01-18951. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2002  

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    AGENCY:

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

    ACTION:

    Proposed rule.

    SUMMARY:

    This proposed rule would refine the resource-based practice expense relative value units and make several changes to Medicare Part B payment. The policy changes concern services and supplies incident to a physician's professional service; anesthesia base unit variations; recognition of CPT tracking codes; and nurse practitioners, physician assistants, and clinical nurse specialists performing screening sigmoidoscopies. We are proposing these refinements and changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. We are soliciting comments on the proposed policy changes as well as comments on the payment policy for CPT modifier 62 that is used to report the work of co-surgeons.

    The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 modernizes the mammography screening benefit and authorizes payment under the physician fee schedule effective January 1, 2002; provides for biennial screening pelvic examinations for certain beneficiaries effective July 1, 2001; provides for annual glaucoma screenings for high-risk beneficiaries effective January 1, 2002; expands coverage for screening colonoscopies to all beneficiaries effective July 1, 2001; establishes coverage for medical nutrition therapy services for certain beneficiaries effective January 1, 2002; expands payment for telehealth services effective October 1, 2001; requires certain Indian Health Service providers to be paid for some services under the physician fee schedule effective July 1, 2001; and revises the payment for certain physician pathology services effective January 1, 2001. This proposed rule would conform our regulations to reflect the statutory provisions.

    DATES:

    We will consider comments if we receive them at the appropriate address, as provided below, no later than 5 p.m. on October 1, 2001.

    ADDRESSES:

    Mail written comments (1 original and 3 copies) to the following address:

    Centers for Medicare & Medicaid Services, Department of Health and Human Services, Attention: CMS-1169-P, P.O. Box 8013, Baltimore, MD 21244-8013.

    To insure that mailed comments are received in time for us to consider them, please allow for possible delays in delivering them. If you prefer, you may deliver your written comments (1 original and 3 copies) to one of the following addresses: Room C5-14-03, 7500 Security Boulevard, Baltimore, MD 21244-8013.

    Comments mailed to the above addresses may be delayed and received too late for us to consider them.

    Because of staff and resource limitations, we cannot accept comments by facsimile (FAX) transmission. In commenting, please refer to file code CMS-1169-P.

    For information on viewing public comments, please see the beginning of the Supplementary Information section.

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    FOR FURTHER INFORMATION CONTACT:

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

    Carlos Cano, (410) 786-0245 (for issues related to screenings for sigmoidoscopies).

    Paul W. Kim, (410) 786-7410 (for issues related to incident to services).

    Rick Ensor, (410) 786-5617 (for issues related to mammography screenings).

    Bill Larson, (410) 786-4639 (for issues related to screening pelvic examinations, screenings for glaucoma, and coverage for screening colonoscopies).

    Bob Ulikowski, (410) 786-5721 (for issues related to the payment for screening colonoscopies).

    Mary Stojak, (410) 786-6939 (for issues related to medical nutrition therapy).

    Joan Mitchell, (410) 786-4508 (for issues related to the payment for medical nutrition therapy).

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

    Terri Harris, (410) 786-6830 (for issues related to Indian Health Service providers).

    Jim Menas, (410) 786-4507 (for issues related to anesthesia and pathology services).

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

    End Further Info End Preamble Start Supplemental Information

    SUPPLEMENTARY INFORMATION:

    Inspection of Public Comments: Comments received timely will be available for public inspection as they are received, generally beginning approximately 3 weeks after publication of a document, at 7500 Security Blvd, Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 5 p.m. Please call (410) 786-7197 to make an appointment to view the public comments.

    Copies: To order copies of the Federal Register containing this document, send your request to: New Orders, Superintendent of Documents, P.O. Box 371954, Pittsburgh, PA 15250-7954. Specify the date of the issue requested and enclose a check or money order payable to the Superintendent of Documents, or enclose your Visa or Master Card number and expiration date. Credit card orders can also be placed by calling the order desk at (202) 512-1800 or by faxing to (202) 512-2250. The cost for each copy is $9. As an alternative, you can view and photocopy the Federal Register document at most libraries designated as Federal Depository Libraries and at many other public and academic libraries throughout the country that receive the Federal Register.

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

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

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

    2. Click on “Medicare.”

    3. Click on “Professional/Technical Information.”

    4. Select Medicare Payment Systems.

    5. Select Physician Fee Schedule.

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

    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 Start Printed Page 40373

    A. Legislative History

    B. Published Changes to the Fee Schedule

    II. Specific Proposals for Calendar Year 2002

    A. Resource-Based Practice Expense Relative Value Units

    B. Nurse Practitioners, Physician Assistants, and Clinical Nurse Specialists Performing Screening Sigmoidoscopies

    C. Services and Supplies Incident to a Physician's Professional Services: Conditions

    D. Anesthesia Services

    E. Performance Measurement and Emerging Technology Codes

    F. Payment Policy for CPT Modifier 62 (Co-Surgery)

    III. Implementation of Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

    A. Screening Mammography

    B. Screening Pelvic Examinations

    C. Screening for Glaucoma

    D. Screening Colonoscopy

    E. Medical Nutrition Therapy

    F. Telehealth Services

    G. Indian Health Service

    H. Pathology Services

    IV. Collection of Information Requirements

    V.Response to Comments

    VI. Regulatory Impact Analysis

    Addendum A—Explanation and Use of Addendum B

    Addendum B—2002 Relative Value Units and Related Information Used in Determining Medicare Payments for 2002

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

    AMA American Medical Association

    BBA Balanced Budget Act of 1997

    BBRA Balanced Budget Refinement Act of 1999

    CF Conversion factor

    CFR Code of Federal Regulations

    CPT [Physicians'] Current Procedural Terminology [4th Edition, 1997, copyrighted by the American Medical Association]

    CPEP Clinical Practice Expert Panel

    CRNA Certified Registered Nurse Anesthetist

    E/M Evaluation and management

    EB Electrical bioimpedance

    FMR Fair market rental

    GAF Geographic adjustment factor

    GPCI Geographic practice cost index

    CMS Centers for Medicare & Medicaid Services

    HCPCS Healthcare Common Procedure Coding System

    HHA Home health agency

    HHS [Department of] Health and Human Services

    IDTFs Independent Diagnostic Testing Facilities

    MCM Medicare Carrier Manual

    MedPAC Medicare Payment Advisory Commission

    MEI Medicare Economic Index

    MGMA Medical Group Management Association

    MSA Metropolitan Statistical Area

    NAMCS National Ambulatory Medical Care Survey

    PC Professional component

    PEAC Practice Expense Advisory Committee

    PPAC Practicing Physicians Advisory Council

    PPS Prospective payment system

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

    RVU Relative value unit

    SGR Sustainable growth rate

    SMS [AMA's] Socioeconomic Monitoring System

    TC Technical component

    I. Background

    A. Legislative History

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

    B. Published Changes to the Fee Schedule

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

    In the November 2000 final rule with comment period (65 FR 65376), we revised the policy for resource-based practice expense relative value units (RVUs); the geographic practice cost indices; resource-based malpractice RVUs; critical care RVUs; care plan oversight, physician certification and recertification for home health services; observation care codes; ocular photodynamic therapy and other ophthalmologic treatments; electrical bioimpedance; antigen supply, and the implantation of ventricular assist devices. This rule also addressed the comments received on the May 3, 2000 interim final rule (65 FR 25664) on the supplemental survey criteria and made modifications to the criteria for data submitted in 2001. Based on public comments, we withdrew our proposals related to the global period for insertion, removal, and replacement of pacemakers and cardioverter defibrillators, and to the removal of RVUs for low intensity ultrasound. The November 2000 final rule also discussed or clarified the payment policy for incomplete medical direction, pulse oximetry services, outpatient therapy supervision, outpatient therapy caps, HCPCS “G” Codes, and the second 5-year refinement of work RVUs for services furnished beginning January 1, 2002. In addition, we finalized the calendar year (CY) 2000 interim physician work RVUs and issued interim RVUs for new and revised codes for CY 2001. We made these changes to ensure that our payment systems are updated to reflect changes in medical practice and the relative value of services. This final rule also announced the CY 2001 Medicare physician fee schedule conversion factor under the Medicare Supplementary Medical Insurance (Part B) program as required by section 1848(d) of the Act. The 2001 Medicare physician fee schedule conversion factor was $38.2581.

    II. Specific Proposals for Calendar Year 2002

    This proposed rule would affect the regulations set forth at Part 405, Federal health insurance for the aged and disabled, Part 410, Supplementary medical insurance (SMI) benefits; Part 411, Exclusions from Medicare and limitations on Medicare payment; Part 414, Payment for Part B medical and other health services; and Part 415, Services furnished by physicians in providers, supervising physicians in teaching settings, and residents in certain settings.

    A. Resource-Based Practice Expense Relative Value Units

    1. Resource-Based Practice Expense Legislation

    Section 121 of the Social Security Act Amendments of 1994 (Public Law 103-432), enacted on October 31, 1994, required us to develop a methodology for a resource-based system for determining practice expense RVUs for each physician's service beginning in Start Printed Page 403741998. In developing the methodology, we were to consider the staff, equipment, and supplies used in providing medical and surgical services in various settings. The legislation specifically required that, in implementing the new system of practice expense RVUs, we apply the same budget-neutrality provisions that we apply to other adjustments under the physician fee schedule.

    Section 4505(a) of the BBA amended section 1848(c)(2)(ii) of the Act and delayed the effective date of the resource-based practice expense RVU system until January 1, 1999. In addition, section 4505(b) of the BBA provided for a 4-year transition period from charge-based practice expense RVUs to resource-based RVUs. The practice expense RVUs for CY 1999 were the product of 75 percent of charge-based RVUs and 25 percent of the resource-based RVUs. For CY 2000, the RVUs were 50 percent charge-based RVUs and 50 percent resource-based RVUs. For CY 2001, the RVUs are 25 percent charge-based and 75 percent resource-based. After CY 2001, the RVUs will be totally resource-based.

    Section 4505(e) of the BBA amended section 1848(c)(2) of the Act by providing that 1998 practice expense RVUs be adjusted for certain services in anticipation of implementation of resource-based practice expenses beginning in 1999. As a result, the statute required us to increase practice expense RVUs for office visits. For other services in which practice expense RVUs exceeded 110 percent of the work RVUs and were furnished less than 75 percent of the time in an office setting, the statute required us to reduce the 1998 practice expense RVUs to a number equal to 110 percent of the work RVUs. This reduction did not apply to services that had proposed resource-based practice expense RVUs that increased from their 1997 practice expense RVUs as reflected in the June 18, 1997 proposed rule (62 FR 33196). The services affected and the final RVUs for 1998 were published in the October 1997 final rule (62 FR 59103).

    Further legislation affecting resource-based practice expense RVUs was included in the Balanced Budget Refinement Act of 1999 (BBRA) (Public Law 106-113). Section 212 of the BBRA amended section 1848(c)(2)(ii) of the Act by directing us to establish a process under which we accept and use, to the maximum extent practicable and consistent with sound data practices, data collected or developed by entities and organizations. These data would supplement the data we normally collect in determining the practice expense component of the physician fee schedule for payments in CY 2001 and CY 2002.

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

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

    a. Practice Expense Cost Pools. We used actual practice expense data by specialty, derived from the 1995 through 1998 SMS survey data, to create six cost pools—administrative labor, clinical labor, medical supplies, medical equipment, office supplies, and all other expenses. There were three steps in the creation of the cost pools. (Please note that use of the 1998 data was incorporated for CY 2001.)

    • Step (1) We used the AMA's SMS survey of actual cost data to determine practice expenses per hour by cost category. The practice expenses per hour for each physician respondent's practice was calculated as the practice expenses for the practice divided by the total number of hours spent in patient care activities. The practice expenses per hour for the specialty were an average of the practice expenses per hour for the respondent physicians in that specialty. For the CY 2000 physician fee schedule, we also used data from a survey submitted by the Society of Thoracic Surgeons (STS) in calculating thoracic and cardiac surgeons' practice expense per hour. (Please see the November 1999 final rule (64 FR 59391) for additional information concerning acceptance of these data.) For CY 2001 we used these STS data, as well as survey data submitted by the American Society of Vascular Surgery and the Society of Vascular Surgery. (Please see the November 2000 final rule (65 FR 65385) for additional information on acceptance of these data.)
    • Step (2) We determined the total number of physician hours (by specialty) spent treating Medicare patients. This was calculated from physician time data for each procedure code and from Medicare claims data.
    • Step (3) We calculated the practice expense pools by specialty and by cost category by multiplying the specialty practice expenses per hour for each category by the total physician hours.

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

    b. Cost Allocation Methodology. For each specialty, we divided the six practice expense pools into two groups, based on whether direct or indirect costs were involved, and used a different allocation basis for each group. The first group included clinical labor, medical supplies, and medical equipment. The second group included administrative labor, office expenses, and all other expenses.

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

    For the separate practice expense pool for services with work RVUs equal to zero, we used adjusted 1998 practice expense RVUs as an interim measure to allocate the direct cost pools. (Please see the November 1998 final rule (63 FR 58891) for further information related to this adjustment.) Also, for all radiology services that are assigned work RVUs, we used the adjusted 1998 practice expense RVUs for radiology services as an interim measure to allocate the direct practice expense cost pool for radiology. For all other specialties that perform radiology services, we used the CPEP data for radiology services in the allocation of that specialty's direct practice expense cost pools.

    (ii) Indirect Costs. To allocate the cost pools for indirect costs, including administrative labor, office expenses, and all other expenses, we used the total direct costs, as described above, in combination with the physician fee schedule work RVUs. We converted the work RVUs to dollars using the Medicare CF (expressed in 1995 dollars Start Printed Page 40375for consistency with the SMS survey years).

    The SMS pool was divided by the CPEP pool for each specialty to produce a scaling factor that was applied to the CPEP direct cost inputs. This was intended to match costs counted as practice expenses in the SMS survey with items counted as practice expenses in the CPEP process. When the specialty-specific scaling factor exceeded the average scaling factor by more than 3 standard deviations, we used the average scaling factor. (Please see the November 1999 final rule (64 FR 59390) for further discussion of this issue.)

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

    c. Other Methodological Issues. (i) Global Practice Expense Relative Value Units. For services with the PC and TC paid under the physician fee schedule, the global practice expense RVUs were set equal to the sum of the PC and TC.

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

    • We set the medical materials and supplies practice expenses per hour for the specialty of “oncology” equal to the “all physician” medical materials and supplies practice expenses per hour.
    • We based the administrative payroll, office, and other practice expenses per hour for the specialties of “physical therapy” and “occupational therapy” on data used to develop the salary equivalency guidelines for these specialties. We set the remaining practice expense per hour categories equal to the “all physician” practice expenses per hour from the SMS survey data. (Note that in the November 2000 final rule (65 FR 65403), we increased the space allotment for therapy services to 750 square feet.)
    • Due to uncertainty concerning the appropriate crosswalk and time data for the nonphysician specialty “audiologist,” we derived the resource-based practice expense RVUs for codes performed by audiologists from the practice expenses per hour of the other specialties that perform these services.
    • For the specialty of “emergency medicine,” we used the “all physician” practice expense per hour to create practice expense cost pools for the categories “clerical payroll” and “other expenses.”
    • For the specialty of “podiatry,” we used the “all physician” practice expense per hour to create the practice expense pool.
    • For the specialty of “pathology,” we removed the supervision and autopsy hours reimbursed through Part A of the Medicare program from the practice expense per hour calculation.
    • For the specialty “maxillofacial prosthetics,” we used the “all physician” practice expense per hour to create practice expense cost pools and, as an interim measure, allocated these pools using the adjusted 1998 practice expense RVUs.
    • We split the practice expenses per hour for the specialty “radiology” into “radiation oncology” and “radiology other than radiation oncology” and used this split practice expense per hour to create practice expense cost pools for these specialties.

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

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

    We calculated the time for CPT codes (hereafter referred to as “codes”) 00100 through 01996 using the base and time units from the anesthesia fee schedule and the Medicare allowed claims data.

    3. Refinement

    a. Background. Section 4505(d)(1)(C) of the BBA amended section 1848(c)(2)(C)(ii) of the Act by directing us to develop a refinement process to be used during each of the 4 years of the transition period. We did not propose a specific long-term refinement process in the June 1998 proposed rule (63 FR 30835). Rather, we set out the parameters for an acceptable refinement process for practice expense RVUs and solicited comments on our proposal. We received a variety of comments about broad methodology issues, practice expense per-hour data, and detailed code-level data. We made adjustments to our proposal based on comments we received. We also indicated that we would consider other comments for possible refinement and that the RVUs for all codes would be considered interim for 1999 and for future years during the transition period.

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

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

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

    b. Current Status of Refinement Activities. In the 1999 and 2000 proposed and final rules, we provided further information on refinement activities underway, including the AMA's formation of the PEAC and the support contract that we awarded to the Lewin Group to focus on methodologic issues. In addition, in these rules we announced actions taken and decisions made in response to the hundreds of comments received on our resource-based physician practice expense initiative. Because the transition will be completed in CY 2002 and the practice expense RVUs will then be totally resource-based, it is appropriate to recap the specific achievements reached and decisions implemented during this refinement effort to date.

    (i) Use of the Top-Down Approach. Most of the physician organizations commenting agreed that this methodology was preferred for computing resource-based practice expense RVUs and that it was in accordance with the requirements of the Start Printed Page 40376BBA. KPMG Peat Marwick, under contract to us, reviewed the top-down methodology in which aggregate specialty costs are applied to specific procedures and concluded that it followed reasonable cost accounting principles. A 1999 GAO report concludes, “HCFA's new approach represents a reasonable starting point for creating resource-based practice expense RVUs. It uses the best available data for this purpose and explicitly recognizes specialty differences in practice expense.” Based on these comments and assessments, we made the decision to continue to use the top-down methodology to calculate the resource-based practice expense RVUs.

    (ii) Use of the SMS Survey. The supplemental non-SMS survey data submitted by several specialties in response to the 1998 proposed rule, with the exception of the survey data from the thoracic surgeons, were not compatible with the format or methodology of the SMS. We awarded a contract to the Lewin Group to recommend criteria for the acceptance of specialty-specific practice expense data so that we could supplement the SMS data as appropriate. These recommended criteria are contained in the final report, “An Evaluation of the Health Care Financing Administration's Resource-Based Practice Expense Methodology.” This report is available on our web page under the same title. (Access to our web site is discussed under the SUPPLEMENTARY INFORMATION section above.)

    The report also contains recommendations for revisions to the SMS or other surveys to efficiently meet the needs of our practice expense methodology. We augmented these recommendations and forwarded our suggestions for revisions to any future surveys to the AMA. For example, we developed supplementary survey questions that would allow us to distinguish both costs and direct patient care hours for all midlevel practitioners. We also suggested revisions that would capture the necessary information on separately billable supplies and services so that we could eliminate these costs from the specialty-specific practice expense per-hour calculations.

    To obtain supplementary specialty-specific practice expense data that could be used in computing practice expense RVUs beginning January 1, 2001, we published an interim final rule on May 3, 2000 (65 FR 25664) that set forth the criteria applicable to supplemental survey data submitted to us by August 1, 2000.

    We also provided a 60-day period for submission of public comments on our criteria for survey data submitted between August 2, 2000 and August 1, 2001 for use in computing the practice expense RVUs for the CY 2002 physician fee schedule.

    In the November 1, 2000 final rule (65 FR 65385), we responded to comments received on the interim final rule and made modifications to the criteria for supplemental survey data that will be considered in computing practice expense RVUs for the CY 2002 physician fee schedule. These data can then be used to supplement the SMS survey data currently used to estimate each specialty's aggregate practice costs or to replace the crosswalks used for specialties not represented in the SMS.

    In our November 1999 final rule, we accepted supplementary data submitted by the thoracic surgeons and, in our November 2000 rule, we accepted survey data from the vascular surgeons that replaced the previously crosswalked practice expense per hour data for that specialty. If we receive additional specialty-specific survey data before August 1, 2001 that meets the criteria outlined in the November 1, 2000 final rule, we will use this supplementary data in calculating the CY 2002 practice expense RVUs.

    We accepted our contractor's recommendation to incorporate the latest SMS data into our practice-expense-per-hour calculations. For CY 2001, we incorporated the 1998 SMS data into a 4-year average and are proposing to incorporate the 1999 SMS data into a 5-year average to calculate the CY 2002 practice expense RVUs.

    We also accepted the contractor's recommendation to standardize the survey practice expense data to a common year. We adjusted the data to reflect a 1995 cost year.

    We received comments that urged us to use the median SMS specialty-specific data instead of the mean, as well as comments supporting our use of the mean values. We made a decision to continue to use the mean in calculating the specialty-specific practice expense per hour. We believe that, in a small sample, using the median could eliminate outlying data from the calculation that represent real costs and thus should be considered.

    (iii) CPEP Data. The AMA has formed a multispecialty sub-committee of their Relative Value Update Committee (RUC), the Practice Expense Advisory Committee (PEAC), to review the CPEP clinical staff, equipment, and supply data for all physician services. This multispecialty committee, which includes representatives from all major specialty societies, would then make recommendations on suggested refinements to this data. We indicated in our November 1998 final rule (63 FR 58833) that we would work with the PEAC and RUC to refine the practice expense direct cost inputs. This refinement process was supported in comments we received from almost every major physician specialty society.

    In our 1999 physician fee schedule final rule, we implemented most CPEP refinements recommended by the RUC. For the 2000 final rule, the RUC forwarded to us significant additional refinement recommendations that reflected multispecialty agreement on the typical resources for many important services, including visit codes, that account for approximately 24 percent of Medicare spending for physician services. Again we received and accepted almost all of these RUC recommendations. In addition, at its October 2000, February 2001, and April 2001 meetings, the PEAC focused on high-volume services and on standardizing inputs across wide ranges of services. We, therefore, anticipate that the pace of refinement of the CPEP inputs will continue to accelerate.

    In addition to implementing most of the RUC-recommended refinements, we responded to comments on errors and anomalies in the CPEP data in both the November 1999 and November 2000 final rules. For example, we removed separately billable casting supplies and drugs from all services, we adjusted the prices of certain supplies that were clearly in error, we removed duplicated equipment from the direct inputs of the nuclear medicine codes, we added clearly essential equipment that was missing from the lithotripsy and photochemotherapy codes, we corrected anomalies in inputs within several families of codes, and we changed the crosswalks for the CPEP inputs of several codes not valued by the CPEP panels when a commenter suggested more appropriate crosswalks.

    We simplified the refinement of equipment inputs by combining both the procedure-specific and overhead equipment into a single equipment category. We also deleted stand-by equipment and equipment used for multiple services at one time from the direct cost inputs because of the difficulty of allocating these costs at the code-specific level.

    We are resolving issues related to averaging input costs for codes that were valued by more than one CPEP panel. While we have received comments agreeing and disagreeing with our use of mean costs, the issue is moot because we are substituting refined data for the data previously produced by multiple CPEPs. Start Printed Page 40377

    (iv) Physician Time Data. In the November 1999 rule (64 FR 59404), we stated that, in general, requests for revisions for the procedure-specific physician times should be deferred to either the RUC process or the 5-year review process. However, we did adopt the newer data to correct the physician time for the pediatric surgery codes and made the requested revisions to correct anomalies in the times of certain psychotherapy codes.

    In response to comments on the times associated with physical and occupational therapy services, we added preservice and postservice times to all of these codes.

    (v) Crosswalk Issues. In response to concerns expressed by specialty societies representing emergency medicine that the SMS data did not capture the costs of uncompensated care, we crosswalked emergency medicine's administrative labor and other expenses cost pools to the practice expense per hour for “all physicians.”

    We resolved issues related to the specialty crosswalk for nursing specialties by eliminating the separate practice expense pools for midlevel practitioners.

    (vi) Calculation of Practice Expense Pools—Other Issues. We addressed concerns that potential errors in our specialty utilization data will have an effect on the calculation of practice expense RVUs. In the July 2000 proposed rule (65 FR 44178), we discussed our simulations that demonstrated that the small percentage of potential errors in our very large database have no adverse effect on specialty-specific practice expense RVUs.

    We have created the zero-work pool for services with no physician work to ensure that these services are not inappropriately disadvantaged by our methodology. We have also agreed with the request of all the specialty societies that commented that their services should be moved out of the zero-work pool and into the specialty-specific pool. The specialties whose services remain in the zero-work pool have indicated that they wish their services to remain there. We plan to eliminate this separate pool for services with no physician work only when we have determined what revisions to our methodology are required so that we can value these services appropriately outside of the zero-work pool.

    (vii) Calculation of Indirect Cost. We requested that our contractor evaluate various options for calculating indirect costs. The final report, referenced above, contains an analysis of the impacts of six alternative allocation methodologies. In confirming the suitability of our allocation methodology, the report concludes that “HCFA's approach is broadly consistent with most of the alternative methods. This consistency suggests that, from a broad perspective, no other allocation methodology offers a compelling reason to abandon the current HCFA approach.”

    (viii) Site-of-Service. The practice expense RVUs would be expected to be higher in the non-facility setting, where the practitioner bears the costs of the necessary staff, supplies, and equipment, than in the facility setting. To prevent potential anomalies in our calculations due to the different mix of specialties performing a given service in different settings, we capped the facility practice expense RVUs at the non-facility level for each specific service.

    In the November 1999 final rule (64 FR 59407), in response to a comment from the Renal Physicians Association, we agreed that the monthly capitated service codes should always be reported using the non-facility designation. The site of service designations are not meaningful for a monthly service that may be provided in different settings for the same patient during a given month.

    Although we need to do additional work to complete the refinement of all practice expense RVUs, we believe that the above description of our actions to date shows that much has been accomplished. We also believe that it demonstrates that we have been responsive to comments from the medical community and have established a process that enables this community to participate fully in the refinement of both the specialty-specific practice expense per hour and the CPEP code-specific inputs.

    Practice Expense Proposals for Calendar Year 2002

    (1) Use of 1999 SMS Survey Data

    We are currently using data from the 1995 through the 1998 SMS surveys (1994 through 1997 practice expense data) in order to calculate the specialty-specific practice expense per hour. The 1999 SMS survey data is now available. Because we want to incorporate the most recent survey data into our methodology during the transition period, we are proposing to add this 1999 data to the 4 years of data we are currently using.

    We are proposing to use these 5 years of data in addition to any supplemental specialty-specific data that meet our criteria as the basis of the practice expense per hour calculations until the first 5-year review of practice expense RVUs in 2007. At that time, we anticipate that newer practice expense survey data might be available.

    The proposed specialty-specific practice-expense per hour calculations are shown in Table 1. The specialty level impact of using the additional SMS data is shown in Table 5 of the regulatory impact statement. As indicated, Table 5 shows the impact of this change only relative to the current estimated fully-implemented practice expense RVUs.

    Table 1.—Specialty-Specific Practice Expense Per Hour Calculations

    SpecialtyClinical payroll per hourClerical payroll per hourOffice expense per hourSupplies expense per hourEquipment expense per hourOther expense per hourTotal expense per hour
    ALL PHYSICIANS12.315.419.47.43.211.569
    GENERAL/FAMILY PRACTICE14.814.917.77.93.18.867.1
    GENERAL INTERNAL MEDICINE9.414.417.96.12.16.656.5
    CARDIOVASCULAR DISEASE15.815.220.76.25.917.881.6
    GASTROENTEROLOGY8.917183.62.112.361.8
    ALLERGY/IMMUNOLOGY36.325.331.416215.8128.8
    PULMONARY DISEASE6.912.415.72.61.66.946.1
    ONCOLOGY (with supplies adjustment)27.424.126.57.44.69.399.3
    GENERAL SURGERY7.215.616.83.429.954.9
    OTOLARYNGOLOGY17.225.232.97.55.617.2105.7
    ORTHOPEDIC SURGERY16.628.529.710.33.819.1108
    OPHTHALMOLOGY25.125.834.110.88.421.1125.3
    UROLOGICAL SURGERY12.418.523.225.55.311.396.2
    PLASTIC SURGERY1520.332.418.55.725.2117.2
    NEUROLOGICAL SURGERY8.625.628.61.81.416.182.2
    CARDIAC/THORACIC SURGERY18.116.816.81.82.213.168.8
    Start Printed Page 40378
    PEDIATRICS12.412.918.910.21.78.664.8
    OBSTETRICS/GYNECOLOGY16.418.824.77.33.211.281.7
    RADIATION ONCOLOGY149.212.15.49.716.466.8
    RADIOLOGY9.310.814.84.87.420.968
    PSYCHIATRY1.75.110.50.40.47.225.3
    ANESTHESIOLOGY11.33.75.90.40.45.927.6
    PATHOLOGY (adjusted to remove Part A Hrs)11.21411.96.822166.9
    DERMATOLOGY22.528.433.412.65.417.2119.4
    EMERGENCY MEDICINE (adjusted for admin/other)3.315.420.70.111.533
    NEUROLOGY8.32319.55.24.49.369.7
    PHYS MED/RHEUMATOLOGY14.923.730.76.56.212.294.2
    OTHER SPECIALTY9.31319.34.91.98.857.3
    VASCULAR SURGERY (supplemental data)20.218.117.73.24.511.475.1
    PHYSICAL AND OCCUPATIONAL THERAPY (see12.35.97.57.43.24.440.7
    * Total expenses exclude professional liability insurance premiums and employee physician payroll.
    Notes:
    —Only self-employed non-federal non-resident patient care physicians who responded to all relevant expense questions are included. Self-employed physician respondents with no practice expenses for the year are excluded.
    —Physicians whose typical number of hours worked in patient care activities per week is missing, less than 20, or equal to 168 are excluded. Physicians whose number of weeks worked the previous year is missing or less than 26 are excluded.
    —For each respondent, total practice expense and expense components per hour are calculated as (4)/(5) below.
    —Expenses adjusted for practice size = self-employed respondent expenses X # physician owners
    —Hours adjusted for practice size =(respondent hours * # physician owners) + (employee physician hours (see (6) below) * # employee physicians)
    —The typical number of hours worked in patient care activities for the employee physician(s) of a self-employed physician's practice is not known.
    Mean hours worked in patient care activities for employee physicians of each specialty are used as an estimate of employee physician hours.
    —As described earlier in this proposed rule, the practice expense per hour shown above reflect:
    —the “All Physician” supplies expense per hour for Oncology
    —use of supplemental SMS practice expense data for Cardiac and Thoracic Surgery in addition to regular SMS data collection.
    —removal of hours spent in Part A activities for Pathology.
    —Using the “All Physician” administration and other practice expense data for Emergency Medicine.
    —Vascular Surgery data is based on supplemental survey not the SMS.
    —Physical and occupational therapy data is based on “All Physician” for clinical, staff, supplies and equipment.
    It is based on salary equivalency guidelines assuming 750 square feet of office space for clerical, office and other.

    Supplemental Practice Expense Survey Data

    To ensure the maximum opportunity for specialties to submit supplementary practice expense data, we are proposing to accept survey data that meets the criteria set forth in the November 2000 final rule for an additional 2 years. The deadlines for submission of such supplemental data to be considered in CY 2003 and CY 2004 are August 1, 2002 and August 1, 2003, respectively.

    Repricing of CPEP Inputs

    The cost of the original CPEP inputs for staff, supplies, and equipment were assigned by our contractor, Abt Associates, based primarily on 1994 and 1995 pricing data. In addition, for many items on the equipment and supply list, the associated costs were based on the recommendation of a CPEP panel member, rather than on actual catalog prices. Several equipment and supply items and clinical staff types also have been added subsequent to the CPEP panels. In general, the costs of these inputs have been provided by the relevant specialty society, with and without documentation of the costs.

    We are proposing to revise the salary and cost estimates by using the most current pricing data available. We contracted with a consultant to help us in this endeavor and the contractor also solicited advice and information from the major medical specialty societies. We appreciate the time and effort given to this project by the staff of many of the specialty societies. We have at this time completed our proposals for the update of clinical staff salary data and discuss these proposals below. However, we have not yet completed the pricing update for all of the hundreds of supplies and pieces of equipment that are in our CPEP database. We have had difficulty in identifying some of these inputs because many of the original descriptions are too general to price (for example, “laser” or “antibody”) or because the item cannot be found in any supplier's catalog. In addition, several of the pieces of equipment are now obsolete and we need input regarding the appropriate equipment to price. Therefore, we need to work closely with the specialty societies in the coming months so that we can propose accurate prices for all the supply and equipment inputs in next year's proposed rule.

    Staff Types and Wages

    For the original CPEP wage data, Abt Associates used three primary external data sets: The Bureau of Labor Statistics' (BLS) Occupation Compensation Survey, 1993; The University of Texas Medical Branch (UTMB) Survey of Hospital and Medical School Salaries, 1994; and the Current Population Survey, 1993. Abt's report on the CPEP cost estimation stated that, “* * * the BLS data were considered to be the preferred data set. The BLS’ reputation for publishing valid estimates that are nationally representative led to the choice of the BLS data as the main source. If more than one data set provided an exact mapping for a receptionist, then the BLS wage was chosen over any other mapping.”

    We agreed with this assessment and directed our current contractor to use the most current BLS survey (1999) as the main source of wage data. The two other data sets used by Abt were not useful in this pricing update. The UTMB survey has apparently not been repeated and the Current Population Survey was used mainly for administrative staff types that are no longer treated as a direct cost.

    It should also be noted that the BLS discontinued the Occupational Compensation Survey used in 1995 and now conducts the National Compensation Survey that has a different breakdown of staff types than the earlier survey. This survey also does not cover all the staff types contained in the CPEP data. Therefore, it has been necessary for us to crosswalk or extrapolate the wages for several staff types using supplementary data sources for verification whenever possible.

    We used three other data sources to price wages of staff types that were not referenced in the BLS data—the American Society of Clinical Start Printed Page 40379Pathologists' survey of laboratory staff salaries (found at www.ascp.org); the survey done by the American Academy of Health Physics and the American Board of Health Physics (found at www.hps1.org); and national salary data from the Salary Expert, an Internet site that develops national and local salary ranges and averages for thousands of job titles using mainly government sources. (A detailed explanation of the methodology used to determine the specific job salaries can be found at www.salaryexpert.com.)

    We welcome comments and input on both our proposed wage rates and our proposed crosswalks. We are particularly seeking any additional sources of reliable national pricing for the wages of staff types not included in the BLS. Anecdotal information regarding individual pay scales will not be particularly helpful for setting national rates, though such information could help with verification of other data. For those staff types that are included in the BLS, we would require data that is equally representative and valid in order to consider revising our proposed salaries.

    The table below lists the clinical staff types whose input has been priced, the source for the data, the staff type crosswalk used, the proposed annual salary in 2001 dollars (using the Medicare Economic Index to convert 1999 salaries to 2001 dollars), the proposed cost per minute (including benefits) and the current cost per minute (including benefits) for comparison purposes. The proposed cost per minute was derived by dividing the annual salary by 2080 to arrive at the hourly wage rate and then again by 60 to arrive at the per minute cost. To account for the employers' cost of providing fringe benefits, such as sick leave, we used the same benefits multiplier of 1.366 used by Abt. The last column in the table refers to the numbered notes following the table that contain proposals regarding the pricing of the staff types and additional information as needed.

    Table 2.—Proposed Wage Rates for CPEP Clinical Staff Types

    DescriptionSourceCrosswalkMean yrly 2001Proposed per minuteCurrent per minuteNote #
    Physical Therapy AideBLSPhysical Therapist Aides21,077.360.2260.232
    Medical AssistantBLSMedical Assistants23,680.670.2540.1621
    Technical AideBLSMedical Assistants23,680.670.2540.2251
    Medical TechnicianBLSMedical Assistants23,680.670.2540.2251
    EKG TechnicianBLSMedical Assistants23,680.670.2540.2041
    Anesthesia TechnicianBLSMedical Assistants23,680.670.2540.2251
    TechnicianBLSMedical Assistants23,680.670.2540.2251
    Cast TechnicianBLSMedical Assistants23,680.670.2540.1771
    LPNBLSLicensed Practical Nurses30,340.530.3250.267
    RNBLSRegistered Nurses46,493.560.4980.422
    RN CardiologyBLSRegistered Nurses46,493.560.4980.5742
    RN OncologyBLSRegistered Nurses plus adjustment54,862.400.5870.4972
    Surgery AssistantBLSSurgical Technologists28,814.090.3080.3263
    Certified Surgical TechnicianBLSSurgical Technologists28,814.090.3080.262
    Lab TechnicianBLSMedical and Clinical Laboratory Technicians29,723.680.3180.288
    HistotechnicianASCPHistologic Technologist33,924.510.3630.3064
    Electron Microscopy TechnicianASCPHistologic Technologist33,924.510.3630.3125
    CytotechnologistBLSMedical and Clinical Laboratory Technologists41,098.760.4400.415
    EEG TechnicianSalary ExpertElectroencephalographic Technician29,150.740.3120.2836
    Electrodiagnostic TechnologistBLSElectroneurodiagnostic Technologists33,529.310.3590.3026
    Registered EEG TechnologistCurrent RateRegistered EEG Technologist37,645.000.4030.4036
    Vascular TechnicianBLSCardiovascular Technologists and Technicians34,794.370.3720.3517
    Cardiovascular TechnicianBLSCardiovascular Technologists and Technicians34,794.370.3720.351
    Radiation TechnologistBLSRadiologic Technologists and Technicians37,125.850.3970.3198
    X-Ray TechnologistBLSRadiologic Technologists and Technicians37,125.850.3970.3198
    Angiographic TechnicianBLSRadiologic Technologists and Technicians37,125.850.3970.3519
    CAT Scan TechnicianBLSRadiologic Technologists and Technicians37,125.850.3970.3199
    MRI TechnicianBLSRadiologic Technologists and Technicians37,125.850.3970.3199
    Nuclear Medicine TechnicianBLSNuclear Medicine Technologists44,360.730.4750.392
    Nuclear Cardiology TechnicianBLSNuclear Medicine Technologists44,360.730.4750.39210
    Ultrasound TechnicianBLSDiagnostic Medical Sonographers45,751.260.4900.38911
    SonographerBLSDiagnostic Medical Sonographers45,751.260.4900.38911
    Cardiac SonographerBLSDiagnostic Medical Sonographers45,751.260.4900.38911
    Radiation Technical TherapistBLSRadiation Therapists45,333.050.4850.404
    DosimetristBLSRadiation Therapists45,333.050.4850.500
    PhysicistAAHPCertified Health Physicists84,495.540.9050.96812
    COTX-WALKLab Technician29,723.680.3180.25613
    COMTX-WALKHistotechnician33,924.510.3630.27813
    OpticianBLSOpticians, Dispensing26,336.250.2820.278
    Start Printed Page 40380
    Certified Retinal AngiographerSalary ExpertOphthalmic Photographer35,453.040.3800.35114
    OrthoptistX-WALKCOMT33,924.510.3630.31515
    Respiratory TherapistBLSRespiratory Therapists38,537.280.4130.421
    Speech PathologistBLSSpeech-Language Pathologists49,996.000.5350.419
    AudiologistBLSAudiologists47,748.170.5110.411
    Registered DieticianBLSDieticians and Nutritionists39,049.570.4180.365
    CounselorBLSMental Health Counselors30,769.180.3290.422

    (1) We are proposing to collapse the medical assistant, technical aide, medical technician, EKG technician, anesthesia technician, technician, and cast technician staff types into a new staff type called, “medical or technical assistant” that will be priced at the medical assistant proposed wage rate per minute. This will represent an increased per minute rate for all the bundled staff types.

    (2) We are proposing to bundle the staff type “RN-cardiology” into the staff type “RN.” RN-cardiology is used as the staff type for the pre- and post-service time of only three percutaneous valvuloplasty services, codes 92986, 92987 and 92990. We were unable to find any national salary data for the oncology certified nurse (OCN). In the absence of other information, we are adjusting the proposed wage rate to be 18 percent higher than the RN; this is the same differential that currently exists between these two staff types.

    (3) We are proposing to bundle the staff type “surgery assistant”, which is assigned to only 19 surgical services, into the staff type “certified surgical technologist (CST)”, which is assigned to 133 services. It also appears that Abt mapped the averaged costs from a first assistant and certified scrub technician to the surgery assistant staff type, which does not appear to be the most appropriate crosswalk for the office setting.

    (4) We used the average hourly rate for histologic technologists from the 1998 American Society of Clinical Pathologists' survey to propose a wage for the histotechnician staff type. This survey's average hourly rate of $12.90 for laboratory technician generally corresponds to our proposed rate of $13.67 and its average hourly rate of $19.00 for cytotechnologists almost matches our proposed rate of $18.90. Therefore, we believe that the $15.60 hourly rate we are proposing for the histotechnician maintains the current relativity between these laboratory staff types.

    (5) We were unable to find any national salary data for the electron microscopy technician and, in the absence of such data, are crosswalking the salary from the wage rate for the histotechnician. This does represent an increase in the per minute cost for this staff type. However, we would welcome reliable national survey data from the specialty that we could use in pricing this staff type.

    (6) We were only able to find direct BLS salary data for the electroneurodiagnostic technologist staff type. This information was contained in the BLS Occupational Outlook Handbook rather than in the listing of Occupational Employment Statistics where we found all other BLS data. We are proposing to crosswalk the corresponding salary from the Handbook to the electrodiagnostic technologist staff type. Data for the EEG technician came from the Salary Expert. We were unable to find any national salary data for registered EEG technologist (REEGT) and are proposing to maintain the current rate, since the speciality society recently recommended this rate of pay. However, we would also welcome reliable national survey data from the specialty that we could use in pricing these three levels of neurodiagnostic staff.

    (7) We are proposing to bundle the vascular technician in with the cardiovascular technology staff type. Currently both are priced at the same rate.

    (8) We are proposing to merge the x-ray technician and radiation technologist staff types, which are currently priced at the same rate, into a staff type called “Radiologic Technologist.”

    (9) Because we were unable to find any national survey data regarding the salaries for CAT scan technician, MRI technician, or angiographic technician, we are proposing to crosswalk these staff types to the BLS radiologic technologist pay scale. If there is a generally applied differential for these specialized radiologic technologists, we would welcome any reliable national survey data that would allow us to separately price these staff types.

    (10) We are proposing to merge the nuclear cardiology technician in with the nuclear medicine technician staff type. Currently, both are priced at the same rate.

    (11) We are proposing to merge the cardiac sonographer and the ultrasound technician into the sonographer staff type. Currently, all three are priced at the same rate.

    (12) We are proposing to use the average salary data for all certified health physicists from the 1999 survey done by the American Academy of Health Physics and the American Board of Health Physics.

    (13) We were unable to find representative national salary data for either the certified ophthalmic technician (COT) or the certified ophthalmic medical technologist (COMT). Until we can obtain such data, we are proposing to crosswalk the COT and COMT to the lab technician and histotechnician, respectively, since we believe that the skill and responsibility of these staff types would generally correspond. Again, we would welcome reliable and representative national salary data for these staff types.

    (14) Data for our proposed salary for the certified retinal angiographer came from the Salary Expert. The position description for the ophthalmic photographer appeared to match the duties of a retinal angiographer: “Photographs medical phenomena of eye to document diseases, surgeries, treatment and congenital problems * * * Injects contrast medium into vein of patient and photographs fluorescent dye as it flows through retina or iris vessels to obtain angiogram of eye * * *”

    (15) In the absence of any national salary data for the orthoptist, we crosswalked the salary from that of the COMT, the highest level of ophthalmic medical personnel.

    We are also proposing to delete those clinical staff that can bill separately from the list of CPEP staff types. We believe that these staff types are used as physician extenders and thus their salaries should not be considered as Start Printed Page 40381practice expense. Therefore, we are proposing to substitute physical therapy aide for physical therapist, registered nurse for physician assistant, nurse practitioner and psychologist, and counselor for social worker. We are also proposing to delete as redundant the ophthalmic medical personnel (OMP) staff type and are substituting the COMT/COT/RN/CST blend that was suggested by the American Academy of Ophthalmology and recommended by the AMA's Relative Value Update Committee.

    The CPEP clinical staff inputs also include blends of staff types that are used for those services where more than one type of clinical staff may be used in the performance of the service. We are proposing to establish the payment rates for these blends by calculating a simple average of the wage rates of the staff types included. The table below shows the blended staff types, the proposed cost per minute and the current cost per minute.

    Table 3.—Proposed Wage Rates for CPEP Blended Clinical Staff Types

    Current descriptionProposed descriptionProposed per minuteCurrent per minute
    COMT/COT/RN/CSTSame0.3720.307
    EKG Tech/MAMedical or Technical Assistant (MTA)0.2540.183
    EKG Tech/Med TechMedical or Technical Assistant (MTA)0.2540.214
    Lab Tech/HistotechSame0.3410.297
    Lab Tech/Med TechLab Tech/MTA0.2860.257
    Optician/COMTSame0.3230.278
    RN/LPNSame0.4120.389
    RN/LPN/MARN/LPN/MTA0.3590.317
    RN/LPN/MA/TechRN/LPN/MTA0.3590.269
    RN/Med Tech/MARN/LPN/MTA0.3590.269
    RN/OCNSame0.5430.497
    RN/PA/Cast TechRN/LPN/MTA0.3590.402
    RN/Respiratory TherapistSame0.4560.421
    RN/TechRN/LPN/MTA0.3590.323
    RN/Ultrasound TechRN/Sonographer0.4940.405
    RN//MARN/LPN/MTA0.3590.326
    Note: The proposed descriptions are based on our proposals on staff types from the previous table. We have eliminated the staff types we have proposed deleting from the above blends. We are also proposing to add LPN to the blend of an RN and a medical or technical assistant because we believe that if an RN and an assistant can perform a service, it is reasonable to assume that an LPN could as well.

    Revision of the Ophthalmology Visit Supply Package

    In its May 2000 submission to us, the RUC recommended the use of an ophthalmology visit supply package that would contain the routine supplies typically used in each 90-day global postsurgical visit for ophthalmology services. We accepted this recommendation. However, upon further review, we noted that two of the supplies—rev eyes and post myd spectacles—were not used in many of the postsurgical office visits. Therefore, after consulting with the ophthalmology specialty society, we are proposing to remove these two items from the ophthalmology visit package. Instead, we propose to include these items as appropriate on a code-by-code basis.

    Deletion of Contrast Agents From the Practice Expense Inputs

    Section 430(b) of BIPA amends section 1861(t)(1) of the Act to include contrast agents in the definition of drugs and biologicals. Previously, contrast agents were defined as supplies and were included in the list of CPEP supplies for the appropriate services. Therefore, we are proposing to delete the costs of the following contrast agents from our CPEP data—hypaque, methylene blue, high density barium, polibar, telopaque tablets, barium paste contrast, effervescent sparkies (fizzies) and renographin-60 iodinated contrast.

    Physician Time

    RUC Time Database

    The primary sources for the physician time data used in creating the specialty-specific practice expense pools are the surveys performed for the initial establishment of the work RVUs and the surveys submitted to the AMA RUC. The AMA informed us that some of the times used for the November 1998 final rule (63 FR 58823) differed from the official RUC database, and we agreed to use the RUC-verified physician time database when we received it from the AMA. Subsequently, the AMA notified us that there were gaps in its own database for certain global surgery codes and that a revised time database would be sent to us once all the times were verified. We have now received this revised database and are proposing to use it in the calculation of the specialty-specific practice expense pools. It should be noted that the RUC database reflects the proposed physician times for those codes that were surveyed as part of the 5-year review of physician work.

    c. Site-of-Service: Comments on Site of Service. In the November 2, 1998 final rule (63 FR 58830) and the November 2, 1999 final rule (64 FR 59407), we indicated the circumstances under which either the facility or the non-facility RVUs are used to calculate payment for a service. Specifically, we indicated that the lower facility practice expense RVUs apply when the service is performed in an Ambulatory Service Center (ASC) and the procedure is on the ASC-approved procedures list. The higher non-facility practice expense RVUs apply to procedures performed in an ASC that are not on the ASC-approved list because there will be no separate facility payment for these services. We have recently received a number of inquiries asking about the place-of-service that should be used on the Medicare claim when a service not on the ASC-approved procedures list is provided in an ASC. In these circumstances, physicians should indicate ASC as the place-of-service on the Medicare claim. Other questions have arisen as to whether a beneficiary can be billed the ASC facility fee when Medicare does not pay a facility fee because a procedure not on the ASC list is performed in a certified ASC. In this situation, Medicare pays the higher non-facility practice expense RVUs because the ASC is effectively serving as a physician's office, and Medicare's payment for the physician's service Start Printed Page 40382includes payment for all practice expenses incurred in furnishing the service. The ASC benefit does not apply since the services do not meet the provisions of section 1833(i) of the Act. The services are covered as physicians' services and paid under the physician fee schedule. Therefore, payment to the physician reflects payment for the whole service, and the beneficiary cannot be charged in excess of the limiting charge for the physician fee schedule service.

    B. Nurse Practitioners, Physician Assistants, and Clinical Nurse Specialists Performing Screening Sigmoidoscopies

    On January 1, 1998, we implemented regulations at § 410.37(d) (Conditions for coverage of screening flexible sigmoidoscopies) requiring that screening flexible sigmoidoscopies be performed by a doctor of medicine or osteopathy (as defined in section 1861(r)(1) of the Act). Based on our review of current medical literature, we believe that there are other practitioners whose services are covered under Medicare who have been trained and are qualified to perform these procedures safely and accurately, such as nurse practitioners, clinical nurse specialists, and physician assistants.

    A growing body of literature has shown that certain non-physician health care professionals can carry out screening by flexible sigmoidoscopy as accurately and safely as physicians when properly trained. This procedure requires fewer supervised examinations to attain objective measures of technical competency than other endoscopic procedures, does not require sedation, and has a low rate of related complications. In the studies reviewed, physician and non-physician endoscopists achieved similar polyp detection rates and depth of insertion in screenings performed independently. No significant complications from sigmoidoscopy were reported in any of these studies. The level of satisfaction with the procedure was similar for all practitioners.

    Therefore, we are proposing to revise § 410.37(d) to provide that, in addition to medical doctors and doctors of osteopathy, physician assistants, nurse practitioners, and clinical nurse specialists also be allowed to perform screening flexible sigmoidoscopies for beneficiaries if they meet the applicable Medicare qualification requirements in §§ 410.74, 410.75, and 410.76, and if they are authorized to perform these services under State law.

    C. Services and Supplies Incident to a Physician's Professional Services: Conditions

    Section 1861(s)(2)(A) of the Act authorizes coverage of services and supplies (including drugs and biologicals that cannot, as determined in accordance with regulations, be self-administered) furnished as an incident to a physician's service, of kinds which are commonly furnished in physicians' offices and are commonly either furnished without charge or included in the physician's bills. This statutory “incident to” benefit differs from the “incident to” benefit in the hospital setting as set forth in section 1861(s)(2)(B) of the Act, which authorizes coverage of hospital services (including drugs and biologicals which cannot, as determined in accordance with regulations, be self-administered) incident to a physician's service furnished to outpatients and partial hospitalization services furnished to outpatients incident to a physician's service. This proposal only addresses the “incident to” benefit set forth in section 1861(s)(2)(A) of the Act.

    In addition, the statute provides Medicare coverage of services incident to practitioners other than physicians. For example, section 1861(s)(2)(K) of the Act authorizes Medicare to pay for services incident to a service of a nurse practitioner or a physician assistant.

    Section 2050 of the Medicare Carriers Manual (the manual) clarifies the coverage of services “incident to” physician services as described in section 1861(s)(2)(A) of the Act. Specifically, services incident to a physician service may be furnished by an employee of the physician. Alternatively, both the physician and the individual furnishing the “incident to” service must be employed by a common employer. Furthermore, the individual furnishing the “incident to” service may be any staff member working with the physician and not just one of the non-physician practitioners listed in section 1842(b)(18)(C) of the Act. We shall refer to these staff members as auxiliary personnel, a term which includes registered nurses and medical assistants.

    Currently, our manual requires that the physician be either the employer of the auxiliary personnel or be an employee of the same entity that employs the auxiliary personnel. We note that, under our manual, auxiliary personnel may be either employees, leased employees, or independent contractors. An independent contractor relationship appears to be common current practice because it affords the auxiliary personnel the flexibility to work with various physicians or practitioners on a part-time basis. We do not believe that the nature of the employment relationship is critical for purposes of payment for services incident to the services of physicians and practitioners, so long as the auxiliary personnel reports to a physician or practitioner under the required level of supervision. We see no clinical reason to exclude independent contractor physicians and practitioners from the class of practitioners who can receive Medicare payment for services incident to their own services based solely on their status as independent contractors. Accordingly, we propose to allow auxiliary personnel to provide services incident to the services of physicians or practitioners who supervise them, regardless of the employment relationship. Thus, auxiliary personnel may be employees, leased employees, or independent contractors, and may provide services incident to the services of physicians and practitioners who employ or contract with them or who are employees or independent contractors of the same entity, provided that the other requirements for payment for “incident to” services are met. We note, however, that the employment relationship remains relevant under our rules prohibiting reassignment of Medicare benefits. (§§ 424.73 and 424.80) We also propose to codify the following definitions:

    • Auxiliary personnel means any individual who is acting under the supervision of a physician, regardless of whether the individual is an employee, leased employee, or independent contractor of the physician (or other practitioner) or of the same entity that employs or contracts with the physician (or other practitioner).
    • Direct supervision means the level of supervision by the physician (or other practitioner) of auxiliary personnel as defined in § 410.32(b)(3)(ii).
    • Independent contractor means an individual who performs part-time or full-time work for which the individual receives an IRS-1099 form.
    • Leased employment means an employment relationship that is recognized by applicable State law and that is established by two employers by a contract such that one employer hires the services of an employee of the other employer.
    • Noninstitutional setting means all settings other than a hospital or skilled nursing facility.
    • Practitioner means a non-physician practitioner who is authorized by the Start Printed Page 40383Act to receive payment for services incident to his or her own services.
    • Services and supplies means any service or supply (including any drug and biological that cannot be self-administered) that is included in section 1861(s)(2)(A) of the Act and is not specifically listed in the Act as a separate benefit included in the Medicare program.

    We also propose to codify the provisions in section 2050 of the manual by revising § 410.26 to clarify the requirements for “incident to” services. Section 410.26 would be revised as follows:

    • Services and supplies must be furnished in a noninstitutional setting to noninstitutional patients.
    • Services and supplies must be an integral, although incidental, part of the service of a physician (or other practitioner) in the course of diagnosis or treatment of an injury or illness.
    • Services and supplies must be commonly furnished without charge or included in the bill of a physician (or other practitioner).
    • Services and supplies must be of a type that are commonly furnished in the office or clinic of a physician (or other practitioner).
    • Services and supplies must be furnished under the direct supervision of the physician (or other practitioner).
    • Services and supplies must be furnished by the physician, practitioner with an incident to benefit, or by auxiliary personnel.
    • A physician (or other practitioner) may be an employee or an independent contractor.
    • Drugs and biologicals are also subject to the limitations specified in § 410.29.

    D. Anesthesia Services

    Section 4048(b) of the Omnibus Budget Reconciliation Act of 1987 amended section 1842(b) of the Act and required us to establish a uniform relative value guide for use in all carrier localities in determining payment for anesthesia services furnished by physicians under Medicare Part B. In accordance with the law, the uniform relative value guide was designed so that Medicare payment for anesthesia services would not exceed the amount that would have occurred under the then-existing system of payment.

    We implemented the uniform relative value guide in March 1989 and selected the 1988 American Society of Anesthesiologists' (ASA) Relative Value Guide as the basis for the uniform relative value guide. (For a discussion of this issue, please see the August 7, 1990 final rule (55 FR 32078).)

    To determine base unit values, we used the 1988 ASA base unit values for each anesthesia code, except for codes 00142 (lens surgery) and 00147 (iridectomy). The base unit values for each of these codes were set at 4 units instead of the ASA values of 6 and 5 units, respectively.

    The ASA has requested that we ensure that the anesthesia base units under our uniform relative value guide are the same as those listed in the ASA's most current guide. Standardization of base units between Medicare and the ASA guide will simplify billing by anesthesiologists. The ASA's base unit values for the following 8 codes are different than CMS's values:

    CodeCMSASA
    008165
    0090245
    01150810
    01214108
    0143256
    0144058
    0177086
    0192178

    We are proposing to use the ASA base unit values from the 1999 guide beginning in CY 2002 for the above codes. However, the base unit values for codes 00142 and 00147 would remain at 4 units. The values for these codes were established by us under the “inherent reasonableness” process in 1987.

    We would make an adjustment to the anesthesia conversion factor in 2001 so that payments would not exceed payments that would have been made using the current values. We currently estimate that this adjustment will be less than 0.5 percent.

    E. Performance Measurement and Emerging Technology Codes

    In modernizing the CPT, the AMA has developed two new categories of codes. In addition to the traditional codes for physicians' and other practitioners' services, referred to as Category I CPT codes, which are coded by five digit numbers, the new codes describe Performance Measures and Emerging Technologies and are coded with four digits followed by a letter.

    The Performance Measure codes, referred to as Category II CPT codes, are intended to facilitate data collection. These codes are designed to decrease the need for review of medical records to document when services were performed. They allow practitioners to indicate in their billing records that the visit addressed issues that need to be tracked for quality and outcome measurement. For example, there is likely to be a code to indicate that a diabetic patient received a retinal examination. The visit that contained that specific service might have been reported with an evaluation and management code or with a more general ophthalmological service code and paid for based on the code selected. Thus, the performance measurement code is used only to assist the practitioner to specify that the performance measurement service was furnished. The syntax of this code will be four digits followed by the letter “F.” We are proposing that no values are placed on the Performance Measure codes and no additional payment is made for the use of these codes. Practitioners will, however, be able to list them on their Medicare bills, to facilitate the tracking of these services.

    The Emerging Technology codes, referred to as Category III CPT codes, are intended to track new and emerging technologies. These codes were developed to facilitate data collection on and assessment of new services and procedures. These data could be used to document the use of services and procedures in the Food and Drug Administration approval process or while the efficacy of a procedure is being demonstrated. The syntax of these codes is four digits followed by the letter “T.” In general, these codes represent services that are still experimental or have unverified effectiveness and would not be covered services. Although we were concerned that codes with a “T” designation might be needed for use by some Medicaid programs, we now believe that we would be able to process claims with the “T” in the fifth digit. However, we propose not to provide payment for all of the Emerging Technology Codes. Rather, we would provide payment on a case-by-case basis only in specific situations when we determine that the codes represent services that are not, in fact, experimental, but have been shown to be safe and effective. If the coverage policy is not consistent with the existing tracking codes, a Medicare-specific code may need to be developed to allow payment for the service. Thus, we propose that only specific emerging technology codes will be recognized for Medicare payment.

    F. Payment Policy for CPT Modifier 62 (Co-Surgery)

    The CPT modifier code 62 is used to report the work of co-surgeons. Currently, if we pay for co-surgery, we pay a total of 125 percent of the fee schedule amount to the co-surgeons who each receive half of this total payment. This policy was established at the beginning of the fee schedule and Start Printed Page 40384the level of payment reflected the predominant payment rate used by Medicare carriers at that time. Unlike other components of the fee schedule, this payment policy was not based on an analysis of the relative physician work effort for surgical services involving co-surgeons.

    In addition, surgical practice has changed significantly over the past 10 years. For example, there is increasing use of noninvasive, minimally invasive, percutaneous, and endoscopic approaches to performing surgical procedures that were formerly performed as open procedures. Therefore, we are reviewing our payment policies for co-surgery to consider possible ways to ensure that they reflect current clinical practices and properly reflect the relative resources and work effort required to perform these services.

    Among the issues we are considering are:

    (1) Whether it would be possible to establish criteria for distinguishing the roles of a co-surgeon (when both surgeons are paid at 125 percent of the surgery amount) and assistant at surgery (when the total payment is 116 percent of the surgery amount);

    (2) Whether any such criteria should vary by type of procedure (that is, open surgical, minimally invasive (including interventional procedures), and endoscopic procedures);

    (3) Which procedures require a co-surgeon and under what circumstances should documentation be required for payment; and

    (4) How to value the work performed by a co-surgeon.

    While we are not making a specific proposal at this time, we will consider any information we receive to assist us in deciding whether to make a future proposal affecting payments for co-surgery.

    III. Implementation of Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000

    The Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) (Public Law 106-554), enacted on December 21, 2000, provides for revisions to policies applicable to the physician fee schedule. These revisions are presented below.

    A. Screening Mammography

    Medicare has paid for screening mammography since January 1, 1991. Section 1834(c) of the Act governing these screenings did not include screening mammography under the physician fee schedule and required payment using a different methodology. As stated in § 405.534, Medicare payment for screening mammography currently equals the lesser of the following: the actual charge for the service; the applicable amount under the physician fee schedule in an area for a bilateral diagnostic mammogram; or $55, a figure specified in section 1834(c)(3) of the Act, updated since 1991 by the Medicare Economic Index (MEI). In 2001, the statutory payment limit for screening mammography is $69.23. In most cases, payment for screening mammography is made at the national limit with no differences among geographical areas.

    Section 104 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) amends section 1848(j)(3) of the Act to include screening mammography as a physician service for which payment is made under the physician fee schedule beginning January 1, 2002. We are proposing to amend §§ 405.534 and 405.535 to reflect the inclusion of screening mammography as a physician service which will be payable under the physician fee schedule. In addition, we are amending § 414.2 to include screening mammography under the definition for physicians' services. In accordance with part 414, payments for screening mammography will be resource-based and will have geographic adjustments that reflect cost differences among areas as do all other services under the physician fee schedule, including diagnostic mammography. The following is a discussion of our proposed RVUs for the professional and technical components (PC and TC) of a screening mammography, code 76092, under the physician fee schedule.

    Professional Component

    We are proposing to establish physician work RVUs=0.70. This value is equal to the proposed work RVUs from the 5-year review of physician work for code 76090, unilateral diagnostic mammogram. Due to the comparable number of views taken in both a unilateral diagnostic mammography and a screening mammography, we believe the physician work associated with the performance of screening mammography is similar to the physician work associated with unilateral diagnostic mammography.

    We note that in the June 8, 2001 proposed notice on the 5-year review of work RVUs (66 FR 31028), we proposed to increase the work RVUs for unilateral diagnostic mammography from 0.58 to 0.70 RVUs, an increase of 21 percent. Additionally, we are proposing to increase the work RVUs for bilateral diagnostic mammography from 0.69 to 0.87 RVUs, an increase of 26 percent. Both of these increases would be effective for services performed on or after January 1, 2002. Our proposal to establish physician work RVUs for screening mammography equal to the physician work RVUs for unilateral diagnostic mammography, since both involve a four view film study, incorporates the increases we have proposed in the June 8, 2001 proposed notice.

    We also believe that the practice expense and malpractice expense for the professional component of screening mammography is similar to the professional component of unilateral diagnostic mammography. As a result, we are proposing 0.25 practice expense RVUs and 0.03 malpractice RVUs for the PC of screening mammography. These proposed RVUs reflect changes to the practice expense RVUs for code 76090.

    Technical Component

    We propose valuing the technical component of screening mammography using a methodology that updates the original statutory limit for the technical component of screening mammography of $37.40, by the cumulative increase in physician fee schedule rates between 1992 and 2001. While screening mammography payments increased through application of the MEI between 1992 and 2001, resulting in a cumulative increase of 25.9 percent, physician fee schedule payments increased by 35.6 percent during this period. As a result, increasing payment for screening mammography by the statutory limit led to lower payment than if payment for the procedure had increased at the same rate as physician fee schedule services.

    We propose updating the technical component of the initial screening mammography statutory limit of $37.40 by the same update factor that would have applied if screening mammography had received the same increases as physician fee schedule services. Currently, payment for the technical component of a screening mammography is equal to 68 percent of the statutory payment limit. To update the current value, we took 68 percent of the original $55 payment limit and increased it by 35.6 percent ($55 × 0.68 × 1.356 = $50.70). We divided this figure by the 2001 physician fee schedule CF of $38.2581 to determine total RVUs of 1.33. Since the TC is comprised only of practice and malpractice RVUs, we then used the Start Printed Page 40385practice expense and malpractice expense percentages for the TC of unilateral diagnostic mammography (95.3 and 4.7 percent, respectively) to determine the practice expense and malpractice RVUs for the technical component of screening mammography. We multiplied the total RVUs of 1.33 by 0.953 to determine the proposed practice expense RVUs of 1.27 and by 0.047 to determine the proposed malpractice expense RVUs of 0.06.

    Overall, the proposed total RVUs associated with the combined PC and TC of code 76092 are 2.31 (0.70 work RVUs, 1.52 practice expense RVUs, and 0.09 malpractice expense RVUs). These proposed RVUs would result in a payment for CY 2002 of approximately $88.50, before application of any geographic adjustments.

    New Technology Mammography

    The BIPA requires us to determine whether the assignment of new HCPCS codes is appropriate for both screening and diagnostic mammography using new technologies. If new codes are appropriate, the provision requires us to provide for their use beginning January 1, 2002. The provision defines new technology mammography to be an advance in technology with respect to the test or equipment that results in: (a) A significant increase or decrease in the resources used in the test or in the manufacture of the equipment; (b) a significant improvement in the performance of the test or equipment; or (c) a significant advance in medical technology that is expected to significantly improve the treatment of Medicare beneficiaries.

    Before January 1, 2002, the BIPA provides for temporary payment amounts during the period April 1, 2001 to December 31, 2001 for two types of new technology mammography used in both diagnostic and screening procedures. The BIPA specifies that payment for technologies that directly take digital images would equal 150 percent of the amount that would otherwise be paid for bilateral diagnostic mammography. The BIPA also specifies that for technologies that convert standard film to a digital form which is then analyzed, payment would be equal to the statutory screening mammography limit for CY 2001, plus an additional payment of $15.00. Moreover, the BIPA specifies that the same payment amount be used for a screening or diagnostic procedure for each of the new technologies. We have implemented the temporary payment provisions via a Program Memorandum sent to Medicare carriers on February 1, 2000.

    We believe that new HCPCS codes are appropriate for new technology mammography beginning with January 1, 2002 and propose codes to be used with the associated RVUs described below. We propose to establish three separate codes for directly taking a digital image (one for screening and one each for unilateral and bilateral diagnostic). Our approach would establish a single add-on code for computer-aided diagnosis with conversion of standard film images to digital images. At the present time, the FDA has approved computer-aided diagnosis only for use in conjunction with standard film screening mammography. Thus, at the present time, our proposal would only allow Gxxx4 to be billed as an add-on to 76090 if medically necessary. In the section that follows, we discuss the proposed coding and payment methodologies for new technology mammography.

    Screening mammography, direct digital image (Gxxx1). We propose to use HCPCS code Gxxx1 to report screening mammography performed using direct digital images as opposed to mammography that is performed using the standard film images associated with code 76092, or conversion of a standard film image to a digital image. (Note: Gxxx is used as a placeholder; the actual “G” code designation for payment will be included in the final rule.)

    We believe that the physician work and malpractice expense associated with both the PC and TC of HCPCS code Gxxx1 are analogous to the professional and technical components of CPT code 76092. (Note: Proposed work RVUs for code 76092, discussed above, are being increased to 0.70.) However, because the equipment involved with direct digital images is different from the equipment involved with standard film images, we believe that the practice expense RVUs are different than the practice expense RVUs for code 76092. Thus, we are proposing to value the practice expense for the PC of this service using the methodology for determining resource-based practice expense RVUs. We are proposing to value the practice expense RVUs for the TC of the service using the practice expense methodology for the “zero work pool.” (For more information about the practice expense methodology for PC and TC services, see the November 2, 1998 final rule (63 FR 58817).

    For the PC of HCPCS code Gxxx1, we propose 0.70 work RVUs, 0.28 practice expense RVUs, and 0.03 malpractice expense RVUs. For the TC of HCPCS code Gxxx1, for which there is no physician work associated, we propose 2.50 practice expense RVUs and 0.06 malpractice RVUs. Please see Table 4 below for a summary of all component RVUs associated with this and other mammography services.

    Diagnostic mammography, unilateral, direct digital image (Gxxx2). We propose to use HCPCS code Gxxx2 to report unilateral diagnostic mammography performed using direct digital images as opposed to mammography performed using the standard film images associated with code 76090, or conversion of a standard film image to a digital image.

    We believe that the physician work and malpractice expense associated with both the PC and TC of HCPCS code Gxxx2 are analogous to the PC and TC of code 76090. (Note: Proposed work RVUs for code 76090, discussed above, are being increased to 0.70). However, because the equipment involved with direct digital images is different from the equipment involved with standard film images, we believe that the practice expense RVUs are different than those for code 76090. Thus, we are proposing to value the practice expense for the PC of this service using the methodology for determining resource-based practice expense RVUs. We are proposing to value the practice expense RVUs for the TC of the service using the practice expense methodology for the “zero work pool.”

    For the professional component of HCPCS code Gxxx2, we propose 0.70 work RVUs, 0.28 practice expense RVUs, and 0.03 malpractice expense RVUs. For the TC of HCPCS code Gxxx2, for which there is no physician work associated, we propose 1.99 practice expense RVUs and 0.05 malpractice expense RVUs. Please see Table 4 below for a summary of all component RVUs associated with this and other mammography services.

    Diagnostic mammography, bilateral, direct digital image (Gxxx3). We propose to use HCPCS code Gxxx3 to report bilateral diagnostic mammography that is performed using direct digital images as opposed to mammography performed using the standard film images associated with code 76091, or conversion of a standard film image to a digital image.

    We believe that the physician work and malpractice expenses associated with both the PC and TC of HCPCS code Gxxx3 are analogous to the PC and TC of code 76091. (Note: Proposed work RVUs for code 76091, discussed above, are being increased to 0.87). However, because the equipment involved with direct digital images is different from the equipment involved with standard Start Printed Page 40386film images, we believe that the practice expense RVUs are different than those for code 76091. Thus, we are proposing to value the practice expense for the PC of this service using the methodology for determining resource-based practice expense RVUs. The practice expense RVUs for the TC of the service are being valued using the practice expense methodology for the “zero work pool.”

    For the PC of HCPCS code Gxxx3, we propose 0.87 work RVUs, 0.34 practice expense RVUs, and 0.03 malpractice expense RVUs. For the TC of HCPCS code Gxxx3, with which there is no physician work associated, we propose 2.47 practice expense RVUs and 0.06 malpractice expense RVUs. Please see Table 4 below for a summary of all component relative values associated with this and other mammography services.

    Computer-aided detection, conversion of standard film images to digital images (HCPCS Code Gxxx4). We propose to use HCPCS code Gxxx4 to report conversion of standard film images to digital images when used in conjunction with computer-aided diagnosis software.

    We propose establishing HCPCS code Gxxx4 as an add-on code that can be billed only in conjunction with the primary service, code 76092. At this time, we understand that the only FDA-approved use of the computer-aided diagnosis mammography software is with screening film images. If there are other FDA-approved uses of computer-aided diagnosis, we allow for use of Gxxx4 as an add-on to other mammography services. We believe that the physician work associated with CPT code 76375, Coronal, sagittal, multiplanar, oblique, 3-dimensional and/or holographic reconstruction of computerized tomography, magnetic resonance imaging, or other tomographic modality, is comparable, per unit of time, to the physician work of Gxxx4. We have determined that the physician time associated with HCPCS code Gxxx4 is approximately 1/3 of the physician time associated with CPT code 76375. Using this relationship, we propose 0.06 work relative value units for HCPCS code Gxxx4. Additionally, we believe the malpractice expense RVUs for HCPCS code Gxxx4 are analogous to a level two established office visit, CPT code 99212. However, we believe that the practice expense RVUs for HCPCS code Gxxx4 are markedly different from either of the two aforementioned services; therefore, we are valuing the PC of this service using the methodology for determining resource-based practice expense RVUs. The TC of the service is being valued using the practice expense methodology for the “zero work pool.”

    For the PC of code Gxxx4, we propose 0.06 work RVUs, 0.02 practice expense RVUs, and 0.01 malpractice expense RVUs. For the TC of HCPCS code Gxxx4, with which there is no physician work associated, we propose 0.41 practice expense RVUs and 0.01 malpractice expense RVUs. Table 4 below summarizes all component RVUs associated with this and other mammography services.

    Table 4.—Proposed RVUs for Mammography Services

    CodeModifierWorkPractice expenseMalpracticeTotal
    760900.701.280.082.06
    76090260.700.240.030.97
    76090TC0.001.040.051.09
    760910.871.590.092.55
    76091260.870.300.031.20
    76091TC0.001.290.061.35
    760920.701.520.092.31
    76092260.700.250.030.98
    76092TC0.001.270.061.33
    Gxxx10.702.780.093.57
    Gxxx1260.700.280.031.01
    Gxxx1TC0.002.500.062.56
    Gxxx20.702.270.083.05
    Gxxx2260.700.280.031.01
    Gxxx2TC0.001.990.052.04
    Gxxx30.872.810.093.77
    Gxxx3260.870.340.031.24
    Gxxx3TC0.002.470.062.53
    Gxxx40.060.430.020.51
    Gxxx4260.060.020.010.09
    Gxxx4TC0.000.410.010.42

    B. Screening Pelvic Examinations

    Before the enactment of the BIPA, section 1861(nn)(2) of the Act authorized Medicare coverage for a screening pelvic examination (including a clinical breast examination) furnished to a woman for the purpose of early detection of cervical or vaginal cancer once every 3 years, or once every year for a woman who is at high risk for one of these conditions, or who is of childbearing age and meets certain other requirements.

    Section 101 of the BIPA amends section 1861(nn)(2) of the Act (effective July 1, 2001) to provide that a woman who does not qualify for annual coverage of a screening pelvic examination under one of the statutory exceptions, qualifies for coverage of a screening pelvic examination (including a clinical breast examination) once every 2 years rather than once every 3 years.

    We are conforming § 410.56 (Screening Pelvic Examinations) of the regulations to the new statutory provision that has been implemented through sections 4603, 3628.1 and 4731 of the Medicare Carrier Manual, the Medicare Intermediary Manual, and the Medicare Hospital Manual, respectively.

    C. Screening for Glaucoma

    Section 102 of BIPA provides for Medicare coverage under Part B for screening for glaucoma for individuals with diabetes, a family history of glaucoma, or others determined to be at “high risk” for glaucoma effective for services furnished on or after January 1, Start Printed Page 403872002. The statute provides for coverage of glaucoma screening, including (1) a dilated eye examination with an intraocular pressure measurement, and (2) a direct ophthalmoscopy or a slit-lamp biomicroscopic examination, subject to certain frequency and other limitations.

    Currently, Medicare coverage policy allows for payment for examinations to diagnose glaucoma and related medically necessary services that are furnished to beneficiaries. Under this policy, diagnostic glaucoma tests are covered if they are medically necessary to evaluate a specific complaint or symptom that might indicate glaucoma or to monitor an existing medical condition of an individual who has had a history of elevated intraocular pressure or other signs of possible glaucoma. This coverage is based on sections 1861(s)(1) and (s)(3) of the Act. Section 1861(s)(1) of the Act provides for general Medicare coverage of physicians' services, including a physician's interpretation of the results of tests performed. Section 1861(s)(3) of the Act provides for general Medicare coverage of diagnostic x-ray, clinical laboratory, and other diagnostic tests. Before the enactment of the BIPA, screening for glaucoma was excluded from coverage based on § 411.15 (Particular services excluded from coverage), paragraphs (a) and (k).

    To conform our regulations to the statutory requirements of the BIPA, we are specifying an exception to the list of examples of routine physical checkups excluded from coverage in §§ 411.15(a)(1) and 411.15(k)(9) for glaucoma screening examinations that meet the frequency limitation and the conditions for coverage that we are specifying under new § 410.23 (Screening for Glaucoma: Conditions for and Limitations on Coverage). Coverage of glaucoma screening is provided under Medicare Part B only. As provided in the statute, this new coverage allows payment for one glaucoma screening examination every year. We are proposing to add new § 410.23 (Screening for Glaucoma: Conditions for and Limitations on Coverage), to provide for coverage of the various types of glaucoma screening examinations specified in the statute. We are proposing several definitions of terms that would be included to implement the statutory provisions and to help the reader in understanding the provisions of the regulation. These include definitions of the following terms: (1) Screening for glaucoma, (2) eligible beneficiaries, and (3) direct supervision.

    Section 102(b) of the BIPA defines the term “screening for glaucoma” to mean a dilated eye examination with an intraocular pressure measurement and a direct ophthalmoscopy or a slit-lamp biomicroscopic examination for the early detection of glaucoma. This section also provides that the screening examinations that are to be covered under Medicare are to be furnished by or under the direct supervision of an optometrist or ophthalmologist who is legally authorized to furnish these services under State law (or the State regulatory mechanism provided by State law) of the State in which the services are furnished. These are services that would otherwise be covered if furnished by a physician or as incident to a physician's professional service.

    Section 102(a) of BIPA also provides that coverage of screening for glaucoma services will be available only for individuals determined to be at high risk for glaucoma, individuals with a family history of glaucoma and individuals with diabetes. Based on our review of the medical literature, and consultation with staff of the National Eye Institute and representatives of the American Academy of Ophthalmology and the American Optometric Association, we are proposing to interpret the statutory language, “individuals determined to be at high risk for glaucoma” to include Medicare beneficiaries who are African-Americans age 50 and over. While the National Eye Institute and others have provided us with information indicating that age and other factors may place a Medicare beneficiary at increased risk for glaucoma, we believe that the medical evidence available at this time is only sufficient to support inclusion of African-Americans age 50 and over in the statutory “high risk” category, in addition to individuals with diabetes and those with a family history of glaucoma who are covered separately under the new screening benefit. Studies have shown that the prevalence of glaucoma increases with age and is four to five times more likely to occur in African-Americans than in Caucasians. (Tielsch et al. JAMA 1991; Quigley. NEJM 1997) For African-Americans, the evidence indicates that the onset of the disease comes at an earlier age, and that the damage is more severe at the time of diagnosis. In view of the possibility that it may be appropriate to include other individuals in the statutory definition of those at “high risk” for glaucoma, however, we are requesting public comments on this issue. Specifically, we ask that anyone providing us with specific recommendations on this issue should provide documentation in support of them from the medical literature. In addition, we are proposing to use the term “eligible beneficiaries” to indicate who may qualify for the new screening glaucoma benefit, and we are proposing to define that term to include: (1) Individuals with diabetes mellitus, (2) individuals with a family history of glaucoma, and (3) African-Americans age 50 and over.

    Section 102(b) of the BIPA also provides that the glaucoma screening examination is to be furnished by or under the direct supervision of an ophthalmologist or optometrist who is legally authorized to furnish such services under State law or regulation in which the services are furnished. We are proposing to define the term “direct supervision” as that term is defined in § 410.32(b)(3)(ii) for purposes of the oversight of covered diagnostic laboratory services as they are performed in the office setting. Specifically, we are proposing that the term “direct supervision” be defined to mean that the ophthalmologist or optometrist must be present in the office suite and immediately available to furnish assistance and direction throughout the performance of the procedure. The proposed definition states that the term “direct supervision” does not mean the physician must be present in the room when the procedure is performed.

    Payment for Glaucoma Screening

    We believe that services provided as part of glaucoma screening will often overlap other services a physician provides during a patient encounter as part of basic ophthalmological services and will result in no additional work or practice expense. Therefore, we propose bundling payment for glaucoma screening when it is provided on the same day as an evaluation and management (E/M) service, or when it is provided as part of any ophthalmology service. When glaucoma screening is the only service provided, or when it is provided as part of an otherwise noncovered service (for example, CPT 99397, preventive services visit), we propose to establish the following HCPCS codes and payments:

    Gxxx5, Glaucoma Screening Furnished by a Physician for High Risk Patients

    For physician work and for malpractice, we propose crosswalking this new HCPCS code to a level II E/M code, CPT 99212, which we believe represents a comparable level of work. The proposed work and malpractice RVUs are 0.45 and 0.02, respectively.

    Start Printed Page 40388

    Gxxx6, Glaucoma Screening Furnished Under the Direct Supervision of a Physician for High Risk Patients

    For physician work and for malpractice, we propose crosswalking this new HCPCS code to the lowest level E/M code, CPT 99211, which we believe represents a comparable level of work. The proposed work and malpractice RVUs are 0.17 and 0.01, respectively.

    For non-facility settings, we propose the following practice expense inputs for both of the above HCPCS Codes:

    clinical staff time-certified ophthalmic medical technologist/certified ophthalmic technician/registered

    nurse: five minutes;

    equipment: screening lane; and

    supplies: ophthalmology visit supply package.

    D. Screening Colonoscopy

    Before the enactment of the BIPA, sections 1861(pp)(1)(C) and 1834(d)(3)(E) of the Act authorized Medicare coverage of screening colonoscopies once every 2 years for individuals at high risk for colorectal cancer. Individuals not at high risk for colorectal cancer did not qualify for coverage of screening colonoscopies under the colorectal cancer screening benefit, but they did qualify for coverage of other colorectal cancer screening examinations specified in the statute. These other examinations that were covered for individuals not at high risk for colorectal cancer included screening fecal-occult blood tests, screening flexible sigmoidoscopies, and screening barium enema examinations at certain frequency intervals specified in the statute and the regulations at § 410.37 (Colorectal cancer screening tests).

    Section 103 of the BIPA amended sections 1861(pp)(1)(C), 1834(d)(2)(E)(ii), and 1834(d)(3)(F) of the Act to add coverage of screening colonoscopies once every 10 years for individuals not at high risk for colorectal cancer. However, in the case of an individual who is not at high risk for colorectal cancer, but who has had a screening flexible sigmoidoscopy within the last 4 years, the statute provides that payment may be made for a screening colonoscopy only after at least 47 months have passed following the month in which the last screening flexible sigmoidoscopy was performed. In addition, the statute provides that in the case of an individual who is not at high risk for colorectal cancer but who does have a screening colonoscopy performed on or after July 1, 2001, payment may be made for a screening flexible sigmoidoscopy only after at least 119 months have passed following the month in which the last screening colonoscopy was performed.

    In view of the statutory changes, we are conforming §§ 410.37(e) and 410.37(g) (related to limitations on coverage of screening colonoscopies and screening flexible sigmoidoscopies) to make them consistent with the new provisions of the statute that have been implemented through manual provisions of the Medicare Carriers Manual, the Medicare Intermediary Manual Part III, and the Medicare Hospital Manual in transmittal numbers 6097, 1824, and 7069, respectively, in February 2001.

    Payment for Screening Colonoscopy

    Payment for screening colonoscopy will be made under HCPCS code G0121: colorectal screening; colonoscopy for an individual not meeting criteria for high risk. As with current code G0105, screening colonoscopy for an individual at high risk, payment will be made at the level for a diagnostic colonoscopy, CPT code 45378, because the work is the same whether a procedure is screening or diagnostic. As the statute requires for both individuals who are or are not at high risk, if, during the course of the screening colonoscopy, a lesion or growth is detected that results in a biopsy or removal of the growth, the appropriate diagnostic procedure classified as colonoscopy with biopsy or removal should be billed and paid rather than HCPCS code G0105 or G0121.

    E. Medical Nutrition Therapy

    1. Legislation

    Section 105 of the BIPA amended section 1861(s)(2) of the Act to authorize Medicare Part B coverage under Part B of medical nutrition therapy (MNT) for beneficiaries who have diabetes or renal disease, effective for services furnished on or after January 1, 2002. The legislation also:

    • Authorizes dietitians and nutritionists who meet certain qualifications to be reimbursed directly by Medicare.
    • Excludes from coverage beneficiaries who are receiving maintenance dialysis for which payment is made under section 1881 of the Act.
    • Requires coordination of medical nutrition therapy benefits with the existing benefit for diabetes outpatient self-management training services.
    • Defines a registered dietitian or other nutrition professional, and grandfathers dietitians or nutrition professionals who were licensed or certified in their States as of December 21, 2000, but would not otherwise meet the new requirements.
    • Specifies that Medicare payment for MNT services must equal 80 percent of the lesser of the actual charge for the services or 85 percent of the amount determined under the physician fee schedule for the same services if furnished by a physician.
    • Requires that we submit a report to the Congress by July 1, 2003, that contains recommendations with respect to expansion of the MNT benefit for other medical conditions.

    This new benefit, while related, differs from the diabetes outpatient self-management training (DSMT) benefit, which was established by the BBA in section 1861(s)(2)(S) of the Act and described at section 1861(qq). The DSMT benefit is a comprehensive diabetes training program, of which nutrition training is only one component. Most of the available research (Diabetes Control and Complication Trial Research Group, 1993; UK Prospective Diabetes Study Group, 1995; and UK Prospective Diabetes Study Group, 1998) supports the use of a multi-disciplinary approach to diabetes, which includes nutrition training. As a result, nutrition training is considered to be an essential element of the DSMT benefit. Section 1861(qq) of the Act mandates the use of quality standards for DSMT and allows certified individuals or entities designated by the Secretary that meet such standards to receive Medicare payment for the service, provided that the physician managing the patient certified that DSMT is needed.

    The approach in the BIPA with regard to MNT is different. The statute mandates specific qualifications regarding who may provide MNT services, but does not require that we establish quality standards. We are also instructed by the Congress to establish criteria for recognition of individuals in States that do not have licensure or certification requirements for registered dietitians or nutrition professionals.

    We set specific duration and frequency limits for DSMT, consistent with the statutory authority granted by the BBA. In accordance with our regulations in § 410.141(c), all beneficiaries receiving the DSMT benefit may have up to 10 hours of initial training within a continuous 12-month period. For most beneficiaries, 9 of these 10 hours of training must be in a group setting. One hour of training may be on an individual basis for purposes of conducting an individual assessment and providing specialized training. Once a beneficiary has completed the 10 hours of initial Start Printed Page 40389training, the benefit provides for up to 2 hours of follow-up training each subsequent year. As with the DSMT benefit the duration and frequency of the MNT benefit was not prescribed by the Congress. However, since the Congress has indicated that beneficiaries who have received DSMT within a designated time period (to be specified by the Secretary) are not eligible for MNT, the two benefits must be coordinated.

    2. Proposed Policy

    Consistent with section 105(a)(3) of the BIPA, we considered the protocols of the American Dietetic Association and the National Kidney Foundation regarding nutrition training for both diabetes and renal disease. Because the protocols were inconclusive with respect to the duration and frequency issues, we are proposing to determine the duration and frequency of the benefit through the National Coverage Determination (NCD) process rather than through the rulemaking process. We will solicit the opinions of all interested parties as a part of the NCD process.

    We propose to set forth the provisions regarding medical nutrition therapy at Part 410, subpart G and at § 414.64. The MNT provisions of the proposed rule are as follows:

    Definitions (§ 410.130). We propose to define “renal disease” for the purpose of this benefit as only chronic renal insufficiency and post-transplant care provided after discharge from the hospital. The exclusion of patients receiving maintenance dialysis under section 1881 of the Act is consistent with section 1861(s)(2) of the Act, as amended by section 105(a)(3) of the BIPA. We propose to limit post-transplant care to care furnished within 6 months after discharge from the hospital, if the transplant is viable and effective, because under such conditions we believe the beneficiary would no longer have renal disease and would not be eligible to receive the benefit under the statutory provision. We propose a 6-month time period based on expert opinions. We specifically request comments on this proposed time period and request that commenters submit articles from clinical journals to support their comments. We do not make separate payments for MNT while the beneficiary is an inpatient in the hospital because the statute only authorizes payment for this service under Part B. We are proposing definitions of “diabetes” and “chronic renal insufficiency” for the purpose of this benefit using definitions from the Institute of Medicine report, “The Role of Nutrition in Maintaining Health in the Nation's Elderly,” published in 2000.

    We propose to define “episode of care” as a time period that may not exceed 12 months, starting with the assessment (based on a referral from a physician), and including all covered interventions. The number of episodes of care covered during the lifetime of an individual beneficiary is unlimited. We chose a 12-month period to allow for the coordination of the MNT and DSMT benefits, as authorized by section 105(a)(3) of the BIPA.

    Finally, in accordance with the statute, we define MNT services as nutritional diagnostic, therapy, and counseling services provided by a registered dietitian or nutrition professional for the purpose of managing disease. This definition tracks the language of the statute.

    Medical Nutrition Therapy (§ 410.132).

    At proposed § 410.132(a), we set forth conditions for coverage of MNT services. Specifically, we provide that Medicare Part B pays for MNT services furnished by a registered dietitian or nutrition professional as defined in § 410.134 when the beneficiary is referred for the service by the beneficiary's treating physician. We limit the definition of physician to “treating physician” to ensure that the physician establishing the need for MNT is actually treating the beneficiary for the chronic disease and the therapy is coordinated with the care being provided by the treating physician. Referrals by a non-treating physician might also be interpreted as an indication that a fraudulent situation exists.

    We are proposing that the services covered will consist of nutritional assessment, interventions, reassessment, and follow-up interventions. We chose not to define the specific components of the benefit in more detail because we anticipate that registered dietitians and nutritionists will use nationally recognized protocols, such as those developed by the American Dietetic Association (ADA) as they normally would in their business practice. We also chose not to specify the number of hours of MNT that will be covered. Rather, we will develop these frequency limits using the NCD process. After we complete a literature review, we will solicit input from interested parties as part of the NCD process.

    At § 410.132(b), we set forth proposed coverage limitations for MNT services. In accordance with section 1861(s)(2)(V)(ii) of the Act, we would provide that MNT services are not covered for beneficiaries on dialysis for end-stage renal disease. We do not exclude all beneficiaries who are diagnosed with end-stage renal disease because a few individuals with end-stage renal disease do not receive maintenance dialysis and the statute specifically excludes beneficiaries receiving maintenance dialysis under section 1881 of the Act. The other provisions of this section would coordinate the referrals for MNT for diabetes and renal disease, and coordinate MNT services with DSMT services as follows:

    • If a beneficiary has both diabetes and a renal disease as defined in this subpart, the beneficiary may receive both MNT and DSMT, but coverage in any 12-month period would be limited to the number of hours the beneficiary would receive under either the MNT benefit or the DSMT benefit for that period, whichever is greater.
    • MNT would only be covered if the beneficiary had not started initial training under the diabetes self-management training benefit (as described in § 410.141) within the past 12 months, unless: (1) the need for a reassessment had been documented by the referring physician; or (2) the beneficiary had been diagnosed with both diabetes and renal disease.
    • If a beneficiary diagnosed with diabetes was referred for both follow-up DSMT services and MNT, the beneficiary would only receive the total amount of hours covered under either follow-up DSMT services or MNT, whichever was greater.

    If DSMT and MNT benefits overlapped, we would not allow the number of hours covered under the MNT benefit to exceed the hours Medicare would cover if the beneficiary was only receiving DSMT, except if a beneficiary receiving initial DSMT subsequently was diagnosed with renal disease or if there was a change in diagnosis or medical condition that occurred during an episode of care. We would allow additional hours of coverage for patients with renal disease and diabetes because MNT for renal disease is more complex than MNT for diabetes alone.

    Eligibility for MNT services would be dependent upon diagnoses and referrals made by the treating physician. At proposed § 410.132(c), we provide that referral may only be made by the treating physician when the beneficiary has been diagnosed with diabetes or renal disease, with documentation maintained by the referring physician in the beneficiary's medical record. Referrals must be made for each episode of care. We note that the statute Start Printed Page 40390specifies that a physician, as defined in section 1861(r)(1) of the Act, must refer the beneficiary in order for the therapy to be covered. We are proposing to limit referrals to those made by the treating physician as noted earlier.

    At proposed § 410.132(d), we set forth requirements regarding reassessment and follow-up interventions. Specifically, we provide that reassessments and follow-up interventions would only be covered when the referring physician determines that there was a change of diagnosis or medical condition within an episode of care that made a change in diet necessary.

    Provider Qualifications (§ 410.134). BIPA specifies how we must define “registered dietitian or nutrition professional” for the purposes of this benefit and allows for the grandfathering of nutrition professionals licensed or certified by States at the time of BIPA's enactment. Pursuant to BIPA, a registered dietitian or nutrition professional means an individual who meets the following criteria:

    • Holds a bachelor's or higher degree granted by a regionally accredited ollege or university in the United States (or an equivalent foreign degree) with completion of the academic requirements of a program in nutrition or dietetics, as accredited by an appropriate national accreditation organization we have recognized for this purpose.
    • Has completed at least 900 hours of supervised dietetics practice under the supervision of a registered dietitian or nutrition professional.
    • Is licensed or certified as a dietitian or nutrition professional by the State in which the services are performed, or, if a State does not provide for licensure or certification, meets other criteria established by the Secretary.

    We propose to exercise our statutory discretion, with respect to such alternative criteria, by providing that in States that do not provide licensure or certification requirements, we would use the designation of “registered dietitian” as certified by the Commission on Dietetic Registration, the credentialing agency for the American Dietetic Association; or require compliance with the statutory educational and experience requirements alone. The Commission on Dietetic Registration is currently considered to be the recognized standard in certification programs for registered dietitians. If an individual can supply documentation to us that he/she is a “registered dietitian,” we would not require that individual to also supply documentation that he/she meets the minimum statutory educational and experience requirements, because these latter requirements are also requirements an individual must currently meet to become a “registered dietitian.” Likewise, if an individual supplies documentation to us that he/she meets the minimum statutory educational and experience requirements, that individual would not need to supply documentation to us that he/she is a “registered dietitian.”

    The statute also requires that an individual who, as of December 21, 2000 (BIPA's date of enactment), is licensed or certified under the law of the State in which the services are performed as a dietitian or nutrition professional, qualifies as a “registered dietitian or nutrition professional” even if he or she does not meet the other education and experience requirements. There is no provision in the law to allow grandfathering of dietitian or nutrition professionals in States with no licensure or certification requirements, or of individuals who did not choose to be licensed or credentialed as of the date of enactment of section 1861(vv)(3) of the Act. Therefore, we only provide for “grandfathering” of individuals who do meet the specific criteria of section 1861(vv)(3) of the Act.

    Payment for Medical Nutrition Therapy (§ 414.64). Section 105(c) of the BIPA requires that we pay for medical nutrition therapy services at 80 percent of the lesser of the actual charge for the services or 85 percent of the amount determined under the physician fee schedule for the same services if such services had been furnished by a physician. Section 1848 of the Act requires that payments under the physician fee schedule be established on national uniform RVUs based on the resources used in furnishing a service. We have consulted with the ADA to assess the types of resource inputs that are used to furnish a 15-minute medical nutrition therapy session by a Registered Dietitian or Professional Nutritionist.

    As stated above, these services would be paid under the physician fee schedule. Malpractice RVUs for medical nutrition therapy services have been extrapolated based on analogous service procedures. The statute specifically provides that medical nutrition therapy services may only be provided by registered dietitians or nutrition professionals. We do not believe that physicians will be able to satisfy the qualification requirements and therefore will not be able to provide this service themselves. Therefore, we are not establishing physician work RVUs for this service. We interpret section 105(c)(2) of BIPA to mean that if a physician were to furnish this service, that the service was performed “incident to” the physicians treatment plan and provided by a registered dietitian or nutrition professional. Since we are not proposing work RVUs for medical nutrition therapy, we propose to determine practice expense RVUs using the practice expense methodology for the “zero work pool.” (For more information about the practice expense methodology for services that have no physician work, see the November 2, 1998 final rule (63 FR 58814)). The proposed RVUs for individuals and individuals in a group are found in Table 5 as follows:

    Table 5.—RVUs for Individuals and Individuals in a Group

    CodeDescriptionWork RVUsPractice expense RVUsMalpractice RVUsTotal
    97802Medical nutrition, individual, initial0.000.470.010.48
    97803Medical nutrition, individual, subseq0.000.340.010.35
    97804Medical nutrition, group0.000.140.010.15

    Much like diabetes education, the number of MNT beneficiaries attending a group session would vary. As defined in the CPT's Physical Medicine Rehabilitation codes, a group is considered to be two or more individuals.

    We would refine the medical nutritional therapy services payment amounts in the future by including the services into the refinement process Start Printed Page 40391used for other Medicare services payable under the physician fee schedule.

    Medicare co-payments and deductibles would apply for medical nutritional therapy services. We are proposing to pay for this service under the physician fee schedule using the following codes:

    CPT 97802—Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes.

    CPT 97803—reassessments and intervention, individual, face-to-face with the patient, each 15 minutes.

    CPT 97804—Group, 2 or more individuals, each 30 minutes.

    Since payment for MNT will be included in our payment for facility services, separate payment will not be made for hospital inpatients or skilled nursing facility patients. Section 105(c) of BIPA amends section 1833(a)(1) to add subparagraph (T), requiring Medicare payment to equal 80 percent of the of the lesser of the actual charge for the service or 85 percent of the amount determined under the physician fee schedule. Thus, we will make payment in the hospital outpatient department, Federally Qualified Health Centers and Rural Health Clinics at the lesser of 80 percent of the actual charge or 85 percent of the physician fee schedule amount. The RVUs shown above do not reflect this 85 percent adjustment. To determine payment, the RVUs shown above will need to be multiplied by the physician fee schedule conversion factor and 0.85. We expect to provide the Medicare carriers with a payment file that includes this 85 percent adjustment. That is, we expect to determine the payment amount using the RVUs shown and apply the 85 percent adjustment to the product of the geographically adjusted RVUs and conversion factor. The Medicare carriers will not need to make any additional adjustment to the payments we provide.

    F. Telehealth Services

    1. Background

    a. History. Before January 1, 1999, payment for services delivered via a telecommunications system was limited to services that do not require a face-to-face, “hands-on” encounter under the traditional delivery of medical care. Examples of these services include interpretation of an x-ray, electrocardiogram and electroencephalogram tracings, and cardiac pacemaker analysis.

    The BBA provided for coverage of and payment for consultation services delivered via a telecommunications system to Medicare beneficiaries residing in rural health professional shortage areas (HPSA) as defined by section 332(a)(1)(A) of the Public Health Services Act. Additionally, a Medicare practitioner was required to be with the patient at the time of a teleconsultation.

    The BBA specified that payment for a teleconsultation had to be shared between the consulting physician or practitioner and the referring physician or practitioner and could not exceed the fee schedule payment which would have been made to the consultant for the service provided. The BBA prohibited payment for any line charges or facility fees associated with the teleconsultation and clarified that the beneficiary may not be billed for these charges or fees.

    These provisions became effective January 1, 1999. The November 2, 1998 final rule on “Revisions to Payment Policies Under the Physicians Fee Schedule for Calendar Year 1999” (63 FR 58879) implemented these provisions.

    b. Legislative Summary. In section 223 of the BIPA, the Congress provided for a “Revision of Medicare Reimbursement for Telehealth Services” and specified a “sunset” date for the current statutory teleconsultation provisions. The current teleconsultation provisions contained in section 4206(a) and (b) of the BBA and implemented in §§ 410.78 and 414.65 apply only to teleconsultations provided on or after January 1, 1999 and before October 1, 2001.

    Beginning October 1, 2001, the BIPA amends section 1834 of the Act to provide for a new subsection (m) “Payment for Telehealth Services.” This amendment provides for an expansion of Medicare payment for telehealth services. A summary of the expansion appears below.

    The BIPA specifies that we pay for telehealth services that are furnished via a telecommunications system by a physician (as defined in section 1861(r) of the Act) or a practitioner (described in section 1842(b)(18)(C) of the Act). Telehealth services may be provided only to an eligible telehealth individual enrolled under Medicare, notwithstanding the fact that the individual physician or practitioner providing the telehealth service is not at the same location as the beneficiary.

    The BIPA defines Medicare telehealth services as professional consultations, office or other outpatient 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 as we may subsequently modify) and any additional service we specify.

    The statute requires us to establish a process that provides, on an annual basis, for the addition or deletion of services (and HCPCS codes) as appropriate, to the services specified above, for authorized payment under Medicare.

    Section 1834(m)(4)(B) of the Act, as added by the BIPA, specifies that an eligible telehealth individual means an individual enrolled under Part B who receives a telehealth service furnished at an originating site. Originating sites are defined only as specified medical facilities located in specific geographic areas. Section 1834(m)(4)(C) of the Act, as added by the BIPA, limits originating sites to the following types of facilities:

    • The office of a physician or practitioner.
    • A critical access hospital (as defined in section 1861(mm)(1) of the Act).
    • A rural health clinic (as defined in section 1861(aa)(s) of the Act).
    • A Federally qualified health center (as defined in section 1861(aa)(4) of the Act).
    • A hospital (as defined in section 1861(e) of the Act).

    The BIPA specifies that the originating site must be located in one of the following geographic areas:

    • In an area that is designated as a rural health professional shortage area under section 332(a)(1)(A) of the Public Health Service Act.
    • In a county that is not included in a Metropolitan Statistical Area.
    • From an entity that participates in a Federal telemedicine demonstration project that has been approved by (or receives funding from) the Secretary of Health and Human Services as of December 31, 2000.

    The BIPA relaxes some of the conditions for payment imposed by the BBA. Section 1834(m)(2)(C) of the Act, as added by the BIPA, specifies that a telepresenter is not required and specifically states that nothing in section 1834(m)(2)(C) of the Act shall be construed as requiring an eligible telehealth beneficiary to be presented by a physician or practitioner at the originating site for the furnishing of a service via a telecommunications system, unless it is medically necessary (as determined by the physician or practitioner at the distant site).

    Additionally, section 1834(m)(1) of the Act, as added by the BIPA, specifies that, for purposes of defining a telecommunications system, in the case of any Federal telemedicine demonstration program conducted in Alaska or Hawaii, the term “telecommunications system” includes store and forward technologies that Start Printed Page 40392provide for the asynchronous transmission of health care information in single or multimedia formats.

    Section 1834(m)(2) of the Act, as added by the BIPA, states that we pay a physician or practitioner located at a distant site that furnishes a telehealth service to an eligible telehealth beneficiary an amount equal to the amount that the physician or practitioner would have been paid under Medicare had the service been furnished without the use of a telecommunications system.

    This section also provides for a facility fee payment to the originating site. It specifies that for the period beginning October 1, 2001 through December 31, 2002, the originating site facility fee is equal to $20. For each subsequent year, the facility fee for the preceding year is increased by the percentage increase in the MEI as defined in section 1842(i)(3) of the Act.

    The BIPA amended section 1833(a)(1) of the Act by adding subparagraph (U), specifying that with respect to the originating site facility fees, the amount paid is 80 percent of the lesser of the actual charge or the amounts specified in new section 1834(m)(2) of the Act.

    Section 1834(m)(3) of the Act requires that the provisions of sections 1848(g) and 1842(b)(18)(A) and (B) of the Act apply to physicians and practitioners. The provisions of section 1842(b)(18) of the Act apply to originating sites receiving a facility payment as the provisions apply to practitioners under section 1834(m) of the Act.

    Section 1848(g) of the Act provides a limitation of charges to beneficiaries and provides sanctions if a physician, supplier, or other person knowingly and willfully bills or collects for services in violation of the limitation. It also provides for sanctions if a physician, supplier, or other person fails—(1) to timely correct excess charges by reducing the actual charge billed for the service to an amount that does not exceed the limiting charge for the service, or (2) to timely refund excess collections. In addition, it requires that physicians and suppliers submit claims for services they furnished to a beneficiary to a carrier on behalf of the beneficiary using a standard Medicare claim form. The statute imposes a penalty for failure to submit the claim. In addition, section 1848(g) of the Act prohibits imposing any charge relating to completing and submitting the claim. Section 1842(b)(18) of the Act provides that services furnished by a physician assistant, nurse practitioner, clinical nurse specialist, certified registered nurse anesthetist, anesthesiologist's assistant, certified nurse-midwife, clinical social worker, or clinical psychologist for which payment may be made on a reasonable charge or fee schedule basis may be made only on an assignment-related basis. It also limits the beneficiary's liability to any applicable deductible and coinsurance amounts. It further provides for sanctions against a practitioner who knowingly and willfully bills (or collects an amount) in violation of the limitation.

    c. Implementation. Section 223 of the BIPA limits the application of the existing telehealth provision to services furnished before October 1, 2001 and mandates that the expanded benefit be effective for services furnished on or after October 1, 2001. Therefore, this benefit expansion is being implemented via program memorandum. The program memorandum is effective October 1, 2001 when the telehealth benefit supercedes the teleconsultation benefit authorized by section 4206 of the BBA and existing regulations at § 410.78 and § 414.65. Any regulatory changes resulting from this rulemaking process will be effective January 1, 2002.

    d. Proposed Policies. This rule proposes to establish policies for implementing the provisions of section 1834(m) of the Act, as added by the BIPA, that change Medicare payment for telehealth services.

    (i) Scope of telehealth benefit. Section 1834(m)(4)(B) of the Act, as added by the BIPA, defines an eligible telehealth individual as a Medicare beneficiary who receives a telehealth service furnished at an originating site. As discussed earlier, originating sites are limited to certain facilities within specifically identified geographic areas.

    We would revise § 410.78 to specify that Medicare beneficiaries are eligible for telehealth services only if they receive services from an originating site located in either a rural HPSA as defined by section 332(a)(1)(A) of the Public Health Services Act or in a county outside of a MSA as defined by section 1886(d)(2)(D) of the Act. Additionally, we would provide for an exception if an entity participates in a Federal telemedicine demonstration project that has been approved by, or receives funding from, us as of December 31, 2000. That entity would not be required to be in a rural HPSA or non-MSA as described above.

    We would also specify that, providing the geographic criteria are met, the following sites qualify as originating sites under this provision:

    • The office of a physician or practitioner.
    • A hospital as defined in section 1861(e) of the Act.
    • A critical access hospital as defined in section 1861(mm)(1).
    • A rural health clinic as defined in section 1861(aa)(2) of the Act.
    • A Federally qualified health center as defined in section 1861(aa)(4) of the Act.

    Covered Services. Section 1834(m)(4)(F) of the Act, as added by the BIPA, defines telehealth services as professional consultations, office and other outpatient visits, individual psychotherapy, pharmacologic management and any additional service we specify. Additionally, this provision identifies covered services by HCPCS codes identified as of July 1, 2000. We propose to revise § 410.78 to implement this coverage expansion. The services and corresponding CPT codes are listed below:

    • Consultations (codes 99241 through 99275).
    • Office and other outpatient visits (codes 99201 through 99215).
    • Individual Psychotherapy (codes 90804 through 90809).
    • Pharmacologic management (code 90862).

    The BIPA provision is effective for services beginning on October 1, 2001. Payment for the statutorily specified codes, as listed above, will be implemented beginning with that date. We propose to make any additions or deletions to the services defined as telehealth effective on a January 1st basis. We plan to use the annual physician fee schedule proposed rule published in the summer and the final rule (published by November 1) each year as the vehicle to make these changes. Since the statutory provision will be implemented on October 1, 2001, and there is limited published data on telehealth in clinical settings, we will not make any recommendations on additional services until we have had time to ensure we have a process for redefining covered services in place.

    We are soliciting suggestions and comments from the public regarding the guidelines that we should use to make additions or deletions of services. We also solicit suggestions and comments about specific services that may be appropriate to be covered under the Medicare telehealth benefit. Once we complete our review of these suggestions and comments, we will propose a more detailed approach as to how we would make modifications to the existing telehealth benefit.

    (ii) Conditions of Payment: Technology. The Congress defines the term “telecommunications system” with respect to demonstration projects conducted in Alaska or Hawaii; however, the BIPA does not define a Start Printed Page 40393telecommunications system in any other case. In a non-telehealth setting, Medicare pays for these codes only if there is a face-to-face encounter between the patient and attending physician or practitioner. We believe that the patient's presence and use of an interactive audio and video telecommunications system permitting the distant site practitioner to interact with the patient provides a reasonable substitute for a face-to-face encounter.

    Limited exception to the interactive telecommunications requirement. For purposes of defining a telecommunications system, section 1834(m)(1) of the Act includes the use of store and forward technology in very limited circumstances. This provision specifies that, in the case of a Federal telemedicine demonstration program conducted in Alaska or Hawaii, Medicare payment is permitted when asynchronous, store and forward technologies, in single or multimedia formats is used to deliver the service.

    Store and forward technology substitutes for an interactive, patient-present encounter in these limited circumstances. The patient is not present or available to interact with the distant site physician or practitioner in real-time.

    We believe that when store and forward technologies are used to substitute for an interactive patient encounter, the technology must permit the distant site practitioner adequate medical information for recommending or confirming a diagnosis or treatment plan. A patient's medical information may typically include various combinations of the following items—video clips, still images, x-rays, magnetic resonance images, electrocardiogram and electroencephalogram tracings, tissue samples, laboratory results, and audio clips of heart or lungs.

    We propose to specify at § 410.78 that, except for the statutory provision noted above, an interactive telecommunications system must be used and that the medical examination of the patient is at the control of the physician or practitioner at the distant site. We would define interactive telecommunications system as multimedia communications equipment that includes, at a minimum, audio and video equipment permitting two-way, real-time interactive communication between the patient and physician or practitioner at the distant site. We would also specify that telephones, facsimile machines, and electronic mail systems do not meet the definition of an interactive telecommunications system.

    Additionally, we would provide an exception to the interactive requirements where the patient must be present for a Federal telemedicine demonstration program conducted in Alaska or Hawaii. We would specify that for Federal telemedicine demonstration programs conducted in Alaska or Hawaii, Medicare payment is permitted for telehealth when asynchronous store and forward technologies, in single or multimedia formats, are used as a substitute for an interactive telecommunications system. Additionally, we would specify that the physician or practitioner at the distant site must be affiliated with the demonstration program.

    This exception would be permitted for Federal telemedicine demonstration projects conducted in Alaska or Hawaii only. Interactive telecommunications system with the real-time presence of the patient is required as a condition of payment in all other circumstances.

    We would define asynchronous, store and forward technologies, as the transmission of the patient's medical information from an originating site to the physician or practitioner at the distant site. The physician or practitioner at the distant site can review the medical case without the patient being present. Asynchronous telecommunications system in single media format does not include telephone calls, images transmitted via facsimile machines, and text messages without visualization of the patient (electronic mail). Photographs must be specific to the patient's medical condition and adequate for rendering or confirming a diagnosis or treatment plan. Dermatological photographs, for example, a photograph of a skin lesion may be considered to meet the requirement of a single media format under this provision.

    Additionally, we would define the originating site as the location of an eligible Medicare beneficiary at the time the service being furnished via a telecommunications system occurs. For asynchronous, store and forward telecommunications technologies, an originating site is a Federal telemedicine demonstration program conducted in Alaska or Hawaii.

    Telepresenter. As mentioned earlier, the BIPA changed the telepresenter requirements. In accordance with section 1834(m)(2)(C) of the Act, a telepresenter is not required to be present. Therefore, we would not require a telepresenter as a condition of Medicare payment.

    Practitioners eligible to receive payment for Medicare Telehealth Services. Section 1834(m)(1) of the Act requires that Medicare make payments for telehealth services furnished via a telecommunications system by a physician or a practitioner (described in section 1842(b)(18)(C) of the Act). Non-physician practitioners described in this section of the Act include nurse practitioners, physician assistants, clinical nurse specialists, certified nurse midwives, clinical psychologists, clinical social workers, and certified registered nurse anesthetists or anesthesiologists' assistants. Section 1834(m)(2) of the Act specifies that the payment amount to the physician or practitioner at the distant site who furnishes a telehealth service be equal to the amount that the physician or practitioner would have been paid under Medicare had the service been furnished without the use of a telecommunications system.

    As discussed earlier in this document, covered telehealth services include office visits (codes 99201 through 99215), consultation (codes 99241 through 99275), individual psychotherapy (codes 90804 through 90809), and pharmacologic management (code 90862). If a physician, clinical nurse specialist, nurse practitioner, physician assistant, nurse midwife, clinical psychologist, or clinical social worker is licensed under State law to provide a service listed above, then these practitioners may bill for and receive payment for this service when delivered via a telecommunications system.

    Clinical psychologists and clinical social workers cannot bill or receive payment for psychotherapy involving evaluation and management services under Medicare when the service is delivered face-to-face (that is, without the use of a telecommunications system). Therefore, clinical psychologists and clinical social workers cannot receive payment for these services under the telehealth benefit.

    Certified registered nurse anesthetists and anesthesiologists' assistants are not eligible. Certified registered nurse anesthetists and anesthesiologists' assistants would not be permitted to bill for and receive payment for a telehealth service under this provision. Section 1861(bb) of the Act defines services provided by these practitioners as anesthesia services and related care only. Under the Medicare program, these practitioners do not receive payment for office visits, consultation, individual psychotherapy, or pharmacologic management when these services are furnished without the use of a telecommunications system. Section 1834(m)(2) of the Act specifies that the Start Printed Page 40394payment amount made to the distant site physician or practitioner must be equal to what would have been paid for the service without the use of a telecommunications system. Therefore, certified registered nurse anesthetists and anesthesiologists' assistants would not receive payment for telehealth services.

    Proposed regulatory provisions. Based on the law, we would state at § 410.78 that, as a condition of Part B payment for telehealth services, the physician or practitioner at the distant site must be licensed to provide the service under State law. When the physician or practitioner at the distant site is licensed under State law to provide a covered telehealth service (that is, professional consultations, office and other outpatient visits, individual psychotherapy, and pharmacologic management), then he or she may bill for and receive payment for this service when delivered via a telecommunications system.

    We would specify that the physician or practitioner at the distant site may be any of the following (provided that the physician or practitioner is licensed to bill for the service being furnished via a telecommunications system):

    • A physician as described in § 410.20.
    • A physician assistant as defined in § 410.74.
    • A nurse practitioner as defined in § 410.75.
    • A clinical nurse specialist as described in § 410.76.
    • A nurse midwife as defined in § 410.77.
    • A clinical psychologist as described in § 410.71.
    • A clinical social worker as defined in § 410.73.

    However, we would further specify that a clinical psychologist and clinical social worker may bill for individual psychotherapy furnished via a telecommunications system, but may not seek payment for medical evaluation and management services.

    Documentation. Documentation requirements as specified in our most recent documentation guidelines are applicable to services delivered via a telecommunications system. At this time, we will not require additional documentation under this provision beyond what is already required for medical services delivered without the use of a telecommunications system. Medicare documentation guidelines are available from our web site. You may access our documentation guidelines by using the following directions:

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

    2. Click on “Medicare” (Top left hand column).

    3. Click on “Professional/Technical Information”

    4. Click on “Documentation Guidelines for Evaluation and Management Services:”

    5. You may choose the 1995 version or the 1997 version whichever best fits your needs.

    (iii) Payment provisions. Professional Services: General—Section 1834(m)(2)(A) of the Act, specifies that the payment amount for the professional service is equal to the amount that would have been paid without the use of a telecommunications system. Medicare payment for physicians' services is generally based, under section 1848 of the Act, on the resource-based physician fee schedule. Payment to other health care practitioners listed earlier, authorized under section 1833 of the Act, is based on a percentage of the physician fee schedule payment amount. Therefore, we would pay for office or other outpatient visits, consultation, individual psychotherapy, and pharmacologic management services furnished by physicians at 80 percent of the lower of the actual charge or the fee schedule amount for physicians' services. We would also pay for services furnished by other practitioners at 80 percent of the lower of the actual charge or that practitioner's respective percentage of the physician fee schedule (for example, the fee schedule amount for clinical psychologists would be 100 percent of the physician fee schedule; for clinical social workers, the payment would be made at 75 percent of the clinical psychologist fee schedule; for certified nurse midwives, the payment would be made at 65 percent of the physicians fee schedule; and for all other eligible health care practitioners, payment would be made at 85 percent of the physician fee schedule). Assuming the beneficiary has met his or her Part B deductible, the beneficiary would be responsible for 20 percent of the appropriate payment amount.

    Payment for Telepresenter. Section 1834(m)(2) of the Act, provides for a professional fee for the physician or practitioner at the distant site (equal to the applicable Part B fee schedule amount) and a $20 facility fee for the originating site. Telepresenters are not required, unless one is deemed medically necessary by the physician or practitioner at the distant site. BIPA does not address the issue of payment for the telepresenter. The Office of the Inspector General has advised us that permitting the physician or practitioner at the distant site to pay the telepresenter creates a significant risk under the anti-kickback statute and may also violate many State fee-splitting laws. Therefore, we would propose in § 414.65 that payments made to the distant site physician or practitioner for professional fees, including deductible and coinsurance (for the professional service), are not to be shared with the referring practitioner or telepresenter.

    However, the telepresenter could bill and receive payment for services that are not telehealth services that a telepresenter would otherwise be allowed to provide under the Medicare statute, including services furnished on the same day as the telehealth service.

    Facility Fee for the Originating Site. The BBA prohibited any payment for line charges or facility fees associated with a professional consultation via a telecommunications system. Section 1834(m)(2)(B) of the Act, as added by the BIPA, provides for a facility fee payment to the originating site, specifying that the amount of payment is 80 percent of the lesser of the actual charge or a facility fee of $20.00. The BIPA further specifies that, beginning January 1, 2003, the originating facility fee be increased annually by the Medicare Economic Index (MEI) as defined in section 1842(i)(3) of the Act. Additionally, we clarify that the Geographic Practice Cost Index (GPCI) would not apply to the facility fee for the originating site. This fee is statutorily set and is not subject to the geographic payment adjustments authorized under the physician's fee schedule. The beneficiary is responsible for any unmet deductible amount and Medicare coinsurance. We would revise § 414.65 to provide for payment of a facility fee to the originating site.

    Coding. For office and other outpatient visits, consultation, individual psychotherapy, and pharmacologic management delivered via a telecommunications system, we would use modifiers in conjunction with existing CPT codes to indicate the use of a telecommunications system in delivering the service.

    A new HCPCS code for the facility fee for the originating site will be used to identify this fee. Since this is a new occasion of payment under Medicare, a separate and distinct code for the facility fee is necessary for contractors to make the appropriate payment.

    G. Indian Health Service

    The Indian health care system provides primary health care to many American Indian and Alaska Native Medicare beneficiaries. This system consists of programs operated by a Start Printed Page 40395Federal agency, the Indian Health Service (IHS), and Federally funded programs operated by Indian tribes, tribal organizations, and urban Indian organizations (as those terms are defined in section 4 of the Indian Health Care Improvement Act). These programs deliver a range of clinical and preventive health services to their beneficiaries through a network of facilities including hospitals and outpatient clinics. Programs operated in IHS-owned or leased facilities, by IHS or by tribes or tribal organizations, are considered “Federal providers” by Medicare. Sections 1814(c) and 1835(d) of the Act generally prohibit payment to Federal providers, subject to exceptions contained in section 1880 of the Act for these IHS facilities. Prior to enactment of the BIPA, the exception in section 1880 of the Act was applicable only to IHS hospitals including provider-based clinics (IHS hospital outpatient clinics) and skilled nursing facilities. The exception did not permit Medicare to pay for services furnished by IHS free-standing outpatient clinics or to pay any IHS facilities for services by physicians and other practitioners paid under a fee schedule.

    Effective July 1, 2001, section 432 of the BIPA extends the exception in section 1880 of the Act to permit Medicare payments to hospitals and outpatient clinics (provider-based or free-standing), operated by the IHS or by a tribe or tribal organization, for services furnished by physicians and specified non-physician practitioners in or at the direction of an IHS hospital or outpatient clinic. Payments for these services are made to the IHS or tribal hospital or outpatient clinic, not to the physician or other practitioner. These payments are subject to the same situations, terms, and conditions as would apply if the services were furnished in or at the direction of a hospital or outpatient clinic that is not operated by the IHS or by a tribe or tribal organization. The payments include incentive payments for physicians furnishing covered physicians' services in rural or urban HPSAs if the usual HPSA criteria are met. (For further information see section 1833 of the Act and § 414.42 of our regulations.) Payments will not be made under these provisions to the extent that Medicare is otherwise paying for the same services under other provisions (for example, as part of a bundled payment, or if a tribal hospital outpatient clinic continues to bill as a Federally qualified health center (FQHC)).

    We are adding a new § 410.46 to our regulations to reflect this new statutory provision. Due to the statutory effective date of July 1, 2001, we will implement this BIPA provision through program memorandum instructions.

    H. Pathology Services

    Background

    The November 2, 1999 final rule (64 FR 59380) provided that, for services furnished on or after January, 1, 2001, carriers would no longer pay claims to independent laboratories under the physician fee schedule for the technical component (TC) of physician pathology services for hospital inpatients. Before this rule, independent laboratories could bill the carrier under the physician fee schedule for the TC of a physician pathology service furnished to a hospital inpatient. Under the rule, independent labs would still have been able to bill and receive payment for TC physician pathology services furnished to patients who are not hospital inpatients. (The TC of physicians' pathology services includes the TC of cytopathology and surgical pathology physicians' services as described in the Medicare Carrier Manual, section 15020 B and C.) This change was to take effect for services furnished on or after January 1, 2001. The delay between publication and effective date was intended to allow independent laboratories and hospitals sufficient time to negotiate new arrangements, if necessary.

    BIPA Provision

    Section 542 of the BIPA requires the Medicare carrier to continue to pay for the TC of physician pathology services when an independent laboratory furnishes these services to an inpatient or outpatient of a covered hospital. The BIPA provisions apply to TC services furnished during the 2-year period beginning January 1, 2001 and continuing through December 31, 2002. We informed the carriers and the intermediaries of this provision through program memorandum AB-01-47 which was issued in March 2001. This program memorandum requested the carriers to notify independent laboratories of this provision in their next regularly scheduled bulletin and to place this bulletin on their Internet web site.

    In the absence of further legislation, the policy of the November 1999 final rule will take effect for the TC of physician pathology services furnished to hospital patients after December 31, 2002.

    Definitions

    For this provision, “covered hospital” means a hospital that had an arrangement with an independent laboratory that was in effect as of July 22, 1999, under which a laboratory furnished the TC of physician pathology services to fee-for-service Medicare beneficiaries who were hospital inpatients or outpatients and submitted claims for payment for the TC to a carrier. The TC could have been submitted separately or combined with the professional component and reported as a combined service.

    The term “fee-for-service Medicare beneficiary” means an individual who—(1) Is entitled to benefits under Part A or enrolled under Part B of Title XVIII or both, and; (2) Is not enrolled in any of the following:

    • A Medicare+Choice plan under Part C of that title.
    • A plan offered by an eligible organization under section 1876 of the Act.
    • A program of all-inclusive care for the elderly (PACE) under section 1894 of the Act.
    • A social health maintenance organization (SHMO) demonstration project established under section 4018(b) of the Omnibus Budget Reconciliation Act of 1987.

    V. Collection of Information Requirements

    Under the Paperwork Reduction Act (PRA) 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:

    § 410.132—Medical Nutrition Therapy

    Paragraph (c) of this section requires a referring physician or practitioner to Start Printed Page 40396maintain referral documentation in the beneficiary's medical record for each referral. Paragraph (b)(3)(i) requires that the referring physician or qualified non-physician practitioner document a reassessment in the beneficiary's medical record. Paragraph (e) of this section requires the medical nutrition therapy care plan to be sent to the referring physician initially and each time the medical nutrition therapy care plan is updated. If the physician makes recommendations regarding the medical nutrition therapy care plan, the registered dietitian or nutrition professional must integrate the requirements into the medical nutrition therapy care plan.

    We believe the burden associated with these provisions is exempt in accordance with 5 CFR 1320.3(b)(2) because the time, effort, and financial resources necessary to comply with these requirements would be incurred by certified providers in the normal course of business activities.

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

    Health Care Financing Administration, Office of Information Services, Information Technology Investment Management Group, Attn.: John Burke, CMS-1169-P, Room N2-14-26, 7500 Security Boulevard, Baltimore, MD 21244-1850.

    Office of Information and Regulatory Affairs, Office of Management and Budget, Room 10235, New Executive Office Building, Washington, DC 20503, Attn: Allison Eydt, CMS Desk Officer.

    VI. Response to Comments

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

    VII. Regulatory Impact Analysis

    We have examined the impact of this rule as required by Executive Order 12866 (September 1993, Regulatory Planning and Review) and the Regulatory Flexibility Act (RFA) (Public Law 96-354). Executive Order 12866 directs agencies to assess all costs and benefits of available regulatory alternatives and, when regulation is necessary, to select regulatory approaches that maximize net benefits (including potential economic, environmental, public health and safety effects, distributive impacts, and equity). A regulatory impact analysis must be prepared for proposed rules with economically significant effects (that is, a proposed rule that would have an annual effect on the economy of $100 million or more or would adversely affect in a material way the economy, a sector of the economy, productivity, competition, jobs, the environment, public health or safety, or State, local, or tribal governments or communities). We estimate the changes to the practice expense RVUs (not including earlier proposed changes to the work RVUs) may result in a redistribution of payments among physician specialties of approximately $100 million. We estimate the benefit changes in this proposed rule resulting from the BIPA will likely result in additional Medicare expenditures of $210 to $360 million or more for any single FY through FY 2006. Therefore, this proposed rule is considered economically significant, and, thus, we have prepared a regulatory impact analysis.

    The RFA requires agencies to analyze options for regulatory relief of small businesses. For purposes of the RFA, small entities include small businesses, nonprofit organizations and government agencies. Most hospitals, and most other providers, physicians, and health care suppliers are small entities, either by nonprofit status or by having revenues of $7.5 million or less annually for physicians and $5 million or less for other practitioners. For purposes of the RFA and based on small business administration data for 1997, we estimate that there are 162,000 physician organizations that meet the definition of a small entity. There are about 700,000 physicians and other practitioners who receive Medicare payment under the physician fee schedule. Individuals and States are not included in the definition of a small entity.

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

    Section 202 of the Unfunded Mandates Reform Act of 1995 also requires that agencies assess anticipated costs and benefits before issuing any rule that may result in expenditure in any one year by State, local, or tribal governments, in the aggregate, or by the private sector, of $110 million. We have determined that this proposed rule will have no consequential effect on State, local, or tribal governments. We believe the private sector cost of this rule falls below the above-stated threshold as well.

    Thus, we have prepared the following analysis, which together with the rest of this preamble, meets all assessment requirements. It explains the rationale for, and purposes of, the rule, details the costs and benefits of the rule, analyzes alternatives, and presents the measures we propose to use to minimize the burden on small entities.

    A. Resource-Based Practice Expense Relative Value Units and 5-Year Review Changes

    Under section 1848(c)(2) of the Act, adjustments to relative value units may not cause the amount of expenditures to differ by more than $20 million from the amount expenditures would have been without such adjustments. We are proposing several changes that would result in a change of expenditures exceeding $20 million without offsetting adjustments to either the conversion factor or relative value units. In the June 8, 2001 Five-Year Review of Relative Value Units Under the Physician Fee Schedule, (66 FR 31028), we described the specialty level impact on payments of proposed changes in work RVUs. We estimated that the increase in physician work RVUs would increase expenditures by more than $20 million without an offsetting adjustment to either the relative value units or conversion factor. We proposed to meet the budget neutrality requirements in the statute by reducing the physician fee schedule conversion factor by an estimated 0.3 percent. Since the changes to the physician work RVUs included in our earlier proposed notice will affect payments in 2002, we are repeating those impacts in Table 6. In addition, we are also showing the impact of proposed changes that will affect the practice expense relative value units.

    With respect to practice expense, our policy has been to meet the budget neutrality requirements in the statute by incorporating a rescaling adjustment in the practice expense methodology. That is, we determined the aggregate number of practice expense relative values that will be paid under current and proposed policy in 2002. We apply a uniform adjustment factor to all proposed practice expense relative value units to make them equal to the aggregate Start Printed Page 40397number of practice expense relative values that we estimate will be paid under current policy. Table 6 shows the specialty level impact on payment of changes being proposed for 2002.

    The three columns under the label “5-Year Review of Work” show the estimated change in payments that will result from our earlier notice on the 5-Year Review of Work Relative Value Units. The column labeled “Work” shows the impact on total payments that will result from increases in physician work relative value units. Since the practice expense relative value units are based, in part, on the physician work, the 5-year review will also result in a change to the practice expense relative value units. The column labeled “Practice Expense” shows this impact and includes the effect of the rescaling adjustment discussed above to make the practice expense relative value units budget neutral. The column labeled “Total” reflects the total impact on payments resulting from proposed changes in work and practice expense from the 5-year review of physician work. This column includes the effect of a 0.3 percent reduction to the physician fee schedule conversion factor to meet the budget neutrality requirements in the statute.

    The column labeled “New Time” reflects the estimated specialty level impact on payments that will result from using new physician times in the practice expense methodology. As described earlier in section II.A., physician time is used in conjunction with information on practice expense per hour and Medicare utilization to create specialty practice expense pools that are used to allocate practice expenses to different services. The RUC earlier indicated to us that some of the times we were using in the practice expense methodology differed from the times included in the RUC database. We understand that the RUC has made substantial efforts to validate the time in its database with physician specialty societies and to supply us with times that were missing for some services. The RUC recently forwarded the results of this effort to us and is recommending that we use the new times in the practice expense methodology. In addition, several physician specialty societies obtained new and more recent survey times as a result of the five-year review of physician work. The RUC has reviewed and forwarded these times to us as well and is also recommending that we use them in the practice expense methodology. We believe the times supplied to us by the RUC are more likely to be reflective of the actual time it takes to perform a procedure. For this reason, we are proposing to use these new times in the practice expense methodology. As indicated in our June 8, 2001 proposed notice, our expectation was that the substitution of new times would reduce payments to cardiac and thoracic surgeons because the new times for many heart and chest procedures are shorter than those we have been using in the practice expense methodology. We estimate that substitution of new physician times will reduce payments to cardiac and thoracic surgeons by an estimated 5 and 4 percent, respectively. Combining this reduction with the change in work relative value units will result in a total estimated increase in payments from between 0 and 1 percent for cardiac and thoracic surgeons. We estimate change in payments to other specialties from using new time data will be one percent or less.

    The column labeled “New SMS” refers to our proposal to recalculate the practice expense per hour data based on the 1995 through 1999 SMS. (We refer to the SMS based on its publication year. The practice expense data is actually from surveys performed the year prior to publication. For example, the 1998 SMS includes 1997 cost data.) The proposed changes in practice expense per hour from incorporating the latest SMS data are modest. Payments to pathologists are estimated to increase by 2 percent. Specialty 69—Independent Laboratory, the largest specialty included in the supplier category, bills for many of the same services as pathologists, producing our estimated 2 percent increase in Medicare payments to suppliers.

    The column labeled “Clinical Labor Repricing” reflects our proposal to use 1999 information from the Bureau of Labor Statistics to update the wage rate information that is used to price clinical labor inputs in the practice expense methodology. We estimate that this proposal will result in less than a 1 percent change in payments to any physician specialty.

    The column labeled “Other” refers to our proposal to make minor modifications to the specialty utilization. As discussed earlier, we are proposing to recode the specialty for several very low volume physician specialties that likely have practice expenses that are similar to other larger physician specialties. In addition, this policy reflects our proposal to drop the utilization for a number of specialties from the practice expense methodology because a very small percentage (one percent or less) of their allowed charges are from physician fee schedule services. The modifications to the utilization data that we are proposing have virtually no specialty level impact on any specialty.

    Table 6.—Impact of Proposed Work and Practice Expense Changes Total Allowed Charges by Specialty

    SpecialtyAllowed charges $ Billions5 year review of work practiceNew timeNew SMSClinical labor repricingOtherTotal
    WorkExpenseTotal
    ANESTHESIOLOGY1.51%0%1%0%0%0%0%1%
    CARDIAC SURGERY0.35%1%6%5%0%0%0%0%
    CARDIOLOGY4.20%0%0%0%0%0%0%0%
    CHIROPRACTOR0.40%0%0%0%0%0%0%0%
    CLINICS1.60%0%0%0%0%0%0%0%
    DERMATOLOGY1.40%0%0%0%1%0%0%1%
    EMERGENCY MEDICINE1.00%0%0%0%0%0%0%0%
    FAMILY PRACTICE3.30%0%0%0%0%0%0%0%
    GASTROENTEROLOGY1.20%0%0%1%0%0%0%1%
    GENERAL PRACTICE1.00%0%0%0%0%0%0%0%
    GENERAL SURGERY2.03%1%4%0%0%0%0%4%
    HEMATOLOGY ONCOLOGY0.60%−1%−1%0%0%0%0%0%
    INTERNAL MEDICINE7.10%0%0%0%0%0%0%0%
    NEPHROLOGY1.00%0%0%0%0%0%0%0%
    NEUROLOGY0.90%0%0%0%0%0%0%0%
    NEUROSURGERY0.40%0%0%0%0%0%0%0%
    NONPHYSICIAN PRACTITIONER1.20%0%0%0%0%0%0%0%
    OBSTETRICS/GYNECOLOGY0.40%0%1%0%1%0%0%1%
    OPHTHALMOLOGY3.90%0%0%0%−1%0%0%−1%
    OPTOMETRIST0.50%0%0%0%−1%1%0%0%
    Start Printed Page 40398
    ORTHOPEDIC SURGERY2.30%0%0%0%0%0%0%0%
    OTHER PHYSICIAN1.60%0%0%0%0%0%0%1%
    OTOLARYNGOLOGY0.60%0%0%1%0%0%0%0%
    PATHOLOGY0.60%0%0%0%2%0%0%3%
    PLASTIC SURGERY0.20%0%0%0%0%0%0%0%
    PODIATRY1.10%0%0%1%0%0%0%1%
    PSYCHIATRY1.10%0%0%0%0%0%0%0%
    PULMONARY1.10%0%0%0%0%0%0%0%
    RADIATION ONCOLOGY0.70%−1%−1%0%0%0%0%0%
    RADIOLOGY3.30%−1%0%0%0%0%0%0%
    RHEUMATOLOGY0.30%0%0%0%0%0%0%0%
    SUPPLIERS0.50%−1%−1%−1%2%0%1%2%
    THORACIC SURGERY0.54%1%5%−4%0%0%0%1%
    UROLOGY1.30%0%0%0%0%0%0%1%
    VASCULAR SURGERY0.32%0%2%−1%0%0%0%2%

    Table 7 shows the impact on payments for selected high volume procedures of all of the changes previously discussed. This table shows the combined impact of the change in physician work and the fully implemented practice expense relative value units on total payment for the procedure. There are separate columns that show the change in the old and new facility rates and the old and new nonfacility rates. The table does not show the actual change in payments from 2001 to 2002 for the procedures because the “old” payments do not take into account that the practice expense relative value units in 2001 are a blend of the old charge-based relative value units and the new resource-based practice expense relative value determined under current policy. We show the amounts in this way to isolate the impact of new proposals on the change in payment without including the effect of continuing to transition resource-based practice expense relative value units that will occur regardless of whether we publish this proposed rule. For an explanation of facility and non-facility practice expense refer to § 414.22(b)(5)(i).

    Table 7.—Impact of 5 Year Review and Proposed Rule on Medicare Payment for Selected Procedures

    HCPCSMODDescOld non-facilityNew non-facilityPercent changeOld facilityNew facilityPercent change
    11721Debride nail, 6 or more$42.47$42.470%$30.61$30.610%
    17000Destroy benign/premal lesion$63.89$65.803%$34.43$34.430%
    27130Total hip replacementNANANA$1,499.72$1,502.400%
    27236Treat thigh fractureNANANA$1,150.80$1,152.720%
    27244Treat thigh fractureNANANA$1,174.91$1,177.200%
    27447Total knee replacementNANANA$1,567.43$1,570.500%
    33533CABG, arterial, singleNANANA$1,855.90$1,900.282%
    35301Rechanneling of arteryNANANA$1,170.32$1,141.24−2%
    43239Upper GI endoscopy, biopsy$298.03$318.317%$157.24$158.391%
    45385Lesion removal colonoscopy$501.95$534.476%$299.56$303.001%
    66821After cataract laser surgery$229.93$228.02−1%$215.01$212.72−1%
    66984Cataract surg w/iol, i stageNANANA$697.83$691.71−1%
    67210Treatment of retinal lesion$627.82$620.55−1%$575.40$569.66−1%
    7101026Chest x-ray$9.56$9.560%$9.56$9.560%
    7102026Chest x-ray$11.86$11.860%$11.86$11.860%
    77427Radiation tx management, x5$176.75$177.520%$176.75$177.520%
    7846526Heart image (3d), multiple$79.58$78.81−1%$79.58$78.81−1%
    8830526Tissue exam by pathologist$42.08$42.852%$42.08$42.852%
    90801Psy dx interview$153.80$152.65−1%$145.00$144.620%
    90806Psytx, off, 45-50 min$102.15$101.38−1%$96.41$96.410%
    90807Psytx, off, 45-50 min w/e&m$109.80$109.420%$104.44$104.440%
    90862Medication management$53.94$53.940%$48.97$48.970%
    90921ESRD related services, month$278.90$279.280%$278.90$279.280%
    90935Hemodialysis, one evaluationNANANA$77.66$78.051%
    92004Eye exam, new patient$131.23$130.840%$92.58$92.200%
    92012Eye exam established pat$66.19$65.80−1%$37.88$37.49−1%
    92014Eye exam & treatment$94.88$94.500%$62.36$61.60−1%
    92980Insert intracoronary stentNANANA$845.12$832.881%
    92982Coronary artery dilationNANANA$625.90$616.34−2%
    93000Electrocardiogram, complete$27.55$27.16−1%NANANA
    93010Electrocardiogram report$9.56$9.18−4%$9.56$9.18−4%
    93015Cardiovascular stress test$108.65$107.51−1%NANANA
    9330726Echo exam of heart$51.27$50.50−2%$51.27$50.50−2%
    9351026Left heart catheterization$246.00$242.17−2%$246.00$242.17−2%
    98941Chiropractic manipulation$37.49$37.490%$32.52$32.520%
    99202Office/outpatient visit, new$63.89$63.890%$48.21$48.210%
    99203Office/outpatient visit, new$95.65$95.260%$73.46$73.460%
    99204Office/outpatient visit, new$137.73$136.96−1%$108.65$108.650%
    99205Office/outpatient visit, new$174.46$174.460%$143.85$143.470%
    99211Office/outpatient visit, est$21.04$21.040%$9.18$9.180%
    99212Office/outpatient visit, est$37.49$37.490%$24.49$24.490%
    Start Printed Page 40399
    99213Office/outpatient visit, est$52.41$52.410%$35.96$35.960%
    99214Office/outpatient visit, est$82.64$82.640%$58.92$58.920%
    99215Office/outpatient visit, est$120.90$121.280%$95.26$95.260%
    99221Initial hospital careNANANA$68.86$68.860%
    99222Initial hospital careNANANA$114.01$114.010%
    99223Initial hospital careNANANA$159.15$159.150%
    99231Subsequent hospital careNANANA$34.43$34.430%
    99232Subsequent hospital careNANANA$56.24$56.240%
    99233Subsequent hospital careNANANA$80.34$80.340%
    99236Observ/hosp same dateNANANA$225.72$225.340%
    99238Hospital discharge dayNANANA$67.72$67.720%
    99239Hospital discharge dayNANANA$92.58$92.580%
    99241Office consultation$48.97$48.970%$34.81$34.810%
    99242Office consultation$91.05$90.670%$71.54$71.540%
    99243Office consultation$120.90$120.510%$95.26$94.880%
    99244Office consultation$171.78$171.780%$140.79$140.790%
    99245Office consultation$223.04$223.430%$186.70$186.320%
    99251Initial inpatient consultNANANA$38.26$38.260%
    99252Initial inpatient consultNANANA$75.37$75.370%
    99253Initial inpatient consultNANANA$102.15$102.150%
    99254Initial inpatient consultNANANA$146.15$146.150%
    99255Initial inpatient consultNANANA$200.47$200.470%
    99261Follow-up inpatient consultNANANA$24.87$24.870%
    99262Follow-up inpatient consultNANANA$47.82$47.820%
    99263Follow-up inpatient consultNANANA$70.01$70.010%
    99282Emergency dept visitNANANA$27.93$27.930%
    99283Emergency dept visitNANANA$62.74$62.740%
    99284Emergency dept visitNANANA$97.94$98.320%
    99285Emergency dept visitNANANA$152.65$153.030%
    99291Critical care, first hour$218.45$219.220%$208.89$209.270%
    99292Critical care, addl 30 min$111.71$112.100%$104.06$104.440%
    99301Nursing facility careNANANA$63.51$63.510%
    99302Nursing facility careNANANA$84.93$84.930%
    99303Nursing facility careNANANA$105.59$105.590%
    99311Nursing fac care, subseqNANANA$31.75$31.750%
    99312Nursing fac care, subseqNANANA$52.41$52.410%
    99313Nursing fac care, subseqNANANA$74.60$74.600%
    99348Home visit, est patient$77.28$76.900%$70.01$70.010%
    99350Home visit, est patient$176.37$175.600%$164.13$164.130%

    B. Nurse Practitioners, Physician Assistants, and Clinical Nurse Specialists Performing Screening Sigmoidoscopies

    As discussed in section II.B. of the preamble, this proposed regulation would expand the scope of who is allowed to perform screening flexible sigmoidoscopies for Medicare coverage and payment purposes to include nurse practitioners, physician assistants, and clinical nurse specialists, as long as those practitioners meet applicable Medicare qualification requirements, and they are authorized to perform those screening services under State law. At present, the Medicare condition of coverage for screening flexible sigmoidoscopies limits coverage of those services to those that are performed by either a doctor of medicine or osteopathy (as defined in section 1861(r)(1) of the Act) who is authorized under State law to perform the examination.

    We estimate that this expansion in the scope of who is allowed to perform screening flexible sigmoidoscopies will increase beneficiary access to these screening services and will result in an increase in the number of covered exams that are performed. At the same time, we estimate that this proposed rule will result in a decrease in payments that are made for certain screening flexible sigmoidoscopies because they will be performed by nurse practitioners, physician assistants, and clinical nurse specialists who are paid at 85 percent of the amount of payment that is made to physicians for the same screening service. Taking these factors into account, we estimate that this proposal will result in negligible additional Medicare program costs. For a more detailed discussion of this provision see section II.B. of this preamble.

    C. Services and Supplies Incident to a Physician's Professional Services—Conditions

    We are proposing to allow auxiliary personnel to provide services incident to the services of physicians or practitioners who supervise them, regardless of the employment relationship. There are no costs or savings to the Medicare program associated with this proposal because the same physicians and practitioners would have performed these services before publication of this proposed rule. For a more detailed discussion of this provision see section II.C. of this preamble.

    D. Anesthesia Services—Anesthesia Base Units

    As previously discussed in section II.D. of the preamble, with the exception of codes 00142 and 00147, we propose to use the same anesthesia base unit per anesthesia code as the ASA provides in its uniform relative value guide. There are eight codes for which the base unit values would be different under our proposed rule.

    Under this proposal, the estimated total number of base units would decrease. This is due primarily to the fact that code 001214 is the dominant code in terms of allowed services and the base unit for this code would decrease from 10 to 8 units.

    To maintain neutrality in the anesthesia conversion factor, we would provide for a slight increase in the Start Printed Page 40400anesthesia conversion factor, less than 0.5 percent. For a more detailed discussion of this provision see section II.D. of this preamble.

    E. Performance Measurement and Emerging Technology Codes

    As previously discussed in section II.E. of the preamble, the AMA has developed two new categories of codes: performance codes and emerging technology. Allowing the performance measurement code to be referenced on Medicare billing forms will have no budgetary impact since we are not proposing payment for these codes. We are proposing to allow for carrier pricing of the emerging technology codes.

    We expect that the emerging technology codes will be used infrequently and may be used in place of “unlisted” procedure codes that are also carrier priced. There would be few, if any, no Medicare program costs associated with this proposal. For a more detailed discussion of this provision see section II.E. of this preamble.

    F. BIPA Provisions Included in This Proposed Rule

    The following provisions of the BIPA are discussed in detail in section III of this preamble. This proposed rule would conform the regulations text to the BIPA provisions. Table 8 provides the estimated costs (in millions of dollars) for the Medicare program for these provisions for the fiscal years shown:

    Table 8.—Medicare Cost Estimates for BIPA 2000 Provisions

    [In millions]

    BIPA provisionsFY 2002FY 2003FY 2004FY 2005FY 2006
    Sec. 101 Biennial Pelvic Examinations1020202020
    Sec. 102 Screening Glaucoma3050506060
    Sec. 103 Screening Colonoscopy4040301010
    Sec. 104 Screening Mammography3040404050
    Sec. 105 Medical Nutrition2050607070
    Sec. 223 Telehealth Services2030405060
    Sec. 432 Indian Health6070808090

    1. Screening Mammography

    As discussed in section III.A. of the preamble, the BIPA eliminates the statutorily prescribed payment rate for screening mammography and specifies that it will be paid under the physician fee schedule beginning January 1, 2002. To pay for the professional component of the screening mammography, we propose to use the work and malpractice RVUs that have been established for unilateral diagnostic mammography. We are establishing the practice expense RVUs for the professional component under the resource-based methodology. To establish practice expense RVUs for the technical component, we propose using the statutory payment limit and the applicable physician fee schedule update factor used each year. Currently, we pay for screening mammography under section 1834(c) of the Act. Payment for screening mammography is not subject to the budget neutrality requirements that apply to physician fee schedule services under section 1848(c)(2)(B)(ii)(II) of the Act. Effective January 1, 2002, screening mammography will be subject to the budget neutrality requirements that apply to physician fee schedule services. We will include the current payment amounts for screening mammography in aggregate physician fee schedule payments subject to the budget neutrality requirements. As a result, the BIPA requirement to pay for screening mammography under the physician fee schedule will not result in an increase in Medicare program expenditures. However, the increase in payment for screening mammography under the physician fee schedule will be included in the budget neutrality adjustments that apply to physician fee schedule services. The BIPA also establishes a methodology for determining payment for certain types of new technology that are used in providing both diagnostic and screening mammography services. The statutory provisions are in effect from April 1, 2001 to December 31, 2001. The statute gives us the authority to determine whether separate codes and payment amounts are appropriate for screening and diagnostic mammography services that involve use of a new technology on or after January 1, 2002. We are proposing several new codes and fee schedule amounts for screening and diagnostic mammography services that involve use of a new technology. The BIPA provisions related to new technology mammography will result in the Medicare program costs shown in Table 8. The BIPA makes no changes to provisions for Medicare coverage of screening mammography.

    2. Screening Pelvic Examinations

    As discussed in section III.B. of the preamble, section 101 of the BIPA provides for expanded coverage for screening pelvic examinations (including a clinical breast examination) furnished on or after July 1, 2001. Specifically, the revised benefit will allow for biennial coverage of screening pelvic examination for all women who do not qualify under the law for annual coverage of such tests. We estimate that this change in the frequency of coverage for certain beneficiaries will result in an increase in Medicare payments. These payments will be made to a large number of physicians and other practitioners who provide these tests, any medically necessary follow-up tests, or treatment that may be required as a result of the increased frequency of coverage of these tests. Medicare program expenditures associated with screening pelvic examinations have been included in the budget. The impact of this provision is shown in Table 8.

    3. Screening for Glaucoma

    As discussed in section III.C. of the preamble, section 102 of the BIPA authorizes coverage of glaucoma screening examinations effective January 1, 2002, subject to certain frequency and other limitations. We believe services provided as part of glaucoma screening will often overlap with other services a physician provides during a patient encounter that is associated with a higher payment amount. We believe that physicians will more commonly provide glaucoma tests in conjunction with other services and will rarely provide only glaucoma screening to Medicare patients. Based on the projected utilization of these screening services and related medically necessary follow-up tests and treatment that may be required for the beneficiaries screened, we estimate that this new benefit will result in an Start Printed Page 40401increase in Medicare payments. These payments will be made to ophthalmologists or optometrists who will provide these screening tests and related follow-up tests and treatment that may be required. Medicare program expenditures associated with the BIPA provision that establishes coverage for screening glaucoma are shown in Table 8.

    4. Screening Colonoscopy

    As discussed in section III.D. of the preamble, section 103 of the BIPA amended the Act to add coverage of screening colonoscopies once every 10 years for individuals not at high risk for colorectal cancer. We estimate that this new benefit will result in an increase in Medicare payments. These payments will be made to practitioners who will provide these screening tests and related follow-up tests and treatment that may be required. The impact of this provision is shown in Table 8.

    5. Medical Nutrition Therapy

    As discussed in section III.E. of the preamble, section 105 of the BIPA amended the Act to authorize Medicare coverage under Part B of medical nutrition therapy (MNT) for beneficiaries who have diabetes or renal disease, effective for services furnished on or after January 1, 2002. We propose to implement this provision at part 410, subpart G. Specifically, the proposed rule discusses the education, experience, and licensing requirements for dietitians or nutritionists furnishing the service. In addition, the proposed rule discusses the payment provisions, a referral requirement, and the manner by which the medical nutrition therapy and diabetes outpatient self-management training benefits will be coordinated to avoid duplicate payment. We also propose to establish payment amounts for these services under the physician fee schedule.

    We estimate that this new benefit will result in an increase in Medicare payments. These payments will be made to dietitians and nutrition professionals who will provide these diagnostic therapy and counseling services. Costs to the Medicare program associated with this provision are shown in Table 8.

    6. Telehealth

    We estimate that the cost of providing office or other outpatient visits, consultation services, individual psychotherapy, and pharmacologic management in accordance with section 223 of the BIPA will be approximately $20 million in FY 2002 and approximately $60 million by FY 2006, as indicated above in Table 8.

    This rule does not mandate that entities provide consultation, office or other outpatient visits, individual psychotherapy or pharmacological management services via a telecommunications system. Thus, this rule would not require entities to purchase telehealth equipment or to acquire the telecommunications infrastructure necessary to deliver these services via a telecommunications system. Therefore, this rule does not impose costs associated with starting and operating a telehealth network.

    7. Indian Health Services

    As discussed in section III.G. of the preamble, in addition to payment for Medicare services in hospitals and skilled nursing facilities, section 432 of the BIPA authorizes payment under the physician fee schedule to physicians and certain practitioners for services furnished in a hospital and an ambulatory care clinic, whether provider-based or free-standing, of the Indian Health Service effective for services furnished on or after July 1, 2001. We propose to add a new § 410.46 to conform our regulations to the statute. Costs to the Medicare program for this BIPA provision are shown in Table 8.

    8. Pathology Services

    As discussed in section III.H. of the preamble, in the November 2, 1999 physician fee schedule final rule (64 FR 59381), we stated that we would implement a policy to pay only hospitals for the TC of physician pathology services furnished to hospital inpatients. Before the effective date of this proposal, any independent laboratory could bill the carrier under the physician fee schedule for the TC of physician pathology to a hospital inpatient. The regulation provided that for services furnished on or after January 1, 2001, the carriers would no longer pay claims to an independent laboratory under the physician fee schedule for the TC of physician pathology services furnished for hospital inpatients. Similar treatment was provided under the hospital outpatient prospective payment system for the TC of physician pathology services to hospital outpatients. We delayed implementation of this provision for one year; it was to take effect for services furnished on or after January 1, 2001. The delay was intended to allow independent laboratories and hospitals sufficient time to negotiate arrangements.

    Section 542 of the BIPA requires Medicare to continue to pay for the TC of physician pathology services when an independent laboratory furnishes this service to an inpatient or outpatient of a covered hospital. This provision applies to TC services furnished during the 2-year period beginning on January 1, 2001.

    In the November 2, 1999 final rule, we estimated that payment under the physician fee schedule for TC billings by independent laboratories would decrease by $6 million per year if the original proposal had been implemented on January 1, 2001. As a result of the BIPA, these savings are not realized for two years.

    G. Budget Neutrality

    Each year since the fee schedule has been implemented, our actuaries have determined any adjustments needed to meet the budget neutrality requirement of the statute. A component of the actuarial determination of budget-neutrality involves estimating the impact of changes in the volume and intensity of physicians' services provided to Medicare beneficiaries as a result of the proposed changes. Since the November 1998 final rule (63 FR 58891), we have used a model that assumes 30 percent of anticipated payment reductions will be offset through an increase in the volume and intensity of services. We will continue to use the same assumption in this year's final rule.

    H. Impact on Beneficiaries

    Although changes in physicians' payments were large when the physician fee schedule was implemented in 1992, we detected no problems with beneficiary access to care. Furthermore, since beginning our transition to a resource-based practice expense system in 1999, we have not found that there are problems with beneficiary access to care. In addition, the implementation of the BIPA proposals that are contained in this rule will improve beneficiary access to health care under the Medicare program since certain preventative services, such as screening glaucoma, will now be covered for the first time and coverage of several existing services is being expanded.

    I. Federalism

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

    In accordance with the provisions of Executive Order 12866, this regulation Start Printed Page 40402was 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
    • Medicare
    • Reporting and recordkeeping requirements
    • Rural areas
    • X-rays

    42 CFR Part 410

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

    42 CFR Part 411

    • Kidney diseases
    • Medicare
    • Reporting and recordkeeping requirements

    42 CFR Part 414

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

    42 CFR Part 415

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

    For the reasons set forth in the preamble, the Health Care Financing Administration proposes to amend 42 CFR chapter IV as follows:

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

    End Authority

    2. In § 405.534, an introductory paragraph is added to read as follows:

    Limitation on payment for screening mammography services.

    The provisions in paragraphs (a), (b), and (c) of this section apply for services provided from January 1, 1991 until December 31, 2001. Screening mammography services provided after December 31, 2001 are paid under the physician fee schedule in accordance with § 414.2 of this chapter.

    * * * * *

    3. In § 405.535, the section heading is revised and the introductory text is amended by adding two sentences to the beginning to read as follows:

    Special rule for nonparticipating physicians and suppliers furnishing screening mammography services before January 1, 2002.

    The provisions in this section apply for screening mammography services provided from January 1, 1991 until December 31, 2001. Screening mammography services provided after December 31, 2001 are paid under the physician fee schedule in accordance with § 414.2 of this chapter. * * *

    * * * * *
    End Part Start Part

    PART 410—SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS

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

    Start Authority

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

    End Authority

    2. Section 410.3 is amended by revising paragraph (a)(1) to read as follows:

    Scope of benefits.

    (a) * * *

    (1) Medical and other health services such as physicians' services, outpatient services furnished by a hospital or a CAH, diagnostic tests, outpatient physical therapy and speech pathology services, rural health clinic services, Federally qualified health center services, IHS, Indian tribe, or tribal organization facility services, and outpatient renal dialysis services.

    * * * * *

    3. Section 410.10 is amended by adding paragraph (x) to read as follows:

    Medical and other health services: Included services.
    * * * * *

    (x) IHS, Indian tribe, or tribal organization facility services.

    4. Section 410.22 is redesignated as § 410.21, § 410.23 is redesignated as § 410.22, and a new § 410.23 is added to read as follows:

    Screening for glaucoma: Conditions for and limitations on coverage.

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

    (1) Direct supervision in the office setting means the optometrist or the ophthalmologist must be present in the office suite and be immediately available to furnish assistance and direction throughout the performance of the procedure. It does not mean the physician must be present in the room when the procedure is performed.

    (2) Eligible beneficiary means:

    (i) Individual with diabetes mellitus;

    (ii) Individual with a family history of glaucoma; or

    (iii) African-Americans age 50 and over.

    (3) Screening for glaucoma means the following procedures furnished to an individual for the early detection of glaucoma:

    (i) A dilated eye examination with an intraocular pressure measurement.

    (ii) A direct ophthalmoscopy examination, or a slit-lamp biomicroscopic examination.

    (b) Condition for coverage of screening for glaucoma.

    Medicare Part B pays for glaucoma screening examinations provided to eligible beneficiaries as described in paragraph (a)(2) of this section if they are furnished by or under the direct supervision in the office setting of an optometrist or ophthalmologist who is legally authorized to perform these services under State law (or the State regulatory mechanism provided by State law) of the State in which the services are furnished, as would otherwise be covered if furnished by a physician or incident to a physician's professional service.

    (c) Limitations on coverage of glaucoma screening examinations.

    (1) Payment may not be made for a glaucoma screening examination that is performed for an individual who is not an eligible beneficiary as described in paragraph (a)(2) of this section.

    (2) Payment may be made for a glaucoma screening examination that is performed on an individual who is an eligible beneficiary as described in paragraph (a)(2) of this section, after at least 11 months have passed following the month in which the last glaucoma screening examination was performed.

    5. In § 410.26, paragraph (b) is redesignated as paragraph (c), paragraph (a) is redesignated as paragraph (b) and revised, a new paragraph (a) is added, and newly designated paragraph (c) is amended by adding a paragraph heading:

    Services and supplies incident to a physician's professional service: Conditions.

    (a) Definitions. For purposes of this section, the following definitions apply:

    (1) Auxiliary personnel means any individual who is acting under the supervision of a physician, regardless of whether the individual is an employee, leased employee, or independent contractor of the physician (or other practitioner) or of the same entity that employs or contracts with the physician (or other practitioner).

    (2) Direct supervision means the level of supervision by the physician (or other practitioner) of auxiliary personnel as defined in § 410.32(b)(3)(ii).

    (3) Independent contractor means an individual who performs part-time or full-time work for which the individual receives an IRS-1099 form.

    (4) Leased employment means an employment relationship that is Start Printed Page 40403recognized by applicable State law and that is established by two employers by a contract such that one employer hires the services of an employee of the other employer.

    (5) Noninstitutional setting means all settings other than a hospital or skilled nursing facility.

    (6) Practitioner means a non-physician practitioner who is authorized by the Act to receive payment for services incident to his or her own services.

    (7) Services and supplies means any service or supply (including any drug or biological that cannot be self-administered) that is included in section 1861(s)(2)(A) of the Act and is not specifically listed in the Act as a separate benefit included in the Medicare program.

    (b) Medicare Part B pays for services and supplies incident to the service of a physician (or other practitioner).

    (1) Services and supplies must be furnished in a noninstitutional setting to noninstitutional patients.

    (2) Services and supplies must be an integral, though incidental, part of the service of a physician (or other practitioner) in the course of diagnosis or treatment of an injury or illness.

    (3) Services and supplies must be commonly furnished without charge or included in the bill of a physician (or other practitioner).

    (4) Services and supplies must be of a type that are commonly furnished in the office or clinic of a physician (or other practitioner).

    (5) Services and supplies must be furnished under the supervision of the physician (or other practitioner).

    (6) Services and supplies must be furnished by the physician, practitioner with an incident to benefit, or auxiliary personnel.

    (7) A physician (or other practitioner) may be an employee or an independent contractor.

    (c) Limitation. * * *

    6. In § 410.37, paragraphs (d), (e)(2), and (g) are revised and paragraph (e)(3) is added to read as follows:

    Colorectal cancer screening tests: Conditions for and limitations on coverage.
    * * * * *

    (d) Condition for coverage of flexible sigmoidoscopy screening. Medicare Part B pays for a flexible sigmoidoscopy screening service if it is performed by a doctor of medicine or osteopathy (as defined in section 1861(r)(1) of the Act), or by a physician assistant, nurse practitioner, or clinical nurse specialist (as defined in section 1861(aa)(5) of the Act and §§ 410.74, 410.75, and 410.76) who is authorized under State law to perform the examination.

    (e) Limitations on coverage of screening flexible sigmoidoscopies. * * *

    (2) For an individual 50 years of age or over, except as described in paragraph (e)(3) of this section, payment may be made for screening flexible sigmoidoscopy after at least 47 months have passed following the month in which the last screening flexible sigmoidoscopy or, as provided in paragraphs (h) and (i) of this section, the last screening barium enema was performed.

    (3) In the case of an individual who is not at high risk for colorectal cancer as described in paragraph (a)(3) of this section but who has had a screening colonoscopy performed, payment may be made for a screening flexible sigmoidosocopy only after at least 119 months have passed following the month in which the last screening colonoscopy was performed.

    * * * * *

    (g) Limitations on coverage of screening colonoscopies. (1) Effective for services furnished on or after January 1, 1998 through June 30, 2001, payment may not be made for a screening colonoscopy for an individual who is not at high risk for colorectal cancer as described in paragraph (a)(3) of this section.

    (2) Effective for services furnished on or after July 1, 2001, except as described in paragraph (g)(4) of this section, payment may be made for a screening colonoscopy performed for an individual who is not at high risk for colorectal cancer as described in paragraph (a)(3) of this section, after at least 119 months have passed following the month in which the last screening colonoscopy was performed.

    (3) Payment may be made for a screening colonoscopy performed for an individual who is at high risk for colorectal cancer as described in paragraph (a)(3) of this section, after at least 23 months have passed following the month in which the last screening colonoscopy was performed, or, as provided in paragraphs (h) and (i) of this section, the last screening barium enema was performed.

    (4) In the case of an individual who is not at high risk for colorectal cancer as described in paragraph (a)(3) of this section but who has had a screening flexible sigmoidoscopy performed, payment may be made for a screening colonoscopy only after at least 47 months have passed following the month in which the last screening flexible sigmoidoscopy was performed.

    * * * * *

    7. Section 410.46 is added to read as follows:

    Physician and other practitioner services furnished in or at the direction of an IHS or Indian tribal hospital or clinic: Scope and conditions.

    (a) Medicare Part B pays, in accordance with the physician fee schedule, for services furnished in or at the direction of a hospital or outpatient clinic (provider-based or free-standing) that is operated by the Indian Health Service (IHS) or by an Indian tribe or tribal organization (as those terms are defined in section 4 of the Indian Health Care Improvement Act). These services are subject to the same situations, terms, and conditions that would apply if the services were furnished in or at the direction of a hospital or clinic that is not operated by IHS or by an Indian tribe or tribal organization. Payments include health professional shortage areas incentive payments when the requirements for these incentive payments in § 414.42 of this chapter are met.

    (b) Payment is not made under this section to the extent that Medicare otherwise pays for the same services under other provisions.

    (c) Payment is made under these provisions for the following services:

    (1) Services for which payment is made under the physician fee schedule in accordance with part 414 of this chapter.

    (2) Services furnished by non-physician practitioners for which payment under Part B is made under the physician fee schedule.

    (3) Services furnished by a physical therapist or occupational therapist, for which payment under Part B is made under the physician fee schedule.

    (d) Payments under these provisions will be paid to the IHS or tribal hospital or clinic.

    8. In § 410.56, paragraphs (b)(1), the introductory text of (b)(2), and (b)(3) are revised to read as follows:

    Screening pelvic examinations.
    * * * * *

    (b) * * *

    (1) General rule. Except as specified in paragraphs (b)(2) and (b)(3) of this section, payment may be made for a pelvic examination performed on an asymptomatic woman only if the individual has not had a pelvic examination paid for by Medicare during the preceding 23 months following the month in which her last Medicare-covered screening pelvic examination was performed. Start Printed Page 40404

    (2) More frequent screening based on high-risk factors. Subject to the limitation as specified in paragraph (b)(4) of this section, payment may be made for a screening pelvic examination performed more frequently than once every 24 months if the test is performed by a physician or other practitioner specified in paragraph (a) of this section, and there is evidence that the woman is at high risk (on the basis of her medical history or other findings) of developing cervical cancer or vaginal cancer, as determined in accordance with the following risk factors:

    * * * * *

    (3) More frequent screening for women of childbearing age. Subject to the limitation as specified in paragraph (b)(4) of this section, payment may be made for a screening pelvic examination performed more frequently than once every 24 months if the test is performed by a physician or other practitioner as specified in paragraph (a) of this section for a woman of childbearing age who has had an examination that indicated the presence of cervical or vaginal cancer or other abnormality during any of the preceding 3 years. The term “woman of childbearing age” means a woman who is premenopausal, and has been determined by a physician, or a qualified practitioner, as specified in paragraph (a) of this section, to be of childbearing age, based on her medical history or other findings.

    * * * * *

    9. Section 410.78 is revised to read as follows:

    Office and other outpatient visits, consultation, individual psychotherapy and pharmacologic management via an interactive telecommunications system.

    (a) Definitions. For the purposes of this section the following definitions apply:

    (1) Asynchronous store and forward technologies means the transmission of a patient's medical information from an originating site to the physician or practitioner at the distant site. The physician or practitioner at the distant site can review the medical case without the patient being present. An asynchronous telecommunications system in single media format does not include telephone calls, images transmitted via facsimile machines and text messages without visualization of the patient (electronic mail). Photographs visualized by a telecommunications system must be specific to the patient's medical condition and adequate for furnishing or confirming a diagnosis and or treatment plan. Dermatological photographs, for example, a photograph of a skin lesion, may be considered to meet the requirement of a single media format under this provision.

    (2) Distant site means the site at which the physician or practitioner delivering the service is located at the time the service is provided via a telecommunications system.

    (3) Interactive telecommunications system means multimedia communications equipment that includes, at a minimum, audio and video equipment permitting two-way, real-time interactive communication between the patient and distant site physician or practitioner. Telephones, facsimile machines, and electronic mail systems do not meet the definition of an interactive telecommunications system.

    (4) Originating site means, for purposes of a consultation, office or other outpatient visit, individual psychotherapy, or pharmacologic management via an interactive telecommunications system, the location of an eligible Medicare beneficiary at the time the service being furnished via a telecommunications system occurs. For asynchronous store and forward telecommunications technologies, the only originating sites are Federal telemedicine demonstration programs conducted in Alaska or Hawaii.

    (b) General rule. Medicare Part B pays for office and other outpatient visits, professional consultation, individual psychotherapy, and pharmacologic management furnished by means of an interactive telecommunications system if the following conditions are met:

    (1) The physician or practitioner at the distant site must be licensed to provide the service under State law. When the physician or practitioner at the distant site is licensed under State law to provide a covered telehealth service (that is, professional consultations, office and other outpatient visits, individual psychotherapy, and pharmacologic management), he or she may bill for, and receive payment for, this service when delivered via a telecommunications system.

    (2) The practitioner at the distant site is one of the following:

    (i) A physician as described in § 410.20.

    (ii) A physician assistant as described § 410.74.

    (iii) A nurse practitioner as described in § 410.75.

    (iv) A clinical nurse specialist as described in § 410.76.

    (v) A nurse-midwife as described in § 410.77.

    (vi) A clinical psychologist as described in § 410.71.

    (vii) A clinical social worker as described in § 410.73.

    (3) The services are furnished to a beneficiary at an originating site, which is one of the following:

    (i) The office of a physician or practitioner.

    (ii) A critical access hospital (as described in section 1861(mm)(1) of the Act).

    (iii) A rural health clinic (as described in section 1861(aa)(2) of the Act).

    (iv) A Federally qualified health center (as defined in section 1861(aa)(4) of the Act).

    (v) A hospital (as defined in section 1861(e) of the Act).

    (4) Originating sites must be located in either a rural health professional shortage area as defined under section 332(a)(1)(A) of the Public Health Service Act (42 U.S.C. 254e(a)(1)(A)) or in a county that is not included in a Metropolitan Statistical Area as defined in section 1886(d)(2)(D) of the Act. Entities participating in a Federal telemedicine demonstration project that have been approved by, or receive funding from, the Secretary as of December 31, 2000 qualify as an eligible originating site regardless of geographic location.

    (5) The medical examination of the patient is under the control of the physician or practitioner at the distant site.

    (c) Telepresenter not required. A telepresenter is not required as a condition of payment unless a telepresenter is medically necessary as determined by the physician or practitioner at the distant site.

    (d) Exception to the interactive telecommunications system requirement. For Federal telemedicine demonstration programs conducted in Alaska or Hawaii only, Medicare payment is permitted for telehealth when asynchronous store and forward technologies, in single or multimedia formats, are used as a substitute for an interactive telecommunications system.

    (e) Limitation. A clinical psychologist and a clinical social worker may bill and receive payment for individual psychotherapy via a telecommunications system, but may not seek payment for medical evaluation and management services.

    10. A new subpart G is added to read as follows:

    Subpart G—Medical Nutrition Therapy
    Definitions.
    Medical nutrition therapy.
    Provider qualifications.
    Start Printed Page 40405

    Subpart G—Medical Nutrition Therapy

    Definitions.

    For the purposes of this subpart, the following definitions apply:

    Chronic renal insufficiency is defined as the stage of renal disease associated with a reduction in renal function not severe enough to require dialysis or transplantation (glomerular filtration rate [GFR] 13-50 ml/min/1.73m2).

    Diabetes is diabetes mellitus consisting of two types. Type 1 is an autoimmune disease that destroys the beta cells of the pancreas, leading to insulin deficiency. Type 2 is familial hyperglycemia that occurs primarily in adults but can also occur in children and adolescents. The diagnostic criterion for a diagnosis of diabetes for a fasting glucose tolerance test is greater than or equal to 126 mg/dL.

    Episode of care means a time period not exceeding 12 months, starting with the assessment and including all covered interventions based on a referral from a physician as specified in § 410.132(c).

    Medical nutrition therapy services means nutritional diagnostic, therapy, and counseling services provided by a registered dietitian or nutrition professional for the purpose of managing diabetes or renal disease.

    Physician means a doctor of medicine or osteopathy legally authorized to practice medicine and surgery by the State in which he or she performs such function or action (including a physician within the meaning of section of 1101(a)(7) of the Act).

    Renal disease means chronic renal insufficiency and the medical condition of a beneficiary who has been discharged from the hospital within the last six months after a successful renal transplant.

    Medical nutrition therapy.

    (a) Conditions for coverage of medical nutrition therapy services. Medicare Part B pays for medical nutrition therapy services provided by a registered dietitian or nutrition professional as defined in § 410.134 when the beneficiary is referred for the service by the treating physician. Services covered consist of nutritional assessment, interventions, and reassessment and follow-up interventions in accordance with nationally accepted dietary or nutritional protocols.

    (b) Limitations on coverage of medical nutrition therapy services.

    (1) Medical nutrition therapy services are not covered for beneficiaries receiving maintenance dialysis for which payment is made under section 1881 of the Act.

    (2) If a beneficiary has both diabetes and renal disease, the beneficiary may receive both MNT and DSMT, but coverage is limited to the number of hours the beneficiary would receive under either the MNT benefit or the DSMT benefit for the episode of care, whichever is greater.

    (3) Medical nutrition therapy is only covered if the beneficiary has not started initial training under the diabetes self-management training benefit as described in § 410.141 within the 12 months previous to initial referral for MNT, unless—

    (i) The need for a reassessment and additional therapy has been documented by the referring physician as a result of a change in diagnosis or medical condition; or

    (ii) The beneficiary is diagnosed with both diabetes and renal disease.

    (4) If a beneficiary diagnosed with diabetes has been referred for both follow-up diabetes self-management training services and medical nutrition therapy, the number of hours the beneficiary may receive is limited to the number of hours under either follow-up diabetes self-management training services or medical nutrition therapy for any 12 month period.

    (c) Referrals. Referral may only be made by the treating physician when the beneficiary has been diagnosed with diabetes or renal disease as defined in this subpart with documentation maintained by the referring physician in the beneficiary's medical record. Referrals must be made for each episode of care and any reassessments or follow-up interventions during an episode of care.

    (d) Reassessments and follow-up interventions. Reassessments and follow-up interventions are only covered within an episode of care when the referring physician determines there is a change of diagnosis or medical condition within such episode of care that makes a change in diet necessary.

    Provider qualifications.

    For Medicare Part B coverage of medical nutrition therapy, only a registered dietitian or nutrition professional may provide the services. “Registered dietitian or nutrition professional” means an individual who on or after December 22, 2000—

    (a) Holds a bachelor's or higher degree granted by a regionally accredited college or university in the United States (or an equivalent foreign degree) with completion of the academic requirements of a program in nutrition or dietetics, as accredited by an appropriate national accreditation organization recognized for this purpose;

    (b) Has completed at least 900 hours of supervised dietetics practice under the supervision of a registered dietitian or nutrition professional; and

    (c) Is licensed or certified as a dietitian or nutrition professional by the State in which the services are performed. In a State that does not provide for licensure or certification, the individual will be deemed to have met this requirement if he or she is recognized as a “registered dietitian” by the Commission on Dietetic Registration or its successor organization, or meets the requirements of paragraphs (a) and (b) of this section; or a dietitian or nutritionist licensed or certified in a State as of December 21, 2000.

    End Part Start Part

    PART 411—EXCLUSIONS FROM MEDICARE AND LIMITATIONS ON MEDICARE PAYMENT

    1. The authority citation for part 411 continues to read as follows:

    Start Authority

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

    End Authority

    2. In § 411.15, paragraph (a)(1) is revised, and a new paragraph (k)(10) is added to 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 examinations, prostate cancer screening tests, or glaucoma screening exams that meet the criteria specified in paragraphs (k)(6) through (k)(10) of this section.

    * * * * *

    (k) * * *

    (10) In the case of screening exams for glaucoma, for the purpose of early detection of glaucoma, subject to the conditions and limitations specified in § 410.23 of this chapter.

    * * * * *
    End Part Start Part

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

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

    Start Authority

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

    End Authority

    2. In 414.2, the definition of “Physician services” is amended by Start Printed Page 40406adding a new paragraph (8) to read as follows:

    Definitions.
    * * * * *

    Physician Services * * *

    (8) Screening mammography services.

    * * * * *

    3. A new § 414.64 is added to read as follows:

    Payment for medical nutrition therapy.

    (a) Payment under the physician fee schedule. Medicare payment for medical nutrition therapy is made under the physician fee schedule in accordance with subpart B of this part.

    (b) To whom payment may be made. Payment may be made to a supplier (registered dietitian or nutrition professional) approved by CMS to furnish medical nutrition therapy in accordance with part 410, subpart G of this chapter.

    (c) Effective date of payment. Medicare pays suppliers of medical nutrition therapy on or after the effective date of enrollment of the supplier at the carrier.

    (d) Limitation on payment. Payment is made only for nutritional therapy sessions actually attended by the beneficiary and documented for payment purposes.

    (e) Other conditions for fee-for-service payment. Payment is made only if the beneficiary:

    (1) Is not an inpatient of a hospital, SNF, nursing home, or hospice.

    (2) Is not receiving services in an RHC, FQHC or ESRD dialysis facility.

    4. Section 414.65 is revised to read as follows:

    Payment for office or other outpatient visits, consultation, individual psychotherapy, and pharmacologic management via interactive telecommunications systems.

    (a) Professional service. Medicare payment for the professional service via an interactive telecommunications system is made according to the following limitations:

    (1) The Medicare payment amount for office or other outpatient visits, consultation, individual psychotherapy, and pharmacologic management via an interactive telecommunications system is equal to the current fee schedule amount applicable to services of the physician or practitioner.

    (2) Only the physician or practitioner at the distant site may bill and receive payment for the professional service via an interactive telecommunications system.

    (3) Payments made to the physician or practitioner at the distant site, including deductible and coinsurance, for the professional service may not be shared with the referring practitioner or telepresenter.

    (b) Originating site facility fee. For office or other outpatient visits, consultation, individual psychotherapy, or pharmacologic management services delivered via an interactive telecommunications system furnished on or after October 1, 2001.

    (1) Payment amount. For services furnished on or after October 1, 2001 through December 31, 2002, the payment amount to the originating site is the lesser of the actual charge or the originating site facility fee of $20. For services furnished on or after January 1 of each subsequent year, the facility fee for the originating site will be updated by the Medicare Economic Index (MEI) as defined in section 1842(i)(3) of the Act.

    (2) Who may bill for the originating site facility fee. Only the originating site may bill for the originating site facility fee and only on an assignment-related basis. The distant site physician or practitioner may not bill for or receive payment for facility fees associated with the professional service furnished via an interactive telecommunications system.

    (c) Deductible and coinsurance apply. The payment for the professional service and originating site facility fee is subject to the coinsurance and deductible requirements of sections 1833(a)(1) and (b) of the Act.

    (d) Sanctions. A distant site practitioner or originating site facility may be subject to the applicable sanctions provided for in chapter IV, part 402 and chapter V, parts 1001, 1002, and 1003 of this title if he or she does any of the following:

    (1) Knowingly and willfully bills or collects for services in violation of the limitation of this section.

    (2) Fails to timely correct excess charges by reducing the actual charge billed for the service in an amount that does not exceed the limiting charge for the service or fails to timely refund excess collections.

    (3) Fails to submit a claim on a standard form for services provided for which payment is made on a fee schedule basis; or

    (4) Imposes a charge for completing and submitting the standard claims form.

    End Part Start Part

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

    1. 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

    2. Section 415.130 is amended by:

    A. Redesignating paragraphs (a), (b), and (c) as paragraphs (b), (c), and (d).

    B. Adding a new paragraph (a).

    C. Amending newly designated paragraph (b)(3) by removing the reference “paragraph (b)” and adding “paragraph (c)” in its place.

    D. Amending newly designated paragraph (b)(4) by removing the reference “paragraphs (b)(1), (b)(3), and (b)(4)” and adding “paragraphs (c)(1), (c)(3), and (c)(4)” in their place.

    E. Revising newly designated paragraph (d).

    Conditions for payment: Physician pathology services.

    (a) Definitions. The following definitions are used in this section.

    (1) Covered hospital means, with respect to an inpatient or an outpatient, a hospital that had an arrangement with an independent laboratory that was in effect as of July 22, 1999, under which a laboratory furnished the technical component of physician pathology services to fee-for-service Medicare beneficiaries who were hospital inpatients or outpatients, and submitted claims for payment for this technical component to a Medicare carrier and not to the hospital.

    (2) Fee-for-service Medicare beneficiaries means those beneficiaries who are entitled to benefits under Part A or are enrolled under Part B of Title XVIII of the Act or both and are not enrolled in any of the following:

    (i) A Medicare+Choice plan under Part C of Title XVIII of the Act.

    (ii) A plan offered by an eligible organization under section 1876 of the Act;

    (iii) A program of all-inclusive care for the elderly (PACE) under 1894 of the Act; or

    (iv) A social health maintenance organization (SHMO) demonstration project established under section 4018(b) of the Omnibus Budget Reconciliation Act of 1987.

    * * * * *

    (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 before January 1, 2001 may be paid on a fee schedule basis. After December 31, 2001 but before January 1, 2003, if an independent laboratory furnishes the technical component of a physician pathology service to a fee-for-service Medicare beneficiary who is an Start Printed Page 40407inpatient or outpatient of a covered hospital, the carrier will treat the technical component as a service for which payment will be made to the laboratory under the physician fee schedule. The service will not be treated as an inpatient hospital service for which payment is made to the hospital under section 1886(d) of the Act or as an outpatient hospital service for which payment is made to the hospital under section 1833(t) of the Act. After December 31, 2002, the technical component for physician pathology services furnished by an independent laboratory to a hospital inpatient or outpatient is paid only to the hospital.

    Start Signature

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

    Dated: June 19, 2001.

    Thomas A. Scully,

    Administrator, Health Care Financing Administration.

    Approved: July 12, 2001.

    Tommy G. Thompson,

    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 2002. Addendum B contains the RVUs for work, non-facility practice expense, facility practice expense, and malpractice expense, and other information for all services included in the physician fee schedule.

    Addendum B—2002 Relative Value Units and Related Information Used in Determining Medicare Payments for 2002

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

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

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

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

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

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

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

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

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

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

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

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

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

    End Part

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

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

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

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

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

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

    5. Physician work RVUs. These are the RVUs for the physician work for this service in 2000. Codes that are not used for Medicare payment are identified with a “+.”

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

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

    8. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2000.

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

    10. Non-facility total. This is the sum of the work, fully implemented non-facility practice expense, and malpractice expense RVUs.Start Printed Page 40408

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

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

    XXX = The global concept does not apply.

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

    ZZZ = The code is part of another service and falls within the global period for the other service.

    —————————— 1 CPT codes and descriptions only are copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright 1994 American Dental Association. All rights reserved. 3 + Indicates RVUs are not used for Medicare payments. 4 PE RVUs = Practice Expense Relative Value Units.Start Printed Page 40408

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

    CPT 1/HCPCS 2MODStatusDescriptionPhysician Work RVUs 3Facility PE RVUsNon- Facility PE RVUsMal- Practice RVUsFacility TotalNon- Facility TotalGlobal
    10040AAcne surgery of skin abscess1.180.521.630.051.752.86010
    10060ADrainage of skin abscess1.170.661.350.081.912.60010
    10061ADrainage of skin abscess2.401.152.070.173.724.64010
    10080ADrainage of pilonidal cyst1.170.712.110.091.973.37010
    10081ADrainage of pilonidal cyst2.451.552.890.194.195.53010
    10120ARemove foreign body1.220.731.830.102.053.15010
    10121ARemove foreign body2.691.772.830.254.715.77010
    10140ADrainage of hematoma/fluid1.530.871.420.152.553.10010
    10160APuncture drainage of lesion1.200.771.560.112.082.87010
    10180AComplex drainage, wound2.251.251.510.253.754.01010
    11000ADebride infected skin0.600.240.580.050.891.23000
    11001ADebride infected skin add-on0.300.110.340.020.430.66ZZZ
    11010ADebride skin, fx4.202.002.510.456.657.16010
    11011ADebride skin/muscle, fx4.952.593.870.538.079.35000
    11012ADebride skin/muscle/bone, fx6.884.215.670.8911.9813.44000
    11040ADebride skin, partial0.500.210.500.050.761.05000
    11041ADebride skin, full0.820.340.670.081.241.57000
    11042ADebride skin/tissue1.120.460.950.111.692.18000
    11043ADebride tissue/muscle2.381.382.600.244.005.22010
    11044ADebride tissue/muscle/bone3.061.803.110.345.206.51010
    11055RTrim skin lesion0.270.120.380.020.410.67000
    11056RTrim skin lesion, 2 to 40.390.170.420.030.590.84000
    11057RTrim skin lesions, over 40.500.220.460.040.761.00000
    11100ABiopsy of skin lesion0.810.381.490.041.232.34000
    11101ABiopsy, skin add-on0.410.200.700.020.631.13ZZZ
    11200ARemoval of skin tags0.770.311.170.041.121.98010
    11201ARemove skin tags add-on0.290.120.520.020.430.83ZZZ
    11300AShave skin lesion0.510.221.020.030.761.56000
    11301AShave skin lesion0.850.381.110.041.272.00000
    11302AShave skin lesion1.050.481.210.051.582.31000
    11303AShave skin lesion1.240.541.340.061.842.64000
    11305AShave skin lesion0.670.290.810.041.001.52000
    11306AShave skin lesion0.990.431.060.051.472.10000
    11307AShave skin lesion1.140.511.180.051.702.37000
    11308AShave skin lesion1.410.631.270.072.112.75000
    11310AShave skin lesion0.730.331.120.041.101.89000
    11311AShave skin lesion1.050.501.230.051.602.33000
    11312AShave skin lesion1.200.571.300.061.832.56000
    11313AShave skin lesion1.620.751.580.092.463.29000
    11400ARemoval of skin lesion0.910.732.420.061.703.39010
    11401ARemoval of skin lesion1.320.882.430.092.293.84010
    11402ARemoval of skin lesion1.610.962.520.122.694.25010
    11403ARemoval of skin lesion1.921.072.760.163.154.84010
    11404ARemoval of skin lesion2.201.172.920.183.555.30010
    11406ARemoval of skin lesion2.761.383.200.254.396.21010
    11420ARemoval of skin lesion1.060.772.030.081.913.17010
    11421ARemoval of skin lesion1.530.992.360.112.634.00010
    11422ARemoval of skin lesion1.761.062.510.142.964.41010
    11423ARemoval of skin lesion2.171.222.940.173.565.28010
    11424ARemoval of skin lesion2.621.413.090.214.245.92010
    11426ARemoval of skin lesion3.781.853.740.345.977.86010
    11440ARemoval of skin lesion1.150.922.540.082.153.77010
    11441ARemoval of skin lesion1.611.162.700.112.884.42010
    11442ARemoval of skin lesion1.871.252.770.143.264.78010
    11443ARemoval of skin lesion2.491.593.320.184.265.99010
    11444ARemoval of skin lesion3.422.003.740.255.677.41010
    11446ARemoval of skin lesion4.492.494.180.307.288.97010
    11450ARemoval, sweat gland lesion2.731.054.020.264.047.01090
    11451ARemoval, sweat gland lesion3.951.594.830.395.939.17090
    11462ARemoval, sweat gland lesion2.510.984.140.233.726.88090
    11463ARemoval, sweat gland lesion3.951.625.630.405.979.98090
    11470ARemoval, sweat gland lesion3.251.284.410.304.837.96090
    11471ARemoval, sweat gland lesion4.411.775.420.406.5810.23090
    Start Printed Page 40409
    11600ARemoval of skin lesion1.410.942.570.092.444.07010
    11601ARemoval of skin lesion1.931.082.630.123.134.68010
    11602ARemoval of skin lesion2.091.322.690.133.544.91010
    11603ARemoval of skin lesion2.351.392.880.163.905.39010
    11604ARemoval of skin lesion2.581.463.070.184.225.83010
    11606ARemoval of skin lesion3.431.753.630.285.467.34010
    11620ARemoval of skin lesion1.340.892.530.092.323.96010
    11621ARemoval of skin lesion1.971.352.670.123.444.76010
    11622ARemoval of skin lesion2.341.502.840.153.995.33010
    11623ARemoval of skin lesion2.931.712.790.204.845.92010
    11624ARemoval of skin lesion3.431.933.160.255.616.84010
    11626ARemoval of skin lesion4.302.344.180.356.998.83010
    11640ARemoval of skin lesion1.531.112.620.102.744.25010
    11641ARemoval of skin lesion2.441.662.960.154.255.55010
    11642ARemoval of skin lesion2.931.882.890.184.996.00010
    11643ARemoval of skin lesion3.502.173.250.245.916.99010
    11644ARemoval of skin lesion4.552.683.910.337.568.79010
    11646ARemoval of skin lesion5.953.385.190.469.7911.60010
    11719RTrim nail(s)0.110.070.540.010.190.66000
    11720ADebride nail, 1-50.320.130.420.020.470.76000
    11721ADebride nail, 6 or more0.540.220.530.040.801.11000
    11730ARemoval of nail plate1.130.460.740.091.681.96000
    11732ARemove nail plate, add-on0.570.240.290.050.860.91ZZZ
    11740ADrain blood from under nail0.370.140.680.030.541.08000
    11750ARemoval of nail bed1.860.791.550.162.813.57010
    11752ARemove nail bed/finger tip2.671.751.990.334.754.99010
    11755ABiopsy, nail unit1.310.591.030.061.962.40000
    11760ARepair of nail bed1.581.191.700.172.943.45010
    11762AReconstruction of nail bed2.891.872.150.325.085.36010
    11765AExcision of nail fold, toe0.690.450.970.051.191.71010
    11770ARemoval of pilonidal lesion2.611.262.970.244.115.82010
    11771ARemoval of pilonidal lesion5.743.925.340.5610.2211.64090
    11772ARemoval of pilonidal lesion6.984.366.120.6812.0213.78090
    11900AInjection into skin lesions0.520.230.760.020.771.30000
    11901AAdded skin lesions injection0.800.370.890.031.201.72000
    11920RCorrect skin color defects1.610.832.240.172.614.02000
    11921RCorrect skin color defects1.931.042.630.213.184.77000
    11922RCorrect skin color defects0.490.260.390.050.800.93ZZZ
    11950RTherapy for contour defects0.840.471.280.061.372.18000
    11951RTherapy for contour defects1.190.541.710.101.833.00000
    11952RTherapy for contour defects1.690.892.150.172.754.01000
    11954RTherapy for contour defects1.850.942.850.192.984.89000
    11960AInsert tissue expander(s)9.0810.76NA0.8820.72NA090
    11970AReplace tissue expander7.065.06NA0.7712.89NA090
    11971ARemove tissue expander(s)2.133.866.150.216.208.49090
    11975NInsert contraceptive cap+1.480.591.540.142.213.16XXX
    11976RRemoval of contraceptive cap1.780.771.580.172.723.53XXX
    11977NRemoval/reinsert contra cap+3.301.302.250.314.915.86XXX
    11980AImplant hormone pellet(s)1.480.631.130.102.212.71000
    12001ARepair superficial wound(s)1.700.832.310.132.664.14010
    12002ARepair superficial wound(s)1.860.862.410.152.874.42010
    12004ARepair superficial wound(s)2.240.982.590.173.395.00010
    12005ARepair superficial wound(s)2.861.233.050.234.326.14010
    12006ARepair superficial wound(s)3.671.924.150.315.908.13010
    12007ARepair superficial wound(s)4.122.244.630.376.739.12010
    12011ARepair superficial wound(s)1.760.832.370.142.734.27010
    12013ARepair superficial wound(s)1.990.892.530.163.044.68010
    12014ARepair superficial wound(s)2.461.062.830.183.705.47010
    12015ARepair superficial wound(s)3.191.263.260.244.696.69010
    12016ARepair superficial wound(s)3.931.503.790.325.758.04010
    12017ARepair superficial wound(s)4.712.445.410.397.5410.51010
    12018ARepair superficial wound(s)5.532.696.310.468.6812.30010
    12020AClosure of split wound2.621.452.600.244.315.46010
    12021AClosure of split wound1.841.122.110.193.154.14010
    12031ALayer closure of wound(s)2.151.192.740.153.495.04010
    12032ALayer closure of wound(s)2.471.272.800.153.895.42010
    12034ALayer closure of wound(s)2.921.443.060.214.576.19010
    12035ALayer closure of wound(s)3.431.653.030.305.386.76010
    12036ALayer closure of wound(s)4.052.475.200.416.939.66010
    12037ALayer closure of wound(s)4.672.825.610.497.9810.77010
    12041ALayer closure of wound(s)2.371.263.030.173.805.57010
    12042ALayer closure of wound(s)2.741.413.010.174.325.92010
    12044ALayer closure of wound(s)3.141.613.170.244.996.55010
    12045ALayer closure of wound(s)3.641.843.580.345.827.56010
    Start Printed Page 40410
    12046ALayer closure of wound(s)4.252.535.310.407.189.96010
    12047ALayer closure of wound(s)4.652.905.940.417.9611.00010
    12051ALayer closure of wound(s)2.471.413.000.164.045.63010
    12052ALayer closure of wound(s)2.771.372.970.174.315.91010
    12053ALayer closure of wound(s)3.121.513.110.204.836.43010
    12054ALayer closure of wound(s)3.461.633.430.255.347.14010
    12055ALayer closure of wound(s)4.432.144.670.356.929.45010
    12056ALayer closure of wound(s)5.242.866.760.438.5312.43010
    12057ALayer closure of wound(s)5.963.886.670.5010.3413.13010
    13100ARepair of wound or lesion3.121.853.380.215.186.71010
    13101ARepair of wound or lesion3.922.313.610.226.457.75010
    13102ARepair wound/lesion add-on1.240.580.740.101.922.08ZZZ
    13120ARepair of wound or lesion3.301.923.490.235.457.02010
    13121ARepair of wound or lesion4.332.403.820.256.988.40010
    13122ARepair wound/lesion add-on1.440.670.860.122.232.42ZZZ
    13131ARepair of wound or lesion3.792.223.730.256.267.77010
    13132ARepair of wound or lesion5.953.284.560.329.5510.83010
    13133ARepair wound/lesion add-on2.191.021.210.173.383.57ZZZ
    13150ARepair of wound or lesion3.812.685.270.296.789.37010
    13151ARepair of wound or lesion4.453.135.180.287.869.91010
    13152ARepair of wound or lesion6.334.035.890.3810.7412.60010
    13153ARepair wound/lesion add-on2.381.111.340.183.673.90ZZZ
    13160ALate closure of wound10.486.24NA1.1917.91NA090
    14000ASkin tissue rearrangement5.894.637.500.4610.9813.85090
    14001ASkin tissue rearrangement8.475.998.930.6515.1118.05090
    14020ASkin tissue rearrangement6.595.368.110.5012.4515.20090
    14021ASkin tissue rearrangement10.067.169.380.6917.9120.13090
    14040ASkin tissue rearrangement7.876.128.330.5314.5216.73090
    14041ASkin tissue rearrangement11.497.9810.130.6820.1522.30090
    14060ASkin tissue rearrangement8.506.978.820.5916.0617.91090
    14061ASkin tissue rearrangement12.298.9210.970.7521.9624.01090
    14300ASkin tissue rearrangement11.768.5010.370.8821.1423.01090
    14350ASkin tissue rearrangement9.616.41NA1.0917.11NA090
    15000ASkin graft4.001.922.520.376.296.89000
    15001ASkin graft add-on1.000.430.560.111.541.67ZZZ
    15050ASkin pinch graft4.303.944.910.468.709.67090
    15100ASkin split graft9.056.176.260.9416.1616.25090
    15101ASkin split graft add-on1.720.751.210.182.653.11ZZZ
    15120ASkin split graft9.836.678.990.8717.3719.69090
    15121ASkin split graft add-on2.671.251.570.274.194.51ZZZ
    15200ASkin full graft8.035.649.590.7314.4018.35090
    15201ASkin full graft add-on1.320.651.000.142.112.46ZZZ
    15220ASkin full graft7.876.239.660.6814.7818.21090
    15221ASkin full graft add-on1.190.581.000.121.892.31ZZZ
    15240ASkin full graft9.047.129.280.7716.9319.09090
    15241ASkin full graft add-on1.860.961.530.172.993.56ZZZ
    15260ASkin full graft10.067.539.160.6318.2219.85090
    15261ASkin full graft add-on2.231.161.630.173.564.03ZZZ
    15342ACultured skin graft, 25 cm1.000.792.180.392.183.57010
    15343ACulture skn graft addl 25 cm0.250.100.270.090.440.61ZZZ
    15350ASkin homograft4.004.377.370.428.7911.79090
    15351ASkin homograft add-on1.000.420.940.111.532.05ZZZ
    15400ASkin heterograft4.004.964.960.409.369.36090
    15401ASkin heterograft add-on1.000.461.140.111.572.25ZZZ
    15570AForm skin pedicle flap9.216.278.420.9616.4418.59090
    15572AForm skin pedicle flap9.276.187.540.9316.3817.74090
    15574AForm skin pedicle flap9.886.948.530.9217.7419.33090
    15576AForm skin pedicle flap8.696.358.970.7215.7618.38090
    15600ASkin graft1.912.346.620.194.448.72090
    15610ASkin graft2.422.704.560.255.377.23090
    15620ASkin graft2.943.296.920.286.5110.14090
    15630ASkin graft3.273.736.190.287.289.74090
    15650ATransfer skin pedicle flap3.973.846.260.368.1710.59090
    15732AMuscle-skin graft, head/neck17.8411.39NA1.5030.73NA090
    15734AMuscle-skin graft, trunk17.7911.31NA1.9131.01NA090
    15736AMuscle-skin graft, arm16.2710.77NA1.7828.82NA090
    15738AMuscle-skin graft, leg17.9211.27NA1.9531.14NA090
    15740AIsland pedicle flap graft10.257.128.870.6217.9919.74090
    15750ANeurovascular pedicle graft11.418.05NA1.1220.58NA090
    15756AFree muscle flap, microvasc35.2318.80NA3.1157.14NA090
    15757AFree skin flap, microvasc35.2322.15NA3.3760.75NA090
    15758AFree fascial flap, microvasc35.1022.48NA3.5261.10NA090
    15760AComposite skin graft8.746.799.310.7216.2518.77090
    15770ADerma-fat-fascia graft7.526.02NA0.7814.32NA090
    Start Printed Page 40411
    15775RHair transplant punch grafts3.961.583.040.435.977.43000
    15776RHair transplant punch grafts5.542.943.880.609.0810.02000
    15780AAbrasion treatment of skin7.296.306.300.4114.0014.00090
    15781AAbrasion treatment of skin4.854.764.760.279.889.88090
    15782AAbrasion treatment of skin4.324.104.100.218.638.63090
    15783AAbrasion treatment of skin4.293.464.450.268.019.00090
    15786AAbrasion, lesion, single2.031.271.690.113.413.83010
    15787AAbrasion, lesions, add-on0.330.170.370.020.520.72ZZZ
    15788RChemical peel, face, epiderm2.091.053.000.113.255.20090
    15789RChemical peel, face, dermal4.923.675.590.278.8610.78090
    15792RChemical peel, nonfacial1.861.812.770.103.774.73090
    15793AChemical peel, nonfacial3.743.34NA0.177.25NA090
    15810ASalabrasion4.743.853.850.429.019.01090
    15811ASalabrasion5.394.034.030.529.949.94090
    15819APlastic surgery, neck9.386.82NA0.7716.97NA090
    15820ARevision of lower eyelid5.156.5510.910.3012.0016.36090
    15821ARevision of lower eyelid5.726.6711.610.3112.7017.64090
    15822ARevision of upper eyelid4.455.868.920.2210.5313.59090
    15823ARevision of upper eyelid7.056.9510.060.3214.3217.43090
    15824RRemoval of forehead wrinkles0.000.000.000.000.000.00XXX
    15825RRemoval of neck wrinkles0.000.000.000.000.000.00XXX
    15826RRemoval of brow wrinkles0.000.000.000.000.000.00XXX
    15828RRemoval of face wrinkles0.000.000.000.000.000.00XXX
    15829RRemoval of skin wrinkles0.000.000.000.000.000.00XXX
    15831AExcise excessive skin tissue12.408.14NA1.3021.84NA090
    15832AExcise excessive skin tissue11.597.81NA1.2120.61NA090
    15833AExcise excessive skin tissue10.647.55NA1.1719.36NA090
    15834AExcise excessive skin tissue10.856.03NA1.1818.06NA090
    15835AExcise excessive skin tissue11.675.70NA1.1318.50NA090
    15836AExcise excessive skin tissue9.346.16NA0.9516.45NA090
    15837AExcise excessive skin tissue8.436.107.850.7815.3117.06090
    15838AExcise excessive skin tissue7.135.70NA0.5813.41NA090
    15839AExcise excessive skin tissue9.385.957.600.8816.2117.86090
    15840AGraft for face nerve palsy13.269.84NA1.1524.25NA090
    15841AGraft for face nerve palsy23.2615.24NA2.6541.15NA090
    15842AFlap for face nerve palsy37.9621.68NA3.9963.63NA090
    15845ASkin and muscle repair, face12.578.65NA0.8022.02NA090
    15850BRemoval of sutures+0.780.311.370.041.132.19XXX
    15851ARemoval of sutures0.860.351.560.051.262.47000
    15852ADressing change,not for burn0.860.361.760.071.292.69000
    15860ATest for blood flow in graft1.950.801.310.132.883.39000
    15876RSuction assisted lipectomy0.000.000.000.000.000.00XXX
    15877RSuction assisted lipectomy0.000.000.000.000.000.00XXX
    15878RSuction assisted lipectomy0.000.000.000.000.000.00XXX
    15879RSuction assisted lipectomy0.000.000.000.000.000.00XXX
    15920ARemoval of tail bone ulcer7.955.38NA0.8314.16NA090
    15922ARemoval of tail bone ulcer9.907.27NA1.0618.23NA090
    15931ARemove sacrum pressure sore9.245.59NA0.9515.78NA090
    15933ARemove sacrum pressure sore10.857.74NA1.1419.73NA090
    15934ARemove sacrum pressure sore12.698.36NA1.3522.40NA090
    15935ARemove sacrum pressure sore14.5710.35NA1.5626.48NA090
    15936ARemove sacrum pressure sore12.388.98NA1.3222.68NA090
    15937ARemove sacrum pressure sore14.2110.45NA1.5126.17NA090
    15940ARemove hip pressure sore9.345.94NA0.9816.26NA090
    15941ARemove hip pressure sore11.439.77NA1.2322.43NA090
    15944ARemove hip pressure sore11.468.68NA1.2121.35NA090
    15945ARemove hip pressure sore12.699.83NA1.3823.90NA090
    15946ARemove hip pressure sore21.5714.57NA2.3238.46NA090
    15950ARemove thigh pressure sore7.545.17NA0.8013.51NA090
    15951ARemove thigh pressure sore10.727.67NA1.1419.53NA090
    15952ARemove thigh pressure sore11.397.38NA1.1919.96NA090
    15953ARemove thigh pressure sore12.638.89NA1.3822.90NA090
    15956ARemove thigh pressure sore15.5210.60NA1.6427.76NA090
    15958ARemove thigh pressure sore15.4810.97NA1.6628.11NA090
    15999CRemoval of pressure sore0.000.000.000.000.000.00YYY
    16000AInitial treatment of burn(s)0.890.271.060.061.222.01000
    16010ATreatment of burn(s)0.870.381.170.071.322.11000
    16015ATreatment of burn(s)2.350.971.930.223.544.50000
    16020ATreatment of burn(s)0.800.261.170.061.122.03000
    16025ATreatment of burn(s)1.850.681.870.162.693.88000
    16030ATreatment of burn(s)2.080.933.030.183.195.29000
    16035AIncision of burn scab, initi3.751.53NA0.365.64NA090
    16036AIncise burn scab, addl incis1.500.61NA0.182.29NAZZZ
    17000ADestroy benign/premal lesion0.600.271.090.030.901.72010
    Start Printed Page 40412
    17003ADestroy lesions, 2-140.150.070.240.010.230.40ZZZ
    17004ADestroy lesions, 15 or more2.791.292.560.124.205.47010
    17106ADestruction of skin lesions4.592.684.680.287.559.55090
    17107ADestruction of skin lesions9.164.756.800.5314.4416.49090
    17108ADestruction of skin lesions13.207.278.630.8921.3622.72090
    17110ADestruct lesion, 1-140.650.261.070.040.951.76010
    17111ADestruct lesion, 15 or more0.920.401.130.041.362.09010
    17250AChemical cautery, tissue0.500.210.710.040.751.25000
    17260ADestruction of skin lesions0.910.421.370.041.372.32010
    17261ADestruction of skin lesions1.170.551.480.051.772.70010
    17262ADestruction of skin lesions1.580.751.680.072.403.33010
    17263ADestruction of skin lesions1.790.821.790.082.693.66010
    17264ADestruction of skin lesions1.940.841.870.082.863.89010
    17266ADestruction of skin lesions2.340.942.080.113.394.53010
    17270ADestruction of skin lesions1.320.621.570.062.002.95010
    17271ADestruction of skin lesions1.490.721.640.062.273.19010
    17272ADestruction of skin lesions1.770.851.780.072.693.62010
    17273ADestruction of skin lesions2.050.981.930.093.124.07010
    17274ADestruction of skin lesions2.591.192.190.113.894.89010
    17276ADestruction of skin lesions3.201.712.500.155.065.85010
    17280ADestruction of skin lesions1.170.541.400.051.762.62010
    17281ADestruction of skin lesions1.720.831.760.072.623.55010
    17282ADestruction of skin lesions2.040.991.920.093.124.05010
    17283ADestruction of skin lesions2.641.242.230.113.994.98010
    17284ADestruction of skin lesions3.211.502.520.144.855.87010
    17286ADestruction of skin lesions4.442.483.150.227.147.81010
    17304AChemosurgery of skin lesion7.603.677.750.3111.5815.66000
    17305A2nd stage chemosurgery2.851.383.600.124.356.57000
    17306A3rd stage chemosurgery2.851.393.640.124.366.61000
    17307AFollowup skin lesion therapy2.851.413.160.124.386.13000
    17310AExtensive skin chemosurgery0.950.481.490.051.482.49000
    17340ACryotherapy of skin0.760.271.360.041.072.16010
    17360ASkin peel therapy1.430.701.480.062.192.97010
    17380RHair removal by electrolysis0.000.000.000.000.000.00XXX
    17999CSkin tissue procedure0.000.000.000.000.000.00YYY
    19000ADrainage of breast lesion0.840.291.230.071.202.14000
    19001ADrain breast lesion add-on0.420.150.830.030.601.28ZZZ
    19020AIncision of breast lesion3.573.416.960.357.3310.88090
    19030AInjection for breast x-ray1.530.5311.250.072.1312.85000
    19100ABiopsy of breast1.270.453.560.101.824.93000
    19101ABiopsy of breast, open3.183.0910.620.206.4714.00010
    19102ABx breast percut w/image2.000.714.880.082.796.96000
    19103ABx breast percut w/device2.370.8411.460.083.2913.91000
    19110ANipple exploration4.304.408.430.449.1413.17090
    19112AExcise breast duct fistula3.673.097.240.387.1411.29090
    19120ARemoval of breast lesion5.563.554.410.569.6710.53090
    19125AExcision, breast lesion6.063.705.020.6110.3711.69090
    19126AExcision, addl breast lesion2.931.05NA0.304.28NAZZZ
    19140ARemoval of breast tissue5.143.729.030.529.3814.69090
    19160ARemoval of breast tissue5.994.52NA0.6111.12NA090
    19162ARemove breast tissue, nodes13.537.94NA1.3822.85NA090
    19180ARemoval of breast8.805.97NA0.8815.65NA090
    19182ARemoval of breast7.735.01NA0.7913.53NA090
    19200ARemoval of breast15.499.24NA1.5126.24NA090
    19220ARemoval of breast15.729.22NA1.5626.50NA090
    19240ARemoval of breast16.008.82NA1.6226.44NA090
    19260ARemoval of chest wall lesion15.449.35NA1.6426.43NA090
    19271ARevision of chest wall18.9011.61NA2.2732.78NA090
    19272AExtensive chest wall surgery21.5512.54NA2.5436.63NA090
    19290APlace needle wire, breast1.270.445.080.061.776.41000
    19291APlace needle wire, breast0.630.221.720.030.882.38ZZZ
    19295APlace breast clip, percut0.00NA2.650.01NA2.66ZZZ
    19316ASuspension of breast10.697.65NA1.1519.49NA090
    19318AReduction of large breast15.6210.47NA1.6927.78NA090
    19324AEnlarge breast5.854.64NA0.6311.12NA090
    19325AEnlarge breast with implant8.456.82NA0.9016.17NA090
    19328ARemoval of breast implant5.684.63NA0.6110.92NA090
    19330ARemoval of implant material7.595.35NA0.8113.75NA090
    19340AImmediate breast prosthesis6.333.25NA0.6810.26NAZZZ
    19342ADelayed breast prosthesis11.208.01NA1.2120.42NA090
    19350ABreast reconstruction8.926.9214.290.9516.7924.16090
    19355ACorrect inverted nipple(s)7.576.1012.050.8014.4720.42090
    19357ABreast reconstruction18.1614.04NA1.9634.16NA090
    19361ABreast reconstruction19.2612.20NA2.0833.54NA090
    Start Printed Page 40413
    19364ABreast reconstruction41.0022.78NA3.9167.69NA090
    19366ABreast reconstruction21.2812.20NA2.2735.75NA090
    19367ABreast reconstruction25.7315.53NA2.7844.04NA090
    19368ABreast reconstruction32.4219.28NA3.5155.21NA090
    19369ABreast reconstruction29.8218.49NA3.2451.55NA090
    19370ASurgery of breast capsule8.056.21NA0.8615.12NA090
    19371ARemoval of breast capsule9.357.32NA1.0117.68NA090
    19380ARevise breast reconstruction9.147.21NA0.9817.33NA090
    19396ADesign custom breast implant2.170.805.350.233.207.75000
    19499CBreast surgery procedure0.000.000.000.000.000.00YYY
    20000AIncision of abscess2.121.192.010.173.484.30010
    20005AIncision of deep abscess3.422.202.920.345.966.68010
    20100AExplore wound, neck10.084.475.920.9915.5416.99010
    20101AExplore wound, chest3.221.303.000.244.766.46010
    20102AExplore wound, abdomen3.941.673.340.355.967.63010
    20103AExplore wound, extremity5.302.984.100.578.859.97010
    20150AExcise epiphyseal bar13.697.83NA0.9622.48NA090
    20200AMuscle biopsy1.460.621.720.172.253.35000
    20205ADeep muscle biopsy2.350.983.720.233.566.30000
    20206ANeedle biopsy, muscle0.990.363.150.061.414.20000
    20220ABone biopsy, trocar/needle1.273.024.980.064.356.31000
    20225ABone biopsy, trocar/needle1.873.034.520.115.016.50000
    20240ABone biopsy, excisional3.234.07NA0.337.63NA010
    20245ABone biopsy, excisional7.786.69NA0.4414.91NA010
    20250AOpen bone biopsy5.034.30NA0.509.83NA010
    20251AOpen bone biopsy5.564.74NA0.7911.09NA010
    20500AInjection of sinus tract1.234.035.370.105.366.70010
    20501AInject sinus tract for x-ray0.760.2613.460.031.0514.25000
    20520ARemoval of foreign body1.853.375.400.175.397.42010
    20525ARemoval of foreign body3.504.156.660.408.0510.56010
    20550AInject tendon/ligament/cyst0.860.222.050.061.142.97000
    20600ADrain/inject, joint/bursa0.660.271.380.060.992.10000
    20605ADrain/inject, joint/bursa0.680.271.710.061.012.45000
    20610ADrain/inject, joint/bursa0.790.562.110.081.432.98000
    20615ATreatment of bone cyst2.282.514.520.194.986.99010
    20650AInsert and remove bone pin2.232.904.380.285.416.89010
    20660AApply,remove fixation device2.511.49NA0.484.48NA000
    20661AApplication of head brace4.896.47NA0.9212.28NA090
    20662AApplication of pelvis brace6.075.15NA0.8112.03NA090
    20663AApplication of thigh brace5.434.78NA0.7710.98NA090
    20664AHalo brace application8.068.21NA1.4917.76NA090
    20665ARemoval of fixation device1.311.232.340.172.713.82010
    20670ARemoval of support implant1.743.375.510.235.347.48010
    20680ARemoval of support implant3.354.984.980.468.798.79090
    20690AApply bone fixation device3.521.89NA0.475.88NA090
    20692AApply bone fixation device6.412.50NA0.609.51NA090
    20693AAdjust bone fixation device5.8611.53NA0.8518.24NA090
    20694ARemove bone fixation device4.165.778.180.5710.5012.91090
    20802AReplantation, arm, complete41.1531.17NA5.8178.13NA090
    20805AReplant, forearm, complete50.0049.91NA3.95103.86NA090
    20808AReplantation hand, complete61.6543.88NA6.49112.02NA090
    20816AReplantation digit, complete30.9443.13NA3.0177.08NA090
    20822AReplantation digit, complete25.5939.51NA3.0768.17NA090
    20824AReplantation thumb, complete30.9436.86NA3.4871.28NA090
    20827AReplantation thumb, complete26.4145.96NA3.2175.58NA090
    20838AReplantation foot, complete41.4128.52NA5.8575.78NA090
    20900ARemoval of bone for graft5.585.836.770.7712.1813.12090
    20902ARemoval of bone for graft7.558.29NA1.0616.90NA090
    20910ARemove cartilage for graft5.346.698.210.5012.5314.05090
    20912ARemove cartilage for graft6.357.51NA0.5514.41NA090
    20920ARemoval of fascia for graft5.315.57NA0.5411.42NA090
    20922ARemoval of fascia for graft6.616.258.760.8813.7416.25090
    20924ARemoval of tendon for graft6.486.73NA0.8214.03NA090
    20926ARemoval of tissue for graft5.536.23NA0.7312.49NA090
    20930BSpinal bone allograft0.000.000.000.000.000.00XXX
    20931ASpinal bone allograft1.810.97NA0.343.12NAZZZ
    20936BSpinal bone autograft0.000.000.000.000.000.00XXX
    20937ASpinal bone autograft2.791.53NA0.434.75NAZZZ
    20938ASpinal bone autograft3.021.63NA0.525.17NAZZZ
    20950AFluid pressure, muscle1.262.10NA0.163.52NA000
    20955AFibula bone graft, microvasc39.2130.01NA4.3573.57NA090
    20956AIliac bone graft, microvasc39.2728.48NA5.7773.52NA090
    20957AMt bone graft, microvasc40.6524.37NA5.7470.76NA090
    20962AOther bone graft, microvasc39.2728.18NA5.1972.64NA090
    Start Printed Page 40414
    20969ABone/skin graft, microvasc43.9232.94NA4.3481.20NA090
    20970ABone/skin graft, iliac crest43.0630.40NA4.6478.10NA090
    20972ABone/skin graft, metatarsal42.9918.86NA6.0767.92NA090
    20973ABone/skin graft, great toe45.7622.15NA4.6572.56NA090
    20974AElectrical bone stimulation0.620.340.390.091.051.10000
    20975AElectrical bone stimulation2.601.42NA0.424.44NA000
    20979AUs bone stimulation0.620.250.560.040.911.22000
    20999CMusculoskeletal surgery0.000.000.000.000.000.00YYY
    21010AIncision of jaw joint10.147.05NA0.5417.73NA090
    21015AResection of facial tumor5.297.20NA0.5213.01NA090
    21025AExcision of bone, lower jaw10.066.867.380.7917.7118.23090
    21026AExcision of facial bone(s)4.854.835.490.4010.0810.74090
    21029AContour of face bone lesion7.716.116.870.7414.5615.32090
    21030ARemoval of face bone lesion6.464.885.390.6011.9412.45090
    21031ARemove exostosis, mandible3.242.113.340.285.636.86090
    21032ARemove exostosis, maxilla3.242.153.300.275.666.81090
    21034ARemoval of face bone lesion16.1710.6712.001.3728.2129.54090
    21040ARemoval of jaw bone lesion2.111.852.980.194.155.28090
    21041ARemoval of jaw bone lesion6.714.345.610.5611.6112.88090
    21044ARemoval of jaw bone lesion11.867.92NA0.8720.65NA090
    21045AExtensive jaw surgery16.1710.27NA1.2027.64NA090
    21050ARemoval of jaw joint10.7711.32NA0.8422.93NA090
    21060ARemove jaw joint cartilage10.2310.11NA1.1621.50NA090
    21070ARemove coronoid process8.206.09NA0.6714.96NA090
    21076APrepare face/oral prosthesis13.427.299.701.3622.0724.48010
    21077APrepare face/oral prosthesis33.7518.3424.393.4355.5261.57090
    21079APrepare face/oral prosthesis22.3412.6817.231.5936.6141.16090
    21080APrepare face/oral prosthesis25.1014.2519.362.5541.9047.01090
    21081APrepare face/oral prosthesis22.8812.9917.651.8737.7442.40090
    21082APrepare face/oral prosthesis20.8711.3415.081.4633.6737.41090
    21083APrepare face/oral prosthesis19.3010.9614.891.9632.2236.15090
    21084APrepare face/oral prosthesis22.5112.7817.361.5736.8641.44090
    21085APrepare face/oral prosthesis9.004.896.500.6514.5416.15010
    21086APrepare face/oral prosthesis24.9214.1519.221.8640.9346.00090
    21087APrepare face/oral prosthesis24.9213.5418.002.2240.6845.14090
    21088CPrepare face/oral prosthesis0.000.000.000.000.000.00090
    21089CPrepare face/oral prosthesis0.000.000.000.000.000.00090
    21100AMaxillofacial fixation4.224.065.890.188.4610.29090
    21110AInterdental fixation5.214.575.230.2810.0610.72090
    21116AInjection, jaw joint x-ray0.810.308.080.051.168.94000
    21120AReconstruction of chin4.936.3210.450.2911.5415.67090
    21121AReconstruction of chin7.645.828.090.5614.0216.29090
    21122AReconstruction of chin8.527.36NA0.5916.47NA090
    21123AReconstruction of chin11.168.54NA1.1620.86NA090
    21125AAugmentation, lower jaw bone10.628.729.170.7220.0620.51090
    21127AAugmentation, lower jaw bone11.126.699.640.7618.5721.52090
    21137AReduction of forehead9.826.95NA0.5317.30NA090
    21138AReduction of forehead12.199.93NA1.4723.59NA090
    21139AReduction of forehead14.619.39NA1.0225.02NA090
    21141AReconstruct midface, lefort18.1011.14NA1.6330.87NA090
    21142AReconstruct midface, lefort18.8111.26NA1.1631.23NA090
    21143AReconstruct midface, lefort19.5811.74NA0.9032.22NA090
    21145AReconstruct midface, lefort19.9411.43NA2.0933.46NA090
    21146AReconstruct midface, lefort20.7112.11NA2.1334.95NA090
    21147AReconstruct midface, lefort21.7713.27NA1.5236.56NA090
    21150AReconstruct midface, lefort25.2414.91NA1.0941.24NA090
    21151AReconstruct midface, lefort28.3018.38NA1.9848.66NA090
    21154AReconstruct midface, lefort30.5218.49NA4.8653.87NA090
    21155AReconstruct midface, lefort34.4518.24NA5.4858.17NA090
    21159AReconstruct midface, lefort42.3821.37NA6.7470.49NA090
    21160AReconstruct midface, lefort46.4424.49NA4.3975.32NA090
    21172AReconstruct orbit/forehead27.8018.30NA1.9148.01NA090
    21175AReconstruct orbit/forehead33.1718.70NA5.1657.03NA090
    21179AReconstruct entire forehead22.2518.90NA2.4843.63NA090
    21180AReconstruct entire forehead25.1919.28NA2.1546.62NA090
    21181AContour cranial bone lesion9.908.90NA0.9719.77NA090
    21182AReconstruct cranial bone32.1922.36NA2.5357.08NA090
    21183AReconstruct cranial bone35.3123.10NA2.7561.16NA090
    21184AReconstruct cranial bone38.2421.38NA4.1263.74NA090
    21188AReconstruction of midface22.4615.78NA1.8540.09NA090
    21193AReconst lwr jaw w/o graft17.1511.03NA1.5329.71NA090
    21194AReconst lwr jaw w/graft19.8412.07NA1.3933.30NA090
    21195AReconst lwr jaw w/o fixation17.2412.94NA1.2031.38NA090
    21196AReconst lwr jaw w/fixation18.9112.88NA1.6233.41NA090
    Start Printed Page 40415
    21198AReconstr lwr jaw segment14.1611.84NA1.0527.05NA090
    21199AReconstr lwr jaw w/advance16.0010.56NA1.0027.56NA090
    21206AReconstruct upper jaw bone14.1010.13NA1.0125.24NA090
    21208AAugmentation of facial bones10.238.4610.120.9219.6121.27090
    21209AReduction of facial bones6.725.698.960.6013.0116.28090
    21210AFace bone graft10.238.028.950.8819.1320.06090
    21215ALower jaw bone graft10.776.888.751.0418.6920.56090
    21230ARib cartilage graft10.7710.27NA0.9622.00NA090
    21235AEar cartilage graft6.728.0311.810.5215.2719.05090
    21240AReconstruction of jaw joint14.0511.49NA1.1526.69NA090
    21242AReconstruction of jaw joint12.9511.53NA1.4025.88NA090
    21243AReconstruction of jaw joint20.7914.75NA1.8537.39NA090
    21244AReconstruction of lower jaw11.869.03NA0.9521.84NA090
    21245AReconstruction of jaw11.8610.1516.560.8822.8929.30090
    21246AReconstruction of jaw12.4710.9812.511.2124.6626.19090
    21247AReconstruct lower jaw bone22.6318.84NA2.2143.68NA090
    21248AReconstruction of jaw11.488.018.861.0120.5021.35090
    21249AReconstruction of jaw17.5210.1611.381.3929.0730.29090
    21255AReconstruct lower jaw bone16.7210.96NA1.1328.81NA090
    21256AReconstruction of orbit16.1913.20NA1.0430.43NA090
    21260ARevise eye sockets16.5211.65NA1.2529.42NA090
    21261ARevise eye sockets31.4919.12NA2.2052.81NA090
    21263ARevise eye sockets28.4214.84NA2.1645.42NA090
    21267ARevise eye sockets18.9014.43NA1.3534.68NA090
    21268ARevise eye sockets24.4811.93NA0.7937.20NA090
    21270AAugmentation, cheek bone10.239.1010.490.7320.0621.45090
    21275ARevision, orbitofacial bones11.2411.24NA1.0323.51NA090
    21280ARevision of eyelid6.035.88NA0.2712.18NA090
    21282ARevision of eyelid3.495.04NA0.218.74NA090
    21295ARevision of jaw muscle/bone1.533.55NA0.135.21NA090
    21296ARevision of jaw muscle/bone4.255.17NA0.309.72NA090
    21299CCranio/maxillofacial surgery0.000.000.000.000.000.00YYY
    21300ATreatment of skull fracture0.720.272.370.091.083.18000
    21310ATreatment of nose fracture0.580.152.540.050.783.17000
    21315ATreatment of nose fracture1.511.243.300.122.874.93010
    21320ATreatment of nose fracture1.851.994.850.153.996.85010
    21325ATreatment of nose fracture3.773.71NA0.317.79NA090
    21330ATreatment of nose fracture5.385.50NA0.4811.36NA090
    21335ATreatment of nose fracture8.617.10NA0.6416.35NA090
    21336ATreat nasal septal fracture5.725.50NA0.4511.67NA090
    21337ATreat nasal septal fracture2.703.175.020.226.097.94090
    21338ATreat nasoethmoid fracture6.465.94NA0.5312.93NA090
    21339ATreat nasoethmoid fracture8.096.95NA0.7615.80NA090
    21340ATreatment of nose fracture10.779.36NA0.8520.98NA090
    21343ATreatment of sinus fracture12.959.99NA1.0624.00NA090
    21344ATreatment of sinus fracture19.7213.42NA1.7234.86NA090
    21345ATreat nose/jaw fracture8.167.448.860.6016.2017.62090
    21346ATreat nose/jaw fracture10.6110.35NA0.8521.81NA090
    21347ATreat nose/jaw fracture12.699.36NA1.1423.19NA090
    21348ATreat nose/jaw fracture16.6910.37NA1.5028.56NA090
    21355ATreat cheek bone fracture3.772.414.840.296.478.90010
    21356ATreat cheek bone fracture4.153.25NA0.367.76NA010
    21360ATreat cheek bone fracture6.465.77NA0.5212.75NA090
    21365ATreat cheek bone fracture14.9511.37NA1.3027.62NA090
    21366ATreat cheek bone fracture17.7712.08NA1.4131.26NA090
    21385ATreat eye socket fracture9.167.63NA0.6417.43NA090
    21386ATreat eye socket fracture9.168.03NA0.7617.95NA090
    21387ATreat eye socket fracture9.708.16NA0.7818.64NA090
    21390ATreat eye socket fracture10.138.38NA0.7019.21NA090
    21395ATreat eye socket fracture12.6810.07NA1.0923.84NA090
    21400ATreat eye socket fracture1.401.082.930.122.604.45090
    21401ATreat eye socket fracture3.263.255.590.346.859.19090
    21406ATreat eye socket fracture7.016.60NA0.5914.20NA090
    21407ATreat eye socket fracture8.617.71NA0.6716.99NA090
    21408ATreat eye socket fracture12.389.70NA1.2423.32NA090
    21421ATreat mouth roof fracture5.146.357.450.4211.9113.01090
    21422ATreat mouth roof fracture8.327.21NA0.6916.22NA090
    21423ATreat mouth roof fracture10.408.19NA0.9519.54NA090
    21431ATreat craniofacial fracture7.055.25NA0.5812.88NA090
    21432ATreat craniofacial fracture8.617.40NA0.5516.56NA090
    21433ATreat craniofacial fracture25.3517.86NA2.4645.67NA090
    21435ATreat craniofacial fracture17.2511.71NA1.6630.62NA090
    21436ATreat craniofacial fracture28.0418.98NA2.3249.34NA090
    21440ATreat dental ridge fracture2.703.385.430.226.308.35090
    Start Printed Page 40416
    21445ATreat dental ridge fracture5.385.377.070.5511.3013.00090
    21450ATreat lower jaw fracture2.972.676.700.235.879.90090
    21451ATreat lower jaw fracture4.875.496.580.3910.7511.84090
    21452ATreat lower jaw fracture1.983.849.040.145.9611.16090
    21453ATreat lower jaw fracture5.546.287.560.4912.3113.59090
    21454ATreat lower jaw fracture6.466.01NA0.5513.02NA090
    21461ATreat lower jaw fracture8.097.839.740.7316.6518.56090
    21462ATreat lower jaw fracture9.797.9111.110.8018.5021.70090
    21465ATreat lower jaw fracture11.917.37NA0.8420.12NA090
    21470ATreat lower jaw fracture15.349.83NA1.3626.53NA090
    21480AReset dislocated jaw0.610.181.590.050.842.25000
    21485AReset dislocated jaw3.993.493.800.317.798.10090
    21490ARepair dislocated jaw11.867.50NA1.3120.67NA090
    21493ATreat hyoid bone fracture1.273.05NA0.104.42NA090
    21494ATreat hyoid bone fracture6.285.28NA0.4412.00NA090
    21495ATreat hyoid bone fracture5.694.83NA0.4110.93NA090
    21497AInterdental wiring3.863.784.720.317.958.89090
    21499CHead surgery procedure0.000.000.000.000.000.00YYY
    21501ADrain neck/chest lesion3.813.574.310.367.748.48090
    21502ADrain chest lesion7.127.71NA0.7915.62NA090
    21510ADrainage of bone lesion5.746.86NA0.6713.27NA090
    21550ABiopsy of neck/chest2.061.222.240.133.414.43010
    21555ARemove lesion, neck/chest4.352.474.150.417.238.91090
    21556ARemove lesion, neck/chest5.573.24NA0.519.32NA090
    21557ARemove tumor, neck/chest8.887.74NA0.8517.47NA090
    21600APartial removal of rib6.897.59NA0.8115.29NA090
    21610APartial removal of rib14.6110.68NA1.8527.14NA090
    21615ARemoval of rib9.878.29NA1.2019.36NA090
    21616ARemoval of rib and nerves12.048.18NA1.3121.53NA090
    21620APartial removal of sternum6.798.03NA0.7715.59NA090
    21627ASternal debridement6.8112.78NA0.8220.41NA090
    21630AExtensive sternum surgery17.3813.87NA1.9533.20NA090
    21632AExtensive sternum surgery18.1412.62NA2.1632.92NA090
    21700ARevision of neck muscle6.197.118.710.3113.6115.21090
    21705ARevision of neck muscle/rib9.607.18NA0.9217.70NA090
    21720ARevision of neck muscle5.687.017.610.8013.4914.09090
    21725ARevision of neck muscle6.996.89NA0.9014.78NA090
    21740AReconstruction of sternum16.5012.24NA2.0330.77NA090
    21750ARepair of sternum separation10.779.98NA1.3522.10NA090
    21800ATreatment of rib fracture0.961.012.210.092.063.26090
    21805ATreatment of rib fracture2.754.06NA0.297.10NA090
    21810ATreatment of rib fracture(s)6.866.27NA0.6013.73NA090
    21820ATreat sternum fracture1.281.462.610.152.894.04090
    21825ATreat sternum fracture7.4110.09NA0.8418.34NA090
    21899CNeck/chest surgery procedure0.000.000.000.000.000.00YYY
    21920ABiopsy soft tissue of back2.060.752.320.122.934.50010
    21925ABiopsy soft tissue of back4.494.4710.950.449.4015.88090
    21930ARemove lesion, back or flank5.002.654.560.498.1410.05090
    21935ARemove tumor, back17.9613.26NA1.8733.09NA090
    22100ARemove part of neck vertebra9.738.67NA1.5519.95NA090
    22101ARemove part, thorax vertebra9.818.49NA1.5119.81NA090
    22102ARemove part, lumbar vertebra9.818.70NA1.4619.97NA090
    22103ARemove extra spine segment2.341.30NA0.374.01NAZZZ
    22110ARemove part of neck vertebra12.7410.53NA2.2025.47NA090
    22112ARemove part, thorax vertebra12.8110.60NA1.9625.37NA090
    22114ARemove part, lumbar vertebra12.8110.34NA1.9825.13NA090
    22116ARemove extra spine segment2.321.19NA0.403.91NAZZZ
    22210ARevision of neck spine23.8216.94NA4.2344.99NA090
    22212ARevision of thorax spine19.4214.35NA2.7836.55NA090
    22214ARevision of lumbar spine19.4514.92NA2.7837.15NA090
    22216ARevise, extra spine segment6.043.31NA0.9810.33NAZZZ
    22220ARevision of neck spine21.3715.46NA3.6540.48NA090
    22222ARevision of thorax spine21.5213.62NA3.0838.22NA090
    22224ARevision of lumbar spine21.5215.68NA3.2040.40NA090
    22226ARevise, extra spine segment6.043.30NA1.0110.35NAZZZ
    22305ATreat spine process fracture2.051.873.030.294.215.37090
    22310ATreat spine fracture2.613.284.380.376.267.36090
    22315ATreat spine fracture8.848.89NA1.3719.10NA090
    22318ATreat odontoid fx w/o graft21.5014.60NA4.2640.36NA090
    22319ATreat odontoid fx w/graft24.0016.89NA4.7645.65NA090
    22325ATreat spine fracture18.3014.45NA2.6135.36NA090
    22326ATreat neck spine fracture19.5915.28NA3.5438.41NA090
    22327ATreat thorax spine fracture19.2014.83NA2.7536.78NA090
    22328ATreat each add spine fx4.612.30NA0.667.57NAZZZ
    Start Printed Page 40417
    22505AManipulation of spine1.873.014.590.275.156.73010
    22520APercut vertebroplasty thor8.913.91NA0.8913.71NA010
    22521APercut vertebroplasty lumb8.343.68NA0.8412.86NA010
    22522APercut vertebroplasty addl3.001.19NA0.304.49NAZZZ
    22548ANeck spine fusion25.8217.74NA4.9848.54NA090
    22554ANeck spine fusion18.6213.65NA3.5135.78NA090
    22556AThorax spine fusion23.4616.42NA3.7843.66NA090
    22558ALumbar spine fusion22.2814.36NA3.1839.82NA090
    22585AAdditional spinal fusion5.532.92NA0.989.43NAZZZ
    22590ASpine & skull spinal fusion20.5115.33NA3.8139.65NA090
    22595ANeck spinal fusion19.3914.31NA3.6237.32NA090
    22600ANeck spine fusion16.1412.58NA2.8931.61NA090
    22610AThorax spine fusion16.0212.54NA2.6631.22NA090
    22612ALumbar spine fusion21.0015.36NA3.2839.64NA090
    22614ASpine fusion, extra segment6.443.53NA1.0411.01NAZZZ
    22630ALumbar spine fusion20.8415.57NA3.7940.20NA090
    22632ASpine fusion, extra segment5.232.82NA0.908.95NAZZZ
    22800AFusion of spine18.2513.64NA2.7134.60NA090
    22802AFusion of spine30.8821.30NA4.4256.60NA090
    22804AFusion of spine36.2724.04NA5.2365.54NA090
    22808AFusion of spine26.2718.18NA4.3648.81NA090
    22810AFusion of spine30.2719.81NA4.4954.57NA090
    22812AFusion of spine32.7021.83NA4.6759.20NA090
    22818AKyphectomy, 1-2 segments31.8321.14NA5.0157.98NA090
    22819AKyphectomy, 3 or more36.4420.86NA5.2062.50NA090
    22830AExploration of spinal fusion10.859.57NA1.7322.15NA090
    22840AInsert spine fixation device12.548.37NA2.0322.94NAZZZ
    22841BInsert spine fixation device0.000.000.000.000.000.00XXX
    22842AInsert spine fixation device12.586.87NA2.0421.49NAZZZ
    22843AInsert spine fixation device13.468.86NA2.1024.42NAZZZ
    22844AInsert spine fixation device16.4410.54NA2.4229.40NAZZZ
    22845AInsert spine fixation device11.967.95NA2.2222.13NAZZZ
    22846AInsert spine fixation device12.428.21NA2.2622.89NAZZZ
    22847AInsert spine fixation device13.808.97NA2.3625.13NAZZZ
    22848AInsert pelv fixation device6.004.75NA0.8811.63NAZZZ
    22849AReinsert spinal fixation18.5113.72NA2.8735.10NA090
    22850ARemove spine fixation device9.528.41NA1.5119.44NA090
    22851AApply spine prosth device6.715.08NA1.1112.90NAZZZ
    22852ARemove spine fixation device9.018.18NA1.4018.59NA090
    22855ARemove spine fixation device15.1311.28NA2.7429.15NA090
    22899CSpine surgery procedure0.000.000.000.000.000.00YYY
    22900ARemove abdominal wall lesion5.804.29NA0.5810.67NA090
    22999CAbdomen surgery procedure0.000.000.000.000.000.00YYY
    23000ARemoval of calcium deposits4.366.598.980.5011.4513.84090
    23020ARelease shoulder joint8.9310.02NA1.2320.18NA090
    23030ADrain shoulder lesion3.434.185.880.428.039.73010
    23031ADrain shoulder bursa2.743.825.810.336.898.88010
    23035ADrain shoulder bone lesion8.6114.53NA1.1924.33NA090
    23040AExploratory shoulder surgery9.2010.87NA1.2821.35NA090
    23044AExploratory shoulder surgery7.129.79NA0.9717.88NA090
    23065ABiopsy shoulder tissues2.271.292.530.143.704.94010
    23066ABiopsy shoulder tissues4.166.047.420.5010.7012.08090
    23075ARemoval of shoulder lesion2.393.085.250.255.727.89010
    23076ARemoval of shoulder lesion7.638.03NA0.8716.53NA090
    23077ARemove tumor of shoulder16.0914.40NA1.8132.30NA090
    23100ABiopsy of shoulder joint6.038.01NA0.8114.85NA090
    23101AShoulder joint surgery5.588.10NA0.7714.45NA090
    23105ARemove shoulder joint lining8.239.64NA1.1319.00NA090
    23106AIncision of collarbone joint5.968.29NA0.8215.07NA090
    23107AExplore treat shoulder joint8.629.61NA1.1919.42NA090
    23120APartial removal, collar bone7.118.86NA0.9916.96NA090
    23125ARemoval of collar bone9.3910.24NA1.2720.90NA090
    23130ARemove shoulder bone, part7.559.11NA1.0617.72NA090
    23140ARemoval of bone lesion6.898.21NA0.8215.92NA090
    23145ARemoval of bone lesion9.0911.52NA1.2421.85NA090
    23146ARemoval of bone lesion7.839.97NA1.1118.91NA090
    23150ARemoval of humerus lesion8.489.44NA1.1419.06NA090
    23155ARemoval of humerus lesion10.3510.88NA1.2022.43NA090
    23156ARemoval of humerus lesion8.689.69NA1.1819.55NA090
    23170ARemove collar bone lesion6.8610.32NA0.8418.02NA090
    23172ARemove shoulder blade lesion6.9010.73NA0.9518.58NA090
    23174ARemove humerus lesion9.5110.99NA1.3021.80NA090
    23180ARemove collar bone lesion8.5314.68NA1.1824.39NA090
    23182ARemove shoulder blade lesion8.1515.09NA1.0824.32NA090
    Start Printed Page 40418
    23184ARemove humerus lesion9.3814.91NA1.2425.53NA090
    23190APartial removal of scapula7.248.12NA0.9716.33NA090
    23195ARemoval of head of humerus9.8110.47NA1.3821.66NA090
    23200ARemoval of collar bone12.0813.34NA1.4826.90NA090
    23210ARemoval of shoulder blade12.4913.73NA1.6127.83NA090
    23220APartial removal of humerus14.5614.41NA2.0331.00NA090
    23221APartial removal of humerus17.7416.13NA2.5136.38NA090
    23222APartial removal of humerus23.9219.80NA3.3747.09NA090
    23330ARemove shoulder foreign body1.854.115.580.186.147.61010
    23331ARemove shoulder foreign body7.388.97NA1.0217.37NA090
    23332ARemove shoulder foreign body11.6211.35NA1.6224.59NA090
    23350AInjection for shoulder x-ray1.000.359.720.051.4010.77000
    23395AMuscle transfer,shoulder/arm16.8513.51NA2.2932.65NA090
    23397AMuscle transfers16.1314.01NA2.2432.38NA090
    23400AFixation of shoulder blade13.5412.98NA1.9128.43NA090
    23405AIncision of tendon & muscle8.378.93NA1.1218.42NA090
    23406AIncise tendon(s) & muscle(s)10.7910.89NA1.4823.16NA090
    23410ARepair of tendon(s)12.4511.71NA1.7225.88NA090
    23412ARepair of tendon(s)13.3112.29NA1.8627.46NA090
    23415ARelease of shoulder ligament9.979.62NA1.3920.98NA090
    23420ARepair of shoulder13.3013.10NA1.8628.26NA090
    23430ARepair biceps tendon9.9810.45NA1.4021.83NA090
    23440ARemove/transplant tendon10.4810.69NA1.4722.64NA090
    23450ARepair shoulder capsule13.4012.40NA1.8627.66NA090
    23455ARepair shoulder capsule14.3712.91NA2.0129.29NA090
    23460ARepair shoulder capsule15.3713.57NA2.1731.11NA090
    23462ARepair shoulder capsule15.3013.41NA2.1630.87NA090
    23465ARepair shoulder capsule15.8512.40NA1.6129.86NA090
    23466ARepair shoulder capsule14.2212.83NA2.0029.05NA090
    23470AReconstruct shoulder joint17.1514.42NA2.4033.97NA090
    23472AReconstruct shoulder joint21.1016.66NA2.3740.13NA090
    23480ARevision of collar bone11.1811.16NA1.5623.90NA090
    23485ARevision of collar bone13.4312.42NA1.8427.69NA090
    23490AReinforce clavicle11.8610.64NA1.1123.61NA090
    23491AReinforce shoulder bones14.2112.60NA2.0028.81NA090
    23500ATreat clavicle fracture2.082.383.550.264.725.89090
    23505ATreat clavicle fracture3.693.785.480.507.979.67090
    23515ATreat clavicle fracture7.417.70NA1.0316.14NA090
    23520ATreat clavicle dislocation2.162.423.490.264.845.91090
    23525ATreat clavicle dislocation3.603.655.360.447.699.40090
    23530ATreat clavicle dislocation7.318.24NA0.8516.40NA090
    23532ATreat clavicle dislocation8.018.09NA1.1317.23NA090
    23540ATreat clavicle dislocation2.232.404.130.244.876.60090
    23545ATreat clavicle dislocation3.253.464.740.397.108.38090
    23550ATreat clavicle dislocation7.247.74NA0.9415.92NA090
    23552ATreat clavicle dislocation8.458.31NA1.1817.94NA090
    23570ATreat shoulder blade fx2.232.493.530.295.016.05090
    23575ATreat shoulder blade fx4.064.005.610.538.5910.20090
    23585ATreat scapula fracture8.968.85NA1.2519.06NA090
    23600ATreat humerus fracture2.933.375.090.396.698.41090
    23605ATreat humerus fracture4.876.047.590.6711.5813.13090
    23615ATreat humerus fracture9.359.54NA1.3120.20NA090
    23616ATreat humerus fracture21.2715.63NA2.9839.88NA090
    23620ATreat humerus fracture2.403.114.790.325.837.51090
    23625ATreat humerus fracture3.935.076.640.539.5311.10090
    23630ATreat humerus fracture7.357.69NA1.0316.07NA090
    23650ATreat shoulder dislocation3.393.375.220.317.078.92090
    23655ATreat shoulder dislocation4.574.06NA0.529.15NA090
    23660ATreat shoulder dislocation7.497.67NA1.0116.17NA090
    23665ATreat dislocation/fracture4.475.356.960.6010.4212.03090
    23670ATreat dislocation/fracture7.908.14NA1.1017.14NA090
    23675ATreat dislocation/fracture6.056.267.750.8313.1414.63090
    23680ATreat dislocation/fracture10.069.35NA1.3920.80NA090
    23700AFixation of shoulder2.523.22NA0.356.09NA010
    23800AFusion of shoulder joint14.1613.57NA1.9729.70NA090
    23802AFusion of shoulder joint16.6015.04NA2.3433.98NA090
    23900AAmputation of arm & girdle19.7214.75NA2.4736.94NA090
    23920AAmputation at shoulder joint14.6113.93NA1.9230.46NA090
    23921AAmputation follow-up surgery5.496.54NA0.7812.81NA090
    23929CShoulder surgery procedure0.000.000.000.000.000.00YYY
    23930ADrainage of arm lesion2.943.865.960.327.129.22010
    23931ADrainage of arm bursa1.793.385.500.215.387.50010
    23935ADrain arm/elbow bone lesion6.0911.98NA0.8418.91NA090
    24000AExploratory elbow surgery5.825.71NA0.7712.30NA090
    Start Printed Page 40419
    24006ARelease elbow joint9.318.16NA1.2718.74NA090
    24065ABiopsy arm/elbow soft tissue2.083.255.410.145.477.63010
    24066ABiopsy arm/elbow soft tissue5.216.398.700.6112.2114.52090
    24075ARemove arm/elbow lesion3.925.878.100.4310.2212.45090
    24076ARemove arm/elbow lesion6.306.92NA0.7013.92NA090
    24077ARemove tumor of arm/elbow11.7613.74NA1.3226.82NA090
    24100ABiopsy elbow joint lining4.935.51NA0.6211.06NA090
    24101AExplore/treat elbow joint6.136.33NA0.8413.30NA090
    24102ARemove elbow joint lining8.037.45NA1.0916.57NA090
    24105ARemoval of elbow bursa3.614.84NA0.498.94NA090
    24110ARemove humerus lesion7.399.03NA0.9917.41NA090
    24115ARemove/graft bone lesion9.639.42NA1.1520.20NA090
    24116ARemove/graft bone lesion11.8111.23NA1.6624.70NA090
    24120ARemove elbow lesion6.656.33NA0.8713.85NA090
    24125ARemove/graft bone lesion7.896.60NA0.8815.37NA090
    24126ARemove/graft bone lesion8.317.22NA0.9016.43NA090
    24130ARemoval of head of radius6.256.43NA0.8713.55NA090
    24134ARemoval of arm bone lesion9.7315.45NA1.3126.49NA090
    24136ARemove radius bone lesion7.996.71NA0.8515.55NA090
    24138ARemove elbow bone lesion8.057.37NA1.1216.54NA090
    24140APartial removal of arm bone9.1815.93NA1.2326.34NA090
    24145APartial removal of radius7.5810.30NA1.0118.89NA090
    24147APartial removal of elbow7.5410.34NA1.0418.92NA090
    24149ARadical resection of elbow14.2010.85NA1.9026.95NA090
    24150AExtensive humerus surgery13.2713.78NA1.8128.86NA090
    24151AExtensive humerus surgery15.5815.36NA2.1933.13NA090
    24152AExtensive radius surgery10.068.95NA1.1920.20NA090
    24153AExtensive radius surgery11.547.34NA0.6419.52NA090
    24155ARemoval of elbow joint11.738.81NA1.4221.96NA090
    24160ARemove elbow joint implant7.837.33NA1.0716.23NA090
    24164ARemove radius head implant6.236.36NA0.8413.43NA090
    24200ARemoval of arm foreign body1.763.165.900.155.077.81010
    24201ARemoval of arm foreign body4.566.758.450.5611.8713.57090
    24220AInjection for elbow x-ray1.310.4710.760.071.8512.14000
    24301AMuscle/tendon transfer10.208.94NA1.3020.44NA090
    24305AArm tendon lengthening7.457.15NA0.9815.58NA090
    24310ARevision of arm tendon5.987.77NA0.7414.49NA090
    24320ARepair of arm tendon10.5610.12NA1.0021.68NA090
    24330ARevision of arm muscles9.608.44NA1.2119.25NA090
    24331ARevision of arm muscles10.658.80NA1.4120.86NA090
    24340ARepair of biceps tendon7.897.23NA1.0816.20NA090
    24341ARepair arm tendon/muscle7.907.30NA1.0816.28NA090
    24342ARepair of ruptured tendon10.628.91NA1.4821.01NA090
    24350ARepair of tennis elbow5.255.91NA0.7211.88NA090
    24351ARepair of tennis elbow5.916.34NA0.8213.07NA090
    24352ARepair of tennis elbow6.436.61NA0.9013.94NA090
    24354ARepair of tennis elbow6.486.55NA0.8813.91NA090
    24356ARevision of tennis elbow6.686.74NA0.9014.32NA090
    24360AReconstruct elbow joint12.349.65NA1.6923.68NA090
    24361AReconstruct elbow joint14.0810.36NA1.9526.39NA090
    24362AReconstruct elbow joint14.9910.93NA1.9227.84NA090
    24363AReplace elbow joint18.4913.26NA2.5234.27NA090
    24365AReconstruct head of radius8.397.62NA1.1117.12NA090
    24366AReconstruct head of radius9.138.06NA1.2818.47NA090
    24400ARevision of humerus11.0611.89NA1.5324.48NA090
    24410ARevision of humerus14.8213.84NA1.8930.55NA090
    24420ARevision of humerus13.4415.43NA1.8230.69NA090
    24430ARepair of humerus12.8112.15NA1.8026.76NA090
    24435ARepair humerus with graft13.1713.11NA1.8428.12NA090
    24470ARevision of elbow joint8.747.17NA1.2317.14NA090
    24495ADecompression of forearm8.129.47NA0.9218.51NA090
    24498AReinforce humerus11.9211.60NA1.6725.19NA090
    24500ATreat humerus fracture3.213.114.670.416.738.29090
    24505ATreat humerus fracture5.176.318.090.7212.2013.98090
    24515ATreat humerus fracture11.6510.79NA1.6324.07NA090
    24516ATreat humerus fracture11.6511.17NA1.6324.45NA090
    24530ATreat humerus fracture3.504.445.640.478.419.61090
    24535ATreat humerus fracture6.876.388.130.9614.2115.96090
    24538ATreat humerus fracture9.439.79NA1.2520.47NA090
    24545ATreat humerus fracture10.469.60NA1.4721.53NA090
    24546ATreat humerus fracture15.6913.03NA2.1830.90NA090
    24560ATreat humerus fracture2.802.894.480.356.047.63090
    24565ATreat humerus fracture5.565.627.400.7411.9213.70090
    24566ATreat humerus fracture7.799.23NA1.1018.12NA090
    Start Printed Page 40420
    24575ATreat humerus fracture10.668.03NA1.4420.13NA090
    24576ATreat humerus fracture2.863.014.250.386.257.49090
    24577ATreat humerus fracture5.795.757.510.8112.3514.11090
    24579ATreat humerus fracture11.6010.69NA1.6223.91NA090
    24582ATreat humerus fracture8.559.72NA1.2019.47NA090
    24586ATreat elbow fracture15.2110.77NA2.1228.10NA090
    24587ATreat elbow fracture15.1610.55NA2.1427.85NA090
    24600ATreat elbow dislocation4.234.706.320.499.4211.04090
    24605ATreat elbow dislocation5.424.75NA0.7210.89NA090
    24615ATreat elbow dislocation9.427.58NA1.3118.31NA090
    24620ATreat elbow fracture6.986.21NA0.9014.09NA090
    24635ATreat elbow fracture13.1915.10NA1.8430.13NA090
    24640ATreat elbow dislocation1.201.703.240.113.014.55010
    24650ATreat radius fracture2.162.654.130.285.096.57090
    24655ATreat radius fracture4.404.906.700.589.8811.68090
    24665ATreat radius fracture8.148.79NA1.1318.06NA090
    24666ATreat radius fracture9.499.53NA1.3220.34NA090
    24670ATreat ulnar fracture2.542.854.100.335.726.97090
    24675ATreat ulnar fracture4.725.126.840.6510.4912.21090
    24685ATreat ulnar fracture8.809.15NA1.2319.18NA090
    24800AFusion of elbow joint11.209.43NA1.4122.04NA090
    24802AFusion/graft of elbow joint13.6911.22NA1.8926.80NA090
    24900AAmputation of upper arm9.6010.69NA1.1821.47NA090
    24920AAmputation of upper arm9.5412.12NA1.2222.88NA090
    24925AAmputation follow-up surgery7.078.94NA0.9516.96NA090
    24930AAmputation follow-up surgery10.2511.17NA1.2322.65NA090
    24931AAmputate upper arm & implant12.7211.41NA1.5625.69NA090
    24935ARevision of amputation15.5611.97NA1.5829.11NA090
    24940CRevision of upper arm0.000.000.000.000.000.00090
    24999CUpper arm/elbow surgery0.000.000.000.000.000.00YYY
    25000AIncision of tendon sheath3.386.63NA0.4510.46NA090
    25020ADecompression of forearm5.9210.41NA0.7517.08NA090
    25023ADecompression of forearm12.9616.09NA1.5030.55NA090
    25028ADrainage of forearm lesion5.259.40NA0.6115.26NA090
    25031ADrainage of forearm bursa4.149.13NA0.5013.77NA090
    25035ATreat forearm bone lesion7.3615.24NA0.9823.58NA090
    25040AExplore/treat wrist joint7.188.62NA0.9616.76NA090
    25065ABiopsy forearm soft tissues1.992.422.420.124.534.53010
    25066ABiopsy forearm soft tissues4.137.44NA0.4912.06NA090
    25075ARemoval of forearm lesion3.746.93NA0.4011.07NA090
    25076ARemoval of forearm lesion4.9211.70NA0.5917.21NA090
    25077ARemove tumor, forearm/wrist9.7615.47NA1.1026.33NA090
    25085AIncision of wrist capsule5.509.97NA0.7116.18NA090
    25100ABiopsy of wrist joint3.906.70NA0.5011.10NA090
    25101AExplore/treat wrist joint4.697.29NA0.6012.58NA090
    25105ARemove wrist joint lining5.8510.15NA0.7716.77NA090
    25107ARemove wrist joint cartilage6.4310.29NA0.8217.54NA090
    25110ARemove wrist tendon lesion3.927.83NA0.4812.23NA090
    25111ARemove wrist tendon lesion3.396.12NA0.429.93NA090
    25112AReremove wrist tendon lesion4.537.02NA0.5412.09NA090
    25115ARemove wrist/forearm lesion8.8215.64NA1.1125.57NA090
    25116ARemove wrist/forearm lesion7.1114.57NA0.9022.58NA090
    25118AExcise wrist tendon sheath4.377.29NA0.5512.21NA090
    25119APartial removal of ulna6.0410.04NA0.8016.88NA090
    25120ARemoval of forearm lesion6.1013.32NA0.8120.23NA090
    25125ARemove/graft forearm lesion7.4814.60NA1.0223.10NA090
    25126ARemove/graft forearm lesion7.5513.98NA1.0022.53NA090
    25130ARemoval of wrist lesion5.267.58NA0.6613.50NA090
    25135ARemove & graft wrist lesion6.898.35NA0.8916.13NA090
    25136ARemove & graft wrist lesion5.976.45NA0.5813.00NA090
    25145ARemove forearm bone lesion6.3714.15NA0.8221.34NA090
    25150APartial removal of ulna7.0911.10NA0.9619.15NA090
    25151APartial removal of radius7.3913.87NA0.9322.19NA090
    25170AExtensive forearm surgery11.0916.11NA1.5228.72NA090
    25210ARemoval of wrist bone5.958.13NA0.7314.81NA090
    25215ARemoval of wrist bones7.8911.22NA1.0220.13NA090
    25230APartial removal of radius5.237.50NA0.6613.39NA090
    25240APartial removal of ulna5.179.65NA0.6915.51NA090
    25246AInjection for wrist x-ray1.450.5110.210.072.0311.73000
    25248ARemove forearm foreign body5.149.18NA0.5414.86NA090
    25250ARemoval of wrist prosthesis6.608.22NA0.8415.66NA090
    25251ARemoval of wrist prosthesis9.5711.59NA1.1522.31NA090
    25260ARepair forearm tendon/muscle7.8015.87NA0.9724.64NA090
    25263ARepair forearm tendon/muscle7.8215.18NA0.9423.94NA090
    Start Printed Page 40421
    25265ARepair forearm tendon/muscle9.8815.91NA1.1926.98NA090
    25270ARepair forearm tendon/muscle6.0014.75NA0.7621.51NA090
    25272ARepair forearm tendon/muscle7.0415.38NA0.8923.31NA090
    25274ARepair forearm tendon/muscle8.7515.08NA1.1124.94NA090
    25280ARevise wrist/forearm tendon7.2214.41NA0.9122.54NA090
    25290AIncise wrist/forearm tendon5.2916.27NA0.6622.22NA090
    25295ARelease wrist/forearm tendon6.5514.17NA0.8421.56NA090
    25300AFusion of tendons at wrist8.809.65NA1.0719.52NA090
    25301AFusion of tendons at wrist8.409.34NA1.0818.82NA090
    25310ATransplant forearm tendon8.1414.69NA1.0123.84NA090
    25312ATransplant forearm tendon9.5715.68NA1.2226.47NA090
    25315ARevise palsy hand tendon(s)10.2016.52NA1.2627.98NA090
    25316ARevise palsy hand tendon(s)12.3317.21NA1.7431.28NA090
    25320ARepair/revise wrist joint10.7710.80NA1.3222.89NA090
    25332ARevise wrist joint11.4111.30NA1.4624.17NA090
    25335ARealignment of hand12.8813.40NA1.6627.94NA090
    25337AReconstruct ulna/radioulnar10.1712.46NA1.3123.94NA090
    25350ARevision of radius8.7814.90NA1.1724.85NA090
    25355ARevision of radius10.1715.98NA1.4427.59NA090
    25360ARevision of ulna8.4315.02NA1.1724.62NA090
    25365ARevise radius & ulna12.4016.38NA1.6730.45NA090
    25370ARevise radius or ulna13.3617.87NA1.8833.11NA090
    25375ARevise radius & ulna13.0417.69NA1.8432.57NA090
    25390AShorten radius or ulna10.4015.98NA1.3827.76NA090
    25391ALengthen radius or ulna13.6517.30NA1.7332.68NA090
    25392AShorten radius & ulna13.9516.70NA1.7332.38NA090
    25393ALengthen radius & ulna15.8716.87NA1.8734.61NA090
    25400ARepair radius or ulna10.9216.14NA1.5028.56NA090
    25405ARepair/graft radius or ulna14.3818.44NA1.9534.77NA090
    25415ARepair radius & ulna13.3517.54NA1.8732.76NA090
    25420ARepair/graft radius & ulna16.3319.34NA2.2037.87NA090
    25425ARepair/graft radius or ulna13.2124.49NA1.6139.31NA090
    25426ARepair/graft radius & ulna15.8219.57NA2.2337.62NA090
    25440ARepair/graft wrist bone10.4410.49NA1.4122.34NA090
    25441AReconstruct wrist joint12.9011.56NA1.8326.29NA090
    25442AReconstruct wrist joint10.8510.66NA1.2422.75NA090
    25443AReconstruct wrist joint10.3914.76NA1.3026.45NA090
    25444AReconstruct wrist joint11.1512.37NA1.4324.95NA090
    25445AReconstruct wrist joint9.6912.45NA1.2623.40NA090
    25446AWrist replacement16.5513.94NA2.2032.69NA090
    25447ARepair wrist joint(s)10.3710.50NA1.3422.21NA090
    25449ARemove wrist joint implant14.4914.77NA1.7731.03NA090
    25450ARevision of wrist joint7.8711.88NA0.8820.63NA090
    25455ARevision of wrist joint9.4911.30NA1.0721.86NA090
    25490AReinforce radius9.5415.04NA1.1925.77NA090
    25491AReinforce ulna9.9615.44NA1.4126.81NA090
    25492AReinforce radius and ulna12.3314.22NA1.6228.17NA090
    25500ATreat fracture of radius2.452.733.940.285.466.67090
    25505ATreat fracture of radius5.215.337.080.6911.2312.98090
    25515ATreat fracture of radius9.189.26NA1.2219.66NA090
    25520ATreat fracture of radius6.266.017.390.8513.1214.50090
    25525ATreat fracture of radius12.2411.02NA1.6824.94NA090
    25526ATreat fracture of radius12.9814.20NA1.8028.98NA090
    25530ATreat fracture of ulna2.092.643.820.275.006.18090
    25535ATreat fracture of ulna5.145.297.080.6811.1112.90090
    25545ATreat fracture of ulna8.909.22NA1.2319.35NA090
    25560ATreat fracture radius & ulna2.442.693.940.275.406.65090
    25565ATreat fracture radius & ulna5.635.557.340.7611.9413.73090
    25574ATreat fracture radius & ulna7.018.12NA0.9616.09NA090
    25575ATreat fracture radius/ulna10.4510.09NA1.4622.00NA090
    25600ATreat fracture radius/ulna2.632.854.130.345.827.10090
    25605ATreat fracture radius/ulna5.815.737.510.8112.3514.13090
    25611ATreat fracture radius/ulna7.779.27NA1.0818.12NA090
    5620ATreat fracture radius/ulna8.559.03NA1.1718.75NA090
    25622ATreat wrist bone fracture2.612.834.110.335.777.05090
    25624ATreat wrist bone fracture4.534.986.720.6110.1211.86090
    25628ATreat wrist bone fracture8.439.15NA1.1418.72NA090
    25630ATreat wrist bone fracture2.882.934.260.376.187.51090
    25635ATreat wrist bone fracture4.394.056.780.398.8311.56090
    25645ATreat wrist bone fracture7.259.29NA0.9317.47NA090
    25650ATreat wrist bone fracture3.052.964.360.376.387.78090
    25660ATreat wrist dislocation4.765.14NA0.5910.49NA090
    25670ATreat wrist dislocation7.928.94NA1.0717.93NA090
    25675ATreat wrist dislocation4.674.906.750.5710.1411.99090
    Start Printed Page 40422
    25676ATreat wrist dislocation8.048.99NA1.1018.13NA090
    25680ATreat wrist fracture5.996.13NA0.6112.73NA090
    25685ATreat wrist fracture9.789.62NA1.2520.65NA090
    25690ATreat wrist dislocation5.506.50NA0.7812.78NA090
    25695ATreat wrist dislocation8.348.92NA1.0718.33NA090
    25800AFusion of wrist joint9.7610.06NA1.3021.12NA090
    25805AFusion/graft of wrist joint11.2811.01NA1.5123.80NA090
    25810AFusion/graft of wrist joint10.5710.56NA1.3722.50NA090
    25820AFusion of hand bones7.458.83NA0.9617.24NA090
    25825AFuse hand bones with graft9.279.90NA1.2020.37NA090
    25830AFusion, radioulnar jnt/ulna10.0615.03NA1.2726.36NA090
    25900AAmputation of forearm9.0113.44NA1.0823.53NA090
    25905AAmputation of forearm9.1215.44NA1.0625.62NA090
    25907AAmputation follow-up surgery7.8013.37NA1.0122.18NA090
    25909AAmputation follow-up surgery8.9615.46NA1.0725.49NA090
    25915AAmputation of forearm17.0820.29NA2.4139.78NA090
    25920AAmputate hand at wrist8.689.45NA1.0619.19NA090
    25922AAmputate hand at wrist7.428.61NA0.9316.96NA090
    25924AAmputation follow-up surgery8.469.25NA1.0718.78NA090
    25927AAmputation of hand8.8013.77NA1.0223.59NA090
    25929AAmputation follow-up surgery7.596.66NA0.8915.14NA090
    25931AAmputation follow-up surgery7.8113.86NA0.8822.55NA090
    25999CForearm or wrist surgery0.000.000.000.000.000.00YYY
    26010ADrainage of finger abscess1.543.504.850.145.186.53010
    26011ADrainage of finger abscess2.195.806.860.258.249.30010
    26020ADrain hand tendon sheath4.6711.73NA0.5916.99NA090
    26025ADrainage of palm bursa4.8211.93NA0.6017.35NA090
    26030ADrainage of palm bursa(s)5.9312.37NA0.7219.02NA090
    26034ATreat hand bone lesion6.2313.53NA0.7920.55NA090
    26035ADecompress fingers/hand9.5115.47NA1.1226.10NA090
    26037ADecompress fingers/hand7.2511.90NA0.8720.02NA090
    26040ARelease palm contracture3.3311.30NA0.4515.08NA090
    26045ARelease palm contracture5.5612.48NA0.7418.78NA090
    26055AIncise finger tendon sheath2.696.827.130.369.8710.18090
    26060AIncision of finger tendon2.816.75NA0.359.91NA090
    26070AExplore/treat hand joint3.6910.47NA0.3514.51NA090
    26075AExplore/treat finger joint3.7911.05NA0.4015.24NA090
    26080AExplore/treat finger joint4.2411.75NA0.5216.51NA090
    26100ABiopsy hand joint lining3.677.53NA0.4511.65NA090
    26105ABiopsy finger joint lining3.7110.82NA0.4514.98NA090
    26110ABiopsy finger joint lining3.5310.83NA0.4414.80NA090
    26115ARemoval of hand lesion3.867.377.370.4811.7111.71090
    26116ARemoval of hand lesion5.5312.40NA0.6918.62NA090
    26117ARemove tumor, hand/finger8.5514.68NA1.0124.24NA090
    26121ARelease palm contracture7.5414.45NA0.9422.93NA090
    26123ARelease palm contracture9.2915.42NA1.1725.88NA090
    26125ARelease palm contracture4.612.58NA0.577.76NAZZZ
    26130ARemove wrist joint lining5.4215.08NA0.6521.15NA090
    26135ARevise finger joint, each6.9615.66NA0.8723.49NA090
    26140ARevise finger joint, each6.1714.55NA0.7621.48NA090
    26145ATendon excision, palm/finger6.3214.53NA0.7721.62NA090
    26160ARemove tendon sheath lesion3.157.077.420.3910.6110.96090
    26170ARemoval of palm tendon, each4.778.10NA0.6013.47NA090
    26180ARemoval of finger tendon5.187.90NA0.6413.72NA090
    26185ARemove finger bone5.258.47NA0.6714.39NA090
    26200ARemove hand bone lesion5.5112.49NA0.7118.71NA090
    26205ARemove/graft bone lesion7.7014.21NA0.9522.86NA090
    26210ARemoval of finger lesion5.1513.15NA0.6418.94NA090
    26215ARemove/graft finger lesion7.1013.64NA0.7721.51NA090
    26230APartial removal of hand bone6.3311.95NA0.8419.12NA090
    26235APartial removal, finger bone6.1911.60NA0.7818.57NA090
    26236APartial removal, finger bone5.3211.50NA0.6617.48NA090
    26250AExtensive hand surgery7.5516.17NA0.9224.64NA090
    26255AExtensive hand surgery12.4317.40NA1.0530.88NA090
    26260AExtensive finger surgery7.0316.10NA0.8323.96NA090
    26261AExtensive finger surgery9.0917.27NA0.8427.20NA090
    26262APartial removal of finger5.6713.02NA0.7019.39NA090
    26320ARemoval of implant from hand3.9811.90NA0.4916.37NA090
    26350ARepair finger/hand tendon5.9918.44NA0.7325.16NA090
    26352ARepair/graft hand tendon7.6817.73NA0.9326.34NA090
    26356ARepair finger/hand tendon8.0719.76NA0.9928.82NA090
    26357ARepair finger/hand tendon8.5819.18NA1.0228.78NA090
    26358ARepair/graft hand tendon9.1418.83NA1.0729.04NA090
    26370ARepair finger/hand tendon7.1118.97NA0.9026.98NA090
    Start Printed Page 40423
    26372ARepair/graft hand tendon8.7619.04NA1.0628.86NA090
    26373ARepair finger/hand tendon8.1621.85NA0.9830.99NA090
    26390ARevise hand/finger tendon9.1914.73NA1.0925.01NA090
    26392ARepair/graft hand tendon10.2620.11NA1.2631.63NA090
    26410ARepair hand tendon4.6314.73NA0.5719.93NA090
    26412ARepair/graft hand tendon6.3115.14NA0.8022.25NA090
    26415AExcision, hand/finger tendon8.3414.78NA0.7723.89NA090
    26416AGraft hand or finger tendon9.3715.98NA1.2026.55NA090
    26418ARepair finger tendon4.2514.47NA0.5019.22NA090
    26420ARepair/graft finger tendon6.7715.94NA0.8323.54NA090
    26426ARepair finger/hand tendon6.1515.25NA0.7722.17NA090
    26428ARepair/graft finger tendon7.2115.88NA0.8423.93NA090
    26432ARepair finger tendon4.0211.21NA0.4815.71NA090
    26433ARepair finger tendon4.5612.90NA0.5618.02NA090
    26434ARepair/graft finger tendon6.0912.26NA0.7119.06NA090
    26437ARealignment of tendons5.8212.65NA0.7419.21NA090
    26440ARelease palm/finger tendon5.0216.29NA0.6221.93NA090
    26442ARelease palm & finger tendon8.1618.65NA0.9427.75NA090
    26445ARelease hand/finger tendon4.3116.15NA0.5421.00NA090
    26449ARelease forearm/hand tendon7.0016.93NA0.8424.77NA090
    26450AIncision of palm tendon3.677.35NA0.4611.48NA090
    26455AIncision of finger tendon3.647.62NA0.4711.73NA090
    26460AIncise hand/finger tendon3.467.16NA0.4411.06NA090
    26471AFusion of finger tendons5.7312.60NA0.7319.06NA090
    26474AFusion of finger tendons5.3212.98NA0.6918.99NA090
    26476ATendon lengthening5.1813.01NA0.6218.81NA090
    26477ATendon shortening5.1512.42NA0.6018.17NA090
    26478ALengthening of hand tendon5.8012.68NA0.7719.25NA090
    26479AShortening of hand tendon5.7412.93NA0.7619.43NA090
    26480ATransplant hand tendon6.6917.38NA0.8424.91NA090
    26483ATransplant/graft hand tendon8.2918.21NA1.0327.53NA090
    26485ATransplant palm tendon7.7017.29NA0.9425.93NA090
    26489ATransplant/graft palm tendon9.5516.81NA0.9827.34NA090
    26490ARevise thumb tendon8.4113.89NA1.0523.35NA090
    26492ATendon transfer with graft9.6215.06NA1.1925.87NA090
    26494AHand tendon/muscle transfer8.4714.39NA1.1323.99NA090
    26496ARevise thumb tendon9.5914.31NA1.1725.07NA090
    26497AFinger tendon transfer9.5714.56NA1.1725.30NA090
    26498AFinger tendon transfer14.0016.84NA1.7432.58NA090
    26499ARevision of finger8.9816.21NA0.9426.13NA090
    26500AHand tendon reconstruction5.9613.54NA0.6620.16NA090
    26502AHand tendon reconstruction7.1414.64NA0.8722.65NA090
    26504AHand tendon reconstruction7.4710.07NA0.8418.38NA090
    26508ARelease thumb contracture6.0113.31NA0.7620.08NA090
    26510AThumb tendon transfer5.4312.63NA0.7118.77NA090
    26516AFusion of knuckle joint7.1513.37NA0.9021.42NA090
    26517AFusion of knuckle joints8.8313.80NA0.9623.59NA090
    26518AFusion of knuckle joints9.0213.39NA1.1323.54NA090
    26520ARelease knuckle contracture5.3016.60NA0.6522.55NA090
    26525ARelease finger contracture5.3317.02NA0.6623.01NA090
    26530ARevise knuckle joint6.6917.06NA0.8624.61NA090
    26531ARevise knuckle with implant7.9117.47NA1.0126.39NA090
    26535ARevise finger joint5.249.35NA0.6615.25NA090
    26536ARevise/implant finger joint6.3716.17NA0.8023.34NA090
    26540ARepair hand joint6.4313.61NA0.8120.85NA090
    26541ARepair hand joint with graft8.6214.98NA1.1224.72NA090
    26542ARepair hand joint with graft6.7812.89NA0.8720.54NA090
    26545AReconstruct finger joint6.9214.40NA0.7922.11NA090
    26546ARepair nonunion hand8.9214.17NA1.1424.23NA090
    26548AReconstruct finger joint8.0314.48NA0.9823.49NA090
    26550AConstruct thumb replacement21.2420.44NA1.8043.48NA090
    26551AGreat toe-hand transfer46.5828.68NA6.5781.83NA090
    26553ASingle transfer, toe-hand46.2729.02NA1.9977.28NA090
    26554ADouble transfer, toe-hand54.9534.09NA7.7696.80NA090
    26555APositional change of finger16.6322.63NA2.1341.39NA090
    26556AToe joint transfer47.2628.95NA6.6782.88NA090
    26560ARepair of web finger5.3813.36NA0.6019.34NA090
    26561ARepair of web finger10.9214.12NA0.6925.73NA090
    26562ARepair of web finger15.0010.53NA0.9826.51NA090
    26565ACorrect metacarpal flaw6.7413.32NA0.8420.90NA090
    26567ACorrect finger deformity6.8213.21NA0.8420.87NA090
    26568ALengthen metacarpal/finger9.0817.70NA1.1027.88NA090
    26580ARepair hand deformity18.1816.51NA1.4636.15NA090
    26585ARepair finger deformity14.0514.32NA1.0829.45NA090
    Start Printed Page 40424
    26587CReconstruct extra finger0.000.000.000.000.000.00090
    26590ARepair finger deformity17.9614.17NA1.3233.45NA090
    26591ARepair muscles of hand3.2513.02NA0.3716.64NA090
    26593ARelease muscles of hand5.3111.86NA0.6417.81NA090
    26596AExcision constricting tissue8.959.21NA0.8719.03NA090
    26597ARelease of scar contracture9.8215.51NA1.2026.53NA090
    26600ATreat metacarpal fracture1.962.583.760.254.795.97090
    26605ATreat metacarpal fracture2.853.985.450.387.218.68090
    26607ATreat metacarpal fracture5.367.74NA0.7013.80NA090
    26608ATreat metacarpal fracture5.368.10NA0.7314.19NA090
    26615ATreat metacarpal fracture5.337.86NA0.7013.89NA090
    26641ATreat thumb dislocation3.944.536.220.428.8910.58090
    26645ATreat thumb fracture4.414.916.610.549.8611.56090
    26650ATreat thumb fracture5.728.28NA0.7714.77NA090
    26665ATreat thumb fracture7.608.80NA0.9717.37NA090
    26670ATreat hand dislocation3.694.385.780.368.439.83090
    26675ATreat hand dislocation4.644.495.640.569.6910.84090
    26676APin hand dislocation5.528.12NA0.7614.40NA090
    26685ATreat hand dislocation6.988.29NA0.9516.22NA090
    26686ATreat hand dislocation7.949.26NA1.0518.25NA090
    26700ATreat knuckle dislocation3.692.844.800.356.888.84090
    26705ATreat knuckle dislocation4.194.125.790.508.8110.48090
    26706APin knuckle dislocation5.125.54NA0.6411.30NA090
    26715ATreat knuckle dislocation5.747.97NA0.7514.46NA090
    26720ATreat finger fracture, each1.661.582.830.203.444.69090
    26725ATreat finger fracture, each3.333.054.830.436.818.59090
    26727ATreat finger fracture, each5.238.38NA0.6914.30NA090
    26735ATreat finger fracture, each5.988.36NA0.7715.11NA090
    26740ATreat finger fracture, each1.942.433.540.244.615.72090
    26742ATreat finger fracture, each3.854.936.640.499.2710.98090
    26746ATreat finger fracture, each5.818.51NA0.7415.06NA090
    26750ATreat finger fracture, each1.702.243.370.194.135.26090
    26755ATreat finger fracture, each3.102.944.750.376.418.22090
    26756APin finger fracture, each4.398.31NA0.5613.26NA090
    26765ATreat finger fracture, each4.177.47NA0.5112.15NA090
    26770ATreat finger dislocation3.022.574.520.275.867.81090
    26775ATreat finger dislocation3.713.795.620.437.939.76090
    26776APin finger dislocation4.808.34NA0.6313.77NA090
    26785ATreat finger dislocation4.217.36NA0.5412.11NA090
    26820AThumb fusion with graft8.2614.74NA1.1124.11NA090
    26841AFusion of thumb7.1313.62NA0.9721.72NA090
    26842AThumb fusion with graft8.2414.38NA1.1023.72NA090
    26843AFusion of hand joint7.6113.54NA0.9922.14NA090
    26844AFusion/graft of hand joint8.7313.97NA1.1223.82NA090
    26850AFusion of knuckle6.9713.04NA0.8920.90NA090
    26852AFusion of knuckle with graft8.4613.95NA1.0523.46NA090
    26860AFusion of finger joint4.6912.02NA0.6017.31NA090
    26861AFusion of finger jnt, add-on1.740.98NA0.222.94NAZZZ
    26862AFusion/graft of finger joint7.3713.58NA0.9221.87NA090
    26863AFuse/graft added joint3.902.21NA0.516.62NAZZZ
    26910AAmputate metacarpal bone7.6013.34NA0.9021.84NA090
    26951AAmputation of finger/thumb4.5911.90NA0.5617.05NA090
    26952AAmputation of finger/thumb6.3113.26NA0.7420.31NA090
    26989CHand/finger surgery0.000.000.000.000.000.00YYY
    26990ADrainage of pelvis lesion7.4814.75NA0.9223.15NA090
    26991ADrainage of pelvis bursa6.689.2610.550.8516.7918.08090
    26992ADrainage of bone lesion13.0218.66NA1.7533.43NA090
    27000AIncision of hip tendon5.626.95NA0.7613.33NA090
    27001AIncision of hip tendon6.947.86NA0.9515.75NA090
    27003AIncision of hip tendon7.348.49NA0.9316.76NA090
    27005AIncision of hip tendon9.669.91NA1.3620.93NA090
    27006AIncision of hip tendons9.689.86NA1.3320.87NA090
    27025AIncision of hip/thigh fascia11.169.72NA1.3822.26NA090
    27030ADrainage of hip joint13.0111.78NA1.8126.60NA090
    27033AExploration of hip joint13.3911.95NA1.8727.21NA090
    27035ADenervation of hip joint16.6916.51NA1.7034.90NA090
    27036AExcision of hip joint/muscle12.8813.14NA1.8027.82NA090
    27040ABiopsy of soft tissues2.873.825.890.216.908.97010
    27041ABiopsy of soft tissues9.898.34NA1.0119.24NA090
    27047ARemove hip/pelvis lesion7.456.959.430.7915.1917.67090
    27048ARemove hip/pelvis lesion6.257.67NA0.7314.65NA090
    27049ARemove tumor, hip/pelvis13.6612.98NA1.6028.24NA090
    27050ABiopsy of sacroiliac joint4.366.53NA0.5311.42NA090
    27052ABiopsy of hip joint6.237.72NA0.8514.80NA090
    Start Printed Page 40425
    27054ARemoval of hip joint lining8.5410.02NA1.1719.73NA090
    27060ARemoval of ischial bursa5.437.97NA0.6014.00NA090
    27062ARemove femur lesion/bursa5.376.79NA0.7412.90NA090
    27065ARemoval of hip bone lesion5.908.03NA0.7614.69NA090
    27066ARemoval of hip bone lesion10.3311.61NA1.4223.36NA090
    27067ARemove/graft hip bone lesion13.8313.58NA1.9529.36NA090
    27070APartial removal of hip bone10.7216.17NA1.3628.25NA090
    27071APartial removal of hip bone11.4617.22NA1.5130.19NA090
    27075AExtensive hip surgery35.0025.69NA2.2262.91NA090
    27076AExtensive hip surgery22.1219.75NA2.8644.73NA090
    27077AExtensive hip surgery40.0027.07NA3.1870.25NA090
    27078AExtensive hip surgery13.4414.69NA1.6729.80NA090
    27079AExtensive hip surgery13.7514.34NA1.8629.95NA090
    27080ARemoval of tail bone6.397.60NA0.8014.79NA090
    27086ARemove hip foreign body1.873.745.200.175.787.24010
    27087ARemove hip foreign body8.548.42NA1.0918.05NA090
    27090ARemoval of hip prosthesis11.1510.67NA1.5523.37NA090
    27091ARemoval of hip prosthesis22.1416.83NA3.1142.08NA090
    27093AInjection for hip x-ray1.300.5112.120.091.9013.51000
    27095AInjection for hip x-ray1.500.5210.610.102.1212.21000
    27096AInject sacroiliac joint1.400.5311.750.082.0113.23000
    27097ARevision of hip tendon8.809.30NA1.2219.32NA090
    27098ATransfer tendon to pelvis8.839.47NA1.2419.54NA090
    27100ATransfer of abdominal muscle11.0811.75NA1.5724.40NA090
    27105ATransfer of spinal muscle11.7711.80NA1.6625.23NA090
    27110ATransfer of iliopsoas muscle13.2611.37NA1.3826.01NA090
    27111ATransfer of iliopsoas muscle12.1510.72NA1.4824.35NA090
    27120AReconstruction of hip socket18.0113.97NA2.4534.43NA090
    27122AReconstruction of hip socket14.9813.58NA2.0830.64NA090
    27125APartial hip replacement14.6913.17NA2.0529.91NA090
    27130ATotal hip replacement20.1216.33NA2.8239.27NA090
    27132ATotal hip replacement23.3018.15NA3.2644.71NA090
    27134ARevise hip joint replacement28.5220.90NA3.9753.39NA090
    27137ARevise hip joint replacement21.1717.00NA2.9741.14NA090
    27138ARevise hip joint replacement22.1717.56NA3.1142.84NA090
    27140ATransplant femur ridge12.2411.37NA1.6725.28NA090
    27146AIncision of hip bone17.4315.10NA2.2734.80NA090
    27147ARevision of hip bone20.5817.18NA2.6140.37NA090
    27151AIncision of hip bones22.5118.88NA3.1244.51NA090
    27156ARevision of hip bones24.6319.71NA3.4847.82NA090
    27158ARevision of pelvis19.7417.31NA2.6039.65NA090
    27161AIncision of neck of femur16.7113.78NA2.3232.81NA090
    27165AIncision/fixation of femur17.9114.34NA2.5134.76NA090
    27170ARepair/graft femur head/neck16.0713.42NA2.2031.69NA090
    27175ATreat slipped epiphysis8.466.96NA1.1916.61NA090
    27176ATreat slipped epiphysis12.059.79NA1.6823.52NA090
    27177ATreat slipped epiphysis15.0811.34NA2.1128.53NA090
    27178ATreat slipped epiphysis11.999.32NA1.6822.99NA090
    27179ARevise head/neck of femur12.989.67NA1.8424.49NA090
    27181ATreat slipped epiphysis14.6810.55NA1.7426.97NA090
    27185ARevision of femur epiphysis9.189.67NA1.2920.14NA090
    27187AReinforce hip bones13.5412.78NA1.8928.21NA090
    27193ATreat pelvic ring fracture5.565.056.600.7711.3812.93090
    27194ATreat pelvic ring fracture9.657.328.781.3218.2919.75090
    27200ATreat tail bone fracture1.841.712.870.223.774.93090
    27202ATreat tail bone fracture7.0418.71NA0.6926.44NA090
    27215ATreat pelvic fracture(s)10.059.89NA1.3721.31NA090
    27216ATreat pelvic ring fracture15.1914.74NA2.1532.08NA090
    27217ATreat pelvic ring fracture14.1112.25NA1.9528.31NA090
    27218ATreat pelvic ring fracture20.1515.81NA2.8538.81NA090
    27220ATreat hip socket fracture6.185.406.940.8512.4313.97090
    27222ATreat hip socket fracture12.709.90NA1.7724.37NA090
    27226ATreat hip wall fracture14.9112.77NA2.0729.75NA090
    27227ATreat hip fracture(s)23.4516.93NA3.2443.62NA090
    27228ATreat hip fracture(s)27.1619.17NA3.7750.10NA090
    27230ATreat thigh fracture5.505.857.090.7312.0813.32090
    27232ATreat thigh fracture10.688.85NA1.4520.98NA090
    27235ATreat thigh fracture12.1610.62NA1.7124.49NA090
    27236ATreat thigh fracture15.6012.35NA2.1830.13NA090
    27238ATreat thigh fracture5.525.92NA0.7612.20NA090
    27240ATreat thigh fracture12.509.90NA1.6924.09NA090
    27244ATreat thigh fracture15.9412.60NA2.2330.77NA090
    27245ATreat thigh fracture20.3115.07NA2.8538.23NA090
    27246ATreat thigh fracture4.715.516.730.6610.8812.10090
    Start Printed Page 40426
    27248ATreat thigh fracture10.459.54NA1.4521.44NA090
    27250ATreat hip dislocation6.956.09NA0.6813.72NA090
    27252ATreat hip dislocation10.397.92NA1.3719.68NA090
    27253ATreat hip dislocation12.9210.54NA1.8125.27NA090
    27254ATreat hip dislocation18.2613.72NA2.5234.50NA090
    27256ATreat hip dislocation4.124.17NA0.498.78NA010
    27257ATreat hip dislocation5.224.55NA0.5610.33NA010
    27258ATreat hip dislocation15.4313.02NA2.0630.51NA090
    27259ATreat hip dislocation21.5516.30NA2.9940.84NA090
    27265ATreat hip dislocation5.055.64NA0.6511.34NA090
    27266ATreat hip dislocation7.497.06NA1.0415.59NA090
    27275AManipulation of hip joint2.273.29NA0.315.87NA010
    27280AFusion of sacroiliac joint13.3913.42NA1.9828.79NA090
    27282AFusion of pubic bones11.3412.51NA1.1424.99NA090
    27284AFusion of hip joint23.4518.36NA2.3644.17NA090
    27286AFusion of hip joint16.7914.57NA2.3733.73NA090
    27290AAmputation of leg at hip23.2816.85NA2.9443.07NA090
    27295AAmputation of leg at hip18.6513.93NA2.3534.93NA090
    27299CPelvis/hip joint surgery0.000.000.000.000.000.00YYY
    27301ADrain thigh/knee lesion6.4913.3515.310.8020.6422.60090
    27303ADrainage of bone lesion8.2813.63NA1.1423.05NA090
    27305AIncise thigh tendon & fascia5.928.77NA0.7715.46NA090
    27306AIncision of thigh tendon4.627.05NA0.6212.29NA090
    27307AIncision of thigh tendons5.807.75NA0.7814.33NA090
    27310AExploration of knee joint9.279.49NA1.2920.05NA090
    27315APartial removal, thigh nerve6.974.58NA0.7912.34NA090
    27320APartial removal, thigh nerve6.304.28NA0.7811.36NA090
    27323ABiopsy, thigh soft tissues2.283.345.640.175.798.09010
    27324ABiopsy, thigh soft tissues4.906.53NA0.5912.02NA090
    27327ARemoval of thigh lesion4.476.198.400.5011.1613.37090
    27328ARemoval of thigh lesion5.576.79NA0.6613.02NA090
    27329ARemove tumor, thigh/knee14.1413.97NA1.6829.79NA090
    27330ABiopsy, knee joint lining4.975.95NA0.6611.58NA090
    27331AExplore/treat knee joint5.887.00NA0.8113.69NA090
    27332ARemoval of knee cartilage8.278.37NA1.1517.79NA090
    27333ARemoval of knee cartilage7.307.88NA1.0316.21NA090
    27334ARemove knee joint lining8.709.16NA1.2119.07NA090
    27335ARemove knee joint lining10.009.92NA1.4121.33NA090
    27340ARemoval of kneecap bursa4.185.59NA0.5810.35NA090
    27345ARemoval of knee cyst5.926.92NA0.8113.65NA090
    27347ARemove knee cyst5.782.822.820.769.369.36090
    27350ARemoval of kneecap8.178.36NA1.1517.68NA090
    27355ARemove femur lesion7.659.58NA1.0718.30NA090
    27356ARemove femur lesion/graft9.4810.60NA1.2921.37NA090
    27357ARemove femur lesion/graft10.5311.14NA1.4823.15NA090
    27358ARemove femur lesion/fixation4.742.67NA0.678.08NAZZZ
    27360APartial removal, leg bone(s)10.5016.98NA1.4228.90NA090
    27365AExtensive leg surgery16.2713.73NA2.2632.26NA090
    27370AInjection for knee x-ray0.960.3412.030.061.3613.05000
    27372ARemoval of foreign body5.076.078.360.6211.7614.05090
    27380ARepair of kneecap tendon7.167.87NA1.0016.03NA090
    27381ARepair/graft kneecap tendon10.349.66NA1.4421.44NA090
    27385ARepair of thigh muscle7.768.22NA1.0917.07NA090
    27386ARepair/graft of thigh muscle10.5610.34NA1.4922.39NA090
    27390AIncision of thigh tendon5.337.26NA0.6913.28NA090
    27391AIncision of thigh tendons7.208.37NA0.9916.56NA090
    27392AIncision of thigh tendons9.2010.37NA1.2320.80NA090
    27393ALengthening of thigh tendon6.397.77NA0.9015.06NA090
    27394ALengthening of thigh tendons8.5010.05NA1.1719.72NA090
    27395ALengthening of thigh tendons11.7312.75NA1.6326.11NA090
    27396ATransplant of thigh tendon7.869.69NA1.1118.66NA090
    27397ATransplants of thigh tendons11.2811.12NA1.5823.98NA090
    27400ARevise thigh muscles/tendons9.0210.67NA1.1820.87NA090
    27403ARepair of knee cartilage8.338.41NA1.1617.90NA090
    27405ARepair of knee ligament8.659.10NA1.2118.96NA090
    27407ARepair of knee ligament10.289.88NA1.3821.54NA090
    27409ARepair of knee ligaments12.9011.31NA1.7525.96NA090
    27418ARepair degenerated kneecap10.8510.40NA1.5122.76NA090
    27420ARevision of unstable kneecap9.839.29NA1.3820.50NA090
    27422ARevision of unstable kneecap9.789.30NA1.3720.45NA090
    27424ARevision/removal of kneecap9.819.28NA1.3820.47NA090
    27425ALateral retinacular release5.226.72NA0.7312.67NA090
    27427AReconstruction, knee9.368.94NA1.2919.59NA090
    27428AReconstruction, knee14.0011.95NA1.9527.90NA090
    Start Printed Page 40427
    27429AReconstruction, knee15.5212.95NA2.1830.65NA090
    27430ARevision of thigh muscles9.679.29NA1.3520.31NA090
    27435AIncision of knee joint9.499.21NA1.3320.03NA090
    27437ARevise kneecap8.469.35NA1.1818.99NA090
    27438ARevise kneecap with implant11.2310.55NA1.5623.34NA090
    27440ARevision of knee joint10.4310.22NA1.4222.07NA090
    27441ARevision of knee joint10.8210.58NA1.4922.89NA090
    27442ARevision of knee joint11.8911.16NA1.6824.73NA090
    27443ARevision of knee joint10.9310.82NA1.5223.27NA090
    27445ARevision of knee joint17.6814.44NA2.4934.61NA090
    27446ARevision of knee joint15.8413.51NA2.2231.57NA090
    27447ATotal knee replacement21.4816.57NA3.0041.05NA090
    27448AIncision of thigh11.0611.43NA1.5124.00NA090
    27450AIncision of thigh13.9813.10NA1.9629.04NA090
    27454ARealignment of thigh bone17.5615.15NA2.4635.17NA090
    27455ARealignment of knee12.8211.89NA1.7826.49NA090
    27457ARealignment of knee13.4511.16NA1.8826.49NA090
    27465AShortening of thigh bone13.8713.49NA1.8629.22NA090
    27466ALengthening of thigh bone16.3314.79NA1.9233.04NA090
    27468AShorten/lengthen thighs18.9716.66NA2.6838.31NA090
    27470ARepair of thigh16.0715.10NA2.2433.41NA090
    27472ARepair/graft of thigh17.7216.03NA2.4936.24NA090
    27475ASurgery to stop leg growth8.649.39NA1.1319.16NA090
    27477ASurgery to stop leg growth9.859.25NA1.3120.41NA090
    27479ASurgery to stop leg growth12.8010.30NA1.8124.91NA090
    27485ASurgery to stop leg growth8.848.75NA1.2418.83NA090
    27486ARevise/replace knee joint19.2715.41NA2.7037.38NA090
    27487ARevise/replace knee joint25.2718.75NA3.5447.56NA090
    27488ARemoval of knee prosthesis15.7413.51NA2.2131.46NA090
    27495AReinforce thigh15.5514.86NA2.1832.59NA090
    27496ADecompression of thigh/knee6.117.28NA0.7714.16NA090
    27497ADecompression of thigh/knee7.177.52NA0.8415.53NA090
    27498ADecompression of thigh/knee7.998.72NA0.9717.68NA090
    27499ADecompression of thigh/knee9.009.01NA1.1819.19NA090
    27500ATreatment of thigh fracture5.927.039.030.8013.7515.75090
    27501ATreatment of thigh fracture5.927.9510.010.8314.7016.76090
    27502ATreatment of thigh fracture10.5810.59NA1.4922.66NA090
    27503ATreatment of thigh fracture10.5810.58NA1.4922.65NA090
    27506ATreatment of thigh fracture17.4513.54NA2.3333.32NA090
    27507ATreatment of thigh fracture13.9911.92NA1.9527.86NA090
    27508ATreatment of thigh fracture5.835.136.640.8011.7613.27090
    27509ATreatment of thigh fracture7.718.62NA1.0817.41NA090
    27510ATreatment of thigh fracture9.137.02NA1.2617.41NA090
    27511ATreatment of thigh fracture13.6412.45NA1.9128.00NA090
    27513ATreatment of thigh fracture17.9214.85NA2.5135.28NA090
    27514ATreatment of thigh fracture17.3014.31NA2.4134.02NA090
    27516ATreat thigh fx growth plate5.375.537.100.7411.6413.21090
    27517ATreat thigh fx growth plate8.787.499.231.2217.4919.23090
    27519ATreat thigh fx growth plate15.0212.72NA2.0929.83NA090
    27520ATreat kneecap fracture2.863.504.970.386.748.21090
    27524ATreat kneecap fracture10.008.48NA1.4019.88NA090
    27530ATreat knee fracture3.784.035.490.518.329.78090
    27532ATreat knee fracture7.305.587.161.0213.9015.48090
    27535ATreat knee fracture11.5011.30NA1.6124.41NA090
    27536ATreat knee fracture15.6511.62NA2.1929.46NA090
    27538ATreat knee fracture(s)4.875.156.980.6710.6912.52090
    27540ATreat knee fracture13.1010.02NA1.8024.92NA090
    27550ATreat knee dislocation5.765.396.990.6811.8313.43090
    27552ATreat knee dislocation7.907.56NA1.1016.56NA090
    27556ATreat knee dislocation14.4113.70NA2.0130.12NA090
    27557ATreat knee dislocation16.7714.90NA2.3734.04NA090
    27558ATreat knee dislocation17.7215.15NA2.5135.38NA090
    27560ATreat kneecap dislocation3.823.735.480.407.959.70090
    27562ATreat kneecap dislocation5.795.40NA0.6911.88NA090
    27566ATreat kneecap dislocation12.239.85NA1.7323.81NA090
    27570AFixation of knee joint1.742.97NA0.244.95NA010
    27580AFusion of knee19.3715.82NA2.7037.89NA090
    27590AAmputate leg at thigh12.0312.40NA1.3525.78NA090
    27591AAmputate leg at thigh12.6813.36NA1.6327.67NA090
    27592AAmputate leg at thigh10.0211.90NA1.1723.09NA090
    27594AAmputation follow-up surgery6.928.82NA0.8216.56NA090
    27596AAmputation follow-up surgery10.6012.19NA1.2424.03NA090
    27598AAmputate lower leg at knee10.5310.97NA1.2422.74NA090
    27599CLeg surgery procedure0.000.000.000.000.000.00YYY
    Start Printed Page 40428
    27600ADecompression of lower leg5.657.81NA0.6814.14NA090
    27601ADecompression of lower leg5.647.17NA0.6913.50NA090
    27602ADecompression of lower leg7.358.12NA0.8516.32NA090
    27603ADrain lower leg lesion4.9410.0815.620.5615.5821.12090
    27604ADrain lower leg bursa4.477.8110.690.5412.8215.70090
    27605AIncision of achilles tendon2.873.679.730.386.9212.98010
    27606AIncision of achilles tendon4.144.7611.660.579.4716.37010
    27607ATreat lower leg bone lesion7.9712.93NA1.0821.98NA090
    27610AExplore/treat ankle joint8.349.84NA1.1519.33NA090
    27612AExploration of ankle joint7.337.59NA1.0115.93NA090
    27613ABiopsy lower leg soft tissue2.173.135.620.165.467.95010
    27614ABiopsy lower leg soft tissue5.666.9111.430.6213.1917.71090
    27615ARemove tumor, lower leg12.5617.04NA1.3930.99NA090
    27618ARemove lower leg lesion5.096.4611.090.5412.0916.72090
    27619ARemove lower leg lesion8.408.9513.471.0118.3622.88090
    27620AExplore/treat ankle joint5.987.31NA0.8314.12NA090
    27625ARemove ankle joint lining8.309.15NA1.1618.61NA090
    27626ARemove ankle joint lining8.919.83NA1.2319.97NA090
    27630ARemoval of tendon lesion4.806.5811.430.6011.9816.83090
    27635ARemove lower leg bone lesion7.7810.35NA1.0619.19NA090
    27637ARemove/graft leg bone lesion9.8511.58NA1.3822.81NA090
    27638ARemove/graft leg bone lesion10.5712.14NA1.4724.18NA090
    27640APartial removal of tibia11.3717.11NA1.5430.02NA090
    27641APartial removal of fibula9.2414.98NA1.2225.44NA090
    27645AExtensive lower leg surgery14.1716.93NA1.9833.08NA090
    27646AExtensive lower leg surgery12.6615.65NA1.5529.86NA090
    27647AExtensive ankle/heel surgery12.2410.62NA1.6424.50NA090
    27648AInjection for ankle x-ray0.960.349.370.051.3510.38000
    27650ARepair achilles tendon9.698.97NA1.3520.01NA090
    27652ARepair/graft achilles tendon10.339.31NA1.4521.09NA090
    27654ARepair of achilles tendon10.029.60NA1.4121.03NA090
    27656ARepair leg fascia defect4.576.1112.800.4811.1617.85090
    27658ARepair of leg tendon, each4.988.2714.260.6813.9319.92090
    27659ARepair of leg tendon, each6.819.2216.820.9616.9924.59090
    27664ARepair of leg tendon, each4.598.2312.050.6313.4517.27090
    27665ARepair of leg tendon, each5.408.3913.420.7514.5419.57090
    27675ARepair lower leg tendons7.187.46NA1.0115.65NA090
    27676ARepair lower leg tendons8.428.74NA1.1518.31NA090
    27680ARelease of lower leg tendon5.747.47NA0.8014.01NA090
    27681ARelease of lower leg tendons6.827.51NA0.9215.25NA090
    27685ARevision of lower leg tendon6.507.6910.300.9115.1017.71090
    27686ARevise lower leg tendons7.469.2216.331.0517.7324.84090
    27687ARevision of calf tendon6.247.78NA0.8814.90NA090
    27690ARevise lower leg tendon8.718.75NA1.2218.68NA090
    27691ARevise lower leg tendon9.9610.31NA1.4021.67NA090
    27692ARevise additional leg tendon1.870.99NA0.263.12NAZZZ
    27695ARepair of ankle ligament6.518.47NA0.9015.88NA090
    27696ARepair of ankle ligaments8.278.96NA1.1618.39NA090
    27698ARepair of ankle ligament9.368.70NA1.3119.37NA090
    27700ARevision of ankle joint9.297.42NA1.2417.95NA090
    27702AReconstruct ankle joint13.6712.31NA1.9227.90NA090
    27703AReconstruction, ankle joint15.8713.65NA2.2431.76NA090
    27704ARemoval of ankle implant7.627.54NA0.6115.77NA090
    27705AIncision of tibia10.3810.88NA1.4422.70NA090
    27707AIncision of fibula4.377.73NA0.6012.70NA090
    27709AIncision of tibia & fibula9.9510.81NA1.3922.15NA090
    27712ARealignment of lower leg14.2512.96NA2.0029.21NA090
    27715ARevision of lower leg14.3914.20NA2.0030.59NA090
    27720ARepair of tibia11.7912.75NA1.6626.20NA090
    27722ARepair/graft of tibia11.8212.39NA1.6525.86NA090
    27724ARepair/graft of tibia18.2016.34NA2.1036.64NA090
    27725ARepair of lower leg15.5914.94NA2.2032.73NA090
    27727ARepair of lower leg14.0112.62NA1.8428.47NA090
    27730ARepair of tibia epiphysis7.4110.0514.780.7518.2122.94090
    27732ARepair of fibula epiphysis5.328.2411.970.6314.1917.92090
    27734ARepair lower leg epiphyses8.489.20NA0.8518.53NA090
    27740ARepair of leg epiphyses9.3010.5015.531.3121.1126.14090
    27742ARepair of leg epiphyses10.3011.0815.921.5522.9327.77090
    27745AReinforce tibia10.0710.86NA1.3822.31NA090
    27750ATreatment of tibia fracture3.193.695.140.437.318.76090
    27752ATreatment of tibia fracture5.845.767.540.8212.4214.20090
    27756ATreatment of tibia fracture6.789.98NA0.9417.70NA090
    27758ATreatment of tibia fracture11.6711.15NA1.5224.34NA090
    27759ATreatment of tibia fracture13.7612.70NA1.9328.39NA090
    Start Printed Page 40429
    27760ATreatment of ankle fracture3.013.544.930.396.948.33090
    27762ATreatment of ankle fracture5.255.347.100.7111.3013.06090
    27766ATreatment of ankle fracture8.368.07NA1.1717.60NA090
    27780ATreatment of fibula fracture2.653.364.880.336.347.86090
    27781ATreatment of fibula fracture4.404.296.070.579.2611.04090
    27784ATreatment of fibula fracture7.118.00NA0.9816.09NA090
    27786ATreatment of ankle fracture2.843.474.900.376.688.11090
    27788ATreatment of ankle fracture4.454.346.060.619.4011.12090
    27792ATreatment of ankle fracture7.667.65NA1.0716.38NA090
    27808ATreatment of ankle fracture2.834.085.790.387.299.00090
    27810ATreatment of ankle fracture5.135.317.060.7111.1512.90090
    27814ATreatment of ankle fracture10.6810.27NA1.5022.45NA090
    27816ATreatment of ankle fracture2.894.115.430.377.378.69090
    27818ATreatment of ankle fracture5.505.487.270.7411.7213.51090
    27822ATreatment of ankle fracture11.0012.26NA1.2924.55NA090
    27823ATreatment of ankle fracture13.0013.32NA1.6527.97NA090
    27824ATreat lower leg fracture2.894.095.830.397.379.11090
    27825ATreat lower leg fracture6.195.947.660.8512.9814.70090
    27826ATreat lower leg fracture8.5410.89NA1.1920.62NA090
    27827ATreat lower leg fracture14.0614.00NA1.9630.02NA090
    27828ATreat lower leg fracture16.2315.15NA2.2733.65NA090
    27829ATreat lower leg joint5.497.89NA0.7714.15NA090
    27830ATreat lower leg dislocation3.794.054.530.448.288.76090
    27831ATreat lower leg dislocation4.564.97NA0.6110.14NA090
    27832ATreat lower leg dislocation6.497.75NA0.9115.15NA090
    27840ATreat ankle dislocation4.585.60NA0.4710.65NA090
    27842ATreat ankle dislocation6.214.91NA0.7611.88NA090
    27846ATreat ankle dislocation9.799.79NA1.3620.94NA090
    27848ATreat ankle dislocation11.2010.93NA1.5523.68NA090
    27860AFixation of ankle joint2.343.59NA0.316.24NA010
    27870AFusion of ankle joint13.9112.94NA1.9528.80NA090
    27871AFusion of tibiofibular joint9.1710.24NA1.2920.70NA090
    27880AAmputation of lower leg11.8511.64NA1.3824.87NA090
    27881AAmputation of lower leg12.3412.77NA1.5926.70NA090
    27882AAmputation of lower leg8.9413.04NA1.0323.01NA090
    27884AAmputation follow-up surgery8.2110.30NA0.9519.46NA090
    27886AAmputation follow-up surgery9.3211.00NA1.1321.45NA090
    27888AAmputation of foot at ankle9.6710.31NA1.2621.24NA090
    27889AAmputation of foot at ankle9.9810.64NA1.1921.81NA090
    27892ADecompression of leg7.398.15NA0.8616.40NA090
    27893ADecompression of leg7.358.37NA0.9016.62NA090
    27894ADecompression of leg10.499.47NA1.2521.21NA090
    27899CLeg/ankle surgery procedure0.000.000.000.000.000.00YYY
    28001ADrainage of bursa of foot2.732.874.720.315.917.76010
    28002ATreatment of foot infection4.624.116.340.569.2911.52010
    28003ATreatment of foot infection8.4110.0510.231.0319.4919.67090
    28005ATreat foot bone lesion8.689.63NA1.1419.45NA090
    28008AIncision of foot fascia4.455.837.000.5610.8412.01090
    28010AIncision of toe tendon2.844.546.370.397.779.60090
    28011AIncision of toe tendons4.146.048.320.5810.7613.04090
    28020AExploration of foot joint5.015.818.480.6411.4614.13090
    28022AExploration of foot joint4.675.627.680.6210.9112.97090
    28024AExploration of toe joint4.385.927.410.5010.8012.29090
    28030ARemoval of foot nerve6.153.44NA0.8510.44NA090
    28035ADecompression of tibia nerve5.094.978.950.7110.7714.75090
    28043AExcision of foot lesion3.544.636.680.458.6210.67090
    28045AExcision of foot lesion4.725.247.060.6210.5812.40090
    28046AResection of tumor, foot10.1810.6912.221.1322.0023.53090
    28050ABiopsy of foot joint lining4.255.236.130.5510.0310.93090
    28052ABiopsy of foot joint lining3.945.337.610.519.7812.06090
    28054ABiopsy of toe joint lining3.455.047.210.458.9411.11090
    28060APartial removal, foot fascia5.235.917.830.6911.8313.75090
    28062ARemoval of foot fascia6.525.978.740.8513.3416.11090
    28070ARemoval of foot joint lining5.105.457.970.6811.2313.75090
    28072ARemoval of foot joint lining4.586.107.450.6411.3212.67090
    28080ARemoval of foot lesion3.584.886.860.508.9610.94090
    28086AExcise foot tendon sheath4.786.6910.900.6612.1316.34090
    28088AExcise foot tendon sheath3.865.848.170.5210.2212.55090
    28090ARemoval of foot lesion4.415.107.150.5710.0812.13090
    28092ARemoval of toe lesions3.645.387.610.469.4811.71090
    28100ARemoval of ankle/heel lesion5.667.0010.920.7613.4217.34090
    28102ARemove/graft foot lesion7.737.99NA0.9716.69NA090
    28103ARemove/graft foot lesion6.507.0410.800.8914.4318.19090
    28104ARemoval of foot lesion5.126.228.210.6912.0314.02090
    Start Printed Page 40430
    28106ARemove/graft foot lesion7.165.93NA1.0114.10NA090
    28107ARemove/graft foot lesion5.566.318.700.7412.6115.00090
    28108ARemoval of toe lesions4.164.806.430.529.4811.11090
    28110APart removal of metatarsal4.086.117.870.4910.6812.44090
    28111APart removal of metatarsal5.017.1110.560.6312.7516.20090
    28112APart removal of metatarsal4.496.719.190.6011.8014.28090
    28113APart removal of metatarsal4.796.478.430.6311.8913.85090
    28114ARemoval of metatarsal heads9.7910.0114.521.3621.1625.67090
    28116ARevision of foot7.756.478.211.0315.2516.99090
    28118ARemoval of heel bone5.966.439.350.7913.1816.10090
    28119ARemoval of heel spur5.395.477.520.7411.6013.65090
    28120APart removal of ankle/heel5.408.9611.930.6915.0518.02090
    28122APartial removal of foot bone7.298.5510.380.9616.8018.63090
    28124APartial removal of toe4.816.768.040.6512.2213.50090
    28126APartial removal of toe3.526.196.890.4910.2010.90090
    28130ARemoval of ankle bone8.117.90NA1.1117.12NA090
    28140ARemoval of metatarsal6.917.6310.940.8415.3818.69090
    28150ARemoval of toe4.096.437.980.5211.0412.59090
    28153APartial removal of toe3.665.336.970.499.4811.12090
    28160APartial removal of toe3.746.367.450.5110.6111.70090
    28171AExtensive foot surgery9.608.77NA1.1319.50NA090
    28173AExtensive foot surgery8.808.0711.161.0417.9121.00090
    28175AExtensive foot surgery6.056.258.190.7513.0514.99090
    28190ARemoval of foot foreign body1.963.195.550.165.317.67010
    28192ARemoval of foot foreign body4.645.117.060.5210.2712.22090
    28193ARemoval of foot foreign body5.735.947.460.6312.3013.82090
    28200ARepair of foot tendon4.605.547.610.5910.7312.80090
    28202ARepair/graft of foot tendon6.846.4211.030.8614.1218.73090
    28208ARepair of foot tendon4.375.637.340.5910.5912.30090
    28210ARepair/graft of foot tendon6.355.848.550.7712.9615.67090
    28220ARelease of foot tendon4.535.566.680.6310.7211.84090
    28222ARelease of foot tendons5.626.547.170.7712.9313.56090
    28225ARelease of foot tendon3.665.116.570.509.2710.73090
    28226ARelease of foot tendons4.536.616.610.6211.7611.76090
    28230AIncision of foot tendon(s)4.246.206.880.5911.0311.71090
    28232AIncision of toe tendon3.395.816.840.489.6810.71090
    28234AIncision of foot tendon3.375.336.910.469.1610.74090
    28238ARevision of foot tendon7.736.9510.421.0815.7619.23090
    28240ARelease of big toe4.365.726.850.6110.6911.82090
    28250ARevision of foot fascia5.926.628.400.8113.3515.13090
    28260ARelease of midfoot joint7.966.888.021.0815.9217.06090
    28261ARevision of foot tendon11.738.869.821.6622.2523.21090
    28262ARevision of foot and ankle15.8314.5217.212.2232.5735.26090
    28264ARelease of midfoot joint10.3511.0511.161.4622.8622.97090
    28270ARelease of foot contracture4.766.397.380.6711.8212.81090
    28272ARelease of toe joint, each3.804.796.350.529.1110.67090
    28280AFusion of toes5.196.278.820.7212.1814.73090
    28285ARepair of hammertoe4.595.877.570.6411.1012.80090
    28286ARepair of hammertoe4.565.937.240.6411.1312.44090
    28288APartial removal of foot bone4.747.278.260.6512.6613.65090
    28289ARepair hallux rigidus7.047.979.660.9615.9717.66090
    28290ACorrection of bunion5.668.029.170.7914.4715.62090
    28292ACorrection of bunion7.046.898.870.9814.9116.89090
    28293ACorrection of bunion9.157.219.981.2817.6420.41090
    28294ACorrection of bunion8.567.199.331.1616.9119.05090
    28296ACorrection of bunion9.187.8310.011.2818.2920.47090
    28297ACorrection of bunion9.189.4712.301.3119.9622.79090
    28298ACorrection of bunion7.947.528.911.1216.5817.97090
    28299ACorrection of bunion9.187.819.971.2418.2320.39090
    28300AIncision of heel bone9.548.9314.621.3119.7825.47090
    28302AIncision of ankle bone9.558.7518.581.1519.4529.28090
    28304AIncision of midfoot bones9.167.199.351.0017.3519.51090
    28305AIncise/graft midfoot bones10.509.2114.830.5520.2625.88090
    28306AIncision of metatarsal5.865.809.300.8112.4715.97090
    28307AIncision of metatarsal6.337.7615.350.7114.8022.39090
    28308AIncision of metatarsal5.294.926.950.7410.9512.98090
    28309AIncision of metatarsals12.7810.50NA1.6424.92NA090
    28310ARevision of big toe5.436.148.170.7612.3314.36090
    28312ARevision of toe4.556.727.780.6211.8912.95090
    28313ARepair deformity of toe5.018.168.160.6813.8513.85090
    28315ARemoval of sesamoid bone4.865.066.810.6610.5812.33090
    28320ARepair of foot bones9.188.11NA1.2718.56NA090
    28322ARepair of metatarsals8.348.1711.631.1717.6821.14090
    28340AResect enlarged toe tissue6.985.738.900.9813.6916.86090
    Start Printed Page 40431
    28341AResect enlarged toe8.416.578.211.1816.1617.80090
    28344ARepair extra toe(s)4.265.0212.540.609.8817.40090
    28345ARepair webbed toe(s)5.926.438.860.8413.1915.62090
    28360AReconstruct cleft foot13.3412.22NA1.8827.44NA090
    28400ATreatment of heel fracture2.164.285.150.296.737.60090
    28405ATreatment of heel fracture4.575.426.190.6310.6211.39090
    28406ATreatment of heel fracture6.318.08NA0.8715.26NA090
    28415ATreat heel fracture15.9714.55NA2.2432.76NA090
    28420ATreat/graft heel fracture16.6414.62NA2.2933.55NA090
    28430ATreatment of ankle fracture2.093.844.790.276.207.15090
    28435ATreatment of ankle fracture3.404.345.430.478.219.30090
    28436ATreatment of ankle fracture4.717.27NA0.6612.64NA090
    28445ATreat ankle fracture15.6212.97NA1.2929.88NA090
    28450ATreat midfoot fracture, each1.903.694.690.255.846.84090
    28455ATreat midfoot fracture, each3.094.565.170.438.088.69090
    28456ATreat midfoot fracture2.685.64NA0.368.68NA090
    28465ATreat midfoot fracture, each7.017.32NA0.8715.20NA090
    28470ATreat metatarsal fracture1.993.084.070.265.336.32090
    28475ATreat metatarsal fracture2.974.024.750.417.408.13090
    28476ATreat metatarsal fracture3.385.92NA0.469.76NA090
    28485ATreat metatarsal fracture5.717.13NA0.8013.64NA090
    28490ATreat big toe fracture1.092.012.460.133.233.68090
    28495ATreat big toe fracture1.582.062.590.193.834.36090
    28496ATreat big toe fracture2.334.2610.080.326.9112.73090
    28505ATreat big toe fracture3.815.9910.510.5010.3014.82090
    28510ATreatment of toe fracture1.091.992.200.133.213.42090
    28515ATreatment of toe fracture1.462.012.430.173.644.06090
    28525ATreat toe fracture3.325.7910.050.449.5513.81090
    28530ATreat sesamoid bone fracture1.062.182.520.133.373.71090
    28531ATreat sesamoid bone fracture2.353.4011.430.336.0814.11090
    28540ATreat foot dislocation2.043.133.130.245.415.41090
    28545ATreat foot dislocation2.453.563.560.336.346.34090
    28546ATreat foot dislocation3.205.315.310.468.978.97090
    28555ARepair foot dislocation6.307.8513.600.8815.0320.78090
    28570ATreat foot dislocation1.663.353.360.225.235.24090
    28575ATreat foot dislocation3.314.905.890.458.669.65090
    28576ATreat foot dislocation4.176.0413.730.5610.7718.46090
    28585ARepair foot dislocation7.997.638.631.1316.7517.75090
    28600ATreat foot dislocation1.893.673.830.245.805.96090
    28605ATreat foot dislocation2.714.424.420.357.487.48090
    28606ATreat foot dislocation4.906.5915.560.6812.1721.14090
    28615ARepair foot dislocation7.778.82NA1.0917.68NA090
    28630ATreat toe dislocation1.702.092.090.173.963.96010
    28635ATreat toe dislocation1.912.322.320.244.474.47010
    28636ATreat toe dislocation2.773.126.600.396.289.76010
    28645ARepair toe dislocation4.224.016.010.588.8110.81090
    28660ATreat toe dislocation1.232.272.920.113.614.26010
    28665ATreat toe dislocation1.922.442.440.244.604.60010
    28666ATreat toe dislocation2.662.316.550.385.359.59010
    28675ARepair of toe dislocation2.924.478.800.417.8012.13090
    28705AFusion of foot bones18.8014.55NA2.1335.48NA090
    28715AFusion of foot bones13.1011.82NA1.8426.76NA090
    28725AFusion of foot bones11.6110.68NA1.6323.92NA090
    28730AFusion of foot bones10.769.98NA1.5122.25NA090
    28735AFusion of foot bones10.8510.28NA1.5122.64NA090
    28737ARevision of foot bones9.648.18NA1.3619.18NA090
    28740AFusion of foot bones8.028.3013.401.1317.4522.55090
    28750AFusion of big toe joint7.308.5114.601.0316.8422.93090
    28755AFusion of big toe joint4.745.988.640.6611.3814.04090
    28760AFusion of big toe joint7.757.099.781.0715.9118.60090
    28800AAmputation of midfoot8.218.68NA0.9817.87NA090
    28805AAmputation thru metatarsal8.398.86NA0.9718.22NA090
    28810AAmputation toe & metatarsal6.217.75NA0.7014.66NA090
    28820AAmputation of toe4.416.8611.180.5111.7816.10090
    28825APartial amputation of toe3.596.7010.280.4310.7214.30090
    28899CFoot/toes surgery procedure0.000.000.000.000.000.00YYY
    29000AApplication of body cast2.251.332.750.303.885.30000
    29010AApplication of body cast2.061.272.560.273.604.89000
    29015AApplication of body cast2.411.172.500.213.795.12000
    29020AApplication of body cast2.110.982.480.163.254.75000
    29025AApplication of body cast2.401.462.920.264.125.58000
    29035AApplication of body cast1.771.092.490.243.104.50000
    29040AApplication of body cast2.221.391.600.353.964.17000
    29044AApplication of body cast2.121.322.720.293.735.13000
    Start Printed Page 40432
    29046AApplication of body cast2.411.382.860.344.135.61000
    29049AApplication of figure eight0.890.511.540.121.522.55000
    29055AApplication of shoulder cast1.781.072.160.243.094.18000
    29058AApplication of shoulder cast1.310.641.810.142.093.26000
    29065AApplication of long arm cast0.870.541.270.121.532.26000
    29075AApplication of forearm cast0.770.471.220.111.352.10000
    29085AApply hand/wrist cast0.870.471.270.111.452.25000
    29105AApply long arm splint0.870.401.270.111.382.25000
    29125AApply forearm splint0.590.291.130.060.941.78000
    29126AApply forearm splint0.770.451.930.061.282.76000
    29130AApplication of finger splint0.500.270.920.050.821.47000
    29131AApplication of finger splint0.550.381.820.030.962.40000
    29200AStrapping of chest0.650.301.400.040.992.09000
    29220AStrapping of low back0.640.331.050.071.041.76000
    29240AStrapping of shoulder0.710.321.430.051.082.19000
    29260AStrapping of elbow or wrist0.550.271.160.040.861.75000
    29280AStrapping of hand or finger0.510.271.300.040.821.85000
    29305AApplication of hip cast2.031.282.440.293.604.76000
    29325AApplication of hip casts2.321.442.590.314.075.22000
    29345AApplication of long leg cast1.400.851.650.192.443.24000
    29355AApplication of long leg cast1.530.871.670.202.603.40000
    29358AApply long leg cast brace1.430.931.860.192.553.48000
    29365AApplication of long leg cast1.180.721.500.172.072.85000
    29405AApply short leg cast0.860.521.180.121.502.16000
    29425AApply short leg cast1.010.561.130.141.712.28000
    29435AApply short leg cast1.180.791.790.172.143.14000
    29440AAddition of walker to cast0.570.320.900.070.961.54000
    29445AApply rigid leg cast1.780.862.010.242.884.03000
    29450AApplication of leg cast2.081.011.690.133.223.90000
    29505AApplication, long leg splint0.690.421.610.061.172.36000
    29515AApplication lower leg splint0.730.431.170.071.231.97000
    29520AStrapping of hip0.540.381.540.020.942.10000
    29530AStrapping of knee0.570.281.220.040.891.83000
    29540AStrapping of ankle0.510.260.510.040.811.06000
    29550AStrapping of toes0.470.240.500.050.761.02000
    29580AApplication of paste boot0.570.310.850.050.931.47000
    29590AApplication of foot splint0.760.410.790.061.231.61000
    29700ARemoval/revision of cast0.570.310.810.070.951.45000
    29705ARemoval/revision of cast0.760.410.970.101.271.83000
    29710ARemoval/revision of cast1.340.851.780.172.363.29000
    29715ARemoval/revision of cast0.940.723.900.081.744.92000
    29720ARepair of body cast0.680.501.450.101.282.23000
    29730AWindowing of cast0.750.390.920.101.241.77000
    29740AWedging of cast1.120.531.350.151.802.62000
    29750AWedging of clubfoot cast1.260.591.580.162.013.00000
    29799CCasting/strapping procedure0.000.000.000.000.000.00YYY
    29800AJaw arthroscopy/surgery6.438.44NA0.8415.71NA090
    29804AJaw arthroscopy/surgery8.148.83NA0.6617.63NA090
    29815AShoulder arthroscopy5.897.31NA0.8314.03NA090
    29819AShoulder arthroscopy/surgery7.629.18NA1.0717.87NA090
    29820AShoulder arthroscopy/surgery7.078.81NA0.9916.87NA090
    29821AShoulder arthroscopy/surgery7.729.18NA1.0817.98NA090
    29822AShoulder arthroscopy/surgery7.439.06NA1.0417.53NA090
    29823AShoulder arthroscopy/surgery8.179.43NA1.1518.75NA090
    29825AShoulder arthroscopy/surgery7.629.19NA1.0617.87NA090
    29826AShoulder arthroscopy/surgery8.999.92NA1.2620.17NA090
    29830AElbow arthroscopy5.765.72NA0.7912.27NA090
    29834AElbow arthroscopy/surgery6.286.51NA0.8613.65NA090
    29835AElbow arthroscopy/surgery6.486.50NA0.8813.86NA090
    29836AElbow arthroscopy/surgery7.557.24NA1.0615.85NA090
    29837AElbow arthroscopy/surgery6.876.80NA0.9614.63NA090
    29838AElbow arthroscopy/surgery7.717.31NA1.0716.09NA090
    29840AWrist arthroscopy5.548.36NA0.6914.59NA090
    29843AWrist arthroscopy/surgery6.017.95NA0.8214.78NA090
    29844AWrist arthroscopy/surgery6.378.11NA0.8615.34NA090
    29845AWrist arthroscopy/surgery7.528.57NA0.8416.93NA090
    29846AWrist arthroscopy/surgery6.7510.62NA0.8918.26NA090
    29847AWrist arthroscopy/surgery7.0810.57NA0.9118.56NA090
    29848AWrist endoscopy/surgery5.447.82NA0.7213.98NA090
    29850AKnee arthroscopy/surgery8.197.05NA0.7415.98NA090
    29851AKnee arthroscopy/surgery13.1011.36NA1.8126.27NA090
    29855ATibial arthroscopy/surgery10.6210.01NA1.5022.13NA090
    29856ATibial arthroscopy/surgery14.1411.98NA2.0028.12NA090
    29860AHip arthroscopy, dx8.057.61NA1.1416.80NA090
    Start Printed Page 40433
    29861AHip arthroscopy/surgery9.158.76NA1.2919.20NA090
    29862AHip arthroscopy/surgery9.909.09NA1.3920.38NA090
    29863AHip arthroscopy/surgery9.909.71NA1.4021.01NA090
    29870AKnee arthroscopy, dx5.075.81NA0.6711.55NA090
    29871AKnee arthroscopy/drainage6.557.74NA0.8815.17NA090
    29874AKnee arthroscopy/surgery7.057.42NA0.8715.34NA090
    29875AKnee arthroscopy/surgery6.317.15NA0.8814.34NA090
    29876AKnee arthroscopy/surgery7.928.57NA1.1117.60NA090
    29877AKnee arthroscopy/surgery7.357.74NA1.0316.12NA090
    29879AKnee arthroscopy/surgery8.048.13NA1.1317.30NA090
    29880AKnee arthroscopy/surgery8.508.39NA1.1918.08NA090
    29881AKnee arthroscopy/surgery7.767.97NA1.0916.82NA090
    29882AKnee arthroscopy/surgery8.658.02NA1.0917.76NA090
    29883AKnee arthroscopy/surgery11.059.82NA1.3322.20NA090
    29884AKnee arthroscopy/surgery7.338.25NA1.0316.61NA090
    29885AKnee arthroscopy/surgery9.099.19NA1.2719.55NA090
    29886AKnee arthroscopy/surgery7.548.36NA1.0616.96NA090
    29887AKnee arthroscopy/surgery9.049.19NA1.2719.50NA090
    29888AKnee arthroscopy/surgery13.9011.89NA1.9527.74NA090
    29889AKnee arthroscopy/surgery16.0012.98NA2.1131.09NA090
    29891AAnkle arthroscopy/surgery8.408.76NA1.1718.33NA090
    29892AAnkle arthroscopy/surgery9.008.60NA1.2618.86NA090
    29893AScope, plantar fasciotomy5.224.81NA0.7410.77NA090
    29894AAnkle arthroscopy/surgery7.217.40NA1.0115.62NA090
    29895AAnkle arthroscopy/surgery6.997.69NA0.9715.65NA090
    29897AAnkle arthroscopy/surgery7.188.29NA1.0116.48NA090
    29898AAnkle arthroscopy/surgery8.328.15NA1.1417.61NA090
    29909CArthroscopy of joint0.000.000.000.000.000.00YYY
    30000ADrainage of nose lesion1.431.452.410.102.983.94010
    30020ADrainage of nose lesion1.431.542.620.083.054.13010
    30100AIntranasal biopsy0.940.531.280.061.532.28000
    30110ARemoval of nose polyp(s)1.630.902.660.122.654.41010
    30115ARemoval of nose polyp(s)4.354.37NA0.319.03NA090
    30117ARemoval of intranasal lesion3.163.104.660.226.488.04090
    30118ARemoval of intranasal lesion9.697.48NA0.6617.83NA090
    30120ARevision of nose5.275.935.930.4111.6111.61090
    30124ARemoval of nose lesion3.103.27NA0.206.57NA090
    30125ARemoval of nose lesion7.166.29NA0.5413.99NA090
    30130ARemoval of turbinate bones3.383.81NA0.227.41NA090
    30140ARemoval of turbinate bones3.434.40NA0.248.07NA090
    30150APartial removal of nose9.148.58NA0.7618.48NA090
    30160ARemoval of nose9.588.39NA0.7818.75NA090
    30200AInjection treatment of nose0.780.451.160.061.292.00000
    30210ANasal sinus therapy1.080.612.040.081.773.20010
    30220AInsert nasal septal button1.540.872.360.112.524.01010
    30300ARemove nasal foreign body1.040.382.430.071.493.54010
    30310ARemove nasal foreign body1.961.84NA0.143.94NA010
    30320ARemove nasal foreign body4.525.40NA0.3610.28NA090
    30400RReconstruction of nose9.838.68NA0.8019.31NA090
    30410RReconstruction of nose12.9810.55NA1.0824.61NA090
    30420RReconstruction of nose15.8812.25NA1.2429.37NA090
    30430RRevision of nose7.217.15NA0.6214.98NA090
    30435RRevision of nose11.7110.47NA1.1023.28NA090
    30450RRevision of nose18.6514.05NA1.5334.23NA090
    30460ARevision of nose9.969.51NA0.8520.32NA090
    30462ARevision of nose19.5714.96NA1.9236.45NA090
    30465ARepair nasal stenosis11.649.21NA0.8221.67NA090
    30520ARepair of nasal septum5.705.71NA0.4111.82NA090
    30540ARepair nasal defect7.756.46NA0.5314.74NA090
    30545ARepair nasal defect11.388.20NA0.8020.38NA090
    30560ARelease of nasal adhesions1.261.462.250.092.813.60010
    30580ARepair upper jaw fistula6.694.944.940.5012.1312.13090
    30600ARepair mouth/nose fistula6.025.175.170.7011.8911.89090
    30620AIntranasal reconstruction5.976.44NA0.4512.86NA090
    30630ARepair nasal septum defect7.126.89NA0.5114.52NA090
    30801ACauterization, inner nose1.092.172.450.083.343.62010
    30802ACauterization, inner nose2.032.722.990.154.905.17010
    30901AControl of nosebleed1.210.442.050.091.743.35000
    30903AControl of nosebleed1.540.632.460.122.294.12000
    30905AControl of nosebleed1.970.894.320.153.016.44000
    30906ARepeat control of nosebleed2.451.354.560.173.977.18000
    30915ALigation, nasal sinus artery7.206.84NA0.5014.54NA090
    30920ALigation, upper jaw artery9.838.33NA0.6918.85NA090
    30930ATherapy, fracture of nose1.262.05NA0.093.40NA010
    Start Printed Page 40434
    30999CNasal surgery procedure0.000.000.000.000.000.00YYY
    31000AIrrigation, maxillary sinus1.150.642.330.081.873.56010
    31002AIrrigation, sphenoid sinus1.911.98NA0.144.03NA010
    31020AExploration, maxillary sinus2.943.534.220.206.677.36090
    31030AExploration, maxillary sinus5.924.544.790.4210.8811.13090
    31032AExplore sinus,remove polyps6.575.91NA0.4712.95NA090
    31040AExploration behind upper jaw9.426.80NA0.7116.93NA090
    31050AExploration, sphenoid sinus5.284.93NA0.3910.60NA090
    31051ASphenoid sinus surgery7.116.35NA0.5514.01NA090
    31070AExploration of frontal sinus4.284.85NA0.309.43NA090
    31075AExploration of frontal sinus9.168.02NA0.6417.82NA090
    31080ARemoval of frontal sinus11.428.69NA0.7820.89NA090
    31081ARemoval of frontal sinus12.759.38NA1.8423.97NA090
    31084ARemoval of frontal sinus13.5110.41NA0.9624.88NA090
    31085ARemoval of frontal sinus14.2010.67NA1.1826.05NA090
    31086ARemoval of frontal sinus12.869.97NA0.9023.73NA090
    31087ARemoval of frontal sinus13.1010.51NA1.1524.76NA090
    31090AExploration of sinuses9.538.66NA0.6618.85NA090
    31200ARemoval of ethmoid sinus4.975.52NA0.2510.74NA090
    31201ARemoval of ethmoid sinus8.377.61NA0.5816.56NA090
    31205ARemoval of ethmoid sinus10.248.20NA0.5819.02NA090
    31225ARemoval of upper jaw19.2314.89NA1.3835.50NA090
    31230ARemoval of upper jaw21.9416.19NA1.5739.70NA090
    31231ANasal endoscopy, dx1.100.591.910.081.773.09000
    31233ANasal/sinus endoscopy, dx2.181.192.550.163.534.89000
    31235ANasal/sinus endoscopy, dx2.641.492.820.184.315.64000
    31237ANasal/sinus endoscopy, surg2.981.653.100.214.846.29000
    31238ANasal/sinus endoscopy, surg3.261.863.590.235.357.08000
    31239ANasal/sinus endoscopy, surg8.706.37NA0.4615.53NA010
    31240ANasal/sinus endoscopy, surg2.611.59NA0.184.38NA000
    31254ARevision of ethmoid sinus4.652.75NA0.327.72NA000
    31255ARemoval of ethmoid sinus6.964.07NA0.4911.52NA000
    31256AExploration maxillary sinus3.291.98NA0.235.50NA000
    31267AEndoscopy, maxillary sinus5.463.22NA0.389.06NA000
    31276ASinus endoscopy, surgical8.855.16NA0.6214.63NA000
    31287ANasal/sinus endoscopy, surg3.922.34NA0.276.53NA000
    31288ANasal/sinus endoscopy, surg4.582.71NA0.327.61NA000
    31290ANasal/sinus endoscopy, surg17.2411.70NA1.2030.14NA010
    31291ANasal/sinus endoscopy, surg18.1911.90NA1.7331.82NA010
    31292ANasal/sinus endoscopy, surg14.7610.04NA0.9925.79NA010
    31293ANasal/sinus endoscopy, surg16.2110.71NA0.9727.89NA010
    31294ANasal/sinus endoscopy, surg19.0611.48NA1.0431.58NA010
    31299CSinus surgery procedure0.000.000.000.000.000.00YYY
    31300ARemoval of larynx lesion14.2916.71NA0.9931.99NA090
    31320ADiagnostic incision, larynx5.2613.00NA0.4018.66NA090
    31360ARemoval of larynx17.0818.54NA1.2036.82NA090
    31365ARemoval of larynx24.1622.21NA1.7248.09NA090
    31367APartial removal of larynx21.8622.87NA1.5746.30NA090
    31368APartial removal of larynx27.0927.69NA1.9056.68NA090
    31370APartial removal of larynx21.3822.65NA1.5145.54NA090
    31375APartial removal of larynx20.2120.63NA1.4342.27NA090
    31380APartial removal of larynx20.2120.16NA1.4041.77NA090
    31382APartial removal of larynx20.5222.33NA1.4444.29NA090
    31390ARemoval of larynx & pharynx27.5328.12NA1.9557.60NA090
    31395AReconstruct larynx & pharynx31.0933.15NA2.2766.51NA090
    31400ARevision of larynx10.3115.09NA0.7226.12NA090
    31420ARemoval of epiglottis10.2214.89NA0.7125.82NA090
    31500AInsert emergency airway2.330.68NA0.153.16NA000
    31502AChange of windpipe airway0.650.271.850.040.962.54000
    31505ADiagnostic laryngoscopy0.610.341.740.040.992.39000
    31510ALaryngoscopy with biopsy1.921.012.700.153.084.77000
    31511ARemove foreign body, larynx2.160.772.940.163.095.26000
    31512ARemoval of larynx lesion2.071.142.890.163.375.12000
    31513AInjection into vocal cord2.101.29NA0.153.54NA000
    31515ALaryngoscopy for aspiration1.800.852.400.122.774.32000
    31520ADiagnostic laryngoscopy2.561.41NA0.174.14NA000
    31525ADiagnostic laryngoscopy2.631.502.820.184.315.63000
    31526ADiagnostic laryngoscopy2.571.56NA0.184.31NA000
    31527ALaryngoscopy for treatment3.271.72NA0.215.20NA000
    31528ALaryngoscopy and dilatation2.371.31NA0.163.84NA000
    31529ALaryngoscopy and dilatation2.681.59NA0.184.45NA000
    31530AOperative laryngoscopy3.391.83NA0.245.46NA000
    31531AOperative laryngoscopy3.592.15NA0.255.99NA000
    31535AOperative laryngoscopy3.161.86NA0.225.24NA000
    Start Printed Page 40435
    31536AOperative laryngoscopy3.562.12NA0.255.93NA000
    31540AOperative laryngoscopy4.132.43NA0.296.85NA000
    31541AOperative laryngoscopy4.532.68NA0.327.53NA000
    31560AOperative laryngoscopy5.463.06NA0.388.90NA000
    31561AOperative laryngoscopy6.003.53NA0.429.95NA000
    31570ALaryngoscopy with injection3.872.284.210.246.398.32000
    31571ALaryngoscopy with injection4.272.53NA0.307.10NA000
    31575ADiagnostic laryngoscopy1.100.622.100.081.803.28000
    31576ALaryngoscopy with biopsy1.970.982.360.133.084.46000
    31577ARemove foreign body, larynx2.471.342.790.173.985.43000
    31578ARemoval of larynx lesion2.841.593.000.204.636.04000
    31579ADiagnostic laryngoscopy2.261.222.840.163.645.26000
    31580ARevision of larynx12.3815.82NA0.8729.07NA090
    31582ARevision of larynx21.6221.18NA1.5244.32NA090
    31584ATreat larynx fracture19.6418.51NA1.4239.57NA090
    31585ATreat larynx fracture4.648.67NA0.3013.61NA090
    31586ATreat larynx fracture8.0312.02NA0.5620.61NA090
    31587ARevision of larynx11.9913.39NA0.8826.26NA090
    31588ARevision of larynx13.1116.53NA0.9230.56NA090
    31590AReinnervate larynx6.9711.67NA0.5019.14NA090
    31595ALarynx nerve surgery8.3410.54NA0.6219.50NA090
    31599CLarynx surgery procedure0.000.000.000.000.000.00YYY
    31600AIncision of windpipe7.183.12NA0.3410.64NA000
    31601AIncision of windpipe4.452.11NA0.396.95NA000
    31603AIncision of windpipe4.151.67NA0.356.17NA000
    31605AIncision of windpipe3.581.24NA0.335.15NA000
    31610AIncision of windpipe8.7610.50NA0.6919.95NA090
    31611ASurgery/speech prosthesis5.649.78NA0.4015.82NA090
    31612APuncture/clear windpipe0.910.431.490.061.402.46000
    31613ARepair windpipe opening4.598.57NA0.3713.53NA090
    31614ARepair windpipe opening7.1211.72NA0.5119.35NA090
    31615AVisualization of windpipe2.091.203.540.143.435.77000
    31622ADx bronchoscope/wash2.781.193.300.144.116.22000
    31623ADx bronchoscope/brush2.881.203.230.144.226.25000
    31624ADx bronchoscope/lavage2.881.202.900.134.215.91000
    31625ABronchoscopy with biopsy3.371.342.930.164.876.46000
    31628ABronchoscopy with biopsy3.811.453.360.145.407.31000
    31629ABronchoscopy with biopsy3.371.32NA0.134.82NA000
    31630ABronchoscopy with repair3.822.03NA0.306.15NA000
    31631ABronchoscopy with dilation4.372.06NA0.316.74NA000
    31635ARemove foreign body, airway3.681.73NA0.215.62NA000
    31640ABronchoscopy & remove lesion4.942.37NA0.377.68NA000
    31641ABronchoscopy, treat blockage5.032.20NA0.307.53NA000
    31643ADiag bronchoscope/catheter3.501.171.170.154.824.82000
    31645ABronchoscopy, clear airways3.161.26NA0.134.55NA000
    31646ABronchoscopy, reclear airway2.721.12NA0.123.96NA000
    31656ABronchoscopy, inj for xray2.170.94NA0.103.21NA000
    31700AInsertion of airway catheter1.340.752.530.072.163.94000
    31708AInstill airway contrast dye1.410.63NA0.062.10NA000
    31710AInsertion of airway catheter1.300.74NA0.062.10NA000
    31715AInjection for bronchus x-ray1.110.66NA0.061.83NA000
    31717ABronchial brush biopsy2.120.922.790.093.135.00000
    31720AClearance of airways1.060.341.880.061.463.00000
    31725AClearance of airways1.960.62NA0.102.68NA000
    31730AIntro, windpipe wire/tube2.851.132.430.154.135.43000
    31750ARepair of windpipe13.0215.46NA1.0229.50NA090
    31755ARepair of windpipe15.9318.50NA1.1535.58NA090
    31760ARepair of windpipe22.3511.89NA1.4835.72NA090
    31766AReconstruction of windpipe30.4317.60NA3.1651.19NA090
    31770ARepair/graft of bronchus22.5114.69NA2.2739.47NA090
    31775AReconstruct bronchus23.5414.06NA2.9140.51NA090
    31780AReconstruct windpipe17.7212.93NA1.5532.20NA090
    31781AReconstruct windpipe23.5313.82NA2.0439.39NA090
    31785ARemove windpipe lesion17.2312.69NA1.3631.28NA090
    31786ARemove windpipe lesion23.9814.62NA2.2040.80NA090
    31800ARepair of windpipe injury7.436.95NA0.6715.05NA090
    31805ARepair of windpipe injury13.1310.09NA1.4524.67NA090
    31820AClosure of windpipe lesion4.497.707.740.3512.5412.58090
    31825ARepair of windpipe defect6.8110.9211.150.5018.2318.46090
    31830ARevise windpipe scar4.507.847.840.3612.7012.70090
    31899CAirways surgical procedure0.000.000.000.000.000.00YYY
    32000ADrainage of chest1.540.513.040.072.124.65000
    32002ATreatment of collapsed lung2.190.87NA0.113.17NA000
    32005ATreat lung lining chemically2.190.88NA0.173.24NA000
    Start Printed Page 40436
    32020AInsertion of chest tube3.981.48NA0.365.82NA000
    32035AExploration of chest8.677.78NA1.0217.47NA090
    32036AExploration of chest9.688.82NA1.2019.70NA090
    32095ABiopsy through chest wall8.368.17NA0.9917.52NA090
    32100AExploration/biopsy of chest15.2410.45NA1.4527.14NA090
    32110AExplore/repair chest23.0013.15NA1.6337.78NA090
    32120ARe-exploration of chest11.549.57NA1.4222.53NA090
    32124AExplore chest free adhesions12.729.38NA1.5123.61NA090
    32140ARemoval of lung lesion(s)13.9310.02NA1.6825.63NA090
    32141ARemove/treat lung lesions14.0010.20NA1.7225.92NA090
    32150ARemoval of lung lesion(s)14.159.78NA1.6025.53NA090
    32151ARemove lung foreign body14.2110.46NA1.4926.16NA090
    32160AOpen chest heart massage9.306.29NA1.0116.60NA090
    32200ADrain, open, lung lesion15.2910.30NA1.4627.05NA090
    32201ADrain, percut, lung lesion4.006.49NA0.1810.67NA000
    32215ATreat chest lining11.339.64NA1.3422.31NA090
    32220ARelease of lung24.0013.70NA2.3940.09NA090
    32225APartial release of lung13.9610.10NA1.7025.76NA090
    32310ARemoval of chest lining13.449.86NA1.6524.95NA090
    32320AFree/remove chest lining24.0013.32NA2.5039.82NA090
    32400ANeedle biopsy chest lining1.760.581.940.072.413.77000
    32402AOpen biopsy chest lining7.568.16NA0.9116.63NA090
    32405ABiopsy, lung or mediastinum1.930.672.340.092.694.36000
    32420APuncture/clear lung2.180.86NA0.113.15NA000
    32440ARemoval of lung25.0013.83NA2.5641.39NA090
    32442ASleeve pneumonectomy26.2415.04NA3.1244.40NA090
    32445ARemoval of lung25.0913.71NA3.1141.91NA090
    32480APartial removal of lung23.7512.95NA2.2438.94NA090
    32482ABilobectomy25.0013.65NA2.3541.00NA090
    32484ASegmentectomy20.6912.09NA2.5435.32NA090
    32486ASleeve lobectomy23.9213.44NA3.0040.36NA090
    32488ACompletion pneumonectomy25.7114.22NA3.1843.11NA090
    32491RLung volume reduction21.2513.52NA2.6637.43NA090
    32500APartial removal of lung22.0012.94NA1.7736.71NA090
    32501ARepair bronchus add-on4.691.59NA0.566.84NAZZZ
    32520ARemove lung & revise chest21.6812.88NA2.7137.27NA090
    32522ARemove lung & revise chest24.2013.48NA2.8440.52NA090
    32525ARemove lung & revise chest26.5014.29NA3.2544.04NA090
    32540ARemoval of lung lesion14.6410.51NA1.8426.99NA090
    32601AThoracoscopy, diagnostic5.463.67NA0.639.76NA000
    32602AThoracoscopy, diagnostic5.963.85NA0.7010.51NA000
    32603AThoracoscopy, diagnostic7.814.29NA0.7612.86NA000
    32604AThoracoscopy, diagnostic8.784.83NA0.9714.58NA000
    32605AThoracoscopy, diagnostic6.934.36NA0.8612.15NA000
    32606AThoracoscopy, diagnostic8.404.65NA0.9914.04NA000
    32650AThoracoscopy, surgical10.758.63NA1.2520.63NA090
    32651AThoracoscopy, surgical12.918.87NA1.5023.28NA090
    32652AThoracoscopy, surgical18.6611.51NA2.3032.47NA090
    32653AThoracoscopy, surgical12.879.30NA1.5523.72NA090
    32654AThoracoscopy, surgical12.447.38NA1.5121.33NA090
    32655AThoracoscopy, surgical13.108.99NA1.5323.62NA090
    32656AThoracoscopy, surgical12.919.71NA1.6124.23NA090
    32657AThoracoscopy, surgical13.659.51NA1.6424.80NA090
    32658AThoracoscopy, surgical11.639.85NA1.4722.95NA090
    32659AThoracoscopy, surgical11.598.96NA1.3921.94NA090
    32660AThoracoscopy, surgical17.4310.64NA2.0930.16NA090
    32661AThoracoscopy, surgical13.259.75NA1.6624.66NA090
    32662AThoracoscopy, surgical16.4410.73NA2.0129.18NA090
    32663AThoracoscopy, surgical18.4711.44NA2.2832.19NA090
    32664AThoracoscopy, surgical14.209.22NA1.7025.12NA090
    32665AThoracoscopy, surgical15.549.49NA1.7926.82NA090
    32800ARepair lung hernia13.699.70NA1.5124.90NA090
    32810AClose chest after drainage13.059.65NA1.5524.25NA090
    32815AClose bronchial fistula23.1513.57NA2.8439.56NA090
    32820AReconstruct injured chest21.4813.85NA2.3137.64NA090
    32850XDonor pneumonectomy0.000.000.000.000.000.00XXX
    32851ALung transplant, single38.6320.37NA4.9063.90NA090
    32852ALung transplant with bypass41.8022.29NA5.1769.26NA090
    32853ALung transplant, double47.8123.87NA6.1377.81NA090
    32854ALung transplant with bypass50.9824.28NA6.4181.67NA090
    32900ARemoval of rib(s)20.2712.21NA2.4234.90NA090
    32905ARevise & repair chest wall20.7512.70NA2.5435.99NA090
    32906ARevise & repair chest wall26.7715.56NA3.3045.63NA090
    32940ARevision of lung19.4312.41NA2.4734.31NA090
    Start Printed Page 40437
    32960ATherapeutic pneumothorax1.840.601.580.122.563.54000
    32997ATotal lung lavage6.002.12NA0.558.67NA000
    32999CChest surgery procedure0.000.000.000.000.000.00YYY
    33010ADrainage of heart sac2.241.00NA0.133.37NA000
    33011ARepeat drainage of heart sac2.241.04NA0.133.41NA000
    33015AIncision of heart sac6.804.48NA0.6411.92NA090
    33020AIncision of heart sac12.617.93NA1.5022.04NA090
    33025AIncision of heart sac12.097.94NA1.5021.53NA090
    33030APartial removal of heart sac18.7112.50NA2.4033.61NA090
    33031APartial removal of heart sac21.7913.63NA2.7838.20NA090
    33050ARemoval of heart sac lesion14.3610.20NA1.7326.29NA090
    33120ARemoval of heart lesion24.5616.06NA3.0643.68NA090
    33130ARemoval of heart lesion21.3913.11NA2.5137.01NA090
    33140AHeart revascularize (tmr)20.0010.59NA2.2732.86NA090
    33141AHeart tmr w/other procedure4.841.69NA0.607.13NAZZZ
    33200AInsertion of heart pacemaker12.489.74NA1.1723.39NA090
    33201AInsertion of heart pacemaker10.189.67NA1.2121.06NA090
    33206AInsertion of heart pacemaker6.675.54NA0.5012.71NA090
    33207AInsertion of heart pacemaker8.046.05NA0.5714.66NA090
    33208AInsertion of heart pacemaker8.136.20NA0.5414.87NA090
    33210AInsertion of heart electrode3.301.32NA0.174.79NA000
    33211AInsertion of heart electrode3.401.39NA0.174.96NA000
    33212AInsertion of pulse generator5.524.48NA0.4410.44NA090
    33213AInsertion of pulse generator6.374.86NA0.4611.69NA090
    33214AUpgrade of pacemaker system7.756.00NA0.5214.27NA090
    33216ARevise eltrd pacing-defib5.394.96NA0.3610.71NA090
    33217ARevise eltrd pacing-defib5.755.30NA0.3611.41NA090
    33218ARevise eltrd pacing-defib5.444.53NA0.4010.37NA090
    33220ARevise eltrd pacing-defib5.524.59NA0.3910.50NA090
    33222ARevise pocket, pacemaker4.963.97NA0.399.32NA090
    33223ARevise pocket, pacing-defib6.465.19NA0.4412.09NA090
    33233ARemoval of pacemaker system3.293.86NA0.227.37NA090
    33234ARemoval of pacemaker system7.825.67NA0.5614.05NA090
    33235ARemoval of pacemaker electro9.406.33NA0.6816.41NA090
    33236ARemove electrode/thoracotomy12.609.27NA1.4923.36NA090
    33237ARemove electrode/thoracotomy13.719.90NA1.5725.18NA090
    33238ARemove electrode/thoracotomy15.229.86NA1.5626.64NA090
    33240AInsert pulse generator7.605.57NA0.5313.70NA090
    33241ARemove pulse generator3.243.47NA0.216.92NA090
    33243ARemove eltrd/thoracotomy22.6410.96NA2.5336.13NA090
    33244ARemove eltrd, transven13.768.29NA1.0523.10NA090
    33245AInsert epic eltrd pace-defib14.3010.98NA1.2826.56NA090
    33246AInsert epic eltrd/generator20.7114.37NA2.2237.30NA090
    33249AEltrd/insert pace-defib14.239.00NA0.8024.03NA090
    33250AAblate heart dysrhythm focus21.8513.79NA1.0136.65NA090
    33251AAblate heart dysrhythm focus24.8814.75NA2.4142.04NA090
    33253AReconstruct atria31.0617.03NA3.6851.77NA090
    33261AAblate heart dysrhythm focus24.8814.70NA2.8242.40NA090
    33282AImplant pat-active ht record4.174.64NA0.399.20NA090
    33284ARemove pat-active ht record2.504.16NA0.236.89NA090
    33300ARepair of heart wound17.9212.15NA1.9131.98NA090
    33305ARepair of heart wound21.4413.61NA2.6837.73NA090
    33310AExploratory heart surgery18.5112.35NA2.2633.12NA090
    33315AExploratory heart surgery22.3713.84NA2.9039.11NA090
    33320ARepair major blood vessel(s)16.7911.30NA1.6629.75NA090
    33321ARepair major vessel20.2013.19NA2.7036.09NA090
    33322ARepair major blood vessel(s)20.6213.29NA2.5136.42NA090
    33330AInsert major vessel graft21.4313.08NA2.4937.00NA090
    33332AInsert major vessel graft23.9613.61NA2.4540.02NA090
    33335AInsert major vessel graft30.0116.34NA3.7950.14NA090
    33400ARepair of aortic valve28.5017.31NA3.0948.90NA090
    33401AValvuloplasty, open23.9115.66NA2.7142.28NA090
    33403AValvuloplasty, w/cp bypass24.8915.61NA2.4842.98NA090
    33404APrepare heart-aorta conduit28.5417.27NA3.3149.12NA090
    33405AReplacement of aortic valve35.0018.13NA3.8656.99NA090
    33406AReplacement of aortic valve37.5018.83NA4.0760.40NA090
    33410AReplacement of aortic valve32.4617.28NA4.1153.85NA090
    33411AReplacement of aortic valve36.2518.61NA4.1659.02NA090
    33412AReplacement of aortic valve42.0022.33NA4.6668.99NA090
    33413AReplacement of aortic valve43.5023.30NA4.2671.06NA090
    33414ARepair of aortic valve30.3518.26NA3.7952.40NA090
    33415ARevision, subvalvular tissue27.1517.07NA3.2547.47NA090
    33416ARevise ventricle muscle30.3516.61NA3.8550.81NA090
    33417ARepair of aortic valve28.5317.74NA3.5849.85NA090
    Start Printed Page 40438
    33420ARevision of mitral valve22.7011.82NA1.4836.00NA090
    33422ARevision of mitral valve25.9415.09NA3.3044.33NA090
    33425ARepair of mitral valve27.0014.50NA3.0044.50NA090
    33426ARepair of mitral valve33.0017.51NA3.8754.38NA090
    33427ARepair of mitral valve40.0019.71NA4.3064.01NA090
    33430AReplacement of mitral valve33.5017.65NA3.9555.10NA090
    33460ARevision of tricuspid valve23.6014.40NA3.0241.02NA090
    33463AValvuloplasty, tricuspid25.6215.07NA3.1743.86NA090
    33464AValvuloplasty, tricuspid27.3315.63NA3.4746.43NA090
    33465AReplace tricuspid valve28.7915.92NA3.6148.32NA090
    33468ARevision of tricuspid valve30.1220.51NA4.0054.63NA090
    33470ARevision of pulmonary valve20.8113.69NA2.8137.31NA090
    33471AValvotomy, pulmonary valve22.2514.65NA3.0039.90NA090
    33472ARevision of pulmonary valve22.2514.77NA2.9239.94NA090
    33474ARevision of pulmonary valve23.0413.61NA2.8439.49NA090
    33475AReplacement, pulmonary valve33.0019.81NA2.6455.45NA090
    33476ARevision of heart chamber25.7714.43NA2.4042.60NA090
    33478ARevision of heart chamber26.7415.00NA3.5645.30NA090
    33496ARepair, prosth valve clot27.2517.25NA3.4447.94NA090
    33500ARepair heart vessel fistula25.5513.93NA2.8042.28NA090
    33501ARepair heart vessel fistula17.7810.63NA2.0530.46NA090
    33502ACoronary artery correction21.0416.64NA2.5140.19NA090
    33503ACoronary artery graft21.7812.32NA1.4235.52NA090
    33504ACoronary artery graft24.6617.34NA3.0445.04NA090
    33505ARepair artery w/tunnel26.8418.35NA1.5246.71NA090
    33506ARepair artery, translocation35.5019.13NA3.1957.82NA090
    33510ACABG, vein, single29.0016.12NA3.1348.25NA090
    33511ACABG, vein, two30.0016.25NA3.3449.59NA090
    33512ACABG, vein, three31.8017.01NA3.7052.51NA090
    33513ACABG, vein, four32.0017.09NA3.9953.08NA090
    33514ACABG, vein, five32.7517.36NA4.3754.48NA090
    33516ACabg, vein, six or more35.0018.13NA4.6257.75NA090
    33517ACABG, artery-vein, single2.570.86NA0.323.75NAZZZ
    33518ACABG, artery-vein, two4.851.63NA0.617.09NAZZZ
    33519ACABG, artery-vein, three7.122.39NA0.8910.40NAZZZ
    33521ACABG, artery-vein, four9.403.15NA1.1813.73NAZZZ
    33522ACABG, artery-vein, five11.673.91NA1.4817.06NAZZZ
    33523ACabg, art-vein, six or more13.954.62NA1.7820.35NAZZZ
    33530ACoronary artery, bypass/reop5.861.95NA0.738.54NAZZZ
    33533ACABG, arterial, single30.0016.43NA3.2449.67NA090
    33534ACABG, arterial, two32.2016.71NA3.6352.54NA090
    33535ACABG, arterial, three34.5017.46NA3.9755.93NA090
    33536ACabg, arterial, four or more37.5015.94NA3.2956.73NA090
    33542ARemoval of heart lesion28.8517.56NA3.6150.02NA090
    33545ARepair of heart damage36.7820.21NA4.4061.39NA090
    33572AOpen coronary endarterectomy4.451.50NA0.556.50NAZZZ
    33600AClosure of valve29.5116.62NA2.3048.43NA090
    33602AClosure of valve28.5414.97NA2.9046.41NA090
    33606AAnastomosis/artery-aorta30.7415.77NA3.5950.10NA090
    33608ARepair anomaly w/conduit31.0918.69NA4.1753.95NA090
    33610ARepair by enlargement30.6119.41NA4.0254.04NA090
    33611ARepair double ventricle34.0018.98NA3.2856.26NA090
    33612ARepair double ventricle35.0020.65NA4.4460.09NA090
    33615ARepair, simple fontan34.0021.46NA3.1558.61NA090
    33617ARepair, modified fontan37.0021.51NA4.0962.60NA090
    33619ARepair single ventricle45.0025.91NA4.7175.62NA090
    33641ARepair heart septum defect21.3912.07NA2.6736.13NA090
    33645ARevision of heart veins24.8214.37NA3.2742.46NA090
    33647ARepair heart septum defects28.7317.60NA3.3749.70NA090
    33660ARepair of heart defects30.0017.54NA2.8250.36NA090
    33665ARepair of heart defects28.6017.59NA3.8150.00NA090
    33670ARepair of heart chambers35.0016.14NA2.1853.32NA090
    33681ARepair heart septum defect30.6118.11NA3.5352.25NA090
    33684ARepair heart septum defect29.6517.18NA3.7750.60NA090
    33688ARepair heart septum defect30.6216.22NA3.8950.73NA090
    33690AReinforce pulmonary artery19.5514.09NA2.5636.20NA090
    33692ARepair of heart defects30.7516.68NA3.7751.20NA090
    33694ARepair of heart defects34.0018.48NA4.2756.75NA090
    33697ARepair of heart defects36.0019.78NA4.5460.32NA090
    33702ARepair of heart defects26.5415.95NA3.4545.94NA090
    33710ARepair of heart defects29.7115.86NA3.8549.42NA090
    33720ARepair of heart defect26.5616.35NA3.2146.12NA090
    33722ARepair of heart defect28.4117.16NA3.8049.37NA090
    33730ARepair heart-vein defect(s)34.2517.77NA2.8554.87NA090
    Start Printed Page 40439
    33732ARepair heart-vein defect28.1615.96NA2.7846.90NA090
    33735ARevision of heart chamber21.3913.10NA1.1235.61NA090
    33736ARevision of heart chamber23.5215.44NA2.7041.66NA090
    33737ARevision of heart chamber21.7614.04NA2.9338.73NA090
    33750AMajor vessel shunt21.4114.61NA1.7437.76NA090
    33755AMajor vessel shunt21.7914.05NA2.9338.77NA090
    33762AMajor vessel shunt21.7911.09NA1.5934.47NA090
    33764AMajor vessel shunt & graft21.7912.21NA1.9335.93NA090
    33766AMajor vessel shunt22.7615.50NA3.0441.30NA090
    33767AMajor vessel shunt24.5015.24NA3.1442.88NA090
    33770ARepair great vessels defect37.0019.57NA4.4961.06NA090
    33771ARepair great vessels defect34.6517.81NA4.6757.13NA090
    33774ARepair great vessels defect30.9816.36NA4.1851.52NA090
    33775ARepair great vessels defect32.2016.84NA4.3453.38NA090
    33776ARepair great vessels defect34.0417.57NA4.5856.19NA090
    33777ARepair great vessels defect33.4617.34NA4.5155.31NA090
    33778ARepair great vessels defect40.0019.93NA4.8364.76NA090
    33779ARepair great vessels defect36.2118.50NA2.4057.11NA090
    33780ARepair great vessels defect41.7524.12NA5.2171.08NA090
    33781ARepair great vessels defect36.4518.52NA4.9159.88NA090
    33786ARepair arterial trunk39.0020.29NA4.6963.98NA090
    33788ARevision of pulmonary artery26.6215.90NA3.3245.84NA090
    33800AAortic suspension16.2410.41NA1.1127.76NA090
    33802ARepair vessel defect17.669.73NA1.5628.95NA090
    33803ARepair vessel defect19.6013.91NA2.6336.14NA090
    33813ARepair septal defect20.6513.64NA2.7837.07NA090
    33814ARepair septal defect25.7717.46NA2.5245.75NA090
    33820ARevise major vessel16.2911.56NA2.1029.95NA090
    33822ARevise major vessel17.3213.89NA2.3333.54NA090
    33824ARevise major vessel19.5212.77NA2.6134.90NA090
    33840ARemove aorta constriction20.6312.98NA2.3635.97NA090
    33845ARemove aorta constriction22.1214.93NA2.9039.95NA090
    33851ARemove aorta constriction21.2713.86NA2.8637.99NA090
    33852ARepair septal defect23.7115.17NA3.1942.07NA090
    33853ARepair septal defect31.7218.40NA4.2354.35NA090
    33860AAscending aortic graft38.0019.11NA4.3061.41NA090
    33861AAscending aortic graft42.0020.36NA4.2466.60NA090
    33863AAscending aortic graft45.0021.45NA4.6071.05NA090
    33870ATransverse aortic arch graft44.0021.05NA5.0970.14NA090
    33875AThoracic aortic graft33.0617.33NA4.0854.47NA090
    33877AThoracoabdominal graft42.6022.98NA5.0770.65NA090
    33910ARemove lung artery emboli24.5914.45NA3.0642.10NA090
    33915ARemove lung artery emboli21.0212.55NA1.2034.77NA090
    33916ASurgery of great vessel25.8314.01NA3.0442.88NA090
    33917ARepair pulmonary artery24.5016.12NA3.1743.79NA090
    33918ARepair pulmonary atresia26.4514.57NA3.4244.44NA090
    33919ARepair pulmonary atresia40.0021.39NA3.4864.87NA090
    33920ARepair pulmonary atresia31.9515.83NA3.6151.39NA090
    33922ATransect pulmonary artery23.5214.54NA2.3040.36NA090
    33924ARemove pulmonary shunt5.501.86NA0.748.10NAZZZ
    33930XRemoval of donor heart/lung0.000.000.000.000.000.00XXX
    33935RTransplantation, heart/lung60.9628.42NA8.1597.53NA090
    33940XRemoval of donor heart0.000.000.000.000.000.00XXX
    33945RTransplantation of heart42.1021.97NA5.4269.49NA090
    33960AExternal circulation assist19.366.32NA2.1427.82NAXXX
    33961AExternal circulation assist10.933.64NA1.4716.04NAZZZ
    33968ARemove aortic assist device0.640.25NA0.070.96NA000
    33970AAortic circulation assist6.752.36NA0.709.81NA000
    33971AAortic circulation assist9.697.99NA0.9718.65NA090
    33973AInsert balloon device9.763.40NA1.0114.17NA000
    33974ARemove intra-aortic balloon14.4110.78NA1.4826.67NA090
    33975AImplant ventricular device21.005.63NA1.7228.35NAXXX
    33976AImplant ventricular device23.007.71NA2.8233.53NAXXX
    33977ARemove ventricular device19.2910.57NA2.4432.30NA090
    33978ARemove ventricular device21.7311.51NA2.6635.90NA090
    33999CCardiac surgery procedure0.000.000.000.000.000.00YYY
    34001ARemoval of artery clot12.915.88NA1.4620.25NA090
    34051ARemoval of artery clot15.217.04NA1.9024.15NA090
    34101ARemoval of artery clot10.004.82NA1.1115.93NA090
    34111ARemoval of arm artery clot10.004.84NA0.8515.69NA090
    34151ARemoval of artery clot25.0010.43NA1.8437.27NA090
    34201ARemoval of artery clot10.035.12NA1.0216.17NA090
    34203ARemoval of leg artery clot16.507.61NA1.3725.48NA090
    34401ARemoval of vein clot25.0010.42NA1.2036.62NA090
    Start Printed Page 40440
    34421ARemoval of vein clot12.005.96NA0.9518.91NA090
    34451ARemoval of vein clot27.0011.13NA1.5939.72NA090
    34471ARemoval of vein clot10.185.02NA0.9016.10NA090
    34490ARemoval of vein clot9.866.22NA0.7316.81NA090
    34501ARepair valve, femoral vein16.009.41NA1.3726.78NA090
    34502AReconstruct vena cava26.9511.22NA2.9941.16NA090
    34510ATransposition of vein valve18.9510.16NA1.6030.71NA090
    34520ACross-over vein graft17.959.27NA1.4128.63NA090
    34530ALeg vein fusion16.649.12NA2.0627.82NA090
    34800AEndovasc abdo repair w/tube20.759.65NA1.4931.89NA090
    34802AEndovasc abdo repr w/device23.0010.54NA1.6535.19NA090
    34804AEndovasc abdo repr w/device23.0010.54NA1.6535.19NA090
    34808AEndovasc abdo occlud device4.131.63NA0.296.05NAZZZ
    34812AXpose for endoprosth, aortic6.752.67NA0.499.91NA000
    34813AXpose for endoprosth, femorl4.801.90NA0.347.04NAZZZ
    34820AXpose for endoprosth, iliac9.753.85NA0.7014.30NA000
    34825AEndovasc extend prosth, init12.006.19NA0.8619.05NA090
    34826AEndovasc exten prosth, addl4.131.63NA0.296.05NAZZZ
    34830AOpen aortic tube prosth repr32.5914.68NA2.3449.61NA090
    34831AOpen aortoiliac prosth repr35.3415.77NA2.5353.64NA090
    34832AOpen aortofemor prosth repr35.3415.77NA2.5353.64NA090
    35001ARepair defect of artery19.648.49NA2.4430.57NA090
    35002ARepair artery rupture, neck21.009.60NA1.8232.42NA090
    35005ARepair defect of artery18.128.12NA1.3527.59NA090
    35011ARepair defect of artery18.007.55NA1.3026.85NA090
    35013ARepair artery rupture, arm22.008.94NA1.9132.85NA090
    35021ARepair defect of artery19.658.91NA1.9330.49NA090
    35022ARepair artery rupture, chest23.189.48NA1.9934.65NA090
    35045ARepair defect of arm artery17.579.04NA1.2527.86NA090
    35081ARepair defect of artery28.0111.65NA3.2042.86NA090
    35082ARepair artery rupture, aorta38.5015.04NA4.0757.61NA090
    35091ARepair defect of artery35.4014.28NA4.0953.77NA090
    35092ARepair artery rupture, aorta45.0017.41NA4.3166.72NA090
    35102ARepair defect of artery30.7612.58NA3.4446.78NA090
    35103ARepair artery rupture, groin40.5015.75NA3.7960.04NA090
    35111ARepair defect of artery25.0010.36NA1.8137.17NA090
    35112ARepair artery rupture,spleen30.0011.97NA1.9543.92NA090
    35121ARepair defect of artery30.0012.29NA2.9345.22NA090
    35122ARepair artery rupture, belly35.0013.81NA3.5452.35NA090
    35131ARepair defect of artery25.0010.62NA2.1137.73NA090
    35132ARepair artery rupture, groin30.0012.05NA2.4844.53NA090
    35141ARepair defect of artery20.008.67NA1.6530.32NA090
    35142ARepair artery rupture, thigh23.309.81NA1.7534.86NA090
    35151ARepair defect of artery22.649.75NA1.9334.32NA090
    35152ARepair artery rupture, knee25.6210.60NA1.9338.15NA090
    35161ARepair defect of artery18.768.92NA2.2129.89NA090
    35162ARepair artery rupture19.789.44NA2.2131.43NA090
    35180ARepair blood vessel lesion13.626.05NA1.4421.11NA090
    35182ARepair blood vessel lesion30.0012.49NA1.8844.37NA090
    35184ARepair blood vessel lesion18.007.83NA1.3427.17NA090
    35188ARepair blood vessel lesion14.286.49NA1.5322.30NA090
    35189ARepair blood vessel lesion28.0011.66NA2.1241.78NA090
    35190ARepair blood vessel lesion12.755.81NA1.3319.89NA090
    35201ARepair blood vessel lesion16.147.14NA1.1724.45NA090
    35206ARepair blood vessel lesion13.257.64NA1.0421.93NA090
    35207ARepair blood vessel lesion10.159.54NA1.1520.84NA090
    35211ARepair blood vessel lesion22.1213.89NA2.8338.84NA090
    35216ARepair blood vessel lesion18.7511.66NA2.1732.58NA090
    35221ARepair blood vessel lesion24.3910.30NA1.7936.48NA090
    35226ARepair blood vessel lesion14.508.72NA0.8424.06NA090
    35231ARepair blood vessel lesion20.009.35NA1.3230.67NA090
    35236ARepair blood vessel lesion17.119.07NA1.1927.37NA090
    35241ARepair blood vessel lesion23.1214.48NA2.9040.50NA090
    35246ARepair blood vessel lesion26.4514.54NA2.2243.21NA090
    35251ARepair blood vessel lesion30.2012.23NA1.8744.30NA090
    35256ARepair blood vessel lesion18.369.67NA1.3229.35NA090
    35261ARepair blood vessel lesion17.807.57NA1.3426.71NA090
    35266ARepair blood vessel lesion14.918.23NA1.1624.30NA090
    35271ARepair blood vessel lesion22.1213.34NA2.7738.23NA090
    35276ARepair blood vessel lesion24.2513.98NA2.3740.60NA090
    35281ARepair blood vessel lesion28.0011.70NA1.8241.52NA090
    35286ARepair blood vessel lesion16.168.76NA1.3626.28NA090
    35301ARechanneling of artery18.708.90NA2.2329.83NA090
    35311ARechanneling of artery27.0011.11NA2.7540.86NA090
    Start Printed Page 40441
    35321ARechanneling of artery16.006.86NA1.3624.22NA090
    35331ARechanneling of artery26.2011.03NA2.7139.94NA090
    35341ARechanneling of artery25.1110.64NA2.8738.62NA090
    35351ARechanneling of artery23.009.86NA2.2935.15NA090
    35355ARechanneling of artery18.508.29NA1.8028.59NA090
    35361ARechanneling of artery28.2011.63NA2.6642.49NA090
    35363ARechanneling of artery30.2012.17NA2.7745.14NA090
    35371ARechanneling of artery14.726.75NA1.3222.79NA090
    35372ARechanneling of artery18.007.91NA1.5327.44NA090
    35381ARechanneling of artery15.817.38NA1.8024.99NA090
    35390AReoperation, carotid add-on3.191.11NA0.384.68NAZZZ
    35400AAngioscopy3.001.05NA0.344.39NAZZZ
    35450ARepair arterial blockage10.073.76NA0.8414.67NA000
    35452ARepair arterial blockage6.913.20NA0.7610.87NA000
    35454ARepair arterial blockage6.042.85NA0.679.56NA000
    35456ARepair arterial blockage7.353.30NA0.8211.47NA000
    35458ARepair arterial blockage9.494.01NA1.0914.59NA000
    35459ARepair arterial blockage8.633.68NA0.9613.27NA000
    35460ARepair venous blockage6.042.71NA0.669.41NA000
    35470ARepair arterial blockage8.634.00NA0.5013.13NA000
    35471ARepair arterial blockage10.074.67NA0.5015.24NA000
    35472ARepair arterial blockage6.913.39NA0.3910.69NA000
    35473ARepair arterial blockage6.043.05NA0.349.43NA000
    35474ARepair arterial blockage7.363.54NA0.4011.30NA000
    35475RRepair arterial blockage9.494.23NA0.4714.19NA000
    35476ARepair venous blockage6.042.97NA0.279.28NA000
    35480AAtherectomy, open11.084.61NA1.1316.82NA000
    35481AAtherectomy, open7.613.48NA0.8411.93NA000
    35482AAtherectomy, open6.653.04NA0.7510.44NA000
    35483AAtherectomy, open8.103.61NA0.8112.52NA000
    35484AAtherectomy, open10.444.32NA1.1315.89NA000
    35485AAtherectomy, open9.494.22NA1.0614.77NA000
    35490AAtherectomy, percutaneous11.084.95NA0.5516.58NA000
    35491AAtherectomy, percutaneous7.613.54NA0.4911.64NA000
    35492AAtherectomy, percutaneous6.653.30NA0.4310.38NA000
    35493AAtherectomy, percutaneous8.103.93NA0.4712.50NA000
    35494AAtherectomy, percutaneous10.444.63NA0.4815.55NA000
    35495AAtherectomy, percutaneous9.494.58NA0.5114.58NA000
    35500AHarvest vein for bypass6.452.03NA0.639.11NAZZZ
    35501AArtery bypass graft19.198.17NA2.3329.69NA090
    35506AArtery bypass graft19.678.29NA2.3330.29NA090
    35507AArtery bypass graft19.678.27NA2.2730.21NA090
    35508AArtery bypass graft18.657.99NA2.3428.98NA090
    35509AArtery bypass graft18.077.75NA2.1227.94NA090
    35511AArtery bypass graft21.208.89NA1.7431.83NA090
    35515AArtery bypass graft18.658.01NA2.2628.92NA090
    35516AArtery bypass graft16.327.05NA1.8825.25NA090
    35518AArtery bypass graft21.208.71NA1.7831.69NA090
    35521AArtery bypass graft22.209.51NA1.8233.53NA090
    35526AArtery bypass graft29.9512.21NA2.1844.34NA090
    35531AArtery bypass graft36.2014.49NA2.9153.60NA090
    35533AArtery bypass graft28.0011.56NA2.3541.91NA090
    35536AArtery bypass graft31.7012.90NA2.6247.22NA090
    35541AArtery bypass graft25.8010.99NA2.7439.53NA090
    35546AArtery bypass graft25.5410.67NA2.8439.05NA090
    35548AArtery bypass graft21.579.21NA2.4533.23NA090
    35549AArtery bypass graft23.359.97NA2.7736.09NA090
    35551AArtery bypass graft26.6711.21NA3.1941.07NA090
    35556AArtery bypass graft21.769.44NA2.4833.68NA090
    35558AArtery bypass graft21.209.20NA1.5831.98NA090
    35560AArtery bypass graft32.0013.04NA2.7347.77NA090
    35563AArtery bypass graft24.2010.33NA1.6836.21NA090
    35565AArtery bypass graft23.209.88NA1.7134.79NA090
    35566AArtery bypass graft26.9213.89NA3.0243.83NA090
    35571AArtery bypass graft24.0612.17NA2.1438.37NA090
    35582AVein bypass graft27.1311.40NA3.1141.64NA090
    35583AVein bypass graft22.3710.60NA2.5335.50NA090
    35585AVein bypass graft28.3914.59NA3.2146.19NA090
    35587AVein bypass graft24.7512.80NA2.1739.72NA090
    35600AHarvest artery for cabg4.951.96NA0.547.45NAZZZ
    35601AArtery bypass graft17.507.50NA2.0827.08NA090
    35606AArtery bypass graft18.717.91NA2.1728.79NA090
    35612AArtery bypass graft15.766.84NA1.7224.32NA090
    35616AArtery bypass graft15.707.02NA1.8424.56NA090
    Start Printed Page 40442
    35621AArtery bypass graft20.008.87NA1.6830.55NA090
    35623ABypass graft, not vein24.0010.22NA1.9136.13NA090
    35626AArtery bypass graft27.7511.13NA2.8941.77NA090
    35631AArtery bypass graft34.0013.77NA2.8350.60NA090
    35636AArtery bypass graft29.5012.31NA2.3744.18NA090
    35641AArtery bypass graft24.5710.47NA2.8337.87NA090
    35642AArtery bypass graft17.988.52NA1.8428.34NA090
    35645AArtery bypass graft17.477.98NA1.9127.36NA090
    35646AArtery bypass graft25.8110.89NA2.9839.68NA090
    35650AArtery bypass graft19.007.91NA1.6428.55NA090
    35651AArtery bypass graft25.0410.68NA2.5338.25NA090
    35654AArtery bypass graft25.0010.57NA2.1037.67NA090
    35656AArtery bypass graft19.538.44NA2.2130.18NA090
    35661AArtery bypass graft19.008.26NA1.5028.76NA090
    35663AArtery bypass graft22.009.64NA1.5533.19NA090
    35665AArtery bypass graft21.009.17NA1.7631.93NA090
    35666AArtery bypass graft22.1911.95NA2.1936.33NA090
    35671AArtery bypass graft19.3310.48NA1.6831.49NA090
    35681AComposite bypass graft1.602.34NA0.184.12NAZZZ
    35682AComposite bypass graft7.202.51NA0.8310.54NAZZZ
    35683AComposite bypass graft8.502.96NA0.9812.44NAZZZ
    35691AArterial transposition18.057.66NA2.0627.77NA090
    35693AArterial transposition15.366.82NA1.8023.98NA090
    35694AArterial transposition19.168.12NA2.1329.41NA090
    35695AArterial transposition19.168.01NA2.1929.36NA090
    35700AReoperation, bypass graft3.082.96NA0.366.40NAZZZ
    35701AExploration, carotid artery8.504.61NA0.6413.75NA090
    35721AExploration, femoral artery7.185.16NA0.5912.93NA090
    35741AExploration popliteal artery8.005.37NA0.6013.97NA090
    35761AExploration of artery/vein5.374.46NA0.6010.43NA090
    35800AExplore neck vessels7.023.96NA0.7911.77NA090
    35820AExplore chest vessels12.884.33NA1.6118.82NA090
    35840AExplore abdominal vessels9.775.19NA1.0616.02NA090
    35860AExplore limb vessels5.553.59NA0.639.77NA090
    35870ARepair vessel graft defect22.1710.21NA2.4734.85NA090
    35875ARemoval of clot in graft10.136.55NA0.9717.65NA090
    35876ARemoval of clot in graft17.009.07NA1.8827.95NA090
    35879ARevise graft w/vein16.008.23NA1.3525.58NA090
    35881ARevise graft w/vein18.009.21NA1.4428.65NA090
    35901AExcision, graft, neck8.195.68NA0.9014.77NA090
    35903AExcision, graft, extremity9.398.15NA1.0318.57NA090
    35905AExcision, graft, thorax31.2515.71NA2.1549.11NA090
    35907AExcision, graft, abdomen35.0014.91NA2.1752.08NA090
    36000APlace needle in vein0.180.050.640.010.240.83XXX
    36005AInjection, venography0.950.3315.920.041.3216.91000
    36010APlace catheter in vein2.430.87NA0.163.46NAXXX
    36011APlace catheter in vein3.141.13NA0.174.44NAXXX
    36012APlace catheter in vein3.521.26NA0.174.95NAXXX
    36013APlace catheter in artery2.520.77NA0.173.46NAXXX
    36014APlace catheter in artery3.021.09NA0.144.25NAXXX
    36015APlace catheter in artery3.521.26NA0.164.94NAXXX
    36100AEstablish access to artery3.021.20NA0.184.40NAXXX
    36120AEstablish access to artery2.010.71NA0.112.83NAXXX
    36140AEstablish access to artery2.010.71NA0.122.84NAXXX
    36145AArtery to vein shunt2.010.73NA0.102.84NAXXX
    36160AEstablish access to aorta2.520.93NA0.203.65NAXXX
    36200APlace catheter in aorta3.021.08NA0.154.25NAXXX
    36215APlace catheter in artery4.681.69NA0.226.59NAXXX
    36216APlace catheter in artery5.281.90NA0.247.42NAXXX
    36217APlace catheter in artery6.302.31NA0.328.93NAXXX
    36218APlace catheter in artery1.010.40NA0.051.46NAZZZ
    36245APlace catheter in artery4.681.79NA0.236.70NAXXX
    36246APlace catheter in artery5.281.92NA0.267.46NAXXX
    36247APlace catheter in artery6.302.26NA0.328.88NAXXX
    36248APlace catheter in artery1.010.40NA0.061.47NAZZZ
    36260AInsertion of infusion pump9.715.58NA1.0016.29NA090
    36261ARevision of infusion pump5.453.47NA0.509.42NA090
    36262ARemoval of infusion pump4.022.52NA0.436.97NA090
    36299CVessel injection procedure0.000.000.000.000.000.00YYY
    36400ADrawing blood0.180.050.640.010.240.83XXX
    36405ADrawing blood0.180.060.570.010.250.76XXX
    36406ADrawing blood0.180.050.800.010.240.99XXX
    36410ADrawing blood0.180.050.490.010.240.68XXX
    36415IDrawing blood0.000.000.000.000.000.00XXX
    Start Printed Page 40443
    36420AEstablish access to vein1.010.31NA0.091.41NAXXX
    36425AEstablish access to vein0.760.173.390.050.984.20XXX
    36430ABlood transfusion service0.00NA0.990.05NA1.04XXX
    36440ABlood transfusion service1.030.29NA0.081.40NAXXX
    36450AExchange transfusion service2.230.74NA0.163.13NAXXX
    36455AExchange transfusion service2.430.96NA0.103.49NAXXX
    36460ATransfusion service, fetal6.592.38NA0.569.53NAXXX
    36468RInjection(s), spider veins0.000.000.000.000.000.00XXX
    36469RInjection(s), spider veins0.000.000.000.000.000.00XXX
    36470AInjection therapy of vein1.090.392.640.101.583.83010
    36471AInjection therapy of veins1.570.583.250.152.304.97010
    36481AInsertion of catheter, vein6.992.85NA0.4010.24NA000
    36488AInsertion of catheter, vein1.350.74NA0.092.18NA000
    36489AInsertion of catheter, vein2.501.063.840.083.646.42000
    36490AInsertion of catheter, vein1.670.85NA0.172.69NA000
    36491AInsertion of catheter, vein1.430.76NA0.132.32NA000
    36493ARepositioning of cvc1.210.87NA0.062.14NA000
    36500AInsertion of catheter, vein3.521.30NA0.144.96NA000
    36510AInsertion of catheter, vein1.090.63NA0.061.78NA000
    36520APlasma and/or cell exchange1.741.00NA0.062.80NA000
    36521AApheresis w/ adsorp/reinfuse1.741.00NA0.062.80NA000
    36522APhotopheresis1.671.136.290.072.878.03000
    36530RInsertion of infusion pump6.203.70NA0.5610.46NA010
    36531RRevision of infusion pump4.873.26NA0.448.57NA010
    36532RRemoval of infusion pump3.301.56NA0.345.20NA010
    36533AInsertion of access device5.323.454.310.499.2610.12010
    36534ARevision of access device2.801.50NA0.194.49NA010
    36535ARemoval of access device2.271.852.840.214.335.32010
    36540BCollect blood venous device0.000.000.000.000.000.00XXX
    36550ADeclot vascular device0.00NA0.370.31NA0.68XXX
    36600AWithdrawal of arterial blood0.320.090.430.020.430.77XXX
    36620AInsertion catheter, artery1.150.25NA0.061.46NA000
    36625AInsertion catheter, artery2.110.57NA0.162.84NA000
    36640AInsertion catheter, artery2.100.74NA0.183.02NA000
    36660AInsertion catheter, artery1.400.47NA0.081.95NA000
    36680AInsert needle, bone cavity1.200.60NA0.081.88NA000
    36800AInsertion of cannula2.431.62NA0.174.22NA000
    36810AInsertion of cannula3.972.34NA0.406.71NA000
    36815AInsertion of cannula2.621.73NA0.264.61NA000
    36819AAv fusion by basilic vein14.006.55NA1.5322.08NA090
    36821AAv fusion direct any site8.935.04NA0.9714.94NA090
    36822AInsertion of cannula(s)5.426.99NA0.6313.04NA090
    36823AInsertion of cannula(s)21.0010.55NA2.1833.73NA090
    36825AArtery-vein graft9.845.61NA1.0916.54NA090
    36830AArtery-vein graft12.006.16NA1.3219.48NA090
    36831AAv fistula excision, open8.004.02NA0.7912.81NA090
    36832AAv fistula revision, open10.505.62NA1.1317.25NA090
    36833AAv fistula revision11.956.10NA1.2919.34NA090
    36834ARepair A-V aneurysm9.933.84NA1.0614.83NA090
    36835AArtery to vein shunt7.154.47NA0.8012.42NA090
    36860AExternal cannula declotting2.011.682.360.103.794.47000
    36861ACannula declotting2.521.84NA0.144.50NA000
    36870AAv fistula revision, open5.162.4931.100.408.0536.66090
    37140ARevision of circulation23.6010.54NA1.2135.35NA090
    37145ARevision of circulation24.6110.87NA2.4837.96NA090
    37160ARevision of circulation21.609.42NA2.1633.18NA090
    37180ARevision of circulation24.6110.79NA2.6338.03NA090
    37181ASplice spleen/kidney veins26.6811.10NA2.6740.45NA090
    37195AThrombolytic therapy, stroke0.00NA7.930.38NA8.31XXX
    37200ATranscatheter biopsy4.561.62NA0.196.37NA000
    37201ATranscatheter therapy infuse5.002.62NA0.247.86NA000
    37202ATranscatheter therapy infuse5.683.23NA0.389.29NA000
    37203ATranscatheter retrieval5.032.65NA0.237.91NA000
    37204ATranscatheter occlusion18.146.20NA0.8525.19NA000
    37205ATranscatheter stent8.283.92NA0.4312.63NA000
    37206ATranscatheter stent add-on4.131.56NA0.225.91NAZZZ
    37207ATranscatheter stent8.283.62NA0.8912.79NA000
    37208ATranscatheter stent add-on4.131.47NA0.446.04NAZZZ
    37209AExchange arterial catheter2.270.83NA0.113.21NA000
    37250AIv us first vessel add-on2.100.81NA0.173.08NAZZZ
    37251AIv us each add vessel add-on1.600.61NA0.142.35NAZZZ
    37565ALigation of neck vein10.885.13NA0.4516.46NA090
    37600ALigation of neck artery11.256.41NA0.4018.06NA090
    37605ALigation of neck artery13.116.61NA0.7720.49NA090
    Start Printed Page 40444
    37606ALigation of neck artery6.283.72NA0.7910.79NA090
    37607ALigation of a-v fistula6.163.71NA0.6710.54NA090
    37609ATemporal artery procedure3.002.536.590.215.749.80010
    37615ALigation of neck artery5.733.65NA0.579.95NA090
    37616ALigation of chest artery16.4910.83NA1.9329.25NA090
    37617ALigation of abdomen artery22.069.60NA1.6933.35NA090
    37618ALigation of extremity artery4.843.55NA0.548.93NA090
    37620ARevision of major vein10.565.50NA0.7516.81NA090
    37650ARevision of major vein7.804.66NA0.5613.02NA090
    37660ARevision of major vein21.009.33NA1.1731.50NA090
    37700ARevise leg vein3.733.20NA0.407.33NA090
    37720ARemoval of leg vein5.663.71NA0.619.98NA090
    37730ARemoval of leg veins7.334.59NA0.7712.69NA090
    37735ARemoval of leg veins/lesion10.535.84NA1.1717.54NA090
    37760ARevision of leg veins10.475.79NA1.1117.37NA090
    37780ARevision of leg vein3.842.93NA0.417.18NA090
    37785ARevision secondary varicosit3.842.896.940.417.1411.19090
    37788ARevascularization, penis22.0112.79NA1.3536.15NA090
    37790APenile venous occlusion8.347.01NA0.6315.98NA090
    37799CVascular surgery procedure0.000.000.000.000.000.00YYY
    38100ARemoval of spleen, total14.506.64NA1.3022.44NA090
    38101ARemoval of spleen, partial15.317.00NA1.3823.69NA090
    38102ARemoval of spleen, total4.801.72NA0.497.01NAZZZ
    38115ARepair of ruptured spleen15.827.14NA1.4024.36NA090
    38120ALaparoscopy, splenectomy17.007.48NA1.7326.21NA090
    38129CLaparoscope proc, spleen0.000.000.000.000.000.00YYY
    38200AInjection for spleen x-ray2.640.96NA0.123.72NA000
    38230RBone marrow collection4.542.34NA0.257.13NA010
    38231RStem cell collection1.500.60NA0.052.15NA000
    38240RBone marrow/stem transplant2.240.85NA0.083.17NAXXX
    38241RBone marrow/stem transplant2.240.84NA0.083.16NAXXX
    38300ADrainage, lymph node lesion1.992.634.620.154.776.76010
    38305ADrainage, lymph node lesion6.006.378.670.3612.7315.03090
    38308AIncision of lymph channels6.455.65NA0.5112.61NA090
    38380AThoracic duct procedure7.467.38NA0.6815.52NA090
    38381AThoracic duct procedure12.889.76NA1.5824.22NA090
    38382AThoracic duct procedure10.089.46NA1.0820.62NA090
    38500ABiopsy/removal, lymph nodes3.752.572.980.286.607.01010
    38505ANeedle biopsy, lymph nodes1.141.163.060.092.394.29000
    38510ABiopsy/removal, lymph nodes6.435.38NA0.3812.19NA090
    38520ABiopsy/removal, lymph nodes6.675.56NA0.5212.75NA090
    38525ABiopsy/removal, lymph nodes6.074.44NA0.4810.99NA090
    38530ABiopsy/removal, lymph nodes7.985.69NA0.6314.30NA090
    38542AExplore deep node(s), neck5.915.90NA0.5012.31NA090
    38550ARemoval, neck/armpit lesion6.924.92NA0.6912.53NA090
    38555ARemoval, neck/armpit lesion14.1410.70NA1.4626.30NA090
    38562ARemoval, pelvic lymph nodes10.496.59NA0.9718.05NA090
    38564ARemoval, abdomen lymph nodes10.836.42NA1.0618.31NA090
    38570ALaparoscopy, lymph node biop9.254.53NA0.8914.67NA010
    38571ALaparoscopy, lymphadenectomy12.385.53NA0.8018.71NA010
    38572ALaparoscopy, lymphadenectomy16.597.58NA1.3225.49NA010
    38589CLaparoscope proc, lymphatic0.000.000.000.000.000.00YYY
    38700ARemoval of lymph nodes, neck8.2413.31NA0.6022.15NA090
    38720ARemoval of lymph nodes, neck13.6115.74NA1.0330.38NA090
    38724ARemoval of lymph nodes, neck14.5416.21NA1.1031.85NA090
    38740ARemove armpit lymph nodes10.025.87NA0.6916.58NA090
    38745ARemove armpit lymph nodes13.008.24NA0.9022.14NA090
    38746ARemove thoracic lymph nodes4.891.65NA0.557.09NAZZZ
    38747ARemove abdominal lymph nodes4.891.75NA0.507.14NAZZZ
    38760ARemove groin lymph nodes12.947.26NA0.8821.08NA090
    38765ARemove groin lymph nodes19.9811.36NA1.5032.84NA090
    38770ARemove pelvis lymph nodes13.236.94NA0.9421.11NA090
    38780ARemove abdomen lymph nodes16.599.49NA1.6027.68NA090
    38790AInject for lymphatic x-ray1.290.4637.130.091.8438.51000
    38792AIdentify sentinel node0.520.19NA0.040.75NA000
    38794AAccess thoracic lymph duct4.451.67NA0.176.29NA090
    38999CBlood/lymph system procedure0.000.000.000.000.000.00YYY
    39000AExploration of chest6.107.52NA0.7314.35NA090
    39010AExploration of chest11.799.80NA1.4623.05NA090
    39200ARemoval chest lesion13.6210.17NA1.6525.44NA090
    39220ARemoval chest lesion17.4211.54NA2.1031.06NA090
    39400AVisualization of chest5.617.22NA0.6913.52NA010
    39499CChest procedure0.000.000.000.000.000.00YYY
    39501ARepair diaphragm laceration13.197.76NA1.3822.33NA090
    Start Printed Page 40445
    39502ARepair paraesophageal hernia16.338.38NA1.6826.39NA090
    39503ARepair of diaphragm hernia34.8515.15NA3.5253.52NA090
    39520ARepair of diaphragm hernia16.109.81NA1.8327.74NA090
    39530ARepair of diaphragm hernia15.418.61NA1.6625.68NA090
    39531ARepair of diaphragm hernia16.429.33NA1.8327.58NA090
    39540ARepair of diaphragm hernia13.327.83NA1.3822.53NA090
    39541ARepair of diaphragm hernia14.418.06NA1.5223.99NA090
    39545ARevision of diaphragm13.379.52NA1.5524.44NA090
    39560AResect diaphragm, simple12.007.91NA1.3521.26NA090
    39561AResect diaphragm, complex17.509.85NA1.9729.32NA090
    39599CDiaphragm surgery procedure0.000.000.000.000.000.00YYY
    40490ABiopsy of lip1.220.621.610.061.902.89000
    40500APartial excision of lip4.285.615.650.3110.2010.24090
    40510APartial excision of lip4.706.466.700.3811.5411.78090
    40520APartial excision of lip4.676.937.810.4212.0212.90090
    40525AReconstruct lip with flap7.558.40NA0.6816.63NA090
    40527AReconstruct lip with flap9.139.25NA0.8219.20NA090
    40530APartial removal of lip5.406.346.490.4712.2112.36090
    40650ARepair lip3.644.555.530.318.509.48090
    40652ARepair lip4.266.536.530.3911.1811.18090
    40654ARepair lip5.317.677.860.4813.4613.65090
    40700ARepair cleft lip/nasal12.7910.51NA0.9324.23NA090
    40701ARepair cleft lip/nasal15.8510.01NA1.3627.22NA090
    40702ARepair cleft lip/nasal13.049.40NA1.0123.45NA090
    40720ARepair cleft lip/nasal13.5512.69NA1.3127.55NA090
    40761ARepair cleft lip/nasal14.7211.77NA1.4127.90NA090
    40799CLip surgery procedure0.000.000.000.000.000.00YYY
    40800ADrainage of mouth lesion1.170.461.930.091.723.19010
    40801ADrainage of mouth lesion2.531.902.450.184.615.16010
    40804ARemoval, foreign body, mouth1.242.152.580.093.483.91010
    40805ARemoval, foreign body, mouth2.692.703.100.175.565.96010
    40806AIncision of lip fold0.310.880.880.021.211.21000
    40808ABiopsy of mouth lesion0.962.052.050.073.083.08010
    40810AExcision of mouth lesion1.312.342.670.093.744.07010
    40812AExcise/repair mouth lesion2.312.862.890.175.345.37010
    40814AExcise/repair mouth lesion3.424.074.070.267.757.75090
    40816AExcision of mouth lesion3.674.394.390.278.338.33090
    40818AExcise oral mucosa for graft2.414.034.030.146.586.58090
    40819AExcise lip or cheek fold2.413.543.540.176.126.12090
    40820ATreatment of mouth lesion1.282.152.330.083.513.69010
    40830ARepair mouth laceration1.762.392.500.144.294.40010
    40831ARepair mouth laceration2.462.842.840.215.515.51010
    40840RReconstruction of mouth8.736.226.220.7915.7415.74090
    40842RReconstruction of mouth8.735.985.980.6515.3615.36090
    40843RReconstruction of mouth12.108.488.480.8421.4221.42090
    40844RReconstruction of mouth16.018.378.931.6326.0126.57090
    40845RReconstruction of mouth18.5810.5610.561.4730.6130.61090
    40899CMouth surgery procedure0.000.000.000.000.000.00YYY
    41000ADrainage of mouth lesion1.301.532.360.092.923.75010
    41005ADrainage of mouth lesion1.261.242.110.092.593.46010
    41006ADrainage of mouth lesion3.243.403.510.256.897.00090
    41007ADrainage of mouth lesion3.103.033.340.226.356.66090
    41008ADrainage of mouth lesion3.373.183.590.246.797.20090
    41009ADrainage of mouth lesion3.593.193.600.257.037.44090
    41010AIncision of tongue fold1.062.972.970.064.094.09010
    41015ADrainage of mouth lesion3.963.174.360.297.428.61090
    41016ADrainage of mouth lesion4.073.394.170.287.748.52090
    41017ADrainage of mouth lesion4.073.304.040.327.698.43090
    41018ADrainage of mouth lesion5.103.884.550.359.3310.00090
    41100ABiopsy of tongue1.632.542.590.124.294.34010
    41105ABiopsy of tongue1.422.432.430.103.953.95010
    41108ABiopsy of floor of mouth1.052.202.290.083.333.42010
    41110AExcision of tongue lesion1.512.473.040.114.094.66010
    41112AExcision of tongue lesion2.733.503.500.206.436.43090
    41113AExcision of tongue lesion3.193.483.480.236.906.90090
    41114AExcision of tongue lesion8.476.36NA0.6415.47NA090
    41115AExcision of tongue fold1.742.332.330.134.204.20010
    41116AExcision of mouth lesion2.443.383.380.175.995.99090
    41120APartial removal of tongue9.778.68NA0.7019.15NA090
    41130APartial removal of tongue11.159.53NA0.8121.49NA090
    41135ATongue and neck surgery23.0915.92NA1.6640.67NA090
    41140ARemoval of tongue25.5018.11NA1.8545.46NA090
    41145ATongue removal, neck surgery30.0621.54NA2.1153.71NA090
    41150ATongue, mouth, jaw surgery23.0417.08NA1.6741.79NA090
    Start Printed Page 40446
    41153ATongue, mouth, neck surgery23.7717.84NA1.7143.32NA090
    41155ATongue, jaw, & neck surgery27.7219.87NA2.0249.61NA090
    41250ARepair tongue laceration1.911.632.820.153.694.88010
    41251ARepair tongue laceration2.272.272.800.184.725.25010
    41252ARepair tongue laceration2.972.323.630.235.526.83010
    41500AFixation of tongue3.714.25NA0.268.22NA090
    41510ATongue to lip surgery3.424.51NA0.248.17NA090
    41520AReconstruction, tongue fold2.733.173.170.196.096.09090
    41599CTongue and mouth surgery0.000.000.000.000.000.00YYY
    41800ADrainage of gum lesion1.171.311.900.092.573.16010
    41805ARemoval foreign body, gum1.241.931.930.093.263.26010
    41806ARemoval foreign body,jawbone2.692.382.580.225.295.49010
    41820RExcision, gum, each quadrant0.000.000.000.000.000.00XXX
    41821RExcision of gum flap0.000.000.000.000.000.00XXX
    41822RExcision of gum lesion2.310.892.890.243.445.44010
    41823RExcision of gum lesion3.302.753.770.296.347.36090
    41825AExcision of gum lesion1.312.252.360.103.663.77010
    41826AExcision of gum lesion2.312.572.620.175.055.10010
    41827AExcision of gum lesion3.423.583.580.257.257.25090
    41828RExcision of gum lesion3.092.293.030.225.606.34010
    41830RRemoval of gum tissue3.353.143.180.236.726.76010
    41850RTreatment of gum lesion0.000.000.000.000.000.00XXX
    41870RGum graft0.000.000.000.000.000.00XXX
    41872RRepair gum2.592.692.690.185.465.46090
    41874RRepair tooth socket3.092.332.830.235.656.15090
    41899CDental surgery procedure0.000.000.000.000.000.00YYY
    42000ADrainage mouth roof lesion1.231.592.420.102.923.75010
    42100ABiopsy roof of mouth1.312.362.360.103.773.77010
    42104AExcision lesion, mouth roof1.642.442.440.124.204.20010
    42106AExcision lesion, mouth roof2.102.632.630.164.894.89010
    42107AExcision lesion, mouth roof4.444.054.050.328.818.81090
    42120ARemove palate/lesion6.175.99NA0.4412.60NA090
    42140AExcision of uvula1.623.183.650.124.925.39090
    42145ARepair palate, pharynx/uvula8.057.31NA0.5615.92NA090
    42160ATreatment mouth roof lesion1.802.603.160.134.535.09010
    42180ARepair palate2.502.102.750.194.795.44010
    42182ARepair palate3.832.993.950.277.098.05010
    42200AReconstruct cleft palate12.0010.00NA0.9722.97NA090
    42205AReconstruct cleft palate13.299.62NA0.8223.73NA090
    42210AReconstruct cleft palate14.507.95NA1.2423.69NA090
    42215AReconstruct cleft palate8.827.48NA0.9617.26NA090
    42220AReconstruct cleft palate7.025.82NA0.4113.25NA090
    42225AReconstruct cleft palate9.548.92NA0.7519.21NA090
    42226ALengthening of palate10.019.14NA0.7319.88NA090
    42227ALengthening of palate9.526.67NA0.7016.89NA090
    42235ARepair palate7.875.92NA0.4914.28NA090
    42260ARepair nose to lip fistula9.807.337.330.8517.9817.98090
    42280APreparation, palate mold1.540.811.410.122.473.07010
    42281AInsertion, palate prosthesis1.931.042.000.143.114.07010
    42299CPalate/uvula surgery0.000.000.000.000.000.00YYY
    42300ADrainage of salivary gland1.931.772.550.153.854.63010
    42305ADrainage of salivary gland6.075.16NA0.4611.69NA090
    42310ADrainage of salivary gland1.561.672.250.113.343.92010
    42320ADrainage of salivary gland2.352.122.790.174.645.31010
    42325ACreate salivary cyst drain2.751.213.320.174.136.24090
    42326ACreate salivary cyst drain3.782.103.290.346.227.41090
    42330ARemoval of salivary stone2.211.222.700.163.595.07010
    42335ARemoval of salivary stone3.313.563.560.237.107.10090
    42340ARemoval of salivary stone4.604.574.570.349.519.51090
    42400ABiopsy of salivary gland0.780.402.370.061.243.21000
    42405ABiopsy of salivary gland3.293.273.360.246.806.89010
    42408AExcision of salivary cyst4.544.624.620.349.509.50090
    42409ADrainage of salivary cyst2.813.443.440.206.456.45090
    42410AExcise parotid gland/lesion9.347.76NA0.7717.87NA090
    42415AExcise parotid gland/lesion16.8912.43NA1.2630.58NA090
    42420AExcise parotid gland/lesion19.5914.02NA1.4535.06NA090
    42425AExcise parotid gland/lesion13.0210.29NA0.9824.29NA090
    42426AExcise parotid gland/lesion21.2614.84NA1.5737.67NA090
    42440AExcise submaxillary gland6.975.87NA0.5113.35NA090
    42450AExcise sublingual gland4.624.914.990.349.879.95090
    42500ARepair salivary duct4.304.694.690.309.299.29090
    42505ARepair salivary duct6.185.365.360.4411.9811.98090
    42507AParotid duct diversion6.115.84NA0.6612.61NA090
    42508AParotid duct diversion9.107.95NA0.6417.69NA090
    Start Printed Page 40447
    42509AParotid duct diversion11.547.62NA1.2420.40NA090
    42510AParotid duct diversion8.157.45NA0.5716.17NA090
    42550AInjection for salivary x-ray1.250.4412.880.061.7514.19000
    42600AClosure of salivary fistula4.825.546.030.3410.7011.19090
    42650ADilation of salivary duct0.770.431.060.061.261.89000
    42660ADilation of salivary duct1.131.151.150.072.352.35000
    42665ALigation of salivary duct2.533.653.720.176.356.42090
    42699CSalivary surgery procedure0.000.000.000.000.000.00YYY
    42700ADrainage of tonsil abscess1.621.793.080.123.534.82010
    42720ADrainage of throat abscess5.424.664.750.3910.4710.56010
    42725ADrainage of throat abscess10.728.30NA0.8019.82NA090
    42800ABiopsy of throat1.392.462.900.103.954.39010
    42802ABiopsy of throat1.542.583.000.114.234.65010
    42804ABiopsy of upper nose/throat1.242.422.850.093.754.18010
    42806ABiopsy of upper nose/throat1.582.603.270.124.304.97010
    42808AExcise pharynx lesion2.303.014.670.175.487.14010
    42809ARemove pharynx foreign body1.811.663.330.133.605.27010
    42810AExcision of neck cyst3.254.425.330.257.928.83090
    42815AExcision of neck cyst7.076.44NA0.5314.04NA090
    42820ARemove tonsils and adenoids3.913.87NA0.288.06NA090
    42821ARemove tonsils and adenoids4.294.12NA0.308.71NA090
    42825ARemoval of tonsils3.423.55NA0.247.21NA090
    42826ARemoval of tonsils3.383.59NA0.237.20NA090
    42830ARemoval of adenoids2.572.25NA0.185.00NA090
    42831ARemoval of adenoids2.712.50NA0.195.40NA090
    42835ARemoval of adenoids2.302.44NA0.174.91NA090
    42836ARemoval of adenoids3.183.55NA0.226.95NA090
    42842AExtensive surgery of throat8.767.71NA0.6117.08NA090
    42844AExtensive surgery of throat14.3111.33NA1.0426.68NA090
    42845AExtensive surgery of throat24.2917.53NA1.7643.58NA090
    42860AExcision of tonsil tags2.222.98NA0.165.36NA090
    42870AExcision of lingual tonsil5.405.80NA0.3811.58NA090
    42890APartial removal of pharynx12.9410.63NA0.9124.48NA090
    42892ARevision of pharyngeal walls15.8312.19NA1.1429.16NA090
    42894ARevision of pharyngeal walls22.8816.90NA1.6441.42NA090
    42900ARepair throat wound5.253.75NA0.399.39NA010
    42950AReconstruction of throat8.107.42NA0.5816.10NA090
    42953ARepair throat, esophagus8.968.98NA0.7318.67NA090
    42955ASurgical opening of throat7.396.27NA0.6314.29NA090
    42960AControl throat bleeding2.332.08NA0.174.58NA010
    42961AControl throat bleeding5.595.22NA0.4011.21NA090
    42962AControl throat bleeding7.146.27NA0.5113.92NA090
    42970AControl nose/throat bleeding5.433.79NA0.379.59NA090
    42971AControl nose/throat bleeding6.215.70NA0.4512.36NA090
    42972AControl nose/throat bleeding7.205.31NA0.5413.05NA090
    42999CThroat surgery procedure0.000.000.000.000.000.00YYY
    43020AIncision of esophagus8.096.30NA0.7015.09NA090
    43030AThroat muscle surgery7.696.79NA0.6015.08NA090
    43045AIncision of esophagus20.1210.99NA2.1533.26NA090
    43100AExcision of esophagus lesion9.197.27NA0.7917.25NA090
    43101AExcision of esophagus lesion16.248.55NA1.8126.60NA090
    43107ARemoval of esophagus40.0018.57NA3.2961.86NA090
    43108ARemoval of esophagus34.1915.74NA3.7853.71NA090
    43112ARemoval of esophagus43.5020.06NA3.6767.23NA090
    43113ARemoval of esophagus35.2716.69NA4.3356.29NA090
    43116APartial removal of esophagus31.2220.19NA2.6254.03NA090
    43117APartial removal of esophagus40.0018.55NA3.5162.06NA090
    43118APartial removal of esophagus33.2015.82NA3.5652.58NA090
    43121APartial removal of esophagus29.1914.85NA3.4447.48NA090
    43122AParital removal of esophagus40.0018.10NA3.2761.37NA090
    43123APartial removal of esophagus33.2016.59NA3.9653.75NA090
    43124ARemoval of esophagus27.3215.10NA2.9545.37NA090
    43130ARemoval of esophagus pouch11.758.80NA1.0621.61NA090
    43135ARemoval of esophagus pouch16.109.86NA1.8527.81NA090
    43200AEsophagus endoscopy1.591.186.850.112.888.55000
    43202AEsophagus endoscopy, biopsy1.891.135.670.123.147.68000
    43204AEsophagus endoscopy & inject3.771.69NA0.185.64NA000
    43205AEsophagus endoscopy/ligation3.791.70NA0.175.66NA000
    43215AEsophagus endoscopy2.601.25NA0.174.02NA000
    43216AEsophagus endoscopy/lesion2.401.19NA0.153.74NA000
    43217AEsophagus endoscopy2.901.35NA0.174.42NA000
    43219AEsophagus endoscopy2.801.40NA0.164.36NA000
    43220AEsoph endoscopy, dilation2.101.11NA0.123.33NA000
    43226AEsoph endoscopy, dilation2.341.18NA0.123.64NA000
    Start Printed Page 40448
    43227AEsoph endoscopy, repair3.601.62NA0.185.40NA000
    43228AEsoph endoscopy, ablation3.771.73NA0.255.75NA000
    43231AEsoph endoscopy w/us exam4.091.89NA0.246.22NA000
    43232AEsoph endoscopy w/us fn bx4.712.22NA0.287.21NA000
    43234AUpper GI endoscopy, exam2.011.043.890.133.186.03000
    43235AUppr gi endoscopy, diagnosis2.391.205.270.133.727.79000
    43239AUpper GI endoscopy, biopsy2.691.315.490.144.148.32000
    43240AEsoph endoscope w/drain cyst7.393.14NA0.4510.98NA000
    43241AUpper GI endoscopy with tube2.591.25NA0.143.98NA000
    43242AUppr gi endoscopy w/us fn bx5.512.002.000.347.857.85000
    43243AUpper gi endoscopy & inject4.571.98NA0.216.76NA000
    43244AUpper GI endoscopy/ligation4.591.99NA0.216.79NA000
    43245AOperative upper GI endoscopy3.391.53NA0.185.10NA000
    43246APlace gastrostomy tube4.331.82NA0.246.39NA000
    43247AOperative upper GI endoscopy3.391.53NA0.175.09NA000
    43248AUppr gi endoscopy/guide wire3.151.46NA0.154.76NA000
    43249AEsoph endoscopy, dilation2.901.36NA0.154.41NA000
    43250AUpper GI endoscopy/tumor3.201.46NA0.174.83NA000
    43251AOperative upper GI endoscopy3.701.65NA0.195.54NA000
    43255AOperative upper GI endoscopy4.401.80NA0.206.40NA000
    43256AUppr gi endoscopy w stent4.351.581.580.266.196.19000
    43258AOperative upper GI endoscopy4.551.97NA0.226.74NA000
    43259AEndoscopic ultrasound exam4.892.19NA0.227.30NA000
    43260AEndo cholangiopancreatograph5.962.48NA0.278.71NA000
    43261AEndo cholangiopancreatograph6.272.59NA0.299.15NA000
    43262AEndo cholangiopancreatograph7.393.01NA0.3410.74NA000
    43263AEndo cholangiopancreatograph6.192.58NA0.289.05NA000
    43264AEndo cholangiopancreatograph8.903.57NA0.4112.88NA000
    43265AEndo cholangiopancreatograph8.903.56NA0.4212.88NA000
    43267AEndo cholangiopancreatograph7.393.01NA0.3410.74NA000
    43268AEndo cholangiopancreatograph7.393.01NA0.3410.74NA000
    43269AEndo cholangiopancreatograph6.042.51NA0.288.83NA000
    43271AEndo cholangiopancreatograph7.393.00NA0.3410.73NA000
    43272AEndo cholangiopancreatograph7.393.01NA0.3410.74NA000
    43280ALaparoscopy, fundoplasty17.258.37NA1.7627.38NA090
    43289CLaparoscope proc, esoph0.000.000.000.000.000.00YYY
    43300ARepair of esophagus9.147.43NA0.8517.42NA090
    43305ARepair esophagus and fistula17.3912.48NA1.3631.23NA090
    43310ARepair of esophagus25.3914.68NA3.1843.25NA090
    43312ARepair esophagus and fistula28.4218.43NA3.3850.23NA090
    43320AFuse esophagus & stomach19.9310.60NA1.5932.12NA090
    43324ARevise esophagus & stomach20.579.71NA1.7232.00NA090
    43325ARevise esophagus & stomach20.069.97NA1.6531.68NA090
    43326ARevise esophagus & stomach19.7410.75NA1.8432.33NA090
    43330ARepair of esophagus19.779.69NA1.5230.98NA090
    43331ARepair of esophagus20.1311.46NA1.9333.52NA090
    43340AFuse esophagus & intestine19.6110.60NA1.5331.74NA090
    43341AFuse esophagus & intestine20.8513.19NA2.1436.18NA090
    43350ASurgical opening, esophagus15.7810.59NA1.1527.52NA090
    43351ASurgical opening, esophagus18.359.93NA1.5129.79NA090
    43352ASurgical opening, esophagus15.269.64NA1.2826.18NA090
    43360AGastrointestinal repair35.7016.95NA3.0055.65NA090
    43361AGastrointestinal repair40.5019.13NA3.5263.15NA090
    43400ALigate esophagus veins21.2010.43NA0.9932.62NA090
    43401AEsophagus surgery for veins22.0910.05NA1.7333.87NA090
    43405ALigate/staple esophagus20.019.83NA1.6331.47NA090
    43410ARepair esophagus wound13.478.91NA1.1523.53NA090
    43415ARepair esophagus wound25.0012.50NA1.9239.42NA090
    43420ARepair esophagus opening14.359.56NA0.8624.77NA090
    43425ARepair esophagus opening21.0311.55NA2.0334.61NA090
    43450ADilate esophagus1.380.621.340.072.072.79000
    43453ADilate esophagus1.510.67NA0.082.26NA000
    43456ADilate esophagus2.571.06NA0.143.77NA000
    43458ADilate esophagus3.061.25NA0.174.48NA000
    43460APressure treatment esophagus3.801.53NA0.215.54NA000
    43496CFree jejunum flap, microvasc0.000.000.000.000.000.00090
    43499CEsophagus surgery procedure0.000.000.000.000.000.00YYY
    43500ASurgical opening of stomach11.055.16NA0.8417.05NA090
    43501ASurgical repair of stomach20.048.75NA1.5530.34NA090
    43502ASurgical repair of stomach23.139.96NA1.8334.92NA090
    43510ASurgical opening of stomach13.087.42NA0.9021.40NA090
    43520AIncision of pyloric muscle9.995.92NA0.8416.75NA090
    43600ABiopsy of stomach1.911.02NA0.113.04NA000
    43605ABiopsy of stomach11.985.44NA0.9318.35NA090
    Start Printed Page 40449
    43610AExcision of stomach lesion14.606.79NA1.1422.53NA090
    43611AExcision of stomach lesion17.848.06NA1.3827.28NA090
    43620ARemoval of stomach30.0412.99NA2.2945.32NA090
    43621ARemoval of stomach30.7313.14NA2.3646.23NA090
    43622ARemoval of stomach32.5313.74NA2.4848.75NA090
    43631ARemoval of stomach, partial22.599.65NA1.9934.23NA090
    43632ARemoval of stomach, partial22.599.65NA2.0034.24NA090
    43633ARemoval of stomach, partial23.109.84NA2.0534.99NA090
    43634ARemoval of stomach, partial25.1210.50NA2.1837.80NA090
    43635ARemoval of stomach, partial2.060.74NA0.213.01NAZZZ
    43638ARemoval of stomach, partial29.0012.03NA2.2443.27NA090
    43639ARemoval of stomach, partial29.6512.28NA2.3144.24NA090
    43640AVagotomy & pylorus repair17.027.66NA1.5126.19NA090
    43641AVagotomy & pylorus repair17.277.79NA1.5326.59NA090
    43651ALaparoscopy, vagus nerve10.154.72NA1.0315.90NA090
    43652ALaparoscopy, vagus nerve12.155.37NA1.2518.77NA090
    43653ALaparoscopy, gastrostomy7.734.27NA0.7812.78NA090
    43659CLaparoscope proc, stom0.000.000.000.000.000.00YYY
    43750APlace gastrostomy tube4.492.63NA0.337.45NA010
    43752BNasal/orogastric w/stent0.000.000.000.000.000.00XXX
    43760AChange gastrostomy tube1.100.461.410.071.632.58000
    43761AReposition gastrostomy tube2.010.82NA0.102.93NA000
    43800AReconstruction of pylorus13.696.56NA1.0721.32NA090
    43810AFusion of stomach and bowel14.656.86NA1.1022.61NA090
    43820AFusion of stomach and bowel15.377.07NA1.1823.62NA090
    43825AFusion of stomach and bowel19.228.39NA1.5029.11NA090
    43830APlace gastrostomy tube9.534.98NA0.6915.20NA090
    43831APlace gastrostomy tube7.844.26NA0.8112.91NA090
    43832APlace gastrostomy tube15.607.56NA1.1324.29NA090
    43840ARepair of stomach lesion15.567.12NA1.2023.88NA090
    43842AGastroplasty for obesity18.4711.14NA1.5131.12NA090
    43843AGastroplasty for obesity18.6511.01NA1.5331.19NA090
    43846AGastric bypass for obesity24.0513.28NA1.9639.29NA090
    43847AGastric bypass for obesity26.9214.88NA2.1443.94NA090
    43848ARevision gastroplasty29.3915.95NA2.3947.73NA090
    43850ARevise stomach-bowel fusion24.7210.34NA1.9737.03NA090
    43855ARevise stomach-bowel fusion26.1611.24NA2.0139.41NA090
    43860ARevise stomach-bowel fusion25.0010.52NA2.0337.55NA090
    43865ARevise stomach-bowel fusion26.5211.05NA2.1539.72NA090
    43870ARepair stomach opening9.695.08NA0.7115.48NA090
    43880ARepair stomach-bowel fistula24.6510.86NA1.9437.45NA090
    43999CStomach surgery procedure0.000.000.000.000.000.00YYY
    44005AFreeing of bowel adhesion16.237.34NA1.3924.96NA090
    44010AIncision of small bowel12.526.42NA1.0519.99NA090
    44015AInsert needle cath bowel2.620.93NA0.253.80NAZZZ
    44020AExploration of small bowel13.996.50NA1.2021.69NA090
    44021ADecompress small bowel14.086.90NA1.1822.16NA090
    44025AIncision of large bowel14.286.61NA1.2122.10NA090
    44050AReduce bowel obstruction14.036.52NA1.1521.70NA090
    44055ACorrect malrotation of bowel22.009.38NA1.3232.70NA090
    44100ABiopsy of bowel2.011.07NA0.123.20NA000
    44110AExcision of bowel lesion(s)11.815.78NA1.0018.59NA090
    44111AExcision of bowel lesion(s)14.297.20NA1.2222.71NA090
    44120ARemoval of small intestine17.007.59NA1.4626.05NA090
    44121ARemoval of small intestine4.451.60NA0.456.50NAZZZ
    44125ARemoval of small intestine17.547.77NA1.4926.80NA090
    44130ABowel to bowel fusion14.496.69NA1.2322.41NA090
    44132REnterectomy, cadaver donor0.000.000.000.000.000.00XXX
    44133REnterectomy, live donor0.000.000.000.000.000.00XXX
    44135RIntestine transplnt, cadaver0.000.000.000.000.000.00XXX
    44136RIntestine transplant, live0.000.000.000.000.000.00XXX
    44139AMobilization of colon2.230.80NA0.213.24NAZZZ
    44140APartial removal of colon21.009.46NA1.8332.29NA090
    44141APartial removal of colon19.5111.66NA1.9533.12NA090
    44143APartial removal of colon22.9912.88NA2.0237.89NA090
    44144APartial removal of colon21.5311.57NA1.8934.99NA090
    44145APartial removal of colon26.4211.77NA2.2240.41NA090
    44146APartial removal of colon27.5414.77NA2.2044.51NA090
    44147APartial removal of colon20.7110.09NA1.7432.54NA090
    44150ARemoval of colon23.9513.79NA2.0539.79NA090
    44151ARemoval of colon/ileostomy26.8814.74NA1.9743.59NA090
    44152ARemoval of colon/ileostomy27.8316.60NA2.3646.79NA090
    44153ARemoval of colon/ileostomy30.5916.26NA2.3349.18NA090
    44155ARemoval of colon/ileostomy27.8615.02NA2.2645.14NA090
    Start Printed Page 40450
    44156ARemoval of colon/ileostomy30.7916.48NA2.1949.46NA090
    44160ARemoval of colon18.628.56NA1.5528.73NA090
    44200ALaparoscopy, enterolysis14.446.78NA1.4622.68NA090
    44201ALaparoscopy, jejunostomy9.785.11NA0.9715.86NA090
    44202ALaparo, resect intestine22.049.78NA2.1633.98NA090
    44209CLaparoscope proc, intestine0.000.000.000.000.000.00YYY
    44300AOpen bowel to skin12.116.62NA0.8819.61NA090
    44310AIleostomy/jejunostomy15.9510.29NA1.1327.37NA090
    44312ARevision of ileostomy8.025.02NA0.5413.58NA090
    44314ARevision of ileostomy15.0510.19NA0.9926.23NA090
    44316ADevise bowel pouch21.0914.20NA1.4136.70NA090
    44320AColostomy17.6411.80NA1.2830.72NA090
    44322AColostomy with biopsies11.989.91NA1.1823.07NA090
    44340ARevision of colostomy7.724.71NA0.5612.99NA090
    44345ARevision of colostomy15.438.19NA1.1124.73NA090
    44346ARevision of colostomy16.998.74NA1.2026.93NA090
    44360ASmall bowel endoscopy2.591.36NA0.144.09NA000
    44361ASmall bowel endoscopy/biopsy2.871.46NA0.154.48NA000
    44363ASmall bowel endoscopy3.501.65NA0.195.34NA000
    44364ASmall bowel endoscopy3.741.78NA0.215.73NA000
    44365ASmall bowel endoscopy3.311.63NA0.185.12NA000
    44366ASmall bowel endoscopy4.412.02NA0.226.65NA000
    44369ASmall bowel endoscopy4.522.00NA0.236.75NA000
    44370ASmall bowel endoscopy/stent4.331.591.590.266.186.18000
    44372ASmall bowel endoscopy4.412.02NA0.276.70NA000
    44373ASmall bowel endoscopy3.501.74NA0.195.43NA000
    44376ASmall bowel endoscopy5.262.32NA0.297.87NA000
    44377ASmall bowel endoscopy/biopsy5.532.45NA0.288.26NA000
    44378ASmall bowel endoscopy7.133.02NA0.3710.52NA000
    44379AS bowel endoscope w/stent7.072.552.550.4510.0710.07000
    44380ASmall bowel endoscopy1.050.77NA0.081.90NA000
    44382ASmall bowel endoscopy1.270.86NA0.092.22NA000
    44383AIleoscopy w/stent2.410.870.870.153.433.43000
    44385AEndoscopy of bowel pouch1.820.944.400.122.886.34000
    44386AEndoscopy, bowel pouch/biop2.121.095.560.153.367.83000
    44388AColon endoscopy2.821.396.060.184.399.06000
    44389AColonoscopy with biopsy3.131.526.650.184.839.96000
    44390AColonoscopy for foreign body3.831.807.380.225.8511.43000
    44391AColonoscopy for bleeding4.321.766.170.236.3110.72000
    44392AColonoscopy and polypectomy3.821.766.740.235.8110.79000
    44393AColonoscopy, lesion removal4.842.157.450.277.2612.56000
    44394AColonoscopy w/snare4.431.997.400.266.6812.09000
    44397AColonoscopy w stent4.231.90NA0.306.43NA000
    44500AIntro, gastrointestinal tube0.490.36NA0.020.87NA000
    44602ASuture, small intestine16.037.26NA1.0724.36NA090
    44603ASuture, small intestine18.668.18NA1.3928.23NA090
    44604ASuture, large intestine16.037.26NA1.4224.71NA090
    44605ARepair of bowel lesion19.538.92NA1.5429.99NA090
    44615AIntestinal stricturoplasty15.937.20NA1.3924.52NA090
    44620ARepair bowel opening12.205.79NA1.0519.04NA090
    44625ARepair bowel opening15.056.83NA1.3023.18NA090
    44626ARepair bowel opening25.3610.52NA2.1938.07NA090
    44640ARepair bowel-skin fistula21.659.57NA1.4632.68NA090
    44650ARepair bowel fistula22.579.80NA1.4933.86NA090
    44660ARepair bowel-bladder fistula21.369.40NA1.1431.90NA090
    44661ARepair bowel-bladder fistula24.8110.56NA1.5336.90NA090
    44680ASurgical revision, intestine15.407.38NA1.3724.15NA090
    44700ASuspend bowel w/prosthesis16.117.43NA1.2124.75NA090
    44799CIntestine surgery procedure0.000.000.000.000.000.00YYY
    44800AExcision of bowel pouch11.235.51NA1.1117.85NA090
    44820AExcision of mesentery lesion12.095.89NA1.0319.01NA090
    44850ARepair of mesentery10.745.55NA0.9917.28NA090
    44899CBowel surgery procedure0.000.000.000.000.000.00YYY
    44900ADrain app abscess, open10.145.83NA0.8416.81NA090
    44901ADrain app abscess, percut3.385.25NA0.178.80NA000
    44950AAppendectomy10.005.25NA0.8816.13NA090
    44955AAppendectomy add-on1.530.57NA0.162.26NAZZZ
    44960AAppendectomy12.346.41NA1.0919.84NA090
    44970ALaparoscopy, appendectomy8.704.16NA0.8813.74NA090
    44979CLaparoscope proc, app0.000.000.000.000.000.00YYY
    45000ADrainage of pelvic abscess4.523.86NA0.378.75NA090
    45005ADrainage of rectal abscess1.991.574.410.183.746.58010
    45020ADrainage of rectal abscess4.723.89NA0.419.02NA090
    45100ABiopsy of rectum3.682.084.750.336.098.76090
    Start Printed Page 40451
    45108ARemoval of anorectal lesion4.763.065.900.468.2811.12090
    45110ARemoval of rectum28.0013.10NA2.2643.36NA090
    45111APartial removal of rectum16.488.62NA1.6026.70NA090
    45112ARemoval of rectum30.5413.57NA2.3546.46NA090
    45113APartial proctectomy30.5812.85NA2.1345.56NA090
    45114APartial removal of rectum27.3212.41NA2.2842.01NA090
    45116APartial removal of rectum24.5811.19NA2.0037.77NA090
    45119ARemove rectum w/reservoir30.8413.31NA2.1346.28NA090
    45120ARemoval of rectum24.6011.41NA2.2838.29NA090
    45121ARemoval of rectum and colon27.0412.37NA2.6642.07NA090
    45123APartial proctectomy16.717.62NA1.0425.37NA090
    45126APelvic exenteration45.1619.69NA3.2368.08NA090
    45130AExcision of rectal prolapse16.447.66NA1.1225.22NA090
    45135AExcision of rectal prolapse19.289.16NA1.5229.96NA090
    45150AExcision of rectal stricture5.673.085.080.469.2111.21090
    45160AExcision of rectal lesion15.326.97NA1.0723.36NA090
    45170AExcision of rectal lesion11.495.80NA0.8918.18NA090
    45190ADestruction, rectal tumor9.745.19NA0.7615.69NA090
    45300AProctosigmoidoscopy dx0.380.231.280.050.661.71000
    45303AProctosigmoidoscopy dilate0.440.261.470.060.761.97000
    45305AProctosigmoidoscopy & biopsy1.010.451.550.091.552.65000
    45307AProtosigmoidoscopy fb0.940.422.350.151.513.44000
    45308AProtosigmoidoscopy removal0.830.391.530.131.352.49000
    45309AProctosigmoidoscopy2.010.802.460.172.984.64000
    45315AProtosigmoidoscopy removal1.400.602.420.202.204.02000
    45317AProtosigmoidoscopy bleed1.500.631.790.202.333.49000
    45320AProtosigmoidoscopy ablate1.580.671.740.202.453.52000
    45321AProtosigmoidoscopy volvul1.170.52NA0.171.86NA000
    45327AProctosigmoidoscopy w/stent1.460.81NA0.122.39NA000
    45330ADiagnostic sigmoidoscopy0.880.451.880.051.382.81000
    45331ASigmoidoscopy and biopsy1.150.532.130.071.753.35000
    45332ASigmoidoscopy w/fb removal1.790.763.730.112.665.63000
    45333ASigmoidoscopy & polypectomy1.790.763.370.122.675.28000
    45334ASigmoidoscopy for bleeding2.731.11NA0.164.00NA000
    45337ASigmoidoscopy & decompress2.360.97NA0.153.48NA000
    45338ASigmoidoscpy w/tumr remove2.340.964.010.153.456.50000
    45339ASigmoidoscopy3.141.263.050.174.576.36000
    45341ASigmoidoscopy w/ultrasound3.461.68NA0.245.38NA000
    45342ASigmoidoscopy w/us guide bx4.081.83NA0.296.20NA000
    45345ASigmodoscopy w/stent2.661.32NA0.184.16NA000
    45355ASurgical colonoscopy3.521.27NA0.265.05NA000
    45378ADiagnostic colonoscopy3.681.747.300.205.6211.18000
    4537853ADiagnostic colonoscopy0.880.451.880.051.382.81000
    45379AColonoscopy w/fb removal4.692.097.870.257.0312.81000
    45380AColonoscopy and biopsy4.011.867.530.216.0811.75000
    45382AColonoscopy/control bleeding5.692.288.800.278.2414.76000
    45383ALesion removal colonoscopy5.872.528.590.328.7114.78000
    45384AColonoscopy4.702.118.210.247.0513.15000
    45385ALesion removal colonoscopy5.312.338.380.287.9213.97000
    45387AColonoscopy w/stent5.622.44NA0.368.42NA000
    45500ARepair of rectum7.294.19NA0.5612.04NA090
    45505ARepair of rectum7.583.73NA0.5011.81NA090
    45520ATreatment of rectal prolapse0.550.190.750.040.781.34000
    45540ACorrect rectal prolapse16.277.98NA1.1725.42NA090
    45541ACorrect rectal prolapse13.406.83NA0.8821.11NA090
    45550ARepair rectum/remove sigmoid23.0010.25NA1.5834.83NA090
    45560ARepair of rectocele10.585.99NA0.7317.30NA090
    45562AExploration/repair of rectum15.387.40NA1.1523.93NA090
    45563AExploration/repair of rectum23.4711.08NA1.8436.39NA090
    45800ARepair rect/bladder fistula17.778.10NA1.1427.01NA090
    45805ARepair fistula w/colostomy20.789.94NA1.4732.19NA090
    45820ARepair rectourethral fistula18.488.48NA1.1728.13NA090
    45825ARepair fistula w/colostomy21.2510.11NA0.9732.33NA090
    45900AReduction of rectal prolapse2.611.03NA0.173.81NA010
    45905ADilation of anal sphincter2.300.953.500.143.395.94010
    45910ADilation of rectal narrowing2.801.154.780.144.097.72010
    45915ARemove rectal obstruction3.141.114.590.174.427.90010
    45999CRectum surgery procedure0.000.000.000.000.000.00YYY
    46030ARemoval of rectal marker1.231.203.350.112.544.69010
    46040AIncision of rectal abscess4.963.065.400.488.5010.84090
    46045AIncision of rectal abscess4.322.77NA0.407.49NA090
    46050AIncision of anal abscess1.191.303.530.112.604.83010
    46060AIncision of rectal abscess5.693.75NA0.529.96NA090
    46070AIncision of anal septum2.712.48NA0.275.46NA090
    Start Printed Page 40452
    46080AIncision of anal sphincter2.491.613.810.234.336.53010
    46083AIncise external hemorrhoid1.401.474.600.122.996.12010
    46200ARemoval of anal fissure3.422.353.900.306.077.62090
    46210ARemoval of anal crypt2.672.155.010.265.087.94090
    46211ARemoval of anal crypts4.252.945.480.377.5610.10090
    46220ARemoval of anal tab1.560.561.240.142.262.94010
    46221ALigation of hemorrhoid(s)2.040.733.400.122.895.56010
    46230ARemoval of anal tabs2.571.684.180.224.476.97010
    46250AHemorrhoidectomy3.892.675.250.436.999.57090
    46255AHemorrhoidectomy4.602.885.870.517.9910.98090
    46257ARemove hemorrhoids & fissure5.403.06NA0.599.05NA090
    46258ARemove hemorrhoids & fistula5.733.27NA0.649.64NA090
    46260AHemorrhoidectomy6.373.94NA0.6810.99NA090
    46261ARemove hemorrhoids & fissure7.084.05NA0.7011.83NA090
    46262ARemove hemorrhoids & fistula7.504.31NA0.7612.57NA090
    46270ARemoval of anal fistula3.722.554.910.366.638.99090
    46275ARemoval of anal fistula4.562.784.700.407.749.66090
    46280ARemoval of anal fistula5.983.69NA0.5010.17NA090
    46285ARemoval of anal fistula4.092.603.910.347.038.34090
    46288ARepair anal fistula7.134.16NA0.6011.89NA090
    46320ARemoval of hemorrhoid clot1.611.503.790.143.255.54010
    46500AInjection into hemorrhoids1.610.592.630.122.324.36010
    46600ADiagnostic anoscopy0.500.150.790.040.691.33000
    46604AAnoscopy and dilation1.310.470.950.091.872.35000
    46606AAnoscopy and biopsy0.810.290.880.071.171.76000
    46608AAnoscopy/ remove for body1.510.461.820.132.103.46000
    46610AAnoscopy/remove lesion1.320.481.440.121.922.88000
    46611AAnoscopy1.810.652.000.152.613.96000
    46612AAnoscopy/ remove lesions2.340.852.460.183.374.98000
    46614AAnoscopy/control bleeding2.010.711.680.142.863.83000
    46615AAnoscopy2.680.961.720.233.874.63000
    46700ARepair of anal stricture9.134.68NA0.5614.37NA090
    46705ARepair of anal stricture6.904.73NA0.7312.36NA090
    46715ARepair of anovaginal fistula7.204.50NA0.7612.46NA090
    46716ARepair of anovaginal fistula15.077.81NA1.3024.18NA090
    46730AConstruction of absent anus26.7512.10NA2.0340.88NA090
    46735AConstruction of absent anus32.1714.90NA2.6449.71NA090
    46740AConstruction of absent anus30.0012.81NA1.9944.80NA090
    46742ARepair of imperforated anus35.8017.97NA2.6356.40NA090
    46744ARepair of cloacal anomaly52.6320.67NA2.2775.57NA090
    46746ARepair of cloacal anomaly58.2226.84NA2.5187.57NA090
    46748ARepair of cloacal anomaly64.2129.21NA2.7796.19NA090
    46750ARepair of anal sphincter10.255.65NA0.6916.59NA090
    46751ARepair of anal sphincter8.776.30NA0.7815.85NA090
    46753AReconstruction of anus8.294.04NA0.5812.91NA090
    46754ARemoval of suture from anus2.201.325.400.123.647.72010
    46760ARepair of anal sphincter14.436.74NA0.8622.03NA090
    46761ARepair of anal sphincter13.846.62NA0.8421.30NA090
    46762AImplant artificial sphincter12.715.67NA0.7119.09NA090
    46900ADestruction, anal lesion(s)1.910.773.280.132.815.32010
    46910ADestruction, anal lesion(s)1.861.493.520.143.495.52010
    46916ACryosurgery, anal lesion(s)1.861.603.440.093.555.39010
    46917ALaser surgery, anal lesions1.861.574.610.163.596.63010
    46922AExcision of anal lesion(s)1.861.433.810.173.465.84010
    46924ADestruction, anal lesion(s)2.761.705.010.204.667.97010
    46934ADestruction of hemorrhoids3.513.495.920.267.269.69090
    46935ADestruction of hemorrhoids2.430.874.070.173.476.67010
    46936ADestruction of hemorrhoids3.693.345.730.307.339.72090
    46937ACryotherapy of rectal lesion2.692.444.030.125.256.84010
    46938ACryotherapy of rectal lesion4.663.483.990.408.549.05090
    46940ATreatment of anal fissure2.320.833.080.173.325.57010
    46942ATreatment of anal fissure2.040.713.210.142.895.39010
    46945ALigation of hemorrhoids1.842.133.830.174.145.84090
    46946ALigation of hemorrhoids2.582.445.050.225.247.85090
    46999CAnus surgery procedure0.000.000.000.000.000.00YYY
    47000ANeedle biopsy of liver1.900.679.170.092.6611.16000
    47001ANeedle biopsy, liver add-on1.900.68NA0.182.76NAZZZ
    47010AOpen drainage, liver lesion16.019.58NA0.6526.24NA090
    47011APercut drain, liver lesion3.706.24NA0.1710.11NA000
    47015AInject/aspirate liver cyst15.117.96NA0.8623.93NA090
    47100AWedge biopsy of liver11.676.37NA0.7518.79NA090
    47120APartial removal of liver35.5016.79NA2.2954.58NA090
    47122AExtensive removal of liver55.1323.83NA3.6082.56NA090
    47125APartial removal of liver49.1921.66NA3.1874.03NA090
    Start Printed Page 40453
    47130APartial removal of liver53.3523.34NA3.4780.16NA090
    47133XRemoval of donor liver0.000.000.000.000.000.00XXX
    47134RPartial removal, donor liver39.1514.22NA3.9857.35NAXXX
    47135RTransplantation of liver81.5242.54NA8.13132.19NA090
    47136RTransplantation of liver68.6046.19NA6.93121.72NA090
    47300ASurgery for liver lesion15.087.62NA0.9723.67NA090
    47350ARepair liver wound19.569.32NA1.2530.13NA090
    47360ARepair liver wound26.9212.57NA1.7141.20NA090
    47361ARepair liver wound47.1220.03NA3.1170.26NA090
    47362ARepair liver wound18.5110.17NA1.2229.90NA090
    47379CLaparoscope procedure, liver0.000.000.000.000.000.00YYY
    47399CLiver surgery procedure0.000.000.000.000.000.00YYY
    47400AIncision of liver duct32.4914.82NA1.8249.13NA090
    47420AIncision of bile duct19.889.28NA1.7030.86NA090
    47425AIncision of bile duct19.839.54NA1.6030.97NA090
    47460AIncise bile duct sphincter18.048.90NA1.2428.18NA090
    47480AIncision of gallbladder10.826.52NA0.8518.19NA090
    47490AIncision of gallbladder7.237.60NA0.3315.16NA090
    47500AInjection for liver x-rays1.960.68NA0.092.73NA000
    47505AInjection for liver x-rays0.760.2615.720.031.0516.51000
    47510AInsert catheter, bile duct7.839.35NA0.3617.54NA090
    47511AInsert bile duct drain10.5010.59NA0.4721.56NA090
    47525AChange bile duct catheter5.553.33NA0.249.12NA010
    47530ARevise/reinsert bile tube5.855.02NA0.2911.16NA090
    47550ABile duct endoscopy add-on3.021.08NA0.304.40NAZZZ
    47552ABiliary endoscopy thru skin6.042.51NA0.428.97NA000
    47553ABiliary endoscopy thru skin6.352.70NA0.309.35NA000
    47554ABiliary endoscopy thru skin9.063.52NA0.7413.32NA000
    47555ABiliary endoscopy thru skin7.563.13NA0.3511.04NA000
    47556ABiliary endoscopy thru skin8.563.48NA0.3812.42NA000
    47560ALaparoscopy w/cholangio4.891.90NA0.497.28NA000
    47561ALaparo w/cholangio/biopsy5.182.22NA0.497.89NA000
    47562ALaparoscopic cholecystectomy11.094.82NA1.1317.04NA090
    47563ALaparoscopic cholecystectomy11.945.32NA1.2118.47NA090
    47564ALaparo cholecystectomy/explr14.236.94NA1.4422.61NA090
    47570ALaparo cholecystoenterostomy12.585.93NA1.2819.79NA090
    47579CLaparoscope proc, biliary0.000.000.000.000.000.00YYY
    47600ARemoval of gallbladder13.586.75NA1.1621.49NA090
    47605ARemoval of gallbladder14.697.14NA1.2523.08NA090
    47610ARemoval of gallbladder18.828.75NA1.6129.18NA090
    47612ARemoval of gallbladder18.788.59NA1.6028.97NA090
    47620ARemoval of gallbladder20.649.25NA1.7731.66NA090
    47630ARemove bile duct stone9.113.17NA0.4612.74NA090
    47700AExploration of bile ducts15.628.73NA1.4025.75NA090
    47701ABile duct revision27.8113.42NA3.0044.23NA090
    47711AExcision of bile duct tumor23.0311.21NA1.9836.22NA090
    47712AExcision of bile duct tumor30.2414.20NA2.6747.11NA090
    47715AExcision of bile duct cyst18.808.85NA1.5929.24NA090
    47716AFusion of bile duct cyst16.449.46NA1.4127.31NA090
    47720AFuse gallbladder & bowel15.918.67NA1.3725.95NA090
    47721AFuse upper gi structures19.129.77NA1.6330.52NA090
    47740AFuse gallbladder & bowel18.489.61NA1.5929.68NA090
    47741AFuse gallbladder & bowel21.3410.50NA1.8233.66NA090
    47760AFuse bile ducts and bowel25.8512.12NA2.2140.18NA090
    47765AFuse liver ducts & bowel24.8812.79NA2.1839.85NA090
    47780AFuse bile ducts and bowel26.5012.37NA2.2741.14NA090
    47785AFuse bile ducts and bowel31.1814.72NA2.6948.59NA090
    47800AReconstruction of bile ducts23.3011.22NA1.9536.47NA090
    47801APlacement, bile duct support15.1710.25NA0.6926.11NA090
    47802AFuse liver duct & intestine21.5511.28NA1.8434.67NA090
    47900ASuture bile duct injury19.9010.04NA1.6531.59NA090
    47999CBile tract surgery procedure0.000.000.000.000.000.00YYY
    48000ADrainage of abdomen28.0712.79NA1.3242.18NA090
    48001APlacement of drain, pancreas35.4514.98NA1.9052.33NA090
    48005AResect/debride pancreas42.1717.36NA2.2661.79NA090
    48020ARemoval of pancreatic stone15.707.61NA1.3624.67NA090
    48100ABiopsy of pancreas12.236.89NA1.0820.20NA090
    48102ANeedle biopsy, pancreas4.682.448.980.207.3213.86010
    48120ARemoval of pancreas lesion15.857.51NA1.3524.71NA090
    48140APartial removal of pancreas22.9410.69NA2.1235.75NA090
    48145APartial removal of pancreas24.0211.58NA2.2537.85NA090
    48146APancreatectomy26.4013.53NA2.4342.36NA090
    48148ARemoval of pancreatic duct17.349.25NA1.6128.20NA090
    48150APartial removal of pancreas48.0021.99NA4.4374.42NA090
    Start Printed Page 40454
    48152APancreatectomy43.7520.61NA4.0768.43NA090
    48153APancreatectomy47.8921.97NA4.4074.26NA090
    48154APancreatectomy44.1020.71NA4.1068.91NA090
    48155ARemoval of pancreas24.6413.79NA2.3040.73NA090
    48160NPancreas removal/transplant0.000.000.000.000.000.00XXX
    48180AFuse pancreas and bowel24.7211.10NA2.2438.06NA090
    48400AInjection, intraop add-on1.950.68NA0.102.73NAZZZ
    48500ASurgery of pancreas cyst15.287.53NA1.3524.16NA090
    48510ADrain pancreatic pseudocyst14.317.48NA1.0722.86NA090
    48511ADrain pancreatic pseudocyst4.004.71NA0.178.88NA000
    48520AFuse pancreas cyst and bowel15.597.29NA1.4124.29NA090
    48540AFuse pancreas cyst and bowel19.728.81NA1.8230.35NA090
    48545APancreatorrhaphy18.188.74NA1.6128.53NA090
    48547ADuodenal exclusion25.8310.89NA2.3039.02NA090
    48550XDonor pancreatectomy0.000.000.000.000.000.00XXX
    48554RTranspl allograft pancreas34.1712.27NA3.3049.74NA090
    48556ARemoval, allograft pancreas15.718.56NA1.5225.79NA090
    48999CPancreas surgery procedure0.000.000.000.000.000.00YYY
    49000AExploration of abdomen11.686.14NA1.1718.99NA090
    49002AReopening of abdomen10.496.02NA1.0617.57NA090
    49010AExploration behind abdomen12.286.94NA1.2220.44NA090
    49020ADrain abdominal abscess22.8411.55NA1.3135.70NA090
    49021ADrain abdominal abscess3.386.31NA0.169.85NA000
    49040ADrain, open, abdom abscess13.528.00NA0.8422.36NA090
    49041ADrain, percut, abdom abscess4.006.50NA0.1810.68NA000
    49060ADrain, open, retrop abscess15.869.58NA0.7726.21NA090
    49061ADrain, percut, retroper absc3.706.44NA0.1710.31NA000
    49062ADrain to peritoneal cavity11.367.15NA1.0819.59NA090
    49080APuncture, peritoneal cavity1.350.623.080.072.044.50000
    49081ARemoval of abdominal fluid1.260.592.930.061.914.25000
    49085ARemove abdomen foreign body12.146.59NA0.8819.61NA090
    49180ABiopsy, abdominal mass1.730.607.640.082.419.45000
    49200ARemoval of abdominal lesion10.256.43NA0.8917.57NA090
    49201ARemoval of abdominal lesion14.848.71NA1.4424.99NA090
    49215AExcise sacral spine tumor33.5014.97NA2.4850.95NA090
    49220AMultiple surgery, abdomen14.887.71NA1.5124.10NA090
    49250AExcision of umbilicus8.355.10NA0.8414.29NA090
    49255ARemoval of omentum11.146.63NA1.1218.89NA090
    49320ADiag laparo separate proc5.103.04NA0.508.64NA010
    49321ALaparoscopy; biopsy5.403.08NA0.539.01NA010
    49322ALaparoscopy; aspiration5.703.47NA0.579.74NA010
    49323ALaparo drain lymphocele9.484.01NA0.8814.37NA090
    49329CLaparo proc, abdm/per/oment0.000.000.000.000.000.00YYY
    49400AAir injection into abdomen1.880.81NA0.112.80NA000
    49420AInsert abdominal drain2.220.98NA0.133.33NA000
    49421AInsert abdominal drain5.544.03NA0.5510.12NA090
    49422ARemove perm cannula/catheter6.252.96NA0.639.84NA010
    49423AExchange drainage catheter1.460.69NA0.072.22NA000
    49424AAssess cyst, contrast inject0.760.45NA0.031.24NA000
    49425AInsert abdomen-venous drain11.376.70NA1.2119.28NA090
    49426ARevise abdomen-venous shunt9.636.06NA0.9316.62NA090
    49427AInjection, abdominal shunt0.890.49NA0.051.43NA000
    49428ALigation of shunt6.063.22NA0.319.59NA010
    49429ARemoval of shunt7.403.49NA0.8111.70NA010
    49495ARepair inguinal hernia, init5.893.49NA0.559.93NA090
    49496ARepair inguinal hernia, init8.796.44NA0.8916.12NA090
    49500ARepair inguinal hernia5.483.38NA0.469.32NA090
    49501ARepair inguinal hernia, init8.884.48NA0.7614.12NA090
    49505ARepair inguinal hernia7.604.074.530.6512.3212.78090
    49507ARepair inguinal hernia9.576.05NA0.8316.45NA090
    49520ARerepair inguinal hernia9.635.41NA0.8415.88NA090
    49521ARepair inguinal hernia, rec11.975.78NA1.0418.79NA090
    49525ARepair inguinal hernia8.574.90NA0.7414.21NA090
    49540ARepair lumbar hernia10.395.62NA0.9016.91NA090
    49550ARepair femoral hernia8.634.48NA0.7513.86NA090
    49553ARepair femoral hernia, init9.444.91NA0.8315.18NA090
    49555ARepair femoral hernia9.035.21NA0.7915.03NA090
    49557ARepair femoral hernia, recur11.155.51NA0.9717.63NA090
    49560ARepair abdominal hernia11.576.03NA1.0018.60NA090
    49561ARepair incisional hernia14.256.64NA1.2322.12NA090
    49565ARerepair abdominal hernia11.576.21NA1.0018.78NA090
    49566ARepair incisional hernia14.406.69NA1.2422.33NA090
    49568AHernia repair w/mesh4.891.76NA0.507.15NAZZZ
    49570ARepair epigastric hernia5.693.44NA0.509.63NA090
    Start Printed Page 40455
    49572ARepair epigastric hernia6.733.95NA0.5811.26NA090
    49580ARepair umbilical hernia4.112.92NA0.347.37NA090
    49582ARepair umbilical hernia6.654.82NA0.5712.04NA090
    49585ARepair umbilical hernia6.234.07NA0.5310.83NA090
    49587ARepair umbilical hernia7.564.21NA0.6512.42NA090
    49590ARepair abdominal hernia8.544.89NA0.7414.17NA090
    49600ARepair umbilical lesion10.966.30NA1.1318.39NA090
    49605ARepair umbilical lesion22.6610.94NA2.5736.17NA090
    49606ARepair umbilical lesion18.609.23NA2.2230.05NA090
    49610ARepair umbilical lesion10.506.73NA0.7718.00NA090
    49611ARepair umbilical lesion8.926.42NA0.6515.99NA090
    49650ALaparo hernia repair initial6.273.29NA0.6410.20NA090
    49651ALaparo hernia repair recur8.244.34NA0.8413.42NA090
    49659CLaparo proc, hernia repair0.000.000.000.000.000.00YYY
    49900ARepair of abdominal wall12.286.72NA1.2320.23NA090
    49905AOmental flap6.552.30NA0.619.46NAZZZ
    49906CFree omental flap, microvasc0.000.000.000.000.000.00090
    49999CAbdomen surgery procedure0.000.000.000.000.000.00YYY
    50010AExploration of kidney10.986.80NA0.7918.57NA090
    50020ARenal abscess, open drain14.6613.73NA0.8029.19NA090
    50021ARenal abscess, percut drain3.3812.63NA0.1516.16NA000
    50040ADrainage of kidney14.9411.46NA0.8227.22NA090
    50045AExploration of kidney15.468.23NA1.0624.75NA090
    50060ARemoval of kidney stone19.309.60NA1.1430.04NA090
    50065AIncision of kidney20.797.79NA1.1329.71NA090
    50070AIncision of kidney20.3210.48NA1.2032.00NA090
    50075ARemoval of kidney stone25.3412.28NA1.5139.13NA090
    50080ARemoval of kidney stone14.7110.56NA0.8626.13NA090
    50081ARemoval of kidney stone21.8012.63NA1.3035.73NA090
    50100ARevise kidney blood vessels16.099.39NA1.6427.12NA090
    50120AExploration of kidney15.918.65NA1.0425.60NA090
    50125AExplore and drain kidney16.528.73NA1.0726.32NA090
    50130ARemoval of kidney stone17.298.89NA1.0427.22NA090
    50135AExploration of kidney19.189.49NA1.1829.85NA090
    50200ABiopsy of kidney2.630.93NA0.123.68NA000
    50205ABiopsy of kidney11.316.38NA0.9418.63NA090
    50220ARemoval of kidney17.158.98NA1.1627.29NA090
    50225ARemoval of kidney20.239.94NA1.2631.43NA090
    50230ARemoval of kidney22.0710.54NA1.3533.96NA090
    50234ARemoval of kidney & ureter22.4010.62NA1.3734.39NA090
    50236ARemoval of kidney & ureter24.8613.67NA1.5040.03NA090
    50240APartial removal of kidney22.0012.71NA1.3636.07NA090
    50280ARemoval of kidney lesion15.678.38NA0.9925.04NA090
    50290ARemoval of kidney lesion14.738.15NA1.1123.99NA090
    50300XRemoval of donor kidney0.000.000.000.000.000.00XXX
    50320ARemoval of donor kidney22.2110.41NA1.7834.40NA090
    50340ARemoval of kidney12.158.83NA1.1522.13NA090
    50360ATransplantation of kidney31.5317.54NA2.9752.04NA090
    50365ATransplantation of kidney36.8121.31NA3.5161.63NA090
    50370ARemove transplanted kidney13.729.67NA1.2624.65NA090
    50380AReimplantation of kidney20.7613.56NA1.8036.12NA090
    50390ADrainage of kidney lesion1.960.68NA0.092.73NA000
    50392AInsert kidney drain3.381.17NA0.154.70NA000
    50393AInsert ureteral tube4.161.44NA0.185.78NA000
    50394AInjection for kidney x-ray0.760.2613.830.041.0614.63000
    50395ACreate passage to kidney3.381.16NA0.164.70NA000
    50396AMeasure kidney pressure2.090.88NA0.103.07NA000
    50398AChange kidney tube1.460.501.360.072.032.89000
    50400ARevision of kidney/ureter19.509.69NA1.2130.40NA090
    50405ARevision of kidney/ureter23.9312.83NA1.4538.21NA090
    50500ARepair of kidney wound19.5711.22NA1.4532.24NA090
    50520AClose kidney-skin fistula17.2310.54NA1.2629.03NA090
    50525ARepair renal-abdomen fistula22.2712.65NA1.5136.43NA090
    50526ARepair renal-abdomen fistula24.0215.49NA1.6241.13NA090
    50540ARevision of horseshoe kidney19.9310.96NA1.2832.17NA090
    50541ALaparo ablate renal cyst16.006.63NA0.9923.62NA090
    50544ALaparoscopy, pyeloplasty22.408.83NA1.4132.64NA090
    50545ALaparo radical nephrectomy24.009.44NA1.8135.25NA090
    50546ALaparoscopic nephrectomy20.488.27NA1.3730.12NA090
    50547ALaparo removal donor kidney25.5010.71NA2.0438.25NA090
    50548ALaparo remove k/ureter24.409.47NA1.4935.36NA090
    50549CLaparoscope proc, renal0.000.000.000.000.000.00YYY
    50551AKidney endoscopy5.601.874.620.337.8010.55000
    50553AKidney endoscopy5.992.0516.020.358.3922.36000
    Start Printed Page 40456
    50555AKidney endoscopy & biopsy6.532.2018.710.389.1125.62000
    50557AKidney endoscopy & treatment6.622.2218.820.399.2325.83000
    50559ARenal endoscopy/radiotracer6.782.43NA0.279.48NA000
    50561AKidney endoscopy & treatment7.592.5616.870.4410.5924.90000
    50570AKidney endoscopy9.543.20NA0.5613.30NA000
    50572AKidney endoscopy10.353.47NA0.6414.46NA000
    50574AKidney endoscopy & biopsy11.023.69NA0.6515.36NA000
    50575AKidney endoscopy13.984.69NA0.8419.51NA000
    50576AKidney endoscopy & treatment10.993.65NA0.6615.30NA000
    50578ARenal endoscopy/radiotracer11.353.80NA0.6715.82NA000
    50580AKidney endoscopy & treatment11.863.99NA0.7016.55NA000
    50590AFragmenting of kidney stone9.095.0710.100.5414.7019.73090
    50600AExploration of ureter15.848.51NA0.9925.34NA090
    50605AInsert ureteral support15.468.71NA1.1325.30NA090
    50610ARemoval of ureter stone15.928.96NA1.0825.96NA090
    50620ARemoval of ureter stone15.168.09NA0.9124.16NA090
    50630ARemoval of ureter stone14.948.16NA0.9024.00NA090
    50650ARemoval of ureter17.419.25NA1.0727.73NA090
    50660ARemoval of ureter19.5510.03NA1.1930.77NA090
    50684AInjection for ureter x-ray0.760.2614.200.041.0615.00000
    50686AMeasure ureter pressure1.510.714.770.092.316.37000
    50688AChange of ureter tube1.171.75NA0.062.98NA010
    50690AInjection for ureter x-ray1.160.4014.480.061.6215.70000
    50700ARevision of ureter15.218.97NA0.8625.04NA090
    50715ARelease of ureter18.9012.10NA1.6832.68NA090
    50722ARelease of ureter16.359.40NA1.4127.16NA090
    50725ARelease/revise ureter18.4910.26NA1.4430.19NA090
    50727ARevise ureter8.186.23NA0.5114.92NA090
    50728ARevise ureter12.027.80NA0.8820.70NA090
    50740AFusion of ureter & kidney18.429.33NA1.4929.24NA090
    50750AFusion of ureter & kidney19.5110.28NA1.2431.03NA090
    50760AFusion of ureters18.429.70NA1.2529.37NA090
    50770ASplicing of ureters19.519.93NA1.2530.69NA090
    50780AReimplant ureter in bladder18.369.65NA1.2029.21NA090
    50782AReimplant ureter in bladder19.5411.18NA1.1331.85NA090
    50783AReimplant ureter in bladder20.5510.62NA1.3532.52NA090
    50785AReimplant ureter in bladder20.5210.37NA1.3032.19NA090
    50800AImplant ureter in bowel14.529.38NA0.9224.82NA090
    50810AFusion of ureter & bowel20.0512.91NA1.7834.74NA090
    50815AUrine shunt to bowel19.9311.47NA1.3132.71NA090
    50820AConstruct bowel bladder21.8911.33NA1.3834.60NA090
    50825AConstruct bowel bladder28.1814.68NA1.8144.67NA090
    50830ARevise urine flow31.2815.36NA2.2048.84NA090
    50840AReplace ureter by bowel20.0011.53NA1.2632.79NA090
    50845AAppendico-vesicostomy20.899.67NA1.2631.82NA090
    50860ATransplant ureter to skin15.368.67NA1.0125.04NA090
    50900ARepair of ureter13.627.77NA0.9822.37NA090
    50920AClosure ureter/skin fistula14.338.72NA0.8423.89NA090
    50930AClosure ureter/bowel fistula18.729.73NA1.5730.02NA090
    50940ARelease of ureter14.518.17NA1.0423.72NA090
    50945ALaparoscopy ureterolithotomy17.007.41NA1.1525.56NA090
    50947ALaparo new ureter/bladder24.5011.58NA1.8437.92NA090
    50948ALaparo new ureter/bladder22.5010.47NA1.7034.67NA090
    50949CLaparoscope proc, ureter0.000.000.000.000.000.00YYY
    50951AEndoscopy of ureter5.841.965.010.358.1511.20000
    50953AEndoscopy of ureter6.242.0917.980.378.7024.59000
    50955AUreter endoscopy & biopsy6.752.3018.690.389.4325.82000
    50957AUreter endoscopy & treatment6.792.2818.280.409.4725.47000
    50959AUreter endoscopy & tracer4.401.59NA0.186.17NA000
    50961AUreter endoscopy & treatment6.052.0422.480.358.4428.88000
    50970AUreter endoscopy7.142.40NA0.439.97NA000
    50972AUreter endoscopy & catheter6.892.37NA0.399.65NA000
    50974AUreter endoscopy & biopsy9.173.01NA0.5312.71NA000
    50976AUreter endoscopy & treatment9.043.03NA0.5312.60NA000
    50978AUreter endoscopy & tracer5.101.75NA0.307.15NA000
    50980AUreter endoscopy & treatment6.852.31NA0.419.57NA000
    51000ADrainage of bladder0.780.251.950.051.082.78000
    51005ADrainage of bladder1.020.353.250.081.454.35000
    51010ADrainage of bladder3.531.866.960.235.6210.72010
    51020AIncise & treat bladder6.715.42NA0.4212.55NA090
    51030AIncise & treat bladder6.775.46NA0.4212.65NA090
    51040AIncise & drain bladder4.404.19NA0.278.86NA090
    51045AIncise bladder/drain ureter6.775.73NA0.4712.97NA090
    51050ARemoval of bladder stone6.924.98NA0.4212.32NA090
    Start Printed Page 40457
    51060ARemoval of ureter stone8.856.16NA0.5415.55NA090
    51065ARemoval of ureter stone8.855.99NA0.5315.37NA090
    51080ADrainage of bladder abscess5.965.51NA0.3511.82NA090
    51500ARemoval of bladder cyst10.145.99NA0.8817.01NA090
    51520ARemoval of bladder lesion9.296.21NA0.5816.08NA090
    51525ARemoval of bladder lesion13.977.78NA0.8522.60NA090
    51530ARemoval of bladder lesion12.387.37NA0.8220.57NA090
    51535ARepair of ureter lesion12.577.80NA0.9021.27NA090
    51550APartial removal of bladder15.668.38NA1.0525.09NA090
    51555APartial removal of bladder21.2310.64NA1.3733.24NA090
    51565ARevise bladder & ureter(s)21.6211.17NA1.4034.19NA090
    51570ARemoval of bladder24.2412.39NA1.5938.22NA090
    51575ARemoval of bladder & nodes30.4514.82NA1.8847.15NA090
    51580ARemove bladder/revise tract31.0815.33NA1.9448.35NA090
    51585ARemoval of bladder & nodes35.2316.59NA2.1854.00NA090
    51590ARemove bladder/revise tract32.6615.48NA2.0150.15NA090
    51595ARemove bladder/revise tract37.1416.93NA2.2356.30NA090
    51596ARemove bladder/create pouch39.5218.20NA2.3960.11NA090
    51597ARemoval of pelvic structures38.3517.93NA2.4958.77NA090
    51600AInjection for bladder x-ray0.880.3014.750.041.2215.67000
    51605APreparation for bladder xray0.640.2215.450.040.9016.13000
    51610AInjection for bladder x-ray1.050.3615.230.051.4616.33000
    51700AIrrigation of bladder0.880.333.740.051.264.67000
    51705AChange of bladder tube1.021.252.500.062.333.58010
    51710AChange of bladder tube1.491.394.720.092.976.30010
    51715AEndoscopic injection/implant3.741.284.200.245.268.18000
    51720ATreatment of bladder lesion1.960.664.030.122.746.11000
    51725ASimple cystometrogram1.51NA5.500.13NA7.14000
    5172526ASimple cystometrogram1.510.520.520.102.132.13000
    51725TCASimple cystometrogram0.00NA4.980.03NA5.01000
    51726AComplex cystometrogram1.71NA4.330.15NA6.19000
    5172626AComplex cystometrogram1.710.590.590.112.412.41000
    51726TCAComplex cystometrogram0.00NA3.740.04NA3.78000
    51736AUrine flow measurement0.61NA0.990.05NA1.65000
    5173626AUrine flow measurement0.610.210.210.040.860.86000
    51736TCAUrine flow measurement0.00NA0.780.01NA0.79000
    51741AElectro-uroflowmetry, first1.14NA1.750.09NA2.98000
    5174126AElectro-uroflowmetry, first1.140.390.390.071.601.60000
    51741TCAElectro-uroflowmetry, first0.00NA1.360.02NA1.38000
    51772AUrethra pressure profile1.61NA4.420.16NA6.19000
    5177226AUrethra pressure profile1.610.580.580.122.312.31000
    51772TCAUrethra pressure profile0.00NA3.840.04NA3.88000
    51784AAnal/urinary muscle study1.53NA3.080.13NA4.74000
    5178426AAnal/urinary muscle study1.530.530.530.102.162.16000
    51784TCAAnal/urinary muscle study0.00NA2.550.03NA2.58000
    51785AAnal/urinary muscle study1.53NA3.120.12NA4.77000
    5178526AAnal/urinary muscle study1.530.530.530.092.152.15000
    51785TCAAnal/urinary muscle study0.00NA2.590.03NA2.62000
    51792AUrinary reflex study1.10NA3.180.20NA4.48000
    5179226AUrinary reflex study1.100.440.440.091.631.63000
    51792TCAUrinary reflex study0.00NA2.740.11NA2.85000
    51795AUrine voiding pressure study1.53NA4.530.18NA6.24000
    5179526AUrine voiding pressure study1.530.530.530.102.162.16000
    51795TCAUrine voiding pressure study0.00NA4.000.08NA4.08000
    51797AIntraabdominal pressure test1.60NA4.480.14NA6.22000
    5179726AIntraabdominal pressure test1.600.550.550.102.252.25000
    51797TCAIntraabdominal pressure test0.00NA3.930.04NA3.97000
    51800ARevision of bladder/urethra17.429.26NA1.1727.85NA090
    51820ARevision of urinary tract17.8910.78NA1.4530.12NA090
    51840AAttach bladder/urethra10.716.65NA0.8718.23NA090
    51841AAttach bladder/urethra13.038.36NA1.0422.43NA090
    51845ARepair bladder neck9.736.56NA0.6216.91NA090
    51860ARepair of bladder wound12.027.66NA0.8920.57NA090
    51865ARepair of bladder wound15.048.55NA1.0124.60NA090
    51880ARepair of bladder opening7.665.56NA0.5413.76NA090
    51900ARepair bladder/vagina lesion12.977.93NA0.8721.77NA090
    51920AClose bladder-uterus fistula11.817.67NA0.8620.34NA090
    51925AHysterectomy/bladder repair15.589.17NA1.4826.23NA090
    51940ACorrection of bladder defect28.4314.31NA1.9744.71NA090
    51960ARevision of bladder & bowel23.0112.58NA1.4137.00NA090
    51980AConstruct bladder opening11.367.01NA0.7419.11NA090
    51990ALaparo urethral suspension12.506.53NA1.0220.05NA090
    51992ALaparo sling operation14.016.54NA0.9321.48NA090
    52000ACystoscopy2.010.683.200.122.815.33000
    Start Printed Page 40458
    52005ACystoscopy & ureter catheter2.370.794.970.153.317.49000
    52007ACystoscopy and biopsy3.021.01NA0.184.21NA000
    52010ACystoscopy & duct catheter3.021.025.340.184.228.54000
    52204ACystoscopy2.370.805.720.153.328.24000
    52214ACystoscopy and treatment3.711.246.080.225.1710.01000
    52224ACystoscopy and treatment3.141.055.940.184.379.26000
    52234ACystoscopy and treatment4.631.556.860.276.4511.76000
    52235ACystoscopy and treatment5.451.837.150.327.6012.92000
    52240ACystoscopy and treatment9.723.268.580.5813.5618.88000
    52250ACystoscopy and radiotracer4.501.51NA0.276.28NA000
    52260ACystoscopy and treatment3.921.32NA0.235.47NA000
    52265ACystoscopy and treatment2.940.993.620.184.116.74000
    52270ACystoscopy & revise urethra3.371.136.470.204.7010.04000
    52275ACystoscopy & revise urethra4.701.576.960.286.5511.94000
    52276ACystoscopy and treatment5.001.677.060.306.9712.36000
    52277ACystoscopy and treatment6.172.10NA0.388.65NA000
    52281ACystoscopy and treatment2.800.943.620.173.916.59000
    52282ACystoscopy, implant stent6.402.157.230.388.9314.01000
    52283ACystoscopy and treatment3.741.266.370.225.2210.33000
    52285ACystoscopy and treatment3.611.216.580.225.0410.41000
    52290ACystoscopy and treatment4.591.55NA0.276.41NA000
    52300ACystoscopy and treatment5.311.78NA0.327.41NA000
    52301ACystoscopy and treatment5.511.79NA0.397.69NA000
    52305ACystoscopy and treatment5.311.78NA0.317.40NA000
    52310ACystoscopy and treatment2.810.9414.320.173.9217.30000
    52315ACystoscopy and treatment5.211.7515.300.317.2720.82000
    52317ARemove bladder stone6.722.2524.350.409.3731.47000
    52318ARemove bladder stone9.193.08NA0.5412.81NA000
    52320ACystoscopy and treatment4.701.58NA0.286.56NA000
    52325ACystoscopy, stone removal6.162.06NA0.378.59NA000
    52327ACystoscopy, inject material5.191.77NA0.327.28NA000
    52330ACystoscopy and treatment5.041.6919.350.307.0324.69000
    52332ACystoscopy and treatment2.830.9529.050.173.9532.05000
    52334ACreate passage to kidney4.831.62NA0.286.73NA000
    52341ACysto w/ureter stricture tx6.002.37NA0.348.71NA000
    52342ACysto w/up stricture tx6.502.57NA0.369.43NA000
    52343ACysto w/renal stricture tx7.202.85NA0.4010.45NA000
    52344ACysto/uretero, stone remove7.703.04NA0.4211.16NA000
    52345ACysto/uretero w/up stricture8.203.24NA0.4611.90NA000
    52346ACystouretero w/renal strict9.233.65NA0.5113.39NA000
    52351ACystouretro & or pyeloscope5.861.97NA0.328.15NA000
    52352ACystouretro w/stone remove6.882.31NA0.389.57NA000
    52353ACystouretero w/lithotripsy7.972.67NA0.4411.08NA000
    52354ACystouretero w/biopsy7.342.46NA0.4110.21NA000
    52355ACystouretero w/excise tumor8.822.96NA0.5012.28NA000
    52400ACystouretero w/congen repr9.685.45NA0.5315.66NA090
    52450AIncision of prostate7.646.17NA0.4614.27NA090
    52500ARevision of bladder neck8.476.44NA0.5015.41NA090
    52510ADilation prostatic urethra6.725.50NA0.4012.62NA090
    52601AProstatectomy (TURP)12.377.76NA0.7420.87NA090
    52606AControl postop bleeding8.135.93NA0.4914.55NA090
    52612AProstatectomy, first stage7.986.29NA0.4814.75NA090
    52614AProstatectomy, second stage6.845.89NA0.4113.14NA090
    52620ARemove residual prostate6.615.83NA0.3912.83NA090
    52630ARemove prostate regrowth7.266.05NA0.4313.74NA090
    52640ARelieve bladder contracture6.625.40NA0.3912.41NA090
    52647ALaser surgery of prostate10.365.3357.840.6116.3068.81090
    52648ALaser surgery of prostate11.217.39NA0.6619.26NA090
    52700ADrainage of prostate abscess6.805.98NA0.4113.19NA090
    53000AIncision of urethra2.282.467.270.134.879.68010
    53010AIncision of urethra3.643.97NA0.207.81NA090
    53020AIncision of urethra1.770.663.910.112.545.79000
    53025AIncision of urethra1.130.444.440.071.645.64000
    53040ADrainage of urethra abscess6.407.9212.820.4114.7319.63090
    53060ADrainage of urethra abscess2.633.036.220.235.899.08010
    53080ADrainage of urinary leakage6.297.84NA0.4214.55NA090
    53085ADrainage of urinary leakage10.279.30NA0.6720.24NA090
    53200ABiopsy of urethra2.590.965.280.173.728.04000
    53210ARemoval of urethra12.577.75NA0.8121.13NA090
    53215ARemoval of urethra15.588.41NA0.9324.92NA090
    53220ATreatment of urethra lesion7.005.35NA0.4412.79NA090
    53230ARemoval of urethra lesion9.586.09NA0.6016.27NA090
    53235ARemoval of urethra lesion10.146.33NA0.6017.07NA090
    53240ASurgery for urethra pouch6.454.92NA0.4211.79NA090
    Start Printed Page 40459
    53250ARemoval of urethra gland5.894.21NA0.3510.45NA090
    53260ATreatment of urethra lesion2.982.335.880.235.549.09010
    53265ATreatment of urethra lesion3.122.286.200.205.609.52010
    53270ARemoval of urethra gland3.092.415.550.215.718.85010
    53275ARepair of urethra defect4.533.22NA0.288.03NA010
    53400ARevise urethra, stage 112.777.82NA0.8521.44NA090
    53405ARevise urethra, stage 214.488.12NA0.9123.51NA090
    53410AReconstruction of urethra16.448.72NA0.9926.15NA090
    53415AReconstruction of urethra19.419.63NA1.1630.20NA090
    53420AReconstruct urethra, stage 114.088.41NA0.9023.39NA090
    53425AReconstruct urethra, stage 215.988.93NA0.9725.88NA090
    53430AReconstruction of urethra16.348.88NA1.0126.23NA090
    53440ACorrect bladder function12.347.66NA0.7320.73NA090
    53442ARemove perineal prosthesis8.275.81NA0.5514.63NA090
    53443AReconstruction of urethra19.899.44NA1.2530.58NA090
    53445ACorrect urine flow control14.068.26NA0.8423.16NA090
    53447ARemove artificial sphincter13.177.55NA0.7921.51NA090
    53449ACorrect artificial sphincter9.706.38NA0.5716.65NA090
    53450ARevision of urethra6.144.84NA0.3711.35NA090
    53460ARevision of urethra7.125.21NA0.4312.76NA090
    53502ARepair of urethra injury7.635.42NA0.5013.55NA090
    53505ARepair of urethra injury7.635.35NA0.4613.44NA090
    53510ARepair of urethra injury10.116.41NA0.6017.12NA090
    53515ARepair of urethra injury13.317.29NA0.8321.43NA090
    53520ARepair of urethra defect8.685.82NA0.5315.03NA090
    53600ADilate urethra stricture1.210.503.940.071.785.22000
    53601ADilate urethra stricture0.980.433.870.061.474.91000
    53605ADilate urethra stricture1.280.43NA0.081.79NA000
    53620ADilate urethra stricture1.620.545.850.102.267.57000
    53621ADilate urethra stricture1.350.455.870.081.887.30000
    53660ADilation of urethra0.710.343.720.041.094.47000
    53661ADilation of urethra0.720.243.770.041.004.53000
    53665ADilation of urethra0.760.26NA0.051.07NA000
    53670AInsert urinary catheter0.500.213.480.030.744.01000
    53675AInsert urinary catheter1.470.484.700.092.046.26000
    53850AProstatic microwave thermotx9.454.9882.830.5614.9992.84090
    53852AProstatic rf thermotx9.885.2371.160.5815.6981.62090
    53899CUrology surgery procedure0.000.000.000.000.000.00YYY
    54000ASlitting of prepuce1.541.395.420.103.037.06010
    54001ASlitting of prepuce2.192.016.020.144.348.35010
    54015ADrain penis lesion5.323.076.850.338.7212.50010
    54050ADestruction, penis lesion(s)1.240.502.640.071.813.95010
    54055ADestruction, penis lesion(s)1.221.406.480.072.697.77010
    54056ACryosurgery, penis lesion(s)1.240.532.920.061.834.22010
    54057ALaser surg, penis lesion(s)1.241.302.920.082.624.24010
    54060AExcision of penis lesion(s)1.931.565.370.123.617.42010
    54065ADestruction, penis lesion(s)2.422.085.280.134.637.83010
    54100ABiopsy of penis1.900.743.570.102.745.57000
    54105ABiopsy of penis3.502.096.240.215.809.95010
    54110ATreatment of penis lesion10.137.76NA0.6018.49NA090
    54111ATreat penis lesion, graft13.578.81NA0.7923.17NA090
    54112ATreat penis lesion, graft15.869.64NA0.9426.44NA090
    54115ATreatment of penis lesion6.156.4910.300.3913.0316.84090
    54120APartial removal of penis9.977.69NA0.6018.26NA090
    54125ARemoval of penis13.538.86NA0.8123.20NA090
    54130ARemove penis & nodes20.1411.35NA1.1932.68NA090
    54135ARemove penis & nodes26.3613.47NA1.5841.41NA090
    54150ACircumcision1.811.917.900.173.899.88010
    54152ACircumcision2.311.71NA0.164.18NA010
    54160ACircumcision2.481.715.890.164.358.53010
    54161ACircumcision3.271.99NA0.205.46NA010
    54200ATreatment of penis lesion1.060.372.620.061.493.74010
    54205ATreatment of penis lesion7.937.15NA0.4715.55NA090
    54220ATreatment of penis lesion2.421.001.940.153.574.51000
    54230APrepare penis study1.340.45NA0.081.87NA000
    54231ADynamic cavernosometry2.040.802.190.142.984.37000
    54235APenile injection1.190.401.110.071.662.37000
    54240APenis study1.31NA1.190.13NA2.63000
    5424026APenis study1.310.450.450.081.841.84000
    54240TCAPenis study0.00NA0.740.05NA0.79000
    54250APenis study2.22NA3.370.16NA5.75000
    5425026APenis study2.220.740.740.143.103.10000
    54250TCAPenis study0.00NA2.630.02NA2.65000
    54300ARevision of penis10.418.42NA0.6419.47NA090
    Start Printed Page 40460
    54304ARevision of penis12.499.50NA0.7422.73NA090
    54308AReconstruction of urethra11.839.16NA0.7021.69NA090
    54312AReconstruction of urethra13.5710.23NA0.8124.61NA090
    54316AReconstruction of urethra16.8211.67NA1.0029.49NA090
    54318AReconstruction of urethra11.259.18NA1.1521.58NA090
    54322AReconstruction of urethra13.018.75NA0.7722.53NA090
    54324AReconstruction of urethra16.3111.64NA1.0328.98NA090
    54326AReconstruction of urethra15.7210.09NA0.9326.74NA090
    54328ARevise penis/urethra15.6510.43NA0.9227.00NA090
    54332ARevise penis/urethra17.0811.76NA1.0129.85NA090
    54336ARevise penis/urethra20.0416.59NA1.9038.53NA090
    54340ASecondary urethral surgery8.917.79NA0.7217.42NA090
    54344ASecondary urethral surgery15.9411.73NA1.1028.77NA090
    54348ASecondary urethral surgery17.1512.66NA1.0230.83NA090
    54352AReconstruct urethra/penis24.7415.36NA1.6241.72NA090
    54360APenis plastic surgery11.938.27NA0.7220.92NA090
    54380ARepair penis13.189.18NA1.1623.52NA090
    54385ARepair penis15.3911.82NA0.7127.92NA090
    54390ARepair penis and bladder21.6113.41NA1.2836.30NA090
    54400AInsert semi-rigid prosthesis8.996.12NA0.5315.64NA090
    54401AInsert self-contd prosthesis10.286.93NA0.6117.82NA090
    54402ARemove penis prosthesis9.216.23NA0.5515.99NA090
    54405AInsert multi-comp prosthesis13.438.03NA0.8022.26NA090
    54407ARemove multi-comp prosthesis13.347.62NA0.8021.76NA090
    54409ARevise penis prosthesis12.207.37NA0.7320.30NA090
    54420ARevision of penis11.428.18NA0.7220.32NA090
    54430ARevision of penis10.157.71NA0.6018.46NA090
    54435ARevision of penis6.125.81NA0.3612.29NA090
    54440CRepair of penis0.000.000.000.000.000.00090
    54450APreputial stretching1.120.471.010.071.662.20000
    54500ABiopsy of testis1.310.456.110.081.847.50000
    54505ABiopsy of testis3.462.57NA0.216.24NA010
    54510ARemoval of testis lesion5.453.43NA0.359.23NA090
    54512AExcise lesion testis8.584.92NA0.5114.01NA090
    54520ARemoval of testis5.233.55NA0.339.11NA090
    54522AOrchiectomy, partial9.505.88NA0.5715.95NA090
    54530ARemoval of testis8.585.18NA0.5314.29NA090
    54535AExtensive testis surgery12.167.07NA0.8320.06NA090
    54550AExploration for testis7.784.70NA0.4912.97NA090
    54560AExploration for testis11.136.79NA0.7918.71NA090
    54600AReduce testis torsion7.014.21NA0.4511.67NA090
    54620ASuspension of testis4.903.05NA0.318.26NA010
    54640ASuspension of testis6.904.21NA0.4911.60NA090
    54650AOrchiopexy (Fowler-Stephens)11.457.11NA0.8119.37NA090
    54660ARevision of testis5.113.26NA0.358.72NA090
    54670ARepair testis injury6.414.16NA0.4110.98NA090
    54680ARelocation of testis(es)12.657.47NA0.9421.06NA090
    54690ALaparoscopy, orchiectomy10.966.42NA0.9918.37NA090
    54692ALaparoscopy, orchiopexy12.885.68NA0.8719.43NA090
    54699CLaparoscope proc, testis0.000.000.000.000.000.00YYY
    54700ADrainage of scrotum3.433.328.160.236.9811.82010
    54800ABiopsy of epididymis2.330.816.310.143.288.78000
    54820AExploration of epididymis5.143.55NA0.339.02NA090
    54830ARemove epididymis lesion5.383.64NA0.349.36NA090
    54840ARemove epididymis lesion5.203.57NA0.319.08NA090
    54860ARemoval of epididymis6.324.14NA0.3810.84NA090
    54861ARemoval of epididymis8.905.01NA0.5214.43NA090
    54900AFusion of spermatic ducts13.207.06NA1.3421.60NA090
    54901AFusion of spermatic ducts17.949.80NA1.8329.57NA090
    55000ADrainage of hydrocele1.430.492.100.102.023.63000
    55040ARemoval of hydrocele5.363.40NA0.359.11NA090
    55041ARemoval of hydroceles7.744.43NA0.5012.67NA090
    55060ARepair of hydrocele5.523.44NA0.379.33NA090
    55100ADrainage of scrotum abscess2.133.569.320.155.8411.60010
    55110AExplore scrotum5.703.55NA0.369.61NA090
    55120ARemoval of scrotum lesion5.093.32NA0.338.74NA090
    55150ARemoval of scrotum7.224.52NA0.4712.21NA090
    55175ARevision of scrotum5.243.66NA0.339.23NA090
    55180ARevision of scrotum10.726.39NA0.7217.83NA090
    55200AIncision of sperm duct4.243.06NA0.257.55NA090
    55250ARemoval of sperm duct(s)3.293.009.030.216.5012.53090
    55300APrepare, sperm duct x-ray3.511.45NA0.205.16NA000
    55400ARepair of sperm duct8.495.17NA0.5014.16NA090
    55450ALigation of sperm duct4.122.427.520.246.7811.88010
    Start Printed Page 40461
    55500ARemoval of hydrocele5.593.61NA0.439.63NA090
    55520ARemoval of sperm cord lesion6.033.72NA0.5610.31NA090
    55530ARevise spermatic cord veins5.663.74NA0.369.76NA090
    55535ARevise spermatic cord veins6.564.05NA0.4211.03NA090
    55540ARevise hernia & sperm veins7.674.30NA0.7412.71NA090
    55550ALaparo ligate spermatic vein6.573.34NA0.4710.38NA090
    55559CLaparo proc, spermatic cord0.000.000.000.000.000.00YYY
    55600AIncise sperm duct pouch6.384.18NA0.3810.94NA090
    55605AIncise sperm duct pouch7.965.13NA0.5413.63NA090
    55650ARemove sperm duct pouch11.806.17NA0.7218.69NA090
    55680ARemove sperm pouch lesion5.193.84NA0.319.34NA090
    55700ABiopsy of prostate1.570.533.750.102.205.42000
    55705ABiopsy of prostate4.573.71NA0.268.54NA010
    55720ADrainage of prostate abscess7.645.92NA0.4414.00NA090
    55725ADrainage of prostate abscess8.686.48NA0.5115.67NA090
    55801ARemoval of prostate17.809.33NA1.0828.21NA090
    55810AExtensive prostate surgery22.5811.34NA1.3535.27NA090
    55812AExtensive prostate surgery27.5113.82NA1.6943.02NA090
    55815AExtensive prostate surgery30.4614.38NA1.8446.68NA090
    55821ARemoval of prostate14.257.83NA0.8522.93NA090
    55831ARemoval of prostate15.628.32NA0.9424.88NA090
    55840AExtensive prostate surgery22.6911.76NA1.3735.82NA090
    55842AExtensive prostate surgery24.3812.37NA1.4838.23NA090
    55845AExtensive prostate surgery28.5513.70NA1.7143.96NA090
    55859APercut/needle insert, pros12.527.41NA0.7420.67NA090
    55860ASurgical exposure, prostate14.458.41NA0.8223.68NA090
    55862AExtensive prostate surgery18.399.45NA1.1428.98NA090
    55865AExtensive prostate surgery22.8711.07NA1.3735.31NA090
    55870AElectroejaculation2.581.151.840.143.874.56000
    55873ACryoablate prostate17.809.99NA1.0128.80NA090
    55899CGenital surgery procedure0.000.000.000.000.000.00YYY
    55970NSex transformation, M to F0.000.000.000.000.000.00XXX
    55980NSex transformation, F to M0.000.000.000.000.000.00XXX
    56405AI & D of vulva/perineum1.441.262.350.142.843.93010
    56420ADrainage of gland abscess1.391.192.330.132.713.85010
    56440ASurgery for vulva lesion2.842.323.580.285.446.70010
    56441ALysis of labial lesion(s)1.972.022.560.174.164.70010
    56501ADestruction, vulva lesion(s)1.531.352.310.153.033.99010
    56515ADestruction, vulva lesion(s)2.762.353.110.185.296.05010
    56605ABiopsy of vulva/perineum1.100.501.790.111.713.00000
    56606ABiopsy of vulva/perineum0.550.231.560.060.842.17ZZZ
    56620APartial removal of vulva7.475.00NA0.7613.23NA090
    56625AComplete removal of vulva8.405.92NA0.8415.16NA090
    56630AExtensive vulva surgery12.367.84NA1.2321.43NA090
    56631AExtensive vulva surgery16.2010.53NA1.6328.36NA090
    56632AExtensive vulva surgery20.2912.33NA2.0334.65NA090
    56633AExtensive vulva surgery16.479.51NA1.6627.64NA090
    56634AExtensive vulva surgery17.8811.26NA1.7830.92NA090
    56637AExtensive vulva surgery21.9713.02NA2.1837.17NA090
    56640AExtensive vulva surgery22.1712.70NA2.2637.13NA090
    56700APartial removal of hymen2.522.062.900.244.825.66010
    56720AIncision of hymen0.680.701.670.071.452.42000
    56740ARemove vagina gland lesion4.573.003.910.377.948.85010
    56800ARepair of vagina3.892.73NA0.376.99NA010
    56805ARepair clitoris18.869.64NA1.8230.32NA090
    56810ARepair of perineum4.132.83NA0.417.37NA010
    57000AExploration of vagina2.972.35NA0.285.60NA010
    57010ADrainage of pelvic abscess6.033.86NA0.5710.46NA090
    57020ADrainage of pelvic fluid1.500.651.610.152.303.26000
    57022AI &d vaginal hematoma, ob2.561.58NA0.144.28NA010
    57023AI &d vag hematoma, trauma2.561.58NA0.144.28NA010
    57061ADestruction vagina lesion(s)1.251.242.250.132.623.63010
    57065ADestruction vagina lesion(s)2.612.322.970.265.195.84010
    57100ABiopsy of vagina1.200.521.560.101.822.86000
    57105ABiopsy of vagina1.692.232.250.174.094.11010
    57106ARemove vagina wall, partial6.362.552.550.589.499.49090
    57107ARemove vagina tissue, part23.0010.63NA2.1735.80NA090
    57109AVaginectomy partial w/nodes27.0012.01NA1.9740.98NA090
    57110ARemove vagina wall, complete14.297.53NA1.4323.25NA090
    57111ARemove vagina tissue, compl27.0012.71NA2.7142.42NA090
    57112AVaginectomy w/nodes, compl29.0012.95NA2.1944.14NA090
    57120AClosure of vagina7.414.75NA0.7512.91NA090
    57130ARemove vagina lesion2.432.15NA0.234.81NA010
    57135ARemove vagina lesion2.672.252.950.265.185.88010
    Start Printed Page 40462
    57150ATreat vagina infection0.550.221.000.060.831.61000
    57160AInsert pessary/other device0.890.371.380.091.352.36000
    57170AFitting of diaphragm/cap0.910.351.420.091.352.42000
    57180ATreat vaginal bleeding1.581.472.280.163.214.02010
    57200ARepair of vagina3.943.03NA0.387.35NA090
    57210ARepair vagina/perineum5.173.54NA0.509.21NA090
    57220ARevision of urethra4.313.43NA0.428.16NA090
    57230ARepair of urethral lesion5.644.34NA0.5010.48NA090
    57240ARepair bladder & vagina6.074.46NA0.5311.06NA090
    57250ARepair rectum & vagina5.533.89NA0.549.96NA090
    57260ARepair of vagina8.275.06NA0.8314.16NA090
    57265AExtensive repair of vagina11.347.10NA1.1419.58NA090
    57268ARepair of bowel bulge6.764.40NA0.6611.82NA090
    57270ARepair of bowel pouch12.116.45NA1.1719.73NA090
    57280ASuspension of vagina15.047.62NA1.4424.10NA090
    57282ARepair of vaginal prolapse8.865.31NA0.8615.03NA090
    57284ARepair paravaginal defect12.707.28NA1.1721.15NA090
    57287ARevise/remove sling repair10.717.13NA0.6418.48NA090
    57288ARepair bladder defect13.026.95NA0.8620.83NA090
    57289ARepair bladder & vagina11.586.89NA0.9519.42NA090
    57291AConstruction of vagina7.956.21NA0.7814.94NA090
    57292AConstruct vagina with graft13.097.45NA1.2921.83NA090
    57300ARepair rectum-vagina fistula7.614.72NA0.7013.03NA090
    57305ARepair rectum-vagina fistula13.776.94NA1.3322.04NA090
    57307AFistula repair & colostomy15.937.63NA1.5925.15NA090
    57308AFistula repair, transperine9.945.85NA0.9116.70NA090
    57310ARepair urethrovaginal lesion6.784.69NA0.4511.92NA090
    57311ARepair urethrovaginal lesion7.985.30NA0.5113.79NA090
    57320ARepair bladder-vagina lesion8.015.38NA0.6013.99NA090
    57330ARepair bladder-vagina lesion12.356.72NA0.8619.93NA090
    57335ARepair vagina18.739.43NA1.6629.82NA090
    57400ADilation of vagina2.271.33NA0.223.82NA000
    57410APelvic examination1.751.092.640.142.984.53000
    57415ARemove vaginal foreign body2.172.063.480.194.425.84010
    57452AExamination of vagina0.990.461.600.101.552.69000
    57454AVagina examination & biopsy1.270.621.790.132.023.19000
    57460ACervix excision2.831.202.130.284.315.24000
    57500ABiopsy of cervix0.970.502.120.101.573.19000
    57505AEndocervical curettage1.141.271.950.122.533.21010
    57510ACauterization of cervix1.901.583.180.183.665.26010
    57511ACryocautery of cervix1.900.782.430.182.864.51010
    57513ALaser surgery of cervix1.901.572.600.193.664.69010
    57520AConization of cervix4.042.874.280.417.328.73090
    57522AConization of cervix3.362.583.810.346.287.51090
    57530ARemoval of cervix4.793.65NA0.488.92NA090
    57531ARemoval of cervix, radical28.0013.63NA2.4644.09NA090
    57540ARemoval of residual cervix12.226.32NA1.2119.75NA090
    57545ARemove cervix/repair pelvis13.036.90NA1.3021.23NA090
    57550ARemoval of residual cervix5.533.91NA0.559.99NA090
    57555ARemove cervix/repair vagina8.955.73NA0.8915.57NA090
    57556ARemove cervix, repair bowel8.375.05NA0.8014.22NA090
    57700ARevision of cervix3.552.53NA0.336.41NA090
    57720ARevision of cervix4.133.34NA0.417.88NA090
    57800ADilation of cervical canal0.770.361.180.081.212.03000
    57820AD & c of residual cervix1.672.242.530.174.084.37010
    58100ABiopsy of uterus lining0.710.292.060.071.072.84000
    58120ADilation and curettage3.272.463.860.336.067.46010
    58140ARemoval of uterus lesion14.607.26NA1.4623.32NA090
    58145ARemoval of uterus lesion8.044.99NA0.8013.83NA090
    58150ATotal hysterectomy15.247.77NA1.5324.54NA090
    58152ATotal hysterectomy20.6010.05NA1.5232.17NA090
    58180APartial hysterectomy15.297.72NA1.5424.55NA090
    58200AExtensive hysterectomy21.5911.52NA2.1535.26NA090
    58210AExtensive hysterectomy28.8514.52NA2.9146.28NA090
    58240ARemoval of pelvis contents38.3919.57NA3.7661.72NA090
    58260AVaginal hysterectomy12.986.54NA1.2320.75NA090
    58262AVaginal hysterectomy14.777.32NA1.4223.51NA090
    58263AVaginal hysterectomy16.067.85NA1.5525.46NA090
    58267AHysterectomy & vagina repair17.048.25NA1.5126.80NA090
    58270AHysterectomy & vagina repair14.267.09NA1.3722.72NA090
    58275AHysterectomy/revise vagina15.767.64NA1.5124.91NA090
    58280AHysterectomy/revise vagina17.018.11NA1.5426.66NA090
    58285AExtensive hysterectomy22.2611.76NA1.8835.90NA090
    58300NInsert intrauterine device+1.010.401.370.101.512.48XXX
    Start Printed Page 40463
    58301ARemove intrauterine device1.270.521.570.131.922.97000
    58321AArtificial insemination0.920.360.920.101.381.94000
    58322AArtificial insemination1.100.441.040.111.652.25000
    58323ASperm washing0.230.100.530.020.350.78000
    58340ACatheter for hysterography0.880.3411.960.081.3012.92000
    58345AReopen fallopian tube4.661.87NA0.366.89NA010
    58350AReopen fallopian tube1.011.112.060.102.223.17010
    58353AEndometr ablate, thermal3.562.26NA0.196.01NA010
    58400ASuspension of uterus6.364.09NA0.6211.07NA090
    58410ASuspension of uterus12.736.75NA1.0920.57NA090
    58520ARepair of ruptured uterus11.926.04NA1.1719.13NA090
    58540ARevision of uterus14.647.29NA1.2823.21NA090
    58550ALaparo-asst vag hysterectomy14.197.04NA1.4422.67NA010
    58551ALaparoscopy, remove myoma14.216.95NA1.4522.61NA010
    58555AHysteroscopy, dx, sep proc3.331.522.900.345.196.57000
    58558AHysteroscopy, biopsy4.752.143.500.497.388.74000
    58559AHysteroscopy, lysis6.172.542.540.629.339.33000
    58560AHysteroscopy, resect septum7.003.023.020.7110.7310.73000
    58561AHysteroscopy, remove myoma10.004.274.271.0215.2915.29000
    58562AHysteroscopy, remove fb5.212.30NA0.528.03NA000
    58563AHysteroscopy, ablation6.172.622.620.629.419.41000
    58578CLaparo proc, uterus0.000.000.000.000.000.00YYY
    58579CHysteroscope procedure0.000.000.000.000.000.00YYY
    58600ADivision of fallopian tube5.603.43NA0.399.42NA090
    58605ADivision of fallopian tube5.003.19NA0.338.52NA090
    58611ALigate oviduct(s) add-on1.450.61NA0.072.13NAZZZ
    58615AOcclude fallopian tube(s)3.902.62NA0.406.92NA010
    58660ALaparoscopy, lysis11.295.48NA1.1417.91NA090
    58661ALaparoscopy, remove adnexa11.055.42NA1.1217.59NA010
    58662ALaparoscopy, excise lesions11.795.68NA1.1818.65NA090
    58670ALaparoscopy, tubal cautery5.603.65NA0.559.80NA090
    58671ALaparoscopy, tubal block5.603.72NA0.569.88NA090
    58672ALaparoscopy, fimbrioplasty12.886.09NA1.2220.19NA090
    58673ALaparoscopy, salpingostomy13.747.12NA1.4022.26NA090
    58679CLaparo proc, oviduct-ovary0.000.000.000.000.000.00YYY
    58700ARemoval of fallopian tube12.056.05NA0.6418.74NA090
    58720ARemoval of ovary/tube(s)11.365.92NA1.1418.42NA090
    58740ARevise fallopian tube(s)14.007.22NA0.5921.81NA090
    58750ARepair oviduct14.847.52NA1.5223.88NA090
    58752ARevise ovarian tube(s)14.847.91NA1.5124.26NA090
    58760ARemove tubal obstruction13.136.58NA1.3421.05NA090
    58770ACreate new tubal opening13.977.24NA1.4222.63NA090
    58800ADrainage of ovarian cyst(s)4.144.404.550.368.909.05090
    58805ADrainage of ovarian cyst(s)5.883.53NA0.569.97NA090
    58820ADrain ovary abscess, open4.223.30NA0.297.81NA090
    58822ADrain ovary abscess, percut10.135.16NA0.9216.21NA090
    58823ADrain pelvic abscess, percut3.383.18NA0.186.74NA000
    58825ATransposition, ovary(s)10.985.96NA0.6217.56NA090
    58900ABiopsy of ovary(s)5.993.62NA0.5610.17NA090
    58920APartial removal of ovary(s)11.365.62NA0.6817.66NA090
    58925ARemoval of ovarian cyst(s)11.365.70NA1.1418.20NA090
    58940ARemoval of ovary(s)7.294.06NA0.7312.08NA090
    58943ARemoval of ovary(s)18.439.79NA1.8630.08NA090
    58950AResect ovarian malignancy16.939.26NA1.5527.74NA090
    58951AResect ovarian malignancy22.3811.66NA2.2036.24NA090
    58952AResect ovarian malignancy25.0112.80NA2.5040.31NA090
    58960AExploration of abdomen14.658.39NA1.4724.51NA090
    58970ARetrieval of oocyte3.531.818.660.365.7012.55000
    58974CTransfer of embryo0.000.000.000.000.000.00000
    58976ATransfer of embryo3.831.512.250.395.736.47000
    58999CGenital surgery procedure0.000.000.000.000.000.00YYY
    59000AAmniocentesis1.300.641.950.232.173.48000
    59012AFetal cord puncture,prenatal3.451.70NA0.625.77NA000
    59015AChorion biopsy2.200.951.390.403.553.99000
    59020AFetal contract stress test0.66NA0.790.20NA1.65000
    5902026AFetal contract stress test0.660.280.280.121.061.06000
    59020TCAFetal contract stress test0.00NA0.510.08NA0.59000
    59025AFetal non-stress test0.53NA0.450.12NA1.10000
    5902526AFetal non-stress test0.530.220.220.100.850.85000
    59025TCAFetal non-stress test0.00NA0.230.02NA0.25000
    59030AFetal scalp blood sample1.990.97NA0.363.32NA000
    59050AFetal monitor w/report0.890.36NA0.161.41NAXXX
    59051AFetal monitor/interpret only0.740.29NA0.141.17NAXXX
    59100ARemove uterus lesion12.356.34NA2.2120.90NA090
    Start Printed Page 40464
    59120ATreat ectopic pregnancy11.496.28NA2.0619.83NA090
    59121ATreat ectopic pregnancy11.676.31NA2.0920.07NA090
    59130ATreat ectopic pregnancy14.227.04NA2.5423.80NA090
    59135ATreat ectopic pregnancy13.886.90NA2.4923.27NA090
    59136ATreat ectopic pregnancy13.186.99NA2.3622.53NA090
    59140ATreat ectopic pregnancy5.463.28NA0.989.72NA090
    59150ATreat ectopic pregnancy11.676.57NA1.2319.47NA090
    59151ATreat ectopic pregnancy11.496.03NA1.4118.93NA090
    59160AD & c after delivery2.712.263.600.495.466.80010
    59200AInsert cervical dilator0.790.331.350.151.272.29000
    59300AEpisiotomy or vaginal repair2.411.012.100.433.854.94000
    59320ARevision of cervix2.481.46NA0.454.39NA000
    59325ARevision of cervix4.072.11NA0.736.91NA000
    59350ARepair of uterus4.952.03NA0.887.86NA000
    59400AObstetrical care23.0615.19NA4.1442.39NAMMM
    59409AObstetrical care13.505.58NA2.4221.50NAMMM
    59410AObstetrical care14.786.67NA2.6524.10NAMMM
    59412AAntepartum manipulation1.710.731.340.312.753.36MMM
    59414ADeliver placenta1.611.31NA0.293.21NAMMM
    59425AAntepartum care only4.815.185.230.8610.8510.90MMM
    59426AAntepartum care only8.288.958.951.4918.7218.72MMM
    59430ACare after delivery2.131.261.270.383.773.78MMM
    59510ACesarean delivery26.2217.34NA4.7048.26NAMMM
    59514ACesarean delivery only15.976.53NA2.8625.36NAMMM
    59515ACesarean delivery17.378.42NA3.1228.91NAMMM
    59525ARemove uterus after cesarean8.543.51NA1.5313.58NAZZZ
    59610AVbac delivery24.6215.74NA4.4144.77NAMMM
    59612AVbac delivery only15.066.38NA2.7024.14NAMMM
    59614AVbac care after delivery16.347.64NA2.9326.91NAMMM
    59618AAttempted vbac delivery27.7818.17NA4.9850.93NAMMM
    59620AAttempted vbac delivery only17.536.91NA3.1527.59NAMMM
    59622AAttempted vbac after care18.938.88NA3.3931.20NAMMM
    59812ATreatment of miscarriage4.012.503.680.587.098.27090
    59820ACare of miscarriage4.012.753.700.727.488.43090
    59821ATreatment of miscarriage4.472.963.860.808.239.13090
    59830ATreat uterus infection6.113.88NA1.1011.09NA090
    59840RAbortion3.012.273.960.545.827.51010
    59841RAbortion5.243.635.700.949.8111.88010
    59850RAbortion5.912.85NA1.069.82NA090
    59851RAbortion5.933.20NA1.0610.19NA090
    59852RAbortion8.244.45NA1.4814.17NA090
    59855RAbortion6.123.35NA1.1010.57NA090
    59856RAbortion7.483.68NA1.3412.50NA090
    59857RAbortion9.294.40NA1.6615.35NA090
    59866RAbortion (mpr)4.001.58NA0.726.30NA000
    59870AEvacuate mole of uterus6.013.90NA0.7710.68NA090
    59871ARemove cerclage suture2.130.921.990.383.434.50000
    59898CLaparo proc, ob care/deliver0.000.000.000.000.000.00YYY
    59899CMaternity care procedure0.000.000.000.000.000.00YYY
    60000ADrain thyroid/tongue cyst1.762.262.380.144.164.28010
    60001AAspirate/inject thyriod cyst0.970.361.580.061.392.61000
    60100ABiopsy of thyroid1.560.562.630.052.174.24000
    60200ARemove thyroid lesion9.556.63NA0.8417.02NA090
    60210APartial thyroid excision10.886.54NA1.0118.43NA090
    60212AParital thyroid excision16.038.59NA1.5126.13NA090
    60220APartial removal of thyroid11.907.05NA0.9719.92NA090
    60225APartial removal of thyroid14.197.96NA1.3123.46NA090
    60240ARemoval of thyroid16.069.11NA1.5026.67NA090
    60252ARemoval of thyroid20.5711.58NA1.6333.78NA090
    60254AExtensive thyroid surgery26.9915.89NA1.9644.84NA090
    60260ARepeat thyroid surgery17.4710.39NA1.3929.25NA090
    60270ARemoval of thyroid20.2711.95NA1.7834.00NA090
    60271ARemoval of thyroid16.839.80NA1.3527.98NA090
    60280ARemove thyroid duct lesion5.875.19NA0.4511.51NA090
    60281ARemove thyroid duct lesion8.536.43NA0.6715.63NA090
    60500AExplore parathyroid glands16.237.84NA1.6125.68NA090
    60502ARe-explore parathyroids20.359.63NA2.0031.98NA090
    60505AExplore parathyroid glands21.4911.03NA2.1434.66NA090
    60512AAutotransplant parathyroid4.451.70NA0.446.59NAZZZ
    60520ARemoval of thymus gland16.819.87NA1.8428.52NA090
    60521ARemoval of thymus gland18.8711.73NA2.3432.94NA090
    60522ARemoval of thymus gland23.0913.10NA2.8339.02NA090
    60540AExplore adrenal gland17.037.85NA1.4226.30NA090
    60545AExplore adrenal gland19.889.55NA1.7531.18NA090
    Start Printed Page 40465
    60600ARemove carotid body lesion17.9313.45NA1.8733.25NA090
    60605ARemove carotid body lesion20.2418.32NA2.2840.84NA090
    60650ALaparoscopy adrenalectomy20.008.26NA1.9830.24NA090
    60659CLaparo proc, endocrine0.000.000.000.000.000.00YYY
    60699CEndocrine surgery procedure0.000.000.000.000.000.00YYY
    61000ARemove cranial cavity fluid1.581.561.720.133.273.43000
    61001ARemove cranial cavity fluid1.491.371.860.153.013.50000
    61020ARemove brain cavity fluid1.511.462.260.263.234.03000
    61026AInjection into brain canal1.691.682.190.213.584.09000
    61050ARemove brain canal fluid1.511.59NA0.133.23NA000
    61055AInjection into brain canal2.101.76NA0.133.99NA000
    61070ABrain canal shunt procedure0.891.176.750.092.157.73000
    61105ATwist drill hole5.143.63NA1.059.82NA090
    61107ADrill skull for implantation5.003.13NA1.029.15NA000
    61108ADrill skull for drainage10.196.95NA2.0419.18NA090
    61120ABurr hole for puncture8.765.81NA1.8116.38NA090
    61140APierce skull for biopsy15.909.91NA3.1528.96NA090
    61150APierce skull for drainage17.5710.63NA3.5231.72NA090
    61151APierce skull for drainage12.428.26NA2.4523.13NA090
    61154APierce skull & remove clot14.999.48NA3.0527.52NA090
    61156APierce skull for drainage16.3210.33NA3.4230.07NA090
    61210APierce skull, implant device5.843.52NA1.1610.52NA000
    61215AInsert brain-fluid device4.894.17NA0.9910.05NA090
    61250APierce skull & explore10.426.70NA2.0219.14NA090
    61253APierce skull & explore12.367.36NA2.2621.98NA090
    61304AOpen skull for exploration21.9612.68NA4.3338.97NA090
    61305AOpen skull for exploration26.6115.06NA5.2546.92NA090
    61312AOpen skull for drainage24.5714.43NA4.9943.99NA090
    61313AOpen skull for drainage24.9314.66NA5.0744.66NA090
    61314AOpen skull for drainage24.2312.45NA4.0040.68NA090
    61315AOpen skull for drainage27.6816.13NA5.6249.43NA090
    61320AOpen skull for drainage25.6215.03NA5.2045.85NA090
    61321AOpen skull for drainage28.5016.15NA5.3550.00NA090
    61330ADecompress eye socket23.3217.12NA2.5843.02NA090
    61332AExplore/biopsy eye socket27.2819.52NA4.1550.95NA090
    61333AExplore orbit/remove lesion27.9516.03NA2.2446.22NA090
    61334AExplore orbit/remove object18.2711.86NA3.0233.15NA090
    61340ARelieve cranial pressure18.6611.56NA3.6633.88NA090
    61343AIncise skull (press relief)29.7717.82NA6.0453.63NA090
    61345ARelieve cranial pressure27.2016.42NA5.2348.85NA090
    61440AIncise skull for surgery26.6316.16NA5.5748.36NA090
    61450AIncise skull for surgery25.9514.71NA5.1145.77NA090
    61458AIncise skull for brain wound27.2915.81NA5.2848.38NA090
    61460AIncise skull for surgery28.3916.82NA5.1350.34NA090
    61470AIncise skull for surgery26.0614.19NA4.6544.90NA090
    61480AIncise skull for surgery26.4914.00NA5.5446.03NA090
    61490AIncise skull for surgery25.6615.05NA5.3746.08NA090
    61500ARemoval of skull lesion17.9210.99NA3.2632.17NA090
    61501ARemove infected skull bone14.849.17NA2.6326.64NA090
    61510ARemoval of brain lesion28.4516.46NA5.7750.68NA090
    61512ARemove brain lining lesion35.0920.04NA7.1462.27NA090
    61514ARemoval of brain abscess25.2614.64NA5.1245.02NA090
    61516ARemoval of brain lesion24.6114.81NA4.9444.36NA090
    61518ARemoval of brain lesion37.3222.11NA7.5366.96NA090
    61519ARemove brain lining lesion41.3924.02NA8.1573.56NA090
    61520ARemoval of brain lesion54.8431.79NA10.1096.73NA090
    61521ARemoval of brain lesion44.4826.00NA8.8579.33NA090
    61522ARemoval of brain abscess29.4517.12NA5.3051.87NA090
    61524ARemoval of brain lesion27.8616.60NA5.0149.47NA090
    61526ARemoval of brain lesion52.1730.36NA6.7289.25NA090
    61530ARemoval of brain lesion43.8627.22NA6.1777.25NA090
    61531AImplant brain electrodes14.639.23NA2.8426.70NA090
    61533AImplant brain electrodes19.7112.05NA3.8035.56NA090
    61534ARemoval of brain lesion20.9712.99NA4.1538.11NA090
    61535ARemove brain electrodes11.637.73NA2.2921.65NA090
    61536ARemoval of brain lesion35.5220.53NA6.6862.73NA090
    61538ARemoval of brain tissue26.8116.08NA5.3848.27NA090
    61539ARemoval of brain tissue32.0819.01NA6.6257.71NA090
    61541AIncision of brain tissue28.8516.37NA5.5050.72NA090
    61542ARemoval of brain tissue31.0218.89NA6.4956.40NA090
    61543ARemoval of brain tissue29.2217.92NA6.1153.25NA090
    61544ARemove & treat brain lesion25.5012.06NA4.9142.47NA090
    61545AExcision of brain tumor43.8024.74NA8.8877.42NA090
    61546ARemoval of pituitary gland31.3018.26NA6.0655.62NA090
    Start Printed Page 40466
    61548ARemoval of pituitary gland21.5313.57NA3.6338.73NA090
    61550ARelease of skull seams14.657.59NA1.1423.38NA090
    61552ARelease of skull seams19.5610.42NA0.8830.86NA090
    61556AIncise skull/sutures22.2612.47NA3.5738.30NA090
    61557AIncise skull/sutures22.3812.86NA4.6839.92NA090
    61558AExcision of skull/sutures25.5813.34NA2.6141.53NA090
    61559AExcision of skull/sutures32.7919.09NA6.8658.74NA090
    61563AExcision of skull tumor26.8316.05NA4.4647.34NA090
    61564AExcision of skull tumor33.8319.37NA7.0860.28NA090
    61570ARemove foreign body, brain24.6013.42NA4.6042.62NA090
    61571AIncise skull for brain wound26.3915.08NA5.2346.70NA090
    61575ASkull base/brainstem surgery34.3621.06NA5.0260.44NA090
    61576ASkull base/brainstem surgery52.4329.82NA4.6886.93NA090
    61580ACraniofacial approach, skull30.3519.50NA2.7552.60NA090
    61581ACraniofacial approach, skull34.6021.70NA3.3759.67NA090
    61582ACraniofacial approach, skull31.6619.38NA6.3057.34NA090
    61583ACraniofacial approach, skull36.2122.33NA6.9465.48NA090
    61584AOrbitocranial approach/skull34.6520.92NA6.5362.10NA090
    61585AOrbitocranial approach/skull38.6122.75NA6.1967.55NA090
    61586AResect nasopharynx, skull25.1016.18NA3.5244.80NA090
    61590AInfratemporal approach/skull41.7825.75NA4.2871.81NA090
    61591AInfratemporal approach/skull43.6826.81NA5.2675.75NA090
    61592AOrbitocranial approach/skull39.6423.45NA7.5570.64NA090
    61595ATranstemporal approach/skull29.5719.37NA3.0551.99NA090
    61596ATranscochlear approach/skull35.6322.22NA4.2562.10NA090
    61597ATranscondylar approach/skull37.9621.94NA6.6566.55NA090
    61598ATranspetrosal approach/skull33.4120.82NA4.6058.83NA090
    61600AResect/excise cranial lesion25.8516.64NA3.1245.61NA090
    61601AResect/excise cranial lesion27.8917.15NA5.2950.33NA090
    61605AResect/excise cranial lesion29.3318.58NA2.5150.42NA090
    61606AResect/excise cranial lesion38.8323.30NA6.8168.94NA090
    61607AResect/excise cranial lesion36.2721.90NA5.6963.86NA090
    61608AResect/excise cranial lesion42.1024.57NA8.3174.98NA090
    61609ATransect artery, sinus9.894.61NA2.0716.57NAZZZ
    61610ATransect artery, sinus29.6712.80NA3.5245.99NAZZZ
    61611ATransect artery, sinus7.422.93NA1.5511.90NAZZZ
    61612ATransect artery, sinus27.8814.33NA3.5545.76NAZZZ
    61613ARemove aneurysm, sinus40.8624.08NA8.3273.26NA090
    61615AResect/excise lesion, skull32.0720.45NA4.6457.16NA090
    61616AResect/excise lesion, skull43.3327.05NA7.0277.40NA090
    61618ARepair dura16.9911.22NA2.9231.13NA090
    61619ARepair dura20.7113.26NA3.4237.39NA090
    61624AOcclusion/embolization cath20.157.28NA1.1528.58NA000
    61626AOcclusion/embolization cath16.625.88NA0.8423.34NA000
    61680AIntracranial vessel surgery30.7118.55NA6.0455.30NA090
    61682AIntracranial vessel surgery61.5734.03NA12.69108.29NA090
    61684AIntracranial vessel surgery39.8122.06NA7.8769.74NA090
    61686AIntracranial vessel surgery64.4936.32NA13.20114.01NA090
    61690AIntracranial vessel surgery29.3117.73NA5.5152.55NA090
    61692AIntracranial vessel surgery51.8729.41NA10.1791.45NA090
    61697ABrain aneurysm repr, complx50.5228.07NA9.5788.16NA090
    61698ABrain aneurysm repr, complx48.4127.18NA9.2884.87NA090
    61700ABrain aneurysm repr , simple50.5228.07NA10.1888.77NA090
    61702AInner skull vessel surgery48.4127.18NA9.7585.34NA090
    61703AClamp neck artery17.4711.04NA3.6232.13NA090
    61705ARevise circulation to head36.2020.39NA6.6763.26NA090
    61708ARevise circulation to head35.3016.07NA2.1853.55NA090
    61710ARevise circulation to head29.6714.41NA2.4246.50NA090
    61711AFusion of skull arteries36.3320.11NA7.3963.83NA090
    61720AIncise skull/brain surgery16.7710.75NA3.5131.03NA090
    61735AIncise skull/brain surgery20.4312.67NA4.1637.26NA090
    61750AIncise skull/brain biopsy18.2011.09NA3.7133.00NA090
    61751ABrain biopsy w/ ct/mr guide17.6210.82NA3.5732.01NA090
    61760AImplant brain electrodes22.2713.25NA4.5940.11NA090
    61770AIncise skull for treatment21.4412.86NA4.0938.39NA090
    61790ATreat trigeminal nerve10.866.17NA1.8218.85NA090
    61791ATreat trigeminal tract14.619.33NA3.0326.97NA090
    61793AFocus radiation beam17.2410.92NA3.5131.67NA090
    61795ABrain surgery using computer4.042.12NA0.816.97NAZZZ
    61850AImplant neuroelectrodes12.398.00NA2.2322.62NA090
    61860AImplant neuroelectrodes20.8712.80NA4.0437.71NA090
    61862AImplant neurostimul, subcort19.3412.05NA3.9735.36NA090
    61870AImplant neuroelectrodes14.9411.37NA1.7028.01NA090
    61875AImplant neuroelectrodes15.069.86NA2.4227.34NA090
    Start Printed Page 40467
    61880ARevise/remove neuroelectrode6.295.20NA1.3112.80NA090
    61885AImplant neurostim one array5.854.26NA1.2211.33NA090
    61886AImplant neurostim arrays8.006.07NA1.6415.71NA090
    61888ARevise/remove neuroreceiver5.073.86NA1.049.97NA010
    62000ATreat skull fracture12.535.48NA0.8718.88NA090
    62005ATreat skull fracture16.179.04NA2.3327.54NA090
    62010ATreatment of head injury19.8111.71NA4.0535.57NA090
    62100ARepair brain fluid leakage22.0313.99NA4.0740.09NA090
    62115AReduction of skull defect21.6610.54NA4.5336.73NA090
    62116AReduction of skull defect23.5913.81NA4.8542.25NA090
    62117AReduction of skull defect26.6015.24NA5.5647.40NA090
    62120ARepair skull cavity lesion23.3514.11NA3.0740.53NA090
    62121AIncise skull repair21.5813.89NA2.4737.94NA090
    62140ARepair of skull defect13.518.60NA2.6024.71NA090
    62141ARepair of skull defect14.919.74NA2.8527.50NA090
    62142ARemove skull plate/flap10.797.22NA2.1020.11NA090
    62143AReplace skull plate/flap13.058.70NA2.5524.30NA090
    62145ARepair of skull & brain18.8211.37NA3.8134.00NA090
    62146ARepair of skull with graft16.1210.46NA2.9429.52NA090
    62147ARepair of skull with graft19.3412.26NA3.6435.24NA090
    62180AEstablish brain cavity shunt21.0612.91NA4.3238.29NA090
    62190AEstablish brain cavity shunt11.077.68NA2.1820.93NA090
    62192AEstablish brain cavity shunt12.258.21NA2.4622.92NA090
    62194AReplace/irrigate catheter5.032.11NA0.507.64NA010
    62200AEstablish brain cavity shunt18.3211.46NA3.7033.48NA090
    62201AEstablish brain cavity shunt14.869.19NA2.5226.57NA090
    62220AEstablish brain cavity shunt13.008.63NA2.5324.16NA090
    62223AEstablish brain cavity shunt12.878.45NA2.5823.90NA090
    62225AReplace/irrigate catheter5.414.05NA1.0910.55NA090
    62230AReplace/revise brain shunt10.546.61NA2.1019.25NA090
    62252ACsf shunt reprogram0.74NA1.380.04NA2.16XXX
    6225226ACsf shunt reprogram0.740.290.290.021.051.05XXX
    62252TCACsf shunt reprogram0.00NA1.090.02NA1.11XXX
    62256ARemove brain cavity shunt6.605.30NA1.3413.24NA090
    62258AReplace brain cavity shunt14.548.70NA2.9126.15NA090
    62263ALysis epidural adhesions6.142.275.650.428.8312.21010
    62268ADrain spinal cord cyst4.742.74NA0.297.77NA000
    62269ANeedle biopsy, spinal cord5.022.35NA0.297.66NA000
    62270ASpinal fluid tap, diagnostic1.130.483.780.061.674.97000
    62272ADrain spinal fluid1.350.623.260.132.104.74000
    62273ATreat epidural spine lesion2.151.271.310.143.563.60000
    62280ATreat spinal cord lesion2.630.703.380.173.506.18010
    62281ATreat spinal cord lesion2.660.613.810.163.436.63010
    62282ATreat spinal canal lesion2.330.615.230.143.087.70010
    62284AInjection for myelogram1.540.714.390.102.356.03000
    62287APercutaneous diskectomy8.084.74NA0.6613.48NA090
    62290AInject for spine disk x-ray3.001.275.680.204.478.88000
    62291AInject for spine disk x-ray2.911.165.740.174.248.82000
    62292AInjection into disk lesion7.864.76NA0.6513.27NA090
    62294AInjection into spinal artery11.836.17NA0.8518.85NA090
    62310AInject spine c/t1.940.423.610.112.475.66000
    62311AInject spine l/s (cd)1.570.363.870.092.025.53000
    62318AInject spine w/cath, c/t2.080.463.700.122.665.90000
    62319AInject spine w/cath l/s (cd)1.900.393.180.112.405.19000
    62350AImplant spinal canal cath6.873.70NA0.6411.21NA090
    62351AImplant spinal canal cath10.006.77NA1.7918.56NA090
    62355ARemove spinal canal catheter5.452.80NA0.478.72NA090
    62360AInsert spine infusion device2.622.22NA0.215.05NA090
    62361AImplant spine infusion pump5.423.54NA0.509.46NA090
    62362AImplant spine infusion pump7.044.08NA0.8611.98NA090
    62365ARemove spine infusion device5.423.06NA0.589.06NA090
    62367CAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    6236726AAnalyze spine infusion pump0.480.140.140.030.650.65XXX
    62367TCCAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    62368CAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    6236826AAnalyze spine infusion pump0.750.200.200.051.001.00XXX
    62368TCCAnalyze spine infusion pump0.000.000.000.000.000.00XXX
    63001ARemoval of spinal lamina15.8211.55NA3.0330.40NA090
    63003ARemoval of spinal lamina15.9511.68NA2.9830.61NA090
    63005ARemoval of spinal lamina14.9211.16NA2.6228.70NA090
    63011ARemoval of spinal lamina14.529.38NA1.4325.33NA090
    63012ARemoval of spinal lamina15.4010.10NA2.7128.21NA090
    63015ARemoval of spinal lamina19.3513.43NA3.8436.62NA090
    63016ARemoval of spinal lamina19.2013.38NA3.6236.20NA090
    Start Printed Page 40468
    63017ARemoval of spinal lamina15.9411.68NA2.9130.53NA090
    63020ANeck spine disk surgery14.8111.10NA2.8928.80NA090
    63030ALow back disk surgery12.009.64NA2.2123.85NA090
    63035ASpinal disk surgery add-on3.151.66NA0.575.38NAZZZ
    63040ALaminotomy, single cervical18.8113.04NA3.3635.21NA090
    63042ALaminotomy, single lumbar17.4712.65NA3.1133.23NA090
    63043CLaminotomy, addl cervical0.000.000.000.000.000.00ZZZ
    63044CLaminotomy, addl lumbar0.000.000.000.000.000.00ZZZ
    63045ARemoval of spinal lamina16.5011.99NA3.1931.68NA090
    63046ARemoval of spinal lamina15.8011.64NA2.8930.33NA090
    63047ARemoval of spinal lamina14.6111.09NA2.6128.31NA090
    63048ARemove spinal lamina add-on3.261.75NA0.585.59NAZZZ
    63055ADecompress spinal cord21.9914.82NA4.0940.90NA090
    63056ADecompress spinal cord20.3614.12NA3.3437.82NA090
    63057ADecompress spine cord add-on5.262.69NA0.818.76NAZZZ
    63064ADecompress spinal cord24.6116.74NA4.7246.07NA090
    63066ADecompress spine cord add-on3.261.76NA0.635.65NAZZZ
    63075ANeck spine disk surgery19.4113.57NA3.7336.71NA090
    63076ANeck spine disk surgery4.052.16NA0.786.99NAZZZ
    63077ASpine disk surgery, thorax21.4414.91NA3.4439.79NA090
    63078ASpine disk surgery, thorax3.281.70NA0.505.48NAZZZ
    63081ARemoval of vertebral body23.7316.42NA4.4644.61NA090
    63082ARemove vertebral body add-on4.372.34NA0.827.53NAZZZ
    63085ARemoval of vertebral body26.9217.85NA4.7049.47NA090
    63086ARemove vertebral body add-on3.191.66NA0.555.40NAZZZ
    63087ARemoval of vertebral body35.5721.93NA5.8763.37NA090
    63088ARemove vertebral body add-on4.332.28NA0.777.38NAZZZ
    63090ARemoval of vertebral body28.1617.88NA4.2750.31NA090
    63091ARemove vertebral body add-on3.031.52NA0.455.00NAZZZ
    63170AIncise spinal cord tract(s)19.8313.68NA3.8937.40NA090
    63172ADrainage of spinal cyst17.6613.11NA3.4634.23NA090
    63173ADrainage of spinal cyst21.9914.91NA4.1441.04NA090
    63180ARevise spinal cord ligaments18.2712.45NA3.8334.55NA090
    63182ARevise spinal cord ligaments20.5012.80NA3.4836.78NA090
    63185AIncise spinal column/nerves15.049.84NA2.0826.96NA090
    63190AIncise spinal column/nerves17.4512.01NA2.8832.34NA090
    63191AIncise spinal column/nerves17.5412.40NA3.5033.44NA090
    63194AIncise spinal column & cord19.1913.15NA4.0136.35NA090
    63195AIncise spinal column & cord18.8412.11NA3.4434.39NA090
    63196AIncise spinal column & cord22.3012.35NA4.6639.31NA090
    63197AIncise spinal column & cord21.1113.76NA4.4239.29NA090
    63198AIncise spinal column & cord25.3813.57NA5.3144.26NA090
    63199AIncise spinal column & cord26.8914.17NA5.6246.68NA090
    63200ARelease of spinal cord19.1813.16NA3.6135.95NA090
    63250ARevise spinal cord vessels40.7620.99NA7.6569.40NA090
    63251ARevise spinal cord vessels41.2023.28NA7.9872.46NA090
    63252ARevise spinal cord vessels41.1922.61NA7.7571.55NA090
    63265AExcise intraspinal lesion21.5613.21NA4.2939.06NA090
    63266AExcise intraspinal lesion22.3013.55NA4.4740.32NA090
    63267AExcise intraspinal lesion17.9511.36NA3.5032.81NA090
    63268AExcise intraspinal lesion18.5210.91NA3.1832.61NA090
    63270AExcise intraspinal lesion26.8016.01NA5.4148.22NA090
    63271AExcise intraspinal lesion26.9216.14NA5.5648.62NA090
    63272AExcise intraspinal lesion25.3215.26NA5.0745.65NA090
    63273AExcise intraspinal lesion24.2914.68NA5.0844.05NA090
    63275ABiopsy/excise spinal tumor23.6814.18NA4.6842.54NA090
    63276ABiopsy/excise spinal tumor23.4514.11NA4.6342.19NA090
    63277ABiopsy/excise spinal tumor20.8312.87NA4.0337.73NA090
    63278ABiopsy/excise spinal tumor20.5612.49NA4.0237.07NA090
    63280ABiopsy/excise spinal tumor28.3516.74NA5.8050.89NA090
    63281ABiopsy/excise spinal tumor28.0516.50NA5.6750.22NA090
    63282ABiopsy/excise spinal tumor26.3915.69NA5.3347.41NA090
    63283ABiopsy/excise spinal tumor25.0014.89NA5.1245.01NA090
    63285ABiopsy/excise spinal tumor36.0020.43NA7.3163.74NA090
    63286ABiopsy/excise spinal tumor35.6320.55NA7.0763.25NA090
    63287ABiopsy/excise spinal tumor36.7020.93NA7.4865.11NA090
    63290ABiopsy/excise spinal tumor37.3821.51NA7.6566.54NA090
    63300ARemoval of vertebral body24.4314.89NA4.7844.10NA090
    63301ARemoval of vertebral body27.6015.85NA5.0348.48NA090
    63302ARemoval of vertebral body27.8115.89NA5.2548.95NA090
    63303ARemoval of vertebral body30.5017.46NA5.2153.17NA090
    63304ARemoval of vertebral body30.3316.32NA4.7251.37NA090
    63305ARemoval of vertebral body32.0318.86NA5.3956.28NA090
    63306ARemoval of vertebral body32.2217.06NA2.3951.67NA090
    Start Printed Page 40469
    63307ARemoval of vertebral body31.6318.18NA4.2354.04NA090
    63308ARemove vertebral body add-on5.252.77NA1.019.03NAZZZ
    63600ARemove spinal cord lesion14.025.95NA1.2221.19NA090
    63610AStimulation of spinal cord8.735.07NA0.4314.23NA000
    63615ARemove lesion of spinal cord16.2810.42NA2.8529.55NA090
    63650AImplant neuroelectrodes6.743.03NA0.4810.25NA090
    63655AImplant neuroelectrodes10.297.11NA1.8519.25NA090
    63660ARevise/remove neuroelectrode6.163.66NA0.6510.47NA090
    63685AImplant neuroreceiver7.044.40NA0.9612.40NA090
    63688ARevise/remove neuroreceiver5.393.68NA0.709.77NA090
    63700ARepair of spinal herniation16.5310.39NA2.6929.61NA090
    63702ARepair of spinal herniation18.4810.70NA1.3630.54NA090
    63704ARepair of spinal herniation21.1812.18NA3.8437.20NA090
    63706ARepair of spinal herniation24.1114.00NA4.7342.84NA090
    63707ARepair spinal fluid leakage11.267.85NA1.9621.07NA090
    63709ARepair spinal fluid leakage14.329.62NA2.4926.43NA090
    63710AGraft repair of spine defect14.079.36NA2.6126.04NA090
    63740AInstall spinal shunt11.367.56NA2.1521.07NA090
    63741AInstall spinal shunt8.254.72NA1.0514.02NA090
    63744ARevision of spinal shunt8.105.49NA1.5115.10NA090
    63746ARemoval of spinal shunt6.434.53NA1.1512.11NA090
    64400AInjection for nerve block1.110.272.550.061.443.72000
    64402AInjection for nerve block1.250.444.030.071.765.35000
    64405AInjection for nerve block1.320.312.530.081.713.93000
    64408AInjection for nerve block1.410.702.770.092.204.27000
    64410AInjection for nerve block1.430.302.450.081.813.96000
    64412AInjection for nerve block1.180.272.560.081.533.82000
    64413AInjection for nerve block1.400.362.790.091.854.28000
    64415AInjection for nerve block1.480.312.620.081.874.18000
    64417AInjection for nerve block1.440.332.570.091.864.10000
    64418AInjection for nerve block1.320.292.340.071.683.73000
    64420AInjection for nerve block1.180.272.330.071.523.58000
    64421AInjection for nerve block1.680.382.740.102.164.52000
    64425AInjection for nerve block1.750.402.300.112.264.16000
    64430AInjection for nerve block1.460.432.600.112.004.17000
    64435AInjection for nerve block1.450.572.880.152.174.48000
    64445AInjection for nerve block1.480.343.250.081.904.81000
    64450AInjection for nerve block1.270.331.600.081.682.95000
    64470AInj paravertebral c/t1.850.503.840.122.475.81000
    64472AInj paravertebral c/t add-on1.290.353.500.091.734.88ZZZ
    64475AInj paravertebral l/s1.410.383.670.091.885.17000
    64476AInj paravertebral l/s add-on0.980.264.030.061.305.07ZZZ
    64479AInj foramen epidural c/t2.200.623.970.142.966.31000
    64480AInj foramen epidural add-on1.540.424.110.092.055.74ZZZ
    64483AInj foramen epidural l/s1.900.533.850.122.555.87000
    64484AInj foramen epidural add-on1.330.364.020.081.775.43ZZZ
    64505AInjection for nerve block1.360.352.230.081.793.67000
    64508AInjection for nerve block1.120.372.820.061.554.00000
    64510AInjection for nerve block1.220.262.540.071.553.83000
    64520AInjection for nerve block1.350.293.480.081.724.91000
    64530AInjection for nerve block1.580.363.140.092.034.81000
    64550AApply neurostimulator0.180.050.510.010.240.70000
    64553AImplant neuroelectrodes2.311.294.860.173.777.34010
    64555AImplant neuroelectrodes2.270.712.410.113.094.79010
    64560AImplant neuroelectrodes2.360.872.440.173.404.97010
    64565AImplant neuroelectrodes1.760.623.160.082.465.00010
    64573AImplant neuroelectrodes7.505.42NA1.4814.40NA090
    64575AImplant neuroelectrodes4.353.19NA0.377.91NA090
    64577AImplant neuroelectrodes4.623.58NA0.508.70NA090
    64580AImplant neuroelectrodes4.124.22NA0.218.55NA090
    64585ARevise/remove neuroelectrode2.062.172.750.294.525.10010
    64590AImplant neuroreceiver2.402.36NA0.405.16NA010
    64595ARevise/remove neuroreceiver1.732.07NA0.224.02NA010
    64600AInjection treatment of nerve3.452.073.110.285.806.84010
    64605AInjection treatment of nerve5.612.804.140.538.9410.28010
    64610AInjection treatment of nerve7.163.79NA1.1212.07NA010
    64612ADestroy nerve, face muscle1.961.602.840.093.654.89010
    64613ADestroy nerve, spine muscle1.961.461.770.103.523.83010
    64614ADestroy nerve, extrem musc2.200.803.560.163.165.92010
    64620AInjection treatment of nerve2.840.682.940.173.695.95010
    64622ADestr paravertebrl nerve l/s3.000.734.380.173.907.55010
    64623ADestr paravertebral n add-on0.990.243.460.061.294.51ZZZ
    64626ADestr paravertebrl nerve c/t3.280.883.840.224.387.34010
    64627ADestr paravertebral n add-on1.160.313.190.081.554.43ZZZ
    Start Printed Page 40470
    64630AInjection treatment of nerve3.000.793.610.163.956.77010
    64640AInjection treatment of nerve2.761.015.490.113.888.36010
    64680AInjection treatment of nerve2.620.652.820.153.425.59010
    64702ARevise finger/toe nerve4.233.78NA0.518.52NA090
    64704ARevise hand/foot nerve4.573.14NA0.598.30NA090
    64708ARevise arm/leg nerve6.124.90NA0.8211.84NA090
    64712ARevision of sciatic nerve7.755.01NA0.5413.30NA090
    64713ARevision of arm nerve(s)11.005.85NA1.0117.86NA090
    64714ARevise low back nerve(s)10.333.99NA0.6414.96NA090
    64716ARevision of cranial nerve6.315.01NA0.5911.91NA090
    64718ARevise ulnar nerve at elbow5.995.00NA0.8711.86NA090
    64719ARevise ulnar nerve at wrist4.854.51NA0.639.99NA090
    64721ACarpal tunnel surgery4.295.655.970.5910.5310.85090
    64722ARelieve pressure on nerve(s)4.703.02NA0.328.04NA090
    64726ARelease foot/toe nerve4.183.03NA0.577.78NA090
    64727AInternal nerve revision3.101.62NA0.405.12NAZZZ
    64732AIncision of brow nerve4.413.46NA0.778.64NA090
    64734AIncision of cheek nerve4.923.53NA0.839.28NA090
    64736AIncision of chin nerve4.602.98NA0.718.29NA090
    64738AIncision of jaw nerve5.733.64NA0.8410.21NA090
    64740AIncision of tongue nerve5.594.08NA0.4310.10NA090
    64742AIncision of facial nerve6.224.84NA0.6911.75NA090
    64744AIncise nerve, back of head5.243.92NA0.9810.14NA090
    64746AIncise diaphragm nerve5.934.64NA0.7511.32NA090
    64752AIncision of vagus nerve7.064.71NA0.8312.60NA090
    64755AIncision of stomach nerves13.526.22NA1.1620.90NA090
    64760AIncision of vagus nerve6.964.02NA0.5111.49NA090
    64761AIncision of pelvis nerve6.413.31NA0.269.98NA090
    64763AIncise hip/thigh nerve6.936.37NA0.7714.07NA090
    64766AIncise hip/thigh nerve8.676.18NA0.9915.84NA090
    64771ASever cranial nerve7.355.56NA1.3214.23NA090
    64772AIncision of spinal nerve7.214.96NA1.2013.37NA090
    64774ARemove skin nerve lesion5.173.66NA0.609.43NA090
    64776ARemove digit nerve lesion5.123.81NA0.639.56NA090
    64778ADigit nerve surgery add-on3.111.52NA0.385.01NAZZZ
    64782ARemove limb nerve lesion6.233.65NA0.7910.67NA090
    64783ALimb nerve surgery add-on3.722.02NA0.486.22NAZZZ
    64784ARemove nerve lesion9.826.39NA1.1717.38NA090
    64786ARemove sciatic nerve lesion15.4610.25NA2.2227.93NA090
    64787AImplant nerve end4.302.21NA0.567.07NAZZZ
    64788ARemove skin nerve lesion4.613.31NA0.548.46NA090
    64790ARemoval of nerve lesion11.317.17NA1.6820.16NA090
    64792ARemoval of nerve lesion14.929.04NA1.8825.84NA090
    64795ABiopsy of nerve3.011.85NA0.405.26NA000
    64802ARemove sympathetic nerves9.155.53NA0.8715.55NA090
    64804ARemove sympathetic nerves14.647.82NA1.7924.25NA090
    64809ARemove sympathetic nerves13.675.32NA0.9619.95NA090
    64818ARemove sympathetic nerves10.305.79NA1.0817.17NA090
    64820ARemove sympathetic nerves10.377.88NA1.1719.42NA090
    64831ARepair of digit nerve9.447.17NA1.1417.75NA090
    64832ARepair nerve add-on5.663.12NA0.689.46NAZZZ
    64834ARepair of hand or foot nerve10.197.18NA1.2318.60NA090
    64835ARepair of hand or foot nerve10.947.82NA1.3620.12NA090
    64836ARepair of hand or foot nerve10.947.67NA1.3219.93NA090
    64837ARepair nerve add-on6.263.40NA0.8010.46NAZZZ
    64840ARepair of leg nerve13.029.23NA0.8623.11NA090
    64856ARepair/transpose nerve13.809.39NA1.7124.90NA090
    64857ARepair arm/leg nerve14.499.76NA1.7626.01NA090
    64858ARepair sciatic nerve16.4910.31NA2.7829.58NA090
    64859ANerve surgery4.262.30NA0.507.06NAZZZ
    64861ARepair of arm nerves19.2412.91NA2.4534.60NA090
    64862ARepair of low back nerves19.449.63NA2.4731.54NA090
    64864ARepair of facial nerve12.558.72NA1.1322.40NA090
    64865ARepair of facial nerve15.2410.03NA1.3726.64NA090
    64866AFusion of facial/other nerve15.749.73NA1.0626.53NA090
    64868AFusion of facial/other nerve14.049.38NA1.4024.82NA090
    64870AFusion of facial/other nerve15.997.98NA1.0825.05NA090
    64872ASubsequent repair of nerve1.991.11NA0.243.34NAZZZ
    64874ARepair & revise nerve add-on2.981.58NA0.344.90NAZZZ
    64876ARepair nerve/shorten bone3.381.34NA0.395.11NAZZZ
    64885ANerve graft, head or neck17.5311.25NA1.5130.29NA090
    64886ANerve graft, head or neck20.7513.10NA1.7335.58NA090
    64890ANerve graft, hand or foot15.1510.14NA1.7427.03NA090
    64891ANerve graft, hand or foot16.147.59NA1.3825.11NA090
    Start Printed Page 40471
    64892ANerve graft, arm or leg14.658.73NA1.6525.03NA090
    64893ANerve graft, arm or leg15.6010.34NA1.7727.71NA090
    64895ANerve graft, hand or foot19.2511.12NA2.0432.41NA090
    64896ANerve graft, hand or foot20.499.36NA1.8531.70NA090
    64897ANerve graft, arm or leg18.2410.73NA2.6431.61NA090
    64898ANerve graft, arm or leg19.5012.30NA2.7134.51NA090
    64901ANerve graft add-on10.225.29NA0.9916.50NAZZZ
    64902ANerve graft add-on11.836.03NA1.1018.96NAZZZ
    64905ANerve pedicle transfer14.028.63NA1.5224.17NA090
    64907ANerve pedicle transfer18.8311.68NA1.7932.30NA090
    64999CNervous system surgery0.000.000.000.000.000.00YYY
    65091ARevise eye6.469.45NA0.2616.17NA090
    65093ARevise eye with implant6.879.65NA0.2816.80NA090
    65101ARemoval of eye7.039.48NA0.2816.79NA090
    65103ARemove eye/insert implant7.579.82NA0.3017.69NA090
    65105ARemove eye/attach implant8.4910.37NA0.3419.20NA090
    65110ARemoval of eye13.9514.03NA0.6828.66NA090
    65112ARemove eye/revise socket16.3817.35NA0.9634.69NA090
    65114ARemove eye/revise socket17.5316.37NA0.9434.84NA090
    65125ARevise ocular implant3.121.474.850.154.748.12090
    65130AInsert ocular implant7.159.56NA0.2816.99NA090
    65135AInsert ocular implant7.339.30NA0.2916.92NA090
    65140AAttach ocular implant8.029.73NA0.3118.06NA090
    65150ARevise ocular implant6.269.01NA0.2515.52NA090
    65155AReinsert ocular implant8.6611.15NA0.4020.21NA090
    65175ARemoval of ocular implant6.289.03NA0.2615.57NA090
    65205ARemove foreign body from eye0.710.205.140.030.945.88000
    65210ARemove foreign body from eye0.840.315.300.031.186.17000
    65220ARemove foreign body from eye0.710.196.660.050.957.42000
    65222ARemove foreign body from eye0.930.285.240.041.256.21000
    65235ARemove foreign body from eye7.576.67NA0.3014.54NA090
    65260ARemove foreign body from eye10.9611.53NA0.4322.92NA090
    65265ARemove foreign body from eye12.5913.08NA0.5026.17NA090
    65270ARepair of eye wound1.901.983.590.083.965.57010
    65272ARepair of eye wound3.823.814.880.167.798.86090
    65273ARepair of eye wound4.364.26NA0.178.79NA090
    65275ARepair of eye wound5.344.605.030.2710.2110.64090
    65280ARepair of eye wound7.667.12NA0.3015.08NA090
    65285ARepair of eye wound12.9012.78NA0.5126.19NA090
    65286ARepair of eye wound5.516.637.740.2112.3513.46090
    65290ARepair of eye socket wound5.416.69NA0.2612.36NA090
    65400ARemoval of eye lesion6.066.387.700.2412.6814.00090
    65410ABiopsy of cornea1.470.651.610.062.183.14000
    65420ARemoval of eye lesion4.175.956.920.1710.2911.26090
    65426ARemoval of eye lesion5.255.997.120.2011.4412.57090
    65430ACorneal smear1.470.695.790.062.227.32000
    65435ACurette/treat cornea0.920.411.270.041.372.23000
    65436ACurette/treat cornea4.194.245.100.178.609.46090
    65450ATreatment of corneal lesion3.275.556.680.138.9510.08090
    65600ARevision of cornea3.401.454.650.144.998.19090
    65710ACorneal transplant12.3512.27NA0.4925.11NA090
    65730ACorneal transplant14.2511.75NA0.5626.56NA090
    65750ACorneal transplant15.0013.52NA0.5929.11NA090
    65755ACorneal transplant14.8913.44NA0.5828.91NA090
    65760NRevision of cornea0.000.000.000.000.000.00XXX
    65765NRevision of cornea0.000.000.000.000.000.00XXX
    65767NCorneal tissue transplant0.000.000.000.000.000.00XXX
    65770ARevise cornea with implant17.5614.45NA0.6932.70NA090
    65771NRadial keratotomy0.000.000.000.000.000.00XXX
    65772ACorrection of astigmatism4.295.266.160.179.7210.62090
    65775ACorrection of astigmatism5.797.87NA0.2213.88NA090
    65800ADrainage of eye1.911.362.130.083.354.12000
    65805ADrainage of eye1.911.372.130.083.364.12000
    65810ADrainage of eye4.877.32NA0.1912.38NA090
    65815ADrainage of eye5.056.867.930.2012.1113.18090
    65820ARelieve inner eye pressure8.139.12NA0.3217.57NA090
    65850AIncision of eye10.529.40NA0.4120.33NA090
    65855ALaser surgery of eye3.853.564.830.177.588.85090
    65860AIncise inner eye adhesions3.552.933.710.146.627.40090
    65865AIncise inner eye adhesions5.606.14NA0.2211.96NA090
    65870AIncise inner eye adhesions6.276.47NA0.2412.98NA090
    65875AIncise inner eye adhesions6.546.59NA0.2513.38NA090
    65880AIncise inner eye adhesions7.096.82NA0.2814.19NA090
    65900ARemove eye lesion10.9311.71NA0.4623.10NA090
    Start Printed Page 40472
    65920ARemove implant from eye8.407.47NA0.3316.20NA090
    65930ARemove blood clot from eye7.447.92NA0.2915.65NA090
    66020AInjection treatment of eye1.591.452.200.073.113.86010
    66030AInjection treatment of eye1.251.292.050.052.593.35010
    66130ARemove eye lesion7.695.916.730.3113.9114.73090
    66150AGlaucoma surgery8.3010.08NA0.3318.71NA090
    66155AGlaucoma surgery8.2910.06NA0.3218.67NA090
    66160AGlaucoma surgery10.1710.94NA0.4121.52NA090
    66165AGlaucoma surgery8.019.97NA0.3118.29NA090
    66170AGlaucoma surgery12.1611.90NA0.4824.54NA090
    66172AIncision of eye15.0414.75NA0.5930.38NA090
    66180AImplant eye shunt14.5511.76NA0.5726.88NA090
    66185ARevise eye shunt8.148.25NA0.3216.71NA090
    66220ARepair eye lesion7.779.97NA0.3218.06NA090
    66225ARepair/graft eye lesion11.059.28NA0.4420.77NA090
    66250AFollow-up surgery of eye5.986.357.710.2312.5613.92090
    66500AIncision of iris3.714.00NA0.157.86NA090
    66505AIncision of iris4.084.20NA0.178.45NA090
    66600ARemove iris and lesion8.689.14NA0.3418.16NA090
    66605ARemoval of iris12.7912.23NA0.6125.63NA090
    66625ARemoval of iris5.136.887.800.2012.2113.13090
    66630ARemoval of iris6.167.91NA0.2414.31NA090
    66635ARemoval of iris6.256.45NA0.2412.94NA090
    66680ARepair iris & ciliary body5.446.06NA0.2111.71NA090
    66682ARepair iris & ciliary body6.217.95NA0.2414.40NA090
    66700ADestruction, ciliary body4.786.257.590.1911.2212.56090
    66710ADestruction, ciliary body4.786.287.470.1811.2412.43090
    66720ADestruction, ciliary body4.786.247.370.1911.2112.34090
    66740ADestruction, ciliary body4.785.75NA0.1810.71NA090
    66761ARevision of iris4.074.035.130.168.269.36090
    66762ARevision of iris4.584.195.260.188.9510.02090
    66770ARemoval of inner eye lesion5.184.455.560.209.8310.94090
    66820AIncision, secondary cataract3.896.91NA0.1610.96NA090
    66821AAfter cataract laser surgery2.353.113.510.105.565.96090
    66825AReposition intraocular lens8.238.88NA0.3217.43NA090
    66830ARemoval of lens lesion8.206.65NA0.3215.17NA090
    66840ARemoval of lens material7.916.59NA0.3114.81NA090
    66850ARemoval of lens material9.117.13NA0.3616.60NA090
    66852ARemoval of lens material9.977.59NA0.3917.95NA090
    66920AExtraction of lens8.867.06NA0.3516.27NA090
    66930AExtraction of lens10.188.53NA0.4119.12NA090
    66940AExtraction of lens8.937.93NA0.3517.21NA090
    66982ACataract surgery, complex13.508.88NA0.5522.93NA090
    66983ACataract surg w/iol, 1 stage8.995.74NA0.3715.10NA090
    66984ACataract surg w/iol, i stage10.237.44NA0.4118.08NA090
    66985AInsert lens prosthesis8.396.61NA0.3315.33NA090
    66986AExchange lens prosthesis12.288.65NA0.4921.42NA090
    66999CEye surgery procedure0.000.000.000.000.000.00YYY
    67005APartial removal of eye fluid5.702.70NA0.228.62NA090
    67010APartial removal of eye fluid6.873.28NA0.2710.42NA090
    67015ARelease of eye fluid6.927.62NA0.2714.81NA090
    67025AReplace eye fluid6.847.1014.500.2714.2121.61090
    67027AImplant eye drug system10.858.4516.160.4619.7627.47090
    67028AInjection eye drug2.521.208.030.113.8310.66000
    67030AIncise inner eye strands4.846.21NA0.1911.24NA090
    67031ALaser surgery, eye strands3.673.003.800.156.827.62090
    67036ARemoval of inner eye fluid11.898.81NA0.4721.17NA090
    67038AStrip retinal membrane21.2415.12NA0.8437.20NA090
    67039ALaser treatment of retina14.5211.91NA0.5727.00NA090
    67040ALaser treatment of retina17.2313.22NA0.6831.13NA090
    67101ARepair detached retina7.538.4910.380.2916.3118.20090
    67105ARepair detached retina7.415.487.240.2913.1814.94090
    67107ARepair detached retina14.8412.77NA0.5828.19NA090
    67108ARepair detached retina20.8217.00NA0.8238.64NA090
    67110ARepair detached retina8.819.8917.890.3519.0527.05090
    67112ARerepair detached retina16.8615.09NA0.6632.61NA090
    67115ARelease encircling material4.996.30NA0.1911.48NA090
    67120ARemove eye implant material5.986.6913.930.2312.9020.14090
    67121ARemove eye implant material10.6711.36NA0.4222.45NA090
    67141ATreatment of retina5.206.477.440.2011.8712.84090
    67145ATreatment of retina5.374.105.090.219.6810.67090
    67208ATreatment of retinal lesion6.706.617.810.2613.5714.77090
    67210ATreatment of retinal lesion8.825.727.050.3514.8916.22090
    67218ATreatment of retinal lesion18.5315.13NA0.5334.19NA090
    Start Printed Page 40473
    67220ATreatment of choroid lesion13.139.8110.880.5123.4524.52090
    67221AOcular photodynamic ther4.011.924.190.506.438.70000
    67227ATreatment of retinal lesion6.586.728.390.2613.5615.23090
    67228ATreatment of retinal lesion12.747.259.630.5020.4922.87090
    67250AReinforce eye wall8.6610.21NA0.3619.23NA090
    67255AReinforce/graft eye wall8.9010.14NA0.3519.39NA090
    67299CEye surgery procedure0.000.000.000.000.000.00YYY
    67311ARevise eye muscle6.656.09NA0.2713.01NA090
    67312ARevise two eye muscles8.547.06NA0.3515.95NA090
    67314ARevise eye muscle7.526.57NA0.3014.39NA090
    67316ARevise two eye muscles9.667.55NA0.4017.61NA090
    67318ARevise eye muscle(s)7.856.96NA0.3115.12NA090
    67320ARevise eye muscle(s) add-on4.336.56NA0.1711.06NAZZZ
    67331AEye surgery follow-up add-on4.065.01NA0.179.24NAZZZ
    67332ARerevise eye muscles add-on4.495.66NA0.1810.33NAZZZ
    67334ARevise eye muscle w/suture3.985.15NA0.169.29NAZZZ
    67335AEye suture during surgery2.491.18NA0.103.77NAZZZ
    67340ARevise eye muscle add-on4.936.82NA0.1911.94NAZZZ
    67343ARelease eye tissue7.356.94NA0.3014.59NA090
    67345ADestroy nerve of eye muscle2.961.384.190.134.477.28010
    67350ABiopsy eye muscle2.872.37NA0.135.37NA000
    67399CEye muscle surgery procedure0.000.000.000.000.000.00YYY
    67400AExplore/biopsy eye socket9.7611.78NA0.4321.97NA090
    67405AExplore/drain eye socket7.9310.62NA0.3618.91NA090
    67412AExplore/treat eye socket9.5012.91NA0.4122.82NA090
    67413AExplore/treat eye socket10.0011.35NA0.4321.78NA090
    67414AExplr/decompress eye socket11.1313.53NA0.4825.14NA090
    67415AAspiration, orbital contents1.760.83NA0.092.68NA000
    67420AExplore/treat eye socket20.0617.23NA0.8438.13NA090
    67430AExplore/treat eye socket13.3919.03NA0.9733.39NA090
    67440AExplore/drain eye socket13.0914.28NA0.5827.95NA090
    67445AExplr/decompress eye socket14.4215.52NA0.6330.57NA090
    67450AExplore/biopsy eye socket13.5114.00NA0.5628.07NA090
    67500AInject/treat eye socket0.790.201.930.041.032.76000
    67505AInject/treat eye socket0.820.210.900.041.071.76000
    67515AInject/treat eye socket0.610.290.790.020.921.42000
    67550AInsert eye socket implant10.1911.87NA0.5022.56NA090
    67560ARevise eye socket implant10.6011.46NA0.4722.53NA090
    67570ADecompress optic nerve13.5814.77NA0.6929.04NA090
    67599COrbit surgery procedure0.000.000.000.000.000.00YYY
    67700ADrainage of eyelid abscess1.350.605.340.062.016.75010
    67710AIncision of eyelid1.020.495.480.041.556.54010
    67715AIncision of eyelid fold1.220.59NA0.051.86NA010
    67800ARemove eyelid lesion1.380.662.180.062.103.62010
    67801ARemove eyelid lesions1.880.905.680.082.867.64010
    67805ARemove eyelid lesions2.221.065.880.093.378.19010
    67808ARemove eyelid lesion(s)3.803.79NA0.177.76NA090
    67810ABiopsy of eyelid1.480.714.450.062.255.99000
    67820ARevise eyelashes0.890.381.560.041.312.49000
    67825ARevise eyelashes1.381.666.950.063.108.39010
    67830ARevise eyelashes1.701.878.180.073.649.95010
    67835ARevise eyelashes5.564.53NA0.2210.31NA090
    67840ARemove eyelid lesion2.040.975.750.083.097.87010
    67850ATreat eyelid lesion1.691.767.120.073.528.88010
    67875AClosure of eyelid by suture1.351.848.340.063.259.75000
    67880ARevision of eyelid3.802.909.210.166.8613.17090
    67882ARevision of eyelid5.074.3611.960.219.6417.24090
    67900ARepair brow defect6.146.1610.030.3012.6016.47090
    67901ARepair eyelid defect6.976.35NA0.3213.64NA090
    67902ARepair eyelid defect7.036.44NA0.3413.81NA090
    67903ARepair eyelid defect6.377.1211.860.3913.8818.62090
    67904ARepair eyelid defect6.267.2112.420.2613.7318.94090
    67906ARepair eyelid defect6.796.297.520.4213.5014.73090
    67908ARepair eyelid defect5.135.678.200.2011.0013.53090
    67909ARevise eyelid defect5.406.379.330.2512.0214.98090
    67911ARevise eyelid defect5.276.15NA0.2311.65NA090
    67914ARepair eyelid defect3.683.319.720.167.1513.56090
    67915ARepair eyelid defect3.181.548.460.134.8511.77090
    67916ARepair eyelid defect5.315.0012.940.2210.5318.47090
    67917ARepair eyelid defect6.026.189.200.2512.4515.47090
    67921ARepair eyelid defect3.403.059.350.146.5912.89090
    67922ARepair eyelid defect3.062.898.410.136.0811.60090
    67923ARepair eyelid defect5.885.1412.910.2411.2619.03090
    67924ARepair eyelid defect5.795.558.550.2311.5714.57090
    Start Printed Page 40474
    67930ARepair eyelid wound3.612.889.230.176.6613.01010
    67935ARepair eyelid wound6.225.1913.750.2911.7020.26090
    67938ARemove eyelid foreign body1.330.536.620.061.928.01010
    67950ARevision of eyelid5.826.948.400.3013.0614.52090
    67961ARevision of eyelid5.695.868.540.2611.8114.49090
    67966ARevision of eyelid6.576.058.430.3312.9515.33090
    67971AReconstruction of eyelid9.797.56NA0.4217.77NA090
    67973AReconstruction of eyelid12.879.70NA0.5923.16NA090
    67974AReconstruction of eyelid12.849.61NA0.5422.99NA090
    67975AReconstruction of eyelid9.137.20NA0.3816.71NA090
    67999CRevision of eyelid0.000.000.000.000.000.00YYY
    68020AIncise/drain eyelid lining1.370.655.280.062.086.71010
    68040ATreatment of eyelid lesions0.850.415.130.031.296.01000
    68100ABiopsy of eyelid lining1.350.645.640.062.057.05000
    68110ARemove eyelid lining lesion1.771.356.350.073.198.19010
    68115ARemove eyelid lining lesion2.361.125.900.103.588.36010
    68130ARemove eyelid lining lesion4.932.35NA0.197.47NA090
    68135ARemove eyelid lining lesion1.840.875.650.072.787.56010
    68200ATreat eyelid by injection0.490.235.250.020.745.76000
    68320ARevise/graft eyelid lining5.375.055.140.2110.6310.72090
    68325ARevise/graft eyelid lining7.366.07NA0.3013.73NA090
    68326ARevise/graft eyelid lining7.155.96NA0.3013.41NA090
    68328ARevise/graft eyelid lining8.186.81NA0.4015.39NA090
    68330ARevise eyelid lining4.835.006.690.1910.0211.71090
    68335ARevise/graft eyelid lining7.195.16NA0.2912.64NA090
    68340ASeparate eyelid adhesions4.173.8911.780.178.2316.12090
    68360ARevise eyelid lining4.374.785.920.179.3210.46090
    68362ARevise eyelid lining7.347.43NA0.2915.06NA090
    68399CEyelid lining surgery0.000.000.000.000.000.00YYY
    68400AIncise/drain tear gland1.691.888.240.073.6410.00010
    68420AIncise/drain tear sac2.302.178.380.104.5710.78010
    68440AIncise tear duct opening0.940.455.270.041.436.25010
    68500ARemoval of tear gland11.0210.17NA0.6021.79NA090
    68505APartial removal, tear gland10.9410.38NA0.5721.89NA090
    68510ABiopsy of tear gland4.612.169.870.196.9614.67000
    68520ARemoval of tear sac7.516.72NA0.3314.56NA090
    68525ABiopsy of tear sac4.432.11NA0.186.72NA000
    68530AClearance of tear duct3.662.7611.010.166.5814.83010
    68540ARemove tear gland lesion10.608.32NA0.4619.38NA090
    68550ARemove tear gland lesion13.2610.39NA0.6624.31NA090
    68700ARepair tear ducts6.606.10NA0.2712.97NA090
    68705ARevise tear duct opening2.060.985.900.083.128.04010
    68720ACreate tear sac drain8.967.26NA0.3816.60NA090
    68745ACreate tear duct drain8.637.26NA0.3816.27NA090
    68750ACreate tear duct drain8.667.68NA0.3716.71NA090
    68760AClose tear duct opening1.730.825.540.072.627.34010
    68761AClose tear duct opening1.360.636.390.062.057.81010
    68770AClose tear system fistula7.025.5613.490.2812.8620.79090
    68801ADilate tear duct opening0.940.446.440.041.427.42010
    68810AProbe nasolacrimal duct1.901.898.090.083.8710.07010
    68811AProbe nasolacrimal duct2.352.14NA0.104.59NA010
    68815AProbe nasolacrimal duct3.202.619.930.145.9513.27010
    68840AExplore/irrigate tear ducts1.250.597.010.051.898.31010
    68850AInjection for tear sac x-ray0.800.3112.260.031.1413.09000
    68899CTear duct system surgery0.000.000.000.000.000.00YYY
    69000ADrain external ear lesion1.450.582.030.102.133.58010
    69005ADrain external ear lesion2.112.062.460.164.334.73010
    69020ADrain outer ear canal lesion1.480.752.130.112.343.72010
    69090NPierce earlobes0.000.000.000.000.000.00XXX
    69100ABiopsy of external ear0.810.411.440.041.262.29000
    69105ABiopsy of external ear canal0.850.961.450.061.872.36000
    69110ARemove external ear, partial3.442.793.430.246.477.11090
    69120ARemoval of external ear4.054.42NA0.318.78NA090
    69140ARemove ear canal lesion(s)7.977.89NA0.5616.42NA090
    69145ARemove ear canal lesion(s)2.622.443.260.185.246.06090
    69150AExtensive ear canal surgery13.4311.19NA1.0725.69NA090
    69155AExtensive ear/neck surgery20.8015.24NA1.5137.55NA090
    69200AClear outer ear canal0.770.721.380.051.542.20000
    69205AClear outer ear canal1.201.50NA0.092.79NA010
    69210ARemove impacted ear wax0.610.251.270.040.901.92000
    69220AClean out mastoid cavity0.830.431.440.061.322.33000
    69222AClean out mastoid cavity1.401.632.120.103.133.62010
    69300RRevise external ear6.364.35NA0.4311.14NAYYY
    69310ARebuild outer ear canal10.799.48NA0.7721.04NA090
    Start Printed Page 40475
    69320ARebuild outer ear canal16.9613.66NA1.1731.79NA090
    69399COuter ear surgery procedure0.000.000.000.000.000.00YYY
    69400AInflate middle ear canal0.830.461.440.061.352.33000
    69401AInflate middle ear canal0.630.371.340.041.042.01000
    69405ACatheterize middle ear canal2.631.482.970.184.295.78010
    69410AInset middle ear (baffle)0.330.161.380.020.511.73000
    69420AIncision of eardrum1.330.722.220.102.153.65010
    69421AIncision of eardrum1.731.832.460.133.694.32010
    69424ARemove ventilating tube0.850.891.590.061.802.50000
    69433ACreate eardrum opening1.520.862.200.112.493.83010
    69436ACreate eardrum opening1.961.97NA0.144.07NA010
    69440AExploration of middle ear7.577.11NA0.5315.21NA090
    69450AEardrum revision5.575.90NA0.3911.86NA090
    69501AMastoidectomy9.077.91NA0.6517.63NA090
    69502AMastoidectomy12.3810.47NA0.8623.71NA090
    69505ARemove mastoid structures12.9910.66NA0.9224.57NA090
    69511AExtensive mastoid surgery13.5211.04NA0.9625.52NA090
    69530AExtensive mastoid surgery19.1914.65NA1.3235.16NA090
    69535ARemove part of temporal bone36.1424.24NA2.5962.97NA090
    69540ARemove ear lesion1.201.522.130.092.813.42010
    69550ARemove ear lesion10.999.68NA0.8021.47NA090
    69552ARemove ear lesion19.4614.31NA1.3635.13NA090
    69554ARemove ear lesion33.1621.82NA2.3257.30NA090
    69601AMastoid surgery revision13.2411.61NA0.9225.77NA090
    69602AMastoid surgery revision13.5811.19NA0.9425.71NA090
    69603AMastoid surgery revision14.0211.48NA1.0026.50NA090
    69604AMastoid surgery revision14.0211.26NA0.9826.26NA090
    69605AMastoid surgery revision18.4913.94NA1.2933.72NA090
    69610ARepair of eardrum4.433.374.090.318.118.83010
    69620ARepair of eardrum5.892.956.610.409.2412.90090
    69631ARepair eardrum structures9.869.04NA0.6919.59NA090
    69632ARebuild eardrum structures12.7511.27NA0.8924.91NA090
    69633ARebuild eardrum structures12.1010.91NA0.8423.85NA090
    69635ARepair eardrum structures13.339.46NA0.8723.66NA090
    69636ARebuild eardrum structures15.2212.80NA1.0729.09NA090
    69637ARebuild eardrum structures15.1112.73NA1.0628.90NA090
    69641ARevise middle ear & mastoid12.7110.63NA0.8924.23NA090
    69642ARevise middle ear & mastoid16.8413.65NA1.1831.67NA090
    69643ARevise middle ear & mastoid15.3212.78NA1.0829.18NA090
    69644ARevise middle ear & mastoid16.9713.73NA1.1931.89NA090
    69645ARevise middle ear & mastoid16.3813.36NA1.1630.90NA090
    69646ARevise middle ear & mastoid17.9914.33NA1.2633.58NA090
    69650ARelease middle ear bone9.668.30NA0.6818.64NA090
    69660ARevise middle ear bone11.909.53NA0.8422.27NA090
    69661ARevise middle ear bone15.7412.32NA1.1029.16NA090
    69662ARevise middle ear bone15.4412.17NA1.0828.69NA090
    69666ARepair middle ear structures9.758.34NA0.6818.77NA090
    69667ARepair middle ear structures9.768.29NA0.7218.77NA090
    69670ARemove mastoid air cells11.519.91NA0.7822.20NA090
    69676ARemove middle ear nerve9.528.62NA0.6918.83NA090
    69700AClose mastoid fistula8.235.24NA0.5514.02NA090
    69710NImplant/replace hearing aid0.000.000.000.000.000.00XXX
    69711ARemove/repair hearing aid10.449.18NA0.6220.24NA090
    69714AImplant temple bone w/stimul14.008.65NA0.9723.62NA090
    69715ATemple bne implnt w/stimulat18.2510.42NA1.2529.92NA090
    69717ATemple bone implant revision14.988.31NA1.0424.33NA090
    69718ARevise temple bone implant18.5010.51NA1.2730.28NA090
    69720ARelease facial nerve14.3812.04NA1.0327.45NA090
    69725ARelease facial nerve25.3818.21NA1.7845.37NA090
    69740ARepair facial nerve15.9611.55NA1.1328.64NA090
    69745ARepair facial nerve16.6911.91NA1.0029.60NA090
    69799CMiddle ear surgery procedure0.000.000.000.000.000.00YYY
    69801AIncise inner ear8.567.68NA0.6016.84NA090
    69802AIncise inner ear13.1010.97NA0.9124.98NA090
    69805AExplore inner ear13.8210.74NA0.9725.53NA090
    69806AExplore inner ear12.3510.50NA0.8623.71NA090
    69820AEstablish inner ear window10.349.02NA0.6620.02NA090
    69840ARevise inner ear window10.269.90NA0.6420.80NA090
    69905ARemove inner ear11.109.34NA0.7721.21NA090
    69910ARemove inner ear & mastoid13.6310.98NA0.9425.55NA090
    69915AIncise inner ear nerve21.2315.31NA1.5438.08NA090
    69930AImplant cochlear device16.8112.66NA1.1930.66NA090
    69949CInner ear surgery procedure0.000.000.000.000.000.00YYY
    69950AIncise inner ear nerve25.6416.14NA2.9044.68NA090
    Start Printed Page 40476
    69955ARelease facial nerve27.0418.47NA1.8947.40NA090
    69960ARelease inner ear canal27.0417.99NA2.4347.46NA090
    69970ARemove inner ear lesion30.0419.13NA2.3451.51NA090
    69979CTemporal bone surgery0.000.000.000.000.000.00YYY
    69990RMicrosurgery add-on3.471.88NA0.565.91NAZZZ
    70010AContrast x-ray of brain1.19NA4.690.24NA6.12XXX
    7001026AContrast x-ray of brain1.190.420.420.061.671.67XXX
    70010TCAContrast x-ray of brain0.00NA4.270.18NA4.45XXX
    70015AContrast x-ray of brain1.19NA1.760.12NA3.07XXX
    7001526AContrast x-ray of brain1.190.430.430.051.671.67XXX
    70015TCAContrast x-ray of brain0.00NA1.330.07NA1.40XXX
    70030AX-ray eye for foreign body0.17NA0.470.03NA0.67XXX
    7003026AX-ray eye for foreign body0.170.060.060.010.240.24XXX
    70030TCAX-ray eye for foreign body0.00NA0.410.02NA0.43XXX
    70100AX-ray exam of jaw0.18NA0.570.03NA0.78XXX
    7010026AX-ray exam of jaw0.180.060.060.010.250.25XXX
    70100TCAX-ray exam of jaw0.00NA0.510.02NA0.53XXX
    70110AX-ray exam of jaw0.25NA0.700.04NA0.99XXX
    7011026AX-ray exam of jaw0.250.090.090.010.350.35XXX
    70110TCAX-ray exam of jaw0.00NA0.610.03NA0.64XXX
    70120AX-ray exam of mastoids0.18NA0.670.04NA0.89XXX
    7012026AX-ray exam of mastoids0.180.060.060.010.250.25XXX
    70120TCAX-ray exam of mastoids0.00NA0.610.03NA0.64XXX
    70130AX-ray exam of mastoids0.34NA0.890.05NA1.28XXX
    7013026AX-ray exam of mastoids0.340.120.120.010.470.47XXX
    70130TCAX-ray exam of mastoids0.00NA0.770.04NA0.81XXX
    70134AX-ray exam of middle ear0.34NA0.840.05NA1.23XXX
    7013426AX-ray exam of middle ear0.340.120.120.010.470.47XXX
    70134TCAX-ray exam of middle ear0.00NA0.720.04NA0.76XXX
    70140AX-ray exam of facial bones0.19NA0.680.04NA0.91XXX
    7014026AX-ray exam of facial bones0.190.070.070.010.270.27XXX
    70140TCAX-ray exam of facial bones0.00NA0.610.03NA0.64XXX
    70150AX-ray exam of facial bones0.26NA0.860.05NA1.17XXX
    7015026AX-ray exam of facial bones0.260.090.090.010.360.36XXX
    70150TCAX-ray exam of facial bones0.00NA0.770.04NA0.81XXX
    70160AX-ray exam of nasal bones0.17NA0.570.03NA0.77XXX
    7016026AX-ray exam of nasal bones0.170.060.060.010.240.24XXX
    70160TCAX-ray exam of nasal bones0.00NA0.510.02NA0.53XXX
    70170AX-ray exam of tear duct0.30NA1.040.06NA1.40XXX
    7017026AX-ray exam of tear duct0.300.110.110.010.420.42XXX
    70170TCAX-ray exam of tear duct0.00NA0.930.05NA0.98XXX
    70190AX-ray exam of eye sockets0.21NA0.680.04NA0.93XXX
    7019026AX-ray exam of eye sockets0.210.070.070.010.290.29XXX
    70190TCAX-ray exam of eye sockets0.00NA0.610.03NA0.64XXX
    70200AX-ray exam of eye sockets0.28NA0.870.05NA1.20XXX
    7020026AX-ray exam of eye sockets0.280.100.100.010.390.39XXX
    70200TCAX-ray exam of eye sockets0.00NA0.770.04NA0.81XXX
    70210AX-ray exam of sinuses0.17NA0.670.04NA0.88XXX
    7021026AX-ray exam of sinuses0.170.060.060.010.240.24XXX
    70210TCAX-ray exam of sinuses0.00NA0.610.03NA0.64XXX
    70220AX-ray exam of sinuses0.25NA0.860.05NA1.16XXX
    7022026AX-ray exam of sinuses0.250.090.090.010.350.35XXX
    70220TCAX-ray exam of sinuses0.00NA0.770.04NA0.81XXX
    70240AX-ray exam, pituitary saddle0.19NA0.480.03NA0.70XXX
    7024026AX-ray exam, pituitary saddle0.190.070.070.010.270.27XXX
    70240TCAX-ray exam, pituitary saddle0.00NA0.410.02NA0.43XXX
    70250AX-ray exam of skull0.24NA0.690.04NA0.97XXX
    7025026AX-ray exam of skull0.240.080.080.010.330.33XXX
    70250TCAX-ray exam of skull0.00NA0.610.03NA0.64XXX
    70260AX-ray exam of skull0.34NA1.000.06NA1.40XXX
    7026026AX-ray exam of skull0.340.120.120.010.470.47XXX
    70260TCAX-ray exam of skull0.00NA0.880.05NA0.93XXX
    70300AX-ray exam of teeth0.10NA0.300.03NA0.43XXX
    7030026AX-ray exam of teeth0.100.040.040.010.150.15XXX
    70300TCAX-ray exam of teeth0.00NA0.260.02NA0.28XXX
    70310AX-ray exam of teeth0.16NA0.470.03NA0.66XXX
    7031026AX-ray exam of teeth0.160.060.060.010.230.23XXX
    70310TCAX-ray exam of teeth0.00NA0.410.02NA0.43XXX
    70320AFull mouth x-ray of teeth0.22NA0.850.05NA1.12XXX
    7032026AFull mouth x-ray of teeth0.220.080.080.010.310.31XXX
    70320TCAFull mouth x-ray of teeth0.00NA0.770.04NA0.81XXX
    70328AX-ray exam of jaw joint0.18NA0.550.03NA0.76XXX
    7032826AX-ray exam of jaw joint0.180.060.060.010.250.25XXX
    70328TCAX-ray exam of jaw joint0.00NA0.490.02NA0.51XXX
    Start Printed Page 40477
    70330AX-ray exam of jaw joints0.24NA0.910.05NA1.20XXX
    7033026AX-ray exam of jaw joints0.240.080.080.010.330.33XXX
    70330TCAX-ray exam of jaw joints0.00NA0.830.04NA0.87XXX
    70332AX-ray exam of jaw joint0.54NA2.260.12NA2.92XXX
    7033226AX-ray exam of jaw joint0.540.190.190.020.750.75XXX
    70332TCAX-ray exam of jaw joint0.00NA2.070.10NA2.17XXX
    70336AMagnetic image, jaw joint1.48NA11.550.56NA13.59XXX
    7033626AMagnetic image, jaw joint1.480.520.520.072.072.07XXX
    70336TCAMagnetic image, jaw joint0.00NA11.030.49NA11.52XXX
    70350AX-ray head for orthodontia0.17NA0.430.03NA0.63XXX
    7035026AX-ray head for orthodontia0.170.060.060.010.240.24XXX
    70350TCAX-ray head for orthodontia0.00NA0.370.02NA0.39XXX
    70355APanoramic x-ray of jaws0.20NA0.630.04NA0.87XXX
    7035526APanoramic x-ray of jaws0.200.070.070.010.280.28XXX
    70355TCAPanoramic x-ray of jaws0.00NA0.560.03NA0.59XXX
    70360AX-ray exam of neck0.17NA0.470.03NA0.67XXX
    7036026AX-ray exam of neck0.170.060.060.010.240.24XXX
    70360TCAX-ray exam of neck0.00NA0.410.02NA0.43XXX
    70370AThroat x-ray & fluoroscopy0.32NA1.400.07NA1.79XXX
    7037026AThroat x-ray & fluoroscopy0.320.110.110.010.440.44XXX
    70370TCAThroat x-ray & fluoroscopy0.00NA1.290.06NA1.35XXX
    70371ASpeech evaluation, complex0.84NA2.360.14NA3.34XXX
    7037126ASpeech evaluation, complex0.840.290.290.041.171.17XXX
    70371TCASpeech evaluation, complex0.00NA2.070.10NA2.17XXX
    70373AContrast x-ray of larynx0.44NA1.900.11NA2.45XXX
    7037326AContrast x-ray of larynx0.440.150.150.020.610.61XXX
    70373TCAContrast x-ray of larynx0.00NA1.750.09NA1.84XXX
    70380AX-ray exam of salivary gland0.17NA0.720.04NA0.93XXX
    7038026AX-ray exam of salivary gland0.170.060.060.010.240.24XXX
    70380TCAX-ray exam of salivary gland0.00NA0.660.03NA0.69XXX
    70390AX-ray exam of salivary duct0.38NA1.880.11NA2.37XXX
    7039026AX-ray exam of salivary duct0.380.130.130.020.530.53XXX
    70390TCAX-ray exam of salivary duct0.00NA1.750.09NA1.84XXX
    70450ACt head/brain w/o dye0.85NA4.950.25NA6.05XXX
    7045026ACt head/brain w/o dye0.850.300.300.041.191.19XXX
    70450TCACt head/brain w/o dye0.00NA4.650.21NA4.86XXX
    70460ACt head/brain w/dye1.13NA5.970.30NA7.40XXX
    7046026ACt head/brain w/dye1.130.400.400.051.581.58XXX
    70460TCACt head/brain w/dye0.00NA5.570.25NA5.82XXX
    70470ACt head/brain w/o&w dye1.27NA7.400.37NA9.04XXX
    7047026ACt head/brain w/o&w dye1.270.440.440.061.771.77XXX
    70470TCACt head/brain w/o&w dye0.00NA6.960.31NA7.27XXX
    70480ACt orbit/ear/fossa w/o dye1.28NA5.100.27NA6.65XXX
    7048026ACt orbit/ear/fossa w/o dye1.280.450.450.061.791.79XXX
    70480TCACt orbit/ear/fossa w/o dye0.00NA4.650.21NA4.86XXX
    70481ACt orbit/ear/fossa w/dye1.38NA6.050.31NA7.74XXX
    7048126ACt orbit/ear/fossa w/dye1.380.480.480.061.921.92XXX
    70481TCACt orbit/ear/fossa w/dye0.00NA5.570.25NA5.82XXX
    70482ACt orbit/ear/fossa w/o&w dye1.45NA7.470.37NA9.29XXX
    7048226ACt orbit/ear/fossa w/o&w dye1.450.510.510.062.022.02XXX
    70482TCACt orbit/ear/fossa w/o&w dye0.00NA6.960.31NA7.27XXX
    70486ACt maxillofacial w/o dye1.14NA5.050.26NA6.45XXX
    7048626ACt maxillofacial w/o dye1.140.400.400.051.591.59XXX
    70486TCACt maxillofacial w/o dye0.00NA4.650.21NA4.86XXX
    70487ACt maxillofacial w/dye1.30NA6.020.31NA7.63XXX
    7048726ACt maxillofacial w/dye1.300.450.450.061.811.81XXX
    70487TCACt maxillofacial w/dye0.00NA5.570.25NA5.82XXX
    70488ACt maxillofacial w/o&w dye1.42NA7.450.37NA9.24XXX
    7048826ACt maxillofacial w/o&w dye1.420.490.490.061.971.97XXX
    70488TCACt maxillofacial w/o&w dye0.00NA6.960.31NA7.27XXX
    70490ACt soft tissue neck w/o dye1.28NA5.100.27NA6.65XXX
    7049026ACt soft tissue neck w/o dye1.280.450.450.061.791.79XXX
    70490TCACt soft tissue neck w/o dye0.00NA4.650.21NA4.86XXX
    70491ACt soft tissue neck w/dye1.38NA6.050.31NA7.74XXX
    7049126ACt soft tissue neck w/dye1.380.480.480.061.921.92XXX
    70491TCACt soft tissue neck w/dye0.00NA5.570.25NA5.82XXX
    70492ACt sft tsue nck w/o & w/dye1.45NA7.470.37NA9.29XXX
    7049226ACt sft tsue nck w/o & w/dye1.450.510.510.062.022.02XXX
    70492TCACt sft tsue nck w/o & w/dye0.00NA6.960.31NA7.27XXX
    70496ACt angiography, head1.75NA7.650.54NA9.94XXX
    7049626ACt angiography, head1.750.690.690.062.502.50XXX
    70496TCACt angiography, head0.00NA6.960.48NA7.44XXX
    70498ACt angiography, neck1.75NA7.650.54NA9.94XXX
    7049826ACt angiography, neck1.750.690.690.062.502.50XXX
    Start Printed Page 40478
    70498TCACt angiography, neck0.00NA6.960.48NA7.44XXX
    70540AMri orbit/face/neck w/o dye1.10NA11.410.36NA12.87XXX
    7054026AMri orbit/face/neck w/o dye1.100.380.380.041.521.52XXX
    70540TCAMri orbit/face/neck w/o dye0.00NA11.030.32NA11.35XXX
    70542AMri orbit/face/neck w/dye1.33NA13.690.43NA15.45XXX
    7054226AMri orbit/face/neck w/dye1.330.460.460.041.831.83XXX
    70542TCAMri orbit/face/neck w/dye0.00NA13.230.39NA13.62XXX
    70543AMri orbt/fac/nck w/o&w dye1.76NA25.130.78NA27.67XXX
    7054326AMri orbt/fac/nck w/o&w dye1.760.620.620.082.462.46XXX
    70543TCAMri orbt/fac/nck w/o&w dye0.00NA24.510.70NA25.21XXX
    70544AMr angiography head w/o dye1.20NA11.450.56NA13.21XXX
    7054426AMr angiography head w/o dye1.200.420.420.071.691.69XXX
    70544TCAMr angiography head w/o dye0.00NA11.030.49NA11.52XXX
    70545AMr angiography head w/dye1.20NA11.450.56NA13.21XXX
    7054526AMr angiography head w/dye1.200.420.420.071.691.69XXX
    70545TCAMr angiography head w/dye0.00NA11.030.49NA11.52XXX
    70546AMr angiograph head w/o&w dye1.80NA22.700.56NA25.06XXX
    7054626AMr angiograph head w/o&w dye1.800.630.630.072.502.50XXX
    70546TCAMr angiograph head w/o&w dye0.00NA22.070.49NA22.56XXX
    70547AMr angiography neck w/o dye1.20NA11.450.56NA13.21XXX
    7054726AMr angiography neck w/o dye1.200.420.420.071.691.69XXX
    70547TCAMr angiography neck w/o dye0.00NA11.030.49NA11.52XXX
    70548AMr angiography neck w/dye1.20NA11.450.56NA13.21XXX
    7054826AMr angiography neck w/dye1.200.420.420.071.691.69XXX
    70548TCAMr angiography neck w/dye0.00NA11.030.49NA11.52XXX
    70549AMr angiograph neck w/o&w dye1.80NA22.700.56NA25.06XXX
    7054926AMr angiograph neck w/o&w dye1.800.630.630.072.502.50XXX
    70549TCAMr angiograph neck w/o&w dye0.00NA22.070.49NA22.56XXX
    70551AMri brain w/o dye1.48NA11.550.56NA13.59XXX
    7055126AMri brain w/o dye1.480.520.520.072.072.07XXX
    70551TCAMri brain w/o dye0.00NA11.030.49NA11.52XXX
    70552AMri brain w/dye1.78NA13.860.66NA16.30XXX
    7055226AMri brain w/dye1.780.630.630.082.492.49XXX
    70552TCAMri brain w/dye0.00NA13.230.58NA13.81XXX
    70553AMri brain w/o&w dye2.36NA25.341.19NA28.89XXX
    7055326AMri brain w/o&w dye2.360.830.830.103.293.29XXX
    70553TCAMri brain w/o&w dye0.00NA24.511.09NA25.60XXX
    71010AChest x-ray0.18NA0.530.03NA0.74XXX
    7101026AChest x-ray0.180.060.060.010.250.25XXX
    71010TCAChest x-ray0.00NA0.470.02NA0.49XXX
    71015AChest x-ray0.21NA0.580.03NA0.82XXX
    7101526AChest x-ray0.210.070.070.010.290.29XXX
    71015TCAChest x-ray0.00NA0.510.02NA0.53XXX
    71020AChest x-ray0.22NA0.690.04NA0.95XXX
    7102026AChest x-ray0.220.080.080.010.310.31XXX
    71020TCAChest x-ray0.00NA0.610.03NA0.64XXX
    71021AChest x-ray0.27NA0.810.05NA1.13XXX
    7102126AChest x-ray0.270.090.090.010.370.37XXX
    71021TCAChest x-ray0.00NA0.720.04NA0.76XXX
    71022AChest x-ray0.31NA0.830.06NA1.20XXX
    7102226AChest x-ray0.310.110.110.020.440.44XXX
    71022TCAChest x-ray0.00NA0.720.04NA0.76XXX
    71023AChest x-ray and fluoroscopy0.38NA0.910.06NA1.35XXX
    7102326AChest x-ray and fluoroscopy0.380.140.140.020.540.54XXX
    71023TCAChest x-ray and fluoroscopy0.00NA0.770.04NA0.81XXX
    71030AChest x-ray0.31NA0.880.05NA1.24XXX
    7103026AChest x-ray0.310.110.110.010.430.43XXX
    71030TCAChest x-ray0.00NA0.770.04NA0.81XXX
    71034AChest x-ray and fluoroscopy0.46NA1.590.09NA2.14XXX
    7103426AChest x-ray and fluoroscopy0.460.170.170.020.650.65XXX
    71034TCAChest x-ray and fluoroscopy0.00NA1.420.07NA1.49XXX
    71035AChest x-ray0.18NA0.570.03NA0.78XXX
    7103526AChest x-ray0.180.060.060.010.250.25XXX
    71035TCAChest x-ray0.00NA0.510.02NA0.53XXX
    71040AContrast x-ray of bronchi0.58NA1.640.10NA2.32XXX
    7104026AContrast x-ray of bronchi0.580.200.200.030.810.81XXX
    71040TCAContrast x-ray of bronchi0.00NA1.440.07NA1.51XXX
    71060AContrast x-ray of bronchi0.74NA2.430.14NA3.31XXX
    7106026AContrast x-ray of bronchi0.740.260.260.031.031.03XXX
    71060TCAContrast x-ray of bronchi0.00NA2.170.11NA2.28XXX
    71090AX-ray & pacemaker insertion0.54NA1.880.11NA2.53XXX
    7109026AX-ray & pacemaker insertion0.540.220.220.020.780.78XXX
    71090TCAX-ray & pacemaker insertion0.00NA1.660.09NA1.75XXX
    71100AX-ray exam of ribs0.22NA0.640.04NA0.90XXX
    Start Printed Page 40479
    7110026AX-ray exam of ribs0.220.080.080.010.310.31XXX
    71100TCAX-ray exam of ribs0.00NA0.560.03NA0.59XXX
    71101AX-ray exam of ribs/chest0.27NA0.750.04NA1.06XXX
    7110126AX-ray exam of ribs/chest0.270.090.090.010.370.37XXX
    71101TCAX-ray exam of ribs/chest0.00NA0.660.03NA0.69XXX
    71110AX-ray exam of ribs0.27NA0.860.05NA1.18XXX
    7111026AX-ray exam of ribs0.270.090.090.010.370.37XXX
    71110TCAX-ray exam of ribs0.00NA0.770.04NA0.81XXX
    71111AX-ray exam of ribs/ chest0.32NA0.990.06NA1.37XXX
    7111126AX-ray exam of ribs/ chest0.320.110.110.010.440.44XXX
    71111TCAX-ray exam of ribs/ chest0.00NA0.880.05NA0.93XXX
    71120AX-ray exam of breastbone0.20NA0.710.04NA0.95XXX
    7112026AX-ray exam of breastbone0.200.070.070.010.280.28XXX
    71120TCAX-ray exam of breastbone0.00NA0.640.03NA0.67XXX
    71130AX-ray exam of breastbone0.22NA0.780.04NA1.04XXX
    7113026AX-ray exam of breastbone0.220.080.080.010.310.31XXX
    71130TCAX-ray exam of breastbone0.00NA0.700.03NA0.73XXX
    71250ACt thorax w/o dye1.16NA6.220.31NA7.69XXX
    7125026ACt thorax w/o dye1.160.400.400.051.611.61XXX
    71250TCACt thorax w/o dye0.00NA5.820.26NA6.08XXX
    71260ACt thorax w/dye1.24NA7.390.36NA8.99XXX
    7126026ACt thorax w/dye1.240.430.430.051.721.72XXX
    71260TCACt thorax w/dye0.00NA6.960.31NA7.27XXX
    71270ACt thorax w/o&w dye1.38NA9.190.44NA11.01XXX
    7127026ACt thorax w/o&w dye1.380.480.480.061.921.92XXX
    71270TCACt thorax w/o&w dye0.00NA8.710.38NA9.09XXX
    71275ACt angiography, chest1.20NA9.180.37NA10.75XXX
    7127526ACt angiography, chest1.200.470.470.051.721.72XXX
    71275TCACt angiography, chest0.00NA8.710.32NA9.03XXX
    71550AMri chest w/o dye1.22NA11.460.41NA13.09XXX
    7155026AMri chest w/o dye1.220.430.430.041.691.69XXX
    71550TCAMri chest w/o dye0.00NA11.030.37NA11.40XXX
    71551AMri chest w/dye1.44NA13.730.48NA15.65XXX
    7155126AMri chest w/dye1.440.500.500.051.991.99XXX
    71551TCAMri chest w/dye0.00NA13.230.43NA13.66XXX
    71552AMri chest w/o&w dye1.89NA25.170.63NA27.69XXX
    7155226AMri chest w/o&w dye1.890.660.660.072.622.62XXX
    71552TCAMri chest w/o&w dye0.00NA24.510.56NA25.07XXX
    71555RMri angio chest w or w/o dye1.81NA11.660.57NA14.04XXX
    7155526RMri angio chest w or w/o dye1.810.630.630.082.522.52XXX
    71555TCRMri angio chest w or w/o dye0.00NA11.030.49NA11.52XXX
    72010AX-ray exam of spine0.45NA1.170.08NA1.70XXX
    7201026AX-ray exam of spine0.450.160.160.030.640.64XXX
    72010TCAX-ray exam of spine0.00NA1.010.05NA1.06XXX
    72020AX-ray exam of spine0.15NA0.460.03NA0.64XXX
    7202026AX-ray exam of spine0.150.050.050.010.210.21XXX
    72020TCAX-ray exam of spine0.00NA0.410.02NA0.43XXX
    72040AX-ray exam of neck spine0.22NA0.670.04NA0.93XXX
    7204026AX-ray exam of neck spine0.220.080.080.010.310.31XXX
    72040TCAX-ray exam of neck spine0.00NA0.590.03NA0.62XXX
    72050AX-ray exam of neck spine0.31NA0.990.07NA1.37XXX
    7205026AX-ray exam of neck spine0.310.110.110.020.440.44XXX
    72050TCAX-ray exam of neck spine0.00NA0.880.05NA0.93XXX
    72052AX-ray exam of neck spine0.36NA1.240.07NA1.67XXX
    7205226AX-ray exam of neck spine0.360.130.130.020.510.51XXX
    72052TCAX-ray exam of neck spine0.00NA1.110.05NA1.16XXX
    72069AX-ray exam of trunk spine0.22NA0.570.04NA0.83XXX
    7206926AX-ray exam of trunk spine0.220.080.080.020.320.32XXX
    72069TCAX-ray exam of trunk spine0.00NA0.490.02NA0.51XXX
    72070AX-ray exam of thoracic spine0.22NA0.720.04NA0.98XXX
    7207026AX-ray exam of thoracic spine0.220.080.080.010.310.31XXX
    72070TCAX-ray exam of thoracic spine0.00NA0.640.03NA0.67XXX
    72072AX-ray exam of thoracic spine0.22NA0.800.05NA1.07XXX
    7207226AX-ray exam of thoracic spine0.220.080.080.010.310.31XXX
    72072TCAX-ray exam of thoracic spine0.00NA0.720.04NA0.76XXX
    72074AX-ray exam of thoracic spine0.22NA0.970.06NA1.25XXX
    7207426AX-ray exam of thoracic spine0.220.080.080.010.310.31XXX
    72074TCAX-ray exam of thoracic spine0.00NA0.890.05NA0.94XXX
    72080AX-ray exam of trunk spine0.22NA0.740.05NA1.01XXX
    7208026AX-ray exam of trunk spine0.220.080.080.020.320.32XXX
    72080TCAX-ray exam of trunk spine0.00NA0.660.03NA0.69XXX
    72090AX-ray exam of trunk spine0.28NA0.760.05NA1.09XXX
    7209026AX-ray exam of trunk spine0.280.100.100.020.400.40XXX
    72090TCAX-ray exam of trunk spine0.00NA0.660.03NA0.69XXX
    Start Printed Page 40480
    72100AX-ray exam of lower spine0.22NA0.740.05NA1.01XXX
    7210026AX-ray exam of lower spine0.220.080.080.020.320.32XXX
    72100TCAX-ray exam of lower spine0.00NA0.660.03NA0.69XXX
    72110AX-ray exam of lower spine0.31NA1.000.07NA1.38XXX
    7211026AX-ray exam of lower spine0.310.110.110.020.440.44XXX
    72110TCAX-ray exam of lower spine0.00NA0.890.05NA0.94XXX
    72114AX-ray exam of lower spine0.36NA1.300.08NA1.74XXX
    7211426AX-ray exam of lower spine0.360.130.130.030.520.52XXX
    72114TCAX-ray exam of lower spine0.00NA1.170.05NA1.22XXX
    72120AX-ray exam of lower spine0.22NA0.960.07NA1.25XXX
    7212026AX-ray exam of lower spine0.220.080.080.020.320.32XXX
    72120TCAX-ray exam of lower spine0.00NA0.880.05NA0.93XXX
    72125ACt neck spine w/o dye1.16NA6.220.31NA7.69XXX
    7212526ACt neck spine w/o dye1.160.400.400.051.611.61XXX
    72125TCACt neck spine w/o dye0.00NA5.820.26NA6.08XXX
    72126ACt neck spine w/dye1.22NA7.380.36NA8.96XXX
    7212626ACt neck spine w/dye1.220.420.420.051.691.69XXX
    72126TCACt neck spine w/dye0.00NA6.960.31NA7.27XXX
    72127ACt neck spine w/o&w dye1.27NA9.160.44NA10.87XXX
    7212726ACt neck spine w/o&w dye1.270.450.450.061.781.78XXX
    72127TCACt neck spine w/o&w dye0.00NA8.710.38NA9.09XXX
    72128ACt chest spine w/o dye1.16NA6.220.31NA7.69XXX
    7212826ACt chest spine w/o dye1.160.400.400.051.611.61XXX
    72128TCACt chest spine w/o dye0.00NA5.820.26NA6.08XXX
    72129ACt chest spine w/dye1.22NA7.380.36NA8.96XXX
    7212926ACt chest spine w/dye1.220.420.420.051.691.69XXX
    72129TCACt chest spine w/dye0.00NA6.960.31NA7.27XXX
    72130ACt chest spine w/o&w dye1.27NA9.150.44NA10.86XXX
    7213026ACt chest spine w/o&w dye1.270.440.440.061.771.77XXX
    72130TCACt chest spine w/o&w dye0.00NA8.710.38NA9.09XXX
    72131ACt lumbar spine w/o dye1.16NA6.220.31NA7.69XXX
    7213126ACt lumbar spine w/o dye1.160.400.400.051.611.61XXX
    72131TCACt lumbar spine w/o dye0.00NA5.820.26NA6.08XXX
    72132ACt lumbar spine w/dye1.22NA7.380.37NA8.97XXX
    7213226ACt lumbar spine w/dye1.220.420.420.061.701.70XXX
    72132TCACt lumbar spine w/dye0.00NA6.960.31NA7.27XXX
    72133ACt lumbar spine w/o&w dye1.27NA9.160.44NA10.87XXX
    7213326ACt lumbar spine w/o&w dye1.270.450.450.061.781.78XXX
    72133TCACt lumbar spine w/o&w dye0.00NA8.710.38NA9.09XXX
    72141AMri neck spine w/o dye1.60NA11.590.56NA13.75XXX
    7214126AMri neck spine w/o dye1.600.560.560.072.232.23XXX
    72141TCAMri neck spine w/o dye0.00NA11.030.49NA11.52XXX
    72142AMri neck spine w/dye1.92NA13.920.67NA16.51XXX
    7214226AMri neck spine w/dye1.920.690.690.092.702.70XXX
    72142TCAMri neck spine w/dye0.00NA13.230.58NA13.81XXX
    72146AMri chest spine w/o dye1.60NA12.810.60NA15.01XXX
    7214626AMri chest spine w/o dye1.600.560.560.072.232.23XXX
    72146TCAMri chest spine w/o dye0.00NA12.250.53NA12.78XXX
    72147AMri chest spine w/dye1.92NA13.910.67NA16.50XXX
    7214726AMri chest spine w/dye1.920.680.680.092.692.69XXX
    72147TCAMri chest spine w/dye0.00NA13.230.58NA13.81XXX
    72148AMri lumbar spine w/o dye1.48NA12.770.60NA14.85XXX
    7214826AMri lumbar spine w/o dye1.480.520.520.072.072.07XXX
    72148TCAMri lumbar spine w/o dye0.00NA12.250.53NA12.78XXX
    72149AMri lumbar spine w/dye1.78NA13.870.67NA16.32XXX
    7214926AMri lumbar spine w/dye1.780.640.640.092.512.51XXX
    72149TCAMri lumbar spine w/dye0.00NA13.230.58NA13.81XXX
    72156AMri neck spine w/o&w dye2.57NA25.411.20NA29.18XXX
    7215626AMri neck spine w/o&w dye2.570.900.900.113.583.58XXX
    72156TCAMri neck spine w/o&w dye0.00NA24.511.09NA25.60XXX
    72157AMri chest spine w/o&w dye2.57NA25.411.20NA29.18XXX
    7215726AMri chest spine w/o&w dye2.570.900.900.113.583.58XXX
    72157TCAMri chest spine w/o&w dye0.00NA24.511.09NA25.60XXX
    72158AMri lumbar spine w/o&w dye2.36NA25.341.20NA28.90XXX
    7215826AMri lumbar spine w/o&w dye2.360.830.830.113.303.30XXX
    72158TCAMri lumbar spine w/o&w dye0.00NA24.511.09NA25.60XXX
    72159NMr angio spine w/o&w dye+1.80NA12.960.61NA15.37XXX
    7215926NMr angio spine w/o&w dye+1.800.710.710.082.592.59XXX
    72159TCNMr angio spine w/o&w dye+0.00NA12.250.53NA12.78XXX
    72170AX-ray exam of pelvis0.17NA0.570.03NA0.77XXX
    7217026AX-ray exam of pelvis0.170.060.060.010.240.24XXX
    72170TCAX-ray exam of pelvis0.00NA0.510.02NA0.53XXX
    72190AX-ray exam of pelvis0.21NA0.730.04NA0.98XXX
    7219026AX-ray exam of pelvis0.210.070.070.010.290.29XXX
    Start Printed Page 40481
    72190TCAX-ray exam of pelvis0.00NA0.660.03NA0.69XXX
    72191ACt angiograph pelv w/o&w dye1.20NA8.830.37NA10.40XXX
    7219126ACt angiograph pelv w/o&w dye1.200.470.470.051.721.72XXX
    72191TCACt angiograph pelv w/o&w dye0.00NA8.360.32NA8.68XXX
    72192ACt pelvis w/o dye1.09NA6.200.31NA7.60XXX
    7219226ACt pelvis w/o dye1.090.380.380.051.521.52XXX
    72192TCACt pelvis w/o dye0.00NA5.820.26NA6.08XXX
    72193ACt pelvis w/dye1.16NA7.140.35NA8.65XXX
    7219326ACt pelvis w/dye1.160.400.400.051.611.61XXX
    72193TCACt pelvis w/dye0.00NA6.740.30NA7.04XXX
    72194ACt pelvis w/o&w dye1.22NA8.780.41NA10.41XXX
    7219426ACt pelvis w/o&w dye1.220.420.420.051.691.69XXX
    72194TCACt pelvis w/o&w dye0.00NA8.360.36NA8.72XXX
    72195AMri pelvis w/o dye1.22NA11.460.41NA13.09XXX
    7219526AMri pelvis w/o dye1.220.430.430.041.691.69XXX
    72195TCAMri pelvis w/o dye0.00NA11.030.37NA11.40XXX
    72196AMri pelvis w/dye1.44NA13.730.48NA15.65XXX
    7219626AMri pelvis w/dye1.440.500.500.051.991.99XXX
    72196TCAMri pelvis w/dye0.00NA13.230.43NA13.66XXX
    72197AMri pelvis w/o & w dye1.89NA25.170.85NA27.91XXX
    7219726AMri pelvis w/o & w dye1.890.660.660.092.642.64XXX
    72197TCAMri pelvis w/o & w dye0.00NA24.510.76NA25.27XXX
    72198NMr angio pelvis w/o&w dye+1.80NA11.740.57NA14.11XXX
    7219826NMr angio pelvis w/o&w dye+1.800.710.710.082.592.59XXX
    72198TCNMr angio pelvis w/o&w dye+0.00NA11.030.49NA11.52XXX
    72200AX-ray exam sacroiliac joints0.17NA0.570.03NA0.77XXX
    7220026AX-ray exam sacroiliac joints0.170.060.060.010.240.24XXX
    72200TCAX-ray exam sacroiliac joints0.00NA0.510.02NA0.53XXX
    72202AX-ray exam sacroiliac joints0.19NA0.680.04NA0.91XXX
    7220226AX-ray exam sacroiliac joints0.190.070.070.010.270.27XXX
    72202TCAX-ray exam sacroiliac joints0.00NA0.610.03NA0.64XXX
    72220AX-ray exam of tailbone0.17NA0.620.04NA0.83XXX
    7222026AX-ray exam of tailbone0.170.060.060.010.240.24XXX
    72220TCAX-ray exam of tailbone0.00NA0.560.03NA0.59XXX
    72240AContrast x-ray of neck spine0.91NA4.970.25NA6.13XXX
    7224026AContrast x-ray of neck spine0.910.300.300.041.251.25XXX
    72240TCAContrast x-ray of neck spine0.00NA4.670.21NA4.88XXX
    72255AContrast x-ray, thorax spine0.91NA4.560.22NA5.69XXX
    7225526AContrast x-ray, thorax spine0.910.290.290.041.241.24XXX
    72255TCAContrast x-ray, thorax spine0.00NA4.270.18NA4.45XXX
    72265AContrast x-ray, lower spine0.83NA4.280.22NA5.33XXX
    7226526AContrast x-ray, lower spine0.830.270.270.041.141.14XXX
    72265TCAContrast x-ray, lower spine0.00NA4.010.18NA4.19XXX
    72270AContrast x-ray of spine1.33NA6.440.34NA8.11XXX
    7227026AContrast x-ray of spine1.330.430.430.071.831.83XXX
    72270TCAContrast x-ray of spine0.00NA6.010.27NA6.28XXX
    72275AEpidurography0.76NA2.320.21NA3.29XXX
    7227526AEpidurography0.760.250.250.031.041.04XXX
    72275TCAEpidurography0.00NA2.070.18NA2.25XXX
    72285AX-ray c/t spine disk1.16NA8.640.42NA10.22XXX
    7228526AX-ray c/t spine disk1.160.390.390.061.611.61XXX
    72285TCAX-ray c/t spine disk0.00NA8.250.36NA8.61XXX
    72295AX-ray of lower spine disk0.83NA8.020.37NA9.22XXX
    7229526AX-ray of lower spine disk0.830.280.280.041.151.15XXX
    72295TCAX-ray of lower spine disk0.00NA7.740.33NA8.07XXX
    73000AX-ray exam of collar bone0.16NA0.570.03NA0.76XXX
    7300026AX-ray exam of collar bone0.160.060.060.010.230.23XXX
    73000TCAX-ray exam of collar bone0.00NA0.510.02NA0.53XXX
    73010AX-ray exam of shoulder blade0.17NA0.570.03NA0.77XXX
    7301026AX-ray exam of shoulder blade0.170.060.060.010.240.24XXX
    73010TCAX-ray exam of shoulder blade0.00NA0.510.02NA0.53XXX
    73020AX-ray exam of shoulder0.15NA0.520.03NA0.70XXX
    7302026AX-ray exam of shoulder0.150.050.050.010.210.21XXX
    73020TCAX-ray exam of shoulder0.00NA0.470.02NA0.49XXX
    73030AX-ray exam of shoulder0.18NA0.620.04NA0.84XXX
    7303026AX-ray exam of shoulder0.180.060.060.010.250.25XXX
    73030TCAX-ray exam of shoulder0.00NA0.560.03NA0.59XXX
    73040AContrast x-ray of shoulder0.54NA2.260.13NA2.93XXX
    7304026AContrast x-ray of shoulder0.540.190.190.030.760.76XXX
    73040TCAContrast x-ray of shoulder0.00NA2.070.10NA2.17XXX
    73050AX-ray exam of shoulders0.20NA0.730.05NA0.98XXX
    7305026AX-ray exam of shoulders0.200.070.070.020.290.29XXX
    73050TCAX-ray exam of shoulders0.00NA0.660.03NA0.69XXX
    73060AX-ray exam of humerus0.17NA0.620.04NA0.83XXX
    Start Printed Page 40482
    7306026AX-ray exam of humerus0.170.060.060.010.240.24XXX
    73060TCAX-ray exam of humerus0.00NA0.560.03NA0.59XXX
    73070AX-ray exam of elbow0.15NA0.560.03NA0.74XXX
    7307026AX-ray exam of elbow0.150.050.050.010.210.21XXX
    73070TCAX-ray exam of elbow0.00NA0.510.02NA0.53XXX
    73080AX-ray exam of elbow0.17NA0.620.04NA0.83XXX
    7308026AX-ray exam of elbow0.170.060.060.010.240.24XXX
    73080TCAX-ray exam of elbow0.00NA0.560.03NA0.59XXX
    73085AContrast x-ray of elbow0.54NA2.270.13NA2.94XXX
    7308526AContrast x-ray of elbow0.540.200.200.030.770.77XXX
    73085TCAContrast x-ray of elbow0.00NA2.070.10NA2.17XXX
    73090AX-ray exam of forearm0.16NA0.570.03NA0.76XXX
    7309026AX-ray exam of forearm0.160.060.060.010.230.23XXX
    73090TCAX-ray exam of forearm0.00NA0.510.02NA0.53XXX
    73092AX-ray exam of arm, infant0.16NA0.550.03NA0.74XXX
    7309226AX-ray exam of arm, infant0.160.060.060.010.230.23XXX
    73092TCAX-ray exam of arm, infant0.00NA0.490.02NA0.51XXX
    73100AX-ray exam of wrist0.16NA0.550.04NA0.75XXX
    7310026AX-ray exam of wrist0.160.060.060.020.240.24XXX
    73100TCAX-ray exam of wrist0.00NA0.490.02NA0.51XXX
    73110AX-ray exam of wrist0.17NA0.580.03NA0.78XXX
    7311026AX-ray exam of wrist0.170.060.060.010.240.24XXX
    73110TCAX-ray exam of wrist0.00NA0.520.02NA0.54XXX
    73115AContrast x-ray of wrist0.54NA1.740.11NA2.39XXX
    7311526AContrast x-ray of wrist0.540.190.190.030.760.76XXX
    73115TCAContrast x-ray of wrist0.00NA1.550.08NA1.63XXX
    73120AX-ray exam of hand0.16NA0.550.03NA0.74XXX
    7312026AX-ray exam of hand0.160.060.060.010.230.23XXX
    73120TCAX-ray exam of hand0.00NA0.490.02NA0.51XXX
    73130AX-ray exam of hand0.17NA0.580.03NA0.78XXX
    7313026AX-ray exam of hand0.170.060.060.010.240.24XXX
    73130TCAX-ray exam of hand0.00NA0.520.02NA0.54XXX
    73140AX-ray exam of finger(s)0.13NA0.460.03NA0.62XXX
    7314026AX-ray exam of finger(s)0.130.050.050.010.190.19XXX
    73140TCAX-ray exam of finger(s)0.00NA0.410.02NA0.43XXX
    73200ACt upper extremity w/o dye1.09NA5.260.26NA6.61XXX
    7320026ACt upper extremity w/o dye1.090.380.380.051.521.52XXX
    73200TCACt upper extremity w/o dye0.00NA4.880.21NA5.09XXX
    73201ACt upper extremity w/dye1.16NA6.230.31NA7.70XXX
    7320126ACt upper extremity w/dye1.160.410.410.051.621.62XXX
    73201TCACt upper extremity w/dye0.00NA5.820.26NA6.08XXX
    73202ACt uppr extremity w/o&w dye1.22NA7.740.38NA9.34XXX
    7320226ACt uppr extremity w/o&w dye1.220.430.430.061.711.71XXX
    73202TCACt uppr extremity w/o&w dye0.00NA7.310.32NA7.63XXX
    73206ACt angio upr extrm w/o&w dye1.20NA7.780.37NA9.35XXX
    7320626ACt angio upr extrm w/o&w dye1.200.470.470.051.721.72XXX
    73206TCACt angio upr extrm w/o&w dye0.00NA7.310.32NA7.63XXX
    73218AMri upper extremity w/o dye1.10NA11.420.36NA12.88XXX
    7321826AMri upper extremity w/o dye1.100.390.390.041.531.53XXX
    73218TCAMri upper extremity w/o dye0.00NA11.030.32NA11.35XXX
    73219AMri upper extremity w/dye1.33NA13.700.43NA15.46XXX
    7321926AMri upper extremity w/dye1.330.470.470.041.841.84XXX
    73219TCAMri upper extremity w/dye0.00NA13.230.39NA13.62XXX
    73220AMri uppr extremity w/o&w dye1.76NA25.130.78NA27.67XXX
    7322026AMri uppr extremity w/o&w dye1.760.620.620.082.462.46XXX
    73220TCAMri uppr extremity w/o&w dye0.00NA24.510.70NA25.21XXX
    73221AMri joint upr extrem w/o dye1.10NA11.420.36NA12.88XXX
    7322126AMri joint upr extrem w/o dye1.100.390.390.041.531.53XXX
    73221TCAMri joint upr extrem w/o dye0.00NA11.030.32NA11.35XXX
    73222AMri joint upr extrem w/ dye1.33NA13.700.43NA15.46XXX
    7322226AMri joint upr extrem w/ dye1.330.470.470.041.841.84XXX
    73222TCAMri joint upr extrem w/ dye0.00NA13.230.39NA13.62XXX
    73223AMri joint upr extr w/o&w dye1.76NA25.130.78NA27.67XXX
    7322326AMri joint upr extr w/o&w dye1.760.620.620.082.462.46XXX
    73223TCAMri joint upr extr w/o&w dye0.00NA24.510.70NA25.21XXX
    73225NMr angio upr extr w/o&w dye+1.73NA11.710.57NA14.01XXX
    7322526NMr angio upr extr w/o&w dye+1.730.680.680.082.492.49XXX
    73225TCNMr angio upr extr w/o&w dye+0.00NA11.030.49NA11.52XXX
    73500AX-ray exam of hip0.17NA0.530.03NA0.73XXX
    7350026AX-ray exam of hip0.170.060.060.010.240.24XXX
    73500TCAX-ray exam of hip0.00NA0.470.02NA0.49XXX
    73510AX-ray exam of hip0.21NA0.630.05NA0.89XXX
    7351026AX-ray exam of hip0.210.070.070.020.300.30XXX
    73510TCAX-ray exam of hip0.00NA0.560.03NA0.59XXX
    Start Printed Page 40483
    73520AX-ray exam of hips0.26NA0.750.05NA1.06XXX
    7352026AX-ray exam of hips0.260.090.090.020.370.37XXX
    73520TCAX-ray exam of hips0.00NA0.660.03NA0.69XXX
    73525AContrast x-ray of hip0.54NA2.260.13NA2.93XXX
    7352526AContrast x-ray of hip0.540.190.190.030.760.76XXX
    73525TCAContrast x-ray of hip0.00NA2.070.10NA2.17XXX
    73530AX-ray exam of hip0.29NA0.610.03NA0.93XXX
    7353026AX-ray exam of hip0.290.100.100.010.400.40XXX
    73530TCAX-ray exam of hip0.00NA0.510.02NA0.53XXX
    73540AX-ray exam of pelvis & hips0.20NA0.630.05NA0.88XXX
    7354026AX-ray exam of pelvis & hips0.200.070.070.020.290.29XXX
    73540TCAX-ray exam of pelvis & hips0.00NA0.560.03NA0.59XXX
    73542AX-ray exam, sacroiliac joint0.59NA2.280.13NA3.00XXX
    7354226AX-ray exam, sacroiliac joint0.590.210.210.030.830.83XXX
    73542TCAX-ray exam, sacroiliac joint0.00NA2.070.10NA2.17XXX
    73550AX-ray exam of thigh0.17NA0.620.04NA0.83XXX
    7355026AX-ray exam of thigh0.170.060.060.010.240.24XXX
    73550TCAX-ray exam of thigh0.00NA0.560.03NA0.59XXX
    73560AX-ray exam of knee, 1 or 20.17NA0.570.04NA0.78XXX
    7356026AX-ray exam of knee, 1 or 20.170.060.060.020.250.25XXX
    73560TCAX-ray exam of knee, 1 or 20.00NA0.510.02NA0.53XXX
    73562AX-ray exam of knee, 30.18NA0.620.05NA0.85XXX
    7356226AX-ray exam of knee, 30.180.060.060.020.260.26XXX
    73562TCAX-ray exam of knee, 30.00NA0.560.03NA0.59XXX
    73564AX-ray exam, knee, 4 or more0.22NA0.690.05NA0.96XXX
    7356426AX-ray exam, knee, 4 or more0.220.080.080.020.320.32XXX
    73564TCAX-ray exam, knee, 4 or more0.00NA0.610.03NA0.64XXX
    73565AX-ray exam of knees0.17NA0.560.04NA0.77XXX
    7356526AX-ray exam of knees0.170.070.070.020.260.26XXX
    73565TCAX-ray exam of knees0.00NA0.490.02NA0.51XXX
    73580AContrast x-ray of knee joint0.54NA2.770.15NA3.46XXX
    7358026AContrast x-ray of knee joint0.540.190.190.030.760.76XXX
    73580TCAContrast x-ray of knee joint0.00NA2.580.12NA2.70XXX
    73590AX-ray exam of lower leg0.17NA0.570.03NA0.77XXX
    7359026AX-ray exam of lower leg0.170.060.060.010.240.24XXX
    73590TCAX-ray exam of lower leg0.00NA0.510.02NA0.53XXX
    73592AX-ray exam of leg, infant0.16NA0.550.03NA0.74XXX
    7359226AX-ray exam of leg, infant0.160.060.060.010.230.23XXX
    73592TCAX-ray exam of leg, infant0.00NA0.490.02NA0.51XXX
    73600AX-ray exam of ankle0.16NA0.550.03NA0.74XXX
    7360026AX-ray exam of ankle0.160.060.060.010.230.23XXX
    73600TCAX-ray exam of ankle0.00NA0.490.02NA0.51XXX
    73610AX-ray exam of ankle0.17NA0.580.03NA0.78XXX
    7361026AX-ray exam of ankle0.170.060.060.010.240.24XXX
    73610TCAX-ray exam of ankle0.00NA0.520.02NA0.54XXX
    73615AContrast x-ray of ankle0.54NA2.270.13NA2.94XXX
    7361526AContrast x-ray of ankle0.540.200.200.030.770.77XXX
    73615TCAContrast x-ray of ankle0.00NA2.070.10NA2.17XXX
    73620AX-ray exam of foot0.16NA0.550.03NA0.74XXX
    7362026AX-ray exam of foot0.160.060.060.010.230.23XXX
    73620TCAX-ray exam of foot0.00NA0.490.02NA0.51XXX
    73630AX-ray exam of foot0.17NA0.580.03NA0.78XXX
    7363026AX-ray exam of foot0.170.060.060.010.240.24XXX
    73630TCAX-ray exam of foot0.00NA0.520.02NA0.54XXX
    73650AX-ray exam of heel0.16NA0.530.03NA0.72XXX
    7365026AX-ray exam of heel0.160.060.060.010.230.23XXX
    73650TCAX-ray exam of heel0.00NA0.470.02NA0.49XXX
    73660AX-ray exam of toe(s)0.13NA0.460.03NA0.62XXX
    7366026AX-ray exam of toe(s)0.130.050.050.010.190.19XXX
    73660TCAX-ray exam of toe(s)0.00NA0.410.02NA0.43XXX
    73700ACt lower extremity w/o dye1.09NA5.260.26NA6.61XXX
    7370026ACt lower extremity w/o dye1.090.380.380.051.521.52XXX
    73700TCACt lower extremity w/o dye0.00NA4.880.21NA5.09XXX
    73701ACt lower extremity w/dye1.16NA6.220.31NA7.69XXX
    7370126ACt lower extremity w/dye1.160.400.400.051.611.61XXX
    73701TCACt lower extremity w/dye0.00NA5.820.26NA6.08XXX
    73702ACt lwr extremity w/o&w dye1.22NA7.740.37NA9.33XXX
    7370226ACt lwr extremity w/o&w dye1.220.430.430.051.701.70XXX
    73702TCACt lwr extremity w/o&w dye0.00NA7.310.32NA7.63XXX
    73706ACt angio lwr extr w/o&w dye1.20NA7.780.37NA9.35XXX
    7370626ACt angio lwr extr w/o&w dye1.200.470.470.051.721.72XXX
    73706TCACt angio lwr extr w/o&w dye0.00NA7.310.32NA7.63XXX
    73718AMri lower extremity w/o dye1.10NA11.410.36NA12.87XXX
    7371826AMri lower extremity w/o dye1.100.380.380.041.521.52XXX
    Start Printed Page 40484
    73718TCAMri lower extremity w/o dye0.00NA11.030.32NA11.35XXX
    73719AMri lower extremity w/dye1.33NA13.690.43NA15.45XXX
    7371926AMri lower extremity w/dye1.330.460.460.041.831.83XXX
    73719TCAMri lower extremity w/dye0.00NA13.230.39NA13.62XXX
    73720AMri lwr extremity w/o&w dye1.76NA25.120.78NA27.66XXX
    7372026AMri lwr extremity w/o&w dye1.760.610.610.082.452.45XXX
    73720TCAMri lwr extremity w/o&w dye0.00NA24.510.70NA25.21XXX
    73721AMri joint of lwr extre w/o d1.10NA11.420.36NA12.88XXX
    7372126AMri joint of lwr extre w/o d1.100.390.390.041.531.53XXX
    73721TCAMri joint of lwr extre w/o d0.00NA11.030.32NA11.35XXX
    73722AMri joint of lwr extr w/dye1.33NA13.700.43NA15.46XXX
    7372226AMri joint of lwr extr w/dye1.330.470.470.041.841.84XXX
    73722TCAMri joint of lwr extr w/dye0.00NA13.230.39NA13.62XXX
    73723AMri joint lwr extr w/o&w dye1.76NA25.130.78NA27.67XXX
    7372326AMri joint lwr extr w/o&w dye1.760.620.620.082.462.46XXX
    73723TCAMri joint lwr extr w/o&w dye0.00NA24.510.70NA25.21XXX
    73725RMr ang lwr ext w or w/o dye1.82NA11.670.57NA14.06XXX
    7372526RMr ang lwr ext w or w/o dye1.820.640.640.082.542.54XXX
    73725TCRMr ang lwr ext w or w/o dye0.00NA11.030.49NA11.52XXX
    74000AX-ray exam of abdomen0.18NA0.570.03NA0.78XXX
    7400026AX-ray exam of abdomen0.180.060.060.010.250.25XXX
    74000TCAX-ray exam of abdomen0.00NA0.510.02NA0.53XXX
    74010AX-ray exam of abdomen0.23NA0.640.04NA0.91XXX
    7401026AX-ray exam of abdomen0.230.080.080.010.320.32XXX
    74010TCAX-ray exam of abdomen0.00NA0.560.03NA0.59XXX
    74020AX-ray exam of abdomen0.27NA0.700.04NA1.01XXX
    7402026AX-ray exam of abdomen0.270.090.090.010.370.37XXX
    74020TCAX-ray exam of abdomen0.00NA0.610.03NA0.64XXX
    74022AX-ray exam series, abdomen0.32NA0.830.05NA1.20XXX
    7402226AX-ray exam series, abdomen0.320.110.110.010.440.44XXX
    74022TCAX-ray exam series, abdomen0.00NA0.720.04NA0.76XXX
    74150ACt abdomen w/o dye1.19NA5.980.30NA7.47XXX
    7415026ACt abdomen w/o dye1.190.410.410.051.651.65XXX
    74150TCACt abdomen w/o dye0.00NA5.570.25NA5.82XXX
    74160ACt abdomen w/dye1.27NA7.180.36NA8.81XXX
    7416026ACt abdomen w/dye1.270.440.440.061.771.77XXX
    74160TCACt abdomen w/dye0.00NA6.740.30NA7.04XXX
    74170ACt abdomen w/o&w dye1.40NA8.850.42NA10.67XXX
    7417026ACt abdomen w/o&w dye1.400.490.490.061.951.95XXX
    74170TCACt abdomen w/o&w dye0.00NA8.360.36NA8.72XXX
    74175ACt angio abdom w/o&w dye1.20NA8.830.37NA10.40XXX
    7417526ACt angio abdom w/o&w dye1.200.470.470.051.721.72XXX
    74175TCACt angio abdom w/o&w dye0.00NA8.360.32NA8.68XXX
    74181AMri abdomen w/o dye1.22NA11.460.41NA13.09XXX
    7418126AMri abdomen w/o dye1.220.430.430.041.691.69XXX
    74181TCAMri abdomen w/o dye0.00NA11.030.37NA11.40XXX
    74182AMri abdomen w/dye1.44NA13.730.48NA15.65XXX
    7418226AMri abdomen w/dye1.440.500.500.051.991.99XXX
    74182TCAMri abdomen w/dye0.00NA13.230.43NA13.66XXX
    74183AMri abdomen w/o&w dye1.89NA25.170.85NA27.91XXX
    7418326AMri abdomen w/o&w dye1.890.660.660.092.642.64XXX
    74183TCAMri abdomen w/o&w dye0.00NA24.510.76NA25.27XXX
    74185RMri angio, abdom w or w/o dy1.80NA11.660.57NA14.03XXX
    7418526RMri angio, abdom w or w/o dy1.800.630.630.082.512.51XXX
    74185TCRMri angio, abdom w or w/o dy0.00NA11.030.49NA11.52XXX
    74190AX-ray exam of peritoneum0.48NA1.460.08NA2.02XXX
    7419026AX-ray exam of peritoneum0.480.170.170.020.670.67XXX
    74190TCAX-ray exam of peritoneum0.00NA1.290.06NA1.35XXX
    74210AContrst x-ray exam of throat0.36NA1.300.07NA1.73XXX
    7421026AContrst x-ray exam of throat0.360.130.130.020.510.51XXX
    74210TCAContrst x-ray exam of throat0.00NA1.170.05NA1.22XXX
    74220AContrast x-ray, esophagus0.46NA1.330.07NA1.86XXX
    7422026AContrast x-ray, esophagus0.460.160.160.020.640.64XXX
    74220TCAContrast x-ray, esophagus0.00NA1.170.05NA1.22XXX
    74230ACinema x-ray, throat/esoph0.53NA1.480.08NA2.09XXX
    7423026ACinema x-ray, throat/esoph0.530.190.190.020.740.74XXX
    74230TCACinema x-ray, throat/esoph0.00NA1.290.06NA1.35XXX
    74235ARemove esophagus obstruction1.19NA3.000.17NA4.36XXX
    7423526ARemove esophagus obstruction1.190.420.420.051.661.66XXX
    74235TCARemove esophagus obstruction0.00NA2.580.12NA2.70XXX
    74240AX-ray exam, upper gi tract0.69NA1.680.10NA2.47XXX
    7424026AX-ray exam, upper gi tract0.690.240.240.030.960.96XXX
    74240TCAX-ray exam, upper gi tract0.00NA1.440.07NA1.51XXX
    74241AX-ray exam, upper gi tract0.69NA1.710.10NA2.50XXX
    Start Printed Page 40485
    7424126AX-ray exam, upper gi tract0.690.240.240.030.960.96XXX
    74241TCAX-ray exam, upper gi tract0.00NA1.470.07NA1.54XXX
    74245AX-ray exam, upper gi tract0.91NA2.660.15NA3.72XXX
    7424526AX-ray exam, upper gi tract0.910.320.320.041.271.27XXX
    74245TCAX-ray exam, upper gi tract0.00NA2.340.11NA2.45XXX
    74246AContrst x-ray uppr gi tract0.69NA1.860.11NA2.66XXX
    7424626AContrst x-ray uppr gi tract0.690.240.240.030.960.96XXX
    74246TCAContrst x-ray uppr gi tract0.00NA1.620.08NA1.70XXX
    74247AContrst x-ray uppr gi tract0.69NA1.900.12NA2.71XXX
    7424726AContrst x-ray uppr gi tract0.690.240.240.030.960.96XXX
    74247TCAContrst x-ray uppr gi tract0.00NA1.660.09NA1.75XXX
    74249AContrst x-ray uppr gi tract0.91NA2.850.16NA3.92XXX
    7424926AContrst x-ray uppr gi tract0.910.320.320.041.271.27XXX
    74249TCAContrst x-ray uppr gi tract0.00NA2.530.12NA2.65XXX
    74250AX-ray exam of small bowel0.47NA1.450.08NA2.00XXX
    7425026AX-ray exam of small bowel0.470.160.160.020.650.65XXX
    74250TCAX-ray exam of small bowel0.00NA1.290.06NA1.35XXX
    74251AX-ray exam of small bowel0.69NA1.530.09NA2.31XXX
    7425126AX-ray exam of small bowel0.690.240.240.030.960.96XXX
    74251TCAX-ray exam of small bowel0.00NA1.290.06NA1.35XXX
    74260AX-ray exam of small bowel0.50NA1.640.09NA2.23XXX
    7426026AX-ray exam of small bowel0.500.170.170.020.690.69XXX
    74260TCAX-ray exam of small bowel0.00NA1.470.07NA1.54XXX
    74270AContrast x-ray exam of colon0.69NA1.920.12NA2.73XXX
    7427026AContrast x-ray exam of colon0.690.240.240.030.960.96XXX
    74270TCAContrast x-ray exam of colon0.00NA1.680.09NA1.77XXX
    74280AContrast x-ray exam of colon0.99NA2.550.15NA3.69XXX
    7428026AContrast x-ray exam of colon0.990.350.350.041.381.38XXX
    74280TCAContrast x-ray exam of colon0.00NA2.200.11NA2.31XXX
    74283AContrast x-ray exam of colon2.02NA3.220.21NA5.45XXX
    7428326AContrast x-ray exam of colon2.020.700.700.092.812.81XXX
    74283TCAContrast x-ray exam of colon0.00NA2.520.12NA2.64XXX
    74290AContrast x-ray, gallbladder0.32NA0.830.05NA1.20XXX
    7429026AContrast x-ray, gallbladder0.320.110.110.010.440.44XXX
    74290TCAContrast x-ray, gallbladder0.00NA0.720.04NA0.76XXX
    74291AContrast x-rays, gallbladder0.20NA0.480.03NA0.71XXX
    7429126AContrast x-rays, gallbladder0.200.070.070.010.280.28XXX
    74291TCAContrast x-rays, gallbladder0.00NA0.410.02NA0.43XXX
    74300CX-ray bile ducts/pancreas0.00NA0.000.00NA0.00XXX
    7430026AX-ray bile ducts/pancreas0.360.130.130.020.510.51XXX
    74300TCCX-ray bile ducts/pancreas0.00NA0.000.00NA0.00XXX
    74301CX-rays at surgery add-on0.00NA0.000.00NA0.00ZZZ
    7430126AX-rays at surgery add-on0.210.070.070.010.290.29ZZZ
    74301TCCX-rays at surgery add-on0.00NA0.000.00NA0.00ZZZ
    74305AX-ray bile ducts/pancreas0.42NA0.920.06NA1.40XXX
    7430526AX-ray bile ducts/pancreas0.420.150.150.020.590.59XXX
    74305TCAX-ray bile ducts/pancreas0.00NA0.770.04NA0.81XXX
    74320AContrast x-ray of bile ducts0.54NA3.290.16NA3.99XXX
    7432026AContrast x-ray of bile ducts0.540.190.190.020.750.75XXX
    74320TCAContrast x-ray of bile ducts0.00NA3.100.14NA3.24XXX
    74327AX-ray bile stone removal0.70NA1.970.12NA2.79XXX
    7432726AX-ray bile stone removal0.700.240.240.030.970.97XXX
    74327TCAX-ray bile stone removal0.00NA1.730.09NA1.82XXX
    74328AXray bile duct endoscopy0.70NA3.340.17NA4.21XXX
    7432826AXray bile duct endoscopy0.700.240.240.030.970.97XXX
    74328TCAXray bile duct endoscopy0.00NA3.100.14NA3.24XXX
    74329AX-ray for pancreas endoscopy0.70NA3.340.17NA4.21XXX
    7432926AX-ray for pancreas endoscopy0.700.240.240.030.970.97XXX
    74329TCAX-ray for pancreas endoscopy0.00NA3.100.14NA3.24XXX
    74330AX-ray bile/panc endoscopy0.90NA3.410.18NA4.49XXX
    7433026AX-ray bile/panc endoscopy0.900.310.310.041.251.25XXX
    74330TCAX-ray bile/panc endoscopy0.00NA3.100.14NA3.24XXX
    74340AX-ray guide for GI tube0.54NA2.770.14NA3.45XXX
    7434026AX-ray guide for GI tube0.540.190.190.020.750.75XXX
    74340TCAX-ray guide for GI tube0.00NA2.580.12NA2.70XXX
    74350AX-ray guide, stomach tube0.76NA3.360.17NA4.29XXX
    7435026AX-ray guide, stomach tube0.760.260.260.031.051.05XXX
    74350TCAX-ray guide, stomach tube0.00NA3.100.14NA3.24XXX
    74355AX-ray guide, intestinal tube0.76NA2.840.15NA3.75XXX
    7435526AX-ray guide, intestinal tube0.760.260.260.031.051.05XXX
    74355TCAX-ray guide, intestinal tube0.00NA2.580.12NA2.70XXX
    74360AX-ray guide, GI dilation0.54NA3.290.16NA3.99XXX
    7436026AX-ray guide, GI dilation0.540.190.190.020.750.75XXX
    74360TCAX-ray guide, GI dilation0.00NA3.100.14NA3.24XXX
    Start Printed Page 40486
    74363AX-ray, bile duct dilation0.88NA6.310.31NA7.50XXX
    7436326AX-ray, bile duct dilation0.880.300.300.041.221.22XXX
    74363TCAX-ray, bile duct dilation0.00NA6.010.27NA6.28XXX
    74400AContrst x-ray, urinary tract0.49NA1.830.11NA2.43XXX
    7440026AContrst x-ray, urinary tract0.490.170.170.020.680.68XXX
    74400TCAContrst x-ray, urinary tract0.00NA1.660.09NA1.75XXX
    74410AContrst x-ray, urinary tract0.49NA2.090.11NA2.69XXX
    7441026AContrst x-ray, urinary tract0.490.170.170.020.680.68XXX
    74410TCAContrst x-ray, urinary tract0.00NA1.920.09NA2.01XXX
    74415AContrst x-ray, urinary tract0.49NA2.260.12NA2.87XXX
    7441526AContrst x-ray, urinary tract0.490.170.170.020.680.68XXX
    74415TCAContrst x-ray, urinary tract0.00NA2.090.10NA2.19XXX
    74420AContrst x-ray, urinary tract0.36NA2.700.14NA3.20XXX
    7442026AContrst x-ray, urinary tract0.360.120.120.020.500.50XXX
    74420TCAContrst x-ray, urinary tract0.00NA2.580.12NA2.70XXX
    74425AContrst x-ray, urinary tract0.36NA1.410.08NA1.85XXX
    7442526AContrst x-ray, urinary tract0.360.120.120.020.500.50XXX
    74425TCAContrst x-ray, urinary tract0.00NA1.290.06NA1.35XXX
    74430AContrast x-ray, bladder0.32NA1.150.07NA1.54XXX
    7443026AContrast x-ray, bladder0.320.110.110.020.450.45XXX
    74430TCAContrast x-ray, bladder0.00NA1.040.05NA1.09XXX
    74440AX-ray, male genital tract0.38NA1.240.07NA1.69XXX
    7444026AX-ray, male genital tract0.380.130.130.020.530.53XXX
    74440TCAX-ray, male genital tract0.00NA1.110.05NA1.16XXX
    74445AX-ray exam of penis1.14NA1.510.10NA2.75XXX
    7444526AX-ray exam of penis1.140.400.400.051.591.59XXX
    74445TCAX-ray exam of penis0.00NA1.110.05NA1.16XXX
    74450AX-ray, urethra/bladder0.33NA1.550.09NA1.97XXX
    7445026AX-ray, urethra/bladder0.330.110.110.020.460.46XXX
    74450TCAX-ray, urethra/bladder0.00NA1.440.07NA1.51XXX
    74455AX-ray, urethra/bladder0.33NA1.660.10NA2.09XXX
    7445526AX-ray, urethra/bladder0.330.110.110.020.460.46XXX
    74455TCAX-ray, urethra/bladder0.00NA1.550.08NA1.63XXX
    74470AX-ray exam of kidney lesion0.54NA1.420.08NA2.04XXX
    7447026AX-ray exam of kidney lesion0.540.190.190.020.750.75XXX
    74470TCAX-ray exam of kidney lesion0.00NA1.230.06NA1.29XXX
    74475AX-ray control, cath insert0.54NA4.200.20NA4.94XXX
    7447526AX-ray control, cath insert0.540.190.190.020.750.75XXX
    74475TCAX-ray control, cath insert0.00NA4.010.18NA4.19XXX
    74480AX-ray control, cath insert0.54NA4.200.20NA4.94XXX
    7448026AX-ray control, cath insert0.540.190.190.020.750.75XXX
    74480TCAX-ray control, cath insert0.00NA4.010.18NA4.19XXX
    74485AX-ray guide, GU dilation0.54NA3.290.17NA4.00XXX
    7448526AX-ray guide, GU dilation0.540.190.190.030.760.76XXX
    74485TCAX-ray guide, GU dilation0.00NA3.100.14NA3.24XXX
    74710AX-ray measurement of pelvis0.34NA1.160.07NA1.57XXX
    7471026AX-ray measurement of pelvis0.340.120.120.020.480.48XXX
    74710TCAX-ray measurement of pelvis0.00NA1.040.05NA1.09XXX
    74740AX-ray, female genital tract0.38NA1.420.08NA1.88XXX
    7474026AX-ray, female genital tract0.380.130.130.020.530.53XXX
    74740TCAX-ray, female genital tract0.00NA1.290.06NA1.35XXX
    74742AX-ray, fallopian tube0.61NA3.320.16NA4.09XXX
    7474226AX-ray, fallopian tube0.610.220.220.020.850.85XXX
    74742TCAX-ray, fallopian tube0.00NA3.100.14NA3.24XXX
    74775AX-ray exam of perineum0.62NA1.660.10NA2.38XXX
    7477526AX-ray exam of perineum0.620.220.220.030.870.87XXX
    74775TCAX-ray exam of perineum0.00NA1.440.07NA1.51XXX
    75552AHeart mri for morph w/o dye1.60NA11.590.56NA13.75XXX
    7555226AHeart mri for morph w/o dye1.600.560.560.072.232.23XXX
    75552TCAHeart mri for morph w/o dye0.00NA11.030.49NA11.52XXX
    75553AHeart mri for morph w/dye2.00NA11.730.58NA14.31XXX
    7555326AHeart mri for morph w/dye2.000.700.700.092.792.79XXX
    75553TCAHeart mri for morph w/dye0.00NA11.030.49NA11.52XXX
    75554ACardiac MRI/function1.83NA11.720.56NA14.11XXX
    7555426ACardiac MRI/function1.830.690.690.072.592.59XXX
    75554TCACardiac MRI/function0.00NA11.030.49NA11.52XXX
    75555ACardiac MRI/limited study1.74NA11.700.56NA14.00XXX
    7555526ACardiac MRI/limited study1.740.670.670.072.482.48XXX
    75555TCACardiac MRI/limited study0.00NA11.030.49NA11.52XXX
    75556NCardiac MRI/flow mapping0.00NA0.000.00NA0.00XXX
    75600AContrast x-ray exam of aorta0.49NA12.610.56NA13.66XXX
    7560026AContrast x-ray exam of aorta0.490.200.200.020.710.71XXX
    75600TCAContrast x-ray exam of aorta0.00NA12.410.54NA12.95XXX
    75605AContrast x-ray exam of aorta1.14NA12.830.59NA14.56XXX
    Start Printed Page 40487
    7560526AContrast x-ray exam of aorta1.140.420.420.051.611.61XXX
    75605TCAContrast x-ray exam of aorta0.00NA12.410.54NA12.95XXX
    75625AContrast x-ray exam of aorta1.14NA12.810.59NA14.54XXX
    7562526AContrast x-ray exam of aorta1.140.400.400.051.591.59XXX
    75625TCAContrast x-ray exam of aorta0.00NA12.410.54NA12.95XXX
    75630AX-ray aorta, leg arteries1.79NA13.580.65NA16.02XXX
    7563026AX-ray aorta, leg arteries1.790.650.650.082.522.52XXX
    75630TCAX-ray aorta, leg arteries0.00NA12.930.57NA13.50XXX
    75635ACt angio abdominal arteries1.89NA9.110.37NA11.37XXX
    7563526ACt angio abdominal arteries1.890.750.750.052.692.69XXX
    75635TCACt angio abdominal arteries0.00NA8.360.32NA8.68XXX
    75650AArtery x-rays, head & neck1.49NA12.930.61NA15.03XXX
    7565026AArtery x-rays, head & neck1.490.520.520.072.082.08XXX
    75650TCAArtery x-rays, head & neck0.00NA12.410.54NA12.95XXX
    75658AArtery x-rays, arm1.31NA12.920.60NA14.83XXX
    7565826AArtery x-rays, arm1.310.510.510.061.881.88XXX
    75658TCAArtery x-rays, arm0.00NA12.410.54NA12.95XXX
    75660AArtery x-rays, head & neck1.31NA12.880.60NA14.79XXX
    7566026AArtery x-rays, head & neck1.310.470.470.061.841.84XXX
    75660TCAArtery x-rays, head & neck0.00NA12.410.54NA12.95XXX
    75662AArtery x-rays, head & neck1.66NA13.040.62NA15.32XXX
    7566226AArtery x-rays, head & neck1.660.630.630.082.372.37XXX
    75662TCAArtery x-rays, head & neck0.00NA12.410.54NA12.95XXX
    75665AArtery x-rays, head & neck1.31NA12.870.61NA14.79XXX
    7566526AArtery x-rays, head & neck1.310.460.460.071.841.84XXX
    75665TCAArtery x-rays, head & neck0.00NA12.410.54NA12.95XXX
    75671AArtery x-rays, head & neck1.66NA12.990.62NA15.27XXX
    7567126AArtery x-rays, head & neck1.660.580.580.082.322.32XXX
    75671TCAArtery x-rays, head & neck0.00NA12.410.54NA12.95XXX
    75676AArtery x-rays, neck1.31NA12.880.61NA14.80XXX
    7567626AArtery x-rays, neck1.310.470.470.071.851.85XXX
    75676TCAArtery x-rays, neck0.00NA12.410.54NA12.95XXX
    75680AArtery x-rays, neck1.66NA12.990.62NA15.27XXX
    7568026AArtery x-rays, neck1.660.580.580.082.322.32XXX
    75680TCAArtery x-rays, neck0.00NA12.410.54NA12.95XXX
    75685AArtery x-rays, spine1.31NA12.870.60NA14.78XXX
    7568526AArtery x-rays, spine1.310.460.460.061.831.83XXX
    75685TCAArtery x-rays, spine0.00NA12.410.54NA12.95XXX
    75705AArtery x-rays, spine2.18NA13.180.65NA16.01XXX
    7570526AArtery x-rays, spine2.180.770.770.113.063.06XXX
    75705TCAArtery x-rays, spine0.00NA12.410.54NA12.95XXX
    75710AArtery x-rays, arm/leg1.14NA12.820.60NA14.56XXX
    7571026AArtery x-rays, arm/leg1.140.410.410.061.611.61XXX
    75710TCAArtery x-rays, arm/leg0.00NA12.410.54NA12.95XXX
    75716AArtery x-rays, arms/legs1.31NA12.870.60NA14.78XXX
    7571626AArtery x-rays, arms/legs1.310.460.460.061.831.83XXX
    75716TCAArtery x-rays, arms/legs0.00NA12.410.54NA12.95XXX
    75722AArtery x-rays, kidney1.14NA12.830.59NA14.56XXX
    7572226AArtery x-rays, kidney1.140.420.420.051.611.61XXX
    75722TCAArtery x-rays, kidney0.00NA12.410.54NA12.95XXX
    75724AArtery x-rays, kidneys1.49NA13.000.59NA15.08XXX
    7572426AArtery x-rays, kidneys1.490.590.590.052.132.13XXX
    75724TCAArtery x-rays, kidneys0.00NA12.410.54NA12.95XXX
    75726AArtery x-rays, abdomen1.14NA12.810.59NA14.54XXX
    7572626AArtery x-rays, abdomen1.140.400.400.051.591.59XXX
    75726TCAArtery x-rays, abdomen0.00NA12.410.54NA12.95XXX
    75731AArtery x-rays, adrenal gland1.14NA12.810.59NA14.54XXX
    7573126AArtery x-rays, adrenal gland1.140.400.400.051.591.59XXX
    75731TCAArtery x-rays, adrenal gland0.00NA12.410.54NA12.95XXX
    75733AArtery x-rays, adrenals1.31NA12.880.60NA14.79XXX
    7573326AArtery x-rays, adrenals1.310.470.470.061.841.84XXX
    75733TCAArtery x-rays, adrenals0.00NA12.410.54NA12.95XXX
    75736AArtery x-rays, pelvis1.14NA12.810.59NA14.54XXX
    7573626AArtery x-rays, pelvis1.140.400.400.051.591.59XXX
    75736TCAArtery x-rays, pelvis0.00NA12.410.54NA12.95XXX
    75741AArtery x-rays, lung1.31NA12.870.60NA14.78XXX
    7574126AArtery x-rays, lung1.310.460.460.061.831.83XXX
    75741TCAArtery x-rays, lung0.00NA12.410.54NA12.95XXX
    75743AArtery x-rays, lungs1.66NA12.990.61NA15.26XXX
    7574326AArtery x-rays, lungs1.660.580.580.072.312.31XXX
    75743TCAArtery x-rays, lungs0.00NA12.410.54NA12.95XXX
    75746AArtery x-rays, lung1.14NA12.810.59NA14.54XXX
    7574626AArtery x-rays, lung1.140.400.400.051.591.59XXX
    75746TCAArtery x-rays, lung0.00NA12.410.54NA12.95XXX
    Start Printed Page 40488
    75756AArtery x-rays, chest1.14NA12.880.58NA14.60XXX
    7575626AArtery x-rays, chest1.140.470.470.041.651.65XXX
    75756TCAArtery x-rays, chest0.00NA12.410.54NA12.95XXX
    75774AArtery x-ray, each vessel0.36NA12.540.56NA13.46ZZZ
    7577426AArtery x-ray, each vessel0.360.130.130.020.510.51ZZZ
    75774TCAArtery x-ray, each vessel0.00NA12.410.54NA12.95ZZZ
    75790AVisualize A-V shunt1.84NA1.970.16NA3.97XXX
    7579026AVisualize A-V shunt1.840.640.640.092.572.57XXX
    75790TCAVisualize A-V shunt0.00NA1.330.07NA1.40XXX
    75801ALymph vessel x-ray, arm/leg0.81NA5.610.29NA6.71XXX
    7580126ALymph vessel x-ray, arm/leg0.810.280.280.051.141.14XXX
    75801TCALymph vessel x-ray, arm/leg0.00NA5.330.24NA5.57XXX
    75803ALymph vessel x-ray,arms/legs1.17NA5.740.29NA7.20XXX
    7580326ALymph vessel x-ray,arms/legs1.170.410.410.051.631.63XXX
    75803TCALymph vessel x-ray,arms/legs0.00NA5.330.24NA5.57XXX
    75805ALymph vessel x-ray, trunk0.81NA6.300.31NA7.42XXX
    7580526ALymph vessel x-ray, trunk0.810.290.290.041.141.14XXX
    75805TCALymph vessel x-ray, trunk0.00NA6.010.27NA6.28XXX
    75807ALymph vessel x-ray, trunk1.17NA6.420.32NA7.91XXX
    7580726ALymph vessel x-ray, trunk1.170.410.410.051.631.63XXX
    75807TCALymph vessel x-ray, trunk0.00NA6.010.27NA6.28XXX
    75809ANonvascular shunt, x-ray0.47NA0.940.06NA1.47XXX
    7580926ANonvascular shunt, x-ray0.470.170.170.020.660.66XXX
    75809TCANonvascular shunt, x-ray0.00NA0.770.04NA0.81XXX
    75810AVein x-ray, spleen/liver1.14NA12.810.60NA14.55XXX
    7581026AVein x-ray, spleen/liver1.140.400.400.061.601.60XXX
    75810TCAVein x-ray, spleen/liver0.00NA12.410.54NA12.95XXX
    75820AVein x-ray, arm/leg0.70NA1.170.08NA1.95XXX
    7582026AVein x-ray, arm/leg0.700.240.240.030.970.97XXX
    75820TCAVein x-ray, arm/leg0.00NA0.930.05NA0.98XXX
    75822AVein x-ray, arms/legs1.06NA1.830.12NA3.01XXX
    7582226AVein x-ray, arms/legs1.060.370.370.051.481.48XXX
    75822TCAVein x-ray, arms/legs0.00NA1.460.07NA1.53XXX
    75825AVein x-ray, trunk1.14NA12.810.60NA14.55XXX
    7582526AVein x-ray, trunk1.140.400.400.061.601.60XXX
    75825TCAVein x-ray, trunk0.00NA12.410.54NA12.95XXX
    75827AVein x-ray, chest1.14NA12.800.59NA14.53XXX
    7582726AVein x-ray, chest1.140.390.390.051.581.58XXX
    75827TCAVein x-ray, chest0.00NA12.410.54NA12.95XXX
    75831AVein x-ray, kidney1.14NA12.810.59NA14.54XXX
    7583126AVein x-ray, kidney1.140.400.400.051.591.59XXX
    75831TCAVein x-ray, kidney0.00NA12.410.54NA12.95XXX
    75833AVein x-ray, kidneys1.49NA12.930.61NA15.03XXX
    7583326AVein x-ray, kidneys1.490.520.520.072.082.08XXX
    75833TCAVein x-ray, kidneys0.00NA12.410.54NA12.95XXX
    75840AVein x-ray, adrenal gland1.14NA12.810.61NA14.56XXX
    7584026AVein x-ray, adrenal gland1.140.400.400.071.611.61XXX
    75840TCAVein x-ray, adrenal gland0.00NA12.410.54NA12.95XXX
    75842AVein x-ray, adrenal glands1.49NA12.920.61NA15.02XXX
    7584226AVein x-ray, adrenal glands1.490.510.510.072.072.07XXX
    75842TCAVein x-ray, adrenal glands0.00NA12.410.54NA12.95XXX
    75860AVein x-ray, neck1.14NA12.820.60NA14.56XXX
    7586026AVein x-ray, neck1.140.410.410.061.611.61XXX
    75860TCAVein x-ray, neck0.00NA12.410.54NA12.95XXX
    75870AVein x-ray, skull1.14NA12.830.60NA14.57XXX
    7587026AVein x-ray, skull1.140.420.420.061.621.62XXX
    75870TCAVein x-ray, skull0.00NA12.410.54NA12.95XXX
    75872AVein x-ray, skull1.14NA12.810.59NA14.54XXX
    7587226AVein x-ray, skull1.140.400.400.051.591.59XXX
    75872TCAVein x-ray, skull0.00NA12.410.54NA12.95XXX
    75880AVein x-ray, eye socket0.70NA1.180.08NA1.96XXX
    7588026AVein x-ray, eye socket0.700.250.250.030.980.98XXX
    75880TCAVein x-ray, eye socket0.00NA0.930.05NA0.98XXX
    75885AVein x-ray, liver1.44NA12.910.60NA14.95XXX
    7588526AVein x-ray, liver1.440.500.500.062.002.00XXX
    75885TCAVein x-ray, liver0.00NA12.410.54NA12.95XXX
    75887AVein x-ray, liver1.44NA12.910.60NA14.95XXX
    7588726AVein x-ray, liver1.440.500.500.062.002.00XXX
    75887TCAVein x-ray, liver0.00NA12.410.54NA12.95XXX
    75889AVein x-ray, liver1.14NA12.800.59NA14.53XXX
    7588926AVein x-ray, liver1.140.390.390.051.581.58XXX
    75889TCAVein x-ray, liver0.00NA12.410.54NA12.95XXX
    75891AVein x-ray, liver1.14NA12.800.59NA14.53XXX
    7589126AVein x-ray, liver1.140.390.390.051.581.58XXX
    Start Printed Page 40489
    75891TCAVein x-ray, liver0.00NA12.410.54NA12.95XXX
    75893AVenous sampling by catheter0.54NA12.600.56NA13.70XXX
    7589326AVenous sampling by catheter0.540.190.190.020.750.75XXX
    75893TCAVenous sampling by catheter0.00NA12.410.54NA12.95XXX
    75894AX-rays, transcath therapy1.31NA24.221.12NA26.65XXX
    7589426AX-rays, transcath therapy1.310.460.460.071.841.84XXX
    75894TCAX-rays, transcath therapy0.00NA23.761.05NA24.81XXX
    75896AX-rays, transcath therapy1.31NA21.140.97NA23.42XXX
    7589626AX-rays, transcath therapy1.310.470.470.061.841.84XXX
    75896TCAX-rays, transcath therapy0.00NA20.670.91NA21.58XXX
    75898AFollow-up angiogram1.65NA1.620.12NA3.39XXX
    7589826AFollow-up angiogram1.650.580.580.072.302.30XXX
    75898TCAFollow-up angiogram0.00NA1.040.05NA1.09XXX
    75900AArterial catheter exchange0.49NA20.820.94NA22.25XXX
    7590026AArterial catheter exchange0.490.170.170.020.680.68XXX
    75900TCAArterial catheter exchange0.00NA20.650.92NA21.57XXX
    75940AX-ray placement, vein filter0.54NA12.600.57NA13.71XXX
    7594026AX-ray placement, vein filter0.540.190.190.030.760.76XXX
    75940TCAX-ray placement, vein filter0.00NA12.410.54NA12.95XXX
    75945AIntravascular us0.40NA4.640.23NA5.27XXX
    7594526AIntravascular us0.400.150.150.030.580.58XXX
    75945TCAIntravascular us0.00NA4.490.20NA4.69XXX
    75946AIntravascular us add-on0.40NA2.400.14NA2.94ZZZ
    7594626AIntravascular us add-on0.400.140.140.030.570.57ZZZ
    75946TCAIntravascular us add-on0.00NA2.260.11NA2.37ZZZ
    75952AEndovasc repair abdom aorta4.001.581.580.686.266.26XXX
    75953AAbdom aneurysm endovas rpr1.360.540.540.682.582.58XXX
    75960ATranscatheter intro, stent0.82NA14.970.68NA16.47XXX
    7596026ATranscatheter intro, stent0.820.300.300.041.161.16XXX
    75960TCATranscatheter intro, stent0.00NA14.670.64NA15.31XXX
    75961ARetrieval, broken catheter4.25NA11.830.64NA16.72XXX
    7596126ARetrieval, broken catheter4.251.491.490.185.925.92XXX
    75961TCARetrieval, broken catheter0.00NA10.340.46NA10.80XXX
    75962ARepair arterial blockage0.54NA15.690.72NA16.95XXX
    7596226ARepair arterial blockage0.540.190.190.030.760.76XXX
    75962TCARepair arterial blockage0.00NA15.500.69NA16.19XXX
    75964ARepair artery blockage, each0.36NA8.390.38NA9.13ZZZ
    7596426ARepair artery blockage, each0.360.130.130.020.510.51ZZZ
    75964TCARepair artery blockage, each0.00NA8.260.36NA8.62ZZZ
    75966ARepair arterial blockage1.31NA15.990.75NA18.05XXX
    7596626ARepair arterial blockage1.310.490.490.061.861.86XXX
    75966TCARepair arterial blockage0.00NA15.500.69NA16.19XXX
    75968ARepair artery blockage, each0.36NA8.400.37NA9.13ZZZ
    7596826ARepair artery blockage, each0.360.140.140.010.510.51ZZZ
    75968TCARepair artery blockage, each0.00NA8.260.36NA8.62ZZZ
    75970AVascular biopsy0.83NA11.670.54NA13.04XXX
    7597026AVascular biopsy0.830.300.300.041.171.17XXX
    75970TCAVascular biopsy0.00NA11.370.50NA11.87XXX
    75978ARepair venous blockage0.54NA15.690.71NA16.94XXX
    7597826ARepair venous blockage0.540.190.190.020.750.75XXX
    75978TCARepair venous blockage0.00NA15.500.69NA16.19XXX
    75980AContrast xray exam bile duct1.44NA5.830.30NA7.57XXX
    7598026AContrast xray exam bile duct1.440.500.500.062.002.00XXX
    75980TCAContrast xray exam bile duct0.00NA5.330.24NA5.57XXX
    75982AContrast xray exam bile duct1.44NA6.510.33NA8.28XXX
    7598226AContrast xray exam bile duct1.440.500.500.062.002.00XXX
    75982TCAContrast xray exam bile duct0.00NA6.010.27NA6.28XXX
    75984AXray control catheter change0.72NA2.170.12NA3.01XXX
    7598426AXray control catheter change0.720.250.250.031.001.00XXX
    75984TCAXray control catheter change0.00NA1.920.09NA2.01XXX
    75989AAbscess drainage under x-ray1.19NA3.510.19NA4.89XXX
    7598926AAbscess drainage under x-ray1.190.410.410.051.651.65XXX
    75989TCAAbscess drainage under x-ray0.00NA3.100.14NA3.24XXX
    75992AAtherectomy, x-ray exam0.54NA15.700.71NA16.95XXX
    7599226AAtherectomy, x-ray exam0.540.200.200.020.760.76XXX
    75992TCAAtherectomy, x-ray exam0.00NA15.500.69NA16.19XXX
    75993AAtherectomy, x-ray exam0.36NA8.400.37NA9.13ZZZ
    7599326AAtherectomy, x-ray exam0.360.140.140.010.510.51ZZZ
    75993TCAAtherectomy, x-ray exam0.00NA8.260.36NA8.62ZZZ
    75994AAtherectomy, x-ray exam1.31NA15.990.75NA18.05XXX
    7599426AAtherectomy, x-ray exam1.310.490.490.061.861.86XXX
    75994TCAAtherectomy, x-ray exam0.00NA15.500.69NA16.19XXX
    75995AAtherectomy, x-ray exam1.31NA15.950.75NA18.01XXX
    7599526AAtherectomy, x-ray exam1.310.450.450.061.821.82XXX
    Start Printed Page 40490
    75995TCAAtherectomy, x-ray exam0.00NA15.500.69NA16.19XXX
    75996AAtherectomy, x-ray exam0.36NA8.390.37NA9.12ZZZ
    7599626AAtherectomy, x-ray exam0.360.130.130.010.500.50ZZZ
    75996TCAAtherectomy, x-ray exam0.00NA8.260.36NA8.62ZZZ
    76000AFluoroscope examination0.17NA1.340.01NA1.52XXX
    76001AFluoroscope exam, extensive0.67NA2.810.15NA3.63XXX
    7600126AFluoroscope exam, extensive0.670.230.230.030.930.93XXX
    76001TCAFluoroscope exam, extensive0.00NA2.580.12NA2.70XXX
    76003ANeedle localization by x-ray0.54NA1.470.09NA2.10XXX
    7600326ANeedle localization by x-ray0.540.180.180.030.750.75XXX
    76003TCANeedle localization by x-ray0.00NA1.290.06NA1.35XXX
    76005AFluoroguide for spine inject0.60NA1.480.09NA2.17XXX
    7600526AFluoroguide for spine inject0.600.190.190.030.820.82XXX
    76005TCAFluoroguide for spine inject0.00NA1.290.06NA1.35XXX
    76006AX-ray stress view0.410.190.190.040.640.64XXX
    76010AX-ray, nose to rectum0.18NA0.570.03NA0.78XXX
    7601026AX-ray, nose to rectum0.180.060.060.010.250.25XXX
    76010TCAX-ray, nose to rectum0.00NA0.510.02NA0.53XXX
    76012APercut vertebroplasty fluor1.310.490.490.232.032.03XXX
    76013APercut vertebroplasty, ct1.380.510.510.482.372.37XXX
    76020AX-rays for bone age0.19NA0.580.03NA0.80XXX
    7602026AX-rays for bone age0.190.070.070.010.270.27XXX
    76020TCAX-rays for bone age0.00NA0.510.02NA0.53XXX
    76040AX-rays, bone evaluation0.27NA0.870.07NA1.21XXX
    7604026AX-rays, bone evaluation0.270.100.100.030.400.40XXX
    76040TCAX-rays, bone evaluation0.00NA0.770.04NA0.81XXX
    76061AX-rays, bone survey0.45NA1.140.07NA1.66XXX
    7606126AX-rays, bone survey0.450.160.160.020.630.63XXX
    76061TCAX-rays, bone survey0.00NA0.980.05NA1.03XXX
    76062AX-rays, bone survey0.54NA1.610.09NA2.24XXX
    7606226AX-rays, bone survey0.540.190.190.020.750.75XXX
    76062TCAX-rays, bone survey0.00NA1.420.07NA1.49XXX
    76065AX-rays, bone evaluation0.70NA0.960.05NA1.71XXX
    7606526AX-rays, bone evaluation0.700.240.240.010.950.95XXX
    76065TCAX-rays, bone evaluation0.00NA0.720.04NA0.76XXX
    76066AJoint(s) survey, single film0.31NA1.200.07NA1.58XXX
    7606626AJoint(s) survey, single film0.310.110.110.020.440.44XXX
    76066TCAJoint(s) survey, single film0.00NA1.090.05NA1.14XXX
    76070ICT scan, bone density study0.25NA3.000.14NA3.39XXX
    7607026ICT scan, bone density study0.250.100.100.010.360.36XXX
    76070TCICT scan, bone density study0.00NA2.900.13NA3.03XXX
    76075ADual energy x-ray study0.30NA3.160.15NA3.61XXX
    7607526ADual energy x-ray study0.300.110.110.010.420.42XXX
    76075TCADual energy x-ray study0.00NA3.050.14NA3.19XXX
    76076ADual energy x-ray study0.22NA0.820.05NA1.09XXX
    7607626ADual energy x-ray study0.220.080.080.010.310.31XXX
    76076TCADual energy x-ray study0.00NA0.740.04NA0.78XXX
    76078APhotodensitometry0.20NA0.820.05NA1.07XXX
    7607826APhotodensitometry0.200.080.080.010.290.29XXX
    76078TCAPhotodensitometry0.00NA0.740.04NA0.78XXX
    76080AX-ray exam of fistula0.54NA1.230.07NA1.84XXX
    7608026AX-ray exam of fistula0.540.190.190.020.750.75XXX
    76080TCAX-ray exam of fistula0.00NA1.040.05NA1.09XXX
    76086AX-ray of mammary duct0.36NA2.710.14NA3.21XXX
    7608626AX-ray of mammary duct0.360.130.130.020.510.51XXX
    76086TCAX-ray of mammary duct0.00NA2.580.12NA2.70XXX
    76088AX-ray of mammary ducts0.45NA3.770.18NA4.40XXX
    7608826AX-ray of mammary ducts0.450.160.160.020.630.63XXX
    76088TCAX-ray of mammary ducts0.00NA3.610.16NA3.77XXX
    76090AMammogram, one breast0.70NA1.280.08NA2.06XXX
    7609026AMammogram, one breast0.700.240.240.030.970.97XXX
    76090TCAMammogram, one breast0.00NA1.040.05NA1.09XXX
    76091AMammogram, both breasts0.87NA1.590.09NA2.55XXX
    7609126AMammogram, both breasts0.870.300.300.031.201.20XXX
    76091TCAMammogram, both breasts0.00NA1.290.06NA1.35XXX
    76092AMammogram, screening0.70NA1.520.09NA2.31XXX
    7609226AMammogram, screening0.700.250.250.030.980.98XXX
    76092TCAMammogram, screening0.00NA1.270.06NA1.33XXX
    76093AMagnetic image, breast1.63NA17.930.83NA20.39XXX
    7609326AMagnetic image, breast1.630.570.570.072.272.27XXX
    76093TCAMagnetic image, breast0.00NA17.360.76NA18.12XXX
    76094AMagnetic image, both breasts1.63NA24.121.10NA26.85XXX
    7609426AMagnetic image, both breasts1.630.570.570.072.272.27XXX
    76094TCAMagnetic image, both breasts0.00NA23.551.03NA24.58XXX
    Start Printed Page 40491
    76095AStereotactic breast biopsy1.59NA7.620.40NA9.61XXX
    7609526AStereotactic breast biopsy1.590.560.560.092.242.24XXX
    76095TCAStereotactic breast biopsy0.00NA7.060.31NA7.37XXX
    76096AX-ray of needle wire, breast0.56NA1.490.09NA2.14XXX
    7609626AX-ray of needle wire, breast0.560.200.200.030.790.79XXX
    76096TCAX-ray of needle wire, breast0.00NA1.290.06NA1.35XXX
    76098AX-ray exam, breast specimen0.16NA0.470.03NA0.66XXX
    7609826AX-ray exam, breast specimen0.160.060.060.010.230.23XXX
    76098TCAX-ray exam, breast specimen0.00NA0.410.02NA0.43XXX
    76100AX-ray exam of body section0.58NA1.430.09NA2.10XXX
    7610026AX-ray exam of body section0.580.200.200.030.810.81XXX
    76100TCAX-ray exam of body section0.00NA1.230.06NA1.29XXX
    76101AComplex body section x-ray0.58NA1.600.10NA2.28XXX
    7610126AComplex body section x-ray0.580.200.200.030.810.81XXX
    76101TCAComplex body section x-ray0.00NA1.400.07NA1.47XXX
    76102AComplex body section x-rays0.58NA1.900.12NA2.60XXX
    7610226AComplex body section x-rays0.580.200.200.030.810.81XXX
    76102TCAComplex body section x-rays0.00NA1.700.09NA1.79XXX
    76120ACinematic x-rays0.38NA1.170.07NA1.62XXX
    7612026ACinematic x-rays0.380.130.130.020.530.53XXX
    76120TCACinematic x-rays0.00NA1.040.05NA1.09XXX
    76125ACinematic x-rays add-on0.27NA0.870.05NA1.19ZZZ
    7612526ACinematic x-rays add-on0.270.100.100.010.380.38ZZZ
    76125TCACinematic x-rays add-on0.00NA0.770.04NA0.81ZZZ
    76140IX-ray consultation0.00NA0.000.00NA0.00XXX
    76150AX-ray exam, dry process0.00NA0.410.02NA0.43XXX
    76350CSpecial x-ray contrast study0.000.000.000.000.000.00XXX
    76355ACAT scan for localization1.21NA8.560.41NA10.18XXX
    7635526ACAT scan for localization1.210.430.430.061.701.70XXX
    76355TCACAT scan for localization0.00NA8.130.35NA8.48XXX
    76360ACAT scan for needle biopsy1.16NA8.530.40NA10.09XXX
    7636026ACAT scan for needle biopsy1.160.400.400.051.611.61XXX
    76360TCACAT scan for needle biopsy0.00NA8.130.35NA8.48XXX
    76370ACAT scan for therapy guide0.85NA3.200.17NA4.22XXX
    7637026ACAT scan for therapy guide0.850.300.300.041.191.19XXX
    76370TCACAT scan for therapy guide0.00NA2.900.13NA3.03XXX
    76375A3d/holograph reconstr add-on0.16NA3.540.16NA3.86XXX
    7637526A3d/holograph reconstr add-on0.160.060.060.010.230.23XXX
    76375TCA3d/holograph reconstr add-on0.00NA3.480.15NA3.63XXX
    76380ACAT scan follow-up study0.98NA3.790.19NA4.96XXX
    7638026ACAT scan follow-up study0.980.340.340.041.361.36XXX
    76380TCACAT scan follow-up study0.00NA3.450.15NA3.60XXX
    76390AMr spectroscopy1.40NA11.520.55NA13.47XXX
    7639026AMr spectroscopy1.400.490.490.061.951.95XXX
    76390TCAMr spectroscopy0.00NA11.030.49NA11.52XXX
    76393AMr guidance for needle place1.50NA11.550.52NA13.57XXX
    7639326AMr guidance for needle place1.500.520.520.062.082.08XXX
    76393TCAMr guidance for needle place0.00NA11.030.46NA11.49XXX
    76400AMagnetic image, bone marrow1.60NA11.590.56NA13.75XXX
    7640026AMagnetic image, bone marrow1.600.560.560.072.232.23XXX
    76400TCAMagnetic image, bone marrow0.00NA11.030.49NA11.52XXX
    76499CRadiographic procedure0.00NA0.000.00NA0.00XXX
    7649926CRadiographic procedure0.000.000.000.000.000.00XXX
    76499TCCRadiographic procedure0.00NA0.000.00NA0.00XXX
    76506AEcho exam of head0.63NA1.660.10NA2.39XXX
    7650626AEcho exam of head0.630.260.260.030.920.92XXX
    76506TCAEcho exam of head0.00NA1.400.07NA1.47XXX
    76511AEcho exam of eye0.94NA1.750.08NA2.77XXX
    7651126AEcho exam of eye0.940.420.420.021.381.38XXX
    76511TCAEcho exam of eye0.00NA1.330.06NA1.39XXX
    76512AEcho exam of eye0.66NA1.850.09NA2.60XXX
    7651226AEcho exam of eye0.660.310.310.010.980.98XXX
    76512TCAEcho exam of eye0.00NA1.540.08NA1.62XXX
    76513AEcho exam of eye, water bath0.66NA2.250.09NA3.00XXX
    7651326AEcho exam of eye, water bath0.660.310.310.010.980.98XXX
    76513TCAEcho exam of eye, water bath0.00NA1.940.08NA2.02XXX
    76516AEcho exam of eye0.54NA1.350.07NA1.96XXX
    7651626AEcho exam of eye0.540.260.260.010.810.81XXX
    76516TCAEcho exam of eye0.00NA1.090.06NA1.15XXX
    76519AEcho exam of eye0.54NA1.490.07NA2.10XXX
    7651926AEcho exam of eye0.540.260.260.010.810.81XXX
    76519TCAEcho exam of eye0.00NA1.230.06NA1.29XXX
    76529AEcho exam of eye0.57NA2.030.08NA2.68XXX
    7652926AEcho exam of eye0.570.260.260.010.840.84XXX
    Start Printed Page 40492
    76529TCAEcho exam of eye0.00NA1.770.07NA1.84XXX
    76536AEcho exam of head and neck0.56NA1.600.09NA2.25XXX
    7653626AEcho exam of head and neck0.560.200.200.020.780.78XXX
    76536TCAEcho exam of head and neck0.00NA1.400.07NA1.47XXX
    76604AEcho exam of chest0.55NA1.480.08NA2.11XXX
    7660426AEcho exam of chest0.550.190.190.020.760.76XXX
    76604TCAEcho exam of chest0.00NA1.290.06NA1.35XXX
    76645AEcho exam of breast(s)0.54NA1.230.08NA1.85XXX
    7664526AEcho exam of breast(s)0.540.190.190.030.760.76XXX
    76645TCAEcho exam of breast(s)0.00NA1.040.05NA1.09XXX
    76700AEcho exam of abdomen0.81NA2.220.13NA3.16XXX
    7670026AEcho exam of abdomen0.810.280.280.041.131.13XXX
    76700TCAEcho exam of abdomen0.00NA1.940.09NA2.03XXX
    76705AEcho exam of abdomen0.59NA1.610.10NA2.30XXX
    7670526AEcho exam of abdomen0.590.210.210.030.830.83XXX
    76705TCAEcho exam of abdomen0.00NA1.400.07NA1.47XXX
    76770AEcho exam abdomen back wall0.74NA2.200.12NA3.06XXX
    7677026AEcho exam abdomen back wall0.740.260.260.031.031.03XXX
    76770TCAEcho exam abdomen back wall0.00NA1.940.09NA2.03XXX
    76775AEcho exam abdomen back wall0.58NA1.600.10NA2.28XXX
    7677526AEcho exam abdomen back wall0.580.200.200.030.810.81XXX
    76775TCAEcho exam abdomen back wall0.00NA1.400.07NA1.47XXX
    76778AEcho exam kidney transplant0.74NA2.200.12NA3.06XXX
    7677826AEcho exam kidney transplant0.740.260.260.031.031.03XXX
    76778TCAEcho exam kidney transplant0.00NA1.940.09NA2.03XXX
    76800AEcho exam spinal canal1.13NA1.730.11NA2.97XXX
    7680026AEcho exam spinal canal1.130.330.330.041.501.50XXX
    76800TCAEcho exam spinal canal0.00NA1.400.07NA1.47XXX
    76805AEcho exam of pregnant uterus0.99NA2.430.14NA3.56XXX
    7680526AEcho exam of pregnant uterus0.990.360.360.041.391.39XXX
    76805TCAEcho exam of pregnant uterus0.00NA2.070.10NA2.17XXX
    76810AEcho exam of pregnant uterus1.97NA4.870.25NA7.09XXX
    7681026AEcho exam of pregnant uterus1.970.740.740.072.782.78XXX
    76810TCAEcho exam of pregnant uterus0.00NA4.130.18NA4.31XXX
    76815AEcho exam of pregnant uterus0.65NA1.650.09NA2.39XXX
    7681526AEcho exam of pregnant uterus0.650.250.250.020.920.92XXX
    76815TCAEcho exam of pregnant uterus0.00NA1.400.07NA1.47XXX
    76816AEcho exam follow-up/repeat0.57NA1.320.07NA1.96XXX
    7681626AEcho exam follow-up/repeat0.570.230.230.020.820.82XXX
    76816TCAEcho exam follow-up/repeat0.00NA1.090.05NA1.14XXX
    76818AFetl biophys profil w/stress0.86NA1.930.12NA2.91XXX
    7681826AFetl biophys profil w/stress0.860.340.340.041.241.24XXX
    76818TCAFetl biophys profil w/stress0.00NA1.590.08NA1.67XXX
    76819AFetl biophys profil w/o strs0.63NA1.840.11NA2.58XXX
    7681926AFetl biophys profil w/o strs0.630.250.250.030.910.91XXX
    76819TCAFetl biophys profil w/o strs0.00NA1.590.08NA1.67XXX
    76825AEcho exam of fetal heart1.67NA2.570.15NA4.39XXX
    7682526AEcho exam of fetal heart1.670.630.630.062.362.36XXX
    76825TCAEcho exam of fetal heart0.00NA1.940.09NA2.03XXX
    76826AEcho exam of fetal heart0.83NA1.000.07NA1.90XXX
    7682626AEcho exam of fetal heart0.830.300.300.031.161.16XXX
    76826TCAEcho exam of fetal heart0.00NA0.700.04NA0.74XXX
    76827AEcho exam of fetal heart0.58NA1.910.12NA2.61XXX
    7682726AEcho exam of fetal heart0.580.220.220.020.820.82XXX
    76827TCAEcho exam of fetal heart0.00NA1.690.10NA1.79XXX
    76828AEcho exam of fetal heart0.56NA1.320.09NA1.97XXX
    7682826AEcho exam of fetal heart0.560.230.230.020.810.81XXX
    76828TCAEcho exam of fetal heart0.00NA1.090.07NA1.16XXX
    76830AEcho exam, transvaginal0.69NA1.730.11NA2.53XXX
    7683026AEcho exam, transvaginal0.690.240.240.030.960.96XXX
    76830TCAEcho exam, transvaginal0.00NA1.490.08NA1.57XXX
    76831AEcho exam, uterus0.72NA1.760.10NA2.58XXX
    7683126AEcho exam, uterus0.720.270.270.021.011.01XXX
    76831TCAEcho exam, uterus0.00NA1.490.08NA1.57XXX
    76856AEcho exam of pelvis0.69NA1.730.11NA2.53XXX
    7685626AEcho exam of pelvis0.690.240.240.030.960.96XXX
    76856TCAEcho exam of pelvis0.00NA1.490.08NA1.57XXX
    76857AEcho exam of pelvis0.38NA1.170.07NA1.62XXX
    7685726AEcho exam of pelvis0.380.130.130.020.530.53XXX
    76857TCAEcho exam of pelvis0.00NA1.040.05NA1.09XXX
    76870AEcho exam of scrotum0.64NA1.710.11NA2.46XXX
    7687026AEcho exam of scrotum0.640.220.220.030.890.89XXX
    76870TCAEcho exam of scrotum0.00NA1.490.08NA1.57XXX
    76872AEcho exam, transrectal0.69NA1.730.12NA2.54XXX
    Start Printed Page 40493
    7687226AEcho exam, transrectal0.690.240.240.040.970.97XXX
    76872TCAEcho exam, transrectal0.00NA1.490.08NA1.57XXX
    76873AEchograp trans r, pros study1.55NA2.600.21NA4.36XXX
    7687326AEchograp trans r, pros study1.550.530.530.082.162.16XXX
    76873TCAEchograp trans r, pros study0.00NA2.070.13NA2.20XXX
    76880AEcho exam of extremity0.59NA1.610.10NA2.30XXX
    7688026AEcho exam of extremity0.590.210.210.030.830.83XXX
    76880TCAEcho exam of extremity0.00NA1.400.07NA1.47XXX
    76885AEcho exam, infant hips0.74NA1.750.11NA2.60XXX
    7688526AEcho exam, infant hips0.740.260.260.031.031.03XXX
    76885TCAEcho exam, infant hips0.00NA1.490.08NA1.57XXX
    76886AEcho exam, infant hips0.62NA1.610.10NA2.33XXX
    7688626AEcho exam, infant hips0.620.210.210.030.860.86XXX
    76886TCAEcho exam, infant hips0.00NA1.400.07NA1.47XXX
    76930AEcho guide, cardiocentesis0.67NA1.760.10NA2.53XXX
    7693026AEcho guide, cardiocentesis0.670.270.270.020.960.96XXX
    76930TCAEcho guide, cardiocentesis0.00NA1.490.08NA1.57XXX
    76932AEcho guide for heart biopsy0.67NA1.760.10NA2.53XXX
    7693226AEcho guide for heart biopsy0.670.270.270.020.960.96XXX
    76932TCAEcho guide for heart biopsy0.00NA1.490.08NA1.57XXX
    76936AEcho guide for artery repair1.99NA6.900.39NA9.28XXX
    7693626AEcho guide for artery repair1.990.700.700.112.802.80XXX
    76936TCAEcho guide for artery repair0.00NA6.200.28NA6.48XXX
    76941AEcho guide for transfusion1.34NA2.000.13NA3.47XXX
    7694126AEcho guide for transfusion1.340.500.500.061.901.90XXX
    76941TCAEcho guide for transfusion0.00NA1.500.07NA1.57XXX
    76942AEcho guide for biopsy0.67NA1.720.12NA2.51XXX
    7694226AEcho guide for biopsy0.670.230.230.040.940.94XXX
    76942TCAEcho guide for biopsy0.00NA1.490.08NA1.57XXX
    76945AEcho guide, villus sampling0.67NA1.740.10NA2.51XXX
    7694526AEcho guide, villus sampling0.670.240.240.030.940.94XXX
    76945TCAEcho guide, villus sampling0.00NA1.500.07NA1.57XXX
    76946AEcho guide for amniocentesis0.38NA1.640.09NA2.11XXX
    7694626AEcho guide for amniocentesis0.380.150.150.010.540.54XXX
    76946TCAEcho guide for amniocentesis0.00NA1.490.08NA1.57XXX
    76948AEcho guide, ova aspiration0.38NA1.630.10NA2.11XXX
    7694826AEcho guide, ova aspiration0.380.140.140.020.540.54XXX
    76948TCAEcho guide, ova aspiration0.00NA1.490.08NA1.57XXX
    76950AEcho guidance radiotherapy0.58NA1.490.09NA2.16XXX
    7695026AEcho guidance radiotherapy0.580.200.200.030.810.81XXX
    76950TCAEcho guidance radiotherapy0.00NA1.290.06NA1.35XXX
    76965AEcho guidance radiotherapy1.34NA5.940.31NA7.59XXX
    7696526AEcho guidance radiotherapy1.340.460.460.071.871.87XXX
    76965TCAEcho guidance radiotherapy0.00NA5.480.24NA5.72XXX
    76970AUltrasound exam follow-up0.40NA1.180.07NA1.65XXX
    7697026AUltrasound exam follow-up0.400.140.140.020.560.56XXX
    76970TCAUltrasound exam follow-up0.00NA1.040.05NA1.09XXX
    76975AGI endoscopic ultrasound0.81NA1.780.11NA2.70XXX
    7697526AGI endoscopic ultrasound0.810.290.290.031.131.13XXX
    76975TCAGI endoscopic ultrasound0.00NA1.490.08NA1.57XXX
    76977AUs bone density measure0.05NA1.420.05NA1.52XXX
    7697726AUs bone density measure0.050.020.020.010.080.08XXX
    76977TCAUs bone density measure0.00NA1.400.04NA1.44XXX
    76986AUltrasound guide intraoper1.20NA3.000.19NA4.39XXX
    7698626AUltrasound guide intraoper1.200.420.420.071.691.69XXX
    76986TCAUltrasound guide intraoper0.00NA2.580.12NA2.70XXX
    76999CEcho examination procedure0.00NA0.000.00NA0.00XXX
    7699926CEcho examination procedure0.000.000.000.000.000.00XXX
    76999TCCEcho examination procedure0.00NA0.000.00NA0.00XXX
    77261ARadiation therapy planning1.390.560.560.062.012.01XXX
    77262ARadiation therapy planning2.110.830.830.093.033.03XXX
    77263ARadiation therapy planning3.141.241.240.134.514.51XXX
    77280ASet radiation therapy field0.70NA3.670.18NA4.55XXX
    7728026ASet radiation therapy field0.700.250.250.030.980.98XXX
    77280TCASet radiation therapy field0.00NA3.420.15NA3.57XXX
    77285ASet radiation therapy field1.05NA5.860.29NA7.20XXX
    7728526ASet radiation therapy field1.050.380.380.041.471.47XXX
    77285TCASet radiation therapy field0.00NA5.480.25NA5.73XXX
    77290ASet radiation therapy field1.56NA6.970.35NA8.88XXX
    7729026ASet radiation therapy field1.560.560.560.062.182.18XXX
    77290TCASet radiation therapy field0.00NA6.410.29NA6.70XXX
    77295ASet radiation therapy field4.57NA29.151.41NA35.13XXX
    7729526ASet radiation therapy field4.571.641.640.186.396.39XXX
    77295TCASet radiation therapy field0.00NA27.511.23NA28.74XXX
    Start Printed Page 40494
    77299CRadiation therapy planning0.000.000.000.000.000.00XXX
    7729926CRadiation therapy planning0.000.000.000.000.000.00XXX
    77299TCCRadiation therapy planning0.000.000.000.000.000.00XXX
    77300ARadiation therapy dose plan0.62NA1.540.09NA2.25XXX
    7730026ARadiation therapy dose plan0.620.220.220.030.870.87XXX
    77300TCARadiation therapy dose plan0.00NA1.320.06NA1.38XXX
    77305ARadiation therapy dose plan0.70NA2.080.12NA2.90XXX
    7730526ARadiation therapy dose plan0.700.250.250.030.980.98XXX
    77305TCARadiation therapy dose plan0.00NA1.830.09NA1.92XXX
    77310ARadiation therapy dose plan1.05NA2.670.15NA3.87XXX
    7731026ARadiation therapy dose plan1.050.380.380.041.471.47XXX
    77310TCARadiation therapy dose plan0.00NA2.290.11NA2.40XXX
    77315ARadiation therapy dose plan1.56NA3.180.18NA4.92XXX
    7731526ARadiation therapy dose plan1.560.560.560.062.182.18XXX
    77315TCARadiation therapy dose plan0.00NA2.620.12NA2.74XXX
    77321ARadiation therapy port plan0.95NA4.320.21NA5.48XXX
    7732126ARadiation therapy port plan0.950.340.340.041.331.33XXX
    77321TCARadiation therapy port plan0.00NA3.980.17NA4.15XXX
    77326ARadiation therapy dose plan0.93NA2.650.15NA3.73XXX
    7732626ARadiation therapy dose plan0.930.330.330.041.301.30XXX
    77326TCARadiation therapy dose plan0.00NA2.320.11NA2.43XXX
    77327ARadiation therapy dose plan1.39NA3.920.21NA5.52XXX
    7732726ARadiation therapy dose plan1.390.500.500.061.951.95XXX
    77327TCARadiation therapy dose plan0.00NA3.420.15NA3.57XXX
    77328ARadiation therapy dose plan2.09NA5.630.30NA8.02XXX
    7732826ARadiation therapy dose plan2.090.750.750.092.932.93XXX
    77328TCARadiation therapy dose plan0.00NA4.880.21NA5.09XXX
    77331ASpecial radiation dosimetry0.87NA0.810.06NA1.74XXX
    7733126ASpecial radiation dosimetry0.870.310.310.041.221.22XXX
    77331TCASpecial radiation dosimetry0.00NA0.500.02NA0.52XXX
    77332ARadiation treatment aid(s)0.54NA1.510.08NA2.13XXX
    7733226ARadiation treatment aid(s)0.540.190.190.020.750.75XXX
    77332TCARadiation treatment aid(s)0.00NA1.320.06NA1.38XXX
    77333ARadiation treatment aid(s)0.84NA2.170.13NA3.14XXX
    7733326ARadiation treatment aid(s)0.840.300.300.041.181.18XXX
    77333TCARadiation treatment aid(s)0.00NA1.870.09NA1.96XXX
    77334ARadiation treatment aid(s)1.24NA3.640.19NA5.07XXX
    7733426ARadiation treatment aid(s)1.240.440.440.051.731.73XXX
    77334TCARadiation treatment aid(s)0.00NA3.200.14NA3.34XXX
    77336ARadiation physics consult0.00NA2.930.13NA3.06XXX
    77370ARadiation physics consult0.00NA3.440.15NA3.59XXX
    77399CExternal radiation dosimetry0.00NA0.000.00NA0.00XXX
    7739926CExternal radiation dosimetry0.000.000.000.000.000.00XXX
    77399TCCExternal radiation dosimetry0.00NA0.000.00NA0.00XXX
    77401ARadiation treatment delivery0.00NA1.740.09NA1.83XXX
    77402ARadiation treatment delivery0.00NA1.740.09NA1.83XXX
    77403ARadiation treatment delivery0.00NA1.740.09NA1.83XXX
    77404ARadiation treatment delivery0.00NA1.740.09NA1.83XXX
    77406ARadiation treatment delivery0.00NA1.740.09NA1.83XXX
    77407ARadiation treatment delivery0.00NA2.060.10NA2.16XXX
    77408ARadiation treatment delivery0.00NA2.060.10NA2.16XXX
    77409ARadiation treatment delivery0.00NA2.060.10NA2.16XXX
    77411ARadiation treatment delivery0.00NA2.060.10NA2.16XXX
    77412ARadiation treatment delivery0.00NA2.290.11NA2.40XXX
    77413ARadiation treatment delivery0.00NA2.290.11NA2.40XXX
    77414ARadiation treatment delivery0.00NA2.290.11NA2.40XXX
    77416ARadiation treatment delivery0.00NA2.290.11NA2.40XXX
    77417ARadiology port film(s)0.00NA0.580.03NA0.61XXX
    77427ARadiation tx management, x53.311.191.190.144.644.64XXX
    77431ARadiation therapy management1.810.750.750.072.632.63XXX
    77432AStereotactic radiation trmt7.933.263.260.3311.5211.52XXX
    77470ASpecial radiation treatment2.09NA11.730.58NA14.40XXX
    7747026ASpecial radiation treatment2.090.750.750.092.932.93XXX
    77470TCASpecial radiation treatment0.00NA10.980.49NA11.47XXX
    77499CRadiation therapy management0.00NA0.000.00NA0.00XXX
    7749926CRadiation therapy management0.000.000.000.000.000.00XXX
    77499TCCRadiation therapy management0.00NA0.000.00NA0.00XXX
    77520CProton trmt, simple w/o comp0.000.000.000.000.000.00XXX
    77522CProton trmt, simple w/comp0.000.000.000.000.000.00XXX
    77523CProton trmt, intermediate0.000.000.000.000.000.00XXX
    77525CProton treatment, complex0.000.000.000.000.000.00XXX
    77600RHyperthermia treatment1.56NA3.550.21NA5.32XXX
    7760026RHyperthermia treatment1.560.550.550.082.192.19XXX
    77600TCRHyperthermia treatment0.00NA3.000.13NA3.13XXX
    Start Printed Page 40495
    77605RHyperthermia treatment2.09NA4.750.31NA7.15XXX
    7760526RHyperthermia treatment2.090.750.750.132.972.97XXX
    77605TCRHyperthermia treatment0.00NA4.000.18NA4.18XXX
    77610RHyperthermia treatment1.56NA3.550.20NA5.31XXX
    7761026RHyperthermia treatment1.560.550.550.072.182.18XXX
    77610TCRHyperthermia treatment0.00NA3.000.13NA3.13XXX
    77615RHyperthermia treatment2.09NA4.750.27NA7.11XXX
    7761526RHyperthermia treatment2.090.750.750.092.932.93XXX
    77615TCRHyperthermia treatment0.00NA4.000.18NA4.18XXX
    77620RHyperthermia treatment1.56NA3.570.19NA5.32XXX
    7762026RHyperthermia treatment1.560.570.570.062.192.19XXX
    77620TCRHyperthermia treatment0.00NA3.000.13NA3.13XXX
    77750AInfuse radioactive materials4.91NA3.080.23NA8.22090
    7775026AInfuse radioactive materials4.911.771.770.176.856.85090
    77750TCAInfuse radioactive materials0.00NA1.310.06NA1.37090
    77761AApply intrcav radiat simple3.81NA3.750.28NA7.84090
    7776126AApply intrcav radiat simple3.811.281.280.165.255.25090
    77761TCAApply intrcav radiat simple0.00NA2.470.12NA2.59090
    77762AApply intrcav radiat interm5.72NA5.650.38NA11.75090
    7776226AApply intrcav radiat interm5.722.102.100.228.048.04090
    77762TCAApply intrcav radiat interm0.00NA3.550.16NA3.71090
    77763AApply intrcav radiat compl8.57NA7.520.53NA16.62090
    7776326AApply intrcav radiat compl8.573.103.100.3412.0112.01090
    77763TCAApply intrcav radiat compl0.00NA4.420.19NA4.61090
    77776AApply interstit radiat simpl4.66NA3.280.35NA8.29090
    7777626AApply interstit radiat simpl4.661.141.140.246.046.04090
    77776TCAApply interstit radiat simpl0.00NA2.140.11NA2.25090
    77777AApply interstit radiat inter7.48NA6.850.50NA14.83090
    7777726AApply interstit radiat inter7.482.682.680.3210.4810.48090
    77777TCAApply interstit radiat inter0.00NA4.170.18NA4.35090
    77778AApply iterstit radiat compl11.19NA9.030.69NA20.91090
    7777826AApply iterstit radiat compl11.193.973.970.4715.6315.63090
    77778TCAApply iterstit radiat compl0.00NA5.060.22NA5.28090
    77781AHigh intensity brachytherapy1.66NA20.590.95NA23.20090
    7778126AHigh intensity brachytherapy1.660.600.600.072.332.33090
    77781TCAHigh intensity brachytherapy0.00NA19.990.88NA20.87090
    77782AHigh intensity brachytherapy2.49NA20.890.98NA24.36090
    7778226AHigh intensity brachytherapy2.490.900.900.103.493.49090
    77782TCAHigh intensity brachytherapy0.00NA19.990.88NA20.87090
    77783AHigh intensity brachytherapy3.73NA21.321.03NA26.08090
    7778326AHigh intensity brachytherapy3.731.331.330.155.215.21090
    77783TCAHigh intensity brachytherapy0.00NA19.990.88NA20.87090
    77784AHigh intensity brachytherapy5.61NA22.001.10NA28.71090
    7778426AHigh intensity brachytherapy5.612.012.010.227.847.84090
    77784TCAHigh intensity brachytherapy0.00NA19.990.88NA20.87090
    77789AApply surface radiation1.12NA0.860.05NA2.03090
    7778926AApply surface radiation1.120.410.410.031.561.56090
    77789TCAApply surface radiation0.00NA0.450.02NA0.47090
    77790ARadiation handling1.05NA0.880.06NA1.99XXX
    7779026ARadiation handling1.050.380.380.041.471.47XXX
    77790TCARadiation handling0.00NA0.500.02NA0.52XXX
    77799CRadium/radioisotope therapy0.00NA0.000.00NA0.00XXX
    7779926CRadium/radioisotope therapy0.000.000.000.000.000.00XXX
    77799TCCRadium/radioisotope therapy0.00NA0.000.00NA0.00XXX
    78000AThyroid, single uptake0.19NA1.020.06NA1.27XXX
    7800026AThyroid, single uptake0.190.070.070.010.270.27XXX
    78000TCAThyroid, single uptake0.00NA0.950.05NA1.00XXX
    78001AThyroid, multiple uptakes0.26NA1.380.07NA1.71XXX
    7800126AThyroid, multiple uptakes0.260.090.090.010.360.36XXX
    78001TCAThyroid, multiple uptakes0.00NA1.290.06NA1.35XXX
    78003AThyroid suppress/stimul0.33NA1.070.06NA1.46XXX
    7800326AThyroid suppress/stimul0.330.120.120.010.460.46XXX
    78003TCAThyroid suppress/stimul0.00NA0.950.05NA1.00XXX
    78006AThyroid imaging with uptake0.49NA2.510.13NA3.13XXX
    7800626AThyroid imaging with uptake0.490.170.170.020.680.68XXX
    78006TCAThyroid imaging with uptake0.00NA2.340.11NA2.45XXX
    78007AThyroid image, mult uptakes0.50NA2.710.14NA3.35XXX
    7800726AThyroid image, mult uptakes0.500.180.180.020.700.70XXX
    78007TCAThyroid image, mult uptakes0.00NA2.530.12NA2.65XXX
    78010AThyroid imaging0.39NA1.930.11NA2.43XXX
    7801026AThyroid imaging0.390.140.140.020.550.55XXX
    78010TCAThyroid imaging0.00NA1.790.09NA1.88XXX
    78011AThyroid imaging with flow0.45NA2.530.13NA3.11XXX
    7801126AThyroid imaging with flow0.450.160.160.020.630.63XXX
    Start Printed Page 40496
    78011TCAThyroid imaging with flow0.00NA2.370.11NA2.48XXX
    78015AThyroid met imaging0.67NA2.770.15NA3.59XXX
    7801526AThyroid met imaging0.670.240.240.030.940.94XXX
    78015TCAThyroid met imaging0.00NA2.530.12NA2.65XXX
    78016AThyroid met imaging/studies0.82NA3.730.18NA4.73XXX
    7801626AThyroid met imaging/studies0.820.300.300.031.151.15XXX
    78016TCAThyroid met imaging/studies0.00NA3.430.15NA3.58XXX
    78018AThyroid met imaging, body0.86NA5.660.27NA6.79XXX
    7801826AThyroid met imaging, body0.860.320.320.031.211.21XXX
    78018TCAThyroid met imaging, body0.00NA5.340.24NA5.58XXX
    78020AThyroid met uptake0.60NA1.520.14NA2.26ZZZ
    7802026AThyroid met uptake0.600.230.230.020.850.85ZZZ
    78020TCAThyroid met uptake0.00NA1.290.12NA1.41ZZZ
    78070AParathyroid nuclear imaging0.82NA2.090.12NA3.03XXX
    7807026AParathyroid nuclear imaging0.820.300.300.031.151.15XXX
    78070TCAParathyroid nuclear imaging0.00NA1.790.09NA1.88XXX
    78075AAdrenal nuclear imaging0.74NA5.620.27NA6.63XXX
    7807526AAdrenal nuclear imaging0.740.280.280.031.051.05XXX
    78075TCAAdrenal nuclear imaging0.00NA5.340.24NA5.58XXX
    78099CEndocrine nuclear procedure0.00NA0.000.00NA0.00XXX
    7809926CEndocrine nuclear procedure0.000.000.000.000.000.00XXX
    78099TCCEndocrine nuclear procedure0.00NA0.000.00NA0.00XXX
    78102ABone marrow imaging, ltd0.55NA2.220.12NA2.89XXX
    7810226ABone marrow imaging, ltd0.550.210.210.020.780.78XXX
    78102TCABone marrow imaging, ltd0.00NA2.010.10NA2.11XXX
    78103ABone marrow imaging, mult0.75NA3.400.17NA4.32XXX
    7810326ABone marrow imaging, mult0.750.280.280.031.061.06XXX
    78103TCABone marrow imaging, mult0.00NA3.120.14NA3.26XXX
    78104ABone marrow imaging, body0.80NA4.300.21NA5.31XXX
    7810426ABone marrow imaging, body0.800.290.290.031.121.12XXX
    78104TCABone marrow imaging, body0.00NA4.010.18NA4.19XXX
    78110APlasma volume, single0.19NA1.000.06NA1.25XXX
    7811026APlasma volume, single0.190.070.070.010.270.27XXX
    78110TCAPlasma volume, single0.00NA0.930.05NA0.98XXX
    78111APlasma volume, multiple0.22NA2.610.13NA2.96XXX
    7811126APlasma volume, multiple0.220.080.080.010.310.31XXX
    78111TCAPlasma volume, multiple0.00NA2.530.12NA2.65XXX
    78120ARed cell mass, single0.23NA1.790.10NA2.12XXX
    7812026ARed cell mass, single0.230.090.090.010.330.33XXX
    78120TCARed cell mass, single0.00NA1.700.09NA1.79XXX
    78121ARed cell mass, multiple0.32NA2.990.13NA3.44XXX
    7812126ARed cell mass, multiple0.320.120.120.010.450.45XXX
    78121TCARed cell mass, multiple0.00NA2.870.12NA2.99XXX
    78122ABlood volume0.45NA4.700.22NA5.37XXX
    7812226ABlood volume0.450.170.170.020.640.64XXX
    78122TCABlood volume0.00NA4.530.20NA4.73XXX
    78130ARed cell survival study0.61NA3.040.15NA3.80XXX
    7813026ARed cell survival study0.610.230.230.030.870.87XXX
    78130TCARed cell survival study0.00NA2.810.12NA2.93XXX
    78135ARed cell survival kinetics0.64NA5.030.24NA5.91XXX
    7813526ARed cell survival kinetics0.640.230.230.030.900.90XXX
    78135TCARed cell survival kinetics0.00NA4.800.21NA5.01XXX
    78140ARed cell sequestration0.61NA4.090.20NA4.90XXX
    7814026ARed cell sequestration0.610.210.210.030.850.85XXX
    78140TCARed cell sequestration0.00NA3.880.17NA4.05XXX
    78160APlasma iron turnover0.33NA3.750.19NA4.27XXX
    7816026APlasma iron turnover0.330.140.140.030.500.50XXX
    78160TCAPlasma iron turnover0.00NA3.610.16NA3.77XXX
    78162AIron absorption exam0.45NA3.330.15NA3.93XXX
    7816226AIron absorption exam0.450.180.180.010.640.64XXX
    78162TCAIron absorption exam0.00NA3.150.14NA3.29XXX
    78170ARed cell iron utilization0.41NA5.370.27NA6.05XXX
    7817026ARed cell iron utilization0.410.140.140.040.590.59XXX
    78170TCARed cell iron utilization0.00NA5.230.23NA5.46XXX
    78172CTotal body iron estimation0.00NA0.000.00NA0.00XXX
    7817226ATotal body iron estimation0.530.190.190.020.740.74XXX
    78172TCCTotal body iron estimation0.00NA0.000.00NA0.00XXX
    78185ASpleen imaging0.40NA2.460.13NA2.99XXX
    7818526ASpleen imaging0.400.140.140.020.560.56XXX
    78185TCASpleen imaging0.00NA2.320.11NA2.43XXX
    78190APlatelet survival, kinetics1.09NA6.020.31NA7.42XXX
    7819026APlatelet survival, kinetics1.090.390.390.061.541.54XXX
    78190TCAPlatelet survival, kinetics0.00NA5.630.25NA5.88XXX
    78191APlatelet survival0.61NA7.450.34NA8.40XXX
    Start Printed Page 40497
    7819126APlatelet survival0.610.220.220.030.860.86XXX
    78191TCAPlatelet survival0.00NA7.230.31NA7.54XXX
    78195ALymph system imaging1.20NA4.450.23NA5.88XXX
    7819526ALymph system imaging1.200.440.440.051.691.69XXX
    78195TCALymph system imaging0.00NA4.010.18NA4.19XXX
    78199CBlood/lymph nuclear exam0.00NA0.000.00NA0.00XXX
    7819926CBlood/lymph nuclear exam0.000.000.000.000.000.00XXX
    78199TCCBlood/lymph nuclear exam0.00NA0.000.00NA0.00XXX
    78201ALiver imaging0.44NA2.480.13NA3.05XXX
    7820126ALiver imaging0.440.160.160.020.620.62XXX
    78201TCALiver imaging0.00NA2.320.11NA2.43XXX
    78202ALiver imaging with flow0.51NA3.030.14NA3.68XXX
    7820226ALiver imaging with flow0.510.190.190.020.720.72XXX
    78202TCALiver imaging with flow0.00NA2.840.12NA2.96XXX
    78205ALiver imaging (3D)0.71NA6.080.29NA7.08XXX
    7820526ALiver imaging (3D)0.710.260.260.031.001.00XXX
    78205TCALiver imaging (3D)0.00NA5.820.26NA6.08XXX
    78206ALiver image (3d) w/flow0.96NA6.170.13NA7.26XXX
    7820626ALiver image (3d) w/flow0.960.350.350.041.351.35XXX
    78206TCALiver image (3d) w/flow0.00NA5.820.09NA5.91XXX
    78215ALiver and spleen imaging0.49NA3.060.14NA3.69XXX
    7821526ALiver and spleen imaging0.490.170.170.020.680.68XXX
    78215TCALiver and spleen imaging0.00NA2.890.12NA3.01XXX
    78216ALiver & spleen image/flow0.57NA3.630.17NA4.37XXX
    7821626ALiver & spleen image/flow0.570.200.200.020.790.79XXX
    78216TCALiver & spleen image/flow0.00NA3.430.15NA3.58XXX
    78220ALiver function study0.49NA3.840.18NA4.51XXX
    7822026ALiver function study0.490.170.170.020.680.68XXX
    78220TCALiver function study0.00NA3.670.16NA3.83XXX
    78223AHepatobiliary imaging0.84NA3.910.20NA4.95XXX
    7822326AHepatobiliary imaging0.840.300.300.041.181.18XXX
    78223TCAHepatobiliary imaging0.00NA3.610.16NA3.77XXX
    78230ASalivary gland imaging0.45NA2.300.13NA2.88XXX
    7823026ASalivary gland imaging0.450.160.160.020.630.63XXX
    78230TCASalivary gland imaging0.00NA2.140.11NA2.25XXX
    78231ASerial salivary imaging0.52NA3.320.16NA4.00XXX
    7823126ASerial salivary imaging0.520.200.200.020.740.74XXX
    78231TCASerial salivary imaging0.00NA3.120.14NA3.26XXX
    78232ASalivary gland function exam0.47NA3.660.16NA4.29XXX
    7823226ASalivary gland function exam0.470.180.180.010.660.66XXX
    78232TCASalivary gland function exam0.00NA3.480.15NA3.63XXX
    78258AEsophageal motility study0.74NA3.100.15NA3.99XXX
    7825826AEsophageal motility study0.740.260.260.031.031.03XXX
    78258TCAEsophageal motility study0.00NA2.840.12NA2.96XXX
    78261AGastric mucosa imaging0.69NA4.300.21NA5.20XXX
    7826126AGastric mucosa imaging0.690.260.260.030.980.98XXX
    78261TCAGastric mucosa imaging0.00NA4.040.18NA4.22XXX
    78262AGastroesophageal reflux exam0.68NA4.440.21NA5.33XXX
    7826226AGastroesophageal reflux exam0.680.250.250.030.960.96XXX
    78262TCAGastroesophageal reflux exam0.00NA4.190.18NA4.37XXX
    78264AGastric emptying study0.78NA4.350.21NA5.34XXX
    7826426AGastric emptying study0.780.280.280.031.091.09XXX
    78264TCAGastric emptying study0.00NA4.070.18NA4.25XXX
    78267XBreath tst attain/anal c-140.00NA0.000.00NA0.00XXX
    78268XBreath test analysis, c-140.000.000.000.000.000.00XXX
    78270AVit B-12 absorption exam0.20NA1.590.09NA1.88XXX
    7827026AVit B-12 absorption exam0.200.070.070.010.280.28XXX
    78270TCAVit B-12 absorption exam0.00NA1.520.08NA1.60XXX
    78271AVit B-12 absorp exam, IF0.20NA1.690.09NA1.98XXX
    7827126AVit B-12 absorp exam, IF0.200.070.070.010.280.28XXX
    78271TCAVit B-12 absorp exam, IF0.00NA1.620.08NA1.70XXX
    78272AVit B-12 absorp, combined0.27NA2.390.12NA2.78XXX
    7827226AVit B-12 absorp, combined0.270.100.100.010.380.38XXX
    78272TCAVit B-12 absorp, combined0.00NA2.290.11NA2.40XXX
    78278AAcute GI blood loss imaging0.99NA5.150.25NA6.39XXX
    7827826AAcute GI blood loss imaging0.990.350.350.041.381.38XXX
    78278TCAAcute GI blood loss imaging0.00NA4.800.21NA5.01XXX
    78282CGI protein loss exam0.00NA0.000.00NA0.00XXX
    7828226AGI protein loss exam0.380.140.140.020.540.54XXX
    78282TCCGI protein loss exam0.00NA0.000.00NA0.00XXX
    78290AMeckel's divert exam0.68NA3.240.16NA4.08XXX
    7829026AMeckel's divert exam0.680.240.240.030.950.95XXX
    78290TCAMeckel's divert exam0.00NA3.000.13NA3.13XXX
    78291ALeveen/shunt patency exam0.88NA3.340.17NA4.39XXX
    Start Printed Page 40498
    7829126ALeveen/shunt patency exam0.880.320.320.041.241.24XXX
    78291TCALeveen/shunt patency exam0.00NA3.020.13NA3.15XXX
    78299CGI nuclear procedure0.00NA0.000.00NA0.00XXX
    7829926CGI nuclear procedure0.000.000.000.000.000.00XXX
    78299TCCGI nuclear procedure0.00NA0.000.00NA0.00XXX
    78300ABone imaging, limited area0.62NA2.670.15NA3.44XXX
    7830026ABone imaging, limited area0.620.220.220.030.870.87XXX
    78300TCABone imaging, limited area0.00NA2.450.12NA2.57XXX
    78305ABone imaging, multiple areas0.83NA3.900.19NA4.92XXX
    7830526ABone imaging, multiple areas0.830.290.290.031.151.15XXX
    78305TCABone imaging, multiple areas0.00NA3.610.16NA3.77XXX
    78306ABone imaging, whole body0.86NA4.520.22NA5.60XXX
    7830626ABone imaging, whole body0.860.310.310.041.211.21XXX
    78306TCABone imaging, whole body0.00NA4.210.18NA4.39XXX
    78315ABone imaging, 3 phase1.02NA5.070.25NA6.34XXX
    7831526ABone imaging, 3 phase1.020.370.370.041.431.43XXX
    78315TCABone imaging, 3 phase0.00NA4.700.21NA4.91XXX
    78320ABone imaging (3D)1.04NA6.200.30NA7.54XXX
    7832026ABone imaging (3D)1.040.380.380.041.461.46XXX
    78320TCABone imaging (3D)0.00NA5.820.26NA6.08XXX
    78350ABone mineral, single photon0.22NA0.820.05NA1.09XXX
    7835026ABone mineral, single photon0.220.080.080.010.310.31XXX
    78350TCABone mineral, single photon0.00NA0.740.04NA0.78XXX
    78351NBone mineral, dual photon+0.300.121.600.010.431.91XXX
    78399CMusculoskeletal nuclear exam0.00NA0.000.00NA0.00XXX
    7839926CMusculoskeletal nuclear exam0.000.000.000.000.000.00XXX
    78399TCCMusculoskeletal nuclear exam0.00NA0.000.00NA0.00XXX
    78414CNon-imaging heart function0.00NA0.000.00NA0.00XXX
    7841426ANon-imaging heart function0.450.160.160.020.630.63XXX
    78414TCCNon-imaging heart function0.00NA0.000.00NA0.00XXX
    78428ACardiac shunt imaging0.78NA2.530.14NA3.45XXX
    7842826ACardiac shunt imaging0.780.310.310.031.121.12XXX
    78428TCACardiac shunt imaging0.00NA2.220.11NA2.33XXX
    78445AVascular flow imaging0.49NA2.010.11NA2.61XXX
    7844526AVascular flow imaging0.490.180.180.020.690.69XXX
    78445TCAVascular flow imaging0.00NA1.830.09NA1.92XXX
    78455AVenous thrombosis study0.73NA4.180.20NA5.11XXX
    7845526AVenous thrombosis study0.730.260.260.031.021.02XXX
    78455TCAVenous thrombosis study0.00NA3.920.17NA4.09XXX
    78456AAcute venous thrombus image1.00NA4.290.28NA5.57XXX
    7845626AAcute venous thrombus image1.000.370.370.041.411.41XXX
    78456TCAAcute venous thrombus image0.00NA3.920.24NA4.16XXX
    78457AVenous thrombosis imaging0.77NA2.900.15NA3.82XXX
    7845726AVenous thrombosis imaging0.770.280.280.031.081.08XXX
    78457TCAVenous thrombosis imaging0.00NA2.620.12NA2.74XXX
    78458AVen thrombosis images, bilat0.90NA4.300.20NA5.40XXX
    7845826AVen thrombosis images, bilat0.900.340.340.031.271.27XXX
    78458TCAVen thrombosis images, bilat0.00NA3.960.17NA4.13XXX
    78459IHeart muscle imaging (PET)0.000.740.740.000.740.74XXX
    7845926IHeart muscle imaging (PET)1.880.740.740.082.702.70XXX
    78459TCIHeart muscle imaging (PET)0.000.000.000.000.000.00XXX
    78460AHeart muscle blood, single0.86NA2.630.14NA3.63XXX
    7846026AHeart muscle blood, single0.860.310.310.031.201.20XXX
    78460TCAHeart muscle blood, single0.00NA2.320.11NA2.43XXX
    78461AHeart muscle blood, multiple1.23NA5.110.26NA6.60XXX
    7846126AHeart muscle blood, multiple1.230.460.460.051.741.74XXX
    78461TCAHeart muscle blood, multiple0.00NA4.650.21NA4.86XXX
    78464AHeart image (3d), single1.09NA7.360.35NA8.80XXX
    7846426AHeart image (3d), single1.090.400.400.041.531.53XXX
    78464TCAHeart image (3d), single0.00NA6.960.31NA7.27XXX
    78465AHeart image (3d), multiple1.46NA12.170.56NA14.19XXX
    7846526AHeart image (3d), multiple1.460.550.550.052.062.06XXX
    78465TCAHeart image (3d), multiple0.00NA11.620.51NA12.13XXX
    78466AHeart infarct image0.69NA2.840.15NA3.68XXX
    7846626AHeart infarct image0.690.260.260.030.980.98XXX
    78466TCAHeart infarct image0.00NA2.580.12NA2.70XXX
    78468AHeart infarct image (ef)0.80NA3.900.19NA4.89XXX
    7846826AHeart infarct image (ef)0.800.290.290.031.121.12XXX
    78468TCAHeart infarct image (ef)0.00NA3.610.16NA3.77XXX
    78469AHeart infarct image (3D)0.92NA5.470.26NA6.65XXX
    7846926AHeart infarct image (3D)0.920.330.330.031.281.28XXX
    78469TCAHeart infarct image (3D)0.00NA5.140.23NA5.37XXX
    78472AGated heart, planar, single0.98NA5.790.29NA7.06XXX
    7847226AGated heart, planar, single0.980.360.360.041.381.38XXX
    Start Printed Page 40499
    78472TCAGated heart, planar, single0.00NA5.430.25NA5.68XXX
    78473AGated heart, multiple1.47NA8.670.40NA10.54XXX
    7847326AGated heart, multiple1.470.540.540.052.062.06XXX
    78473TCAGated heart, multiple0.00NA8.130.35NA8.48XXX
    78478AHeart wall motion add-on0.62NA1.770.10NA2.49ZZZ
    7847826AHeart wall motion add-on0.620.240.240.020.880.88ZZZ
    78478TCAHeart wall motion add-on0.00NA1.530.08NA1.61ZZZ
    78480AHeart function add-on0.62NA1.770.10NA2.49ZZZ
    7848026AHeart function add-on0.620.240.240.020.880.88ZZZ
    78480TCAHeart function add-on0.00NA1.530.08NA1.61ZZZ
    78481AHeart first pass, single0.98NA5.520.26NA6.76XXX
    7848126AHeart first pass, single0.980.380.380.031.391.39XXX
    78481TCAHeart first pass, single0.00NA5.140.23NA5.37XXX
    78483AHeart first pass, multiple1.47NA8.320.39NA10.18XXX
    7848326AHeart first pass, multiple1.470.570.570.052.092.09XXX
    78483TCAHeart first pass, multiple0.00NA7.750.34NA8.09XXX
    78491IHeart image (pet), single0.00NA0.590.00NA0.59XXX
    7849126IHeart image (pet), single1.500.590.590.052.142.14XXX
    78491TCIHeart image (pet), single0.00NA0.000.00NA0.00XXX
    78492IHeart image (pet), multiple+0.00NA0.740.00NA0.74XXX
    7849226IHeart image (pet), multiple+1.870.740.740.062.672.67XXX
    78492TCIHeart image (pet), multiple0.00NA0.000.00NA0.00XXX
    78494AHeart image, spect1.19NA7.400.29NA8.88XXX
    7849426AHeart image, spect1.190.440.440.041.671.67XXX
    78494TCAHeart image, spect0.00NA6.960.25NA7.21XXX
    78496AHeart first pass add-on0.50NA7.150.27NA7.92ZZZ
    7849626AHeart first pass add-on0.500.190.190.020.710.71ZZZ
    78496TCAHeart first pass add-on0.00NA6.960.25NA7.21ZZZ
    78499CCardiovascular nuclear exam0.00NA0.000.00NA0.00XXX
    7849926CCardiovascular nuclear exam0.000.000.000.000.000.00XXX
    78499TCCCardiovascular nuclear exam0.00NA0.000.00NA0.00XXX
    78580ALung perfusion imaging0.74NA3.650.18NA4.57XXX
    7858026ALung perfusion imaging0.740.270.270.031.041.04XXX
    78580TCALung perfusion imaging0.00NA3.380.15NA3.53XXX
    78584ALung V/Q image single breath0.99NA3.500.18NA4.67XXX
    7858426ALung V/Q image single breath0.990.350.350.041.381.38XXX
    78584TCALung V/Q image single breath0.00NA3.150.14NA3.29XXX
    78585ALung V/Q imaging1.09NA5.940.30NA7.33XXX
    7858526ALung V/Q imaging1.090.390.390.051.531.53XXX
    78585TCALung V/Q imaging0.00NA5.550.25NA5.80XXX
    78586AAerosol lung image, single0.40NA2.690.14NA3.23XXX
    7858626AAerosol lung image, single0.400.140.140.020.560.56XXX
    78586TCAAerosol lung image, single0.00NA2.550.12NA2.67XXX
    78587AAerosol lung image, multiple0.49NA2.940.14NA3.57XXX
    7858726AAerosol lung image, multiple0.490.180.180.020.690.69XXX
    78587TCAAerosol lung image, multiple0.00NA2.760.12NA2.88XXX
    78588APerfusion lung image1.09NA3.540.20NA4.83XXX
    7858826APerfusion lung image1.090.390.390.051.531.53XXX
    78588TCAPerfusion lung image0.00NA3.150.15NA3.30XXX
    78591AVent image, 1 breath, 1 proj0.40NA2.950.14NA3.49XXX
    7859126AVent image, 1 breath, 1 proj0.400.140.140.020.560.56XXX
    78591TCAVent image, 1 breath, 1 proj0.00NA2.810.12NA2.93XXX
    78593AVent image, 1 proj, gas0.49NA3.570.17NA4.23XXX
    7859326AVent image, 1 proj, gas0.490.170.170.020.680.68XXX
    78593TCAVent image, 1 proj, gas0.00NA3.400.15NA3.55XXX
    78594AVent image, mult proj, gas0.53NA5.090.23NA5.85XXX
    7859426AVent image, mult proj, gas0.530.190.190.020.740.74XXX
    78594TCAVent image, mult proj, gas0.00NA4.900.21NA5.11XXX
    78596ALung differential function1.27NA7.410.36NA9.04XXX
    7859626ALung differential function1.270.450.450.051.771.77XXX
    78596TCALung differential function0.00NA6.960.31NA7.27XXX
    78599CRespiratory nuclear exam0.00NA0.000.00NA0.00XXX
    7859926CRespiratory nuclear exam0.000.000.000.000.000.00XXX
    78599TCCRespiratory nuclear exam0.00NA0.000.00NA0.00XXX
    78600ABrain imaging, ltd static0.44NA3.050.14NA3.63XXX
    7860026ABrain imaging, ltd static0.440.160.160.020.620.62XXX
    78600TCABrain imaging, ltd static0.00NA2.890.12NA3.01XXX
    78601ABrain imaging, ltd w/ flow0.51NA3.530.17NA4.21XXX
    7860126ABrain imaging, ltd w/ flow0.510.180.180.020.710.71XXX
    78601TCABrain imaging, ltd w/ flow0.00NA3.350.15NA3.50XXX
    78605ABrain imaging, complete0.53NA3.550.17NA4.25XXX
    7860526ABrain imaging, complete0.530.200.200.020.750.75XXX
    78605TCABrain imaging, complete0.00NA3.350.15NA3.50XXX
    78606ABrain imaging, compl w/flow0.64NA4.040.20NA4.88XXX
    Start Printed Page 40500
    7860626ABrain imaging, compl w/flow0.640.230.230.030.900.90XXX
    78606TCABrain imaging, compl w/flow0.00NA3.810.17NA3.98XXX
    78607ABrain imaging (3D)1.23NA6.920.34NA8.49XXX
    7860726ABrain imaging (3D)1.230.460.460.051.741.74XXX
    78607TCABrain imaging (3D)0.00NA6.460.29NA6.75XXX
    78608NBrain imaging (PET)0.000.000.000.000.000.00XXX
    78609NBrain imaging (PET)0.000.000.000.000.000.00XXX
    78610ABrain flow imaging only0.30NA1.660.09NA2.05XXX
    7861026ABrain flow imaging only0.300.110.110.010.420.42XXX
    78610TCABrain flow imaging only0.00NA1.550.08NA1.63XXX
    78615ACerebral blood flow imaging0.42NA3.950.19NA4.56XXX
    7861526ACerebral blood flow imaging0.420.160.160.020.600.60XXX
    78615TCACerebral blood flow imaging0.00NA3.790.17NA3.96XXX
    78630ACerebrospinal fluid scan0.68NA5.200.25NA6.13XXX
    7863026ACerebrospinal fluid scan0.680.240.240.030.950.95XXX
    78630TCACerebrospinal fluid scan0.00NA4.960.22NA5.18XXX
    78635ACSF ventriculography0.61NA2.740.14NA3.49XXX
    7863526ACSF ventriculography0.610.240.240.020.870.87XXX
    78635TCACSF ventriculography0.00NA2.500.12NA2.62XXX
    78645ACSF shunt evaluation0.57NA3.590.17NA4.33XXX
    7864526ACSF shunt evaluation0.570.210.210.020.800.80XXX
    78645TCACSF shunt evaluation0.00NA3.380.15NA3.53XXX
    78647ACerebrospinal fluid scan0.90NA6.160.29NA7.35XXX
    7864726ACerebrospinal fluid scan0.900.340.340.031.271.27XXX
    78647TCACerebrospinal fluid scan0.00NA5.820.26NA6.08XXX
    78650ACSF leakage imaging0.61NA4.790.22NA5.62XXX
    7865026ACSF leakage imaging0.610.220.220.020.850.85XXX
    78650TCACSF leakage imaging0.00NA4.570.20NA4.77XXX
    78660ANuclear exam of tear flow0.53NA2.280.12NA2.93XXX
    7866026ANuclear exam of tear flow0.530.190.190.020.740.74XXX
    78660TCANuclear exam of tear flow0.00NA2.090.10NA2.19XXX
    78699CNervous system nuclear exam0.00NA0.000.00NA0.00XXX
    7869926CNervous system nuclear exam0.000.000.000.000.000.00XXX
    78699TCCNervous system nuclear exam0.00NA0.000.00NA0.00XXX
    78700AKidney imaging, static0.45NA3.160.15NA3.76XXX
    7870026AKidney imaging, static0.450.160.160.020.630.63XXX
    78700TCAKidney imaging, static0.00NA3.000.13NA3.13XXX
    78701AKidney imaging with flow0.49NA3.670.17NA4.33XXX
    7870126AKidney imaging with flow0.490.170.170.020.680.68XXX
    78701TCAKidney imaging with flow0.00NA3.500.15NA3.65XXX
    78704AImaging renogram0.74NA4.150.20NA5.09XXX
    7870426AImaging renogram0.740.260.260.031.031.03XXX
    78704TCAImaging renogram0.00NA3.890.17NA4.06XXX
    78707AKidney flow/function image0.96NA4.750.23NA5.94XXX
    7870726AKidney flow/function image0.960.350.350.041.351.35XXX
    78707TCAKidney flow/function image0.00NA4.400.19NA4.59XXX
    78708AKidney flow/function image1.21NA4.840.24NA6.29XXX
    7870826AKidney flow/function image1.210.440.440.051.701.70XXX
    78708TCAKidney flow/function image0.00NA4.400.19NA4.59XXX
    78709AKidney flow/function image1.41NA4.900.25NA6.56XXX
    7870926AKidney flow/function image1.410.500.500.061.971.97XXX
    78709TCAKidney flow/function image0.00NA4.400.19NA4.59XXX
    78710AKidney imaging (3D)0.66NA6.050.29NA7.00XXX
    7871026AKidney imaging (3D)0.660.230.230.030.920.92XXX
    78710TCAKidney imaging (3D)0.00NA5.820.26NA6.08XXX
    78715ARenal vascular flow exam0.30NA1.660.09NA2.05XXX
    7871526ARenal vascular flow exam0.300.110.110.010.420.42XXX
    78715TCARenal vascular flow exam0.00NA1.550.08NA1.63XXX
    78725AKidney function study0.38NA1.890.10NA2.37XXX
    7872526AKidney function study0.380.140.140.010.530.53XXX
    78725TCAKidney function study0.00NA1.750.09NA1.84XXX
    78730AUrinary bladder retention0.36NA1.570.09NA2.02XXX
    7873026AUrinary bladder retention0.360.130.130.020.510.51XXX
    78730TCAUrinary bladder retention0.00NA1.440.07NA1.51XXX
    78740AUreteral reflux study0.57NA2.290.12NA2.98XXX
    7874026AUreteral reflux study0.570.200.200.020.790.79XXX
    78740TCAUreteral reflux study0.00NA2.090.10NA2.19XXX
    78760ATesticular imaging0.66NA2.870.15NA3.68XXX
    7876026ATesticular imaging0.660.230.230.030.920.92XXX
    78760TCATesticular imaging0.00NA2.640.12NA2.76XXX
    78761ATesticular imaging/flow0.71NA3.400.17NA4.28XXX
    7876126ATesticular imaging/flow0.710.250.250.030.990.99XXX
    78761TCATesticular imaging/flow0.00NA3.150.14NA3.29XXX
    78799CGenitourinary nuclear exam0.00NA0.000.00NA0.00XXX
    Start Printed Page 40501
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    78799TCCGenitourinary nuclear exam0.00NA0.000.00NA0.00XXX
    78800ATumor imaging, limited area0.66NA3.580.18NA4.42XXX
    7880026ATumor imaging, limited area0.660.230.230.030.920.92XXX
    78800TCATumor imaging, limited area0.00NA3.350.15NA3.50XXX
    78801ATumor imaging, mult areas0.79NA4.440.21NA5.44XXX
    7880126ATumor imaging, mult areas0.790.280.280.031.101.10XXX
    78801TCATumor imaging, mult areas0.00NA4.160.18NA4.34XXX
    78802ATumor imaging, whole body0.86NA5.760.28NA6.90XXX
    7880226ATumor imaging, whole body0.860.310.310.031.201.20XXX
    78802TCATumor imaging, whole body0.00NA5.450.25NA5.70XXX
    78803ATumor imaging (3D)1.09NA6.870.33NA8.29XXX
    7880326ATumor imaging (3D)1.090.410.410.041.541.54XXX
    78803TCATumor imaging (3D)0.00NA6.460.29NA6.75XXX
    78805AAbscess imaging, ltd area0.73NA3.620.18NA4.53XXX
    7880526AAbscess imaging, ltd area0.730.270.270.031.031.03XXX
    78805TCAAbscess imaging, ltd area0.00NA3.350.15NA3.50XXX
    78806AAbscess imaging, whole body0.86NA6.640.32NA7.82XXX
    7880626AAbscess imaging, whole body0.860.310.310.031.201.20XXX
    78806TCAAbscess imaging, whole body0.00NA6.330.29NA6.62XXX
    78807ANuclear localization/abscess1.09NA6.870.33NA8.29XXX
    7880726ANuclear localization/abscess1.090.410.410.041.541.54XXX
    78807TCANuclear localization/abscess0.00NA6.460.29NA6.75XXX
    78810NTumor imaging (PET)+0.00NA0.760.00NA0.76XXX
    7881026NTumor imaging (PET)+1.930.760.760.092.782.78XXX
    78810TCNTumor imaging (PET)0.00NA0.000.00NA0.00XXX
    78890BNuclear medicine data proc+0.05NA1.310.06NA1.42XXX
    7889026BNuclear medicine data proc+0.050.020.020.010.080.08XXX
    78890TCBNuclear medicine data proc+0.00NA1.290.05NA1.34XXX
    78891BNuclear med data proc+0.10NA2.620.12NA2.84XXX
    7889126BNuclear med data proc+0.100.040.040.010.150.15XXX
    78891TCBNuclear med data proc+0.00NA2.580.11NA2.69XXX
    78990IProvide diag radionuclide(s)0.000.000.000.000.000.00XXX
    78999CNuclear diagnostic exam0.00NA0.000.00NA0.00XXX
    7899926CNuclear diagnostic exam0.000.000.000.000.000.00XXX
    78999TCCNuclear diagnostic exam0.00NA0.000.00NA0.00XXX
    79000AInit hyperthyroid therapy1.80NA3.220.19NA5.21XXX
    7900026AInit hyperthyroid therapy1.800.640.640.072.512.51XXX
    79000TCAInit hyperthyroid therapy0.00NA2.580.12NA2.70XXX
    79001ARepeat hyperthyroid therapy1.05NA1.670.10NA2.82XXX
    7900126ARepeat hyperthyroid therapy1.050.380.380.041.471.47XXX
    79001TCARepeat hyperthyroid therapy0.00NA1.290.06NA1.35XXX
    79020AThyroid ablation1.81NA3.220.19NA5.22XXX
    7902026AThyroid ablation1.810.640.640.072.522.52XXX
    79020TCAThyroid ablation0.00NA2.580.12NA2.70XXX
    79030AThyroid ablation, carcinoma2.10NA3.340.20NA5.64XXX
    7903026AThyroid ablation, carcinoma2.100.760.760.082.942.94XXX
    79030TCAThyroid ablation, carcinoma0.00NA2.580.12NA2.70XXX
    79035AThyroid metastatic therapy2.52NA3.520.21NA6.25XXX
    7903526AThyroid metastatic therapy2.520.940.940.093.553.55XXX
    79035TCAThyroid metastatic therapy0.00NA2.580.12NA2.70XXX
    79100AHematopoetic nuclear therapy1.32NA3.070.17NA4.56XXX
    7910026AHematopoetic nuclear therapy1.320.490.490.051.861.86XXX
    79100TCAHematopoetic nuclear therapy0.00NA2.580.12NA2.70XXX
    79200AIntracavitary nuclear trmt1.99NA3.320.19NA5.50XXX
    7920026AIntracavitary nuclear trmt1.990.740.740.072.802.80XXX
    79200TCAIntracavitary nuclear trmt0.00NA2.580.12NA2.70XXX
    79300CInterstitial nuclear therapy0.00NA0.000.00NA0.00XXX
    7930026AInterstitial nuclear therapy1.600.570.570.072.242.24XXX
    79300TCCInterstitial nuclear therapy0.00NA0.000.00NA0.00XXX
    79400ANonhemato nuclear therapy1.96NA3.300.20NA5.46XXX
    7940026ANonhemato nuclear therapy1.960.720.720.082.762.76XXX
    79400TCANonhemato nuclear therapy0.00NA2.580.12NA2.70XXX
    79420CIntravascular nuclear ther0.00NA0.000.00NA0.00XXX
    7942026AIntravascular nuclear ther1.510.530.530.062.102.10XXX
    79420TCCIntravascular nuclear ther0.00NA0.000.00NA0.00XXX
    79440ANuclear joint therapy1.99NA3.380.20NA5.57XXX
    7944026ANuclear joint therapy1.990.800.800.082.872.87XXX
    79440TCANuclear joint therapy0.00NA2.580.12NA2.70XXX
    79900CProvide ther radiopharm(s)0.000.000.000.000.000.00XXX
    79999CNuclear medicine therapy0.00NA0.000.00NA0.00XXX
    7999926CNuclear medicine therapy0.000.000.000.000.000.00XXX
    79999TCCNuclear medicine therapy0.00NA0.000.00NA0.00XXX
    80048XBasic metabolic panel0.000.000.000.000.000.00XXX
    Start Printed Page 40502
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    80051XElectrolyte panel0.000.000.000.000.000.00XXX
    80053XComprehen metabolic panel0.000.000.000.000.000.00XXX
    80055IObstetric panel0.000.000.000.000.000.00XXX
    80061XLipid panel0.000.000.000.000.000.00XXX
    80069XRenal function panel0.000.000.000.000.000.00XXX
    80072XArthritis panel0.000.000.000.000.000.00XXX
    80074XAcute hepatitis panel0.000.000.000.000.000.00XXX
    80076XHepatic function panel0.000.000.000.000.000.00XXX
    80090XTorch antibody panel0.000.000.000.000.000.00XXX
    80100XDrug screen, qualitate/multi0.000.000.000.000.000.00XXX
    80101XDrug screen, single0.000.000.000.000.000.00XXX
    80102XDrug confirmation0.000.000.000.000.000.00XXX
    80103XDrug analysis, tissue prep0.000.000.000.000.000.00XXX
    80150XAssay of amikacin0.000.000.000.000.000.00XXX
    80152XAssay of amitriptyline0.000.000.000.000.000.00XXX
    80154XAssay of benzodiazepines0.000.000.000.000.000.00XXX
    80156XAssay, carbamazepine, total0.000.000.000.000.000.00XXX
    80157XAssay, carbamazepine, free0.000.000.000.000.000.00XXX
    80158XAssay of cyclosporine0.000.000.000.000.000.00XXX
    80160XAssay of desipramine0.000.000.000.000.000.00XXX
    80162XAssay of digoxin0.000.000.000.000.000.00XXX
    80164XAssay, dipropylacetic acid0.000.000.000.000.000.00XXX
    80166XAssay of doxepin0.000.000.000.000.000.00XXX
    80168XAssay of ethosuximide0.000.000.000.000.000.00XXX
    80170XAssay of gentamicin0.000.000.000.000.000.00XXX
    80172XAssay of gold0.000.000.000.000.000.00XXX
    80173XAssay of haloperidol0.000.000.000.000.000.00XXX
    80174XAssay of imipramine0.000.000.000.000.000.00XXX
    80176XAssay of lidocaine0.000.000.000.000.000.00XXX
    80178XAssay of lithium0.000.000.000.000.000.00XXX
    80182XAssay of nortriptyline0.000.000.000.000.000.00XXX
    80184XAssay of phenobarbital0.000.000.000.000.000.00XXX
    80185XAssay of phenytoin, total0.000.000.000.000.000.00XXX
    80186XAssay of phenytoin, free0.000.000.000.000.000.00XXX
    80188XAssay of primidone0.000.000.000.000.000.00XXX
    80190XAssay of procainamide0.000.000.000.000.000.00XXX
    80192XAssay of procainamide0.000.000.000.000.000.00XXX
    80194XAssay of quinidine0.000.000.000.000.000.00XXX
    80196XAssay of salicylate0.000.000.000.000.000.00XXX
    80197XAssay of tacrolimus0.000.000.000.000.000.00XXX
    80198XAssay of theophylline0.000.000.000.000.000.00XXX
    80200XAssay of tobramycin0.000.000.000.000.000.00XXX
    80201XAssay of topiramate0.000.000.000.000.000.00XXX
    80202XAssay of vancomycin0.000.000.000.000.000.00XXX
    80299XQuantitative assay, drug0.000.000.000.000.000.00XXX
    80400XActh stimulation panel0.000.000.000.000.000.00XXX
    80402XActh stimulation panel0.000.000.000.000.000.00XXX
    80406XActh stimulation panel0.000.000.000.000.000.00XXX
    80408XAldosterone suppression eval0.000.000.000.000.000.00XXX
    80410XCalcitonin stimul panel0.000.000.000.000.000.00XXX
    80412XCRH stimulation panel0.000.000.000.000.000.00XXX
    80414XTestosterone response0.000.000.000.000.000.00XXX
    80415XEstradiol response panel0.000.000.000.000.000.00XXX
    80416XRenin stimulation panel0.000.000.000.000.000.00XXX
    80417XRenin stimulation panel0.000.000.000.000.000.00XXX
    80418XPituitary evaluation panel0.000.000.000.000.000.00XXX
    80420XDexamethasone panel0.000.000.000.000.000.00XXX
    80422XGlucagon tolerance panel0.000.000.000.000.000.00XXX
    80424XGlucagon tolerance panel0.000.000.000.000.000.00XXX
    80426XGonadotropin hormone panel0.000.000.000.000.000.00XXX
    80428XGrowth hormone panel0.000.000.000.000.000.00XXX
    80430XGrowth hormone panel0.000.000.000.000.000.00XXX
    80432XInsulin suppression panel0.000.000.000.000.000.00XXX
    80434XInsulin tolerance panel0.000.000.000.000.000.00XXX
    80435XInsulin tolerance panel0.000.000.000.000.000.00XXX
    80436XMetyrapone panel0.000.000.000.000.000.00XXX
    80438XTRH stimulation panel0.000.000.000.000.000.00XXX
    80439XTRH stimulation panel0.000.000.000.000.000.00XXX
    80440XTRH stimulation panel0.000.000.000.000.000.00XXX
    80500ALab pathology consultation0.370.170.190.010.550.57XXX
    80502ALab pathology consultation1.330.610.640.051.992.02XXX
    81000XUrinalysis, nonauto w/scope0.000.000.000.000.000.00XXX
    81001XUrinalysis, auto w/scope0.000.000.000.000.000.00XXX
    Start Printed Page 40503
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    81003XUrinalysis, auto, w/o scope0.000.000.000.000.000.00XXX
    81005XUrinalysis0.000.000.000.000.000.00XXX
    81007XUrine screen for bacteria0.000.000.000.000.000.00XXX
    81015XMicroscopic exam of urine0.000.000.000.000.000.00XXX
    81020XUrinalysis, glass test0.000.000.000.000.000.00XXX
    81025XUrine pregnancy test0.000.000.000.000.000.00XXX
    81050XUrinalysis, volume measure0.000.000.000.000.000.00XXX
    81099XUrinalysis test procedure0.000.000.000.000.000.00XXX
    82000XAssay of blood acetaldehyde0.000.000.000.000.000.00XXX
    82003XAssay of acetaminophen0.000.000.000.000.000.00XXX
    82009XTest for acetone/ketones0.000.000.000.000.000.00XXX
    82010XAcetone assay0.000.000.000.000.000.00XXX
    82013XAcetylcholinesterase assay0.000.000.000.000.000.00XXX
    82016XAcylcarnitines, qual0.000.000.000.000.000.00XXX
    82017XAcylcarnitines, quant0.000.000.000.000.000.00XXX
    82024XAssay of acth0.000.000.000.000.000.00XXX
    82030XAssay of adp & amp0.000.000.000.000.000.00XXX
    82040XAssay of serum albumin0.000.000.000.000.000.00XXX
    82042XAssay of urine albumin0.000.000.000.000.000.00XXX
    82043XMicroalbumin, quantitative0.000.000.000.000.000.00XXX
    82044XMicroalbumin, semiquant0.000.000.000.000.000.00XXX
    82055XAssay of ethanol0.000.000.000.000.000.00XXX
    82075XAssay of breath ethanol0.000.000.000.000.000.00XXX
    82085XAssay of aldolase0.000.000.000.000.000.00XXX
    82088XAssay of aldosterone0.000.000.000.000.000.00XXX
    82101XAssay of urine alkaloids0.000.000.000.000.000.00XXX
    82103XAlpha-1-antitrypsin, total0.000.000.000.000.000.00XXX
    82104XAlpha-1-antitrypsin, pheno0.000.000.000.000.000.00XXX
    82105XAlpha-fetoprotein, serum0.000.000.000.000.000.00XXX
    82106XAlpha-fetoprotein, amniotic0.000.000.000.000.000.00XXX
    82108XAssay of aluminum0.000.000.000.000.000.00XXX
    82120XAmines, vaginal fluid qual0.000.000.000.000.000.00XXX
    82127XAmino acid, single qual0.000.000.000.000.000.00XXX
    82128XAmino acids, mult qual0.000.000.000.000.000.00XXX
    82131XAmino acids, single quant0.000.000.000.000.000.00XXX
    82135XAssay, aminolevulinic acid0.000.000.000.000.000.00XXX
    82136XAmino acids, quant, 2-50.000.000.000.000.000.00XXX
    82139XAmino acids, quan, 6 or more0.000.000.000.000.000.00XXX
    82140XAssay of ammonia0.000.000.000.000.000.00XXX
    82143XAmniotic fluid scan0.000.000.000.000.000.00XXX
    82145XAssay of amphetamines0.000.000.000.000.000.00XXX
    82150XAssay of amylase0.000.000.000.000.000.00XXX
    82154XAndrostanediol glucuronide0.000.000.000.000.000.00XXX
    82157XAssay of androstenedione0.000.000.000.000.000.00XXX
    82160XAssay of androsterone0.000.000.000.000.000.00XXX
    82163XAssay of angiotensin II0.000.000.000.000.000.00XXX
    82164XAngiotensin I enzyme test0.000.000.000.000.000.00XXX
    82172XAssay of apolipoprotein0.000.000.000.000.000.00XXX
    82175XAssay of arsenic0.000.000.000.000.000.00XXX
    82180XAssay of ascorbic acid0.000.000.000.000.000.00XXX
    82190XAtomic absorption0.000.000.000.000.000.00XXX
    82205XAssay of barbiturates0.000.000.000.000.000.00XXX
    82232XAssay of beta-2 protein0.000.000.000.000.000.00XXX
    82239XBile acids, total0.000.000.000.000.000.00XXX
    82240XBile acids, cholylglycine0.000.000.000.000.000.00XXX
    82247XBilirubin, total0.000.000.000.000.000.00XXX
    82248XBilirubin, direct0.000.000.000.000.000.00XXX
    82252XFecal bilirubin test0.000.000.000.000.000.00XXX
    82261XAssay of biotinidase0.000.000.000.000.000.00XXX
    82270XTest for blood, feces0.000.000.000.000.000.00XXX
    82273XTest for blood, other source0.000.000.000.000.000.00XXX
    82286XAssay of bradykinin0.000.000.000.000.000.00XXX
    82300XAssay of cadmium0.000.000.000.000.000.00XXX
    82306XAssay of vitamin D0.000.000.000.000.000.00XXX
    82307XAssay of vitamin D0.000.000.000.000.000.00XXX
    82308XAssay of calcitonin0.000.000.000.000.000.00XXX
    82310XAssay of calcium0.000.000.000.000.000.00XXX
    82330XAssay of calcium0.000.000.000.000.000.00XXX
    82331XCalcium infusion test0.000.000.000.000.000.00XXX
    82340XAssay of calcium in urine0.000.000.000.000.000.00XXX
    82355XCalculus (stone) analysis0.000.000.000.000.000.00XXX
    82360XCalculus (stone) assay0.000.000.000.000.000.00XXX
    82365XCalculus (stone) assay0.000.000.000.000.000.00XXX
    Start Printed Page 40504
    82370XX-ray assay, calculus0.000.000.000.000.000.00XXX
    82373XAssay, c-d transfer measure0.000.000.000.000.000.00XXX
    82374XAssay, blood carbon dioxide0.000.000.000.000.000.00XXX
    82375XAssay, blood carbon monoxide0.000.000.000.000.000.00XXX
    82376XTest for carbon monoxide0.000.000.000.000.000.00XXX
    82378XCarcinoembryonic antigen0.000.000.000.000.000.00XXX
    82379XAssay of carnitine0.000.000.000.000.000.00XXX
    82380XAssay of carotene0.000.000.000.000.000.00XXX
    82382XAssay, urine catecholamines0.000.000.000.000.000.00XXX
    82383XAssay, blood catecholamines0.000.000.000.000.000.00XXX
    82384XAssay, three catecholamines0.000.000.000.000.000.00XXX
    82387XAssay of cathepsin-d0.000.000.000.000.000.00XXX
    82390XAssay of ceruloplasmin0.000.000.000.000.000.00XXX
    82397XChemiluminescent assay0.000.000.000.000.000.00XXX
    82415XAssay of chloramphenicol0.000.000.000.000.000.00XXX
    82435XAssay of blood chloride0.000.000.000.000.000.00XXX
    82436XAssay of urine chloride0.000.000.000.000.000.00XXX
    82438XAssay, other fluid chlorides0.000.000.000.000.000.00XXX
    82441XTest for chlorohydrocarbons0.000.000.000.000.000.00XXX
    82465XAssay, bld/serum cholesterol0.000.000.000.000.000.00XXX
    82480XAssay, serum cholinesterase0.000.000.000.000.000.00XXX
    82482XAssay, rbc cholinesterase0.000.000.000.000.000.00XXX
    82485XAssay, chondroitin sulfate0.000.000.000.000.000.00XXX
    82486XGas/liquid chromatography0.000.000.000.000.000.00XXX
    82487XPaper chromatography0.000.000.000.000.000.00XXX
    82488XPaper chromatography0.000.000.000.000.000.00XXX
    82489XThin layer chromatography0.000.000.000.000.000.00XXX
    82491XChromotography, quant, sing0.000.000.000.000.000.00XXX
    82492XChromotography, quant, mult0.000.000.000.000.000.00XXX
    82495XAssay of chromium0.000.000.000.000.000.00XXX
    82507XAssay of citrate0.000.000.000.000.000.00XXX
    82520XAssay of cocaine0.000.000.000.000.000.00XXX
    82523XCollagen crosslinks0.000.000.000.000.000.00XXX
    82525XAssay of copper0.000.000.000.000.000.00XXX
    82528XAssay of corticosterone0.000.000.000.000.000.00XXX
    82530XCortisol, free0.000.000.000.000.000.00XXX
    82533XTotal cortisol0.000.000.000.000.000.00XXX
    82540XAssay of creatine0.000.000.000.000.000.00XXX
    82541XColumn chromotography, qual0.000.000.000.000.000.00XXX
    82542XColumn chromotography, quant0.000.000.000.000.000.00XXX
    82543XColumn chromotograph/isotope0.000.000.000.000.000.00XXX
    82544XColumn chromotograph/isotope0.000.000.000.000.000.00XXX
    82550XAssay of ck (cpk)0.000.000.000.000.000.00XXX
    82552XAssay of cpk in blood0.000.000.000.000.000.00XXX
    82553XCreatine, MB fraction0.000.000.000.000.000.00XXX
    82554XCreatine, isoforms0.000.000.000.000.000.00XXX
    82565XAssay of creatinine0.000.000.000.000.000.00XXX
    82570XAssay of urine creatinine0.000.000.000.000.000.00XXX
    82575XCreatinine clearance test0.000.000.000.000.000.00XXX
    82585XAssay of cryofibrinogen0.000.000.000.000.000.00XXX
    82595XAssay of cryoglobulin0.000.000.000.000.000.00XXX
    82600XAssay of cyanide0.000.000.000.000.000.00XXX
    82607XVitamin B-120.000.000.000.000.000.00XXX
    82608XB-12 binding capacity0.000.000.000.000.000.00XXX
    82615XTest for urine cystines0.000.000.000.000.000.00XXX
    82626XDehydroepiandrosterone0.000.000.000.000.000.00XXX
    82627XDehydroepiandrosterone0.000.000.000.000.000.00XXX
    82633XDesoxycorticosterone0.000.000.000.000.000.00XXX
    82634XDeoxycortisol0.000.000.000.000.000.00XXX
    82638XAssay of dibucaine number0.000.000.000.000.000.00XXX
    82646XAssay of dihydrocodeinone0.000.000.000.000.000.00XXX
    82649XAssay of dihydromorphinone0.000.000.000.000.000.00XXX
    82651XAssay of dihydrotestosterone0.000.000.000.000.000.00XXX
    82652XAssay of dihydroxyvitamin d0.000.000.000.000.000.00XXX
    82654XAssay of dimethadione0.000.000.000.000.000.00XXX
    82657XEnzyme cell activity0.000.000.000.000.000.00XXX
    82658XEnzyme cell activity, ra0.000.000.000.000.000.00XXX
    82664XElectrophoretic test0.000.000.000.000.000.00XXX
    82666XAssay of epiandrosterone0.000.000.000.000.000.00XXX
    82668XAssay of erythropoietin0.000.000.000.000.000.00XXX
    82670XAssay of estradiol0.000.000.000.000.000.00XXX
    82671XAssay of estrogens0.000.000.000.000.000.00XXX
    82672XAssay of estrogen0.000.000.000.000.000.00XXX
    82677XAssay of estriol0.000.000.000.000.000.00XXX
    Start Printed Page 40505
    82679XAssay of estrone0.000.000.000.000.000.00XXX
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    82693XAssay of ethylene glycol0.000.000.000.000.000.00XXX
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    82705XFats/lipids, feces, qual0.000.000.000.000.000.00XXX
    82710XFats/lipids, feces, quant0.000.000.000.000.000.00XXX
    82715XAssay of fecal fat0.000.000.000.000.000.00XXX
    82725XAssay of blood fatty acids0.000.000.000.000.000.00XXX
    82726XLong chain fatty acids0.000.000.000.000.000.00XXX
    82728XAssay of ferritin0.000.000.000.000.000.00XXX
    82731XAssay of fetal fibronectin0.000.000.000.000.000.00XXX
    82735XAssay of fluoride0.000.000.000.000.000.00XXX
    82742XAssay of flurazepam0.000.000.000.000.000.00XXX
    82746XBlood folic acid serum0.000.000.000.000.000.00XXX
    82747XAssay of folic acid, rbc0.000.000.000.000.000.00XXX
    82757XAssay of semen fructose0.000.000.000.000.000.00XXX
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    82784XAssay of gammaglobulin igm0.000.000.000.000.000.00XXX
    82785XAssay of gammaglobulin ige0.000.000.000.000.000.00XXX
    82787XIgg 1, 2, 3 or 4, each0.000.000.000.000.000.00XXX
    82800XBlood pH0.000.000.000.000.000.00XXX
    82803XBlood gases: pH, pO2 & pCO20.000.000.000.000.000.00XXX
    82805XBlood gases W/02 saturation0.000.000.000.000.000.00XXX
    82810XBlood gases, O2 sat only0.000.000.000.000.000.00XXX
    82820XHemoglobin-oxygen affinity0.000.000.000.000.000.00XXX
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    82928XAssay of gastric acid0.000.000.000.000.000.00XXX
    82938XGastrin test0.000.000.000.000.000.00XXX
    82941XAssay of gastrin0.000.000.000.000.000.00XXX
    82943XAssay of glucagon0.000.000.000.000.000.00XXX
    82945XGlucose other fluid0.000.000.000.000.000.00XXX
    82946XGlucagon tolerance test0.000.000.000.000.000.00XXX
    82947XAssay, glucose, blood quant0.000.000.000.000.000.00XXX
    82948XReagent strip/blood glucose0.000.000.000.000.000.00XXX
    82950XGlucose test0.000.000.000.000.000.00XXX
    82951XGlucose tolerance test (GTT)0.000.000.000.000.000.00XXX
    82952XGTT-added samples0.000.000.000.000.000.00XXX
    82953XGlucose-tolbutamide test0.000.000.000.000.000.00XXX
    82955XAssay of g6pd enzyme0.000.000.000.000.000.00XXX
    82960XTest for G6PD enzyme0.000.000.000.000.000.00XXX
    82962XGlucose blood test0.000.000.000.000.000.00XXX
    82963XAssay of glucosidase0.000.000.000.000.000.00XXX
    82965XAssay of gdh enzyme0.000.000.000.000.000.00XXX
    82975XAssay of glutamine0.000.000.000.000.000.00XXX
    82977XAssay of GGT0.000.000.000.000.000.00XXX
    82978XAssay of glutathione0.000.000.000.000.000.00XXX
    82979XAssay, rbc glutathione0.000.000.000.000.000.00XXX
    82980XAssay of glutethimide0.000.000.000.000.000.00XXX
    82985XGlycated protein0.000.000.000.000.000.00XXX
    83001XGonadotropin (FSH)0.000.000.000.000.000.00XXX
    83002XGonadotropin (LH)0.000.000.000.000.000.00XXX
    83003XAssay, growth hormone (hgh)0.000.000.000.000.000.00XXX
    83008XAssay of guanosine0.000.000.000.000.000.00XXX
    83010XAssay of haptoglobin, quant0.000.000.000.000.000.00XXX
    83012XAssay of haptoglobins0.000.000.000.000.000.00XXX
    83013XH pylori analysis0.000.000.000.000.000.00XXX
    83014XH pylori drug admin/collect0.000.000.000.000.000.00XXX
    83015XHeavy metal screen0.000.000.000.000.000.00XXX
    83018XQuantitative screen, metals0.000.000.000.000.000.00XXX
    83020XHemoglobin electrophoresis+0.000.160.160.000.160.16XXX
    8302026AHemoglobin electrophoresis0.370.160.160.010.540.54XXX
    83021XHemoglobin chromotography0.000.000.000.000.000.00XXX
    83026XHemoglobin, copper sulfate0.000.000.000.000.000.00XXX
    83030XFetal hemoglobin, chemical0.000.000.000.000.000.00XXX
    83033XFetal hemoglobin assay, qual0.000.000.000.000.000.00XXX
    83036XGlycated hemoglobin test0.000.000.000.000.000.00XXX
    83045XBlood methemoglobin test0.000.000.000.000.000.00XXX
    83050XBlood methemoglobin assay0.000.000.000.000.000.00XXX
    83051XAssay of plasma hemoglobin0.000.000.000.000.000.00XXX
    83055XBlood sulfhemoglobin test0.000.000.000.000.000.00XXX
    83060XBlood sulfhemoglobin assay0.000.000.000.000.000.00XXX
    Start Printed Page 40506
    83065XAssay of hemoglobin heat0.000.000.000.000.000.00XXX
    83068XHemoglobin stability screen0.000.000.000.000.000.00XXX
    83069XAssay of urine hemoglobin0.000.000.000.000.000.00XXX
    83070XAssay of hemosiderin, qual0.000.000.000.000.000.00XXX
    83071XAssay of hemosiderin, quant0.000.000.000.000.000.00XXX
    83080XAssay of b hexosaminidase0.000.000.000.000.000.00XXX
    83088XAssay of histamine0.000.000.000.000.000.00XXX
    83090XAssay of homocystine0.000.000.000.000.000.00XXX
    83150XAssay of for hva0.000.000.000.000.000.00XXX
    83491XAssay of corticosteroids0.000.000.000.000.000.00XXX
    83497XAssay of 5-hiaa0.000.000.000.000.000.00XXX
    83498XAssay of progesterone0.000.000.000.000.000.00XXX
    83499XAssay of progesterone0.000.000.000.000.000.00XXX
    83500XAssay, free hydroxyproline0.000.000.000.000.000.00XXX
    83505XAssay, total hydroxyproline0.000.000.000.000.000.00XXX
    83516XImmunoassay, nonantibody0.000.000.000.000.000.00XXX
    83518XImmunoassay, dipstick0.000.000.000.000.000.00XXX
    83519XImmunoassay, nonantibody0.000.000.000.000.000.00XXX
    83520XImmunoassay, RIA0.000.000.000.000.000.00XXX
    83525XAssay of insulin0.000.000.000.000.000.00XXX
    83527XAssay of insulin0.000.000.000.000.000.00XXX
    83528XAssay of intrinsic factor0.000.000.000.000.000.00XXX
    83540XAssay of iron0.000.000.000.000.000.00XXX
    83550XIron binding test0.000.000.000.000.000.00XXX
    83570XAssay of idh enzyme0.000.000.000.000.000.00XXX
    83582XAssay of ketogenic steroids0.000.000.000.000.000.00XXX
    83586XAssay 17- ketosteroids0.000.000.000.000.000.00XXX
    83593XFractionation, ketosteroids0.000.000.000.000.000.00XXX
    83605XAssay of lactic acid0.000.000.000.000.000.00XXX
    83615XLactate (LD) (LDH) enzyme0.000.000.000.000.000.00XXX
    83625XAssay of ldh enzymes0.000.000.000.000.000.00XXX
    83632XPlacental lactogen0.000.000.000.000.000.00XXX
    83633XTest urine for lactose0.000.000.000.000.000.00XXX
    83634XAssay of urine for lactose0.000.000.000.000.000.00XXX
    83655XAssay of lead0.000.000.000.000.000.00XXX
    83661XL/s ratio, fetal lung0.000.000.000.000.000.00XXX
    83662XFoam stability, fetal lung0.000.000.000.000.000.00XXX
    83663XFluoro polarize, fetal lung0.000.000.000.000.000.00XXX
    83664XLamellar bdy, fetal lung0.000.000.000.000.000.00XXX
    83670XAssay of lap enzyme0.000.000.000.000.000.00XXX
    83690XAssay of lipase0.000.000.000.000.000.00XXX
    83715XAssay of blood lipoproteins0.000.000.000.000.000.00XXX
    83716XAssay of blood lipoproteins0.000.000.000.000.000.00XXX
    83718XAssay of lipoprotein0.000.000.000.000.000.00XXX
    83719XAssay of blood lipoprotein0.000.000.000.000.000.00XXX
    83721XAssay of blood lipoprotein0.000.000.000.000.000.00XXX
    83727XAssay of lrh hormone0.000.000.000.000.000.00XXX
    83735XAssay of magnesium0.000.000.000.000.000.00XXX
    83775XAssay of md enzyme0.000.000.000.000.000.00XXX
    83785XAssay of manganese0.000.000.000.000.000.00XXX
    83788XMass spectrometry qual0.000.000.000.000.000.00XXX
    83789XMass spectrometry quant0.000.000.000.000.000.00XXX
    83805XAssay of meprobamate0.000.000.000.000.000.00XXX
    83825XAssay of mercury0.000.000.000.000.000.00XXX
    83835XAssay of metanephrines0.000.000.000.000.000.00XXX
    83840XAssay of methadone0.000.000.000.000.000.00XXX
    83857XAssay of methemalbumin0.000.000.000.000.000.00XXX
    83858XAssay of methsuximide0.000.000.000.000.000.00XXX
    83864XMucopolysaccharides0.000.000.000.000.000.00XXX
    83866XMucopolysaccharides screen0.000.000.000.000.000.00XXX
    83872XAssay synovial fluid mucin0.000.000.000.000.000.00XXX
    83873XAssay of csf protein0.000.000.000.000.000.00XXX
    83874XAssay of myoglobin0.000.000.000.000.000.00XXX
    83883XAssay, nephelometry not spec0.000.000.000.000.000.00XXX
    83885XAssay of nickel0.000.000.000.000.000.00XXX
    83887XAssay of nicotine0.000.000.000.000.000.00XXX
    83890XMolecule isolate0.000.000.000.000.000.00XXX
    83891XMolecule isolate nucleic0.000.000.000.000.000.00XXX
    83892XMolecular diagnostics0.000.000.000.000.000.00XXX
    83893XMolecule dot/slot/blot0.000.000.000.000.000.00XXX
    83894XMolecule gel electrophor0.000.000.000.000.000.00XXX
    83896XMolecular diagnostics0.000.000.000.000.000.00XXX
    83897XMolecule nucleic transfer0.000.000.000.000.000.00XXX
    83898XMolecule nucleic ampli0.000.000.000.000.000.00XXX
    Start Printed Page 40507
    83901XMolecule nucleic ampli0.000.000.000.000.000.00XXX
    83902XMolecular diagnostics0.000.000.000.000.000.00XXX
    83903XMolecule mutation scan0.000.000.000.000.000.00XXX
    83904XMolecule mutation identify0.000.000.000.000.000.00XXX
    83905XMolecule mutation identify0.000.000.000.000.000.00XXX
    83906XMolecule mutation identify0.000.000.000.000.000.00XXX
    83912XGenetic examination+0.000.160.160.000.160.16XXX
    8391226AGenetic examination0.370.160.160.010.540.54XXX
    83915XAssay of nucleotidase0.000.000.000.000.000.00XXX
    83916XOligoclonal bands0.000.000.000.000.000.00XXX
    83918XOrganic acids, total, quant0.000.000.000.000.000.00XXX
    83919XOrganic acids, qual, each0.000.000.000.000.000.00XXX
    83921XOrganic acid, single, quant0.000.000.000.000.000.00XXX
    83925XAssay of opiates0.000.000.000.000.000.00XXX
    83930XAssay of blood osmolality0.000.000.000.000.000.00XXX
    83935XAssay of urine osmolality0.000.000.000.000.000.00XXX
    83937XAssay of osteocalcin0.000.000.000.000.000.00XXX
    83945XAssay of oxalate0.000.000.000.000.000.00XXX
    83970XAssay of parathormone0.000.000.000.000.000.00XXX
    83986XAssay of body fluid acidity0.000.000.000.000.000.00XXX
    83992XAssay for phencyclidine0.000.000.000.000.000.00XXX
    84022XAssay of phenothiazine0.000.000.000.000.000.00XXX
    84030XAssay of blood pku0.000.000.000.000.000.00XXX
    84035XAssay of phenylketones0.000.000.000.000.000.00XXX
    84060XAssay acid phosphatase0.000.000.000.000.000.00XXX
    84061XPhosphatase, forensic exam0.000.000.000.000.000.00XXX
    84066XAssay prostate phosphatase0.000.000.000.000.000.00XXX
    84075XAssay alkaline phosphatase0.000.000.000.000.000.00XXX
    84078XAssay alkaline phosphatase0.000.000.000.000.000.00XXX
    84080XAssay alkaline phosphatases0.000.000.000.000.000.00XXX
    84081XAmniotic fluid enzyme test0.000.000.000.000.000.00XXX
    84085XAssay of rbc pg6d enzyme0.000.000.000.000.000.00XXX
    84087XAssay phosphohexose enzymes0.000.000.000.000.000.00XXX
    84100XAssay of phosphorus0.000.000.000.000.000.00XXX
    84105XAssay of urine phosphorus0.000.000.000.000.000.00XXX
    84106XTest for porphobilinogen0.000.000.000.000.000.00XXX
    84110XAssay of porphobilinogen0.000.000.000.000.000.00XXX
    84119XTest urine for porphyrins0.000.000.000.000.000.00XXX
    84120XAssay of urine porphyrins0.000.000.000.000.000.00XXX
    84126XAssay of feces porphyrins0.000.000.000.000.000.00XXX
    84127XAssay of feces porphyrins0.000.000.000.000.000.00XXX
    84132XAssay of serum potassium0.000.000.000.000.000.00XXX
    84133XAssay of urine potassium0.000.000.000.000.000.00XXX
    84134XAssay of prealbumin0.000.000.000.000.000.00XXX
    84135XAssay of pregnanediol0.000.000.000.000.000.00XXX
    84138XAssay of pregnanetriol0.000.000.000.000.000.00XXX
    84140XAssay of pregnenolone0.000.000.000.000.000.00XXX
    84143XAssay of 17-hydroxypregneno0.000.000.000.000.000.00XXX
    84144XAssay of progesterone0.000.000.000.000.000.00XXX
    84146XAssay of prolactin0.000.000.000.000.000.00XXX
    84150XAssay of prostaglandin0.000.000.000.000.000.00XXX
    84152XAssay of psa, complexed0.000.000.000.000.000.00XXX
    84153XAssay of psa, total0.000.000.000.000.000.00XXX
    84154XAssay of psa, free0.000.000.000.000.000.00XXX
    84155XAssay of protein0.000.000.000.000.000.00XXX
    84160XAssay of serum protein0.000.000.000.000.000.00XXX
    84165XAssay of serum proteins+0.000.170.170.000.170.17XXX
    8416526AAssay of serum proteins0.370.170.170.010.550.55XXX
    84181XWestern blot test+0.000.150.150.000.150.15XXX
    8418126AWestern blot test0.370.150.150.010.530.53XXX
    84182XProtein, western blot test+0.000.170.170.000.170.17XXX
    8418226AProtein, western blot test0.370.170.170.010.550.55XXX
    84202XAssay RBC protoporphyrin0.000.000.000.000.000.00XXX
    84203XTest RBC protoporphyrin0.000.000.000.000.000.00XXX
    84206XAssay of proinsulin0.000.000.000.000.000.00XXX
    84207XAssay of vitamin b-60.000.000.000.000.000.00XXX
    84210XAssay of pyruvate0.000.000.000.000.000.00XXX
    84220XAssay of pyruvate kinase0.000.000.000.000.000.00XXX
    84228XAssay of quinine0.000.000.000.000.000.00XXX
    84233XAssay of estrogen0.000.000.000.000.000.00XXX
    84234XAssay of progesterone0.000.000.000.000.000.00XXX
    84235XAssay of endocrine hormone0.000.000.000.000.000.00XXX
    84238XAssay, nonendocrine receptor0.000.000.000.000.000.00XXX
    84244XAssay of renin0.000.000.000.000.000.00XXX
    Start Printed Page 40508
    84252XAssay of vitamin b-20.000.000.000.000.000.00XXX
    84255XAssay of selenium0.000.000.000.000.000.00XXX
    84260XAssay of serotonin0.000.000.000.000.000.00XXX
    84270XAssay of sex hormone globul0.000.000.000.000.000.00XXX
    84275XAssay of sialic acid0.000.000.000.000.000.00XXX
    84285XAssay of silica0.000.000.000.000.000.00XXX
    84295XAssay of serum sodium0.000.000.000.000.000.00XXX
    84300XAssay of urine sodium0.000.000.000.000.000.00XXX
    84305XAssay of somatomedin0.000.000.000.000.000.00XXX
    84307XAssay of somatostatin0.000.000.000.000.000.00XXX
    84311XSpectrophotometry0.000.000.000.000.000.00XXX
    84315XBody fluid specific gravity0.000.000.000.000.000.00XXX
    84375XChromatogram assay, sugars0.000.000.000.000.000.00XXX
    84376XSugars, single, qual0.000.000.000.000.000.00XXX
    84377XSugars, multiple, qual0.000.000.000.000.000.00XXX
    84378XSugars single quant0.000.000.000.000.000.00XXX
    84379XSugars multiple quant0.000.000.000.000.000.00XXX
    84392XAssay of urine sulfate0.000.000.000.000.000.00XXX
    84402XAssay of testosterone0.000.000.000.000.000.00XXX
    84403XAssay of total testosterone0.000.000.000.000.000.00XXX
    84425XAssay of vitamin b-10.000.000.000.000.000.00XXX
    84430XAssay of thiocyanate0.000.000.000.000.000.00XXX
    84432XAssay of thyroglobulin0.000.000.000.000.000.00XXX
    84436XAssay of total thyroxine0.000.000.000.000.000.00XXX
    84437XAssay of neonatal thyroxine0.000.000.000.000.000.00XXX
    84439XAssay of free thyroxine0.000.000.000.000.000.00XXX
    84442XAssay of thyroid activity0.000.000.000.000.000.00XXX
    84443XAssay thyroid stim hormone0.000.000.000.000.000.00XXX
    84445XAssay of tsi0.000.000.000.000.000.00XXX
    84446XAssay of vitamin e0.000.000.000.000.000.00XXX
    84449XAssay of transcortin0.000.000.000.000.000.00XXX
    84450XTransferase (AST) (SGOT)0.000.000.000.000.000.00XXX
    84460XAlanine amino (ALT) (SGPT)0.000.000.000.000.000.00XXX
    84466XAssay of transferrin0.000.000.000.000.000.00XXX
    84478XAssay of triglycerides0.000.000.000.000.000.00XXX
    84479XAssay of thyroid (t3 or t4)0.000.000.000.000.000.00XXX
    84480XAssay, triiodothyronine (t3)0.000.000.000.000.000.00XXX
    84481XFree assay (FT-3)0.000.000.000.000.000.00XXX
    84482XT3 reverse0.000.000.000.000.000.00XXX
    84484XAssay of troponin, quant0.000.000.000.000.000.00XXX
    84485XAssay duodenal fluid trypsin0.000.000.000.000.000.00XXX
    84488XTest feces for trypsin0.000.000.000.000.000.00XXX
    84490XAssay of feces for trypsin0.000.000.000.000.000.00XXX
    84510XAssay of tyrosine0.000.000.000.000.000.00XXX
    84512XAssay of troponin, qual0.000.000.000.000.000.00XXX
    84520XAssay of urea nitrogen0.000.000.000.000.000.00XXX
    84525XUrea nitrogen semi-quant0.000.000.000.000.000.00XXX
    84540XAssay of urine/urea-n0.000.000.000.000.000.00XXX
    84545XUrea-N clearance test0.000.000.000.000.000.00XXX
    84550XAssay of blood/uric acid0.000.000.000.000.000.00XXX
    84560XAssay of urine/uric acid0.000.000.000.000.000.00XXX
    84577XAssay of feces/urobilinogen0.000.000.000.000.000.00XXX
    84578XTest urine urobilinogen0.000.000.000.000.000.00XXX
    84580XAssay of urine urobilinogen0.000.000.000.000.000.00XXX
    84583XAssay of urine urobilinogen0.000.000.000.000.000.00XXX
    84585XAssay of urine vma0.000.000.000.000.000.00XXX
    84586XAssay of vip0.000.000.000.000.000.00XXX
    84588XAssay of vasopressin0.000.000.000.000.000.00XXX
    84590XAssay of vitamin a0.000.000.000.000.000.00XXX
    84591XAssay of nos vitamin0.000.000.000.000.000.00XXX
    84597XAssay of vitamin k0.000.000.000.000.000.00XXX
    84600XAssay of volatiles0.000.000.000.000.000.00XXX
    84620XXylose tolerance test0.000.000.000.000.000.00XXX
    84630XAssay of zinc0.000.000.000.000.000.00XXX
    84681XAssay of c-peptide0.000.000.000.000.000.00XXX
    84702XChorionic gonadotropin test0.000.000.000.000.000.00XXX
    84703XChorionic gonadotropin assay0.000.000.000.000.000.00XXX
    84830XOvulation tests0.000.000.000.000.000.00XXX
    84999XClinical chemistry test0.000.000.000.000.000.00XXX
    85002XBleeding time test0.000.000.000.000.000.00XXX
    85007XDifferential WBC count0.000.000.000.000.000.00XXX
    85008XNondifferential WBC count0.000.000.000.000.000.00XXX
    85009XDifferential WBC count0.000.000.000.000.000.00XXX
    85013XHematocrit0.000.000.000.000.000.00XXX
    Start Printed Page 40509
    85014XHematocrit0.000.000.000.000.000.00XXX
    85018XHemoglobin0.000.000.000.000.000.00XXX
    85021XAutomated hemogram0.000.000.000.000.000.00XXX
    85022XAutomated hemogram0.000.000.000.000.000.00XXX
    85023XAutomated hemogram0.000.000.000.000.000.00XXX
    85024XAutomated hemogram0.000.000.000.000.000.00XXX
    85025XAutomated hemogram0.000.000.000.000.000.00XXX
    85027XAutomated hemogram0.000.000.000.000.000.00XXX
    85031XManual hemogram, cbc0.000.000.000.000.000.00XXX
    85041XRed blood cell (RBC) count0.000.000.000.000.000.00XXX
    85044XReticulocyte count0.000.000.000.000.000.00XXX
    85045XReticulocyte count0.000.000.000.000.000.00XXX
    85046XReticyte/hgb concentrate0.000.000.000.000.000.00XXX
    85048XWhite blood cell (WBC) count0.000.000.000.000.000.00XXX
    85060ABlood smear interpretation0.450.200.200.020.670.67XXX
    85095ABone marrow aspiration1.080.444.570.031.555.68XXX
    85097ABone marrow interpretation0.940.421.810.031.392.78XXX
    85102ABone marrow biopsy1.370.554.700.041.966.11XXX
    85130XChromogenic substrate assay0.000.000.000.000.000.00XXX
    85170XBlood clot retraction0.000.000.000.000.000.00XXX
    85175XBlood clot lysis time0.000.000.000.000.000.00XXX
    85210XBlood clot factor II test0.000.000.000.000.000.00XXX
    85220XBlood clot factor V test0.000.000.000.000.000.00XXX
    85230XBlood clot factor VII test0.000.000.000.000.000.00XXX
    85240XBlood clot factor VIII test0.000.000.000.000.000.00XXX
    85244XBlood clot factor VIII test0.000.000.000.000.000.00XXX
    85245XBlood clot factor VIII test0.000.000.000.000.000.00XXX
    85246XBlood clot factor VIII test0.000.000.000.000.000.00XXX
    85247XBlood clot factor VIII test0.000.000.000.000.000.00XXX
    85250XBlood clot factor IX test0.000.000.000.000.000.00XXX
    85260XBlood clot factor X test0.000.000.000.000.000.00XXX
    85270XBlood clot factor XI test0.000.000.000.000.000.00XXX
    85280XBlood clot factor XII test0.000.000.000.000.000.00XXX
    85290XBlood clot factor XIII test0.000.000.000.000.000.00XXX
    85291XBlood clot factor XIII test0.000.000.000.000.000.00XXX
    85292XBlood clot factor assay0.000.000.000.000.000.00XXX
    85293XBlood clot factor assay0.000.000.000.000.000.00XXX
    85300XAntithrombin III test0.000.000.000.000.000.00XXX
    85301XAntithrombin III test0.000.000.000.000.000.00XXX
    85302XBlood clot inhibitor antigen0.000.000.000.000.000.00XXX
    85303XBlood clot inhibitor test0.000.000.000.000.000.00XXX
    85305XBlood clot inhibitor assay0.000.000.000.000.000.00XXX
    85306XBlood clot inhibitor test0.000.000.000.000.000.00XXX
    85307XAssay activated protein c0.000.000.000.000.000.00XXX
    85335XFactor inhibitor test0.000.000.000.000.000.00XXX
    85337XThrombomodulin0.000.000.000.000.000.00XXX
    85345XCoagulation time0.000.000.000.000.000.00XXX
    85347XCoagulation time0.000.000.000.000.000.00XXX
    85348XCoagulation time0.000.000.000.000.000.00XXX
    85360XEuglobulin lysis0.000.000.000.000.000.00XXX
    85362XFibrin degradation products0.000.000.000.000.000.00XXX
    85366XFibrinogen test0.000.000.000.000.000.00XXX
    85370XFibrinogen test0.000.000.000.000.000.00XXX
    85378XFibrin degradation0.000.000.000.000.000.00XXX
    85379XFibrin degradation0.000.000.000.000.000.00XXX
    85384XFibrinogen0.000.000.000.000.000.00XXX
    85385XFibrinogen0.000.000.000.000.000.00XXX
    85390XFibrinolysins screen+0.000.130.130.000.130.13XXX
    8539026AFibrinolysins screen0.370.130.130.010.510.51XXX
    85400XFibrinolytic plasmin0.000.000.000.000.000.00XXX
    85410XFibrinolytic antiplasmin0.000.000.000.000.000.00XXX
    85415XFibrinolytic plasminogen0.000.000.000.000.000.00XXX
    85420XFibrinolytic plasminogen0.000.000.000.000.000.00XXX
    85421XFibrinolytic plasminogen0.000.000.000.000.000.00XXX
    85441XHeinz bodies, direct0.000.000.000.000.000.00XXX
    85445XHeinz bodies, induced0.000.000.000.000.000.00XXX
    85460XHemoglobin, fetal0.000.000.000.000.000.00XXX
    85461XHemoglobin, fetal0.000.000.000.000.000.00XXX
    85475XHemolysin0.000.000.000.000.000.00XXX
    85520XHeparin assay0.000.000.000.000.000.00XXX
    85525XHeparin0.000.000.000.000.000.00XXX
    85530XHeparin-protamine tolerance0.000.000.000.000.000.00XXX
    85535XIron stain, blood cells0.000.000.000.000.000.00XXX
    85536XIron stain peripheral blood0.000.000.000.000.000.00XXX
    Start Printed Page 40510
    85540XWbc alkaline phosphatase0.000.000.000.000.000.00XXX
    85547XRBC mechanical fragility0.000.000.000.000.000.00XXX
    85549XMuramidase0.000.000.000.000.000.00XXX
    85555XRBC osmotic fragility0.000.000.000.000.000.00XXX
    85557XRBC osmotic fragility0.000.000.000.000.000.00XXX
    85576XBlood platelet aggregation+0.000.160.160.000.160.16XXX
    8557626ABlood platelet aggregation0.370.160.160.010.540.54XXX
    85585XBlood platelet estimation0.000.000.000.000.000.00XXX
    85590XPlatelet count, manual0.000.000.000.000.000.00XXX
    85595XPlatelet count, automated0.000.000.000.000.000.00XXX
    85597XPlatelet neutralization0.000.000.000.000.000.00XXX
    85610XProthrombin time0.000.000.000.000.000.00XXX
    85611XProthrombin test0.000.000.000.000.000.00XXX
    85612XViper venom prothrombin time0.000.000.000.000.000.00XXX
    85613XRussell viper venom, diluted0.000.000.000.000.000.00XXX
    85635XReptilase test0.000.000.000.000.000.00XXX
    85651XRbc sed rate, nonautomated0.000.000.000.000.000.00XXX
    85652XRbc sed rate, automated0.000.000.000.000.000.00XXX
    85660XRBC sickle cell test0.000.000.000.000.000.00XXX
    85670XThrombin time, plasma0.000.000.000.000.000.00XXX
    85675XThrombin time, titer0.000.000.000.000.000.00XXX
    85705XThromboplastin inhibition0.000.000.000.000.000.00XXX
    85730XThromboplastin time, partial0.000.000.000.000.000.00XXX
    85732XThromboplastin time, partial0.000.000.000.000.000.00XXX
    85810XBlood viscosity examination0.000.000.000.000.000.00XXX
    85999XHematology procedure0.000.000.000.000.000.00XXX
    86000XAgglutinins, febrile0.000.000.000.000.000.00XXX
    86001XAllergen specific igg0.000.000.000.000.000.00XXX
    86003XAllergen specific IgE0.000.000.000.000.000.00XXX
    86005XAllergen specific IgE0.000.000.000.000.000.00XXX
    86021XWBC antibody identification0.000.000.000.000.000.00XXX
    86022XPlatelet antibodies0.000.000.000.000.000.00XXX
    86023XImmunoglobulin assay0.000.000.000.000.000.00XXX
    86038XAntinuclear antibodies0.000.000.000.000.000.00XXX
    86039XAntinuclear antibodies (ANA)0.000.000.000.000.000.00XXX
    86060XAntistreptolysin o, titer0.000.000.000.000.000.00XXX
    86063XAntistreptolysin o, screen0.000.000.000.000.000.00XXX
    86077APhysician blood bank service0.940.420.490.031.391.46XXX
    86078APhysician blood bank service0.940.430.520.031.401.49XXX
    86079APhysician blood bank service0.940.430.520.031.401.49XXX
    86140XC-reactive protein0.000.000.000.000.000.00XXX
    86146XGlycoprotein antibody0.000.000.000.000.000.00XXX
    86147XCardiolipin antibody0.000.000.000.000.000.00XXX
    86148XPhospholipid antibody0.000.000.000.000.000.00XXX
    86155XChemotaxis assay0.000.000.000.000.000.00XXX
    86156XCold agglutinin, screen0.000.000.000.000.000.00XXX
    86157XCold agglutinin, titer0.000.000.000.000.000.00XXX
    86160XComplement, antigen0.000.000.000.000.000.00XXX
    86161XComplement/function activity0.000.000.000.000.000.00XXX
    86162XComplement, total (CH50)0.000.000.000.000.000.00XXX
    86171XComplement fixation, each0.000.000.000.000.000.00XXX
    86185XCounterimmunoelectrophoresis0.000.000.000.000.000.00XXX
    86215XDeoxyribonuclease, antibody0.000.000.000.000.000.00XXX
    86225XDNA antibody0.000.000.000.000.000.00XXX
    86226XDNA antibody, single strand0.000.000.000.000.000.00XXX
    86235XNuclear antigen antibody0.000.000.000.000.000.00XXX
    86243XFc receptor0.000.000.000.000.000.00XXX
    86255XFluorescent antibody, screen+0.000.170.170.000.170.17XXX
    8625526AFluorescent antibody, screen0.370.170.170.010.550.55XXX
    86256XFluorescent antibody, titer+0.000.170.170.000.170.17XXX
    8625626AFluorescent antibody, titer0.370.170.170.010.550.55XXX
    86277XGrowth hormone antibody0.000.000.000.000.000.00XXX
    86280XHemagglutination inhibition0.000.000.000.000.000.00XXX
    86294XImmunoassay, tumor qual0.000.000.000.000.000.00XXX
    86300XImmunoassay, tumor ca 15-30.000.000.000.000.000.00XXX
    86301XImmunoassay, tumor, ca 19-90.000.000.000.000.000.00XXX
    86304XImmunoassay, tumor ca 1250.000.000.000.000.000.00XXX
    86308XHeterophile antibodies0.000.000.000.000.000.00XXX
    86309XHeterophile antibodies0.000.000.000.000.000.00XXX
    86310XHeterophile antibodies0.000.000.000.000.000.00XXX
    86316XImmunoassay, tumor other0.000.000.000.000.000.00XXX
    86317XImmunoassay,infectious agent0.000.000.000.000.000.00XXX
    86318XImmunoassay,infectious agent0.000.000.000.000.000.00XXX
    86320XSerum immunoelectrophoresis+0.000.160.170.000.160.17XXX
    Start Printed Page 40511
    8632026ASerum immunoelectrophoresis0.370.160.170.010.540.55XXX
    86325XOther immunoelectrophoresis+0.000.160.160.000.160.16XXX
    8632526AOther immunoelectrophoresis0.370.160.160.010.540.54XXX
    86327XImmunoelectrophoresis assay+0.000.190.190.000.190.19XXX
    8632726AImmunoelectrophoresis assay0.420.190.190.010.620.62XXX
    86329XImmunodiffusion0.000.000.000.000.000.00XXX
    86331XImmunodiffusion ouchterlony0.000.000.000.000.000.00XXX
    86332XImmune complex assay0.000.000.000.000.000.00XXX
    86334XImmunofixation procedure+0.000.170.170.000.170.17XXX
    8633426AImmunofixation procedure0.370.170.170.010.550.55XXX
    86337XInsulin antibodies0.000.000.000.000.000.00XXX
    86340XIntrinsic factor antibody0.000.000.000.000.000.00XXX
    86341XIslet cell antibody0.000.000.000.000.000.00XXX
    86343XLeukocyte histamine release0.000.000.000.000.000.00XXX
    86344XLeukocyte phagocytosis0.000.000.000.000.000.00XXX
    86353XLymphocyte transformation0.000.000.000.000.000.00XXX
    86359XT cells, total count0.000.000.000.000.000.00XXX
    86360XT cell, absolute count/ratio0.000.000.000.000.000.00XXX
    86361XT cell, absolute count0.000.000.000.000.000.00XXX
    86376XMicrosomal antibody0.000.000.000.000.000.00XXX
    86378XMigration inhibitory factor0.000.000.000.000.000.00XXX
    86382XNeutralization test, viral0.000.000.000.000.000.00XXX
    86384XNitroblue tetrazolium dye0.000.000.000.000.000.00XXX
    86403XParticle agglutination test0.000.000.000.000.000.00XXX
    86406XParticle agglutination test0.000.000.000.000.000.00XXX
    86430XRheumatoid factor test0.000.000.000.000.000.00XXX
    86431XRheumatoid factor, quant0.000.000.000.000.000.00XXX
    86485CSkin test, candida0.000.000.000.000.000.00XXX
    86490ACoccidioidomycosis skin test0.00NA0.290.02NA0.31XXX
    86510AHistoplasmosis skin test0.00NA0.310.02NA0.33XXX
    86580ATB intradermal test0.00NA0.250.02NA0.27XXX
    86585ATB tine test0.00NA0.200.01NA0.21XXX
    86586CSkin test, unlisted0.000.000.000.000.000.00XXX
    86590XStreptokinase, antibody0.000.000.000.000.000.00XXX
    86592XBlood serology, qualitative0.000.000.000.000.000.00XXX
    86593XBlood serology, quantitative0.000.000.000.000.000.00XXX
    86602XAntinomyces antibody0.000.000.000.000.000.00XXX
    86603XAdenovirus antibody0.000.000.000.000.000.00XXX
    86606XAspergillus antibody0.000.000.000.000.000.00XXX
    86609XBacterium antibody0.000.000.000.000.000.00XXX
    86611XBartonella antibody0.000.000.000.000.000.00XXX
    86612XBlastomyces antibody0.000.000.000.000.000.00XXX
    86615XBordetella antibody0.000.000.000.000.000.00XXX
    86617XLyme disease antibody0.000.000.000.000.000.00XXX
    86618XLyme disease antibody0.000.000.000.000.000.00XXX
    86619XBorrelia antibody0.000.000.000.000.000.00XXX
    86622XBrucella antibody0.000.000.000.000.000.00XXX
    86625XCampylobacter antibody0.000.000.000.000.000.00XXX
    86628XCandida antibody0.000.000.000.000.000.00XXX
    86631XChlamydia antibody0.000.000.000.000.000.00XXX
    86632XChlamydia igm antibody0.000.000.000.000.000.00XXX
    86635XCoccidioides antibody0.000.000.000.000.000.00XXX
    86638XQ fever antibody0.000.000.000.000.000.00XXX
    86641XCryptococcus antibody0.000.000.000.000.000.00XXX
    86644XCMV antibody0.000.000.000.000.000.00XXX
    86645XCMV antibody, IgM0.000.000.000.000.000.00XXX
    86648XDiphtheria antibody0.000.000.000.000.000.00XXX
    86651XEncephalitis antibody0.000.000.000.000.000.00XXX
    86652XEncephalitis antibody0.000.000.000.000.000.00XXX
    86653XEncephalitis antibody0.000.000.000.000.000.00XXX
    86654XEncephalitis antibody0.000.000.000.000.000.00XXX
    86658XEnterovirus antibody0.000.000.000.000.000.00XXX
    86663XEpstein-barr antibody0.000.000.000.000.000.00XXX
    86664XEpstein-barr antibody0.000.000.000.000.000.00XXX
    86665XEpstein-barr antibody0.000.000.000.000.000.00XXX
    86666XEhrlichia antibody0.000.000.000.000.000.00XXX
    86668XFrancisella tularensis0.000.000.000.000.000.00XXX
    86671XFungus antibody0.000.000.000.000.000.00XXX
    86674XGiardia lamblia antibody0.000.000.000.000.000.00XXX
    86677XHelicobacter pylori0.000.000.000.000.000.00XXX
    86682XHelminth antibody0.000.000.000.000.000.00XXX
    86683XHemoglobin, fecal antibody0.000.000.000.000.000.00XXX
    86684XHemophilus influenza0.000.000.000.000.000.00XXX
    86687XHtlv-i antibody0.000.000.000.000.000.00XXX
    Start Printed Page 40512
    86688XHtlv-ii antibody0.000.000.000.000.000.00XXX
    86689XHTLV/HIV confirmatory test0.000.000.000.000.000.00XXX
    86692XHepatitis, delta agent0.000.000.000.000.000.00XXX
    86694XHerpes simplex test0.000.000.000.000.000.00XXX
    86695XHerpes simplex test0.000.000.000.000.000.00XXX
    86696XHerpes simplex type 20.000.000.000.000.000.00XXX
    86698XHistoplasma0.000.000.000.000.000.00XXX
    86701XHIV-10.000.000.000.000.000.00XXX
    86702XHIV-20.000.000.000.000.000.00XXX
    86703XHIV-1/HIV-2, single assay0.000.000.000.000.000.00XXX
    86704XHep b core antibody, total0.000.000.000.000.000.00XXX
    86705XHep b core antibody, igm0.000.000.000.000.000.00XXX
    86706XHep b surface antibody0.000.000.000.000.000.00XXX
    86707XHep be antibody0.000.000.000.000.000.00XXX
    86708XHep a antibody, total0.000.000.000.000.000.00XXX
    86709XHep a antibody, igm0.000.000.000.000.000.00XXX
    86710XInfluenza virus antibody0.000.000.000.000.000.00XXX
    86713XLegionella antibody0.000.000.000.000.000.00XXX
    86717XLeishmania antibody0.000.000.000.000.000.00XXX
    86720XLeptospira antibody0.000.000.000.000.000.00XXX
    86723XListeria monocytogenes ab0.000.000.000.000.000.00XXX
    86727XLymph choriomeningitis ab0.000.000.000.000.000.00XXX
    86729XLympho venereum antibody0.000.000.000.000.000.00XXX
    86732XMucormycosis antibody0.000.000.000.000.000.00XXX
    86735XMumps antibody0.000.000.000.000.000.00XXX
    86738XMycoplasma antibody0.000.000.000.000.000.00XXX
    86741XNeisseria meningitidis0.000.000.000.000.000.00XXX
    86744XNocardia antibody0.000.000.000.000.000.00XXX
    86747XParvovirus antibody0.000.000.000.000.000.00XXX
    86750XMalaria antibody0.000.000.000.000.000.00XXX
    86753XProtozoa antibody nos0.000.000.000.000.000.00XXX
    86756XRespiratory virus antibody0.000.000.000.000.000.00XXX
    86757XRickettsia antibody0.000.000.000.000.000.00XXX
    86759XRotavirus antibody0.000.000.000.000.000.00XXX
    86762XRubella antibody0.000.000.000.000.000.00XXX
    86765XRubeola antibody0.000.000.000.000.000.00XXX
    86768XSalmonella antibody0.000.000.000.000.000.00XXX
    86771XShigella antibody0.000.000.000.000.000.00XXX
    86774XTetanus antibody0.000.000.000.000.000.00XXX
    86777XToxoplasma antibody0.000.000.000.000.000.00XXX
    86778XToxoplasma antibody, igm0.000.000.000.000.000.00XXX
    86781XTreponema pallidum, confirm0.000.000.000.000.000.00XXX
    86784XTrichinella antibody0.000.000.000.000.000.00XXX
    86787XVaricella-zoster antibody0.000.000.000.000.000.00XXX
    86790XVirus antibody nos0.000.000.000.000.000.00XXX
    86793XYersinia antibody0.000.000.000.000.000.00XXX
    86800XThyroglobulin antibody0.000.000.000.000.000.00XXX
    86803XHepatitis c ab test0.000.000.000.000.000.00XXX
    86804XHep c ab test, confirm0.000.000.000.000.000.00XXX
    86805XLymphocytotoxicity assay0.000.000.000.000.000.00XXX
    86806XLymphocytotoxicity assay0.000.000.000.000.000.00XXX
    86807XCytotoxic antibody screening0.000.000.000.000.000.00XXX
    86808XCytotoxic antibody screening0.000.000.000.000.000.00XXX
    86812XHLA typing, A, B, or C0.000.000.000.000.000.00XXX
    86813XHLA typing, A, B, or C0.000.000.000.000.000.00XXX
    86816XHLA typing, DR/DQ0.000.000.000.000.000.00XXX
    86817XHLA typing, DR/DQ0.000.000.000.000.000.00XXX
    86821XLymphocyte culture, mixed0.000.000.000.000.000.00XXX
    86822XLymphocyte culture, primed0.000.000.000.000.000.00XXX
    86849XImmunology procedure0.000.000.000.000.000.00XXX
    86850XRBC antibody screen0.000.000.000.000.000.00XXX
    86860XRBC antibody elution0.000.000.000.000.000.00XXX
    86870XRBC antibody identification0.000.000.000.000.000.00XXX
    86880XCoombs test0.000.000.000.000.000.00XXX
    86885XCoombs test0.000.000.000.000.000.00XXX
    86886XCoombs test0.000.000.000.000.000.00XXX
    86890XAutologous blood process0.000.000.000.000.000.00XXX
    86891XAutologous blood, op salvage0.000.000.000.000.000.00XXX
    86900XBlood typing, ABO0.000.000.000.000.000.00XXX
    86901XBlood typing, Rh (D)0.000.000.000.000.000.00XXX
    86903XBlood typing, antigen screen0.000.000.000.000.000.00XXX
    86904XBlood typing, patient serum0.000.000.000.000.000.00XXX
    86905XBlood typing, RBC antigens0.000.000.000.000.000.00XXX
    86906XBlood typing, Rh phenotype0.000.000.000.000.000.00XXX
    Start Printed Page 40513
    86910NBlood typing, paternity test0.000.000.000.000.000.00XXX
    86911NBlood typing, antigen system0.000.000.000.000.000.00XXX
    86915XBone marrow/stem cell prep0.000.000.000.000.000.00XXX
    86920XCompatibility test0.000.000.000.000.000.00XXX
    86921XCompatibility test0.000.000.000.000.000.00XXX
    86922XCompatibility test0.000.000.000.000.000.00XXX
    86927XPlasma, fresh frozen0.000.000.000.000.000.00XXX
    86930XFrozen blood prep0.000.000.000.000.000.00XXX
    86931XFrozen blood thaw0.000.000.000.000.000.00XXX
    86932XFrozen blood freeze/thaw0.000.000.000.000.000.00XXX
    86940XHemolysins/agglutinins, auto0.000.000.000.000.000.00XXX
    86941XHemolysins/agglutinins0.000.000.000.000.000.00XXX
    86945XBlood product/irradiation0.000.000.000.000.000.00XXX
    86950XLeukacyte transfusion0.000.000.000.000.000.00XXX
    86965XPooling blood platelets0.000.000.000.000.000.00XXX
    86970XRBC pretreatment0.000.000.000.000.000.00XXX
    86971XRBC pretreatment0.000.000.000.000.000.00XXX
    86972XRBC pretreatment0.000.000.000.000.000.00XXX
    86975XRBC pretreatment, serum0.000.000.000.000.000.00XXX
    86976XRBC pretreatment, serum0.000.000.000.000.000.00XXX
    86977XRBC pretreatment, serum0.000.000.000.000.000.00XXX
    86978XRBC pretreatment, serum0.000.000.000.000.000.00XXX
    86985XSplit blood or products0.000.000.000.000.000.00XXX
    86999XTransfusion procedure0.000.000.000.000.000.00XXX
    87001XSmall animal inoculation0.000.000.000.000.000.00XXX
    87003XSmall animal inoculation0.000.000.000.000.000.00XXX
    87015XSpecimen concentration0.000.000.000.000.000.00XXX
    87040XBlood culture for bacteria0.000.000.000.000.000.00XXX
    87045XStool culture, bacteria0.000.000.000.000.000.00XXX
    87046XStool cultr, bacteria, each0.000.000.000.000.000.00XXX
    87070XCulture, bacteria, other0.000.000.000.000.000.00XXX
    87071XCulture bacteri aerobic othr0.000.000.000.000.000.00XXX
    87073XCulture bacteria anaerobic0.000.000.000.000.000.00XXX
    87075XCulture bacteria anaerobic0.000.000.000.000.000.00XXX
    87076XCulture anaerobe ident, each0.000.000.000.000.000.00XXX
    87077XCulture aerobic identify0.000.000.000.000.000.00XXX
    87081XCulture screen only0.000.000.000.000.000.00XXX
    87084XCulture of specimen by kit0.000.000.000.000.000.00XXX
    87086XUrine culture/colony count0.000.000.000.000.000.00XXX
    87088XUrine bacteria culture0.000.000.000.000.000.00XXX
    87101XSkin fungi culture0.000.000.000.000.000.00XXX
    87102XFungus isolation culture0.000.000.000.000.000.00XXX
    87103XBlood fungus culture0.000.000.000.000.000.00XXX
    87106XFungi identification, yeast0.000.000.000.000.000.00XXX
    87107XFungi identification, mold0.000.000.000.000.000.00XXX
    87109XMycoplasma0.000.000.000.000.000.00XXX
    87110XChlamydia culture0.000.000.000.000.000.00XXX
    87116XMycobacteria culture0.000.000.000.000.000.00XXX
    87118XMycobacteric identification0.000.000.000.000.000.00XXX
    87140XCultur type immunofluoresc0.000.000.000.000.000.00XXX
    87143XCulture typing, glc/hplc0.000.000.000.000.000.00XXX
    87147XCulture type, immunologic0.000.000.000.000.000.00XXX
    87149XCulture type, nucleic acid0.000.000.000.000.000.00XXX
    87152XCulture type pulse field gel0.000.000.000.000.000.00XXX
    87158XCulture typing, added method0.000.000.000.000.000.00XXX
    87164XDark field examination+0.000.170.180.000.170.18XXX
    8716426ADark field examination0.370.170.180.010.550.56XXX
    87166XDark field examination0.000.000.000.000.000.00XXX
    87168XMacroscopic exam arthropod0.000.000.000.000.000.00XXX
    87169XMacacroscopic exam parasite0.000.000.000.000.000.00XXX
    87172XPinworm exam0.000.000.000.000.000.00XXX
    87176XTissue homogenization, cultr0.000.000.000.000.000.00XXX
    87177XOva and parasites smears0.000.000.000.000.000.00XXX
    87181XMicrobe susceptible, diffuse0.000.000.000.000.000.00XXX
    87184XMicrobe susceptible, disk0.000.000.000.000.000.00XXX
    87185XMicrobe susceptible, enzyme0.000.000.000.000.000.00XXX
    87186XMicrobe susceptible, mic0.000.000.000.000.000.00XXX
    87187XMicrobe susceptible, mlc0.000.000.000.000.000.00XXX
    87188XMicrobe suscept, macrobroth0.000.000.000.000.000.00XXX
    87190XMicrobe suscept, mycobacteri0.000.000.000.000.000.00XXX
    87197XBactericidal level, serum0.000.000.000.000.000.00XXX
    87205XSmear, gram stain0.000.000.000.000.000.00XXX
    87206XSmear, fluorescent/acid stai0.000.000.000.000.000.00XXX
    87207XSmear, special stain+0.000.170.170.000.170.17XXX
    Start Printed Page 40514
    8720726ASmear, special stain0.370.170.170.010.550.55XXX
    87210XSmear, wet mount, saline/ink0.000.000.000.000.000.00XXX
    87220XTissue exam for fungi0.000.000.000.000.000.00XXX
    87230XAssay, toxin or antitoxin0.000.000.000.000.000.00XXX
    87250XVirus inoculate, eggs/animal0.000.000.000.000.000.00XXX
    87252XVirus inoculation, tissue0.000.000.000.000.000.00XXX
    87253XVirus inoculate tissue, addl0.000.000.000.000.000.00XXX
    87254XVirus inoculation, shell via0.000.000.000.000.000.00XXX
    87260XAdenovirus ag, if0.000.000.000.000.000.00XXX
    87265XPertussis ag, if0.000.000.000.000.000.00XXX
    87270XChlamydia trachomatis ag, if0.000.000.000.000.000.00XXX
    87272XCryptosporidum/gardia ag, if0.000.000.000.000.000.00XXX
    87273XHerpes simplex 2, ag, if0.000.000.000.000.000.00XXX
    87274XHerpes simplex 1, ag, if0.000.000.000.000.000.00XXX
    87275XInfluenza b, ag, if0.000.000.000.000.000.00XXX
    87276XInfluenza a, ag, if0.000.000.000.000.000.00XXX
    87277XLegionella micdadei, ag, if0.000.000.000.000.000.00XXX
    87278XLegion pneumophilia ag, if0.000.000.000.000.000.00XXX
    87279XParainfluenza, ag, if0.000.000.000.000.000.00XXX
    87280XRespiratory syncytial ag, if0.000.000.000.000.000.00XXX
    87281XPneumocystis carinii, ag, if0.000.000.000.000.000.00XXX
    87283XRubeola, ag, if0.000.000.000.000.000.00XXX
    87285XTreponema pallidum, ag, if0.000.000.000.000.000.00XXX
    87290XVaricella zoster, ag, if0.000.000.000.000.000.00XXX
    87299XAntibody detection, nos, if0.000.000.000.000.000.00XXX
    87300XAg detection, polyval, if0.000.000.000.000.000.00XXX
    87301XAdenovirus ag, eia0.000.000.000.000.000.00XXX
    87320XChylmd trach ag, eia0.000.000.000.000.000.00XXX
    87324XClostridium ag, eia0.000.000.000.000.000.00XXX
    87327XCryptococcus neoform ag, eia0.000.000.000.000.000.00XXX
    87328XCryptospor ag, eia0.000.000.000.000.000.00XXX
    87332XCytomegalovirus ag, eia0.000.000.000.000.000.00XXX
    87335XE coli 0157 ag, eia0.000.000.000.000.000.00XXX
    87336XEntamoeb hist dispr, ag, eia0.000.000.000.000.000.00XXX
    87337XEntamoeb hist group, ag, eia0.000.000.000.000.000.00XXX
    87338XHpylori, stool, eia0.000.000.000.000.000.00XXX
    87339XHpylori ag, eia0.000.000.000.000.000.00XXX
    87340XHepatitis b surface ag, eia0.000.000.000.000.000.00XXX
    87341XHepatitis b surface, ag, eia0.000.000.000.000.000.00XXX
    87350XHepatitis be ag, eia0.000.000.000.000.000.00XXX
    87380XHepatitis delta ag, eia0.000.000.000.000.000.00XXX
    87385XHistoplasma capsul ag, eia0.000.000.000.000.000.00XXX
    87390XHiv-1 ag, eia0.000.000.000.000.000.00XXX
    87391XHiv-2 ag, eia0.000.000.000.000.000.00XXX
    87400XInfluenza a/b, ag, eia0.000.000.000.000.000.00XXX
    87420XResp syncytial ag, eia0.000.000.000.000.000.00XXX
    87425XRotavirus ag, eia0.000.000.000.000.000.00XXX
    87427XShiga-like toxin ag, eia0.000.000.000.000.000.00XXX
    87430XStrep a ag, eia0.000.000.000.000.000.00XXX
    87449XAg detect nos, eia, mult0.000.000.000.000.000.00XXX
    87450XAg detect nos, eia, single0.000.000.000.000.000.00XXX
    87451XAg detect polyval, eia, mult0.000.000.000.000.000.00XXX
    87470XBartonella, dna, dir probe0.000.000.000.000.000.00XXX
    87471XBartonella, dna, amp probe0.000.000.000.000.000.00XXX
    87472XBartonella, dna, quant0.000.000.000.000.000.00XXX
    87475XLyme dis, dna, dir probe0.000.000.000.000.000.00XXX
    87476XLyme dis, dna, amp probe0.000.000.000.000.000.00XXX
    87477XLyme dis, dna, quant0.000.000.000.000.000.00XXX
    87480XCandida, dna, dir probe0.000.000.000.000.000.00XXX
    87481XCandida, dna, amp probe0.000.000.000.000.000.00XXX
    87482XCandida, dna, quant0.000.000.000.000.000.00XXX
    87485XChylmd pneum, dna, dir probe0.000.000.000.000.000.00XXX
    87486XChylmd pneum, dna, amp probe0.000.000.000.000.000.00XXX
    87487XChylmd pneum, dna, quant0.000.000.000.000.000.00XXX
    87490XChylmd trach, dna, dir probe0.000.000.000.000.000.00XXX
    87491XChylmd trach, dna, amp probe0.000.000.000.000.000.00XXX
    87492XChylmd trach, dna, quant0.000.000.000.000.000.00XXX
    87495XCytomeg, dna, dir probe0.000.000.000.000.000.00XXX
    87496XCytomeg, dna, amp probe0.000.000.000.000.000.00XXX
    87497XCytomeg, dna, quant0.000.000.000.000.000.00XXX
    87510XGardner vag, dna, dir probe0.000.000.000.000.000.00XXX
    87511XGardner vag, dna, amp probe0.000.000.000.000.000.00XXX
    87512XGardner vag, dna, quant0.000.000.000.000.000.00XXX
    87515XHepatitis b, dna, dir probe0.000.000.000.000.000.00XXX
    Start Printed Page 40515
    87516XHepatitis b , dna, amp probe0.000.000.000.000.000.00XXX
    87517XHepatitis b , dna, quant0.000.000.000.000.000.00XXX
    87520XHepatitis c , rna, dir probe0.000.000.000.000.000.00XXX
    87521XHepatitis c , rna, amp probe0.000.000.000.000.000.00XXX
    87522XHepatitis c, rna, quant0.000.000.000.000.000.00XXX
    87525XHepatitis g , dna, dir probe0.000.000.000.000.000.00XXX
    87526XHepatitis g, dna, amp probe0.000.000.000.000.000.00XXX
    87527XHepatitis g, dna, quant0.000.000.000.000.000.00XXX
    87528XHsv, dna, dir probe0.000.000.000.000.000.00XXX
    87529XHsv, dna, amp probe0.000.000.000.000.000.00XXX
    87530XHsv, dna, quant0.000.000.000.000.000.00XXX
    87531XHhv-6, dna, dir probe0.000.000.000.000.000.00XXX
    87532XHhv-6, dna, amp probe0.000.000.000.000.000.00XXX
    87533XHhv-6, dna, quant0.000.000.000.000.000.00XXX
    87534XHiv-1, dna, dir probe0.000.000.000.000.000.00XXX
    87535XHiv-1, dna, amp probe0.000.000.000.000.000.00XXX
    87536XHiv-1, dna, quant0.000.000.000.000.000.00XXX
    87537XHiv-2, dna, dir probe0.000.000.000.000.000.00XXX
    87538XHiv-2, dna, amp probe0.000.000.000.000.000.00XXX
    87539XHiv-2, dna, quant0.000.000.000.000.000.00XXX
    87540XLegion pneumo, dna, dir prob0.000.000.000.000.000.00XXX
    87541XLegion pneumo, dna, amp prob0.000.000.000.000.000.00XXX
    87542XLegion pneumo, dna, quant0.000.000.000.000.000.00XXX
    87550XMycobacteria, dna, dir probe0.000.000.000.000.000.00XXX
    87551XMycobacteria, dna, amp probe0.000.000.000.000.000.00XXX
    87552XMycobacteria, dna, quant0.000.000.000.000.000.00XXX
    87555XM.tuberculo, dna, dir probe0.000.000.000.000.000.00XXX
    87556XM.tuberculo, dna, amp probe0.000.000.000.000.000.00XXX
    87557XM.tuberculo, dna, quant0.000.000.000.000.000.00XXX
    87560XM.avium-intra, dna, dir prob0.000.000.000.000.000.00XXX
    87561XM.avium-intra, dna, amp prob0.000.000.000.000.000.00XXX
    87562XM.avium-intra, dna, quant0.000.000.000.000.000.00XXX
    87580XM.pneumon, dna, dir probe0.000.000.000.000.000.00XXX
    87581XM.pneumon, dna, amp probe0.000.000.000.000.000.00XXX
    87582XM.pneumon, dna, quant0.000.000.000.000.000.00XXX
    87590XN.gonorrhoeae, dna, dir prob0.000.000.000.000.000.00XXX
    87591XN.gonorrhoeae, dna, amp prob0.000.000.000.000.000.00XXX
    87592XN.gonorrhoeae, dna, quant0.000.000.000.000.000.00XXX
    87620XHpv, dna, dir probe0.000.000.000.000.000.00XXX
    87621XHpv, dna, amp probe0.000.000.000.000.000.00XXX
    87622XHpv, dna, quant0.000.000.000.000.000.00XXX
    87650XStrep a, dna, dir probe0.000.000.000.000.000.00XXX
    87651XStrep a, dna, amp probe0.000.000.000.000.000.00XXX
    87652XStrep a, dna, quant0.000.000.000.000.000.00XXX
    87797XDetect agent nos, dna, dir0.000.000.000.000.000.00XXX
    87798XDetect agent nos, dna, amp0.000.000.000.000.000.00XXX
    87799XDetect agent nos, dna, quant0.000.000.000.000.000.00XXX
    87800XDetect agnt mult, dna, direc0.000.000.000.000.000.00XXX
    87801XDetect agnt mult, dna, ampli0.000.000.000.000.000.00XXX
    87810XChylmd trach assay w/optic0.000.000.000.000.000.00XXX
    87850XN. gonorrhoeae assay w/optic0.000.000.000.000.000.00XXX
    87880XStrep a assay w/optic0.000.000.000.000.000.00XXX
    87899XAgent nos assay w/optic0.000.000.000.000.000.00XXX
    87901XGenotype, dna, hiv reverse t0.000.000.000.000.000.00XXX
    87903XPhenotype, dna hiv w/culture0.000.000.000.000.000.00XXX
    87904XPhenotype, dna hiv w/clt add0.000.000.000.000.000.00XXX
    87999XMicrobiology procedure0.000.000.000.000.000.00XXX
    88000NAutopsy (necropsy), gross0.000.000.000.000.000.00XXX
    88005NAutopsy (necropsy), gross0.000.000.000.000.000.00XXX
    88007NAutopsy (necropsy), gross0.000.000.000.000.000.00XXX
    88012NAutopsy (necropsy), gross0.000.000.000.000.000.00XXX
    88014NAutopsy (necropsy), gross0.000.000.000.000.000.00XXX
    88016NAutopsy (necropsy), gross0.000.000.000.000.000.00XXX
    88020NAutopsy (necropsy), complete0.000.000.000.000.000.00XXX
    88025NAutopsy (necropsy), complete0.000.000.000.000.000.00XXX
    88027NAutopsy (necropsy), complete0.000.000.000.000.000.00XXX
    88028NAutopsy (necropsy), complete0.000.000.000.000.000.00XXX
    88029NAutopsy (necropsy), complete0.000.000.000.000.000.00XXX
    88036NLimited autopsy0.000.000.000.000.000.00XXX
    88037NLimited autopsy0.000.000.000.000.000.00XXX
    88040NForensic autopsy (necropsy)0.000.000.000.000.000.00XXX
    88045NCoroner's autopsy (necropsy)0.000.000.000.000.000.00XXX
    88099NNecropsy (autopsy) procedure0.000.000.000.000.000.00XXX
    88104ACytopathology, fluids0.56NA0.810.04NA1.41XXX
    Start Printed Page 40516
    8810426ACytopathology, fluids0.560.260.260.020.840.84XXX
    88104TCACytopathology, fluids0.00NA0.550.02NA0.57XXX
    88106ACytopathology, fluids0.56NA0.550.04NA1.15XXX
    8810626ACytopathology, fluids0.560.260.260.020.840.84XXX
    88106TCACytopathology, fluids0.00NA0.290.02NA0.31XXX
    88107ACytopathology, fluids0.76NA0.890.05NA1.70XXX
    8810726ACytopathology, fluids0.760.350.350.031.141.14XXX
    88107TCACytopathology, fluids0.00NA0.540.02NA0.56XXX
    88108ACytopath, concentrate tech0.56NA0.720.04NA1.32XXX
    8810826ACytopath, concentrate tech0.560.260.260.020.840.84XXX
    88108TCACytopath, concentrate tech0.00NA0.460.02NA0.48XXX
    88125AForensic cytopathology0.26NA0.330.02NA0.61XXX
    8812526AForensic cytopathology0.260.120.120.010.390.39XXX
    88125TCAForensic cytopathology0.00NA0.210.01NA0.22XXX
    88130XSex chromatin identification0.000.000.000.000.000.00XXX
    88140XSex chromatin identification0.000.000.000.000.000.00XXX
    88141ACytopath, c/v, interpret0.420.190.190.010.620.62XXX
    88142XCytopath, c/v, thin layer0.000.000.000.000.000.00XXX
    88143XCytopath c/v thin layer redo0.000.000.000.000.000.00XXX
    88144XCytopath, c/v thin lyr redo0.000.000.000.000.000.00XXX
    88145XCytopath, c/v thin lyr sel0.000.000.000.000.000.00XXX
    88147XCytopath, c/v, automated0.000.000.000.000.000.00XXX
    88148XCytopath, c/v, auto rescreen0.000.000.000.000.000.00XXX
    88150XCytopath, c/v, manual0.000.000.000.000.000.00XXX
    88152XCytopath, c/v, auto redo0.000.000.000.000.000.00XXX
    88153XCytopath, c/v, redo0.000.000.000.000.000.00XXX
    88154XCytopath, c/v, select0.000.000.000.000.000.00XXX
    88155XCytopath, c/v, index add-on0.000.000.000.000.000.00XXX
    88160ACytopath smear, other source0.50NA0.980.04NA1.52XXX
    8816026ACytopath smear, other source0.500.230.230.020.750.75XXX
    88160TCACytopath smear, other source0.00NA0.750.02NA0.77XXX
    88161ACytopath smear, other source0.50NA0.990.04NA1.53XXX
    8816126ACytopath smear, other source0.500.230.230.020.750.75XXX
    88161TCACytopath smear, other source0.00NA0.760.02NA0.78XXX
    88162ACytopath smear, other source0.76NA0.840.05NA1.65XXX
    8816226ACytopath smear, other source0.760.350.350.031.141.14XXX
    88162TCACytopath smear, other source0.00NA0.490.02NA0.51XXX
    88164XCytopath tbs, c/v, manual0.000.000.000.000.000.00XXX
    88165XCytopath tbs, c/v, redo0.000.000.000.000.000.00XXX
    88166XCytopath tbs, c/v, auto redo0.000.000.000.000.000.00XXX
    88167XCytopath tbs, c/v, select0.000.000.000.000.000.00XXX
    88170AFine needle aspiration1.27NA0.890.10NA2.26XXX
    8817026AFine needle aspiration1.270.550.550.071.891.89XXX
    88170TCAFine needle aspiration0.00NA0.340.03NA0.37XXX
    88171AFine needle aspiration1.27NA0.730.08NA2.08XXX
    8817126AFine needle aspiration1.270.500.500.051.821.82XXX
    88171TCAFine needle aspiration0.00NA0.230.03NA0.26XXX
    88172ACytopathology eval of fna0.60NA1.120.04NA1.76XXX
    8817226ACytopathology eval of fna0.600.270.270.020.890.89XXX
    88172TCACytopathology eval of fna0.00NA0.850.02NA0.87XXX
    88173ACytopath eval, fna, report1.39NA1.350.07NA2.81XXX
    8817326ACytopath eval, fna, report1.390.630.630.052.072.07XXX
    88173TCACytopath eval, fna, report0.00NA0.720.02NA0.74XXX
    88180ACell marker study0.36NA0.670.03NA1.06XXX
    8818026ACell marker study0.360.160.160.010.530.53XXX
    88180TCACell marker study0.00NA0.510.02NA0.53XXX
    88182ACell marker study0.77NA1.740.06NA2.57XXX
    8818226ACell marker study0.770.350.350.031.151.15XXX
    88182TCACell marker study0.00NA1.390.03NA1.42XXX
    88199CCytopathology procedure0.00NA0.000.00NA0.00XXX
    8819926CCytopathology procedure0.000.000.000.000.000.00XXX
    88199TCCCytopathology procedure0.00NA0.000.00NA0.00XXX
    88230XTissue culture, lymphocyte0.000.000.000.000.000.00XXX
    88233XTissue culture, skin/biopsy0.000.000.000.000.000.00XXX
    88235XTissue culture, placenta0.000.000.000.000.000.00XXX
    88237XTissue culture, bone marrow0.000.000.000.000.000.00XXX
    88239XTissue culture, tumor0.000.000.000.000.000.00XXX
    88240XCell cryopreserve/storage0.000.000.000.000.000.00XXX
    88241XFrozen cell preparation0.000.000.000.000.000.00XXX
    88245XChromosome analysis, 20-250.000.000.000.000.000.00XXX
    88248XChromosome analysis, 50-1000.000.000.000.000.000.00XXX
    88249XChromosome analysis, 1000.000.000.000.000.000.00XXX
    88261XChromosome analysis, 50.000.000.000.000.000.00XXX
    88262XChromosome analysis, 15-200.000.000.000.000.000.00XXX
    Start Printed Page 40517
    88263XChromosome analysis, 450.000.000.000.000.000.00XXX
    88264XChromosome analysis, 20-250.000.000.000.000.000.00XXX
    88267XChromosome analys, placenta0.000.000.000.000.000.00XXX
    88269XChromosome analys, amniotic0.000.000.000.000.000.00XXX
    88271XCytogenetics, dna probe0.000.000.000.000.000.00XXX
    88272XCytogenetics, 3-50.000.000.000.000.000.00XXX
    88273XCytogenetics, 10-300.000.000.000.000.000.00XXX
    88274XCytogenetics, 25-990.000.000.000.000.000.00XXX
    88275XCytogenetics, 100-3000.000.000.000.000.000.00XXX
    88280XChromosome karyotype study0.000.000.000.000.000.00XXX
    88283XChromosome banding study0.000.000.000.000.000.00XXX
    88285XChromosome count, additional0.000.000.000.000.000.00XXX
    88289XChromosome study, additional0.000.000.000.000.000.00XXX
    88291ACyto/molecular report0.520.230.230.020.770.77XXX
    88299CCytogenetic study0.000.000.000.000.000.00XXX
    88300ASurgical path, gross0.08NA0.440.02NA0.54XXX
    8830026ASurgical path, gross0.080.040.040.010.130.13XXX
    88300TCASurgical path, gross0.00NA0.400.01NA0.41XXX
    88302ATissue exam by pathologist0.13NA1.120.03NA1.28XXX
    8830226ATissue exam by pathologist0.130.060.060.010.200.20XXX
    88302TCATissue exam by pathologist0.00NA1.060.02NA1.08XXX
    88304ATissue exam by pathologist0.22NA0.930.03NA1.18XXX
    8830426ATissue exam by pathologist0.220.100.100.010.330.33XXX
    88304TCATissue exam by pathologist0.00NA0.830.02NA0.85XXX
    88305ATissue exam by pathologist0.75NA1.770.05NA2.57XXX
    8830526ATissue exam by pathologist0.750.350.350.021.121.12XXX
    88305TCATissue exam by pathologist0.00NA1.420.03NA1.45XXX
    88307ATissue exam by pathologist1.59NA2.560.11NA4.26XXX
    8830726ATissue exam by pathologist1.590.730.730.062.382.38XXX
    88307TCATissue exam by pathologist0.00NA1.830.05NA1.88XXX
    88309ATissue exam by pathologist2.28NA3.570.13NA5.98XXX
    8830926ATissue exam by pathologist2.281.041.040.083.403.40XXX
    88309TCATissue exam by pathologist0.00NA2.530.05NA2.58XXX
    88311ADecalcify tissue0.24NA0.190.02NA0.45XXX
    8831126ADecalcify tissue0.240.110.110.010.360.36XXX
    88311TCADecalcify tissue0.00NA0.080.01NA0.09XXX
    88312ASpecial stains0.54NA1.690.03NA2.26XXX
    8831226ASpecial stains0.540.250.250.020.810.81XXX
    88312TCASpecial stains0.00NA1.440.01NA1.45XXX
    88313ASpecial stains0.24NA1.160.02NA1.42XXX
    8831326ASpecial stains0.240.110.110.010.360.36XXX
    88313TCASpecial stains0.00NA1.050.01NA1.06XXX
    88314AHistochemical stain0.45NA1.050.04NA1.54XXX
    8831426AHistochemical stain0.450.200.200.020.670.67XXX
    88314TCAHistochemical stain0.00NA0.850.02NA0.87XXX
    88318AChemical histochemistry0.42NA1.780.02NA2.22XXX
    8831826AChemical histochemistry0.420.190.190.010.620.62XXX
    88318TCAChemical histochemistry0.00NA1.590.01NA1.60XXX
    88319AEnzyme histochemistry0.53NA1.750.04NA2.32XXX
    8831926AEnzyme histochemistry0.530.240.240.020.790.79XXX
    88319TCAEnzyme histochemistry0.00NA1.510.02NA1.53XXX
    88321AMicroslide consultation1.300.590.620.041.931.96XXX
    88323AMicroslide consultation1.35NA2.280.07NA3.70XXX
    8832326AMicroslide consultation1.350.620.620.052.022.02XXX
    88323TCAMicroslide consultation0.00NA1.660.02NA1.68XXX
    88325AComprehensive review of data2.220.960.960.083.263.26XXX
    88329APath consult introp0.670.310.410.021.001.10XXX
    88331APath consult intraop, 1 bloc1.19NA0.840.07NA2.10XXX
    8833126APath consult intraop, 1 bloc1.190.540.540.041.771.77XXX
    88331TCAPath consult intraop, 1 bloc0.00NA0.300.03NA0.33XXX
    88332APath consult intraop, addl0.59NA0.460.04NA1.09XXX
    8833226APath consult intraop, addl0.590.270.270.020.880.88XXX
    88332TCAPath consult intraop, addl0.00NA0.190.02NA0.21XXX
    88342AImmunocytochemistry0.85NA1.370.05NA2.27XXX
    8834226AImmunocytochemistry0.850.390.390.031.271.27XXX
    88342TCAImmunocytochemistry0.00NA0.980.02NA1.00XXX
    88346AImmunofluorescent study0.86NA1.380.05NA2.29XXX
    8834626AImmunofluorescent study0.860.390.390.031.281.28XXX
    88346TCAImmunofluorescent study0.00NA0.990.02NA1.01XXX
    88347AImmunofluorescent study0.86NA1.920.05NA2.83XXX
    8834726AImmunofluorescent study0.860.380.380.031.271.27XXX
    88347TCAImmunofluorescent study0.00NA1.540.02NA1.56XXX
    88348AElectron microscopy1.51NA6.420.11NA8.04XXX
    8834826AElectron microscopy1.510.680.680.052.242.24XXX
    Start Printed Page 40518
    88348TCAElectron microscopy0.00NA5.740.06NA5.80XXX
    88349AScanning electron microscopy0.76NA7.920.08NA8.76XXX
    8834926AScanning electron microscopy0.760.350.350.031.141.14XXX
    88349TCAScanning electron microscopy0.00NA7.570.05NA7.62XXX
    88355AAnalysis, skeletal muscle1.85NA3.960.12NA5.93XXX
    8835526AAnalysis, skeletal muscle1.850.850.850.072.772.77XXX
    88355TCAAnalysis, skeletal muscle0.00NA3.110.05NA3.16XXX
    88356AAnalysis, nerve3.02NA4.470.16NA7.65XXX
    8835626AAnalysis, nerve3.021.361.360.104.484.48XXX
    88356TCAAnalysis, nerve0.00NA3.110.06NA3.17XXX
    88358AAnalysis, tumor2.82NA1.710.16NA4.69XXX
    8835826AAnalysis, tumor2.821.281.280.104.204.20XXX
    88358TCAAnalysis, tumor0.00NA0.430.06NA0.49XXX
    88362ANerve teasing preparations2.17NA1.390.12NA3.68XXX
    8836226ANerve teasing preparations2.170.970.970.073.213.21XXX
    88362TCANerve teasing preparations0.00NA0.420.05NA0.47XXX
    88365ATissue hybridization0.93NA1.430.05NA2.41XXX
    8836526ATissue hybridization0.930.410.410.031.371.37XXX
    88365TCATissue hybridization0.00NA1.020.02NA1.04XXX
    88371XProtein, western blot tissue+0.000.140.140.000.140.14XXX
    8837126AProtein, western blot tissue0.370.140.140.010.520.52XXX
    88372XProtein analysis w/probe+0.000.150.150.000.150.15XXX
    8837226AProtein analysis w/probe0.370.150.150.010.530.53XXX
    88399CSurgical pathology procedure0.00NA0.000.00NA0.00XXX
    8839926CSurgical pathology procedure0.000.000.000.000.000.00XXX
    88399TCCSurgical pathology procedure0.00NA0.000.00NA0.00XXX
    88400XBilirubin total transcut0.000.000.000.000.000.00XXX
    89050XBody fluid cell count0.000.000.000.000.000.00XXX
    89051XBody fluid cell count0.000.000.000.000.000.00XXX
    89060XExam,synovial fluid crystals+0.000.170.170.000.170.17XXX
    8906026AExam,synovial fluid crystals0.370.170.170.010.550.55XXX
    89100ASample intestinal contents0.600.232.070.020.852.69XXX
    89105ASample intestinal contents0.500.182.250.020.702.77XXX
    89125XSpecimen fat stain0.000.000.000.000.000.00XXX
    89130ASample stomach contents0.450.131.920.020.602.39XXX
    89132ASample stomach contents0.190.081.820.010.282.02XXX
    89135ASample stomach contents0.790.282.110.031.102.93XXX
    89136ASample stomach contents0.210.081.390.010.301.61XXX
    89140ASample stomach contents0.940.272.240.031.243.21XXX
    89141ASample stomach contents0.850.352.760.031.233.64XXX
    89160XExam feces for meat fibers0.000.000.000.000.000.00XXX
    89190XNasal smear for eosinophils0.000.000.000.000.000.00XXX
    89250XFertilization of oocyte0.000.000.000.000.000.00XXX
    89251XCulture oocyte w/embryos0.000.000.000.000.000.00XXX
    89252XAssist oocyte fertilization0.000.000.000.000.000.00XXX
    89253XEmbryo hatching0.000.000.000.000.000.00XXX
    89254XOocyte identification0.000.000.000.000.000.00XXX
    89255XPrepare embryo for transfer0.000.000.000.000.000.00XXX
    89256XPrepare cryopreserved embryo0.000.000.000.000.000.00XXX
    89257XSperm identification0.000.000.000.000.000.00XXX
    89258XCryopreservation, embryo0.000.000.000.000.000.00XXX
    89259XCryopreservation, sperm0.000.000.000.000.000.00XXX
    89260XSperm isolation, simple0.000.000.000.000.000.00XXX
    89261XSperm isolation, complex0.000.000.000.000.000.00XXX
    89264XIdentify sperm tissue0.000.000.000.000.000.00XXX
    89300XSemen analysis0.000.000.000.000.000.00XXX
    89310XSemen analysis0.000.000.000.000.000.00XXX
    89320XSemen analysis0.000.000.000.000.000.00XXX
    89321XSemen analysis0.000.000.000.000.000.00XXX
    89325XSperm antibody test0.000.000.000.000.000.00XXX
    89329XSperm evaluation test0.000.000.000.000.000.00XXX
    89330XEvaluation, cervical mucus0.000.000.000.000.000.00XXX
    89350ASputum specimen collection0.00NA0.400.02NA0.42XXX
    89355XExam feces for starch0.000.000.000.000.000.00XXX
    89360ACollect sweat for test0.00NA0.450.02NA0.47XXX
    89365XWater load test0.000.000.000.000.000.00XXX
    89399CPathology lab procedure0.00NA0.000.00NA0.00XXX
    8939926CPathology lab procedure0.000.000.000.000.000.00XXX
    89399TCCPathology lab procedure0.00NA0.000.00NA0.00XXX
    90281IHuman ig, im0.000.000.000.000.000.00XXX
    90283IHuman ig, iv0.000.000.000.000.000.00XXX
    90287IBotulinum antitoxin0.000.000.000.000.000.00XXX
    90288IBotulism ig, iv0.000.000.000.000.000.00XXX
    90291ICmv ig, iv0.000.000.000.000.000.00XXX
    Start Printed Page 40519
    90296EDiphtheria antitoxin0.000.000.000.000.000.00XXX
    90371EHep b ig, im0.000.000.000.000.000.00XXX
    90375ERabies ig, im/sc0.000.000.000.000.000.00XXX
    90376ERabies ig, heat treated0.000.000.000.000.000.00XXX
    90378XRsv ig, im, 50mg0.000.000.000.000.000.00XXX
    90379ERsv ig, iv0.000.000.000.000.000.00XXX
    90384IRh ig, full-dose, im0.000.000.000.000.000.00XXX
    90385ERh ig, minidose, im0.000.000.000.000.000.00XXX
    90386IRh ig, iv0.000.000.000.000.000.00XXX
    90389ETetanus ig, im0.000.000.000.000.000.00XXX
    90393EVaccina ig, im0.000.000.000.000.000.00XXX
    90396EVaricella-zoster ig, im0.000.000.000.000.000.00XXX
    90399IImmune globulin0.000.000.000.000.000.00XXX
    90471NImmunization admin0.00NA0.000.00NA0.00XXX
    90472NImmunization admin, each add0.00NA0.000.00NA0.00XXX
    90476EAdenovirus vaccine, type 40.000.000.000.000.000.00XXX
    90477EAdenovirus vaccine, type 70.000.000.000.000.000.00XXX
    90581EAnthrax vaccine, sc0.000.000.000.000.000.00XXX
    90585EBcg vaccine, percut0.000.000.000.000.000.00XXX
    90586EBcg vaccine, intravesical0.000.000.000.000.000.00XXX
    90632EHep a vaccine, adult im0.000.000.000.000.000.00XXX
    90633EHep a vacc, ped/adol, 2 dose0.000.000.000.000.000.00XXX
    90634EHep a vacc, ped/adol, 3 dose0.000.000.000.000.000.00XXX
    90636EHep a/hep b vacc, adult im0.000.000.000.000.000.00XXX
    90645EHib vaccine, hboc, im0.000.000.000.000.000.00XXX
    90646EHib vaccine, prp-d, im0.000.000.000.000.000.00XXX
    90647EHib vaccine, prp-omp, im0.000.000.000.000.000.00XXX
    90648EHib vaccine, prp-t, im0.000.000.000.000.000.00XXX
    90657XFlu vaccine, 6-35 mo, im0.000.000.000.000.000.00XXX
    90658XFlu vaccine, 3 yrs, im0.000.000.000.000.000.00XXX
    90659XFlu vaccine, whole, im0.000.000.000.000.000.00XXX
    90660XFlu vaccine, nasal0.000.000.000.000.000.00XXX
    90665ELyme disease vaccine, im0.000.000.000.000.000.00XXX
    90669NPneumococcal vacc, ped<50.000.000.000.000.000.00XXX
    90675ERabies vaccine, im0.000.000.000.000.000.00XXX
    90676ERabies vaccine, id0.000.000.000.000.000.00XXX
    90680ERotovirus vaccine, oral0.000.000.000.000.000.00XXX
    90690ETyphoid vaccine, oral0.000.000.000.000.000.00XXX
    90691ETyphoid vaccine, im0.000.000.000.000.000.00XXX
    90692ETyphoid vaccine, h-p, sc/id0.000.000.000.000.000.00XXX
    90693ETyphoid vaccine, akd, sc0.000.000.000.000.000.00XXX
    90700EDtap vaccine, im0.000.000.000.000.000.00XXX
    90701EDtp vaccine, im0.000.000.000.000.000.00XXX
    90702EDt vaccine < 7, im0.000.000.000.000.000.00XXX
    90703ETetanus vaccine, im0.000.000.000.000.000.00XXX
    90704EMumps vaccine, sc0.000.000.000.000.000.00XXX
    90705EMeasles vaccine, sc0.000.000.000.000.000.00XXX
    90706ERubella vaccine, sc0.000.000.000.000.000.00XXX
    90707EMmr vaccine, sc0.000.000.000.000.000.00XXX
    90708EMeasles-rubella vaccine, sc0.000.000.000.000.000.00XXX
    90709ERubella & mumps vaccine, sc0.000.000.000.000.000.00XXX
    90710EMmrv vaccine, sc0.000.000.000.000.000.00XXX
    90712EOral poliovirus vaccine0.000.000.000.000.000.00XXX
    90713EPoliovirus, ipv, sc0.000.000.000.000.000.00XXX
    90716EChicken pox vaccine, sc0.000.000.000.000.000.00XXX
    90717EYellow fever vaccine, sc0.000.000.000.000.000.00XXX
    90718ETd vaccine > 7, im0.000.000.000.000.000.00XXX
    90719EDiphtheria vaccine, im0.000.000.000.000.000.00XXX
    90720EDtp/hib vaccine, im0.000.000.000.000.000.00XXX
    90721EDtap/hib vaccine, im0.000.000.000.000.000.00XXX
    90723XDtap-hep b-ipv vaccine, im0.000.000.000.000.000.00XXX
    90725ECholera vaccine, injectable0.000.000.000.000.000.00XXX
    90727EPlague vaccine, im0.000.000.000.000.000.00XXX
    90732XPneumococcal vacc, adult/ill0.000.000.000.000.000.00XXX
    90733EMeningococcal vaccine, sc0.000.000.000.000.000.00XXX
    90735EEncephalitis vaccine, sc0.000.000.000.000.000.00XXX
    90740XHepb vacc, ill pat 3 dose im0.000.000.000.000.000.00XXX
    90743XHep b vacc, adol, 2 dose, im0.000.000.000.000.000.00XXX
    90744XHepb vacc ped/adol 3 dose im0.000.000.000.000.000.00XXX
    90746XHep b vaccine, adult, im0.000.000.000.000.000.00XXX
    90747XHepb vacc, ill pat 4 dose im0.000.000.000.000.000.00XXX
    90748EHep b/hib vaccine, im0.000.000.000.000.000.00XXX
    90749EVaccine toxoid0.000.000.000.000.000.00XXX
    90780AIV infusion therapy, 1 hour0.00NA1.090.06NA1.15XXX
    Start Printed Page 40520
    90781AIV infusion, additional hour0.00NA0.550.03NA0.58ZZZ
    90782TInjection, sc/im0.00NA0.100.01NA0.11XXX
    90783TInjection, ia0.00NA0.400.02NA0.42XXX
    90784TInjection, iv0.00NA0.470.03NA0.50XXX
    90788TInjection of antibiotic0.00NA0.110.01NA0.12XXX
    90799CTher/prophylactic/dx inject0.000.000.000.000.000.00XXX
    90801APsy dx interview2.800.921.130.063.783.99XXX
    90802AIntac psy dx interview3.010.981.160.074.064.24XXX
    90804APsytx, office, 20-30 min1.210.390.530.031.631.77XXX
    90805APsytx, off, 20-30 min w/e&m1.370.440.590.031.841.99XXX
    90806APsytx, off, 45-50 min1.860.620.750.042.522.65XXX
    90807APsytx, off, 45-50 min w/e&m2.020.660.790.052.732.86XXX
    90808APsytx, office, 75-80 min2.790.921.070.073.783.93XXX
    90809APsytx, off, 75-80, w/e&m2.950.951.110.073.974.13XXX
    90810AIntac psytx, off, 20-30 min1.320.430.550.031.781.90XXX
    90811AIntac psytx, 20-30, w/e&m1.480.480.640.031.992.15XXX
    90812AIntac psytx, off, 45-50 min1.970.650.810.052.672.83XXX
    90813AIntac psytx, 45-50 min w/e&m2.130.700.870.052.883.05XXX
    90814AIntac psytx, off, 75-80 min2.900.951.170.073.924.14XXX
    90815AIntac psytx, 75-80 w/e&m3.060.981.190.074.114.32XXX
    90816APsytx, hosp, 20-30 min1.250.420.570.031.701.85XXX
    90817APsytx, hosp, 20-30 min w/e&m1.410.450.620.031.892.06XXX
    90818APsytx, hosp, 45-50 min1.890.640.790.042.572.72XXX
    90819APsytx, hosp, 45-50 min w/e&m2.050.650.820.052.752.92XXX
    90821APsytx, hosp, 75-80 min2.830.951.110.063.844.00XXX
    90822APsytx, hosp, 75-80 min w/e&m2.990.961.120.074.024.18XXX
    90823AIntac psytx, hosp, 20-30 min1.360.450.660.031.842.05XXX
    90824AIntac psytx, hsp 20-30 w/e&m1.520.490.710.032.042.26XXX
    90826AIntac psytx, hosp, 45-50 min2.010.680.890.042.732.94XXX
    90827AIntac psytx, hsp 45-50 w/e&m2.160.690.920.052.903.13XXX
    90828AIntac psytx, hosp, 75-80 min2.941.001.210.074.014.22XXX
    90829AIntac psytx, hsp 75-80 w/e&m3.101.001.240.074.174.41XXX
    90845APsychoanalysis1.790.580.690.042.412.52XXX
    90846RFamily psytx w/o patient1.830.610.730.042.482.60XXX
    90847RFamily psytx w/patient2.210.740.860.053.003.12XXX
    90849RMultiple family group psytx0.590.200.370.010.800.97XXX
    90853AGroup psychotherapy0.590.200.350.010.800.95XXX
    90857AIntac group psytx0.630.210.360.020.861.01XXX
    90862AMedication management0.950.310.440.021.281.41XXX
    90865ANarcosynthesis2.840.931.650.073.844.56XXX
    90870AElectroconvulsive therapy1.880.740.740.042.662.66000
    90871AElectroconvulsive therapy2.721.02NA0.063.80NA000
    90875NPsychophysiological therapy+1.200.470.890.031.702.12XXX
    90876NPsychophysiological therapy+1.900.751.170.042.693.11XXX
    90880AHypnotherapy2.190.700.880.052.943.12XXX
    90882NEnvironmental manipulation0.000.000.000.000.000.00XXX
    90885BPsy evaluation of records+0.970.380.380.021.371.37XXX
    90887BConsultation with family+1.480.590.820.032.102.33XXX
    90889BPreparation of report0.000.000.000.000.000.00XXX
    90899CPsychiatric service/therapy0.000.000.000.000.000.00XXX
    90901ABiofeedback train, any meth0.410.180.760.020.611.19000
    90911ABiofeedback peri/uro/rectal0.890.370.890.041.301.82000
    90918AESRD related services, month11.185.355.350.3016.8316.83XXX
    90919AESRD related services, month8.544.404.400.2413.1813.18XXX
    90920AESRD related services, month7.273.813.810.1911.2711.27XXX
    90921AESRD related services, month4.472.712.710.127.307.30XXX
    90922AESRD related services, day0.370.160.160.010.540.54XXX
    90923AEsrd related services, day0.280.140.140.010.430.43XXX
    90924AEsrd related services, day0.240.130.130.010.380.38XXX
    90925AEsrd related services, day0.150.090.090.010.250.25XXX
    90935AHemodialysis, one evaluation1.220.79NA0.032.04NA000
    90937AHemodialysis, repeated eval2.111.11NA0.063.28NA000
    90940XHemodialysis access study0.000.000.000.000.000.00XXX
    90945ADialysis, one evaluation1.280.81NA0.042.13NA000
    90947ADialysis, repeated eval2.161.13NA0.063.35NA000
    90989XDialysis training, complete0.000.000.000.000.000.00XXX
    90993XDialysis training, incompl0.000.000.000.000.000.00XXX
    90997AHemoperfusion1.841.00NA0.052.89NA000
    90999CDialysis procedure0.000.000.000.000.000.00XXX
    91000AEsophageal intubation0.73NA0.340.04NA1.11000
    9100026AEsophageal intubation0.730.260.260.031.021.02000
    91000TCAEsophageal intubation0.00NA0.080.01NA0.09000
    91010AEsophagus motility study1.25NA1.270.10NA2.62000
    9101026AEsophagus motility study1.250.460.460.051.761.76000
    Start Printed Page 40521
    91010TCAEsophagus motility study0.00NA0.810.05NA0.86000
    91011AEsophagus motility study1.50NA1.570.10NA3.17000
    9101126AEsophagus motility study1.500.560.560.052.112.11000
    91011TCAEsophagus motility study0.00NA1.010.05NA1.06000
    91012AEsophagus motility study1.46NA1.670.12NA3.25000
    9101226AEsophagus motility study1.460.540.540.062.062.06000
    91012TCAEsophagus motility study0.00NA1.130.06NA1.19000
    91020AGastric motility1.44NA1.260.11NA2.81000
    9102026AGastric motility1.440.510.510.062.012.01000
    91020TCAGastric motility0.00NA0.750.05NA0.80000
    91030AAcid perfusion of esophagus0.91NA0.560.05NA1.52000
    9103026AAcid perfusion of esophagus0.910.340.340.031.281.28000
    91030TCAAcid perfusion of esophagus0.00NA0.220.02NA0.24000
    91032AEsophagus, acid reflux test1.21NA1.170.10NA2.48000
    9103226AEsophagus, acid reflux test1.210.440.440.051.701.70000
    91032TCAEsophagus, acid reflux test0.00NA0.730.05NA0.78000
    91033AProlonged acid reflux test1.30NA1.800.14NA3.24000
    9103326AProlonged acid reflux test1.300.480.480.051.831.83000
    91033TCAProlonged acid reflux test0.00NA1.320.09NA1.41000
    91052AGastric analysis test0.79NA0.620.05NA1.46000
    9105226AGastric analysis test0.790.290.290.031.111.11000
    91052TCAGastric analysis test0.00NA0.330.02NA0.35000
    91055AGastric intubation for smear0.94NA0.580.06NA1.58000
    9105526AGastric intubation for smear0.940.280.280.041.261.26000
    91055TCAGastric intubation for smear0.00NA0.300.02NA0.32000
    91060AGastric saline load test0.45NA0.360.04NA0.85000
    9106026AGastric saline load test0.450.140.140.020.610.61000
    91060TCAGastric saline load test0.00NA0.220.02NA0.24000
    91065ABreath hydrogen test0.20NA0.420.03NA0.65000
    9106526ABreath hydrogen test0.200.070.070.010.280.28000
    91065TCABreath hydrogen test0.00NA0.350.02NA0.37000
    91100APass intestine bleeding tube1.080.46NA0.061.60NA000
    91105AGastric intubation treatment0.370.20NA0.020.59NA000
    91122AAnal pressure record1.77NA1.340.17NA3.28000
    9112226AAnal pressure record1.770.640.640.102.512.51000
    91122TCAAnal pressure record0.00NA0.700.07NA0.77000
    91132CElectrogastrography0.00NA0.000.00NA0.00XXX
    9113226CElectrogastrography0.000.000.000.000.000.00XXX
    91132TCCElectrogastrography0.00NA0.000.00NA0.00XXX
    91133CElectrogastrography w/test0.00NA0.000.00NA0.00XXX
    9113326CElectrogastrography w/test0.000.000.000.000.000.00XXX
    91133TCCElectrogastrography w/test0.00NA0.000.00NA0.00XXX
    91299CGastroenterology procedure0.00NA0.000.00NA0.00XXX
    9129926CGastroenterology procedure0.000.000.000.000.000.00XXX
    91299TCCGastroenterology procedure0.00NA0.000.00NA0.00XXX
    92002AEye exam, new patient0.880.361.120.021.262.02XXX
    92004AEye exam, new patient1.670.711.720.032.413.42XXX
    92012AEye exam established pat0.670.301.040.010.981.72XXX
    92014AEye exam & treatment1.100.491.350.021.612.47XXX
    92015NRefraction+0.380.151.430.010.541.82XXX
    92018ANew eye exam & treatment2.501.15NA0.033.68NAXXX
    92019AEye exam & treatment1.310.60NA0.031.94NAXXX
    92020ASpecial eye evaluation0.370.170.700.010.551.08XXX
    92060ASpecial eye evaluation0.69NA1.540.02NA2.25XXX
    9206026ASpecial eye evaluation0.690.300.300.011.001.00XXX
    92060TCASpecial eye evaluation0.00NA1.240.01NA1.25XXX
    92065AOrthoptic/pleoptic training0.37NA0.830.02NA1.22XXX
    9206526AOrthoptic/pleoptic training0.370.160.160.010.540.54XXX
    92065TCAOrthoptic/pleoptic training0.00NA0.670.01NA0.68XXX
    92070AFitting of contact lens0.700.330.980.011.041.69XXX
    92081AVisual field examination(s)0.36NA1.430.02NA1.81XXX
    9208126AVisual field examination(s)0.360.160.160.010.530.53XXX
    92081TCAVisual field examination(s)0.00NA1.270.01NA1.28XXX
    92082AVisual field examination(s)0.44NA1.280.02NA1.74XXX
    9208226AVisual field examination(s)0.440.200.200.010.650.65XXX
    92082TCAVisual field examination(s)0.00NA1.080.01NA1.09XXX
    92083AVisual field examination(s)0.50NA1.240.02NA1.76XXX
    9208326AVisual field examination(s)0.500.230.230.010.740.74XXX
    92083TCAVisual field examination(s)0.00NA1.010.01NA1.02XXX
    92100ASerial tonometry exam(s)0.920.400.780.021.341.72XXX
    92120ATonography & eye evaluation0.810.320.760.021.151.59XXX
    92130AWater provocation tonography0.810.390.860.021.221.69XXX
    92135AOpthalmic dx imaging0.35NA1.200.02NA1.57XXX
    9213526AOpthalmic dx imaging0.350.160.160.010.520.52XXX
    Start Printed Page 40522
    92135TCAOpthalmic dx imaging0.00NA1.040.01NA1.05XXX
    92140AGlaucoma provocative tests0.500.220.950.010.731.46XXX
    92225ASpecial eye exam, initial0.380.161.660.010.552.05XXX
    92226ASpecial eye exam, subsequent0.330.151.740.010.492.08XXX
    92230AEye exam with photos0.600.181.280.020.801.90XXX
    92235AEye exam with photos0.81NA2.110.07NA2.99XXX
    9223526AEye exam with photos0.810.380.380.021.211.21XXX
    92235TCAEye exam with photos0.00NA1.730.05NA1.78XXX
    92240AIcg angiography1.10NA2.550.07NA3.72XXX
    9224026AIcg angiography1.100.510.510.021.631.63XXX
    92240TCAIcg angiography0.00NA2.040.05NA2.09XXX
    92250AEye exam with photos0.44NA1.690.02NA2.15XXX
    9225026AEye exam with photos0.440.200.200.010.650.65XXX
    92250TCAEye exam with photos0.00NA1.490.01NA1.50XXX
    92260AOphthalmoscopy/dynamometry0.200.090.220.010.300.43XXX
    92265AEye muscle evaluation0.81NA1.350.04NA2.20XXX
    9226526AEye muscle evaluation0.810.330.330.021.161.16XXX
    92265TCAEye muscle evaluation0.00NA1.020.02NA1.04XXX
    92270AElectro-oculography0.81NA1.170.05NA2.03XXX
    9227026AElectro-oculography0.810.360.360.031.201.20XXX
    92270TCAElectro-oculography0.00NA0.810.02NA0.83XXX
    92275AElectroretinography1.01NA1.190.04NA2.24XXX
    9227526AElectroretinography1.010.450.450.021.481.48XXX
    92275TCAElectroretinography0.00NA0.740.02NA0.76XXX
    92283AColor vision examination0.17NA0.670.02NA0.86XXX
    9228326AColor vision examination0.170.070.070.010.250.25XXX
    92283TCAColor vision examination0.00NA0.600.01NA0.61XXX
    92284ADark adaptation eye exam0.24NA2.150.02NA2.41XXX
    9228426ADark adaptation eye exam0.240.080.080.010.330.33XXX
    92284TCADark adaptation eye exam0.00NA2.070.01NA2.08XXX
    92285AEye photography0.20NA1.820.02NA2.04XXX
    9228526AEye photography0.200.090.090.010.300.30XXX
    92285TCAEye photography0.00NA1.730.01NA1.74XXX
    92286AInternal eye photography0.66NA1.980.03NA2.67XXX
    9228626AInternal eye photography0.660.310.310.010.980.98XXX
    92286TCAInternal eye photography0.00NA1.670.02NA1.69XXX
    92287AInternal eye photography0.810.301.890.021.132.72XXX
    92310NContact lens fitting+1.170.461.080.001.632.25XXX
    92311AContact lens fitting1.080.401.020.031.512.13XXX
    92312AContact lens fitting1.260.461.010.031.752.30XXX
    92313AContact lens fitting0.920.311.020.021.251.96XXX
    92314NPrescription of contact lens+0.690.270.890.000.961.58XXX
    92315APrescription of contact lens0.450.180.740.010.641.20XXX
    92316APrescription of contact lens0.680.270.820.010.961.51XXX
    92317APrescription of contact lens0.450.150.880.010.611.34XXX
    92325AModification of contact lens0.00NA0.390.01NA0.40XXX
    92326AReplacement of contact lens0.00NA1.610.05NA1.66XXX
    92330AFitting of artificial eye1.080.430.980.041.552.10XXX
    92335AFitting of artificial eye0.450.180.800.010.641.26XXX
    92340NFitting of spectacles+0.370.150.660.000.521.03XXX
    92341NFitting of spectacles+0.470.190.700.000.661.17XXX
    92342NFitting of spectacles+0.530.210.730.000.741.26XXX
    92352BSpecial spectacles fitting+0.370.150.660.010.531.04XXX
    92353BSpecial spectacles fitting+0.500.200.710.020.721.23XXX
    92354BSpecial spectacles fitting+0.00NA8.720.08NA8.80XXX
    92355BSpecial spectacles fitting+0.00NA4.270.01NA4.28XXX
    92358BEye prosthesis service+0.00NA0.950.04NA0.99XXX
    92370NRepair & adjust spectacles+0.320.130.520.000.450.84XXX
    92371BRepair & adjust spectacles+0.00NA0.610.02NA0.63XXX
    92390NSupply of spectacles0.000.000.000.000.000.00XXX
    92391NSupply of contact lenses0.000.000.000.000.000.00XXX
    92392ISupply of low vision aids+0.00NA3.980.02NA4.00XXX
    92393ISupply of artificial eye+0.00NA12.360.47NA12.83XXX
    92395ISupply of spectacles+0.00NA1.350.08NA1.43XXX
    92396ISupply of contact lenses+0.00NA2.270.06NA2.33XXX
    92499CEye service or procedure0.00NA0.000.00NA0.00XXX
    9249926CEye service or procedure0.000.000.000.000.000.00XXX
    92499TCCEye service or procedure0.00NA0.000.00NA0.00XXX
    92502AEar and throat examination1.511.32NA0.062.89NA000
    92504AEar microscopy examination0.180.091.020.010.281.21XXX
    92506ASpeech/hearing evaluation0.860.461.600.041.362.50XXX
    92507ASpeech/hearing therapy0.520.281.470.020.822.01XXX
    92508ASpeech/hearing therapy0.260.151.030.010.421.30XXX
    92510ARehab for ear implant1.500.862.020.062.423.58XXX
    Start Printed Page 40523
    92511ANasopharyngoscopy0.840.431.280.031.302.15000
    92512ANasal function studies0.550.191.080.020.761.65XXX
    92516AFacial nerve function test0.430.240.890.020.691.34XXX
    92520ALaryngeal function studies0.760.370.570.031.161.36XXX
    92525GOral function evaluation1.500.591.660.072.163.23XXX
    92526AOral function therapy0.550.261.720.020.832.29XXX
    92531BSpontaneous nystagmus study0.000.000.000.000.000.00XXX
    92532BPositional nystagmus study0.000.000.000.000.000.00XXX
    92533BCaloric vestibular test0.000.000.000.000.000.00XXX
    92534BOptokinetic nystagmus0.000.000.000.000.000.00XXX
    92541ASpontaneous nystagmus test0.40NA0.430.04NA0.87XXX
    9254126ASpontaneous nystagmus test0.400.200.200.020.620.62XXX
    92541TCASpontaneous nystagmus test0.00NA0.230.02NA0.25XXX
    92542APositional nystagmus test0.33NA0.430.03NA0.79XXX
    9254226APositional nystagmus test0.330.170.170.010.510.51XXX
    92542TCAPositional nystagmus test0.00NA0.260.02NA0.28XXX
    92543ACaloric vestibular test0.10NA0.150.02NA0.27XXX
    9254326ACaloric vestibular test0.100.050.050.010.160.16XXX
    92543TCACaloric vestibular test0.00NA0.100.01NA0.11XXX
    92544AOptokinetic nystagmus test0.26NA0.340.03NA0.63XXX
    9254426AOptokinetic nystagmus test0.260.130.130.010.400.40XXX
    92544TCAOptokinetic nystagmus test0.00NA0.210.02NA0.23XXX
    92545AOscillating tracking test0.23NA0.320.03NA0.58XXX
    9254526AOscillating tracking test0.230.110.110.010.350.35XXX
    92545TCAOscillating tracking test0.00NA0.210.02NA0.23XXX
    92546ASinusoidal rotational test0.29NA0.380.03NA0.70XXX
    9254626ASinusoidal rotational test0.290.140.140.010.440.44XXX
    92546TCASinusoidal rotational test0.00NA0.240.02NA0.26XXX
    92547ASupplemental electrical test0.00NA0.550.05NA0.60ZZZ
    92548APosturography0.50NA1.720.13NA2.35XXX
    9254826APosturography0.500.270.270.020.790.79XXX
    92548TCAPosturography0.00NA1.450.11NA1.56XXX
    92551NPure tone hearing test, air0.000.000.000.000.000.00XXX
    92552APure tone audiometry, air0.00NA0.440.03NA0.47XXX
    92553AAudiometry, air & bone0.00NA0.650.05NA0.70XXX
    92555ASpeech threshold audiometry0.00NA0.370.03NA0.40XXX
    92556ASpeech audiometry, complete0.00NA0.560.05NA0.61XXX
    92557AComprehensive hearing test0.00NA1.170.10NA1.27XXX
    92559NGroup audiometric testing0.000.000.000.000.000.00XXX
    92560NBekesy audiometry, screen0.000.000.000.000.000.00XXX
    92561ABekesy audiometry, diagnosis0.00NA0.700.05NA0.75XXX
    92562ALoudness balance test0.00NA0.400.03NA0.43XXX
    92563ATone decay hearing test0.00NA0.370.03NA0.40XXX
    92564ASisi hearing test0.00NA0.470.04NA0.51XXX
    92565AStenger test, pure tone0.00NA0.390.03NA0.42XXX
    92567ATympanometry0.00NA0.510.05NA0.56XXX
    92568AAcoustic reflex testing0.00NA0.370.03NA0.40XXX
    92569AAcoustic reflex decay test0.00NA0.400.03NA0.43XXX
    92571AFiltered speech hearing test0.00NA0.380.03NA0.41XXX
    92572AStaggered spondaic word test0.00NA0.090.01NA0.10XXX
    92573ALombard test0.00NA0.340.03NA0.37XXX
    92575ASensorineural acuity test0.00NA0.300.02NA0.32XXX
    92576ASynthetic sentence test0.00NA0.440.04NA0.48XXX
    92577AStenger test, speech0.00NA0.700.06NA0.76XXX
    92579AVisual audiometry (vra)0.00NA0.710.05NA0.76XXX
    92582AConditioning play audiometry0.00NA0.710.05NA0.76XXX
    92583ASelect picture audiometry0.00NA0.880.07NA0.95XXX
    92584AElectrocochleography0.00NA2.440.17NA2.61XXX
    92585AAuditor evoke potent, compre0.50NA2.050.14NA2.69XXX
    9258526AAuditor evoke potent, compre0.500.230.230.020.750.75XXX
    92585TCAAuditor evoke potent, compre0.00NA1.820.12NA1.94XXX
    92586AAuditor evoke potent, limit0.00NA1.820.12NA1.94XXX
    92587AEvoked auditory test0.13NA1.360.10NA1.59XXX
    9258726AEvoked auditory test0.130.070.070.010.210.21XXX
    92587TCAEvoked auditory test0.00NA1.290.09NA1.38XXX
    92588AEvoked auditory test0.36NA1.620.12NA2.10XXX
    9258826AEvoked auditory test0.360.170.170.010.540.54XXX
    92588TCAEvoked auditory test0.00NA1.450.11NA1.56XXX
    92589AAuditory function test(s)0.00NA0.520.05NA0.57XXX
    92590NHearing aid exam, one ear0.000.000.000.000.000.00XXX
    92591NHearing aid exam, both ears0.000.000.000.000.000.00XXX
    92592NHearing aid check, one ear0.000.000.000.000.000.00XXX
    92593NHearing aid check, both ears0.000.000.000.000.000.00XXX
    92594NElectro hearng aid test, one0.000.000.000.000.000.00XXX
    Start Printed Page 40524
    92595NElectro hearng aid tst, both0.000.000.000.000.000.00XXX
    92596AEar protector evaluation0.00NA0.580.05NA0.63XXX
    92597GOral speech device eval1.350.531.600.051.933.00XXX
    92598GModify oral speech device0.990.390.800.041.421.83XXX
    92599CENT procedure/service0.00NA0.000.00NA0.00XXX
    9259926CENT procedure/service0.000.000.000.000.000.00XXX
    92599TCCENT procedure/service0.00NA0.000.00NA0.00XXX
    92950AHeart/lung resuscitation cpr3.801.161.370.215.175.38000
    92953ATemporary external pacing0.230.23NA0.010.47NA000
    92960ACardioversion electric, ext2.250.882.220.083.214.55000
    92961ACardioversion, electric, int4.601.85NA0.176.62NA000
    92970ACardioassist, internal3.521.03NA0.174.72NA000
    92971ACardioassist, external1.770.88NA0.062.71NA000
    92975ADissolve clot, heart vessel7.253.00NA0.2210.47NA000
    92977ADissolve clot, heart vessel0.00NA7.930.38NA8.31XXX
    92978AIntravasc us, heart add-on1.80NA5.230.26NA7.29ZZZ
    9297826AIntravasc us, heart add-on1.800.740.740.062.602.60ZZZ
    92978TCAIntravasc us, heart add-on0.00NA4.490.20NA4.69ZZZ
    92979AIntravasc us, heart add-on1.44NA2.850.15NA4.44ZZZ
    9297926AIntravasc us, heart add-on1.440.590.590.042.072.07ZZZ
    92979TCAIntravasc us, heart add-on0.00NA2.260.11NA2.37ZZZ
    92980AInsert intracoronary stent14.846.15NA0.7821.77NA000
    92981AInsert intracoronary stent4.171.72NA0.216.10NAZZZ
    92982ACoronary artery dilation10.984.56NA0.5716.11NA000
    92984ACoronary artery dilation2.971.22NA0.164.35NAZZZ
    92986ARevision of aortic valve21.8010.37NA1.1433.31NA090
    92987ARevision of mitral valve22.7010.75NA1.1834.63NA090
    92990ARevision of pulmonary valve17.348.54NA0.9026.78NA090
    92992CRevision of heart chamber0.000.000.000.000.000.00090
    92993CRevision of heart chamber0.000.000.000.000.000.00090
    92995ACoronary atherectomy12.095.01NA0.6317.73NA000
    92996ACoronary atherectomy add-on3.261.38NA0.174.81NAZZZ
    92997APul art balloon repr, percut12.004.84NA0.6317.47NA000
    92998APul art balloon repr, percut6.002.38NA0.318.69NAZZZ
    93000AElectrocardiogram, complete0.17NA0.510.03NA0.71XXX
    93005AElectrocardiogram, tracing0.00NA0.450.02NA0.47XXX
    93010AElectrocardiogram report0.170.060.060.010.240.24XXX
    93012ATransmission of ecg0.00NA2.320.15NA2.47XXX
    93014AReport on transmitted ecg0.520.190.190.020.730.73XXX
    93015ACardiovascular stress test0.75NA1.950.11NA2.81XXX
    93016ACardiovascular stress test0.450.180.180.010.640.64XXX
    93017ACardiovascular stress test0.00NA1.660.09NA1.75XXX
    93018ACardiovascular stress test0.300.120.120.010.430.43XXX
    93024ACardiac drug stress test1.17NA1.570.11NA2.85XXX
    9302426ACardiac drug stress test1.170.470.470.041.681.68XXX
    93024TCACardiac drug stress test0.00NA1.100.07NA1.17XXX
    93040ARhythm ECG with report0.16NA0.190.02NA0.37XXX
    93041ARhythm ECG, tracing0.00NA0.140.01NA0.15XXX
    93042ARhythm ECG, report0.160.050.050.010.220.22XXX
    93224AECG monitor/report, 24 hrs0.52NA3.570.21NA4.30XXX
    93225AECG monitor/record, 24 hrs0.00NA1.220.07NA1.29XXX
    93226AECG monitor/report, 24 hrs0.00NA2.150.12NA2.27XXX
    93227AECG monitor/review, 24 hrs0.520.200.200.020.740.74XXX
    93230AECG monitor/report, 24 hrs0.52NA3.840.22NA4.58XXX
    93231AEcg monitor/record, 24 hrs0.00NA1.490.09NA1.58XXX
    93232AECG monitor/report, 24 hrs0.00NA2.140.11NA2.25XXX
    93233AECG monitor/review, 24 hrs0.520.200.200.020.740.74XXX
    93235AECG monitor/report, 24 hrs0.45NA2.750.13NA3.33XXX
    93236AECG monitor/report, 24 hrs0.00NA2.580.12NA2.70XXX
    93237AECG monitor/review, 24 hrs0.450.170.170.010.630.63XXX
    93268AECG record/review0.52NA3.740.24NA4.50XXX
    93270AECG recording0.00NA1.220.07NA1.29XXX
    93271AEcg/monitoring and analysis0.00NA2.320.15NA2.47XXX
    93272AEcg/review, interpret only0.520.200.200.020.740.74XXX
    93278AECG/signal-averaged0.25NA1.230.10NA1.58XXX
    9327826AECG/signal-averaged0.250.100.100.010.360.36XXX
    93278TCAECG/signal-averaged0.00NA1.130.09NA1.22XXX
    93303AEcho transthoracic1.30NA4.280.23NA5.81XXX
    9330326AEcho transthoracic1.300.480.480.041.821.82XXX
    93303TCAEcho transthoracic0.00NA3.800.19NA3.99XXX
    93304AEcho transthoracic0.75NA2.210.13NA3.09XXX
    9330426AEcho transthoracic0.750.300.300.021.071.07XXX
    93304TCAEcho transthoracic0.00NA1.910.11NA2.02XXX
    93307AEcho exam of heart0.92NA4.170.22NA5.31XXX
    Start Printed Page 40525
    9330726AEcho exam of heart0.920.370.370.031.321.32XXX
    93307TCAEcho exam of heart0.00NA3.800.19NA3.99XXX
    93308AEcho exam of heart0.53NA2.120.13NA2.78XXX
    9330826AEcho exam of heart0.530.210.210.020.760.76XXX
    93308TCAEcho exam of heart0.00NA1.910.11NA2.02XXX
    93312AEcho transesophageal2.20NA4.570.32NA7.09XXX
    9331226AEcho transesophageal2.200.850.850.083.133.13XXX
    93312TCAEcho transesophageal0.00NA3.720.24NA3.96XXX
    93313AEcho transesophageal0.950.214.700.051.215.70XXX
    93314AEcho transesophageal1.25NA4.210.28NA5.74XXX
    9331426AEcho transesophageal1.250.490.490.041.781.78XXX
    93314TCAEcho transesophageal0.00NA3.720.24NA3.96XXX
    93315AEcho transesophageal2.78NA4.780.34NA7.90XXX
    9331526AEcho transesophageal2.781.061.060.103.943.94XXX
    93315TCAEcho transesophageal0.00NA3.720.24NA3.96XXX
    93316AEcho transesophageal0.950.233.350.051.234.35XXX
    93317AEcho transesophageal1.83NA4.450.30NA6.58XXX
    9331726AEcho transesophageal1.830.730.730.062.622.62XXX
    93317TCAEcho transesophageal0.00NA3.720.24NA3.96XXX
    93318CEcho transesophageal intraop0.00NA0.000.00NA0.00XXX
    9331826CEcho transesophageal intraop0.000.000.000.000.000.00XXX
    93318TCCEcho transesophageal intraop0.00NA0.000.00NA0.00XXX
    93320ADoppler echo exam, heart0.38NA1.840.11NA2.33ZZZ
    9332026ADoppler echo exam, heart0.380.150.150.010.540.54ZZZ
    93320TCADoppler echo exam, heart0.00NA1.690.10NA1.79ZZZ
    93321ADoppler echo exam, heart0.15NA1.150.08NA1.38ZZZ
    9332126ADoppler echo exam, heart0.150.060.060.010.220.22ZZZ
    93321TCADoppler echo exam, heart0.00NA1.090.07NA1.16ZZZ
    93325ADoppler color flow add-on0.07NA2.890.18NA3.14ZZZ
    9332526ADoppler color flow add-on0.070.030.030.010.110.11ZZZ
    93325TCADoppler color flow add-on0.00NA2.860.17NA3.03ZZZ
    93350AEcho transthoracic1.48NA2.330.13NA3.94XXX
    9335026AEcho transthoracic1.480.600.600.022.102.10XXX
    93350TCAEcho transthoracic0.00NA1.730.11NA1.84XXX
    93501ARight heart catheterization3.02NA17.201.03NA21.25000
    9350126ARight heart catheterization3.021.211.210.164.394.39000
    93501TCARight heart catheterization0.00NA15.990.87NA16.86000
    93503AInsert/place heart catheter2.910.74NA0.163.81NA000
    93505ABiopsy of heart lining4.38NA3.640.36NA8.38000
    9350526ABiopsy of heart lining4.381.771.770.236.386.38000
    93505TCABiopsy of heart lining0.00NA1.870.13NA2.00000
    93508ACath placement, angiography4.10NA13.610.75NA18.46000
    9350826ACath placement, angiography4.101.681.680.215.995.99000
    93508TCACath placement, angiography0.00NA11.930.54NA12.47000
    93510ALeft heart catheterization4.33NA36.722.13NA43.18000
    9351026ALeft heart catheterization4.331.781.780.226.336.33000
    93510TCALeft heart catheterization0.00NA34.941.91NA36.85000
    93511ALeft heart catheterization5.03NA36.082.11NA43.22000
    9351126ALeft heart catheterization5.032.072.070.267.367.36000
    93511TCALeft heart catheterization0.00NA34.011.85NA35.86000
    93514ALeft heart catheterization7.05NA36.712.22NA45.98000
    9351426ALeft heart catheterization7.052.702.700.3710.1210.12000
    93514TCALeft heart catheterization0.00NA34.011.85NA35.86000
    93524ALeft heart catheterization6.95NA47.262.79NA57.00000
    9352426ALeft heart catheterization6.952.812.810.3610.1210.12000
    93524TCALeft heart catheterization0.00NA44.452.43NA46.88000
    93526ARt & Lt heart catheters5.99NA48.132.81NA56.93000
    9352626ARt & Lt heart catheters5.992.462.460.318.768.76000
    93526TCARt & Lt heart catheters0.00NA45.672.50NA48.17000
    93527ARt & Lt heart catheters7.28NA47.432.81NA57.52000
    9352726ARt & Lt heart catheters7.282.982.980.3810.6410.64000
    93527TCARt & Lt heart catheters0.00NA44.452.43NA46.88000
    93528ARt & Lt heart catheters9.00NA48.192.90NA60.09000
    9352826ARt & Lt heart catheters9.003.743.740.4713.2113.21000
    93528TCARt & Lt heart catheters0.00NA44.452.43NA46.88000
    93529ARt, Lt heart catheterization4.80NA46.412.68NA53.89000
    9352926ARt, Lt heart catheterization4.801.961.960.257.017.01000
    93529TCARt, Lt heart catheterization0.00NA44.452.43NA46.88000
    93530ARt heart cath, congenital4.23NA17.531.11NA22.87000
    9353026ARt heart cath, congenital4.231.541.540.246.016.01000
    93530TCARt heart cath, congenital0.00NA15.990.87NA16.86000
    93531AR & l heart cath, congenital8.35NA48.922.96NA60.23000
    9353126AR & l heart cath, congenital8.353.253.250.4612.0612.06000
    93531TCAR & l heart cath, congenital0.00NA45.672.50NA48.17000
    Start Printed Page 40526
    93532AR & l heart cath, congenital10.00NA48.332.95NA61.28000
    9353226AR & l heart cath, congenital10.003.883.880.5214.4014.40000
    93532TCAR & l heart cath, congenital0.00NA44.452.43NA46.88000
    93533AR & l heart cath, congenital6.70NA46.912.86NA56.47000
    9353326AR & l heart cath, congenital6.702.462.460.439.599.59000
    93533TCAR & l heart cath, congenital0.00NA44.452.43NA46.88000
    93536AInsert circulation assi4.851.97NA0.277.09NA000
    93539AInjection, cardiac cath0.400.160.850.010.571.26000
    93540AInjection, cardiac cath0.430.180.860.010.621.30000
    93541AInjection for lung angiogram0.290.12NA0.010.42NA000
    93542AInjection for heart x-rays0.290.12NA0.010.42NA000
    93543AInjection for heart x-rays0.290.120.550.010.420.85000
    93544AInjection for aortography0.250.100.530.010.360.79000
    93545AInject for coronary x-rays0.400.160.850.010.571.26000
    93555AImaging, cardiac cath0.81NA6.260.31NA7.38XXX
    9355526AImaging, cardiac cath0.810.330.330.031.171.17XXX
    93555TCAImaging, cardiac cath0.00NA5.930.28NA6.21XXX
    93556AImaging, cardiac cath0.83NA9.700.45NA10.98XXX
    9355626AImaging, cardiac cath0.830.340.340.031.201.20XXX
    93556TCAImaging, cardiac cath0.00NA9.360.42NA9.78XXX
    93561ACardiac output measurement0.50NA0.670.07NA1.24000
    9356126ACardiac output measurement0.500.160.160.020.680.68000
    93561TCACardiac output measurement0.00NA0.510.05NA0.56000
    93562ACardiac output measurement0.16NA0.340.04NA0.54000
    9356226ACardiac output measurement0.160.050.050.010.220.22000
    93562TCACardiac output measurement0.00NA0.290.03NA0.32000
    93571AHeart flow reserve measure1.80NA5.190.31NA7.30ZZZ
    9357126AHeart flow reserve measure1.800.700.700.112.612.61ZZZ
    93571TCAHeart flow reserve measure0.00NA4.490.20NA4.69ZZZ
    93572AHeart flow reserve measure1.44NA2.760.28NA4.48ZZZ
    9357226AHeart flow reserve measure1.440.500.500.172.112.11ZZZ
    93572TCAHeart flow reserve measure0.00NA2.260.11NA2.37ZZZ
    93600ABundle of His recording2.12NA2.790.22NA5.13000
    9360026ABundle of His recording2.120.870.870.113.103.10000
    93600TCABundle of His recording0.00NA1.920.11NA2.03000
    93602AIntra-atrial recording2.12NA1.950.18NA4.25000
    9360226AIntra-atrial recording2.120.860.860.123.103.10000
    93602TCAIntra-atrial recording0.00NA1.090.06NA1.15000
    93603ARight ventricular recording2.12NA2.510.20NA4.83000
    9360326ARight ventricular recording2.120.850.850.113.083.08000
    93603TCARight ventricular recording0.00NA1.660.09NA1.75000
    93607ALeft ventricular recording3.26NA2.830.26NA6.35000
    9360726ALeft ventricular recording3.261.361.360.174.794.79000
    93607TCALeft ventricular recording0.00NA1.470.09NA1.56000
    93609AMapping of tachycardia10.07NA6.790.66NA17.52000
    9360926AMapping of tachycardia10.074.114.110.5214.7014.70000
    93609TCAMapping of tachycardia0.00NA2.680.14NA2.82000
    93610AIntra-atrial pacing3.02NA2.540.25NA5.81000
    9361026AIntra-atrial pacing3.021.211.210.174.404.40000
    93610TCAIntra-atrial pacing0.00NA1.330.08NA1.41000
    93612AIntraventricular pacing3.02NA2.800.26NA6.08000
    9361226AIntraventricular pacing3.021.211.210.174.404.40000
    93612TCAIntraventricular pacing0.00NA1.590.09NA1.68000
    93615AEsophageal recording0.99NA0.700.05NA1.74000
    9361526AEsophageal recording0.990.390.390.031.411.41000
    93615TCAEsophageal recording0.00NA0.310.02NA0.33000
    93616AEsophageal recording1.49NA0.790.08NA2.36000
    9361626AEsophageal recording1.490.480.480.062.032.03000
    93616TCAEsophageal recording0.00NA0.310.02NA0.33000
    93618AHeart rhythm pacing4.26NA5.650.42NA10.33000
    9361826AHeart rhythm pacing4.261.751.750.226.236.23000
    93618TCAHeart rhythm pacing0.00NA3.900.20NA4.10000
    93619AElectrophysiology evaluation7.32NA10.570.77NA18.66000
    9361926AElectrophysiology evaluation7.322.982.980.3810.6810.68000
    93619TCAElectrophysiology evaluation0.00NA7.590.39NA7.98000
    93620AElectrophysiology evaluation11.59NA13.581.04NA26.21000
    9362026AElectrophysiology evaluation11.594.754.750.6016.9416.94000
    93620TCAElectrophysiology evaluation0.00NA8.830.44NA9.27000
    93621CElectrophysiology evaluation0.00NA0.000.00NA0.00000
    9362126AElectrophysiology evaluation12.665.195.190.6618.5118.51000
    93621TCCElectrophysiology evaluation0.00NA0.000.00NA0.00000
    93622CElectrophysiology evaluation0.00NA0.000.00NA0.00000
    9362226AElectrophysiology evaluation12.745.225.220.6718.6318.63000
    93622TCCElectrophysiology evaluation0.00NA0.000.00NA0.00000
    Start Printed Page 40527
    93623CStimulation, pacing heart0.00NA0.000.00NA0.00ZZZ
    9362326AStimulation, pacing heart2.851.161.160.154.164.16ZZZ
    93623TCCStimulation, pacing heart0.00NA0.000.00NA0.00ZZZ
    93624AElectrophysiologic study4.81NA3.910.36NA9.08000
    9362426AElectrophysiologic study4.811.961.960.257.027.02000
    93624TCAElectrophysiologic study0.00NA1.950.11NA2.06000
    93631AHeart pacing, mapping7.60NA8.891.17NA17.66000
    9363126AHeart pacing, mapping7.602.832.830.6611.0911.09000
    93631TCAHeart pacing, mapping0.00NA6.060.51NA6.57000
    93640AEvaluation heart device3.52NA8.460.53NA12.51000
    9364026AEvaluation heart device3.521.401.400.185.105.10000
    93640TCAEvaluation heart device0.00NA7.060.35NA7.41000
    93641AElectrophysiology evaluation5.93NA9.490.66NA16.08000
    9364126AElectrophysiology evaluation5.932.432.430.318.678.67000
    93641TCAElectrophysiology evaluation0.00NA7.060.35NA7.41000
    93642AElectrophysiology evaluation4.89NA9.000.51NA14.40000
    9364226AElectrophysiology evaluation4.891.941.940.166.996.99000
    93642TCAElectrophysiology evaluation0.00NA7.060.35NA7.41000
    93650AAblate heart dysrhythm focus10.514.36NA0.5515.42NA000
    93651AAblate heart dysrhythm focus16.256.70NA0.8523.80NA000
    93652AAblate heart dysrhythm focus17.687.27NA0.9225.87NA000
    93660ATilt table evaluation1.89NA2.440.08NA4.41000
    9366026ATilt table evaluation1.890.780.780.062.732.73000
    93660TCATilt table evaluation0.00NA1.660.02NA1.68000
    93662AIntracardiac ecg (ice)2.801.16NA0.414.37NAZZZ
    93668NPeripheral vascular rehab0.00NA0.000.00NA0.00XXX
    93720ATotal body plethysmography0.17NA0.750.06NA0.98XXX
    93721APlethysmography tracing0.00NA0.700.05NA0.75XXX
    93722APlethysmography report0.170.060.060.010.240.24XXX
    93724AAnalyze pacemaker system4.89NA5.900.38NA11.17000
    9372426AAnalyze pacemaker system4.892.002.000.187.077.07000
    93724TCAAnalyze pacemaker system0.00NA3.900.20NA4.10000
    93727AAnalyze ilr system0.520.190.190.050.760.76XXX
    93731AAnalyze pacemaker system0.45NA0.670.05NA1.17XXX
    9373126AAnalyze pacemaker system0.450.180.180.020.650.65XXX
    93731TCAAnalyze pacemaker system0.00NA0.490.03NA0.52XXX
    93732AAnalyze pacemaker system0.92NA0.870.06NA1.85XXX
    9373226AAnalyze pacemaker system0.920.370.370.031.321.32XXX
    93732TCAAnalyze pacemaker system0.00NA0.500.03NA0.53XXX
    93733ATelephone analy, pacemaker0.17NA0.780.06NA1.01XXX
    9373326ATelephone analy, pacemaker0.170.070.070.010.250.25XXX
    93733TCATelephone analy, pacemaker0.00NA0.710.05NA0.76XXX
    93734AAnalyze pacemaker system0.38NA0.490.03NA0.90XXX
    9373426AAnalyze pacemaker system0.380.150.150.010.540.54XXX
    93734TCAAnalyze pacemaker system0.00NA0.340.02NA0.36XXX
    93735AAnalyze pacemaker system0.74NA0.740.06NA1.54XXX
    9373526AAnalyze pacemaker system0.740.300.300.031.071.07XXX
    93735TCAAnalyze pacemaker system0.00NA0.440.03NA0.47XXX
    93736ATelephone analy, pacemaker0.15NA0.680.06NA0.89XXX
    9373626ATelephone analy, pacemaker0.150.060.060.010.220.22XXX
    93736TCATelephone analy, pacemaker0.00NA0.620.05NA0.67XXX
    93737AAnalyze cardio/defibrillator0.45NA0.670.04NA1.16XXX
    9373726AAnalyze cardio/defibrillator0.450.180.180.010.640.64XXX
    93737TCAAnalyze cardio/defibrillator0.00NA0.490.03NA0.52XXX
    93738AAnalyze cardio/defibrillator0.92NA0.880.06NA1.86XXX
    9373826AAnalyze cardio/defibrillator0.920.380.380.031.331.33XXX
    93738TCAAnalyze cardio/defibrillator0.00NA0.500.03NA0.53XXX
    93740BTemperature gradient studies+0.16NA0.210.02NA0.39XXX
    9374026BTemperature gradient studies+0.160.060.060.010.230.23XXX
    93740TCBTemperature gradient studies+0.00NA0.150.01NA0.16XXX
    93741AAnalyze ht pace device sngl0.80NA0.980.05NA1.83XXX
    9374126AAnalyze ht pace device sngl0.800.320.320.021.141.14XXX
    93741TCAAnalyze ht pace device sngl0.00NA0.660.03NA0.69XXX
    93742AAnalyze ht pace device sngl0.91NA1.020.05NA1.98XXX
    9374226AAnalyze ht pace device sngl0.910.360.360.021.291.29XXX
    93742TCAAnalyze ht pace device sngl0.00NA0.660.03NA0.69XXX
    93743AAnalyze ht pace device dual1.03NA1.130.06NA2.22XXX
    9374326AAnalyze ht pace device dual1.030.410.410.031.471.47XXX
    93743TCAAnalyze ht pace device dual0.00NA0.720.03NA0.75XXX
    93744AAnalyze ht pace device dual1.18NA1.130.06NA2.37XXX
    9374426AAnalyze ht pace device dual1.180.470.470.031.681.68XXX
    93744TCAAnalyze ht pace device dual0.00NA0.660.03NA0.69XXX
    93760NCephalic thermogram0.00NA0.000.00NA0.00XXX
    93762NPeripheral thermogram0.000.000.000.000.000.00XXX
    Start Printed Page 40528
    93770BMeasure venous pressure+0.16NA0.090.02NA0.27XXX
    9377026BMeasure venous pressure+0.160.060.060.010.230.23XXX
    93770TCBMeasure venous pressure+0.00NA0.030.01NA0.04XXX
    93784NAmbulatory BP monitoring0.000.000.000.000.000.00XXX
    93786NAmbulatory BP recording0.000.000.000.000.000.00XXX
    93788NAmbulatory BP analysis0.000.000.000.000.000.00XXX
    93790NReview/report BP recording0.000.000.000.000.000.00XXX
    93797ACardiac rehab0.180.070.370.010.260.56000
    93798ACardiac rehab/monitor0.280.110.450.010.400.74000
    93799CCardiovascular procedure0.00NA0.000.00NA0.00XXX
    9379926CCardiovascular procedure0.000.000.000.000.000.00XXX
    93799TCCCardiovascular procedure0.00NA0.000.00NA0.00XXX
    93875AExtracranial study0.22NA1.170.10NA1.49XXX
    9387526AExtracranial study0.220.080.080.010.310.31XXX
    93875TCAExtracranial study0.00NA1.090.09NA1.18XXX
    93880AExtracranial study0.60NA3.890.33NA4.82XXX
    9388026AExtracranial study0.600.220.220.040.860.86XXX
    93880TCAExtracranial study0.00NA3.670.29NA3.96XXX
    93882AExtracranial study0.40NA2.590.22NA3.21XXX
    9388226AExtracranial study0.400.150.150.040.590.59XXX
    93882TCAExtracranial study0.00NA2.440.18NA2.62XXX
    93886AIntracranial study0.94NA4.540.37NA5.85XXX
    9388626AIntracranial study0.940.390.390.051.381.38XXX
    93886TCAIntracranial study0.00NA4.150.32NA4.47XXX
    93888AIntracranial study0.62NA3.010.26NA3.89XXX
    9388826AIntracranial study0.620.240.240.040.900.90XXX
    93888TCAIntracranial study0.00NA2.770.22NA2.99XXX
    93922AExtremity study0.25NA1.220.13NA1.60XXX
    9392226AExtremity study0.250.090.090.020.360.36XXX
    93922TCAExtremity study0.00NA1.130.11NA1.24XXX
    93923AExtremity study0.45NA2.310.22NA2.98XXX
    9392326AExtremity study0.450.160.160.040.650.65XXX
    93923TCAExtremity study0.00NA2.150.18NA2.33XXX
    93924AExtremity study0.50NA2.510.26NA3.27XXX
    9392426AExtremity study0.500.180.180.050.730.73XXX
    93924TCAExtremity study0.00NA2.330.21NA2.54XXX
    93925ALower extremity study0.58NA3.890.33NA4.80XXX
    9392526ALower extremity study0.580.210.210.040.830.83XXX
    93925TCALower extremity study0.00NA3.680.29NA3.97XXX
    93926ALower extremity study0.39NA2.600.22NA3.21XXX
    9392626ALower extremity study0.390.140.140.030.560.56XXX
    93926TCALower extremity study0.00NA2.460.19NA2.65XXX
    93930AUpper extremity study0.46NA4.080.34NA4.88XXX
    9393026AUpper extremity study0.460.170.170.030.660.66XXX
    93930TCAUpper extremity study0.00NA3.910.31NA4.22XXX
    93931AUpper extremity study0.31NA2.710.22NA3.24XXX
    9393126AUpper extremity study0.310.110.110.020.440.44XXX
    93931TCAUpper extremity study0.00NA2.600.20NA2.80XXX
    93965AExtremity study0.35NA1.210.12NA1.68XXX
    9396526AExtremity study0.350.130.130.020.500.50XXX
    93965TCAExtremity study0.00NA1.080.10NA1.18XXX
    93970AExtremity study0.68NA4.310.38NA5.37XXX
    9397026AExtremity study0.680.240.240.050.970.97XXX
    93970TCAExtremity study0.00NA4.070.33NA4.40XXX
    93971AExtremity study0.45NA2.860.25NA3.56XXX
    9397126AExtremity study0.450.160.160.030.640.64XXX
    93971TCAExtremity study0.00NA2.700.22NA2.92XXX
    93975AVascular study1.80NA5.260.47NA7.53XXX
    9397526AVascular study1.800.630.630.112.542.54XXX
    93975TCAVascular study0.00NA4.630.36NA4.99XXX
    93976AVascular study1.21NA3.500.31NA5.02XXX
    9397626AVascular study1.210.420.420.061.691.69XXX
    93976TCAVascular study0.00NA3.080.25NA3.33XXX
    93978AVascular study0.65NA4.020.36NA5.03XXX
    9397826AVascular study0.650.230.230.050.930.93XXX
    93978TCAVascular study0.00NA3.790.31NA4.10XXX
    93979AVascular study0.44NA2.680.24NA3.36XXX
    9397926AVascular study0.440.160.160.040.640.64XXX
    93979TCAVascular study0.00NA2.520.20NA2.72XXX
    93980APenile vascular study1.25NA3.880.35NA5.48XXX
    9398026APenile vascular study1.250.440.440.071.761.76XXX
    93980TCAPenile vascular study0.00NA3.440.28NA3.72XXX
    93981APenile vascular study0.44NA3.320.28NA4.04XXX
    9398126APenile vascular study0.440.150.150.020.610.61XXX
    Start Printed Page 40529
    93981TCAPenile vascular study0.00NA3.170.26NA3.43XXX
    93990ADoppler flow testing0.25NA2.560.21NA3.02XXX
    9399026ADoppler flow testing0.250.100.100.020.370.37XXX
    93990TCADoppler flow testing0.00NA2.460.19NA2.65XXX
    94010ABreathing capacity test0.17NA0.810.03NA1.01XXX
    9401026ABreathing capacity test0.170.050.050.010.230.23XXX
    94010TCABreathing capacity test0.00NA0.760.02NA0.78XXX
    94014APatient recorded spirometry0.52NA0.500.03NA1.05XXX
    94015APatient recorded spirometry0.00NA0.330.01NA0.34XXX
    94016AReview patient spirometry0.520.170.170.020.710.71XXX
    94060AEvaluation of wheezing0.31NA1.220.06NA1.59XXX
    9406026AEvaluation of wheezing0.310.100.100.010.420.42XXX
    94060TCAEvaluation of wheezing0.00NA1.120.05NA1.17XXX
    94070AEvaluation of wheezing0.60NA3.830.10NA4.53XXX
    9407026AEvaluation of wheezing0.600.190.190.020.810.81XXX
    94070TCAEvaluation of wheezing0.00NA3.640.08NA3.72XXX
    94150BVital capacity test+0.07NA0.610.02NA0.70XXX
    9415026BVital capacity test+0.070.030.030.010.110.11XXX
    94150TCBVital capacity test+0.00NA0.580.01NA0.59XXX
    94200ALung function test (MBC/MVV)0.11NA0.320.03NA0.46XXX
    9420026ALung function test (MBC/MVV)0.110.040.040.010.160.16XXX
    94200TCALung function test (MBC/MVV)0.00NA0.280.02NA0.30XXX
    94240AResidual lung capacity0.26NA1.420.05NA1.73XXX
    9424026AResidual lung capacity0.260.080.080.010.350.35XXX
    94240TCAResidual lung capacity0.00NA1.340.04NA1.38XXX
    94250AExpired gas collection0.11NA0.660.02NA0.79XXX
    9425026AExpired gas collection0.110.040.040.010.160.16XXX
    94250TCAExpired gas collection0.00NA0.620.01NA0.63XXX
    94260AThoracic gas volume0.13NA0.400.04NA0.57XXX
    9426026AThoracic gas volume0.130.040.040.010.180.18XXX
    94260TCAThoracic gas volume0.00NA0.360.03NA0.39XXX
    94350ALung nitrogen washout curve0.26NA1.210.04NA1.51XXX
    9435026ALung nitrogen washout curve0.260.080.080.010.350.35XXX
    94350TCALung nitrogen washout curve0.00NA1.130.03NA1.16XXX
    94360AMeasure airflow resistance0.26NA0.650.06NA0.97XXX
    9436026AMeasure airflow resistance0.260.080.080.010.350.35XXX
    94360TCAMeasure airflow resistance0.00NA0.570.05NA0.62XXX
    94370ABreath airway closing volume0.26NA2.530.03NA2.82XXX
    9437026ABreath airway closing volume0.260.080.080.010.350.35XXX
    94370TCABreath airway closing volume0.00NA2.450.02NA2.47XXX
    94375ARespiratory flow volume loop0.31NA0.480.03NA0.82XXX
    9437526ARespiratory flow volume loop0.310.100.100.010.420.42XXX
    94375TCARespiratory flow volume loop0.00NA0.380.02NA0.40XXX
    94400ACO2 breathing response curve0.40NA0.840.06NA1.30XXX
    9440026ACO2 breathing response curve0.400.130.130.010.540.54XXX
    94400TCACO2 breathing response curve0.00NA0.710.05NA0.76XXX
    94450AHypoxia response curve0.40NA0.820.04NA1.26XXX
    9445026AHypoxia response curve0.400.110.110.020.530.53XXX
    94450TCAHypoxia response curve0.00NA0.710.02NA0.73XXX
    94620APulmonary stress test/simple0.64NA2.360.10NA3.10XXX
    9462026APulmonary stress test/simple0.640.210.210.020.870.87XXX
    94620TCAPulmonary stress test/simple0.00NA2.150.08NA2.23XXX
    94621APulm stress test/complex1.42NA2.110.13NA3.66XXX
    9462126APulm stress test/complex1.420.460.460.051.931.93XXX
    94621TCAPulm stress test/complex0.00NA1.650.08NA1.73XXX
    94640AAirway inhalation treatment0.00NA0.690.02NA0.71XXX
    94642CAerosol inhalation treatment0.000.000.000.000.000.00XXX
    94650APressure breathing (IPPB)0.00NA0.650.02NA0.67XXX
    94651APressure breathing (IPPB)0.00NA0.600.02NA0.62XXX
    94652APressure breathing (IPPB)0.00NA0.750.06NA0.81XXX
    94656AInitial ventilator mgmt1.220.33NA0.061.61NAXXX
    94657AContinued ventilator mgmt0.830.26NA0.031.12NAXXX
    94660APos airway pressure, CPAP0.760.240.680.031.031.47XXX
    94662ANeg press ventilation, cnp0.760.25NA0.021.03NAXXX
    94664AAerosol or vapor inhalations0.00NA0.520.03NA0.55XXX
    94665AAerosol or vapor inhalations0.00NA0.530.04NA0.57XXX
    94667AChest wall manipulation0.00NA0.830.04NA0.87XXX
    94668AChest wall manipulation0.00NA0.710.02NA0.73XXX
    94680AExhaled air analysis, o20.26NA0.840.06NA1.16XXX
    9468026AExhaled air analysis, o20.260.090.090.010.360.36XXX
    94680TCAExhaled air analysis, o20.00NA0.750.05NA0.80XXX
    94681AExhaled air analysis, o2/co20.20NA1.700.11NA2.01XXX
    9468126AExhaled air analysis, o2/co20.200.070.070.010.280.28XXX
    94681TCAExhaled air analysis, o2/co20.00NA1.630.10NA1.73XXX
    Start Printed Page 40530
    94690AExhaled air analysis0.07NA0.550.04NA0.66XXX
    9469026AExhaled air analysis0.070.020.020.010.100.10XXX
    94690TCAExhaled air analysis0.00NA0.530.03NA0.56XXX
    94720AMonoxide diffusing capacity0.26NA1.440.06NA1.76XXX
    9472026AMonoxide diffusing capacity0.260.080.080.010.350.35XXX
    94720TCAMonoxide diffusing capacity0.00NA1.360.05NA1.41XXX
    94725AMembrane diffusion capacity0.26NA0.810.11NA1.18XXX
    9472526AMembrane diffusion capacity0.260.080.080.010.350.35XXX
    94725TCAMembrane diffusion capacity0.00NA0.730.10NA0.83XXX
    94750APulmonary compliance study0.23NA3.640.04NA3.91XXX
    9475026APulmonary compliance study0.230.070.070.010.310.31XXX
    94750TCAPulmonary compliance study0.00NA3.570.03NA3.60XXX
    94760TMeasure blood oxygen level0.00NA0.090.02NA0.11XXX
    94761TMeasure blood oxygen level0.00NA0.180.05NA0.23XXX
    94762AMeasure blood oxygen level0.00NA0.110.08NA0.19XXX
    94770AExhaled carbon dioxide test0.15NA0.760.07NA0.98XXX
    9477026AExhaled carbon dioxide test0.150.040.040.010.200.20XXX
    94770TCAExhaled carbon dioxide test0.00NA0.720.06NA0.78XXX
    94772CBreath recording, infant0.00NA0.000.00NA0.00XXX
    9477226CBreath recording, infant0.000.000.000.000.000.00XXX
    94772TCCBreath recording, infant0.00NA0.000.00NA0.00XXX
    94799CPulmonary service/procedure0.00NA0.000.00NA0.00XXX
    9479926CPulmonary service/procedure0.000.000.000.000.000.00XXX
    94799TCCPulmonary service/procedure0.00NA0.000.00NA0.00XXX
    95004AAllergy skin tests0.00NA0.100.01NA0.11XXX
    95010ASensitivity skin tests0.150.070.440.010.230.60XXX
    95015ASensitivity skin tests0.150.060.480.010.220.64XXX
    95024AAllergy skin tests0.00NA0.140.01NA0.15XXX
    95027ASkin end point titration0.00NA0.140.01NA0.15XXX
    95028AAllergy skin tests0.00NA0.230.01NA0.24XXX
    95044AAllergy patch tests0.00NA0.200.01NA0.21XXX
    95052APhoto patch test0.00NA0.250.01NA0.26XXX
    95056APhotosensitivity tests0.00NA0.170.01NA0.18XXX
    95060AEye allergy tests0.00NA0.340.02NA0.36XXX
    95065ANose allergy test0.00NA0.200.01NA0.21XXX
    95070ABronchial allergy tests0.00NA2.250.02NA2.27XXX
    95071ABronchial allergy tests0.00NA2.880.02NA2.90XXX
    95075AIngestion challenge test0.950.420.880.031.401.86XXX
    95078AProvocative testing0.00NA0.250.02NA0.27XXX
    95115AImmunotherapy, one injection0.00NA0.380.02NA0.40000
    95117AImmunotherapy injections0.00NA0.500.02NA0.52000
    95120IImmunotherapy, one injection0.000.000.000.000.000.00XXX
    95125IImmunotherapy, many antigens0.000.000.000.000.000.00XXX
    95130IImmunotherapy, insect venom0.000.000.000.000.000.00XXX
    95131IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95132IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95133IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95134IImmunotherapy, insect venoms0.000.000.000.000.000.00XXX
    95144AAntigen therapy services0.060.030.250.010.100.32000
    95145AAntigen therapy services0.060.020.500.010.090.57000
    95146AAntigen therapy services0.060.020.580.010.090.65000
    95147AAntigen therapy services0.060.020.840.010.090.91000
    95148AAntigen therapy services0.060.030.810.010.100.88000
    95149AAntigen therapy services0.060.021.000.010.091.07000
    95165AAntigen therapy services0.060.020.200.010.090.27000
    95170AAntigen therapy services0.060.020.260.010.090.33000
    95180ARapid desensitization2.010.841.660.042.893.71000
    95199CAllergy immunology services0.000.000.000.000.000.00000
    95805AMultiple sleep latency test1.88NA7.820.34NA10.04XXX
    9580526AMultiple sleep latency test1.880.690.690.062.632.63XXX
    95805TCAMultiple sleep latency test0.00NA7.130.28NA7.41XXX
    95806ASleep study, unattended1.66NA1.740.32NA3.72XXX
    9580626ASleep study, unattended1.660.560.560.062.282.28XXX
    95806TCASleep study, unattended0.00NA1.180.26NA1.44XXX
    95807ASleep study, attended1.66NA10.850.40NA12.91XXX
    9580726ASleep study, attended1.660.550.550.052.262.26XXX
    95807TCASleep study, attended0.00NA10.300.35NA10.65XXX
    95808APolysomnography, 1-32.65NA19.340.44NA22.43XXX
    9580826APolysomnography, 1-32.650.970.970.093.713.71XXX
    95808TCAPolysomnography, 1-30.00NA18.370.35NA18.72XXX
    95810APolysomnography, 4 or more3.53NA16.460.47NA20.46XXX
    9581026APolysomnography, 4 or more3.531.251.250.124.904.90XXX
    95810TCAPolysomnography, 4 or more0.00NA15.210.35NA15.56XXX
    95811APolysomnography w/cpap3.80NA14.730.49NA19.02XXX
    Start Printed Page 40531
    9581126APolysomnography w/cpap3.801.331.330.135.265.26XXX
    95811TCAPolysomnography w/cpap0.00NA13.400.36NA13.76XXX
    95812AElectroencephalogram (EEG)1.08NA3.680.13NA4.89XXX
    9581226AElectroencephalogram (EEG)1.080.470.470.041.591.59XXX
    95812TCAElectroencephalogram (EEG)0.00NA3.210.09NA3.30XXX
    95813AElectroencephalogram (EEG)1.73NA4.960.15NA6.84XXX
    9581326AElectroencephalogram (EEG)1.730.730.730.062.522.52XXX
    95813TCAElectroencephalogram (EEG)0.00NA4.230.09NA4.32XXX
    95816AElectroencephalogram (EEG)1.08NA3.330.12NA4.53XXX
    9581626AElectroencephalogram (EEG)1.080.480.480.041.601.60XXX
    95816TCAElectroencephalogram (EEG)0.00NA2.850.08NA2.93XXX
    95819AElectroencephalogram (EEG)1.08NA3.930.12NA5.13XXX
    9581926AElectroencephalogram (EEG)1.080.480.480.041.601.60XXX
    95819TCAElectroencephalogram (EEG)0.00NA3.450.08NA3.53XXX
    95822ASleep electroencephalogram1.08NA2.430.15NA3.66XXX
    9582226ASleep electroencephalogram1.080.480.480.041.601.60XXX
    95822TCASleep electroencephalogram0.00NA1.950.11NA2.06XXX
    95824AElectroencephalography0.740.290.700.051.081.49XXX
    95827ANight electroencephalogram1.08NA2.690.15NA3.92XXX
    9582726ANight electroencephalogram1.080.430.430.031.541.54XXX
    95827TCANight electroencephalogram0.00NA2.260.12NA2.38XXX
    95829ASurgery electrocorticogram6.21NA28.490.33NA35.03XXX
    9582926ASurgery electrocorticogram6.212.042.040.318.568.56XXX
    95829TCASurgery electrocorticogram0.00NA26.450.02NA26.47XXX
    95830AInsert electrodes for EEG1.700.773.400.072.545.17XXX
    95831ALimb muscle testing, manual0.280.130.490.010.420.78XXX
    95832AHand muscle testing, manual0.290.110.430.010.410.73XXX
    95833ABody muscle testing, manual0.470.240.560.010.721.04XXX
    95834ABody muscle testing, manual0.600.290.570.020.911.19XXX
    95851ARange of motion measurements0.160.080.550.010.250.72XXX
    95852ARange of motion measurements0.110.050.450.010.170.57XXX
    95857ATensilon test0.530.240.630.020.791.18XXX
    95858ATensilon test & myogram1.56NA1.100.07NA2.73XXX
    9585826ATensilon test & myogram1.560.710.710.042.312.31XXX
    95858TCATensilon test & myogram0.00NA0.390.03NA0.42XXX
    95860AMuscle test, one limb0.96NA1.220.05NA2.23XXX
    9586026AMuscle test, one limb0.960.440.440.031.431.43XXX
    95860TCAMuscle test, one limb0.00NA0.780.02NA0.80XXX
    95861AMuscle test, two limbs1.54NA1.430.10NA3.07XXX
    9586126AMuscle test, two limbs1.540.710.710.052.302.30XXX
    95861TCAMuscle test, two limbs0.00NA0.720.05NA0.77XXX
    95863AMuscle test, 3 limbs1.87NA1.770.11NA3.75XXX
    9586326AMuscle test, 3 limbs1.870.850.850.062.782.78XXX
    95863TCAMuscle test, 3 limbs0.00NA0.920.05NA0.97XXX
    95864AMuscle test, 4 limbs1.99NA2.670.16NA4.82XXX
    9586426AMuscle test, 4 limbs1.990.920.920.062.972.97XXX
    95864TCAMuscle test, 4 limbs0.00NA1.750.10NA1.85XXX
    95867AMuscle test, head or neck0.79NA0.940.06NA1.79XXX
    9586726AMuscle test, head or neck0.790.370.370.031.191.19XXX
    95867TCAMuscle test, head or neck0.00NA0.570.03NA0.60XXX
    95868AMuscle test, head or neck1.18NA1.230.08NA2.49XXX
    9586826AMuscle test, head or neck1.180.540.540.041.761.76XXX
    95868TCAMuscle test, head or neck0.00NA0.690.04NA0.73XXX
    95869AMuscle test, thor paraspinal0.37NA0.380.03NA0.78XXX
    9586926AMuscle test, thor paraspinal0.370.170.170.010.550.55XXX
    95869TCAMuscle test, thor paraspinal0.00NA0.210.02NA0.23XXX
    95870AMuscle test, nonparaspinal0.37NA0.370.03NA0.77XXX
    9587026AMuscle test, nonparaspinal0.370.160.160.010.540.54XXX
    95870TCAMuscle test, nonparaspinal0.00NA0.210.02NA0.23XXX
    95872AMuscle test, one fiber1.50NA1.260.08NA2.84XXX
    9587226AMuscle test, one fiber1.500.670.670.042.212.21XXX
    95872TCAMuscle test, one fiber0.00NA0.590.04NA0.63XXX
    95875ALimb exercise test1.34NA1.300.09NA2.73XXX
    9587526ALimb exercise test1.340.560.560.041.941.94XXX
    95875TCALimb exercise test0.00NA0.740.05NA0.79XXX
    95900AMotor nerve conduction test0.42NA0.750.03NA1.20XXX
    9590026AMotor nerve conduction test0.420.190.190.010.620.62XXX
    95900TCAMotor nerve conduction test0.00NA0.560.02NA0.58XXX
    95903AMotor nerve conduction test0.60NA0.520.04NA1.16XXX
    9590326AMotor nerve conduction test0.600.270.270.020.890.89XXX
    95903TCAMotor nerve conduction test0.00NA0.250.02NA0.27XXX
    95904ASense/mixed n conduction tst0.34NA0.680.03NA1.05XXX
    9590426ASense/mixed n conduction tst0.340.160.160.010.510.51XXX
    95904TCASense/mixed n conduction tst0.00NA0.520.02NA0.54XXX
    Start Printed Page 40532
    95920AIntraop nerve test add-on2.11NA2.270.20NA4.58ZZZ
    9592026AIntraop nerve test add-on2.110.980.980.143.233.23ZZZ
    95920TCAIntraop nerve test add-on0.00NA1.290.06NA1.35ZZZ
    95921AAutonomic nerv function test0.90NA0.710.05NA1.66XXX
    9592126AAutonomic nerv function test0.900.340.340.031.271.27XXX
    95921TCAAutonomic nerv function test0.00NA0.370.02NA0.39XXX
    95922AAutonomic nerv function test0.96NA0.790.05NA1.80XXX
    9592226AAutonomic nerv function test0.960.420.420.031.411.41XXX
    95922TCAAutonomic nerv function test0.00NA0.370.02NA0.39XXX
    95923AAutonomic nerv function test0.90NA2.910.05NA3.86XXX
    9592326AAutonomic nerv function test0.900.400.400.031.331.33XXX
    95923TCAAutonomic nerv function test0.00NA2.510.02NA2.53XXX
    95925ASomatosensory testing0.54NA1.120.07NA1.73XXX
    9592526ASomatosensory testing0.540.230.230.020.790.79XXX
    95925TCASomatosensory testing0.00NA0.890.05NA0.94XXX
    95926ASomatosensory testing0.54NA1.140.07NA1.75XXX
    9592626ASomatosensory testing0.540.250.250.020.810.81XXX
    95926TCASomatosensory testing0.00NA0.890.05NA0.94XXX
    95927ASomatosensory testing0.54NA1.160.08NA1.78XXX
    9592726ASomatosensory testing0.540.270.270.030.840.84XXX
    95927TCASomatosensory testing0.00NA0.890.05NA0.94XXX
    95930AVisual evoked potential test0.35NA0.670.02NA1.04XXX
    9593026AVisual evoked potential test0.350.150.150.010.510.51XXX
    95930TCAVisual evoked potential test0.00NA0.520.01NA0.53XXX
    95933ABlink reflex test0.59NA1.020.07NA1.68XXX
    9593326ABlink reflex test0.590.250.250.020.860.86XXX
    95933TCABlink reflex test0.00NA0.770.05NA0.82XXX
    95934AH-reflex test0.51NA0.440.04NA0.99XXX
    9593426AH-reflex test0.510.230.230.020.760.76XXX
    95934TCAH-reflex test0.00NA0.210.02NA0.23XXX
    95936AH-reflex test0.55NA0.460.04NA1.05XXX
    9593626AH-reflex test0.550.250.250.020.820.82XXX
    95936TCAH-reflex test0.00NA0.210.02NA0.23XXX
    95937ANeuromuscular junction test0.65NA0.610.04NA1.30XXX
    9593726ANeuromuscular junction test0.650.280.280.020.950.95XXX
    95937TCANeuromuscular junction test0.00NA0.330.02NA0.35XXX
    95950AAmbulatory eeg monitoring1.51NA4.050.44NA6.00XXX
    9595026AAmbulatory eeg monitoring1.510.680.680.082.272.27XXX
    95950TCAAmbulatory eeg monitoring0.00NA3.370.36NA3.73XXX
    95951AEEG monitoring/videorecord6.00NA22.950.58NA29.53XXX
    9595126AEEG monitoring/videorecord6.002.672.670.208.878.87XXX
    95951TCAEEG monitoring/videorecord0.00NA20.280.38NA20.66XXX
    95953AEEG monitoring/computer3.08NA7.600.46NA11.14XXX
    9595326AEEG monitoring/computer3.081.361.360.104.544.54XXX
    95953TCAEEG monitoring/computer0.00NA6.240.36NA6.60XXX
    95954AEEG monitoring/giving drugs2.45NA4.340.15NA6.94XXX
    9595426AEEG monitoring/giving drugs2.451.081.080.103.633.63XXX
    95954TCAEEG monitoring/giving drugs0.00NA3.260.05NA3.31XXX
    95955AEEG during surgery1.01NA2.280.19NA3.48XXX
    9595526AEEG during surgery1.010.350.350.051.411.41XXX
    95955TCAEEG during surgery0.00NA1.930.14NA2.07XXX
    95956AEeg monitoring, cable/radio3.08NA31.210.47NA34.76XXX
    9595626AEeg monitoring, cable/radio3.081.381.380.114.574.57XXX
    95956TCAEeg monitoring, cable/radio0.00NA29.830.36NA30.19XXX
    95957AEEG digital analysis1.98NA2.570.17NA4.72XXX
    9595726AEEG digital analysis1.980.890.890.072.942.94XXX
    95957TCAEEG digital analysis0.00NA1.680.10NA1.78XXX
    95958AEEG monitoring/function test4.25NA3.530.29NA8.07XXX
    9595826AEEG monitoring/function test4.251.821.820.186.256.25XXX
    95958TCAEEG monitoring/function test0.00NA1.710.11NA1.82XXX
    95961AElectrode stimulation, brain2.97NA2.650.24NA5.86XXX
    9596126AElectrode stimulation, brain2.971.361.360.184.514.51XXX
    95961TCAElectrode stimulation, brain0.00NA1.290.06NA1.35XXX
    95962AElectrode stim, brain add-on3.21NA2.730.23NA6.17ZZZ
    9596226AElectrode stim, brain add-on3.211.441.440.174.824.82ZZZ
    95962TCAElectrode stim, brain add-on0.00NA1.290.06NA1.35ZZZ
    95970AAnalyze neurostim, no prog0.450.140.170.030.620.65XXX
    95971AAnalyze neurostim, simple0.780.230.290.061.071.13XXX
    95972AAnalyze neurostim, complex1.500.560.640.172.232.31XXX
    95973AAnalyze neurostim, complex0.920.370.410.071.361.40ZZZ
    95974ACranial neurostim, complex3.001.351.350.154.504.50XXX
    95975ACranial neurostim, complex1.700.750.760.072.522.53ZZZ
    95999CNeurological procedure0.000.000.000.000.000.00XXX
    96100APsychological testing0.00NA1.730.15NA1.88XXX
    Start Printed Page 40533
    96105AAssessment of aphasia0.00NA1.730.15NA1.88XXX
    96110CDevelopmental test, lim0.000.000.000.000.000.00XXX
    96111ADevelopmental test, extend0.00NA1.730.15NA1.88XXX
    96115ANeurobehavior status exam0.00NA1.730.15NA1.88XXX
    96117ANeuropsych test battery0.00NA1.730.15NA1.88XXX
    96400AChemotherapy, sc/im0.00NA0.130.01NA0.14XXX
    96405AIntralesional chemo admin0.520.241.780.020.782.32000
    96406AIntralesional chemo admin0.800.322.440.021.143.26000
    96408AChemotherapy, push technique0.00NA0.950.05NA1.00XXX
    96410AChemotherapy,infusion method0.00NA1.520.07NA1.59XXX
    96412AChemo, infuse method add-on0.00NA1.130.06NA1.19ZZZ
    96414AChemo, infuse method add-on0.00NA1.310.07NA1.38XXX
    96420AChemotherapy, push technique0.00NA1.230.07NA1.30XXX
    96422AChemotherapy,infusion method0.00NA1.210.07NA1.28XXX
    96423AChemo, infuse method add-on0.00NA0.480.02NA0.50ZZZ
    96425AChemotherapy,infusion method0.00NA1.410.07NA1.48XXX
    96440AChemotherapy, intracavitary2.371.078.000.123.5610.49000
    96445AChemotherapy, intracavitary2.201.058.360.073.3210.63000
    96450AChemotherapy, into CNS1.890.906.740.062.858.69000
    96520APump refilling, maintenance0.00NA0.880.05NA0.93XXX
    96530APump refilling, maintenance0.00NA1.050.05NA1.10XXX
    96542AChemotherapy injection1.420.574.010.052.045.48XXX
    96545BProvide chemotherapy agent+0.000.000.000.000.000.00XXX
    96549CChemotherapy, unspecified0.000.000.000.000.000.00XXX
    96570APhotodynamic tx, 30 min1.100.430.430.041.571.57ZZZ
    96571APhotodynamic tx, addl 15 min0.550.220.220.020.790.79ZZZ
    96900AUltraviolet light therapy0.00NA0.390.02NA0.41XXX
    96902BTrichogram+0.410.160.240.010.580.66XXX
    96910APhotochemotherapy with UV-B0.00NA0.570.03NA0.60XXX
    96912APhotochemotherapy with UV-A0.00NA0.650.04NA0.69XXX
    96913APhotochemotherapy, UV-A or B0.00NA1.330.08NA1.41XXX
    96999CDermatological procedure0.000.000.000.000.000.00XXX
    97001APt evaluation1.200.470.560.101.771.86XXX
    97002APt re-evaluation0.600.260.350.040.900.99XXX
    97003AOt evaluation1.200.320.660.051.571.91XXX
    97004AOt re-evaluation0.600.130.420.020.751.04XXX
    97010BHot or cold packs therapy+0.06NA0.240.01NA0.31XXX
    97012AMechanical traction therapy0.25NA0.270.01NA0.53XXX
    97014AElectric stimulation therapy0.18NA0.250.01NA0.44XXX
    97016AVasopneumatic device therapy0.18NA0.250.01NA0.44XXX
    97018AParaffin bath therapy0.06NA0.220.01NA0.29XXX
    97020AMicrowave therapy0.06NA0.230.01NA0.30XXX
    97022AWhirlpool therapy0.17NA0.440.01NA0.62XXX
    97024ADiathermy treatment0.06NA0.240.01NA0.31XXX
    97026AInfrared therapy0.06NA0.220.01NA0.29XXX
    97028AUltraviolet therapy0.08NA0.230.01NA0.32XXX
    97032AElectrical stimulation0.25NA0.290.01NA0.55XXX
    97033AElectric current therapy0.26NA0.310.02NA0.59XXX
    97034AContrast bath therapy0.21NA0.280.01NA0.50XXX
    97035AUltrasound therapy0.21NA0.170.01NA0.39XXX
    97036AHydrotherapy0.28NA0.370.01NA0.66XXX
    97039APhysical therapy treatment0.20NA0.280.01NA0.49XXX
    97110ATherapeutic exercises0.45NA0.190.03NA0.67XXX
    97112ANeuromuscular reeducation0.45NA0.300.02NA0.77XXX
    97113AAquatic therapy/exercises0.44NA0.320.03NA0.79XXX
    97116AGait training therapy0.40NA0.300.02NA0.72XXX
    97124AMassage therapy0.35NA0.290.01NA0.65XXX
    97139APhysical medicine procedure0.21NA0.260.01NA0.48XXX
    97140AManual therapy0.43NA0.320.02NA0.77XXX
    97150AGroup therapeutic procedures0.27NA0.270.02NA0.56XXX
    97504AOrthotic training0.45NA0.300.03NA0.78XXX
    97520AProsthetic training0.45NA0.310.02NA0.78XXX
    97530ATherapeutic activities0.44NA0.180.02NA0.64XXX
    97532ACognitive skills development0.44NA0.240.01NA0.69XXX
    97533ASensory integration0.44NA0.300.01NA0.75XXX
    97535ASelf care mngment training0.45NA0.300.02NA0.77XXX
    97537ACommunity/work reintegration0.45NA0.300.01NA0.76XXX
    97542AWheelchair mngmnt training0.45NA0.300.01NA0.76XXX
    97545RWork hardening0.000.000.000.000.000.00XXX
    97546RWork hardening add-on0.000.000.000.000.000.00ZZZ
    97601AWound care selective0.50NA0.500.04NA1.04XXX
    97602BWound care non-selective0.000.000.000.000.000.00XXX
    97703AProsthetic checkout0.25NA0.150.02NA0.42XXX
    97750APhysical performance test0.45NA0.250.02NA0.72XXX
    Start Printed Page 40534
    97780NAcupuncture w/o stimul0.000.000.000.000.000.00XXX
    97781NAcupuncture w/stimul0.000.000.000.000.000.00XXX
    97799CPhysical medicine procedure0.000.000.000.000.000.00XXX
    97802NMedical nutrition, indiv, in+0.00NA0.470.01NA0.48XXX
    97803NMed nutrition, indiv, subseq+0.00NA0.340.01NA0.35XXX
    97804NMedical nutrition, group+0.00NA0.140.01NA0.15XXX
    98925AOsteopathic manipulation0.450.150.370.010.610.83000
    98926AOsteopathic manipulation0.650.260.430.020.931.10000
    98927AOsteopathic manipulation0.870.310.510.031.211.41000
    98928AOsteopathic manipulation1.030.360.590.031.421.65000
    98929AOsteopathic manipulation1.190.380.650.041.611.88000
    98940AChiropractic manipulation0.450.130.250.010.590.71000
    98941AChiropractic manipulation0.650.180.310.020.850.98000
    98942AChiropractic manipulation0.870.240.370.031.141.27000
    98943NChiropractic manipulation+0.400.160.340.010.570.75XXX
    99000BSpecimen handling0.000.000.000.000.000.00XXX
    99001BSpecimen handling0.000.000.000.000.000.00XXX
    99002BDevice handling0.000.000.000.000.000.00XXX
    99024BPostop follow-up visit0.000.000.000.000.000.00XXX
    99025BInitial surgical evaluation0.000.000.000.000.000.00XXX
    99050BMedical services after hrs0.000.000.000.000.000.00XXX
    99052BMedical services at night0.000.000.000.000.000.00XXX
    99054BMedical servcs, unusual hrs0.000.000.000.000.000.00XXX
    99056BNon-office medical services0.000.000.000.000.000.00XXX
    99058BOffice emergency care0.000.000.000.000.000.00XXX
    99070BSpecial supplies0.000.000.000.000.000.00XXX
    99071BPatient education materials0.000.000.000.000.000.00XXX
    99075NMedical testimony0.000.000.000.000.000.00XXX
    99078BGroup health education0.000.000.000.000.000.00XXX
    99080BSpecial reports or forms0.000.000.000.000.000.00XXX
    99082CUnusual physician travel0.000.000.000.000.000.00XXX
    99090BComputer data analysis0.000.000.000.000.000.00XXX
    99100BSpecial anesthesia service0.000.000.000.000.000.00ZZZ
    99116BAnesthesia with hypothermia0.000.000.000.000.000.00ZZZ
    99135BSpecial anesthesia procedure0.000.000.000.000.000.00ZZZ
    99140BEmergency anesthesia0.000.000.000.000.000.00ZZZ
    99141BSedation, iv/im or inhalant+0.800.392.040.041.232.88XXX
    99142BSedation, oral/rectal/nasal+0.600.311.190.030.941.82XXX
    99170AAnogenital exam, child1.750.691.850.072.513.67000
    99172NOcular function screen0.000.000.000.000.000.00XXX
    99173NVisual acuity screen0.000.000.000.000.000.00XXX
    99175AInduction of vomiting0.00NA1.370.08NA1.45XXX
    99183AHyperbaric oxygen therapy2.340.76NA0.123.22NAXXX
    99185ARegional hypothermia0.00NA0.630.03NA0.66XXX
    99186ATotal body hypothermia0.00NA1.750.37NA2.12XXX
    99190XSpecial pump services0.000.000.000.000.000.00XXX
    99191XSpecial pump services0.000.000.000.000.000.00XXX
    99192XSpecial pump services0.000.000.000.000.000.00XXX
    99195APhlebotomy0.00NA0.440.02NA0.46XXX
    99199CSpecial service/proc/report0.000.000.000.000.000.00XXX
    99201AOffice/outpatient visit, new0.450.160.450.020.630.92XXX
    99202AOffice/outpatient visit, new0.880.330.740.051.261.67XXX
    99203AOffice/outpatient visit, new1.340.501.070.081.922.49XXX
    99204AOffice/outpatient visit, new2.000.741.480.102.843.58XXX
    99205AOffice/outpatient visit, new2.670.961.770.123.754.56XXX
    99211AOffice/outpatient visit, est0.170.060.370.010.240.55XXX
    99212AOffice/outpatient visit, est0.450.170.510.020.640.98XXX
    99213AOffice/outpatient visit, est0.670.240.670.030.941.37XXX
    99214AOffice/outpatient visit, est1.100.401.020.041.542.16XXX
    99215AOffice/outpatient visit, est1.770.651.330.072.493.17XXX
    99217AObservation care discharge1.280.45NA0.051.78NAXXX
    99218AObservation care1.280.45NA0.051.78NAXXX
    99219AObservation care2.140.74NA0.082.96NAXXX
    99220AObservation care2.991.05NA0.114.15NAXXX
    99221AInitial hospital care1.280.47NA0.051.80NAXXX
    99222AInitial hospital care2.140.76NA0.082.98NAXXX
    99223AInitial hospital care2.991.07NA0.104.16NAXXX
    99231ASubsequent hospital care0.640.24NA0.020.90NAXXX
    99232ASubsequent hospital care1.060.38NA0.031.47NAXXX
    99233ASubsequent hospital care1.510.54NA0.052.10NAXXX
    99234AObserv/hosp same date2.560.92NA0.113.59NAXXX
    99235AObserv/hosp same date3.421.19NA0.134.74NAXXX
    99236AObserv/hosp same date4.271.45NA0.175.89NAXXX
    99238AHospital discharge day1.280.45NA0.041.77NAXXX
    Start Printed Page 40535
    99239AHospital discharge day1.750.62NA0.052.42NAXXX
    99241AOffice consultation0.640.230.600.040.911.28XXX
    99242AOffice consultation1.290.490.990.091.872.37XXX
    99243AOffice consultation1.720.661.330.102.483.15XXX
    99244AOffice consultation2.580.971.780.133.684.49XXX
    99245AOffice consultation3.431.282.250.164.875.84XXX
    99251AInitial inpatient consult0.660.30NA0.041.00NAXXX
    99252AInitial inpatient consult1.320.57NA0.081.97NAXXX
    99253AInitial inpatient consult1.820.76NA0.092.67NAXXX
    99254AInitial inpatient consult2.641.07NA0.113.82NAXXX
    99255AInitial inpatient consult3.651.44NA0.155.24NAXXX
    99261AFollow-up inpatient consult0.420.21NA0.020.65NAXXX
    99262AFollow-up inpatient consult0.850.37NA0.031.25NAXXX
    99263AFollow-up inpatient consult1.270.52NA0.041.83NAXXX
    99271AConfirmatory consultation0.450.210.640.030.691.12XXX
    99272AConfirmatory consultation0.840.360.880.061.261.78XXX
    99273AConfirmatory consultation1.190.501.070.071.762.33XXX
    99274AConfirmatory consultation1.730.711.380.092.533.20XXX
    99275AConfirmatory consultation2.310.901.630.103.314.04XXX
    99281AEmergency dept visit0.330.09NA0.020.44NAXXX
    99282AEmergency dept visit0.550.15NA0.030.73NAXXX
    99283AEmergency dept visit1.240.32NA0.081.64NAXXX
    99284AEmergency dept visit1.950.50NA0.122.57NAXXX
    99285AEmergency dept visit3.060.75NA0.194.00NAXXX
    99288BDirect advanced life support0.000.000.000.000.000.00XXX
    99291ACritical care, first hour4.001.331.590.145.475.73XXX
    99292ACritical care, addl 30 min2.000.660.860.072.732.93ZZZ
    99295ANeonatal critical care16.004.91NA0.7021.61NAXXX
    99296ANeonatal critical care8.002.63NA0.2310.86NAXXX
    99297ANeonatal critical care4.001.34NA0.125.46NAXXX
    99298ANeonatal critical care2.750.96NA0.103.81NAXXX
    99301ANursing facility care1.200.42NA0.041.66NAXXX
    99302ANursing facility care1.610.56NA0.052.22NAXXX
    99303ANursing facility care2.010.69NA0.062.76NAXXX
    99311ANursing fac care, subseq0.600.21NA0.020.83NAXXX
    99312ANursing fac care, subseq1.000.34NA0.031.37NAXXX
    99313ANursing fac care, subseq1.420.49NA0.041.95NAXXX
    99315ANursing fac discharge day1.130.39NA0.041.56NAXXX
    99316ANursing fac discharge day1.500.53NA0.052.08NAXXX
    99321ARest home visit, new patient0.710.350.430.021.081.16XXX
    99322ARest home visit, new patient1.010.450.680.031.491.72XXX
    99323ARest home visit, new patient1.280.560.920.041.882.24XXX
    99331ARest home visit, est pat0.600.310.460.020.931.08XXX
    99332ARest home visit, est pat0.800.380.580.031.211.41XXX
    99333ARest home visit, est pat1.000.450.710.031.481.74XXX
    99341AHome visit, new patient1.010.480.540.051.541.60XXX
    99342AHome visit, new patient1.520.690.840.052.262.41XXX
    99343AHome visit, new patient2.271.281.280.073.623.62XXX
    99344AHome visit, new patient3.031.311.590.104.444.72XXX
    99345AHome visit, new patient3.791.361.830.125.275.74XXX
    99347AHome visit, est patient0.760.360.470.031.151.26XXX
    99348AHome visit, est patient1.260.530.710.041.832.01XXX
    99349AHome visit, est patient2.020.811.070.062.893.15XXX
    99350AHome visit, est patient3.031.161.460.104.294.59XXX
    99354AProlonged service, office1.770.631.460.062.463.29ZZZ
    99355AProlonged service, office1.770.631.250.062.463.08ZZZ
    99356AProlonged service, inpatient1.710.60NA0.062.37NAZZZ
    99357AProlonged service, inpatient1.710.62NA0.062.39NAZZZ
    99358BProlonged serv, w/o contact0.000.000.000.000.000.00ZZZ
    99359BProlonged serv, w/o contact0.000.000.000.000.000.00ZZZ
    99360XPhysician standby services0.000.000.000.000.000.00XXX
    99361BPhysician/team conference0.000.000.000.000.000.00XXX
    99362BPhysician/team conference0.000.000.000.000.000.00XXX
    99371BPhysician phone consultation0.000.000.000.000.000.00XXX
    99372BPhysician phone consultation0.000.000.000.000.000.00XXX
    99373BPhysician phone consultation0.000.000.000.000.000.00XXX
    99374BHome health care supervision+1.100.431.430.041.572.57XXX
    99375GHome health care supervision1.731.681.680.063.473.47XXX
    99377BHospice care supervision+1.100.431.430.041.572.57XXX
    99378GHospice care supervision1.731.681.680.063.473.47XXX
    99379BNursing fac care supervision+1.100.431.430.031.562.56XXX
    99380BNursing fac care supervision+1.730.681.680.052.463.46XXX
    99381NPrev visit, new, infant+1.190.471.460.041.702.69XXX
    99382NPrev visit, new, age 1-4+1.360.541.500.041.942.90XXX
    Start Printed Page 40536
    99383NPrev visit, new, age 5-11+1.360.541.440.041.942.84XXX
    99384NPrev visit, new, age 12-17+1.530.601.520.052.183.10XXX
    99385NPrev visit, new, age 18-39+1.530.601.520.052.183.10XXX
    99386NPrev visit, new, age 40-64+1.880.741.700.062.683.64XXX
    99387NPrev visit, new, 65 & over+2.060.811.830.062.933.95XXX
    99391NPrev visit, est, infant+1.020.401.000.031.452.05XXX
    99392NPrev visit, est, age 1-4+1.190.471.070.041.702.30XXX
    99393NPrev visit, est, age 5-11+1.190.471.040.041.702.27XXX
    99394NPrev visit, est, age 12-17+1.360.541.120.041.942.52XXX
    99395NPrev visit, est, age 18-39+1.360.541.150.041.942.55XXX
    99396NPrev visit, est, age 40-64+1.530.601.240.052.182.82XXX
    99397NPrev visit, est, 65 & over+1.710.681.340.052.443.10XXX
    99401NPreventive counseling, indiv+0.480.190.600.010.681.09XXX
    99402NPreventive counseling, indiv+0.980.390.850.021.391.85XXX
    99403NPreventive counseling, indiv+1.460.581.080.032.072.57XXX
    99404NPreventive counseling, indiv+1.950.771.320.042.763.31XXX
    99411NPreventive counseling, group+0.150.060.180.010.220.34XXX
    99412NPreventive counseling, group+0.250.100.240.010.360.50XXX
    99420NHealth risk assessment test0.000.000.000.000.000.00XXX
    99429NUnlisted preventive service0.000.000.000.000.000.00XXX
    99431AInitial care, normal newborn1.170.36NA0.041.57NAXXX
    99432ANewborn care, not in hosp1.260.341.100.061.662.42XXX
    99433ANormal newborn care/hospital0.620.20NA0.020.84NAXXX
    99435ANewborn discharge day hosp1.500.56NA0.052.11NAXXX
    99436AAttendance, birth1.500.470.590.052.022.14XXX
    99440ANewborn resuscitation2.930.88NA0.113.92NAXXX
    99450NLife/disability evaluation0.000.000.000.000.000.00XXX
    99455RDisability examination0.000.000.000.000.000.00XXX
    99456RDisability examination0.000.000.000.000.000.00XXX
    99499CUnlisted e&m service0.000.000.000.000.000.00XXX
    A0021IOutside state ambulance serv0.000.000.000.000.000.00XXX
    A0030IAir ambulance service0.000.000.000.000.000.00XXX
    A0040IHelicopter ambulance service0.000.000.000.000.000.00XXX
    A0050IWater amb service emergency0.000.000.000.000.000.00XXX
    A0080INoninterest escort in non er0.000.000.000.000.000.00XXX
    A0090IInterest escort in non er0.000.000.000.000.000.00XXX
    A0100INonemergency transport taxi0.000.000.000.000.000.00XXX
    A0110INonemergency transport bus0.000.000.000.000.000.00XXX
    A0120INoner transport mini-bus0.000.000.000.000.000.00XXX
    A0130INoner transport wheelch van0.000.000.000.000.000.00XXX
    A0140INonemergency transport air0.000.000.000.000.000.00XXX
    A0160INoner transport case worker0.000.000.000.000.000.00XXX
    A0170INoner transport parking fees0.000.000.000.000.000.00XXX
    A0180INoner transport lodgng recip0.000.000.000.000.000.00XXX
    A0190INoner transport meals recip0.000.000.000.000.000.00XXX
    A0200INoner transport lodgng escrt0.000.000.000.000.000.00XXX
    A0210INoner transport meals escort0.000.000.000.000.000.00XXX
    A0300IAmbulance basic non-emer all0.000.000.000.000.000.00XXX
    A0302IAmbulance basic emergeny all0.000.000.000.000.000.00XXX
    A0304IAmb adv non-er no serv all0.000.000.000.000.000.00XXX
    A0306IAmb adv non-er spec serv all0.000.000.000.000.000.00XXX
    A0308IAmb adv er no spec serv all0.000.000.000.000.000.00XXX
    A0310IAmb adv er spec serv all0.000.000.000.000.000.00XXX
    A0320IAmb basic non-er + supplies0.000.000.000.000.000.00XXX
    A0322IAmb basic emerg + supplies0.000.000.000.000.000.00XXX
    A0324IAdv non-er serv sep mileage0.000.000.000.000.000.00XXX
    A0326IAdv non-er no serv sep mile0.000.000.000.000.000.00XXX
    A0328IAdv er no serv sep mileage0.000.000.000.000.000.00XXX
    A0330IAdv er spec serv sep mile0.000.000.000.000.000.00XXX
    A0340IAmb basic non-er + mileage0.000.000.000.000.000.00XXX
    A0342IAmbul basic emer + mileage0.000.000.000.000.000.00XXX
    A0344IAmb adv non-er no serv +mile0.000.000.000.000.000.00XXX
    A0346IAmb adv non-er serv + mile0.000.000.000.000.000.00XXX
    A0348IAdv emer no spec serv + mile0.000.000.000.000.000.00XXX
    A0350IAdv emer spec serv + mileage0.000.000.000.000.000.00XXX
    A0360IBasic non-er sep mile & supp0.000.000.000.000.000.00XXX
    A0362IBasic emer sep mile & supply0.000.000.000.000.000.00XXX
    A0364IAdv non-er no serv sep mi&su0.000.000.000.000.000.00XXX
    A0366IAdv non-er serv sep mil&supp0.000.000.000.000.000.00XXX
    A0368IAdv er no serv sep mile&supp0.000.000.000.000.000.00XXX
    A0370IAdv er spec serv sep mi&supp0.000.000.000.000.000.00XXX
    A0380XBasic life support mileage0.000.000.000.000.000.00XXX
    A0382XBasic support routine suppls0.000.000.000.000.000.00XXX
    A0384XBls defibrillation supplies0.000.000.000.000.000.00XXX
    Start Printed Page 40537
    A0390XAdvanced life support mileag0.000.000.000.000.000.00XXX
    A0392XAls defibrillation supplies0.000.000.000.000.000.00XXX
    A0394XAls IV drug therapy supplies0.000.000.000.000.000.00XXX
    A0396XAls esophageal intub suppls0.000.000.000.000.000.00XXX
    A0398XAls routine disposble suppls0.000.000.000.000.000.00XXX
    A0420XAmbulance waiting 1/2 hr0.000.000.000.000.000.00XXX
    A0422XAmbulance 02 life sustaining0.000.000.000.000.000.00XXX
    A0424XExtra ambulance attendant0.000.000.000.000.000.00XXX
    A0425XGround mileage0.000.000.000.000.000.00XXX
    A0426XAls 10.000.000.000.000.000.00XXX
    A0427XALS1-emergency0.000.000.000.000.000.00XXX
    A0428Xbls0.000.000.000.000.000.00XXX
    A0429XBLS-emergency0.000.000.000.000.000.00XXX
    A0430XFixed wing air transport0.000.000.000.000.000.00XXX
    A0431XRotary wing air transport0.000.000.000.000.000.00XXX
    A0432XPI volunteer ambulance co0.000.000.000.000.000.00XXX
    A0433Xals 20.000.000.000.000.000.00XXX
    A0434XSpecialty care transport0.000.000.000.000.000.00XXX
    A0435XFixed wing air mileage0.000.000.000.000.000.00XXX
    A0436XRotary wing air mileage0.000.000.000.000.000.00XXX
    A0888NNoncovered ambulance mileage0.000.000.000.000.000.00XXX
    A0999XUnlisted ambulance service0.000.000.000.000.000.00XXX
    A4206I1 CC sterile syringe&needle0.000.000.000.000.000.00XXX
    A4207I2 CC sterile syringe&needle0.000.000.000.000.000.00XXX
    A4208I3 CC sterile syringe&needle0.000.000.000.000.000.00XXX
    A4209I5+ CC sterile syringe&needle0.000.000.000.000.000.00XXX
    A4210NNonneedle injection device0.000.000.000.000.000.00XXX
    A4211PSupp for self-adm injections0.000.000.000.000.000.00XXX
    A4212PNon coring needle or stylet0.000.000.000.000.000.00XXX
    A4213I20+ CC syringe only0.000.000.000.000.000.00XXX
    A4214P30 CC sterile water/saline0.000.000.000.000.000.00XXX
    A4215ISterile needle0.000.000.000.000.000.00XXX
    A4220PInfusion pump refill kit0.000.000.000.000.000.00XXX
    A4221XMaint drug infus cath per wk0.000.000.000.000.000.00XXX
    A4222XDrug infusion pump supplies0.000.000.000.000.000.00XXX
    A4230XInfus insulin pump non needl0.000.000.000.000.000.00XXX
    A4231XInfusion insulin pump needle0.000.000.000.000.000.00XXX
    A4232XSyringe w/needle insulin 3cc0.000.000.000.000.000.00XXX
    A4244IAlcohol or peroxide per pint0.000.000.000.000.000.00XXX
    A4245IAlcohol wipes per box0.000.000.000.000.000.00XXX
    A4246IBetadine/phisohex solution0.000.000.000.000.000.00XXX
    A4247IBetadine/iodine swabs/wipes0.000.000.000.000.000.00XXX
    A4250NUrine reagent strips/tablets0.000.000.000.000.000.00XXX
    A4253PBlood glucose/reagent strips0.000.000.000.000.000.00XXX
    A4254XBattery for glucose monitor0.000.000.000.000.000.00XXX
    A4255XGlucose monitor platforms0.000.000.000.000.000.00XXX
    A4256PCalibrator solution/chips0.000.000.000.000.000.00XXX
    A4258PLancet device each0.000.000.000.000.000.00XXX
    A4259PLancets per box0.000.000.000.000.000.00XXX
    A4260NLevonorgestrel implant0.000.000.000.000.000.00XXX
    A4261NCervical cap contraceptive0.000.000.000.000.000.00XXX
    A4262BTemporary tear duct plug0.000.000.000.000.000.00XXX
    A4263BPermanent tear duct plug0.000.000.000.000.000.00XXX
    A4265PParaffin0.000.000.000.000.000.00XXX
    A4270BDisposable endoscope sheath0.000.000.000.000.000.00XXX
    A4280XBrst prsths adhsv attchmnt0.000.000.000.000.000.00XXX
    A4290XSacral nerve stim test lead0.000.000.000.000.000.00XXX
    A4300BCath impl vasc access portal0.000.000.000.000.000.00XXX
    A4301PImplantable access syst perc0.000.000.000.000.000.00XXX
    A4305PDrug delivery system >=50 ML0.000.000.000.000.000.00XXX
    A4306PDrug delivery system <=5 ML0.000.000.000.000.000.00XXX
    A4310PInsert tray w/o bag/cath0.000.000.000.000.000.00XXX
    A4311PCatheter w/o bag 2-way latex0.000.000.000.000.000.00XXX
    A4312PCath w/o bag 2-way silicone0.000.000.000.000.000.00XXX
    A4313PCatheter w/bag 3-way0.000.000.000.000.000.00XXX
    A4314PCath w/drainage 2-way latex0.000.000.000.000.000.00XXX
    A4315PCath w/drainage 2-way silcne0.000.000.000.000.000.00XXX
    A4316PCath w/drainage 3-way0.000.000.000.000.000.00XXX
    A4319XSterile H2O irrigation solut0.000.000.000.000.000.00XXX
    A4320PIrrigation tray0.000.000.000.000.000.00XXX
    A4321XCath therapeutic irrig agent0.000.000.000.000.000.00XXX
    A4322PIrrigation syringe0.000.000.000.000.000.00XXX
    A4323PSaline irrigation solution0.000.000.000.000.000.00XXX
    A4324XMale ext cath w/adh coating0.000.000.000.000.000.00XXX
    Start Printed Page 40538
    A4325XMale ext cath w/adh strip0.000.000.000.000.000.00XXX
    A4326PMale external catheter0.000.000.000.000.000.00XXX
    A4327PFem urinary collect dev cup0.000.000.000.000.000.00XXX
    A4328PFem urinary collect pouch0.000.000.000.000.000.00XXX
    A4329PExternal catheter start set0.000.000.000.000.000.00XXX
    A4330PStool collection pouch0.000.000.000.000.000.00XXX
    A4331XExtension drainage tubing0.000.000.000.000.000.00XXX
    A4332XLubricant for cath insertion0.000.000.000.000.000.00XXX
    A4333XUrinary cath anchor device0.000.000.000.000.000.00XXX
    A4334XUrinary cath leg strap0.000.000.000.000.000.00XXX
    A4335PIncontinence supply0.000.000.000.000.000.00XXX
    A4338PIndwelling catheter latex0.000.000.000.000.000.00XXX
    A4340PIndwelling catheter special0.000.000.000.000.000.00XXX
    A4344PCath indw foley 2 way silicn0.000.000.000.000.000.00XXX
    A4346PCath indw foley 3 way0.000.000.000.000.000.00XXX
    A4347PMale external catheter0.000.000.000.000.000.00XXX
    A4348XMale ext cath extended wear0.000.000.000.000.000.00XXX
    A4351PStraight tip urine catheter0.000.000.000.000.000.00XXX
    A4352PCoude tip urinary catheter0.000.000.000.000.000.00XXX
    A4353XIntermittent urinary cath0.000.000.000.000.000.00XXX
    A4354PCath insertion tray w/bag0.000.000.000.000.000.00XXX
    A4355PBladder irrigation tubing0.000.000.000.000.000.00XXX
    A4356PExt ureth clmp or compr dvc0.000.000.000.000.000.00XXX
    A4357PBedside drainage bag0.000.000.000.000.000.00XXX
    A4358PUrinary leg bag0.000.000.000.000.000.00XXX
    A4359PUrinary suspensory w/o leg b0.000.000.000.000.000.00XXX
    A4361POstomy face plate0.000.000.000.000.000.00XXX
    A4362PSolid skin barrier0.000.000.000.000.000.00XXX
    A4364PLiq adhes for facial prosth0.000.000.000.000.000.00XXX
    A4365XAdhesive remover wipes0.000.000.000.000.000.00XXX
    A4367POstomy belt0.000.000.000.000.000.00XXX
    A4368XOstomy filter0.000.000.000.000.000.00XXX
    A4369XSkin barrier liquid per oz0.000.000.000.000.000.00XXX
    A4370XSkin barrier paste per oz0.000.000.000.000.000.00XXX
    A4371XSkin barrier powder per oz0.000.000.000.000.000.00XXX
    A4372XSkin barrier solid 4x4 equiv0.000.000.000.000.000.00XXX
    A4373XSkin barrier with flange0.000.000.000.000.000.00XXX
    A4374XSkin barrier extended wear0.000.000.000.000.000.00XXX
    A4375XDrainable plastic pch w fcpl0.000.000.000.000.000.00XXX
    A4376XDrainable rubber pch w fcplt0.000.000.000.000.000.00XXX
    A4377XDrainable plstic pch w/o fp0.000.000.000.000.000.00XXX
    A4378XDrainable rubber pch w/o fp0.000.000.000.000.000.00XXX
    A4379XUrinary plastic pouch w fcpl0.000.000.000.000.000.00XXX
    A4380XUrinary rubber pouch w fcplt0.000.000.000.000.000.00XXX
    A4381XUrinary plastic pouch w/o fp0.000.000.000.000.000.00XXX
    A4382XUrinary hvy plstc pch w/o fp0.000.000.000.000.000.00XXX
    A4383XUrinary rubber pouch w/o fp0.000.000.000.000.000.00XXX
    A4384XOstomy faceplt/silicone ring0.000.000.000.000.000.00XXX
    A4385XOst skn barrier sld ext wear0.000.000.000.000.000.00XXX
    A4386XOst skn barrier w flng ex wr0.000.000.000.000.000.00XXX
    A4387XOst clsd pouch w att st barr0.000.000.000.000.000.00XXX
    A4388XDrainable pch w ex wear barr0.000.000.000.000.000.00XXX
    A4389XDrainable pch w st wear barr0.000.000.000.000.000.00XXX
    A4390XDrainable pch ex wear convex0.000.000.000.000.000.00XXX
    A4391XUrinary pouch w ex wear barr0.000.000.000.000.000.00XXX
    A4392XUrinary pouch w st wear barr0.000.000.000.000.000.00XXX
    A4393XUrine pch w ex wear bar conv0.000.000.000.000.000.00XXX
    A4394XOstomy pouch liq deodorant0.000.000.000.000.000.00XXX
    A4395XOstomy pouch solid deodorant0.000.000.000.000.000.00XXX
    A4396XPeristomal hernia supprt blt0.000.000.000.000.000.00XXX
    A4397PIrrigation supply sleeve0.000.000.000.000.000.00XXX
    A4398POstomy irrigation bag0.000.000.000.000.000.00XXX
    A4399POstomy irrig cone/cath w brs0.000.000.000.000.000.00XXX
    A4400POstomy irrigation set0.000.000.000.000.000.00XXX
    A4402PLubricant per ounce0.000.000.000.000.000.00XXX
    A4404POstomy ring each0.000.000.000.000.000.00XXX
    A4421POstomy supply misc0.000.000.000.000.000.00XXX
    A4454PTape all types all sizes0.000.000.000.000.000.00XXX
    A4455PAdhesive remover per ounce0.000.000.000.000.000.00XXX
    A4460PElastic compression bandage0.000.000.000.000.000.00XXX
    A4462XAbdmnl drssng holder/binder0.000.000.000.000.000.00XXX
    A4464NJoint support device/garment0.000.000.000.000.000.00XXX
    A4465PNon-elastic extremity binder0.000.000.000.000.000.00XXX
    A4470PGravlee jet washer0.000.000.000.000.000.00XXX
    Start Printed Page 40539
    A4480PVabra aspirator0.000.000.000.000.000.00XXX
    A4481XTracheostoma filter0.000.000.000.000.000.00XXX
    A4483XMoisture exchanger0.000.000.000.000.000.00XXX
    A4490NAbove knee surgical stocking0.000.000.000.000.000.00XXX
    A4495NThigh length surg stocking0.000.000.000.000.000.00XXX
    A4500NBelow knee surgical stocking0.000.000.000.000.000.00XXX
    A4510NFull length surg stocking0.000.000.000.000.000.00XXX
    A4550BSurgical trays0.000.000.000.000.000.00XXX
    A4554NDisposable underpads0.000.000.000.000.000.00XXX
    A4556PElectrodes, pair0.000.000.000.000.000.00XXX
    A4557PLead wires, pair0.000.000.000.000.000.00XXX
    A4558PConductive paste or gel0.000.000.000.000.000.00XXX
    A4561XPessary rubber, any type0.000.000.000.000.000.00XXX
    A4562XPessary, non rubber,any type0.000.000.000.000.000.00XXX
    A4565XSlings0.000.000.000.000.000.00XXX
    A4570ISplint0.000.000.000.000.000.00XXX
    A4572XRib belt0.000.000.000.000.000.00XXX
    A4575NHyperbaric o2 chamber disps0.000.000.000.000.000.00XXX
    A4580ICast supplies (plaster)0.000.000.000.000.000.00XXX
    A4590ISpecial casting material0.000.000.000.000.000.00XXX
    A4595XTENS suppl 2 lead per month0.000.000.000.000.000.00XXX
    A4608XTranstracheal oxygen cath0.000.000.000.000.000.00XXX
    A4611XHeavy duty battery0.000.000.000.000.000.00XXX
    A4612XBattery cables0.000.000.000.000.000.00XXX
    A4613XBattery charger0.000.000.000.000.000.00XXX
    A4614XHand-held PEFR meter0.000.000.000.000.000.00XXX
    A4615XCannula nasal0.000.000.000.000.000.00XXX
    A4616XTubing (oxygen) per foot0.000.000.000.000.000.00XXX
    A4617XMouth piece0.000.000.000.000.000.00XXX
    A4618XBreathing circuits0.000.000.000.000.000.00XXX
    A4619XFace tent0.000.000.000.000.000.00XXX
    A4620XVariable concentration mask0.000.000.000.000.000.00XXX
    A4621XTracheotomy mask or collar0.000.000.000.000.000.00XXX
    A4622XTracheostomy or larngectomy0.000.000.000.000.000.00XXX
    A4623XTracheostomy inner cannula0.000.000.000.000.000.00XXX
    A4624XTracheal suction tube0.000.000.000.000.000.00XXX
    A4625XTrach care kit for new trach0.000.000.000.000.000.00XXX
    A4626XTracheostomy cleaning brush0.000.000.000.000.000.00XXX
    A4627NSpacer bag/reservoir0.000.000.000.000.000.00XXX
    A4628XOropharyngeal suction cath0.000.000.000.000.000.00XXX
    A4629XTracheostomy care kit0.000.000.000.000.000.00XXX
    A4630XRepl bat t.e.n.s. own by pt0.000.000.000.000.000.00XXX
    A4631XWheelchair battery0.000.000.000.000.000.00XXX
    A4635XUnderarm crutch pad0.000.000.000.000.000.00XXX
    A4636XHandgrip for cane etc0.000.000.000.000.000.00XXX
    A4637XRepl tip cane/crutch/walker0.000.000.000.000.000.00XXX
    A4640XAlternating pressure pad0.000.000.000.000.000.00XXX
    A4641EDiagnostic imaging agent0.000.000.000.000.000.00XXX
    A4642ESatumomab pendetide per dose0.000.000.000.000.000.00XXX
    A4643EHigh dose contrast MRI0.000.000.000.000.000.00XXX
    A4644EContrast 100-199 MGs iodine0.000.000.000.000.000.00XXX
    A4645EContrast 200-299 MGs iodine0.000.000.000.000.000.00XXX
    A4646EContrast 300-399 MGs iodine0.000.000.000.000.000.00XXX
    A4647BSupp- paramagnetic contr mat0.000.000.000.000.000.00XXX
    A4649PSurgical supplies0.000.000.000.000.000.00XXX
    A4650XSupp esrd centrifuge0.000.000.000.000.000.00XXX
    A4655XEsrd syringe/needle0.000.000.000.000.000.00XXX
    A4660XEsrd blood pressure device0.000.000.000.000.000.00XXX
    A4663XEsrd blood pressure cuff0.000.000.000.000.000.00XXX
    A4670NAuto blood pressure monitor0.000.000.000.000.000.00XXX
    A4680XActivated carbon filters0.000.000.000.000.000.00XXX
    A4690XDialyzers0.000.000.000.000.000.00XXX
    A4700XStandard dialysate solution0.000.000.000.000.000.00XXX
    A4705XBicarb dialysate solution0.000.000.000.000.000.00XXX
    A4712XSterile water0.000.000.000.000.000.00XXX
    A4714XTreated water for dialysis0.000.000.000.000.000.00XXX
    A4730XFistula cannulation set dial0.000.000.000.000.000.00XXX
    A4735XLocal/topical anesthetics0.000.000.000.000.000.00XXX
    A4740XEsrd shunt accessory0.000.000.000.000.000.00XXX
    A4750XArterial or venous tubing0.000.000.000.000.000.00XXX
    A4755XArterial and venous tubing0.000.000.000.000.000.00XXX
    A4760XStandard testing solution0.000.000.000.000.000.00XXX
    A4765XDialysate concentrate0.000.000.000.000.000.00XXX
    A4770XBlood testing supplies0.000.000.000.000.000.00XXX
    Start Printed Page 40540
    A4771XBlood clotting time tube0.000.000.000.000.000.00XXX
    A4772XDextrostick/glucose strips0.000.000.000.000.000.00XXX
    A4773XHemostix0.000.000.000.000.000.00XXX
    A4774XAmmonia test paper0.000.000.000.000.000.00XXX
    A4780XEsrd sterilizing agent0.000.000.000.000.000.00XXX
    A4790XEsrd cleansing agents0.000.000.000.000.000.00XXX
    A4800XHeparin/antidote dialysis0.000.000.000.000.000.00XXX
    A4820XSupplies hemodialysis kit0.000.000.000.000.000.00XXX
    A4850XRubber tipped hemostats0.000.000.000.000.000.00XXX
    A4860XDisposable catheter caps0.000.000.000.000.000.00XXX
    A4870XPlumbing/electrical work0.000.000.000.000.000.00XXX
    A4880XWater storage tanks0.000.000.000.000.000.00XXX
    A4890RContracts/repair/maintenance0.000.000.000.000.000.00XXX
    A4900XCapd supply kit0.000.000.000.000.000.00XXX
    A4901XCcpd supply kit0.000.000.000.000.000.00XXX
    A4905XIpd supply kit0.000.000.000.000.000.00XXX
    A4910XEsrd nonmedical supplies0.000.000.000.000.000.00XXX
    A4912XGomco drain bottle0.000.000.000.000.000.00XXX
    A4913XEsrd supply0.000.000.000.000.000.00XXX
    A4914XPreparation kit0.000.000.000.000.000.00XXX
    A4918XVenous pressure clamp0.000.000.000.000.000.00XXX
    A4919XSupp dialysis dialyzer holde0.000.000.000.000.000.00XXX
    A4920XHarvard pressure clamp0.000.000.000.000.000.00XXX
    A4921XMeasuring cylinder0.000.000.000.000.000.00XXX
    A4927XGloves0.000.000.000.000.000.00XXX
    A5051PPouch clsd w barr attached0.000.000.000.000.000.00XXX
    A5052PClsd ostomy pouch w/o barr0.000.000.000.000.000.00XXX
    A5053PClsd ostomy pouch faceplate0.000.000.000.000.000.00XXX
    A5054PClsd ostomy pouch w/flange0.000.000.000.000.000.00XXX
    A5055PStoma cap0.000.000.000.000.000.00XXX
    A5061PPouch drainable w barrier at0.000.000.000.000.000.00XXX
    A5062PDrnble ostomy pouch w/o barr0.000.000.000.000.000.00XXX
    A5063PDrain ostomy pouch w/flange0.000.000.000.000.000.00XXX
    A5064IDrain ostomy pouch w/fceplte0.000.000.000.000.000.00XXX
    A5071PUrinary pouch w/barrier0.000.000.000.000.000.00XXX
    A5072PUrinary pouch w/o barrier0.000.000.000.000.000.00XXX
    A5073PUrinary pouch on barr w/flng0.000.000.000.000.000.00XXX
    A5074IUrinary pouch w/faceplate0.000.000.000.000.000.00XXX
    A5075IUrinary pouch on faceplate0.000.000.000.000.000.00XXX
    A5081PContinent stoma plug0.000.000.000.000.000.00XXX
    A5082PContinent stoma catheter0.000.000.000.000.000.00XXX
    A5093POstomy accessory convex inse0.000.000.000.000.000.00XXX
    A5102PBedside drain btl w/wo tube0.000.000.000.000.000.00XXX
    A5105PUrinary suspensory0.000.000.000.000.000.00XXX
    A5112PUrinary leg bag0.000.000.000.000.000.00XXX
    A5113PLatex leg strap0.000.000.000.000.000.00XXX
    A5114PFoam/fabric leg strap0.000.000.000.000.000.00XXX
    A5119PSkin barrier wipes box pr 500.000.000.000.000.000.00XXX
    A5121PSolid skin barrier 6x60.000.000.000.000.000.00XXX
    A5122PSolid skin barrier 8x80.000.000.000.000.000.00XXX
    A5123PSkin barrier with flange0.000.000.000.000.000.00XXX
    A5126PDisk/foam pad +or- adhesive0.000.000.000.000.000.00XXX
    A5131PAppliance cleaner0.000.000.000.000.000.00XXX
    A5200XPercutaneous catheter anchor0.000.000.000.000.000.00XXX
    A5500XDiab shoe for density insert0.000.000.000.000.000.00XXX
    A5501XDiabetic custom molded shoe0.000.000.000.000.000.00XXX
    A5502XDiabetic shoe density insert0.000.000.000.000.000.00XXX
    A5503XDiabetic shoe w/roller/rockr0.000.000.000.000.000.00XXX
    A5504XDiabetic shoe with wedge0.000.000.000.000.000.00XXX
    A5505XDiab shoe w/metatarsal bar0.000.000.000.000.000.00XXX
    A5506XDiabetic shoe w/off set heel0.000.000.000.000.000.00XXX
    A5507XModification diabetic shoe0.000.000.000.000.000.00XXX
    A5508XDiabetic deluxe shoe0.000.000.000.000.000.00XXX
    A6020PCollagen wound dressing0.000.000.000.000.000.00XXX
    A6021XCollagen dressing <=16 sq in0.000.000.000.000.000.00XXX
    A6022XCollagen drsg>6<=48 sq in0.000.000.000.000.000.00XXX
    A6023XCollagen dressing >48 sq in0.000.000.000.000.000.00XXX
    A6024XCollagen dsg wound filler0.000.000.000.000.000.00XXX
    A6025ISilicone gel sheet, each0.000.000.000.000.000.00XXX
    A6154PWound pouch each0.000.000.000.000.000.00XXX
    A6196PAlginate dressing <=16 sq in0.000.000.000.000.000.00XXX
    A6197PAlginate drsg >16 <=48 sq in0.000.000.000.000.000.00XXX
    A6198Palginate dressing > 48 sq in0.000.000.000.000.000.00XXX
    A6199PAlginate drsg wound filler0.000.000.000.000.000.00XXX
    Start Printed Page 40541
    A6200XCompos drsg <=16 no border0.000.000.000.000.000.00XXX
    A6201XCompos drsg >16<=48 no bdr0.000.000.000.000.000.00XXX
    A6202XCompos drsg >48 no border0.000.000.000.000.000.00XXX
    A6203PComposite drsg <= 16 sq in0.000.000.000.000.000.00XXX
    A6204PComposite drsg >16<=48 sq in0.000.000.000.000.000.00XXX
    A6205PComposite drsg > 48 sq in0.000.000.000.000.000.00XXX
    A6206PContact layer <= 16 sq in0.000.000.000.000.000.00XXX
    A6207PContact layer >16<= 48 sq in0.000.000.000.000.000.00XXX
    A6208PContact layer > 48 sq in0.000.000.000.000.000.00XXX
    A6209PFoam drsg <=16 sq in w/o bdr0.000.000.000.000.000.00XXX
    A6210PFoam drg >16<=48 sq in w/o b0.000.000.000.000.000.00XXX
    A6211PFoam drg > 48 sq in w/o brdr0.000.000.000.000.000.00XXX
    A6212PFoam drg <=16 sq in w/border0.000.000.000.000.000.00XXX
    A6213PFoam drg >16<=48 sq in w/bdr0.000.000.000.000.000.00XXX
    A6214PFoam drg > 48 sq in w/border0.000.000.000.000.000.00XXX
    A6215PFoam dressing wound filler0.000.000.000.000.000.00XXX
    A6216PNon-sterile gauze<=16 sq in0.000.000.000.000.000.00XXX
    A6217PNon-sterile gauze>16<=48 sq0.000.000.000.000.000.00XXX
    A6218PNon-sterile gauze > 48 sq in0.000.000.000.000.000.00XXX
    A6219PGauze <= 16 sq in w/border0.000.000.000.000.000.00XXX
    A6220PGauze >16 <=48 sq in w/bordr0.000.000.000.000.000.00XXX
    A6221PGauze > 48 sq in w/border0.000.000.000.000.000.00XXX
    A6222PGauze <=16 in no w/sal w/o b0.000.000.000.000.000.00XXX
    A6223PGauze >16<=48 no w/sal w/o b0.000.000.000.000.000.00XXX
    A6224PGauze > 48 in no w/sal w/o b0.000.000.000.000.000.00XXX
    A6228PGauze <= 16 sq in water/sal0.000.000.000.000.000.00XXX
    A6229PGauze >16<=48 sq in watr/sal0.000.000.000.000.000.00XXX
    A6230PGauze > 48 sq in water/salne0.000.000.000.000.000.00XXX
    A6231XHydrogel dsg<=16 sq in0.000.000.000.000.000.00XXX
    A6232XHydrogel dsg>16<=48 sq in0.000.000.000.000.000.00XXX
    A6233XHydrogel dressing >48 sq in0.000.000.000.000.000.00XXX
    A6234PHydrocolld drg <=16 w/o bdr0.000.000.000.000.000.00XXX
    A6235PHydrocolld drg >16<=48 w/o b0.000.000.000.000.000.00XXX
    A6236PHydrocolld drg > 48 in w/o b0.000.000.000.000.000.00XXX
    A6237PHydrocolld drg <=16 in w/bdr0.000.000.000.000.000.00XXX
    A6238PHydrocolld drg >16<=48 w/bdr0.000.000.000.000.000.00XXX
    A6239PHydrocolld drg > 48 in w/bdr0.000.000.000.000.000.00XXX
    A6240PHydrocolld drg filler paste0.000.000.000.000.000.00XXX
    A6241PHydrocolloid drg filler dry0.000.000.000.000.000.00XXX
    A6242PHydrogel drg <=16 in w/o bdr0.000.000.000.000.000.00XXX
    A6243PHydrogel drg >16<=48 w/o bdr0.000.000.000.000.000.00XXX
    A6244PHydrogel drg >48 in w/o bdr0.000.000.000.000.000.00XXX
    A6245PHydrogel drg <= 16 in w/bdr0.000.000.000.000.000.00XXX
    A6246PHydrogel drg >16<=48 in w/b0.000.000.000.000.000.00XXX
    A6247PHydrogel drg > 48 sq in w/b0.000.000.000.000.000.00XXX
    A6248PHydrogel drsg gel filler0.000.000.000.000.000.00XXX
    A6250PSkin seal protect moisturizr0.000.000.000.000.000.00XXX
    A6251PAbsorpt drg <=16 sq in w/o b0.000.000.000.000.000.00XXX
    A6252PAbsorpt drg >16 <=48 w/o bdr0.000.000.000.000.000.00XXX
    A6253PAbsorpt drg > 48 sq in w/o b0.000.000.000.000.000.00XXX
    A6254PAbsorpt drg <=16 sq in w/bdr0.000.000.000.000.000.00XXX
    A6255PAbsorpt drg >16<=48 in w/bdr0.000.000.000.000.000.00XXX
    A6256PAbsorpt drg > 48 sq in w/bdr0.000.000.000.000.000.00XXX
    A6257PTransparent film <= 16 sq in0.000.000.000.000.000.00XXX
    A6258PTransparent film >16<=48 in0.000.000.000.000.000.00XXX
    A6259PTransparent film > 48 sq in0.000.000.000.000.000.00XXX
    A6260PWound cleanser any type/size0.000.000.000.000.000.00XXX
    A6261PWound filler gel/paste /oz0.000.000.000.000.000.00XXX
    A6262PWound filler dry form / gram0.000.000.000.000.000.00XXX
    A6263PNon-sterile elastic gauze/yd0.000.000.000.000.000.00XXX
    A6264PNon-sterile no elastic gauze0.000.000.000.000.000.00XXX
    A6265PTape per 18 sq inches0.000.000.000.000.000.00XXX
    A6266PImpreg gauze no h20/sal/yard0.000.000.000.000.000.00XXX
    A6402PSterile gauze <= 16 sq in0.000.000.000.000.000.00XXX
    A6403PSterile gauze>16 <= 48 sq in0.000.000.000.000.000.00XXX
    A6404PSterile gauze > 48 sq in0.000.000.000.000.000.00XXX
    A6405PSterile elastic gauze /yd0.000.000.000.000.000.00XXX
    A6406PSterile non-elastic gauze/yd0.000.000.000.000.000.00XXX
    A7000XDisposable canister for pump0.000.000.000.000.000.00XXX
    A7001XNondisposable pump canister0.000.000.000.000.000.00XXX
    A7002XTubing used w suction pump0.000.000.000.000.000.00XXX
    A7003XNebulizer administration set0.000.000.000.000.000.00XXX
    A7004XDisposable nebulizer sml vol0.000.000.000.000.000.00XXX
    A7005XNondisposable nebulizer set0.000.000.000.000.000.00XXX
    Start Printed Page 40542
    A7006XFiltered nebulizer admin set0.000.000.000.000.000.00XXX
    A7007XLg vol nebulizer disposable0.000.000.000.000.000.00XXX
    A7008XDisposable nebulizer prefill0.000.000.000.000.000.00XXX
    A7009XNebulizer reservoir bottle0.000.000.000.000.000.00XXX
    A7010XDisposable corrugated tubing0.000.000.000.000.000.00XXX
    A7011XNondispos corrugated tubing0.000.000.000.000.000.00XXX
    A7012XNebulizer water collec devic0.000.000.000.000.000.00XXX
    A7013XDisposable compressor filter0.000.000.000.000.000.00XXX
    A7014XCompressor nondispos filter0.000.000.000.000.000.00XXX
    A7015XAerosol mask used w nebulize0.000.000.000.000.000.00XXX
    A7016XNebulizer dome & mouthpiece0.000.000.000.000.000.00XXX
    A7017XNebulizer not used w oxygen0.000.000.000.000.000.00XXX
    A7018XWater distilled w/nebulizer0.000.000.000.000.000.00XXX
    A7019XSaline solution dispenser0.000.000.000.000.000.00XXX
    A7020XSterile H2O or NSS w lgv neb0.000.000.000.000.000.00XXX
    A7501XTracheostoma valve w diaphra0.000.000.000.000.000.00XXX
    A7502XReplacement diaphragm/fplate0.000.000.000.000.000.00XXX
    A7503XHMES filter holder or cap0.000.000.000.000.000.00XXX
    A7504XTracheostoma HMES filter0.000.000.000.000.000.00XXX
    A7505XHMES or trach valve housing0.000.000.000.000.000.00XXX
    A7506XHMES/trachvalve adhesivedisk0.000.000.000.000.000.00XXX
    A7507XIntegrated filter & holder0.000.000.000.000.000.00XXX
    A7508XHousing & Integrated Adhesiv0.000.000.000.000.000.00XXX
    A7509XHeat & moisture exchange sys0.000.000.000.000.000.00XXX
    A9150EMisc/exper non-prescript dru0.000.000.000.000.000.00XXX
    A9160NPodiatrist non-covered servi0.000.000.000.000.000.00XXX
    A9170NChiropractor non-covered ser0.000.000.000.000.000.00XXX
    A9190NMisc/expe personal comfort i0.000.000.000.000.000.00XXX
    A9270NNon-covered item or service0.000.000.000.000.000.00XXX
    A9300NExercise equipment0.000.000.000.000.000.00XXX
    A9500ETechnetium TC 99m sestamibi0.000.000.000.000.000.00XXX
    A9502XTechnetium TC99M tetrofosmin0.000.000.000.000.000.00XXX
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    A9507XIndium/111 capromab pendetid0.000.000.000.000.000.00XXX
    A9508XIobenguane sulfate I-1310.000.000.000.000.000.00XXX
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    Start Printed Page 40543
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    Start Printed Page 40544
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    D3348NRetreat root canal molar0.000.000.000.000.000.00XXX
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    Start Printed Page 40545
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    D5867NReplacement of precision att0.000.000.000.000.000.00XXX
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    D5911RFacial moulage sectional0.000.000.000.000.000.00YYY
    D5912RFacial moulage complete0.000.000.000.000.000.00YYY
    D5913INasal prosthesis0.000.000.000.000.000.00XXX
    D5914IAuricular prosthesis0.000.000.000.000.000.00XXX
    D5915IOrbital prosthesis0.000.000.000.000.000.00XXX
    D5916IOcular prosthesis0.000.000.000.000.000.00XXX
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    D5926IReplacement nasal prosthesis0.000.000.000.000.000.00XXX
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    Start Printed Page 40546
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    D5986NFluoride applicator0.000.000.000.000.000.00XXX
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    D5988ISurgical splint0.000.000.000.000.000.00XXX
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    D6072NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6073NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6074NAbutment supported retainer0.000.000.000.000.000.00XXX
    D6075NImplant supported retainer0.000.000.000.000.000.00XXX
    D6076NImplant supported retainer0.000.000.000.000.000.00XXX
    D6077NImplant supported retainer0.000.000.000.000.000.00XXX
    D6078NImplnt/abut suprtd fixd dent0.000.000.000.000.000.00XXX
    D6079NImplnt/abut suprtd fixd dent0.000.000.000.000.000.00XXX
    D6080IImplant maintenance0.000.000.000.000.000.00XXX
    D6090IRepair implant0.000.000.000.000.000.00XXX
    D6095IOdontics repr abutment0.000.000.000.000.000.00XXX
    D6100IRemoval of implant0.000.000.000.000.000.00XXX
    D6199IImplant procedure0.000.000.000.000.000.00XXX
    D6210NProsthodont high noble metal0.000.000.000.000.000.00XXX
    D6211NBridge base metal cast0.000.000.000.000.000.00XXX
    D6212NBridge noble metal cast0.000.000.000.000.000.00XXX
    D6240NBridge porcelain high noble0.000.000.000.000.000.00XXX
    D6241NBridge porcelain base metal0.000.000.000.000.000.00XXX
    D6242NBridge porcelain nobel metal0.000.000.000.000.000.00XXX
    D6245NBridge porcelain/ceramic0.000.000.000.000.000.00XXX
    D6250NBridge resin w/high noble0.000.000.000.000.000.00XXX
    D6251NBridge resin base metal0.000.000.000.000.000.00XXX
    D6252NBridge resin w/noble metal0.000.000.000.000.000.00XXX
    D6519NInlay/onlay porce/ceramic0.000.000.000.000.000.00XXX
    D6520NDental retainer two surfaces0.000.000.000.000.000.00XXX
    D6530NRetainer metallic 3+ surface0.000.000.000.000.000.00XXX
    D6543NDental retainr onlay 3 surf0.000.000.000.000.000.00XXX
    D6544NDental retainr onlay 4/more0.000.000.000.000.000.00XXX
    D6545NDental retainr cast metl0.000.000.000.000.000.00XXX
    D6548NPorcelain/ceramic retainer0.000.000.000.000.000.00XXX
    D6720NRetain crown resin w hi nble0.000.000.000.000.000.00XXX
    D6721NCrown resin w/base metal0.000.000.000.000.000.00XXX
    D6722NCrown resin w/noble metal0.000.000.000.000.000.00XXX
    D6740NCrown porcelain/ceramic0.000.000.000.000.000.00XXX
    D6750NCrown porcelain high noble0.000.000.000.000.000.00XXX
    D6751NCrown porcelain base metal0.000.000.000.000.000.00XXX
    D6752NCrown porcelain noble metal0.000.000.000.000.000.00XXX
    D6780NCrown 3/4 high noble metal0.000.000.000.000.000.00XXX
    D6781NCrown 3/4 cast based metal0.000.000.000.000.000.00XXX
    D6782NCrown 3/4 cast noble metal0.000.000.000.000.000.00XXX
    D6783NCrown 3/4 porcelain/ceramic0.000.000.000.000.000.00XXX
    D6790NCrown full high noble metal0.000.000.000.000.000.00XXX
    Start Printed Page 40547
    D6791NCrown full base metal cast0.000.000.000.000.000.00XXX
    D6792NCrown full noble metal cast0.000.000.000.000.000.00XXX
    D6920RDental connector bar0.000.000.000.000.000.00YYY
    D6930NDental recement bridge0.000.000.000.000.000.00XXX
    D6940NStress breaker0.000.000.000.000.000.00XXX
    D6950NPrecision attachment0.000.000.000.000.000.00XXX
    D6970NPost & core plus retainer0.000.000.000.000.000.00XXX
    D6971NCast post bridge retainer0.000.000.000.000.000.00XXX
    D6972NPrefab post & core plus reta0.000.000.000.000.000.00XXX
    D6973NCore build up for retainer0.000.000.000.000.000.00XXX
    D6975NCoping metal0.000.000.000.000.000.00XXX
    D6976NEach addtnl cast post0.000.000.000.000.000.00XXX
    D6977NEach addtl prefab post0.000.000.000.000.000.00XXX
    D6980NBridge repair0.000.000.000.000.000.00XXX
    D6999NFixed prosthodontic proc0.000.000.000.000.000.00XXX
    D7110ROral surgery single tooth0.000.000.000.000.000.00YYY
    D7120REach add tooth extraction0.000.000.000.000.000.00YYY
    D7130RTooth root removal0.000.000.000.000.000.00YYY
    D7210RRem imp tooth w mucoper flp0.000.000.000.000.000.00YYY
    D7220RImpact tooth remov soft tiss0.000.000.000.000.000.00YYY
    D7230RImpact tooth remov part bony0.000.000.000.000.000.00YYY
    D7240RImpact tooth remov comp bony0.000.000.000.000.000.00YYY
    D7241RImpact tooth rem bony w/comp0.000.000.000.000.000.00YYY
    D7250RTooth root removal0.000.000.000.000.000.00YYY
    D7260ROral antral fistula closure0.000.000.000.000.000.00YYY
    D7270NTooth reimplantation0.000.000.000.000.000.00XXX
    D7272NTooth transplantation0.000.000.000.000.000.00XXX
    D7280NExposure impact tooth orthod0.000.000.000.000.000.00XXX
    D7281NExposure tooth aid eruption0.000.000.000.000.000.00XXX
    D7285IBiopsy of oral tissue hard0.000.000.000.000.000.00XXX
    D7286IBiopsy of oral tissue soft0.000.000.000.000.000.00XXX
    D7290NRepositioning of teeth0.000.000.000.000.000.00XXX
    D7291RTransseptal fiberotomy0.000.000.000.000.000.00YYY
    D7310IAlveoplasty w/ extraction0.000.000.000.000.000.00XXX
    D7320IAlveoplasty w/o extraction0.000.000.000.000.000.00XXX
    D7340IVestibuloplasty ridge extens0.000.000.000.000.000.00XXX
    D7350IVestibuloplasty exten graft0.000.000.000.000.000.00XXX
    D7410IRad exc lesion up to 1.25 cm0.000.000.000.000.000.00XXX
    D7420ILesion > 1.25 cm0.000.000.000.000.000.00XXX
    D7430IExc benign tumor to 1.25 cm0.000.000.000.000.000.00XXX
    D7431IBenign tumor exc > 1.25 cm0.000.000.000.000.000.00XXX
    D7440IMalig tumor exc to 1.25 cm0.000.000.000.000.000.00XXX
    D7441IMalig tumor > 1.25 cm0.000.000.000.000.000.00XXX
    D7450IRem odontogen cyst to 1.25cm0.000.000.000.000.000.00XXX
    D7451IRem odontogen cyst > 1.25 cm0.000.000.000.000.000.00XXX
    D7460IRem nonodonto cyst to 1.25cm0.000.000.000.000.000.00XXX
    D7461IRem nonodonto cyst > 1.25 cm0.000.000.000.000.000.00XXX
    D7465ILesion destruction0.000.000.000.000.000.00XXX
    D7471IRem exostosis any site0.000.000.000.000.000.00XXX
    D7480IPartial ostectomy0.000.000.000.000.000.00XXX
    D7490IMandible resection0.000.000.000.000.000.00XXX
    D7510II&d absc intraoral soft tiss0.000.000.000.000.000.00XXX
    D7520II&d abscess extraoral0.000.000.000.000.000.00XXX
    D7530IRemoval fb skin/areolar tiss0.000.000.000.000.000.00XXX
    D7540IRemoval of fb reaction0.000.000.000.000.000.00XXX
    D7550IRemoval of sloughed off bone0.000.000.000.000.000.00XXX
    D7560IMaxillary sinusotomy0.000.000.000.000.000.00XXX
    D7610IMaxilla open reduct simple0.000.000.000.000.000.00XXX
    D7620IClsd reduct simpl maxilla fx0.000.000.000.000.000.00XXX
    D7630IOpen red simpl mandible fx0.000.000.000.000.000.00XXX
    D7640IClsd red simpl mandible fx0.000.000.000.000.000.00XXX
    D7650IOpen red simp malar/zygom fx0.000.000.000.000.000.00XXX
    D7660IClsd red simp malar/zygom fx0.000.000.000.000.000.00XXX
    D7670IClosd rductn splint alveolus0.000.000.000.000.000.00XXX
    D7680IReduct simple facial bone fx0.000.000.000.000.000.00XXX
    D7710IMaxilla open reduct compound0.000.000.000.000.000.00XXX
    D7720IClsd reduct compd maxilla fx0.000.000.000.000.000.00XXX
    D7730IOpen reduct compd mandble fx0.000.000.000.000.000.00XXX
    D7740IClsd reduct compd mandble fx0.000.000.000.000.000.00XXX
    D7750IOpen red comp malar/zygma fx0.000.000.000.000.000.00XXX
    D7760IClsd red comp malar/zygma fx0.000.000.000.000.000.00XXX
    D7770IOpen reduc compd alveolus fx0.000.000.000.000.000.00XXX
    D7780IReduct compnd facial bone fx0.000.000.000.000.000.00XXX
    D7810ITmj open reduct-dislocation0.000.000.000.000.000.00XXX
    Start Printed Page 40548
    D7820IClosed tmp manipulation0.000.000.000.000.000.00XXX
    D7830ITmj manipulation under anest0.000.000.000.000.000.00XXX
    D7840IRemoval of tmj condyle0.000.000.000.000.000.00XXX
    D7850ITmj meniscectomy0.000.000.000.000.000.00XXX
    D7852ITmj repair of joint disc0.000.000.000.000.000.00XXX
    D7854ITmj excisn of joint membrane0.000.000.000.000.000.00XXX
    D7856ITmj cutting of a muscle0.000.000.000.000.000.00XXX
    D7858ITmj reconstruction0.000.000.000.000.000.00XXX
    D7860ITmj cutting into joint0.000.000.000.000.000.00XXX
    D7865ITmj reshaping components0.000.000.000.000.000.00XXX
    D7870ITmj aspiration joint fluid0.000.000.000.000.000.00XXX
    D7871NLysis + lavage w catheters0.000.000.000.000.000.00XXX
    D7872ITmj diagnostic arthroscopy0.000.000.000.000.000.00XXX
    D7873ITmj arthroscopy lysis adhesn0.000.000.000.000.000.00XXX
    D7874ITmj arthroscopy disc reposit0.000.000.000.000.000.00XXX
    D7875ITmj arthroscopy synovectomy0.000.000.000.000.000.00XXX
    D7876ITmj arthroscopy discectomy0.000.000.000.000.000.00XXX
    D7877ITmj arthroscopy debridement0.000.000.000.000.000.00XXX
    D7880IOcclusal orthotic appliance0.000.000.000.000.000.00XXX
    D7899ITmj unspecified therapy0.000.000.000.000.000.00XXX
    D7910IDent sutur recent wnd to 5cm0.000.000.000.000.000.00XXX
    D7911IDental suture wound to 5 cm0.000.000.000.000.000.00XXX
    D7912ISuture complicate wnd > 5 cm0.000.000.000.000.000.00XXX
    D7920IDental skin graft0.000.000.000.000.000.00XXX
    D7940RReshaping bone orthognathic0.000.000.000.000.000.00YYY
    D7941IBone cutting ramus closed0.000.000.000.000.000.00XXX
    D7943ICutting ramus open w/graft0.000.000.000.000.000.00XXX
    D7944IBone cutting segmented0.000.000.000.000.000.00XXX
    D7945IBone cutting body mandible0.000.000.000.000.000.00XXX
    D7946IReconstruction maxilla total0.000.000.000.000.000.00XXX
    D7947IReconstruct maxilla segment0.000.000.000.000.000.00XXX
    D7948IReconstruct midface no graft0.000.000.000.000.000.00XXX
    D7949IReconstruct midface w/graft0.000.000.000.000.000.00XXX
    D7950IMandible graft0.000.000.000.000.000.00XXX
    D7955IRepair maxillofacial defects0.000.000.000.000.000.00XXX
    D7960IFrenulectomy/frenulotomy0.000.000.000.000.000.00XXX
    D7970IExcision hyperplastic tissue0.000.000.000.000.000.00XXX
    D7971IExcision pericoronal gingiva0.000.000.000.000.000.00XXX
    D7980ISialolithotomy0.000.000.000.000.000.00XXX
    D7981IExcision of salivary gland0.000.000.000.000.000.00XXX
    D7982ISialodochoplasty0.000.000.000.000.000.00XXX
    D7983IClosure of salivary fistula0.000.000.000.000.000.00XXX
    D7990IEmergency tracheotomy0.000.000.000.000.000.00XXX
    D7991IDental coronoidectomy0.000.000.000.000.000.00XXX
    D7995ISynthetic graft facial bones0.000.000.000.000.000.00XXX
    D7996IImplant mandible for augment0.000.000.000.000.000.00XXX
    D7997NAppliance removal0.000.000.000.000.000.00XXX
    D7999IOral surgery procedure0.000.000.000.000.000.00XXX
    D8010NLimited dental tx primary0.000.000.000.000.000.00XXX
    D8020NLimited dental tx transition0.000.000.000.000.000.00XXX
    D8030NLimited dental tx adolescent0.000.000.000.000.000.00XXX
    D8040NLimited dental tx adult0.000.000.000.000.000.00XXX
    D8050NIntercep dental tx primary0.000.000.000.000.000.00XXX
    D8060NIntercep dental tx transitn0.000.000.000.000.000.00XXX
    D8070NCompre dental tx transition0.000.000.000.000.000.00XXX
    D8080NCompre dental tx adolescent0.000.000.000.000.000.00XXX
    D8090NCompre dental tx adult0.000.000.000.000.000.00XXX
    D8210NOrthodontic rem appliance tx0.000.000.000.000.000.00XXX
    D8220NFixed appliance therapy habt0.000.000.000.000.000.00XXX
    D8660NPreorthodontic tx visit0.000.000.000.000.000.00XXX
    D8670NPeriodic orthodontc tx visit0.000.000.000.000.000.00XXX
    D8680NOrthodontic retention0.000.000.000.000.000.00XXX
    D8690NOrthodontic treatment0.000.000.000.000.000.00XXX
    D8691NRepair ortho appliance0.000.000.000.000.000.00XXX
    D8692NReplacement retainer0.000.000.000.000.000.00XXX
    D8999NOrthodontic procedure0.000.000.000.000.000.00XXX
    D9110RTx dental pain minor proc0.000.000.000.000.000.00YYY
    D9210IDent anesthesia w/o surgery0.000.000.000.000.000.00XXX
    D9211IRegional block anesthesia0.000.000.000.000.000.00XXX
    D9212ITrigeminal block anesthesia0.000.000.000.000.000.00XXX
    D9215ILocal anesthesia0.000.000.000.000.000.00XXX
    D9220IGeneral anesthesia0.000.000.000.000.000.00XXX
    D9221IGeneral anesthesia ea ad 15m0.000.000.000.000.000.00XXX
    D9230RAnalgesia0.000.000.000.000.000.00YYY
    Start Printed Page 40549
    D9241IIntravenous sedation0.000.000.000.000.000.00XXX
    D9242IIV sedation ea ad 30 m0.000.000.000.000.000.00XXX
    D9248RSedation (non-iv)0.000.000.000.000.000.00XXX
    D9310IDental consultation0.000.000.000.000.000.00XXX
    D9410IDental house call0.000.000.000.000.000.00XXX
    D9420IHospital call0.000.000.000.000.000.00XXX
    D9430IOffice visit during hours0.000.000.000.000.000.00XXX
    D9440IOffice visit after hours0.000.000.000.000.000.00XXX
    D9610IDent therapeutic drug inject0.000.000.000.000.000.00XXX
    D9630ROther drugs/medicaments0.000.000.000.000.000.00YYY
    D9910NDent appl desensitizing med0.000.000.000.000.000.00XXX
    D9911NAppl desensitizing resin0.000.000.000.000.000.00XXX
    D9920NBehavior management0.000.000.000.000.000.00XXX
    D9930RTreatment of complications0.000.000.000.000.000.00YYY
    D9940RDental occlusal guard0.000.000.000.000.000.00YYY
    D9941NFabrication athletic guard0.000.000.000.000.000.00XXX
    D9950ROcclusion analysis0.000.000.000.000.000.00YYY
    D9951RLimited occlusal adjustment0.000.000.000.000.000.00YYY
    D9952RComplete occlusal adjustment0.000.000.000.000.000.00YYY
    D9970NEnamel microabrasion0.000.000.000.000.000.00XXX
    D9971NOdontoplasty 1-2 teeth0.000.000.000.000.000.00XXX
    D9972NExtrnl bleaching per arch0.000.000.000.000.000.00XXX
    D9973NExtrnl bleaching per tooth0.000.000.000.000.000.00XXX
    D9974NIntrnl bleaching per tooth0.000.000.000.000.000.00XXX
    D9999IAdjunctive procedure0.000.000.000.000.000.00XXX
    G0001XDrawing blood for specimen0.000.000.000.000.000.00XXX
    G0002ATemporary urinary catheter0.500.173.100.030.703.63000
    G0004AECG transm phys review & int0.52NA7.350.45NA8.32XXX
    G0005AECG 24 hour recording0.00NA1.220.07NA1.29XXX
    G0006AECG transmission & analysis0.00NA5.920.36NA6.28XXX
    G0007AECG phy review & interpret0.520.210.210.020.750.75XXX
    G0008XAdmin influenza virus vac0.000.000.000.000.000.00XXX
    G0009XAdmin pneumococcal vaccine0.000.000.000.000.000.00XXX
    G0010XAdmin hepatitis b vaccine0.000.000.000.000.000.00XXX
    G0015APost symptom ECG tracing0.00NA5.920.36NA6.28XXX
    G0016APost symptom ECG md review0.520.230.230.020.770.77XXX
    G0025BCollagen skin test kit0.000.000.000.000.000.00XXX
    G0026XFecal leukocyte examination0.000.000.000.000.000.00XXX
    G0027XSemen analysis0.000.000.000.000.000.00XXX
    G0030CPET imaging prev PET single0.00NA0.000.00NA0.00XXX
    G003026APET imaging prev PET single1.500.520.520.042.062.06XXX
    G0030TCCPET imaging prev PET single0.00NA0.000.00NA0.00XXX
    G0031CPET imaging prev PET multple0.00NA0.000.00NA0.00XXX
    G003126APET imaging prev PET multple1.870.700.700.062.632.63XXX
    G0031TCCPET imaging prev PET multple0.00NA0.000.00NA0.00XXX
    G0032CPET follow SPECT 78464 singl0.00NA0.000.00NA0.00XXX
    G003226APET follow SPECT 78464 singl1.500.520.520.052.072.07XXX
    G0032TCCPET follow SPECT 78464 singl0.00NA0.000.00NA0.00XXX
    G0033CPET follow SPECT 78464 mult0.00NA0.000.00NA0.00XXX
    G003326APET follow SPECT 78464 mult1.870.700.700.062.632.63XXX
    G0033TCCPET follow SPECT 78464 mult0.00NA0.000.00NA0.00XXX
    G0034CPET follow SPECT 76865 singl0.00NA0.000.00NA0.00XXX
    G003426APET follow SPECT 76865 singl1.500.520.520.052.072.07XXX
    G0034TCCPET follow SPECT 76865 singl0.00NA0.000.00NA0.00XXX
    G0035CPET follow SPECT 78465 mult0.00NA0.000.00NA0.00XXX
    G003526APET follow SPECT 78465 mult1.870.700.700.062.632.63XXX
    G0035TCCPET follow SPECT 78465 mult0.00NA0.000.00NA0.00XXX
    G0036CPET follow cornry angio sing0.00NA0.000.00NA0.00XXX
    G003626APET follow cornry angio sing1.500.520.520.042.062.06XXX
    G0036TCCPET follow cornry angio sing0.00NA0.000.00NA0.00XXX
    G0037CPET follow cornry angio mult0.00NA0.000.00NA0.00XXX
    G003726APET follow cornry angio mult1.870.700.700.062.632.63XXX
    G0037TCCPET follow cornry angio mult0.00NA0.000.00NA0.00XXX
    G0038CPET follow myocard perf sing0.00NA0.000.00NA0.00XXX
    G003826APET follow myocard perf sing1.500.520.520.042.062.06XXX
    G0038TCCPET follow myocard perf sing0.00NA0.000.00NA0.00XXX
    G0039CPET follow myocard perf mult0.00NA0.000.00NA0.00XXX
    G003926APET follow myocard perf mult1.870.700.700.072.642.64XXX
    G0039TCCPET follow myocard perf mult0.00NA0.000.00NA0.00XXX
    G0040CPET follow stress echo singl0.00NA0.000.00NA0.00XXX
    G004026APET follow stress echo singl1.500.520.520.042.062.06XXX
    G0040TCCPET follow stress echo singl0.00NA0.000.00NA0.00XXX
    G0041CPET follow stress echo mult0.00NA0.000.00NA0.00XXX
    G004126APET follow stress echo mult1.870.700.700.052.622.62XXX
    Start Printed Page 40550
    G0041TCCPET follow stress echo mult0.00NA0.000.00NA0.00XXX
    G0042CPET follow ventriculogm sing0.00NA0.000.00NA0.00XXX
    G004226APET follow ventriculogm sing1.500.520.520.042.062.06XXX
    G0042TCCPET follow ventriculogm sing0.00NA0.000.00NA0.00XXX
    G0043CPET follow ventriculogm mult0.00NA0.000.00NA0.00XXX
    G004326APET follow ventriculogm mult1.870.700.700.062.632.63XXX
    G0043TCCPET follow ventriculogm mult0.00NA0.000.00NA0.00XXX
    G0044CPET following rest ECG singl0.00NA0.000.00NA0.00XXX
    G004426APET following rest ECG singl1.500.520.520.042.062.06XXX
    G0044TCCPET following rest ECG singl0.00NA0.000.00NA0.00XXX
    G0045CPET following rest ECG mult0.00NA0.000.00NA0.00XXX
    G004526APET following rest ECG mult1.870.700.700.062.632.63XXX
    G0045TCCPET following rest ECG mult0.00NA0.000.00NA0.00XXX
    G0046CPET follow stress ECG singl0.00NA0.000.00NA0.00XXX
    G004626APET follow stress ECG singl1.500.520.520.042.062.06XXX
    G0046TCCPET follow stress ECG singl0.00NA0.000.00NA0.00XXX
    G0047CPET follow stress ECG mult0.00NA0.000.00NA0.00XXX
    G004726APET follow stress ECG mult1.870.700.700.062.632.63XXX
    G0047TCCPET follow stress ECG mult0.00NA0.000.00NA0.00XXX
    G0050AResidual urine by ultrasound0.00NA0.840.04NA0.88XXX
    G0101ACA screen;pelvic/breast exam0.450.180.690.010.641.15XXX
    G0102AProstate ca screening; dre0.170.060.370.010.240.55XXX
    G0103XPsa, total screening0.000.000.000.000.000.00XXX
    G0104ACA screen;flexi sigmoidscope0.880.451.880.051.382.81000
    G0105AColorectal scrn; hi risk ind3.681.747.300.205.6211.18000
    G0106AColon CA screen;barium enema0.99NA2.550.15NA3.69XXX
    G010626AColon CA screen;barium enema0.990.350.350.041.381.38XXX
    G0106TCAColon CA screen;barium enema0.00NA2.200.11NA2.31XXX
    G0107XCA screen; fecal blood test0.000.000.000.000.000.00XXX
    G0108ADiab manage trn per indiv0.00NA1.640.01NA1.65XXX
    G0109ADiab manage trn ind/group0.00NA0.960.01NA0.97XXX
    G0110RNett pulm-rehab educ; ind0.900.360.750.031.291.68XXX
    G0111RNett pulm-rehab educ; group0.270.110.290.010.390.57XXX
    G0112RNett;nutrition guid, initial1.720.681.480.052.453.25XXX
    G0113RNett;nutrition guid,subseqnt1.290.511.150.041.842.48XXX
    G0114RNett; psychosocial consult1.200.470.490.031.701.72XXX
    G0115RNett; psychological testing1.200.380.710.041.621.95XXX
    G0116RNett; psychosocial counsel1.110.441.240.041.592.39XXX
    G0120AColon ca scrn; barium enema0.99NA2.550.15NA3.69XXX
    G012026AColon ca scrn; barium enema0.990.350.350.041.381.38XXX
    G0120TCAColon ca scrn; barium enema0.00NA2.200.11NA2.31XXX
    G0121AColon ca scrn not hi rsk ind3.681.747.300.205.6211.18000
    G0122NColon ca scrn; barium enema+0.99NA2.590.15NA3.73XXX
    G012226NColon ca scrn; barium enema+0.990.390.390.041.421.42XXX
    G0122TCNColon ca scrn; barium enema+0.00NA2.200.11NA2.31XXX
    G0123XScreen cerv/vag thin layer0.000.000.000.000.000.00XXX
    G0124AScreen c/v thin layer by MD0.420.190.190.010.620.62XXX
    G0125ALung image (PET)1.500.5256.082.004.0259.58XXX
    G012526ALung image (PET)1.500.520.520.052.072.07XXX
    G0125TCALung image (PET)0.00NA55.561.95NA57.51XXX
    G0126ALung image (PET) staging1.870.7056.262.014.5860.14XXX
    G012626ALung image (PET) staging1.870.700.700.062.632.63XXX
    G0126TCALung image (PET) staging0.00NA55.561.95NA57.51XXX
    G0127RTrim nail(s)0.110.050.520.010.170.64000
    G0128RCORF skilled nursing service0.080.030.030.010.120.12XXX
    G0130ASingle energy x-ray study0.22NA0.900.05NA1.17XXX
    G013026ASingle energy x-ray study0.220.110.110.010.340.34XXX
    G0130TCASingle energy x-ray study0.00NA0.790.04NA0.83XXX
    G0131ACT scan, bone density study0.25NA3.180.14NA3.57XXX
    G013126ACT scan, bone density study0.250.130.130.010.390.39XXX
    G0131TCACT scan, bone density study0.00NA3.050.13NA3.18XXX
    G0132ACT scan, bone density study0.22NA0.900.05NA1.17XXX
    G013226ACT scan, bone density study0.220.110.110.010.340.34XXX
    G0132TCACT scan, bone density study0.00NA0.790.04NA0.83XXX
    G0141AScr c/v cyto,autosys and md0.420.190.190.010.620.62XXX
    G0143XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.00XXX
    G0144XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.00XXX
    G0145XScr c/v cyto,thinlayer,rescr0.000.000.000.000.000.00XXX
    G0147XScr c/v cyto, automated sys0.000.000.000.000.000.00XXX
    G0148XScr c/v cyto, autosys, rescr0.000.000.000.000.000.00XXX
    G0163APet for rec of colorectal ca1.500.5656.122.004.0659.62XXX
    G016326APet for rec of colorectal ca1.500.560.560.052.112.11XXX
    G0163TCAPet for rec of colorectal ca0.00NA55.561.95NA57.51XXX
    G0164APet for lymphoma staging1.870.6956.252.014.5760.13XXX
    Start Printed Page 40551
    G016426APet for lymphoma staging1.870.690.690.062.622.62XXX
    G0164TCAPet for lymphoma staging0.00NA55.561.95NA57.51XXX
    G0165APet,rec of melanoma/met ca1.500.5956.152.004.0959.65XXX
    G016526APet,rec of melanoma/met ca1.500.590.590.052.142.14XXX
    G0165TCAPet,rec of melanoma/met ca0.00NA55.561.95NA57.51XXX
    G0166AExtrnl counterpulse, per tx0.070.033.750.010.113.83XXX
    G0167CHyperbaric oz tx;no md reqrd0.000.000.000.000.000.00XXX
    G0168AWound closure by adhesive0.450.251.800.010.712.26000
    G0173XStereo radoisurgery,complete0.000.000.000.000.000.00XXX
    G0174XIntensitymodulatedradiation0.000.000.000.000.000.00XXX
    G0175XOPPS Service,sched team conf0.000.000.000.000.000.00XXX
    G0176XOPPS/PHP;activity therapy0.000.000.000.000.000.00XXX
    G0177XOPPS/PHP; train & educ serv0.000.000.000.000.000.00XXX
    G0178XIntensitymodulatedradiation0.000.000.000.000.000.00XXX
    G0179AMD recertification HHA patie0.45NA1.110.06NA1.62XXX
    G0180AMD certification HHA patient0.67NA1.190.06NA1.92XXX
    G0181AHome health care supervision1.73NA1.450.06NA3.24XXX
    G0182AHospice care supervision1.73NA1.780.06NA3.57XXX
    G0183XOcular photodynamic therapy0.000.000.000.000.000.00XXX
    G0184AOcular photodynamic tx, 2nd0.470.230.230.501.201.20ZZZ
    G0185CTranspuppillary thermotx0.000.000.000.000.000.00YYY
    G0186CDstry eye lesn,fdr vssl tech0.000.000.000.000.000.00YYY
    G0187CDstry mclr drusen,photocoag0.000.000.000.000.000.00YYY
    G0188CXray lwr extrmty-full lngth0.00NA0.000.00NA0.00XXX
    G018826CXray lwr extrmty-full lngth0.000.000.000.000.000.00XXX
    G0188TCCXray lwr extrmty-full lngth0.00NA0.000.00NA0.00XXX
    G0190XImmunization administration0.000.000.000.000.000.00XXX
    G0191XImmunization admin,each add0.000.000.000.000.000.00XXX
    G0192NImmunization oral/intranasal0.000.000.000.000.000.00XXX
    G0193CEndoscopicstudyswallowfunctn0.000.000.000.000.000.00XXX
    G0194CSensorytestingendoscopicstud0.000.000.000.000.000.00XXX
    G0195AClinicalevalswallowingfunct1.500.772.060.072.343.63XXX
    G0196AEvalofswallowingwithradioopa1.500.772.060.072.343.63XXX
    G0197AEvalofptforprescipspeechdevi1.350.781.990.042.173.38XXX
    G0198APatientadapation&trainforspe0.990.581.080.031.602.10XXX
    G0199AReevaluationofpatientusespec1.010.591.800.031.632.84XXX
    G0200AEvalofpatientprescipofvoicep1.350.781.990.042.173.38XXX
    G0201AModifortraininginusevoicepro0.990.581.080.031.602.10XXX
    G0202GScreen Mammogram, digital0.000.000.000.000.000.00XXX
    G0203GScr Mamm, film to digital0.000.000.000.000.000.00XXX
    G0204GDiag Mamm, digital, bilat0.69NA1.560.09NA2.34XXX
    G020426GDiag Mamm, digital, bilat0.690.270.270.030.990.99XXX
    G0204TCGDiag Mamm, digital, bilat0.00NA1.290.06NA1.35XXX
    G0205GDiag Mamm, film/digit/bil0.69NA1.560.09NA2.34XXX
    G020526GDiag Mamm, film/digit/bil0.690.270.270.030.990.99XXX
    G0205TCGDiag Mamm, film/digit/bil0.00NA1.290.06NA1.35XXX
    G0206GDiag Mamm, digital, uni0.58NA1.270.08NA1.93XXX
    G020626GDiag Mamm, digital, uni0.580.230.230.030.840.84XXX
    G0206TCGDiag Mamm, digital, uni0.00NA1.040.05NA1.09XXX
    G0207GDiag Mamm, film/digit/uni0.58NA1.270.08NA1.93XXX
    G020726GDiag Mamm, film/digit/uni0.580.230.230.030.840.84XXX
    G0207TCGDiag Mamm, film/digit/uni0.00NA1.040.05NA1.09XXX
    G0210CPET img wholebody dxlung ca0.00NA0.000.00NA0.00XXX
    G021026APET img wholebody dxlung ca1.500.600.600.042.142.14XXX
    G0210TCCPET img wholebody dxlung ca0.00NA0.000.00NA0.00XXX
    G0211CPET img wholebody init lung0.00NA0.000.00NA0.00XXX
    G021126APET img wholebody init lung1.500.600.600.042.142.14XXX
    G0211TCCPET img wholebody init lung0.00NA0.000.00NA0.00XXX
    G0212CPET img wholebod restag lung0.00NA0.000.00NA0.00XXX
    G021226APET img wholebod restag lung1.500.600.600.042.142.14XXX
    G0212TCCPET img wholebod restag lung0.00NA0.000.00NA0.00XXX
    G0213CPET img wholebody dx colorec0.00NA0.000.00NA0.00XXX
    G021326APET img wholebody dx colorec1.500.600.600.042.142.14XXX
    G0213TCCPET img wholebody dx colorec0.00NA0.000.00NA0.00XXX
    G0214CPET img wholebody init color0.00NA0.000.00NA0.00XXX
    G021426APET img wholebody init color1.500.600.600.042.142.14XXX
    G0214TCCPET img wholebody init color0.00NA0.000.00NA0.00XXX
    G0215CPET img wholebod restag colr0.00NA0.000.00NA0.00XXX
    G021526APET img wholebod restag colr1.500.600.600.042.142.14XXX
    G0215TCCPET img wholebod restag colr0.00NA0.000.00NA0.00XXX
    G0216CPET img wholebod dx melanoma0.00NA0.000.00NA0.00XXX
    G021626APET img wholebod dx melanoma1.500.600.600.042.142.14XXX
    G0216TCCPET img wholebod dx melanoma0.00NA0.000.00NA0.00XXX
    G0217CPET img wholbod init melano0.00NA0.000.00NA0.00XXX
    Start Printed Page 40552
    G021726APET img wholbod init melano1.500.600.600.042.142.14XXX
    G0217TCCPET img wholbod init melano0.00NA0.000.00NA0.00XXX
    G0218CPET img wholebod restag mela0.00NA0.000.00NA0.00XXX
    G021826APET img wholebod restag mela1.500.600.600.042.142.14XXX
    G0218TCCPET img wholebod restag mela0.00NA0.000.00NA0.00XXX
    G0219CPET img wholbod melano non-c0.00NA0.000.00NA0.00XXX
    G021926APET img wholbod melano non-c1.500.600.600.042.142.14XXX
    G0219TCCPET img wholbod melano non-c0.00NA0.000.00NA0.00XXX
    G0220CPET img wholebod dx lymphoma0.00NA0.000.00NA0.00XXX
    G022026APET img wholebod dx lymphoma1.500.600.600.042.142.14XXX
    G0220TCCPET img wholebod dx lymphoma0.00NA0.000.00NA0.00XXX
    G0221CPET img wholbod init lympho0.00NA0.000.00NA0.00XXX
    G022126APET img wholbod init lympho1.500.600.600.042.142.14XXX
    G0221TCCPET img wholbod init lympho0.00NA0.000.00NA0.00XXX
    G0222CPET img wholbod resta lymph0.00NA0.000.00NA0.00XXX
    G022226APET img wholbod resta lymph1.500.600.600.042.142.14XXX
    G0222TCCPET img wholbod resta lymph0.00NA0.000.00NA0.00XXX
    G0223CPET imag wholbod reg dx head0.00NA0.000.00NA0.00XXX
    G022326APET imag wholbod reg dx head1.500.600.600.042.142.14XXX
    G0223TCCPET imag wholbod reg dx head0.00NA0.000.00NA0.00XXX
    G0224CPET imag wholbod req ini hea0.00NA0.000.00NA0.00XXX
    G022426APET imag wholbod req ini hea1.500.600.600.042.142.14XXX
    G0224TCCPET imag wholbod reg ini hea0.00NA0.000.00NA0.00XXX
    G0225CPET whol restag headneck onl0.00NA0.000.00NA0.00XXX
    G022526APET whol restag headneck onl1.500.600.600.042.142.14XXX
    G0225TCCPET whol restag headneck onl0.00NA0.000.00NA0.00XXX
    G0226CPET img wholbod dx esophagl0.00NA0.000.00NA0.00XXX
    G022626APET img wholbod dx esophagl1.500.600.600.042.142.14XXX
    G0226TCCPET img wholbod dx esophagl0.00NA0.000.00NA0.00XXX
    G0227CPET img wholbod ini esophage0.00NA0.000.00NA0.00XXX
    G022726APET img wholbod ini esophage1.500.600.600.042.142.14XXX
    G0227TCCPET img wholbod ini esophage0.00NA0.000.00NA0.00XXX
    G0228CPET img wholbod restg esopha0.00NA0.000.00NA0.00XXX
    G022826APET img wholbod restg esopha1.500.600.600.042.142.14XXX
    G0228TCCPET img wholbod restg esopha0.00NA0.000.00NA0.00XXX
    G0229CPET img metabolic brain pres0.00NA0.000.00NA0.00XXX
    G022926APET img metabolic brain pres1.500.600.600.042.142.14XXX
    G0229TCCPET img metabolic brain pres0.00NA0.000.00NA0.00XXX
    G0230CPET mycard viability post s0.00NA0.000.00NA0.00XXX
    G023026APET mycard viability post s1.500.600.600.042.142.14XXX
    G0230TCCPET mycard viability post s0.00NA0.000.00NA0.00XXX
    G9001XMCCD, initial rate0.000.000.000.000.000.00XXX
    G9002XMCCD,maintenance rate0.000.000.000.000.000.00XXX
    G9003XMCCD, risk adj hi, initial0.000.000.000.000.000.00XXX
    G9004XMCCD, risk adj lo, initial0.000.000.000.000.000.00XXX
    G9005XMCCD, risk adj, maintenance0.000.000.000.000.000.00XXX
    G9006XMCCD, Home monitoring0.000.000.000.000.000.00XXX
    G9007XMCCD, sch team conf0.000.000.000.000.000.00XXX
    G9008XMccd,phys coor-care ovrsght0.000.000.000.000.000.00XXX
    G9016NDemo-smoking cessation coun0.000.000.000.000.000.00XXX
    Gxxx1AMammogram, screen, dir dig0.70NA2.780.09NA3.57XXX
    Gxxx126AMammogram, screen, dir dig0.700.280.280.031.011.01XXX
    Gxxx1TCAMammogram, screen, dir dig0.00NA2.500.06NA2.56XXX
    Gxxx2ADiag mammo, unilat, dir dig0.70NA2.270.08NA3.05XXX
    Gxxx226ADiag mammo, unilat, dir dig0.700.280.280.031.011.01XXX
    Gxxx2TCADiag mammo, unilat, dir dig0.00NA1.990.05NA2.04XXX
    Gxxx3ADiag mammo, bilat, dir dig0.87NA2.810.09NA3.77XXX
    Gxxx326ADiag mammo, bilat, dir dig0.870.340.340.031.241.24XXX
    Gxxx3TCADiag mammo, bilat, dir dig0.00NA2.470.06NA2.53XXX
    Gxxx4AComputer aided detection0.06NA0.430.02NA0.51XXX
    Gxxx426AComputer aided detection0.060.020.020.010.090.09XXX
    Gxxx4TCAComputer aided detection0.00NA0.410.01NA0.42XXX
    Gxxx5AGlaucoma screen, md perform0.450.220.390.020.690.86XXX
    Gxxx6AGlaucoma screen, md supv.0.170.080.250.010.260.43XXX
    H0001IAlcohol and/or drug assess0.000.000.000.000.000.00XXX
    H0002IAlcohol and/or drug screenin0.000.000.000.000.000.00XXX
    H0003IAlcohol and/or drug screenin0.000.000.000.000.000.00XXX
    H0004IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0005IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0006IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0007IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0008IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0009IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0010IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    Start Printed Page 40553
    H0011IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0012IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0013IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0014IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0015IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0016IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0017IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0018IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0019IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0020IAlcohol and/or drug services0.000.000.000.000.000.00XXX
    H0021IAlcohol and/or drug training0.000.000.000.000.000.00XXX
    H0022IAlcohol and/or drug interven0.000.000.000.000.000.00XXX
    H0023IAlcohol and/or drug outreach0.000.000.000.000.000.00XXX
    H0024IAlcohol and/or drug preventi0.000.000.000.000.000.00XXX
    H0025IAlcohol and/or drug preventi0.000.000.000.000.000.00XXX
    H0026IAlcohol and/or drug preventi0.000.000.000.000.000.00XXX
    H0027IAlcohol and/or drug preventi0.000.000.000.000.000.00XXX
    H0028IAlcohol and/or drug preventi0.000.000.000.000.000.00XXX
    H0029IAlcohol and/or drug preventi0.000.000.000.000.000.00XXX
    H0030IAlcohol and/or drug hotline0.000.000.000.000.000.00XXX
    J0120ETetracyclin injection0.000.000.000.000.000.00XXX
    J0130EAbciximab injection0.000.000.000.000.000.00XXX
    J0150EInjection adenosine 6 MG0.000.000.000.000.000.00XXX
    J0151EAdenosine injection0.000.000.000.000.000.00XXX
    J0170EAdrenalin epinephrin inject0.000.000.000.000.000.00XXX
    J0190EInj biperiden lactate/5 mg0.000.000.000.000.000.00XXX
    J0200EAlatrofloxacin mesylate0.000.000.000.000.000.00XXX
    J0205EAlglucerase injection0.000.000.000.000.000.00XXX
    J0207EAmifostine0.000.000.000.000.000.00XXX
    J0210EMethyldopate hcl injection0.000.000.000.000.000.00XXX
    J0256EAlpha 1 proteinase inhibitor0.000.000.000.000.000.00XXX
    J0270EAlprostadil for injection0.000.000.000.000.000.00XXX
    J0275EAlprostadil urethral suppos0.000.000.000.000.000.00XXX
    J0280EAminophyllin 250 MG inj0.000.000.000.000.000.00XXX
    J0282EAmiodarone HCl0.000.000.000.000.000.00XXX
    J0285EAmphotericin B0.000.000.000.000.000.00XXX
    J0286EAmphotericin B lipid complex0.000.000.000.000.000.00XXX
    J0290EAmpicillin 500 MG inj0.000.000.000.000.000.00XXX
    J0295EAmpicillin sodium per 1.5 gm0.000.000.000.000.000.00XXX
    J0300EAmobarbital 125 MG inj0.000.000.000.000.000.00XXX
    J0330ESuccinycholine chloride inj0.000.000.000.000.000.00XXX
    J0340ENandrolon phenpropionate inj0.000.000.000.000.000.00XXX
    J0350EInjection anistreplase 30 u0.000.000.000.000.000.00XXX
    J0360EHydralazine hcl injection0.000.000.000.000.000.00XXX
    J0380EInj metaraminol bitartrate0.000.000.000.000.000.00XXX
    J0390EChloroquine injection0.000.000.000.000.000.00XXX
    J0395EArbutamine HCl injection0.000.000.000.000.000.00XXX
    J0400EInj trimethaphan camsylate0.000.000.000.000.000.00XXX
    J0456EAzithromycin0.000.000.000.000.000.00XXX
    J0460EAtropine sulfate injection0.000.000.000.000.000.00XXX
    J0470EDimecaprol injection0.000.000.000.000.000.00XXX
    J0475EBaclofen 10 MG injection0.000.000.000.000.000.00XXX
    J0476EBaclofen intrathecal trial0.000.000.000.000.000.00XXX
    J0500EDicyclomine injection0.000.000.000.000.000.00XXX
    J0510EBenzquinamide injection0.000.000.000.000.000.00XXX
    J0515EInj benztropine mesylate0.000.000.000.000.000.00XXX
    J0520EBethanechol chloride inject0.000.000.000.000.000.00XXX
    J0530EPenicillin g benzathine inj0.000.000.000.000.000.00XXX
    J0540EPenicillin g benzathine inj0.000.000.000.000.000.00XXX
    J0550EPenicillin g benzathine inj0.000.000.000.000.000.00XXX
    J0560EPenicillin g benzathine inj0.000.000.000.000.000.00XXX
    J0570EPenicillin g benzathine inj0.000.000.000.000.000.00XXX
    J0580EPenicillin g benzathine inj0.000.000.000.000.000.00XXX
    J0585EBotulinum toxin a per unit0.000.000.000.000.000.00XXX
    J0590EEthylnorepinephrine hcl inj0.000.000.000.000.000.00XXX
    J0600EEdetate calcium disodium inj0.000.000.000.000.000.00XXX
    J0610ECalcium gluconate injection0.000.000.000.000.000.00XXX
    J0620ECalcium glycer & lact/10 ML0.000.000.000.000.000.00XXX
    J0630ECalcitonin salmon injection0.000.000.000.000.000.00XXX
    J0635ECalcitriol injection0.000.000.000.000.000.00XXX
    J0640ELeucovorin calcium injection0.000.000.000.000.000.00XXX
    J0670EInj mepivacaine HCL/10 ml0.000.000.000.000.000.00XXX
    J0690ECefazolin sodium injection0.000.000.000.000.000.00XXX
    J0694ECefoxitin sodium injection0.000.000.000.000.000.00XXX
    Start Printed Page 40554
    J0695ECefonocid sodium injection0.000.000.000.000.000.00XXX
    J0696ECeftriaxone sodium injection0.000.000.000.000.000.00XXX
    J0697ESterile cefuroxime injection0.000.000.000.000.000.00XXX
    J0698ECefotaxime sodium injection0.000.000.000.000.000.00XXX
    J0702EBetamethasone acet&sod phosp0.000.000.000.000.000.00XXX
    J0704EBetamethasone sod phosp/4 MG0.000.000.000.000.000.00XXX
    J0710ECephapirin sodium injection0.000.000.000.000.000.00XXX
    J0713EInj ceftazidime per 500 mg0.000.000.000.000.000.00XXX
    J0715ECeftizoxime sodium / 500 MG0.000.000.000.000.000.00XXX
    J0720EChloramphenicol sodium injec0.000.000.000.000.000.00XXX
    J0725EChorionic gonadotropin/1000u0.000.000.000.000.000.00XXX
    J0730EChlorpheniramin maleate inj0.000.000.000.000.000.00XXX
    J0735EClonidine hydrochloride0.000.000.000.000.000.00XXX
    J0740ECidofovir injection0.000.000.000.000.000.00XXX
    J0743ECilastatin sodium injection0.000.000.000.000.000.00XXX
    J0745EInj codeine phosphate /30 MG0.000.000.000.000.000.00XXX
    J0760EColchicine injection0.000.000.000.000.000.00XXX
    J0770EColistimethate sodium inj0.000.000.000.000.000.00XXX
    J0780EProchlorperazine injection0.000.000.000.000.000.00XXX
    J0800ECorticotropin injection0.000.000.000.000.000.00XXX
    J0810ECortisone injection0.000.000.000.000.000.00XXX
    J0835EInj cosyntropin per 0.25 MG0.000.000.000.000.000.00XXX
    J0850ECytomegalovirus imm IV /vial0.000.000.000.000.000.00XXX
    J0895EDeferoxamine mesylate inj0.000.000.000.000.000.00XXX
    J0900ETestosterone enanthate inj0.000.000.000.000.000.00XXX
    J0945EBrompheniramine maleate inj0.000.000.000.000.000.00XXX
    J0970EEstradiol valerate injection0.000.000.000.000.000.00XXX
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    Start Printed Page 40555
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    J9094ECyclophosphamide lyophilized0.000.000.000.000.000.00XXX
    J9095ECyclophosphamide lyophilized0.000.000.000.000.000.00XXX
    J9096ECyclophosphamide lyophilized0.000.000.000.000.000.00XXX
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    J9151EDaunorubicin citrate liposom0.000.000.000.000.000.00XXX
    J9160EDenileukin diftitox, 300 mcg0.000.000.000.000.000.00XXX
    J9165EDiethylstilbestrol injection0.000.000.000.000.000.00XXX
    J9170EDocetaxel0.000.000.000.000.000.00XXX
    J9180EEpirubicin HCl injection0.000.000.000.000.000.00XXX
    J9181EEtoposide 10 MG inj0.000.000.000.000.000.00XXX
    J9182EEtoposide 100 MG inj0.000.000.000.000.000.00XXX
    J9185EFludarabine phosphate inj0.000.000.000.000.000.00XXX
    J9190EFluorouracil injection0.000.000.000.000.000.00XXX
    J9200EFloxuridine injection0.000.000.000.000.000.00XXX
    J9201EGemcitabine HCl0.000.000.000.000.000.00XXX
    J9202EGoserelin acetate implant0.000.000.000.000.000.00XXX
    J9206EIrinotecan injection0.000.000.000.000.000.00XXX
    J9208EIfosfomide injection0.000.000.000.000.000.00XXX
    J9209EMesna injection0.000.000.000.000.000.00XXX
    J9211EIdarubicin hcl injeciton0.000.000.000.000.000.00XXX
    J9212EInterferon alfacon-10.000.000.000.000.000.00XXX
    J9213EInterferon alfa-2a inj0.000.000.000.000.000.00XXX
    J9214EInterferon alfa-2b inj0.000.000.000.000.000.00XXX
    Start Printed Page 40559
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    J9217ELeuprolide acetate suspnsion0.000.000.000.000.000.00XXX
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    J9219ELeuprolide acetate implant0.000.000.000.000.000.00XXX
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    J9245EInj melphalan hydrochl 50 MG0.000.000.000.000.000.00XXX
    J9250EMethotrexate sodium inj0.000.000.000.000.000.00XXX
    J9260EMethotrexate sodium inj0.000.000.000.000.000.00XXX
    J9265EPaclitaxel injection0.000.000.000.000.000.00XXX
    J9266EPegaspargase/singl dose vial0.000.000.000.000.000.00XXX
    J9268EPentostatin injection0.000.000.000.000.000.00XXX
    J9270EPlicamycin (mithramycin) inj0.000.000.000.000.000.00XXX
    J9280EMitomycin 5 MG inj0.000.000.000.000.000.00XXX
    J9290EMitomycin 20 MG inj0.000.000.000.000.000.00XXX
    J9291EMitomycin 40 MG inj0.000.000.000.000.000.00XXX
    J9293EMitoxantrone hydrochl / 5 MG0.000.000.000.000.000.00XXX
    J9310ERituximab cancer treatment0.000.000.000.000.000.00XXX
    J9320EStreptozocin injection0.000.000.000.000.000.00XXX
    J9340EThiotepa injection0.000.000.000.000.000.00XXX
    J9350ETopotecan0.000.000.000.000.000.00XXX
    J9355ETrastuzumab0.000.000.000.000.000.00XXX
    J9357EValrubicin, 200 mg0.000.000.000.000.000.00XXX
    J9360EVinblastine sulfate inj0.000.000.000.000.000.00XXX
    J9370EVincristine sulfate 1 MG inj0.000.000.000.000.000.00XXX
    J9375EVincristine sulfate 2 MG inj0.000.000.000.000.000.00XXX
    J9380EVincristine sulfate 5 MG inj0.000.000.000.000.000.00XXX
    J9390EVinorelbine tartrate/10 mg0.000.000.000.000.000.00XXX
    J9600EPorfimer sodium0.000.000.000.000.000.00XXX
    J9999EChemotherapy drug0.000.000.000.000.000.00XXX
    M0064AVisit for drug monitoring0.370.120.260.010.500.64XXX
    M0075NCellular therapy0.000.000.000.000.000.00XXX
    M0076NProlotherapy0.000.000.000.000.000.00XXX
    M0100NIntragastric hypothermia0.000.000.000.000.000.00XXX
    M0300NIV chelationtherapy0.000.000.000.000.000.00XXX
    M0301NFabric wrapping of aneurysm0.000.000.000.000.000.00XXX
    M0302AAssessment of cardiac output0.17NA0.850.02NA1.04XXX
    M030226AAssessment of cardiac output0.170.070.070.010.250.25XXX
    M0302TCAAssessment of cardiac output0.00NA0.780.01NA0.79XXX
    P2028XCephalin floculation test0.000.000.000.000.000.00XXX
    P2029XCongo red blood test0.000.000.000.000.000.00XXX
    P2031NHair analysis0.000.000.000.000.000.00XXX
    P2033XBlood thymol turbidity0.000.000.000.000.000.00XXX
    P2038XBlood mucoprotein0.000.000.000.000.000.00XXX
    P3000XScreen pap by tech w md supv0.000.000.000.000.000.00XXX
    P3001AScreening pap smear by phys0.420.190.190.010.620.62XXX
    P7001ICulture bacterial urine0.000.000.000.000.000.00XXX
    P9010EWhole blood for transfusion0.000.000.000.000.000.00XXX
    P9011EBlood split unit0.000.000.000.000.000.00XXX
    P9012ECryoprecipitate each unit0.000.000.000.000.000.00XXX
    P9016ERBC leukocytes reduced0.000.000.000.000.000.00XXX
    P9017EOne donor fresh frozn plasma0.000.000.000.000.000.00XXX
    P9019EPlatelets, each unit0.000.000.000.000.000.00XXX
    P9020EPlaelet rich plasma unit0.000.000.000.000.000.00XXX
    P9021ERed blood cells unit0.000.000.000.000.000.00XXX
    P9022EWashed red blood cells unit0.000.000.000.000.000.00XXX
    P9023XFrozen plasma, pooled, sd0.000.000.000.000.000.00XXX
    P9031XPlatelets leukocytes reduced0.000.000.000.000.000.00XXX
    P9032XPlatelets, irradiated0.000.000.000.000.000.00XXX
    P9033XPlatelets leukoreduced irrad0.000.000.000.000.000.00XXX
    P9034XPlatelets, pheresis0.000.000.000.000.000.00XXX
    P9035XPlatelet pheres leukoreduced0.000.000.000.000.000.00XXX
    P9036XPlatelet pheresis irradiated0.000.000.000.000.000.00XXX
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    P9041XAlbumin(human), 5%0.000.000.000.000.000.00XXX
    P9042XAlbumin (human), 25%0.000.000.000.000.000.00XXX
    P9043XPlasma protein fraction0.000.000.000.000.000.00XXX
    P9044XCryoprecipitatereducedplasma0.000.000.000.000.000.00XXX
    P9603XOne-way allow prorated miles0.000.000.000.000.000.00XXX
    P9604XOne-way allow prorated trip0.000.000.000.000.000.00XXX
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    Start Printed Page 40560
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    Q0035ACardiokymography0.17NA0.450.03NA0.65XXX
    Q003526ACardiokymography0.170.070.070.010.250.25XXX
    Q0035TCACardiokymography0.00NA0.380.02NA0.40XXX
    Q0091AObtaining screen pap smear0.370.150.720.010.531.10XXX
    Q0092ASet up port xray equipment0.00NA0.310.01NA0.32XXX
    Q0111XWet mounts/ w preparations0.000.000.000.000.000.00XXX
    Q0112XPotassium hydroxide preps0.000.000.000.000.000.00XXX
    Q0113XPinworm examinations0.000.000.000.000.000.00XXX
    Q0114XFern test0.000.000.000.000.000.00XXX
    Q0115XPost-coital mucous exam0.000.000.000.000.000.00XXX
    Q0136XNon esrd epoetin alpha inj0.000.000.000.000.000.00XXX
    Q0144NAzithromycin dihydrate, oral0.000.000.000.000.000.00XXX
    Q0160XFactor IX non-recombinant0.000.000.000.000.000.00XXX
    Q0161XFactor IX recombinant0.000.000.000.000.000.00XXX
    Q0163XDiphenhydramine HCl 50mg0.000.000.000.000.000.00XXX
    Q0164XProchlorperazine maleate 5mg0.000.000.000.000.000.00XXX
    Q0165XProchlorperazine maleate10mg0.000.000.000.000.000.00XXX
    Q0166XGranisetron HCl 1 mg oral0.000.000.000.000.000.00XXX
    Q0167XDronabinol 2.5mg oral0.000.000.000.000.000.00XXX
    Q0168XDronabinol 5mg oral0.000.000.000.000.000.00XXX
    Q0169XPromethazine HCl 12.5mg oral0.000.000.000.000.000.00XXX
    Q0170XPromethazine HCl 25 mg oral0.000.000.000.000.000.00XXX
    Q0171XChlorpromazine HCl 10mg oral0.000.000.000.000.000.00XXX
    Q0172XChlorpromazine HCl 25mg oral0.000.000.000.000.000.00XXX
    Q0173XTrimethobenzamide HCl 250mg0.000.000.000.000.000.00XXX
    Q0174XThiethylperazine maleate10mg0.000.000.000.000.000.00XXX
    Q0175XPerphenazine 4mg oral0.000.000.000.000.000.00XXX
    Q0176XPerphenazine 8mg oral0.000.000.000.000.000.00XXX
    Q0177XHydroxyzine pamoate 25mg0.000.000.000.000.000.00XXX
    Q0178XHydroxyzine pamoate 50mg0.000.000.000.000.000.00XXX
    Q0179XOndansetron HCl 8mg oral0.000.000.000.000.000.00XXX
    Q0180XDolasetron mesylate oral0.000.000.000.000.000.00XXX
    Q0181XUnspecified oral anti-emetic0.000.000.000.000.000.00XXX
    Q0183XNonmetabolic active tissue0.000.000.000.000.000.00XXX
    Q0184XMetabolically active tissue0.000.000.000.000.000.00XXX
    Q0185XMetabolic active D/E tissue0.000.000.000.000.000.00XXX
    Q0186IParamedic intercept, rural0.000.000.000.000.000.00XXX
    Q0187EFactor viia recombinant0.000.000.000.000.000.00XXX
    Q1001XNtiol category 10.000.000.000.000.000.00XXX
    Q1002XNtiol category 20.000.000.000.000.000.00XXX
    Q1003XNtiol category 30.000.000.000.000.000.00XXX
    Q1004XNtiol category 40.000.000.000.000.000.00XXX
    Q1005XNtiol category 50.000.000.000.000.000.00XXX
    Q2001NOral cabergoline 0.5 mg0.000.000.000.000.000.00XXX
    Q2002EElliotts b solution per ml0.000.000.000.000.000.00XXX
    Q2003EAprotinin, 10,000 kiu0.000.000.000.000.000.00XXX
    Q2004EBladder calculi irrig sol0.000.000.000.000.000.00XXX
    Q2005ECorticorelin ovine triflutat0.000.000.000.000.000.00XXX
    Q2006EDigoxin immune fab (ovine)0.000.000.000.000.000.00XXX
    Q2007EEthanolamine oleate 100 mg0.000.000.000.000.000.00XXX
    Q2008EFomepizole, 1.5 mg0.000.000.000.000.000.00XXX
    Q2009EFosphenytoin, 50 mg0.000.000.000.000.000.00XXX
    Q2010EGlatiramer acetate, per dose0.000.000.000.000.000.00XXX
    Q2011EHemin, per 1 mg0.000.000.000.000.000.00XXX
    Q2012EPegademase bovine, 25 iu0.000.000.000.000.000.00XXX
    Q2013EPentastarch 10% solution0.000.000.000.000.000.00XXX
    Q2014ESermorelin acetate, 0.5 mg0.000.000.000.000.000.00XXX
    Q2015ESomatrem, 5 mg0.000.000.000.000.000.00XXX
    Q2016ESomatropin, 1 mg0.000.000.000.000.000.00XXX
    Q2017ETeniposide, 50 mg0.000.000.000.000.000.00XXX
    Q2018EUrofollitropin, 75 iu0.000.000.000.000.000.00XXX
    Q2019EBasiliximab0.000.000.000.000.000.00XXX
    Q2020EHistrelin acetate0.000.000.000.000.000.00XXX
    Q2021ELepirudin0.000.000.000.000.000.00XXX
    Q2022EVonWillebrandFactrCmplxperIU0.000.000.000.000.000.00XXX
    Q3001EBrachytherapy Radioelements0.000.000.000.000.000.00XXX
    Q3002EGallium ga 670.000.000.000.000.000.00XXX
    Q3003ETechnetium tc99m bicisate0.000.000.000.000.000.00XXX
    Q3004EXenon xe 1330.000.000.000.000.000.00XXX
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    Q3006ETechnetium tc99m glucepatate0.000.000.000.000.000.00XXX
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    Q3008EIndium 111-in pentetreotide0.000.000.000.000.000.00XXX
    Start Printed Page 40561
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    Q3011EChromic phosphate p320.000.000.000.000.000.00XXX
    Q3012ECyanocobalamin cobalt co570.000.000.000.000.000.00XXX
    Q3013EInjection, verteporfin, 15mg0.000.000.000.000.000.00XXX
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    Q4002XCast sup body cast, fib0.000.000.000.000.000.00XXX
    Q4003XCast sup shoulder cast, pl0.000.000.000.000.000.00XXX
    Q4004XCast sup shoulder cast, fib0.000.000.000.000.000.00XXX
    Q4005XCast sup long arm, ad, pl0.000.000.000.000.000.00XXX
    Q4006XCast sup long arm, ad, fib0.000.000.000.000.000.00XXX
    Q4007XCast sup long arm ped, pl0.000.000.000.000.000.00XXX
    Q4008XCast sup, long arm ped, fib0.000.000.000.000.000.00XXX
    Q4009XCast sup sh arm, pl0.000.000.000.000.000.00XXX
    Q4010XCast sup sh arm, fib0.000.000.000.000.000.00XXX
    Q4011XCast sup sh arm ped, pl0.000.000.000.000.000.00XXX
    Q4012XCast sup sh arm ped, fib0.000.000.000.000.000.00XXX
    Q4013XCast sup gauntlet, pl0.000.000.000.000.000.00XXX
    Q4014XCast sup gauntlet, fib0.000.000.000.000.000.00XXX
    Q4015XCast sup gauntlet ped,0.000.000.000.000.000.00XXX
    Q4016XCast sup gauntlet ped, fib0.000.000.000.000.000.00XXX
    Q4017XCast sup l arm splint, pl0.000.000.000.000.000.00XXX
    Q4018XCast sup l arm splint, fib0.000.000.000.000.000.00XXX
    Q4019XCast sup l arm splint ped, p0.000.000.000.000.000.00XXX
    Q4020XCast sup l arm splint ped, f0.000.000.000.000.000.00XXX
    Q4021XCast sup sh arm splint, pl0.000.000.000.000.000.00XXX
    Q4022XCast sup sh arm splint, fib0.000.000.000.000.000.00XXX
    Q4023XCast sup sh arm splint ped,0.000.000.000.000.000.00XXX
    Q4024XCast sup sh arm splint ped,0.000.000.000.000.000.00XXX
    Q4025XCast sup, hip spica, pl0.000.000.000.000.000.00XXX
    Q4026XCast sup hip spica, fib0.000.000.000.000.000.00XXX
    Q4027XCast sup hip spica, pl0.000.000.000.000.000.00XXX
    Q4028XCast sup, hip spica, fib0.000.000.000.000.000.00XXX
    Q4029XCast sup long leg, pl0.000.000.000.000.000.00XXX
    Q4030XCast sup, long leg, fib0.000.000.000.000.000.00XXX
    Q4031XCast sup, long leg ped, pl0.000.000.000.000.000.00XXX
    Q4032XCast sup, long leg ped, fib0.000.000.000.000.000.00XXX
    Q4033XCast sup, leg cylinder, pl0.000.000.000.000.000.00XXX
    Q4034XCast sup, leg cylinder, fib0.000.000.000.000.000.00XXX
    Q4035XCast sup, leg cylinder ped,0.000.000.000.000.000.00XXX
    Q4036XCast sup, leg cylinder ped,0.000.000.000.000.000.00XXX
    Q4037XCast sup, sh leg, pl0.000.000.000.000.000.00XXX
    Q4038XCast sup, sh leg, fib0.000.000.000.000.000.00XXX
    Q4039XCast sup, sh leg ped, pl0.000.000.000.000.000.00XXX
    Q4040XCast sup, sh leg ped, fib0.000.000.000.000.000.00XXX
    Q4041XCast sup, l leg splint , pl0.000.000.000.000.000.00XXX
    Q4042XCast sup, l leg splint , fib0.000.000.000.000.000.00XXX
    Q4043XCast sup, l leg splintped, p0.000.000.000.000.000.00XXX
    Q4044XCast sup, l leg splint ped,0.000.000.000.000.000.00XXX
    Q4045XCast sup, sh leg splint , pl0.000.000.000.000.000.00XXX
    Q4046XCast sup, sh leg splint, fib0.000.000.000.000.000.00XXX
    Q4047XCast sup, sh leg splint ped,0.000.000.000.000.000.00XXX
    Q4048XCast sup, sh leg splint ped,0.000.000.000.000.000.00XXX
    Q4049XFinger splint, static0.000.000.000.000.000.00XXX
    Q4050XCast sup, unlisted casts0.000.000.000.000.000.00XXX
    Q4051XSplint sup, misc0.000.000.000.000.000.00XXX
    Q9920EEpoetin with hct <= 200.000.000.000.000.000.00XXX
    Q9921EEpoetin with hct = 210.000.000.000.000.000.00XXX
    Q9922EEpoetin with hct = 220.000.000.000.000.000.00XXX
    Q9923EEpoetin with hct = 230.000.000.000.000.000.00XXX
    Q9924EEpoetin with hct = 240.000.000.000.000.000.00XXX
    Q9925EEpoetin with hct = 250.000.000.000.000.000.00XXX
    Q9926EEpoetin with hct = 260.000.000.000.000.000.00XXX
    Q9927EEpoetin with hct = 270.000.000.000.000.000.00XXX
    Q9928EEpoetin with hct = 280.000.000.000.000.000.00XXX
    Q9929EEpoetin with hct = 290.000.000.000.000.000.00XXX
    Q9930EEpoetin with hct = 300.000.000.000.000.000.00XXX
    Q9931EEpoetin with hct = 310.000.000.000.000.000.00XXX
    Q9932EEpoetin with hct = 320.000.000.000.000.000.00XXX
    Q9933EEpoetin with hct = 330.000.000.000.000.000.00XXX
    Q9934EEpoetin with hct = 340.000.000.000.000.000.00XXX
    Q9935EEpoetin with hct = 350.000.000.000.000.000.00XXX
    Q9936EEpoetin with hct = 360.000.000.000.000.000.00XXX
    Q9937EEpoetin with hct = 370.000.000.000.000.000.00XXX
    Start Printed Page 40562
    Q9938EEpoetin with hct = 380.000.000.000.000.000.00XXX
    Q9939EEpoetin with hct = 390.000.000.000.000.000.00XXX
    Q9940EEpoetin with hct >= 400.000.000.000.000.000.00XXX
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    R0075CTransport port x-ray multipl0.000.000.000.000.000.00XXX
    R0076BTransport portable EKG0.000.000.000.000.000.00XXX
    S0009IInjection, butorphanol tartr0.000.000.000.000.000.00XXX
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    S0016IInjection, amikacin sulfate0.000.000.000.000.000.00XXX
    S0017IInjection, aminocaproic acid0.000.000.000.000.000.00XXX
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    S0021IInjection, cefoperazone sod0.000.000.000.000.000.00XXX
    S0023IInjection, cimetidine hydroc0.000.000.000.000.000.00XXX
    S0024IInjection, ciprofloxacin0.000.000.000.000.000.00XXX
    S0028IInjection, famotidine, 20 mg0.000.000.000.000.000.00XXX
    S0029IInjection, fluconazole0.000.000.000.000.000.00XXX
    S0030IInjection, metronidazole0.000.000.000.000.000.00XXX
    S0032IInjection, nafcillin sodium0.000.000.000.000.000.00XXX
    S0034IInjection, ofloxacin, 400 mg0.000.000.000.000.000.00XXX
    S0039IInjection, sulfamethoxazole0.000.000.000.000.000.00XXX
    S0040IInjection, ticarcillin disod0.000.000.000.000.000.00XXX
    S0071IInjection, acyclovir sodium0.000.000.000.000.000.00XXX
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    V5050NHearing aid monaural in ear0.000.000.000.000.000.00XXX
    V5060NBehind ear hearing aid0.000.000.000.000.000.00XXX
    V5070NGlasses air conduction0.000.000.000.000.000.00XXX
    V5080NGlasses bone conduction0.000.000.000.000.000.00XXX
    V5090NHearing aid dispensing fee0.000.000.000.000.000.00XXX
    V5100NBody-worn bilat hearing aid0.000.000.000.000.000.00XXX
    V5110NHearing aid dispensing fee0.000.000.000.000.000.00XXX
    V5120NBody-worn binaur hearing aid0.000.000.000.000.000.00XXX
    V5130NIn ear binaural hearing aid0.000.000.000.000.000.00XXX
    V5140NBehind ear binaur hearing ai0.000.000.000.000.000.00XXX
    V5150NGlasses binaural hearing aid0.000.000.000.000.000.00XXX
    V5160NDispensing fee binaural0.000.000.000.000.000.00XXX
    V5170NWithin ear cros hearing aid0.000.000.000.000.000.00XXX
    V5180NBehind ear cros hearing aid0.000.000.000.000.000.00XXX
    V5190NGlasses cros hearing aid0.000.000.000.000.000.00XXX
    V5200NCros hearing aid dispens fee0.000.000.000.000.000.00XXX
    V5210NIn ear bicros hearing aid0.000.000.000.000.000.00XXX
    V5220NBehind ear bicros hearing ai0.000.000.000.000.000.00XXX
    V5230NGlasses bicros hearing aid0.000.000.000.000.000.00XXX
    V5240NDispensing fee bicros0.000.000.000.000.000.00XXX
    V5299RHearing service0.000.000.000.000.000.00XXX
    V5336NRepair communication device0.000.000.000.000.000.00XXX
    V5362RSpeech screening0.000.000.000.000.000.00XXX
    V5363RLanguage screening0.000.000.000.000.000.00XXX
    V5364RDysphagia screening0.000.000.000.000.000.00XXX
    1 CPT codes and descriptions only are copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
    2 Copyright 1994 American Dental Association. All rights reserved(D0110-D9999).
    3 + Indicates RVUs are not use for Medicate payments.
    4 PE RVUs = Practice Expense Relative Value Units.
              Start Printed Page 40566

    End Supplemental Information

    [FR Doc. 01-18951 Filed 8-1-01; 8:45 am]

    BILLING CODE 4120-01-P

Document Information

Published:
08/02/2001
Department:
Centers for Medicare & Medicaid Services
Entry Type:
Proposed Rule
Action:
Proposed rule.
Document Number:
01-18951
Dates:
We will consider comments if we receive them at the appropriate
Pages:
40371-40566 (196 pages)
Docket Numbers:
CMS-1169-P
RINs:
0938-AK57
Topics:
Administrative practice and procedure, Health facilities, Health professions, Kidney diseases, Laboratories, Medicare, Reporting and recordkeeping requirements, Rural areas, X-rays
PDF File:
01-18951.pdf
CFR: (18)
42 CFR 405.534
42 CFR 405.535
42 CFR 410.3
42 CFR 410.10
42 CFR 410.23
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