06-6843. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2007 and Other Changes to Payment Under Part B  

  • Start Preamble Start Printed Page 48982

    AGENCY:

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

    ACTION:

    Proposed rule.

    SUMMARY:

    This proposed rule would address certain provisions of the Deficit Reduction Act of 2005, as well as make other proposed changes to Medicare Part B payment policy.

    We are proposing these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This proposed rule also discusses geographic practice cost indices (GPCI) changes; requests for additions to the list of telehealth services; payment for covered outpatient drugs and biologicals; payment for renal dialysis services; policies related to private contracts and opt-out; policies related to bone mass measurement services, independent diagnostic testing facilities, the physician self-referral prohibition; laboratory billing for the technical component (TC) of physician pathology services; the clinical laboratory fee schedule; certification of advanced practice nurses; health information technology, and the health care information transparency initiative.

    DATES:

    Comment Date: Comments will be considered if we receive them at one of the addresses provided below, no later than 5 p.m. on October 10, 2006.

    ADDRESSES:

    In commenting, please refer to file code CMS-1321-P. Because of staff and resource limitations, we cannot accept comments by facsimile (fax) transmission.

    You may submit comments in one of three ways (no duplicates, please):

    1. Electronically. You may submit electronic comments on specific issues in this regulation to http://www.cms.hhs.gov/​eRulemaking. Click on the link “Submit electronic comments on CMS regulations with an open comment period.” (Attachments should be in Microsoft Word, WordPerfect, or Excel; however, we prefer Microsoft Word.)

    2. By mail. You may mail written comments (one original and two copies) to the following address only: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1321-P, P.O. Box 8015, Baltimore, MD 21244-8015.

    Please allow sufficient time for mailed comments to be received before the close of the comment period.

    3. By express or overnight mail. You may send written comments (one original and two copies) to the following address only: Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1321-P, Mail Stop C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    4. By hand or courier. If you prefer, you may deliver (by hand or courier) your written comments (one original and two copies) before the close of the comment period to one of the following addresses. If you intend to deliver your comments to the Baltimore address, please call telephone number (410) 786-7197 in advance to schedule your arrival with one of our staff members.

    Room 445-G, Hubert H. Humphrey Building, 200 Independence Avenue, SW., Washington, DC 20201; or 7500 Security Boulevard, Baltimore, MD 21244-1850.

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

    Comments mailed to the addresses indicated as appropriate for hand or courier delivery may be delayed and received after the comment period.

    Submission of comments on paperwork requirements. You may submit comments on this document's paperwork requirements by mailing your comments to the addresses provided at the end of the “Collection of Information Requirements” section in this document.

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

    Start Further Info

    FOR FURTHER INFORMATION CONTACT:

    Pam West, (410) 786-2302 (for issues related to practice expense).

    Stephanie Monroe, (410) 786-6864 (for issues related to the geographic practice cost index).

    Craig Dobyski, (410) 786-4584 (for issues related to list of telehealth services).

    Roberta Epps, (410) 786-4503 (for issues related to diagnostic imaging services).

    Bill Larson, (410) 786-4639 (for issues related to coverage of bone mass measurement and addition of ultrasound screening for abdominal aortic aneurysm to the “Welcome to Medicare” benefit).

    Dorothy Shannon, (410) 786-3396 (for issues related to the outpatient therapy cap).

    Catherine Jansto, (410) 786-7762 (for issues related to payment for covered outpatient drugs and biologicals).

    Henry Richter, (410) 786-4562 (for issues related to payments for end-stage renal disease facilities).

    Fred Grabau, (410) 786-0206 (for issues related to private contracts and opt-out provision).

    Lisa Ohrin, (410) 786-4565 (for issues related to physician self-referral prohibitions).

    David Walczak (410) 786-4475 (for issues related to reassignment provisions).

    August Nemec (410) 786-0612 (for issues related to independent diagnostic testing facilities).

    Anita Greenberg, (410) 786-4601 (for issues related to the clinical laboratory fee schedule).

    James Menas (410) 786-4507 (for issues related to payment for physician pathology services).

    Diane Milstead, (410) 786-3355 or Gaysha Brooks (410) 786-9649 (for all other issues).

    End Further Info End Preamble Start Supplemental Information

    SUPPLEMENTARY INFORMATION:

    Submitting Comments: We welcome comments from the public on all issues set forth in this rule to assist us in fully considering issues and developing policies. You can assist us by referencing the file code CMS-1321-P and the specific “issue identifier” that precedes the section on which you choose to comment.

    Inspection of Public Comments: All comments received before the close of the comment period are available for viewing by the public, including any personally identifiable or confidential business information that is included in a comment. We post all comments received before the close of the comment period on the following Web site as soon as possible after they have been received: http://www.cms.hhs.gov/​eRulemaking. Click on the link “Electronic Comments on CMS Regulations” on that Web site to view public comments.

    Comments received timely will also be available for public inspection as Start Printed Page 48983they are received, generally beginning approximately 3 weeks after publication of a document, at the headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Boulevard, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To schedule an appointment to view public comments, phone 1-800-743-3951.

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

    1. Go to the following Web site: http://www.cms.hhs.gov/​PhysicianFeeSched/​.

    2. Select “PFS Federal Regulation Notices.”

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

    Table of Contents

    I. Background

    A. Development of the Relative Value System

    1. Work RVUs

    2. Practice Expense Relative Value Units (PE RVUs)

    3. Resource-Based Malpractice RVUs

    4. Refinements to the RVUs

    5. Adjustments to RVUs Are Budget Neutral

    B. Components of the Fee Schedule Payment Amounts

    C. Most Recent Changes to the Fee Schedule

    II. Provisions of the Proposed Rule

    A. Resource-Based PE RVUs and Practice Expense Proposals for Calendar Year 2007

    B. Geographic Practice Cost Indices

    C. Medicare Telehealth Services

    D. Miscellaneous Coding Issues

    1. Global Period for Remote Afterloading High Intensity Brachytherapy Procedures

    2. Assignment of RVUS to CPT Codes for Proton Beam Treatment Delivery Services

    E. Deficit Reduction Act (DRA) Related Proposals

    1. Section 5102 of the DRA—Proposed Adjustments for Payments to Imaging Services

    2. Section 5107 of the DRA—Revisions to Payments for Therapy Services

    3. Section 5112 of the DRA—Proposed Addition of Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)

    4. Section 5113 of the DRA—Proposed Non-Application of the Part B Deductible for Colorectal Cancer Screening Tests

    5. Section 5114—Proposed Addition of Diabetes Outpatient Self-Management Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the FQHC Program

    F. Proposed Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)

    G. Proposed Provisions Related to Payment for Renal Dialysis Services Furnished by End Stage Renal Disease (ESRD) Facilities

    H. Private Contracts and Opt-Out Provision—Practitioner Definition

    I. Proposed Changes to Reassignment and Physician Self-Referral Rules Relating to Diagnostic Tests

    J. Supplier Access to Claims Billed on Reassignment

    K. Coverage of Bone Mass Measurement Tests

    L. Independent Diagnostic Testing Facility (IDTF) Issues

    1. Proposed IDTF Changes in the Physician Fee Schedule Proposed Rule

    2. Proposed Performance Standards for IDTFs

    3. Supervision

    4. Place of Service

    M. Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients

    N. Public Consultation for Medicare Payment for New Outpatient Clinical Diagnostic Laboratory Tests

    O. Proposal To Establish Criteria for National Certifying Bodies That Certify Advanced Practice Nurses

    P. Chiropractic Services Demonstration

    Q. Promoting Effective Use of Health Information Technology

    R. Health Care Information Transparency Initiative

    III. Collection of Information Requirements

    IV. Response to Comments

    V. Regulatory Impact Analysis

    Regulation Text

    Addendum A—Explanation and Use of Addendum B

    Addendum B—2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007

    Addendum C—Codes for Which We Received Practice Expense Review Committee (PERC) Recommendations on Practice Expense Direct Cost Inputs

    Addendum D—2007 Geographic Practice Cost Indices (GPCIs) by Medicare Carrier and Locality

    Addendum E—2007 Geographic Adjustment Factors (GAF)

    Addendum F—Proposed CPT/HCPCS Imaging Codes Defined by Section 5102(b) of the DRA

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

    AADA American Academy of Dermatology Association

    AAH American Association of Homecare

    AAP Average acquisition price

    ACC American College of Cardiology

    ACG American College of Gastroenterology

    ACHPN Advanced Certified Hospice and Palliative Nurse

    ACOG American College of Obstetrics and Gynecology

    ACR American College of Radiology

    ADA American Dietetic Association

    AFROC Association of Freestanding Radiation Oncology Centers

    AGA American Gastroenterological Association

    AHRQ Agency for Healthcare Research and Quality

    AMA American Medical Association

    AMP Average manufacturer price

    ASA American Society of Anesthesiologists

    ASGE American Society of Gastrointestinal Endoscopy

    ASP Average sales price

    ASTRO American Society for Therapeutic Radiation Oncology

    ATA American Telemedicine Association

    AUA American Urological Association

    AWP Average wholesale price

    BBA Balanced Budget Act of 1997

    BBRA Balanced Budget Refinement Act of 1999

    BES (Bureau of the Census) Business Expenditure Survey

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

    BLS Bureau of Labor Statistics

    BMD Bone mineral density

    BMI Body mass index

    BMM Bone mass measurement

    BNF Budget neutrality factor

    BP Best price

    BSA Body surface area

    CAH Critical access hospital

    CAP College of American Pathologists

    CBSA Core-Based Statistical Area

    CCI Correct Coding Initiative

    CF Conversion factor

    CFR Code of Federal Regulations

    CMA California Medical Association

    CMS Centers for Medicare & Medicaid Services

    CNS Clinical nurse specialist

    CPEP Clinical Practice Expert Panel

    CPI Consumer Price Index

    CPO Care Plan Oversight

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

    CRNA Certified Registered Nurse Anesthetist

    CT Computed tomography

    CTA Computed tomographic angiography

    CY Calendar year

    DHS Designated health services

    DME Durable medical equipment

    DMERC Durable Medical Equipment Regional Carrier

    DRA Deficit Reduction Act

    DSMT Diabetes outpatient self-management training services

    DXA Dual energy x-ray absorptiometry

    E&M Evaluation and management

    EPO Erythopoeitin

    ESRD End stage renal disease

    FAX Facsimile

    FI Fiscal intermediary

    FR Federal Register

    GAF Geographic adjustment factor

    GAO General Accounting Office

    GDP Gross domestic product

    GPO Group purchasing organizationStart Printed Page 48984

    GPCI Geographic practice cost index

    HCPAC Health Care Professional Advisory Committee

    HCPCS Healthcare Common Procedure Coding System

    HCRIS Healthcare Cost Report Information System

    HSA Health Savings Account

    HHA Home health agency

    HHS (Department of) Health and Human Services

    HIT Health information technology

    HOCM High osmolar contrast media

    HPSA Health Professional Shortage Area

    HRSA Health Resources Services Administration (HHS)

    HUD (Department of) Housing and Urban Development

    IDTF Independent diagnostic testing facility

    IPF Inpatient psychiatric facility

    IPPS Inpatient prospective payment system

    IRF Inpatient rehabilitation facility

    ISO Insurance Services Office

    IVIG Intravenous immune globulin

    JCAAI Joint Council of Allergy, Asthma, and Immunology

    JUA Joint underwriting association

    LCD Local coverage determination

    LTCH Long-term care hospital

    LOCM Low osmolar contrast media

    LOINC® Logical Observation Identifiers Names and Codes

    MA Medicare Advantage

    MCAC Medicare Coverage Advisory Committee

    MCG Medical College of Georgia

    MedPAC Medicare Payment Advisory Commission

    MEI Medicare Economic Index

    MMA Medicare Prescription Drug, Improvement, and Modernization Act of 2003

    MNT Medical nutrition therapy

    MRA Magnetic resonance angiography

    MRI Magnetic resonance imaging

    MSA Metropolitan statistical area

    NCD National coverage determination

    NCQDIS National Coalition of Quality Diagnostic Imaging Services

    NDC National drug code

    NECMA New England County Metropolitan Area

    NECTA New England City and Town Area

    NP Nurse practitioner

    NPP Nonphysician practitioners

    NPWP Nonphysician Work Pool

    OBRA Omnibus Budget Reconciliation Act

    OIG Office of Inspector General

    OMB Office of Management and Budget

    OPD Outpatient Department

    OPPS Outpatient prospective payment system

    OSCAR Online Survey and Certification and Reporting

    PA Physician assistant

    PBM Pharmacy benefit managers

    PC Professional component

    PE Practice Expense

    PEAC Practice Expense Advisory Committee

    PERC Practice Expense Review Committee

    PET Positron emission tomography

    PFS Physician Fee Schedule

    PLI Professional liability insurance

    PPI Producer price index

    PPO Preferred provider organization

    PPS Prospective payment system

    PRA Paperwork Reduction Act

    PT Physical therapy

    QCT Quantitative computerized tomography

    RFA Regulatory Flexibility Act

    RIA Regulatory impact analysis

    RN Registered nurse

    RUC (AMA's Specialty Society) Relative (Value) Update Committee

    RVU Relative value unit

    SXA Single energy x-ray absorptiometry

    SPA Single photon absorptiometry

    SGR Sustainable growth rate

    SMS (AMA's) Socioeconomic Monitoring System

    SNF Skilled Nursing Facility

    SNM Society for Nuclear Medicine

    TA Technology Assessment

    TC Technical Component

    UAF Update adjustment factor

    UPIN Unique Physician Identification Number

    WAC Wholesale acquisition cost

    WAMP Widely available market price

    I. Background

    [If you choose to comment on issues in this section, please include the caption “BACKGROUND” at the beginning of your comments.]

    Since January 1, 1992, Medicare has paid for physicians' services under section 1848 of the Social Security Act (the Act), “Payment for Physicians’ Services.” The Act requires that payments under the physician fee schedule (PFS) be based on national uniform relative value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the Act requires that national RVUs be established for physician work, practice expense (PE), and malpractice expense. Before the establishment of the resource-based relative value system, Medicare payment for physicians’ services was based on reasonable charges.

    A. Development of the Relative Value System

    1. Work RVUs

    The concepts and methodology underlying the PFS were enacted as part of the Omnibus Budget Reconciliation Act (OBRA) of 1989, Pub. L. 101-239, and OBRA 1990, (Pub. L. 101-508). The final rule, published November 25, 1991 (56 FR 59502), set forth the fee schedule for payment for physicians’ services beginning January 1, 1992. Initially, only the physician work RVUs were resource-based, and the PE and malpractice RVUs were based on average allowable charges.

    The physician work RVUs established for the implementation of the fee schedule in January 1992 were developed with extensive input from the physician community. A research team at the Harvard School of Public Health developed the original physician work RVUs for most codes in a cooperative agreement with the Department of Health and Human Services (HHS). In constructing the code-specific vignettes for the original physician work RVUs, Harvard worked with panels of experts, both inside and outside the Federal government, and obtained input from numerous physician specialty groups.

    Section 1848(b)(2)(A) of the Act specifies that the RVUs for radiology services are based on relative value scale we adopted under section 1834(b)(1)(A) of the Act, (the American College of Radiology (ACR) relative value scale), which we integrated into the overall PFS. Section 1848(b)(2)(B) of the Act specifies that the RVUs for anesthesia services are based on RVUs from a uniform relative value guide. We established a separate conversion factor (CF) for anesthesia services, and we continue to utilize time units as a factor in determining payment for these services. As a result, there is a separate payment methodology for anesthesia services.

    We establish physician work RVUs for new and revised codes based on recommendations received from the American Medical Association's (AMA) Specialty Society Relative Value Update Committee (RUC).

    2. Practice Expense Relative Value Units (PE RVUs)

    Section 121 of the Social Security Act Amendments of 1994 (Pub. L. 103-432), enacted on October 31, 1994, amended section 1848(c)(2)(C)(ii) of the Act and required us to develop resource-based PE RVUs for each physician's service beginning in 1998. We were to consider general categories of expenses (such as office rent and wages of personnel, but excluding malpractice expenses) comprising practice expenses.

    Section 4505(a) of the Balanced Budget Act of 1997 (BBA) (Pub. L. 105-33), amended section 1848(c)(2)(C)(ii) of the Act to delay implementation of the resource-based PE RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based PE RVUs to resource-based RVUs.

    We established the resource-based PE RVUs for each physician's service in a final rule, published November 2, 1998 (63 FR 58814), effective for services furnished in 1999. Based on the requirement to transition to a resource-based system for PE over a 4-year period, resource-based PE RVUs did not become fully effective until 2002.Start Printed Page 48985

    This resource-based system was based on two significant sources of actual PE data: The Clinical Practice Expert Panel (CPEP) data and the AMA's Socioeconomic Monitoring System (SMS) data. The CPEP data were collected from panels of physicians, practice administrators, and nonphysicians (for example, registered nurses) nominated by physician specialty societies and other groups. The CPEP panels identified the direct inputs required for each physician's service in both the office setting and out-of-office setting. The AMA's SMS data provided aggregate specialty-specific information on hours worked and practice expenses.

    Separate PE RVUs are established for procedures that can be performed in both a nonfacility setting, such as a physician's office, and a facility setting, such as a hospital outpatient department. The difference between the facility and nonfacility RVUs reflects the fact that a facility receives separate payment from Medicare for its costs of providing the service, apart from payment under the PFS. The nonfacility RVUs reflect all of the direct and indirect practice expenses of providing a particular service.

    Section 212 of the Balanced Budget Refinement Act of 1999 (BBRA) (Pub. L. 106-113) directed the Secretary of Health and Human Services (the Secretary) to establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations to supplement the data we normally collect in determining the PE component. On May 3, 2000, we published the interim final rule (65 FR 25664) that set forth the criteria for the submission of these supplemental PE survey data. The criteria were modified in response to comments received, and published in the Federal Register (65 FR 65376) as part of a November 1, 2000 final rule. The PFS final rules published in 2001 and 2003, respectively, (66 FR 55246 and 68 FR 63196) extended the period during which we would accept these supplemental data.

    3. Resource-Based Malpractice RVUs

    Section 4505(f) of the BBA amended section 1848(c) of the Act to require us to implement resource-based malpractice RVUs for services furnished on or after 2000. The resource-based malpractice RVUs were implemented in the PFS final rule published November 2, 1999 (64 FR 59380). The malpractice RVUs were based on malpractice insurance premium data collected from commercial and physician-owned insurers from all the States, the District of Columbia, and Puerto Rico.

    4. Refinements to the RVUs

    Section 1848(c)(2)(B)(i) of the Act requires that we review all RVUs no less often than every 5 years. The first 5-year review of the physician work RVUs went into effect in 1997, published on November 22, 1996 (61 FR 59489). The second 5-year review went into effect in 2002, published on November 1, 2001 (66 FR 55246). The next scheduled 5-year review is scheduled to go into effect in 2007.

    In 1999, the AMA's RUC established the Practice Expense Advisory Committee (PEAC) for the purpose of refining the direct PE inputs. Through March of 2004, the PEAC provided recommendations to CMS for over 7,600 codes (all but a few hundred of the codes currently listed in the AMA's Current Procedural Terminology (CPT) codes).

    In the November 15, 2004, PFS final rule (69 FR 66236), we implemented the first 5-year review of the malpractice RVUs (69 FR 66263).

    5. Adjustments to RVUS Are Budget Neutral

    Section 1848(c)(2)(B)(ii)(II) of the Act provides that adjustments in RVUs for a year may not cause total PFS payments to differ by more than $20 million from what they would have been if the adjustments were not made. In accordance with section 1848(c)(2)(B)(ii)(II) of the Act, if adjustments to RVUs cause expenditures to change by more than $20 million, we make adjustments to ensure that expenditures do not increase or decrease by more than $20 million.

    B. Components of the Fee Schedule Payment Amounts

    To calculate the payment for every physician service, the components of the fee schedule (physician work, PE, and malpractice RVUs) are adjusted by a geographic practice cost index (GPCI). The GPCIs reflect the relative costs of physician work, PEs, and malpractice insurance in an area compared to the national average costs for each component.

    Payments are converted to dollar amounts through the application of a CF, which is calculated by the Office of the Actuary and is updated annually for inflation.

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

    Payment = [(RVU work × GPCI work) + (RVU PE × GPCI PE) + (RVU malpractice × GPCI malpractice)] × CF.

    (Note: As discussed in the June 29, 2006 proposed notice for the Five-Year Review of Work Relative Value Units Under the Physician Fee Schedule and Proposed Changes to the Practice Expense Methodology (71 FR 37170), we have proposed to establish a separate budget neutrality adjustor that would be applied in the calculation of the work RVUs. Application of this budget neutrality adjustor would enable us to meet the budget neutrality provisions of section 1848(c)(2)(B)(ii) of the Act.)

    C. Most Recent Changes to the Fee Schedule

    The final rule with comment period that appeared in the Federal Register on November 21, 2005 (70 FR 70116) addressed Medicare Part B payment policy, including the physician fee schedule, that is applicable for calendar year (CY) 2006; and finalized certain provisions of the interim final rule to implement the Competitive Acquisition Program (CAP) for Part B Drugs.

    It also revised Medicare Part B payment and related policies regarding: Physician work, practice expense and malpractice RVUs; Medicare telehealth services; multiple diagnostic imaging procedures; covered outpatient drugs and biologicals; supplemental payments to Federally Qualified Health Centers (FQHCs); renal dialysis services; coverage for glaucoma screening services; National Coverage Determination (NCD) timeframes; and physician referrals for nuclear medicine services and supplies to health care entities with which physicians have financial relationships.

    In addition, the rule finalized the interim RVUs for CY 2005 and issued interim RVUs for new and revised procedure codes for CY 2006. The rule also updated the codes subject to the physician self-referral prohibition and discussed payment policies relating to teaching anesthesia services, therapy caps, private contracts and opt-out, and chiropractic and oncology demonstrations.

    In accordance with section 1848(d)(1)(E)(i) of the Act, we also announced that the PFS update for CY 2006 would be −4.4 percent; the initial estimate for the sustainable growth rate for CY 2006 would be 1.7; and the CF for CY 2006 would be $36.1770. However, subsequent to publication of the CY 2005 PFS final rule with comment period, section 5104 of the Deficit Reduction Act (DRA) of 2005 (Pub. L. 109-171, February 8, 2006), was enacted which amended section 1848(d) Start Printed Page 48986of the statute to provide for a 0 percent update effective January 1, 2006.

    We also note that the Five-Year Review of Work Relative Value Units Under the Physician Fee Schedule and Proposed Changes to the Practice Expense Methodology proposed notice appeared in the Federal Register on June 29, 2006 (71 FR 37170). In that notice, we proposed revisions to work RVUs affecting payment for physicians’ services. The revisions reflect changes in medical practice, coding changes, and new data on relative value components that affect the relative amount of physician work required to perform each service, as required by the statute. We also proposed revisions to our methodology for calculating PE RVUs, including changes based on supplemental survey data for PE. This revised methodology would be used to establish payment for services beginning January 1, 2007.

    As indicated in the June 29, 2006 proposed notice, we will respond to the comments received on that notice as part of the final Medicare PFS rule for CY 2007 scheduled for publication this fall. If adopted, the RVU revisions would be fully implemented for services furnished to Medicare beneficiaries on or after January 1, 2007. The PE revisions would be phased-in over a four-year period; although, as we gain experience with the new methodology, we will reexamine this policy beginning next year and propose necessary revisions through future rulemaking.

    II. Provisions of the Proposed Rule

    [If you choose to comment on issues in this section, please include the caption “PROVISIONS” at the beginning of your comments.]

    A. Resource-Based Practice Expense (PE) RVU Proposals for CY 2007

    Major changes to the PE methodology for 2007, as well as a detailed discussion of the current PE methodology, are discussed in the June 29, 2006 proposed notice (71 FR 37170 through 37430).

    This proposed rule contains proposals for direct PE including clinical labor, medical supplies and medical equipment.

    1. RUC Recommendations for Direct PE Inputs and Other PE Input Issues

    The following discussions are proposals concerning direct PE inputs.

    (a) RUC Recommendations

    The AMA's Relative Value Update Committee (RUC) established a new committee, the Practice Expense Review Committee (PERC), to assist the RUC in recommending direct PE inputs (clinical staff, supplies, and equipment) for new and existing CPT codes.

    The PERC reviewed the PE inputs for over 2000 existing codes, some of which were unresolved PE issues from the CY 2006 PFS final rule with comment period, at their meetings held in September 2005, February 2006 and April 2006. (A list of these reviewed codes can be found in Addendum C of this proposed rule.)

    We have reviewed the PERC-submitted recommendations and propose to adopt all of them. We have worked with the AMA staff to make corrections for any typographical errors and to ensure that previously PEAC-accepted standards are incorporated in the recommendations.

    The complete PERC recommendations and the revised PE database can be found on our Web site. (See the SUPPLEMENTARY INFORMATION section of this proposed rule for directions on accessing our Web site.)

    (b) Standard Supplies and Equipment for 90-Day Global Codes

    We are proposing to revise the CPEP supply and equipment inputs for those 90-day global procedures for which the RUC has only refined the clinical labor inputs. We are proposing to apply the standard supply and equipment inputs for the facility setting for 90-day global services to these remaining unrefined 90-day global procedure codes. As recommended by the RUC, for supplies, we propose to include one minimum supply visit package for each post-operative visit assigned to each code and a post-surgical incision care kit (suture, staples, or both) where appropriate, along with additional items recommended by the RUC for certain procedures. For equipment, we are proposing to include an exam table and light. However, there are several issues on which we need input before we finalize the recommended standards. For example, for many of the 90-day codes in question, the current supply input data contain supplies in far larger quantities than are contained in either the visit package or incision care kit. For other codes, the current data includes items that are not contained in the package or kit. In other cases, the recommendations from the RUC contain additional items in quantities that appear excessive. We plan to work with all the concerned specialties to ensure that the finalized inputs do represent the typical supplies needed to perform each procedure.

    Because the application of the 90-day global standard supplies and equipment would result in the deletion of some original CPEP inputs, we are requesting that all the medical specialties examine the direct PE inputs on our Web site and let us know whether there are additional items from the original CPEP data that are a necessary part of the post-operative care and if the PE inputs listed are correct. (See the SUPPLEMENTARY INFORMATION section of this proposed rule for directions on accessing our Web site.)

    2. Payment for Splint and Cast Supplies

    In the PFS final rules published November 1999 (64 FR 59380) and November 2000 (65 FR 65376), we removed splint and cast supplies from the PE database for the CPT codes for fracture management and cast/strapping application procedures. Because splint and cast supplies could be separately billed using Healthcare Common Procedure Coding System (HCPCS) codes (Q4001-Q4051) that were established for payment of these supplies under section 1861(s)(5) of the Act, we did not want to make duplicate payment under the PFS for these items.

    In the CY 2006 PFS proposed rule (70 FR 70116), we proposed to reinstate payment for all splints and cast supplies through the PE component of the PFS because we believed we may have unintentionally prohibited remuneration for these supplies when they are not used for reduction of a fracture or dislocation (covered under section 1861(s)(5) of the Act), but rather are provided (and covered) as “incident to” a physician service under section 1861(s)(2)(A) of the Act. This proposal was not finalized; however, in our final rule we asked the medical specialties and the PERC to determine the typical supplies for splints and casts necessary for each of the fracture management codes and the cast/strapping application codes because we wanted to make certain that the supply inputs were correct before we proceeded with rulemaking for the CY 2007 PFS. At its February 2006 meeting, the PERC reviewed and approved the supply inputs submitted by the AAOS for each CPT code for fracture management and cast/strapping application and these were forwarded to us as PERC recommendations. During this interim period we also reassessed the options for payment of materials for splints and casts.

    We believe that the majority of the splint and cast supplies that are currently paid through the Q-codes are furnished in relationship to cast/strapping procedures for the management of fractures and dislocations. However, we did not intend for the medically necessary Start Printed Page 48987splint and cast supplies used for other reasons (for example, serial casting, wound care, or protection) not to be paid. Because it may be difficult for the contractors to identify the purpose for the cast/strapping application procedure on a claim form, we believe that contractors may have been paying for the splint and cast supply Q-codes when the service is performed for other purposes than treatment of fractures and dislocations.

    Since these splint and cast supplies can be covered under both sections 1861(s)(5) and 1861(s)(2)(A) of the Act, we are proposing to include payment for both statutory benefits using the separate HCPCS Q-codes. This would allow for payment for these medically necessary supplies whether based on sections 1861(s)(5) or 1861(s)(2)(A) of the Act, while ensuring that no duplicate payments are made. Physicians would continue to bill the HCPCS Q-codes, in addition to the cast/strapping application procedure codes, to be paid for these materials.

    The following supplies would continue to be paid separately using the HCPCS Q-codes and would not be included in the PE database upon adoption of this proposal:

    • Fiberglass roll.
    • Cast padding.
    • Cast shoe.
    • Stockingnet/stockinette.
    • Plaster bandage.
    • Denver splint.
    • Dome paste bandage.
    • Cast sole.
    • Elastoplast roll.
    • Fiberglass splint.
    • Ace wrap.
    • Kerlix.
    • Webril.
    • Malleable arch bars and elastics.

    The splint and cast supplies would not be included in the PEs for the following CPT codes:

    • 24500 through 24685
    • 25500 through 25695
    • 26600 through 26785
    • 27500 through 27566
    • 27750 through 27848
    • 28400 through 28675
    • 29000 through 29750.

    We are requesting input, specifically from medical specialties and contractors on this proposal.

    3. Medical Nutrition Therapy Services

    In 2000, the Health Care Professional Advisory Committee (HCPAC) recommended that we assign work RVUs to three new medical nutrition therapy (MNT) CPT codes—97802 Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes at 0.45 RVUs, 97803 Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes at 0.37 RVUs, and 97804 Medical nutrition therapy; group (two or more individuals), each 30 minutes at 0.25 RVUs. However, during rulemaking for the CY 2001 PFS final rule, we indicated that MNT was not covered because there was yet no statutory benefit category that would allow medical nutritionists to bill these services. We also did not accept the HCPAC recommendations for work RVUs for these MNT services because the codes were designed for use only by nonphysicians. The following year, section 105(c) of the Medicare, Medicaid, and SCHIP Benefits Improvement Protection Act of 2000 (BIPA) provided for the coverage of MNT services when furnished by registered dietitians or nutritional professionals at 85 percent of the amount that a physician would be paid for the same services. As a result, we established values for these MNT services for the 2002 PFS. In keeping with our earlier decision, we did not assign the HCPAC-recommended work values. However, the associated work value for each code was utilized in the conversion of work to clinical labor time for MNTs as part of the PE component. At that time we received several comments, including one from the American Dietetic Association (ADA), urging us to adopt the work values recommended by the HCPAC.

    More recently, the ADA has requested us to reconsider our decision not to accept the HCPAC recommended work RVUs. The ADA contends that the payment rate established by section 105(c) of BIPA, 85 percent of the PFS amount that would be paid for the same service if furnished by a physician, is based on the premise that work values are inherent to these MNT services. The ADA believes that without work RVUs, the payment for these services does not reflect 85 percent of what a physician would be paid for performing the same service. Because these MNT codes were created specifically for MNT professionals, the ADA compared the work associated with their services to physician E/M services of CPT 99203 and 99213, which have respective work RVUs of 1.34 and 0.67.

    After reviewing the issues and relevant arguments raised by the ADA, we are persuaded that it would be appropriate to include work RVUs for the MNT services. Consequently, we are proposing to establish work RVUs for each code at the level previously recommended by the HCPAC, as follows:

    • CPT 97802 = 0.45 RVUs.
    • CPT 97803 = 0.37 RVUs.
    • CPT 97804 = 0.25.

    Because we propose to add the work RVUs to these services, the MNT clinical labor time in the direct input database would be removed with the adoption of this proposal. Additionally, two HCPCS codes, G0270 MNT subs tx for change dx and G0271 Group MNT 2 or more 30 mins were created to track MNT services following the second referral in the same year. These HCPCS codes correspond to CPT codes 97803 and 97804, respectively. Therefore, we would also propose to add the same work RVUs to these HCPCS codes and to delete the clinical labor inputs from the PE database upon adoption of this policy. We encourage specialty societies and other professional groups to comment on this proposal.

    4. Surgical Pathology Codes

    We heard from the College of American Pathologists (CAP) regarding the equipment times assigned to CPT codes 88304 and 88305 in the basic surgical pathology family of codes. While all six codes in this family have been refined by the PEAC, this refinement occurred at 4 separate PEAC meetings. CPT codes 88304 and 88305 were refined at the first PEAC meeting in April 1999 before time standards were established for the equipment at subsequent PEAC meetings when the other four CPT codes 88300, 88302, 88307, and 88309 were reviewed. Using our proposed bottom-up PE methodology to value these codes, the lack of the equipment time standards for CPT codes 88304 and 88305 create a rank-order anomaly in this family. Consequently, CAP, after reviewing and applying current standards for the equipment times, submitted suggested revised equipment times to us. We are proposing to accept these times and the proposed times will be reflected in the PE database on our Web site (See the SUPPLEMENTARY INFORMATION section of this proposed notice for directions on accessing our Web site.)

    5. Other PE Issues

    In the CY 2006 PFS final rule with comment period (70 FR 70116), we explained that we were not implementing the PERC or other proposed PE changes for CY 2006 due to issues with the PE methodology. In this proposed rule, we are proposing that the PERC and other PE changes originally proposed for CY 2006 would be implemented and effective with the CY 2007 PFS. The following Start Printed Page 48988subsections, (a) through (j), summarize the PE proposals from the CY 2006 PFS final rule with comment period that we are including in this proposed rule. Additionally, we are including several other items which concern inputs for PE that are discussed below in subsections (k) through (n).

    (a) PE Recommendations on CPEP Inputs for CY 2006

    We are proposing to use a clinical labor time of 167 minutes for the service period for CPT code 36522, Extracorporeal Photopheresis; maintain the nonfacility setting PE RVUs for CPT code 78350, single photon bone densitometry; and remove the PE inputs for the nonfacility setting for CPT codes 76975, GI endoscopic ultrasound, and 15852, Dressing change not for burn. (70 FR 70136 through 70137)

    (b) Supply Items for CPT Code 95015 (Which Is Used for Intradermal Allergy Tests With Drugs, Biologicals, or Venoms)

    We are proposing to implement the allergy and immunology specialty's recommendation to change the test substance in CPT code 95015 to venom, at $10.70 (from single antigen, at $5.18) and the quantity to 0.3 ml (from 0.1 ml). (See 70 FR 70138.)

    (c) Flow Cytometry Services

    Based on information from the society representing independent laboratories, we are proposing to implement the following direct PE inputs:

    • Clinical Labor—We are proposing to change the staff type in the service (intra) period in both CPT codes 88184 and 88185 to cytotechnologist, at $0.45 per minute (currently lab technician, at $0.33 per minute).
    • Supplies—We are proposing to change the antibody cost for both CPT codes 88184 and 88185 to $8.50 (from $3.544).
    • Equipment—We are proposing to add the following equipment to CPT code 88184:

    + Computer.

    + Printer.

    + Slide strainer.

    + Biohazard hood.

    + Wash assistant.

    + FAC loader.

    + We are proposing to add a computer and printer to the equipment for CPT code 88185 (70 FR 70138).

    (d) Low Osmolar Contrast Media (LOCM) and High Osmolar Contrast Media (HOCM)

    Because separate payment is available for both types of contrast media, we are proposing to delete LOCM and HOCM from the PE database with the CY 2007 PFS rule. (See 70 FR 70138).

    (e) Imaging Rooms

    We are proposing to implement the updates for the contents and prices of 5 “rooms” used in imaging procedures including—

    • Basic radiology room;
    • Radiographic-fluoroscopic room;
    • Mammography room;
    • Computed tomography (CT) room; and
    • Magnetic resonance imaging (MRI) room (See 70 FR 70139).

    (f) Equipment Pricing for Select Services and Procedures

    We are proposing to accept the following equipment pricing information provided by various specialty societies for select services and procedures as discussed in the CY 2006 PFS final rule with comment period. (See 70 FR 70139):

    • Equipment pricing for certain radiology services received from the ACR as presented in Table 15 of the CY 2006 PFS proposed rule.
    • Equipment pricing on the ultrasound color doppler transducers and vaginal probe received from the American College of Obstetrics and Gynecology (ACOG).
    • For CPT 36522, extracorporeal photopheresis, equipment pricing information specific to this procedure.
    • Pricing of EMG botox machine used in CPT code 92265 as presented by the American Academy of Ophthalmology.

    (g) Supply Item for In Situ Hybridization Codes (CPT Codes 88365, 88367, and 88368)

    We are proposing to implement the Society for Clinical Pathologists’ request to change the probe quantity for CPT code 88367 In situ hybridization, auto to 1.5, equal to that of the other two codes in the family.

    (h) Supply Item for Percutaneous Vertebroplasty Procedures (CPT codes 22520 and 22525)

    Based on documentation provided by the Society for Interventional Radiology, we are proposing to implement a new price of $696.00 for the vertebroplasty kit, to replace a temporary price of $660.50 that was a placeholder price from the CY 2006 PFS final rule with comment period. (See 70 FR 70139.)

    (i) Clinical Labor for G-Codes Related to Home Health and Hospice Physician Supervision, Certification and Recertification

    We are proposing to apply the refinements made to the PE inputs to CPT codes 99375 and 99378 for home health and hospice supervision to 4 G-codes that are related to home health and hospice physician supervision, certification and recertification, G0179, GO180, GO181, and GO182. These G-codes are incorrectly valued for clinical labor. These G-codes are cross-walked from CPT codes 99375 and 99378, which underwent PEAC refinement in January 2003 for the CY 2004 PFS. However, at that time we inadvertently did not apply the new refinements to these specific G-codes. (See 70 FR 70139 through 70140.)

    (j) Programmers for Implantable Neurostimulators and Intrathecal Drug Infusion Pumps

    Although we had initially proposed, in the CY 2006 PFS proposed rule, to remove two programmers from the PE database (EQ208 for medication pump from two codes (CPT 62367 and 62368) and EQ209 for the neurostimulator from 8 codes (CPT 95970-97979)), based on comments received as discussed in the CY 2006 PFS final rule with comment period (see 70 FR 70140), we determined that we will retain these programmers in the database. In addition, we added “with printer” to the description of EQ208 based on comments received. We are proposing to implement these decisions for CY 2007.

    (k) Cardiac Monitoring Services

    We are requesting more specific PE information related to remote cardiac monitoring services because these services do not fit the direct PE model used for typical physician services. These services are overwhelmingly performed by specialized independent diagnostic testing facilities (IDTFs) that are paid under the PFS, but due to the characteristics of cardiac monitoring services, frequently maintain more extensive operating hours than the typical physician office. Specifically, we are looking for data to indicate the typical number and type of transmissions or other encounters per day between the beneficiary and the IDTF for each of the remote monitoring services. We would also like to know the number and type of clinical staff, as well as the corresponding time, that are necessary to ensure appropriate services are available for each patient. Additionally, we are interested in identifying any other direct PE inputs for typical supplies and equipment relating to these services, and any data that would reflect indirect PEs, such as overhead and non-clinical payroll expenses. We believe that the following codes represent atypical PE scenarios Start Printed Page 48989and would like to receive PE information regarding these services:

    • Cardiac event monitoring (CPT codes 93271, 93012 and 93270).
    • Pacemaker monitoring (CPT codes 93733 and 93736).
    • Holter monitoring (CPT codes 93232, 93226, 93231 and 93225).
    • INR monitoring (HCPCS codes G0248 and G0249).

    (l) Clarification With Respect to Non-Facility PE RVUs

    In the CY 2006 PFS final rule with comment (70 FR 70335) we provided a clarification in Addendum A concerning use of “NA” in the PE RVU columns for Addendum B. Commenters requested that further clarification be made concerning the payment amount for procedures performed in the non-facility setting if there is an “NA” in the non-facility PE RVU column. Our policy is that if the Medicare carrier pays for the service in the non-facility setting, the service will be paid at the facility PE RVU rate. In this proposed rule, we are proposing revisions to Addendum A to include this clarification.

    (m) Supply for CPT Code 50384, Removal (via Snare/Capture) of Internally Dwelling Ureteral Stent Via Percutaneous Approach, Including Radiological Supervision and Interpretation

    Upon review of the RUC-recommended direct PE inputs for CPT 50384, a new procedure for CPT 2006, we identified the inappropriate inclusion of a ureteral stent that we are proposing to delete for CY 2007. We believe that the addition of the ureteral stent, valued by the specialty at $162, to CPT code 50384, which is the procedure for the removal of a stent, was an inadvertent error by the specialty during the April 2005 RUC meeting.

    (n) Supply and Equipment Items Needing Specialty Input

    We have identified certain supply and equipment items for which we were unable to verify the pricing information (see Table 1: Supply Items Needing Specialty Input for Pricing and Table 2: Equipment Items Needing Specialty Input for Pricing). During the CY 2006 rulemaking process, we listed both supply and equipment items for which pricing documentation was needed from the medical specialty societies and, for many of these items, we received sufficient documentation in the form of catalog listings, vendor Web sites, invoices, and manufacturer quotes. We have accepted the documented prices for many of these items and these prices are reflected in the PE RVUs in Addendum B of this proposed rule. The items listed below in Tables 1 and 2 represent the outstanding items from CY 2006 and new items added from the current RUC recommendations. We are requesting that commenters provide pricing information on items in these tables along with acceptable documentation, as noted in the footnote to each table, to support recommended prices. For supplies or equipment that have previously appeared on this list, and for which we received no or inadequate documentation, we are proposing to delete these items unless we receive adequate information to support current pricing by the conclusion of the comment period for this proposed rule.

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    Start Printed Page 48991

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    B. Geographic Practice Cost Indices (GPCI)

    [If you choose to comment on issues in this section, please include the caption “GPCI” at the beginning of your comments.]

    Section 1848(e)(1)(A) of the Act requires us to develop separate GPCIs to measure resource cost differences among localities compared to the national average for each of the three fee schedule components. While requiring that the PE and malpractice GPCIs reflect the full relative cost differences, section 1848(e)(1)(A)(iii) of the Act requires that the physician work GPCIs reflect only one-quarter of the relative cost differences compared to the national average.

    Section 1848(e)(1)(C) of the Act requires us, in consultation with appropriate physician representatives, to review the GPCIs at least every 3 years and allows us to make adjustments based on our review. This section of the Act also requires us to phase-in the adjustment over 2 years, implementing only one-half of any adjustment in the first year if more than 1 year has elapsed since the last GPCI revision. The GPCIs were first implemented in 1992. The first review and revision was implemented in 1995 and the last GPCI revision was implemented in 2005. The next update is scheduled to be implemented in January 2008.

    We do not anticipate proposing significant changes to the GPCIs in response to changes in the source data. There have been no new Census data to affect the work GPCI, the PE GPCI will reflect any changes in the Department of Housing and Urban Development (HUD) rental data, and the malpractice GPCI (based on malpractice RVUs) will reflect the national claims-based premium data for 2004 and 2005. Details of the methodology, data sources, and adjustments to the GPCIs will be made available for public comment in the CY 2008 PFS proposed rule.

    In addition, section 412 of the MMA amended section 1848(e)(1) of the Act to establish a floor of 1.0 for the work GPCI for any locality where the GPCI would otherwise fall below 1.0 for purposes of payment for services furnished on or after January 1, 2004 and before January 1, 2007. Beginning on January 1, 2007, the 1.00 floor will be removed and the work GPCI will revert to the fully implemented value. The values for the work GPCI and subsequent changes to the Geographic Adjustment Factor (GAF) published in this proposed rule reflect the removal of the 1.0 floor. For many payment localities this change had no impact on the GAF; however, the GAFs for a number of payment localities were reduced due to this change. The impact of this change on the GAFs for those payment localities is shown below in Table 3.

    The proposed GPCIs for 2007 are shown in Addendum D and the proposed GAFs for 2007 are shown in Addendum E. The GPCIs shown in Addendum D are fully implemented and reflect 2007 budget neutrality scaling coefficients provided by the Office of the Actuary.

    Table 3.—Payment Localities With Negative Percent Change in GAF 1 Between 2006 and 2007 Due to Removal of the 1.000 Work Floor

    Locality name2006 GAF2007 GAFPercent change
    Fort Worth, TX0.9980.996−0.17
    Rest of Michigan0.9860.984−0.20
    Rest of New York0.9520.950−0.21
    Rest of Maryland0.9820.978−0.36
    Metropolitan St. Louis, MO0.9780.974−0.41
    Rest of Pennsylvania0.9500.946−0.44
    Ohio0.9700.966−0.44
    Austin, TX1.0201.015−0.47
    New Hampshire1.0101.005−0.50
    Minnesota0.9800.975−0.53
    Galveston, TX0.9910.986−0.54
    Metropolitan Kansas City, MO0.9870.981−0.56
    Fort Lauderdale, FL1.0221.016−0.59
    Arizona0.9990.993−0.65
    Wisconsin0.9560.950−0.65
    Colorado0.9980.991−0.67
    East St. Louis, IL1.0030.996−0.68
    New Orleans, LA0.9840.977−0.73
    Rest of Washington0.9840.976−0.77
    Indiana0.9370.930−0.79
    Beaumont, TX0.9510.942−0.96
    Alabama0.9230.914−0.99
    Virginia0.9580.948−1.06
    Southern Maine0.9920.981−1.09
    Rest of Georgia0.9430.932−1.14
    Tennessee0.9330.921−1.27
    Utah0.9600.948−1.30
    South Carolina0.9300.917−1.41
    Rest of Illinois0.9520.938−1.43
    Rest of Florida0.9820.968−1.45
    West Virginia0.9420.928−1.47
    North Carolina0.9510.936−1.55
    New Mexico0.9470.932−1.57
    Kansas*0.9340.919−1.60
    Rest of Louisiana0.9360.919−1.78
    Kentucky0.9320.915−1.80
    Kansas*0.9360.919−1.81
    Rest of Oregon0.9460.929−1.81
    Start Printed Page 48994
    Vermont0.9680.950−1.82
    Virgin Islands1.0070.989−1.83
    Rest of Texas0.9470.929−1.87
    Idaho0.9220.904−1.91
    Iowa0.9270.909−1.97
    Rest of Maine0.9360.916−2.14
    Oklahoma0.9130.893−2.14
    Mississippi0.9190.898−2.31
    Arkansas0.9050.884−2.34
    Puerto Rico0.9050.883−2.44
    Nebraska0.9250.902−2.44
    Wyoming0.9340.910−2.55
    Montana0.9280.902−2.83
    Rest of Missouri *0.9100.883−2.97
    North Dakota0.9240.895−3.16
    South Dakota0.9220.891−3.35
    1 Calculation for the GAF: (.52466*work gpci) + (.03865*mp gpci) + (.52466*pe gpci).

    In the CY 2005 PFS proposed rule, published August 15, 2004, we discussed the issue of changes to the GPCI payment localities (69 FR 47504). In that proposed rule, we noted that we look for the support of a State medical society as the impetus for changes to existing payment localities. Because the GPCIs for each locality are calculated using the average of the county-specific data from all of the counties in the locality, removing high cost counties from a locality will result in lower GPCIs for the remaining counties. Therefore, because of this redistributive impact, we have refrained, in the past, from making changes to payment localities unless the State medical association provides evidence that any proposed change has statewide support.

    We would be interested in receiving suggestions on alternative ways that we could administratively reconfigure payment localities that could be developed and proposed in future rulemaking. In addition, MEDPAC and the GAO have both expressed interest in studying the physician payment localities. CMS intends to work with both groups to study our current methodology and develop alternative options.

    C. Medicare Telehealth Services

    [If you choose to comment on issues in this section, please include the caption “TELEHEALTH” at the beginning of your comments.]

    1. Requests for Adding Services to the List of Medicare Telehealth Services

    Section 1834(m)(4)(F) of the Act defines telehealth services as professional consultations, office visits, and office psychiatry services (identified as of July 1, 2000 by CPT codes 99241 through 99275, 99201 through 99215, 90804 through 90809, and 90862) and any additional service specified by the Secretary. In addition, the statute requires us to establish a process for adding services to or deleting services from the list of telehealth services on an annual basis.

    In the December 31, 2002 Federal Register (67 FR 79988), we established a process for adding services to or deleting services from the list of Medicare telehealth services. This process provides the public an ongoing opportunity to submit requests for adding services. We assign any request to make additions to the list of Medicare telehealth services to one of the following categories:

    • Category #1: Services that are similar to office and other outpatient visits, consultation, and office psychiatry services. In reviewing these requests, we look for similarities between the proposed and existing telehealth services for the roles of, and interactions among, the beneficiary, the physician (or other practitioner) at the distant site and, if necessary, the telepresenter. We also look for similarities in the telecommunications system used to deliver the proposed service, for example, the use of interactive audio and video equipment.
    • Category #2: Services that are not similar to the current list of telehealth services. Our review of these requests includes an assessment of whether the use of a telecommunications system to deliver the service produces similar diagnostic findings or therapeutic interventions as compared with the faceπtoπface “hands on” delivery of the same service. Requestors should submit evidence showing that the use of a telecommunications system does not affect the diagnosis or treatment plan as compared to a faceπtoπface delivery of the requested service.

    Since establishing the process, we have added the following to the list of Medicare telehealth services: psychiatric diagnostic interview examination; ESRD services with two to three visits per month and four or more visits per month (although we require at least one visit a month by a physician, CNS, NP, or PA to examine the vascular access site); and individual medical nutritional therapy.

    Requests to add services to the list of Medicare telehealth services must be submitted and received no later than December 31 of each CY to be considered for the next proposed rule. For example, requests submitted before the end of CY 2005 are considered for the CY 2007 proposed rule. For more information on submitting a request for an addition to the list of Medicare telehealth services, visit our Web site at www.cms.hhs.gov/​telehealth.

    2. Submitted Requests for Addition to the List of Telehealth Services

    We received the following requests for additional approved services in CY 2005: (1) Nursing facility care; (2) speech language pathology; (3) audiology; and (4) physical therapy services. The following is a discussion of the requests submitted in CY 2005.

    Nursing Facility Care

    The American Telemedicine Association (ATA) and an individual practitioner submitted a request to add the following services: Initial nursing facility care (as represented by HCPCS Start Printed Page 48995codes 99304 through 99306); subsequent nursing facility care (HCPCS codes 99307 through 99310); nursing facility discharge services (HCPCS codes 99315 and 99316); and other nursing facility services as described by HCPCS code 99318. The requestors explained that the primary purpose of using telehealth in the Skilled Nursing Facility (SNF) setting is to provide urgent consultation when the patient has a sudden change in his or her condition, and to provide increased availability to primary and specialty care on days when the physician is not present in the SNF or when traveling is a hardship. The requestors believe that the current list of Medicare telehealth services is not appropriate because the list does not include codes that are specifically intended for nursing facility residents.

    CMS Review

    Nursing Facility Care

    Section 1834(m)(C)(ii) of the Act defines a telehealth originating site as a physician's or practitioner's office; or a hospital, critical access hospital (CAH), rural health clinic, or FQHC. SNFs are not defined in the statute as originating sites.

    However, section 418 of the MMA required the Health Resources Services Administration (HRSA), a component of HHS, in consultation with CMS, to conduct an evaluation of demonstration projects under which SNFs, as defined in section 1819(a) of the Act, are treated as originating sites for Medicare telehealth services. The MMA also required the Secretary to submit a report to the Congress that includes recommendations on “mechanisms to ensure that permitting a SNF to serve as an originating site for the use of telehealth services or any other service delivered via a telecommunications system does not serve as a substitute for in-person visits furnished by a physician, or for in-person visits furnished by a physician assistant (PA), nurse practitioner (NP), or clinical nurse specialist (CNS), as is otherwise required by the Secretary” and provides the authority to include SNFs as a Medicare telehealth originating site, if the Secretary concludes in the report that it is advisable to do so and that mechanisms could be established to ensure that the use of a telecommunications system does not serve as a substitute for the required in-person physician or practitioner SNF visits. This report is currently under review in DHHS.

    Given that SNFs are not defined in the statute as a telehealth originating site and the report to the Congress, as discussed above, is currently being reviewed within DHHS, we cannot consider approving nursing facility care for telehealth at this time. We will review and consider the recommendations of the report to the Congress once it is issued. If it is determined that SNFs should be added as an originating site, this change will be considered in future rulemaking.

    Speech Language Pathology, Audiology and Physical Therapy

    The ATA and an individual practitioner submitted a request to add various speech therapy, audiology and physical therapy services to the list of Medicare telehealth services. The requestors also asked us to add physical therapists, speech language pathologists and audiologists to the list of approved telehealth practitioners.

    CMS Review

    Physical therapists, speech language pathologists and audiologists are not permitted under current law to provide and receive payment for Medicare telehealth services at the distant site. The statute permits only a physician, as defined by section 1861(r) of the Act or a practitioner as described in section 1842(b)(18)(C) of the Act (CNS, NP, PA, nurse midwife, clinical psychologist, clinical social worker, registered dietitian or other nutrition professional), to furnish Medicare telehealth services. Since speech language pathologists, audiologists and physical therapists are not permitted under current law to provide and receive payment for Medicare telehealth services at the distant site, we cannot fully consider the request to add speech therapy, audiology services and physical therapy to the list of Medicare telehealth services. We are exploring this issue as part of a report to the Congress (required by section 223(d) of BIPA) on additional sites and settings, geographic areas, and types of non-physician practitioners that could be reimbursed for the provision of telehealth services.

    D. Miscellaneous Coding Issues

    [If you choose to comment on issues in this section, please include the caption “Miscellaneous Coding Issues” at the beginning of your comments.]

    The following sections address specific coding issues related to payment for services under the PFS.

    1. Global Period for Remote Afterloading High Intensity Brachytherapy Procedures

    CPT Code 77783, Remote afterloading high intensity brachytherapy; 9-12 source positions or catheters, resides in a family of codes with varying numbers of source positions. All of the codes in the family, CPT codes 77781-77784 are currently designated as 90-day global services. CPT codes 77781-77784 are used to treat many clinical conditions, but primarily patients with prostate cancer, breast cancer and sarcoma. Patients with any of these conditions usually receive several treatments (2-10) over a two to ten day period of time. Due to the increasing variability in treatment regimens, it is difficult to assign RVUs for a “typical” patient based on a global period of 90 days.

    Therefore, we are proposing that this family of codes (CPT codes 77781, 77782, 77783 and 77784) be assigned a global period of “XXX”, which will permit separate payment each time the services are provided and allow payment to be based on the actual service(s) provided. We will request that the RUC revalue the work RVUs and the PE inputs for these services if a change in the global period is finalized. However we are proposing, on an interim basis, to revise the work RVUs and PE inputs to reflect the removal of the postoperative visit, CPT code 99212, that is currently assigned to these services. The proposed interim work RVUs for these services would be as follows:

    • 77781 = 1.21
    • 77782 = 2.04
    • 77783 = 3.27
    • 77784 = 5.15

    We are also proposing to delete the registered nurse (RN) time in the post-service period as well as the patient gowns for the post-service visit. We would also note that, to the extent that these services are performed as staged procedures, providers may make use of applicable modifiers.

    2. Assignment of RVUs to CPT Codes for Proton Beam Treatment Delivery Services

    We have received a request to assign PE inputs for the non-facility setting to Proton Beam treatment delivery services represented by CPT codes 77520 through 77525.

    These services are currently carrier-priced; therefore, payment in the facility or non-facility setting is established by each carrier. To the extent that physicians and suppliers wish to have national RVUs assigned for these services, there is an established process utilizing the AMA-RUC to recommend work RVUs, as well as the direct PE inputs used to compute the PE RVUs, to CMS. We would strongly encourage the physicians and suppliers to use this established process, and would also be Start Printed Page 48996interested in receiving comments on this issue.

    E. Deficit Reduction Act (DRA) Related Proposals

    [If you choose to comment on issues in this section, please include the caption “DRA PROPOSALS” at the beginning of your comments.]

    The DRA of 2005 (Pub. L. 109-171), was enacted February 8, 2006 and included provisions that affect the Medicare program. The following section addresses the specific DRA provisions that are being addressed in this proposed rule.

    1. Section 5102—Proposed Adjustments for Payments to Imaging Services

    Section 5102 of the DRA includes two provisions that affect payment of imaging services under the Medicare physician fee schedule. The first provision addresses payment for certain multiple imaging procedures for CY 2007 and application of budget neutrality while the second provision addresses limiting the payment amount under PFS to the outpatient department (OPD) payment amount for the technical component (TC) of certain imaging services.

    (a) Payment for Multiple Imaging Procedures for 2007

    In general, Medicare prices diagnostic imaging procedures in the following three ways:

    • The professional component (PC) represents the physician's interpretation (PC-only services are billed with the 26 modifier).
    • The TC represents PE and includes clinical staff, supplies, and equipment (TC-only services are billed with the TC modifier).
    • The global service represents both PC and TC.

    As discussed in the CY 2006 PFS final rule with comment period (70 FR 70261), in the CY 2006 PFS proposed rule (70 FR 45764 through 46064), we had proposed to reduce payment for the TC of selected diagnostic imaging procedures belonging to one of eleven imaging families when the procedures are performed on contiguous body areas by 50 percent for CY 2006. However, in the final rule with comment period, we stated that we would phase-in the 50 percent reduction over two years, beginning with a 25 percent reduction in 2006. We also sought additional data and comments on the appropriateness of 50 percent as the final level of reduction. The reduction applies to the TC and the technical portion of the global service, but does not apply to the PC of the service. Currently, we make full payment for the highest priced procedure and reduce payment for each additional procedure by 25 percent, when more than one procedure from the same imaging family is performed during the same session on the same day.

    As described in the CY 2006 PFS final rule with comment period, at the time, the statute required us to make changes such as this in a budget neutral manner, meaning that the estimated savings generated by the application of the multiple imaging procedure payment reduction were used to increase payment for other physician fee schedule services. We increased the CY 2006 PE RVUs by 0.3 percent to offset the estimated savings generated by the multiple imaging payment reduction policy.

    Subsequent to the publication of the CY 2006 PFS final rule with comment period, section 5102(a) of the DRA (Multiple Procedure Payment Reduction for Imaging Exempted From Budget Neutrality), required that “effective for fee schedules established beginning with 2007, reduced expenditures attributable to the multiple procedure payment reduction for imaging under the final rule published by the Secretary in the Federal Register on November 21, 2005 (42 CFR 405, et al.) insofar as it relates to the physician fee schedules for 2006 and 2007” are exempted from the budget neutrality provision. As a result, we are proposing to remove the 0.3 percent increase to the CY 2006 PE RVUs from the CY 2007 PE RVUs in accordance with the statute.

    In addition, in response to our request for data on the appropriateness of the 50 percent reduction in the CY 2006 PFS final rule with comment period (70 FR 70261), the ACR provided information for 25 code combinations supporting a reduction of between 21 and 44 percent. Given the expected interaction between the multiple procedure imaging policy and the further imaging payment reductions mandated by section 5102(b) of the DRA described below, along with the new information we have received from the ACR on the multiple imaging procedure policy as it applies to common combinations of imaging services, we believe it would be prudent to maintain the multiple imaging payment reduction at its current 25 percent level while we continue to examine the appropriate payment levels. Therefore, we are proposing to continue the multiple imaging payment reduction for 2007 at the 25 percent level. We would proceed through future rulemaking in the event we determine that revisions to the policy are warranted.

    (b) Reduction in TC for Imaging Services Under the PFS to OPD Payment Amount

    Section 5102(b)(1) of the DRA amended section 1848 of the Act and requires that, with respect to imaging services, if—

    “(i) The technical component (including the technical component portion of a global fee) of the service established for a year under the fee schedule * * *, without application of the geographic adjustment factor * * *, exceeds,

    (ii) The Medicare OPD fee schedule amount established under the prospective payment system for hospital outpatient department services * * * for such service for such year, determined without regard to geographic adjustment * * *, the Secretary shall substitute the amount described in clause (ii), adjusted by the geographic adjustment factor [under the PFS] * * *, for the fee schedule amount for such technical component for such year.”

    As required by the statute, for imaging services (described below) furnished on or after January 1, 2007, we will cap the PFS payment amount for the year (prior to geographic adjustment) by the CY 2007 outpatient prospective payment system (OPPS) payment amount (prior to geographic adjustment). We will then apply the PFS geographic adjustment to the capped payment amount.

    Section 5102(b)(2) of the DRA exempts the estimated savings from this provision from the PFS budget neutrality requirement. Section 5102(b)(1) of the DRA defines imaging services as “* * * imaging and computer-assisted imaging services, including X-ray, ultrasound (including echocardiography), nuclear medicine (including positron emission tomography), magnetic resonance imaging, computed tomography, and fluoroscopy, but excluding diagnostic and screening mammography.”

    In order to apply section 5102(b) of the DRA, we needed to determine the CPT and alpha-numeric HCPCS codes that fall within the scope of “imaging services” defined by the DRA provision. In general, we believe that imaging services provide visual information regarding areas of the body that are not normally visible, thereby assisting in the diagnosis or treatment of illness or injury. We began by considering the CPT 7XXXX series codes for radiology services and then adding in other CPT codes and alpha-numeric HCPCS codes that describe imaging services. We then excluded nuclear medicine services that were either non-imaging diagnostic or treatment services. We also excluded all Start Printed Page 48997codes for unlisted procedures, since we would not know in advance of any specific clinical scenario whether or not the unlisted procedure was an imaging service. We excluded all mammography services, consistent with the statute. We excluded radiation oncology services that were not imaging or computer-assisted imaging services. We also excluded all HCPCS codes for imaging services that are not separately paid under the OPPS since there would be no corresponding OPPS payment to serve as a TC cap. We excluded any service where the CPT code describes a procedure for which fluoroscopy, ultrasound, or another imaging modality is either included in the code whether or not it is used or is employed peripherally in the performance of the main procedure, for example, 31622 for bronchoscopy with or without fluoroscopic guidance and 43242 for upper gastrointestinal endoscopy with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s). In these cases, we are unable to clearly distinguish imaging from non-imaging services because, for example, a specific procedure may or may not utilize an imaging modality, or the use of an imaging technology cannot be segregated from the performance of the main procedure. Note that we included carrier priced services since these services are within the statutory definition of imaging services and are also within the statutory definition of PFS services (that is, carrier-priced TCs of PET scans).

    Our proposed list of codes that identify imaging services defined by the DRA OPPS cap provision can be found in Addendum F to this proposed rule. Note that this is the list of imaging services for which we propose to make the comparison between the PFS TC payment amount and the OPPS payment amount used to establish OPD payment. Payment for an individual service on this list would only be capped if the PFS TC payment amount exceeds the OPPS payment amount.

    To the extent changes are made to codes for services already on the list, we propose to update the list through program instructions to our contractors. To the extent that the same imaging service is coded differently under the PFS and the OPPS, we propose to crosswalk the code under the PFS to the appropriate code under the OPPS that could be reported for the same service provided in the hospital outpatient setting. Our proposed list of crosswalks is below:

    MFS codeDescriptorOPPS codeDesc
    74185Mri angio, abdom w or w/o dyeC8900MRA w/cont, abd.
    76093Magnetic image, breastC8905MRI w/o fol w/cont, brst, un.
    76094Magnetic image, both breastsC8908MRI w/o fol w/cont, breast.
    71555Mri angio chest w or w/o dyeC8909MRA w/cont, chest.
    73725Mr ang lwr ext w or w/o dyeC8912MRA w/cont, lwr ext.
    72198Mr angio pelvis w/o & w/dyeC8918MRA w/cont, pelvis.

    (c) Interaction of the Multiple Imaging Payment Reduction and the OPPS Cap

    For CY 2007 imaging services potentially subject to both the multiple imaging reduction and the OPPS cap, we propose to first apply the multiple imaging payment reduction and then apply the OPPS cap to the reduced amount as illustrated in the following example.

    HCPCSPre-OPPS cap MPFS rate25% Multiple imaging reductionOPPS cap rateFinal MPFS payment
    7XXX1$341.89$256.42$316.55$256.42
    7XXX2552.86414.65391.83391.83

    We considered first applying the OPPS cap and then applying the multiple procedure reduction. However, as indicated in the CY 2006 OPPS final rule, we received public comments suggesting that the OPPS payment rates may implicitly include at least some multiple imaging discount. While we continue to examine this issue, we believe the most appropriate policy is to apply the multiple imaging payment reduction prior to the application of the OPPS cap.

    2. Section 5107—Revisions to Payments for Therapy Services

    Section 1833(g) of the Act applies an annual per beneficiary combined cap beginning January 1, 1999, on outpatient physical therapy and speech-language pathology services and a similar separate cap on outpatient occupational therapy services. These caps apply to expenses incurred for the respective therapy services under Medicare Part B, with the exception of outpatient hospital services. The caps were in effect from January 1, through December 31, 1999, from September 1, 2003 through December 7, 2003, and beginning January 1, 2006. In 2000 through 2002, and from December 8, 2003 through December 31, 2005, the Congress placed moratoria on implementation of the caps. Section 1833(g)(2) of the Act provides that, for 1999 through 2001, the caps were $1500, and for years after 2001, the caps are equal to the preceding year's cap increased by the percentage increase in the Medicare Economic Index (MEI) (except that if an increase for a year is not a multiple of $10, it is rounded to the nearest multiple of $10).

    We implemented the separate statutory limits of $1740 for outpatient physical therapy and speech-language pathology services and $1740 for occupational therapy on January 1, 2006. The DRA of 2005 was enacted on February 8, 2006. Section 5107(a) of the DRA required the Secretary to develop an exceptions process for the therapy caps effective January 1, 2006. The exceptions process applies only to expenses incurred in 2006. Details of the exceptions process were published in a manual change on February 13, 2006 (CR4364). The change request Start Printed Page 48998consists of three transmittals with current numbers of—

    • Transmittal 855, CR 4364, Pub. L. 100-04;
    • Transmittal 47, CR 4365, Pub. L. 100-02; and
    • Transmittal 140, CR 4364, Pub. L. 100-08.

    The transmittals are available on our Web site at http://www.cms.hhs.gov/​Transmittals/​.

    In accordance with the statute, the therapy caps will remain in effect, but without the exceptions process, with respect to expenses incurred beginning on January 1, 2007. The dollar amount of the therapy caps in 2007 will be the 2006 rate ($1740) increased by the percentage increase in the MEI. As noted above, under current law, the exceptions process will not apply to therapy services incurred after December 31, 2006, but the therapy caps will remain inapplicable to therapy services provided in the outpatient hospital setting as provided in section 1833(g) of the Act.

    Section 5107(b) of the DRA requires the Secretary to implement, by July 1, 2006, edits for clinically illogical combinations of procedure codes and other edits in order to limit inappropriate payment for therapy services. In January 2006, we implemented Correct Coding Initiative (CCI) edits for the therapy providers that bill to the fiscal intermediaries, thus, addressing the section 5107 of the DRA requirement with respect to edits for clinically illogical combinations of procedure codes. Adoption of these code edits ensures that these providers of outpatient Part B therapy services, including SNFs, comprehensive outpatient rehabilitation facilities, certain outpatient physical therapy and speech-language therapy providers (rehabilitation agencies) and home health agencies (HHAs) (where beneficiary is not under a Part A plan of care) meet the same CCI edit requirements as those that have been in place for physicians, private practice therapists, and OPPS hospitals. We are considering the implementation of other edits in the future to further address concerns about inappropriate payment for therapy services.

    3. Section 5112-Proposed Addition of Ultrasound Screening for Abdominal Aortic Aneurysm (AAA)

    Section 5112 of the DRA of 2005 amended section 1861 of the Act to provide for coverage under Part B of ultrasound screening for AAAs, effective for services furnished on or after January 1, 2007, subject to certain eligibility and other limitations. This screening test will be available even if the qualifying patient does not present signs or symptoms of disease or illness.

    To conform the regulations to the statutory requirements of section 5112 of the DRA, we are proposing to include an exception in § 411.15(a)(1) to permit coverage for ultrasound screening for AAAs that meet the conditions for coverage that we are proposing to specify under new § 410.19(b) (Conditions for coverage of an ultrasound screening for abdominal aortic aneurysms). We are also adding a new § 411.15(k)(12).

    As provided in the DRA, this new coverage allows payment for a one-time only screening examination. We are proposing to add new § 410.19(b) to provide for the coverage of the screening examinations for AAAs as specified in section 5112 of the DRA. We are also proposing to add new § 410.19(c) (Limitation on coverage of ultrasound screening for abdominal aortic aneurysms.) to provide the limitation on coverage for an individual who is not an eligible beneficiary as defined in proposed new § 410.19(a).

    We are proposing definitions set forth in new § 410.19(a) of this proposed rule that would be included to implement the statutory provisions and to help the reader in understanding the provisions of this regulation. The proposed definitions include the following terms:

    • Eligible beneficiary.
    • Ultrasound screening for abdominal aortic aneurysms.

    Specifically, section 5112(a)(1) of the DRA amended section 1861 of the Act to provide that coverage of ultrasound screening for AAAs will be available for an individual—(i) who receives a referral for such an ultrasound screening as a result of an initial preventive physical examination (as defined in section 1861(ww)(1) of the Act); (ii) who has not been previously furnished such an ultrasound screening under this title; and (iii) who has a family history of AAA or manifests risk factors included in a beneficiary category recommended for screening by the United States Preventive Services Task Force regarding AAAs.

    Section 5112(a)(2) of the DRA also adds a definition of the term “ultrasound screening for an Abdominal Aortic Aneurysm” to mean, “(1) a procedure using sound waves (or other procedures using alternative technologies, of commensurate accuracy and cost, that the Secretary may specify) provided for the early detection of abdominal aortic aneurysm; and (2) includes a physician's interpretation of the results of the procedure.”

    In developing the proposed rule based on this provision, we reviewed the 2005 United States Preventive Services Task Force (USPSTF) recommendations and related material on ultrasound screening for AAAs. This includes—

    • A recommendation for a one-time ultrasound screening for men aged 65 to 75 who have smoked at least 100 cigarettes in their lifetime;
    • No recommendation for or against ultrasound screening for AAAs for men who have not smoked at least 100 cigarettes in their lifetime; and
    • A recommendation against routine screening for AAAs in women.

    Based on the statutory language and the USPSTF recommendations outlined above, we are proposing to define the term “eligible beneficiary” for coverage of ultrasound screening examinations for AAA to mean an individual who—

    • Has received a referral for an ultrasound screening as a result of an initial preventive physical examination (as defined in section 1861(ww)(1) of the Act);
    • Has not been previously furnished such a covered ultrasound screening examination under the Medicare program; and
    • Is included in at least one of the following risk categories:

    + Has a family history of an AAA; or

    + Is a man age 65 to 75 years who smoked at least 100 cigarettes in his lifetime; or

    + Is an individual who manifests other risk factors that are described in a benefit category recommended by the USPSTF regarding an AAA that has been determined by the Secretary through the NCD process.

    To facilitate our consideration of possible expansions of coverage in the future for identifying (1) other risk factors in a benefit category recommended for screening for the early detection of AAAs by the USPSTF, and (2) alternative screening technologies to ultrasound screening for AAAs of commensurate accuracy and cost, we are proposing to add language to our regulations that would allow us to make determinations through the NCD process. The NCD process would allow the Secretary to expand coverage more quickly following an assessment of those subjects than is possible under the standard rulemaking process. We intend to use the NCD process, which includes an opportunity for public comments, for evaluating the medical and scientific issues relating to the coverage of alternative screening technologies and the identification of other risk factors for AAAs recommended by the USPSTF that may be brought to our attention in the future. Use of an NCD to establish Start Printed Page 48999a change in the scope of benefits is authorized by section 1871(a)(2) of the Act. An aggrieved party can challenge an NCD under the procedures established by section 1869(f) of the Act. These proposed coverage provisions would be set forth in proposed new § 410.19 (a)(1)(i) and § 410.19(a)(2)(iii)(C).

    Section 5112(b) of DRA also amended section 1861(ww)(2) of the Act (the initial preventive physical examination benefit) by adding the new ultrasound screening benefit to the list of preventive services for which physicians and other qualified nonphysician practitioners must provide “education, counseling and referral” to new beneficiaries who take advantage of the initial preventive physical examination benefit within the first 6 months after the effective date of their first Part B coverage period. Therefore, we are also proposing to amend § 410.16(a)(7) of the regulations so that it reflects the additional responsibilities that physicians and qualified nonphysician practitioners will have under the initial preventive physical examination benefit with respect to the new ultrasound screening benefit.

    Beginning January 1, 2007, we are proposing to pay for ultrasound screening for AAAs through the use of a new HCPCS code GXXX1, Ultrasound, B-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening. We are proposing that payment for this service be made at the same level as CPT code 76775 Ultrasound, retroperitoneal (e.g., renal, aorta, nodes), B-scan and/or real time with image documentation; limited. CPT code 76775 is used to bill for the service when it is provided as a diagnostic test, and we believe the service associated with the proposed HCPCS code reflects equivalent resources and work intensity to those contained in CPT code 76775.

    In addition, since the DRA provides that the Medicare Part B deductible will not apply with respect to ultrasound screening for abdominal aortic aneurysm (as defined in section 1861(bbb) of the Act), we are proposing to revise § 410.160 to include an exception from the Medicare Part B deductible for the ultrasound screening for abdominal aortic aneurysm as described in proposed § 410.19. (Conditions for coverage of an ultrasound screening for abdominal aortic aneurysms.)

    4. Section 5113—Proposed Non-Application of the Part B Deductible for Colorectal Cancer Screening Tests

    Current Medicare policy requires that, with limited exceptions, incurred expenses for covered part B services are subject to, and count toward meeting the Part B annual deductible. Section 5113 of the DRA amended section 1833(b) of the Act to provide for an exception to the application of the Part B deductible with respect to colorectal cancer screening tests. Beginning January 1, 2007, colorectal cancer screening services, as described in section 1861(pp)(1) of the Act, are no longer subject to the Part B deductible. The conditions for and limitations on coverage for colorectal cancer screening tests under Medicare part B are described in § 410.37.

    To conform our regulations to this statutory change, we are proposing to revise § 410.160 to include an exception from the Part B annual deductible for the colorectal cancer screening services described in § 410.37.

    5. Section 5114—Proposed Addition of Diabetes Outpatient Self-Management Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the FQHC Program

    Section 5114 of the DRA amended section 1861(aa)(3) of the Act to add DSMT and MNT services to the list of Medicare covered and reimbursed services under the Medicare FQHC benefit, effective for services provided on or after January 1, 2006. Although this statutory change has already been implemented in administrative instructions, we are proposing to conform the regulations to the new statutory requirement.

    FQHCs certified as DSMT and MNT providers have been allowed to bundle the cost of those services into their FQHC payment rates. But before the enactment of the DRA, the provision of these services would not generate a separate FQHC visit payment. Effective for services furnished on or after January 1, 2006, FQHCs that are certified providers of DSMT and MNT services can receive per visit payments for covered services furnished by registered dietitians or nutrition professionals. In other words, if all relevant program requirements are met, these services are included under the Medicare FQHC benefit as billable visits.

    In order to conform the regulations, we are proposing to amend § 405.2446(b) to expand the scope of FQHC services to include certified providers of DSMT and MNT services by adding a new paragraph (10). We are also proposing to revise § 405.2463 by—

    • Revising paragraph (a) to expand the definition of an FQHC visit to include certified providers of DSMT and MNT services under new sub-paragraph (a)(1)(ii)(B). We would also revise the definition of an RHC visit in new subparagraph (a)(1)(i) to include a face-to-face encounter between a patient and a clinical psychologist or clinical social worker to conform to statutory language at section 1861(aa)(1)(B) of the Act. We are also proposing to redesignate and revise paragraphs (b) and (c) as new paragraphs (a)(2) and (a)(3), respectively.
    • We are proposing to incorporate paragraph (a)(2) into (a)(1), and to redesignate and revise current paragraph (a)(3) as new paragraph (b). We would also clarify that it is generally permissible for both FQHCs and Rural Health Clinics to furnish, when necessary, most types of medical and other health visits on the same day to the same patient. We are also proposing to amend this paragraph to permit a separate additional FQHC visit for DSMT and MNT services (which may occur on the same date of service when the beneficiary receives care from their FQHC physician or non-physician practitioner) when reasonable and necessary, consistent with the Congressional mandate under section 5114 of the DRA to provide coverage and adequate access to these services in the FQHC setting.
    • We are proposing to redesignate and revise current paragraph (a)(4) as new paragraph (c).

    F. Proposed Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)

    [If you choose to comment on issues in this section, please include the caption “ASP Issues” at the beginning of your comments.]

    Medicare Part B covers a limited number of prescription drugs and biologicals. For the purposes of this proposed rule, the term “drugs” will hereafter refer to both drugs and biologicals. Medicare Part B covered drugs not paid on a cost or prospective payment basis generally fall into the following three categories:

    • Drugs furnished incident to a physician's service.
    • DME drugs.
    • Drugs specifically covered by statute (certain immunosuppressive drugs, for example).

    Beginning in CY 2005, the vast majority of Medicare Part B drugs not paid on a cost or prospective payment basis are paid under the ASP Start Printed Page 49000methodology. The ASP methodology is based on data submitted to us quarterly by manufacturers. In addition to the payment for the drug, Medicare currently pays a furnishing fee for blood clotting factors, a dispensing fee for inhalation drugs, and a supplying fee to pharmacies for certain Part B drugs.

    In January 2006, the drug coverage available to Medicare beneficiaries expanded with the implementation of Medicare Part D. The Medicare Part D program does not change Medicare Part B drug coverage.

    This section of the preamble discusses proposed changes and issues related to the determination of the payment amounts for covered Part B drugs and furnishing blood clotting factor. This section also discusses proposed changes to how manufacturers calculate and report ASP data to us.

    1. ASP Issues

    Section 303(c) of the MMA amended Title XVIII of the Act by adding new section 1847A. This new section revised the payment methodology for the vast majority of drugs and biologicals not paid on a cost or prospective payment basis furnished on or after January 1, 2005. The ASP reporting requirements are set forth in section 1927(b) of the Act. Manufacturers must submit ASP data for each 11-digit National Drug Code (NDC) to us quarterly. The manufacturers' submissions are due to us not later than 30 days after the last day of each calendar quarter. The methodology for developing Medicare drug payment allowances based on the manufacturers' submitted ASP data is specified in the regulations in part 414, subpart K. We update the Part B drug payment amounts quarterly based on the data we receive.

    In this section of the preamble, we discuss our intent to issue a final rule to implement the provisions in the MMA related to the calculation and submission of manufacturers’ ASP data, and seek further comments on specific issues related to price concessions and certain fees.

    On April 6, 2004, we published the Manufacturer's Submission of Average Sales Price Data for Medicare Part B Drugs and Biologicals (ASP) interim final rule with comment period (IFC) (69 FR 17935) to implement the ASP calculation and reporting requirements. Manufacturers were required to submit their initial quarterly ASP data to us shortly thereafter, beginning April 30, 2004. We received comments from drug manufacturers, pharmacies, physicians, national associations of the pharmaceutical industry, national associations of physicians, and consultants. These comments addressed a variety of aspects of calculating and reporting ASPs. On September 16, 2004, we published the Manufacturer's Submission of Average Sales Price Data for Medicare Part B Drugs and Biologicals (ASP) final rule (69 FR 55763) addressing only the comments pertaining to the methodology for estimating lagged price concessions. We have also addressed ASP calculation and reporting requirements in other proposed and final rules and information collection notices, including rulemaking to implement the Competitive Acquisition Program for Part B Drugs and Biologicals (CAP). (See 70 FR 39069, 70 FR 45842, 70 FR 70215, and 70 FR 70477.) In addition, we posted official agency guidance, including responses to frequently asked questions, on our Web site to implement the ASP provisions in accordance with section 1847A(c)(5)(C) of the Act.

    We intend to publish a final rule addressing comments on the April 6, 2004 IFC in the near future. We may publish the final rule as part of this rulemaking, or we may publish a separate final rule, in either case after the close of the comment period for this proposed rule. Because the comments received during the comment period in response to the April 6, 2004 IFC were made during the initial months of manufacturers’ experience with calculating and reporting ASPs and prior to publication of payment amounts based on the ASP methodology, we believe there is good reason to provide the public with the opportunity for additional comments based on what is now more than a year and a half of experience with the ASP reporting requirements. Therefore, we seek comments on the ASP reporting provisions in the April 6, 2004 IFC. In particular, we seek comments on the issues discussed in the sections below.

    We note that we received many comments in response to the April 6, 2004 interim final rule on the use and potential impacts of the ASP payment methodology. As noted above, we are reopening the comment period on the issue of ASP reporting. Thus, comments about the use or appropriateness of the ASP payment methodology are outside the scope of this rulemaking and the ASP reporting rule (CMS-1380-IFC). Therefore, comments about the appropriateness and use of 106 percent of ASP as the basis for the Medicare Part B drug payment rates will be outside the scope of the comments considered for the final ASP reporting rule we are preparing to publish.

    a. Fees Not Considered Price Concessions

    Section 1847A(c)(5)(A) of the Act states that the ASP is to be calculated by the manufacturer on a quarterly basis. As a part of that calculation, manufacturers are to take into account price concessions such as—

    • Volume discounts;
    • Prompt pay discounts;
    • Cash discounts;
    • Free goods that are contingent on any purchase requirement;
    • Chargebacks; and
    • Rebates (other than rebates under the Medicaid drug rebate programs).

    If the data on these price concessions are lagged, then the manufacturer is required to estimate costs attributable to these price concessions using the required ratio methodology as specified in 42 CFR part 414, subpart J, § 414.804(a)(3).

    Among the comments from drug manufacturers and national associations representing wholesalers and distributors, we received requests for clarification and detailed guidance on the treatment of administrative fees, service fees and fees paid to pharmacy benefit managers (PBMs) in the ASP calculation. We posted guidance on our Web site (http://questions.cms.hhs.gov/​cgi-bin/​cmshhs.cfg/​php/​enduser/​std_​adp.php?​p_​faqid=​3323&​p_​created=​1095344721&​p_​sid=​Ghuscgci&​p_​accessibility=​0&​p_​lva=​&​p_​sp=​cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&​p_​li=​&​p_​topview=​1) to clarify that in the absence of specific guidance in the Social Security Act or Federal regulations, the manufacturer may make reasonable assumptions in its calculations of ASP, consistent with the general requirements and intent of the Social Security Act, Federal regulations, and its customary business practices. These assumptions should be submitted along with the ASP data. In December 2004, we posted further guidance on our website addressing service fees and administrative fees paid to buyers (http://questions.cms.hhs.gov/​cgi-bin/​cmshhs.cfg/​php/​enduser/​std_​adp.php?​p_​faqid=​3318&​p_​created=​1095343992&​p_​sid=​a2qUcgci&​p_​accessibility=​0&​p_​lva=​&​p_​sp=​cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9Start Printed Page 49001JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&​p_​li=​&​p_​topview=​1 and http://questions.cms.hhs.gov/​cgi-bin/​cmshhs.cfg/​php/​enduser/​std_​adp.php?​p_​faqid=​4136&​p_​created=​1109786814&​p_​sid=​bxw-cgci&​p_​accessibility=​0&​p_​lva=​&​p_​sp=​cF9zcmNoPTEmcF9zb3J0X2J5PSZwX2dyaWRzb3J0PSZwX3Jvd19jbnQ9MzEmcF9wcm9kcz04LDU2LDYwNCZwX2NhdHM9JnBfcHY9My42MDQmcF9jdj0mcF9zZWFyY2hfdHlwZT1hbnN3ZXJzLnNlYXJjaF9ubCZwX3BhZ2U9MQ**&​p_​li=​&​p_​topview=​1).

    On July 6, 2005, we restated our guidance on service fees in the preamble of the Competitive Acquisition of Outpatient Drugs and Biologicals Under Part B (CAP) interim final rule with comment (70 FR 39069). Subsequently, we have received requests for clarification on how fees paid to entities such as group purchasing organizations (GPOs) or PBMs must be treated for purposes of the ASP calculation.

    We propose to further clarify in the final ASP reporting rule that, beginning with the ASP reporting for sales during the first calendar quarter of 2007, bona fide service fees that are paid by a manufacturer to an entity, whether or not the entity takes title to the drug, are not considered price concessions under § 414.804(a)(2) insofar as, and to the extent that, they satisfy the definition of a bona fide service fee that we are proposing at § 414.802. In § 414.802, we propose to define bona fide service fees as fees paid by a manufacturer to an entity that represent fair market value for a bona fide, itemized service actually performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for) in the absence of the service arrangement, and that are not passed on, in whole or in part, to a client or customer of an entity, whether or not the entity takes title to the drug. Our current guidance, which provides that bona fide service fees means expenses that would have generally been paid for by the manufacturer at the same rate had these services been performed by other entities, would continue unless we provide an alternative approach as discussed below. Further, we propose to clarify in the final ASP reporting rule that fees, including service fees, administrative fees and other fees, paid to GPOs or PBMs are not considered price concessions under § 414.804(a)(2) insofar as, and to the extent that, they satisfy the definition of a bona fide service fee that we have proposed at § 414.802.

    In comments on the April 6, 2004 IFC, groups representing wholesalers, distributors and specialty pharmacies provided some insight into the types of activities that are performed in the distribution of drugs. These commenters suggested that costs for handling, storage, inventory reporting, shipping, receiving, patient education, disease management and data should be borne by manufacturers and be excluded from the ASP calculation as bona fide services. However, these commenters did not provide detailed information about whether and how one would determine the extent to which these activities are bona fide services actually performed on behalf of the manufacturer or otherwise.

    Because the scope of appropriate services may vary across categories of drugs, we are considering providing guidance on the types of services that may qualify as bona fide services for purposes of the ASP calculation. We are also considering providing further guidance on or revising the approach or methodology manufacturers must use to determine the fair market value of bona fide services performed on their behalf and whether the service fee paid was passed on in whole or in part. In either case, we may implement our policy through rulemaking or through program instruction or other guidance (consistent with our authority under section 1847A(c)(5)(C) of the Act).

    We seek comments on the specific types of services entities perform on behalf of manufacturers that a manufacturer would otherwise perform (or contract for) and the necessity of those services in the efficient distribution of drugs. We also seek comments on activities that should not be considered bona fide services performed on behalf of manufacturers. To better understand which services may be considered bona fide services performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for), we seek to understand the bona fide services that may be appropriate for all or specific types of products, as well as the specific services that may be applicable to unique products or circumstances. We also seek to understand the costs and relative costs of services performed on behalf of manufacturers.

    To exclude a bona fide service fee from the ASP calculation, a manufacturer must determine whether the fee paid to an entity represents fair market value for a bona fide service actually performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for), and that the fee is not passed on, in whole or in part, to a client or customer of the entity. Our current guidance provides that bona fide service fees means expenses that would have generally been paid for by the manufacturer at the same rate had these services been performed by other entities. We seek comments on appropriate additional guidance or alternative methods for determining fair market value for purposes of identifying bona fide service fees that are excluded from the calculation of ASP, as well as comments on whether, and the extent to which, fees tied to performance of a service, fixed fee, revenue generated by product sales, or other basis may represent fair market prices for purposes of identifying bona fide service fees that are excluded from the calculation of ASP. In addition, we seek comments on the appropriate methods for determining whether a fee is passed on in whole or in part. We also seek comments on how Medicare's guidance on the treatment of service fees for ASP calculation purposes may differ with the treatment of service fees for financial accounting or other purposes, and any implications that this may have for manufacturers.

    b. Estimation Methodology for Lagged Exempted Sales

    Section 1847A(c)(2) of the Act requires manufacturers to exclude from the calculation of ASP those sales that are exempt from the Medicaid best price (BP) calculation (for example, Federal sales, sales to State pharmacy assistance programs, sales to a prescription drug plan for use under Medicare Part D). In the comments on the April 6, 2004 IFC, commenters requested more guidance on the method manufacturers should use to exclude exempted sales that are known on a lagged basis. Manufacturers identify exempted sales based on direct sales and through chargeback and rebate data that may not be sufficiently available at the time the ASP is calculated. In the absence of specific guidance on how to account for lagged exempted sales (that is, exempted sales identified through chargeback or rebate processes), manufacturers have relied upon assumptions in accordance with their customary business practices to develop their approach for excluding these sales from the ASP calculation. In our work with manufacturers that submit ASP data, we understand that some manufacturers have used a ratio methodology for estimating exempted sales known on a lagged basis which is similar to the ratio methodology manufacturers must use to estimate Start Printed Page 49002price concessions known on a lagged basis.

    To establish a uniform approach, in § 414.804(a)(4), we propose to require, in the final ASP reporting rule, that all manufacturers use a 12-month (or less, if applicable) rolling average ratio methodology to estimate exempted sales known on a lagged basis (through chargebacks or rebates) in order to more accurately exclude these sales from the ASP calculation. Specifically, for exempted sales known on a lagged basis, the manufacturer sums the lagged exempted sales for the most recent 12-month period available (or the number of months the NDC has been sold for NDCs with less than 12 months of sales, except for redesignated NDCs as described in section d below). The manufacturer then calculates a percentage using this summed amount as the numerator and the sales (the number of units after non-lagged exempted sales have been subtracted from total sales) for the same period (12 months or less, if applicable) as the denominator. The result is a rolling average percentage estimate for lagged exempted sales that is applied to the sales (the number of units after non-lagged exempted sales have been subtracted from total sales) for the quarter being reported. The product that results from multiplying the rolling average percentage estimate of lagged exempted sales and sales (the number of units after non-lagged exempted sales have been subtracted from total sales) determines the number of lagged exempted sales (in units) to be excluded from the denominator of the ASP calculation. Manufacturers must make a corresponding adjustment to the numerator of the ASP calculation to ensure that the total in dollars for the reporting quarter does not include revenue related to lagged exempted sales excluded from the denominator using the proposed estimation methodology. Further, manufacturers must remove the dollar value of lagged exempted sales from their estimates of lagged price concessions by subtracting the dollar value of estimated lagged exempted sales from the denominator as specified in § 414.804(a)(3)(i).

    Our proposed methodology for excluding lagged exempted sales is similar to the methodology manufacturers are required to use to estimate price concessions known on a lagged basis, and was recommended by manufacturers. We believe requiring similar methods to estimate both lagged exempted sales and lagged price concessions is reasonable and reduces potential errors in the manufacturers’ ASP calculations, while ensuring that exempted sales are appropriately removed from the ASP calculation. In addition, using an estimation methodology to remove lagged exempted sales reduces the likelihood of quarter to quarter variations in the ASP.

    We seek comments on the proposed methodology for excluding exempted sales known on a lagged basis from the ASP calculation and estimate of lagged price concessions. We also solicit suggestions on appropriate alternative methodologies that may be less complex.

    c. Nominal Sales

    Section 1847A(c)(2)(B) of the Act requires manufacturers to exclude from the ASP calculation sales that are merely nominal in amount, as applied for purposes of section 1927(c)(1)(C)(ii)(III) of the Act, except as the Secretary may otherwise provide. Effective January 1, 2007, the DRA (Pub. L. 109-171) modifies section 1927(c)(1)(C)(ii)(III) of the Act. Limitations on nominal sales have been added in new section 1927(c)(1)(D) of the Act. The DRA also modified the average manufacturer price (AMP) calculation and frequency of AMP reporting. Therefore, we are proposing to clarify the method manufacturers must follow, beginning in 2007, to identify nominal sales for ASP reporting purposes and to exclude nominal sales from the calculation of the ASP. We also are seeking comments on whether we should establish an alternative definition of nominal sales for ASP purposes.

    In the preamble to the ASP reporting interim final rule, we stated sales to an entity that are nominal in amount are defined in the Medicaid drug rebate agreement (see sample agreement at http://www.cms.hhs.gov/​MedicaidDrugRebateProgram/​downloads/​rebateagreement.pdf). That is, for ASP purposes, a nominal sale is a sale at a price less than 10 percent of the AMP in the same quarter for which the AMP is computed. Effective January 1, 2007, the DRA revises the AMP calculation (to omit customary prompt pay discounts extended to wholesalers), added a monthly AMP reporting requirement, and established limitations on nominal sales (only sales to certain entities may qualify as nominal sales). Section 1927(c)(1)(D) of the Act limits the nominal sales exclusion to nominal sales made to the following entities:

    • 340B covered entities as described in section 340B(a)(4) of the Public Health Services Act (PHS Act).
    • Intermediate care facilities for the mentally retarded (ICFs/MR).
    • State-owned or operated nursing facilities.
    • Any other facility or entity that the Secretary determines is a safety net provider to which sales of such drugs at a nominal price would be appropriate based on the factors described in section 1927(c)(1)(D)(ii) of the Act.

    Because section 1847A(c)(2)(B) of the Act requires manufacturers to exclude from the ASP calculation sales that are merely nominal in amount, as applied for purposes of section 1927(c)(1)(C)(ii)(III) of the Act, except as the Secretary may otherwise provide, the DRA changes will have implications for ASP reporting beginning January 1, 2007 (unless we provide an alternative policy for determining nominal sales as permitted under section 1847A(c)(2)(B) of the Act). One implication is that the limitations set forth in section 1927(c)(1)(D) of the Act will continue the exclusion of nominal sales to certain entities while requiring that sales to entities not identified under section 1927(c)(1)(D) of the Act are included in the ASP calculation, even if such sales are at very low prices. Another implication is the AMP calculation will exclude customary prompt pay discounts extended to wholesalers, yet prompt pay discounts will continue to be a type of price concession that manufacturers must include in their ASP calculations. The change in treatment of customary prompt pay discounts extended to wholesalers in the AMP calculation may result in a higher number of sales that are at less than 10 percent of the AMP than in past ASP reporting periods (notwithstanding the new limitation on what is considered a nominal sale under section 1927(c)(1)(D) of the Act). Still another implication is that the frequency of AMP reporting will include monthly reporting; thus, for ASP purposes, there is further need to clarify how nominal sales are to be identified in 2007. Separate Medicaid rulemaking will address the DRA provisions related to AMP reporting.

    We believe the DRA modifications to section 1927 of the Act noted above will have minimal effect on reported ASPs. We would expect that the exclusion of customary prompt pay discounts extended to wholesalers from AMP would lead to a modest increase in AMP, and as a result a modest increase in the number of sales that would qualify as nominal under the current ASP reporting regulations. At the same time, we anticipate that the limitation on nominal sales in section 1927(c)(1)(D) of the Act will result in a modest reduction in the number of sales that qualify as nominal sales for Start Printed Page 49003purposes of ASP reporting because we believe that the entities outlined in section 1927(c)(1)(D) of the Act generally represent the types of entities to which manufacturers may offer sales at a nominal amount. Consequently, we would expect these two countervailing changes would have a minimal overall impact on nominal sales that would be excluded from the ASP calculation. For 2007 and beyond, we propose to revise § 414.804(a)(4) to clarify that manufacturers must continue to use the Medicaid threshold (less than 10 percent of AMP) to determine nominal sales that are excluded (subject to the limitations in section 1927(c)(1)(D) of the Act) from the ASP calculation. Further, we propose that, in identifying nominal sales, manufacturers must use the AMP for the calendar quarter that is the same calendar quarter for the ASP reporting period. For these reasons, we are proposing to continue the current methodology for identifying and excluding nominal sales (that is, sales that are exempt from the Medicaid best price calculation under section 1927(c)(1)(C)(ii)(III) of the Act) from the manufacturer's calculation of the ASP. We believe this approach helps maintain continuity in the ASP calculation and minimizes manufacturers' reporting burden, as Medicare continues to follow the Medicaid approach for identifying nominal sales and manufacturers can use a single method for identifying nominal sales for both ASP and AMP purposes.

    We seek comments on our proposal to continue use of the AMP as the basis for identifying nominal sales excluded from the ASP calculation and on whether an alternative threshold for identifying nominal sales for ASP calculation purposes is necessary or desirable to ensure the accuracy of the ASP payment methodology. Specifically, we seek comments on whether sales at less than 10 percent of the ASP (instead of the AMP) should be used to identify nominal sales for ASP purposes (with the new requirement in section 1927(c)(1)(D) of the Act allowing only sales to certain entities to be considered nominal sales still being applicable). We also seek comments on our belief that the new limitations on nominal sales and change to the AMP calculation will have minimal impact on reported ASPs.

    Subsequent to the April 6, 2004 IFC, we received requests for clarification on a technical aspect related to the identification of nominal sales. Specifically, some manufacturers have asked whether nominal sales are identified by performing a series of calculations once or whether the manufacturer repeats the series of calculations until no remaining ASP eligible sales are below the nominal threshold. Consistent with current Medicaid reporting, for 2005 and 2006, manufacturers must identify nominal sales by performing the following steps once:

    • The manufacturer calculates the AMP for the reporting quarter to identify the dollar amount that represents 10 percent of the AMP for that reporting period.
    • The manufacturer then identifies sales below this amount and excludes these sales from the ASP calculation.
    • Beginning in 2007, the limitations in section 1927(c)(1)(D) of the Act must also be met to exclude the sale.

    d. Other Price Concession Issues

    In our ongoing work with manufacturers that submit ASP data, some manufacturers have posed questions or raised concerns about how the estimate of lagged price concessions is done prior to having 12 months of data for a NDC and, when a product is redesignated with a new NDC, whether price concessions from the prior NDC must be included in calculating the ASP for the new NDC. Manufacturers and other stakeholders have also asked us about how Medicare's ASP guidance concerning price concessions is to be applied when drugs are sold under bundling arrangements.

    In response, we are proposing clarifications and seeking comment on these issues.

    (1) Price Concessions for NDCs With Less Than 12 Months of Sales

    To address situations when a NDC with price concessions known on a lagged basis has not been sold for a full 12 months, we propose to revise § 414.804(a)(3) to specify that the period used to estimate lagged price concessions is the total number of months the NDC has been sold. We propose to require that manufacturers use less than 12 months of data in the estimation methodology for lagged price concessions for NDCs with less than 12 months of sales (except when the manufacturer has redesignated the product's NDC, as discussed below). Manufacturers may include the current ASP reporting quarter in the most recent 12 month period (or less for NDCs with less than 12 months of sales) so long as the manufacturer follows this approach in calculating the ASP for all of its reported NDCs. Using less than 12 months in the estimation methodology for lagged price concessions is consistent with our proposal for estimating lagged excluded sales described in section b. above.

    (2) Redesignated NDCs

    From time to time, a manufacturer may change the NDC assigned to a specific product and package size while continuing or offering price concessions that span across sales of the product under its prior and redesignated NDCs. For example, an NDC may be changed to reflect a change in the labeler code while lagged price concessions in place under the prior NDC remain in effect and carry over to the redesignated NDC. Another example would be a manufacturer that modifies its package design or other non-drug feature of the NDC and assigns a new NDC to reflect the revised packaging.

    We propose to clarify in the final ASP reporting rule that, when an NDC is changed (except when a product is repackaged or relabeled by a different manufacturer or relabeler or is privately labeled) and lagged price concessions offered for the prior NDC remain in effect, the manufacturer must use 12 months (or the total number of months of sales of the prior and redesignated NDCs if the total number of months of sales is less than 12 months) of sales and price concession data from the prior and redesignated NDCs to estimate lagged price concessions applicable to the redesignated NDC. In establishing this methodology, we are relying on our authority under section 1847A(c)(5)(A) of the Act.

    We seek comments on our proposed refinements to the estimation of lagged price concessions for NDCs with less than 12 months of sales and when a manufacturer redesignates the NDC assigned to a product. We also solicit suggestions for potentially clarifying these policies further.

    (3) Bundled Price Concessions

    We have heard a few concerns about how Medicare's ASP guidance concerning price concessions is to be applied when drugs are sold under bundling arrangements (for example, when a purchaser's price for one or more drugs is contingent upon the purchase of other drugs or items). We would like to better understand how bundling affects sales of Part B drugs and the ASP calculation, and any concerns stakeholders may have on this issue. Therefore, we are soliciting comments on a number of these issues. We note that we expect manufacturers of drugs reimbursed by Medicare Part B to comply with all applicable laws, regulations, and legal decisions including, but not limited to the Stark law, other relevant anti-kickback laws, Start Printed Page 49004antitrust laws, and laws governing fair trade practices. Our discussion of this issue in this proposed rule should not be construed as an endorsement or authorization of any pricing practices that contravene any laws, legal decisions, or regulations.

    Thus far, we have not provided specific guidance in the ASP context on the issue of apportioning price concessions across drugs that are sold under bundling arrangements. In the absence of specific guidance, the manufacturer may make reasonable assumptions in its calculations of ASP, consistent with the general requirements and the intent of the Social Security Act, Federal regulations, and its customary business practices. Manufacturers must include assumptions in their ASP submissions. We are now considering providing guidance, through rulemaking or through program instruction or other guidance (consistent with our authority under section 1847A(c)(5)(C) of the Act) on the methodology manufacturers must use for apportioning price concessions across Part B drugs sold under bundling arrangements for purposes of the calculation of ASP. As we consider this issue, our goal is to ensure that the ASP is an accurate reflection of market prices for Part B drugs and that the treatment of bundled price concessions in the ASP calculation does not create inappropriate financial incentives.

    We are soliciting comments on a number of issues, including how frequently Part B drugs are sold under bundling arrangements, the different structures of bundling arrangements that may exist (for example, the number of products included in a bundling arrangement; whether the price concessions are contingent on the purchase of only one product, the purchase of multiple products, or the inclusion of one or more products on a formulary; and the timing of the price concessions), and the extent to which sales of Part B drugs are bundled with sales of non-Part B drugs or non-drug products. We also seek comment on what effect bundling arrangements may have on the ASP calculation, on beneficiary access to high quality, appropriate care (including access to drugs that may not have clinical alternatives), and on costs to the Medicare program and beneficiaries. In addition, we seek comments on whether additional guidance on apportioning bundled price concessions for purposes of the calculation of ASP is needed and potential methodologies that Medicare could consider requiring. Furthermore, we seek comment on how variation in the structure of bundling arrangements may affect the impact of potential apportionment methodologies on the ASP calculation.

    2. Clotting Factor Furnishing Fee

    Section 303(e)(1) of the MMA added section 1842(o)(5) of the Act which requires the Secretary, beginning in CY 2005, to pay a furnishing fee, in an amount the Secretary determines to be appropriate, to hemophilia treatment centers and homecare companies for the items and services associated with the furnishing of blood clotting factor. Section 1842(o)(5)(C) of the Act specifies that the furnishing fee for clotting factor for years after CY 2006 and subsequent years will be equal to the fee for the previous year increased by the percentage increase in the consumer price index (CPI) for medical care for the 12 month period ending with June of the previous year. In the CY 2006 PFS final rule, we announced that, based on the percentage increase in the CPI of 4.2 percent for the 12-month period ending June 2005, the furnishing fee is $0.146 per unit clotting factor for CY 2006.

    The CPI data for the 12-month period ending in June 2006 is not yet available. In the FY 2007 PFS final rule, we will include the actual figure for the percent change in the CPI for medical care for the 12-month period ending June 2006, and the updated furnishing fee for CY 2007 calculated based on that figure.

    3. Widely Available Market Prices (WAMP) and AMP Threshold

    Section 1847A(d)(1) of the Act states that “the Inspector General of HHS shall conduct studies, which may include surveys to determine the widely available market prices (WAMP) of drugs and biologicals to which this section applies, as the Inspector General, in consultation with the Secretary, determines to be appropriate.” Section 1847A(d)(2) of the Act states that, “Based upon such studies and other data for drugs and biologicals, the Inspector General shall compare the ASP under this section for drugs and biologicals with—

    • The widely available market price (WAMP) for these drugs and biologicals (if any); and
    • The average manufacturer price (AMP) (as determined under section 1927(k)(1) of the Act for such drugs and biologicals.”

    Section 1847A(d)(3)(A) of the Act states that, “The Secretary may disregard the ASP for a drug or biological that exceeds the WAMP or the AMP for such drug or biological by the applicable threshold percentage (as defined in subparagraph (B)).” The applicable threshold is specified as 5 percent for CY 2005. For CY 2006 and subsequent years, section 1847A(d)(3)(B) of the Act establishes that the applicable threshold is “the percentage applied under this subparagraph subject to such adjustment as the Secretary may specify for the WAMP or the AMP, or both.” In CY 2006, we specified an applicable threshold percentage of 5 percent for both the WAMP and AMP. We based this decision on the limited data available to support a change in the current threshold percentage.

    For CY 2007, we propose to specify an applicable threshold percentage of 5 percent for the WAMP and the AMP. At present, the OIG is continuing its comparison of both the WAMP and the AMP. Since, at this time we do not have data that suggest another level is more appropriate, we believe that continuing the 5 percent applicable threshold percentage for both the WAMP and AMP is appropriate.

    There are a number of operational issues associated with Medicare's authority to substitute a lower payment amount for a drug if the OIG finds and informs the Secretary, at such times as the Secretary may specify, that the ASP exceeds the WAMP or AMP by more than the established threshold (currently 5 percent). We would welcome public comment on operational issues such as the timing and frequency of the ASP, AMP, and WAMP comparisons and effective date and duration of the rate substitution.

    4. Payment for Drugs Furnished During CY 2006 and Subsequent Years in Connection With the Furnishing of Renal Dialysis Services if Separately Billed by Renal Dialysis Facilities

    In the November 21, 2005 PFS final rule (70 FR 70116), we stated that payment for a drug furnished during CY 2006 in connection with renal dialysis services and separately billed by freestanding renal dialysis facilities and hospital-based facilities would be based on section 1847A of the Act. We intended this to mean CY 2006 and subsequent years. Therefore, in this proposed rule, we are not proposing a policy change, but rather, we are clarifying that this policy will apply to CY 2006 and subsequent years until otherwise specified.

    G. Proposed Provisions Related To Payment for Renal Dialysis Services Furnished by End-Stage Renal Disease (ESRD) Facilities

    [If you choose to comment on issues in this section, please include the Start Printed Page 49005caption “ESRD PROVISIONS” at the beginning of your comments.]

    Since August 1, 1983, payment for dialysis services furnished by ESRD facilities has been based on a composite rate payment system that provides a fixed, prospectively determined amount per dialysis treatment, adjusted for geographic differences in area wage levels. In accordance with section 1881(b)(7) of the Act, separate composite rates have been established for hospital-based and independent ESRD facilities. The composite rate is designed to cover a package of goods and services needed to furnish dialysis treatments that include certain routinely provided drugs, laboratory tests, supplies, and equipment. Unless specifically included in the composite rate, other injectable drugs and laboratory tests medically necessary for the care of the dialysis patient are separately billable. The base composite rates per treatment, effective on August 1, 1983, were $123 for independent ESRD facilities and $127 for hospital-based ESRD facilities. The Congress has enacted a number of adjustments to the composite rate since that time. The current 2006 base composite rates are $130.40 for independent ESRD facilities and $134.53 for hospital-based ESRD facilities.

    Section 623 of the MMA amended section 1881 of the Act to require changes to the composite rate payment methodology, as well as to the pricing methodology for separately billable drugs and biologicals furnished by ESRD facilities.

    Section 1881(b)(12) of the Act, as added by MMA, required the establishment of a basic case-mix adjusted prospective payment system (PPS) that would include the services comprising the composite rate and an add-on to the composite rate component for the difference between current payments for separately billed drugs and the revised drug pricing specified in the statute. In addition, section 1881(b)(12) of the Act required that the composite rate be adjusted for a limited number of patient characteristics (case-mix) and section 1881(b)(12)(D) of the Act gave the Secretary discretion to revise the wage indices and the urban and rural definitions used to develop them. Finally, section 1881(b)(12)(E) of the Act imposed a budget neutrality requirement, so that aggregate payments under the basic case-mix adjusted composite payment system for 2005 would equal the aggregate payments that would have been made for the same period if section 1881(b)(12) of the Act did not apply.

    Before January 1, 2005, payment to both independent and hospital-based facilities for the anti-anemia drug, Erythropoietin (EPO) was established pursuant to section 1881(b)(11) of the Act at $10.00 per 1,000 units. For independent ESRD facilities, payment for all other separately billable drugs and biologicals was based on the lower of actual charges or 95 percent of the average wholesale price (AWP). Hospital-based ESRD facilities were paid based on the reasonable cost methodology for separately billed drugs and biologicals (other than EPO) furnished to dialysis patients. Changes to the payment methodology for separately billed ESRD drugs and biologicals that were established by the MMA and were effective January 1, 2005 are described in sections G.1. and G.2. below. These changes affected payments in both CYs 2005 and 2006.

    1. CY 2005 Revisions

    On November 15, 2004, we published the CY 2005 PFS final rule with comment period (69 FR 66319 through 66334), that revised payments to ESRD facilities based on changes enacted by the MMA. The November 15, 2004 final rule with comment period implemented section 1881(b) of the Act, as amended by section 623 of the MMA. Changes effective January 1, 2005, included implementation of a case-mix adjusted payment system that incorporates services that comprise the composite rate; an update of 1.6 percent to the composite rate component of the payment system; and a drug add-on of 8.7 percent to the composite rate for the difference between current payments for separately billable drugs and payments based on the revised drug pricing for 2005 which used acquisition costs. The final rule also implemented case-mix adjustments to the composite rate for a limited number of patient characteristics (age, low body mass index (BMI), and body surface area (BSA)), effective April 1, 2005.

    In addition, to implement section 1881(b)(13) of the Act, we revised payments for drugs billed separately by independent ESRD facilities, paying for the top 10 ESRD drugs based on acquisition costs (as determined by the OIG) and for other separately billed drugs at the average sales price +6 percent (hereafter referred to as ASP+6 percent). Hospital-based ESRD facilities continued to receive cost-based payments for all separately billable drugs and biologicals except for EPO which was paid based on average acquisition costs.

    2. CY 2006 Revisions

    In the November 21, 2005 Federal Register (70 FR 70161), we published the CY 2006 PFS final rule with comment period (70 FR 70161) implementing additional revisions to payments to ESRD facilities under section 623 of the MMA. For CY 2006, we further revised the drug payment methodology applicable to drugs furnished by ESRD facilities. All separately billed drugs and biologicals furnished by both hospital-based and independent ESRD facilities are now paid based on ASP+6 percent.

    We recalculated the 2005 drug add-on adjustment to reflect the difference in payments between the pre-MMA AWP pricing and the revised pricing based on ASP+6 percent. The recalculation did not affect the actual add-on adjustment applied to payments in 2005, but provided an estimate of what the adjustment would have been had the 2006 payment methodology been in effect in 2005. The drug add-on adjustment was then updated to reflect the expected growth in expenditures for separately billable drugs in CY 2006.

    As of January 1, 2006, we also implemented a revised geographic adjustment authorized by section 1881(b)(12) of the Act. As part of that change, we—

    • Revised the labor market areas to incorporate the new CBSA designations established by the Office of Management and Budget (OMB);
    • Eliminated the wage index ceiling and reduced the floor to .8500; and
    • Revised the labor portion of the composite rate to which the geographic adjustment is applied.

    We also provided a 4-year transition from the previous wage-adjusted composite rates to the current wage-adjusted rates. For CY 2006, only 25 percent of the payment is based on the revised geographic adjustments, and the remaining 75 percent of payment is based on the old Metropolitan Statistical Area-based (MSA-based) payments.

    In addition, section 5106 of the DRA (Pub. L. 109-171), provided for a 1.6 percent update to the composite rate component of the basic case-mix adjusted payment system, effective January 1, 2006. As a result, the current base composite rate is $130.40 for independent ESRD facilities and $134.53 for hospital-based facilities. The drug add-on adjustment (including the growth update) for 2006 is 14.5 percent.

    3. Provisions of the Proposed Rule

    For CY 2007, we are proposing the following provisions which are described in more detail below: Start Printed Page 49006

    • A method to annually calculate the growth update to the drug add-on adjustment required by section 1881(b)(12) of the Act, as well as an estimated growth update adjustment to the add-on amount of 0.6 percent for CY 2007.
    • An update to the wage index adjustments to reflect the latest hospital wage data, including a budget neutrality adjustment of 1.053069 to the wage index for CY 2007.

    4. Proposed Growth Update to the Drug Add-On Adjustment to the Composite Rates

    Section 623(d) of the MMA added section 1881(b)(12)(B)(ii) of the Act which required the establishment of an add-on to the composite rate to account for changes in the drug payment methodology stemming from enactment of the MMA. Section 1881(b)(12)(C) of the Act provides that the drug add-on must reflect the difference in aggregate payments between the revised drug payment methodology for separately billable ESRD drugs (acquisition costs in CY 2005; ASP+6 percent in CY 2006) and the AWP payment methodology in effect in CY 2004.

    In addition, section 1881(b)(12)(F) of the Act requires that, beginning in CY 2006, we establish an annual update to the drug add-on to reflect estimated growth in expenditures for separately billable drugs and biologicals furnished by ESRD facilities. This growth update applies only to the drug add-on portion of the case-mix adjusted payment system.

    The CY 2006 drug add-on adjustment to the composite rate is 14.5 percent. The drug add-on adjustment for CY 2006 incorporates an inflation adjustment of 1.4 percent. This computation is explained in detail in the CY 2006 PFS final rule with comment period (70 FR 70162). We note that the drug add-on adjustment of 14.7 percent that was published in November 21, 2005 PFS final rule with comment period did not account for the 1.6 percent update to the composite rate portion of the basic case-mix adjustment payment system that was subsequently enacted by the DRA, effective January 1, 2006. Since we compute the drug add-on adjustment as a percentage of the weighted average base composite rate, the drug add-on percentage was decreased to account for the higher composite payment rate resulting in a 14.5 percent add-on adjustment for CY 2006. This adjustment was necessary to ensure that the total drug add-on dollars remained constant.

    a. Estimating Growth in Expenditures for Drugs and Biologicals for CY 2007

    In developing the growth update to the drug add-on for CY 2006 we conducted a trend analysis of prior years’ ESRD drug expenditure data (2001 through 2004). All 4 years of data used for the trend analysis reflected expenditures associated with payment for separately billed drugs and biologicals under the AWP methodology. We could, therefore, develop growth estimates for CY 2006 using comparable historical expenditure data. To extend the trend analysis for CY 2007, we would need to include drug expenditure data from CY 2005. However, in CY 2005, section 1881(b)(13)(A)(ii) of the Act required that we use a different drug payment methodology, based on average acquisition costs, rather than the AWP methodology used in prior years. Therefore, ESRD drug expenditure data for CY 2005 are not comparable to expenditure data for CY 2001 through CY 2004 for trend analysis purposes. This data issue will extend to subsequent years’ data as well, as we are now paying for separately billable drugs using ASP+6 percent. Because we do not have comparable data on which to base continuing trend analysis, we believe it is necessary to re-evaluate our methodology for updating the drug add-on adjustment.

    In order to address the issue of data comparability described above, we considered using available drug proxy measures to predict growth in ESRD drug expenditures for CY 2007. We note that section 1881(b)(12)(F) of the Act specifies that the drug update must reflect “the estimated growth in expenditures for drugs and biologicals that are separately billable * * *.” By referring to “expenditures”, we believe the statute contemplates that the update would account for both increases in drug prices as well as increases in utilization of those drugs.

    One available proxy measure that reflects both price and utilization is the national health expenditure projection for prescription drugs that is developed by CMS. However, because of uncertainties regarding the impact of the Medicare Part D prescription drug program on expenditures, we are concerned that the current estimates for CY 2007 will likely change, as actual Part D expenditure data become available. Therefore, we do not believe this measure would be an appropriate proxy measure for this purpose.

    Another widely recognized proxy measure is the producer price index (PPI) for prescription drugs. The PPI is a good measure of drug pricing growth, but does not capture the growth in per patient drug utilization that must also be part of an accurate estimate of growth in ESRD drug expenditures. However, if the PPI is used in conjunction with an estimate of per patient growth in drug utilization, we believe this measure would provide a simple and accurate approach to updating the drug add-on that could be readily used in subsequent years. Moreover, using the PPI would significantly reduce any data bias that is inherent in using historical drug expenditure data that do not reflect current drug payment methodologies. As discussed in detail below, we are proposing to estimate growth in per patient utilization of drugs by using historical data from 2004 and 2005.

    Another approach to estimating the growth in ESRD drug expenditures is to continue using historical trend analysis by making adjustments to the available data to permit year to year comparisons. This would be accomplished by making an adjustment to the CY 2005 data based on average acquisition price (AAP) using the weighted average difference between AWP prices and AAP prices. We would use trend analysis to project the growth in drug expenditures for CY 2007.

    While we believe this approach is reasonably accurate for developing the CY 2007 growth estimates, since only one year of data would require adjustment, we are concerned about applying this methodology to future updates. Future year updates would require multiple year to year adjustments in prices. Moreover, historical AWP data does not provide an accurate measure of price changes for EPO under the revised drug payment methodology, since EPO pricing was held constant during that historical period.

    In addition, our estimate of the weighted average difference between AAP prices and AWP prices (and ASP versus AWP prices in CY 2006) was based on a projection of price levels. It is likely that the weighted average difference would change based on actual pricing data for each of those years. To be consistent with the statute, we expect to update the established adjustment to reflect estimated growth in drug expenditures, but we do not anticipate re-computing the drug add-on adjustment annually. Adjusting our assumptions to estimate projected growth without changing the underlying assumptions in the add-on adjustment would create inconsistencies between the two elements. Therefore, we are proposing to discontinue use of older historical drug spending data to Start Printed Page 49007estimate the growth update to the drug add-on adjustment. We will reconsider our methodology when we have sufficient historical data reflecting the revised drug payment methodology using ASP pricing.

    For the reasons discussed above, we are proposing to develop an estimate of the growth in expenditures for ESRD drugs and biologicals using the PPI for prescription drugs as a measure of price increases in conjunction with two years of historical data from 2004 and 2005 as a basis for estimating utilization growth at the per patient level. We believe that this approach will best reflect the estimated growth in expenditures for ESRD drugs and biologicals.

    b. Estimating Growth in Per Patient Drug Utilization

    To isolate and project the growth in per patient utilization of ESRD drugs for CY 2007, we need to remove the enrollment and price growth components from historical drug expenditure data and consider the residual utilization growth. We propose to use total drug expenditure data from CYs 2004 and 2005 to estimate per patient utilization growth for CY 2007.

    We first needed to estimate total drug expenditures. For this proposed rule, we used the final CY 2004 ESRD claims data and the latest available CY 2005 ESRD facility claims, updated through December 31, 2005, that is, claims with dates of service from January 1 through December 31, 2005, that were received, processed, paid, and passed to the National Claims History File as of December 31, 2005. For the final rule, we will use more updated CY 2005 claims with dates of service for the same time period. This updated CY 2005 data file will include claims that are received, processed, paid, and passed to the National Claims History File as of June 30, 2006.

    While the December 2005 update of CY 2005 claims used in this proposed rule is the most recently available claims data, we recognize that it is not a fully complete year as claims with dates of service towards the end of the year have not all been processed. To more accurately estimate the update to the drug add-on, we need aggregate drug expenditures. Based on an analysis of the 2004 claims data, we inflated the CY 2005 drug expenditures to estimate the June 30, 2006 update of the 2005 claims file. We used the relationship between the December 2004 and the June 2005 versions of 2004 claims to estimate the more complete 2005 claims that will be available in June 2006. We applied that ratio to the 2005 claims data from the December 2005 claims file. We did this for drug expenditures in aggregate, for each of top ten separately billable drugs, and within each for independent and hospital-based ESRD facilities. All components were then combined to estimate aggregate CY 2005 ESRD drug expenditures. The net adjustment to the CY 2005 claims data was an increase of 13 percent to the 2005 expenditure data. This adjustment allows us to more accurately compare the 2004 and 2005 data, to estimate utilization growth.

    The next step is to remove the enrollment and price growth components from that total. As discussed earlier in this section, in developing the per patient utilization growth for this proposed rule, we limited our analysis to the latest 2 years of available ESRD drug data, that is, 2004 and 2005. We believe that per patient utilization growth between these years would be a better proxy for future growth, as it best represents current utilization trends. Furthermore, because of the implementation of the new EPO utilization monitoring policy that took effect on April 1, 2006 (Medicare Claims Processing Manual, Chapter 8, section 60-4ff, p. 51-53), we believe that per patient utilization of ESRD drugs will remain relatively stable or decline slightly in future years. We note that EPO accounts for nearly 70 percent of ESRD drug expenditures.

    To calculate the per patient utilization growth, we removed the enrollment component by using the growth in enrollment data between 2004 and 2005. This was approximately 3 percent. To remove the price effect we used a two-step process. First we calculated a weighted average between EPO and non-EPO price growth factors to account for the growth in pre-MMA pricing between 2004 and 2005. Since EPO was priced at $10 per thousand units prior to the enactment of the MMA, there is no growth for EPO. For the non-EPO drugs, we used the PPI as a proxy for the growth between the 2 years to maintain consistency with the established methodology for calculating the drug add-on adjustment which used the PPI to estimate the price growth in separately billable drugs (November 15, 2004, CY 2005 PFS final rule with comment period, 69 FR 66321). Next, we incorporated the estimated negative 13 percent weighted price difference between 2005 AWP and 2005 AAP pricing as was published in the CY 2005 PFS final rule with comment period (69 FR 66319 through 66334). This two-step process to account for the price effect from 2004 to 2005 led to an overall 12 percent reduction in price between 2004 and 2005.

    After removing the enrollment and price effects from the expenditure data, we believe the residual growth would reflect the per patient utilization growth. To do this, we divided the product of the enrollment growth of 3 percent (1.03) and the price reduction of 12 percent (1.00 − .12 = .88) into the total drug expenditure decrease between 2004 and 2005 of 9 percent (1.00−.09 = .91). The result is a utilization factor equal to 1.00 (.91/(1.03 * .88) = 1.00).

    As we observed no growth in per patient utilization of drugs between 2004 and 2005, we are, therefore, projecting no growth in per patient utilization for CY 2007.

    1. Applying the Proposed Growth Update to the Drug Add-on Adjustment

    In CY 2006, we estimated the growth update by trending drug expenditures forward based on four years of AWP payment data (CY 2001 through CY 2004). We then applied the estimated growth update percentage to the total amount of drug add-on dollars established for CY 2005 to come up with a dollar amount for the CY 2006 growth update. In addition, we projected the growth in dialysis treatments for CY 2006 based on the projected growth in ESRD enrollment. We divided the projected total dialysis treatments for CY 2006 into the projected dollar amount of the CY 2006 growth to develop the per treatment growth update amount. This growth update amount, combined with the CY 2005 per treatment drug add-on amount, resulted in an average drug add-on amount per treatment of $18.88 (or a 14.5 percent adjustment to the composite rate) for CY 2006.

    Beginning in CY 2007, we are proposing to annually update the per treatment drug add-on amount of $18.88 established in CY 2006 and convert the update to an adjustment factor as stipulated in section 1881(b)(12)(F) of the Act. As explained above, we believe this approach is more accurate than recalculating the per treatment add-on adjustment each year using an estimate of growth in treatments. We note that we had received comments that our projections of treatment growth used to calculate the CY 2006 adjustment may have been overstated, however, we believe that the use of enrollment data was and remains the best measure available to predict treatment growth. By proposing to apply the update to the CY 2006 per treatment add-on amount, this estimation component is eliminated for CY 2007 and future years. Start Printed Page 49008

    2. Proposed Update to the Drug Add-On Adjustment

    As discussed above, we estimate no growth in per patient utilization of ESRD drugs for CY 2007. Using the projected CY 2007 PPI for prescription drugs of 4.9 percent, we are projecting that the combined growth in per patient utilization and pricing for CY 2007 would result in an update equal to the PPI or 4.9 percent (1.0*1.049 = 1.049). This update factor would be applied to the CY 2006 average per treatment drug add-on amount of $18.88 (reflecting a 14.5 percent adjustment in CY 2006), resulting in a proposed weighted average increase to the composite rate of $.93 for CY 2007 or a 0.6 percent increase in the CY 2006 drug add-on percentage. Thus, the total proposed drug add-on adjustment to the composite rate for CY 2007, including the growth update, would be 15.2 percent (1.145*1.006 = 1.152).

    In addition, we are proposing to continue to use this method to estimate the growth update to the drug add-on component of the case-mix adjusted payment system until we have at least three years worth of ASP-based historical drug expenditure data that could be used to conduct a trend analysis to estimate the growth in drug expenditures. Given the time lag in the availability of ASP drug expenditure data, we expect that the earliest we could consider using trend analysis to update the drug add-on adjustment would be 2010. We propose to reevaluate our methodology for estimating the growth update at that time.

    c. OIG Report on New Drug Codes

    Section 623(c)(1) of the MMA mandated that the OIG conduct two studies to determine the difference between the Medicare payment amount for separately billable ESRD drugs and the facilities” acquisition costs for these drugs, as well as estimating the growth rate of expenditures for these drugs. The initial study, “Medicare Reimbursement for Existing End Stage Renal Disease Drugs” (OEI-03-04-00120) was completed in May 2004, and reported on existing ESRD drugs. This report was used to set the CY 2005 reimbursement rates for ESRD drugs billed by independent dialysis facilities (69 FR 66322). The second study (“Medicare Reimbursement for New ESRD Drugs” (OEI-03-06-00200)) focused on new drugs. New drugs for the purpose of this study were defined as an ESRD drug that did not have a BILLING CODE prior to January 1, 2004.

    One drug, darbepoetin alfa (Aranesp) accounted for the majority of all payments for new drugs. Therefore, this was the only new ESRD drug studied. The OIG report found that use of this drug was limited to a small number of facilities (only 157 facilities reported using this drug with concentrated use in approximately 55 of these facilities). Because of the recent changes we made to the drug payment methodology and the lack of comparable historical data, the OIG report made no estimate of an expenditure growth rate for this drug.

    Darbepoetin alfa (Aranesp) is currently paid as a separately billable drug at ASP+6 percent. Because of the recent (CY 2006) implementation of the ASP+6 percent drug reimbursement methodology, the small number of facilities using this drug for ESRD patients, and the lack of historical data for trending purposes, we have no data to indicate that any difference in payment methods for Aranesp (between 2004 and 2006) would affect our calculation of the drug add-on or of the growth update. Moreover, since Aranesp was approved in 2001 for use in ESRD patients, we believe that expenditures for Aranesp were reflected in the historical data used to establish the 2005 drug add-on under a generic drug code. Therefore, we are proposing to make no additional changes to the drug add-on adjustment for CY 2007.

    5. Proposed Update to the Geographic Adjustments to the Composite Rates

    Section 1881(b)(12)(D) of the Act, as amended by section 623(d) of the MMA, gave the Secretary the authority to revise the wage indexes previously applied to the ESRD composite rates. The wage indexes are calculated for each urban and rural area. The purpose of the wage index is to adjust the composite rates for differing wage levels covering the areas in which ESRD facilities are located.

    a. Updates to CBSA Definitions

    In the CY 2006 PFS final rule with comment period (70 FR 70167), we announced our adoption of the OMB's CBSA-based geographic area designations to develop revised urban/rural definitions and corresponding wage index values for purposes of calculating ESRD composite rates. OMB's CBSA-based geographic area designations were described in Bulletin 03-04 originally issued June 6, 2003. On February 22, 2005 and December 5, 2005, OMB released Bulletins 05-02 and 06-01, respectively. Those bulletins contained updates to the metropolitan and micropolitan statistical area designations initially announced in Bulletin 03-04. OMB's revisions had no effect on the classification of counties which comprise the urban and rural areas used to develop the ESRD wage index values. However, Bulletins 05-02 and 06-01 changed the titles of several of the MSAs and Metropolitan Divisions used in connection with the ESRD urban wage index. Table 5 below, which contains the proposed wage index values for the ESRD urban areas, includes all of the changes announced by OMB in the February 22, 2005 and December 5, 2005 bulletins.

    b. Updated Wage Index Values

    In the CY 2006 PFS final rule with comment period, we stated that we intended to update the wage index values annually (70 FR 70167). Current ESRD wage index values for CY 2006 were developed from FY 2002 wage and employment data obtained from the Medicare hospital cost reports. The values are calculated without regard to geographic reclassifications authorized under sections 1886(d)(8) and (d)(10) of the Act and utilize pre-floor hospital data that is unadjusted for occupational mix.

    The methodology for calculating the CY 2006 wage index values was described in the CY 2006 PFS final rule with comment period (70 FR 70168). We propose to use the same methodology for CY 2007, with the exception that FY 2003 hospital data will be used to develop the CY 2007 ESRD wage index values. For a detailed description of the development of the proposed CY 2007 ESRD wage index values based on FY 2003 hospital data, see the FY 2007 IPPS proposed rule entitled, “Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2007 Rates,” (April 25, 2006, 71 FR 24080). Section III F. (Computation of the Proposed FY 2007 Unadjusted Wage Index) of the preamble to that proposed rule describes the cost report schedules, line items, data elements, adjustments, and wage index computations. The wage index data affecting ESRD composite rates for each urban and rural locale may also be accessed on the CMS website at: http://www.cms.hhs.gov/​AcuteInpatientPPS/​WIFN/​list.asp.

    The wage data are located in the section entitled, “FY 2007 Proposed Rule Occupational Mix Adjusted and Unadjusted Average Hourly Wage and Pre-reclassified Wage Index by CBSA”.

    (1) Wage Index Values for Areas With No Hospital Data

    In CY 2006, while adopting the CBSA designations, we identified a small number of ESRD facilities in both urban and rural geographic areas where there Start Printed Page 49009is no hospital wage data on which to base the calculations of the CY 2006 ESRD wage index values. Our CY 2005 policy and CY 2006 proposal for each area are discussed separately below.

    The first situation was rural Massachusetts. Because there were no reasonable proxies for rural data within Massachusetts, we used the prior year's acute care hospital wage index value for rural Massachusetts. For CY 2007, we propose to continue to use this value and request public input on an alternative methodology.

    Since there may be additional rural areas in the future similarly impacted by a lack of hospital wage data on which to derive a hospital wage index, we are considering alternative methodologies for imputing a rural wage index for areas in States where no hospital wage data are available. We believe that an evaluation of alternative methodologies for imputing a rural wage index in these areas should adhere to four basic policy criteria. First, an alternative methodology should retain our current longstanding policy to use pre-floor, pre-reclassified hospital wage data to compute wage index values for post acute care facilities, including ESRD facilities. Second, any methodology to impute a rural wage index should use rural wage data to derive the rural wage index value. Third, any methodology to impute a rural wage index should be easy to evaluate. Fourth, any methodology to impute a rural wage index would be able to update wage data from year-to-year.

    We arrived at one alternative that meets all of the above policy criteria. Under this alternative, we would impute a rural wage index value by using a simple average CBSA-based rural wage index value at the Census Division level. Census Divisions are defined by the U.S. Census Bureau and may be found at (www.census.gov/​geo/​www/​us_​regdiv.pdf). As stated above, for CY 2007, hospital wage data are not available to compute a rural wage index for ESRD facilities in rural Massachusetts, and this alternative methodology could be applied in this case. Massachusetts is located in Census Division I (New England). The States in this Census Division, and their respective rural wage index values (using hospital cost report wage data for FY 2003) include—

    • Connecticut (1.1753);
    • Maine (0.8410);
    • New Hampshire (1.0800);
    • Vermont (0.9944)
    • Rhode Island (all five counties classified as urban); and
    • Massachusetts.

    Under this alternative methodology, the States in Census Division I for which rural wage index values are available, as shown above, would be used; this would result in a simple average rural wage index value of 1.0227 (1.0770 after applying budget neutrality factor (BNF)). Although this methodology would result in a rural Massachusetts wage index that is currently greater than the value under the current proposed policy (1.0216, 1.0758 after applying BNF), we believe this methodology may be able to accurately reflect future increases or decreases of wage data for the States within the applicable Census Division.

    Rural Puerto Rico is similar to rural Massachusetts in that there are ESRD facilities where there are no acute care hospitals and, therefore, no hospital data. However, the situation for facilities in rural Puerto Rico is different in that the floor would be applied to rural Puerto Rico ESRD facilities. All areas in Puerto Rico that have an index are eligible for the floor because they have wage-index values that are below .8000. For CY 2007, we propose to apply the floor to rural Puerto Rico.

    The third situation involves an urban area in Hinesville, GA (CBSA 25980). For CY 2006, we used a wage index value based on wage index values in all of the other urban areas within the same State to serve as a reasonable proxy for the urban areas without hospital wage index data. Specifically, we used the average wage index value for all urban areas within the State of Georgia as the urban wage index for purposes of calculating the value for Hinesville for CY 2006. For CY 2007, we are proposing to continue using this method for Hinesville, GA (CBSA 25980).

    We solicit comments on maintaining our current policy for establishing wage index values for rural and urban areas without hospitals, the alternative approach outlined above in developing wage index values for rural areas without hospitals for CY 2007 and subsequent years, and other methods that meet the policy criteria for imputing wage index values. We will also continue to evaluate existing hospital wage data and, possibly, wage data from other sources, such as the Bureau of Labor Statistics, to determine if other methodologies of imputing a wage index value where hospital wage data are not available may be feasible.

    (2) Second Year of the Transition

    In the CY 2006 PFS final rule with comment period, we indicated that we would apply a 4-year transition period to mitigate the impact on composite rates resulting from our adoption of CBSA-based geographic designations (70 FR 70169). Beginning January 1, 2006, during each year of the transition, an ESRD facility's wage-adjusted composite rate (that is, without regard to any case-mix adjustments) will be a blend of its old MSA-based wage-adjusted payment rate and its new CBSA-based wage adjusted payment rate for the transition year involved. For each transition year, the share of the blended wage-adjusted base payment rate that is derived from the MSA-based and CBSA-based wage index values is shown in Table 4 below. In CY 2006, the first year of the transition, we implemented a 75/25 blend. CY 2007 is the second year of the 4-year transition period. Consistent with the transition blends announced in the November 21, 2005 PFS final rule with comment period (70 FR 70170), we are proposing a 50/50 blend between an ESRD facility's MSA-based composite rate, and its CY 2007 CBSA-based rate reflecting its revised wage index values.

    In CY 2006, we also eliminated the wage index cap of 1.30, and stated that we would implement a gradual reduction in the wage index floor of .90. Prior to January 1, 2006, the wage indexes were restricted to values no less than .90 and no greater than 1.30, meaning that payments to facilities in areas where labor costs fell below 90 percent of the national average, or exceeded 130 percent of that average, were not adjusted beyond the 90 percent or 130 percent level. Although we stated that the ESRD wage index values should not be constrained by the application of floors and ceilings, we also expressed concern that the immediate elimination of the floor could adversely affect ESRD beneficiary access to care. Therefore, we reduced the floor to .85 in CY 2006.

    For CY 2007, we are proposing to reduce the wage index floor to .80. As we stated in the CY 2006 PFS final rule with comment period, we intend to reassess the continuing need for a wage index floor in CY 2008 and CY 2009 (CY 2006 PFS final rule with comment period, November 21, 2005, 70 FR 70169 through 70170). The proposed wage index floors, caps, and blended shares of the composite rates applicable to all ESRD facilities during CYs 2007 through 2009 are shown in Table 4 below. They are identical to the values shown in Table 20 of the CY 2006 PFS final rule with comment period (70 FR 70170) for the applicable years. Start Printed Page 49010

    Table 4.—Wage Index Transition Blend

    CY paymentFloorCeilingOld MSA (percent)New CBSA (percent)
    2007.80 *None5050
    2008ReassessNone2575
    2009ReassessNone0100
    * Each wage index floor is multiplied by a budget neutrality adjustment factor. For CY 2007 the budget neutrality adjustment is 1.053069 resulting in an actual wage index floor of 0.8425.

    An example of how the wage-adjusted composite rates would be blended during CY 2007 and the two subsequent transition years follows.

    Example:

    An ESRD facility has a wage-adjusted composite rate (without regard to any case-mix adjustments) of $135.00 per treatment in CY 2006. Using CBSA-based geographic area designations, the facility's CY 2007 wage-adjusted composite rate, reflecting its wage index value as shown in Table 5 below, would be $145.00. During the remaining 3 years of the four-year transition period to the new CBSA-based wage index values, this facility's blended rate through 2009 would be calculated as follows:

    CY 2007 .50 × $135.00 + .50 × $145.00 = $140.00

    CY 2008 .25 × $135.00 + .75 × $145.00 = $142.50

    CY 2009 0 × $135.00 + 1.0 × $145.00 = $145.00

    We note that this hypothetical example assumes that the calculated wage-adjusted composite rate of $145.00 for CY 2007 does not change in CYs 2008 and 2009. In actuality, the wage-adjusted composite rate would change because of annual revisions to the wage index. However, the example serves only to demonstrate the effect on the composite rate of the CBSA-based wage index values which will be phased-in during the remaining 3 years of the transition period.

    c. Budget Neutrality Adjustment

    Section 1881(b)(12)(E)(i) of the Act, as added by section 623(d) of the MMA, requires that any revisions to the ESRD composite rate payment system as a result of the MMA provision (including the geographic adjustment) be made in a budget neutral manner. This means that aggregate payments to ESRD facilities in CY 2007 should be the same as aggregate payments that would have been made if we had not made any changes to the geographic adjusters. We note that this budget neutrality adjustment only addresses the impact of changes in the geographic adjustments. A separate budget neutrality adjustment was developed for the case-mix adjustments, currently in effect. Since we are not proposing any changes to the case-mix measures for CY 2007, the current case-mix budget neutrality will remain in effect for CY 2007. For CY 2007, we again propose to apply a BNF directly to the ESRD wage index values, as we did in CY 2006. As we explained in the CY 2006 PFS final rule with comment period (70 FR 70170 through 70171), we believe this is the simplest approach because it allows us to maintain our base composite rates during the transition from the current wage adjustments to the revised wage adjustments described earlier in this section. Because the ESRD wage index is only applied to the labor-related portion of the composite rate, we computed the BNF adjustment based on that proportion (53.711 percent).

    In order to compute the proposed CY 2007 wage index BNF, we used the wage index values in Tables 5 and 6 below, 2005 outpatient claims (paid and processed as of December 31, 2005), and geographic location information for each facility which may be found through Dialysis Facility Compare. Dialysis Facility Compare can be found by going to the following Web site: http://www.cms.hhs.gov/​DialysisFacilityCompare/​.

    Using treatment counts from the 2005 claims and facility-specific CY 2006 composite rates, we computed the estimated total dollar amount each ESRD provider would have received in CY 2006 (the first year of the 4-year transition). The total of these payments became the target amount of expenditures for all ESRD facilities for CY 2007. Next, we computed the estimated dollar amount that would have been paid to the same ESRD facilities using the proposed ESRD wage index for CY 2007 (the second year of the 4-year transition). The total of these payments became the second year new amount of wage-adjusted composite rate expenditures for all ESRD facilities.

    After comparing these two dollar amounts (target amount divided by second year new amount), we calculated an adjustment factor that, when multiplied by the applicable CY 2007 ESRD wage index shown in Tables 5 and 6 below, will result in payments to each facility that will remain within the target amount of composite rate expenditures when totaled for all ESRD facilities. The proposed budget neutrality adjustment factor for the CY 2007 wage index is 1.053069.

    To ensure budget neutrality we also must apply the BNF to the wage index floor of 0.8000 which results in a proposed adjusted wage index floor of 0.8425 for CY 2007.

    d. ESRD Wage Index Tables

    The following two tables show the proposed CY 2007 ESRD wage index, including the BNF adjustment, for urban areas (Table 5) and rural areas (Table 6).

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    Table 6.—Proposed CY 2007 ESRD Wage Index for Rural Areas Based on CBSA Labor Market Areas

    CBSA codeNonurban areaWage index
    1Alabama0.8425
    2Alaska1.1247
    3Arizona0.9398
    4Arkansas0.8425
    5California1.1902
    6Colorado0.9838
    7Connecticut1.2377
    8Delaware1.0239
    10Florida0.9051
    11Georgia0.8425
    12Hawaii1.1022
    13Idaho0.8566
    14Illinois0.8769
    15Indiana0.8927
    16Iowa0.9159
    17Kansas0.8425
    18Kentucky0.8425
    19Louisiana0.8425
    20Maine0.8856
    21Maryland0.9417
    22Massachusetts1.0758
    23Michigan0.9532
    24Minnesota0.9653
    25Mississippi0.8425
    26Missouri0.8425
    27Montana0.9062
    28Nebraska0.9154
    29Nevada0.9435
    30New Hampshire1.1373
    311 New Jersey
    32New Mexico0.8790
    33New York0.8688
    34North Carolina0.9055
    35North Dakota0.8425
    36Ohio0.9134
    37Oklahoma0.8425
    38Oregon1.0288
    39Pennsylvania0.8774
    411 Rhode Island
    42South Carolina0.8425
    43South Dakota0.9038
    44Tennessee0.8425
    45Texas0.8425
    46Utah0.8587
    47Vermont1.0472
    48Virgin Islands0.8425
    49Virginia0.8425
    50Washington1.0827
    51West Virginia0.8425
    52Wisconsin0.9970
    53Wyoming0.9805
    1 All counties in the States of New Jersey and Rhode Island are urban.

    H. Private Contracts and Opt-Out Provision—Practitioner Definition

    [If you choose to comment on issues in this section, please include the caption “PRIVATE CONTRACTS AND OPT-OUT” at the beginning of your comments.]

    Section 4507 of the BBA of 1997 amended section 1802 of the Act to permit certain physicians and practitioners to opt-out of Medicare if certain conditions were met, and to provide through private contracts services that would otherwise be covered by Medicare. Before enactment of BIPA (Pub.L. 106-554), section 1802(b)(5)(C) of the Act, which refers to the definition of “practitioner” at section 1842(b)(18)(C) of the Act, did not include registered dietitians or nutrition professionals among the practitioners who may choose to opt-out of Medicare. Section 105(d) of BIPA amended the definition of practitioner located at section 1842(b)(18)(c) of the Act to include registered dietitians or nutrition professionals. Because section 1802(b)(5)(C) of the Act references section 1842(b)(18)(c) of the Act in order to define the term practitioner for purposes of opting out of Medicare, current law permits registered dietitians or nutrition professionals to opt-out of Medicare. Because the definition of practitioner located in the current regulations at § 405.400 does not include registered dietitians or nutrition professionals, we are proposing to amend that section so that it is consistent with section 1802(b)(5)(C) of the Act. Start Printed Page 49054

    I. Proposed Changes to Reassignment and Physician Self-Referral Rules Relating to Diagnostic Tests

    [If you choose to comment on issues in this section, please include the caption “REASSIGNMENT AND PHYSICIAN SELF-REFERRAL” at the beginning of your comments.]

    Historically, Medicare rules have prohibited the markup of the TC of certain diagnostic tests that are performed by outside suppliers and billed to Medicare by a different individual or entity. In addition, Medicare rules restrict who may bill Medicare for the PC (hereafter, also referred to as the “interpretation”) of diagnostic tests. Recent changes to our rules on reassignment of the right to receive Medicare payment may have led to some confusion as to whether the anti-markup and purchased interpretation requirements apply to certain situations where a reassignment has occurred pursuant to a contractual arrangement.

    Likewise, we are concerned about the existence of certain arrangements that are not within the intended purpose of our physician self-referral rules, which allow physician group practices to bill for services furnished by a contractor physician in a “centralized building.” We are concerned that allowing physician group practices or other suppliers to purchase or otherwise contract for the provision of diagnostic tests and then to realize a profit when billing Medicare may lead to patient and program abuse in the form of overutilization of services and result in higher costs to the Medicare program.

    Therefore, we are proposing to amend our reassignment regulations to clarify how the purchased test and purchased test interpretation rules apply in the case of a reassignment made under the contractual arrangement exception set forth at § 424.80(d)(2). Specifically, in our reassignment regulations, we propose to incorporate provisions similar to those that currently appear in § 414.50 of our regulations on purchased tests, and we are considering incorporating provisions on purchased test interpretations that currently appear in our manual instructions. In addition, we are proposing to change the definition of “centralized building” at § 411.351 of the physician self-referral regulations to place certain restrictions on what types of space ownership or leasing arrangements will qualify for purposes of the physician self-referral in-office ancillary services exception and physician services exception.

    Our proposals regarding the reassignment regulations are based on existing requirements for purchased tests and purchased test interpretations. Section 1842(n) of the Act contains certain limitations on billing for the TC of diagnostic tests described in section 1861(s)(3) of the Act (other than clinical diagnostic laboratory tests paid under section 1833(a)(2)(D) of the Act, which are subject to the special rules set forth in section 1833(h)(5)(A) of the Act). Section 1842(n)(1)(A) of the Act provides that if the test was not performed by the billing physician and also was not performed or supervised by a physician with whom the billing physician shares a practice, Medicare payment is the lower of the costs (net of any discount) charged by the performing supplier to the billing physician, or the performing supplier's reasonable charge (or other applicable limit). This is commonly known as the anti-markup provision. Section 1842(n)(2) of the Act further provides that a physician may not bill a beneficiary any amount other than the amount specified in section 1842(n)(1)(A) of the Act and any applicable deductible and coinsurance. Under section 1842(n)(3) of the Act, if a physician knowingly, willfully, and repeatedly bills a Medicare beneficiary for more than the amount allowed under section 1842(n)(2) of the Act, he or she is subject to civil monetary penalties and assessments, and exclusion from Medicare and Medicaid for up to 5 years. Our regulations implementing section 1842(n) of the Act appear at § 414.50 and § 402.1(c)(15).

    In addition, our Claims Processing Manual (Pub. 100-4) outlines certain conditions regarding who can submit a claim for purchased diagnostic test intepretations. As set forth in Chapter 1, Section 30.2.9.1 of the Claims Processing Manual, the following requirements must be satisfied in order to submit a claim for a purchased diagnostic test interpretation:

    • The test must be ordered by a physician or medical group that is independent of the person or entity performing the TC of the test, and also must be independent of the physician or medical group performing the interpretations.
    • The physician or medical group performing the interpretations does not see the patient.
    • The purchaser (or employee, partner, or owner of the purchaser) performs the TC of the test, and the interpreting physician must be enrolled in the Medicare program.

    Section 1842(b)(6) of the Act generally prohibits Medicare payment to anyone other than the Medicare beneficiary or the physician or other person who performed the service for the beneficiary. However, section 1842(b)(6) of the Act, also provides exceptions, known as the reassignment exceptions, to this general rule. These exceptions allow us to make payment to an individual or an entity other than the beneficiary or the physician or other person who performed the service for the beneficiary. For example, the reassignment exceptions allow us to make payment to an employer of a physician, such as a group practice or a hospital, to which the physician employee has reassigned his or her right to payment.

    Prior to the MMA, a physician or other individual supplier could reassign his or her right to bill and receive payment under a contractual arrangement, rather than an employee-employer relationship, only if the services being paid for were performed on the premises of the contracting hospital, critical access hospital, clinic, or other facility. Section 952 of the MMA, however, amended section 1842(b)(6)(A)(ii) of the Act to extend the reassignment exception to contractual arrangements regardless of whether the services are performed on the premises of the billing entity. Section 952 of the MMA permits us to recognize this type of reassignment to the extent that the contractual arrangement between the physician or other individual supplier and the billing entity (excluding a billing agent, which cannot receive reassigned benefits) meets program integrity and other safeguards as the Secretary may determine to be appropriate. A motivating factor behind the passage of section 952 of the MMA appears to have been the desire by the Congress to permit us to allow hospital emergency department staffing companies that employ physicians on a contract basis to bill Medicare (if the staffing companies enroll in Medicare).

    Our proposed implementation of section 952 of the MMA appeared in the Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 proposed rule, 69 FR 47488, 47524 through 47525 (August 5, 2004). We proposed program safeguards, whereby the parties to the contractual arrangement would have joint and several liability for any Medicare overpayments, and the physician or other individual supplier would have unrestricted access to billings submitted on his or her behalf by the entity receiving reassigned payments. In that proposed rule, we stated our awareness that the changes to the reassignment rules authorized by section 952 of the MMA may create new fraud and abuse vulnerabilities, which may not become apparent until the program has Start Printed Page 49055experience with new contractual arrangements. We solicited comments on these potential program vulnerabilities and on possible additional safeguards to protect against such vulnerabilities.

    Comments submitted in response to the CY 2005 PFS proposed rule expressed concern over the recent growth of “pod” or “condo” laboratories (hereinafter “pod labs”). In a typical pod lab arrangement involving pathology services, an entity leases space in a medical building and then subdivides the space into separate areas or cubicles, which are equipped with microscopes and a minimal amount of other laboratory equipment. The entity subleases each space to a physician group practice, even though the space may be located many miles away from any medical office of the group practice and is often located in a different state. The entity hires a histologist who performs the TC of the pathology service, by preparing a microscopic slide of each specimen for review by a pathologist. The entity also makes arrangements with a pathologist, who performs the PC of the pathology service and who also supervises the pod lab.

    In one type of arrangement, the pathologist and histologist perform their services for the different group practices by moving from cubicle to cubicle. Each group practice pays the pathologist a fee for every slide reviewed and pays the entity a management fee, which covers the rental of the pod lab and the histologist's salary. The group practice then bills Medicare for the entire pathology service, typically at a markup from what the group practice paid the pathologist for the professional service and the entity for its services. In another common arrangement, the histologist performs the TC of the pathology service for the entity and the entity bills Medicare for that service, while the group practice bills for the interpretation that was performed by its independent contractor pathologist, who has reassigned to the group practice his or her right to receive Medicare payment.

    The commenters stated that pod lab arrangements are subject to fraud, waste and abuse, including, but not limited to the following:

    • Generation of medically unnecessary biopsies.
    • Kickbacks.
    • Fee-splitting.
    • Referrals that would otherwise be prohibited under the physician self-referral statute.

    The commenters provided several suggestions. One commenter suggested that we prohibit a physician from reassigning benefits to another physician if the physicians do not practice in substantially the same medical specialty. Some commenters also stated that our regulations need to state more clearly that all requirements of the purchased diagnostic test rules and purchased test interpretation rules need to be met.

    In the CY 2005 PFS final rule, we responded that we shared the commenters concerns, although we declined to incorporate the suggested revisions at that time. We said that we would be paying close attention to this issue, and that we might initiate future rulemaking to address arrangements that are fraudulent or abusive. (See 69 FR 66316, November 15, 2004.) In that final rule, we amended our reassignment regulation at § 424.80(a) to state that nothing in § 424.80 alters an individual's or entity's obligations under other Medicare statutes or rules, including, but not limited to, the physician self-referral law (section 1877 of the Act), the anti-kickback statute (section 1128B(b)(1) of the Act), the regulations regarding purchased diagnostic tests, and the regulations regarding services and supplies provided incident to a physician's service.

    At about the same time as we published our proposed rule for implementing section 952 of the MMA, we published an IFC concerning exceptions to the physician self-referral law in section 1877 of the Act (69 FR 16054). Section 1877 of the Act prohibits a physician from making referrals for DHS, as defined in section 1877(h)(6) of the Act, payable by Medicare to an entity with which he or she (or an immediate family member) has a financial relationship (ownership or compensation), and it prohibits the entity from billing Medicare, another payor, or the beneficiary for those referred services, unless an exception applies. The statute establishes a number of specific exceptions to these prohibitions and grants the Secretary the authority to create regulatory exceptions for financial relationships that pose no risk of fraud or abuse.

    One significant exception is at § 411.355(a) for the provision of “physician services” as defined in § 410.20(a). Under this exception, professional physician services that are DHS must be furnished personally by another physician who is a member of the referring physician's group practice, or by a physician in the same group practice as the referring physician, or by someone under the supervision of one of these physicians. A “member” of a group practice is a physician owner, a physician employee, a locum tenens physician, or an on-call physician while the physician is providing on-call services for members of the group practice. “Physician in the group practice” means a member of the group practice, as well as an independent contractor physician during the time the independent contractor is furnishing patient care services for the group practice to the group practice's patients in the group practice's facilities. (See § 411.351.)

    Another significant exception, at § 411.355(b), is for the provision of in-office ancillary services. This exception allows group practice physicians to refer patients for DHS to other members of their group or to nonphysician staff, provided that certain supervision, location, and billing requirements are satisfied. Specifically, the DHS must be furnished personally by the referring physician, a member of the group practice, or an individual who is supervised by the referring physician or by a physician in the group practice. In addition, the DHS must be furnished in—(1) the “same building” where group physicians perform a certain amount of physician services (as set forth in § 411.355(b)(2)), including physician services unrelated to the provision of DHS; or (2) in a “centralized building.” We define “centralized building,” in pertinent part, as all or part of building that is owned or leased on a full-time basis 24 hours per day, 7 days per week. In the “Phase II” physician self-referral IFC, we reaffirmed our earlier position, set forth in the “Phase I” final rule with comment period that, a group practice may have more than one centralized building (69 FR at 16075).

    In response to the Phase II IFC, several commenters strongly criticized the centralized building prong of the in-office ancillary services exception. They requested that the rule be changed to require full-time use of the facility and the addition of a commercially reasonable test. According to the commenters, the Phase II IFC encourages numerous abusive arrangements that are designed solely to permit medical groups to bill in circumvention of the prohibition in section 1877 of the Act. Commenters objected to medical groups establishing satellite DHS facilities, sometimes in different States, specifically to capture ancillary income. Several commenters identified pod labs that rent space to urology groups as among the types of abusive arrangements that are proliferating. Several other commenters requested clarification that the in-office ancillary services exception did not Start Printed Page 49056override our policies on reassignment and purchased diagnostic tests. According to the comments, some of the arrangements do not satisfy the rules regarding purchased diagnostic tests. On the other hand, a professional association complained that the requirement that the centralized building be occupied exclusively by the medical group is too restrictive.

    As noted above, we stated, in response to the comments on the proposed rule implementing section 952 of the MMA, that we might address suspect arrangements in a future rulemaking. After additional consideration, including consideration of the comments we received in response to the Phase II IFC, we are now proposing to amend our regulations on reassignment and physician self-referral in this proposed rule.

    We are proposing to amend § 424.80 of our regulations to clarify that any reassignment pursuant to the contractual arrangement exception is subject to program integrity safeguards that relate to the right to payment for diagnostic tests. First, we would amend § 424.80 of our regulations to provide that if the TC of a diagnostic test (other than clinical diagnostic laboratory tests paid under section 1833(a)(2)(D) of the Act, which are subject to the special rules set forth in section 1833(h)(5)(A) of the Act) is billed by a physician or medical group (the “billing entity”) under a reassignment involving a contractual arrangement with a physician or other supplier who performs the service, the amount billed to Medicare by the billing entity, less the applicable deductibles and coinsurance, may not exceed the lowest of the following amounts:

    • The physician or other supplier's net charge to the billing physician or medical group.
    • The billing physician's or medical group's actual charge.
    • The fee schedule amount for the service that would be allowed if the physician or other supplier billed directly.

    Second, we would also require that, in order to bill for the TC, the billing entity would be required to perform the interpretation. Third, we are considering further amendments to § 424.80(d) that would impose certain conditions on when a physician or medical group can bill for a reassigned PC of a diagnostic test. We are considering the following conditions:

    • The test must be ordered by a physician that is financially independent of the person or entity performing the test and also of the physician or medical group performing the interpretation.
    • The physician or medical group performing the interpretation does not see the patient.
    • The physician or medical group billing for the interpretation must have performed the TC of the test.

    We believe that we are comfortably within our authority to place the proposed restrictions on reassignments made before a contractual arrangement, in order to guard against patient and program abuse, and we also believe that we would be within our authority to adopt the conditions on billing for a reassigned PC before a contractual arrangement that we continue to consider.

    We note that there is no right to effect a reassignment under section 1842(b)(6) of the Act (rather, this section allows, but does not require us to make payment to someone other than the beneficiary or the physician or other person who performed the service), and that section 952 of the MMA permits us to recognize reassignments under the contractual arrangement exception only to the extent that the arrangement meets program integrity and other safeguards as the Secretary may determine to be appropriate. Moreover, we believe that our current rules on purchased diagnostic tests generally should be applicable to both situations in which the billing entity is purchasing the test without a formal reassignment as well as situations in which the physician performing the test has reassigned his or her right to Medicare payment to the billing physician or medical group.

    Although we welcome comments on all aspects of our proposals, we are particularly interested in soliciting comments on the amendments we have proposed, as well as those we are still considering involving reassigned interpretations, to § 424.80(d). In particular, we are soliciting comments as to whether diagnostic tests in the DHS category of radiology and certain other imaging services should be excepted from any those provisions; whether the proposal in whole or in part should apply only to pathology services; whether any of these provisions should apply to services performed on the premises of the billing entity and if so, how to define the premises appropriately. We are also soliciting suggested regulatory text for the proposal under consideration involving purchased test interpretations, as well as any other comments regarding the appropriate scope of the provisions under consideration.

    In addition, we are soliciting comments on whether an anti-markup provision should apply to the reassignment of the PC of diagnostic tests performed under a contractual arrangement, and if so, how to determine the correct amount that should be billed to the Medicare program.

    In addition to our proposed changes to the reassignment rules, we are proposing to change the definition of “centralized building” in § 411.351 for purposes of our physician self-referral regulations. We are persuaded by the commenters who responded to the Phase II IFC that our present definition may encourage the unnecessary ordering of ancillary services. Section 1877(b)(1) of the Act, in conjunction with section 1877(h)(4)(vi) of the Act, states that the Secretary may define by regulation what constitutes a “group practice” for purposes of the physician services exception. Similarly, section 1877(b)(2) of the Act authorizes the Secretary to determine additional terms and conditions relating to the supervision and location requirements of the in-office ancillary services exception as may be necessary to prevent a risk of program or patient abuse. Accordingly, we propose to modify the definition of “centralized building” to include a minimum square footage requirement of 350 square feet. Our modified definition would be relevant to both the physician services exception and the in-office ancillary services exception. That is because, under § 411.351, a “physician in the group practice” includes an independent contractor physician during the time he or she is providing services to the group's patients in the group's facilities. Thus, to the extent that an independent contractor physician would qualify as a “physician in the group” on the basis of furnishing services to a group's patients in a centralized building, the space owned or leased by the group would need to comply with the proposed modification to the definition of “centralized building” in order for the group to rely on the physician services exception or the in-office ancillary services exception when billing Medicare for services furnished by the independent contractor physician.

    Although we believe that the arrangements we seek to address through our proposed change to the definition of “centralized building” primarily involves independent contractor physicians, the proposed definition would also apply to services performed by physicians who are employees of a group practice.

    The proposed minimum square footage requirement would not apply to Start Printed Page 49057space owned or rented in a building in which no more than three group practices own or lease space in the “same building,” as defined in § 411.351 (that is, in a building with the same street address) and share the same “physician in the group practice” (as defined in § 411.351). The purpose of the square foot minimum and the exception is to prevent abusive arrangements such as pod labs, while not disqualifying legitimate, stand-alone physician offices that are unusually small. The following examples are intended to illustrate how the proposed exception might apply:

    + Example 1—A space of 200 square feet located in a building in which only two other group practices lease space could qualify as a centralized building, irrespective of whether all three group practices contract with the same individual as a “physician in the group practice.”

    + Example 2—A space of 200 square feet is located in a building in which seven other group practices lease space. Dr. Jones has a contractual relationship with three group practices as a “physician in the group practice.” Dr. Smith also has a contractual relationship with three group practices. No physician has a contractual relationship as a “physician in the group practice” with four or more group practices that are located in that building. The space could qualify as a “centralized building.”

    We would also require the space to contain, on a permanent basis, the necessary equipment to perform substantially all of the DHS that are performed in this space, in order to meet the definition of a “centralized building.” That is, we wish to prevent the situation in which an entity would routinely move equipment as needed from one group's space to another group's space (for example, from cubicle to cubicle). We believe these situations are abusive and contrary to the purpose of concept of the “centralized building” concept, but we recognize that there may be an occasional need to bring specialized equipment into the space on a temporary basis.

    We believe that the proposed clarification to our reassignment rules, in tandem with our proposed changes to the definition of “centralized building” for purposes of our physician self-referral rules would prevent abusive arrangements while preserving legitimate small physician offices. In particular, we anticipate that restrictions on marking up the TC of diagnostic tests as well as the limits we are considering for who can bill for the PC of diagnostic tests, combined with square footage limits and requirements of having necessary equipment on site would make it not financially feasible for pod labs to exist.

    With respect to our proposed change to the definition of “centralized building,” we seek comments on whether there should be a minimum square foot requirement, and if so, whether the minimum should be 350 square feet or an amount more or less than that. In addition, we seek comments regarding whether there should be an exception to any minimum square foot requirement, and if so, the circumstances under which an exception should apply.

    With respect to our proposal that the “centralized building” permanently contain the necessary equipment to perform substantially all of the DHS that is furnished in the “centralized building,” we seek comments on whether this test should be imposed, and whether at least 90 percent or some other minimum percentage or measurement is appropriate. We are also considering whether to require that, for space to qualify as a “centralized building,” the group practice must employ, in that space, a nonphysician employee or independent contractor who will perform services exclusively for the group for at least 35 hours per week. We seek comments on whether we should have this requirement or similar requirement, or whether this requirement would be unduly burdensome on a small group practice, and whether this requirement would be likely to reduce the number of existing pod labs and to discourage the development of new pod labs. Finally, we seek comments on whether a group practice should be allowed to maintain a “centralized building” in a State different from the State(s) in which it has an office that meets the criteria of § 411.355(b)(2)(i), and if so, whether space that is located in a different State must be within a certain number of miles from an office of the group practice that meets the criteria of § 411.355(b)(2)(i), in order to qualify as a “centralized building.”

    J. Supplier Access to Claims Billed on Reassignment

    Section 1833(e) of the Act provides that, “no payment shall be made to any provider of services or other person under this part unless there has been furnished such information as may be necessary in order to determine the amounts due such provider or other person under this part for the period with respect to which the amounts are being paid or for any prior period.” Section 1842(b)(6) of the Act generally provides that payment may not be made to anyone other than the beneficiary or the physician or other person who provided the service. There are certain exceptions to this prohibition whereby payment may be made to others. These are commonly referred to as the reassignment exceptions and are found at section 1842(b)(6)(A) of the Act.

    Taking these two statutory provisions together, we are permitted, but not required, to make payment to someone other than the beneficiary, or the physician or other person who furnished the service, but only if we have determined that Medicare has received all necessary information to determine the amounts due the provider. Where Medicare makes payment to an entity rather than to the physician or other person who furnished the service, there is a heightened concern that payment may not be correct. By allowing physicians and other individual suppliers who reassign benefits to an entity such as a group practice to have access to the billing information concerning the services they allegedly furnish, we believe we will reduce the risk of inappropriate billing.

    Moreover, as noted in section I.2. of this proposed rule, section 952 of the MMA amended section 1842(b)(6)(A)(ii) of the Act to allow a physician or other person who was in a contractual arrangement rather than in an employee-employer relationship to reassign his or her right to bill and receive payment, irrespective of whether the services were performed on the premises of the entity. Section 952 of the MMA permits reassignment to the extent that the contractual arrangement between the physician or other individual supplier and the billing entity meets program integrity and other safeguards that the Secretary may determine to be appropriate.

    In the FY 2005 Physician Fee Schedule proposed rule, published August 5, 2005 (69 FR 47488, 47524 through 47525), we stated our awareness that changes in the reassignment rules based on section 952 of the MMA may create new fraud and abuse vulnerabilities, which may not become apparent until the program has experience with new contractual arrangements. We proposed program safeguards, whereby the parties to the contractual arrangement would have joint and several liability for any Medicare overpayments, and the physician or other individual supplier would have unrestricted access to billings submitted on their behalf by the entity receiving reassigned payments. In response to the August 5, 2005 proposed Start Printed Page 49058rule, we received a comment that questioned the need for the two program integrity safeguards (joint and several liability and unrestricted access to billing records) as a requirement for a reassignment of claims involving a contractual arrangement. The commenter believed that it was premature for CMS to implement these program safeguards, that CMS already imposes joint and several liability through Medicare participation agreements and the signing of the enrollment form for billing reassigned claims (the CMS-855-R form), and questioned why the program safeguards applied only to independent contractors and not to employees. (69 FR 66316 through 66317 (November 15, 2004).)

    In response to the commenter, we stated that those program integrity safeguards were necessary to monitor the billings of entities with which we have had billing problems (for example, billing for services never furnished and upcoding resulting in Medicare overpayments) in the past, and that the reason the safeguards applied to independent contractors and not to employees, was that the billing problems identified thus far involved certain entities (which, for the most part, contracted with, rather than employed, emergency room (ER) physicians). We also stated that we would study whether the same program integrity safeguards applicable to independent contractors should also apply to employees.

    Prior to January 1, 2005, the effective date of the program integrity safeguards for the contractual arrangement reassignment exception, we received public inquiries asking why employees do not have unrestricted access to billing records. Since the January 1, 2005 effective date of the program integrity safeguards, we have received an inquiry from an ER physician employee of a medium-sized ER physician staffing company, who was denied access to billing records for services that he claims to have furnished, and who had his employment terminated. We also note that the MMA Conference Report, in its discussion of section 952 of the MMA, states that the Conference Committee supports appropriate program integrity efforts for any entities billing the Medicare program, including entities with independent contractors as well as employees. Having reconsidered the issue, we find no valid reason why an employee should not have access to records on billings for services furnished by that employee. Therefore, we are proposing to change the title of § 424.80(d) and amend § 424.80(d)(2) of our regulations to state that the supplier who reassigns his or her right to bill and receive Medicare payment to an entity has unrestricted access to claims information submitted by that entity for services supposedly furnished by the individual supplier, irrespective of whether the supplier is an employee or independent contractor of the entity. If adopted, our proposal would also mean that if an entity receiving the reassigned benefits were to refuse to provide the billing information to the employee supplier requesting the information, the entity's right to receive reassigned benefits may be revoked under 42 CFR 424.82(c)(3) (which is currently the case with respect to an entity's refusal to provide billing information to an independent contractor supplier).

    K. Coverage of Bone Mass Measurement (BMM) Tests

    [If you choose to comment on issues in this section, please include the caption “BONE MASS MEASUREMENT TESTS” at the beginning of your comments.]

    In an IFC entitled “Medicare Coverage of and Payment for Bone Mass Measurements” published in the Federal Register on June 24, 1998 (63 FR 34320), we implemented section 4106 of the BBA by establishing a new regulatory section, 42 CFR 410.31 (Bone Mass Measurement: Conditions for Coverage and Frequency Standards). Section 4106 of the BBA statutorily defined BMM and individuals that are qualified to receive a BMM. The June 24, 1998 IFC, under the “reasonable and necessary” provisions of 1862(a)(1)(A) of the Act, also established conditions for coverage of the tests that must be ordered by physicians or nonphysician practitioners. Lastly, as directed by section 4106 of the BBA, we established frequency standards governing the time period when qualified individuals would be eligible to receive covered BMMs.

    1. Provisions of the June 24, 1998 IFC

    As stated earlier in this section, the June 24, 1998 IFC implemented section 4106 of the BBA by establishing conditions for coverage and frequency standards for BMMs to ensure that they are paid for uniformly throughout the Medicare program and that they are reasonable and necessary for Medicare beneficiaries who are eligible to receive these measurements. This section summarizes the provisions discussed in the June 24, 1998 IFC.

    a. Coverage Conditions and Frequency Standards

    We established conditions for coverage and frequency standards for medically necessary BMMs for five categories of Medicare beneficiaries in § 410.31.

    In § 410.31(a), we defined “bone mass measurement” based on the statutory definition in section 4106 of the BBA. In accordance with the “reasonable and necessary” provisions of section 1862(a)(1)(A) of the Act, we established the conditions for coverage of BMMs in § 410.31(b) of the regulations. Consistent with § 410.32 (Diagnostic x-ray tests, diagnostic laboratory tests, and diagnostic tests: Conditions), we provided that coverage be available for the BMM only if it is ordered by the physician or a qualified nonphysician practitioner (as defined in § 410.32(a)) treating the beneficiary following an evaluation of the beneficiary's need for the test, including a determination as to the medically appropriate procedure to be used for the beneficiary. We believed that BMMs were not demonstrably reasonable and necessary unless (among other things) they are ordered by the physician treating the beneficiary following a careful evaluation of the beneficiary's medical need, and they are employed to manage the beneficiary's care.

    To ensure that the BMM is performed as accurately and consistently in accordance with appropriate quality assurance guidelines as possible, we required that it be performed under the appropriate supervision of a physician as defined in § 410.32(b)(3). To ensure that the BMM is medically appropriate for the five categories specified in the law, we provided that it be reasonable and necessary for diagnosing, treating, or monitoring the condition of the beneficiary who meets the coverage requirements specified in § 410.31(d).

    Furthermore, in § 410.31(c), we set forth limitations on the frequency for covering a BMM. Generally, we cover a BMM for a beneficiary if at least 23 months have passed since the month the last BMM was performed. However, we allow for coverage of follow-up BMMs performed more frequently than once every 23 months when medically necessary. We listed the following examples of situations where more frequent BMMs procedures may be medically necessary to include:

    • Monitoring beneficiaries on long-term glucocorticoid (steroid) therapy of more than 3 months.
    • Allowing for a confirmatory baseline bone mass measurement (either central or peripheral) to permit Start Printed Page 49059monitoring of beneficiaries in the future if the initial test was performed with a technique that is different from the proposed monitoring method.

    b. Beneficiaries Who May Be Covered

    In § 410.31(d), we amended our regulations to conform to the statutory requirement that the following categories of beneficiaries may receive Medicare coverage for a medically necessary BMM:

    • A woman who has been determined by the physician or a qualified nonphysician practitioner treating her to be estrogen-deficient and at clinical risk for osteoporosis, based on her medical history and other findings.
    • An individual with vertebral abnormalities as demonstrated by an x-ray to be indicative of osteoporosis, osteopenia, or vertebral fracture.
    • An individual receiving (or expecting to receive) glucocorticoid (steroid) therapy equivalent to 7.5 mg of prednisone, or greater, per day, for more than 3 months.
    • An individual with primary hyperparathyroidism.
    • An individual being monitored to assess the response to or efficacy of an FDA-approved osteoporosis drug therapy.

    c. Waiver of Liability

    Section 410.31(e) provides that Medicare payment would be denied for a BMM in accordance with section 1862(a)(1)(A) of the Act if the regulatory standards are not satisfied. Existing regulations concerning limitation on liability are set forth in §§ 411.400 through 411.406 and are applicable to denial of BMMs under § 410.31.

    d. Payments for BMMs

    Medicare payments for covered BMMs are paid for under the PFS (42 CFR part 414) as required by statute. In the June 24, 1998 IFC, we revised the definition of “physician services” in § 414.2 to include bone mass measurements. When BMM procedures are furnished to hospital inpatients and outpatients, the TCs of these procedures are payable under existing payment methods for hospital services. These methods include payments under the prospective payment system, on a reasonable cost basis, or under a special provision for determining payment rates for hospital outpatient radiology services.

    In the June 24, 1998 IFC, we revised § 414.50(a), regarding physician billing for purchased diagnostic tests, to clarify that the section does not apply to payment for BMMs.

    e. Conforming Changes

    In the June 24, 1998 IFC, to allow for appropriate placement in the CFR of the BMM coverage requirements, we redesignated § 410.31 (Prescription drugs used in immunosuppressive therapy) as § 410.30.

    2. Additional Scientific Evidence

    In 2004, the Surgeon General issued a report, Bone Health and Osteoporosis (U.S. Department of Health and Human Services, Bone Health and Osteoporosis: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Services, Office of the Surgeon General, 2004). This report provides scientific evidence related to the prevention, assessment, diagnosis, and treatment of bone disease. The report states that identification of those at risk of bone disease and fracture is important so that appropriate interventions can be implemented. However, as the report states, “Assessing the risk of bone disease and fracture remains a challenge. Not all of the risk factors have been identified, and the relative importance of those that are known remains unclear.”

    As bone strength is not measured directly, bone mineral density (BMD) remains the single best predictor of fracture risk, with the most widely accepted method for measuring BMD being the dual energy x-ray absorptiometry (DXA) for a bone density study at the axial skeleton (for example, hips and spine). As there are many sources of variability in the measurement of BMD, a quality control system related to both the methodology and reporting of test results is important to ensure the validity of DXA analysis.

    In addition to DXA of the axial skeleton, bone mass can also be measured using other techniques. These other techniques include DXA bone density study for the appendicular skeleton (for example, radius, wrist, heel); quantitative computerized tomography (QCT), bone mineral density study for the axial skeleton or appendicular skeleton; radiographic absorptiometry (photodensitometry, radiogrammetry); single-photon absorptiometry (SPA); single energy x-ray absorptiometry (SXA) for the appendicular skeleton; and ultrasound bone mineral density study for the appendicular skeleton. With regard to these techniques (except for SPA which was not discussed), the 2004 Surgeon General report states, “While these methods do assess bone density and may provide an indication of fracture risk, it is important to note that the WHO [World Health Organization] recommendations and other guidelines for using BMD and interpreting BMD results for diagnosis are based on DXA measurements of the hip or spine.” The report further states, “Incorporating these techniques for bone assessment into future clinical trials and observational studies will help in better understanding their appropriate use as a means of predicting the risk of bone disease and fracture.”

    3. Proposed Changes to the June 24, 1998 IFC

    We received 18 public comments on the June 24, 1998 IFC. The majority of the comments had specific recommendations for changes to the IFC. In addition to responding to comments that we may receive on our proposed revisions to § 410.31, it is our intent to address all these previous comments in the CY 2007 PFS final rule.

    Based on the comments received on the IFC, the Surgeon General's report, and other evidence, we are proposing changes to § 410.31. We encourage comments on these proposals.

    a. Proposed “BMM” Definition (§ 410.31(a))

    We are proposing to revise the definition of “bone mass measurement” at § 410.31(a)(2) to remove coverage for the use of SPA, which uses isotope sources to measure BMD. Many medical experts indicate that SPA has largely been replaced by the newer techniques of DXA, which are believed to be superior in accuracy and precision. Medicare claims data in recent years continue to show a steady decline in the use of the SPA procedure by the beneficiary population. Further, there is a lack of evidence to support continued use of SPA, an older procedure where the metrics have not been correlated with fracture rate.

    We are proposing to revise the definition of a “bone mass measurement” to read, “Is performed with either a bone densitometer (other than a single-photon or dual-photon absorptiometry) or with a bone sonometer system that has been cleared for marketing for this use by the FDA under 21 CFR part 807, or approved for marketing by the FDA for this use under 21 CFR part 814.”

    We are specifically requesting comments on this proposal regarding the evidence of benefit for SPA, particularly in comparison with other alternatives.

    b. Conditions for Coverage (§ 410.31(b))

    We are proposing to revise the conditions for coverage for BMMs in Start Printed Page 49060§ 410.31(b) by requiring that for a medically necessary BMM to be covered for an individual being monitored to assess the response to or efficacy of an FDA-approved osteoporosis drug therapy (§ 410.31(d)(5)) the individual would be required to meet the present conditions for coverage under § 410.31(b), and the monitoring would have to be performed by the use of an dual energy x-ray absorptiometry system (axial system).

    We recognize that in the June 24, 1998 IFC, we allowed the physician or qualified nonphysician practitioner treating the beneficiary more flexibility in ordering those diagnostic measurements, but we are proposing to limit that flexibility with respect to the type of BMM that is used for monitoring individuals receiving osteoporosis drug therapy and other purposes (as discussed later in this section) because of new evidence and other information received since publication of the June 24, 1998 IFC that supports the need for requiring the use of the DXA measurement (axial skeleton) in those circumstances. In addition to the 2004 Surgeon General's Report that recognized the superiority of the DXA (axial skeleton) for measuring bone mass over time, the International Society for Clinical Densitometry currently recommends that if an individual has a low bone mass using a peripheral measurement (appendicular skeleton) he or she should have a DXA (axial skeleton) performed for monitoring or confirmatory diagnostic purposes.

    Therefore, we are also proposing to revise § 410.31(b) by adding a requirement that in the case of any individual who qualifies for a bone mass measurement as provided for in § 410.31(d) and who receives a confirmatory baseline BMM to permit monitoring in the future, Medicare may cover a medically necessary BMM for that individual, if the present conditions for coverage under § 410.31(b) are met, and the BMM is performed by a dual energy x-ray absorptiometry system (axial skeleton) (if the initial measurement was not performed by this system).

    As indicated previously, the most widely accepted method for measuring bone mineral density (BMD) is the use of DXA (Surgeons General's Report 2004) at axial skeletal sites. DXA (axial skeleton) measures BMD at the hip and spine (sites likely to fracture in patients who have osteoporosis). DXA is precise, safe, and low in radiation exposure, and permits more accurate and reliable monitoring of individuals over time. DXA of the femoral neck is the best validated test to predict hip fracture and is comparable to forearm measurements for predicting fractures at other sites (Evidence Report/Technology Assessment No 28, Agency for Healthcare Research and Quality (AHRQ), January 2001).

    c. Bone Mass Measurement: Standards on Frequency of Coverage (§ 410.31(c))

    To conform the examples of a BMM exception to the standards on frequency of coverage in § 410.31(c)(2) to the regulation change we are proposing in § 410.31(b)(3), we are proposing to revise the confirmatory baseline test example in § 410.31(c)(2)(ii) to read, “Allowing for a confirmatory baseline measurement to permit monitoring of beneficiaries in the future if the requirements of paragraph (b)(3) of this section are met.”

    d. Bone Mass Measurement: Beneficiaries Who May Be Covered (§ 410.31(d))

    The Congress has recognized that individuals receiving long-term glucocorticoid steroid therapy are qualified individuals for purposes of section 1861(rr)(1) of the Act. Therapy to prevent bone loss in most patients beginning long-term therapy has been recommended at a prednisone equivalent of ≥ 5 mg/day for at least 3 months (McIlwain, 2003). Based on our review of the current evidence, we are proposing to reduce the dosage equivalent in § 410.31(d)(3) from an average of 7.5 mg/day of prednisone for at least 3 months to an average of 5.0 mg/day of prednisone for the same period.

    e. Use of the NCD Process (§ 410.31(f))

    To facilitate future consideration of coverage of additional BMM systems for purposes of proposed paragraphs § 410.31(b)(2) and (b)(3), which would limit coverage of BMMs for monitoring individuals receiving osteoporosis drug therapy and for performing confirmatory baseline measurements, we are proposing to allow CMS, through the NCD process, to identify additional BMM systems for those purposes. By using the NCD process, we could conduct a timely assessment of FDA-approved BMMs. Use of an NCD to add coverage of effective BMM systems for these purposes is authorized by the reasonable and necessary provision of sections 1862(a)(1)(A) and 1871(a)(2) of the Act.

    In summary, in view of the 18 comments and our review of the post-1998 medical literature, we have decided to propose several revisions to § 410.31 relative to the definition of the term “Bone Mass Measurement” (§ 410.31(a)(2)), the conditions for coverage (§ 410.31(b)), the examples of exceptions to the standards on frequency of coverage (§ 410.31(c)(2)), the category of individuals receiving (or expecting to receive) glucocorticoid (steroid) therapy (§ 410.31(d)(3)), and the addition of a new subparagraph (§ 410.31(f)) on use of the NCD process.

    L. Independent Diagnostic Testing Facility (IDTF) Issues

    [If you choose to comment on issues in this section, please include the caption “IDTF ISSUES” at the beginning of your comments.]

    1. Proposed IDTF Changes in the Physician Fee Schedule Proposed Rule

    During the course of a national review in 2003-2004, the Office of Inspector General (OIG) found a potential $71 million in improper payments made to IDTFs (Review of Claims Billed by Independent Diagnostic Testing Facilities for Services Provided to Medicare Beneficiaries During Calendar Year 2001 (A-03-03-00002)). The OIG found that erroneous payments were made as the result of poor or missing documentation or the lack of medical necessity. Moreover, in recent years, CMS and its contractors have determined that a number of IDTFs in California and other States are perpetrating schemes to defraud the Medicare program.

    Since 2000, the number of IDTFs in California has increased by 40 percent, which is a far greater percentage increase than the Medicare population in that State. The number of IDTFs billing Medicare in California alone increased more than 400 percent from 2000 to 2005. The increased use of IDTF services has not lowered the use of diagnostic testing within other settings. The increased rates of utilization within IDTFs is likely to be unrealistic due to an increase in the need of diagnostic testing within California's Medicare population. Also, these IDTFs are growing at a rate faster than CMS can survey these facilities. The actual growth of IDTFs is not a problem, however, the results of the OIG audit make it clear that we need to closely monitor IDTFs and establish standards to ensure quality care for Medicare beneficiaries. To address the erroneous payments identified by the OIG above, we are proposing to establish IDTF supplier standards similar to those we adopted for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers on October 11, 2000 (see 42 CFR 424.57).

    We are proposing that each IDTF be required to be in compliance with the Start Printed Page 49061proposed fourteen suppler standards discussed in section L.2. below in order to obtain or retain enrollment in the Medicare program. Accordingly, at proposed § 410.33(h), we are proposing that if an IDTF fails to meet one or more of the proposed standards at the time of enrollment or at the time of re-enrollment, then its enrollment application would be denied. Also, if at any time we determine that an enrolled IDTF no longer meets the proposed supplier standards, its billing privileges would be revoked.

    We believe that these supplier standards are needed to ensure that minimum quality standards are met to protect beneficiaries as well as the Medicare Trust Fund. These standards are merely good business practices which will help to ensure that suppliers are providing a quality care to Medicare beneficiaries. Examples of the kind of standards are a primary business phone number and address. Another example is a posting of standards for review by patients and the public.

    We are proposing to adopt, for IDTFs, a number of standards we adopted for DMEPOS suppliers, including supplier standard number 6 which requires a supplier to maintain a comprehensive liability insurance policy of $300,000 or 20 percent of its average annual Medicare billings, whichever amount is greater, that covers both the place of business and all customers and employees of the IDTF.

    Furthermore, we are proposing in the new performance standard number 7 that an IDTF agrees not to directly solicit patients. This provision does not preclude the IDTF from public advertisement or marketing its services to physicians and other suppliers, however it does prohibit recruitment of beneficiaries through direct solicitation.

    Additionally, the IDTF would be required to grant CMS, or its designated fee-for-service contractors, including our agents, to have access to the IDTF physical location, all equipment, and beneficiary medical records during normal business hours. For portable equipment, an IDTF would be required to maintain a catalog of portable equipment and be able to produce the cataloged equipment within two business days. If the IDTF denies this access, the IDTF's Medicare enrollment would be immediately revoked.

    To ensure that equipment used by an IDTF is maintained and operates properly, we are seeking public comment regarding IDTF supplier standard number 11, which would require that an IDTF must have its testing equipment calibrated per equipment instructions or in compliance with applicable industry standards. Specifically, we are seeking public comment regarding the organizations or entities that may currently establish testing specifications for diagnostics equipment. Further, if these organizations or entities do not exist, we invite public comment regarding establishment of a supplier standard that relies on the manufacturer's maintenance and calibration standards.

    While we understand that these proposed additional standards could lead certain IDTFs to withdraw from the Medicare program rather than comply with the new standards, we believe that legitimate businesses would not oppose these changes. Moreover, we emphasize that services provided by an IDTF are also readily available to beneficiaries through other avenues such as physicians' offices, outpatient laboratories, outpatient radiology facilities, and outpatient clinics. We believe that the implementation of these proposed standards would improve the quality of services provided to Medicare beneficiaries by IDTFs without any associated access concerns.

    2. Proposed Performance Standards for IDTFs

    The IDTF would be required to meet the following standards as of January 1, 2007 and any newly or reenrolling IDTF would be required to certify in its enrollment application that it meets and would continue to meet the standards. At § 410.33, we are proposing to revise the regulation to specify that the IDTF would be required to—

    • Operate its business in compliance with all applicable Federal, State, and local licensure and regulatory requirements with regard to the health and safety of patients;
    • Provide complete and accurate information on its enrollment application as stated in the “Requirements for Providers and Suppliers to Establish and Maintain Enrollment final rule” (April 21, 2006 (42 FR 20754)). Any change in enrollment information would be required to be reported to the designated fee-for-service contractor on the Medicare enrollment application within 30 calendar days;
    • Maintain a physical facility on an appropriate site. For the purposes of this proposed standard, a post office box or commercial mailbox would not be considered a physical facility. The physical facility would be required to contain space for equipment appropriate to the services designated on the enrollment application, facilities for hand washing, adequate patient privacy accommodations, and the storage of both business records and current medical records;
    • Have all applicable testing equipment available at the physical site, excluding portable equipment. A catalog of portable equipment, including equipment serial numbers, would be maintained at the physical site. In addition, portable equipment would be made available for inspection within two business days of our inspection request. The IDTF would be required to maintain a current inventory of the equipment (including serial/registration numbers), provide this information to the designated fee-for-service contractor and notify the contractor of any changes in equipment;
    • Maintain a primary business phone under the name of the business. The business phone would be located at the designated site of the business. The telephone number or toll free numbers would be available in a local directory and through directory assistance;
    • Have a comprehensive liability insurance policy of at least $300,000 or 20 percent of its average annual Medicare billings, whichever amount is greater, that covers both the place of business and all customers and employees of the IDTF. The insurance policy would be carried by a non-relative owned company. The policy would be required to list the serial numbers of any and all equipment used by the IDTF;
    • Agree not to directly solicit patients, which includes, but is not limited to, a prohibition on telephone, computer, or in-person contracts. The IDTF would accept only those patients referred for diagnostic testing by an attending physician, who is furnishing a consultation or treating a beneficiary for a specific medical problem and who uses the results in the management of the beneficiary's specific medical problem. Nonphysician practictioners may order tests as set forth in § 410.32(a)(3);
    • Answer beneficiaries' questions and respond to their complaints. Documentation of those contacts would be maintained at the physical site;
    • Openly post these standards for review by patients and the public;
    • Disclose to the government, any person having ownership, financial or control interest, or any other legal interest in the supplier at the time of enrollment or within 30 days of a change;
    • Have its testing equipment calibrated per equipment instructions and in compliance with applicable national standards; Start Printed Page 49062
    • Have technical staff on duty with the appropriate credentials to perform tests. The IDTF would be required to produce the applicable Federal or State licenses and/or certifications of the individuals performing these services;
    • Have proper medical record storage and be able to retrieve medical records upon request from CMS or its designated fee-for-service contractor within 2 business days; and
    • Permit CMS, including its agents or its designated fee-for-service contractors, to conduct unannounced, on-site inspections to confirm the IDTF's compliance with these proposed standards. The IDTF would be required to provide access, during regular business hours, to CMS and beneficiaries, as well as maintain a visible sign posting the normal business hours of the IDTF.

    3. Supervision

    To ensure quality care is provided to Medicare beneficiaries, we are proposing to revise § 410.33(b)(1) to read that physicians will be limited to providing supervision to “no more than three (3) IDTF sites.”

    4. Place of Service

    In addition to proposing the establishment of specific supplier standards for IDTFs, at proposed § 410.33(i), we are proposing to define the “point of the actual delivery of service” as the correct “Place of Service” for the claim form in the case of diagnostic testing performed outside the IDTF's physical location. For example, when an IDTF performs a diagnostic test at a beneficiary's residence, we believe that it is reasonable to establish the beneficiary's residence as the “Place of Service.” Previously, there has been no set procedure, so therefore, we believe that the information is gathered at the collection point from the beneficiary, and this is the point service. While most diagnostic tests are performed in an office setting, we are seeking public comment regarding the types of services that can be safely and appropriately used in a residential setting.

    M. Independent Laboratory Billing for the TC of Physician Pathology Services to Hospital Patients

    [If you choose to comment on issues in this section, please include the caption “INDEPENDENT LAB BILLING” at the beginning of your comments.]

    The TC of physician pathology services refers to the preparation of the slide involving tissue or cells that a pathologist will interpret. (In contrast, the pathologist's interpretation of the slide is the PC service. If this service is furnished by the hospital pathologist for a hospital patient, it is separately billable. If the independent laboratory's pathologist furnishes the PC service, it is usually billed with the TC service as a combined service.)

    In the “Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2000” final rule published in the Federal Register on November 2, 1999 (64 FR 59380 and 59408 through 59409), we stated that we would implement a policy to pay only the hospital for the TC of physician pathology services furnished to hospital patients. Before that proposal, any independent laboratory could bill the carrier under the PFS for the TC of physician pathology services for hospital patients. As pointed out in the November 2, 1999 final rule, this policy has contributed to the Medicare program paying twice for the TC service, first through the inpatient prospective payment rate to the hospital where the patient is an inpatient and again to the independent laboratory that bills the carrier, instead of the hospital, for the TC service.

    Therefore, in that final rule at § 415.130, we provided that, for services furnished on or after January 11, 2001, the carriers would no longer pay claims to the independent laboratory under the physician fee schedule for the TC of physician pathology services for hospital patients.

    Ordinarily, the provisions in the final PFS are implemented in the following year. However, in this case, the change to § 415.130 was delayed one year (until January 1, 2001), at the request of the industry, to allow independent laboratories and hospitals sufficient time to negotiate arrangements. Moreover, our full implementation of § 415.130 was further delayed through CY 2006.

    We continue to believe, however, that hospital prospective payment amounts already compensate hospitals for the TC of physician pathology tests and that additional payment under the PFS is inappropriate. Therefore, we are proposing to amend § 415.130 to provide that, for services furnished after December 31, 2006, an independent laboratory may not bill the carrier for physician pathology services furnished to a hospital inpatient or outpatient. Under proposed § 415.130(d), we would pay under the PFS for the TC of a physician pathology service furnished by an independent laboratory for services provided to an inpatient or outpatient of a “covered hospital” on or before December 31, 2006. A “covered hospital” is defined in § 415.130(a)(1).

    N. Public Consultation for Medicare Payment for New Outpatient Clinical Diagnostic Laboratory Tests

    [If you choose to comment on issues in this section, please include the caption “CLINICAL DIAGNOSTIC LAB TESTS” at the beginning of your comments.]

    Section 1833(h) of the Act requires the Secretary to establish fee schedules for clinical laboratory tests under Medicare Part B. In this section of the preamble, we are proposing to implement section 942(b) of the MMA which specifies annual procedures for consulting the public on how to establish payment for new clinical laboratory test codes to be included in the annual update of the clinical laboratory fee schedule.

    1. BIPA (Pub. L. 106-554)

    Section 531(b) of BIPA mandated that we establish, no later than 1 year after the date of enactment, procedures that permit public consultation for payment determinations for new clinical diagnostic laboratory tests under Medicare Part B in a manner consistent with the procedures established for implementing ICD-9-CM coding modifications. In the November 23, 2001 Federal Register (66 FR 58743), we specified the procedures to implement section 531(b) of BIPA.

    These procedures were most recently used to determine the payments for new 2006 clinical laboratory fee schedule codes. First, we convened a public meeting to solicit expert input on the nature of the new tests before rate determinations were made. We have held these meetings each year since 2002 to receive this expert input on the next year's codes. Our most recent meeting was announced in the Federal Register on May 27, 2005 (70 FR 30734) and occurred on July 18, 2005. In that meeting, we requested that presenters address the new test codes, each test's purpose, method, cost, and a recommendation for one of two methods (crosswalking or gapfilling) for determining payment for the new clinical laboratory codes. Crosswalking and gapfilling are discussed below in section N.2.d.

    Following the public meeting, we posted, on our Website, a summary of the new codes and the payment recommendations that were presented during the public meeting. The summary also displayed our tentative payment determinations and indicated a comment period for interested parties to submit written comments. After reviewing the comments received, we issued Medicare Transmittal 750, 2006 Annual Update for Clinical Laboratory Start Printed Page 49063Fee Schedule, which provided all instructions and final rate determinations for the 2006 clinical laboratory fee schedule including the new codes and fees, on November 18, 2005.

    2. Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) (Pub. L. 108-173)

    Further legislation affecting public consultation for new clinical laboratory tests was enacted at section 942(b) of the MMA (Pub. L. 108-173), which added section 1833(h)(8) to the Act. Section 1833(h)(8)(A) of the Act requires the Secretary to establish by regulation procedures for determining the basis for and amount of payment for a clinical diagnostic laboratory test that is assigned a new or substantially revised Healthcare Common Procedure Coding System (HCPCS) code on or after January 1, 2005. We refer to these tests as “new tests.”

    Section 1833(h)(8)(B) of the Act provides that determinations of payment amounts for new tests shall be made only after the Secretary—

    • Makes available to the public (through an Internet Web site and other appropriate mechanisms) a list that includes codes for which establishment of a payment amount is being considered for the next calendar year;
    • On the same day the list of codes is made available, publishes a Federal Register notice of a meeting to receive public comments and recommendations (and data on which recommendations are based) on the appropriate basis for establishing payment amounts for the list of codes made available to the public;
    • Not less than 30 days after publication of the notice in the Federal Register, convenes a meeting that includes representatives of CMS officials involved in determining payment amounts, to receive public comments and recommendations (and data on which the recommendations are based); and
    • Taking into account the comments and recommendations (and accompanying data) received at the public meeting, develops and makes available to the public (through an Internet Web site and other appropriate mechanisms)—

    + A list of proposed determinations with respect to the appropriate basis for establishing a payment amount for each code, together with an explanation of the reasons for each determination, the data on which the determinations are based, and a request for public written comments on the proposed determination; and

    + A list of final determinations of the payment amounts for tests, together with the rationale for each determination, the data on which the determinations are based, and responses to comments and suggestions from the public.

    We believe that our current process for providing for public consultation on the establishment of payment amounts for new clinical laboratory tests is consistent with the requirements of section 1833(h)(8)(B) of the Act. We currently make available to the public through a posting on the CMS Web site a list of new laboratory test codes for the next calendar year. We publish a Federal Register notice of a meeting to receive public comments and recommendations and convene the meeting with appropriate CMS officials in attendance. We take into account the input received at the public meeting and we make available to the public on the CMS Web site a list of the proposed determinations and seek comment. We then make available to the public our final determinations in the instructions that we provide to our claims processing contractors to implement the Medicare Part B clinical laboratory fee schedule each year.

    The most significant change required by section 1886(h)(8)(A) of the Act with respect to our procedures for public consultation is that we codify this process in regulations. Therefore, in this proposed rule, we are proposing to codify our current process for public consultation for new clinical diagnostic laboratory tests paid under the Medicare Part B clinical laboratory fee schedule at proposed new Subpart F—Payment for New Clinical Diagnostic Laboratory Tests (§ 414.402 through § 414.406).

    a. Proposed Basis and Scope (§ 414.400)

    This proposed new subpart would implement provisions of section 1833(h)(8) of the Act—procedures for determining the basis for, and amount of, payment for a new clinical diagnostic laboratory test with respect to which a new or substantially revised Healthcare Common Procedure Coding System code is assigned on or after January 1, 2005.

    b. Proposed Definition (§ 414.402)

    As specified in section 942(b) of the MMA, we propose to define the term “Substantially Revised Healthcare Common Procedure Coding System Code” to mean a code for which there has been a substantive change to the definition of the test or procedure to which the code applies (such as a new analyte or a new methodology for measuring an existing analyte specific test).

    c. Proposed Procedures for Public Consultation for Payment for a New Clinical Diagnostic Laboratory Test (§ 414.406)

    For a clinical laboratory test that is assigned a new or substantially revised code on or after January 1, 2005, we would establish a local fee schedule amount only after the following:

    • We make available to the public (through an Internet Web site and other appropriate mechanisms) a list that includes codes for which establishment of a payment amount is being considered for the next calendar year.
    • We publish a Federal Register notice of a meeting to receive public comments and recommendations (and data on which recommendations are based) on the appropriate basis, as specified in proposed new § 414.408, for establishing payment amounts for the list of codes made available to the public.
    • Not less than 30 days after publication of the notice in the Federal Register, we convene a meeting, that includes representatives of CMS officials involved in determining payment amounts, to receive public comments and recommendations (and data on which the recommendations are based).
    • Taking into account the comments and recommendations (and accompanying data) received at the public meeting, we develop and make available to the public (through an Internet Web site and other appropriate mechanisms)—

    + A list of proposed determinations with respect to the appropriate basis for establishing a payment amount for each code, together with an explanation of the reasons for each determination, the data on which the determinations are based, and a request for public written comments on the proposed determination within a specified time period; and

    + A list of final determinations of the payment amounts for tests, together with the rationale for each determination, the data on which the determinations are based, and responses to comments and suggestions from the public.

    d. Proposed Payment for a New Clinical Diagnostic Laboratory Test—Crosswalking and Gapfilling (§ 414.408)

    We are proposing to add a new § 414.408 to indicate when, in establishing the payment amount for a new clinical laboratory test, one of two payment methods can be utilized. The Start Printed Page 49064first payment method, called “crosswalking,” is used if a new test is determined to be comparable to an existing test, multiple existing test codes, or a portion of an existing test code. We propose that a new test code would be assigned the related existing local fee schedule amounts and national limitation amount.

    In new § 414.408, we propose to use the second method, called “gapfilling,” when no comparable, existing test is available. Currently when using this method, manual instructions are provided to each Medicare carrier to determine a payment amount for its geographic area(s) for use in the first year, and the carrier-specific amounts are used to establish a national limitation amount for following years. Consistent with our current process, the sources of information carriers examine in determining gapfill amounts, if available, include—

    • Charges for the test and routine discounts to charges;
    • Resources required to perform the test;
    • Payment amounts determined by other payers; and
    • Charges, payment amounts, and resources required for other tests that may be comparable or otherwise relevant.

    Currently, our manual instructions allow carriers to consider other sources of information as appropriate, including clinical studies and information provided by clinicians practicing in the area, manufacturers, or other interested parties. Carriers are also instructed to establish carrier specific amounts on or before March 31 of the year and to revise their carrier specific amount, if necessary, on or before September 1 of the year. In this manner, a carrier may revise its carrier specific amount based on additional information, but there is also a specific time frame to perform this revision so that we have adequate time to receive and use the carrier specific amounts for the calculation of the next year's clinical laboratory fee schedule.

    Currently for new gapfilled laboratory tests, the payment amount beginning in the second year is based on the lower of the carrier specific amount determined in the first year or the national limitation amount. In accordance with section 1833(h) of the Act, the national limitation amount is set at the median of the carrier-specific amounts.

    In light of new MMA provisions, however, we are proposing, in new § 414.408, to prospectively eliminate payment of new gapfilled tests at a carrier specific amount after the first year. Section 1833(h)(8)(A) of the Act gives the Secretary authority to establish procedures for determining the payment amount for laboratory tests for which new or substantially revised HCPCS codes were established on or after January 1, 2005. Under this authority, we propose, in new § 414.408(b), to pay for a new gapfilled laboratory test under our existing methodology for the first year (the carrier would establish a gapfill amount.) Beginning in the second year, the test would be paid at the national limitation amount. This would result in consistent payment in geographic areas for a new test using the median of the carrier gapfill amounts.

    3. Other Laboratory Issues

    This section discusses other laboratory issues related to quality and glucose monitoring in SNFs.

    a. Quality

    In addition to providing payments, Medicare's clinical laboratory fee schedule for both new and existing tests should foster the provision of quality care and the prevention of avoidable health care costs. We are exploring the development of measures related to the quality and efficiency of care, including those involving clinical laboratory fee schedule services. Physicians' decisions are central to the health care their patients receive and are informed by appropriate clinical laboratory testing. We want to work with physicians, providers and the clinical laboratory community to identify ways to promote utilization decisions that clearly increase the quality of care while avoiding unnecessary costs for beneficiaries and the Medicare program.

    As part of its strategies to improve quality of care, CMS could require those who perform laboratory tests to submit laboratory values using common vocabulary standards, such as those found in the Logical Observation Identifiers Names and Codes (LOINC®) database.

    The LOINC® database currently contains about 41,000 observational terms, of which nearly 31,000 are observational terms related to laboratory testing. The laboratory subset of the LOINC® database provides universal names and codes for identifying the results of clinical laboratory tests and it facilitates the exchange and pooling of clinical laboratory results for clinical care, outcomes management and research. Note that LOINC® describes the test result, but does not provide it. It is, therefore, only one possible component of a comprehensive system of collecting clinical laboratory fee test results. Each LOINC® record corresponds to a single test result or panel. The following are some examples of LOINC records:

    LOINC code LOINC name (component: property: timing: specimen: scale)

    2951-2 SODIUM:SCNC:PT:SER/PLAS:QN

    2955-2 SODIUM:SCNC:PT:UR:QN

    2956-1 SODIUM:SRAT:24H:UR:QN

    2164-2 CREATININE RENAL CLEARANCE:VRAT:24H:UR:QN

    1514-9 GLUCOSE 2H POST 100 G GLUCOSE

    PO:MCNC:PT:SER/PLAS:QN

    3665-7 GENTAMICIN TROUGH:MCNC:PT:SER/PLAS:QN

    17863-2 CALCIUM.IONIZED:MCNC:PT:SER/PLAS:QN

    2863-9 ALBUMIN:MCNC:PT:SNV:QN:ELECTROPHORESIS

    The parts of the LOINC® name refer to different aspects of the test result. The component is the analyte (for example, sodium). The property is the characteristic of the analyte that is measured, evaluated or observed (for example SCNC = substance concentration). Timing indicates whether the measurement is an observation at a moment of time, or an observation integrated over an extended duration of time (for example, PT = point in time). The specimen is the type of sample (for example, SER/PLAS = serum or plasma). The scale is the type of scale (for example QN = quantitative). For further detail, please see the LOINC® Web site at http://www.loinc.org.

    On September 23, 2005 (70 FR 55900-56025), we published the proposed rule “HIPAA Administrative Simplification: Standards for Electronic Health Care Claims Attachments.” This rule proposed standards for electronically requesting and supplying particular types of additional health care information in the form of an electronic attachment to support submitted health care claims data. The proposed rule specified a standard attachment form for reporting laboratory results (among other standards) and proposed adoption of LOINC® as the standard code set for reporting such results.

    While the laboratory claims attachment standard and use of LOINC® could provide a means for reporting test result data, we recognize that there are significant operational and other challenges that would need to be addressed before Medicare could begin to collect laboratory values in a comprehensive fashion using common vocabulary standards and that these challenges need to be met in partnership with the clinical laboratory community. We look forward to working Start Printed Page 49065collaboratively with the clinical laboratory community on these issues.

    b. Blood Glucose Monitoring in SNFs

    In response to inquiries regarding our policy on blood glucose monitoring in SNFs, we are taking this opportunity to restate our long-standing policy on coverage of blood glucose monitoring services and to propose to codify physician certification requirements for blood glucose monitoring in SNFs.

    Generally, section 1862(a)(1)(A) of the Act requires that a service be reasonable and necessary for diagnosis and treatment in order to be eligible for coverage by Medicare. Our regulations at § 410.32(a) already require that, for any diagnostic test, including a clinical diagnostic laboratory test, to be considered reasonable and necessary, it must be both ordered by the physician and the ordering physician must use the result in the management of the beneficiary's specific medical problem. Tests not ordered by the physician who is treating the beneficiary are not reasonable and necessary.

    In the context of blood glucose monitoring, we most recently stated this policy in Transmittal AB-00-108, “Glucose Monitoring”, which is available on our Web site at http://www.cms.hhs.gov/​transmittals/​downloads/​ab00108.pdf. This interpretation of § 410.32 is also the basis for our policy in Chapter 7 of the Medicare Claims Processing Manual (“Skilled Nursing Facility Part B Billing” available on our Web site at http://www.cms.hhs.gov/​manuals/​downloads/​clm104c07.pdf.)

    In addition, section 1835(a)(2)(B) of the Act provides that, in the case of certain “medical and other health services” (including clinical diagnostic laboratory services), payment may be made for Part B services that are furnished by a provider of services only if a physician certifies—and recertifies where those services are furnished over a period of time, with such frequency, and accompanied by such supporting material, as may be provided by regulation—that those services were medically necessary. The regulations currently implementing this provision at § 424.24 do not specifically address the issue of blood glucose monitoring in SNFs. Therefore, we are proposing to amend § 424.24 to provide that, for each blood glucose test furnished to a resident of a SNF, the physician must certify that the test is medically necessary. We are also proposing to amend § 424.24 to clarify that a physician's standing order is not sufficient to order routine blood glucose monitoring.

    c. Other Lab Issues—Proposed Clinical Diagnostic Laboratory Date of Service (DOS) for Stored Specimens

    We are proposing to add a new § 414.410 to address concerns that have been raised regarding the date of service of a clinical diagnostic laboratory test that use a stored (or “archived”) specimen. In the final rule of coverage and administrative policies for clinical diagnostic laboratory services that we published on November 23, 2001 (66 FR 58792), we adopted a policy under which the date of service for clinical diagnostic laboratory services generally is the date the specimen is collected. For laboratory tests that use an archived specimen, however, the date of service is the date the specimen was obtained from the storage. In 2002, we issued Program Memorandum AB-02-134 which permitted contractors discretion in making determinations regarding the length of time a specimen must be stored to be considered archived. In response to comments requesting that we issue a national standard to clarify when a stored specimen can be considered “archived,” in the Procedures for Maintaining Code Lists in the Negotiated National Coverage Determinations for Clinical Diagnostic Laboratory Services final notice, published in the Federal Register on February 25, 2005 (70 FR 9355), we defined an “archived” specimen as a specimen that is stored for more than 30 calendar days before testing. The date of service for these archived specimens is the date the specimen was obtained from storage. Specimens stored 30 days or less have a date of service of the date the specimen was collected. The February 25, 2005 final notice also clarified that the date of service for tests when the collection spanned more than two calendar days is the date the collection ended. Instructions that implemented these policies were added to Chapter 16, section 40.8 of the Medicare Claims Processing Manual (Pub. 100-04) with the issuance of Transmittal 800 (CR 4156), on December 30, 2005.

    Recently, we have received correspondence that expressed concern that our policies have created some unintended consequences, especially in situations in which a specimen is taken in a hospital setting, but then later used for a test after the patient has left the hospital. Under the current manual instructions, if the specimen used for a test ordered subsequent to the beneficiary's discharge is obtained less than 31 calendar days following the date the specimen was collected, the date of service of the test is the date of collection. The date of service of a test may affect payment because, if the date of service falls during an inpatient stay or on a day on which the beneficiary had an outpatient procedure, payment for the laboratory test usually is bundled with the hospital service. To address these concerns, we are proposing to change our current policy so that the date of service would be the date the specimen is obtained from storage, even if the specimen is obtained less than 31 days from the date it was collected, without violating the unbundling rules as long as the following conditions are met:

    • The test is ordered by the patient's physician at least 14 days following the date of the patient's discharge from the hospital.
    • The test could not reasonably have been ordered while the patient was hospitalized.
    • The procedure performed while the beneficiary is a patient of the hospital is for purposes other than collection of the specimen needed for the test.
    • The test is reasonable and medically necessary.

    These conditions are consistent with the guidance in Chapter 16, sec 40.3 of the Claims Processing Manual, which states that “When the hospital obtains laboratory tests for outpatients under arrangements with clinical laboratories or other hospital laboratories, only the hospital can bill for the arranged services.”

    In addition, Chapter 3 of the Program Integrity Manual contains instructions for additional documentation if further development of laboratory claims for pre-or postpay are required. Although we believe these changes will help to maintain beneficiary access to care, we are concerned about the potential for these policy changes creating inappropriate incentives in the development of technology and the implications for the unbundling of services. We solicit comment on the proposed changes and these concerns.

    O. Proposal to Establish Criteria for National Certifying Bodies That Certify Advanced Practice Nurses

    [If you choose to comment on issues in this section, please include the caption “Criteria for National Certifying Bodies-Advanced Practice Nurses” at the beginning of your comments.]

    Federal regulatory qualifications for nurse practitioners (NPs) at 42 CFR 410.75 require that an individual be certified as an NP by a recognized national certifying body that has established standards for NPs. Similarly, Federal regulatory qualifications for clinical nurse specialists (CNSs) at 42 Start Printed Page 49066CFR 410.76 require that an individual be certified as a CNS by a national certifying body that has established standards for CNSs and that is approved by the Secretary.

    Currently, there is not a list of recognized or approved national certifying bodies for NPs and CNSs in regulations. However, Chapter 15, section 200 of the Benefit Policy Manual, Pub. 100-02 contains a list of national certifying bodies that are recognized by Medicare as being appropriate for certification of NPs. Although the manual provision regarding CNS services at Chapter 15, section 210 of the Benefit Policy Manual lists only the American Nurses Credentialing Center as an approved national certifying body for CNSs, we indicated that the list of recognized certifying bodies in the manual provision for NP services would also apply for CNSs in the “Revisions to Payment Policies Under the CY 2003 Physician Fee Schedule and Inclusion of Registered Nurses in the Personnel Provision of the Critical Access Hospital Emergency Services Requirement for Frontier Areas and Remote Locations; Payment Policies final rule (December 31, 2002, 67 FR 79987). The national certifying bodies that are listed under the manual instruction at section 200, and that currently apply for both NPs and CNSs (collectively, advanced practice nurses) are as follows:

    • American Academy of Nurse Practitioners;
    • American Nurses Credentialing Center;
    • National Certification Corporation for Obstetric, Gynecologic and Neonatal Nursing Specialties;
    • National Certification Board of Pediatric Nurse Practitioners and Nurses;
    • Oncology Nurses Certification Corporation;
    • Critical Care Certification Corporation.

    In the December 31, 2002 final rule, in response to a public comment, we stated, “it is not the agency's intention to be overly restrictive in our program requirements and consequently prevent qualified CNSs who specialize in areas of medicine other than those certified by the American Nurses Credentialing Center (ANCC) from participating under the CNS benefit and from rendering care to patients in need of specialized services. Furthermore, the intent of the revision to the certification requirement for CNSs is to recognize all appropriate national certifying bodies for CNSs as the program does for NPs.” Accordingly, in an effort to recognize all appropriate national certifying bodies for CNSs and NPs, we added, at that time, the Oncology Nurses Certification Corporation (ONCC) and the Critical Care Certification Corporation (CCCC) to the list of recognized national certifying bodies for advanced practice nurses.

    The National Board on Certification of Hospice and Palliative Care Nurses (NBCHPN) has requested that we now follow the same course of action as we did for the ONCC and the CCCC by adding its name to the list of recognized national certifying bodies. That is, NBCHPN believes that it is an appropriate national certifying body based on its certification experience, principles, services, and the certification exam that it administers to advanced practice nurses who specialize in palliative care for hospice patients.

    The NBCHPN stated in information it sent to the agency that its organization is a well-established certification body with more than 12-years history of certification and that it has been certifying advanced practice hospice and palliative nurses since 2003 in partnership with the ANCC. Starting in 2005, the NBCHPN became sole proprietor of the Advanced Certified Hospice and Palliative Nurse (ACHPN) examination. Master's level nurse practitioners and clinical nurse specialists sit for this ACHPN examination that is based on a role delineation study for the advanced practice level of hospice and palliative nursing. Additionally, the NBCHPN stated that it has met the requirements of the American Board of Nursing Specialties and is an active member of the Board of Specialties, as is the ANCC. The Executive Director of the NBCHPN stated that she believes that the absence of the NBCHPN from the current list of recognized national certifying bodies presents a barrier for advanced practice nurses in the hospice palliative care specialty because they are denied enrollment on the basis that they do not meet the certification qualification requirement. The Web site for the NBCHPN can be found at www.nbchpn.com.

    We are soliciting public comments on whether it would be appropriate to include the NBCHPN under the list of recognized and approved national certifying bodies for NPs and CNSs under manual instructions for both NPs and CNSs. We are also soliciting public comments on criteria or standards that we could use to determine whether an organization is an appropriate national certifying body for advanced practice nurses. CMS realizes that the agency may receive other requests in the future from organizations that wish to be to be added to the list of recognized or approved national certifying bodies. In anticipation of those requests, the agency is interested in developing certification standards that would facilitate the process for making these decisions.

    P. Chiropractic Services Demonstration

    [If you choose to comment on issues in this section, please include the caption “Chiropractic Services Demonstration” at the beginning of your comments.]

    In the FY 2006 PFS final rule (November 21, 2005), we included a discussion of the 2-year demonstration authorized by section 651 of the MMA to evaluate the feasibility and advisability of covering chiropractic services under Medicare. These services extend beyond the current coverage for manipulation to care for neuromusculoskeletal conditions typical among eligible beneficiaries, and cover diagnostic and other services that a chiropractor is legally authorized to perform by the State or jurisdiction in which the treatment is provided. The demonstration is being conducted in four sites, two rural and two urban. The demonstration must be budget neutral as the statute requires the Secretary to ensure that the aggregate payment made under the Medicare program does not exceed the amount which would be paid in the absence of the demonstration.

    Ensuring budget neutrality requires that the Secretary develop a strategy for recouping funds should the demonstration result in costs higher than those that would occur in the absence of the demonstration. As we stated in the FY 2006 PFS, we would make adjustments in the national chiropractor fee schedule to recover the costs of the demonstration in excess of the amount estimated to yield budget neutrality. We will assess budget neutrality by determining the change in costs based on a pre/post comparison of costs and the rate of change for specific diagnoses that are treated by chiropractors and physicians in the demonstration sites and control sites. We will not limit our analysis to reviewing only chiropractor claims, because the costs of the expanded chiropractor services may have an impact on other Medicare costs.

    Any needed reduction would be made in the 2010 and 2011 physician fee schedules as it will take approximately 2 years to complete the claims analysis. If we determine that the adjustment for budget neutrality is greater than 2 percent of spending for the chiropractor fee schedule codes (comprised of the 3 Start Printed Page 49067currently covered CPT codes 98940, 98941, and 98942), we would implement the adjustment over a 2-year period. However, if the adjustment is less than 2 percent of spending under the chiropractor fee schedule codes, we would implement the adjustment over a 1-year period. We will include the detailed analysis of budget neutrality and the proposed offset during the 2009 rulemaking process. PT services performed by chiropractors under the demonstration are subject to the PT therapy cap. These services are included under the cap because chiropractors are subject to the same rules as medical doctors for therapy services under the demonstration.

    Q. Promoting Effective Use of Health Information Technology (HIT)

    (If you choose to comment on issues in this section, please include the caption “Promoting Effective Use of HIT” at the beginning of your comment.)

    We recognize the potential for health information technology (HIT) to facilitate improvements in the quality and efficiency of health care services. One recent RAND study found that broad adoption of electronic health records could save more than $81 billion annually and, at the same time, improve quality of care.[1] The largest potential savings that the study identified was in the hospital setting because of shorter hospital stays promoted by better coordinated care; less nursing time spent on administrative tasks; better use of medications in hospitals; and better utilization of drugs, laboratory services, and radiology services in hospital outpatient settings. The study also identified potential quality gains through enhanced patient safety, decision support tools for evidence-based medicine, and reminder mechanisms for screening and preventive care. Despite these large potential benefits, the study found that only about 20 to 25 percent of hospitals have adopted HIT systems.

    It is important to note the caveats to the RAND study. The projected savings are across the health care sector, and any Federal savings would be a reduced percentage. In addition, there are significant assumptions made in the RAND study. National savings are projected in some cases based on one or two small studies. Also, the study assumes patient compliance, in the form of participation in disease management programs and following medical advice. For these reasons, extreme caution should be used in interpreting these results.

    In summary, there are mixed signals about the potential of HIT to reduce costs. Some studies have indicated that HIT adoption does not necessarily lead to lower costs and improved quality. In addition, some industry experts have stated that factors such as an aging population, medical advances, and increasing provider expenses would make any projected savings impossible.

    In his 2004 State of the Union Address, the President announced a plan to ensure that most Americans have electronic health records within 10 years.[2] One part of this plan involves developing voluntary standards and promoting the adoption of interoperable HIT systems that use these standards. The 2007 Budget states that “The Administration supports the adoption of health information technology (IT) as a normal cost of doing business to ensure patients receive high quality care.”

    Over the past several years, we have undertaken several activities to promote the adoption and effective use of HIT in coordination with other Federal agencies and with the Office of the National Coordinator for Health Information Technology. One of those activities is promotion of data standards for clinical information, as well as for claims and administrative data.

    As noted above, the Administration supports the adoption of HIT as a normal cost of doing business. The adoption and use of HIT may contribute to improved processes and outcomes of care, including shortened illnesses and the avoidance of adverse drug reactions.

    R. Health Care Information Transparency Initiative

    (If you choose to comment on issues in this section, please include the caption “Health Care Information Transparency Initiative” at the beginning of your comment.)

    The United States (U.S.) faces a dilemma in health care. Although the rate of increase in health care spending slowed last year, costs are still growing at an unsustainable rate. The U.S. spends $1.9 trillion on health care, or 16 percent of the gross domestic product (GDP). By 2015, projections are that health care will consume 20 percent of GDP. As indicated in the 2006 Annual Report of the Boards of Trustees, the Medicare program alone consumes 3.2 percent of the GDP and by 2040, it will consume 8.0 percent of the GDP.

    Part of the reason health care costs are rising so quickly is that most consumers of health care—the patients—are frequently not aware of the actual cost of their care. Health insurance shields them from the full cost of services, and they have only limited information about the quality and costs of their care. Consequently, consumers do not have the incentive or means to carefully shop for providers offering the best value. Thus, providers of care are not subject to the competitive pressures that exist in other markets for offering quality services at the best possible price. Reducing the rate of increase in health care prices and avoiding health services of little value could help to stem the growth in health care spending, and potentially reduce the number of individuals who are unable to afford health insurance. Part of the President's health care agenda is to expand Health Savings Accounts (HSAs), which would provide consumers with greater financial incentives to compare providers in terms of price and quality, and choose those that offer the best value.

    In order to exercise those choices, consumers must have accessible and useful information on the price and quality of health care items and services. Typically, health care providers do not publicly quote or publish their prices. Moreover, list prices, or charges, generally differ from the actual prices negotiated and paid by different health plans. Thus, even if consumers were financially motivated to shop for the best price, it would be very difficult at the current time for them to access usable information.

    For these reasons, DHHS is launching a major health care information transparency initiative in 2006. This effort builds on steps taken by CMS to make quality and price information available. For example, Medicare has provided unprecedented information about drug prices in the Medicare drug benefit, and is now adding to these efforts in other areas. Medicare payment information for common elective procedures and other common admissions for all hospitals by county has been posted on our Web site at: http://www.cms.hhs.gov/​HealthCareConInit/​01 Overview.asp#TopOfP.

    We will post geographically-based Medicare payment information for common elective procedures for ambulatory surgery centers this summer and for common hospital outpatient and physician services this fall. Start Printed Page 49068

    In addition, a number of tools providing usable healthcare information are already available to Medicare beneficiaries. Supported by the public-private quality alliances, consumers can access “Compare” Web sites through www.medicare.gov where they can evaluate important aspects of their health care options for care at a hospital, nursing home, home health agency, and dialysis facility, as well as compare their costs and coverage when choosing a prescription drug plan.

    We are developing a project with the goals of providing more comprehensive information on quality and costs, including more complete measures of health outcomes, satisfaction, and volume of services that matter to consumers, and more comprehensive measures of costs for entire episodes of care, not just payments for particular services and admissions. We intend for the project to combine public and private health care data to measure cost and quality of care information at the physician and hospital levels. Quality, cost, pricing, and patient information will be reported to consumers and purchasers of health care in a meaningful and transparent way.

    III. Collection of Information Requirements

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

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

    We are soliciting public comment on each of these issues for the following sections of this document that contain information collection requirements:

    Section 410.33 Independent Diagnostic Testing Facility

    Section 410.33(e)(1) imposes a recordkeeping requirement on multi-state entities. Specifically, an independent diagnostic testing facility (IDTF) that operates across State boundaries must maintain documentation that its supervising physicians and technicians are licensed and certified in each of the States in which it operates. The burden associated with this requirement is the time and effort it takes the IDTF to collect and maintain the aforementioned information.

    While subject to the PRA, we believe this information collection requirement is exempt as defined in 5 CFR 1320.3(b)(2), because the time, effort, and financial resources necessary to comply with the requirement would be incurred by persons in the normal course of their activities (for example, in compiling and maintaining business records) and is considered to be usual and customary.

    Section 410.33(g) discusses the application certification standards that an IDTF must meet. An IDTF must complete an enrollment application and certify the information contained in the application. The certification is part of an application that is subject to the PRA. The burden associated with this requirement is the time and effort necessary to complete the application. This requirement is currently approved in OMB No. 0938-0685, with a current expiration date of April 30, 2009.

    If you comment on these information collection and recordkeeping requirements, please mail copies directly to the following:

    Centers for Medicare & Medicaid Services, Office of Strategic Operations and Regulatory Affairs, Regulations Development Group, Attn: William N. Parham, III, [CMS-1321-P], Room C4-26-05, 7500 Security Boulevard, Baltimore, MD 21244-1850; and

    Office of Information and Regulatory Affairs, Office of Management and Budget, Room 10235, New Executive Office Building, Washington, DC 20503, Attn: Carolyn Lovett, CMS Desk Officer, [CMS-1321-P], carolyn_lovett@omb.eop.gov. Fax (202) 395-6974.

    IV. Response to Comments

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

    V. Regulatory Impact Analysis

    [If you choose to comment on issues in this section, please include the caption “IMPACT” at the beginning of your comments.]

    We have examined the impact of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review), the Regulatory Flexibility Act (RFA) (September 19, 1980 Pub. L. 96-354), section 1102(b) of the Social Security Act, the Unfunded Mandates Reform Act of 1995 (Pub. L. 104-4), and Executive Order 13132.

    Executive Order 12866 (as amended by Executive Order 13258, which merely reassigns responsibilities of duties) directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more in any one year, or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). As indicated in more detail below, we estimate that the PFS provisions included in this proposed rule will redistribute more than $100 million in one year. We are considering this proposed rule to be economically significant because its provisions are estimated to result in an increase, decrease or aggregate redistribution of Medicare spending that will exceed $100 million. Therefore, this proposed rule is a major rule and we have prepared a regulatory impact analysis.

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

    Section 1102(b) of the Act requires us to prepare a regulatory impact analysis for any proposed rule that may have a significant impact on the operations of Start Printed Page 49069a substantial number of small rural hospitals. This analysis must conform to the provisions of section 603 of the RFA. For purposes of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside a Metropolitan Statistical Area and has fewer than 100 beds. We have determined that this proposed rule would have minimal impact on small hospitals located in rural areas. Of the 222 hospital-based ESRD facilities located in rural areas, only 40 are affiliated with hospitals with fewer than 100 beds.

    For purposes of the RFA, physicians, nonphysician practitioners, and suppliers are considered small businesses if they generate revenues of $6 million or less. Approximately 95 percent of physicians are considered to be small entities. There are about 980,000 physicians, other practitioners and medical suppliers that receive Medicare payment under the PFS.

    For purposes of the RFA, approximately 80 percent of clinical diagnostic laboratories are considered small businesses according to the Small Business Administration's size standards.

    In addition, most ESRD facilities are considered small entities, either based on nonprofit status or by having revenues of $29 million or less in any year. We consider a substantial number of entities to be affected if the proposed rule is estimated to impact more than 5 percent of the total number of small entities. Based on our analysis of the 927 nonprofit ESRD facilities considered small entities in accordance with the above definitions, we estimate that the combined impact of the proposed changes to payment for renal dialysis services included in this proposed rule would have a 0.9 percent increase in overall payments relative to current overall payments.

    IDTFs are suppliers under the Medicare program. For purposes of the RFA, suppliers with annual sales of $6 million or less are considered to be small entities. (Individuals and States are not included in the definition of a small entity.) We believe that our proposed standards for IDTFs will help bar fraudulent suppliers from participating in the Medicare program and provide an added level of protection to Medicare beneficiaries. Therefore, we expect to have an impact on an unknown number of persons and entities who will effectively be prevented from practicing their aberrant billing activities. The vast majority of suppliers would not be significantly affected by this proposed rule. The reduction in program overpayments and the added level of protection to beneficiaries that we expect to achieve as a result of this proposed rule justifies the relatively small burden this proposed rule would impose on all small entities.

    The analysis and discussion provided in this section, as well as elsewhere in this proposed rule, complies with the RFA requirements.

    Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditures in any year by State, local, or tribal governments, in the aggregate, or by the private sector, of $120 million. Medicare beneficiaries are considered to be part of the private sector for this purpose.

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

    We have prepared the following analysis, which, together with the information provided in the rest of this preamble, meets all assessment requirements. The analysis explains the rationale for and purposes of this proposed rule; details the costs and benefits of the rule; analyzes alternatives; and presents the measures we propose to use to minimize the burden on small entities. As indicated elsewhere in this proposed rule, we propose to change our methodology for calculating resource-based PE RVUs and make a variety of other changes to our regulations, payments, or payment policies to ensure that our payment systems reflect changes in medical practice and the relative value of services. We provide information for each of the policy changes in the relevant sections of this proposed rule. We are unaware of any relevant Federal rules that duplicate, overlap or conflict with this proposed rule. The relevant sections of this proposed rule contain a description of significant alternatives if applicable.

    A. Resource Based PE RVU Proposals for CY 2007 and Section 5102 of the DRA-Proposed Adjustments for Payments for Imaging Services

    As required by section 5102(a) of the DRA and described earlier in section II.E.1. of this proposed rule, we are removing, from the PE RVUs under the PFS the 0.3 percent increase made to the PE RVUs in the CY 2006 PFS final rule with comment period to ensure the budget neutrality of the impact of the multiple imaging policy adopted for CY 2006. Section 5102(a) of the DRA exempts the CY 2006 and 2007 impact of the multiple imaging policy from budget neutrality. Because we are proposing to maintain the current 25 percent payment reduction for multiple imaging procedures in CY 2007, there is no additional impact resulting from our proposals for CY 2007. Section 5102 of the DRA also exempts the estimated savings from the application of the OPPS-based payment limitation on PFS imaging services from the PFS budget neutrality requirement. We estimate that the combined impact of the budget neutrality exemptions in section 5102 of the DRA would reduce PFS expenditures by approximately 1.3 percent in CY 2007.

    Table 7 below shows the specialty-level impact of section 5102 of the DRA and our most recent estimate (−5.1 percent) of the CY 2007 Medicare PFS update. For reference purposes, we have also included the specialty-level impacts using the methodology from the separate June 29, 2006 proposed notice (71 FR 37170), which solicited comments on proposed changes to the PE methodology as well as changes to work RVUs for certain services based on the agency's completion of a five-year review of work RVUs. The CY 2007 impact of the PE input changes described in section II.A. of this proposed rule that were not included in the June 29, 2006 proposed notice are minimal at the specialty level. Additionally, the impacts in this proposed rule reflect the use of updated physician time data from the AMA-RUC.

    Our estimates of changes in Medicare revenues for PFS services compare payment rates for CY 2006 with proposed payment rates for CY 2007 using CY 2005 Medicare utilization for all years. We are using CY 2005 Medicare claims processed and paid through March 30, 2005, that we estimate are 98 percent complete. To the extent that there are year-to-year changes in the volume and mix of services provided by physicians, the actual impact on total Medicare revenues will be different than those shown here. The payment impacts reflect averages for each specialty based on Medicare utilization. The payment impact for an individual physician would be different from the average, based on the mix of services the physician provides. The average change in total revenues would be less than the impact displayed here because physicians furnish services to both Medicare and non-Medicare patients Start Printed Page 49070and specialties may receive substantial Medicare revenues for services that are not paid under the PFS. For instance, independent laboratories receive approximately 80 percent of their Medicare revenues from clinical laboratory services that are not paid under the PFS.

    Table 7 shows only the payment impact on PFS services. The following is an explanation of the information represented in Table 7:

    • Specialty—The physician specialty or type of practitioner/supplier.
    • Allowed Charges—Allowed charges are the Medicare Fee Schedule amounts for covered services and include copayments and deductibles (which are the financial responsibility of the beneficiary.) These amounts have been summed across all services provided by physicians, practitioners, or suppliers with a specialty to arrive at the total allowed charges for the specialty.
    • Impact of Work and PE RVU Changes using the June 29, 2006 proposed notice methodology—For references purposes, the combined CY 2007 percentage increase or decrease in allowed charges attributed to changes in the work and PE RVUs described in and republished from the June 29, 2006 proposed notice methodology.
    • Impact of section 5102 of the DRA—The CY 2007 percentage decrease in allowed charges attributed to section 5102 of the DRA.
    • Combined impact of the June 29, 2006 proposed notice methodology and section 5102 of the DRA.
    • CY 2007 Update—The percentage decrease in allowed charges attributed to the most recent estimate of the CY 2007 PFS conversion factor update (−5.1 percent).
    • Combined impact with CY 2007 update—The CY 2007 percentage decrease in allowed charges attributed to the June 29, 2006 proposed notice methodology, section 5102 of the DRA, and the CY 2007 update.

    Start Printed Page 49071

    Table 8 below shows the impact on total payments for selected high-volume procedures of all of the changes previously discussed. We selected these procedures because they are the most commonly provided by a broad Start Printed Page 49072spectrum of physician specialties. There are separate columns that show the change in the facility rates and the nonfacility rates. For an explanation of facility and nonfacility PE refer to Addendum A of this proposed rule. If we change any of the proposed provisions following the consideration of public comments, these figures may change.

    Start Printed Page 49073

    B. Geographic Practice Cost Indices (GPCI)—Payment Localities

    As discussed in section II.B. of the preamble to this proposed rule, we are proposing new GPCIs for 2007. In the November 15, 2004 PFS final rule, we published 2005 and 2006 GPCI and GAF values reflecting the 2 year phase-in of updated GPCI data. In 2007, the proposed GPCI and GAF values will reflect new budget neutrality scalers (developed by the Office of the Actuary) and the removal of the 1.000 MMA floor from the physician work GPCI. The negative impact of these changes on a number of payment localities is shown in 4 of section II.B. in this proposed rule.

    C. Global Period for Remote Afterloading High Intensity Brachytherapy Procedures

    As discussed in section II.D.1. of this proposed rule, we are proposing changes to the global period for these Start Printed Page 49074services. We do not anticipate this proposed change will have a significant impact on Medicare expenditures.

    D. DRA 5112—Proposed Addition of the Ultrasound Screening for Abdominal Aortic Aneurysm to Welcome to Medicare Benefit

    As discussed earlier in section II.E.3. of this preamble, section 5112 of the DRA authorizes coverage of an ultrasound screening for abdominal aortic aneurysms effective January 1, 2007, subject to certain eligibility and other limitations. We estimate that this new benefit would result in an increase in Medicare expenditures to physicians and other practitioners and suppliers of ultrasound services and related follow-up tests and treatment that may be required as a result of the coverage of these screening examinations. However, this is not expected to have a significant cost impact on the Medicare program.

    E. DRA 5113—Proposed Colorectal Screening Exemption From Part B Deductible

    As discussed earlier in section II.E.4. of this preamble, beginning January 1, 2007, colorectal cancer screening services as described in section 1861(pp)(1) of the Act are no longer subject to the Part B deductible. While waiver of this deductible will be beneficial to Medicare beneficiaries, we do not anticipate that this change will have a significant cost impact on the Medicare program.

    F. Section 5114—Proposed Addition of Diabetes Outpatient Self-Management Training Services (DSMT) and Medical Nutrition Therapy (MNT) for the FQHC Program

    As discussed earlier in section E.4. of this preamble, section 5114 of the DRA amended section 1861(aa)(3) the Act to add DSMT and MNT to the list of Medicare covered and reimbursed services under the Medicare FQHC benefit, effective for services provided on or after January 1, 2006. Although this statutory change has already been implemented in administrative instructions, we are proposing to conform the regulations to meet the new statutory requirement. FQHCs certified as DSMT and MNT providers have been allowed to bundle the cost of those services into their FQHC payment rates. But before the enactment of the DRA, the provision of these services would not generate a separate FQHC visit payment. Effective for services furnished on or after January 1, 2006, FQHCs that are certified providers of DSMT and MNT services can receive per visit payments for covered services furnished by registered dietitians or nutrition professionals. In light of the fact there are a limited number of qualified centers for DSMT and MNT services, the increase in Medicare expenditures should be negligible.

    G. Proposed Payment for Covered Outpatient Drugs and Biologicals (ASP Issues)

    The proposed changes discussed in section II.F. of this proposed rule, with respect to payment for covered outpatient drugs and biologicals, are estimated to have no impact on Medicare expenditures. However, we believe the changes will assist in clarifying existing policy with respect to ASP payment.

    H. Proposed Provisions Related to Payment for Renal Dialysis Services Furnished by End State Renal Disease (ESRD) Facilities

    The ESRD related provisions in this proposed rule are discussed in section II.G. of this preamble. In order to understand the impact of the proposed changes affecting payments to different categories of ESRD facilities, it is necessary to compare estimated payments under the current year (current 2006 payments) to estimated payments under the proposed revisions to the composite rate payment system as discussed in II.G. of this proposed rule (proposed 2007 payments). To estimate the impact among various classes of ESRD facilities, it is imperative that the estimates of current payments and proposed payments contain similar inputs. Therefore, we simulated payments only for those ESRD facilities that we are able to calculate both current 2006 payments and proposed 2007 payments.

    Due to data limitations, we are unable to estimate current and proposed payments for 226 facilities that bill for ESRD dialysis treatments. ESRD providers were grouped into the categories based on characteristics provided in the Online Survey and Certification and Reporting (OSCAR) file and the most recent cost report data from the Healthcare Cost Report Information System (HCRIS). We also used the December 2005 update of CY 2005 National Claims History file as a basis for Medicare dialysis treatments and separately billable drugs and biologicals. While the December 2005 update of the 2005 claims file is not complete, we wanted to use the most recent data available, and plan to use an updated version of the 2005 claims file for the final rule.

    Start Printed Page 49075

    Table 9 above shows the impact of this year's proposed changes to CY 2007 payments to hospital-based and independent ESRD facilities. The first column of Table 9 identifies the type of ESRD provider, the second column Start Printed Page 49076indicates the number of ESRD facilities for each type, and the third column indicates the number of dialysis treatments.

    The fourth column shows the effect of CY 2007 proposed changes to the ESRD wage index as it affects the composite rate payments to ESRD facilities. The fourth column compares aggregate ESRD wage adjusted composite rate payments in the second year of the transition (CY 2007) to aggregate ESRD wage adjusted composite rate payments in first year of the transition (CY 2006). In the second year of the transition (CY 2007), ESRD facilities receive 50 percent of the CBSA wage adjusted composite rate and 50 percent of the MSA adjusted composite rate. In the first year of the transition, ESRD facilities receive 25 percent of the CBSA wage adjusted composite rate and 75 percent of the MSA adjusted composite rate. The overall effect to all ESRD providers in aggregate is zero because the proposed CY 2007 ESRD wage index has been multiplied by a budget neutrality factor to comply with the statutory requirement that any wage index revisions be done in a manner that results in the same aggregate amount of expenditures as would have been made without any changes in the wage index. The decreases shown among census regions is primarily due to reducing the wage index floor, as there were areas in these areas with wage index values below the proposed floor.

    The fifth column shows the overall effect of the proposed changes in composite rate payments to ESRD providers. The overall effect is measured as the difference between CY 2007 proposed payment with all changes as proposed in this rule and CY 2006 current payment. This amount is computed by multiplying the wage adjusted composite rate with the drug add-on for each provider times dialysis treatments from 2005 claims. The CY 2007 proposed payment is transition year two wage adjusted composite rate for each provider (with the proposed 15.2 percent drug add-on) times dialysis treatments from 2005 claims. The CY 2006 current payment is transition year one wage adjusted composite rate for each provider (with the current 14.5 percent drug add on) times dialysis treatments from 2005 claims.

    The overall impact to ESRD providers in aggregate is 0.6 percent. This increase corresponds to the proposed 0.6 percent increase to the drug add-on. The variation seen in column 5 is due to variation in change in the wage index (column 4). All provider types receive the same 0.6 percent increase to the drug add on.

    I. Private Contracts and Opt-Out Provision

    The changes discussed in this proposed rule, with respect to private contracts and the opt-out provision, are currently estimated to have no significant impact on Medicare expenditures.

    J. Proposals Related to Physician Self Referral Prohibitions

    As discussed in section II.I of this proposed rule, we would clarify in regulations at § 424.80(d) under the contractual arrangement reassignment exception that, if a physician or other individual supplier reassigns his or her right to bill for the TC of a diagnostic test, the entity to which the reassignment is made may not be paid more than the physician or other individual supplier would have been paid for the TC. In addition, in order to bill for the TC of the diagnostic test, the entity to which the reassignment is made must perform the PC. We also propose that, in order to bill for the PC of a diagnostic test following a reassignment, the billing entity must meet current requirements in our manual instructions.

    In addition, as discussed in section II.I., we also propose to revise §§ 424.80(b) and (d) to provide that a physician or other individual supplier who reassigns his or her right to benefits has a right to review the bills for his or her services, irrespective of whether the individual is an employee or an independent contractor of the entity to which the reassignment is made.

    We also propose the following changes to the physician self-referral provisions:

    • A “centralized building” for purposes of the physician services exception and the in-office ancillary services exception at §§ 411.355(a) and (b), respectively, would have to measure at least 350 square feet and include permanent placement of the equipment used in the provision of substantially all of the designated health services. We believe that these changes would have little effect on Medicare expenditures.

    K. Supplier Access to Claims Billed on Reassignment

    The reassignment provisions discussed in section II.J.2. of this preamble are currently estimated to have no significant impact on Medicare expenditures.

    L. Proposed Coverage of Bone Mass Measurement

    As discussed in section II.K. of this preamble, we have decided to propose several revisions to § 410.31 relative to the definition of the term “Bone Mass Measurement” (§ 410.31(a)(2)), the conditions for coverage (§ 410.31(b)), the examples of exceptions to the standards on frequency of coverage (§ 410.31(c)(2)), and the category of individuals receiving glucocorticoid (steroid) therapy (§ 410.31(d)(3)). We are also proposing the addition of a new paragraph (f) that would allow CMS, through the NCD process, to identify additional BMM systems for monitoring individuals receiving osteoporosis drug therapy and for performing confirmatory baseline measurements. We do not expect that this addition would have a significant cost impact on the Medicare program in the next several years.

    Based on the projected impact of the first three changes that would place greater reliance on the use of the more expensive DXA (axial skeleton) devices, we estimate that this revised benefit would result in an increase in Medicare payments for providers who use the DXA (axial skeleton) devices and a somewhat smaller decrease in payments to providers who use QCT (axial skeleton) and peripheral devices. However, we do not expect that these changes would have a significant cost impact on the Medicare program due to the fact that at present a very small percentage of our total Medicare payments for bone mass measurements are being made to providers who use QCT or peripheral devices. In addition, we estimate that lowering the eligibility standard for coverage of individuals on steroid therapy from 7.5 mg/day to 5.0 mg/day of prednisone (the fourth change) would result in an increase in Medicare payment for testing of additional patients, but this modest lowering of the steroid standard is not expected to have a significant cost impact on the program.

    M. Proposed IDTF Changes

    The costs associated with these proposed changes would be as follows:

    1. Liability Insurance Requirement (§ 424.57(c)(10))

    We estimate that only 10 percent of IDTFs do not already have liability insurance that meets this requirement. Based on Medicare data as of June 2005, 10 percent of the total number of IDTFs is approximately 559 suppliers. Using the previously highest estimate received ($1,800 annually), results in an approximate additional liability insurance cost of $1 million annually (559 times $1,800) to the IDTF industry due to this proposed rule. Start Printed Page 49077

    2. Primary Business Telephone Listed Under the Name of the Business Locally or Toll-free for Beneficiaries Proposed Requirement (§ 424.57(c)(9))

    We estimate that only 1 percent of IDTFs do not already meet this requirement. Based on Medicare data as of June 2005, we determined that 1 percent of IDTFs is approximately 56 suppliers. Therefore, 56 times the approximate $600 annual cost of telephone service results in an additional cost of $33,600 annually. Total Cost = $1 Million + $33,600 = approximately $1.04 million annually.

    N. Independent Lab Billing for TC Component of Physician Pathology Services for Hospital Patients

    The most current information on the number of affected hospitals and the impact on laboratories and hospitals comes from a report issued by the General Accounting Office (GAO) in September 2003.

    The GAO estimated that approximately 95 percent of the total of all Medicare hospitals on the prospective payment system, as well as CAHs sent the TC of physician pathology services to independent laboratories and the independent laboratories billed the carrier under the PFS.

    The GAO estimated that the median number of services sent by each hospital to outside independent laboratories was small, approximately 81 services. The GAO was unable to identify the number of laboratories billing for the TC service because a single laboratory may submit claims under multiple provider numbers. In general, the impact on the individual hospital is small; however, we do not know the impact on the individual independent laboratory

    If the independent laboratories had not received payments from the carriers for these TC services for hospital patients, the GAO estimates that Medicare spending would have been $42 million less in 2001 and beneficiary cost sharing obligations for inpatient and outpatient services would have been reduced by $2 million.

    Based on what they learned from the hospital industry, the GAO thought that Medicare beneficiaries' access to pathology services would not likely be affected if independent laboratories could not longer bill the carrier for these services. Hospital representatives indicated that they would likely continue to use independent laboratories to provide TC pathology services.

    In is unclear if the hospitals contracting with independent laboratories would pay the laboratories at the same rates that the laboratories received by billing the Medicare carriers under the physician fee schedule.

    O. Public Consultation for Medicare Payment for New Outpatient Clinical Diagnostic Laboratory Tests

    This codification of our process for public consultation for new clinical diagnostic laboratory tests paid under the Medicare Part B clinical laboratory fee schedule, if adopted, would not increase or decrease payment amounts for existing clinical diagnostic laboratory tests because it would not alter our current methodology for calculating payment amounts for existing clinical diagnostic laboratory tests. For new tests, this proposal would primarily codify an existing process for the determination of payment amounts. Because any new laboratory tests to be gapfilled are unknown to us at the current time, we do not have any data to estimate the impact of our proposal to pay for new gapfilled lab tests at the median of the local carrier amounts for all carriers rather than the lower of that amount and the local carrier amount.

    P. Alternatives Considered

    This proposed rule contains a range of policies, including some proposals related to specific MMA provisions. The preamble provides descriptions of the statutory provisions that are addressed, identifies those policies when discretion has been exercised, presents rationale for our decisions and, where relevant, alternatives that were considered.

    Q. Impact on Beneficiaries

    There are a number of changes made in this proposed rule that would have an effect on beneficiaries. In general, we believe these proposed changes, particularly the DRA provisions that provide for an exception to the application of the Part B deductible with respect to colorectal cancer screening tests and coverage of an ultrasound screening for the early detection of AAAs, as part of the Initial Preventive Physical Examination benefit (referred to as the Welcome to Medicare benefit) would improve beneficiary access to services that are currently covered or expand the Medicare benefit package to include new services. As explained in more detail below, the regulatory provisions may affect beneficiary liability in some cases. Any changes in aggregate beneficiary liability from a particular provision would be a function of the coinsurance (20 percent if applicable for the particular provision after the beneficiary has met the deductible) and the effect of the aggregate cost (savings) of the provision on the calculation of the Medicare Part B premium rate (generally 25 percent of the provision's cost or savings).

    To illustrate this point, as shown in Table 8, the 2006 national payment amount in the nonfacility setting for CPT code 99203 (Office/outpatient visit, new), is $97.02 which means that currently a beneficiary is responsible for 20 percent of this amount, or $19.40. Based on the June 29, 2006 proposed notice (71 FR 37170) and this proposed rule, the 2007 national payment amount in the nonfacility setting for CPT code 99203, as shown in Table 8, is $91.71 which means that, in 2007, the beneficiary coinsurance for this service would be $18.34.

    Very few of the changes we are proposing impact overall payments and, therefore, would affect Medicare beneficiaries' coinsurance liability. Proposals discussed above that do affect overall spending, such as DRA 5102 imaging provisions, would similarly impact beneficiaries' coinsurance.

    R. Accounting Statement

    As required by OMB Circular A-4 (available at http://www.whitehouse.gov/​omb/​circulars/​a004/​a-4.pdf), in Table 10 below, we have prepared an accounting statement showing the classification of the expenditures associated with the provisions of this proposed rule. This table includes the impact of the proposed changes in this rule on providers and suppliers.

    Expenditures are classified as transfers to Medicare providers/or suppliers (that is, ESRD facilities and physicians, other practitioners, clinical laboratories and medical suppliers that receive payment under the physician fee schedule or Medicare Part B). Based on the proposals contained in this proposed rule, there would be an estimated decrease in expenditures from CY 2006 to 2007. This is a result of the CY 2007 increased payment to ESRD facilities the reduction to the payments for imaging services under the PFS required by section 5102 of the DRA and the −5.1 percent Medicare PFS conversion factor update required by the statutory update formula.

    Table 10.—Accounting Statement: Classification of Estimated Expenditures, From CY 2006 to the CY 2007 (in Millions)

    CategoryTransfers
    Annualized Monetized TransfersEstimated decrease in expenditures of $3,600
    Start Printed Page 49078
    From Whom To Whom?Federal Government To ESRD Medicare Providers; physicians, other practitioners and suppliers who receive payment under the Medicare Physician Fee Schedule; and Medicare Suppliers billing for Part B drugs.

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

    Start List of Subjects

    List of Subjects

    42 CFR Part 405

    • Administrative practice and procedure
    • Health facilities
    • Health professions
    • Kidney diseases
    • Medical devices
    • Medicare
    • Reporting and recordkeeping requirements
    • Rural areas
    • X-rays

    42 CFR Part 410

    • Health facilities
    • Health professions
    • Kidney diseases
    • Laboratories
    • Medicare
    • Reporting and recordkeeping requirements
    • Rural areas
    • X-rays

    42 CFR Part 411

    • Kidney diseases
    • Medicare
    • Physician Referral
    • Reporting and recordkeeping requirements

    42 CFR Part 414

    • Administrative practice and procedure
    • Health facilities
    • Health professions
    • Kidney diseases
    • Medicare
    • Reporting and recordkeeping

    42 CFR Part 415

    • Health facilities
    • Health professions
    • Medicare
    • Reporting and recordkeeping requirements

    42 CFR Part 424

    • Emergency medical services
    • Health facilities
    • Health professions
    • Medicare
    • Reporting and recordkeeping requirements
    End List of Subjects

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

    Start Part

    PART 405—FEDERAL HEALTH INSURANCE FOR THE AGED AND DISABLED

    1. The authority citation for part 405 continues to read as follows:

    Start Authority

    Authority: Secs. 1102, 1861, 1862(a), 1871, 1874, 1881, and 1886(k) of the Social Security Act (42 U.S.C. 1302, 1395x, 1395y(a), 1395hh, 1395kk, 1395rr, and 1395ww(k)), and sec. 353 of the Public Health Service Act (42 U.S.C. 263a).

    End Authority

    Subpart D—Private Contracts

    2. Section 405.400 is amended by revising the definition of “Practitioner” to read as follows:

    Definitions.
    * * * * *

    Practitioner means a physician assistant, nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, certified nurse midwife, clinical psychologist, clinical social worker, registered dietitian or nutrition professional, who is currently legally authorized to practice in that capacity by each State in which he or she furnishes services to patients or clients.

    * * * * *

    Subpart X—Rural Health Clinic and Federally Qualified Health Center Services Payment for Rural Health Clinic and Federally Qualified Health Center Services

    3. Section 405.2446 is amended by adding paragraph (b)(10) to read as follows:

    Scope of services.
    * * * * *

    (b) * * *

    (10) Medical nutrition therapy services as specified in part 410, subpart G of this chapter, and diabetes outpatient self-management training services as specified in part 410, subpart H of this chapter.

    * * * * *

    4. Section 405.2463 is revised to read as follows:

    What constitutes a visit.

    (a) Visit—(1) General. (i) For RHCs, a visit is a face-to-face encounter between a clinic or center patient and a physician, physician assistant, nurse practitioner, nurse midwife, visiting nurse, clinical psychologist, or clinical social worker.

    (ii) For FQHCs, a visit means—

    (A) A face-to-face encounter, as described in paragraph (a)(1)(i) of this section; or

    (B) A face-to-face encounter between a patient and a qualified provider of medical nutrition therapy services as defined in part 410, subpart G of this chapter; or a qualified provider of outpatient diabetes self-management training services as defined in part 410, subpart H of this chapter.

    (2) Medical visit. For purposes of this section, a medical visit is a face-to-face encounter between a clinic or center patient and a physician, physician assistant, nurse practitioner, nurse midwife, or a visiting nurse; and for FQHCs only, a medical visit also includes a separately billable medical nutrition therapy visit or a diabetes outpatient self-management training visit.

    (3) Other health visit. For purposes of this section, a other health visit is a face-to-face encounter between a clinic or center patient and a clinical psychologist, clinical social worker, or other health professional for mental health services.

    (b) Encounters. Encounters with more than one health professional and multiple encounters with the same health professional that take place on the same day and at a single location constitute a single visit, except when one of the following conditions exist:

    (1) After the first encounter, the patient suffers illness or injury requiring additional diagnosis or treatment.

    (2) The patient has a medical visit and other health visit(s), as defined in paragraph (a) of this section.

    (c) Payment. Medicare pays for more than one visit per day when the conditions in paragraph (b) of this section are met or a separate visit under paragraph (a)(1)(ii)(B) of this section is made.

    End Part Start Part

    PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

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

    Start Authority

    Authority: Secs. 1102, 1834, and 1871 of the Social Security Act (42 U.S.C. 1302, 1395m, and 1395hh).

    End Authority

    Subpart B—Medical and Other Health Services

    6. Section 410.16 is amended in paragraph (a) by revising paragraph (7) of the definition of “Initial preventive physical examination” to read as follows:

    Initial preventive physical examination: Conditions for and limitations on coverage.

    (a) * * *

    * * * * *
    Start Printed Page 49079

    Initial preventive physical examination * * *

    * * * * *

    (7) Education, counseling, and referral, including a written plan such as a checklist provided to the beneficiary for obtaining the appropriate screening and other preventive services that are covered as separate Medicare Part B benefits as described in section 1861(s)(10), section 1861(jj), section 1861(nn), section 1861(oo), section 1861(pp), section 1861(qq)(1), section 1861(rr), section 1861(uu), section 1861(vv), section 1861(xx)(1), section 1861(yy), and section 1861(bbb) of the Act.

    * * * * *

    7. A new § 410.19 is added to read as follows:

    Ultrasound screening for abdominal aortic aneurysms: Condition for and limitation on coverage.

    (a) Definitions: As used in this section, the following definitions apply:

    Eligible beneficiary means an individual who—

    (1) Has received a referral for an ultrasound screening for an abdominal aortic aneurysm as a result of an initial preventive physical examination (as defined in section 1861(ww)(1) of the Act);

    (2) Has not been previously furnished an ultrasound screening for an abdominal aortic aneurysm under the Medicare program; and

    (3) Is included in at least one of the following risk categories:

    (i) Has a family history of an abdominal aortic aneurysm.

    (ii) Is a man age 65 to 75 who has smoked at least 100 cigarettes in his lifetime.

    (iii) Is an individual who manifests other risk factors in a beneficiary category recommended for screening by the United States Preventive Services Task Force regarding abdominal aortic aneurysms, as specified by the Secretary through a national coverage determination process.

    Ultrasound screening for abdominal aortic aneurysms means the following services furnished to an asymptomatic individual for the early detection of an abdominal aortic aneurysm:

    (1) A procedure using soundwaves (or other procedures using alternative technologies of commensurate accuracy and cost, as specified by the Secretary through a national coverage determination process) provided for the early detection of abdominal aortic aneurysms.

    (2) Includes a physician's interpretation of the results of the procedure.

    (b) Conditions for coverage of an ultrasound screening for abdominal aortic aneurysms. Medicare Part B pays for one ultrasound screening for an abdominal aortic aneurysm provided to eligible beneficiaries, as described in this section, after a referral from a physician or a qualified nonphysician practitioner as defined in § 410.16(a).

    (c) Limitation on coverage of ultrasound screening for abdominal aortic aneurysms. Payment may not be made for an ultrasound screening for an abdominal aortic aneurysm that is performed for an individual who is not an eligible beneficiary, as described in the definition of “Eligible beneficiary” in this section.

    8. Section 410.31 is revised to read as follows:

    Bone mass measurement: Conditions for coverage and frequency standards.

    (a) Definition. As used in this section unless specified otherwise, the following definition applies:

    Bone mass measurement means a radiologic, radioisotopic, or other procedure that meets the following conditions:

    (1) Is performed for the purpose of identifying bone mass, detecting bone loss, or determining bone quality.

    (2) Is performed with either a bone densitometer (other than single-photon or dual-photon absorptiometry) or with a bone sonometer system that has been cleared for marketing for this use by the FDA under 21 CFR part 807, or approved for marketing by the FDA for this use under 21 CFR part 814.

    (3) Includes a physician's interpretation of the results of the procedure.

    (b) Conditions for coverage. (1) Medicare covers a medically necessary bone mass measurement if the following conditions are met:

    (i) Following an evaluation of the beneficiary's need for the measurement, including a determination as to the medically appropriate procedure to be used for the beneficiary, it is ordered by the physician or a qualified nonphysician practitioner (as these terms are defined in § 410.32(a)) treating the beneficiary.

    (ii) It is performed under the appropriate level of supervision of a physician (as set forth in § 410.32(b)).

    (iii) It is reasonable and necessary for diagnosing and treating the condition of a beneficiary who meets the conditions described in paragraph (d) of this section.

    (2) Medicare covers a medically necessary bone mass measurement for an individual defined under paragraph (d)(5) of this section if the conditions under paragraph (b)(1) of this section are met and the monitoring is performed by the use of a dual energy x-ray absorptiometry system (axial skeleton).

    (3) Medicare covers a medically necessary confirmatory baseline bone mass measurement for an individual defined under paragraph (d) of this section, if the conditions under paragraph (b)(1) of this section are met and the confirmatory baseline bone mass measurement is performed by a dual energy x-ray absorptiometry system (axial skeleton) and the initial measurement was not performed by a dual energy x-ray absorptiometry system (axial skeleton).

    (c) Standards on frequency of coverage —(1) General rule. Except as allowed under paragraph (c)(2) of this section, Medicare may cover a bone mass measurement for a beneficiary if at least 23 months have passed since the month the last bone mass measurement was performed.

    (2) Exception. If medically necessary, Medicare may cover a bone mass measurement for a beneficiary more frequently than allowed under paragraph (c)(1) of this section. Examples of situations where more frequent bone mass measurement procedures may be medically necessary include, but are not limited to the following medical circumstances.

    (i) Monitoring beneficiaries on long-term glucocorticoid (steroid) therapy of more than 3 months.

    (ii) Allowing for a confirmatory baseline measurement to permit monitoring of beneficiaries in the future if the requirements of paragraph (b)(3) of this section are met.

    (d) Beneficiaries who may be covered. The following categories of beneficiaries may receive Medicare coverage for a medically necessary bone mass measurement:

    (1) A woman who has been determined by the physician (or a qualified nonphysician practitioner) treating her to be estrogen-deficient and at clinical risk for osteoporosis, based on her medical history and other findings.

    (2) An individual with vertebral abnormalities as demonstrated by an x-ray to be indicative of osteoporosis, osteopenia, or vertebral fracture.

    (3) An individual receiving (or expecting to receive) glucocorticoid (steroid) therapy equivalent to an average of 5.0 mg of prednisone, or greater, per day for more than 3 months.

    (4) An individual with primary hyperparathyroidism.

    (5) An individual being monitored to assess the response to or efficacy of an Start Printed Page 49080FDA-approved osteoporosis drug therapy.

    (e) Denial as not reasonable and necessary. If CMS determines that a bone mass measurement does not meet the conditions for coverage in paragraphs (b) or (d) of this section, or the standards on frequency of coverage in paragraph (c) of this section, it is excluded from Medicare coverage as not “reasonable” and “necessary” under section 1862(a)(1)(A) of the Act and § 411.15(k) of this chapter.

    (f) Use of the National Coverage Determination Process. For the purposes of paragraphs (b)(2) and (b)(3) of this section, CMS may determine through the National Coverage Determination process that additional bone mass measurement systems are reasonable and necessary under section 1862(a)(1) of the Act for monitoring and confirming baseline bone mass measurements.

    * * * * *

    9. Section 410.33 is amended by—

    A. Revising paragraph (b)(1).

    B. Revising paragraph (e).

    C. Adding paragraphs (g), (h), and (i).

    The revision and additions read as follows:

    Independent diagnostic testing facility.
    * * * * *
    *

    (b) Supervising physician. (1) Each supervising physician must be limited to providing supervision to no more than three (3) IDTF sites. The IDTF supervising physician is responsible for the overall operation and administration of the IDTFs, including the employment of personnel who are competent to perform test procedures, record and report test results promptly, accurately and proficiently, and for assuring compliance with the applicable regulations.

    * * * * *

    (e) Multi-State entities. (1) An IDTF that operates across State boundaries must—

    (i) Maintain documentation that its supervising physicians and technicians are licensed and certified in each of the States in which it operates; and

    (ii) Operate in compliance with all applicable Federal, State, and local licensure and regulatory requirements with regard to the health and safety of patients.

    (2) The point of the actual delivery of services is the Place of Service on the claim form. When an IDTF performs a diagnostic test at the beneficiary's residence, the beneficiary's residence is the Place of Service.

    * * * * *

    (g) Application certification standards. The IDTF must certify in its enrollment application that it meets the following standards:

    (1) Operate its business in compliance with all applicable Federal and State licensure and regulatory requirements.

    (2) Provide complete and accurate information on their enrollment application. Any change in enrollment information must be reported to the designated fee-for-service contractor on the Medicare enrollment application within 30 calendar days of the change.

    (3) Maintain a physical facility on an appropriate site. For the purposes of this standard, a post office box or commercial mail box is not considered a physical facility. The physical facility must contain space for equipment appropriate to the services designated on the enrollment application, facilities for hand washing, adequate patient privacy accommodations, and the storage of both business records and current medical records.

    (4) Have all applicable testing equipment available at the physical site excluding portable equipment. A catalog of portable equipment, including equipment serial numbers, must be maintained at the physical site. In addition, portable equipment must be available for inspection within two business days of a CMS inspection request. The IDTF must maintain a current inventory of the equipment, including serial and registration numbers, provide this information to the designated fee-for-service contractor upon request, and notify the contractor of any changes in equipment within 90 days.

    (5) Maintain a primary business phone under the name of the designated business. The business phone must be located at the designated site of the business. The telephone number or toll free numbers must be available in a local directory and through directory assistance.

    (6) Have a comprehensive liability insurance policy of at least $300,000 or 20 percent of its average annual Medicare billings, whichever amount is greater, that covers both the place of business and all customers and employees of the IDTF. The policy must be carried by a non-relative owned company and list the serial numbers of any and all equipment used by the IDTF.

    (7) Agree not to directly solicit patients through any means including, but not limited to, a prohibition on telephone, computer, or in-person contacts. The IDTF must accept only those patients referred for diagnostic testing by an attending physician, who is furnishing a consultation or treating a beneficiary for a specific medical problem and who uses the results in the management of the beneficiary's specific medical problem. Nonphysician practictioners may order tests as set forth in § 410.32(a)(3).

    (8) Answer beneficiaries’ questions and respond to their complaints. Documentation of those contacts must be maintained at the physical site.

    (9) Openly post these standards for review by patients and the public.

    (10) Disclose to the government any person having ownership, financial, or control interest or any other legal interest in the supplier.

    (11) Have its testing equipment calibrated per equipment instructions and in compliance with applicable national standards.

    (12) Have technical staff on duty with the appropriate credentials to perform tests. The IDTF must be able to produce the applicable Federal or State licenses or certifications of the individuals performing these services.

    (13) Have proper medical record storage and be able to retrieve medical records upon request from CMS or its fee-for-service contractor within 2 business days.

    (14) Permit CMS, including its agents, or its designated fee-for-service contractors, to conduct unannounced, on-site inspections to confirm the IDTF's compliance with these standards. The IDTF must be accessible during regular business hours to CMS and beneficiaries and must maintain a visible sign posting the normal business hours of the IDTF.

    (h) Failure to meet standards. If an IDTF fails to meet one or more of the standards in paragraph (g) of this section at the time of enrollment, its enrollment will be denied. CMS will revoke a supplier's billing privileges if and IDTF is found not to meet the standards in paragraph (g) or (b)(1) of this section.

    (i) Definition. For purposes of this section, the following definition applies:

    Point of actual delivery of service. The point of the actual delivery of service means the Place of Service on the claim form. When an IDTF performs a diagnostic test at the beneficiary's residence, the beneficiary's residence is the Place of Service.

    Subpart I—Payment of SMI Benefits

    10. Section 410.160 is amended by adding paragraphs (b)(7) and (b)(8) to read as follows:

    Part B annual deductible.
    * * * * *
    Start Printed Page 49081

    (b) * * *

    (7) Beginning January 1, 2007, colorectal cancer screening tests as described in § 410.37.

    (8) Beginning January 1, 2007, ultrasound screening for abdominal aortic aneurysms described in § 410.19.

    * * * * *
    End Part Start Part

    PART 411—EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT

    11. The authority citation for part 411 is amended to read as follows:

    Start Authority

    Authority: Secs. 1102, 1860D-1 through 1860D-42, 1871, and 1877 of the Social Security Act (42 U.S.C. 1302, 1395w-101 through 1395w-152, 1395hh, and 1395nn).

    End Authority

    Subpart A—General Exclusions and Exclusion of Particular Services

    12. Section 411.15 is amended by—

    A. Revising paragraph (a)(1).

    B. Adding a new paragraph (k)(12).

    C. Revising paragraph (o).

    The revisions and addition read as follows:

    Particular services excluded from coverage.
    * * * * *

    (a) * * *

    (1) Examinations performed for a purpose other than treatment or diagnosis of a specific illness, symptoms, complaint, or injury, except for screening mammography, colorectal cancer screening tests, screening pelvic exams, prostate cancer screening tests, glaucoma screening exams, initial preventive physical examinations, or ultrasound screening for abdominal aortic aneurysms that meet the criteria specified in paragraphs (k)(6) through (k)(12) of this section.

    * * * * *

    (k) * * *

    (12) In the case of ultrasound screening for abdominal aortic aneurysms, with the goal of early detection of abdominal aortic aneurysms, subject to the conditions and limitation specified in § 410.19 of this chapter.

    * * * * *

    (o) Experimental or investigational devices, except for certain devices—

    (1) Categorized by the FDA as a Category A or B device defined in § 405.201(b) of this chapter; and

    (2) Furnished in accordance with the CMS clinical research policy.

    Subpart J—Financial Relationships Between Physicians and Entities Furnishing Designated Health Services

    13. Section 411.351 is amended by—

    A. Revising the definition “Centralized building”.

    B. Revising the definition “Physician in the group practice”.

    The revisions read as follows:

    Definitions.
    * * * * *

    Centralized building means all or part of a building, including, for purposes of this subpart only, a mobile vehicle, van, or trailer that is owned or leased on a full-time basis (that is, 24 hours per day, 7 days per week, for a term of not less than 6 months) by a group practice and that is used exclusively by the group practice. Space in a building or a mobile vehicle, van, or trailer that is shared by more than one group practice, by a group practice and one or more solo practitioners, or by a group practice and another provider or supplier (for example, a diagnostic imaging facility) is not a centralized building for purposes of this subpart. This definition does not preclude a group practice from providing services to other providers or suppliers (for example, purchased diagnostic tests) in the group practice's centralized building. A group practice may have more than one centralized building. A centralized building does not include space that is owned or leased by a group practice if that space is less than 350 square feet. This limitation does not apply to space owned or rented in a building where no more than three group practices own or lease space in the “same building” (as defined in this section) and share the same “physician in the group practice” (as defined in this section). A centralized building does not include space owned or leased by a group practice if equipment needed to perform substantially all (at least 90 percent) of the designated health services furnished in that space in any given calendar year is not permanently located in that space. That is, equipment needed to perform more than 10 percent of the designated health services furnished in that space in a calendar year cannot be temporarily moved into that space from another space in the “same building” or from outside the “same building” (as defined in this section).

    * * * * *

    Physician in the group practice means a member of the group practice, as well as an independent contractor physician during the time the independent contractor is furnishing patient care services (as defined in this section) for the group practice under a contractual arrangement with the group practice to provide services to the group practice's patients in the group practice's facilities. The contract must contain the same restrictions on compensation that apply to members of the group practice under § 411.352(g) (or the contract must fit in the personal services exception in § 411.357(d)), and the independent contractor's arrangement with the group practice and must comply with the reassignment rules at § 424.80(d)(3) of this chapter or section 30.2.9.1 of the CMS Internet-only manual, publication 100-04, Claims Processing Manual, chapter 1 on general billing requirements (as amended or replaced from time to time). Referrals from an independent contractor who is a physician in the group practice are subject to the prohibition on referrals in § 411.353(a), and the group practice is subject to the limitation on billing for those referrals in § 411.353(b).

    * * * * *
    End Part Start Part

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

    14. 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

    15. A new subpart F is added as follows:

    Subpart F—Payment for New Clinical Diagnostic Laboratory Tests

    414.400
    Basis and scope.
    414.402
    Definitions.
    414.404
    [Reserved]
    414.406
    Procedures for public consultation for payment for a new clinical diagnostic laboratory test.
    414.408
    Payment for a new clinical diagnostic laboratory test.
    414.410
    Clinical Diagnostic Laboratory Date of Service for Specimens

    Subpart F—Payment for New Clinical Diagnostic Laboratory Tests

    Basis and scope.

    This subpart implements provisions of 1833(h)(8) of the Act procedures for determining the basis for, and amount of, payment for a new clinical diagnostic laboratory test with respect to which a new or substantially revised Healthcare Common Procedure Coding System code is assigned on or after January 1, 2005.

    Definitions.

    For purposes of this subpart—

    Substantially Revised Healthcare Common Procedure Coding System Code means a code for which there has been a substantive change to the definition of the test or procedure to which the code applies (such as a new Start Printed Page 49082analyte or a new methodology for measuring an existing analyte specific test).

    [Reserved]
    Procedures for public consultation for payment for a new clinical diagnostic laboratory test.

    For a new clinical diagnostic laboratory test that is assigned a new or substantially revised code on or after January 1, 2005, CMS determines the payment after the performance of the following:

    (a) CMS makes available to the public (through an Internet Web site and other appropriate mechanisms) a list that includes codes for which establishment of a payment amount is being considered for the next calendar year.

    (b) CMS publishes a Federal Register notice of a meeting to receive public comments and recommendations (and data on which recommendations are based) on the appropriate basis, as specified in § 414.408, for establishing payment amounts for the list of codes made available to the public.

    (c) Not fewer than 30 days after publication of the notice in the Federal Register, CMS convenes a meeting that includes representatives of CMS officials involved in determining payment amounts, to receive public comments and recommendations (and data on which the recommendations are based).

    (d) Taking into account the comments and recommendations (and accompanying data) received at the public meeting, CMS develops and makes available to the public (through an Internet Web site and other appropriate mechanisms)—

    (1) A list of proposed determinations with respect to the appropriate basis for establishing a payment amount for each code, with an explanation of the reasons for each determination, the data on which the determinations are based, and a request for public written comments within a specified time period on the proposed determination; and

    (2) A list of final determinations of the payment amounts for tests, with the rationale for each determination, the data on which the determinations are based, and responses to comments and suggestions from the public.

    Payment for a new clinical diagnostic laboratory test.

    For a new clinical diagnostic laboratory test that is assigned a new or substantially revised code on or after January 1, 2005, CMS determines the payment amount based on either of the following:

    (a) Crosswalking. Crosswalking is used if it is determined that a new test is comparable to an existing test, multiple existing test codes, or a portion of an existing test code.

    (1) CMS assigns to the new test code, the local fee schedule amounts and national limitation amount of the existing test.

    (2) Payment for the new test code is made at the lesser of the local fee schedule amount or the national limitation amount.

    (b) Gapfilling. Gapfilling is used when no comparable existing test is available.

    (1) Carrier-specific amounts are established for the new test code for the first year using the following sources of information to determine gapfill amounts, if available:

    (i) Charges for the test and routine discounts to charges;

    (ii) Resources required to perform the test;

    (iii) Payment amounts determined by other payers; and

    (iv) Charges, payment amounts, and resources required for other tests that may be comparable or otherwise relevant.

    (2) In the second year, the test code is paid at the national limitation amount, which is the median of the carrier-specific amounts.

    Clinical Diagnostic Laboratory Date of Service for Specimens.

    The date of service for a laboratory test is as follows:

    (a) Except as provided under paragraph (b) of this section, the date of service of the test shall be the date the specimen was collected.

    (b)(1) If a specimen is collected over a period that spans two calendar days, then the date of service shall be the date the collection ended.

    (2) If a specimen was stored for more than 30 calendar days before testing (otherwise known as “an archived specimen”), the date of service of the test shall be the date the specimen was obtained from storage.

    (3) If a specimen was stored for less than or equal to 30 calendar days from the date it was collected, the date of service of the test must be the date the specimen was obtained from storage if—

    (i) The test is ordered by the patient's physician at least 14 days following the date of the patient's discharge from the hospital.

    (ii) The test could not reasonably have been ordered while the patient was hospitalized.

    (iii) The procedure performed while the beneficiary is a patient of the hospital is for purposes other than collection of the specimen needed for the test.

    (iv) The test is reasonable and medically necessary.

    Subpart J—Submission of Manufacturer's Average Sales Price Data

    16. Section 414.802 is amended by adding the definition of “Bona fide service fees” in alphabetical order to read as follows:

    Definitions.
    * * * * *

    Bona fide service fees means fees paid by a manufacturer to an entity, that represent fair market value for a bona fide, itemized service actually performed on behalf of the manufacturer that the manufacturer would otherwise perform (or contract for) in the absence of the service arrangement, and that are not passed on in whole or in part to a client or customer of an entity, whether or not the entity takes title to the drug.

    * * * * *

    17. Section 414.804 is amended by revising paragraphs (a)(1), (a)(2), (a)(3), and (a)(4).

    The revisions read as follows:

    Basis of Payment.

    (a) * * *

    (1) The manufacturer's average sales price for a quarter for a drug represented by a particular 11-digit National Drug Code must be calculated as the manufacturer's sales to all purchasers in the United States for that particular 11-digit National Drug Code (after excluding sales as specified in paragraph (a)(4) of this section and then deducting price concessions as specified in paragraphs (a)(2) and (a)(3) of this section) divided by the total number of units sold by the manufacturer in that quarter (after excluding units associated with sales as specified in paragraph (a)(4) of this section).

    (2) Price concessions. (i) In calculating the manufacturer's average sales price, a manufacturer must deduct price concessions. Price concessions include the following types of transactions and items:

    (A) Volume discounts.

    (B) Prompt pay discounts.

    (C) Cash discounts.

    (D) Free goods that are contingent on any purchase requirement.

    (E) Chargebacks and rebates (other than rebates under the Medicaid program).

    (ii) For the purposes of paragraph (a)(2)(i), bona fide services fees are not considered price concessions.

    (3) To the extent that data on price concessions, as described in paragraph (a)(2) of this section, are available on a Start Printed Page 49083lagged basis, the manufacturer must estimate this amount in accordance with the methodology described in this paragraph.

    (i)(A) For each National Drug Code with at least 12 months of sales (including products for which the manufacturer has redesignated the National Drug Code for the specific product and package size and has 12 months of sales across the prior and current National Drug Codes), after adjusting for exempted sales, the manufacturer calculates a percentage equal to the sum of the price concessions for the most recent 12-month period available associated with sales subject to the average sales price reporting requirement divided by the total in dollars for the sales subject to the average sales price reporting requirement for the same 12-month period.

    (B) For each National Drug Code with less than 12 months of sales, the calculation described in paragraph (i)(A) of this section is performed for the time period equaling the total number of months of sales.

    (ii) The manufacturer multiplies the applicable percentage described in paragraph (a)(3)(i)(A) or (a)(3)(i)(B) of this section by the total in dollars for the sales subject to the average sales price reporting requirement (after adjusting for exempted sales) for the quarter being submitted. (The manufacturer must carry a sufficient number of decimal places in the calculation of the price concessions percentage in order to round accurately the net total sales amount for the quarter to the nearest whole dollar.) The result of this multiplication is then subtracted from the total in dollars for the sales subject to the average sales price reporting requirement (after adjusting for exempted sales) for the quarter being submitted.

    (iii) The manufacturer uses the result of the calculation described in paragraph (a)(3)(ii) of this section as the numerator and the number of units sold in the quarter (after adjusting for exempted sales) as the denominator to calculate the manufacturer's average sales price for the National Drug Code for the quarter being submitted.

    (iv) Example. After adjusting for exempted sales, the total lagged price concessions (discounts, rebates, etc.) over the most recent 12-month period available associated with sales for National Drug Code 12345-6789-01 subject to the ASP reporting requirement equal $200,000, and the total in dollars for the sales subject to the average sales price reporting requirement for the same period equals $600,000. The lagged price concessions percentage for this period equals 200,000/600,000 = .33333. The total in dollars for the sales subject to the average sales price reporting requirement for the quarter being reported, after accounting for non-lagged price concessions, equals $50,000 for 10,000 units sold. The manufacturer's average sales price calculation for this National Drug Code for this quarter is: $50,000 − (0.33333 × 50,000) = $33,334 (net total sales amount); $33,334/10,000 = $3.33 (average sales price).

    (4) Exempted sales. (i) In calculating the manufacturer's average sales price, a manufacturer must exclude sales that are exempt from the Medicaid best price calculation under sections 1927(c)(1)(C)(i) and 1927(c)(1)(C)(ii)(III) of the Act as limited by section 1927(c)(1)(D) of the Act.

    (ii) In determining nominal sales exempted under section 1927(c)(1)(C)(ii)(III) of the Act, the manufacturer calculates the average manufacturer price as defined in section 1927(k) of the Act and then identifies sales that are eligible to be considered a nominal sale under section 1927(c)(1)(D) of the Act and are at less than 10 percent of the average manufacturer price. To identify nominal sales, the manufacturer must use the average manufacturer price for the calendar quarter that is the same calendar quarter as the average sales price reporting period.

    (iii) For exempted sales under section 1927(c)(1)(C)(i) of the Act known on a lagged basis because of chargebacks or rebates, manufacturers must estimate such lagged exempted sales using the ratio methodology specified in this paragraph to exclude lagged exempted sales before accounting for price concessions as specified in paragraphs (a)(2) and (a)(3) of this section.

    (A) For each National Drug Code with at least 12 months of sales (including products for which the manufacturer has redesignated the Nation Drug Code and has 12 months of sales across the prior and current National Drug Codes), the manufacturer calculates a percentage using the sum of lagged exempted sales (in units) for the most recent 12 month period available as the numerator and the sales (the number of units after non-lagged exempted sales have been subtracted from total sales) for the same 12 month period as the denominator. The result is a rolling average percentage estimate of lagged exempted sales that is applied to the sales (the number of units after non-lagged exempted sales have been subtracted from total sales) for the quarter being submitted. The product that results from the multiplication of the rolling average percentage estimate of lagged exempted sales and the sales for the quarter determines the estimated lagged exempted sales in units to subtract from the denominator of the average sales price calculation. Manufacturers must make a corresponding adjustment to the numerator of the average sales price calculation to ensure that the total in dollars for the reporting quarter does not include revenue related to lagged exempted sales removed from the denominator using the estimation methodology.

    (B) For National Drug Codes with less than 12 months of sales, the calculation described in paragraph (4)(iii)(A) of this section is calculated based on the sales and exempted sales (lagged and non-lagged) for the period equaling the total number of months of sales.

    (C) Manufacturers must exclude lagged exempted sales (as calculated using the ratio methodology in paragraph (a)(4)(iii)(A) of this section) from their estimates of lagged price concessions described in paragraph (a)(3) of this section.

    * * * * *

    Subpart K—Payment for Drugs and Biologicals Under Part B

    18. Section 414.904 is amended by revising paragraphs (d)(2)(iii) and (d)(3) to read as follows:

    Average sales price as the basis for payment.
    * * * * *

    (d) * * *

    (2) * * *

    (iii) Effective for drugs and biologicals furnished in CY 2006 and subsequent calendar years, the payment for such drugs and biologicals furnished in connection with renal dialysis services and separately billed by freestanding and hospital-based renal dialysis facilities not paid on a cost basis is 106 percent of the average sales price.

    (3) Widely available market price and average manufacturer price. If the Inspector General finds that the average sales price exceeds the widely available market price or the average manufacturer price by 5 percent or more in CY 2007, the payment limit in the quarter following the transmittal of this information to the Secretary is the lesser of the widely available market price or 103 percent of the average manufacturer price.

    * * * * *
    End Part Start Part Start Printed Page 49084

    PART 415—SERVICES FURNISHED BY PHYSICIANS IN PROVIDERS, SUPERVISING PHYSICIANS IN TEACHING SETTINGS, AND RESIDENTS IN CERTAIN SETTINGS

    19. The authority citation for part 415 continues to read as follows:

    Start Authority

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

    End Authority

    Subpart C—Part B Carrier Payments for Physician Services to Beneficiaries in Providers

    20. Section 415.130 is amended by revising paragraph (d) to read as follows:

    Conditions for payment: Physician pathology services.
    * * * * *

    (d) Physician pathology services furnished by an independent laboratory. The technical component of physician pathology services furnished by an independent laboratory to a hospital inpatient or outpatient on or before December 31, 2006 may be paid to the laboratory by the carrier under the physician fee schedule if the Medicare beneficiary is a patient of a covered hospital as defined in paragraph (a)(1) of this section. For services furnished after December 31, 2006, an independent laboratory may not bill the carrier for physician pathology services furnished to a hospital inpatient or outpatient.

    * * * * *
    End Part Start Part

    PART 424—CONDITIONS FOR MEDICARE PAYMENT

    21. The authority citation for part 424 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

    Subpart B—Certification and Plan of Treatment Requirements

    22. Section 424.24 is amended by—

    A. Redesignating paragraph (f) as paragraph (g).

    B. Adding a new paragraph (f).

    The addition reads as follows:

    Requirements for medical and other health services furnished by providers under Medicare Part B.
    * * * * *

    (f) Blood glucose monitoring in skilled nursing facilities. For each blood glucose test furnished to a resident of a skilled nursing facility, the physician must certify that the test is medically necessary. A physician's standing order is not sufficient to order a series of blood glucose tests.

    * * * * *

    Subpart F—Limitations on Assignment and Reassignment of Claims

    23. Section 424.80 is amended by—

    A. Revising the heading of paragraph (d).

    B. Revising paragraph (d)(2)

    C. Adding a new paragraph (d)(3).

    The revisions and addition read as follows:

    Prohibition of reassignment of claims by suppliers.
    * * * * *

    (d) Reassignment to an entity under an employer-employee relationship or under a contractual arrangement: Conditions and limitations. (1) * * *

    (2) Access to records. The supplier who furnishes the service has unrestricted access to claims submitted by an entity for services provided by that supplier. This paragraph applies irrespective of whether the supplier is an employee or whether the service is provided under a contractual arrangement. If an entity refuses to provide, upon request, the billing information to the supplier performing the service, the entity's right to receive reassigned benefits may be revoked under § 424.82(c)(3).

    (3) Contractual arrangements for provision of diagnostic test services. If a physician or medical group bills for the technical component of a diagnostic test covered under section 1861(s)(3) of the Act and paid for under part 414 of this chapter (other than clinical diagnostic laboratory tests paid under section 1833(a)(2)(D) of the Act, which are subject to the special rules set forth in section 1833(h)(5)(A) of the Act), following a reassignment involving a contractual arrangement with the physician or other supplier who performed the technical component, each of the following conditions must be met:

    (i) The payment to the billing physician, or medical group, less the applicable deductibles and coinsurance, may not exceed the lowest of the following amounts:

    (A) The physician or other supplier's net charge to the billing physician or medical group.

    (B) The billing physician's or medical group's actual charge.

    (C) The fee schedule amount for the service that would be allowed if the physician or other supplier billed directly.

    (ii) The physician or medical group billing for the test must identify the physician or other supplier that performed the test and indicate the supplier's net charge for the test. If the physician or medical group billing for the test fails to provide this information, CMS will not make any payment to the physician or medical group billing for the test and the billing physician or medical group can not bill the beneficiary.

    (iii) In order to bill for the technical component of the service, the physician or medical group must directly perform the professional component of the service.

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

    Start Signature

    Dated: June 29, 2006.

    Mark B. McClellan,

    Administrator, Centers for Medicare & Medicaid Services.

    End Signature Start Signature
    Approved: August 3, 2006.

    Michael O. Leavitt,

    Secretary.

    End Signature

    Note:

    These addenda will not appear in the Code of Federal Regulations.

    Addendum A: Explanation and Use of Addenda B

    The addenda on the following pages provide various data pertaining to the Medicare fee schedule for physicians' services furnished in 2007. Addendum B contains the RVUs for work, non-facility PE, facility PE, and malpractice expense, and other information for all services included in the PFS.

    In previous years, we have listed many services in Addendum B that are not paid under the PFS. To avoid publishing as many pages of codes for these services, we are not including clinical laboratory codes or the alphanumeric codes (Healthcare Common Procedure Coding System (HCPCS) codes not included in CPT) not paid under the PFS in Addendum B.

    Addendum B—2007 Relative Value Units and Related Information Used in Determining Medicare Payments for 2007

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

    • An “NA” in the “Non-facility PE RVUs” column of Addendum B means that CMS has not developed a PE RVU Start Printed Page 49085in the non-facility setting for the service because it is typically performed in the hospital (for example, an open heart surgery is generally performed in the hospital setting and not a physician's office). If there is an “NA” in the non-facility PE RVU column, and the contractor determines that this service can be performed in the non-facility setting, the service will be paid at the facility PE RVU rate.
    • Services that have an “NA” in the “Facility PE RVUs” column of Addendum B are typically not paid using the PFS when provided in a facility setting. These services (which include “incident to” services and the technical portion of diagnostic tests) are generally paid under either the outpatient hospital prospective payment system or bundled into the hospital inpatient prospective payment system payment.

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

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

    Modifier-53 is shown for a discontinued procedure, for example, a colonoscopy that is not completed. There will be RVUs for a code with this modifier.

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

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

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

    C = Carriers price the code. Carriers will establish RVUs and payment amounts for these services, generally on an individual case basis following review of documentation, such as an operative report.

    D* = Deleted/discontinued code.

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

    F = Deleted/discontinued codes. (Code not subject to a 90-day grace period.) These codes are deleted effective with the beginning of the year and are never subject to a grace period. This indicator is no longer effective beginning with the 2005 fee schedule as of January 1, 2005.

    G = Code not valid for Medicare purposes. Medicare uses another code for reporting of, and payment for, these services. (Codes subject to a 90-day grace period.) This indicator is no longer effective with the 2005 PFS as of January 1, 2005.

    H* = Deleted modifier. For 2000 and later years, either the TC or PC component shown for the code has been deleted and the deleted component is shown in the database with the H status indicator.

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

    L = Local codes. Carriers will apply this status to all local codes in effect on January 1, 1998 or subsequently approved by central office for use. Carriers will complete the RVUs and payment amounts for these codes.

    M = Measurement codes, used for reporting purposes only. There are no RVUs and no payment amounts for these codes. Medicare uses them to aid with performance measurement. No separate payment is made. These codes should be billed with a zero (($0.00) charge and are denied) on the MPFSDB.

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

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

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

    X = Statutory exclusion. These codes represent an item or service that is not within the statutory definition of “physicians' services” for PFS payment purposes. No RVUs are shown for these codes, and no payment may be made under the PFS. (Examples are ambulance services and clinical diagnostic laboratory services.)

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

    5. Physician work RVUs. These are the RVUs for the physician work for this service in 2007. As stated in the June 29, 2006 proposed notice, the RVUs for codes with a 10- or 90-day global period reflect the application of the RUC-recommended values for the E/M services that are included as part of the global period for the service.

    Note: The separate budget neutrality adjustor is not reflected in these physician work RVUs.

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

    7. Transitional Non-facility practice expense RVUs. These are the 2007 resource-based PE RVUs for non-facility settings.

    8. Fully implemented facility practice expense RVUs. These are the fully implemented resource-based PE RVUs for facility settings.

    9. Transitional facility practice expense RVUs. These are the 2007 resource-based PE RVUs for facility settings.

    10. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2006.

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

    12. Transitional non-facility total. This is the sum of the work, 2007 transitional non-facility PE, and malpractice expense RVUs.

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

    14. Transitional facility total. This is the sum of the work, 2007 transitional facility PE, and malpractice expense RVUs.

    15. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). Start Printed Page 49086An explanation of the alpha codes follows:

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

    XXX = The global concept does not apply.

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

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

    *Codes with these indicators had a 90-day grace period before January 1, 2005. Start Printed Page 49087

    Addendum B.—Relative Value Units (RVUs) and Related Information Used In Determining Medicare Payments For 2007

    CPT1/HCPCS2ModStatusDescriptionPhysician Work RVUsFully Implemented Non-Facility PE RVUsYear 2007 Transitional Non-Facility PE RVUsFully Implemented Facility PE RVUsYear 2007 Transitional Facility PE RVUsMal-Practice RVUsFully Implemented Non-Facility TotalYear 2007 Transitional Non-Facility TotalFully Implemented Facility TotalYear 2007 Transitional Facility TotalGlobal
    0003TCCervicography0.000.000.000.000.000.000.000.000.000.00XXX
    0008TCUpper gi endoscopy w/suture0.000.000.000.000.000.000.000.000.000.00XXX
    0016TCThermotx choroid vasc lesion0.000.000.000.000.000.000.000.000.000.00XXX
    0017TCPhotocoagulat macular drusen0.000.000.000.000.000.000.000.000.000.00XXX
    0018TCTranscranial magnetic stimul0.000.000.000.000.000.000.000.000.000.00XXX
    0019TCExtracorp shock wv tx,ms nos0.000.000.000.000.000.000.000.000.000.00XXX
    0021TCFetal oximetry, trnsvag/cerv0.000.000.000.000.000.000.000.000.000.00XXX
    0024TCTranscath cardiac reduction0.000.000.000.000.000.000.000.000.000.00XXX
    0026TCMeasure remnant lipoproteins0.000.000.000.000.000.000.000.000.000.00XXX
    0027TCEndoscopic epidural lysis0.000.000.000.000.000.000.000.000.000.00XXX
    0028TCDexa body composition study0.000.000.000.000.000.000.000.000.000.00XXX
    0029TCMagnetic tx for incontinence0.000.000.000.000.000.000.000.000.000.00XXX
    0030TCAntiprothrombin antibody0.000.000.000.000.000.000.000.000.000.00XXX
    0031TCSpeculoscopy0.000.000.000.000.000.000.000.000.000.00XXX
    0032TCSpeculoscopy w/direct sample0.000.000.000.000.000.000.000.000.000.00XXX
    0041TCDetect ur infect agnt w/cpas0.000.000.000.000.000.000.000.000.000.00XXX
    0042TCCt perfusion w/contrast, cbf0.000.000.000.000.000.000.000.000.000.00XXX
    0043TCCo expired gas analysis0.000.000.000.000.000.000.000.000.000.00XXX
    0044TCWhole body photography0.000.000.000.000.000.000.000.000.000.00XXX
    0045TCWhole body photography0.000.000.000.000.000.000.000.000.000.00XXX
    0046TCCath lavage, mammary duct(s0.000.000.000.000.000.000.000.000.000.00XXX
    0047TCCath lavage, mammary duct(s)0.000.000.000.000.000.000.000.000.000.00XXX
    0048TCImplant ventricular device0.000.000.000.000.000.000.000.000.000.00XXX
    0049TCExternal circulation assist0.000.000.000.000.000.000.000.000.000.00XXX
    0050TCRemoval circulation assist0.000.000.000.000.000.000.000.000.000.00XXX
    0051TCImplant total heart system0.000.000.000.000.000.000.000.000.000.00XXX
    0052TCReplace component heart syst0.000.000.000.000.000.000.000.000.000.00XXX
    0053TCReplace component heart syst0.000.000.000.000.000.000.000.000.000.00XXX
    0054TCBone surgery using computer0.000.000.000.000.000.000.000.000.000.00XXX
    0055TCBone surgery using computer0.000.000.000.000.000.000.000.000.000.00XXX
    0056TCBone surgery using computer0.000.000.000.000.000.000.000.000.000.00XXX
    0058TCCryopreservation, ovary tiss0.000.000.000.000.000.000.000.000.000.00XXX
    0059TCCryopreservation, oocyte0.000.000.000.000.000.000.000.000.000.00XXX
    0060TCElectrical impedance scan0.000.000.000.000.000.000.000.000.000.00XXX
    0061TCDestruction of tumor, breast0.000.000.000.000.000.000.000.000.000.00XXX
    0062TCRep intradisc annulus;1 lev0.000.000.000.000.000.000.000.000.000.00XXX
    0063TCRep intradisc annulus;>1lev0.000.000.000.000.000.000.000.000.000.00XXX
    0064TCSpectroscop eval expired gas0.000.000.000.000.000.000.000.000.000.00XXX
    0065TCOcular photoscreen bilat0.000.000.000.000.000.000.000.000.000.00XXX
    0067TCCt colonography;dx0.000.000.000.000.000.000.000.000.000.00XXX
    0067T26CCt colonography;dx0.000.000.000.000.000.000.000.000.000.00XXX
    0067TTCCCt colonography;dx0.000.000.000.000.000.000.000.000.000.00XXX
    0068TCInterp/rept heart sound0.000.000.000.000.000.000.000.000.000.00XXX
    0069TCAnalysis only heart sound0.000.000.000.000.000.000.000.000.000.00XXX
    0070TCInterp only heart sound0.000.000.000.000.000.000.000.000.000.00XXX
    0071TCU/s leiomyomata ablate <2000.000.000.000.000.000.000.000.000.000.00XXX
    0072TCU/s leiomyomata ablate >2000.000.000.000.000.000.000.000.000.000.00XXX
    0073TADelivery, comp imrt0.0013.0216.77NANA0.1313.1516.90NANAXXX
    0075TCPerq stent/chest vert art0.000.000.000.000.000.000.000.000.000.00XXX
    0075T26CPerq stent/chest vert art0.000.000.000.000.000.000.000.000.000.00XXX
    0075TTCCPerq stent/chest vert art0.000.000.000.000.000.000.000.000.000.00XXX
    0076TCS&i stent/chest vert art0.000.000.000.000.000.000.000.000.000.00XXX
    0076T26CS&i stent/chest vert art0.000.000.000.000.000.000.000.000.000.00XXX
    0076TTCCS&i stent/chest vert art0.000.000.000.000.000.000.000.000.000.00XXX
    0077TCCereb therm perfusion probe0.000.000.000.000.000.000.000.000.000.00XXX
    0078TCEndovasc aort repr w/device0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 49088
    0079TCEndovasc visc extnsn repr0.000.000.000.000.000.000.000.000.000.00XXX
    0080TCEndovasc aort repr rad s&i0.000.000.000.000.000.000.000.000.000.00XXX
    0081TCEndovasc visc extnsn s&i0.000.000.000.000.000.000.000.000.000.00XXX
    0082TCStereotactic rad delivery0.000.000.000.000.000.000.000.000.000.00XXX
    0083TCStereotactic rad tx mngmt0.000.000.000.000.000.000.000.000.000.00XXX
    0084TCTemp prostate urethral stent0.000.000.000.000.000.000.000.000.000.00XXX
    0085TCBreath test heart reject0.000.000.000.000.000.000.000.000.000.00XXX
    0086TCL ventricle fill pressure0.000.000.000.000.000.000.000.000.000.00XXX
    0087TCSperm eval hyaluronan0.000.000.000.000.000.000.000.000.000.00XXX
    0088TCRf tongue base vol reduxn0.000.000.000.000.000.000.000.000.000.00XXX
    0089TCActigraphy testing, 3-day0.000.000.000.000.000.000.000.000.000.00XXX
    0090TCCervical artific disc0.000.000.000.000.000.000.000.000.000.00XXX
    0091TCLumbar artific disc0.000.000.000.000.000.000.000.000.000.00XXX
    0092TCArtific disc addl0.000.000.000.000.000.000.000.000.000.00XXX
    0093TCCervical artific diskectomy0.000.000.000.000.000.000.000.000.000.00XXX
    0094TCLumbar artific diskectomy0.000.000.000.000.000.000.000.000.000.00XXX
    0095TCArtific diskectomy addl0.000.000.000.000.000.000.000.000.000.00XXX
    0096TCRev cervical artific disc0.000.000.000.000.000.000.000.000.000.00XXX
    0097TCRev lumbar artific disc0.000.000.000.000.000.000.000.000.000.00XXX
    0098TCRev artific disc addl0.000.000.000.000.000.000.000.000.000.00XXX
    0099TCImplant corneal ring0.000.000.000.000.000.000.000.000.000.00XXX
    0100TCProsth retina receive&gen0.000.000.000.000.000.000.000.000.000.00XXX
    0101TCExtracorp shockwv tx,hi enrg0.000.000.000.000.000.000.000.000.000.00XXX
    0102TCExtracorp shockwv tx,anesth0.000.000.000.000.000.000.000.000.000.00XXX
    0103TCHolotranscobalamin0.000.000.000.000.000.000.000.000.000.00XXX
    0104TCAt rest cardio gas rebreathe0.000.000.000.000.000.000.000.000.000.00XXX
    0105TCExerc cardio gas rebreathe0.000.000.000.000.000.000.000.000.000.00XXX
    0106TCTouch quant sensory test0.000.000.000.000.000.000.000.000.000.00XXX
    0107TCVibrate quant sensory test0.000.000.000.000.000.000.000.000.000.00XXX
    0108TCCool quant sensory test0.000.000.000.000.000.000.000.000.000.00XXX
    0109TCHeat quant sensory test0.000.000.000.000.000.000.000.000.000.00XXX
    0110TCNos quant sensory test0.000.000.000.000.000.000.000.000.000.00XXX
    0111TCRbc membranes fatty acids0.000.000.000.000.000.000.000.000.000.00XXX
    0115TCMed tx mngmt 15 min0.000.000.000.000.000.000.000.000.000.00XXX
    0116TCMed tx mngmt subsqt0.000.000.000.000.000.000.000.000.000.00XXX
    0117TCMed tx mngmt addl 15 min0.000.000.000.000.000.000.000.000.000.00XXX
    0120TCFibroadenoma cryoablate, ea0.000.000.000.000.000.000.000.000.000.00XXX
    0123TCScleral fistulization0.000.000.000.000.000.000.000.000.000.00XXX
    0124TCConjunctival drug placement0.000.000.000.000.000.000.000.000.000.00XXX
    0126TCChd risk imt study0.000.000.000.000.000.000.000.000.000.00XXX
    0130TCChron care drug investigatn0.000.000.000.000.000.000.000.000.000.00XXX
    0133TCEsophageal implant injexn0.000.000.000.000.000.000.000.000.000.00XXX
    0135TCPerq cryoablate renal tumor0.000.000.000.000.000.000.000.000.000.00XXX
    0137TCProstate saturation sampling0.000.000.000.000.000.000.000.000.000.00XXX
    0140TCExhaled breath condensate ph0.000.000.000.000.000.000.000.000.000.00XXX
    0144TCCT heart wo dye; qual calc0.000.000.000.000.000.000.000.000.000.00XXX
    0144T26CCT heart wo dye; qual calc0.000.000.000.000.000.000.000.000.000.00XXX
    0144TTCCCT heart wo dye; qual calc0.000.000.000.000.000.000.000.000.000.00XXX
    0145TCCT heart w/wo dye funct0.000.000.000.000.000.000.000.000.000.00XXX
    0145T26CCT heart w/wo dye funct0.000.000.000.000.000.000.000.000.000.00XXX
    0145TTCCCT heart w/wo dye funct0.000.000.000.000.000.000.000.000.000.00XXX
    0146TCCCTA w/wo dye0.000.000.000.000.000.000.000.000.000.00XXX
    0146T26CCCTA w/wo dye0.000.000.000.000.000.000.000.000.000.00XXX
    0146TTCCCCTA w/wo dye0.000.000.000.000.000.000.000.000.000.00XXX
    0147TCCCTA w/wo, quan calcium0.000.000.000.000.000.000.000.000.000.00XXX
    0147T26CCCTA w/wo, quan calcium0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 49089
    0147TTCCCCTA w/wo, quan calcium0.000.000.000.000.000.000.000.000.000.00XXX
    0148TCCCTA w/wo, strxr0.000.000.000.000.000.000.000.000.000.00XXX
    0148T26CCCTA w/wo, strxr0.000.000.000.000.000.000.000.000.000.00XXX
    0148TTCCCCTA w/wo, strxr0.000.000.000.000.000.000.000.000.000.00XXX
    0149TCCCTA w/wo, strxr quan calc0.000.000.000.000.000.000.000.000.000.00XXX
    0149T26CCCTA w/wo, strxr quan calc0.000.000.000.000.000.000.000.000.000.00XXX
    0149TTCCCCTA w/wo, strxr quan calc0.000.000.000.000.000.000.000.000.000.00XXX
    0150TCCCTA w/wo, disease strxr0.000.000.000.000.000.000.000.000.000.00XXX
    0150T26CCCTA w/wo, disease strxr0.000.000.000.000.000.000.000.000.000.00XXX
    0150TTCCCCTA w/wo, disease strxr0.000.000.000.000.000.000.000.000.000.00XXX
    0151TCCT heart funct add-on0.000.000.000.000.000.000.000.000.000.00XXX
    0151T26CCT heart funct add-on0.000.000.000.000.000.000.000.000.000.00XXX
    0151TTCCCT heart funct add-on0.000.000.000.000.000.000.000.000.000.00XXX
    0152TCComputer chest add-on0.000.000.000.000.000.000.000.000.000.00XXX
    0153TCImplant aneur sensor add-on0.000.000.000.000.000.000.000.000.000.00XXX
    0154TCImplant aneur sensor study0.000.000.000.000.000.000.000.000.000.00XXX
    0155TCLap ins gastr eltrd for mo0.000.000.000.000.000.000.000.000.000.00XXX
    0156TCLap redo gastr eltrd for mo0.000.000.000.000.000.000.000.000.000.00XXX
    0157TCOpn ins gastr eltrd for mo0.000.000.000.000.000.000.000.000.000.00XXX
    0158TCOpn redo gastr eltrd for mo0.000.000.000.000.000.000.000.000.000.00XXX
    0159TCComputer breast MRI add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    0159T26CComputer breast MRI add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    0159TTCCComputer breast MRI add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    0160TCTranscran mag stim planning0.000.000.000.000.000.000.000.000.000.00XXX
    0161TCTranscran mag stim delivery0.000.000.000.000.000.000.000.000.000.00XXX
    10021AFna w/o image1.272.132.150.360.500.103.503.521.731.87XXX
    10022AFna w/image1.272.132.440.380.410.083.483.791.731.76XXX
    10040AAcne surgery1.181.261.070.930.830.052.492.302.162.06010
    10060ADrainage of skin abscess1.171.501.281.080.970.122.792.572.372.26010
    10061ADrainage of skin abscess2.402.071.881.511.500.264.734.544.174.16010
    10080ADrainage of pilonidal cyst1.172.652.991.091.110.113.934.272.372.39010
    10081ADrainage of pilonidal cyst2.453.493.931.441.490.246.186.624.134.18010
    10120ARemove foreign body1.222.102.150.940.960.123.443.492.282.30010
    10121ARemove foreign body2.693.523.511.651.750.336.546.534.674.77010
    10140ADrainage of hematoma/fluid1.532.271.901.291.290.193.993.623.013.01010
    10160APuncture drainage of lesion1.201.851.661.071.080.143.193.002.412.42010
    10180AComplex drainage, wound2.253.303.061.831.940.355.905.664.434.54010
    11000ADebride infected skin0.600.730.620.160.210.071.401.290.830.88000
    11001ADebride infected skin add-on0.300.230.230.080.100.040.570.570.420.44ZZZ
    11004ADebride genitalia & perineum10.31NANA3.043.690.67NANA14.0214.67000
    11005ADebride abdom wall13.75NANA4.065.190.96NANA18.7719.90000
    11006ADebride genit/per/abdom wall12.61NANA3.614.541.28NANA17.5018.43000
    11008ARemove mesh from abd wall5.00NANA1.361.860.61NANA6.977.47ZZZ
    11010ADebride skin, fx4.196.776.852.332.550.6611.6211.707.187.40010
    11011ADebride skin/muscle, fx4.947.097.892.042.270.7412.7713.577.727.95000
    11012ADebride skin/muscle/bone, fx6.879.0311.333.123.661.1617.0619.3611.1511.69000
    11040ADebride skin, partial0.480.680.560.160.200.061.221.100.700.74000
    11041ADebride skin, full0.600.730.680.190.300.101.431.380.891.00000
    11042ADebride skin/tissue0.800.960.970.250.390.131.891.901.181.32000
    11043ADebride tissue/muscle3.003.643.452.712.620.326.966.776.035.94010
    11044ADebride tissue/muscle/bone4.054.964.583.673.730.439.449.068.158.21010
    11055RTrim skin lesion0.430.820.630.110.160.051.301.110.590.64000
    11056RTrim skin lesions, 2 to 40.610.890.700.160.210.071.571.380.840.89000
    11057RTrim skin lesions, over 40.791.000.810.210.280.101.891.701.101.17000
    11100ABiopsy, skin lesion0.811.831.400.370.370.032.672.241.211.21000
    11101ABiopsy, skin add-on0.410.400.350.190.190.020.830.780.620.62ZZZ
    11200ARemoval of skin tags0.771.201.080.880.790.042.011.891.691.60010
    11201ARemove skin tags add-on0.290.160.160.110.120.020.470.470.420.43ZZZ
    11300AShave skin lesion0.511.171.040.200.210.031.711.580.740.75000
    11301AShave skin lesion0.851.471.200.370.380.042.362.091.261.27000
    11302AShave skin lesion1.051.731.410.470.460.052.832.511.571.56000
    11303AShave skin lesion1.241.971.680.530.520.073.282.991.841.83000
    11305AShave skin lesion0.671.060.900.200.250.071.801.640.940.99000
    11306AShave skin lesion0.991.391.170.370.410.072.452.231.431.47000
    11307AShave skin lesion1.141.661.380.460.480.072.872.591.671.69000
    11308AShave skin lesion1.411.711.520.500.570.133.253.062.042.11000
    Start Printed Page 49090
    11310AShave skin lesion0.731.351.170.300.320.042.121.941.071.09000
    11311AShave skin lesion1.051.601.320.460.480.052.702.421.561.58000
    11312AShave skin lesion1.201.871.530.540.550.063.132.791.801.81000
    11313AShave skin lesion1.622.131.880.710.720.103.853.602.432.44000
    11400AExc tr-ext b9+marg 0.5 < cm0.851.861.960.920.890.062.772.871.831.80010
    11401AExc tr-ext b9+marg 0.6-1 cm1.232.142.071.121.050.103.473.402.452.38010
    11402AExc tr-ext b9+marg 1.1-2 cm1.402.352.251.181.110.133.883.782.712.64010
    11403AExc tr-ext b9+marg 2.1-3 cm1.792.522.421.541.380.174.484.383.503.34010
    11404AExc tr-ext b9+marg 3.1-4 cm2.062.842.741.611.450.215.115.013.883.72010
    11406AExc tr-ext b9+marg > 4.0 cm3.453.503.172.071.760.327.276.945.845.53010
    11420AExc h-f-nk-sp b9+marg 0.5 <0.981.821.780.920.930.092.892.851.992.00010
    11421AExc h-f-nk-sp b9+marg 0.6-11.422.182.091.141.120.133.733.642.692.67010
    11422AExc h-f-nk-sp b9+marg 1.1-21.632.392.291.501.370.164.184.083.293.16010
    11423AExc h-f-nk-sp b9+marg 2.1-32.012.622.591.621.490.204.834.803.833.70010
    11424AExc h-f-nk-sp b9+marg 3.1-42.432.942.841.751.640.255.625.524.434.32010
    11426AExc h-f-nk-sp b9+marg > 4 cm4.023.583.512.292.150.448.047.976.756.61010
    11440AExc face-mm b9+marg 0.5 < cm1.001.992.151.301.310.083.073.232.382.39010
    11441AExc face-mm b9+marg 0.6-1 cm1.482.342.331.521.500.133.953.943.133.11010
    11442AExc face-mm b9+marg 1.1-2 cm1.722.592.551.621.580.164.474.433.503.46010
    11443AExc face-mm b9+marg 2.1-3 cm2.292.822.891.791.810.225.335.404.304.32010
    11444AExc face-mm b9+marg 3.1-4 cm3.143.233.412.042.150.306.676.855.485.59010
    11446AExc face-mm b9+marg > 4 cm4.734.014.032.622.730.439.179.197.787.89010
    11450ARemoval, sweat gland lesion3.115.195.072.442.130.348.648.525.895.58090
    11451ARemoval, sweat gland lesion4.326.176.492.792.600.5311.0211.347.647.45090
    11462ARemoval, sweat gland lesion2.895.335.172.472.130.328.548.385.685.34090
    11463ARemoval, sweat gland lesion4.326.646.782.982.760.5411.5011.647.847.62090
    11470ARemoval, sweat gland lesion3.635.615.202.702.370.409.649.236.736.40090
    11471ARemoval, sweat gland lesion4.786.486.652.992.820.5811.8412.018.358.18090
    11600AExc tr-ext mlg+marg 0.5 < cm1.562.712.651.121.010.104.374.312.782.67010
    11601AExc tr-ext mlg+marg 0.6-1 cm2.003.372.871.471.280.125.494.993.593.40010
    11602AExc tr-ext mlg+marg 1.1-2 cm2.203.743.051.631.350.126.065.373.953.67010
    11603AExc tr-ext mlg+marg 2.1-3 cm2.753.953.291.811.450.166.866.204.724.36010
    11604AExc tr-ext mlg+marg 3.1-4 cm3.104.263.591.881.510.207.566.895.184.81010
    11606AExc tr-ext mlg+marg > 4 cm4.955.414.402.411.900.3610.729.717.727.21010
    11620AExc h-f-nk-sp mlg+marg 0.5 <1.572.812.651.171.010.094.474.312.832.67010
    11621AExc h-f-nk-sp mlg+marg 0.6-12.013.422.881.491.300.125.555.013.623.43010
    11622AExc h-f-nk-sp mlg+marg 1.1-22.343.803.171.691.470.146.285.654.173.95010
    11623AExc h-f-nk-sp mlg+marg 2.1-33.044.033.511.901.660.207.276.755.144.90010
    11624AExc h-f-nk-sp mlg+marg 3.1-43.554.353.892.031.840.278.177.715.855.66010
    11626AExc h-f-nk-sp mlg+mar > 4 cm4.544.904.702.282.360.459.899.697.277.35010
    11640AExc face-mm malig+marg 0.5 <1.603.002.741.261.150.114.714.452.972.86010
    11641AExc face-mm malig+marg 0.6-12.103.553.151.561.540.165.815.413.823.80010
    11642AExc face-mm malig+marg 1.1-22.553.933.531.781.730.196.676.274.524.47010
    11643AExc face-mm malig+marg 2.1-33.354.183.902.041.980.267.797.515.655.59010
    11644AExc face-mm malig+marg 3.1-44.274.954.752.382.430.379.599.397.027.07010
    11646AExc face-mm mlg+marg > 4 cm6.195.765.753.033.360.6112.5612.559.8310.16010
    11719RTrim nail(s)0.170.380.280.040.060.020.570.470.230.25000
    11720ADebride nail, 1-50.320.470.370.080.110.040.830.730.440.47000
    11721ADebride nail, 6 or more0.540.550.470.140.190.071.161.080.750.80000
    11730ARemoval of nail plate1.101.351.110.290.400.142.592.351.531.64000
    11732ARemove nail plate, add-on0.570.550.470.150.200.071.191.110.790.84ZZZ
    11740ADrain blood from under nail0.370.800.610.440.370.041.211.020.850.78000
    11750ARemoval of nail bed2.362.982.371.891.790.225.564.954.474.37010
    11752ARemove nail bed/finger tip3.424.123.272.822.950.357.897.046.596.72010
    11755ABiopsy, nail unit1.312.021.680.760.770.143.473.132.212.22000
    11760ARepair of nail bed1.583.452.831.441.700.215.244.623.233.49010
    Start Printed Page 49091
    11762AReconstruction of nail bed2.893.723.091.692.180.366.976.344.945.43010
    11765AExcision of nail fold, toe0.692.692.011.010.820.083.462.781.781.59010
    11770ARemoval of pilonidal lesion2.613.493.481.531.510.336.436.424.474.45010
    11771ARemoval of pilonidal lesion5.916.725.913.743.420.7413.3712.5610.3910.07090
    11772ARemoval of pilonidal lesion7.158.067.645.565.190.8916.1015.6813.6013.23090
    11900AInjection into skin lesions0.520.890.710.240.220.021.431.250.780.76000
    11901AAdded skin lesions injection0.800.980.740.380.360.031.811.571.211.19000
    11920RCorrect skin color defects1.612.403.381.121.100.244.255.232.972.95000
    11921RCorrect skin color defects1.932.673.641.261.270.294.895.863.483.49000
    11922RCorrect skin color defects0.490.931.090.220.240.071.491.650.780.80ZZZ
    11950RTherapy for contour defects0.840.861.070.350.380.061.761.971.251.28000
    11951RTherapy for contour defects1.191.181.410.530.520.112.482.711.831.82000
    11952RTherapy for contour defects1.691.711.820.810.710.163.563.672.662.56000
    11954RTherapy for contour defects1.851.762.270.760.870.253.864.372.862.97000
    11960AInsert tissue expander(s)10.85NANA10.5810.441.31NANA22.7422.60090
    11970AReplace tissue expander7.80NANA6.206.151.05NANA15.0515.00090
    11971ARemove tissue expander(s)3.137.428.694.013.850.3210.8712.147.467.30090
    11975NInsert contraceptive cap1.481.551.450.340.510.173.203.101.992.16XXX
    11976RRemoval of contraceptive cap1.781.711.720.470.630.213.703.712.462.62000
    11977NRemoval/reinsert contra cap3.302.002.200.771.140.375.675.874.444.81XXX
    11980AImplant hormone pellet(s)1.481.171.100.550.540.132.782.712.162.15000
    11981AInsert drug implant device1.481.921.760.590.660.123.523.362.192.26XXX
    11982ARemove drug implant device1.782.051.970.710.800.174.003.922.662.75XXX
    11983ARemove/insert drug implant3.302.672.381.341.440.236.205.914.874.97XXX
    12001ARepair superficial wound(s)1.701.731.920.720.760.153.583.772.572.61010
    12002ARepair superficial wound(s)1.861.791.980.830.880.173.824.012.862.91010
    12004ARepair superficial wound(s)2.242.072.260.920.990.214.524.713.373.44010
    12005ARepair superficial wound(s)2.862.522.751.061.170.275.655.884.194.30010
    12006ARepair superficial wound(s)3.663.033.301.301.460.357.047.315.315.47010
    12007ARepair superficial wound(s)4.113.403.721.491.730.457.968.286.056.29010
    12011ARepair superficial wound(s)1.761.892.070.750.770.163.813.992.672.69010
    12013ARepair superficial wound(s)1.992.052.220.880.920.184.224.393.053.09010
    12014ARepair superficial wound(s)2.462.282.500.971.040.234.975.193.663.73010
    12015ARepair superficial wound(s)3.192.763.041.111.220.296.246.524.594.70010
    12016ARepair superficial wound(s)3.923.163.451.291.460.377.457.745.585.75010
    12017ARepair superficial wound(s)4.70NANA1.481.790.47NANA6.656.96010
    12018ARepair superficial wound(s)5.52NANA1.962.180.64NANA8.128.34010
    12020AClosure of split wound2.623.753.801.771.880.306.676.724.694.80010
    12021AClosure of split wound1.841.861.831.331.390.243.943.913.413.47010
    12031ALayer closure of wound(s)2.153.822.671.731.150.176.144.994.053.47010
    12032ALayer closure of wound(s)2.475.084.152.211.900.167.716.784.844.53010
    12034ALayer closure of wound(s)2.924.503.521.931.570.257.676.695.104.74010
    12035ALayer closure of wound(s)3.425.255.212.082.130.399.069.025.895.94010
    12036ALayer closure of wound(s)4.045.385.512.222.460.559.9710.106.817.05010
    12037ALayer closure of wound(s)4.665.946.052.592.870.6611.2611.377.918.19010
    12041ALayer closure of wound(s)2.373.772.851.721.280.196.335.414.283.84010
    12042ALayer closure of wound(s)2.744.363.542.041.610.177.276.454.954.52010
    12044ALayer closure of wound(s)3.145.273.731.891.670.278.687.145.305.08010
    12045ALayer closure of wound(s)3.635.075.212.062.230.419.119.256.106.27010
    12046ALayer closure of wound(s)4.245.646.292.272.630.5410.4211.077.057.41010
    12047ALayer closure of wound(s)4.646.166.302.512.940.5811.3811.527.738.16010
    12051ALayer closure of wound(s)2.474.013.461.861.550.206.686.134.534.22010
    12052ALayer closure of wound(s)2.774.693.592.441.680.177.636.535.384.62010
    12053ALayer closure of wound(s)3.125.233.742.051.660.238.587.095.405.01010
    12054ALayer closure of wound(s)3.455.304.002.011.730.309.057.755.765.48010
    12055ALayer closure of wound(s)4.426.004.862.102.120.4510.879.736.976.99010
    12056ALayer closure of wound(s)5.236.216.622.382.880.5912.0312.448.208.70010
    12057ALayer closure of wound(s)5.957.456.462.793.510.5613.9612.979.3010.02010
    13100ARepair of wound or lesion3.124.324.122.392.320.267.707.505.775.70010
    13101ARepair of wound or lesion3.915.794.942.882.730.269.969.117.056.90010
    13102ARepair wound/lesion add-on1.241.341.210.520.560.132.712.581.891.93ZZZ
    13120ARepair of wound or lesion3.304.464.222.502.380.268.027.786.065.94010
    13121ARepair of wound or lesion4.326.475.263.462.960.2511.049.838.037.53010
    13122ARepair wound/lesion add-on1.441.371.480.580.620.152.963.072.172.21ZZZ
    13131ARepair of wound or lesion3.784.864.492.782.710.268.908.536.826.75010
    13132ARepair of wound or lesion6.447.646.344.774.310.3214.4013.1011.5311.07010
    Start Printed Page 49092
    13133ARepair wound/lesion add-on2.191.821.700.941.010.184.194.073.313.38ZZZ
    13150ARepair of wound or lesion3.804.594.802.642.730.348.738.946.786.87010
    13151ARepair of wound or lesion4.445.354.943.113.130.3110.109.697.867.88010
    13152ARepair of wound or lesion6.327.316.353.773.970.4014.0313.0710.4910.69010
    13153ARepair wound/lesion add-on2.381.981.940.981.100.244.604.563.603.72ZZZ
    13160ALate closure of wound11.76NANA7.077.141.54NANA20.3720.44090
    14000ASkin tissue rearrangement6.768.788.085.925.580.5916.1315.4313.2712.93090
    14001ASkin tissue rearrangement9.5210.909.787.407.150.8221.2420.1217.7417.49090
    14020ASkin tissue rearrangement7.589.798.916.706.570.6418.0117.1314.9214.79090
    14021ASkin tissue rearrangement11.1012.1310.528.408.310.8124.0422.4320.3120.22090
    14040ASkin tissue rearrangement8.369.929.086.777.090.6218.9018.0615.7516.07090
    14041ASkin tissue rearrangement12.5913.1711.249.038.760.7326.4924.5622.3522.08090
    14060ASkin tissue rearrangement8.999.408.946.947.310.6819.0718.6116.6116.98090
    14061ASkin tissue rearrangement13.5814.4112.309.849.590.7628.7526.6424.1823.93090
    14300ASkin tissue rearrangement13.1713.2611.669.249.191.1627.5925.9923.5723.52090
    14350ASkin tissue rearrangement10.73NANA6.927.091.34NANA18.9919.16090
    15000AWound prep, 1st 100 sq cm3.994.243.901.732.070.548.778.436.266.60000
    15001AWound prep, addl 100 sq cm1.000.561.150.350.400.141.702.291.491.54ZZZ
    15040AHarvest cultured skin graft2.003.864.391.031.110.246.106.633.273.35000
    15050ASkin pinch graft5.297.657.105.025.090.5713.5112.9610.8810.95090
    15100ASkin splt grft, trnk/arm/leg9.669.8411.906.737.551.2820.7822.8417.6718.49090
    15101ASkin splt grft t/a/l, add-on1.722.513.430.871.100.244.475.392.833.06ZZZ
    15110AEpidrm autogrft trnk/arm/leg10.828.9210.236.506.881.3121.0522.3618.6319.01090
    15111AEpidrm autogrft t/a/l add-on1.850.891.190.640.750.263.003.302.752.86ZZZ
    15115AEpidrm a-grft face/nck/hf/g11.139.169.216.687.181.1521.4421.4918.9619.46090
    15116AEpidrm a-grft f/n/hf/g addl2.501.221.490.891.060.334.054.323.723.89ZZZ
    15120ASkn splt a-grft fac/nck/hf/g10.8811.1810.847.327.671.1623.2222.8819.3619.71090
    15121ASkn splt a-grft f/n/hf/g add2.673.474.241.331.710.366.507.274.364.74ZZZ
    15130ADerm autograft, trnk/arm/leg7.338.039.405.646.170.9716.3317.7013.9414.47090
    15131ADerm autograft t/a/l add-on1.500.700.980.520.610.212.412.692.232.32ZZZ
    15135ADerm autograft face/nck/hf/g10.839.419.766.987.841.2321.4721.8219.0419.90090
    15136ADerm autograft, f/n/hf/g add1.500.680.840.530.640.202.382.542.232.34ZZZ
    15150ACult epiderm grft t/arm/leg9.247.228.155.926.311.1417.6018.5316.3016.69090
    15151ACult epiderm grft t/a/l addl2.000.901.210.700.810.283.183.492.983.09ZZZ
    15152ACult epiderm graft t/a/l +%2.501.081.440.871.010.353.934.293.723.86ZZZ
    15155ACult epiderm graft, f/n/hf/g9.997.607.776.256.781.0518.6418.8117.2917.82090
    15156ACult epidrm grft f/n/hfg add2.751.181.470.981.180.364.294.584.094.29ZZZ
    15157ACult epiderm grft f/n/hfg +%3.001.371.671.071.280.394.765.064.464.67ZZZ
    15170AAcell graft trunk/arms/legs5.993.653.792.362.360.5510.1910.338.908.90090
    15171AAcell graft t/arm/leg add-on1.550.650.670.510.590.192.392.412.252.33ZZZ
    15175AAcellular graft, f/n/hf/g7.995.245.383.753.940.8214.0514.1912.5612.75090
    15176AAcell graft, f/n/hf/g add-on2.451.071.100.810.950.293.813.843.553.69ZZZ
    15200ASkin full graft, trunk8.909.859.516.296.220.9819.7319.3916.1716.10090
    15201ASkin full graft trunk add-on1.322.112.450.560.610.193.623.962.072.12ZZZ
    15220ASkin full graft sclp/arm/leg7.8610.219.446.516.640.8418.9118.1415.2115.34090
    15221ASkin full graft add-on1.192.012.240.500.550.163.363.591.851.90ZZZ
    15240ASkin full grft face/genit/hf10.0311.7310.588.648.120.9222.6821.5319.5919.07090
    15241ASkin full graft add-on1.862.512.460.790.880.234.604.552.882.97ZZZ
    15260ASkin full graft een & lips11.2912.6310.829.028.690.6924.6122.8021.0020.67090
    15261ASkin full graft add-on2.232.912.751.121.330.215.355.193.563.77ZZZ
    15300AApply skinallogrft, t/arm/lg4.653.363.242.102.200.498.508.387.247.34090
    15301AApply sknallogrft t/a/l addl1.000.470.470.340.390.141.611.611.481.53ZZZ
    15320AApply skin allogrft f/n/hf/g5.363.753.652.322.480.589.699.598.268.42090
    15321AAply sknallogrft f/n/hfg add1.500.680.690.500.570.212.392.402.212.28ZZZ
    15330AAply acell alogrft t/arm/leg3.993.143.181.902.140.497.627.666.386.62090
    15331AAply acell grft t/a/l add-on1.000.460.460.340.390.141.601.601.481.53ZZZ
    Start Printed Page 49093
    15335AApply acell graft, f/n/hf/g4.503.403.452.062.350.558.458.507.117.40090
    15336AAply acell grft f/n/hf/g add1.430.720.700.480.550.202.352.332.112.18ZZZ
    15340AApply cult skin substitute3.723.793.952.722.740.417.928.086.856.87010
    15341AApply cult skin sub add-on0.500.720.640.170.190.061.281.200.730.75ZZZ
    15360AApply cult derm sub, t/a/l3.874.314.433.113.090.438.618.737.417.39090
    15361AAply cult derm sub t/a/l add1.150.570.580.380.440.141.861.871.671.73ZZZ
    15365AApply cult derm sub f/n/hf/g4.154.354.503.193.190.468.969.117.807.80090
    15366AApply cult derm f/hf/g add1.450.690.700.480.560.172.312.322.102.18ZZZ
    15400AApply skin xenograft, t/a/l4.324.914.243.693.930.479.709.038.488.72090
    15401AApply skn xenogrft t/a/l add1.001.021.670.350.420.142.162.811.491.56ZZZ
    15420AApply skin xgraft, f/n/hf/g4.835.044.853.863.810.5210.3910.209.219.16090
    15421AApply skn xgrft f/n/hf/g add1.501.201.290.520.600.212.913.002.232.31ZZZ
    15430AApply acellular xenograft5.757.016.936.446.570.6613.4213.3412.8512.98090
    15431CApply acellular xgraft add0.000.000.000.000.000.000.000.000.000.00ZZZ
    15570AForm skin pedicle flap9.9410.3611.076.466.691.3421.6422.3517.7417.97090
    15572AForm skin pedicle flap9.889.749.556.626.491.2020.8220.6317.7017.57090
    15574AForm skin pedicle flap10.4810.3610.606.897.571.2022.0422.2818.5719.25090
    15576AForm skin pedicle flap9.189.509.696.396.760.8719.5519.7416.4416.81090
    15600ASkin graft1.915.287.022.712.970.277.469.204.895.15090
    15610ASkin graft2.425.554.913.033.320.358.327.685.806.09090
    15620ASkin graft3.576.337.423.803.860.3510.2511.347.727.78090
    15630ASkin graft3.906.897.004.184.160.3411.1311.248.428.40090
    15650ATransfer skin pedicle flap4.597.027.114.204.210.4212.0312.129.219.22090
    15732AMuscle-skin graft, head/neck19.6214.7117.2111.1311.941.9936.3238.8232.7433.55090
    15734AMuscle-skin graft, trunk19.5215.7517.5211.8912.252.6137.8839.6534.0234.38090
    15736AMuscle-skin graft, arm16.8613.7717.129.9510.902.4533.0836.4329.2630.21090
    15738AMuscle-skin graft, leg18.8614.0316.9910.4111.392.6535.5438.5031.9232.90090
    15740AIsland pedicle flap graft11.4813.1010.879.058.460.6325.2122.9821.1620.57090
    15750ANeurovascular pedicle graft12.64NANA8.808.981.42NANA22.8623.04090
    15756AFree myo/skin flap microvasc36.64NANA18.3820.024.61NANA59.6361.27090
    15757AFree skin flap, microvasc36.85NANA16.6320.353.89NANA57.3761.09090
    15758AFree fascial flap, microvasc36.60NANA16.4720.304.23NANA57.3061.13090
    15760AComposite skin graft9.6110.1410.056.847.160.8520.6020.5117.3017.62090
    15770ADerma-fat-fascia graft8.64NANA6.566.651.05NANA16.2516.34090
    15775RHair transplant punch grafts3.953.504.051.701.400.527.978.526.175.87000
    15776RHair transplant punch grafts5.533.985.011.612.500.7210.2311.267.868.75000
    15780AAbrasion treatment of skin8.4111.6511.556.747.870.6720.7320.6315.8216.95090
    15781AAbrasion treatment of skin4.848.437.295.475.390.3413.6112.4710.6510.57090
    15782AAbrasion treatment of skin4.319.449.755.436.270.3414.0914.4010.0810.92090
    15783AAbrasion treatment of skin4.287.837.114.894.360.2812.3911.679.458.92090
    15786AAbrasion, lesion, single2.033.763.451.221.300.115.905.593.363.44010
    15787AAbrasion, lesions, add-on0.330.831.030.100.150.041.201.400.470.52ZZZ
    15788RChemical peel, face, epiderm2.098.437.143.663.230.1110.639.345.865.43090
    15789RChemical peel, face, dermal4.919.008.325.564.990.2014.1113.4310.6710.10090
    15792RChemical peel, nonfacial1.866.857.033.464.200.138.849.025.456.19090
    15793AChemical peel, nonfacial3.735.546.103.274.100.199.4610.027.198.02090
    15819APlastic surgery, neck10.37NANA6.677.050.97NANA18.0118.39090
    15820ARevision of lower eyelid6.026.476.855.255.480.4012.8913.2711.6711.90090
    15821ARevision of lower eyelid6.596.737.205.415.640.4513.7714.2412.4512.68090
    15822ARevision of upper eyelid4.445.345.714.184.410.3710.1510.528.999.22090
    15823ARevision of upper eyelid8.047.597.796.296.400.5016.1316.3314.8314.94090
    15831AExcise excessive skin tissue13.57NANA8.738.301.75NANA24.0523.62090
    15832AExcise excessive skin tissue12.57NANA8.308.331.66NANA22.5322.56090
    15833AExcise excessive skin tissue11.62NANA7.097.931.49NANA20.2021.04090
    15834AExcise excessive skin tissue11.89NANA7.737.701.61NANA21.2321.20090
    15835AExcise excessive skin tissue12.71NANA7.817.611.60NANA22.1221.92090
    15836AExcise excessive skin tissue10.33NANA7.026.841.34NANA18.6918.51090
    15837AExcise excessive skin tissue9.308.798.615.786.971.1819.2719.0916.2617.45090
    15838AExcise excessive skin tissue8.00NANA4.885.770.58NANA13.4614.35090
    15839AExcise excessive skin tissue10.259.408.976.196.341.2220.8720.4417.6617.81090
    15840AGraft for face nerve palsy14.67NANA8.559.621.32NANA24.5425.61090
    15841AGraft for face nerve palsy25.57NANA13.0514.512.54NANA41.1642.62090
    15842AFlap for face nerve palsy40.55NANA21.0122.444.93NANA66.4967.92090
    15845ASkin and muscle repair, face13.93NANA8.779.170.81NANA23.5123.91090
    15850BRemoval of sutures0.781.211.470.180.270.052.042.301.011.10XXX
    15851ARemoval of sutures0.861.331.590.240.290.062.252.511.161.21000
    Start Printed Page 49094
    15852ADressing change not for burn0.861.621.790.250.310.092.572.741.201.26000
    15860ATest for blood flow in graft1.95NANA0.700.760.27NANA2.922.98000
    15920ARemoval of tail bone ulcer8.06NANA5.835.621.04NANA14.9314.72090
    15922ARemoval of tail bone ulcer10.13NANA7.017.161.42NANA18.5618.71090
    15931ARemove sacrum pressure sore9.89NANA5.555.651.25NANA16.6916.79090
    15933ARemove sacrum pressure sore11.49NANA7.347.721.52NANA20.3520.73090
    15934ARemove sacrum pressure sore13.45NANA7.617.931.78NANA22.8423.16090
    15935ARemove sacrum pressure sore15.45NANA10.1410.282.09NANA27.6827.82090
    15936ARemove sacrum pressure sore12.96NANA7.498.041.76NANA22.2122.76090
    15937ARemove sacrum pressure sore14.91NANA8.969.612.06NANA25.9326.58090
    15940ARemove hip pressure sore10.05NANA5.846.091.31NANA17.2017.45090
    15941ARemove hip pressure sore12.13NANA8.519.221.66NANA22.3023.01090
    15944ARemove hip pressure sore12.16NANA8.248.511.65NANA22.0522.32090
    15945ARemove hip pressure sore13.45NANA9.159.521.84NANA24.4424.81090
    15946ARemove hip pressure sore23.72NANA13.9514.273.16NANA40.8341.15090
    15950ARemove thigh pressure sore7.83NANA5.405.411.04NANA14.2714.28090
    15951ARemove thigh pressure sore11.30NANA8.007.901.49NANA20.7920.69090
    15952ARemove thigh pressure sore12.03NANA7.777.761.60NANA21.4021.39090
    15953ARemove thigh pressure sore13.27NANA9.109.021.79NANA24.1624.08090
    15956ARemove thigh pressure sore16.46NANA9.6610.492.21NANA28.3329.16090
    15958ARemove thigh pressure sore16.42NANA10.2810.852.25NANA28.9529.52090
    15999CRemoval of pressure sore0.000.000.000.000.000.000.000.000.000.00YYY
    16000AInitial treatment of burn(s)0.890.730.830.240.260.081.701.801.211.23000
    16020ADress/debrid p-thick burn, s0.801.111.250.560.580.081.992.131.441.46000
    16025ADress/debrid p-thick burn, m1.851.611.720.880.940.193.653.762.922.98000
    16030ADress/debrid p-thick burn, l2.081.982.120.961.080.244.304.443.283.40000
    16035AIncision of burn scab, initi3.74NANA1.271.500.46NANA5.475.70090
    16036AEscharotomy; addIl incision1.50NANA0.490.570.20NANA2.192.27ZZZ
    17000ADestroy benign/premlg lesion0.601.361.070.710.580.031.991.701.341.21010
    17003ADestroy lesions, 2-140.070.100.110.030.060.010.180.190.110.14ZZZ
    17004ADestroy lesions, 15 or more1.582.232.281.201.490.113.923.972.893.18010
    17106ADestruction of skin lesions4.584.564.593.183.290.359.499.528.118.22090
    17107ADestruction of skin lesions9.157.087.175.015.340.6316.8616.9514.7915.12090
    17108ADestruction of skin lesions13.189.199.246.647.410.5422.9122.9620.3621.13090
    17110ADestruct lesion, 1-140.651.741.650.850.740.052.442.351.551.44010
    17111ADestruct lesion, 15 or more0.922.231.811.090.880.053.202.782.061.85010
    17250AChemical cautery, tissue0.501.321.250.380.350.061.881.810.940.91000
    17260ADestruction of skin lesions0.911.371.300.680.670.042.322.251.631.62010
    17261ADestruction of skin lesions1.172.421.811.020.880.053.643.032.242.10010
    17262ADestruction of skin lesions1.582.742.101.221.070.064.383.742.862.71010
    17263ADestruction of skin lesions1.792.972.281.311.150.074.834.143.173.01010
    17264ADestruction of skin lesions1.943.172.461.381.190.085.194.483.403.21010
    17266ADestruction of skin lesions2.343.422.731.541.300.095.855.163.973.73010
    17270ADestruction of skin lesions1.322.361.871.050.920.053.733.242.422.29010
    17271ADestruction of skin lesions1.492.581.971.171.030.064.133.522.722.58010
    17272ADestruction of skin lesions1.772.882.211.311.160.074.724.053.153.00010
    17273ADestruction of skin lesions2.053.122.431.431.270.085.254.563.563.40010
    17274ADestruction of skin lesions2.593.502.801.681.500.106.195.494.374.19010
    17276ADestruction of skin lesions3.203.783.151.911.740.167.146.515.275.10010
    17280ADestruction of skin lesions1.172.291.780.990.860.053.513.002.212.08010
    17281ADestruction of skin lesions1.722.652.091.281.140.074.443.883.072.93010
    17282ADestruction of skin lesions2.043.042.371.431.290.085.164.493.553.41010
    17283ADestruction of skin lesions2.643.452.771.701.540.116.205.524.454.29010
    17284ADestruction of skin lesions3.213.863.161.951.800.137.206.505.295.14010
    17286ADestruction of skin lesions4.434.283.822.382.430.238.948.487.047.09010
    17304A1 stage mohs, up to 5 spec7.5911.639.093.583.570.3019.5216.9811.4711.46000
    Start Printed Page 49095
    17305A2 stage mohs, up to 5 spec2.856.744.601.341.340.119.707.564.304.30000
    17306A3 stage mohs, up to 5 spec2.856.994.681.331.350.119.957.644.294.31000
    17307AMohs addl stage up to 5 spec2.856.744.361.341.360.119.707.324.304.32000
    17310AMohs any stage > 5 spec each0.951.941.700.450.460.032.922.681.431.44ZZZ
    17340ACryotherapy of skin0.760.330.360.360.360.051.141.171.171.17010
    17360ASkin peel therapy1.431.381.430.950.890.062.872.922.442.38010
    17999CSkin tissue procedure0.000.000.000.000.000.000.000.000.000.00YYY
    19000ADrainage of breast lesion0.841.901.960.240.290.082.822.881.161.21000
    19001ADrain breast lesion add-on0.420.240.250.120.140.040.700.710.580.60ZZZ
    19020AIncision of breast lesion3.686.676.423.052.770.4510.8010.557.186.90090
    19030AInjection for breast x-ray1.532.622.800.480.500.094.244.422.102.12000
    19100ABx breast percut w/o image1.272.092.080.330.400.163.523.511.761.83000
    19101ABiopsy of breast, open3.184.354.461.771.880.397.928.035.345.45010
    19102ABx breast percut w/image2.003.413.730.610.650.145.555.872.752.79000
    19103ABx breast percut w/device3.6910.0511.131.091.200.3014.0415.125.085.19000
    19110ANipple exploration4.296.455.963.282.970.5711.3110.828.147.83090
    19112AExcise breast duct fistula3.666.316.123.172.800.4810.4510.267.316.94090
    19120ARemoval of breast lesion5.805.124.693.393.140.7311.6511.229.929.67090
    19125AExcision, breast lesion6.555.604.993.683.380.8012.9512.3411.0310.73090
    19126AExcision, addl breast lesion2.93NANA0.760.940.38NANA4.074.25ZZZ
    19140ARemoval of breast tissue5.138.067.373.853.510.6913.8813.199.679.33090
    19160APartial mastectomy5.98NANA3.643.480.79NANA10.4110.25090
    19162AP-mastectomy w/ln removal13.81NANA6.166.291.79NANA21.7621.89090
    19180ARemoval of breast15.61NANA7.075.531.18NANA23.8622.32090
    19182ARemoval of breast7.72NANA5.014.821.04NANA13.7713.58090
    19200ARemoval of breast17.14NANA8.228.031.92NANA27.2827.09090
    19220ARemoval of breast17.74NANA8.698.352.07NANA28.5028.16090
    19240ARemoval of breast17.84NANA8.858.362.12NANA28.8128.32090
    19260ARemoval of chest wall lesion17.53NANA10.3310.952.13NANA29.9930.61090
    19271ARevision of chest wall21.73NANA16.0317.472.62NANA40.3841.82090
    19272AExtensive chest wall surgery24.68NANA17.1318.482.99NANA44.8046.15090
    19290APlace needle wire, breast1.272.852.850.390.410.074.194.191.731.75000
    19291APlace needle wire, breast0.631.121.190.200.210.041.791.860.870.88ZZZ
    19295APlace breast clip, percut0.002.302.590.002.020.012.312.600.012.03ZZZ
    19296APlace po breast cath for rad3.6385.32115.41.211.450.3689.31119.45.205.44000
    19297APlace breast cath for rad1.72NANA0.470.600.17NANA2.362.49ZZZ
    19298APlace breast rad tube/caths6.0022.7937.321.922.290.4329.2243.758.358.72000
    19316ASuspension of breast10.92NANA7.107.411.64NANA19.6619.97090
    19318AReduction of large breast15.85NANA9.9910.882.92NANA28.7629.65090
    19324AEnlarge breast6.59NANA4.674.840.84NANA12.1012.27090
    19325AEnlarge breast with implant8.44NANA6.466.511.33NANA16.2316.28090
    19328ARemoval of breast implant6.30NANA5.035.020.91NANA12.2412.23090
    19330ARemoval of implant material8.33NANA6.216.081.26NANA15.8015.67090
    19340AImmediate breast prosthesis6.32NANA2.863.051.06NANA10.2410.43ZZZ
    19342ADelayed breast prosthesis12.31NANA9.018.941.83NANA23.1523.08090
    19350ABreast reconstruction8.919.9312.866.617.031.4120.2523.1816.9317.35090
    19355ACorrect inverted nipple(s)8.317.789.634.934.760.9217.0118.8614.1613.99090
    19357ABreast reconstruction20.33NANA15.5015.582.93NANA38.7638.84090
    19361ABreast reconstruction20.63NANA12.3612.412.92NANA35.9135.96090
    19364ABreast reconstruction42.30NANA22.8823.386.22NANA71.4071.90090
    19366ABreast reconstruction21.62NANA10.1011.213.24NANA34.9636.07090
    19367ABreast reconstruction26.51NANA15.3316.354.03NANA45.8746.89090
    19368ABreast reconstruction33.51NANA18.2318.755.52NANA57.2657.78090
    19369ABreast reconstruction30.92NANA15.9817.804.50NANA51.4053.22090
    19370ASurgery of breast capsule8.92NANA6.866.891.29NANA17.0717.10090
    19371ARemoval of breast capsule10.34NANA7.747.801.62NANA19.7019.76090
    19380ARevise breast reconstruction10.13NANA7.677.691.44NANA19.2419.26090
    19396ADesign custom breast implant2.174.521.941.241.050.306.994.413.713.52000
    19499CBreast surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    20000AIncision of abscess2.122.792.721.531.680.255.165.093.904.05010
    20005AIncision of deep abscess3.533.723.552.042.200.467.717.546.036.19010
    20100AExplore wound, neck10.31NANA3.634.251.21NANA15.1515.77010
    20101AExplore wound, chest3.226.466.061.521.600.4410.129.725.185.26010
    20102AExplore wound, abdomen3.936.997.341.851.890.4911.4111.766.276.31010
    20103AExplore wound, extremity5.297.728.372.733.230.7513.7614.418.779.27010
    20150AExcise epiphyseal bar14.54NANA7.737.212.03NANA24.3023.78090
    Start Printed Page 49096
    20200AMuscle biopsy1.463.173.070.700.740.234.864.762.392.43000
    20205ADeep muscle biopsy2.353.863.881.111.170.336.546.563.793.85000
    20206ANeedle biopsy, muscle0.995.256.190.540.610.076.317.251.601.67000
    20220ABone biopsy, trocar/needle1.272.714.100.650.760.084.065.452.002.11000
    20225ABone biopsy, trocar/needle1.8713.1621.631.031.110.2215.2523.723.123.20000
    20240ABone biopsy, excisional3.23NANA2.072.430.44NANA5.746.10010
    20245ABone biopsy, excisional8.71NANA5.796.381.31NANA15.8116.40010
    20250AOpen bone biopsy5.14NANA3.743.561.02NANA9.909.72010
    20251AOpen bone biopsy5.67NANA3.914.101.15NANA10.7310.92010
    20500AInjection of sinus tract1.231.302.020.851.360.122.653.372.202.71010
    20501AInject sinus tract for x-ray0.762.352.770.240.250.043.153.571.041.05000
    20520ARemoval of foreign body1.852.592.831.441.680.214.654.893.503.74010
    20525ARemoval of foreign body3.497.098.632.202.520.5111.0912.636.206.52010
    20526ATher injection, carp tunnel0.940.820.930.410.490.131.892.001.481.56000
    20550AInj tendon sheath/ligament0.750.630.690.280.240.091.471.531.121.08000
    20551AInj tendon origin/insertion0.750.640.670.290.320.081.471.501.121.15000
    20552AInj trigger point, 1/2 muscl0.660.580.690.250.210.051.291.400.960.92000
    20553AInject trigger points, =/> 30.750.650.780.270.230.041.441.571.061.02000
    20600ADrain/inject, joint/bursa0.660.670.660.310.340.081.411.401.051.08000
    20605ADrain/inject, joint/bursa0.680.740.760.330.350.081.501.521.091.11000
    20610ADrain/inject, joint/bursa0.791.070.980.400.420.111.971.881.301.32000
    20612AAspirate/inj ganglion cyst0.700.700.710.320.350.101.501.511.121.15000
    20615ATreatment of bone cyst2.282.723.311.411.730.205.205.793.894.21010
    20650AInsert and remove bone pin2.232.512.401.481.530.315.054.944.024.07010
    20660AApply, rem fixation device2.513.393.141.501.580.596.496.244.604.68000
    20661AApplication of head brace5.06NANA6.005.181.14NANA12.2011.38090
    20662AApplication of pelvis brace6.18NANA4.855.350.56NANA11.5912.09090
    20663AApplication of thigh brace5.54NANA5.144.910.94NANA11.6211.39090
    20664AHalo brace application9.78NANA8.137.311.74NANA19.6518.83090
    20665ARemoval of fixation device1.311.381.960.971.260.192.883.462.472.76010
    20670ARemoval of support implant1.746.7010.331.682.000.288.7212.353.704.02010
    20680ARemoval of support implant5.868.208.644.103.820.5614.6215.0610.5210.24090
    20690AApply bone fixation device3.63NANA2.272.450.59NANA6.496.67090
    20692AApply bone fixation device6.40NANA3.293.651.05NANA10.7411.10090
    20693AAdjust bone fixation device5.91NANA4.545.220.98NANA11.4312.11090
    20694ARemove bone fixation device4.155.376.703.563.920.7110.2311.568.428.78090
    20802AReplantation, arm, complete42.16NANA24.0521.733.81NANA70.0267.70090
    20805AReplant forearm, complete51.00NANA25.9532.224.84NANA81.7988.06090
    20808AReplantation hand, complete62.63NANA38.7941.366.86NANA108.28110.85090
    20816AReplantation digit, complete31.64NANA24.5334.484.52NANA60.6970.64090
    20822AReplantation digit, complete26.30NANA22.2431.504.18NANA52.7261.98090
    20824AReplantation thumb, complete31.64NANA25.7733.854.61NANA62.0270.10090
    20827AReplantation thumb, complete27.12NANA23.9033.333.66NANA54.6864.11090
    20838AReplantation foot, complete42.42NANA13.6520.121.12NANA57.1963.66090
    20900ARemoval of bone for graft5.699.338.664.955.490.9415.9615.2911.5812.12090
    20902ARemoval of bone for graft7.90NANA5.846.621.30NANA15.0415.82090
    20910ARemove cartilage for graft5.33NANA4.625.040.71NANA10.6611.08090
    20912ARemove cartilage for graft6.34NANA4.675.510.69NANA11.7012.54090
    20920ARemoval of fascia for graft5.36NANA4.364.260.66NANA10.3810.28090
    20922ARemoval of fascia for graft6.787.527.544.964.890.7015.0015.0212.4412.37090
    20924ARemoval of tendon for graft6.53NANA5.005.661.04NANA12.5713.23090
    20926ARemoval of tissue for graft5.64NANA4.414.670.87NANA10.9211.18090
    20931ASpinal bone allograft1.81NANA0.690.870.43NANA2.933.11ZZZ
    20937ASpinal bone autograft2.79NANA1.091.360.54NANA4.424.69ZZZ
    20938ASpinal bone autograft3.02NANA1.161.460.64NANA4.825.12ZZZ
    20950AFluid pressure, muscle1.264.196.180.880.960.205.657.642.342.42000
    Start Printed Page 49097
    20955AFibula bone graft, microvasc39.90NANA18.0822.724.89NANA62.8767.51090
    20956AIliac bone graft, microvasc40.79NANA20.7723.757.01NANA68.5771.55090
    20957AMt bone graft, microvasc42.17NANA19.4319.067.05NANA68.6568.28090
    20962AOther bone graft, microvasc39.21NANA21.2825.216.55NANA67.0470.97090
    20969ABone/skin graft, microvasc44.99NANA20.2725.044.79NANA70.0574.82090
    20970ABone/skin graft, iliac crest44.14NANA20.2124.096.60NANA70.9574.83090
    20972ABone/skin graft, metatarsal44.07NANA17.6119.845.30NANA66.9869.21090
    20973ABone/skin graft, great toe46.83NANA15.0522.635.54NANA67.4275.00090
    20974AElectrical bone stimulation0.620.990.770.490.530.111.721.501.221.26000
    20975AElectrical bone stimulation2.60NANA1.481.650.51NANA4.594.76000
    20979AUs bone stimulation0.620.580.750.190.300.091.291.460.901.01000
    20982AAblate, bone tumor(s) perq7.2783.20103.02.622.880.6991.16110.910.5810.84000
    20999CMusculoskeletal surgery0.000.000.000.000.000.000.000.000.000.00YYY
    21010AIncision of jaw joint10.82NANA5.856.781.11NANA17.7818.71090
    21015AResection of facial tumor5.53NANA4.304.830.70NANA10.5311.06090
    21025AExcision of bone, lower jaw10.9912.4812.308.689.181.3224.7924.6120.9921.49090
    21026AExcision of facial bone(s)5.468.708.075.846.200.6014.7614.1311.9012.26090
    21029AContour of face bone lesion8.209.269.346.276.830.9418.4018.4815.4115.97090
    21030AExcise max/zygoma b9 tumor4.747.186.544.674.940.5412.4611.829.9510.22090
    21031ARemove exostosis, mandible3.245.995.383.513.590.489.719.107.237.31090
    21032ARemove exostosis, maxilla3.246.075.523.373.480.479.789.237.087.19090
    21034AExcise max/zygoma mlg tumor17.0913.1715.239.5111.871.7131.9734.0328.3130.67090
    21040AExcise mandible lesion4.747.256.614.674.710.5412.5311.899.959.99090
    21044ARemoval of jaw bone lesion12.53NANA7.488.901.12NANA21.1322.55090
    21045AExtensive jaw surgery18.03NANA10.0111.771.52NANA29.5631.32090
    21046ARemove mandible cyst complex13.85NANA11.6211.831.85NANA27.3227.53090
    21047AExcise lwr jaw cyst w/repair19.71NANA9.7412.522.12NANA31.5734.35090
    21048ARemove maxilla cyst complex14.35NANA11.3711.941.76NANA27.4828.05090
    21049AExcis uppr jaw cyst w/repair18.96NANA9.0912.041.59NANA29.6432.59090
    21050ARemoval of jaw joint11.44NANA8.189.131.47NANA21.0922.04090
    21060ARemove jaw joint cartilage10.83NANA7.528.341.38NANA19.7320.55090
    21070ARemove coronoid process8.44NANA6.156.861.27NANA15.8616.57090
    21076APrepare face/oral prosthesis13.407.8511.234.808.701.9923.2426.6220.1924.09010
    21077APrepare face/oral prosthesis33.7018.2628.0612.3122.584.5556.5166.3150.5660.83090
    21079APrepare face/oral prosthesis22.3113.3519.468.2814.933.1538.8144.9233.7440.39090
    21080APrepare face/oral prosthesis25.0615.4322.239.2216.833.7444.2351.0338.0245.63090
    21081APrepare face/oral prosthesis22.8514.1720.278.4815.243.2040.2246.3234.5341.29090
    21082APrepare face/oral prosthesis20.8414.1218.048.4213.903.1138.0741.9932.3737.85090
    21083APrepare face/oral prosthesis19.2714.0617.617.9112.802.8836.2139.7630.0634.95090
    21084APrepare face/oral prosthesis22.4815.5620.718.8215.482.1840.2245.3733.4840.14090
    21085APrepare face/oral prosthesis8.996.547.853.575.981.2716.8018.1113.8316.24010
    21086APrepare face/oral prosthesis24.8812.6220.968.6316.733.7141.2149.5537.2245.32090
    21087APrepare face/oral prosthesis24.8812.8520.678.8216.603.4441.1748.9937.1444.92090
    21088CPrepare face/oral prosthesis0.000.000.000.000.000.000.000.000.000.00090
    21089CPrepare face/oral prosthesis0.000.000.000.000.000.000.000.000.000.00090
    21100AMaxillofacial fixation4.4613.7512.095.054.820.3418.5516.899.859.62090
    21110AInterdental fixation5.7013.2610.499.898.740.7219.6816.9116.3115.16090
    21116AInjection, jaw joint x-ray0.812.443.860.220.300.063.314.731.091.17000
    21120AReconstruction of chin4.9210.0210.446.887.340.6015.5415.9612.4012.86090
    21121AReconstruction of chin7.6310.599.957.507.740.9019.1218.4816.0316.27090
    21122AReconstruction of chin8.51NANA7.648.381.07NANA17.2217.96090
    21123AReconstruction of chin11.14NANA10.0610.621.40NANA22.6023.16090
    21125AAugmentation, lower jaw bone10.6068.8958.647.048.000.7980.2870.0318.4319.39090
    21127AAugmentation, lower jaw bone12.1686.7453.797.709.011.52100.467.4721.3822.69090
    21137AReduction of forehead10.06NANA6.307.371.32NANA17.6818.75090
    21138AReduction of forehead12.67NANA8.509.271.74NANA22.9123.68090
    21139AReduction of forehead14.84NANA8.4910.421.18NANA24.5126.44090
    21141AReconstruct midface, lefort19.13NANA11.4713.112.35NANA32.9534.59090
    21142AReconstruct midface, lefort19.84NANA10.5312.252.38NANA32.7534.47090
    21143AReconstruct midface, lefort20.61NANA8.9012.961.66NANA31.1735.23090
    21145AReconstruct midface, lefort23.52NANA12.7513.612.84NANA39.1139.97090
    21146AReconstruct midface, lefort24.42NANA9.4513.863.09NANA36.9641.37090
    21147AReconstruct midface, lefort26.01NANA13.5814.681.84NANA41.4342.53090
    21150AReconstruct midface, lefort25.70NANA13.2515.882.55NANA41.5044.13090
    21151AReconstruct midface, lefort28.76NANA11.7220.142.30NANA42.7851.20090
    21154AReconstruct midface, lefort30.95NANA21.2522.652.48NANA54.6856.08090
    Start Printed Page 49098
    21155AReconstruct midface, lefort34.88NANA13.4321.286.64NANA54.9562.80090
    21159AReconstruct midface, lefort42.80NANA15.2725.638.18NANA66.2576.61090
    21160AReconstruct midface, lefort46.85NANA23.1126.384.13NANA74.0977.36090
    21172AReconstruct orbit/forehead28.01NANA13.5913.713.55NANA45.1545.27090
    21175AReconstruct orbit/forehead33.37NANA12.9216.574.83NANA51.1254.77090
    21179AReconstruct entire forehead22.47NANA10.9613.342.80NANA36.2338.61090
    21180AReconstruct entire forehead25.40NANA13.0114.793.48NANA41.8943.67090
    21181AContour cranial bone lesion10.14NANA7.057.361.32NANA18.5118.82090
    21182AReconstruct cranial bone32.39NANA14.2917.912.80NANA49.4853.10090
    21183AReconstruct cranial bone35.51NANA15.4819.494.47NANA55.4659.47090
    21184AReconstruct cranial bone38.43NANA21.0221.715.70NANA65.1565.84090
    21188AReconstruction of midface22.91NANA14.8217.861.69NANA39.4242.46090
    21193AReconst lwr jaw w/o graft18.55NANA10.0612.002.23NANA30.8432.78090
    21194AReconst lwr jaw w/graft21.43NANA11.4513.182.02NANA34.9036.63090
    21195AReconst lwr jaw w/o fixation18.77NANA13.2614.431.64NANA33.6734.84090
    21196AReconst lwr jaw w/fixation20.44NANA13.2015.072.07NANA35.7137.58090
    21198AReconstr lwr jaw segment15.39NANA11.0512.291.44NANA27.8829.12090
    21199AReconstr lwr jaw w/advance16.56NANA6.798.531.39NANA24.7426.48090
    21206AReconstruct upper jaw bone15.27NANA11.1512.261.33NANA27.7528.86090
    21208AAugmentation of facial bones11.0332.4324.867.719.111.0944.5536.9819.8321.23090
    21209AReduction of facial bones7.4612.3311.187.427.910.9020.6919.5415.7816.27090
    21210AFace bone graft11.2843.8429.617.708.941.3056.4242.1920.2821.52090
    21215ALower jaw bone graft11.8286.5753.057.999.021.5399.9266.4021.3422.37090
    21230ARib cartilage graft11.00NANA6.947.771.29NANA19.2320.06090
    21235AEar cartilage graft7.219.709.815.896.280.6117.5217.6313.7114.10090
    21240AReconstruction of jaw joint15.65NANA11.3111.872.24NANA29.2029.76090
    21242AReconstruction of jaw joint14.20NANA10.6411.291.78NANA26.6227.27090
    21243AReconstruction of jaw joint23.83NANA15.7717.023.25NANA42.8544.10090
    21244AReconstruction of lower jaw13.23NANA10.9311.801.25NANA25.4126.28090
    21245AReconstruction of jaw12.7813.3714.147.999.391.1927.3428.1121.9623.36090
    21246AReconstruction of jaw12.70NANA6.678.451.35NANA20.7222.50090
    21247AReconstruct lower jaw bone23.91NANA13.5916.412.83NANA40.3343.15090
    21248AReconstruction of jaw12.4612.6012.257.518.931.5526.6126.2621.5222.94090
    21249AReconstruction of jaw18.4916.1316.579.9412.002.4837.1037.5430.9132.97090
    21255AReconstruct lower jaw bone18.00NANA13.3315.432.38NANA33.7135.81090
    21256AReconstruction of orbit17.32NANA9.9811.361.50NANA28.8030.18090
    21260ARevise eye sockets17.66NANA9.5111.950.97NANA28.1430.58090
    21261ARevise eye sockets33.66NANA14.8821.893.42NANA51.9658.97090
    21263ARevise eye sockets30.60NANA14.1717.852.62NANA47.3951.07090
    21267ARevise eye sockets20.35NANA16.1418.861.70NANA38.1940.91090
    21268ARevise eye sockets26.66NANA15.7419.093.65NANA46.0549.40090
    21270AAugmentation, cheek bone10.4611.1711.535.896.910.7222.3522.7117.0718.09090
    21275ARevision, orbitofacial bones11.59NANA7.417.971.29NANA20.2920.85090
    21280ARevision of eyelid6.84NANA5.845.900.42NANA13.1013.16090
    21282ARevision of eyelid4.05NANA4.264.430.26NANA8.578.74090
    21295ARevision of jaw muscle/bone1.78NANA2.612.550.16NANA4.554.49090
    21296ARevision of jaw muscle/bone4.61NANA5.465.050.34NANA10.4110.00090
    21299CCranio/maxillofacial surgery0.000.000.000.000.000.000.000.000.000.00YYY
    21300ATreatment of skull fracture0.720.281.840.280.270.131.132.691.131.12000
    21310ATreatment of nose fracture0.581.972.200.110.140.052.602.830.740.77000
    21315ATreatment of nose fracture1.764.464.291.651.820.146.366.193.553.72010
    21320ATreatment of nose fracture1.854.053.951.251.530.186.085.983.283.56010
    21325ATreatment of nose fracture4.01NANA6.728.150.31NANA11.0412.47090
    21330ATreatment of nose fracture5.62NANA7.449.140.56NANA13.6215.32090
    21335ATreatment of nose fracture8.85NANA7.749.150.74NANA17.3318.74090
    21336ATreat nasal septal fracture6.46NANA8.169.250.55NANA15.1716.26090
    Start Printed Page 49099
    21337ATreat nasal septal fracture3.205.876.063.363.520.289.359.546.847.00090
    21338ATreat nasoethmoid fracture6.70NANA9.6612.930.82NANA17.1820.45090
    21339ATreat nasoethmoid fracture8.33NANA10.6313.080.96NANA19.9222.37090
    21340ATreatment of nose fracture11.25NANA7.368.141.15NANA19.7620.54090
    21343ATreatment of sinus fracture14.01NANA12.5114.731.47NANA27.9930.21090
    21344ATreatment of sinus fracture21.26NANA13.0415.642.43NANA36.7339.33090
    21345ATreat nose/jaw fracture8.779.699.805.986.870.9219.3819.4915.6716.56090
    21346ATreat nose/jaw fracture11.21NANA10.7611.841.21NANA23.1824.26090
    21347ATreat nose/jaw fracture13.29NANA11.5615.031.47NANA26.3229.79090
    21348ATreat nose/jaw fracture17.28NANA6.429.942.48NANA26.1829.70090
    21355ATreat cheek bone fracture4.265.616.083.003.360.3410.2110.687.607.96010
    21356ATreat cheek bone fracture4.646.787.043.924.390.4611.8812.149.029.49010
    21360ATreat cheek bone fracture6.95NANA5.255.760.74NANA12.9413.45090
    21365ATreat cheek bone fracture16.42NANA8.9010.351.69NANA27.0128.46090
    21366ATreat cheek bone fracture18.36NANA10.3511.092.49NANA31.2031.94090
    21385ATreat eye socket fracture9.40NANA6.907.940.97NANA17.2718.31090
    21386ATreat eye socket fracture9.40NANA5.696.730.97NANA16.0617.10090
    21387ATreat eye socket fracture9.94NANA7.258.531.08NANA18.2719.55090
    21390ATreat eye socket fracture11.01NANA7.057.610.90NANA18.9619.52090
    21395ATreat eye socket fracture14.58NANA7.788.711.44NANA23.8024.73090
    21400ATreat eye socket fracture1.402.742.641.981.900.154.294.193.533.45090
    21401ATreat eye socket fracture3.517.217.803.103.390.3811.1011.696.997.28090
    21406ATreat eye socket fracture7.25NANA5.085.830.73NANA13.0613.81090
    21407ATreat eye socket fracture8.85NANA5.896.620.94NANA15.6816.41090
    21408ATreat eye socket fracture12.61NANA7.918.641.44NANA21.9622.69090
    21421ATreat mouth roof fracture5.7012.0910.028.968.470.7318.5216.4515.3914.90090
    21422ATreat mouth roof fracture8.56NANA6.797.760.99NANA16.3417.31090
    21423ATreat mouth roof fracture10.63NANA7.288.811.27NANA19.1820.71090
    21431ATreat craniofacial fracture7.66NANA9.349.480.70NANA17.7017.84090
    21432ATreat craniofacial fracture8.72NANA7.187.840.81NANA16.7117.37090
    21433ATreat craniofacial fracture26.05NANA12.5115.432.78NANA41.3444.26090
    21435ATreat craniofacial fracture19.92NANA10.7712.221.98NANA32.6734.12090
    21436ATreat craniofacial fracture29.89NANA14.3817.263.09NANA47.3650.24090
    21440ATreat dental ridge fracture3.2010.317.907.636.530.3813.8911.4811.2110.11090
    21445ATreat dental ridge fracture5.9412.4810.438.618.430.7819.2017.1515.3315.15090
    21450ATreat lower jaw fracture3.4710.418.147.647.060.3314.2111.9411.4410.86090
    21451ATreat lower jaw fracture5.3612.9310.259.638.710.6318.9216.2415.6214.70090
    21452ATreat lower jaw fracture2.2311.7712.715.894.930.2714.2715.218.397.43090
    21453ATreat lower jaw fracture6.2814.7411.7411.5910.950.7421.7618.7618.6117.97090
    21454ATreat lower jaw fracture7.07NANA5.646.110.82NANA13.5314.00090
    21461ATreat lower jaw fracture8.9541.2328.6512.5912.640.9851.1638.5822.5222.57090
    21462ATreat lower jaw fracture10.6542.4631.3213.1712.831.2754.3843.2425.0924.75090
    21465ATreat lower jaw fracture12.76NANA8.269.421.50NANA22.5223.68090
    21470ATreat lower jaw fracture17.12NANA10.0511.531.96NANA29.1330.61090
    21480AReset dislocated jaw0.611.511.710.180.190.062.182.380.850.86000
    21485AReset dislocated jaw4.4812.209.229.188.040.5117.1914.2114.1713.03090
    21490ARepair dislocated jaw12.59NANA7.869.231.96NANA22.4123.78090
    21495ATreat hyoid bone fracture6.43NANA9.578.710.46NANA16.4615.60090
    21497AInterdental wiring4.3511.969.339.148.020.5016.8114.1813.9912.87090
    21499CHead surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    21501ADrain neck/chest lesion3.806.426.423.433.720.4310.6510.657.667.95090
    21502ADrain chest lesion7.35NANA4.775.420.97NANA13.0913.74090
    21510ADrainage of bone lesion5.97NANA4.715.420.80NANA11.4812.19090
    21550ABiopsy of neck/chest2.064.283.761.731.720.166.505.983.953.94010
    21555ARemove lesion, neck/chest4.345.765.573.413.250.5610.6610.478.318.15090
    21556ARemove lesion, neck/chest5.56NANA4.014.080.65NANA10.2210.29090
    21557ARemove tumor, neck/chest8.87NANA4.425.121.08NANA14.3715.07090
    21600APartial removal of rib7.06NANA5.795.750.99NANA13.8413.80090
    21610APartial removal of rib15.70NANA8.138.683.07NANA26.9027.45090
    21615ARemoval of rib10.22NANA5.466.381.45NANA17.1318.05090
    21616ARemoval of rib and nerves12.44NANA7.157.801.86NANA21.4522.10090
    21620APartial removal of sternum7.08NANA4.885.700.98NANA12.9413.76090
    21627ASternal debridement7.10NANA5.626.131.02NANA13.7414.25090
    21630AExtensive sternum surgery18.90NANA10.5511.522.58NANA32.0333.00090
    21632AExtensive sternum surgery19.40NANA9.6210.742.65NANA31.6732.79090
    21685AHyoid myotomy & suspension14.77NANA7.819.431.06NANA23.6425.26090
    Start Printed Page 49100
    21700ARevision of neck muscle6.18NANA3.934.310.32NANA10.4310.81090
    21705ARevision of neck muscle/rib9.77NANA4.715.361.43NANA15.9116.56090
    21720ARevision of neck muscle5.67NANA4.322.930.91NANA10.909.51090
    21725ARevision of neck muscle7.04NANA4.605.231.21NANA12.8513.48090
    21740AReconstruction of sternum17.43NANA8.778.582.36NANA28.5628.37090
    21742CRepair stern/nuss w/o scope0.000.000.000.000.000.000.000.000.000.00090
    21743CRepair sternum/nuss w/scope0.000.000.000.000.000.000.000.000.000.00090
    21750ARepair of sternum separation11.33NANA5.455.951.63NANA18.4118.91090
    21800ATreatment of rib fracture0.961.351.341.421.360.092.402.392.472.41090
    21805ATreatment of rib fracture2.75NANA3.563.290.38NANA6.696.42090
    21810ATreatment of rib fracture(s)6.85NANA5.275.050.94NANA13.0612.84090
    21820ATreat sternum fracture1.281.801.821.871.790.163.243.263.313.23090
    21825ATreat sternum fracture7.58NANA5.466.161.11NANA14.1514.85090
    21899CNeck/chest surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    21920ABiopsy soft tissue of back2.064.323.541.821.560.146.525.744.023.76010
    21925ABiopsy soft tissue of back4.485.505.253.453.290.6010.5810.338.538.37090
    21930ARemove lesion, back or flank4.996.055.803.773.490.6611.7011.459.429.14090
    21935ARemove tumor, back18.29NANA8.569.362.47NANA29.3230.12090
    22010AI&d, p-spine, c/t/cerv-thor12.49NANA8.068.681.73NANA22.2822.90090
    22015AI&d, p-spine, l/s/ls12.38NANA8.028.621.71NANA22.1122.71090
    22100ARemove part of neck vertebra10.72NANA8.017.652.13NANA20.8620.50090
    22101ARemove part, thorax vertebra10.80NANA7.947.801.90NANA20.6420.50090
    22102ARemove part, lumbar vertebra10.80NANA7.247.891.87NANA19.9120.56090
    22103ARemove extra spine segment2.34NANA0.891.130.44NANA3.673.91ZZZ
    22110ARemove part of neck vertebra13.72NANA9.099.142.76NANA25.5725.62090
    22112ARemove part, thorax vertebra13.79NANA8.979.202.52NANA25.2825.51090
    22114ARemove part, lumbar vertebra13.79NANA9.089.212.63NANA25.5025.63090
    22116ARemove extra spine segment2.32NANA0.871.100.50NANA3.693.92ZZZ
    22210ARevision of neck spine25.03NANA14.7415.245.44NANA45.2145.71090
    22212ARevision of thorax spine20.64NANA12.4913.083.90NANA37.0337.62090
    22214ARevision of lumbar spine20.67NANA12.5913.513.91NANA37.1738.09090
    22216ARevise, extra spine segment6.03NANA2.372.941.29NANA9.6910.26ZZZ
    22220ARevision of neck spine22.59NANA13.4213.575.06NANA41.0741.22090
    22222ARevision of thorax spine22.74NANA12.1911.404.12NANA39.0538.26090
    22224ARevision of lumbar spine22.74NANA13.1713.964.18NANA40.0940.88090
    22226ARevise, extra spine segment6.03NANA2.152.861.29NANA9.4710.18ZZZ
    22305ATreat spine process fracture2.052.162.271.811.890.394.604.714.254.33090
    22310ATreat spine fracture3.612.992.852.502.390.507.106.966.616.50090
    22315ATreat spine fracture9.839.819.717.397.351.8521.4921.3919.0719.03090
    22318ATreat odontoid fx w/o graft22.46NANA13.2513.355.28NANA40.9941.09090
    22319ATreat odontoid fx w/graft25.07NANA14.0014.536.03NANA45.1045.63090
    22325ATreat spine fracture19.52NANA12.0312.063.87NANA35.4235.45090
    22326ATreat neck spine fracture20.56NANA12.1312.564.42NANA37.1137.54090
    22327ATreat thorax spine fracture20.42NANA12.0712.293.98NANA36.4736.69090
    22328ATreat each add spine fx4.60NANA1.802.150.94NANA7.347.69ZZZ
    22505AManipulation of spine1.87NANA1.060.970.36NANA3.293.20010
    22520APercut vertebroplasty thor9.1544.7157.424.394.921.7155.5768.2815.2515.78010
    22521APercut vertebroplasty lumb8.5845.9853.474.204.761.6056.1663.6514.3814.94010
    22522APercut vertebroplasty addIl4.30NANA1.411.610.82NANA6.536.73ZZZ
    22523APercut kyphoplasty, thor9.19NANA4.755.611.71NANA15.6516.51010
    22524APercut kyphoplasty, lumbar8.79NANA4.605.421.60NANA14.9915.81010
    22525APercut kyphoplasty, add-on4.47NANA1.682.120.82NANA6.977.41ZZZ
    22532ALat thorax spine fusion25.73NANA13.7914.564.34NANA43.8644.63090
    22533ALat lumbar spine fusion24.53NANA13.4313.553.15NANA41.1141.23090
    22534ALat thor/lumb, addIl seg5.99NANA2.312.851.25NANA9.5510.09ZZZ
    22548ANeck spine fusion26.78NANA15.0815.625.59NANA47.4547.99090
    Start Printed Page 49101
    22554ANeck spine fusion17.48NANA10.7411.944.45NANA32.6733.87090
    22556AThorax spine fusion24.42NANA13.0714.324.34NANA41.8343.08090
    22558ALumbar spine fusion23.25NANA11.5312.853.15NANA37.9339.25090
    22585AAdditional spinal fusion5.52NANA2.092.621.25NANA8.869.39ZZZ
    22590ASpine & skull spinal fusion21.48NANA13.1013.274.78NANA39.3639.53090
    22595ANeck spinal fusion20.36NANA12.6112.784.40NANA37.3737.54090
    22600ANeck spine fusion17.12NANA11.2811.213.72NANA32.1232.05090
    22610AThorax spine fusion17.00NANA10.8811.283.52NANA31.4031.80090
    22612ALumbar spine fusion22.50NANA12.9213.884.46NANA39.8840.84090
    22614ASpine fusion, extra segment6.43NANA2.493.141.38NANA10.3010.95ZZZ
    22630ALumbar spine fusion21.81NANA12.6413.364.72NANA39.1739.89090
    22632ASpine fusion, extra segment5.22NANA2.012.501.16NANA8.398.88ZZZ
    22800AFusion of spine19.22NANA11.1512.373.75NANA34.1235.34090
    22802AFusion of spine31.83NANA16.1718.746.15NANA54.1556.72090
    22804AFusion of spine37.22NANA18.2021.576.98NANA62.4065.77090
    22808AFusion of spine27.23NANA13.8515.694.92NANA46.0047.84090
    22810AFusion of spine31.22NANA14.9317.505.13NANA51.2853.85090
    22812AFusion of spine33.90NANA16.7519.235.28NANA55.9358.41090
    22818AKyphectomy, 1-2 segments34.12NANA16.6518.326.45NANA57.2258.89090
    22819AKyphectomy, 3 or more39.10NANA19.4519.907.65NANA66.2066.65090
    22830AExploration of spinal fusion11.07NANA7.117.752.29NANA20.4721.11090
    22840AInsert spine fixation device12.52NANA4.846.082.78NANA20.1421.38ZZZ
    22842AInsert spine fixation device12.56NANA4.866.092.74NANA20.1621.39ZZZ
    22843AInsert spine fixation device13.44NANA5.266.272.85NANA21.5522.56ZZZ
    22844AInsert spine fixation device16.42NANA6.478.183.18NANA26.0727.78ZZZ
    22845AInsert spine fixation device11.94NANA4.555.692.85NANA19.3420.48ZZZ
    22846AInsert spine fixation device12.40NANA4.725.932.95NANA20.0721.28ZZZ
    22847AInsert spine fixation device13.78NANA5.346.602.99NANA22.1123.37ZZZ
    22848AInsert pelv fixation device5.99NANA2.372.981.15NANA9.5110.12ZZZ
    22849AReinsert spinal fixation19.02NANA10.2811.373.89NANA33.1934.28090
    22850ARemove spine fixation device9.69NANA6.516.872.04NANA18.2418.60090
    22851AApply spine prosth device6.70NANA2.583.171.49NANA10.7711.36ZZZ
    22852ARemove spine fixation device9.24NANA6.236.651.89NANA17.3617.78090
    22855ARemove spine fixation device15.71NANA9.289.573.51NANA28.5028.79090
    22899CSpine surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    22900ARemove abdominal wall lesion6.09NANA3.563.310.76NANA10.4110.16090
    22999CAbdomen surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    23000ARemoval of calcium deposits4.357.838.363.684.240.6812.8613.398.719.27090
    23020ARelease shoulder joint9.16NANA6.517.301.54NANA17.2118.00090
    23030ADrain shoulder lesion3.426.327.122.412.780.5710.3111.116.406.77010
    23031ADrain shoulder bursa2.746.537.532.232.600.469.7310.735.435.80010
    23035ADrain shoulder bone lesion8.96NANA7.027.961.47NANA17.4518.39090
    23040AExploratory shoulder surgery9.55NANA6.807.601.60NANA17.9518.75090
    23044AExploratory shoulder surgery7.41NANA5.596.221.24NANA14.2414.87090
    23065ABiopsy shoulder tissues2.272.912.591.701.640.205.385.064.174.11010
    23066ABiopsy shoulder tissues4.157.727.683.603.890.6312.5012.468.388.67090
    23075ARemoval of shoulder lesion2.393.743.681.741.770.346.476.414.474.50010
    23076ARemoval of shoulder lesion7.68NANA5.335.501.13NANA14.1414.31090
    23077ARemove tumor of shoulder17.98NANA9.8110.112.33NANA30.1230.42090
    23100ABiopsy of shoulder joint6.02NANA5.155.531.04NANA12.2112.59090
    23101AShoulder joint surgery5.57NANA4.585.140.96NANA11.1111.67090
    23105ARemove shoulder joint lining8.28NANA6.126.871.42NANA15.8216.57090
    23106AIncision of collarbone joint5.95NANA4.625.430.99NANA11.5612.37090
    23107AExplore treat shoulder joint8.67NANA6.277.111.49NANA16.4317.27090
    23120APartial removal, collar bone7.16NANA5.506.221.23NANA13.8914.61090
    23125ARemoval of collar bone9.44NANA6.387.271.62NANA17.4418.33090
    23130ARemove shoulder bone, part7.54NANA6.106.871.30NANA14.9415.71090
    23140ARemoval of bone lesion6.94NANA4.825.121.08NANA12.8413.14090
    23145ARemoval of bone lesion9.20NANA5.837.041.49NANA16.5217.73090
    23146ARemoval of bone lesion7.88NANA5.996.831.35NANA15.2216.06090
    23150ARemoval of humerus lesion8.71NANA6.066.711.32NANA16.0916.74090
    23155ARemoval of humerus lesion10.63NANA7.368.091.80NANA19.7920.52090
    23156ARemoval of humerus lesion8.91NANA6.427.141.50NANA16.8317.55090
    23170ARemove collar bone lesion7.03NANA5.085.791.12NANA13.2313.94090
    23172ARemove shoulder blade lesion7.13NANA4.985.961.01NANA13.1214.10090
    23174ARemove humerus lesion9.80NANA7.308.101.65NANA18.7519.55090
    Start Printed Page 49102
    23180ARemove collar bone lesion8.76NANA7.088.511.47NANA17.3118.74090
    23182ARemove shoulder blade lesion8.38NANA6.918.141.37NANA16.6617.89090
    23184ARemove humerus lesion9.67NANA7.558.871.63NANA18.8520.17090
    23190APartial removal of scapula7.29NANA5.435.991.17NANA13.8914.45090
    23195ARemoval of head of humerus10.16NANA6.807.501.70NANA18.6619.36090
    23200ARemoval of collar bone12.60NANA7.518.421.93NANA22.0422.95090
    23210ARemoval of shoulder blade13.07NANA8.248.802.02NANA23.3323.89090
    23220APartial removal of humerus15.26NANA9.0910.392.48NANA26.8328.13090
    23221APartial removal of humerus18.31NANA6.6710.463.05NANA28.0331.82090
    23222APartial removal of humerus25.36NANA13.5815.233.94NANA42.8844.53090
    23330ARemove shoulder foreign body1.853.373.601.531.790.245.465.693.623.88010
    23331ARemove shoulder foreign body7.43NANA5.896.571.27NANA14.5915.27090
    23332ARemove shoulder foreign body12.14NANA8.039.002.02NANA22.1923.16090
    23350AInjection for shoulder x-ray1.002.723.280.320.330.063.784.341.381.39000
    23395AMuscle transfer,shoulder/arm18.19NANA11.2612.462.93NANA32.3833.58090
    23397AMuscle transfers16.53NANA9.7010.952.73NANA28.9630.21090
    23400AFixation of shoulder blade13.64NANA8.579.702.29NANA24.5025.63090
    23405AIncision of tendon & muscle8.36NANA5.976.681.45NANA15.7816.49090
    23406AIncise tendon(s) & muscle(s)10.83NANA6.957.991.87NANA19.6520.69090
    23410ARepair rotator cuff, acute12.55NANA7.849.012.16NANA22.5523.72090
    23412ARepair rotator cuff, chronic13.47NANA8.239.482.31NANA24.0125.26090
    23415ARelease of shoulder ligament10.02NANA6.627.651.73NANA18.3719.40090
    23420ARepair of shoulder14.65NANA9.7810.582.31NANA26.7427.54090
    23430ARepair biceps tendon9.97NANA6.817.781.73NANA18.5119.48090
    23440ARemove/transplant tendon10.46NANA6.827.901.82NANA19.1020.18090
    23450ARepair shoulder capsule13.50NANA8.219.432.32NANA24.0325.25090
    23455ARepair shoulder capsule14.47NANA8.609.982.49NANA25.5626.94090
    23460ARepair shoulder capsule15.59NANA9.3610.872.66NANA27.6129.12090
    23462ARepair shoulder capsule15.52NANA9.1110.342.59NANA27.2228.45090
    23465ARepair shoulder capsule16.07NANA9.6110.792.76NANA28.4429.62090
    23466ARepair shoulder capsule15.45NANA10.1111.062.46NANA28.0228.97090
    23470AReconstruct shoulder joint17.66NANA10.2011.742.98NANA30.8432.38090
    23472AReconstruct shoulder joint22.39NANA12.2513.873.66NANA38.3039.92090
    23480ARevision of collar bone11.34NANA7.378.421.94NANA20.6521.70090
    23485ARevision of collar bone13.71NANA8.339.502.33NANA24.3725.54090
    23490AReinforce clavicle11.96NANA6.698.191.47NANA20.1221.62090
    23491AReinforce shoulder bones14.31NANA8.8910.262.46NANA25.6627.03090
    23500ATreat clavicle fracture2.082.642.812.712.570.305.025.195.094.95090
    23505ATreat clavicle fracture3.684.034.323.633.790.618.328.617.928.08090
    23515ATreat clavicle fracture7.40NANA5.596.311.28NANA14.2714.99090
    23520ATreat clavicle dislocation2.162.652.802.722.740.345.155.305.225.24090
    23525ATreat clavicle dislocation3.594.514.533.923.940.468.568.587.977.99090
    23530ATreat clavicle dislocation7.30NANA5.285.771.20NANA13.7814.27090
    23532ATreat clavicle dislocation8.00NANA6.086.751.38NANA15.4616.13090
    23540ATreat clavicle dislocation2.232.622.802.702.450.295.145.325.224.97090
    23545ATreat clavicle dislocation3.253.754.083.273.340.357.357.686.876.94090
    23550ATreat clavicle dislocation7.41NANA5.546.161.25NANA14.2014.82090
    23552ATreat clavicle dislocation8.62NANA6.287.061.46NANA16.3617.14090
    23570ATreat shoulder blade fx2.232.802.962.942.900.365.395.555.535.49090
    23575ATreat shoulder blade fx4.054.364.753.864.200.599.009.398.508.84090
    23585ATreat scapula fracture9.07NANA6.527.361.54NANA17.1317.97090
    23600ATreat humerus fracture2.934.084.433.663.580.487.497.847.076.99090
    23605ATreat humerus fracture4.865.425.974.634.990.8411.1211.6710.3310.69090
    23615ATreat humerus fracture10.83NANA8.338.711.62NANA20.7821.16090
    23616ATreat humerus fracture21.60NANA11.5613.503.69NANA36.8538.79090
    23620ATreat humerus fracture2.403.423.563.163.030.406.226.365.965.83090
    Start Printed Page 49103
    23625ATreat humerus fracture3.924.444.823.914.190.679.039.418.508.78090
    23630ATreat humerus fracture7.40NANA5.696.401.27NANA14.3615.07090
    23650ATreat shoulder dislocation3.383.273.652.802.770.306.957.336.486.45090
    23655ATreat shoulder dislocation4.56NANA4.174.170.69NANA9.429.42090
    23660ATreat shoulder dislocation7.48NANA5.636.191.29NANA14.4014.96090
    23665ATreat dislocation/fracture4.464.855.214.264.610.7110.0210.389.439.78090
    23670ATreat dislocation/fracture7.95NANA5.896.601.36NANA15.2015.91090
    23675ATreat dislocation/fracture6.046.166.665.165.661.0113.2113.7112.2112.71090
    23680ATreat dislocation/fracture10.22NANA7.027.841.75NANA18.9919.81090
    23700AFixation of shoulder2.52NANA1.922.110.44NANA4.885.07010
    23800AFusion of shoulder joint14.50NANA7.559.702.35NANA24.4026.55090
    23802AFusion of shoulder joint18.07NANA10.9910.382.70NANA31.7631.15090
    23900AAmputation of arm & girdle20.47NANA10.7211.463.18NANA34.3735.11090
    23920AAmputation at shoulder joint15.95NANA9.569.832.46NANA27.9728.24090
    23921AAmputation follow-up surgery5.54NANA4.885.030.78NANA11.2011.35090
    23929CShoulder surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    23930ADrainage of arm lesion2.945.005.991.992.230.438.379.365.365.60010
    23931ADrainage of arm bursa1.794.345.521.752.070.286.417.593.824.14010
    23935ADrain arm/elbow bone lesion6.20NANA5.145.721.05NANA12.3912.97090
    24000AExploratory elbow surgery5.93NANA4.785.250.97NANA11.6812.15090
    24006ARelease elbow joint9.54NANA6.677.481.50NANA17.7118.52090
    24065ABiopsy arm/elbow soft tissue2.084.083.431.871.770.176.335.684.124.02010
    24066ABiopsy arm/elbow soft tissue5.208.338.783.944.080.8014.3314.789.9410.08090
    24075ARemove arm/elbow lesion3.917.227.323.273.370.5611.6911.797.747.84090
    24076ARemove arm/elbow lesion6.29NANA4.594.790.95NANA11.8312.03090
    24077ARemove tumor of arm/elbow11.86NANA6.967.551.72NANA20.5421.13090
    24100ABiopsy elbow joint lining4.92NANA4.284.460.85NANA10.0510.23090
    24101AExplore/treat elbow joint6.12NANA5.085.721.03NANA12.2312.87090
    24102ARemove elbow joint lining8.08NANA5.826.601.33NANA15.2316.01090
    24105ARemoval of elbow bursa3.60NANA4.044.300.61NANA8.258.51090
    24110ARemove humerus lesion7.38NANA5.666.411.28NANA14.3215.07090
    24115ARemove/graft bone lesion9.92NANA6.837.121.67NANA18.4218.71090
    24116ARemove/graft bone lesion12.03NANA7.678.722.05NANA21.7522.80090
    24120ARemove elbow lesion6.64NANA5.225.751.10NANA12.9613.49090
    24125ARemove/graft bone lesion7.94NANA6.036.131.06NANA15.0315.13090
    24126ARemove/graft bone lesion8.42NANA6.226.821.16NANA15.8016.40090
    24130ARemoval of head of radius6.24NANA5.135.801.04NANA12.4113.08090
    24134ARemoval of arm bone lesion10.02NANA7.498.511.64NANA19.1520.17090
    24136ARemove radius bone lesion8.22NANA5.676.831.38NANA15.2716.43090
    24138ARemove elbow bone lesion8.22NANA6.717.511.34NANA16.2717.07090
    24140APartial removal of arm bone9.35NANA7.208.631.51NANA18.0619.49090
    24145APartial removal of radius7.63NANA6.307.621.25NANA15.1816.50090
    24147APartial removal of elbow7.59NANA6.908.181.30NANA15.7917.07090
    24149ARadical resection of elbow15.80NANA10.8611.432.34NANA29.0029.57090
    24150AExtensive humerus surgery13.61NANA8.549.632.32NANA24.4725.56090
    24151AExtensive humerus surgery15.98NANA9.7711.082.59NANA28.3429.65090
    24152AExtensive radius surgery10.16NANA6.297.371.48NANA17.9319.01090
    24153AExtensive radius surgery11.64NANA4.925.410.74NANA17.3017.79090
    24155ARemoval of elbow joint11.89NANA7.618.201.92NANA21.4222.01090
    24160ARemove elbow joint implant7.82NANA5.826.621.30NANA14.9415.74090
    24164ARemove radius head implant6.28NANA4.925.561.03NANA12.2312.87090
    24200ARemoval of arm foreign body1.762.783.251.381.570.204.745.213.343.53010
    24201ARemoval of arm foreign body4.557.929.343.714.100.7213.1914.618.989.37090
    24220AInjection for elbow x-ray1.312.643.380.430.440.084.034.771.821.83000
    24300AManipulate elbow w/anesth3.74NANA5.185.580.65NANA9.579.97090
    24301AMuscle/tendon transfer10.18NANA6.857.851.66NANA18.6919.69090
    24305AArm tendon lengthening7.44NANA5.666.451.15NANA14.2515.04090
    24310ARevision of arm tendon5.97NANA4.785.380.96NANA11.7112.31090
    24320ARepair of arm tendon10.66NANA7.117.431.73NANA19.5019.82090
    24330ARevision of arm muscles9.59NANA6.647.571.60NANA17.8318.76090
    24331ARevision of arm muscles10.75NANA6.528.131.77NANA19.0420.65090
    24332ATenolysis, triceps7.69NANA5.756.521.23NANA14.6715.44090
    24340ARepair of biceps tendon7.88NANA6.006.741.36NANA15.2415.98090
    24341ARepair arm tendon/muscle9.14NANA7.527.821.36NANA18.0218.32090
    24342ARepair of ruptured tendon10.66NANA7.118.171.85NANA19.6220.68090
    24343ARepr elbow lat ligmnt w/tiss8.89NANA7.027.871.43NANA17.3418.19090
    Start Printed Page 49104
    24344AReconstruct elbow lat ligmnt14.85NANA10.0611.162.36NANA27.2728.37090
    24345ARepr elbw med ligmnt w/tissu8.89NANA6.987.761.44NANA17.3118.09090
    24346AReconstruct elbow med ligmnt14.85NANA10.0611.022.33NANA27.2428.20090
    24350ARepair of tennis elbow5.24NANA4.895.410.87NANA11.0011.52090
    24351ARepair of tennis elbow5.90NANA5.015.691.02NANA11.9312.61090
    24352ARepair of tennis elbow6.42NANA5.235.941.10NANA12.7513.46090
    24354ARepair of tennis elbow6.47NANA5.255.931.07NANA12.7913.47090
    24356ARevision of tennis elbow6.67NANA5.326.061.11NANA13.1013.84090
    24360AReconstruct elbow joint12.44NANA7.979.102.05NANA22.4623.59090
    24361AReconstruct elbow joint14.18NANA8.7810.132.18NANA25.1426.49090
    24362AReconstruct elbow joint15.09NANA9.309.862.60NANA26.9927.55090
    24363AReplace elbow joint22.39NANA12.2613.353.01NANA37.6638.75090
    24365AReconstruct head of radius8.44NANA5.946.891.41NANA15.7916.74090
    24366AReconstruct head of radius9.18NANA6.317.231.52NANA17.0117.93090
    24400ARevision of humerus11.10NANA7.628.541.92NANA20.6421.56090
    24410ARevision of humerus14.86NANA9.3210.062.57NANA26.7527.49090
    24420ARevision of humerus13.48NANA8.8810.132.17NANA24.5325.78090
    24430ARepair of humerus14.99NANA9.309.632.21NANA26.5026.83090
    24435ARepair humerus with graft14.64NANA9.8610.632.27NANA26.7727.54090
    24470ARevision of elbow joint8.73NANA6.437.401.48NANA16.6417.61090
    24495ADecompression of forearm8.23NANA6.688.231.18NANA16.0917.64090
    24498AReinforce humerus12.08NANA7.758.882.06NANA21.8923.02090
    24500ATreat humerus fracture3.214.454.753.803.710.508.168.467.517.42090
    24505ATreat humerus fracture5.165.876.424.905.270.8911.9212.4710.9511.32090
    24515ATreat humerus fracture11.87NANA8.099.062.02NANA21.9822.95090
    24516ATreat humerus fracture11.99NANA7.718.762.02NANA21.7222.77090
    24530ATreat humerus fracture3.494.745.094.004.030.578.809.158.068.09090
    24535ATreat humerus fracture6.866.827.595.866.431.1814.8615.6313.9014.47090
    24538ATreat humerus fracture9.54NANA7.228.331.64NANA18.4019.51090
    24545ATreat humerus fracture10.80NANA7.248.151.82NANA19.8620.77090
    24546ATreat humerus fracture15.91NANA9.5010.872.73NANA28.1429.51090
    24560ATreat humerus fracture2.804.054.373.383.240.447.297.616.626.48090
    24565ATreat humerus fracture5.555.866.424.975.380.9312.3412.9011.4511.86090
    24566ATreat humerus fracture8.78NANA6.977.861.30NANA17.0517.94090
    24575ATreat humerus fracture10.94NANA7.278.121.86NANA20.0720.92090
    24576ATreat humerus fracture2.864.454.683.743.720.467.778.007.067.04090
    24577ATreat humerus fracture5.786.016.705.085.650.9512.7413.4311.8112.38090
    24579ATreat humerus fracture11.88NANA7.878.592.02NANA21.7722.49090
    24582ATreat humerus fracture9.79NANA8.218.891.48NANA19.4820.16090
    24586ATreat elbow fracture15.55NANA9.3610.762.64NANA27.5528.95090
    24587ATreat elbow fracture15.56NANA9.3710.612.52NANA27.4528.69090
    24600ATreat elbow dislocation4.223.874.613.293.450.508.599.338.018.17090
    24605ATreat elbow dislocation5.41NANA4.965.260.89NANA11.2611.56090
    24615ATreat elbow dislocation9.65NANA6.597.511.60NANA17.8418.76090
    24620ATreat elbow fracture6.97NANA5.486.061.07NANA13.5214.10090
    24635ATreat elbow fracture13.47NANA10.2313.102.28NANA25.9828.85090
    24640ATreat elbow dislocation1.201.481.750.800.800.122.803.072.122.12010
    24650ATreat radius fracture2.163.443.703.002.810.355.956.215.515.32090
    24655ATreat radius fracture4.395.205.764.414.700.7010.2910.859.509.79090
    24665ATreat radius fracture8.13NANA6.537.271.41NANA16.0716.81090
    24666ATreat radius fracture9.66NANA7.007.801.62NANA18.2819.08090
    24670ATreat ulnar fracture2.543.744.023.163.090.416.696.976.116.04090
    24675ATreat ulnar fracture4.715.305.834.504.850.8110.8211.3510.0210.37090
    24685ATreat ulnar fracture8.85NANA6.487.261.52NANA16.8517.63090
    24800AFusion of elbow joint11.18NANA7.668.471.63NANA20.4721.28090
    24802AFusion/graft of elbow joint14.09NANA8.569.932.37NANA25.0226.39090
    Start Printed Page 49105
    24900AAmputation of upper arm9.95NANA6.476.911.53NANA17.9518.39090
    24920AAmputation of upper arm9.95NANA6.456.821.61NANA18.0118.38090
    24925AAmputation follow-up surgery7.12NANA4.955.801.14NANA13.2114.06090
    24930AAmputation follow-up surgery10.65NANA5.906.911.67NANA18.2219.23090
    24931AAmputate upper arm & implant13.24NANA8.236.351.89NANA23.3621.48090
    24935ARevision of amputation16.20NANA8.908.242.13NANA27.2326.57090
    24940CRevision of upper arm0.000.000.000.000.000.000.000.000.000.00090
    24999CUpper arm/elbow surgery0.000.000.000.000.000.000.000.000.000.00YYY
    25000AIncision of tendon sheath3.37NANA5.066.420.55NANA8.9810.34090
    25001AIncise flexor carpi radialis3.62NANA3.854.140.55NANA8.028.31090
    25020ADecompress forearm 1 space5.91NANA6.908.900.93NANA13.7415.74090
    25023ADecompress forearm 1 space13.60NANA11.4814.082.03NANA27.1129.71090
    25024ADecompress forearm 2 spaces10.52NANA7.207.401.36NANA19.0819.28090
    25025ADecompress forearm 2 spaces17.67NANA9.039.741.82NANA28.5229.23090
    25028ADrainage of forearm lesion5.24NANA6.257.680.81NANA12.3013.73090
    25031ADrainage of forearm bursa4.13NANA5.477.310.63NANA10.2312.07090
    25035ATreat forearm bone lesion7.47NANA8.8812.411.24NANA17.5921.12090
    25040AExplore/treat wrist joint7.35NANA5.906.951.15NANA14.4015.45090
    25065ABiopsy forearm soft tissues1.994.193.461.901.900.156.335.604.044.04010
    25066ABiopsy forearm soft tissues4.12NANA5.466.660.64NANA10.2211.42090
    25075ARemoval forearm lesion subcu3.73NANA4.905.640.55NANA9.189.92090
    25076ARemoval forearm lesion deep4.91NANA6.928.890.74NANA12.5714.54090
    25077ARemove tumor, forearm/wrist9.81NANA8.9511.301.42NANA20.1822.53090
    25085AIncision of wrist capsule5.49NANA5.446.700.85NANA11.7813.04090
    25100ABiopsy of wrist joint3.89NANA4.285.020.59NANA8.769.50090
    25101AExplore/treat wrist joint4.68NANA4.835.630.75NANA10.2611.06090
    25105ARemove wrist joint lining5.84NANA5.826.930.92NANA12.5813.69090
    25107ARemove wrist joint cartilage7.42NANA7.168.050.99NANA15.5716.46090
    25110ARemove wrist tendon lesion3.91NANA5.296.610.62NANA9.8211.14090
    25111ARemove wrist tendon lesion3.38NANA4.104.550.53NANA8.018.46090
    25112AReremove wrist tendon lesion4.52NANA4.545.070.70NANA9.7610.29090
    25115ARemove wrist/forearm lesion9.81NANA10.2113.081.31NANA21.3324.20090
    25116ARemove wrist/forearm lesion7.28NANA9.0812.131.11NANA17.4720.52090
    25118AExcise wrist tendon sheath4.36NANA4.635.460.68NANA9.6710.50090
    25119APartial removal of ulna6.03NANA5.867.170.96NANA12.8514.16090
    25120ARemoval of forearm lesion6.09NANA7.9311.041.00NANA15.0218.13090
    25125ARemove/graft forearm lesion7.47NANA8.7511.821.06NANA17.2820.35090
    25126ARemove/graft forearm lesion7.54NANA8.7811.951.27NANA17.5920.76090
    25130ARemoval of wrist lesion5.25NANA5.216.120.80NANA11.2612.17090
    25135ARemove & graft wrist lesion6.88NANA6.127.161.02NANA14.0215.06090
    25136ARemove & graft wrist lesion5.96NANA5.536.331.03NANA12.5213.32090
    25145ARemove forearm bone lesion6.36NANA8.1211.081.01NANA15.4918.45090
    25150APartial removal of ulna7.20NANA6.387.751.14NANA14.7216.09090
    25151APartial removal of radius7.50NANA8.5211.671.18NANA17.2020.35090
    25170AExtensive forearm surgery11.25NANA10.5213.991.77NANA23.5427.01090
    25210ARemoval of wrist bone5.94NANA5.536.480.88NANA12.3513.30090
    25215ARemoval of wrist bones7.94NANA6.838.271.19NANA15.9617.40090
    25230APartial removal of radius5.22NANA4.965.850.79NANA10.9711.86090
    25240APartial removal of ulna5.16NANA5.276.530.81NANA11.2412.50090
    25246AInjection for wrist x-ray1.452.703.260.480.480.094.244.802.022.02000
    25248ARemove forearm foreign body5.13NANA6.578.030.72NANA12.4213.88090
    25250ARemoval of wrist prosthesis6.59NANA5.325.911.01NANA12.9213.51090
    25251ARemoval of wrist prosthesis9.62NANA6.717.621.26NANA17.5918.50090
    25259AManipulate wrist w/anesthes3.74NANA5.145.580.62NANA9.509.94090
    25260ARepair forearm tendon/muscle7.79NANA9.2212.291.19NANA18.2021.27090
    25263ARepair forearm tendon/muscle7.81NANA8.9612.191.18NANA17.9521.18090
    25265ARepair forearm tendon/muscle9.87NANA10.0013.231.47NANA21.3424.57090
    25270ARepair forearm tendon/muscle5.99NANA7.9011.000.95NANA14.8417.94090
    25272ARepair forearm tendon/muscle7.03NANA8.3711.691.11NANA16.5119.83090
    25274ARepair forearm tendon/muscle8.74NANA9.2012.521.36NANA19.3022.62090
    25275ARepair forearm tendon sheath8.74NANA6.507.311.31NANA16.5517.36090
    25280ARevise wrist/forearm tendon7.21NANA8.4711.591.08NANA16.7619.88090
    25290AIncise wrist/forearm tendon5.28NANA9.1713.540.82NANA15.2719.64090
    25295ARelease wrist/forearm tendon6.54NANA8.1411.151.00NANA15.6818.69090
    25300AFusion of tendons at wrist8.79NANA7.198.141.26NANA17.2418.19090
    25301AFusion of tendons at wrist8.39NANA6.737.731.29NANA16.4117.41090
    Start Printed Page 49106
    25310ATransplant forearm tendon8.19NANA8.8211.981.21NANA18.2221.38090
    25312ATransplant forearm tendon9.62NANA9.6012.861.41NANA20.6323.89090
    25315ARevise palsy hand tendon(s)10.48NANA10.0013.301.58NANA22.0625.36090
    25316ARevise palsy hand tendon(s)12.67NANA11.0814.941.74NANA25.4929.35090
    25320ARepair/revise wrist joint12.28NANA10.3811.141.61NANA24.2725.03090
    25332ARevise wrist joint11.51NANA7.748.811.83NANA21.0822.15090
    25335ARealignment of hand13.16NANA7.0110.451.92NANA22.0925.53090
    25337AReconstruct ulna/radioulnar11.36NANA9.3910.661.61NANA22.3623.63090
    25350ARevision of radius8.89NANA9.2712.801.46NANA19.6223.15090
    25355ARevision of radius10.33NANA10.0313.471.73NANA22.0925.53090
    25360ARevision of ulna8.54NANA9.1312.691.41NANA19.0822.64090
    25365ARevise radius & ulna12.68NANA11.0614.502.15NANA25.8929.33090
    25370ARevise radius or ulna13.82NANA11.9715.052.28NANA28.0731.15090
    25375ARevise radius & ulna13.32NANA11.3315.152.26NANA26.9130.73090
    25390AShorten radius or ulna10.50NANA9.9413.421.65NANA22.0925.57090
    25391ALengthen radius or ulna14.05NANA11.6515.332.21NANA27.9131.59090
    25392AShorten radius & ulna14.35NANA11.7814.922.10NANA28.2331.37090
    25393ALengthen radius & ulna16.33NANA13.1816.482.76NANA32.2735.57090
    25394ARepair carpal bone, shorten10.63NANA6.807.751.59NANA19.0219.97090
    25400ARepair radius or ulna11.08NANA10.1813.941.82NANA23.0826.84090
    25405ARepair/graft radius or ulna14.78NANA11.9215.932.32NANA29.0233.03090
    25415ARepair radius & ulna13.57NANA11.0215.142.17NANA26.7630.88090
    25420ARepair/graft radius & ulna16.79NANA12.7916.902.61NANA32.1936.30090
    25425ARepair/graft radius or ulna13.49NANA14.1419.582.08NANA29.7135.15090
    25426ARepair/graft radius & ulna16.22NANA12.5015.542.54NANA31.2634.30090
    25430AVasc graft into carpal bone9.49NANA7.047.271.27NANA17.8018.03090
    25431ARepair nonunion carpal bone10.67NANA7.268.121.90NANA19.8320.69090
    25440ARepair/graft wrist bone10.48NANA7.538.931.63NANA19.6421.04090
    25441AReconstruct wrist joint13.06NANA8.509.632.07NANA23.6324.76090
    25442AReconstruct wrist joint10.89NANA7.328.491.53NANA19.7420.91090
    25443AReconstruct wrist joint10.43NANA6.618.231.37NANA18.4120.03090
    25444AReconstruct wrist joint11.19NANA7.658.691.71NANA20.5521.59090
    25445AReconstruct wrist joint9.68NANA6.727.671.55NANA17.9518.90090
    25446AWrist replacement17.07NANA9.8811.412.47NANA29.4230.95090
    25447ARepair wrist joint(s)10.85NANA7.888.461.61NANA20.3420.92090
    25449ARemove wrist joint implant14.71NANA9.0510.272.21NANA25.9727.19090
    25450ARevision of wrist joint7.86NANA7.349.481.36NANA16.5618.70090
    25455ARevision of wrist joint9.48NANA6.509.770.96NANA16.9420.21090
    25490AReinforce radius9.53NANA9.4712.671.43NANA20.4323.63090
    25491AReinforce ulna9.95NANA9.7313.281.60NANA21.2824.83090
    25492AReinforce radius and ulna12.43NANA10.5914.122.14NANA25.1628.69090
    25500ATreat fracture of radius2.453.333.512.892.760.356.136.315.695.56090
    25505ATreat fracture of radius5.205.876.375.015.320.9011.9712.4711.1111.42090
    25515ATreat fracture of radius9.29NANA6.757.281.59NANA17.6318.16090
    25520ATreat fracture of radius6.256.026.655.435.901.0813.3513.9812.7613.23090
    25525ATreat fracture of radius12.59NANA8.749.682.12NANA23.4524.39090
    25526ATreat fracture of radius13.33NANA10.2312.682.19NANA25.7528.20090
    25530ATreat fracture of ulna2.093.483.692.972.890.345.916.125.405.32090
    25535ATreat fracture of ulna5.135.685.934.935.200.8911.7011.9510.9511.22090
    25545ATreat fracture of ulna9.01NANA6.647.411.53NANA17.1817.95090
    25560ATreat fracture radius & ulna2.443.403.622.872.670.356.196.415.665.46090
    25565ATreat fracture radius & ulna5.625.976.524.995.310.9312.5213.0711.5411.86090
    25574ATreat fracture radius & ulna7.37NANA6.647.061.21NANA15.2215.64090
    25575ATreat fracture radius/ulna11.92NANA9.009.381.81NANA22.7323.11090
    25600ATreat fracture radius/ulna2.633.693.993.183.020.426.747.046.236.07090
    25605ATreat fracture radius/ulna6.936.917.156.186.211.0014.8415.0814.1114.14090
    Start Printed Page 49107
    25611ATreat fracture radius/ulna9.14NANA8.348.811.34NANA18.8219.29090
    25620ATreat fracture radius/ulna8.54NANA6.277.011.42NANA16.2316.97090
    25622ATreat wrist bone fracture2.613.914.183.363.170.416.937.206.386.19090
    25624ATreat wrist bone fracture4.525.586.124.734.990.7610.8611.4010.0110.27090
    25628ATreat wrist bone fracture9.42NANA7.347.701.37NANA18.1318.49090
    25630ATreat wrist bone fracture2.883.764.083.253.020.457.097.416.586.35090
    25635ATreat wrist bone fracture4.385.385.804.564.070.7410.5010.929.689.19090
    25645ATreat wrist bone fracture7.24NANA5.806.421.20NANA14.2414.86090
    25650ATreat wrist bone fracture3.053.864.203.463.240.457.367.706.966.74090
    25651APin ulnar styloid fracture5.60NANA5.135.390.86NANA11.5911.85090
    25652ATreat fracture ulnar styloid7.84NANA6.216.801.21NANA15.2615.85090
    25660ATreat wrist dislocation4.75NANA4.484.650.58NANA9.819.98090
    25670ATreat wrist dislocation7.91NANA5.996.741.28NANA15.1815.93090
    25671APin radioulnar dislocation6.24NANA5.536.001.00NANA12.7713.24090
    25675ATreat wrist dislocation4.664.885.464.144.520.6210.1610.749.429.80090
    25676ATreat wrist dislocation8.09NANA6.287.051.34NANA15.7116.48090
    25680ATreat wrist fracture5.98NANA4.374.650.78NANA11.1311.41090
    25685ATreat wrist fracture9.89NANA6.707.531.60NANA18.1919.02090
    25690ATreat wrist dislocation5.49NANA4.825.330.88NANA11.1911.70090
    25695ATreat wrist dislocation8.33NANA6.196.871.32NANA15.8416.52090
    25800AFusion of wrist joint9.87NANA7.288.641.57NANA18.7220.08090
    25805AFusion/graft of wrist joint11.50NANA8.179.731.80NANA21.4723.03090
    25810AFusion/graft of wrist joint11.67NANA8.569.571.67NANA21.9022.91090
    25820AFusion of hand bones7.44NANA6.287.461.22NANA14.9416.12090
    25825AFuse hand bones with graft9.44NANA7.568.811.41NANA18.4119.66090
    25830AFusion, radioulnar jnt/ulna10.61NANA10.4613.421.55NANA22.6225.58090
    25900AAmputation of forearm9.36NANA9.2711.741.30NANA19.9322.40090
    25905AAmputation of forearm9.41NANA8.4411.331.40NANA19.2522.14090
    25907AAmputation follow-up surgery7.91NANA7.8110.771.10NANA16.8219.78090
    25909AAmputation follow-up surgery9.13NANA9.0411.461.44NANA19.6122.03090
    25915AAmputation of forearm17.30NANA8.2316.222.93NANA28.4636.45090
    25920AAmputate hand at wrist8.85NANA6.727.571.35NANA16.9217.77090
    25922AAmputate hand at wrist7.47NANA6.406.891.12NANA14.9915.48090
    25924AAmputation follow-up surgery8.63NANA6.717.751.32NANA16.6617.70090
    25927AAmputation of hand8.91NANA8.6210.921.27NANA18.8021.10090
    25929AAmputation follow-up surgery7.64NANA5.425.761.14NANA14.2014.54090
    25931AAmputation follow-up surgery7.86NANA8.5310.731.15NANA17.5419.74090
    25999CForearm or wrist surgery0.000.000.000.000.000.000.000.000.000.00YYY
    26010ADrainage of finger abscess1.544.025.181.511.600.185.746.903.233.32010
    26011ADrainage of finger abscess2.196.298.181.982.240.338.8110.704.504.76010
    26020ADrain hand tendon sheath4.90NANA4.755.200.73NANA10.3810.83090
    26025ADrainage of palm bursa4.93NANA4.464.960.76NANA10.1510.65090
    26030ADrainage of palm bursa(s)6.10NANA4.995.540.92NANA12.0112.56090
    26034ATreat hand bone lesion6.40NANA5.556.151.01NANA12.9613.56090
    26035ADecompress fingers/hand11.05NANA8.017.911.47NANA20.5320.43090
    26037ADecompress fingers/hand7.42NANA5.516.121.13NANA14.0614.67090
    26040ARelease palm contracture3.33NANA3.603.940.53NANA7.467.80090
    26045ARelease palm contracture5.55NANA4.885.450.93NANA11.3611.93090
    26055AIncise finger tendon sheath2.949.0713.033.833.910.4312.4416.407.207.28090
    26060AIncision of finger tendon2.81NANA3.063.400.45NANA6.326.66090
    26070AExplore/treat hand joint3.68NANA3.043.280.48NANA7.207.44090
    26075AExplore/treat finger joint3.78NANA3.413.690.53NANA7.728.00090
    26080AExplore/treat finger joint4.29NANA4.344.720.66NANA9.299.67090
    26100ABiopsy hand joint lining3.66NANA3.563.990.54NANA7.768.19090
    26105ABiopsy finger joint lining3.70NANA3.744.110.59NANA8.038.40090
    26110ABiopsy finger joint lining3.52NANA3.603.930.53NANA7.657.98090
    26115ARemoval hand lesion subcut3.859.8412.284.214.630.5914.2816.728.659.07090
    26116ARemoval hand lesion, deep5.52NANA5.295.820.84NANA11.6512.18090
    26117ARemove tumor, hand/finger8.54NANA6.216.851.26NANA16.0116.65090
    26121ARelease palm contracture7.53NANA5.946.711.17NANA14.6415.41090
    26123ARelease palm contracture10.53NANA8.238.701.43NANA20.1920.66090
    26125ARelease palm contracture4.60NANA1.892.300.70NANA7.197.60ZZZ
    26130ARemove wrist joint lining5.41NANA4.855.220.94NANA11.2011.57090
    26135ARevise finger joint, each6.95NANA5.496.221.07NANA13.5114.24090
    26140ARevise finger joint, each6.16NANA5.175.820.92NANA12.2512.90090
    26145ATendon excision, palm/finger6.31NANA5.195.840.97NANA12.4713.12090
    Start Printed Page 49108
    26160ARemove tendon sheath lesion3.409.0211.533.924.070.4912.9115.427.817.96090
    26170ARemoval of palm tendon, each4.76NANA4.364.800.69NANA9.8110.25090
    26180ARemoval of finger tendon5.17NANA4.775.250.78NANA10.7211.20090
    26185ARemove finger bone6.24NANA5.815.980.81NANA12.8613.03090
    26200ARemove hand bone lesion5.50NANA4.585.160.88NANA10.9611.54090
    26205ARemove/graft bone lesion7.75NANA5.856.631.20NANA14.8015.58090
    26210ARemoval of finger lesion5.14NANA4.745.250.79NANA10.6711.18090
    26215ARemove/graft finger lesion7.09NANA5.536.120.98NANA13.6014.19090
    26230APartial removal of hand bone6.32NANA5.015.691.01NANA12.3413.02090
    26235APartial removal, finger bone6.18NANA4.965.600.95NANA12.0912.73090
    26236APartial removal, finger bone5.31NANA4.555.130.81NANA10.6711.25090
    26250AExtensive hand surgery7.54NANA5.216.131.07NANA13.8214.74090
    26255AExtensive hand surgery12.71NANA8.399.131.68NANA22.7823.52090
    26260AExtensive finger surgery7.02NANA5.365.981.01NANA13.3914.01090
    26261AExtensive finger surgery9.20NANA6.886.351.14NANA17.2216.69090
    26262APartial removal of finger5.66NANA4.665.160.88NANA11.2011.70090
    26320ARemoval of implant from hand3.97NANA3.784.180.59NANA8.348.74090
    26340AManipulate finger w/anesth2.50NANA4.604.810.39NANA7.497.70090
    26350ARepair finger/hand tendon5.98NANA9.4513.320.93NANA16.3620.23090
    26352ARepair/graft hand tendon7.67NANA10.0414.031.13NANA18.8422.83090
    26356ARepair finger/hand tendon10.06NANA13.6817.201.21NANA24.9528.47090
    26357ARepair finger/hand tendon8.57NANA10.2614.291.33NANA20.1624.19090
    26358ARepair/graft hand tendon9.13NANA10.8115.181.38NANA21.3225.69090
    26370ARepair finger/hand tendon7.10NANA9.5013.711.12NANA17.7221.93090
    26372ARepair/graft hand tendon8.81NANA10.4815.021.40NANA20.6925.23090
    26373ARepair finger/hand tendon8.21NANA10.1614.571.23NANA19.6024.01090
    26390ARevise hand/finger tendon9.24NANA9.0812.231.40NANA19.7222.87090
    26392ARepair/graft hand tendon10.30NANA11.0215.301.57NANA22.8927.17090
    26410ARepair hand tendon4.62NANA7.5610.850.73NANA12.9116.20090
    26412ARepair/graft hand tendon6.30NANA8.5712.100.97NANA15.8419.37090
    26415AExcision, hand/finger tendon8.33NANA6.7110.510.98NANA16.0219.82090
    26416AGraft hand or finger tendon9.36NANA8.7013.120.79NANA18.8523.27090
    26418ARepair finger tendon4.24NANA8.0711.260.67NANA12.9816.17090
    26420ARepair/graft finger tendon6.76NANA8.7512.411.07NANA16.5820.24090
    26426ARepair finger/hand tendon6.14NANA8.5212.000.95NANA15.6119.09090
    26428ARepair/graft finger tendon7.20NANA9.1912.691.09NANA17.4820.98090
    26432ARepair finger tendon4.01NANA6.719.370.64NANA11.3614.02090
    26433ARepair finger tendon4.55NANA6.939.830.72NANA12.2015.10090
    26434ARepair/graft finger tendon6.08NANA7.8710.620.93NANA14.8817.63090
    26437ARealignment of tendons5.81NANA7.7110.610.89NANA14.4117.31090
    26440ARelease palm/finger tendon5.01NANA8.4312.180.75NANA14.1917.94090
    26442ARelease palm & finger tendon9.40NANA11.6114.861.20NANA22.2125.46090
    26445ARelease hand/finger tendon4.30NANA8.1011.880.65NANA13.0516.83090
    26449ARelease forearm/hand tendon8.24NANA11.3014.651.06NANA20.6023.95090
    26450AIncision of palm tendon3.66NANA5.116.780.59NANA9.3611.03090
    26455AIncision of finger tendon3.63NANA5.076.730.58NANA9.2810.94090
    26460AIncise hand/finger tendon3.45NANA5.016.610.55NANA9.0110.61090
    26471AFusion of finger tendons5.72NANA7.6610.350.88NANA14.2616.95090
    26474AFusion of finger tendons5.31NANA7.4810.410.76NANA13.5516.48090
    26476ATendon lengthening5.17NANA7.3910.050.79NANA13.3516.01090
    26477ATendon shortening5.14NANA7.4710.160.81NANA13.4216.11090
    26478ALengthening of hand tendon5.79NANA7.6710.800.90NANA14.3617.49090
    26479AShortening of hand tendon5.73NANA7.6610.590.92NANA14.3117.24090
    26480ATransplant hand tendon6.68NANA9.5713.671.02NANA17.2721.37090
    26483ATransplant/graft hand tendon8.28NANA10.2214.181.26NANA19.7623.72090
    26485ATransplant palm tendon7.69NANA9.9414.011.15NANA18.7822.85090
    Start Printed Page 49109
    26489ATransplant/graft palm tendon9.66NANA10.2911.621.26NANA21.2122.54090
    26490ARevise thumb tendon8.40NANA8.8911.841.21NANA18.5021.45090
    26492ATendon transfer with graft9.61NANA9.7712.641.40NANA20.7823.65090
    26494AHand tendon/muscle transfer8.46NANA9.0111.981.28NANA18.7521.72090
    26496ARevise thumb tendon9.58NANA9.4612.291.45NANA20.4923.32090
    26497AFinger tendon transfer9.56NANA9.4212.531.41NANA20.3923.50090
    26498AFinger tendon transfer13.98NANA11.4814.992.10NANA27.5631.07090
    26499ARevision of finger8.97NANA8.7211.961.35NANA19.0422.28090
    26500AHand tendon reconstruction5.95NANA7.7510.520.90NANA14.6017.37090
    26502AHand tendon reconstruction7.13NANA8.3411.101.13NANA16.6019.36090
    26504AHand tendon reconstruction7.46NANA8.5911.581.24NANA17.2920.28090
    26508ARelease thumb contracture6.00NANA7.7510.700.98NANA14.7317.68090
    26510AThumb tendon transfer5.42NANA7.5610.400.79NANA13.7716.61090
    26516AFusion of knuckle joint7.14NANA8.2211.231.10NANA16.4619.47090
    26517AFusion of knuckle joints8.88NANA9.2112.431.41NANA19.5022.72090
    26518AFusion of knuckle joints9.07NANA9.2412.351.35NANA19.6622.77090
    26520ARelease knuckle contracture5.29NANA8.8112.620.80NANA14.9018.71090
    26525ARelease finger contracture5.32NANA8.8212.680.81NANA14.9518.81090
    26530ARevise knuckle joint6.68NANA5.435.961.04NANA13.1513.68090
    26531ARevise knuckle with implant7.90NANA6.156.881.17NANA15.2215.95090
    26535ARevise finger joint5.23NANA4.043.820.71NANA9.989.76090
    26536ARevise/implant finger joint6.36NANA9.149.520.96NANA16.4616.84090
    26540ARepair hand joint6.42NANA7.9810.900.99NANA15.3918.31090
    26541ARepair hand joint with graft8.61NANA9.0412.301.28NANA18.9322.19090
    26542ARepair hand joint with graft6.77NANA8.1311.061.02NANA15.9218.85090
    26545AReconstruct finger joint6.91NANA8.3211.181.05NANA16.2819.14090
    26546ARepair nonunion hand10.41NANA11.4214.131.44NANA23.2725.98090
    26548AReconstruct finger joint8.02NANA8.7811.831.20NANA18.0021.05090
    26550AConstruct thumb replacement21.46NANA15.4017.042.45NANA39.3140.95090
    26551AGreat toe-hand transfer48.09NANA21.7129.767.96NANA77.7685.81090
    26553ASingle transfer, toe-hand47.78NANA20.2922.082.41NANA70.4872.27090
    26554ADouble transfer, toe-hand56.57NANA19.5633.049.41NANA85.5499.02090
    26555APositional change of finger16.86NANA13.8817.112.48NANA33.2236.45090
    26556AToe joint transfer49.27NANA17.8629.462.57NANA69.7081.30090
    26560ARepair of web finger5.37NANA7.099.120.85NANA13.3115.34090
    26561ARepair of web finger10.90NANA9.4111.611.45NANA21.7623.96090
    26562ARepair of web finger16.30NANA13.8816.332.23NANA32.4134.86090
    26565ACorrect metacarpal flaw6.73NANA7.9010.981.00NANA15.6318.71090
    26567ACorrect finger deformity6.81NANA8.1511.001.04NANA16.0018.85090
    26568ALengthen metacarpal/finger9.07NANA10.1314.111.49NANA20.6924.67090
    26580ARepair hand deformity19.40NANA11.0112.982.28NANA32.6934.66090
    26587AReconstruct extra finger14.28NANA8.439.021.53NANA24.2424.83090
    26590ARepair finger deformity18.43NANA10.5213.092.77NANA31.7234.29090
    26591ARepair muscles of hand3.25NANA6.268.780.48NANA9.9912.51090
    26593ARelease muscles of hand5.30NANA7.7310.280.78NANA13.8116.36090
    26596AExcision constricting tissue8.94NANA7.488.491.43NANA17.8518.86090
    26600ATreat metacarpal fracture2.403.833.673.482.860.306.536.376.185.56090
    26605ATreat metacarpal fracture2.854.094.443.503.610.497.437.786.846.95090
    26607ATreat metacarpal fracture5.35NANA4.885.920.87NANA11.1012.14090
    26608ATreat metacarpal fracture5.35NANA5.256.000.88NANA11.4812.23090
    26615ATreat metacarpal fracture5.32NANA4.755.160.86NANA10.9311.34090
    26641ATreat thumb dislocation3.934.174.473.523.530.398.498.797.847.85090
    26645ATreat thumb fracture4.404.625.033.934.130.679.6910.109.009.20090
    26650ATreat thumb fracture5.71NANA5.626.420.94NANA12.2713.07090
    26665ATreat thumb fracture7.65NANA5.876.430.90NANA14.4214.98090
    26670ATreat hand dislocation3.683.554.082.962.950.397.628.157.037.02090
    26675ATreat hand dislocation4.634.855.324.154.390.7710.2510.729.559.79090
    26676APin hand dislocation5.51NANA5.576.410.91NANA11.9912.83090
    26685ATreat hand dislocation7.03NANA5.445.971.09NANA13.5614.09090
    26686ATreat hand dislocation7.99NANA6.126.711.24NANA15.3515.94090
    26700ATreat knuckle dislocation3.683.323.652.952.880.357.357.686.986.91090
    26705ATreat knuckle dislocation4.184.825.204.104.250.669.6610.048.949.09090
    26706APin knuckle dislocation5.11NANA4.694.990.81NANA10.6110.91090
    26715ATreat knuckle dislocation5.73NANA4.925.360.91NANA11.5612.00090
    26720ATreat finger fracture, each1.662.592.732.312.120.244.494.634.214.02090
    26725ATreat finger fracture, each3.334.104.603.423.480.537.968.467.287.34090
    Start Printed Page 49110
    26727ATreat finger fracture, each5.22NANA5.215.980.84NANA11.2712.04090
    26735ATreat finger fracture, each5.97NANA5.005.410.95NANA11.9212.33090
    26740ATreat finger fracture, each1.942.953.092.662.690.315.205.344.914.94090
    26742ATreat finger fracture, each3.844.334.833.623.820.588.759.258.048.24090
    26746ATreat finger fracture, each5.80NANA4.965.410.91NANA11.6712.12090
    26750ATreat finger fracture, each1.702.252.422.262.070.224.174.344.183.99090
    26755ATreat finger fracture, each3.103.794.262.983.000.427.317.786.506.52090
    26756APin finger fracture, each4.38NANA4.865.510.71NANA9.9510.60090
    26765ATreat finger fracture, each4.16NANA4.024.300.66NANA8.849.12090
    26770ATreat finger dislocation3.022.913.302.532.440.276.206.595.825.73090
    26775ATreat finger dislocation3.704.545.033.813.810.548.789.278.058.05090
    26776APin finger dislocation4.79NANA5.015.750.77NANA10.5711.31090
    26785ATreat finger dislocation4.20NANA4.084.420.68NANA8.969.30090
    26820AThumb fusion with graft8.25NANA8.7112.121.30NANA18.2621.67090
    26841AFusion of thumb7.12NANA8.6912.101.18NANA16.9920.40090
    26842AThumb fusion with graft8.29NANA8.9512.271.32NANA18.5621.88090
    26843AFusion of hand joint7.60NANA8.1711.311.15NANA16.9220.06090
    26844AFusion/graft of hand joint8.78NANA9.1412.311.33NANA19.2522.42090
    26850AFusion of knuckle6.96NANA8.2911.221.06NANA16.3119.24090
    26852AFusion of knuckle with graft8.51NANA9.1211.951.22NANA18.8521.68090
    26860AFusion of finger joint4.68NANA7.5410.280.73NANA12.9515.69090
    26861AFusion of finger jnt, add-on1.74NANA0.710.880.27NANA2.722.89ZZZ
    26862AFusion/graft of finger joint7.36NANA8.6811.431.10NANA17.1419.89090
    26863AFuse/graft added joint3.89NANA1.581.980.56NANA6.036.43ZZZ
    26910AAmputate metacarpal bone7.59NANA8.3010.491.16NANA17.0519.24090
    26951AAmputation of finger/thumb5.75NANA8.399.710.71NANA14.8516.17090
    26952AAmputation of finger/thumb6.30NANA7.9410.730.95NANA15.1917.98090
    26989CHand/finger surgery0.000.000.000.000.000.000.000.000.000.00YYY
    26990ADrainage of pelvis lesion7.77NANA6.296.981.22NANA15.2815.97090
    26991ADrainage of pelvis bursa6.918.6010.524.855.291.1116.6218.5412.8713.31090
    26992ADrainage of bone lesion13.30NANA8.649.952.16NANA24.1025.41090
    27000AIncision of hip tendon5.61NANA4.555.100.98NANA11.1411.69090
    27001AIncision of hip tendon6.99NANA5.235.881.24NANA13.4614.11090
    27003AIncision of hip tendon7.63NANA5.826.321.12NANA14.5715.07090
    27005AIncision of hip tendon9.89NANA6.797.561.72NANA18.4019.17090
    27006AIncision of hip tendons9.91NANA6.847.701.69NANA18.4419.30090
    27025AIncision of hip/thigh fascia12.57NANA8.108.441.84NANA22.5122.85090
    27030ADrainage of hip joint13.47NANA8.109.262.26NANA23.8324.99090
    27033AExploration of hip joint13.91NANA8.459.552.32NANA24.6825.78090
    27035ADenervation of hip joint17.14NANA9.5310.812.15NANA28.8230.10090
    27036AExcision of hip joint/muscle14.10NANA8.989.752.26NANA25.3426.11090
    27040ABiopsy of soft tissues2.875.145.211.811.960.278.288.354.955.10010
    27041ABiopsy of soft tissues10.00NANA5.796.431.35NANA17.1417.78090
    27047ARemove hip/pelvis lesion7.447.127.114.574.721.0315.5915.5813.0413.19090
    27048ARemove hip/pelvis lesion6.36NANA4.654.760.92NANA11.9312.04090
    27049ARemove tumor, hip/pelvis15.12NANA8.248.362.06NANA25.4225.54090
    27050ABiopsy of sacroiliac joint4.59NANA3.794.260.60NANA8.989.45090
    27052ABiopsy of hip joint7.21NANA5.685.831.08NANA13.9714.12090
    27054ARemoval of hip joint lining9.01NANA6.497.131.47NANA16.9717.61090
    27060ARemoval of ischial bursa5.72NANA4.384.370.80NANA10.9010.89090
    27062ARemove femur lesion/bursa5.60NANA4.635.050.93NANA11.1611.58090
    27065ARemoval of hip bone lesion6.37NANA5.125.361.01NANA12.5012.74090
    27066ARemoval of hip bone lesion10.97NANA7.468.201.79NANA20.2220.96090
    27067ARemove/graft hip bone lesion14.47NANA8.8010.201.84NANA25.1126.51090
    27070APartial removal of hip bone11.36NANA7.948.831.74NANA21.0421.93090
    27071APartial removal of hip bone12.16NANA8.549.731.92NANA22.6223.81090
    Start Printed Page 49111
    27075AExtensive hip surgery36.71NANA16.6218.565.64NANA58.9760.91090
    27076AExtensive hip surgery24.17NANA12.7514.073.70NANA40.6241.94090
    27077AExtensive hip surgery42.48NANA19.9921.996.12NANA68.5970.59090
    27078AExtensive hip surgery14.44NANA8.799.652.22NANA25.4526.31090
    27079AExtensive hip surgery14.81NANA7.529.041.94NANA24.2725.79090
    27080ARemoval of tail bone6.74NANA4.724.800.93NANA12.3912.47090
    27086ARemove hip foreign body1.873.784.361.541.750.255.906.483.663.87010
    27087ARemove hip foreign body8.65NANA5.666.411.35NANA15.6616.41090
    27090ARemoval of hip prosthesis11.49NANA7.448.451.94NANA20.8721.88090
    27091ARemoval of hip prosthesis24.07NANA13.0513.763.84NANA40.9641.67090
    27093AInjection for hip x-ray1.303.094.120.440.470.134.525.551.871.90000
    27095AInjection for hip x-ray1.503.735.220.500.520.145.376.862.142.16000
    27096AInject sacroiliac joint1.402.543.900.330.330.084.025.381.811.81000
    27097ARevision of hip tendon9.09NANA6.356.401.57NANA17.0117.06090
    27098ATransfer tendon to pelvis9.12NANA4.966.510.95NANA15.0316.58090
    27100ATransfer of abdominal muscle11.12NANA7.398.341.85NANA20.3621.31090
    27105ATransfer of spinal muscle11.81NANA7.938.851.72NANA21.4622.38090
    27110ATransfer of iliopsoas muscle13.54NANA8.618.992.18NANA24.3324.71090
    27111ATransfer of iliopsoas muscle12.37NANA8.138.881.94NANA22.4423.19090
    27120AReconstruction of hip socket19.00NANA10.7911.583.08NANA32.8733.66090
    27122AReconstruction of hip socket15.86NANA9.4910.652.61NANA27.9629.12090
    27125APartial hip replacement16.39NANA9.6910.392.54NANA28.6229.32090
    27130ATotal hip arthroplasty17.40NANA10.2412.543.50NANA31.1433.44090
    27132ATotal hip arthroplasty25.41NANA13.5715.124.04NANA43.0244.57090
    27134ARevise hip joint replacement30.07NANA14.8617.064.94NANA49.8752.07090
    27137ARevise hip joint replacement22.49NANA11.8513.413.67NANA38.0139.57090
    27138ARevise hip joint replacement23.49NANA12.2413.853.84NANA39.5741.18090
    27140ATransplant femur ridge12.58NANA7.819.012.11NANA22.5023.70090
    27146AIncision of hip bone18.64NANA10.7411.782.96NANA32.3433.38090
    27147ARevision of hip bone21.79NANA11.9412.923.57NANA37.3038.28090
    27151AIncision of hip bones23.84NANA12.449.073.91NANA40.1936.82090
    27156ARevision of hip bones25.95NANA13.5415.434.21NANA43.7045.59090
    27158ARevision of pelvis20.79NANA7.1910.033.16NANA31.1433.98090
    27161AIncision of neck of femur17.64NANA10.4211.682.94NANA31.0032.26090
    27165AIncision/fixation of femur19.97NANA11.7312.623.10NANA34.8035.69090
    27170ARepair/graft femur head/neck17.40NANA9.8210.932.81NANA30.0331.14090
    27175ATreat slipped epiphysis9.23NANA5.806.451.46NANA16.4917.14090
    27176ATreat slipped epiphysis12.69NANA8.268.822.22NANA23.1723.73090
    27177ATreat slipped epiphysis15.84NANA9.6910.592.61NANA28.1429.04090
    27178ATreat slipped epiphysis12.69NANA8.268.382.08NANA23.0323.15090
    27179ARevise head/neck of femur13.74NANA8.569.632.25NANA24.5525.62090
    27181ATreat slipped epiphysis15.90NANA9.8310.111.57NANA27.3027.58090
    27185ARevision of femur epiphysis9.59NANA6.697.312.39NANA18.6719.29090
    27187AReinforce hip bones14.00NANA8.729.922.37NANA25.0926.29090
    27193ATreat pelvic ring fracture5.924.654.984.785.010.9611.5311.8611.6611.89090
    27194ATreat pelvic ring fracture10.00NANA6.627.391.65NANA18.2719.04090
    27200ATreat tail bone fracture1.842.092.192.242.170.284.214.314.364.29090
    27202ATreat tail bone fracture7.21NANA11.2815.471.06NANA19.5523.74090
    27215ATreat pelvic fracture(s)10.39NANA6.536.941.97NANA18.8919.30090
    27216ATreat pelvic ring fracture15.65NANA9.259.512.63NANA27.5327.79090
    27217ATreat pelvic ring fracture14.57NANA8.709.782.41NANA25.6826.76090
    27218ATreat pelvic ring fracture20.85NANA11.4111.403.48NANA35.7435.73090
    27220ATreat hip socket fracture6.655.285.615.185.521.0713.0013.3312.9013.24090
    27222ATreat hip socket fracture13.88NANA8.509.602.19NANA24.5725.67090
    27226ATreat hip wall fracture15.37NANA9.008.112.48NANA26.8525.96090
    27227ATreat hip fracture(s)25.13NANA13.4414.914.05NANA42.6244.09090
    27228ATreat hip fracture(s)29.05NANA15.0316.974.66NANA48.7450.68090
    27230ATreat thigh fracture5.614.985.384.915.050.9511.5411.9411.4711.61090
    27232ATreat thigh fracture11.62NANA6.006.881.85NANA19.4720.35090
    27235ATreat thigh fracture12.80NANA8.059.102.11NANA22.9624.01090
    27236ATreat thigh fracture14.54NANA9.1010.562.71NANA26.3527.81090
    27238ATreat thigh fracture5.57NANA4.695.030.89NANA11.1511.49090
    27240ATreat thigh fracture13.56NANA8.109.132.16NANA23.8224.85090
    27244ATreat thigh fracture17.00NANA9.7110.902.77NANA29.4830.67090
    27245ATreat thigh fracture21.01NANA11.4613.173.52NANA35.9937.70090
    27246ATreat thigh fracture4.703.934.333.974.310.819.449.849.489.82090
    Start Printed Page 49112
    27248ATreat thigh fracture10.73NANA7.017.911.81NANA19.5520.45090
    27250ATreat hip dislocation7.12NANA4.274.530.62NANA12.0112.27090
    27252ATreat hip dislocation10.85NANA6.527.201.66NANA19.0319.71090
    27253ATreat hip dislocation13.38NANA8.269.402.24NANA23.8825.02090
    27254ATreat hip dislocation18.71NANA10.5611.663.17NANA32.4433.54090
    27256ATreat hip dislocation4.232.393.241.391.910.467.087.936.086.60010
    27257ATreat hip dislocation5.33NANA2.572.750.69NANA8.598.77010
    27258ATreat hip dislocation15.95NANA9.4510.522.64NANA28.0429.11090
    27259ATreat hip dislocation22.95NANA12.9113.823.74NANA39.6040.51090
    27265ATreat hip dislocation5.04NANA3.984.590.63NANA9.6510.26090
    27266ATreat hip dislocation7.60NANA5.556.141.29NANA14.4415.03090
    27275AManipulation of hip joint2.27NANA1.892.050.39NANA4.554.71010
    27280AFusion of sacroiliac joint14.39NANA9.059.962.53NANA25.9726.88090
    27282AFusion of pubic bones11.62NANA7.837.961.86NANA21.3121.44090
    27284AFusion of hip joint24.85NANA12.8614.293.92NANA41.6343.06090
    27286AFusion of hip joint24.89NANA13.4715.213.12NANA41.4843.22090
    27290AAmputation of leg at hip24.27NANA12.5313.683.43NANA40.2341.38090
    27295AAmputation of leg at hip19.46NANA9.7910.932.95NANA32.2033.34090
    27299CPelvis/hip joint surgery0.000.000.000.000.000.000.000.000.000.00YYY
    27301ADrain thigh/knee lesion6.608.239.614.665.021.0415.8717.2512.3012.66090
    27303ADrainage of bone lesion8.45NANA6.076.751.43NANA15.9516.63090
    27305AIncise thigh tendon & fascia6.03NANA4.635.041.01NANA11.6712.08090
    27306AIncision of thigh tendon4.61NANA4.074.560.85NANA9.5310.02090
    27307AIncision of thigh tendons5.91NANA4.815.241.04NANA11.7612.19090
    27310AExploration of knee joint9.80NANA6.837.391.61NANA18.2418.80090
    27315APartial removal, thigh nerve7.02NANA5.445.071.09NANA13.5513.18090
    27320APartial removal, thigh nerve6.29NANA4.755.111.06NANA12.1012.46090
    27323ABiopsy, thigh soft tissues2.284.093.661.871.880.246.616.184.394.40010
    27324ABiopsy, thigh soft tissues4.89NANA3.854.100.75NANA9.499.74090
    27327ARemoval of thigh lesion4.466.086.013.613.690.6411.1811.118.718.79090
    27328ARemoval of thigh lesion5.56NANA4.074.300.84NANA10.4710.70090
    27329ARemove tumor, thigh/knee15.60NANA8.588.912.14NANA26.3226.65090
    27330ABiopsy, knee joint lining4.96NANA4.124.460.86NANA9.9410.28090
    27331AExplore/treat knee joint5.87NANA4.845.351.02NANA11.7312.24090
    27332ARemoval of knee cartilage8.26NANA6.156.881.43NANA15.8416.57090
    27333ARemoval of knee cartilage7.35NANA5.736.441.26NANA14.3415.05090
    27334ARemove knee joint lining8.99NANA6.497.181.51NANA16.9917.68090
    27335ARemove knee joint lining10.35NANA7.067.931.74NANA19.1520.02090
    27340ARemoval of kneecap bursa4.17NANA4.054.430.72NANA8.949.32090
    27345ARemoval of knee cyst5.91NANA4.895.441.00NANA11.8012.35090
    27347ARemove knee cyst6.52NANA5.265.380.98NANA12.7612.88090
    27350ARemoval of kneecap8.46NANA6.297.001.41NANA16.1616.87090
    27355ARemove femur lesion7.82NANA5.876.551.32NANA15.0115.69090
    27356ARemove femur lesion/graft9.89NANA6.867.601.65NANA18.4019.14090
    27357ARemove femur lesion/graft10.93NANA7.548.411.95NANA20.4221.29090
    27358ARemove femur lesion/fixation4.73NANA1.902.370.82NANA7.457.92ZZZ
    27360APartial removal, leg bone(s)11.26NANA8.139.201.83NANA21.2222.29090
    27365AExtensive leg surgery17.85NANA10.5211.392.79NANA31.1632.03090
    27370AInjection for knee x-ray0.962.823.500.330.320.083.864.541.371.36000
    27372ARemoval of foreign body5.068.349.624.054.530.8414.2415.529.9510.43090
    27380ARepair of kneecap tendon7.27NANA6.086.981.24NANA14.5915.49090
    27381ARepair/graft kneecap tendon10.56NANA7.568.711.79NANA19.9121.06090
    27385ARepair of thigh muscle7.93NANA6.367.311.36NANA15.6516.60090
    27386ARepair/graft of thigh muscle10.90NANA7.989.131.85NANA20.7321.88090
    27390AIncision of thigh tendon5.38NANA4.574.980.92NANA10.8711.28090
    27391AIncision of thigh tendons7.31NANA5.526.301.23NANA14.0614.84090
    Start Printed Page 49113
    27392AIncision of thigh tendons9.43NANA6.727.371.57NANA17.7218.37090
    27393ALengthening of thigh tendon6.44NANA5.015.631.10NANA12.5513.17090
    27394ALengthening of thigh tendons8.61NANA6.196.961.47NANA16.2717.04090
    27395ALengthening of thigh tendons12.01NANA7.998.992.04NANA22.0423.04090
    27396ATransplant of thigh tendon7.97NANA5.936.731.34NANA15.2416.04090
    27397ATransplants of thigh tendons12.38NANA8.428.891.82NANA22.6223.09090
    27400ARevise thigh muscles/tendons9.13NANA6.176.981.31NANA16.6117.42090
    27403ARepair of knee cartilage8.44NANA6.096.911.44NANA15.9716.79090
    27405ARepair of knee ligament8.88NANA6.447.231.51NANA16.8317.62090
    27407ARepair of knee ligament10.62NANA6.677.911.78NANA19.0720.31090
    27409ARepair of knee ligaments13.48NANA8.449.572.24NANA24.1625.29090
    27412AAutochondrocyte implant knee24.43NANA13.6614.524.35NANA42.4443.30090
    27415AOsteochondral knee allograft19.69NANA11.8612.384.35NANA35.9036.42090
    27418ARepair degenerated kneecap11.37NANA7.618.581.88NANA20.8621.83090
    27420ARevision of unstable kneecap10.06NANA6.967.821.71NANA18.7319.59090
    27422ARevision of unstable kneecap10.01NANA6.917.821.70NANA18.6219.53090
    27424ARevision/removal of kneecap10.04NANA6.927.801.70NANA18.6619.54090
    27425ALat retinacular release open5.21NANA4.715.320.90NANA10.8211.43090
    27427AReconstruction, knee9.59NANA6.707.531.63NANA17.9218.75090
    27428AReconstruction, knee15.23NANA10.1310.962.42NANA27.7828.61090
    27429AReconstruction, knee17.12NANA11.3312.142.70NANA31.1531.96090
    27430ARevision of thigh muscles9.96NANA6.897.721.69NANA18.5419.37090
    27435AIncision of knee joint10.60NANA7.698.281.69NANA19.9820.57090
    27437ARevise kneecap8.75NANA6.246.991.49NANA16.4817.23090
    27438ARevise kneecap with implant11.69NANA7.578.301.95NANA21.2121.94090
    27440ARevision of knee joint10.89NANA7.166.281.81NANA19.8618.98090
    27441ARevision of knee joint11.34NANA7.506.911.88NANA20.7220.13090
    27442ARevision of knee joint12.17NANA7.788.632.09NANA22.0422.89090
    27443ARevision of knee joint11.21NANA7.408.391.90NANA20.5121.50090
    27445ARevision of knee joint18.43NANA10.5311.903.08NANA32.0433.41090
    27446ARevision of knee joint16.18NANA9.3710.802.80NANA28.3529.78090
    27447ATotal knee arthroplasty20.81NANA11.8413.913.79NANA36.4438.51090
    27448AIncision of thigh11.40NANA7.438.311.94NANA20.7721.65090
    27450AIncision of thigh14.38NANA8.8510.152.42NANA25.6526.95090
    27454ARealignment of thigh bone18.89NANA10.7412.063.12NANA32.7534.07090
    27455ARealignment of knee13.16NANA8.409.512.24NANA23.8024.91090
    27457ARealignment of knee13.85NANA8.269.512.34NANA24.4525.70090
    27465AShortening of thigh bone18.36NANA10.3010.242.47NANA31.1331.07090
    27466ALengthening of thigh bone17.03NANA10.1511.412.77NANA29.9531.21090
    27468AShorten/lengthen thighs19.72NANA11.2812.083.30NANA34.3035.10090
    27470ARepair of thigh16.87NANA10.2211.402.79NANA29.8831.06090
    27472ARepair/graft of thigh18.47NANA10.7212.193.07NANA32.2633.73090
    27475ASurgery to stop leg growth8.75NANA6.657.071.36NANA16.7617.18090
    27477ASurgery to stop leg growth9.96NANA6.657.461.73NANA18.3419.15090
    27479ASurgery to stop leg growth12.96NANA5.118.512.78NANA20.8524.25090
    27485ASurgery to stop leg growth8.95NANA6.247.111.53NANA16.7217.59090
    27486ARevise/replace knee joint20.84NANA11.7413.053.36NANA35.9437.25090
    27487ARevise/replace knee joint26.83NANA14.1415.954.39NANA45.3647.17090
    27488ARemoval of knee prosthesis17.32NANA10.3411.362.74NANA30.4031.42090
    27495AReinforce thigh16.31NANA9.7010.982.71NANA28.7230.00090
    27496ADecompression of thigh/knee6.58NANA5.025.460.99NANA12.5913.03090
    27497ADecompression of thigh/knee7.64NANA4.685.241.15NANA13.4714.03090
    27498ADecompression of thigh/knee8.46NANA5.375.811.24NANA15.0715.51090
    27499ADecompression of thigh/knee9.23NANA5.836.571.47NANA16.5317.27090
    27500ATreatment of thigh fracture6.155.445.954.654.911.0212.6113.1211.8212.08090
    27501ATreatment of thigh fracture6.285.045.604.955.271.0312.3512.9112.2612.58090
    27502ATreatment of thigh fracture11.16NANA6.927.811.78NANA19.8620.75090
    27503ATreatment of thigh fracture11.05NANA7.268.031.84NANA20.1520.92090
    27506ATreatment of thigh fracture19.33NANA11.2112.393.03NANA33.5734.75090
    27507ATreatment of thigh fracture14.33NANA8.209.432.42NANA24.9526.18090
    27508ATreatment of thigh fracture6.005.716.275.075.380.9712.6813.2412.0412.35090
    27509ATreatment of thigh fracture7.94NANA6.577.611.34NANA15.8516.89090
    27510ATreatment of thigh fracture9.60NANA6.347.081.53NANA17.4718.21090
    27511ATreatment of thigh fracture13.86NANA9.1110.682.37NANA25.3426.91090
    27513ATreatment of thigh fracture19.37NANA11.8513.373.12NANA34.3435.86090
    27514ATreatment of thigh fracture19.00NANA11.9813.013.00NANA33.9835.01090
    Start Printed Page 49114
    27516ATreat thigh fx growth plate5.365.696.195.055.400.8111.8612.3611.2211.57090
    27517ATreat thigh fx growth plate8.89NANA6.047.101.22NANA16.1517.21090
    27519ATreat thigh fx growth plate15.72NANA9.8811.162.55NANA28.1529.43090
    27520ATreat kneecap fracture2.864.114.433.533.460.477.447.766.866.79090
    27524ATreat kneecap fracture10.17NANA6.987.921.74NANA18.8919.83090
    27530ATreat knee fracture3.894.835.194.274.380.659.379.738.818.92090
    27532ATreat knee fracture7.356.457.135.676.261.2615.0615.7414.2814.87090
    27535ATreat knee fracture11.72NANA8.269.652.00NANA21.9823.37090
    27536ATreat knee fracture17.11NANA10.2911.282.73NANA30.1331.12090
    27538ATreat knee fracture(s)4.865.545.984.925.120.8411.2411.6810.6210.82090
    27540ATreat knee fracture13.38NANA8.029.142.27NANA23.6724.79090
    27550ATreat knee dislocation5.755.315.844.594.850.7611.8212.3511.1011.36090
    27552ATreat knee dislocation7.95NANA6.126.741.36NANA15.4316.05090
    27556ATreat knee dislocation14.87NANA9.3111.072.50NANA26.6828.44090
    27557ATreat knee dislocation17.22NANA10.5812.492.97NANA30.7732.68090
    27558ATreat knee dislocation17.93NANA10.6212.443.08NANA31.6333.45090
    27560ATreat kneecap dislocation3.813.934.613.413.240.408.148.827.627.45090
    27562ATreat kneecap dislocation5.78NANA4.454.690.94NANA11.1711.41090
    27566ATreat kneecap dislocation12.51NANA7.858.952.12NANA22.4823.58090
    27570AFixation of knee joint1.74NANA1.621.730.30NANA3.663.77010
    27580AFusion of knee20.82NANA12.3414.193.37NANA36.5338.38090
    27590AAmputate leg at thigh13.27NANA6.146.541.74NANA21.1521.55090
    27591AAmputate leg at thigh13.74NANA7.438.342.02NANA23.1924.10090
    27592AAmputate leg at thigh10.78NANA5.506.001.45NANA17.7318.23090
    27594AAmputation follow-up surgery7.09NANA4.765.071.02NANA12.8713.18090
    27596AAmputation follow-up surgery11.06NANA6.066.621.57NANA18.6919.25090
    27598AAmputate lower leg at knee10.99NANA6.346.851.65NANA18.9819.49090
    27599CLeg surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    27600ADecompression of lower leg5.88NANA3.854.360.86NANA10.5911.10090
    27601ADecompression of lower leg5.87NANA4.264.700.80NANA10.9311.37090
    27602ADecompression of lower leg7.64NANA4.394.951.10NANA13.1313.69090
    27603ADrain lower leg lesion5.057.057.383.904.100.7412.8413.179.699.89090
    27604ADrain lower leg bursa4.466.476.183.423.830.6911.6211.338.578.98090
    27605AIncision of achilles tendon2.875.287.081.782.190.418.5610.365.065.47010
    27606AIncision of achilles tendon4.13NANA2.673.190.69NANA7.498.01010
    27607ATreat lower leg bone lesion8.44NANA5.766.071.31NANA15.5115.82090
    27610AExplore/treat ankle joint8.93NANA6.176.791.40NANA16.5017.12090
    27612AExploration of ankle joint7.92NANA5.355.911.13NANA14.4014.96090
    27613ABiopsy lower leg soft tissue2.173.813.381.721.780.206.185.754.094.15010
    27614ABiopsy lower leg soft tissue5.657.887.324.004.330.7814.3113.7510.4310.76090
    27615ARemove tumor, lower leg12.84NANA8.049.051.83NANA22.7123.72090
    27618ARemove lower leg lesion5.086.406.113.773.940.7212.2011.919.579.74090
    27619ARemove lower leg lesion8.3910.089.655.295.791.2519.7219.2914.9315.43090
    27620AExplore/treat ankle joint5.97NANA4.615.250.97NANA11.5512.19090
    27625ARemove ankle joint lining8.29NANA5.596.241.28NANA15.1615.81090
    27626ARemove ankle joint lining8.90NANA5.956.681.48NANA16.3317.06090
    27630ARemoval of tendon lesion4.797.987.673.804.240.7413.5113.209.339.77090
    27635ARemove lower leg bone lesion7.83NANA5.676.471.31NANA14.8115.61090
    27637ARemove/graft leg bone lesion10.08NANA7.168.011.66NANA18.9019.75090
    27638ARemove/graft leg bone lesion10.79NANA6.987.961.84NANA19.6120.59090
    27640APartial removal of tibia12.01NANA8.199.781.88NANA22.0823.67090
    27641APartial removal of fibula9.65NANA6.787.951.46NANA17.8919.06090
    27645AExtensive lower leg surgery14.69NANA9.5111.422.41NANA26.6128.52090
    27646AExtensive lower leg surgery13.12NANA8.4110.382.05NANA23.5825.55090
    27647AExtensive ankle/heel surgery12.76NANA6.617.361.75NANA21.1221.87090
    27648AInjection for ankle x-ray0.962.713.320.310.330.083.754.361.351.37000
    Start Printed Page 49115
    27650ARepair achilles tendon9.86NANA6.307.211.59NANA17.7518.66090
    27652ARepair/graft achilles tendon10.55NANA6.457.641.71NANA18.7119.90090
    27654ARepair of achilles tendon10.24NANA5.966.851.58NANA17.7818.67090
    27656ARepair leg fascia defect4.568.068.413.653.740.6913.3113.668.908.99090
    27658ARepair of leg tendon, each4.97NANA3.914.400.79NANA9.6710.16090
    27659ARepair of leg tendon, each6.92NANA4.875.451.09NANA12.8813.46090
    27664ARepair of leg tendon, each4.58NANA3.954.400.76NANA9.299.74090
    27665ARepair of leg tendon, each5.39NANA4.504.850.89NANA10.7811.13090
    27675ARepair lower leg tendons7.17NANA4.755.491.11NANA13.0313.77090
    27676ARepair lower leg tendons8.53NANA5.796.511.37NANA15.6916.41090
    27680ARelease of lower leg tendon5.73NANA4.374.930.93NANA11.0311.59090
    27681ARelease of lower leg tendons6.87NANA4.775.631.15NANA12.7913.65090
    27685ARevision of lower leg tendon6.498.827.674.595.240.9716.2815.1312.0512.70090
    27686ARevise lower leg tendons7.57NANA5.386.211.24NANA14.1915.02090
    27687ARevision of calf tendon6.23NANA4.545.121.00NANA11.7712.35090
    27690ARevise lower leg tendon8.88NANA5.476.131.33NANA15.6816.34090
    27691ARevise lower leg tendon10.19NANA6.727.501.64NANA18.5519.33090
    27692ARevise additional leg tendon1.87NANA0.730.880.32NANA2.923.07ZZZ
    27695ARepair of ankle ligament6.50NANA5.005.651.05NANA12.5513.20090
    27696ARepair of ankle ligaments8.38NANA5.396.171.28NANA15.0515.83090
    27698ARepair of ankle ligament9.41NANA5.936.691.47NANA16.8117.57090
    27700ARevision of ankle joint9.46NANA5.145.551.30NANA15.9016.31090
    27702AReconstruct ankle joint14.19NANA8.7310.032.37NANA25.2926.59090
    27703AReconstruction, ankle joint16.69NANA9.8910.902.76NANA29.3430.35090
    27704ARemoval of ankle implant7.61NANA5.705.621.27NANA14.5814.50090
    27705AIncision of tibia10.66NANA6.917.861.80NANA19.3720.32090
    27707AIncision of fibula4.60NANA4.504.830.76NANA9.8610.19090
    27709AIncision of tibia & fibula17.24NANA9.948.581.73NANA28.9127.55090
    27712ARealignment of lower leg15.59NANA9.1810.352.47NANA27.2428.41090
    27715ARevision of lower leg15.27NANA9.0710.352.49NANA26.8328.11090
    27720ARepair of tibia12.13NANA7.979.042.04NANA22.1423.21090
    27722ARepair/graft of tibia12.22NANA8.078.872.05NANA22.3423.14090
    27724ARepair/graft of tibia19.12NANA10.3411.863.16NANA32.6234.14090
    27725ARepair of lower leg17.07NANA10.6111.592.71NANA30.3931.37090
    27727ARepair of lower leg14.59NANA8.599.902.43NANA25.6126.92090
    27730ARepair of tibia epiphysis7.52NANA5.306.141.72NANA14.5415.38090
    27732ARepair of fibula epiphysis5.31NANA4.684.870.77NANA10.7610.95090
    27734ARepair lower leg epiphyses8.65NANA6.206.261.35NANA16.2016.26090
    27740ARepair of leg epiphyses9.41NANA6.657.661.62NANA17.6818.69090
    27742ARepair of leg epiphyses10.40NANA5.205.471.79NANA17.3917.66090
    27745AReinforce tibia10.29NANA7.017.881.75NANA19.0519.92090
    27750ATreatment of tibia fracture3.194.334.653.743.820.558.078.397.487.56090
    27752ATreatment of tibia fracture6.075.986.485.145.541.0113.0613.5612.2212.62090
    27756ATreatment of tibia fracture7.25NANA5.776.291.17NANA14.1914.71090
    27758ATreatment of tibia fracture12.31NANA8.078.902.03NANA22.4123.24090
    27759ATreatment of tibia fracture14.23NANA8.739.922.38NANA25.3426.53090
    27760ATreatment of ankle fracture3.014.294.583.683.610.487.788.077.177.10090
    27762ATreatment of ankle fracture5.245.586.144.755.140.8511.6712.2310.8411.23090
    27766ATreatment of ankle fracture8.65NANA6.296.991.44NANA16.3817.08090
    27780ATreatment of fibula fracture2.653.894.113.333.240.416.957.176.396.30090
    27781ATreatment of fibula fracture4.394.975.364.344.570.7310.0910.489.469.69090
    27784ATreatment of fibula fracture7.34NANA5.626.261.23NANA14.1914.83090
    27786ATreatment of ankle fracture2.844.074.363.443.360.467.377.666.746.66090
    27788ATreatment of ankle fracture4.445.005.484.264.550.7410.1810.669.449.73090
    27792ATreatment of ankle fracture7.83NANA5.956.711.32NANA15.1015.86090
    27808ATreatment of ankle fracture2.834.404.703.703.700.467.697.996.996.99090
    27810ATreatment of ankle fracture5.125.466.054.605.010.8211.4011.9910.5410.95090
    27814ATreatment of ankle fracture11.02NANA7.288.241.85NANA20.1521.11090
    27816ATreatment of ankle fracture2.894.034.293.363.400.437.357.616.686.72090
    27818ATreatment of ankle fracture5.495.446.144.475.000.8211.7512.4510.7811.31090
    27822ATreatment of ankle fracture12.04NANA8.8710.211.91NANA22.8224.16090
    27823ATreatment of ankle fracture14.18NANA9.5110.982.25NANA25.9427.41090
    27824ATreat lower leg fracture3.143.743.983.553.560.457.337.577.147.15090
    27825ATreat lower leg fracture6.545.886.424.845.251.0213.4413.9812.4012.81090
    27826ATreat lower leg fracture8.89NANA7.018.371.47NANA17.3718.73090
    27827ATreat lower leg fracture15.65NANA10.8212.282.43NANA28.9030.36090
    Start Printed Page 49116
    27828ATreat lower leg fracture18.07NANA12.3613.542.81NANA33.2434.42090
    27829ATreat lower leg joint5.60NANA5.536.470.95NANA12.0813.02090
    27830ATreat lower leg dislocation3.784.324.373.763.830.548.648.698.088.15090
    27831ATreat lower leg dislocation4.55NANA3.994.340.73NANA9.279.62090
    27832ATreat lower leg dislocation6.60NANA4.755.821.03NANA12.3813.45090
    27840ATreat ankle dislocation4.57NANA3.623.730.46NANA8.658.76090
    27842ATreat ankle dislocation6.26NANA4.905.071.00NANA12.1612.33090
    27846ATreat ankle dislocation10.08NANA6.877.671.70NANA18.6519.45090
    27848ATreat ankle dislocation11.48NANA7.729.211.94NANA21.1422.63090
    27860AFixation of ankle joint2.34NANA1.701.910.39NANA4.434.64010
    27870AFusion of ankle joint, open15.13NANA9.1910.192.36NANA26.6827.68090
    27871AFusion of tibiofibular joint9.34NANA6.547.321.59NANA17.4718.25090
    27880AAmputation of lower leg15.18NANA6.787.041.75NANA23.7123.97090
    27881AAmputation of lower leg13.22NANA7.458.491.98NANA22.6523.69090
    27882AAmputation of lower leg9.59NANA5.556.251.29NANA16.4317.13090
    27884AAmputation follow-up surgery8.56NANA5.115.591.22NANA14.8915.37090
    27886AAmputation follow-up surgery9.79NANA5.756.321.40NANA16.9417.51090
    27888AAmputation of foot at ankle10.14NANA6.257.191.51NANA17.9018.84090
    27889AAmputation of foot at ankle10.63NANA5.356.191.46NANA17.4418.28090
    27892ADecompression of leg7.74NANA4.885.411.10NANA13.7214.25090
    27893ADecompression of leg7.70NANA5.145.381.10NANA13.9414.18090
    27894ADecompression of leg12.32NANA7.367.671.65NANA21.3321.64090
    27899CLeg/ankle surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    28001ADrainage of bursa of foot2.734.043.251.631.870.337.106.314.694.93010
    28002ATreatment of foot infection5.726.775.443.623.730.6113.1011.779.9510.06010
    28003ATreatment of foot infection8.887.866.644.615.071.1217.8616.6414.6115.07090
    28005ATreat foot bone lesion9.21NANA5.485.901.16NANA15.8516.27090
    28008AIncision of foot fascia4.446.224.973.023.160.5711.239.988.038.17090
    28010AIncision of toe tendon2.842.872.502.352.370.366.075.705.555.57090
    28011AIncision of toe tendons4.133.833.433.053.240.598.558.157.777.96090
    28020AExploration of foot joint5.007.576.403.684.020.7213.2912.129.409.74090
    28022AExploration of foot joint4.666.945.633.333.720.6212.2210.918.619.00090
    28024AExploration of toe joint4.376.715.593.193.740.5811.6610.548.148.69090
    28030ARemoval of foot nerve6.14NANA3.473.610.74NANA10.3510.49090
    28035ADecompression of tibia nerve5.087.526.273.683.990.7013.3012.059.469.77090
    28043AExcision of foot lesion3.534.844.072.763.070.468.838.066.757.06090
    28045AExcision of foot lesion4.717.125.813.293.520.6312.4611.158.638.86090
    28046AResection of tumor, foot10.4610.499.195.846.311.3622.3121.0117.6618.13090
    28050ABiopsy of foot joint lining4.246.935.403.283.510.6011.7710.248.128.35090
    28052ABiopsy of foot joint lining3.936.495.312.963.310.5310.959.777.427.77090
    28054ABiopsy of toe joint lining3.446.255.102.783.120.4610.159.006.687.02090
    28060APartial removal, foot fascia5.227.195.903.603.800.7013.1111.829.529.72090
    28062ARemoval of foot fascia6.517.916.863.863.970.8315.2514.2011.2011.31090
    28070ARemoval of foot joint lining5.097.275.733.483.730.7313.0911.559.309.55090
    28072ARemoval of foot joint lining4.577.666.063.654.140.6812.9111.318.909.39090
    28080ARemoval of foot lesion4.577.735.774.223.820.4712.7710.819.268.86090
    28086AExcise foot tendon sheath4.777.857.953.804.460.7613.3813.489.339.99090
    28088AExcise foot tendon sheath3.857.006.063.183.710.6111.4610.527.648.17090
    28090ARemoval of foot lesion4.406.845.573.213.390.5911.8310.568.208.38090
    28092ARemoval of toe lesions3.636.555.553.023.400.4910.679.677.147.52090
    28100ARemoval of ankle/heel lesion5.658.298.044.104.540.8214.7614.5110.5711.01090
    28102ARemove/graft foot lesion7.72NANA4.975.701.14NANA13.8314.56090
    28103ARemove/graft foot lesion6.49NANA4.174.500.91NANA11.5711.90090
    28104ARemoval of foot lesion5.117.315.943.503.820.7013.1211.759.319.63090
    28106ARemove/graft foot lesion7.15NANA4.464.440.97NANA12.5812.56090
    28107ARemove/graft foot lesion5.557.906.873.764.090.7414.1913.1610.0510.38090
    Start Printed Page 49117
    28108ARemoval of toe lesions4.156.425.053.013.190.5311.109.737.697.87090
    28110APart removal of metatarsal4.077.025.663.103.190.5411.6310.277.717.80090
    28111APart removal of metatarsal5.007.376.553.333.570.6713.0412.229.009.24090
    28112APart removal of metatarsal4.487.316.183.303.500.6112.4011.278.398.59090
    28113APart removal of metatarsal5.788.486.664.674.400.6314.8913.0711.0810.81090
    28114ARemoval of metatarsal heads11.4913.4312.078.318.361.4226.3424.9821.2221.27090
    28116ARevision of foot8.869.587.495.415.231.0319.4717.3815.3015.12090
    28118ARemoval of heel bone5.958.006.684.054.270.8414.7913.4710.8411.06090
    28119ARemoval of heel spur5.387.285.893.603.690.7013.3611.979.689.77090
    28120APart removal of ankle/heel5.578.147.503.984.300.7714.4813.8410.3210.64090
    28122APartial removal of foot bone7.468.577.274.835.150.9817.0115.7113.2713.59090
    28124APartial removal of toe4.806.825.453.473.610.6012.2210.858.879.01090
    28126APartial removal of toe3.516.004.662.672.910.459.968.626.636.87090
    28130ARemoval of ankle bone9.22NANA5.916.511.26NANA16.3916.99090
    28140ARemoval of metatarsal6.967.917.394.164.610.9215.7915.2712.0412.49090
    28150ARemoval of toe4.086.465.243.033.220.5311.079.857.647.83090
    28153APartial removal of toe3.656.234.792.892.730.4710.358.917.016.85090
    28160APartial removal of toe3.736.415.022.973.240.4910.639.247.197.46090
    28171AExtensive foot surgery9.77NANA5.345.401.33NANA16.4416.50090
    28173AExtensive foot surgery8.978.857.914.685.061.1218.9418.0014.7715.15090
    28175AExtensive foot surgery6.107.186.073.643.690.7314.0112.9010.4710.52090
    28190ARemoval of foot foreign body1.964.043.551.341.450.226.225.733.523.63010
    28192ARemoval of foot foreign body4.636.795.803.223.540.6112.0311.048.468.78090
    28193ARemoval of foot foreign body5.727.386.053.643.850.7313.8312.5010.0910.30090
    28200ARepair of foot tendon4.596.955.563.263.480.6112.1510.768.468.68090
    28202ARepair/graft of foot tendon6.898.037.424.094.390.9115.8315.2211.8912.19090
    28208ARepair of foot tendon4.366.735.293.193.270.5811.6710.238.138.21090
    28210ARepair/graft of foot tendon6.347.596.563.913.990.8114.7413.7111.0611.14090
    28220ARelease of foot tendon4.526.455.123.093.340.5711.5410.218.188.43090
    28222ARelease of foot tendons5.616.935.663.343.930.6913.2311.969.6410.23090
    28225ARelease of foot tendon3.656.094.732.752.860.4610.208.846.866.97090
    28226ARelease of foot tendons4.527.015.353.323.640.5812.1110.458.428.74090
    28230AIncision of foot tendon(s)4.236.345.092.913.480.5511.129.877.698.26090
    28232AIncision of toe tendon3.385.994.892.703.160.449.818.716.526.98090
    28234AIncision of foot tendon3.366.325.083.063.280.4410.128.886.867.08090
    28238ARevision of foot tendon7.788.407.534.374.791.0617.2416.3713.2113.63090
    28240ARelease of big toe4.356.475.093.003.360.5811.4010.027.938.29090
    28250ARevision of foot fascia5.917.496.093.784.040.8214.2212.8210.5110.77090
    28260ARelease of midfoot joint8.018.656.904.734.931.1417.8016.0513.8814.08090
    28261ARevision of foot tendon12.8310.799.166.407.081.5725.1923.5620.8021.48090
    28262ARevision of foot and ankle16.9315.6814.089.8310.642.5935.2033.6029.3530.16090
    28264ARelease of midfoot joint10.4510.458.416.036.971.5422.4420.4018.0218.96090
    28270ARelease of foot contracture4.756.975.413.463.660.6212.3410.788.839.03090
    28272ARelease of toe joint, each3.795.874.602.662.800.4610.128.856.917.05090
    28280AFusion of toes5.187.416.533.604.260.7313.3212.449.5110.17090
    28285ARepair of hammertoe4.586.775.343.373.410.5911.9410.518.548.58090
    28286ARepair of hammertoe4.556.545.233.053.200.5711.6610.358.178.32090
    28288APartial removal of foot bone5.738.696.624.744.850.6515.0713.0011.1211.23090
    28289ARepair hallux rigidus8.039.528.375.395.671.0218.5717.4214.4414.72090
    28290ACorrection of bunion5.658.246.753.984.540.8214.7113.2210.4511.01090
    28292ACorrection of bunion8.6010.428.206.195.700.9119.9317.7115.7015.21090
    28293ACorrection of bunion10.9614.6011.716.976.321.1326.6923.8019.0618.41090
    28294ACorrection of bunion8.559.197.874.614.691.0918.8317.5114.2514.33090
    28296ACorrection of bunion9.239.668.534.835.271.1920.0818.9515.2515.69090
    28297ACorrection of bunion9.2310.549.345.366.031.3221.0919.8915.9116.58090
    28298ACorrection of bunion7.939.307.734.584.901.0518.2816.7113.5613.88090
    28299ACorrection of bunion11.3110.639.235.775.991.3723.3121.9118.4518.67090
    28300AIncision of heel bone9.53NANA6.116.801.54NANA17.1817.87090
    28302AIncision of ankle bone9.54NANA5.726.591.42NANA16.6817.55090
    28304AIncision of midfoot bones9.219.578.355.095.571.2720.0518.8315.5716.05090
    28305AIncise/graft midfoot bones10.54NANA5.616.441.27NANA17.4218.25090
    28306AIncision of metatarsal5.858.397.223.874.100.8415.0813.9110.5610.79090
    28307AIncision of metatarsal6.329.5710.664.485.080.9016.7917.8811.7012.30090
    28308AIncision of metatarsal5.287.956.293.833.720.7013.9312.279.819.70090
    28309AIncision of metatarsals13.88NANA7.797.912.04NANA23.7123.83090
    28310ARevision of big toe5.427.566.203.423.520.7013.6812.329.549.64090
    Start Printed Page 49118
    28312ARevision of toe4.547.415.933.243.530.6312.5811.108.418.70090
    28313ARepair deformity of toe5.007.395.803.674.540.7313.1211.539.4010.27090
    28315ARemoval of sesamoid bone4.856.745.353.253.310.6312.2210.838.738.79090
    28320ARepair of foot bones9.17NANA5.786.481.43NANA16.3817.08090
    28322ARepair of metatarsals8.3310.039.395.486.121.2719.6318.9915.0815.72090
    28340AResect enlarged toe tissue6.978.086.854.074.200.8415.8914.6611.8812.01090
    28341AResect enlarged toe8.528.707.374.474.731.0118.2316.9014.0014.26090
    28344ARepair extra toe(s)4.256.836.013.193.520.5111.5910.777.958.28090
    28345ARepair webbed toe(s)5.917.826.603.894.480.8014.5313.3110.6011.19090
    28360AReconstruct cleft foot14.57NANA6.399.472.28NANA23.2426.32090
    28400ATreatment of heel fracture2.163.393.572.933.020.355.906.085.445.53090
    28405ATreatment of heel fracture4.564.534.763.764.410.739.8210.059.059.70090
    28406ATreatment of heel fracture6.36NANA5.696.521.11NANA13.1613.99090
    28415ATreat heel fracture17.44NANA10.9212.692.66NANA31.0232.79090
    28420ATreat/graft heel fracture16.98NANA10.2112.242.80NANA29.9932.02090
    28430ATreatment of ankle fracture2.093.153.332.592.570.315.555.734.994.97090
    28435ATreatment of ankle fracture3.393.763.853.073.570.557.707.797.017.51090
    28436ATreatment of ankle fracture4.70NANA5.005.680.81NANA10.5111.19090
    28445ATreat ankle fracture16.99NANA9.7910.722.58NANA29.3630.29090
    28450ATreat midfoot fracture, each1.902.953.072.442.460.285.135.254.624.64090
    28455ATreat midfoot fracture, each3.093.683.493.053.330.447.217.026.586.86090
    28456ATreat midfoot fracture2.68NANA3.634.020.44NANA6.757.14090
    28465ATreat midfoot fracture, each7.06NANA5.096.011.10NANA13.2514.17090
    28470ATreat metatarsal fracture1.992.843.052.402.430.305.135.344.694.72090
    28475ATreat metatarsal fracture2.973.183.292.563.050.446.596.705.976.46090
    28476ATreat metatarsal fracture3.37NANA4.354.820.54NANA8.268.73090
    28485ATreat metatarsal fracture5.70NANA4.575.220.83NANA11.1011.75090
    28490ATreat big toe fracture1.092.112.041.691.650.143.343.272.922.88090
    28495ATreat big toe fracture1.582.482.251.882.020.204.264.033.663.80090
    28496ATreat big toe fracture2.337.227.992.903.120.369.9110.685.595.81090
    28505ATreat big toe fracture3.807.537.963.283.750.5611.8912.327.648.11090
    28510ATreatment of toe fracture1.091.681.571.611.550.142.912.802.842.78090
    28515ATreatment of toe fracture1.462.251.981.841.880.183.893.623.483.52090
    28525ATreat toe fracture3.326.937.372.923.300.4910.7411.186.737.11090
    28530ATreat sesamoid bone fracture1.061.651.491.361.420.142.852.692.562.62090
    28531ATreat sesamoid bone fracture2.475.846.912.132.080.348.659.724.944.89090
    28540ATreat foot dislocation2.042.782.502.332.380.265.084.804.634.68090
    28545ATreat foot dislocation2.453.252.572.662.420.376.075.395.485.24090
    28546ATreat foot dislocation3.207.697.113.454.150.5211.4110.837.177.87090
    28555ARepair foot dislocation6.359.829.884.965.491.0417.2117.2712.3512.88090
    28570ATreat foot dislocation1.662.592.462.002.250.234.484.353.894.14090
    28575ATreat foot dislocation3.314.383.893.683.710.568.257.767.557.58090
    28576ATreat foot dislocation4.40NANA4.014.130.69NANA9.109.22090
    28585ARepair foot dislocation8.109.987.995.295.701.2519.3317.3414.6415.05090
    28600ATreat foot dislocation1.893.062.872.402.610.275.225.034.564.77090
    28605ATreat foot dislocation2.713.763.283.163.130.406.876.396.276.24090
    28606ATreat foot dislocation4.89NANA4.314.600.82NANA10.0210.31090
    28615ARepair foot dislocation8.88NANA7.007.781.30NANA17.1817.96090
    28630ATreat toe dislocation1.701.961.670.950.990.203.863.572.852.89010
    28635ATreat toe dislocation1.912.272.081.331.480.264.444.253.503.65010
    28636ATreat toe dislocation2.774.384.002.052.480.437.587.205.255.68010
    28645ARepair toe dislocation4.216.905.443.203.250.5711.6810.227.988.03090
    28660ATreat toe dislocation1.231.311.270.790.790.132.672.632.152.15010
    28665ATreat toe dislocation1.921.851.541.341.410.264.033.723.523.59010
    28666ATreat toe dislocation2.66NANA1.922.420.43NANA5.015.51010
    28675ARepair of toe dislocation2.926.727.042.873.230.4510.0910.416.246.60090
    Start Printed Page 49119
    28705AFusion of foot bones20.04NANA10.7712.023.08NANA33.8935.14090
    28715AFusion of foot bones14.32NANA8.549.452.16NANA25.0225.93090
    28725AFusion of foot bones11.89NANA6.957.921.86NANA20.7021.67090
    28730AFusion of foot bones12.11NANA7.798.311.70NANA21.6022.12090
    28735AFusion of foot bones11.95NANA6.997.611.68NANA20.6221.24090
    28737ARevision of foot bones10.75NANA6.136.631.47NANA18.3518.85090
    28740AFusion of foot bones9.0110.9610.896.046.361.2221.1921.1216.2716.59090
    28750AFusion of big toe joint8.2910.9011.665.956.481.1320.3221.0815.3715.90090
    28755AFusion of big toe joint4.737.306.403.373.660.6512.6811.788.759.04090
    28760AFusion of big toe joint8.8610.018.485.345.471.0519.9218.3915.2515.38090
    28800AAmputation of midfoot8.56NANA5.085.611.15NANA14.7915.32090
    28805AAmputation thru metatarsal12.47NANA6.025.741.18NANA19.6719.39090
    28810AAmputation toe & metatarsal6.44NANA4.134.390.86NANA11.4311.69090
    28820AAmputation of toe4.827.787.613.603.740.6113.2113.049.039.17090
    28825APartial amputation of toe3.647.237.053.163.400.5011.3711.197.307.54090
    28890AHigh energy eswt, plantar f3.304.655.452.312.140.418.369.166.025.85090
    28899CFoot/toes surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    29000AApplication of body cast2.254.763.411.851.760.417.426.074.514.42000
    29010AApplication of body cast2.063.373.301.331.660.455.885.813.844.17000
    29015AApplication of body cast2.413.373.071.481.570.286.065.764.174.26000
    29020AApplication of body cast2.113.793.331.481.430.286.185.723.873.82000
    29025AApplication of body cast2.403.623.261.591.790.446.466.104.434.63000
    29035AApplication of body cast1.773.713.641.481.560.285.765.693.533.61000
    29040AApplication of body cast2.223.632.751.501.510.366.215.334.084.09000
    29044AApplication of body cast2.123.983.971.661.840.356.456.444.134.31000
    29046AApplication of body cast2.414.213.481.802.020.427.046.314.634.85000
    29049AApplication of figure eight0.891.131.260.600.550.132.152.281.621.57000
    29055AApplication of shoulder cast1.782.922.971.311.430.305.005.053.393.51000
    29058AApplication of shoulder cast1.311.251.480.680.710.172.732.962.162.19000
    29065AApplication of long arm cast0.871.281.320.710.740.152.302.341.731.76000
    29075AApplication of forearm cast0.771.241.260.670.680.132.142.161.571.58000
    29085AApply hand/wrist cast0.871.261.280.690.650.142.272.291.701.66000
    29086AApply finger cast0.621.030.980.530.500.071.721.671.221.19000
    29105AApply long arm splint0.871.101.200.530.520.122.092.191.521.51000
    29125AApply forearm splint0.590.971.010.430.400.071.631.671.091.06000
    29126AApply forearm splint0.771.021.160.480.470.071.862.001.321.31000
    29130AApplication of finger splint0.500.430.460.180.170.060.991.020.740.73000
    29131AApplication of finger splint0.550.630.710.260.250.031.211.290.840.83000
    29200AStrapping of chest0.650.620.700.350.340.041.311.391.041.03000
    29220AStrapping of low back0.640.620.700.350.380.041.301.381.031.06000
    29240AStrapping of shoulder0.710.670.810.390.370.061.441.581.161.14000
    29260AStrapping of elbow or wrist0.550.650.720.360.330.051.251.320.960.93000
    29280AStrapping of hand or finger0.510.660.770.370.330.031.201.310.910.87000
    29305AApplication of hip cast2.033.403.361.611.720.355.785.743.994.10000
    29325AApplication of hip casts2.323.703.571.751.900.406.426.294.474.62000
    29345AApplication of long leg cast1.401.671.740.951.030.243.313.382.592.67000
    29355AApplication of long leg cast1.531.641.690.951.080.263.433.482.742.87000
    29358AApply long leg cast brace1.432.062.060.941.050.253.743.742.622.73000
    29365AApplication of long leg cast1.181.581.640.860.930.202.963.022.242.31000
    29405AApply short leg cast0.861.211.220.660.700.142.212.221.661.70000
    29425AApply short leg cast1.011.241.230.670.720.152.402.391.831.88000
    29435AApply short leg cast1.181.541.560.820.900.202.922.942.202.28000
    29440AAddition of walker to cast0.570.620.670.250.270.081.271.320.900.92000
    29445AApply rigid leg cast1.781.621.760.930.950.273.673.812.983.00000
    29450AApplication of leg cast2.081.531.490.861.030.273.883.843.213.38000
    29505AApplication, long leg splint0.691.061.150.450.450.081.831.921.221.22000
    29515AApplication lower leg splint0.730.960.890.460.460.091.781.711.281.28000
    29520AStrapping of hip0.540.680.810.380.450.031.251.380.951.02000
    29530AStrapping of knee0.570.650.760.360.340.051.271.380.980.96000
    29540AStrapping of ankle and/or ft0.510.550.450.310.310.061.121.020.880.88000
    29550AStrapping of toes0.470.570.460.300.290.061.100.990.830.82000
    29580AApplication of paste boot0.550.730.670.340.350.071.351.290.960.97000
    29590AApplication of foot splint0.760.600.530.260.280.091.451.381.111.13000
    29700ARemoval/revision of cast0.570.970.910.260.280.081.621.560.910.93000
    29705ARemoval/revision of cast0.760.770.810.370.380.131.661.701.261.27000
    29710ARemoval/revision of cast1.341.451.510.630.680.202.993.052.172.22000
    Start Printed Page 49120
    29715ARemoval/revision of cast0.941.141.160.410.400.092.172.191.441.43000
    29720ARepair of body cast0.681.151.160.340.380.121.951.961.141.18000
    29730AWindowing of cast0.750.760.800.350.350.121.631.671.221.22000
    29740AWedging of cast1.121.051.130.490.490.182.352.431.791.79000
    29750AWedging of clubfoot cast1.260.911.020.440.550.212.382.491.912.02000
    29799CCasting/strapping procedure0.000.000.000.000.000.000.000.000.000.00YYY
    29800AJaw arthroscopy/surgery6.67NANA5.726.660.99NANA13.3814.32090
    29804AJaw arthroscopy/surgery8.63NANA7.347.551.38NANA17.3517.56090
    29805AShoulder arthroscopy, dx5.88NANA4.745.441.02NANA11.6412.34090
    29806AShoulder arthroscopy/surgery14.85NANA9.4110.722.49NANA26.7528.06090
    29807AShoulder arthroscopy/surgery14.38NANA9.2810.562.41NANA26.0727.35090
    29819AShoulder arthroscopy/surgery7.61NANA5.666.511.32NANA14.5915.44090
    29820AShoulder arthroscopy/surgery7.06NANA5.215.971.22NANA13.4914.25090
    29821AShoulder arthroscopy/surgery7.71NANA5.686.521.33NANA14.7215.56090
    29822AShoulder arthroscopy/surgery7.42NANA5.616.421.28NANA14.3115.12090
    29823AShoulder arthroscopy/surgery8.16NANA6.076.931.41NANA15.6416.50090
    29824AShoulder arthroscopy/surgery8.74NANA6.577.291.42NANA16.7317.45090
    29825AShoulder arthroscopy/surgery7.61NANA5.676.491.32NANA14.6015.42090
    29826AShoulder arthroscopy/surgery8.98NANA6.227.201.55NANA16.7517.73090
    29827AArthroscop rotator cuff repr15.34NANA9.3810.992.66NANA27.3828.99090
    29830AElbow arthroscopy5.75NANA4.525.140.99NANA11.2611.88090
    29834AElbow arthroscopy/surgery6.27NANA4.875.591.08NANA12.2212.94090
    29835AElbow arthroscopy/surgery6.47NANA4.995.661.13NANA12.5913.26090
    29836AElbow arthroscopy/surgery7.54NANA5.596.491.22NANA14.3515.25090
    29837AElbow arthroscopy/surgery6.86NANA5.155.891.19NANA13.2013.94090
    29838AElbow arthroscopy/surgery7.70NANA5.706.591.30NANA14.7015.59090
    29840AWrist arthroscopy5.53NANA4.625.150.84NANA10.9911.52090
    29843AWrist arthroscopy/surgery6.00NANA4.925.450.92NANA11.8412.37090
    29844AWrist arthroscopy/surgery6.36NANA4.965.611.04NANA12.3613.01090
    29845AWrist arthroscopy/surgery7.51NANA5.516.230.99NANA14.0114.73090
    29846AWrist arthroscopy/surgery6.74NANA5.105.811.07NANA12.9113.62090
    29847AWrist arthroscopy/surgery7.07NANA5.175.941.08NANA13.3214.09090
    29848AWrist endoscopy/surgery6.18NANA5.295.520.86NANA12.3312.56090
    29850AKnee arthroscopy/surgery8.18NANA5.135.071.25NANA14.5614.50090
    29851AKnee arthroscopy/surgery13.08NANA8.329.422.34NANA23.7424.84090
    29855ATibial arthroscopy/surgery10.60NANA7.398.421.84NANA19.8320.86090
    29856ATibial arthroscopy/surgery14.12NANA8.7610.192.39NANA25.2726.70090
    29860AHip arthroscopy, dx8.79NANA6.236.771.36NANA16.3816.92090
    29861AHip arthroscopy/surgery9.89NANA6.647.171.59NANA18.1218.65090
    29862AHip arthroscopy/surgery10.89NANA7.628.331.62NANA20.1320.84090
    29863AHip arthroscopy/surgery10.89NANA7.538.271.42NANA19.8420.58090
    29866AAutgrft implnt, knee w/scope14.38NANA9.5410.902.39NANA26.3127.67090
    29867AAllgrft implnt, knee w/scope18.08NANA11.2412.732.78NANA32.1033.59090
    29868AMeniscal trnspl, knee w/scpe24.79NANA13.9416.084.35NANA43.0845.22090
    29870AKnee arthroscopy, dx5.06NANA4.184.710.85NANA10.0910.62090
    29871AKnee arthroscopy/drainage6.54NANA5.035.661.14NANA12.7113.34090
    29873AKnee arthroscopy/surgery5.99NANA5.616.331.04NANA12.6413.36090
    29874AKnee arthroscopy/surgery7.04NANA5.185.851.11NANA13.3314.00090
    29875AKnee arthroscopy/surgery6.30NANA4.925.621.09NANA12.3113.01090
    29876AKnee arthroscopy/surgery8.66NANA6.236.821.37NANA16.2616.85090
    29877AKnee arthroscopy/surgery8.09NANA5.996.551.28NANA15.3615.92090
    29879AKnee arthroscopy/surgery8.78NANA6.286.911.39NANA16.4517.08090
    29880AKnee arthroscopy/surgery9.24NANA6.487.141.47NANA17.1917.85090
    29881AKnee arthroscopy/surgery8.50NANA6.186.771.34NANA16.0216.61090
    29882AKnee arthroscopy/surgery9.39NANA6.527.061.50NANA17.4117.95090
    29883AKnee arthroscopy/surgery11.53NANA7.658.711.92NANA21.1022.16090
    Start Printed Page 49121
    29884AKnee arthroscopy/surgery8.07NANA6.016.531.27NANA15.3515.87090
    29885AKnee arthroscopy/surgery9.96NANA7.057.741.58NANA18.5819.28090
    29886AKnee arthroscopy/surgery8.28NANA6.086.661.30NANA15.6616.24090
    29887AKnee arthroscopy/surgery9.91NANA7.047.711.57NANA18.5219.19090
    29888AKnee arthroscopy/surgery14.06NANA8.349.742.41NANA24.8126.21090
    29889AKnee arthroscopy/surgery17.05NANA10.7512.012.78NANA30.5831.84090
    29891AAnkle arthroscopy/surgery9.39NANA6.697.311.39NANA17.4718.09090
    29892AAnkle arthroscopy/surgery9.99NANA6.587.451.41NANA17.9818.85090
    29893AScope, plantar fasciotomy5.968.866.934.674.160.6315.4513.5211.2610.75090
    29894AAnkle arthroscopy/surgery7.20NANA4.725.281.15NANA13.0713.63090
    29895AAnkle arthroscopy/surgery6.98NANA4.545.241.11NANA12.6313.33090
    29897AAnkle arthroscopy/surgery7.17NANA4.965.651.17NANA13.3013.99090
    29898AAnkle arthroscopy/surgery8.31NANA5.295.971.28NANA14.8815.56090
    29899AAnkle arthroscopy/surgery15.13NANA9.3010.232.40NANA26.8327.76090
    29900AMcp joint arthroscopy, dx5.66NANA4.745.580.94NANA11.3412.18090
    29901AMcp joint arthroscopy, surg6.37NANA5.506.071.06NANA12.9313.50090
    29902AMcp joint arthroscopy, surg6.94NANA3.685.831.12NANA11.7413.89090
    29999CArthroscopy of joint0.000.000.000.000.000.000.000.000.000.00YYY
    30000ADrainage of nose lesion1.433.733.991.231.350.125.285.542.782.90010
    30020ADrainage of nose lesion1.433.863.421.261.420.125.414.972.812.97010
    30100AIntranasal biopsy0.942.402.080.680.790.073.413.091.691.80000
    30110ARemoval of nose polyp(s)1.633.623.341.321.510.145.395.113.093.28010
    30115ARemoval of nose polyp(s)4.34NANA5.475.690.41NANA10.2210.44090
    30117ARemoval of intranasal lesion3.1616.9014.084.514.600.2620.3217.507.938.02090
    30118ARemoval of intranasal lesion9.74NANA7.738.830.78NANA18.2519.35090
    30120ARevision of nose5.266.786.564.845.710.5212.5612.3410.6211.49090
    30124ARemoval of nose lesion3.10NANA3.593.610.25NANA6.946.96090
    30125ARemoval of nose lesion7.15NANA7.007.990.63NANA14.7815.77090
    30130AExcise inferior turbinate3.37NANA5.285.510.31NANA8.969.19090
    30140AResect inferior turbinate3.42NANA6.546.280.35NANA10.3110.05090
    30150APartial removal of nose9.37NANA8.5010.380.93NANA18.8020.68090
    30160ARemoval of nose9.81NANA8.129.690.88NANA18.8120.38090
    30200AInjection treatment of nose0.781.871.680.610.710.062.712.521.451.55000
    30210ANasal sinus therapy1.082.312.151.151.270.093.483.322.322.44010
    30220AInsert nasal septal button1.545.414.531.291.470.127.076.192.953.13010
    30300ARemove nasal foreign body1.044.144.511.791.880.085.265.632.913.00010
    30310ARemove nasal foreign body1.96NANA2.713.000.16NANA4.835.12010
    30320ARemove nasal foreign body4.51NANA5.936.760.39NANA10.8311.66090
    30400RReconstruction of nose10.46NANA13.6415.031.04NANA25.1426.53090
    30410RReconstruction of nose13.60NANA14.2717.351.42NANA29.2932.37090
    30420RReconstruction of nose16.50NANA14.6917.111.46NANA32.6535.07090
    30430RRevision of nose7.84NANA12.7615.200.77NANA21.3723.81090
    30435RRevision of nose12.33NANA14.6718.181.22NANA28.2231.73090
    30450RRevision of nose19.26NANA16.1220.451.96NANA37.3441.67090
    30460ARevision of nose10.20NANA7.139.241.03NANA18.3620.47090
    30462ARevision of nose20.04NANA14.2918.752.53NANA36.8641.32090
    30465ARepair nasal stenosis12.12NANA10.2511.541.06NANA23.4324.72090
    30520ARepair of nasal septum7.63NANA7.586.890.46NANA15.6714.98090
    30540ARepair nasal defect7.74NANA7.018.710.67NANA15.4217.12090
    30545ARepair nasal defect11.42NANA10.0211.431.70NANA23.1424.55090
    30560ARelease of nasal adhesions1.264.934.811.872.070.106.296.173.233.43010
    30580ARepair upper jaw fistula6.688.157.874.695.520.8915.7215.4412.2613.09090
    30600ARepair mouth/nose fistula6.017.477.514.044.780.7014.1814.2210.7511.49090
    30620AIntranasal reconstruction5.96NANA8.088.640.57NANA14.6115.17090
    30630ARepair nasal septum defect7.11NANA7.057.730.61NANA14.7715.45090
    30801AAblate inf turbinate, superf1.094.034.111.971.930.095.215.293.153.11010
    30802ACauterization, inner nose2.034.604.612.302.350.166.796.804.494.54010
    30901AControl of nosebleed1.211.201.320.280.310.112.522.641.601.63000
    30903AControl of nosebleed1.543.072.800.380.470.134.744.472.052.14000
    30905AControl of nosebleed1.973.733.570.460.690.175.875.712.602.83000
    30906ARepeat control of nosebleed2.453.963.910.661.070.206.616.563.313.72000
    30915ALigation, nasal sinus artery7.31NANA5.806.470.58NANA13.6914.36090
    30920ALigation, upper jaw artery10.97NANA8.118.760.80NANA19.8820.53090
    30930ATher fx, nasal inf turbinate1.26NANA1.521.600.12NANA2.902.98010
    30999CNasal surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    31000AIrrigation, maxillary sinus1.153.002.881.231.360.094.244.122.472.60010
    Start Printed Page 49122
    31002AIrrigation, sphenoid sinus1.91NANA2.513.060.15NANA4.575.12010
    31020AExploration, maxillary sinus2.948.068.415.165.180.2911.2911.648.398.41090
    31030AExploration, maxillary sinus5.919.7711.076.016.500.6016.2817.5812.5213.01090
    31032AExplore sinus, remove polyps6.56NANA6.467.040.59NANA13.6114.19090
    31040AExploration behind upper jaw9.59NANA7.269.180.87NANA17.7219.64090
    31050AExploration, sphenoid sinus5.27NANA6.126.290.49NANA11.8812.05090
    31051ASphenoid sinus surgery7.10NANA7.688.100.62NANA15.4015.82090
    31070AExploration of frontal sinus4.27NANA5.685.870.38NANA10.3310.52090
    31075AExploration of frontal sinus9.33NANA8.499.420.75NANA18.5719.50090
    31080ARemoval of frontal sinus12.46NANA10.3912.751.23NANA24.0826.44090
    31081ARemoval of frontal sinus13.91NANA14.5914.152.46NANA30.9630.52090
    31084ARemoval of frontal sinus14.67NANA11.8213.081.19NANA27.6828.94090
    31085ARemoval of frontal sinus15.36NANA12.9013.701.72NANA29.9830.78090
    31086ARemoval of frontal sinus14.08NANA11.6612.881.07NANA26.8128.03090
    31087ARemoval of frontal sinus14.32NANA10.6912.071.44NANA26.4527.83090
    31090AExploration of sinuses10.78NANA12.2612.480.94NANA23.9824.20090
    31200ARemoval of ethmoid sinus4.96NANA7.428.760.29NANA12.6714.01090
    31201ARemoval of ethmoid sinus8.42NANA8.228.930.82NANA17.4618.17090
    31205ARemoval of ethmoid sinus10.40NANA9.5211.290.67NANA20.5922.36090
    31225ARemoval of upper jaw26.34NANA16.2817.441.59NANA44.2145.37090
    31230ARemoval of upper jaw30.46NANA16.9518.761.77NANA49.1850.99090
    31231ANasal endoscopy, dx1.103.343.370.690.830.094.534.561.882.02000
    31233ANasal/sinus endoscopy, dx2.183.944.210.991.360.206.326.593.373.74000
    31235ANasal/sinus endoscopy, dx2.644.284.751.121.570.267.187.654.024.47000
    31237ANasal/sinus endoscopy, surg2.984.515.021.221.720.287.778.284.484.98000
    31238ANasal/sinus endoscopy, surg3.264.435.031.301.890.277.968.564.835.42000
    31239ANasal/sinus endoscopy, surg9.19NANA6.277.570.62NANA16.0817.38010
    31240ANasal/sinus endoscopy, surg2.61NANA1.121.580.24NANA3.974.43000
    31254ARevision of ethmoid sinus4.64NANA1.702.560.45NANA6.797.65000
    31255ARemoval of ethmoid sinus6.95NANA2.343.670.73NANA10.0211.35000
    31256AExploration maxillary sinus3.29NANA1.311.910.33NANA4.935.53000
    31267AEndoscopy, maxillary sinus5.45NANA1.922.950.55NANA7.928.95000
    31276ASinus endoscopy, surgical8.84NANA2.874.560.92NANA12.6314.32000
    31287ANasal/sinus endoscopy, surg3.91NANA1.482.210.39NANA5.786.51000
    31288ANasal/sinus endoscopy, surg4.57NANA1.672.530.46NANA6.707.56000
    31290ANasal/sinus endoscopy, surg18.46NANA7.9911.041.40NANA27.8530.90010
    31291ANasal/sinus endoscopy, surg19.41NANA8.6011.501.68NANA29.6932.59010
    31292ANasal/sinus endoscopy, surg15.75NANA7.209.761.21NANA24.1626.72010
    31293ANasal/sinus endoscopy, surg17.32NANA7.8210.491.28NANA26.4229.09010
    31294ANasal/sinus endoscopy, surg20.16NANA8.7211.831.53NANA30.4133.52010
    31299CSinus surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    31300ARemoval of larynx lesion15.63NANA13.4314.591.17NANA30.2331.39090
    31320ADiagnostic incision, larynx5.55NANA9.1710.020.46NANA15.1816.03090
    31360ARemoval of larynx27.23NANA17.3916.891.38NANA46.0045.50090
    31365ARemoval of larynx34.85NANA19.5520.161.97NANA56.3756.98090
    31367APartial removal of larynx27.11NANA19.3221.251.78NANA48.2150.14090
    31368APartial removal of larynx33.73NANA22.1224.652.20NANA58.0560.58090
    31370APartial removal of larynx27.11NANA20.1121.721.74NANA48.9650.57090
    31375APartial removal of larynx25.61NANA19.2220.091.63NANA46.4647.33090
    31380APartial removal of larynx25.11NANA18.9020.181.70NANA45.7146.99090
    31382APartial removal of larynx28.11NANA20.4121.311.67NANA50.1951.09090
    31390ARemoval of larynx & pharynx38.72NANA22.2923.862.23NANA63.2464.81090
    31395AReconstruct larynx & pharynx43.34NANA25.5327.612.48NANA71.3573.43090
    31400ARevision of larynx11.40NANA11.4213.180.83NANA23.6525.41090
    31420ARemoval of epiglottis11.25NANA7.829.110.83NANA19.9021.19090
    31500AInsert emergency airway2.33NANA0.430.520.17NANA2.933.02000
    Start Printed Page 49123
    31502AChange of windpipe airway0.65NANA0.200.260.05NANA0.900.96000
    31505ADiagnostic laryngoscopy0.611.331.420.540.590.051.992.081.201.25000
    31510ALaryngoscopy with biopsy1.922.983.220.911.170.165.065.302.993.25000
    31511ARemove foreign body, larynx2.162.753.030.931.030.195.105.383.283.38000
    31512ARemoval of larynx lesion2.072.733.080.951.260.184.985.333.203.51000
    31513AInjection into vocal cord2.10NANA0.971.340.17NANA3.243.61000
    31515ALaryngoscopy for aspiration1.803.063.420.831.000.145.005.362.772.94000
    31520ADx laryngoscopy, newborn2.56NANA1.091.440.20NANA3.854.20000
    31525ADx laryngoscopy excl nb2.633.223.541.101.520.216.066.383.944.36000
    31526ADx laryngoscopy w/oper scope2.57NANA1.101.570.21NANA3.884.35000
    31527ALaryngoscopy for treatment3.27NANA1.291.730.26NANA4.825.26000
    31528ALaryngoscopy and dilation2.37NANA0.971.340.19NANA3.533.90000
    31529ALaryngoscopy and dilation2.68NANA1.091.560.22NANA3.994.46000
    31530ALaryngoscopy w/fb removal3.38NANA1.291.790.29NANA4.965.46000
    31531ALaryngoscopy w/fb & op scope3.58NANA1.392.050.29NANA5.265.92000
    31535ALaryngoscopy w/biopsy3.16NANA1.271.810.26NANA4.695.23000
    31536ALaryngoscopy w/bx & op scope3.55NANA1.382.030.29NANA5.225.87000
    31540ALaryngoscopy w/exc of tumor4.12NANA1.542.290.33NANA5.996.74000
    31541ALarynscop w/tumr exc + scope4.52NANA1.662.500.37NANA6.557.39000
    31545ARemove vc lesion w/scope6.30NANA2.193.150.37NANA8.869.82000
    31546ARemove vc lesion scope/graft9.73NANA3.714.660.78NANA14.2215.17000
    31560ALaryngoscop w/arytenoidectom5.45NANA1.872.830.43NANA7.758.71000
    31561ALarynscop, remve cart + scop5.99NANA2.023.030.49NANA8.509.51000
    31570ALaryngoscope w/vc inj3.863.935.241.462.150.318.109.415.636.32000
    31571ALaryngoscop w/vc inj + scope4.26NANA1.582.350.35NANA6.196.96000
    31575ADiagnostic laryngoscopy1.101.561.820.690.840.092.753.011.882.03000
    31576ALaryngoscopy with biopsy1.973.263.560.941.200.145.375.673.053.31000
    31577ARemove foreign body, larynx2.473.223.631.091.420.215.906.313.774.10000
    31578ARemoval of larynx lesion2.843.664.131.181.440.236.737.204.254.51000
    31579ADiagnostic laryngoscopy2.262.633.491.021.370.185.075.933.463.81000
    31580ARevision of larynx14.38NANA13.3515.271.00NANA28.7330.65090
    31582ARevision of larynx22.73NANA20.2724.421.75NANA44.7548.90090
    31584ATreat larynx fracture20.27NANA14.1117.141.71NANA36.0939.12090
    31587ARevision of larynx15.06NANA7.888.920.97NANA23.9124.95090
    31588ARevision of larynx14.48NANA11.2813.031.06NANA26.8228.57090
    31590AReinnervate larynx7.53NANA11.9814.640.84NANA20.3523.01090
    31595ALarynx nerve surgery8.69NANA8.8610.130.68NANA18.2319.50090
    31599CLarynx surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    31600AIncision of windpipe7.17NANA2.192.940.80NANA10.1610.91000
    31601AIncision of windpipe4.44NANA1.612.200.40NANA6.457.04000
    31603AIncision of windpipe4.14NANA1.111.560.44NANA5.696.14000
    31605AIncision of windpipe3.57NANA0.821.100.40NANA4.795.07000
    31610AIncision of windpipe9.23NANA7.127.980.79NANA17.1418.00090
    31611ASurgery/speech prosthesis5.87NANA6.446.910.46NANA12.7713.24090
    31612APuncture/clear windpipe0.911.071.090.240.320.082.062.081.231.31000
    31613ARepair windpipe opening4.58NANA5.795.940.42NANA10.7910.94090
    31614ARepair windpipe opening8.39NANA8.818.740.58NANA17.7817.71090
    31615AVisualization of windpipe2.092.212.500.951.140.164.464.753.203.39000
    31620AEndobronchial us add-on1.406.045.740.340.500.117.557.251.852.01ZZZ
    31622ADx bronchoscope/wash2.785.265.550.901.020.188.228.513.863.98000
    31623ADx bronchoscope/brush2.886.036.320.901.010.139.049.333.914.02000
    31624ADx bronchoscope/lavage2.885.385.670.901.010.138.398.683.914.02000
    31625ABronchoscopy w/biopsy(s)3.365.525.741.021.160.189.069.284.564.70000
    31628ABronchoscopy/lung bx, each3.807.027.021.111.250.1811.0011.005.095.23000
    31629ABronchoscopy/needle bx, each4.0912.1013.711.191.350.1616.3517.965.445.60000
    31630ABronchoscopy dilate/fx repr3.81NANA1.251.600.32NANA5.385.73000
    31631ABronchoscopy, dilate w/stent4.36NANA1.391.670.34NANA6.096.37000
    31632ABronchoscopy/lung bx, addIl1.030.860.820.240.290.182.072.031.451.50ZZZ
    31633ABronchoscopy/needle bx addIl1.320.990.940.310.380.162.472.421.791.86ZZZ
    31635ABronchoscopy w/fb removal3.675.205.881.131.360.249.119.795.045.27000
    31636ABronchoscopy, bronch stents4.30NANA1.371.660.31NANA5.986.27000
    31637ABronchoscopy, stent add-on1.58NANA0.420.530.13NANA2.132.24ZZZ
    31638ABronchoscopy, revise stent4.88NANA1.551.870.22NANA6.656.97000
    31640ABronchoscopy w/tumor excise4.93NANA1.521.930.46NANA6.917.32000
    31641ABronchoscopy, treat blockage5.02NANA1.491.780.35NANA6.867.15000
    31643ADiag bronchoscope/catheter3.49NANA1.051.190.20NANA4.744.88000
    Start Printed Page 49124
    31645ABronchoscopy, clear airways3.164.775.050.971.080.168.098.374.294.40000
    31646ABronchoscopy, reclear airway2.724.484.770.860.970.147.347.633.723.83000
    31656ABronchoscopy, inj for x-ray2.175.316.800.650.790.157.639.122.973.11000
    31700AInsertion of airway catheter1.342.302.190.680.680.083.723.612.102.10000
    31708AInstill airway contrast dye1.41NANA0.400.450.07NANA1.881.93000
    31710AInsertion of airway catheter1.30NANA0.420.410.12NANA1.841.83000
    31715AInjection for bronchus x-ray1.11NANA0.290.330.07NANA1.471.51000
    31717ABronchial brush biopsy2.125.867.650.760.780.148.129.913.023.04000
    31720AClearance of airways1.06NANA0.250.310.07NANA1.381.44000
    31725AClearance of airways1.96NANA0.450.550.14NANA2.552.65000
    31730AIntro, windpipe wire/tube2.8525.678.060.720.930.2128.7311.123.783.99000
    31750ARepair of windpipe15.11NANA16.1117.191.05NANA32.2733.35090
    31755ARepair of windpipe17.05NANA22.1523.931.29NANA40.4942.27090
    31760ARepair of windpipe23.28NANA9.7610.472.94NANA35.9836.69090
    31766AReconstruction of windpipe31.52NANA11.4413.104.52NANA47.4849.14090
    31770ARepair/graft of bronchus23.44NANA8.839.892.83NANA35.1036.16090
    31775AReconstruct bronchus24.46NANA9.0711.113.01NANA36.5438.58090
    31780AReconstruct windpipe19.62NANA7.9810.281.65NANA29.2531.55090
    31781AReconstruct windpipe24.72NANA9.1711.382.24NANA36.1338.34090
    31785ARemove windpipe lesion18.25NANA5.499.011.59NANA25.3328.85090
    31786ARemove windpipe lesion25.29NANA9.7412.253.29NANA38.3240.83090
    31800ARepair of windpipe injury8.05NANA8.359.020.79NANA17.1917.86090
    31805ARepair of windpipe injury13.29NANA6.246.971.82NANA21.3522.08090
    31820AClosure of windpipe lesion4.545.435.602.983.480.3810.3510.527.908.40090
    31825ARepair of windpipe defect6.926.787.444.005.030.5314.2314.8911.4512.48090
    31830ARevise windpipe scar4.495.605.723.333.820.4410.5310.658.268.75090
    31899CAirways surgical procedure0.000.000.000.000.000.000.000.000.000.00YYY
    32000ADrainage of chest1.542.392.890.430.470.084.014.512.052.09000
    32002ATreatment of collapsed lung2.192.853.120.991.040.125.165.433.303.35000
    32005ATreat lung lining chemically2.195.116.120.590.670.237.538.543.013.09000
    32019AInsert pleural catheter4.1715.5418.861.451.600.4220.1323.456.046.19000
    32020AInsertion of chest tube3.97NANA1.141.300.43NANA5.545.70000
    32035AExploration of chest11.14NANA6.115.921.26NANA18.5018.32090
    32036AExploration of chest12.15NANA6.436.431.43NANA20.0120.01090
    32095ABiopsy through chest wall10.03NANA5.225.331.22NANA16.4716.58090
    32100AExploration/biopsy of chest16.04NANA7.097.642.23NANA25.3625.91090
    32110AExplore/repair chest25.11NANA10.0310.563.21NANA38.3538.88090
    32120ARe-exploration of chest14.24NANA6.917.031.63NANA22.7822.90090
    32124AExplore chest free adhesions15.30NANA7.097.181.89NANA24.2824.37090
    32140ARemoval of lung lesion(s)16.51NANA7.487.631.96NANA25.9526.10090
    32141ARemove/treat lung lesions17.14NANA7.697.592.00NANA26.8326.73090
    32150ARemoval of lung lesion(s)16.67NANA7.547.592.00NANA26.2126.26090
    32151ARemove lung foreign body16.79NANA8.738.182.03NANA27.5527.00090
    32160AOpen chest heart massage13.00NANA5.895.421.31NANA20.2019.73090
    32200ADrain, open, lung lesion18.43NANA8.918.692.13NANA29.4729.25090
    32201ADrain, percut, lung lesion3.9919.8720.491.261.290.2424.1024.725.495.52000
    32215ATreat chest lining12.90NANA6.436.781.68NANA21.0121.36090
    32220ARelease of lung26.31NANA12.1112.743.56NANA41.9842.61090
    32225APartial release of lung16.60NANA7.547.622.06NANA26.2026.28090
    32310ARemoval of chest lining15.13NANA6.987.291.99NANA24.1024.41090
    32320AFree/remove chest lining26.96NANA11.6312.023.51NANA42.1042.49090
    32400ANeedle biopsy chest lining1.762.122.120.520.540.103.983.982.382.40000
    32402AOpen biopsy chest lining8.86NANA4.815.041.07NANA14.7414.97090
    32405ABiopsy, lung or mediastinum1.930.610.660.610.630.112.652.702.652.67000
    32420APuncture/clear lung2.18NANA0.680.680.12NANA2.982.98000
    32440ARemoval of lung27.11NANA11.1112.453.68NANA41.9043.24090
    Start Printed Page 49125
    32442ASleeve pneumonectomy37.74NANA13.2814.393.84NANA54.8655.97090
    32445ARemoval of lung40.73NANA16.3114.623.71NANA60.7559.06090
    32480APartial removal of lung25.65NANA10.3711.643.49NANA39.5140.78090
    32482ABilobectomy27.22NANA11.2212.493.66NANA42.1043.37090
    32484ASegmentectomy22.67NANA8.9210.773.03NANA34.6236.47090
    32486ASleeve lobectomy31.72NANA11.8912.903.51NANA47.1248.13090
    32488ACompletion pneumonectomy32.69NANA12.7813.533.80NANA49.2750.02090
    32491RLung volume reduction25.03NANA10.6912.142.98NANA38.7040.15090
    32500APartial removal of lung24.42NANA10.4311.873.25NANA38.1039.54090
    32501ARepair bronchus add-on4.68NANA1.371.500.65NANA6.706.83ZZZ
    32503AResect apical lung tumor31.55NANA12.3114.384.37NANA48.2350.30090
    32504AResect apical lung tum/chest36.35NANA13.7315.945.07NANA55.1557.36090
    32540ARemoval of lung lesion23.68NANA10.259.792.07NANA36.0035.54090
    32601AThoracoscopy, diagnostic5.45NANA2.112.290.80NANA8.368.54000
    32602AThoracoscopy, diagnostic5.95NANA2.252.450.87NANA9.079.27000
    32603AThoracoscopy, diagnostic7.80NANA2.993.021.14NANA11.9311.96000
    32604AThoracoscopy, diagnostic8.77NANA3.083.361.25NANA13.1013.38000
    32605AThoracoscopy, diagnostic6.92NANA2.562.821.00NANA10.4810.74000
    32606AThoracoscopy, diagnostic8.39NANA3.023.251.22NANA12.6312.86000
    32650AThoracoscopy, surgical10.73NANA5.326.401.58NANA17.6318.71090
    32651AThoracoscopy, surgical16.28NANA7.097.201.86NANA25.2325.34090
    32652AThoracoscopy, surgical23.34NANA9.6510.022.72NANA35.7136.08090
    32653AThoracoscopy, surgical19.86NANA8.017.231.88NANA29.7528.97090
    32654AThoracoscopy, surgical18.49NANA7.477.521.63NANA27.5927.64090
    32655AThoracoscopy, surgical14.95NANA6.747.121.89NANA23.5823.96090
    32656AThoracoscopy, surgical13.14NANA6.047.471.89NANA21.0722.50090
    32657AThoracoscopy, surgical14.54NANA6.477.381.99NANA23.0023.91090
    32658AThoracoscopy, surgical11.61NANA5.646.921.69NANA18.9420.22090
    32659AThoracoscopy, surgical11.82NANA5.957.081.62NANA19.3920.52090
    32660AThoracoscopy, surgical17.65NANA7.528.992.08NANA27.2528.72090
    32661AThoracoscopy, surgical13.23NANA6.227.401.92NANA21.3722.55090
    32662AThoracoscopy, surgical17.00NANA7.238.422.17NANA26.4027.59090
    32663AThoracoscopy, surgical19.96NANA8.9110.302.72NANA31.5932.98090
    32664AThoracoscopy, surgical14.18NANA6.427.332.32NANA22.9223.83090
    32665AThoracoscopy, surgical17.37NANA7.668.012.15NANA27.1827.53090
    32800ARepair lung hernia15.56NANA7.137.341.98NANA24.6724.88090
    32810AClose chest after drainage14.80NANA7.127.421.93NANA23.8524.15090
    32815AClose bronchial fistula37.94NANA15.4312.093.27NANA56.6453.30090
    32820AReconstruct injured chest22.27NANA11.7512.062.52NANA36.5436.85090
    32851ALung transplant, single40.72NANA20.9925.995.56NANA67.2772.27090
    32852ALung transplant with bypass44.37NANA23.8230.836.00NANA74.1981.20090
    32853ALung transplant, double49.89NANA23.3929.667.05NANA80.3386.60090
    32854ALung transplant with bypass53.60NANA26.6232.707.20NANA87.4293.50090
    32855CPrepare donor lung, single0.000.000.000.000.000.000.000.000.000.00XXX
    32856CPrepare donor lung, double0.000.000.000.000.000.000.000.000.000.00XXX
    32900ARemoval of rib(s)23.66NANA9.819.862.93NANA36.4036.45090
    32905ARevise & repair chest wall23.14NANA9.6410.013.15NANA35.9336.30090
    32906ARevise & repair chest wall29.15NANA11.3411.883.97NANA44.4645.00090
    32940ARevision of lung21.19NANA8.669.272.88NANA32.7333.34090
    32960ATherapeutic pneumothorax1.841.591.700.670.590.163.593.702.672.59000
    32997ATotal lung lavage5.99NANA1.511.810.55NANA8.058.35000
    32999CChest surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    33010ADrainage of heart sac2.24NANA1.020.840.14NANA3.403.22000
    33011ARepeat drainage of heart sac2.24NANA1.100.880.15NANA3.493.27000
    33015AIncision of heart sac8.41NANA5.084.980.65NANA14.1414.04090
    33020AIncision of heart sac14.85NANA6.546.721.79NANA23.1823.36090
    33025AIncision of heart sac13.63NANA5.986.261.80NANA21.4121.69090
    33030APartial removal of heart sac22.24NANA9.269.462.83NANA34.3334.53090
    33031APartial removal of heart sac25.28NANA9.9610.013.13NANA38.3738.42090
    33050ARemoval of heart sac lesion16.82NANA7.637.792.14NANA26.5926.75090
    33120ARemoval of heart lesion27.30NANA10.7911.383.69NANA41.7842.37090
    33130ARemoval of heart lesion24.02NANA9.489.953.00NANA36.5036.97090
    33140AHeart revascularize (tmr)22.72NANA10.0910.682.85NANA35.6636.25090
    33141AHeart tmr w/other procedure4.83NANA1.521.570.69NANA7.047.09ZZZ
    33200AInsertion of heart pacemaker14.70NANA7.456.991.70NANA23.8523.39090
    33201AInsertion of heart pacemaker12.08NANA6.406.541.36NANA19.8419.98090
    Start Printed Page 49126
    33206AInsertion of heart pacemaker7.28NANA5.134.630.52NANA12.9212.42090
    33207AInsertion of heart pacemaker9.03NANA5.784.940.59NANA15.4014.56090
    33208AInsertion of heart pacemaker8.12NANA5.434.940.56NANA14.1113.62090
    33210AInsertion of heart electrode3.30NANA1.701.360.18NANA5.184.84000
    33211AInsertion of heart electrode3.39NANA1.671.400.21NANA5.275.00000
    33212AInsertion of pulse generator5.51NANA3.753.460.43NANA9.699.40090
    33213AInsertion of pulse generator6.36NANA4.173.830.45NANA10.9810.64090
    33214AUpgrade of pacemaker system7.74NANA5.385.010.58NANA13.7013.33090
    33215AReposition pacing-defib lead4.87NANA3.523.270.37NANA8.768.51090
    33216AInsert lead pace-defib, one5.77NANA4.584.300.36NANA10.7110.43090
    33217AInsert lead pace-defib, dual5.74NANA4.504.300.39NANA10.6310.43090
    33218ARepair lead pace-defib, one5.93NANA4.834.430.37NANA11.1310.73090
    33220ARepair lead pace-defib, dual6.01NANA4.894.430.37NANA11.2710.81090
    33222ARevise pocket, pacemaker4.95NANA4.334.300.42NANA9.709.67090
    33223ARevise pocket, pacing-defib6.45NANA4.974.690.45NANA11.8711.59090
    33224AInsert pacing lead & connect9.04NANA5.034.260.54NANA14.6113.84000
    33225AL ventric pacing lead add-on8.33NANA4.453.550.45NANA13.2312.33ZZZ
    33226AReposition l ventric lead8.68NANA4.874.080.59NANA14.1413.35000
    33233ARemoval of pacemaker system3.29NANA3.293.280.22NANA6.806.79090
    33234ARemoval of pacemaker system7.81NANA5.525.060.56NANA13.8913.43090
    33235ARemoval pacemaker electrode9.85NANA7.326.940.73NANA17.9017.52090
    33236ARemove electrode/thoracotomy12.58NANA6.707.251.68NANA20.9621.51090
    33237ARemove electrode/thoracotomy13.69NANA7.687.761.59NANA22.9623.04090
    33238ARemove electrode/thoracotomy15.20NANA8.358.242.02NANA25.5725.46090
    33240AInsert pulse generator7.59NANA5.344.770.41NANA13.3412.77090
    33241ARemove pulse generator3.24NANA3.042.980.18NANA6.466.40090
    33243ARemove eltrd/thoracotomy23.36NANA11.0011.352.09NANA36.4536.80090
    33244ARemove eltrd, transven13.74NANA9.539.050.99NANA24.2623.78090
    33245AInsert epic eltrd pace-defib16.82NANA7.967.922.01NANA26.7926.75090
    33246AInsert epic eltrd/generator23.11NANA10.7310.392.63NANA36.4736.13090
    33249AEltrd/insert pace-defib14.96NANA10.338.850.77NANA26.0624.58090
    33250AAblate heart dysrhythm focus25.75NANA10.1610.813.18NANA39.0939.74090
    33251AAblate heart dysrhythm focus28.77NANA11.1511.533.59NANA43.5143.89090
    33253AReconstruct atria31.33NANA12.1513.404.52NANA48.0049.25090
    33261AAblate heart dysrhythm focus28.77NANA11.3311.663.45NANA43.5543.88090
    33282AImplant pat-active ht record4.66NANA4.294.090.23NANA9.188.98090
    33284ARemove pat-active ht record3.00NANA3.403.500.14NANA6.546.64090
    33300ARepair of heart wound29.93NANA11.149.712.65NANA43.7242.29090
    33305ARepair of heart wound33.67NANA12.2411.023.12NANA49.0347.81090
    33310AExploratory heart surgery20.19NANA8.839.392.58NANA31.6032.16090
    33315AExploratory heart surgery26.02NANA10.4610.783.27NANA39.7540.07090
    33320ARepair major blood vessel(s)18.43NANA8.698.342.07NANA29.1928.84090
    33321ARepair major vessel20.67NANA10.289.912.90NANA33.8533.48090
    33322ARepair major blood vessel(s)24.27NANA9.8310.232.85NANA36.9537.35090
    33330AInsert major vessel graft25.14NANA9.8010.152.81NANA37.7538.10090
    33332AInsert major vessel graft24.42NANA9.6510.303.02NANA37.0937.74090
    33335AInsert major vessel graft33.76NANA12.9713.244.27NANA51.0051.27090
    33400ARepair of aortic valve39.23NANA14.5715.394.10NANA57.9058.72090
    33401AValvuloplasty, open24.33NANA9.8312.583.56NANA37.7240.47090
    33403AValvuloplasty, w/cp bypass25.31NANA10.5313.363.54NANA39.3842.21090
    33404APrepare heart-aorta conduit31.22NANA12.2613.974.32NANA47.8049.51090
    33405AReplacement of aortic valve39.97NANA15.1217.505.31NANA60.4062.78090
    33406AReplacement of aortic valve48.87NANA17.7218.775.43NANA72.0273.07090
    33410AReplacement of aortic valve38.69NANA14.6316.094.68NANA58.0059.46090
    33411AReplacement of aortic valve57.11NANA20.1219.095.46NANA82.6981.66090
    33412AReplacement of aortic valve43.71NANA16.5719.446.37NANA66.6569.52090
    Start Printed Page 49127
    33413AReplacement of aortic valve55.27NANA19.3320.446.51NANA81.1182.22090
    33414ARepair of aortic valve39.27NANA15.2014.404.56NANA59.0358.23090
    33415ARevision, subvalvular tissue29.70NANA11.1411.804.13NANA44.9745.63090
    33416ARevise ventricle muscle36.39NANA13.6313.534.56NANA54.5854.48090
    33417ARepair of aortic valve29.13NANA12.1413.244.09NANA45.3646.46090
    33420ARevision of mitral valve25.64NANA8.859.381.81NANA36.3036.83090
    33422ARevision of mitral valve29.58NANA12.5013.363.93NANA46.0146.87090
    33425ARepair of mitral valve38.37NANA14.5013.414.06NANA56.9355.84090
    33426ARepair of mitral valve41.28NANA15.5116.735.01NANA61.8063.02090
    33427ARepair of mitral valve42.78NANA16.3318.606.07NANA65.1867.45090
    33430AReplacement of mitral valve49.81NANA18.7517.665.08NANA73.6472.55090
    33460ARevision of tricuspid valve27.97NANA10.9811.223.44NANA42.3942.63090
    33463AValvuloplasty, tricuspid42.57NANA15.5013.563.86NANA61.9359.99090
    33464AValvuloplasty, tricuspid30.93NANA12.1313.174.14NANA47.2048.24090
    33465AReplace tricuspid valve33.58NANA12.6012.874.38NANA50.5650.83090
    33468ARevision of tricuspid valve32.79NANA15.3014.064.06NANA52.1550.91090
    33470ARevision of pulmonary valve21.24NANA8.7410.201.03NANA31.0132.47090
    33471AValvotomy, pulmonary valve22.79NANA7.779.263.38NANA33.9435.43090
    33472ARevision of pulmonary valve22.86NANA7.2810.723.54NANA33.6837.12090
    33474ARevision of pulmonary valve25.85NANA12.1011.193.21NANA41.1640.25090
    33475AReplacement, pulmonary valve44.81NANA16.5415.664.92NANA66.2765.39090
    33476ARevision of heart chamber26.37NANA11.7811.922.41NANA40.5640.70090
    33478ARevision of heart chamber27.34NANA11.0412.553.88NANA42.2643.77090
    33496ARepair, prosth valve clot29.67NANA11.5112.434.12NANA45.3046.22090
    33500ARepair heart vessel fistula27.79NANA11.0811.373.86NANA42.7343.02090
    33501ARepair heart vessel fistula19.39NANA8.258.271.90NANA29.5429.56090
    33502ACoronary artery correction21.65NANA9.3210.632.99NANA33.9635.27090
    33503ACoronary artery graft22.21NANA10.619.951.77NANA34.5933.93090
    33504ACoronary artery graft25.26NANA10.1811.403.35NANA38.7940.01090
    33505ARepair artery w/tunnel38.33NANA12.3312.762.18NANA52.8453.27090
    33506ARepair artery, translocation37.78NANA15.5114.804.65NANA57.9457.23090
    33507ARepair art, intramural31.33NANA11.7813.184.05NANA47.1648.56090
    33508AEndoscopic vein harvest0.31NANA0.100.100.04NANA0.450.45ZZZ
    33510ACABG, vein, single33.45NANA12.8115.454.40NANA50.6653.30090
    33511ACABG, vein, two34.59NANA13.3716.154.55NANA52.5155.29090
    33512ACABG, vein, three38.73NANA14.7216.884.66NANA58.1160.27090
    33513ACABG, vein, four39.69NANA15.1317.124.87NANA59.6961.68090
    33514ACABG, vein, five40.50NANA15.3817.384.76NANA60.6462.64090
    33516ACabg, vein, six or more41.96NANA16.1618.145.11NANA63.2365.21090
    33517ACABG, artery-vein, single2.57NANA0.790.830.39NANA3.753.79ZZZ
    33518ACABG, artery-vein, two4.84NANA1.481.560.73NANA7.057.13ZZZ
    33519ACABG, artery-vein, three7.11NANA2.182.291.04NANA10.3310.44ZZZ
    33521ACABG, artery-vein, four9.39NANA2.893.031.37NANA13.6513.79ZZZ
    33522ACABG, artery-vein, five11.65NANA3.563.751.77NANA16.9817.17ZZZ
    33523ACabg, art-vein, six or more13.93NANA4.294.472.12NANA20.3420.52ZZZ
    33530ACoronary artery, bypass/reop5.85NANA1.791.880.88NANA8.528.61ZZZ
    33533ACABG, arterial, single37.38NANA14.0015.854.55NANA55.9357.78090
    33534ACABG, arterial, two38.81NANA14.7416.974.69NANA58.2460.47090
    33535ACABG, arterial, three41.48NANA15.6817.525.01NANA62.1764.01090
    33536ACabg, arterial, four or more40.79NANA15.3017.545.42NANA61.5163.75090
    33542ARemoval of heart lesion32.65NANA12.6412.904.37NANA49.6649.92090
    33545ARepair of heart damage41.12NANA15.4615.585.19NANA61.7761.89090
    33548ARestore/remodel, ventricle42.46NANA16.5218.605.51NANA64.4966.57090
    33572AOpen coronary endarterectomy4.44NANA1.341.420.65NANA6.436.51ZZZ
    33600AClosure of valve30.11NANA12.4412.494.41NANA46.9647.01090
    33602AClosure of valve29.14NANA13.3012.663.81NANA46.2545.61090
    33606AAnastomosis/artery-aorta31.33NANA12.1713.304.40NANA47.9049.03090
    33608ARepair anomaly w/conduit31.68NANA13.4113.934.73NANA49.8250.34090
    33610ARepair by enlargement31.20NANA11.2013.004.55NANA46.9548.75090
    33611ARepair double ventricle35.47NANA12.3713.694.36NANA52.2053.52090
    33612ARepair double ventricle36.47NANA12.9714.615.28NANA54.7256.36090
    33615ARepair, modified fontan35.72NANA12.4912.984.31NANA52.5253.01090
    33617ARepair single ventricle38.92NANA16.3716.095.64NANA60.9360.65090
    33619ARepair single ventricle48.56NANA18.3620.196.44NANA73.3675.19090
    33641ARepair heart septum defect28.47NANA10.739.863.22NANA42.4241.55090
    33645ARevision of heart veins27.95NANA11.0211.583.78NANA42.7543.31090
    Start Printed Page 49128
    33647ARepair heart septum defects29.33NANA12.3413.413.31NANA44.9846.05090
    33660ARepair of heart defects31.73NANA11.4912.984.48NANA47.7049.19090
    33665ARepair of heart defects34.75NANA12.4513.493.99NANA51.1952.23090
    33670ARepair of heart chambers36.56NANA12.2812.954.64NANA53.4854.15090
    33681ARepair heart septum defect32.10NANA13.2814.334.44NANA49.8250.87090
    33684ARepair heart septum defect34.27NANA19.4015.073.38NANA57.0552.72090
    33688ARepair heart septum defect34.65NANA9.5010.234.72NANA48.8749.60090
    33690AReinforce pulmonary artery20.16NANA8.639.781.96NANA30.7531.90090
    33692ARepair of heart defects31.34NANA9.2912.764.57NANA45.2048.67090
    33694ARepair of heart defects35.47NANA10.1613.215.26NANA50.8953.94090
    33697ARepair of heart defects37.47NANA21.6616.574.08NANA63.2158.12090
    33702ARepair of heart defects27.07NANA11.4812.293.67NANA42.2243.03090
    33710ARepair of heart defects30.24NANA11.6913.394.42NANA46.3548.05090
    33720ARepair of heart defect27.09NANA11.1712.003.83NANA42.0942.92090
    33722ARepair of heart defect29.01NANA8.7512.581.30NANA39.0642.89090
    33730ARepair heart-vein defect(s)35.97NANA13.3513.935.01NANA54.3354.91090
    33732ARepair heart-vein defect28.76NANA14.7513.723.67NANA47.1846.15090
    33735ARevision of heart chamber22.00NANA9.509.091.91NANA33.4133.00090
    33736ARevision of heart chamber24.12NANA10.8011.593.08NANA38.0038.79090
    33737ARevision of heart chamber22.30NANA7.6210.103.24NANA33.1635.64090
    33750AMajor vessel shunt22.02NANA11.3010.481.16NANA34.4833.66090
    33755AMajor vessel shunt22.40NANA7.878.573.25NANA33.5234.22090
    33762AMajor vessel shunt22.40NANA7.219.423.13NANA32.7434.95090
    33764AMajor vessel shunt & graft22.40NANA9.299.993.00NANA34.6935.39090
    33766AMajor vessel shunt23.37NANA8.5810.903.69NANA35.6437.96090
    33767AMajor vessel shunt25.10NANA9.4711.163.81NANA38.3840.07090
    33768ACavopulmonary shunting8.00NANA2.222.551.19NANA11.4111.74ZZZ
    33770ARepair great vessels defect39.00NANA10.6713.685.72NANA55.3958.40090
    33771ARepair great vessels defect40.56NANA10.6511.955.66NANA56.8758.17090
    33774ARepair great vessels defect31.48NANA12.4514.114.80NANA48.7350.39090
    33775ARepair great vessels defect32.79NANA10.2113.804.98NANA47.9851.57090
    33776ARepair great vessels defect34.45NANA13.3915.205.07NANA52.9154.72090
    33777ARepair great vessels defect33.87NANA10.0214.215.47NANA49.3653.55090
    33778ARepair great vessels defect42.58NANA15.2616.486.18NANA64.0265.24090
    33779ARepair great vessels defect43.13NANA11.4814.402.91NANA57.5260.44090
    33780ARepair great vessels defect43.83NANA11.7917.263.67NANA59.2964.76090
    33781ARepair great vessels defect43.14NANA14.1813.545.95NANA63.2762.63090
    33786ARepair arterial trunk41.70NANA11.5315.425.69NANA58.9262.81090
    33788ARevision of pulmonary artery27.22NANA9.6911.394.02NANA40.9342.63090
    33800AAortic suspension17.21NANA7.327.912.45NANA26.9827.57090
    33802ARepair vessel defect18.20NANA7.508.792.26NANA27.9629.25090
    33803ARepair vessel defect20.14NANA7.959.313.19NANA31.2832.64090
    33813ARepair septal defect21.19NANA9.0010.433.12NANA33.3134.74090
    33814ARepair septal defect26.37NANA10.4812.103.84NANA40.6942.31090
    33820ARevise major vessel16.59NANA8.398.372.34NANA27.3227.30090
    33822ARevise major vessel17.61NANA6.008.212.67NANA26.2828.49090
    33824ARevise major vessel20.06NANA8.629.642.88NANA31.5632.58090
    33840ARemove aorta constriction21.17NANA8.999.972.15NANA32.3133.29090
    33845ARemove aorta constriction22.73NANA9.6410.923.21NANA35.5836.86090
    33851ARemove aorta constriction21.81NANA9.1710.303.17NANA34.1535.28090
    33852ARepair septal defect24.24NANA9.9011.002.15NANA36.2937.39090
    33853ARepair septal defect32.31NANA13.0314.374.47NANA49.8151.15090
    33860AAscending aortic graft43.13NANA15.7316.275.74NANA64.6065.14090
    33861AAscending aortic graft43.88NANA16.1217.316.35NANA66.3567.54090
    33863AAscending aortic graft48.52NANA17.6918.446.57NANA72.7873.53090
    33870ATransverse aortic arch graft45.87NANA16.6717.956.60NANA69.1470.42090
    Start Printed Page 49129
    33875AThoracic aortic graft35.64NANA13.1613.864.88NANA53.6854.38090
    33877AThoracoabdominal graft57.75NANA18.8316.945.92NANA82.5080.61090
    33880AEndovasc taa repr incl subcl34.44NANA10.5912.752.74NANA47.7749.93090
    33881AEndovasc taa repr w/o subcl29.44NANA9.3511.312.32NANA41.1143.07090
    33883AInsert endovasc prosth, taa20.95NANA7.018.642.10NANA30.0631.69090
    33884AEndovasc prosth, taa, add-on8.20NANA2.012.430.86NANA11.0711.49ZZZ
    33886AEndovasc prosth, delayed17.95NANA6.257.741.79NANA25.9927.48090
    33889AArtery transpose/endovas taa15.92NANA4.174.922.17NANA22.2623.01000
    33891ACar-car bp grft/endovas taa20.00NANA6.456.832.72NANA29.1729.55000
    33910ARemove lung artery emboli29.56NANA11.3411.413.69NANA44.5944.66090
    33915ARemove lung artery emboli24.80NANA10.049.731.44NANA36.2835.97090
    33916ASurgery of great vessel28.27NANA10.9211.243.66NANA42.8543.17090
    33917ARepair pulmonary artery25.10NANA10.4311.743.69NANA39.2240.53090
    33920ARepair pulmonary atresia32.54NANA11.3913.214.37NANA48.3050.12090
    33922ATransect pulmonary artery24.05NANA11.4411.043.09NANA38.5838.18090
    33924ARemove pulmonary shunt5.49NANA2.121.910.82NANA8.438.22ZZZ
    33925ARpr pul art unifocal w/o cpb31.23NANA10.2113.554.60NANA46.0449.38090
    33926ARepr pul art, unifocal w/cpb44.66NANA14.3816.866.20NANA65.2467.72090
    33933CPrepare donor heart/lung0.000.000.000.000.000.000.000.000.000.00XXX
    33935RTransplantation, heart/lung61.56NANA23.3727.429.03NANA93.9698.01090
    33944CPrepare donor heart0.000.000.000.000.000.000.000.000.000.00XXX
    33945RTransplantation of heart50.14NANA19.0120.806.24NANA75.3977.18090
    33960AExternal circulation assist19.33NANA5.605.082.66NANA27.5927.07000
    33961AExternal circulation assist10.91NANA2.913.440.88NANA14.7015.23ZZZ
    33967AInsert ia percut device4.84NANA2.441.990.35NANA7.637.18000
    33968ARemove aortic assist device0.64NANA0.270.240.07NANA0.980.95000
    33970AAortic circulation assist6.74NANA2.542.350.82NANA10.109.91000
    33971AAortic circulation assist11.89NANA6.096.021.25NANA19.2319.16090
    33973AInsert balloon device9.75NANA3.883.451.26NANA14.8914.46000
    33974ARemove intra-aortic balloon14.89NANA7.797.861.73NANA24.4124.48090
    33975AImplant ventricular device20.97NANA6.636.373.06NANA30.6630.40XXX
    33976AImplant ventricular device22.97NANA7.927.643.25NANA34.1433.86XXX
    33977ARemove ventricular device19.99NANA9.3710.652.80NANA32.1633.44090
    33978ARemove ventricular device22.43NANA10.5211.443.30NANA36.2537.17090
    33979AInsert intracorporeal device45.93NANA14.3814.796.95NANA67.2667.67XXX
    33980ARemove intracorporeal device64.76NANA25.0925.208.56NANA98.4198.52090
    33999CCardiac surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    34001ARemoval of artery clot17.74NANA6.686.701.84NANA26.2626.28090
    34051ARemoval of artery clot16.86NANA6.937.572.20NANA25.9926.63090
    34101ARemoval of artery clot10.81NANA4.445.121.41NANA16.6617.34090
    34111ARemoval of arm artery clot10.81NANA4.505.141.40NANA16.7117.35090
    34151ARemoval of artery clot26.35NANA8.8710.023.55NANA38.7739.92090
    34201ARemoval of artery clot18.40NANA6.575.701.45NANA26.4225.55090
    34203ARemoval of leg artery clot17.67NANA6.577.692.35NANA26.5927.71090
    34401ARemoval of vein clot26.35NANA9.6410.413.09NANA39.0839.85090
    34421ARemoval of vein clot13.25NANA5.366.061.55NANA20.1620.86090
    34451ARemoval of vein clot28.35NANA9.7111.013.83NANA41.8943.19090
    34471ARemoval of vein clot20.94NANA7.735.911.18NANA29.8528.03090
    34490ARemoval of vein clot10.79NANA4.545.201.41NANA16.7417.40090
    34501ARepair valve, femoral vein16.68NANA6.968.112.34NANA25.9827.13090
    34502AReconstruct vena cava27.80NANA10.7811.913.62NANA42.2043.33090
    34510ATransposition of vein valve19.74NANA7.258.872.32NANA29.3130.93090
    34520ACross-over vein graft18.99NANA9.198.642.28NANA30.4629.91090
    34530ALeg vein fusion17.69NANA7.888.431.73NANA27.3027.85090
    34800AEndovas aaa repr w/sm tube21.42NANA7.498.742.45NANA31.3632.61090
    34802AEndovas aaa repr w/2-p part23.67NANA8.329.422.32NANA34.3135.41090
    34803AEndovas aaa repr w/3-p part24.70NANA8.259.722.00NANA34.9536.42090
    34804AEndovas aaa repr w/1-p part23.67NANA8.189.402.29NANA34.1435.36090
    34805AEndovas aaa repr w/long tube22.55NANA7.349.072.00NANA31.8933.62090
    34808AEndovas iliac a device addon4.12NANA1.111.310.59NANA5.826.02ZZZ
    34812AXpose for endoprosth, femorl6.74NANA1.732.111.18NANA9.6510.03000
    34813AFemoral endovas graft add-on4.79NANA1.211.480.67NANA6.676.94ZZZ
    34820AXpose for endoprosth, iliac9.74NANA2.473.041.50NANA13.7114.28000
    34825AEndovasc extend prosth, init12.68NANA5.235.911.28NANA19.1919.87090
    34826AEndovasc exten prosth, addIl4.12NANA1.161.320.44NANA5.725.88ZZZ
    34830AOpen aortic tube prosth repr35.04NANA10.8212.974.54NANA50.4052.55090
    Start Printed Page 49130
    34831AOpen aortoiliac prosth repr37.79NANA12.1511.844.88NANA54.8254.51090
    34832AOpen aortofemor prosth repr37.79NANA11.6813.894.84NANA54.3156.52090
    34833AXpose for endoprosth, iliac11.98NANA3.324.151.69NANA16.9917.82000
    34834AXpose, endoprosth, brachial5.34NANA1.622.050.76NANA7.728.15000
    34900AEndovasc iliac repr w/graft16.73NANA6.347.271.99NANA25.0625.99090
    35001ARepair defect of artery20.63NANA7.649.072.80NANA31.0732.50090
    35002ARepair artery rupture, neck22.05NANA7.829.222.99NANA32.8634.26090
    35005ARepair defect of artery19.11NANA8.148.671.76NANA29.0129.54090
    35011ARepair defect of artery18.46NANA6.437.592.54NANA27.4328.59090
    35013ARepair artery rupture, arm23.04NANA7.969.243.09NANA34.0935.37090
    35021ARepair defect of artery22.04NANA8.709.232.86NANA33.6034.13090
    35022ARepair artery rupture, chest25.57NANA9.509.763.16NANA38.2338.49090
    35045ARepair defect of arm artery17.91NANA6.427.232.44NANA26.7727.58090
    35081ARepair defect of artery33.31NANA11.1011.374.00NANA48.4148.68090
    35082ARepair artery rupture, aorta41.87NANA13.1914.775.42NANA60.4862.06090
    35091ARepair defect of artery35.35NANA10.4612.795.12NANA50.9353.26090
    35092ARepair artery rupture, aorta50.75NANA15.0917.006.38NANA72.2274.13090
    35102ARepair defect of artery36.31NANA11.6812.184.47NANA52.4652.96090
    35103ARepair artery rupture, groin43.43NANA13.3115.215.74NANA62.4864.38090
    35111ARepair defect of artery26.11NANA8.6210.003.46NANA38.1939.57090
    35112ARepair artery rupture,spleen32.38NANA10.5311.604.07NANA46.9848.05090
    35121ARepair defect of artery31.35NANA10.5111.904.29NANA46.1547.54090
    35122ARepair artery rupture, belly37.70NANA12.1713.394.74NANA54.6155.83090
    35131ARepair defect of artery26.23NANA8.9210.293.79NANA38.9440.31090
    35132ARepair artery rupture, groin32.38NANA10.3311.864.29NANA47.0048.53090
    35141ARepair defect of artery20.79NANA7.158.472.89NANA30.8332.15090
    35142ARepair artery rupture, thigh24.97NANA8.469.893.35NANA36.7838.21090
    35151ARepair defect of artery23.55NANA7.969.483.23NANA34.7436.26090
    35152ARepair artery rupture, knee27.47NANA9.1510.823.60NANA40.2241.89090
    35180ARepair blood vessel lesion14.95NANA6.156.741.00NANA22.1022.69090
    35182ARepair blood vessel lesion31.52NANA11.8212.554.35NANA47.6948.42090
    35184ARepair blood vessel lesion18.67NANA6.967.962.52NANA28.1529.15090
    35188ARepair blood vessel lesion14.98NANA6.237.282.15NANA23.3624.41090
    35189ARepair blood vessel lesion29.79NANA10.1511.504.00NANA43.9445.29090
    35190ARepair blood vessel lesion13.27NANA5.346.191.79NANA20.4021.25090
    35201ARepair blood vessel lesion16.78NANA6.457.612.33NANA25.5626.72090
    35206ARepair blood vessel lesion13.72NANA5.426.271.86NANA21.0021.85090
    35207ARepair blood vessel lesion10.79NANA6.607.161.48NANA18.8719.43090
    35211ARepair blood vessel lesion24.45NANA10.1110.493.19NANA37.7538.13090
    35216ARepair blood vessel lesion36.43NANA13.9010.202.64NANA52.9749.27090
    35221ARepair blood vessel lesion26.50NANA8.599.603.36NANA38.4539.46090
    35226ARepair blood vessel lesion15.18NANA5.917.052.01NANA23.1024.24090
    35231ARepair blood vessel lesion21.04NANA7.709.252.88NANA31.6233.17090
    35236ARepair blood vessel lesion17.90NANA6.507.542.42NANA26.8227.86090
    35241ARepair blood vessel lesion25.45NANA9.9710.833.52NANA38.9439.80090
    35246ARepair blood vessel lesion28.11NANA11.9511.553.85NANA43.9143.51090
    35251ARepair blood vessel lesion31.79NANA9.8311.304.12NANA45.7447.21090
    35256ARepair blood vessel lesion18.94NANA6.657.932.62NANA28.2129.49090
    35261ARepair blood vessel lesion18.84NANA7.267.822.60NANA28.7029.26090
    35266ARepair blood vessel lesion15.71NANA5.726.682.09NANA23.5224.48090
    35271ARepair blood vessel lesion24.45NANA9.6910.313.15NANA37.2937.91090
    35276ARepair blood vessel lesion25.67NANA9.6610.823.48NANA38.8139.97090
    35281ARepair blood vessel lesion29.87NANA9.8111.233.96NANA43.6445.06090
    35286ARepair blood vessel lesion17.00NANA6.477.662.34NANA25.8127.00090
    35301ARechanneling of artery19.49NANA6.908.052.67NANA29.0630.21090
    35311ARechanneling of artery28.48NANA9.6911.233.41NANA41.5843.12090
    Start Printed Page 49131
    35321ARechanneling of artery16.47NANA6.007.042.24NANA24.7125.75090
    35331ARechanneling of artery27.55NANA9.0410.683.82NANA40.4142.05090
    35341ARechanneling of artery26.03NANA8.5810.293.77NANA38.3840.09090
    35351ARechanneling of artery24.49NANA7.989.193.34NANA35.8137.02090
    35355ARechanneling of artery19.74NANA6.577.702.66NANA28.9730.10090
    35361ARechanneling of artery30.05NANA9.7511.214.14NANA43.9445.40090
    35363ARechanneling of artery32.16NANA10.6012.094.32NANA47.0848.57090
    35371ARechanneling of artery15.19NANA5.516.592.13NANA22.8323.91090
    35372ARechanneling of artery18.46NANA6.337.612.62NANA27.4128.69090
    35381ARechanneling of artery16.63NANA6.337.442.25NANA25.2126.32090
    35390AReoperation, carotid add-on3.19NANA0.851.010.46NANA4.504.66ZZZ
    35400AAngioscopy3.00NANA0.751.020.43NANA4.184.45ZZZ
    35450ARepair arterial blockage10.05NANA3.223.481.25NANA14.5214.78000
    35452ARepair arterial blockage6.90NANA2.122.480.94NANA9.9610.32000
    35454ARepair arterial blockage6.03NANA1.832.190.87NANA8.739.09000
    35456ARepair arterial blockage7.34NANA2.302.651.04NANA10.6811.03000
    35458ARepair arterial blockage9.48NANA2.913.331.26NANA13.6514.07000
    35459ARepair arterial blockage8.62NANA2.533.011.21NANA12.3612.84000
    35460ARepair venous blockage6.03NANA1.792.150.83NANA8.659.01000
    35470ARepair arterial blockage8.6262.1182.173.473.380.6971.4291.4812.7812.69000
    35471ARepair arterial blockage10.0566.9791.944.704.140.6777.69102.715.4214.86000
    35472ARepair arterial blockage6.9048.3460.352.812.760.5855.8267.8310.2910.24000
    35473ARepair arterial blockage6.0347.2356.692.512.440.5153.7763.239.058.98000
    35474ARepair arterial blockage7.3561.2481.113.002.920.5769.1689.0310.9210.84000
    35475RRepair arterial blockage9.4849.2654.393.403.520.6259.3664.4913.5013.62000
    35476ARepair venous blockage6.0337.4342.912.132.300.3443.8049.288.508.67000
    35480AAtherectomy, open11.06NANA3.964.021.28NANA16.3016.36000
    35481AAtherectomy, open7.60NANA2.502.781.13NANA11.2311.51000
    35482AAtherectomy, open6.64NANA2.132.450.89NANA9.669.98000
    35483AAtherectomy, open8.09NANA2.792.961.15NANA12.0312.20000
    35484AAtherectomy, open10.42NANA3.083.601.27NANA14.7715.29000
    35485AAtherectomy, open9.48NANA3.003.401.35NANA13.8314.23000
    35490AAtherectomy, percutaneous11.06NANA6.275.090.71NANA18.0416.86000
    35491AAtherectomy, percutaneous7.60NANA3.973.460.74NANA12.3111.80000
    35492AAtherectomy, percutaneous6.64NANA3.633.300.43NANA10.7010.37000
    35493AAtherectomy, percutaneous8.09NANA4.153.890.56NANA12.8012.54000
    35494AAtherectomy, percutaneous10.42NANA5.234.650.59NANA16.2415.66000
    35495AAtherectomy, percutaneous9.48NANA4.644.450.69NANA14.8114.62000
    35500AHarvest vein for bypass6.44NANA1.691.940.93NANA9.069.31ZZZ
    35501AArtery bypass graft19.70NANA7.298.172.80NANA29.7930.67090
    35506AArtery bypass graft25.19NANA8.489.222.86NANA36.5337.27090
    35507AArtery bypass graft20.60NANA7.548.952.84NANA30.9832.39090
    35508AArtery bypass graft25.95NANA9.159.372.77NANA37.8738.09090
    35509AArtery bypass graft18.94NANA6.788.272.61NANA28.3329.82090
    35510AArtery bypass graft24.25NANA7.809.582.11NANA34.1635.94090
    35511AArtery bypass graft22.08NANA7.338.852.90NANA32.3133.83090
    35512AArtery bypass graft23.75NANA7.539.382.11NANA33.3935.24090
    35515AArtery bypass graft25.95NANA8.459.072.77NANA37.1737.79090
    35516AArtery bypass graft24.07NANA7.807.052.33NANA34.2033.45090
    35518AArtery bypass graft22.53NANA7.548.613.02NANA33.0934.16090
    35521AArtery bypass graft23.94NANA8.159.413.12NANA35.2136.47090
    35522AArtery bypass graft23.01NANA7.519.192.11NANA32.6334.31090
    35525AArtery bypass graft21.55NANA7.198.832.11NANA30.8532.49090
    35526AArtery bypass graft31.43NANA18.2213.933.62NANA53.2748.98090
    35531AArtery bypass graft38.92NANA11.9513.845.16NANA56.0357.92090
    35533AArtery bypass graft29.73NANA9.9911.293.84NANA43.5644.86090
    35536AArtery bypass graft33.54NANA10.6912.384.61NANA48.8450.53090
    35541AArtery bypass graft26.90NANA9.2610.723.70NANA39.8641.32090
    35546AArtery bypass graft26.40NANA9.0710.413.69NANA39.1640.50090
    35548AArtery bypass graft22.50NANA7.979.062.97NANA33.4434.53090
    35549AArtery bypass graft24.27NANA9.1810.073.29NANA36.7437.63090
    35551AArtery bypass graft27.65NANA9.9011.093.74NANA41.2942.48090
    35556AArtery bypass graft26.56NANA8.939.523.09NANA38.5839.17090
    35558AArtery bypass graft22.94NANA8.099.182.99NANA34.0235.11090
    35560AArtery bypass graft33.84NANA10.7912.684.74NANA49.3751.26090
    35563AArtery bypass graft25.93NANA8.6210.053.51NANA38.0639.49090
    Start Printed Page 49132
    35565AArtery bypass graft24.94NANA8.519.733.29NANA36.7437.96090
    35566AArtery bypass graft32.16NANA10.2011.093.82NANA46.1847.07090
    35571AArtery bypass graft25.33NANA8.4510.243.42NANA37.2038.99090
    35572AHarvest femoropopliteal vein6.81NANA1.882.150.99NANA9.689.95ZZZ
    35583AVein bypass graft27.56NANA9.019.873.16NANA39.7340.59090
    35585AVein bypass graft32.16NANA10.1511.704.01NANA46.3247.87090
    35587AVein bypass graft26.02NANA8.6910.763.51NANA38.2240.29090
    35600AHarvest artery for cabg4.94NANA1.541.600.73NANA7.217.27ZZZ
    35601AArtery bypass graft18.31NANA6.638.122.49NANA27.4328.92090
    35606AArtery bypass graft22.32NANA7.688.682.69NANA32.6933.69090
    35612AArtery bypass graft16.64NANA6.407.512.08NANA25.1226.23090
    35616AArtery bypass graft21.70NANA7.147.862.19NANA31.0331.75090
    35621AArtery bypass graft20.91NANA7.048.262.91NANA30.8632.08090
    35623ABypass graft, not vein25.73NANA8.6510.033.45NANA37.8339.21090
    35626AArtery bypass graft29.02NANA10.2511.544.07NANA43.3444.63090
    35631AArtery bypass graft35.84NANA11.0413.134.95NANA51.8353.92090
    35636AArtery bypass graft31.56NANA9.9411.704.09NANA45.5947.35090
    35641AArtery bypass graft26.24NANA9.2310.603.53NANA39.0040.37090
    35642AArtery bypass graft18.79NANA7.708.442.27NANA28.7629.50090
    35645AArtery bypass graft18.28NANA7.328.032.49NANA28.0928.80090
    35646AArtery bypass graft32.78NANA10.7812.524.43NANA47.9949.73090
    35647AArtery bypass graft29.56NANA9.7911.283.98NANA43.3344.82090
    35650AArtery bypass graft20.04NANA6.807.972.71NANA29.5530.72090
    35651AArtery bypass graft25.90NANA8.8410.253.35NANA38.0939.50090
    35654AArtery bypass graft26.11NANA8.5910.143.52NANA38.2239.77090
    35656AArtery bypass graft20.35NANA7.058.212.79NANA30.1931.35090
    35661AArtery bypass graft20.16NANA7.308.522.71NANA30.1731.39090
    35663AArtery bypass graft23.74NANA8.139.513.10NANA34.9736.35090
    35665AArtery bypass graft22.16NANA7.658.993.00NANA32.8134.15090
    35666AArtery bypass graft23.47NANA8.7810.183.15NANA35.4036.80090
    35671AArtery bypass graft20.58NANA7.989.022.77NANA31.3332.37090
    35681AComposite bypass graft1.60NANA0.420.500.23NANA2.252.33ZZZ
    35682AComposite bypass graft7.19NANA1.782.231.03NANA10.0010.45ZZZ
    35683AComposite bypass graft8.49NANA2.122.651.20NANA11.8112.34ZZZ
    35685ABypass graft patency/patch4.04NANA1.011.270.58NANA5.635.89ZZZ
    35686ABypass graft/av fist patency3.34NANA0.851.060.47NANA4.664.87ZZZ
    35691AArterial transposition18.26NANA6.337.882.58NANA27.1728.72090
    35693AArterial transposition15.58NANA6.097.312.21NANA23.8825.10090
    35694AArterial transposition19.13NANA6.598.102.69NANA28.4129.92090
    35695AArterial transposition19.91NANA6.648.072.73NANA29.2830.71090
    35697AReimplant artery each3.00NANA0.770.960.41NANA4.184.37ZZZ
    35700AReoperation, bypass graft3.08NANA0.800.970.44NANA4.324.49ZZZ
    35701AExploration, carotid artery9.07NANA4.264.931.12NANA14.4515.12090
    35721AExploration, femoral artery7.62NANA3.764.261.03NANA12.4112.91090
    35741AExploration popliteal artery8.57NANA3.984.491.12NANA13.6714.18090
    35761AExploration of artery/vein5.78NANA3.493.880.75NANA10.0210.41090
    35800AExplore neck vessels7.94NANA3.964.480.95NANA12.8513.37090
    35820AExplore chest vessels30.08NANA11.178.191.94NANA43.1940.21090
    35840AExplore abdominal vessels10.81NANA4.895.181.34NANA17.0417.33090
    35860AExplore limb vessels6.67NANA3.493.900.78NANA10.9411.35090
    35870ARepair vessel graft defect24.32NANA8.259.383.00NANA35.5736.70090
    35875ARemoval of clot in graft10.60NANA4.434.991.41NANA16.4417.00090
    35876ARemoval of clot in graft17.70NANA6.167.172.39NANA26.2527.26090
    35879ARevise graft w/vein17.24NANA6.177.312.27NANA25.6826.82090
    35881ARevise graft w/vein19.16NANA6.728.182.55NANA28.4329.89090
    35901AExcision, graft, neck8.18NANA4.325.061.15NANA13.6514.39090
    Start Printed Page 49133
    35903AExcision, graft, extremity9.38NANA4.725.791.30NANA15.4016.47090
    35905AExcision, graft, thorax33.33NANA10.7612.584.43NANA48.5250.34090
    35907AExcision, graft, abdomen37.08NANA11.3513.464.91NANA53.3455.45090
    36000APlace needle in vein0.180.460.540.060.050.010.650.730.250.24XXX
    36002APseudoaneurysm injection trt1.962.232.700.820.930.174.364.832.953.06000
    36005AInjection ext venography0.958.547.870.370.330.059.548.871.371.33000
    36010APlace catheter in vein2.4311.2317.280.750.780.2013.8619.913.383.41XXX
    36011APlace catheter in vein3.1419.7025.790.971.040.2723.1129.204.384.45XXX
    36012APlace catheter in vein3.5120.4619.331.201.190.2324.2023.074.944.93XXX
    36013APlace catheter in artery2.5219.3620.860.960.760.2522.1323.633.733.53XXX
    36014APlace catheter in artery3.0219.1619.881.031.030.1922.3723.094.244.24XXX
    36015APlace catheter in artery3.5118.2322.300.941.130.2121.9526.024.664.85XXX
    36100AEstablish access to artery3.0211.3011.881.201.130.2614.5815.164.484.41XXX
    36120AEstablish access to artery2.019.3510.360.580.630.1411.5012.512.732.78XXX
    36140AEstablish access to artery2.0110.5512.220.700.660.1612.7214.392.872.83XXX
    36145AArtery to vein shunt2.0110.3612.000.620.650.1112.4814.122.742.77XXX
    36160AEstablish access to aorta2.5211.8813.080.760.820.2614.6615.863.543.60XXX
    36200APlace catheter in aorta3.0213.7615.821.001.010.2417.0219.084.264.27XXX
    36215APlace catheter in artery4.6726.1026.801.831.670.2731.0431.746.776.61XXX
    36216APlace catheter in artery5.2728.1128.841.991.840.3133.6934.427.577.42XXX
    36217APlace catheter in artery6.2946.2953.152.302.200.4453.0259.889.038.93XXX
    36218APlace catheter in artery1.013.784.760.360.350.074.865.841.441.43ZZZ
    36245APlace catheter in artery4.6729.0931.342.091.780.3134.0736.327.076.76XXX
    36246APlace catheter in artery5.2727.7529.411.961.860.3833.4035.067.617.51XXX
    36247APlace catheter in artery6.2945.7748.582.342.190.4752.5355.349.108.95XXX
    36248APlace catheter in artery1.013.213.830.370.350.074.294.911.451.43ZZZ
    36260AInsertion of infusion pump9.76NANA4.864.881.29NANA15.9115.93090
    36261ARevision of infusion pump5.50NANA3.253.560.70NANA9.459.76090
    36262ARemoval of infusion pump4.01NANA2.692.740.54NANA7.247.29090
    36299CVessel injection procedure0.000.000.000.000.000.000.000.000.000.00YYY
    36400ABl draw < 3 yrs fem/jugular0.380.330.290.110.100.030.740.700.520.51XXX
    36405ABl draw < 3 yrs scalp vein0.310.290.270.080.080.030.630.610.420.42XXX
    36406ABl draw < 3 yrs other vein0.180.300.290.080.060.010.490.480.270.25XXX
    36410ANon-routine bl draw > 3 yrs0.180.320.300.050.050.010.510.490.240.24XXX
    36420AVein access cutdown < 1 yr1.01NANA0.210.260.07NANA1.291.34XXX
    36425AVein access cutdown > 1 yr0.76NANA0.220.220.06NANA1.041.04XXX
    36430ABlood transfusion service0.000.930.990.000.760.060.991.050.060.82XXX
    36440ABl push transfuse, 2 yr or <1.03NANA0.430.330.10NANA1.561.46XXX
    36450ABl exchange/transfuse, nb2.23NANA0.780.730.21NANA3.223.17XXX
    36455ABl exchange/transfuse non-nb2.43NANA0.740.940.15NANA3.323.52XXX
    36460ATransfusion service, fetal6.58NANA1.702.110.79NANA9.079.48XXX
    36470AInjection therapy of vein1.092.462.630.660.710.123.673.841.871.92010
    36471AInjection therapy of veins1.572.582.950.800.920.194.344.712.562.68010
    36475AEndovenous rf, 1st vein6.7236.9047.771.972.390.3743.9954.869.069.48000
    36476AEndovenous rf, vein add-on3.386.047.420.891.080.189.6010.984.454.64ZZZ
    36478AEndovenous laser, 1st vein6.7233.7943.532.082.420.3740.8850.629.179.51000
    36479AEndovenous laser vein addon3.386.557.631.011.110.1810.1111.194.574.67ZZZ
    36481AInsertion of catheter, vein6.98NANA2.142.480.55NANA9.6710.01000
    36500AInsertion of catheter, vein3.51NANA1.251.340.20NANA4.965.05000
    36510AInsertion of catheter, vein1.091.093.190.310.540.102.284.381.501.73000
    36511AApheresis wbc1.74NANA0.580.690.08NANA2.402.51000
    36512AApheresis rbc1.74NANA0.610.710.08NANA2.432.53000
    36513AApheresis platelets1.74NANA0.520.680.17NANA2.432.59000
    36514AApheresis plasma1.7410.5415.360.530.670.0812.3617.182.352.49000
    36515AApheresis, adsorp/reinfuse1.7445.3161.050.510.620.0847.1362.872.332.44000
    36516AApheresis, selective1.2249.9075.510.380.460.0851.2076.811.681.76000
    36522APhotopheresis1.6735.0233.030.850.930.1336.8234.832.652.73000
    36550ADeclot vascular device0.000.330.380.060.310.370.700.750.430.68XXX
    36555AInsert non-tunnel cv cath2.684.165.350.620.760.116.958.143.413.55000
    36556AInsert non-tunnel cv cath2.502.914.940.570.700.195.607.633.263.39000
    36557AInsert tunneled cv cath5.0914.9619.602.372.580.5720.6225.268.038.24010
    36558AInsert tunneled cv cath4.7915.0019.532.302.490.5720.3624.897.667.85010
    36560AInsert tunneled cv cath6.2421.2227.562.552.910.5728.0334.379.369.72010
    36561AInsert tunneled cv cath5.9922.4827.812.612.870.5729.0434.379.179.43010
    36563AInsert tunneled cv cath6.1923.2525.872.622.890.8430.2832.909.659.92010
    36565AInsert tunneled cv cath5.9917.8322.982.512.840.5724.3929.549.079.40010
    Start Printed Page 49134
    36566AInsert tunneled cv cath6.49114.7147.802.673.000.57121.7754.869.7310.06010
    36568AInsert picc cath1.925.737.080.570.580.117.769.112.602.61000
    36569AInsert picc cath1.824.466.620.610.580.196.478.632.622.59000
    36570AInsert picvad cath5.3123.1930.682.342.630.5729.0736.568.228.51010
    36571AInsert picvad cath5.2925.0431.192.422.640.5730.9037.058.288.50010
    36575ARepair tunneled cv cath0.673.333.870.230.250.204.204.741.101.12000
    36576ARepair tunneled cv cath3.195.886.681.551.770.199.2610.064.935.15010
    36578AReplace tunneled cv cath3.499.1110.631.912.200.1912.7914.315.595.88010
    36580AReplace cvad cath1.313.996.200.410.410.195.497.701.911.91000
    36581AReplace tunneled cv cath3.4315.6418.531.661.860.1919.2622.155.285.48010
    36582AReplace tunneled cv cath5.1920.7924.712.292.720.1926.1730.097.678.10010
    36583AReplace tunneled cv cath5.2421.0024.772.412.760.1926.4330.207.848.19010
    36584AReplace picc cath1.203.976.220.570.560.195.367.611.961.95000
    36585AReplace picvad cath4.7922.7526.552.302.620.1927.7331.537.287.60010
    36589ARemoval tunneled cv cath2.271.862.151.221.350.244.374.663.733.86010
    36590ARemoval tunneled cv cath3.303.643.441.591.690.447.387.185.335.43010
    36595AMech remov tunneled cv cath3.5910.8515.651.311.420.2114.6519.455.115.22000
    36596AMech remov tunneled cv cath0.752.593.420.420.480.053.394.221.221.28000
    36597AReposition venous catheter1.212.022.310.420.440.073.303.591.701.72000
    36598TInj w/fluor, eval cv device0.742.252.540.262.050.053.043.331.052.84000
    36600AWithdrawal of arterial blood0.320.500.490.080.090.020.840.830.420.43XXX
    36620AInsertion catheter, artery1.15NANA0.170.220.07NANA1.391.44000
    36625AInsertion catheter, artery2.11NANA0.490.520.26NANA2.862.89000
    36640AInsertion catheter, artery2.10NANA0.911.010.21NANA3.223.32000
    36660AInsertion catheter, artery1.40NANA0.200.380.14NANA1.741.92000
    36680AInsert needle, bone cavity1.20NANA0.330.450.11NANA1.641.76000
    36800AInsertion of cannula2.43NANA1.551.740.25NANA4.234.42000
    36810AInsertion of cannula3.96NANA1.361.600.45NANA5.776.01000
    36815AInsertion of cannula2.62NANA1.041.140.35NANA4.014.11000
    36818AAv fuse, uppr arm, cephalic11.77NANA4.885.741.89NANA18.5419.40090
    36819AAv fuse, uppr arm, basilic14.35NANA5.266.091.95NANA21.5622.39090
    36820AAv fusion/forearm vein14.35NANA5.346.121.94NANA21.6322.41090
    36821AAv fusion direct any site9.10NANA4.044.501.23NANA14.3714.83090
    36822AInsertion of cannula(s)5.47NANA3.824.240.79NANA10.0810.50090
    36823AInsertion of cannula(s)22.74NANA8.919.262.88NANA34.5334.88090
    36825AArtery-vein autograft9.95NANA4.344.871.35NANA15.6416.17090
    36830AArtery-vein nonautograft11.98NANA4.254.991.66NANA17.8918.63090
    36831AOpen thrombect av fistula7.99NANA3.283.781.09NANA12.3612.86090
    36832AAv fistula revision, open10.48NANA3.874.511.44NANA15.7916.43090
    36833AAv fistula revision11.93NANA4.254.961.65NANA17.8318.54090
    36834ARepair A-V aneurysm11.07NANA4.354.681.37NANA16.7917.12090
    36835AArtery to vein shunt7.38NANA3.904.220.98NANA12.2612.58090
    36838ADist revas ligation, hemo21.55NANA7.148.823.01NANA31.7033.38090
    36860AExternal cannula declotting2.013.352.170.620.670.115.474.292.742.79000
    36861ACannula declotting2.52NANA1.251.430.27NANA4.044.22000
    36870APercut thrombect av fistula5.1541.1050.052.673.030.2946.5455.498.118.47090
    37140ARevision of circulation25.05NANA9.0410.122.01NANA36.1037.18090
    37145ARevision of circulation26.06NANA9.1010.423.25NANA38.4139.73090
    37160ARevision of circulation23.06NANA8.168.982.81NANA34.0334.85090
    37180ARevision of circulation26.06NANA9.009.973.34NANA38.4039.37090
    37181ASplice spleen/kidney veins28.19NANA9.3410.593.40NANA40.9242.17090
    37182AInsert hepatic shunt (tips)16.97NANA5.735.981.00NANA23.7023.95000
    37183ARemove hepatic shunt (tips)7.99NANA2.802.960.47NANA11.2611.42000
    37184APrim art mech thrombectomy8.6649.8666.233.003.260.5559.0775.4412.2112.47000
    37185APrim art m-thrombect add-on3.2816.2021.211.021.090.2119.6924.704.514.58ZZZ
    37186ASec art m-thrombect add-on4.9234.2145.601.531.630.3239.4550.846.776.87ZZZ
    Start Printed Page 49135
    37187AVenous mech thrombectomy8.0348.7164.812.813.060.5157.2573.3511.3511.60000
    37188AVenous m-thrombectomy add-on5.7142.5157.112.092.290.3748.5963.198.178.37000
    37195CThrombolytic therapy, stroke0.000.000.000.000.000.000.000.000.000.00XXX
    37200ATranscatheter biopsy4.55NANA1.491.500.27NANA6.316.32000
    37201ATranscatheter therapy infuse4.99NANA2.252.470.33NANA7.577.79000
    37202ATranscatheter therapy infuse5.67NANA3.403.120.43NANA9.509.22000
    37203ATranscatheter retrieval5.0230.3432.241.952.010.2935.6537.557.267.32000
    37204ATranscatheter occlusion18.11NANA5.795.871.48NANA25.3825.46000
    37205ATranscath iv stent, percut8.27NANA3.903.790.60NANA12.7712.66000
    37206ATranscath iv stent/perc addl4.12NANA1.591.470.31NANA6.025.90ZZZ
    37207ATranscath iv stent, open8.27NANA2.452.981.17NANA11.8912.42000
    37208ATranscath iv stent/open addl4.12NANA1.051.300.59NANA5.766.01ZZZ
    37209AChange iv cath at thromb tx2.27NANA0.730.740.15NANA3.153.16000
    37215RTranscath stent, cca w/eps19.54NANA10.129.351.09NANA30.7529.98090
    37216NTranscath stent, cca w/o eps18.81NANA8.748.791.04NANA28.5928.64090
    37250AIv us first vessel add-on2.10NANA0.810.770.21NANA3.123.08ZZZ
    37251AIv us each add vessel add-on1.60NANA0.520.540.19NANA2.312.33ZZZ
    37500AEndoscopy ligate perf veins11.48NANA5.466.501.54NANA18.4819.52090
    37501CVascular endoscopy procedure0.000.000.000.000.000.000.000.000.000.00YYY
    37565ALigation of neck vein11.93NANA5.105.491.33NANA18.3618.75090
    37600ALigation of neck artery12.30NANA4.806.171.41NANA18.5119.88090
    37605ALigation of neck artery14.16NANA5.576.571.98NANA21.7122.71090
    37606ALigation of neck artery8.66NANA4.874.641.23NANA14.7614.53090
    37607ALigation of a-v fistula6.15NANA3.113.450.85NANA10.1110.45090
    37609ATemporal artery procedure3.004.244.441.841.930.367.607.805.205.29010
    37615ALigation of neck artery7.67NANA3.984.080.68NANA12.3312.43090
    37616ALigation of chest artery18.84NANA7.948.052.32NANA29.1029.21090
    37617ALigation of abdomen artery23.67NANA7.928.862.97NANA34.5635.50090
    37618ALigation of extremity artery5.90NANA3.403.560.67NANA9.9710.13090
    37620ARevision of major vein11.44NANA5.245.590.91NANA17.5917.94090
    37650ARevision of major vein8.37NANA4.224.571.01NANA13.6013.95090
    37660ARevision of major vein22.16NANA8.138.822.48NANA32.7733.46090
    37700ARevise leg vein3.72NANA2.452.710.53NANA6.706.96090
    37718ALigate/strip short leg vein7.01NANA3.533.930.14NANA10.6811.08090
    37722ALigate/strip long leg vein8.04NANA3.804.260.86NANA12.7013.16090
    37735ARemoval of leg veins/lesion10.75NANA4.675.291.48NANA16.9017.52090
    37760ALigation, leg veins, open10.63NANA4.555.141.44NANA16.6217.21090
    37765APhleb veins—extrem—to 207.59NANA3.604.370.48NANA11.6712.44090
    37766APhleb veins—extrem 20+9.54NANA4.155.030.48NANA14.1715.05090
    37780ARevision of leg vein3.83NANA2.502.760.53NANA6.867.12090
    37785ALigate/divide/excise vein3.834.965.132.592.690.549.339.506.967.06090
    37788ARevascularization, penis23.13NANA11.959.802.25NANA37.3335.18090
    37790APenile venous occlusion8.33NANA5.094.550.59NANA14.0113.47090
    37799CVascular surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    38100ARemoval of spleen, total19.43NANA6.946.361.91NANA28.2827.70090
    38101ARemoval of spleen, partial19.43NANA7.366.732.04NANA28.8328.20090
    38102ARemoval of spleen, total4.79NANA1.271.550.63NANA6.696.97ZZZ
    38115ARepair of ruptured spleen21.76NANA7.596.882.08NANA31.4330.72090
    38120ALaparoscopy, splenectomy16.97NANA7.007.292.24NANA26.2126.50090
    38129CLaparoscope proc, spleen0.000.000.000.000.000.000.000.000.000.00YYY
    38200AInjection for spleen x-ray2.64NANA1.000.920.14NANA3.783.70000
    38205RHarvest allogenic stem cells1.50NANA0.540.640.07NANA2.112.21000
    38206RHarvest auto stem cells1.50NANA0.540.640.07NANA2.112.21000
    38220ABone marrow aspiration1.082.673.460.440.500.053.804.591.571.63XXX
    38221ABone marrow biopsy1.372.793.650.570.630.074.235.092.012.07XXX
    38230RBone marrow collection4.78NANA2.763.110.48NANA8.028.37010
    38240RBone marrow/stem transplant2.24NANA0.931.010.11NANA3.283.36XXX
    38241RBone marrow/stem transplant2.24NANA0.931.010.11NANA3.283.36XXX
    38242ALymphocyte infuse transplant1.71NANA0.690.760.08NANA2.482.55000
    38300ADrainage, lymph node lesion2.243.634.131.751.980.256.126.624.244.47010
    38305ADrainage, lymph node lesion6.49NANA3.424.190.88NANA10.7911.56090
    38308AIncision of lymph channels6.69NANA3.593.700.85NANA11.1311.24090
    38380AThoracic duct procedure8.26NANA4.645.420.74NANA13.6414.42090
    38381AThoracic duct procedure13.28NANA6.116.691.84NANA21.2321.81090
    38382AThoracic duct procedure10.42NANA5.475.681.37NANA17.2617.47090
    38500ABiopsy/removal, lymph nodes3.743.783.712.042.070.498.017.946.276.30010
    Start Printed Page 49136
    38505ANeedle biopsy, lymph nodes1.142.082.060.700.760.093.313.291.931.99000
    38510ABiopsy/removal, lymph nodes6.675.215.462.963.350.7212.6012.8510.3510.74010
    38520ABiopsy/removal, lymph nodes6.91NANA3.713.970.84NANA11.4611.72090
    38525ABiopsy/removal, lymph nodes6.31NANA3.503.340.80NANA10.6110.45090
    38530ABiopsy/removal, lymph nodes8.22NANA4.124.321.12NANA13.4613.66090
    38542AExplore deep node(s), neck6.02NANA3.734.290.60NANA10.3510.91090
    38550ARemoval, neck/armpit lesion6.91NANA4.243.990.88NANA12.0311.78090
    38555ARemoval, neck/armpit lesion15.31NANA7.258.211.75NANA24.3125.27090
    38562ARemoval, pelvic lymph nodes10.83NANA5.775.771.20NANA17.8017.80090
    38564ARemoval, abdomen lymph nodes11.23NANA5.255.241.32NANA17.8017.79090
    38570ALaparoscopy, lymph node biop9.24NANA3.983.971.13NANA14.3514.34010
    38571ALaparoscopy, lymphadenectomy14.66NANA6.865.951.15NANA22.6721.76010
    38572ALaparoscopy, lymphadenectomy16.82NANA6.166.841.90NANA24.8825.56010
    38589CLaparoscope proc, lymphatic0.000.000.000.000.000.000.000.000.000.00YYY
    38700ARemoval of lymph nodes, neck12.62NANA5.916.150.72NANA19.2519.49090
    38720ARemoval of lymph nodes, neck21.64NANA9.219.321.20NANA32.0532.16090
    38724ARemoval of lymph nodes, neck23.64NANA9.799.821.28NANA34.7134.74090
    38740ARemove armpit lymph nodes10.51NANA5.074.971.32NANA16.9016.80090
    38745ARemove armpit lymph nodes13.65NANA6.126.081.73NANA21.5021.46090
    38746ARemove thoracic lymph nodes4.88NANA1.451.570.72NANA7.057.17ZZZ
    38747ARemove abdominal lymph nodes4.88NANA1.281.570.64NANA6.807.09ZZZ
    38760ARemove groin lymph nodes13.43NANA6.016.091.71NANA21.1521.23090
    38765ARemove groin lymph nodes21.72NANA8.728.782.47NANA32.9132.97090
    38770ARemove pelvis lymph nodes13.93NANA6.916.031.40NANA22.2421.36090
    38780ARemove abdomen lymph nodes17.47NANA8.008.151.88NANA27.3527.50090
    38790AInject for lymphatic x-ray1.29NANA0.730.750.13NANA2.152.17000
    38792AIdentify sentinel node0.52NANA0.480.450.06NANA1.061.03000
    38794AAccess thoracic lymph duct4.44NANA3.043.350.32NANA7.808.11090
    38999CBlood/lymph system procedure0.000.000.000.000.000.000.000.000.000.00YYY
    39000AExploration of chest7.46NANA4.364.580.89NANA12.7112.93090
    39010AExploration of chest13.08NANA6.177.201.75NANA21.0022.03090
    39200ARemoval chest lesion15.02NANA6.297.222.02NANA23.3324.26090
    39220ARemoval chest lesion18.42NANA7.648.932.45NANA28.5129.80090
    39400AVisualization of chest5.97NANA3.624.540.82NANA10.4111.33010
    39499CChest procedure0.000.000.000.000.000.000.000.000.000.00YYY
    39501ARepair diaphragm laceration13.83NANA5.936.321.77NANA21.5321.92090
    39502ARepair paraesophageal hernia17.03NANA6.667.022.16NANA25.8526.21090
    39503ARepair of diaphragm hernia108.57NANA30.9532.7710.95NANA150.47152.29090
    39520ARepair of diaphragm hernia16.56NANA6.937.762.23NANA25.7226.55090
    39530ARepair of diaphragm hernia16.17NANA6.436.962.10NANA24.7025.23090
    39531ARepair of diaphragm hernia17.18NANA6.637.192.21NANA26.0226.58090
    39540ARepair of diaphragm hernia14.47NANA5.656.081.79NANA21.9122.34090
    39541ARepair of diaphragm hernia15.62NANA6.216.491.92NANA23.7524.03090
    39545ARevision of diaphragm14.52NANA7.237.461.83NANA23.5823.81090
    39560AResect diaphragm, simple12.91NANA5.586.111.59NANA20.0820.61090
    39561AResect diaphragm, complex19.69NANA9.429.352.44NANA31.5531.48090
    39599CDiaphragm surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    40490ABiopsy of lip1.222.021.730.550.600.053.293.001.821.87000
    40500APartial excision of lip4.277.657.084.184.290.3812.3011.738.838.94090
    40510APartial excision of lip4.696.526.593.483.880.4911.7011.778.669.06090
    40520APartial excision of lip4.666.797.353.684.000.5211.9712.538.869.18090
    40525AReconstruct lip with flap7.54NANA5.236.030.85NANA13.6214.42090
    40527AReconstruct lip with flap9.12NANA5.846.970.97NANA15.9317.06090
    40530APartial removal of lip5.397.287.684.074.450.5513.2213.6210.0110.39090
    40650ARepair lip3.635.916.573.123.250.389.9210.587.137.26090
    40652ARepair lip4.256.977.553.944.180.5211.7412.328.718.95090
    Start Printed Page 49137
    40654ARepair lip5.307.988.454.604.850.6013.8814.3510.5010.75090
    40700ARepair cleft lip/nasal13.89NANA9.139.090.95NANA23.9723.93090
    40701ARepair cleft lip/nasal16.95NANA11.1311.281.65NANA29.7329.88090
    40702ARepair cleft lip/nasal14.02NANA7.217.991.23NANA22.4623.24090
    40720ARepair cleft lip/nasal14.47NANA9.019.671.79NANA25.2725.93090
    40761ARepair cleft lip/nasal15.63NANA8.829.911.93NANA26.3827.47090
    40799CLip surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    40800ADrainage of mouth lesion1.173.843.181.881.800.135.144.483.183.10010
    40801ADrainage of mouth lesion2.534.854.232.552.690.317.697.075.395.53010
    40804ARemoval, foreign body, mouth1.243.633.451.751.830.114.984.803.103.18010
    40805ARemoval, foreign body, mouth2.695.044.622.562.750.328.057.635.575.76010
    40806AIncision of lip fold0.312.381.970.500.500.042.732.320.850.85000
    40808ABiopsy of mouth lesion0.963.512.871.571.500.104.573.932.632.56010
    40810AExcision of mouth lesion1.313.573.051.661.660.135.014.493.103.10010
    40812AExcise/repair mouth lesion2.314.513.922.262.370.287.106.514.854.96010
    40814AExcise/repair mouth lesion3.415.625.113.643.830.419.448.937.467.65090
    40816AExcision of mouth lesion3.665.795.333.683.920.409.859.397.747.98090
    40818AExcise oral mucosa for graft2.665.775.323.703.900.218.648.196.576.77090
    40819AExcise lip or cheek fold2.414.874.283.063.080.297.576.985.765.78090
    40820ATreatment of mouth lesion1.285.114.232.822.540.116.505.624.213.93010
    40830ARepair mouth laceration1.764.113.822.022.070.196.065.773.974.02010
    40831ARepair mouth laceration2.465.334.832.732.970.308.097.595.495.73010
    40840RReconstruction of mouth8.979.999.835.536.611.0820.0419.8815.5816.66090
    40842RReconstruction of mouth8.979.719.975.326.421.0819.7620.0215.3716.47090
    40843RReconstruction of mouth12.5611.7611.906.017.361.3925.7125.8519.9621.31090
    40844RReconstruction of mouth16.4714.7815.528.7510.861.9933.2433.9827.2129.32090
    40845RReconstruction of mouth19.0315.1516.589.5512.302.0036.1837.6130.5833.33090
    40899CMouth surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    41000ADrainage of mouth lesion1.302.492.361.291.380.123.913.782.712.80010
    41005ADrainage of mouth lesion1.264.233.561.711.720.125.614.943.093.10010
    41006ADrainage of mouth lesion3.245.294.922.733.060.358.888.516.326.65090
    41007ADrainage of mouth lesion3.105.335.192.712.940.318.748.606.126.35090
    41008ADrainage of mouth lesion3.365.414.862.783.100.429.198.646.566.88090
    41009ADrainage of mouth lesion3.585.805.183.113.460.479.859.237.167.51090
    41010AIncision of tongue fold1.063.443.431.371.540.074.574.562.502.67010
    41015ADrainage of mouth lesion3.956.215.603.934.090.4610.6210.018.348.50090
    41016ADrainage of mouth lesion4.066.165.754.024.170.5310.7510.348.618.76090
    41017ADrainage of mouth lesion4.066.315.804.084.250.5310.9010.398.678.84090
    41018ADrainage of mouth lesion5.096.546.234.324.510.6812.3112.0010.0910.28090
    41100ABiopsy of tongue1.372.572.461.111.340.154.093.982.632.86010
    41105ABiopsy of tongue1.422.562.371.131.270.134.113.922.682.82010
    41108ABiopsy of floor of mouth1.052.402.151.021.100.103.553.302.172.25010
    41110AExcision of tongue lesion1.513.463.101.541.620.135.104.743.183.26010
    41112AExcision of tongue lesion2.735.114.633.143.200.288.127.646.156.21090
    41113AExcision of tongue lesion3.195.384.903.293.430.348.918.436.826.96090
    41114AExcision of tongue lesion8.64NANA5.946.880.83NANA15.4116.35090
    41115AExcision of tongue fold1.744.273.541.751.830.186.195.463.673.75010
    41116AExcision of mouth lesion2.445.314.592.652.760.237.987.265.325.43090
    41120APartial removal of tongue10.83NANA13.2214.790.79NANA24.8426.41090
    41130APartial removal of tongue15.43NANA14.5515.780.93NANA30.9132.14090
    41135ATongue and neck surgery29.71NANA19.8622.381.88NANA51.4553.97090
    41140ARemoval of tongue28.69NANA21.3625.342.26NANA52.3156.29090
    41145ATongue removal, neck surgery37.47NANA26.2929.482.54NANA66.3069.49090
    41150ATongue, mouth, jaw surgery29.40NANA21.0923.811.94NANA52.4355.15090
    41153ATongue, mouth, neck surgery33.16NANA21.8224.222.00NANA56.9859.38090
    41155ATongue, jaw, & neck surgery39.84NANA23.9826.102.33NANA66.1568.27090
    41250ARepair tongue laceration1.913.793.001.581.280.185.885.093.673.37010
    41251ARepair tongue laceration2.273.153.241.631.570.225.645.734.124.06010
    41252ARepair tongue laceration2.974.344.001.962.180.297.607.265.225.44010
    41500AFixation of tongue3.70NANA6.547.220.30NANA10.5411.22090
    41510ATongue to lip surgery3.41NANA7.027.700.20NANA10.6311.31090
    41520AReconstruction, tongue fold2.735.714.893.203.520.278.717.896.206.52090
    41599CTongue and mouth surgery0.000.000.000.000.000.000.000.000.000.00YYY
    41800ADrainage of gum lesion1.174.763.132.091.480.126.054.423.382.77010
    41805ARemoval foreign body, gum1.244.733.192.752.350.136.104.564.123.72010
    41806ARemoval foreign body,jawbone2.695.914.163.393.120.378.977.226.456.18010
    Start Printed Page 49138
    41822RExcision of gum lesion2.314.654.081.771.850.317.276.704.394.47010
    41823RExcision of gum lesion3.556.485.793.743.940.4710.509.817.767.96090
    41825AExcision of gum lesion1.313.623.201.432.040.155.084.662.893.50010
    41826AExcision of gum lesion2.315.123.102.592.220.307.735.715.204.83010
    41827AExcision of gum lesion3.666.605.783.353.580.3510.619.797.367.59090
    41828RExcision of gum lesion3.094.123.881.652.630.447.657.415.186.16010
    41830RRemoval of gum tissue3.346.035.233.133.500.449.819.016.917.28010
    41872RRepair gum2.845.875.233.253.410.309.018.376.396.55090
    41874RRepair tooth socket3.095.765.072.763.070.459.308.616.306.61090
    41899CDental surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    42000ADrainage mouth roof lesion1.232.342.511.141.220.123.693.862.492.57010
    42100ABiopsy roof of mouth1.312.182.111.201.320.133.623.552.642.76010
    42104AExcision lesion, mouth roof1.643.432.761.581.560.165.234.563.383.36010
    42106AExcision lesion, mouth roof2.104.413.522.042.340.256.765.874.394.69010
    42107AExcision lesion, mouth roof4.436.315.863.533.850.4411.1810.738.408.72090
    42120ARemove palate/lesion11.62NANA11.4111.680.52NANA23.5523.82090
    42140AExcision of uvula1.624.223.851.932.050.135.975.603.683.80090
    42145ARepair palate, pharynx/uvula9.57NANA6.757.310.65NANA16.9717.53090
    42160ATreatment mouth roof lesion1.803.614.091.602.120.175.586.063.574.09010
    42180ARepair palate2.503.213.111.762.020.215.925.824.474.73010
    42182ARepair palate3.824.013.912.362.860.408.238.136.587.08010
    42200AReconstruct cleft palate12.35NANA8.119.691.27NANA21.7323.31090
    42205AReconstruct cleft palate13.51NANA7.469.421.58NANA22.5524.51090
    42210AReconstruct cleft palate14.85NANA9.7211.032.16NANA26.7328.04090
    42215AReconstruct cleft palate8.81NANA7.218.611.31NANA17.3318.73090
    42220AReconstruct cleft palate7.01NANA6.716.760.73NANA14.4514.50090
    42225AReconstruct cleft palate9.59NANA12.0015.800.86NANA22.4526.25090
    42226ALengthening of palate10.17NANA11.3313.861.01NANA22.5125.04090
    42227ALengthening of palate9.75NANA9.6814.080.98NANA20.4124.81090
    42235ARepair palate7.86NANA10.2711.460.72NANA18.8520.04090
    42260ARepair nose to lip fistula10.049.5410.035.816.751.2620.8421.3317.1118.05090
    42280APreparation, palate mold1.542.252.030.841.070.193.983.762.572.80010
    42281AInsertion, palate prosthesis1.932.822.681.561.790.174.924.783.663.89010
    42299CPalate/uvula surgery0.000.000.000.000.000.000.000.000.000.00YYY
    42300ADrainage of salivary gland1.932.922.851.591.760.165.014.943.683.85010
    42305ADrainage of salivary gland6.18NANA3.654.450.51NANA10.3411.14090
    42310ADrainage of salivary gland1.562.182.241.311.480.133.873.933.003.17010
    42320ADrainage of salivary gland2.353.543.341.762.010.216.105.904.324.57010
    42330ARemoval of salivary stone2.213.193.151.591.780.195.595.553.994.18010
    42335ARemoval of salivary stone3.315.435.032.653.020.299.038.636.256.62090
    42340ARemoval of salivary stone4.596.276.103.213.750.4211.2811.118.228.76090
    42400ABiopsy of salivary gland0.781.901.710.600.690.062.742.551.441.53000
    42405ABiopsy of salivary gland3.293.713.931.992.340.287.287.505.565.91010
    42408AExcision of salivary cyst4.536.075.953.053.470.4511.0510.938.038.45090
    42409ADrainage of salivary cyst2.815.054.652.372.660.278.137.735.455.74090
    42410AExcise parotid gland/lesion9.39NANA4.905.890.91NANA15.2016.19090
    42415AExcise parotid gland/lesion17.92NANA7.6910.071.43NANA27.0429.42090
    42420AExcise parotid gland/lesion20.80NANA8.5011.401.65NANA30.9533.85090
    42425AExcise parotid gland/lesion13.24NANA6.037.971.05NANA20.3222.26090
    42426AExcise parotid gland/lesion22.46NANA8.7711.951.80NANA33.0336.21090
    42440AExcise submaxillary gland7.02NANA3.464.460.59NANA11.0712.07090
    42450AExcise sublingual gland4.615.875.893.664.100.4210.9010.928.699.13090
    42500ARepair salivary duct4.295.795.713.624.040.4110.4910.418.328.74090
    42505ARepair salivary duct6.176.737.024.325.100.5513.4513.7411.0411.82090
    42507AParotid duct diversion6.10NANA5.906.370.49NANA12.4912.96090
    42508AParotid duct diversion9.15NANA7.508.131.04NANA17.6918.32090
    Start Printed Page 49139
    42509AParotid duct diversion11.58NANA8.709.820.93NANA21.2122.33090
    42510AParotid duct diversion8.20NANA6.337.430.66NANA15.1916.29090
    42550AInjection for salivary x-ray1.252.242.970.390.410.073.564.291.711.73000
    42600AClosure of salivary fistula4.816.466.553.323.920.4311.7011.798.569.16090
    42650ADilation of salivary duct0.771.201.130.610.690.072.041.971.451.53000
    42660ADilation of salivary duct1.131.431.370.730.820.092.652.591.952.04000
    42665ALigation of salivary duct2.534.714.312.202.490.237.477.074.965.25090
    42699CSalivary surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    42700ADrainage of tonsil abscess1.622.742.671.511.650.134.494.423.263.40010
    42720ADrainage of throat abscess6.314.284.692.843.550.4411.0311.449.5910.30010
    42725ADrainage of throat abscess12.22NANA6.567.810.91NANA19.6920.94090
    42800ABiopsy of throat1.392.272.201.171.340.113.773.702.672.84010
    42802ABiopsy of throat1.543.834.531.521.930.125.496.193.183.59010
    42804ABiopsy of upper nose/throat1.243.333.641.371.640.104.674.982.712.98010
    42806ABiopsy of upper nose/throat1.583.553.941.471.820.135.265.653.183.53010
    42808AExcise pharynx lesion2.302.963.061.441.810.195.455.553.934.30010
    42809ARemove pharynx foreign body1.812.122.281.251.310.164.094.253.223.28010
    42810AExcision of neck cyst3.255.735.723.403.510.299.279.266.947.05090
    42815AExcision of neck cyst7.18NANA5.706.230.61NANA13.4914.02090
    42820ARemove tonsils and adenoids4.15NANA2.533.100.31NANA6.997.56090
    42821ARemove tonsils and adenoids4.28NANA2.683.300.35NANA7.317.93090
    42825ARemoval of tonsils3.41NANA2.422.980.25NANA6.086.64090
    42826ARemoval of tonsils3.37NANA2.422.880.27NANA6.066.52090
    42830ARemoval of adenoids2.57NANA2.192.470.20NANA4.965.24090
    42831ARemoval of adenoids2.71NANA2.412.730.22NANA5.345.66090
    42835ARemoval of adenoids2.30NANA1.792.290.21NANA4.304.80090
    42836ARemoval of adenoids3.18NANA2.402.820.26NANA5.846.26090
    42842AExtensive surgery of throat11.94NANA10.9610.980.71NANA23.6123.63090
    42844AExtensive surgery of throat17.49NANA13.9915.671.16NANA32.6434.32090
    42845AExtensive surgery of throat32.27NANA19.0022.141.98NANA53.2556.39090
    42860AExcision of tonsil tags2.22NANA2.102.330.18NANA4.504.73090
    42870AExcision of lingual tonsil5.39NANA7.978.420.44NANA13.8014.25090
    42890APartial removal of pharynx18.84NANA13.7914.061.05NANA33.6833.95090
    42892ARevision of pharyngeal walls25.67NANA17.3417.211.28NANA44.2944.16090
    42894ARevision of pharyngeal walls33.49NANA21.0421.781.86NANA56.3957.13090
    42900ARepair throat wound5.24NANA2.703.420.50NANA8.449.16010
    42950AReconstruction of throat8.09NANA10.2111.460.72NANA19.0220.27090
    42953ARepair throat, esophagus9.25NANA12.8716.220.88NANA23.0026.35090
    42955ASurgical opening of throat7.86NANA9.3710.350.80NANA18.0319.01090
    42960AControl throat bleeding2.33NANA1.591.870.19NANA4.114.39010
    42961AControl throat bleeding5.64NANA4.084.740.45NANA10.1710.83090
    42962AControl throat bleeding7.25NANA4.695.610.58NANA12.5213.44090
    42970AControl nose/throat bleeding5.72NANA3.494.010.39NANA9.6010.12090
    42971AControl nose/throat bleeding6.50NANA4.084.860.51NANA11.0911.87090
    42972AControl nose/throat bleeding7.49NANA4.425.380.62NANA12.5313.49090
    42999CThroat surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    43020AIncision of esophagus8.08NANA4.325.140.87NANA13.2714.09090
    43030AThroat muscle surgery7.86NANA4.135.150.70NANA12.6913.71090
    43045AIncision of esophagus21.63NANA10.0710.542.58NANA34.2834.75090
    43100AExcision of esophagus lesion9.48NANA5.075.930.93NANA15.4816.34090
    43101AExcision of esophagus lesion16.94NANA7.277.732.31NANA26.5226.98090
    43107ARemoval of esophagus43.89NANA16.6617.865.22NANA65.7766.97090
    43108ARemoval of esophagus63.23NANA20.5015.784.07NANA87.8083.08090
    43112ARemoval of esophagus47.21NANA17.1518.815.79NANA70.1571.81090
    43113ARemoval of esophagus46.95NANA17.9915.834.42NANA69.3667.20090
    43116APartial removal of esophagus71.39NANA22.7418.203.05NANA97.1892.64090
    43117APartial removal of esophagus43.46NANA15.4016.805.17NANA64.0365.43090
    43118APartial removal of esophagus52.07NANA17.3914.684.10NANA73.5670.85090
    43121APartial removal of esophagus46.35NANA17.0114.513.90NANA67.2664.76090
    43122APartial removal of esophagus43.89NANA15.8317.005.40NANA65.1266.29090
    43123APartial removal of esophagus63.83NANA21.0015.834.15NANA88.9883.81090
    43124ARemoval of esophagus64.63NANA22.7615.503.73NANA91.1283.86090
    43130ARemoval of esophagus pouch12.33NANA5.937.151.16NANA19.4220.64090
    43135ARemoval of esophagus pouch22.37NANA8.938.302.33NANA33.6333.00090
    43200AEsophagus endoscopy1.593.533.980.911.030.135.255.702.632.75000
    43201AEsoph scope w/submucous inj2.095.564.861.181.120.157.807.103.423.36000
    Start Printed Page 49140
    43202AEsophagus endoscopy, biopsy1.895.135.440.970.950.157.177.483.012.99000
    43204AEsoph scope w/sclerosis inj3.76NANA1.931.620.30NANA5.995.68000
    43205AEsophagus endoscopy/ligation3.78NANA2.021.650.28NANA6.085.71000
    43215AEsophagus endoscopy2.60NANA1.251.210.22NANA4.074.03000
    43216AEsophagus endoscopy/lesion2.403.001.551.211.100.205.604.153.813.70000
    43217AEsophagus endoscopy2.906.586.861.401.240.269.7410.024.564.40000
    43219AEsophagus endoscopy2.80NANA1.531.400.24NANA4.574.44000
    43220AEsoph endoscopy, dilation2.10NANA1.121.010.17NANA3.393.28000
    43226AEsoph endoscopy, dilation2.34NANA1.271.090.19NANA3.803.62000
    43227AEsoph endoscopy, repair3.59NANA1.811.540.28NANA5.685.41000
    43228AEsoph endoscopy, ablation3.76NANA1.841.620.34NANA5.945.72000
    43231AEsoph endoscopy w/us exam3.19NANA1.721.410.23NANA5.144.83000
    43232AEsoph endoscopy w/us fn bx4.47NANA2.341.940.34NANA7.156.75000
    43234AUpper GI endoscopy, exam2.014.985.241.010.910.177.167.423.193.09000
    43235AUppr gi endoscopy, diagnosis2.395.265.191.341.100.197.847.773.923.68000
    43236AUppr gi scope w/submuc inj2.926.676.471.641.330.219.809.604.774.46000
    43237AEndoscopic us exam, esoph3.98NANA2.121.720.43NANA6.536.13000
    43238AUppr gi endoscopy w/us fn bx5.02NANA2.522.100.43NANA7.977.55000
    43239AUpper GI endoscopy, biopsy2.876.015.791.541.280.229.108.884.634.37000
    43240AEsoph endoscope w/drain cyst6.85NANA3.412.800.56NANA10.8210.21000
    43241AUpper GI endoscopy with tube2.59NANA1.401.180.21NANA4.203.98000
    43242AUppr gi endoscopy w/us fn bx7.30NANA3.652.960.53NANA11.4810.79000
    43243AUpper gi endoscopy & inject4.56NANA2.341.930.33NANA7.236.82000
    43244AUpper GI endoscopy/ligation5.04NANA2.622.130.37NANA8.037.54000
    43245AUppr gi scope dilate strictr3.18NANA1.621.380.26NANA5.064.82000
    43246APlace gastrostomy tube4.32NANA2.101.790.34NANA6.766.45000
    43247AOperative upper GI endoscopy3.38NANA1.771.470.27NANA5.425.12000
    43248AUppr gi endoscopy/guide wire3.15NANA1.761.420.23NANA5.144.80000
    43249AEsoph endoscopy, dilation2.90NANA1.611.310.22NANA4.734.43000
    43250AUpper GI endoscopy/tumor3.20NANA1.621.390.26NANA5.084.85000
    43251AOperative upper GI endoscopy3.69NANA1.911.590.29NANA5.895.57000
    43255AOperative upper GI endoscopy4.81NANA2.502.040.35NANA7.667.20000
    43256AUppr gi endoscopy w/stent4.34NANA2.231.840.32NANA6.896.50000
    43257AUppr gi scope w/thrml txmnt5.50NANA2.052.160.36NANA7.918.02000
    43258AOperative upper GI endoscopy4.54NANA2.361.930.33NANA7.236.80000
    43259AEndoscopic ultrasound exam5.19NANA2.662.160.35NANA8.207.70000
    43260AEndo cholangiopancreatograph5.95NANA3.042.470.43NANA9.428.85000
    43261AEndo cholangiopancreatograph6.26NANA3.192.590.46NANA9.919.31000
    43262AEndo cholangiopancreatograph7.38NANA3.693.010.54NANA11.6110.93000
    43263AEndo cholangiopancreatograph7.28NANA3.703.000.54NANA11.5210.82000
    43264AEndo cholangiopancreatograph8.89NANA4.413.590.65NANA13.9513.13000
    43265AEndo cholangiopancreatograph10.00NANA4.903.990.73NANA15.6314.72000
    43267AEndo cholangiopancreatograph7.38NANA3.602.990.54NANA11.5210.91000
    43268AEndo cholangiopancreatograph7.38NANA3.853.120.54NANA11.7711.04000
    43269AEndo cholangiopancreatograph8.20NANA4.073.320.60NANA12.8712.12000
    43271AEndo cholangiopancreatograph7.38NANA3.703.010.54NANA11.6210.93000
    43272AEndo cholangiopancreatograph7.38NANA3.773.030.54NANA11.6910.95000
    43280ALaparoscopy, fundoplasty17.96NANA6.737.142.27NANA26.9627.37090
    43289CLaparoscope proc, esoph0.000.000.000.000.000.000.000.000.000.00YYY
    43300ARepair of esophagus9.13NANA5.176.071.12NANA15.4216.32090
    43305ARepair esophagus and fistula17.90NANA7.469.881.54NANA26.9029.32090
    43310ARepair of esophagus26.13NANA10.1310.833.60NANA39.8640.56090
    43312ARepair esophagus and fistula29.22NANA9.9611.414.00NANA43.1844.63090
    43313AEsophagoplasty congenital48.07NANA17.3818.455.45NANA70.9071.97090
    43314ATracheo-esophagoplasty cong53.05NANA18.4318.996.63NANA78.1178.67090
    43320AFuse esophagus & stomach23.12NANA8.859.112.73NANA34.7034.96090
    Start Printed Page 49141
    43324ARevise esophagus & stomach22.80NANA8.428.682.75NANA33.9734.23090
    43325ARevise esophagus & stomach22.41NANA8.398.682.59NANA33.3933.68090
    43326ARevise esophagus & stomach22.09NANA9.379.312.84NANA34.3034.24090
    43330ARepair of esophagus22.00NANA8.278.472.62NANA32.8933.09090
    43331ARepair of esophagus22.87NANA9.589.732.93NANA35.3835.53090
    43340AFuse esophagus & intestine22.80NANA9.098.992.45NANA34.3434.24090
    43341AFuse esophagus & intestine24.04NANA10.1210.042.91NANA37.0736.99090
    43350ASurgical opening, esophagus19.23NANA8.068.351.42NANA28.7129.00090
    43351ASurgical opening, esophagus21.79NANA9.609.742.46NANA33.8533.99090
    43352ASurgical opening, esophagus17.62NANA8.198.332.05NANA27.8628.00090
    43360AGastrointestinal repair39.82NANA15.8115.264.96NANA60.5960.04090
    43361AGastrointestinal repair45.42NANA16.8916.884.49NANA66.8066.79090
    43400ALigate esophagus veins25.41NANA13.7410.511.95NANA41.1037.87090
    43401AEsophagus surgery for veins26.30NANA9.499.483.04NANA38.8338.82090
    43405ALigate/staple esophagus24.47NANA10.429.792.83NANA37.7237.09090
    43410ARepair esophagus wound16.22NANA7.537.611.71NANA25.4625.54090
    43415ARepair esophagus wound28.62NANA11.9911.803.52NANA44.1343.94090
    43420ARepair esophagus opening16.59NANA6.867.271.43NANA24.8825.29090
    43425ARepair esophagus opening24.85NANA10.3810.073.02NANA38.2537.94090
    43450ADilate esophagus1.382.662.640.920.750.114.154.132.412.24000
    43453ADilate esophagus1.516.296.121.000.800.117.917.742.622.42000
    43456ADilate esophagus2.5712.9913.551.451.190.2015.7616.324.223.96000
    43458ADilate esophagus3.066.936.721.611.360.2410.2310.024.914.66000
    43460APressure treatment esophagus3.79NANA1.701.540.31NANA5.805.64000
    43496CFree jejunum flap, microvasc0.000.000.000.000.000.000.000.000.000.00090
    43499CEsophagus surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    43500ASurgical opening of stomach12.67NANA5.275.051.45NANA19.3919.17090
    43501ASurgical repair of stomach22.41NANA8.188.272.64NANA33.2333.32090
    43502ASurgical repair of stomach25.50NANA9.049.353.09NANA37.6337.94090
    43510ASurgical opening of stomach14.95NANA6.896.661.48NANA23.3223.09090
    43520AIncision of pyloric muscle11.17NANA4.895.161.36NANA17.4217.69090
    43600ABiopsy of stomach1.91NANA0.800.700.14NANA2.852.75000
    43605ABiopsy of stomach13.60NANA5.465.331.58NANA20.6420.51090
    43610AExcision of stomach lesion16.22NANA6.116.131.93NANA24.2624.28090
    43611AExcision of stomach lesion20.19NANA7.617.572.35NANA30.1530.11090
    43620ARemoval of stomach33.85NANA11.1611.633.95NANA48.9649.43090
    43621ARemoval of stomach39.34NANA12.5712.124.03NANA55.9455.49090
    43622ARemoval of stomach39.84NANA12.7112.614.29NANA56.8456.74090
    43631ARemoval of stomach, partial24.32NANA8.689.032.98NANA35.9836.33090
    43632ARemoval of stomach, partial34.95NANA11.439.722.98NANA49.3647.65090
    43633ARemoval of stomach, partial32.95NANA10.929.723.05NANA46.9245.72090
    43634ARemoval of stomach, partial36.45NANA11.9710.553.32NANA51.7450.32090
    43635ARemoval of stomach, partial2.06NANA0.530.660.27NANA2.862.99ZZZ
    43640AVagotomy & pylorus repair19.37NANA7.427.292.25NANA29.0428.91090
    43641AVagotomy & pylorus repair19.62NANA7.727.452.24NANA29.5829.31090
    43644ALap gastric bypass/roux-en-y29.18NANA10.2910.983.15NANA42.6243.31090
    43645ALap gastr bypass incl smll i31.31NANA11.2711.833.53NANA46.1146.67090
    43651ALaparoscopy, vagus nerve10.13NANA4.674.741.33NANA16.1316.20090
    43652ALaparoscopy, vagus nerve12.13NANA5.235.621.55NANA18.9119.30090
    43653ALaparoscopy, gastrostomy8.34NANA4.434.241.01NANA13.7813.59090
    43659CLaparoscope proc, stom0.000.000.000.000.000.000.000.000.000.00YYY
    43750APlace gastrostomy tube4.60NANA1.962.130.43NANA6.997.16010
    43752ANasal/orogastric w/stent0.81NANA0.240.260.02NANA1.071.09000
    43760AChange gastrostomy tube1.1013.094.830.390.440.0914.286.021.581.63000
    43761AReposition gastrostomy tube2.010.981.120.640.660.133.123.262.782.80000
    43770ALap, place gastr adjust band17.79NANA7.577.682.18NANA27.5427.65090
    43771ALap, revise adjust gast band20.58NANA8.228.502.54NANA31.3431.62090
    43772ALap, remove adjust gast band15.58NANA6.036.321.92NANA23.5323.82090
    43773ALap, change adjust gast band20.58NANA8.228.502.55NANA31.3531.63090
    43774ALap remov adj gast band/port15.62NANA6.226.481.84NANA23.6823.94090
    43800AReconstruction of pylorus15.31NANA5.915.901.81NANA23.0323.02090
    43810AFusion of stomach and bowel16.76NANA6.286.201.93NANA24.9724.89090
    43820AFusion of stomach and bowel22.34NANA8.196.852.03NANA32.5631.22090
    43825AFusion of stomach and bowel21.57NANA7.968.002.53NANA32.0632.10090
    43830APlace gastrostomy tube10.71NANA5.224.941.25NANA17.1816.90090
    43831APlace gastrostomy tube8.31NANA5.174.681.03NANA14.5114.02090
    Start Printed Page 49142
    43832APlace gastrostomy tube17.22NANA7.156.921.97NANA26.3426.11090
    43840ARepair of stomach lesion22.64NANA8.267.142.05NANA32.9531.83090
    43842NV-band gastroplasty20.84NANA7.817.802.44NANA31.0931.08090
    43843AGastroplasty w/o v-band21.02NANA7.887.792.45NANA31.3531.26090
    43845AGastroplasty duodenal switch33.04NANA12.6311.244.05NANA49.7248.33090
    43846AGastric bypass for obesity27.15NANA10.0910.043.18NANA40.4240.37090
    43847AGastric bypass incl small i30.02NANA10.7210.853.55NANA44.2944.42090
    43848ARevision gastroplasty32.49NANA11.4111.713.87NANA47.7748.07090
    43850ARevise stomach-bowel fusion27.39NANA9.489.733.27NANA40.1440.39090
    43855ARevise stomach-bowel fusion28.50NANA9.8310.203.46NANA41.7942.16090
    43860ARevise stomach-bowel fusion27.70NANA9.579.863.30NANA40.5740.86090
    43865ARevise stomach-bowel fusion28.86NANA10.1710.423.50NANA42.5342.78090
    43870ARepair stomach opening11.32NANA5.054.651.27NANA17.6417.24090
    43880ARepair stomach-bowel fistula26.99NANA9.429.773.26NANA39.6740.02090
    43886ARevise gastric port, open4.50NANA3.453.210.25NANA8.207.96090
    43887ARemove gastric port, open4.20NANA3.002.830.51NANA7.717.54090
    43888AChange gastric port, open6.30NANA3.943.810.70NANA10.9410.81090
    43999CStomach surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    44005AFreeing of bowel adhesion18.34NANA6.676.702.14NANA27.1527.18090
    44010AIncision of small bowel14.14NANA5.585.481.64NANA21.3621.26090
    44015AInsert needle cath bowel2.62NANA0.690.830.35NANA3.663.80ZZZ
    44020AExplore small intestine16.10NANA6.065.961.85NANA24.0123.91090
    44021ADecompress small bowel16.19NANA6.336.051.86NANA24.3824.10090
    44025AIncision of large bowel16.39NANA6.196.061.89NANA24.4724.34090
    44050AReduce bowel obstruction15.40NANA5.895.941.85NANA23.1423.19090
    44055ACorrect malrotation of bowel25.49NANA8.608.692.90NANA36.9937.08090
    44100ABiopsy of bowel2.01NANA0.880.750.17NANA3.062.93000
    44110AExcise intestine lesion(s)13.92NANA5.585.311.55NANA21.0520.78090
    44111AExcision of bowel lesion(s)16.40NANA6.206.131.86NANA24.4624.39090
    44120ARemoval of small intestine20.70NANA7.247.112.24NANA30.1830.05090
    44121ARemoval of small intestine4.44NANA1.141.430.58NANA6.166.45ZZZ
    44125ARemoval of small intestine19.89NANA7.107.212.26NANA29.2529.36090
    44126AEnterectomy w/o taper, cong41.94NANA13.9714.084.68NANA60.5960.70090
    44127AEnterectomy w/taper, cong49.01NANA14.8415.495.75NANA69.6070.25090
    44128AEnterectomy cong, add-on4.44NANA1.071.420.61NANA6.126.47ZZZ
    44130ABowel to bowel fusion21.92NANA8.056.671.87NANA31.8430.46090
    44137CRemove intestinal allograft0.000.000.000.000.000.000.000.000.000.00XXX
    44139AMobilization of colon2.23NANA0.560.710.28NANA3.073.22ZZZ
    44140APartial removal of colon22.40NANA8.178.522.70NANA33.2733.62090
    44141APartial removal of colon29.69NANA11.9610.522.52NANA44.1742.73090
    44143APartial removal of colon27.57NANA10.4010.613.04NANA41.0141.22090
    44144APartial removal of colon29.69NANA10.759.902.85NANA43.2942.44090
    44145APartial removal of colon28.39NANA9.5810.503.28NANA41.2542.17090
    44146APartial removal of colon35.08NANA13.4613.003.40NANA51.9451.48090
    44147APartial removal of colon33.50NANA11.069.282.55NANA47.1145.33090
    44150ARemoval of colon29.91NANA12.7412.203.03NANA45.6845.14090
    44151ARemoval of colon/ileostomy34.65NANA14.1913.593.48NANA52.3251.72090
    44152ARemoval of colon/ileostomy29.91NANA10.5311.333.51NANA43.9544.75090
    44153ARemoval of colon/ileostomy33.18NANA14.4014.383.54NANA51.1251.10090
    44155ARemoval of colon/ileostomy34.15NANA13.5913.373.27NANA51.0150.79090
    44156ARemoval of colon/ileostomy37.15NANA14.8414.983.94NANA55.9356.07090
    44160ARemoval of colon20.72NANA7.607.712.36NANA30.6830.79090
    44180ALap, enterolysis15.15NANA5.876.141.85NANA22.8723.14090
    44186ALap, jejunostomy10.26NANA4.634.751.27NANA16.1616.28090
    44187ALap, ileo/jejuno-stomy17.21NANA8.258.271.95NANA27.4127.43090
    44188ALap, colostomy19.14NANA8.828.842.23NANA30.1930.21090
    Start Printed Page 49143
    44202ALap, enterectomy23.20NANA8.418.792.84NANA34.4534.83090
    44203ALap resect s/intestine, addl4.44NANA1.141.410.57NANA6.156.42ZZZ
    44204ALaparo partial colectomy26.23NANA9.009.713.10NANA38.3339.04090
    44205ALap colectomy part w/ileum22.80NANA7.898.602.74NANA33.4334.14090
    44206ALap part colectomy w/stoma29.57NANA10.6011.093.45NANA43.6244.11090
    44207AL colectomy/coloproctostomy31.73NANA10.2211.173.66NANA45.6146.56090
    44208AL colectomy/coloproctostomy33.80NANA12.1512.893.87NANA49.8250.56090
    44210ALaparo total proctocolectomy29.80NANA11.2711.723.41NANA44.4844.93090
    44211ALaparo total proctocolectomy36.79NANA13.9014.484.16NANA54.8555.43090
    44212ALaparo total proctocolectomy34.29NANA13.2713.583.77NANA51.3351.64090
    44213ALap, mobil splenic fl add-on3.50NANA0.891.140.44NANA4.835.08ZZZ
    44227ALap, close enterostomy28.43NANA9.5910.363.37NANA41.3942.16090
    44238CLaparoscope proc, intestine0.000.000.000.000.000.000.000.000.000.00YYY
    44300AOpen bowel to skin13.61NANA5.635.521.60NANA20.8420.73090
    44310AIleostomy/jejunostomy17.45NANA6.466.631.98NANA25.8926.06090
    44312ARevision of ileostomy9.29NANA4.664.160.92NANA14.8714.37090
    44314ARevision of ileostomy16.55NANA6.886.631.74NANA25.1724.92090
    44316ADevise bowel pouch23.40NANA9.348.742.37NANA35.1134.51090
    44320AColostomy19.69NANA7.697.662.25NANA29.6329.60090
    44322AColostomy with biopsies13.04NANA9.478.801.54NANA24.0523.38090
    44340ARevision of colostomy9.06NANA4.994.440.99NANA15.0414.49090
    44345ARevision of colostomy17.00NANA6.986.911.96NANA25.9425.87090
    44346ARevision of colostomy19.41NANA7.607.442.12NANA29.1328.97090
    44360ASmall bowel endoscopy2.59NANA1.501.200.19NANA4.283.98000
    44361ASmall bowel endoscopy/biopsy2.87NANA1.631.310.21NANA4.714.39000
    44363ASmall bowel endoscopy3.49NANA1.921.520.27NANA5.685.28000
    44364ASmall bowel endoscopy3.73NANA2.001.620.27NANA6.005.62000
    44365ASmall bowel endoscopy3.31NANA1.771.460.24NANA5.325.01000
    44366ASmall bowel endoscopy4.40NANA2.371.890.32NANA7.096.61000
    44369ASmall bowel endoscopy4.51NANA2.401.900.33NANA7.246.74000
    44370ASmall bowel endoscopy/stent4.79NANA2.532.110.37NANA7.697.27000
    44372ASmall bowel endoscopy4.40NANA2.121.830.35NANA6.876.58000
    44373ASmall bowel endoscopy3.49NANA1.731.500.27NANA5.495.26000
    44376ASmall bowel endoscopy5.25NANA2.442.130.42NANA8.117.80000
    44377ASmall bowel endoscopy/biopsy5.52NANA2.772.290.40NANA8.698.21000
    44378ASmall bowel endoscopy7.12NANA3.522.900.52NANA11.1610.54000
    44379AS bowel endoscope w/stent7.46NANA3.283.000.62NANA11.3611.08000
    44380ASmall bowel endoscopy1.05NANA0.750.600.08NANA1.881.73000
    44382ASmall bowel endoscopy1.27NANA0.790.670.12NANA2.182.06000
    44383AIleoscopy w/stent2.94NANA1.631.360.21NANA4.784.51000
    44385AEndoscopy of bowel pouch1.824.903.740.890.790.156.875.712.862.76000
    44386AEndoscopy, bowel pouch/biop2.126.756.671.040.920.209.078.993.363.24000
    44388AColonoscopy2.826.115.341.341.200.269.198.424.424.28000
    44389AColonoscopy with biopsy3.137.076.731.561.340.2710.4710.134.964.74000
    44390AColonoscopy for foreign body3.827.987.331.781.560.3212.1211.475.925.70000
    44391AColonoscopy for bleeding4.318.938.772.191.820.3413.5813.426.846.47000
    44392AColonoscopy & polypectomy3.817.386.781.711.550.3411.5310.935.865.70000
    44393AColonoscopy, lesion removal4.837.897.152.041.910.4213.1412.407.297.16000
    44394AColonoscopy w/snare4.428.477.982.051.800.3813.2712.786.856.60000
    44397AColonoscopy w/stent4.70NANA2.281.910.39NANA7.377.00000
    44500AIntro, gastrointestinal tube0.49NANA0.150.160.03NANA0.670.68000
    44602ASuture, small intestine24.60NANA7.736.732.11NANA34.4433.44090
    44603ASuture, small intestine27.97NANA9.107.732.41NANA39.4838.11090
    44604ASuture, large intestine18.02NANA6.146.372.11NANA26.2726.50090
    44605ARepair of bowel lesion21.96NANA7.988.292.51NANA32.4532.76090
    44615AIntestinal stricturoplasty18.04NANA6.646.662.06NANA26.7426.76090
    44620ARepair bowel opening14.31NANA5.555.381.51NANA21.3721.20090
    44625ARepair bowel opening17.16NANA6.226.281.85NANA25.2325.29090
    44626ARepair bowel opening27.78NANA9.029.613.26NANA40.0640.65090
    44640ARepair bowel-skin fistula24.08NANA8.158.472.77NANA35.0035.32090
    44650ARepair bowel fistula25.00NANA8.408.762.92NANA36.3236.68090
    44660ARepair bowel-bladder fistula23.79NANA9.728.692.13NANA35.6434.61090
    44661ARepair bowel-bladder fistula27.23NANA9.469.532.80NANA39.4939.56090
    44680ASurgical revision, intestine17.84NANA6.646.491.99NANA26.4726.32090
    44700ASuspend bowel w/prosthesis17.36NANA6.276.561.83NANA25.4625.75090
    44701AIntraop colon lavage add-on3.10NANA0.780.990.37NANA4.254.46ZZZ
    Start Printed Page 49144
    44715CPrepare donor intestine0.000.000.000.000.000.000.000.000.000.00XXX
    44720APrep donor intestine/venous5.00NANA1.251.600.37NANA6.626.97XXX
    44721APrep donor intestine/artery7.00NANA1.812.250.97NANA9.7810.22XXX
    44799CUnlisted procedure intestine0.000.000.000.000.000.000.000.000.000.00YYY
    44800AExcision of bowel pouch11.87NANA5.565.431.47NANA18.9018.77090
    44820AExcision of mesentery lesion13.59NANA5.665.531.59NANA20.8420.71090
    44850ARepair of mesentery11.99NANA5.065.021.39NANA18.4418.40090
    44899CBowel surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    44900ADrain app abscess, open12.38NANA5.074.791.33NANA18.7818.50090
    44901ADrain app abscess, percut3.3719.8625.881.051.100.2223.4529.474.644.69000
    44950AAppendectomy10.48NANA4.094.261.31NANA15.8816.05090
    44955AAppendectomy add-on1.53NANA0.400.510.20NANA2.132.24ZZZ
    44960AAppendectomy14.33NANA5.475.371.63NANA21.4321.33090
    44970ALaparoscopy, appendectomy9.31NANA4.244.121.14NANA14.6914.57090
    44979CLaparoscope proc, app0.000.000.000.000.000.000.000.000.000.00YYY
    45000ADrainage of pelvic abscess6.16NANA3.563.110.52NANA10.249.79090
    45005ADrainage of rectal abscess1.994.004.041.601.590.256.246.283.843.83010
    45020ADrainage of rectal abscess8.37NANA4.583.600.55NANA13.5012.52090
    45100ABiopsy of rectum3.92NANA2.842.480.44NANA7.206.84090
    45108ARemoval of anorectal lesion5.00NANA3.082.850.59NANA8.678.44090
    45110ARemoval of rectum30.49NANA11.9812.293.35NANA45.8246.13090
    45111APartial removal of rectum17.81NANA7.087.142.06NANA26.9527.01090
    45112ARemoval of rectum32.99NANA10.3911.423.42NANA46.8047.83090
    45113APartial proctectomy33.03NANA11.6012.343.48NANA48.1148.85090
    45114APartial removal of rectum30.57NANA10.4510.773.35NANA44.3744.69090
    45116APartial removal of rectum27.50NANA9.509.892.87NANA39.8740.26090
    45119ARemove rectum w/reservoir33.29NANA11.7112.273.35NANA48.3548.91090
    45120ARemoval of rectum26.15NANA9.449.952.89NANA38.4838.99090
    45121ARemoval of rectum and colon28.83NANA10.3410.913.24NANA42.4142.98090
    45123APartial proctectomy18.64NANA7.076.911.85NANA27.5627.40090
    45126APelvic exenteration48.81NANA17.3918.754.32NANA70.5271.88090
    45130AExcision of rectal prolapse18.31NANA6.736.751.79NANA26.8326.85090
    45135AExcision of rectal prolapse22.07NANA9.288.632.35NANA33.7033.05090
    45136AExcise ileoanal reservior30.55NANA11.8612.352.81NANA45.2245.71090
    45150AExcision of rectal stricture5.72NANA3.403.070.61NANA9.739.40090
    45160AExcision of rectal lesion16.11NANA6.596.631.67NANA24.3724.41090
    45170AExcision of rectal lesion12.42NANA5.415.281.35NANA19.1819.05090
    45190ADestruction, rectal tumor10.23NANA5.554.851.13NANA16.9116.21090
    45300AProctosigmoidoscopy dx0.382.001.650.350.300.042.422.070.770.72000
    45303AProctosigmoidoscopy dilate0.4419.6318.920.380.340.0520.1219.410.870.83000
    45305AProctosigmoidoscopy w/bx1.013.312.800.530.510.114.433.921.651.63000
    45307AProctosigmoidoscopy fb0.943.523.150.510.490.114.574.201.561.54000
    45308AProctosigmoidoscopy removal0.833.302.320.490.450.094.223.241.411.37000
    45309AProctosigmoidoscopy removal2.013.733.040.830.840.225.965.273.063.07000
    45315AProctosigmoidoscopy removal1.403.743.080.650.640.155.294.632.202.19000
    45317AProctosigmoidoscopy bleed1.503.832.780.660.660.155.484.432.312.31000
    45320AProctosigmoidoscopy ablate1.584.493.310.750.720.166.235.052.492.46000
    45321AProctosigmoidoscopy volvul1.17NANA0.650.580.13NANA1.951.88000
    45327AProctosigmoidoscopy w/stent1.65NANA0.830.730.16NANA2.642.54000
    45330ADiagnostic sigmoidoscopy0.962.492.330.610.530.083.533.371.651.57000
    45331ASigmoidoscopy and biopsy1.153.243.110.780.640.094.484.352.021.88000
    45332ASigmoidoscopy w/fb removal1.795.625.161.020.860.167.577.112.972.81000
    45333ASigmoidoscopy & polypectomy1.795.635.060.980.850.157.577.002.922.79000
    45334ASigmoidoscopy for bleeding2.73NANA1.521.240.20NANA4.454.17000
    45335ASigmoidoscopy w/submuc inj1.465.323.740.900.740.116.895.312.472.31000
    45337ASigmoidoscopy & decompress2.36NANA1.231.060.21NANA3.803.63000
    Start Printed Page 49145
    45338ASigmoidoscopy w/tumr remove2.345.855.371.261.070.198.387.903.793.60000
    45339ASigmoidoscopy w/ablate tumr3.145.734.031.661.380.269.137.435.064.78000
    45340ASig w/balloon dilation1.8910.257.191.030.880.1512.299.233.072.92000
    45341ASigmoidoscopy w/ultrasound2.60NANA1.451.170.19NANA4.243.96000
    45342ASigmoidoscopy w/us guide bx4.05NANA2.151.690.30NANA6.506.04000
    45345ASigmoidoscopy w/stent2.92NANA1.531.250.23NANA4.684.40000
    45355ASurgical colonoscopy3.51NANA1.551.420.36NANA5.425.29000
    45378ADiagnostic colonoscopy3.696.366.201.811.560.3010.3510.195.805.55000
    4537853ADiagnostic colonoscopy0.962.492.330.610.530.083.533.371.651.57000
    45379AColonoscopy w/fb removal4.688.147.782.201.910.3913.2112.857.276.98000
    45380AColonoscopy and biopsy4.437.717.322.221.850.3512.4912.107.006.63000
    45381AColonoscopy, submucous inj4.197.687.252.141.770.3012.1711.746.636.26000
    45382AColonoscopy/control bleeding5.6810.3110.032.872.350.4116.4016.128.968.44000
    45383ALesion removal colonoscopy5.868.548.082.632.320.4814.8814.428.978.66000
    45384ALesion remove colonoscopy4.697.206.902.191.910.3812.2711.977.266.98000
    45385ALesion removal colonoscopy5.308.337.932.572.170.4214.0513.658.297.89000
    45386AColonoscopy dilate stricture4.5712.3112.382.161.880.3917.2717.347.126.84000
    45387AColonoscopy w/stent5.90NANA2.892.470.48NANA9.278.85000
    45391AColonoscopy w/endoscope us5.09NANA2.542.110.42NANA8.057.62000
    45392AColonoscopy w/endoscopic fnb6.54NANA3.102.640.42NANA10.069.60000
    45395ALap, removal of rectum32.71NANA13.0613.523.62NANA49.3949.85090
    45397ALap, remove rectum w/pouch36.21NANA13.5914.093.66NANA53.4653.96090
    45400ALaparoscopic proctopexy19.25NANA7.187.672.02NANA28.4528.94090
    45402ALap proctopexy w/sig resect26.32NANA8.879.702.81NANA38.0038.83090
    45499CLaparoscope proc, rectum0.000.000.000.000.000.000.000.000.000.00YYY
    45500ARepair of rectum7.58NANA4.353.740.75NANA12.6812.07090
    45505ARepair of rectum8.14NANA5.114.170.86NANA14.1113.17090
    45520ATreatment of rectal prolapse0.553.072.000.410.380.053.672.601.010.98000
    45540ACorrect rectal prolapse17.98NANA5.896.571.84NANA25.7126.39090
    45541ACorrect rectal prolapse14.66NANA6.596.101.55NANA22.8022.31090
    45550ARepair rectum/remove sigmoid24.61NANA9.029.162.61NANA36.2436.38090
    45560ARepair of rectocele11.38NANA5.525.171.13NANA18.0317.68090
    45562AExploration/repair of rectum17.74NANA8.177.281.83NANA27.7426.85090
    45563AExploration/repair of rectum26.14NANA10.9710.633.10NANA40.2139.87090
    45800ARepair rect/bladder fistula20.12NANA9.237.871.85NANA31.2029.84090
    45805ARepair fistula w/colostomy23.13NANA9.269.442.02NANA34.4134.59090
    45820ARepair rectourethral fistula20.18NANA9.298.041.58NANA31.0529.80090
    45825ARepair fistula w/colostomy23.93NANA10.9410.092.31NANA37.1836.33090
    45900AReduction of rectal prolapse2.94NANA1.701.550.30NANA4.944.79010
    45905ADilation of anal sphincter2.30NANA1.651.490.27NANA4.224.06010
    45910ADilation of rectal narrowing2.80NANA1.801.700.30NANA4.904.80010
    45915ARemove rectal obstruction3.144.264.312.042.080.307.707.755.485.52010
    45990ASurg dx exam, anorectal1.80NANA0.780.790.17NANA2.752.76000
    45999CRectum surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    46020APlacement of seton2.903.292.572.371.980.316.505.785.585.19010
    46030ARemoval of rectal marker1.231.901.490.810.740.143.272.862.182.11010
    46040AIncision of rectal abscess5.206.585.764.013.690.6212.4011.589.839.51090
    46045AIncision of rectal abscess5.75NANA3.933.150.54NANA10.229.44090
    46050AIncision of anal abscess1.193.212.710.980.880.144.544.042.312.21010
    46060AIncision of rectal abscess6.18NANA3.993.430.67NANA10.8410.28090
    46070AIncision of anal septum2.71NANA2.351.960.36NANA5.425.03090
    46080AIncision of anal sphincter2.493.092.541.131.130.305.885.333.923.92010
    46083AIncise external hemorrhoid1.402.362.480.950.930.153.914.032.502.48010
    46200ARemoval of anal fissure3.416.324.473.743.080.3910.128.277.546.88090
    46210ARemoval of anal crypt2.676.005.333.392.810.318.988.316.375.79090
    46211ARemoval of anal crypts4.247.185.854.133.660.4811.9010.578.858.38090
    46220ARemoval of anal tag1.563.012.471.100.990.174.744.202.832.72010
    46221ALigation of hemorrhoid(s)2.293.752.922.001.810.236.275.444.524.33010
    46230ARemoval of anal tags2.573.523.181.341.300.306.396.054.214.17010
    46250AHemorrhoidectomy4.136.025.482.862.670.4810.6310.097.477.28090
    46255AHemorrhoidectomy4.846.445.983.122.900.5811.8611.408.548.32090
    46257ARemove hemorrhoids & fissure5.64NANA3.803.100.64NANA10.089.38090
    46258ARemove hemorrhoids & fistula6.22NANA4.013.460.68NANA10.9110.36090
    46260AHemorrhoidectomy6.61NANA4.063.400.76NANA11.4310.77090
    46261ARemove hemorrhoids & fissure7.57NANA4.323.780.79NANA12.6812.14090
    46262ARemove hemorrhoids & fistula7.74NANA4.683.970.83NANA13.2512.54090
    Start Printed Page 49146
    46270ARemoval of anal fistula4.756.335.333.913.100.4611.5410.549.128.31090
    46275ARemoval of anal fistula5.256.665.144.003.230.5212.4310.919.779.00090
    46280ARemoval of anal fistula6.22NANA4.263.500.66NANA11.1410.38090
    46285ARemoval of anal fistula5.256.544.463.953.040.4412.2310.159.648.73090
    46288ARepair anal fistula7.62NANA4.673.920.79NANA13.0812.33090
    46320ARemoval of hemorrhoid clot1.612.422.200.890.860.184.213.992.682.65010
    46500AInjection into hemorrhoid(s)1.613.612.491.251.180.165.384.263.022.95010
    46505AChemodenervation anal musc3.113.303.112.312.050.146.556.365.565.30010
    46600ADiagnostic anoscopy0.501.481.540.370.350.052.032.090.920.90000
    46604AAnoscopy and dilation1.3112.6510.000.580.610.1214.0811.432.012.04000
    46606AAnoscopy and biopsy0.814.023.840.480.440.094.924.741.381.34000
    46608AAnoscopy, remove for body1.514.064.320.620.640.165.735.992.292.31000
    46610AAnoscopy, remove lesion1.324.294.100.660.620.155.765.572.132.09000
    46611AAnoscopy1.812.883.220.720.770.194.885.222.722.77000
    46612AAnoscopy, remove lesions2.345.515.260.950.970.288.137.883.573.59000
    46614AAnoscopy, control bleeding2.012.782.440.820.840.204.994.653.033.05000
    46615AAnoscopy2.682.432.470.971.050.335.445.483.984.06000
    46700ARepair of anal stricture9.62NANA4.724.330.94NANA15.2814.89090
    46705ARepair of anal stricture7.25NANA4.083.780.91NANA12.2411.94090
    46706ARepr of anal fistula w/glue2.39NANA1.451.300.28NANA4.123.97010
    46710ARepr per/vag pouch sngl proc16.95NANA7.797.761.38NANA26.1226.09090
    46712ARepr per/vag pouch dbl proc36.26NANA14.1614.823.66NANA54.0854.74090
    46715ARep perf anoper fistu7.49NANA3.773.620.92NANA12.1812.03090
    46716ARep perf anoper/vestib fistu17.04NANA9.668.391.58NANA28.2827.01090
    46730AConstruction of absent anus30.05NANA11.6611.932.46NANA44.1744.44090
    46735AConstruction of absent anus35.54NANA13.3613.503.20NANA52.1052.24090
    46740AConstruction of absent anus33.30NANA14.6613.582.41NANA50.3749.29090
    46742ARepair of imperforated anus39.54NANA16.1917.083.19NANA58.9259.81090
    46744ARepair of cloacal anomaly58.34NANA21.0821.106.38NANA85.8085.82090
    46746ARepair of cloacal anomaly64.79NANA19.8523.827.68NANA92.3296.29090
    46748ARepair of cloacal anomaly70.77NANA21.2523.043.36NANA95.3897.17090
    46750ARepair of anal sphincter11.96NANA5.815.241.10NANA18.8718.30090
    46751ARepair of anal sphincter9.12NANA4.455.170.94NANA14.5115.23090
    46753AReconstruction of anus8.77NANA4.614.030.94NANA14.3213.74090
    46754ARemoval of suture from anus2.823.733.632.271.820.196.746.645.284.83010
    46760ARepair of anal sphincter17.11NANA8.267.381.59NANA26.9626.08090
    46761ARepair of anal sphincter15.10NANA6.456.111.43NANA22.9822.64090
    46762AImplant artificial sphincter14.58NANA6.795.831.24NANA22.6121.65090
    46900ADestruction, anal lesion(s)1.913.622.841.301.280.175.704.923.383.36010
    46910ADestruction, anal lesion(s)1.863.883.151.201.100.195.935.203.253.15010
    46916ACryosurgery, anal lesion(s)1.863.703.291.541.430.115.675.263.513.40010
    46917ALaser surgery, anal lesions1.868.739.021.211.140.2110.8011.093.283.21010
    46922AExcision of anal lesion(s)1.864.153.491.201.100.226.235.573.283.18010
    46924ADestruction, anal lesion(s)2.769.618.911.521.390.2612.6311.934.544.41010
    46934ADestruction of hemorrhoids3.755.415.162.802.910.329.489.236.876.98090
    46935ADestruction of hemorrhoids2.433.703.521.081.180.236.366.183.743.84010
    46936ADestruction of hemorrhoids3.686.165.192.602.520.3410.189.216.626.54090
    46937ACryotherapy of rectal lesion2.694.013.081.801.370.146.845.914.634.20010
    46938ACryotherapy of rectal lesion4.655.854.463.663.200.5811.089.698.898.43090
    46940ATreatment of anal fissure2.322.852.211.041.080.235.404.763.593.63010
    46942ATreatment of anal fissure2.042.802.070.951.000.195.034.303.183.23010
    46945ALigation of hemorrhoids2.094.833.653.002.600.197.115.935.284.88090
    46946ALigation of hemorrhoids2.584.653.952.662.460.277.506.805.515.31090
    46947AHemorrhoidopexy by stapling5.45NANA3.122.810.75NANA9.329.01090
    46999CAnus surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    47000ANeedle biopsy of liver1.907.684.220.630.630.129.706.242.652.65000
    Start Printed Page 49147
    47001ANeedle biopsy, liver add-on1.90NANA0.490.610.25NANA2.642.76ZZZ
    47010AOpen drainage, liver lesion19.21NANA8.348.381.80NANA29.3529.39090
    47011APercut drain, liver lesion3.69NANA1.181.200.22NANA5.095.11000
    47015AInject/aspirate liver cyst18.31NANA7.927.591.83NANA28.0627.73090
    47100AWedge biopsy of liver12.72NANA6.396.121.53NANA20.6420.37090
    47120APartial removal of liver38.74NANA14.2314.914.65NANA57.6258.30090
    47122AExtensive removal of liver59.29NANA19.0320.847.19NANA85.5187.32090
    47125APartial removal of liver52.85NANA17.2718.946.45NANA76.5778.24090
    47130APartial removal of liver57.00NANA18.2820.296.94NANA82.2284.23090
    47135RTransplantation of liver83.15NANA28.0130.639.93NANA121.09123.71090
    47136RTransplantation of liver70.25NANA23.8026.218.41NANA102.46104.87090
    47140APartial removal, donor liver59.14NANA21.8922.185.17NANA86.2086.49090
    47141APartial removal, donor liver71.17NANA25.6726.595.17NANA102.01102.93090
    47142APartial removal, donor liver79.11NANA27.7229.035.17NANA112.00113.31090
    47143CPrep donor liver, whole0.000.000.000.000.000.000.000.000.000.00XXX
    47144CPrep donor liver, 3-segment0.000.000.000.000.000.000.000.000.000.00090
    47145CPrep donor liver, lobe split0.000.000.000.000.000.000.000.000.000.00090
    47146APrep donor liver/venous6.00NANA1.541.920.83NANA8.378.75XXX
    47147APrep donor liver/arterial7.00NANA1.802.240.97NANA9.7710.21XXX
    47300ASurgery for liver lesion17.95NANA7.717.341.98NANA27.6427.27090
    47350ARepair liver wound22.30NANA8.958.882.58NANA33.8333.76090
    47360ARepair liver wound31.12NANA11.5111.563.37NANA46.0046.05090
    47361ARepair liver wound52.41NANA16.9318.125.85NANA75.1976.38090
    47362ARepair liver wound23.35NANA9.358.872.50NANA35.2034.72090
    47370ALaparo ablate liver tumor rf20.61NANA7.758.042.55NANA30.9131.20090
    47371ALaparo ablate liver cryosurg20.61NANA8.168.152.60NANA31.3731.36090
    47379CLaparoscope procedure, liver0.000.000.000.000.000.000.000.000.000.00YYY
    47380AOpen ablate liver tumor rf24.37NANA8.699.192.86NANA35.9236.42090
    47381AOpen ablate liver tumor cryo24.64NANA9.239.492.84NANA36.7136.97090
    47382APercut ablate liver rf15.17NANA5.685.970.96NANA21.8122.10010
    47399CLiver surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    47400AIncision of liver duct36.17NANA13.2413.383.07NANA52.4852.62090
    47420AIncision of bile duct21.86NANA8.698.742.62NANA33.1733.22090
    47425AIncision of bile duct22.14NANA8.708.782.61NANA33.4533.53090
    47460AIncise bile duct sphincter20.35NANA9.068.542.20NANA31.6131.09090
    47480AIncision of gallbladder13.06NANA6.726.111.42NANA21.2020.59090
    47490AIncision of gallbladder8.00NANA5.025.430.43NANA13.4513.86090
    47500AInjection for liver x-rays1.96NANA0.640.640.12NANA2.722.72000
    47505AInjection for liver x-rays0.76NANA0.250.250.04NANA1.051.05000
    47510AInsert catheter, bile duct7.88NANA4.354.850.46NANA12.6913.19090
    47511AInsert bile duct drain10.72NANA4.674.980.62NANA16.0116.32090
    47525AChange bile duct catheter5.5414.9215.052.512.730.3320.7920.928.388.60010
    47530ARevise/reinsert bile tube5.9030.7933.033.263.600.3737.0639.309.539.87090
    47550ABile duct endoscopy add-on3.02NANA0.790.960.40NANA4.214.38ZZZ
    47552ABiliary endoscopy thru skin6.03NANA2.322.360.42NANA8.778.81000
    47553ABiliary endoscopy thru skin6.34NANA2.052.060.37NANA8.768.77000
    47554ABiliary endoscopy thru skin9.05NANA3.123.290.96NANA13.1313.30000
    47555ABiliary endoscopy thru skin7.55NANA2.502.470.45NANA10.5010.47000
    47556ABiliary endoscopy thru skin8.55NANA2.772.780.50NANA11.8211.83000
    47560ALaparoscopy w/cholangio4.88NANA1.261.570.65NANA6.797.10000
    47561ALaparo w/cholangio/biopsy5.17NANA1.571.830.66NANA7.407.66000
    47562ALaparoscopic cholecystectomy11.57NANA5.325.071.46NANA18.3518.10090
    47563ALaparo cholecystectomy/graph11.98NANA5.135.251.58NANA18.6918.81090
    47564ALaparo cholecystectomy/explr14.21NANA5.505.831.88NANA21.5921.92090
    47570ALaparo cholecystoenterostomy12.56NANA5.105.301.65NANA19.3119.51090
    47579CLaparoscope proc, biliary0.000.000.000.000.000.000.000.000.000.00YYY
    47600ARemoval of gallbladder15.44NANA6.826.301.79NANA24.0523.53090
    47605ARemoval of gallbladder15.86NANA6.466.481.94NANA24.2624.28090
    47610ARemoval of gallbladder20.80NANA7.787.892.48NANA31.0631.17090
    47612ARemoval of gallbladder21.09NANA7.787.852.47NANA31.3431.41090
    47620ARemoval of gallbladder22.95NANA8.298.462.73NANA33.9734.14090
    47630ARemove bile duct stone9.52NANA4.554.800.65NANA14.7214.97090
    47700AExploration of bile ducts16.32NANA7.337.382.06NANA25.7125.76090
    47701ABile duct revision28.55NANA10.1811.153.67NANA42.4043.37090
    47711AExcision of bile duct tumor25.71NANA9.689.853.04NANA38.4338.60090
    47712AExcision of bile duct tumor33.53NANA11.6912.223.92NANA49.1449.67090
    Start Printed Page 49148
    47715AExcision of bile duct cyst21.36NANA8.648.482.48NANA32.4832.32090
    47716AFusion of bile duct cyst19.01NANA7.997.862.14NANA29.1429.01090
    47720AFuse gallbladder & bowel18.15NANA7.807.552.10NANA28.0527.80090
    47721AFuse upper gi structures21.80NANA8.698.592.52NANA33.0132.91090
    47740AFuse gallbladder & bowel21.04NANA8.568.412.41NANA32.0131.86090
    47741AFuse gallbladder & bowel24.02NANA9.339.292.82NANA36.1736.13090
    47760AFuse bile ducts and bowel38.08NANA13.2411.433.41NANA54.7352.92090
    47765AFuse liver ducts & bowel51.95NANA17.0912.363.29NANA72.3367.60090
    47780AFuse bile ducts and bowel42.08NANA14.2711.963.49NANA59.8457.53090
    47785AFuse bile ducts and bowel55.95NANA18.0914.194.09NANA78.1374.23090
    47800AReconstruction of bile ducts25.98NANA9.849.993.07NANA38.8939.04090
    47801APlacement, bile duct support17.41NANA8.198.151.16NANA26.7626.72090
    47802AFuse liver duct & intestine24.74NANA9.649.652.85NANA37.2337.24090
    47900ASuture bile duct injury22.25NANA8.828.842.64NANA33.7133.73090
    47999CBile tract surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    48000ADrainage of abdomen31.76NANA11.0711.393.47NANA46.3046.62090
    48001APlacement of drain, pancreas39.50NANA12.8113.604.68NANA56.9957.78090
    48005AResect/debride pancreas48.97NANA16.1016.435.54NANA70.6170.94090
    48020ARemoval of pancreatic stone18.90NANA7.687.392.12NANA28.7028.41090
    48100ABiopsy of pancreas, open14.34NANA5.965.681.62NANA21.9221.64090
    48102ANeedle biopsy, pancreas4.679.578.361.741.890.2814.5213.316.696.84010
    48120ARemoval of pancreas lesion18.29NANA6.986.882.09NANA27.3627.26090
    48140APartial removal of pancreas26.13NANA9.489.513.02NANA38.6338.66090
    48145APartial removal of pancreas27.20NANA9.839.823.17NANA40.2040.19090
    48146APancreatectomy30.34NANA12.0211.983.49NANA45.8545.81090
    48148ARemoval of pancreatic duct20.20NANA8.147.732.29NANA30.6330.22090
    48150APartial removal of pancreas52.55NANA18.2919.186.30NANA77.1478.03090
    48152APancreatectomy48.39NANA16.8417.855.78NANA71.0172.02090
    48153APancreatectomy52.53NANA18.1519.186.29NANA76.9778.00090
    48154APancreatectomy48.62NANA17.1517.955.82NANA71.5972.39090
    48155ARemoval of pancreas29.19NANA12.0911.763.26NANA44.5444.21090
    48180AFuse pancreas and bowel27.90NANA10.0110.113.27NANA41.1841.28090
    48400AInjection, intraop add-on1.95NANA0.840.690.15NANA2.942.79ZZZ
    48500ASurgery of pancreatic cyst17.97NANA8.127.522.02NANA28.1127.51090
    48510ADrain pancreatic pseudocyst17.00NANA7.647.481.82NANA26.4626.30090
    48511ADrain pancreatic pseudocyst3.9920.2420.731.271.300.2424.4724.965.505.53000
    48520AFuse pancreas cyst and bowel18.03NANA6.856.732.05NANA26.9326.81090
    48540AFuse pancreas cyst and bowel21.82NANA7.818.032.60NANA32.2332.45090
    48545APancreatorrhaphy22.04NANA8.168.022.37NANA32.5732.43090
    48547ADuodenal exclusion30.19NANA10.3610.443.41NANA43.9644.04090
    48551CPrep donor pancreas0.000.000.000.000.000.000.000.000.000.00XXX
    48552APrep donor pancreas/venous4.30NANA1.141.380.31NANA5.755.99XXX
    48554RTranspl allograft pancreas36.77NANA20.6918.864.18NANA61.6459.81090
    48556ARemoval, allograft pancreas19.16NANA9.488.422.07NANA30.7129.65090
    48999CPancreas surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    49000AExploration of abdomen12.40NANA5.255.341.52NANA19.1719.26090
    49002AReopening of abdomen17.51NANA6.475.381.37NANA25.3524.26090
    49010AExploration behind abdomen15.94NANA6.366.011.51NANA23.8123.46090
    49020ADrain abdominal abscess26.38NANA9.9510.122.84NANA39.1739.34090
    49021ADrain abdominal abscess3.3719.7320.721.081.100.2023.3024.294.654.67000
    49040ADrain, open, abdom abscess16.35NANA6.576.451.69NANA24.6124.49090
    49041ADrain, percut, abdom abscess3.9919.9719.631.281.300.2424.2023.865.515.53000
    49060ADrain, open, retrop abscess18.36NANA7.307.391.74NANA27.4027.49090
    49061ADrain, percut, retroper absc3.6919.8319.671.181.200.2223.7423.585.095.11000
    49062ADrain to peritoneal cavity12.08NANA5.265.381.39NANA18.7318.85090
    49080APuncture, peritoneal cavity1.352.723.670.440.460.084.155.101.871.89000
    Start Printed Page 49149
    49081ARemoval of abdominal fluid1.262.932.670.440.430.094.284.021.791.78000
    49085ARemove abdomen foreign body13.97NANA5.615.521.62NANA21.2021.11090
    49180ABiopsy, abdominal mass1.732.432.930.550.570.104.264.762.382.40000
    49200ARemoval of abdominal lesion10.89NANA4.904.991.24NANA17.0317.12090
    49201ARemove abdom lesion, complex15.60NANA6.486.891.87NANA23.9524.36090
    49215AExcise sacral spine tumor37.60NANA12.8013.734.37NANA54.7755.70090
    49220AMultiple surgery, abdomen15.64NANA6.306.541.88NANA23.8224.06090
    49250AExcision of umbilicus8.88NANA4.324.281.08NANA14.2814.24090
    49255ARemoval of omentum12.35NANA5.685.621.43NANA19.4619.40090
    49320ADiag laparo separate proc5.34NANA2.542.610.65NANA8.538.60010
    49321ALaparoscopy, biopsy5.39NANA2.592.630.70NANA8.688.72010
    49322ALaparoscopy, aspiration5.94NANA2.662.910.71NANA9.319.56010
    49323ALaparo drain lymphocele10.09NANA4.724.551.20NANA16.0115.84090
    49329CLaparo proc, abdm/per/oment0.000.000.000.000.000.000.000.000.000.00YYY
    49400AAir injection into abdomen1.882.442.910.570.610.154.474.942.602.64000
    49419AInsrt abdom cath for chemotx7.01NANA3.493.540.81NANA11.3111.36090
    49420AInsert abdom drain, temp2.22NANA1.161.110.21NANA3.593.54000
    49421AInsert abdom drain, perm5.83NANA3.163.150.74NANA9.739.72090
    49422ARemove perm cannula/catheter6.24NANA2.642.830.83NANA9.719.90010
    49423AExchange drainage catheter1.4613.2613.870.510.520.0914.8115.422.062.07000
    49424AAssess cyst, contrast inject0.763.093.560.280.290.043.894.361.081.09000
    49425AInsert abdomen-venous drain12.07NANA5.325.521.54NANA18.9319.13090
    49426ARevise abdomen-venous shunt10.28NANA4.554.711.28NANA16.1116.27090
    49427AInjection, abdominal shunt0.89NANA0.280.300.07NANA1.241.26000
    49428ALigation of shunt6.75NANA3.083.710.80NANA10.6311.26010
    49429ARemoval of shunt7.39NANA3.013.321.02NANA11.4211.73010
    49491ARpr hern preemie reduc12.36NANA5.475.161.40NANA19.2318.92090
    49492ARpr ing hern premie, blocked15.26NANA5.866.041.80NANA22.9223.10090
    49495ARpr ing hernia baby, reduc6.13NANA3.002.960.74NANA9.879.83090
    49496ARpr ing hernia baby, blocked9.28NANA4.394.301.07NANA14.7414.65090
    49500ARpr ing hernia, init, reduce5.72NANA3.623.240.71NANA10.059.67090
    49501ARpr ing hernia, init blocked9.24NANA4.284.221.12NANA14.6414.58090
    49505APrp i/hern init reduc >5 yr7.84NANA3.923.791.03NANA12.7912.66090
    49507APrp i/hern init block >5 yr9.93NANA4.504.461.27NANA15.7015.66090
    49520ARerepair ing hernia, reduce9.87NANA4.424.431.28NANA15.5715.58090
    49521ARerepair ing hernia, blocked12.32NANA5.045.181.59NANA18.9519.09090
    49525ARepair ing hernia, sliding8.81NANA4.174.101.13NANA14.1114.04090
    49540ARepair lumbar hernia10.62NANA4.674.721.37NANA16.6616.71090
    49550ARpr rem hernia, init, reduce8.87NANA4.154.131.14NANA14.1614.14090
    49553ARpr fem hernia, init blocked9.80NANA4.454.421.24NANA15.4915.46090
    49555ARerepair fem hernia, reduce9.27NANA4.264.261.20NANA14.7314.73090
    49557ARerepair fem hernia, blocked11.50NANA4.904.961.47NANA17.8717.93090
    49560ARpr ventral hern init, reduc11.80NANA4.935.091.52NANA18.2518.41090
    49561ARpr ventral hern init, block15.26NANA5.866.001.88NANA23.0023.14090
    49565ARerepair ventrl hern, reduce12.25NANA5.175.201.52NANA18.9418.97090
    49566ARerepair ventrl hern, block15.41NANA5.926.071.90NANA23.2323.38090
    49568AHernia repair w/mesh4.88NANA1.261.570.64NANA6.787.09ZZZ
    49570ARpr epigastric hern, reduce5.93NANA3.363.210.75NANA10.049.89090
    49572ARpr epigastric hern, blocked7.75NANA3.873.560.88NANA12.5012.19090
    49580ARpr umbil hern, reduc < 5 yr4.35NANA3.032.700.54NANA7.927.59090
    49582ARpr umbil hern, block < 5 yr7.01NANA3.643.510.88NANA11.5311.40090
    49585ARpr umbil hern, reduc > 5 yr6.47NANA3.543.350.82NANA10.8310.64090
    49587ARpr umbil hern, block > 5 yr7.92NANA3.903.770.99NANA12.8112.68090
    49590ARepair spigelian hernia8.78NANA4.144.101.13NANA14.0514.01090
    49600ARepair umbilical lesion11.42NANA5.205.291.32NANA17.9418.03090
    49605ARepair umbilical lesion86.79NANA26.5828.029.36NANA122.73124.17090
    49606ARepair umbilical lesion18.87NANA6.667.432.45NANA27.9828.75090
    49610ARepair umbilical lesion10.78NANA4.735.081.07NANA16.5816.93090
    49611ARepair umbilical lesion9.21NANA3.666.140.78NANA13.6516.13090
    49650ALaparo hernia repair initial6.26NANA3.373.240.93NANA10.5610.43090
    49651ALaparo hernia repair recur8.23NANA4.264.101.14NANA13.6313.47090
    49659CLaparo proc, hernia repair0.000.000.000.000.000.000.000.000.000.00YYY
    49900ARepair of abdominal wall12.26NANA6.356.251.62NANA20.2320.13090
    49904AOmental flap, extra-abdom22.06NANA12.1714.452.69NANA36.9239.20090
    49905AOmental flap, intra-abdom6.54NANA1.742.150.75NANA9.039.44ZZZ
    49906CFree omental flap, microvasc0.000.000.000.000.000.000.000.000.000.00090
    Start Printed Page 49150
    49999CAbdomen surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    50010AExploration of kidney12.07NANA6.905.630.93NANA19.9018.63090
    50020ARenal abscess, open drain17.80NANA8.637.961.34NANA27.7727.10090
    50021ARenal abscess, percut drain3.3721.2621.551.091.100.2024.8325.124.664.67000
    50040ADrainage of kidney16.40NANA8.917.331.03NANA26.3424.76090
    50045AExploration of kidney16.61NANA8.557.081.24NANA26.4024.93090
    50060ARemoval of kidney stone20.74NANA11.108.641.36NANA33.2030.74090
    50065AIncision of kidney22.11NANA11.697.481.59NANA35.3931.18090
    50070AIncision of kidney21.64NANA11.499.031.44NANA34.5732.11090
    50075ARemoval of kidney stone26.84NANA13.7910.871.80NANA42.4339.51090
    50080ARemoval of kidney stone15.56NANA8.646.861.04NANA25.2423.46090
    50081ARemoval of kidney stone23.25NANA12.329.641.54NANA37.1134.43090
    50100ARevise kidney blood vessels17.24NANA7.347.672.06NANA26.6426.97090
    50120AExploration of kidney17.00NANA8.807.271.21NANA27.0125.48090
    50125AExplore and drain kidney17.61NANA9.857.681.43NANA28.8926.72090
    50130ARemoval of kidney stone18.61NANA10.127.901.22NANA29.9527.73090
    50135AExploration of kidney20.38NANA10.818.531.33NANA32.5230.24090
    50200ABiopsy of kidney2.63NANA1.131.250.16NANA3.924.04000
    50205ABiopsy of kidney12.15NANA5.625.161.30NANA19.0718.61090
    50220ARemove kidney, open18.47NANA9.647.831.35NANA29.4627.65090
    50225ARemoval kidney open, complex21.67NANA11.148.891.50NANA34.3132.06090
    50230ARemoval kidney open, radical23.63NANA11.819.381.55NANA36.9934.56090
    50234ARemoval of kidney & ureter23.84NANA12.209.671.59NANA37.6335.10090
    50236ARemoval of kidney & ureter26.66NANA14.1011.211.76NANA42.5239.63090
    50240APartial removal of kidney23.93NANA12.789.951.55NANA38.2635.43090
    50250ACryoablate renal mass open21.98NANA11.019.621.39NANA34.3832.99090
    50280ARemoval of kidney lesion16.88NANA9.357.351.19NANA27.4225.42090
    50290ARemoval of kidney lesion15.94NANA8.196.891.41NANA25.5424.24090
    50320ARemove kidney, living donor22.18NANA12.5211.122.35NANA37.0535.65090
    50323CPrep cadaver renal allograft0.000.000.000.000.000.000.000.000.000.00XXX
    50325CPrep donor renal graft0.000.000.000.000.000.000.000.000.000.00XXX
    50327APrep renal graft/venous4.00NANA1.101.290.29NANA5.395.58XXX
    50328APrep renal graft/arterial3.50NANA0.981.130.26NANA4.744.89XXX
    50329APrep renal graft/ureteral3.34NANA0.971.090.25NANA4.564.68XXX
    50340ARemoval of kidney13.79NANA7.706.791.65NANA23.1422.23090
    50360ATransplantation of kidney40.27NANA18.9516.343.81NANA63.0360.42090
    50365ATransplantation of kidney45.50NANA19.6318.554.42NANA69.5568.47090
    50370ARemove transplanted kidney18.60NANA9.357.691.67NANA29.6227.96090
    50380AReimplantation of kidney29.48NANA16.4313.122.50NANA48.4145.10090
    50382AChange ureter stent, percut5.5026.4133.691.861.860.3432.2539.537.707.70000
    50384ARemove ureter stent, percut5.0020.7731.611.691.710.3126.0836.927.007.02000
    50387AChange ext/int ureter stent2.0012.7516.850.660.670.1214.8718.972.782.79000
    50389ARemove renal tube w/fluoro1.106.7511.240.360.370.077.9212.411.531.54000
    50390ADrainage of kidney lesion1.96NANA0.640.640.12NANA2.722.72000
    50391AInstll rx agnt into rnal tub1.961.511.560.790.670.143.613.662.892.77000
    50392AInsert kidney drain3.37NANA1.401.490.20NANA4.975.06000
    50393AInsert ureteral tube4.15NANA1.661.750.25NANA6.066.15000
    50394AInjection for kidney x-ray0.761.882.480.560.640.052.693.291.371.45000
    50395ACreate passage to kidney3.37NANA1.481.500.21NANA5.065.08000
    50396AMeasure kidney pressure2.09NANA1.021.070.13NANA3.243.29000
    50398AChange kidney tube1.4611.9915.230.520.520.0913.5416.782.072.07000
    50400ARevision of kidney/ureter21.06NANA11.128.681.38NANA33.5631.12090
    50405ARevision of kidney/ureter25.61NANA13.1610.061.78NANA40.5537.45090
    50500ARepair of kidney wound21.01NANA9.298.612.01NANA32.3131.63090
    50520AClose kidney-skin fistula18.67NANA9.407.921.49NANA29.5628.08090
    50525ARepair renal-abdomen fistula24.14NANA10.999.491.83NANA36.9635.46090
    Start Printed Page 49151
    50526ARepair renal-abdomen fistula26.06NANA8.239.451.96NANA36.2537.47090
    50540ARevision of horseshoe kidney20.89NANA10.798.941.36NANA33.0431.19090
    50541ALaparo ablate renal cyst16.72NANA8.817.061.13NANA26.6624.91090
    50542ALaparo ablate renal mass21.12NANA11.248.911.39NANA33.7531.42090
    50543ALaparo partial nephrectomy27.10NANA14.2011.191.80NANA43.1040.09090
    50544ALaparoscopy, pyeloplasty23.23NANA11.519.271.58NANA36.3234.08090
    50545ALaparo radical nephrectomy24.89NANA12.359.971.70NANA38.9436.56090
    50546ALaparoscopic nephrectomy21.63NANA11.399.121.57NANA34.5932.32090
    50547ALaparo removal donor kidney26.20NANA12.6811.502.76NANA41.6440.46090
    50548ALaparo remove w/ureter25.22NANA12.279.951.72NANA39.2136.89090
    50549CLaparoscope proc, renal0.000.000.000.000.000.000.000.000.000.00YYY
    50551AKidney endoscopy5.594.614.262.662.140.4010.6010.258.658.13000
    50553AKidney endoscopy5.984.454.382.552.270.3910.8210.758.928.64000
    50555AKidney endoscopy & biopsy6.525.124.893.032.510.4512.0911.8610.009.48000
    50557AKidney endoscopy & treatment6.615.284.763.072.490.4712.3611.8410.159.57000
    50561AKidney endoscopy & treatment7.585.805.263.422.840.5413.9213.3811.5410.96000
    50562ARenal scope w/tumor resect10.90NANA5.424.590.73NANA17.0516.22090
    50570AKidney endoscopy9.53NANA4.273.480.68NANA14.4813.69000
    50572AKidney endoscopy10.33NANA4.603.780.85NANA15.7814.96000
    50574AKidney endoscopy & biopsy11.00NANA4.784.000.77NANA16.5515.77000
    50575AKidney endoscopy13.96NANA6.064.990.99NANA21.0119.94000
    50576AKidney endoscopy & treatment10.97NANA4.863.960.78NANA16.6115.71000
    50580AKidney endoscopy & treatment11.84NANA5.174.260.83NANA17.8416.93000
    50590AFragmenting of kidney stone9.5817.2613.616.194.630.6527.4923.8416.4214.86090
    50592APerc rf ablate renal tumor6.7577.05131.02.812.940.4384.23138.29.9910.12010
    50600AExploration of ureter16.99NANA8.607.151.13NANA26.7225.27090
    50605AInsert ureteral support16.61NANA8.007.051.45NANA26.0625.11090
    50610ARemoval of ureter stone17.07NANA9.127.501.43NANA27.6226.00090
    50620ARemoval of ureter stone16.25NANA8.976.991.07NANA26.2924.31090
    50630ARemoval of ureter stone16.03NANA8.306.781.09NANA25.4223.90090
    50650ARemoval of ureter18.61NANA10.157.951.23NANA29.9927.79090
    50660ARemoval of ureter20.81NANA10.878.681.38NANA33.0630.87090
    50684AInjection for ureter x-ray0.764.124.760.640.510.054.935.571.451.32000
    50686AMeasure ureter pressure1.512.073.100.710.790.113.694.722.332.41000
    50688AChange of ureter tube/stent1.17NANA0.921.030.07NANA2.162.27010
    50690AInjection for ureter x-ray1.161.431.720.720.720.072.662.951.951.95000
    50700ARevision of ureter16.48NANA8.467.451.27NANA26.2125.20090
    50715ARelease of ureter20.43NANA8.658.712.13NANA31.2131.27090
    50722ARelease of ureter17.74NANA8.027.861.90NANA27.6627.50090
    50725ARelease/revise ureter19.99NANA9.708.461.52NANA31.2129.97090
    50727ARevise ureter8.17NANA5.784.650.61NANA14.5613.43090
    50728ARevise ureter12.00NANA7.215.971.00NANA20.2118.97090
    50740AFusion of ureter & kidney19.86NANA9.038.061.96NANA30.8529.88090
    50750AFusion of ureter & kidney21.01NANA9.848.451.38NANA32.2330.84090
    50760AFusion of ureters19.86NANA9.848.211.55NANA31.2529.62090
    50770ASplicing of ureters21.01NANA10.708.651.45NANA33.1631.11090
    50780AReimplant ureter in bladder19.74NANA10.148.221.51NANA31.3929.47090
    50782AReimplant ureter in bladder19.51NANA8.308.651.61NANA29.4229.77090
    50783AReimplant ureter in bladder20.52NANA10.078.681.98NANA32.5731.18090
    50785AReimplant ureter in bladder22.02NANA11.199.021.45NANA34.6632.49090
    50800AImplant ureter in bowel16.16NANA9.327.181.19NANA26.6724.53090
    50810AFusion of ureter & bowel22.29NANA9.659.222.31NANA34.2533.82090
    50815AUrine shunt to intestine21.98NANA11.639.241.54NANA35.1532.76090
    50820AConstruct bowel bladder23.82NANA12.009.471.89NANA37.7135.18090
    50825AConstruct bowel bladder30.40NANA15.0912.112.07NANA47.5644.58090
    50830ARevise urine flow33.49NANA15.9213.102.37NANA51.7848.96090
    50840AReplace ureter by bowel22.11NANA11.939.301.47NANA35.5132.88090
    50845AAppendico-vesicostomy22.11NANA12.429.771.57NANA36.1033.45090
    50860ATransplant ureter to skin16.87NANA9.057.221.29NANA27.2125.38090
    50900ARepair of ureter14.83NANA8.106.621.14NANA24.0722.59090
    50920AClosure ureter/skin fistula15.60NANA8.547.061.01NANA25.1523.67090
    50930AClosure ureter/bowel fistula19.98NANA10.298.541.28NANA31.5529.80090
    50940ARelease of ureter15.72NANA8.276.861.26NANA25.2523.84090
    50945ALaparoscopy ureterolithotomy17.83NANA8.787.471.36NANA27.9726.66090
    50947ALaparo new ureter/bladder25.57NANA12.5010.392.16NANA40.2338.12090
    50948ALaparo new ureter/bladder23.65NANA12.029.521.70NANA37.3734.87090
    Start Printed Page 49152
    50949CLaparoscope proc, ureter0.000.000.000.000.000.000.000.000.000.00YYY
    50951AEndoscopy of ureter5.834.874.442.792.240.4111.1110.689.038.48000
    50953AEndoscopy of ureter6.235.054.563.312.600.4311.7111.229.979.26000
    50955AUreter endoscopy & biopsy6.745.286.133.522.890.4812.5013.3510.7410.11000
    50957AUreter endoscopy & treatment6.785.374.763.152.570.4812.6312.0210.419.83000
    50961AUreter endoscopy & treatment6.044.854.482.822.340.4111.3010.939.278.79000
    50970AUreter endoscopy7.13NANA3.302.670.52NANA10.9510.32000
    50972AUreter endoscopy & catheter6.88NANA3.142.630.49NANA10.5110.00000
    50974AUreter endoscopy & biopsy9.16NANA3.973.320.64NANA13.7713.12000
    50976AUreter endoscopy & treatment9.03NANA3.763.240.66NANA13.4512.93000
    50980AUreter endoscopy & treatment6.84NANA3.132.560.48NANA10.459.88000
    51000ADrainage of bladder0.780.941.690.280.250.051.772.521.111.08000
    51005ADrainage of bladder1.022.434.130.300.330.103.555.251.421.45000
    51010ADrainage of bladder4.254.785.402.382.000.289.319.936.916.53010
    51020AIncise & treat bladder7.51NANA5.354.230.47NANA13.3312.21090
    51030AIncise & treat bladder7.63NANA4.804.180.58NANA13.0112.39090
    51040AIncise & drain bladder4.39NANA3.723.000.31NANA8.427.70090
    51045AIncise bladder/drain ureter7.63NANA5.234.250.52NANA13.3812.40090
    51050ARemoval of bladder stone7.83NANA5.384.080.49NANA13.7012.40090
    51060ARemoval of ureter stone9.77NANA6.424.980.62NANA16.8115.37090
    51065ARemove ureter calculus9.77NANA6.354.850.63NANA16.7515.25090
    51080ADrainage of bladder abscess6.57NANA4.353.740.43NANA11.3510.74090
    51500ARemoval of bladder cyst10.87NANA5.855.211.03NANA17.7517.11090
    51520ARemoval of bladder lesion10.03NANA6.515.130.69NANA17.2315.85090
    51525ARemoval of bladder lesion15.24NANA8.666.760.99NANA24.8922.99090
    51530ARemoval of bladder lesion13.53NANA7.336.141.05NANA21.9120.72090
    51535ARepair of ureter lesion13.72NANA7.546.461.23NANA22.4921.41090
    51550APartial removal of bladder17.05NANA8.917.271.31NANA27.2725.63090
    51555APartial removal of bladder22.97NANA11.519.371.69NANA36.1734.03090
    51565ARevise bladder & ureter(s)23.43NANA12.079.731.63NANA37.1334.79090
    51570ARemoval of bladder27.25NANA13.3910.651.71NANA42.3539.61090
    51575ARemoval of bladder & nodes33.93NANA16.7913.212.16NANA52.8849.30090
    51580ARemove bladder/revise tract35.05NANA17.6413.772.24NANA54.9351.06090
    51585ARemoval of bladder & nodes39.32NANA19.6315.182.48NANA61.4356.98090
    51590ARemove bladder/revise tract36.08NANA17.4713.822.27NANA55.8252.17090
    51595ARemove bladder/revise tract41.04NANA19.7915.542.59NANA63.4259.17090
    51596ARemove bladder/create pouch43.91NANA21.3716.762.77NANA68.0463.44090
    51597ARemoval of pelvic structures42.51NANA20.1316.152.81NANA65.4561.47090
    51600AInjection for bladder x-ray0.884.254.850.310.300.065.195.791.251.24000
    51605APreparation for bladder xray0.64NANA0.420.370.04NANA1.101.05000
    51610AInjection for bladder x-ray1.051.932.190.700.630.073.053.311.821.75000
    51700AIrrigation of bladder0.881.521.580.340.300.062.462.521.281.24000
    51701AInsert bladder catheter0.501.051.450.250.210.041.591.990.790.75000
    51702AInsert temp bladder cath0.501.541.950.340.270.042.082.490.880.81000
    51703AInsert bladder cath, complex1.472.292.620.810.620.103.864.192.382.19000
    51705AChange of bladder tube1.022.042.210.850.670.073.133.301.941.76010
    51710AChange of bladder tube1.492.753.191.190.880.114.354.792.792.48010
    51715AEndoscopic injection/implant3.734.474.041.761.450.298.498.065.785.47000
    51720ATreatment of bladder lesion1.501.641.720.750.710.143.283.362.392.35000
    51725ASimple cystometrogram1.514.325.274.325.270.165.996.945.996.94000
    5172526ASimple cystometrogram1.510.570.510.570.510.122.202.142.202.14000
    51725TCASimple cystometrogram0.003.754.763.754.760.043.794.803.794.80000
    51726AComplex cystometrogram1.717.187.427.187.420.189.079.319.079.31000
    5172626AComplex cystometrogram1.710.650.580.650.580.132.492.422.492.42000
    51726TCAComplex cystometrogram0.006.536.846.536.840.056.586.896.586.89000
    51736AUrine flow measurement0.610.910.660.910.660.061.581.331.581.33000
    Start Printed Page 49153
    5173626AUrine flow measurement0.610.230.210.230.210.050.890.870.890.87000
    51736TCAUrine flow measurement0.000.680.460.680.460.010.690.470.690.47000
    51741AElectro-uroflowmetry, first1.141.270.911.270.910.112.522.162.522.16000
    5174126AElectro-uroflowmetry, first1.140.440.390.440.390.091.671.621.671.62000
    51741TCAElectro-uroflowmetry, first0.000.830.520.830.520.020.850.540.850.54000
    51772AUrethra pressure profile1.615.095.455.095.450.206.907.266.907.26000
    5177226AUrethra pressure profile1.610.550.550.550.550.152.312.312.312.31000
    51772TCAUrethra pressure profile0.004.544.914.544.910.054.594.964.594.96000
    51784AAnal/urinary muscle study1.533.853.953.853.950.165.545.645.545.64000
    5178426AAnal/urinary muscle study1.530.520.510.520.510.122.172.162.172.16000
    51784TCAAnal/urinary muscle study0.003.333.443.333.440.043.373.483.373.48000
    51785AAnal/urinary muscle study1.534.544.474.544.470.156.226.156.226.15000
    5178526AAnal/urinary muscle study1.530.560.520.560.520.112.202.162.202.16000
    51785TCAAnal/urinary muscle study0.003.973.953.973.950.044.013.994.013.99000
    51792AUrinary reflex study1.105.015.755.015.750.206.317.056.317.05000
    5179226AUrinary reflex study1.100.400.410.400.410.071.571.581.571.58000
    51792TCAUrinary reflex study0.004.615.344.615.340.134.745.474.745.47000
    51795AUrine voiding pressure study1.536.787.166.787.160.228.538.918.538.91000
    5179526AUrine voiding pressure study1.530.580.520.580.520.122.232.172.232.17000
    51795TCAUrine voiding pressure study0.006.216.656.216.650.106.316.756.316.75000
    51797AIntraabdominal pressure test1.604.885.564.885.560.176.657.336.657.33000
    5179726AIntraabdominal pressure test1.600.600.550.600.550.122.322.272.322.27000
    51797TCAIntraabdominal pressure test0.004.285.014.285.010.054.335.064.335.06000
    51798AUs urine capacity measure0.000.600.41NANA0.080.680.49NANAXXX
    51800ARevision of bladder/urethra18.68NANA10.118.201.32NANA30.1128.20090
    51820ARevision of urinary tract19.34NANA10.548.851.74NANA31.6229.93090
    51840AAttach bladder/urethra11.23NANA5.815.621.06NANA18.1017.91090
    51841AAttach bladder/urethra13.55NANA6.856.491.24NANA21.6421.28090
    51845ARepair bladder neck10.02NANA5.885.030.79NANA16.6915.84090
    51860ARepair of bladder wound12.42NANA6.836.021.16NANA20.4119.60090
    51865ARepair of bladder wound15.62NANA8.477.121.23NANA25.3223.97090
    51880ARepair of bladder opening7.77NANA4.734.150.72NANA13.2212.64090
    51900ARepair bladder/vagina lesion14.42NANA8.046.561.21NANA23.6722.19090
    51920AClose bladder-uterus fistula13.20NANA7.776.171.18NANA22.1520.55090
    51925AHysterectomy/bladder repair17.28NANA10.279.032.03NANA29.5828.34090
    51940ACorrection of bladder defect30.41NANA11.4111.912.14NANA43.9644.46090
    51960ARevision of bladder & bowel25.12NANA13.1810.521.63NANA39.9337.27090
    51980AConstruct bladder opening12.39NANA7.295.850.86NANA20.5419.10090
    51990ALaparo urethral suspension13.22NANA5.996.101.39NANA20.6020.71090
    51992ALaparo sling operation14.73NANA6.656.311.41NANA22.7922.45090
    51999CLaparoscope proc, bladder0.000.000.000.000.000.000.000.000.000.00YYY
    52000ACystoscopy2.233.703.401.330.900.146.075.773.703.27000
    52001ACystoscopy, removal of clots5.445.145.092.622.050.3910.9710.928.457.88000
    52005ACystoscopy & ureter catheter2.375.795.621.391.020.178.338.163.933.56000
    52007ACystoscopy and biopsy3.0210.8315.041.641.270.2214.0718.284.884.51000
    52010ACystoscopy & duct catheter3.028.2010.111.651.280.2111.4313.344.884.51000
    52204ACystoscopy2.598.3912.981.401.030.1711.1515.744.163.79000
    52214ACystoscopy and treatment3.7020.0733.591.861.460.2624.0337.555.825.42000
    52224ACystoscopy and treatment3.1419.2532.151.631.270.2222.6135.514.994.63000
    52234ACystoscopy and treatment4.62NANA2.311.820.33NANA7.266.77000
    52235ACystoscopy and treatment5.44NANA2.682.120.39NANA8.517.95000
    52240ACystoscopy and treatment9.71NANA4.423.580.69NANA14.8213.98000
    52250ACystoscopy and radiotracer4.49NANA2.351.830.32NANA7.166.64000
    52260ACystoscopy and treatment3.91NANA1.971.560.28NANA6.165.75000
    52265ACystoscopy and treatment2.947.7411.941.531.220.2210.9015.104.694.38000
    52270ACystoscopy & revise urethra3.367.0810.041.771.370.2410.6813.645.374.97000
    52275ACystoscopy & revise urethra4.699.3914.012.311.820.3314.4119.037.336.84000
    52276ACystoscopy and treatment4.99NANA2.481.960.35NANA7.827.30000
    52277ACystoscopy and treatment6.16NANA2.912.390.44NANA9.518.99000
    52281ACystoscopy and treatment2.805.346.651.561.200.208.349.654.564.20000
    52282ACystoscopy, implant stent6.39NANA3.012.430.45NANA9.859.27000
    52283ACystoscopy and treatment3.734.143.991.901.510.268.137.985.895.50000
    52285ACystoscopy and treatment3.604.404.111.871.470.268.267.975.735.33000
    52290ACystoscopy and treatment4.58NANA2.301.810.32NANA7.206.71000
    52300ACystoscopy and treatment5.30NANA2.652.090.38NANA8.337.77000
    52301ACystoscopy and treatment5.50NANA2.132.020.46NANA8.097.98000
    Start Printed Page 49154
    52305ACystoscopy and treatment5.30NANA2.532.020.38NANA8.217.70000
    52310ACystoscopy and treatment2.814.054.531.451.140.207.067.544.464.15000
    52315ACystoscopy and treatment5.206.708.172.512.000.3712.2713.748.087.57000
    52317ARemove bladder stone6.7117.2526.023.042.470.4824.4433.2110.239.66000
    52318ARemove bladder stone9.18NANA4.113.350.65NANA13.9413.18000
    52320ACystoscopy and treatment4.69NANA2.241.780.33NANA7.266.80000
    52325ACystoscopy, stone removal6.15NANA2.862.300.44NANA9.458.89000
    52327ACystoscopy, inject material5.1817.9828.352.361.950.3723.5333.907.917.50000
    52330ACystoscopy and treatment5.0320.6134.272.381.910.3626.0039.667.777.30000
    52332ACystoscopy and treatment2.8312.547.441.581.180.2115.5810.484.624.22000
    52334ACreate passage to kidney4.82NANA2.341.880.35NANA7.517.05000
    52341ACysto w/ureter stricture tx5.99NANA3.042.420.43NANA9.468.84000
    52342ACysto w/up stricture tx6.49NANA3.262.570.46NANA10.219.52000
    52343ACysto w/renal stricture tx7.19NANA3.542.820.51NANA11.2410.52000
    52344ACysto/uretero, stricture tx7.69NANA3.913.070.55NANA12.1511.31000
    52345ACysto/uretero w/up stricture8.19NANA4.123.240.58NANA12.8912.01000
    52346ACystouretero w/renal strict9.22NANA4.523.590.65NANA14.3913.46000
    52351ACystouretero & or pyeloscope5.85NANA3.002.360.41NANA9.268.62000
    52352ACystouretero w/stone remove6.87NANA3.522.760.49NANA10.8810.12000
    52353ACystouretero w/lithotripsy7.96NANA3.963.130.57NANA12.4911.66000
    52354ACystouretero w/biopsy7.33NANA3.712.930.52NANA11.5610.78000
    52355ACystouretero w/excise tumor8.81NANA4.303.430.63NANA13.7412.87000
    52400ACystouretero w/congen repr10.04NANA5.474.170.68NANA16.1914.89090
    52402ACystourethro cut ejacul duct5.27NANA2.201.830.40NANA7.877.50000
    52450AIncision of prostate7.63NANA5.564.140.54NANA13.7312.31090
    52500ARevision of bladder neck9.33NANA6.244.500.60NANA16.1714.43090
    52510ADilation prostatic urethra7.45NANA4.953.570.48NANA12.8811.50090
    52601AProstatectomy (TURP)15.07NANA8.545.960.87NANA24.4821.90090
    52606AControl postop bleeding8.80NANA5.574.060.57NANA14.9413.43090
    52612AProstatectomy, first stage9.02NANA5.944.280.56NANA15.5213.86090
    52614AProstatectomy, second stage7.76NANA5.443.870.48NANA13.6812.11090
    52620ARemove residual prostate7.16NANA4.643.400.47NANA12.2711.03090
    52630ARemove prostate regrowth7.61NANA4.853.610.51NANA12.9711.73090
    52640ARelieve bladder contracture6.85NANA4.453.330.47NANA11.7710.65090
    52647ALaser surgery of prostate11.0942.3366.046.975.140.7354.1577.8618.7916.96090
    52648ALaser surgery of prostate11.9442.8666.177.305.420.7955.5978.9020.0318.15090
    52700ADrainage of prostate abscess7.35NANA5.003.640.48NANA12.8311.47090
    53000AIncision of urethra2.28NANA1.811.610.16NANA4.254.05010
    53010AIncision of urethra4.31NANA3.833.140.24NANA8.387.69090
    53020AIncision of urethra1.77NANA0.960.740.13NANA2.862.64000
    53025AIncision of urethra1.13NANA0.680.550.08NANA1.891.76000
    53040ADrainage of urethra abscess6.45NANA4.453.690.45NANA11.3510.59090
    53060ADrainage of urethra abscess2.632.012.061.471.400.284.924.974.384.31010
    53080ADrainage of urinary leakage6.78NANA4.945.700.52NANA12.2413.00090
    53085ADrainage of urinary leakage11.00NANA4.546.690.92NANA16.4618.60090
    53200ABiopsy of urethra2.591.711.421.301.060.204.504.214.093.85000
    53210ARemoval of urethra13.54NANA7.806.320.89NANA22.2320.75090
    53215ARemoval of urethra16.67NANA9.227.271.10NANA26.9925.04090
    53220ATreatment of urethra lesion7.49NANA5.044.040.49NANA13.0212.02090
    53230ARemoval of urethra lesion10.26NANA6.495.160.73NANA17.4816.15090
    53235ARemoval of urethra lesion10.81NANA6.965.420.72NANA18.4916.95090
    53240ASurgery for urethra pouch6.94NANA4.803.840.52NANA12.2611.30090
    53250ARemoval of urethra gland6.38NANA4.723.650.49NANA11.5910.52090
    53260ATreatment of urethra lesion2.982.482.301.861.530.255.715.535.094.76010
    53265ATreatment of urethra lesion3.122.982.782.021.570.246.346.145.384.93010
    53270ARemoval of urethra gland3.092.312.231.721.590.305.705.625.114.98010
    Start Printed Page 49155
    53275ARepair of urethra defect4.52NANA2.792.390.32NANA7.637.23010
    53400ARevise urethra, stage 113.92NANA8.236.570.98NANA23.1321.47090
    53405ARevise urethra, stage 215.45NANA8.966.971.10NANA25.5123.52090
    53410AReconstruction of urethra17.47NANA9.847.751.16NANA28.4726.38090
    53415AReconstruction of urethra20.49NANA11.008.251.37NANA32.8630.11090
    53420AReconstruct urethra, stage 114.99NANA6.516.340.96NANA22.4622.29090
    53425AReconstruct urethra, stage 216.89NANA9.307.491.13NANA27.3225.51090
    53430AReconstruction of urethra17.25NANA8.737.431.15NANA27.1325.83090
    53431AReconstruct urethra/bladder20.97NANA11.088.811.41NANA33.4631.19090
    53440AMale sling procedure15.33NANA9.316.810.96NANA25.6023.10090
    53442ARemove/revise male sling13.28NANA8.506.200.82NANA22.6020.30090
    53444AInsert tandem cuff14.00NANA8.096.430.94NANA23.0321.37090
    53445AInsert uro/ves nck sphincter15.15NANA8.867.530.99NANA25.0023.67090
    53446ARemove uro sphincter10.83NANA7.105.680.72NANA18.6517.23090
    53447ARemove/replace ur sphincter14.09NANA8.486.940.95NANA23.5221.98090
    53448ARemov/replc ur sphinctr comp23.20NANA12.529.911.50NANA37.2234.61090
    53449ARepair uro sphincter10.38NANA6.705.220.68NANA17.7616.28090
    53450ARevision of urethra6.63NANA4.813.670.43NANA11.8710.73090
    53460ARevision of urethra7.61NANA5.174.060.50NANA13.2812.17090
    53500AUrethrlys, transvag w/scope12.81NANA7.476.520.90NANA21.1820.23090
    53502ARepair of urethra injury8.12NANA5.064.250.62NANA13.8012.99090
    53505ARepair of urethra injury8.12NANA5.454.260.54NANA14.1112.92090
    53510ARepair of urethra injury10.78NANA6.785.570.74NANA18.3017.08090
    53515ARepair of urethra injury14.04NANA7.896.411.05NANA22.9821.50090
    53520ARepair of urethra defect9.30NANA6.174.900.61NANA16.0814.81090
    53600ADilate urethra stricture1.211.161.150.570.470.092.462.451.871.77000
    53601ADilate urethra stricture0.981.381.300.530.410.072.432.351.581.46000
    53605ADilate urethra stricture1.28NANA0.520.440.09NANA1.891.81000
    53620ADilate urethra stricture1.621.721.920.840.650.113.453.652.572.38000
    53621ADilate urethra stricture1.351.832.010.680.540.103.283.462.131.99000
    53660ADilation of urethra0.711.331.320.460.350.052.092.081.221.11000
    53661ADilation of urethra0.721.311.300.420.320.052.082.071.191.09000
    53665ADilation of urethra0.76NANA0.270.260.06NANA1.091.08000
    53850AProstatic microwave thermotx9.9449.6882.975.944.440.6760.2993.5816.5515.05090
    53852AProstatic rf thermotx10.6246.8278.286.744.960.7058.1489.6018.0616.28090
    53853AProstatic water thermother5.4829.3748.854.393.240.3735.2254.7010.249.09090
    53899CUrology surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    54000ASlitting of prepuce1.542.722.861.491.070.114.374.513.142.72010
    54001ASlitting of prepuce2.193.073.151.671.250.155.415.494.013.59010
    54015ADrain penis lesion5.31NANA3.222.720.38NANA8.918.41010
    54050ADestruction, penis lesion(s)1.242.051.761.351.110.083.373.082.672.43010
    54055ADestruction, penis lesion(s)1.221.971.671.230.910.083.272.972.532.21010
    54056ACryosurgery, penis lesion(s)1.242.291.841.481.220.063.593.142.782.52010
    54057ALaser surg, penis lesion(s)1.242.612.311.360.960.093.943.642.692.29010
    54060AExcision of penis lesion(s)1.933.113.101.641.210.135.175.163.703.27010
    54065ADestruction, penis lesion(s)2.423.222.781.941.410.135.775.334.493.96010
    54100ABiopsy of penis1.903.302.931.340.950.105.304.933.342.95000
    54105ABiopsy of penis3.494.034.222.472.070.257.777.966.215.81010
    54110ATreatment of penis lesion10.74NANA6.585.210.72NANA18.0316.67090
    54111ATreat penis lesion, graft14.24NANA8.136.350.96NANA23.3321.55090
    54112ATreat penis lesion, graft16.77NANA9.427.451.11NANA27.3025.33090
    54115ATreatment of penis lesion6.775.874.755.033.850.4313.0711.9512.2311.05090
    54120APartial removal of penis10.83NANA6.815.210.68NANA18.3216.72090
    54125ARemoval of penis14.38NANA8.256.430.95NANA23.5821.76090
    54130ARemove penis & nodes21.59NANA11.408.981.52NANA34.5132.09090
    54135ARemove penis & nodes27.92NANA14.3111.201.87NANA44.1040.99090
    54150ACircumcision1.812.563.900.570.670.164.535.872.542.64000
    54152ACircumcision2.31NANA1.721.330.19NANA4.223.83010
    54160ACircumcision2.483.694.031.451.180.196.366.704.123.85010
    54161ACircumcision3.27NANA2.221.730.23NANA5.725.23010
    54162ALysis penil circumic lesion3.254.024.492.271.650.217.487.955.735.11010
    54163ARepair of circumcision3.25NANA2.892.220.21NANA6.355.68010
    54164AFrenulotomy of penis2.75NANA2.652.040.18NANA5.584.97010
    54200ATreatment of penis lesion1.062.031.851.311.060.083.172.992.452.20010
    54205ATreatment of penis lesion8.79NANA6.125.040.56NANA15.4714.39090
    54220ATreatment of penis lesion2.423.353.721.371.060.175.946.313.963.65000
    Start Printed Page 49156
    54230APrepare penis study1.341.411.160.910.700.092.842.592.342.13000
    54231ADynamic cavernosometry2.041.871.501.180.950.164.073.703.383.15000
    54235APenile injection1.191.401.070.900.660.082.672.342.171.93000
    54240APenis study1.311.551.161.551.160.173.032.643.032.64000
    5424026APenis study1.310.500.450.500.450.111.921.871.921.87000
    54240TCAPenis study0.001.050.711.050.710.061.110.771.110.77000
    54250APenis study2.221.251.001.251.000.183.653.403.653.40000
    5425026APenis study2.220.880.750.880.750.163.263.133.263.13000
    54250TCAPenis study0.000.370.240.370.240.020.390.260.390.26000
    54300ARevision of penis11.02NANA6.805.870.76NANA18.5817.65090
    54304ARevision of penis13.10NANA7.896.710.88NANA21.8720.69090
    54308AReconstruction of urethra12.44NANA7.586.360.84NANA20.8619.64090
    54312AReconstruction of urethra14.30NANA8.587.381.24NANA24.1222.92090
    54316AReconstruction of urethra17.84NANA10.078.471.21NANA29.1227.52090
    54318AReconstruction of urethra12.22NANA6.255.901.39NANA19.8619.51090
    54322AReconstruction of urethra13.80NANA7.946.820.92NANA22.6621.54090
    54324AReconstruction of urethra17.34NANA9.838.421.14NANA28.3126.90090
    54326AReconstruction of urethra16.81NANA9.658.241.11NANA27.5726.16090
    54328ARevise penis/urethra16.68NANA9.737.860.98NANA27.3925.52090
    54332ARevise penis/urethra18.16NANA10.208.341.21NANA29.5727.71090
    54336ARevise penis/urethra21.37NANA11.8810.682.20NANA35.4534.25090
    54340ASecondary urethral surgery9.53NANA6.435.380.63NANA16.5815.54090
    54344ASecondary urethral surgery16.85NANA9.798.251.54NANA28.1826.64090
    54348ASecondary urethral surgery18.11NANA6.407.861.23NANA25.7427.20090
    54352AReconstruct urethra/penis25.88NANA13.7211.812.24NANA41.8439.93090
    54360APenis plastic surgery12.60NANA7.546.400.84NANA20.9819.84090
    54380ARepair penis13.97NANA5.596.350.93NANA20.4921.25090
    54385ARepair penis16.31NANA8.378.280.86NANA25.5425.45090
    54390ARepair penis and bladder22.52NANA7.498.921.54NANA31.5532.98090
    54400AInsert semi-rigid prosthesis9.04NANA5.804.710.64NANA15.4814.39090
    54401AInsert self-contd prosthesis10.26NANA8.266.360.73NANA19.2517.35090
    54405AInsert multi-comp penis pros14.34NANA8.226.490.95NANA23.5121.78090
    54406ARemove muti-comp penis pros12.70NANA7.705.980.86NANA21.2619.54090
    54408ARepair multi-comp penis pros13.67NANA8.316.370.90NANA22.8820.94090
    54410ARemove/replace penis prosth16.42NANA9.457.321.10NANA26.9724.84090
    54411ARemov/replc penis pros, comp18.06NANA10.507.901.13NANA29.6927.09090
    54415ARemove self-contd penis pros8.69NANA6.064.660.58NANA15.3313.93090
    54416ARemv/repl penis contain pros11.79NANA7.966.010.77NANA20.5218.57090
    54417ARemv/replc penis pros, compl15.88NANA9.226.931.00NANA26.1023.81090
    54420ARevision of penis12.21NANA7.616.070.81NANA20.6319.08090
    54430ARevision of penis10.88NANA6.995.570.72NANA18.5817.17090
    54435ARevision of penis6.67NANA4.983.950.43NANA12.0811.05090
    54440CRepair of penis0.000.000.000.000.000.000.000.000.000.00090
    54450APreputial stretching1.120.860.930.490.450.082.062.131.691.65000
    54500ABiopsy of testis1.31NANA0.800.620.10NANA2.212.03000
    54505ABiopsy of testis3.45NANA2.412.040.27NANA6.135.76010
    54512AExcise lesion testis9.19NANA5.724.520.67NANA15.5814.38090
    54520ARemoval of testis5.22NANA3.763.030.50NANA9.488.75090
    54522AOrchiectomy, partial10.11NANA5.805.100.89NANA16.8016.10090
    54530ARemoval of testis9.26NANA6.134.710.66NANA16.0514.63090
    54535AExtensive testis surgery13.01NANA7.596.050.95NANA21.5520.01090
    54550AExploration for testis8.27NANA5.384.200.59NANA14.2413.06090
    54560AExploration for testis11.92NANA6.325.440.90NANA19.1418.26090
    54600AReduce testis torsion7.50NANA5.183.950.51NANA13.1911.96090
    54620ASuspension of testis5.14NANA3.282.640.37NANA8.798.15010
    54640ASuspension of testis7.53NANA5.504.170.62NANA13.6512.32090
    Start Printed Page 49157
    54650AOrchiopexy (Fowler-Stephens)12.18NANA7.725.971.16NANA21.0619.31090
    54660ARevision of testis5.60NANA4.443.350.44NANA10.489.39090
    54670ARepair testis injury6.52NANA4.843.860.47NANA11.8310.85090
    54680ARelocation of testis(es)13.86NANA7.786.551.16NANA22.8021.57090
    54690ALaparoscopy, orchiectomy11.56NANA6.205.251.02NANA18.7817.83090
    54692ALaparoscopy, orchiopexy13.60NANA7.665.981.30NANA22.5620.88090
    54699CLaparoscope proc, testis0.000.000.000.000.000.000.000.000.000.00YYY
    54700ADrainage of scrotum3.42NANA2.402.050.28NANA6.105.75010
    54800ABiopsy of epididymis2.33NANA1.000.930.23NANA3.563.49000
    54820AExploration of epididymis5.63NANA4.323.280.40NANA10.359.31090
    54830ARemove epididymis lesion5.87NANA4.483.380.41NANA10.769.66090
    54840ARemove epididymis lesion5.19NANA3.843.040.37NANA9.408.60090
    54860ARemoval of epididymis6.81NANA4.923.710.45NANA12.1810.97090
    54861ARemoval of epididymis9.52NANA6.324.810.63NANA16.4714.96090
    54900AFusion of spermatic ducts13.99NANA5.295.660.93NANA20.2120.58090
    54901AFusion of spermatic ducts18.85NANA6.647.291.82NANA27.3127.96090
    55000ADrainage of hydrocele1.431.862.010.920.720.113.403.552.462.26000
    55040ARemoval of hydrocele5.35NANA3.983.160.43NANA9.768.94090
    55041ARemoval of hydroceles8.36NANA5.744.410.60NANA14.7013.37090
    55060ARepair of hydrocele6.01NANA4.473.420.46NANA10.949.89090
    55100ADrainage of scrotum abscess2.383.523.632.121.700.176.076.184.674.25010
    55110AExplore scrotum6.19NANA4.523.470.43NANA11.1410.09090
    55120ARemoval of scrotum lesion5.58NANA4.303.280.39NANA10.279.25090
    55150ARemoval of scrotum7.96NANA5.494.250.56NANA14.0112.77090
    55175ARevision of scrotum5.73NANA4.383.350.37NANA10.489.45090
    55180ARevision of scrotum11.57NANA7.325.840.90NANA19.7918.31090
    55200AIncision of sperm duct4.488.2711.303.382.620.3313.0816.118.197.43090
    55250ARemoval of sperm duct(s)3.297.7410.543.002.410.2511.2814.086.545.95090
    55300APrepare, sperm duct x-ray3.50NANA1.631.390.25NANA5.385.14000
    55400ARepair of sperm duct8.48NANA5.504.410.64NANA14.6213.53090
    55450ALigation of sperm duct4.366.006.742.862.110.2910.6511.397.516.76010
    55500ARemoval of hydrocele6.08NANA4.263.380.55NANA10.8910.01090
    55520ARemoval of sperm cord lesion6.52NANA3.863.400.75NANA11.1310.67090
    55530ARevise spermatic cord veins5.65NANA4.163.290.45NANA10.269.39090
    55535ARevise spermatic cord veins7.05NANA4.883.760.47NANA12.4011.28090
    55540ARevise hernia & sperm veins8.16NANA4.323.920.94NANA13.4213.02090
    55550ALaparo ligate spermatic vein7.06NANA4.583.610.57NANA12.2111.24090
    55559CLaparo proc, spermatic cord0.000.000.000.000.000.000.000.000.000.00YYY
    55600AIncise sperm duct pouch6.87NANA4.953.730.62NANA12.4411.22090
    55605AIncise sperm duct pouch8.58NANA4.944.450.64NANA14.1613.67090
    55650ARemove sperm duct pouch12.47NANA7.315.770.92NANA20.7019.16090
    55680ARemove sperm pouch lesion5.56NANA3.903.200.47NANA9.939.23090
    55700ABiopsy of prostate2.583.754.081.340.820.116.446.774.033.51000
    55705ABiopsy of prostate4.56NANA2.892.440.32NANA7.777.32010
    55720ADrainage of prostate abscess7.63NANA4.844.070.95NANA13.4212.65090
    55725ADrainage of prostate abscess9.84NANA6.414.960.70NANA16.9515.50090
    55801ARemoval of prostate19.55NANA10.688.371.34NANA31.5729.26090
    55810AExtensive prostate surgery24.08NANA12.499.811.60NANA38.1735.49090
    55812AExtensive prostate surgery29.61NANA15.0711.992.04NANA46.7243.64090
    55815AExtensive prostate surgery32.67NANA16.5013.032.16NANA51.3347.86090
    55821ARemoval of prostate15.58NANA8.796.841.01NANA25.3823.43090
    55831ARemoval of prostate17.01NANA9.377.321.10NANA27.4825.43090
    55840AExtensive prostate surgery24.38NANA12.8210.151.61NANA38.8136.14090
    55842AExtensive prostate surgery26.24NANA13.6710.781.72NANA41.6338.74090
    55845AExtensive prostate surgery30.46NANA14.9011.912.02NANA47.3844.39090
    55859APercut/needle insert, pros13.25NANA7.906.350.89NANA22.0420.49090
    55860ASurgical exposure, prostate15.66NANA8.736.981.02NANA25.4123.66090
    55862AExtensive prostate surgery19.83NANA10.848.581.49NANA32.1629.90090
    55865AExtensive prostate surgery24.32NANA12.9710.171.63NANA38.9236.12090
    55866ALaparo radical prostatectomy32.17NANA16.1512.812.16NANA50.4847.14090
    55870AElectroejaculation2.582.471.771.441.170.165.214.514.183.91000
    55873ACryoablate prostate20.19NANA11.449.561.38NANA33.0131.13090
    55899CGenital surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    56405AI & D of vulva/perineum1.441.181.291.161.150.172.792.902.772.76010
    56420ADrainage of gland abscess1.391.522.080.780.980.163.073.632.332.53010
    56440ASurgery for vulva lesion2.84NANA1.541.670.34NANA4.724.85010
    Start Printed Page 49158
    56441ALysis of labial lesion(s)1.971.711.791.561.450.203.883.963.733.62010
    56501ADestroy, vulva lesions, sim1.531.641.751.221.240.183.353.462.932.95010
    56515ADestroy vulva lesion/s compl3.012.372.501.731.790.335.715.845.075.13010
    56605ABiopsy of vulva/perineum1.100.911.030.350.430.132.142.261.581.66000
    56606ABiopsy of vulva/perineum0.550.360.460.160.210.070.981.080.780.83ZZZ
    56620APartial removal of vulva8.39NANA4.414.700.90NANA13.7013.99090
    56625AComplete removal of vulva9.50NANA4.775.181.02NANA15.2815.70090
    56630AExtensive vulva surgery14.62NANA6.286.691.49NANA22.3922.80090
    56631AExtensive vulva surgery18.75NANA7.748.541.95NANA28.4429.24090
    56632AExtensive vulva surgery21.51NANA9.309.462.38NANA33.1933.35090
    56633AExtensive vulva surgery19.41NANA7.798.391.97NANA29.1729.77090
    56634AExtensive vulva surgery20.42NANA8.189.112.16NANA30.7631.69090
    56637AExtensive vulva surgery24.51NANA9.2010.602.60NANA36.3137.71090
    56640AExtensive vulva surgery24.60NANA9.0710.232.88NANA36.5537.71090
    56700APartial removal of hymen2.77NANA1.771.820.30NANA4.844.89010
    56720AIncision of hymen0.68NANA0.520.510.08NANA1.281.27000
    56740ARemove vagina gland lesion4.81NANA2.322.500.56NANA7.697.87010
    56800ARepair of vagina3.88NANA2.002.140.44NANA6.326.46010
    56805ARepair clitoris19.69NANA9.289.382.14NANA31.1131.21090
    56810ARepair of perineum4.24NANA2.062.230.49NANA6.796.96010
    56820AExam of vulva w/scope1.501.201.280.530.620.182.882.962.212.30000
    56821AExam/biopsy of vulva w/scope2.051.551.700.690.860.253.854.002.993.16000
    57000AExploration of vagina2.97NANA1.721.720.31NANA5.005.00010
    57010ADrainage of pelvic abscess6.70NANA3.853.810.71NANA11.2611.22090
    57020ADrainage of pelvic fluid1.500.760.900.450.560.182.442.582.132.24000
    57022AI & d vaginal hematoma, pp2.68NANA1.441.480.26NANA4.384.42010
    57023AI & d vag hematoma, non-ob5.11NANA2.402.530.58NANA8.098.22010
    57061ADestroy vag lesions, simple1.251.521.621.121.120.152.923.022.522.52010
    57065ADestroy vag lesions, complex2.612.032.231.491.630.314.955.154.414.55010
    57100ABiopsy of vagina1.200.931.040.370.450.142.272.381.711.79000
    57105ABiopsy of vagina1.691.591.741.341.400.203.483.633.233.29010
    57106ARemove vagina wall, partial7.29NANA4.264.200.73NANA12.2812.22090
    57107ARemove vagina tissue, part24.37NANA9.1110.122.71NANA36.1937.20090
    57109AVaginectomy partial w/nodes28.19NANA10.3411.023.21NANA41.7442.42090
    57110ARemove vagina wall, complete15.34NANA6.277.021.73NANA23.3424.09090
    57111ARemove vagina tissue, compl28.19NANA10.2612.023.17NANA41.6243.38090
    57112AVaginectomy w/nodes, compl30.31NANA11.5811.963.07NANA44.9645.34090
    57120AClosure of vagina8.14NANA4.214.500.89NANA13.2413.53090
    57130ARemove vagina lesion2.431.992.111.491.530.294.714.834.214.25010
    57135ARemove vagina lesion2.672.032.201.541.620.315.015.184.524.60010
    57150ATreat vagina infection0.550.580.970.160.200.071.201.590.780.82000
    57155AInsert uteri tandems/ovoids6.75NANA3.114.200.43NANA10.2911.38090
    57160AInsert pessary/other device0.891.051.020.260.320.102.042.011.251.31000
    57170AFitting of diaphragm/cap0.910.571.250.250.310.111.592.271.271.33000
    57180ATreat vaginal bleeding1.581.852.080.921.180.193.623.852.692.95010
    57200ARepair of vagina4.31NANA2.952.910.46NANA7.727.68090
    57210ARepair vagina/perineum5.60NANA3.283.390.62NANA9.509.61090
    57220ARevision of urethra4.74NANA3.033.080.51NANA8.288.33090
    57230ARepair of urethral lesion6.19NANA3.783.500.54NANA10.5110.23090
    57240ARepair bladder & vagina11.38NANA5.474.230.62NANA17.4716.23090
    57250ARepair rectum & vagina11.38NANA5.043.940.65NANA17.0715.97090
    57260ARepair of vagina14.32NANA5.865.090.97NANA21.1520.38090
    57265AExtensive repair of vagina15.82NANA6.336.111.32NANA23.4723.25090
    57267AInsert mesh/pelvic flr addon4.88NANA1.521.860.64NANA7.047.38ZZZ
    57268ARepair of bowel bulge7.43NANA4.314.220.79NANA12.5312.44090
    57270ARepair of bowel pouch13.53NANA5.716.111.42NANA20.6621.06090
    Start Printed Page 49159
    57280ASuspension of vagina16.58NANA7.027.281.67NANA25.2725.53090
    57282AColpopexy, extraperitoneal7.79NANA4.434.481.02NANA13.2413.29090
    57283AColpopexy, intraperitoneal11.54NANA5.245.741.02NANA17.8018.30090
    57284ARepair paravaginal defect13.43NANA6.777.051.41NANA21.6121.89090
    57287ARevise/remove sling repair11.43NANA6.475.720.90NANA18.8018.05090
    57288ARepair bladder defect13.95NANA7.096.201.12NANA22.1621.27090
    57289ARepair bladder & vagina12.63NANA6.236.081.21NANA20.0719.92090
    57291AConstruction of vagina8.50NANA4.394.790.93NANA13.8214.22090
    57292AConstruct vagina with graft13.87NANA5.996.701.58NANA21.4422.15090
    57295AChange vaginal graft7.70NANA3.774.270.91NANA12.3812.88090
    57300ARepair rectum-vagina fistula8.53NANA4.484.330.87NANA13.8813.73090
    57305ARepair rectum-vagina fistula15.18NANA6.206.251.72NANA23.1023.15090
    57307AFistula repair & colostomy16.96NANA7.047.002.01NANA26.0125.97090
    57308AFistula repair, transperine10.42NANA4.885.041.14NANA16.4416.60090
    57310ARepair urethrovaginal lesion7.51NANA5.054.140.54NANA13.1012.19090
    57311ARepair urethrovaginal lesion8.77NANA5.164.370.65NANA14.5813.79090
    57320ARepair bladder-vagina lesion8.74NANA5.344.610.69NANA14.7714.04090
    57330ARepair bladder-vagina lesion13.07NANA7.186.071.06NANA21.3120.20090
    57335ARepair vagina19.81NANA8.808.971.91NANA30.5230.69090
    57400ADilation of vagina2.27NANA0.991.080.26NANA3.523.61000
    57410APelvic examination1.75NANA0.920.900.18NANA2.852.83000
    57415ARemove vaginal foreign body2.42NANA1.511.440.24NANA4.174.10010
    57420AExam of vagina w/scope1.601.241.320.570.650.193.033.112.362.44000
    57421AExam/biopsy of vag w/scope2.201.601.780.730.900.274.074.253.203.37000
    57425ALaparoscopy, surg, colpopexy16.89NANA7.006.721.75NANA25.6425.36090
    57452AExam of cervix w/scope1.501.191.260.750.760.182.872.942.432.44000
    57454ABx/curett of cervix w/scope2.331.411.580.971.110.284.024.193.583.72000
    57455ABiopsy of cervix w/scope1.991.511.670.670.820.243.743.902.903.05000
    57456AEndocerv curettage w/scope1.851.471.610.630.770.223.543.682.702.84000
    57460ABx of cervix w/scope, leep2.834.335.461.111.310.347.508.634.284.48000
    57461AConz of cervix w/scope, leep3.434.635.731.081.370.418.479.574.925.21000
    57500ABiopsy of cervix1.202.032.410.650.640.123.353.731.971.96000
    57505AEndocervical curettage1.141.321.431.071.090.142.602.712.352.37010
    57510ACauterization of cervix1.901.321.500.911.010.233.453.633.043.14010
    57511ACryocautery of cervix1.901.611.771.271.350.233.743.903.403.48010
    57513ALaser surgery of cervix1.901.571.681.281.370.233.703.813.413.50010
    57520AConization of cervix4.033.393.802.522.780.497.918.327.047.30090
    57522AConization of cervix3.602.793.062.272.410.416.807.076.286.42090
    57530ARemoval of cervix5.16NANA3.123.320.58NANA8.869.06090
    57531ARemoval of cervix, radical29.71NANA10.6612.543.34NANA43.7145.59090
    57540ARemoval of residual cervix13.15NANA5.616.081.49NANA20.2520.72090
    57545ARemove cervix/repair pelvis13.96NANA6.236.561.52NANA21.7122.04090
    57550ARemoval of residual cervix6.20NANA3.653.780.67NANA10.5210.65090
    57555ARemove cervix/repair vagina9.80NANA4.805.011.09NANA15.6915.90090
    57556ARemove cervix, repair bowel9.22NANA4.684.810.92NANA14.8214.95090
    57700ARevision of cervix4.17NANA3.313.150.41NANA7.897.73090
    57720ARevision of cervix4.50NANA2.923.060.49NANA7.918.05090
    57800ADilation of cervical canal0.770.710.750.420.460.091.571.611.281.32000
    57820AD & c of residual cervix1.671.351.441.051.120.203.223.312.922.99010
    58100ABiopsy of uterus lining1.531.141.280.590.690.182.852.992.302.40000
    58110ABx done w/colposcopy add-on0.770.400.510.210.290.091.261.371.071.15ZZZ
    58120ADilation and curettage3.522.722.411.671.820.396.636.325.585.73010
    58140AMyomectomy abdom method15.65NANA6.256.891.81NANA23.7124.35090
    58145AMyomectomy vag method8.77NANA4.284.660.97NANA14.0214.40090
    58146AMyomectomy abdom complex20.20NANA7.368.592.32NANA29.8831.11090
    58150ATotal hysterectomy17.17NANA6.597.261.84NANA25.6026.27090
    58152ATotal hysterectomy21.68NANA8.189.432.47NANA32.3333.58090
    58180APartial hysterectomy16.46NANA6.387.181.64NANA24.4825.28090
    58200AExtensive hysterectomy22.96NANA8.159.532.54NANA33.6535.03090
    58210AExtensive hysterectomy30.70NANA10.7112.573.37NANA44.7846.64090
    58240ARemoval of pelvis contents43.13NANA15.9217.194.22NANA63.2764.54090
    58260AVaginal hysterectomy13.98NANA5.836.481.57NANA21.3822.03090
    58262AVag hyst including t/o15.77NANA6.317.111.79NANA23.8724.67090
    58263AVag hyst w/t/o & vag repair17.06NANA6.677.581.94NANA25.6726.58090
    58267AVag hyst w/urinary repair18.18NANA7.068.042.06NANA27.3028.28090
    58270AVag hyst w/enterocele repair15.16NANA5.996.791.73NANA22.8823.68090
    Start Printed Page 49160
    58275AHysterectomy/revise vagina16.85NANA6.707.501.91NANA25.4626.26090
    58280AHysterectomy/revise vagina18.15NANA7.087.962.06NANA27.2828.17090
    58285AExtensive hysterectomy23.26NANA7.969.452.70NANA33.9235.41090
    58290AVag hyst complex20.13NANA7.448.702.29NANA29.8631.12090
    58291AVag hyst incl t/o, complex21.92NANA7.879.372.52NANA32.3133.81090
    58292AVag hyst t/o & repair, compl23.21NANA8.349.862.67NANA34.2235.74090
    58293AVag hyst w/uro repair, compl24.19NANA8.5510.132.78NANA35.5237.10090
    58294AVag hyst w/enterocele, compl21.41NANA7.228.972.39NANA31.0232.77090
    58300NInsert intrauterine device1.010.631.220.240.350.121.762.351.371.48XXX
    58301ARemove intrauterine device1.271.061.260.350.450.152.482.681.771.87000
    58321AArtificial insemination0.920.981.110.250.340.102.002.131.271.36000
    58322AArtificial insemination1.101.051.160.310.390.132.282.391.541.62000
    58323ASperm washing0.230.150.440.070.090.030.410.700.330.35000
    58340ACatheter for hysterography0.882.172.910.570.630.093.143.881.541.60000
    58345AReopen fallopian tube4.65NANA2.082.340.41NANA7.147.40010
    58346AInsert heyman uteri capsule7.44NANA3.343.780.56NANA11.3411.78090
    58350AReopen fallopian tube1.011.341.450.870.910.122.472.582.002.04010
    58353AEndometr ablate, thermal3.5523.1232.531.721.970.4327.1036.515.705.95010
    58356AEndometrial cryoablation6.3643.7857.021.862.480.8250.9664.209.049.66010
    58400ASuspension of uterus7.03NANA3.853.910.75NANA11.6311.69090
    58410ASuspension of uterus13.66NANA5.916.301.45NANA21.0221.41090
    58520ARepair of ruptured uterus13.34NANA5.485.891.47NANA20.2920.70090
    58540ARevision of uterus15.57NANA6.256.781.78NANA23.6024.13090
    58545ALaparoscopic myomectomy15.65NANA6.036.891.77NANA23.4524.31090
    58546ALaparo-myomectomy, complex20.20NANA7.268.502.30NANA29.7631.00090
    58550ALaparo-asst vag hysterectomy14.91NANA6.207.021.72NANA22.8323.65090
    58552ALaparo-vag hyst incl t/o16.23NANA6.497.631.72NANA24.4425.58090
    58553ALaparo-vag hyst, complex20.13NANA7.248.492.30NANA29.6730.92090
    58554ALaparo-vag hyst w/t/o, compl23.13NANA8.419.902.27NANA33.8135.30090
    58555AHysteroscopy, dx, sep proc3.332.762.331.251.480.406.496.064.985.21000
    58558AHysteroscopy, biopsy4.743.632.541.682.050.578.947.856.997.36000
    58559AHysteroscopy, lysis6.16NANA2.072.570.74NANA8.979.47000
    58560AHysteroscopy, resect septum6.99NANA2.312.890.84NANA10.1410.72000
    58561AHysteroscopy, remove myoma9.99NANA3.164.001.21NANA14.3615.20000
    58562AHysteroscopy, remove fb5.203.532.651.782.210.639.368.487.618.04000
    58563AHysteroscopy, ablation6.1637.7051.572.082.580.7444.6058.478.989.48000
    58565AHysteroscopy, sterilization7.0234.7345.853.393.771.1942.9454.0611.6011.98090
    58578CLaparo proc, uterus0.000.000.000.000.000.000.000.000.000.00YYY
    58579CHysteroscope procedure0.000.000.000.000.000.000.000.000.000.00YYY
    58600ADivision of fallopian tube5.84NANA2.943.230.66NANA9.449.73090
    58605ADivision of fallopian tube5.23NANA2.693.010.59NANA8.518.83090
    58611ALigate oviduct(s) add-on1.45NANA0.400.530.18NANA2.032.16ZZZ
    58615AOcclude fallopian tube(s)3.89NANA2.002.530.47NANA6.366.89010
    58660ALaparoscopy, lysis11.52NANA4.565.081.40NANA17.4818.00090
    58661ALaparoscopy, remove adnexa11.28NANA4.044.851.34NANA16.6617.47010
    58662ALaparoscopy, excise lesions12.06NANA4.835.541.43NANA18.3219.03090
    58670ALaparoscopy, tubal cautery5.84NANA2.983.200.67NANA9.499.71090
    58671ALaparoscopy, tubal block5.84NANA2.973.200.68NANA9.499.72090
    58672ALaparoscopy, fimbrioplasty12.86NANA4.795.831.60NANA19.2520.29090
    58673ALaparoscopy, salpingostomy13.97NANA5.236.241.69NANA20.8921.90090
    58679CLaparo proc, oviduct-ovary0.000.000.000.000.000.000.000.000.000.00YYY
    58700ARemoval of fallopian tube12.80NANA5.565.881.51NANA19.8720.19090
    58720ARemoval of ovary/tube(s)12.04NANA5.135.611.39NANA18.5619.04090
    58740ARevise fallopian tube(s)14.75NANA6.116.881.71NANA22.5723.34090
    58750ARepair oviduct15.52NANA6.147.061.84NANA23.5024.42090
    58752ARevise ovarian tube(s)15.52NANA6.046.721.80NANA23.3624.04090
    Start Printed Page 49161
    58760ARemove tubal obstruction13.81NANA5.666.451.79NANA21.2622.05090
    58770ACreate new tubal opening14.65NANA5.816.631.73NANA22.1923.01090
    58800ADrainage of ovarian cyst(s)4.513.203.532.682.850.438.148.477.627.79090
    58805ADrainage of ovarian cyst(s)6.31NANA3.493.500.69NANA10.4910.50090
    58820ADrain ovary abscess, open4.59NANA2.893.190.52NANA8.008.30090
    58822ADrain ovary abscess, percut11.67NANA5.185.201.16NANA18.0118.03090
    58823ADrain pelvic abscess, percut3.3720.1021.021.041.100.2423.7124.634.654.71000
    58825ATransposition, ovary(s)11.66NANA4.985.591.32NANA17.9618.57090
    58900ABiopsy of ovary(s)6.48NANA3.493.550.69NANA10.6610.72090
    58920APartial removal of ovary(s)11.84NANA5.245.491.43NANA18.5118.76090
    58925ARemoval of ovarian cyst(s)12.29NANA5.315.591.41NANA19.0119.29090
    58940ARemoval of ovary(s)8.08NANA4.074.090.91NANA13.0613.08090
    58943ARemoval of ovary(s)19.38NANA7.258.292.22NANA28.8529.89090
    58950AResect ovarian malignancy18.18NANA7.298.122.04NANA27.5128.34090
    58951AResect ovarian malignancy24.11NANA8.619.982.63NANA35.3536.72090
    58952AResect ovarian malignancy27.09NANA9.8111.273.02NANA39.9241.38090
    58953ATah, rad dissect for debulk33.91NANA11.6313.813.83NANA49.3751.55090
    58954ATah rad debulk/lymph remove36.91NANA12.4914.904.17NANA53.5755.98090
    58956ABso, omentectomy w/tah22.59NANA8.599.884.00NANA35.1836.47090
    58960AExploration of abdomen15.64NANA6.297.091.79NANA23.7224.52090
    58970ARetrieval of oocyte3.521.832.191.261.430.435.786.145.215.38000
    58974CTransfer of embryo0.000.000.000.000.000.000.000.000.000.00000
    58976ATransfer of embryo3.821.962.501.221.670.476.256.795.515.96000
    58999CGenital surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    59000AAmniocentesis, diagnostic1.301.751.990.560.640.313.363.602.172.25000
    59001AAmniocentesis, therapeutic3.00NANA1.091.330.71NANA4.805.04000
    59012AFetal cord puncture,prenatal3.44NANA1.161.450.82NANA5.425.71000
    59015AChorion biopsy2.201.431.520.810.980.524.154.243.533.70000
    59020AFetal contract stress test0.661.080.861.080.860.262.001.782.001.78000
    5902026AFetal contract stress test0.660.190.240.190.240.161.011.061.011.06000
    59020TCAFetal contract stress test0.000.900.620.900.620.101.000.721.000.72000
    59025AFetal non-stress test0.530.630.490.630.490.151.311.171.311.17000
    5902526AFetal non-stress test0.530.150.200.150.200.130.810.860.810.86000
    59025TCAFetal non-stress test0.000.490.300.490.300.020.510.320.510.32000
    59030AFetal scalp blood sample1.99NANA0.560.720.47NANA3.023.18000
    59050AFetal monitor w/report0.89NANA0.260.330.21NANA1.361.43XXX
    59051AFetal monitor/interpret only0.74NANA0.210.270.17NANA1.121.18XXX
    59070ATransabdom amnioinfus w/us5.244.484.981.832.190.2810.0010.507.357.71000
    59072AUmbilical cord occlud w/us8.99NANA2.883.060.16NANA12.0312.21000
    59074AFetal fluid drainage w/us5.243.914.411.712.160.289.439.937.237.68000
    59076AFetal shunt placement, w/us8.99NANA2.422.950.16NANA11.5712.10000
    59100ARemove uterus lesion13.22NANA5.806.292.94NANA21.9622.45090
    59120ATreat ectopic pregnancy12.52NANA5.476.052.72NANA20.7121.29090
    59121ATreat ectopic pregnancy12.60NANA5.426.102.78NANA20.8021.48090
    59130ATreat ectopic pregnancy14.94NANA6.095.123.38NANA24.4123.44090
    59135ATreat ectopic pregnancy14.78NANA5.126.703.30NANA23.2024.78090
    59136ATreat ectopic pregnancy14.11NANA5.776.393.13NANA23.0123.63090
    59140ATreat ectopic pregnancy5.83NANA2.912.391.29NANA10.039.51090
    59150ATreat ectopic pregnancy12.15NANA5.265.812.78NANA20.1920.74090
    59151ATreat ectopic pregnancy11.97NANA4.935.772.73NANA19.6320.47090
    59160AD & c after delivery2.712.002.971.191.900.645.356.324.545.25010
    59200AInsert cervical dilator0.790.951.130.220.280.191.932.111.201.26000
    59300AEpisiotomy or vaginal repair2.412.212.181.030.980.575.195.164.013.96000
    59320ARevision of cervix2.48NANA1.021.190.59NANA4.094.26000
    59325ARevision of cervix4.06NANA1.241.730.88NANA6.186.67000
    59350ARepair of uterus4.94NANA1.411.761.17NANA7.527.87000
    59400AObstetrical care26.53NANA14.3615.085.48NANA46.3747.09MMM
    59409AObstetrical care13.48NANA3.764.923.21NANA20.4521.61MMM
    59410AObstetrical care15.26NANA4.975.973.51NANA23.7424.74MMM
    59412AAntepartum manipulation1.71NANA0.650.770.40NANA2.762.88MMM
    59414ADeliver placenta1.61NANA0.440.590.38NANA2.432.58MMM
    59425AAntepartum care only6.124.254.211.681.811.1411.5111.478.949.07MMM
    59426AAntepartum care only10.847.827.612.973.161.9720.6320.4215.7815.97MMM
    59430ACare after delivery2.131.041.180.660.870.503.673.813.293.50MMM
    59510ACesarean delivery30.05NANA16.0316.956.23NANA52.3153.23MMM
    59514ACesarean delivery only15.95NANA4.515.793.79NANA24.2525.53MMM
    Start Printed Page 49162
    59515ACesarean delivery18.21NANA6.257.444.12NANA28.5829.77MMM
    59525ARemove uterus after cesarean8.53NANA2.403.081.94NANA12.8713.55ZZZ
    59610AVbac delivery27.95NANA14.6615.565.85NANA48.4649.36MMM
    59612AVbac delivery only15.04NANA4.285.613.58NANA22.9024.23MMM
    59614AVbac care after delivery16.57NANA5.196.503.88NANA25.6426.95MMM
    59618AAttempted vbac delivery31.48NANA16.3817.776.59NANA54.4555.84MMM
    59620AAttempted vbac delivery only17.50NANA4.806.274.16NANA26.4627.93MMM
    59622AAttempted vbac after care19.64NANA6.698.154.49NANA30.8232.28MMM
    59812ATreatment of miscarriage4.373.122.692.382.500.958.448.017.707.82090
    59820ACare of miscarriage4.644.104.343.493.540.959.699.939.089.13090
    59821ATreatment of miscarriage4.943.854.173.193.351.069.8510.179.199.35090
    59830ATreat uterus infection6.48NANA3.473.851.44NANA11.3911.77090
    59840RAbortion3.012.042.101.812.040.715.765.825.535.76010
    59841RAbortion5.553.193.422.612.881.249.9810.219.409.67010
    59850RAbortion5.90NANA2.663.101.28NANA9.8410.28090
    59851RAbortion5.92NANA3.333.641.28NANA10.5310.84090
    59852RAbortion8.23NANA3.844.741.80NANA13.8714.77090
    59855RAbortion6.36NANA3.003.411.45NANA10.8111.22090
    59856RAbortion7.72NANA3.854.011.78NANA13.3513.51090
    59857RAbortion9.28NANA3.174.332.01NANA14.4615.62090
    59866RAbortion (mpr)3.99NANA1.261.730.87NANA6.126.59000
    59870AEvacuate mole of uterus6.32NANA4.314.441.42NANA12.0512.18090
    59871ARemove cerclage suture2.13NANA0.941.080.50NANA3.573.71000
    59897CFetal invas px w/us0.000.000.000.000.000.000.000.000.000.00YYY
    59898CLaparo proc, ob care/deliver0.000.000.000.000.000.000.000.000.000.00YYY
    59899CMaternity care procedure0.000.000.000.000.000.000.000.000.000.00YYY
    60000ADrain thyroid/tongue cyst1.762.061.961.671.700.153.973.873.583.61010
    60001AAspirate/inject thyriod cyst0.971.931.540.280.320.072.972.581.321.36000
    60100ABiopsy of thyroid1.561.271.370.470.520.102.933.032.132.18000
    60200ARemove thyroid lesion9.84NANA5.205.791.01NANA16.0516.64090
    60210APartial thyroid excision11.11NANA5.045.481.23NANA17.3817.82090
    60212APartial thyroid excision16.26NANA6.557.391.94NANA24.7525.59090
    60220APartial removal of thyroid12.25NANA5.375.951.32NANA18.9419.52090
    60225APartial removal of thyroid14.59NANA6.657.211.64NANA22.8823.44090
    60240ARemoval of thyroid16.16NANA6.147.221.85NANA24.1525.23090
    60252ARemoval of thyroid21.82NANA8.389.662.29NANA32.4933.77090
    60254AExtensive thyroid surgery28.23NANA10.2813.182.60NANA41.1144.01090
    60260ARepeat thyroid surgery18.14NANA6.968.221.93NANA27.0328.29090
    60270ARemoval of thyroid23.01NANA8.9010.062.32NANA34.2335.39090
    60271ARemoval of thyroid17.50NANA6.778.131.74NANA26.0127.37090
    60280ARemove thyroid duct lesion5.98NANA4.074.510.54NANA10.5911.03090
    60281ARemove thyroid duct lesion8.64NANA4.635.530.73NANA14.0014.90090
    60500AExplore parathyroid glands16.63NANA6.747.242.00NANA25.3725.87090
    60502ARe-explore parathyroids20.92NANA8.479.132.53NANA31.9232.58090
    60505AExplore parathyroid glands22.81NANA9.2310.502.64NANA34.6835.95090
    60512AAutotransplant parathyroid4.44NANA1.181.510.53NANA6.156.48ZZZ
    60520ARemoval of thymus gland17.03NANA6.977.962.19NANA26.1927.18090
    60521ARemoval of thymus gland19.09NANA8.319.232.81NANA30.2131.13090
    60522ARemoval of thymus gland23.31NANA9.8010.903.26NANA36.3737.47090
    60540AExplore adrenal gland17.84NANA8.147.721.74NANA27.7227.30090
    60545AExplore adrenal gland20.75NANA8.928.632.07NANA31.7431.45090
    60600ARemove carotid body lesion24.95NANA8.7810.422.19NANA35.9237.56090
    60605ARemove carotid body lesion31.82NANA12.2912.262.49NANA46.6046.57090
    60650ALaparoscopy adrenalectomy20.59NANA8.208.042.28NANA31.0730.91090
    60659CLaparo proc, endocrine0.000.000.000.000.000.000.000.000.000.00YYY
    60699CEndocrine surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    Start Printed Page 49163
    61000ARemove cranial cavity fluid1.58NANA1.231.020.13NANA2.942.73000
    61001ARemove cranial cavity fluid1.49NANA1.201.100.16NANA2.852.75000
    61020ARemove brain cavity fluid1.51NANA1.581.400.34NANA3.433.25000
    61026AInjection into brain canal1.69NANA1.491.420.33NANA3.513.44000
    61050ARemove brain canal fluid1.51NANA1.131.240.11NANA2.752.86000
    61055AInjection into brain canal2.10NANA1.291.390.17NANA3.563.66000
    61070ABrain canal shunt procedure0.89NANA1.171.050.17NANA2.232.11000
    61105ATwist drill hole5.38NANA4.894.171.32NANA11.5910.87090
    61107ADrill skull for implantation4.99NANA1.852.361.29NANA8.138.64000
    61108ADrill skull for drainage11.46NANA8.437.462.63NANA22.5221.55090
    61120ABurr hole for puncture9.49NANA6.696.172.09NANA18.2717.75090
    61140APierce skull for biopsy17.05NANA10.3910.014.11NANA31.5531.17090
    61150APierce skull for drainage18.76NANA10.7310.464.31NANA33.8033.53090
    61151APierce skull for drainage13.38NANA8.497.983.00NANA24.8724.36090
    61154APierce skull & remove clot16.86NANA10.769.804.20NANA31.8230.86090
    61156APierce skull for drainage17.34NANA9.889.844.22NANA31.4431.40090
    61210APierce skull, implant device5.83NANA2.182.731.50NANA9.5110.06000
    61215AInsert brain-fluid device5.74NANA5.444.361.26NANA12.4411.36090
    61250APierce skull & explore11.38NANA7.497.012.76NANA21.6321.15090
    61253APierce skull & explore13.38NANA7.807.742.61NANA23.7923.73090
    61304AOpen skull for exploration23.27NANA12.6112.785.61NANA41.4941.66090
    61305AOpen skull for exploration28.46NANA15.0715.256.07NANA49.6049.78090
    61312AOpen skull for drainage30.03NANA15.3415.126.34NANA51.7151.49090
    61313AOpen skull for drainage27.88NANA15.4814.976.43NANA49.7949.28090
    61314AOpen skull for drainage25.72NANA14.2213.336.26NANA46.2045.31090
    61315AOpen skull for drainage29.47NANA15.5615.907.14NANA52.1752.51090
    61316AImplt cran bone flap to abdo1.39NANA0.520.580.35NANA2.262.32ZZZ
    61320AOpen skull for drainage27.28NANA14.2914.646.60NANA48.1748.52090
    61321AOpen skull for drainage30.35NANA14.2915.667.12NANA51.7653.13090
    61322ADecompressive craniotomy34.00NANA17.7816.197.61NANA59.3957.80090
    61323ADecompressive lobectomy34.87NANA17.0016.318.01NANA59.8859.19090
    61330ADecompress eye socket25.12NANA11.8813.262.31NANA39.3140.69090
    61332AExplore/biopsy eye socket28.46NANA13.4515.064.82NANA46.7348.34090
    61333AExplore orbit/remove lesion29.13NANA13.3115.013.91NANA46.3548.05090
    61334AExplore orbit/remove object19.46NANA9.1110.251.74NANA30.3131.45090
    61340ASubtemporal decompression19.97NANA11.4011.194.83NANA36.2035.99090
    61343AIncise skull (press relief)31.68NANA16.1416.647.62NANA55.4455.94090
    61345ARelieve cranial pressure29.05NANA15.2415.357.02NANA51.3151.42090
    61440AIncise skull for surgery28.48NANA14.0614.176.88NANA49.4249.53090
    61450AIncise skull for surgery27.55NANA12.7013.895.77NANA46.0247.21090
    61458AIncise skull for brain wound28.66NANA15.0115.397.01NANA50.6851.06090
    61460AIncise skull for surgery30.06NANA15.1416.096.02NANA51.2252.17090
    61470AIncise skull for surgery27.48NANA13.1113.675.88NANA46.4747.03090
    61480AIncise skull for surgery27.91NANA8.2313.516.71NANA42.8548.13090
    61490AIncise skull for surgery27.08NANA14.3414.336.90NANA48.3248.31090
    61500ARemoval of skull lesion19.00NANA10.6410.764.10NANA33.7433.86090
    61501ARemove infected skull bone16.17NANA9.529.283.21NANA28.9028.66090
    61510ARemoval of brain lesion30.55NANA17.0816.797.33NANA54.9654.67090
    61512ARemove brain lining lesion36.93NANA18.5619.399.05NANA64.5465.37090
    61514ARemoval of brain abscess27.05NANA14.5314.466.52NANA48.1048.03090
    61516ARemoval of brain lesion26.40NANA14.2814.276.33NANA47.0147.00090
    61517AImplt brain chemotx add-on1.38NANA0.510.610.35NANA2.242.34ZZZ
    61518ARemoval of brain lesion39.61NANA20.4520.939.62NANA69.6870.16090
    61519ARemove brain lining lesion43.22NANA20.8222.1910.60NANA74.6476.01090
    61520ARemoval of brain lesion56.81NANA25.6429.1511.18NANA93.6397.14090
    61521ARemoval of brain lesion46.78NANA22.1623.7011.36NANA80.3081.84090
    61522ARemoval of brain abscess31.36NANA15.5616.207.60NANA54.5255.16090
    61524ARemoval of brain lesion29.71NANA15.7815.697.14NANA52.6352.54090
    61526ARemoval of brain lesion53.84NANA21.6627.537.05NANA82.5588.42090
    61530ARemoval of brain lesion45.38NANA18.1823.336.13NANA69.6974.84090
    61531AImplant brain electrodes16.24NANA10.269.413.78NANA30.2829.43090
    61533AImplant brain electrodes21.32NANA11.7611.595.10NANA38.1838.01090
    61534ARemoval of brain lesion22.83NANA13.2112.365.42NANA41.4640.61090
    61535ARemove brain electrodes13.01NANA8.937.803.01NANA24.9523.82090
    61536ARemoval of brain lesion37.54NANA18.4619.459.18NANA65.1866.17090
    61537ARemoval of brain tissue36.31NANA17.5215.446.92NANA60.7558.67090
    Start Printed Page 49164
    61538ARemoval of brain tissue39.31NANA18.8016.186.92NANA65.0362.41090
    61539ARemoval of brain tissue34.10NANA15.5117.208.30NANA57.9159.60090
    61540ARemoval of brain tissue31.24NANA15.9116.918.30NANA55.4556.45090
    61541AIncision of brain tissue30.76NANA16.1016.186.58NANA53.4453.52090
    61542ARemoval of brain tissue32.98NANA16.2317.428.01NANA57.2258.41090
    61543ARemoval of brain tissue31.13NANA16.3516.377.54NANA55.0255.04090
    61544ARemove & treat brain lesion27.22NANA14.3913.965.95NANA47.5647.13090
    61545AExcision of brain tumor46.15NANA22.3623.7510.60NANA79.1180.50090
    61546ARemoval of pituitary gland33.26NANA16.6217.277.65NANA57.5358.17090
    61548ARemoval of pituitary gland23.23NANA11.3712.433.42NANA38.0239.08090
    61550ARelease of skull seams15.38NANA5.706.620.98NANA22.0622.98090
    61552ARelease of skull seams20.22NANA6.718.511.06NANA27.9929.78090
    61556AIncise skull/sutures23.96NANA12.7611.714.64NANA41.3640.31090
    61557AIncise skull/sutures23.10NANA13.7313.655.78NANA42.6142.53090
    61558AExcision of skull/sutures26.29NANA8.2412.701.36NANA35.8940.35090
    61559AExcision of skull/sutures33.74NANA18.8319.198.48NANA61.0561.41090
    61563AExcision of skull tumor28.31NANA14.3115.015.15NANA47.7748.47090
    61564AExcision of skull tumor34.53NANA16.2517.778.75NANA59.5361.05090
    61566ARemoval of brain tissue32.26NANA16.6517.496.92NANA55.8356.67090
    61567AIncision of brain tissue36.76NANA16.8419.716.52NANA60.1262.99090
    61570ARemove foreign body, brain26.33NANA14.1613.975.86NANA46.3546.16090
    61571AIncise skull for brain wound28.24NANA15.2115.166.77NANA50.2250.17090
    61575ASkull base/brainstem surgery36.38NANA15.5318.615.32NANA57.2360.31090
    61576ASkull base/brainstem surgery55.03NANA25.8832.525.56NANA86.4793.11090
    61580ACraniofacial approach, skull34.26NANA20.6924.363.36NANA58.3161.98090
    61581ACraniofacial approach, skull38.78NANA24.8623.803.91NANA67.5566.49090
    61582ACraniofacial approach, skull34.83NANA30.3728.077.19NANA72.3970.09090
    61583ACraniofacial approach, skull38.37NANA25.7925.289.18NANA73.3472.83090
    61584AOrbitocranial approach/skull37.57NANA25.5624.788.16NANA71.2970.51090
    61585AOrbitocranial approach/skull42.40NANA24.8326.087.01NANA74.2475.49090
    61586AResect nasopharynx, skull27.20NANA23.9722.934.36NANA55.5354.49090
    61590AInfratemporal approach/skull46.79NANA23.1627.265.29NANA75.2479.34090
    61591AInfratemporal approach/skull46.81NANA23.7328.075.64NANA76.1880.52090
    61592AOrbitocranial approach/skull42.94NANA27.5826.7710.04NANA80.5679.75090
    61595ATranstemporal approach/skull33.49NANA19.2921.593.97NANA56.7559.05090
    61596ATranscochlear approach/skull39.25NANA18.5222.963.39NANA61.1665.60090
    61597ATranscondylar approach/skull40.67NANA22.8622.968.81NANA72.3472.44090
    61598ATranspetrosal approach/skull36.35NANA20.8122.635.68NANA62.8464.66090
    61600AResect/excise cranial lesion29.76NANA18.3119.413.78NANA51.8552.95090
    61601AResect/excise cranial lesion31.00NANA22.3220.956.61NANA59.9358.56090
    61605AResect/excise cranial lesion32.32NANA17.5720.862.85NANA52.7456.03090
    61606AResect/excise cranial lesion41.88NANA24.3124.948.94NANA75.1375.76090
    61607AResect/excise cranial lesion40.76NANA20.5122.966.88NANA68.1570.60090
    61608AResect/excise cranial lesion45.39NANA26.5126.5610.72NANA82.6282.67090
    61609ATransect artery, sinus9.88NANA3.734.572.55NANA16.1617.00ZZZ
    61610ATransect artery, sinus29.63NANA11.1912.657.66NANA48.4849.94ZZZ
    61611ATransect artery, sinus7.41NANA2.803.571.88NANA12.0912.86ZZZ
    61612ATransect artery, sinus27.84NANA8.1512.024.30NANA40.2944.16ZZZ
    61613ARemove aneurysm, sinus44.88NANA27.5426.588.42NANA80.8479.88090
    61615AResect/excise lesion, skull35.57NANA19.3521.884.72NANA59.6462.17090
    61616AResect/excise lesion, skull46.54NANA26.4528.108.24NANA81.2382.88090
    61618ARepair dura18.52NANA10.1110.363.71NANA32.3432.59090
    61619ARepair dura21.95NANA10.9711.923.94NANA36.8637.81090
    61623AEndovasc tempory vessel occl9.95NANA3.403.911.05NANA14.4014.91000
    61624ATranscath occlusion, cns20.12NANA6.806.871.95NANA28.8728.94000
    61626ATranscath occlusion, non-cns16.60NANA5.435.491.24NANA23.2723.33000
    Start Printed Page 49165
    61630NIntracranial angioplasty22.03NANA6.5010.992.01NANA30.5435.03090
    61635NIntracran angioplsty w/stent24.24NANA7.0211.912.20NANA33.4638.35090
    61680AIntracranial vessel surgery32.34NANA16.8517.297.93NANA57.1257.56090
    61682AIntracranial vessel surgery63.27NANA27.3130.9915.85NANA106.43110.11090
    61684AIntracranial vessel surgery41.43NANA20.4621.6210.28NANA72.1773.33090
    61686AIntracranial vessel surgery67.26NANA30.2933.6116.66NANA114.21117.53090
    61690AIntracranial vessel surgery31.14NANA15.8816.516.92NANA53.9454.57090
    61692AIntracranial vessel surgery54.39NANA24.7126.7813.39NANA92.4994.56090
    61697ABrain aneurysm repr, complx63.16NANA28.8528.2212.81NANA104.82104.19090
    61698ABrain aneurysm repr, complx69.39NANA30.9227.7512.50NANA112.81109.64090
    61700ABrain aneurysm repr, simple50.44NANA24.0326.8612.98NANA87.4590.28090
    61702AInner skull vessel surgery59.80NANA27.9426.5110.76NANA98.5097.07090
    61703AClamp neck artery18.66NANA10.8410.564.05NANA33.5533.27090
    61705ARevise circulation to head37.92NANA17.6118.848.84NANA64.3765.60090
    61708ARevise circulation to head37.02NANA13.1914.662.50NANA52.7154.18090
    61710ARevise circulation to head31.15NANA13.3513.574.51NANA49.0149.23090
    61711AFusion of skull arteries38.05NANA18.5719.499.39NANA66.0166.93090
    61720AIncise skull/brain surgery17.48NANA8.139.512.78NANA28.3929.77090
    61735AIncise skull/brain surgery22.17NANA11.3211.952.72NANA36.2136.84090
    61750AIncise skull/brain biopsy19.69NANA10.9710.704.71NANA35.3735.10090
    61751ABrain biopsy w/ct/mr guide18.58NANA11.4210.974.55NANA34.5534.10090
    61760AImplant brain electrodes22.24NANA11.949.525.40NANA39.5837.16090
    61770AIncise skull for treatment23.05NANA9.8711.663.54NANA36.4638.25090
    61790ATreat trigeminal nerve11.46NANA7.796.382.81NANA22.0620.65090
    61791ATreat trigeminal tract15.27NANA7.618.593.39NANA26.2727.25090
    61793AFocus radiation beam17.71NANA9.7910.044.45NANA31.9532.20090
    61795ABrain surgery using computer4.03NANA1.371.870.79NANA6.196.69ZZZ
    61850AImplant neuroelectrodes13.23NANA5.567.143.21NANA22.0023.58090
    61860AImplant neuroelectrodes22.12NANA11.1911.844.94NANA38.2538.90090
    61863AImplant neuroelectrode20.50NANA12.4811.955.41NANA38.3937.86090
    61864AImplant neuroelectrde, addl4.49NANA1.702.145.41NANA11.6012.04ZZZ
    61867AImplant neuroelectrode32.82NANA16.6917.695.41NANA54.9255.92090
    61868AImplant neuroelectrde, addIl7.91NANA2.963.755.41NANA16.2817.07ZZZ
    61870AImplant neuroelectrodes16.20NANA8.639.433.86NANA28.6929.49090
    61875AImplant neuroelectrodes16.32NANA5.387.772.94NANA24.6427.03090
    61880ARevise/remove neuroelectrode6.84NANA5.474.801.66NANA13.9713.30090
    61885AInsrt/redo neurostim 1 array7.29NANA7.425.831.59NANA16.3014.71090
    61886AImplant neurostim arrays9.65NANA8.746.951.96NANA20.3518.56090
    61888ARevise/remove neuroreceiver5.18NANA3.593.651.33NANA10.1010.16010
    62000ATreat skull fracture13.79NANA7.215.941.06NANA22.0620.79090
    62005ATreat skull fracture17.49NANA9.478.963.86NANA30.8230.31090
    62010ATreatment of head injury21.25NANA11.9111.765.12NANA38.2838.13090
    62100ARepair brain fluid leakage23.35NANA11.8412.554.83NANA40.0240.73090
    62115AReduction of skull defect22.63NANA13.9712.225.49NANA42.0940.34090
    62116AReduction of skull defect24.82NANA13.1213.306.09NANA44.0344.21090
    62117AReduction of skull defect28.20NANA14.6915.204.52NANA47.4147.92090
    62120ARepair skull cavity lesion24.31NANA15.7617.802.99NANA43.0645.10090
    62121AIncise skull repair22.89NANA14.0315.104.16NANA41.0842.15090
    62140ARepair of skull defect14.41NANA8.608.393.46NANA26.4726.26090
    62141ARepair of skull defect15.93NANA9.309.113.75NANA28.9828.79090
    62142ARemove skull plate/flap11.69NANA7.727.172.72NANA22.1321.58090
    62143AReplace skull plate/flap14.01NANA8.798.233.36NANA26.1625.60090
    62145ARepair of skull & brain19.95NANA10.2010.724.49NANA34.6435.16090
    62146ARepair of skull with graft17.14NANA9.049.483.61NANA29.7930.23090
    62147ARepair of skull with graft20.53NANA10.5911.124.31NANA35.4335.96090
    62148ARetr bone flap to fix skull2.00NANA0.760.840.48NANA3.243.32ZZZ
    62160ANeuroendoscopy add-on3.00NANA1.121.430.77NANA4.895.20ZZZ
    62161ADissect brain w/scope21.04NANA12.1212.105.17NANA38.3338.31090
    62162ARemove colloid cyst w/scope26.61NANA13.8514.605.89NANA46.3547.10090
    62163ANeuroendoscopy w/fb removal16.34NANA10.5310.074.00NANA30.8730.41090
    62164ARemove brain tumor w/scope29.19NANA14.9314.955.36NANA49.4849.50090
    62165ARemove pituit tumor w/scope23.04NANA11.4612.903.00NANA37.5038.94090
    62180AEstablish brain cavity shunt22.41NANA12.0012.214.97NANA39.3839.59090
    62190AEstablish brain cavity shunt12.03NANA7.677.232.79NANA22.4922.05090
    62192AEstablish brain cavity shunt13.21NANA8.407.823.01NANA24.6224.04090
    62194AReplace/irrigate catheter5.64NANA3.812.780.92NANA10.379.34010
    Start Printed Page 49166
    62200AEstablish brain cavity shunt19.15NANA10.6910.804.64NANA34.4834.59090
    62201ABrain cavity shunt w/scope15.83NANA10.529.713.67NANA30.0229.21090
    62220AEstablish brain cavity shunt13.96NANA8.398.083.34NANA25.6925.38090
    62223AEstablish brain cavity shunt13.84NANA9.428.543.13NANA26.3925.51090
    62225AReplace/irrigate catheter6.08NANA5.494.441.39NANA12.9611.91090
    62230AReplace/revise brain shunt11.32NANA7.286.682.70NANA21.3020.70090
    62252ACsf shunt reprogram0.741.781.55NANA0.212.732.50NANAXXX
    6225226ACsf shunt reprogram0.740.270.350.270.350.191.201.281.201.28XXX
    62252TCACsf shunt reprogram0.001.511.20NANA0.021.531.22NANAXXX
    62256ARemove brain cavity shunt7.27NANA5.884.991.71NANA14.8613.97090
    62258AReplace brain cavity shunt15.50NANA9.258.853.73NANA28.4828.08090
    62263AEpidural lysis mult sessions6.379.1811.812.883.110.4115.9618.599.669.89010
    62264AEpidural lysis on single day4.425.787.241.311.390.2710.4711.936.006.08010
    62268ADrain spinal cord cyst4.736.7610.341.742.040.4311.9215.506.907.20000
    62269ANeedle biopsy, spinal cord5.016.8412.721.671.900.3712.2218.107.057.28000
    62270ASpinal fluid tap, diagnostic1.372.382.840.550.560.083.834.292.002.01000
    62272ADrain cerebro spinal fluid1.353.143.490.610.690.184.675.022.142.22000
    62273AInject epidural patch2.151.702.460.580.680.133.984.742.862.96000
    62280ATreat spinal cord lesion2.634.306.271.071.030.307.239.204.003.96010
    62281ATreat spinal cord lesion2.663.795.190.910.900.196.648.043.763.75010
    62282ATreat spinal canal lesion2.333.977.261.070.960.176.479.763.573.46010
    62284AInjection for myelogram1.543.794.670.670.680.135.466.342.342.35000
    62287APercutaneous diskectomy8.82NANA4.245.220.58NANA13.6414.62090
    62290AInject for spine disk x-ray3.004.466.461.131.320.237.699.694.364.55000
    62291AInject for spine disk x-ray2.914.255.511.071.190.267.428.684.244.36000
    62292AInjection into disk lesion9.10NANA3.194.150.82NANA13.1114.07090
    62294AInjection into spinal artery12.73NANA5.635.591.24NANA19.6019.56090
    62310AInject spine c/t1.913.064.370.580.630.125.096.402.612.66000
    62311AInject spine l/s (cd)1.542.704.370.540.580.094.336.002.172.21000
    62318AInject spine w/cath, c/t2.043.245.100.480.610.125.407.262.642.77000
    62319AInject spine w/cath l/s (cd)1.872.904.460.470.580.114.886.442.452.56000
    62350AImplant spinal canal cath7.96NANA4.194.001.02NANA13.1712.98090
    62351AImplant spinal canal cath11.46NANA7.737.272.24NANA21.4320.97090
    62355ARemove spinal canal catheter6.54NANA3.613.270.71NANA10.8610.52090
    62360AInsert spine infusion device3.60NANA3.462.880.34NANA7.406.82090
    62361AImplant spine infusion pump6.51NANA4.003.940.80NANA11.3111.25090
    62362AImplant spine infusion pump8.50NANA4.784.471.18NANA14.4614.15090
    62365ARemove spine infusion device6.51NANA3.853.650.86NANA11.2211.02090
    62367AAnalyze spine infusion pump0.480.410.560.110.100.030.921.070.620.61XXX
    62368AAnalyze spine infusion pump0.750.600.670.190.180.061.411.481.000.99XXX
    63001ARemoval of spinal lamina17.47NANA9.899.613.76NANA31.1230.84090
    63003ARemoval of spinal lamina17.60NANA9.809.853.72NANA31.1231.17090
    63005ARemoval of spinal lamina16.22NANA9.789.923.34NANA29.3429.48090
    63011ARemoval of spinal lamina15.73NANA9.228.513.37NANA28.3227.61090
    63012ARemoval of spinal lamina16.67NANA9.8410.053.48NANA29.9930.20090
    63015ARemoval of spinal lamina20.64NANA12.0111.914.75NANA37.4037.30090
    63016ARemoval of spinal lamina21.85NANA11.9511.824.58NANA38.3838.25090
    63017ARemoval of spinal lamina17.12NANA10.4310.403.63NANA31.1831.15090
    63020ANeck spine disk surgery15.99NANA9.999.753.71NANA29.6929.45090
    63030ALow back disk surgery12.97NANA8.678.483.00NANA24.6424.45090
    63035ASpinal disk surgery add-on3.15NANA1.211.500.79NANA5.155.44ZZZ
    63040ALaminotomy, single cervical20.13NANA11.0811.404.67NANA35.8836.20090
    63042ALaminotomy, single lumbar18.55NANA10.6811.184.25NANA33.4833.98090
    63043CLaminotomy, addIl cervical0.000.000.000.000.000.000.000.000.000.00ZZZ
    63044CLaminotomy, addIl lumbar0.000.000.000.000.000.000.000.000.000.00ZZZ
    63045ARemoval of spinal lamina17.77NANA10.4110.373.98NANA32.1632.12090
    Start Printed Page 49167
    63046ARemoval of spinal lamina17.07NANA9.8810.113.55NANA30.5030.73090
    63047ARemoval of spinal lamina15.16NANA9.419.773.23NANA27.8028.16090
    63048ARemove spinal lamina add-on3.26NANA1.251.560.72NANA5.235.54ZZZ
    63050ACervical laminoplasty21.82NANA8.8711.104.66NANA35.3537.58090
    63051AC-laminoplasty w/graft/plate25.32NANA11.7113.034.66NANA41.6943.01090
    63055ADecompress spinal cord23.37NANA12.4012.955.27NANA41.0441.59090
    63056ADecompress spinal cord21.68NANA11.4112.274.75NANA37.8438.70090
    63057ADecompress spine cord add-on5.25NANA1.972.471.22NANA8.448.94ZZZ
    63064ADecompress spinal cord26.04NANA13.4114.175.69NANA45.1445.90090
    63066ADecompress spine cord add-on3.26NANA1.241.560.69NANA5.195.51ZZZ
    63075ANeck spine disk surgery19.41NANA11.1111.844.62NANA35.1435.87090
    63076ANeck spine disk surgery4.04NANA1.531.920.96NANA6.536.92ZZZ
    63077ASpine disk surgery, thorax22.70NANA11.2012.393.98NANA37.8839.07090
    63078ASpine disk surgery, thorax3.28NANA1.201.530.66NANA5.145.47ZZZ
    63081ARemoval of vertebral body25.92NANA13.6214.155.54NANA45.0845.61090
    63082ARemove vertebral body add-on4.36NANA1.662.081.02NANA7.047.46ZZZ
    63085ARemoval of vertebral body29.29NANA13.7715.054.48NANA47.5448.82090
    63086ARemove vertebral body add-on3.19NANA1.171.490.59NANA4.955.27ZZZ
    63087ARemoval of vertebral body37.32NANA16.8518.806.20NANA60.3762.32090
    63088ARemove vertebral body add-on4.32NANA1.642.040.82NANA6.787.18ZZZ
    63090ARemoval of vertebral body30.72NANA14.1615.564.21NANA49.0950.49090
    63091ARemove vertebral body add-on3.03NANA1.131.380.48NANA4.644.89ZZZ
    63101ARemoval of vertebral body33.84NANA17.1818.755.69NANA56.7158.28090
    63102ARemoval of vertebral body33.84NANA16.9018.685.69NANA56.4358.21090
    63103ARemove vertebral body add-on4.82NANA1.782.320.69NANA7.297.83ZZZ
    63170AIncise spinal cord tract(s)22.03NANA12.6412.064.86NANA39.5338.95090
    63172ADrainage of spinal cyst19.62NANA11.3110.814.48NANA35.4134.91090
    63173ADrainage of spinal cyst24.13NANA13.3812.955.68NANA43.1942.76090
    63180ARevise spinal cord ligaments20.35NANA10.9410.973.95NANA35.2435.27090
    63182ARevise spinal cord ligaments22.64NANA7.2510.035.30NANA35.1937.97090
    63185AIncise spinal column/nerves16.31NANA10.118.602.79NANA29.2127.70090
    63190AIncise spinal column/nerves18.71NANA10.1610.143.24NANA32.1132.09090
    63191AIncise spinal column/nerves18.74NANA10.7810.556.34NANA35.8635.63090
    63194AIncise spinal column & cord21.92NANA8.6510.953.26NANA33.8336.13090
    63195AIncise spinal column & cord21.50NANA12.1811.334.87NANA38.5537.70090
    63196AIncise spinal column & cord25.09NANA13.8813.515.76NANA44.7344.36090
    63197AIncise spinal column & cord23.90NANA13.4312.515.36NANA42.6941.77090
    63198AIncise spinal column & cord29.69NANA9.018.586.43NANA45.1344.70090
    63199AIncise spinal column & cord31.26NANA9.3813.621.40NANA42.0446.28090
    63200ARelease of spinal cord21.26NANA11.7411.404.96NANA37.9637.62090
    63250ARevise spinal cord vessels43.68NANA21.0920.219.01NANA73.7872.90090
    63251ARevise spinal cord vessels44.43NANA21.3622.2810.41NANA76.2077.12090
    63252ARevise spinal cord vessels44.42NANA21.4122.0310.64NANA76.4777.09090
    63265AExcise intraspinal lesion23.64NANA13.1012.855.43NANA42.1741.92090
    63266AExcise intraspinal lesion24.50NANA13.2713.205.54NANA43.3143.24090
    63267AExcise intraspinal lesion19.27NANA11.2211.114.37NANA34.8634.75090
    63268AExcise intraspinal lesion19.84NANA10.8410.483.69NANA34.3734.01090
    63270AExcise intraspinal lesion29.62NANA15.7315.536.82NANA52.1751.97090
    63271AExcise intraspinal lesion29.74NANA15.3415.516.90NANA51.9852.15090
    63272AExcise intraspinal lesion27.32NANA14.3314.596.18NANA47.8348.09090
    63273AExcise intraspinal lesion26.29NANA13.8414.215.74NANA45.8746.24090
    63275ABiopsy/excise spinal tumor25.68NANA13.5113.705.80NANA44.9945.18090
    63276ABiopsy/excise spinal tumor25.51NANA13.7313.695.83NANA45.0745.03090
    63277ABiopsy/excise spinal tumor22.21NANA12.1712.435.01NANA39.3939.65090
    63278ABiopsy/excise spinal tumor21.94NANA12.0712.304.55NANA38.5638.79090
    63280ABiopsy/excise spinal tumor30.08NANA16.0216.237.27NANA53.3753.58090
    63281ABiopsy/excise spinal tumor29.78NANA15.8216.087.17NANA52.7753.03090
    63282ABiopsy/excise spinal tumor27.94NANA15.1415.286.76NANA49.8449.98090
    63283ABiopsy/excise spinal tumor26.55NANA14.2014.546.26NANA47.0147.35090
    63285ABiopsy/excise spinal tumor37.84NANA19.0519.719.18NANA66.0766.73090
    63286ABiopsy/excise spinal tumor37.41NANA18.8019.629.21NANA65.4266.24090
    63287ABiopsy/excise spinal tumor39.87NANA19.4820.189.39NANA68.7469.43090
    63290ABiopsy/excise spinal tumor40.61NANA20.0620.459.02NANA69.6870.07090
    63295ARepair of laminectomy defect5.25NANA1.331.941.03NANA7.618.22ZZZ
    63300ARemoval of vertebral body26.62NANA13.5414.105.97NANA46.1346.69090
    63301ARemoval of vertebral body31.36NANA15.0615.425.39NANA51.8152.17090
    Start Printed Page 49168
    63302ARemoval of vertebral body30.94NANA14.8315.595.53NANA51.3052.06090
    63303ARemoval of vertebral body33.37NANA14.6816.354.68NANA52.7354.40090
    63304ARemoval of vertebral body33.64NANA17.0517.216.41NANA57.1057.26090
    63305ARemoval of vertebral body36.03NANA17.6017.935.71NANA59.3459.67090
    63306ARemoval of vertebral body35.34NANA15.7717.298.33NANA59.4360.96090
    63307ARemoval of vertebral body34.75NANA17.6617.024.46NANA56.8756.23090
    63308ARemove vertebral body add-on5.24NANA1.932.431.29NANA8.468.96ZZZ
    63600ARemove spinal cord lesion14.98NANA4.615.201.52NANA21.1121.70090
    63610AStimulation of spinal cord8.7214.2048.311.582.080.8623.7857.8911.1611.66000
    63615ARemove lesion of spinal cord17.18NANA5.988.442.84NANA26.0028.46090
    63650AImplant neuroelectrodes7.53NANA2.983.120.53NANA11.0411.18090
    63655AImplant neuroelectrodes11.38NANA7.847.132.43NANA21.6520.94090
    63660ARevise/remove neuroelectrode6.83NANA3.363.550.78NANA10.9711.16090
    63685AInsrt/redo spine n generator7.83NANA3.744.041.05NANA12.6212.92090
    63688ARevise/remove neuroreceiver6.06NANA3.603.560.89NANA10.5510.51090
    63700ARepair of spinal herniation17.26NANA9.7810.173.52NANA30.5630.95090
    63702ARepair of spinal herniation19.20NANA10.9311.014.12NANA34.2534.33090
    63704ARepair of spinal herniation22.15NANA12.6012.834.57NANA39.3239.55090
    63706ARepair of spinal herniation25.07NANA15.0713.956.23NANA46.3745.25090
    63707ARepair spinal fluid leakage12.47NANA7.907.752.51NANA22.8822.73090
    63709ARepair spinal fluid leakage15.47NANA9.069.313.09NANA27.6227.87090
    63710AGraft repair of spine defect15.22NANA9.269.093.40NANA27.8827.71090
    63740AInstall spinal shunt12.45NANA8.257.572.93NANA23.6322.95090
    63741AInstall spinal shunt8.98NANA4.854.781.66NANA15.4915.42090
    63744ARevision of spinal shunt8.83NANA6.065.451.89NANA16.7816.17090
    63746ARemoval of spinal shunt7.22NANA4.754.021.53NANA13.5012.77090
    64400AN block inj, trigeminal1.111.411.770.450.440.072.592.951.631.62000
    64402AN block inj, facial1.251.461.570.530.580.092.802.911.871.92000
    64405AN block inj, occipital1.321.171.390.510.470.082.572.791.911.87000
    64408AN block inj, vagus1.411.451.550.700.810.102.963.062.212.32000
    64410AN block inj, phrenic1.431.822.330.520.480.093.343.852.042.00000
    64412AN block inj, spinal accessor1.182.052.500.550.460.083.313.761.811.72000
    64413AN block inj, cervical plexus1.401.301.710.470.490.082.783.191.951.97000
    64415AN block inj, brachial plexus1.481.502.480.340.430.093.074.051.912.00000
    64416AN block cont infuse, b plex3.85NANA0.570.740.31NANA4.734.90010
    64417AN block inj, axillary1.441.512.650.350.460.113.064.201.902.01000
    64418AN block inj, suprascapular1.321.902.440.520.460.073.293.831.911.85000
    64420AN block inj, intercost, sng1.182.403.510.440.430.083.664.771.701.69000
    64421AN block inj, intercost, mlt1.683.555.450.530.520.115.347.242.322.31000
    64425AN block inj, ilio-ing/hypogi1.751.341.570.560.550.133.223.452.442.43000
    64430AN block inj, pudendal1.462.412.490.780.610.103.974.052.342.17000
    64435AN block inj, paracervical1.452.002.390.560.660.163.614.002.172.27000
    64445AN block inj, sciatic, sng1.481.672.420.520.510.103.254.002.102.09000
    64446AN blk inj, sciatic, cont inf3.61NANA0.590.900.20NANA4.404.71010
    64447AN block inj fem, single1.50NANA0.210.380.09NANA1.801.97000
    64448AN block inj fem, cont inf3.36NANA0.470.730.18NANA4.014.27010
    64449AN block inj, lumbar plexus3.24NANA0.490.840.15NANA3.884.23010
    64450AN block, other peripheral1.271.291.250.500.490.132.692.651.901.89000
    64470AInj paravertebral c/t1.853.876.390.710.710.115.838.352.672.67000
    64472AInj paravertebral c/t add-on1.291.232.060.340.340.082.603.431.711.71ZZZ
    64475AInj paravertebral l/s1.413.726.090.600.620.105.237.602.112.13000
    64476AInj paravertebral l/s add-on0.981.121.870.230.240.072.172.921.281.29ZZZ
    64479AInj foramen epidural c/t2.203.816.570.820.870.126.138.893.143.19000
    64480AInj foramen epidural add-on1.541.502.510.380.450.103.144.152.022.09ZZZ
    64483AInj foramen epidural l/s1.903.856.880.760.810.115.868.892.772.82000
    64484AInj foramen epidural add-on1.331.632.870.320.360.083.044.281.731.77ZZZ
    Start Printed Page 49169
    64505AN block, spenopalatine gangl1.361.111.210.730.680.102.572.672.192.14000
    64508AN block, carotid sinus s/p1.121.892.960.480.680.073.084.151.671.87000
    64510AN block, stellate ganglion1.221.923.070.440.490.073.214.361.731.78000
    64517AN block inj, hypogas plxs2.201.702.470.670.820.114.014.782.983.13000
    64520AN block, lumbar/thoracic1.352.624.510.520.540.084.055.941.951.97000
    64530AN block inj, celiac pelus1.582.654.000.600.640.104.335.682.282.32000
    64550AApply neurostimulator0.180.200.260.060.050.010.390.450.250.24000
    64553AImplant neuroelectrodes2.312.502.751.351.730.184.995.243.844.22010
    64555AImplant neuroelectrodes2.272.572.971.361.230.195.035.433.823.69010
    64560AImplant neuroelectrodes2.362.492.601.331.290.225.075.183.913.87010
    64561AImplant neuroelectrodes7.0520.0427.553.873.050.5127.6035.1111.4310.61010
    64565AImplant neuroelectrodes1.762.473.081.281.270.134.364.973.173.16010
    64573AImplant neuroelectrodes8.11NANA5.445.291.60NANA15.1515.00090
    64575AImplant neuroelectrodes4.34NANA2.002.500.61NANA6.957.45090
    64577AImplant neuroelectrodes4.61NANA2.873.181.04NANA8.528.83090
    64580AImplant neuroelectrodes4.11NANA2.693.340.36NANA7.167.81090
    64581AImplant neuroelectrodes14.13NANA6.725.711.05NANA21.9020.89090
    64585ARevise/remove neuroelectrode2.065.799.912.242.160.208.0512.174.504.42010
    64590AInsrt/redo perph n generator2.406.446.972.472.330.199.039.565.064.92010
    64595ARevise/remove neuroreceiver1.736.529.422.201.990.198.4411.344.123.91010
    64600AInjection treatment of nerve3.445.288.331.581.630.349.0612.115.365.41010
    64605AInjection treatment of nerve5.607.659.082.392.230.7914.0415.478.788.62010
    64610AInjection treatment of nerve7.159.419.003.523.661.5818.1417.7312.2512.39010
    64612ADestroy nerve, face muscle1.961.612.261.361.330.113.684.333.433.40010
    64613ADestroy nerve, neck muscle1.961.362.541.131.200.113.434.613.203.27010
    64614ADestroy nerve, extrem musc2.201.622.821.311.310.103.925.123.613.61010
    64620AInjection treatment of nerve2.843.444.661.171.290.206.487.704.214.33010
    64622ADestr paravertebrl nerve l/s3.004.106.851.271.350.187.2810.034.454.53010
    64623ADestr paravertebral n add-on0.991.652.630.220.220.062.703.681.271.27ZZZ
    64626ADestr paravertebrl nerve c/t3.784.747.021.871.940.208.7211.005.855.92010
    64627ADestr paravertebral n add-on1.162.383.990.250.270.073.615.221.481.50ZZZ
    64630AInjection treatment of nerve3.002.812.751.881.530.226.035.975.104.75010
    64640AInjection treatment of nerve2.762.453.751.441.740.295.506.804.494.79010
    64650AChemodenerv eccrine glands0.700.780.850.180.270.061.541.610.941.03000
    64653AChemodenerv eccrine glands0.880.830.900.220.340.081.791.861.181.30000
    64680AInjection treatment of nerve2.624.016.041.091.350.186.818.843.894.15010
    64681AInjection treatment of nerve3.784.928.201.321.880.288.9812.265.385.94010
    64702ARevise finger/toe nerve6.02NANA5.274.210.61NANA11.9010.84090
    64704ARevise hand/foot nerve4.56NANA3.203.280.61NANA8.378.45090
    64708ARevise arm/leg nerve6.17NANA4.294.720.96NANA11.4211.85090
    64712ARevision of sciatic nerve7.92NANA4.554.860.95NANA13.4213.73090
    64713ARevision of arm nerve(s)11.22NANA6.476.021.82NANA19.5119.06090
    64714ARevise low back nerve(s)10.37NANA4.914.381.19NANA16.4715.94090
    64716ARevision of cranial nerve6.80NANA5.155.770.63NANA12.5813.20090
    64718ARevise ulnar nerve at elbow6.98NANA6.236.051.05NANA14.2614.08090
    64719ARevise ulnar nerve at wrist4.84NANA4.164.430.77NANA9.7710.04090
    64721ACarpal tunnel surgery4.784.725.204.665.190.7310.2310.7110.1710.70090
    64722ARelieve pressure on nerve(s)4.69NANA2.832.990.48NANA8.008.16090
    64726ARelease foot/toe nerve4.17NANA2.732.780.54NANA7.447.49090
    64727AInternal nerve revision3.10NANA1.231.430.48NANA4.815.01ZZZ
    64732AIncision of brow nerve4.78NANA4.273.690.98NANA10.039.45090
    64734AIncision of cheek nerve5.41NANA4.644.200.89NANA10.9410.50090
    64736AIncision of chin nerve5.09NANA3.873.980.52NANA9.489.59090
    64738AIncision of jaw nerve6.22NANA4.224.511.08NANA11.5211.81090
    64740AIncision of tongue nerve6.08NANA4.414.940.69NANA11.1811.71090
    64742AIncision of facial nerve6.71NANA4.354.610.73NANA11.7912.05090
    64744AIncise nerve, back of head5.61NANA4.593.981.16NANA11.3610.75090
    64746AIncise diaphragm nerve6.42NANA3.884.350.82NANA11.1211.59090
    64752AIncision of vagus nerve7.55NANA4.064.230.93NANA12.5412.71090
    64755AIncision of stomach nerves14.93NANA5.845.681.83NANA22.6022.44090
    64760AIncision of vagus nerve7.45NANA3.853.550.81NANA12.1111.81090
    64761AIncision of pelvis nerve6.90NANA3.993.640.53NANA11.4211.07090
    64763AIncise hip/thigh nerve7.42NANA5.075.160.94NANA13.4313.52090
    64766AIncise hip/thigh nerve9.29NANA5.315.261.06NANA15.6615.61090
    64771ASever cranial nerve7.97NANA5.285.481.23NANA14.4814.68090
    64772AIncision of spinal nerve7.70NANA5.325.021.40NANA14.4214.12090
    Start Printed Page 49170
    64774ARemove skin nerve lesion5.66NANA3.973.870.74NANA10.3710.27090
    64776ARemove digit nerve lesion5.49NANA3.733.690.76NANA9.989.94090
    64778ADigit nerve surgery add-on3.11NANA1.191.420.46NANA4.764.99ZZZ
    64782ARemove limb nerve lesion6.72NANA4.113.860.86NANA11.6911.44090
    64783ALimb nerve surgery add-on3.71NANA1.411.730.51NANA5.635.95ZZZ
    64784ARemove nerve lesion10.44NANA6.206.491.38NANA18.0118.30090
    64786ARemove sciatic nerve lesion16.07NANA8.979.622.60NANA27.6428.29090
    64787AImplant nerve end4.29NANA1.601.990.58NANA6.476.86ZZZ
    64788ARemove skin nerve lesion5.10NANA3.873.560.73NANA9.709.39090
    64790ARemoval of nerve lesion11.92NANA6.817.102.10NANA20.8321.12090
    64792ARemoval of nerve lesion15.65NANA8.408.722.48NANA26.5326.85090
    64795ABiopsy of nerve3.01NANA1.441.530.52NANA4.975.06000
    64802ARemove sympathetic nerves10.19NANA4.224.901.29NANA15.7016.38090
    64804ARemove sympathetic nerves15.73NANA6.106.902.14NANA23.9724.77090
    64809ARemove sympathetic nerves14.57NANA6.605.971.50NANA22.6722.04090
    64818ARemove sympathetic nerves11.20NANA4.365.051.33NANA16.8917.58090
    64820ARemove sympathetic nerves10.60NANA7.047.101.49NANA19.1319.19090
    64821ARemove sympathetic nerves9.11NANA6.647.171.24NANA16.9917.52090
    64822ARemove sympathetic nerves9.11NANA6.457.041.30NANA16.8617.45090
    64823ARemove sympathetic nerves10.72NANA7.117.881.57NANA19.4020.17090
    64831ARepair of digit nerve10.18NANA6.676.971.41NANA18.2618.56090
    64832ARepair nerve add-on5.65NANA2.362.790.85NANA8.869.29ZZZ
    64834ARepair of hand or foot nerve10.67NANA6.576.961.54NANA18.7819.17090
    64835ARepair of hand or foot nerve11.55NANA7.327.601.73NANA20.6020.88090
    64836ARepair of hand or foot nerve11.55NANA7.047.511.67NANA20.2620.73090
    64837ARepair nerve add-on6.25NANA2.673.090.97NANA9.8910.31ZZZ
    64840ARepair of leg nerve13.81NANA5.077.461.37NANA20.2522.64090
    64856ARepair/transpose nerve14.89NANA8.609.042.12NANA25.6126.05090
    64857ARepair arm/leg nerve15.64NANA8.939.462.21NANA26.7827.31090
    64858ARepair sciatic nerve17.64NANA10.1510.623.33NANA31.1231.58090
    64859ANerve surgery4.25NANA1.882.110.67NANA6.807.03ZZZ
    64861ARepair of arm nerves20.68NANA10.0411.344.08NANA34.8036.10090
    64862ARepair of low back nerves20.88NANA6.8310.664.31NANA32.0235.85090
    64864ARepair of facial nerve13.27NANA7.038.331.26NANA21.5622.86090
    64865ARepair of facial nerve15.91NANA9.8912.611.50NANA27.3030.02090
    64866AFusion of facial/other nerve16.65NANA12.2712.942.04NANA30.9631.63090
    64868AFusion of facial/other nerve14.76NANA9.0710.841.43NANA25.2627.03090
    64870AFusion of facial/other nerve16.90NANA8.428.651.30NANA26.6226.85090
    64872ASubsequent repair of nerve1.99NANA0.811.010.29NANA3.093.29ZZZ
    64874ARepair & revise nerve add-on2.98NANA1.211.450.42NANA4.614.85ZZZ
    64876ARepair nerve/shorten bone3.37NANA0.781.500.47NANA4.625.34ZZZ
    64885ANerve graft, head or neck17.50NANA8.8410.911.63NANA27.9730.04090
    64886ANerve graft, head or neck20.72NANA9.6812.582.08NANA32.4835.38090
    64890ANerve graft, hand or foot16.06NANA9.059.762.29NANA27.4028.11090
    64891ANerve graft, hand or foot17.17NANA9.878.151.63NANA28.6726.95090
    64892ANerve graft, arm or leg15.56NANA8.958.882.47NANA26.9826.91090
    64893ANerve graft, arm or leg16.69NANA9.679.812.61NANA28.9729.11090
    64895ANerve graft, hand or foot20.21NANA10.029.742.57NANA32.8032.52090
    64896ANerve graft, hand or foot21.75NANA11.8911.213.16NANA36.8036.12090
    64897ANerve graft, arm or leg19.20NANA10.4310.632.54NANA32.1732.37090
    64898ANerve graft, arm or leg20.76NANA11.2811.662.77NANA34.8135.19090
    64901ANerve graft add-on10.20NANA3.824.901.37NANA15.3916.47ZZZ
    64902ANerve graft add-on11.81NANA4.255.531.55NANA17.6118.89ZZZ
    64905ANerve pedicle transfer14.93NANA6.848.082.00NANA23.7725.01090
    64907ANerve pedicle transfer19.85NANA6.4110.993.16NANA29.4234.00090
    64999CNervous system surgery0.000.000.000.000.000.000.000.000.000.00YYY
    Start Printed Page 49171
    65091ARevise eye7.08NANA6.917.990.32NANA14.3115.39090
    65093ARevise eye with implant6.86NANA7.008.280.34NANA14.2015.48090
    65101ARemoval of eye8.02NANA8.159.180.35NANA16.5217.55090
    65103ARemove eye/insert implant8.56NANA8.379.390.37NANA17.3018.32090
    65105ARemove eye/attach implant9.61NANA9.0610.110.42NANA19.0920.14090
    65110ARemoval of eye15.31NANA11.5813.150.81NANA27.7029.27090
    65112ARemove eye/revise socket18.05NANA13.0515.361.30NANA32.4034.71090
    65114ARemove eye/revise socket19.19NANA13.6915.681.02NANA33.9035.89090
    65125ARevise ocular implant3.126.828.313.183.500.1910.1311.626.496.81090
    65130AInsert ocular implant8.14NANA7.928.850.35NANA16.4117.34090
    65135AInsert ocular implant8.32NANA7.978.980.36NANA16.6517.66090
    65140AAttach ocular implant9.14NANA8.599.550.40NANA18.1319.09090
    65150ARevise ocular implant6.25NANA6.477.600.31NANA13.0314.16090
    65155AReinsert ocular implant9.78NANA8.8510.070.50NANA19.1320.35090
    65175ARemoval of ocular implant7.15NANA7.278.180.31NANA14.7315.64090
    65205ARemove foreign body from eye0.710.590.630.330.300.031.331.371.071.04000
    65210ARemove foreign body from eye0.840.740.790.410.390.041.621.671.291.27000
    65220ARemove foreign body from eye0.710.600.630.290.280.051.361.391.051.04000
    65222ARemove foreign body from eye0.930.810.870.430.390.041.781.841.401.36000
    65235ARemove foreign body from eye8.69NANA6.996.800.37NANA16.0515.86090
    65260ARemove foreign body from eye12.19NANA9.039.500.57NANA21.7922.26090
    65265ARemove foreign body from eye13.95NANA9.9010.440.62NANA24.4725.01090
    65270ARepair of eye wound1.903.884.891.221.350.095.876.883.213.34010
    65272ARepair of eye wound4.446.507.413.273.290.1911.1312.047.907.92090
    65273ARepair of eye wound4.98NANA3.433.540.22NANA8.638.74090
    65275ARepair of eye wound6.086.436.343.993.950.2612.7712.6810.3310.29090
    65280ARepair of eye wound8.78NANA6.026.180.38NANA15.1815.34090
    65285ARepair of eye wound14.32NANA8.709.080.64NANA23.6624.04090
    65286ARepair of eye wound6.388.9610.604.534.600.2715.6117.2511.1811.25090
    65290ARepair of eye socket wound6.28NANA4.554.690.31NANA11.1411.28090
    65400ARemoval of eye lesion7.187.668.166.036.100.3015.1415.6413.5113.58090
    65410ABiopsy of cornea1.471.722.010.900.950.073.263.552.442.49000
    65420ARemoval of eye lesion4.167.038.404.074.350.2111.4012.778.448.72090
    65426ARemoval of eye lesion5.858.419.734.714.870.2514.5115.8310.8110.97090
    65430ACorneal smear1.471.131.250.900.960.072.672.792.442.50000
    65435ACurette/treat cornea0.920.890.970.670.700.041.851.931.631.66000
    65436ACurette/treat cornea4.683.884.043.553.640.218.778.938.448.53090
    65450ATreatment of corneal lesion3.273.763.993.683.880.167.197.427.117.31090
    65600ARevision of cornea4.024.584.903.513.390.178.779.097.707.58090
    65710ACorneal transplant13.97NANA10.4911.020.61NANA25.0725.60090
    65730ACorneal transplant15.87NANA11.2911.840.70NANA27.8628.41090
    65750ACorneal transplant16.48NANA11.0011.730.74NANA28.2228.95090
    65755ACorneal transplant16.37NANA10.9711.660.73NANA28.0728.76090
    65770ARevise cornea with implant19.28NANA12.0912.920.87NANA32.2433.07090
    65772ACorrection of astigmatism4.914.995.404.044.110.2110.1110.529.169.23090
    65775ACorrection of astigmatism6.66NANA5.465.830.28NANA12.4012.77090
    65780AOcular reconst, transplant10.23NANA9.1810.010.44NANA19.8520.68090
    65781AOcular reconst, transplant17.64NANA11.9413.240.44NANA30.0231.32090
    65782AOcular reconst, transplant14.98NANA10.5311.630.44NANA25.9527.05090
    65800ADrainage of eye1.911.451.711.071.150.093.453.713.073.15000
    65805ADrainage of eye1.911.762.071.071.160.093.764.073.073.16000
    65810ADrainage of eye5.61NANA4.824.730.24NANA10.6710.58090
    65815ADrainage of eye5.798.149.544.724.790.2514.1815.5810.7610.83090
    65820ARelieve inner eye pressure8.62NANA7.888.760.40NANA16.9017.78090
    65850AIncision of eye11.14NANA7.568.220.52NANA19.2219.88090
    65855ALaser surgery of eye3.843.594.132.713.000.197.628.166.747.03010
    65860AIncise inner eye adhesions3.543.373.872.162.420.187.097.595.886.14090
    65865AIncise inner eye adhesions5.59NANA4.845.430.28NANA10.7111.30090
    65870AIncise inner eye adhesions7.14NANA5.886.280.31NANA13.3313.73090
    65875AIncise inner eye adhesions7.53NANA6.336.680.32NANA14.1814.53090
    65880AIncise inner eye adhesions8.08NANA6.546.910.35NANA14.9715.34090
    65900ARemove eye lesion12.16NANA9.159.980.54NANA21.8522.68090
    65920ARemove implant of eye9.64NANA7.728.060.41NANA17.7718.11090
    65930ARemove blood clot from eye8.18NANA5.986.620.37NANA14.5315.17090
    66020AInjection treatment of eye1.592.492.961.311.410.084.164.632.983.08010
    66030AInjection treatment of eye1.252.362.811.181.260.063.674.122.492.57010
    Start Printed Page 49172
    66130ARemove eye lesion7.687.759.155.045.470.3815.8117.2113.1013.53090
    66150AGlaucoma surgery10.04NANA9.049.310.46NANA19.5419.81090
    66155AGlaucoma surgery10.03NANA9.029.270.41NANA19.4619.71090
    66160AGlaucoma surgery11.90NANA9.7810.090.50NANA22.1822.49090
    66165AGlaucoma surgery9.75NANA8.979.170.40NANA19.1219.32090
    66170AGlaucoma surgery14.39NANA11.9012.140.60NANA26.8927.13090
    66172AIncision of eye18.02NANA15.0915.170.74NANA33.8533.93090
    66180AImplant eye shunt15.91NANA10.0510.580.71NANA26.6727.20090
    66185ARevise eye shunt9.26NANA7.287.360.40NANA16.9417.01090
    66220ARepair eye lesion8.89NANA7.217.130.40NANA16.5016.42090
    66225ARepair/graft eye lesion12.28NANA8.418.650.55NANA21.2421.48090
    66250AFollow-up surgery of eye6.859.5111.155.425.470.3016.6618.3012.5712.62090
    66500AIncision of iris3.70NANA4.074.500.18NANA7.958.38090
    66505AIncision of iris4.07NANA4.434.850.20NANA8.709.12090
    66600ARemove iris and lesion9.80NANA8.558.300.43NANA18.7818.53090
    66605ARemoval of iris13.90NANA9.439.870.77NANA24.1024.54090
    66625ARemoval of iris5.12NANA4.344.630.26NANA9.7210.01090
    66630ARemoval of iris7.03NANA5.525.660.31NANA12.8613.00090
    66635ARemoval of iris7.12NANA5.555.690.31NANA12.9813.12090
    66680ARepair iris & ciliary body6.18NANA5.235.260.27NANA11.6811.71090
    66682ARepair iris & ciliary body7.08NANA6.926.690.31NANA14.3114.08090
    66700ADestruction, ciliary body5.024.965.173.733.880.2410.2210.438.999.14090
    66710ACiliary transsleral therapy5.024.735.063.713.810.239.9810.318.969.06090
    66711ACiliary endoscopic ablation7.60NANA6.496.480.30NANA14.3914.38090
    66720ADestruction, ciliary body4.775.475.714.404.640.2610.5010.749.439.67090
    66740ADestruction, ciliary body5.024.684.993.733.910.239.9310.248.989.16090
    66761ARevision of iris4.815.175.494.324.310.2010.1810.509.339.32090
    66762ARevision of iris5.205.265.554.204.270.2310.6910.989.639.70090
    66770ARemoval of inner eye lesion5.925.715.994.744.790.2611.8912.1710.9210.97090
    66820AIncision, secondary cataract3.88NANA4.765.550.19NANA8.839.62090
    66821AAfter cataract laser surgery3.283.934.053.513.590.117.327.446.906.98090
    66825AReposition intraocular lens8.72NANA8.018.800.40NANA17.1317.92090
    66830ARemoval of lens lesion9.19NANA6.576.860.36NANA16.1216.41090
    66840ARemoval of lens material8.90NANA6.516.770.39NANA15.8016.06090
    66850ARemoval of lens material10.23NANA7.317.560.45NANA17.9918.24090
    66852ARemoval of lens material11.09NANA7.657.990.49NANA19.2319.57090
    66920AExtraction of lens9.85NANA6.877.190.44NANA17.1617.48090
    66930AExtraction of lens11.29NANA7.738.040.49NANA19.5119.82090
    66940AExtraction of lens10.05NANA7.257.510.43NANA17.7317.99090
    66982ACataract surgery, complex14.73NANA9.289.720.63NANA24.6425.08090
    66983ACataract surg w/iol, 1 stage10.11NANA6.306.160.14NANA16.5516.41090
    66984ACataract surg w/iol, 1 stage10.28NANA6.627.220.39NANA17.2917.89090
    66985AInsert lens prosthesis9.63NANA7.337.420.36NANA17.3217.41090
    66986AExchange lens prosthesis12.26NANA8.388.970.60NANA21.2421.83090
    66990AOphthalmic endoscope add-on1.51NANA0.570.660.07NANA2.152.24ZZZ
    66999CEye surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    67005APartial removal of eye fluid5.69NANA4.724.830.28NANA10.6910.80090
    67010APartial removal of eye fluid6.86NANA5.165.350.34NANA12.3612.55090
    67015ARelease of eye fluid6.91NANA5.886.310.34NANA13.1313.56090
    67025AReplace eye fluid7.838.118.946.116.190.3416.2817.1114.2814.36090
    67027AImplant eye drug system11.33NANA7.617.900.54NANA19.4819.77090
    67028AInjection eye drug2.522.232.581.301.420.124.875.223.944.06000
    67030AIncise inner eye strands5.83NANA5.775.830.24NANA11.8411.90090
    67031ALaser surgery, eye strands4.294.214.503.533.610.188.688.978.008.08090
    67036ARemoval of inner eye fluid13.00NANA8.358.930.58NANA21.9322.51090
    67038AStrip retinal membrane23.15NANA13.9715.111.04NANA38.1639.30090
    Start Printed Page 49173
    67039ALaser treatment of retina16.25NANA11.0811.910.71NANA28.0428.87090
    67040ALaser treatment of retina19.08NANA12.4513.370.85NANA32.3833.30090
    67101ARepair detached retina8.528.759.036.386.490.3717.6417.9215.2715.38090
    67105ARepair detached retina8.287.657.975.996.110.3716.3016.6214.6414.75090
    67107ARepair detached retina16.26NANA10.7411.160.73NANA27.7328.15090
    67108ARepair detached retina22.39NANA13.4514.181.02NANA36.8637.59090
    67110ARepair detached retina9.939.229.987.207.340.4419.5920.3517.5717.71090
    67112ARerepair detached retina18.33NANA11.2711.680.83NANA30.4330.84090
    67115ARelease encircling material5.86NANA5.075.080.25NANA11.1811.19090
    67120ARemove eye implant material6.857.578.335.455.510.2914.7115.4712.5912.65090
    67121ARemove eye implant material11.90NANA8.258.460.53NANA20.6820.89090
    67141ATreatment of retina5.945.595.794.814.850.2611.7911.9911.0111.05090
    67145ATreatment of retina6.115.515.674.874.920.2711.8912.0511.2511.30090
    67208ATreatment of retinal lesion7.445.846.055.385.480.3313.6113.8213.1513.25090
    67210ATreatment of retinal lesion9.316.146.465.655.820.4415.8916.2115.4015.57090
    67218ATreatment of retinal lesion20.14NANA11.0811.880.92NANA32.1432.94090
    67220ATreatment of choroid lesion14.119.5510.208.478.880.6524.3124.9623.2323.64090
    67221ROcular photodynamic ther3.453.034.011.451.710.206.687.665.105.36000
    67225AEye photodynamic ther add-on0.470.240.250.180.200.020.730.740.670.69ZZZ
    67227ATreatment of retinal lesion7.326.196.485.335.470.3313.8414.1312.9813.12090
    67228ATreatment of retinal lesion13.6010.2711.187.988.400.6324.5025.4122.2122.63090
    67250AReinforce eye wall9.40NANA7.908.850.47NANA17.7718.72090
    67255AReinforce/graft eye wall9.89NANA8.719.600.44NANA19.0419.93090
    67299CEye surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    67311ARevise eye muscle7.52NANA5.685.940.37NANA13.5713.83090
    67312ARevise two eye muscles9.41NANA6.426.670.43NANA16.2616.51090
    67314ARevise eye muscle8.51NANA6.376.510.39NANA15.2715.41090
    67316ARevise two eye muscles10.65NANA7.187.420.49NANA18.3218.56090
    67318ARevise eye muscle(s)8.84NANA6.766.890.41NANA16.0116.14090
    67320ARevise eye muscle(s) add-on4.32NANA1.621.870.22NANA6.166.41ZZZ
    67331AEye surgery follow-up add-on4.05NANA1.511.750.21NANA5.776.01ZZZ
    67332ARerevise eye muscles add-on4.48NANA1.681.940.23NANA6.396.65ZZZ
    67334ARevise eye muscle w/suture3.97NANA1.481.710.20NANA5.655.88ZZZ
    67335AEye suture during surgery2.49NANA0.931.070.13NANA3.553.69ZZZ
    67340ARevise eye muscle add-on4.92NANA1.842.110.25NANA7.017.28ZZZ
    67343ARelease eye tissue8.22NANA6.256.450.37NANA14.8415.04090
    67345ADestroy nerve of eye muscle2.962.272.501.771.950.175.405.634.905.08010
    67350ABiopsy eye muscle2.87NANA1.691.830.15NANA4.714.85000
    67399CEye muscle surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    67400AExplore/biopsy eye socket10.88NANA9.7110.870.56NANA21.1522.31090
    67405AExplore/drain eye socket8.92NANA8.489.450.44NANA17.8418.81090
    67412AExplore/treat eye socket10.12NANA8.8110.400.48NANA19.4121.00090
    67413AExplore/treat eye socket9.99NANA8.9410.310.50NANA19.4320.80090
    67414AExplr/decompress eye socket17.72NANA11.9912.030.65NANA30.3630.40090
    67415AAspiration, orbital contents1.76NANA0.630.730.09NANA2.482.58000
    67420AExplore/treat eye socket21.52NANA14.5916.691.15NANA37.2639.36090
    67430AExplore/treat eye socket14.87NANA12.6614.330.86NANA28.3930.06090
    67440AExplore/drain eye socket14.45NANA12.1213.730.70NANA27.2728.88090
    67445AExplr/decompress eye socket18.90NANA12.5813.580.90NANA32.3833.38090
    67450AExplore/biopsy eye socket14.99NANA12.6314.180.68NANA28.3029.85090
    67500AInject/treat eye socket1.440.610.660.480.340.052.102.151.971.83000
    67505AInject/treat eye socket1.270.530.650.400.330.051.851.971.721.65000
    67515AInject/treat eye socket1.400.810.650.640.450.032.242.082.071.88000
    67550AInsert eye socket implant11.42NANA10.0410.990.72NANA22.1823.13090
    67560ARevise eye socket implant11.83NANA10.0711.050.60NANA22.5023.48090
    67570ADecompress optic nerve14.13NANA11.3313.020.68NANA26.1427.83090
    67599COrbit surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    67700ADrainage of eyelid abscess1.354.425.621.211.260.075.847.042.632.68010
    67710AIncision of eyelid1.023.794.981.101.180.054.866.052.172.25010
    67715AIncision of eyelid fold1.223.915.011.181.260.065.196.292.462.54010
    67800ARemove eyelid lesion1.381.441.580.931.010.072.893.032.382.46010
    67801ARemove eyelid lesions1.881.731.901.121.230.093.703.873.093.20010
    67805ARemove eyelid lesions2.222.252.451.461.600.114.584.783.793.93010
    67808ARemove eyelid lesion(s)4.42NANA3.703.750.19NANA8.318.36090
    67810ABiopsy of eyelid1.483.873.470.660.680.065.415.012.202.22000
    67820ARevise eyelashes0.710.450.560.520.550.041.201.311.271.30000
    Start Printed Page 49174
    67825ARevise eyelashes1.381.441.661.301.380.072.893.112.752.83010
    67830ARevise eyelashes1.704.105.171.361.470.085.886.953.143.25010
    67835ARevise eyelashes5.55NANA4.184.510.28NANA10.0110.34090
    67840ARemove eyelid lesion2.044.015.111.501.610.106.157.253.643.75010
    67850ATreat eyelid lesion1.693.263.341.431.460.075.025.103.193.22010
    67875AClosure of eyelid by suture1.352.453.090.860.920.073.874.512.282.34000
    67880ARevision of eyelid4.425.586.353.673.770.1910.1910.968.288.38090
    67882ARevision of eyelid5.816.567.364.624.760.2512.6213.4210.6810.82090
    67900ARepair brow defect6.637.528.684.725.120.3814.5315.6911.7312.13090
    67901ARepair eyelid defect7.399.256.365.465.420.5417.1814.2913.3913.35090
    67902ARepair eyelid defect9.60NANA6.585.740.60NANA16.7815.94090
    67903ARepair eyelid defect6.366.828.884.485.250.4713.6515.7111.3112.08090
    67904ARepair eyelid defect7.758.479.345.545.310.4116.6317.5013.7013.47090
    67906ARepair eyelid defect6.78NANA4.634.930.46NANA11.8712.17090
    67908ARepair eyelid defect5.125.716.404.255.070.2811.1111.809.6510.47090
    67909ARevise eyelid defect5.396.397.624.314.790.3112.0913.3210.0110.49090
    67911ARevise eyelid defect7.30NANA5.214.890.31NANA12.8212.50090
    67912ACorrection eyelid w/implant6.1713.1817.494.745.330.2819.6323.9411.1911.78090
    67914ARepair eyelid defect3.674.885.982.762.980.198.749.846.626.84090
    67915ARepair eyelid defect3.184.545.622.572.740.167.888.965.916.08090
    67916ARepair eyelid defect5.306.537.674.264.640.2812.1113.259.8410.22090
    67917ARepair eyelid defect6.016.918.074.544.940.3613.2814.4410.9111.31090
    67921ARepair eyelid defect3.394.755.832.642.830.178.319.396.206.39090
    67922ARepair eyelid defect3.064.445.542.512.690.157.658.755.725.90090
    67923ARepair eyelid defect5.876.637.754.464.840.3012.8013.9210.6311.01090
    67924ARepair eyelid defect5.787.118.474.194.560.3013.1914.5510.2710.64090
    67930ARepair eyelid wound3.604.505.411.852.090.198.299.205.645.88010
    67935ARepair eyelid wound6.216.958.133.704.230.3913.5514.7310.3010.83090
    67938ARemove eyelid foreign body1.333.955.021.271.260.065.346.412.662.65010
    67950ARevision of eyelid5.816.808.174.475.030.3612.9714.3410.6411.20090
    67961ARevision of eyelid5.687.008.264.434.880.3313.0114.2710.4410.89090
    67966ARevision of eyelid8.758.298.925.935.650.3717.4118.0415.0514.77090
    67971AReconstruction of eyelid9.78NANA6.407.060.53NANA16.7117.37090
    67973AReconstruction of eyelid12.85NANA8.028.990.75NANA21.6222.59090
    67974AReconstruction of eyelid12.82NANA8.048.930.75NANA21.6122.50090
    67975AReconstruction of eyelid9.12NANA6.166.750.50NANA15.7816.37090
    67999CRevision of eyelid0.000.000.000.000.000.000.000.000.000.00YYY
    68020AIncise/drain eyelid lining1.371.281.381.091.180.062.712.812.522.61010
    68040ATreatment of eyelid lesions0.850.620.690.370.420.041.511.581.261.31000
    68100ABiopsy of eyelid lining1.352.413.040.880.930.073.834.462.302.35000
    68110ARemove eyelid lining lesion1.773.153.861.521.620.095.015.723.383.48010
    68115ARemove eyelid lining lesion2.364.445.581.741.870.126.928.064.224.35010
    68130ARemove eyelid lining lesion4.926.848.244.164.490.2412.0013.409.329.65090
    68135ARemove eyelid lining lesion1.841.631.771.511.620.093.563.703.443.55010
    68200ATreat eyelid by injection0.490.470.520.300.320.020.981.030.810.83000
    68320ARevise/graft eyelid lining6.369.4210.825.475.510.2716.0517.4512.1012.14090
    68325ARevise/graft eyelid lining8.35NANA6.166.450.44NANA14.9515.24090
    68326ARevise/graft eyelid lining8.14NANA6.126.340.35NANA14.6114.83090
    68328ARevise/graft eyelid lining9.17NANA6.667.130.54NANA16.3716.84090
    68330ARevise eyelid lining5.577.648.974.594.690.2413.4514.7810.4010.50090
    68335ARevise/graft eyelid lining8.18NANA6.136.320.36NANA14.6714.86090
    68340ASeparate eyelid adhesions4.797.078.423.994.070.2112.0713.428.999.07090
    68360ARevise eyelid lining4.996.607.684.074.150.2211.8112.899.289.36090
    68362ARevise eyelid lining8.33NANA6.186.350.36NANA14.8715.04090
    68371AHarvest eye tissue, alograft4.89NANA4.184.590.44NANA9.519.92010
    68399CEyelid lining surgery0.000.000.000.000.000.000.000.000.000.00YYY
    Start Printed Page 49175
    68400AIncise/drain tear gland1.694.445.541.221.670.086.217.312.993.44010
    68420AIncise/drain tear sac2.304.705.821.461.940.117.118.233.874.35010
    68440AIncise tear duct opening0.941.281.881.211.260.052.272.872.202.25010
    68500ARemoval of tear gland12.38NANA8.979.540.55NANA21.9022.47090
    68505APartial removal, tear gland12.30NANA9.1110.270.55NANA21.9623.12090
    68510ABiopsy of tear gland4.605.376.842.112.100.2310.2011.676.946.93000
    68520ARemoval of tear sac8.50NANA6.687.240.37NANA15.5516.11090
    68525ABiopsy of tear sac4.42NANA1.641.930.22NANA6.286.57000
    68530AClearance of tear duct3.655.757.572.142.520.189.5811.405.976.35010
    68540ARemove tear gland lesion11.83NANA8.719.220.52NANA21.0621.57090
    68550ARemove tear gland lesion14.74NANA10.5211.140.80NANA26.0626.68090
    68700ARepair tear ducts7.59NANA5.745.920.32NANA13.6513.83090
    68705ARevise tear duct opening2.063.123.911.631.750.105.286.073.793.91010
    68720ACreate tear sac drain9.70NANA7.107.670.44NANA17.2417.81090
    68745ACreate tear duct drain9.62NANA7.457.760.52NANA17.5917.90090
    68750ACreate tear duct drain9.78NANA7.648.110.43NANA17.8518.32090
    68760AClose tear duct opening1.732.663.321.501.600.094.485.143.323.42010
    68761AClose tear duct opening1.361.882.171.281.310.063.303.592.702.73010
    68770AClose tear system fistula8.01NANA5.883.860.35NANA14.2412.22090
    68801ADilate tear duct opening0.941.821.911.451.470.052.812.902.442.46010
    68810AProbe nasolacrimal duct2.593.493.622.762.690.106.186.315.455.38010
    68811AProbe nasolacrimal duct2.35NANA2.172.350.13NANA4.654.83010
    68815AProbe nasolacrimal duct3.206.577.822.492.730.179.9411.195.866.10010
    68840AExplore/irrigate tear ducts1.251.561.591.321.170.062.872.902.632.48010
    68850AInjection for tear sac x-ray0.800.720.840.600.660.041.561.681.441.50000
    68899CTear duct system surgery0.000.000.000.000.000.000.000.000.000.00YYY
    69000ADrain external ear lesion1.452.702.841.241.330.124.274.412.812.90010
    69005ADrain external ear lesion2.112.742.881.451.740.175.025.163.734.02010
    69020ADrain outer ear canal lesion1.483.843.951.761.990.125.445.553.363.59010
    69100ABiopsy of external ear0.811.801.730.380.390.032.642.571.221.23000
    69105ABiopsy of external ear canal0.852.472.370.650.740.073.393.291.571.66000
    69110ARemove external ear, partial3.437.506.934.234.410.3011.2310.667.968.14090
    69120ARemoval of external ear4.04NANA5.095.910.38NANA9.5110.33090
    69140ARemove ear canal lesion(s)7.96NANA12.3013.040.65NANA20.9121.65090
    69145ARemove ear canal lesion(s)2.626.535.973.103.250.219.368.805.936.08090
    69150AExtensive ear canal surgery13.41NANA10.5512.691.22NANA25.1827.32090
    69155AExtensive ear/neck surgery22.96NANA15.0118.411.92NANA39.8943.29090
    69200AClear outer ear canal0.772.032.290.570.560.062.863.121.401.39000
    69205AClear outer ear canal1.20NANA1.141.310.10NANA2.442.61010
    69210ARemove impacted ear wax0.610.550.610.160.210.051.211.270.820.87000
    69220AClean out mastoid cavity0.832.372.360.610.700.073.273.261.511.60000
    69222AClean out mastoid cavity1.403.663.801.731.980.125.185.323.253.50010
    69300RRevise external ear6.359.615.574.514.290.7216.6812.6411.5811.36YYY
    69310ARebuild outer ear canal10.77NANA14.1915.760.85NANA25.8127.38090
    69320ARebuild outer ear canal16.93NANA18.1620.921.37NANA36.4639.22090
    69399COuter ear surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    69400AInflate middle ear canal0.832.602.270.610.660.073.503.171.511.56000
    69401AInflate middle ear canal0.631.461.300.560.630.052.141.981.241.31000
    69405ACatheterize middle ear canal2.633.383.471.782.180.216.226.314.625.02010
    69420AIncision of eardrum1.333.053.131.411.550.114.494.572.852.99010
    69421AIncision of eardrum1.73NANA1.682.040.15NANA3.563.92010
    69424ARemove ventilating tube0.852.182.180.620.670.073.103.101.541.59000
    69433ACreate eardrum opening1.523.063.081.441.590.134.714.733.093.24010
    69436ACreate eardrum opening1.96NANA1.722.150.19NANA3.874.30010
    69440AExploration of middle ear7.56NANA8.318.660.61NANA16.4816.83090
    69450AEardrum revision5.56NANA6.967.010.45NANA12.9713.02090
    69501AMastoidectomy9.06NANA7.808.700.73NANA17.5918.49090
    69502AMastoidectomy12.36NANA10.0211.201.00NANA23.3824.56090
    69505ARemove mastoid structures12.97NANA14.8116.601.05NANA28.8330.62090
    69511AExtensive mastoid surgery13.50NANA14.8916.831.09NANA29.4831.42090
    69530AExtensive mastoid surgery20.15NANA17.9720.721.54NANA39.6642.41090
    69535ARemove part of temporal bone37.17NANA24.1930.022.92NANA64.2870.11090
    69540ARemove ear lesion1.203.623.711.701.900.104.925.013.003.20010
    69550ARemove ear lesion10.97NANA13.0614.410.89NANA24.9226.27090
    69552ARemove ear lesion19.61NANA16.5519.641.59NANA37.7540.84090
    69554ARemove ear lesion35.63NANA22.4128.352.91NANA60.9566.89090
    Start Printed Page 49176
    69601AMastoid surgery revision13.22NANA10.8412.211.07NANA25.1326.50090
    69602AMastoid surgery revision13.56NANA11.5612.811.10NANA26.2227.47090
    69603AMastoid surgery revision14.00NANA15.0317.531.14NANA30.1732.67090
    69604AMastoid surgery revision14.00NANA11.6713.191.14NANA26.8128.33090
    69605AMastoid surgery revision18.46NANA17.5020.091.50NANA37.4640.05090
    69610ARepair of eardrum4.424.475.282.303.030.369.2510.067.087.81010
    69620ARepair of eardrum5.8810.0410.855.296.040.4816.4017.2111.6512.40090
    69631ARepair eardrum structures9.85NANA10.5011.030.80NANA21.1521.68090
    69632ARebuild eardrum structures12.73NANA12.0813.121.03NANA25.8426.88090
    69633ARebuild eardrum structures12.08NANA11.9112.770.98NANA24.9725.83090
    69635ARepair eardrum structures13.31NANA14.8316.261.08NANA29.2230.65090
    69636ARebuild eardrum structures15.20NANA16.6018.631.23NANA33.0335.06090
    69637ARebuild eardrum structures15.09NANA16.5818.561.22NANA32.8934.87090
    69641ARevise middle ear & mastoid12.69NANA11.3112.411.03NANA25.0326.13090
    69642ARevise middle ear & mastoid16.81NANA14.0515.721.36NANA32.2233.89090
    69643ARevise middle ear & mastoid15.36NANA12.8114.321.24NANA29.4130.92090
    69644ARevise middle ear & mastoid17.00NANA17.0919.571.37NANA35.4637.94090
    69645ARevise middle ear & mastoid16.48NANA17.0119.271.33NANA34.8237.08090
    69646ARevise middle ear & mastoid18.14NANA17.4219.931.46NANA37.0239.53090
    69650ARelease middle ear bone9.65NANA8.649.590.78NANA19.0720.02090
    69660ARevise middle ear bone11.88NANA9.5210.770.96NANA22.3623.61090
    69661ARevise middle ear bone15.72NANA12.1714.071.27NANA29.1631.06090
    69662ARevise middle ear bone15.42NANA11.2913.141.25NANA27.9629.81090
    69666ARepair middle ear structures9.74NANA8.929.710.79NANA19.4520.24090
    69667ARepair middle ear structures9.75NANA8.839.690.79NANA19.3720.23090
    69670ARemove mastoid air cells11.55NANA10.1511.320.93NANA22.6323.80090
    69676ARemove middle ear nerve9.51NANA9.6310.470.81NANA19.9520.79090
    69700AClose mastoid fistula8.22NANA7.658.840.67NANA16.5417.73090
    69711ARemove/repair hearing aid10.42NANA9.4210.450.83NANA20.6721.70090
    69714AImplant temple bone w/stimul14.23NANA10.5612.141.13NANA25.9227.50090
    69715ATemple bne implnt w/stimulat18.72NANA11.9414.261.48NANA32.1434.46090
    69717ATemple bone implant revision15.21NANA11.3113.680.90NANA27.4229.79090
    69718ARevise temple bone implant18.97NANA20.2616.543.21NANA42.4438.72090
    69720ARelease facial nerve14.48NANA12.7514.081.16NANA28.3929.72090
    69725ARelease facial nerve27.36NANA16.3019.172.44NANA46.1048.97090
    69740ARepair facial nerve16.12NANA11.1712.851.27NANA28.5630.24090
    69745ARepair facial nerve16.84NANA11.8714.201.14NANA29.8532.18090
    69799CMiddle ear surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    69801AIncise inner ear8.55NANA8.759.280.69NANA17.9918.52090
    69802AIncise inner ear13.32NANA10.5411.881.06NANA24.9226.26090
    69805AExplore inner ear14.49NANA9.8011.361.12NANA25.4126.97090
    69806AExplore inner ear12.45NANA9.3710.621.00NANA22.8224.07090
    69820AEstablish inner ear window10.32NANA9.8310.870.90NANA21.0522.09090
    69840ARevise inner ear window10.24NANA11.6712.800.79NANA22.7023.83090
    69905ARemove inner ear11.08NANA10.0811.030.90NANA22.0623.01090
    69910ARemove inner ear & mastoid13.73NANA9.7911.391.07NANA24.5926.19090
    69915AIncise inner ear nerve22.57NANA13.3815.691.69NANA37.6439.95090
    69930AImplant cochlear device17.54NANA11.8114.021.36NANA30.7132.92090
    69949CInner ear surgery procedure0.000.000.000.000.000.000.000.000.000.00YYY
    69950AIncise inner ear nerve27.38NANA15.1217.962.28NANA44.7847.62090
    69955ARelease facial nerve29.14NANA17.3020.362.48NANA48.9251.98090
    69960ARelease inner ear canal29.14NANA15.4118.892.17NANA46.7250.20090
    69970ARemove inner ear lesion32.13NANA17.7821.902.41NANA52.3256.44090
    69979CTemporal bone surgery0.000.000.000.000.000.000.000.000.000.00YYY
    69990RMicrosurgery add-on3.46NANA1.291.670.89NANA5.646.02ZZZ
    70010AContrast x-ray of brain1.192.774.23NANA0.274.235.69NANAXXX
    Start Printed Page 49177
    7001026AContrast x-ray of brain1.190.370.390.370.390.051.611.631.611.63XXX
    70010TCAContrast x-ray of brain0.002.403.85NANA0.222.624.07NANAXXX
    70015AContrast x-ray of brain1.192.852.01NANA0.164.203.36NANAXXX
    7001526AContrast x-ray of brain1.190.380.390.380.390.081.651.661.651.66XXX
    70015TCAContrast x-ray of brain0.002.471.63NANA0.082.551.71NANAXXX
    70030AX-ray eye for foreign body0.170.600.51NANA0.030.800.71NANAXXX
    7003026AX-ray eye for foreign body0.170.050.060.050.060.010.230.240.230.24XXX
    70030TCAX-ray eye for foreign body0.000.550.45NANA0.020.570.47NANAXXX
    70100AX-ray exam of jaw0.180.630.59NANA0.030.840.80NANAXXX
    7010026AX-ray exam of jaw0.180.050.060.050.060.010.240.250.240.25XXX
    70100TCAX-ray exam of jaw0.000.580.54NANA0.020.600.56NANAXXX
    70110AX-ray exam of jaw0.250.800.73NANA0.051.101.03NANAXXX
    7011026AX-ray exam of jaw0.250.080.080.080.080.010.340.340.340.34XXX
    70110TCAX-ray exam of jaw0.000.720.65NANA0.040.760.69NANAXXX
    70120AX-ray exam of mastoids0.180.690.68NANA0.050.920.91NANAXXX
    7012026AX-ray exam of mastoids0.180.050.060.050.060.010.240.250.240.25XXX
    70120TCAX-ray exam of mastoids0.000.640.63NANA0.040.680.67NANAXXX
    70130AX-ray exam of mastoids0.341.160.96NANA0.071.571.37NANAXXX
    7013026AX-ray exam of mastoids0.340.100.110.100.110.020.460.470.460.47XXX
    70130TCAX-ray exam of mastoids0.001.060.85NANA0.051.110.90NANAXXX
    70134AX-ray exam of middle ear0.340.920.86NANA0.071.331.27NANAXXX
    7013426AX-ray exam of middle ear0.340.110.110.110.110.020.470.470.470.47XXX
    70134TCAX-ray exam of middle ear0.000.820.75NANA0.050.870.80NANAXXX
    70140AX-ray exam of facial bones0.190.550.65NANA0.050.790.89NANAXXX
    7014026AX-ray exam of facial bones0.190.050.060.050.060.010.250.260.250.26XXX
    70140TCAX-ray exam of facial bones0.000.500.59NANA0.040.540.63NANAXXX
    70150AX-ray exam of facial bones0.260.850.86NANA0.061.171.18NANAXXX
    7015026AX-ray exam of facial bones0.260.070.080.070.080.010.340.350.340.35XXX
    70150TCAX-ray exam of facial bones0.000.770.78NANA0.050.820.83NANAXXX
    70160AX-ray exam of nasal bones0.170.700.61NANA0.030.900.81NANAXXX
    7016026AX-ray exam of nasal bones0.170.050.060.050.060.010.230.240.230.24XXX
    70160TCAX-ray exam of nasal bones0.000.650.55NANA0.020.670.57NANAXXX
    70170AX-ray exam of tear duct0.30NANANANA0.07NANANANAXXX
    7017026AX-ray exam of tear duct0.300.090.100.090.100.010.400.410.400.41XXX
    70170TCAX-ray exam of tear duct0.00NANANANA0.06NANANANAXXX
    70190AX-ray exam of eye sockets0.210.720.70NANA0.050.980.96NANAXXX
    7019026AX-ray exam of eye sockets0.210.060.070.060.070.010.280.290.280.29XXX
    70190TCAX-ray exam of eye sockets0.000.660.63NANA0.040.700.67NANAXXX
    70200AX-ray exam of eye sockets0.280.870.87NANA0.061.211.21NANAXXX
    7020026AX-ray exam of eye sockets0.280.080.090.080.090.010.370.380.370.38XXX
    70200TCAX-ray exam of eye sockets0.000.790.78NANA0.050.840.83NANAXXX
    70210AX-ray exam of sinuses0.170.570.65NANA0.050.790.87NANAXXX
    7021026AX-ray exam of sinuses0.170.050.060.050.060.010.230.240.230.24XXX
    70210TCAX-ray exam of sinuses0.000.520.60NANA0.040.560.64NANAXXX
    70220AX-ray exam of sinuses0.250.720.83NANA0.061.031.14NANAXXX
    7022026AX-ray exam of sinuses0.250.070.080.070.080.010.330.340.330.34XXX
    70220TCAX-ray exam of sinuses0.000.650.75NANA0.050.700.80NANAXXX
    70240AX-ray exam, pituitary saddle0.190.610.51NANA0.030.830.73NANAXXX
    7024026AX-ray exam, pituitary saddle0.190.060.060.060.060.010.260.260.260.26XXX
    70240TCAX-ray exam, pituitary saddle0.000.550.45NANA0.020.570.47NANAXXX
    70250AX-ray exam of skull0.240.700.70NANA0.050.990.99NANAXXX
    7025026AX-ray exam of skull0.240.070.080.070.080.010.320.330.320.33XXX
    70250TCAX-ray exam of skull0.000.640.63NANA0.040.680.67NANAXXX
    70260AX-ray exam of skull0.340.880.97NANA0.081.301.39NANAXXX
    7026026AX-ray exam of skull0.340.100.110.100.110.020.460.470.460.47XXX
    70260TCAX-ray exam of skull0.000.780.86NANA0.060.840.92NANAXXX
    70300AX-ray exam of teeth0.100.240.29NANA0.030.370.42NANAXXX
    7030026AX-ray exam of teeth0.100.030.050.030.050.010.140.160.140.16XXX
    70300TCAX-ray exam of teeth0.000.210.25NANA0.020.230.27NANAXXX
    70310AX-ray exam of teeth0.160.820.58NANA0.031.010.77NANAXXX
    7031026AX-ray exam of teeth0.160.050.070.050.070.010.220.240.220.24XXX
    70310TCAX-ray exam of teeth0.000.770.51NANA0.020.790.53NANAXXX
    70320AFull mouth x-ray of teeth0.220.980.89NANA0.061.261.17NANAXXX
    7032026AFull mouth x-ray of teeth0.220.060.080.060.080.010.290.310.290.31XXX
    70320TCAFull mouth x-ray of teeth0.000.910.81NANA0.050.960.86NANAXXX
    70328AX-ray exam of jaw joint0.180.620.57NANA0.030.830.78NANAXXX
    Start Printed Page 49178
    7032826AX-ray exam of jaw joint0.180.050.060.050.060.010.240.250.240.25XXX
    70328TCAX-ray exam of jaw joint0.000.570.51NANA0.020.590.53NANAXXX
    70330AX-ray exam of jaw joints0.241.010.94NANA0.061.311.24NANAXXX
    7033026AX-ray exam of jaw joints0.240.070.080.070.080.010.320.330.320.33XXX
    70330TCAX-ray exam of jaw joints0.000.940.87NANA0.050.990.92NANAXXX
    70332AX-ray exam of jaw joint0.541.462.09NANA0.142.142.77NANAXXX
    7033226AX-ray exam of jaw joint0.540.160.190.160.190.020.720.750.720.75XXX
    70332TCAX-ray exam of jaw joint0.001.301.90NANA0.121.422.02NANAXXX
    70336AMagnetic image, jaw joint1.4812.6011.92NANA0.6614.7414.06NANAXXX
    7033626AMagnetic image, jaw joint1.480.500.490.500.490.072.052.042.052.04XXX
    70336TCAMagnetic image, jaw joint0.0012.1011.43NANA0.5912.6912.02NANAXXX
    70350AX-ray head for orthodontia0.170.330.42NANA0.030.530.62NANAXXX
    7035026AX-ray head for orthodontia0.170.050.070.050.070.010.230.250.230.25XXX
    70350TCAX-ray head for orthodontia0.000.270.35NANA0.020.290.37NANAXXX
    70355APanoramic x-ray of jaws0.200.300.56NANA0.050.550.81NANAXXX
    7035526APanoramic x-ray of jaws0.200.060.070.060.070.010.270.280.270.28XXX
    70355TCAPanoramic x-ray of jaws0.000.240.49NANA0.040.280.53NANAXXX
    70360AX-ray exam of neck0.170.580.51NANA0.030.780.71NANAXXX
    7036026AX-ray exam of neck0.170.050.060.050.060.010.230.240.230.24XXX
    70360TCAX-ray exam of neck0.000.520.45NANA0.020.540.47NANAXXX
    70370AThroat x-ray & fluoroscopy0.321.651.47NANA0.082.051.87NANAXXX
    7037026AThroat x-ray & fluoroscopy0.320.090.100.090.100.010.420.430.420.43XXX
    70370TCAThroat x-ray & fluoroscopy0.001.561.37NANA0.071.631.44NANAXXX
    70371ASpeech evaluation, complex0.841.502.16NANA0.162.503.16NANAXXX
    7037126ASpeech evaluation, complex0.840.260.280.260.280.041.141.161.141.16XXX
    70371TCASpeech evaluation, complex0.001.241.89NANA0.121.362.01NANAXXX
    70373AContrast x-ray of larynx0.441.711.87NANA0.132.282.44NANAXXX
    7037326AContrast x-ray of larynx0.440.130.140.130.140.020.590.600.590.60XXX
    70373TCAContrast x-ray of larynx0.001.581.73NANA0.111.691.84NANAXXX
    70380AX-ray exam of salivary gland0.170.820.75NANA0.051.040.97NANAXXX
    7038026AX-ray exam of salivary gland0.170.050.060.050.060.010.230.240.230.24XXX
    70380TCAX-ray exam of salivary gland0.000.760.69NANA0.040.800.73NANAXXX
    70390AX-ray exam of salivary duct0.382.342.01NANA0.132.852.52NANAXXX
    7039026AX-ray exam of salivary duct0.380.120.120.120.120.020.520.520.520.52XXX
    70390TCAX-ray exam of salivary duct0.002.221.89NANA0.112.332.00NANAXXX
    70450ACt head/brain w/o dye0.854.904.98NANA0.296.046.12NANAXXX
    7045026ACt head/brain w/o dye0.850.270.280.270.280.041.161.171.161.17XXX
    70450TCACt head/brain w/o dye0.004.644.70NANA0.254.894.95NANAXXX
    70460ACt head/brain w/dye1.136.526.15NANA0.358.007.63NANAXXX
    7046026ACt head/brain w/dye1.130.360.370.360.370.051.541.551.541.55XXX
    70460TCACt head/brain w/dye0.006.165.79NANA0.306.466.09NANAXXX
    70470ACt head/brain w/o & w/dye1.277.967.61NANA0.439.669.31NANAXXX
    7047026ACt head/brain w/o & w/dye1.270.400.420.400.420.061.731.751.731.75XXX
    70470TCACt head/brain w/o & w/dye0.007.567.19NANA0.377.937.56NANAXXX
    70480ACt orbit/ear/fossa w/o dye1.288.525.99NANA0.3110.117.58NANAXXX
    7048026ACt orbit/ear/fossa w/o dye1.280.410.420.410.420.061.751.761.751.76XXX
    70480TCACt orbit/ear/fossa w/o dye0.008.115.57NANA0.258.365.82NANAXXX
    70481ACt orbit/ear/fossa w/dye1.3810.047.09NANA0.3611.788.83NANAXXX
    7048126ACt orbit/ear/fossa w/dye1.380.440.450.440.450.061.881.891.881.89XXX
    70481TCACt orbit/ear/fossa w/dye0.009.606.65NANA0.309.906.95NANAXXX
    70482ACt orbit/ear/fossa w/o&w/dye1.4511.568.55NANA0.4313.4410.43NANAXXX
    7048226ACt orbit/ear/fossa w/o&w/dye1.450.470.480.470.480.061.981.991.981.99XXX
    70482TCACt orbit/ear/fossa w/o&w/dye0.0011.098.08NANA0.3711.468.45NANAXXX
    70486ACt maxillofacial w/o dye1.146.815.52NANA0.308.256.96NANAXXX
    7048626ACt maxillofacial w/o dye1.140.360.370.360.370.051.551.561.551.56XXX
    70486TCACt maxillofacial w/o dye0.006.445.15NANA0.256.695.40NANAXXX
    Start Printed Page 49179
    70487ACt maxillofacial w/dye1.308.396.67NANA0.3610.058.33NANAXXX
    7048726ACt maxillofacial w/dye1.300.420.430.420.430.061.781.791.781.79XXX
    70487TCACt maxillofacial w/dye0.007.976.24NANA0.308.276.54NANAXXX
    70488ACt maxillofacial w/o & w/dye1.4210.488.27NANA0.4312.3310.12NANAXXX
    7048826ACt maxillofacial w/o & w/dye1.420.460.460.460.460.061.941.941.941.94XXX
    70488TCACt maxillofacial w/o & w/dye0.0010.037.81NANA0.3710.408.18NANAXXX
    70490ACt soft tissue neck w/o dye1.286.525.49NANA0.318.117.08NANAXXX
    7049026ACt soft tissue neck w/o dye1.280.410.420.410.420.061.751.761.751.76XXX
    70490TCACt soft tissue neck w/o dye0.006.115.07NANA0.256.365.32NANAXXX
    70491ACt soft tissue neck w/dye1.388.066.60NANA0.369.808.34NANAXXX
    7049126ACt soft tissue neck w/dye1.380.440.450.440.450.061.881.891.881.89XXX
    70491TCACt soft tissue neck w/dye0.007.626.15NANA0.307.926.45NANAXXX
    70492ACt sft tsue nck w/o & w/dye1.4510.188.20NANA0.4312.0610.08NANAXXX
    7049226ACt sft tsue nck w/o & w/dye1.450.470.470.470.470.061.981.981.981.98XXX
    70492TCACt sft tsue nck w/o & w/dye0.009.717.73NANA0.3710.088.10NANAXXX
    70496ACt angiography, head1.7517.1612.67NANA0.6619.5715.08NANAXXX
    7049626ACt angiography, head1.750.570.570.570.570.082.402.402.402.40XXX
    70496TCACt angiography, head0.0016.5912.10NANA0.5817.1712.68NANAXXX
    70498ACt angiography, neck1.7517.2612.69NANA0.6619.6715.10NANAXXX
    7049826ACt angiography, neck1.750.580.570.580.570.082.412.402.412.40XXX
    70498TCACt angiography, neck0.0016.6812.12NANA0.5817.2612.70NANAXXX
    70540AMri orbit/face/neck w/o dye1.3514.5812.38NANA0.4516.3814.18NANAXXX
    7054026AMri orbit/face/neck w/o dye1.350.450.440.450.440.061.861.851.861.85XXX
    70540TCAMri orbit/face/neck w/o dye0.0014.1311.93NANA0.3914.5212.32NANAXXX
    70542AMri orbit/face/neck w/dye1.6215.5314.36NANA0.5417.6916.52NANAXXX
    7054226AMri orbit/face/neck w/dye1.620.530.530.530.530.072.222.222.222.22XXX
    70542TCAMri orbit/face/neck w/dye0.0015.0013.83NANA0.4715.4714.30NANAXXX
    70543AMri orbt/fac/nck w/o & w/dye2.1519.2624.01NANA0.9422.3527.10NANAXXX
    7054326AMri orbt/fac/nck w/o & w/dye2.150.720.710.720.710.102.972.962.972.96XXX
    70543TCAMri orbt/fac/nck w/o & w/dye0.0018.5423.30NANA0.8419.3824.14NANAXXX
    70544AMr angiography head w/o dye1.2016.0512.71NANA0.6417.8914.55NANAXXX
    7054426AMr angiography head w/o dye1.200.390.400.390.400.051.641.651.641.65XXX
    70544TCAMr angiography head w/o dye0.0015.6712.32NANA0.5916.2612.91NANAXXX
    70545AMr angiography head w/dye1.2015.9712.69NANA0.6417.8114.53NANAXXX
    7054526AMr angiography head w/dye1.200.380.390.380.390.051.631.641.631.64XXX
    70545TCAMr angiography head w/dye0.0015.5912.30NANA0.5916.1812.89NANAXXX
    70546AMr angiograph head w/o&w/dye1.8024.4923.37NANA0.6726.9625.84NANAXXX
    7054626AMr angiograph head w/o&w/dye1.800.580.590.580.590.082.462.472.462.47XXX
    70546TCAMr angiograph head w/o&w/dye0.0023.9122.79NANA0.5924.5023.38NANAXXX
    70547AMr angiography neck w/o dye1.2016.0912.72NANA0.6417.9314.56NANAXXX
    7054726AMr angiography neck w/o dye1.200.390.390.390.390.051.641.641.641.64XXX
    70547TCAMr angiography neck w/o dye0.0015.7012.33NANA0.5916.2912.92NANAXXX
    70548AMr angiography neck w/dye1.2016.7912.89NANA0.6418.6314.73NANAXXX
    7054826AMr angiography neck w/dye1.200.380.390.380.390.051.631.641.631.64XXX
    70548TCAMr angiography neck w/dye0.0016.4112.50NANA0.5917.0013.09NANAXXX
    70549AMr angiograph neck w/o&w/dye1.8024.4123.35NANA0.6726.8825.82NANAXXX
    7054926AMr angiograph neck w/o&w/dye1.800.580.590.580.590.082.462.472.462.47XXX
    70549TCAMr angiograph neck w/o&w/dye0.0023.8322.77NANA0.5924.4223.36NANAXXX
    70551AMri brain w/o dye1.4814.6912.44NANA0.6616.8314.58NANAXXX
    7055126AMri brain w/o dye1.480.480.490.480.490.072.032.042.032.04XXX
    70551TCAMri brain w/o dye0.0014.2211.96NANA0.5914.8112.55NANAXXX
    70552AMri brain w/dye1.7815.7314.46NANA0.7818.2917.02NANAXXX
    7055226AMri brain w/dye1.780.570.590.570.590.082.432.452.432.45XXX
    70552TCAMri brain w/dye0.0015.1613.87NANA0.7015.8614.57NANAXXX
    70553AMri brain w/o & w/dye2.3618.3723.84NANA1.4122.1427.61NANAXXX
    7055326AMri brain w/o & w/dye2.360.760.780.760.780.103.223.243.223.24XXX
    70553TCAMri brain w/o & w/dye0.0017.6123.06NANA1.3118.9224.37NANAXXX
    70557CMri brain w/o dye0.000.000.000.000.000.000.000.000.000.00XXX
    7055726AMri brain w/o dye2.900.921.080.921.080.083.904.063.904.06XXX
    70557TCCMri brain w/o dye0.000.000.000.000.000.000.000.000.000.00XXX
    70558CMri brain w/dye0.000.000.000.000.000.000.000.000.000.00XXX
    7055826AMri brain w/dye3.201.151.221.151.220.104.454.524.454.52XXX
    70558TCCMri brain w/dye0.000.000.000.000.000.000.000.000.000.00XXX
    70559CMri brain w/o & w/dye0.000.000.000.000.000.000.000.000.000.00XXX
    7055926AMri brain w/o & w/dye3.201.031.191.031.190.124.354.514.354.51XXX
    70559TCCMri brain w/o & w/dye0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 49180
    71010AChest x-ray0.180.430.51NANA0.030.640.72NANAXXX
    7101026AChest x-ray0.180.050.060.050.060.010.240.250.240.25XXX
    71010TCAChest x-ray0.000.370.45NANA0.020.390.47NANAXXX
    71015AChest x-ray0.210.570.59NANA0.030.810.83NANAXXX
    7101526AChest x-ray0.210.070.070.070.070.010.290.290.290.29XXX
    71015TCAChest x-ray0.000.510.52NANA0.020.530.54NANAXXX
    71020AChest x-ray0.220.570.66NANA0.050.840.93NANAXXX
    7102026AChest x-ray0.220.070.070.070.070.010.300.300.300.30XXX
    71020TCAChest x-ray0.000.500.59NANA0.040.540.63NANAXXX
    71021AChest x-ray0.270.710.79NANA0.061.041.12NANAXXX
    7102126AChest x-ray0.270.080.090.080.090.010.360.370.360.37XXX
    71021TCAChest x-ray0.000.630.71NANA0.050.680.76NANAXXX
    71022AChest x-ray0.310.890.85NANA0.061.261.22NANAXXX
    7102226AChest x-ray0.310.090.100.090.100.010.410.420.410.42XXX
    71022TCAChest x-ray0.000.800.75NANA0.050.850.80NANAXXX
    71023AChest x-ray and fluoroscopy0.381.571.08NANA0.062.011.52NANAXXX
    7102326AChest x-ray and fluoroscopy0.380.140.130.140.130.010.530.520.530.52XXX
    71023TCAChest x-ray and fluoroscopy0.001.420.94NANA0.051.470.99NANAXXX
    71030AChest x-ray0.310.910.89NANA0.061.281.26NANAXXX
    7103026AChest x-ray0.310.090.100.090.100.010.410.420.410.42XXX
    71030TCAChest x-ray0.000.820.79NANA0.050.870.84NANAXXX
    71034AChest x-ray and fluoroscopy0.462.041.71NANA0.102.602.27NANAXXX
    7103426AChest x-ray and fluoroscopy0.460.180.170.180.170.020.660.650.660.65XXX
    71034TCAChest x-ray and fluoroscopy0.001.861.55NANA0.081.941.63NANAXXX
    71035AChest x-ray0.180.770.63NANA0.030.980.84NANAXXX
    7103526AChest x-ray0.180.060.060.060.060.010.250.250.250.25XXX
    71035TCAChest x-ray0.000.720.57NANA0.020.740.59NANAXXX
    71040AContrast x-ray of bronchi0.582.081.76NANA0.112.772.45NANAXXX
    7104026AContrast x-ray of bronchi0.580.160.180.160.180.030.770.790.770.79XXX
    71040TCAContrast x-ray of bronchi0.001.921.58NANA0.082.001.66NANAXXX
    71060AContrast x-ray of bronchi0.743.072.60NANA0.163.973.50NANAXXX
    7106026AContrast x-ray of bronchi0.740.230.240.230.240.031.001.011.001.01XXX
    71060TCAContrast x-ray of bronchi0.002.842.36NANA0.132.972.49NANAXXX
    71090AX-ray & pacemaker insertion0.54NANANANA0.13NANANANAXXX
    7109026AX-ray & pacemaker insertion0.540.280.230.280.230.020.840.790.840.79XXX
    71090TCAX-ray & pacemaker insertion0.00NANANANA0.11NANANANAXXX
    71100AX-ray exam of ribs0.220.620.64NANA0.050.890.91NANAXXX
    7110026AX-ray exam of ribs0.220.060.070.060.070.010.290.300.290.30XXX
    71100TCAX-ray exam of ribs0.000.550.57NANA0.040.590.61NANAXXX
    71101AX-ray exam of ribs/chest0.270.760.76NANA0.051.081.08NANAXXX
    7110126AX-ray exam of ribs/chest0.270.080.090.080.090.010.360.370.360.37XXX
    71101TCAX-ray exam of ribs/chest0.000.680.67NANA0.040.720.71NANAXXX
    71110AX-ray exam of ribs0.270.780.85NANA0.061.111.18NANAXXX
    7111026AX-ray exam of ribs0.270.080.090.080.090.010.360.370.360.37XXX
    71110TCAX-ray exam of ribs0.000.700.76NANA0.050.750.81NANAXXX
    71111AX-ray exam of ribs/chest0.321.061.01NANA0.071.451.40NANAXXX
    7111126AX-ray exam of ribs/chest0.320.090.100.090.100.010.420.430.420.43XXX
    71111TCAX-ray exam of ribs/chest0.000.970.91NANA0.061.030.97NANAXXX
    71120AX-ray exam of breastbone0.200.620.70NANA0.050.870.95NANAXXX
    7112026AX-ray exam of breastbone0.200.060.070.060.070.010.270.280.270.28XXX
    71120TCAX-ray exam of breastbone0.000.560.63NANA0.040.600.67NANAXXX
    71130AX-ray exam of breastbone0.220.750.77NANA0.051.021.04NANAXXX
    7113026AX-ray exam of breastbone0.220.070.070.070.070.010.300.300.300.30XXX
    71130TCAX-ray exam of breastbone0.000.680.70NANA0.040.720.74NANAXXX
    71250ACt thorax w/o dye1.166.476.34NANA0.367.997.86NANAXXX
    7125026ACt thorax w/o dye1.160.370.380.370.380.051.581.591.581.59XXX
    Start Printed Page 49181
    71250TCACt thorax w/o dye0.006.105.96NANA0.316.416.27NANAXXX
    71260ACt thorax w/dye1.248.017.61NANA0.429.679.27NANAXXX
    7126026ACt thorax w/dye1.240.390.410.390.410.051.681.701.681.70XXX
    71260TCACt thorax w/dye0.007.617.21NANA0.377.987.58NANAXXX
    71270ACt thorax w/o & w/dye1.3810.159.51NANA0.5212.0511.41NANAXXX
    7127026ACt thorax w/o & w/dye1.380.440.450.440.450.061.881.891.881.89XXX
    71270TCACt thorax w/o & w/dye0.009.719.07NANA0.4610.179.53NANAXXX
    71275ACt angiography, chest1.9211.7712.70NANA0.4814.1715.10NANAXXX
    7127526ACt angiography, chest1.920.620.630.620.630.092.632.642.632.64XXX
    71275TCACt angiography, chest0.0011.1412.07NANA0.3911.5312.46NANAXXX
    71550AMri chest w/o dye1.4616.7512.95NANA0.5118.7214.92NANAXXX
    7155026AMri chest w/o dye1.460.480.480.480.480.062.002.002.002.00XXX
    71550TCAMri chest w/o dye0.0016.2712.47NANA0.4516.7212.92NANAXXX
    71551AMri chest w/dye1.7318.1615.05NANA0.6020.4917.38NANAXXX
    7155126AMri chest w/dye1.730.560.570.560.570.082.372.382.372.38XXX
    71551TCAMri chest w/dye0.0017.5914.48NANA0.5218.1115.00NANAXXX
    71552AMri chest w/o & w/dye2.2622.9124.94NANA0.7825.9527.98NANAXXX
    7155226AMri chest w/o & w/dye2.260.750.740.750.740.103.113.103.113.10XXX
    71552TCAMri chest w/o & w/dye0.0022.1624.20NANA0.6822.8424.88NANAXXX
    71555RMri angio chest w or w/o dye1.8115.5512.74NANA0.6718.0315.22NANAXXX
    7155526RMri angio chest w or w/o dye1.810.620.610.620.610.082.512.502.512.50XXX
    71555TCRMri angio chest w or w/o dye0.0014.9412.14NANA0.5915.5312.73NANAXXX
    72010AX-ray exam of spine0.451.451.24NANA0.081.981.77NANAXXX
    7201026AX-ray exam of spine0.450.130.150.130.150.020.600.620.600.62XXX
    72010TCAX-ray exam of spine0.001.321.10NANA0.061.381.16NANAXXX
    72020AX-ray exam of spine0.150.460.47NANA0.030.640.65NANAXXX
    7202026AX-ray exam of spine0.150.050.050.050.050.010.210.210.210.21XXX
    72020TCAX-ray exam of spine0.000.420.42NANA0.020.440.44NANAXXX
    72040AX-ray exam of neck spine0.220.770.70NANA0.051.040.97NANAXXX
    7204026AX-ray exam of neck spine0.220.070.070.070.070.010.300.300.300.30XXX
    72040TCAX-ray exam of neck spine0.000.700.63NANA0.040.740.67NANAXXX
    72050AX-ray exam of neck spine0.311.071.01NANA0.071.451.39NANAXXX
    7205026AX-ray exam of neck spine0.310.100.100.100.100.010.420.420.420.42XXX
    72050TCAX-ray exam of neck spine0.000.970.91NANA0.061.030.97NANAXXX
    72052AX-ray exam of neck spine0.361.391.29NANA0.081.831.73NANAXXX
    7205226AX-ray exam of neck spine0.360.110.120.110.120.020.490.500.490.50XXX
    72052TCAX-ray exam of neck spine0.001.271.17NANA0.061.331.23NANAXXX
    72069AX-ray exam of trunk spine0.220.770.62NANA0.031.020.87NANAXXX
    7206926AX-ray exam of trunk spine0.220.080.080.080.080.010.310.310.310.31XXX
    72069TCAX-ray exam of trunk spine0.000.690.54NANA0.020.710.56NANAXXX
    72070AX-ray exam of thoracic spine0.220.640.70NANA0.050.910.97NANAXXX
    7207026AX-ray exam of thoracic spine0.220.070.070.070.070.010.300.300.300.30XXX
    72070TCAX-ray exam of thoracic spine0.000.570.63NANA0.040.610.67NANAXXX
    72072AX-ray exam of thoracic spine0.220.770.79NANA0.061.051.07NANAXXX
    7207226AX-ray exam of thoracic spine0.220.070.070.070.070.010.300.300.300.30XXX
    72072TCAX-ray exam of thoracic spine0.000.700.72NANA0.050.750.77NANAXXX
    72074AX-ray exam of thoracic spine0.220.950.97NANA0.071.241.26NANAXXX
    7207426AX-ray exam of thoracic spine0.220.070.070.070.070.010.300.300.300.30XXX
    72074TCAX-ray exam of thoracic spine0.000.880.90NANA0.060.940.96NANAXXX
    72080AX-ray exam of trunk spine0.220.700.73NANA0.050.971.00NANAXXX
    7208026AX-ray exam of trunk spine0.220.070.070.070.070.010.300.300.300.30XXX
    72080TCAX-ray exam of trunk spine0.000.620.66NANA0.040.660.70NANAXXX
    72090AX-ray exam of trunk spine0.281.010.82NANA0.051.341.15NANAXXX
    7209026AX-ray exam of trunk spine0.280.100.090.100.090.010.390.380.390.38XXX
    72090TCAX-ray exam of trunk spine0.000.920.73NANA0.040.960.77NANAXXX
    72100AX-ray exam of lower spine0.220.810.76NANA0.051.081.03NANAXXX
    7210026AX-ray exam of lower spine0.220.070.070.070.070.010.300.300.300.30XXX
    72100TCAX-ray exam of lower spine0.000.740.69NANA0.040.780.73NANAXXX
    72110AX-ray exam of lower spine0.311.141.04NANA0.071.521.42NANAXXX
    7211026AX-ray exam of lower spine0.310.100.100.100.100.010.420.420.420.42XXX
    72110TCAX-ray exam of lower spine0.001.040.94NANA0.061.101.00NANAXXX
    72114AX-ray exam of lower spine0.361.571.38NANA0.082.011.82NANAXXX
    7211426AX-ray exam of lower spine0.360.120.120.120.120.020.500.500.500.50XXX
    72114TCAX-ray exam of lower spine0.001.451.26NANA0.061.511.32NANAXXX
    72120AX-ray exam of lower spine0.221.070.99NANA0.071.361.28NANAXXX
    7212026AX-ray exam of lower spine0.220.080.070.080.070.010.310.300.310.30XXX
    Start Printed Page 49182
    72120TCAX-ray exam of lower spine0.001.000.92NANA0.061.060.98NANAXXX
    72125ACt neck spine w/o dye1.166.466.33NANA0.367.987.85NANAXXX
    7212526ACt neck spine w/o dye1.160.370.380.370.380.051.581.591.581.59XXX
    72125TCACt neck spine w/o dye0.006.095.96NANA0.316.406.27NANAXXX
    72126ACt neck spine w/dye1.228.047.61NANA0.429.689.25NANAXXX
    7212626ACt neck spine w/dye1.220.390.400.390.400.051.661.671.661.67XXX
    72126TCACt neck spine w/dye0.007.657.22NANA0.378.027.59NANAXXX
    72127ACt neck spine w/o & w/dye1.2710.179.50NANA0.5211.9611.29NANAXXX
    7212726ACt neck spine w/o & w/dye1.270.430.420.430.420.061.761.751.761.75XXX
    72127TCACt neck spine w/o & w/dye0.009.739.07NANA0.4610.199.53NANAXXX
    72128ACt chest spine w/o dye1.166.476.34NANA0.367.997.86NANAXXX
    7212826ACt chest spine w/o dye1.160.370.380.370.380.051.581.591.581.59XXX
    72128TCACt chest spine w/o dye0.006.105.96NANA0.316.416.27NANAXXX
    72129ACt chest spine w/dye1.228.037.61NANA0.429.679.25NANAXXX
    7212926ACt chest spine w/dye1.220.390.400.390.400.051.661.671.661.67XXX
    72129TCACt chest spine w/dye0.007.647.21NANA0.378.017.58NANAXXX
    72130ACt chest spine w/o & w/dye1.2710.149.49NANA0.5211.9311.28NANAXXX
    7213026ACt chest spine w/o & w/dye1.270.430.420.430.420.061.761.751.761.75XXX
    72130TCACt chest spine w/o & w/dye0.009.709.06NANA0.4610.169.52NANAXXX
    72131ACt lumbar spine w/o dye1.166.476.34NANA0.367.997.86NANAXXX
    7213126ACt lumbar spine w/o dye1.160.370.380.370.380.051.581.591.581.59XXX
    72131TCACt lumbar spine w/o dye0.006.105.96NANA0.316.416.27NANAXXX
    72132ACt lumbar spine w/dye1.228.037.61NANA0.429.679.25NANAXXX
    7213226ACt lumbar spine w/dye1.220.390.400.390.400.051.661.671.661.67XXX
    72132TCACt lumbar spine w/dye0.007.647.21NANA0.378.017.58NANAXXX
    72133ACt lumbar spine w/o & w/dye1.2710.219.51NANA0.5212.0011.30NANAXXX
    7213326ACt lumbar spine w/o & w/dye1.270.410.420.410.420.061.741.751.741.75XXX
    72133TCACt lumbar spine w/o & w/dye0.009.799.09NANA0.4610.259.55NANAXXX
    72141AMri neck spine w/o dye1.6012.8012.00NANA0.6615.0614.26NANAXXX
    7214126AMri neck spine w/o dye1.600.530.530.530.530.072.202.202.202.20XXX
    72141TCAMri neck spine w/o dye0.0012.2611.47NANA0.5912.8512.06NANAXXX
    72142AMri neck spine w/dye1.9215.8614.53NANA0.7918.5717.24NANAXXX
    7214226AMri neck spine w/dye1.920.630.640.630.640.092.642.652.642.65XXX
    72142TCAMri neck spine w/dye0.0015.2413.89NANA0.7015.9414.59NANAXXX
    72146AMri chest spine w/o dye1.6012.7712.92NANA0.7115.0815.23NANAXXX
    7214626AMri chest spine w/o dye1.600.530.530.530.530.072.202.202.202.20XXX
    72146TCAMri chest spine w/o dye0.0012.2412.39NANA0.6412.8813.03NANAXXX
    72147AMri chest spine w/dye1.9213.7013.98NANA0.7916.4116.69NANAXXX
    7214726AMri chest spine w/dye1.920.620.630.620.630.092.632.642.632.64XXX
    72147TCAMri chest spine w/dye0.0013.0813.35NANA0.7013.7814.05NANAXXX
    72148AMri lumbar spine w/o dye1.4812.7712.89NANA0.7114.9615.08NANAXXX
    7214826AMri lumbar spine w/o dye1.480.500.490.500.490.072.052.042.052.04XXX
    72148TCAMri lumbar spine w/o dye0.0012.2812.40NANA0.6412.9213.04NANAXXX
    72149AMri lumbar spine w/dye1.7815.8314.49NANA0.7818.3917.05NANAXXX
    7214926AMri lumbar spine w/dye1.780.590.600.590.600.082.452.462.452.46XXX
    72149TCAMri lumbar spine w/dye0.0015.2513.89NANA0.7015.9514.59NANAXXX
    72156AMri neck spine w/o & w/dye2.5718.1323.83NANA1.4222.1227.82NANAXXX
    7215626AMri neck spine w/o & w/dye2.570.840.850.840.850.113.523.533.523.53XXX
    72156TCAMri neck spine w/o & w/dye0.0017.2922.98NANA1.3118.6024.29NANAXXX
    72157AMri chest spine w/o & w/dye2.5716.4323.40NANA1.4220.4227.39NANAXXX
    7215726AMri chest spine w/o & w/dye2.570.830.840.830.840.113.513.523.513.52XXX
    72157TCAMri chest spine w/o & w/dye0.0015.6022.56NANA1.3116.9123.87NANAXXX
    72158AMri lumbar spine w/o & w/dye2.3618.1023.77NANA1.4121.8727.54NANAXXX
    7215826AMri lumbar spine w/o & w/dye2.360.780.780.780.780.103.243.243.243.24XXX
    72158TCAMri lumbar spine w/o & w/dye0.0017.3222.99NANA1.3118.6324.30NANAXXX
    72159NMr angio spine w/o&w/dye1.8014.7913.39NANA0.7417.3315.93NANAXXX
    Start Printed Page 49183
    7215926NMr angio spine w/o&w/dye1.800.420.620.420.620.102.322.522.322.52XXX
    72159TCNMr angio spine w/o&w/dye0.0014.3712.77NANA0.6415.0113.41NANAXXX
    72170AX-ray exam of pelvis0.170.500.56NANA0.030.700.76NANAXXX
    7217026AX-ray exam of pelvis0.170.060.060.060.060.010.240.240.240.24XXX
    72170TCAX-ray exam of pelvis0.000.440.50NANA0.020.460.52NANAXXX
    72190AX-ray exam of pelvis0.210.850.77NANA0.051.111.03NANAXXX
    7219026AX-ray exam of pelvis0.210.070.070.070.070.010.290.290.290.29XXX
    72190TCAX-ray exam of pelvis0.000.780.70NANA0.040.820.74NANAXXX
    72191ACt angiograph pelv w/o&w/dye1.8111.4312.32NANA0.4713.7114.60NANAXXX
    7219126ACt angiograph pelv w/o&w/dye1.810.600.600.600.600.082.492.492.492.49XXX
    72191TCACt angiograph pelv w/o&w/dye0.0010.8311.73NANA0.3911.2212.12NANAXXX
    72192ACt pelvis w/o dye1.096.026.21NANA0.367.477.66NANAXXX
    7219226ACt pelvis w/o dye1.090.340.360.340.360.051.481.501.481.50XXX
    72192TCACt pelvis w/o dye0.005.685.85NANA0.315.996.16NANAXXX
    72193ACt pelvis w/dye1.167.557.30NANA0.419.128.87NANAXXX
    7219326ACt pelvis w/dye1.160.370.380.370.380.051.581.591.581.59XXX
    72193TCACt pelvis w/dye0.007.186.93NANA0.367.547.29NANAXXX
    72194ACt pelvis w/o & w/dye1.2210.189.21NANA0.4811.8810.91NANAXXX
    7219426ACt pelvis w/o & w/dye1.220.390.400.390.400.051.661.671.661.67XXX
    72194TCACt pelvis w/o & w/dye0.009.788.81NANA0.4310.219.24NANAXXX
    72195AMri pelvis w/o dye1.4614.7412.45NANA0.5116.7114.42NANAXXX
    7219526AMri pelvis w/o dye1.460.480.480.480.480.062.002.002.002.00XXX
    72195TCAMri pelvis w/o dye0.0014.2511.96NANA0.4514.7012.41NANAXXX
    72196AMri pelvis w/dye1.7315.6714.43NANA0.6018.0016.76NANAXXX
    7219626AMri pelvis w/dye1.730.560.570.560.570.082.372.382.372.38XXX
    72196TCAMri pelvis w/dye0.0015.1113.86NANA0.5215.6314.38NANAXXX
    72197AMri pelvis w/o & w/dye2.2619.2824.04NANA1.0222.5627.32NANAXXX
    7219726AMri pelvis w/o & w/dye2.260.740.740.740.740.103.103.103.103.10XXX
    72197TCAMri pelvis w/o & w/dye0.0018.5423.30NANA0.9219.4624.22NANAXXX
    72198AMr angio pelvis w/o & w/dye1.8015.3412.68NANA0.6717.8115.15NANAXXX
    7219826AMr angio pelvis w/o & w/dye1.800.600.590.600.590.082.482.472.482.47XXX
    72198TCAMr angio pelvis w/o & w/dye0.0014.7512.09NANA0.5915.3412.68NANAXXX
    72200AX-ray exam sacroiliac joints0.170.600.59NANA0.030.800.79NANAXXX
    7220026AX-ray exam sacroiliac joints0.170.050.060.050.060.010.230.240.230.24XXX
    72200TCAX-ray exam sacroiliac joints0.000.550.53NANA0.020.570.55NANAXXX
    72202AX-ray exam sacroiliac joints0.190.740.70NANA0.050.980.94NANAXXX
    7220226AX-ray exam sacroiliac joints0.190.060.060.060.060.010.260.260.260.26XXX
    72202TCAX-ray exam sacroiliac joints0.000.680.64NANA0.040.720.68NANAXXX
    72220AX-ray exam of tailbone0.170.580.62NANA0.050.800.84NANAXXX
    7222026AX-ray exam of tailbone0.170.050.060.050.060.010.230.240.230.24XXX
    72220TCAX-ray exam of tailbone0.000.530.56NANA0.040.570.60NANAXXX
    72240AContrast x-ray of neck spine0.912.534.41NANA0.293.735.61NANAXXX
    7224026AContrast x-ray of neck spine0.910.280.290.280.290.041.231.241.231.24XXX
    72240TCAContrast x-ray of neck spine0.002.254.13NANA0.252.504.38NANAXXX
    72255AContrast x-ray, thorax spine0.912.274.02NANA0.263.445.19NANAXXX
    7225526AContrast x-ray, thorax spine0.910.270.270.270.270.041.221.221.221.22XXX
    72255TCAContrast x-ray, thorax spine0.002.003.75NANA0.222.223.97NANAXXX
    72265AContrast x-ray, lower spine0.832.503.87NANA0.263.594.96NANAXXX
    7226526AContrast x-ray, lower spine0.830.260.250.260.250.041.131.121.131.12XXX
    72265TCAContrast x-ray, lower spine0.002.243.61NANA0.222.463.83NANAXXX
    72270AContrast x-ray, spine1.333.955.88NANA0.395.677.60NANAXXX
    7227026AContrast x-ray, spine1.330.430.420.430.420.061.821.811.821.81XXX
    72270TCAContrast x-ray, spine0.003.525.46NANA0.333.855.79NANAXXX
    72275AEpidurography0.761.712.15NANA0.262.733.17NANAXXX
    7227526AEpidurography0.760.190.200.190.200.040.991.000.991.00XXX
    72275TCAEpidurography0.001.521.96NANA0.221.742.18NANAXXX
    72285AX-ray c/t spine disk1.161.426.90NANA0.503.088.56NANAXXX
    7228526AX-ray c/t spine disk1.160.290.340.290.340.071.521.571.521.57XXX
    72285TCAX-ray c/t spine disk0.001.136.57NANA0.431.567.00NANAXXX
    72295AX-ray of lower spine disk0.831.416.45NANA0.462.707.74NANAXXX
    7229526AX-ray of lower spine disk0.830.230.260.230.260.061.121.151.121.15XXX
    72295TCAX-ray of lower spine disk0.001.186.19NANA0.401.586.59NANAXXX
    73000AX-ray exam of collar bone0.160.560.57NANA0.030.750.76NANAXXX
    7300026AX-ray exam of collar bone0.160.050.050.050.050.010.220.220.220.22XXX
    73000TCAX-ray exam of collar bone0.000.500.52NANA0.020.520.54NANAXXX
    73010AX-ray exam of shoulder blade0.170.580.58NANA0.030.780.78NANAXXX
    Start Printed Page 49184
    7301026AX-ray exam of shoulder blade0.170.060.060.060.060.010.240.240.240.24XXX
    73010TCAX-ray exam of shoulder blade0.000.530.52NANA0.020.550.54NANAXXX
    73020AX-ray exam of shoulder0.150.450.50NANA0.030.630.68NANAXXX
    7302026AX-ray exam of shoulder0.150.050.050.050.050.010.210.210.210.21XXX
    73020TCAX-ray exam of shoulder0.000.400.45NANA0.020.420.47NANAXXX
    73030AX-ray exam of shoulder0.180.570.62NANA0.050.800.85NANAXXX
    7303026AX-ray exam of shoulder0.180.060.060.060.060.010.250.250.250.25XXX
    73030TCAX-ray exam of shoulder0.000.510.56NANA0.040.550.60NANAXXX
    73040AContrast x-ray of shoulder0.542.242.27NANA0.142.922.95NANAXXX
    7304026AContrast x-ray of shoulder0.540.170.180.170.180.020.730.740.730.74XXX
    73040TCAContrast x-ray of shoulder0.002.062.09NANA0.122.182.21NANAXXX
    73050AX-ray exam of shoulders0.200.740.74NANA0.050.990.99NANAXXX
    7305026AX-ray exam of shoulders0.200.070.070.070.070.010.280.280.280.28XXX
    73050TCAX-ray exam of shoulders0.000.660.67NANA0.040.700.71NANAXXX
    73060AX-ray exam of humerus0.170.570.62NANA0.050.790.84NANAXXX
    7306026AX-ray exam of humerus0.170.050.060.050.060.010.230.240.230.24XXX
    73060TCAX-ray exam of humerus0.000.520.56NANA0.040.560.60NANAXXX
    73070AX-ray exam of elbow0.150.560.57NANA0.030.740.75NANAXXX
    7307026AX-ray exam of elbow0.150.050.050.050.050.010.210.210.210.21XXX
    73070TCAX-ray exam of elbow0.000.510.52NANA0.020.530.54NANAXXX
    73080AX-ray exam of elbow0.170.750.66NANA0.050.970.88NANAXXX
    7308026AX-ray exam of elbow0.170.050.060.050.060.010.230.240.230.24XXX
    73080TCAX-ray exam of elbow0.000.700.60NANA0.040.740.64NANAXXX
    73085AContrast x-ray of elbow0.541.822.17NANA0.142.502.85NANAXXX
    7308526AContrast x-ray of elbow0.540.170.190.170.190.020.730.750.730.75XXX
    73085TCAContrast x-ray of elbow0.001.651.99NANA0.121.772.11NANAXXX
    73090AX-ray exam of forearm0.160.550.57NANA0.030.740.76NANAXXX
    7309026AX-ray exam of forearm0.160.050.050.050.050.010.220.220.220.22XXX
    73090TCAX-ray exam of forearm0.000.500.52NANA0.020.520.54NANAXXX
    73092AX-ray exam of arm, infant0.160.590.55NANA0.030.780.74NANAXXX
    7309226AX-ray exam of arm, infant0.160.050.050.050.050.010.220.220.220.22XXX
    73092TCAX-ray exam of arm, infant0.000.540.50NANA0.020.560.52NANAXXX
    73100AX-ray exam of wrist0.160.610.56NANA0.030.800.75NANAXXX
    7310026AX-ray exam of wrist0.160.060.050.060.050.010.230.220.230.22XXX
    73100TCAX-ray exam of wrist0.000.550.51NANA0.020.570.53NANAXXX
    73110AX-ray exam of wrist0.170.780.64NANA0.030.980.84NANAXXX
    7311026AX-ray exam of wrist0.170.050.060.050.060.010.230.240.230.24XXX
    73110TCAX-ray exam of wrist0.000.720.58NANA0.020.740.60NANAXXX
    73115AContrast x-ray of wrist0.542.381.91NANA0.123.042.57NANAXXX
    7311526AContrast x-ray of wrist0.540.180.180.180.180.020.740.740.740.74XXX
    73115TCAContrast x-ray of wrist0.002.201.74NANA0.102.301.84NANAXXX
    73120AX-ray exam of hand0.160.560.55NANA0.030.750.74NANAXXX
    7312026AX-ray exam of hand0.160.050.050.050.050.010.220.220.220.22XXX
    73120TCAX-ray exam of hand0.000.510.50NANA0.020.530.52NANAXXX
    73130AX-ray exam of hand0.170.660.61NANA0.030.860.81NANAXXX
    7313026AX-ray exam of hand0.170.050.060.050.060.010.230.240.230.24XXX
    73130TCAX-ray exam of hand0.000.610.55NANA0.020.630.57NANAXXX
    73140AX-ray exam of finger(s)0.130.680.52NANA0.030.840.68NANAXXX
    7314026AX-ray exam of finger(s)0.130.040.040.040.040.010.180.180.180.18XXX
    73140TCAX-ray exam of finger(s)0.000.640.48NANA0.020.660.50NANAXXX
    73200ACt upper extremity w/o dye1.096.455.60NANA0.307.846.99NANAXXX
    7320026ACt upper extremity w/o dye1.090.350.360.350.360.051.491.501.491.50XXX
    73200TCACt upper extremity w/o dye0.006.105.25NANA0.256.355.50NANAXXX
    73201ACt upper extremity w/dye1.167.976.71NANA0.369.498.23NANAXXX
    7320126ACt upper extremity w/dye1.160.370.380.370.380.051.581.591.581.59XXX
    73201TCACt upper extremity w/dye0.007.606.33NANA0.317.916.64NANAXXX
    Start Printed Page 49185
    73202ACt uppr extremity w/o&w/dye1.2210.748.55NANA0.4412.4010.21NANAXXX
    7320226ACt uppr extremity w/o&w/dye1.220.390.400.390.400.051.661.671.661.67XXX
    73202TCACt uppr extremity w/o&w/dye0.0010.358.15NANA0.3910.748.54NANAXXX
    73206ACt angio upr extrm w/o&w/dye1.8110.8511.38NANA0.4713.1313.66NANAXXX
    7320626ACt angio upr extrm w/o&w/dye1.810.600.590.600.590.082.492.482.492.48XXX
    73206TCACt angio upr extrm w/o&w/dye0.0010.2510.78NANA0.3910.6411.17NANAXXX
    73218AMri upper extremity w/o dye1.3515.0312.49NANA0.4516.8314.29NANAXXX
    7321826AMri upper extremity w/o dye1.350.450.440.450.440.061.861.851.861.85XXX
    73218TCAMri upper extremity w/o dye0.0014.5812.05NANA0.3914.9712.44NANAXXX
    73219AMri upper extremity w/dye1.6215.6814.41NANA0.5417.8416.57NANAXXX
    7321926AMri upper extremity w/dye1.620.530.540.530.540.072.222.232.222.23XXX
    73219TCAMri upper extremity w/dye0.0015.1513.87NANA0.4715.6214.34NANAXXX
    73220AMri uppr extremity w/o&w/dye2.1519.3724.04NANA0.9422.4627.13NANAXXX
    7322026AMri uppr extremity w/o&w/dye2.150.700.710.700.710.102.952.962.952.96XXX
    73220TCAMri uppr extremity w/o&w/dye0.0018.6723.33NANA0.8419.5124.17NANAXXX
    73221AMri joint upr extrem w/o dye1.3513.9512.22NANA0.4515.7514.02NANAXXX
    7322126AMri joint upr extrem w/o dye1.350.460.450.460.450.061.871.861.871.86XXX
    73221TCAMri joint upr extrem w/o dye0.0013.4911.77NANA0.3913.8812.16NANAXXX
    73222AMri joint upr extrem w/dye1.6214.7114.16NANA0.5416.8716.32NANAXXX
    7322226AMri joint upr extrem w/dye1.620.550.540.550.540.072.242.232.242.23XXX
    73222TCAMri joint upr extrem w/dye0.0014.1613.62NANA0.4714.6314.09NANAXXX
    73223AMri joint upr extr w/o&w/dye2.1518.0423.70NANA0.9421.1326.79NANAXXX
    7322326AMri joint upr extr w/o&w/dye2.150.710.710.710.710.102.962.962.962.96XXX
    73223TCAMri joint upr extr w/o&w/dye0.0017.3322.99NANA0.8418.1723.83NANAXXX
    73225NMr angio upr extr w/o&w/dye1.7314.7712.45NANA0.6917.1914.87NANAXXX
    7322526NMr angio upr extr w/o&w/dye1.730.400.600.400.600.102.232.432.232.43XXX
    73225TCNMr angio upr extr w/o&w/dye0.0014.3711.85NANA0.5914.9612.44NANAXXX
    73500AX-ray exam of hip0.170.490.52NANA0.030.690.72NANAXXX
    7350026AX-ray exam of hip0.170.060.060.060.060.010.240.240.240.24XXX
    73500TCAX-ray exam of hip0.000.430.46NANA0.020.450.48NANAXXX
    73510AX-ray exam of hip0.210.780.68NANA0.051.040.94NANAXXX
    7351026AX-ray exam of hip0.210.070.070.070.070.010.290.290.290.29XXX
    73510TCAX-ray exam of hip0.000.710.61NANA0.040.750.65NANAXXX
    73520AX-ray exam of hips0.260.790.77NANA0.051.101.08NANAXXX
    7352026AX-ray exam of hips0.260.080.090.080.090.010.350.360.350.36XXX
    73520TCAX-ray exam of hips0.000.710.68NANA0.040.750.72NANAXXX
    73525AContrast x-ray of hip0.541.792.16NANA0.152.482.85NANAXXX
    7352526AContrast x-ray of hip0.540.170.180.170.180.030.740.750.740.75XXX
    73525TCAContrast x-ray of hip0.001.621.98NANA0.121.742.10NANAXXX
    73530AX-ray exam of hip0.29NANANANA0.03NANANANAXXX
    7353026AX-ray exam of hip0.290.090.100.090.100.010.390.400.390.40XXX
    73530TCAX-ray exam of hip0.00NANANANA0.02NANANANAXXX
    73540AX-ray exam of pelvis & hips0.200.800.68NANA0.051.050.93NANAXXX
    7354026AX-ray exam of pelvis & hips0.200.070.070.070.070.010.280.280.280.28XXX
    73540TCAX-ray exam of pelvis & hips0.000.730.61NANA0.040.770.65NANAXXX
    73542AX-ray exam, sacroiliac joint0.591.121.98NANA0.151.862.72NANAXXX
    7354226AX-ray exam, sacroiliac joint0.590.140.160.140.160.030.760.780.760.78XXX
    73542TCAX-ray exam, sacroiliac joint0.000.981.82NANA0.121.101.94NANAXXX
    73550AX-ray exam of thigh0.170.540.61NANA0.050.760.83NANAXXX
    7355026AX-ray exam of thigh0.170.050.060.050.060.010.230.240.230.24XXX
    73550TCAX-ray exam of thigh0.000.490.55NANA0.040.530.59NANAXXX
    73560AX-ray exam of knee, 1 or 20.170.590.58NANA0.030.790.78NANAXXX
    7356026AX-ray exam of knee, 1 or 20.170.060.060.060.060.010.240.240.240.24XXX
    73560TCAX-ray exam of knee, 1 or 20.000.530.52NANA0.020.550.54NANAXXX
    73562AX-ray exam of knee, 30.180.730.66NANA0.050.960.89NANAXXX
    7356226AX-ray exam of knee, 30.180.060.060.060.060.010.250.250.250.25XXX
    73562TCAX-ray exam of knee, 30.000.670.60NANA0.040.710.64NANAXXX
    73564AX-ray exam, knee, 4 or more0.220.870.74NANA0.051.141.01NANAXXX
    7356426AX-ray exam, knee, 4 or more0.220.080.070.080.070.010.310.300.310.30XXX
    73564TCAX-ray exam, knee, 4 or more0.000.790.66NANA0.040.830.70NANAXXX
    73565AX-ray exam of knees0.170.650.58NANA0.030.850.78NANAXXX
    7356526AX-ray exam of knees0.170.060.060.060.060.010.240.240.240.24XXX
    73565TCAX-ray exam of knees0.000.590.52NANA0.020.610.54NANAXXX
    73580AContrast x-ray of knee joint0.542.402.69NANA0.173.113.40NANAXXX
    7358026AContrast x-ray of knee joint0.540.180.170.180.170.030.750.740.750.74XXX
    73580TCAContrast x-ray of knee joint0.002.222.52NANA0.142.362.66NANAXXX
    Start Printed Page 49186
    73590AX-ray exam of lower leg0.170.540.57NANA0.030.740.77NANAXXX
    7359026AX-ray exam of lower leg0.170.050.060.050.060.010.230.240.230.24XXX
    73590TCAX-ray exam of lower leg0.000.490.51NANA0.020.510.53NANAXXX
    73592AX-ray exam of leg, infant0.160.600.56NANA0.030.790.75NANAXXX
    7359226AX-ray exam of leg, infant0.160.050.050.050.050.010.220.220.220.22XXX
    73592TCAX-ray exam of leg, infant0.000.550.51NANA0.020.570.53NANAXXX
    73600AX-ray exam of ankle0.160.570.55NANA0.030.760.74NANAXXX
    7360026AX-ray exam of ankle0.160.050.050.050.050.010.220.220.220.22XXX
    73600TCAX-ray exam of ankle0.000.510.50NANA0.020.530.52NANAXXX
    73610AX-ray exam of ankle0.170.670.61NANA0.030.870.81NANAXXX
    7361026AX-ray exam of ankle0.170.050.060.050.060.010.230.240.230.24XXX
    73610TCAX-ray exam of ankle0.000.620.55NANA0.020.640.57NANAXXX
    73615AContrast x-ray of ankle0.541.892.18NANA0.152.582.87NANAXXX
    7361526AContrast x-ray of ankle0.540.170.180.170.180.030.740.750.740.75XXX
    73615TCAContrast x-ray of ankle0.001.722.01NANA0.121.842.13NANAXXX
    73620AX-ray exam of foot0.160.530.54NANA0.030.720.73NANAXXX
    7362026AX-ray exam of foot0.160.040.050.040.050.010.210.220.210.22XXX
    73620TCAX-ray exam of foot0.000.490.49NANA0.020.510.51NANAXXX
    73630AX-ray exam of foot0.170.660.61NANA0.030.860.81NANAXXX
    7363026AX-ray exam of foot0.170.050.060.050.060.010.230.240.230.24XXX
    73630TCAX-ray exam of foot0.000.600.55NANA0.020.620.57NANAXXX
    73650AX-ray exam of heel0.160.560.53NANA0.030.750.72NANAXXX
    7365026AX-ray exam of heel0.160.050.050.050.050.010.220.220.220.22XXX
    73650TCAX-ray exam of heel0.000.510.48NANA0.020.530.50NANAXXX
    73660AX-ray exam of toe(s)0.130.640.51NANA0.030.800.67NANAXXX
    7366026AX-ray exam of toe(s)0.130.040.040.040.040.010.180.180.180.18XXX
    73660TCAX-ray exam of toe(s)0.000.600.47NANA0.020.620.49NANAXXX
    73700ACt lower extremity w/o dye1.096.445.59NANA0.307.836.98NANAXXX
    7370026ACt lower extremity w/o dye1.090.350.360.350.360.051.491.501.491.50XXX
    73700TCACt lower extremity w/o dye0.006.095.24NANA0.256.345.49NANAXXX
    73701ACt lower extremity w/dye1.167.956.71NANA0.369.478.23NANAXXX
    7370126ACt lower extremity w/dye1.160.360.380.360.380.051.571.591.571.59XXX
    73701TCACt lower extremity w/dye0.007.596.33NANA0.317.906.64NANAXXX
    73702ACt lwr extremity w/o&w/dye1.2210.818.57NANA0.4412.4710.23NANAXXX
    7370226ACt lwr extremity w/o&w/dye1.220.400.400.400.400.051.671.671.671.67XXX
    73702TCACt lwr extremity w/o&w/dye0.0010.418.17NANA0.3910.808.56NANAXXX
    73706ACt angio lwr extr w/o&w/dye1.9012.3911.78NANA0.4714.7614.15NANAXXX
    7370626ACt angio lwr extr w/o&w/dye1.900.660.630.660.630.082.642.612.642.61XXX
    73706TCACt angio lwr extr w/o&w/dye0.0011.7311.15NANA0.3912.1211.54NANAXXX
    73718AMri lower extremity w/o dye1.3514.7412.42NANA0.4516.5414.22NANAXXX
    7371826AMri lower extremity w/o dye1.350.460.450.460.450.061.871.861.871.86XXX
    73718TCAMri lower extremity w/o dye0.0014.2811.97NANA0.3914.6712.36NANAXXX
    73719AMri lower extremity w/dye1.6215.5914.38NANA0.5417.7516.54NANAXXX
    7371926AMri lower extremity w/dye1.620.520.530.520.530.072.212.222.212.22XXX
    73719TCAMri lower extremity w/dye0.0015.0713.85NANA0.4715.5414.32NANAXXX
    73720AMri lwr extremity w/o&w/dye2.1519.2824.01NANA0.9422.3727.10NANAXXX
    7372026AMri lwr extremity w/o&w/dye2.150.690.700.690.700.102.942.952.942.95XXX
    73720TCAMri lwr extremity w/o&w/dye0.0018.5923.31NANA0.8419.4324.15NANAXXX
    73721AMri jnt of lwr extre w/o dye1.3514.2712.30NANA0.4516.0714.10NANAXXX
    7372126AMri jnt of lwr extre w/o dye1.350.460.450.460.450.061.871.861.871.86XXX
    73721TCAMri jnt of lwr extre w/o dye0.0013.8111.85NANA0.3914.2012.24NANAXXX
    73722AMri joint of lwr extr w/dye1.6214.8614.19NANA0.5417.0216.35NANAXXX
    7372226AMri joint of lwr extr w/dye1.620.540.530.540.530.072.232.222.232.22XXX
    73722TCAMri joint of lwr extr w/dye0.0014.3213.66NANA0.4714.7914.13NANAXXX
    73723AMri joint lwr extr w/o&w/dye2.1517.9123.67NANA0.9421.0026.76NANAXXX
    7372326AMri joint lwr extr w/o&w/dye2.150.700.710.700.710.102.952.962.952.96XXX
    Start Printed Page 49187
    73723TCAMri joint lwr extr w/o&w/dye0.0017.2122.96NANA0.8418.0523.80NANAXXX
    73725RMr ang lwr ext w or w/o dye1.8215.3412.69NANA0.6717.8315.18NANAXXX
    7372526RMr ang lwr ext w or w/o dye1.820.600.600.600.600.082.502.502.502.50XXX
    73725TCRMr ang lwr ext w or w/o dye0.0014.7512.09NANA0.5915.3412.68NANAXXX
    74000AX-ray exam of abdomen0.180.460.55NANA0.030.670.76NANAXXX
    7400026AX-ray exam of abdomen0.180.050.060.050.060.010.240.250.240.25XXX
    74000TCAX-ray exam of abdomen0.000.400.49NANA0.020.420.51NANAXXX
    74010AX-ray exam of abdomen0.230.790.69NANA0.051.070.97NANAXXX
    7401026AX-ray exam of abdomen0.230.070.080.070.080.010.310.320.310.32XXX
    74010TCAX-ray exam of abdomen0.000.720.61NANA0.040.760.65NANAXXX
    74020AX-ray exam of abdomen0.270.800.73NANA0.051.121.05NANAXXX
    7402026AX-ray exam of abdomen0.270.080.090.080.090.010.360.370.360.37XXX
    74020TCAX-ray exam of abdomen0.000.710.64NANA0.040.750.68NANAXXX
    74022AX-ray exam series, abdomen0.320.970.87NANA0.061.351.25NANAXXX
    7402226AX-ray exam series, abdomen0.320.100.100.100.100.010.430.430.430.43XXX
    74022TCAX-ray exam series, abdomen0.000.870.77NANA0.050.920.82NANAXXX
    74150ACt abdomen w/o dye1.196.066.05NANA0.357.607.59NANAXXX
    7415026ACt abdomen w/o dye1.190.380.390.380.390.051.621.631.621.63XXX
    74150TCACt abdomen w/o dye0.005.685.67NANA0.305.985.97NANAXXX
    74160ACt abdomen w/dye1.278.837.65NANA0.4210.529.34NANAXXX
    7416026ACt abdomen w/dye1.270.400.420.400.420.061.731.751.731.75XXX
    74160TCACt abdomen w/dye0.008.437.24NANA0.368.797.60NANAXXX
    74170ACt abdomen w/o & w/dye1.4012.279.77NANA0.4914.1611.66NANAXXX
    7417026ACt abdomen w/o & w/dye1.400.450.460.450.460.061.911.921.911.92XXX
    74170TCACt abdomen w/o & w/dye0.0011.829.32NANA0.4312.259.75NANAXXX
    74175ACt angio abdom w/o & w/dye1.9012.3412.57NANA0.4714.7114.94NANAXXX
    7417526ACt angio abdom w/o & w/dye1.900.630.620.630.620.082.612.602.612.60XXX
    74175TCACt angio abdom w/o & w/dye0.0011.7111.95NANA0.3912.1012.34NANAXXX
    74181AMri abdomen w/o dye1.4612.6011.91NANA0.5114.5713.88NANAXXX
    7418126AMri abdomen w/o dye1.460.470.480.470.480.061.992.001.992.00XXX
    74181TCAMri abdomen w/o dye0.0012.1311.43NANA0.4512.5811.88NANAXXX
    74182AMri abdomen w/dye1.7317.5914.91NANA0.6019.9217.24NANAXXX
    7418226AMri abdomen w/dye1.730.550.570.550.570.082.362.382.362.38XXX
    74182TCAMri abdomen w/dye0.0017.0414.34NANA0.5217.5614.86NANAXXX
    74183AMri abdomen w/o & w/dye2.2619.2724.03NANA1.0222.5527.31NANAXXX
    7418326AMri abdomen w/o & w/dye2.260.730.740.730.740.103.093.103.093.10XXX
    74183TCAMri abdomen w/o & w/dye0.0018.5423.30NANA0.9219.4624.22NANAXXX
    74185RMri angio, abdom w orw/o dye1.8015.3112.67NANA0.6717.7815.14NANAXXX
    7418526RMri angio, abdom w orw/o dye1.800.590.590.590.590.082.472.472.472.47XXX
    74185TCRMri angio, abdom w orw/o dye0.0014.7212.08NANA0.5915.3112.67NANAXXX
    74190AX-ray exam of peritoneum0.48NANANANA0.09NANANANAXXX
    7419026AX-ray exam of peritoneum0.480.150.160.150.160.020.650.660.650.66XXX
    74190TCAX-ray exam of peritoneum0.00NANANANA0.07NANANANAXXX
    74210AContrst x-ray exam of throat0.361.761.42NANA0.082.201.86NANAXXX
    7421026AContrst x-ray exam of throat0.360.110.120.110.120.020.490.500.490.50XXX
    74210TCAContrst x-ray exam of throat0.001.651.31NANA0.061.711.37NANAXXX
    74220AContrast x-ray, esophagus0.462.011.51NANA0.082.552.05NANAXXX
    7422026AContrast x-ray, esophagus0.460.140.150.140.150.020.620.630.620.63XXX
    74220TCAContrast x-ray, esophagus0.001.871.36NANA0.061.931.42NANAXXX
    74230ACine/vid x-ray, throat/esoph0.531.931.59NANA0.092.552.21NANAXXX
    7423026ACine/vid x-ray, throat/esoph0.530.170.170.170.170.020.720.720.720.72XXX
    74230TCACine/vid x-ray, throat/esoph0.001.761.42NANA0.071.831.49NANAXXX
    74235CRemove esophagus obstruction0.000.000.000.000.000.000.000.000.000.00XXX
    7423526ARemove esophagus obstruction1.190.400.390.400.390.051.641.631.641.63XXX
    74235TCCRemove esophagus obstruction0.000.000.000.000.000.000.000.000.000.00XXX
    74240AX-ray exam, upper gi tract0.692.281.84NANA0.113.082.64NANAXXX
    7424026AX-ray exam, upper gi tract0.690.220.230.220.230.030.940.950.940.95XXX
    74240TCAX-ray exam, upper gi tract0.002.071.61NANA0.082.151.69NANAXXX
    74241AX-ray exam, upper gi tract0.692.551.93NANA0.113.352.73NANAXXX
    7424126AX-ray exam, upper gi tract0.690.210.230.210.230.030.930.950.930.95XXX
    74241TCAX-ray exam, upper gi tract0.002.341.70NANA0.082.421.78NANAXXX
    74245AX-ray exam, upper gi tract0.913.943.00NANA0.175.024.08NANAXXX
    7424526AX-ray exam, upper gi tract0.910.290.300.290.300.041.241.251.241.25XXX
    74245TCAX-ray exam, upper gi tract0.003.652.70NANA0.133.782.83NANAXXX
    74246AContrst x-ray uppr gi tract0.692.782.09NANA0.133.602.91NANAXXX
    7424626AContrst x-ray uppr gi tract0.690.220.230.220.230.030.940.950.940.95XXX
    Start Printed Page 49188
    74246TCAContrst x-ray uppr gi tract0.002.571.87NANA0.102.671.97NANAXXX
    74247AContrst x-ray uppr gi tract0.693.212.23NANA0.144.043.06NANAXXX
    7424726AContrst x-ray uppr gi tract0.690.220.230.220.230.030.940.950.940.95XXX
    74247TCAContrst x-ray uppr gi tract0.002.992.01NANA0.113.102.12NANAXXX
    74249AContrst x-ray uppr gi tract0.914.333.24NANA0.185.424.33NANAXXX
    7424926AContrst x-ray uppr gi tract0.910.290.300.290.300.041.241.251.241.25XXX
    74249TCAContrst x-ray uppr gi tract0.004.052.94NANA0.144.193.08NANAXXX
    74250AX-ray exam of small bowel0.472.481.72NANA0.093.042.28NANAXXX
    7425026AX-ray exam of small bowel0.470.150.150.150.150.020.640.640.640.64XXX
    74250TCAX-ray exam of small bowel0.002.331.57NANA0.072.401.64NANAXXX
    74251AX-ray exam of small bowel0.6910.013.66NANA0.1010.804.45NANAXXX
    7425126AX-ray exam of small bowel0.690.220.230.220.230.030.940.950.940.95XXX
    74251TCAX-ray exam of small bowel0.009.803.43NANA0.079.873.50NANAXXX
    74260AX-ray exam of small bowel0.508.323.32NANA0.108.923.92NANAXXX
    7426026AX-ray exam of small bowel0.500.150.160.150.160.020.670.680.670.68XXX
    74260TCAX-ray exam of small bowel0.008.173.16NANA0.088.253.24NANAXXX
    74270AContrast x-ray exam of colon0.693.572.33NANA0.144.403.16NANAXXX
    7427026AContrast x-ray exam of colon0.690.220.230.220.230.030.940.950.940.95XXX
    74270TCAContrast x-ray exam of colon0.003.352.11NANA0.113.462.22NANAXXX
    74280AContrast x-ray exam of colon0.994.943.15NANA0.176.104.31NANAXXX
    7428026AContrast x-ray exam of colon0.990.310.320.310.320.041.341.351.341.35XXX
    74280TCAContrast x-ray exam of colon0.004.632.83NANA0.134.762.96NANAXXX
    74283AContrast x-ray exam of colon2.023.423.27NANA0.235.675.52NANAXXX
    7428326AContrast x-ray exam of colon2.020.610.650.610.650.092.722.762.722.76XXX
    74283TCAContrast x-ray exam of colon0.002.802.62NANA0.142.942.76NANAXXX
    74290AContrast x-ray, gallbladder0.321.561.01NANA0.061.941.39NANAXXX
    7429026AContrast x-ray, gallbladder0.320.100.100.100.100.010.430.430.430.43XXX
    74290TCAContrast x-ray, gallbladder0.001.460.91NANA0.051.510.96NANAXXX
    74291AContrast x-rays, gallbladder0.201.600.77NANA0.031.831.00NANAXXX
    7429126AContrast x-rays, gallbladder0.200.060.070.060.070.010.270.280.270.28XXX
    74291TCAContrast x-rays, gallbladder0.001.540.70NANA0.021.560.72NANAXXX
    74300CX-ray bile ducts/pancreas0.000.000.000.000.000.000.000.000.000.00XXX
    7430026AX-ray bile ducts/pancreas0.360.110.120.110.120.020.490.500.490.50XXX
    74300TCCX-ray bile ducts/pancreas0.000.000.000.000.000.000.000.000.000.00XXX
    74301CX-rays at surgery add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    7430126AX-rays at surgery add-on0.210.070.070.070.070.010.290.290.290.29ZZZ
    74301TCCX-rays at surgery add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    74305AX-ray bile ducts/pancreas0.42NANANANA0.07NANANANAXXX
    7430526AX-ray bile ducts/pancreas0.420.140.140.140.140.020.580.580.580.58XXX
    74305TCAX-ray bile ducts/pancreas0.00NANANANA0.05NANANANAXXX
    74320AContrast x-ray of bile ducts0.542.133.03NANA0.192.863.76NANAXXX
    7432026AContrast x-ray of bile ducts0.540.170.180.170.180.020.730.740.730.74XXX
    74320TCAContrast x-ray of bile ducts0.001.952.85NANA0.172.123.02NANAXXX
    74327AX-ray bile stone removal0.702.992.24NANA0.143.833.08NANAXXX
    7432726AX-ray bile stone removal0.700.230.230.230.230.030.960.960.960.96XXX
    74327TCAX-ray bile stone removal0.002.762.01NANA0.112.872.12NANAXXX
    74328AX-ray bile duct endoscopy0.70NANANANA0.20NANANANAXXX
    7432826AX-ray bile duct endoscopy0.700.230.230.230.230.030.960.960.960.96XXX
    74328TCAX-ray bile duct endoscopy0.00NANANANA0.17NANANANAXXX
    74329CX-ray for pancreas endoscopy0.000.000.000.000.000.000.000.000.000.00XXX
    7432926AX-ray for pancreas endoscopy0.700.230.230.230.230.030.960.960.960.96XXX
    74329TCCX-ray for pancreas endoscopy0.000.000.000.000.000.000.000.000.000.00XXX
    74330AX-ray bile/panc endoscopy0.90NANANANA0.21NANANANAXXX
    7433026AX-ray bile/panc endoscopy0.900.300.290.300.290.041.241.231.241.23XXX
    74330TCAX-ray bile/panc endoscopy0.00NANANANA0.17NANANANAXXX
    74340AX-ray guide for GI tube0.54NANANANA0.16NANANANAXXX
    Start Printed Page 49189
    7434026AX-ray guide for GI tube0.540.170.180.170.180.020.730.740.730.74XXX
    74340TCAX-ray guide for GI tube0.00NANANANA0.14NANANANAXXX
    74350AX-ray guide, stomach tube0.762.223.11NANA0.203.184.07NANAXXX
    7435026AX-ray guide, stomach tube0.760.250.250.250.250.031.041.041.041.04XXX
    74350TCAX-ray guide, stomach tube0.001.972.86NANA0.172.143.03NANAXXX
    74355AX-ray guide, intestinal tube0.76NANANANA0.17NANANANAXXX
    7435526AX-ray guide, intestinal tube0.760.250.250.250.250.031.041.041.041.04XXX
    74355TCAX-ray guide, intestinal tube0.00NANANANA0.14NANANANAXXX
    74360AX-ray guide, GI dilation0.54NANANANA0.19NANANANAXXX
    7436026AX-ray guide, GI dilation0.540.240.200.240.200.020.800.760.800.76XXX
    74360TCAX-ray guide, GI dilation0.00NANANANA0.17NANANANAXXX
    74363CX-ray, bile duct dilation0.00NANANANA0.00NANANANAXXX
    7436326AX-ray, bile duct dilation0.880.290.290.290.290.041.211.211.211.21XXX
    74363TCCX-ray, bile duct dilation0.00NANANANA0.00NANANANAXXX
    74400AContrst x-ray, urinary tract0.492.602.02NANA0.133.222.64NANAXXX
    7440026AContrst x-ray, urinary tract0.490.160.160.160.160.020.670.670.670.67XXX
    74400TCAContrst x-ray, urinary tract0.002.441.87NANA0.112.551.98NANAXXX
    74410AContrst x-ray, urinary tract0.492.732.27NANA0.133.352.89NANAXXX
    7441026AContrst x-ray, urinary tract0.490.170.160.170.160.020.680.670.680.67XXX
    74410TCAContrst x-ray, urinary tract0.002.562.10NANA0.112.672.21NANAXXX
    74415AContrst x-ray, urinary tract0.493.292.53NANA0.143.923.16NANAXXX
    7441526AContrst x-ray, urinary tract0.490.160.160.160.160.020.670.670.670.67XXX
    74415TCAContrst x-ray, urinary tract0.003.132.37NANA0.123.252.49NANAXXX
    74420AContrst x-ray, urinary tract0.36NANANANA0.16NANANANAXXX
    7442026AContrst x-ray, urinary tract0.360.130.120.130.120.020.510.500.510.50XXX
    74420TCAContrst x-ray, urinary tract0.00NANANANA0.14NANANANAXXX
    74425AContrst x-ray, urinary tract0.36NANANANA0.09NANANANAXXX
    7442526AContrst x-ray, urinary tract0.360.120.120.120.120.020.500.500.500.50XXX
    74425TCAContrst x-ray, urinary tract0.00NANANANA0.07NANANANAXXX
    74430AContrast x-ray, bladder0.321.961.35NANA0.082.361.75NANAXXX
    7443026AContrast x-ray, bladder0.320.110.100.110.100.020.450.440.450.44XXX
    74430TCAContrast x-ray, bladder0.001.851.25NANA0.061.911.31NANAXXX
    74440AX-ray, male genital tract0.382.201.49NANA0.082.661.95NANAXXX
    7444026AX-ray, male genital tract0.380.150.130.150.130.020.550.530.550.53XXX
    74440TCAX-ray, male genital tract0.002.061.36NANA0.062.121.42NANAXXX
    74445AX-ray exam of penis1.14NANANANA0.13NANANANAXXX
    7444526AX-ray exam of penis1.140.440.390.440.390.071.651.601.651.60XXX
    74445TCAX-ray exam of penis0.00NANANANA0.06NANANANAXXX
    74450AX-ray, urethra/bladder0.33NANANANA0.10NANANANAXXX
    7445026AX-ray, urethra/bladder0.330.110.110.110.110.020.460.460.460.46XXX
    74450TCAX-ray, urethra/bladder0.00NANANANA0.08NANANANAXXX
    74455AX-ray, urethra/bladder0.332.181.81NANA0.122.632.26NANAXXX
    7445526AX-ray, urethra/bladder0.330.120.110.120.110.020.470.460.470.46XXX
    74455TCAX-ray, urethra/bladder0.002.061.70NANA0.102.161.80NANAXXX
    74470AX-ray exam of kidney lesion0.54NANANANA0.09NANANANAXXX
    7447026AX-ray exam of kidney lesion0.540.160.180.160.180.020.720.740.720.74XXX
    74470TCAX-ray exam of kidney lesion0.00NANANANA0.07NANANANAXXX
    74475AX-ray control, cath insert0.542.123.72NANA0.242.904.50NANAXXX
    7447526AX-ray control, cath insert0.540.180.180.180.180.020.740.740.740.74XXX
    74475TCAX-ray control, cath insert0.001.943.54NANA0.222.163.76NANAXXX
    74480AX-ray control, cath insert0.542.133.72NANA0.242.914.50NANAXXX
    7448026AX-ray control, cath insert0.540.180.180.180.180.020.740.740.740.74XXX
    74480TCAX-ray control, cath insert0.001.953.54NANA0.222.173.76NANAXXX
    74485AX-ray guide, GU dilation0.542.293.06NANA0.203.033.80NANAXXX
    7448526AX-ray guide, GU dilation0.540.190.180.190.180.030.760.750.760.75XXX
    74485TCAX-ray guide, GU dilation0.002.102.89NANA0.172.273.06NANAXXX
    74710AX-ray measurement of pelvis0.340.641.03NANA0.081.061.45NANAXXX
    7471026AX-ray measurement of pelvis0.340.110.110.110.110.020.470.470.470.47XXX
    74710TCAX-ray measurement of pelvis0.000.530.92NANA0.060.590.98NANAXXX
    74740AX-ray, female genital tract0.381.771.52NANA0.092.241.99NANAXXX
    7474026AX-ray, female genital tract0.380.120.130.120.130.020.520.530.520.53XXX
    74740TCAX-ray, female genital tract0.001.651.40NANA0.071.721.47NANAXXX
    74742CX-ray, fallopian tube0.000.000.000.000.000.000.000.000.000.00XXX
    7474226AX-ray, fallopian tube0.610.170.190.170.190.030.810.830.810.83XXX
    74742TCCX-ray, fallopian tube0.000.000.000.000.000.000.000.000.000.00XXX
    74775AX-ray exam of perineum0.62NANANANA0.11NANANANAXXX
    Start Printed Page 49190
    7477526AX-ray exam of perineum0.620.190.210.190.210.030.840.860.840.86XXX
    74775TCAX-ray exam of perineum0.00NANANANA0.08NANANANAXXX
    75552AHeart mri for morph w/o dye1.6019.3013.62NANA0.6621.5615.88NANAXXX
    7555226AHeart mri for morph w/o dye1.600.570.540.570.540.072.242.212.242.21XXX
    75552TCAHeart mri for morph w/o dye0.0018.7313.08NANA0.5919.3213.67NANAXXX
    75553AHeart mri for morph w/dye2.0024.2814.96NANA0.6626.9417.62NANAXXX
    7555326AHeart mri for morph w/dye2.000.940.720.940.720.073.012.793.012.79XXX
    75553TCAHeart mri for morph w/dye0.0023.3414.24NANA0.5923.9314.83NANAXXX
    75554ACardiac MRI/function1.8327.2015.68NANA0.6629.6918.17NANAXXX
    7555426ACardiac MRI/function1.830.790.680.790.680.072.692.582.692.58XXX
    75554TCACardiac MRI/function0.0026.4115.00NANA0.5927.0015.59NANAXXX
    75555ACardiac MRI/limited study1.7427.6415.79NANA0.6630.0418.19NANAXXX
    7555526ACardiac MRI/limited study1.740.840.690.840.690.072.652.502.652.50XXX
    75555TCACardiac MRI/limited study0.0026.8015.10NANA0.5927.3915.69NANAXXX
    75600AContrast x-ray exam of aorta0.496.4911.22NANA0.677.6512.38NANAXXX
    7560026AContrast x-ray exam of aorta0.490.250.210.250.210.020.760.720.760.72XXX
    75600TCAContrast x-ray exam of aorta0.006.2411.01NANA0.656.8911.66NANAXXX
    75605AContrast x-ray exam of aorta1.143.6310.66NANA0.705.4712.50NANAXXX
    7560526AContrast x-ray exam of aorta1.140.510.430.510.430.051.701.621.701.62XXX
    75605TCAContrast x-ray exam of aorta0.003.1310.23NANA0.653.7810.88NANAXXX
    75625AContrast x-ray exam of aorta1.143.3810.58NANA0.715.2312.43NANAXXX
    7562526AContrast x-ray exam of aorta1.140.420.390.420.390.061.621.591.621.59XXX
    75625TCAContrast x-ray exam of aorta0.002.9610.19NANA0.653.6110.84NANAXXX
    75630AX-ray aorta, leg arteries1.793.8011.26NANA0.806.3913.85NANAXXX
    7563026AX-ray aorta, leg arteries1.790.720.640.720.640.112.622.542.622.54XXX
    75630TCAX-ray aorta, leg arteries0.003.0810.62NANA0.693.7711.31NANAXXX
    75635ACt angio abdominal arteries2.4012.8715.74NANA0.5015.7718.64NANAXXX
    7563526ACt angio abdominal arteries2.400.830.800.830.800.113.343.313.343.31XXX
    75635TCACt angio abdominal arteries0.0012.0414.94NANA0.3912.4315.33NANAXXX
    75650AArtery x-rays, head & neck1.493.5310.70NANA0.725.7412.91NANAXXX
    7565026AArtery x-rays, head & neck1.490.550.510.550.510.072.112.072.112.07XXX
    75650TCAArtery x-rays, head & neck0.002.9710.19NANA0.653.6210.84NANAXXX
    75658AArtery x-rays, arm1.313.8610.77NANA0.725.8912.80NANAXXX
    7565826AArtery x-rays, arm1.310.480.470.480.470.071.861.851.861.85XXX
    75658TCAArtery x-rays, arm0.003.3710.29NANA0.654.0210.94NANAXXX
    75660AArtery x-rays, head & neck1.313.9410.77NANA0.715.9612.79NANAXXX
    7566026AArtery x-rays, head & neck1.310.490.450.490.450.061.861.821.861.82XXX
    75660TCAArtery x-rays, head & neck0.003.4510.31NANA0.654.1010.96NANAXXX
    75662AArtery x-rays, head & neck1.665.1111.17NANA0.717.4813.54NANAXXX
    7566226AArtery x-rays, head & neck1.660.720.620.720.620.062.442.342.442.34XXX
    75662TCAArtery x-rays, head & neck0.004.3910.55NANA0.655.0411.20NANAXXX
    75665AArtery x-rays, head & neck1.314.1010.81NANA0.746.1512.86NANAXXX
    7566526AArtery x-rays, head & neck1.310.460.450.460.450.091.861.851.861.85XXX
    75665TCAArtery x-rays, head & neck0.003.6410.36NANA0.654.2911.01NANAXXX
    75671AArtery x-rays, head & neck1.665.0911.14NANA0.727.4713.52NANAXXX
    7567126AArtery x-rays, head & neck1.660.610.570.610.570.072.342.302.342.30XXX
    75671TCAArtery x-rays, head & neck0.004.4810.57NANA0.655.1311.22NANAXXX
    75676AArtery x-rays, neck1.313.8610.75NANA0.725.8912.78NANAXXX
    7567626AArtery x-rays, neck1.310.470.450.470.450.071.851.831.851.83XXX
    75676TCAArtery x-rays, neck0.003.4010.30NANA0.654.0510.95NANAXXX
    75680AArtery x-rays, neck1.664.6111.02NANA0.726.9913.40NANAXXX
    7568026AArtery x-rays, neck1.660.640.570.640.570.072.372.302.372.30XXX
    75680TCAArtery x-rays, neck0.003.9810.45NANA0.654.6311.10NANAXXX
    75685AArtery x-rays, spine1.313.9010.75NANA0.715.9212.77NANAXXX
    7568526AArtery x-rays, spine1.310.490.450.490.450.061.861.821.861.82XXX
    75685TCAArtery x-rays, spine0.003.4110.30NANA0.654.0610.95NANAXXX
    Start Printed Page 49191
    75705AArtery x-rays, spine2.184.0711.02NANA0.787.0313.98NANAXXX
    7570526AArtery x-rays, spine2.180.720.730.720.730.133.033.043.033.04XXX
    75705TCAArtery x-rays, spine0.003.3510.29NANA0.654.0010.94NANAXXX
    75710AArtery x-rays, arm/leg1.143.9910.74NANA0.725.8512.60NANAXXX
    7571026AArtery x-rays, arm/leg1.140.420.400.420.400.071.631.611.631.61XXX
    75710TCAArtery x-rays, arm/leg0.003.5710.34NANA0.654.2210.99NANAXXX
    75716AArtery x-rays, arms/legs1.314.9411.01NANA0.726.9713.04NANAXXX
    7571626AArtery x-rays, arms/legs1.310.490.450.490.450.071.871.831.871.83XXX
    75716TCAArtery x-rays, arms/legs0.004.4510.56NANA0.655.1011.21NANAXXX
    75722AArtery x-rays, kidney1.143.8910.72NANA0.705.7312.56NANAXXX
    7572226AArtery x-rays, kidney1.140.470.420.470.420.051.661.611.661.61XXX
    75722TCAArtery x-rays, kidney0.003.4210.31NANA0.654.0710.96NANAXXX
    75724AArtery x-rays, kidneys1.495.2011.17NANA0.707.3913.36NANAXXX
    7572426AArtery x-rays, kidneys1.490.750.610.750.610.052.292.152.292.15XXX
    75724TCAArtery x-rays, kidneys0.004.4410.56NANA0.655.0911.21NANAXXX
    75726AArtery x-rays, abdomen1.143.7310.66NANA0.705.5712.50NANAXXX
    7572626AArtery x-rays, abdomen1.140.380.370.380.370.051.571.561.571.56XXX
    75726TCAArtery x-rays, abdomen0.003.3510.29NANA0.654.0010.94NANAXXX
    75731AArtery x-rays, adrenal gland1.143.9010.70NANA0.715.7512.55NANAXXX
    7573126AArtery x-rays, adrenal gland1.140.420.380.420.380.061.621.581.621.58XXX
    75731TCAArtery x-rays, adrenal gland0.003.4810.32NANA0.654.1310.97NANAXXX
    75733AArtery x-rays, adrenals1.315.2711.10NANA0.717.2913.12NANAXXX
    7573326AArtery x-rays, adrenals1.310.590.480.590.480.061.961.851.961.85XXX
    75733TCAArtery x-rays, adrenals0.004.6810.62NANA0.655.3311.27NANAXXX
    75736AArtery x-rays, pelvis1.143.8710.70NANA0.715.7212.55NANAXXX
    7573626AArtery x-rays, pelvis1.140.410.390.410.390.061.611.591.611.59XXX
    75736TCAArtery x-rays, pelvis0.003.4610.32NANA0.654.1110.97NANAXXX
    75741AArtery x-rays, lung1.313.1410.56NANA0.715.1612.58NANAXXX
    7574126AArtery x-rays, lung1.310.450.440.450.440.061.821.811.821.81XXX
    75741TCAArtery x-rays, lung0.002.7010.13NANA0.653.3510.78NANAXXX
    75743AArtery x-rays, lungs1.663.5310.74NANA0.725.9113.12NANAXXX
    7574326AArtery x-rays, lungs1.660.570.550.570.550.072.302.282.302.28XXX
    75743TCAArtery x-rays, lungs0.002.9610.19NANA0.653.6110.84NANAXXX
    75746AArtery x-rays, lung1.143.4610.60NANA0.705.3012.44NANAXXX
    7574626AArtery x-rays, lung1.140.360.380.360.380.051.551.571.551.57XXX
    75746TCAArtery x-rays, lung0.003.1010.23NANA0.653.7510.88NANAXXX
    75756AArtery x-rays, chest1.144.4510.90NANA0.696.2812.73NANAXXX
    7575626AArtery x-rays, chest1.140.600.490.600.490.041.781.671.781.67XXX
    75756TCAArtery x-rays, chest0.003.8410.41NANA0.654.4911.06NANAXXX
    75774AArtery x-ray, each vessel0.362.5310.172.5310.170.673.5611.203.5611.20ZZZ
    7577426AArtery x-ray, each vessel0.360.130.120.130.120.020.510.500.510.50ZZZ
    75774TCAArtery x-ray, each vessel0.002.4010.052.4010.050.653.0510.703.0510.70ZZZ
    75790AVisualize A-V shunt1.843.112.23NANA0.175.124.24NANAXXX
    7579026AVisualize A-V shunt1.840.570.590.570.590.092.502.522.502.52XXX
    75790TCAVisualize A-V shunt0.002.541.65NANA0.082.621.73NANAXXX
    75801ALymph vessel x-ray, arm/leg0.81NANANANA0.37NANANANAXXX
    7580126ALymph vessel x-ray, arm/leg0.810.220.260.220.260.081.111.151.111.15XXX
    75801TCALymph vessel x-ray, arm/leg0.00NANANANA0.29NANANANAXXX
    75803ALymph vessel x-ray,arms/legs1.17NANANANA0.34NANANANAXXX
    7580326ALymph vessel x-ray,arms/legs1.170.350.370.350.370.051.571.591.571.59XXX
    75803TCALymph vessel x-ray,arms/legs0.00NANANANA0.29NANANANAXXX
    75805ALymph vessel x-ray, trunk0.81NANANANA0.38NANANANAXXX
    7580526ALymph vessel x-ray, trunk0.810.230.260.230.260.051.091.121.091.12XXX
    75805TCALymph vessel x-ray, trunk0.00NANANANA0.33NANANANAXXX
    75807CLymph vessel x-ray, trunk0.00NANANANA0.00NANANANAXXX
    7580726ALymph vessel x-ray, trunk1.170.370.380.370.380.051.591.601.591.60XXX
    75807TCCLymph vessel x-ray, trunk0.00NANANANA0.00NANANANAXXX
    75809ANonvascular shunt, x-ray0.472.181.24NANA0.072.721.78NANAXXX
    7580926ANonvascular shunt, x-ray0.470.150.150.150.150.020.640.640.640.64XXX
    75809TCANonvascular shunt, x-ray0.002.031.09NANA0.052.081.14NANAXXX
    75810AVein x-ray, spleen/liver1.14NANANANA0.70NANANANAXXX
    7581026AVein x-ray, spleen/liver1.140.390.380.390.380.051.581.571.581.57XXX
    75810TCAVein x-ray, spleen/liver0.00NANANANA0.65NANANANAXXX
    75820AVein x-ray, arm/leg0.703.021.64NANA0.093.812.43NANAXXX
    7582026AVein x-ray, arm/leg0.700.280.240.280.240.031.010.971.010.97XXX
    75820TCAVein x-ray, arm/leg0.002.741.40NANA0.062.801.46NANAXXX
    Start Printed Page 49192
    75822AVein x-ray, arms/legs1.063.182.16NANA0.134.373.35NANAXXX
    7582226AVein x-ray, arms/legs1.060.350.350.350.350.051.461.461.461.46XXX
    75822TCAVein x-ray, arms/legs0.002.831.82NANA0.082.911.90NANAXXX
    75825AVein x-ray, trunk1.142.9310.46NANA0.724.7912.32NANAXXX
    7582526AVein x-ray, trunk1.140.360.370.360.370.071.571.581.571.58XXX
    75825TCAVein x-ray, trunk0.002.5710.09NANA0.653.2210.74NANAXXX
    75827AVein x-ray, chest1.142.9810.47NANA0.704.8212.31NANAXXX
    7582726AVein x-ray, chest1.140.360.370.360.370.051.551.561.551.56XXX
    75827TCAVein x-ray, chest0.002.6110.10NANA0.653.2610.75NANAXXX
    75831AVein x-ray, kidney1.143.0510.49NANA0.714.9012.34NANAXXX
    7583126AVein x-ray, kidney1.140.360.370.360.370.061.561.571.561.57XXX
    75831TCAVein x-ray, kidney0.002.6910.12NANA0.653.3410.77NANAXXX
    75833AVein x-ray, kidneys1.493.7110.75NANA0.745.9412.98NANAXXX
    7583326AVein x-ray, kidneys1.490.480.490.480.490.092.062.072.062.07XXX
    75833TCAVein x-ray, kidneys0.003.2310.26NANA0.653.8810.91NANAXXX
    75840AVein x-ray, adrenal gland1.143.2910.56NANA0.725.1512.42NANAXXX
    7584026AVein x-ray, adrenal gland1.140.450.400.450.400.071.661.611.661.61XXX
    75840TCAVein x-ray, adrenal gland0.002.8410.16NANA0.653.4910.81NANAXXX
    75842AVein x-ray, adrenal glands1.493.6810.73NANA0.725.8912.94NANAXXX
    7584226AVein x-ray, adrenal glands1.490.490.480.490.480.072.052.042.052.04XXX
    75842TCAVein x-ray, adrenal glands0.003.1910.25NANA0.653.8410.90NANAXXX
    75860AVein x-ray, neck1.143.4510.61NANA0.695.2812.44NANAXXX
    7586026AVein x-ray, neck1.140.500.420.500.420.041.681.601.681.60XXX
    75860TCAVein x-ray, neck0.002.9610.19NANA0.653.6110.84NANAXXX
    75870AVein x-ray, skull1.143.2310.55NANA0.705.0712.39NANAXXX
    7587026AVein x-ray, skull1.140.390.390.390.390.051.581.581.581.58XXX
    75870TCAVein x-ray, skull0.002.8410.16NANA0.653.4910.81NANAXXX
    75872AVein x-ray, skull1.143.9110.71NANA0.795.8412.64NANAXXX
    7587226AVein x-ray, skull1.140.420.380.420.380.141.701.661.701.66XXX
    75872TCAVein x-ray, skull0.003.4810.32NANA0.654.1310.97NANAXXX
    75880AVein x-ray, eye socket0.702.991.63NANA0.093.782.42NANAXXX
    7588026AVein x-ray, eye socket0.700.230.230.230.230.030.960.960.960.96XXX
    75880TCAVein x-ray, eye socket0.002.761.40NANA0.062.821.46NANAXXX
    75885AVein x-ray, liver1.443.1710.60NANA0.715.3212.75NANAXXX
    7588526AVein x-ray, liver1.440.470.470.470.470.061.971.971.971.97XXX
    75885TCAVein x-ray, liver0.002.7010.13NANA0.653.3510.78NANAXXX
    75887AVein x-ray, liver1.443.3510.64NANA0.715.5012.79NANAXXX
    7588726AVein x-ray, liver1.440.510.480.510.480.062.011.982.011.98XXX
    75887TCAVein x-ray, liver0.002.8410.16NANA0.653.4910.81NANAXXX
    75889AVein x-ray, liver1.143.0710.50NANA0.704.9112.34NANAXXX
    7588926AVein x-ray, liver1.140.380.370.380.370.051.571.561.571.56XXX
    75889TCAVein x-ray, liver0.002.7010.13NANA0.653.3510.78NANAXXX
    75891AVein x-ray, liver1.143.0510.49NANA0.704.8912.33NANAXXX
    7589126AVein x-ray, liver1.140.370.370.370.370.051.561.561.561.56XXX
    75891TCAVein x-ray, liver0.002.6810.12NANA0.653.3310.77NANAXXX
    75893AVenous sampling by catheter0.542.8710.30NANA0.674.0811.51NANAXXX
    7589326AVenous sampling by catheter0.540.180.180.180.180.020.740.740.740.74XXX
    75893TCAVenous sampling by catheter0.002.6910.12NANA0.653.3410.77NANAXXX
    75894AX-rays, transcath therapy1.31NANANANA1.35NANANANAXXX
    7589426AX-rays, transcath therapy1.310.420.430.420.430.081.811.821.811.82XXX
    75894TCAX-rays, transcath therapy0.00NANANANA1.27NANANANAXXX
    75896AX-rays, transcath therapy1.31NANANANA1.15NANANANAXXX
    7589626AX-rays, transcath therapy1.310.510.470.510.470.051.871.831.871.83XXX
    75896TCAX-rays, transcath therapy0.00NANANANA1.10NANANANAXXX
    75898AFollow-up angiography1.65NANANANA0.13NANANANAXXX
    7589826AFollow-up angiography1.650.600.560.600.560.072.322.282.322.28XXX
    Start Printed Page 49193
    75898TCAFollow-up angiography0.00NANANANA0.06NANANANAXXX
    75900CIntravascular cath exchange0.00NANANANA0.00NANANANAXXX
    7590026AIntravascular cath exchange0.490.160.160.160.160.030.680.680.680.68XXX
    75900TCCIntravascular cath exchange0.00NANANANA0.00NANANANAXXX
    75901ARemove cva device obstruct0.494.202.15NANA0.855.543.49NANAXXX
    7590126ARemove cva device obstruct0.490.160.160.160.160.020.670.670.670.67XXX
    75901TCARemove cva device obstruct0.004.041.99NANA0.834.872.82NANAXXX
    75902ARemove cva lumen obstruct0.391.641.49NANA0.852.882.73NANAXXX
    7590226ARemove cva lumen obstruct0.390.130.130.130.130.020.540.540.540.54XXX
    75902TCARemove cva lumen obstruct0.001.521.36NANA0.832.352.19NANAXXX
    75940AX-ray placement, vein filter0.54NANANANA0.69NANANANAXXX
    7594026AX-ray placement, vein filter0.540.170.180.170.180.040.750.760.750.76XXX
    75940TCAX-ray placement, vein filter0.00NANANANA0.65NANANANAXXX
    75945AIntravascular us0.40NANANANA0.28NANANANAXXX
    7594526AIntravascular us0.400.150.140.150.140.040.590.580.590.58XXX
    75945TCAIntravascular us0.00NANANANA0.24NANANANAXXX
    75946CIntravascular us add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    7594626AIntravascular us add-on0.400.130.140.130.140.050.580.590.580.59ZZZ
    75946TCCIntravascular us add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    75952CEndovasc repair abdom aorta0.000.000.000.000.000.000.000.000.000.00XXX
    7595226AEndovasc repair abdom aorta4.491.311.451.311.450.436.236.376.236.37XXX
    75952TCCEndovasc repair abdom aorta0.000.000.000.000.000.000.000.000.000.00XXX
    75953CAbdom aneurysm endovas rpr0.000.000.000.000.000.000.000.000.000.00XXX
    7595326AAbdom aneurysm endovas rpr1.360.400.440.400.440.131.891.931.891.93XXX
    75953TCCAbdom aneurysm endovas rpr0.000.000.000.000.000.000.000.000.000.00XXX
    75954CIliac aneurysm endovas rpr0.000.000.000.000.000.000.000.000.000.00XXX
    7595426AIliac aneurysm endovas rpr2.250.660.750.660.750.153.063.153.063.15XXX
    75954TCCIliac aneurysm endovas rpr0.000.000.000.000.000.000.000.000.000.00XXX
    75956CXray, endovasc thor ao repr0.000.000.000.000.000.000.000.000.000.00XXX
    7595626AXray, endovasc thor ao repr7.001.632.431.632.430.699.3210.129.3210.12XXX
    75956TCCXray, endovasc thor ao repr0.000.000.000.000.000.000.000.000.000.00XXX
    75957CXray, endovasc thor ao repr0.000.000.000.000.000.000.000.000.000.00XXX
    7595726AXray, endovasc thor ao repr6.001.402.081.402.080.597.998.677.998.67XXX
    75957TCCXray, endovasc thor ao repr0.000.000.000.000.000.000.000.000.000.00XXX
    75958CXray, place prox ext thor ao0.000.000.000.000.000.000.000.000.000.00XXX
    7595826AXray, place prox ext thor ao4.000.931.400.931.400.395.325.795.325.79XXX
    75958TCCXray, place prox ext thor ao0.000.000.000.000.000.000.000.000.000.00XXX
    75959CXray, place dist ext thor ao0.000.000.000.000.000.000.000.000.000.00XXX
    7595926AXray, place dist ext thor ao3.500.821.230.821.230.344.665.074.665.07XXX
    75959TCCXray, place dist ext thor ao0.000.000.000.000.000.000.000.000.000.00XXX
    75960ATranscath iv stent rs&i0.82NANANANA0.82NANANANAXXX
    7596026ATranscath iv stent rs&i0.820.320.290.320.290.051.191.161.191.16XXX
    75960TCATranscath iv stent rs&i0.00NANANANA0.77NANANANAXXX
    75961ARetrieval, broken catheter4.244.5910.07NANA0.739.5615.04NANAXXX
    7596126ARetrieval, broken catheter4.241.381.391.381.390.185.805.815.805.81XXX
    75961TCARetrieval, broken catheter0.003.208.68NANA0.553.759.23NANAXXX
    75962ARepair arterial blockage0.543.5412.83NANA0.864.9414.23NANAXXX
    7596226ARepair arterial blockage0.540.200.190.200.190.030.770.760.770.76XXX
    75962TCARepair arterial blockage0.003.3412.64NANA0.834.1713.47NANAXXX
    75964ARepair artery blockage, each0.362.386.982.386.980.463.207.803.207.80ZZZ
    7596426ARepair artery blockage, each0.360.130.120.130.120.030.520.510.520.51ZZZ
    75964TCARepair artery blockage, each0.002.266.862.266.860.432.697.292.697.29ZZZ
    75966ARepair arterial blockage1.314.2113.20NANA0.896.4115.40NANAXXX
    7596626ARepair arterial blockage1.310.570.490.570.490.061.941.861.941.86XXX
    75966TCARepair arterial blockage0.003.6412.72NANA0.834.4713.55NANAXXX
    75968ARepair artery blockage, each0.362.447.002.447.000.453.257.813.257.81ZZZ
    7596826ARepair artery blockage, each0.360.160.140.160.140.020.540.520.540.52ZZZ
    75968TCARepair artery blockage, each0.002.296.872.296.870.432.727.302.727.30ZZZ
    75970AVascular biopsy0.83NANANANA0.64NANANANAXXX
    7597026AVascular biopsy0.830.280.280.280.280.041.151.151.151.15XXX
    75970TCAVascular biopsy0.00NANANANA0.60NANANANAXXX
    75978ARepair venous blockage0.543.2712.76NANA0.854.6614.15NANAXXX
    7597826ARepair venous blockage0.540.170.180.170.180.020.730.740.730.74XXX
    75978TCARepair venous blockage0.003.1112.58NANA0.833.9413.41NANAXXX
    75980AContrast xray exam bile duct1.44NANANANA0.35NANANANAXXX
    7598026AContrast xray exam bile duct1.440.470.470.470.470.061.971.971.971.97XXX
    Start Printed Page 49194
    75980TCAContrast xray exam bile duct0.00NANANANA0.29NANANANAXXX
    75982CContrast xray exam bile duct0.00NANANANA0.00NANANANAXXX
    7598226AContrast xray exam bile duct1.440.470.470.470.470.061.971.971.971.97XXX
    75982TCCContrast xray exam bile duct0.00NANANANA0.00NANANANAXXX
    75984AXray control catheter change0.722.312.21NANA0.143.173.07NANAXXX
    7598426AXray control catheter change0.720.240.230.240.230.030.990.980.990.98XXX
    75984TCAXray control catheter change0.002.081.98NANA0.112.192.09NANAXXX
    75989AAbscess drainage under x-ray1.192.213.21NANA0.223.624.62NANAXXX
    7598926AAbscess drainage under x-ray1.190.380.390.380.390.051.621.631.621.63XXX
    75989TCAAbscess drainage under x-ray0.001.832.82NANA0.172.002.99NANAXXX
    75992AAtherectomy, x-ray exam0.54NANANANA0.86NANANANAXXX
    7599226AAtherectomy, x-ray exam0.540.230.200.230.200.030.800.770.800.77XXX
    75992TCAAtherectomy, x-ray exam0.00NANANANA0.83NANANANAXXX
    75993CAtherectomy, x-ray exam0.00NANANANA0.00NANANANAZZZ
    7599326AAtherectomy, x-ray exam0.360.150.140.150.140.020.530.520.530.52ZZZ
    75993TCCAtherectomy, x-ray exam0.00NANANANA0.00NANANANAZZZ
    75994CAtherectomy, x-ray exam0.00NANANANA0.00NANANANAXXX
    7599426AAtherectomy, x-ray exam1.310.620.500.620.500.072.001.882.001.88XXX
    75994TCCAtherectomy, x-ray exam0.00NANANANA0.00NANANANAXXX
    75995CAtherectomy, x-ray exam0.00NANANANA0.00NANANANAXXX
    7599526AAtherectomy, x-ray exam1.310.510.480.510.480.051.871.841.871.84XXX
    75995TCCAtherectomy, x-ray exam0.00NANANANA0.00NANANANAXXX
    75996CAtherectomy, x-ray exam0.00NANANANA0.00NANANANAZZZ
    7599626AAtherectomy, x-ray exam0.360.150.130.150.130.020.530.510.530.51ZZZ
    75996TCCAtherectomy, x-ray exam0.00NANANANA0.00NANANANAZZZ
    75998AFluoroguide for vein device0.382.731.76NANA0.113.222.25NANAZZZ
    7599826AFluoroguide for vein device0.380.120.130.120.130.010.510.520.510.52ZZZ
    75998TCAFluoroguide for vein device0.002.611.64NANA0.102.711.74NANAZZZ
    76000AFluoroscope examination0.172.751.71NANA0.083.001.96NANAXXX
    7600026AFluoroscope examination0.170.060.050.060.050.010.240.230.240.23XXX
    76000TCAFluoroscope examination0.002.701.66NANA0.072.771.73NANAXXX
    76001AFluoroscope exam, extensive0.67NANANANA0.19NANANANAXXX
    7600126AFluoroscope exam, extensive0.670.220.220.220.220.050.940.940.940.94XXX
    76001TCAFluoroscope exam, extensive0.00NANANANA0.14NANANANAXXX
    76003ANeedle localization by x-ray0.541.211.41NANA0.091.842.04NANAXXX
    7600326ANeedle localization by x-ray0.540.150.170.150.170.020.710.730.710.73XXX
    76003TCANeedle localization by x-ray0.001.061.25NANA0.071.131.32NANAXXX
    76005AFluoroguide for spine inject0.600.761.29NANA0.101.461.99NANAXXX
    7600526AFluoroguide for spine inject0.600.140.150.140.150.030.770.780.770.78XXX
    76005TCAFluoroguide for spine inject0.000.621.14NANA0.070.691.21NANAXXX
    76006AX-ray stress view0.410.770.330.770.330.061.240.801.240.80XXX
    76010AX-ray, nose to rectum0.180.550.57NANA0.030.760.78NANAXXX
    7601026AX-ray, nose to rectum0.180.060.060.060.060.010.250.250.250.25XXX
    76010TCAX-ray, nose to rectum0.000.490.51NANA0.020.510.53NANAXXX
    76012CPercut vertebroplasty fluor0.000.000.000.000.000.000.000.000.000.00XXX
    7601226APercut vertebroplasty fluor1.310.440.460.440.460.101.851.871.851.87XXX
    76012TCCPercut vertebroplasty fluor0.000.000.000.000.000.000.000.000.000.00XXX
    76013CPercut vertebroplasty, ct0.000.000.000.000.000.000.000.000.000.00XXX
    7601326APercut vertebroplasty, ct1.380.450.470.450.470.071.901.921.901.92XXX
    76013TCCPercut vertebroplasty, ct0.000.000.000.000.000.000.000.000.000.00XXX
    76020AX-rays for bone age0.190.420.54NANA0.030.640.76NANAXXX
    7602026AX-rays for bone age0.190.060.060.060.060.010.260.260.260.26XXX
    76020TCAX-rays for bone age0.000.360.48NANA0.020.380.50NANAXXX
    76040AX-rays, bone evaluation0.270.670.82NANA0.061.001.15NANAXXX
    7604026AX-rays, bone evaluation0.270.100.090.100.090.010.380.370.380.37XXX
    76040TCAX-rays, bone evaluation0.000.570.73NANA0.050.620.78NANAXXX
    Start Printed Page 49195
    76061AX-rays, bone survey0.451.431.22NANA0.081.961.75NANAXXX
    7606126AX-rays, bone survey0.450.140.150.140.150.020.610.620.610.62XXX
    76061TCAX-rays, bone survey0.001.281.07NANA0.061.341.13NANAXXX
    76062AX-rays, bone survey0.542.281.79NANA0.102.922.43NANAXXX
    7606226AX-rays, bone survey0.540.170.180.170.180.020.730.740.730.74XXX
    76062TCAX-rays, bone survey0.002.101.61NANA0.082.181.69NANAXXX
    76065AX-rays, bone evaluation0.702.011.22NANA0.082.792.00NANAXXX
    7606526AX-rays, bone evaluation0.700.200.220.200.220.030.930.950.930.95XXX
    76065TCAX-rays, bone evaluation0.001.811.00NANA0.051.861.05NANAXXX
    76066AJoint survey, single view0.310.651.07NANA0.081.041.46NANAXXX
    7606626AJoint survey, single view0.310.110.100.110.100.020.440.430.440.43XXX
    76066TCAJoint survey, single view0.000.550.97NANA0.060.611.03NANAXXX
    76070ACt bone density, axial0.254.783.47NANA0.175.203.89NANAXXX
    7607026ACt bone density, axial0.250.080.080.080.080.010.340.340.340.34XXX
    76070TCACt bone density, axial0.004.703.39NANA0.164.863.55NANAXXX
    76071ACt bone density, peripheral0.220.782.46NANA0.061.062.74NANAXXX
    7607126ACt bone density, peripheral0.220.070.070.070.070.010.300.300.300.30XXX
    76071TCACt bone density, peripheral0.000.712.39NANA0.050.762.44NANAXXX
    76075ADxa bone density, axial0.200.532.53NANA0.180.912.91NANAXXX
    7607526ADxa bone density, axial0.200.060.090.060.090.010.270.300.270.30XXX
    76075TCADxa bone density, axial0.000.472.44NANA0.170.642.61NANAXXX
    76076ADxa bone density/peripheral0.220.570.77NANA0.060.851.05NANAXXX
    7607626ADxa bone density/peripheral0.220.060.080.060.080.010.290.310.290.31XXX
    76076TCADxa bone density/peripheral0.000.500.69NANA0.050.550.74NANAXXX
    76077ADxa bone density/v-fracture0.170.410.71NANA0.060.640.94NANAXXX
    7607726ADxa bone density/v-fracture0.170.050.060.050.060.010.230.240.230.24XXX
    76077TCADxa bone density/v-fracture0.000.360.65NANA0.050.410.70NANAXXX
    76078ARadiographic absorptiometry0.200.380.71NANA0.060.640.97NANAXXX
    7607826ARadiographic absorptiometry0.200.050.070.050.070.010.260.280.260.28XXX
    76078TCARadiographic absorptiometry0.000.330.65NANA0.050.380.70NANAXXX
    76080AX-ray exam of fistula0.541.081.19NANA0.081.701.81NANAXXX
    7608026AX-ray exam of fistula0.540.170.180.170.180.020.730.740.730.74XXX
    76080TCAX-ray exam of fistula0.000.901.01NANA0.060.961.07NANAXXX
    76082AComputer mammogram add-on0.060.200.380.200.380.020.280.460.280.46ZZZ
    7608226AComputer mammogram add-on0.060.020.020.020.020.010.090.090.090.09ZZZ
    76082TCAComputer mammogram add-on0.000.180.360.180.360.010.190.370.190.37ZZZ
    76083AComputer mammogram add-on0.060.200.380.200.380.020.280.460.280.46ZZZ
    7608326AComputer mammogram add-on0.060.020.020.020.020.010.090.090.090.09ZZZ
    76083TCAComputer mammogram add-on0.000.180.360.180.360.010.190.370.190.37ZZZ
    76086AX-ray of mammary duct0.361.222.36NANA0.161.742.88NANAXXX
    7608626AX-ray of mammary duct0.360.110.120.110.120.020.490.500.490.50XXX
    76086TCAX-ray of mammary duct0.001.112.24NANA0.141.252.38NANAXXX
    76088AX-ray of mammary ducts0.451.663.27NANA0.212.323.93NANAXXX
    7608826AX-ray of mammary ducts0.450.140.150.140.150.020.610.620.610.62XXX
    76088TCAX-ray of mammary ducts0.001.523.13NANA0.191.713.32NANAXXX
    76090AMammogram, one breast0.701.621.37NANA0.092.412.16NANAXXX
    7609026AMammogram, one breast0.700.220.230.220.230.030.950.960.950.96XXX
    76090TCAMammogram, one breast0.001.401.14NANA0.061.461.20NANAXXX
    76091AMammogram, both breasts0.872.111.72NANA0.113.092.70NANAXXX
    7609126AMammogram, both breasts0.870.270.280.270.280.041.181.191.181.19XXX
    76091TCAMammogram, both breasts0.001.841.44NANA0.071.911.51NANAXXX
    76092AMammogram, screening0.701.421.45NANA0.102.222.25NANAXXX
    7609226AMammogram, screening0.700.220.230.220.230.030.950.960.950.96XXX
    76092TCAMammogram, screening0.001.201.22NANA0.071.271.29NANAXXX
    76093AMagnetic image, breast1.6322.0319.12NANA0.9924.6521.74NANAXXX
    7609326AMagnetic image, breast1.630.530.530.530.530.072.232.232.232.23XXX
    76093TCAMagnetic image, breast0.0021.5018.59NANA0.9222.4219.51NANAXXX
    76094AMagnetic image, both breasts1.6322.0323.84NANA1.3124.9726.78NANAXXX
    7609426AMagnetic image, both breasts1.630.530.530.530.530.072.232.232.232.23XXX
    76094TCAMagnetic image, both breasts0.0021.5023.31NANA1.2422.7424.55NANAXXX
    76095AStereotactic breast biopsy1.591.826.22NANA0.463.878.27NANAXXX
    7609526AStereotactic breast biopsy1.590.480.510.480.510.092.162.192.162.19XXX
    76095TCAStereotactic breast biopsy0.001.345.71NANA0.371.716.08NANAXXX
    76096AX-ray of needle wire, breast0.560.821.32NANA0.091.471.97NANAXXX
    7609626AX-ray of needle wire, breast0.560.180.180.180.180.020.760.760.760.76XXX
    76096TCAX-ray of needle wire, breast0.000.641.14NANA0.070.711.21NANAXXX
    Start Printed Page 49196
    76098AX-ray exam, breast specimen0.160.320.43NANA0.030.510.62NANAXXX
    7609826AX-ray exam, breast specimen0.160.050.050.050.050.010.220.220.220.22XXX
    76098TCAX-ray exam, breast specimen0.000.270.38NANA0.020.290.40NANAXXX
    76100AX-ray exam of body section0.583.541.97NANA0.104.222.65NANAXXX
    7610026AX-ray exam of body section0.580.200.190.200.190.030.810.800.810.80XXX
    76100TCAX-ray exam of body section0.003.351.78NANA0.073.421.85NANAXXX
    76101AComplex body section x-ray0.585.352.55NANA0.116.043.24NANAXXX
    7610126AComplex body section x-ray0.580.190.190.190.190.030.800.800.800.80XXX
    76101TCAComplex body section x-ray0.005.162.36NANA0.085.242.44NANAXXX
    76102AComplex body section x-rays0.587.743.38NANA0.148.464.10NANAXXX
    7610226AComplex body section x-rays0.580.180.190.180.190.030.790.800.790.80XXX
    76102TCAComplex body section x-rays0.007.563.19NANA0.117.673.30NANAXXX
    76120ACine/video x-rays0.382.001.39NANA0.082.461.85NANAXXX
    7612026ACine/video x-rays0.380.150.140.150.140.020.550.540.550.54XXX
    76120TCACine/video x-rays0.001.851.25NANA0.061.911.31NANAXXX
    76125ACine/video x-rays add-on0.27NANANANA0.06NANANANAZZZ
    7612526ACine/video x-rays add-on0.270.100.090.100.090.010.380.370.380.37ZZZ
    76125TCACine/video x-rays add-on0.00NANANANA0.05NANANANAZZZ
    76150AX-ray exam, dry process0.000.680.49NANA0.020.700.51NANAXXX
    76350CSpecial x-ray contrast study0.000.000.000.000.000.000.000.000.000.00XXX
    76355ACt scan for localization1.2120.4611.60NANA0.4722.1413.28NANAXXX
    7635526ACt scan for localization1.210.370.390.370.390.051.631.651.631.65XXX
    76355TCACt scan for localization0.0020.0911.22NANA0.4220.5111.64NANAXXX
    76360ACt scan for needle biopsy1.162.307.05NANA0.473.938.68NANAXXX
    7636026ACt scan for needle biopsy1.160.370.380.370.380.051.581.591.581.59XXX
    76360TCACt scan for needle biopsy0.001.936.68NANA0.422.357.10NANAXXX
    76362ACt guide for tissue ablation3.99NANANANA1.64NANANANAXXX
    7636226ACt guide for tissue ablation3.991.251.291.251.290.185.425.465.425.46XXX
    76362TCACt guide for tissue ablation0.00NANANANA1.46NANANANAXXX
    76370ACt scan for therapy guide0.854.433.53NANA0.205.484.58NANAXXX
    7637026ACt scan for therapy guide0.850.240.270.240.270.041.131.161.131.16XXX
    76370TCACt scan for therapy guide0.004.193.26NANA0.164.353.42NANAXXX
    76376A3d render w/o postprocess0.201.402.97NANA0.101.703.27NANAXXX
    7637626A3d render w/o postprocess0.200.060.070.060.070.020.280.290.280.29XXX
    76376TCA3d render w/o postprocess0.001.342.90NANA0.081.422.98NANAXXX
    76377A3d rendering w/postprocess0.791.383.11NANA0.392.564.29NANAXXX
    7637726A3d rendering w/postprocess0.790.250.270.250.270.081.121.141.121.14XXX
    76377TCA3d rendering w/postprocess0.001.132.85NANA0.311.443.16NANAXXX
    76380ACAT scan follow-up study0.984.724.05NANA0.225.925.25NANAXXX
    7638026ACAT scan follow-up study0.980.310.320.310.320.041.331.341.331.34XXX
    76380TCACAT scan follow-up study0.004.423.73NANA0.184.603.91NANAXXX
    76390NMr spectroscopy1.409.5110.99NANA0.6611.5713.05NANAXXX
    7639026NMr spectroscopy1.400.330.440.330.440.071.801.911.801.91XXX
    76390TCNMr spectroscopy0.009.1910.56NANA0.599.7811.15NANAXXX
    76393AMr guidance for needle place1.509.8311.23NANA0.6411.9713.37NANAXXX
    7639326AMr guidance for needle place1.500.490.500.490.500.092.082.092.082.09XXX
    76393TCAMr guidance for needle place0.009.3410.74NANA0.559.8911.29NANAXXX
    76394AMri for tissue ablation4.24NANANANA1.81NANANANAXXX
    7639426AMri for tissue ablation4.241.341.371.341.370.245.825.855.825.85XXX
    76394TCAMri for tissue ablation0.00NANANANA1.57NANANANAXXX
    76400AMagnetic image, bone marrow1.6014.8512.50NANA0.6617.1114.76NANAXXX
    7640026AMagnetic image, bone marrow1.600.560.530.560.530.072.232.202.232.20XXX
    76400TCAMagnetic image, bone marrow0.0014.3011.98NANA0.5914.8912.57NANAXXX
    76496CFluoroscopic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7649626CFluoroscopic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76496TCCFluoroscopic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 49197
    76497CCt procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7649726CCt procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76497TCCCt procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76498CMri procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7649826CMri procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76498TCCMri procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76499CRadiographic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7649926CRadiographic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76499TCCRadiographic procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76506AEcho exam of head0.632.831.95NANA0.143.602.72NANAXXX
    7650626AEcho exam of head0.630.200.230.200.230.060.890.920.890.92XXX
    76506TCAEcho exam of head0.002.631.72NANA0.082.711.80NANAXXX
    76510AOphth us, b & quant a1.552.312.72NANA0.103.964.37NANAXXX
    7651026AOphth us, b & quant a1.550.580.660.580.660.032.162.242.162.24XXX
    76510TCAOphth us, b & quant a0.001.732.07NANA0.071.802.14NANAXXX
    76511AOphth us, quant a only0.941.392.17NANA0.102.433.21NANAXXX
    7651126AOphth us, quant a only0.940.350.390.350.390.031.321.361.321.36XXX
    76511TCAOphth us, quant a only0.001.051.79NANA0.071.121.86NANAXXX
    76512AOphth us, b w/non-quant a0.941.191.97NANA0.122.253.03NANAXXX
    7651226AOphth us, b w/non-quant a0.940.350.400.350.400.021.311.361.311.36XXX
    76512TCAOphth us, b w/non-quant a0.000.851.57NANA0.100.951.67NANAXXX
    76513AEcho exam of eye, water bath0.661.581.75NANA0.122.362.53NANAXXX
    7651326AEcho exam of eye, water bath0.660.250.280.250.280.020.930.960.930.96XXX
    76513TCAEcho exam of eye, water bath0.001.331.47NANA0.101.431.57NANAXXX
    76514AEcho exam of eye, thickness0.170.170.14NANA0.020.360.33NANAXXX
    7651426AEcho exam of eye, thickness0.170.060.080.060.080.010.240.260.240.26XXX
    76514TCAEcho exam of eye, thickness0.000.110.07NANA0.010.120.08NANAXXX
    76516AEcho exam of eye0.541.191.39NANA0.081.812.01NANAXXX
    7651626AEcho exam of eye0.540.190.230.190.230.010.740.780.740.78XXX
    76516TCAEcho exam of eye0.001.001.17NANA0.071.071.24NANAXXX
    76519AEcho exam of eye0.541.331.50NANA0.081.952.12NANAXXX
    7651926AEcho exam of eye0.540.200.230.200.230.010.750.780.750.78XXX
    76519TCAEcho exam of eye0.001.121.26NANA0.071.191.33NANAXXX
    76529AEcho exam of eye0.571.191.33NANA0.101.862.00NANAXXX
    7652926AEcho exam of eye0.570.210.230.210.230.020.800.820.800.82XXX
    76529TCAEcho exam of eye0.000.981.09NANA0.081.061.17NANAXXX
    76536AUs exam of head and neck0.562.691.87NANA0.103.352.53NANAXXX
    7653626AUs exam of head and neck0.560.170.180.170.180.020.750.760.750.76XXX
    76536TCAUs exam of head and neck0.002.521.70NANA0.082.601.78NANAXXX
    76604AUs exam, chest, b-scan0.551.811.57NANA0.092.452.21NANAXXX
    7660426AUs exam, chest, b-scan0.550.170.180.170.180.020.740.750.740.75XXX
    76604TCAUs exam, chest, b-scan0.001.641.39NANA0.071.711.46NANAXXX
    76645AUs exam, breast(s)0.542.111.45NANA0.082.732.07NANAXXX
    7664526AUs exam, breast(s)0.540.170.180.170.180.020.730.740.730.74XXX
    76645TCAUs exam, breast(s)0.001.941.27NANA0.062.001.33NANAXXX
    76700AUs exam, abdom, complete0.813.042.44NANA0.154.003.40NANAXXX
    7670026AUs exam, abdom, complete0.810.260.270.260.270.041.111.121.111.12XXX
    76700TCAUs exam, abdom, complete0.002.782.17NANA0.112.892.28NANAXXX
    76705AEcho exam of abdomen0.592.341.79NANA0.113.042.49NANAXXX
    7670526AEcho exam of abdomen0.590.190.190.190.190.030.810.810.810.81XXX
    76705TCAEcho exam of abdomen0.002.161.61NANA0.082.241.69NANAXXX
    76770AUs exam abdo back wall, comp0.742.942.39NANA0.143.823.27NANAXXX
    7677026AUs exam abdo back wall, comp0.740.240.240.240.240.031.011.011.011.01XXX
    76770TCAUs exam abdo back wall, comp0.002.702.15NANA0.112.812.26NANAXXX
    76775AUs exam abdo back wall, lim0.582.421.81NANA0.113.112.50NANAXXX
    7677526AUs exam abdo back wall, lim0.580.190.190.190.190.030.800.800.800.80XXX
    76775TCAUs exam abdo back wall, lim0.002.231.62NANA0.082.311.70NANAXXX
    76778AUs exam kidney transplant0.743.212.46NANA0.144.093.34NANAXXX
    7677826AUs exam kidney transplant0.740.230.240.230.240.031.001.011.001.01XXX
    76778TCAUs exam kidney transplant0.002.982.22NANA0.113.092.33NANAXXX
    76800AUs exam, spinal canal1.132.341.90NANA0.133.603.16NANAXXX
    7680026AUs exam, spinal canal1.130.300.330.300.330.051.481.511.481.51XXX
    76800TCAUs exam, spinal canal0.002.041.58NANA0.082.121.66NANAXXX
    76801AOb us < 14 wks, single fetus0.992.462.45NANA0.163.613.60NANAXXX
    7680126AOb us < 14 wks, single fetus0.990.300.330.300.330.041.331.361.331.36XXX
    76801TCAOb us < 14 wks, single fetus0.002.162.12NANA0.122.282.24NANAXXX
    Start Printed Page 49198
    76802AOb us < 14 wks, addIl fetus0.830.971.250.971.250.161.962.241.962.24ZZZ
    7680226AOb us < 14 wks, addIl fetus0.830.250.280.250.280.041.121.151.121.15ZZZ
    76802TCAOb us < 14 wks, addIl fetus0.000.720.970.720.970.120.841.090.841.09ZZZ
    76805AOb us >/= 14 wks, sngl fetus0.993.052.59NANA0.164.203.74NANAXXX
    7680526AOb us >/= 14 wks, sngl fetus0.990.290.330.290.330.041.321.361.321.36XXX
    76805TCAOb us >/= 14 wks, sngl fetus0.002.752.26NANA0.122.872.38NANAXXX
    76810AOb us >/= 14 wks, addl fetus0.981.661.461.661.460.262.902.702.902.70ZZZ
    7681026AOb us >/= 14 wks, addl fetus0.980.290.330.290.330.041.311.351.311.35ZZZ
    76810TCAOb us >/= 14 wks, addl fetus0.001.371.131.371.130.221.591.351.591.35ZZZ
    76811AOb us, detailed, sngl fetus1.903.073.95NANA0.525.496.37NANAXXX
    7681126AOb us, detailed, sngl fetus1.900.540.670.540.670.092.532.662.532.66XXX
    76811TCAOb us, detailed, sngl fetus0.002.533.28NANA0.432.963.71NANAXXX
    76812AOb us, detailed, addl fetus1.783.982.283.982.280.496.254.556.254.55ZZZ
    7681226AOb us, detailed, addl fetus1.780.510.620.510.620.082.372.482.372.48ZZZ
    76812TCAOb us, detailed, addl fetus0.003.471.663.471.660.413.882.073.882.07ZZZ
    76815AOb us, limited, fetus(s)0.651.801.69NANA0.112.562.45NANAXXX
    7681526AOb us, limited, fetus(s)0.650.190.220.190.220.030.870.900.870.90XXX
    76815TCAOb us, limited, fetus(s)0.001.611.47NANA0.081.691.55NANAXXX
    76816AOb us, follow-up, per fetus0.852.401.67NANA0.103.352.62NANAXXX
    7681626AOb us, follow-up, per fetus0.850.240.300.240.300.041.131.191.131.19XXX
    76816TCAOb us, follow-up, per fetus0.002.151.37NANA0.062.211.43NANAXXX
    76817ATransvaginal us, obstetric0.752.021.83NANA0.092.862.67NANAXXX
    7681726ATransvaginal us, obstetric0.750.220.250.220.250.031.001.031.001.03XXX
    76817TCATransvaginal us, obstetric0.001.801.59NANA0.061.861.65NANAXXX
    76818AFetal biophys profile w/nst1.052.222.05NANA0.153.423.25NANAXXX
    7681826AFetal biophys profile w/nst1.050.300.370.300.370.051.401.471.401.47XXX
    76818TCAFetal biophys profile w/nst0.001.921.69NANA0.102.021.79NANAXXX
    76819AFetal biophys profil w/o nst0.771.631.82NANA0.132.532.72NANAXXX
    7681926AFetal biophys profil w/o nst0.770.230.270.230.270.031.031.071.031.07XXX
    76819TCAFetal biophys profil w/o nst0.001.411.56NANA0.101.511.66NANAXXX
    76820AUmbilical artery echo0.500.571.49NANA0.151.222.14NANAXXX
    7682026AUmbilical artery echo0.500.140.180.140.180.030.670.710.670.71XXX
    76820TCAUmbilical artery echo0.000.431.32NANA0.120.551.44NANAXXX
    76821AMiddle cerebral artery echo0.701.881.87NANA0.152.732.72NANAXXX
    7682126AMiddle cerebral artery echo0.700.200.250.200.250.030.930.980.930.98XXX
    76821TCAMiddle cerebral artery echo0.001.681.63NANA0.121.801.75NANAXXX
    76825AEcho exam of fetal heart1.674.373.02NANA0.186.224.87NANAXXX
    7682526AEcho exam of fetal heart1.670.490.570.490.570.072.232.312.232.31XXX
    76825TCAEcho exam of fetal heart0.003.882.45NANA0.113.992.56NANAXXX
    76826AEcho exam of fetal heart0.832.751.44NANA0.083.662.35NANAXXX
    7682626AEcho exam of fetal heart0.830.240.280.240.280.031.101.141.101.14XXX
    76826TCAEcho exam of fetal heart0.002.511.16NANA0.052.561.21NANAXXX
    76827AEcho exam of fetal heart0.581.071.71NANA0.141.792.43NANAXXX
    7682726AEcho exam of fetal heart0.580.170.200.170.200.020.770.800.770.80XXX
    76827TCAEcho exam of fetal heart0.000.901.52NANA0.121.021.64NANAXXX
    76828AEcho exam of fetal heart0.560.641.16NANA0.111.311.83NANAXXX
    7682826AEcho exam of fetal heart0.560.160.210.160.210.030.750.800.750.80XXX
    76828TCAEcho exam of fetal heart0.000.480.95NANA0.080.561.03NANAXXX
    76830ATransvaginal us, non-ob0.692.772.00NANA0.133.592.82NANAXXX
    7683026ATransvaginal us, non-ob0.690.210.230.210.230.030.930.950.930.95XXX
    76830TCATransvaginal us, non-ob0.002.561.78NANA0.102.661.88NANAXXX
    76831AEcho exam, uterus0.722.762.01NANA0.133.612.86NANAXXX
    7683126AEcho exam, uterus0.720.210.240.210.240.030.960.990.960.99XXX
    76831TCAEcho exam, uterus0.002.551.78NANA0.102.651.88NANAXXX
    76856AUs exam, pelvic, complete0.692.812.01NANA0.133.632.83NANAXXX
    7685626AUs exam, pelvic, complete0.690.220.230.220.230.030.940.950.940.95XXX
    Start Printed Page 49199
    76856TCAUs exam, pelvic, complete0.002.591.79NANA0.102.691.89NANAXXX
    76857AUs exam, pelvic, limited0.382.532.00NANA0.082.992.46NANAXXX
    7685726AUs exam, pelvic, limited0.380.140.130.140.130.020.540.530.540.53XXX
    76857TCAUs exam, pelvic, limited0.002.381.88NANA0.062.441.94NANAXXX
    76870AUs exam, scrotum0.642.832.00NANA0.133.602.77NANAXXX
    7687026AUs exam, scrotum0.640.210.210.210.210.030.880.880.880.88XXX
    76870TCAUs exam, scrotum0.002.621.80NANA0.102.721.90NANAXXX
    76872AUs, transrectal0.693.432.54NANA0.144.263.37NANAXXX
    7687226AUs, transrectal0.690.270.230.270.230.041.000.961.000.96XXX
    76872TCAUs, transrectal0.003.162.31NANA0.103.262.41NANAXXX
    76873AEchograp trans r, pros study1.553.392.80NANA0.255.194.60NANAXXX
    7687326AEchograp trans r, pros study1.550.510.500.510.500.092.152.142.152.14XXX
    76873TCAEchograp trans r, pros study0.002.872.29NANA0.163.032.45NANAXXX
    76880AUs exam, extremity0.593.192.01NANA0.113.892.71NANAXXX
    7688026AUs exam, extremity0.590.180.190.180.190.030.800.810.800.81XXX
    76880TCAUs exam, extremity0.003.011.82NANA0.083.091.90NANAXXX
    76885AUs exam infant hips, dynamic0.743.212.12NANA0.134.082.99NANAXXX
    7688526AUs exam infant hips, dynamic0.740.220.240.220.240.030.991.010.991.01XXX
    76885TCAUs exam infant hips, dynamic0.002.991.89NANA0.103.091.99NANAXXX
    76886AUs exam infant hips, static0.622.301.79NANA0.113.032.52NANAXXX
    7688626AUs exam infant hips, static0.620.180.200.180.200.030.830.850.830.85XXX
    76886TCAUs exam infant hips, static0.002.121.60NANA0.082.201.68NANAXXX
    76930AEcho guide, cardiocentesis0.672.111.85NANA0.122.902.64NANAXXX
    7693026AEcho guide, cardiocentesis0.670.340.270.340.270.021.030.961.030.96XXX
    76930TCAEcho guide, cardiocentesis0.001.761.58NANA0.101.861.68NANAXXX
    76932AEcho guide for heart biopsy0.67NANANANA0.12NANANANAXXX
    7693226AEcho guide for heart biopsy0.670.350.280.350.280.021.040.971.040.97XXX
    76932TCAEcho guide for heart biopsy0.00NANANANA0.10NANANANAXXX
    76936AEcho guide for artery repair1.996.056.73NANA0.478.519.19NANAXXX
    7693626AEcho guide for artery repair1.990.670.660.670.660.132.792.782.792.78XXX
    76936TCAEcho guide for artery repair0.005.386.06NANA0.345.726.40NANAXXX
    76937AUs guide, vascular access0.300.610.510.610.510.131.040.941.040.94ZZZ
    7693726AUs guide, vascular access0.300.090.100.090.100.030.420.430.420.43ZZZ
    76937TCAUs guide, vascular access0.000.520.420.520.420.100.620.520.620.52ZZZ
    76940AUs guide, tissue ablation2.00NANANANA0.60NANANANAXXX
    7694026AUs guide, tissue ablation2.000.600.640.600.640.312.912.952.912.95XXX
    76940TCAUs guide, tissue ablation0.00NANANANA0.29NANANANAXXX
    76941AEcho guide for transfusion1.34NANANANA0.15NANANANAXXX
    7694126AEcho guide for transfusion1.340.440.460.440.460.071.851.871.851.87XXX
    76941TCAEcho guide for transfusion0.00NANANANA0.08NANANANAXXX
    76942AEcho guide for biopsy0.674.833.48NANA0.135.634.28NANAXXX
    7694226AEcho guide for biopsy0.670.230.220.230.220.030.930.920.930.92XXX
    76942TCAEcho guide for biopsy0.004.603.26NANA0.104.703.36NANAXXX
    76945AEcho guide, villus sampling0.67NANANANA0.11NANANANAXXX
    7694526AEcho guide, villus sampling0.670.210.220.210.220.030.910.920.910.92XXX
    76945TCAEcho guide, villus sampling0.00NANANANA0.08NANANANAXXX
    76946AEcho guide for amniocentesis0.380.451.36NANA0.120.951.86NANAXXX
    7694626AEcho guide for amniocentesis0.380.110.130.110.130.020.510.530.510.53XXX
    76946TCAEcho guide for amniocentesis0.000.341.23NANA0.100.441.33NANAXXX
    76948AEcho guide, ova aspiration0.380.451.35NANA0.120.951.85NANAXXX
    7694826AEcho guide, ova aspiration0.380.110.130.110.130.020.510.530.510.53XXX
    76948TCAEcho guide, ova aspiration0.000.341.23NANA0.100.441.33NANAXXX
    76950AEcho guidance radiotherapy0.581.161.42NANA0.101.842.10NANAXXX
    7695026AEcho guidance radiotherapy0.580.160.180.160.180.030.770.790.770.79XXX
    76950TCAEcho guidance radiotherapy0.001.001.23NANA0.071.071.30NANAXXX
    76965AEcho guidance radiotherapy1.341.184.80NANA0.372.896.51NANAXXX
    7696526AEcho guidance radiotherapy1.340.480.440.480.440.081.901.861.901.86XXX
    76965TCAEcho guidance radiotherapy0.000.704.35NANA0.290.994.64NANAXXX
    76970AUltrasound exam follow-up0.402.141.42NANA0.082.621.90NANAXXX
    7697026AUltrasound exam follow-up0.400.110.130.110.130.020.530.550.530.55XXX
    76970TCAUltrasound exam follow-up0.002.031.30NANA0.062.091.36NANAXXX
    76975AGI endoscopic ultrasound0.81NANANANA0.14NANANANAXXX
    7697526AGI endoscopic ultrasound0.810.290.280.290.280.041.141.131.141.13XXX
    76975TCAGI endoscopic ultrasound0.00NANANANA0.10NANANANAXXX
    76977AUs bone density measure0.050.110.66NANA0.060.220.77NANAXXX
    7697726AUs bone density measure0.050.010.020.010.020.010.070.080.070.08XXX
    Start Printed Page 49200
    76977TCAUs bone density measure0.000.090.64NANA0.050.140.69NANAXXX
    76986AUltrasound guide intraoper1.20NANANANA0.27NANANANAXXX
    7698626AUltrasound guide intraoper1.200.350.390.350.390.131.681.721.681.72XXX
    76986TCAUltrasound guide intraoper0.00NANANANA0.14NANANANAXXX
    76999CEcho examination procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7699926CEcho examination procedure0.000.000.000.000.000.000.000.000.000.00XXX
    76999TCCEcho examination procedure0.000.000.000.000.000.000.000.000.000.00XXX
    77261ARadiation therapy planning1.390.410.490.410.490.071.871.951.871.95XXX
    77262ARadiation therapy planning2.110.580.710.580.710.112.802.932.802.93XXX
    77263ARadiation therapy planning3.140.861.050.861.050.164.164.354.164.35XXX
    77280ASet radiation therapy field0.704.353.86NANA0.225.274.78NANAXXX
    7728026ASet radiation therapy field0.700.190.210.190.210.040.930.950.930.95XXX
    77280TCASet radiation therapy field0.004.163.64NANA0.184.343.82NANAXXX
    77285ASet radiation therapy field1.057.916.41NANA0.359.317.81NANAXXX
    7728526ASet radiation therapy field1.050.290.330.290.330.051.391.431.391.43XXX
    77285TCASet radiation therapy field0.007.626.08NANA0.307.926.38NANAXXX
    77290ASet radiation therapy field1.5613.238.57NANA0.4315.2210.56NANAXXX
    7729026ASet radiation therapy field1.560.430.480.430.480.082.072.122.072.12XXX
    77290TCASet radiation therapy field0.0012.818.09NANA0.3513.168.44NANAXXX
    77295ASet radiation therapy field4.566.9023.76NANA1.7113.1730.03NANAXXX
    7729526ASet radiation therapy field4.561.251.411.251.410.236.046.206.046.20XXX
    77295TCASet radiation therapy field0.005.6522.36NANA1.487.1323.84NANAXXX
    77299CRadiation therapy planning0.000.000.000.000.000.000.000.000.000.00XXX
    7729926CRadiation therapy planning0.000.000.000.000.000.000.000.000.000.00XXX
    77299TCCRadiation therapy planning0.000.000.000.000.000.000.000.000.000.00XXX
    77300ARadiation therapy dose plan0.621.081.43NANA0.101.802.15NANAXXX
    7730026ARadiation therapy dose plan0.620.170.190.170.190.030.820.840.820.84XXX
    77300TCARadiation therapy dose plan0.000.911.23NANA0.070.981.30NANAXXX
    77301ARadiotherapy dose plan, imrt7.9953.4336.23NANA1.8863.3046.10NANAXXX
    7730126ARadiotherapy dose plan, imrt7.992.192.472.192.470.4010.5810.8610.5810.86XXX
    77301TCARadiotherapy dose plan, imrt0.0051.2433.76NANA1.4852.7235.24NANAXXX
    77305ATeletx isodose plan simple0.700.851.78NANA0.151.702.63NANAXXX
    7730526ATeletx isodose plan simple0.700.190.220.190.220.040.930.960.930.96XXX
    77305TCATeletx isodose plan simple0.000.651.56NANA0.110.761.67NANAXXX
    77310ATeletx isodose plan intermed1.051.172.30NANA0.182.403.53NANAXXX
    7731026ATeletx isodose plan intermed1.050.280.330.280.330.051.381.431.381.43XXX
    77310TCATeletx isodose plan intermed0.000.891.97NANA0.131.022.10NANAXXX
    77315ATeletx isodose plan complex1.561.972.86NANA0.223.754.64NANAXXX
    7731526ATeletx isodose plan complex1.560.430.480.430.480.082.072.122.072.12XXX
    77315TCATeletx isodose plan complex0.001.542.38NANA0.141.682.52NANAXXX
    77321ASpecial teletx port plan0.951.383.60NANA0.262.594.81NANAXXX
    7732126ASpecial teletx port plan0.950.260.290.260.290.051.261.291.261.29XXX
    77321TCASpecial teletx port plan0.001.123.31NANA0.211.333.52NANAXXX
    77326ABrachytx isodose calc simp0.932.782.69NANA0.183.893.80NANAXXX
    7732626ABrachytx isodose calc simp0.930.250.290.250.290.051.231.271.231.27XXX
    77326TCABrachytx isodose calc simp0.002.532.40NANA0.132.662.53NANAXXX
    77327ABrachytx isodose calc interm1.393.843.89NANA0.255.485.53NANAXXX
    7732726ABrachytx isodose calc interm1.390.380.430.380.430.071.841.891.841.89XXX
    77327TCABrachytx isodose calc interm0.003.463.47NANA0.183.643.65NANAXXX
    77328ABrachytx isodose plan compl2.094.935.45NANA0.367.387.90NANAXXX
    7732826ABrachytx isodose plan compl2.090.570.650.570.650.112.772.852.772.85XXX
    77328TCABrachytx isodose plan compl0.004.364.81NANA0.254.615.06NANAXXX
    77331ASpecial radiation dosimetry0.870.720.77NANA0.061.651.70NANAXXX
    7733126ASpecial radiation dosimetry0.870.240.270.240.270.041.151.181.151.18XXX
    77331TCASpecial radiation dosimetry0.000.490.50NANA0.020.510.52NANAXXX
    77332ARadiation treatment aid(s)0.541.521.51NANA0.102.162.15NANAXXX
    Start Printed Page 49201
    7733226ARadiation treatment aid(s)0.540.150.170.150.170.030.720.740.720.74XXX
    77332TCARadiation treatment aid(s)0.001.371.35NANA0.071.441.42NANAXXX
    77333ARadiation treatment aid(s)0.840.461.74NANA0.151.452.73NANAXXX
    7733326ARadiation treatment aid(s)0.840.230.260.230.260.041.111.141.111.14XXX
    77333TCARadiation treatment aid(s)0.000.231.48NANA0.110.341.59NANAXXX
    77334ARadiation treatment aid(s)1.242.613.39NANA0.234.084.86NANAXXX
    7733426ARadiation treatment aid(s)1.240.340.390.340.390.061.641.691.641.69XXX
    77334TCARadiation treatment aid(s)0.002.273.01NANA0.172.443.18NANAXXX
    77336ARadiation physics consult0.000.922.47NANA0.161.082.63NANAXXX
    77370ARadiation physics consult0.002.333.20NANA0.182.513.38NANAXXX
    77399CExternal radiation dosimetry0.000.000.000.000.000.000.000.000.000.00XXX
    7739926CExternal radiation dosimetry0.000.000.000.000.000.000.000.000.000.00XXX
    77399TCCExternal radiation dosimetry0.000.000.000.000.000.000.000.000.000.00XXX
    77401ARadiation treatment delivery0.000.491.45NANA0.110.601.56NANAXXX
    77402ARadiation treatment delivery0.004.152.37NANA0.114.262.48NANAXXX
    77403ARadiation treatment delivery0.003.732.26NANA0.113.842.37NANAXXX
    77404ARadiation treatment delivery0.004.192.38NANA0.114.302.49NANAXXX
    77406ARadiation treatment delivery0.004.182.37NANA0.114.292.48NANAXXX
    77407ARadiation treatment delivery0.005.392.92NANA0.125.513.04NANAXXX
    77408ARadiation treatment delivery0.005.182.86NANA0.125.302.98NANAXXX
    77409ARadiation treatment delivery0.005.783.01NANA0.125.903.13NANAXXX
    77411ARadiation treatment delivery0.005.682.99NANA0.125.803.11NANAXXX
    77412ARadiation treatment delivery0.006.783.44NANA0.136.913.57NANAXXX
    77413ARadiation treatment delivery0.006.803.45NANA0.136.933.58NANAXXX
    77414ARadiation treatment delivery0.007.663.66NANA0.137.793.79NANAXXX
    77416ARadiation treatment delivery0.007.653.66NANA0.137.783.79NANAXXX
    77417ARadiology port film(s)0.000.350.53NANA0.040.390.57NANAXXX
    77418ARadiation tx delivery, imrt0.0013.0216.77NANA0.1313.1516.90NANAXXX
    77421AStereoscopic x-ray guidance0.391.953.10NANA0.122.463.61NANAXXX
    7742126AStereoscopic x-ray guidance0.390.110.130.110.130.020.520.540.520.54XXX
    77421TCAStereoscopic x-ray guidance0.001.842.97NANA0.101.943.07NANAXXX
    77422ANeutron beam tx, simple0.0011.794.23NANA0.1311.924.36NANAXXX
    77423ANeutron beam tx, complex0.007.833.65NANA0.137.963.78NANAXXX
    77427ARadiation tx management, x53.311.081.071.081.070.174.564.554.564.55XXX
    77431ARadiation therapy management1.810.680.680.680.680.092.582.582.582.58XXX
    77432AStereotactic radiation trmt7.922.172.722.172.720.4110.5011.0510.5011.05XXX
    77470ASpecial radiation treatment2.091.769.31NANA0.704.5512.10NANAXXX
    7747026ASpecial radiation treatment2.090.570.650.570.650.112.772.852.772.85XXX
    77470TCASpecial radiation treatment0.001.198.66NANA0.591.789.25NANAXXX
    77499CRadiation therapy management0.000.000.000.000.000.000.000.000.000.00XXX
    7749926CRadiation therapy management0.000.000.000.000.000.000.000.000.000.00XXX
    77499TCCRadiation therapy management0.000.000.000.000.000.000.000.000.000.00XXX
    77520CProton trmt, simple w/o comp0.000.000.000.000.000.000.000.000.000.00XXX
    77522CProton trmt, simple w/comp0.000.000.000.000.000.000.000.000.000.00XXX
    77523CProton trmt, intermediate0.000.000.000.000.000.000.000.000.000.00XXX
    77525CProton treatment, complex0.000.000.000.000.000.000.000.000.000.00XXX
    77600RHyperthermia treatment1.569.324.99NANA0.2411.126.79NANAXXX
    7760026RHyperthermia treatment1.560.350.460.350.460.081.992.101.992.10XXX
    77600TCRHyperthermia treatment0.008.974.53NANA0.169.134.69NANAXXX
    77605RHyperthermia treatment2.0916.907.77NANA0.3819.3710.24NANAXXX
    7760526RHyperthermia treatment2.090.530.630.530.630.162.782.882.782.88XXX
    77605TCRHyperthermia treatment0.0016.367.14NANA0.2216.587.36NANAXXX
    77610RHyperthermia treatment1.5616.546.81NANA0.2418.348.61NANAXXX
    7761026RHyperthermia treatment1.560.430.490.430.490.082.072.132.072.13XXX
    77610TCRHyperthermia treatment0.0016.126.32NANA0.1616.286.48NANAXXX
    77615RHyperthermia treatment2.0924.519.67NANA0.3326.9312.09NANAXXX
    7761526RHyperthermia treatment2.090.550.630.550.630.112.752.832.752.83XXX
    77615TCRHyperthermia treatment0.0023.959.03NANA0.2224.179.25NANAXXX
    77620RHyperthermia treatment1.569.585.07NANA0.3611.506.99NANAXXX
    7762026RHyperthermia treatment1.560.410.490.410.490.202.172.252.172.25XXX
    77620TCRHyperthermia treatment0.009.184.58NANA0.169.344.74NANAXXX
    77750AInfuse radioactive materials4.904.193.224.193.220.329.418.449.418.44090
    7775026AInfuse radioactive materials4.901.351.521.351.520.256.506.676.506.67090
    77750TCAInfuse radioactive materials0.002.841.712.841.710.072.911.782.911.78090
    77761AApply intrcav radiat simple3.805.594.095.594.090.339.728.229.728.22090
    7776126AApply intrcav radiat simple3.801.051.081.051.080.195.045.075.045.07090
    Start Printed Page 49202
    77761TCAApply intrcav radiat simple0.004.543.014.543.010.144.683.154.683.15090
    77762AApply intrcav radiat interm5.716.585.736.585.730.4812.7711.9212.7711.92090
    7776226AApply intrcav radiat interm5.711.561.761.561.760.297.567.767.567.76090
    77762TCAApply intrcav radiat interm0.005.033.975.033.970.195.224.165.224.16090
    77763AApply intrcav radiat compl8.568.877.648.877.640.6618.0916.8618.0916.86090
    7776326AApply intrcav radiat compl8.562.332.642.332.640.4311.3211.6311.3211.63090
    77763TCAApply intrcav radiat compl0.006.545.006.545.000.236.775.236.775.23090
    77776AApply interstit radiat simpl4.656.664.016.664.010.5711.889.2311.889.23090
    7777626AApply interstit radiat simpl4.651.541.101.541.100.446.636.196.636.19090
    77776TCAApply interstit radiat simpl0.005.122.925.122.920.135.253.055.253.05090
    77777AApply interstit radiat inter7.476.936.686.936.680.6115.0114.7615.0114.76090
    7777726AApply interstit radiat inter7.472.182.322.182.320.3910.0410.1810.0410.18090
    77778AApply interstit radiat compl11.179.618.929.618.920.8421.6220.9321.6220.93090
    7777826AApply interstit radiat compl11.173.083.453.083.450.5714.8215.1914.8215.19090
    77778TCAApply interstit radiat compl0.006.545.486.545.480.276.815.756.815.75090
    77781AHigh intensity brachytherapy1.214.2316.68NANA1.146.5819.03NANAXXX
    7778126AHigh intensity brachytherapy1.210.330.480.330.480.081.621.771.621.77XXX
    77781TCAHigh intensity brachytherapy0.003.9016.20NANA1.064.9617.26NANAXXX
    77782AHigh intensity brachytherapy2.0412.0318.83NANA1.1915.2622.06NANAXXX
    7778226AHigh intensity brachytherapy2.040.550.740.550.740.132.722.912.722.91XXX
    77782TCAHigh intensity brachytherapy0.0011.4818.10NANA1.0612.5419.16NANAXXX
    77783AHigh intensity brachytherapy3.2723.5522.01NANA1.2528.0726.53NANAXXX
    7778326AHigh intensity brachytherapy3.270.891.120.891.120.194.354.584.354.58XXX
    77783TCAHigh intensity brachytherapy0.0022.6720.89NANA1.0623.7321.95NANAXXX
    77784AHigh intensity brachytherapy5.1544.5227.71NANA1.3551.0234.21NANAXXX
    7778426AHigh intensity brachytherapy5.151.401.691.401.690.296.847.136.847.13XXX
    77784TCAHigh intensity brachytherapy0.0043.1226.01NANA1.0644.1827.07NANAXXX
    77789AApply surface radiation1.121.951.101.951.100.083.152.303.152.30000
    7778926AApply surface radiation1.120.350.370.350.370.061.531.551.531.55000
    77789TCAApply surface radiation0.001.600.741.600.740.021.620.761.620.76000
    77790ARadiation handling1.051.160.92NANA0.072.282.04NANAXXX
    7779026ARadiation handling1.050.290.330.290.330.051.391.431.391.43XXX
    77790TCARadiation handling0.000.870.59NANA0.020.890.61NANAXXX
    77799CRadium/radioisotope therapy0.000.000.000.000.000.000.000.000.000.00XXX
    7779926CRadium/radioisotope therapy0.000.000.000.000.000.000.000.000.000.00XXX
    77799TCCRadium/radioisotope therapy0.000.000.000.000.000.000.000.000.000.00XXX
    78000AThyroid, single uptake0.191.851.24NANA0.072.111.50NANAXXX
    7800026AThyroid, single uptake0.190.060.060.060.060.010.260.260.260.26XXX
    78000TCAThyroid, single uptake0.001.791.18NANA0.061.851.24NANAXXX
    78001AThyroid, multiple uptakes0.262.271.62NANA0.082.611.96NANAXXX
    7800126AThyroid, multiple uptakes0.260.080.090.080.090.010.350.360.350.36XXX
    78001TCAThyroid, multiple uptakes0.002.191.53NANA0.072.261.60NANAXXX
    78003AThyroid suppress/stimul0.331.891.28NANA0.072.291.68NANAXXX
    7800326AThyroid suppress/stimul0.330.100.110.100.110.010.440.450.440.45XXX
    78003TCAThyroid suppress/stimul0.001.781.17NANA0.061.841.23NANAXXX
    78006AThyroid imaging with uptake0.496.243.47NANA0.156.884.11NANAXXX
    7800626AThyroid imaging with uptake0.490.150.160.150.160.020.660.670.660.67XXX
    78006TCAThyroid imaging with uptake0.006.083.31NANA0.136.213.44NANAXXX
    78007AThyroid image, mult uptakes0.503.022.81NANA0.163.683.47NANAXXX
    7800726AThyroid image, mult uptakes0.500.160.170.160.170.020.680.690.680.69XXX
    78007TCAThyroid image, mult uptakes0.002.862.64NANA0.143.002.78NANAXXX
    78010AThyroid imaging0.394.202.51NANA0.134.723.03NANAXXX
    7801026AThyroid imaging0.390.120.130.120.130.020.530.540.530.54XXX
    78010TCAThyroid imaging0.004.082.39NANA0.114.192.50NANAXXX
    78011AThyroid imaging with flow0.454.553.06NANA0.155.153.66NANAXXX
    7801126AThyroid imaging with flow0.450.140.150.140.150.020.610.620.610.62XXX
    Start Printed Page 49203
    78011TCAThyroid imaging with flow0.004.412.91NANA0.134.543.04NANAXXX
    78015AThyroid met imaging0.675.433.46NANA0.176.274.30NANAXXX
    7801526AThyroid met imaging0.670.210.230.210.230.030.910.930.910.93XXX
    78015TCAThyroid met imaging0.005.223.23NANA0.145.363.37NANAXXX
    78016AThyroid met imaging/studies0.828.634.98NANA0.219.666.01NANAXXX
    7801626AThyroid met imaging/studies0.820.260.280.260.280.031.111.131.111.13XXX
    78016TCAThyroid met imaging/studies0.008.374.70NANA0.188.554.88NANAXXX
    78018AThyroid met imaging, body0.867.966.28NANA0.339.157.47NANAXXX
    7801826AThyroid met imaging, body0.860.270.290.270.290.041.171.191.171.19XXX
    78018TCAThyroid met imaging, body0.007.695.99NANA0.297.986.28NANAXXX
    78020AThyroid met uptake0.601.791.591.791.590.162.552.352.552.35ZZZ
    7802026AThyroid met uptake0.600.180.200.180.200.020.800.820.800.82ZZZ
    78020TCAThyroid met uptake0.001.601.381.601.380.141.741.521.741.52ZZZ
    78070AParathyroid nuclear imaging0.823.434.27NANA0.154.405.24NANAXXX
    7807026AParathyroid nuclear imaging0.820.260.280.260.280.041.121.141.121.14XXX
    78070TCAParathyroid nuclear imaging0.003.174.00NANA0.113.284.11NANAXXX
    78075AAdrenal nuclear imaging0.7411.677.18NANA0.3212.738.24NANAXXX
    7807526AAdrenal nuclear imaging0.740.230.250.230.250.031.001.021.001.02XXX
    78075TCAAdrenal nuclear imaging0.0011.446.93NANA0.2911.737.22NANAXXX
    78099CEndocrine nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7809926CEndocrine nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    78099TCCEndocrine nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    78102ABone marrow imaging, ltd0.554.172.72NANA0.144.863.41NANAXXX
    7810226ABone marrow imaging, ltd0.550.170.190.170.190.020.740.760.740.76XXX
    78102TCABone marrow imaging, ltd0.004.002.53NANA0.124.122.65NANAXXX
    78103ABone marrow imaging, mult0.755.433.93NANA0.206.384.88NANAXXX
    7810326ABone marrow imaging, mult0.750.230.250.230.250.031.011.031.011.03XXX
    78103TCABone marrow imaging, mult0.005.203.68NANA0.175.373.85NANAXXX
    78104ABone marrow imaging, body0.806.304.83NANA0.257.355.88NANAXXX
    7810426ABone marrow imaging, body0.800.270.270.270.270.031.101.101.101.10XXX
    78104TCABone marrow imaging, body0.006.024.56NANA0.226.244.78NANAXXX
    78110APlasma volume, single0.192.161.31NANA0.072.421.57NANAXXX
    7811026APlasma volume, single0.190.060.070.060.070.010.260.270.260.27XXX
    78110TCAPlasma volume, single0.002.101.24NANA0.062.161.30NANAXXX
    78111APlasma volume, multiple0.222.162.53NANA0.152.532.90NANAXXX
    7811126APlasma volume, multiple0.220.070.080.070.080.010.300.310.300.31XXX
    78111TCAPlasma volume, multiple0.002.092.45NANA0.142.232.59NANAXXX
    78120ARed cell mass, single0.232.091.88NANA0.122.442.23NANAXXX
    7812026ARed cell mass, single0.230.070.080.070.080.010.310.320.310.32XXX
    78120TCARed cell mass, single0.002.021.80NANA0.112.131.91NANAXXX
    78121ARed cell mass, multiple0.322.192.81NANA0.152.663.28NANAXXX
    7812126ARed cell mass, multiple0.320.100.110.100.110.010.430.440.430.44XXX
    78121TCARed cell mass, multiple0.002.102.71NANA0.142.242.85NANAXXX
    78122ABlood volume0.452.254.13NANA0.262.964.84NANAXXX
    7812226ABlood volume0.450.140.160.140.160.020.610.630.610.63XXX
    78122TCABlood volume0.002.113.98NANA0.242.354.22NANAXXX
    78130ARed cell survival study0.613.553.18NANA0.174.333.96NANAXXX
    7813026ARed cell survival study0.610.200.210.200.210.030.840.850.840.85XXX
    78130TCARed cell survival study0.003.352.98NANA0.143.493.12NANAXXX
    78135ARed cell survival kinetics0.648.595.97NANA0.289.516.89NANAXXX
    7813526ARed cell survival kinetics0.640.200.220.200.220.030.870.890.870.89XXX
    78135TCARed cell survival kinetics0.008.395.75NANA0.258.646.00NANAXXX
    78140ARed cell sequestration0.612.873.82NANA0.243.724.67NANAXXX
    7814026ARed cell sequestration0.610.190.200.190.200.030.830.840.830.84XXX
    78140TCARed cell sequestration0.002.683.62NANA0.212.893.83NANAXXX
    78185ASpleen imaging0.405.223.18NANA0.155.773.73NANAXXX
    7818526ASpleen imaging0.400.120.140.120.140.020.540.560.540.56XXX
    78185TCASpleen imaging0.005.103.05NANA0.135.233.18NANAXXX
    78190APlatelet survival, kinetics1.099.056.84NANA0.3810.528.31NANAXXX
    7819026APlatelet survival, kinetics1.090.340.380.340.380.081.511.551.511.55XXX
    78190TCAPlatelet survival, kinetics0.008.716.46NANA0.309.016.76NANAXXX
    78191APlatelet survival0.613.436.51NANA0.404.447.52NANAXXX
    7819126APlatelet survival0.610.190.200.190.200.030.830.840.830.84XXX
    78191TCAPlatelet survival0.003.246.32NANA0.373.616.69NANAXXX
    78195ALymph system imaging1.208.665.53NANA0.2810.147.01NANAXXX
    7819526ALymph system imaging1.200.370.400.370.400.061.631.661.631.66XXX
    Start Printed Page 49204
    78195TCALymph system imaging0.008.295.13NANA0.228.515.35NANAXXX
    78199CBlood/lymph nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7819926CBlood/lymph nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78199TCCBlood/lymph nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78201ALiver imaging0.444.753.07NANA0.155.343.66NANAXXX
    7820126ALiver imaging0.440.130.150.130.150.020.590.610.590.61XXX
    78201TCALiver imaging0.004.612.92NANA0.134.743.05NANAXXX
    78202ALiver imaging with flow0.515.343.62NANA0.166.014.29NANAXXX
    7820226ALiver imaging with flow0.510.160.170.160.170.020.690.700.690.70XXX
    78202TCALiver imaging with flow0.005.193.46NANA0.145.333.60NANAXXX
    78205ALiver imaging (3D)0.715.265.93NANA0.346.316.98NANAXXX
    7820526ALiver imaging (3D)0.710.220.240.220.240.030.960.980.960.98XXX
    78205TCALiver imaging (3D)0.005.045.69NANA0.315.356.00NANAXXX
    78206ALiver image (3d) with flow0.9614.578.32NANA0.1515.689.43NANAXXX
    7820626ALiver image (3d) with flow0.960.300.320.300.320.041.301.321.301.32XXX
    78206TCALiver image (3d) with flow0.0014.268.00NANA0.1114.378.11NANAXXX
    78215ALiver and spleen imaging0.494.813.53NANA0.165.464.18NANAXXX
    7821526ALiver and spleen imaging0.490.150.160.150.160.020.660.670.660.67XXX
    78215TCALiver and spleen imaging0.004.663.37NANA0.144.803.51NANAXXX
    78216ALiver & spleen image/flow0.572.823.46NANA0.203.594.23NANAXXX
    7821626ALiver & spleen image/flow0.570.180.190.180.190.020.770.780.770.78XXX
    78216TCALiver & spleen image/flow0.002.643.27NANA0.182.823.45NANAXXX
    78220ALiver function study0.493.043.67NANA0.213.744.37NANAXXX
    7822026ALiver function study0.490.150.160.150.160.020.660.670.660.67XXX
    78220TCALiver function study0.002.893.51NANA0.193.083.70NANAXXX
    78223AHepatobiliary imaging0.848.495.08NANA0.239.566.15NANAXXX
    7822326AHepatobiliary imaging0.840.260.280.260.280.041.141.161.141.16XXX
    78223TCAHepatobiliary imaging0.008.234.80NANA0.198.424.99NANAXXX
    78230ASalivary gland imaging0.454.162.79NANA0.154.763.39NANAXXX
    7823026ASalivary gland imaging0.450.140.150.140.150.020.610.620.610.62XXX
    78230TCASalivary gland imaging0.004.022.64NANA0.134.152.77NANAXXX
    78231ASerial salivary imaging0.522.813.22NANA0.193.523.93NANAXXX
    7823126ASerial salivary imaging0.520.160.180.160.180.020.700.720.700.72XXX
    78231TCASerial salivary imaging0.002.643.04NANA0.172.813.21NANAXXX
    78232ASalivary gland function exam0.472.783.47NANA0.203.454.14NANAXXX
    7823226ASalivary gland function exam0.470.150.160.150.160.020.640.650.640.65XXX
    78232TCASalivary gland function exam0.002.643.32NANA0.182.823.50NANAXXX
    78258AEsophageal motility study0.745.833.81NANA0.176.744.72NANAXXX
    7825826AEsophageal motility study0.740.270.260.270.260.031.041.031.041.03XXX
    78258TCAEsophageal motility study0.005.563.55NANA0.145.703.69NANAXXX
    78261AGastric mucosa imaging0.696.074.77NANA0.257.015.71NANAXXX
    7826126AGastric mucosa imaging0.690.220.240.220.240.030.940.960.940.96XXX
    78261TCAGastric mucosa imaging0.005.854.54NANA0.226.074.76NANAXXX
    78262AGastroesophageal reflux exam0.685.944.85NANA0.256.875.78NANAXXX
    7826226AGastroesophageal reflux exam0.680.200.220.200.220.030.910.930.910.93XXX
    78262TCAGastroesophageal reflux exam0.005.744.62NANA0.225.964.84NANAXXX
    78264AGastric emptying study0.787.165.08NANA0.258.196.11NANAXXX
    7826426AGastric emptying study0.780.250.260.250.260.031.061.071.061.07XXX
    78264TCAGastric emptying study0.006.914.83NANA0.227.135.05NANAXXX
    78270AVit B-12 absorption exam0.201.941.70NANA0.112.252.01NANAXXX
    7827026AVit B-12 absorption exam0.200.060.070.060.070.010.270.280.270.28XXX
    78270TCAVit B-12 absorption exam0.001.881.63NANA0.101.981.73NANAXXX
    78271AVit b-12 absrp exam, int fac0.201.901.76NANA0.112.212.07NANAXXX
    7827126AVit b-12 absrp exam, int fac0.200.050.070.050.070.010.260.280.260.28XXX
    78271TCAVit b-12 absrp exam, int fac0.001.851.69NANA0.101.951.79NANAXXX
    78272AVit B-12 absorp, combined0.272.022.31NANA0.142.432.72NANAXXX
    Start Printed Page 49205
    7827226AVit B-12 absorp, combined0.270.070.090.070.090.010.350.370.350.37XXX
    78272TCAVit B-12 absorp, combined0.001.952.23NANA0.132.082.36NANAXXX
    78278AAcute GI blood loss imaging0.998.576.04NANA0.299.857.32NANAXXX
    7827826AAcute GI blood loss imaging0.990.310.330.310.330.041.341.361.341.36XXX
    78278TCAAcute GI blood loss imaging0.008.265.72NANA0.258.515.97NANAXXX
    78282CGI protein loss exam0.000.000.000.000.000.000.000.000.000.00XXX
    7828226AGI protein loss exam0.380.120.130.120.130.020.520.530.520.53XXX
    78282TCCGI protein loss exam0.000.000.000.000.000.000.000.000.000.00XXX
    78290AMeckelIs divert exam0.688.464.58NANA0.199.335.45NANAXXX
    7829026AMeckelIs divert exam0.680.210.230.210.230.030.920.940.920.94XXX
    78290TCAMeckelIs divert exam0.008.254.35NANA0.168.414.51NANAXXX
    78291ALeveen/shunt patency exam0.886.174.06NANA0.207.255.14NANAXXX
    7829126ALeveen/shunt patency exam0.880.270.290.270.290.041.191.211.191.21XXX
    78291TCALeveen/shunt patency exam0.005.903.77NANA0.166.063.93NANAXXX
    78299CGI nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    7829926CGI nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    78299TCCGI nuclear procedure0.000.000.000.000.000.000.000.000.000.00XXX
    78300ABone imaging, limited area0.624.203.07NANA0.174.993.86NANAXXX
    7830026ABone imaging, limited area0.620.190.210.190.210.030.840.860.840.86XXX
    78300TCABone imaging, limited area0.004.012.86NANA0.144.153.00NANAXXX
    78305ABone imaging, multiple areas0.835.464.32NANA0.236.525.38NANAXXX
    7830526ABone imaging, multiple areas0.830.260.280.260.280.041.131.151.131.15XXX
    78305TCABone imaging, multiple areas0.005.204.05NANA0.195.394.24NANAXXX
    78306ABone imaging, whole body0.866.054.93NANA0.267.176.05NANAXXX
    7830626ABone imaging, whole body0.860.270.290.270.290.041.171.191.171.19XXX
    78306TCABone imaging, whole body0.005.784.65NANA0.226.004.87NANAXXX
    78315ABone imaging, 3 phase1.028.595.99NANA0.299.907.30NANAXXX
    7831526ABone imaging, 3 phase1.020.320.340.320.340.041.381.401.381.40XXX
    78315TCABone imaging, 3 phase0.008.275.65NANA0.258.525.90NANAXXX
    78320ABone imaging (3D)1.045.366.04NANA0.356.757.43NANAXXX
    7832026ABone imaging (3D)1.040.330.350.330.350.041.411.431.411.43XXX
    78320TCABone imaging (3D)0.005.035.69NANA0.315.346.00NANAXXX
    78350ABone mineral, single photon0.220.560.76NANA0.060.841.04NANAXXX
    7835026ABone mineral, single photon0.220.060.070.060.070.010.290.300.290.30XXX
    78350TCABone mineral, single photon0.000.490.69NANA0.050.540.74NANAXXX
    78351NBone mineral, dual photon0.302.801.990.070.110.013.112.300.380.42XXX
    78399CMusculoskeletal nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7839926CMusculoskeletal nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78399TCCMusculoskeletal nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78414CNon-imaging heart function0.000.000.000.000.000.000.000.000.000.00XXX
    7841426ANon-imaging heart function0.450.140.160.140.160.020.610.630.610.63XXX
    78414TCCNon-imaging heart function0.000.000.000.000.000.000.000.000.000.00XXX
    78428ACardiac shunt imaging0.785.363.25NANA0.166.304.19NANAXXX
    7842826ACardiac shunt imaging0.780.380.310.380.310.031.191.121.191.12XXX
    78428TCACardiac shunt imaging0.004.982.93NANA0.135.113.06NANAXXX
    78445AVascular flow imaging0.494.632.68NANA0.135.253.30NANAXXX
    7844526AVascular flow imaging0.490.180.170.180.170.020.690.680.690.68XXX
    78445TCAVascular flow imaging0.004.452.51NANA0.114.562.62NANAXXX
    78456AAcute venous thrombus image1.0010.045.75NANA0.3311.377.08NANAXXX
    7845626AAcute venous thrombus image1.000.500.380.500.380.041.541.421.541.42XXX
    78456TCAAcute venous thrombus image0.009.545.37NANA0.299.835.66NANAXXX
    78457AVenous thrombosis imaging0.774.733.38NANA0.175.674.32NANAXXX
    7845726AVenous thrombosis imaging0.770.240.260.240.260.031.041.061.041.06XXX
    78457TCAVenous thrombosis imaging0.004.493.12NANA0.144.633.26NANAXXX
    78458AVen thrombosis images, bilat0.904.594.40NANA0.255.745.55NANAXXX
    7845826AVen thrombosis images, bilat0.900.280.310.280.310.041.221.251.221.25XXX
    78458TCAVen thrombosis images, bilat0.004.314.09NANA0.214.524.30NANAXXX
    78459CHeart muscle imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    7845926AHeart muscle imaging (PET)1.500.550.570.550.570.052.102.122.102.12XXX
    78459TCCHeart muscle imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    78460AHeart muscle blood, single0.864.683.16NANA0.175.714.19NANAXXX
    7846026AHeart muscle blood, single0.860.290.290.290.290.041.191.191.191.19XXX
    78460TCAHeart muscle blood, single0.004.392.87NANA0.134.523.00NANAXXX
    78461AHeart muscle blood, multiple1.234.014.87NANA0.305.546.40NANAXXX
    7846126AHeart muscle blood, multiple1.230.420.430.420.430.051.701.711.701.71XXX
    78461TCAHeart muscle blood, multiple0.003.594.44NANA0.253.844.69NANAXXX
    Start Printed Page 49206
    78464AHeart image (3d), single1.095.917.07NANA0.417.418.57NANAXXX
    7846426AHeart image (3d), single1.090.490.410.490.410.041.621.541.621.54XXX
    78464TCAHeart image (3d), single0.005.426.66NANA0.375.797.03NANAXXX
    78465AHeart image (3d), multiple1.4611.5812.12NANA0.6713.7114.25NANAXXX
    7846526AHeart image (3d), multiple1.460.710.570.710.570.052.222.082.222.08XXX
    78465TCAHeart image (3d), multiple0.0010.8711.56NANA0.6211.4912.18NANAXXX
    78466AHeart infarct image0.694.523.28NANA0.175.384.14NANAXXX
    7846626AHeart infarct image0.690.250.240.250.240.030.970.960.970.96XXX
    78466TCAHeart infarct image0.004.273.03NANA0.144.413.17NANAXXX
    78468AHeart infarct image (ef)0.806.064.46NANA0.227.085.48NANAXXX
    7846826AHeart infarct image (ef)0.800.420.310.420.310.031.251.141.251.14XXX
    78468TCAHeart infarct image (ef)0.005.644.16NANA0.195.834.35NANAXXX
    78469AHeart infarct image (3D)0.926.295.72NANA0.317.526.95NANAXXX
    7846926AHeart infarct image (3D)0.920.430.340.430.340.031.381.291.381.29XXX
    78469TCAHeart infarct image (3D)0.005.855.38NANA0.286.135.66NANAXXX
    78472AGated heart, planar, single0.986.155.93NANA0.347.477.25NANAXXX
    7847226AGated heart, planar, single0.980.400.360.400.360.041.421.381.421.38XXX
    78472TCAGated heart, planar, single0.005.755.57NANA0.306.055.87NANAXXX
    78473AGated heart, multiple1.477.798.52NANA0.489.7410.47NANAXXX
    7847326AGated heart, multiple1.470.620.540.620.540.062.152.072.152.07XXX
    78473TCAGated heart, multiple0.007.177.99NANA0.427.598.41NANAXXX
    78478AHeart wall motion add-on0.500.811.54NANA0.121.432.16NANAXXX
    7847826AHeart wall motion add-on0.500.240.230.240.230.020.760.750.760.75XXX
    78478TCAHeart wall motion add-on0.000.571.31NANA0.100.671.41NANAXXX
    78480AHeart function add-on0.300.711.51NANA0.121.131.93NANAXXX
    7848026AHeart function add-on0.300.150.200.150.200.020.470.520.470.52XXX
    78480TCAHeart function add-on0.000.571.31NANA0.100.671.41NANAXXX
    78481AHeart first pass, single0.985.125.47NANA0.316.416.76NANAXXX
    7848126AHeart first pass, single0.980.490.390.490.390.031.501.401.501.40XXX
    78481TCAHeart first pass, single0.004.625.07NANA0.284.905.35NANAXXX
    78483AHeart first pass, multiple1.476.938.04NANA0.468.869.97NANAXXX
    7848326AHeart first pass, multiple1.470.790.600.790.600.052.312.122.312.12XXX
    78483TCAHeart first pass, multiple0.006.147.44NANA0.416.557.85NANAXXX
    78491CHeart image (pet), single0.000.000.000.000.000.000.000.000.000.00XXX
    7849126AHeart image (pet), single1.500.620.600.620.600.062.182.162.182.16XXX
    78491TCCHeart image (pet), single0.000.000.000.000.000.000.000.000.000.00XXX
    78492CHeart image (pet), multiple0.000.000.000.000.000.000.000.000.000.00XXX
    7849226AHeart image (pet), multiple1.870.910.780.910.780.072.852.722.852.72XXX
    78492TCCHeart image (pet), multiple0.000.000.000.000.000.000.000.000.000.00XXX
    78494AHeart image, spect1.196.307.19NANA0.357.848.73NANAXXX
    7849426AHeart image, spect1.190.540.450.540.450.051.781.691.781.69XXX
    78494TCAHeart image, spect0.005.756.74NANA0.306.057.04NANAXXX
    78496AHeart first pass add-on0.500.935.670.935.670.321.756.491.756.49ZZZ
    7849626AHeart first pass add-on0.500.250.200.250.200.020.770.720.770.72ZZZ
    78496TCAHeart first pass add-on0.000.685.470.685.470.300.985.770.985.77ZZZ
    78499CCardiovascular nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7849926CCardiovascular nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78499TCCCardiovascular nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78580ALung perfusion imaging0.745.124.04NANA0.216.074.99NANAXXX
    7858026ALung perfusion imaging0.740.240.250.240.250.031.011.021.011.02XXX
    78580TCALung perfusion imaging0.004.883.79NANA0.185.063.97NANAXXX
    78584ALung V/Q image single breath0.992.933.38NANA0.214.134.58NANAXXX
    7858426ALung V/Q image single breath0.990.310.330.310.330.041.341.361.341.36XXX
    78584TCALung V/Q image single breath0.002.623.06NANA0.172.793.23NANAXXX
    78585ALung V/Q imaging1.098.606.65NANA0.3510.048.09NANAXXX
    7858526ALung V/Q imaging1.090.340.360.340.360.051.481.501.481.50XXX
    Start Printed Page 49207
    78585TCALung V/Q imaging0.008.266.30NANA0.308.566.60NANAXXX
    78586AAerosol lung image, single0.404.133.07NANA0.164.693.63NANAXXX
    7858626AAerosol lung image, single0.400.120.130.120.130.020.540.550.540.55XXX
    78586TCAAerosol lung image, single0.004.012.95NANA0.144.153.09NANAXXX
    78587AAerosol lung image, multiple0.495.433.59NANA0.166.084.24NANAXXX
    7858726AAerosol lung image, multiple0.490.150.170.150.170.020.660.680.660.68XXX
    78587TCAAerosol lung image, multiple0.005.273.42NANA0.145.413.56NANAXXX
    78588APerfusion lung image1.098.634.83NANA0.239.956.15NANAXXX
    7858826APerfusion lung image1.090.340.360.340.360.051.481.501.481.50XXX
    78588TCAPerfusion lung image0.008.294.47NANA0.188.474.65NANAXXX
    78591AVent image, 1 breath, 1 proj0.404.123.27NANA0.164.683.83NANAXXX
    7859126AVent image, 1 breath, 1 proj0.400.120.130.120.130.020.540.550.540.55XXX
    78591TCAVent image, 1 breath, 1 proj0.004.003.14NANA0.144.143.28NANAXXX
    78593AVent image, 1 proj, gas0.494.793.91NANA0.205.484.60NANAXXX
    7859326AVent image, 1 proj, gas0.490.150.160.150.160.020.660.670.660.67XXX
    78593TCAVent image, 1 proj, gas0.004.643.75NANA0.184.823.93NANAXXX
    78594AVent image, mult proj, gas0.535.295.19NANA0.276.095.99NANAXXX
    7859426AVent image, mult proj, gas0.530.160.180.160.180.020.710.730.710.73XXX
    78594TCAVent image, mult proj, gas0.005.135.02NANA0.255.385.27NANAXXX
    78596ALung differential function1.278.737.80NANA0.4210.429.49NANAXXX
    7859626ALung differential function1.270.370.410.370.410.051.691.731.691.73XXX
    78596TCALung differential function0.008.367.39NANA0.378.737.76NANAXXX
    78599CRespiratory nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7859926CRespiratory nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78599TCCRespiratory nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78600ABrain imaging, ltd static0.447.304.10NANA0.167.904.70NANAXXX
    7860026ABrain imaging, ltd static0.440.140.150.140.150.020.600.610.600.61XXX
    78600TCABrain imaging, ltd static0.007.163.95NANA0.147.304.09NANAXXX
    78601ABrain imaging, ltd w/flow0.515.354.02NANA0.206.064.73NANAXXX
    7860126ABrain imaging, ltd w/flow0.510.160.170.160.170.020.690.700.690.70XXX
    78601TCABrain imaging, ltd w/flow0.005.193.85NANA0.185.374.03NANAXXX
    78605ABrain imaging, complete0.534.753.87NANA0.205.484.60NANAXXX
    7860526ABrain imaging, complete0.530.170.180.170.180.020.720.730.720.73XXX
    78605TCABrain imaging, complete0.004.593.70NANA0.184.773.88NANAXXX
    78606ABrain imaging, compl w/flow0.648.545.20NANA0.249.426.08NANAXXX
    7860626ABrain imaging, compl w/flow0.640.200.210.200.210.030.870.880.870.88XXX
    78606TCABrain imaging, compl w/flow0.008.344.99NANA0.218.555.20NANAXXX
    78607ABrain imaging (3D)1.2315.239.04NANA0.4016.8610.67NANAXXX
    7860726ABrain imaging (3D)1.230.380.420.380.420.051.661.701.661.70XXX
    78607TCABrain imaging (3D)0.0014.858.63NANA0.3515.208.98NANAXXX
    78608CBrain imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    7860826ABrain imaging (PET)1.500.470.500.470.500.062.032.062.032.06XXX
    78608TCCBrain imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    78609CBrain imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    7860926ABrain imaging (PET)1.500.470.500.470.500.062.032.062.032.06XXX
    78609TCCBrain imaging (PET)0.000.000.000.000.000.000.000.000.000.00XXX
    78610ABrain flow imaging only0.304.442.38NANA0.114.852.79NANAXXX
    7861026ABrain flow imaging only0.300.090.110.090.110.010.400.420.400.42XXX
    78610TCABrain flow imaging only0.004.352.27NANA0.104.452.37NANAXXX
    78615ACerebral vascular flow image0.425.344.34NANA0.235.994.99NANAXXX
    7861526ACerebral vascular flow image0.420.130.150.130.150.020.570.590.570.59XXX
    78615TCACerebral vascular flow image0.005.214.19NANA0.215.424.40NANAXXX
    78630ACerebrospinal fluid scan0.688.616.10NANA0.309.597.08NANAXXX
    7863026ACerebrospinal fluid scan0.680.210.230.210.230.030.920.940.920.94XXX
    78630TCACerebrospinal fluid scan0.008.405.88NANA0.278.676.15NANAXXX
    78635ACSF ventriculography0.618.544.21NANA0.169.314.98NANAXXX
    7863526ACSF ventriculography0.610.190.220.190.220.020.820.850.820.85XXX
    78635TCACSF ventriculography0.008.353.99NANA0.148.494.13NANAXXX
    78645ACSF shunt evaluation0.578.434.82NANA0.209.205.59NANAXXX
    7864526ACSF shunt evaluation0.570.180.190.180.190.020.770.780.770.78XXX
    78645TCACSF shunt evaluation0.008.254.64NANA0.188.434.82NANAXXX
    78647ACerebrospinal fluid scan0.9014.318.24NANA0.3515.569.49NANAXXX
    7864726ACerebrospinal fluid scan0.900.270.300.270.300.041.211.241.211.24XXX
    78647TCACerebrospinal fluid scan0.0014.057.95NANA0.3114.368.26NANAXXX
    78650ACSF leakage imaging0.618.625.79NANA0.279.506.67NANAXXX
    7865026ACSF leakage imaging0.610.190.210.190.210.030.830.850.830.85XXX
    Start Printed Page 49208
    78650TCACSF leakage imaging0.008.435.59NANA0.248.675.83NANAXXX
    78660ANuclear exam of tear flow0.534.242.79NANA0.144.913.46NANAXXX
    7866026ANuclear exam of tear flow0.530.170.180.170.180.020.720.730.720.73XXX
    78660TCANuclear exam of tear flow0.004.072.61NANA0.124.192.73NANAXXX
    78699CNervous system nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7869926CNervous system nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78699TCCNervous system nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78700AKidney imaging, static0.454.473.52NANA0.185.104.15NANAXXX
    7870026AKidney imaging, static0.450.150.150.150.150.020.620.620.620.62XXX
    78700TCAKidney imaging, static0.004.323.37NANA0.164.483.53NANAXXX
    78701AKidney imaging with flow0.495.364.13NANA0.206.054.82NANAXXX
    7870126AKidney imaging with flow0.490.150.160.150.160.020.660.670.660.67XXX
    78701TCAKidney imaging with flow0.005.213.97NANA0.185.394.15NANAXXX
    78704AImaging renogram0.745.424.51NANA0.246.405.49NANAXXX
    7870426AImaging renogram0.740.230.250.230.250.031.001.021.001.02XXX
    78704TCAImaging renogram0.005.194.26NANA0.215.404.47NANAXXX
    78707AKidney flow/function image0.965.484.96NANA0.276.716.19NANAXXX
    7870726AKidney flow/function image0.960.300.320.300.320.041.301.321.301.32XXX
    78707TCAKidney flow/function image0.005.184.65NANA0.235.414.88NANAXXX
    78708AKidney flow/function image1.213.414.51NANA0.284.906.00NANAXXX
    7870826AKidney flow/function image1.210.380.400.380.400.051.641.661.641.66XXX
    78708TCAKidney flow/function image0.003.034.11NANA0.233.264.34NANAXXX
    78709AKidney flow/function image1.418.885.93NANA0.2910.587.63NANAXXX
    7870926AKidney flow/function image1.410.450.470.450.470.061.921.941.921.94XXX
    78709TCAKidney flow/function image0.008.435.46NANA0.238.665.69NANAXXX
    78710AKidney imaging (3D)0.665.295.92NANA0.346.296.92NANAXXX
    7871026AKidney imaging (3D)0.660.210.220.210.220.030.900.910.900.91XXX
    78710TCAKidney imaging (3D)0.005.085.70NANA0.315.396.01NANAXXX
    78715ARenal vascular flow exam0.304.822.47NANA0.115.232.88NANAXXX
    7871526ARenal vascular flow exam0.300.130.120.130.120.010.440.430.440.43XXX
    78715TCARenal vascular flow exam0.004.692.36NANA0.104.792.46NANAXXX
    78725AKidney function study0.382.352.02NANA0.132.862.53NANAXXX
    7872526AKidney function study0.380.120.130.120.130.020.520.530.520.53XXX
    78725TCAKidney function study0.002.231.89NANA0.112.342.00NANAXXX
    78730AUrinary bladder retention0.361.851.651.851.650.102.312.112.312.11XXX
    7873026AUrinary bladder retention0.360.140.130.140.130.020.520.510.520.51XXX
    78730TCAUrinary bladder retention0.001.711.521.711.520.081.791.601.791.60XXX
    78740AUreteral reflux study0.575.483.10NANA0.156.203.82NANAXXX
    7874026AUreteral reflux study0.570.180.190.180.190.030.780.790.780.79XXX
    78740TCAUreteral reflux study0.005.302.92NANA0.125.423.04NANAXXX
    78760ATesticular imaging0.664.523.31NANA0.175.354.14NANAXXX
    7876026ATesticular imaging0.660.220.220.220.220.030.910.910.910.91XXX
    78760TCATesticular imaging0.004.303.09NANA0.144.443.23NANAXXX
    78761ATesticular imaging/flow0.714.963.82NANA0.205.874.73NANAXXX
    7876126ATesticular imaging/flow0.710.230.240.230.240.030.970.980.970.98XXX
    78761TCATesticular imaging/flow0.004.723.58NANA0.174.893.75NANAXXX
    78799CGenitourinary nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    7879926CGenitourinary nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78799TCCGenitourinary nuclear exam0.000.000.000.000.000.000.000.000.000.00XXX
    78800ATumor imaging, limited area0.664.293.79NANA0.225.174.67NANAXXX
    7880026ATumor imaging, limited area0.660.200.220.200.220.040.900.920.900.92XXX
    78800TCATumor imaging, limited area0.004.093.57NANA0.184.273.75NANAXXX
    78801ATumor imaging, mult areas0.796.104.89NANA0.277.165.95NANAXXX
    7880126ATumor imaging, mult areas0.790.240.260.240.260.051.081.101.081.10XXX
    78801TCATumor imaging, mult areas0.005.864.63NANA0.226.084.85NANAXXX
    78802ATumor imaging, whole body0.868.176.41NANA0.349.377.61NANAXXX
    Start Printed Page 49209
    7880226ATumor imaging, whole body0.860.270.290.270.290.041.171.191.171.19XXX
    78802TCATumor imaging, whole body0.007.906.12NANA0.308.206.42NANAXXX
    78803ATumor imaging (3D)1.0915.028.95NANA0.4016.5110.44NANAXXX
    7880326ATumor imaging (3D)1.090.340.370.340.370.051.481.511.481.51XXX
    78803TCATumor imaging (3D)0.0014.678.58NANA0.3515.028.93NANAXXX
    78804ATumor imaging, whole body1.0714.9112.30NANA0.3416.3213.71NANAXXX
    7880426ATumor imaging, whole body1.070.340.360.340.360.041.451.471.451.47XXX
    78804TCATumor imaging, whole body0.0014.5811.94NANA0.3014.8812.24NANAXXX
    78805AAbscess imaging, ltd area0.734.203.79NANA0.215.144.73NANAXXX
    7880526AAbscess imaging, ltd area0.730.230.250.230.250.030.991.010.991.01XXX
    78805TCAAbscess imaging, ltd area0.003.973.54NANA0.184.153.72NANAXXX
    78806AAbscess imaging, whole body0.868.357.13NANA0.399.608.38NANAXXX
    7880626AAbscess imaging, whole body0.860.270.290.270.290.041.171.191.171.19XXX
    78806TCAAbscess imaging, whole body0.008.086.84NANA0.358.437.19NANAXXX
    78807ANuclear localization/abscess1.0914.288.78NANA0.3915.7610.26NANAXXX
    7880726ANuclear localization/abscess1.090.340.380.340.380.041.471.511.471.51XXX
    78807TCANuclear localization/abscess0.0013.948.40NANA0.3514.298.75NANAXXX
    78811CTumor imaging (pet), limited0.000.000.000.000.000.000.000.000.000.00XXX
    7881126ATumor imaging (pet), limited1.540.480.520.480.520.112.132.172.132.17XXX
    78811TCCTumor imaging (pet), limited0.000.000.000.000.000.000.000.000.000.00XXX
    78812CTumor image (pet)/skul-thigh0.000.000.000.000.000.000.000.000.000.00XXX
    7881226ATumor image (pet)/skul-thigh1.930.610.650.610.650.112.652.692.652.69XXX
    78812TCCTumor image (pet)/skul-thigh0.000.000.000.000.000.000.000.000.000.00XXX
    78813CTumor image (pet) full body0.000.000.000.000.000.000.000.000.000.00XXX
    7881326ATumor image (pet) full body2.000.620.670.620.670.112.732.782.732.78XXX
    78813TCCTumor image (pet) full body0.000.000.000.000.000.000.000.000.000.00XXX
    78814CTumor image pet/ct, limited0.000.000.000.000.000.000.000.000.000.00XXX
    7881426ATumor image pet/ct, limited2.200.680.740.680.740.112.993.052.993.05XXX
    78814TCCTumor image pet/ct, limited0.000.000.000.000.000.000.000.000.000.00XXX
    78815CTumorimage pet/ct skul-thigh0.000.000.000.000.000.000.000.000.000.00XXX
    7881526ATumorimage pet/ct skul-thigh2.440.770.820.770.820.113.323.373.323.37XXX
    78815TCCTumorimage pet/ct skul-thigh0.000.000.000.000.000.000.000.000.000.00XXX
    78816CTumor image pet/ct full body0.000.000.000.000.000.000.000.000.000.00XXX
    7881626ATumor image pet/ct full body2.500.780.840.780.840.113.393.453.393.45XXX
    78816TCCTumor image pet/ct full body0.000.000.000.000.000.000.000.000.000.00XXX
    78890BNuclear medicine data proc0.050.391.10NANA0.070.511.22NANAXXX
    7889026BNuclear medicine data proc0.050.010.020.010.020.010.070.080.070.08XXX
    78890TCBNuclear medicine data proc0.000.381.08NANA0.060.441.14NANAXXX
    78891BNuclear med data proc0.100.892.22NANA0.141.132.46NANAXXX
    7889126BNuclear med data proc0.100.020.040.020.040.010.130.150.130.15XXX
    78891TCBNuclear med data proc0.000.862.18NANA0.130.992.31NANAXXX
    78999CNuclear diagnostic exam0.000.000.000.000.000.000.000.000.000.00XXX
    7899926CNuclear diagnostic exam0.000.000.000.000.000.000.000.000.000.00XXX
    78999TCCNuclear diagnostic exam0.000.000.000.000.000.000.000.000.000.00XXX
    79005ANuclear rx, oral admin1.801.782.86NANA0.223.804.88NANAXXX
    7900526ANuclear rx, oral admin1.800.530.580.530.580.082.412.462.412.46XXX
    79005TCANuclear rx, oral admin0.001.252.28NANA0.141.392.42NANAXXX
    79101ANuclear rx, iv admin1.962.102.99NANA0.224.285.17NANAXXX
    7910126ANuclear rx, iv admin1.960.680.670.680.670.082.722.712.722.71XXX
    79101TCANuclear rx, iv admin0.001.412.32NANA0.141.552.46NANAXXX
    79200ANuclear rx, intracav admin1.992.183.03NANA0.234.405.25NANAXXX
    7920026ANuclear rx, intracav admin1.990.590.670.590.670.092.672.752.672.75XXX
    79200TCANuclear rx, intracav admin0.001.602.37NANA0.141.742.51NANAXXX
    79300CNuclr rx, interstit colloid0.000.000.000.000.000.000.000.000.000.00XXX
    7930026ANuclr rx, interstit colloid1.600.460.540.460.540.132.192.272.192.27XXX
    79300TCCNuclr rx, interstit colloid0.000.000.000.000.000.000.000.000.000.00XXX
    79403AHematopoietic nuclear tx2.252.834.58NANA0.245.327.07NANAXXX
    7940326AHematopoietic nuclear tx2.250.680.840.680.840.103.033.193.033.19XXX
    79403TCAHematopoietic nuclear tx0.002.153.74NANA0.142.293.88NANAXXX
    79440ANuclear rx, intra-articular1.991.772.95NANA0.223.985.16NANAXXX
    7944026ANuclear rx, intra-articular1.990.610.690.610.690.082.682.762.682.76XXX
    79440TCANuclear rx, intra-articular0.001.162.26NANA0.141.302.40NANAXXX
    79445CNuclear rx, intra-arterial0.000.000.000.000.000.000.000.000.000.00XXX
    7944526ANuclear rx, intra-arterial2.400.770.810.770.810.123.293.333.293.33XXX
    79445TCCNuclear rx, intra-arterial0.000.000.000.000.000.000.000.000.000.00XXX
    79999CNuclear medicine therapy0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 49210
    7999926CNuclear medicine therapy0.000.000.000.000.000.000.000.000.000.00XXX
    79999TCCNuclear medicine therapy0.000.000.000.000.000.000.000.000.000.00XXX
    80500ALab pathology consultation0.370.200.210.110.150.010.580.590.490.53XXX
    80502ALab pathology consultation1.330.310.480.250.470.041.681.851.621.84XXX
    8302026AHemoglobin electrophoresis0.370.120.140.120.140.010.500.520.500.52XXX
    8391226AGenetic examination0.370.110.120.110.120.010.490.500.490.50XXX
    8416526AProtein e-phoresis, serum0.370.120.140.120.140.010.500.520.500.52XXX
    8416626AProtein e-phoresis/urine/csf0.370.120.140.120.140.010.500.520.500.52XXX
    8418126AWestern blot test0.370.120.140.120.140.010.500.520.500.52XXX
    8418226AProtein, western blot test0.370.120.150.120.150.020.510.540.510.54XXX
    85060ABlood smear interpretation0.450.140.170.140.170.020.610.640.610.64XXX
    85097ABone marrow interpretation0.941.301.760.280.380.042.282.741.261.36XXX
    8539026AFibrinolysins screen0.370.120.130.120.130.010.500.510.500.51XXX
    85396AClotting assay, whole blood0.37NANA0.050.130.04NANA0.460.54XXX
    8557626ABlood platelet aggregation0.370.120.150.120.150.010.500.530.500.53XXX
    86077APhysician blood bank service0.940.380.390.290.370.031.351.361.261.34XXX
    86078APhysician blood bank service0.940.380.440.290.370.031.351.411.261.34XXX
    86079APhysician blood bank service0.940.380.430.300.380.031.351.401.271.35XXX
    8625526AFluorescent antibody, screen0.370.120.140.120.140.010.500.520.500.52XXX
    8625626AFluorescent antibody, titer0.370.120.140.120.140.010.500.520.500.52XXX
    8632026ASerum immunoelectrophoresis0.370.120.140.120.140.010.500.520.500.52XXX
    8632526AOther immunoelectrophoresis0.370.110.130.110.130.010.490.510.490.51XXX
    8632726AImmunoelectrophoresis assay0.420.130.170.130.170.020.570.610.570.61XXX
    8633426AImmunofix e-phoresis, serum0.370.120.140.120.140.010.500.520.500.52XXX
    8633526AImmunfix e-phorsis/urine/csf0.370.120.140.120.140.010.500.520.500.52XXX
    86485CSkin test, candida0.000.000.000.000.000.000.000.000.000.00XXX
    86490ACoccidioidomycosis skin test0.000.120.25NANA0.020.140.27NANAXXX
    86510AHistoplasmosis skin test0.000.140.28NANA0.020.160.30NANAXXX
    86580ATB intradermal test0.000.160.23NANA0.020.180.25NANAXXX
    8716426ADark field examination0.370.120.120.120.120.010.500.500.500.50XXX
    8720726ASmear, special stain0.370.110.150.110.150.010.490.530.490.53XXX
    88104ACytopathology, fluids0.561.160.93NANA0.041.761.53NANAXXX
    8810426ACytopathology, fluids0.560.160.220.160.220.020.740.800.740.80XXX
    88104TCACytopathology, fluids0.001.010.71NANA0.021.030.73NANAXXX
    88106ACytopathology, fluids0.561.521.39NANA0.042.121.99NANAXXX
    8810626ACytopathology, fluids0.560.150.220.150.220.020.730.800.730.80XXX
    88106TCACytopathology, fluids0.001.361.17NANA0.021.381.19NANAXXX
    88107ACytopathology, fluids0.762.021.66NANA0.052.832.47NANAXXX
    8810726ACytopathology, fluids0.760.230.310.230.310.031.021.101.021.10XXX
    88107TCACytopathology, fluids0.001.791.36NANA0.021.811.38NANAXXX
    88108ACytopath, concentrate tech0.561.491.28NANA0.042.091.88NANAXXX
    8810826ACytopath, concentrate tech0.560.160.220.160.220.020.740.800.740.80XXX
    88108TCACytopath, concentrate tech0.001.331.06NANA0.021.351.08NANAXXX
    88112ACytopath, cell enhance tech1.181.531.85NANA0.042.753.07NANAXXX
    8811226ACytopath, cell enhance tech1.180.310.460.310.460.021.511.661.511.66XXX
    88112TCACytopath, cell enhance tech0.001.221.40NANA0.021.241.42NANAXXX
    88125AForensic cytopathology0.260.250.27NANA0.020.530.55NANAXXX
    8812526AForensic cytopathology0.260.060.100.060.100.010.330.370.330.37XXX
    88125TCAForensic cytopathology0.000.200.17NANA0.010.210.18NANAXXX
    88141ACytopath, c/v, interpret0.420.380.210.380.210.020.820.650.820.65XXX
    88160ACytopath smear, other source0.500.910.85NANA0.041.451.39NANAXXX
    8816026ACytopath smear, other source0.500.130.190.130.190.020.650.710.650.71XXX
    88160TCACytopath smear, other source0.000.780.66NANA0.020.800.68NANAXXX
    88161ACytopath smear, other source0.501.130.99NANA0.041.671.53NANAXXX
    8816126ACytopath smear, other source0.500.150.200.150.200.020.670.720.670.72XXX
    88161TCACytopath smear, other source0.000.980.79NANA0.021.000.81NANAXXX
    Start Printed Page 49211
    88162ACytopath smear, other source0.761.181.06NANA0.051.991.87NANAXXX
    8816226ACytopath smear, other source0.760.170.290.170.290.030.961.080.961.08XXX
    88162TCACytopath smear, other source0.001.010.77NANA0.021.030.79NANAXXX
    88172ACytopathology eval of fna0.600.860.76NANA0.041.501.40NANAXXX
    8817226ACytopathology eval of fna0.600.180.240.180.240.020.800.860.800.86XXX
    88172TCACytopathology eval of fna0.000.680.52NANA0.020.700.54NANAXXX
    88173ACytopath eval, fna, report1.392.332.18NANA0.073.793.64NANAXXX
    8817326ACytopath eval, fna, report1.390.400.540.400.540.051.841.981.841.98XXX
    88173TCACytopath eval, fna, report0.001.931.65NANA0.021.951.67NANAXXX
    88182ACell marker study0.771.971.97NANA0.072.812.81NANAXXX
    8818226ACell marker study0.770.130.280.130.280.030.931.080.931.08XXX
    88182TCACell marker study0.001.851.70NANA0.041.891.74NANAXXX
    88184AFlowcytometry/tc, 1 marker0.002.511.62NANA0.022.531.64NANAXXX
    88185AFlowcytometry/tc, add-on0.001.520.86NANA0.021.540.88NANAZZZ
    88187AFlowcytometry/read, 2-81.360.390.440.390.440.011.761.811.761.81XXX
    88188AFlowcytometry/read, 9-151.690.440.540.440.540.012.142.242.142.24XXX
    88189AFlowcytometry/read, 16 & >2.230.490.690.490.690.012.732.932.732.93XXX
    88199CCytopathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    8819926CCytopathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88199TCCCytopathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88291ACyto/molecular report0.520.280.200.280.200.020.820.740.820.74XXX
    88299CCytogenetic study0.000.000.000.000.000.000.000.000.000.00XXX
    88300ASurgical path, gross0.080.600.49NANA0.020.700.59NANAXXX
    8830026ASurgical path, gross0.080.020.030.020.030.010.110.120.110.12XXX
    88300TCASurgical path, gross0.000.570.46NANA0.010.580.47NANAXXX
    88302ATissue exam by pathologist0.131.301.10NANA0.031.461.26NANAXXX
    8830226ATissue exam by pathologist0.130.040.060.040.060.010.180.200.180.20XXX
    88302TCATissue exam by pathologist0.001.271.05NANA0.021.291.07NANAXXX
    88304ATissue exam by pathologist0.221.571.38NANA0.031.821.63NANAXXX
    8830426ATissue exam by pathologist0.220.060.080.060.080.010.290.310.290.31XXX
    88304TCATissue exam by pathologist0.001.501.30NANA0.021.521.32NANAXXX
    88305ATissue exam by pathologist0.752.201.98NANA0.073.022.80NANAXXX
    8830526ATissue exam by pathologist0.750.210.300.210.300.030.991.080.991.08XXX
    88305TCATissue exam by pathologist0.001.991.68NANA0.042.031.72NANAXXX
    88307ATissue exam by pathologist1.594.543.50NANA0.126.255.21NANAXXX
    8830726ATissue exam by pathologist1.590.480.630.480.630.062.132.282.132.28XXX
    88307TCATissue exam by pathologist0.004.062.87NANA0.064.122.93NANAXXX
    88309ATissue exam by pathologist2.806.374.89NANA0.149.317.83NANAXXX
    8830926ATissue exam by pathologist2.800.840.940.840.940.083.723.823.723.82XXX
    88309TCATissue exam by pathologist0.005.523.95NANA0.065.584.01NANAXXX
    88311ADecalcify tissue0.240.260.24NANA0.020.520.50NANAXXX
    8831126ADecalcify tissue0.240.070.090.070.090.010.320.340.320.34XXX
    88311TCADecalcify tissue0.000.180.14NANA0.010.190.15NANAXXX
    88312ASpecial stains0.542.511.77NANA0.033.082.34NANAXXX
    8831226ASpecial stains0.540.150.210.150.210.020.710.770.710.77XXX
    88312TCASpecial stains0.002.361.56NANA0.012.371.57NANAXXX
    88313ASpecial stains0.241.961.43NANA0.022.221.69NANAXXX
    8831326ASpecial stains0.240.060.090.060.090.010.310.340.310.34XXX
    88313TCASpecial stains0.001.901.34NANA0.011.911.35NANAXXX
    88314AHistochemical stain0.451.962.04NANA0.042.452.53NANAXXX
    8831426AHistochemical stain0.450.140.180.140.180.020.610.650.610.65XXX
    88314TCAHistochemical stain0.001.831.86NANA0.021.851.88NANAXXX
    88318AChemical histochemistry0.423.011.99NANA0.033.462.44NANAXXX
    8831826AChemical histochemistry0.420.130.170.130.170.020.570.610.570.61XXX
    88318TCAChemical histochemistry0.002.891.83NANA0.012.901.84NANAXXX
    88319AEnzyme histochemistry0.533.293.38NANA0.043.863.95NANAXXX
    8831926AEnzyme histochemistry0.530.150.200.150.200.020.700.750.700.75XXX
    88319TCAEnzyme histochemistry0.003.143.18NANA0.023.163.20NANAXXX
    88321AMicroslide consultation1.630.740.780.480.540.052.422.462.162.22XXX
    88323AMicroslide consultation1.832.231.89NANA0.074.133.79NANAXXX
    8832326AMicroslide consultation1.830.470.550.470.550.052.352.432.352.43XXX
    88323TCAMicroslide consultation0.001.771.35NANA0.021.791.37NANAXXX
    88325AComprehensive review of data2.502.272.770.630.870.074.845.343.203.44XXX
    88329APath consult introp0.670.690.660.210.270.021.381.350.900.96XXX
    88331APath consult intraop, 1 bloc1.191.251.14NANA0.082.522.41NANAXXX
    8833126APath consult intraop, 1 bloc1.190.370.480.370.480.041.601.711.601.71XXX
    Start Printed Page 49212
    88331TCAPath consult intraop, 1 bloc0.000.880.66NANA0.040.920.70NANAXXX
    88332APath consult intraop, addIl0.590.480.47NANA0.041.111.10NANAXXX
    8833226APath consult intraop, addIl0.590.180.230.180.230.020.790.840.790.84XXX
    88332TCAPath consult intraop, addIl0.000.300.23NANA0.020.320.25NANAXXX
    88333AIntraop cyto path consult, 11.201.361.15NANA0.082.642.43NANAXXX
    8833326AIntraop cyto path consult, 11.200.380.490.380.490.041.621.731.621.73XXX
    88333TCAIntraop cyto path consult, 10.000.980.66NANA0.041.020.70NANAXXX
    88334AIntraop cyto path consult, 20.590.750.64NANA0.041.381.27NANAXXX
    8833426AIntraop cyto path consult, 20.590.180.240.180.240.020.790.850.790.85XXX
    88334TCAIntraop cyto path consult, 20.000.570.40NANA0.020.590.42NANAXXX
    88342AImmunohistochemistry0.852.051.61NANA0.052.952.51NANAXXX
    8834226AImmunohistochemistry0.850.230.330.230.330.031.111.211.111.21XXX
    88342TCAImmunohistochemistry0.001.821.28NANA0.021.841.30NANAXXX
    88346AImmunofluorescent study0.861.971.67NANA0.052.882.58NANAXXX
    8834626AImmunofluorescent study0.860.230.330.230.330.031.121.221.121.22XXX
    88346TCAImmunofluorescent study0.001.741.34NANA0.021.761.36NANAXXX
    88347AImmunofluorescent study0.861.301.27NANA0.052.212.18NANAXXX
    8834726AImmunofluorescent study0.860.180.310.180.310.031.071.201.071.20XXX
    88347TCAImmunofluorescent study0.001.120.96NANA0.021.140.98NANAXXX
    88348AElectron microscopy1.5118.2711.58NANA0.1319.9113.22NANAXXX
    8834826AElectron microscopy1.510.420.590.420.590.061.992.161.992.16XXX
    88348TCAElectron microscopy0.0017.8511.00NANA0.0717.9211.07NANAXXX
    88349AScanning electron microscopy0.768.974.91NANA0.099.825.76NANAXXX
    8834926AScanning electron microscopy0.760.220.300.220.300.031.011.091.011.09XXX
    88349TCAScanning electron microscopy0.008.754.61NANA0.068.814.67NANAXXX
    88355AAnalysis, skeletal muscle1.853.407.42NANA0.135.389.40NANAXXX
    8835526AAnalysis, skeletal muscle1.850.400.690.400.690.072.322.612.322.61XXX
    88355TCAAnalysis, skeletal muscle0.002.996.73NANA0.063.056.79NANAXXX
    88356AAnalysis, nerve3.026.754.82NANA0.199.968.03NANAXXX
    8835626AAnalysis, nerve3.020.791.140.791.140.123.934.283.934.28XXX
    88356TCAAnalysis, nerve0.005.963.68NANA0.076.033.75NANAXXX
    88358AAnalysis, tumor0.951.140.92NANA0.172.262.04NANAXXX
    8835826AAnalysis, tumor0.950.170.340.170.340.101.221.391.221.39XXX
    88358TCAAnalysis, tumor0.000.970.57NANA0.071.040.64NANAXXX
    88360ATumor immunohistochem/manual1.102.331.87NANA0.083.513.05NANAXXX
    8836026ATumor immunohistochem/manual1.100.280.420.280.420.061.441.581.441.58XXX
    88360TCATumor immunohistochem/manual0.002.041.46NANA0.022.061.48NANAXXX
    88361ATumor immunohistochem/comput1.182.792.96NANA0.174.144.31NANAXXX
    8836126ATumor immunohistochem/comput1.180.260.430.260.430.101.541.711.541.71XXX
    88361TCATumor immunohistochem/comput0.002.532.53NANA0.072.602.60NANAXXX
    88362ANerve teasing preparations2.175.314.85NANA0.157.637.17NANAXXX
    8836226ANerve teasing preparations2.170.610.840.610.840.092.873.102.873.10XXX
    88362TCANerve teasing preparations0.004.714.01NANA0.064.774.07NANAXXX
    88365AInsitu hybridization (fish)1.202.992.34NANA0.054.243.59NANAXXX
    8836526AInsitu hybridization (fish)1.200.250.450.250.450.031.481.681.481.68XXX
    88365TCAInsitu hybridization (fish)0.002.741.90NANA0.022.761.92NANAXXX
    88367AInsitu hybridization, auto1.305.304.35NANA0.126.725.77NANAXXX
    8836726AInsitu hybridization, auto1.300.230.460.230.460.061.591.821.591.82XXX
    88367TCAInsitu hybridization, auto0.005.063.88NANA0.065.123.94NANAXXX
    88368AInsitu hybridization, manual1.404.833.00NANA0.126.354.52NANAXXX
    8836826AInsitu hybridization, manual1.400.220.510.220.510.061.681.971.681.97XXX
    88368TCAInsitu hybridization, manual0.004.602.49NANA0.064.662.55NANAXXX
    8837126AProtein, western blot tissue0.370.100.120.100.120.010.480.500.480.50XXX
    8837226AProtein analysis w/probe0.370.110.150.110.150.010.490.530.490.53XXX
    88380CMicrodissection0.000.000.000.000.000.000.000.000.000.00XXX
    8838026CMicrodissection0.000.000.000.000.000.000.000.000.000.00XXX
    Start Printed Page 49213
    88380TCCMicrodissection0.000.000.000.000.000.000.000.000.000.00XXX
    88384CEval molecular probes, 11-500.000.000.000.000.000.000.000.000.000.00XXX
    8838426CEval molecular probes, 11-500.000.000.000.000.000.000.000.000.000.00XXX
    88384TCCEval molecular probes, 11-500.000.000.000.000.000.000.000.000.000.00XXX
    88385AEval molecul probes, 51-2501.5014.759.00NANA0.1216.3710.62NANAXXX
    8838526AEval molecul probes, 51-2501.500.240.550.240.550.061.802.111.802.11XXX
    88385TCAEval molecul probes, 51-2500.0014.518.45NANA0.0614.578.51NANAXXX
    88386AEval molecul probes, 251-5001.8814.658.94NANA0.1616.6910.98NANAXXX
    8838626AEval molecul probes, 251-5001.880.300.690.300.690.082.262.652.262.65XXX
    88386TCAEval molecul probes, 251-5000.0014.358.25NANA0.0814.438.33NANAXXX
    88399CSurgical pathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    8839926CSurgical pathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    88399TCCSurgical pathology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    89049AChct for mal hyperthermia1.403.623.570.200.250.065.085.031.661.71XXX
    8906026AExam,synovial fluid crystals0.370.120.150.120.150.010.500.530.500.53XXX
    89100ASample intestinal contents0.608.873.590.590.310.039.504.221.220.94XXX
    89105ASample intestinal contents0.507.683.590.450.240.028.204.110.970.76XXX
    89130ASample stomach contents0.456.953.040.390.200.027.423.510.860.67XXX
    89132ASample stomach contents0.196.512.790.290.120.016.712.990.490.32XXX
    89135ASample stomach contents0.798.873.640.670.360.049.704.471.501.19XXX
    89136ASample stomach contents0.217.133.080.320.150.017.353.300.540.37XXX
    89140ASample stomach contents0.946.893.280.500.330.047.874.261.481.31XXX
    89141ASample stomach contents0.855.543.480.400.350.036.424.361.281.23XXX
    89220ASputum specimen collection0.000.360.41NANA0.020.380.43NANAXXX
    89230ACollect sweat for test0.000.080.10NANA0.020.100.12NANAXXX
    89240CPathology lab procedure0.000.000.000.000.000.000.000.000.000.00XXX
    90465AImmune admin 1 inj, < 8 yrs0.170.450.35NANA0.010.630.53NANAXXX
    90466AImmune admin addl inj, < 8 y0.150.120.130.040.110.010.280.290.200.27ZZZ
    90467RImmune admin o or n, < 8 yrs0.170.170.170.070.090.010.350.350.250.27XXX
    90468RImmune admin o/n, addl < 8 y0.150.100.110.030.050.010.260.270.190.21ZZZ
    90471AImmunization admin0.170.450.35NANA0.010.630.53NANAXXX
    90472AImmunization admin, each add0.150.120.130.040.110.010.280.290.200.27ZZZ
    90473RImmune admin oral/nasal0.170.160.180.040.060.010.340.360.220.24XXX
    90474RImmune admin oral/nasal addl0.150.080.100.030.050.010.240.260.190.21ZZZ
    90760AHydration iv infusion, init0.171.311.40NANA0.071.551.64NANAXXX
    90761AHydrate iv infusion, add-on0.090.320.38NANA0.040.450.51NANAZZZ
    90765ATher/proph/diag iv inf, init0.211.621.72NANA0.071.902.00NANAXXX
    90766ATher/proph/dg iv inf, add-on0.180.370.44NANA0.040.590.66NANAZZZ
    90767ATx/proph/dg addl seq iv inf0.190.690.84NANA0.040.921.07NANAZZZ
    90768ATher/diag concurrent inf0.170.330.41NANA0.040.540.62NANAZZZ
    90772ATher/proph/diag inj, sc/im0.170.450.35NANA0.010.630.53NANAXXX
    90773ATher/proph/diag inj, ia0.170.300.31NANA0.020.490.50NANAXXX
    90774ATher/proph/diag inj, iv push0.181.341.31NANA0.041.561.53NANAXXX
    90775ATher/proph/diag inj add-on0.100.510.56NANA0.040.650.70NANAZZZ
    90779CTher/prop/diag inj/inf proc0.000.000.000.000.000.000.000.000.000.00XXX
    90801APsy dx interview2.801.471.250.590.850.064.334.113.453.71XXX
    90802AIntac psy dx interview3.011.511.280.650.900.074.594.363.733.98XXX
    90804APsytx, office, 20-30 min1.210.540.500.210.340.031.781.741.451.58XXX
    90805APsytx, off, 20-30 min w/e&m1.370.590.520.240.380.031.991.921.641.78XXX
    90806APsytx, off, 45-50 min1.860.510.650.320.530.042.412.552.222.43XXX
    90807APsytx, off, 45-50 min w/e&m2.020.700.700.350.560.052.772.772.422.63XXX
    90808APsytx, office, 75-80 min2.790.670.940.480.800.063.523.793.333.65XXX
    90809APsytx, off, 75-80, w/e&m2.950.850.960.510.820.073.873.983.533.84XXX
    90810AIntac psytx, off, 20-30 min1.320.510.510.230.370.041.871.871.591.73XXX
    90811AIntac psytx, 20-30, w/e&m1.480.720.610.260.410.042.242.131.781.93XXX
    90812AIntac psytx, off, 45-50 min1.970.630.750.330.560.042.642.762.342.57XXX
    90813AIntac psytx, 45-50 min w/e&m2.130.820.780.370.600.053.002.962.552.78XXX
    90814AIntac psytx, off, 75-80 min2.900.771.020.500.860.063.733.983.463.82XXX
    90815AIntac psytx, 75-80 w/e&m3.060.981.030.530.850.074.114.163.663.98XXX
    90816APsytx, hosp, 20-30 min1.25NANA0.310.420.03NANA1.591.70XXX
    90817APsytx, hosp, 20-30 min w/e&m1.41NANA0.350.430.03NANA1.791.87XXX
    90818APsytx, hosp, 45-50 min1.89NANA0.420.620.04NANA2.352.55XXX
    90819APsytx, hosp, 45-50 min w/e&m2.05NANA0.460.600.05NANA2.562.70XXX
    90821APsytx, hosp, 75-80 min2.83NANA0.580.900.06NANA3.473.79XXX
    90822APsytx, hosp, 75-80 min w/e&m2.99NANA0.620.870.08NANA3.693.94XXX
    90823AIntac psytx, hosp, 20-30 min1.36NANA0.330.440.03NANA1.721.83XXX
    Start Printed Page 49214
    90824AIntac psytx, hsp 20-30 w/e&m1.52NANA0.370.460.04NANA1.932.02XXX
    90826AIntac psytx, hosp, 45-50 min2.01NANA0.440.650.05NANA2.502.71XXX
    90827AIntac psytx, hsp 45-50 w/e&m2.16NANA0.480.630.05NANA2.692.84XXX
    90828AIntac psytx, hosp, 75-80 min2.94NANA0.600.950.06NANA3.603.95XXX
    90829AIntac psytx, hsp 75-80 w/e&m3.10NANA0.640.900.07NANA3.814.07XXX
    90845APsychoanalysis1.790.380.530.310.490.042.212.362.142.32XXX
    90846RFamily psytx w/o patient1.830.500.610.420.590.042.372.482.292.46XXX
    90847RFamily psytx w/patient2.210.720.800.480.690.052.983.062.742.95XXX
    90849RMultiple family group psytx0.590.300.280.200.230.020.910.890.810.84XXX
    90853AGroup psychotherapy0.590.270.260.200.220.010.870.860.800.82XXX
    90857AIntac group psytx0.630.360.310.200.240.011.000.950.840.88XXX
    90862AMedication management0.950.620.460.270.310.021.591.431.241.28XXX
    90865ANarcosynthesis2.841.181.320.630.840.124.144.283.593.80XXX
    90870AElectroconvulsive therapy1.881.901.920.380.540.043.823.842.302.46000
    90875NPsychophysiological therapy1.200.530.810.280.420.041.772.051.521.66XXX
    90876NPsychophysiological therapy1.900.681.040.440.660.052.632.992.392.61XXX
    90880AHypnotherapy2.190.560.920.370.610.052.803.162.612.85XXX
    90885BPsy evaluation of records0.970.230.340.230.340.021.221.331.221.33XXX
    90887BConsultation with family1.480.620.770.340.510.042.142.291.862.03XXX
    90899CPsychiatric service/therapy0.000.000.000.000.000.000.000.000.000.00XXX
    90901ABiofeedback train, any meth0.410.480.610.110.130.020.911.040.540.56000
    90911ABiofeedback peri/uro/rectal0.891.381.520.300.310.062.332.471.251.26000
    90918IESRD related services, month11.164.755.773.785.530.3616.2717.2915.3017.05XXX
    90919IESRD related services, month8.533.063.772.583.650.2911.8812.5911.4012.47XXX
    90920IESRD related services, month7.262.773.512.293.390.2310.2611.009.7810.88XXX
    90921IESRD related services, month4.461.732.261.632.240.146.336.866.236.84XXX
    90922IESRD related services, day0.370.160.200.130.190.010.540.580.510.57XXX
    90923IEsrd related services, day0.280.100.120.080.120.010.390.410.370.41XXX
    90924IEsrd related services, day0.240.090.110.080.110.010.340.360.330.36XXX
    90925IEsrd related services, day0.150.060.080.050.070.010.220.240.210.23XXX
    90935AHemodialysis, one evaluation1.22NANA0.540.640.04NANA1.801.90000
    90937AHemodialysis, repeated eval2.11NANA0.780.920.07NANA2.963.10000
    90945ADialysis, one evaluation1.28NANA0.560.660.04NANA1.881.98000
    90947ADialysis, repeated eval2.16NANA0.800.940.07NANA3.033.17000
    90997AHemoperfusion1.84NANA0.500.620.06NANA2.402.52000
    90999CDialysis procedure0.000.000.000.000.000.000.000.000.000.00XXX
    91000AEsophageal intubation0.732.220.802.220.800.042.991.572.991.57000
    9100026AEsophageal intubation0.730.240.250.240.250.031.001.011.001.01000
    91000TCAEsophageal intubation0.001.980.561.980.560.011.990.571.990.57000
    91010AEsophagus motility study1.253.664.223.664.220.125.035.595.035.59000
    9101026AEsophagus motility study1.250.550.470.550.470.061.861.781.861.78000
    91010TCAEsophagus motility study0.003.113.763.113.760.063.173.823.173.82000
    91011AEsophagus motility study1.505.315.245.315.240.136.946.876.946.87000
    9101126AEsophagus motility study1.500.700.570.700.570.072.272.142.272.14000
    91011TCAEsophagus motility study0.004.614.684.614.680.064.674.744.674.74000
    91012AEsophagus motility study1.465.495.695.495.690.137.087.287.087.28000
    9101226AEsophagus motility study1.460.680.550.680.550.062.202.072.202.07000
    91012TCAEsophagus motility study0.004.815.134.815.130.074.885.204.885.20000
    91020AGastric motility studies1.444.794.594.794.590.136.366.166.366.16000
    9102026AGastric motility studies1.440.610.520.610.520.072.122.032.122.03000
    91020TCAGastric motility studies0.004.194.074.194.070.064.254.134.254.13000
    91022ADuodenal motility study1.443.094.073.094.070.134.665.644.665.64000
    9102226ADuodenal motility study1.440.610.540.610.540.072.122.052.122.05000
    91022TCADuodenal motility study0.002.483.542.483.540.062.543.602.543.60000
    91030AAcid perfusion of esophagus0.912.922.552.922.550.063.893.523.893.52000
    9103026AAcid perfusion of esophagus0.910.430.350.430.350.041.381.301.381.30000
    Start Printed Page 49215
    91030TCAAcid perfusion of esophagus0.002.492.212.492.210.022.512.232.512.23000
    91034AGastroesophageal reflux test0.974.124.954.124.950.125.216.045.216.04000
    9103426AGastroesophageal reflux test0.970.410.360.410.360.061.441.391.441.39000
    91034TCAGastroesophageal reflux test0.003.704.603.704.600.063.764.663.764.66000
    91035AG-esoph reflx tst w/electrod1.5911.3310.9311.3310.930.1213.0412.6413.0412.64000
    9103526AG-esoph reflx tst w/electrod1.590.700.600.700.600.062.352.252.352.25000
    91035TCAG-esoph reflx tst w/electrod0.0010.6310.3410.6310.340.0610.6910.4010.6910.40000
    91037AEsoph imped function test0.973.413.053.413.050.124.504.144.504.14000
    9103726AEsoph imped function test0.970.420.360.420.360.061.451.391.451.39000
    91037TCAEsoph imped function test0.002.992.692.992.690.063.052.753.052.75000
    91038AEsoph imped funct test > 1h1.102.782.362.782.360.124.003.584.003.58000
    9103826AEsoph imped funct test > 1h1.100.500.420.500.420.061.661.581.661.58000
    91038TCAEsoph imped funct test > 1h0.002.281.942.281.940.062.342.002.342.00000
    91040AEsoph balloon distension tst0.979.3510.699.3510.690.1210.4411.7810.4411.78000
    9104026AEsoph balloon distension tst0.970.370.350.370.350.061.401.381.401.38000
    91040TCAEsoph balloon distension tst0.008.9710.348.9710.340.069.0310.409.0310.40000
    91052AGastric analysis test0.792.992.592.992.590.053.833.433.833.43000
    9105226AGastric analysis test0.790.370.300.370.300.031.191.121.191.12000
    91052TCAGastric analysis test0.002.622.282.622.280.022.642.302.642.30000
    91055AGastric intubation for smear0.942.442.822.442.820.073.453.833.453.83000
    9105526AGastric intubation for smear0.940.270.270.270.270.051.261.261.261.26000
    91055TCAGastric intubation for smear0.002.172.552.172.550.022.192.572.192.57000
    91060AGastric saline load test0.451.651.881.651.880.052.152.382.152.38000
    9106026AGastric saline load test0.450.110.130.110.130.030.590.610.590.61000
    91060TCAGastric saline load test0.001.541.751.541.750.021.561.771.561.77000
    91065ABreath hydrogen test0.201.411.451.411.450.031.641.681.641.68000
    9106526ABreath hydrogen test0.200.070.070.070.070.010.280.280.280.28000
    91065TCABreath hydrogen test0.001.341.381.341.380.021.361.401.361.40000
    91100APass intestine bleeding tube1.082.152.630.370.300.073.303.781.521.45000
    91105AGastric intubation treatment0.371.762.020.070.090.032.162.420.470.49000
    91110AGi tract capsule endoscopy3.6420.5521.77NANA0.1624.3525.57NANAXXX
    9111026AGi tract capsule endoscopy3.641.661.381.661.380.095.395.115.395.11XXX
    91110TCAGi tract capsule endoscopy0.0018.9020.40NANA0.0718.9720.47NANAXXX
    91120ARectal sensation test0.979.1210.529.1210.520.1110.2011.6010.2011.60XXX
    9112026ARectal sensation test0.970.300.330.300.330.071.341.371.341.37XXX
    91120TCARectal sensation test0.008.8210.198.8210.190.048.8610.238.8610.23XXX
    91122AAnal pressure record1.773.764.773.764.770.215.746.755.746.75000
    9112226AAnal pressure record1.770.520.580.520.580.132.422.482.422.48000
    91122TCAAnal pressure record0.003.244.193.244.190.083.324.273.324.27000
    91132CElectrogastrography0.000.000.000.000.000.000.000.000.000.00XXX
    9113226AElectrogastrography0.520.250.200.250.200.020.790.740.790.74XXX
    91132TCCElectrogastrography0.000.000.000.000.000.000.000.000.000.00XXX
    91133CElectrogastrography w/test0.000.000.000.000.000.000.000.000.000.00XXX
    9113326AElectrogastrography w/test0.660.300.250.300.250.030.990.940.990.94XXX
    91133TCCElectrogastrography w/test0.000.000.000.000.000.000.000.000.000.00XXX
    91299CGastroenterology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    9129926CGastroenterology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    91299TCCGastroenterology procedure0.000.000.000.000.000.000.000.000.000.00XXX
    92002AEye exam, new patient0.880.970.970.270.320.021.871.871.171.22XXX
    92004AEye exam, new patient1.671.591.670.540.650.043.303.382.252.36XXX
    92012AEye exam established pat0.670.941.010.240.280.021.631.700.930.97XXX
    92014AEye exam & treatment1.101.321.390.380.450.032.452.521.511.58XXX
    92015NRefraction0.380.101.140.090.140.010.491.530.480.53XXX
    92018ANew eye exam & treatment2.50NANA0.911.030.07NANA3.483.60XXX
    92019AEye exam & treatment1.31NANA0.440.530.03NANA1.781.87XXX
    92020ASpecial eye evaluation0.370.260.320.130.150.010.640.700.510.53XXX
    92060ASpecial eye evaluation0.690.790.75NANA0.031.511.47NANAXXX
    9206026ASpecial eye evaluation0.690.230.280.230.280.020.940.990.940.99XXX
    92060TCASpecial eye evaluation0.000.560.47NANA0.010.570.48NANAXXX
    92065AOrthoptic/pleoptic training0.370.890.62NANA0.021.281.01NANAXXX
    9206526AOrthoptic/pleoptic training0.370.090.140.090.140.010.470.520.470.52XXX
    92065TCAOrthoptic/pleoptic training0.000.790.48NANA0.010.800.49NANAXXX
    92070AFitting of contact lens0.700.941.040.240.300.021.661.760.961.02XXX
    92081AVisual field examination(s)0.360.970.95NANA0.021.351.33NANAXXX
    9208126AVisual field examination(s)0.360.110.140.110.140.010.480.510.480.51XXX
    92081TCAVisual field examination(s)0.000.860.81NANA0.010.870.82NANAXXX
    Start Printed Page 49216
    92082AVisual field examination(s)0.441.361.26NANA0.021.821.72NANAXXX
    9208226AVisual field examination(s)0.440.140.180.140.180.010.590.630.590.63XXX
    92082TCAVisual field examination(s)0.001.221.09NANA0.011.231.10NANAXXX
    92083AVisual field examination(s)0.501.561.46NANA0.022.081.98NANAXXX
    9208326AVisual field examination(s)0.500.170.210.170.210.010.680.720.680.72XXX
    92083TCAVisual field examination(s)0.001.391.26NANA0.011.401.27NANAXXX
    92100ASerial tonometry exam(s)0.921.281.330.290.340.022.222.271.231.28XXX
    92120ATonography & eye evaluation0.811.001.050.260.310.021.831.881.091.14XXX
    92130AWater provocation tonography0.811.211.260.280.350.022.042.091.111.18XXX
    92135AOpthalmic dx imaging0.350.810.80NANA0.021.181.17NANAXXX
    9213526AOpthalmic dx imaging0.350.120.140.120.140.010.480.500.480.50XXX
    92135TCAOpthalmic dx imaging0.000.690.65NANA0.010.700.66NANAXXX
    92136AOphthalmic biometry0.541.461.60NANA0.082.082.22NANAXXX
    9213626AOphthalmic biometry0.540.200.230.200.230.010.750.780.750.78XXX
    92136TCAOphthalmic biometry0.001.261.37NANA0.071.331.44NANAXXX
    92140AGlaucoma provocative tests0.500.920.970.150.200.011.431.480.660.71XXX
    92225ASpecial eye exam, initial0.380.250.230.130.150.010.640.620.520.54XXX
    92226ASpecial eye exam, subsequent0.330.240.220.120.140.010.580.560.460.48XXX
    92230AEye exam with photos0.600.731.330.210.200.021.351.950.830.82XXX
    92235AEye exam with photos0.812.332.54NANA0.083.223.43NANAXXX
    9223526AEye exam with photos0.810.300.350.300.350.021.131.181.131.18XXX
    92235TCAEye exam with photos0.002.022.19NANA0.062.082.25NANAXXX
    92240AIcg angiography1.104.515.70NANA0.095.706.89NANAXXX
    9224026AIcg angiography1.100.410.480.410.480.031.541.611.541.61XXX
    92240TCAIcg angiography0.004.095.22NANA0.064.155.28NANAXXX
    92250AEye exam with photos0.441.341.48NANA0.021.801.94NANAXXX
    9225026AEye exam with photos0.440.150.180.150.180.010.600.630.600.63XXX
    92250TCAEye exam with photos0.001.191.30NANA0.011.201.31NANAXXX
    92260AOphthalmoscopy/dynamometry0.200.230.250.070.090.010.440.460.280.30XXX
    92265AEye muscle evaluation0.811.011.37NANA0.061.882.24NANAXXX
    9226526AEye muscle evaluation0.810.240.270.240.270.041.091.121.091.12XXX
    92265TCAEye muscle evaluation0.000.761.10NANA0.020.781.12NANAXXX
    92270AElectro-oculography0.811.421.50NANA0.052.282.36NANAXXX
    9227026AElectro-oculography0.810.240.310.240.310.031.081.151.081.15XXX
    92270TCAElectro-oculography0.001.171.19NANA0.021.191.21NANAXXX
    92275AElectroretinography1.012.482.07NANA0.053.543.13NANAXXX
    9227526AElectroretinography1.010.360.410.360.410.031.401.451.401.45XXX
    92275TCAElectroretinography0.002.121.66NANA0.022.141.68NANAXXX
    92283AColor vision examination0.171.020.89NANA0.021.211.08NANAXXX
    9228326AColor vision examination0.170.050.070.050.070.010.230.250.230.25XXX
    92283TCAColor vision examination0.000.960.82NANA0.010.970.83NANAXXX
    92284ADark adaptation eye exam0.241.251.72NANA0.021.511.98NANAXXX
    9228426ADark adaptation eye exam0.240.090.080.090.080.010.340.330.340.33XXX
    92284TCADark adaptation eye exam0.001.161.64NANA0.011.171.65NANAXXX
    92285AEye photography0.200.820.95NANA0.021.041.17NANAXXX
    9228526AEye photography0.200.070.090.070.090.010.280.300.280.30XXX
    92285TCAEye photography0.000.750.86NANA0.010.760.87NANAXXX
    92286AInternal eye photography0.662.162.83NANA0.042.863.53NANAXXX
    9228626AInternal eye photography0.660.240.280.240.280.020.920.960.920.96XXX
    92286TCAInternal eye photography0.001.922.55NANA0.021.942.57NANAXXX
    92287AInternal eye photography0.811.982.280.300.310.022.813.111.131.14XXX
    92310NContact lens fitting1.171.071.110.270.410.042.282.321.481.62XXX
    92311AContact lens fitting1.081.311.150.320.340.032.422.261.431.45XXX
    92312AContact lens fitting1.261.511.190.360.470.032.802.481.651.76XXX
    92313AContact lens fitting0.921.491.170.330.300.022.432.111.271.24XXX
    92314NPrescription of contact lens0.691.150.990.160.240.011.851.690.860.94XXX
    Start Printed Page 49217
    92315APrescription of contact lens0.451.350.980.130.150.011.811.440.590.61XXX
    92316APrescription of contact lens0.681.691.110.240.280.022.391.810.940.98XXX
    92317APrescription of contact lens0.451.461.070.140.150.011.921.530.600.61XXX
    92325AModification of contact lens0.000.850.51NANA0.010.860.52NANAXXX
    92326AReplacement of contact lens0.000.761.41NANA0.060.821.47NANAXXX
    92340NFitting of spectacles0.370.450.640.090.130.010.831.020.470.51XXX
    92341NFitting of spectacles0.470.470.670.110.160.010.951.150.590.64XXX
    92342NFitting of spectacles0.530.480.690.120.190.011.021.230.660.73XXX
    92352BSpecial spectacles fitting0.370.570.650.090.130.010.951.030.470.51XXX
    92353BSpecial spectacles fitting0.500.600.700.120.170.021.121.220.640.69XXX
    92354BSpecial spectacles fitting0.000.296.72NANA0.100.396.82NANAXXX
    92355BSpecial spectacles fitting0.000.453.36NANA0.010.463.37NANAXXX
    92358BEye prosthesis service0.000.240.79NANA0.050.290.84NANAXXX
    92370NRepair & adjust spectacles0.320.390.510.070.120.020.730.850.410.46XXX
    92371BRepair & adjust spectacles0.000.240.53NANA0.020.260.55NANAXXX
    92499CEye service or procedure0.000.000.000.000.000.000.000.000.000.00XXX
    9249926CEye service or procedure0.000.000.000.000.000.000.000.000.000.00XXX
    92499TCCEye service or procedure0.000.000.000.000.000.000.000.000.000.00XXX
    92502AEar and throat examination1.51NANA0.771.030.05NANA2.332.59000
    92504AEar microscopy examination0.180.550.510.050.080.010.740.700.240.27XXX
    92506ASpeech/hearing evaluation0.863.282.760.240.360.034.173.651.131.25XXX
    92507ASpeech/hearing therapy0.521.191.130.140.210.021.731.670.680.75XXX
    92508ASpeech/hearing therapy0.260.520.510.080.110.010.790.780.350.38XXX
    92511ANasopharyngoscopy0.842.923.210.610.740.033.794.081.481.61000
    92512ANasal function studies0.550.931.090.150.170.021.501.660.720.74XXX
    92516AFacial nerve function test0.431.151.190.120.200.011.591.630.560.64XXX
    92520ALaryngeal function studies0.750.910.610.230.350.031.691.391.011.13XXX
    92526AOral function therapy0.551.681.650.160.190.022.252.220.730.76XXX
    92541ASpontaneous nystagmus test0.401.161.06NANA0.041.601.50NANAXXX
    9254126ASpontaneous nystagmus test0.400.120.170.120.170.020.540.590.540.59XXX
    92541TCASpontaneous nystagmus test0.001.040.89NANA0.021.060.91NANAXXX
    92542APositional nystagmus test0.331.301.18NANA0.031.661.54NANAXXX
    9254226APositional nystagmus test0.330.100.150.100.150.010.440.490.440.49XXX
    92542TCAPositional nystagmus test0.001.201.04NANA0.021.221.06NANAXXX
    92543ACaloric vestibular test0.100.660.59NANA0.020.780.71NANAXXX
    9254326ACaloric vestibular test0.100.030.050.030.050.010.140.160.140.16XXX
    92543TCACaloric vestibular test0.000.630.55NANA0.010.640.56NANAXXX
    92544AOptokinetic nystagmus test0.261.060.94NANA0.031.351.23NANAXXX
    9254426AOptokinetic nystagmus test0.260.080.110.080.110.010.350.380.350.38XXX
    92544TCAOptokinetic nystagmus test0.000.980.83NANA0.021.000.85NANAXXX
    92545AOscillating tracking test0.231.030.86NANA0.031.291.12NANAXXX
    9254526AOscillating tracking test0.230.070.100.070.100.010.310.340.310.34XXX
    92545TCAOscillating tracking test0.000.960.76NANA0.020.980.78NANAXXX
    92546ASinusoidal rotational test0.291.901.96NANA0.032.222.28NANAXXX
    9254626ASinusoidal rotational test0.290.090.120.090.120.010.390.420.390.42XXX
    92546TCASinusoidal rotational test0.001.811.84NANA0.021.831.86NANAXXX
    92547ASupplemental electrical test0.000.110.090.110.090.060.170.150.170.15ZZZ
    92548APosturography0.501.722.12NANA0.152.372.77NANAXXX
    9254826APosturography0.500.150.230.150.230.020.670.750.670.75XXX
    92548TCAPosturography0.001.571.89NANA0.131.702.02NANAXXX
    92552APure tone audiometry, air0.000.560.47NANA0.040.600.51NANAXXX
    92553AAudiometry, air & bone0.000.710.67NANA0.060.770.73NANAXXX
    92555ASpeech threshold audiometry0.000.380.38NANA0.040.420.42NANAXXX
    92556ASpeech audiometry, complete0.000.520.56NANA0.060.580.62NANAXXX
    92557AComprehensive hearing test0.001.271.21NANA0.121.391.33NANAXXX
    92561ABekesy audiometry, diagnosis0.000.790.74NANA0.060.850.80NANAXXX
    92562ALoudness balance test0.000.670.48NANA0.040.710.52NANAXXX
    92563ATone decay hearing test0.000.530.42NANA0.040.570.46NANAXXX
    92564ASisi hearing test0.000.510.48NANA0.050.560.53NANAXXX
    92565AStenger test, pure tone0.000.270.37NANA0.040.310.41NANAXXX
    92567ATympanometry0.000.500.52NANA0.060.560.58NANAXXX
    92568AAcoustic refl threshold tst0.000.150.32NANA0.040.190.36NANAXXX
    92569AAcoustic reflex decay test0.000.160.35NANA0.040.200.39NANAXXX
    92571AFiltered speech hearing test0.000.400.39NANA0.040.440.43NANAXXX
    92572AStaggered spondaic word test0.000.610.22NANA0.010.620.23NANAXXX
    92573ALombard test0.000.490.39NANA0.040.530.43NANAXXX
    Start Printed Page 49218
    92575ASensorineural acuity test0.001.100.50NANA0.021.120.52NANAXXX
    92576ASynthetic sentence test0.000.540.47NANA0.050.590.52NANAXXX
    92577AStenger test, speech0.000.280.61NANA0.070.350.68NANAXXX
    92579AVisual audiometry (vra)0.000.840.76NANA0.060.900.82NANAXXX
    92582AConditioning play audiometry0.001.080.82NANA0.061.140.88NANAXXX
    92583ASelect picture audiometry0.000.700.84NANA0.080.780.92NANAXXX
    92584AElectrocochleography0.001.282.17NANA0.211.492.38NANAXXX
    92585AAuditor evoke potent, compre0.502.012.05NANA0.172.682.72NANAXXX
    9258526AAuditor evoke potent, compre0.500.150.200.150.200.030.680.730.680.73XXX
    92585TCAAuditor evoke potent, compre0.001.861.85NANA0.142.001.99NANAXXX
    92586AAuditor evoke potent, limit0.001.411.74NANA0.141.551.88NANAXXX
    92587AEvoked auditory test0.130.611.18NANA0.120.861.43NANAXXX
    9258726AEvoked auditory test0.130.040.060.040.060.010.180.200.180.20XXX
    92587TCAEvoked auditory test0.000.581.13NANA0.110.691.24NANAXXX
    92588AEvoked auditory test0.361.051.49NANA0.141.551.99NANAXXX
    9258826AEvoked auditory test0.360.110.150.110.150.010.480.520.480.52XXX
    92588TCAEvoked auditory test0.000.951.34NANA0.131.081.47NANAXXX
    92596AEar protector evaluation0.000.930.68NANA0.060.990.74NANAXXX
    92597AOral speech device eval0.861.691.690.240.400.032.582.581.131.29XXX
    92601ACochlear implt f/up exam < 70.004.873.84NANA0.074.943.91NANAXXX
    92602AReprogram cochlear implt < 70.003.342.62NANA0.073.412.69NANAXXX
    92603ACochlear implt f/up exam 7 >0.003.172.40NANA0.073.242.47NANAXXX
    92604AReprogram cochlear implt 7 >0.002.091.54NANA0.072.161.61NANAXXX
    92607AEx for speech device rx, 1hr0.004.283.38NANA0.054.333.43NANAXXX
    92608AEx for speech device rx addl0.000.870.63NANA0.050.920.68NANAXXX
    92609AUse of speech device service0.002.301.77NANA0.042.341.81NANAXXX
    92610AEvaluate swallowing function0.001.622.98NANA0.081.703.06NANAXXX
    92611AMotion fluoroscopy/swallow0.001.903.05NANA0.081.983.13NANAXXX
    92612AEndoscopy swallow tst (fees)1.272.742.740.360.590.044.054.051.671.90XXX
    92613AEndoscopy swallow tst (fees)0.710.220.360.220.350.050.981.120.981.11XXX
    92614ALaryngoscopic sensory test1.272.232.430.360.590.043.543.741.671.90XXX
    92615AEval laryngoscopy sense tst0.630.180.310.180.310.050.860.990.860.99XXX
    92616AFees w/laryngeal sense test1.882.913.270.530.880.064.855.212.472.82XXX
    92617AInterprt fees/laryngeal test0.790.220.390.220.390.051.061.231.061.23XXX
    92620AAuditory function, 60 min0.001.871.32NANA0.061.931.38NANAXXX
    92621AAuditory function, + 15 min0.000.400.29NANA0.060.460.35NANAZZZ
    92625ATinnitus assessment0.001.821.301.821.300.061.881.361.881.36XXX
    92626AEval aud rehab status0.001.852.11NANA0.061.912.17NANAXXX
    92627AEval aud status rehab add-on0.000.420.520.420.520.020.440.540.440.54ZZZ
    92700CEnt procedure/service0.000.000.000.000.000.000.000.000.000.00XXX
    92950AHeart/lung resuscitation cpr3.793.243.960.770.920.287.318.034.844.99000
    92953ATemporary external pacing0.23NANA0.070.070.02NANA0.320.32000
    92960ACardioversion electric, ext2.254.425.841.471.250.076.748.163.793.57000
    92961ACardioversion, electric, int4.59NANA2.492.180.29NANA7.377.06000
    92970ACardioassist, internal3.51NANA1.611.200.16NANA5.284.87000
    92971ACardioassist, external1.77NANA1.080.910.06NANA2.912.74000
    92973APercut coronary thrombectomy3.28NANA1.791.420.23NANA5.304.93ZZZ
    92974ACath place, cardio brachytx3.00NANA1.671.300.21NANA4.884.51ZZZ
    92975ADissolve clot, heart vessel7.24NANA3.883.080.50NANA11.6210.82000
    92977ADissolve clot, heart vessel0.001.736.47NANA0.462.196.93NANAXXX
    92978AIntravasc us, heart add-on1.80NANANANA0.30NANANANAZZZ
    9297826AIntravasc us, heart add-on1.800.980.780.980.780.062.842.642.842.64ZZZ
    92978TCAIntravasc us, heart add-on0.00NANANANA0.24NANANANAZZZ
    92979AIntravasc us, heart add-on1.44NANANANA0.19NANANANAZZZ
    9297926AIntravasc us, heart add-on1.440.780.620.780.620.062.282.122.282.12ZZZ
    92979TCAIntravasc us, heart add-on0.00NANANANA0.13NANANANAZZZ
    Start Printed Page 49219
    92980AInsert intracoronary stent14.82NANA8.296.611.03NANA24.1422.46000
    92981AInsert intracoronary stent4.16NANA2.271.790.29NANA6.726.24ZZZ
    92982ACoronary artery dilation10.96NANA6.204.950.76NANA17.9216.67000
    92984ACoronary artery dilation2.97NANA1.611.270.21NANA4.794.45ZZZ
    92986ARevision of aortic valve22.64NANA15.6612.791.51NANA39.8136.94090
    92987ARevision of mitral valve23.42NANA16.0913.181.59NANA41.1038.19090
    92990ARevision of pulmonary valve18.06NANA11.1810.141.20NANA30.4429.40090
    92992CRevision of heart chamber0.000.000.000.000.000.000.000.000.000.00090
    92993CRevision of heart chamber0.000.000.000.000.000.000.000.000.000.00090
    92995ACoronary atherectomy12.07NANA6.815.420.84NANA19.7218.33000
    92996ACoronary atherectomy add-on3.26NANA1.781.400.10NANA5.144.76ZZZ
    92997APul art balloon repr, percut11.98NANA5.184.910.40NANA17.5617.29000
    92998APul art balloon repr, percut5.99NANA2.742.340.28NANA9.018.61ZZZ
    93000AElectrocardiogram, complete0.170.350.470.350.470.030.550.670.550.67XXX
    93005AElectrocardiogram, tracing0.000.280.41NANA0.020.300.43NANAXXX
    93010AElectrocardiogram report0.170.070.060.070.060.010.250.240.250.24XXX
    93012ATransmission of ecg0.001.654.92NANA0.181.835.10NANAXXX
    93014AReport on transmitted ecg0.520.210.200.210.200.020.750.740.750.74XXX
    93015ACardiovascular stress test0.751.931.951.931.950.142.822.842.822.84XXX
    93016ACardiovascular stress test0.450.230.190.230.190.020.700.660.700.66XXX
    93017ACardiovascular stress test0.001.551.65NANA0.111.661.76NANAXXX
    93018ACardiovascular stress test0.300.150.120.150.120.010.460.430.460.43XXX
    93024ACardiac drug stress test1.172.421.78NANA0.123.713.07NANAXXX
    9302426ACardiac drug stress test1.170.590.490.590.490.041.801.701.801.70XXX
    93024TCACardiac drug stress test0.001.841.30NANA0.081.921.38NANAXXX
    93025AMicrovolt t-wave assess0.753.946.68NANA0.144.837.57NANAXXX
    9302526AMicrovolt t-wave assess0.750.380.310.380.310.031.161.091.161.09XXX
    93025TCAMicrovolt t-wave assess0.003.566.37NANA0.113.676.48NANAXXX
    93040ARhythm ECG with report0.160.190.200.190.200.020.370.380.370.38XXX
    93041ARhythm ECG, tracing0.000.140.15NANA0.010.150.16NANAXXX
    93042ARhythm ECG, report0.160.050.050.050.050.010.220.220.220.22XXX
    93224AECG monitor/report, 24 hrs0.521.993.211.993.210.242.753.972.753.97XXX
    93225AECG monitor/record, 24 hrs0.001.081.20NANA0.081.161.28NANAXXX
    93226AECG monitor/report, 24 hrs0.000.621.79NANA0.140.761.93NANAXXX
    93227AECG monitor/review, 24 hrs0.520.280.210.280.210.020.820.750.820.75XXX
    93230AECG monitor/report, 24 hrs0.521.793.371.793.370.262.574.152.574.15XXX
    93231AEcg monitor/record, 24 hrs0.000.941.38NANA0.111.051.49NANAXXX
    93232AECG monitor/report, 24 hrs0.000.621.79NANA0.130.751.92NANAXXX
    93233AECG monitor/review, 24 hrs0.520.230.200.230.200.020.770.740.770.74XXX
    93235AECG monitor/report, 24 hrs0.450.212.140.212.140.160.822.750.822.75XXX
    93236CECG monitor/report, 24 hrs0.000.000.00NANA0.000.000.00NANAXXX
    93237AECG monitor/review, 24 hrs0.450.210.170.210.170.020.680.640.680.64XXX
    93268AECG record/review0.520.835.790.835.790.281.636.591.636.59XXX
    93270AECG recording0.000.311.01NANA0.080.391.09NANAXXX
    93271AEcg/monitoring and analysis0.001.995.01NANA0.182.175.19NANAXXX
    93272AEcg/review, interpret only0.520.240.200.240.200.020.780.740.780.74XXX
    93278AECG/signal-averaged0.250.591.09NANA0.120.961.46NANAXXX
    9327826AECG/signal-averaged0.250.100.100.100.100.010.360.360.360.36XXX
    93278TCAECG/signal-averaged0.000.490.99NANA0.110.601.10NANAXXX
    93303AEcho transthoracic1.304.654.42NANA0.276.225.99NANAXXX
    9330326AEcho transthoracic1.300.570.500.570.500.041.911.841.911.84XXX
    93303TCAEcho transthoracic0.004.073.91NANA0.234.304.14NANAXXX
    93304AEcho transthoracic0.753.182.46NANA0.154.083.36NANAXXX
    9330426AEcho transthoracic0.750.310.290.310.290.021.081.061.081.06XXX
    93304TCAEcho transthoracic0.002.872.17NANA0.133.002.30NANAXXX
    93307AEcho exam of heart0.923.784.10NANA0.264.965.28NANAXXX
    9330726AEcho exam of heart0.920.460.380.460.380.031.411.331.411.33XXX
    93307TCAEcho exam of heart0.003.323.73NANA0.233.553.96NANAXXX
    93308AEcho exam of heart0.532.652.27NANA0.153.332.95NANAXXX
    9330826AEcho exam of heart0.530.270.220.270.220.020.820.770.820.77XXX
    93308TCAEcho exam of heart0.002.382.05NANA0.132.512.18NANAXXX
    93312AEcho transesophageal2.207.555.32NANA0.3710.127.89NANAXXX
    9331226AEcho transesophageal2.201.010.851.010.850.083.293.133.293.13XXX
    93312TCAEcho transesophageal0.006.544.47NANA0.296.834.76NANAXXX
    93313AEcho transesophageal0.95NANA0.140.190.06NANA1.151.20XXX
    93314AEcho transesophageal1.257.285.01NANA0.338.866.59NANAXXX
    Start Printed Page 49220
    9331426AEcho transesophageal1.250.570.500.570.500.041.861.791.861.79XXX
    93314TCAEcho transesophageal0.006.714.51NANA0.297.004.80NANAXXX
    93315CEcho transesophageal0.000.000.000.000.000.000.000.000.000.00XXX
    9331526AEcho transesophageal2.781.321.091.321.090.094.193.964.193.96XXX
    93315TCCEcho transesophageal0.000.000.000.000.000.000.000.000.000.00XXX
    93316AEcho transesophageal0.95NANA0.260.250.05NANA1.261.25XXX
    93317CEcho transesophageal0.000.000.000.000.000.000.000.000.000.00XXX
    9331726AEcho transesophageal1.830.740.690.740.690.082.652.602.652.60XXX
    93317TCCEcho transesophageal0.000.000.000.000.000.000.000.000.000.00XXX
    93318CEcho transesophageal intraop0.000.000.000.000.000.000.000.000.000.00XXX
    9331826AEcho transesophageal intraop2.200.890.580.890.580.143.232.923.232.92XXX
    93318TCCEcho transesophageal intraop0.000.000.000.000.000.000.000.000.000.00XXX
    93320ADoppler echo exam, heart0.381.701.811.701.810.132.212.322.212.32ZZZ
    9332026ADoppler echo exam, heart0.380.190.160.190.160.010.580.550.580.55ZZZ
    93320TCADoppler echo exam, heart0.001.511.661.511.660.121.631.781.631.78ZZZ
    93321ADoppler echo exam, heart0.150.621.030.621.030.090.861.270.861.27ZZZ
    9332126ADoppler echo exam, heart0.150.080.070.080.070.010.240.230.240.23ZZZ
    93321TCADoppler echo exam, heart0.000.550.970.550.970.080.631.050.631.05ZZZ
    93325ADoppler color flow add-on0.070.672.370.672.370.220.962.660.962.66ZZZ
    9332526ADoppler color flow add-on0.070.040.030.040.030.010.120.110.120.11ZZZ
    93325TCADoppler color flow add-on0.000.642.340.642.340.210.852.550.852.55ZZZ
    93350AEcho transthoracic1.485.163.04NANA0.186.824.70NANAXXX
    9335026AEcho transthoracic1.480.780.620.780.620.052.312.152.312.15XXX
    93350TCAEcho transthoracic0.004.382.42NANA0.134.512.55NANAXXX
    93501ARight heart catheterization3.0223.1119.3223.1119.321.2627.3923.6027.3923.60000
    9350126ARight heart catheterization3.021.611.271.611.270.214.844.504.844.50000
    93501TCARight heart catheterization0.0021.4918.0521.4918.051.0522.5419.1022.5419.10000
    93503AInsert/place heart catheter2.91NANA0.490.630.20NANA3.603.74000
    93505ABiopsy of heart lining4.3725.129.0325.129.030.4629.9513.8629.9513.86000
    9350526ABiopsy of heart lining4.372.331.842.331.840.307.006.517.006.51000
    93505TCABiopsy of heart lining0.0022.787.1822.787.180.1622.947.3422.947.34000
    93508ACath placement, angiography4.0918.4615.6318.4615.630.9323.4820.6523.4820.65000
    9350826ACath placement, angiography4.092.232.122.232.120.286.606.496.606.49000
    93508TCACath placement, angiography0.0016.2313.5116.2313.510.6516.8814.1616.8814.16000
    93510CLeft heart catheterization0.000.000.000.000.000.000.000.000.000.00000
    9351026ALeft heart catheterization4.322.352.222.352.220.306.976.846.976.84000
    93510TCCLeft heart catheterization0.000.000.000.000.000.000.000.000.000.00000
    93511CLeft heart catheterization0.00NANA0.000.000.00NANA0.000.00000
    9351126ALeft heart catheterization5.022.662.502.662.500.358.037.878.037.87000
    93511TCCLeft heart catheterization0.00NANA0.000.000.00NANA0.000.00000
    93514CLeft heart catheterization0.000.000.000.000.000.000.000.000.000.00000
    9351426ALeft heart catheterization7.043.223.153.223.150.4910.7510.6810.7510.68000
    93514TCCLeft heart catheterization0.000.000.000.000.000.000.000.000.000.00000
    93524CLeft heart catheterization0.00NANA0.000.000.00NANA0.000.00000
    9352426ALeft heart catheterization6.943.723.313.723.310.4811.1410.7311.1410.73000
    93524TCCLeft heart catheterization0.00NANA0.000.000.00NANA0.000.00000
    93526CRt & Lt heart catheters0.000.000.000.000.000.000.000.000.000.00000
    9352626ARt & Lt heart catheters5.983.252.923.252.920.429.659.329.659.32000
    93526TCCRt & Lt heart catheters0.000.000.000.000.000.000.000.000.000.00000
    93527CRt & Lt heart catheters0.00NANA0.000.000.00NANA0.000.00000
    9352726ARt & Lt heart catheters7.273.993.483.993.480.5111.7711.2611.7711.26000
    93527TCCRt & Lt heart catheters0.00NANA0.000.000.00NANA0.000.00000
    93528CRt & Lt heart catheters0.00NANA0.000.000.00NANA0.000.00000
    9352826ARt & Lt heart catheters8.994.694.204.694.200.6214.3013.8114.3013.81000
    93528TCCRt & Lt heart catheters0.00NANA0.000.000.00NANA0.000.00000
    93529CRt, lt heart catheterization0.00NANA0.000.000.00NANA0.000.00000
    Start Printed Page 49221
    9352926ARt, lt heart catheterization4.792.622.362.622.360.337.747.487.747.48000
    93529TCCRt, lt heart catheterization0.00NANA0.000.000.00NANA0.000.00000
    93530CRt heart cath, congenital0.00NANA0.000.000.00NANA0.000.00000
    9353026ARt heart cath, congenital4.221.841.911.841.910.296.356.426.356.42000
    93530TCCRt heart cath, congenital0.00NANA0.000.000.00NANA0.000.00000
    93531CR & l heart cath, congenital0.00NANA0.000.000.00NANA0.000.00000
    9353126AR & l heart cath, congenital8.343.723.623.723.620.5812.6412.5412.6412.54000
    93531TCCR & l heart cath, congenital0.00NANA0.000.000.00NANA0.000.00000
    93532CR & l heart cath, congenital0.000.000.000.000.000.000.000.000.000.00000
    9353226AR & l heart cath, congenital9.994.604.344.604.340.6915.2815.0215.2815.02000
    93532TCCR & l heart cath, congenital0.000.000.000.000.000.000.000.000.000.00000
    93533CR & l heart cath, congenital0.000.000.000.000.000.000.000.000.000.00000
    9353326AR & l heart cath, congenital6.693.032.853.032.850.4710.1910.0110.1910.01000
    93533TCCR & l heart cath, congenital0.000.000.000.000.000.000.000.000.000.00000
    93539AInjection, cardiac cath0.40NANA0.220.180.01NANA0.630.59000
    93540AInjection, cardiac cath0.43NANA0.240.190.01NANA0.680.63000
    93541AInjection for lung angiogram0.29NANA0.150.120.01NANA0.450.42000
    93542AInjection for heart x-rays0.29NANA0.150.120.01NANA0.450.42000
    93543AInjection for heart x-rays0.29NANA0.160.120.01NANA0.460.42000
    93544AInjection for aortography0.25NANA0.140.110.01NANA0.400.37000
    93545AInject for coronary x-rays0.40NANA0.220.180.01NANA0.630.59000
    93555AImaging, cardiac cath0.810.655.11NANA0.371.836.29NANAXXX
    9355526AImaging, cardiac cath0.810.440.350.440.350.031.281.191.281.19XXX
    93555TCAImaging, cardiac cath0.000.214.76NANA0.340.555.10NANAXXX
    93556AImaging, cardiac cath0.830.937.89NANA0.542.309.26NANAXXX
    9355626AImaging, cardiac cath0.830.450.350.450.350.031.311.211.311.21XXX
    93556TCAImaging, cardiac cath0.000.487.54NANA0.510.998.05NANAXXX
    93561ACardiac output measurement0.50NANANANA0.08NANANANA000
    9356126ACardiac output measurement0.500.140.160.140.160.020.660.680.660.68000
    93561TCACardiac output measurement0.00NANANANA0.06NANANANA000
    93562ACardiac output measurement0.16NANANANA0.05NANANANA000
    9356226ACardiac output measurement0.160.030.050.030.050.010.200.220.200.22000
    93562TCACardiac output measurement0.00NANANANA0.04NANANANA000
    93571AHeart flow reserve measure1.80NANANANA0.30NANANANAZZZ
    9357126AHeart flow reserve measure1.800.980.760.980.760.062.842.622.842.62ZZZ
    93571TCAHeart flow reserve measure0.00NANANANA0.24NANANANAZZZ
    93572CHeart flow reserve measure0.000.000.000.000.000.000.000.000.000.00ZZZ
    9357226AHeart flow reserve measure1.440.740.560.740.560.042.222.042.222.04ZZZ
    93572TCCHeart flow reserve measure0.000.000.000.000.000.000.000.000.000.00ZZZ
    93580ATranscath closure of asd17.97NANA9.507.911.25NANA28.7227.13000
    93581ATranscath closure of vsd24.39NANA13.1710.341.71NANA39.2736.44000
    93600ABundle of His recording2.12NANANANA0.29NANANANA000
    9360026ABundle of His recording2.121.090.901.090.900.163.373.183.373.18000
    93600TCABundle of His recording0.00NANANANA0.13NANANANA000
    93602AIntra-atrial recording2.12NANANANA0.24NANANANA000
    9360226AIntra-atrial recording2.121.070.881.070.880.173.363.173.363.17000
    93602TCAIntra-atrial recording0.00NANANANA0.07NANANANA000
    93603ARight ventricular recording2.12NANANANA0.29NANANANA000
    9360326ARight ventricular recording2.121.060.871.060.870.183.363.173.363.17000
    93603TCARight ventricular recording0.00NANANANA0.11NANANANA000
    93609AMap tachycardia, add-on4.99NANANANA0.52NANANANAZZZ
    9360926AMap tachycardia, add-on4.992.682.132.682.130.358.027.478.027.47ZZZ
    93609TCAMap tachycardia, add-on0.00NANANANA0.17NANANANAZZZ
    93610AIntra-atrial pacing3.02NANANANA0.34NANANANA000
    9361026AIntra-atrial pacing3.021.501.251.501.250.244.764.514.764.51000
    93610TCAIntra-atrial pacing0.00NANANANA0.10NANANANA000
    93612AIntraventricular pacing3.02NANANANA0.36NANANANA000
    9361226AIntraventricular pacing3.021.451.231.451.230.254.724.504.724.50000
    93612TCAIntraventricular pacing0.00NANANANA0.11NANANANA000
    93613AElectrophys map 3d, add-on6.99NANA3.783.020.49NANA11.2610.50ZZZ
    93615AEsophageal recording0.99NANANANA0.05NANANANA000
    9361526AEsophageal recording0.990.490.330.490.330.031.511.351.511.35000
    93615TCAEsophageal recording0.00NANANANA0.02NANANANA000
    93616CEsophageal recording0.000.000.000.000.000.000.000.000.000.00000
    9361626AEsophageal recording1.490.370.420.370.420.091.952.001.952.00000
    93616TCCEsophageal recording0.000.000.000.000.000.000.000.000.000.00000
    Start Printed Page 49222
    93618AHeart rhythm pacing4.25NANANANA0.54NANANANA000
    9361826AHeart rhythm pacing4.252.321.832.321.830.306.876.386.876.38000
    93618TCAHeart rhythm pacing0.00NANANANA0.24NANANANA000
    93619AElectrophysiology evaluation7.31NANANANA0.98NANANANA000
    9361926AElectrophysiology evaluation7.313.873.353.873.350.5111.6911.1711.6911.17000
    93619TCAElectrophysiology evaluation0.00NANANANA0.47NANANANA000
    93620CElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00000
    9362026AElectrophysiology evaluation11.576.245.196.245.190.8018.6117.5618.6117.56000
    93620TCCElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00000
    93621CElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00ZZZ
    9362126AElectrophysiology evaluation2.101.130.901.130.900.153.383.153.383.15ZZZ
    93621TCCElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00ZZZ
    93622CElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00ZZZ
    9362226AElectrophysiology evaluation3.101.681.331.681.330.225.004.655.004.65ZZZ
    93622TCCElectrophysiology evaluation0.000.000.000.000.000.000.000.000.000.00ZZZ
    93623CStimulation, pacing heart0.000.000.000.000.000.000.000.000.000.00ZZZ
    9362326AStimulation, pacing heart2.851.541.221.541.220.204.594.274.594.27ZZZ
    93623TCCStimulation, pacing heart0.000.000.000.000.000.000.000.000.000.00ZZZ
    93624AElectrophysiologic study4.80NANA.4.180.46NANA5.269.44000
    9362426AElectrophysiologic study4.802.632.302.632.300.337.767.437.767.43000
    93624TCAElectrophysiologic study0.00NANA.1.980.13NANA0.132.11000
    93631CHeart pacing, mapping0.000.000.000.000.000.000.000.000.000.00000
    9363126AHeart pacing, mapping7.592.742.762.742.760.9711.3011.3211.3011.32000
    93631TCCHeart pacing, mapping0.000.000.000.000.000.000.000.000.000.00000
    93640AEvaluation heart device3.51NANANANA0.66NANANANA000
    9364026AEvaluation heart device3.511.891.491.891.490.245.645.245.645.24000
    93640TCAEvaluation heart device0.00NANANANA0.42NANANANA000
    93641AElectrophysiology evaluation5.92NANANANA0.83NANANANA000
    9364126AElectrophysiology evaluation5.923.182.533.182.530.419.518.869.518.86000
    93641TCAElectrophysiology evaluation0.00NANANANA0.42NANANANA000
    93642AElectrophysiology evaluation4.887.458.907.458.900.5712.9014.3512.9014.35000
    9364226AElectrophysiology evaluation4.882.632.322.632.320.157.667.357.667.35000
    93642TCAElectrophysiology evaluation0.004.816.584.816.580.425.237.005.237.00000
    93650AAblate heart dysrhythm focus10.49NANA5.974.820.73NANA17.1916.04000
    93651AAblate heart dysrhythm focus16.23NANA8.756.931.13NANA26.1124.29000
    93652AAblate heart dysrhythm focus17.65NANA9.527.541.23NANA28.4026.42000
    93660ATilt table evaluation1.893.052.573.052.570.085.024.545.024.54000
    9366026ATilt table evaluation1.890.990.800.990.800.062.942.752.942.75000
    93660TCATilt table evaluation0.002.061.782.061.780.022.081.802.081.80000
    93662CIntracardiac ecg (ice)0.000.000.000.000.000.000.000.000.000.00ZZZ
    9366226AIntracardiac ecg (ice)2.801.511.211.511.210.094.404.104.404.10ZZZ
    93662TCCIntracardiac ecg (ice)0.000.000.000.000.000.000.000.000.000.00ZZZ
    93701ABioimpedance, thoracic0.170.700.91NANA0.020.891.10NANAXXX
    9370126ABioimpedance, thoracic0.170.060.070.060.070.010.240.250.240.25XXX
    93701TCABioimpedance, thoracic0.000.640.84NANA0.010.650.85NANAXXX
    93720ATotal body plethysmography0.171.300.901.300.900.071.541.141.541.14XXX
    93721APlethysmography tracing0.001.150.82NANA0.061.210.88NANAXXX
    93722APlethysmography report0.170.040.050.040.050.010.220.230.220.23XXX
    93724AAnalyze pacemaker system4.883.495.283.495.280.398.7610.558.7610.55000
    9372426AAnalyze pacemaker system4.882.582.082.582.080.157.617.117.617.11000
    93724TCAAnalyze pacemaker system0.000.923.200.923.200.241.163.441.163.44000
    93727AAnalyze ilr system0.520.650.310.650.310.021.190.851.190.85XXX
    93731AAnalyze pacemaker system0.450.800.70NANA0.051.301.20NANAXXX
    9373126AAnalyze pacemaker system0.450.240.190.240.190.010.700.650.700.65XXX
    93731TCAAnalyze pacemaker system0.000.560.51NANA0.040.600.55NANAXXX
    93732AAnalyze pacemaker system0.921.170.94NANA0.072.161.93NANAXXX
    Start Printed Page 49223
    9373226AAnalyze pacemaker system0.920.490.390.490.390.031.441.341.441.34XXX
    93732TCAAnalyze pacemaker system0.000.680.55NANA0.040.720.59NANAXXX
    93733ATelephone analy, pacemaker0.170.320.68NANA0.070.560.92NANAXXX
    9373326ATelephone analy, pacemaker0.170.090.080.090.080.010.270.260.270.26XXX
    93733TCATelephone analy, pacemaker0.000.230.61NANA0.060.290.67NANAXXX
    93734AAnalyze pacemaker system0.380.710.55NANA0.031.120.96NANAXXX
    9373426AAnalyze pacemaker system0.380.200.160.200.160.010.590.550.590.55XXX
    93734TCAAnalyze pacemaker system0.000.510.39NANA0.020.530.41NANAXXX
    93735AAnalyze pacemaker system0.740.970.78NANA0.061.771.58NANAXXX
    9373526AAnalyze pacemaker system0.740.390.310.390.310.021.151.071.151.07XXX
    93735TCAAnalyze pacemaker system0.000.580.48NANA0.040.620.52NANAXXX
    93736ATelephonic analy, pacemaker0.150.280.59NANA0.070.500.81NANAXXX
    9373626ATelephonic analy, pacemaker0.150.080.070.080.070.010.240.230.240.23XXX
    93736TCATelephonic analy, pacemaker0.000.210.53NANA0.060.270.59NANAXXX
    93740BTemperature gradient studies0.160.040.15NANA0.020.220.33NANAXXX
    9374026BTemperature gradient studies0.160.040.040.040.040.010.210.210.210.21XXX
    93740TCBTemperature gradient studies0.000.000.11NANA0.010.010.12NANAXXX
    93741AAnalyze ht pace device sngl0.801.041.00NANA0.071.911.87NANAXXX
    9374126AAnalyze ht pace device sngl0.800.430.340.430.340.031.261.171.261.17XXX
    93741TCAAnalyze ht pace device sngl0.000.600.65NANA0.040.640.69NANAXXX
    93742AAnalyze ht pace device sngl0.911.171.07NANA0.072.152.05NANAXXX
    9374226AAnalyze ht pace device sngl0.910.500.400.500.400.031.441.341.441.34XXX
    93742TCAAnalyze ht pace device sngl0.000.680.67NANA0.040.720.71NANAXXX
    93743AAnalyze ht pace device dual1.031.211.15NANA0.072.312.25NANAXXX
    9374326AAnalyze ht pace device dual1.030.560.440.560.440.031.621.501.621.50XXX
    93743TCAAnalyze ht pace device dual0.000.650.71NANA0.040.690.75NANAXXX
    93744AAnalyze ht pace device dual1.181.361.19NANA0.082.622.45NANAXXX
    9374426AAnalyze ht pace device dual1.180.640.510.640.510.041.861.731.861.73XXX
    93744TCAAnalyze ht pace device dual0.000.730.69NANA0.040.770.73NANAXXX
    93745CSet-up cardiovert-defibrill0.000.000.000.000.000.000.000.000.000.00XXX
    9374526CSet-up cardiovert-defibrill0.000.000.000.000.000.000.000.000.000.00XXX
    93745TCCSet-up cardiovert-defibrill0.000.000.000.000.000.000.000.000.000.00XXX
    93770BMeasure venous pressure0.160.040.07NANA0.020.220.25NANAXXX
    9377026BMeasure venous pressure0.160.040.050.040.050.010.210.220.210.22XXX
    93770TCBMeasure venous pressure0.000.000.02NANA0.010.010.03NANAXXX
    93784AAmbulatory BP monitoring0.381.361.501.361.500.031.771.911.771.91XXX
    93786AAmbulatory BP recording0.001.090.96NANA0.011.100.97NANAXXX
    93788AAmbulatory BP analysis0.000.730.57NANA0.010.740.58NANAXXX
    93790AReview/report BP recording0.380.140.130.140.130.010.530.520.530.52XXX
    93797ACardiac rehab0.180.320.310.090.080.010.510.500.280.27000
    93798ACardiac rehab/monitor0.280.440.460.130.120.010.730.750.420.41000
    93799CCardiovascular procedure0.000.000.000.000.000.000.000.000.000.00XXX
    9379926CCardiovascular procedure0.000.000.000.000.000.000.000.000.000.00XXX
    93799TCCCardiovascular procedure0.000.000.000.000.000.000.000.000.000.00XXX
    93875AExtracranial study0.222.652.41NANA0.122.992.75NANAXXX
    9387526AExtracranial study0.220.080.080.080.080.010.310.310.310.31XXX
    93875TCAExtracranial study0.002.572.33NANA0.112.682.44NANAXXX
    93880AExtracranial study0.606.235.72NANA0.397.226.71NANAXXX
    9388026AExtracranial study0.600.210.200.210.200.040.850.840.850.84XXX
    93880TCAExtracranial study0.006.035.52NANA0.356.385.87NANAXXX
    93882AExtracranial study0.404.173.67NANA0.264.834.33NANAXXX
    9388226AExtracranial study0.400.120.140.120.140.040.560.580.560.58XXX
    93882TCAExtracranial study0.004.053.53NANA0.224.273.75NANAXXX
    93886AIntracranial study0.947.316.88NANA0.458.708.27NANAXXX
    9388626AIntracranial study0.940.310.360.310.360.061.311.361.311.36XXX
    93886TCAIntracranial study0.007.006.53NANA0.397.396.92NANAXXX
    93888AIntracranial study0.624.914.41NANA0.325.855.35NANAXXX
    9388826AIntracranial study0.620.200.220.200.220.050.870.890.870.89XXX
    93888TCAIntracranial study0.004.714.19NANA0.274.984.46NANAXXX
    93890ATcd, vasoreactivity study1.006.475.29NANA0.457.926.74NANAXXX
    9389026ATcd, vasoreactivity study1.000.330.380.330.380.061.391.441.391.44XXX
    93890TCATcd, vasoreactivity study0.006.134.91NANA0.396.525.30NANAXXX
    93892ATcd, emboli detect w/o inj1.157.005.62NANA0.458.607.22NANAXXX
    9389226ATcd, emboli detect w/o inj1.150.380.440.380.440.061.591.651.591.65XXX
    93892TCATcd, emboli detect w/o inj0.006.625.18NANA0.397.015.57NANAXXX
    93893ATcd, emboli detect w/inj1.156.675.44NANA0.458.277.04NANAXXX
    Start Printed Page 49224
    9389326ATcd, emboli detect w/inj1.150.380.440.380.440.061.591.651.591.65XXX
    93893TCATcd, emboli detect w/inj0.006.295.00NANA0.396.685.39NANAXXX
    93922AExtremity study0.253.162.80NANA0.153.563.20NANAXXX
    9392226AExtremity study0.250.080.080.080.080.020.350.350.350.35XXX
    93922TCAExtremity study0.003.082.72NANA0.133.212.85NANAXXX
    93923AExtremity study0.454.804.22NANA0.265.514.93NANAXXX
    9392326AExtremity study0.450.140.150.140.150.040.630.640.630.64XXX
    93923TCAExtremity study0.004.664.08NANA0.224.884.30NANAXXX
    93924AExtremity study0.506.065.11NANA0.306.865.91NANAXXX
    9392426AExtremity study0.500.170.170.170.170.050.720.720.720.72XXX
    93924TCAExtremity study0.005.894.94NANA0.256.145.19NANAXXX
    93925ALower extremity study0.588.247.15NANA0.399.218.12NANAXXX
    9392526ALower extremity study0.580.200.200.200.200.040.820.820.820.82XXX
    93925TCALower extremity study0.008.046.95NANA0.358.397.30NANAXXX
    93926ALower extremity study0.395.254.35NANA0.275.915.01NANAXXX
    9392626ALower extremity study0.390.120.130.120.130.040.550.560.550.56XXX
    93926TCALower extremity study0.005.134.22NANA0.235.364.45NANAXXX
    93930AUpper extremity study0.466.355.60NANA0.417.226.47NANAXXX
    9393026AUpper extremity study0.460.150.160.150.160.040.650.660.650.66XXX
    93930TCAUpper extremity study0.006.205.44NANA0.376.575.81NANAXXX
    93931AUpper extremity study0.314.323.69NANA0.274.904.27NANAXXX
    9393126AUpper extremity study0.310.100.100.100.100.030.440.440.440.44XXX
    93931TCAUpper extremity study0.004.223.59NANA0.244.463.83NANAXXX
    93965AExtremity study0.353.132.88NANA0.143.623.37NANAXXX
    9396526AExtremity study0.350.120.120.120.120.020.490.490.490.49XXX
    93965TCAExtremity study0.003.022.76NANA0.123.142.88NANAXXX
    93970AExtremity study0.686.325.51NANA0.467.466.65NANAXXX
    9397026AExtremity study0.680.210.230.210.230.060.950.970.950.97XXX
    93970TCAExtremity study0.006.115.29NANA0.406.515.69NANAXXX
    93971AExtremity study0.454.123.72NANA0.304.874.47NANAXXX
    9397126AExtremity study0.450.140.150.140.150.030.620.630.620.63XXX
    93971TCAExtremity study0.003.983.58NANA0.274.253.85NANAXXX
    93975AVascular study1.808.567.86NANA0.5610.9210.22NANAXXX
    9397526AVascular study1.800.620.610.620.610.132.552.542.552.54XXX
    93975TCAVascular study0.007.957.26NANA0.438.387.69NANAXXX
    93976AVascular study1.214.574.39NANA0.356.135.95NANAXXX
    9397626AVascular study1.210.390.400.390.400.051.651.661.651.66XXX
    93976TCAVascular study0.004.183.99NANA0.304.484.29NANAXXX
    93978AVascular study0.656.154.92NANA0.437.236.00NANAXXX
    9397826AVascular study0.650.230.220.230.220.060.940.930.940.93XXX
    93978TCAVascular study0.005.934.70NANA0.376.305.07NANAXXX
    93979AVascular study0.444.403.51NANA0.275.114.22NANAXXX
    9397926AVascular study0.440.160.150.160.150.030.630.620.630.62XXX
    93979TCAVascular study0.004.233.35NANA0.244.473.59NANAXXX
    93980APenile vascular study1.253.493.01NANA0.425.164.68NANAXXX
    9398026APenile vascular study1.250.440.420.440.420.081.771.751.771.75XXX
    93980TCAPenile vascular study0.003.052.59NANA0.343.392.93NANAXXX
    93981APenile vascular study0.442.882.87NANA0.333.653.64NANAXXX
    9398126APenile vascular study0.440.160.150.160.150.020.620.610.620.61XXX
    93981TCAPenile vascular study0.002.712.73NANA0.313.023.04NANAXXX
    93990ADoppler flow testing0.255.344.33NANA0.265.854.84NANAXXX
    9399026ADoppler flow testing0.250.070.090.070.090.030.350.370.350.37XXX
    93990TCADoppler flow testing0.005.274.24NANA0.235.504.47NANAXXX
    94010ABreathing capacity test0.170.740.69NANA0.030.940.89NANAXXX
    9401026ABreathing capacity test0.170.040.050.040.050.010.220.230.220.23XXX
    94010TCABreathing capacity test0.000.700.64NANA0.020.720.66NANAXXX
    Start Printed Page 49225
    94014APatient recorded spirometry0.520.930.800.930.800.031.481.351.481.35XXX
    94015APatient recorded spirometry0.000.760.63NANA0.010.770.64NANAXXX
    94016AReview patient spirometry0.520.170.170.170.170.020.710.710.710.71XXX
    94060AEvaluation of wheezing0.311.321.131.321.130.071.701.511.701.51XXX
    9406026AEvaluation of wheezing0.310.080.090.080.090.010.400.410.400.41XXX
    94060TCAEvaluation of wheezing0.001.241.051.241.050.061.301.111.301.11XXX
    94070AEvaluation of wheezing0.601.010.87NANA0.131.741.60NANAXXX
    9407026AEvaluation of wheezing0.600.150.170.150.170.030.780.800.780.80XXX
    94070TCAEvaluation of wheezing0.000.850.69NANA0.100.950.79NANAXXX
    94150BVital capacity test0.070.480.47NANA0.020.570.56NANAXXX
    9415026BVital capacity test0.070.020.030.020.030.010.100.110.100.11XXX
    94150TCBVital capacity test0.000.470.45NANA0.010.480.46NANAXXX
    94200ALung function test (MBC/MVV)0.110.510.46NANA0.030.650.60NANAXXX
    9420026ALung function test (MBC/MVV)0.110.030.030.030.030.010.150.150.150.15XXX
    94200TCALung function test (MBC/MVV)0.000.480.43NANA0.020.500.45NANAXXX
    94240AResidual lung capacity0.260.840.71NANA0.061.161.03NANAXXX
    9424026AResidual lung capacity0.260.070.080.070.080.010.340.350.340.35XXX
    94240TCAResidual lung capacity0.000.770.63NANA0.050.820.68NANAXXX
    94250AExpired gas collection0.110.570.62NANA0.020.700.75NANAXXX
    9425026AExpired gas collection0.110.040.030.040.030.010.160.150.160.15XXX
    94250TCAExpired gas collection0.000.530.59NANA0.010.540.60NANAXXX
    94260AThoracic gas volume0.130.770.63NANA0.050.950.81NANAXXX
    9426026AThoracic gas volume0.130.030.040.030.040.010.170.180.170.18XXX
    94260TCAThoracic gas volume0.000.740.59NANA0.040.780.63NANAXXX
    94350ALung nitrogen washout curve0.260.670.74NANA0.050.981.05NANAXXX
    9435026ALung nitrogen washout curve0.260.080.080.080.080.010.350.350.350.35XXX
    94350TCALung nitrogen washout curve0.000.590.66NANA0.040.630.70NANAXXX
    94360AMeasure airflow resistance0.260.990.77NANA0.071.321.10NANAXXX
    9436026AMeasure airflow resistance0.260.070.080.070.080.010.340.350.340.35XXX
    94360TCAMeasure airflow resistance0.000.920.70NANA0.060.980.76NANAXXX
    94370ABreath airway closing volume0.260.670.71NANA0.030.961.00NANAXXX
    9437026ABreath airway closing volume0.260.090.080.090.080.010.360.350.360.35XXX
    94370TCABreath airway closing volume0.000.580.63NANA0.020.600.65NANAXXX
    94375ARespiratory flow volume loop0.310.750.64NANA0.031.090.98NANAXXX
    9437526ARespiratory flow volume loop0.310.080.090.080.090.010.400.410.400.41XXX
    94375TCARespiratory flow volume loop0.000.660.55NANA0.020.680.57NANAXXX
    94400ACO2 breathing response curve0.401.030.89NANA0.091.521.38NANAXXX
    9440026ACO2 breathing response curve0.400.100.120.100.120.030.530.550.530.55XXX
    94400TCACO2 breathing response curve0.000.930.77NANA0.060.990.83NANAXXX
    94450AHypoxia response curve0.401.030.90NANA0.041.471.34NANAXXX
    9445026AHypoxia response curve0.400.090.110.090.110.020.510.530.510.53XXX
    94450TCAHypoxia response curve0.000.950.79NANA0.020.970.81NANAXXX
    94452AHast w/report0.311.211.07NANA0.041.561.42NANAXXX
    9445226AHast w/report0.310.090.090.090.090.020.420.420.420.42XXX
    94452TCAHast w/report0.001.120.98NANA0.021.141.00NANAXXX
    94453AHast w/oxygen titrate0.401.691.56NANA0.042.132.00NANAXXX
    9445326AHast w/oxygen titrate0.400.110.120.110.120.020.530.540.530.54XXX
    94453TCAHast w/oxygen titrate0.001.581.44NANA0.021.601.46NANAXXX
    94620APulmonary stress test/simple0.640.882.09NANA0.131.652.86NANAXXX
    9462026APulmonary stress test/simple0.640.200.200.200.200.030.870.870.870.87XXX
    94620TCAPulmonary stress test/simple0.000.681.89NANA0.100.781.99NANAXXX
    94621APulm stress test/complex1.423.182.45NANA0.164.764.03NANAXXX
    9462126APulm stress test/complex1.420.450.440.450.440.061.931.921.931.92XXX
    94621TCAPulm stress test/complex0.002.732.00NANA0.102.832.10NANAXXX
    94640AAirway inhalation treatment0.000.370.32NANA0.020.390.34NANAXXX
    94642CAerosol inhalation treatment0.000.000.000.000.000.000.000.000.000.00XXX
    94656AInitial ventilator mgmt1.221.121.150.240.300.062.402.431.521.58XXX
    94657AContinued ventilator mgmt0.831.151.020.190.240.042.021.891.061.11XXX
    94660APos airway pressure, CPAP0.760.820.690.200.220.041.621.491.001.02XXX
    94662ANeg press ventilation, cnp0.76NANA0.180.220.03NANA0.971.01XXX
    94664AEvaluate pt use of inhaler0.000.400.33NANA0.040.440.37NANAXXX
    94667AChest wall manipulation0.000.550.53NANA0.050.600.58NANAXXX
    94668AChest wall manipulation0.000.510.47NANA0.020.530.49NANAXXX
    94680AExhaled air analysis, o20.261.111.671.111.670.071.442.001.442.00XXX
    9468026AExhaled air analysis, o20.260.070.080.070.080.010.340.350.340.35XXX
    94680TCAExhaled air analysis, o20.001.041.601.041.600.061.101.661.101.66XXX
    Start Printed Page 49226
    94681AExhaled air analysis, o2/co20.201.102.17NANA0.131.432.50NANAXXX
    9468126AExhaled air analysis, o2/co20.200.050.060.050.060.010.260.270.260.27XXX
    94681TCAExhaled air analysis, o2/co20.001.042.11NANA0.121.162.23NANAXXX
    94690AExhaled air analysis0.070.891.72NANA0.051.011.84NANAXXX
    9469026AExhaled air analysis0.070.020.020.020.020.010.100.100.100.10XXX
    94690TCAExhaled air analysis0.000.871.70NANA0.040.911.74NANAXXX
    94720AMonoxide diffusing capacity0.261.181.05NANA0.071.511.38NANAXXX
    9472026AMonoxide diffusing capacity0.260.060.080.060.080.010.330.350.330.35XXX
    94720TCAMonoxide diffusing capacity0.001.110.97NANA0.061.171.03NANAXXX
    94725AMembrane diffusion capacity0.261.102.46NANA0.131.492.85NANAXXX
    9472526AMembrane diffusion capacity0.260.090.080.090.080.010.360.350.360.35XXX
    94725TCAMembrane diffusion capacity0.001.012.38NANA0.121.132.50NANAXXX
    94750APulmonary compliance study0.231.901.48NANA0.052.181.76NANAXXX
    9475026APulmonary compliance study0.230.080.070.080.070.010.320.310.320.31XXX
    94750TCAPulmonary compliance study0.001.821.41NANA0.041.861.45NANAXXX
    94760TMeasure blood oxygen level0.000.060.05NANA0.020.080.07NANAXXX
    94761TMeasure blood oxygen level0.000.120.08NANA0.060.180.14NANAXXX
    94762AMeasure blood oxygen level0.000.960.59NANA0.101.060.69NANAXXX
    94770AExhaled carbon dioxide test0.150.850.78NANA0.081.081.01NANAXXX
    9477026AExhaled carbon dioxide test0.150.040.040.040.040.010.200.200.200.20XXX
    94770TCAExhaled carbon dioxide test0.000.810.74NANA0.070.880.81NANAXXX
    94772CBreath recording, infant0.000.000.000.000.000.000.000.000.000.00XXX
    9477226CBreath recording, infant0.000.000.000.000.000.000.000.000.000.00XXX
    94772TCCBreath recording, infant0.000.000.000.000.000.000.000.000.000.00XXX
    94799CPulmonary service/procedure0.000.000.000.000.000.000.000.000.000.00XXX
    9479926CPulmonary service/procedure0.000.000.000.000.000.000.000.000.000.00XXX
    94799TCCPulmonary service/procedure0.000.000.000.000.000.000.000.000.000.00XXX
    95004APercut allergy skin tests0.000.160.12NANA0.010.170.13NANAXXX
    95010APercut allergy titrate test0.150.300.320.040.060.010.460.480.200.22XXX
    95015AId allergy titrate-drug/bug0.150.200.160.040.060.010.360.320.200.22XXX
    95024AId allergy test, drug/bug0.000.210.17NANA0.010.220.18NANAXXX
    95027AId allergy titrate-airborne0.000.240.17NANA0.010.250.18NANAXXX
    95028AId allergy test-delayed type0.000.290.25NANA0.010.300.26NANAXXX
    95044AAllergy patch tests0.000.150.19NANA0.010.160.20NANAXXX
    95052APhoto patch test0.000.150.23NANA0.010.160.24NANAXXX
    95056APhotosensitivity tests0.001.180.42NANA0.011.190.43NANAXXX
    95060AEye allergy tests0.000.750.45NANA0.020.770.47NANAXXX
    95065ANose allergy test0.000.670.32NANA0.010.680.33NANAXXX
    95070ABronchial allergy tests0.000.801.91NANA0.020.821.93NANAXXX
    95071ABronchial allergy tests0.000.892.41NANA0.020.912.43NANAXXX
    95075AIngestion challenge test0.950.670.780.250.350.031.651.761.231.33XXX
    95078AProvocative testing0.000.330.27NANA0.020.350.29NANAXXX
    95115AImmunotherapy, one injection0.000.220.350.000.290.020.240.370.020.31XXX
    95117AImmunotherapy injections0.000.270.440.000.380.020.290.460.020.40XXX
    95144AAntigen therapy services0.060.260.210.020.020.010.330.280.090.09XXX
    95145AAntigen therapy services0.060.350.330.020.020.010.420.400.090.09XXX
    95146AAntigen therapy services0.060.660.500.020.030.010.730.570.090.10XXX
    95147AAntigen therapy services0.060.640.480.020.020.010.710.550.090.09XXX
    95148AAntigen therapy services0.060.940.670.020.030.011.010.740.090.10XXX
    95149AAntigen therapy services0.061.250.910.020.030.011.320.980.090.10XXX
    95165AAntigen therapy services0.060.250.210.020.020.010.320.280.090.09XXX
    95170AAntigen therapy services0.060.200.150.020.030.010.270.220.090.10XXX
    95180ARapid desensitization2.011.571.920.710.880.043.623.972.762.93XXX
    95199CAllergy immunology services0.000.000.000.000.000.000.000.000.000.00XXX
    95250AGlucose monitoring, cont0.003.533.96NANA0.013.543.97NANAXXX
    95251AGluc monitor, cont, phys i&r0.520.160.180.160.180.020.700.720.700.72XXX
    Start Printed Page 49227
    95805AMultiple sleep latency test1.887.2714.76NANA0.439.5817.07NANAXXX
    9580526AMultiple sleep latency test1.880.510.620.510.620.092.482.592.482.59XXX
    95805TCAMultiple sleep latency test0.006.7614.14NANA0.347.1014.48NANAXXX
    95806ASleep study, unattended1.664.023.50NANA0.396.075.55NANAXXX
    9580626ASleep study, unattended1.660.500.530.500.530.082.242.272.242.27XXX
    95806TCASleep study, unattended0.003.522.97NANA0.313.833.28NANAXXX
    95807ASleep study, attended1.6612.8112.09NANA0.5014.9714.25NANAXXX
    9580726ASleep study, attended1.660.510.530.510.530.082.252.272.252.27XXX
    95807TCASleep study, attended0.0012.3011.57NANA0.4212.7211.99NANAXXX
    95808APolysomnography, 1-32.6515.7213.82NANA0.5518.9217.02NANAXXX
    9580826APolysomnography, 1-32.650.690.860.690.860.133.473.643.473.64XXX
    95808TCAPolysomnography, 1-30.0015.0312.96NANA0.4215.4513.38NANAXXX
    95810APolysomnography, 4 or more3.5218.6017.77NANA0.5922.7121.88NANAXXX
    9581026APolysomnography, 4 or more3.520.981.130.981.130.174.674.824.674.82XXX
    95810TCAPolysomnography, 4 or more0.0017.6216.64NANA0.4218.0417.06NANAXXX
    95811APolysomnography w/cpap3.7920.7019.56NANA0.6125.1023.96NANAXXX
    9581126APolysomnography w/cpap3.791.051.221.051.220.185.025.195.025.19XXX
    95811TCAPolysomnography w/cpap0.0019.6618.36NANA0.4320.0918.79NANAXXX
    95812AEeg, 41-60 minutes1.085.904.50NANA0.177.155.75NANAXXX
    9581226AEeg, 41-60 minutes1.080.310.420.310.420.061.451.561.451.56XXX
    95812TCAEeg, 41-60 minutes0.005.594.08NANA0.115.704.19NANAXXX
    95813AEeg, over 1 hour1.736.645.43NANA0.208.577.36NANAXXX
    9581326AEeg, over 1 hour1.730.500.650.500.650.092.322.472.322.47XXX
    95813TCAEeg, over 1 hour0.006.144.78NANA0.116.254.89NANAXXX
    95816AEeg, awake and drowsy1.085.304.11NANA0.166.545.35NANAXXX
    9581626AEeg, awake and drowsy1.080.300.420.300.420.061.441.561.441.56XXX
    95816TCAEeg, awake and drowsy0.004.993.69NANA0.105.093.79NANAXXX
    95819AEeg, awake and asleep1.086.153.77NANA0.167.395.01NANAXXX
    9581926AEeg, awake and asleep1.080.300.420.300.420.061.441.561.441.56XXX
    95819TCAEeg, awake and asleep0.005.843.35NANA0.105.943.45NANAXXX
    95822AEeg, coma or sleep only1.085.534.83NANA0.196.806.10NANAXXX
    9582226AEeg, coma or sleep only1.080.300.420.300.420.061.441.561.441.56XXX
    95822TCAEeg, coma or sleep only0.005.234.41NANA0.135.364.54NANAXXX
    95824CEeg, cerebral death only0.000.000.000.000.000.000.000.000.000.00XXX
    9582426AEeg, cerebral death only0.740.210.290.210.290.040.991.070.991.07XXX
    95824TCCEeg, cerebral death only0.000.000.000.000.000.000.000.000.000.00XXX
    95827AEeg, all night recording1.0811.574.92NANA0.1912.846.19NANAXXX
    9582726AEeg, all night recording1.080.290.380.290.380.051.421.511.421.51XXX
    95827TCAEeg, all night recording0.0011.284.54NANA0.1411.424.68NANAXXX
    95829ASurgery electrocorticogram6.2025.4429.61NANA0.5032.1436.31NANAXXX
    9582926ASurgery electrocorticogram6.201.792.181.792.180.488.478.868.478.86XXX
    95829TCASurgery electrocorticogram0.0023.6527.43NANA0.0223.6727.45NANAXXX
    95830AInsert electrodes for EEG1.702.993.220.420.650.114.805.032.232.46XXX
    95831ALimb muscle testing, manual0.280.390.440.090.120.010.680.730.380.41XXX
    95832AHand muscle testing, manual0.290.370.340.100.120.020.680.650.410.43XXX
    95833ABody muscle testing, manual0.470.470.550.130.210.020.961.040.620.70XXX
    95834ABody muscle testing, manual0.600.550.610.180.260.031.181.240.810.89XXX
    95851ARange of motion measurements0.160.260.340.040.070.010.430.510.210.24XXX
    95852ARange of motion measurements0.110.210.250.030.050.010.330.370.150.17XXX
    95857ATensilon test0.530.590.600.160.210.021.141.150.710.76XXX
    95860AMuscle test, one limb0.961.161.36NANA0.072.192.39NANAXXX
    9586026AMuscle test, one limb0.960.320.400.320.400.051.331.411.331.41XXX
    95860TCAMuscle test, one limb0.000.840.96NANA0.020.860.98NANAXXX
    95861AMuscle test, 2 limbs1.541.671.48NANA0.133.343.15NANAXXX
    9586126AMuscle test, 2 limbs1.540.510.640.510.640.072.122.252.122.25XXX
    95861TCAMuscle test, 2 limbs0.001.160.84NANA0.061.220.90NANAXXX
    95863AMuscle test, 3 limbs1.871.941.78NANA0.153.963.80NANAXXX
    9586326AMuscle test, 3 limbs1.870.580.750.580.750.092.542.712.542.71XXX
    95863TCAMuscle test, 3 limbs0.001.361.05NANA0.061.421.11NANAXXX
    95864AMuscle test, 4 limbs1.992.202.54NANA0.214.404.74NANAXXX
    9586426AMuscle test, 4 limbs1.990.630.810.630.810.092.712.892.712.89XXX
    95864TCAMuscle test, 4 limbs0.001.571.73NANA0.121.691.85NANAXXX
    95865AMuscle test, larynx1.571.341.42NANA0.113.023.10NANAXXX
    9586526AMuscle test, larynx1.570.460.690.460.690.082.112.342.112.34XXX
    95865TCAMuscle test, larynx0.000.880.73NANA0.030.910.76NANAXXX
    95866AMuscle test, hemidiaphragm1.251.340.91NANA0.102.692.26NANAXXX
    Start Printed Page 49228
    9586626AMuscle test, hemidiaphragm1.250.400.520.400.520.071.721.841.721.84XXX
    95866TCAMuscle test, hemidiaphragm0.000.940.39NANA0.030.970.42NANAXXX
    95867AMuscle test cran nerv unilat0.791.120.98NANA0.071.981.84NANAXXX
    9586726AMuscle test cran nerv unilat0.790.230.320.230.320.031.051.141.051.14XXX
    95867TCAMuscle test cran nerv unilat0.000.890.66NANA0.040.930.70NANAXXX
    95868AMuscle test cran nerve bilat1.181.431.27NANA0.102.712.55NANAXXX
    9586826AMuscle test cran nerve bilat1.180.350.470.350.470.051.581.701.581.70XXX
    95868TCAMuscle test cran nerve bilat0.001.080.80NANA0.051.130.85NANAXXX
    95869AMuscle test, thor paraspinal0.371.030.54NANA0.041.440.95NANAXXX
    9586926AMuscle test, thor paraspinal0.370.120.150.120.150.020.510.540.510.54XXX
    95869TCAMuscle test, thor paraspinal0.000.910.39NANA0.020.930.41NANAXXX
    95870AMuscle test, nonparaspinal0.371.000.53NANA0.041.410.94NANAXXX
    9587026AMuscle test, nonparaspinal0.370.120.150.120.150.020.510.540.510.54XXX
    95870TCAMuscle test, nonparaspinal0.000.880.38NANA0.020.900.40NANAXXX
    95872AMuscle test, one fiber2.001.421.28NANA0.133.553.41NANAXXX
    9587226AMuscle test, one fiber2.000.650.640.650.640.082.732.722.732.72XXX
    95872TCAMuscle test, one fiber0.000.780.65NANA0.050.830.70NANAXXX
    95873AGuide nerv destr, elec stim0.370.950.510.950.510.041.360.921.360.92ZZZ
    9587326AGuide nerv destr, elec stim0.370.120.150.120.150.020.510.540.510.54ZZZ
    95873TCAGuide nerv destr, elec stim0.000.830.360.830.360.020.850.380.850.38ZZZ
    95874AGuide nerv destr, needle emg0.370.960.520.960.520.041.370.931.370.93ZZZ
    9587426AGuide nerv destr, needle emg0.370.120.160.120.160.020.510.550.510.55ZZZ
    95874TCAGuide nerv destr, needle emg0.000.840.360.840.360.020.860.380.860.38ZZZ
    95875ALimb exercise test1.101.311.42NANA0.112.522.63NANAXXX
    9587526ALimb exercise test1.100.310.430.310.430.051.461.581.461.58XXX
    95875TCALimb exercise test0.001.000.99NANA0.061.061.05NANAXXX
    95900AMotor nerve conduction test0.420.941.18NANA0.041.401.64NANAXXX
    9590026AMotor nerve conduction test0.420.140.170.140.170.020.580.610.580.61XXX
    95900TCAMotor nerve conduction test0.000.801.01NANA0.020.821.03NANAXXX
    95903AMotor nerve conduction test0.601.041.15NANA0.051.691.80NANAXXX
    9590326AMotor nerve conduction test0.600.180.240.180.240.030.810.870.810.87XXX
    95903TCAMotor nerve conduction test0.000.860.91NANA0.020.880.93NANAXXX
    95904ASense nerve conduction test0.340.881.04NANA0.041.261.42NANAXXX
    9590426ASense nerve conduction test0.340.110.140.110.140.020.470.500.470.50XXX
    95904TCASense nerve conduction test0.000.770.90NANA0.020.790.92NANAXXX
    95920AIntraop nerve test add-on2.111.802.121.802.120.234.144.464.144.46ZZZ
    9592026AIntraop nerve test add-on2.110.660.860.660.860.162.933.132.933.13ZZZ
    95920TCAIntraop nerve test add-on0.001.141.271.141.270.071.211.341.211.34ZZZ
    95921AAutonomic nerv function test0.901.140.82NANA0.062.101.78NANAXXX
    9592126AAutonomic nerv function test0.900.240.310.240.310.041.181.251.181.25XXX
    95921TCAAutonomic nerv function test0.000.890.51NANA0.020.910.53NANAXXX
    95922AAutonomic nerv function test0.961.651.00NANA0.072.682.03NANAXXX
    9592226AAutonomic nerv function test0.960.270.370.270.370.051.281.381.281.38XXX
    95922TCAAutonomic nerv function test0.001.380.63NANA0.021.400.65NANAXXX
    95923AAutonomic nerv function test0.902.121.98NANA0.073.092.95NANAXXX
    9592326AAutonomic nerv function test0.900.240.350.240.350.051.191.301.191.30XXX
    95923TCAAutonomic nerv function test0.001.881.64NANA0.021.901.66NANAXXX
    95925ASomatosensory testing0.543.191.65NANA0.103.832.29NANAXXX
    9592526ASomatosensory testing0.540.170.210.170.210.040.750.790.750.79XXX
    95925TCASomatosensory testing0.003.021.44NANA0.063.081.50NANAXXX
    95926ASomatosensory testing0.543.061.62NANA0.093.692.25NANAXXX
    9592626ASomatosensory testing0.540.160.210.160.210.030.730.780.730.78XXX
    95926TCASomatosensory testing0.002.901.41NANA0.062.961.47NANAXXX
    95927ASomatosensory testing0.543.081.64NANA0.103.722.28NANAXXX
    9592726ASomatosensory testing0.540.160.230.160.230.040.740.810.740.81XXX
    95927TCASomatosensory testing0.002.931.42NANA0.062.991.48NANAXXX
    Start Printed Page 49229
    95928AC motor evoked, uppr limbs1.503.983.26NANA0.095.574.85NANAXXX
    9592826AC motor evoked, uppr limbs1.500.460.600.460.600.062.022.162.022.16XXX
    95928TCAC motor evoked, uppr limbs0.003.532.66NANA0.033.562.69NANAXXX
    95929AC motor evoked, lwr limbs1.504.303.48NANA0.095.895.07NANAXXX
    9592926AC motor evoked, lwr limbs1.500.460.600.460.600.062.022.162.022.16XXX
    95930AVisual evoked potential test0.352.642.34NANA0.033.022.72NANAXXX
    9593026AVisual evoked potential test0.350.100.140.100.140.020.470.510.470.51XXX
    95930TCAVisual evoked potential test0.002.542.20NANA0.012.552.21NANAXXX
    95933ABlink reflex test0.591.101.04NANA0.101.791.73NANAXXX
    9593326ABlink reflex test0.590.170.220.170.220.040.800.850.800.85XXX
    95933TCABlink reflex test0.000.930.82NANA0.060.990.88NANAXXX
    95934AH-reflex test0.510.900.55NANA0.041.451.10NANAXXX
    9593426AH-reflex test0.510.160.210.160.210.020.690.740.690.74XXX
    95934TCAH-reflex test0.000.730.34NANA0.020.750.36NANAXXX
    95936AH-reflex test0.550.620.49NANA0.051.221.09NANAXXX
    9593626AH-reflex test0.550.170.220.170.220.030.750.800.750.80XXX
    95936TCAH-reflex test0.000.440.27NANA0.020.460.29NANAXXX
    95937ANeuromuscular junction test0.650.920.69NANA0.101.671.44NANAXXX
    9593726ANeuromuscular junction test0.650.200.250.200.250.080.930.980.930.98XXX
    95937TCANeuromuscular junction test0.000.720.44NANA0.020.740.46NANAXXX
    95950AAmbulatory eeg monitoring1.514.934.18NANA0.516.956.20NANAXXX
    9595026AAmbulatory eeg monitoring1.510.420.590.420.590.082.012.182.012.18XXX
    95950TCAAmbulatory eeg monitoring0.004.523.60NANA0.434.954.03NANAXXX
    95951CEEG monitoring/videorecord0.000.000.000.000.000.000.000.000.000.00XXX
    9595126AEEG monitoring/videorecord5.991.692.341.692.340.328.008.658.008.65XXX
    95951TCCEEG monitoring/videorecord0.000.000.000.000.000.000.000.000.000.00XXX
    95953AEEG monitoring/computer3.307.247.53NANA0.6011.1411.43NANAXXX
    9595326AEEG monitoring/computer3.300.931.200.931.200.174.404.674.404.67XXX
    95953TCAEEG monitoring/computer0.006.316.33NANA0.436.746.76NANAXXX
    95954AEEG monitoring/giving drugs2.454.904.39NANA0.197.547.03NANAXXX
    9595426AEEG monitoring/giving drugs2.450.510.910.510.910.133.093.493.093.49XXX
    95954TCAEEG monitoring/giving drugs0.004.393.48NANA0.064.453.54NANAXXX
    95955AEEG during surgery1.012.832.452.832.450.224.063.684.063.68XXX
    9595526AEEG during surgery1.010.290.340.290.340.051.351.401.351.40XXX
    95955TCAEEG during surgery0.002.542.112.542.110.172.712.282.712.28XXX
    95956AEeg monitoring, cable/radio3.0817.2115.86NANA0.5920.8819.53NANAXXX
    9595626AEeg monitoring, cable/radio3.081.031.231.031.230.164.274.474.274.47XXX
    95956TCAEeg monitoring, cable/radio0.0016.1814.63NANA0.4316.6115.06NANAXXX
    95957AEEG digital analysis1.985.883.38NANA0.238.095.59NANAXXX
    9595726AEEG digital analysis1.980.550.780.550.780.112.642.872.642.87XXX
    95957TCAEEG digital analysis0.005.322.61NANA0.125.442.73NANAXXX
    95958AEEG monitoring/function test4.246.674.29NANA0.3411.258.87NANAXXX
    9595826AEEG monitoring/function test4.241.211.611.211.610.215.666.065.666.06XXX
    95958TCAEEG monitoring/function test0.005.462.67NANA0.135.592.80NANAXXX
    95961AElectrode stimulation, brain2.973.122.75NANA0.556.646.27NANAXXX
    9596126AElectrode stimulation, brain2.970.901.220.901.220.484.354.674.354.67XXX
    95961TCAElectrode stimulation, brain0.002.221.54NANA0.072.291.61NANAXXX
    95962AElectrode stim, brain add-on3.212.212.572.212.570.395.816.175.816.17ZZZ
    9596226AElectrode stim, brain add-on3.210.911.270.911.270.324.444.804.444.80ZZZ
    95962TCAElectrode stim, brain add-on0.001.301.311.301.310.071.371.381.371.38ZZZ
    95965CMeg, spontaneous0.000.000.000.000.000.000.000.000.000.00XXX
    9596526AMeg, spontaneous7.992.293.142.293.140.4610.7411.5910.7411.59XXX
    95965TCCMeg, spontaneous0.000.000.000.000.000.000.000.000.000.00XXX
    95966CMeg, evoked, single0.000.000.000.000.000.000.000.000.000.00XXX
    9596626AMeg, evoked, single3.991.221.591.221.590.195.405.775.405.77XXX
    95966TCCMeg, evoked, single0.000.000.000.000.000.000.000.000.000.00XXX
    95967CMeg, evoked, each addIl0.000.000.000.000.000.000.000.000.000.00ZZZ
    9596726AMeg, evoked, each addIl3.491.041.151.041.150.164.694.804.694.80ZZZ
    95967TCCMeg, evoked, each addIl0.000.000.000.000.000.000.000.000.000.00ZZZ
    95970AAnalyze neurostim, no prog0.450.890.860.130.140.031.371.340.610.62XXX
    95971AAnalyze neurostim, simple0.780.620.670.200.220.071.471.521.051.07XXX
    95972AAnalyze neurostim, complex1.501.201.210.460.480.142.842.852.102.12XXX
    95973AAnalyze neurostim, complex0.920.560.610.240.320.071.551.601.231.31ZZZ
    95974ACranial neurostim, complex3.001.481.650.851.190.164.644.814.014.35XXX
    95975ACranial neurostim, complex1.700.740.850.480.670.122.562.672.302.49ZZZ
    95978AAnalyze neurostim brain/1h3.501.841.911.041.240.185.525.594.724.92XXX
    Start Printed Page 49230
    95979AAnalyz neurostim brain addon1.640.730.840.470.640.082.452.562.192.36ZZZ
    95990ASpin/brain pump refil & main0.001.671.54NANA0.061.731.60NANAXXX
    95991ASpin/brain pump refil & main0.771.671.54NANA0.062.502.37NANAXXX
    95999CNeurological procedure0.000.000.000.000.000.000.000.000.000.00XXX
    96000AMotion analysis, video/3d1.80NANA0.580.540.11NANA2.492.45XXX
    96001AMotion test w/ft press meas2.15NANA0.530.630.10NANA2.782.88XXX
    96002ADynamic surface emg0.41NANA0.110.140.02NANA0.540.57XXX
    96003ADynamic fine wire emg0.37NANA0.140.130.02NANA0.530.52XXX
    96004APhys review of motion tests2.140.540.840.540.840.112.793.092.793.09XXX
    96101APsycho testing by psych/phys1.860.340.570.330.560.052.252.482.242.47XXX
    96102APsycho testing by technician0.501.200.800.090.150.011.711.310.600.66XXX
    96103APsycho testing admin by comp0.511.310.490.090.150.021.841.020.620.68XXX
    96105AAssessment of aphasia0.002.061.84NANA0.182.242.02NANAXXX
    96110ADevelopmental test, lim0.000.180.18NANA0.180.360.36NANAXXX
    96111ADevelopmental test, extend2.600.660.950.530.920.183.443.733.313.70XXX
    96116ANeurobehavioral status exam1.860.530.760.420.590.182.572.802.462.63XXX
    96118ANeuropsych tst by psych/phys1.860.811.250.320.550.182.853.292.362.59XXX
    96119ANeuropsych testing by tech0.551.531.150.090.170.182.261.880.820.90XXX
    96120ANeuropsych tst admin w/comp0.511.911.030.090.150.022.441.560.620.68XXX
    96150AAssess hlth/behave, init0.500.100.160.090.160.010.610.670.600.67XXX
    96151AAssess hlth/behave, subseq0.480.090.160.090.150.010.580.650.580.64XXX
    96152AIntervene hlth/behave, indiv0.460.090.150.080.140.010.560.620.550.61XXX
    96153AIntervene hlth/behave, group0.100.020.040.020.030.010.130.150.130.14XXX
    96154AInterv hlth/behav, fam w/pt0.450.090.150.080.140.010.550.610.540.60XXX
    96155NInterv hlth/behav fam no pt0.440.100.160.100.150.020.560.620.560.61XXX
    96401AChemo, anti-neopl, sq/im0.211.871.35NANA0.012.091.57NANAXXX
    96402AChemo hormon antineopl sq/im0.190.720.94NANA0.010.921.14NANAXXX
    96405AChemo intralesional, up to 70.523.492.700.220.240.034.043.250.770.79000
    96406AChemo intralesional over 70.803.263.070.270.290.034.093.901.101.12000
    96409AChemo, iv push, sngl drug0.242.782.89NANA0.063.083.19NANAXXX
    96411AChemo, iv push, addl drug0.201.501.58NANA0.061.761.84NANAZZZ
    96413AChemo, iv infusion, 1 hr0.283.634.05NANA0.083.994.41NANAXXX
    96415AChemo, iv infusion, addl hr0.190.660.74NANA0.070.921.00NANAZZZ
    96416AChemo prolong infuse w/pump0.214.084.47NANA0.084.374.76NANAXXX
    96417AChemo iv infus each addl seq0.211.721.89NANA0.072.002.17NANAZZZ
    96420AChemo, ia, push tecnique0.172.702.67NANA0.082.952.92NANAXXX
    96422AChemo ia infusion up to 1 hr0.173.704.55NANA0.083.954.80NANAXXX
    96423AChemo ia infuse each addl hr0.171.931.89NANA0.022.122.08NANAZZZ
    96425AChemotherapy,infusion method0.174.544.49NANA0.084.794.74NANAXXX
    96440AChemotherapy, intracavitary2.375.567.491.001.170.178.1010.033.543.71000
    96445AChemotherapy, intracavitary2.205.457.390.941.120.147.799.733.283.46000
    96450AChemotherapy, into CNS1.535.026.470.831.180.096.648.092.452.80000
    96521ARefill/maint, portable pump0.213.143.61NANA0.063.413.88NANAXXX
    96522ARefill/maint pump/resvr syst0.212.742.67NANA0.063.012.94NANAXXX
    96523TIrrig drug delivery device0.040.640.68NANA0.010.690.73NANAXXX
    96542AChemotherapy injection0.753.554.080.320.580.074.374.901.141.40XXX
    96549CChemotherapy, unspecified0.000.000.000.000.000.000.000.000.000.00XXX
    96567APhotodynamic tx, skin0.003.652.38NANA0.043.692.42NANAXXX
    96570APhotodynamic tx, 30 min1.100.410.380.410.380.111.621.591.621.59ZZZ
    96571APhotodynamic tx, addl 15 min0.550.200.190.200.190.030.780.770.780.77ZZZ
    96900AUltraviolet light therapy0.000.550.47NANA0.020.570.49NANAXXX
    96902BTrichogram0.410.110.160.100.150.010.530.580.520.57XXX
    96910APhotochemotherapy with UV-B0.001.951.23NANA0.041.991.27NANAXXX
    96912APhotochemotherapy with UV-A0.002.511.57NANA0.052.561.62NANAXXX
    96913APhotochemotherapy, UV-A or B0.003.552.15NANA0.103.652.25NANAXXX
    96920ALaser tx, skin < 250 sq cm1.153.482.770.540.560.024.653.941.711.73000
    Start Printed Page 49231
    96921ALaser tx, skin 250-500 sq cm1.173.392.800.510.560.034.594.001.711.76000
    96922ALaser tx, skin > 500 sq cm2.104.463.730.980.710.046.605.873.122.85000
    96999CDermatological procedure0.000.000.000.000.000.000.000.000.000.00XXX
    97001APt evaluation1.200.680.73NANA0.051.931.98NANAXXX
    97002APt re-evaluation0.600.430.44NANA0.021.051.06NANAXXX
    97003AOt evaluation1.200.770.85NANA0.062.032.11NANAXXX
    97004AOt re-evaluation0.600.540.64NANA0.021.161.26NANAXXX
    97010BHot or cold packs therapy0.060.070.06NANA0.010.140.13NANAXXX
    97012AMechanical traction therapy0.250.150.14NANA0.010.410.40NANAXXX
    97014IElectric stimulation therapy0.180.190.19NANA0.010.380.38NANAXXX
    97016AVasopneumatic device therapy0.180.250.20NANA0.010.440.39NANAXXX
    97018AParaffin bath therapy0.060.170.12NANA0.010.240.19NANAXXX
    97022AWhirlpool therapy0.170.340.24NANA0.010.520.42NANAXXX
    97024ADiathermy eg, microwave0.060.080.07NANA0.010.150.14NANAXXX
    97026AInfrared therapy0.060.070.06NANA0.010.140.13NANAXXX
    97028AUltraviolet therapy0.080.090.08NANA0.010.180.17NANAXXX
    97032AElectrical stimulation0.250.200.17NANA0.010.460.43NANAXXX
    97033AElectric current therapy0.260.460.32NANA0.010.730.59NANAXXX
    97034AContrast bath therapy0.210.210.17NANA0.010.430.39NANAXXX
    97035AUltrasound therapy0.210.100.10NANA0.010.320.32NANAXXX
    97036AHydrotherapy0.280.450.35NANA0.010.740.64NANAXXX
    97039CPhysical therapy treatment0.000.000.000.000.000.000.000.000.000.00XXX
    97110ATherapeutic exercises0.450.330.29NANA0.020.800.76NANAXXX
    97112ANeuromuscular reeducation0.450.360.32NANA0.010.820.78NANAXXX
    97113AAquatic therapy/exercises0.440.550.43NANA0.011.000.88NANAXXX
    97116AGait training therapy0.400.290.25NANA0.010.700.66NANAXXX
    97124AMassage therapy0.350.280.24NANA0.010.640.60NANAXXX
    97139CPhysical medicine procedure0.000.000.000.000.000.000.000.000.000.00XXX
    97140AManual therapy0.430.300.26NANA0.010.740.70NANAXXX
    97150AGroup therapeutic procedures0.270.220.19NANA0.010.500.47NANAXXX
    97530ATherapeutic activities0.440.390.34NANA0.010.840.79NANAXXX
    97532ACognitive skills development0.440.230.21NANA0.010.680.66NANAXXX
    97533ASensory integration0.440.280.25NANA0.010.730.70NANAXXX
    97535ASelf care mngment training0.450.390.35NANA0.010.850.81NANAXXX
    97537ACommunity/work reintegration0.450.290.27NANA0.010.750.73NANAXXX
    97542AWheelchair mngment training0.450.300.29NANA0.010.760.75NANAXXX
    97597AActive wound care/20 cm or <0.581.130.780.130.530.051.761.410.761.16XXX
    97598AActive wound care > 20 cm0.801.310.920.180.640.052.161.771.031.49XXX
    97605ANeg press wound tx, < 50 cm0.550.420.360.120.200.020.990.930.690.77XXX
    97606ANeg press wound tx, > 50 cm0.600.430.370.130.210.031.061.000.760.84XXX
    97750APhysical performance test0.450.340.33NANA0.020.810.80NANAXXX
    97755AAssistive technology assess0.620.290.28NANA0.020.930.92NANAXXX
    97760AOrthotic mgmt and training0.450.440.37NANA0.030.920.85NANAXXX
    97761AProsthetic training0.450.340.30NANA0.020.810.77NANAXXX
    97762AC/o for orthotic/prosth use0.250.750.50NANA0.021.020.77NANAXXX
    97799CPhysical medicine procedure0.000.000.000.000.000.000.000.000.000.00XXX
    97802AMedical nutrition, indiv, in0.450.120.380.110.380.010.580.840.570.84XXX
    97803AMed nutrition, indiv, subseq0.370.100.380.090.380.010.480.760.470.76XXX
    97804AMedical nutrition, group0.250.060.150.060.150.010.320.410.320.41XXX
    97810NAcupunct w/o stimul 15 min0.600.260.350.140.210.030.890.980.770.84XXX
    97811NAcupunct w/o stimul addl 15m0.500.160.230.120.170.030.690.760.650.70ZZZ
    97813NAcupunct w/stimul 15 min0.650.270.370.150.230.030.951.050.830.91XXX
    97814NAcupunct w/stimul addl 15m0.550.190.270.130.190.030.770.850.710.77ZZZ
    98925AOsteopathic manipulation0.450.280.310.120.140.020.750.780.590.61000
    98926AOsteopathic manipulation0.650.360.400.160.230.031.041.080.840.91000
    98927AOsteopathic manipulation0.870.450.490.220.270.031.351.391.121.17000
    98928AOsteopathic manipulation1.030.500.570.260.320.041.571.641.331.39000
    98929AOsteopathic manipulation1.190.570.650.290.350.051.811.891.531.59000
    98940AChiropractic manipulation0.450.210.230.120.120.010.670.690.580.58000
    98941AChiropractic manipulation0.650.270.290.170.170.010.930.950.830.83000
    98942AChiropractic manipulation0.870.330.350.230.230.021.221.241.121.12000
    98943NChiropractic manipulation0.400.180.230.090.140.010.590.640.500.55XXX
    99082CUnusual physician travel0.000.000.000.000.000.000.000.000.000.00XXX
    99143CMod cs by same phys, < 5 yrs0.000.000.000.000.000.000.000.000.000.00XXX
    99144CMod cs by same phys, 5 yrs +0.000.000.000.000.000.000.000.000.000.00XXX
    99145CMod cs by same phys add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    Start Printed Page 49232
    99148CMod cs diff phys < 5 yrs0.000.000.000.000.000.000.000.000.000.00XXX
    99149CMod cs diff phys 5 yrs +0.000.000.000.000.000.000.000.000.000.00XXX
    99150CMod cs diff phys add-on0.000.000.000.000.000.000.000.000.000.00ZZZ
    99170AAnogenital exam, child1.751.511.700.500.540.083.343.532.332.37000
    99175AInduction of vomiting0.000.341.13NANA0.100.441.23NANAXXX
    99183AHyperbaric oxygen therapy2.342.613.080.580.690.165.115.583.083.19XXX
    99185ARegional hypothermia0.001.660.90NANA0.041.700.94NANAXXX
    99186ATotal body hypothermia0.001.411.69NANA0.451.862.14NANAXXX
    99195APhlebotomy0.002.600.98NANA0.022.621.00NANAXXX
    99199CSpecial service/proc/report0.000.000.000.000.000.000.000.000.000.00XXX
    99201AOffice/outpatient visit, new0.450.540.500.150.150.031.020.980.630.63XXX
    99202AOffice/outpatient visit, new0.880.830.800.290.310.051.761.731.221.24XXX
    99203AOffice/outpatient visit, new1.341.101.120.420.470.092.532.551.851.90XXX
    99204AOffice/outpatient visit, new2.301.491.500.710.710.123.913.923.133.13XXX
    99205AOffice/outpatient visit, new3.001.791.780.910.940.154.944.934.064.09XXX
    99211AOffice/outpatient visit, est0.170.330.380.060.060.010.510.560.240.24XXX
    99212AOffice/outpatient visit, est0.450.550.540.150.160.031.031.020.630.64XXX
    99213AOffice/outpatient visit, est0.920.760.710.280.250.031.711.661.231.20XXX
    99214AOffice/outpatient visit, est1.421.101.050.440.420.052.572.521.911.89XXX
    99215AOffice/outpatient visit, est2.001.391.340.610.640.083.473.422.692.72XXX
    99217AObservation care discharge1.28NANA0.500.520.06NANA1.841.86XXX
    99218AObservation care1.28NANA0.380.430.06NANA1.721.77XXX
    99219AObservation care2.14NANA0.600.690.10NANA2.842.93XXX
    99220AObservation care2.99NANA0.860.990.14NANA3.994.12XXX
    99221AInitial hospital care1.88NANA0.550.480.07NANA2.502.43XXX
    99222AInitial hospital care2.56NANA0.710.730.10NANA3.373.39XXX
    99223AInitial hospital care3.78NANA1.081.040.13NANA4.994.95XXX
    99231ASubsequent hospital care0.76NANA0.240.230.03NANA1.031.02XXX
    99232ASubsequent hospital care1.39NANA0.430.390.04NANA1.861.82XXX
    99233ASubsequent hospital care2.00NANA0.600.540.06NANA2.662.60XXX
    99234AObserv/hosp same date2.56NANA0.780.860.13NANA3.473.55XXX
    99235AObserv/hosp same date3.41NANANANA0.16NANANANAXXX
    99236AObserv/hosp same date4.26NANA1.251.390.19NANA5.705.84XXX
    99238AHospital discharge day1.28NANA0.500.530.05NANA1.831.86XXX
    99239AHospital discharge day1.90NANA0.680.720.07NANA2.652.69XXX
    99241AOffice consultation0.640.660.650.220.220.051.351.340.910.91XXX
    99242AOffice consultation1.341.081.050.470.460.102.522.491.911.90XXX
    99243AOffice consultation1.881.451.410.670.640.133.463.422.682.65XXX
    99244AOffice consultation3.021.951.851.090.960.165.135.034.274.14XXX
    99245AOffice consultation3.772.272.271.311.260.216.256.255.295.24XXX
    99251AInitial inpatient consult1.00NANA0.310.260.05NANA1.361.31XXX
    99252AInitial inpatient consult1.50NANA0.500.500.09NANA2.092.09XXX
    99253AInitial inpatient consult2.27NANA0.810.710.11NANA3.193.09XXX
    99254AInitial inpatient consult3.29NANA1.191.030.13NANA4.614.45XXX
    99255AInitial inpatient consult4.00NANA1.401.360.18NANA5.585.54XXX
    99281AEmergency dept visit0.45NANA0.090.090.02NANA0.560.56XXX
    99282AEmergency dept visit0.88NANA0.170.150.04NANA1.091.07XXX
    99283AEmergency dept visit1.34NANA0.250.300.09NANA1.681.73XXX
    99284AEmergency dept visit2.56NANA0.460.470.14NANA3.163.17XXX
    99285AEmergency dept visit3.80NANA0.670.710.23NANA4.704.74XXX
    99289APed crit care transport4.79NANA1.111.370.24NANA6.146.40XXX
    99290APed crit care transport addl2.40NANA0.600.760.12NANA3.123.28ZZZ
    99291ACritical care, first hour4.502.282.501.121.240.216.997.215.835.95XXX
    99292ACritical care, addIl 30 min2.250.830.880.590.630.113.193.242.952.99ZZZ
    99293APed critical care, initial15.98NANA3.594.461.12NANA20.6921.56XXX
    99294APed critical care, subseq7.99NANA1.722.230.45NANA10.1610.67XXX
    Start Printed Page 49233
    99295ANeonate crit care, initial18.46NANA4.345.111.16NANA23.9624.73XXX
    99296ANeonate critical care subseq7.99NANA1.762.350.32NANA10.0710.66XXX
    99298AIc for lbw infant < 1500 gm2.75NANA0.660.860.17NANA3.583.78XXX
    99299AIc, lbw infant 1500-2500 gm2.50NANA0.750.830.16NANA3.413.49XXX
    99300AIc, infant pbw 2501-5000 gm2.40NANA0.720.810.15NANA3.273.36XXX
    99304ANursing facility care, init1.200.450.480.450.480.051.701.731.701.73XXX
    99305ANursing facility care, init1.610.560.610.560.610.072.242.292.242.29XXX
    99306ANursing facility care, init2.010.650.730.650.730.092.752.832.752.83XXX
    99307ANursing fac care, subseq0.600.270.270.270.270.030.900.900.900.90XXX
    99308ANursing fac care, subseq1.000.430.450.430.450.041.471.491.471.49XXX
    99309ANursing fac care, subseq1.420.580.610.580.610.062.062.092.062.09XXX
    99310ANursing fac care, subseq1.770.730.770.730.770.082.582.622.582.62XXX
    99315ANursing fac discharge day1.130.410.440.410.440.051.591.621.591.62XXX
    99316ANursing fac discharge day1.500.510.570.510.570.062.072.132.072.13XXX
    99318AAnnual nursing fac assessmnt1.200.450.480.450.480.051.701.731.701.73XXX
    99324ADomicil/r-home visit new pat1.010.430.48NANA0.051.491.54NANAXXX
    99325ADomicil/r-home visit new pat1.520.560.65NANA0.072.152.24NANAXXX
    99326ADomicil/r-home visit new pat2.270.730.87NANA0.103.103.24NANAXXX
    99327ADomicil/r-home visit new pat3.030.921.11NANA0.134.084.27NANAXXX
    99328ADomicil/r-home visit new pat3.781.101.34NANA0.165.045.28NANAXXX
    99334ADomicil/r-home visit est pat0.760.360.39NANA0.041.161.19NANAXXX
    99335ADomicil/r-home visit est pat1.260.480.56NANA0.061.801.88NANAXXX
    99336ADomicil/r-home visit est pat2.020.660.78NANA0.092.772.89NANAXXX
    99337ADomicil/r-home visit est pat3.030.901.09NANA0.134.064.25NANAXXX
    99341AHome visit, new patient1.010.370.45NANA0.051.431.51NANAXXX
    99342AHome visit, new patient1.520.500.64NANA0.072.092.23NANAXXX
    99343AHome visit, new patient2.270.690.88NANA0.103.063.25NANAXXX
    99344AHome visit, new patient3.030.911.11NANA0.134.074.27NANAXXX
    99345AHome visit, new patient3.781.081.34NANA0.165.025.28NANAXXX
    99347AHome visit, est patient0.760.360.39NANA0.041.161.19NANAXXX
    99348AHome visit, est patient1.260.490.56NANA0.061.811.88NANAXXX
    99349AHome visit, est patient2.020.660.79NANA0.092.772.90NANAXXX
    99350AHome visit, est patient3.030.911.11NANA0.134.074.27NANAXXX
    99354AProlonged service, office1.770.650.740.500.620.082.502.592.352.47ZZZ
    99355AProlonged service, office1.770.670.730.520.600.072.512.572.362.44ZZZ
    99356AProlonged service, inpatient1.71NANA0.510.590.07NANA2.292.37ZZZ
    99357AProlonged service, inpatient1.71NANA0.500.600.08NANA2.292.39ZZZ
    99374BHome health care supervision1.100.550.660.260.380.051.701.811.411.53XXX
    99375IHome health care supervision1.730.761.350.401.260.072.563.152.203.06XXX
    99377BHospice care supervision1.100.550.660.260.380.051.701.811.411.53XXX
    99378IHospice care supervision1.730.761.650.401.560.072.563.452.203.36XXX
    99379BNursing fac care supervision1.100.550.660.260.380.041.691.801.401.52XXX
    99380BNursing fac care supervision1.730.760.930.400.600.062.552.722.192.39XXX
    99381NPrev visit, new, infant1.191.011.380.280.410.052.252.621.521.65XXX
    99382NPrev visit, new, age 1-41.361.051.420.320.470.052.462.831.731.88XXX
    99383NPrev visit, new, age 5-111.361.041.370.320.470.052.452.781.731.88XXX
    99384NPrev visit, new, age 12-171.531.081.430.360.530.062.673.021.952.12XXX
    99385NPrev visit, new, age 18-391.531.081.430.360.530.062.673.021.952.12XXX
    99386NPrev visit, new, age 40-641.881.161.600.440.650.073.113.552.392.60XXX
    99387NPrev visit, new, 65 & over2.061.291.730.480.710.073.423.862.612.84XXX
    99391NPrev visit, est, infant1.020.870.980.240.350.041.932.041.301.41XXX
    99392NPrev visit, est, age 1-41.190.911.050.280.410.052.152.291.521.65XXX
    99393NPrev visit, est, age 5-111.190.911.020.280.410.052.152.261.521.65XXX
    99394NPrev visit, est, age 12-171.360.951.090.320.470.052.362.501.731.88XXX
    99395NPrev visit, est, age 18-391.360.951.110.320.470.052.362.521.731.88XXX
    99396NPrev visit, est, age 40-641.530.991.190.360.530.062.582.781.952.12XXX
    99397NPrev visit, est, 65 & over1.711.131.300.400.600.062.903.072.172.37XXX
    99401NPreventive counseling, indiv0.480.360.560.110.170.010.851.050.600.66XXX
    99402NPreventive counseling, indiv0.980.480.770.230.340.021.481.771.231.34XXX
    99403NPreventive counseling, indiv1.460.590.970.340.510.042.092.471.842.01XXX
    99404NPreventive counseling, indiv1.950.711.170.450.680.052.713.172.452.68XXX
    99411NPreventive counseling, group0.150.220.190.030.050.010.380.350.190.21XXX
    99412NPreventive counseling, group0.250.250.250.060.090.010.510.510.320.35XXX
    99431AInitial care, normal newborn1.17NANA0.270.350.05NANA1.491.57XXX
    99432ANewborn care, not in hosp1.261.020.950.290.370.072.352.281.621.70XXX
    99433ANormal newborn care/hospital0.62NANA0.140.190.02NANA0.780.83XXX
    Start Printed Page 49234
    99435ANewborn discharge day hosp1.50NANA0.470.560.06NANA2.032.12XXX
    99436AAttendance, birth1.50NANA0.350.440.06NANA1.912.00XXX
    99440ANewborn resuscitation2.93NANA0.680.870.12NANA3.733.92XXX
    99499CUnlisted e&m service0.000.000.000.000.000.000.000.000.000.00XXX
    G0101ACA screen;pelvic/breast exam0.450.490.51NANA0.020.960.98NANAXXX
    G0102AProstate ca screening; dre0.170.330.380.060.060.010.510.560.240.24XXX
    G0104ACA screen;flexi sigmoidscope0.962.492.330.610.530.083.533.371.651.57000
    G0105AColorectal scrn; hi risk ind3.696.366.201.811.560.3010.3510.195.805.55000
    G010553AColorectal scrn; hi risk ind0.962.492.330.610.530.083.533.371.651.57000
    G0106AColon CA screen;barium enema0.994.943.15NANA0.176.104.31NANAXXX
    G010626AColon CA screen;barium enema0.990.310.320.310.320.041.341.351.341.35XXX
    G0106TCAColon CA screen;barium enema0.004.632.83NANA0.134.762.96NANAXXX
    G0108ADiab manage trn per indiv0.000.590.77NANA0.010.600.78NANAXXX
    G0109ADiab manage trn ind/group0.000.310.44NANA0.010.320.45NANAXXX
    G0117TGlaucoma scrn hgh risk direc0.450.800.74NANA0.011.261.20NANAXXX
    G0118TGlaucoma scrn hgh risk direc0.170.790.60NANA0.010.970.78NANAXXX
    G0120AColon ca scrn; barium enema0.994.943.15NANA0.176.104.31NANAXXX
    G012026AColon ca scrn; barium enema0.990.310.320.310.320.041.341.351.341.35XXX
    G0120TCAColon ca scrn; barium enema0.004.632.83NANA0.134.762.96NANAXXX
    G0121AColon ca scrn not hi rsk ind3.696.366.201.811.560.3010.3510.195.805.55000
    G012153AColon ca scrn not hi rsk ind0.962.492.330.610.530.083.533.371.651.57000
    G0122NColon ca scrn; barium enema0.995.693.35NANA0.186.864.52NANAXXX
    G012226NColon ca scrn; barium enema0.990.230.340.230.340.051.271.381.271.38XXX
    G0122TCNColon ca scrn; barium enema0.005.463.01NANA0.135.593.14NANAXXX
    G0124AScreen c/v thin layer by MD0.420.380.210.380.210.020.820.650.820.65XXX
    G0127RTrim nail(s)0.170.390.290.040.060.010.570.470.220.24000
    G0128RCORF skilled nursing service0.080.020.030.020.030.010.110.120.110.12XXX
    G0130ASingle energy x-ray study0.220.550.79NANA0.060.831.07NANAXXX
    G013026ASingle energy x-ray study0.220.060.070.060.070.010.290.300.290.30XXX
    G0130TCASingle energy x-ray study0.000.490.72NANA0.050.540.77NANAXXX
    G0141AScr c/v cyto,autosys and md0.420.380.210.380.210.020.820.650.820.65XXX
    G0166AExtrnl counterpulse, per tx0.074.563.82NANA0.014.643.90NANAXXX
    G0168AWound closure by adhesive0.451.571.840.210.220.032.052.320.690.70000
    G0179AMD recertification HHA PT0.450.480.89NANA0.020.951.36NANAXXX
    G0180AMD certification HHA patient0.670.561.09NANA0.031.261.79NANAXXX
    G0181AHome health care supervision1.730.811.31NANA0.072.613.11NANAXXX
    G0182AHospice care supervision1.730.831.45NANA0.072.633.25NANAXXX
    G0186CDstry eye lesn,fdr vssl tech0.000.000.000.000.000.000.000.000.000.00YYY
    G0202AScreeningmammographydigital0.702.822.78NANA0.103.623.58NANAXXX
    G020226AScreeningmammographydigital0.700.240.230.240.230.030.970.960.970.96XXX
    G0202TCAScreeningmammographydigital0.002.582.55NANA0.072.652.62NANAXXX
    G0204ADiagnosticmammographydigital0.873.422.94NANA0.114.403.92NANAXXX
    G020426ADiagnosticmammographydigital0.870.300.290.300.290.041.211.201.211.20XXX
    G0204TCADiagnosticmammographydigital0.003.122.66NANA0.073.192.73NANAXXX
    G0206ADiagnosticmammographydigital0.702.682.36NANA0.093.473.15NANAXXX
    G020626ADiagnosticmammographydigital0.700.240.230.240.230.030.970.960.970.96XXX
    G0206TCADiagnosticmammographydigital0.002.442.13NANA0.062.502.19NANAXXX
    G0237ATherapeutic procd strg endur0.000.220.41NANA0.020.240.43NANAXXX
    G0238AOth resp proc, indiv0.000.230.43NANA0.020.250.45NANAXXX
    G0239AOth resp proc, group0.000.320.33NANA0.020.340.35NANAXXX
    G0245RInitial foot exam pt lops0.880.830.800.290.310.041.751.721.211.23XXX
    G0246RFollowup eval of foot pt lop0.450.550.540.150.160.021.021.010.620.63XXX
    G0247RRoutine footcare pt w lops0.500.680.560.160.200.021.201.080.680.72ZZZ
    G0248RDemonstrate use home inr mon0.003.305.78NANA0.013.315.79NANAXXX
    G0249RProvide test material,equipm0.002.383.57NANA0.012.393.58NANAXXX
    G0250RMD review interpret of test0.180.080.07NANA0.010.270.26NANAXXX
    Start Printed Page 49235
    G025226NPET imaging initial dx1.500.350.540.350.540.041.892.081.892.08XXX
    G0268ARemoval of impacted wax md0.610.600.620.170.220.021.231.250.800.85000
    G0270AMNT subs tx for change dx0.370.100.380.090.380.010.480.760.470.76XXX
    G0271AGroup MNT 2 or more 30 mins0.250.060.150.060.150.010.320.410.320.41XXX
    G0275ARenal angio, cardiac cath0.25NANA0.140.110.01NANA0.400.37ZZZ
    G0278AIliac art angio,cardiac cath0.25NANA0.140.110.01NANA0.400.37ZZZ
    G0281AElec stim unattend for press0.180.150.12NANA0.010.340.31NANAXXX
    G0283AElec stim other than wound0.180.150.12NANA0.010.340.31NANAXXX
    G0288ARecon, CTA for surg plan0.000.998.21NANA0.181.178.39NANAXXX
    G0289AArthro, loose body + chondro1.48NANA0.590.750.26NANA2.332.49ZZZ
    G0308AESRD related svc 4+mo < 2yrs12.745.527.795.527.790.4218.6820.9518.6820.95XXX
    G0309AESRD related svc 2-3mo <2yrs10.614.806.534.806.530.3615.7717.5015.7717.50XXX
    G0310AESRD related svc 1 vst <2yrs8.492.874.982.874.980.2811.6413.7511.6413.75XXX
    G0311AESRD related svs 4+mo 2-11yr9.733.594.443.594.440.3413.6614.5113.6614.51XXX
    G0312AESRD relate svs 2-3 mo 2-11y8.112.673.612.673.610.2911.0712.0111.0712.01XXX
    G0313AESRD related svs 1 mon 2-11y6.491.862.821.862.820.228.579.538.579.53XXX
    G0314AESRD related svs 4+ mo 12-198.283.434.173.434.170.2711.9812.7211.9812.72XXX
    G0315AESRD related svs 2-3mo/12-196.902.613.412.613.410.239.7410.549.7410.54XXX
    G0316AESRD related svs 1vis/12-19y5.521.692.631.692.630.177.388.327.388.32XXX
    G0317AESRD related svs 4+mo 20+yrs5.092.272.712.272.710.177.537.977.537.97XXX
    G0318AESRD related svs 2-3 mo 20+y4.241.712.211.712.210.146.096.596.096.59XXX
    G0319AESRD related svs 1visit 20+y3.391.141.711.141.710.114.645.214.645.21XXX
    G0320AESD related svs home undr 210.612.686.002.686.000.3613.6516.9713.6516.97XXX
    G0321AESRDrelatedsvs home mo 2-11y8.111.993.441.993.440.2910.3911.8410.3911.84XXX
    G0322AESRD related svs hom mo12-196.901.733.191.733.190.238.8610.328.8610.32XXX
    G0323AESRD related svs home mo 20+4.241.162.081.162.080.145.546.465.546.46XXX
    G0324AESRD relate svs home/dy <2yr0.350.160.220.160.220.010.520.580.520.58XXX
    G0325AESRD relate home/day/ 2-11yr0.230.090.110.090.110.010.330.350.330.35XXX
    G0326AESRD relate home/dy 12-19yr0.270.100.120.100.120.010.380.400.380.40XXX
    G0327AESRD relate home/dy 20+yrs0.140.060.080.060.080.010.210.230.210.23XXX
    G0329AElectromagntic tx for ulcers0.060.160.15NANA0.010.230.22NANAXXX
    G0332DPreadmin IV immunoglobulin0.000.000.000.000.000.000.000.000.000.00XXX
    G0337XHospice evaluation preelecti1.340.310.460.310.460.091.741.891.741.89XXX
    G0339CRobot lin-radsurg com, first0.000.000.000.000.000.000.000.000.000.00XXX
    G0340CRobt lin-radsurg fractx 2-50.000.000.000.000.000.000.000.000.000.00XXX
    G0341APercutaneous islet celltrans6.98NANA2.142.480.48NANA9.609.94000
    G0342ALaparoscopy islet cell trans11.92NANA5.135.251.46NANA18.5118.63090
    G0343ALaparotomy islet cell transp19.85NANA8.698.742.06NANA30.6030.65090
    G0344AInitial preventive exam1.341.101.120.420.470.102.542.561.861.91XXX
    G0364ABone marrow aspirate &biopsy0.160.160.150.070.060.040.360.350.270.26ZZZ
    G0365AVessel mapping hemo access0.255.344.33NANA0.255.844.83NANAXXX
    G036526AVessel mapping hemo access0.250.070.090.070.090.020.340.360.340.36XXX
    G0365TCAVessel mapping hemo access0.005.274.24NANA0.235.504.47NANAXXX
    G0366AEKG for initial prevent exam0.170.350.470.350.470.030.550.670.550.67XXX
    G0367AEKG tracing for initial prev0.000.280.41NANA0.020.300.43NANAXXX
    G0368AEKG interpret & report preve0.170.070.060.070.060.010.250.240.250.24XXX
    G0372AMD service required for PMD0.170.040.300.040.060.010.220.480.220.24XXX
    G0375ASmoke/tobacco counselng 3-100.240.070.090.070.090.010.320.340.320.34XXX
    G0376ASmoke/tobacco counseling >100.480.130.170.130.160.010.620.660.620.65XXX
    Gxxx1AUltrasound exam AAA screen0.582.421.81NANA0.113.112.50NANAXXX
    Gxxx126AUltrasound exam AAA screen0.580.190.190.190.190.030.800.800.800.80XXX
    Gxxx1TCAUltrasound exam AAA screen0.002.231.62NANA0.082.311.70NANAXXX
    M0064AVisit for drug monitoring0.370.890.480.060.110.011.270.860.440.49XXX
    P3001AScreening pap smear by phys0.420.380.210.380.210.020.820.650.820.65XXX
    Q0035ACardiokymography0.170.300.41NANA0.030.500.61NANAXXX
    Q003526ACardiokymography0.170.050.060.050.060.010.230.240.230.24XXX
    Q0035TCACardiokymography0.000.250.36NANA0.020.270.38NANAXXX
    Q0091AObtaining screen pap smear0.370.760.690.100.130.021.151.080.490.52XXX
    Q0092ASet up port xray equipment0.000.500.370.500.370.010.510.380.510.38XXX
    Q3001CBrachytherapy Radioelements0.000.000.000.000.000.000.000.000.000.00XXX
    R0070CTransport portable x-ray0.000.000.000.000.0000.000.000.000.00XXX
    R0075CTransport port x-ray multipl0.000.000.000.000.0000.000.000.000.00XXX
    1 CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.
    2 Copyright 2005 American Dental Association. All rights reserved.
    Start Printed Page 49236

    Addendum C.—Codes for Which We Received PERC Recommendations on PE Direct Cost Inputs

    CPT CodesShort descriptor
    00100Anesth, salivary gland
    00102Anesth, repair of cleft lip
    00103Anesth, blepharoplasty
    00104Anesth, electroshock
    00120Anesth, ear surgery
    00124Anesth, ear exam
    00126Anesth, tympanotomy
    00140Anesth, procedures on eye
    00142Anesth, lens surgery
    00144Anesth, corneal transplant
    00145Anesth, vitreoretinal surg
    00147Anesth, iridectomy
    00148Anesth, eye exam
    00160Anesth, nose/sinus surgery
    00162Anesth, nose/sinus surgery
    00164Anesth, biopsy of nose
    00170Anesth, procedure on mouth
    00172Anesth, cleft palate repair
    00174Anesth, pharyngeal surgery
    00176Anesth, pharyngeal surgery
    00190Anesth, face/skull bone surg
    00192Anesth, facial bone surgery
    00210Anesth, open head surgery
    00212Anesth, skull drainage
    00214Anesth, skull drainage
    00215Anesth, skull repair/fract
    00216Anesth, head vessel surgery
    00218Anesth, special head surgery
    00220Anesth, intrcrn nerve
    00222Anesth, head nerve surgery
    00300Anesth, head/neck/ptrunk
    00320Anesth, neck organ, 1 & over
    00322Anesth, biopsy of thyroid
    00326Anesth, larynx/trach, < 1 yr
    00350Anesth, neck vessel surgery
    00352Anesth, neck vessel surgery
    00400Anesth, skin, ext/per/atrunk
    00402Anesth, surgery of breast
    00404Anesth, surgery of breast
    00406Anesth, surgery of breast
    00410Anesth, correct heart rhythm
    00450Anesth, surgery of shoulder
    00452Anesth, surgery of shoulder
    00454Anesth, collar bone biopsy
    00470Anesth, removal of rib
    00472Anesth, chest wall repair
    00474Anesth, surgery of rib(s)
    00500Anesth, esophageal surgery
    00520Anesth, chest procedure
    00522Anesth, chest lining biopsy
    00524Anesth, chest drainage
    00528Anesth, chest partition view
    00529Anesth, chest partition view
    00530Anesth, pacemaker insertion
    00532Anesth, vascular access
    00534Anesth, cardioverter/defib
    00537Anesth, cardiac electrophys
    00539Anesth, trach-bronch reconst
    00540Anesth, chest surgery
    00541Anesth, one lung ventilation
    00542Anesth, release of lung
    00546Anesth, lung,chest wall surg
    00548Anesth, trachea,bronchi surg
    00550Anesth, sternal debridement
    00560Anesth, heart surg w/o pump
    00561Anesth, heart surg < age 1
    00562Anesth, heart surg w/pump
    00563Anesth, heart surg w/arrest
    00566Anesth, cabg w/o pump
    00580Anesth, heart/lung transplnt
    00600Anesth, spine, cord surgery
    00604Anesth, sitting procedure
    00620Anesth, spine, cord surgery
    00622Anesth, removal of nerves
    00630Anesth, spine, cord surgery
    00632Anesth, removal of nerves
    00634Anesth for chemonucleolysis
    00635Anesth, lumbar puncture
    00640Anesth, spine manipulation
    00670Anesth, spine, cord surgery
    00700Anesth, abdominal wall surg
    00702Anesth, for liver biopsy
    00730Anesth, abdominal wall surg
    00740Anesth, upper gi visualize
    00750Anesth, repair of hernia
    00752Anesth, repair of hernia
    00754Anesth, repair of hernia
    00756Anesth, repair of hernia
    00770Anesth, blood vessel repair
    00790Anesth, surg upper abdomen
    00792Anesth, hemorr/excise liver
    00794Anesth, pancreas removal
    00796Anesth, for liver transplant
    00797Anesth, surgery for obesity
    00800Anesth, abdominal wall surg
    00802Anesth, fat layer removal
    00810Anesth, low intestine scope
    00820Anesth, abdominal wall surg
    00830Anesth, repair of hernia
    00832Anesth, repair of hernia
    00834Anesth, hernia repair < 1 yr
    00836Anesth hernia repair preemie
    00840Anesth, surg lower abdomen
    00842Anesth, amniocentesis
    00844Anesth, pelvis surgery
    00846Anesth, hysterectomy
    00848Anesth, pelvic organ surg
    00851Anesth, tubal ligation
    00860Anesth, surgery of abdomen
    00862Anesth, kidney/ureter surg
    00864Anesth, removal of bladder
    00865Anesth, removal of prostate
    00866Anesth, removal of adrenal
    00868Anesth, kidney transplant
    00870Anesth, bladder stone surg
    00872Anesth kidney stone destruct
    00873Anesth kidney stone destruct
    00880Anesth, abdomen vessel surg
    00882Anesth, major vein ligation
    00902Anesth, anorectal surgery
    00904Anesth, perineal surgery
    00906Anesth, removal of vulva
    00908Anesth, removal of prostate
    00910Anesth, bladder surgery
    00912Anesth, bladder tumor surg
    00914Anesth, removal of prostate
    00916Anesth, bleeding control
    00918Anesth, stone removal
    00920Anesth, genitalia surgery
    00921Anesth, vasectomy
    00922Anesth, sperm duct surgery
    00924Anesth, testis exploration
    00926Anesth, removal of testis
    00928Anesth, removal of testis
    00930Anesth, testis suspension
    00932Anesth, amputation of penis
    00934Anesth, penis, nodes removal
    00936Anesth, penis, nodes removal
    00938Anesth, insert penis device
    00940Anesth, vaginal procedures
    00942Anesth, surg on vag/urethral
    00944Anesth, vaginal hysterectomy
    00948Anesth, repair of cervix
    00950Anesth, vaginal endoscopy
    00952Anesth, hysteroscope/graph
    01112Anesth, bone aspirate/bx
    01120Anesth, pelvis surgery
    01130Anesth, body cast procedure
    01140Anesth, amputation at pelvis
    01150Anesth, pelvic tumor surgery
    01160Anesth, pelvis procedure
    01170Anesth, pelvis surgery
    01173Anesth, fx repair, pelvis
    01180Anesth, pelvis nerve removal
    01190Anesth, pelvis nerve removal
    01200Anesth, hip joint procedure
    01202Anesth, arthroscopy of hip
    01210Anesth, hip joint surgery
    01212Anesth, hip disarticulation
    01214Anesth, hip arthroplasty
    01215Anesth, revise hip repair
    01220Anesth, procedure on femur
    01230Anesth, surgery of femur
    01232Anesth, amputation of femur
    01234Anesth, radical femur surg
    01250Anesth, upper leg surgery
    01260Anesth, upper leg veins surg
    01270Anesth, thigh arteries surg
    01272Anesth, femoral artery surg
    01274Anesth, femoral embolectomy
    01320Anesth, knee area surgery
    01340Anesth, knee area procedure
    01360Anesth, knee area surgery
    01380Anesth, knee joint procedure
    01382Anesth, dx knee arthroscopy
    01390Anesth, knee area procedure
    01392Anesth, knee area surgery
    01400Anesth, knee joint surgery
    01402Anesth, knee arthroplasty
    01404Anesth, amputation at knee
    01420Anesth, knee joint casting
    01430Anesth, knee veins surgery
    01432Anesth, knee vessel surg
    01440Anesth, knee arteries surg
    01442Anesth, knee artery surg
    01444Anesth, knee artery repair
    01462Anesth, lower leg procedure
    01464Anesth, ankle/ft arthroscopy
    01470Anesth, lower leg surgery
    01472Anesth, achilles tendon surg
    01474Anesth, lower leg surgery
    01480Anesth, lower leg bone surg
    01482Anesth, radical leg surgery
    01484Anesth, lower leg revision
    01486Anesth, ankle replacement
    01490Anesth, lower leg casting
    01500Anesth, leg arteries surg
    01502Anesth, lwr leg embolectomy
    01520Anesth, lower leg vein surg
    01522Anesth, lower leg vein surg
    01610Anesth, surgery of shoulder
    Start Printed Page 49237
    01620Anesth, shoulder procedure
    01622Anes dx shoulder arthroscopy
    01630Anesth, surgery of shoulder
    01632Anesth, surgery of shoulder
    01634Anesth, shoulder joint amput
    01636Anesth, forequarter amput
    01638Anesth, shoulder replacement
    01650Anesth, shoulder artery surg
    01652Anesth, shoulder vessel surg
    01654Anesth, shoulder vessel surg
    01656Anesth, arm-leg vessel surg
    01670Anesth, shoulder vein surg
    01680Anesth, shoulder casting
    01682Anesth, airplane cast
    01710Anesth, elbow area surgery
    01712Anesth, uppr arm tendon surg
    01714Anesth, uppr arm tendon surg
    01716Anesth, biceps tendon repair
    01730Anesth, uppr arm procedure
    01732Anesth, dx elbow arthroscopy
    01740Anesth, upper arm surgery
    01742Anesth, humerus surgery
    01744Anesth, humerus repair
    01756Anesth, radical humerus surg
    01758Anesth, humeral lesion surg
    01760Anesth, elbow replacement
    01770Anesth, uppr arm artery surg
    01772Anesth, uppr arm embolectomy
    01780Anesth, upper arm vein surg
    01782Anesth, uppr arm vein repair
    01810Anesth, lower arm surgery
    01820Anesth, lower arm procedure
    01829Anesth, dx wrist arthroscopy
    01830Anesth, lower arm surgery
    01832Anesth, wrist replacement
    01840Anesth, lwr arm artery surg
    01842Anesth, lwr arm embolectomy
    01844Anesth, vascular shunt surg
    01850Anesth, lower arm vein surg
    01852Anesth, lwr arm vein repair
    01860Anesth, lower arm casting
    01905Anes, spine inject, x-ray/re
    01916Anesth, dx arteriography
    01920Anesth, catheterize heart
    01922Anesth, cat or mri scan
    01924Anes, ther interven rad, art
    01925Anes, ther interven rad, car
    01926Anes, tx interv rad hrt/cran
    01930Anes, ther interven rad, vei
    01931Anes, ther interven rad, tip
    01932Anes, tx interv rad, th vein
    01933Anes, tx interv rad, cran v
    01951Anesth, burn, less 4 percent
    01952Anesth, burn, 4-9 percent
    01953Anesth, burn, each 9 percent
    01958Anesth, antepartum manipul
    01960Anesth, vaginal delivery
    01961Anesth, cs delivery
    01962Anesth, emer hysterectomy
    01963Anesth, cs hysterectomy
    01965Anesth, inc/missed ab proc
    01966Anesth, induced ab procedure
    01967Anesth/analg, vag delivery
    01968Anes/analg cs deliver add-on
    01969Anesth/analg cs hyst add-on
    01990Support for organ donor
    01991Anesth, nerve block/inj
    01992Anesth, n block/inj, prone
    01995Regional anesthesia limb
    01996Hosp manage cont drug admin
    01999Unlisted anesth procedure
    23500Treat clavicle fracture
    23680Treat dislocation/fracture
    24130Removal of head of radius
    24134Removal of arm bone lesion
    24136Remove radius bone lesion
    24138Remove elbow bone lesion
    24140Partial removal of arm bone
    24145Partial removal of radius
    24147Partial removal of elbow
    24495Decompression of forearm
    24500Treat humerus fracture
    24500Treat humerus fracture
    24505Treat humerus fracture
    24515Treat humerus fracture
    24516Treat humerus fracture
    24530Treat humerus fracture
    24535Treat humerus fracture
    24538Treat humerus fracture
    24545Treat humerus fracture
    24546Treat humerus fracture
    24560Treat humerus fracture
    24565Treat humerus fracture
    24566Treat humerus fracture
    24575Treat humerus fracture
    24576Treat humerus fracture
    24577Treat humerus fracture
    24579Treat humerus fracture
    24582Treat humerus fracture
    24586Treat elbow fracture
    24587Treat elbow fracture
    24600Treat elbow dislocation
    24605Treat elbow dislocation
    24615Treat elbow dislocation
    24620Treat elbow fracture
    24635Treat elbow fracture
    24640Treat elbow dislocation
    24650Treat radius fracture
    24655Treat radius fracture
    24665Treat radius fracture
    24666Treat radius fracture
    24670Treat ulnar fracture
    24675Treat ulnar fracture
    24685Treat ulnar fracture
    25000Incision of tendon sheath
    25020Decompress forearm 1 space
    25023Decompress forearm 1 space
    25028Drainage of forearm lesion
    25031Drainage of forearm bursa
    25035Treat forearm bone lesion
    25040Explore/treat wrist joint
    25066Biopsy forearm soft tissues
    25075Removal forearm lesion subcu
    25076Removal forearm lesion deep
    25077Remove tumor, forearm/wrist
    25085Incision of wrist capsule
    25100Biopsy of wrist joint
    25101Explore/treat wrist joint
    25105Remove wrist joint lining
    25107Remove wrist joint cartilage
    25110Remove wrist tendon lesion
    25111Remove wrist tendon lesion
    25112Reremove wrist tendon lesion
    25115Remove wrist/forearm lesion
    25116Remove wrist/forearm lesion
    25118Excise wrist tendon sheath
    25119Partial removal of ulna
    25120Removal of forearm lesion
    25125Remove/graft forearm lesion
    25126Remove/graft forearm lesion
    25130Removal of wrist lesion
    25135Remove & graft wrist lesion
    25136Remove & graft wrist lesion
    25145Remove forearm bone lesion
    25150Partial removal of ulna
    25151Partial removal of radius
    25170Extensive forearm surgery
    25210Removal of wrist bone
    25215Removal of wrist bones
    25230Partial removal of radius
    25240Partial removal of ulna
    25248Remove forearm foreign body
    25260Repair forearm tendon/muscle
    25263Repair forearm tendon/muscle
    25265Repair forearm tendon/muscle
    25270Repair forearm tendon/muscle
    25272Repair forearm tendon/muscle
    25274Repair forearm tendon/muscle
    25280Revise wrist/forearm tendon
    25290Incise wrist/forearm tendon
    25295Release wrist/forearm tendon
    25300Fusion of tendons at wrist
    25301Fusion of tendons at wrist
    25310Transplant forearm tendon
    25312Transplant forearm tendon
    25315Revise palsy hand tendon(s)
    25316Revise palsy hand tendon(s)
    25320Repair/revise wrist joint
    25335Realignment of hand
    25337Reconstruct ulna/radioulnar
    25350Revision of radius
    25355Revision of radius
    25360Revision of ulna
    25365Revise radius & ulna
    25370Revise radius or ulna
    25375Revise radius & ulna
    25390Shorten radius or ulna
    25391Lengthen radius or ulna
    25392Shorten radius & ulna
    25393Lengthen radius & ulna
    25400Repair radius or ulna
    25405Repair/graft radius or ulna
    25415Repair radius & ulna
    25420Repair/graft radius & ulna
    25425Repair/graft radius or ulna
    25426Repair/graft radius & ulna
    25440Repair/graft wrist bone
    25450Revision of wrist joint
    25455Revision of wrist joint
    25490Reinforce radius
    25491Reinforce ulna
    25492Reinforce radius and ulna
    25500Treat fracture of radius
    25505Treat fracture of radius
    25515Treat fracture of radius
    25520Treat fracture of radius
    25525Treat fracture of radius
    25526Treat fracture of radius
    25530Treat fracture of ulna
    25535Treat fracture of ulna
    25545Treat fracture of ulna
    Start Printed Page 49238
    25560Treat fracture radius & ulna
    25565Treat fracture radius & ulna
    25574Treat fracture radius & ulna
    25575Treat fracture radius/ulna
    25600Treat fracture radius/ulna
    25605Treat fracture radius/ulna
    25611Treat fracture radius/ulna
    25620Treat fracture radius/ulna
    25622Treat wrist bone fracture
    25624Treat wrist bone fracture
    25628Treat wrist bone fracture
    25630Treat wrist bone fracture
    25635Treat wrist bone fracture
    25645Treat wrist bone fracture
    25650Treat wrist bone fracture
    25651Pin ulnar styloid fracture
    25652Treat fracture ulnar styloid
    25660Treat wrist dislocation
    25670Treat wrist dislocation
    25671Pin radioulnar dislocation
    25675Treat wrist dislocation
    25676Treat wrist dislocation
    25680Treat wrist fracture
    25685Treat wrist fracture
    25690Treat wrist dislocation
    25695Treat wrist dislocation
    25800Fusion of wrist joint
    25805Fusion/graft of wrist joint
    25810Fusion/graft of wrist joint
    25820Fusion of hand bones
    25825Fuse hand bones with graft
    25830Fusion, radioulnar jnt/ulna
    25900Amputation of forearm
    25905Amputation of forearm
    25907Amputation follow-up surgery
    25909Amputation follow-up surgery
    25915Amputation of forearm
    25920Amputate hand at wrist
    25922Amputate hand at wrist
    25924Amputation follow-up surgery
    25927Amputation of hand
    25929Amputation follow-up surgery
    25931Amputation follow-up surgery
    26350Repair finger/hand tendon
    26352Repair/graft hand tendon
    26356Repair finger/hand tendon
    26357Repair finger/hand tendon
    26358Repair/graft hand tendon
    26370Repair finger/hand tendon
    26372Repair/graft hand tendon
    26373Repair finger/hand tendon
    26390Revise hand/finger tendon
    26392Repair/graft hand tendon
    26410Repair hand tendon
    26412Repair/graft hand tendon
    26415Excision, hand/finger tendon
    26416Graft hand or finger tendon
    26418Repair finger tendon
    26420Repair/graft finger tendon
    26426Repair finger/hand tendon
    26428Repair/graft finger tendon
    26432Repair finger tendon
    26433Repair finger tendon
    26434Repair/graft finger tendon
    26437Realignment of tendons
    26440Release palm/finger tendon
    26442Release palm & finger tendon
    26445Release hand/finger tendon
    26449Release forearm/hand tendon
    26450Incision of palm tendon
    26455Incision of finger tendon
    26460Incise hand/finger tendon
    26471Fusion of finger tendons
    26474Fusion of finger tendons
    26476Tendon lengthening
    26477Tendon shortening
    26478Lengthening of hand tendon
    26479Shortening of hand tendon
    26480Transplant hand tendon
    26483Transplant/graft hand tendon
    26485Transplant palm tendon
    26489Transplant/graft palm tendon
    26490Revise thumb tendon
    26492Tendon transfer with graft
    26494Hand tendon/muscle transfer
    26496Revise thumb tendon
    26497Finger tendon transfer
    26498Finger tendon transfer
    26499Revision of finger
    26500Hand tendon reconstruction
    26502Hand tendon reconstruction
    26504Hand tendon reconstruction
    26508Release thumb contracture
    26510Thumb tendon transfer
    26516Fusion of knuckle joint
    26517Fusion of knuckle joints
    26518Fusion of knuckle joints
    26520Release knuckle contracture
    26525Release finger contracture
    26536Revise/implant finger joint
    26540Repair hand joint
    26541Repair hand joint with graft
    26542Repair hand joint with graft
    26545Reconstruct finger joint
    26548Reconstruct finger joint
    26550Construct thumb replacement
    26555Positional change of finger
    26560Repair of web finger
    26561Repair of web finger
    26562Repair of web finger
    26565Correct metacarpal flaw
    26567Correct finger deformity
    26568Lengthen metacarpal/finger
    26580Repair hand deformity
    26590Repair finger deformity
    26591Repair muscles of hand
    26593Release muscles of hand
    26596Excision constricting tissue
    26600Treat metacarpal fracture
    26605Treat metacarpal fracture
    26607Treat metacarpal fracture
    26608Treat metacarpal fracture
    26615Treat metacarpal fracture
    26641Treat thumb dislocation
    26645Treat thumb fracture
    26650Treat thumb fracture
    26665Treat thumb fracture
    26670Treat hand dislocation
    26675Treat hand dislocation
    26676Pin hand dislocation
    26685Treat hand dislocation
    26686Treat hand dislocation
    26700Treat knuckle dislocation
    26705Treat knuckle dislocation
    26706Pin knuckle dislocation
    26715Treat knuckle dislocation
    26720Treat finger fracture, each
    26725Treat finger fracture, each
    26727Treat finger fracture, each
    26735Treat finger fracture, each
    26740Treat finger fracture, each
    26742Treat finger fracture, each
    26746Treat finger fracture, each
    26750Treat finger fracture, each
    26755Treat finger fracture, each
    26756Pin finger fracture, each
    26765Treat finger fracture, each
    26770Treat finger dislocation
    26775Treat finger dislocation
    26776Pin finger dislocation
    26785Treat finger dislocation
    26820Thumb fusion with graft
    26841Fusion of thumb
    26842Thumb fusion with graft
    26843Fusion of hand joint
    26844Fusion/graft of hand joint
    26850Fusion of knuckle
    26852Fusion of knuckle with graft
    26860Fusion of finger joint
    26862Fusion/graft of finger joint
    26910Amputate metacarpal bone
    26951Amputation of finger/thumb
    26952Amputation of finger/thumb
    27000Incision of hip tendon
    27001Incision of hip tendon
    27003Incision of hip tendon
    27005Incision of hip tendon
    27006Incision of hip tendons
    27025Incision of hip/thigh fascia
    27030Drainage of hip joint
    27033Exploration of hip joint
    27035Denervation of hip joint
    27041Biopsy of soft tissues
    27048Remove hip/pelvis lesion
    27049Remove tumor, hip/pelvis
    27050Biopsy of sacroiliac joint
    27052Biopsy of hip joint
    27054Removal of hip joint lining
    27060Removal of ischial bursa
    27062Remove femur lesion/bursa
    27065Removal of hip bone lesion
    27066Removal of hip bone lesion
    27067Remove/graft hip bone lesion
    27075Extensive hip surgery
    27076Extensive hip surgery
    27077Extensive hip surgery
    27078Extensive hip surgery
    27079Extensive hip surgery
    27080Removal of tail bone
    27087Remove hip foreign body
    27202Treat tail bone fracture
    27310Exploration of knee joint
    27315Partial removal, thigh nerve
    27320Partial removal, thigh nerve
    27324Biopsy, thigh soft tissues
    27328Removal of thigh lesion
    27329Remove tumor, thigh/knee
    27330Biopsy, knee joint lining
    27331Explore/treat knee joint
    27332Removal of knee cartilage
    27333Removal of knee cartilage
    Start Printed Page 49239
    27334Remove knee joint lining
    27335Remove knee joint lining
    27340Removal of kneecap bursa
    27345Removal of knee cyst
    27350Removal of kneecap
    27355Remove femur lesion
    27356Remove femur lesion/graft
    27357Remove femur lesion/graft
    27365Extensive leg surgery
    27380Repair of kneecap tendon
    27381Repair/graft kneecap tendon
    27385Repair of thigh muscle
    27386Repair/graft of thigh muscle
    27455Realignment of knee
    27500Treatment of thigh fracture
    27501Treatment of thigh fracture
    27502Treatment of thigh fracture
    27506Treatment of thigh fracture
    27507Treatment of thigh fracture
    27508Treatment of thigh fracture
    27509Treatment of thigh fracture
    27510Treatment of thigh fracture
    27511Treatment of thigh fracture
    27513Treatment of thigh fracture
    27514Treatment of thigh fracture
    27516Treat thigh fx growth plate
    27517Treat thigh fx growth plate
    27519Treat thigh fx growth plate
    27520Treat kneecap fracture
    27524Treat kneecap fracture
    27530Treat knee fracture
    27532Treat knee fracture
    27535Treat knee fracture
    27536Treat knee fracture
    27538Treat knee fracture(s)
    27540Treat knee fracture
    27550Treat knee dislocation
    27552Treat knee dislocation
    27556Treat knee dislocation
    27557Treat knee dislocation
    27558Treat knee dislocation
    27560Treat kneecap dislocation
    27562Treat kneecap dislocation
    27566Treat kneecap dislocation
    27580Fusion of knee
    27590Amputate leg at thigh
    27591Amputate leg at thigh
    27592Amputate leg at thigh
    27594Amputation follow-up surgery
    27596Amputation follow-up surgery
    27598Amputate lower leg at knee
    27600Decompression of lower leg
    27601Decompression of lower leg
    27602Decompression of lower leg
    27607Treat lower leg bone lesion
    27610Explore/treat ankle joint
    27612Exploration of ankle joint
    27615Remove tumor, lower leg
    27620Explore/treat ankle joint
    27625Remove ankle joint lining
    27626Remove ankle joint lining
    27635Remove lower leg bone lesion
    27637Remove/graft leg bone lesion
    27638Remove/graft leg bone lesion
    27640Partial removal of tibia
    27641Partial removal of fibula
    27645Extensive lower leg surgery
    27646Extensive lower leg surgery
    27647Extensive ankle/heel surgery
    27650Repair achilles tendon
    27652Repair/graft achilles tendon
    27654Repair of achilles tendon
    27675Repair lower leg tendons
    27676Repair lower leg tendons
    27680Release of lower leg tendon
    27681Release of lower leg tendons
    27687Revision of calf tendon
    27690Revise lower leg tendon
    27691Revise lower leg tendon
    27695Repair of ankle ligament
    27696Repair of ankle ligaments
    27698Repair of ankle ligament
    27705Incision of tibia
    27707Incision of fibula
    27709Incision of tibia & fibula
    27712Realignment of lower leg
    27715Revision of lower leg
    27720Repair of tibia
    27722Repair/graft of tibia
    27724Repair/graft of tibia
    27725Repair of lower leg
    27727Repair of lower leg
    27734Repair lower leg epiphyses
    27745Reinforce tibia
    27750Treatment of tibia fracture
    27752Treatment of tibia fracture
    27756Treatment of tibia fracture
    27758Treatment of tibia fracture
    27759Treatment of tibia fracture
    27760Treatment of ankle fracture
    27762Treatment of ankle fracture
    27766Treatment of ankle fracture
    27780Treatment of fibula fracture
    27781Treatment of fibula fracture
    27784Treatment of fibula fracture
    27786Treatment of ankle fracture
    27788Treatment of ankle fracture
    27792Treatment of ankle fracture
    27808Treatment of ankle fracture
    27810Treatment of ankle fracture
    27814Treatment of ankle fracture
    27816Treatment of ankle fracture
    27818Treatment of ankle fracture
    27822Treatment of ankle fracture
    27823Treatment of ankle fracture
    27824Treat lower leg fracture
    27825Treat lower leg fracture
    27826Treat lower leg fracture
    27827Treat lower leg fracture
    27828Treat lower leg fracture
    27829Treat lower leg joint
    27830Treat lower leg dislocation
    27831Treat lower leg dislocation
    27832Treat lower leg dislocation
    27840Treat ankle dislocation
    27842Treat ankle dislocation
    27846Treat ankle dislocation
    27848Treat ankle dislocation
    27870Fusion of ankle joint, open
    27871Fusion of tibiofibular joint
    27880Amputation of lower leg
    27881Amputation of lower leg
    27882Amputation of lower leg
    27884Amputation follow-up surgery
    27886Amputation follow-up surgery
    27888Amputation of foot at ankle
    27889Amputation of foot at ankle
    27892Decompression of leg
    27893Decompression of leg
    27894Decompression of leg
    28030Removal of foot nerve
    28102Remove/graft foot lesion
    28106Remove/graft foot lesion
    28130Removal of ankle bone
    28309Incision of metatarsals
    28320Repair of foot bones
    28400Treatment of heel fracture
    28405Treatment of heel fracture
    28406Treatment of heel fracture
    28415Treat heel fracture
    28420Treat/graft heel fracture
    28430Treatment of ankle fracture
    28435Treatment of ankle fracture
    28436Treatment of ankle fracture
    28445Treat ankle fracture
    28450Treat midfoot fracture, each
    28455Treat midfoot fracture, each
    28456Treat midfoot fracture
    28465Treat midfoot fracture, each
    28470Treat metatarsal fracture
    28475Treat metatarsal fracture
    28476Treat metatarsal fracture
    28485Treat metatarsal fracture
    28490Treat big toe fracture
    28495Treat big toe fracture
    28496Treat big toe fracture
    28505Treat big toe fracture
    28510Treatment of toe fracture
    28515Treatment of toe fracture
    28525Treat toe fracture
    28530Treat sesamoid bone fracture
    28531Treat sesamoid bone fracture
    28540Treat foot dislocation
    28545Treat foot dislocation
    28546Treat foot dislocation
    28555Repair foot dislocation
    28570Treat foot dislocation
    28575Treat foot dislocation
    28576Treat foot dislocation
    28585Repair foot dislocation
    28600Treat foot dislocation
    28605Treat foot dislocation
    28606Treat foot dislocation
    28615Repair foot dislocation
    28630Treat toe dislocation
    28635Treat toe dislocation
    28636Treat toe dislocation
    28645Repair toe dislocation
    28660Treat toe dislocation
    28665Treat toe dislocation
    28666Treat toe dislocation
    28675Repair of toe dislocation
    28705Fusion of foot bones
    28715Fusion of foot bones
    28725Fusion of foot bones
    28730Fusion of foot bones
    28735Fusion of foot bones
    28737Revision of foot bones
    29000Application of body cast
    29010Application of body cast
    29015Application of body cast
    Start Printed Page 49240
    29020Application of body cast
    29025Application of body cast
    29035Application of body cast
    29040Application of body cast
    29044Application of body cast
    29046Application of body cast
    29049Application of figure eight
    29055Application of shoulder cast
    29058Application of shoulder cast
    29065Application of long arm cast
    29075Application of forearm cast
    29085Apply hand/wrist cast
    29086Apply finger cast
    29105Apply long arm splint
    29125Apply forearm splint
    29126Apply forearm splint
    29130Application of finger splint
    29131Application of finger splint
    29200Strapping of chest
    29220Strapping of low back
    29240Strapping of shoulder
    29260Strapping of elbow or wrist
    29280Strapping of hand or finger
    29305Application of hip cast
    29325Application of hip casts
    29345Application of long leg cast
    29355Application of long leg cast
    29358Apply long leg cast brace
    29365Application of long leg cast
    29405Apply short leg cast
    29425Apply short leg cast
    29435Apply short leg cast
    29440Addition of walker to cast
    29445Apply rigid leg cast
    29450Application of leg cast
    29505Application, long leg splint
    29515Application lower leg splint
    29520Strapping of hip
    29530Strapping of knee
    29540Strapping of ankle and/or ft
    29550Strapping of toes
    29580Application of paste boot
    29590Application of foot splint
    29700Removal/revision of cast
    29705Removal/revision of cast
    29710Removal/revision of cast
    29715Removal/revision of cast
    29720Repair of body cast
    29730Windowing of cast
    29740Wedging of cast
    29750Wedging of clubfoot cast
    29800Jaw arthroscopy/surgery
    29804Jaw arthroscopy/surgery
    31760Repair of windpipe
    31766Reconstruction of windpipe
    31770Repair/graft of bronchus
    31775Reconstruct bronchus
    31780Reconstruct windpipe
    31781Reconstruct windpipe
    31785Remove windpipe lesion
    31786Remove windpipe lesion
    31805Repair of windpipe injury
    32035Exploration of chest
    32036Exploration of chest
    32095Biopsy through chest wall
    32100Exploration/biopsy of chest
    32110Explore/repair chest
    32120Re-exploration of chest
    32124Explore chest free adhesions
    32140Removal of lung lesion(s)
    32141Remove/treat lung lesions
    32150Removal of lung lesion(s)
    32151Remove lung foreign body
    32160Open chest heart massage
    32200Drain, open, lung lesion
    33015Incision of heart sac
    33414Repair of aortic valve
    33415Revision, subvalvular tissue
    33417Repair of aortic valve
    33468Revision of tricuspid valve
    33470Revision of pulmonary valve
    33471Valvotomy, pulmonary valve
    33503Coronary artery graft
    33504Coronary artery graft
    33505Repair artery w/tunnel
    33506Repair artery, translocation
    33600Closure of valve
    33602Closure of valve
    33606Anastomosis/artery-aorta
    33608Repair anomaly w/conduit
    33610Repair by enlargement
    33611Repair double ventricle
    33612Repair double ventricle
    33615Repair, modified fontan
    33617Repair single ventricle
    33619Repair single ventricle
    33645Revision of heart veins
    33647Repair heart septum defects
    33660Repair of heart defects
    33665Repair of heart defects
    33670Repair of heart chambers
    33681Repair heart septum defect
    33684Repair heart septum defect
    33688Repair heart septum defect
    33690Reinforce pulmonary artery
    33692Repair of heart defects
    33694Repair of heart defects
    33697Repair of heart defects
    33702Repair of heart defects
    33710Repair of heart defects
    33720Repair of heart defect
    33722Repair of heart defect
    33730Repair heart-vein defect(s)
    33732Repair heart-vein defect
    33735Revision of heart chamber
    33736Revision of heart chamber
    33737Revision of heart chamber
    33750Major vessel shunt
    33755Major vessel shunt
    33762Major vessel shunt
    33764Major vessel shunt & graft
    33766Major vessel shunt
    33767Major vessel shunt
    33770Repair great vessels defect
    33771Repair great vessels defect
    33774Repair great vessels defect
    33775Repair great vessels defect
    33776Repair great vessels defect
    33777Repair great vessels defect
    33778Repair great vessels defect
    33779Repair great vessels defect
    33780Repair great vessels defect
    33781Repair great vessels defect
    33786Repair arterial trunk
    33788Revision of pulmonary artery
    33800Aortic suspension
    33802Repair vessel defect
    33803Repair vessel defect
    33813Repair septal defect
    33814Repair septal defect
    33820Revise major vessel
    33822Revise major vessel
    33840Remove aorta constriction
    33845Remove aorta constriction
    33851Remove aorta constriction
    33852Repair septal defect
    33853Repair septal defect
    33917Repair pulmonary artery
    33920Repair pulmonary atresia
    33922Transect pulmonary artery
    34001Removal of artery clot
    34051Removal of artery clot
    34101Removal of artery clot
    34111Removal of arm artery clot
    34201Removal of artery clot
    34203Removal of leg artery clot
    34401Removal of vein clot
    34421Removal of vein clot
    34451Removal of vein clot
    34471Removal of vein clot
    34490Removal of vein clot
    34501Repair valve, femoral vein
    34502Reconstruct vena cava
    34510Transposition of vein valve
    34520Cross-over vein graft
    34530Leg vein fusion
    35001Repair defect of artery
    35002Repair artery rupture, neck
    35005Repair defect of artery
    35011Repair defect of artery
    35013Repair artery rupture, arm
    35021Repair defect of artery
    35022Repair artery rupture, chest
    35045Repair defect of arm artery
    35111Repair defect of artery
    35141Repair defect of artery
    35142Repair artery rupture, thigh
    35151Repair defect of artery
    35152Repair artery rupture, knee
    35180Repair blood vessel lesion
    35184Repair blood vessel lesion
    35188Repair blood vessel lesion
    35190Repair blood vessel lesion
    35201Repair blood vessel lesion
    35206Repair blood vessel lesion
    35207Repair blood vessel lesion
    35226Repair blood vessel lesion
    35231Repair blood vessel lesion
    35236Repair blood vessel lesion
    35246Repair blood vessel lesion
    35261Repair blood vessel lesion
    35266Repair blood vessel lesion
    35286Repair blood vessel lesion
    35311Rechanneling of artery
    35321Rechanneling of artery
    35371Rechanneling of artery
    35372Rechanneling of artery
    35381Rechanneling of artery
    35501Artery bypass graft
    35506Artery bypass graft
    35507Artery bypass graft
    Start Printed Page 49241
    35508Artery bypass graft
    35509Artery bypass graft
    35511Artery bypass graft
    35515Artery bypass graft
    35516Artery bypass graft
    35518Artery bypass graft
    35526Artery bypass graft
    35556Artery bypass graft
    35558Artery bypass graft
    35571Artery bypass graft
    35583Vein bypass graft
    35585Vein bypass graft
    35587Vein bypass graft
    35601Artery bypass graft
    35606Artery bypass graft
    35612Artery bypass graft
    35616Artery bypass graft
    35626Artery bypass graft
    35642Artery bypass graft
    35645Artery bypass graft
    35650Artery bypass graft
    35656Artery bypass graft
    35661Artery bypass graft
    35666Artery bypass graft
    35671Artery bypass graft
    35691Arterial transposition
    35693Arterial transposition
    35694Arterial transposition
    35695Arterial transposition
    35701Exploration, carotid artery
    35721Exploration, femoral artery
    35741Exploration popliteal artery
    35761Exploration of artery/vein
    35800Explore neck vessels
    35860Explore limb vessels
    35875Removal of clot in graft
    35876Removal of clot in graft
    35901Excision, graft, neck
    35903Excision, graft, extremity
    36260Insertion of infusion pump
    36261Revision of infusion pump
    36262Removal of infusion pump
    36475Endovenous rf, 1st vein
    36476Endovenous rf, vein add-on
    36478Endovenous laser, 1st vein
    36479Endovenous laser vein addon
    36566Insert tunneled cv cath
    36835Artery to vein shunt
    37565Ligation of neck vein
    37600Ligation of neck artery
    37605Ligation of neck artery
    37606Ligation of neck artery
    38740Remove armpit lymph nodes
    38745Remove armpit lymph nodes
    38760Remove groin lymph nodes
    38765Remove groin lymph nodes
    38770Remove pelvis lymph nodes
    38780Remove abdomen lymph nodes
    39501Repair diaphragm laceration
    39502Repair paraesophageal hernia
    39503Repair of diaphragm hernia
    39520Repair of diaphragm hernia
    39530Repair of diaphragm hernia
    39531Repair of diaphragm hernia
    39540Repair of diaphragm hernia
    39541Repair of diaphragm hernia
    39545Revision of diaphragm
    43045Incision of esophagus
    43100Excision of esophagus lesion
    43101Excision of esophagus lesion
    43108Removal of esophagus
    43113Removal of esophagus
    43116Partial removal of esophagus
    43118Partial removal of esophagus
    43123Partial removal of esophagus
    43124Removal of esophagus
    43130Removal of esophagus pouch
    43135Removal of esophagus pouch
    43300Repair of esophagus
    43320Fuse esophagus & stomach
    43324Revise esophagus & stomach
    43325Revise esophagus & stomach
    43326Revise esophagus & stomach
    43330Repair of esophagus
    43331Repair of esophagus
    43340Fuse esophagus & intestine
    43341Fuse esophagus & intestine
    43350Surgical opening, esophagus
    43351Surgical opening, esophagus
    43352Surgical opening, esophagus
    43360Gastrointestinal repair
    43361Gastrointestinal repair
    43400Ligate esophagus veins
    43401Esophagus surgery for veins
    43405Ligate/staple esophagus
    43410Repair esophagus wound
    43415Repair esophagus wound
    43420Repair esophagus opening
    43425Repair esophagus opening
    43500Surgical opening of stomach
    43501Surgical repair of stomach
    43502Surgical repair of stomach
    43520Incision of pyloric muscle
    43605Biopsy of stomach
    43610Excision of stomach lesion
    43611Excision of stomach lesion
    43620Removal of stomach
    43621Removal of stomach
    43622Removal of stomach
    43631Removal of stomach, partial
    43632Removal of stomach, partial
    43633Removal of stomach, partial
    43634Removal of stomach, partial
    43640Vagotomy & pylorus repair
    43641Vagotomy & pylorus repair
    43800Reconstruction of pylorus
    43810Fusion of stomach and bowel
    43820Fusion of stomach and bowel
    43825Fusion of stomach and bowel
    43830Place gastrostomy tube
    43831Place gastrostomy tube
    43832Place gastrostomy tube
    43840Repair of stomach lesion
    43842V-band gastroplasty
    43846Gastric bypass for obesity
    43847Gastric bypass incl small i
    43848Revision gastroplasty
    43850Revise stomach-bowel fusion
    43855Revise stomach-bowel fusion
    43860Revise stomach-bowel fusion
    43865Revise stomach-bowel fusion
    43870Repair stomach opening
    43880Repair stomach-bowel fistula
    44005Freeing of bowel adhesion
    44010Incision of small bowel
    44020Explore small intestine
    44021Decompress small bowel
    44025Incision of large bowel
    44050Reduce bowel obstruction
    44055Correct malrotation of bowel
    44110Excise intestine lesion(s)
    44111Excision of bowel lesion(s)
    45190Destruction, rectal tumor
    45500Repair of rectum
    45505Repair of rectum
    45541Correct rectal prolapse
    45550Repair rectum/remove sigmoid
    45560Repair of rectocele
    45562Exploration/repair of rectum
    45563Exploration/repair of rectum
    45800Repair rect/bladder fistula
    45805Repair fistula w/colostomy
    45820Repair rectourethral fistula
    45825Repair fistula w/colostomy
    46045Incision of rectal abscess
    46060Incision of rectal abscess
    46070Incision of anal septum
    46257Remove hemorrhoids & fissure
    46258Remove hemorrhoids & fistula
    46260Hemorrhoidectomy
    46261Remove hemorrhoids & fissure
    46262Remove hemorrhoids & fistula
    46280Removal of anal fistula
    46288Repair anal fistula
    46700Repair of anal stricture
    46705Repair of anal stricture
    46715Rep perf anoper fistu
    46716Rep perf anoper/vestib fistu
    46730Construction of absent anus
    46735Construction of absent anus
    46740Construction of absent anus
    46742Repair of imperforated anus
    46744Repair of cloacal anomaly
    46746Repair of cloacal anomaly
    46748Repair of cloacal anomaly
    46750Repair of anal sphincter
    46751Repair of anal sphincter
    46753Reconstruction of anus
    46760Repair of anal sphincter
    46761Repair of anal sphincter
    46762Implant artificial sphincter
    47010Open drainage, liver lesion
    47015Inject/aspirate liver cyst
    47100Wedge biopsy of liver
    47120Partial removal of liver
    47122Extensive removal of liver
    47125Partial removal of liver
    47130Partial removal of liver
    47300Surgery for liver lesion
    47350Repair liver wound
    47360Repair liver wound
    47400Incision of liver duct
    47420Incision of bile duct
    47425Incision of bile duct
    47460Incise bile duct sphincter
    47480Incision of gallbladder
    47490Incision of gallbladder
    47600Removal of gallbladder
    47605Removal of gallbladder
    47610Removal of gallbladder
    47612Removal of gallbladder
    Start Printed Page 49242
    47620Removal of gallbladder
    47700Exploration of bile ducts
    47701Bile duct revision
    47711Excision of bile duct tumor
    47712Excision of bile duct tumor
    47715Excision of bile duct cyst
    47716Fusion of bile duct cyst
    47720Fuse gallbladder & bowel
    47721Fuse upper gi structures
    47740Fuse gallbladder & bowel
    47741Fuse gallbladder & bowel
    47760Fuse bile ducts and bowel
    47765Fuse liver ducts & bowel
    47780Fuse bile ducts and bowel
    47785Fuse bile ducts and bowel
    47800Reconstruction of bile ducts
    47801Placement, bile duct support
    47802Fuse liver duct & intestine
    47900Suture bile duct injury
    48000Drainage of abdomen
    48001Placement of drain, pancreas
    48005Resect/debride pancreas
    48020Removal of pancreatic stone
    48100Biopsy of pancreas, open
    48120Removal of pancreas lesion
    48140Partial removal of pancreas
    48145Partial removal of pancreas
    48146Pancreatectomy
    48148Removal of pancreatic duct
    48150Partial removal of pancreas
    48152Pancreatectomy
    48153Pancreatectomy
    48154Pancreatectomy
    48155Removal of pancreas
    48180Fuse pancreas and bowel
    48500Surgery of pancreatic cyst
    48510Drain pancreatic pseudocyst
    48520Fuse pancreas cyst and bowel
    48540Fuse pancreas cyst and bowel
    48545Pancreatorrhaphy
    48547Duodenal exclusion
    49215Excise sacral spine tumor
    49900Repair of abdominal wall
    51020Incise & treat bladder
    51500Removal of bladder cyst
    51530Removal of bladder lesion
    51535Repair of ureter lesion
    51550Partial removal of bladder
    51555Partial removal of bladder
    51565Revise bladder & ureter(s)
    51570Removal of bladder
    51575Removal of bladder & nodes
    51580Remove bladder/revise tract
    51585Removal of bladder & nodes
    51590Remove bladder/revise tract
    51595Remove bladder/revise tract
    51596Remove bladder/create pouch
    51597Removal of pelvic structures
    51715Endoscopic injection/implant
    51800Revision of bladder/urethra
    51820Revision of urinary tract
    51845Repair bladder neck
    51860Repair of bladder wound
    51865Repair of bladder wound
    51880Repair of bladder opening
    51900Repair bladder/vagina lesion
    51920Close bladder-uterus fistula
    51925Hysterectomy/bladder repair
    51940Correction of bladder defect
    51960Revision of bladder & bowel
    51980Construct bladder opening
    52000Cystoscopy
    52001Cystoscopy, removal of clots
    52005Cystoscopy & ureter catheter
    52281Cystoscopy and treatment
    52283Cystoscopy and treatment
    52285Cystoscopy and treatment
    52332Cystoscopy and treatment
    52647Laser surgery of prostate
    52648Laser surgery of prostate
    53010Incision of urethra
    53080Drainage of urinary leakage
    53085Drainage of urinary leakage
    53210Removal of urethra
    53215Removal of urethra
    53220Treatment of urethra lesion
    53230Removal of urethra lesion
    53235Removal of urethra lesion
    53240Surgery for urethra pouch
    53250Removal of urethra gland
    53400Revise urethra, stage 1
    53405Revise urethra, stage 2
    53410Reconstruction of urethra
    53415Reconstruction of urethra
    53420Reconstruct urethra, stage 1
    53425Reconstruct urethra, stage 2
    53430Reconstruction of urethra
    53445Insert uro/ves nck sphincter
    53449Repair uro sphincter
    53450Revision of urethra
    53460Revision of urethra
    53502Repair of urethra injury
    53505Repair of urethra injury
    53510Repair of urethra injury
    53515Repair of urethra injury
    53520Repair of urethra defect
    54205Treatment of penis lesion
    54300Revision of penis
    54304Revision of penis
    54308Reconstruction of urethra
    54312Reconstruction of urethra
    54316Reconstruction of urethra
    54318Reconstruction of urethra
    54322Reconstruction of urethra
    54324Reconstruction of urethra
    54326Reconstruction of urethra
    54328Revise penis/urethra
    54332Revise penis/urethra
    54336Revise penis/urethra
    54340Secondary urethral surgery
    54344Secondary urethral surgery
    54348Secondary urethral surgery
    54352Reconstruct urethra/penis
    54360Penis plastic surgery
    54380Repair penis
    54385Repair penis
    54390Repair penis and bladder
    54400Insert semi-rigid prosthesis
    54401Insert self-contd prosthesis
    54405Insert multi-comp penis pros
    54520Removal of testis
    54530Removal of testis
    54535Extensive testis surgery
    54550Exploration for testis
    54560Exploration for testis
    54600Reduce testis torsion
    54640Suspension of testis
    54650Orchiopexy (fowler-stephens)
    54660Revision of testis
    54670Repair testis injury
    54680Relocation of testis(es)
    54820Exploration of epididymis
    54830Remove epididymis lesion
    54840Remove epididymis lesion
    54860Removal of epididymis
    54861Removal of epididymis
    54900Fusion of spermatic ducts
    54901Fusion of spermatic ducts
    55040Removal of hydrocele
    55041Removal of hydroceles
    55060Repair of hydrocele
    55500Removal of hydrocele
    55520Removal of sperm cord lesion
    55530Revise spermatic cord veins
    55535Revise spermatic cord veins
    55540Revise hernia & sperm veins
    55600Incise sperm duct pouch
    55605Incise sperm duct pouch
    55650Remove sperm duct pouch
    55680Remove sperm pouch lesion
    55720Drainage of prostate abscess
    55725Drainage of prostate abscess
    55801Removal of prostate
    55810Extensive prostate surgery
    55812Extensive prostate surgery
    55815Extensive prostate surgery
    55821Removal of prostate
    55831Removal of prostate
    55840Extensive prostate surgery
    55842Extensive prostate surgery
    55845Extensive prostate surgery
    55860Surgical exposure, prostate
    55862Extensive prostate surgery
    55865Extensive prostate surgery
    56620Partial removal of vulva
    56625Complete removal of vulva
    56630Extensive vulva surgery
    56631Extensive vulva surgery
    56632Extensive vulva surgery
    56633Extensive vulva surgery
    56634Extensive vulva surgery
    56637Extensive vulva surgery
    56640Extensive vulva surgery
    56805Repair clitoris
    57010Drainage of pelvic abscess
    57106Remove vagina wall, partial
    57107Remove vagina tissue, part
    57109Vaginectomy partial w/nodes
    57110Remove vagina wall, complete
    57111Remove vagina tissue, compl
    57112Vaginectomy w/nodes, compl
    57120Closure of vagina
    57210Repair vagina/perineum
    57307Fistula repair & colostomy
    57308Fistula repair, transperine
    57310Repair urethrovaginal lesion
    57311Repair urethrovaginal lesion
    57320Repair bladder-vagina lesion
    57330Repair bladder-vagina lesion
    57335Repair vagina
    57530Removal of cervix
    Start Printed Page 49243
    57531Removal of cervix, radical
    57540Removal of residual cervix
    57545Remove cervix/repair pelvis
    57550Removal of residual cervix
    57555Remove cervix/repair vagina
    57556Remove cervix, repair bowel
    57700Revision of cervix
    57720Revision of cervix
    58120Dilation and curettage
    58140Myomectomy abdom method
    58145Myomectomy vag method
    58400Suspension of uterus
    58410Suspension of uterus
    58520Repair of ruptured uterus
    58540Revision of uterus
    58555Hysteroscopy, dx, sep proc
    58558Hysteroscopy, biopsy
    58562Hysteroscopy, remove fb
    58600Division of fallopian tube
    58605Division of fallopian tube
    58660Laparoscopy, lysis
    58662Laparoscopy, excise lesions
    58670Laparoscopy, tubal cautery
    58672Laparoscopy, fimbrioplasty
    58673Laparoscopy, salpingostomy
    58700Removal of fallopian tube
    58720Removal of ovary/tube(s)
    58740Revise fallopian tube(s)
    58750Repair oviduct
    58752Revise ovarian tube(s)
    58760Remove tubal obstruction
    58770Create new tubal opening
    58805Drainage of ovarian cyst(s)
    58820Drain ovary abscess, open
    58822Drain ovary abscess, percut
    58825Transposition, ovary(s)
    58900Biopsy of ovary(s)
    58920Partial removal of ovary(s)
    58925Removal of ovarian cyst(s)
    58940Removal of ovary(s)
    58943Removal of ovary(s)
    58950Resect ovarian malignancy
    58951Resect ovarian malignancy
    58952Resect ovarian malignancy
    58960Exploration of abdomen
    59100Remove uterus lesion
    59120Treat ectopic pregnancy
    59121Treat ectopic pregnancy
    59130Treat ectopic pregnancy
    59130Treat ectopic pregnancy
    59135Treat ectopic pregnancy
    59136Treat ectopic pregnancy
    59150Treat ectopic pregnancy
    59151Treat ectopic pregnancy
    59812Treatment of miscarriage
    59850Abortion
    59851Abortion
    59852Abortion
    59855Abortion
    59856Abortion
    59857Abortion
    59870Evacuate mole of uterus
    60200Remove thyroid lesion
    60210Partial thyroid excision
    60212Partial thyroid excision
    60220Partial removal of thyroid
    60225Partial removal of thyroid
    60240Removal of thyroid
    60252Removal of thyroid
    60254Extensive thyroid surgery
    60260Repeat thyroid surgery
    60270Removal of thyroid
    60271Removal of thyroid
    60280Remove thyroid duct lesion
    60281Remove thyroid duct lesion
    60500Explore parathyroid glands
    60502Re-explore parathyroids
    60505Explore parathyroid glands
    60520Removal of thymus gland
    60521Removal of thymus gland
    60522Removal of thymus gland
    60540Explore adrenal gland
    60545Explore adrenal gland
    60600Remove carotid body lesion
    60605Remove carotid body lesion
    61343Incise skull (press relief)
    61345Relieve cranial pressure
    61440Incise skull for surgery
    61450Incise skull for surgery
    61458Incise skull for brain wound
    61460Incise skull for surgery
    61470Incise skull for surgery
    61480Incise skull for surgery
    61490Incise skull for surgery
    61500Removal of skull lesion
    61501Remove infected skull bone
    61510Removal of brain lesion
    61512Remove brain lining lesion
    61514Removal of brain abscess
    61516Removal of brain lesion
    61518Removal of brain lesion
    61519Remove brain lining lesion
    61520Removal of brain lesion
    61521Removal of brain lesion
    61522Removal of brain abscess
    61524Removal of brain lesion
    61526Removal of brain lesion
    61530Removal of brain lesion
    61531Implant brain electrodes
    61533Implant brain electrodes
    61534Removal of brain lesion
    61535Remove brain electrodes
    61536Removal of brain lesion
    61538Removal of brain tissue
    61539Removal of brain tissue
    61541Incision of brain tissue
    61542Removal of brain tissue
    61543Removal of brain tissue
    61544Remove & treat brain lesion
    61545Excision of brain tumor
    61546Removal of pituitary gland
    61548Removal of pituitary gland
    61550Release of skull seams
    61552Release of skull seams
    61556Incise skull/sutures
    61557Incise skull/sutures
    61558Excision of skull/sutures
    61559Excision of skull/sutures
    61563Excision of skull tumor
    61564Excision of skull tumor
    61570Remove foreign body, brain
    61571Incise skull for brain wound
    61575Skull base/brainstem surgery
    61618Repair dura
    61619Repair dura
    61680Intracranial vessel surgery
    61682Intracranial vessel surgery
    61684Intracranial vessel surgery
    61686Intracranial vessel surgery
    61690Intracranial vessel surgery
    61692Intracranial vessel surgery
    61700Brain aneurysm repr, simple
    61702Inner skull vessel surgery
    61703Clamp neck artery
    61705Revise circulation to head
    61708Revise circulation to head
    61710Revise circulation to head
    61711Fusion of skull arteries
    61720Incise skull/brain surgery
    61735Incise skull/brain surgery
    61750Incise skull/brain biopsy
    61751Brain biopsy w/ct/mr guide
    61760Implant brain electrodes
    61770Incise skull for treatment
    61790Treat trigeminal nerve
    61791Treat trigeminal tract
    61793Focus radiation beam
    61850Implant neuroelectrodes
    61860Implant neuroelectrodes
    61870Implant neuroelectrodes
    61875Implant neuroelectrodes
    61880Revise/remove neuroelectrode
    61885Insrt/redo neurostim 1 array
    62000Treat skull fracture
    62005Treat skull fracture
    62010Treatment of head injury
    62100Repair brain fluid leakage
    62115Reduction of skull defect
    62116Reduction of skull defect
    62117Reduction of skull defect
    62140Repair of skull defect
    62141Repair of skull defect
    62142Remove skull plate/flap
    62143Replace skull plate/flap
    62145Repair of skull & brain
    62146Repair of skull with graft
    62147Repair of skull with graft
    62180Establish brain cavity shunt
    62190Establish brain cavity shunt
    62192Establish brain cavity shunt
    62200Establish brain cavity shunt
    62201Brain cavity shunt w/scope
    62220Establish brain cavity shunt
    62223Establish brain cavity shunt
    62225Replace/irrigate catheter
    62230Replace/revise brain shunt
    62256Remove brain cavity shunt
    62258Replace brain cavity shunt
    62287Percutaneous diskectomy
    63170Incise spinal cord tract(s)
    63172Drainage of spinal cyst
    63173Drainage of spinal cyst
    63180Revise spinal cord ligaments
    63182Revise spinal cord ligaments
    63185Incise spinal column/nerves
    63190Incise spinal column/nerves
    63191Incise spinal column/nerves
    63195Incise spinal column & cord
    63196Incise spinal column & cord
    63197Incise spinal column & cord
    63198Incise spinal column & cord
    Start Printed Page 49244
    63199Incise spinal column & cord
    63200Release of spinal cord
    63250Revise spinal cord vessels
    63251Revise spinal cord vessels
    63252Revise spinal cord vessels
    63265Excise intraspinal lesion
    63266Excise intraspinal lesion
    63267Excise intraspinal lesion
    63268Excise intraspinal lesion
    63270Excise intraspinal lesion
    63271Excise intraspinal lesion
    63272Excise intraspinal lesion
    63273Excise intraspinal lesion
    63275Biopsy/excise spinal tumor
    63276Biopsy/excise spinal tumor
    63277Biopsy/excise spinal tumor
    63278Biopsy/excise spinal tumor
    63280Biopsy/excise spinal tumor
    63281Biopsy/excise spinal tumor
    63282Biopsy/excise spinal tumor
    63283Biopsy/excise spinal tumor
    63285Biopsy/excise spinal tumor
    63286Biopsy/excise spinal tumor
    63287Biopsy/excise spinal tumor
    63290Biopsy/excise spinal tumor
    63300Removal of vertebral body
    63301Removal of vertebral body
    63302Removal of vertebral body
    63303Removal of vertebral body
    63304Removal of vertebral body
    63305Removal of vertebral body
    63306Removal of vertebral body
    63307Removal of vertebral body
    63650Implant neuroelectrodes
    63655Implant neuroelectrodes
    63660Revise/remove neuroelectrode
    63685Insrt/redo spine n generator
    63688Revise/remove neuroreceiver
    63700Repair of spinal herniation
    63702Repair of spinal herniation
    63704Repair of spinal herniation
    63706Repair of spinal herniation
    63707Repair spinal fluid leakage
    63709Repair spinal fluid leakage
    63710Graft repair of spine defect
    63740Install spinal shunt
    63741Install spinal shunt
    63744Revision of spinal shunt
    63746Removal of spinal shunt
    64573Implant neuroelectrodes
    64575Implant neuroelectrodes
    64577Implant neuroelectrodes
    64580Implant neuroelectrodes
    64612Destroy nerve, face muscle
    64702Revise finger/toe nerve
    64704Revise hand/foot nerve
    64708Revise arm/leg nerve
    64712Revision of sciatic nerve
    64713Revision of arm nerve(s)
    64714Revise low back nerve(s)
    64718Revise ulnar nerve at elbow
    64719Revise ulnar nerve at wrist
    64721Carpal tunnel surgery
    64722Relieve pressure on nerve(s)
    64726Release foot/toe nerve
    64732Incision of brow nerve
    64734Incision of cheek nerve
    64736Incision of chin nerve
    64738Incision of jaw nerve
    64742Incision of facial nerve
    64744Incise nerve, back of head
    64746Incise diaphragm nerve
    64752Incision of vagus nerve
    64755Incision of stomach nerves
    64760Incision of vagus nerve
    64761Incision of pelvis nerve
    64763Incise hip/thigh nerve
    64766Incise hip/thigh nerve
    64771Sever cranial nerve
    64772Incision of spinal nerve
    64774Remove skin nerve lesion
    64776Remove digit nerve lesion
    64782Remove limb nerve lesion
    64784Remove nerve lesion
    64786Remove sciatic nerve lesion
    64788Remove skin nerve lesion
    64790Removal of nerve lesion
    64792Removal of nerve lesion
    64802Remove sympathetic nerves
    64804Remove sympathetic nerves
    64809Remove sympathetic nerves
    64818Remove sympathetic nerves
    64820Remove sympathetic nerves
    64831Repair of digit nerve
    64834Repair of hand or foot nerve
    64835Repair of hand or foot nerve
    64836Repair of hand or foot nerve
    64840Repair of leg nerve
    64856Repair/transpose nerve
    64857Repair arm/leg nerve
    64858Repair sciatic nerve
    64861Repair of arm nerves
    64862Repair of low back nerves
    64870Fusion of facial/other nerve
    64890Nerve graft, hand or foot
    64891Nerve graft, hand or foot
    64892Nerve graft, arm or leg
    64893Nerve graft, arm or leg
    64895Nerve graft, hand or foot
    64896Nerve graft, hand or foot
    64897Nerve graft, arm or leg
    64898Nerve graft, arm or leg
    64905Nerve pedicle transfer
    64907Nerve pedicle transfer
    65091Revise eye
    65093Revise eye with implant
    65101Removal of eye
    65103Remove eye/insert implant
    65105Remove eye/attach implant
    65110Removal of eye
    65112Remove eye/revise socket
    65114Remove eye/revise socket
    65125Revise ocular implant
    65130Insert ocular implant
    65135Insert ocular implant
    65140Attach ocular implant
    65150Revise ocular implant
    65155Reinsert ocular implant
    65175Removal of ocular implant
    65205Remove foreign body from eye
    65210Remove foreign body from eye
    65220Remove foreign body from eye
    65222Remove foreign body from eye
    65235Remove foreign body from eye
    65260Remove foreign body from eye
    65265Remove foreign body from eye
    65270Repair of eye wound
    65272Repair of eye wound
    65273Repair of eye wound
    65275Repair of eye wound
    65280Repair of eye wound
    65285Repair of eye wound
    65286Repair of eye wound
    65290Repair of eye socket wound
    65400Removal of eye lesion
    65410Biopsy of cornea
    65420Removal of eye lesion
    65426Removal of eye lesion
    65430Corneal smear
    65435Curette/treat cornea
    65436Curette/treat cornea
    65450Treatment of corneal lesion
    65600Revision of cornea
    65710Corneal transplant
    65730Corneal transplant
    65750Corneal transplant
    65755Corneal transplant
    65760Revision of cornea
    65765Revision of cornea
    65767Corneal tissue transplant
    65770Revise cornea with implant
    65771Radial keratotomy
    65772Correction of astigmatism
    65775Correction of astigmatism
    65780Ocular reconst, transplant
    65781Ocular reconst, transplant
    65782Ocular reconst, transplant
    65800Drainage of eye
    65805Drainage of eye
    65810Drainage of eye
    65815Drainage of eye
    65820Relieve inner eye pressure
    65850Incision of eye
    65855Laser surgery of eye
    65860Incise inner eye adhesions
    65865Incise inner eye adhesions
    65870Incise inner eye adhesions
    65875Incise inner eye adhesions
    65880Incise inner eye adhesions
    65900Remove eye lesion
    65920Remove implant of eye
    65930Remove blood clot from eye
    66020Injection treatment of eye
    66030Injection treatment of eye
    66130Remove eye lesion
    66150Glaucoma surgery
    66155Glaucoma surgery
    66160Glaucoma surgery
    66165Glaucoma surgery
    66170Glaucoma surgery
    66172Incision of eye
    66180Implant eye shunt
    66185Revise eye shunt
    66220Repair eye lesion
    66225Repair/graft eye lesion
    66250Follow-up surgery of eye
    66500Incision of iris
    66505Incision of iris
    66600Remove iris and lesion
    66605Removal of iris
    66625Removal of iris
    Start Printed Page 49245
    66630Removal of iris
    66635Removal of iris
    66680Repair iris & ciliary body
    66682Repair iris & ciliary body
    66700Destruction, ciliary body
    66710Ciliary transsleral therapy
    66711Ciliary endoscopic ablation
    66720Destruction, ciliary body
    66740Destruction, ciliary body
    66761Revision of iris
    66762Revision of iris
    66770Removal of inner eye lesion
    66820Incision, secondary cataract
    66821After cataract laser surgery
    66825Reposition intraocular lens
    66830Removal of lens lesion
    66840Removal of lens material
    66850Removal of lens material
    66852Removal of lens material
    66920Extraction of lens
    66930Extraction of lens
    66940Extraction of lens
    66982Cataract surgery, complex
    66983Cataract surg w/iol, 1 stage
    66984Cataract surg w/iol, 1 stage
    66985Insert lens prosthesis
    66986Exchange lens prosthesis
    66990Ophthalmic endoscope add-on
    66999Eye surgery procedure
    67005Partial removal of eye fluid
    67010Partial removal of eye fluid
    67015Release of eye fluid
    67025Replace eye fluid
    67027Implant eye drug system
    67028Injection eye drug
    67030Incise inner eye strands
    67031Laser surgery, eye strands
    67036Removal of inner eye fluid
    67038Strip retinal membrane
    67039Laser treatment of retina
    67040Laser treatment of retina
    67101Repair detached retina
    67105Repair detached retina
    67107Repair detached retina
    67108Repair detached retina
    67110Repair detached retina
    67112Rerepair detached retina
    67115Release encircling material
    67120Remove eye implant material
    67121Remove eye implant material
    67141Treatment of retina
    67145Treatment of retina
    67208Treatment of retinal lesion
    67210Treatment of retinal lesion
    67218Treatment of retinal lesion
    67220Treatment of choroid lesion
    67221Ocular photodynamic ther
    67225Eye photodynamic ther add-on
    67227Treatment of retinal lesion
    67228Treatment of retinal lesion
    67250Reinforce eye wall
    67255Reinforce/graft eye wall
    67299Eye surgery procedure
    67311Revise eye muscle
    67312Revise two eye muscles
    67314Revise eye muscle
    67316Revise two eye muscles
    67318Revise eye muscle(s)
    67320Revise eye muscle(s) add-on
    67331Eye surgery follow-up add-on
    67332Rerevise eye muscles add-on
    67334Revise eye muscle w/suture
    67335Eye suture during surgery
    67340Revise eye muscle add-on
    67343Release eye tissue
    67345Destroy nerve of eye muscle
    67350Biopsy eye muscle
    67399Eye muscle surgery procedure
    67400Explore/biopsy eye socket
    67405Explore/drain eye socket
    67412Explore/treat eye socket
    67413Explore/treat eye socket
    67414Explr/decompress eye socket
    67415Aspiration, orbital contents
    67420Explore/treat eye socket
    67430Explore/treat eye socket
    67440Explore/drain eye socket
    67445Explr/decompress eye socket
    67450Explore/biopsy eye socket
    67500Inject/treat eye socket
    67505Inject/treat eye socket
    67515Inject/treat eye socket
    67550Insert eye socket implant
    67560Revise eye socket implant
    67570Decompress optic nerve
    67599Orbit surgery procedure
    67700Drainage of eyelid abscess
    67710Incision of eyelid
    67715Incision of eyelid fold
    67800Remove eyelid lesion
    67801Remove eyelid lesions
    67805Remove eyelid lesions
    67808Remove eyelid lesion(s)
    67810Biopsy of eyelid
    67820Revise eyelashes
    67825Revise eyelashes
    67830Revise eyelashes
    67835Revise eyelashes
    67840Remove eyelid lesion
    67850Treat eyelid lesion
    67875Closure of eyelid by suture
    67880Revision of eyelid
    67882Revision of eyelid
    67900Repair brow defect
    67901Repair eyelid defect
    67902Repair eyelid defect
    67903Repair eyelid defect
    67904Repair eyelid defect
    67906Repair eyelid defect
    67908Repair eyelid defect
    67909Revise eyelid defect
    67911Revise eyelid defect
    67912Correction eyelid w/implant
    67914Repair eyelid defect
    67915Repair eyelid defect
    67916Repair eyelid defect
    67917Repair eyelid defect
    67921Repair eyelid defect
    67922Repair eyelid defect
    67923Repair eyelid defect
    67924Repair eyelid defect
    67930Repair eyelid wound
    67935Repair eyelid wound
    67938Remove eyelid foreign body
    67950Revision of eyelid
    67961Revision of eyelid
    67966Revision of eyelid
    67971Reconstruction of eyelid
    67973Reconstruction of eyelid
    67974Reconstruction of eyelid
    67975Reconstruction of eyelid
    67999Revision of eyelid
    68020Incise/drain eyelid lining
    68040Treatment of eyelid lesions
    68100Biopsy of eyelid lining
    68110Remove eyelid lining lesion
    68115Remove eyelid lining lesion
    68130Remove eyelid lining lesion
    68135Remove eyelid lining lesion
    68200Treat eyelid by injection
    68320Revise/graft eyelid lining
    68325Revise/graft eyelid lining
    68326Revise/graft eyelid lining
    68328Revise/graft eyelid lining
    68330Revise eyelid lining
    68335Revise/graft eyelid lining
    68340Separate eyelid adhesions
    68360Revise eyelid lining
    68362Revise eyelid lining
    68371Harvest eye tissue, alograft
    68399Eyelid lining surgery
    68400Incise/drain tear gland
    68420Incise/drain tear sac
    68440Incise tear duct opening
    68500Removal of tear gland
    68505Partial removal, tear gland
    68510Biopsy of tear gland
    68520Removal of tear sac
    68525Biopsy of tear sac
    68530Clearance of tear duct
    68540Remove tear gland lesion
    68550Remove tear gland lesion
    68700Repair tear ducts
    68705Revise tear duct opening
    68720Create tear sac drain
    68745Create tear duct drain
    68750Create tear duct drain
    68760Close tear duct opening
    68761Close tear duct opening
    68770Close tear system fistula
    68801Dilate tear duct opening
    68810Probe nasolacrimal duct
    68811Probe nasolacrimal duct
    68815Probe nasolacrimal duct
    68840Explore/irrigate tear ducts
    68850Injection for tear sac x-ray
    68899Tear duct system surgery
    76075Dxa bone density, axial
    76510Ophth us, b & quant a
    76511Ophth us, quant a only
    76512Ophth us, b w/non-quant a
    76513Echo exam of eye, water bath
    76514Echo exam of eye, thickness
    76516Echo exam of eye
    76519Echo exam of eye
    76529Echo exam of eye
    78350Bone mineral, single photon
    78472Gated heart, planar, single
    78481Heart first pass, single
    78483Heart first pass, multiple
    91010Esophagus motility study
    Start Printed Page 49246
    91034Gastroesophageal reflux test
    91037Esoph imped function test
    91038Esoph imped funct test >1h
    92002Eye exam, new patient
    92004Eye exam, new patient
    92012Eye exam established pat
    92014Eye exam & treatment
    92015Refraction
    92018New eye exam & treatment
    92019Eye exam & treatment
    92020Special eye evaluation
    92060Special eye evaluation
    92065Orthoptic/pleoptic training
    92070Fitting of contact lens
    92081Visual field examination(s)
    92082Visual field examination(s)
    92083Visual field examination(s)
    92100Serial tonometry exam(s)
    92120Tonography & eye evaluation
    92130Water provocation tonography
    92135Opthalmic dx imaging
    92136Ophthalmic biometry
    92140Glaucoma provocative tests
    92225Special eye exam, initial
    92226Special eye exam, subsequent
    92230Eye exam with photos
    92235Eye exam with photos
    92240Icg angiography
    92250Eye exam with photos
    92260Ophthalmoscopy/dynamome try
    92265Eye muscle evaluation
    92270Electro-oculography
    92275Electroretinography
    92283Color vision examination
    92284Dark adaptation eye exam
    92285Eye photography
    92286Internal eye photography
    92287Internal eye photography
    92310Contact lens fitting
    92311Contact lens fitting
    92312Contact lens fitting
    92313Contact lens fitting
    92314Prescription of contact lens
    92315Prescription of contact lens
    92316Prescription of contact lens
    92317Prescription of contact lens
    92325Modification of contact lens
    92326Replacement of contact lens

    Addendum D.—Proposed 2007 Geographic Practice Cost Indices by Medicare Carrier and Locality

    CarrierLocalityLocality nameWork GPCIPE GPCIMP GPCI
    0051000Alabama0.9820.8470.740
    0083101Alaska1.0171.1051.013
    0083200Arizona0.9870.9941.052
    0052013Arkansas0.9610.8320.431
    3114003Marin/Napa/Solano, CA1.0351.3420.640
    3114005San Francisco, CA1.0601.5460.640
    3114006San Mateo, CA1.0731.5390.629
    3114007Oakland/Berkley, CA1.0541.3730.640
    3114009Santa Clara, CA1.0831.5430.595
    3114617Ventura, CA1.0281.1810.732
    3114618Los Angeles, CA1.0411.1580.939
    3114626Anaheim/Santa Ana, CA1.0341.2380.939
    3114099Rest of California*1.0071.0540.721
    3114699Rest of California*1.0071.0540.721
    0082401Colorado0.9861.0150.790
    0059100Connecticut1.0381.1720.886
    0090301DC + MD/VA Suburbs1.0481.2520.911
    0090201Delaware1.0121.0200.877
    0059003Fort Lauderdale, FL0.9880.9901.675
    0059004Miami, FL1.0001.0482.233
    0059099Rest of Florida0.9730.9361.251
    0051101Atlanta, GA1.0101.0910.950
    0051199Rest of Georgia0.9790.8740.950
    0083301Hawaii/Guam1.0051.1130.787
    0513000Idaho0.9680.8690.452
    0095212East St. Louis, IL0.9880.9401.722
    0095215Suburban Chicago, IL1.0181.1171.626
    0095216Chicago, IL1.0251.1281.837
    0095299Rest of Illinois0.9740.8741.174
    0063000Indiana0.9850.9080.429
    0082600Iowa0.9670.8690.579
    0065000Kansas*0.9680.8800.709
    0074004Kansas*0.9680.8800.709
    0066000Kentucky0.9700.8550.859
    0052801New Orleans, LA0.9860.9471.178
    0052899Rest of Louisiana0.9700.8481.000
    3114203Southern Maine0.9801.0140.626
    3114299Rest of Maine0.9620.8870.626
    0090101Baltimore/Surr. Cntys, MD1.0121.0800.932
    0090199Rest of Maryland0.9930.9810.748
    3114301Metropolitan Boston1.0301.3310.810
    3114399Rest of Massachusetts1.0071.0150.810
    0095301Detroit, MI1.0371.0562.700
    0095399Rest of Michigan0.9970.9221.494
    0095400Minnesota0.9911.0060.404
    Start Printed Page 49247
    0051200Mississippi0.9600.8410.711
    0052301Metropolitan St. Louis, MO0.9920.9560.926
    0074002Metropolitan Kansas City, MO0.9890.9770.931
    0052399Rest of Missouri*0.9500.8030.878
    0074099Rest of Missouri*0.9500.8030.878
    0075101Montana0.9500.8450.889
    0065500Nebraska0.9590.8760.447
    0083400Nevada1.0031.0451.050
    3114440New Hampshire0.9811.0290.927
    0080501Northern NJ1.0581.2220.958
    0080599Rest of New Jersey1.0431.1210.958
    0052105New Mexico0.9720.8880.880
    0080199Rest of New York0.9970.9190.666
    0080301Manhattan, NY1.0651.3001.000
    0080302NYC Suburbs/Long I., NY1.0521.2831.756
    0080303Poughkpsie/N NYC Suburbs, NY1.0141.0761.148
    1433004Queens, NY1.0321.2301.682
    0553500North Carolina0.9710.9220.630
    0082001North Dakota0.9460.8610.593
    0088300Ohio0.9920.9340.960
    0052200Oklahoma0.9640.8560.376
    0083501Portland, OR1.0021.0590.434
    0083599Rest of Oregon0.9680.9270.434
    0086501Metropolitan Philadelphia, PA1.0161.1061.364
    0086599Rest of Pennsylvania0.9920.9040.793
    0097320Puerto Rico0.9060.6990.257
    0052401Rhode Island1.0450.9910.895
    0088001South Carolina0.9750.8940.388
    0082002South Dakota0.9430.8770.359
    0544035Tennessee0.9770.8810.621
    0090009Brazoria, TX1.0200.9631.277
    0090011Dallas, TX1.0091.0641.044
    0090015Galveston, TX0.9900.9541.277
    0090018Houston, TX1.0161.0161.276
    0090020Beaumont, TX0.9830.8621.277
    0090028Fort Worth, TX0.9970.9911.044
    0090031Austin, TX0.9911.0480.970
    0090099Rest of Texas0.9680.8661.120
    0091009Utah0.9770.9380.651
    3114550Vermont0.9680.9700.505
    0097350Virgin Islands0.9671.0150.987
    0090400Virginia0.9810.9420.569
    0083602Seattle (King Cnty), WA1.0141.1330.805
    0083699Rest of Washington0.9870.9800.805
    0088416West Virginia0.9730.8201.522
    0095100Wisconsin0.9870.9200.777
    0082521Wyoming0.9560.8550.920

    Addendum E.—2007 Proposed GAFs

    CarrierLocalityLocality nameGAF
    3114009Santa Clara, CA1.265
    3114006San Mateo, CA1.259
    3114005San Francisco, CA1.256
    0080302NYC Suburbs/Long I., NY1.180
    3114007Oakland/Berkley, CA1.177
    0080301Manhattan, NY1.165
    3114003Marin/Napa/Solano, CA1.154
    3114301Metropolitan Boston1.153
    1433004Queens, NY1.144
    0090301DC + MD/VA Suburbs1.132
    0080501Northern NJ1.126
    3114626Anaheim/Santa Ana, CA1.120
    0095301Detroit, MI1.110
    0095216Chicago, IL1.102
    0059100Connecticut1.091
    3114618Los Angeles, CA1.088
    0095215Suburban Chicago, IL1.085
    Start Printed Page 49248
    3114617Ventura, CA1.084
    0080599Rest of New Jersey1.074
    0086501Metropolitan Philadelphia, PA1.069
    0059004Miami, FL1.069
    0083602Seattle (King Cnty), WA1.058
    0083101Alaska1.055
    0080303Poughkpsie/N NYC Suburbs, NY1.046
    0083301Hawaii/Guam1.044
    0051101Atlanta, GA1.043
    0090101Baltimore/Surr. Cntys, MD1.039
    0090011Dallas, TX1.035
    0090018Houston, TX1.026
    0083400Nevada1.023
    3114099Rest of California*1.017
    3114699Rest of California*1.017
    0052401Rhode Island1.016
    0059003Fort Lauderdale, FL1.015
    0090031Austin, TX1.015
    0090201Delaware1.011
    0090009Brazoria, TX1.005
    0083501Portland, OR1.005
    3114399Rest of Massachusetts1.003
    3114440New Hampshire1.000
    0090028Fort Worth, TX0.996
    0095212East St. Louis, IL0.995
    0083200Arizona0.993
    0082401Colorado0.991
    0097350Virgin Islands0.989
    0090015Galveston, TX0.985
    0095399Rest of Michigan0.984
    0074002Metropolitan Kansas City, MO0.982
    3114203Southern Maine0.981
    0090199Rest of Maryland0.978
    0083699Rest of Washington0.977
    0052801New Orleans, LA0.976
    0095400Minnesota0.975
    0052301Metropolitan St. Louis, MO0.974
    0059099Rest of Florida0.968
    0088300Ohio0.965
    3114550Vermont0.951
    0080199Rest of New York0.950
    0095100Wisconsin0.950
    0090400Virginia0.948
    0091009Utah0.947
    0086599Rest of Pennsylvania0.946
    0090020Beaumont, TX0.942
    0095299Rest of Illinois0.938
    0553500North Carolina0.936
    0051199Rest of Georgia0.932
    0052105New Mexico0.932
    0063000Indiana0.930
    0083599Rest of Oregon0.929
    0090099Rest of Texas0.929
    0088416West Virginia0.927
    0544035Tennessee0.921
    0065000Kansas*0.919
    0074004Kansas*0.919
    0052899Rest of Louisiana0.918
    0088001South Carolina0.917
    3114299Rest of Maine0.916
    0066000Kentucky0.915
    0051000Alabama0.914
    0082521Wyoming0.910
    0082600Iowa0.909
    0513000Idaho0.905
    0065500Nebraska0.903
    0075101Montana0.902
    0051200Mississippi0.898
    0082001North Dakota0.895
    0052200Oklahoma0.894
    0082002South Dakota0.891
    0052013Arkansas0.884
    Start Printed Page 49249
    0052399Rest of Missouri0.883
    0074099Rest of Missouri0.883
    0097320Puerto Rico0.790

    Addendum F.—Proposed CPT/HCPCS Imaging Codes Defined by Section 5102(b) of the DRA

    HCPCS/ CPTShort descriptor
    31620Endobronchial us add-on
    37250Iv us first vessel add-on
    37251Iv us each add vessel add-on
    51798Us urine capacity measure
    70010Contrast x-ray of brain
    70015Contrast x-ray of brain
    70030X-ray eye for foreign body
    70100X-ray exam of jaw
    70110X-ray exam of jaw
    70120X-ray exam of mastoids
    70130X-ray exam of mastoids
    70134X-ray exam of middle ear
    70140X-ray exam of facial bones
    70150X-ray exam of facial bones
    70160X-ray exam of nasal bones
    70170X-ray exam of tear duct
    70190X-ray exam of eye sockets
    70200X-ray exam of eye sockets
    70210X-ray exam of sinuses
    70220X-ray exam of sinuses
    70240X-ray exam, pituitary saddle
    70250X-ray exam of skull
    70260X-ray exam of skull
    70300X-ray exam of teeth
    70310X-ray exam of teeth
    70320Full mouth x-ray of teeth
    70328X-ray exam of jaw joint
    70330X-ray exam of jaw joints
    70332X-ray exam of jaw joint
    70336Magnetic image, jaw joint
    70350X-ray head for orthodontia
    70355Panoramic x-ray of jaws
    70360X-ray exam of neck
    70370Throat x-ray & fluoroscopy
    70371Speech evaluation, complex
    70373Contrast x-ray of larynx
    70380X-ray exam of salivary gland
    70390X-ray exam of salivary duct
    70450Ct head/brain w/o dye
    70460Ct head/brain w/dye
    70470Ct head/brain w/o & w/dye
    70480Ct orbit/ear/fossa w/o dye
    70481Ct orbit/ear/fossa w/dye
    70482Ct orbit/ear/fossa w/o& w/dye
    70486Ct maxillofacial w/o dye
    70487Ct maxillofacial w/dye
    70488Ct maxillofacial w/o & w/dye
    70490Ct soft tissue neck w/o dye
    70491Ct soft tissue neck w/dye
    70492Ct sft tsue nck w/o & w/dye
    70496Ct angiography, head
    70498Ct angiography, neck
    70540Mri orbit/face/neck w/o dye
    70542Mri orbit/face/neck w/dye
    70543Mri orbt/fac/nck w/o & w/dye
    70544Mr angiography head w/o dye
    70545Mr angiography head w/dye
    70546Mr angiograph head w/o & w/dye
    70547Mr angiography neck w/o dye
    70548Mr angiography neck w/dye
    70549Mr angiograph neck w/o & w/dye
    70551Mri brain w/o dye
    70552Mri brain w/dye
    70553Mri brain w/o & w/dye
    70557Mri brain w/o dye
    70558Mri brain w/dye
    70559Mri brain w/o & w/dye
    71010Chest x-ray
    71015Chest x-ray
    71020Chest x-ray
    71021Chest x-ray
    71022Chest x-ray
    71023Chest x-ray and fluoroscopy
    71030Chest x-ray
    71034Chest x-ray and fluoroscopy
    71035Chest x-ray
    71040Contrast x-ray of bronchi
    71060Contrast x-ray of bronchi
    71090X-ray & pacemaker insertion
    71100X-ray exam of ribs
    71101X-ray exam of ribs/chest
    71110X-ray exam of ribs
    71111X-ray exam of ribs/chest
    71120X-ray exam of breastbone
    71130X-ray exam of breastbone
    71250Ct thorax w/o dye
    71260Ct thorax w/dye
    71270Ct thorax w/o & w/dye
    71275Ct angiography, chest
    71550Mri chest w/o dye
    71551Mri chest w/dye
    71552Mri chest w/o & w/dye
    71555Mri angio chest w or w/o dye
    72010X-ray exam of spine
    72020X-ray exam of spine
    72040X-ray exam of neck spine
    72050X-ray exam of neck spine
    72052X-ray exam of neck spine
    72069X-ray exam of trunk spine
    72070X-ray exam of thoracic spine
    72072X-ray exam of thoracic spine
    72074X-ray exam of thoracic spine
    72080X-ray exam of trunk spine
    72090X-ray exam of trunk spine
    72100X-ray exam of lower spine
    72110X-ray exam of lower spine
    72114X-ray exam of lower spine
    72120X-ray exam of lower spine
    72125Ct neck spine w/o dye
    72126Ct neck spine w/dye
    72127Ct neck spine w/o & w/dye
    72128Ct chest spine w/o dye
    72129Ct chest spine w/dye
    72130Ct chest spine w/o & w/dye
    72131Ct lumbar spine w/o dye
    72132Ct lumbar spine w/dye
    72133Ct lumbar spine w/o & w/dye
    72141Mri neck spine w/o dye
    72142Mri neck spine w/dye
    72146Mri chest spine w/o dye
    72147Mri chest spine w/dye
    72148Mri lumbar spine w/o dye
    72149Mri lumbar spine w/dye
    72156Mri neck spine w/o & w/dye
    72157Mri chest spine w/o & w/dye
    72158Mri lumbar spine w/o & w/dye
    72159Mr angio spine w/o & w/dye
    72170X-ray exam of pelvis
    72190X-ray exam of pelvis
    72191Ct angiograph pelv w/o & w/dye
    72192Ct pelvis w/o dye
    72193Ct pelvis w/dye
    72194Ct pelvis w/o & w/dye
    72195Mri pelvis w/o dye
    72196Mri pelvis w/dye
    72197Mri pelvis w/o & w/dye
    72198Mr angio pelvis w/o & w/dye
    72200X-ray exam sacroiliac joints
    72202X-ray exam sacroiliac joints
    72220X-ray exam of tailbone
    72240Contrast x-ray of neck spine
    72255Contrast x-ray, thorax spine
    72265Contrast x-ray, lower spine
    72270Contrast x-ray, spine
    72275Epidurography
    72285X-ray c/t spine disk
    72295X-ray of lower spine disk
    73000X-ray exam of collar bone
    73010X-ray exam of shoulder blade
    73020X-ray exam of shoulder
    73030X-ray exam of shoulder
    73040Contrast x-ray of shoulder
    73050X-ray exam of shoulders
    73060X-ray exam of humerus
    73070X-ray exam of elbow
    73080X-ray exam of elbow
    73085Contrast x-ray of elbow
    73090X-ray exam of forearm
    73092X-ray exam of arm, infant
    73100X-ray exam of wrist
    73110X-ray exam of wrist
    73115Contrast x-ray of wrist
    73120X-ray exam of hand
    73130X-ray exam of hand
    73140X-ray exam of finger(s)
    73200Ct upper extremity w/o dye
    73201Ct upper extremity w/dye
    73202Ct uppr extremity w/o & w/dye
    73206Ct angio upr extrm w/o & w/dye
    73218Mri upper extremity w/o dye
    73219Mri upper extremity w/dye
    73220Mri uppr extremity w/o & w/dye
    73221Mri joint upr extrem w/o dye
    73222Mri joint upr extrem w/dye
    73223Mri joint upr extr w/o & w/dye
    73225Mr angio upr extr w/o & w/dye
    73500X-ray exam of hip
    Start Printed Page 49250
    73510X-ray exam of hip
    73520X-ray exam of hips
    73525Contrast x-ray of hip
    73530X-ray exam of hip
    73540X-ray exam of pelvis & hips
    73542X-ray exam, sacroiliac joint
    73550X-ray exam of thigh
    73560X-ray exam of knee, 1 or 2
    73562X-ray exam of knee, 3
    73564X-ray exam, knee, 4 or more
    73565X-ray exam of knees
    73580Contrast x-ray of knee joint
    73590X-ray exam of lower leg
    73592X-ray exam of leg, infant
    73600X-ray exam of ankle
    73610X-ray exam of ankle
    73615Contrast x-ray of ankle
    73620X-ray exam of foot
    73630X-ray exam of foot
    73650X-ray exam of heel
    73660X-ray exam of toe(s)
    73700Ct lower extremity w/o dye
    73701Ct lower extremity w/dye
    73702Ct lwr extremity w/o & w/dye
    73706Ct angio lwr extr w/o & w/dye
    73718Mri lower extremity w/o dye
    73719Mri lower extremity w/dye
    73720Mri lwr extremity w/o & w/dye
    73721Mri jnt of lwr extre w/o dye
    73722Mri joint of lwr extr w/dye
    73723Mri joint lwr extr w/o & w/dye
    73725Mr ang lwr ext w or w/o dye
    74000X-ray exam of abdomen
    74010X-ray exam of abdomen
    74020X-ray exam of abdomen
    74022X-ray exam series, abdomen
    74150Ct abdomen w/o dye
    74160Ct abdomen w/dye
    74170Ct abdomen w/o & w/dye
    74175Ct angio abdom w/o & w/dye
    74181Mri abdomen w/o dye
    74182Mri abdomen w/dye
    74183Mri abdomen w/o & w/dye
    74185Mri angio, abdom w orw/o dye
    74190X-ray exam of peritoneum
    74210Contrst x-ray exam of throat
    74220Contrast x-ray, esophagus
    74230Cine/vid x-ray, throat/esoph
    74235Remove esophagus obstruction
    74240X-ray exam, upper gi tract
    74241X-ray exam, upper gi tract
    74245X-ray exam, upper gi tract
    74246Contrst x-ray uppr gi tract
    74247Contrst x-ray uppr gi tract
    74249Contrst x-ray uppr gi tract
    74250X-ray exam of small bowel
    74251X-ray exam of small bowel
    74260X-ray exam of small bowel
    74270Contrast x-ray exam of colon
    74280Contrast x-ray exam of colon
    74283Contrast x-ray exam of colon
    74290Contrast x-ray, gallbladder
    74291Contrast x-rays, gallbladder
    74300X-ray bile ducts/pancreas
    74301X-rays at surgery add-on
    74305X-ray bile ducts/pancreas
    74320Contrast x-ray of bile ducts
    74327X-ray bile stone removal
    74328X-ray bile duct endoscopy
    74329X-ray for pancreas endoscopy
    74330X-ray bile/panc endoscopy
    74340X-ray guide for GI tube
    74350X-ray guide, stomach tube
    74355X-ray guide, intestinal tube
    74360X-ray guide, GI dilation
    74363X-ray, bile duct dilation
    74400Contrst x-ray, urinary tract
    74410Contrst x-ray, urinary tract
    74415Contrst x-ray, urinary tract
    74420Contrst x-ray, urinary tract
    74425Contrst x-ray, urinary tract
    74430Contrast x-ray, bladder
    74440X-ray, male genital tract
    74445X-ray exam of penis
    74450X-ray, urethra/bladder
    74455X-ray, urethra/bladder
    74470X-ray exam of kidney lesion
    74475X-ray control, cath insert
    74480X-ray control, cath insert
    74485X-ray guide, GU dilation
    74710X-ray measurement of pelvis
    74740X-ray, female genital tract
    74742X-ray, fallopian tube
    74775X-ray exam of perineum
    75552Heart mri for morph w/o dye
    75553Heart mri for morph w/dye
    75554Cardiac MRI/function
    75555Cardiac MRI/limited study
    75556Cardiac MRI/flow mapping
    75600Contrast x-ray exam of aorta
    75605Contrast x-ray exam of aorta
    75625Contrast x-ray exam of aorta
    75630X-ray aorta, leg arteries
    75635Ct angio abdominal arteries
    75650Artery x-rays, head & neck
    75658Artery x-rays, arm
    75660Artery x-rays, head & neck
    75662Artery x-rays, head & neck
    75665Artery x-rays, head & neck
    75671Artery x-rays, head & neck
    75676Artery x-rays, neck
    75680Artery x-rays, neck
    75685Artery x-rays, spine
    75705Artery x-rays, spine
    75710Artery x-rays, arm/leg
    75716Artery x-rays, arms/legs
    75722Artery x-rays, kidney
    75724Artery x-rays, kidneys
    75726Artery x-rays, abdomen
    75731Artery x-rays, adrenal gland
    75733Artery x-rays, adrenals
    75736Artery x-rays, pelvis
    75741Artery x-rays, lung
    75743Artery x-rays, lungs
    75746Artery x-rays, lung
    75756Artery x-rays, chest
    75774Artery x-ray, each vessel
    75790Visualize A-V shunt
    75801Lymph vessel x-ray, arm/leg
    75803Lymph vessel x-ray,arms/legs
    75805Lymph vessel x-ray, trunk
    75807Lymph vessel x-ray, trunk
    75809Nonvascular shunt, x-ray
    75810Vein x-ray, spleen/liver
    75820Vein x-ray, arm/leg
    75822Vein x-ray, arms/legs
    75825Vein x-ray, trunk
    75827Vein x-ray, chest
    75831Vein x-ray, kidney
    75833Vein x-ray, kidneys
    75840Vein x-ray, adrenal gland
    75842Vein x-ray, adrenal glands
    75860Vein x-ray, neck
    75870Vein x-ray, skull
    75872Vein x-ray, skull
    75880Vein x-ray, eye socket
    75885Vein x-ray, liver
    75887Vein x-ray, liver
    75889Vein x-ray, liver
    75891Vein x-ray, liver
    75893Venous sampling by catheter
    75894X-rays, transcath therapy
    75896X-rays, transcath therapy
    75898Follow-up angiography
    75900Intravascular cath exchange
    75901Remove cva device obstruct
    75902Remove cva lumen obstruct
    75940X-ray placement, vein filter
    75945Intravascular us
    75946Intravascular us add-on
    75952Endovasc repair abdom aorta
    75953Abdom aneurysm endovas rpr
    75954Iliac aneurysm endovas rpr
    75956Xray, endovasc thor ao repr
    75957Xray, endovasc thor ao repr
    75958Xray, place prox ext thor ao
    75959Xray, place dist ext thor ao
    75960Transcath iv stent rs&i
    75961Retrieval, broken catheter
    75962Repair arterial blockage
    75964Repair artery blockage, each
    75966Repair arterial blockage
    75968Repair artery blockage, each
    75970Vascular biopsy
    75978Repair venous blockage
    75980Contrast xray exam bile duct
    75982Contrast xray exam bile duct
    75984Xray control catheter change
    75989Abscess drainage under x-ray
    75992Atherectomy, x-ray exam
    75993Atherectomy, x-ray exam
    75994Atherectomy, x-ray exam
    75995Atherectomy, x-ray exam
    75996Atherectomy, x-ray exam
    75998Fluoroguide for vein device
    76000Fluoroscope examination
    76001Fluoroscope exam, extensive
    76003Needle localization by x-ray
    76005Fluoroguide for spine inject
    76006X-ray stress view
    76010X-ray, nose to rectum
    76012Percut vertebroplasty fluor
    76013Percut vertebroplasty, ct
    76020X-rays for bone age
    76040X-rays, bone evaluation
    76061X-rays, bone survey
    76062X-rays, bone survey
    76065X-rays, bone evaluation
    76066Joint survey, single view
    76070Ct bone density, axial
    76071Ct bone density, peripheral
    Start Printed Page 49251
    76075Dxa bone density, axial
    76076Dxa bone density/peripheral
    76077Dxa bone density/v-fracture
    76078Radiographic absorptiometry
    76080X-ray exam of fistula
    76086X-ray of mammary duct
    76088X-ray of mammary ducts
    76093Magnetic image, breast
    76094Magnetic image, both breasts
    76095Stereotactic breast biopsy
    76096X-ray of needle wire, breast
    76098X-ray exam, breast specimen
    76100X-ray exam of body section
    76101Complex body section x-ray
    76102Complex body section x-rays
    76120Cine/video x-rays
    76125Cine/video x-rays add-on
    76140X-ray consultation
    76150X-ray exam, dry process
    76350Special x-ray contrast study
    76355Ct scan for localization
    76360Ct scan for needle biopsy
    76362Ct guide for tissue ablation
    76370Ct scan for therapy guide
    763763d render w/o postprocess
    763773d rendering w/postprocess
    76380CAT scan follow-up study
    76390Mr spectroscopy
    76393Mr guidance for needle place
    76394Mri for tissue ablation
    76400Magnetic image, bone marrow
    76496Fluoroscopic procedure
    76497Ct procedure
    76498Mri procedure
    76506Echo exam of head
    76510Ophth us, b & quant a
    76511Ophth us, quant a only
    76512Ophth us, b w/non-quant a
    76513Echo exam of eye, water bath
    76514Echo exam of eye, thickness
    76516Echo exam of eye
    76519Echo exam of eye
    76529Echo exam of eye
    76536Us exam of head and neck
    76604Us exam, chest, b-scan
    76645Us exam, breast(s)
    76700Us exam, abdom, complete
    76705Echo exam of abdomen
    76770Us exam abdo back wall, comp
    76775Us exam abdo back wall, lim
    76778Us exam kidney transplant
    76800Us exam, spinal canal
    76801Ob us < 14 wks, single fetus
    76802Ob us < 14 wks, add'l fetus
    76805Ob us >/= 14 wks, sngl fetus
    76810Ob us >/= 14 wks, addl fetus
    76811Ob us, detailed, sngl fetus
    76812Ob us, detailed, addl fetus
    76815Ob us, limited, fetus(s)
    76816Ob us, follow-up, per fetus
    76817Transvaginal us, obstetric
    76818Fetal biophys profile w/nst
    76819Fetal biophys profil w/o nst
    76820Umbilical artery echo
    76821Middle cerebral artery echo
    76825Echo exam of fetal heart
    76826Echo exam of fetal heart
    76827Echo exam of fetal heart
    76828Echo exam of fetal heart
    76830Transvaginal us, non-ob
    76831Echo exam, uterus
    76856Us exam, pelvic, complete
    76857Us exam, pelvic, limited
    76870Us exam, scrotum
    76872Us, transrectal
    76873Echograp trans r, pros study
    76880Us exam, extremity
    76885Us exam infant hips, dynamic
    76886Us exam infant hips, static
    76930Echo guide, cardiocentesis
    76932Echo guide for heart biopsy
    76936Echo guide for artery repair
    76937Us guide, vascular access
    76940Us guide, tissue ablation
    76941Echo guide for transfusion
    76942Echo guide for biopsy
    76945Echo guide, villus sampling
    76946Echo guide for amniocentesis
    76948Echo guide, ova aspiration
    76950Echo guidance radiotherapy
    76965Echo guidance radiotherapy
    76970Ultrasound exam follow-up
    76975GI endoscopic ultrasound
    76977Us bone density measure
    76986Ultrasound guide intraoper
    77417Radiology port film(s)
    77421Stereoscopic x-ray guidance
    78006Thyroid imaging with uptake
    78007Thyroid image, mult uptakes
    78010Thyroid imaging
    78011Thyroid imaging with flow
    78015Thyroid met imaging
    78016Thyroid met imaging/studies
    78018Thyroid met imaging, body
    78020Thyroid met uptake
    78070Parathyroid nuclear imaging
    78075Adrenal nuclear imaging
    78102Bone marrow imaging, ltd
    78103Bone marrow imaging, mult
    78104Bone marrow imaging, body
    78135Red cell survival kinetics
    78140Red cell sequestration
    78185Spleen imaging
    78190Platelet survival, kinetics
    78195Lymph system imaging
    78201Liver imaging
    78202Liver imaging with flow
    78205Liver imaging (3D)
    78206Liver image (3d) with flow
    78215Liver and spleen imaging
    78216Liver & spleen image/flow
    78220Liver function study
    78223Hepatobiliary imaging
    78230Salivary gland imaging
    78231Serial salivary imaging
    78232Salivary gland function exam
    78258Esophageal motility study
    78261Gastric mucosa imaging
    78262Gastroesophageal reflux exam
    78264Gastric emptying study
    78278Acute GI blood loss imaging
    78282GI protein loss exam
    78290Meckel's divert exam
    78291Leveen/shunt patency exam
    78300Bone imaging, limited area
    78305Bone imaging, multiple areas
    78306Bone imaging, whole body
    78315Bone imaging, 3 phase
    78320Bone imaging (3D)
    78350Bone mineral, single photon
    78351Bone mineral, dual photon
    78428Cardiac shunt imaging
    78445Vascular flow imaging
    78456Acute venous thrombus image
    78457Venous thrombosis imaging
    78458Ven thrombosis images, bilat
    78459Heart muscle imaging (PET)
    78460Heart muscle blood, single
    78461Heart muscle blood, multiple
    78464Heart image (3d), single
    78465Heart image (3d), multiple
    78466Heart infarct image
    78468Heart infarct image (ef)
    78469Heart infarct image (3D)
    78472Gated heart, planar, single
    78473Gated heart, multiple
    78478Heart wall motion add-on
    78480Heart function add-on
    78481Heart first pass, single
    78483Heart first pass, multiple
    78491Heart image (pet), single
    78492Heart image (pet), multiple
    78494Heart image, spect
    78496Heart first pass add-on
    78580Lung perfusion imaging
    78584Lung V/Q image single breath
    78585Lung V/Q imaging
    78586Aerosol lung image, single
    78587Aerosol lung image, multiple
    78588Perfusion lung image
    78591Vent image, 1 breath, 1 proj
    78593Vent image, 1 proj, gas
    78594Vent image, mult proj, gas
    78596Lung differential function
    78600Brain imaging, ltd static
    78601Brain imaging, ltd w/flow
    78605Brain imaging, complete
    78606Brain imaging, compl w/flow
    78607Brain imaging (3D)
    78608Brain imaging (PET)
    78609Brain imaging (PET)
    78610Brain flow imaging only
    78615Cerebral vascular flow image
    78630Cerebrospinal fluid scan
    78635CSF ventriculography
    78645CSF shunt evaluation
    78647Cerebrospinal fluid scan
    78650CSF leakage imaging
    78660Nuclear exam of tear flow
    78700Kidney imaging, static
    78701Kidney imaging with flow
    78704Imaging renogram
    78707Kidney flow/function image
    78708Kidney flow/function image
    78709Kidney flow/function image
    78710Kidney imaging (3D)
    78715Renal vascular flow exam
    78730Urinary bladder retention
    78740Ureteral reflux study
    78760Testicular imaging
    78761Testicular imaging/flow
    Start Printed Page 49252
    78800Tumor imaging, limited area
    78801Tumor imaging, mult areas
    78802Tumor imaging, whole body
    78803Tumor imaging (3D)
    78804Tumor imaging, whole body
    78805Abscess imaging, ltd area
    78806Abscess imaging, whole body
    78807Nuclear localization/absce ss
    78811Tumor imaging (pet), limited
    78812Tumor image (pet)/skul-thigh
    78813Tumor image (pet) full body
    78814Tumor image pet/ct, limited
    78815Tumorimage pet/ct skul-thigh
    78816Tumor image pet/ct full body
    78890Nuclear medicine data proc
    78891Nuclear med data proc
    93303Echo transthoracic
    93304Echo transthoracic
    93307Echo exam of heart
    93308Echo exam of heart
    93312Echo transesophageal
    93313Echo transesophageal
    93314Echo transesophageal
    93315Echo transesophageal
    93316Echo transesophageal
    93317Echo transesophageal
    93318Echo transesophageal intraop
    93320Doppler echo exam, heart
    93321Doppler echo exam, heart
    93325Doppler color flow add-on
    93350Echo transthoracic
    93555Imaging, cardiac cath
    93556Imaging, cardiac cath
    93571Heart flow reserve measure
    93572Heart flow reserve measure
    93875Extracranial study
    93880Extracranial study
    93882Extracranial study
    93886Intracranial study
    93888Intracranial study
    93890Tcd, vasoreactivity study
    93892Tcd, emboli detect w/o inj
    93893Tcd, emboli detect w/inj
    93922Extremity study
    93923Extremity study
    93924Extremity study
    93925Lower extremity study
    93926Lower extremity study
    93930Upper extremity study
    93931Upper extremity study
    93965Extremity study
    93970Extremity study
    93971Extremity study
    93975Vascular study
    93976Vascular study
    93978Vascular study
    93979Vascular study
    93980Penile vascular study
    93981Penile vascular study
    93990Doppler flow testing
    0028TDexa body composition study
    0042TCt perfusion w/contrast, cbf
    0066TCt colonography;scree n
    0067TCt colonography;dx
    0080TEndovasc aort repr rad s&i
    0081TEndovasc visc extnsn s&i
    0144TCT heart wo dye; qual calc
    0145TCT heart w/wo dye funct
    0146TCCTA w/wo dye
    0147TCCTA w/wo, quan calcium
    0148TCCTA w/wo, strxr
    0149TCCTA w/wo, strxr quan calc
    0150TCCTA w/wo, disease strxr
    0151TCT heart funct add-on
    0152TComputer chest add-on
    G0120Colon ca scrn; barium enema
    G0122Colon ca scrn; barium enema
    G0130Single energy x-ray study
    G0219PET img wholbod melano nonco
    G0235PET not otherwise specified
    G0275Renal angio, cardiac cath
    G0278Iliac art angio,cardiac cath
    G0288Recon, CTA for surg plan
    G0365Vessel mapping hemo access
    End Part End Supplemental Information

    Footnotes

    1.  RAND News Release: Rand Study Says Computerizing Medical Records Could Save $81 Billion Annually and Improve the Quality of Medical Care, September 14, 2005, available at http://rand.org/​news/​press.05/​09.14.html.

    Back to Citation

    2.  Transforming Health Care: The President's Health Information Technology Plan, available at: http://www.whitehouse.gov/​infocus/​technology/​economic_​policy200404/​chap3.html.

    Back to Citation

    BILLING CODE 4120-01-P

    BILLING CODE 4120-01-CStart Printed Page 48993

    BILLING CODE 4120-01-P

    BILLING CODE 4120-01-CStart Printed Page 49053

    BILLING CODE 4120-01-P

    [FR Doc. 06-6843 Filed 8-8-06; 4:15 pm]

    BILLING CODE 4120-03-P

Document Information

Published:
08/22/2006
Department:
Centers for Medicare & Medicaid Services
Entry Type:
Proposed Rule
Action:
Proposed rule.
Document Number:
06-6843
Pages:
48981-49252 (272 pages)
Docket Numbers:
CMS-1321-P
RINs:
0938-AO24
Topics:
Administrative practice and procedure, Emergency medical services, Health facilities, Health professions, Kidney diseases, Laboratories, Medical devices, Medicare, Reporting and recordkeeping requirements, Reporting and recordkeeping requirements, Rural areas, X-rays
PDF File:
06-6843.pdf
CFR: (22)
42 CFR 405.400
42 CFR 405.2446
42 CFR 405.2463
42 CFR 410.16
42 CFR 410.19
More ...