    7607026ACt bone density, axial0.250.080.080.010.340.34XXX
    76070TCACt bone density, axial0.002.95N/A0.133.08N/AXXX
    76071ACt bone density, peripheral0.223.02N/A0.053.29N/AXXX
    7607126ACt bone density, peripheral0.220.070.070.010.300.30XXX
    76071TCACt bone density, peripheral0.002.95N/A0.042.99N/AXXX
    76075ADexa, axial skeleton study0.303.20N/A0.153.65N/AXXX
    7607526ADexa, axial skeleton study0.300.100.100.010.410.41XXX
    76075TCADexa, axial skeleton study0.003.09N/A0.143.23N/AXXX
    76076ADexa, peripheral study0.220.83N/A0.051.10N/AXXX
    7607626ADexa, peripheral study0.220.080.080.010.310.31XXX
    76076TCADexa, peripheral study0.000.75N/A0.040.79N/AXXX
    76078ARadiographic absorptiometry0.200.83N/A0.051.08N/AXXX
    7607826ARadiographic absorptiometry0.200.070.070.010.280.28XXX
    76078TCARadiographic absorptiometry0.000.75N/A0.040.79N/AXXX
    76080AX-ray exam of fistula0.541.23N/A0.071.84N/AXXX
    7608026AX-ray exam of fistula0.540.180.180.020.740.74XXX
    76080TCAX-ray exam of fistula0.001.05N/A0.051.10N/AXXX
    76085AComputer mammogram add-on0.060.44N/A0.020.52N/AZZZ
    7608526AComputer mammogram add-on0.060.020.020.010.090.09ZZZ
    76085TCAComputer mammogram add-on0.000.42N/A0.010.43N/AZZZ
    76086AX-ray of mammary duct0.362.74N/A0.143.24N/AXXX
    7608626AX-ray of mammary duct0.360.120.120.020.500.50XXX
    76086TCAX-ray of mammary duct0.002.62N/A0.122.74N/AXXX
    76088AX-ray of mammary ducts0.453.82N/A0.184.45N/AXXX
    7608826AX-ray of mammary ducts0.450.150.150.020.620.62XXX
    76088TCAX-ray of mammary ducts0.003.67N/A0.163.83N/AXXX
    76090AMammogram, one breast0.701.29N/A0.082.07N/AXXX
    7609026AMammogram, one breast0.700.230.230.030.960.96XXX
    76090TCAMammogram, one breast0.001.05N/A0.051.10N/AXXX
    76091AMammogram, both breasts0.871.60N/A0.092.56N/AXXX
    7609126AMammogram, both breasts0.870.290.290.031.191.19XXX
    76091TCAMammogram, both breasts0.001.31N/A0.061.37N/AXXX
    76092AMammogram, screening0.701.46N/A0.092.25N/AXXX
    7609226AMammogram, screening0.700.230.230.030.960.96XXX
    76092TCAMammogram, screening0.001.23N/A0.061.29N/AXXX
    76093AMagnetic image, breast1.6318.18N/A0.8320.64N/AXXX
    7609326AMagnetic image, breast1.630.550.550.072.252.25XXX
    76093TCAMagnetic image, breast0.0017.63N/A0.7618.39N/AXXX
    76094AMagnetic image, both breasts1.6324.46N/A1.1027.19N/AXXX
    7609426AMagnetic image, both breasts1.630.550.550.072.252.25XXX
    76094TCAMagnetic image, both breasts0.0023.92N/A1.0324.95N/AXXX
    76095AStereotactic breast biopsy1.597.70N/A0.409.69N/AXXX
    7609526AStereotactic breast biopsy1.590.540.540.092.222.22XXX
    76095TCAStereotactic breast biopsy0.007.17N/A0.317.48N/AXXX
    76096AX-ray of needle wire, breast0.561.49N/A0.092.14N/AXXX
    7609626AX-ray of needle wire, breast0.560.190.190.030.780.78XXX
    76096TCAX-ray of needle wire, breast0.001.31N/A0.061.37N/AXXX
    Start Printed Page 49194
    76098AX-ray exam, breast specimen0.160.47N/A0.030.66N/AXXX
    7609826AX-ray exam, breast specimen0.160.050.050.010.220.22XXX
    76098TCAX-ray exam, breast specimen0.000.42N/A0.020.44N/AXXX
    76100AX-ray exam of body section0.581.44N/A0.092.11N/AXXX
    7610026AX-ray exam of body section0.580.190.190.030.800.80XXX
    76100TCAX-ray exam of body section0.001.25N/A0.061.31N/AXXX
    76101AComplex body section x-ray0.581.62N/A0.102.30N/AXXX
    7610126AComplex body section x-ray0.580.190.190.030.800.80XXX
    76101TCAComplex body section x-ray0.001.42N/A0.071.49N/AXXX
    76102AComplex body section x-rays0.581.93N/A0.122.63N/AXXX
    7610226AComplex body section x-rays0.580.200.200.030.810.81XXX
    76102TCAComplex body section x-rays0.001.73N/A0.091.82N/AXXX
    76120ACine/video x-rays0.381.19N/A0.071.64N/AXXX
    7612026ACine/video x-rays0.380.130.130.020.530.53XXX
    76120TCACine/video x-rays0.001.05N/A0.051.10N/AXXX
    76125ACine/video x-rays add-on0.270.88N/A0.051.20N/AZZZ
    7612526ACine/video x-rays add-on0.270.090.090.010.370.37ZZZ
    76125TCACine/video x-rays add-on0.000.78N/A0.040.82N/AZZZ
    76140IX-ray consultation0.000.000.000.000.000.00XXX
    76150AX-ray exam, dry process0.000.42N/A0.020.44N/AXXX
    76350CSpecial x-ray contrast study0.000.000.000.000.000.00XXX
    76355ACAT scan for localization1.218.67N/A0.4110.29N/AXXX
    7635526ACAT scan for localization1.210.410.410.061.681.68XXX
    76355TCACAT scan for localization0.008.26N/A0.358.61N/AXXX
    76360ACAT scan for needle biopsy1.168.65N/A0.4010.21N/AXXX
    7636026ACAT scan for needle biopsy1.160.390.390.051.601.60XXX
    76360TCACAT scan for needle biopsy0.008.26N/A0.358.61N/AXXX
    76362ACat scan for tissue ablation4.009.59N/A1.3914.98N/AXXX
    7636226ACat scan for tissue ablation4.001.331.330.185.515.51XXX
    76362TCACat scan for tissue ablation0.008.26N/A1.219.47N/AXXX
    76370ACAT scan for therapy guide0.853.23N/A0.174.25N/AXXX
    7637026ACAT scan for therapy guide0.850.280.280.041.171.17XXX
    76370TCACAT scan for therapy guide0.002.95N/A0.133.08N/AXXX
    76375A3d/holograph reconstr add-on0.163.59N/A0.163.91N/AXXX
    7637526A3d/holograph reconstr add-on0.160.050.050.010.220.22XXX
    76375TCA3d/holograph reconstr add-on0.003.54N/A0.153.69N/AXXX
    76380ACAT scan follow-up study0.983.83N/A0.195.00N/AXXX
    7638026ACAT scan follow-up study0.980.330.330.041.351.35XXX
    76380TCACAT scan follow-up study0.003.50N/A0.153.65N/AXXX
    76390NMr spectroscopy1.4011.68N/A0.5513.63N/AXXX
    7639026NMr spectroscopy1.400.470.470.061.931.93XXX
    Start Printed Page 49195
    76390TCNMr spectroscopy0.0011.21N/A0.4911.70N/AXXX
    76393AMr guidance for needle place1.5011.72N/A0.5313.75N/AXXX
    7639326AMr guidance for needle place1.500.510.510.072.082.08XXX
    76393TCAMr guidance for needle place0.0011.21N/A0.4611.67N/AXXX
    76394AMri for tissue ablation4.2512.63N/A1.4818.36N/AXXX
    7639426AMri for tissue ablation4.251.421.420.195.865.86XXX
    76394TCAMri for tissue ablation0.0011.21N/A1.2912.50N/AXXX
    76400AMagnetic image, bone marrow1.6011.74N/A0.5613.90N/AXXX
    7640026AMagnetic image, bone marrow1.600.540.540.072.212.21XXX
    76400TCAMagnetic image, bone marrow0.0011.21N/A0.4911.70N/AXXX
    76490AUs for tissue ablation4.002.85N/A0.357.20N/AXXX
    7649026AUs for tissue ablation4.001.331.330.115.445.44XXX
    76490TCAUs for tissue ablation0.001.52N/A0.241.76N/AXXX
    76496CFluoroscopic procedure0.000.000.000.000.000.00XXX
    7649626CFluoroscopic procedure0.000.000.000.000.000.00XXX
    76496TCCFluoroscopic procedure0.000.000.000.000.000.00XXX
    76497CCt procedure0.000.000.000.000.000.00XXX
    7649726CCt procedure0.000.000.000.000.000.00XXX
    76497TCCCt procedure0.000.000.000.000.000.00XXX
    76498CMri procedure0.000.000.000.000.000.00XXX
    7649826CMri procedure0.000.000.000.000.000.00XXX
    76498TCCMri procedure0.000.000.000.000.000.00XXX
    76499CRadiographic procedure0.000.000.000.000.000.00XXX
    7649926CRadiographic procedure0.000.000.000.000.000.00XXX
    76499TCCRadiographic procedure0.000.000.000.000.000.00XXX
    76506AEcho exam of head0.631.67N/A0.102.40N/AXXX
    7650626AEcho exam of head0.630.250.250.030.910.91XXX
    76506TCAEcho exam of head0.001.42N/A0.071.49N/AXXX
    76511AEcho exam of eye0.941.12N/A0.082.14N/AXXX
    7651126AEcho exam of eye0.940.410.410.021.371.37XXX
    76511TCAEcho exam of eye0.000.71N/A0.060.77N/AXXX
    76512AEcho exam of eye0.661.04N/A0.091.79N/AXXX
    7651226AEcho exam of eye0.660.300.300.010.970.97XXX
    76512TCAEcho exam of eye0.000.74N/A0.080.82N/AXXX
    76513AEcho exam of eye, water bath0.661.12N/A0.091.87N/AXXX
    7651326AEcho exam of eye, water bath0.660.300.300.010.970.97XXX
    76513TCAEcho exam of eye, water bath0.000.82N/A0.080.90N/AXXX
    76516AEcho exam of eye0.540.74N/A0.071.35N/AXXX
    7651626AEcho exam of eye0.540.250.250.010.800.80XXX
    76516TCAEcho exam of eye0.000.49N/A0.060.55N/AXXX
    76519AEcho exam of eye0.540.83N/A0.071.44N/AXXX
    7651926AEcho exam of eye0.540.250.250.010.800.80XXX
    76519TCAEcho exam of eye0.000.58N/A0.060.64N/AXXX
    76529AEcho exam of eye0.570.78N/A0.081.43N/AXXX
    7652926AEcho exam of eye0.570.250.250.010.830.83XXX
    76529TCAEcho exam of eye0.000.53N/A0.070.60N/AXXX
    76536AUs exam of head and neck0.561.61N/A0.092.26N/AXXX
    7653626AUs exam of head and neck0.560.190.190.020.770.77XXX
    76536TCAUs exam of head and neck0.001.42N/A0.071.49N/AXXX
    76604AUs exam, chest, b-scan0.551.49N/A0.082.12N/AXXX
    7660426AUs exam, chest, b-scan0.550.180.180.020.750.75XXX
    76604TCAUs exam, chest, b-scan0.001.31N/A0.061.37N/AXXX
    76645AUs exam, breast(s)0.541.23N/A0.081.85N/AXXX
    7664526AUs exam, breast(s)0.540.180.180.030.750.75XXX
    Start Printed Page 49196
    76645TCAUs exam, breast(s)0.001.05N/A0.051.10N/AXXX
    76700AUs exam, abdom, complete0.812.24N/A0.133.18N/AXXX
    7670026AUs exam, abdom, complete0.810.270.270.041.121.12XXX
    76700TCAUs exam, abdom, complete0.001.97N/A0.092.06N/AXXX
    76705AEcho exam of abdomen0.591.62N/A0.102.31N/AXXX
    7670526AEcho exam of abdomen0.590.200.200.030.820.82XXX
    76705TCAEcho exam of abdomen0.001.42N/A0.071.49N/AXXX
    76770AUs exam abdo back wall, comp0.742.22N/A0.123.08N/AXXX
    7677026AUs exam abdo back wall, comp0.740.250.250.031.021.02XXX
    76770TCAUs exam abdo back wall, comp0.001.97N/A0.092.06N/AXXX
    76775AUs eam abdo back wall, lim0.581.62N/A0.102.30N/AXXX
    7677526AUs eam abdo back wall, lim0.580.190.190.030.800.80XXX
    76775TCAUs eam abdo back wall, lim0.001.42N/A0.071.49N/AXXX
    76778AUs exam kidney transplant0.742.22N/A0.123.08N/AXXX
    7677826AUs exam kidney transplant0.740.250.250.031.021.02XXX
    76778TCAUs exam kidney transplant0.001.97N/A0.092.06N/AXXX
    76800AUs exam, spinal canal1.131.77N/A0.113.01N/AXXX
    7680026AUs exam, spinal canal1.130.350.350.041.521.52XXX
    76800TCAUs exam, spinal canal0.001.42N/A0.071.49N/AXXX
    76801AOb us < 14 wks, single fetus0.992.45N/A0.143.58N/AXXX
    7680126AOb us < 14 wks, single fetus0.990.350.350.041.381.38XXX
    76801TCAOb us < 14 wks, single fetus0.002.10N/A0.102.20N/AXXX
    76802AOb us < 14 wks, addl fetus0.831.35N/A0.142.32N/AZZZ
    7680226AOb us < 14 wks, addl fetus0.830.290.290.041.161.16ZZZ
    76802TCAOb us < 14 wks, addl fetus0.001.05N/A0.101.15N/AZZZ
    76805AOb us >/= 14 wks, sngl fetus0.992.45N/A0.143.58N/AXXX
    7680526AOb us >/= 14 wks, sngl fetus0.990.350.350.041.381.38XXX
    76805TCAOb us >/= 14 wks, sngl fetus0.002.10N/A0.102.20N/AXXX
    76810AOb us >/= 14 wks, addl fetus0.981.41N/A0.252.64N/AZZZ
    7681026AOb us >/= 14 wks, addl fetus0.980.350.350.071.401.40ZZZ
    76810TCAOb us >/= 14 wks, addl fetus0.001.05N/A0.181.23N/AZZZ
    76811AOb us, detailed, sngl fetus1.904.20N/A0.516.61N/AXXX
    7681126AOb us, detailed, sngl fetus1.900.670.670.152.722.72XXX
    76811TCAOb us, detailed, sngl fetus0.003.53N/A0.363.89N/AXXX
    76812AOb us, detailed, addl fetus1.781.70N/A0.463.94N/AZZZ
    7681226AOb us, detailed, addl fetus1.780.640.640.122.542.54ZZZ
    76812TCAOb us, detailed, addl fetus0.001.05N/A0.341.39N/AZZZ
    76815AOb us, limited, fetus(s)0.651.66N/A0.092.40N/AXXX
    7681526AOb us, limited, fetus(s)0.650.240.240.020.910.91XXX
    76815TCAOb us, limited, fetus(s)0.001.42N/A0.071.49N/AXXX
    76816AOb us, follow-up, per fetus0.851.43N/A0.072.35N/AXXX
    7681626AOb us, follow-up, per fetus0.850.320.320.021.191.19XXX
    76816TCAOb us, follow-up, per fetus0.001.11N/A0.051.16N/AXXX
    76817ATransvaginal us, obstetric0.751.80N/A0.072.62N/AXXX
    7681726ATransvaginal us, obstetric0.750.280.280.021.051.05XXX
    Start Printed Page 49197
    76817TCATransvaginal us, obstetric0.001.52N/A0.051.57N/AXXX
    76818AFetal biophys profile w/nst1.052.01N/A0.123.18N/AXXX
    7681826AFetal biophys profile w/nst1.050.400.400.041.491.49XXX
    76818TCAFetal biophys profile w/nst0.001.61N/A0.081.69N/AXXX
    76819AFetal biophys profil w/o nst0.771.90N/A0.102.77N/AXXX
    7681926AFetal biophys profil w/o nst0.770.290.290.021.081.08XXX
    76819TCAFetal biophys profil w/o nst0.001.61N/A0.081.69N/AXXX
    76825AEcho exam of fetal heart1.672.59N/A0.154.41N/AXXX
    7682526AEcho exam of fetal heart1.670.620.620.062.352.35XXX
    76825TCAEcho exam of fetal heart0.001.97N/A0.092.06N/AXXX
    76826AEcho exam of fetal heart0.831.00N/A0.071.90N/AXXX
    7682626AEcho exam of fetal heart0.830.300.300.031.161.16XXX
    76826TCAEcho exam of fetal heart0.000.71N/A0.040.75N/AXXX
    76827AEcho exam of fetal heart0.581.94N/A0.122.64N/AXXX
    7682726AEcho exam of fetal heart0.580.220.220.020.820.82XXX
    76827TCAEcho exam of fetal heart0.001.72N/A0.101.82N/AXXX
    76828AEcho exam of fetal heart0.561.33N/A0.091.98N/AXXX
    7682826AEcho exam of fetal heart0.560.220.220.020.800.80XXX
    76828TCAEcho exam of fetal heart0.001.11N/A0.071.18N/AXXX
    76830ATransvaginal us, non-ob0.691.75N/A0.112.55N/AXXX
    7683026ATransvaginal us, non-ob0.690.230.230.030.950.95XXX
    76830TCATransvaginal us, non-ob0.001.52N/A0.081.60N/AXXX
    76831AEcho exam, uterus0.721.78N/A0.102.60N/AXXX
    7683126AEcho exam, uterus0.720.260.260.021.001.00XXX
    76831TCAEcho exam, uterus0.001.52N/A0.081.60N/AXXX
    76856AUs exam, pelvic, complete0.691.75N/A0.112.55N/AXXX
    7685626AUs exam, pelvic, complete0.690.230.230.030.950.95XXX
    76856TCAUs exam, pelvic, complete0.001.52N/A0.081.60N/AXXX
    76857AUs exam, pelvic, limited0.381.68N/A0.072.13N/AXXX
    7685726AUs exam, pelvic, limited0.380.130.130.020.530.53XXX
    76857TCAUs exam, pelvic, limited0.001.55N/A0.051.60N/AXXX
    76870AUs exam, scrotum0.641.73N/A0.112.48N/AXXX
    7687026AUs exam, scrotum0.640.210.210.030.880.88XXX
    76870TCAUs exam, scrotum0.001.52N/A0.081.60N/AXXX
    76872AEcho exam, transrectal0.691.97N/A0.122.78N/AXXX
    7687226AEcho exam, transrectal0.690.230.230.040.960.96XXX
    76872TCAEcho exam, transrectal0.001.75N/A0.081.83N/AXXX
    76873AEchograp trans r, pros study1.552.61N/A0.214.37N/AXXX
    7687326AEchograp trans r, pros study1.550.510.510.082.142.14XXX
    76873TCAEchograp trans r, pros study0.002.10N/A0.132.23N/AXXX
    76880AUs exam, extremity0.591.62N/A0.102.31N/AXXX
    7688026AUs exam, extremity0.590.200.200.030.820.82XXX
    76880TCAUs exam, extremity0.001.42N/A0.071.49N/AXXX
    76885AUs exam infant hips, dynamic0.741.77N/A0.112.62N/AXXX
    7688526AUs exam infant hips, dynamic0.740.250.250.031.021.02XXX
    76885TCAUs exam infant hips, dynamic0.001.52N/A0.081.60N/AXXX
    76886AUs exam infant hips, static0.621.63N/A0.102.35N/AXXX
    7688626AUs exam infant hips, static0.620.210.210.030.860.86XXX
    76886TCAUs exam infant hips, static0.001.42N/A0.071.49N/AXXX
    76930AEcho guide, cardiocentesis0.671.78N/A0.102.55N/AXXX
    7693026AEcho guide, cardiocentesis0.670.260.260.020.950.95XXX
    76930TCAEcho guide, cardiocentesis0.001.52N/A0.081.60N/AXXX
    76932AEcho guide for heart biopsy0.671.78N/A0.102.55N/AXXX
    7693226AEcho guide for heart biopsy0.670.260.260.020.950.95XXX
    76932TCAEcho guide for heart biopsy0.001.52N/A0.081.60N/AXXX
    76936AEcho guide for artery repair1.996.97N/A0.399.35N/AXXX
    Start Printed Page 49198
    7693626AEcho guide for artery repair1.990.680.680.112.782.78XXX
    76936TCAEcho guide for artery repair0.006.30N/A0.286.58N/AXXX
    76941AEcho guide for transfusion1.342.01N/A0.133.48N/AXXX
    7694126AEcho guide for transfusion1.340.490.490.061.891.89XXX
    76941TCAEcho guide for transfusion0.001.53N/A0.071.60N/AXXX
    76942AEcho guide for biopsy0.673.40N/A0.124.19N/AXXX
    7694226AEcho guide for biopsy0.670.220.220.040.930.93XXX
    76942TCAEcho guide for biopsy0.003.18N/A0.083.26N/AXXX
    76945AEcho guide, villus sampling0.671.76N/A0.102.53N/AXXX
    7694526AEcho guide, villus sampling0.670.230.230.030.930.93XXX
    76945TCAEcho guide, villus sampling0.001.53N/A0.071.60N/AXXX
    76946AEcho guide for amniocentesis0.381.66N/A0.092.13N/AXXX
    7694626AEcho guide for amniocentesis0.380.140.140.010.530.53XXX
    76946TCAEcho guide for amniocentesis0.001.52N/A0.081.60N/AXXX
    76948AEcho guide, ova aspiration0.381.65N/A0.102.13N/AXXX
    7694826AEcho guide, ova aspiration0.380.130.130.020.530.53XXX
    76948TCAEcho guide, ova aspiration0.001.52N/A0.081.60N/AXXX
    76950AEcho guidance radiotherapy0.581.49N/A0.092.16N/AXXX
    7695026AEcho guidance radiotherapy0.580.190.190.030.800.80XXX
    76950TCAEcho guidance radiotherapy0.001.31N/A0.061.37N/AXXX
    76965AEcho guidance radiotherapy1.346.01N/A0.317.66N/AXXX
    7696526AEcho guidance radiotherapy1.340.440.440.071.851.85XXX
    76965TCAEcho guidance radiotherapy0.005.57N/A0.245.81N/AXXX
    76970AUltrasound exam follow-up0.401.19N/A0.071.66N/AXXX
    7697026AUltrasound exam follow-up0.400.140.140.020.560.56XXX
    76970TCAUltrasound exam follow-up0.001.05N/A0.051.10N/AXXX
    76975AGI endoscopic ultrasound0.811.80N/A0.112.72N/AXXX
    7697526AGI endoscopic ultrasound0.810.280.280.031.121.12XXX
    76975TCAGI endoscopic ultrasound0.001.52N/A0.081.60N/AXXX
    76977AUs bone density measure0.050.84N/A0.050.94N/AXXX
    7697726AUs bone density measure0.050.020.020.010.080.08XXX
    76977TCAUs bone density measure0.000.82N/A0.040.86N/AXXX
    76986AUltrasound guide intraoper1.203.03N/A0.194.42N/AXXX
    7698626AUltrasound guide intraoper1.200.410.410.071.681.68XXX
    76986TCAUltrasound guide intraoper0.002.62N/A0.122.74N/AXXX
    76999CEcho examination procedure0.000.000.000.000.000.00XXX
    7699926CEcho examination procedure0.000.000.000.000.000.00XXX
    76999TCCEcho examination procedure0.000.000.000.000.000.00XXX
    77261ARadiation therapy planning1.390.520.520.061.971.97XXX
    77262ARadiation therapy planning2.110.770.770.092.972.97XXX
    77263ARadiation therapy planning3.141.131.130.134.404.40XXX
    77280ASet radiation therapy field0.703.70N/A0.184.58N/AXXX
    7728026ASet radiation therapy field0.700.230.230.030.960.96XXX
    77280TCASet radiation therapy field0.003.47N/A0.153.62N/AXXX
    77285ASet radiation therapy field1.055.91N/A0.297.25N/AXXX
    7728526ASet radiation therapy field1.050.340.340.041.431.43XXX
    77285TCASet radiation therapy field0.005.57N/A0.255.82N/AXXX
    77290ASet radiation therapy field1.567.01N/A0.358.92N/AXXX
    7729026ASet radiation therapy field1.560.500.500.062.122.12XXX
    Start Printed Page 49199
    77290TCASet radiation therapy field0.006.51N/A0.296.80N/AXXX
    77295ASet radiation therapy field4.5729.41N/A1.4135.39N/AXXX
    7729526ASet radiation therapy field4.571.481.480.186.236.23XXX
    77295TCASet radiation therapy field0.0027.94N/A1.2329.17N/AXXX
    77299CRadiation therapy planning0.000.000.000.000.000.00XXX
    7729926CRadiation therapy planning0.000.000.000.000.000.00XXX
    77299TCCRadiation therapy planning0.000.000.000.000.000.00XXX
    77300ARadiation therapy dose plan0.621.54N/A0.092.25N/AXXX
    7730026ARadiation therapy dose plan0.620.200.200.030.850.85XXX
    77300TCARadiation therapy dose plan0.001.34N/A0.061.40N/AXXX
    77301ARadiotherapy dose plan, imrt8.0030.52N/A1.4139.93N/AXXX
    7730126ARadiotherapy dose plan, imrt8.002.592.590.1810.7710.77XXX
    77301TCARadiotherapy dose plan, imrt0.0027.94N/A1.2329.17N/AXXX
    77305ATeletx isodose plan simple0.702.08N/A0.122.90N/AXXX
    7730526ATeletx isodose plan simple0.700.230.230.030.960.96XXX
    77305TCATeletx isodose plan simple0.001.86N/A0.091.95N/AXXX
    77310ATeletx isodose plan intermed1.052.67N/A0.153.87N/AXXX
    7731026ATeletx isodose plan intermed1.050.340.340.041.431.43XXX
    77310TCATeletx isodose plan intermed0.002.33N/A0.112.44N/AXXX
    77315ATeletx isodose plan complex1.563.16N/A0.184.90N/AXXX
    7731526ATeletx isodose plan complex1.560.500.500.062.122.12XXX
    77315TCATeletx isodose plan complex0.002.66N/A0.122.78N/AXXX
    77321ASpecial teletx port plan0.954.35N/A0.215.51N/AXXX
    7732126ASpecial teletx port plan0.950.310.310.041.301.30XXX
    77321TCASpecial teletx port plan0.004.04N/A0.174.21N/AXXX
    77326ABrachytx isodose calc simp0.932.66N/A0.153.74N/AXXX
    7732626ABrachytx isodose calc simp0.930.300.300.041.271.27XXX
    77326TCABrachytx isodose calc simp0.002.36N/A0.112.47N/AXXX
    77327ABrachytx isodose calc interm1.393.92N/A0.215.52N/AXXX
    7732726ABrachytx isodose calc interm1.390.450.450.061.901.90XXX
    77327TCABrachytx isodose calc interm0.003.47N/A0.153.62N/AXXX
    77328ABrachytx isodose plan compl2.095.64N/A0.308.03N/AXXX
    7732826ABrachytx isodose plan compl2.090.680.680.092.862.86XXX
    77328TCABrachytx isodose plan compl0.004.96N/A0.215.17N/AXXX
    77331ASpecial radiation dosimetry0.870.78N/A0.061.71N/AXXX
    7733126ASpecial radiation dosimetry0.870.280.280.041.191.19XXX
    77331TCASpecial radiation dosimetry0.000.50N/A0.020.52N/AXXX
    77332ARadiation treatment aid(s)0.541.52N/A0.082.14N/AXXX
    7733226ARadiation treatment aid(s)0.540.170.170.020.730.73XXX
    77332TCARadiation treatment aid(s)0.001.34N/A0.061.40N/AXXX
    77333ARadiation treatment aid(s)0.842.17N/A0.133.14N/AXXX
    7733326ARadiation treatment aid(s)0.840.270.270.041.151.15XXX
    Start Printed Page 49200
    77333TCARadiation treatment aid(s)0.001.90N/A0.091.99N/AXXX
    77334ARadiation treatment aid(s)1.243.65N/A0.195.08N/AXXX
    7733426ARadiation treatment aid(s)1.240.400.400.051.691.69XXX
    77334TCARadiation treatment aid(s)0.003.25N/A0.143.39N/AXXX
    77336ARadiation physics consult0.002.98N/A0.133.11N/AXXX
    77370ARadiation physics consult0.003.49N/A0.153.64N/AXXX
    77399CExternal radiation dosimetry0.000.000.000.000.000.00XXX
    7739926CExternal radiation dosimetry0.000.000.000.000.000.00XXX
    77399TCCExternal radiation dosimetry0.000.000.000.000.000.00XXX
    77401ARadiation treatment delivery0.001.77N/A0.091.86N/AXXX
    77402ARadiation treatment delivery0.001.77N/A0.091.86N/AXXX
    77403ARadiation treatment delivery0.001.77N/A0.091.86N/AXXX
    77404ARadiation treatment delivery0.001.77N/A0.091.86N/AXXX
    77406ARadiation treatment delivery0.001.77N/A0.091.86N/AXXX
    77407ARadiation treatment delivery0.002.09N/A0.102.19N/AXXX
    77408ARadiation treatment delivery0.002.09N/A0.102.19N/AXXX
    77409ARadiation treatment delivery0.002.09N/A0.102.19N/AXXX
    77411ARadiation treatment delivery0.002.09N/A0.102.19N/AXXX
    77412ARadiation treatment delivery0.002.33N/A0.112.44N/AXXX
    77413ARadiation treatment delivery0.002.33N/A0.112.44N/AXXX
    77414ARadiation treatment delivery0.002.33N/A0.112.44N/AXXX
    77416ARadiation treatment delivery0.002.33N/A0.112.44N/AXXX
    77417ARadiology port film(s)0.000.59N/A0.030.62N/AXXX
    77418ARadiation tx delivery, imrt0.0011.61N/A0.1111.72N/AXXX
    77427ARadiation tx management, x53.311.071.070.144.524.52XXX
    77431ARadiation therapy management1.810.690.690.072.572.57XXX
    77432AStereotactic radiation trmt7.932.952.950.3311.2111.21XXX
    77470ASpecial radiation treatment2.0911.82N/A0.5814.49N/AXXX
    7747026ASpecial radiation treatment2.090.670.670.092.852.85XXX
    77470TCASpecial radiation treatment0.0011.15N/A0.4911.64N/AXXX
    77499CRadiation therapy management0.000.000.000.000.000.00XXX
    7749926CRadiation therapy management0.000.000.000.000.000.00XXX
    77499TCCRadiation therapy management0.000.000.000.000.000.00XXX
    77520CProton trmt, simple w/o comp0.000.000.000.000.000.00XXX
    77522CProton trmt, simple w/comp0.000.000.000.000.000.00XXX
    77523CProton trmt, intermediate0.000.000.000.000.000.00XXX
    77525CProton treatment, complex0.000.000.000.000.000.00XXX
    77600RHyperthermia treatment1.563.55N/A0.215.32N/AXXX
    7760026RHyperthermia treatment1.560.500.500.082.142.14XXX
    77600TCRHyperthermia treatment0.003.05N/A0.133.18N/AXXX
    77605RHyperthermia treatment2.094.73N/A0.317.13N/AXXX
    7760526RHyperthermia treatment2.090.670.670.132.892.89XXX
    77605TCRHyperthermia treatment0.004.06N/A0.184.24N/AXXX
    Start Printed Page 49201
    77610RHyperthermia treatment1.563.56N/A0.205.32N/AXXX
    7761026RHyperthermia treatment1.560.520.520.072.152.15XXX
    77610TCRHyperthermia treatment0.003.05N/A0.133.18N/AXXX
    77615RHyperthermia treatment2.094.73N/A0.277.09N/AXXX
    7761526RHyperthermia treatment2.090.670.670.092.852.85XXX
    77615TCRHyperthermia treatment0.004.06N/A0.184.24N/AXXX
    77620RHyperthermia treatment1.563.57N/A0.195.32N/AXXX
    7762026RHyperthermia treatment1.560.530.530.062.152.15XXX
    77620TCRHyperthermia treatment0.003.05N/A0.133.18N/AXXX
    77750AInfuse radioactive materials4.912.93N/A0.238.07N/A090
    7775026AInfuse radioactive materials4.911.601.600.176.686.68090
    77750TCAInfuse radioactive materials0.001.33N/A0.061.39N/A090
    77761AApply intrcav radiat simple3.813.62N/A0.287.71N/A090
    7776126AApply intrcav radiat simple3.811.111.110.165.085.08090
    77761TCAApply intrcav radiat simple0.002.50N/A0.122.62N/A090
    77762AApply intrcav radiat interm5.725.46N/A0.3811.56N/A090
    7776226AApply intrcav radiat interm5.721.861.860.227.807.80090
    77762TCAApply intrcav radiat interm0.003.61N/A0.163.77N/A090
    77763AApply intrcav radiat compl8.577.26N/A0.5316.36N/A090
    7776326AApply intrcav radiat compl8.572.772.770.3411.6811.68090
    77763TCAApply intrcav radiat compl0.004.49N/A0.194.68N/A090
    77776AApply interstit radiat simpl4.663.14N/A0.358.15N/A090
    7777626AApply interstit radiat simpl4.660.970.970.245.875.87090
    77776TCAApply interstit radiat simpl0.002.18N/A0.112.29N/A090
    77777AApply interstit radiat inter7.486.63N/A0.5014.61N/A090
    7777726AApply interstit radiat inter7.482.392.390.3210.1910.19090
    77777TCAApply interstit radiat inter0.004.24N/A0.184.42N/A090
    77778AApply interstit radiat compl11.198.74N/A0.6920.62N/A090
    7777826AApply interstit radiat compl11.193.613.610.4715.2715.27090
    77778TCAApply interstit radiat compl0.005.14N/A0.225.36N/A090
    77781AHigh intensity brachytherapy1.6620.85N/A0.9523.46N/A090
    7778126AHigh intensity brachytherapy1.660.540.540.072.272.27090
    77781TCAHigh intensity brachytherapy0.0020.31N/A0.8821.19N/A090
    77782AHigh intensity brachytherapy2.4921.11N/A0.9824.58N/A090
    7778226AHigh intensity brachytherapy2.490.810.810.103.403.40090
    77782TCAHigh intensity brachytherapy0.0020.31N/A0.8821.19N/A090
    77783AHigh intensity brachytherapy3.7321.51N/A1.0326.27N/A090
    7778326AHigh intensity brachytherapy3.731.201.200.155.085.08090
    77783TCAHigh intensity brachytherapy0.0020.31N/A0.8821.19N/A090
    77784AHigh intensity brachytherapy5.6122.11N/A1.1028.82N/A090
    7778426AHigh intensity brachytherapy5.611.811.810.227.647.64090
    77784TCAHigh intensity brachytherapy0.0020.31N/A0.8821.19N/A090
    77789AApply surface radiation1.120.83N/A0.052.00N/A000
    7778926AApply surface radiation1.120.370.370.031.521.52000
    77789TCAApply surface radiation0.000.45N/A0.020.47N/A000
    77790ARadiation handling1.050.84N/A0.061.95N/AXXX
    7779026ARadiation handling1.050.340.340.041.431.43XXX
    77790TCARadiation handling0.000.50N/A0.020.52N/AXXX
    77799CRadium/radioisotope therapy0.000.000.000.000.000.00XXX
    Start Printed Page 49202
    7779926CRadium/radioisotope therapy0.000.000.000.000.000.00XXX
    77799TCCRadium/radioisotope therapy0.000.000.000.000.000.00XXX
    78000AThyroid, single uptake0.191.03N/A0.061.28N/AXXX
    7800026AThyroid, single uptake0.190.070.070.010.270.27XXX
    78000TCAThyroid, single uptake0.000.97N/A0.051.02N/AXXX
    78001AThyroid, multiple uptakes0.261.40N/A0.071.73N/AXXX
    7800126AThyroid, multiple uptakes0.260.090.090.010.360.36XXX
    78001TCAThyroid, multiple uptakes0.001.31N/A0.061.37N/AXXX
    78003AThyroid suppress/stimul0.331.08N/A0.061.47N/AXXX
    7800326AThyroid suppress/stimul0.330.110.110.010.450.45XXX
    78003TCAThyroid suppress/stimul0.000.97N/A0.051.02N/AXXX
    78006AThyroid imaging with uptake0.492.55N/A0.133.17N/AXXX
    7800626AThyroid imaging with uptake0.490.170.170.020.680.68XXX
    78006TCAThyroid imaging with uptake0.002.38N/A0.112.49N/AXXX
    78007AThyroid image, mult uptakes0.502.74N/A0.143.38N/AXXX
    7800726AThyroid image, mult uptakes0.500.170.170.020.690.69XXX
    78007TCAThyroid image, mult uptakes0.002.57N/A0.122.69N/AXXX
    78010AThyroid imaging0.391.95N/A0.112.45N/AXXX
    7801026AThyroid imaging0.390.130.130.020.540.54XXX
    78010TCAThyroid imaging0.001.82N/A0.091.91N/AXXX
    78011AThyroid imaging with flow0.452.56N/A0.133.14N/AXXX
    7801126AThyroid imaging with flow0.450.160.160.020.630.63XXX
    78011TCAThyroid imaging with flow0.002.41N/A0.112.52N/AXXX
    78015AThyroid met imaging0.672.80N/A0.153.62N/AXXX
    7801526AThyroid met imaging0.670.230.230.030.930.93XXX
    78015TCAThyroid met imaging0.002.57N/A0.122.69N/AXXX
    78016AThyroid met imaging/studies0.823.77N/A0.184.77N/AXXX
    7801626AThyroid met imaging/studies0.820.290.290.031.141.14XXX
    78016TCAThyroid met imaging/studies0.003.48N/A0.153.63N/AXXX
    78018AThyroid met imaging, body0.865.73N/A0.276.86N/AXXX
    7801826AThyroid met imaging, body0.860.300.300.031.191.19XXX
    78018TCAThyroid met imaging, body0.005.43N/A0.245.67N/AXXX
    78020AThyroid met uptake0.601.52N/A0.142.26N/AZZZ
    7802026AThyroid met uptake0.600.210.210.020.830.83ZZZ
    78020TCAThyroid met uptake0.001.31N/A0.121.43N/AZZZ
    78070AParathyroid nuclear imaging0.822.10N/A0.123.04N/AXXX
    7807026AParathyroid nuclear imaging0.820.280.280.031.131.13XXX
    78070TCAParathyroid nuclear imaging0.001.82N/A0.091.91N/AXXX
    78075AAdrenal nuclear imaging0.745.69N/A0.276.70N/AXXX
    7807526AAdrenal nuclear imaging0.740.270.270.031.041.04XXX
    78075TCAAdrenal nuclear imaging0.005.43N/A0.245.67N/AXXX
    78099CEndocrine nuclear procedure0.000.000.000.000.000.00XXX
    7809926CEndocrine nuclear procedure0.000.000.000.000.000.00XXX
    78099TCCEndocrine nuclear procedure0.000.000.000.000.000.00XXX
    78102ABone marrow imaging, ltd0.552.24N/A0.122.91N/AXXX
    7810226ABone marrow imaging, ltd0.550.200.200.020.770.77XXX
    78102TCABone marrow imaging, ltd0.002.04N/A0.102.14N/AXXX
    78103ABone marrow imaging, mult0.753.43N/A0.174.35N/AXXX
    Start Printed Page 49203
    7810326ABone marrow imaging, mult0.750.260.260.031.041.04XXX
    78103TCABone marrow imaging, mult0.003.17N/A0.143.31N/AXXX
    78104ABone marrow imaging, body0.804.35N/A0.215.36N/AXXX
    7810426ABone marrow imaging, body0.800.280.280.031.111.11XXX
    78104TCABone marrow imaging, body0.004.07N/A0.184.25N/AXXX
    78110APlasma volume, single0.191.02N/A0.061.27N/AXXX
    7811026APlasma volume, single0.190.070.070.010.270.27XXX
    78110TCAPlasma volume, single0.000.95N/A0.051.00N/AXXX
    78111APlasma volume, multiple0.222.65N/A0.133.00N/AXXX
    7811126APlasma volume, multiple0.220.080.080.010.310.31XXX
    78111TCAPlasma volume, multiple0.002.57N/A0.122.69N/AXXX
    78120ARed cell mass, single0.231.81N/A0.102.14N/AXXX
    7812026ARed cell mass, single0.230.080.080.010.320.32XXX
    78120TCARed cell mass, single0.001.73N/A0.091.82N/AXXX
    78121ARed cell mass, multiple0.323.03N/A0.133.48N/AXXX
    7812126ARed cell mass, multiple0.320.120.120.010.450.45XXX
    78121TCARed cell mass, multiple0.002.91N/A0.123.03N/AXXX
    78122ABlood volume0.454.76N/A0.225.43N/AXXX
    7812226ABlood volume0.450.160.160.020.630.63XXX
    78122TCABlood volume0.004.60N/A0.204.80N/AXXX
    78130ARed cell survival study0.613.07N/A0.153.83N/AXXX
    7813026ARed cell survival study0.610.210.210.030.850.85XXX
    78130TCARed cell survival study0.002.85N/A0.122.97N/AXXX
    78135ARed cell survival kinetics0.645.10N/A0.245.98N/AXXX
    7813526ARed cell survival kinetics0.640.220.220.030.890.89XXX
    78135TCARed cell survival kinetics0.004.87N/A0.215.08N/AXXX
    78140ARed cell sequestration0.614.14N/A0.204.95N/AXXX
    7814026ARed cell sequestration0.610.210.210.030.850.85XXX
    78140TCARed cell sequestration0.003.94N/A0.174.11N/AXXX
    78160APlasma iron turnover0.333.79N/A0.194.31N/AXXX
    7816026APlasma iron turnover0.330.120.120.030.480.48XXX
    78160TCAPlasma iron turnover0.003.67N/A0.163.83N/AXXX
    78162ARadioiron absorption exam0.453.39N/A0.153.99N/AXXX
    7816226ARadioiron absorption exam0.450.190.190.010.650.65XXX
    78162TCARadioiron absorption exam0.003.20N/A0.143.34N/AXXX
    78170ARed cell iron utilization0.415.45N/A0.276.13N/AXXX
    7817026ARed cell iron utilization0.410.140.140.040.590.59XXX
    78170TCARed cell iron utilization0.005.31N/A0.235.54N/AXXX
    78172CTotal body iron estimation0.000.000.000.000.000.00XXX
    7817226ATotal body iron estimation0.530.180.180.020.730.73XXX
    78172TCCTotal body iron estimation0.000.000.000.000.000.00XXX
    78185ASpleen imaging0.402.50N/A0.133.03N/AXXX
    7818526ASpleen imaging0.400.140.140.020.560.56XXX
    78185TCASpleen imaging0.002.36N/A0.112.47N/AXXX
    78190APlatelet survival, kinetics1.096.10N/A0.317.50N/AXXX
    7819026APlatelet survival, kinetics1.090.390.390.061.541.54XXX
    78190TCAPlatelet survival, kinetics0.005.72N/A0.255.97N/AXXX
    78191APlatelet survival0.617.55N/A0.348.50N/AXXX
    7819126APlatelet survival0.610.210.210.030.850.85XXX
    78191TCAPlatelet survival0.007.34N/A0.317.65N/AXXX
    78195ALymph system imaging1.204.49N/A0.235.92N/AXXX
    7819526ALymph system imaging1.200.420.420.051.671.67XXX
    78195TCALymph system imaging0.004.07N/A0.184.25N/AXXX
    78199CBlood/lymph nuclear exam0.000.000.000.000.000.00XXX
    7819926CBlood/lymph nuclear exam0.000.000.000.000.000.00XXX
    78199TCCBlood/lymph nuclear exam0.000.000.000.000.000.00XXX
    78201ALiver imaging0.442.51N/A0.133.08N/AXXX
    7820126ALiver imaging0.440.150.150.020.610.61XXX
    78201TCALiver imaging0.002.36N/A0.112.47N/AXXX
    78202ALiver imaging with flow0.513.06N/A0.143.71N/AXXX
    7820226ALiver imaging with flow0.510.180.180.020.710.71XXX
    Start Printed Page 49204
    78202TCALiver imaging with flow0.002.88N/A0.123.00N/AXXX
    78205ALiver imaging (3D)0.716.16N/A0.297.16N/AXXX
    7820526ALiver imaging (3D)0.710.250.250.030.990.99XXX
    78205TCALiver imaging (3D)0.005.91N/A0.266.17N/AXXX
    78206ALiver image (3d) with flow0.966.25N/A0.137.34N/AXXX
    7820626ALiver image (3d) with flow0.960.340.340.041.341.34XXX
    78206TCALiver image (3d) with flow0.005.91N/A0.096.00N/AXXX
    78215ALiver and spleen imaging0.493.11N/A0.143.74N/AXXX
    7821526ALiver and spleen imaging0.490.170.170.020.680.68XXX
    78215TCALiver and spleen imaging0.002.94N/A0.123.06N/AXXX
    78216ALiver & spleen image/flow0.573.68N/A0.174.42N/AXXX
    7821626ALiver & spleen image/flow0.570.200.200.020.790.79XXX
    78216TCALiver & spleen image/flow0.003.48N/A0.153.63N/AXXX
    78220ALiver function study0.493.89N/A0.184.56N/AXXX
    7822026ALiver function study0.490.170.170.020.680.68XXX
    78220TCALiver function study0.003.72N/A0.163.88N/AXXX
    78223AHepatobiliary imaging0.843.95N/A0.204.99N/AXXX
    7822326AHepatobiliary imaging0.840.290.290.041.171.17XXX
    78223TCAHepatobiliary imaging0.003.67N/A0.163.83N/AXXX
    78230ASalivary gland imaging0.452.33N/A0.132.91N/AXXX
    7823026ASalivary gland imaging0.450.150.150.020.620.62XXX
    78230TCASalivary gland imaging0.002.18N/A0.112.29N/AXXX
    78231ASerial salivary imaging0.523.36N/A0.164.04N/AXXX
    7823126ASerial salivary imaging0.520.190.190.020.730.73XXX
    78231TCASerial salivary imaging0.003.17N/A0.143.31N/AXXX
    78232ASalivary gland function exam0.473.71N/A0.164.34N/AXXX
    7823226ASalivary gland function exam0.470.170.170.010.650.65XXX
    78232TCASalivary gland function exam0.003.54N/A0.153.69N/AXXX
    78258AEsophageal motility study0.743.13N/A0.154.02N/AXXX
    7825826AEsophageal motility study0.740.250.250.031.021.02XXX
    78258TCAEsophageal motility study0.002.88N/A0.123.00N/AXXX
    78261AGastric mucosa imaging0.694.35N/A0.215.25N/AXXX
    7826126AGastric mucosa imaging0.690.250.250.030.970.97XXX
    78261TCAGastric mucosa imaging0.004.10N/A0.184.28N/AXXX
    78262AGastroesophageal reflux exam0.684.49N/A0.215.38N/AXXX
    7826226AGastroesophageal reflux exam0.680.240.240.030.950.95XXX
    78262TCAGastroesophageal reflux exam0.004.26N/A0.184.44N/AXXX
    78264AGastric emptying study0.784.40N/A0.215.39N/AXXX
    7826426AGastric emptying study0.780.270.270.031.081.08XXX
    78264TCAGastric emptying study0.004.13N/A0.184.31N/AXXX
    78270AVit B-12 absorption exam0.201.62N/A0.091.91N/AXXX
    7827026AVit B-12 absorption exam0.200.070.070.010.280.28XXX
    78270TCAVit B-12 absorption exam0.001.55N/A0.081.63N/AXXX
    78271AVit b-12 absrp exam, int fac0.201.71N/A0.092.00N/AXXX
    7827126AVit b-12 absrp exam, int fac0.200.070.070.010.280.28XXX
    78271TCAVit b-12 absrp exam, int fac0.001.64N/A0.081.72N/AXXX
    78272AVit B-12 absorp, combined0.272.42N/A0.122.81N/AXXX
    7827226AVit B-12 absorp, combined0.270.100.100.010.380.38XXX
    78272TCAVit B-12 absorp, combined0.002.32N/A0.112.43N/AXXX
    78278AAcute GI blood loss imaging0.995.21N/A0.256.45N/AXXX
    7827826AAcute GI blood loss imaging0.990.340.340.041.371.37XXX
    78278TCAAcute GI blood loss imaging0.004.87N/A0.215.08N/AXXX
    78282CGI protein loss exam0.000.000.000.000.000.00XXX
    7828226AGI protein loss exam0.380.130.130.020.530.53XXX
    Start Printed Page 49205
    78282TCCGI protein loss exam0.000.000.000.000.000.00XXX
    78290AMeckel's divert exam0.683.28N/A0.164.12N/AXXX
    7829026AMeckel's divert exam0.680.230.230.030.940.94XXX
    78290TCAMeckel's divert exam0.003.05N/A0.133.18N/AXXX
    78291ALeveen/shunt patency exam0.883.37N/A0.174.42N/AXXX
    7829126ALeveen/shunt patency exam0.880.310.310.041.231.23XXX
    78291TCALeveen/shunt patency exam0.003.07N/A0.133.20N/AXXX
    78299CGI nuclear procedure0.000.000.000.000.000.00XXX
    7829926CGI nuclear procedure0.000.000.000.000.000.00XXX
    78299TCCGI nuclear procedure0.000.000.000.000.000.00XXX
    78300ABone imaging, limited area0.622.70N/A0.153.47N/AXXX
    7830026ABone imaging, limited area0.620.210.210.030.860.86XXX
    78300TCABone imaging, limited area0.002.49N/A0.122.61N/AXXX
    78305ABone imaging, multiple areas0.833.95N/A0.194.97N/AXXX
    7830526ABone imaging, multiple areas0.830.280.280.031.141.14XXX
    78305TCABone imaging, multiple areas0.003.67N/A0.163.83N/AXXX
    78306ABone imaging, whole body0.864.57N/A0.225.65N/AXXX
    7830626ABone imaging, whole body0.860.290.290.041.191.19XXX
    78306TCABone imaging, whole body0.004.27N/A0.184.45N/AXXX
    78315ABone imaging, 3 phase1.025.13N/A0.256.40N/AXXX
    7831526ABone imaging, 3 phase1.020.350.350.041.411.41XXX
    78315TCABone imaging, 3 phase0.004.78N/A0.214.99N/AXXX
    78320ABone imaging (3D)1.046.28N/A0.307.62N/AXXX
    7832026ABone imaging (3D)1.040.370.370.041.451.45XXX
    78320TCABone imaging (3D)0.005.91N/A0.266.17N/AXXX
    78350ABone mineral, single photon0.220.83N/A0.051.10N/AXXX
    7835026ABone mineral, single photon0.220.080.080.010.310.31XXX
    78350TCABone mineral, single photon0.000.75N/A0.040.79N/AXXX
    78351NBone mineral, dual photon0.301.760.120.012.070.43XXX
    78399CMusculoskeletal nuclear exam0.000.000.000.000.000.00XXX
    7839926CMusculoskeletal nuclear exam0.000.000.000.000.000.00XXX
    78399TCCMusculoskeletal nuclear exam0.000.000.000.000.000.00XXX
    78414CNon-imaging heart function0.000.000.000.000.000.00XXX
    7841426ANon-imaging heart function0.450.160.160.020.630.63XXX
    78414TCCNon-imaging heart function0.000.000.000.000.000.00XXX
    78428ACardiac shunt imaging0.782.55N/A0.143.47N/AXXX
    7842826ACardiac shunt imaging0.780.300.300.031.111.11XXX
    78428TCACardiac shunt imaging0.002.25N/A0.112.36N/AXXX
    78445AVascular flow imaging0.492.03N/A0.112.63N/AXXX
    7844526AVascular flow imaging0.490.170.170.020.680.68XXX
    78445TCAVascular flow imaging0.001.86N/A0.091.95N/AXXX
    78455AVenous thrombosis study0.734.24N/A0.205.17N/AXXX
    7845526AVenous thrombosis study0.730.250.250.031.011.01XXX
    78455TCAVenous thrombosis study0.003.98N/A0.174.15N/AXXX
    78456AAcute venous thrombus image1.004.34N/A0.285.62N/AXXX
    7845626AAcute venous thrombus image1.000.350.350.041.391.39XXX
    78456TCAAcute venous thrombus image0.003.98N/A0.244.22N/AXXX
    Start Printed Page 49206
    78457AVenous thrombosis imaging0.772.92N/A0.153.84N/AXXX
    7845726AVenous thrombosis imaging0.770.270.270.031.071.07XXX
    78457TCAVenous thrombosis imaging0.002.66N/A0.122.78N/AXXX
    78458AVen thrombosis images, bilat0.904.35N/A0.205.45N/AXXX
    7845826AVen thrombosis images, bilat0.900.330.330.031.261.26XXX
    78458TCAVen thrombosis images, bilat0.004.02N/A0.174.19N/AXXX
    78459CHeart muscle imaging (PET)0.000.000.000.000.000.00XXX
    7845926RHeart muscle imaging (PET)1.500.580.580.042.122.12XXX
    78459TCCHeart muscle imaging (PET)0.000.000.000.000.000.00XXX
    78460AHeart muscle blood, single0.862.66N/A0.143.66N/AXXX
    7846026AHeart muscle blood, single0.860.300.300.031.191.19XXX
    78460TCAHeart muscle blood, single0.002.36N/A0.112.47N/AXXX
    78461AHeart muscle blood, multiple1.235.16N/A0.266.65N/AXXX
    7846126AHeart muscle blood, multiple1.230.440.440.051.721.72XXX
    78461TCAHeart muscle blood, multiple0.004.72N/A0.214.93N/AXXX
    78464AHeart image (3d), single1.097.46N/A0.358.90N/AXXX
    7846426AHeart image (3d), single1.090.390.390.041.521.52XXX
    78464TCAHeart image (3d), single0.007.07N/A0.317.38N/AXXX
    78465AHeart image (3d), multiple1.4612.33N/A0.5614.35N/AXXX
    7846526AHeart image (3d), multiple1.460.530.530.052.042.04XXX
    78465TCAHeart image (3d), multiple0.0011.80N/A0.5112.31N/AXXX
    78466AHeart infarct image0.692.87N/A0.153.71N/AXXX
    7846626AHeart infarct image0.690.250.250.030.970.97XXX
    78466TCAHeart infarct image0.002.62N/A0.122.74N/AXXX
    78468AHeart infarct image (ef)0.803.95N/A0.194.94N/AXXX
    7846826AHeart infarct image (ef)0.800.280.280.031.111.11XXX
    78468TCAHeart infarct image (ef)0.003.67N/A0.163.83N/AXXX
    78469AHeart infarct image (3D)0.925.54N/A0.266.72N/AXXX
    7846926AHeart infarct image (3D)0.920.320.320.031.271.27XXX
    78469TCAHeart infarct image (3D)0.005.22N/A0.235.45N/AXXX
    78472AGated heart, planar, single0.985.86N/A0.297.13N/AXXX
    7847226AGated heart, planar, single0.980.350.350.041.371.37XXX
    78472TCAGated heart, planar, single0.005.51N/A0.255.76N/AXXX
    78473AGated heart, multiple1.478.78N/A0.4010.65N/AXXX
    7847326AGated heart, multiple1.470.520.520.052.042.04XXX
    78473TCAGated heart, multiple0.008.26N/A0.358.61N/AXXX
    78478AHeart wall motion add-on0.621.79N/A0.102.51N/AXXX
    7847826AHeart wall motion add-on0.620.230.230.020.870.87XXX
    78478TCAHeart wall motion add-on0.001.56N/A0.081.64N/AXXX
    78480AHeart function add-on0.621.79N/A0.102.51N/AXXX
    7848026AHeart function add-on0.620.230.230.020.870.87XXX
    78480TCAHeart function add-on0.001.56N/A0.081.64N/AXXX
    78481AHeart first pass, single0.985.59N/A0.266.83N/AXXX
    7848126AHeart first pass, single0.980.370.370.031.381.38XXX
    78481TCAHeart first pass, single0.005.22N/A0.235.45N/AXXX
    78483AHeart first pass, multiple1.478.42N/A0.3910.28N/AXXX
    7848326AHeart first pass, multiple1.470.550.550.052.072.07XXX
    78483TCAHeart first pass, multiple0.007.87N/A0.348.21N/AXXX
    78491IHeart image (pet), single0.000.000.000.000.000.00XXX
    7849126IHeart image (pet), single1.500.600.600.052.152.15XXX
    78491TCIHeart image (pet), single0.000.000.000.000.000.00XXX
    78492IHeart image (pet), multiple0.000.000.000.000.000.00XXX
    7849226IHeart image (pet), multiple1.870.750.750.062.682.68XXX
    78492TCIHeart image (pet), multiple0.000.000.000.000.000.00XXX
    Start Printed Page 49207
    78494AHeart image, spect1.197.49N/A0.298.97N/AXXX
    7849426AHeart image, spect1.190.430.430.041.661.66XXX
    78494TCAHeart image, spect0.007.07N/A0.257.32N/AXXX
    78496AHeart first pass add-on0.507.25N/A0.278.02N/AZZZ
    7849626AHeart first pass add-on0.500.190.190.020.710.71ZZZ
    78496TCAHeart first pass add-on0.007.07N/A0.257.32N/AZZZ
    78499CCardiovascular nuclear exam0.000.000.000.000.000.00XXX
    7849926CCardiovascular nuclear exam0.000.000.000.000.000.00XXX
    78499TCCCardiovascular nuclear exam0.000.000.000.000.000.00XXX
    78580ALung perfusion imaging0.743.69N/A0.184.61N/AXXX
    7858026ALung perfusion imaging0.740.250.250.031.021.02XXX
    78580TCALung perfusion imaging0.003.43N/A0.153.58N/AXXX
    78584ALung V/Q image single breath0.993.53N/A0.184.70N/AXXX
    7858426ALung V/Q image single breath0.990.330.330.041.361.36XXX
    78584TCALung V/Q image single breath0.003.20N/A0.143.34N/AXXX
    78585ALung V/Q imaging1.096.01N/A0.307.40N/AXXX
    7858526ALung V/Q imaging1.090.370.370.051.511.51XXX
    78585TCALung V/Q imaging0.005.64N/A0.255.89N/AXXX
    78586AAerosol lung image, single0.402.73N/A0.143.27N/AXXX
    7858626AAerosol lung image, single0.400.130.130.020.550.55XXX
    78586TCAAerosol lung image, single0.002.59N/A0.122.71N/AXXX
    78587AAerosol lung image, multiple0.492.97N/A0.143.60N/AXXX
    7858726AAerosol lung image, multiple0.490.170.170.020.680.68XXX
    78587TCAAerosol lung image, multiple0.002.80N/A0.122.92N/AXXX
    78588APerfusion lung image1.093.57N/A0.204.86N/AXXX
    7858826APerfusion lung image1.090.370.370.051.511.51XXX
    78588TCAPerfusion lung image0.003.20N/A0.153.35N/AXXX
    78591AVent image, 1 breath, 1 proj0.402.99N/A0.143.53N/AXXX
    7859126AVent image, 1 breath, 1 proj0.400.140.140.020.560.56XXX
    78591TCAVent image, 1 breath, 1 proj0.002.85N/A0.122.97N/AXXX
    78593AVent image, 1 proj, gas0.493.62N/A0.174.28N/AXXX
    7859326AVent image, 1 proj, gas0.490.170.170.020.680.68XXX
    78593TCAVent image, 1 proj, gas0.003.45N/A0.153.60N/AXXX
    78594AVent image, mult proj, gas0.535.17N/A0.235.93N/AXXX
    7859426AVent image, mult proj, gas0.530.180.180.020.730.73XXX
    78594TCAVent image, mult proj, gas0.004.98N/A0.215.19N/AXXX
    78596ALung differential function1.277.50N/A0.369.13N/AXXX
    7859626ALung differential function1.270.430.430.051.751.75XXX
    78596TCALung differential function0.007.07N/A0.317.38N/AXXX
    78599CRespiratory nuclear exam0.000.000.000.000.000.00XXX
    7859926CRespiratory nuclear exam0.000.000.000.000.000.00XXX
    78599TCCRespiratory nuclear exam0.000.000.000.000.000.00XXX
    78600ABrain imaging, ltd static0.443.04N/A0.143.62N/AXXX
    7860026ABrain imaging, ltd static0.440.160.160.020.620.62XXX
    78600TCABrain imaging, ltd static0.002.88N/A0.123.00N/AXXX
    78601ABrain imaging, ltd w/ flow0.513.58N/A0.174.26N/AXXX
    7860126ABrain imaging, ltd w/ flow0.510.180.180.020.710.71XXX
    78601TCABrain imaging, ltd w/ flow0.003.40N/A0.153.55N/AXXX
    78605ABrain imaging, complete0.533.59N/A0.174.29N/AXXX
    7860526ABrain imaging, complete0.530.190.190.020.740.74XXX
    78605TCABrain imaging, complete0.003.40N/A0.153.55N/AXXX
    78606ABrain imaging, compl w/flow0.644.09N/A0.204.93N/AXXX
    Start Printed Page 49208
    7860626ABrain imaging, compl w/flow0.640.220.220.030.890.89XXX
    78606TCABrain imaging, compl w/flow0.003.87N/A0.174.04N/AXXX
    78607ABrain imaging (3D)1.237.00N/A0.348.57N/AXXX
    7860726ABrain imaging (3D)1.230.440.440.051.721.72XXX
    78607TCABrain imaging (3D)0.006.56N/A0.296.85N/AXXX
    78608NBrain imaging (PET)0.000.000.000.000.000.00XXX
    78610ABrain flow imaging only0.301.69N/A0.092.08N/AXXX
    7861026ABrain flow imaging only0.300.110.110.010.420.42XXX
    78610TCABrain flow imaging only0.001.58N/A0.081.66N/AXXX
    78615ACerebral vascular flow image0.424.00N/A0.194.61N/AXXX
    7861526ACerebral vascular flow image0.420.160.160.020.600.60XXX
    78615TCACerebral vascular flow image0.003.85N/A0.174.02N/AXXX
    78630ACerebrospinal fluid scan0.685.27N/A0.256.20N/AXXX
    7863026ACerebrospinal fluid scan0.680.230.230.030.940.94XXX
    78630TCACerebrospinal fluid scan0.005.04N/A0.225.26N/AXXX
    78635ACSF ventriculography0.612.78N/A0.143.53N/AXXX
    7863526ACSF ventriculography0.610.240.240.020.870.87XXX
    78635TCACSF ventriculography0.002.54N/A0.122.66N/AXXX
    78645ACSF shunt evaluation0.573.63N/A0.174.37N/AXXX
    7864526ACSF shunt evaluation0.570.200.200.020.790.79XXX
    78645TCACSF shunt evaluation0.003.43N/A0.153.58N/AXXX
    78647ACerebrospinal fluid scan0.906.23N/A0.297.42N/AXXX
    7864726ACerebrospinal fluid scan0.900.320.320.031.251.25XXX
    78647TCACerebrospinal fluid scan0.005.91N/A0.266.17N/AXXX
    78650ACSF leakage imaging0.614.86N/A0.225.69N/AXXX
    7865026ACSF leakage imaging0.610.210.210.020.840.84XXX
    78650TCACSF leakage imaging0.004.64N/A0.204.84N/AXXX
    78660ANuclear exam of tear flow0.532.30N/A0.122.95N/AXXX
    7866026ANuclear exam of tear flow0.530.180.180.020.730.73XXX
    78660TCANuclear exam of tear flow0.002.12N/A0.102.22N/AXXX
    78699CNervous system nuclear exam0.000.000.000.000.000.00XXX
    7869926CNervous system nuclear exam0.000.000.000.000.000.00XXX
    78699TCCNervous system nuclear exam0.000.000.000.000.000.00XXX
    78700AKidney imaging, static0.453.20N/A0.153.80N/AXXX
    7870026AKidney imaging, static0.450.150.150.020.620.62XXX
    78700TCAKidney imaging, static0.003.05N/A0.133.18N/AXXX
    78701AKidney imaging with flow0.493.73N/A0.174.39N/AXXX
    7870126AKidney imaging with flow0.490.170.170.020.680.68XXX
    78701TCAKidney imaging with flow0.003.56N/A0.153.71N/AXXX
    78704AImaging renogram0.744.21N/A0.205.15N/AXXX
    7870426AImaging renogram0.740.250.250.031.021.02XXX
    78704TCAImaging renogram0.003.96N/A0.174.13N/AXXX
    78707AKidney flow/function image0.964.80N/A0.235.99N/AXXX
    7870726AKidney flow/function image0.960.330.330.041.331.33XXX
    78707TCAKidney flow/function image0.004.47N/A0.194.66N/AXXX
    78708AKidney flow/function image1.214.89N/A0.246.34N/AXXX
    7870826AKidney flow/function image1.210.420.420.051.681.68XXX
    78708TCAKidney flow/function image0.004.47N/A0.194.66N/AXXX
    78709AKidney flow/function image1.414.95N/A0.256.61N/AXXX
    7870926AKidney flow/function image1.410.480.480.061.951.95XXX
    78709TCAKidney flow/function image0.004.47N/A0.194.66N/AXXX
    78710AKidney imaging (3D)0.666.13N/A0.297.08N/AXXX
    7871026AKidney imaging (3D)0.660.230.230.030.920.92XXX
    78710TCAKidney imaging (3D)0.005.91N/A0.266.17N/AXXX
    78715ARenal vascular flow exam0.301.69N/A0.092.08N/AXXX
    7871526ARenal vascular flow exam0.300.110.110.010.420.42XXX
    78715TCARenal vascular flow exam0.001.58N/A0.081.66N/AXXX
    78725AKidney function study0.381.91N/A0.102.39N/AXXX
    Start Printed Page 49209
    7872526AKidney function study0.380.130.130.010.520.52XXX
    78725TCAKidney function study0.001.78N/A0.091.87N/AXXX
    78730AUrinary bladder retention0.361.59N/A0.092.04N/AXXX
    7873026AUrinary bladder retention0.360.130.130.020.510.51XXX
    78730TCAUrinary bladder retention0.001.46N/A0.071.53N/AXXX
    78740AUreteral reflux study0.572.31N/A0.123.00N/AXXX
    7874026AUreteral reflux study0.570.190.190.020.780.78XXX
    78740TCAUreteral reflux study0.002.12N/A0.102.22N/AXXX
    78760ATesticular imaging0.662.90N/A0.153.71N/AXXX
    7876026ATesticular imaging0.660.220.220.030.910.91XXX
    78760TCATesticular imaging0.002.68N/A0.122.80N/AXXX
    78761ATesticular imaging/flow0.713.44N/A0.174.32N/AXXX
    7876126ATesticular imaging/flow0.710.240.240.030.980.98XXX
    78761TCATesticular imaging/flow0.003.20N/A0.143.34N/AXXX
    78799CGenitourinary nuclear exam0.000.000.000.000.000.00XXX
    7879926CGenitourinary nuclear exam0.000.000.000.000.000.00XXX
    78799TCCGenitourinary nuclear exam0.000.000.000.000.000.00XXX
    78800ATumor imaging, limited area0.663.63N/A0.184.47N/AXXX
    7880026ATumor imaging, limited area0.660.220.220.030.910.91XXX
    78800TCATumor imaging, limited area0.003.40N/A0.153.55N/AXXX
    78801ATumor imaging, mult areas0.794.50N/A0.215.50N/AXXX
    7880126ATumor imaging, mult areas0.790.270.270.031.091.09XXX
    78801TCATumor imaging, mult areas0.004.23N/A0.184.41N/AXXX
    78802ATumor imaging, whole body0.865.83N/A0.286.97N/AXXX
    7880226ATumor imaging, whole body0.860.300.300.031.191.19XXX
    78802TCATumor imaging, whole body0.005.53N/A0.255.78N/AXXX
    78803ATumor imaging (3D)1.096.95N/A0.338.37N/AXXX
    7880326ATumor imaging (3D)1.090.390.390.041.521.52XXX
    78803TCATumor imaging (3D)0.006.56N/A0.296.85N/AXXX
    78805AAbscess imaging, ltd area0.733.66N/A0.184.57N/AXXX
    7880526AAbscess imaging, ltd area0.730.260.260.031.021.02XXX
    78805TCAAbscess imaging, ltd area0.003.40N/A0.153.55N/AXXX
    78806AAbscess imaging, whole body0.866.73N/A0.327.91N/AXXX
    7880626AAbscess imaging, whole body0.860.300.300.031.191.19XXX
    78806TCAAbscess imaging, whole body0.006.43N/A0.296.72N/AXXX
    78807ANuclear localization/abscess1.096.96N/A0.338.38N/AXXX
    7880726ANuclear localization/abscess1.090.400.400.041.531.53XXX
    78807TCANuclear localization/abscess0.006.56N/A0.296.85N/AXXX
    7881026NTumor imaging (PET)1.930.750.750.092.772.77XXX
    78890BNuclear medicine data proc0.051.32N/A0.061.43N/AXXX
    7889026BNuclear medicine data proc0.050.020.020.010.080.08XXX
    78890TCBNuclear medicine data proc0.001.31N/A0.051.36N/AXXX
    78891BNuclear med data proc0.102.66N/A0.122.88N/AXXX
    7889126BNuclear med data proc0.100.040.040.010.150.15XXX
    78891TCBNuclear med data proc0.002.62N/A0.112.73N/AXXX
    78990IProvide diag radionuclide(s)0.000.000.000.000.000.00XXX
    78999CNuclear diagnostic exam0.000.000.000.000.000.00XXX
    Start Printed Page 49210
    7899926CNuclear diagnostic exam0.000.000.000.000.000.00XXX
    78999TCCNuclear diagnostic exam0.000.000.000.000.000.00XXX
    79000AInit hyperthyroid therapy1.803.24N/A0.195.23N/AXXX
    7900026AInit hyperthyroid therapy1.800.620.620.072.492.49XXX
    79000TCAInit hyperthyroid therapy0.002.62N/A0.122.74N/AXXX
    79001ARepeat hyperthyroid therapy1.051.67N/A0.102.82N/AXXX
    7900126ARepeat hyperthyroid therapy1.050.360.360.041.451.45XXX
    79001TCARepeat hyperthyroid therapy0.001.31N/A0.061.37N/AXXX
    79020AThyroid ablation1.813.23N/A0.195.23N/AXXX
    7902026AThyroid ablation1.810.610.610.072.492.49XXX
    79020TCAThyroid ablation0.002.62N/A0.122.74N/AXXX
    79030AThyroid ablation, carcinoma2.103.34N/A0.205.64N/AXXX
    7903026AThyroid ablation, carcinoma2.100.720.720.082.902.90XXX
    79030TCAThyroid ablation, carcinoma0.002.62N/A0.122.74N/AXXX
    79035AThyroid metastatic therapy2.523.51N/A0.216.24N/AXXX
    7903526AThyroid metastatic therapy2.520.890.890.093.503.50XXX
    79035TCAThyroid metastatic therapy0.002.62N/A0.122.74N/AXXX
    79100AHematopoetic nuclear therapy1.323.09N/A0.174.58N/AXXX
    7910026AHematopoetic nuclear therapy1.320.470.470.051.841.84XXX
    79100TCAHematopoetic nuclear therapy0.002.62N/A0.122.74N/AXXX
    79200AIntracavitary nuclear trmt1.993.33N/A0.195.51N/AXXX
    7920026AIntracavitary nuclear trmt1.990.710.710.072.772.77XXX
    79200TCAIntracavitary nuclear trmt0.002.62N/A0.122.74N/AXXX
    79300CInterstitial nuclear therapy0.000.000.000.000.000.00XXX
    7930026AInterstitial nuclear therapy1.600.570.570.072.242.24XXX
    79300TCCInterstitial nuclear therapy0.000.000.000.000.000.00XXX
    79400ANonhemato nuclear therapy1.963.31N/A0.205.47N/AXXX
    7940026ANonhemato nuclear therapy1.960.680.680.082.722.72XXX
    79400TCANonhemato nuclear therapy0.002.62N/A0.122.74N/AXXX
    79420CIntravascular nuclear ther0.000.000.000.000.000.00XXX
    7942026AIntravascular nuclear ther1.510.500.500.062.072.07XXX
    79420TCCIntravascular nuclear ther0.000.000.000.000.000.00XXX
    79440ANuclear joint therapy1.993.36N/A0.205.55N/AXXX
    7944026ANuclear joint therapy1.990.740.740.082.812.81XXX
    79440TCANuclear joint therapy0.002.62N/A0.122.74N/AXXX
    79900CProvide ther radiopharm(s)0.000.000.000.000.000.00XXX
    79999CNuclear medicine therapy0.000.000.000.000.000.00XXX
    7999926CNuclear medicine therapy0.000.000.000.000.000.00XXX
    79999TCCNuclear medicine therapy0.000.000.000.000.000.00XXX
    80055IObstetric panel0.000.000.000.000.000.00XXX
    80500ALab pathology consultation0.370.220.160.010.600.54XXX
    80502ALab pathology consultation1.330.640.590.052.021.97XXX
    8302026AHemoglobin electrophoresis0.370.160.160.010.540.54XXX
    8391226AGenetic examination0.370.150.150.010.530.53XXX
    8416526AAssay of serum proteins0.370.160.160.010.540.54XXX
    8418126AWestern blot test0.370.140.140.010.520.52XXX
    8418226AProtein, western blot test0.370.170.170.010.550.55XXX
    85060ABlood smear interpretation0.450.190.190.020.660.66XXX
    85097ABone marrow interpretation0.941.650.410.032.621.38XXX
    8539026AFibrinolysins screen0.370.120.120.010.500.50XXX
    8557626ABlood platelet aggregation0.370.160.160.010.540.54XXX
    Start Printed Page 49211
    86077APhysician blood bank service0.940.470.410.031.441.38XXX
    86078APhysician blood bank service0.940.500.420.031.471.39XXX
    86079APhysician blood bank service0.940.500.420.031.471.39XXX
    8625526AFluorescent antibody, screen0.370.170.160.010.550.54XXX
    8625626AFluorescent antibody, titer0.370.160.160.010.540.54XXX
    8632026ASerum immunoelectrophoresis0.370.160.160.010.540.54XXX
    8632526AOther immunoelectrophoresis0.370.160.160.010.540.54XXX
    8632726AImmunoelectrophoresis assay0.420.190.190.010.620.62XXX
    8633426AImmunofixation procedure0.370.160.160.010.540.54XXX
    86485CSkin test, candida0.000.000.000.000.000.00XXX
    86490ACoccidioidomycosis skin test0.000.29N/A0.020.31N/AXXX
    86510AHistoplasmosis skin test0.000.32N/A0.020.34N/AXXX
    86580ATB intradermal test0.000.25N/A0.020.27N/AXXX
    86585ATB tine test0.000.20N/A0.010.21N/AXXX
    86586CSkin test, unlisted0.000.000.000.000.000.00XXX
    8716426ADark field examination0.370.120.120.010.500.50XXX
    8720726ASmear, special stain0.370.170.160.010.550.54XXX
    88104ACytopathology, fluids0.560.76N/A0.041.36N/AXXX
    8810426ACytopathology, fluids0.560.250.250.020.830.83XXX
    88104TCACytopathology, fluids0.000.51N/A0.020.53N/AXXX
    88106ACytopathology, fluids0.560.62N/A0.041.22N/AXXX
    8810626ACytopathology, fluids0.560.250.250.020.830.83XXX
    88106TCACytopathology, fluids0.000.37N/A0.020.39N/AXXX
    88107ACytopathology, fluids0.760.99N/A0.051.80N/AXXX
    8810726ACytopathology, fluids0.760.340.340.031.131.13XXX
    88107TCACytopathology, fluids0.000.65N/A0.020.67N/AXXX
    88108ACytopath, concentrate tech0.560.83N/A0.041.43N/AXXX
    8810826ACytopath, concentrate tech0.560.250.250.020.830.83XXX
    88108TCACytopath, concentrate tech0.000.58N/A0.020.60N/AXXX
    88125AForensic cytopathology0.260.26N/A0.020.54N/AXXX
    8812526AForensic cytopathology0.260.120.120.010.390.39XXX
    88125TCAForensic cytopathology0.000.15N/A0.010.16N/AXXX
    88141ACytopath, c/v, interpret0.420.180.180.010.610.61XXX
    88160ACytopath smear, other source0.500.94N/A0.041.48N/AXXX
    8816026ACytopath smear, other source0.500.220.220.020.740.74XXX
    88160TCACytopath smear, other source0.000.72N/A0.020.74N/AXXX
    88161ACytopath smear, other source0.500.89N/A0.041.43N/AXXX
    8816126ACytopath smear, other source0.500.220.220.020.740.74XXX
    88161TCACytopath smear, other source0.000.67N/A0.020.69N/AXXX
    88162ACytopath smear, other source0.760.69N/A0.051.50N/AXXX
    8816226ACytopath smear, other source0.760.340.340.031.131.13XXX
    88162TCACytopath smear, other source0.000.35N/A0.020.37N/AXXX
    88172ACytopathology eval of fna0.600.67N/A0.041.31N/AXXX
    8817226ACytopathology eval of fna0.600.270.270.020.890.89XXX
    88172TCACytopathology eval of fna0.000.40N/A0.020.42N/AXXX
    88173ACytopath eval, fna, report1.391.80N/A0.073.26N/AXXX
    8817326ACytopath eval, fna, report1.390.620.620.052.062.06XXX
    88173TCACytopath eval, fna, report0.001.18N/A0.021.20N/AXXX
    88180ACell marker study0.361.46N/A0.031.85N/AXXX
    Start Printed Page 49212
    8818026ACell marker study0.360.160.160.010.530.53XXX
    88180TCACell marker study0.001.30N/A0.021.32N/AXXX
    88182ACell marker study0.771.63N/A0.062.46N/AXXX
    8818226ACell marker study0.770.340.340.031.141.14XXX
    88182TCACell marker study0.001.28N/A0.031.31N/AXXX
    88199CCytopathology procedure0.000.000.000.000.000.00XXX
    8819926CCytopathology procedure0.000.000.000.000.000.00XXX
    88199TCCCytopathology procedure0.000.000.000.000.000.00XXX
    88291ACyto/molecular report0.520.280.280.020.820.82XXX
    88299CCytogenetic study0.000.000.000.000.000.00XXX
    88300ASurgical path, gross0.080.28N/A0.020.38N/AXXX
    8830026ASurgical path, gross0.080.040.040.010.130.13XXX
    88300TCASurgical path, gross0.000.25N/A0.010.26N/AXXX
    88302ATissue exam by pathologist0.130.71N/A0.030.87N/AXXX
    8830226ATissue exam by pathologist0.130.060.060.010.200.20XXX
    88302TCATissue exam by pathologist0.000.65N/A0.020.67N/AXXX
    88304ATissue exam by pathologist0.220.89N/A0.031.14N/AXXX
    8830426ATissue exam by pathologist0.220.100.100.010.330.33XXX
    88304TCATissue exam by pathologist0.000.79N/A0.020.81N/AXXX
    88305ATissue exam by pathologist0.751.77N/A0.052.57N/AXXX
    8830526ATissue exam by pathologist0.750.340.340.021.111.11XXX
    88305TCATissue exam by pathologist0.001.43N/A0.031.46N/AXXX
    88307ATissue exam by pathologist1.592.71N/A0.114.41N/AXXX
    8830726ATissue exam by pathologist1.590.710.710.062.362.36XXX
    88307TCATissue exam by pathologist0.002.00N/A0.052.05N/AXXX
    88309ATissue exam by pathologist2.283.32N/A0.135.73N/AXXX
    8830926ATissue exam by pathologist2.281.011.010.083.373.37XXX
    88309TCATissue exam by pathologist0.002.30N/A0.052.35N/AXXX
    88311ADecalcify tissue0.240.19N/A0.020.45N/AXXX
    8831126ADecalcify tissue0.240.110.110.010.360.36XXX
    88311TCADecalcify tissue0.000.09N/A0.010.10N/AXXX
    88312ASpecial stains0.541.37N/A0.031.94N/AXXX
    8831226ASpecial stains0.540.240.240.020.800.80XXX
    88312TCASpecial stains0.001.13N/A0.011.14N/AXXX
    88313ASpecial stains0.241.11N/A0.021.37N/AXXX
    8831326ASpecial stains0.240.110.110.010.360.36XXX
    88313TCASpecial stains0.001.00N/A0.011.01N/AXXX
    88314AHistochemical stain0.450.90N/A0.041.39N/AXXX
    8831426AHistochemical stain0.450.200.200.020.670.67XXX
    88314TCAHistochemical stain0.000.71N/A0.020.73N/AXXX
    88318AChemical histochemistry0.420.82N/A0.021.26N/AXXX
    8831826AChemical histochemistry0.420.190.190.010.620.62XXX
    88318TCAChemical histochemistry0.000.63N/A0.010.64N/AXXX
    88319AEnzyme histochemistry0.531.92N/A0.042.49N/AXXX
    8831926AEnzyme histochemistry0.530.230.230.020.780.78XXX
    88319TCAEnzyme histochemistry0.001.69N/A0.021.71N/AXXX
    88321AMicroslide consultation1.300.830.580.042.171.92XXX
    88323AMicroslide consultation1.351.47N/A0.072.89N/AXXX
    8832326AMicroslide consultation1.350.600.600.052.002.00XXX
    88323TCAMicroslide consultation0.000.86N/A0.020.88N/AXXX
    Start Printed Page 49213
    88325AComprehensive review of data2.223.020.980.085.323.28XXX
    88329APath consult introp0.670.640.300.021.330.99XXX
    88331APath consult intraop, 1 bloc1.191.01N/A0.072.27N/AXXX
    8833126APath consult intraop, 1 bloc1.190.530.530.041.761.76XXX
    88331TCAPath consult intraop, 1 bloc0.000.48N/A0.030.51N/AXXX
    88332APath consult intraop, addl0.590.51N/A0.041.14N/AXXX
    8833226APath consult intraop, addl0.590.260.260.020.870.87XXX
    88332TCAPath consult intraop, addl0.000.24N/A0.020.26N/AXXX
    88342AImmunocytochemistry0.851.38N/A0.052.28N/AXXX
    8834226AImmunocytochemistry0.850.380.380.031.261.26XXX
    88342TCAImmunocytochemistry0.001.00N/A0.021.02N/AXXX
    88346AImmunofluorescent study0.861.47N/A0.052.38N/AXXX
    8834626AImmunofluorescent study0.860.380.380.031.271.27XXX
    88346TCAImmunofluorescent study0.001.09N/A0.021.11N/AXXX
    88347AImmunofluorescent study0.861.79N/A0.052.70N/AXXX
    8834726AImmunofluorescent study0.860.360.360.031.251.25XXX
    88347TCAImmunofluorescent study0.001.43N/A0.021.45N/AXXX
    88348AElectron microscopy1.518.66N/A0.1110.28N/AXXX
    8834826AElectron microscopy1.510.670.670.052.232.23XXX
    88348TCAElectron microscopy0.007.99N/A0.068.05N/AXXX
    88349AScanning electron microscopy0.7610.02N/A0.0810.86N/AXXX
    8834926AScanning electron microscopy0.760.340.340.031.131.13XXX
    88349TCAScanning electron microscopy0.009.68N/A0.059.73N/AXXX
    88355AAnalysis, skeletal muscle1.852.66N/A0.124.63N/AXXX
    8835526AAnalysis, skeletal muscle1.850.820.820.072.742.74XXX
    88355TCAAnalysis, skeletal muscle0.001.84N/A0.051.89N/AXXX
    88356AAnalysis, nerve3.022.93N/A0.166.11N/AXXX
    8835626AAnalysis, nerve3.021.301.300.104.424.42XXX
    88356TCAAnalysis, nerve0.001.63N/A0.061.69N/AXXX
    88358AAnalysis, tumor2.821.76N/A0.164.74N/AXXX
    8835826AAnalysis, tumor2.821.251.250.104.174.17XXX
    88358TCAAnalysis, tumor0.000.50N/A0.060.56N/AXXX
    88362ANerve teasing preparations2.174.49N/A0.126.78N/AXXX
    8836226ANerve teasing preparations2.170.950.950.073.193.19XXX
    88362TCANerve teasing preparations0.003.54N/A0.053.59N/AXXX
    88365ATissue hybridization0.932.25N/A0.053.23N/AXXX
    8836526ATissue hybridization0.930.410.410.031.371.37XXX
    88365TCATissue hybridization0.001.84N/A0.021.86N/AXXX
    8837126AProtein, western blot tissue0.370.130.130.010.510.51XXX
    8837226AProtein analysis w/probe0.370.170.170.010.550.55XXX
    88380CMicrodissection0.000.000.000.000.000.00XXX
    8838026CMicrodissection0.000.000.000.000.000.00XXX
    88380TCCMicrodissection0.000.000.000.000.000.00XXX
    88399CSurgical pathology procedure0.000.000.000.000.000.00XXX
    8839926CSurgical pathology procedure0.000.000.000.000.000.00XXX
    88399TCCSurgical pathology procedure0.000.000.000.000.000.00XXX
    8906026AExam,synovial fluid crystals0.370.170.170.010.550.55XXX
    89100ASample intestinal contents0.601.640.220.022.260.84XXX
    89105ASample intestinal contents0.502.280.170.022.800.69XXX
    89130ASample stomach contents0.451.780.130.022.250.60XXX
    89132ASample stomach contents0.191.530.060.011.730.26XXX
    Start Printed Page 49214
    89135ASample stomach contents0.791.620.250.032.441.07XXX
    89136ASample stomach contents0.211.680.090.011.900.31XXX
    89140ASample stomach contents0.942.130.280.033.101.25XXX
    89141ASample stomach contents0.852.780.340.033.661.22XXX
    89350ASputum specimen collection0.000.41N/A0.020.43N/AXXX
    89360ACollect sweat for test0.000.45N/A0.020.47N/AXXX
    89399CPathology lab procedure0.000.000.000.000.000.00XXX
    8939926CPathology lab procedure0.000.000.000.000.000.00XXX
    89399TCCPathology lab procedure0.000.000.000.000.000.00XXX
    90281IHuman ig, im0.000.000.000.000.000.00XXX
    90283IHuman ig, iv0.000.000.000.000.000.00XXX
    90287IBotulinum antitoxin0.000.000.000.000.000.00XXX
    90288IBotulism ig, iv0.000.000.000.000.000.00XXX
    90291ICmv ig, iv0.000.000.000.000.000.00XXX
    90379IRsv ig, iv0.000.000.000.000.000.00XXX
    90384IRh ig, full-dose, im0.000.000.000.000.000.00XXX
    90386IRh ig, iv0.000.000.000.000.000.00XXX
    90389ITetanus ig, im0.000.000.000.000.000.00XXX
    90399IImmune globulin0.000.000.000.000.000.00XXX
    90471AImmunization admin0.000.13N/A0.010.14N/AXXX
    90472AImmunization admin, each add0.000.08N/A0.010.09N/AZZZ
    90723IDtap-hep b-ipv vaccine, im0.000.000.000.000.000.00XXX
    90748IHep b/hib vaccine, im0.000.000.000.000.000.00XXX
    90780AIV infusion therapy, 1 hour0.001.11N/A0.061.17N/AXXX
    90781AIV infusion, additional hour0.000.56N/A0.030.59N/AZZZ
    90782TInjection, sc/im0.000.11N/A0.010.12N/AXXX
    90783TInjection, ia0.000.41N/A0.020.43N/AXXX
    90784TInjection, iv0.000.47N/A0.030.50N/AXXX
    90788TInjection of antibiotic0.000.12N/A0.010.13N/AXXX
    90799CTher/prophylactic/dx inject0.000.000.000.000.000.00XXX
    90801APsy dx interview2.801.200.950.064.063.81XXX
    90802AIntac psy dx interview3.011.231.000.074.314.08XXX
    90804APsytx, office, 20-30 min1.210.510.390.031.751.63XXX
    90805APsytx, off, 20-30 min w/e&m1.370.510.430.031.911.83XXX
    90806APsytx, off, 45-50 min1.860.720.620.042.622.52XXX
    90807APsytx, off, 45-50 min w/e&m2.020.710.650.052.782.72XXX
    90808APsytx, office, 75-80 min2.791.050.920.073.913.78XXX
    90809APsytx, off, 75-80, w/e&m2.951.020.940.074.043.96XXX
    90810AIntac psytx, off, 20-30 min1.320.520.430.031.871.78XXX
    90811AIntac psytx, 20-30, w/e&m1.480.580.470.032.091.98XXX
    90812AIntac psytx, off, 45-50 min1.970.810.660.052.832.68XXX
    90813AIntac psytx, 45-50 min w/e&m2.130.790.680.052.972.86XXX
    90814AIntac psytx, off, 75-80 min2.901.121.010.074.093.98XXX
    90815AIntac psytx, 75-80 w/e&m3.061.070.970.074.204.10XXX
    90816APsytx, hosp, 20-30 min1.25N/A0.470.03N/A1.75XXX
    90817APsytx, hosp, 20-30 min w/e&m1.41N/A0.470.03N/A1.91XXX
    90818APsytx, hosp, 45-50 min1.89N/A0.700.04N/A2.63XXX
    90819APsytx, hosp, 45-50 min w/e&m2.05N/A0.670.05N/A2.77XXX
    90821APsytx, hosp, 75-80 min2.83N/A1.030.06N/A3.92XXX
    90822APsytx, hosp, 75-80 min w/e&m2.99N/A0.970.07N/A4.03XXX
    90823AIntac psytx, hosp, 20-30 min1.36N/A0.490.03N/A1.88XXX
    90824AIntac psytx, hsp 20-30 w/e&m1.52N/A0.500.03N/A2.05XXX
    90826AIntac psytx, hosp, 45-50 min2.01N/A0.740.04N/A2.79XXX
    90827AIntac psytx, hsp 45-50 w/e&m2.16N/A0.700.05N/A2.91XXX
    Start Printed Page 49215
    90828AIntac psytx, hosp, 75-80 min2.94N/A1.090.07N/A4.10XXX
    90829AIntac psytx, hsp 75-80 w/e&m3.10N/A1.000.07N/A4.17XXX
    90845APsychoanalysis1.790.590.570.042.422.40XXX
    90846RFamily psytx w/o patient1.830.670.660.042.542.53XXX
    90847RFamily psytx w/patient2.210.830.780.053.093.04XXX
    90849RMultiple family group psytx0.590.280.240.010.880.84XXX
    90853AGroup psychotherapy0.590.250.240.010.850.84XXX
    90857AIntac group psytx0.630.300.260.020.950.91XXX
    90862AMedication management0.950.410.330.021.381.30XXX
    90865ANarcosynthesis2.841.640.910.074.553.82XXX
    90870AElectroconvulsive therapy1.880.800.800.042.722.72000
    90871NElectroconvulsive therapy2.72N/A1.080.06N/A3.86000
    90875NPsychophysiological therapy1.200.920.460.032.151.69XXX
    90876NPsychophysiological therapy1.901.200.740.043.142.68XXX
    90880AHypnotherapy2.191.060.700.053.302.94XXX
    90885BPsy evaluation of records0.970.380.380.021.371.37XXX
    90887BConsultation with family1.480.840.570.032.352.08XXX
    90899CPsychiatric service/therapy0.000.000.000.000.000.00XXX
    90901ABiofeedback train, any meth0.410.600.140.021.030.57000
    90911ABiofeedback peri/uro/rectal0.893.950.320.044.881.25000
    90918IESRD related services, month11.187.527.520.3019.0019.00XXX
    90919IESRD related services, month8.544.154.150.2412.9312.93XXX
    90920IESRD related services, month7.273.893.890.1911.3511.35XXX
    90921IESRD related services, month4.472.522.520.127.117.11XXX
    90922AESRD related services, day0.370.220.220.010.600.60XXX
    90923AEsrd related services, day0.280.130.130.010.420.42XXX
    90924AEsrd related services, day0.240.120.120.010.370.37XXX
    90925AEsrd related services, day0.150.080.080.010.240.24XXX
    90935AHemodialysis, one evaluation1.22N/A0.690.03N/A1.94000
    90937AHemodialysis, repeated eval2.11N/A1.000.06N/A3.17000
    90945ADialysis, one evaluation1.28N/A0.710.04N/A2.03000
    90947ADialysis, repeated eval2.16N/A1.020.06N/A3.24000
    90997AHemoperfusion1.84N/A1.430.05N/A3.32000
    90999CDialysis procedure0.000.000.000.000.000.00XXX
    91000AEsophageal intubation0.730.33N/A0.041.10N/A000
    9100026AEsophageal intubation0.730.250.250.031.011.01000
    91000TCAEsophageal intubation0.000.08N/A0.010.09N/A000
    91010AEsophagus motility study1.252.78N/A0.104.13N/A000
    9101026AEsophagus motility study1.250.450.450.051.751.75000
    91010TCAEsophagus motility study0.002.33N/A0.052.38N/A000
    91011AEsophagus motility study1.503.28N/A0.104.88N/A000
    9101126AEsophagus motility study1.500.540.540.052.092.09000
    91011TCAEsophagus motility study0.002.74N/A0.052.79N/A000
    91012AEsophagus motility study1.463.42N/A0.125.00N/A000
    9101226AEsophagus motility study1.460.520.520.062.042.04000
    91012TCAEsophagus motility study0.002.89N/A0.062.95N/A000
    91020AGastric motility1.443.03N/A0.114.58N/A000
    9102026AGastric motility1.440.500.500.062.002.00000
    91020TCAGastric motility0.002.53N/A0.052.58N/A000
    91030AAcid perfusion of esophagus0.912.45N/A0.053.41N/A000
    9103026AAcid perfusion of esophagus0.910.330.330.031.271.27000
    Start Printed Page 49216
    91030TCAAcid perfusion of esophagus0.002.12N/A0.022.14N/A000
    91032AEsophagus, acid reflux test1.214.24N/A0.105.55N/A000
    9103226AEsophagus, acid reflux test1.210.430.430.051.691.69000
    91032TCAEsophagus, acid reflux test0.003.82N/A0.053.87N/A000
    91033AProlonged acid reflux test1.304.27N/A0.145.71N/A000
    9103326AProlonged acid reflux test1.300.460.460.051.811.81000
    91033TCAProlonged acid reflux test0.003.81N/A0.093.90N/A000
    91052AGastric analysis test0.792.24N/A0.053.08N/A000
    9105226AGastric analysis test0.790.280.280.031.101.10000
    91052TCAGastric analysis test0.001.96N/A0.021.98N/A000
    91055AGastric intubation for smear0.942.42N/A0.063.42N/A000
    9105526AGastric intubation for smear0.940.270.270.041.251.25000
    91055TCAGastric intubation for smear0.002.15N/A0.022.17N/A000
    91060AGastric saline load test0.450.30N/A0.040.79N/A000
    9106026AGastric saline load test0.450.140.140.020.610.61000
    91060TCAGastric saline load test0.000.16N/A0.020.18N/A000
    91065ABreath hydrogen test0.202.02N/A0.032.25N/A000
    9106526ABreath hydrogen test0.200.070.070.010.280.28000
    91065TCABreath hydrogen test0.001.95N/A0.021.97N/A000
    91100APass intestine bleeding tube1.08N/A0.290.06N/A1.43000
    91105AGastric intubation treatment0.37N/A0.090.02N/A0.48000
    91122AAnal pressure record1.776.20N/A0.178.14N/A000
    9112226AAnal pressure record1.770.620.620.102.492.49000
    91122TCAAnal pressure record0.005.58N/A0.075.65N/A000
    91132CElectrogastrography0.000.000.000.000.000.00XXX
    9113226AElectrogastrography0.520.19N/A0.030.74N/AXXX
    91132TCCElectrogastrography0.000.000.000.000.000.00XXX
    91133CElectrogastrography w/test0.000.000.000.000.000.00XXX
    9113326AElectrogastrography w/test0.660.24N/A0.030.93N/AXXX
    91133TCCElectrogastrography w/test0.000.000.000.000.000.00XXX
    91299CGastroenterology procedure0.000.000.000.000.000.00XXX
    9129926CGastroenterology procedure0.000.000.000.000.000.00XXX
    91299TCCGastroenterology procedure0.000.000.000.000.000.00XXX
    92002AEye exam, new patient0.880.980.350.021.881.25XXX
    92004AEye exam, new patient1.671.710.690.033.412.39XXX
    92012AEye exam established pat0.671.040.290.011.720.97XXX
    92014AEye exam & treatment1.101.410.480.022.531.60XXX
    92015NRefraction0.381.190.150.011.580.54XXX
    92018ANew eye exam & treatment2.50N/A1.100.03N/A3.63XXX
    92019AEye exam & treatment1.31N/A0.580.03N/A1.92XXX
    92020ASpecial eye evaluation0.370.330.160.010.710.54XXX
    92060ASpecial eye evaluation0.690.74N/A0.021.45N/AXXX
    9206026ASpecial eye evaluation0.690.290.290.010.990.99XXX
    92060TCASpecial eye evaluation0.000.44N/A0.010.45N/AXXX
    92065AOrthoptic/pleoptic training0.370.56N/A0.020.95N/AXXX
    9206526AOrthoptic/pleoptic training0.370.150.150.010.530.53XXX
    92065TCAOrthoptic/pleoptic training0.000.40N/A0.010.41N/AXXX
    92070AFitting of contact lens0.701.090.320.011.801.03XXX
    92081AVisual field examination(s)0.360.87N/A0.021.25N/AXXX
    9208126AVisual field examination(s)0.360.160.160.010.530.53XXX
    92081TCAVisual field examination(s)0.000.72N/A0.010.73N/AXXX
    92082AVisual field examination(s)0.441.16N/A0.021.62N/AXXX
    9208226AVisual field examination(s)0.440.190.190.010.640.64XXX
    Start Printed Page 49217
    92082TCAVisual field examination(s)0.000.97N/A0.010.98N/AXXX
    92083AVisual field examination(s)0.501.35N/A0.021.87N/AXXX
    9208326AVisual field examination(s)0.500.220.220.010.730.73XXX
    92083TCAVisual field examination(s)0.001.13N/A0.011.14N/AXXX
    92100ASerial tonometry exam(s)0.921.280.370.022.221.31XXX
    92120ATonography & eye evaluation0.811.060.320.021.891.15XXX
    92130AWater provocation tonography0.811.260.380.022.091.21XXX
    92135AOpthalmic dx imaging0.350.80N/A0.021.17N/AXXX
    9213526AOpthalmic dx imaging0.350.160.160.010.520.52XXX
    92135TCAOpthalmic dx imaging0.000.64N/A0.010.65N/AXXX
    92136AOphthalmic biometry0.541.78N/A0.072.39N/AXXX
    9213626AOphthalmic biometry0.540.250.250.010.800.80XXX
    92136TCAOphthalmic biometry0.001.53N/A0.061.59N/AXXX
    92140AGlaucoma provocative tests0.500.950.220.011.460.73XXX
    92225ASpecial eye exam, initial0.380.220.160.010.610.55XXX
    92226ASpecial eye exam, subsequent0.330.210.150.010.550.49XXX
    92230AEye exam with photos0.601.700.200.022.320.82XXX
    92235AEye exam with photos0.812.97N/A0.073.85N/AXXX
    9223526AEye exam with photos0.810.370.370.021.201.20XXX
    92235TCAEye exam with photos0.002.60N/A0.052.65N/AXXX
    92240AIcg angiography1.107.13N/A0.078.30N/AXXX
    9224026AIcg angiography1.100.510.510.021.631.63XXX
    92240TCAIcg angiography0.006.63N/A0.056.68N/AXXX
    92250AEye exam with photos0.441.75N/A0.022.21N/AXXX
    9225026AEye exam with photos0.440.200.200.010.650.65XXX
    92250TCAEye exam with photos0.001.55N/A0.011.56N/AXXX
    92260AOphthalmoscopy/dynamometry0.200.290.090.010.500.30XXX
    92265AEye muscle evaluation0.811.89N/A0.042.74N/AXXX
    9226526AEye muscle evaluation0.810.290.290.021.121.12XXX
    92265TCAEye muscle evaluation0.001.61N/A0.021.63N/AXXX
    92270AElectro-oculography0.811.72N/A0.052.58N/AXXX
    9227026AElectro-oculography0.810.340.340.031.181.18XXX
    92270TCAElectro-oculography0.001.37N/A0.021.39N/AXXX
    92275AElectroretinography1.011.98N/A0.043.03N/AXXX
    9227526AElectroretinography1.010.440.440.021.471.47XXX
    92275TCAElectroretinography0.001.54N/A0.021.56N/AXXX
    92283AColor vision examination0.170.85N/A0.021.04N/AXXX
    9228326AColor vision examination0.170.070.070.010.250.25XXX
    92283TCAColor vision examination0.000.78N/A0.010.79N/AXXX
    92284ADark adaptation eye exam0.242.35N/A0.022.61N/AXXX
    9228426ADark adaptation eye exam0.240.090.090.010.340.34XXX
    92284TCADark adaptation eye exam0.002.26N/A0.012.27N/AXXX
    92285AEye photography0.201.07N/A0.021.29N/AXXX
    9228526AEye photography0.200.090.090.010.300.30XXX
    92285TCAEye photography0.000.99N/A0.011.00N/AXXX
    92286AInternal eye photography0.663.40N/A0.034.09N/AXXX
    9228626AInternal eye photography0.660.300.300.010.970.97XXX
    92286TCAInternal eye photography0.003.10N/A0.023.12N/AXXX
    92287AInternal eye photography0.812.740.310.023.571.14XXX
    92310NContact lens fitting1.171.170.450.032.371.65XXX
    92311AContact lens fitting1.081.210.350.032.321.46XXX
    92312AContact lens fitting1.261.180.500.032.471.79XXX
    92313AContact lens fitting0.921.180.290.022.121.23XXX
    92314NPrescription of contact lens0.690.980.270.011.680.97XXX
    92315APrescription of contact lens0.450.960.160.011.420.62XXX
    92316APrescription of contact lens0.681.010.300.011.700.99XXX
    92317APrescription of contact lens0.451.070.140.011.530.60XXX
    Start Printed Page 49218
    92325AModification of contact lens0.000.40N/A0.010.41N/AXXX
    92326AReplacement of contact lens0.001.63N/A0.051.68N/AXXX
    92330AFitting of artificial eye1.081.090.330.042.211.45XXX
    92335AFitting of artificial eye0.451.020.170.011.480.63XXX
    92340NFitting of spectacles0.370.740.140.011.120.52XXX
    92341NFitting of spectacles0.470.780.180.011.260.66XXX
    92342NFitting of spectacles0.530.800.210.011.340.75XXX
    92352BSpecial spectacles fitting0.370.740.140.011.120.52XXX
    92353BSpecial spectacles fitting0.500.790.190.021.310.71XXX
    92354BSpecial spectacles fitting0.008.86N/A0.088.94N/AXXX
    92355BSpecial spectacles fitting0.004.33N/A0.014.34N/AXXX
    92358BEye prosthesis service0.000.97N/A0.041.01N/AXXX
    92370NRepair & adjust spectacles0.320.600.120.020.940.46XXX
    92371BRepair & adjust spectacles0.000.62N/A0.020.64N/AXXX
    92392ISupply of low vision aids0.003.843.840.023.863.86XXX
    92393ISupply of artificial eye0.0011.9211.920.4712.3912.39XXX
    92395ISupply of spectacles0.001.301.300.081.381.38XXX
    92396ISupply of contact lenses0.002.192.190.062.252.25XXX
    92499CEye service or procedure0.000.000.000.000.000.00XXX
    9249926CEye service or procedure0.000.000.000.000.000.00XXX
    92499TCCEye service or procedure0.000.000.000.000.000.00XXX
    92502AEar and throat examination1.51N/A1.160.06N/A2.73000
    92504AEar microscopy examination0.180.530.090.010.720.28XXX
    92506ASpeech/hearing evaluation0.862.650.410.043.551.31XXX
    92507ASpeech/hearing therapy0.520.970.240.021.510.78XXX
    92508ASpeech/hearing therapy0.260.530.120.010.800.39XXX
    92510IRehab for ear implant1.502.110.830.063.672.39XXX
    92511ANasopharyngoscopy0.842.500.790.033.371.66000
    92512ANasal function studies0.551.130.180.021.700.75XXX
    92516AFacial nerve function test0.430.950.220.021.400.67XXX
    92520ALaryngeal function studies0.760.520.400.031.311.19XXX
    92526AOral function therapy0.551.670.200.022.240.77XXX
    92541ASpontaneous nystagmus test0.401.05N/A0.041.49N/AXXX
    9254126ASpontaneous nystagmus test0.400.190.190.020.610.61XXX
    92541TCASpontaneous nystagmus test0.000.86N/A0.020.88N/AXXX
    92542APositional nystagmus test0.331.16N/A0.031.52N/AXXX
    9254226APositional nystagmus test0.330.160.160.010.500.50XXX
    92542TCAPositional nystagmus test0.001.00N/A0.021.02N/AXXX
    92543ACaloric vestibular test0.100.59N/A0.020.71N/AXXX
    9254326ACaloric vestibular test0.100.050.050.010.160.16XXX
    92543TCACaloric vestibular test0.000.54N/A0.010.55N/AXXX
    92544AOptokinetic nystagmus test0.260.92N/A0.031.21N/AXXX
    9254426AOptokinetic nystagmus test0.260.130.130.010.400.40XXX
    92544TCAOptokinetic nystagmus test0.000.79N/A0.020.81N/AXXX
    92545AOscillating tracking test0.230.86N/A0.031.12N/AXXX
    9254526AOscillating tracking test0.230.110.110.010.350.35XXX
    92545TCAOscillating tracking test0.000.74N/A0.020.76N/AXXX
    92546ASinusoidal rotational test0.292.14N/A0.032.46N/AXXX
    9254626ASinusoidal rotational test0.290.130.130.010.430.43XXX
    92546TCASinusoidal rotational test0.002.01N/A0.022.03N/AXXX
    92547ASupplemental electrical test0.001.30N/A0.051.35N/AZZZ
    92548APosturography0.503.83N/A0.134.46N/AXXX
    9254826APosturography0.500.260.260.020.780.78XXX
    92548TCAPosturography0.003.56N/A0.113.67N/AXXX
    92552APure tone audiometry, air0.000.44N/A0.030.47N/AXXX
    Start Printed Page 49219
    92553AAudiometry, air & bone0.000.66N/A0.050.71N/AXXX
    92555ASpeech threshold audiometry0.000.38N/A0.030.41N/AXXX
    92556ASpeech audiometry, complete0.000.57N/A0.050.62N/AXXX
    92557AComprehensive hearing test0.001.19N/A0.101.29N/AXXX
    92561ABekesy audiometry, diagnosis0.000.72N/A0.050.77N/AXXX
    92562ALoudness balance test0.000.41N/A0.030.44N/AXXX
    92563ATone decay hearing test0.000.38N/A0.030.41N/AXXX
    92564ASisi hearing test0.000.47N/A0.040.51N/AXXX
    92565AStenger test, pure tone0.000.40N/A0.030.43N/AXXX
    92567ATympanometry0.000.52N/A0.050.57N/AXXX
    92568AAcoustic reflex testing0.000.38N/A0.030.41N/AXXX
    92569AAcoustic reflex decay test0.000.41N/A0.030.44N/AXXX
    92571AFiltered speech hearing test0.000.39N/A0.030.42N/AXXX
    92572AStaggered spondaic word test0.000.09N/A0.010.10N/AXXX
    92573ALombard test0.000.35N/A0.030.38N/AXXX
    92575ASensorineural acuity test0.000.30N/A0.020.32N/AXXX
    92576ASynthetic sentence test0.000.44N/A0.040.48N/AXXX
    92577AStenger test, speech0.000.72N/A0.060.78N/AXXX
    92579AVisual audiometry (vra)0.000.73N/A0.050.78N/AXXX
    92582AConditioning play audiometry0.000.73N/A0.050.78N/AXXX
    92583ASelect picture audiometry0.000.89N/A0.070.96N/AXXX
    92584AElectrocochleography0.002.48N/A0.172.65N/AXXX
    92585AAuditor evoke potent, compre0.502.07N/A0.142.71N/AXXX
    9258526AAuditor evoke potent, compre0.500.220.220.020.740.74XXX
    92585TCAAuditor evoke potent, compre0.001.85N/A0.121.97N/AXXX
    92586AAuditor evoke potent, limit0.001.85N/A0.121.97N/AXXX
    92587AEvoked auditory test0.131.37N/A0.101.60N/AXXX
    9258726AEvoked auditory test0.130.070.070.010.210.21XXX
    92587TCAEvoked auditory test0.001.31N/A0.091.40N/AXXX
    92588AEvoked auditory test0.361.64N/A0.122.12N/AXXX
    9258826AEvoked auditory test0.360.170.170.010.540.54XXX
    92588TCAEvoked auditory test0.001.47N/A0.111.58N/AXXX
    92589AAuditory function test(s)0.000.53N/A0.050.58N/AXXX
    92596AEar protector evaluation0.000.59N/A0.050.64N/AXXX
    92597AOral speech device eval0.861.770.460.042.671.36XXX
    92601ACochlear implt f/up exam < 70.003.64N/A0.063.70N/AXXX
    92602AReprogram cochlear implt < 70.002.52N/A0.062.58N/AXXX
    92603ACochlear implt f/up exam 7 >0.002.38N/A0.062.44N/AXXX
    92604AReprogram cochlear implt 7 >0.001.57N/A0.061.63N/AXXX
    92607AEx for speech device rx, 1hr0.003.10N/A0.043.14N/AXXX
    92608AEx for speech device rx addl0.000.72N/A0.040.76N/AXXX
    92609AUse of speech device service0.001.67N/A0.031.70N/AXXX
    92610AEvaluate swallowing function0.001.27N/A0.071.34N/AXXX
    92611AMotion fluoroscopy/swallow0.001.80N/A0.071.87N/AXXX
    92612AEndoscopy swallow tst (fees)1.273.160.680.074.502.02XXX
    Start Printed Page 49220
    92614ALaryngoscopic sensory test1.272.870.620.074.211.96XXX
    92616AFees w/laryngeal sense test1.883.960.980.075.912.93XXX
    92700CEnt procedure/service0.000.000.000.000.000.00XXX
    92950AHeart/lung resuscitation cpr3.80N/A1.000.21N/A5.01000
    92953ATemporary external pacing0.23N/A0.230.01N/A0.47000
    92960ACardioversion electric, ext2.256.821.200.089.153.53000
    92961ACardioversion, electric, int4.60N/A2.120.17N/A6.89000
    92970ACardioassist, internal3.52N/A1.080.17N/A4.77000
    92971ACardioassist, external1.77N/A0.870.06N/A2.70000
    92973APercut coronary thrombectomy3.28N/A1.320.12N/A4.72ZZZ
    92974ACath place, cardio brachytx3.00N/A1.210.14N/A4.35ZZZ
    92975ADissolve clot, heart vessel7.25N/A2.870.22N/A10.34000
    92977ADissolve clot, heart vessel0.008.06N/A0.388.44N/AXXX
    92978AIntravasc us, heart add-on1.805.29N/A0.267.35N/AZZZ
    9297826AIntravasc us, heart add-on1.800.720.720.062.582.58ZZZ
    92978TCAIntravasc us, heart add-on0.004.56N/A0.204.76N/AZZZ
    92979AIntravasc us, heart add-on1.442.86N/A0.154.45N/AZZZ
    9297926AIntravasc us, heart add-on1.440.570.570.042.052.05ZZZ
    92979TCAIntravasc us, heart add-on0.002.29N/A0.112.40N/AZZZ
    92980AInsert intracoronary stent14.84N/A6.190.71N/A21.74000
    92981AInsert intracoronary stent4.17N/A1.670.20N/A6.04ZZZ
    92982ACoronary artery dilation10.98N/A4.640.52N/A16.14000
    92984ACoronary artery dilation2.97N/A1.190.14N/A4.30ZZZ
    92986ARevision of aortic valve21.80N/A12.001.14N/A34.94090
    92987ARevision of mitral valve22.70N/A12.401.18N/A36.28090
    92990ARevision of pulmonary valve17.34N/A9.950.90N/A28.19090
    92992CRevision of heart chamber0.000.000.000.000.000.00090
    92993CRevision of heart chamber0.000.000.000.000.000.00090
    92995ACoronary atherectomy12.09N/A5.080.58N/A17.75000
    92996ACoronary atherectomy add-on3.26N/A1.300.16N/A4.72ZZZ
    92997APul art balloon repr, percut12.00N/A4.930.63N/A17.56000
    92998APul art balloon repr, percut6.00N/A2.250.31N/A8.56ZZZ
    93000AElectrocardiogram, complete0.170.52N/A0.030.72N/AXXX
    93005AElectrocardiogram, tracing0.000.45N/A0.020.47N/AXXX
    93010AElectrocardiogram report0.170.060.060.010.240.24XXX
    93012ATransmission of ecg0.006.02N/A0.156.17N/AXXX
    93014AReport on transmitted ecg0.520.190.190.020.730.73XXX
    93015ACardiovascular stress test0.751.97N/A0.112.83N/AXXX
    93016ACardiovascular stress test0.450.170.170.010.630.63XXX
    93017ACardiovascular stress test0.001.68N/A0.091.77N/AXXX
    93018ACardiovascular stress test0.300.120.120.010.430.43XXX
    93024ACardiac drug stress test1.171.58N/A0.112.86N/AXXX
    9302426ACardiac drug stress test1.170.460.460.041.671.67XXX
    93024TCACardiac drug stress test0.001.12N/A0.071.19N/AXXX
    93025AMicrovolt t-wave assess0.758.37N/A0.119.23N/AXXX
    9302526AMicrovolt t-wave assess0.750.300.300.021.071.07XXX
    93025TCAMicrovolt t-wave assess0.008.08N/A0.098.17N/AXXX
    93040ARhythm ECG with report0.160.20N/A0.020.38N/AXXX
    93041ARhythm ECG, tracing0.000.15N/A0.010.16N/AXXX
    93042ARhythm ECG, report0.160.050.050.010.220.22XXX
    93224AECG monitor/report, 24 hrs0.523.62N/A0.214.35N/AXXX
    93225AECG monitor/record, 24 hrs0.001.24N/A0.071.31N/AXXX
    93226AECG monitor/report, 24 hrs0.002.19N/A0.122.31N/AXXX
    93227AECG monitor/review, 24 hrs0.520.200.200.020.740.74XXX
    Start Printed Page 49221
    93230AECG monitor/report, 24 hrs0.523.89N/A0.224.63N/AXXX
    93231AEcg monitor/record, 24 hrs0.001.52N/A0.091.61N/AXXX
    93232AECG monitor/report, 24 hrs0.002.18N/A0.112.29N/AXXX
    93233AECG monitor/review, 24 hrs0.520.200.200.020.740.74XXX
    93235AECG monitor/report, 24 hrs0.452.79N/A0.133.37N/AXXX
    93236AECG monitor/report, 24 hrs0.002.62N/A0.122.74N/AXXX
    93237AECG monitor/review, 24 hrs0.450.170.170.010.630.63XXX
    93268AECG record/review0.527.45N/A0.248.21N/AXXX
    93270AECG recording0.001.24N/A0.071.31N/AXXX
    93271AEcg/monitoring and analysis0.006.02N/A0.156.17N/AXXX
    93272AEcg/review, interpret only0.520.190.190.020.730.73XXX
    93278AECG/signal-averaged0.251.25N/A0.101.60N/AXXX
    9327826AECG/signal-averaged0.250.100.100.010.360.36XXX
    93278TCAECG/signal-averaged0.001.15N/A0.091.24N/AXXX
    93303AEcho transthoracic1.304.35N/A0.235.88N/AXXX
    9330326AEcho transthoracic1.300.490.490.041.831.83XXX
    93303TCAEcho transthoracic0.003.86N/A0.194.05N/AXXX
    93304AEcho transthoracic0.752.23N/A0.133.11N/AXXX
    9330426AEcho transthoracic0.750.290.290.021.061.06XXX
    93304TCAEcho transthoracic0.001.94N/A0.112.05N/AXXX
    93307AEcho exam of heart0.924.22N/A0.225.36N/AXXX
    9330726AEcho exam of heart0.920.360.360.031.311.31XXX
    93307TCAEcho exam of heart0.003.86N/A0.194.05N/AXXX
    93308AEcho exam of heart0.532.15N/A0.132.81N/AXXX
    9330826AEcho exam of heart0.530.210.210.020.760.76XXX
    93308TCAEcho exam of heart0.001.94N/A0.112.05N/AXXX
    93312AEcho transesophageal2.204.58N/A0.327.10N/AXXX
    9331226AEcho transesophageal2.200.800.800.083.083.08XXX
    93312TCAEcho transesophageal0.003.78N/A0.244.02N/AXXX
    93313AEcho transesophageal0.95N/A0.210.05N/A1.21XXX
    93314AEcho transesophageal1.254.26N/A0.285.79N/AXXX
    9331426AEcho transesophageal1.250.480.480.041.771.77XXX
    93314TCAEcho transesophageal0.003.78N/A0.244.02N/AXXX
    93315CEcho transesophageal0.000.000.000.000.000.00XXX
    9331526AEcho transesophageal2.781.031.030.103.913.91XXX
    93315TCCEcho transesophageal0.000.000.000.000.000.00XXX
    93316AEcho transesophageal0.95N/A0.240.05N/A1.24XXX
    93317CEcho transesophageal0.000.000.000.000.000.00XXX
    9331726AEcho transesophageal1.830.680.680.062.572.57XXX
    93317TCCEcho transesophageal0.000.000.000.000.000.00XXX
    93318CEcho transesophageal intraop0.000.000.000.000.000.00XXX
    9331826AEcho transesophageal intraop2.200.48N/A0.062.74N/AXXX
    93318TCCEcho transesophageal intraop0.000.000.000.000.000.00XXX
    93320ADoppler echo exam, heart0.381.86N/A0.112.35N/AZZZ
    9332026ADoppler echo exam, heart0.380.150.150.010.540.54ZZZ
    93320TCADoppler echo exam, heart0.001.71N/A0.101.81N/AZZZ
    93321ADoppler echo exam, heart0.151.17N/A0.081.40N/AZZZ
    9332126ADoppler echo exam, heart0.150.060.060.010.220.22ZZZ
    93321TCADoppler echo exam, heart0.001.11N/A0.071.18N/AZZZ
    93325ADoppler color flow add-on0.072.93N/A0.183.18N/AZZZ
    9332526ADoppler color flow add-on0.070.030.030.010.110.11ZZZ
    93325TCADoppler color flow add-on0.002.90N/A0.173.07N/AZZZ
    93350AEcho transthoracic1.482.34N/A0.133.95N/AXXX
    9335026AEcho transthoracic1.480.580.580.022.082.08XXX
    93350TCAEcho transthoracic0.001.76N/A0.111.87N/AXXX
    93501ARight heart catheterization3.0218.08N/A1.0322.13N/A000
    Start Printed Page 49222
    9350126ARight heart catheterization3.021.181.180.164.364.36000
    93501TCARight heart catheterization0.0016.90N/A0.8717.77N/A000
    93503AInsert/place heart catheter2.91N/A0.690.16N/A3.76000
    93505ABiopsy of heart lining4.383.70N/A0.368.44N/A000
    9350526ABiopsy of heart lining4.381.721.720.236.336.33000
    93505TCABiopsy of heart lining0.001.98N/A0.132.11N/A000
    93508ACath placement, angiography4.1014.73N/A0.7519.58N/A000
    9350826ACath placement, angiography4.102.132.130.216.446.44000
    93508TCACath placement, angiography0.0012.60N/A0.5413.14N/A000
    93510ALeft heart catheterization4.3339.18N/A2.1345.64N/A000
    9351026ALeft heart catheterization4.332.222.220.226.776.77000
    93510TCALeft heart catheterization0.0036.96N/A1.9138.87N/A000
    93511ALeft heart catheterization5.0338.48N/A2.1145.62N/A000
    9351126ALeft heart catheterization5.032.502.500.267.797.79000
    93511TCALeft heart catheterization0.0035.98N/A1.8537.83N/A000
    93514ALeft heart catheterization7.0539.18N/A2.2248.45N/A000
    9351426ALeft heart catheterization7.053.203.200.3710.6210.62000
    93514TCALeft heart catheterization0.0035.98N/A1.8537.83N/A000
    93524ALeft heart catheterization6.9550.27N/A2.7960.01N/A000
    9352426ALeft heart catheterization6.953.253.250.3610.5610.56000
    93524TCALeft heart catheterization0.0047.02N/A2.4349.45N/A000
    93526ARt & Lt heart catheters5.9951.18N/A2.8159.98N/A000
    9352626ARt & Lt heart catheters5.992.882.880.319.189.18000
    93526TCARt & Lt heart catheters0.0048.30N/A2.5050.80N/A000
    93527ARt & Lt heart catheters7.2850.41N/A2.8160.50N/A000
    9352726ARt & Lt heart catheters7.283.393.390.3811.0511.05000
    93527TCARt & Lt heart catheters0.0047.02N/A2.4349.45N/A000
    93528ARt & Lt heart catheters9.0051.14N/A2.9063.04N/A000
    9352826ARt & Lt heart catheters9.004.124.120.4713.5913.59000
    93528TCARt & Lt heart catheters0.0047.02N/A2.4349.45N/A000
    93529ARt, lt heart catheterization4.8049.35N/A2.6856.83N/A000
    9352926ARt, lt heart catheterization4.802.332.330.257.387.38000
    93529TCARt, lt heart catheterization0.0047.02N/A2.4349.45N/A000
    93530ARt heart cath, congenital4.2318.89N/A1.1124.23N/A000
    9353026ARt heart cath, congenital4.231.981.980.246.456.45000
    93530TCARt heart cath, congenital0.0016.90N/A0.8717.77N/A000
    93531AR & l heart cath, congenital8.3551.97N/A2.9663.28N/A000
    9353126AR & l heart cath, congenital8.353.673.670.4612.4812.48000
    93531TCAR & l heart cath, congenital0.0048.30N/A2.5050.80N/A000
    93532AR & l heart cath, congenital10.0051.37N/A2.9564.32N/A000
    9353226AR & l heart cath, congenital10.004.364.360.5214.8814.88000
    93532TCAR & l heart cath, congenital0.0047.02N/A2.4349.45N/A000
    93533AR & l heart cath, congenital6.7049.89N/A2.8659.45N/A000
    9353326AR & l heart cath, congenital6.702.872.870.4310.0010.00000
    93533TCAR & l heart cath, congenital0.0047.02N/A2.4349.45N/A000
    93539AInjection, cardiac cath0.40N/A0.160.01N/A0.57000
    93540AInjection, cardiac cath0.43N/A0.170.01N/A0.61000
    93541AInjection for lung angiogram0.29N/A0.120.01N/A0.42000
    93542AInjection for heart x-rays0.29N/A0.110.01N/A0.41000
    93543AInjection for heart x-rays0.29N/A0.120.01N/A0.42000
    93544AInjection for aortography0.25N/A0.100.01N/A0.36000
    93545AInject for coronary x-rays0.40N/A0.160.01N/A0.57000
    93555AImaging, cardiac cath0.816.60N/A0.317.72N/AXXX
    Start Printed Page 49223
    9355526AImaging, cardiac cath0.810.320.320.031.161.16XXX
    93555TCAImaging, cardiac cath0.006.28N/A0.286.56N/AXXX
    93556AImaging, cardiac cath0.8310.22N/A0.4511.50N/AXXX
    9355626AImaging, cardiac cath0.830.330.330.031.191.19XXX
    93556TCAImaging, cardiac cath0.009.89N/A0.4210.31N/AXXX
    93561ACardiac output measurement0.500.69N/A0.071.26N/A000
    9356126ACardiac output measurement0.500.160.160.020.680.68000
    93561TCACardiac output measurement0.000.52N/A0.050.57N/A000
    93562ACardiac output measurement0.160.37N/A0.040.57N/A000
    9356226ACardiac output measurement0.160.050.050.010.220.22000
    93562TCACardiac output measurement0.000.32N/A0.030.35N/A000
    93571AHeart flow reserve measure1.805.26N/A0.317.37N/AZZZ
    9357126AHeart flow reserve measure1.800.690.690.112.602.60ZZZ
    93571TCAHeart flow reserve measure0.004.56N/A0.204.76N/AZZZ
    93572AHeart flow reserve measure1.442.79N/A0.284.51N/AZZZ
    9357226AHeart flow reserve measure1.440.500.500.172.112.11ZZZ
    93572TCAHeart flow reserve measure0.002.29N/A0.112.40N/AZZZ
    93580ATranscath closure of asd18.00N/A7.331.14N/A26.47000
    93581ATranscath closure of vsd24.43N/A9.821.14N/A35.39000
    93600ABundle of His recording2.122.80N/A0.225.14N/A000
    9360026ABundle of His recording2.120.850.850.113.083.08000
    93600TCABundle of His recording0.001.95N/A0.112.06N/A000
    93602AIntra-atrial recording2.121.95N/A0.184.25N/A000
    9360226AIntra-atrial recording2.120.840.840.123.083.08000
    93602TCAIntra-atrial recording0.001.11N/A0.061.17N/A000
    93603ARight ventricular recording2.122.51N/A0.204.83N/A000
    9360326ARight ventricular recording2.120.830.830.113.063.06000
    93603TCARight ventricular recording0.001.68N/A0.091.77N/A000
    93609AMap tachycardia, add-on5.004.71N/A0.6610.37N/AZZZ
    9360926AMap tachycardia, add-on5.001.991.990.527.517.51ZZZ
    93609TCAMap tachycardia, add-on0.002.72N/A0.142.86N/AZZZ
    93610AIntra-atrial pacing3.022.54N/A0.255.81N/A000
    9361026AIntra-atrial pacing3.021.181.180.174.374.37000
    93610TCAIntra-atrial pacing0.001.35N/A0.081.43N/A000
    93612AIntraventricular pacing3.022.79N/A0.266.07N/A000
    9361226AIntraventricular pacing3.021.181.180.174.374.37000
    93612TCAIntraventricular pacing0.001.61N/A0.091.70N/A000
    93613AElectrophys map 3d, add-on7.00N/A2.820.52N/A10.34ZZZ
    93615AEsophageal recording0.990.59N/A0.051.63N/A000
    9361526AEsophageal recording0.990.270.270.031.291.29000
    93615TCAEsophageal recording0.000.32N/A0.020.34N/A000
    93616AEsophageal recording1.490.75N/A0.082.32N/A000
    9361626AEsophageal recording1.490.430.430.061.981.98000
    93616TCAEsophageal recording0.000.32N/A0.020.34N/A000
    93618AHeart rhythm pacing4.265.67N/A0.4210.35N/A000
    9361826AHeart rhythm pacing4.261.711.710.226.196.19000
    93618TCAHeart rhythm pacing0.003.96N/A0.204.16N/A000
    93619AElectrophysiology evaluation7.3210.61N/A0.7718.70N/A000
    9361926AElectrophysiology evaluation7.322.912.910.3810.6110.61000
    93619TCAElectrophysiology evaluation0.007.71N/A0.398.10N/A000
    Start Printed Page 49224
    93620CElectrophysiology evaluation0.000.000.000.000.000.00000
    9362026AElectrophysiology evaluation11.594.614.610.6016.8016.80000
    93620TCCElectrophysiology evaluation0.000.000.000.000.000.00000
    93621CElectrophysiology evaluation0.000.000.000.000.000.00ZZZ
    9362126AElectrophysiology evaluation2.100.840.840.153.093.09ZZZ
    93621TCCElectrophysiology evaluation0.000.000.000.000.000.00ZZZ
    93622CElectrophysiology evaluation0.000.000.000.000.000.00ZZZ
    9362226AElectrophysiology evaluation3.101.231.230.675.005.00ZZZ
    93622TCCElectrophysiology evaluation0.000.000.000.000.000.00ZZZ
    93623CStimulation, pacing heart0.000.000.000.000.000.00ZZZ
    9362326AStimulation, pacing heart2.851.131.130.154.134.13ZZZ
    93623TCCStimulation, pacing heart0.000.000.000.000.000.00ZZZ
    93624AElectrophysiologic study4.814.23N/A0.369.40N/A000
    9362426AElectrophysiologic study4.812.252.250.257.317.31000
    93624TCAElectrophysiologic study0.001.98N/A0.112.09N/A000
    93631AHeart pacing, mapping7.608.95N/A1.1717.72N/A000
    9363126AHeart pacing, mapping7.602.802.800.6611.0611.06000
    93631TCAHeart pacing, mapping0.006.15N/A0.516.66N/A000
    93640AEvaluation heart device3.528.57N/A0.5312.62N/A000
    9364026AEvaluation heart device3.521.391.390.185.095.09000
    93640TCAEvaluation heart device0.007.18N/A0.357.53N/A000
    93641AElectrophysiology evaluation5.939.54N/A0.6616.13N/A000
    9364126AElectrophysiology evaluation5.932.362.360.318.608.60000
    93641TCAElectrophysiology evaluation0.007.18N/A0.357.53N/A000
    93642AElectrophysiology evaluation4.899.10N/A0.5114.50N/A000
    9364226AElectrophysiology evaluation4.891.921.920.166.976.97000
    93642TCAElectrophysiology evaluation0.007.18N/A0.357.53N/A000
    93650AAblate heart dysrhythm focus10.51N/A4.530.55N/A15.59000
    93651AAblate heart dysrhythm focus16.25N/A6.470.85N/A23.57000
    93652AAblate heart dysrhythm focus17.68N/A7.040.92N/A25.64000
    93660ATilt table evaluation1.892.44N/A0.084.41N/A000
    9366026ATilt table evaluation1.890.760.760.062.712.71000
    93660TCATilt table evaluation0.001.68N/A0.021.70N/A000
    93662CIntracardiac ecg (ice)0.000.000.000.000.000.00ZZZ
    9366226AIntracardiac ecg (ice)2.801.131.130.414.344.34ZZZ
    93662TCCIntracardiac ecg (ice)0.000.000.000.000.000.00ZZZ
    93701ABioimpedance, thoracic0.171.04N/A0.021.23N/AXXX
    9370126ABioimpedance, thoracic0.170.070.070.010.250.25XXX
    93701TCABioimpedance, thoracic0.000.97N/A0.010.98N/AXXX
    93720ATotal body plethysmography0.171.14N/A0.061.37N/AXXX
    93721APlethysmography tracing0.000.71N/A0.050.76N/AXXX
    93722APlethysmography report0.170.050.050.010.230.23XXX
    93724AAnalyze pacemaker system4.895.92N/A0.3811.19N/A000
    9372426AAnalyze pacemaker system4.891.951.950.187.027.02000
    Start Printed Page 49225
    93724TCAAnalyze pacemaker system0.003.96N/A0.204.16N/A000
    93727AAnalyze ilr system0.520.200.200.050.770.77XXX
    93731AAnalyze pacemaker system0.450.67N/A0.051.17N/AXXX
    9373126AAnalyze pacemaker system0.450.180.180.020.650.65XXX
    93731TCAAnalyze pacemaker system0.000.49N/A0.030.52N/AXXX
    93732AAnalyze pacemaker system0.920.87N/A0.061.85N/AXXX
    9373226AAnalyze pacemaker system0.920.360.360.031.311.31XXX
    93732TCAAnalyze pacemaker system0.000.51N/A0.030.54N/AXXX
    93733ATelephone analy, pacemaker0.170.79N/A0.061.02N/AXXX
    9373326ATelephone analy, pacemaker0.170.070.070.010.250.25XXX
    93733TCATelephone analy, pacemaker0.000.73N/A0.050.78N/AXXX
    93734AAnalyze pacemaker system0.380.50N/A0.030.91N/AXXX
    9373426AAnalyze pacemaker system0.380.150.150.010.540.54XXX
    93734TCAAnalyze pacemaker system0.000.35N/A0.020.37N/AXXX
    93735AAnalyze pacemaker system0.740.74N/A0.061.54N/AXXX
    9373526AAnalyze pacemaker system0.740.290.290.031.061.06XXX
    93735TCAAnalyze pacemaker system0.000.44N/A0.030.47N/AXXX
    93736ATelephone analy, pacemaker0.150.69N/A0.060.90N/AXXX
    9373626ATelephone analy, pacemaker0.150.060.060.010.220.22XXX
    93736TCATelephone analy, pacemaker0.000.63N/A0.050.68N/AXXX
    93740BTemperature gradient studies0.160.20N/A0.020.38N/AXXX
    9374026BTemperature gradient studies0.160.040.040.010.210.21XXX
    93740TCBTemperature gradient studies0.000.15N/A0.010.16N/AXXX
    93741AAnalyze ht pace device sngl0.800.99N/A0.051.84N/AXXX
    9374126AAnalyze ht pace device sngl0.800.320.320.021.141.14XXX
    93741TCAAnalyze ht pace device sngl0.000.67N/A0.030.70N/AXXX
    93742AAnalyze ht pace device sngl0.911.03N/A0.051.99N/AXXX
    9374226AAnalyze ht pace device sngl0.910.360.360.021.291.29XXX
    93742TCAAnalyze ht pace device sngl0.000.67N/A0.030.70N/AXXX
    93743AAnalyze ht pace device dual1.031.14N/A0.062.23N/AXXX
    9374326AAnalyze ht pace device dual1.030.410.410.031.471.47XXX
    93743TCAAnalyze ht pace device dual0.000.73N/A0.030.76N/AXXX
    93744AAnalyze ht pace device dual1.181.14N/A0.062.38N/AXXX
    Start Printed Page 49226
    9374426AAnalyze ht pace device dual1.180.470.470.031.681.68XXX
    93744TCAAnalyze ht pace device dual0.000.67N/A0.030.70N/AXXX
    93770BMeasure venous pressure0.160.08N/A0.020.26N/AXXX
    9377026BMeasure venous pressure0.160.050.050.010.220.22XXX
    93770TCBMeasure venous pressure0.000.03N/A0.010.04N/AXXX
    93784AAmbulatory BP monitoring0.170.97N/A0.021.16N/AXXX
    93786AAmbulatory BP recording0.000.91N/A0.010.92N/AXXX
    93790AReview/report BP recording0.170.060.060.010.240.24XXX
    93797ACardiac rehab0.180.390.070.010.580.26000
    93798ACardiac rehab/monitor0.280.510.110.010.800.40000
    93799CCardiovascular procedure0.000.000.000.000.000.00XXX
    9379926CCardiovascular procedure0.000.000.000.000.000.00XXX
    93799TCCCardiovascular procedure0.000.000.000.000.000.00XXX
    93875AExtracranial study0.221.67N/A0.101.99N/AXXX
    9387526AExtracranial study0.220.080.080.010.310.31XXX
    93875TCAExtracranial study0.001.59N/A0.091.68N/AXXX
    93880AExtracranial study0.604.20N/A0.335.13N/AXXX
    9388026AExtracranial study0.600.210.210.040.850.85XXX
    93880TCAExtracranial study0.003.99N/A0.294.28N/AXXX
    93882AExtracranial study0.403.03N/A0.223.65N/AXXX
    9388226AExtracranial study0.400.140.140.040.580.58XXX
    93882TCAExtracranial study0.002.88N/A0.183.06N/AXXX
    93886AIntracranial study0.944.54N/A0.375.85N/AXXX
    9388626AIntracranial study0.940.380.380.051.371.37XXX
    93886TCAIntracranial study0.004.17N/A0.324.49N/AXXX
    93888AIntracranial study0.623.07N/A0.263.95N/AXXX
    9388826AIntracranial study0.620.230.230.040.890.89XXX
    93888TCAIntracranial study0.002.84N/A0.223.06N/AXXX
    93922AExtremity study0.251.94N/A0.132.32N/AXXX
    9392226AExtremity study0.250.090.090.020.360.36XXX
    93922TCAExtremity study0.001.85N/A0.111.96N/AXXX
    93923AExtremity study0.453.04N/A0.223.71N/AXXX
    9392326AExtremity study0.450.160.160.040.650.65XXX
    93923TCAExtremity study0.002.88N/A0.183.06N/AXXX
    93924AExtremity study0.503.79N/A0.264.55N/AXXX
    9392426AExtremity study0.500.170.170.050.720.72XXX
    93924TCAExtremity study0.003.62N/A0.213.83N/AXXX
    93925ALower extremity study0.584.91N/A0.335.82N/AXXX
    9392526ALower extremity study0.580.200.200.040.820.82XXX
    93925TCALower extremity study0.004.71N/A0.295.00N/AXXX
    93926ALower extremity study0.393.51N/A0.224.12N/AXXX
    9392626ALower extremity study0.390.130.130.030.550.55XXX
    93926TCALower extremity study0.003.37N/A0.193.56N/AXXX
    93930AUpper extremity study0.463.90N/A0.344.70N/AXXX
    9393026AUpper extremity study0.460.160.160.030.650.65XXX
    93930TCAUpper extremity study0.003.74N/A0.314.05N/AXXX
    93931AUpper extremity study0.312.84N/A0.223.37N/AXXX
    9393126AUpper extremity study0.310.110.110.020.440.44XXX
    93931TCAUpper extremity study0.002.74N/A0.202.94N/AXXX
    93965AExtremity study0.351.88N/A0.122.35N/AXXX
    9396526AExtremity study0.350.120.120.020.490.49XXX
    93965TCAExtremity study0.001.76N/A0.101.86N/AXXX
    93970AExtremity study0.684.00N/A0.385.06N/AXXX
    9397026AExtremity study0.680.230.230.050.960.96XXX
    93970TCAExtremity study0.003.77N/A0.334.10N/AXXX
    93971AExtremity study0.452.88N/A0.253.58N/AXXX
    9397126AExtremity study0.450.150.150.030.630.63XXX
    93971TCAExtremity study0.002.73N/A0.222.95N/AXXX
    93975AVascular study1.805.86N/A0.478.13N/AXXX
    9397526AVascular study1.800.610.610.112.522.52XXX
    93975TCAVascular study0.005.25N/A0.365.61N/AXXX
    93976AVascular study1.213.48N/A0.315.00N/AXXX
    9397626AVascular study1.210.410.410.061.681.68XXX
    Start Printed Page 49227
    93976TCAVascular study0.003.08N/A0.253.33N/AXXX
    93978AVascular study0.653.62N/A0.364.63N/AXXX
    9397826AVascular study0.650.220.220.050.920.92XXX
    93978TCAVascular study0.003.39N/A0.313.70N/AXXX
    93979AVascular study0.442.67N/A0.243.35N/AXXX
    9397926AVascular study0.440.160.160.040.640.64XXX
    93979TCAVascular study0.002.51N/A0.202.71N/AXXX
    93980APenile vascular study1.254.77N/A0.356.37N/AXXX
    9398026APenile vascular study1.250.420.420.071.741.74XXX
    93980TCAPenile vascular study0.004.35N/A0.284.63N/AXXX
    93981APenile vascular study0.444.65N/A0.285.37N/AXXX
    9398126APenile vascular study0.440.150.150.020.610.61XXX
    93981TCAPenile vascular study0.004.51N/A0.264.77N/AXXX
    93990ADoppler flow testing0.253.44N/A0.213.90N/AXXX
    9399026ADoppler flow testing0.250.090.090.020.360.36XXX
    93990TCADoppler flow testing0.003.35N/A0.193.54N/AXXX
    94010ABreathing capacity test0.170.69N/A0.030.89N/AXXX
    9401026ABreathing capacity test0.170.050.050.010.230.23XXX
    94010TCABreathing capacity test0.000.64N/A0.020.66N/AXXX
    94014APatient recorded spirometry0.520.78N/A0.031.33N/AXXX
    94015APatient recorded spirometry0.000.61N/A0.010.62N/AXXX
    94016AReview patient spirometry0.520.170.170.020.710.71XXX
    94060AEvaluation of wheezing0.311.14N/A0.061.51N/AXXX
    9406026AEvaluation of wheezing0.310.100.100.010.420.42XXX
    94060TCAEvaluation of wheezing0.001.05N/A0.051.10N/AXXX
    94070AEvaluation of wheezing0.601.25N/A0.101.95N/AXXX
    9407026AEvaluation of wheezing0.600.190.190.020.810.81XXX
    94070TCAEvaluation of wheezing0.001.06N/A0.081.14N/AXXX
    94150BVital capacity test0.070.48N/A0.020.57N/AXXX
    9415026BVital capacity test0.070.030.030.010.110.11XXX
    94150TCBVital capacity test0.000.46N/A0.010.47N/AXXX
    94200ALung function test (MBC/MVV)0.110.46N/A0.030.60N/AXXX
    9420026ALung function test (MBC/MVV)0.110.030.030.010.150.15XXX
    94200TCALung function test (MBC/MVV)0.000.43N/A0.020.45N/AXXX
    94240AResidual lung capacity0.260.59N/A0.050.90N/AXXX
    9424026AResidual lung capacity0.260.080.080.010.350.35XXX
    94240TCAResidual lung capacity0.000.51N/A0.040.55N/AXXX
    94250AExpired gas collection0.110.68N/A0.020.81N/AXXX
    9425026AExpired gas collection0.110.030.030.010.150.15XXX
    94250TCAExpired gas collection0.000.64N/A0.010.65N/AXXX
    94260AThoracic gas volume0.130.51N/A0.040.68N/AXXX
    9426026AThoracic gas volume0.130.040.040.010.180.18XXX
    94260TCAThoracic gas volume0.000.47N/A0.030.50N/AXXX
    94350ALung nitrogen washout curve0.260.77N/A0.041.07N/AXXX
    9435026ALung nitrogen washout curve0.260.080.080.010.350.35XXX
    94350TCALung nitrogen washout curve0.000.69N/A0.030.72N/AXXX
    94360AMeasure airflow resistance0.260.61N/A0.060.93N/AXXX
    9436026AMeasure airflow resistance0.260.080.080.010.350.35XXX
    94360TCAMeasure airflow resistance0.000.53N/A0.050.58N/AXXX
    94370ABreath airway closing volume0.260.74N/A0.031.03N/AXXX
    9437026ABreath airway closing volume0.260.080.080.010.350.35XXX
    94370TCABreath airway closing volume0.000.66N/A0.020.68N/AXXX
    94375ARespiratory flow volume loop0.310.56N/A0.030.90N/AXXX
    Start Printed Page 49228
    9437526ARespiratory flow volume loop0.310.100.100.010.420.42XXX
    94375TCARespiratory flow volume loop0.000.47N/A0.020.49N/AXXX
    94400ACO2 breathing response curve0.400.86N/A0.061.32N/AXXX
    9440026ACO2 breathing response curve0.400.130.130.010.540.54XXX
    94400TCACO2 breathing response curve0.000.74N/A0.050.79N/AXXX
    94450AHypoxia response curve0.400.69N/A0.041.13N/AXXX
    9445026AHypoxia response curve0.400.120.120.020.540.54XXX
    94450TCAHypoxia response curve0.000.57N/A0.020.59N/AXXX
    94620APulmonary stress test/simple0.642.49N/A0.103.23N/AXXX
    9462026APulmonary stress test/simple0.640.200.200.020.860.86XXX
    94620TCAPulmonary stress test/simple0.002.29N/A0.082.37N/AXXX
    94621APulm stress test/complex1.422.11N/A0.133.66N/AXXX
    9462126APulm stress test/complex1.420.440.440.051.911.91XXX
    94621TCAPulm stress test/complex0.001.67N/A0.081.75N/AXXX
    94640AAirway inhalation treatment0.000.35N/A0.020.37N/AXXX
    94642CAerosol inhalation treatment0.000.000.000.000.000.00XXX
    94656AInitial ventilator mgmt1.221.230.320.062.511.60XXX
    94657AContinued ventilator mgmt0.831.040.250.031.901.11XXX
    94660APos airway pressure, CPAP0.760.670.240.031.461.03XXX
    94662ANeg press ventilation, cnp0.76N/A0.240.02N/A1.02XXX
    94664AEvaluate pt use of inhaler0.000.34N/A0.030.37N/AXXX
    94667AChest wall manipulation0.000.56N/A0.040.60N/AXXX
    94668AChest wall manipulation0.000.48N/A0.020.50N/AXXX
    94680AExhaled air analysis, o20.261.97N/A0.062.29N/AXXX
    9468026AExhaled air analysis, o20.260.080.080.010.350.35XXX
    94680TCAExhaled air analysis, o20.001.89N/A0.051.94N/AXXX
    94681AExhaled air analysis, o2/co20.202.69N/A0.113.00N/AXXX
    9468126AExhaled air analysis, o2/co20.200.070.070.010.280.28XXX
    94681TCAExhaled air analysis, o2/co20.002.62N/A0.102.72N/AXXX
    94690AExhaled air analysis0.072.06N/A0.042.17N/AXXX
    9469026AExhaled air analysis0.070.020.020.010.100.10XXX
    94690TCAExhaled air analysis0.002.04N/A0.032.07N/AXXX
    94720AMonoxide diffusing capacity0.261.02N/A0.061.34N/AXXX
    9472026AMonoxide diffusing capacity0.260.080.080.010.350.35XXX
    94720TCAMonoxide diffusing capacity0.000.94N/A0.050.99N/AXXX
    94725AMembrane diffusion capacity0.263.07N/A0.113.44N/AXXX
    9472526AMembrane diffusion capacity0.260.080.080.010.350.35XXX
    94725TCAMembrane diffusion capacity0.002.99N/A0.103.09N/AXXX
    94750APulmonary compliance study0.231.41N/A0.041.68N/AXXX
    9475026APulmonary compliance study0.230.070.070.010.310.31XXX
    94750TCAPulmonary compliance study0.001.33N/A0.031.36N/AXXX
    94760TMeasure blood oxygen level0.000.09N/A0.020.11N/AXXX
    Start Printed Page 49229
    94761TMeasure blood oxygen level0.000.12N/A0.050.17N/AXXX
    94762AMeasure blood oxygen level0.000.41N/A0.080.49N/AXXX
    94770AExhaled carbon dioxide test0.151.72N/A0.071.94N/AXXX
    9477026AExhaled carbon dioxide test0.150.040.040.010.200.20XXX
    94770TCAExhaled carbon dioxide test0.001.68N/A0.061.74N/AXXX
    94772CBreath recording, infant0.000.000.000.000.000.00XXX
    9477226CBreath recording, infant0.000.000.000.000.000.00XXX
    94772TCCBreath recording, infant0.000.000.000.000.000.00XXX
    94799CPulmonary service/procedure0.000.000.000.000.000.00XXX
    9479926CPulmonary service/procedure0.000.000.000.000.000.00XXX
    94799TCCPulmonary service/procedure0.000.000.000.000.000.00XXX
    95004APercut allergy skin tests0.000.10N/A0.010.11N/AXXX
    95010APercut allergy titrate test0.150.330.060.010.490.22XXX
    95015AId allergy titrate-drug/bug0.150.150.060.010.310.22XXX
    95024AId allergy test, drug/bug0.000.15N/A0.010.16N/AXXX
    95027AId allergy titrate-airborne0.000.15N/A0.010.16N/AXXX
    95028AId allergy test-delayed type0.000.23N/A0.010.24N/AXXX
    95044AAllergy patch tests0.000.20N/A0.010.21N/AXXX
    95052APhoto patch test0.000.25N/A0.010.26N/AXXX
    95056APhotosensitivity tests0.000.17N/A0.010.18N/AXXX
    95060AEye allergy tests0.000.35N/A0.020.37N/AXXX
    95065ANose allergy test0.000.20N/A0.010.21N/AXXX
    95070ABronchial allergy tests0.002.28N/A0.022.30N/AXXX
    95071ABronchial allergy tests0.002.92N/A0.022.94N/AXXX
    95075AIngestion challenge test0.950.840.390.031.821.37XXX
    95078AProvocative testing0.000.25N/A0.020.27N/AXXX
    95115AImmunotherapy, one injection0.000.39N/A0.020.41N/A000
    95117AImmunotherapy injections0.000.50N/A0.020.52N/A000
    95120IImmunotherapy, one injection0.000.000.000.000.000.00XXX
    95125IImmunotherapy, many antigens0.000.000.000.000.000.00XXX
    95130IImmunotherapy, insect venom0.000.000.000.000.000.00XXX
    95131IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95132IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95133IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95134IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95144AAntigen therapy services0.060.160.020.010.230.09000
    95145AAntigen therapy services0.060.200.020.010.270.09000
    95146AAntigen therapy services0.060.270.030.010.340.10000
    95147AAntigen therapy services0.060.340.020.010.410.09000
    95148AAntigen therapy services0.060.420.030.010.490.10000
    95149AAntigen therapy services0.060.560.030.010.630.10000
    95165AAntigen therapy services0.060.210.020.010.280.09000
    95170AAntigen therapy services0.060.140.020.010.210.09000
    95180ARapid desensitization2.011.560.840.043.612.89000
    95199CAllergy immunology services0.000.000.000.000.000.00000
    95250AGlucose monitoring, cont0.003.93N/A0.013.94N/AXXX
    95805AMultiple sleep latency test1.8816.80N/A0.3419.02N/AXXX
    9580526AMultiple sleep latency test1.880.670.670.062.612.61XXX
    Start Printed Page 49230
    95805TCAMultiple sleep latency test0.0016.12N/A0.2816.40N/AXXX
    95806ASleep study, unattended1.663.94N/A0.325.92N/AXXX
    9580626ASleep study, unattended1.660.550.550.062.272.27XXX
    95806TCASleep study, unattended0.003.40N/A0.263.66N/AXXX
    95807ASleep study, attended1.6612.35N/A0.4014.41N/AXXX
    9580726ASleep study, attended1.660.540.540.052.252.25XXX
    95807TCASleep study, attended0.0011.81N/A0.3512.16N/AXXX
    95808APolysomnography, 1-32.6513.34N/A0.4416.43N/AXXX
    9580826APolysomnography, 1-32.650.940.940.093.683.68XXX
    95808TCAPolysomnography, 1-30.0012.39N/A0.3512.74N/AXXX
    95810APolysomnography, 4 or more3.5317.59N/A0.4721.59N/AXXX
    9581026APolysomnography, 4 or more3.531.211.210.124.864.86XXX
    95810TCAPolysomnography, 4 or more0.0016.38N/A0.3516.73N/AXXX
    95811APolysomnography w/cpap3.8019.01N/A0.4923.30N/AXXX
    9581126APolysomnography w/cpap3.801.301.300.135.235.23XXX
    95811TCAPolysomnography w/cpap0.0017.72N/A0.3618.08N/AXXX
    95812AEeg, 41-60 minutes1.083.96N/A0.135.17N/AXXX
    9581226AEeg, 41-60 minutes1.080.460.460.041.581.58XXX
    95812TCAEeg, 41-60 minutes0.003.50N/A0.093.59N/AXXX
    95813AEeg, over 1 hour1.735.00N/A0.156.88N/AXXX
    9581326AEeg, over 1 hour1.730.710.710.062.502.50XXX
    95813TCAEeg, over 1 hour0.004.28N/A0.094.37N/AXXX
    95816AEeg, awake and drowsy1.083.16N/A0.124.36N/AXXX
    9581626AEeg, awake and drowsy1.080.470.470.041.591.59XXX
    95816TCAEeg, awake and drowsy0.002.70N/A0.082.78N/AXXX
    95819AEeg, awake and asleep1.083.71N/A0.124.91N/AXXX
    9581926AEeg, awake and asleep1.080.470.470.041.591.59XXX
    95819TCAEeg, awake and asleep0.003.24N/A0.083.32N/AXXX
    95822AEeg, coma or sleep only1.084.40N/A0.155.63N/AXXX
    9582226AEeg, coma or sleep only1.080.470.470.041.591.59XXX
    95822TCAEeg, coma or sleep only0.003.93N/A0.114.04N/AXXX
    95824CEeg, cerebral death only0.000.000.000.000.000.00XXX
    9582426AEeg, cerebral death only0.740.320.320.051.111.11XXX
    95824TCCEeg, cerebral death only0.000.000.000.000.000.00XXX
    95827AEeg, all night recording1.082.71N/A0.153.94N/AXXX
    9582726AEeg, all night recording1.080.420.420.031.531.53XXX
    95827TCAEeg, all night recording0.002.29N/A0.122.41N/AXXX
    95829ASurgery electrocorticogram6.2132.94N/A0.3339.48N/AXXX
    9582926ASurgery electrocorticogram6.212.372.370.318.898.89XXX
    95829TCASurgery electrocorticogram0.0030.57N/A0.0230.59N/AXXX
    95830AInsert electrodes for EEG1.703.500.750.075.272.52XXX
    95831ALimb muscle testing, manual0.280.330.130.010.620.42XXX
    95832AHand muscle testing, manual0.290.250.120.010.550.42XXX
    95833ABody muscle testing, manual0.470.440.230.010.920.71XXX
    95834ABody muscle testing, manual0.600.500.280.021.120.90XXX
    95851ARange of motion measurements0.160.340.080.010.510.25XXX
    95852ARange of motion measurements0.110.240.050.010.360.17XXX
    95857ATensilon test0.530.620.230.021.170.78XXX
    95858ATensilon test & myogram1.561.08N/A0.072.71N/AXXX
    9585826ATensilon test & myogram1.560.680.680.042.282.28XXX
    95858TCATensilon test & myogram0.000.40N/A0.030.43N/AXXX
    95860AMuscle test, one limb0.961.47N/A0.052.48N/AXXX
    9586026AMuscle test, one limb0.960.430.430.031.421.42XXX
    95860TCAMuscle test, one limb0.001.04N/A0.021.06N/AXXX
    95861AMuscle test, 2 limbs1.541.43N/A0.103.07N/AXXX
    9586126AMuscle test, 2 limbs1.540.690.690.052.282.28XXX
    95861TCAMuscle test, 2 limbs0.000.73N/A0.050.78N/AXXX
    Start Printed Page 49231
    95863AMuscle test, 3 limbs1.871.76N/A0.113.74N/AXXX
    9586326AMuscle test, 3 limbs1.870.820.820.062.752.75XXX
    95863TCAMuscle test, 3 limbs0.000.94N/A0.050.99N/AXXX
    95864AMuscle test, 4 limbs1.992.67N/A0.164.82N/AXXX
    9586426AMuscle test, 4 limbs1.990.890.890.062.942.94XXX
    95864TCAMuscle test, 4 limbs0.001.78N/A0.101.88N/AXXX
    95867AMuscle test cran nerv unilat0.790.93N/A0.061.78N/AXXX
    9586726AMuscle test cran nerv unilat0.790.350.350.031.171.17XXX
    95867TCAMuscle test cran nerv unilat0.000.58N/A0.030.61N/AXXX
    95868AMuscle test cran nerve bilat1.181.22N/A0.082.48N/AXXX
    9586826AMuscle test cran nerve bilat1.180.520.520.041.741.74XXX
    95868TCAMuscle test cran nerve bilat0.000.70N/A0.040.74N/AXXX
    95869AMuscle test, thor paraspinal0.370.38N/A0.030.78N/AXXX
    9586926AMuscle test, thor paraspinal0.370.170.170.010.550.55XXX
    95869TCAMuscle test, thor paraspinal0.000.21N/A0.020.23N/AXXX
    95870AMuscle test, nonparaspinal0.370.37N/A0.030.77N/AXXX
    9587026AMuscle test, nonparaspinal0.370.160.160.010.540.54XXX
    95870TCAMuscle test, nonparaspinal0.000.21N/A0.020.23N/AXXX
    95872AMuscle test, one fiber1.501.25N/A0.082.83N/AXXX
    9587226AMuscle test, one fiber1.500.650.650.042.192.19XXX
    95872TCAMuscle test, one fiber0.000.60N/A0.040.64N/AXXX
    95875ALimb exercise test1.101.50N/A0.092.69N/AXXX
    9587526ALimb exercise test1.100.480.480.041.621.62XXX
    95875TCALimb exercise test0.001.02N/A0.051.07N/AXXX
    95900AMotor nerve conduction test0.421.30N/A0.031.75N/AXXX
    9590026AMotor nerve conduction test0.420.190.190.010.620.62XXX
    95900TCAMotor nerve conduction test0.001.12N/A0.021.14N/AXXX
    95903AMotor nerve conduction test0.601.23N/A0.041.87N/AXXX
    9590326AMotor nerve conduction test0.600.260.260.020.880.88XXX
    95903TCAMotor nerve conduction test0.000.97N/A0.020.99N/AXXX
    95904ASense nerve conduction test0.341.13N/A0.031.50N/AXXX
    9590426ASense nerve conduction test0.340.150.150.010.500.50XXX
    95904TCASense nerve conduction test0.000.98N/A0.021.00N/AXXX
    95920AIntraop nerve test add-on2.112.26N/A0.204.57N/AZZZ
    9592026AIntraop nerve test add-on2.110.950.950.143.203.20ZZZ
    95920TCAIntraop nerve test add-on0.001.31N/A0.061.37N/AZZZ
    95921AAutonomic nerv function test0.900.71N/A0.051.66N/AXXX
    9592126AAutonomic nerv function test0.900.330.330.031.261.26XXX
    95921TCAAutonomic nerv function test0.000.38N/A0.020.40N/AXXX
    95922AAutonomic nerv function test0.960.79N/A0.051.80N/AXXX
    9592226AAutonomic nerv function test0.960.410.410.031.401.40XXX
    95922TCAAutonomic nerv function test0.000.38N/A0.020.40N/AXXX
    Start Printed Page 49232
    95923AAutonomic nerv function test0.902.14N/A0.053.09N/AXXX
    9592326AAutonomic nerv function test0.900.390.390.031.321.32XXX
    95923TCAAutonomic nerv function test0.001.76N/A0.021.78N/AXXX
    95925ASomatosensory testing0.541.14N/A0.071.75N/AXXX
    9592526ASomatosensory testing0.540.230.230.020.790.79XXX
    95925TCASomatosensory testing0.000.91N/A0.050.96N/AXXX
    95926ASomatosensory testing0.541.15N/A0.071.76N/AXXX
    9592626ASomatosensory testing0.540.240.240.020.800.80XXX
    95926TCASomatosensory testing0.000.91N/A0.050.96N/AXXX
    95927ASomatosensory testing0.541.16N/A0.081.78N/AXXX
    9592726ASomatosensory testing0.540.250.250.030.820.82XXX
    95927TCASomatosensory testing0.000.91N/A0.050.96N/AXXX
    95930AVisual evoked potential test0.351.44N/A0.021.81N/AXXX
    9593026AVisual evoked potential test0.350.150.150.010.510.51XXX
    95930TCAVisual evoked potential test0.001.29N/A0.011.30N/AXXX
    95933ABlink reflex test0.591.03N/A0.071.69N/AXXX
    9593326ABlink reflex test0.590.250.250.020.860.86XXX
    95933TCABlink reflex test0.000.78N/A0.050.83N/AXXX
    95934AH-reflex test0.510.44N/A0.040.99N/AXXX
    9593426AH-reflex test0.510.230.230.020.760.76XXX
    95934TCAH-reflex test0.000.21N/A0.020.23N/AXXX
    95936AH-reflex test0.550.46N/A0.041.05N/AXXX
    9593626AH-reflex test0.550.250.250.020.820.82XXX
    95936TCAH-reflex test0.000.21N/A0.020.23N/AXXX
    95937ANeuromuscular junction test0.650.61N/A0.041.30N/AXXX
    9593726ANeuromuscular junction test0.650.270.270.020.940.94XXX
    95937TCANeuromuscular junction test0.000.34N/A0.020.36N/AXXX
    95950AAmbulatory eeg monitoring1.514.57N/A0.446.52N/AXXX
    9595026AAmbulatory eeg monitoring1.510.650.650.082.242.24XXX
    95950TCAAmbulatory eeg monitoring0.003.93N/A0.364.29N/AXXX
    95951CEEG monitoring/videorecord0.000.000.000.000.000.00XXX
    9595126AEEG monitoring/videorecord6.002.612.610.208.818.81XXX
    95951TCCEEG monitoring/videorecord0.000.000.000.000.000.00XXX
    95953AEEG monitoring/computer3.087.65N/A0.4611.19N/AXXX
    9595326AEEG monitoring/computer3.081.321.320.104.504.50XXX
    95953TCAEEG monitoring/computer0.006.33N/A0.366.69N/AXXX
    95954AEEG monitoring/giving drugs2.454.39N/A0.156.99N/AXXX
    9595426AEEG monitoring/giving drugs2.451.071.070.103.623.62XXX
    95954TCAEEG monitoring/giving drugs0.003.33N/A0.053.38N/AXXX
    95955AEEG during surgery1.012.33N/A0.193.53N/AXXX
    9595526AEEG during surgery1.010.370.370.051.431.43XXX
    95955TCAEEG during surgery0.001.96N/A0.142.10N/AXXX
    95956AEeg monitoring, cable/radio3.0814.44N/A0.4717.99N/AXXX
    9595626AEeg monitoring, cable/radio3.081.331.330.114.524.52XXX
    95956TCAEeg monitoring, cable/radio0.0013.11N/A0.3613.47N/AXXX
    95957AEEG digital analysis1.982.57N/A0.174.72N/AXXX
    9595726AEEG digital analysis1.980.870.870.072.922.92XXX
    95957TCAEEG digital analysis0.001.70N/A0.101.80N/AXXX
    Start Printed Page 49233
    95958AEEG monitoring/function test4.253.52N/A0.298.06N/AXXX
    9595826AEEG monitoring/function test4.251.781.780.186.216.21XXX
    95958TCAEEG monitoring/function test0.001.74N/A0.111.85N/AXXX
    95961AElectrode stimulation, brain2.972.65N/A0.245.86N/AXXX
    9596126AElectrode stimulation, brain2.971.351.350.184.504.50XXX
    95961TCAElectrode stimulation, brain0.001.31N/A0.061.37N/AXXX
    95962AElectrode stim, brain add-on3.212.72N/A0.236.16N/AZZZ
    9596226AElectrode stim, brain add-on3.211.421.420.174.804.80ZZZ
    95962TCAElectrode stim, brain add-on0.001.31N/A0.061.37N/AZZZ
    95965CMeg, spontaneous0.000.000.000.000.000.00XXX
    9596526AMeg, spontaneous8.003.493.490.3111.8011.80XXX
    95965TCCMeg, spontaneous0.000.000.000.000.000.00XXX
    95966CMeg, evoked, single0.000.000.000.000.000.00XXX
    9596626AMeg, evoked, single4.001.761.760.155.915.91XXX
    95966TCCMeg, evoked, single0.000.000.000.000.000.00XXX
    95967CMeg, evoked, each addl0.000.000.000.000.000.00ZZZ
    9596726AMeg, evoked, each addl3.501.361.360.134.994.99ZZZ
    95967TCCMeg, evoked, each addl0.000.000.000.000.000.00ZZZ
    95970AAnalyze neurostim, no prog0.450.170.150.030.650.63XXX
    95971AAnalyze neurostim, simple0.780.280.230.061.121.07XXX
    95972AAnalyze neurostim, complex1.500.600.500.172.272.17XXX
    95973AAnalyze neurostim, complex0.920.400.350.071.391.34ZZZ
    95974ACranial neurostim, complex3.001.321.320.154.474.47XXX
    95975ACranial neurostim, complex1.700.740.740.072.512.51ZZZ
    95990ASpin/brain pump refil & main0.001.50N/A0.051.55N/AXXX
    95999CNeurological procedure0.000.000.000.000.000.00XXX
    96000AMotion analysis, video/3d1.80N/A0.570.02N/A2.39XXX
    96001AMotion test w/ft press meas2.15N/A0.830.02N/A3.00XXX
    96002ADynamic surface emg0.41N/A0.160.02N/A0.59XXX
    96003ADynamic fine wire emg0.37N/A0.140.03N/A0.54XXX
    96004APhys review of motion tests2.140.970.970.083.193.19XXX
    96100APsychological testing0.001.76N/A0.151.91N/AXXX
    96105AAssessment of aphasia0.001.76N/A0.151.91N/AXXX
    96110CDevelopmental test, lim0.000.000.000.000.000.00XXX
    96111ADevelopmental test, extend0.001.76N/A0.151.91N/AXXX
    96115ANeurobehavior status exam0.001.76N/A0.151.91N/AXXX
    96117ANeuropsych test battery0.001.76N/A0.151.91N/AXXX
    96150AAssess lth/behave, init0.500.190.180.020.710.70XXX
    96151AAssess hlth/behave, subseq0.480.180.170.020.680.67XXX
    96152AIntervene hlth/behave, indiv0.460.180.170.020.660.65XXX
    96153AIntervene hlth/behave, group0.100.040.040.010.150.15XXX
    96154AInterv hlth/behav, fam w/pt0.450.170.160.020.640.63XXX
    96155NInterv hlth/behav fam no pt0.440.160.160.020.620.62XXX
    96400AChemotherapy, sc/im0.000.89N/A0.010.90N/AXXX
    Start Printed Page 49234
    96405AIntralesional chemo admin0.521.960.230.022.500.77000
    96406AIntralesional chemo admin0.802.600.300.023.421.12000
    96408AChemotherapy, push technique0.000.97N/A0.051.02N/AXXX
    96410AChemotherapy,infusion method0.001.55N/A0.071.62N/AXXX
    96412AChemo, infuse method add-on0.001.15N/A0.061.21N/AZZZ
    96414AChemo, infuse method add-on0.001.33N/A0.071.40N/AXXX
    96420AChemotherapy, push technique0.001.25N/A0.071.32N/AXXX
    96422AChemotherapy,infusion method0.001.23N/A0.071.30N/AXXX
    96423AChemo, infuse method add-on0.000.48N/A0.020.50N/AZZZ
    96425AChemotherapy,infusion method0.001.43N/A0.071.50N/AXXX
    96440AChemotherapy, intracavitary2.377.461.050.129.953.54000
    96445AChemotherapy, intracavitary2.207.431.030.079.703.30000
    96450AChemotherapy, into CNS1.896.300.920.068.252.87000
    96520APort pump refill & main0.000.89N/A0.050.94N/AXXX
    96530ASyst pump refill & main0.001.06N/A0.051.11N/AXXX
    96542AChemotherapy injection1.423.830.550.055.302.02XXX
    96549CChemotherapy, unspecified0.000.000.000.000.000.00XXX
    96567APhotodynamic tx, skin0.002.79N/A0.032.82N/AXXX
    96570APhotodynamic tx, 30 min1.10N/A0.370.04N/A1.51ZZZ
    96571APhotodynamic tx, addl 15 min0.55N/A0.200.02N/A0.77ZZZ
    96900AUltraviolet light therapy0.000.49N/A0.020.51N/AXXX
    96902BTrichogram0.410.250.160.010.670.58XXX
    96910APhotochemotherapy with UV-B0.001.09N/A0.031.12N/AXXX
    96912APhotochemotherapy with UV-A0.001.38N/A0.041.42N/AXXX
    96913APhotochemotherapy, UV-A or B0.001.82N/A0.081.90N/AXXX
    96920ALaser tx, skin < 250 sq cm1.1514.890.450.0916.131.69000
    96921ALaser tx, skin 250-500 sq cm1.1714.960.450.0916.221.71000
    96922ALaser tx, skin > 500 sq cm2.1015.580.810.1617.843.07000
    96999CDermatological procedure0.000.000.000.000.000.00XXX
    97001APt evaluation1.200.750.460.052.001.71XXX
    97002APt re-evaluation0.600.450.240.021.070.86XXX
    97003AOt evaluation1.200.880.410.052.131.66XXX
    97004AOt re-evaluation0.600.630.200.021.250.82XXX
    97005IAthletic train eval0.000.000.000.000.000.00XXX
    97006IAthletic train reeval0.000.000.000.000.000.00XXX
    97010BHot or cold packs therapy0.060.05N/A0.010.12N/AXXX
    97012AMechanical traction therapy0.250.14N/A0.010.40N/AXXX
    97014IElectric stimulation therapy0.180.14N/A0.010.33N/AXXX
    97016AVasopneumatic device therapy0.180.19N/A0.010.38N/AXXX
    97018AParaffin bath therapy0.060.11N/A0.010.18N/AXXX
    97020AMicrowave therapy0.060.06N/A0.010.13N/AXXX
    97022AWhirlpool therapy0.170.22N/A0.010.40N/AXXX
    97024ADiathermy treatment0.060.06N/A0.010.13N/AXXX
    97026AInfrared therapy0.060.06N/A0.010.13N/AXXX
    97028AUltraviolet therapy0.080.07N/A0.010.16N/AXXX
    97032AElectrical stimulation0.250.16N/A0.010.42N/AXXX
    97033AElectric current therapy0.260.41N/A0.020.69N/AXXX
    97034AContrast bath therapy0.210.16N/A0.010.38N/AXXX
    Start Printed Page 49235
    97035AUltrasound therapy0.210.11N/A0.010.33N/AXXX
    97036AHydrotherapy0.280.33N/A0.010.62N/AXXX
    97039APhysical therapy treatment0.200.11N/A0.010.32N/AXXX
    97110ATherapeutic exercises0.450.28N/A0.030.76N/AXXX
    97112ANeuromuscular reeducation0.450.31N/A0.020.78N/AXXX
    97113AAquatic therapy/exercises0.440.41N/A0.030.88N/AXXX
    97116AGait training therapy0.400.24N/A0.020.66N/AXXX
    97124AMassage therapy0.350.23N/A0.010.59N/AXXX
    97139APhysical medicine procedure0.210.21N/A0.010.43N/AXXX
    97140AManual therapy0.430.26N/A0.020.71N/AXXX
    97150AGroup therapeutic procedures0.270.16N/A0.020.45N/AXXX
    97504AOrthotic training0.450.33N/A0.030.81N/AXXX
    97520AProsthetic training0.450.28N/A0.020.75N/AXXX
    97530ATherapeutic activities0.440.32N/A0.020.78N/AXXX
    97532ACognitive skills development0.440.21N/A0.010.66N/AXXX
    97533ASensory integration0.440.24N/A0.010.69N/AXXX
    97535ASelf care mngment training0.450.34N/A0.020.81N/AXXX
    97537ACommunity/work reintegration0.450.27N/A0.010.73N/AXXX
    97542AWheelchair mngment training0.450.28N/A0.010.74N/AXXX
    97545RWork hardening0.000.000.000.000.000.00XXX
    97546RWork hardening add-on0.000.000.000.000.000.00ZZZ
    97601AWound(s) care, selective0.500.50N/A0.041.04N/AXXX
    97703AProsthetic checkout0.250.42N/A0.020.69N/AXXX
    97750APhysical performance test0.450.30N/A0.020.77N/AXXX
    97799CPhysical medicine procedure0.000.000.000.000.000.00XXX
    97802AMedical nutrition, indiv, in0.000.47N/A0.010.48N/AXXX
    97803AMed nutrition, indiv, subseq0.000.47N/A0.010.48N/AXXX
    97804AMedical nutrition, group0.000.18N/A0.010.19N/AXXX
    98925AOsteopathic manipulation0.450.330.140.010.790.60000
    98926AOsteopathic manipulation0.650.430.250.021.100.92000
    98927AOsteopathic manipulation0.870.520.300.031.421.20000
    98928AOsteopathic manipulation1.030.610.350.031.671.41000
    98929AOsteopathic manipulation1.190.690.370.041.921.60000
    98940AChiropractic manipulation0.450.240.120.010.700.58000
    98941AChiropractic manipulation0.650.300.180.020.970.85000
    98942AChiropractic manipulation0.870.370.240.031.271.14000
    98943NChiropractic manipulation0.400.250.150.010.660.56XXX
    99082CUnusual physician travel0.000.000.000.000.000.00XXX
    99141BSedation, iv/im or inhalant0.801.990.390.042.831.23XXX
    99142BSedation, oral/rectal/nasal0.601.030.310.031.660.94XXX
    99170AAnogenital exam, child1.751.720.530.073.542.35000
    99175AInduction of vomiting0.001.39N/A0.081.47N/AXXX
    99183AHyperbaric oxygen therapy2.344.830.740.127.293.20XXX
    99185ARegional hypothermia0.000.64N/A0.030.67N/AXXX
    99186ATotal body hypothermia0.001.78N/A0.372.15N/AXXX
    99195APhlebotomy0.000.44N/A0.020.46N/AXXX
    99199CSpecial service/proc/report0.000.000.000.000.000.00XXX
    99201AOffice/outpatient visit, new0.450.510.160.020.980.63XXX
    99202AOffice/outpatient visit, new0.880.810.320.051.741.25XXX
    99203AOffice/outpatient visit, new1.341.160.490.082.581.91XXX
    99204AOffice/outpatient visit, new2.001.540.720.103.642.82XXX
    99205AOffice/outpatient visit, new2.671.830.940.124.623.73XXX
    99211AOffice/outpatient visit, est0.170.410.060.010.590.24XXX
    99212AOffice/outpatient visit, est0.450.560.160.021.030.63XXX
    99213AOffice/outpatient visit, est0.670.720.230.031.420.93XXX
    99214AOffice/outpatient visit, est1.101.070.390.042.211.53XXX
    99215AOffice/outpatient visit, est1.771.370.630.073.212.47XXX
    Start Printed Page 49236
    99217AObservation care discharge1.28N/A0.540.05N/A1.87XXX
    99218AObservation care1.28N/A0.440.05N/A1.77XXX
    99219AObservation care2.14N/A0.720.08N/A2.94XXX
    99220AObservation care2.99N/A1.030.11N/A4.13XXX
    99221AInitial hospital care1.28N/A0.450.05N/A1.78XXX
    99222AInitial hospital care2.14N/A0.750.08N/A2.97XXX
    99223AInitial hospital care2.99N/A1.040.10N/A4.13XXX
    99231ASubsequent hospital care0.64N/A0.230.02N/A0.89XXX
    99232ASubsequent hospital care1.06N/A0.370.03N/A1.46XXX
    99233ASubsequent hospital care1.51N/A0.530.05N/A2.09XXX
    99234AObserv/hosp same date2.56N/A1.000.11N/A3.67XXX
    99235AObserv/hosp same date3.42N/A1.300.13N/A4.85XXX
    99236AObserv/hosp same date4.27N/A1.590.17N/A6.03XXX
    99238AHospital discharge day1.28N/A0.550.04N/A1.87XXX
    99239AHospital discharge day1.75N/A0.740.05N/A2.54XXX
    99241AOffice consultation0.640.660.220.041.340.90XXX
    99242AOffice consultation1.291.070.470.092.451.85XXX
    99243AOffice consultation1.721.420.630.103.242.45XXX
    99244AOffice consultation2.581.850.920.134.563.63XXX
    99245AOffice consultation3.432.301.230.165.894.82XXX
    99251AInitial inpatient consult0.66N/A0.250.04N/A0.95XXX
    99252AInitial inpatient consult1.32N/A0.510.08N/A1.91XXX
    99253AInitial inpatient consult1.82N/A0.690.09N/A2.60XXX
    99254AInitial inpatient consult2.64N/A0.990.11N/A3.74XXX
    99255AInitial inpatient consult3.65N/A1.360.15N/A5.16XXX
    99261AFollow-up inpatient consult0.42N/A0.150.02N/A0.59XXX
    99262AFollow-up inpatient consult0.85N/A0.310.03N/A1.19XXX
    99263AFollow-up inpatient consult1.27N/A0.460.04N/A1.77XXX
    99271AConfirmatory consultation0.450.560.160.031.040.64XXX
    99272AConfirmatory consultation0.840.830.310.061.731.21XXX
    99273AConfirmatory consultation1.191.120.450.072.381.71XXX
    99274AConfirmatory consultation1.731.380.650.093.202.47XXX
    99275AConfirmatory consultation2.311.650.830.104.063.24XXX
    99281AEmergency dept visit0.33N/A0.090.02N/A0.44XXX
    99282AEmergency dept visit0.55N/A0.150.03N/A0.73XXX
    99283AEmergency dept visit1.24N/A0.310.08N/A1.63XXX
    99284AEmergency dept visit1.95N/A0.480.12N/A2.55XXX
    99285AEmergency dept visit3.06N/A0.730.19N/A3.98XXX
    99289APed crit care transport4.80N/A1.700.14N/A6.64XXX
    99290APed crit care transport addl2.40N/A0.840.07N/A3.31ZZZ
    99291ACritical care, first hour4.002.391.300.146.535.44XXX
    99292ACritical care, addl 30 min2.000.820.650.072.892.72ZZZ
    99293APed critical care, initial16.00N/A5.040.70N/A21.74XXX
    99294APed critical care, subseq8.00N/A2.520.23N/A10.75XXX
    99295ANeonate crit care, initial18.49N/A5.470.70N/A24.66XXX
    99296ANeonate critical care subseq8.00N/A2.600.23N/A10.83XXX
    99298AIc for lbw infant < 1500 gm2.75N/A0.950.10N/A3.80XXX
    99299AIc, lbw infant 1500-2500 gm2.50N/A0.970.10N/A3.57XXX
    99301ANursing facility care1.200.430.430.041.671.67XXX
    99302ANursing facility care1.610.590.590.052.252.25XXX
    99303ANursing facility care2.010.720.720.062.792.79XXX
    99311ANursing fac care, subseq0.600.290.290.020.910.91XXX
    99312ANursing fac care, subseq1.000.470.470.031.501.50XXX
    99313ANursing fac care, subseq1.420.610.610.042.072.07XXX
    99315ANursing fac discharge day1.130.470.380.041.641.55XXX
    99316ANursing fac discharge day1.500.630.520.052.182.07XXX
    99321ARest home visit, new patient0.710.35N/A0.021.08N/AXXX
    99322ARest home visit, new patient1.010.47N/A0.031.51N/AXXX
    Start Printed Page 49237
    99323ARest home visit, new patient1.280.57N/A0.041.89N/AXXX
    99331ARest home visit, est pat0.600.33N/A0.020.95N/AXXX
    99332ARest home visit, est pat0.800.40N/A0.031.23N/AXXX
    99333ARest home visit, est pat1.000.47N/A0.031.50N/AXXX
    99341AHome visit, new patient1.010.49N/A0.051.55N/AXXX
    99342AHome visit, new patient1.520.69N/A0.052.26N/AXXX
    99343AHome visit, new patient2.270.96N/A0.073.30N/AXXX
    99344AHome visit, new patient3.031.21N/A0.104.34N/AXXX
    99345AHome visit, new patient3.791.47N/A0.125.38N/AXXX
    99347AHome visit, est patient0.760.41N/A0.031.20N/AXXX
    99348AHome visit, est patient1.260.59N/A0.041.89N/AXXX
    99349AHome visit, est patient2.020.86N/A0.062.94N/AXXX
    99350AHome visit, est patient3.031.21N/A0.104.34N/AXXX
    99354AProlonged service, office1.770.750.610.062.582.44ZZZ
    99355AProlonged service, office1.770.730.580.062.562.41ZZZ
    99356AProlonged service, inpatient1.71N/A0.620.06N/A2.39ZZZ
    99357AProlonged service, inpatient1.71N/A0.640.06N/A2.41ZZZ
    99374BHome health care supervision1.100.710.430.041.851.57XXX
    99375IHome health care supervision1.731.571.570.063.363.36XXX
    99377BHospice care supervision1.100.710.430.041.851.57XXX
    99378IHospice care supervision1.731.971.970.063.763.76XXX
    99379BNursing fac care supervision1.100.710.710.031.841.84XXX
    99380BNursing fac care supervision1.731.011.010.052.792.79XXX
    99381NPrev visit, new, infant1.191.190.460.042.421.69XXX
    99382NPrev visit, new, age 1-41.361.250.530.042.651.93XXX
    99383NPrev visit, new, age 5-111.361.250.530.042.651.93XXX
    99384NPrev visit, new, age 12-171.531.310.590.052.892.17XXX
    99385NPrev visit, new, age 18-391.531.310.590.052.892.17XXX
    99386NPrev visit, new, age 40-641.881.450.730.063.392.67XXX
    99387NPrev visit, new, 65 & over2.061.610.800.063.732.92XXX
    99391NPrev visit, est, infant1.021.030.400.032.081.45XXX
    99392NPrev visit, est, age 1-41.191.100.460.042.331.69XXX
    99393NPrev visit, est, age 5-111.191.100.460.042.331.69XXX
    99394NPrev visit, est, age 12-171.361.160.530.042.561.93XXX
    99395NPrev visit, est, age 18-391.361.160.530.042.561.93XXX
    99396NPrev visit, est, age 40-641.531.230.590.052.812.17XXX
    99397NPrev visit, est, 65 & over1.711.270.660.053.032.42XXX
    99401NPreventive counseling, indiv0.480.410.190.010.900.68XXX
    99402NPreventive counseling, indiv0.980.600.380.021.601.38XXX
    99403NPreventive counseling, indiv1.460.790.570.032.282.06XXX
    99404NPreventive counseling, indiv1.950.980.760.042.972.75XXX
    99411NPreventive counseling, group0.150.190.060.010.350.22XXX
    99412NPreventive counseling, group0.250.220.100.010.480.36XXX
    99431AInitial care, normal newborn1.17N/A0.390.04N/A1.60XXX
    99432ANewborn care, not in hosp1.260.920.410.062.241.73XXX
    99433ANormal newborn care/hospital0.62N/A0.200.02N/A0.84XXX
    99435ANewborn discharge day hosp1.50N/A0.510.05N/A2.06XXX
    99436AAttendance, birth1.50N/A0.480.05N/A2.03XXX
    99440ANewborn resuscitation2.93N/A0.940.11N/A3.98XXX
    99455RDisability examination0.000.000.000.000.000.00XXX
    Start Printed Page 49238
    99456RDisability examination0.000.000.000.000.000.00XXX
    99499CUnlisted e&m service0.000.000.000.000.000.00XXX
    99500IHome visit, prenatal0.000.000.000.000.000.00XXX
    99501IHome visit, postnatal0.000.000.000.000.000.00XXX
    99502IHome visit, nb care0.000.000.000.000.000.00XXX
    99503IHome visit, resp therapy0.000.000.000.000.000.00XXX
    99504IHome visit mech ventilator0.000.000.000.000.000.00XXX
    99505IHome visit, stoma care0.000.000.000.000.000.00XXX
    99506IHome visit, im injection0.000.000.000.000.000.00XXX
    99507IHome visit, cath maintain0.000.000.000.000.000.00XXX
    99509IHome visit day life activity0.000.000.000.000.000.00XXX
    99510IHome visit, sing/m/fam couns0.000.000.000.000.000.00XXX
    99511IHome visit, fecal/enema mgmt0.000.000.000.000.000.00XXX
    99512IHome visit, hemodialysis0.000.000.000.000.000.00XXX
    99551IHome infus, pain mgmt, iv/sc0.000.000.000.000.000.00XXX
    99552IHm infus pain mgmt, epid/ith0.000.000.000.000.000.00XXX
    99553IHome infuse, tocolytic tx0.000.000.000.000.000.00XXX
    99554IHome infus, hormone/platelet0.000.000.000.000.000.00XXX
    99555IHome infuse, chemotheraphy0.000.000.000.000.000.00XXX
    99556IHome infus, antibio/fung/vir0.000.000.000.000.000.00XXX
    99557IHome infuse, anticoagulant0.000.000.000.000.000.00XXX
    99558IHome infuse, immunotherapy0.000.000.000.000.000.00XXX
    99559IHome infus, periton dialysis0.000.000.000.000.000.00XXX
    99560IHome infus, entero nutrition0.000.000.000.000.000.00XXX
    99561IHome infuse, hydration tx0.000.000.000.000.000.00XXX
    99562IHome infus, parent nutrition0.000.000.000.000.000.00XXX
    99563IHome admin, pentamidine0.000.000.000.000.000.00XXX
    99564IHme infus, antihemophil agnt0.000.000.000.000.000.00XXX
    99565IHome infus, proteinase inhib0.000.000.000.000.000.00XXX
    99566IHome infuse, iv therapy0.000.000.000.000.000.00XXX
    99567IHome infuse, sympath agent0.000.000.000.000.000.00XXX
    99568IHome infus, misc drug, daily0.000.000.000.000.000.00XXX
    99569IHome infuse, each addl tx0.000.000.000.000.000.00XXX
    99600IHome visit nos0.000.000.000.000.000.00XXX
    A4890RRepair/maint cont hemo equip0.000.000.000.000.000.00XXX
    D0120NPeriodic oral evaluation0.000.000.000.000.000.00XXX
    D0140NLimit oral eval problm focus0.000.000.000.000.000.00XXX
    D0150RComprehensve oral evaluation0.000.000.000.000.000.00YYY
    D0160NExtensv oral eval prob focus0.000.000.000.000.000.00XXX
    D0170NRe-eval,est pt,problem focus0.000.000.000.000.000.00XXX
    D0180NComp periodontal evaluation0.000.000.000.000.000.00XXX
    D0210IIntraor complete film series0.000.000.000.000.000.00XXX
    D0220IIntraoral periapical first f0.000.000.000.000.000.00XXX
    Start Printed Page 49239
    D0230IIntraoral periapical ea add0.000.000.000.000.000.00XXX
    D0240RIntraoral occlusal film0.000.000.000.000.000.00YYY
    D0250RExtraoral first film0.000.000.000.000.000.00YYY
    D0260RExtraoral ea additional film0.000.000.000.000.000.00YYY
    D0270RDental bitewing single film0.000.000.000.000.000.00YYY
    D0272RDental bitewings two films0.000.000.000.000.000.00YYY
    D0274RDental bitewings four films0.000.000.000.000.000.00YYY
    D0277RVert bitewings-sev to eight0.000.000.000.000.000.00XXX
    D0290IDental film skull/facial bon0.000.000.000.000.000.00XXX
    D0310IDental saliography0.000.000.000.000.000.00XXX
    D0320IDental tmj arthrogram incl i0.000.000.000.000.000.00XXX
    D0321IDental other tmj films0.000.000.000.000.000.00XXX
    D0322IDental tomographic survey0.000.000.000.000.000.00XXX
    D0330IDental panoramic film0.000.000.000.000.000.00XXX
    D0340IDental cephalometric film0.000.000.000.000.000.00XXX
    D0350IOral/facial images0.000.000.000.000.000.00XXX
    D0415NBacteriologic study0.000.000.000.000.000.00XXX
    D0425NCaries susceptibility test0.000.000.000.000.000.00XXX
    D0460RPulp vitality test0.000.000.000.000.000.00YYY
    D0470NDiagnostic casts0.000.000.000.000.000.00XXX
    D0472RGross exam, prep & report0.000.000.000.000.000.00XXX
    D0473RMicro exam, prep & report0.000.000.000.000.000.00XXX
    D0474RMicro w exam of surg margins0.000.000.000.000.000.00XXX
    D0480RCytopath smear prep & report0.000.000.000.000.000.00XXX
    D0502ROther oral pathology procedu0.000.000.000.000.000.00YYY
    D0999RUnspecified diagnostic proce0.000.000.000.000.000.00YYY
    D1110NDental prophylaxis adult0.000.000.000.000.000.00XXX
    D1120NDental prophylaxis child0.000.000.000.000.000.00XXX
    D1201NTopical fluor w prophy child0.000.000.000.000.000.00XXX
    D1203NTopical fluor w/o prophy chi0.000.000.000.000.000.00XXX
    D1204NTopical fluor w/o prophy adu0.000.000.000.000.000.00XXX
    D1205NTopical fluoride w/ prophy a0.000.000.000.000.000.00XXX
    D1310NNutri counsel-control caries0.000.000.000.000.000.00XXX
    D1320NTobacco counseling0.000.000.000.000.000.00XXX
    D1330NOral hygiene instruction0.000.000.000.000.000.00XXX
    D1351NDental sealant per tooth0.000.000.000.000.000.00XXX
    D1510RSpace maintainer fxd unilat0.000.000.000.000.000.00YYY
    D1515RFixed bilat space maintainer0.000.000.000.000.000.00YYY
    D1520RRemove unilat space maintain0.000.000.000.000.000.00YYY
    D1525RRemove bilat space maintain0.000.000.000.000.000.00YYY
    D1550RRecement space maintainer0.000.000.000.000.000.00YYY
    D2140NAmalgam one surface permanen0.000.000.000.000.000.00XXX
    D2150NAmalgam two surfaces permane0.000.000.000.000.000.00XXX
    D2160NAmalgam three surfaces perma0.000.000.000.000.000.00XXX
    D2161NAmalgam 4 or > surfaces perm0.000.000.000.000.000.00XXX
    D2330NResin one surface-anterior0.000.000.000.000.000.00XXX
    Start Printed Page 49240
    D2331NResin two surfaces-anterior0.000.000.000.000.000.00XXX
    D2332NResin three surfaces-anterio0.000.000.000.000.000.00XXX
    D2335NResin 4/> surf or w incis an0.000.000.000.000.000.00XXX
    D2390NAnt resin-based cmpst crown0.000.000.000.000.000.00XXX
    D2391NPost 1 srfc resinbased cmpst0.000.000.000.000.000.00XXX
    D2392NPost 2 srfc resinbased cmpst0.000.000.000.000.000.00XXX
    D2393NPost 3 srfc resinbased cmpst0.000.000.000.000.000.00XXX
    D2394NPost >=4srfc resinbase cmpst0.000.000.000.000.000.00XXX
    D2410NDental gold foil one surface0.000.000.000.000.000.00XXX
    D2420NDental gold foil two surface0.000.000.000.000.000.00XXX
    D2430NDental gold foil three surfa0.000.000.000.000.000.00XXX
    D2510NDental inlay metalic 1 surf0.000.000.000.000.000.00XXX
    D2520NDental inlay metallic 2 surf0.000.000.000.000.000.00XXX
    D2530NDental inlay metl 3/more sur0.000.000.000.000.000.00XXX
    D2542NDental onlay metallic 2 surf0.000.000.000.000.000.00XXX
    D2543NDental onlay metallic 3 surf0.000.000.000.000.000.00XXX
    D2544NDental onlay metl 4/more sur0.000.000.000.000.000.00XXX
    D2610NInlay porcelain/ceramic 1 su0.000.000.000.000.000.00XXX
    D2620NInlay porcelain/ceramic 2 su0.000.000.000.000.000.00XXX
    D2630NDental onlay porc 3/more sur0.000.000.000.000.000.00XXX
    D2642NDental onlay porcelin 2 surf0.000.000.000.000.000.00XXX
    D2643NDental onlay porcelin 3 surf0.000.000.000.000.000.00XXX
    D2644NDental onlay porc 4/more sur0.000.000.000.000.000.00XXX
    D2650NInlay composite/resin one su0.000.000.000.000.000.00XXX
    D2651NInlay composite/resin two su0.000.000.000.000.000.00XXX
    D2652NDental inlay resin 3/mre sur0.000.000.000.000.000.00XXX
    D2662NDental onlay resin 2 surface0.000.000.000.000.000.00XXX
    D2663NDental onlay resin 3 surface0.000.000.000.000.000.00XXX
    D2664NDental onlay resin 4/mre sur0.000.000.000.000.000.00XXX
    D2710NCrown resin laboratory0.000.000.000.000.000.00XXX
    D2720NCrown resin w/ high noble me0.000.000.000.000.000.00XXX
    D2721NCrown resin w/ base metal0.000.000.000.000.000.00XXX
    D2722NCrown resin w/ noble metal0.000.000.000.000.000.00XXX
    D2740NCrown porcelain/ceramic subs0.000.000.000.000.000.00XXX
    D2750NCrown porcelain w/ h noble m0.000.000.000.000.000.00XXX
    Start Printed Page 49241
    D2751NCrown porcelain fused base m0.000.000.000.000.000.00XXX
    D2752NCrown porcelain w/ noble met0.000.000.000.000.000.00XXX
    D2780NCrown 3/4 cast hi noble met0.000.000.000.000.000.00XXX
    D2781NCrown 3/4 cast base metal0.000.000.000.000.000.00XXX
    D2782NCrown 3/4 cast noble metal0.000.000.000.000.000.00XXX
    D2783NCrown 3/4 porcelain/ceramic0.000.000.000.000.000.00XXX
    D2790NCrown full cast high noble m0.000.000.000.000.000.00XXX
    D2791NCrown full cast base metal0.000.000.000.000.000.00XXX
    D2792NCrown full cast noble metal0.000.000.000.000.000.00XXX
    D2799NProvisional crown0.000.000.000.000.000.00XXX
    D2910NDental recement inlay0.000.000.000.000.000.00XXX
    D2920NDental recement crown0.000.000.000.000.000.00XXX
    D2930NPrefab stnlss steel crwn pri0.000.000.000.000.000.00XXX
    D2931NPrefab stnlss steel crown pe0.000.000.000.000.000.00XXX
    D2932NPrefabricated resin crown0.000.000.000.000.000.00XXX
    D2933NPrefab stainless steel crown0.000.000.000.000.000.00XXX
    D2940NDental sedative filling0.000.000.000.000.000.00XXX
    D2950NCore build-up incl any pins0.000.000.000.000.000.00XXX
    D2951NTooth pin retention0.000.000.000.000.000.00XXX
    D2952NPost and core cast + crown0.000.000.000.000.000.00XXX
    D2953NEach addtnl cast post0.000.000.000.000.000.00XXX
    D2954NPrefab post/core + crown0.000.000.000.000.000.00XXX
    D2955NPost removal0.000.000.000.000.000.00XXX
    D2957NEach addtnl prefab post0.000.000.000.000.000.00XXX
    D2960NLaminate labial veneer0.000.000.000.000.000.00XXX
    D2961NLab labial veneer resin0.000.000.000.000.000.00XXX
    D2962NLab labial veneer porcelain0.000.000.000.000.000.00XXX
    D2970RTemporary- fractured tooth0.000.000.000.000.000.00YYY
    D2980NCrown repair0.000.000.000.000.000.00XXX
    D2999RDental unspec restorative pr0.000.000.000.000.000.00YYY
    D3110NPulp cap direct0.000.000.000.000.000.00XXX
    D3120NPulp cap indirect0.000.000.000.000.000.00XXX
    D3220NTherapeutic pulpotomy0.000.000.000.000.000.00XXX
    D3221NGross pulpal debridement0.000.000.000.000.000.00XXX
    D3230NPulpal therapy anterior prim0.000.000.000.000.000.00XXX
    D3240NPulpal therapy posterior pri0.000.000.000.000.000.00XXX
    D3310NAnterior0.000.000.000.000.000.00XXX
    D3320NRoot canal therapy 2 canals0.000.000.000.000.000.00XXX
    D3330NRoot canal therapy 3 canals0.000.000.000.000.000.00XXX
    D3331NNon-surg tx root canal obs0.000.000.000.000.000.00XXX
    D3332NIncomplete endodontic tx0.000.000.000.000.000.00XXX
    D3333NInternal root repair0.000.000.000.000.000.00XXX
    D3346NRetreat root canal anterior0.000.000.000.000.000.00XXX
    D3347NRetreat root canal bicuspid0.000.000.000.000.000.00XXX
    D3348NRetreat root canal molar0.000.000.000.000.000.00XXX
    D3351NApexification/recalc initial0.000.000.000.000.000.00XXX
    D3352NApexification/recalc interim0.000.000.000.000.000.00XXX
    D3353NApexification/recalc final0.000.000.000.000.000.00XXX
    Start Printed Page 49242
    D3410NApicoect/perirad surg anter0.000.000.000.000.000.00XXX
    D3421NRoot surgery bicuspid0.000.000.000.000.000.00XXX
    D3425NRoot surgery molar0.000.000.000.000.000.00XXX
    D3426NRoot surgery ea add root0.000.000.000.000.000.00XXX
    D3430NRetrograde filling0.000.000.000.000.000.00XXX
    D3450NRoot amputation0.000.000.000.000.000.00XXX
    D3460REndodontic endosseous implan0.000.000.000.000.000.00YYY
    D3470NIntentional replantation0.000.000.000.000.000.00XXX
    D3910NIsolation- tooth w rubb dam0.000.000.000.000.000.00XXX
    D3920NTooth splitting0.000.000.000.000.000.00XXX
    D3950NCanal prep/fitting of dowel0.000.000.000.000.000.00XXX
    D3999REndodontic procedure0.000.000.000.000.000.00YYY
    D4210IGingivectomy/plasty per quad0.000.000.000.000.000.00XXX
    D4211IGingivectomy/plasty per toot0.000.000.000.000.000.00XXX
    D4240NGingival flap proc w/ planin0.000.000.000.000.000.00XXX
    D4241NGngvl flap w rootplan 1-3 th0.000.000.000.000.000.00XXX
    D4245NApically positioned flap0.000.000.000.000.000.00XXX
    D4249NCrown lengthen hard tissue0.000.000.000.000.000.00XXX
    D4260ROsseous surgery per quadrant0.000.000.000.000.000.00YYY
    D4261NOsseous surgl-3teethperquad0.000.000.000.000.000.00XXX
    D4263RBone replce graft first site0.000.000.000.000.000.00YYY
    D4264RBone replce graft each add0.000.000.000.000.000.00YYY
    D4265NBio mtrls to aid soft/os reg0.000.000.000.000.000.00XXX
    D4266NGuided tiss regen resorble0.000.000.000.000.000.00XXX
    D4267NGuided tiss regen nonresorb0.000.000.000.000.000.00XXX
    D4268RSurgical revision procedure0.000.000.000.000.000.00XXX
    D4270RPedicle soft tissue graft pr0.000.000.000.000.000.00YYY
    D4271RFree soft tissue graft proc0.000.000.000.000.000.00YYY
    D4273RSubepithelial tissue graft0.000.000.000.000.000.00YYY
    D4274NDistal/proximal wedge proc0.000.000.000.000.000.00XXX
    D4275NSoft tissue allograft0.000.000.000.000.000.00XXX
    D4276NCon tissue w dble ped graft0.000.000.000.000.000.00XXX
    D4320NProvision splnt intracoronal0.000.000.000.000.000.00XXX
    D4321NProvisional splint extracoro0.000.000.000.000.000.00XXX
    D4341NPeriodontal scaling & root0.000.000.000.000.000.00XXX
    D4342NPeriodontal scaling 1-3teeth0.000.000.000.000.000.00XXX
    D4355RFull mouth debridement0.000.000.000.000.000.00YYY
    D4381RLocalized chemo delivery0.000.000.000.000.000.00YYY
    D4910NPeriodontal maint procedures0.000.000.000.000.000.00XXX
    D4920NUnscheduled dressing change0.000.000.000.000.000.00XXX
    D4999NUnspecified periodontal proc0.000.000.000.000.000.00XXX
    D5110NDentures complete maxillary0.000.000.000.000.000.00XXX
    D5120NDentures complete mandible0.000.000.000.000.000.00XXX
    Start Printed Page 49243
    D5130NDentures immediat maxillary0.000.000.000.000.000.00XXX
    D5140NDentures immediat mandible0.000.000.000.000.000.00XXX
    D5211NDentures maxill part resin0.000.000.000.000.000.00XXX
    D5212NDentures mand part resin0.000.000.000.000.000.00XXX
    D5213NDentures maxill part metal0.000.000.000.000.000.00XXX
    D5214NDentures mandibl part metal0.000.000.000.000.000.00XXX
    D5281NRemovable partial denture0.000.000.000.000.000.00XXX
    D5410NDentures adjust cmplt maxil0.000.000.000.000.000.00XXX
    D5411NDentures adjust cmplt mand0.000.000.000.000.000.00XXX
    D5421NDentures adjust part maxill0.000.000.000.000.000.00XXX
    D5422NDentures adjust part mandbl0.000.000.000.000.000.00XXX
    D5510NDentur repr broken compl bas0.000.000.000.000.000.00XXX
    D5520NReplace denture teeth complt0.000.000.000.000.000.00XXX
    D5610NDentures repair resin base0.000.000.000.000.000.00XXX
    D5620NRep part denture cast frame0.000.000.000.000.000.00XXX
    D5630NRep partial denture clasp0.000.000.000.000.000.00XXX
    D5640NReplace part denture teeth0.000.000.000.000.000.00XXX
    D5650NAdd tooth to partial denture0.000.000.000.000.000.00XXX
    D5660NAdd clasp to partial denture0.000.000.000.000.000.00XXX
    D5670NReplc tth&acrlc on mtl frmwk0.000.000.000.000.000.00XXX
    D5671NReplc tth&acrlc mandibular0.000.000.000.000.000.00XXX
    D5710NDentures rebase cmplt maxil0.000.000.000.000.000.00XXX
    D5711NDentures rebase cmplt mand0.000.000.000.000.000.00XXX
    D5720NDentures rebase part maxill0.000.000.000.000.000.00XXX
    D5721NDentures rebase part mandbl0.000.000.000.000.000.00XXX
    D5730NDenture reln cmplt maxil ch0.000.000.000.000.000.00XXX
    D5731NDenture reln cmplt mand chr0.000.000.000.000.000.00XXX
    D5740NDenture reln part maxil chr0.000.000.000.000.000.00XXX
    D5741NDenture reln part mand chr0.000.000.000.000.000.00XXX
    D5750NDenture reln cmplt max lab0.000.000.000.000.000.00XXX
    D5751NDenture reln cmplt mand lab0.000.000.000.000.000.00XXX
    D5760NDenture reln part maxil lab0.000.000.000.000.000.00XXX
    D5761NDenture reln part mand lab0.000.000.000.000.000.00XXX
    D5810NDenture interm cmplt maxill0.000.000.000.000.000.00XXX
    D5811NDenture interm cmplt mandbl0.000.000.000.000.000.00XXX
    D5820NDenture interm part maxill0.000.000.000.000.000.00XXX
    D5821NDenture interm part mandbl0.000.000.000.000.000.00XXX
    D5850NDenture tiss conditn maxill0.000.000.000.000.000.00XXX
    D5851NDenture tiss condtin mandbl0.000.000.000.000.000.00XXX
    D5860NOverdenture complete0.000.000.000.000.000.00XXX
    Start Printed Page 49244
    D5861NOverdenture partial0.000.000.000.000.000.00XXX
    D5862NPrecision attachment0.000.000.000.000.000.00XXX
    D5867NReplacement of precision att0.000.000.000.000.000.00XXX
    D5875NProsthesis modification0.000.000.000.000.000.00XXX
    D5899NRemovable prosthodontic proc0.000.000.000.000.000.00XXX
    D5911RFacial moulage sectional0.000.000.000.000.000.00YYY
    D5912RFacial moulage complete0.000.000.000.000.000.00YYY
    D5913INasal prosthesis0.000.000.000.000.000.00XXX
    D5914IAuricular prosthesis0.000.000.000.000.000.00XXX
    D5915IOrbital prosthesis0.000.000.000.000.000.00XXX
    D5916IOcular prosthesis0.000.000.000.000.000.00XXX
    D5919IFacial prosthesis0.000.000.000.000.000.00XXX
    D5922INasal septal prosthesis0.000.000.000.000.000.00XXX
    D5923IOcular prosthesis interim0.000.000.000.000.000.00XXX
    D5924ICranial prosthesis0.000.000.000.000.000.00XXX
    D5925IFacial augmentation implant0.000.000.000.000.000.00XXX
    D5926IReplacement nasal prosthesis0.000.000.000.000.000.00XXX
    D5927IAuricular replacement0.000.000.000.000.000.00XXX
    D5928IOrbital replacement0.000.000.000.000.000.00XXX
    D5929IFacial replacement0.000.000.000.000.000.00XXX
    D5931ISurgical obturator0.000.000.000.000.000.00XXX
    D5932IPostsurgical obturator0.000.000.000.000.000.00XXX
    D5933IRefitting of obturator0.000.000.000.000.000.00XXX
    D5934IMandibular flange prosthesis0.000.000.000.000.000.00XXX
    D5935IMandibular denture prosth0.000.000.000.000.000.00XXX
    D5936ITemp obturator prosthesis0.000.000.000.000.000.00XXX
    D5937ITrismus appliance0.000.000.000.000.000.00XXX
    D5951RFeeding aid0.000.000.000.000.000.00YYY
    D5952IPediatric speech aid0.000.000.000.000.000.00XXX
    D5953IAdult speech aid0.000.000.000.000.000.00XXX
    D5954ISuperimposed prosthesis0.000.000.000.000.000.00XXX
    D5955IPalatal lift prosthesis0.000.000.000.000.000.00XXX
    D5958IIntraoral con def inter plt0.000.000.000.000.000.00XXX
    D5959IIntraoral con def mod palat0.000.000.000.000.000.00XXX
    D5960IModify speech aid prosthesis0.000.000.000.000.000.00XXX
    D5982ISurgical stent0.000.000.000.000.000.00XXX
    D5983RRadiation applicator0.000.000.000.000.000.00YYY
    D5984RRadiation shield0.000.000.000.000.000.00YYY
    D5985RRadiation cone locator0.000.000.000.000.000.00YYY
    D5986NFluoride applicator0.000.000.000.000.000.00XXX
    D5987RCommissure splint0.000.000.000.000.000.00YYY
    D5988ISurgical splint0.000.000.000.000.000.00XXX
    D5999IMaxillofacial prosthesis0.000.000.000.000.000.00XXX
    D6010IOdontics endosteal implant0.000.000.000.000.000.00XXX
    D6020IOdontics abutment placement0.000.000.000.000.000.00XXX
    D6040IOdontics eposteal implant0.000.000.000.000.000.00XXX
    D6050IOdontics transosteal implnt0.000.000.000.000.000.00XXX
    D6053NImplnt/abtmnt spprt remv dnt0.000.000.000.000.000.00XXX
    D6054NImplnt/abtmnt spprt remvprtl0.000.000.000.000.000.00XXX
    D6055IImplant connecting bar0.000.000.000.000.000.00XXX
    D6056NPrefabricated abutment0.000.000.000.000.000.00XXX
    D6057NCustom abutment0.000.000.000.000.000.00XXX
    D6058NAbutment supported crown0.000.000.000.000.000.00XXX
    Start Printed Page 49245
    D6059NAbutment supported mtl crown0.000.000.000.000.000.00XXX
    D6060NAbutment supported mtl crown0.000.000.000.000.000.00XXX
    D6061NAbutment supported mtl crown0.000.000.000.000.000.00XXX
    D6062NAbutment supported mtl crown0.000.000.000.000.000.00XXX
    D6063NAbutment supported mtl crown0.000.000.000.000.000.00XXX
    D6064NAbutment supported mtl crown0.000.000.000.000.000.00XXX
    D6065NImplant supported crown0.000.000.000.000.000.00XXX
    D6066NImplant supported mtl crown0.000.000.000.000.000.00XXX
    D6067NImplant supported mtl crown0.000.000.000.000.000.00XXX
    D6068NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6069NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6070NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6071NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6072NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6073NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6074NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6075NImplant supported retainer0.000.000.000.000.000.00XXX
    D6076NImplant supported retainer0.000.000.000.000.000.00XXX
    D6077NImplant supported retainer0.000.000.000.000.000.00XXX
    D6078NImplnt/abut suprtd fixd dent0.000.000.000.000.000.00XXX
    D6079NImplnt/abut suprtd fixd dent0.000.000.000.000.000.00XXX
    D6080IImplant maintenance0.000.000.000.000.000.00XXX
    D6090IRepair implant0.000.000.000.000.000.00XXX
    D6095IOdontics repr abutment0.000.000.000.000.000.00XXX
    D6100IRemoval of implant0.000.000.000.000.000.00XXX
    D6199IImplant procedure0.000.000.000.000.000.00XXX
    D6210NProsthodont high noble metal0.000.000.000.000.000.00XXX
    D6211NBridge base metal cast0.000.000.000.000.000.00XXX
    D6212NBridge noble metal cast0.000.000.000.000.000.00XXX
    D6240NBridge porcelain high noble0.000.000.000.000.000.00XXX
    D6241NBridge porcelain base metal0.000.000.000.000.000.00XXX
    D6242NBridge porcelain nobel metal0.000.000.000.000.000.00XXX
    D6245NBridge porcelain/ceramic0.000.000.000.000.000.00XXX
    D6250NBridge resin w/high noble0.000.000.000.000.000.00XXX
    D6251NBridge resin base metal0.000.000.000.000.000.00XXX
    D6252NBridge resin w/noble metal0.000.000.000.000.000.00XXX
    D6253NProvisional pontic0.000.000.000.000.000.00XXX
    D6545NDental retainr cast metl0.000.000.000.000.000.00XXX
    D6548NPorcelain/ceramic retainer0.000.000.000.000.000.00XXX
    D6600NPorcelain/ceramic inlay 2srf0.000.000.000.000.000.00XXX
    D6601NPorc/ceram inlay >= 3 surfac0.000.000.000.000.000.00XXX
    D6602NCst hgh nble mtl inlay 2 srf0.000.000.000.000.000.00XXX
    Start Printed Page 49246
    D6603NCst hgh nble mtl inlay >=3sr0.000.000.000.000.000.00XXX
    D6604NCst bse mtl inlay 2 surfaces0.000.000.000.000.000.00XXX
    D6605NCst bse mtl inlay >= 3 surfa0.000.000.000.000.000.00XXX
    D6606NCast noble metal inlay 2 sur0.000.000.000.000.000.00XXX
    D6607NCst noble mtl inlay >=3 surf0.000.000.000.000.000.00XXX
    D6608NOnlay porc/crmc 2 surfaces0.000.000.000.000.000.00XXX
    D6609NOnlay porc/crmc >=3 surfaces0.000.000.000.000.000.00XXX
    D6610NOnlay cst hgh nbl mtl 2 srfc0.000.000.000.000.000.00XXX
    D6611NOnlay cst hgh nbl mtl >=3srf0.000.000.000.000.000.00XXX
    D6612NOnlay cst base mtl 2 surface0.000.000.000.000.000.00XXX
    D6613NOnlay cst base mtl >=3 surfa0.000.000.000.000.000.00XXX
    D6614NOnlay cst nbl mtl 2 surfaces0.000.000.000.000.000.00XXX
    D6615NOnlay cst nbl mtl >=3 surfac0.000.000.000.000.000.00XXX
    D6720NRetain crown resin w hi nble0.000.000.000.000.000.00XXX
    D6721NCrown resin w/base metal0.000.000.000.000.000.00XXX
    D6722NCrown resin w/noble metal0.000.000.000.000.000.00XXX
    D6740NCrown porcelain/ceramic0.000.000.000.000.000.00XXX
    D6750NCrown porcelain high noble0.000.000.000.000.000.00XXX
    D6751NCrown porcelain base metal0.000.000.000.000.000.00XXX
    D6752NCrown porcelain noble metal0.000.000.000.000.000.00XXX
    D6780NCrown 3/4 high noble metal0.000.000.000.000.000.00XXX
    D6781NCrown 3/4 cast based metal0.000.000.000.000.000.00XXX
    D6782NCrown 3/4 cast noble metal0.000.000.000.000.000.00XXX
    D6783NCrown 3/4 porcelain/ceramic0.000.000.000.000.000.00XXX
    D6790NCrown full high noble metal0.000.000.000.000.000.00XXX
    D6791NCrown full base metal cast0.000.000.000.000.000.00XXX
    D6792NCrown full noble metal cast0.000.000.000.000.000.00XXX
    D6793NProvisional retainer crown0.000.000.000.000.000.00XXX
    D6920RDental connector bar0.000.000.000.000.000.00YYY
    D6930NDental recement bridge0.000.000.000.000.000.00XXX
    D6940NStress breaker0.000.000.000.000.000.00XXX
    D6950NPrecision attachment0.000.000.000.000.000.00XXX
    D6970NPost & core plus retainer0.000.000.000.000.000.00XXX
    D6971NCast post bridge retainer0.000.000.000.000.000.00XXX
    D6972NPrefab post & core plus reta0.000.000.000.000.000.00XXX
    D6973NCore build up for retainer0.000.000.000.000.000.00XXX
    D6975NCoping metal0.000.000.000.000.000.00XXX
    D6976NEach addtnl cast post0.000.000.000.000.000.00XXX
    D6977NEach addtl prefab post0.000.000.000.000.000.00XXX
    D6980NBridge repair0.000.000.000.000.000.00XXX
    D6985NPediatric partial denture fx0.000.000.000.000.000.00XXX
    D6999NFixed prosthodontic proc0.000.000.000.000.000.00XXX
    Start Printed Page 49247
    D7111RCoronal remnants deciduous t0.000.000.000.000.000.00XXX
    D7140RExtraction erupted tooth/exr0.000.000.000.000.000.00XXX
    D7210RRem imp tooth w mucoper flp0.000.000.000.000.000.00YYY
    D7220RImpact tooth remov soft tiss0.000.000.000.000.000.00YYY
    D7230RImpact tooth remov part bony0.000.000.000.000.000.00YYY
    D7240RImpact tooth remov comp bony0.000.000.000.000.000.00YYY
    D7241RImpact tooth rem bony w/comp0.000.000.000.000.000.00YYY
    D7250RTooth root removal0.000.000.000.000.000.00YYY
    D7260ROral antral fistula closure0.000.000.000.000.000.00YYY
    D7261RPrimary closure sinus perf0.000.000.000.000.000.00XXX
    D7270NTooth reimplantation0.000.000.000.000.000.00XXX
    D7272NTooth transplantation0.000.000.000.000.000.00XXX
    D7280NExposure impact tooth orthod0.000.000.000.000.000.00XXX
    D7281NExposure tooth aid eruption0.000.000.000.000.000.00XXX
    D7282NMobilize erupted/malpos toot0.000.000.000.000.000.00XXX
    D7285IBiopsy of oral tissue hard0.000.000.000.000.000.00XXX
    D7286IBiopsy of oral tissue soft0.000.000.000.000.000.00XXX
    D7287ICytology sample collection0.000.000.000.000.000.00XXX
    D7290NRepositioning of teeth0.000.000.000.000.000.00XXX
    D7291RTransseptal fiberotomy0.000.000.000.000.000.00YYY
    D7310IAlveoplasty w/ extraction0.000.000.000.000.000.00XXX
    D7320IAlveoplasty w/o extraction0.000.000.000.000.000.00XXX
    D7340IVestibuloplasty ridge extens0.000.000.000.000.000.00XXX
    D7350IVestibuloplasty exten graft0.000.000.000.000.000.00XXX
    D7410IRad exc lesion up to 1.25 cm0.000.000.000.000.000.00XXX
    D7411IExcision benign lesion>1.25c0.000.000.000.000.000.00XXX
    D7412IExcision benign lesion compl0.000.000.000.000.000.00XXX
    D7413IExcision malig lesion<=1.25c0.000.000.000.000.000.00XXX
    D7414IExcision malig lesion>1.25cm0.000.000.000.000.000.00XXX
    D7415IExcision malig les complicat0.000.000.000.000.000.00XXX
    D7440IMalig tumor exc to 1.25 cm0.000.000.000.000.000.00XXX
    D7441IMalig tumor > 1.25 cm0.000.000.000.000.000.00XXX
    D7450IRem odontogen cyst to 1.25cm0.000.000.000.000.000.00XXX
    D7451IRem odontogen cyst > 1.25 cm0.000.000.000.000.000.00XXX
    D7460IRem nonodonto cyst to 1.25cm0.000.000.000.000.000.00XXX
    D7461IRem nonodonto cyst > 1.25 cm0.000.000.000.000.000.00XXX
    D7465ILesion destruction0.000.000.000.000.000.00XXX
    D7471IRem exostosis any site0.000.000.000.000.000.00XXX
    D7472IRemoval of torus palatinus0.000.000.000.000.000.00XXX
    D7473IRemove torus mandibularis0.000.000.000.000.000.00XXX
    D7485ISurg reduct osseoustuberosit0.000.000.000.000.000.00XXX
    D7490IMandible resection0.000.000.000.000.000.00XXX
    Start Printed Page 49248
    D7510II&d absc intraoral soft tiss0.000.000.000.000.000.00XXX
    D7520II&d abscess extraoral0.000.000.000.000.000.00XXX
    D7530IRemoval fb skin/areolar tiss0.000.000.000.000.000.00XXX
    D7540IRemoval of fb reaction0.000.000.000.000.000.00XXX
    D7550IRemoval of sloughed off bone0.000.000.000.000.000.00XXX
    D7560IMaxillary sinusotomy0.000.000.000.000.000.00XXX
    D7610IMaxilla open reduct simple0.000.000.000.000.000.00XXX
    D7620IClsd reduct simpl maxilla fx0.000.000.000.000.000.00XXX
    D7630IOpen red simpl mandible fx0.000.000.000.000.000.00XXX
    D7640IClsd red simpl mandible fx0.000.000.000.000.000.00XXX
    D7650IOpen red simp malar/zygom fx0.000.000.000.000.000.00XXX
    D7660IClsd red simp malar/zygom fx0.000.000.000.000.000.00XXX
    D7670IClosd rductn splint alveolus0.000.000.000.000.000.00XXX
    D7671IAlveolus open reduction0.000.000.000.000.000.00XXX
    D7680IReduct simple facial bone fx0.000.000.000.000.000.00XXX
    D7710IMaxilla open reduct compound0.000.000.000.000.000.00XXX
    D7720IClsd reduct compd maxilla fx0.000.000.000.000.000.00XXX
    D7730IOpen reduct compd mandble fx0.000.000.000.000.000.00XXX
    D7740IClsd reduct compd mandble fx0.000.000.000.000.000.00XXX
    D7750IOpen red comp malar/zygma fx0.000.000.000.000.000.00XXX
    D7760IClsd red comp malar/zygma fx0.000.000.000.000.000.00XXX
    D7770IOpen reduc compd alveolus fx0.000.000.000.000.000.00XXX
    D7771IAlveolus clsd reduc stblz te0.000.000.000.000.000.00XXX
    D7780IReduct compnd facial bone fx0.000.000.000.000.000.00XXX
    D7810ITmj open reduct-dislocation0.000.000.000.000.000.00XXX
    D7820IClosed tmp manipulation0.000.000.000.000.000.00XXX
    D7830ITmj manipulation under anest0.000.000.000.000.000.00XXX
    D7840IRemoval of tmj condyle0.000.000.000.000.000.00XXX
    D7850ITmj meniscectomy0.000.000.000.000.000.00XXX
    D7852ITmj repair of joint disc0.000.000.000.000.000.00XXX
    D7854ITmj excisn of joint membrane0.000.000.000.000.000.00XXX
    D7856ITmj cutting of a muscle0.000.000.000.000.000.00XXX
    D7858ITmj reconstruction0.000.000.000.000.000.00XXX
    D7860ITmj cutting into joint0.000.000.000.000.000.00XXX
    D7865ITmj reshaping components0.000.000.000.000.000.00XXX
    D7870ITmj aspiration joint fluid0.000.000.000.000.000.00XXX
    D7871NLysis + lavage w catheters0.000.000.000.000.000.00XXX
    D7872ITmj diagnostic arthroscopy0.000.000.000.000.000.00XXX
    D7873ITmj arthroscopy lysis adhesn0.000.000.000.000.000.00XXX
    D7874ITmj arthroscopy disc reposit0.000.000.000.000.000.00XXX
    D7875ITmj arthroscopy synovectomy0.000.000.000.000.000.00XXX
    Start Printed Page 49249
    D7876ITmj arthroscopy discectomy0.000.000.000.000.000.00XXX
    D7877ITmj arthroscopy debridement0.000.000.000.000.000.00XXX
    D7880IOcclusal orthotic appliance0.000.000.000.000.000.00XXX
    D7899ITmj unspecified therapy0.000.000.000.000.000.00XXX
    D7910IDent sutur recent wnd to 5cm0.000.000.000.000.000.00XXX
    D7911IDental suture wound to 5 cm0.000.000.000.000.000.00XXX
    D7912ISuture complicate wnd > 5 cm0.000.000.000.000.000.00XXX
    D7920IDental skin graft0.000.000.000.000.000.00XXX
    D7940RReshaping bone orthognathic0.000.000.000.000.000.00YYY
    D7941IBone cutting ramus closed0.000.000.000.000.000.00XXX
    D7943ICutting ramus open w/graft0.000.000.000.000.000.00XXX
    D7944IBone cutting segmented0.000.000.000.000.000.00XXX
    D7945IBone cutting body mandible0.000.000.000.000.000.00XXX
    D7946IReconstruction maxilla total0.000.000.000.000.000.00XXX
    D7947IReconstruct maxilla segment0.000.000.000.000.000.00XXX
    D7948IReconstruct midface no graft0.000.000.000.000.000.00XXX
    D7949IReconstruct midface w/graft0.000.000.000.000.000.00XXX
    D7950IMandible graft0.000.000.000.000.000.00XXX
    D7955IRepair maxillofacial defects0.000.000.000.000.000.00XXX
    D7960IFrenulectomy/frenulotomy0.000.000.000.000.000.00XXX
    D7970IExcision hyperplastic tissue0.000.000.000.000.000.00XXX
    D7971IExcision pericoronal gingiva0.000.000.000.000.000.00XXX
    D7972ISurg redct fibrous tuberosit0.000.000.000.000.000.00XXX
    D7980ISialolithotomy0.000.000.000.000.000.00XXX
    D7981IExcision of salivary gland0.000.000.000.000.000.00XXX
    D7982ISialodochoplasty0.000.000.000.000.000.00XXX
    D7983IClosure of salivary fistula0.000.000.000.000.000.00XXX
    D7990IEmergency tracheotomy0.000.000.000.000.000.00XXX
    D7991IDental coronoidectomy0.000.000.000.000.000.00XXX
    D7995ISynthetic graft facial bones0.000.000.000.000.000.00XXX
    D7996IImplant mandible for augment0.000.000.000.000.000.00XXX
    D7997NAppliance removal0.000.000.000.000.000.00XXX
    D7999IOral surgery procedure0.000.000.000.000.000.00XXX
    D8010NLimited dental tx primary0.000.000.000.000.000.00XXX
    D8020NLimited dental tx transition0.000.000.000.000.000.00XXX
    D8030NLimited dental tx adolescent0.000.000.000.000.000.00XXX
    D8040NLimited dental tx adult0.000.000.000.000.000.00XXX
    D8050NIntercep dental tx primary0.000.000.000.000.000.00XXX
    D8060NIntercep dental tx transitn0.000.000.000.000.000.00XXX
    D8070NCompre dental tx transition0.000.000.000.000.000.00XXX
    D8080NCompre dental tx adolescent0.000.000.000.000.000.00XXX
    D8090NCompre dental tx adult0.000.000.000.000.000.00XXX
    D8210NOrthodontic rem appliance tx0.000.000.000.000.000.00XXX
    Start Printed Page 49250
    D8220NFixed appliance therapy habt0.000.000.000.000.000.00XXX
    D8660NPreorthodontic tx visit0.000.000.000.000.000.00XXX
    D8670NPeriodic orthodontc tx visit0.000.000.000.000.000.00XXX
    D8680NOrthodontic retention0.000.000.000.000.000.00XXX
    D8690NOrthodontic treatment0.000.000.000.000.000.00XXX
    D8691NRepair ortho appliance0.000.000.000.000.000.00XXX
    D8692NReplacement retainer0.000.000.000.000.000.00XXX
    D8999NOrthodontic procedure0.000.000.000.000.000.00XXX
    D9110RTx dental pain minor proc0.000.000.000.000.000.00YYY
    D9210IDent anesthesia w/o surgery0.000.000.000.000.000.00XXX
    D9211IRegional block anesthesia0.000.000.000.000.000.00XXX
    D9212ITrigeminal block anesthesia0.000.000.000.000.000.00XXX
    D9215ILocal anesthesia0.000.000.000.000.000.00XXX
    D9220IGeneral anesthesia0.000.000.000.000.000.00XXX
    D9221IGeneral anesthesia ea ad 15m0.000.000.000.000.000.00XXX
    D9230RAnalgesia0.000.000.000.000.000.00YYY
    D9241IIntravenous sedation0.000.000.000.000.000.00XXX
    D9242IIV sedation ea ad 30 m0.000.000.000.000.000.00XXX
    D9248RSedation (non-iv)0.000.000.000.000.000.00XXX
    D9310IDental consultation0.000.000.000.000.000.00XXX
    D9410IDental house call0.000.000.000.000.000.00XXX
    D9420IHospital call0.000.000.000.000.000.00XXX
    D9430IOffice visit during hours0.000.000.000.000.000.00XXX
    D9440IOffice visit after hours0.000.000.000.000.000.00XXX
    D9450ICase presentation tx plan0.000.000.000.000.000.00XXX
    D9610IDent therapeutic drug inject0.000.000.000.000.000.00XXX
    D9630ROther drugs/medicaments0.000.000.000.000.000.00YYY
    D9910NDent appl desensitizing med0.000.000.000.000.000.00XXX
    D9911NAppl desensitizing resin0.000.000.000.000.000.00XXX
    D9920NBehavior management0.000.000.000.000.000.00XXX
    D9930RTreatment of complications0.000.000.000.000.000.00YYY
    D9940RDental occlusal guard0.000.000.000.000.000.00YYY
    D9941NFabrication athletic guard0.000.000.000.000.000.00XXX
    D9950ROcclusion analysis0.000.000.000.000.000.00YYY
    D9951RLimited occlusal adjustment0.000.000.000.000.000.00YYY
    D9952RComplete occlusal adjustment0.000.000.000.000.000.00YYY
    D9970NEnamel microabrasion0.000.000.000.000.000.00XXX
    D9971NOdontoplasty 1-2 teeth0.000.000.000.000.000.00XXX
    D9972NExtrnl bleaching per arch0.000.000.000.000.000.00XXX
    D9973NExtrnl bleaching per tooth0.000.000.000.000.000.00XXX
    D9974NIntrnl bleaching per tooth0.000.000.000.000.000.00XXX
    D9999IAdjunctive procedure0.000.000.000.000.000.00XXX
    G0001XDrawing blood for specimen0.000.000.000.000.000.00XXX
    G0008XAdmin influenza virus vac0.000.000.000.000.000.00XXX
    G0009XAdmin pneumococcal vaccine0.000.000.000.000.000.00XXX
    G0010XAdmin hepatitis b vaccine0.000.000.000.000.000.00XXX
    G0030CPET imaging prev PET single0.000.000.000.000.000.00XXX
    G003026APET imaging prev PET single1.500.600.600.042.142.14XXX
    G0030TCCPET imaging prev PET single0.000.000.000.000.000.00XXX
    G0031CPET imaging prev PET multple0.000.000.000.000.000.00XXX
    Start Printed Page 49251
    G003126APET imaging prev PET multple1.870.740.740.062.672.67XXX
    G0031TCCPET imaging prev PET multple0.000.000.000.000.000.00XXX
    G0032CPET follow SPECT 78464 singl0.000.000.000.000.000.00XXX
    G003226APET follow SPECT 78464 singl1.500.560.560.052.112.11XXX
    G0032TCCPET follow SPECT 78464 singl0.000.000.000.000.000.00XXX
    G0033CPET follow SPECT 78464 mult0.000.000.000.000.000.00XXX
    G003326APET follow SPECT 78464 mult1.870.750.750.062.682.68XXX
    G0033TCCPET follow SPECT 78464 mult0.000.000.000.000.000.00XXX
    G0034CPET follow SPECT 76865 singl0.000.000.000.000.000.00XXX
    G003426APET follow SPECT 76865 singl1.500.580.580.052.132.13XXX
    G0034TCCPET follow SPECT 76865 singl0.000.000.000.000.000.00XXX
    G0035CPET follow SPECT 78465 mult0.000.000.000.000.000.00XXX
    G003526APET follow SPECT 78465 mult1.870.740.740.062.672.67XXX
    G0035TCCPET follow SPECT 78465 mult0.000.000.000.000.000.00XXX
    G0036CPET follow cornry angio sing0.000.000.000.000.000.00XXX
    G003626APET follow cornry angio sing1.500.580.580.042.122.12XXX
    G0036TCCPET follow cornry angio sing0.000.000.000.000.000.00XXX
    G0037CPET follow cornry angio mult0.000.000.000.000.000.00XXX
    G003726APET follow cornry angio mult1.870.730.730.062.662.66XXX
    G0037TCCPET follow cornry angio mult0.000.000.000.000.000.00XXX
    G0038CPET follow myocard perf sing0.000.000.000.000.000.00XXX
    G003826APET follow myocard perf sing1.500.540.540.042.082.08XXX
    G0038TCCPET follow myocard perf sing0.000.000.000.000.000.00XXX
    G0039CPET follow myocard perf mult0.000.000.000.000.000.00XXX
    G003926APET follow myocard perf mult1.870.730.730.072.672.67XXX
    G0039TCCPET follow myocard perf mult0.000.000.000.000.000.00XXX
    G0040CPET follow stress echo singl0.000.000.000.000.000.00XXX
    G004026APET follow stress echo singl1.500.610.610.042.152.15XXX
    G0040TCCPET follow stress echo singl0.000.000.000.000.000.00XXX
    G0041CPET follow stress echo mult0.000.000.000.000.000.00XXX
    G004126APET follow stress echo mult1.870.750.750.052.672.67XXX
    G0041TCCPET follow stress echo mult0.000.000.000.000.000.00XXX
    G0042CPET follow ventriculogm sing0.000.000.000.000.000.00XXX
    Start Printed Page 49252
    G004226APET follow ventriculogm sing1.500.620.620.042.162.16XXX
    G0042TCCPET follow ventriculogm sing0.000.000.000.000.000.00XXX
    G0043CPET follow ventriculogm mult0.000.000.000.000.000.00XXX
    G004326APET follow ventriculogm mult1.870.760.760.062.692.69XXX
    G0043TCCPET follow ventriculogm mult0.000.000.000.000.000.00XXX
    G0044CPET following rest ECG singl0.000.000.000.000.000.00XXX
    G004426APET following rest ECG singl1.500.610.610.042.152.15XXX
    G0044TCCPET following rest ECG singl0.000.000.000.000.000.00XXX
    G0045CPET following rest ECG mult0.000.000.000.000.000.00XXX
    G004526APET following rest ECG mult1.870.740.740.062.672.67XXX
    G0045TCCPET following rest ECG mult0.000.000.000.000.000.00XXX
    G0046CPET follow stress ECG singl0.000.000.000.000.000.00XXX
    G004626APET follow stress ECG singl1.500.610.610.042.152.15XXX
    G0046TCCPET follow stress ECG singl0.000.000.000.000.000.00XXX
    G0047CPET follow stress ECG mult0.000.000.000.000.000.00XXX
    G004726APET follow stress ECG mult1.870.750.750.062.682.68XXX
    G0047TCCPET follow stress ECG mult0.000.000.000.000.000.00XXX
    G0101ACA screen;pelvic/breast exam0.450.540.170.011.000.63XXX
    G0102AProstate ca screening; dre0.170.410.060.010.590.24XXX
    G0104ACA screen;flexi sigmoidscope0.962.250.530.053.261.54000
    G0105AColorectal scrn; hi risk ind3.706.301.680.2010.205.58000
    G0106AColon CA screen;barium enema0.992.57N/A0.153.71N/AXXX
    G010626AColon CA screen;barium enema0.990.330.330.041.361.36XXX
    G0106TCAColon CA screen;barium enema0.002.23N/A0.112.34N/AXXX
    G0108ADiab manage trn per indiv0.000.83N/A0.010.84N/AXXX
    G0109ADiab manage trn ind/group0.000.48N/A0.010.49N/AXXX
    G0110RNett pulm-rehab educ; ind0.900.720.290.031.651.22XXX
    G0111RNett pulm-rehab educ; group0.270.300.140.010.580.42XXX
    G0112RNett;nutrition guid, initial1.721.250.670.053.022.44XXX
    G0113RNett;nutrition guid,subseqnt1.290.850.420.042.181.75XXX
    G0114RNett; psychosocial consult1.200.490.380.031.721.61XXX
    G0115RNett; psychological testing1.200.640.380.041.881.62XXX
    G0116RNett; psychosocial counsel1.111.020.340.042.171.49XXX
    G0117TGlaucoma scrn hgh risk direc0.450.720.190.021.190.66XXX
    G0118TGlaucoma scrn hgh risk direc0.170.530.070.010.710.25XXX
    G0120AColon ca scrn; barium enema0.992.57N/A0.153.71N/AXXX
    G012026AColon ca scrn; barium enema0.990.330.330.041.361.36XXX
    Start Printed Page 49253
    G0120TCAColon ca scrn; barium enema0.002.23N/A0.112.34N/AXXX
    G0121AColon ca scrn not hi rsk ind3.706.301.680.2010.205.58000
    G0122NColon ca scrn; barium enema0.992.62N/A0.153.76N/AXXX
    G012226NColon ca scrn; barium enema0.990.380.380.041.411.41XXX
    G0122TCNColon ca scrn; barium enema0.002.23N/A0.112.34N/AXXX
    G0124AScreen c/v thin layer by MD0.420.180.180.010.610.61XXX
    G0125CPET image pulmonary nodule0.000.000.000.000.000.00XXX
    G012526APET image pulmonary nodule1.500.540.540.052.092.09XXX
    G0125TCCPET image pulmonary nodule0.000.000.000.000.000.00XXX
    G0127RTrim nail(s)0.170.260.070.010.440.25000
    G0128RCORF skilled nursing service0.080.030.030.010.120.12XXX
    G0130ASingle energy x-ray study0.220.88N/A0.051.15N/AXXX
    G013026ASingle energy x-ray study0.220.070.070.010.300.30XXX
    G0130TCASingle energy x-ray study0.000.80N/A0.040.84N/AXXX
    G0141AScr c/v cyto,autosys and md0.420.180.180.010.610.61XXX
    G0166AExtrnl counterpulse, per tx0.072.930.030.013.010.11XXX
    G0167CHyperbaric oz tx;no md reqrd0.000.000.000.000.000.00XXX
    G0168AWound closure by adhesive0.452.030.160.012.490.62000
    G0179AMD recertification HHA PT0.451.09N/A0.011.55N/AXXX
    G0180AMD certification HHA patient0.671.32N/A0.022.01N/AXXX
    G0181AHome health care supervision1.731.56N/A0.063.35N/AXXX
    G0182AHospice care supervision1.731.75N/A0.063.54N/AXXX
    G0186CDstry eye lesn,fdr vssl tech0.000.000.000.000.000.00YYY
    G0202AScreeningmammographydigital0.702.78N/A0.093.57N/AXXX
    G020226AScreeningmammographydigital0.700.230.230.030.960.96XXX
    G0202TCAScreeningmammographydigital0.002.54N/A0.062.60N/AXXX
    G0204ADiagnosticmammographydigital0.872.80N/A0.103.77N/AXXX
    G020426ADiagnosticmammographydigital0.870.290.290.041.201.20XXX
    G0204TCADiagnosticmammographydigital0.002.50N/A0.062.56N/AXXX
    G0206ADiagnosticmammographydigital0.702.26N/A0.093.05N/AXXX
    G020626ADiagnosticmammographydigital0.700.230.230.040.970.97XXX
    G0206TCADiagnosticmammographydigital0.002.02N/A0.052.07N/AXXX
    G0210CPET img wholebody dxlung0.000.000.000.000.000.00XXX
    G021026APET img wholebody dxlung1.500.520.520.042.062.06XXX
    G0210TCCPET img wholebody dxlung0.000.000.000.000.000.00XXX
    G0211CPET img wholbody init lung0.000.000.000.000.000.00XXX
    Start Printed Page 49254
    G021126APET img wholbody init lung1.500.520.520.042.062.06XXX
    G0211TCCPET img wholbody init lung0.000.000.000.000.000.00XXX
    G0212CPET img wholebod restag lung0.000.000.000.000.000.00XXX
    G021226APET img wholebod restag lung1.500.530.530.042.072.07XXX
    G0212TCCPET img wholebod restag lung0.000.000.000.000.000.00XXX
    G0213CPET img wholbody dx0.000.000.000.000.000.00XXX
    G021326APET img wholbody dx1.500.520.520.042.062.06XXX
    G0213TCCPET img wholbody dx0.000.000.000.000.000.00XXX
    G0214CPET img wholebod init0.000.000.000.000.000.00XXX
    G021426APET img wholebod init1.500.520.520.042.062.06XXX
    G0214TCCPET img wholebod init0.000.000.000.000.000.00XXX
    G0215CPETimg wholebod restag0.000.000.000.000.000.00XXX
    G021526APETimg wholebod restag1.500.530.530.042.072.07XXX
    G0215TCCPETimg wholebod restag0.000.000.000.000.000.00XXX
    G0216CPET img wholebod dx melanoma0.000.000.000.000.000.00XXX
    G021626APET img wholebod dx melanoma1.500.520.520.042.062.06XXX
    G0216TCCPET img wholebod dx melanoma0.000.000.000.000.000.00XXX
    G0217CPET img wholebod init melan0.000.000.000.000.000.00XXX
    G021726APET img wholebod init melan1.500.530.530.042.072.07XXX
    G0217TCCPET img wholebod init melan0.000.000.000.000.000.00XXX
    G0218CPET img wholebod restag mela0.000.000.000.000.000.00XXX
    G021826APET img wholebod restag mela1.500.530.530.042.072.07XXX
    G0218TCCPET img wholebod restag mela0.000.000.000.000.000.00XXX
    G0220CPET img wholebod dx lymphoma0.000.000.000.000.000.00XXX
    G022026APET img wholebod dx lymphoma1.500.520.520.042.062.06XXX
    G0220TCCPET img wholebod dx lymphoma0.000.000.000.000.000.00XXX
    G0221CPET imag wholbod init lympho0.000.000.000.000.000.00XXX
    G022126APET imag wholbod init lympho1.500.520.520.042.062.06XXX
    G0221TCCPET imag wholbod init lympho0.000.000.000.000.000.00XXX
    G0222CPET imag wholbod resta lymph0.000.000.000.000.000.00XXX
    G022226APET imag wholbod resta lymph1.500.530.530.042.072.07XXX
    G0222TCCPET imag wholbod resta lymph0.000.000.000.000.000.00XXX
    G0223CPET imag wholbod reg dx head0.000.000.000.000.000.00XXX
    G022326APET imag wholbod reg dx head1.500.530.530.042.072.07XXX
    G0223TCCPET imag wholbod reg dx head0.000.000.000.000.000.00XXX
    G0224CPET imag wholbod reg ini hea0.000.000.000.000.000.00XXX
    G022426APET imag wholbod reg ini hea1.500.520.520.042.062.06XXX
    Start Printed Page 49255
    G0224TCCPET imag wholbod reg ini hea0.000.000.000.000.000.00XXX
    G0225CPET whol restag headneckonly0.000.000.000.000.000.00XXX
    G022526APET whol restag headneckonly1.500.530.530.042.072.07XXX
    G0225TCCPET whol restag headneckonly0.000.000.000.000.000.00XXX
    G0226CPET img wholbody dx esophagl0.000.000.000.000.000.00XXX
    G022626APET img wholbody dx esophagl1.500.540.540.042.082.08XXX
    G0226TCCPET img wholbody dx esophagl0.000.000.000.000.000.00XXX
    G0227CPET img wholbod ini esophage0.000.000.000.000.000.00XXX
    G022726APET img wholbod ini esophage1.500.540.540.042.082.08XXX
    G0227TCCPET img wholbod ini esophage0.000.000.000.000.000.00XXX
    G0228CPET img wholbod restg esopha0.000.000.000.000.000.00XXX
    G022826APET img wholbod restg esopha1.500.530.530.042.072.07XXX
    G0228TCCPET img wholbod restg esopha0.000.000.000.000.000.00XXX
    G0229CPET img metaboloc brain pres0.000.000.000.000.000.00XXX
    G022926APET img metaboloc brain pres1.500.530.530.042.072.07XXX
    G0229TCCPET img metaboloc brain pres0.000.000.000.000.000.00XXX
    G0230CPET myocard viability post0.000.000.000.000.000.00XXX
    G023026APET myocard viability post1.500.550.550.042.092.09XXX
    G0230TCCPET myocard viability post0.000.000.000.000.000.00XXX
    G0231CPET WhBD colorec; gamma cam0.000.000.000.000.000.00XXX
    G023126APET WhBD colorec; gamma cam1.500.530.530.042.072.07XXX
    G0231TCCPET WhBD colorec; gamma cam0.000.000.000.000.000.00XXX
    G0232CPET whbd lymphoma; gamma cam0.000.000.000.000.000.00XXX
    G023226APET whbd lymphoma; gamma cam1.500.530.530.042.072.07XXX
    G0232TCCPET whbd lymphoma; gamma cam0.000.000.000.000.000.00XXX
    G0233CPET whbd melanoma; gamma cam0.000.000.000.000.000.00XXX
    G023326APET whbd melanoma; gamma cam1.500.530.530.042.072.07XXX
    G0233TCCPET whbd melanoma; gamma cam0.000.000.000.000.000.00XXX
    G0234CPET WhBD pulm nod; gamma cam0.000.000.000.000.000.00XXX
    G023426APET WhBD pulm nod; gamma cam1.500.530.530.042.072.07XXX
    G0234TCCPET WhBD pulm nod; gamma cam0.000.000.000.000.000.00XXX
    G0236ADigital film convert diag ma0.060.44N/A0.020.52N/AZZZ
    G023626ADigital film convert diag ma0.060.020.020.010.090.09ZZZ
    G0236TCADigital film convert diag ma0.000.42N/A0.010.43N/AZZZ
    Start Printed Page 49256
    G0237ATherapeutic procd strg endur0.000.47N/A0.020.49N/AXXX
    G0238COth resp proc, indiv0.000.000.000.000.000.00XXX
    G0239COth resp proc, group0.000.000.000.000.000.00XXX
    G0245RInitial foot exam pt lops0.880.810.320.051.741.25XXX
    G0246RFollowup eval of foot pt lop0.450.560.160.021.030.63XXX
    G0247RRoutine footcare pt w lops0.500.540.210.051.090.76ZZZ
    G0248RDemonstrate use home inr mon0.006.92N/A0.016.93N/AXXX
    G0249RProvide test material,equipm0.004.12N/A0.014.13N/AXXX
    G0250RMD review interpret of test0.180.060.060.010.250.25XXX
    G025226NPET imaging initial dx1.500.580.580.042.122.12XXX
    G0253CPET image brst dection recur0.000.000.000.000.000.00XXX
    G025326APET image brst dection recur1.870.720.720.072.662.66XXX
    G0253TCCPET image brst dection recur0.000.000.000.000.000.00XXX
    G0254CPET image brst eval to tx0.000.000.000.000.000.00XXX
    G025426APET image brst eval to tx1.870.720.720.072.662.66XXX
    G0254TCCPET image brst eval to tx0.000.000.000.000.000.00XXX
    G0262ASm intestinal image capsule2.1220.88N/A0.0823.08N/AXXX
    G026226ASm intestinal image capsule2.120.820.820.022.962.96XXX
    G0262TCASm intestinal image capsule0.0020.06N/A0.0620.12N/AXXX
    G0268ARemoval of impacted wax md0.610.660.250.041.310.90000
    G0270AMNT subs tx for change dx0.000.47N/A0.010.48N/AXXX
    G0271AGroup MNT 2 or more 30 mins0.000.18N/A0.010.19N/AXXX
    G0272ANaso/oro gastric tube pl MD0.32N/A0.120.02N/A0.46000
    G0273APretx planning, non-Hodgkins0.8611.40N/A0.2812.54N/AXXX
    G027326APretx planning, non-Hodgkins0.860.330.330.031.221.22XXX
    G0273TCAPretx planning, non-Hodgkins0.0011.06N/A0.2511.31N/AXXX
    G0274ARadiopharm tx, non-Hodgkins2.073.42N/A0.205.69N/AXXX
    G027426ARadiopharm tx, non-Hodgkins2.070.800.800.082.952.95XXX
    G0274TCARadiopharm tx, non-Hodgkins0.002.62N/A0.122.74N/AXXX
    G0275ARenal angio, cardiac cath0.25N/A0.100.01N/A0.36ZZZ
    G0278AIliac art angio,cardiac cath0.25N/A0.100.01N/A0.36ZZZ
    G0279CExcorp shock tx, elbow epi0.000.000.000.000.000.00XXX
    G0280CExcorp shock tx other than0.000.000.000.000.000.00XXX
    G0281AElec stim unattend for press0.180.11N/A0.010.30N/AXXX
    G0283AElec stim other than wound0.180.11N/A0.010.30N/AXXX
    G0288ARecon, CTA for surg plan0.0010.62N/A0.1510.77N/AXXX
    G0289AArthro, loose body + chondro1.48N/A0.570.27N/A2.32ZZZ
    Gxx10AESRDrelsvc 1/mo; 2-11yr2.321.141.140.103.563.56XXX
    Gxx11AESRDrelsvc 4+/mo; 12-19yr8.474.544.540.3513.3613.36XXX
    Gxx12AESRDrelsvc 2-3/mo; 12-19yr3.141.681.680.134.954.95XXX
    Gxx13AESRDrelsvc 1/mo; 12-19yr2.051.101.100.083.233.23XXX
    Start Printed Page 49257
    Gxx14AESRDrelsvc 4+/mo; 20+yr5.162.942.940.228.328.32XXX
    Gxx15AESRDrelsvc 2-3/mo; 20+yr1.941.101.100.083.123.12XXX
    Gxx16AESRDrelsvc 1/mo; 20+yr1.270.730.730.062.062.06XXX
    Gxxx1AMonitor arrhyth/30day0.527.45N/A0.248.21N/AXXX
    Gxxx2AMonitor arrhyth/30day;rec0.001.24N/A0.071.31N/AXXX
    Gxxx3AMonitor arrhyth/30day;analy0.006.02N/A0.156.17N/AXXX
    Gxxx4AMonitor arrhyth/30day;interp0.520.190.190.020.730.73XXX
    Gxxx5AESRDrelsvc 4+/mo; undr212.928.708.700.6022.2222.22XXX
    Gxxx6AESRDrelsvc 2-3/mo; undr25.193.493.490.248.928.92XXX
    Gxxx7AESRDrelsvc 1/mo; undr23.392.292.290.165.845.84XXX
    Gxxx8AESRDrelsvc 4+/mo; 2-11yr9.914.864.860.4315.2015.20XXX
    Gxxx9AESRDrelsvc 2-3/mo; 2-11yr3.551.741.740.155.445.44XXX
    M0064AVisit for drug monitoring0.370.340.120.010.720.50XXX
    P3001AScreening pap smear by phys0.420.180.180.010.610.61XXX
    Q0035ACardiokymography0.170.45N/A0.030.65N/AXXX
    Q003526ACardiokymography0.170.070.070.010.250.25XXX
    Q0035TCACardiokymography0.000.39N/A0.020.41N/AXXX
    Q0091AObtaining screen pap smear0.370.680.140.011.060.52XXX
    Q0092ASet up port xray equipment0.000.32N/A0.010.33N/AXXX
    R0070CTransport portable x-ray0.000.000.000.000.000.00XXX
    R0075CTransport port x-ray multipl0.000.000.000.000.000.00XXX
    V5299RHearing service0.000.000.000.000.000.00XXX
    V5362RSpeech screening0.000.000.000.000.000.00XXX
    V5363RLanguage screening0.000.000.000.000.000.00XXX
    V5364RDysphagia screening0.000.000.000.000.000.00XXX
    1 CPT codes and descriptions only are copyright American Medical Association. All Right Reserved. Applicable FARS/DFARS Apply.
    2 Copyright American Dental Association. All right reserved.
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    End Supplemental Information

    BILLING CODE 4120-01-P

    BILLING CODE 4120-01-C

    BILLING CODE 4120-01-P

    BILLING CODE 4120-01-C

    BILLING CODE 4120-01-P

    BILLING CODE 4120-01-P

    BILLING CODE 4120-01-C

    BILLING CODE 4120-01-P

    [FR Doc. 03-20662 Filed 8-8-03; 3:56 pm]

    BILLING CODE 4120-01-C

Document Information

Published:
08/15/2003
Department:
Centers for Medicare & Medicaid Services
Entry Type:
Proposed Rule
Action:
Proposed rule.
Document Number:
03-20662
Pages:
49029-49300 (272 pages)
Docket Numbers:
CMS-1476-P
RINs:
0938-AL96: Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004 (CMS-1476-P)
RIN Links:
https://www.federalregister.gov/regulations/0938-AL96/revisions-to-payment-policies-under-the-physician-fee-schedule-for-calendar-year-2004-cms-1476-p-
Topics:
Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Rural areas, X-rays
PDF File:
03-20662.pdf
CFR: (3)
42 CFR 410.140
42 CFR 410.141
42 CFR 414.22