Separate Parts In This Issue Part II Health and Human Services Department, Centers for Medicare & Medicaid Services,

[Federal Register: January 15, 2008 (Volume 73, Number 10)]

[Rules and Regulations]

[Page 2567-2710]

From the Federal Register Online via GPO Access [wais.access.gpo.gov]

[DOCID:fr15ja08-8]

[[Page 2567]]

Part II

Department of Health and Human Services

Centers for Medicare & Medicaid Services

42 CFR Parts 409, 410, 411 et al.

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Amendment of the E-Prescribing Exemption for Computer-Generated Facsimile Transmissions; Corrections; Final Rule

[[Page 2568]]

Department of Health and Human Services

Centers for Medicare & Medicaid Services

42 CFR Parts 409, 410, 411, 413, 414, 415, 418, 423, 424, 482, 484, and 485

[CMS-1385-CN2]

RIN 0938-A065

Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Amendment of the E- Prescribing Exemption for Computer-Generated Facsimile Transmissions; Corrections

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

ACTION: Correction Notice of Final Rule with Comment Period.

SUMMARY: This correction notice corrects several technical and typographical errors in the final rule with comment period that appeared in the November 27, 2007 Federal Register (72 FR 66222). The final rule with comment period addressed Medicare Part B payment policy, including the physician fee schedule (PFS) that is applicable for calendar year (CY) 2008; the competitive acquisition program (CAP); clinical lab fee schedule issues; performance standards for diagnostic testing facilities; conforming and clarifying changes for comprehensive outpatient rehabilitation facilities (CORFs); physician self-referral issues; and standards and requirements related to therapy services under Medicare Parts A and B. The final rule with comment period also updated the list of services subject to the physician self-referral prohibitions.

Effective Date: This correction notice is effective January 1, 2008.

FOR FURTHER INFORMATION CONTACT: Diane Milstead, (410) 786-3355.

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 07-5506 of November 27, 2007 (72 FR 66222) (hereinafter referred to as the CY 2008 PFS final rule with comment period), there were a number of technical and typographical errors that are identified and corrected in the Correction of Errors section of this notice. The provisions of this notice are effective as if they had been included in the CY 2008 PFS final rule with comment period. Accordingly, the corrections are effective January 1, 2008.

II. Summary of Errors

A. Errors in the Preamble

On page 66276, the third column, the third paragraph, lines are 10 through 13, the sentence ``It is not unusual for us to provide for discretionary reopening or reconsideration of final agency action'' is deleted because the sentence was inadvertently repeated.

On page 66392, Table 40, Impact of Final Rule with Comment Period and Estimated Physician Update on 2008 Payment for Selected Procedures, the columns for 2008 payment amount and the percent change for both facility and non-facility are corrected due to a methodological error.

B. Errors in the Addenda

On pages 66410 through 66543, Addendum B, Relative Value Units and Related Information Used in Determining Medicare Payments for 2008, incorrect PE RVUs were listed for many CPT codes due to a methodological error. Therefore, for the convenience of health care providers and the public, we are republishing Addendum B in its entirety. In addition, the work RVUs are corrected for CPT code 67113 and the status indicator, work RVUs, and malpractice RVUs are corrected for CPT code 93503 in this revised addendum.

On pages 66543 through 66545, Addendum C, Codes with Interim RVUs, incorrect PE RVUs were listed for many CPT codes due to a methodological error. Therefore, for the convenience of health care providers and the public, we are republishing Addendum C in its entirety.

On pages 66545 through 66546, Addendum D, 2008 Geographic Adjustment Factors (GAFs), we identified errors in the data used to calculate the GAFs, and therefore, we are republishing Addendum D in its entirety.

On pages 66546 through 66547, Addendum E, 2008 * * * Geographic Practice Cost Indices by State and Medicare Locality, we identified errors in the data used to calculate the Geographic Practice Cost Indices (GPCIs), and therefore, we are republishing Addendum E in its entirety.

On pages 66575 through 66578, Addendum I, List of CPT \1\/HCPCS Codes Used to Describe Certain Designated Health Service Categories \2\ Under Section 1877 of the Social Security Act, Correction to Addendum I, we incorrectly included CPT code 0147T and its short descriptor within the short descriptor for CPT code 0146T, and CPT code 71015 and its short descriptor within the short descriptor for CPT code 71010. Therefore, we are republishing the entries for CPT 0146T, 0147T, 71010, and 71015 on separate lines. We are removing CPT codes 75558, 75560, 75562, and 75564 because these codes are considered non-covered services and were incorrectly included on the Code List. We are removing HCPCS code C2637 because it is paid for as part of an ASC service and should not have been included on the Code List. (We note that when provided in an inpatient or outpatient hospital setting, this source is considered to be a Designated Health Service.) In addition, the short descriptor for the HCPCS code G0103 was incorrect, and therefore, we are revising. Also, we omitted CPT code 76801 and we are adding it to Addendum I.

III. Correction of Errors

A. Corrections to the Preamble

1. On page 66226, 3rd column, 4th paragraph, lines 5 through 7, the phrase ``we are applying a separate budget neutrality (BN) adjustor'' is corrected to read ``we applied a separate budget neutrality (BN) adjustor''.

2. On page 66227, at the top of the 1st column, the formula ``Payment = [(RVU work x budget neutrality adjustor x work GPCI) + (RVU PE x PE GPCI) + (MP RVU x MP GPCI)] x CF'' is corrected to read ``Payment = [(RVU work x budget neutrality adjustor (round product to two decimal places) x GPCI work) + (RVU PE x GPCI PE) + (RVU malpractice x GPCI malpractice)] x CF''.

3. On page 66241, in Table 4, Practice Expense Supply Item Additions for CY 2008, the 8th row, with the supply description ``fee, image analysis'' is corrected by deleting this row.

4. On page 66242, in Table 5, Practice Expense Equipment Item Additions for CY 2008,

a. In the 2nd row, in the 5th column, CPT codes ``7557'' and ``7558'' are corrected to read ``75557'' and ``75558''.

b. In the 5th row, the equipment description ``Camera, ocular photoscreening, w-laptop and software'' is corrected by deleting this row.

5. On page 66253, in the 2nd column, following the 2nd full paragraph, 2nd bullet, line 1, the term ``angioscopy'' is corrected to read ``angiography''.

6. On page 66254,

a. First column, after the 1st full paragraph, the title of item 2, lines 3 and 4, the phrase ``(CPT codes 17311 Through 17315)'' is corrected to read ``(CPT codes 17311 and 17313)''.

[[Page 2569]]

b. Second column, the 2nd full paragraph,

(1) Line 6, the phrase ``17311 through 17315'' is corrected to read ``17311 and 17313''.

(2) Line 11, following the phrase ``created in 2007.'' insert the sentence ``(Note: CPT codes 17312, 17314, and 17315 are not subject to the multiple surgery payment reduction because they are add-on codes.)''

7. On page 66262, 3rd column, 3rd full paragraph, lines 32 through 35, the Web site reference to ``http://www.cmsm.hhs.gov/CompetitiveAcquisforBios/15____Approved____Vendor.asp#TopOfPage '' is corrected to read ``http://www.cms.hhs.gov/

CompetitiveAcquisforBios/15--------Approved-------- Vendor.asp#TopOfPage.''

8. On page 66263, 1st column, 1st partial paragraph, lines 20 and 21, the Web site reference to ``http://www.cms.hhs.gov/manuals/downloads/pim83co2pdf'' is corrected to read ``http://www.cms.hhs.gov/

hhs.gov/

9. On page 66268, 1st column, the last paragraph, line 1, the phrase ``section 1847B((b)(4)(E)'' is corrected to read ``section 1847B(b)(4)(E)''.

10. On page 66270, 2nd column, 1st full paragraph, line 1, the phrase ``commercially-available'' is corrected to read ``commercially available''.

11. On page 66273, 3rd column, 1st full paragraph, lines 14 and 15, the Web site reference to ``http://www.grants.nih.gov/grants/guide/rfa-files/FRA-HS-06-001.html'' is corrected to read ``http://

//

12. On page 66276, 3rd column, 3rd full paragraph, lines 10 through 13, the sentence ``It is not unusual for us to provide for discretionary reopening or reconsideration of final agency action'' is corrected by deleting the sentence.

13. On page 66285, 3rd column, 1st partial paragraph, line 3, the term ``Administrator'' is corrected to ``Administrative''.

14. On page 66287, 1st column, 5th full paragraph, line 6, the phrase ``by noting that term'' is corrected to read ``by noting that the term''.

15. On page 66291, 1st column, 2nd paragraph, line 14, the phrase ``procedure to another Medicare-enrolled'' is corrected to read ``procedure from another Medicare-enrolled''.

16. On page 66292, 3rd column, 2nd paragraph,

a. Line 6, the phrase ``a fixed-base IDTF does not-'' is corrected to read ``a fixed-base IDTF is prohibited from--''.

b. Line 7 (1st bullet), the term ``Share'' is corrected to read ``Sharing.''

c. Line 10 (2nd bullet), the phrase ``Lease or sublease'' is corrected to read ``Leasing or subleasing.''

d. Line 14 (3rd bullet), the term ``Share'' is corrected to read ``Sharing.''

17. On page 66301, 3rd column, 1st partial paragraph, lines 3 and 4, the phrase ``and should not be referring'' is corrected to read ``and should not be understood to refer''.

18. In Table 16, ``AMA RUC and HCPAC Recommendations and CMS' Decisions for New and Revised 2008 CPT Codes'', in the second column labeled ``Mod'', the ``26'' following CPT code 93503 is removed.

19. On page 66372, 3rd column, 1st partial paragraph, line 1, the reference to ``Addendum x'' is corrected to read ``Addendum I.''

20. On pages 66372 and 66373, Table 19, Additions to the Physician Self-Referral List of CPT/HCPCS Codes, the table is corrected by--

a. Deleting the following entries:

(1) Under the heading ``Radiology and Certain Other Imaging Services'',

Radiology and Certain Other Imaging Services

75558............................... Cardiac mri flow/velocity. 75560............................... Cardiac mri flow/vel/stress. 75562............................... Card mri flow/vel w/dye. 75564............................... Ht mri w/flow/vel/strs & dye.

(2). Under the heading ``Radiation Therapy Services and Supplies'',

Radiation Therapy Services and Supplies

C2637............................... Brachytx, Ytterbium-169

b. Correcting the following entries:

C1716............................... Brachytx, non-str, Gold-198. C1717............................... Brachytx, non-str, HDR Ir-192. C1719............................... Brachytx, NS, Non-HDRIr-192. C2616............................... Brachytx, non-str, Yttrium-90. C2634............................... Brachytx, non-str, HA, I-125. C2635............................... Brachytx, non-str, HA, P-103. C2636............................... Brachy linear, non-str, P-103. C2640............................... Brachytx, stranded, P-103. C2641............................... Brachytx, non-stranded, P-103.

21. On page 66383, Table 35, Calculation for the 2008 Anesthesia Conversion Factor,

a. Third row (2007 Combined Adjustment for PE and BN), 2nd column, the figure ``0.9089'' is corrected to read ``0.911''.

b. Fourth row (CY 2007 Pre-TRHCA Anesthesia Conversion Factor), 2nd column, the figure ``$15.3328'' is corrected to read ``$15.3682''.

c. Seventh row (CY 2008 Anesthesia CF after MEI and 2008 Adjustment Factor), 2nd column, the figure ``$14.5162'' is corrected to read ``$14.5497''.

d. Eighth row (2008 Combined Adjustment for PE and BN), 2nd column, the figure ``1.1250'' is corrected to read ``1.2277''.

e. Ninth row (CY 2008 Anesthesia Conversion Factor), 2nd column, the figure ``16.3307'' is corrected to read ``$17.8627''.

22. On page 66391, Table 39, Combined CY 2008 Total Allowed Charge Impact for the Remaining 5-Year Review of Work RVUs and Practice Expense Changes, OPPS Imagining Cap, and the CY 2008 Update, the 1st footnote ``*PE changes are CY 2008 second year transition changes. For fully implemented CY 2010 PE changes see Table 1.'' is corrected to read ``*PE changes are CY 2008 second year transition changes. For fully implemented CY 2010 PE changes see Table 38.''

23. On page 66392, Table 40, Impact of Final Rule with Comment Period and Estimated Physician Update on 2008 Payment for Selected Procedures, the columns for 2008 payment amount and the percent change are corrected to read as follows:

Table 40.--Impact of Final Rule With Comment Period and Physician Update on 2008 Payment for Selected Procedures

Facility

Non-facility

CPT/HCPCS

MOD Description

Percent

Percent 2007 2008 change 2007 2008 change

11721............. ....... Debride nail, 6 $28.80 $24.53

-15 $39.03 $35.43

-9 or more. 17000............. ....... Destruct premalg 44.72 41.56

-7 63.29 60.30

-5 lesion. 27130............. ....... Total hip

1,360.52 1,195.11

-12

na

na

na arthroplasty. 27244............. ....... Treat thigh

1,100.92 963.45

-12

na

na

na fracture.

[[Page 2570]]

27447............. ....... Total knee

1,464.74 1,283.69

-12

na

na

na arthroplasty. 33533............. ....... CABG, arterial, 1,908.52 1,659.12

-13

na

na

na single. 35301............. ....... Rechanneling of 1,071.74 934.83

-13

na

na

na artery. 43239............. ....... Upper GI

155.00 140.36

-9 325.16 294.35

-9 endoscopy, biopsy. 66821............. ....... After cataract

253.53 223.15

-12 270.97 238.14

-12 laser surgery. 66984............. ....... Cataract surg w/ 641.98 560.08

-13

na

na

na iol, 1 stage. 67210............. ....... Treatment of

556.34 488.20

-12 580.59 507.96

-13 retinal lesion. 71010............. ....... Chest x-ray......

na

na

na 26.15 22.83

-13 71010............. 26 Chest x-ray...... 8.72 7.84

-10 8.72 7.84

-10 77056............. ....... Mammogram, both

na

na

na 97.40 93.69

-4 breasts. 77056............. 26 Mammogram, both

41.31 37.48

-9 41.31 37.48

-9 breasts. 77057............. ....... Mammogram,

na

na

na 81.86 73.93

-10 screening. 77057............. 26 Mammogram,

33.35 30.32

-9 33.35 30.32

-9 screening. 77427............. ....... Radiation tx

176.22 158.42

-10 176.22 158.42

-10 management, x5. 78465............. 26 Heart image (3d), 73.14 66.43

-9 73.14 66.43

-9 multiple. 88305............. 26 Tissue exam by

37.90 32.36

-15 37.90 32.36

-15 pathologist. 90801............. ....... Psy dx interview. 129.99 112.08

-14 145.15 131.50

-9 90862............. ....... Medication

44.72 39.18

-12 50.40 46.67

-7 management. 90935............. ....... Hemodialysis, one 67.46 58.26

-14

na

na

na evaluation. 92012............. ....... Eye exam

34.11 38.50

13 61.77 62.69

1 established pat. 92014............. ....... Eye exam &

55.71 59.28

6 91.33 90.96

0 treatment. 92980............. ....... Insert

795.85 721.22

-9

na

na

na intracoronary stent. 93000............. ....... Electrocardiogram 24.63 20.78

-16 24.63 20.78

-16 , complete. 93010............. ....... Electrocardiogram 8.34 7.50

-10 8.34 7.50

-10 report. 93015............. ....... Cardiovascular

104.22 93.01

-11 104.22 93.01

-11 stress test. 93307............. 26 Echo exam of

46.99 42.24

-10 46.99 42.24

-10 heart. 93510............. 26 Left heart

242.92 215.65

-11 242.92 215.65

-11 catheterization. 98941............. ....... Chiropractic

28.80 25.55

-11 33.35 29.64

-11 manipulation. 99203............. ....... Office/outpatient 67.08 58.60

-13 91.71 81.42

-11 visit, new. 99213............. ....... Office/outpatient 42.07 37.48

-11 59.50 53.49

-10 visit, est. 99214............. ....... Office/outpatient 66.32 58.60

-12 90.20 80.40

-11 visit, est. 99222............. ....... Initial hospital 119.00 104.59

-12

na

na

na care. 99223............. ....... Initial hospital 173.57 153.65

-11

na

na

na care. 99231............. ....... Subsequent

35.62 31.68

-11

na

na

na hospital care. 99232............. ....... Subsequent

63.67 56.55

-11

na

na

na hospital care. 99233............. ....... Subsequent

90.95 81.08

-11

na

na

na hospital care. 99236............. ....... Observ/hosp same 205.40 179.20

-13

na

na

na date. 99239............. ....... Hospital

94.74 83.13

-12

na

na

na discharge day. 99243............. ....... Office

93.23 83.13

-11 122.41 109.36

-11 consultation. 99244............. ....... Office

145.91 130.14

-11 179.26 160.12

-11 consultation. 99253............. ....... Inpatient

108.77 97.09

-11

na

na

na consultation. 99254............. ....... Inpatient

156.52 140.02

-11

na

na

na consultation. 99283............. ....... Emergency dept

60.64 52.81

-13

na

na

na visit. 99284............. ....... Emergency dept

110.28 97.44

-12

na

na

na visit. 99291............. ....... Critical care,

208.82 182.61

-13 256.19 224.51

-12 first hour. 99292............. ....... Critical care,

104.60 91.64

-12 114.45 100.16

-12 add'l 30 min. 99348............. ....... Home visit, est

na

na

na 66.32 68.14

3 patient. 99350............. ....... Home visit, est

na

na

na 150.83 139.34

-8 patient. G0008............. ....... Admin influenza

na

na

na 18.95 18.40

-3 virus vac. G0317............. ....... ESRD related svs 283.09 245.63

-13 283.09 245.63

-13 4+mo 20+yrs.

23. On page 66393,

a. First column, after the 2nd full paragraph, the following paragraph is inserted as a result of corrections to Addendum D noted below in this notice. The insertion reads as follows:

``In 2008, the counties with the three highest GAFs were in California. Thirty-one payment localities had increases in the GAF of less than one percent. Thirty-eight payment localities had decreases of less than 1 percent. Fifteen payment localities had decreases of over 1 percent and eight payment localities had increases of over 1 percent.''

b. First column, the 3rd full paragraph and 4th partial paragraph are deleted as a result of corrections to Addendum D noted below in this notice.

c. Second column, the 1st partial paragraph is deleted as a result of corrections to Addendum D noted below in this notice.

B. Corrections to the Addenda

The corrections to Addenda B, C, D, E, F, and I will not appear in the Code of Federal Regulations.

1. On pages 66410 through 66543, Addendum B, Relative Value Units and Related Information Used in Determining Medicare Payments for 2008, the table is corrected to read as follows:

[[Page 2571]]

\1\ CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.

Addendum B.--Relative Value Units and Related Information Used in Determining Medicare Payments for 2008; Corrected

Fully Physician Implemented Year 2008 Fully Year 2008 Mal- CPT\1\/ HCPCS Mod

Status

Description

work

non- transitional implemented transitional practice Global RVUs\2\ facility PE non-facility facility PE facility PE RVUs\2\ RVUs\2\ PE RVUs\2\ RVUs\2\ RVUs\2\

0016T......... ............ C........... Thermotx choroid

0.00

0.00

0.00

0.00

0.00

0.00

XXX vasc lesion. 0017T......... ............ C........... Photocoagulat

0.00

0.00

0.00

0.00

0.00

0.00

XXX macular drusen. 0019T......... ............ C........... Extracorp shock wv

0.00

0.00

0.00

0.00

0.00

0.00

XXX tx,ms nos. 0026T......... ............ C........... Measure remnant

0.00

0.00

0.00

0.00

0.00

0.00

XXX lipoproteins. 0027T......... ............ C........... Endoscopic

0.00

0.00

0.00

0.00

0.00

0.00

XXX epidural lysis. 0028T......... ............ C........... Dexa body

0.00

0.00

0.00

0.00

0.00

0.00

XXX composition study. 0029T......... ............ C........... Magnetic tx for

0.00

0.00

0.00

0.00

0.00

0.00

XXX incontinence. 0030T......... ............ C........... Antiprothrombin

0.00

0.00

0.00

0.00

0.00

0.00

XXX antibody. 0031T......... ............ C........... Speculoscopy......

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0032T......... ............ C........... Speculoscopy w/

0.00

0.00

0.00

0.00

0.00

0.00

XXX direct sample. 0041T......... ............ C........... Detect ur infect

0.00

0.00

0.00

0.00

0.00

0.00

XXX agnt w/cpas. 0042T......... ............ C........... Ct perfusion w/

0.00

0.00

0.00

0.00

0.00

0.00

XXX contrast, cbf. 0043T......... ............ C........... Co expired gas

0.00

0.00

0.00

0.00

0.00

0.00

XXX analysis. 0046T......... ............ C........... Cath lavage,

0.00

0.00

0.00

0.00

0.00

0.00

XXX mammary duct(s). 0047T......... ............ C........... Cath lavage,

0.00

0.00

0.00

0.00

0.00

0.00

XXX mammary duct(s). 0048T......... ............ C........... Implant

0.00

0.00

0.00

0.00

0.00

0.00

XXX ventricular device. 0049T......... ............ C........... External

0.00

0.00

0.00

0.00

0.00

0.00

XXX circulation assist. 0050T......... ............ C........... Removal

0.00

0.00

0.00

0.00

0.00

0.00

XXX circulation assist. 0051T......... ............ C........... Implant total

0.00

0.00

0.00

0.00

0.00

0.00

XXX heart system. 0052T......... ............ C........... Replace component

0.00

0.00

0.00

0.00

0.00

0.00

XXX heart syst. 0053T......... ............ C........... Replace component

0.00

0.00

0.00

0.00

0.00

0.00

XXX heart syst. 0058T......... ............ C........... Cryopreservation,

0.00

0.00

0.00

0.00

0.00

0.00

XXX ovary tiss. 0059T......... ............ C........... Cryopreservation,

0.00

0.00

0.00

0.00

0.00

0.00

XXX oocyte. 0060T......... ............ C........... Electrical

0.00

0.00

0.00

0.00

0.00

0.00

XXX impedance scan. 0061T......... ............ C........... Destruction of

0.00

0.00

0.00

0.00

0.00

0.00

XXX tumor, breast. 0062T......... ............ C........... Rep intradisc

0.00

0.00

0.00

0.00

0.00

0.00

XXX annulus;1 lev. 0063T......... ............ C........... Rep intradisc

0.00

0.00

0.00

0.00

0.00

0.00

XXX annulus;>1lev. 0064T......... ............ C........... Spectroscop eval

0.00

0.00

0.00

0.00

0.00

0.00

XXX expired gas. 0066T......... ............ N........... Ct

0.00

0.00

0.00

NA

NA

0.00

XXX colonography;scre en. 0066T......... TC.......... N........... Ct

0.00

0.00

0.00

NA

NA

0.00

XXX colonography;scre en. 0066T......... 26.......... N........... Ct

0.00

0.00

0.00

0.00

0.00

0.00

XXX colonography;scre en. 0067T......... ............ C........... Ct colonography;dx

0.00

0.00

0.00

NA

NA

0.00

XXX 0067T......... TC.......... C........... Ct colonography;dx

0.00

0.00

0.00

NA

NA

0.00

XXX 0067T......... 26.......... C........... Ct colonography;dx

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0068T......... ............ C........... Interp/rept heart

0.00

0.00

0.00

0.00

0.00

0.00

XXX sound. 0069T......... ............ C........... Analysis only

0.00

0.00

0.00

0.00

0.00

0.00

XXX heart sound. 0070T......... ............ C........... Interp only heart

0.00

0.00

0.00

0.00

0.00

0.00

XXX sound. 0071T......... ............ C........... U/s leiomyomata

0.00

0.00

0.00

0.00

0.00

0.00

XXX ablate 200. 0073T......... ............ A........... Delivery, comp

0.00

13.17

15.60

NA

NA

0.13

XXX imrt. 0075T......... ............ C........... Perq stent/chest

0.00

0.00

0.00

NA

NA

0.00

XXX vert art. 0075T......... TC.......... C........... Perq stent/chest

0.00

0.00

0.00

NA

NA

0.00

XXX vert art. 0075T......... 26.......... C........... Perq stent/chest

0.00

0.00

0.00

0.00

0.00

0.00

XXX vert art. 0076T......... ............ C........... S&i stent/chest

0.00

0.00

0.00

NA

NA

0.00

XXX vert art. 0076T......... TC.......... C........... S&i stent/chest

0.00

0.00

0.00

NA

NA

0.00

XXX vert art. 0076T......... 26.......... C........... S&i stent/chest

0.00

0.00

0.00

0.00

0.00

0.00

XXX vert art. 0077T......... ............ C........... Cereb therm

0.00

0.00

0.00

0.00

0.00

0.00

XXX perfusion probe. 0078T......... ............ C........... Endovasc aort repr

0.00

0.00

0.00

0.00

0.00

0.00

XXX w/device. 0079T......... ............ C........... Endovasc visc

0.00

0.00

0.00

0.00

0.00

0.00

XXX extnsn repr. 0080T......... ............ C........... Endovasc aort repr

0.00

0.00

0.00

0.00

0.00

0.00

XXX rad s&i. 0081T......... ............ C........... Endovasc visc

0.00

0.00

0.00

0.00

0.00

0.00

XXX extnsn s&i. 0084T......... ............ C........... Temp prostate

0.00

0.00

0.00

0.00

0.00

0.00

XXX urethral stent. 0085T......... ............ C........... Breath test heart

0.00

0.00

0.00

0.00

0.00

0.00

XXX reject. 0086T......... ............ C........... L ventricle fill

0.00

0.00

0.00

0.00

0.00

0.00

XXX pressure. 0087T......... ............ C........... Sperm eval

0.00

0.00

0.00

0.00

0.00

0.00

XXX hyaluronan. 0088T......... ............ C........... Rf tongue base vol

0.00

0.00

0.00

0.00

0.00

0.00

XXX reduxn. 0089T......... ............ C........... Actigraphy

0.00

0.00

0.00

0.00

0.00

0.00

XXX testing, 3-day. 0090T......... ............ C........... Cervical artific

0.00

0.00

0.00

0.00

0.00

0.00

XXX disc. 0092T......... ............ C........... Artific disc addl.

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0093T......... ............ C........... Cervical artific

0.00

0.00

0.00

0.00

0.00

0.00

XXX diskectomy. 0095T......... ............ C........... Artific diskectomy

0.00

0.00

0.00

0.00

0.00

0.00

XXX addl. 0096T......... ............ C........... Rev cervical

0.00

0.00

0.00

0.00

0.00

0.00

XXX artific disc. 0098T......... ............ C........... Rev artific disc

0.00

0.00

0.00

0.00

0.00

0.00

XXX addl. 0099T......... ............ C........... Implant corneal

0.00

0.00

0.00

0.00

0.00

0.00

XXX ring. 0100T......... ............ C........... Prosth retina

0.00

0.00

0.00

0.00

0.00

0.00

XXX receive&gen. 0101T......... ............ C........... Extracorp shockwv

0.00

0.00

0.00

0.00

0.00

0.00

XXX tx,hi enrg. 0102T......... ............ C........... Extracorp shockwv

0.00

0.00

0.00

0.00

0.00

0.00

XXX tx,anesth. 0103T......... ............ C........... Holotranscobalamin

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0104T......... ............ C........... At rest cardio gas

0.00

0.00

0.00

0.00

0.00

0.00

XXX rebreathe. 0105T......... ............ C........... Exerc cardio gas

0.00

0.00

0.00

0.00

0.00

0.00

XXX rebreathe. 0106T......... ............ C........... Touch quant

0.00

0.00

0.00

0.00

0.00

0.00

XXX sensory test. 0107T......... ............ C........... Vibrate quant

0.00

0.00

0.00

0.00

0.00

0.00

XXX sensory test. 0108T......... ............ C........... Cool quant sensory

0.00

0.00

0.00

0.00

0.00

0.00

XXX test.

[[Page 2572]]

0109T......... ............ C........... Heat quant sensory

0.00

0.00

0.00

0.00

0.00

0.00

XXX test. 0110T......... ............ C........... Nos quant sensory

0.00

0.00

0.00

0.00

0.00

0.00

XXX test. 0111T......... ............ C........... Rbc membranes

0.00

0.00

0.00

0.00

0.00

0.00

XXX fatty acids. 0123T......... ............ C........... Scleral

0.00

0.00

0.00

0.00

0.00

0.00

XXX fistulization. 0124T......... ............ C........... Conjunctival drug

0.00

0.00

0.00

0.00

0.00

0.00

XXX placement. 0126T......... ............ C........... Chd risk imt study

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0130T......... ............ C........... Chron care drug

0.00

0.00

0.00

0.00

0.00

0.00

XXX investigatn. 0137T......... ............ C........... Prostate

0.00

0.00

0.00

0.00

0.00

0.00

XXX saturation sampling. 0140T......... ............ C........... Exhaled breath

0.00

0.00

0.00

0.00

0.00

0.00

XXX condensate ph. 0141T......... ............ I........... Perq islet

0.00

0.00

0.00

0.00

0.00

0.00

XXX transplant. 0142T......... ............ I........... Open islet

0.00

0.00

0.00

0.00

0.00

0.00

XXX transplant. 0143T......... ............ I........... Laparoscopic islet

0.00

0.00

0.00

0.00

0.00

0.00

XXX transplnt. 0144T......... ............ C........... CT heart wo dye;

0.00

0.00

0.00

NA

NA

0.00

XXX qual calc. 0144T......... TC.......... C........... CT heart wo dye;

0.00

0.00

0.00

NA

NA

0.00

XXX qual calc. 0144T......... 26.......... C........... CT heart wo dye;

0.00

0.00

0.00

0.00

0.00

0.00

XXX qual calc. 0145T......... ............ C........... CT heart w/wo dye

0.00

0.00

0.00

NA

NA

0.00

XXX funct. 0145T......... TC.......... C........... CT heart w/wo dye

0.00

0.00

0.00

NA

NA

0.00

XXX funct. 0145T......... 26.......... C........... CT heart w/wo dye

0.00

0.00

0.00

0.00

0.00

0.00

XXX funct. 0146T......... ............ C........... CCTA w/wo dye.....

0.00

0.00

0.00

NA

NA

0.00

XXX 0146T......... TC.......... C........... CCTA w/wo dye.....

0.00

0.00

0.00

NA

NA

0.00

XXX 0146T......... 26.......... C........... CCTA w/wo dye.....

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0147T......... ............ C........... CCTA w/wo, quan

0.00

0.00

0.00

NA

NA

0.00

XXX calcium. 0147T......... TC.......... C........... CCTA w/wo, quan

0.00

0.00

0.00

NA

NA

0.00

XXX calcium. 0147T......... 26.......... C........... CCTA w/wo, quan

0.00

0.00

0.00

0.00

0.00

0.00

XXX calcium. 0148T......... ............ C........... CCTA w/wo, strxr..

0.00

0.00

0.00

NA

NA

0.00

XXX 0148T......... TC.......... C........... CCTA w/wo, strxr..

0.00

0.00

0.00

NA

NA

0.00

XXX 0148T......... 26.......... C........... CCTA w/wo, strxr..

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0149T......... ............ C........... CCTA w/wo, strxr

0.00

0.00

0.00

NA

NA

0.00

XXX quan calc. 0149T......... TC.......... C........... CCTA w/wo, strxr

0.00

0.00

0.00

NA

NA

0.00

XXX quan calc. 0149T......... 26.......... C........... CCTA w/wo, strxr

0.00

0.00

0.00

0.00

0.00

0.00

XXX quan calc. 0150T......... ............ C........... CCTA w/wo, disease

0.00

0.00

0.00

NA

NA

0.00

XXX strxr. 0150T......... TC.......... C........... CCTA w/wo, disease

0.00

0.00

0.00

NA

NA

0.00

XXX strxr. 0150T......... 26.......... C........... CCTA w/wo, disease

0.00

0.00

0.00

0.00

0.00

0.00

XXX strxr. 0151T......... ............ C........... CT heart funct add- 0.00

0.00

0.00

NA

NA

0.00

XXX on. 0151T......... TC.......... C........... CT heart funct add- 0.00

0.00

0.00

NA

NA

0.00

XXX on. 0151T......... 26.......... C........... CT heart funct add- 0.00

0.00

0.00

0.00

0.00

0.00

XXX on. 0155T......... ............ C........... Lap impl gast

0.00

0.00

0.00

0.00

0.00

0.00

XXX curve electrd. 0156T......... ............ C........... Lap remv gast

0.00

0.00

0.00

0.00

0.00

0.00

XXX curve electrd. 0157T......... ............ C........... Open impl gast

0.00

0.00

0.00

0.00

0.00

0.00

XXX curve electrd. 0158T......... ............ C........... Open remv gast

0.00

0.00

0.00

0.00

0.00

0.00

XXX curve electrd. 0159T......... ............ C........... Cad breast mri....

0.00

0.00

0.00

NA

NA

0.00

ZZZ 0159T......... TC.......... C........... Cad breast mri....

0.00

0.00

0.00

NA

NA

0.00

ZZZ 0159T......... 26.......... C........... Cad breast mri....

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ 0160T......... ............ C........... Tcranial magn stim

0.00

0.00

0.00

0.00

0.00

0.00

XXX tx plan. 0161T......... ............ C........... Tcranial magn stim

0.00

0.00

0.00

0.00

0.00

0.00

XXX tx deliv. 0162T......... ............ C........... Anal program gast

0.00

0.00

0.00

0.00

0.00

0.00

XXX neurostim. 0163T......... ............ C........... Lumb artif

0.00

0.00

0.00

0.00

0.00

0.00

YYY diskectomy addl. 0164T......... ............ C........... Remove lumb artif

0.00

0.00

0.00

0.00

0.00

0.00

YYY disc addl. 0165T......... ............ C........... Revise lumb artif

0.00

0.00

0.00

0.00

0.00

0.00

YYY disc addl. 0166T......... ............ C........... Tcath vsd close w/

0.00

0.00

0.00

0.00

0.00

0.00

XXX o bypass. 0167T......... ............ C........... Tcath vsd close w

0.00

0.00

0.00

0.00

0.00

0.00

XXX bypass. 0168T......... ............ C........... Rhinophototx light

0.00

0.00

0.00

0.00

0.00

0.00

XXX app bilat. 0169T......... ............ C........... Place stereo cath

0.00

0.00

0.00

0.00

0.00

0.00

XXX brain. 0170T......... ............ C........... Anorectal fistula

0.00

0.00

0.00

0.00

0.00

0.00

XXX plug rpr. 0171T......... ............ C........... Lumbar spine

0.00

0.00

0.00

0.00

0.00

0.00

XXX proces distract. 0172T......... ............ C........... Lumbar spine

0.00

0.00

0.00

0.00

0.00

0.00

XXX process addl. 0173T......... ............ C........... Iop monit io

0.00

0.00

0.00

0.00

0.00

0.00

XXX pressure. 0174T......... ............ C........... Cad cxr with

0.00

0.00

0.00

0.00

0.00

0.00

XXX interp. 0175T......... ............ C........... Cad cxr remote....

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0176T......... ............ C........... Aqu canal dilat w/

0.00

0.00

0.00

0.00

0.00

0.00

XXX o retent. 0177T......... ............ C........... Aqu canal dilat w

0.00

0.00

0.00

0.00

0.00

0.00

XXX retent. 0178T......... ............ C........... 64 lead ecg w i&r.

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0179T......... ............ C........... 64 lead ecg w

0.00

0.00

0.00

0.00

0.00

0.00

XXX tracing. 0180T......... ............ C........... 64 lead ecg w i&r

0.00

0.00

0.00

0.00

0.00

0.00

XXX only. 0181T......... ............ C........... Corneal hysteresis

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0182T......... ............ C........... Hdr elect

0.00

0.00

0.00

0.00

0.00

0.00

XXX brachytherapy. 0183T......... ............ C........... Wound ultrasound..

0.00

0.00

0.00

0.00

0.00

0.00

XXX 0184T......... ............ C........... Exc rectal tumor

0.00

0.00

0.00

0.00

0.00

0.00

XXX endoscopic. 0185T......... ............ C........... Comptr probability

0.00

0.00

0.00

0.00

0.00

0.00

XXX analysis. 0186T......... ............ C........... Suprachoroidal

0.00

0.00

0.00

0.00

0.00

0.00

XXX drug delivery. 0187T......... ............ C........... Ophthalmic dx

0.00

0.00

0.00

0.00

0.00

0.00

XXX image anterior. 10021......... ............ A........... Fna w/o image.....

1.27

2.18

2.17

0.37

0.46

0.10

XXX

[[Page 2573]]

10022......... ............ A........... Fna w/image.......

1.27

2.15

2.35

0.41

0.41

0.08

XXX 10040......... ............ A........... Acne surgery......

1.19

1.33

1.17

0.98

0.88

0.05

010 10060......... ............ A........... Drainage of skin

1.19

1.51

1.36

1.08

1.01

0.12

010 abscess. 10061......... ............ A........... Drainage of skin

2.42

2.07

1.95

1.51

1.50

0.26

010 abscess. 10080......... ............ A........... Drainage of

1.19

2.68

2.89

1.10

1.11

0.11

010 pilonidal cyst. 10081......... ............ A........... Drainage of

2.47

3.49

3.78

1.45

1.47

0.24

010 pilonidal cyst. 10120......... ............ A........... Remove foreign

1.23

1.95

2.06

0.94

0.96

0.12

010 body. 10121......... ............ A........... Remove foreign

2.71

3.51

3.51

1.65

1.72

0.33

010 body. 10140......... ............ A........... Drainage of

1.55

2.26

2.02

1.29

1.29

0.19

010 hematoma/fluid. 10160......... ............ A........... Puncture drainage

1.22

1.85

1.72

1.08

1.08

0.14

010 of lesion. 10180......... ............ A........... Complex drainage,

2.27

3.25

3.12

1.80

1.89

0.35

010 wound. 11000......... ............ A........... Debride infected

0.60

0.72

0.65

0.16

0.19

0.07

000 skin. 11001......... ............ A........... Debride infected

0.30

0.23

0.23

0.08

0.10

0.04

ZZZ skin add-on. 11004......... ............ A........... Debride genitalia

10.80

NA

NA

3.21

3.55

0.67

000 & perineum. 11005......... ............ A........... Debride abdom wall 14.24

NA

NA

3.78

4.67

0.96

000 11006......... ............ A........... Debride genit/per/ 13.10

NA

NA

3.96

4.40

1.28

000 abdom wall. 11008......... ............ A........... Remove mesh from

5.00

NA

NA

1.29

1.66

0.61

ZZZ abd wall. 11010......... ............ A........... Debride skin, fx..

4.19

6.81

6.84

2.34

2.48

0.66

010 11011......... ............ A........... Debride skin/

4.94

7.04

7.60

2.01

2.18

0.74

000 muscle, fx. 11012......... ............ A........... Debride skin/

6.87

9.01

10.56

3.11

3.47

1.16

000 muscle/bone, fx. 11040......... ............ A........... Debride skin,

0.50

0.68

0.60

0.16

0.18

0.06

000 partial. 11041......... ............ A........... Debride skin, full

0.60

0.72

0.69

0.19

0.26

0.10

000 11042......... ............ A........... Debride skin/

0.80

0.95

0.96

0.24

0.34

0.13

000 tissue. 11043......... ............ A........... Debride tissue/

3.04

3.51

3.44

2.60

2.60

0.32

010 muscle. 11044......... ............ A........... Debride tissue/

4.11

4.84

4.65

3.58

3.67

0.43

010 muscle/bone. 11055......... ............ R........... Trim skin lesion..

0.43

0.81

0.68

0.11

0.14

0.05

000 11056......... ............ R........... Trim skin lesions,

0.61

0.88

0.76

0.16

0.19

0.07

000 2 to 4. 11057......... ............ R........... Trim skin lesions,

0.79

0.99

0.86

0.20

0.25

0.10

000 over 4. 11100......... ............ A........... Biopsy, skin

0.81

1.88

1.56

0.38

0.38

0.03

000 lesion. 11101......... ............ A........... Biopsy, skin add-

0.41

0.41

0.37

0.20

0.19

0.02

ZZZ on. 11200......... ............ A........... Removal of skin

0.79

1.23

1.13

0.90

0.83

0.04

010 tags. 11201......... ............ A........... Remove skin tags

0.29

0.16

0.16

0.11

0.12

0.02

ZZZ add-on. 11300......... ............ A........... Shave skin lesion.

0.51

1.19

1.09

0.21

0.21

0.03

000 11301......... ............ A........... Shave skin lesion.

0.85

1.51

1.31

0.38

0.38

0.04

000 11302......... ............ A........... Shave skin lesion.

1.05

1.76

1.53

0.48

0.47

0.05

000 11303......... ............ A........... Shave skin lesion.

1.24

2.03

1.81

0.55

0.54

0.07

000 11305......... ............ A........... Shave skin lesion.

0.67

1.07

0.96

0.20

0.24

0.07

000 11306......... ............ A........... Shave skin lesion.

0.99

1.43

1.26

0.38

0.40

0.07

000 11307......... ............ A........... Shave skin lesion.

1.14

1.70

1.49

0.47

0.48

0.07

000 11308......... ............ A........... Shave skin lesion.

1.41

1.71

1.58

0.49

0.54

0.13

000 11310......... ............ A........... Shave skin lesion.

0.73

1.38

1.25

0.31

0.32

0.04

000 11311......... ............ A........... Shave skin lesion.

1.05

1.64

1.43

0.48

0.48

0.05

000 11312......... ............ A........... Shave skin lesion.

1.20

1.92

1.67

0.56

0.55

0.06

000 11313......... ............ A........... Shave skin lesion.

1.62

2.19

2.00

0.73

0.72

0.10

000 11400......... ............ A........... Exc tr-ext b9+marg

0.87

1.88

1.94

0.93

0.91

0.06

010 0.5 4.0 cm. 11420......... ............ A........... Exc h-f-nk-sp

1.00

1.83

1.80

0.93

0.93

0.09

010 b9+marg 0.5 4 cm. 11440......... ............ A........... Exc face-mm

1.02

2.00

2.10

1.31

1.31

0.08

010 b9+marg 0.5 4 cm. 11450......... ............ A........... Removal, sweat

3.14

5.13

5.08

2.41

2.22

0.34

090 gland lesion. 11451......... ............ A........... Removal, sweat

4.35

6.38

6.49

2.91

2.73

0.53

090 gland lesion. 11462......... ............ A........... Removal, sweat

2.92

5.33

5.22

2.47

2.24

0.32

090 gland lesion. 11463......... ............ A........... Removal, sweat

4.35

6.53

6.68

2.94

2.81

0.54

090 gland lesion. 11470......... ............ A........... Removal, sweat

3.66

5.47

5.27

2.63

2.45

0.40

090 gland lesion. 11471......... ............ A........... Removal, sweat

4.81

6.51

6.61

3.01

2.89

0.58

090 gland lesion. 11600......... ............ A........... Exc tr-ext

1.58

2.74

2.69

1.14

1.05

0.10

010 mlg+marg 0.5 4 cm. 11620......... ............ A........... Exc h-f-nk-sp

1.59

2.85

2.72

1.19

1.07

0.09

010 mlg+marg 0.5 4 cm. 11640......... ............ A........... Exc face-mm

1.62

3.06

2.86

1.29

1.20

0.11

010 malig+marg 0.5 4 cm. 11719......... ............ R........... Trim nail(s)......

0.17

0.38

0.31

0.04

0.06

0.02

000 11720......... ............ A........... Debride nail, 1-5.

0.32

0.47

0.40

0.08

0.10

0.04

000 11721......... ............ A........... Debride nail, 6 or

0.54

0.55

0.49

0.14

0.17

0.07

000 more. 11730......... ............ A........... Removal of nail

1.10

1.33

1.18

0.28

0.36

0.14

000 plate. 11732......... ............ A........... Remove nail plate,

0.57

0.55

0.49

0.15

0.18

0.07

ZZZ add-on. 11740......... ............ A........... Drain blood from

0.37

0.80

0.67

0.43

0.39

0.04

000 under nail. 11750......... ............ A........... Removal of nail

2.40

2.96

2.56

1.88

1.82

0.22

010 bed. 11752......... ............ A........... Remove nail bed/

3.48

4.06

3.53

2.78

2.88

0.35

010 finger tip. 11755......... ............ A........... Biopsy, nail unit.

1.31

2.03

1.80

0.76

0.76

0.14

000 11760......... ............ A........... Repair of nail bed

1.60

3.40

3.01

1.43

1.61

0.21

010 11762......... ............ A........... Reconstruction of

2.91

3.70

3.29

1.68

2.01

0.36

010 nail bed. 11765......... ............ A........... Excision of nail

0.71

2.67

2.23

1.01

0.88

0.08

010 fold, toe. 11770......... ............ A........... Removal of

2.63

3.46

3.47

1.52

1.51

0.33

010 pilonidal lesion. 11771......... ............ A........... Removal of

5.98

6.64

6.14

3.69

3.50

0.74

090 pilonidal lesion. 11772......... ............ A........... Removal of

7.23

8.04

7.77

5.56

5.31

0.89

090 pilonidal lesion. 11900......... ............ A........... Injection into

0.52

0.92

0.78

0.25

0.23

0.02

000 skin lesions. 11901......... ............ A........... Added skin lesions

0.80

1.01

0.83

0.39

0.37

0.03

000 injection. 11920......... ............ R........... Correct skin color

1.61

2.35

3.02

1.09

1.09

0.24

000 defects. 11921......... ............ R........... Correct skin color

1.93

2.66

3.31

1.26

1.26

0.29

000 defects. 11922......... ............ R........... Correct skin color

0.49

0.92

1.03

0.22

0.24

0.07

ZZZ defects. 11950......... ............ R........... Therapy for

0.84

0.88

1.01

0.36

0.37

0.06

000 contour defects. 11951......... ............ R........... Therapy for

1.19

0.90

1.20

0.36

0.43

0.11

000 contour defects. 11952......... ............ R........... Therapy for

1.69

1.63

1.74

0.77

0.72

0.16

000 contour defects. 11954......... ............ R........... Therapy for

1.85

1.79

2.12

0.77

0.83

0.25

000 contour defects. 11960......... ............ A........... Insert tissue

11.01

NA

NA

10.58

10.49

1.31

090 expander(s). 11970......... ............ A........... Replace tissue

7.86

NA

NA

6.17

6.15

1.05

090 expander. 11971......... ............ A........... Remove tissue

3.21

7.40

8.26

4.02

3.91

0.32

090 expander(s). 11975......... ............ N........... Insert

1.48

1.54

1.48

0.34

0.45

0.17

XXX contraceptive cap. 11976......... ............ R........... Removal of

1.78

1.73

1.72

0.48

0.58

0.21

000 contraceptive cap. 11977......... ............ N........... Removal/reinsert

3.30

1.98

2.13

0.76

1.01

0.37

XXX contra cap. 11980......... ............ A........... Implant hormone

1.48

1.07

1.08

0.49

0.51

0.13

000 pellet(s). 11981......... ............ A........... Insert drug

1.48

1.90

1.80

0.58

0.63

0.12

XXX implant device. 11982......... ............ A........... Remove drug

1.78

2.02

1.98

0.70

0.76

0.17

XXX implant device. 11983......... ............ A........... Remove/insert drug

3.30

2.64

2.46

1.32

1.39

0.23

XXX implant. 12001......... ............ A........... Repair superficial

1.72

1.73

1.86

0.73

0.75

0.15

010 wound(s). 12002......... ............ A........... Repair superficial

1.88

1.80

1.92

0.84

0.87

0.17

010 wound(s). 12004......... ............ A........... Repair superficial

2.26

2.08

2.20

0.92

0.97

0.21

010 wound(s). 12005......... ............ A........... Repair superficial

2.88

2.52

2.67

1.06

1.13

0.27

010 wound(s). 12006......... ............ A........... Repair superficial

3.68

3.06

3.23

1.30

1.40

0.35

010 wound(s). 12007......... ............ A........... Repair superficial

4.13

3.36

3.59

1.46

1.64

0.45

010 wound(s). 12011......... ............ A........... Repair superficial

1.78

1.91

2.02

0.76

0.77

0.16

010 wound(s). 12013......... ............ A........... Repair superficial

2.01

2.07

2.17

0.89

0.91

0.18

010 wound(s). 12014......... ............ A........... Repair superficial

2.48

2.29

2.43

0.98

1.02

0.23

010 wound(s). 12015......... ............ A........... Repair superficial

3.21

2.79

2.96

1.12

1.18

0.29

010 wound(s). 12016......... ............ A........... Repair superficial

3.94

3.17

3.36

1.28

1.40

0.37

010 wound(s). 12017......... ............ A........... Repair superficial

4.72

NA

NA

1.52

1.71

0.47

010 wound(s). 12018......... ............ A........... Repair superficial

5.54

NA

NA

1.92

2.09

0.64

010 wound(s). 12020......... ............ A........... Closure of split

2.64

3.69

3.76

1.75

1.84

0.30

010 wound. 12021......... ............ A........... Closure of split

1.86

1.85

1.84

1.33

1.37

0.24

010 wound. 12031......... ............ A........... Layer closure of

2.17

3.90

3.09

1.77

1.37

0.17

010 wound(s). 12032......... ............ A........... Layer closure of

2.49

5.22

4.53

2.28

2.04

0.16

010 wound(s). 12034......... ............ A........... Layer closure of

2.94

4.61

3.90

2.00

1.72

0.25

010 wound(s). 12035......... ............ A........... Layer closure of

3.44

5.30

5.25

2.11

2.13

0.39

010 wound(s). 12036......... ............ A........... Layer closure of

4.06

5.41

5.48

2.23

2.39

0.55

010 wound(s). 12037......... ............ A........... Layer closure of

4.68

5.99

6.04

2.63

2.80

0.66

010 wound(s). 12041......... ............ A........... Layer closure of

2.39

3.87

3.21

1.78

1.45

0.19

010 wound(s). 12042......... ............ A........... Layer closure of

2.76

4.50

3.88

2.13

1.79

0.17

010 wound(s). 12044......... ............ A........... Layer closure of

3.16

5.41

4.31

1.95

1.77

0.27

010 wound(s).

[[Page 2575]]

12045......... ............ A........... Layer closure of

3.65

5.03

5.15

2.06

2.17

0.41

010 wound(s). 12046......... ............ A........... Layer closure of

4.26

5.66

6.08

2.29

2.52

0.54

010 wound(s). 12047......... ............ A........... Layer closure of

4.66

6.50

6.42

2.66

2.87

0.58

010 wound(s). 12051......... ............ A........... Layer closure of

2.49

4.11

3.69

1.92

1.69

0.20

010 wound(s). 12052......... ............ A........... Layer closure of

2.81

4.87

4.04

2.56

2.00

0.17

010 wound(s). 12053......... ............ A........... Layer closure of

3.14

5.39

4.32

2.13

1.83

0.23

010 wound(s). 12054......... ............ A........... Layer closure of

3.47

5.43

4.50

2.06

1.84

0.30

010 wound(s). 12055......... ............ A........... Layer closure of

4.44

6.01

5.25

2.09

2.11

0.45

010 wound(s). 12056......... ............ A........... Layer closure of

5.25

6.57

6.66

2.58

2.82

0.59

010 wound(s). 12057......... ............ A........... Layer closure of

5.97

7.76

6.95

2.93

3.34

0.56

010 wound(s). 13100......... ............ A........... Repair of wound or

3.14

4.42

4.24

2.47

2.39

0.26

010 lesion. 13101......... ............ A........... Repair of wound or

3.93

5.95

5.30

2.97

2.83

0.26

010 lesion. 13102......... ............ A........... Repair wound/

1.24

1.35

1.26

0.53

0.55

0.13

ZZZ lesion add-on. 13120......... ............ A........... Repair of wound or

3.32

4.58

4.36

2.58

2.46

0.26

010 lesion. 13121......... ............ A........... Repair of wound or

4.36

6.72

5.78

3.64

3.22

0.25

010 lesion. 13122......... ............ A........... Repair wound/

1.44

1.37

1.44

0.58

0.60

0.15

ZZZ lesion add-on. 13131......... ............ A........... Repair of wound or

3.80

5.01

4.69

2.88

2.78

0.26

010 lesion. 13132......... ............ A........... Repair of wound or

6.48

7.89

6.90

4.96

4.56

0.32

010 lesion. 13133......... ............ A........... Repair wound/

2.19

1.88

1.77

0.98

1.00

0.18

ZZZ lesion add-on. 13150......... ............ A........... Repair of wound or

3.82

4.72

4.80

2.72

2.74

0.34

010 lesion. 13151......... ............ A........... Repair of wound or

4.46

5.52

5.16

3.22

3.18

0.31

010 lesion. 13152......... ............ A........... Repair of wound or

6.34

7.54

6.79

3.92

3.98

0.40

010 lesion. 13153......... ............ A........... Repair wound/

2.38

2.05

1.99

1.03

1.08

0.24

ZZZ lesion add-on. 13160......... ............ A........... Late closure of

11.84

NA

NA

7.02

7.09

1.54

090 wound. 14000......... ............ A........... Skin tissue

6.83

8.95

8.40

6.04

5.76

0.59

090 rearrangement. 14001......... ............ A........... Skin tissue

9.60

11.02

10.22

7.49

7.28

0.82

090 rearrangement. 14020......... ............ A........... Skin tissue

7.66

10.04

9.32

6.89

6.71

0.64

090 rearrangement. 14021......... ............ A........... Skin tissue

11.18

12.47

11.23

8.66

8.47

0.81

090 rearrangement. 14040......... ............ A........... Skin tissue

8.44

10.20

9.50

6.99

7.10

0.62

090 rearrangement. 14041......... ............ A........... Skin tissue

12.67

13.58

12.09

9.35

9.01

0.73

090 rearrangement. 14060......... ............ A........... Skin tissue

9.07

9.69

9.24

7.18

7.31

0.68

090 rearrangement. 14061......... ............ A........... Skin tissue

13.67

14.84

13.22

10.18

9.84

0.76

090 rearrangement. 14300......... ............ A........... Skin tissue

13.26

13.53

12.33

9.45

9.31

1.16

090 rearrangement. 14350......... ............ A........... Skin tissue

10.82

NA

NA

6.90

7.02

1.34

090 rearrangement. 15002......... ............ A........... Wnd prep, ch/inf,

3.65

4.22

4.22

1.69

1.69

0.49

000 trk/arm/lg. 15003......... ............ A........... Wnd prep, ch/inf

0.80

0.90

0.90

0.26

0.26

0.11

ZZZ addl 100 cm. 15004......... ............ A........... Wnd prep ch/inf, f/ 4.58

4.88

4.88

2.02

2.02

0.62

000 n/hf/g. 15005......... ............ A........... Wnd prep, f/n/hf/

1.60

1.24

1.24

0.53

0.53

0.22

ZZZ g, addl cm. 15040......... ............ A........... Harvest cultured

2.00

3.94

4.25

1.05

1.09

0.24

000 skin graft. 15050......... ............ A........... Skin pinch graft..

5.37

7.63

7.27

5.01

5.06

0.57

090 15100......... ............ A........... Skin splt grft,

9.74

9.77

11.18

6.68

7.25

1.28

090 trnk/arm/leg. 15101......... ............ A........... Skin splt grft t/a/ 1.72

2.47

3.10

0.85

1.01

0.24

ZZZ l, add-on. 15110......... ............ A........... Epidrm autogrft

10.88

8.75

9.71

6.36

6.68

1.31

090 trnk/arm/leg. 15111......... ............ A........... Epidrm autogrft t/

1.85

0.87

1.08

0.62

0.70

0.26

ZZZ a/l add-on. 15115......... ............ A........... Epidrm a-grft face/ 11.19

9.23

9.23

6.74

7.05

1.15

090 nck/hf/g. 15116......... ............ A........... Epidrm a-grft f/n/

2.50

1.19

1.39

0.86

0.99

0.33

ZZZ hf/g addl. 15120......... ............ A........... Skn splt a-grft

10.96

11.35

11.04

7.45

7.62

1.16

090 fac/nck/hf/g. 15121......... ............ A........... Skn splt a-grft f/

2.67

3.44

3.97

1.29

1.57

0.36

ZZZ n/hf/g add. 15130......... ............ A........... Derm autograft,

7.41

7.96

8.91

5.58

5.96

0.97

090 trnk/arm/leg. 15131......... ............ A........... Derm autograft t/a/ 1.50

0.66

0.86

0.48

0.56

0.21

ZZZ l add-on. 15135......... ............ A........... Derm autograft

10.91

9.49

9.68

7.05

7.59

1.23

090 face/nck/hf/g. 15136......... ............ A........... Derm autograft, f/

1.50

0.66

0.77

0.51

0.59

0.20

ZZZ n/hf/g add. 15150......... ............ A........... Cult epiderm grft

9.30

7.05

7.75

5.76

6.10

1.14

090 t/arm/leg. 15151......... ............ A........... Cult epiderm grft

2.00

0.88

1.09

0.67

0.76

0.28

ZZZ t/a/l addl. 15152......... ............ A........... Cult epiderm graft

2.50

1.05

1.30

0.84

0.95

0.35

ZZZ t/a/l +%. 15155......... ............ A........... Cult epiderm

10.05

7.66

7.74

6.31

6.64

1.05

090 graft, f/n/hf/g. 15156......... ............ A........... Cult epidrm grft f/ 2.75

1.15

1.35

0.94

1.09

0.36

ZZZ n/hfg add. 15157......... ............ A........... Cult epiderm grft

3.00

1.34

1.56

1.03

1.19

0.39

ZZZ f/n/hfg +%. 15170......... ............ A........... Acell graft trunk/

5.99

4.01

3.92

2.60

2.48

0.55

090 arms/legs. 15171......... ............ A........... Acell graft t/arm/

1.55

0.60

0.64

0.46

0.54

0.19

ZZZ leg add-on. 15175......... ............ A........... Acellular graft, f/ 7.99

4.47

4.95

3.15

3.57

0.82

090 n/hf/g. 15176......... ............ A........... Acell graft, f/n/

2.45

1.04

1.07

0.79

0.89

0.29

ZZZ hf/g add-on. 15200......... ............ A........... Skin full graft,

8.97

9.91

9.66

6.35

6.28

0.98

090 trunk. 15201......... ............ A........... Skin full graft

1.32

2.02

2.29

0.47

0.54

0.19

ZZZ trunk add-on. 15220......... ............ A........... Skin full graft

7.95

10.47

9.83

6.70

6.69

0.84

090 sclp/arm/leg. 15221......... ............ A........... Skin full graft

1.19

2.00

2.16

0.50

0.53

0.16

ZZZ add-on. 15240......... ............ A........... Skin full grft

10.15

12.04

11.12

8.90

8.43

0.92

090 face/genit/hf. 15241......... ............ A........... Skin full graft

1.86

2.54

2.49

0.81

0.86

0.23

ZZZ add-on. 15260......... ............ A........... Skin full graft

11.39

13.02

11.62

9.34

8.96

0.69

090 een & lips. 15261......... ............ A........... Skin full graft

2.23

2.98

2.84

1.16

1.28

0.21

ZZZ add-on. 15300......... ............ A........... Apply

4.65

3.44

3.32

2.15

2.19

0.49

090 skinallogrft, t/ arm/lg. 15301......... ............ A........... Apply sknallogrft

1.00

0.46

0.46

0.32

0.36

0.14

ZZZ t/a/l addl.

[[Page 2576]]

15320......... ............ A........... Apply skin

5.36

3.78

3.70

2.36

2.45

0.58

090 allogrft f/n/hf/g. 15321......... ............ A........... Aply sknallogrft f/ 1.50

0.69

0.69

0.51

0.55

0.21

ZZZ n/hfg add. 15330......... ............ A........... Aply acell alogrft

3.99

3.50

3.34

2.14

2.18

0.49

090 t/arm/leg. 15331......... ............ A........... Aply acell grft t/

1.00

0.49

0.47

0.36

0.38

0.14

ZZZ a/l add-on. 15335......... ............ A........... Apply acell graft,

4.50

3.32

3.40

2.01

2.23

0.55

090 f/n/hf/g. 15336......... ............ A........... Aply acell grft f/

1.43

0.74

0.71

0.51

0.54

0.20

ZZZ n/hf/g add. 15340......... ............ A........... Apply cult skin

3.76

3.69

3.84

2.64

2.70

0.41

010 substitute. 15341......... ............ A........... Apply cult skin

0.50

0.64

0.62

0.13

0.17

0.06

ZZZ sub add-on. 15360......... ............ A........... Apply cult derm

3.93

4.85

4.66

3.54

3.31

0.43

090 sub, t/a/l. 15361......... ............ A........... Aply cult derm sub

1.15

0.50

0.54

0.32

0.39

0.14

ZZZ t/a/l add. 15365......... ............ A........... Apply cult derm

4.21

4.22

4.38

3.10

3.15

0.46

090 sub f/n/hf/g. 15366......... ............ A........... Apply cult derm f/

1.45

0.67

0.68

0.47

0.53

0.17

ZZZ hf/g add. 15400......... ............ A........... Apply skin

4.38

5.00

4.50

3.76

3.89

0.47

090 xenograft, t/a/l. 15401......... ............ A........... Apply skn xenogrft

1.00

1.01

1.45

0.33

0.39

0.14

ZZZ t/a/l add. 15420......... ............ A........... Apply skin xgraft,

4.89

5.43

5.11

4.18

3.98

0.52

090 f/n/hf/g. 15421......... ............ A........... Apply skn xgrft f/

1.50

1.16

1.24

0.48

0.55

0.21

ZZZ n/hf/g add. 15430......... ............ A........... Apply acellular

5.93

6.61

6.76

6.06

6.34

0.66

090 xenograft. 15431......... ............ C........... Apply acellular

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ xgraft add. 15570......... ............ A........... Form skin pedicle

10.00

10.09

10.70

6.27

6.52

1.34

090 flap. 15572......... ............ A........... Form skin pedicle

9.94

9.79

9.64

6.66

6.56

1.20

090 flap. 15574......... ............ A........... Form skin pedicle

10.52

10.55

10.62

7.04

7.42

1.20

090 flap. 15576......... ............ A........... Form skin pedicle

9.24

9.67

9.72

6.52

6.70

0.87

090 flap. 15600......... ............ A........... Skin graft........

1.95

5.32

6.46

2.75

2.91

0.27

090 15610......... ............ A........... Skin graft........

2.46

5.57

5.13

3.05

3.24

0.35

090 15620......... ............ A........... Skin graft........

3.62

6.47

7.13

3.90

3.89

0.35

090 15630......... ............ A........... Skin graft........

3.95

7.08

7.06

4.32

4.23

0.34

090 15650......... ............ A........... Transfer skin

4.64

7.28

7.21

4.39

4.30

0.42

090 pedicle flap. 15731......... ............ A........... Forehead flap w/

14.12

11.90

11.90

9.34

9.34

1.28

090 vasc pedicle. 15732......... ............ A........... Muscle-skin graft, 19.70

14.66

16.36

11.10

11.66

2.00

090 head/neck. 15734......... ............ A........... Muscle-skin graft, 19.62

15.70

16.91

11.85

12.12

2.62

090 trunk. 15736......... ............ A........... Muscle-skin graft, 16.92

13.40

15.82

9.60

10.41

2.46

090 arm. 15738......... ............ A........... Muscle-skin graft, 18.92

13.78

15.88

10.20

10.96

2.66

090 leg. 15740......... ............ A........... Island pedicle

11.57

13.58

11.86

9.43

8.84

0.63

090 flap graft. 15750......... ............ A........... Neurovascular

12.73

NA

NA

8.86

8.95

1.42

090 pedicle graft. 15756......... ............ A........... Free myo/skin flap 36.74

NA

NA

18.57

19.57

4.62

090 microvasc. 15757......... ............ A........... Free skin flap,

36.95

NA

NA

17.87

19.74

3.90

090 microvasc. 15758......... ............ A........... Free fascial flap, 36.70

NA

NA

17.58

19.58

4.24

090 microvasc. 15760......... ............ A........... Composite skin

9.68

10.42

10.23

7.06

7.16

0.85

090 graft. 15770......... ............ A........... Derma-fat-fascia

8.73

NA

NA

6.64

6.66

1.05

090 graft. 15775......... ............ R........... Hair transplant

3.95

2.88

3.56

1.23

1.26

0.52

000 punch grafts. 15776......... ............ R........... Hair transplant

5.53

4.85

5.11

2.14

2.47

0.72

000 punch grafts. 15780......... ............ A........... Abrasion treatment

8.50

11.24

11.38

6.53

7.39

0.67

090 of skin. 15781......... ............ A........... Abrasion treatment

4.91

8.68

7.80

5.64

5.51

0.34

090 of skin. 15782......... ............ A........... Abrasion treatment

4.36

8.72

9.29

4.97

5.76

0.34

090 of skin. 15783......... ............ A........... Abrasion treatment

4.33

7.92

7.40

4.97

4.58

0.28

090 of skin. 15786......... ............ A........... Abrasion, lesion,

2.05

3.90

3.63

1.25

1.28

0.11

010 single. 15787......... ............ A........... Abrasion, lesions,

0.33

0.83

0.96

0.08

0.12

0.04

ZZZ add-on. 15788......... ............ R........... Chemical peel,

2.09

9.47

8.09

4.13

3.60

0.11

090 face, epiderm. 15789......... ............ R........... Chemical peel,

4.91

9.43

8.76

5.83

5.32

0.20

090 face, dermal. 15792......... ............ R........... Chemical peel,

1.86

8.98

8.04

4.58

4.52

0.13

090 nonfacial. 15793......... ............ A........... Chemical peel,

3.82

8.10

7.20

4.90

4.64

0.19

090 nonfacial. 15819......... ............ A........... Plastic surgery,

10.45

NA

NA

6.68

6.93

0.97

090 neck. 15820......... ............ A........... Revision of lower

6.09

6.39

6.68

5.20

5.38

0.40

090 eyelid. 15821......... ............ A........... Revision of lower

6.66

6.57

6.96

5.28

5.50

0.45

090 eyelid. 15822......... ............ A........... Revision of upper

4.51

5.23

5.53

4.09

4.29

0.37

090 eyelid. 15823......... ............ A........... Revision of upper

8.12

7.39

7.62

6.11

6.27

0.50

090 eyelid. 15824......... ............ R........... Removal of

0.00

0.00

0.00

0.00

0.00

0.00

000 forehead wrinkles. 15825......... ............ R........... Removal of neck

0.00

0.00

0.00

0.00

0.00

0.00

000 wrinkles. 15826......... ............ R........... Removal of brow

0.00

0.00

0.00

0.00

0.00

0.00

000 wrinkles. 15828......... ............ R........... Removal of face

0.00

0.00

0.00

0.00

0.00

0.00

000 wrinkles. 15829......... ............ R........... Removal of skin

0.00

0.00

0.00

0.00

0.00

0.00

000 wrinkles. 15830......... ............ R........... Exc skin abd...... 16.90

NA

NA

9.82

9.82

2.93

090 15832......... ............ A........... Excise excessive

12.65

NA

NA

8.28

8.31

1.66

090 skin tissue. 15833......... ............ A........... Excise excessive

11.70

NA

NA

7.50

7.86

1.49

090 skin tissue. 15834......... ............ A........... Excise excessive

11.97

NA

NA

8.16

7.93

1.61

090 skin tissue. 15835......... ............ A........... Excise excessive

12.79

NA

NA

7.86

7.70

1.60

090 skin tissue. 15836......... ............ A........... Excise excessive

10.41

NA

NA

6.83

6.81

1.34

090 skin tissue. 15837......... ............ A........... Excise excessive

9.37

8.68

8.62

5.79

6.58

1.18

090 skin tissue. 15838......... ............ A........... Excise excessive

8.07

NA

NA

5.45

5.76

0.58

090 skin tissue. 15839......... ............ A........... Excise excessive

10.32

9.76

9.30

6.47

6.43

1.22

090 skin tissue. 15840......... ............ A........... Graft for face

14.76

NA

NA

8.93

9.45

1.32

090 nerve palsy. 15841......... ............ A........... Graft for face

25.69

NA

NA

13.54

14.27

2.55

090 nerve palsy.

[[Page 2577]]

15842......... ............ A........... Flap for face

40.68

NA

NA

20.89

21.91

4.94

090 nerve palsy. 15845......... ............ A........... Skin and muscle

14.04

NA

NA

8.36

8.84

0.81

090 repair, face. 15847......... ............ C........... Exc skin abd add-

0.00

0.00

0.00

0.00

0.00

0.00

YYY on. 15850......... ............ B........... Removal of sutures

0.78

1.20

1.38

0.18

0.24

0.05

XXX 15851......... ............ A........... Removal of sutures

0.86

1.33

1.51

0.24

0.27

0.06

000 15852......... ............ A........... Dressing change

0.86

NA

NA

0.25

0.29

0.09

000 not for burn. 15860......... ............ A........... Test for blood

1.95

NA

NA

0.64

0.71

0.27

000 flow in graft. 15876......... ............ R........... Suction assisted

0.00

0.00

0.00

0.00

0.00

0.00

000 lipectomy. 15877......... ............ R........... Suction assisted

0.00

0.00

0.00

0.00

0.00

0.00

000 lipectomy. 15878......... ............ R........... Suction assisted

0.00

0.00

0.00

0.00

0.00

0.00

000 lipectomy. 15879......... ............ R........... Suction assisted

0.00

0.00

0.00

0.00

0.00

0.00

000 lipectomy. 15920......... ............ A........... Removal of tail

8.15

NA

NA

5.35

5.45

1.04

090 bone ulcer. 15922......... ............ A........... Removal of tail

10.23

NA

NA

7.17

7.19

1.42

090 bone ulcer. 15931......... ............ A........... Remove sacrum

9.96

NA

NA

5.56

5.63

1.25

090 pressure sore. 15933......... ............ A........... Remove sacrum

11.60

NA

NA

7.31

7.58

1.52

090 pressure sore. 15934......... ............ A........... Remove sacrum

13.54

NA

NA

7.73

7.88

1.79

090 pressure sore. 15935......... ............ A........... Remove sacrum

15.58

NA

NA

9.18

9.75

2.10

090 pressure sore. 15936......... ............ A........... Remove sacrum

13.04

NA

NA

7.42

7.82

1.77

090 pressure sore. 15937......... ............ A........... Remove sacrum

15.00

NA

NA

8.94

9.38

2.07

090 pressure sore. 15940......... ............ A........... Remove hip

10.11

NA

NA

5.81

5.99

1.31

090 pressure sore. 15941......... ............ A........... Remove hip

12.24

NA

NA

8.43

8.94

1.66

090 pressure sore. 15944......... ............ A........... Remove hip

12.27

NA

NA

8.14

8.37

1.65

090 pressure sore. 15945......... ............ A........... Remove hip

13.57

NA

NA

8.81

9.23

1.85

090 pressure sore. 15946......... ............ A........... Remove hip

23.80

NA

NA

13.71

14.04

3.17

090 pressure sore. 15950......... ............ A........... Remove thigh

7.91

NA

NA

5.40

5.41

1.04

090 pressure sore. 15951......... ............ A........... Remove thigh

11.41

NA

NA

7.34

7.60

1.49

090 pressure sore. 15952......... ............ A........... Remove thigh

12.14

NA

NA

7.46

7.61

1.60

090 pressure sore. 15953......... ............ A........... Remove thigh

13.39

NA

NA

8.23

8.62

1.80

090 pressure sore. 15956......... ............ A........... Remove thigh

16.59

NA

NA

9.55

10.16

2.22

090 pressure sore. 15958......... ............ A........... Remove thigh

16.55

NA

NA

10.43

10.74

2.26

090 pressure sore. 15999......... ............ C........... Removal of

0.00

0.00

0.00

0.00

0.00

0.00

YYY pressure sore. 16000......... ............ A........... Initial treatment

0.89

0.72

0.79

0.23

0.25

0.08

000 of burn(s). 16020......... ............ A........... Dress/debrid p-

0.80

1.11

1.20

0.56

0.57

0.08

000 thick burn, s. 16025......... ............ A........... Dress/debrid p-

1.85

1.57

1.67

0.86

0.91

0.19

000 thick burn, m. 16030......... ............ A........... Dress/debrid p-

2.08

2.08

2.13

1.02

1.07

0.24

000 thick burn, l. 16035......... ............ A........... Incision of burn

3.74

NA

NA

1.22

1.40

0.46

000 scab, initi. 16036......... ............ A........... Escharotomy;

1.50

NA

NA

0.46

0.53

0.20

ZZZ add[AElig]l incision. 17000......... ............ A........... Destruct premalg

0.62

1.41

1.19

0.74

0.64

0.03

010 lesion. 17003......... ............ A........... Destruct premalg

0.07

0.10

0.11

0.03

0.05

0.01

ZZZ les, 2-14. 17004......... ............ A........... Destroy premlg

1.82

2.44

2.37

1.38

1.48

0.11

010 lesions 15+. 17106......... ............ A........... Destruction of

4.62

4.69

4.65

3.28

3.31

0.35

090 skin lesions. 17107......... ............ A........... Destruction of

9.19

6.98

7.09

4.95

5.20

0.63

090 skin lesions. 17108......... ............ A........... Destruction of

13.22

8.87

9.07

6.39

7.03

0.54

090 skin lesions. 17110......... ............ A........... Destruct b9

0.67

1.79

1.70

0.88

0.79

0.05

010 lesion, 1-14. 17111......... ............ A........... Destruct lesion,

0.94

2.25

1.96

1.11

0.96

0.05

010 15 or more. 17250......... ............ A........... Chemical cautery,

0.50

1.32

1.27

0.38

0.36

0.06

000 tissue. 17260......... ............ A........... Destruction of

0.93

1.41

1.34

0.71

0.69

0.04

010 skin lesions. 17261......... ............ A........... Destruction of

1.19

2.49

2.05

1.07

0.95

0.05

010 skin lesions. 17262......... ............ A........... Destruction of

1.60

2.84

2.36

1.27

1.15

0.06

010 skin lesions. 17263......... ............ A........... Destruction of

1.81

3.07

2.56

1.37

1.23

0.07

010 skin lesions. 17264......... ............ A........... Destruction of

1.96

3.27

2.75

1.44

1.28

0.08

010 skin lesions. 17266......... ............ A........... Destruction of

2.36

3.50

3.00

1.59

1.40

0.09

010 skin lesions. 17270......... ............ A........... Destruction of

1.34

2.44

2.07

1.10

0.98

0.05

010 skin lesions. 17271......... ............ A........... Destruction of

1.51

2.66

2.22

1.22

1.10

0.06

010 skin lesions. 17272......... ............ A........... Destruction of

1.79

2.97

2.49

1.37

1.24

0.07

010 skin lesions. 17273......... ............ A........... Destruction of

2.07

3.21

2.71

1.49

1.35

0.08

010 skin lesions. 17274......... ............ A........... Destruction of

2.61

3.61

3.09

1.74

1.59

0.10

010 skin lesions. 17276......... ............ A........... Destruction of

3.22

3.89

3.42

1.97

1.82

0.16

010 skin lesions. 17280......... ............ A........... Destruction of

1.19

2.36

1.99

1.03

0.92

0.05

010 skin lesions. 17281......... ............ A........... Destruction of

1.74

2.74

2.32

1.33

1.21

0.07

010 skin lesions. 17282......... ............ A........... Destruction of

2.06

3.14

2.65

1.49

1.36

0.08

010 skin lesions. 17283......... ............ A........... Destruction of

2.66

3.56

3.05

1.77

1.63

0.11

010 skin lesions. 17284......... ............ A........... Destruction of

3.23

3.97

3.45

2.03

1.89

0.13

010 skin lesions. 17286......... ............ A........... Destruction of

4.45

4.45

4.06

2.49

2.47

0.23

010 skin lesions. 17311......... ............ A........... Mohs, 1 stage, h/n/ 6.20

10.71

10.71

3.05

3.05

0.24

000 hf/g. 17312......... ............ A........... Mohs addl stage...

3.30

6.89

6.89

1.62

1.62

0.13

ZZZ 17313......... ............ A........... Mohs, 1 stage, t/a/ 5.56

9.88

9.88

2.74

2.74

0.22

000 l. 17314......... ............ A........... Mohs, addl stage,

3.06

6.37

6.37

1.50

1.50

0.12

ZZZ t/a/l. 17315......... ............ A........... Mohs surg, addl

0.87

1.14

1.14

0.43

0.43

0.03

ZZZ block. 17340......... ............ A........... Cryotherapy of

0.76

0.35

0.36

0.38

0.37

0.05

010 skin. 17360......... ............ A........... Skin peel therapy.

1.44

1.86

1.65

1.01

0.94

0.06

010 17380......... ............ R........... Hair removal by

0.00

0.00

0.00

0.00

0.00

0.00

000 electrolysis.

[[Page 2578]]

17999......... ............ C........... Skin tissue

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 19000......... ............ A........... Drainage of breast

0.84

1.91

1.95

0.26

0.29

0.08

000 lesion. 19001......... ............ A........... Drain breast

0.42

0.26

0.25

0.14

0.14

0.04

ZZZ lesion add-on. 19020......... ............ A........... Incision of breast

3.74

6.63

6.48

3.04

2.86

0.45

090 lesion. 19030......... ............ A........... Injection for

1.53

2.67

2.77

0.54

0.52

0.09

000 breast x-ray. 19100......... ............ A........... Bx breast percut w/ 1.27

2.08

2.08

0.33

0.37

0.16

000 o image. 19101......... ............ A........... Biopsy of breast,

3.20

4.37

4.44

1.78

1.85

0.39

010 open. 19102......... ............ A........... Bx breast percut w/ 2.00

3.47

3.65

0.68

0.67

0.14

000 image. 19103......... ............ A........... Bx breast percut w/ 3.69

10.10

10.80

1.19

1.21

0.30

000 device. 19105......... ............ A........... Cryosurg ablate

3.69

46.51

46.51

1.00

1.00

0.30

000 fa, each. 19110......... ............ A........... Nipple exploration

4.35

6.07

5.93

3.10

2.98

0.57

090 19112......... ............ A........... Excise breast duct

3.72

6.23

6.15

3.13

2.91

0.48

090 fistula. 19120......... ............ A........... Removal of breast

5.84

5.09

4.81

3.37

3.21

0.73

090 lesion. 19125......... ............ A........... Excision, breast

6.59

5.56

5.17

3.65

3.47

0.80

090 lesion. 19126......... ............ A........... Excision, addl

2.93

NA

NA

0.75

0.87

0.38

ZZZ breast lesion. 19260......... ............ A........... Removal of chest

17.60

NA

NA

10.15

10.65

2.14

090 wall lesion. 19271......... ............ A........... Revision of chest

21.86

NA

NA

15.83

16.90

2.63

090 wall. 19272......... ............ A........... Extensive chest

24.82

NA

NA

16.97

17.95

3.00

090 wall surgery. 19290......... ............ A........... Place needle wire,

1.27

2.89

2.87

0.45

0.43

0.07

000 breast. 19291......... ............ A........... Place needle wire,

0.63

1.14

1.17

0.22

0.21

0.04

ZZZ breast. 19295......... ............ A........... Place breast clip,

0.00

2.28

2.49

NA

NA

0.01

ZZZ percut. 19296......... ............ A........... Place po breast

3.63

86.03 105.75

1.19

1.36

0.36

000 cath for rad. 19297......... ............ A........... Place breast cath

1.72

NA

NA

0.44

0.54

0.17

ZZZ for rad. 19298......... ............ A........... Place breast rad

6.00

22.02

32.10

2.11

2.26

0.43

000 tube/caths. 19300......... ............ A........... Removal of breast

5.20

8.06

7.60

3.86

3.63

0.69

090 tissue. 19301......... ............ A........... Partical

10.00

NA

NA

4.63

4.02

0.79

090 mastectomy. 19302......... ............ A........... P-mastectomy w/ln

13.88

NA

NA

6.14

6.24

1.80

090 removal. 19303......... ............ A........... Mast, simple,

15.67

NA

NA

7.00

6.01

1.18

090 complete. 19304......... ............ A........... Mast, subq........

7.81

NA

NA

4.94

4.85

1.04

090 19305......... ............ A........... Mast, radical..... 17.23

NA

NA

8.12

8.04

1.93

090 19306......... ............ A........... Mast, rad, urban

17.85

NA

NA

8.72

8.48

2.08

090 type. 19307......... ............ A........... Mast, mod rad..... 17.95

NA

NA

8.77

8.49

2.13

090 19316......... ............ A........... Suspension of

10.98

NA

NA

6.95

7.23

1.64

090 breast. 19318......... ............ A........... Reduction of large 15.91

NA

NA

9.91

10.54

2.93

090 breast. 19324......... ............ A........... Enlarge breast....

6.65

NA

NA

4.47

4.68

0.84

090 19325......... ............ A........... Enlarge breast

8.52

NA

NA

6.41

6.47

1.33

090 with implant. 19328......... ............ A........... Removal of breast

6.35

NA

NA

4.99

5.01

0.91

090 implant. 19330......... ............ A........... Removal of implant

8.39

NA

NA

5.95

6.00

1.26

090 material. 19340......... ............ A........... Immediate breast

6.32

NA

NA

2.81

2.96

1.06

ZZZ prosthesis. 19342......... ............ A........... Delayed breast

12.40

NA

NA

8.93

8.93

1.84

090 prosthesis. 19350......... ............ A........... Breast

8.99

9.89

11.87

6.59

6.88

1.41

090 reconstruction. 19355......... ............ A........... Correct inverted

8.37

7.41

8.83

4.68

4.69

0.92

090 nipple(s). 19357......... ............ A........... Breast

20.57

NA

NA

15.39

15.51

2.94

090 reconstruction. 19361......... ............ A........... Breast reconstr w/ 23.17

NA

NA

16.80

14.62

2.93

090 lat flap. 19364......... ............ A........... Breast

42.40

NA

NA

22.17

22.87

6.24

090 reconstruction. 19366......... ............ A........... Breast

21.70

NA

NA

9.91

10.75

3.25

090 reconstruction. 19367......... ............ A........... Breast

26.59

NA

NA

15.19

15.95

4.04

090 reconstruction. 19368......... ............ A........... Breast

33.61

NA

NA

18.04

18.48

5.54

090 reconstruction. 19369......... ............ A........... Breast

31.02

NA

NA

16.33

17.37

4.51

090 reconstruction. 19370......... ............ A........... Surgery of breast

8.99

NA

NA

6.79

6.85

1.29

090 capsule. 19371......... ............ A........... Removal of breast

10.42

NA

NA

7.69

7.76

1.62

090 capsule. 19380......... ............ A........... Revise breast

10.21

NA

NA

7.61

7.66

1.44

090 reconstruction. 19396......... ............ A........... Design custom

2.17

4.53

2.81

1.28

1.14

0.30

000 breast implant. 19499......... ............ C........... Breast surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 20000......... ............ A........... Incision of

2.14

2.78

2.74

1.53

1.63

0.25

010 abscess. 20005......... ............ A........... Incision of deep

3.55

3.67

3.58

2.01

2.13

0.46

010 abscess. 20100......... ............ A........... Explore wound,

10.33

NA

NA

3.58

4.02

1.21

010 neck. 20101......... ............ A........... Explore wound,

3.22

6.60

6.26

1.53

1.57

0.44

010 chest. 20102......... ............ A........... Explore wound,

3.95

6.95

7.21

1.84

1.87

0.49

010 abdomen. 20103......... ............ A........... Explore wound,

5.31

7.81

8.20

2.79

3.09

0.75

010 extremity. 20150......... ............ A........... Excise epiphyseal

14.60

NA

NA

7.65

7.34

2.04

090 bar. 20200......... ............ A........... Muscle biopsy.....

1.46

3.09

3.06

0.69

0.72

0.23

000 20205......... ............ A........... Deep muscle biopsy

2.35

3.83

3.86

1.10

1.14

0.33

000 20206......... ............ A........... Needle biopsy,

0.99

5.22

5.86

0.57

0.60

0.07

000 muscle. 20220......... ............ A........... Bone biopsy,

1.27

2.71

3.63

0.68

0.73

0.08

000 trocar/needle. 20225......... ............ A........... Bone biopsy,

1.87

12.00

18.23

1.02

1.08

0.22

000 trocar/needle. 20240......... ............ A........... Bone biopsy,

3.25

NA

NA

2.02

2.29

0.44

010 excisional. 20245......... ............ A........... Bone biopsy,

8.77

NA

NA

5.75

6.16

1.31

010 excisional. 20250......... ............ A........... Open bone biopsy..

5.16

NA

NA

3.63

3.57

1.02

010 20251......... ............ A........... Open bone biopsy..

5.69

NA

NA

3.85

4.00

1.15

010 20500......... ............ A........... Injection of sinus

1.25

1.34

1.80

0.88

1.20

0.12

010 tract. 20501......... ............ A........... Inject sinus tract

0.76

2.37

2.64

0.27

0.26

0.04

000 for x-ray.

[[Page 2579]]

20520......... ............ A........... Removal of foreign

1.87

2.61

2.76

1.45

1.61

0.21

010 body. 20525......... ............ A........... Removal of foreign

3.51

7.11

8.13

2.21

2.42

0.51

010 body. 20526......... ............ A........... Ther injection,

0.94

0.81

0.89

0.41

0.46

0.13

000 carp tunnel. 20550......... ............ A........... Inj tendon sheath/

0.75

0.63

0.67

0.28

0.26

0.09

000 ligament. 20551......... ............ A........... Inj tendon origin/

0.75

0.64

0.66

0.29

0.31

0.08

000 insertion. 20552......... ............ A........... Inj trigger point,

0.66

0.58

0.65

0.24

0.22

0.05

000 1/2 muscl. 20553......... ............ A........... Inject trigger

0.75

0.64

0.73

0.26

0.24

0.04

000 points, =/> 3. 20555......... ............ A........... Place ndl musc/tis

6.00

NA

NA

2.18

2.18

0.43

000 for rt. 20600......... ............ A........... Drain/inject,

0.66

0.66

0.66

0.31

0.33

0.08

000 joint/bursa. 20605......... ............ A........... Drain/inject,

0.68

0.74

0.75

0.32

0.34

0.08

000 joint/bursa. 20610......... ............ A........... Drain/inject,

0.79

1.07

1.01

0.40

0.41

0.11

000 joint/bursa. 20612......... ............ A........... Aspirate/inj

0.70

0.70

0.70

0.32

0.34

0.10

000 ganglion cyst. 20615......... ............ A........... Treatment of bone

2.30

2.71

3.11

1.42

1.63

0.20

010 cyst. 20650......... ............ A........... Insert and remove

2.25

2.46

2.41

1.45

1.50

0.31

010 bone pin. 20660......... ............ A........... Apply, rem

4.00

1.50

2.28

1.50

1.55

0.59

000 fixation device. 20661......... ............ A........... Application of

5.14

NA

NA

6.05

5.48

1.14

090 head brace. 20662......... ............ A........... Application of

6.26

NA

NA

4.81

5.17

0.56

090 pelvis brace. 20663......... ............ A........... Application of

5.62

NA

NA

4.86

4.84

0.94

090 thigh brace. 20664......... ............ A........... Halo brace

9.86

NA

NA

7.81

7.43

1.75

090 application. 20665......... ............ A........... Removal of

1.33

1.37

1.76

0.98

1.16

0.19

010 fixation device. 20670......... ............ A........... Removal of support

1.76

6.63

9.08

1.67

1.89

0.28

010 implant. 20680......... ............ A........... Removal of support

5.90

8.14

8.47

4.07

3.89

0.56

090 implant. 20690......... ............ A........... Apply bone

8.65

NA

NA

4.91

3.71

0.59

090 fixation device. 20692......... ............ A........... Apply bone

16.00

NA

NA

9.81

6.79

1.05

090 fixation device. 20693......... ............ A........... Adjust bone

5.97

NA

NA

4.49

4.97

0.98

090 fixation device. 20694......... ............ A........... Remove bone

4.20

5.31

6.23

3.53

3.78

0.71

090 fixation device. 20802......... ............ A........... Replantation, arm, 42.30

NA

NA

13.23

17.10

3.82

090 complete. 20805......... ............ A........... Replant forearm,

51.14

NA

NA

17.99

26.16

4.85

090 complete. 20808......... ............ A........... Replantation hand, 62.77

NA

NA

30.34

36.29

6.88

090 complete. 20816......... ............ A........... Replantation

31.74

NA

NA

16.37

27.09

4.53

090 digit, complete. 20822......... ............ A........... Replantation

26.42

NA

NA

15.07

24.84

4.19

090 digit, complete. 20824......... ............ A........... Replantation

31.74

NA

NA

16.21

26.39

4.62

090 thumb, complete. 20827......... ............ A........... Replantation

27.24

NA

NA

14.75

25.62

3.67

090 thumb, complete. 20838......... ............ A........... Replantation foot, 42.56

NA

NA

14.03

18.16

1.12

090 complete. 20900......... ............ A........... Removal of bone

5.77

9.23

8.83

4.90

5.29

0.94

090 for graft. 20902......... ............ A........... Removal of bone

7.98

NA

NA

5.98

6.43

1.30

090 for graft. 20910......... ............ A........... Remove cartilage

5.41

NA

NA

4.57

4.88

0.71

090 for graft. 20912......... ............ A........... Remove cartilage

6.42

NA

NA

4.95

5.37

0.69

090 for graft. 20920......... ............ A........... Removal of fascia

5.42

NA

NA

4.34

4.28

0.66

090 for graft. 20922......... ............ A........... Removal of fascia

6.84

7.56

7.55

5.00

4.93

0.70

090 for graft. 20924......... ............ A........... Removal of tendon

6.59

NA

NA

4.97

5.43

1.04

090 for graft. 20926......... ............ A........... Removal of tissue

5.70

NA

NA

4.50

4.62

0.87

090 for graft. 20930......... ............ B........... Sp bone algrft

0.00

0.00

0.00

0.00

0.00

0.00

XXX morsel add-on. 20931......... ............ A........... Sp bone algrft

1.81

NA

NA

0.68

0.80

0.43

ZZZ struct add-on. 20936......... ............ B........... Sp bone agrft

0.00

0.00

0.00

0.00

0.00

0.00

XXX local add-on. 20937......... ............ A........... Sp bone agrft

2.79

NA

NA

1.08

1.26

0.54

ZZZ morsel add-on. 20938......... ............ A........... Sp bone agrft

3.02

NA

NA

1.15

1.35

0.64

ZZZ struct add-on. 20950......... ............ A........... Fluid pressure,

1.26

4.23

5.54

0.88

0.94

0.20

000 muscle. 20955......... ............ A........... Fibula bone graft, 40.02

NA

NA

18.55

21.42

4.90

090 microvasc. 20956......... ............ A........... Iliac bone graft,

40.93

NA

NA

20.34

22.55

7.03

090 microvasc. 20957......... ............ A........... Mt bone graft,

42.33

NA

NA

15.89

17.42

7.07

090 microvasc. 20962......... ............ A........... Other bone graft,

39.21

NA

NA

21.32

23.93

6.57

090 microvasc. 20969......... ............ A........... Bone/skin graft,

45.11

NA

NA

21.12

23.88

4.80

090 microvasc. 20970......... ............ A........... Bone/skin graft,

44.26

NA

NA

20.92

23.16

6.62

090 iliac crest. 20972......... ............ A........... Bone/skin graft,

44.19

NA

NA

14.93

17.76

5.32

090 metatarsal. 20973......... ............ A........... Bone/skin graft,

46.95

NA

NA

14.16

19.67

5.56

090 great toe. 20974......... ............ A........... Electrical bone

0.62

0.98

0.83

0.48

0.51

0.11

000 stimulation. 20975......... ............ A........... Electrical bone

2.60

NA

NA

1.46

1.58

0.51

000 stimulation. 20979......... ............ A........... Us bone

0.62

0.61

0.71

0.20

0.27

0.09

000 stimulation. 20982......... ............ A........... Ablate, bone

7.27

80.09

94.85

2.69

2.83

0.69

000 tumor(s) perq. 20985......... ............ A........... Cptr-asst dir ms

2.50

0.99

0.99

0.99

0.99

0.48

ZZZ px. 20986......... ............ C........... Cptr-asst dir ms

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ px io img. 20987......... ............ C........... Cptr-asst dir ms

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ px pre img. 20999......... ............ C........... Musculoskeletal

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 21010......... ............ A........... Incision of jaw

10.90

NA

NA

6.29

6.69

1.11

090 joint. 21015......... ............ A........... Resection of

5.59

NA

NA

4.31

4.66

0.70

090 facial tumor. 21025......... ............ A........... Excision of bone,

11.07

12.55

12.40

8.75

9.05

1.32

090 lower jaw. 21026......... ............ A........... Excision of facial

5.54

8.83

8.35

5.94

6.13

0.60

090 bone(s). 21029......... ............ A........... Contour of face

8.26

9.56

9.47

6.52

6.77

0.94

090 bone lesion. 21030......... ............ A........... Excise max/zygoma

4.80

7.19

6.76

4.69

4.86

0.54

090 b9 tumor. 21031......... ............ A........... Remove exostosis,

3.26

5.92

5.54

3.47

3.55

0.48

090 mandible. 21032......... ............ A........... Remove exostosis,

3.28

6.04

5.70

3.37

3.44

0.47

090 maxilla.

[[Page 2580]]

21034......... ............ A........... Excise max/zygoma

17.17

13.94

14.94

10.12

11.40

1.72

090 mlg tumor. 21040......... ............ A........... Excise mandible

4.80

7.20

6.80

4.64

4.68

0.54

090 lesion. 21044......... ............ A........... Removal of jaw

12.61

NA

NA

8.11

8.74

1.12

090 bone lesion. 21045......... ............ A........... Extensive jaw

18.13

NA

NA

10.79

11.58

1.52

090 surgery. 21046......... ............ A........... Remove mandible

13.97

NA

NA

11.50

11.70

1.86

090 cyst complex. 21047......... ............ A........... Excise lwr jaw

19.83

NA

NA

10.22

11.83

2.13

090 cyst w/repair. 21048......... ............ A........... Remove maxilla

14.47

NA

NA

11.39

11.77

1.77

090 cyst complex. 21049......... ............ A........... Excis uppr jaw

19.08

NA

NA

10.29

11.66

1.59

090 cyst w/repair. 21050......... ............ A........... Removal of jaw

11.54

NA

NA

8.21

8.83

1.47

090 joint. 21060......... ............ A........... Remove jaw joint

10.91

NA

NA

7.20

7.90

1.38

090 cartilage. 21070......... ............ A........... Remove coronoid

8.50

NA

NA

6.27

6.69

1.27

090 process. 21073......... ............ A........... Mnpj of tmj w/

3.33

5.50

5.50

2.31

2.31

0.43

090 anesth. 21076......... ............ A........... Prepare face/oral

13.40

8.02

10.19

4.69

7.35

2.00

010 prosthesis. 21077......... ............ A........... Prepare face/oral

33.70

18.44

24.89

11.83

18.93

4.56

090 prosthesis. 21079......... ............ A........... Prepare face/oral

22.31

13.97

17.74

8.10

12.63

3.16

090 prosthesis. 21080......... ............ A........... Prepare face/oral

25.06

16.16

20.33

9.02

14.20

3.75

090 prosthesis. 21081......... ............ A........... Prepare face/oral

22.85

15.02

18.67

8.41

12.95

3.21

090 prosthesis. 21082......... ............ A........... Prepare face/oral

20.84

14.91

17.13

8.27

12.01

3.12

090 prosthesis. 21083......... ............ A........... Prepare face/oral

19.27

14.91

16.86

7.78

11.11

2.89

090 prosthesis. 21084......... ............ A........... Prepare face/oral

22.48

16.85

19.65

8.95

13.33

2.19

090 prosthesis. 21085......... ............ A........... Prepare face/oral

8.99

6.93

7.61

3.52

5.15

1.27

010 prosthesis. 21086......... ............ A........... Prepare face/oral

24.88

12.91

18.34

8.45

13.95

3.72

090 prosthesis. 21087......... ............ A........... Prepare face/oral

24.88

13.05

18.17

8.55

13.88

3.45

090 prosthesis. 21088......... ............ C........... Prepare face/oral

0.00

0.00

0.00

0.00

0.00

0.00

090 prosthesis. 21089......... ............ C........... Prepare face/oral

0.00

0.00

0.00

0.00

0.00

0.00

090 prosthesis. 21100......... ............ A........... Maxillofacial

4.56

14.87

13.20

5.53

5.14

0.34

090 fixation. 21110......... ............ A........... Interdental

5.80

13.06

11.31

9.74

9.05

0.72

090 fixation. 21116......... ............ A........... Injection, jaw

0.81

2.52

3.42

0.23

0.28

0.06

000 joint x-ray. 21120......... ............ A........... Reconstruction of

4.99

9.65

10.12

6.65

7.07

0.60

090 chin. 21121......... ............ A........... Reconstruction of

7.70

10.65

10.19

7.59

7.71

0.90

090 chin. 21122......... ............ A........... Reconstruction of

8.59

NA

NA

8.46

8.54

1.07

090 chin. 21123......... ............ A........... Reconstruction of

11.22

NA

NA

7.03

8.92

1.40

090 chin. 21125......... ............ A........... Augmentation,

10.68

64.01

59.63

6.43

7.38

0.79

090 lower jaw bone. 21127......... ............ A........... Augmentation,

12.24

85.03

63.93

7.50

8.48

1.52

090 lower jaw bone. 21137......... ............ A........... Reduction of

10.12

NA

NA

7.44

7.59

1.32

090 forehead. 21138......... ............ A........... Reduction of

12.73

NA

NA

7.79

8.66

1.75

090 forehead. 21139......... ............ A........... Reduction of

14.90

NA

NA

6.99

9.03

1.18

090 forehead. 21141......... ............ A........... Reconstruct

19.27

NA

NA

11.87

12.76

2.36

090 midface, lefort. 21142......... ............ A........... Reconstruct

19.98

NA

NA

10.08

11.46

2.39

090 midface, lefort. 21143......... ............ A........... Reconstruct

20.75

NA

NA

11.81

13.06

1.66

090 midface, lefort. 21145......... ............ A........... Reconstruct

23.64

NA

NA

12.98

13.44

2.85

090 midface, lefort. 21146......... ............ A........... Reconstruct

24.54

NA

NA

9.18

12.26

3.10

090 midface, lefort. 21147......... ............ A........... Reconstruct

26.14

NA

NA

14.31

14.68

1.85

090 midface, lefort. 21150......... ............ A........... Reconstruct

25.78

NA

NA

16.93

16.85

2.56

090 midface, lefort. 21151......... ............ A........... Reconstruct

28.84

NA

NA

11.61

17.29

2.31

090 midface, lefort. 21154......... ............ A........... Reconstruct

31.05

NA

NA

17.89

20.52

2.49

090 midface, lefort. 21155......... ............ A........... Reconstruct

34.98

NA

NA

18.17

21.04

6.66

090 midface, lefort. 21159......... ............ A........... Reconstruct

42.90

NA

NA

15.13

22.12

8.20

090 midface, lefort. 21160......... ............ A........... Reconstruct

46.95

NA

NA

23.24

25.37

4.14

090 midface, lefort. 21172......... ............ A........... Reconstruct orbit/ 28.07

NA

NA

13.75

13.75

3.56

090 forehead. 21175......... ............ A........... Reconstruct orbit/ 33.43

NA

NA

13.53

15.67

4.84

090 forehead. 21179......... ............ A........... Reconstruct entire 22.53

NA

NA

11.22

12.68

2.81

090 forehead. 21180......... ............ A........... Reconstruct entire 25.46

NA

NA

13.00

14.19

3.49

090 forehead. 21181......... ............ A........... Contour cranial

10.18

NA

NA

6.83

7.15

1.32

090 bone lesion. 21182......... ............ A........... Reconstruct

32.45

NA

NA

15.27

17.20

2.81

090 cranial bone. 21183......... ............ A........... Reconstruct

35.57

NA

NA

19.23

20.03

4.48

090 cranial bone. 21184......... ............ A........... Reconstruct

38.49

NA

NA

15.63

18.79

5.72

090 cranial bone. 21188......... ............ A........... Reconstruction of

22.97

NA

NA

15.65

17.27

1.70

090 midface. 21193......... ............ A........... Reconst lwr jaw w/ 18.65

NA

NA

9.82

11.24

2.24

090 o graft. 21194......... ............ A........... Reconst lwr jaw w/ 21.54

NA

NA

12.13

12.95

2.03

090 graft. 21195......... ............ A........... Reconst lwr jaw w/ 18.88

NA

NA

13.08

13.95

1.64

090 o fixation. 21196......... ............ A........... Reconst lwr jaw w/ 20.55

NA

NA

13.95

14.83

2.08

090 fixation. 21198......... ............ A........... Reconstr lwr jaw

15.48

NA

NA

11.89

12.30

1.44

090 segment. 21199......... ............ A........... Reconstr lwr jaw w/ 16.62

NA

NA

7.57

8.35

1.39

090 advance. 21206......... ............ A........... Reconstruct upper

15.36

NA

NA

10.89

11.77

1.33

090 jaw bone. 21208......... ............ A........... Augmentation of

11.15

33.18

27.76

8.01

8.80

1.09

090 facial bones. 21209......... ............ A........... Reduction of

7.58

12.20

11.50

7.40

7.73

0.90

090 facial bones. 21210......... ............ A........... Face bone graft... 11.40

43.50

34.19

7.64

8.50

1.30

090 21215......... ............ A........... Lower jaw bone

11.94

86.14

64.02

7.97

8.67

1.53

090 graft. 21230......... ............ A........... Rib cartilage

11.06

NA

NA

7.02

7.53

1.29

090 graft. 21235......... ............ A........... Ear cartilage

7.31

10.12

9.98

6.19

6.30

0.61

090 graft. 21240......... ............ A........... Reconstruction of

15.77

NA

NA

9.44

10.75

2.25

090 jaw joint.

[[Page 2581]]

21242......... ............ A........... Reconstruction of

14.32

NA

NA

9.02

10.27

1.79

090 jaw joint. 21243......... ............ A........... Reconstruction of

24.03

NA

NA

14.16

15.80

3.26

090 jaw joint. 21244......... ............ A........... Reconstruction of

13.35

NA

NA

11.53

11.81

1.25

090 lower jaw. 21245......... ............ A........... Reconstruction of

12.88

14.22

14.31

8.62

9.24

1.19

090 jaw. 21246......... ............ A........... Reconstruction of

12.78

NA

NA

7.43

8.24

1.35

090 jaw. 21247......... ............ A........... Reconstruct lower

24.05

NA

NA

12.70

15.03

2.84

090 jaw bone. 21248......... ............ A........... Reconstruction of

12.54

12.61

12.38

7.52

8.46

1.55

090 jaw. 21249......... ............ A........... Reconstruction of

18.57

15.74

16.24

9.62

11.16

2.49

090 jaw. 21255......... ............ A........... Reconstruct lower

18.14

NA

NA

14.05

15.10

2.39

090 jaw bone. 21256......... ............ A........... Reconstruction of

17.42

NA

NA

9.59

10.70

1.50

090 orbit. 21260......... ............ A........... Revise eye sockets 17.74

NA

NA

12.96

12.87

0.97

090 21261......... ............ A........... Revise eye sockets 33.78

NA

NA

14.75

19.50

3.43

090 21263......... ............ A........... Revise eye sockets 30.72

NA

NA

14.05

16.57

2.63

090 21267......... ............ A........... Revise eye sockets 20.45

NA

NA

16.05

17.92

1.71

090 21268......... ............ A........... Revise eye sockets 26.78

NA

NA

13.14

16.68

3.66

090 21270......... ............ A........... Augmentation,

10.52

11.16

11.41

5.90

6.58

0.72

090 cheek bone. 21275......... ............ A........... Revision,

11.65

NA

NA

7.16

7.66

1.29

090 orbitofacial bones. 21280......... ............ A........... Revision of eyelid

6.92

NA

NA

5.66

5.79

0.42

090 21282......... ............ A........... Revision of eyelid

4.11

NA

NA

4.16

4.32

0.26

090 21295......... ............ A........... Revision of jaw

1.82

NA

NA

2.23

2.38

0.16

090 muscle/bone. 21296......... ............ A........... Revision of jaw

4.67

NA

NA

5.43

5.17

0.34

090 muscle/bone. 21299......... ............ C........... Cranio/

0.00

0.00

0.00

0.00

0.00

0.00

YYY maxillofacial surgery. 21310......... ............ A........... Treatment of nose

0.58

2.00

2.14

0.11

0.13

0.05

000 fracture. 21315......... ............ A........... Treatment of nose

1.78

4.72

4.48

1.78

1.83

0.14

010 fracture. 21320......... ............ A........... Treatment of nose

1.86

4.30

4.11

1.36

1.49

0.18

010 fracture. 21325......... ............ A........... Treatment of nose

4.07

NA

NA

6.98

7.80

0.31

090 fracture. 21330......... ............ A........... Treatment of nose

5.68

NA

NA

7.63

8.67

0.56

090 fracture. 21335......... ............ A........... Treatment of nose

8.91

NA

NA

8.48

9.05

0.74

090 fracture. 21336......... ............ A........... Treat nasal septal

6.56

NA

NA

8.67

9.14

0.55

090 fracture. 21337......... ............ A........... Treat nasal septal

3.26

6.15

6.14

3.56

3.57

0.28

090 fracture. 21338......... ............ A........... Treat nasoethmoid

6.76

NA

NA

9.93

11.98

0.82

090 fracture. 21339......... ............ A........... Treat nasoethmoid

8.39

NA

NA

9.84

11.87

0.96

090 fracture. 21340......... ............ A........... Treatment of nose

11.33

NA

NA

7.25

7.83

1.15

090 fracture. 21343......... ............ A........... Treatment of sinus 14.11

NA

NA

12.80

14.14

1.47

090 fracture. 21344......... ............ A........... Treatment of sinus 21.36

NA

NA

13.06

14.79

2.44

090 fracture. 21345......... ............ A........... Treat nose/jaw

8.87

10.50

10.17

6.56

6.87

0.92

090 fracture. 21346......... ............ A........... Treat nose/jaw

11.29

NA

NA

10.83

11.52

1.21

090 fracture. 21347......... ............ A........... Treat nose/jaw

13.37

NA

NA

11.74

13.97

1.47

090 fracture. 21348......... ............ A........... Treat nose/jaw

17.36

NA

NA

11.00

11.06

2.49

090 fracture. 21355......... ............ A........... Treat cheek bone

4.32

5.91

6.07

3.25

3.37

0.34

010 fracture. 21356......... ............ A........... Treat cheek bone

4.70

6.98

7.05

4.06

4.30

0.46

010 fracture. 21360......... ............ A........... Treat cheek bone

7.03

NA

NA

5.40

5.67

0.74

090 fracture. 21365......... ............ A........... Treat cheek bone

16.52

NA

NA

9.10

9.97

1.70

090 fracture. 21366......... ............ A........... Treat cheek bone

18.44

NA

NA

10.51

10.92

2.50

090 fracture. 21385......... ............ A........... Treat eye socket

9.46

NA

NA

7.14

7.71

0.97

090 fracture. 21386......... ............ A........... Treat eye socket

9.46

NA

NA

6.01

6.54

0.97

090 fracture. 21387......... ............ A........... Treat eye socket

10.00

NA

NA

7.45

8.21

1.08

090 fracture. 21390......... ............ A........... Treat eye socket

11.07

NA

NA

7.01

7.41

0.90

090 fracture. 21395......... ............ A........... Treat eye socket

14.62

NA

NA

8.34

8.69

1.44

090 fracture. 21400......... ............ A........... Treat eye socket

1.44

2.71

2.66

1.96

1.92

0.15

090 fracture. 21401......... ............ A........... Treat eye socket

3.57

7.04

7.52

3.05

3.27

0.38

090 fracture. 21406......... ............ A........... Treat eye socket

7.31

NA

NA

5.29

5.69

0.73

090 fracture. 21407......... ............ A........... Treat eye socket

8.91

NA

NA

5.92

6.39

0.94

090 fracture. 21408......... ............ A........... Treat eye socket

12.67

NA

NA

7.45

8.17

1.44

090 fracture. 21421......... ............ A........... Treat mouth roof

5.80

12.47

10.90

9.22

8.76

0.73

090 fracture. 21422......... ............ A........... Treat mouth roof

8.62

NA

NA

7.05

7.56

0.99

090 fracture. 21423......... ............ A........... Treat mouth roof

10.71

NA

NA

7.40

8.37

1.27

090 fracture. 21431......... ............ A........... Treat craniofacial

7.74

NA

NA

10.85

10.19

0.70

090 fracture. 21432......... ............ A........... Treat craniofacial

8.76

NA

NA

6.81

7.44

0.81

090 fracture. 21433......... ............ A........... Treat craniofacial 26.13

NA

NA

12.14

14.28

2.79

090 fracture. 21435......... ............ A........... Treat craniofacial 20.02

NA

NA

11.08

11.90

1.99

090 fracture. 21436......... ............ A........... Treat craniofacial 30.01

NA

NA

13.15

15.69

3.10

090 fracture. 21440......... ............ A........... Treat dental ridge

3.28

10.07

8.59

7.46

6.81

0.38

090 fracture. 21445......... ............ A........... Treat dental ridge

6.04

12.29

11.02

8.47

8.42

0.78

090 fracture. 21450......... ............ A........... Treat lower jaw

3.55

10.51

8.95

7.72

7.30

0.33

090 fracture. 21451......... ............ A........... Treat lower jaw

5.46

12.99

11.17

9.68

9.04

0.63

090 fracture. 21452......... ............ A........... Treat lower jaw

2.29

12.04

12.54

6.06

5.34

0.27

090 fracture. 21453......... ............ A........... Treat lower jaw

6.40

14.81

12.78

11.66

11.20

0.74

090 fracture. 21454......... ............ A........... Treat lower jaw

7.17

NA

NA

5.72

6.00

0.82

090 fracture. 21461......... ............ A........... Treat lower jaw

9.07

41.73

33.10

12.82

12.74

0.98

090 fracture. 21462......... ............ A........... Treat lower jaw

10.77

43.02

35.32

13.41

13.07

1.27

090 fracture. 21465......... ............ A........... Treat lower jaw

12.88

NA

NA

8.12

8.97

1.50

090 fracture.

[[Page 2582]]

21470......... ............ A........... Treat lower jaw

17.24

NA

NA

10.18

11.10

1.97

090 fracture. 21480......... ............ A........... Reset dislocated

0.61

1.52

1.65

0.18

0.18

0.06

000 jaw. 21485......... ............ A........... Reset dislocated

4.58

12.10

10.16

9.11

8.39

0.51

090 jaw. 21490......... ............ A........... Repair dislocated

12.71

NA

NA

8.13

8.91

1.97

090 jaw. 21495......... ............ A........... Treat hyoid bone

6.55

NA

NA

10.48

9.45

0.46

090 fracture. 21497......... ............ A........... Interdental wiring

4.45

12.23

10.34

9.35

8.50

0.50

090 21499......... ............ C........... Head surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 21501......... ............ A........... Drain neck/chest

3.87

6.56

6.49

3.52

3.67

0.43

090 lesion. 21502......... ............ A........... Drain chest lesion

7.43

NA

NA

4.56

5.10

0.97

090 21510......... ............ A........... Drainage of bone

6.06

NA

NA

4.81

5.24

0.80

090 lesion. 21550......... ............ A........... Biopsy of neck/

2.08

4.36

3.97

1.79

1.75

0.16

010 chest. 21555......... ............ A........... Remove lesion,

4.40

5.79

5.65

3.43

3.31

0.56

090 neck/chest. 21556......... ............ A........... Remove lesion,

5.63

NA

NA

4.14

4.12

0.65

090 neck/chest. 21557......... ............ A........... Remove tumor, neck/ 8.91

NA

NA

4.51

4.94

1.08

090 chest. 21600......... ............ A........... Partial removal of

7.14

NA

NA

5.97

5.85

0.99

090 rib. 21610......... ............ A........... Partial removal of 15.76

NA

NA

8.90

8.89

3.08

090 rib. 21615......... ............ A........... Removal of rib.... 10.31

NA

NA

5.17

5.93

1.45

090 21616......... ............ A........... Removal of rib and 12.54

NA

NA

6.52

7.27

1.87

090 nerves. 21620......... ............ A........... Partial removal of

7.16

NA

NA

4.76

5.37

0.98

090 sternum. 21627......... ............ A........... Sternal

7.18

NA

NA

5.55

5.93

1.02

090 debridement. 21630......... ............ A........... Extensive sternum

19.01

NA

NA

10.36

11.10

2.59

090 surgery. 21632......... ............ A........... Extensive sternum

19.51

NA

NA

9.43

10.27

2.66

090 surgery. 21685......... ............ A........... Hyoid myotomy &

14.89

NA

NA

8.77

9.37

1.06

090 suspension. 21700......... ............ A........... Revision of neck

6.23

NA

NA

4.40

4.42

0.32

090 muscle. 21705......... ............ A........... Revision of neck

9.83

NA

NA

4.36

4.97

1.43

090 muscle/rib. 21720......... ............ A........... Revision of neck

5.72

NA

NA

4.11

3.29

0.91

090 muscle. 21725......... ............ A........... Revision of neck

7.10

NA

NA

5.15

5.30

1.21

090 muscle. 21740......... ............ A........... Reconstruction of

17.47

NA

NA

8.21

8.36

2.37

090 sternum. 21742......... ............ C........... Repair stern/nuss

0.00

0.00

0.00

0.00

0.00

0.00

090 w/o scope. 21743......... ............ C........... Repair sternum/

0.00

0.00

0.00

0.00

0.00

0.00

090 nuss w/scope. 21750......... ............ A........... Repair of sternum

11.35

NA

NA

5.32

5.72

1.63

090 separation. 21800......... ............ A........... Treatment of rib

0.98

1.36

1.35

1.43

1.38

0.09

090 fracture. 21805......... ............ A........... Treatment of rib

2.80

NA

NA

3.27

3.24

0.38

090 fracture. 21810......... ............ A........... Treatment of rib

6.92

NA

NA

5.38

5.17

0.94

090 fracture(s). 21820......... ............ A........... Treat sternum

1.31

1.83

1.83

1.89

1.83

0.16

090 fracture. 21825......... ............ A........... Treat sternum

7.65

NA

NA

5.38

5.89

1.11

090 fracture. 21899......... ............ C........... Neck/chest surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 21920......... ............ A........... Biopsy soft tissue

2.08

4.44

3.86

1.88

1.68

0.14

010 of back. 21925......... ............ A........... Biopsy soft tissue

4.54

5.35

5.26

3.36

3.30

0.60

090 of back. 21930......... ............ A........... Remove lesion,

5.06

6.05

5.88

3.78

3.59

0.66

090 back or flank. 21935......... ............ A........... Remove tumor, back 18.38

NA

NA

8.45

9.04

2.48

090 22010......... ............ A........... I&d, p-spine, c/t/ 12.57

NA

NA

8.36

8.62

1.74

090 cerv-thor. 22015......... ............ A........... I&d, p-spine, l/s/ 12.46

NA

NA

8.34

8.59

1.72

090 ls. 22100......... ............ A........... Remove part of

10.80

NA

NA

8.20

7.87

2.14

090 neck vertebra. 22101......... ............ A........... Remove part,

10.88

NA

NA

8.12

7.94

1.91

090 thorax vertebra. 22102......... ............ A........... Remove part,

10.88

NA

NA

7.93

8.02

1.88

090 lumbar vertebra. 22103......... ............ A........... Remove extra spine

2.34

NA

NA

0.90

1.05

0.44

ZZZ segment. 22110......... ............ A........... Remove part of

13.80

NA

NA

9.12

9.15

2.77

090 neck vertebra. 22112......... ............ A........... Remove part,

13.87

NA

NA

9.03

9.16

2.53

090 thorax vertebra. 22114......... ............ A........... Remove part,

13.87

NA

NA

9.01

9.14

2.64

090 lumbar vertebra. 22116......... ............ A........... Remove extra spine

2.32

NA

NA

0.89

1.03

0.50

ZZZ segment. 22206......... ............ A........... Cut spine 3 col,

37.00

NA

NA

17.73

17.73

6.23

090 thor. 22207......... ............ A........... Cut spine 3 col,

36.50

NA

NA

17.61

17.61

6.07

090 lumb. 22208......... ............ A........... Cut spine 3 col,

9.66

3.73

3.73

3.73

3.73

2.07

ZZZ addl seg. 22210......... ............ A........... Revision of neck

25.13

NA

NA

14.56

14.99

5.46

090 spine. 22212......... ............ A........... Revision of thorax 20.74

NA

NA

12.45

12.87

3.91

090 spine. 22214......... ............ A........... Revision of lumbar 20.77

NA

NA

12.54

13.18

3.92

090 spine. 22216......... ............ A........... Revise, extra

6.03

NA

NA

2.32

2.73

1.29

ZZZ spine segment. 22220......... ............ A........... Revision of neck

22.69

NA

NA

13.36

13.50

5.08

090 spine. 22222......... ............ A........... Revision of thorax 22.84

NA

NA

10.47

10.80

4.13

090 spine. 22224......... ............ A........... Revision of lumbar 22.84

NA

NA

12.90

13.57

4.19

090 spine. 22226......... ............ A........... Revise, extra

6.03

NA

NA

2.28

2.69

1.29

ZZZ spine segment. 22305......... ............ A........... Treat spine

2.08

2.15

2.23

1.80

1.86

0.39

090 process fracture. 22310......... ............ A........... Treat spine

3.69

2.99

2.90

2.50

2.43

0.50

090 fracture. 22315......... ............ A........... Treat spine

9.91

9.89

9.79

7.44

7.39

1.86

090 fracture. 22318......... ............ A........... Treat odontoid fx

22.54

NA

NA

13.27

13.33

5.30

090 w/o graft. 22319......... ............ A........... Treat odontoid fx

25.15

NA

NA

13.46

14.09

6.05

090 w/graft. 22325......... ............ A........... Treat spine

19.62

NA

NA

12.15

12.12

3.88

090 fracture. 22326......... ............ A........... Treat neck spine

20.64

NA

NA

12.03

12.37

4.43

090 fracture. 22327......... ............ A........... Treat thorax spine 20.52

NA

NA

12.34

12.36

3.99

090 fracture. 22328......... ............ A........... Treat each add

4.60

NA

NA

1.76

2.01

0.94

ZZZ spine fx. 22505......... ............ A........... Manipulation of

1.87

NA

NA

1.10

1.02

0.36

010 spine.

[[Page 2583]]

22520......... ............ A........... Percut

9.17

43.83

52.77

4.58

4.84

1.72

010 vertebroplasty thor. 22521......... ............ A........... Percut

8.60

45.01

50.51

4.36

4.65

1.60

010 vertebroplasty lumb. 22522......... ............ A........... Percut

4.30

NA

NA

1.51

1.59

0.82

ZZZ vertebroplasty add[AElig]l. 22523......... ............ A........... Percut

9.21

NA

NA

4.67

5.29

1.72

010 kyphoplasty, thor. 22524......... ............ A........... Percut

8.81

NA

NA

4.53

5.11

1.60

010 kyphoplasty, lumbar. 22525......... ............ A........... Percut

4.47

NA

NA

1.69

1.98

0.82

ZZZ kyphoplasty, add- on. 22526......... ............ A........... Idet, single level

6.07

46.73

46.73

2.05

2.05

1.16

010 22527......... ............ A........... Idet, 1 or more

3.03

40.40

40.40

0.70

0.70

0.58

ZZZ levels. 22532......... ............ A........... Lat thorax spine

25.81

NA

NA

13.79

14.31

4.35

090 fusion. 22533......... ............ A........... Lat lumbar spine

24.61

NA

NA

13.58

13.59

3.16

090 fusion. 22534......... ............ A........... Lat thor/lumb,

5.99

NA

NA

2.28

2.66

1.25

ZZZ add[AElig]l seg. 22548......... ............ A........... Neck spine fusion. 26.86

NA

NA

14.94

15.38

5.61

090 22554......... ............ A........... Neck spine fusion. 17.54

NA

NA

10.65

11.50

4.46

090 22556......... ............ A........... Thorax spine

24.50

NA

NA

12.96

13.85

4.35

090 fusion. 22558......... ............ A........... Lumbar spine

23.33

NA

NA

11.44

12.37

3.16

090 fusion. 22585......... ............ A........... Additional spinal

5.52

NA

NA

2.06

2.43

1.25

ZZZ fusion. 22590......... ............ A........... Spine & skull

21.56

NA

NA

13.08

13.21

4.79

090 spinal fusion. 22595......... ............ A........... Neck spinal fusion 20.44

NA

NA

12.65

12.75

4.41

090 22600......... ............ A........... Neck spine fusion. 17.20

NA

NA

11.20

11.20

3.73

090 22610......... ............ A........... Thorax spine

17.08

NA

NA

10.82

11.12

3.53

090 fusion. 22612......... ............ A........... Lumbar spine

23.38

NA

NA

12.50

13.36

4.47

090 fusion. 22614......... ............ A........... Spine fusion,

6.43

NA

NA

2.46

2.90

1.38

ZZZ extra segment. 22630......... ............ A........... Lumbar spine

21.89

NA

NA

12.54

13.08

4.73

090 fusion. 22632......... ............ A........... Spine fusion,

5.22

NA

NA

1.99

2.33

1.16

ZZZ extra segment. 22800......... ............ A........... Fusion of spine... 19.30

NA

NA

11.16

11.97

3.76

090 22802......... ............ A........... Fusion of spine... 31.91

NA

NA

16.00

17.80

6.17

090 22804......... ............ A........... Fusion of spine... 37.30

NA

NA

18.13

20.42

7.00

090 22808......... ............ A........... Fusion of spine... 27.31

NA

NA

14.06

15.19

4.93

090 22810......... ............ A........... Fusion of spine... 31.30

NA

NA

14.92

16.64

5.15

090 22812......... ............ A........... Fusion of spine... 34.00

NA

NA

17.39

18.73

5.30

090 22818......... ............ A........... Kyphectomy, 1-2

34.18

NA

NA

16.63

17.75

6.47

090 segments. 22819......... ............ A........... Kyphectomy, 3 or

39.18

NA

NA

18.88

19.47

7.67

090 more. 22830......... ............ A........... Exploration of

11.13

NA

NA

7.06

7.51

2.30

090 spinal fusion. 22840......... ............ A........... Insert spine

12.52

NA

NA

4.78

5.64

2.79

ZZZ fixation device. 22841......... ............ B........... Insert spine

0.00

0.00

0.00

0.00

0.00

0.00

XXX fixation device. 22842......... ............ A........... Insert spine

12.56

NA

NA

4.80

5.65

2.75

ZZZ fixation device. 22843......... ............ A........... Insert spine

13.44

NA

NA

5.16

5.88

2.86

ZZZ fixation device. 22844......... ............ A........... Insert spine

16.42

NA

NA

6.41

7.58

3.19

ZZZ fixation device. 22845......... ............ A........... Insert spine

11.94

NA

NA

4.49

5.28

2.86

ZZZ fixation device. 22846......... ............ A........... Insert spine

12.40

NA

NA

4.66

5.50

2.96

ZZZ fixation device. 22847......... ............ A........... Insert spine

13.78

NA

NA

5.20

6.11

3.00

ZZZ fixation device. 22848......... ............ A........... Insert pelv

5.99

NA

NA

2.34

2.76

1.15

ZZZ fixation device. 22849......... ............ A........... Reinsert spinal

19.08

NA

NA

10.17

10.95

3.90

090 fixation. 22850......... ............ A........... Remove spine

9.74

NA

NA

6.41

6.70

2.05

090 fixation device. 22851......... ............ A........... Apply spine prosth

6.70

NA

NA

2.54

2.95

1.49

ZZZ device. 22852......... ............ A........... Remove spine

9.29

NA

NA

6.18

6.49

1.90

090 fixation device. 22855......... ............ A........... Remove spine

15.77

NA

NA

9.18

9.43

3.52

090 fixation device. 22857......... ............ R........... Lumbar artif

26.93

NA

NA

14.82

14.82

3.56

090 diskectomy. 22862......... ............ R........... Revise lumbar

32.43

NA

NA

16.09

16.09

5.36

090 artif disc. 22865......... ............ R........... Remove lumb artif

31.55

NA

NA

15.74

15.74

5.18

090 disc. 22899......... ............ C........... Spine surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 22900......... ............ A........... Remove abdominal

6.14

NA

NA

3.54

3.38

0.76

090 wall lesion. 22999......... ............ C........... Abdomen surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 23000......... ............ A........... Removal of calcium

4.40

7.89

8.21

3.74

4.08

0.68

090 deposits. 23020......... ............ A........... Release shoulder

9.24

NA

NA

6.49

7.02

1.54

090 joint. 23030......... ............ A........... Drain shoulder

3.44

6.29

6.84

2.40

2.65

0.57

010 lesion. 23031......... ............ A........... Drain shoulder

2.76

6.52

7.19

2.22

2.47

0.46

010 bursa. 23035......... ............ A........... Drain shoulder

9.04

NA

NA

6.46

7.36

1.47

090 bone lesion. 23040......... ............ A........... Exploratory

9.63

NA

NA

6.75

7.31

1.60

090 shoulder surgery. 23044......... ............ A........... Exploratory

7.48

NA

NA

5.52

5.98

1.24

090 shoulder surgery. 23065......... ............ A........... Biopsy shoulder

2.28

2.96

2.72

1.74

1.68

0.20

010 tissues. 23066......... ............ A........... Biopsy shoulder

4.21

7.76

7.72

3.61

3.80

0.63

090 tissues. 23075......... ............ A........... Removal of

2.41

3.70

3.68

1.72

1.75

0.34

010 shoulder lesion. 23076......... ............ A........... Removal of

7.77

NA

NA

5.32

5.44

1.13

090 shoulder lesion. 23077......... ............ A........... Remove tumor of

18.08

NA

NA

9.61

9.92

2.34

090 shoulder. 23100......... ............ A........... Biopsy of shoulder

6.09

NA

NA

5.00

5.33

1.04

090 joint. 23101......... ............ A........... Shoulder joint

5.63

NA

NA

4.54

4.94

0.96

090 surgery. 23105......... ............ A........... Remove shoulder

8.36

NA

NA

6.10

6.61

1.42

090 joint lining. 23106......... ............ A........... Incision of

6.02

NA

NA

4.79

5.25

0.99

090 collarbone joint. 23107......... ............ A........... Explore treat

8.75

NA

NA

6.26

6.83

1.49

090 shoulder joint. 23120......... ............ A........... Partial removal,

7.23

NA

NA

5.47

5.97

1.23

090 collar bone. 23125......... ............ A........... Removal of collar

9.52

NA

NA

6.39

6.98

1.62

090 bone.

[[Page 2584]]

23130......... ............ A........... Remove shoulder

7.63

NA

NA

6.08

6.61

1.30

090 bone, part. 23140......... ............ A........... Removal of bone

7.01

NA

NA

4.90

5.07

1.08

090 lesion. 23145......... ............ A........... Removal of bone

9.28

NA

NA

6.49

6.97

1.49

090 lesion. 23146......... ............ A........... Removal of bone

7.96

NA

NA

5.92

6.52

1.35

090 lesion. 23150......... ............ A........... Removal of humerus

8.79

NA

NA

6.26

6.59

1.32

090 lesion. 23155......... ............ A........... Removal of humerus 10.72

NA

NA

7.26

7.79

1.81

090 lesion. 23156......... ............ A........... Removal of humerus

8.99

NA

NA

6.29

6.84

1.50

090 lesion. 23170......... ............ A........... Remove collar bone

7.10

NA

NA

5.00

5.51

1.12

090 lesion. 23172......... ............ A........... Remove shoulder

7.20

NA

NA

5.52

5.90

1.01

090 blade lesion. 23174......... ............ A........... Remove humerus

9.90

NA

NA

7.18

7.77

1.65

090 lesion. 23180......... ............ A........... Remove collar bone

8.85

NA

NA

6.42

7.71

1.47

090 lesion. 23182......... ............ A........... Remove shoulder

8.47

NA

NA

6.43

7.49

1.37

090 blade lesion. 23184......... ............ A........... Remove humerus

9.76

NA

NA

6.93

8.12

1.63

090 lesion. 23190......... ............ A........... Partial removal of

7.36

NA

NA

5.31

5.74

1.17

090 scapula. 23195......... ............ A........... Removal of head of 10.24

NA

NA

6.92

7.33

1.71

090 humerus. 23200......... ............ A........... Removal of collar

12.69

NA

NA

7.12

7.92

1.94

090 bone. 23210......... ............ A........... Removal of

13.16

NA

NA

7.81

8.41

2.03

090 shoulder blade. 23220......... ............ A........... Partial removal of 15.36

NA

NA

9.15

9.99

2.49

090 humerus. 23221......... ............ A........... Partial removal of 18.41

NA

NA

10.62

11.17

3.06

090 humerus. 23222......... ............ A........... Partial removal of 25.44

NA

NA

13.35

14.57

3.95

090 humerus. 23330......... ............ A........... Remove shoulder

1.87

3.36

3.52

1.51

1.70

0.24

010 foreign body. 23331......... ............ A........... Remove shoulder

7.51

NA

NA

5.84

6.32

1.27

090 foreign body. 23332......... ............ A........... Remove shoulder

12.23

NA

NA

7.97

8.65

2.03

090 foreign body. 23350......... ............ A........... Injection for

1.00

2.73

3.10

0.35

0.34

0.06

000 shoulder x-ray. 23395......... ............ A........... Muscle

18.29

NA

NA

11.21

12.04

2.94

090 transfer,shoulder/ arm. 23397......... ............ A........... Muscle transfers.. 16.62

NA

NA

9.56

10.47

2.74

090 23400......... ............ A........... Fixation of

13.73

NA

NA

8.55

9.31

2.30

090 shoulder blade. 23405......... ............ A........... Incision of tendon

8.43

NA

NA

5.92

6.42

1.45

090 & muscle. 23406......... ............ A........... Incise tendon(s) & 10.90

NA

NA

6.91

7.63

1.88

090 muscle(s). 23410......... ............ A........... Repair rotator

12.63

NA

NA

7.78

8.60

2.17

090 cuff, acute. 23412......... ............ A........... Repair rotator

13.55

NA

NA

8.16

9.03

2.32

090 cuff, chronic. 23415......... ............ A........... Release of

10.09

NA

NA

6.59

7.29

1.74

090 shoulder ligament. 23420......... ............ A........... Repair of shoulder 14.75

NA

NA

9.71

10.28

2.32

090 23430......... ............ A........... Repair biceps

10.05

NA

NA

6.78

7.44

1.74

090 tendon. 23440......... ............ A........... Remove/transplant

10.53

NA

NA

6.78

7.52

1.83

090 tendon. 23450......... ............ A........... Repair shoulder

13.58

NA

NA

8.18

9.02

2.33

090 capsule. 23455......... ............ A........... Repair shoulder

14.55

NA

NA

8.56

9.50

2.50

090 capsule. 23460......... ............ A........... Repair shoulder

15.68

NA

NA

9.37

10.37

2.67

090 capsule. 23462......... ............ A........... Repair shoulder

15.60

NA

NA

9.09

9.92

2.60

090 capsule. 23465......... ............ A........... Repair shoulder

16.16

NA

NA

9.50

10.34

2.77

090 capsule. 23466......... ............ A........... Repair shoulder

15.55

NA

NA

10.00

10.69

2.47

090 capsule. 23470......... ............ A........... Reconstruct

17.75

NA

NA

10.13

11.19

2.99

090 shoulder joint. 23472......... ............ A........... Reconstruct

22.47

NA

NA

12.15

13.28

3.67

090 shoulder joint. 23480......... ............ A........... Revision of collar 11.42

NA

NA

7.30

8.04

1.95

090 bone. 23485......... ............ A........... Revision of collar 13.79

NA

NA

8.21

9.05

2.34

090 bone. 23490......... ............ A........... Reinforce clavicle 12.04

NA

NA

6.75

7.73

1.47

090 23491......... ............ A........... Reinforce shoulder 14.40

NA

NA

8.72

9.72

2.47

090 bones. 23500......... ............ A........... Treat clavicle

2.13

2.64

2.76

2.71

2.62

0.30

090 fracture. 23505......... ............ A........... Treat clavicle

3.74

4.01

4.21

3.62

3.73

0.61

090 fracture. 23515......... ............ A........... Treat clavicle

9.53

NA

NA

7.01

6.78

1.28

090 fracture. 23520......... ............ A........... Treat clavicle

2.21

2.77

2.81

2.84

2.79

0.34

090 dislocation. 23525......... ............ A........... Treat clavicle

3.67

4.17

4.35

3.64

3.79

0.46

090 dislocation. 23530......... ............ A........... Treat clavicle

7.37

NA

NA

5.31

5.62

1.20

090 dislocation. 23532......... ............ A........... Treat clavicle

8.08

NA

NA

6.02

6.50

1.38

090 dislocation. 23540......... ............ A........... Treat clavicle

2.28

2.67

2.77

2.74

2.55

0.29

090 dislocation. 23545......... ............ A........... Treat clavicle

3.32

3.74

3.97

3.26

3.31

0.35

090 dislocation. 23550......... ............ A........... Treat clavicle

7.48

NA

NA

5.54

5.96

1.25

090 dislocation. 23552......... ............ A........... Treat clavicle

8.70

NA

NA

6.26

6.79

1.46

090 dislocation. 23570......... ............ A........... Treat shoulder

2.28

2.78

2.90

2.92

2.91

0.36

090 blade fx. 23575......... ............ A........... Treat shoulder

4.12

4.59

4.74

4.08

4.20

0.59

090 blade fx. 23585......... ............ A........... Treat scapula

14.07

NA

NA

8.51

8.08

1.54

090 fracture. 23600......... ............ A........... Treat humerus

3.00

4.07

4.31

3.65

3.60

0.48

090 fracture. 23605......... ............ A........... Treat humerus

4.94

5.38

5.77

4.60

4.85

0.84

090 fracture. 23615......... ............ A........... Treat humerus

12.12

NA

NA

8.06

8.45

1.62

090 fracture. 23616......... ............ A........... Treat humerus

18.19

NA

NA

10.46

12.30

3.70

090 fracture. 23620......... ............ A........... Treat humerus

2.46

3.41

3.51

3.15

3.07

0.40

090 fracture. 23625......... ............ A........... Treat humerus

3.99

4.45

4.69

3.92

4.10

0.67

090 fracture. 23630......... ............ A........... Treat humerus

10.39

NA

NA

7.37

7.00

1.27

090 fracture. 23650......... ............ A........... Treat shoulder

3.44

3.29

3.53

2.83

2.79

0.30

090 dislocation. 23655......... ............ A........... Treat shoulder

4.64

NA

NA

4.15

4.16

0.69

090 dislocation. 23660......... ............ A........... Treat shoulder

7.55

NA

NA

5.69

6.04

1.29

090 dislocation. 23665......... ............ A........... Treat dislocation/

4.54

4.85

5.09

4.27

4.49

0.71

090 fracture.

[[Page 2585]]

23670......... ............ A........... Treat dislocation/ 12.12

NA

NA

7.93

7.38

1.36

090 fracture. 23675......... ............ A........... Treat dislocation/

6.13

6.13

6.48

5.13

5.49

1.01

090 fracture. 23680......... ............ A........... Treat dislocation/ 12.99

NA

NA

8.24

8.17

1.76

090 fracture. 23700......... ............ A........... Fixation of

2.54

NA

NA

1.90

2.04

0.44

010 shoulder. 23800......... ............ A........... Fusion of shoulder 14.59

NA

NA

8.87

9.64

2.36

090 joint. 23802......... ............ A........... Fusion of shoulder 18.17

NA

NA

11.22

10.70

2.71

090 joint. 23900......... ............ A........... Amputation of arm

20.57

NA

NA

10.43

11.07

3.19

090 & girdle. 23920......... ............ A........... Amputation at

16.03

NA

NA

9.22

9.58

2.47

090 shoulder joint. 23921......... ............ A........... Amputation follow-

5.61

NA

NA

4.85

4.97

0.78

090 up surgery. 23929......... ............ C........... Shoulder surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 23930......... ............ A........... Drainage of arm

2.96

4.98

5.65

1.98

2.15

0.43

010 lesion. 23931......... ............ A........... Drainage of arm

1.81

4.36

5.14

1.75

1.96

0.28

010 bursa. 23935......... ............ A........... Drain arm/elbow

6.27

NA

NA

5.10

5.51

1.05

090 bone lesion. 24000......... ............ A........... Exploratory elbow

5.99

NA

NA

4.75

5.08

0.97

090 surgery. 24006......... ............ A........... Release elbow

9.62

NA

NA

6.60

7.18

1.50

090 joint. 24065......... ............ A........... Biopsy arm/elbow

2.10

4.15

3.68

1.92

1.83

0.17

010 soft tissue. 24066......... ............ A........... Biopsy arm/elbow

5.26

8.27

8.61

3.92

4.03

0.80

090 soft tissue. 24075......... ............ A........... Remove arm/elbow

3.96

7.19

7.27

3.27

3.33

0.56

090 lesion. 24076......... ............ A........... Remove arm/elbow

6.36

NA

NA

4.59

4.72

0.95

090 lesion. 24077......... ............ A........... Remove tumor of

11.95

NA

NA

6.86

7.30

1.73

090 arm/elbow. 24100......... ............ A........... Biopsy elbow joint

4.98

NA

NA

4.09

4.31

0.85

090 lining. 24101......... ............ A........... Explore/treat

6.19

NA

NA

5.05

5.49

1.03

090 elbow joint. 24102......... ............ A........... Remove elbow joint

8.15

NA

NA

5.81

6.34

1.33

090 lining. 24105......... ............ A........... Removal of elbow

3.67

NA

NA

4.03

4.21

0.61

090 bursa. 24110......... ............ A........... Remove humerus

7.46

NA

NA

5.65

6.16

1.28

090 lesion. 24115......... ............ A........... Remove/graft bone

10.00

NA

NA

4.32

5.77

1.68

090 lesion. 24116......... ............ A........... Remove/graft bone

12.11

NA

NA

7.68

8.38

2.06

090 lesion. 24120......... ............ A........... Remove elbow

6.71

NA

NA

5.18

5.55

1.10

090 lesion. 24125......... ............ A........... Remove/graft bone

8.02

NA

NA

5.99

6.08

1.06

090 lesion. 24126......... ............ A........... Remove/graft bone

8.50

NA

NA

6.01

6.52

1.16

090 lesion. 24130......... ............ A........... Removal of head of

6.31

NA

NA

5.13

5.58

1.04

090 radius. 24134......... ............ A........... Removal of arm

10.10

NA

NA

6.91

7.88

1.64

090 bone lesion. 24136......... ............ A........... Remove radius bone

8.29

NA

NA

5.77

6.50

1.38

090 lesion. 24138......... ............ A........... Remove elbow bone

8.33

NA

NA

6.49

7.14

1.34

090 lesion. 24140......... ............ A........... Partial removal of

9.43

NA

NA

6.58

7.84

1.51

090 arm bone. 24145......... ............ A........... Partial removal of

7.70

NA

NA

5.64

6.85

1.25

090 radius. 24147......... ............ A........... Partial removal of

7.69

NA

NA

6.28

7.44

1.30

090 elbow. 24149......... ............ A........... Radical resection

15.92

NA

NA

10.77

11.20

2.35

090 of elbow. 24150......... ............ A........... Extensive humerus

13.70

NA

NA

8.50

9.25

2.33

090 surgery. 24151......... ............ A........... Extensive humerus

16.08

NA

NA

9.70

10.61

2.60

090 surgery. 24152......... ............ A........... Extensive radius

10.24

NA

NA

6.17

6.95

1.48

090 surgery. 24153......... ............ A........... Extensive radius

11.73

NA

NA

4.87

5.22

0.74

090 surgery. 24155......... ............ A........... Removal of elbow

11.97

NA

NA

7.42

7.91

1.93

090 joint. 24160......... ............ A........... Remove elbow joint

7.89

NA

NA

5.83

6.36

1.30

090 implant. 24164......... ............ A........... Remove radius head

6.34

NA

NA

4.90

5.34

1.03

090 implant. 24200......... ............ A........... Removal of arm

1.78

2.74

3.08

1.36

1.49

0.20

010 foreign body. 24201......... ............ A........... Removal of arm

4.61

7.80

8.81

3.66

3.95

0.72

090 foreign body. 24220......... ............ A........... Injection for

1.31

2.66

3.15

0.46

0.45

0.08

000 elbow x-ray. 24300......... ............ A........... Manipulate elbow w/ 3.86

NA

NA

5.16

5.44

0.65

090 anesth. 24301......... ............ A........... Muscle/tendon

10.26

NA

NA

6.83

7.51

1.66

090 transfer. 24305......... ............ A........... Arm tendon

7.51

NA

NA

5.66

6.19

1.15

090 lengthening. 24310......... ............ A........... Revision of arm

6.03

NA

NA

4.73

5.16

0.96

090 tendon. 24320......... ............ A........... Repair of arm

10.74

NA

NA

7.03

7.28

1.74

090 tendon. 24330......... ............ A........... Revision of arm

9.67

NA

NA

6.64

7.26

1.60

090 muscles. 24331......... ............ A........... Revision of arm

10.83

NA

NA

6.95

7.82

1.78

090 muscles. 24332......... ............ A........... Tenolysis, triceps

7.77

NA

NA

5.92

6.35

1.23

090 24340......... ............ A........... Repair of biceps

7.96

NA

NA

5.96

6.47

1.36

090 tendon. 24341......... ............ A........... Repair arm tendon/

9.24

NA

NA

7.53

7.72

1.36

090 muscle. 24342......... ............ A........... Repair of ruptured 10.74

NA

NA

7.07

7.79

1.86

090 tendon. 24343......... ............ A........... Repr elbow lat

8.99

NA

NA

6.99

7.57

1.43

090 ligmnt w/tiss. 24344......... ............ A........... Reconstruct elbow

14.97

NA

NA

9.96

10.74

2.37

090 lat ligmnt. 24345......... ............ A........... Repr elbw med

8.99

NA

NA

6.94

7.48

1.44

090 ligmnt w/tissu. 24346......... ............ A........... Reconstruct elbow

14.97

NA

NA

10.04

10.69

2.34

090 med ligmnt. 24357......... ............ A........... Repair elbow, perc

5.32

NA

NA

4.72

5.15

0.87

090 24358......... ............ A........... Repair elbow w/

6.54

NA

NA

5.28

5.73

1.07

090 deb, open. 24359......... ............ A........... Repair elbow deb/

8.86

NA

NA

6.20

6.20

1.41

090 attch open. 24360......... ............ A........... Reconstruct elbow

12.53

NA

NA

7.84

8.66

2.06

090 joint. 24361......... ............ A........... Reconstruct elbow

14.27

NA

NA

8.76

9.67

2.19

090 joint. 24362......... ............ A........... Reconstruct elbow

15.18

NA

NA

5.74

7.89

2.61

090 joint. 24363......... ............ A........... Replace elbow

22.47

NA

NA

12.18

12.95

3.02

090 joint. 24365......... ............ A........... Reconstruct head

8.51

NA

NA

5.97

6.59

1.41

090 of radius. 24366......... ............ A........... Reconstruct head

9.25

NA

NA

6.31

6.93

1.52

090 of radius.

[[Page 2586]]

24400......... ............ A........... Revision of

11.19

NA

NA

7.50

8.18

1.93

090 humerus. 24410......... ............ A........... Revision of

14.96

NA

NA

9.25

9.78

2.58

090 humerus. 24420......... ............ A........... Revision of

13.58

NA

NA

8.51

9.53

2.18

090 humerus. 24430......... ............ A........... Repair of humerus. 15.07

NA

NA

9.23

9.49

2.22

090 24435......... ............ A........... Repair humerus

14.74

NA

NA

9.82

10.35

2.28

090 with graft. 24470......... ............ A........... Revision of elbow

8.81

NA

NA

5.66

6.69

1.48

090 joint. 24495......... ............ A........... Decompression of

8.30

NA

NA

6.41

7.58

1.18

090 forearm. 24498......... ............ A........... Reinforce humerus. 12.16

NA

NA

7.67

8.47

2.07

090 24500......... ............ A........... Treat humerus

3.29

4.45

4.65

3.81

3.75

0.50

090 fracture. 24505......... ............ A........... Treat humerus

5.25

5.84

6.22

4.88

5.14

0.89

090 fracture. 24515......... ............ A........... Treat humerus

11.97

NA

NA

8.04

8.72

2.03

090 fracture. 24516......... ............ A........... Treat humerus

12.07

NA

NA

7.65

8.38

2.03

090 fracture. 24530......... ............ A........... Treat humerus

3.57

4.73

4.97

4.00

4.02

0.57

090 fracture. 24535......... ............ A........... Treat humerus

6.96

6.82

7.33

5.86

6.24

1.18

090 fracture. 24538......... ............ A........... Treat humerus

9.63

NA

NA

7.19

7.95

1.64

090 fracture. 24545......... ............ A........... Treat humerus

12.99

NA

NA

8.28

8.37

1.83

090 fracture. 24546......... ............ A........... Treat humerus

14.73

NA

NA

9.11

10.22

2.74

090 fracture. 24560......... ............ A........... Treat humerus

2.87

4.11

4.30

3.43

3.31

0.44

090 fracture. 24565......... ............ A........... Treat humerus

5.64

5.94

6.28

5.05

5.29

0.93

090 fracture. 24566......... ............ A........... Treat humerus

8.86

NA

NA

6.80

7.48

1.30

090 fracture. 24575......... ............ A........... Treat humerus

9.53

NA

NA

6.97

7.69

1.87

090 fracture. 24576......... ............ A........... Treat humerus

2.94

4.41

4.59

3.71

3.71

0.46

090 fracture. 24577......... ............ A........... Treat humerus

5.87

6.04

6.49

5.08

5.47

0.95

090 fracture. 24579......... ............ A........... Treat humerus

11.26

NA

NA

7.74

8.29

2.03

090 fracture. 24582......... ............ A........... Treat humerus

9.89

NA

NA

8.18

8.65

1.48

090 fracture. 24586......... ............ A........... Treat elbow

15.64

NA

NA

9.33

10.28

2.65

090 fracture. 24587......... ............ A........... Treat elbow

15.65

NA

NA

9.32

10.17

2.53

090 fracture. 24600......... ............ A........... Treat elbow

4.28

3.86

4.36

3.28

3.39

0.50

090 dislocation. 24605......... ............ A........... Treat elbow

5.50

NA

NA

4.91

5.14

0.89

090 dislocation. 24615......... ............ A........... Treat elbow

9.72

NA

NA

6.56

7.19

1.60

090 dislocation. 24620......... ............ A........... Treat elbow

7.07

NA

NA

5.49

5.87

1.07

090 fracture. 24635......... ............ A........... Treat elbow

8.64

NA

NA

6.55

10.31

2.29

090 fracture. 24640......... ............ A........... Treat elbow

1.22

1.53

1.69

0.83

0.81

0.12

010 dislocation. 24650......... ............ A........... Treat radius

2.22

3.43

3.60

2.99

2.87

0.35

090 fracture. 24655......... ............ A........... Treat radius

4.48

5.18

5.57

4.40

4.60

0.70

090 fracture. 24665......... ............ A........... Treat radius

8.22

NA

NA

6.51

7.01

1.41

090 fracture. 24666......... ............ A........... Treat radius

9.74

NA

NA

6.96

7.51

1.62

090 fracture. 24670......... ............ A........... Treat ulnar

2.60

3.73

3.92

3.15

3.11

0.41

090 fracture. 24675......... ............ A........... Treat ulnar

4.79

5.38

5.69

4.57

4.77

0.81

090 fracture. 24685......... ............ A........... Treat ulnar

8.21

NA

NA

6.52

7.02

1.52

090 fracture. 24800......... ............ A........... Fusion of elbow

11.27

NA

NA

6.89

7.82

1.63

090 joint. 24802......... ............ A........... Fusion/graft of

14.18

NA

NA

8.03

9.21

2.38

090 elbow joint. 24900......... ............ A........... Amputation of

10.04

NA

NA

6.42

6.74

1.53

090 upper arm. 24920......... ............ A........... Amputation of

10.02

NA

NA

6.04

6.49

1.61

090 upper arm. 24925......... ............ A........... Amputation follow-

7.19

NA

NA

4.95

5.52

1.14

090 up surgery. 24930......... ............ A........... Amputation follow- 10.72

NA

NA

6.20

6.72

1.68

090 up surgery. 24931......... ............ A........... Amputate upper arm 13.32

NA

NA

5.08

5.40

1.90

090 & implant. 24935......... ............ A........... Revision of

16.30

NA

NA

10.47

9.25

2.14

090 amputation. 24940......... ............ C........... Revision of upper

0.00

0.00

0.00

0.00

0.00

0.00

090 arm. 24999......... ............ C........... Upper arm/elbow

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 25000......... ............ A........... Incision of tendon

3.44

NA

NA

3.98

5.43

0.55

090 sheath. 25001......... ............ A........... Incise flexor

3.68

NA

NA

3.95

4.09

0.55

090 carpi radialis. 25020......... ............ A........... Decompress forearm

5.97

NA

NA

6.95

8.26

0.93

090 1 space. 25023......... ............ A........... Decompress forearm 13.69

NA

NA

11.33

13.14

2.04

090 1 space. 25024......... ............ A........... Decompress forearm 10.62

NA

NA

7.08

7.28

1.36

090 2 spaces. 25025......... ............ A........... Decompress forearm 17.77

NA

NA

9.70

9.84

1.83

090 2 spaces. 25028......... ............ A........... Drainage of

5.30

NA

NA

6.20

7.18

0.81

090 forearm lesion. 25031......... ............ A........... Drainage of

4.18

NA

NA

3.49

5.71

0.63

090 forearm bursa. 25035......... ............ A........... Treat forearm bone

7.54

NA

NA

5.63

9.61

1.24

090 lesion. 25040......... ............ A........... Explore/treat

7.41

NA

NA

5.40

6.35

1.15

090 wrist joint. 25065......... ............ A........... Biopsy forearm

2.01

4.33

3.78

1.98

1.94

0.15

010 soft tissues. 25066......... ............ A........... Biopsy forearm

4.18

NA

NA

3.84

5.45

0.64

090 soft tissues. 25075......... ............ A........... Removal forearm

3.78

NA

NA

3.31

4.60

0.55

090 lesion subcu. 25076......... ............ A........... Removal forearm

4.97

NA

NA

4.11

6.83

0.74

090 lesion deep. 25077......... ............ A........... Remove tumor,

9.90

NA

NA

6.18

9.14

1.42

090 forearm/wrist. 25085......... ............ A........... Incision of wrist

5.55

NA

NA

4.62

5.87

0.85

090 capsule. 25100......... ............ A........... Biopsy of wrist

3.94

NA

NA

3.77

4.53

0.59

090 joint. 25101......... ............ A........... Explore/treat

4.74

NA

NA

4.35

5.12

0.75

090 wrist joint. 25105......... ............ A........... Remove wrist joint

5.91

NA

NA

4.98

6.14

0.92

090 lining. 25107......... ............ A........... Remove wrist joint

7.50

NA

NA

6.24

7.29

0.99

090 cartilage. 25109......... ............ A........... Excise tendon

6.81

NA

NA

5.24

5.24

0.96

090 forearm/wrist. 25110......... ............ A........... Remove wrist

3.96

NA

NA

3.62

5.34

0.62

090 tendon lesion.

[[Page 2587]]

25111......... ............ A........... Remove wrist

3.44

NA

NA

3.62

4.16

0.53

090 tendon lesion. 25112......... ............ A........... Reremove wrist

4.58

NA

NA

4.08

4.67

0.70

090 tendon lesion. 25115......... ............ A........... Remove wrist/

9.89

NA

NA

7.34

10.69

1.31

090 forearm lesion. 25116......... ............ A........... Remove wrist/

7.38

NA

NA

6.19

9.67

1.11

090 forearm lesion. 25118......... ............ A........... Excise wrist

4.42

NA

NA

4.15

4.95

0.68

090 tendon sheath. 25119......... ............ A........... Partial removal of

6.10

NA

NA

5.07

6.33

0.96

090 ulna. 25120......... ............ A........... Removal of forearm

6.16

NA

NA

5.10

8.60

1.00

090 lesion. 25125......... ............ A........... Remove/graft

7.55

NA

NA

5.68

9.27

1.06

090 forearm lesion. 25126......... ............ A........... Remove/graft

7.62

NA

NA

5.86

9.44

1.27

090 forearm lesion. 25130......... ............ A........... Removal of wrist

5.32

NA

NA

4.73

5.58

0.80

090 lesion. 25135......... ............ A........... Remove & graft

6.96

NA

NA

5.62

6.57

1.02

090 wrist lesion. 25136......... ............ A........... Remove & graft

6.03

NA

NA

5.10

5.85

1.03

090 wrist lesion. 25145......... ............ A........... Remove forearm

6.43

NA

NA

5.21

8.64

1.01

090 bone lesion. 25150......... ............ A........... Partial removal of

7.27

NA

NA

5.53

6.87

1.14

090 ulna. 25151......... ............ A........... Partial removal of

7.57

NA

NA

5.65

9.19

1.18

090 radius. 25170......... ............ A........... Extensive forearm

11.34

NA

NA

7.37

11.26

1.78

090 surgery. 25210......... ............ A........... Removal of wrist

6.01

NA

NA

5.05

5.92

0.88

090 bone. 25215......... ............ A........... Removal of wrist

8.02

NA

NA

6.03

7.40

1.19

090 bones. 25230......... ............ A........... Partial removal of

5.28

NA

NA

4.50

5.32

0.79

090 radius. 25240......... ............ A........... Partial removal of

5.22

NA

NA

4.47

5.71

0.81

090 ulna. 25246......... ............ A........... Injection for

1.45

2.73

3.09

0.53

0.50

0.09

000 wrist x-ray. 25248......... ............ A........... Remove forearm

5.20

NA

NA

4.05

6.29

0.72

090 foreign body. 25250......... ............ A........... Removal of wrist

6.66

NA

NA

5.27

5.69

1.01

090 prosthesis. 25251......... ............ A........... Removal of wrist

9.70

NA

NA

6.75

7.33

1.26

090 prosthesis. 25259......... ............ A........... Manipulate wrist w/ 3.86

NA

NA

5.16

5.44

0.62

090 anesthes. 25260......... ............ A........... Repair forearm

7.89

NA

NA

6.38

9.85

1.19

090 tendon/muscle. 25263......... ............ A........... Repair forearm

7.90

NA

NA

6.10

9.68

1.18

090 tendon/muscle. 25265......... ............ A........... Repair forearm

9.96

NA

NA

7.11

10.71

1.47

090 tendon/muscle. 25270......... ............ A........... Repair forearm

6.06

NA

NA

4.97

8.50

0.95

090 tendon/muscle. 25272......... ............ A........... Repair forearm

7.10

NA

NA

5.49

9.14

1.11

090 tendon/muscle. 25274......... ............ A........... Repair forearm

8.82

NA

NA

6.37

10.00

1.36

090 tendon/muscle. 25275......... ............ A........... Repair forearm

8.82

NA

NA

6.48

7.03

1.31

090 tendon sheath. 25280......... ............ A........... Revise wrist/

7.28

NA

NA

5.56

9.10

1.08

090 forearm tendon. 25290......... ............ A........... Incise wrist/

5.34

NA

NA

4.50

9.75

0.82

090 forearm tendon. 25295......... ............ A........... Release wrist/

6.61

NA

NA

5.29

8.73

1.00

090 forearm tendon. 25300......... ............ A........... Fusion of tendons

8.88

NA

NA

6.66

7.56

1.26

090 at wrist. 25301......... ............ A........... Fusion of tendons

8.47

NA

NA

6.19

7.13

1.29

090 at wrist. 25310......... ............ A........... Transplant forearm

8.26

NA

NA

5.94

9.49

1.21

090 tendon. 25312......... ............ A........... Transplant forearm

9.70

NA

NA

6.71

10.33

1.41

090 tendon. 25315......... ............ A........... Revise palsy hand

10.56

NA

NA

7.11

10.76

1.58

090 tendon(s). 25316......... ............ A........... Revise palsy hand

12.76

NA

NA

7.82

12.03

1.75

090 tendon(s). 25320......... ............ A........... Repair/revise

12.38

NA

NA

9.87

10.63

1.61

090 wrist joint. 25332......... ............ A........... Revise wrist joint 11.60

NA

NA

7.61

8.40

1.84

090 25335......... ............ A........... Realignment of

13.25

NA

NA

8.31

9.95

1.93

090 hand. 25337......... ............ A........... Reconstruct ulna/

11.44

NA

NA

8.63

9.86

1.61

090 radioulnar. 25350......... ............ A........... Revision of radius

8.97

NA

NA

6.35

10.17

1.46

090 25355......... ............ A........... Revision of radius 10.41

NA

NA

6.75

10.68

1.74

090 25360......... ............ A........... Revision of ulna..

8.62

NA

NA

6.24

10.06

1.41

090 25365......... ............ A........... Revise radius &

12.77

NA

NA

8.18

11.92

2.16

090 ulna. 25370......... ............ A........... Revise radius or

13.93

NA

NA

9.01

12.55

2.29

090 ulna. 25375......... ............ A........... Revise radius &

13.41

NA

NA

8.37

12.40

2.27

090 ulna. 25390......... ............ A........... Shorten radius or

10.58

NA

NA

7.07

10.83

1.65

090 ulna. 25391......... ............ A........... Lengthen radius or 14.14

NA

NA

8.67

12.62

2.22

090 ulna. 25392......... ............ A........... Shorten radius &

14.44

NA

NA

8.91

12.44

2.11

090 ulna. 25393......... ............ A........... Lengthen radius &

16.42

NA

NA

9.57

13.58

2.77

090 ulna. 25394......... ............ A........... Repair carpal

10.71

NA

NA

6.95

7.51

1.59

090 bone, shorten. 25400......... ............ A........... Repair radius or

11.16

NA

NA

7.27

11.23

1.83

090 ulna. 25405......... ............ A........... Repair/graft

14.87

NA

NA

8.93

13.11

2.33

090 radius or ulna. 25415......... ............ A........... Repair radius &

13.66

NA

NA

8.80

12.66

2.18

090 ulna. 25420......... ............ A........... Repair/graft

16.89

NA

NA

9.93

14.11

2.62

090 radius & ulna. 25425......... ............ A........... Repair/graft

13.58

NA

NA

8.49

14.94

2.09

090 radius or ulna. 25426......... ............ A........... Repair/graft

16.31

NA

NA

9.20

12.88

2.55

090 radius & ulna. 25430......... ............ A........... Vasc graft into

9.57

NA

NA

7.04

7.19

1.27

090 carpal bone. 25431......... ............ A........... Repair nonunion

10.75

NA

NA

7.16

7.78

1.91

090 carpal bone. 25440......... ............ A........... Repair/graft wrist 10.56

NA

NA

6.90

8.15

1.63

090 bone. 25441......... ............ A........... Reconstruct wrist

13.15

NA

NA

8.11

9.06

2.08

090 joint. 25442......... ............ A........... Reconstruct wrist

10.98

NA

NA

7.51

8.20

1.53

090 joint. 25443......... ............ A........... Reconstruct wrist

10.52

NA

NA

7.22

8.00

1.37

090 joint. 25444......... ............ A........... Reconstruct wrist

11.28

NA

NA

7.44

8.24

1.72

090 joint. 25445......... ............ A........... Reconstruct wrist

9.76

NA

NA

6.70

7.35

1.55

090 joint. 25446......... ............ A........... Wrist replacement. 17.16

NA

NA

9.99

10.96

2.48

090 25447......... ............ A........... Repair wrist

10.95

NA

NA

7.87

8.27

1.61

090 joint(s).

[[Page 2588]]

25449......... ............ A........... Remove wrist joint 14.80

NA

NA

8.96

9.82

2.22

090 implant. 25450......... ............ A........... Revision of wrist

7.94

NA

NA

3.84

7.02

1.36

090 joint. 25455......... ............ A........... Revision of wrist

9.57

NA

NA

6.85

8.86

0.96

090 joint. 25490......... ............ A........... Reinforce radius..

9.61

NA

NA

6.58

10.16

1.43

090 25491......... ............ A........... Reinforce ulna.... 10.03

NA

NA

6.79

10.63

1.60

090 25492......... ............ A........... Reinforce radius

12.52

NA

NA

8.34

11.82

2.15

090 and ulna. 25500......... ............ A........... Treat fracture of

2.51

3.31

3.44

2.86

2.79

0.35

090 radius. 25505......... ............ A........... Treat fracture of

5.30

5.83

6.19

4.98

5.20

0.90

090 radius. 25515......... ............ A........... Treat fracture of

8.64

NA

NA

6.47

6.97

1.59

090 radius. 25520......... ............ A........... Treat fracture of

6.35

5.70

6.28

5.14

5.60

1.08

090 radius. 25525......... ............ A........... Treat fracture of

10.37

NA

NA

7.42

8.71

2.13

090 radius. 25526......... ............ A........... Treat fracture of

12.96

NA

NA

8.69

11.10

2.20

090 radius. 25530......... ............ A........... Treat fracture of

2.15

3.48

3.62

2.98

2.92

0.34

090 ulna. 25535......... ............ A........... Treat fracture of

5.22

5.57

5.79

4.84

5.07

0.89

090 ulna. 25545......... ............ A........... Treat fracture of

7.78

NA

NA

6.23

6.95

1.53

090 ulna. 25560......... ............ A........... Treat fracture

2.50

3.37

3.53

2.85

2.73

0.35

090 radius & ulna. 25565......... ............ A........... Treat fracture

5.71

5.91

6.31

4.93

5.18

0.93

090 radius & ulna. 25574......... ............ A........... Treat fracture

8.64

NA

NA

6.55

6.88

1.21

090 radius & ulna. 25575......... ............ A........... Treat fracture

12.10

NA

NA

8.37

8.94

1.82

090 radius/ulna. 25600......... ............ A........... Treat fracture

2.69

3.68

3.89

3.17

3.07

0.42

090 radius/ulna. 25605......... ............ A........... Treat fracture

7.02

6.87

7.05

6.14

6.18

1.00

090 radius/ulna. 25606......... ............ A........... Treat fx distal

8.10

NA

NA

6.70

7.83

1.26

090 radial. 25607......... ............ A........... Treat fx rad extra- 9.35

NA

NA

7.20

7.20

1.36

090 articul. 25608......... ............ A........... Treat fx rad intra- 10.86

NA

NA

7.80

7.80

1.84

090 articul. 25609......... ............ A........... Treat fx radial 3+ 14.12

NA

NA

9.66

9.66

2.38

090 frag. 25622......... ............ A........... Treat wrist bone

2.68

3.91

4.09

3.36

3.23

0.41

090 fracture. 25624......... ............ A........... Treat wrist bone

4.62

5.64

5.97

4.78

4.92

0.76

090 fracture. 25628......... ............ A........... Treat wrist bone

9.51

NA

NA

6.85

7.34

1.37

090 fracture. 25630......... ............ A........... Treat wrist bone

2.94

3.76

3.97

3.25

3.10

0.45

090 fracture. 25635......... ............ A........... Treat wrist bone

4.47

5.12

5.53

4.34

4.12

0.74

090 fracture. 25645......... ............ A........... Treat wrist bone

7.31

NA

NA

5.56

6.10

1.20

090 fracture. 25650......... ............ A........... Treat wrist bone

3.12

3.85

4.08

3.45

3.31

0.45

090 fracture. 25651......... ............ A........... Pin ulnar styloid

5.68

NA

NA

5.15

5.32

0.86

090 fracture. 25652......... ............ A........... Treat fracture

7.92

NA

NA

6.16

6.58

1.21

090 ulnar styloid. 25660......... ............ A........... Treat wrist

4.84

NA

NA

4.33

4.52

0.58

090 dislocation. 25670......... ............ A........... Treat wrist

7.98

NA

NA

5.82

6.41

1.28

090 dislocation. 25671......... ............ A........... Pin radioulnar

6.32

NA

NA

5.54

5.85

1.00

090 dislocation. 25675......... ............ A........... Treat wrist

4.75

4.72

5.19

4.00

4.32

0.62

090 dislocation. 25676......... ............ A........... Treat wrist

8.17

NA

NA

6.14

6.72

1.34

090 dislocation. 25680......... ............ A........... Treat wrist

6.08

NA

NA

4.39

4.56

0.78

090 fracture. 25685......... ............ A........... Treat wrist

9.97

NA

NA

6.63

7.21

1.60

090 fracture. 25690......... ............ A........... Treat wrist

5.58

NA

NA

4.85

5.18

0.88

090 dislocation. 25695......... ............ A........... Treat wrist

8.40

NA

NA

6.01

6.55

1.32

090 dislocation. 25800......... ............ A........... Fusion of wrist

9.95

NA

NA

6.80

7.95

1.57

090 joint. 25805......... ............ A........... Fusion/graft of

11.59

NA

NA

7.68

8.97

1.81

090 wrist joint. 25810......... ............ A........... Fusion/graft of

11.75

NA

NA

8.04

8.98

1.68

090 wrist joint. 25820......... ............ A........... Fusion of hand

7.52

NA

NA

6.41

7.13

1.22

090 bones. 25825......... ............ A........... Fuse hand bones

9.54

NA

NA

7.66

8.45

1.41

090 with graft. 25830......... ............ A........... Fusion, radioulnar 10.69

NA

NA

10.59

12.50

1.55

090 jnt/ulna. 25900......... ............ A........... Amputation of

9.46

NA

NA

6.74

9.66

1.30

090 forearm. 25905......... ............ A........... Amputation of

9.48

NA

NA

6.07

9.19

1.40

090 forearm. 25907......... ............ A........... Amputation follow-

7.98

NA

NA

5.77

8.77

1.10

090 up surgery. 25909......... ............ A........... Amputation follow-

9.20

NA

NA

6.33

9.31

1.44

090 up surgery. 25915......... ............ A........... Amputation of

17.38

NA

NA

5.98

12.43

2.94

090 forearm. 25920......... ............ A........... Amputate hand at

8.92

NA

NA

6.59

7.22

1.35

090 wrist. 25922......... ............ A........... Amputate hand at

7.54

NA

NA

6.28

6.67

1.12

090 wrist. 25924......... ............ A........... Amputation follow-

8.70

NA

NA

6.13

7.11

1.32

090 up surgery. 25927......... ............ A........... Amputation of hand

8.98

NA

NA

8.66

10.17

1.27

090 25929......... ............ A........... Amputation follow-

7.71

NA

NA

5.67

5.77

1.14

090 up surgery. 25931......... ............ A........... Amputation follow-

7.93

NA

NA

8.33

9.90

1.15

090 up surgery. 25999......... ............ C........... Forearm or wrist

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 26010......... ............ A........... Drainage of finger

1.56

4.06

4.81

1.52

1.57

0.18

010 abscess. 26011......... ............ A........... Drainage of finger

2.21

6.25

7.54

1.96

2.14

0.33

010 abscess. 26020......... ............ A........... Drain hand tendon

4.97

NA

NA

4.74

5.05

0.73

090 sheath. 26025......... ............ A........... Drainage of palm

4.99

NA

NA

4.46

4.79

0.76

090 bursa. 26030......... ............ A........... Drainage of palm

6.16

NA

NA

5.00

5.36

0.92

090 bursa(s). 26034......... ............ A........... Treat hand bone

6.49

NA

NA

5.58

5.97

1.01

090 lesion. 26035......... ............ A........... Decompress fingers/ 11.14

NA

NA

8.13

8.00

1.47

090 hand. 26037......... ............ A........... Decompress fingers/ 7.48

NA

NA

5.50

5.91

1.13

090 hand. 26040......... ............ A........... Release palm

3.38

NA

NA

3.60

3.83

0.53

090 contracture. 26045......... ............ A........... Release palm

5.62

NA

NA

4.89

5.27

0.93

090 contracture. 26055......... ............ A........... Incise finger

3.00

9.05

11.70

3.83

3.88

0.43

090 tendon sheath.

[[Page 2589]]

26060......... ............ A........... Incision of finger

2.85

NA

NA

3.06

3.28

0.45

090 tendon. 26070......... ............ A........... Explore/treat hand

3.73

NA

NA

3.06

3.21

0.48

090 joint. 26075......... ............ A........... Explore/treat

3.83

NA

NA

3.37

3.58

0.53

090 finger joint. 26080......... ............ A........... Explore/treat

4.36

NA

NA

4.32

4.59

0.66

090 finger joint. 26100......... ............ A........... Biopsy hand joint

3.71

NA

NA

3.67

3.90

0.54

090 lining. 26105......... ............ A........... Biopsy finger

3.75

NA

NA

3.68

3.96

0.59

090 joint lining. 26110......... ............ A........... Biopsy finger

3.57

NA

NA

3.61

3.83

0.53

090 joint lining. 26115......... ............ A........... Removal hand

3.92

9.84

11.47

4.23

4.50

0.59

090 lesion subcut. 26116......... ............ A........... Removal hand

5.61

NA

NA

5.31

5.66

0.84

090 lesion, deep. 26117......... ............ A........... Remove tumor, hand/ 8.62

NA

NA

6.19

6.63

1.26

090 finger. 26121......... ............ A........... Release palm

7.61

NA

NA

5.93

6.45

1.17

090 contracture. 26123......... ............ A........... Release palm

10.63

NA

NA

8.22

8.54

1.43

090 contracture. 26125......... ............ A........... Release palm

4.60

NA

NA

1.87

2.16

0.70

ZZZ contracture. 26130......... ............ A........... Remove wrist joint

5.48

NA

NA

4.89

5.12

0.94

090 lining. 26135......... ............ A........... Revise finger

7.02

NA

NA

5.47

5.97

1.07

090 joint, each. 26140......... ............ A........... Revise finger

6.23

NA

NA

5.17

5.61

0.92

090 joint, each. 26145......... ............ A........... Tendon excision,

6.38

NA

NA

5.19

5.62

0.97

090 palm/finger. 26160......... ............ A........... Remove tendon

3.46

9.04

10.71

3.94

4.03

0.49

090 sheath lesion. 26170......... ............ A........... Removal of palm

4.82

NA

NA

4.37

4.66

0.69

090 tendon, each. 26180......... ............ A........... Removal of finger

5.24

NA

NA

4.71

5.06

0.78

090 tendon. 26185......... ............ A........... Remove finger bone

6.32

NA

NA

5.73

5.89

0.81

090 26200......... ............ A........... Remove hand bone

5.56

NA

NA

4.56

4.96

0.88

090 lesion. 26205......... ............ A........... Remove/graft bone

7.82

NA

NA

5.85

6.37

1.20

090 lesion. 26210......... ............ A........... Removal of finger

5.21

NA

NA

4.74

5.08

0.79

090 lesion. 26215......... ............ A........... Remove/graft

7.16

NA

NA

5.54

5.93

0.98

090 finger lesion. 26230......... ............ A........... Partial removal of

6.38

NA

NA

4.95

5.43

1.01

090 hand bone. 26235......... ............ A........... Partial removal,

6.24

NA

NA

4.95

5.38

0.95

090 finger bone. 26236......... ............ A........... Partial removal,

5.37

NA

NA

4.58

4.95

0.81

090 finger bone. 26250......... ............ A........... Extensive hand

7.61

NA

NA

5.72

6.08

1.07

090 surgery. 26255......... ............ A........... Extensive hand

12.80

NA

NA

8.29

8.83

1.69

090 surgery. 26260......... ............ A........... Extensive finger

7.09

NA

NA

5.47

5.83

1.01

090 surgery. 26261......... ............ A........... Extensive finger

9.28

NA

NA

6.73

6.45

1.14

090 surgery. 26262......... ............ A........... Partial removal of

5.72

NA

NA

4.75

5.04

0.88

090 finger. 26320......... ............ A........... Removal of implant

4.02

NA

NA

3.79

4.05

0.59

090 from hand. 26340......... ............ A........... Manipulate finger

2.62

NA

NA

4.61

4.74

0.39

090 w/anesth. 26350......... ............ A........... Repair finger/hand

6.07

NA

NA

9.54

12.08

0.93

090 tendon. 26352......... ............ A........... Repair/graft hand

7.75

NA

NA

10.07

12.72

1.13

090 tendon. 26356......... ............ A........... Repair finger/hand 10.22

NA

NA

13.72

16.05

1.21

090 tendon. 26357......... ............ A........... Repair finger/hand

8.65

NA

NA

10.36

13.00

1.33

090 tendon. 26358......... ............ A........... Repair/graft hand

9.22

NA

NA

10.96

13.81

1.38

090 tendon. 26370......... ............ A........... Repair finger/hand

7.17

NA

NA

9.51

12.31

1.12

090 tendon. 26372......... ............ A........... Repair/graft hand

8.89

NA

NA

10.54

13.54

1.40

090 tendon. 26373......... ............ A........... Repair finger/hand

8.29

NA

NA

10.17

13.11

1.23

090 tendon. 26390......... ............ A........... Revise hand/finger

9.31

NA

NA

9.21

11.25

1.40

090 tendon. 26392......... ............ A........... Repair/graft hand

10.38

NA

NA

11.17

13.95

1.57

090 tendon. 26410......... ............ A........... Repair hand tendon

4.68

NA

NA

7.64

9.79

0.73

090 26412......... ............ A........... Repair/graft hand

6.37

NA

NA

8.63

10.95

0.97

090 tendon. 26415......... ............ A........... Excision, hand/

8.40

NA

NA

7.47

9.63

0.98

090 finger tendon. 26416......... ............ A........... Graft hand or

9.44

NA

NA

9.05

11.83

0.79

090 finger tendon. 26418......... ............ A........... Repair finger

4.33

NA

NA

8.15

10.24

0.67

090 tendon. 26420......... ............ A........... Repair/graft

6.83

NA

NA

8.81

11.22

1.07

090 finger tendon. 26426......... ............ A........... Repair finger/hand

6.21

NA

NA

5.12

9.14

0.95

090 tendon. 26428......... ............ A........... Repair/graft

7.28

NA

NA

9.26

11.57

1.09

090 finger tendon. 26432......... ............ A........... Repair finger

4.07

NA

NA

6.79

8.53

0.64

090 tendon. 26433......... ............ A........... Repair finger

4.61

NA

NA

7.02

8.91

0.72

090 tendon. 26434......... ............ A........... Repair/graft

6.15

NA

NA

7.94

9.74

0.93

090 finger tendon. 26437......... ............ A........... Realignment of

5.88

NA

NA

7.82

9.69

0.89

090 tendons. 26440......... ............ A........... Release palm/

5.07

NA

NA

8.49

10.97

0.75

090 finger tendon. 26442......... ............ A........... Release palm &

9.50

NA

NA

11.83

13.89

1.20

090 finger tendon. 26445......... ............ A........... Release hand/

4.36

NA

NA

8.24

10.69

0.65

090 finger tendon. 26449......... ............ A........... Release forearm/

8.34

NA

NA

7.28

11.53

1.06

090 hand tendon. 26450......... ............ A........... Incision of palm

3.71

NA

NA

5.19

6.26

0.59

090 tendon. 26455......... ............ A........... Incision of finger

3.68

NA

NA

5.15

6.22

0.58

090 tendon. 26460......... ............ A........... Incise hand/finger

3.50

NA

NA

5.12

6.13

0.55

090 tendon. 26471......... ............ A........... Fusion of finger

5.79

NA

NA

7.80

9.52

0.88

090 tendons. 26474......... ............ A........... Fusion of finger

5.38

NA

NA

7.61

9.50

0.76

090 tendons. 26476......... ............ A........... Tendon lengthening

5.24

NA

NA

7.36

9.15

0.79

090 26477......... ............ A........... Tendon shortening.

5.21

NA

NA

7.58

9.32

0.81

090 26478......... ............ A........... Lengthening of

5.86

NA

NA

7.79

9.81

0.90

090 hand tendon. 26479......... ............ A........... Shortening of hand

5.80

NA

NA

7.74

9.65

0.92

090 tendon. 26480......... ............ A........... Transplant hand

6.76

NA

NA

9.67

12.36

1.02

090 tendon. 26483......... ............ A........... Transplant/graft

8.36

NA

NA

10.23

12.87

1.26

090 hand tendon.

[[Page 2590]]

26485......... ............ A........... Transplant palm

7.77

NA

NA

10.09

12.73

1.15

090 tendon. 26489......... ............ A........... Transplant/graft

9.74

NA

NA

10.83

11.45

1.26

090 palm tendon. 26490......... ............ A........... Revise thumb

8.48

NA

NA

8.88

10.86

1.21

090 tendon. 26492......... ............ A........... Tendon transfer

9.70

NA

NA

9.83

11.72

1.40

090 with graft. 26494......... ............ A........... Hand tendon/muscle

8.54

NA

NA

9.24

11.11

1.28

090 transfer. 26496......... ............ A........... Revise thumb

9.66

NA

NA

9.58

11.41

1.45

090 tendon. 26497......... ............ A........... Finger tendon

9.64

NA

NA

9.54

11.56

1.41

090 transfer. 26498......... ............ A........... Finger tendon

14.07

NA

NA

11.66

13.92

2.11

090 transfer. 26499......... ............ A........... Revision of finger

9.05

NA

NA

8.86

10.95

1.35

090 26500......... ............ A........... Hand tendon

6.02

NA

NA

7.75

9.60

0.90

090 reconstruction. 26502......... ............ A........... Hand tendon

7.20

NA

NA

8.33

10.18

1.13

090 reconstruction. 26508......... ............ A........... Release thumb

6.07

NA

NA

7.80

9.74

0.98

090 contracture. 26510......... ............ A........... Thumb tendon

5.49

NA

NA

7.64

9.49

0.79

090 transfer. 26516......... ............ A........... Fusion of knuckle

7.21

NA

NA

8.31

10.28

1.10

090 joint. 26517......... ............ A........... Fusion of knuckle

8.96

NA

NA

9.00

11.26

1.41

090 joints. 26518......... ............ A........... Fusion of knuckle

9.15

NA

NA

8.97

11.18

1.35

090 joints. 26520......... ............ A........... Release knuckle

5.36

NA

NA

8.87

11.39

0.80

090 contracture. 26525......... ............ A........... Release finger

5.39

NA

NA

8.89

11.44

0.81

090 contracture. 26530......... ............ A........... Revise knuckle

6.76

NA

NA

5.41

5.78

1.04

090 joint. 26531......... ............ A........... Revise knuckle

7.99

NA

NA

6.17

6.65

1.17

090 with implant. 26535......... ............ A........... Revise finger

5.30

NA

NA

4.09

3.92

0.71

090 joint. 26536......... ............ A........... Revise/implant

6.44

NA

NA

9.25

9.45

0.96

090 finger joint. 26540......... ............ A........... Repair hand joint.

6.49

NA

NA

8.06

9.97

0.99

090 26541......... ............ A........... Repair hand joint

8.69

NA

NA

9.12

11.26

1.28

090 with graft. 26542......... ............ A........... Repair hand joint

6.84

NA

NA

8.20

10.12

1.02

090 with graft. 26545......... ............ A........... Reconstruct finger

6.99

NA

NA

8.46

10.30

1.05

090 joint. 26546......... ............ A........... Repair nonunion

10.53

NA

NA

11.43

13.24

1.44

090 hand. 26548......... ............ A........... Reconstruct finger

8.10

NA

NA

8.81

10.83

1.20

090 joint. 26550......... ............ A........... Construct thumb

21.54

NA

NA

14.55

16.07

2.46

090 replacement. 26551......... ............ A........... Great toe-hand

48.23

NA

NA

17.17

24.82

7.98

090 transfer. 26553......... ............ A........... Single transfer,

47.92

NA

NA

27.38

25.04

2.42

090 toe-hand. 26554......... ............ A........... Double transfer,

56.73

NA

NA

35.82

36.69

9.44

090 toe-hand. 26555......... ............ A........... Positional change

16.94

NA

NA

14.01

16.10

2.49

090 of finger. 26556......... ............ A........... Toe joint transfer 49.43

NA

NA

18.05

25.70

2.58

090 26560......... ............ A........... Repair of web

5.43

NA

NA

6.65

8.23

0.85

090 finger. 26561......... ............ A........... Repair of web

10.98

NA

NA

9.51

10.93

1.45

090 finger. 26562......... ............ A........... Repair of web

16.40

NA

NA

8.77

12.96

2.24

090 finger. 26565......... ............ A........... Correct metacarpal

6.80

NA

NA

8.16

10.08

1.00

090 flaw. 26567......... ............ A........... Correct finger

6.88

NA

NA

8.12

10.04

1.04

090 deformity. 26568......... ............ A........... Lengthen

9.15

NA

NA

10.70

13.07

1.49

090 metacarpal/finger. 26580......... ............ A........... Repair hand

19.50

NA

NA

9.74

11.70

2.29

090 deformity. 26587......... ............ A........... Reconstruct extra

14.36

NA

NA

8.02

8.62

1.53

090 finger. 26590......... ............ A........... Repair finger

18.51

NA

NA

12.43

13.19

2.78

090 deformity. 26591......... ............ A........... Repair muscles of

3.30

NA

NA

6.22

7.92

0.48

090 hand. 26593......... ............ A........... Release muscles of

5.38

NA

NA

7.80

9.47

0.78

090 hand. 26596......... ............ A........... Excision

9.02

NA

NA

7.49

8.16

1.43

090 constricting tissue. 26600......... ............ A........... Treat metacarpal

2.48

3.84

3.73

3.49

3.07

0.30

090 fracture. 26605......... ............ A........... Treat metacarpal

2.92

4.09

4.32

3.51

3.58

0.49

090 fracture. 26607......... ............ A........... Treat metacarpal

5.40

NA

NA

4.89

5.58

0.87

090 fracture. 26608......... ............ A........... Treat metacarpal

5.43

NA

NA

5.23

5.74

0.88

090 fracture. 26615......... ............ A........... Treat metacarpal

6.91

NA

NA

6.02

5.66

0.86

090 fracture. 26641......... ............ A........... Treat thumb

4.01

4.04

4.30

3.40

3.47

0.39

090 dislocation. 26645......... ............ A........... Treat thumb

4.47

4.61

4.89

3.92

4.06

0.67

090 fracture. 26650......... ............ A........... Treat thumb

5.19

NA

NA

4.89

5.79

0.94

090 fracture. 26665......... ............ A........... Treat thumb

7.78

NA

NA

6.32

6.47

0.90

090 fracture. 26670......... ............ A........... Treat hand

3.74

3.62

3.94

3.03

2.99

0.39

090 dislocation. 26675......... ............ A........... Treat hand

4.71

5.26

5.37

4.52

4.49

0.77

090 dislocation. 26676......... ............ A........... Pin hand

5.60

NA

NA

5.57

6.13

0.91

090 dislocation. 26685......... ............ A........... Treat hand

6.91

NA

NA

5.97

6.06

1.09

090 dislocation. 26686......... ............ A........... Treat hand

8.06

NA

NA

6.08

6.49

1.24

090 dislocation. 26700......... ............ A........... Treat knuckle

3.74

3.30

3.53

2.93

2.90

0.35

090 dislocation. 26705......... ............ A........... Treat knuckle

4.26

4.75

5.04

4.04

4.17

0.66

090 dislocation. 26706......... ............ A........... Pin knuckle

5.19

NA

NA

4.70

4.90

0.81

090 dislocation. 26715......... ............ A........... Treat knuckle

6.87

NA

NA

6.00

5.76

0.91

090 dislocation. 26720......... ............ A........... Treat finger

1.70

2.58

2.68

2.30

2.18

0.24

090 fracture, each. 26725......... ............ A........... Treat finger

3.39

4.09

4.43

3.41

3.46

0.53

090 fracture, each. 26727......... ............ A........... Treat finger

5.30

NA

NA

5.18

5.71

0.84

090 fracture, each. 26735......... ............ A........... Treat finger

7.26

NA

NA

6.13

5.84

0.95

090 fracture, each. 26740......... ............ A........... Treat finger

1.99

3.01

3.07

2.72

2.71

0.31

090 fracture, each. 26742......... ............ A........... Treat finger

3.90

4.27

4.63

3.57

3.72

0.58

090 fracture, each. 26746......... ............ A........... Treat finger

9.59

NA

NA

7.20

6.38

0.91

090 fracture, each. 26750......... ............ A........... Treat finger

1.74

2.25

2.37

2.26

2.14

0.22

090 fracture, each.

[[Page 2591]]

26755......... ............ A........... Treat finger

3.15

3.75

4.08

2.94

2.97

0.42

090 fracture, each. 26756......... ............ A........... Pin finger

4.46

NA

NA

4.86

5.29

0.71

090 fracture, each. 26765......... ............ A........... Treat finger

5.70

NA

NA

5.47

4.93

0.66

090 fracture, each. 26770......... ............ A........... Treat finger

3.07

2.92

3.18

2.55

2.48

0.27

090 dislocation. 26775......... ............ A........... Treat finger

3.78

4.62

4.91

3.88

3.85

0.54

090 dislocation. 26776......... ............ A........... Pin finger

4.87

NA

NA

4.99

5.50

0.77

090 dislocation. 26785......... ............ A........... Treat finger

6.44

NA

NA

5.78

5.15

0.68

090 dislocation. 26820......... ............ A........... Thumb fusion with

8.33

NA

NA

8.97

11.11

1.30

090 graft. 26841......... ............ A........... Fusion of thumb...

7.21

NA

NA

8.77

11.00

1.18

090 26842......... ............ A........... Thumb fusion with

8.37

NA

NA

9.02

11.20

1.32

090 graft. 26843......... ............ A........... Fusion of hand

7.67

NA

NA

8.57

10.46

1.15

090 joint. 26844......... ............ A........... Fusion/graft of

8.86

NA

NA

9.16

11.27

1.33

090 hand joint. 26850......... ............ A........... Fusion of knuckle.

7.03

NA

NA

8.27

10.24

1.06

090 26852......... ............ A........... Fusion of knuckle

8.59

NA

NA

9.14

11.02

1.22

090 with graft. 26860......... ............ A........... Fusion of finger

4.76

NA

NA

7.54

9.37

0.73

090 joint. 26861......... ............ A........... Fusion of finger

1.74

NA

NA

0.70

0.82

0.27

ZZZ jnt, add-on. 26862......... ............ A........... Fusion/graft of

7.44

NA

NA

8.67

10.51

1.10

090 finger joint. 26863......... ............ A........... Fuse/graft added

3.89

NA

NA

1.58

1.85

0.56

ZZZ joint. 26910......... ............ A........... Amputate

7.67

NA

NA

8.28

9.75

1.16

090 metacarpal bone. 26951......... ............ A........... Amputation of

5.85

NA

NA

8.40

9.28

0.71

090 finger/thumb. 26952......... ............ A........... Amputation of

6.37

NA

NA

7.91

9.79

0.95

090 finger/thumb. 26989......... ............ C........... Hand/finger

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 26990......... ............ A........... Drainage of pelvis

7.84

NA

NA

6.21

6.71

1.22

090 lesion. 26991......... ............ A........... Drainage of pelvis

6.97

8.62

9.89

4.88

5.16

1.11

090 bursa. 26992......... ............ A........... Drainage of bone

13.37

NA

NA

8.42

9.40

2.17

090 lesion. 27000......... ............ A........... Incision of hip

5.66

NA

NA

4.51

4.90

0.98

090 tendon. 27001......... ............ A........... Incision of hip

7.05

NA

NA

5.23

5.66

1.24

090 tendon. 27003......... ............ A........... Incision of hip

7.70

NA

NA

5.73

6.11

1.12

090 tendon. 27005......... ............ A........... Incision of hip

9.96

NA

NA

6.49

7.15

1.73

090 tendon. 27006......... ............ A........... Incision of hip

9.99

NA

NA

6.76

7.37

1.70

090 tendons. 27025......... ............ A........... Incision of hip/

12.66

NA

NA

8.21

8.38

1.85

090 thigh fascia. 27030......... ............ A........... Drainage of hip

13.54

NA

NA

8.04

8.84

2.27

090 joint. 27033......... ............ A........... Exploration of hip 13.99

NA

NA

8.40

9.16

2.33

090 joint. 27035......... ............ A........... Denervation of hip 17.23

NA

NA

8.53

9.88

2.16

090 joint. 27036......... ............ A........... Excision of hip

14.18

NA

NA

8.92

9.47

2.27

090 joint/muscle. 27040......... ............ A........... Biopsy of soft

2.89

5.19

5.22

1.87

1.94

0.27

010 tissues. 27041......... ............ A........... Biopsy of soft

10.07

NA

NA

5.74

6.19

1.35

090 tissues. 27047......... ............ A........... Remove hip/pelvis

7.51

7.03

7.07

4.50

4.63

1.03

090 lesion. 27048......... ............ A........... Remove hip/pelvis

6.44

NA

NA

4.61

4.70

0.92

090 lesion. 27049......... ............ A........... Remove tumor, hip/ 15.20

NA

NA

8.17

8.29

2.07

090 pelvis. 27050......... ............ A........... Biopsy of

4.65

NA

NA

3.01

3.72

0.60

090 sacroiliac joint. 27052......... ............ A........... Biopsy of hip

7.27

NA

NA

5.65

5.77

1.08

090 joint. 27054......... ............ A........... Removal of hip

9.09

NA

NA

6.49

6.92

1.47

090 joint lining. 27060......... ............ A........... Removal of ischial

5.78

NA

NA

4.37

4.37

0.80

090 bursa. 27062......... ............ A........... Remove femur

5.66

NA

NA

4.60

4.90

0.93

090 lesion/bursa. 27065......... ............ A........... Removal of hip

6.44

NA

NA

4.99

5.22

1.01

090 bone lesion. 27066......... ............ A........... Removal of hip

11.06

NA

NA

7.44

7.94

1.80

090 bone lesion. 27067......... ............ A........... Remove/graft hip

14.57

NA

NA

8.85

9.76

1.85

090 bone lesion. 27070......... ............ A........... Partial removal of 11.44

NA

NA

8.03

8.59

1.75

090 hip bone. 27071......... ............ A........... Partial removal of 12.25

NA

NA

8.48

9.31

1.93

090 hip bone. 27075......... ............ A........... Extensive hip

36.77

NA

NA

16.15

17.68

5.66

090 surgery. 27076......... ............ A........... Extensive hip

24.25

NA

NA

12.83

13.68

3.71

090 surgery. 27077......... ............ A........... Extensive hip

42.54

NA

NA

19.95

21.31

6.14

090 surgery. 27078......... ............ A........... Extensive hip

14.54

NA

NA

8.82

9.38

2.23

090 surgery. 27079......... ............ A........... Extensive hip

14.91

NA

NA

8.01

8.78

1.95

090 surgery. 27080......... ............ A........... Removal of tail

6.80

NA

NA

4.59

4.71

0.93

090 bone. 27086......... ............ A........... Remove hip foreign

1.89

3.66

4.11

1.48

1.65

0.25

010 body. 27087......... ............ A........... Remove hip foreign

8.72

NA

NA

5.66

6.16

1.35

090 body. 27090......... ............ A........... Removal of hip

11.57

NA

NA

7.41

8.10

1.95

090 prosthesis. 27091......... ............ A........... Removal of hip

24.15

NA

NA

12.91

13.46

3.85

090 prosthesis. 27093......... ............ A........... Injection for hip

1.30

3.15

3.81

0.47

0.48

0.13

000 x-ray. 27095......... ............ A........... Injection for hip

1.50

3.71

4.72

0.51

0.51

0.14

000 x-ray. 27096......... ............ A........... Inject sacroiliac

1.40

2.52

3.44

0.33

0.33

0.08

000 joint. 27097......... ............ A........... Revision of hip

9.16

NA

NA

6.34

6.38

1.57

090 tendon. 27098......... ............ A........... Transfer tendon to

9.20

NA

NA

4.91

5.97

0.95

090 pelvis. 27100......... ............ A........... Transfer of

11.21

NA

NA

7.40

8.04

1.86

090 abdominal muscle. 27105......... ............ A........... Transfer of spinal 11.90

NA

NA

7.36

8.26

1.73

090 muscle. 27110......... ............ A........... Transfer of

13.63

NA

NA

8.28

8.70

2.19

090 iliopsoas muscle. 27111......... ............ A........... Transfer of

12.46

NA

NA

8.07

8.61

1.95

090 iliopsoas muscle. 27120......... ............ A........... Reconstruction of

19.10

NA

NA

10.82

11.33

3.09

090 hip socket. 27122......... ............ A........... Reconstruction of

15.95

NA

NA

9.44

10.24

2.62

090 hip socket. 27125......... ............ A........... Partial hip

16.46

NA

NA

9.60

10.11

2.55

090 replacement.

[[Page 2592]]

27130......... ............ A........... Total hip

21.61

NA

NA

11.77

12.54

3.51

090 arthroplasty. 27132......... ............ A........... Total hip

25.49

NA

NA

13.43

14.54

4.05

090 arthroplasty. 27134......... ............ A........... Revise hip joint

30.13

NA

NA

14.69

16.25

4.95

090 replacement. 27137......... ............ A........... Revise hip joint

22.55

NA

NA

11.73

12.84

3.68

090 replacement. 27138......... ............ A........... Revise hip joint

23.55

NA

NA

12.12

13.26

3.85

090 replacement. 27140......... ............ A........... Transplant femur

12.66

NA

NA

7.88

8.65

2.12

090 ridge. 27146......... ............ A........... Incision of hip

18.72

NA

NA

10.69

11.42

2.97

090 bone. 27147......... ............ A........... Revision of hip

21.87

NA

NA

12.02

12.64

3.58

090 bone. 27151......... ............ A........... Incision of hip

23.92

NA

NA

12.89

10.42

3.92

090 bones. 27156......... ............ A........... Revision of hip

26.03

NA

NA

13.72

14.90

4.22

090 bones. 27158......... ............ A........... Revision of pelvis 20.89

NA

NA

11.52

11.25

3.17

090 27161......... ............ A........... Incision of neck

17.74

NA

NA

10.36

11.24

2.95

090 of femur. 27165......... ............ A........... Incision/fixation

20.06

NA

NA

11.58

12.25

3.11

090 of femur. 27170......... ............ A........... Repair/graft femur 17.46

NA

NA

9.76

10.53

2.82

090 head/neck. 27175......... ............ A........... Treat slipped

9.29

NA

NA

5.17

5.92

1.46

090 epiphysis. 27176......... ............ A........... Treat slipped

12.78

NA

NA

8.18

8.60

2.23

090 epiphysis. 27177......... ............ A........... Treat slipped

15.94

NA

NA

9.64

10.27

2.62

090 epiphysis. 27178......... ............ A........... Treat slipped

12.78

NA

NA

7.98

8.20

2.09

090 epiphysis. 27179......... ............ A........... Revise head/neck

13.83

NA

NA

8.57

9.29

2.26

090 of femur. 27181......... ............ A........... Treat slipped

15.98

NA

NA

9.74

9.98

1.57

090 epiphysis. 27185......... ............ A........... Revision of femur

9.67

NA

NA

6.65

7.08

2.40

090 epiphysis. 27187......... ............ A........... Reinforce hip

14.09

NA

NA

8.69

9.51

2.38

090 bones. 27193......... ............ A........... Treat pelvic ring

5.98

4.63

4.86

4.76

4.92

0.96

090 fracture. 27194......... ............ A........... Treat pelvic ring

10.08

NA

NA

6.61

7.13

1.65

090 fracture. 27200......... ............ A........... Treat tail bone

1.87

2.08

2.15

2.22

2.19

0.28

090 fracture. 27202......... ............ A........... Treat tail bone

7.25

NA

NA

4.91

10.89

1.06

090 fracture. 27215......... ............ A........... Treat pelvic

10.45

NA

NA

6.55

6.82

1.98

090 fracture(s). 27216......... ............ A........... Treat pelvic ring

15.73

NA

NA

9.14

9.37

2.64

090 fracture. 27217......... ............ A........... Treat pelvic ring

14.65

NA

NA

8.63

9.39

2.42

090 fracture. 27218......... ............ A........... Treat pelvic ring

20.93

NA

NA

11.33

11.37

3.49

090 fracture. 27220......... ............ A........... Treat hip socket

6.72

5.25

5.49

5.15

5.39

1.07

090 fracture. 27222......... ............ A........... Treat hip socket

13.97

NA

NA

8.52

9.25

2.20

090 fracture. 27226......... ............ A........... Treat hip wall

15.45

NA

NA

8.93

8.37

2.49

090 fracture. 27227......... ............ A........... Treat hip

25.21

NA

NA

13.38

14.39

4.06

090 fracture(s). 27228......... ............ A........... Treat hip

29.13

NA

NA

14.85

16.24

4.67

090 fracture(s). 27230......... ............ A........... Treat thigh

5.69

4.93

5.23

4.87

4.98

0.95

090 fracture. 27232......... ............ A........... Treat thigh

11.66

NA

NA

6.10

6.64

1.86

090 fracture. 27235......... ............ A........... Treat thigh

12.88

NA

NA

7.98

8.72

2.12

090 fracture. 27236......... ............ A........... Treat thigh

17.43

NA

NA

10.14

10.60

2.72

090 fracture. 27238......... ............ A........... Treat thigh

5.64

NA

NA

4.65

4.90

0.89

090 fracture. 27240......... ............ A........... Treat thigh

13.66

NA

NA

8.21

8.84

2.17

090 fracture. 27244......... ............ A........... Treat thigh

17.08

NA

NA

9.62

10.46

2.78

090 fracture. 27245......... ............ A........... Treat thigh

21.09

NA

NA

11.34

12.55

3.53

090 fracture. 27246......... ............ A........... Treat thigh

4.75

3.91

4.18

3.95

4.18

0.81

090 fracture. 27248......... ............ A........... Treat thigh

10.64

NA

NA

6.38

7.30

1.82

090 fracture. 27250......... ............ A........... Treat hip

7.21

NA

NA

4.30

4.46

0.62

090 dislocation. 27252......... ............ A........... Treat hip

10.92

NA

NA

6.49

6.96

1.66

090 dislocation. 27253......... ............ A........... Treat hip

13.46

NA

NA

8.17

8.98

2.25

090 dislocation. 27254......... ............ A........... Treat hip

18.80

NA

NA

10.54

11.28

3.18

090 dislocation. 27256......... ............ A........... Treat hip

4.25

2.52

3.02

1.41

1.75

0.46

010 dislocation. 27257......... ............ A........... Treat hip

5.35

NA

NA

2.54

2.68

0.69

010 dislocation. 27258......... ............ A........... Treat hip

16.04

NA

NA

9.48

10.18

2.65

090 dislocation. 27259......... ............ A........... Treat hip

23.03

NA

NA

12.78

13.45

3.75

090 dislocation. 27265......... ............ A........... Treat hip

5.12

NA

NA

3.95

4.37

0.63

090 dislocation. 27266......... ............ A........... Treat hip

7.67

NA

NA

5.51

5.93

1.29

090 dislocation. 27267......... ............ A........... Cltx thigh fx.....

5.38

NA

NA

4.40

4.40

0.89

090 27268......... ............ A........... Cltx thigh fx w/

7.00

NA

NA

5.02

5.02

1.16

090 mnpj. 27269......... ............ A........... Optx thigh fx..... 18.75

NA

NA

9.89

9.89

2.93

090 27275......... ............ A........... Manipulation of

2.29

NA

NA

1.85

1.98

0.39

010 hip joint. 27280......... ............ A........... Fusion of

14.49

NA

NA

8.88

9.58

2.54

090 sacroiliac joint. 27282......... ............ A........... Fusion of pubic

11.71

NA

NA

7.78

7.89

1.87

090 bones. 27284......... ............ A........... Fusion of hip

24.91

NA

NA

12.01

13.39

3.93

090 joint. 27286......... ............ A........... Fusion of hip

24.97

NA

NA

12.61

14.21

3.13

090 joint. 27290......... ............ A........... Amputation of leg

24.38

NA

NA

12.11

13.09

3.44

090 at hip. 27295......... ............ A........... Amputation of leg

19.54

NA

NA

9.59

10.45

2.96

090 at hip. 27299......... ............ C........... Pelvis/hip joint

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 27301......... ............ A........... Drain thigh/knee

6.67

8.20

9.14

4.65

4.89

1.04

090 lesion. 27303......... ............ A........... Drainage of bone

8.52

NA

NA

5.99

6.49

1.43

090 lesion. 27305......... ............ A........... Incise thigh

6.09

NA

NA

4.68

4.93

1.01

090 tendon & fascia. 27306......... ............ A........... Incision of thigh

4.66

NA

NA

4.08

4.40

0.85

090 tendon. 27307......... ............ A........... Incision of thigh

5.97

NA

NA

4.74

5.06

1.04

090 tendons. 27310......... ............ A........... Exploration of

9.88

NA

NA

6.78

7.18

1.61

090 knee joint.

[[Page 2593]]

27323......... ............ A........... Biopsy, thigh soft

2.30

4.20

3.86

1.93

1.91

0.24

010 tissues. 27324......... ............ A........... Biopsy, thigh soft

4.95

NA

NA

3.82

4.00

0.75

090 tissues. 27325......... ............ A........... Neurectomy,

7.09

NA

NA

4.99

4.97

1.09

090 hamstring. 27326......... ............ A........... Neurectomy,

6.36

NA

NA

5.12

5.18

1.06

090 popliteal. 27327......... ............ A........... Removal of thigh

4.52

6.04

6.02

3.58

3.65

0.64

090 lesion. 27328......... ............ A........... Removal of thigh

5.62

NA

NA

4.07

4.22

0.84

090 lesion. 27329......... ............ A........... Remove tumor,

15.68

NA

NA

8.47

8.75

2.15

090 thigh/knee. 27330......... ............ A........... Biopsy, knee joint

5.02

NA

NA

4.26

4.42

0.86

090 lining. 27331......... ............ A........... Explore/treat knee

5.93

NA

NA

4.80

5.16

1.02

090 joint. 27332......... ............ A........... Removal of knee

8.34

NA

NA

6.12

6.62

1.43

090 cartilage. 27333......... ............ A........... Removal of knee

7.43

NA

NA

5.69

6.18

1.26

090 cartilage. 27334......... ............ A........... Remove knee joint

9.07

NA

NA

6.43

6.92

1.51

090 lining. 27335......... ............ A........... Remove knee joint

10.43

NA

NA

7.02

7.62

1.75

090 lining. 27340......... ............ A........... Removal of kneecap

4.23

NA

NA

4.04

4.30

0.72

090 bursa. 27345......... ............ A........... Removal of knee

5.98

NA

NA

4.89

5.26

1.00

090 cyst. 27347......... ............ A........... Remove knee cyst..

6.58

NA

NA

5.26

5.34

0.98

090 27350......... ............ A........... Removal of kneecap

8.54

NA

NA

6.25

6.75

1.41

090 27355......... ............ A........... Remove femur

7.89

NA

NA

5.81

6.29

1.32

090 lesion. 27356......... ............ A........... Remove femur

9.97

NA

NA

6.84

7.34

1.65

090 lesion/graft. 27357......... ............ A........... Remove femur

11.02

NA

NA

7.48

8.09

1.96

090 lesion/graft. 27358......... ............ A........... Remove femur

4.73

NA

NA

1.81

2.17

0.82

ZZZ lesion/fixation. 27360......... ............ A........... Partial removal,

11.34

NA

NA

8.05

8.81

1.84

090 leg bone(s). 27365......... ............ A........... Extensive leg

17.93

NA

NA

10.42

11.05

2.80

090 surgery. 27370......... ............ A........... Injection for knee

0.96

3.00

3.36

0.36

0.34

0.08

000 x-ray. 27372......... ............ A........... Removal of foreign

5.12

8.31

9.18

4.04

4.36

0.84

090 body. 27380......... ............ A........... Repair of kneecap

7.34

NA

NA

6.06

6.67

1.24

090 tendon. 27381......... ............ A........... Repair/graft

10.64

NA

NA

7.56

8.33

1.80

090 kneecap tendon. 27385......... ............ A........... Repair of thigh

8.00

NA

NA

6.31

6.97

1.36

090 muscle. 27386......... ............ A........... Repair/graft of

10.99

NA

NA

7.93

8.72

1.86

090 thigh muscle. 27390......... ............ A........... Incision of thigh

5.44

NA

NA

4.47

4.79

0.92

090 tendon. 27391......... ............ A........... Incision of thigh

7.38

NA

NA

5.55

6.06

1.23

090 tendons. 27392......... ............ A........... Incision of thigh

9.51

NA

NA

6.67

7.13

1.57

090 tendons. 27393......... ............ A........... Lengthening of

6.50

NA

NA

4.96

5.40

1.10

090 thigh tendon. 27394......... ............ A........... Lengthening of

8.68

NA

NA

6.15

6.69

1.47

090 thigh tendons. 27395......... ............ A........... Lengthening of

12.10

NA

NA

7.93

8.63

2.05

090 thigh tendons. 27396......... ............ A........... Transplant of

8.04

NA

NA

5.83

6.42

1.34

090 thigh tendon. 27397......... ............ A........... Transplants of

12.46

NA

NA

8.35

8.70

1.83

090 thigh tendons. 27400......... ............ A........... Revise thigh

9.21

NA

NA

6.51

6.88

1.31

090 muscles/tendons. 27403......... ............ A........... Repair of knee

8.51

NA

NA

6.03

6.61

1.44

090 cartilage. 27405......... ............ A........... Repair of knee

8.96

NA

NA

6.39

6.94

1.51

090 ligament. 27407......... ............ A........... Repair of knee

10.71

NA

NA

6.83

7.58

1.79

090 ligament. 27409......... ............ A........... Repair of knee

13.57

NA

NA

8.26

9.11

2.25

090 ligaments. 27412......... ............ A........... Autochondrocyte

24.53

NA

NA

13.66

14.23

4.36

090 implant knee. 27415......... ............ A........... Osteochondral knee 19.79

NA

NA

11.79

12.17

4.36

090 allograft. 27416......... ............ A........... Osteochondral knee 14.00

NA

NA

8.39

8.39

2.32

090 autograft. 27418......... ............ A........... Repair degenerated 11.46

NA

NA

7.57

8.24

1.89

090 kneecap. 27420......... ............ A........... Revision of

10.14

NA

NA

6.91

7.51

1.72

090 unstable kneecap. 27422......... ............ A........... Revision of

10.09

NA

NA

6.88

7.50

1.71

090 unstable kneecap. 27424......... ............ A........... Revision/removal

10.12

NA

NA

6.90

7.50

1.71

090 of kneecap. 27425......... ............ A........... Lat retinacular

5.28

NA

NA

4.70

5.12

0.90

090 release open. 27427......... ............ A........... Reconstruction,

9.67

NA

NA

6.70

7.25

1.63

090 knee. 27428......... ............ A........... Reconstruction,

15.33

NA

NA

10.05

10.65

2.43

090 knee. 27429......... ............ A........... Reconstruction,

17.24

NA

NA

11.26

11.84

2.71

090 knee. 27430......... ............ A........... Revision of thigh

10.04

NA

NA

6.84

7.42

1.70

090 muscles. 27435......... ............ A........... Incision of knee

10.68

NA

NA

7.59

8.04

1.70

090 joint. 27437......... ............ A........... Revise kneecap....

8.82

NA

NA

6.19

6.72

1.49

090 27438......... ............ A........... Revise kneecap

11.77

NA

NA

7.50

8.02

1.96

090 with implant. 27440......... ............ A........... Revision of knee

10.97

NA

NA

7.00

6.50

1.82

090 joint. 27441......... ............ A........... Revision of knee

11.42

NA

NA

7.36

7.04

1.89

090 joint. 27442......... ............ A........... Revision of knee

12.25

NA

NA

7.64

8.28

2.10

090 joint. 27443......... ............ A........... Revision of knee

11.29

NA

NA

7.35

8.04

1.91

090 joint. 27445......... ............ A........... Revision of knee

18.52

NA

NA

10.42

11.39

3.09

090 joint. 27446......... ............ A........... Revision of knee

16.26

NA

NA

9.29

10.28

2.81

090 joint. 27447......... ............ A........... Total knee

23.04

NA

NA

12.58

13.59

3.80

090 arthroplasty. 27448......... ............ A........... Incision of thigh. 11.48

NA

NA

7.32

7.96

1.95

090 27450......... ............ A........... Incision of thigh. 14.47

NA

NA

8.84

9.71

2.43

090 27454......... ............ A........... Realignment of

18.97

NA

NA

10.73

11.62

3.13

090 thigh bone. 27455......... ............ A........... Realignment of

13.24

NA

NA

8.31

9.10

2.25

090 knee. 27457......... ............ A........... Realignment of

13.92

NA

NA

8.23

9.08

2.35

090 knee. 27465......... ............ A........... Shortening of

18.44

NA

NA

10.29

10.26

2.48

090 thigh bone. 27466......... ............ A........... Lengthening of

17.13

NA

NA

10.06

10.95

2.78

090 thigh bone. 27468......... ............ A........... Shorten/lengthen

19.82

NA

NA

11.17

11.77

3.31

090 thighs.

[[Page 2594]]

27470......... ............ A........... Repair of thigh... 16.97

NA

NA

10.16

10.98

2.80

090 27472......... ............ A........... Repair/graft of

18.57

NA

NA

10.64

11.67

3.08

090 thigh. 27475......... ............ A........... Surgery to stop

8.82

NA

NA

6.20

6.71

1.36

090 leg growth. 27477......... ............ A........... Surgery to stop

10.03

NA

NA

6.60

7.17

1.74

090 leg growth. 27479......... ............ A........... Surgery to stop

13.04

NA

NA

8.85

9.25

2.79

090 leg growth. 27485......... ............ A........... Surgery to stop

9.02

NA

NA

6.22

6.81

1.53

090 leg growth. 27486......... ............ A........... Revise/replace

20.92

NA

NA

11.63

12.57

3.37

090 knee joint. 27487......... ............ A........... Revise/replace

26.91

NA

NA

13.98

15.27

4.40

090 knee joint. 27488......... ............ A........... Removal of knee

17.40

NA

NA

10.25

10.98

2.75

090 prosthesis. 27495......... ............ A........... Reinforce thigh... 16.40

NA

NA

9.60

10.51

2.72

090 27496......... ............ A........... Decompression of

6.66

NA

NA

4.98

5.29

0.99

090 thigh/knee. 27497......... ............ A........... Decompression of

7.70

NA

NA

4.99

5.21

1.15

090 thigh/knee. 27498......... ............ A........... Decompression of

8.54

NA

NA

5.19

5.57

1.24

090 thigh/knee. 27499......... ............ A........... Decompression of

9.31

NA

NA

5.98

6.40

1.47

090 thigh/knee. 27500......... ............ A........... Treatment of thigh

6.21

5.36

5.75

4.58

4.79

1.02

090 fracture. 27501......... ............ A........... Treatment of thigh

6.34

5.01

5.40

4.92

5.15

1.03

090 fracture. 27502......... ............ A........... Treatment of thigh 11.24

NA

NA

6.86

7.49

1.79

090 fracture. 27503......... ............ A........... Treatment of thigh 11.13

NA

NA

7.22

7.75

1.85

090 fracture. 27506......... ............ A........... Treatment of thigh 19.42

NA

NA

11.37

12.08

3.04

090 fracture. 27507......... ............ A........... Treatment of thigh 14.39

NA

NA

8.13

8.99

2.43

090 fracture. 27508......... ............ A........... Treatment of thigh

6.08

5.69

6.08

5.05

5.27

0.97

090 fracture. 27509......... ............ A........... Treatment of thigh

8.02

NA

NA

6.54

7.25

1.34

090 fracture. 27510......... ............ A........... Treatment of thigh

9.68

NA

NA

6.27

6.80

1.53

090 fracture. 27511......... ............ A........... Treatment of thigh 14.97

NA

NA

8.11

9.66

2.38

090 fracture. 27513......... ............ A........... Treatment of thigh 19.11

NA

NA

9.75

11.82

3.13

090 fracture. 27514......... ............ A........... Treatment of thigh 14.46

NA

NA

7.89

10.62

3.01

090 fracture. 27516......... ............ A........... Treat thigh fx

5.45

5.72

6.04

5.07

5.30

0.81

090 growth plate. 27517......... ............ A........... Treat thigh fx

8.98

NA

NA

6.42

6.94

1.22

090 growth plate. 27519......... ............ A........... Treat thigh fx

13.11

NA

NA

7.39

9.49

2.56

090 growth plate. 27520......... ............ A........... Treat kneecap

2.93

4.10

4.32

3.53

3.48

0.47

090 fracture. 27524......... ............ A........... Treat kneecap

10.25

NA

NA

6.94

7.59

1.75

090 fracture. 27530......... ............ A........... Treat knee

3.97

4.82

5.07

4.26

4.34

0.65

090 fracture. 27532......... ............ A........... Treat knee

7.43

6.40

6.88

5.63

6.04

1.26

090 fracture. 27535......... ............ A........... Treat knee

13.27

NA

NA

7.45

8.78

2.01

090 fracture. 27536......... ............ A........... Treat knee

17.19

NA

NA

10.20

10.91

2.74

090 fracture. 27538......... ............ A........... Treat knee

4.95

5.51

5.83

4.89

5.05

0.84

090 fracture(s). 27540......... ............ A........... Treat knee

11.16

NA

NA

7.39

8.45

2.28

090 fracture. 27550......... ............ A........... Treat knee

5.84

5.21

5.62

4.51

4.72

0.76

090 dislocation. 27552......... ............ A........... Treat knee

8.04

NA

NA

6.09

6.52

1.36

090 dislocation. 27556......... ............ A........... Treat knee

12.86

NA

NA

7.26

9.46

2.51

090 dislocation. 27557......... ............ A........... Treat knee

15.76

NA

NA

8.45

10.79

2.98

090 dislocation. 27558......... ............ A........... Treat knee

18.25

NA

NA

9.29

11.17

3.09

090 dislocation. 27560......... ............ A........... Treat kneecap

3.88

4.25

4.54

3.72

3.45

0.40

090 dislocation. 27562......... ............ A........... Treat kneecap

5.86

NA

NA

4.61

4.69

0.94

090 dislocation. 27566......... ............ A........... Treat kneecap

12.59

NA

NA

7.89

8.61

2.13

090 dislocation. 27570......... ............ A........... Fixation of knee

1.76

NA

NA

1.62

1.70

0.30

010 joint. 27580......... ............ A........... Fusion of knee.... 20.90

NA

NA

12.19

13.50

3.38

090 27590......... ............ A........... Amputate leg at

13.35

NA

NA

6.02

6.35

1.75

090 thigh. 27591......... ............ A........... Amputate leg at

13.82

NA

NA

7.35

8.00

2.03

090 thigh. 27592......... ............ A........... Amputate leg at

10.86

NA

NA

5.45

5.81

1.45

090 thigh. 27594......... ............ A........... Amputation follow-

7.17

NA

NA

4.73

4.95

1.02

090 up surgery. 27596......... ............ A........... Amputation follow- 11.15

NA

NA

5.98

6.40

1.57

090 up surgery. 27598......... ............ A........... Amputate lower leg 11.08

NA

NA

6.20

6.61

1.65

090 at knee. 27599......... ............ C........... Leg surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 27600......... ............ A........... Decompression of

5.94

NA

NA

3.80

4.16

0.86

090 lower leg. 27601......... ............ A........... Decompression of

5.94

NA

NA

4.18

4.51

0.80

090 lower leg. 27602......... ............ A........... Decompression of

7.71

NA

NA

4.29

4.71

1.10

090 lower leg. 27603......... ............ A........... Drain lower leg

5.12

7.05

7.27

3.90

4.03

0.74

090 lesion. 27604......... ............ A........... Drain lower leg

4.51

6.49

6.29

3.43

3.69

0.69

090 bursa. 27605......... ............ A........... Incision of

2.89

5.16

6.42

1.74

2.03

0.41

010 achilles tendon. 27606......... ............ A........... Incision of

4.15

NA

NA

2.63

2.99

0.69

010 achilles tendon. 27607......... ............ A........... Treat lower leg

8.51

NA

NA

5.70

5.94

1.31

090 bone lesion. 27610......... ............ A........... Explore/treat

9.01

NA

NA

6.11

6.56

1.40

090 ankle joint. 27612......... ............ A........... Exploration of

8.01

NA

NA

5.18

5.64

1.13

090 ankle joint. 27613......... ............ A........... Biopsy lower leg

2.19

3.91

3.57

1.78

1.79

0.20

010 soft tissue. 27614......... ............ A........... Biopsy lower leg

5.71

7.76

7.45

3.94

4.19

0.78

090 soft tissue. 27615......... ............ A........... Remove tumor,

12.93

NA

NA

7.28

8.34

1.84

090 lower leg. 27618......... ............ A........... Remove lower leg

5.14

6.44

6.23

3.80

3.90

0.72

090 lesion. 27619......... ............ A........... Remove lower leg

8.47

10.00

9.76

5.28

5.62

1.25

090 lesion. 27620......... ............ A........... Explore/treat

6.04

NA

NA

4.57

5.02

0.97

090 ankle joint. 27625......... ............ A........... Remove ankle joint

8.37

NA

NA

5.50

5.98

1.28

090 lining. 27626......... ............ A........... Remove ankle joint

8.98

NA

NA

5.78

6.35

1.48

090 lining.

[[Page 2595]]

27630......... ............ A........... Removal of tendon

4.85

7.99

7.77

3.81

4.09

0.74

090 lesion. 27635......... ............ A........... Remove lower leg

7.91

NA

NA

5.63

6.19

1.31

090 bone lesion. 27637......... ............ A........... Remove/graft leg

10.17

NA

NA

6.91

7.60

1.66

090 bone lesion. 27638......... ............ A........... Remove/graft leg

10.87

NA

NA

7.05

7.67

1.85

090 bone lesion. 27640......... ............ A........... Partial removal of 12.10

NA

NA

7.47

8.89

1.89

090 tibia. 27641......... ............ A........... Partial removal of

9.73

NA

NA

6.09

7.22

1.46

090 fibula. 27645......... ............ A........... Extensive lower

14.78

NA

NA

8.74

10.40

2.42

090 leg surgery. 27646......... ............ A........... Extensive lower

13.21

NA

NA

7.64

9.34

2.06

090 leg surgery. 27647......... ............ A........... Extensive ankle/

12.85

NA

NA

6.54

7.08

1.76

090 heel surgery. 27648......... ............ A........... Injection for

0.96

2.88

3.20

0.34

0.34

0.08

000 ankle x-ray. 27650......... ............ A........... Repair achilles

9.94

NA

NA

6.16

6.84

1.59

090 tendon. 27652......... ............ A........... Repair/graft

10.64

NA

NA

6.44

7.24

1.72

090 achilles tendon. 27654......... ............ A........... Repair of achilles 10.32

NA

NA

5.99

6.57

1.58

090 tendon. 27656......... ............ A........... Repair leg fascia

4.62

7.96

8.25

3.58

3.68

0.69

090 defect. 27658......... ............ A........... Repair of leg

5.03

NA

NA

3.89

4.22

0.79

090 tendon, each. 27659......... ............ A........... Repair of leg

6.99

NA

NA

4.68

5.16

1.09

090 tendon, each. 27664......... ............ A........... Repair of leg

4.64

NA

NA

3.88

4.22

0.76

090 tendon, each. 27665......... ............ A........... Repair of leg

5.46

NA

NA

4.33

4.65

0.89

090 tendon, each. 27675......... ............ A........... Repair lower leg

7.24

NA

NA

4.67

5.21

1.11

090 tendons. 27676......... ............ A........... Repair lower leg

8.61

NA

NA

5.73

6.24

1.37

090 tendons. 27680......... ............ A........... Release of lower

5.79

NA

NA

4.16

4.64

0.93

090 leg tendon. 27681......... ............ A........... Release of lower

6.94

NA

NA

5.09

5.51

1.15

090 leg tendons. 27685......... ............ A........... Revision of lower

6.57

8.78

8.04

4.57

5.02

0.97

090 leg tendon. 27686......... ............ A........... Revise lower leg

7.64

NA

NA

5.29

5.89

1.24

090 tendons. 27687......... ............ A........... Revision of calf

6.30

NA

NA

4.47

4.90

1.00

090 tendon. 27690......... ............ A........... Revise lower leg

8.96

NA

NA

5.37

5.86

1.33

090 tendon. 27691......... ............ A........... Revise lower leg

10.28

NA

NA

6.66

7.21

1.64

090 tendon. 27692......... ............ A........... Revise additional

1.87

NA

NA

0.71

0.82

0.32

ZZZ leg tendon. 27695......... ............ A........... Repair of ankle

6.58

NA

NA

4.88

5.38

1.05

090 ligament. 27696......... ............ A........... Repair of ankle

8.46

NA

NA

5.26

5.85

1.28

090 ligaments. 27698......... ............ A........... Repair of ankle

9.49

NA

NA

5.87

6.41

1.47

090 ligament. 27700......... ............ A........... Revision of ankle

9.54

NA

NA

5.21

5.45

1.30

090 joint. 27702......... ............ A........... Reconstruct ankle

14.28

NA

NA

8.65

9.56

2.38

090 joint. 27703......... ............ A........... Reconstruction,

16.79

NA

NA

9.78

10.51

2.77

090 ankle joint. 27704......... ............ A........... Removal of ankle

7.69

NA

NA

5.62

5.61

1.27

090 implant. 27705......... ............ A........... Incision of tibia. 10.74

NA

NA

6.96

7.57

1.81

090 27707......... ............ A........... Incision of fibula

4.67

NA

NA

4.49

4.71

0.76

090 27709......... ............ A........... Incision of tibia

17.32

NA

NA

9.96

9.05

1.74

090 & fibula. 27712......... ............ A........... Realignment of

15.67

NA

NA

9.45

10.10

2.48

090 lower leg. 27715......... ............ A........... Revision of lower

15.36

NA

NA

9.04

9.91

2.50

090 leg. 27720......... ............ A........... Repair of tibia... 12.22

NA

NA

7.93

8.67

2.05

090 27722......... ............ A........... Repair/graft of

12.31

NA

NA

7.89

8.51

2.06

090 tibia. 27724......... ............ A........... Repair/graft of

19.18

NA

NA

10.29

11.33

3.17

090 tibia. 27725......... ............ A........... Repair of lower

17.15

NA

NA

10.59

11.25

2.72

090 leg. 27726......... ............ A........... Repair fibula

14.20

NA

NA

7.68

7.68

1.43

090 nonunion. 27727......... ............ A........... Repair of lower

14.69

NA

NA

9.07

9.71

2.44

090 leg. 27730......... ............ A........... Repair of tibia

7.59

NA

NA

5.31

5.87

1.73

090 epiphysis. 27732......... ............ A........... Repair of fibula

5.37

NA

NA

4.17

4.55

0.77

090 epiphysis. 27734......... ............ A........... Repair lower leg

8.72

NA

NA

6.17

6.23

1.35

090 epiphyses. 27740......... ............ A........... Repair of leg

9.49

NA

NA

6.61

7.30

1.62

090 epiphyses. 27742......... ............ A........... Repair of leg

10.49

NA

NA

4.60

5.08

1.80

090 epiphyses. 27745......... ............ A........... Reinforce tibia... 10.37

NA

NA

7.00

7.58

1.76

090 27750......... ............ A........... Treatment of tibia

3.26

4.32

4.54

3.74

3.79

0.55

090 fracture. 27752......... ............ A........... Treatment of tibia

6.15

5.95

6.30

5.11

5.39

1.01

090 fracture. 27756......... ............ A........... Treatment of tibia

7.33

NA

NA

5.76

6.11

1.17

090 fracture. 27758......... ............ A........... Treatment of tibia 12.40

NA

NA

8.03

8.61

2.04

090 fracture. 27759......... ............ A........... Treatment of tibia 14.31

NA

NA

8.67

9.50

2.39

090 fracture. 27760......... ............ A........... Cltx medial ankle

3.09

4.28

4.48

3.68

3.63

0.48

090 fx. 27762......... ............ A........... Cltx med ankle fx

5.33

5.48

5.91

4.65

4.97

0.85

090 w/mnpj. 27766......... ............ A........... Optx medial ankle

7.73

NA

NA

6.13

6.68

1.44

090 fx. 27767......... ............ A........... Cltx post ankle fx

2.50

3.62

3.62

3.65

3.65

0.30

090 27768......... ............ A........... Cltx post ankle fx

5.00

NA

NA

4.30

4.30

0.79

090 w/mnpj. 27769......... ............ A........... Optx post ankle fx 10.00

NA

NA

6.08

6.08

1.45

090 27780......... ............ A........... Treatment of

2.72

3.87

4.02

3.31

3.26

0.41

090 fibula fracture. 27781......... ............ A........... Treatment of

4.47

4.88

5.19

4.26

4.45

0.73

090 fibula fracture. 27784......... ............ A........... Treatment of

9.51

NA

NA

6.85

6.66

1.23

090 fibula fracture. 27786......... ............ A........... Treatment of ankle

2.91

4.05

4.26

3.43

3.38

0.46

090 fracture. 27788......... ............ A........... Treatment of ankle

4.52

4.97

5.31

4.23

4.44

0.74

090 fracture. 27792......... ............ A........... Treatment of ankle

9.55

NA

NA

6.81

6.89

1.32

090 fracture. 27808......... ............ A........... Treatment of ankle

2.91

4.40

4.60

3.71

3.70

0.46

090 fracture. 27810......... ............ A........... Treatment of ankle

5.20

5.41

5.83

4.55

4.85

0.82

090 fracture. 27814......... ............ A........... Treatment of ankle 10.46

NA

NA

7.24

7.90

1.86

090 fracture.

[[Page 2596]]

27816......... ............ A........... Treatment of ankle

2.96

3.99

4.19

3.33

3.37

0.43

090 fracture. 27818......... ............ A........... Treatment of ankle

5.57

5.41

5.89

4.44

4.81

0.82

090 fracture. 27822......... ............ A........... Treatment of ankle 11.03

NA

NA

8.21

9.43

1.92

090 fracture. 27823......... ............ A........... Treatment of ankle 12.98

NA

NA

8.94

10.21

2.26

090 fracture. 27824......... ............ A........... Treat lower leg

3.20

3.65

3.86

3.47

3.52

0.45

090 fracture. 27825......... ............ A........... Treat lower leg

6.60

5.78

6.19

4.76

5.07

1.02

090 fracture. 27826......... ............ A........... Treat lower leg

10.92

NA

NA

8.21

8.52

1.47

090 fracture. 27827......... ............ A........... Treat lower leg

14.56

NA

NA

10.19

11.48

2.44

090 fracture. 27828......... ............ A........... Treat lower leg

18.20

NA

NA

11.58

12.76

2.82

090 fracture. 27829......... ............ A........... Treat lower leg

8.64

NA

NA

6.97

6.88

0.95

090 joint. 27830......... ............ A........... Treat lower leg

3.85

4.09

4.24

3.56

3.71

0.54

090 dislocation. 27831......... ............ A........... Treat lower leg

4.62

NA

NA

4.06

4.26

0.73

090 dislocation. 27832......... ............ A........... Treat lower leg

10.01

NA

NA

6.83

6.50

1.03

090 dislocation. 27840......... ............ A........... Treat ankle

4.65

NA

NA

3.65

3.71

0.46

090 dislocation. 27842......... ............ A........... Treat ankle

6.34

NA

NA

4.85

4.98

1.00

090 dislocation. 27846......... ............ A........... Treat ankle

10.16

NA

NA

6.77

7.35

1.71

090 dislocation. 27848......... ............ A........... Treat ankle

11.56

NA

NA

7.32

8.52

1.95

090 dislocation. 27860......... ............ A........... Fixation of ankle

2.36

NA

NA

1.69

1.84

0.39

010 joint. 27870......... ............ A........... Fusion of ankle

15.21

NA

NA

9.08

9.81

2.37

090 joint, open. 27871......... ............ A........... Fusion of

9.42

NA

NA

6.54

7.06

1.59

090 tibiofibular joint. 27880......... ............ A........... Amputation of

15.24

NA

NA

6.65

6.89

1.76

090 lower leg. 27881......... ............ A........... Amputation of

13.32

NA

NA

7.38

8.12

1.99

090 lower leg. 27882......... ............ A........... Amputation of

9.67

NA

NA

4.91

5.70

1.29

090 lower leg. 27884......... ............ A........... Amputation follow-

8.64

NA

NA

5.11

5.43

1.22

090 up surgery. 27886......... ............ A........... Amputation follow-

9.88

NA

NA

5.65

6.08

1.40

090 up surgery. 27888......... ............ A........... Amputation of foot 10.23

NA

NA

6.01

6.76

1.51

090 at ankle. 27889......... ............ A........... Amputation of foot 10.72

NA

NA

5.44

5.96

1.46

090 at ankle. 27892......... ............ A........... Decompression of

7.82

NA

NA

5.10

5.35

1.10

090 leg. 27893......... ............ A........... Decompression of

7.78

NA

NA

5.13

5.30

1.10

090 leg. 27894......... ............ A........... Decompression of

12.42

NA

NA

7.34

7.56

1.65

090 leg. 27899......... ............ C........... Leg/ankle surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 28001......... ............ A........... Drainage of bursa

2.75

4.00

3.49

1.61

1.78

0.33

010 of foot. 28002......... ............ A........... Treatment of foot

5.78

6.68

5.83

3.57

3.67

0.61

010 infection. 28003......... ............ A........... Treatment of foot

8.95

7.78

7.01

4.56

4.89

1.12

090 infection. 28005......... ............ A........... Treat foot bone

9.30

NA

NA

5.53

5.79

1.16

090 lesion. 28008......... ............ A........... Incision of foot

4.50

6.17

5.36

3.00

3.10

0.57

090 fascia. 28010......... ............ A........... Incision of toe

2.89

2.86

2.62

2.35

2.36

0.36

090 tendon. 28011......... ............ A........... Incision of toe

4.19

3.80

3.55

3.03

3.17

0.59

090 tendons. 28020......... ............ A........... Exploration of

5.06

7.37

6.69

3.58

3.86

0.72

090 foot joint. 28022......... ............ A........... Exploration of

4.72

6.93

6.06

3.33

3.59

0.62

090 foot joint. 28024......... ............ A........... Exploration of toe

4.43

6.56

5.89

3.12

3.52

0.58

090 joint. 28035......... ............ A........... Decompression of

5.14

7.28

6.57

3.55

3.82

0.70

090 tibia nerve. 28043......... ............ A........... Excision of foot

3.58

4.78

4.30

2.73

2.95

0.46

090 lesion. 28045......... ............ A........... Excision of foot

4.77

7.03

6.20

3.24

3.42

0.63

090 lesion. 28046......... ............ A........... Resection of

10.55

10.37

9.57

5.76

6.12

1.36

090 tumor, foot. 28050......... ............ A........... Biopsy of foot

4.30

6.95

5.92

3.30

3.44

0.60

090 joint lining. 28052......... ............ A........... Biopsy of foot

3.98

6.30

5.61

2.87

3.15

0.53

090 joint lining. 28054......... ............ A........... Biopsy of toe

3.49

6.25

5.49

2.80

3.01

0.46

090 joint lining. 28055......... ............ A........... Neurectomy, foot..

6.20

NA

NA

3.44

3.55

0.74

090 28060......... ............ A........... Partial removal,

5.29

7.08

6.28

3.54

3.71

0.70

090 foot fascia. 28062......... ............ A........... Removal of foot

6.58

7.83

7.17

3.82

3.92

0.83

090 fascia. 28070......... ............ A........... Removal of foot

5.15

7.37

6.29

3.54

3.68

0.73

090 joint lining. 28072......... ............ A........... Removal of foot

4.63

7.57

6.55

3.60

3.95

0.68

090 joint lining. 28080......... ............ A........... Removal of foot

4.65

7.67

6.39

4.19

3.94

0.47

090 lesion. 28086......... ............ A........... Excise foot tendon

4.83

7.87

7.93

3.81

4.25

0.76

090 sheath. 28088......... ............ A........... Excise foot tendon

3.90

7.00

6.38

3.19

3.54

0.61

090 sheath. 28090......... ............ A........... Removal of foot

4.46

6.77

5.96

3.18

3.32

0.59

090 lesion. 28092......... ............ A........... Removal of toe

3.69

6.47

5.84

2.99

3.26

0.49

090 lesions. 28100......... ............ A........... Removal of ankle/

5.72

8.10

8.03

4.00

4.34

0.82

090 heel lesion. 28102......... ............ A........... Remove/graft foot

7.80

NA

NA

4.84

5.40

1.14

090 lesion. 28103......... ............ A........... Remove/graft foot

6.56

NA

NA

4.03

4.32

0.91

090 lesion. 28104......... ............ A........... Removal of foot

5.17

7.23

6.36

3.47

3.69

0.70

090 lesion. 28106......... ............ A........... Remove/graft foot

7.23

NA

NA

4.23

4.33

0.97

090 lesion. 28107......... ............ A........... Remove/graft foot

5.62

7.70

7.11

3.66

3.93

0.74

090 lesion. 28108......... ............ A........... Removal of toe

4.21

6.35

5.47

2.99

3.12

0.53

090 lesions. 28110......... ............ A........... Part removal of

4.13

6.93

6.07

3.06

3.14

0.54

090 metatarsal. 28111......... ............ A........... Part removal of

5.06

7.10

6.69

3.20

3.43

0.67

090 metatarsal. 28112......... ............ A........... Part removal of

4.54

7.19

6.50

3.24

3.41

0.61

090 metatarsal. 28113......... ............ A........... Part removal of

5.88

8.37

7.21

4.61

4.46

0.63

090 metatarsal. 28114......... ............ A........... Removal of

11.61

13.40

12.51

8.30

8.34

1.42

090 metatarsal heads. 28116......... ............ A........... Revision of foot..

8.94

9.45

8.12

5.34

5.26

1.03

090 28118......... ............ A........... Removal of heel

6.02

7.93

7.09

4.02

4.18

0.84

090 bone.

[[Page 2597]]

28119......... ............ A........... Removal of heel

5.45

7.22

6.32

3.58

3.65

0.70

090 spur. 28120......... ............ A........... Part removal of

5.64

8.09

7.69

3.97

4.19

0.77

090 ankle/heel. 28122......... ............ A........... Partial removal of

7.56

8.47

7.65

4.78

5.02

0.98

090 foot bone. 28124......... ............ A........... Partial removal of

4.88

6.78

5.88

3.46

3.56

0.60

090 toe. 28126......... ............ A........... Partial removal of

3.56

5.96

5.09

2.66

2.83

0.45

090 toe. 28130......... ............ A........... Removal of ankle

9.30

NA

NA

6.16

6.44

1.26

090 bone. 28140......... ............ A........... Removal of

7.03

7.82

7.52

4.12

4.44

0.92

090 metatarsal. 28150......... ............ A........... Removal of toe....

4.14

6.36

5.60

2.98

3.13

0.53

090 28153......... ............ A........... Partial removal of

3.71

6.21

5.26

2.89

2.79

0.47

090 toe. 28160......... ............ A........... Partial removal of

3.79

6.31

5.44

2.93

3.13

0.49

090 toe. 28171......... ............ A........... Extensive foot

9.85

NA

NA

5.26

5.34

1.33

090 surgery. 28173......... ............ A........... Extensive foot

9.05

8.74

8.16

4.61

4.91

1.12

090 surgery. 28175......... ............ A........... Extensive foot

6.17

7.14

6.43

3.63

3.67

0.73

090 surgery. 28190......... ............ A........... Removal of foot

1.98

4.01

3.70

1.34

1.41

0.22

010 foreign body. 28192......... ............ A........... Removal of foot

4.69

6.72

6.10

3.19

3.42

0.61

090 foreign body. 28193......... ............ A........... Removal of foot

5.79

7.34

6.47

3.63

3.78

0.73

090 foreign body. 28200......... ............ A........... Repair of foot

4.65

6.88

5.99

3.23

3.39

0.61

090 tendon. 28202......... ............ A........... Repair/graft of

6.96

7.77

7.49

3.94

4.21

0.91

090 foot tendon. 28208......... ............ A........... Repair of foot

4.42

6.70

5.75

3.19

3.24

0.58

090 tendon. 28210......... ............ A........... Repair/graft of

6.41

7.63

6.92

3.93

3.98

0.81

090 foot tendon. 28220......... ............ A........... Release of foot

4.58

6.42

5.54

3.08

3.25

0.57

090 tendon. 28222......... ............ A........... Release of foot

5.67

6.93

6.09

3.35

3.73

0.69

090 tendons. 28225......... ............ A........... Release of foot

3.70

6.02

5.15

2.72

2.81

0.46

090 tendon. 28226......... ............ A........... Release of foot

4.58

6.89

5.84

3.25

3.50

0.58

090 tendons. 28230......... ............ A........... Incision of foot

4.28

6.27

5.47

2.88

3.27

0.55

090 tendon(s). 28232......... ............ A........... Incision of toe

3.43

5.94

5.23

2.68

2.99

0.44

090 tendon. 28234......... ............ A........... Incision of foot

3.43

6.30

5.48

3.06

3.21

0.44

090 tendon. 28238......... ............ A........... Revision of foot

7.85

8.39

7.82

4.37

4.65

1.06

090 tendon. 28240......... ............ A........... Release of big toe

4.40

6.36

5.49

2.95

3.22

0.58

090 28250......... ............ A........... Revision of foot

5.97

7.56

6.59

3.82

3.98

0.82

090 fascia. 28260......... ............ A........... Release of midfoot

8.08

8.45

7.39

4.61

4.80

1.14

090 joint. 28261......... ............ A........... Revision of foot

12.91

10.68

9.64

6.33

6.82

1.57

090 tendon. 28262......... ............ A........... Revision of foot

17.01

15.54

14.55

9.74

10.33

2.60

090 and ankle. 28264......... ............ A........... Release of midfoot 10.53

10.32

9.03

5.95

6.62

1.54

090 joint. 28270......... ............ A........... Release of foot

4.82

6.92

5.90

3.44

3.59

0.62

090 contracture. 28272......... ............ A........... Release of toe

3.84

5.84

5.01

2.65

2.75

0.46

090 joint, each. 28280......... ............ A........... Fusion of toes....

5.24

7.29

6.77

3.54

4.01

0.73

090 28285......... ............ A........... Repair of

4.65

6.71

5.79

3.35

3.39

0.59

090 hammertoe. 28286......... ............ A........... Repair of

4.61

6.53

5.66

3.06

3.16

0.57

090 hammertoe. 28288......... ............ A........... Partial removal of

5.81

8.60

7.27

4.69

4.79

0.65

090 foot bone. 28289......... ............ A........... Repair hallux

8.11

9.43

8.71

5.34

5.55

1.02

090 rigidus. 28290......... ............ A........... Correction of

5.72

8.19

7.22

3.96

4.34

0.82

090 bunion. 28292......... ............ A........... Correction of

8.72

10.35

8.91

6.16

5.85

0.91

090 bunion. 28293......... ............ A........... Correction of

11.10

14.48

12.61

6.92

6.51

1.13

090 bunion. 28294......... ............ A........... Correction of

8.63

9.46

8.45

4.77

4.74

1.09

090 bunion. 28296......... ............ A........... Correction of

9.31

9.58

8.87

4.79

5.10

1.19

090 bunion. 28297......... ............ A........... Correction of

9.31

10.47

9.71

5.33

5.80

1.32

090 bunion. 28298......... ............ A........... Correction of

8.01

9.30

8.26

4.59

4.79

1.05

090 bunion. 28299......... ............ A........... Correction of

11.39

10.55

9.66

5.73

5.90

1.37

090 bunion. 28300......... ............ A........... Incision of heel

9.61

NA

NA

6.04

6.54

1.54

090 bone. 28302......... ............ A........... Incision of ankle

9.62

NA

NA

6.21

6.55

1.42

090 bone. 28304......... ............ A........... Incision of

9.29

9.56

8.75

5.08

5.41

1.27

090 midfoot bones. 28305......... ............ A........... Incise/graft

10.63

NA

NA

5.79

6.26

1.27

090 midfoot bones. 28306......... ............ A........... Incision of

5.91

8.42

7.63

3.89

4.03

0.84

090 metatarsal. 28307......... ............ A........... Incision of

6.39

9.28

10.15

4.33

4.81

0.90

090 metatarsal. 28308......... ............ A........... Incision of

5.36

7.92

6.83

3.83

3.75

0.70

090 metatarsal. 28309......... ............ A........... Incision of

13.96

NA

NA

7.69

7.82

2.05

090 metatarsals. 28310......... ............ A........... Revision of big

5.48

7.55

6.65

3.42

3.49

0.70

090 toe. 28312......... ............ A........... Revision of toe...

4.60

7.38

6.41

3.23

3.43

0.63

090 28313......... ............ A........... Repair deformity

5.06

7.27

6.28

3.61

4.22

0.73

090 of toe. 28315......... ............ A........... Removal of

4.91

6.68

5.79

3.22

3.28

0.63

090 sesamoid bone. 28320......... ............ A........... Repair of foot

9.25

NA

NA

5.69

6.20

1.43

090 bones. 28322......... ............ A........... Repair of

8.41

9.75

9.46

5.32

5.83

1.27

090 metatarsals. 28340......... ............ A........... Resect enlarged

7.04

8.10

7.27

4.08

4.16

0.84

090 toe tissue. 28341......... ............ A........... Resect enlarged

8.60

8.60

7.77

4.42

4.62

1.01

090 toe. 28344......... ............ A........... Repair extra

4.31

6.42

6.08

2.93

3.28

0.51

090 toe(s). 28345......... ............ A........... Repair webbed

5.98

7.62

6.91

3.79

4.23

0.80

090 toe(s). 28360......... ............ A........... Reconstruct cleft

14.67

NA

NA

6.35

8.42

2.29

090 foot. 28400......... ............ A........... Treatment of heel

2.22

3.37

3.50

2.92

2.99

0.35

090 fracture. 28405......... ............ A........... Treatment of heel

4.63

4.43

4.63

3.68

4.15

0.73

090 fracture. 28406......... ............ A........... Treatment of heel

6.44

NA

NA

5.56

6.18

1.11

090 fracture. 28415......... ............ A........... Treat heel

15.96

NA

NA

10.25

11.77

2.67

090 fracture.

[[Page 2598]]

28420......... ............ A........... Treat/graft heel

17.29

NA

NA

10.28

11.60

2.81

090 fracture. 28430......... ............ A........... Treatment of ankle

2.14

3.12

3.26

2.57

2.57

0.31

090 fracture. 28435......... ............ A........... Treatment of ankle

3.45

3.99

3.93

3.26

3.50

0.55

090 fracture. 28436......... ............ A........... Treatment of ankle

4.78

NA

NA

4.75

5.33

0.81

090 fracture. 28445......... ............ A........... Treat ankle

15.53

NA

NA

9.49

10.26

2.59

090 fracture. 28446......... ............ A........... Osteochondral

17.50

NA

NA

10.36

10.36

2.45

090 talus autogrft. 28450......... ............ A........... Treat midfoot

1.95

2.92

3.02

2.42

2.45

0.28

090 fracture, each. 28455......... ............ A........... Treat midfoot

3.15

3.74

3.58

3.10

3.26

0.44

090 fracture, each. 28456......... ............ A........... Treat midfoot

2.75

NA

NA

3.73

3.94

0.44

090 fracture. 28465......... ............ A........... Treat midfoot

8.64

NA

NA

6.07

6.19

1.10

090 fracture, each. 28470......... ............ A........... Treat metatarsal

1.99

2.80

2.96

2.36

2.40

0.30

090 fracture. 28475......... ............ A........... Treat metatarsal

2.97

3.13

3.23

2.52

2.86

0.44

090 fracture. 28476......... ............ A........... Treat metatarsal

3.46

NA

NA

4.33

4.65

0.54

090 fracture. 28485......... ............ A........... Treat metatarsal

7.28

NA

NA

5.56

5.51

0.83

090 fracture. 28490......... ............ A........... Treat big toe

1.12

2.09

2.05

1.67

1.65

0.14

090 fracture. 28495......... ............ A........... Treat big toe

1.62

2.46

2.32

1.87

1.97

0.20

090 fracture. 28496......... ............ A........... Treat big toe

2.39

7.42

7.83

2.99

3.09

0.36

090 fracture. 28505......... ............ A........... Treat big toe

7.28

8.46

8.28

4.82

4.36

0.56

090 fracture. 28510......... ............ A........... Treatment of toe

1.12

1.69

1.61

1.61

1.57

0.14

090 fracture. 28515......... ............ A........... Treatment of toe

1.50

2.22

2.06

1.82

1.86

0.18

090 fracture. 28525......... ............ A........... Treat toe fracture

5.46

8.12

7.82

4.32

3.88

0.49

090 28530......... ............ A........... Treat sesamoid

1.08

1.62

1.53

1.34

1.39

0.14

090 bone fracture. 28531......... ............ A........... Treat sesamoid

2.51

6.55

6.91

2.43

2.25

0.34

090 bone fracture. 28540......... ............ A........... Treat foot

2.10

2.75

2.58

2.31

2.36

0.26

090 dislocation. 28545......... ............ A........... Treat foot

2.51

3.43

2.89

2.81

2.58

0.37

090 dislocation. 28546......... ............ A........... Treat foot

3.28

8.06

7.49

3.64

4.01

0.52

090 dislocation. 28555......... ............ A........... Repair foot

9.49

10.81

10.36

6.29

5.99

1.04

090 dislocation. 28570......... ............ A........... Treat foot

1.70

2.49

2.46

1.91

2.12

0.23

090 dislocation. 28575......... ............ A........... Treat foot

3.38

4.42

4.07

3.72

3.72

0.56

090 dislocation. 28576......... ............ A........... Treat foot

4.48

NA

NA

4.06

4.12

0.69

090 dislocation. 28585......... ............ A........... Repair foot

10.92

11.57

9.45

6.97

6.41

1.25

090 dislocation. 28600......... ............ A........... Treat foot

1.94

3.03

2.92

2.37

2.53

0.27

090 dislocation. 28605......... ............ A........... Treat foot

2.78

3.89

3.51

3.27

3.20

0.40

090 dislocation. 28606......... ............ A........... Treat foot

4.97

NA

NA

4.12

4.40

0.82

090 dislocation. 28615......... ............ A........... Repair foot

10.46

NA

NA

8.14

8.09

1.30

090 dislocation. 28630......... ............ A........... Treat toe

1.72

1.85

1.71

0.91

0.95

0.20

010 dislocation. 28635......... ............ A........... Treat toe

1.93

2.27

2.15

1.33

1.43

0.26

010 dislocation. 28636......... ............ A........... Treat toe

2.77

4.39

4.13

2.05

2.34

0.43

010 dislocation. 28645......... ............ A........... Repair toe

7.28

8.34

6.65

4.62

3.95

0.57

090 dislocation. 28660......... ............ A........... Treat toe

1.25

1.30

1.28

0.78

0.79

0.13

010 dislocation. 28665......... ............ A........... Treat toe

1.94

1.82

1.63

1.33

1.38

0.26

010 dislocation. 28666......... ............ A........... Treat toe

2.66

NA

NA

1.83

2.21

0.43

010 dislocation. 28675......... ............ A........... Repair of toe

5.46

8.24

7.69

4.45

3.90

0.45

090 dislocation. 28705......... ............ A........... Fusion of foot

20.12

NA

NA

10.66

11.55

3.09

090 bones. 28715......... ............ A........... Fusion of foot

14.40

NA

NA

8.49

9.12

2.17

090 bones. 28725......... ............ A........... Fusion of foot

11.97

NA

NA

6.82

7.53

1.87

090 bones. 28730......... ............ A........... Fusion of foot

12.21

NA

NA

7.76

8.12

1.71

090 bones. 28735......... ............ A........... Fusion of foot

12.03

NA

NA

6.97

7.40

1.69

090 bones. 28737......... ............ A........... Revision of foot

10.83

NA

NA

6.07

6.44

1.47

090 bones. 28740......... ............ A........... Fusion of foot

9.09

10.87

10.87

5.99

6.23

1.22

090 bones. 28750......... ............ A........... Fusion of big toe

8.37

10.77

11.34

5.88

6.27

1.13

090 joint. 28755......... ............ A........... Fusion of big toe

4.79

7.26

6.68

3.35

3.55

0.65

090 joint. 28760......... ............ A........... Fusion of big toe

8.94

9.87

8.92

5.27

5.39

1.05

090 joint. 28800......... ............ A........... Amputation of

8.65

NA

NA

5.01

5.40

1.15

090 midfoot. 28805......... ............ A........... Amputation thru

12.55

NA

NA

5.90

5.77

1.18

090 metatarsal. 28810......... ............ A........... Amputation toe &

6.52

NA

NA

4.06

4.27

0.86

090 metatarsal. 28820......... ............ A........... Amputation of toe.

4.89

7.65

7.60

3.55

3.67

0.61

090 28825......... ............ A........... Partial amputation

3.71

7.13

7.06

3.13

3.30

0.50

090 of toe. 28890......... ............ A........... High energy eswt,

3.36

4.57

5.14

2.20

2.14

0.41

090 plantar f. 28899......... ............ C........... Foot/toes surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 29000......... ............ A........... Application of

2.25

4.01

3.49

1.64

1.69

0.41

000 body cast. 29010......... ............ A........... Application of

2.06

4.38

3.83

1.62

1.70

0.45

000 body cast. 29015......... ............ A........... Application of

2.41

3.61

3.29

1.56

1.58

0.28

000 body cast. 29020......... ............ A........... Application of

2.11

3.81

3.50

1.41

1.41

0.28

000 body cast. 29025......... ............ A........... Application of

2.40

4.04

3.59

1.76

1.81

0.44

000 body cast. 29035......... ............ A........... Application of

1.77

3.70

3.66

1.48

1.53

0.28

000 body cast. 29040......... ............ A........... Application of

2.22

3.28

2.87

1.34

1.42

0.36

000 body cast. 29044......... ............ A........... Application of

2.12

3.58

3.77

1.47

1.69

0.35

000 body cast. 29046......... ............ A........... Application of

2.41

4.49

3.86

1.91

2.00

0.42

000 body cast. 29049......... ............ A........... Application of

0.89

1.12

1.21

0.59

0.56

0.13

000 figure eight. 29055......... ............ A........... Application of

1.78

2.82

2.90

1.23

1.35

0.30

000 shoulder cast. 29058......... ............ A........... Application of

1.31

1.26

1.41

0.67

0.70

0.17

000 shoulder cast.

[[Page 2599]]

29065......... ............ A........... Application of

0.87

1.28

1.30

0.70

0.73

0.15

000 long arm cast. 29075......... ............ A........... Application of

0.77

1.24

1.25

0.66

0.67

0.13

000 forearm cast. 29085......... ............ A........... Apply hand/wrist

0.87

1.26

1.27

0.68

0.66

0.14

000 cast. 29086......... ............ A........... Apply finger cast.

0.62

1.08

1.02

0.55

0.52

0.07

000 29105......... ............ A........... Apply long arm

0.87

1.09

1.16

0.53

0.52

0.12

000 splint. 29125......... ............ A........... Apply forearm

0.59

0.97

0.99

0.42

0.41

0.07

000 splint. 29126......... ............ A........... Apply forearm

0.77

1.01

1.11

0.48

0.47

0.07

000 splint. 29130......... ............ A........... Application of

0.50

0.43

0.45

0.18

0.18

0.06

000 finger splint. 29131......... ............ A........... Application of

0.55

0.59

0.66

0.24

0.24

0.03

000 finger splint. 29200......... ............ A........... Strapping of chest

0.65

0.61

0.66

0.35

0.34

0.04

000 29220......... ............ A........... Strapping of low

0.64

0.65

0.69

0.38

0.38

0.04

000 back. 29240......... ............ A........... Strapping of

0.71

0.68

0.76

0.40

0.38

0.06

000 shoulder. 29260......... ............ A........... Strapping of elbow

0.55

0.67

0.71

0.37

0.35

0.05

000 or wrist. 29280......... ............ A........... Strapping of hand

0.51

0.67

0.73

0.37

0.35

0.03

000 or finger. 29305......... ............ A........... Application of hip

2.03

3.29

3.31

1.56

1.66

0.35

000 cast. 29325......... ............ A........... Application of hip

2.32

3.33

3.43

1.58

1.77

0.40

000 casts. 29345......... ............ A........... Application of

1.40

1.66

1.72

0.94

1.00

0.24

000 long leg cast. 29355......... ............ A........... Application of

1.53

1.62

1.66

0.94

1.03

0.26

000 long leg cast. 29358......... ............ A........... Apply long leg

1.43

2.01

2.04

0.91

1.00

0.25

000 cast brace. 29365......... ............ A........... Application of

1.18

1.58

1.62

0.86

0.90

0.20

000 long leg cast. 29405......... ............ A........... Apply short leg

0.86

1.20

1.21

0.65

0.68

0.14

000 cast. 29425......... ............ A........... Apply short leg

1.01

1.22

1.23

0.66

0.70

0.15

000 cast. 29435......... ............ A........... Apply short leg

1.18

1.53

1.54

0.81

0.87

0.20

000 cast. 29440......... ............ A........... Addition of walker

0.57

0.64

0.67

0.26

0.26

0.08

000 to cast. 29445......... ............ A........... Apply rigid leg

1.78

1.56

1.68

0.89

0.92

0.27

000 cast. 29450......... ............ A........... Application of leg

2.08

1.59

1.53

0.90

0.99

0.27

000 cast. 29505......... ............ A........... Application, long

0.69

1.07

1.13

0.45

0.45

0.08

000 leg splint. 29515......... ............ A........... Application lower

0.73

0.96

0.91

0.46

0.46

0.09

000 leg splint. 29520......... ............ A........... Strapping of hip..

0.54

0.66

0.75

0.37

0.42

0.03

000 29530......... ............ A........... Strapping of knee.

0.57

0.66

0.72

0.37

0.35

0.05

000 29540......... ............ A........... Strapping of ankle

0.51

0.55

0.48

0.31

0.31

0.06

000 and/or ft. 29550......... ............ A........... Strapping of toes.

0.47

0.56

0.49

0.30

0.29

0.06

000 29580......... ............ A........... Application of

0.55

0.71

0.68

0.33

0.34

0.07

000 paste boot. 29590......... ............ A........... Application of

0.76

0.59

0.55

0.26

0.27

0.09

000 foot splint. 29700......... ............ A........... Removal/revision

0.57

0.95

0.92

0.25

0.26

0.08

000 of cast. 29705......... ............ A........... Removal/revision

0.76

0.76

0.79

0.36

0.37

0.13

000 of cast. 29710......... ............ A........... Removal/revision

1.34

1.32

1.43

0.55

0.63

0.20

000 of cast. 29715......... ............ A........... Removal/revision

0.94

1.20

1.19

0.43

0.42

0.09

000 of cast. 29720......... ............ A........... Repair of body

0.68

1.17

1.16

0.35

0.37

0.12

000 cast. 29730......... ............ A........... Windowing of cast.

0.75

0.74

0.77

0.34

0.34

0.12

000 29740......... ............ A........... Wedging of cast...

1.12

1.03

1.09

0.47

0.48

0.18

000 29750......... ............ A........... Wedging of

1.26

1.07

1.06

0.52

0.55

0.21

000 clubfoot cast. 29799......... ............ C........... Casting/strapping

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 29800......... ............ A........... Jaw arthroscopy/

6.73

NA

NA

4.63

5.80

0.99

090 surgery. 29804......... ............ A........... Jaw arthroscopy/

8.71

NA

NA

5.70

6.66

1.38

090 surgery. 29805......... ............ A........... Shoulder

5.94

NA

NA

4.71

5.19

1.02

090 arthroscopy, dx. 29806......... ............ A........... Shoulder

14.95

NA

NA

9.36

10.26

2.50

090 arthroscopy/ surgery. 29807......... ............ A........... Shoulder

14.48

NA

NA

9.20

10.10

2.42

090 arthroscopy/ surgery. 29819......... ............ A........... Shoulder

7.68

NA

NA

5.63

6.21

1.32

090 arthroscopy/ surgery. 29820......... ............ A........... Shoulder

7.12

NA

NA

5.18

5.70

1.22

090 arthroscopy/ surgery. 29821......... ............ A........... Shoulder

7.78

NA

NA

5.66

6.23

1.33

090 arthroscopy/ surgery. 29822......... ............ A........... Shoulder

7.49

NA

NA

5.58

6.14

1.28

090 arthroscopy/ surgery. 29823......... ............ A........... Shoulder

8.24

NA

NA

6.05

6.64

1.41

090 arthroscopy/ surgery. 29824......... ............ A........... Shoulder

8.82

NA

NA

6.54

7.03

1.42

090 arthroscopy/ surgery. 29825......... ............ A........... Shoulder

7.68

NA

NA

5.64

6.20

1.32

090 arthroscopy/ surgery. 29826......... ............ A........... Shoulder

9.05

NA

NA

6.18

6.86

1.55

090 arthroscopy/ surgery. 29827......... ............ A........... Arthroscop rotator 15.44

NA

NA

9.32

10.43

2.67

090 cuff repr. 29828......... ............ A........... Arthroscopy biceps 13.00

NA

NA

8.18

8.18

2.17

090 tenodesis. 29830......... ............ A........... Elbow arthroscopy.

5.80

NA

NA

4.49

4.92

0.99

090 29834......... ............ A........... Elbow arthroscopy/

6.33

NA

NA

4.86

5.35

1.08

090 surgery. 29835......... ............ A........... Elbow arthroscopy/

6.53

NA

NA

4.97

5.43

1.13

090 surgery. 29836......... ............ A........... Elbow arthroscopy/

7.61

NA

NA

5.54

6.17

1.22

090 surgery. 29837......... ............ A........... Elbow arthroscopy/

6.92

NA

NA

5.07

5.60

1.19

090 surgery. 29838......... ............ A........... Elbow arthroscopy/

7.77

NA

NA

5.66

6.28

1.30

090 surgery. 29840......... ............ A........... Wrist arthroscopy.

5.59

NA

NA

4.63

4.98

0.84

090 29843......... ............ A........... Wrist arthroscopy/

6.06

NA

NA

4.81

5.22

0.92

090 surgery. 29844......... ............ A........... Wrist arthroscopy/

6.42

NA

NA

4.88

5.35

1.04

090 surgery. 29845......... ............ A........... Wrist arthroscopy/

7.58

NA

NA

5.60

6.04

0.99

090 surgery. 29846......... ............ A........... Wrist arthroscopy/

6.80

NA

NA

5.11

5.59

1.07

090 surgery. 29847......... ............ A........... Wrist arthroscopy/

7.13

NA

NA

5.28

5.74

1.08

090 surgery. 29848......... ............ A........... Wrist endoscopy/

6.24

NA

NA

5.28

5.44

0.86

090 surgery. 29850......... ............ A........... Knee arthroscopy/

8.18

NA

NA

4.72

4.88

1.25

090 surgery.

[[Page 2600]]

29851......... ............ A........... Knee arthroscopy/

13.08

NA

NA

8.22

9.01

2.35

090 surgery. 29855......... ............ A........... Tibial arthroscopy/ 10.60

NA

NA

7.28

8.03

1.85

090 surgery. 29856......... ............ A........... Tibial arthroscopy/ 14.12

NA

NA

8.70

9.69

2.40

090 surgery. 29860......... ............ A........... Hip arthroscopy,

8.85

NA

NA

6.25

6.60

1.36

090 dx. 29861......... ............ A........... Hip arthroscopy/

9.95

NA

NA

6.40

6.87

1.59

090 surgery. 29862......... ............ A........... Hip arthroscopy/

10.97

NA

NA

7.57

8.07

1.62

090 surgery. 29863......... ............ A........... Hip arthroscopy/

10.97

NA

NA

7.49

8.00

1.42

090 surgery. 29866......... ............ A........... Autgrft implnt,

14.48

NA

NA

9.47

10.41

2.40

090 knee w/scope. 29867......... ............ A........... Allgrft implnt,

18.18

NA

NA

11.04

12.13

2.79

090 knee w/scope. 29868......... ............ A........... Meniscal trnspl,

24.89

NA

NA

13.80

15.30

4.36

090 knee w/scpe. 29870......... ............ A........... Knee arthroscopy,

5.11

NA

NA

4.18

4.53

0.85

090 dx. 29871......... ............ A........... Knee arthroscopy/

6.60

NA

NA

5.06

5.47

1.14

090 drainage. 29873......... ............ A........... Knee arthroscopy/

6.09

NA

NA

5.60

6.09

1.04

090 surgery. 29874......... ............ A........... Knee arthroscopy/

7.10

NA

NA

5.09

5.58

1.11

090 surgery. 29875......... ............ A........... Knee arthroscopy/

6.36

NA

NA

4.89

5.37

1.09

090 surgery. 29876......... ............ A........... Knee arthroscopy/

8.72

NA

NA

6.19

6.61

1.37

090 surgery. 29877......... ............ A........... Knee arthroscopy/

8.15

NA

NA

5.98

6.36

1.28

090 surgery. 29879......... ............ A........... Knee arthroscopy/

8.84

NA

NA

6.23

6.68

1.39

090 surgery. 29880......... ............ A........... Knee arthroscopy/

9.30

NA

NA

6.43

6.90

1.47

090 surgery. 29881......... ............ A........... Knee arthroscopy/

8.56

NA

NA

6.14

6.55

1.34

090 surgery. 29882......... ............ A........... Knee arthroscopy/

9.45

NA

NA

6.46

6.85

1.50

090 surgery. 29883......... ............ A........... Knee arthroscopy/

11.61

NA

NA

7.59

8.33

1.93

090 surgery. 29884......... ............ A........... Knee arthroscopy/

8.13

NA

NA

5.96

6.33

1.27

090 surgery. 29885......... ............ A........... Knee arthroscopy/

10.03

NA

NA

7.03

7.50

1.58

090 surgery. 29886......... ............ A........... Knee arthroscopy/

8.34

NA

NA

6.04

6.45

1.30

090 surgery. 29887......... ............ A........... Knee arthroscopy/

9.98

NA

NA

6.97

7.45

1.57

090 surgery. 29888......... ............ A........... Knee arthroscopy/

14.14

NA

NA

8.27

9.24

2.42

090 surgery. 29889......... ............ A........... Knee arthroscopy/

17.15

NA

NA

10.62

11.53

2.79

090 surgery. 29891......... ............ A........... Ankle arthroscopy/

9.47

NA

NA

6.65

7.08

1.39

090 surgery. 29892......... ............ A........... Ankle arthroscopy/ 10.07

NA

NA

6.39

7.07

1.41

090 surgery. 29893......... ............ A........... Scope, plantar

6.08

8.84

7.56

4.67

4.33

0.63

090 fasciotomy. 29894......... ............ A........... Ankle arthroscopy/

7.26

NA

NA

4.72

5.10

1.15

090 surgery. 29895......... ............ A........... Ankle arthroscopy/

7.04

NA

NA

4.52

5.00

1.11

090 surgery. 29897......... ............ A........... Ankle arthroscopy/

7.23

NA

NA

4.82

5.35

1.17

090 surgery. 29898......... ............ A........... Ankle arthroscopy/

8.38

NA

NA

5.24

5.72

1.28

090 surgery. 29899......... ............ A........... Ankle arthroscopy/ 15.21

NA

NA

9.21

9.88

2.41

090 surgery. 29900......... ............ A........... Mcp joint

5.74

NA

NA

4.67

5.27

0.94

090 arthroscopy, dx. 29901......... ............ A........... Mcp joint

6.45

NA

NA

5.10

5.68

1.06

090 arthroscopy, surg. 29902......... ............ A........... Mcp joint

7.02

NA

NA

4.71

5.63

1.12

090 arthroscopy, surg. 29904......... ............ A........... Subtalar arthro w/

8.50

NA

NA

5.89

5.89

1.25

090 fb rmvl. 29905......... ............ A........... Subtalar arthro w/

9.00

NA

NA

6.52

6.52

1.32

090 exc. 29906......... ............ A........... Subtalar arthro w/

9.47

NA

NA

6.88

6.88

1.39

090 deb. 29907......... ............ A........... Subtalar arthro w/ 12.00

NA

NA

7.87

7.87

1.90

090 fusion. 29999......... ............ C........... Arthroscopy of

0.00

0.00

0.00

0.00

0.00

0.00

YYY joint. 30000......... ............ A........... Drainage of nose

1.45

4.02

4.04

1.34

1.37

0.12

010 lesion. 30020......... ............ A........... Drainage of nose

1.45

4.17

3.72

1.39

1.43

0.12

010 lesion. 30100......... ............ A........... Intranasal biopsy.

0.94

2.58

2.28

0.75

0.78

0.07

000 30110......... ............ A........... Removal of nose

1.65

3.90

3.57

1.45

1.51

0.14

010 polyp(s). 30115......... ............ A........... Removal of nose

4.38

NA

NA

5.99

5.88

0.41

090 polyp(s). 30117......... ............ A........... Removal of

3.20

18.17

15.66

4.92

4.77

0.26

090 intranasal lesion. 30118......... ............ A........... Removal of

9.81

NA

NA

8.56

8.88

0.78

090 intranasal lesion. 30120......... ............ A........... Revision of nose..

5.31

7.08

6.79

5.09

5.55

0.52

090 30124......... ............ A........... Removal of nose

3.14

NA

NA

3.68

3.65

0.25

090 lesion. 30125......... ............ A........... Removal of nose

7.21

NA

NA

7.41

7.87

0.63

090 lesion. 30130......... ............ A........... Excise inferior

3.41

NA

NA

5.64

5.62

0.31

090 turbinate. 30140......... ............ A........... Resect inferior

3.48

NA

NA

7.11

6.65

0.35

090 turbinate. 30150......... ............ A........... Partial removal of

9.44

NA

NA

9.04

10.03

0.93

090 nose. 30160......... ............ A........... Removal of nose...

9.88

NA

NA

8.88

9.55

0.88

090 30200......... ............ A........... Injection

0.78

2.02

1.82

0.67

0.71

0.06

000 treatment of nose. 30210......... ............ A........... Nasal sinus

1.10

2.51

2.31

1.27

1.29

0.09

010 therapy. 30220......... ............ A........... Insert nasal

1.56

5.82

5.03

1.43

1.48

0.12

010 septal button. 30300......... ............ A........... Remove nasal

1.06

4.30

4.46

1.87

1.89

0.08

010 foreign body. 30310......... ............ A........... Remove nasal

1.98

NA

NA

2.91

3.01

0.16

010 foreign body. 30320......... ............ A........... Remove nasal

4.56

NA

NA

6.36

6.70

0.39

090 foreign body. 30400......... ............ R........... Reconstruction of

10.58

NA

NA

13.92

14.71

1.04

090 nose. 30410......... ............ R........... Reconstruction of

13.72

NA

NA

15.34

16.86

1.42

090 nose. 30420......... ............ R........... Reconstruction of

16.62

NA

NA

15.84

16.88

1.46

090 nose. 30430......... ............ R........... Revision of nose..

7.96

NA

NA

13.25

14.64

0.77

090 30435......... ............ R........... Revision of nose.. 12.45

NA

NA

15.43

17.40

1.22

090 30450......... ............ R........... Revision of nose.. 19.38

NA

NA

16.90

19.40

1.97

090 30460......... ............ A........... Revision of nose.. 10.24

NA

NA

7.49

8.72

1.03

090 30462......... ............ A........... Revision of nose.. 20.12

NA

NA

14.66

17.46

2.54

090

[[Page 2601]]

30465......... ............ A........... Repair nasal

12.20

NA

NA

11.08

11.53

1.06

090 stenosis. 30520......... ............ A........... Repair of nasal

6.85

NA

NA

8.05

7.36

0.46

090 septum. 30540......... ............ A........... Repair nasal

7.81

NA

NA

8.55

8.92

0.67

090 defect. 30545......... ............ A........... Repair nasal

11.50

NA

NA

11.09

11.50

1.71

090 defect. 30560......... ............ A........... Release of nasal

1.28

5.28

5.03

2.03

2.08

0.10

010 adhesions. 30580......... ............ A........... Repair upper jaw

6.76

8.14

7.96

4.69

5.24

0.89

090 fistula. 30600......... ............ A........... Repair mouth/nose

6.07

7.68

7.60

4.18

4.60

0.70

090 fistula. 30620......... ............ A........... Intranasal

6.04

NA

NA

8.67

8.76

0.57

090 reconstruction. 30630......... ............ A........... Repair nasal

7.18

NA

NA

7.73

7.84

0.61

090 septum defect. 30801......... ............ A........... Ablate inf

1.11

4.30

4.22

2.12

2.02

0.09

010 turbinate, superf. 30802......... ............ A........... Cauterization,

2.05

4.98

4.79

2.51

2.44

0.16

010 inner nose. 30901......... ............ A........... Control of

1.21

1.27

1.32

0.31

0.31

0.11

000 nosebleed. 30903......... ............ A........... Control of

1.54

3.28

3.00

0.43

0.46

0.13

000 nosebleed. 30905......... ............ A........... Control of

1.97

3.94

3.73

0.51

0.63

0.17

000 nosebleed. 30906......... ............ A........... Repeat control of

2.45

4.29

4.09

0.76

0.98

0.20

000 nosebleed. 30915......... ............ A........... Ligation, nasal

7.36

NA

NA

6.46

6.58

0.58

090 sinus artery. 30920......... ............ A........... Ligation, upper

11.03

NA

NA

8.97

8.97

0.80

090 jaw artery. 30930......... ............ A........... Ther fx, nasal inf

1.28

NA

NA

1.64

1.63

0.12

010 turbinate. 30999......... ............ C........... Nasal surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 31000......... ............ A........... Irrigation,

1.17

3.22

3.03

1.34

1.37

0.09

010 maxillary sinus. 31002......... ............ A........... Irrigation,

1.93

NA

NA

2.69

2.97

0.15

010 sphenoid sinus. 31020......... ............ A........... Exploration,

2.99

8.61

8.57

5.55

5.37

0.29

090 maxillary sinus. 31030......... ............ A........... Exploration,

5.95

10.41

10.96

6.45

6.56

0.60

090 maxillary sinus. 31032......... ............ A........... Explore sinus,

6.61

NA

NA

7.00

7.12

0.59

090 remove polyps. 31040......... ............ A........... Exploration behind

9.66

NA

NA

7.38

8.60

0.87

090 upper jaw. 31050......... ............ A........... Exploration,

5.31

NA

NA

6.51

6.43

0.49

090 sphenoid sinus. 31051......... ............ A........... Sphenoid sinus

7.16

NA

NA

8.37

8.31

0.62

090 surgery. 31070......... ............ A........... Exploration of

4.32

NA

NA

6.19

6.06

0.38

090 frontal sinus. 31075......... ............ A........... Exploration of

9.40

NA

NA

9.33

9.53

0.75

090 frontal sinus. 31080......... ............ A........... Removal of frontal 12.54

NA

NA

10.63

12.08

1.23

090 sinus. 31081......... ............ A........... Removal of frontal 13.99

NA

NA

15.38

14.69

2.47

090 sinus. 31084......... ............ A........... Removal of frontal 14.75

NA

NA

12.88

13.20

1.19

090 sinus. 31085......... ............ A........... Removal of frontal 15.44

NA

NA

14.44

14.20

1.73

090 sinus. 31086......... ............ A........... Removal of frontal 14.16

NA

NA

12.79

13.04

1.07

090 sinus. 31087......... ............ A........... Removal of frontal 14.39

NA

NA

11.65

12.10

1.44

090 sinus. 31090......... ............ A........... Exploration of

10.88

NA

NA

13.41

12.99

0.94

090 sinuses. 31200......... ............ A........... Removal of ethmoid

5.03

NA

NA

7.44

8.33

0.29

090 sinus. 31201......... ............ A........... Removal of ethmoid

8.49

NA

NA

9.00

9.09

0.82

090 sinus. 31205......... ............ A........... Removal of ethmoid 10.47

NA

NA

9.52

10.70

0.67

090 sinus. 31225......... ............ A........... Removal of upper

26.44

NA

NA

17.90

17.87

1.59

090 jaw. 31230......... ............ A........... Removal of upper

30.56

NA

NA

19.50

19.44

1.78

090 jaw. 31231......... ............ A........... Nasal endoscopy,

1.10

3.60

3.49

0.77

0.82

0.09

000 dx. 31233......... ............ A........... Nasal/sinus

2.18

4.27

4.28

1.12

1.30

0.20

000 endoscopy, dx. 31235......... ............ A........... Nasal/sinus

2.64

4.65

4.78

1.26

1.49

0.26

000 endoscopy, dx. 31237......... ............ A........... Nasal/sinus

2.98

4.90

5.05

1.39

1.64

0.28

000 endoscopy, surg. 31238......... ............ A........... Nasal/sinus

3.26

4.83

5.03

1.48

1.79

0.27

000 endoscopy, surg. 31239......... ............ A........... Nasal/sinus

9.23

NA

NA

6.43

7.21

0.62

010 endoscopy, surg. 31240......... ............ A........... Nasal/sinus

2.61

NA

NA

1.27

1.50

0.24

000 endoscopy, surg. 31254......... ............ A........... Revision of

4.64

NA

NA

1.94

2.39

0.45

000 ethmoid sinus. 31255......... ............ A........... Removal of ethmoid

6.95

NA

NA

2.69

3.40

0.73

000 sinus. 31256......... ............ A........... Exploration

3.29

NA

NA

1.49

1.80

0.33

000 maxillary sinus. 31267......... ............ A........... Endoscopy,

5.45

NA

NA

2.20

2.75

0.55

000 maxillary sinus. 31276......... ............ A........... Sinus endoscopy,

8.84

NA

NA

3.31

4.21

0.92

000 surgical. 31287......... ............ A........... Nasal/sinus

3.91

NA

NA

1.69

2.07

0.39

000 endoscopy, surg. 31288......... ............ A........... Nasal/sinus

4.57

NA

NA

1.91

2.36

0.46

000 endoscopy, surg. 31290......... ............ A........... Nasal/sinus

18.50

NA

NA

9.05

10.55

1.40

010 endoscopy, surg. 31291......... ............ A........... Nasal/sinus

19.45

NA

NA

9.54

11.01

1.69

010 endoscopy, surg. 31292......... ............ A........... Nasal/sinus

15.79

NA

NA

8.06

9.34

1.21

010 endoscopy, surg. 31293......... ............ A........... Nasal/sinus

17.36

NA

NA

8.69

10.04

1.28

010 endoscopy, surg. 31294......... ............ A........... Nasal/sinus

20.20

NA

NA

9.67

11.28

1.53

010 endoscopy, surg. 31299......... ............ C........... Sinus surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 31300......... ............ A........... Removal of larynx

15.71

NA

NA

14.59

14.79

1.17

090 lesion. 31320......... ............ A........... Diagnostic

5.62

NA

NA

10.15

10.23

0.46

090 incision, larynx. 31360......... ............ A........... Removal of larynx. 29.57

NA

NA

20.08

18.41

1.38

090 31365......... ............ A........... Removal of larynx. 38.47

NA

NA

23.00

21.69

1.98

090 31367......... ............ A........... Partial removal of 30.23

NA

NA

22.52

22.21

1.79

090 larynx. 31368......... ............ A........... Partial removal of 33.85

NA

NA

24.61

25.06

2.21

090 larynx. 31370......... ............ A........... Partial removal of 27.23

NA

NA

22.16

22.22

1.75

090 larynx. 31375......... ............ A........... Partial removal of 25.73

NA

NA

21.16

20.78

1.63

090 larynx. 31380......... ............ A........... Partial removal of 25.23

NA

NA

20.81

20.71

1.71

090 larynx. 31382......... ............ A........... Partial removal of 28.23

NA

NA

22.71

22.17

1.68

090 larynx. 31390......... ............ A........... Removal of larynx

42.17

NA

NA

25.99

25.19

2.24

090 & pharynx.

[[Page 2602]]

31395......... ............ A........... Reconstruct larynx 43.46

NA

NA

28.53

28.42

2.49

090 & pharynx. 31400......... ............ A........... Revision of larynx 11.48

NA

NA

12.50

13.14

0.83

090 31420......... ............ A........... Removal of

11.32

NA

NA

8.59

9.07

0.83

090 epiglottis. 31500......... ............ A........... Insert emergency

2.33

NA

NA

0.42

0.48

0.17

000 airway. 31502......... ............ A........... Change of windpipe

0.65

NA

NA

0.21

0.25

0.05

000 airway. 31505......... ............ A........... Diagnostic

0.61

1.43

1.44

0.59

0.60

0.05

000 laryngoscopy. 31510......... ............ A........... Laryngoscopy with

1.92

3.23

3.26

1.00

1.13

0.16

000 biopsy. 31511......... ............ A........... Remove foreign

2.16

2.94

3.03

1.03

1.04

0.19

000 body, larynx. 31512......... ............ A........... Removal of larynx

2.07

2.97

3.09

1.06

1.21

0.18

000 lesion. 31513......... ............ A........... Injection into

2.10

NA

NA

1.09

1.27

0.17

000 vocal cord. 31515......... ............ A........... Laryngoscopy for

1.80

3.20

3.37

0.88

0.97

0.14

000 aspiration. 31520......... ............ A........... Dx laryngoscopy,

2.56

NA

NA

1.21

1.38

0.20

000 newborn. 31525......... ............ A........... Dx laryngoscopy

2.63

3.45

3.55

1.23

1.44

0.21

000 excl nb. 31526......... ............ A........... Dx laryngoscopy w/

2.57

NA

NA

1.25

1.48

0.21

000 oper scope. 31527......... ............ A........... Laryngoscopy for

3.27

NA

NA

1.40

1.64

0.26

000 treatment. 31528......... ............ A........... Laryngoscopy and

2.37

NA

NA

1.09

1.27

0.19

000 dilation. 31529......... ............ A........... Laryngoscopy and

2.68

NA

NA

1.25

1.48

0.22

000 dilation. 31530......... ............ A........... Laryngoscopy w/fb

3.38

NA

NA

1.45

1.70

0.29

000 removal. 31531......... ............ A........... Laryngoscopy w/fb

3.58

NA

NA

1.59

1.93

0.29

000 & op scope. 31535......... ............ A........... Laryngoscopy w/

3.16

NA

NA

1.44

1.72

0.26

000 biopsy. 31536......... ............ A........... Laryngoscopy w/bx

3.55

NA

NA

1.57

1.91

0.29

000 & op scope. 31540......... ............ A........... Laryngoscopy w/exc

4.12

NA

NA

1.76

2.15

0.33

000 of tumor. 31541......... ............ A........... Larynscop w/tumr

4.52

NA

NA

1.89

2.34

0.37

000 exc + scope. 31545......... ............ A........... Remove vc lesion w/ 6.30

NA

NA

2.52

2.99

0.37

000 scope. 31546......... ............ A........... Remove vc lesion

9.73

NA

NA

3.43

4.20

0.78

000 scope/graft. 31560......... ............ A........... Laryngoscop w/

5.45

NA

NA

2.16

2.65

0.43

000 arytenoidectom. 31561......... ............ A........... Larynscop, remve

5.99

NA

NA

2.32

2.85

0.49

000 cart + scop. 31570......... ............ A........... Laryngoscope w/vc

3.86

4.26

4.97

1.65

2.02

0.31

000 inj. 31571......... ............ A........... Laryngoscop w/vc

4.26

NA

NA

1.81

2.21

0.35

000 inj + scope. 31575......... ............ A........... Diagnostic

1.10

1.70

1.80

0.76

0.83

0.09

000 laryngoscopy. 31576......... ............ A........... Laryngoscopy with

1.97

3.52

3.59

1.04

1.17

0.14

000 biopsy. 31577......... ............ A........... Remove foreign

2.47

3.38

3.57

1.17

1.35

0.21

000 body, larynx. 31578......... ............ A........... Removal of larynx

2.84

4.00

4.14

1.34

1.43

0.23

000 lesion. 31579......... ............ A........... Diagnostic

2.26

2.87

3.32

1.15

1.31

0.18

000 laryngoscopy. 31580......... ............ A........... Revision of larynx 14.46

NA

NA

13.83

14.88

1.00

090 31582......... ............ A........... Revision of larynx 22.87

NA

NA

22.57

24.19

1.76

090 31584......... ............ A........... Treat larynx

20.35

NA

NA

15.28

16.72

1.72

090 fracture. 31587......... ............ A........... Revision of larynx 15.12

NA

NA

8.64

8.96

0.97

090 31588......... ............ A........... Revision of larynx 14.62

NA

NA

12.52

13.07

1.06

090 31590......... ............ A........... Reinnervate larynx

7.63

NA

NA

12.80

14.17

0.84

090 31595......... ............ A........... Larynx nerve

8.75

NA

NA

9.65

10.10

0.68

090 surgery. 31599......... ............ C........... Larynx surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 31600......... ............ A........... Incision of

7.17

NA

NA

2.28

2.74

0.80

000 windpipe. 31601......... ............ A........... Incision of

4.44

NA

NA

1.74

2.07

0.40

000 windpipe. 31603......... ............ A........... Incision of

4.14

NA

NA

1.19

1.45

0.44

000 windpipe. 31605......... ............ A........... Incision of

3.57

NA

NA

0.82

1.00

0.40

000 windpipe. 31610......... ............ A........... Incision of

9.29

NA

NA

7.73

8.00

0.79

090 windpipe. 31611......... ............ A........... Surgery/speech

5.92

NA

NA

7.08

7.07

0.46

090 prosthesis. 31612......... ............ A........... Puncture/clear

0.91

1.09

1.09

0.26

0.30

0.08

000 windpipe. 31613......... ............ A........... Repair windpipe

4.63

NA

NA

6.14

6.07

0.42

090 opening. 31614......... ............ A........... Repair windpipe

8.47

NA

NA

9.59

9.15

0.58

090 opening. 31615......... ............ A........... Visualization of

2.09

2.38

2.49

1.05

1.12

0.16

000 windpipe. 31620......... ............ A........... Endobronchial us

1.40

6.02

5.83

0.33

0.44

0.11

ZZZ add-on. 31622......... ............ A........... Dx bronchoscope/

2.78

5.24

5.45

0.90

0.98

0.18

000 wash. 31623......... ............ A........... Dx bronchoscope/

2.88

5.98

6.20

0.89

0.97

0.13

000 brush. 31624......... ............ A........... Dx bronchoscope/

2.88

5.34

5.56

0.89

0.97

0.13

000 lavage. 31625......... ............ A........... Bronchoscopy w/

3.36

5.48

5.65

1.01

1.11

0.18

000 biopsy(s). 31628......... ............ A........... Bronchoscopy/lung

3.80

6.96

6.99

1.10

1.20

0.18

000 bx, each. 31629......... ............ A........... Bronchoscopy/

4.09

12.01

13.14

1.17

1.28

0.16

000 needle bx, each. 31630......... ............ A........... Bronchoscopy

3.81

NA

NA

1.27

1.49

0.32

000 dilate/fx repr. 31631......... ............ A........... Bronchoscopy,

4.36

NA

NA

1.42

1.59

0.34

000 dilate w/stent. 31632......... ............ A........... Bronchoscopy/lung

1.03

0.86

0.83

0.24

0.27

0.18

ZZZ bx, add[AElig]l. 31633......... ............ A........... Bronchoscopy/

1.32

0.99

0.95

0.31

0.35

0.16

ZZZ needle bx add[AElig]l. 31635......... ............ A........... Bronchoscopy w/fb

3.67

5.20

5.66

1.13

1.28

0.24

000 removal. 31636......... ............ A........... Bronchoscopy,

4.30

NA

NA

1.34

1.55

0.31

000 bronch stents. 31637......... ............ A........... Bronchoscopy,

1.58

NA

NA

0.41

0.48

0.13

ZZZ stent add-on. 31638......... ............ A........... Bronchoscopy,

4.88

NA

NA

1.54

1.76

0.22

000 revise stent. 31640......... ............ A........... Bronchoscopy w/

4.93

NA

NA

1.53

1.80

0.46

000 tumor excise. 31641......... ............ A........... Bronchoscopy,

5.02

NA

NA

1.49

1.69

0.35

000 treat blockage. 31643......... ............ A........... Diag bronchoscope/

3.49

NA

NA

1.04

1.13

0.20

000 catheter. 31645......... ............ A........... Bronchoscopy,

3.16

4.72

4.93

0.96

1.04

0.16

000 clear airways. 31646......... ............ A........... Bronchoscopy,

2.72

4.42

4.64

0.85

0.92

0.14

000 reclear airway.

[[Page 2603]]

31656......... ............ A........... Bronchoscopy, inj

2.17

5.69

6.49

0.68

0.76

0.15

000 for x-ray. 31715......... ............ A........... Injection for

1.11

NA

NA

0.25

0.30

0.07

000 bronchus x-ray. 31717......... ............ A........... Bronchial brush

2.12

5.84

7.05

0.72

0.75

0.14

000 biopsy. 31720......... ............ A........... Clearance of

1.06

NA

NA

0.27

0.30

0.07

000 airways. 31725......... ............ A........... Clearance of

1.96

NA

NA

0.41

0.49

0.14

000 airways. 31730......... ............ A........... Intro, windpipe

2.85

25.74

13.97

0.74

0.87

0.21

000 wire/tube. 31750......... ............ A........... Repair of windpipe 15.19

NA

NA

17.46

17.51

1.05

090 31755......... ............ A........... Repair of windpipe 17.19

NA

NA

24.00

24.27

1.29

090 31760......... ............ A........... Repair of windpipe 23.36

NA

NA

9.78

10.25

2.95

090 31766......... ............ A........... Reconstruction of

31.58

NA

NA

11.70

12.68

4.53

090 windpipe. 31770......... ............ A........... Repair/graft of

23.48

NA

NA

8.54

9.39

2.84

090 bronchus. 31775......... ............ A........... Reconstruct

24.51

NA

NA

9.52

10.66

3.02

090 bronchus. 31780......... ............ A........... Reconstruct

19.70

NA

NA

8.80

9.93

1.65

090 windpipe. 31781......... ............ A........... Reconstruct

24.77

NA

NA

9.67

10.90

2.25

090 windpipe. 31785......... ............ A........... Remove windpipe

18.29

NA

NA

7.68

8.93

1.59

090 lesion. 31786......... ............ A........... Remove windpipe

25.34

NA

NA

9.62

11.36

3.30

090 lesion. 31800......... ............ A........... Repair of windpipe

8.10

NA

NA

8.68

8.97

0.79

090 injury. 31805......... ............ A........... Repair of windpipe 13.34

NA

NA

6.22

6.72

1.83

090 injury. 31820......... ............ A........... Closure of

4.58

5.86

5.76

3.26

3.46

0.38

090 windpipe lesion. 31825......... ............ A........... Repair of windpipe

6.98

7.45

7.56

4.48

4.93

0.53

090 defect. 31830......... ............ A........... Revise windpipe

4.54

5.93

5.85

3.56

3.77

0.44

090 scar. 31899......... ............ C........... Airways surgical

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 32035......... ............ A........... Exploration of

11.20

NA

NA

6.09

5.97

1.26

090 chest. 32036......... ............ A........... Exploration of

12.21

NA

NA

6.30

6.37

1.43

090 chest. 32095......... ............ A........... Biopsy through

10.06

NA

NA

5.10

5.24

1.22

090 chest wall. 32100......... ............ A........... Exploration/biopsy 16.08

NA

NA

7.01

7.42

2.24

090 of chest. 32110......... ............ A........... Explore/repair

25.15

NA

NA

9.88

10.31

3.22

090 chest. 32120......... ............ A........... Re-exploration of

14.27

NA

NA

6.78

6.93

1.63

090 chest. 32124......... ............ A........... Explore chest free 15.33

NA

NA

6.96

7.09

1.90

090 adhesions. 32140......... ............ A........... Removal of lung

16.54

NA

NA

7.40

7.54

1.97

090 lesion(s). 32141......... ............ A........... Remove/treat lung

27.10

NA

NA

10.19

8.87

2.01

090 lesions. 32150......... ............ A........... Removal of lung

16.70

NA

NA

7.51

7.56

2.01

090 lesion(s). 32151......... ............ A........... Remove lung

16.82

NA

NA

7.92

7.96

2.04

090 foreign body. 32160......... ............ A........... Open chest heart

13.02

NA

NA

5.84

5.56

1.31

090 massage. 32200......... ............ A........... Drain, open, lung

18.48

NA

NA

8.77

8.69

2.14

090 lesion. 32201......... ............ A........... Drain, percut,

3.99

19.87

20.29

1.43

1.36

0.24

000 lung lesion. 32215......... ............ A........... Treat chest lining 12.93

NA

NA

6.24

6.57

1.69

090 32220......... ............ A........... Release of lung... 26.41

NA

NA

11.91

12.44

3.57

090 32225......... ............ A........... Partial release of 16.63

NA

NA

7.46

7.56

2.07

090 lung. 32310......... ............ A........... Removal of chest

15.16

NA

NA

6.93

7.16

2.00

090 lining. 32320......... ............ A........... Free/remove chest

27.04

NA

NA

11.46

11.81

3.52

090 lining. 32400......... ............ A........... Needle biopsy

1.76

2.15

2.14

0.57

0.56

0.10

000 chest lining. 32402......... ............ A........... Open biopsy chest

8.89

NA

NA

4.69

4.90

1.07

090 lining. 32405......... ............ A........... Biopsy, lung or

1.93

0.69

0.68

0.69

0.66

0.11

000 mediastinum. 32420......... ............ A........... Puncture/clear

2.18

NA

NA

0.71

0.70

0.12

000 lung. 32421......... ............ A........... Thoracentesis for

1.54

2.41

2.73

0.47

0.47

0.08

000 aspiration. 32422......... ............ A........... Thoracentesis w/

2.19

2.88

3.05

1.03

1.05

0.12

000 tube insert. 32440......... ............ A........... Removal of lung... 27.17

NA

NA

10.92

11.91

3.69

090 32442......... ............ A........... Sleeve

56.37

NA

NA

18.74

16.75

3.85

090 pneumonectomy. 32445......... ............ A........... Removal of lung... 63.60

NA

NA

22.80

18.43

3.72

090 32480......... ............ A........... Partial removal of 25.71

NA

NA

10.19

11.13

3.50

090 lung. 32482......... ............ A........... Bilobectomy....... 27.28

NA

NA

11.10

12.01

3.67

090 32484......... ............ A........... Segmentectomy..... 25.30

NA

NA

9.57

10.48

3.04

090 32486......... ............ A........... Sleeve lobectomy.. 42.80

NA

NA

14.62

13.94

3.52

090 32488......... ............ A........... Completion

42.83

NA

NA

15.58

14.68

3.81

090 pneumonectomy. 32491......... ............ R........... Lung volume

25.09

NA

NA

10.43

11.53

2.99

090 reduction. 32500......... ............ A........... Partial removal of 24.48

NA

NA

10.27

11.32

3.26

090 lung. 32501......... ............ A........... Repair bronchus

4.68

NA

NA

1.34

1.44

0.65

ZZZ add-on. 32503......... ............ A........... Resect apical lung 31.61

NA

NA

12.09

13.58

4.38

090 tumor. 32504......... ............ A........... Resect apical lung 36.41

NA

NA

13.48

15.08

5.09

090 tum/chest. 32540......... ............ A........... Removal of lung

30.22

NA

NA

11.49

10.56

2.08

090 lesion. 32550......... ............ A........... Insert pleural

4.17

14.97

17.47

1.51

1.58

0.42

000 cath. 32551......... ............ A........... Insertion of chest

3.29

NA

NA

0.97

1.16

0.43

000 tube. 32560......... ............ A........... Treat lung lining

2.19

5.06

5.76

0.58

0.64

0.23

000 chemically. 32601......... ............ A........... Thoracoscopy,

5.45

NA

NA

2.07

2.21

0.80

000 diagnostic. 32602......... ............ A........... Thoracoscopy,

5.95

NA

NA

2.22

2.37

0.87

000 diagnostic. 32603......... ............ A........... Thoracoscopy,

7.80

NA

NA

2.74

2.89

1.14

000 diagnostic. 32604......... ............ A........... Thoracoscopy,

8.77

NA

NA

3.05

3.25

1.25

000 diagnostic. 32605......... ............ A........... Thoracoscopy,

6.92

NA

NA

2.58

2.74

1.00

000 diagnostic. 32606......... ............ A........... Thoracoscopy,

8.39

NA

NA

2.97

3.15

1.22

000 diagnostic. 32650......... ............ A........... Thoracoscopy,

10.77

NA

NA

5.24

6.00

1.58

090 surgical. 32651......... ............ A........... Thoracoscopy,

18.70

NA

NA

7.70

7.47

1.87

090 surgical.

[[Page 2604]]

32652......... ............ A........... Thoracoscopy,

29.00

NA

NA

11.14

10.64

2.73

090 surgical. 32653......... ............ A........... Thoracoscopy,

18.09

NA

NA

7.46

7.22

1.89

090 surgical. 32654......... ............ A........... Thoracoscopy,

20.44

NA

NA

7.96

7.75

1.63

090 surgical. 32655......... ............ A........... Thoracoscopy,

16.09

NA

NA

6.88

7.06

1.90

090 surgical. 32656......... ............ A........... Thoracoscopy,

13.18

NA

NA

5.96

6.95

1.90

090 surgical. 32657......... ............ A........... Thoracoscopy,

12.85

NA

NA

5.97

6.83

2.00

090 surgical. 32658......... ............ A........... Thoracoscopy,

11.65

NA

NA

5.50

6.43

1.70

090 surgical. 32659......... ............ A........... Thoracoscopy,

11.86

NA

NA

5.80

6.63

1.62

090 surgical. 32660......... ............ A........... Thoracoscopy,

17.69

NA

NA

7.59

8.54

2.09

090 surgical. 32661......... ............ A........... Thoracoscopy,

13.27

NA

NA

6.05

6.92

1.93

090 surgical. 32662......... ............ A........... Thoracoscopy,

14.91

NA

NA

6.64

7.74

2.18

090 surgical. 32663......... ............ A........... Thoracoscopy,

24.56

NA

NA

9.40

10.08

2.73

090 surgical. 32664......... ............ A........... Thoracoscopy,

14.22

NA

NA

5.62

6.62

2.33

090 surgical. 32665......... ............ A........... Thoracoscopy,

21.45

NA

NA

8.57

8.35

2.16

090 surgical. 32800......... ............ A........... Repair lung hernia 15.59

NA

NA

6.93

7.17

1.99

090 32810......... ............ A........... Close chest after

14.83

NA

NA

6.98

7.25

1.94

090 drainage. 32815......... ............ A........... Close bronchial

49.79

NA

NA

18.60

14.79

3.28

090 fistula. 32820......... ............ A........... Reconstruct

22.33

NA

NA

10.57

11.37

2.53

090 injured chest. 32850......... ............ X........... Donor

0.00

0.00

0.00

0.00

0.00

0.00

XXX pneumonectomy. 32851......... ............ A........... Lung transplant,

40.94

NA

NA

20.19

23.94

5.58

090 single. 32852......... ............ A........... Lung transplant

44.65

NA

NA

22.58

27.88

6.02

090 with bypass. 32853......... ............ A........... Lung transplant,

50.11

NA

NA

22.80

27.29

7.07

090 double. 32854......... ............ A........... Lung transplant

53.88

NA

NA

25.79

30.27

7.22

090 with bypass. 32855......... ............ C........... Prepare donor

0.00

0.00

0.00

0.00

0.00

0.00

XXX lung, single. 32856......... ............ C........... Prepare donor

0.00

0.00

0.00

0.00

0.00

0.00

XXX lung, double. 32900......... ............ A........... Removal of rib(s). 23.69

NA

NA

9.57

9.73

2.94

090 32905......... ............ A........... Revise & repair

23.17

NA

NA

9.53

9.84

3.16

090 chest wall. 32906......... ............ A........... Revise & repair

29.18

NA

NA

11.04

11.55

3.98

090 chest wall. 32940......... ............ A........... Revision of lung.. 21.22

NA

NA

8.49

8.99

2.89

090 32960......... ............ A........... Therapeutic

1.84

1.61

1.68

0.68

0.62

0.16

000 pneumothorax. 32997......... ............ A........... Total lung lavage.

7.31

NA

NA

1.84

1.88

0.55

000 32998......... ............ A........... Perq rf ablate tx,

5.68

70.26

70.26

1.99

1.99

0.36

000 pul tumor. 32999......... ............ C........... Chest surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 33010......... ............ A........... Drainage of heart

2.24

NA

NA

1.04

0.91

0.14

000 sac. 33011......... ............ A........... Repeat drainage of

2.24

NA

NA

1.13

0.97

0.15

000 heart sac. 33015......... ............ A........... Incision of heart

8.44

NA

NA

5.16

5.05

0.65

090 sac. 33020......... ............ A........... Incision of heart

14.87

NA

NA

6.37

6.58

1.80

090 sac. 33025......... ............ A........... Incision of heart

13.65

NA

NA

5.85

6.10

1.81

090 sac. 33030......... ............ A........... Partial removal of 22.27

NA

NA

9.12

9.33

2.84

090 heart sac. 33031......... ............ A........... Partial removal of 25.30

NA

NA

9.58

9.81

3.14

090 heart sac. 33050......... ............ A........... Removal of heart

16.85

NA

NA

7.37

7.61

2.15

090 sac lesion. 33120......... ............ A........... Removal of heart

27.33

NA

NA

10.57

11.08

3.70

090 lesion. 33130......... ............ A........... Removal of heart

24.05

NA

NA

9.37

9.75

3.01

090 lesion. 33140......... ............ A........... Heart

28.26

NA

NA

10.31

10.60

2.86

090 revascularize (tmr). 33141......... ............ A........... Heart tmr w/other

2.54

NA

NA

0.78

1.18

0.69

ZZZ procedure. 33202......... ............ A........... Insert epicard

13.15

NA

NA

6.08

6.08

1.71

090 eltrd, open. 33203......... ............ A........... Insert epicard

13.92

NA

NA

6.13

6.13

1.39

090 eltrd, endo. 33206......... ............ A........... Insertion of heart

7.31

NA

NA

5.13

4.79

0.52

090 pacemaker. 33207......... ............ A........... Insertion of heart

8.00

NA

NA

5.23

4.94

0.59

090 pacemaker. 33208......... ............ A........... Insertion of heart

8.72

NA

NA

5.66

5.21

0.56

090 pacemaker. 33210......... ............ A........... Insertion of heart

3.30

NA

NA

1.66

1.46

0.18

000 electrode. 33211......... ............ A........... Insertion of heart

3.39

NA

NA

1.59

1.45

0.21

000 electrode. 33212......... ............ A........... Insertion of pulse

5.51

NA

NA

3.71

3.53

0.43

090 generator. 33213......... ............ A........... Insertion of pulse

6.36

NA

NA

4.21

3.97

0.45

090 generator. 33214......... ............ A........... Upgrade of

7.78

NA

NA

5.36

5.13

0.58

090 pacemaker system. 33215......... ............ A........... Reposition pacing-

4.89

NA

NA

3.49

3.33

0.37

090 defib lead. 33216......... ............ A........... Insert lead pace-

5.81

NA

NA

4.54

4.37

0.36

090 defib, one. 33217......... ............ A........... Insert lead pace-

5.78

NA

NA

4.43

4.33

0.39

090 defib, dual. 33218......... ............ A........... Repair lead pace-

5.97

NA

NA

4.82

4.56

0.37

090 defib, one. 33220......... ............ A........... Repair lead pace-

6.05

NA

NA

4.78

4.53

0.37

090 defib, dual. 33222......... ............ A........... Revise pocket,

5.01

NA

NA

4.30

4.30

0.42

090 pacemaker. 33223......... ............ A........... Revise pocket,

6.49

NA

NA

4.88

4.74

0.45

090 pacing-defib. 33224......... ............ A........... Insert pacing lead

9.04

NA

NA

4.91

4.45

0.54

000 & connect. 33225......... ............ A........... L ventric pacing

8.33

NA

NA

4.35

3.80

0.45

ZZZ lead add-on. 33226......... ............ A........... Reposition l

8.68

NA

NA

4.74

4.28

0.59

000 ventric lead. 33233......... ............ A........... Removal of

3.33

NA

NA

3.27

3.27

0.22

090 pacemaker system. 33234......... ............ A........... Removal of

7.85

NA

NA

5.49

5.20

0.56

090 pacemaker system. 33235......... ............ A........... Removal pacemaker

9.93

NA

NA

7.24

7.03

0.73

090 electrode. 33236......... ............ A........... Remove electrode/

12.64

NA

NA

6.38

6.91

1.69

090 thoracotomy. 33237......... ............ A........... Remove electrode/

13.75

NA

NA

8.02

7.90

1.59

090 thoracotomy. 33238......... ............ A........... Remove electrode/

15.28

NA

NA

8.05

8.13

2.03

090 thoracotomy. 33240......... ............ A........... Insert pulse

7.61

NA

NA

5.25

4.92

0.41

090 generator.

[[Page 2605]]

33241......... ............ A........... Remove pulse

3.26

NA

NA

3.00

2.98

0.18

090 generator. 33243......... ............ A........... Remove eltrd/

23.42

NA

NA

10.94

11.20

2.10

090 thoracotomy. 33244......... ............ A........... Remove eltrd,

13.84

NA

NA

9.44

9.17

0.99

090 transven. 33249......... ............ A........... Eltrd/insert pace- 15.02

NA

NA

10.16

9.26

0.77

090 defib. 33250......... ............ A........... Ablate heart

25.78

NA

NA

10.89

10.96

3.19

090 dysrhythm focus. 33251......... ............ A........... Ablate heart

28.80

NA

NA

10.97

11.32

3.60

090 dysrhythm focus. 33254......... ............ A........... Ablate atria, lmtd 23.58

NA

NA

9.77

9.77

3.35

090 33255......... ............ A........... Ablate atria w/o

28.91

NA

NA

11.37

11.37

3.94

090 bypass, ext. 33256......... ............ A........... Ablate atria w/

34.77

NA

NA

13.12

13.12

4.95

090 bypass, exten. 33257......... ............ A........... Ablate atria,

9.63

NA

NA

5.47

5.47

0.89

ZZZ lmtd, add-on. 33258......... ............ A........... Ablate atria,

11.00

NA

NA

5.99

5.99

1.09

ZZZ x10sv, add-on. 33259......... ............ A........... Ablate atria w/

14.14

NA

NA

7.80

7.80

1.78

ZZZ bypass add-on. 33261......... ............ A........... Ablate heart

28.80

NA

NA

11.69

11.73

3.46

090 dysrhythm focus. 33265......... ............ A........... Ablate atria,

23.58

NA

NA

9.77

9.77

3.35

090 lmtd, endo. 33266......... ............ A........... Ablate atria,

32.91

NA

NA

12.57

12.57

4.80

090 x10sv, endo. 33282......... ............ A........... Implant pat-active

4.70

NA

NA

4.24

4.13

0.23

090 ht record. 33284......... ............ A........... Remove pat-active

3.04

NA

NA

3.38

3.45

0.14

090 ht record. 33300......... ............ A........... Repair of heart

44.89

NA

NA

15.06

12.15

2.66

090 wound. 33305......... ............ A........... Repair of heart

76.85

NA

NA

25.14

17.88

3.13

090 wound. 33310......... ............ A........... Exploratory heart

20.22

NA

NA

8.36

8.97

2.59

090 surgery. 33315......... ............ A........... Exploratory heart

26.05

NA

NA

10.36

10.62

3.28

090 surgery. 33320......... ............ A........... Repair major blood 18.46

NA

NA

8.01

8.11

2.08

090 vessel(s). 33321......... ............ A........... Repair major

20.71

NA

NA

8.38

9.08

2.91

090 vessel. 33322......... ............ A........... Repair major blood 24.30

NA

NA

9.55

9.96

2.86

090 vessel(s). 33330......... ............ A........... Insert major

25.17

NA

NA

9.50

9.89

2.82

090 vessel graft. 33332......... ............ A........... Insert major

24.46

NA

NA

9.46

9.99

3.03

090 vessel graft. 33335......... ............ A........... Insert major

33.79

NA

NA

12.49

12.92

4.28

090 vessel graft. 33400......... ............ A........... Repair of aortic

41.37

NA

NA

14.58

15.13

4.11

090 valve. 33401......... ............ A........... Valvuloplasty,

24.41

NA

NA

10.28

11.89

3.57

090 open. 33403......... ............ A........... Valvuloplasty, w/

25.39

NA

NA

12.53

13.42

3.55

090 cp bypass. 33404......... ............ A........... Prepare heart-

31.25

NA

NA

12.02

13.28

4.33

090 aorta conduit. 33405......... ............ A........... Replacement of

41.19

NA

NA

15.12

16.71

5.33

090 aortic valve. 33406......... ............ A........... Replacement of

52.55

NA

NA

18.39

18.76

5.45

090 aortic valve. 33410......... ............ A........... Replacement of

46.28

NA

NA

16.53

16.56

4.69

090 aortic valve. 33411......... ............ A........... Replacement of

61.94

NA

NA

21.11

19.93

5.48

090 aortic valve. 33412......... ............ A........... Replacement of

43.77

NA

NA

16.22

18.32

6.39

090 aortic valve. 33413......... ............ A........... Replacement of

59.74

NA

NA

23.55

22.19

6.53

090 aortic valve. 33414......... ............ A........... Repair of aortic

39.29

NA

NA

14.29

14.21

4.57

090 valve. 33415......... ............ A........... Revision,

37.19

NA

NA

13.15

12.59

4.14

090 subvalvular tissue. 33416......... ............ A........... Revise ventricle

36.43

NA

NA

13.24

13.38

4.57

090 muscle. 33417......... ............ A........... Repair of aortic

29.17

NA

NA

11.71

12.66

4.10

090 valve. 33420......... ............ A........... Revision of mitral 25.67

NA

NA

9.50

9.53

1.82

090 valve. 33422......... ............ A........... Revision of mitral 29.61

NA

NA

11.36

12.51

3.94

090 valve. 33425......... ............ A........... Repair of mitral

49.83

NA

NA

17.61

15.34

4.07

090 valve. 33426......... ............ A........... Repair of mitral

43.15

NA

NA

15.76

16.45

5.03

090 valve. 33427......... ............ A........... Repair of mitral

44.70

NA

NA

15.70

17.54

6.09

090 valve. 33430......... ............ A........... Replacement of

50.75

NA

NA

18.57

17.93

5.10

090 mitral valve. 33460......... ............ A........... Revision of

44.62

NA

NA

14.72

13.01

3.45

090 tricuspid valve. 33463......... ............ A........... Valvuloplasty,

56.95

NA

NA

19.73

16.33

3.87

090 tricuspid. 33464......... ............ A........... Valvuloplasty,

44.49

NA

NA

15.85

14.69

4.15

090 tricuspid. 33465......... ............ A........... Replace tricuspid

50.59

NA

NA

17.65

15.31

4.39

090 valve. 33468......... ............ A........... Revision of

32.82

NA

NA

15.25

14.45

4.07

090 tricuspid valve. 33470......... ............ A........... Revision of

21.32

NA

NA

7.93

9.31

1.03

090 pulmonary valve. 33471......... ............ A........... Valvotomy,

22.83

NA

NA

11.60

10.68

3.39

090 pulmonary valve. 33472......... ............ A........... Revision of

22.90

NA

NA

8.79

10.33

3.55

090 pulmonary valve. 33474......... ............ A........... Revision of

39.27

NA

NA

12.95

11.92

3.22

090 pulmonary valve. 33475......... ............ A........... Replacement,

42.27

NA

NA

15.07

15.22

4.93

090 pulmonary valve. 33476......... ............ A........... Revision of heart

26.41

NA

NA

10.37

11.17

2.42

090 chamber. 33478......... ............ A........... Revision of heart

27.38

NA

NA

11.02

12.04

3.89

090 chamber. 33496......... ............ A........... Repair, prosth

29.71

NA

NA

11.10

11.93

4.13

090 valve clot. 33500......... ............ A........... Repair heart

27.82

NA

NA

11.04

11.25

3.87

090 vessel fistula. 33501......... ............ A........... Repair heart

19.43

NA

NA

8.00

8.14

1.91

090 vessel fistula. 33502......... ............ A........... Coronary artery

21.69

NA

NA

9.34

10.21

3.00

090 correction. 33503......... ............ A........... Coronary artery

22.29

NA

NA

12.33

11.03

1.78

090 graft. 33504......... ............ A........... Coronary artery

25.30

NA

NA

10.59

11.20

3.36

090 graft. 33505......... ............ A........... Repair artery w/

38.35

NA

NA

15.14

14.03

2.19

090 tunnel. 33506......... ............ A........... Repair artery,

37.80

NA

NA

12.71

13.64

4.66

090 translocation. 33507......... ............ A........... Repair art,

31.35

NA

NA

11.10

12.37

4.06

090 intramural. 33508......... ............ A........... Endoscopic vein

0.31

NA

NA

0.09

0.10

0.04

ZZZ harvest. 33510......... ............ A........... CABG, vein, single 34.87

NA

NA

12.92

14.63

4.41

090 33511......... ............ A........... CABG, vein, two... 38.34

NA

NA

14.16

15.62

4.56

090 33512......... ............ A........... CABG, vein, three. 43.87

NA

NA

15.95

16.78

4.67

090

[[Page 2606]]

33513......... ............ A........... CABG, vein, four.. 45.26

NA

NA

16.38

17.09

4.88

090 33514......... ............ A........... CABG, vein, five.. 47.97

NA

NA

17.36

17.71

4.77

090 33516......... ............ A........... Cabg, vein, six or 49.65

NA

NA

17.97

18.39

5.13

090 more. 33517......... ............ A........... CABG, artery-vein,

3.61

NA

NA

1.08

0.96

0.39

ZZZ single. 33518......... ............ A........... CABG, artery-vein,

7.93

NA

NA

2.37

1.97

0.73

ZZZ two. 33519......... ............ A........... CABG, artery-vein, 10.49

NA

NA

3.14

2.73

1.04

ZZZ three. 33521......... ............ A........... CABG, artery-vein, 12.59

NA

NA

3.78

3.42

1.37

ZZZ four. 33522......... ............ A........... CABG, artery-vein, 14.14

NA

NA

4.24

4.02

1.78

ZZZ five. 33523......... ............ A........... Cabg, art-vein,

16.08

NA

NA

4.78

4.66

2.13

ZZZ six or more. 33530......... ............ A........... Coronary artery,

10.13

NA

NA

2.95

2.43

0.88

ZZZ bypass/reop. 33533......... ............ A........... CABG, arterial,

33.64

NA

NA

12.57

14.52

4.56

090 single. 33534......... ............ A........... CABG, arterial,

39.77

NA

NA

14.75

16.24

4.70

090 two. 33535......... ............ A........... CABG, arterial,

44.64

NA

NA

16.31

17.22

5.03

090 three. 33536......... ............ A........... Cabg, arterial,

48.32

NA

NA

17.34

17.82

5.44

090 four or more. 33542......... ............ A........... Removal of heart

48.08

NA

NA

16.90

14.95

4.38

090 lesion. 33545......... ............ A........... Repair of heart

56.93

NA

NA

20.16

17.90

5.21

090 damage. 33548......... ............ A........... Restore/remodel,

53.96

NA

NA

19.35

19.33

5.53

090 ventricle. 33572......... ............ A........... Open coronary

4.44

NA

NA

1.31

1.38

0.65

ZZZ endarterectomy. 33600......... ............ A........... Closure of valve.. 30.15

NA

NA

12.15

12.34

4.42

090 33602......... ............ A........... Closure of valve.. 29.18

NA

NA

11.17

11.81

3.82

090 33606......... ............ A........... Anastomosis/artery- 31.37

NA

NA

11.92

12.80

4.41

090 aorta. 33608......... ............ A........... Repair anomaly w/

31.72

NA

NA

12.86

13.49

4.74

090 conduit. 33610......... ............ A........... Repair by

31.24

NA

NA

13.56

13.58

4.56

090 enlargement. 33611......... ............ A........... Repair double

35.49

NA

NA

12.37

13.26

4.37

090 ventricle. 33612......... ............ A........... Repair double

36.49

NA

NA

14.32

14.74

5.30

090 ventricle. 33615......... ............ A........... Repair, modified

35.76

NA

NA

13.80

13.48

4.32

090 fontan. 33617......... ............ A........... Repair single

38.96

NA

NA

13.96

14.98

5.66

090 ventricle. 33619......... ............ A........... Repair single

48.60

NA

NA

17.99

19.40

6.46

090 ventricle. 33641......... ............ A........... Repair heart

29.50

NA

NA

10.89

10.24

3.23

090 septum defect. 33645......... ............ A........... Revision of heart

27.98

NA

NA

10.68

11.23

3.79

090 veins. 33647......... ............ A........... Repair heart

29.37

NA

NA

12.72

13.25

3.32

090 septum defects. 33660......... ............ A........... Repair of heart

31.75

NA

NA

11.83

12.66

4.49

090 defects. 33665......... ............ A........... Repair of heart

34.77

NA

NA

12.17

13.01

4.00

090 defects. 33670......... ............ A........... Repair of heart

36.58

NA

NA

15.64

14.41

4.65

090 chambers. 33675......... ............ A........... Close mult vsd.... 35.87

NA

NA

15.76

15.76

4.95

090 33676......... ............ A........... Close mult vsd w/

36.87

NA

NA

16.06

16.06

5.44

090 resection. 33677......... ............ A........... Cl mult vsd w/rem

38.37

NA

NA

16.63

16.63

5.68

090 pul band. 33681......... ............ A........... Repair heart

32.16

NA

NA

12.89

13.79

4.45

090 septum defect. 33684......... ............ A........... Repair heart

34.29

NA

NA

13.29

13.46

3.39

090 septum defect. 33688......... ............ A........... Repair heart

34.67

NA

NA

11.63

11.05

4.73

090 septum defect. 33690......... ............ A........... Reinforce

20.20

NA

NA

8.64

9.40

1.97

090 pulmonary artery. 33692......... ............ A........... Repair of heart

31.38

NA

NA

19.59

16.76

4.58

090 defects. 33694......... ............ A........... Repair of heart

35.49

NA

NA

10.05

12.14

5.28

090 defects. 33697......... ............ A........... Repair of heart

37.49

NA

NA

16.95

15.91

4.09

090 defects. 33702......... ............ A........... Repair of heart

27.11

NA

NA

10.53

11.55

3.68

090 defects. 33710......... ............ A........... Repair of heart

30.28

NA

NA

11.26

12.62

4.43

090 defects. 33720......... ............ A........... Repair of heart

27.13

NA

NA

10.69

11.49

3.84

090 defect. 33722......... ............ A........... Repair of heart

29.05

NA

NA

10.61

12.24

1.30

090 defect. 33724......... ............ A........... Repair venous

27.55

NA

NA

10.38

10.38

4.00

090 anomaly. 33726......... ............ A........... Repair pul venous

37.04

NA

NA

13.23

13.23

5.03

090 stenosis. 33730......... ............ A........... Repair heart-vein

36.01

NA

NA

12.87

13.50

5.03

090 defect(s). 33732......... ............ A........... Repair heart-vein

28.80

NA

NA

12.66

13.03

3.68

090 defect. 33735......... ............ A........... Revision of heart

22.04

NA

NA

11.04

10.00

1.92

090 chamber. 33736......... ............ A........... Revision of heart

24.16

NA

NA

12.07

11.96

3.09

090 chamber. 33737......... ............ A........... Revision of heart

22.34

NA

NA

9.13

10.03

3.25

090 chamber. 33750......... ............ A........... Major vessel shunt 22.06

NA

NA

9.43

9.82

1.16

090 33755......... ............ A........... Major vessel shunt 22.44

NA

NA

7.80

8.30

3.26

090 33762......... ............ A........... Major vessel shunt 22.44

NA

NA

8.69

9.43

3.14

090 33764......... ............ A........... Major vessel shunt 22.44

NA

NA

8.95

9.59

3.01

090 & graft. 33766......... ............ A........... Major vessel shunt 23.41

NA

NA

8.48

10.08

3.70

090 33767......... ............ A........... Major vessel shunt 25.14

NA

NA

8.51

10.12

3.82

090 33768......... ............ A........... Cavopulmonary

8.00

NA

NA

1.84

2.25

1.19

ZZZ shunting. 33770......... ............ A........... Repair great

39.02

NA

NA

11.92

13.30

5.74

090 vessels defect. 33771......... ............ A........... Repair great

40.58

NA

NA

13.09

12.74

5.68

090 vessels defect. 33774......... ............ A........... Repair great

31.54

NA

NA

12.21

13.44

4.81

090 vessels defect. 33775......... ............ A........... Repair great

32.83

NA

NA

10.11

12.55

4.99

090 vessels defect. 33776......... ............ A........... Repair great

34.53

NA

NA

10.25

13.03

5.09

090 vessels defect. 33777......... ............ A........... Repair great

33.95

NA

NA

9.93

12.78

5.49

090 vessels defect. 33778......... ............ A........... Repair great

42.62

NA

NA

14.93

15.92

6.20

090 vessels defect. 33779......... ............ A........... Repair great

43.15

NA

NA

12.46

13.92

2.92

090 vessels defect. 33780......... ............ A........... Repair great

43.85

NA

NA

13.15

16.12

3.68

090 vessels defect. 33781......... ............ A........... Repair great

43.16

NA

NA

11.13

12.23

5.97

090 vessels defect.

[[Page 2607]]

33786......... ............ A........... Repair arterial

41.74

NA

NA

14.10

15.41

5.71

090 trunk. 33788......... ............ A........... Revision of

27.26

NA

NA

8.25

10.10

4.03

090 pulmonary artery. 33800......... ............ A........... Aortic suspension. 17.23

NA

NA

6.82

7.47

2.46

090 33802......... ............ A........... Repair vessel

18.24

NA

NA

7.95

8.59

2.27

090 defect. 33803......... ............ A........... Repair vessel

20.18

NA

NA

6.39

8.08

3.20

090 defect. 33813......... ............ A........... Repair septal

21.23

NA

NA

8.82

9.87

3.13

090 defect. 33814......... ............ A........... Repair septal

26.41

NA

NA

10.41

11.53

3.85

090 defect. 33820......... ............ A........... Revise major

16.61

NA

NA

6.96

7.66

2.35

090 vessel. 33822......... ............ A........... Revise major

17.63

NA

NA

5.94

7.45

2.68

090 vessel. 33824......... ............ A........... Revise major

20.10

NA

NA

8.46

9.22

2.89

090 vessel. 33840......... ............ A........... Remove aorta

21.21

NA

NA

9.34

9.82

2.16

090 constriction. 33845......... ............ A........... Remove aorta

22.77

NA

NA

9.39

10.37

3.22

090 constriction. 33851......... ............ A........... Remove aorta

21.85

NA

NA

8.88

9.78

3.18

090 constriction. 33852......... ............ A........... Repair septal

24.28

NA

NA

14.77

13.07

2.16

090 defect. 33853......... ............ A........... Repair septal

32.35

NA

NA

12.26

13.54

4.48

090 defect. 33860......... ............ A........... Ascending aortic

59.33

NA

NA

20.22

18.34

5.76

090 graft. 33861......... ............ A........... Ascending aortic

43.94

NA

NA

15.71

16.71

6.37

090 graft. 33863......... ............ A........... Ascending aortic

58.71

NA

NA

19.61

19.15

6.59

090 graft. 33864......... ............ A........... Ascending aortic

60.00

NA

NA

20.11

20.11

6.73

090 graft. 33870......... ............ A........... Transverse aortic

45.93

NA

NA

16.29

17.34

6.62

090 arch graft. 33875......... ............ A........... Thoracic aortic

35.68

NA

NA

12.92

13.51

4.89

090 graft. 33877......... ............ A........... Thoracoabdominal

68.85

NA

NA

21.03

18.68

5.94

090 graft. 33880......... ............ A........... Endovasc taa repr

34.48

NA

NA

10.93

12.20

2.75

090 incl subcl. 33881......... ............ A........... Endovasc taa repr

29.48

NA

NA

9.67

10.82

2.33

090 w/o subcl. 33883......... ............ A........... Insert endovasc

20.99

NA

NA

7.24

8.21

2.11

090 prosth, taa. 33884......... ............ A........... Endovasc prosth,

8.20

NA

NA

2.08

2.33

0.86

ZZZ taa, add-on. 33886......... ............ A........... Endovasc prosth,

17.99

NA

NA

6.34

7.29

1.80

090 delayed. 33889......... ............ A........... Artery transpose/

15.92

NA

NA

3.98

4.58

2.18

000 endovas taa. 33891......... ............ A........... Car-car bp grft/

20.00

NA

NA

5.82

6.39

2.73

000 endovas taa. 33910......... ............ A........... Remove lung artery 29.59

NA

NA

11.35

11.39

3.70

090 emboli. 33915......... ............ A........... Remove lung artery 24.83

NA

NA

9.12

9.38

1.44

090 emboli. 33916......... ............ A........... Surgery of great

28.30

NA

NA

10.83

11.09

3.67

090 vessel. 33917......... ............ A........... Repair pulmonary

25.14

NA

NA

10.04

11.12

3.70

090 artery. 33920......... ............ A........... Repair pulmonary

32.58

NA

NA

9.47

11.65

4.38

090 atresia. 33922......... ............ A........... Transect pulmonary 24.09

NA

NA

10.25

10.58

3.10

090 artery. 33924......... ............ A........... Remove pulmonary

5.49

NA

NA

1.59

1.72

0.82

ZZZ shunt. 33925......... ............ A........... Rpr pul art

31.25

NA

NA

16.44

15.56

4.61

090 unifocal w/o cpb. 33926......... ............ A........... Repr pul art,

44.68

NA

NA

14.81

16.25

6.22

090 unifocal w/cpb. 33930......... ............ X........... Removal of donor

0.00

0.00

0.00

0.00

0.00

0.00

XXX heart/lung. 33933......... ............ C........... Prepare donor

0.00

0.00

0.00

0.00

0.00

0.00

XXX heart/lung. 33935......... ............ R........... Transplantation,

61.68

NA

NA

22.96

25.87

9.06

090 heart/lung. 33940......... ............ X........... Removal of donor

0.00

0.00

0.00

0.00

0.00

0.00

XXX heart. 33944......... ............ C........... Prepare donor

0.00

0.00

0.00

0.00

0.00

0.00

XXX heart. 33945......... ............ R........... Transplantation of 89.08

NA

NA

30.40

25.90

6.26

090 heart. 33960......... ............ A........... External

19.33

NA

NA

5.26

5.08

2.67

000 circulation assist. 33961......... ............ A........... External

10.91

NA

NA

2.99

3.30

0.88

ZZZ circulation assist. 33967......... ............ A........... Insert ia percut

4.84

NA

NA

2.41

2.13

0.35

000 device. 33968......... ............ A........... Remove aortic

0.64

NA

NA

0.26

0.24

0.07

000 assist device. 33970......... ............ A........... Aortic circulation

6.74

NA

NA

2.54

2.41

0.82

000 assist. 33971......... ............ A........... Aortic circulation 11.91

NA

NA

6.01

6.01

1.25

090 assist. 33973......... ............ A........... Insert balloon

9.75

NA

NA

3.94

3.63

1.26

000 device. 33974......... ............ A........... Remove intra-

14.93

NA

NA

7.74

7.81

1.74

090 aortic balloon. 33975......... ............ A........... Implant

20.97

NA

NA

6.30

6.29

3.07

XXX ventricular device. 33976......... ............ A........... Implant

22.97

NA

NA

7.67

7.61

3.26

XXX ventricular device. 33977......... ............ A........... Remove ventricular 20.07

NA

NA

9.42

10.25

2.81

090 device. 33978......... ............ A........... Remove ventricular 22.51

NA

NA

10.43

11.09

3.31

090 device. 33979......... ............ A........... Insert

45.93

NA

NA

13.29

14.11

6.97

XXX intracorporeal device. 33980......... ............ A........... Remove

64.86

NA

NA

23.09

24.17

8.59

090 intracorporeal device. 33999......... ............ C........... Cardiac surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 34001......... ............ A........... Removal of artery

17.78

NA

NA

6.37

6.54

1.85

090 clot. 34051......... ............ A........... Removal of artery

16.91

NA

NA

7.44

7.61

2.21

090 clot. 34101......... ............ A........... Removal of artery

10.85

NA

NA

4.30

4.83

1.41

090 clot. 34111......... ............ A........... Removal of arm

10.85

NA

NA

4.28

4.82

1.40

090 artery clot. 34151......... ............ A........... Removal of artery

26.41

NA

NA

8.66

9.53

3.56

090 clot. 34201......... ............ A........... Removal of artery

19.38

NA

NA

6.55

5.98

1.45

090 clot. 34203......... ............ A........... Removal of leg

17.73

NA

NA

6.38

7.22

2.36

090 artery clot. 34401......... ............ A........... Removal of vein

26.41

NA

NA

9.27

9.97

3.10

090 clot. 34421......... ............ A........... Removal of vein

13.29

NA

NA

5.20

5.75

1.55

090 clot. 34451......... ............ A........... Removal of vein

28.41

NA

NA

9.39

10.42

3.84

090 clot. 34471......... ............ A........... Removal of vein

21.00

NA

NA

7.87

6.59

1.18

090 clot. 34490......... ............ A........... Removal of vein

10.83

NA

NA

4.35

4.89

1.41

090 clot. 34501......... ............ A........... Repair valve,

16.74

NA

NA

6.43

7.46

2.35

090 femoral vein.

[[Page 2608]]

34502......... ............ A........... Reconstruct vena

27.86

NA

NA

10.49

11.39

3.63

090 cava. 34510......... ............ A........... Transposition of

19.80

NA

NA

7.53

8.47

2.33

090 vein valve. 34520......... ............ A........... Cross-over vein

19.05

NA

NA

7.02

7.74

2.29

090 graft. 34530......... ............ A........... Leg vein fusion... 17.77

NA

NA

6.77

7.69

1.74

090 34800......... ............ A........... Endovas aaa repr w/ 21.46

NA

NA

7.25

8.21

2.46

090 sm tube. 34802......... ............ A........... Endovas aaa repr w/ 23.71

NA

NA

8.18

8.99

2.33

090 2-p part. 34803......... ............ A........... Endovas aaa repr w/ 24.74

NA

NA

8.02

9.12

2.01

090 3-p part. 34804......... ............ A........... Endovas aaa repr w/ 23.71

NA

NA

8.07

8.94

2.30

090 1-p part. 34805......... ............ A........... Endovas aaa repr w/ 22.59

NA

NA

7.27

8.46

2.01

090 long tube. 34806......... ............ A........... Aneurysm press

2.06

0.51

0.51

0.51

0.51

0.30

ZZZ sensor add-on. 34808......... ............ A........... Endovas iliac a

4.12

NA

NA

1.05

1.21

0.59

ZZZ device addon. 34812......... ............ A........... Xpose for

6.74

NA

NA

1.67

1.95

1.18

000 endoprosth, femorl. 34813......... ............ A........... Femoral endovas

4.79

NA

NA

1.16

1.36

0.67

ZZZ graft add-on. 34820......... ............ A........... Xpose for

9.74

NA

NA

2.45

2.84

1.50

000 endoprosth, iliac. 34825......... ............ A........... Endovasc extend

12.72

NA

NA

5.15

5.65

1.28

090 prosth, init. 34826......... ............ A........... Endovasc exten

4.12

NA

NA

1.14

1.25

0.44

ZZZ prosth, add[AElig]l. 34830......... ............ A........... Open aortic tube

35.10

NA

NA

10.34

12.02

4.55

090 prosth repr. 34831......... ............ A........... Open aortoiliac

37.85

NA

NA

11.28

11.51

4.89

090 prosth repr. 34832......... ............ A........... Open aortofemor

37.85

NA

NA

11.81

13.22

4.85

090 prosth repr. 34833......... ............ A........... Xpose for

11.98

NA

NA

3.29

3.86

1.70

000 endoprosth, iliac. 34834......... ............ A........... Xpose, endoprosth,

5.34

NA

NA

1.57

1.88

0.76

000 brachial. 34900......... ............ A........... Endovasc iliac

16.77

NA

NA

6.06

6.82

2.00

090 repr w/graft. 35001......... ............ A........... Repair defect of

20.70

NA

NA

7.71

8.63

2.81

090 artery. 35002......... ............ A........... Repair artery

22.12

NA

NA

7.52

8.61

3.00

090 rupture, neck. 35005......... ............ A........... Repair defect of

19.18

NA

NA

8.53

8.69

1.77

090 artery. 35011......... ............ A........... Repair defect of

18.50

NA

NA

6.30

7.14

2.55

090 artery. 35013......... ............ A........... Repair artery

23.10

NA

NA

7.77

8.72

3.10

090 rupture, arm. 35021......... ............ A........... Repair defect of

22.09

NA

NA

8.47

8.94

2.87

090 artery. 35022......... ............ A........... Repair artery

25.62

NA

NA

10.59

10.22

3.17

090 rupture, chest. 35045......... ............ A........... Repair defect of

17.94

NA

NA

6.28

6.89

2.45

090 arm artery. 35081......... ............ A........... Repair defect of

33.37

NA

NA

10.71

11.09

4.01

090 artery. 35082......... ............ A........... Repair artery

41.93

NA

NA

12.78

14.04

5.44

090 rupture, aorta. 35091......... ............ A........... Repair defect of

35.35

NA

NA

10.00

11.79

5.14

090 artery. 35092......... ............ A........... Repair artery

50.81

NA

NA

14.51

16.08

6.40

090 rupture, aorta. 35102......... ............ A........... Repair defect of

36.37

NA

NA

11.30

11.83

4.48

090 artery. 35103......... ............ A........... Repair artery

43.49

NA

NA

12.64

14.25

5.76

090 rupture, groin. 35111......... ............ A........... Repair defect of

26.17

NA

NA

8.51

9.49

3.47

090 artery. 35112......... ............ A........... Repair artery

32.44

NA

NA

10.08

11.02

4.08

090 rupture,spleen. 35121......... ............ A........... Repair defect of

31.41

NA

NA

9.98

11.17

4.30

090 artery. 35122......... ............ A........... Repair artery

37.76

NA

NA

11.52

12.66

4.75

090 rupture, belly. 35131......... ............ A........... Repair defect of

26.29

NA

NA

8.64

9.69

3.80

090 artery. 35132......... ............ A........... Repair artery

32.44

NA

NA

10.29

11.34

4.30

090 rupture, groin. 35141......... ............ A........... Repair defect of

20.83

NA

NA

6.94

7.93

2.90

090 artery. 35142......... ............ A........... Repair artery

25.03

NA

NA

8.25

9.31

3.36

090 rupture, thigh. 35151......... ............ A........... Repair defect of

23.61

NA

NA

7.65

8.82

3.24

090 artery. 35152......... ............ A........... Repair artery

27.53

NA

NA

9.12

10.25

3.61

090 rupture, knee. 35180......... ............ A........... Repair blood

15.01

NA

NA

6.26

6.60

1.00

090 vessel lesion. 35182......... ............ A........... Repair blood

31.58

NA

NA

10.84

11.82

4.36

090 vessel lesion. 35184......... ............ A........... Repair blood

18.72

NA

NA

6.51

7.40

2.53

090 vessel lesion. 35188......... ............ A........... Repair blood

15.05

NA

NA

6.29

6.96

2.16

090 vessel lesion. 35189......... ............ A........... Repair blood

29.85

NA

NA

10.68

11.32

4.01

090 vessel lesion. 35190......... ............ A........... Repair blood

13.33

NA

NA

5.24

5.86

1.80

090 vessel lesion. 35201......... ............ A........... Repair blood

16.84

NA

NA

6.32

7.16

2.34

090 vessel lesion. 35206......... ............ A........... Repair blood

13.76

NA

NA

5.30

5.93

1.87

090 vessel lesion. 35207......... ............ A........... Repair blood

10.85

NA

NA

6.64

7.00

1.48

090 vessel lesion. 35211......... ............ A........... Repair blood

24.50

NA

NA

9.72

10.17

3.20

090 vessel lesion. 35216......... ............ A........... Repair blood

36.47

NA

NA

13.58

11.28

2.65

090 vessel lesion. 35221......... ............ A........... Repair blood

26.54

NA

NA

8.34

9.14

3.37

090 vessel lesion. 35226......... ............ A........... Repair blood

15.22

NA

NA

5.80

6.62

2.02

090 vessel lesion. 35231......... ............ A........... Repair blood

21.08

NA

NA

7.73

8.75

2.89

090 vessel lesion. 35236......... ............ A........... Repair blood

17.94

NA

NA

6.30

7.09

2.43

090 vessel lesion. 35241......... ............ A........... Repair blood

25.50

NA

NA

10.03

10.58

3.53

090 vessel lesion. 35246......... ............ A........... Repair blood

28.15

NA

NA

10.11

10.77

3.86

090 vessel lesion. 35251......... ............ A........... Repair blood

31.83

NA

NA

9.46

10.63

4.13

090 vessel lesion. 35256......... ............ A........... Repair blood

18.98

NA

NA

6.38

7.36

2.63

090 vessel lesion. 35261......... ............ A........... Repair blood

18.88

NA

NA

6.98

7.50

2.61

090 vessel lesion. 35266......... ............ A........... Repair blood

15.75

NA

NA

5.47

6.24

2.10

090 vessel lesion. 35271......... ............ A........... Repair blood

24.50

NA

NA

9.69

10.10

3.16

090 vessel lesion. 35276......... ............ A........... Repair blood

25.72

NA

NA

9.79

10.50

3.49

090 vessel lesion. 35281......... ............ A........... Repair blood

29.93

NA

NA

9.29

10.50

3.97

090 vessel lesion. 35286......... ............ A........... Repair blood

17.06

NA

NA

6.31

7.18

2.35

090 vessel lesion. 35301......... ............ A........... Rechanneling of

19.53

NA

NA

6.69

7.56

2.68

090 artery.

[[Page 2609]]

35302......... ............ A........... Rechanneling of

21.27

NA

NA

6.91

6.91

2.98

090 artery. 35303......... ............ A........... Rechanneling of

23.52

NA

NA

7.46

7.46

3.26

090 artery. 35304......... ............ A........... Rechanneling of

24.52

NA

NA

7.71

7.71

3.41

090 artery. 35305......... ............ A........... Rechanneling of

23.52

NA

NA

7.46

7.46

3.26

090 artery. 35306......... ............ A........... Rechanneling of

9.25

NA

NA

2.28

2.28

1.34

ZZZ artery. 35311......... ............ A........... Rechanneling of

28.52

NA

NA

9.64

10.69

3.42

090 artery. 35321......... ............ A........... Rechanneling of

16.51

NA

NA

5.78

6.58

2.25

090 artery. 35331......... ............ A........... Rechanneling of

27.61

NA

NA

8.82

10.03

3.83

090 artery. 35341......... ............ A........... Rechanneling of

26.10

NA

NA

8.25

9.56

3.78

090 artery. 35351......... ............ A........... Rechanneling of

24.53

NA

NA

7.65

8.62

3.35

090 artery. 35355......... ............ A........... Rechanneling of

19.78

NA

NA

6.36

7.22

2.67

090 artery. 35361......... ............ A........... Rechanneling of

30.11

NA

NA

9.60

10.65

4.15

090 artery. 35363......... ............ A........... Rechanneling of

32.22

NA

NA

10.44

11.52

4.33

090 artery. 35371......... ............ A........... Rechanneling of

15.23

NA

NA

5.33

6.14

2.14

090 artery. 35372......... ............ A........... Rechanneling of

18.50

NA

NA

6.13

7.09

2.63

090 artery. 35390......... ............ A........... Reoperation,

3.19

NA

NA

0.82

0.94

0.46

ZZZ carotid add-on. 35400......... ............ A........... Angioscopy........

3.00

NA

NA

0.72

0.91

0.43

ZZZ 35450......... ............ A........... Repair arterial

10.05

NA

NA

2.97

3.27

1.25

000 blockage. 35452......... ............ A........... Repair arterial

6.90

NA

NA

2.06

2.33

0.94

000 blockage. 35454......... ............ A........... Repair arterial

6.03

NA

NA

1.76

2.04

0.87

000 blockage. 35456......... ............ A........... Repair arterial

7.34

NA

NA

2.12

2.44

1.04

000 blockage. 35458......... ............ A........... Repair arterial

9.48

NA

NA

2.80

3.14

1.26

000 blockage. 35459......... ............ A........... Repair arterial

8.62

NA

NA

2.65

2.91

1.21

000 blockage. 35460......... ............ A........... Repair venous

6.03

NA

NA

1.75

2.01

0.83

000 blockage. 35470......... ............ A........... Repair arterial

8.62

61.19

75.06

3.44

3.40

0.69

000 blockage. 35471......... ............ A........... Repair arterial

10.05

66.05

83.19

4.69

4.32

0.67

000 blockage. 35472......... ............ A........... Repair arterial

6.90

47.53

55.97

2.81

2.78

0.58

000 blockage. 35473......... ............ A........... Repair arterial

6.03

46.56

53.22

2.50

2.46

0.51

000 blockage. 35474......... ............ A........... Repair arterial

7.35

60.44

74.11

2.98

2.94

0.57

000 blockage. 35475......... ............ R........... Repair arterial

9.48

48.69

52.41

3.39

3.47

0.62

000 blockage. 35476......... ............ A........... Repair venous

6.03

37.15

40.96

2.23

2.29

0.34

000 blockage. 35480......... ............ A........... Atherectomy, open. 11.06

NA

NA

4.05

4.04

1.28

000 35481......... ............ A........... Atherectomy, open.

7.60

NA

NA

2.57

2.72

1.13

000 35482......... ............ A........... Atherectomy, open.

6.64

NA

NA

2.01

2.29

0.89

000 35483......... ............ A........... Atherectomy, open.

8.09

NA

NA

2.57

2.79

1.15

000 35484......... ............ A........... Atherectomy, open. 10.42

NA

NA

2.90

3.34

1.27

000 35485......... ............ A........... Atherectomy, open.

9.48

NA

NA

2.87

3.20

1.35

000 35490......... ............ A........... Atherectomy,

11.06

NA

NA

5.18

4.94

0.71

000 percutaneous. 35491......... ............ A........... Atherectomy,

7.60

NA

NA

3.86

3.57

0.74

000 percutaneous. 35492......... ............ A........... Atherectomy,

6.64

NA

NA

3.49

3.34

0.43

000 percutaneous. 35493......... ............ A........... Atherectomy,

8.09

NA

NA

3.97

3.88

0.56

000 percutaneous. 35494......... ............ A........... Atherectomy,

10.42

NA

NA

5.15

4.81

0.59

000 percutaneous. 35495......... ............ A........... Atherectomy,

9.48

NA

NA

4.45

4.42

0.69

000 percutaneous. 35500......... ............ A........... Harvest vein for

6.44

NA

NA

1.60

1.81

0.93

ZZZ bypass. 35501......... ............ A........... Artery bypass

28.99

NA

NA

11.07

9.77

4.10

090 graft. 35506......... ............ A........... Artery bypass

25.23

NA

NA

8.32

8.89

2.87

090 graft. 35508......... ............ A........... Artery bypass

25.99

NA

NA

8.77

9.11

2.78

090 graft. 35509......... ............ A........... Artery bypass

27.99

NA

NA

10.79

9.78

3.92

090 graft. 35510......... ............ A........... Artery bypass

24.29

NA

NA

7.70

8.94

2.12

090 graft. 35511......... ............ A........... Artery bypass

22.12

NA

NA

7.66

8.51

2.91

090 graft. 35512......... ............ A........... Artery bypass

23.79

NA

NA

7.48

8.74

2.12

090 graft. 35515......... ............ A........... Artery bypass

25.99

NA

NA

9.09

9.19

2.78

090 graft. 35516......... ............ A........... Artery bypass

24.11

NA

NA

7.46

7.13

2.34

090 graft. 35518......... ............ A........... Artery bypass

22.57

NA

NA

7.33

8.15

3.03

090 graft. 35521......... ............ A........... Artery bypass

24.00

NA

NA

7.95

8.89

3.13

090 graft. 35522......... ............ A........... Artery bypass

23.05

NA

NA

7.40

8.58

2.12

090 graft. 35523......... ............ A........... Artery bypass

24.00

NA

NA

9.22

9.22

2.14

090 graft. 35525......... ............ A........... Artery bypass

21.59

NA

NA

7.04

8.21

2.12

090 graft. 35526......... ............ A........... Artery bypass

31.47

NA

NA

14.04

13.28

3.63

090 graft. 35531......... ............ A........... Artery bypass

38.98

NA

NA

11.48

12.98

5.18

090 graft. 35533......... ............ A........... Artery bypass

29.79

NA

NA

9.50

10.61

3.85

090 graft. 35536......... ............ A........... Artery bypass

33.60

NA

NA

9.51

11.23

4.62

090 graft. 35537......... ............ A........... Artery bypass

41.75

NA

NA

13.10

13.10

5.72

090 graft. 35538......... ............ A........... Artery bypass

46.82

NA

NA

14.45

14.45

6.39

090 graft. 35539......... ............ A........... Artery bypass

43.98

NA

NA

13.47

13.47

6.02

090 graft. 35540......... ............ A........... Artery bypass

49.20

NA

NA

14.82

14.82

6.76

090 graft. 35548......... ............ A........... Artery bypass

22.57

NA

NA

7.74

8.58

2.98

090 graft. 35549......... ............ A........... Artery bypass

24.34

NA

NA

8.74

9.56

3.30

090 graft. 35551......... ............ A........... Artery bypass

27.72

NA

NA

9.38

10.44

3.75

090 graft. 35556......... ............ A........... Artery bypass

26.62

NA

NA

8.64

9.18

3.10

090 graft. 35558......... ............ A........... Artery bypass

23.00

NA

NA

7.87

8.71

3.00

090 graft. 35560......... ............ A........... Artery bypass

33.90

NA

NA

10.63

11.97

4.75

090 graft.

[[Page 2610]]

35563......... ............ A........... Artery bypass

25.99

NA

NA

8.88

9.70

3.52

090 graft. 35565......... ............ A........... Artery bypass

25.00

NA

NA

8.17

9.15

3.30

090 graft. 35566......... ............ A........... Artery bypass

32.22

NA

NA

9.85

10.62

3.83

090 graft. 35571......... ............ A........... Artery bypass

25.39

NA

NA

8.09

9.47

3.43

090 graft. 35572......... ............ A........... Harvest

6.81

NA

NA

1.92

2.08

0.99

ZZZ femoropopliteal vein. 35583......... ............ A........... Vein bypass graft. 27.62

NA

NA

8.64

9.40

3.17

090 35585......... ............ A........... Vein bypass graft. 32.22

NA

NA

10.11

11.17

4.02

090 35587......... ............ A........... Vein bypass graft. 26.08

NA

NA

8.51

9.98

3.52

090 35600......... ............ A........... Harvest art for

4.94

NA

NA

1.52

1.57

0.73

ZZZ cabg add-on. 35601......... ............ A........... Artery bypass

26.99

NA

NA

10.43

9.53

3.72

090 graft. 35606......... ............ A........... Artery bypass

22.36

NA

NA

7.30

8.16

2.70

090 graft. 35612......... ............ A........... Artery bypass

16.71

NA

NA

6.31

7.10

2.09

090 graft. 35616......... ............ A........... Artery bypass

21.74

NA

NA

7.13

7.62

2.20

090 graft. 35621......... ............ A........... Artery bypass

20.95

NA

NA

6.78

7.73

2.92

090 graft. 35623......... ............ A........... Bypass graft, not

25.79

NA

NA

8.44

9.47

3.46

090 vein. 35626......... ............ A........... Artery bypass

29.06

NA

NA

10.28

11.13

4.08

090 graft. 35631......... ............ A........... Artery bypass

35.90

NA

NA

10.56

12.20

4.96

090 graft. 35636......... ............ A........... Artery bypass

31.62

NA

NA

9.72

11.01

4.10

090 graft. 35637......... ............ A........... Artery bypass

32.92

NA

NA

10.65

10.65

4.44

090 graft. 35638......... ............ A........... Artery bypass

33.47

NA

NA

10.79

10.79

4.52

090 graft. 35642......... ............ A........... Artery bypass

18.85

NA

NA

6.22

7.45

2.28

090 graft. 35645......... ............ A........... Artery bypass

18.34

NA

NA

7.98

8.13

2.50

090 graft. 35646......... ............ A........... Artery bypass

32.84

NA

NA

10.45

11.78

4.44

090 graft. 35647......... ............ A........... Artery bypass

29.62

NA

NA

9.66

10.72

3.99

090 graft. 35650......... ............ A........... Artery bypass

20.08

NA

NA

6.93

7.65

2.72

090 graft. 35651......... ............ A........... Artery bypass

25.97

NA

NA

8.71

9.72

3.36

090 graft. 35654......... ............ A........... Artery bypass

26.17

NA

NA

8.36

9.51

3.53

090 graft. 35656......... ............ A........... Artery bypass

20.39

NA

NA

6.84

7.72

2.80

090 graft. 35661......... ............ A........... Artery bypass

20.22

NA

NA

7.04

7.99

2.72

090 graft. 35663......... ............ A........... Artery bypass

23.80

NA

NA

7.90

8.94

3.11

090 graft. 35665......... ............ A........... Artery bypass

22.22

NA

NA

7.36

8.41

3.01

090 graft. 35666......... ............ A........... Artery bypass

23.53

NA

NA

8.51

9.58

3.16

090 graft. 35671......... ............ A........... Artery bypass

20.64

NA

NA

7.63

8.50

2.78

090 graft. 35681......... ............ A........... Composite bypass

1.60

NA

NA

0.40

0.47

0.23

ZZZ graft. 35682......... ............ A........... Composite bypass

7.19

NA

NA

1.70

2.04

1.03

ZZZ graft. 35683......... ............ A........... Composite bypass

8.49

NA

NA

1.96

2.39

1.20

ZZZ graft. 35685......... ............ A........... Bypass graft

4.04

NA

NA

0.96

1.15

0.58

ZZZ patency/patch. 35686......... ............ A........... Bypass graft/av

3.34

NA

NA

0.85

0.99

0.47

ZZZ fist patency. 35691......... ............ A........... Arterial

18.32

NA

NA

5.95

7.18

2.59

090 transposition. 35693......... ............ A........... Arterial

15.64

NA

NA

6.12

6.92

2.22

090 transposition. 35694......... ............ A........... Arterial

19.19

NA

NA

6.32

7.46

2.70

090 transposition. 35695......... ............ A........... Arterial

19.97

NA

NA

6.71

7.63

2.74

090 transposition. 35697......... ............ A........... Reimplant artery

3.00

NA

NA

0.74

0.88

0.41

ZZZ each. 35700......... ............ A........... Reoperation,

3.08

NA

NA

0.77

0.89

0.44

ZZZ bypass graft. 35701......... ............ A........... Exploration,

9.11

NA

NA

4.32

4.73

1.12

090 carotid artery. 35721......... ............ A........... Exploration,

7.66

NA

NA

3.83

4.13

1.03

090 femoral artery. 35741......... ............ A........... Exploration

8.61

NA

NA

3.87

4.26

1.12

090 popliteal artery. 35761......... ............ A........... Exploration of

5.84

NA

NA

3.44

3.72

0.75

090 artery/vein. 35800......... ............ A........... Explore neck

7.99

NA

NA

3.95

4.30

0.95

090 vessels. 35820......... ............ A........... Explore chest

36.81

NA

NA

12.91

10.06

1.95

090 vessels. 35840......... ............ A........... Explore abdominal

10.87

NA

NA

4.81

5.05

1.34

090 vessels. 35860......... ............ A........... Explore limb

6.72

NA

NA

3.38

3.71

0.78

090 vessels. 35870......... ............ A........... Repair vessel

24.39

NA

NA

7.92

8.85

3.01

090 graft defect. 35875......... ............ A........... Removal of clot in 10.64

NA

NA

4.29

4.74

1.41

090 graft. 35876......... ............ A........... Removal of clot in 17.74

NA

NA

5.95

6.73

2.40

090 graft. 35879......... ............ A........... Revise graft w/

17.28

NA

NA

5.98

6.83

2.28

090 vein. 35881......... ............ A........... Revise graft w/

19.22

NA

NA

6.46

7.57

2.56

090 vein. 35883......... ............ A........... Revise graft w/

23.07

NA

NA

8.50

8.50

3.19

090 nonauto graft. 35884......... ............ A........... Revise graft w/

24.57

NA

NA

8.94

8.94

3.41

090 vein. 35901......... ............ A........... Excision, graft,

8.26

NA

NA

4.24

4.77

1.15

090 neck. 35903......... ............ A........... Excision, graft,

9.44

NA

NA

4.60

5.38

1.30

090 extremity. 35905......... ............ A........... Excision, graft,

33.39

NA

NA

10.66

11.92

4.44

090 thorax. 35907......... ............ A........... Excision, graft,

37.14

NA

NA

10.89

12.53

4.92

090 abdomen. 36000......... ............ A........... Place needle in

0.18

0.46

0.51

0.06

0.06

0.01

XXX vein. 36002......... ............ A........... Pseudoaneurysm

1.96

2.24

2.55

0.86

0.91

0.17

000 injection trt. 36005......... ............ A........... Injection ext

0.95

8.47

8.06

0.39

0.35

0.05

000 venography. 36010......... ............ A........... Place catheter in

2.43

11.10

15.21

0.78

0.79

0.20

XXX vein. 36011......... ............ A........... Place catheter in

3.14

19.63

23.73

1.01

1.03

0.27

XXX vein. 36012......... ............ A........... Place catheter in

3.51

20.26

19.61

1.28

1.23

0.23

XXX vein. 36013......... ............ A........... Place catheter in

2.52

18.79

20.08

0.93

0.81

0.25

XXX artery. 36014......... ............ A........... Place catheter in

3.02

18.96

19.55

1.11

1.07

0.19

XXX artery. 36015......... ............ A........... Place catheter in

3.51

18.56

21.12

1.05

1.12

0.21

XXX artery.

[[Page 2611]]

36100......... ............ A........... Establish access

3.02

11.25

11.66

1.21

1.16

0.26

XXX to artery. 36120......... ............ A........... Establish access

2.01

9.21

9.96

0.59

0.62

0.14

XXX to artery. 36140......... ............ A........... Establish access

2.01

10.49

11.63

0.71

0.67

0.16

XXX to artery. 36145......... ............ A........... Artery to vein

2.01

10.29

11.43

0.66

0.66

0.11

XXX shunt. 36160......... ............ A........... Establish access

2.52

11.55

12.52

1.05

0.95

0.26

XXX to aorta. 36200......... ............ A........... Place catheter in

3.02

13.67

15.10

1.02

1.01

0.24

XXX aorta. 36215......... ............ A........... Place catheter in

4.67

25.97

26.51

1.89

1.75

0.27

XXX artery. 36216......... ............ A........... Place catheter in

5.27

28.06

28.58

2.09

1.94

0.31

XXX artery. 36217......... ............ A........... Place catheter in

6.29

45.91

50.69

2.43

2.30

0.44

XXX artery. 36218......... ............ A........... Place catheter in

1.01

3.77

4.43

0.39

0.36

0.07

ZZZ artery. 36245......... ............ A........... Place catheter in

4.67

28.80

30.46

2.12

1.90

0.31

XXX artery. 36246......... ............ A........... Place catheter in

5.27

27.45

28.72

1.99

1.91

0.38

XXX artery. 36247......... ............ A........... Place catheter in

6.29

45.20

47.37

2.36

2.25

0.47

XXX artery. 36248......... ............ A........... Place catheter in

1.01

3.18

3.61

0.38

0.36

0.07

ZZZ artery. 36260......... ............ A........... Insertion of

9.82

NA

NA

4.65

4.76

1.29

090 infusion pump. 36261......... ............ A........... Revision of

5.55

NA

NA

3.06

3.36

0.70

090 infusion pump. 36262......... ............ A........... Removal of

4.05

NA

NA

2.71

2.73

0.54

090 infusion pump. 36299......... ............ C........... Vessel injection

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 36400......... ............ A........... Bl draw 3 yrs. 36415......... ............ X........... Routine

0.00

0.00

0.00

0.00

0.00

0.00

XXX venipuncture. 36416......... ............ B........... Capillary blood

0.00

0.00

0.00

0.00

0.00

0.00

XXX draw. 36420......... ............ A........... Vein access

1.01

NA

NA

0.21

0.24

0.07

XXX cutdown 1 yr. 36430......... ............ A........... Blood transfusion

0.00

0.94

0.97

NA

NA

0.06

XXX service. 36440......... ............ A........... Bl push transfuse,

1.03

NA

NA

0.25

0.27

0.10

XXX 2 yr or 5 yr. 49507......... ............ A........... Prp i/hern init

9.97

NA

NA

4.45

4.45

1.27

090 block >5 yr. 49520......... ............ A........... Rerepair ing

9.91

NA

NA

4.38

4.40

1.28

090 hernia, reduce. 49521......... ............ A........... Rerepair ing

12.36

NA

NA

4.98

5.11

1.59

090 hernia, blocked. 49525......... ............ A........... Repair ing hernia,

8.85

NA

NA

4.12

4.10

1.13

090 sliding. 49540......... ............ A........... Repair lumbar

10.66

NA

NA

4.58

4.66

1.37

090 hernia. 49550......... ............ A........... Rpr rem hernia,

8.91

NA

NA

4.11

4.12

1.14

090 init, reduce. 49553......... ............ A........... Rpr fem hernia,

9.84

NA

NA

4.42

4.41

1.24

090 init blocked. 49555......... ............ A........... Rerepair fem

9.31

NA

NA

4.20

4.23

1.20

090 hernia, reduce. 49557......... ............ A........... Rerepair fem

11.54

NA

NA

4.83

4.91

1.47

090 hernia, blocked. 49560......... ............ A........... Rpr ventral hern

11.84

NA

NA

4.88

5.01

1.52

090 init, reduc. 49561......... ............ A........... Rpr ventral hern

15.30

NA

NA

5.80

5.93

1.89

090 init, block. 49565......... ............ A........... Rerepair ventrl

12.29

NA

NA

5.08

5.15

1.52

090 hern, reduce. 49566......... ............ A........... Rerepair ventrl

15.45

NA

NA

5.85

5.99

1.91

090 hern, block. 49568......... ............ A........... Hernia repair w/

4.88

NA

NA

1.24

1.45

0.64

ZZZ mesh. 49570......... ............ A........... Rpr epigastric

5.97

NA

NA

3.38

3.27

0.75

090 hern, reduce. 49572......... ............ A........... Rpr epigastric

7.79

NA

NA

3.83

3.64

0.88

090 hern, blocked. 49580......... ............ A........... Rpr umbil hern,

4.39

NA

NA

2.95

2.77

0.54

090 reduc 5 yr. 49587......... ............ A........... Rpr umbil hern,

7.96

NA

NA

3.86

3.80

0.99

090 block > 5 yr. 49590......... ............ A........... Repair spigelian

8.82

NA

NA

4.09

4.08

1.13

090 hernia. 49600......... ............ A........... Repair umbilical

11.47

NA

NA

5.38

5.35

1.32

090 lesion. 49605......... ............ A........... Repair umbilical

86.85

NA

NA

27.59

28.05

9.39

090 lesion. 49606......... ............ A........... Repair umbilical

18.92

NA

NA

6.78

7.23

2.46

090 lesion. 49610......... ............ A........... Repair umbilical

10.83

NA

NA

5.29

5.24

1.07

090 lesion. 49611......... ............ A........... Repair umbilical

9.26

NA

NA

4.21

5.59

0.78

090 lesion. 49650......... ............ A........... Laparo hernia

6.30

NA

NA

3.35

3.27

0.93

090 repair initial. 49651......... ............ A........... Laparo hernia

8.29

NA

NA

4.23

4.13

1.14

090 repair recur. 49659......... ............ C........... Laparo proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY hernia repair. 49900......... ............ A........... Repair of

12.26

NA

NA

6.29

6.26

1.62

090 abdominal wall. 49904......... ............ A........... Omental flap,

22.16

NA

NA

11.89

13.55

2.70

090 extra-abdom. 49905......... ............ A........... Omental flap,

6.54

NA

NA

1.69

1.99

0.75

ZZZ intra-abdom. 49906......... ............ C........... Free omental flap,

0.00

0.00

0.00

0.00

0.00

0.00

090 microvasc. 49999......... ............ C........... Abdomen surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 50010......... ............ A........... Exploration of

12.13

NA

NA

6.73

5.98

0.93

090 kidney. 50020......... ............ A........... Renal abscess,

17.88

NA

NA

8.49

8.12

1.34

090 open drain. 50021......... ............ A........... Renal abscess,

3.37

21.11

21.39

1.22

1.16

0.20

000 percut drain.

[[Page 2626]]

50040......... ............ A........... Drainage of kidney 16.48

NA

NA

8.83

7.82

1.03

090 50045......... ............ A........... Exploration of

16.67

NA

NA

8.15

7.37

1.24

090 kidney. 50060......... ............ A........... Removal of kidney

20.80

NA

NA

10.83

9.33

1.36

090 stone. 50065......... ............ A........... Incision of kidney 22.17

NA

NA

11.53

8.80

1.59

090 50070......... ............ A........... Incision of kidney 21.70

NA

NA

11.34

9.77

1.44

090 50075......... ............ A........... Removal of kidney

26.91

NA

NA

13.51

11.70

1.81

090 stone. 50080......... ............ A........... Removal of kidney

15.61

NA

NA

8.56

7.42

1.04

090 stone. 50081......... ............ A........... Removal of kidney

23.32

NA

NA

12.18

10.47

1.54

090 stone. 50100......... ............ A........... Revise kidney

17.30

NA

NA

6.52

7.15

2.07

090 blood vessels. 50120......... ............ A........... Exploration of

17.06

NA

NA

9.12

7.94

1.21

090 kidney. 50125......... ............ A........... Explore and drain

17.67

NA

NA

9.72

8.34

1.43

090 kidney. 50130......... ............ A........... Removal of kidney

18.67

NA

NA

10.06

8.61

1.22

090 stone. 50135......... ............ A........... Exploration of

20.44

NA

NA

10.70

9.24

1.33

090 kidney. 50200......... ............ A........... Biopsy of kidney..

2.63

NA

NA

1.19

1.24

0.16

000 50205......... ............ A........... Biopsy of kidney.. 12.19

NA

NA

5.51

5.26

1.30

090 50220......... ............ A........... Remove kidney,

18.53

NA

NA

9.52

8.38

1.35

090 open. 50225......... ............ A........... Removal kidney

21.73

NA

NA

11.02

9.58

1.50

090 open, complex. 50230......... ............ A........... Removal kidney

23.68

NA

NA

11.65

10.11

1.55

090 open, radical. 50234......... ............ A........... Removal of kidney

23.90

NA

NA

12.04

10.44

1.59

090 & ureter. 50236......... ............ A........... Removal of kidney

26.74

NA

NA

13.92

12.08

1.77

090 & ureter. 50240......... ............ A........... Partial removal of 24.01

NA

NA

12.61

10.81

1.55

090 kidney. 50250......... ............ A........... Cryoablate renal

22.06

NA

NA

11.49

10.33

1.39

090 mass open. 50280......... ............ A........... Removal of kidney

16.94

NA

NA

9.07

7.88

1.19

090 lesion. 50290......... ............ A........... Removal of kidney

16.00

NA

NA

7.74

7.10

1.41

090 lesion. 50300......... ............ X........... Remove cadaver

0.00

0.00

0.00

0.00

0.00

0.00

XXX donor kidney. 50320......... ............ A........... Remove kidney,

22.28

NA

NA

12.31

11.48

2.36

090 living donor. 50323......... ............ C........... Prep cadaver renal

0.00

0.00

0.00

0.00

0.00

0.00

XXX allograft. 50325......... ............ C........... Prep donor renal

0.00

0.00

0.00

0.00

0.00

0.00

XXX graft. 50327......... ............ A........... Prep renal graft/

4.00

NA

NA

1.10

1.22

0.29

XXX venous. 50328......... ............ A........... Prep renal graft/

3.50

NA

NA

0.98

1.08

0.26

XXX arterial. 50329......... ............ A........... Prep renal graft/

3.34

NA

NA

1.05

1.09

0.25

XXX ureteral. 50340......... ............ A........... Removal of kidney. 13.86

NA

NA

7.81

7.15

1.65

090 50360......... ............ A........... Transplantation of 40.45

NA

NA

18.68

17.08

3.82

090 kidney. 50365......... ............ A........... Transplantation of 45.68

NA

NA

19.42

18.81

4.43

090 kidney. 50370......... ............ A........... Remove

18.68

NA

NA

9.19

8.17

1.68

090 transplanted kidney. 50380......... ............ A........... Reimplantation of

29.66

NA

NA

16.21

14.12

2.51

090 kidney. 50382......... ............ A........... Change ureter

5.50

26.38

31.26

2.05

1.96

0.34

000 stent, percut. 50384......... ............ A........... Remove ureter

5.00

20.68

27.96

1.86

1.78

0.31

000 stent, percut. 50385......... ............ A........... Change stent via

4.44

30.64

30.64

2.05

2.05

0.27

000 transureth. 50386......... ............ A........... Remove stent via

3.30

19.38

19.38

1.61

1.61

0.20

000 transureth. 50387......... ............ A........... Change ext/int

2.00

12.61

15.42

0.73

0.70

0.12

000 ureter stent. 50389......... ............ A........... Remove renal tube

1.10

6.68

9.72

0.40

0.39

0.07

000 w/fluoro. 50390......... ............ A........... Drainage of kidney

1.96

NA

NA

0.71

0.67

0.12

000 lesion. 50391......... ............ A........... Instll rx agnt

1.96

1.38

1.48

0.72

0.67

0.14

000 into rnal tub. 50392......... ............ A........... Insert kidney

3.37

NA

NA

1.52

1.52

0.20

000 drain. 50393......... ............ A........... Insert ureteral

4.15

NA

NA

1.80

1.80

0.25

000 tube. 50394......... ............ A........... Injection for

0.76

1.87

2.28

0.58

0.62

0.05

000 kidney x-ray. 50395......... ............ A........... Create passage to

3.37

NA

NA

1.57

1.53

0.21

000 kidney. 50396......... ............ A........... Measure kidney

2.09

NA

NA

1.08

1.08

0.13

000 pressure. 50398......... ............ A........... Change kidney tube

1.46

11.85

14.08

0.57

0.54

0.09

000 50400......... ............ A........... Revision of kidney/ 21.12

NA

NA

10.95

9.41

1.38

090 ureter. 50405......... ............ A........... Revision of kidney/ 25.68

NA

NA

12.91

10.97

1.79

090 ureter. 50500......... ............ A........... Repair of kidney

21.07

NA

NA

8.70

8.54

2.02

090 wound. 50520......... ............ A........... Close kidney-skin

18.73

NA

NA

9.25

8.34

1.49

090 fistula. 50525......... ............ A........... Repair renal-

24.21

NA

NA

11.80

10.40

1.84

090 abdomen fistula. 50526......... ............ A........... Repair renal-

26.13

NA

NA

8.16

9.01

1.97

090 abdomen fistula. 50540......... ............ A........... Revision of

20.95

NA

NA

10.62

9.47

1.36

090 horseshoe kidney. 50541......... ............ A........... Laparo ablate

16.76

NA

NA

8.70

7.59

1.13

090 renal cyst. 50542......... ............ A........... Laparo ablate

21.18

NA

NA

11.18

9.66

1.39

090 renal mass. 50543......... ............ A........... Laparo partial

27.18

NA

NA

14.10

12.15

1.81

090 nephrectomy. 50544......... ............ A........... Laparoscopy,

23.27

NA

NA

11.44

9.98

1.58

090 pyeloplasty. 50545......... ............ A........... Laparo radical

24.93

NA

NA

12.15

10.67

1.71

090 nephrectomy. 50546......... ............ A........... Laparoscopic

21.69

NA

NA

11.29

9.83

1.57

090 nephrectomy. 50547......... ............ A........... Laparo removal

26.24

NA

NA

12.48

11.79

2.77

090 donor kidney. 50548......... ............ A........... Laparo remove w/

25.26

NA

NA

12.12

10.65

1.73

090 ureter. 50549......... ............ C........... Laparoscope proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY renal. 50551......... ............ A........... Kidney endoscopy..

5.59

4.60

4.37

2.65

2.31

0.40

000 50553......... ............ A........... Kidney endoscopy..

5.98

4.50

4.43

2.63

2.40

0.39

000 50555......... ............ A........... Kidney endoscopy &

6.52

5.10

4.95

3.02

2.68

0.45

000 biopsy. 50557......... ............ A........... Kidney endoscopy &

6.61

5.27

4.92

3.07

2.68

0.47

000 treatment. 50561......... ............ A........... Kidney endoscopy &

7.58

5.81

5.45

3.41

3.03

0.54

000 treatment. 50562......... ............ A........... Renal scope w/

10.90

NA

NA

5.36

4.84

0.73

090 tumor resect.

[[Page 2627]]

50570......... ............ A........... Kidney endoscopy..

9.53

NA

NA

4.15

3.68

0.68

000 50572......... ............ A........... Kidney endoscopy.. 10.33

NA

NA

4.32

3.91

0.85

000 50574......... ............ A........... Kidney endoscopy & 11.00

NA

NA

4.79

4.27

0.77

000 biopsy. 50575......... ............ A........... Kidney endoscopy.. 13.96

NA

NA

5.96

5.29

0.99

000 50576......... ............ A........... Kidney endoscopy & 10.97

NA

NA

4.78

4.22

0.78

000 treatment. 50580......... ............ A........... Kidney endoscopy & 11.84

NA

NA

5.10

4.53

0.83

000 treatment. 50590......... ............ A........... Fragmenting of

9.64

17.10

14.75

6.13

5.12

0.65

090 kidney stone. 50592......... ............ A........... Perc rf ablate

6.77

75.49 112.31

3.00

2.99

0.43

010 renal tumor. 50593......... ............ A........... Perc cryo ablate

9.08 114.62 114.62

3.45

3.45

0.58

010 renal tum. 50600......... ............ A........... Exploration of

17.04

NA

NA

8.51

7.59

1.13

090 ureter. 50605......... ............ A........... Insert ureteral

16.66

NA

NA

7.89

7.31

1.45

090 support. 50610......... ............ A........... Removal of ureter

17.12

NA

NA

8.98

7.97

1.43

090 stone. 50620......... ............ A........... Removal of ureter

16.30

NA

NA

8.88

7.61

1.07

090 stone. 50630......... ............ A........... Removal of ureter

16.08

NA

NA

8.20

7.24

1.09

090 stone. 50650......... ............ A........... Removal of ureter. 18.67

NA

NA

9.96

8.59

1.23

090 50660......... ............ A........... Removal of ureter. 20.87

NA

NA

10.73

9.34

1.38

090 50684......... ............ A........... Injection for

0.76

3.97

4.47

0.63

0.55

0.05

000 ureter x-ray. 50686......... ............ A........... Measure ureter

1.51

2.30

2.87

0.81

0.82

0.11

000 pressure. 50688......... ............ A........... Change of ureter

1.18

NA

NA

0.95

1.01

0.07

010 tube/stent. 50690......... ............ A........... Injection for

1.16

1.45

1.64

0.75

0.73

0.07

000 ureter x-ray. 50700......... ............ A........... Revision of ureter 16.54

NA

NA

8.76

7.94

1.27

090 50715......... ............ A........... Release of ureter. 20.49

NA

NA

8.54

8.64

2.14

090 50722......... ............ A........... Release of ureter. 17.80

NA

NA

7.27

7.54

1.91

090 50725......... ............ A........... Release/revise

20.05

NA

NA

8.82

8.43

1.52

090 ureter. 50727......... ............ A........... Revise ureter.....

8.17

NA

NA

5.73

5.00

0.61

090 50728......... ............ A........... Revise ureter..... 12.00

NA

NA

6.75

6.15

1.00

090 50740......... ............ A........... Fusion of ureter & 19.92

NA

NA

8.98

8.35

1.97

090 kidney. 50750......... ............ A........... Fusion of ureter & 21.07

NA

NA

11.08

9.53

1.38

090 kidney. 50760......... ............ A........... Fusion of ureters. 19.92

NA

NA

9.90

8.78

1.55

090 50770......... ............ A........... Splicing of

21.07

NA

NA

10.88

9.43

1.45

090 ureters. 50780......... ............ A........... Reimplant ureter

19.80

NA

NA

10.11

8.85

1.51

090 in bladder. 50782......... ............ A........... Reimplant ureter

19.51

NA

NA

9.89

9.33

1.61

090 in bladder. 50783......... ............ A........... Reimplant ureter

20.52

NA

NA

10.12

9.17

1.99

090 in bladder. 50785......... ............ A........... Reimplant ureter

22.08

NA

NA

11.20

9.74

1.45

090 in bladder. 50800......... ............ A........... Implant ureter in

16.23

NA

NA

9.17

7.82

1.19

090 bowel. 50810......... ............ A........... Fusion of ureter & 22.38

NA

NA

10.58

9.83

2.32

090 bowel. 50815......... ............ A........... Urine shunt to

22.06

NA

NA

11.47

9.95

1.54

090 intestine. 50820......... ............ A........... Construct bowel

23.89

NA

NA

11.86

10.25

1.90

090 bladder. 50825......... ............ A........... Construct bowel

30.48

NA

NA

14.91

13.02

2.08

090 bladder. 50830......... ............ A........... Revise urine flow. 33.57

NA

NA

15.62

13.90

2.38

090 50840......... ............ A........... Replace ureter by

22.19

NA

NA

11.93

10.18

1.47

090 bowel. 50845......... ............ A........... Appendico-

22.21

NA

NA

12.07

10.48

1.57

090 vesicostomy. 50860......... ............ A........... Transplant ureter

16.93

NA

NA

9.22

7.92

1.29

090 to skin. 50900......... ............ A........... Repair of ureter.. 14.89

NA

NA

7.99

7.06

1.14

090 50920......... ............ A........... Closure ureter/

15.66

NA

NA

8.52

7.54

1.01

090 skin fistula. 50930......... ............ A........... Closure ureter/

20.04

NA

NA

9.49

8.73

1.28

090 bowel fistula. 50940......... ............ A........... Release of ureter. 15.78

NA

NA

7.79

7.09

1.26

090 50945......... ............ A........... Laparoscopy

17.87

NA

NA

9.29

8.16

1.36

090 ureterolithotomy. 50947......... ............ A........... Laparo new ureter/ 25.63

NA

NA

12.29

10.99

2.17

090 bladder. 50948......... ............ A........... Laparo new ureter/ 23.69

NA

NA

11.19

9.94

1.71

090 bladder. 50949......... ............ C........... Laparoscope proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY ureter. 50951......... ............ A........... Endoscopy of

5.83

4.82

4.56

2.76

2.41

0.41

000 ureter. 50953......... ............ A........... Endoscopy of

6.23

4.93

4.67

3.22

2.79

0.43

000 ureter. 50955......... ............ A........... Ureter endoscopy &

6.74

5.15

5.78

3.45

3.07

0.48

000 biopsy. 50957......... ............ A........... Ureter endoscopy &

6.78

5.38

4.97

3.14

2.76

0.48

000 treatment. 50961......... ............ A........... Ureter endoscopy &

6.04

4.75

4.55

2.79

2.49

0.41

000 treatment. 50970......... ............ A........... Ureter endoscopy..

7.13

NA

NA

3.24

2.85

0.52

000 50972......... ............ A........... Ureter endoscopy &

6.88

NA

NA

3.05

2.76

0.49

000 catheter. 50974......... ............ A........... Ureter endoscopy &

9.16

NA

NA

3.77

3.44

0.64

000 biopsy. 50976......... ............ A........... Ureter endoscopy &

9.03

NA

NA

3.85

3.46

0.66

000 treatment. 50980......... ............ A........... Ureter endoscopy &

6.84

NA

NA

3.12

2.75

0.48

000 treatment. 51020......... ............ A........... Incise & treat

7.56

NA

NA

5.39

4.62

0.47

090 bladder. 51030......... ............ A........... Incise & treat

7.68

NA

NA

4.90

4.43

0.58

090 bladder. 51040......... ............ A........... Incise & drain

4.43

NA

NA

3.69

3.23

0.31

090 bladder. 51045......... ............ A........... Incise bladder/

7.68

NA

NA

5.15

4.54

0.52

090 drain ureter. 51050......... ............ A........... Removal of bladder

7.87

NA

NA

5.33

4.48

0.49

090 stone. 51060......... ............ A........... Removal of ureter

9.82

NA

NA

6.42

5.46

0.62

090 stone. 51065......... ............ A........... Remove ureter

9.82

NA

NA

6.25

5.30

0.63

090 calculus. 51080......... ............ A........... Drainage of

6.61

NA

NA

4.61

4.07

0.43

090 bladder abscess. 51100......... ............ A........... Drain bladder by

0.78

0.92

0.92

0.27

0.27

0.05

000 needle. 51101......... ............ A........... Drain bladder by

1.02

2.41

2.41

0.34

0.34

0.10

000 trocar/cath. 51102......... ............ A........... Drain bl w/cath

4.27

4.75

4.75

2.37

2.37

0.28

010 insertion.

[[Page 2628]]

51500......... ............ A........... Removal of bladder 10.92

NA

NA

5.76

5.38

1.03

090 cyst. 51520......... ............ A........... Removal of bladder 10.08

NA

NA

6.31

5.49

0.69

090 lesion. 51525......... ............ A........... Removal of bladder 15.29

NA

NA

8.47

7.30

0.99

090 lesion. 51530......... ............ A........... Removal of bladder 13.58

NA

NA

7.38

6.57

1.05

090 lesion. 51535......... ............ A........... Repair of ureter

13.77

NA

NA

7.38

6.74

1.23

090 lesion. 51550......... ............ A........... Partial removal of 17.10

NA

NA

8.71

7.72

1.31

090 bladder. 51555......... ............ A........... Partial removal of 23.03

NA

NA

11.36

10.01

1.70

090 bladder. 51565......... ............ A........... Revise bladder &

23.50

NA

NA

12.12

10.54

1.63

090 ureter(s). 51570......... ............ A........... Removal of bladder 27.31

NA

NA

13.49

11.62

1.72

090 51575......... ............ A........... Removal of bladder 34.00

NA

NA

16.45

14.24

2.17

090 & nodes. 51580......... ............ A........... Remove bladder/

35.14

NA

NA

17.59

15.04

2.25

090 revise tract. 51585......... ............ A........... Removal of bladder 39.41

NA

NA

19.26

16.48

2.49

090 & nodes. 51590......... ............ A........... Remove bladder/

36.15

NA

NA

17.25

14.93

2.28

090 revise tract. 51595......... ............ A........... Remove bladder/

41.12

NA

NA

19.58

16.85

2.60

090 revise tract. 51596......... ............ A........... Remove bladder/

44.01

NA

NA

21.20

18.21

2.78

090 create pouch. 51597......... ............ A........... Removal of pelvic

42.61

NA

NA

20.19

17.51

2.82

090 structures. 51600......... ............ A........... Injection for

0.88

4.23

4.64

0.33

0.31

0.06

000 bladder x-ray. 51605......... ............ A........... Preparation for

0.64

NA

NA

0.43

0.39

0.04

000 bladder xray. 51610......... ............ A........... Injection for

1.05

1.91

2.10

0.71

0.65

0.07

000 bladder x-ray. 51700......... ............ A........... Irrigation of

0.88

1.50

1.55

0.34

0.31

0.06

000 bladder. 51701......... ............ A........... Insert bladder

0.50

1.04

1.31

0.24

0.22

0.04

000 catheter. 51702......... ............ A........... Insert temp

0.50

1.53

1.81

0.33

0.29

0.04

000 bladder cath. 51703......... ............ A........... Insert bladder

1.47

2.26

2.50

0.80

0.68

0.10

000 cath, complex. 51705......... ............ A........... Change of bladder

1.03

2.02

2.15

0.85

0.73

0.07

010 tube. 51710......... ............ A........... Change of bladder

1.50

2.73

3.03

1.18

0.97

0.11

010 tube. 51715......... ............ A........... Endoscopic

3.73

4.41

4.16

1.73

1.54

0.29

000 injection/implant. 51720......... ............ A........... Treatment of

1.50

1.62

1.68

0.74

0.71

0.14

000 bladder lesion. 51725......... ............ A........... Simple

1.51

4.23

4.91

NA

NA

0.16

000 cystometrogram. 51725......... TC.......... A........... Simple

0.00

3.68

4.39

NA

NA

0.04

000 cystometrogram. 51725......... 26.......... A........... Simple

1.51

0.55

0.52

0.55

0.52

0.12

000 cystometrogram. 51726......... ............ A........... Complex

1.71

7.11

7.31

NA

NA

0.18

000 cystometrogram. 51726......... TC.......... A........... Complex

0.00

6.47

6.71

NA

NA

0.05

000 cystometrogram. 51726......... 26.......... A........... Complex

1.71

0.64

0.60

0.64

0.60

0.13

000 cystometrogram. 51736......... ............ A........... Urine flow

0.61

0.94

0.76

NA

NA

0.06

000 measurement. 51736......... TC.......... A........... Urine flow

0.00

0.70

0.54

NA

NA

0.01

000 measurement. 51736......... 26.......... A........... Urine flow

0.61

0.24

0.22

0.24

0.22

0.05

000 measurement. 51741......... ............ A........... Electro-

1.14

1.27

1.03

NA

NA

0.11

000 uroflowmetry, first. 51741......... TC.......... A........... Electro-

0.00

0.83

0.62

NA

NA

0.02

000 uroflowmetry, first. 51741......... 26.......... A........... Electro-

1.14

0.44

0.41

0.44

0.41

0.09

000 uroflowmetry, first. 51772......... ............ A........... Urethra pressure

1.61

5.06

5.32

NA

NA

0.20

000 profile. 51772......... TC.......... A........... Urethra pressure

0.00

4.51

4.77

NA

NA

0.05

000 profile. 51772......... 26.......... A........... Urethra pressure

1.61

0.55

0.55

0.55

0.55

0.15

000 profile. 51784......... ............ A........... Anal/urinary

1.53

4.12

4.05

NA

NA

0.16

000 muscle study. 51784......... TC.......... A........... Anal/urinary

0.00

3.56

3.52

NA

NA

0.04

000 muscle study. 51784......... 26.......... A........... Anal/urinary

1.53

0.56

0.53

0.56

0.53

0.12

000 muscle study. 51785......... ............ A........... Anal/urinary

1.53

4.55

4.50

NA

NA

0.15

000 muscle study. 51785......... TC.......... A........... Anal/urinary

0.00

3.99

3.97

NA

NA

0.04

000 muscle study. 51785......... 26.......... A........... Anal/urinary

1.53

0.56

0.53

0.56

0.53

0.11

000 muscle study. 51792......... ............ A........... Urinary reflex

1.10

5.05

5.52

NA

NA

0.20

000 study. 51792......... TC.......... A........... Urinary reflex

0.00

4.66

5.12

NA

NA

0.13

000 study. 51792......... 26.......... A........... Urinary reflex

1.10

0.39

0.40

0.39

0.40

0.07

000 study. 51795......... ............ A........... Urine voiding

1.53

6.72

7.00

NA

NA

0.22

000 pressure study. 51795......... TC.......... A........... Urine voiding

0.00

6.15

6.47

NA

NA

0.10

000 pressure study. 51795......... 26.......... A........... Urine voiding

1.53

0.57

0.53

0.57

0.53

0.12

000 pressure study. 51797......... ............ A........... Intraabdominal

0.80

2.44

4.11

NA

NA

0.17

ZZZ pressure test. 51797......... TC.......... A........... Intraabdominal

0.00

2.14

3.70

NA

NA

0.05

ZZZ pressure test. 51797......... 26.......... A........... Intraabdominal

0.80

0.30

0.41

0.30

0.41

0.12

ZZZ pressure test. 51798......... ............ A........... Us urine capacity

0.00

0.59

0.47

NA

NA

0.08

XXX measure. 51800......... ............ A........... Revision of

18.74

NA

NA

9.72

8.64

1.32

090 bladder/urethra. 51820......... ............ A........... Revision of

19.41

NA

NA

9.75

9.02

1.75

090 urinary tract. 51840......... ............ A........... Attach bladder/

11.28

NA

NA

5.76

5.66

1.06

090 urethra. 51841......... ............ A........... Attach bladder/

13.60

NA

NA

6.86

6.62

1.24

090 urethra. 51845......... ............ A........... Repair bladder

10.07

NA

NA

5.89

5.31

0.79

090 neck. 51860......... ............ A........... Repair of bladder

12.49

NA

NA

6.73

6.25

1.16

090 wound. 51865......... ............ A........... Repair of bladder

15.69

NA

NA

8.33

7.50

1.23

090 wound. 51880......... ............ A........... Repair of bladder

7.81

NA

NA

4.73

4.34

0.72

090 opening. 51900......... ............ A........... Repair bladder/

14.48

NA

NA

7.98

7.02

1.21

090 vagina lesion. 51920......... ............ A........... Close bladder-

13.26

NA

NA

8.04

6.84

1.18

090 uterus fistula. 51925......... ............ A........... Hysterectomy/

17.35

NA

NA

12.42

10.51

2.04

090 bladder repair. 51940......... ............ A........... Correction of

30.48

NA

NA

11.73

11.91

2.15

090 bladder defect. 51960......... ............ A........... Revision of

25.20

NA

NA

12.89

11.27

1.63

090 bladder & bowel. 51980......... ............ A........... Construct bladder

12.44

NA

NA

7.07

6.22

0.86

090 opening.

[[Page 2629]]

51990......... ............ A........... Laparo urethral

13.26

NA

NA

5.93

6.04

1.39

090 suspension. 51992......... ............ A........... Laparo sling

14.77

NA

NA

6.51

6.36

1.41

090 operation. 51999......... ............ C........... Laparoscope proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY bla. 52000......... ............ A........... Cystoscopy........

2.23

3.66

3.48

1.31

1.03

0.14

000 52001......... ............ A........... Cystoscopy,

5.44

5.05

5.06

2.57

2.22

0.39

000 removal of clots. 52005......... ............ A........... Cystoscopy &

2.37

5.73

5.65

1.37

1.13

0.17

000 ureter catheter. 52007......... ............ A........... Cystoscopy and

3.02

10.71

13.58

1.62

1.38

0.22

000 biopsy. 52010......... ............ A........... Cystoscopy & duct

3.02

8.08

9.42

1.62

1.38

0.21

000 catheter. 52204......... ............ A........... Cystoscopy w/

2.59

8.31

11.41

1.38

1.14

0.17

000 biopsy(s). 52214......... ............ A........... Cystoscopy and

3.70

19.89

29.01

1.83

1.58

0.26

000 treatment. 52224......... ............ A........... Cystoscopy and

3.14

19.07

27.77

1.60

1.38

0.22

000 treatment. 52234......... ............ A........... Cystoscopy and

4.62

NA

NA

2.27

1.96

0.33

000 treatment. 52235......... ............ A........... Cystoscopy and

5.44

NA

NA

2.64

2.29

0.39

000 treatment. 52240......... ............ A........... Cystoscopy and

9.71

NA

NA

4.34

3.82

0.69

000 treatment. 52250......... ............ A........... Cystoscopy and

4.49

NA

NA

2.30

1.97

0.32

000 radiotracer. 52260......... ............ A........... Cystoscopy and

3.91

NA

NA

1.93

1.67

0.28

000 treatment. 52265......... ............ A........... Cystoscopy and

2.94

7.49

10.42

1.47

1.29

0.22

000 treatment. 52270......... ............ A........... Cystoscopy &

3.36

7.02

9.03

1.74

1.49

0.24

000 revise urethra. 52275......... ............ A........... Cystoscopy &

4.69

9.30

12.43

2.27

1.96

0.33

000 revise urethra. 52276......... ............ A........... Cystoscopy and

4.99

NA

NA

2.44

2.11

0.35

000 treatment. 52277......... ............ A........... Cystoscopy and

6.16

NA

NA

2.90

2.56

0.44

000 treatment. 52281......... ............ A........... Cystoscopy and

2.80

5.29

6.19

1.54

1.31

0.20

000 treatment. 52282......... ............ A........... Cystoscopy,

6.39

NA

NA

2.96

2.60

0.45

000 implant stent. 52283......... ............ A........... Cystoscopy and

3.73

4.06

4.00

1.86

1.62

0.26

000 treatment. 52285......... ............ A........... Cystoscopy and

3.60

4.33

4.17

1.83

1.58

0.26

000 treatment. 52290......... ............ A........... Cystoscopy and

4.58

NA

NA

2.26

1.95

0.32

000 treatment. 52300......... ............ A........... Cystoscopy and

5.30

NA

NA

2.56

2.23

0.38

000 treatment. 52301......... ............ A........... Cystoscopy and

5.50

NA

NA

2.68

2.33

0.46

000 treatment. 52305......... ............ A........... Cystoscopy and

5.30

NA

NA

2.49

2.17

0.38

000 treatment. 52310......... ............ A........... Cystoscopy and

2.81

4.00

4.35

1.43

1.23

0.20

000 treatment. 52315......... ............ A........... Cystoscopy and

5.20

6.63

7.65

2.47

2.15

0.37

000 treatment. 52317......... ............ A........... Remove bladder

6.71

17.07

23.01

2.99

2.64

0.48

000 stone. 52318......... ............ A........... Remove bladder

9.18

NA

NA

4.04

3.57

0.65

000 stone. 52320......... ............ A........... Cystoscopy and

4.69

NA

NA

2.21

1.92

0.33

000 treatment. 52325......... ............ A........... Cystoscopy, stone

6.15

NA

NA

2.78

2.45

0.44

000 removal. 52327......... ............ A........... Cystoscopy, inject

5.18

2.04

16.94

2.04

1.93

0.37

000 material. 52330......... ............ A........... Cystoscopy and

5.03

20.41

29.63

2.35

2.05

0.36

000 treatment. 52332......... ............ A........... Cystoscopy and

2.83

12.42

9.08

1.55

1.30

0.21

000 treatment. 52334......... ............ A........... Create passage to

4.82

NA

NA

2.33

2.03

0.35

000 kidney. 52341......... ............ A........... Cysto w/ureter

6.11

NA

NA

3.04

2.63

0.43

000 stricture tx. 52342......... ............ A........... Cysto w/up

6.61

NA

NA

3.25

2.80

0.46

000 stricture tx. 52343......... ............ A........... Cysto w/renal

7.31

NA

NA

3.49

3.04

0.51

000 stricture tx. 52344......... ............ A........... Cysto/uretero,

7.81

NA

NA

3.90

3.35

0.55

000 stricture tx. 52345......... ............ A........... Cysto/uretero w/up

8.31

NA

NA

4.11

3.53

0.58

000 stricture. 52346......... ............ A........... Cystouretero w/

9.34

NA

NA

4.51

3.90

0.65

000 renal strict. 52351......... ............ A........... Cystouretero & or

5.85

NA

NA

2.95

2.55

0.41

000 pyeloscope. 52352......... ............ A........... Cystouretero w/

6.87

NA

NA

3.46

2.98

0.49

000 stone remove. 52353......... ............ A........... Cystouretero w/

7.96

NA

NA

3.90

3.38

0.57

000 lithotripsy. 52354......... ............ A........... Cystouretero w/

7.33

NA

NA

3.64

3.16

0.52

000 biopsy. 52355......... ............ A........... Cystouretero w/

8.81

NA

NA

4.24

3.69

0.63

000 excise tumor. 52400......... ............ A........... Cystouretero w/

10.06

NA

NA

5.39

4.56

0.68

090 congen repr. 52402......... ............ A........... Cystourethro cut

5.27

NA

NA

2.15

1.92

0.40

000 ejacul duct. 52450......... ............ A........... Incision of

7.63

NA

NA

5.48

4.58

0.54

090 prostate. 52500......... ............ A........... Revision of

9.39

NA

NA

6.18

5.05

0.60

090 bladder neck. 52601......... ............ A........... Prostatectomy

15.13

NA

NA

8.43

6.76

0.87

090 (TURP). 52606......... ............ A........... Control postop

8.84

NA

NA

5.48

4.52

0.57

090 bleeding. 52612......... ............ A........... Prostatectomy,

9.07

NA

NA

5.88

4.81

0.56

090 first stage. 52614......... ............ A........... Prostatectomy,

7.81

NA

NA

5.37

4.36

0.48

090 second stage. 52620......... ............ A........... Remove residual

7.19

NA

NA

4.61

3.80

0.47

090 prostate. 52630......... ............ A........... Remove prostate

7.65

NA

NA

4.80

3.99

0.51

090 regrowth. 52640......... ............ A........... Relieve bladder

6.89

NA

NA

4.41

3.69

0.47

090 contracture. 52647......... ............ A........... Laser surgery of

11.15

41.95

57.97

6.89

5.71

0.73

090 prostate. 52648......... ............ A........... Laser surgery of

12.00

42.49

58.24

7.22

6.00

0.79

090 prostate. 52649......... ............ A........... 2Prostate laser

17.16

NA

NA

9.32

9.32

1.11

090 enucleation. 52700......... ............ A........... Drainage of

7.39

NA

NA

4.90

4.04

0.48

090 prostate abscess. 53000......... ............ A........... Incision of

2.30

NA

NA

1.78

1.66

0.16

010 urethra. 53010......... ............ A........... Incision of

4.35

NA

NA

3.83

3.37

0.24

090 urethra. 53020......... ............ A........... Incision of

1.77

NA

NA

0.95

0.81

0.13

000 urethra. 53025......... ............ A........... Incision of

1.13

NA

NA

0.82

0.66

0.08

000 urethra. 53040......... ............ A........... Drainage of

6.49

NA

NA

4.40

3.92

0.45

090 urethra abscess. 53060......... ............ A........... Drainage of

2.65

2.09

2.09

1.54

1.45

0.28

010 urethra abscess. 53080......... ............ A........... Drainage of

6.82

NA

NA

4.97

5.46

0.52

090 urinary leakage.

[[Page 2630]]

53085......... ............ A........... Drainage of

11.05

NA

NA

4.41

5.91

0.92

090 urinary leakage. 53200......... ............ A........... Biopsy of urethra.

2.59

1.70

1.51

1.29

1.14

0.20

000 53210......... ............ A........... Removal of urethra 13.59

NA

NA

7.76

6.80

0.89

090 53215......... ............ A........... Removal of urethra 16.72

NA

NA

9.12

7.88

1.10

090 53220......... ............ A........... Treatment of

7.53

NA

NA

4.98

4.35

0.49

090 urethra lesion. 53230......... ............ A........... Removal of urethra 10.31

NA

NA

6.37

5.54

0.73

090 lesion. 53235......... ............ A........... Removal of urethra 10.86

NA

NA

6.92

5.91

0.72

090 lesion. 53240......... ............ A........... Surgery for

6.98

NA

NA

4.87

4.20

0.52

090 urethra pouch. 53250......... ............ A........... Removal of urethra

6.42

NA

NA

4.38

3.84

0.49

090 gland. 53260......... ............ A........... Treatment of

3.00

2.45

2.35

1.84

1.63

0.25

010 urethra lesion. 53265......... ............ A........... Treatment of

3.14

2.94

2.82

1.98

1.70

0.24

010 urethra lesion. 53270......... ............ A........... Removal of urethra

3.11

2.46

2.33

1.84

1.69

0.30

010 gland. 53275......... ............ A........... Repair of urethra

4.54

NA

NA

2.77

2.51

0.32

010 defect. 53400......... ............ A........... Revise urethra,

13.98

NA

NA

8.17

7.10

0.98

090 stage 1. 53405......... ............ A........... Revise urethra,

15.51

NA

NA

8.69

7.50

1.10

090 stage 2. 53410......... ............ A........... Reconstruction of

17.53

NA

NA

9.68

8.36

1.16

090 urethra. 53415......... ............ A........... Reconstruction of

20.55

NA

NA

10.70

9.01

1.37

090 urethra. 53420......... ............ A........... Reconstruct

15.04

NA

NA

7.12

6.70

0.96

090 urethra, stage 1. 53425......... ............ A........... Reconstruct

16.94

NA

NA

9.00

7.94

1.13

090 urethra, stage 2. 53430......... ............ A........... Reconstruction of

17.30

NA

NA

8.81

7.90

1.15

090 urethra. 53431......... ............ A........... Reconstruct

21.03

NA

NA

10.98

9.52

1.41

090 urethra/bladder. 53440......... ............ A........... Male sling

15.34

NA

NA

9.19

7.58

0.96

090 procedure. 53442......... ............ A........... Remove/revise male 13.29

NA

NA

8.36

6.90

0.82

090 sling. 53444......... ............ A........... Insert tandem cuff 14.06

NA

NA

8.02

6.95

0.94

090 53445......... ............ A........... Insert uro/ves nck 15.21

NA

NA

8.75

7.92

0.99

090 sphincter. 53446......... ............ A........... Remove uro

10.89

NA

NA

7.00

6.11

0.72

090 sphincter. 53447......... ............ A........... Remove/replace ur

14.15

NA

NA

8.38

7.40

0.95

090 sphincter. 53448......... ............ A........... Remov/replc ur

23.26

NA

NA

12.33

10.69

1.50

090 sphinctr comp. 53449......... ............ A........... Repair uro

10.43

NA

NA

6.61

5.66

0.68

090 sphincter. 53450......... ............ A........... Revision of

6.67

NA

NA

4.75

4.02

0.43

090 urethra. 53460......... ............ A........... Revision of

7.65

NA

NA

5.05

4.37

0.50

090 urethra. 53500......... ............ A........... Urethrlys,

12.87

NA

NA

7.41

6.81

0.90

090 transvag w/ scope. 53502......... ............ A........... Repair of urethra

8.16

NA

NA

5.10

4.54

0.62

090 injury. 53505......... ............ A........... Repair of urethra

8.16

NA

NA

5.38

4.62

0.54

090 injury. 53510......... ............ A........... Repair of urethra

10.83

NA

NA

6.83

6.00

0.74

090 injury. 53515......... ............ A........... Repair of urethra

14.09

NA

NA

7.96

6.95

1.05

090 injury. 53520......... ............ A........... Repair of urethra

9.35

NA

NA

6.20

5.34

0.61

090 defect. 53600......... ............ A........... Dilate urethra

1.21

1.15

1.14

0.57

0.50

0.09

000 stricture. 53601......... ............ A........... Dilate urethra

0.98

1.36

1.32

0.52

0.44

0.07

000 stricture. 53605......... ............ A........... Dilate urethra

1.28

NA

NA

0.51

0.46

0.09

000 stricture. 53620......... ............ A........... Dilate urethra

1.62

1.70

1.85

0.83

0.71

0.11

000 stricture. 53621......... ............ A........... Dilate urethra

1.35

1.81

1.94

0.67

0.58

0.10

000 stricture. 53660......... ............ A........... Dilation of

0.71

1.32

1.31

0.45

0.38

0.05

000 urethra. 53661......... ............ A........... Dilation of

0.72

1.29

1.30

0.41

0.35

0.05

000 urethra. 53665......... ............ A........... Dilation of

0.76

NA

NA

0.27

0.26

0.06

000 urethra. 53850......... ............ A........... Prostatic

9.98

49.25

71.68

5.86

4.90

0.67

090 microwave thermotx. 53852......... ............ A........... Prostatic rf

10.68

46.37

67.60

6.66

5.51

0.70

090 thermotx. 53853......... ............ A........... Prostatic water

5.54

29.10

42.24

4.35

3.60

0.37

090 thermother. 53899......... ............ C........... Urology surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 54000......... ............ A........... Slitting of

1.56

2.70

2.80

1.48

1.20

0.11

010 prepuce. 54001......... ............ A........... Slitting of

2.21

3.06

3.12

1.67

1.39

0.15

010 prepuce. 54015......... ............ A........... Drain penis lesion

5.33

NA

NA

3.21

2.88

0.38

010 54050......... ............ A........... Destruction, penis

1.26

2.10

1.88

1.39

1.21

0.08

010 lesion(s). 54055......... ............ A........... Destruction, penis

1.23

1.97

1.77

1.23

1.02

0.08

010 lesion(s). 54056......... ............ A........... Cryosurgery, penis

1.26

2.37

2.03

1.53

1.33

0.06

010 lesion(s). 54057......... ............ A........... Laser surg, penis

1.26

2.63

2.42

1.37

1.10

0.09

010 lesion(s). 54060......... ............ A........... Excision of penis

1.95

3.09

3.10

1.64

1.35

0.13

010 lesion(s). 54065......... ............ A........... Destruction, penis

2.44

3.30

2.97

2.00

1.61

0.13

010 lesion(s). 54100......... ............ A........... Biopsy of penis...

1.90

3.35

3.08

1.36

1.09

0.10

000 54105......... ............ A........... Biopsy of penis...

3.51

3.98

4.13

2.43

2.18

0.25

010 54110......... ............ A........... Treatment of penis 10.79

NA

NA

6.72

5.74

0.72

090 lesion. 54111......... ............ A........... Treat penis

14.29

NA

NA

8.03

6.90

0.96

090 lesion, graft. 54112......... ............ A........... Treat penis

16.83

NA

NA

9.31

8.05

1.11

090 lesion, graft. 54115......... ............ A........... Treatment of penis

6.82

5.76

5.07

4.94

4.20

0.43

090 lesion. 54120......... ............ A........... Partial removal of 10.88

NA

NA

6.72

5.70

0.68

090 penis. 54125......... ............ A........... Removal of penis.. 14.43

NA

NA

8.07

6.95

0.95

090 54130......... ............ A........... Remove penis &

21.66

NA

NA

11.58

9.87

1.52

090 nodes. 54135......... ............ A........... Remove penis &

27.99

NA

NA

14.11

12.14

1.88

090 nodes. 54150......... ............ A........... Circumcision w/

1.90

2.40

3.13

0.73

0.73

0.16

000 regionl block. 54160......... ............ A........... Circumcision,

2.50

3.80

3.97

1.48

1.28

0.19

010 neonate. 54161......... ............ A........... Circum 28 days or

3.29

NA

NA

2.20

1.88

0.23

010 older. 54162......... ............ A........... Lysis penil

3.27

4.01

4.33

2.26

1.85

0.21

010 circumic lesion.

[[Page 2631]]

54163......... ............ A........... Repair of

3.27

NA

NA

2.85

2.43

0.21

010 circumcision. 54164......... ............ A........... Frenulotomy of

2.77

NA

NA

2.66

2.25

0.18

010 penis. 54200......... ............ A........... Treatment of penis

1.08

2.02

1.91

1.30

1.14

0.08

010 lesion. 54205......... ............ A........... Treatment of penis

8.84

NA

NA

6.06

5.37

0.56

090 lesion. 54220......... ............ A........... Treatment of penis

2.42

3.32

3.58

1.35

1.15

0.17

000 lesion. 54230......... ............ A........... Prepare penis

1.34

1.40

1.24

0.91

0.77

0.09

000 study. 54231......... ............ A........... Dynamic

2.04

1.97

1.67

1.24

1.06

0.16

000 cavernosometry. 54235......... ............ A........... Penile injection..

1.19

1.39

1.17

0.89

0.73

0.08

000 54240......... ............ A........... Penis study.......

1.31

1.51

1.26

NA

NA

0.17

000 54240......... TC.......... A........... Penis study.......

0.00

1.03

0.81

NA

NA

0.06

000 54240......... 26.......... A........... Penis study.......

1.31

0.48

0.45

0.48

0.45

0.11

000 54250......... ............ A........... Penis study.......

2.22

1.22

1.06

NA

NA

0.18

000 54250......... TC.......... A........... Penis study.......

0.00

0.37

0.28

NA

NA

0.02

000 54250......... 26.......... A........... Penis study.......

2.22

0.85

0.78

0.85

0.78

0.16

000 54300......... ............ A........... Revision of penis. 11.07

NA

NA

6.70

6.14

0.76

090 54304......... ............ A........... Revision of penis. 13.15

NA

NA

7.80

7.06

0.88

090 54308......... ............ A........... Reconstruction of

12.49

NA

NA

4.76

5.36

0.84

090 urethra. 54312......... ............ A........... Reconstruction of

14.36

NA

NA

8.87

7.93

1.24

090 urethra. 54316......... ............ A........... Reconstruction of

17.90

NA

NA

9.94

8.94

1.21

090 urethra. 54318......... ............ A........... Reconstruction of

12.28

NA

NA

4.83

5.31

1.39

090 urethra. 54322......... ............ A........... Reconstruction of

13.85

NA

NA

7.94

7.20

0.92

090 urethra. 54324......... ............ A........... Reconstruction of

17.40

NA

NA

9.75

8.85

1.14

090 urethra. 54326......... ............ A........... Reconstruction of

16.87

NA

NA

9.16

8.47

1.11

090 urethra. 54328......... ............ A........... Revise penis/

16.74

NA

NA

9.48

8.36

0.98

090 urethra. 54332......... ............ A........... Revise penis/

18.22

NA

NA

10.07

8.90

1.21

090 urethra. 54336......... ............ A........... Revise penis/

21.44

NA

NA

7.31

8.80

2.21

090 urethra. 54340......... ............ A........... Secondary urethral

9.58

NA

NA

6.36

5.70

0.63

090 surgery. 54344......... ............ A........... Secondary urethral 16.91

NA

NA

9.54

8.64

1.54

090 surgery. 54348......... ............ A........... Secondary urethral 18.17

NA

NA

10.13

9.23

1.23

090 surgery. 54352......... ............ A........... Reconstruct

25.95

NA

NA

14.00

12.59

2.25

090 urethra/penis. 54360......... ............ A........... Penis plastic

12.65

NA

NA

7.45

6.74

0.84

090 surgery. 54380......... ............ A........... Repair penis...... 14.03

NA

NA

8.04

7.32

0.93

090 54385......... ............ A........... Repair penis...... 16.38

NA

NA

11.31

9.78

0.86

090 54390......... ............ A........... Repair penis and

22.59

NA

NA

7.42

8.42

1.54

090 bladder. 54400......... ............ A........... Insert semi-rigid

9.09

NA

NA

5.75

5.05

0.64

090 prosthesis. 54401......... ............ A........... Insert self-contd

10.26

NA

NA

8.15

6.94

0.73

090 prosthesis. 54405......... ............ A........... Insert multi-comp

14.39

NA

NA

8.12

7.02

0.95

090 penis pros. 54406......... ............ A........... Remove muti-comp

12.76

NA

NA

7.60

6.51

0.86

090 penis pros. 54408......... ............ A........... Repair multi-comp

13.73

NA

NA

8.25

6.99

0.90

090 penis pros. 54410......... ............ A........... Remove/replace

16.48

NA

NA

9.35

7.98

1.10

090 penis prosth. 54411......... ............ A........... Remov/replc penis

18.14

NA

NA

10.41

8.72

1.13

090 pros, comp. 54415......... ............ A........... Remove self-contd

8.75

NA

NA

6.00

5.10

0.58

090 penis pros. 54416......... ............ A........... Remv/repl penis

11.87

NA

NA

7.90

6.64

0.77

090 contain pros. 54417......... ............ A........... Remv/replc penis

15.94

NA

NA

9.10

7.63

1.00

090 pros, compl. 54420......... ............ A........... Revision of penis. 12.26

NA

NA

7.39

6.48

0.81

090 54430......... ............ A........... Revision of penis. 10.93

NA

NA

6.97

6.03

0.72

090 54435......... ............ A........... Revision of penis.

6.71

NA

NA

4.99

4.30

0.43

090 54440......... ............ C........... Repair of penis...

0.00

0.00

0.00

0.00

0.00

0.00

090 54450......... ............ A........... Preputial

1.12

0.85

0.90

0.48

0.46

0.08

000 stretching. 54500......... ............ A........... Biopsy of testis..

1.31

NA

NA

0.76

0.66

0.10

000 54505......... ............ A........... Biopsy of testis..

3.47

NA

NA

2.44

2.18

0.27

010 54512......... ............ A........... Excise lesion

9.23

NA

NA

5.67

4.90

0.67

090 testis. 54520......... ............ A........... Removal of testis.

5.25

NA

NA

3.72

3.25

0.50

090 54522......... ............ A........... Orchiectomy,

10.15

NA

NA

5.59

5.22

0.89

090 partial. 54530......... ............ A........... Removal of testis.

9.31

NA

NA

6.06

5.15

0.66

090 54535......... ............ A........... Extensive testis

13.06

NA

NA

6.91

6.22

0.95

090 surgery. 54550......... ............ A........... Exploration for

8.31

NA

NA

5.21

4.51

0.59

090 testis. 54560......... ............ A........... Exploration for

11.97

NA

NA

6.87

6.01

0.90

090 testis. 54600......... ............ A........... Reduce testis

7.54

NA

NA

5.11

4.33

0.51

090 torsion. 54620......... ............ A........... Suspension of

5.16

NA

NA

3.22

2.83

0.37

010 testis. 54640......... ............ A........... Suspension of

7.57

NA

NA

5.35

4.54

0.62

090 testis. 54650......... ............ A........... Orchiopexy (Fowler- 12.24

NA

NA

5.66

5.53

1.16

090 Stephens). 54660......... ............ A........... Revision of testis

5.64

NA

NA

4.35

3.67

0.44

090 54670......... ............ A........... Repair testis

6.57

NA

NA

4.79

4.16

0.47

090 injury. 54680......... ............ A........... Relocation of

13.91

NA

NA

7.70

6.92

1.16

090 testis(es). 54690......... ............ A........... Laparoscopy,

11.60

NA

NA

5.59

5.26

1.02

090 orchiectomy. 54692......... ............ A........... Laparoscopy,

13.64

NA

NA

7.56

6.49

1.30

090 orchiopexy. 54699......... ............ C........... Laparoscope proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY testis. 54700......... ............ A........... Drainage of

3.44

NA

NA

2.37

2.16

0.28

010 scrotum. 54800......... ............ A........... Biopsy of

2.33

NA

NA

1.22

1.06

0.23

000 epididymis. 54830......... ............ A........... Remove epididymis

5.91

NA

NA

4.43

3.72

0.41

090 lesion. 54840......... ............ A........... Remove epididymis

5.22

NA

NA

3.80

3.29

0.37

090 lesion.

[[Page 2632]]

54860......... ............ A........... Removal of

6.85

NA

NA

4.87

4.09

0.45

090 epididymis. 54861......... ............ A........... Removal of

9.57

NA

NA

6.25

5.28

0.63

090 epididymis. 54865......... ............ A........... Explore epididymis

5.67

NA

NA

4.26

3.60

0.40

090 54900......... ............ A........... Fusion of

14.05

NA

NA

5.24

5.52

0.93

090 spermatic ducts. 54901......... ............ A........... Fusion of

18.92

NA

NA

10.51

9.01

1.83

090 spermatic ducts. 55000......... ............ A........... Drainage of

1.43

1.85

1.96

0.91

0.78

0.11

000 hydrocele. 55040......... ............ A........... Removal of

5.39

NA

NA

3.96

3.42

0.43

090 hydrocele. 55041......... ............ A........... Removal of

8.41

NA

NA

5.68

4.82

0.60

090 hydroceles. 55060......... ............ A........... Repair of

6.05

NA

NA

4.45

3.76

0.46

090 hydrocele. 55100......... ............ A........... Drainage of

2.40

3.49

3.58

2.11

1.83

0.17

010 scrotum abscess. 55110......... ............ A........... Explore scrotum...

6.23

NA

NA

4.48

3.80

0.43

090 55120......... ............ A........... Removal of scrotum

5.62

NA

NA

4.21

3.58

0.39

090 lesion. 55150......... ............ A........... Removal of scrotum

8.01

NA

NA

5.45

4.64

0.56

090 55175......... ............ A........... Revision of

5.77

NA

NA

4.34

3.67

0.37

090 scrotum. 55180......... ............ A........... Revision of

11.63

NA

NA

7.27

6.32

0.90

090 scrotum. 55200......... ............ A........... Incision of sperm

4.50

8.01

10.17

3.30

2.84

0.33

090 duct. 55250......... ............ A........... Removal of sperm

3.32

7.83

9.65

3.06

2.64

0.25

090 duct(s). 55300......... ............ A........... Prepare, sperm

3.50

NA

NA

1.75

1.53

0.25

000 duct x-ray. 55400......... ............ A........... Repair of sperm

8.53

NA

NA

5.41

4.73

0.64

090 duct. 55450......... ............ A........... Ligation of sperm

4.38

5.46

6.23

2.57

2.22

0.29

010 duct. 55500......... ............ A........... Removal of

6.12

NA

NA

4.20

3.64

0.55

090 hydrocele. 55520......... ............ A........... Removal of sperm

6.56

NA

NA

3.82

3.53

0.75

090 cord lesion. 55530......... ............ A........... Revise spermatic

5.69

NA

NA

4.09

3.55

0.45

090 cord veins. 55535......... ............ A........... Revise spermatic

7.09

NA

NA

4.83

4.11

0.47

090 cord veins. 55540......... ............ A........... Revise hernia &

8.20

NA

NA

4.25

4.02

0.94

090 sperm veins. 55550......... ............ A........... Laparo ligate

7.10

NA

NA

4.55

3.92

0.57

090 spermatic vein. 55559......... ............ C........... Laparo proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY spermatic cord. 55600......... ............ A........... Incise sperm duct

6.91

NA

NA

4.90

4.11

0.62

090 pouch. 55605......... ............ A........... Incise sperm duct

8.63

NA

NA

4.63

4.45

0.64

090 pouch. 55650......... ............ A........... Remove sperm duct

12.52

NA

NA

7.40

6.33

0.92

090 pouch. 55680......... ............ A........... Remove sperm pouch

5.59

NA

NA

3.93

3.45

0.47

090 lesion. 55700......... ............ A........... Biopsy of prostate

2.58

3.71

3.95

1.32

0.98

0.11

000 55705......... ............ A........... Biopsy of prostate

4.58

NA

NA

2.85

2.57

0.32

010 55720......... ............ A........... Drainage of

7.67

NA

NA

4.89

4.35

0.95

090 prostate abscess. 55725......... ............ A........... Drainage of

9.90

NA

NA

6.28

5.38

0.70

090 prostate abscess. 55801......... ............ A........... Removal of

19.62

NA

NA

10.34

8.97

1.34

090 prostate. 55810......... ............ A........... Extensive prostate 24.14

NA

NA

12.34

10.64

1.60

090 surgery. 55812......... ............ A........... Extensive prostate 29.69

NA

NA

14.21

12.59

2.05

090 surgery. 55815......... ............ A........... Extensive prostate 32.75

NA

NA

16.20

14.03

2.17

090 surgery. 55821......... ............ A........... Removal of

15.63

NA

NA

8.67

7.43

1.01

090 prostate. 55831......... ............ A........... Removal of

17.06

NA

NA

9.24

7.94

1.10

090 prostate. 55840......... ............ A........... Extensive prostate 24.45

NA

NA

12.69

10.98

1.61

090 surgery. 55842......... ............ A........... Extensive prostate 26.31

NA

NA

13.48

11.65

1.73

090 surgery. 55845......... ............ A........... Extensive prostate 30.52

NA

NA

14.86

12.89

2.03

090 surgery. 55860......... ............ A........... Surgical exposure, 15.71

NA

NA

8.54

7.47

1.02

090 prostate. 55862......... ............ A........... Extensive prostate 19.89

NA

NA

10.70

9.27

1.49

090 surgery. 55865......... ............ A........... Extensive prostate 24.39

NA

NA

12.41

10.83

1.63

090 surgery. 55866......... ............ A........... Laparo radical

32.25

NA

NA

15.96

13.83

2.17

090 prostatectomy. 55870......... ............ A........... Electroejaculation

2.58

2.49

2.01

1.45

1.27

0.16

000 55873......... ............ A........... Cryoablate

20.25

NA

NA

11.29

10.11

1.38

090 prostate. 55875......... ............ A........... Transperi needle

13.31

NA

NA

7.84

6.84

0.89

090 place, pros. 55876......... ............ A........... Place rt device/

1.73

2.07

2.07

1.05

1.05

0.28

000 marker, pros. 55899......... ............ C........... Genital surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 55920......... ............ A........... Place needles

8.31

NA

NA

3.14

3.14

0.58

000 pelvic for rt. 55970......... ............ N........... Sex

0.00

0.00

0.00

0.00

0.00

0.00

XXX transformation, M to F. 55980......... ............ N........... Sex

0.00

0.00

0.00

0.00

0.00

0.00

XXX transformation, F to M. 56405......... ............ A........... I & D of vulva/

1.46

1.18

1.25

1.16

1.15

0.17

010 perineum. 56420......... ............ A........... Drainage of gland

1.41

1.52

1.90

0.78

0.91

0.16

010 abscess. 56440......... ............ A........... Surgery for vulva

2.86

NA

NA

1.56

1.63

0.34

010 lesion. 56441......... ............ A........... Lysis of labial

1.99

1.71

1.76

1.56

1.48

0.20

010 lesion(s). 56442......... ............ A........... Hymenotomy........

0.68

NA

NA

0.52

0.51

0.08

000 56501......... ............ A........... Destroy, vulva

1.55

1.63

1.71

1.21

1.23

0.18

010 lesions, sim. 56515......... ............ A........... Destroy vulva

3.03

2.40

2.47

1.74

1.78

0.33

010 lesion/s compl. 56605......... ............ A........... Biopsy of vulva/

1.10

0.93

1.00

0.34

0.40

0.13

000 perineum. 56606......... ............ A........... Biopsy of vulva/

0.55

0.36

0.43

0.15

0.19

0.07

ZZZ perineum. 56620......... ............ A........... Partial removal of

8.44

NA

NA

4.40

4.59

0.90

090 vulva. 56625......... ............ A........... Complete removal

9.55

NA

NA

4.81

5.06

1.02

090 of vulva. 56630......... ............ A........... Extensive vulva

14.67

NA

NA

6.28

6.56

1.49

090 surgery. 56631......... ............ A........... Extensive vulva

18.81

NA

NA

7.79

8.30

1.96

090 surgery. 56632......... ............ A........... Extensive vulva

21.61

NA

NA

9.30

9.41

2.39

090 surgery. 56633......... ............ A........... Extensive vulva

19.47

NA

NA

7.80

8.20

1.98

090 surgery. 56634......... ............ A........... Extensive vulva

20.48

NA

NA

8.19

8.81

2.17

090 surgery.

[[Page 2633]]

56637......... ............ A........... Extensive vulva

24.57

NA

NA

9.31

10.19

2.61

090 surgery. 56640......... ............ A........... Extensive vulva

24.65

NA

NA

8.84

9.73

2.89

090 surgery. 56700......... ............ A........... Partial removal of

2.79

NA

NA

1.77

1.80

0.30

010 hymen. 56740......... ............ A........... Remove vagina

4.83

NA

NA

2.33

2.45

0.56

010 gland lesion. 56800......... ............ A........... Repair of vagina..

3.90

NA

NA

1.96

2.08

0.44

010 56805......... ............ A........... Repair clitoris... 19.75

NA

NA

7.69

8.55

2.15

090 56810......... ............ A........... Repair of perineum

4.26

NA

NA

2.04

2.17

0.49

010 56820......... ............ A........... Exam of vulva w/

1.50

1.19

1.25

0.53

0.59

0.18

000 scope. 56821......... ............ A........... Exam/biopsy of

2.05

1.53

1.65

0.68

0.80

0.25

000 vulva w/scope. 57000......... ............ A........... Exploration of

2.99

NA

NA

1.75

1.73

0.31

010 vagina. 57010......... ............ A........... Drainage of pelvic

6.74

NA

NA

3.80

3.80

0.71

090 abscess. 57020......... ............ A........... Drainage of pelvic

1.50

0.77

0.86

0.45

0.52

0.18

000 fluid. 57022......... ............ A........... I & d vaginal

2.70

NA

NA

1.43

1.46

0.26

010 hematoma, pp. 57023......... ............ A........... I & d vag

5.13

NA

NA

2.37

2.47

0.58

010 hematoma, non-ob. 57061......... ............ A........... Destroy vag

1.27

1.52

1.59

1.12

1.12

0.15

010 lesions, simple. 57065......... ............ A........... Destroy vag

2.63

2.03

2.16

1.49

1.58

0.31

010 lesions, complex. 57100......... ............ A........... Biopsy of vagina..

1.20

0.95

1.02

0.37

0.42

0.14

000 57105......... ............ A........... Biopsy of vagina..

1.71

1.59

1.69

1.33

1.37

0.20

010 57106......... ............ A........... Remove vagina

7.35

NA

NA

4.27

4.23

0.73

090 wall, partial. 57107......... ............ A........... Remove vagina

24.43

NA

NA

9.06

9.76

2.72

090 tissue, part. 57109......... ............ A........... Vaginectomy

28.25

NA

NA

10.26

10.75

3.22

090 partial w/nodes. 57110......... ............ A........... Remove vagina

15.38

NA

NA

6.19

6.73

1.74

090 wall, complete. 57111......... ............ A........... Remove vagina

28.25

NA

NA

10.43

11.53

3.18

090 tissue, compl. 57112......... ............ A........... Vaginectomy w/

30.37

NA

NA

10.62

11.36

3.08

090 nodes, compl. 57120......... ............ A........... Closure of vagina.

8.18

NA

NA

4.20

4.40

0.89

090 57130......... ............ A........... Remove vagina

2.44

1.96

2.06

1.47

1.50

0.29

010 lesion. 57135......... ............ A........... Remove vagina

2.68

2.03

2.15

1.53

1.59

0.31

010 lesion. 57150......... ............ A........... Treat vagina

0.55

0.58

0.84

0.15

0.18

0.07

000 infection. 57155......... ............ A........... Insert uteri

6.79

NA

NA

3.49

4.03

0.43

090 tandems/ovoids. 57160......... ............ A........... Insert pessary/

0.89

1.04

1.03

0.25

0.30

0.10

000 other device. 57170......... ............ A........... Fitting of

0.91

0.57

1.02

0.25

0.29

0.11

000 diaphragm/cap. 57180......... ............ A........... Treat vaginal

1.60

1.86

2.01

0.93

1.09

0.19

010 bleeding. 57200......... ............ A........... Repair of vagina..

4.34

NA

NA

2.99

2.94

0.46

090 57210......... ............ A........... Repair vagina/

5.63

NA

NA

3.27

3.35

0.62

090 perineum. 57220......... ............ A........... Revision of

4.77

NA

NA

3.01

3.06

0.51

090 urethra. 57230......... ............ A........... Repair of urethral

6.22

NA

NA

3.64

3.52

0.54

090 lesion. 57240......... ............ A........... Repair bladder &

11.42

NA

NA

5.49

4.65

0.62

090 vagina. 57250......... ............ A........... Repair rectum &

11.42

NA

NA

5.04

4.31

0.65

090 vagina. 57260......... ............ A........... Repair of vagina.. 14.36

NA

NA

5.86

5.34

0.97

090 57265......... ............ A........... Extensive repair

15.86

NA

NA

6.33

6.18

1.32

090 of vagina. 57267......... ............ A........... Insert mesh/pelvic

4.88

NA

NA

1.50

1.74

0.64

ZZZ flr addon. 57268......... ............ A........... Repair of bowel

7.47

NA

NA

4.34

4.26

0.79

090 bulge. 57270......... ............ A........... Repair of bowel

13.57

NA

NA

5.84

6.04

1.42

090 pouch. 57280......... ............ A........... Suspension of

16.62

NA

NA

6.97

7.17

1.68

090 vagina. 57282......... ............ A........... Colpopexy,

7.84

NA

NA

4.50

4.50

1.02

090 extraperitoneal. 57283......... ............ A........... Colpopexy,

11.58

NA

NA

5.12

5.52

1.02

090 intraperitoneal. 57284......... ............ A........... Repair paravag

14.25

NA

NA

5.99

6.57

1.41

090 defect, open. 57285......... ............ A........... Repair paravag

11.52

NA

NA

5.16

5.16

0.63

090 defect, vag. 57287......... ............ A........... Revise/remove

11.49

NA

NA

6.35

5.92

0.90

090 sling repair. 57288......... ............ A........... Repair bladder

14.01

NA

NA

7.02

6.46

1.12

090 defect. 57289......... ............ A........... Repair bladder &

12.69

NA

NA

6.71

6.37

1.21

090 vagina. 57291......... ............ A........... Construction of

8.54

NA

NA

4.90

4.91

0.93

090 vagina. 57292......... ............ A........... Construct vagina

13.91

NA

NA

5.91

6.42

1.58

090 with graft. 57295......... ............ A........... Revise vag graft

7.74

NA

NA

4.09

4.26

0.91

090 via vagina. 57296......... ............ A........... Revise vag graft,

16.46

NA

NA

6.67

6.67

1.68

090 open abd. 57300......... ............ A........... Repair rectum-

8.58

NA

NA

4.44

4.36

0.87

090 vagina fistula. 57305......... ............ A........... Repair rectum-

15.24

NA

NA

6.20

6.23

1.73

090 vagina fistula. 57307......... ............ A........... Fistula repair &

17.02

NA

NA

6.91

6.95

2.02

090 colostomy. 57308......... ............ A........... Fistula repair,

10.48

NA

NA

4.96

5.03

1.14

090 transperine. 57310......... ............ A........... Repair

7.55

NA

NA

5.02

4.43

0.54

090 urethrovaginal lesion. 57311......... ............ A........... Repair

8.81

NA

NA

5.51

4.81

0.65

090 urethrovaginal lesion. 57320......... ............ A........... Repair bladder-

8.78

NA

NA

5.28

4.82

0.69

090 vagina lesion. 57330......... ............ A........... Repair bladder-

13.11

NA

NA

7.20

6.46

1.06

090 vagina lesion. 57335......... ............ A........... Repair vagina..... 19.87

NA

NA

7.83

8.43

1.92

090 57400......... ............ A........... Dilation of vagina

2.27

NA

NA

1.00

1.05

0.26

000 57410......... ............ A........... Pelvic examination

1.75

NA

NA

0.91

0.90

0.18

000 57415......... ............ A........... Remove vaginal

2.44

NA

NA

1.49

1.46

0.24

010 foreign body. 57420......... ............ A........... Exam of vagina w/

1.60

1.23

1.29

0.56

0.61

0.19

000 scope. 57421......... ............ A........... Exam/biopsy of vag

2.20

1.59

1.72

0.72

0.84

0.27

000 w/scope. 57423......... ............ A........... Repair paravag

16.00

NA

NA

6.52

6.52

1.65

090 defect, lap. 57425......... ............ A........... Laparoscopy, surg, 16.93

NA

NA

6.91

6.77

1.76

090 colpopexy. 57452......... ............ A........... Exam of cervix w/

1.50

1.18

1.23

0.74

0.75

0.18

000 scope.

[[Page 2634]]

57454......... ............ A........... Bx/curett of

2.33

1.39

1.52

0.95

1.05

0.28

000 cervix w/scope. 57455......... ............ A........... Biopsy of cervix w/ 1.99

1.50

1.61

0.66

0.76

0.24

000 scope. 57456......... ............ A........... Endocerv curettage

1.85

1.46

1.55

0.62

0.72

0.22

000 w/scope. 57460......... ............ A........... Bx of cervix w/

2.83

4.28

5.06

1.09

1.23

0.34

000 scope, leep. 57461......... ............ A........... Conz of cervix w/

3.43

4.57

5.34

1.05

1.26

0.41

000 scope, leep. 57500......... ............ A........... Biopsy of cervix..

1.20

2.02

2.28

0.64

0.64

0.12

000 57505......... ............ A........... Endocervical

1.16

1.33

1.39

1.07

1.08

0.14

010 curettage. 57510......... ............ A........... Cauterization of

1.90

1.30

1.43

0.90

0.97

0.23

010 cervix. 57511......... ............ A........... Cryocautery of

1.92

1.60

1.71

1.27

1.32

0.23

010 cervix. 57513......... ............ A........... Laser surgery of

1.92

1.57

1.64

1.28

1.34

0.23

010 cervix. 57520......... ............ A........... Conization of

4.06

3.38

3.66

2.51

2.69

0.49

090 cervix. 57522......... ............ A........... Conization of

3.62

2.77

2.96

2.25

2.35

0.41

090 cervix. 57530......... ............ A........... Removal of cervix.

5.19

NA

NA

3.10

3.24

0.58

090 57531......... ............ A........... Removal of cervix, 29.77

NA

NA

10.86

12.02

3.35

090 radical. 57540......... ............ A........... Removal of

13.19

NA

NA

5.44

5.84

1.49

090 residual cervix. 57545......... ............ A........... Remove cervix/

14.00

NA

NA

5.72

6.20

1.52

090 repair pelvis. 57550......... ............ A........... Removal of

6.24

NA

NA

3.61

3.72

0.67

090 residual cervix. 57555......... ............ A........... Remove cervix/

9.84

NA

NA

4.75

4.92

1.09

090 repair vagina. 57556......... ............ A........... Remove cervix,

9.26

NA

NA

4.61

4.73

0.92

090 repair bowel. 57558......... ............ A........... D&c of cervical

1.69

1.35

1.41

1.05

1.09

0.20

010 stump. 57700......... ............ A........... Revision of cervix

4.22

NA

NA

3.28

3.19

0.41

090 57720......... ............ A........... Revision of cervix

4.53

NA

NA

2.94

3.02

0.49

090 57800......... ............ A........... Dilation of

0.77

0.72

0.74

0.41

0.44

0.09

000 cervical canal. 58100......... ............ A........... Biopsy of uterus

1.53

1.14

1.23

0.58

0.65

0.18

000 lining. 58110......... ............ A........... Bx done w/

0.77

0.40

0.47

0.21

0.26

0.09

ZZZ colposcopy add-on. 58120......... ............ A........... Dilation and

3.54

2.70

2.50

1.66

1.77

0.39

010 curettage. 58140......... ............ A........... Myomectomy abdom

15.69

NA

NA

6.18

6.64

1.82

090 method. 58145......... ............ A........... Myomectomy vag

8.81

NA

NA

4.23

4.51

0.97

090 method. 58146......... ............ A........... Myomectomy abdom

20.24

NA

NA

7.34

8.18

2.33

090 complex. 58150......... ............ A........... Total hysterectomy 17.21

NA

NA

6.56

7.02

1.85

090 58152......... ............ A........... Total hysterectomy 21.73

NA

NA

8.03

8.95

2.48

090 58180......... ............ A........... Partial

16.50

NA

NA

6.33

6.89

1.64

090 hysterectomy. 58200......... ............ A........... Extensive

23.00

NA

NA

8.15

9.07

2.55

090 hysterectomy. 58210......... ............ A........... Extensive

30.76

NA

NA

10.72

11.96

3.38

090 hysterectomy. 58240......... ............ A........... Removal of pelvis

49.02

NA

NA

17.64

17.63

4.23

090 contents. 58260......... ............ A........... Vaginal

14.02

NA

NA

5.79

6.24

1.57

090 hysterectomy. 58262......... ............ A........... Vag hyst including 15.81

NA

NA

6.23

6.81

1.80

090 t/o. 58263......... ............ A........... Vag hyst w/t/o &

17.10

NA

NA

6.64

7.26

1.95

090 vag repair. 58267......... ............ A........... Vag hyst w/urinary 18.23

NA

NA

6.97

7.67

2.07

090 repair. 58270......... ............ A........... Vag hyst w/

15.20

NA

NA

5.93

6.50

1.74

090 enterocele repair. 58275......... ............ A........... Hysterectomy/

16.90

NA

NA

6.61

7.19

1.92

090 revise vagina. 58280......... ............ A........... Hysterectomy/

18.20

NA

NA

6.96

7.60

2.07

090 revise vagina. 58285......... ............ A........... Extensive

23.30

NA

NA

7.94

8.94

2.71

090 hysterectomy. 58290......... ............ A........... Vag hyst complex.. 20.17

NA

NA

7.35

8.24

2.30

090 58291......... ............ A........... Vag hyst incl t/o, 21.96

NA

NA

7.82

8.85

2.53

090 complex. 58292......... ............ A........... Vag hyst t/o &

23.25

NA

NA

8.21

9.29

2.68

090 repair, compl. 58293......... ............ A........... Vag hyst w/uro

24.23

NA

NA

8.52

9.59

2.79

090 repair, compl. 58294......... ............ A........... Vag hyst w/

21.45

NA

NA

7.51

8.53

2.40

090 enterocele, compl. 58300......... ............ N........... Insert

1.01

0.63

1.03

0.23

0.31

0.12

XXX intrauterine device. 58301......... ............ A........... Remove

1.27

1.05

1.18

0.34

0.41

0.15

000 intrauterine device. 58321......... ............ A........... Artificial

0.92

0.94

1.04

0.23

0.30

0.10

000 insemination. 58322......... ............ A........... Artificial

1.10

1.03

1.12

0.31

0.36

0.13

000 insemination. 58323......... ............ A........... Sperm washing.....

0.23

0.16

0.34

0.07

0.08

0.03

000 58340......... ............ A........... Catheter for

0.88

2.15

2.66

0.56

0.61

0.09

000 hysterography. 58345......... ............ A........... Reopen fallopian

4.67

NA

NA

2.11

2.27

0.41

010 tube. 58346......... ............ A........... Insert heyman

7.48

NA

NA

3.74

3.83

0.56

090 uteri capsule. 58350......... ............ A........... Reopen fallopian

1.03

1.35

1.42

0.88

0.90

0.12

010 tube. 58353......... ............ A........... Endometr ablate,

3.57

22.84

29.26

1.71

1.88

0.43

010 thermal. 58356......... ............ A........... Endometrial

6.36

43.38

52.43

1.85

2.27

0.82

010 cryoablation. 58400......... ............ A........... Suspension of

7.06

NA

NA

3.86

3.90

0.75

090 uterus. 58410......... ............ A........... Suspension of

13.70

NA

NA

5.55

5.99

1.45

090 uterus. 58520......... ............ A........... Repair of ruptured 13.38

NA

NA

5.49

5.76

1.47

090 uterus. 58540......... ............ A........... Revision of uterus 15.61

NA

NA

6.15

6.55

1.79

090 58541......... ............ A........... Lsh, uterus 250 g

14.57

NA

NA

6.13

6.13

1.68

090 or less. 58542......... ............ A........... Lsh w/t/o ut 250 g 16.43

NA

NA

6.64

6.64

1.69

090 or less. 58543......... ............ A........... Lsh uterus above

16.74

NA

NA

6.71

6.71

1.73

090 250 g. 58544......... ............ A........... Lsh w/t/o uterus

18.24

NA

NA

7.11

7.11

1.89

090 above 250 g. 58545......... ............ A........... Laparoscopic

15.45

NA

NA

5.87

6.52

1.78

090 myomectomy. 58546......... ............ A........... Laparo-myomectomy, 19.84

NA

NA

7.05

7.99

2.31

090 complex. 58548......... ............ A........... Lap radical hyst.. 31.45

NA

NA

12.47

12.47

3.52

090 58550......... ............ A........... Laparo-asst vag

14.97

NA

NA

6.13

6.71

1.73

090 hysterectomy. 58552......... ............ A........... Laparo-vag hyst

16.78

NA

NA

6.56

7.29

1.73

090 incl t/o.

[[Page 2635]]

58553......... ............ A........... Laparo-vag hyst,

19.96

NA

NA

7.09

8.00

2.31

090 complex. 58554......... ............ A........... Laparo-vag hyst w/ 22.98

NA

NA

8.24

9.32

2.28

090 t/o, compl. 58555......... ............ A........... Hysteroscopy, dx,

3.33

2.76

2.48

1.23

1.39

0.40

000 sep proc. 58558......... ............ A........... Hysteroscopy,

4.74

3.62

2.90

1.65

1.91

0.57

000 biopsy. 58559......... ............ A........... Hysteroscopy,

6.16

NA

NA

2.04

2.39

0.74

000 lysis. 58560......... ............ A........... Hysteroscopy,

6.99

NA

NA

2.32

2.70

0.84

000 resect septum. 58561......... ............ A........... Hysteroscopy,

9.99

NA

NA

3.11

3.70

1.21

000 remove myoma. 58562......... ............ A........... Hysteroscopy,

5.20

3.53

2.94

1.75

2.05

0.63

000 remove fb. 58563......... ............ A........... Hysteroscopy,

6.16

37.26

46.74

2.04

2.40

0.74

000 ablation. 58565......... ............ A........... Hysteroscopy,

7.06

41.99

45.79

3.37

3.64

1.19

090 sterilization. 58570......... ............ A........... Tlh, uterus 250 g

15.75

NA

NA

6.46

6.46

1.82

090 or less. 58571......... ............ A........... Tlh w/t/o 250 g or 17.56

NA

NA

6.95

6.95

1.81

090 less. 58572......... ............ A........... Tlh, uterus over

19.96

NA

NA

7.60

7.60

2.31

090 250 g. 58573......... ............ A........... Tlh w/t/o uterus

22.98

NA

NA

8.42

8.42

2.28

090 over 250 g. 58578......... ............ C........... Laparo proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY uterus. 58579......... ............ C........... Hysteroscope

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 58600......... ............ A........... Division of

5.86

NA

NA

2.92

3.13

0.66

090 fallopian tube. 58605......... ............ A........... Division of

5.25

NA

NA

2.71

2.91

0.59

090 fallopian tube. 58611......... ............ A........... Ligate oviduct(s)

1.45

NA

NA

0.40

0.48

0.18

ZZZ add-on. 58615......... ............ A........... Occlude fallopian

3.91

NA

NA

2.04

2.37

0.47

010 tube(s). 58660......... ............ A........... Laparoscopy, lysis 11.54

NA

NA

4.49

4.88

1.40

090 58661......... ............ A........... Laparoscopy,

11.30

NA

NA

3.99

4.55

1.34

010 remove adnexa. 58662......... ............ A........... Laparoscopy,

12.08

NA

NA

4.76

5.27

1.43

090 excise lesions. 58670......... ............ A........... Laparoscopy, tubal

5.86

NA

NA

2.95

3.11

0.67

090 cautery. 58671......... ............ A........... Laparoscopy, tubal

5.86

NA

NA

2.94

3.11

0.68

090 block. 58672......... ............ A........... Laparoscopy,

12.88

NA

NA

4.78

5.48

1.60

090 fimbrioplasty. 58673......... ............ A........... Laparoscopy,

13.99

NA

NA

5.13

5.85

1.70

090 salpingostomy. 58679......... ............ C........... Laparo proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY oviduct-ovary. 58700......... ............ A........... Removal of

12.84

NA

NA

5.49

5.74

1.51

090 fallopian tube. 58720......... ............ A........... Removal of ovary/

12.08

NA

NA

5.09

5.43

1.39

090 tube(s). 58740......... ............ A........... Revise fallopian

14.79

NA

NA

6.05

6.59

1.72

090 tube(s). 58750......... ............ A........... Repair oviduct.... 15.56

NA

NA

6.05

6.71

1.85

090 58752......... ............ A........... Revise ovarian

15.56

NA

NA

5.99

6.47

1.81

090 tube(s). 58760......... ............ A........... Remove tubal

13.85

NA

NA

5.59

6.15

1.80

090 obstruction. 58770......... ............ A........... Create new tubal

14.69

NA

NA

5.75

6.33

1.74

090 opening. 58800......... ............ A........... Drainage of

4.54

3.21

3.43

2.69

2.80

0.43

090 ovarian cyst(s). 58805......... ............ A........... Drainage of

6.34

NA

NA

3.51

3.50

0.69

090 ovarian cyst(s). 58820......... ............ A........... Drain ovary

4.62

NA

NA

2.90

3.10

0.52

090 abscess, open. 58822......... ............ A........... Drain ovary

11.71

NA

NA

5.16

5.19

1.16

090 abscess, percut. 58823......... ............ A........... Drain pelvic

3.37

20.00

20.67

1.16

1.14

0.24

000 abscess, percut. 58825......... ............ A........... Transposition,

11.70

NA

NA

4.84

5.32

1.32

090 ovary(s). 58900......... ............ A........... Biopsy of ovary(s)

6.51

NA

NA

3.55

3.56

0.69

090 58920......... ............ A........... Partial removal of 11.87

NA

NA

5.05

5.31

1.43

090 ovary(s). 58925......... ............ A........... Removal of ovarian 12.33

NA

NA

5.25

5.47

1.41

090 cyst(s). 58940......... ............ A........... Removal of

8.12

NA

NA

4.04

4.07

0.91

090 ovary(s). 58943......... ............ A........... Removal of

19.42

NA

NA

7.18

7.91

2.23

090 ovary(s). 58950......... ............ A........... Resect ovarian

18.24

NA

NA

7.25

7.82

2.05

090 malignancy. 58951......... ............ A........... Resect ovarian

24.15

NA

NA

8.60

9.52

2.64

090 malignancy. 58952......... ............ A........... Resect ovarian

27.15

NA

NA

9.82

10.79

3.03

090 malignancy. 58953......... ............ A........... Tah, rad dissect

33.97

NA

NA

11.63

13.09

3.84

090 for debulk. 58954......... ............ A........... Tah rad debulk/

36.97

NA

NA

12.52

14.12

4.18

090 lymph remove. 58956......... ............ A........... Bso, omentectomy w/ 22.65

NA

NA

8.59

9.45

4.01

090 tah. 58957......... ............ A........... Resect recurrent

26.06

NA

NA

9.57

9.57

2.95

090 gyn mal. 58958......... ............ A........... Resect recur gyn

29.06

NA

NA

10.36

10.36

3.29

090 mal w/lym. 58960......... ............ A........... Exploration of

15.68

NA

NA

6.25

6.80

1.80

090 abdomen. 58970......... ............ A........... Retrieval of

3.52

1.85

2.08

1.28

1.38

0.43

000 oocyte. 58974......... ............ C........... Transfer of embryo

0.00

0.00

0.00

0.00

0.00

0.00

000 58976......... ............ A........... Transfer of embryo

3.82

1.94

2.31

1.20

1.51

0.47

000 58999......... ............ C........... Genital surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 59000......... ............ A........... Amniocentesis,

1.30

1.75

1.91

0.55

0.61

0.31

000 diagnostic. 59001......... ............ A........... Amniocentesis,

3.00

NA

NA

1.07

1.24

0.71

000 therapeutic. 59012......... ............ A........... Fetal cord

3.44

NA

NA

1.13

1.34

0.82

000 puncture,prenatal. 59015......... ............ A........... Chorion biopsy....

2.20

1.42

1.48

0.79

0.92

0.52

000 59020......... ............ A........... Fetal contract

0.66

1.07

0.92

NA

NA

0.26

000 stress test. 59020......... TC.......... A........... Fetal contract

0.00

0.89

0.70

NA

NA

0.10

000 stress test. 59020......... 26.......... A........... Fetal contract

0.66

0.18

0.22

0.18

0.22

0.16

000 stress test. 59025......... ............ A........... Fetal non-stress

0.53

0.63

0.54

NA

NA

0.15

000 test. 59025......... TC.......... A........... Fetal non-stress

0.00

0.48

0.36

NA

NA

0.02

000 test. 59025......... 26.......... A........... Fetal non-stress

0.53

0.15

0.18

0.15

0.18

0.13

000 test. 59030......... ............ A........... Fetal scalp blood

1.99

NA

NA

0.46

0.61

0.47

000 sample. 59050......... ............ A........... Fetal monitor w/

0.89

NA

NA

0.27

0.31

0.21

XXX report. 59051......... ............ A........... Fetal monitor/

0.74

NA

NA

0.20

0.25

0.17

XXX interpret only.

[[Page 2636]]

59070......... ............ A........... Transabdom

5.24

4.39

4.77

1.77

2.04

0.28

000 amnioinfus w/us. 59072......... ............ A........... Umbilical cord

8.99

NA

NA

2.39

2.76

0.16

000 occlud w/us. 59074......... ............ A........... Fetal fluid

5.24

3.61

4.09

1.53

1.92

0.28

000 drainage w/us. 59076......... ............ A........... Fetal shunt

8.99

NA

NA

2.39

2.76

0.16

000 placement, w/us. 59100......... ............ A........... Remove uterus

13.26

NA

NA

5.55

6.00

2.95

090 lesion. 59120......... ............ A........... Treat ectopic

12.56

NA

NA

5.40

5.82

2.73

090 pregnancy. 59121......... ............ A........... Treat ectopic

12.64

NA

NA

5.35

5.84

2.79

090 pregnancy. 59130......... ............ A........... Treat ectopic

14.98

NA

NA

6.74

5.76

3.39

090 pregnancy. 59135......... ............ A........... Treat ectopic

14.82

NA

NA

5.09

6.16

3.31

090 pregnancy. 59136......... ............ A........... Treat ectopic

14.15

NA

NA

4.93

5.77

3.14

090 pregnancy. 59140......... ............ A........... Treat ectopic

5.86

NA

NA

3.30

2.76

1.29

090 pregnancy. 59150......... ............ A........... Treat ectopic

12.19

NA

NA

5.23

5.61

2.79

090 pregnancy. 59151......... ............ A........... Treat ectopic

12.01

NA

NA

4.87

5.46

2.74

090 pregnancy. 59160......... ............ A........... D & c after

2.73

1.99

2.64

1.17

1.65

0.64

010 delivery. 59200......... ............ A........... Insert cervical

0.79

0.94

1.06

0.22

0.26

0.19

000 dilator. 59300......... ............ A........... Episiotomy or

2.41

2.19

2.18

1.00

0.98

0.57

000 vaginal repair. 59320......... ............ A........... Revision of cervix

2.48

NA

NA

1.00

1.12

0.59

000 59325......... ............ A........... Revision of cervix

4.06

NA

NA

1.44

1.67

0.88

000 59350......... ............ A........... Repair of uterus..

4.94

NA

NA

1.21

1.54

1.17

000 59400......... ............ A........... Obstetrical care.. 26.80

NA

NA

14.09

14.71

5.50

MMM 59409......... ............ A........... Obstetrical care.. 13.48

NA

NA

3.70

4.51

3.22

MMM 59410......... ............ A........... Obstetrical care.. 15.29

NA

NA

4.92

5.61

3.52

MMM 59412......... ............ A........... Antepartum

1.71

NA

NA

0.64

0.72

0.40

MMM manipulation. 59414......... ............ A........... Deliver placenta..

1.61

NA

NA

0.44

0.54

0.38

MMM 59425......... ............ A........... Antepartum care

6.22

4.24

4.22

1.68

1.77

1.14

MMM only. 59426......... ............ A........... Antepartum care

11.04

7.79

7.67

2.99

3.11

1.98

MMM only. 59430......... ............ A........... Care after

2.13

1.08

1.15

0.71

0.82

0.50

MMM delivery. 59510......... ............ A........... Cesarean delivery. 30.34

NA

NA

15.98

16.63

6.25

MMM 59514......... ............ A........... Cesarean delivery

15.95

NA

NA

4.43

5.32

3.80

MMM only. 59515......... ............ A........... Cesarean delivery. 18.26

NA

NA

6.13

6.98

4.13

MMM 59525......... ............ A........... Remove uterus

8.53

NA

NA

2.25

2.78

1.95

ZZZ after cesarean. 59610......... ............ A........... Vbac delivery..... 28.21

NA

NA

14.94

15.41

5.87

MMM 59612......... ............ A........... Vbac delivery only 15.04

NA

NA

4.19

5.13

3.59

MMM 59614......... ............ A........... Vbac care after

16.59

NA

NA

5.11

6.02

3.89

MMM delivery. 59618......... ............ A........... Attempted vbac

31.78

NA

NA

16.37

17.30

6.61

MMM delivery. 59620......... ............ A........... Attempted vbac

17.50

NA

NA

4.66

5.71

4.17

MMM delivery only. 59622......... ............ A........... Attempted vbac

19.70

NA

NA

6.71

7.67

4.50

MMM after care. 59812......... ............ A........... Treatment of

4.39

3.10

2.82

2.36

2.45

0.95

090 miscarriage. 59820......... ............ A........... Care of

4.68

4.07

4.25

3.46

3.51

0.95

090 miscarriage. 59821......... ............ A........... Treatment of

4.97

3.91

4.09

3.24

3.32

1.06

090 miscarriage. 59830......... ............ A........... Treat uterus

6.51

NA

NA

3.44

3.71

1.44

090 infection. 59840......... ............ R........... Abortion..........

3.01

2.00

2.06

1.77

1.95

0.71

010 59841......... ............ R........... Abortion..........

5.57

3.12

3.30

2.55

2.76

1.24

010 59850......... ............ R........... Abortion..........

5.90

NA

NA

2.46

2.86

1.28

090 59851......... ............ R........... Abortion..........

5.92

NA

NA

3.29

3.51

1.28

090 59852......... ............ R........... Abortion..........

8.23

NA

NA

3.82

4.43

1.81

090 59855......... ............ R........... Abortion..........

6.38

NA

NA

3.08

3.31

1.45

090 59856......... ............ R........... Abortion..........

7.74

NA

NA

3.32

3.69

1.79

090 59857......... ............ R........... Abortion..........

9.30

NA

NA

3.64

4.18

2.02

090 59866......... ............ R........... Abortion (mpr)....

3.99

NA

NA

1.36

1.63

0.87

000 59870......... ............ A........... Evacuate mole of

6.40

NA

NA

4.38

4.43

1.42

090 uterus. 59871......... ............ A........... Remove cerclage

2.13

NA

NA

0.91

1.02

0.50

000 suture. 59897......... ............ C........... Fetal invas px w/

0.00

0.00

0.00

0.00

0.00

0.00

YYY us. 59898......... ............ C........... Laparo proc, ob

0.00

0.00

0.00

0.00

0.00

0.00

YYY care/deliver. 59899......... ............ C........... Maternity care

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 60000......... ............ A........... Drain thyroid/

1.78

2.09

2.01

1.70

1.70

0.15

010 tongue cyst. 60100......... ............ A........... Biopsy of thyroid.

1.56

1.32

1.36

0.52

0.52

0.10

000 60200......... ............ A........... Remove thyroid

9.91

NA

NA

5.50

5.74

1.01

090 lesion. 60210......... ............ A........... Partial thyroid

11.15

NA

NA

5.23

5.43

1.23

090 excision. 60212......... ............ A........... Partial thyroid

16.32

NA

NA

6.95

7.31

1.95

090 excision. 60220......... ............ A........... Partial removal of 12.29

NA

NA

5.67

5.91

1.32

090 thyroid. 60225......... ............ A........... Partial removal of 14.67

NA

NA

6.92

7.16

1.64

090 thyroid. 60240......... ............ A........... Removal of thyroid 16.18

NA

NA

6.40

6.99

1.86

090 60252......... ............ A........... Removal of thyroid 21.88

NA

NA

8.83

9.46

2.30

090 60254......... ............ A........... Extensive thyroid

28.29

NA

NA

11.22

12.69

2.61

090 surgery. 60260......... ............ A........... Repeat thyroid

18.18

NA

NA

7.41

8.03

1.94

090 surgery. 60270......... ............ A........... Removal of thyroid 23.07

NA

NA

9.33

9.89

2.33

090 60271......... ............ A........... Removal of thyroid 17.54

NA

NA

7.15

7.87

1.75

090 60280......... ............ A........... Remove thyroid

6.05

NA

NA

4.48

4.57

0.54

090 duct lesion. 60281......... ............ A........... Remove thyroid

8.71

NA

NA

5.32

5.58

0.73

090 duct lesion. 60300......... ............ A........... Aspir/inj thyroid

0.97

1.94

1.67

0.30

0.32

0.07

000 cyst. 60500......... ............ A........... Explore

16.69

NA

NA

6.86

7.13

2.01

090 parathyroid glands.

[[Page 2637]]

60502......... ............ A........... Re-explore

21.01

NA

NA

8.61

8.99

2.54

090 parathyroids. 60505......... ............ A........... Explore

22.91

NA

NA

9.39

10.16

2.65

090 parathyroid glands. 60512......... ............ A........... Autotransplant

4.44

NA

NA

1.21

1.41

0.53

ZZZ parathyroid. 60520......... ............ A........... Removal of thymus

17.07

NA

NA

7.01

7.65

2.20

090 gland. 60521......... ............ A........... Removal of thymus

19.11

NA

NA

8.13

8.84

2.82

090 gland. 60522......... ............ A........... Removal of thymus

23.37

NA

NA

9.61

10.44

3.27

090 gland. 60540......... ............ A........... Explore adrenal

17.91

NA

NA

8.25

7.92

1.75

090 gland. 60545......... ............ A........... Explore adrenal

20.82

NA

NA

8.95

8.74

2.08

090 gland. 60600......... ............ A........... Remove carotid

24.99

NA

NA

8.83

9.90

2.20

090 body lesion. 60605......... ............ A........... Remove carotid

31.86

NA

NA

12.14

12.20

2.50

090 body lesion. 60650......... ............ A........... Laparoscopy

20.63

NA

NA

8.09

8.04

2.29

090 adrenalectomy. 60659......... ............ C........... Laparo proc,

0.00

0.00

0.00

0.00

0.00

0.00

YYY endocrine. 60699......... ............ C........... Endocrine surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 61000......... ............ A........... Remove cranial

1.58

NA

NA

1.24

1.09

0.13

000 cavity fluid. 61001......... ............ A........... Remove cranial

1.49

NA

NA

1.08

1.07

0.16

000 cavity fluid. 61020......... ............ A........... Remove brain

1.51

NA

NA

1.63

1.48

0.34

000 cavity fluid. 61026......... ............ A........... Injection into

1.69

NA

NA

1.30

1.34

0.33

000 brain canal. 61050......... ............ A........... Remove brain canal

1.51

NA

NA

1.15

1.21

0.11

000 fluid. 61055......... ............ A........... Injection into

2.10

NA

NA

1.33

1.37

0.17

000 brain canal. 61070......... ............ A........... Brain canal shunt

0.89

NA

NA

1.16

1.08

0.17

000 procedure. 61105......... ............ A........... Twist drill hole..

5.40

NA

NA

4.91

4.42

1.32

090 61107......... ............ A........... Drill skull for

4.99

NA

NA

1.83

2.18

1.29

000 implantation. 61108......... ............ A........... Drill skull for

11.51

NA

NA

8.35

7.75

2.64

090 drainage. 61120......... ............ A........... Burr hole for

9.52

NA

NA

6.78

6.39

2.10

090 puncture. 61140......... ............ A........... Pierce skull for

17.10

NA

NA

10.42

10.15

4.12

090 biopsy. 61150......... ............ A........... Pierce skull for

18.80

NA

NA

10.68

10.53

4.32

090 drainage. 61151......... ............ A........... Pierce skull for

13.41

NA

NA

8.44

8.13

3.01

090 drainage. 61154......... ............ A........... Pierce skull &

16.92

NA

NA

10.83

10.16

4.21

090 remove clot. 61156......... ............ A........... Pierce skull for

17.37

NA

NA

9.72

9.78

4.23

090 drainage. 61210......... ............ A........... Pierce skull,

5.83

NA

NA

2.15

2.53

1.50

000 implant device. 61215......... ............ A........... Insert brain-fluid

5.77

NA

NA

5.45

4.72

1.26

090 device. 61250......... ............ A........... Pierce skull &

11.41

NA

NA

7.38

7.12

2.77

090 explore. 61253......... ............ A........... Pierce skull &

13.41

NA

NA

7.49

7.61

2.62

090 explore. 61304......... ............ A........... Open skull for

23.31

NA

NA

12.54

12.69

5.63

090 exploration. 61305......... ............ A........... Open skull for

28.51

NA

NA

14.97

15.14

6.09

090 exploration. 61312......... ............ A........... Open skull for

30.07

NA

NA

15.24

15.14

6.36

090 drainage. 61313......... ............ A........... Open skull for

27.94

NA

NA

15.37

15.09

6.45

090 drainage. 61314......... ............ A........... Open skull for

25.77

NA

NA

14.15

13.60

6.28

090 drainage. 61315......... ............ A........... Open skull for

29.52

NA

NA

15.51

15.77

7.16

090 drainage. 61316......... ............ A........... Implt cran bone

1.39

NA

NA

0.51

0.56

0.35

ZZZ flap to abdo. 61320......... ............ A........... Open skull for

27.32

NA

NA

14.25

14.50

6.62

090 drainage. 61321......... ............ A........... Open skull for

30.40

NA

NA

16.07

16.10

7.14

090 drainage. 61322......... ............ A........... Decompressive

34.08

NA

NA

17.48

16.58

7.63

090 craniotomy. 61323......... ............ A........... Decompressive

34.93

NA

NA

17.31

16.70

8.03

090 lobectomy. 61330......... ............ A........... Decompress eye

25.17

NA

NA

11.53

12.63

2.32

090 socket. 61332......... ............ A........... Explore/biopsy eye 28.50

NA

NA

12.96

14.28

4.83

090 socket. 61333......... ............ A........... Explore orbit/

29.17

NA

NA

12.88

14.24

3.92

090 remove lesion. 61334......... ............ A........... Explore orbit/

19.50

NA

NA

9.02

9.83

1.75

090 remove object. 61340......... ............ A........... Subtemporal

20.01

NA

NA

11.68

11.40

4.84

090 decompression. 61343......... ............ A........... Incise skull

31.73

NA

NA

15.94

16.37

7.64

090 (press relief). 61345......... ............ A........... Relieve cranial

29.10

NA

NA

14.86

15.13

7.04

090 pressure. 61440......... ............ A........... Incise skull for

28.53

NA

NA

15.23

14.72

6.90

090 surgery. 61450......... ............ A........... Incise skull for

27.59

NA

NA

14.06

14.18

5.79

090 surgery. 61458......... ............ A........... Incise skull for

28.71

NA

NA

14.89

15.20

7.03

090 brain wound. 61460......... ............ A........... Incise skull for

30.11

NA

NA

14.58

15.50

6.04

090 surgery. 61470......... ............ A........... Incise skull for

27.52

NA

NA

14.06

13.96

5.90

090 surgery. 61480......... ............ A........... Incise skull for

27.95

NA

NA

8.14

11.71

6.73

090 surgery. 61490......... ............ A........... Incise skull for

27.12

NA

NA

14.23

14.28

6.92

090 surgery. 61500......... ............ A........... Removal of skull

19.05

NA

NA

10.69

10.75

4.11

090 lesion. 61501......... ............ A........... Remove infected

16.22

NA

NA

9.45

9.33

3.22

090 skull bone. 61510......... ............ A........... Removal of brain

30.63

NA

NA

16.95

16.83

7.35

090 lesion. 61512......... ............ A........... Remove brain

36.99

NA

NA

18.47

19.08

9.08

090 lining lesion. 61514......... ............ A........... Removal of brain

27.10

NA

NA

14.42

14.43

6.54

090 abscess. 61516......... ............ A........... Removal of brain

26.45

NA

NA

14.06

14.16

6.35

090 lesion. 61517......... ............ A........... Implt brain

1.38

NA

NA

0.51

0.58

0.35

ZZZ chemotx add-on. 61518......... ............ A........... Removal of brain

39.69

NA

NA

20.31

20.71

9.65

090 lesion. 61519......... ............ A........... Remove brain

43.28

NA

NA

20.65

21.66

10.63

090 lining lesion. 61520......... ............ A........... Removal of brain

56.89

NA

NA

25.96

28.15

11.21

090 lesion. 61521......... ............ A........... Removal of brain

46.84

NA

NA

22.16

23.19

11.39

090 lesion. 61522......... ............ A........... Removal of brain

31.41

NA

NA

15.77

16.10

7.62

090 abscess. 61524......... ............ A........... Removal of brain

29.76

NA

NA

15.70

15.69

7.16

090 lesion. 61526......... ............ A........... Removal of brain

53.90

NA

NA

22.53

26.02

7.07

090 lesion.

[[Page 2638]]

61530......... ............ A........... Removal of brain

45.43

NA

NA

19.49

22.28

6.15

090 lesion. 61531......... ............ A........... Implant brain

16.28

NA

NA

10.46

9.80

3.79

090 electrodes. 61533......... ............ A........... Implant brain

21.36

NA

NA

11.79

11.66

5.12

090 electrodes. 61534......... ............ A........... Removal of brain

22.88

NA

NA

13.13

12.61

5.44

090 lesion. 61535......... ............ A........... Remove brain

13.05

NA

NA

8.84

8.13

3.02

090 electrodes. 61536......... ............ A........... Removal of brain

37.59

NA

NA

18.53

19.17

9.21

090 lesion. 61537......... ............ A........... Removal of brain

36.35

NA

NA

17.04

15.89

6.94

090 tissue. 61538......... ............ A........... Removal of brain

39.35

NA

NA

18.37

16.84

6.94

090 tissue. 61539......... ............ A........... Removal of brain

34.15

NA

NA

16.83

17.30

8.32

090 tissue. 61540......... ............ A........... Removal of brain

31.30

NA

NA

16.30

16.78

8.32

090 tissue. 61541......... ............ A........... Incision of brain

30.81

NA

NA

16.09

16.15

6.60

090 tissue. 61542......... ............ A........... Removal of brain

33.03

NA

NA

16.78

17.31

8.03

090 tissue. 61543......... ............ A........... Removal of brain

31.18

NA

NA

13.86

15.13

7.56

090 tissue. 61544......... ............ A........... Remove & treat

27.26

NA

NA

14.28

14.06

5.97

090 brain lesion. 61545......... ............ A........... Excision of brain

46.23

NA

NA

22.83

23.53

10.63

090 tumor. 61546......... ............ A........... Removal of

33.31

NA

NA

16.74

17.12

7.67

090 pituitary gland. 61548......... ............ A........... Removal of

23.27

NA

NA

11.62

12.20

3.43

090 pituitary gland. 61550......... ............ A........... Release of skull

15.44

NA

NA

5.65

6.29

0.98

090 seams. 61552......... ............ A........... Release of skull

20.27

NA

NA

12.15

10.64

1.06

090 seams. 61556......... ............ A........... Incise skull/

24.00

NA

NA

13.29

12.33

4.65

090 sutures. 61557......... ............ A........... Incise skull/

23.16

NA

NA

13.64

13.63

5.80

090 sutures. 61558......... ............ A........... Excision of skull/ 26.35

NA

NA

14.70

14.45

1.36

090 sutures. 61559......... ............ A........... Excision of skull/ 33.82

NA

NA

18.38

18.85

8.51

090 sutures. 61563......... ............ A........... Excision of skull

28.35

NA

NA

13.09

14.17

5.17

090 tumor. 61564......... ............ A........... Excision of skull

34.59

NA

NA

17.91

18.10

8.78

090 tumor. 61566......... ............ A........... Removal of brain

32.32

NA

NA

16.65

17.21

6.94

090 tissue. 61567......... ............ A........... Incision of brain

36.84

NA

NA

19.07

19.88

6.54

090 tissue. 61570......... ............ A........... Remove foreign

26.38

NA

NA

14.02

13.97

5.88

090 body, brain. 61571......... ............ A........... Incise skull for

28.29

NA

NA

14.64

14.89

6.79

090 brain wound. 61575......... ............ A........... Skull base/

36.43

NA

NA

16.10

17.87

5.34

090 brainstem surgery. 61576......... ............ A........... Skull base/

55.11

NA

NA

28.09

31.42

5.58

090 brainstem surgery. 61580......... ............ A........... Craniofacial

34.34

NA

NA

22.85

24.22

3.37

090 approach, skull. 61581......... ............ A........... Craniofacial

38.88

NA

NA

27.83

25.65

3.92

090 approach, skull. 61582......... ............ A........... Craniofacial

34.93

NA

NA

30.48

28.90

7.21

090 approach, skull. 61583......... ............ A........... Craniofacial

38.41

NA

NA

25.90

25.51

9.21

090 approach, skull. 61584......... ............ A........... Orbitocranial

37.61

NA

NA

26.04

25.29

8.18

090 approach/skull. 61585......... ............ A........... Orbitocranial

42.46

NA

NA

25.13

25.82

7.03

090 approach/skull. 61586......... ............ A........... Resect

27.28

NA

NA

22.64

22.62

4.37

090 nasopharynx, skull. 61590......... ............ A........... Infratemporal

46.87

NA

NA

24.81

26.73

5.31

090 approach/skull. 61591......... ............ A........... Infratemporal

46.87

NA

NA

24.60

27.07

5.66

090 approach/skull. 61592......... ............ A........... Orbitocranial

42.98

NA

NA

26.80

26.66

10.07

090 approach/skull. 61595......... ............ A........... Transtemporal

33.57

NA

NA

21.14

21.75

3.98

090 approach/skull. 61596......... ............ A........... Transcochlear

39.31

NA

NA

20.95

22.70

3.40

090 approach/skull. 61597......... ............ A........... Transcondylar

40.73

NA

NA

23.27

23.14

8.84

090 approach/skull. 61598......... ............ A........... Transpetrosal

36.41

NA

NA

22.16

22.70

5.70

090 approach/skull. 61600......... ............ A........... Resect/excise

29.84

NA

NA

19.76

19.77

3.79

090 cranial lesion. 61601......... ............ A........... Resect/excise

31.04

NA

NA

22.38

21.44

6.63

090 cranial lesion. 61605......... ............ A........... Resect/excise

32.40

NA

NA

19.47

20.72

2.86

090 cranial lesion. 61606......... ............ A........... Resect/excise

41.94

NA

NA

23.77

24.47

8.97

090 cranial lesion. 61607......... ............ A........... Resect/excise

40.82

NA

NA

21.00

22.40

6.90

090 cranial lesion. 61608......... ............ A........... Resect/excise

45.45

NA

NA

26.32

26.46

10.75

090 cranial lesion. 61609......... ............ A........... Transect artery,

9.88

NA

NA

3.25

4.05

2.56

ZZZ sinus. 61610......... ............ A........... Transect artery,

29.63

NA

NA

11.06

12.11

7.68

ZZZ sinus. 61611......... ............ A........... Transect artery,

7.41

NA

NA

1.71

2.76

1.89

ZZZ sinus. 61612......... ............ A........... Transect artery,

27.84

NA

NA

6.41

9.86

4.31

ZZZ sinus. 61613......... ............ A........... Remove aneurysm,

44.94

NA

NA

27.35

26.82

8.45

090 sinus. 61615......... ............ A........... Resect/excise

35.63

NA

NA

21.30

22.02

4.73

090 lesion, skull. 61616......... ............ A........... Resect/excise

46.60

NA

NA

27.24

27.96

8.26

090 lesion, skull. 61618......... ............ A........... Repair dura....... 18.58

NA

NA

10.44

10.44

3.72

090 61619......... ............ A........... Repair dura....... 22.01

NA

NA

11.67

11.96

3.95

090 61623......... ............ A........... Endovasc tempory

9.95

NA

NA

3.72

3.90

1.05

000 vessel occl. 61624......... ............ A........... Transcath

20.12

NA

NA

7.29

7.09

1.96

000 occlusion, cns. 61626......... ............ A........... Transcath

16.60

NA

NA

5.97

5.75

1.24

000 occlusion, non- cns. 61630......... ............ N........... Intracranial

22.07

NA

NA

6.44

9.47

2.02

090 angioplasty. 61635......... ............ N........... Intracran

24.28

NA

NA

6.95

10.25

2.21

090 angioplsty w/ stent. 61640......... ............ N........... Dilate ic

12.32

NA

NA

2.83

2.83

0.71

000 vasospasm, init. 61641......... ............ N........... Dilate ic

4.33

NA

NA

1.00

1.00

0.25

ZZZ vasospasm add-on. 61642......... ............ N........... Dilate ic

8.66

NA

NA

1.99

1.99

0.50

ZZZ vasospasm add-on. 61680......... ............ A........... Intracranial

32.40

NA

NA

16.75

17.09

7.95

090 vessel surgery. 61682......... ............ A........... Intracranial

63.31

NA

NA

27.54

29.89

15.90

090 vessel surgery. 61684......... ............ A........... Intracranial

41.49

NA

NA

20.38

21.19

10.31

090 vessel surgery. 61686......... ............ A........... Intracranial

67.32

NA

NA

30.47

32.61

16.71

090 vessel surgery.

[[Page 2639]]

61690......... ............ A........... Intracranial

31.18

NA

NA

16.52

16.63

6.94

090 vessel surgery. 61692......... ............ A........... Intracranial

54.43

NA

NA

24.35

25.92

13.43

090 vessel surgery. 61697......... ............ A........... Brain aneurysm

63.22

NA

NA

28.64

28.33

12.85

090 repr, complx. 61698......... ............ A........... Brain aneurysm

69.45

NA

NA

30.59

28.65

12.54

090 repr, complx. 61700......... ............ A........... Brain aneurysm

50.44

NA

NA

24.03

25.92

13.02

090 repr, simple. 61702......... ............ A........... Inner skull vessel 59.86

NA

NA

27.50

26.78

10.79

090 surgery. 61703......... ............ A........... Clamp neck artery. 18.70

NA

NA

10.06

10.27

4.06

090 61705......... ............ A........... Revise circulation 37.97

NA

NA

18.32

18.79

8.87

090 to head. 61708......... ............ A........... Revise circulation 37.07

NA

NA

14.87

15.02

2.51

090 to head. 61710......... ............ A........... Revise circulation 31.19

NA

NA

13.79

13.72

4.52

090 to head. 61711......... ............ A........... Fusion of skull

38.10

NA

NA

18.61

19.21

9.42

090 arteries. 61720......... ............ A........... Incise skull/brain 17.52

NA

NA

7.89

8.93

2.79

090 surgery. 61735......... ............ A........... Incise skull/brain 22.22

NA

NA

9.17

10.67

2.73

090 surgery. 61750......... ............ A........... Incise skull/brain 19.73

NA

NA

10.95

10.79

4.72

090 biopsy. 61751......... ............ A........... Brain biopsy w/ct/ 18.64

NA

NA

11.37

11.10

4.56

090 mr guide. 61760......... ............ A........... Implant brain

22.24

NA

NA

12.06

10.39

5.42

090 electrodes. 61770......... ............ A........... Incise skull for

23.09

NA

NA

9.89

11.08

3.55

090 treatment. 61790......... ............ A........... Treat trigeminal

11.50

NA

NA

7.70

6.81

2.82

090 nerve. 61791......... ............ A........... Treat trigeminal

15.31

NA

NA

8.21

8.57

3.40

090 tract. 61793......... ............ A........... Focus radiation

17.75

NA

NA

9.55

9.84

4.46

090 beam. 61795......... ............ A........... Brain surgery

4.03

NA

NA

1.43

1.73

0.79

ZZZ using computer. 61850......... ............ A........... Implant

13.26

NA

NA

7.89

7.78

3.22

090 neuroelectrodes. 61860......... ............ A........... Implant

22.16

NA

NA

11.60

11.83

4.95

090 neuroelectrodes. 61863......... ............ A........... Implant

20.56

NA

NA

12.42

12.10

5.43

090 neuroelectrode. 61864......... ............ A........... Implant

4.49

NA

NA

1.68

1.98

5.43

ZZZ neuroelectrde, addl. 61867......... ............ A........... Implant

32.88

NA

NA

16.37

17.20

5.43

090 neuroelectrode. 61868......... ............ A........... Implant

7.91

NA

NA

2.94

3.48

5.43

ZZZ neuroelectrde, add[AElig]l. 61870......... ............ A........... Implant

16.24

NA

NA

9.69

9.70

3.87

090 neuroelectrodes. 61875......... ............ A........... Implant

16.36

NA

NA

5.33

6.95

2.95

090 neuroelectrodes. 61880......... ............ A........... Revise/remove

6.87

NA

NA

5.18

4.87

1.66

090 neuroelectrode. 61885......... ............ A........... Insrt/redo

7.37

NA

NA

7.06

6.19

1.59

090 neurostim 1 array. 61886......... ............ A........... Implant neurostim

9.73

NA

NA

8.52

7.44

1.97

090 arrays. 61888......... ............ A........... Revise/remove

5.20

NA

NA

3.47

3.57

1.33

010 neuroreceiver. 62000......... ............ A........... Treat skull

13.83

NA

NA

7.61

6.57

1.06

090 fracture. 62005......... ............ A........... Treat skull

17.53

NA

NA

9.59

9.20

3.87

090 fracture. 62010......... ............ A........... Treatment of head

21.30

NA

NA

11.81

11.76

5.14

090 injury. 62100......... ............ A........... Repair brain fluid 23.40

NA

NA

12.09

12.44

4.84

090 leakage. 62115......... ............ A........... Reduction of skull 22.71

NA

NA

13.89

12.77

5.51

090 defect. 62116......... ............ A........... Reduction of skull 24.90

NA

NA

13.35

13.36

6.11

090 defect. 62117......... ............ A........... Reduction of skull 28.26

NA

NA

12.74

14.06

4.53

090 defect. 62120......... ............ A........... Repair skull

24.39

NA

NA

17.33

17.91

3.00

090 cavity lesion. 62121......... ............ A........... Incise skull

22.93

NA

NA

14.24

14.85

4.17

090 repair. 62140......... ............ A........... Repair of skull

14.45

NA

NA

8.64

8.48

3.47

090 defect. 62141......... ............ A........... Repair of skull

15.97

NA

NA

9.34

9.19

3.76

090 defect. 62142......... ............ A........... Remove skull plate/ 11.73

NA

NA

7.79

7.39

2.73

090 flap. 62143......... ............ A........... Replace skull

14.05

NA

NA

8.73

8.39

3.37

090 plate/flap. 62145......... ............ A........... Repair of skull &

19.99

NA

NA

10.26

10.58

4.50

090 brain. 62146......... ............ A........... Repair of skull

17.18

NA

NA

9.52

9.58

3.62

090 with graft. 62147......... ............ A........... Repair of skull

20.57

NA

NA

11.00

11.15

4.32

090 with graft. 62148......... ............ A........... Retr bone flap to

2.00

NA

NA

0.74

0.80

0.48

ZZZ fix skull. 62160......... ............ A........... Neuroendoscopy add- 3.00

NA

NA

1.11

1.32

0.77

ZZZ on. 62161......... ............ A........... Dissect brain w/

21.10

NA

NA

12.15

12.13

5.19

090 scope. 62162......... ............ A........... Remove colloid

26.67

NA

NA

14.65

14.75

5.91

090 cyst w/scope. 62163......... ............ A........... Neuroendoscopy w/

16.40

NA

NA

9.25

9.59

4.01

090 fb removal. 62164......... ............ A........... Remove brain tumor 29.27

NA

NA

15.93

15.44

5.38

090 w/scope. 62165......... ............ A........... Remove pituit

23.10

NA

NA

11.78

12.58

3.01

090 tumor w/scope. 62180......... ............ A........... Establish brain

22.45

NA

NA

12.37

12.33

4.98

090 cavity shunt. 62190......... ............ A........... Establish brain

12.07

NA

NA

7.37

7.23

2.80

090 cavity shunt. 62192......... ............ A........... Establish brain

13.25

NA

NA

8.02

7.82

3.02

090 cavity shunt. 62194......... ............ A........... Replace/irrigate

5.68

NA

NA

3.14

2.79

0.92

010 catheter. 62200......... ............ A........... Establish brain

19.19

NA

NA

10.70

10.77

4.65

090 cavity shunt. 62201......... ............ A........... Brain cavity shunt 15.89

NA

NA

10.35

9.90

3.68

090 w/scope. 62220......... ............ A........... Establish brain

14.00

NA

NA

8.62

8.30

3.35

090 cavity shunt. 62223......... ............ A........... Establish brain

13.90

NA

NA

9.36

8.80

3.14

090 cavity shunt. 62225......... ............ A........... Replace/irrigate

6.11

NA

NA

5.48

4.79

1.39

090 catheter. 62230......... ............ A........... Replace/revise

11.35

NA

NA

7.21

6.85

2.71

090 brain shunt. 62252......... ............ A........... Csf shunt

0.74

1.77

1.62

NA

NA

0.21

XXX reprogram. 62252......... TC.......... A........... Csf shunt

0.00

1.50

1.30

NA

NA

0.02

XXX reprogram. 62252......... 26.......... A........... Csf shunt

0.74

0.27

0.32

0.27

0.32

0.19

XXX reprogram. 62256......... ............ A........... Remove brain

7.30

NA

NA

5.90

5.30

1.72

090 cavity shunt. 62258......... ............ A........... Replace brain

15.54

NA

NA

9.30

9.01

3.74

090 cavity shunt. 62263......... ............ A........... Epidural lysis

6.41

9.46

11.08

2.98

3.09

0.41

010 mult sessions.

[[Page 2640]]

62264......... ............ A........... Epidural lysis on

4.42

5.63

6.68

1.24

1.33

0.27

010 single day. 62268......... ............ A........... Drain spinal cord

4.73

6.70

9.12

1.81

1.98

0.43

000 cyst. 62269......... ............ A........... Needle biopsy,

5.01

6.25

10.47

1.48

1.73

0.37

000 spinal cord. 62270......... ............ A........... Spinal fluid tap,

1.37

2.40

2.69

0.58

0.57

0.08

000 diagnostic. 62272......... ............ A........... Drain cerebro

1.35

3.13

3.37

0.62

0.66

0.18

000 spinal fluid. 62273......... ............ A........... Inject epidural

2.15

1.67

2.19

0.57

0.64

0.13

000 patch. 62280......... ............ A........... Treat spinal cord

2.63

4.63

5.78

1.15

1.08

0.30

010 lesion. 62281......... ............ A........... Treat spinal cord

2.66

4.08

4.87

1.03

0.96

0.19

010 lesion. 62282......... ............ A........... Treat spinal canal

2.33

4.08

6.22

1.11

1.02

0.17

010 lesion. 62284......... ............ A........... Injection for

1.54

3.79

4.38

0.71

0.70

0.13

000 myelogram. 62287......... ............ A........... Percutaneous

8.88

NA

NA

4.30

4.93

0.58

090 diskectomy. 62290......... ............ A........... Inject for spine

3.00

4.50

5.82

1.15

1.26

0.23

000 disk x-ray. 62291......... ............ A........... Inject for spine

2.91

4.24

5.09

1.08

1.15

0.26

000 disk x-ray. 62292......... ............ A........... Injection into

9.14

NA

NA

2.87

3.67

0.82

090 disk lesion. 62294......... ............ A........... Injection into

12.77

NA

NA

6.49

6.04

1.24

090 spinal artery. 62310......... ............ A........... Inject spine c/t..

1.91

3.00

3.90

0.56

0.60

0.12

000 62311......... ............ A........... Inject spine l/s

1.54

2.66

3.79

0.52

0.56

0.09

000 (cd). 62318......... ............ A........... Inject spine w/

2.04

3.09

4.41

0.43

0.54

0.12

000 cath, c/t. 62319......... ............ A........... Inject spine w/

1.87

2.80

3.89

0.44

0.52

0.11

000 cath l/s (cd). 62350......... ............ A........... Implant spinal

8.04

NA

NA

3.99

3.96

1.02

090 canal cath. 62351......... ............ A........... Implant spinal

11.54

NA

NA

7.65

7.39

2.25

090 canal cath. 62355......... ............ A........... Remove spinal

6.60

NA

NA

3.52

3.34

0.71

090 canal catheter. 62360......... ............ A........... Insert spine

3.68

NA

NA

3.17

2.93

0.34

090 infusion device. 62361......... ............ A........... Implant spine

6.59

NA

NA

4.07

3.99

0.80

090 infusion pump. 62362......... ............ A........... Implant spine

8.58

NA

NA

4.65

4.51

1.18

090 infusion pump. 62365......... ............ A........... Remove spine

6.57

NA

NA

3.71

3.65

0.86

090 infusion device. 62367......... ............ A........... Analyze spine

0.48

0.42

0.52

0.11

0.11

0.03

XXX infusion pump. 62368......... ............ A........... Analyze spine

0.75

0.58

0.63

0.17

0.17

0.06

XXX infusion pump. 63001......... ............ A........... Removal of spinal

17.51

NA

NA

9.77

9.64

3.77

090 lamina. 63003......... ............ A........... Removal of spinal

17.64

NA

NA

9.73

9.80

3.73

090 lamina. 63005......... ............ A........... Removal of spinal

16.28

NA

NA

9.74

9.86

3.35

090 lamina. 63011......... ............ A........... Removal of spinal

15.78

NA

NA

9.01

8.64

3.38

090 lamina. 63012......... ............ A........... Removal of spinal

16.72

NA

NA

9.76

9.95

3.49

090 lamina. 63015......... ............ A........... Removal of spinal

20.70

NA

NA

11.85

11.86

4.76

090 lamina. 63016......... ............ A........... Removal of spinal

21.90

NA

NA

11.65

11.72

4.59

090 lamina. 63017......... ............ A........... Removal of spinal

17.18

NA

NA

10.35

10.37

3.64

090 lamina. 63020......... ............ A........... Neck spine disk

16.05

NA

NA

9.88

9.78

3.72

090 surgery. 63030......... ............ A........... Low back disk

13.03

NA

NA

8.60

8.51

3.01

090 surgery. 63035......... ............ A........... Spinal disk

3.15

NA

NA

1.19

1.39

0.79

ZZZ surgery add-on. 63040......... ............ A........... Laminotomy, single 20.18

NA

NA

11.03

11.27

4.68

090 cervical. 63042......... ............ A........... Laminotomy, single 18.61

NA

NA

10.59

10.97

4.26

090 lumbar. 63043......... ............ C........... Laminotomy,

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ add[AElig]l cervical. 63044......... ............ C........... Laminotomy,

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ add[AElig]l lumbar. 63045......... ............ A........... Removal of spinal

17.82

NA

NA

10.34

10.35

3.99

090 lamina. 63046......... ............ A........... Removal of spinal

17.12

NA

NA

9.79

9.99

3.56

090 lamina. 63047......... ............ A........... Removal of spinal

15.22

NA

NA

9.34

9.62

3.24

090 lamina. 63048......... ............ A........... Remove spinal

3.47

NA

NA

1.32

1.49

0.72

ZZZ lamina add-on. 63050......... ............ A........... Cervical

21.88

NA

NA

11.82

11.83

4.67

090 laminoplasty. 63051......... ............ A........... C-laminoplasty w/

25.38

NA

NA

13.08

13.28

4.67

090 graft/plate. 63055......... ............ A........... Decompress spinal

23.42

NA

NA

12.45

12.80

5.29

090 cord. 63056......... ............ A........... Decompress spinal

21.73

NA

NA

11.38

11.98

4.76

090 cord. 63057......... ............ A........... Decompress spine

5.25

NA

NA

1.98

2.31

1.22

ZZZ cord add-on. 63064......... ............ A........... Decompress spinal

26.09

NA

NA

13.22

13.82

5.71

090 cord. 63066......... ............ A........... Decompress spine

3.26

NA

NA

1.21

1.43

0.69

ZZZ cord add-on. 63075......... ............ A........... Neck spine disk

19.47

NA

NA

11.01

11.55

4.63

090 surgery. 63076......... ............ A........... Neck spine disk

4.04

NA

NA

1.52

1.79

0.96

ZZZ surgery. 63077......... ............ A........... Spine disk

22.75

NA

NA

11.08

11.94

3.99

090 surgery, thorax. 63078......... ............ A........... Spine disk

3.28

NA

NA

1.21

1.43

0.66

ZZZ surgery, thorax. 63081......... ............ A........... Removal of

25.97

NA

NA

13.49

13.91

5.56

090 vertebral body. 63082......... ............ A........... Remove vertebral

4.36

NA

NA

1.64

1.94

1.02

ZZZ body add-on. 63085......... ............ A........... Removal of

29.34

NA

NA

13.54

14.51

4.49

090 vertebral body. 63086......... ............ A........... Remove vertebral

3.19

NA

NA

1.17

1.38

0.59

ZZZ body add-on. 63087......... ............ A........... Removal of

37.38

NA

NA

16.65

18.06

6.22

090 vertebral body. 63088......... ............ A........... Remove vertebral

4.32

NA

NA

1.59

1.88

0.82

ZZZ body add-on. 63090......... ............ A........... Removal of

30.78

NA

NA

14.39

15.22

4.22

090 vertebral body. 63091......... ............ A........... Remove vertebral

3.03

NA

NA

1.14

1.30

0.48

ZZZ body add-on. 63101......... ............ A........... Removal of

33.92

NA

NA

17.04

18.16

5.71

090 vertebral body. 63102......... ............ A........... Removal of

33.92

NA

NA

16.83

18.06

5.71

090 vertebral body. 63103......... ............ A........... Remove vertebral

4.82

NA

NA

1.74

2.12

0.69

ZZZ body add-on. 63170......... ............ A........... Incise spinal cord 22.08

NA

NA

10.44

11.15

4.87

090 tract(s). 63172......... ............ A........... Drainage of spinal 19.66

NA

NA

11.07

10.86

4.49

090 cyst. 63173......... ............ A........... Drainage of spinal 24.18

NA

NA

13.57

13.19

5.70

090 cyst.

[[Page 2641]]

63180......... ............ A........... Revise spinal cord 20.40

NA

NA

10.95

10.97

3.96

090 ligaments. 63182......... ............ A........... Revise spinal cord 22.69

NA

NA

7.18

9.07

5.32

090 ligaments. 63185......... ............ A........... Incise spinal

16.36

NA

NA

9.80

8.95

2.80

090 column/nerves. 63190......... ............ A........... Incise spinal

18.76

NA

NA

9.60

9.87

3.25

090 column/nerves. 63191......... ............ A........... Incise spinal

18.79

NA

NA

4.10

7.29

6.36

090 column/nerves. 63194......... ............ A........... Incise spinal

21.97

NA

NA

11.20

11.46

3.27

090 column & cord. 63195......... ............ A........... Incise spinal

21.54

NA

NA

12.10

11.57

4.88

090 column & cord. 63196......... ............ A........... Incise spinal

25.14

NA

NA

13.79

13.59

5.78

090 column & cord. 63197......... ............ A........... Incise spinal

23.95

NA

NA

7.47

9.84

5.38

090 column & cord. 63198......... ............ A........... Incise spinal

29.75

NA

NA

8.93

8.68

6.45

090 column & cord. 63199......... ............ A........... Incise spinal

31.32

NA

NA

9.29

12.16

1.40

090 column & cord. 63200......... ............ A........... Release of spinal

21.31

NA

NA

12.10

11.70

4.97

090 cord. 63250......... ............ A........... Revise spinal cord 43.73

NA

NA

20.91

20.42

9.04

090 vessels. 63251......... ............ A........... Revise spinal cord 44.49

NA

NA

21.53

22.07

10.44

090 vessels. 63252......... ............ A........... Revise spinal cord 44.48

NA

NA

20.87

21.56

10.67

090 vessels. 63265......... ............ A........... Excise intraspinal 23.69

NA

NA

12.99

12.88

5.45

090 lesion. 63266......... ............ A........... Excise intraspinal 24.55

NA

NA

13.18

13.18

5.56

090 lesion. 63267......... ............ A........... Excise intraspinal 19.32

NA

NA

11.13

11.10

4.38

090 lesion. 63268......... ............ A........... Excise intraspinal 19.89

NA

NA

11.25

10.81

3.70

090 lesion. 63270......... ............ A........... Excise intraspinal 29.67

NA

NA

15.36

15.41

6.84

090 lesion. 63271......... ............ A........... Excise intraspinal 29.79

NA

NA

15.32

15.45

6.92

090 lesion. 63272......... ............ A........... Excise intraspinal 27.37

NA

NA

14.29

14.49

6.20

090 lesion. 63273......... ............ A........... Excise intraspinal 26.34

NA

NA

14.08

14.21

5.76

090 lesion. 63275......... ............ A........... Biopsy/excise

25.73

NA

NA

13.74

13.76

5.82

090 spinal tumor. 63276......... ............ A........... Biopsy/excise

25.56

NA

NA

13.52

13.60

5.85

090 spinal tumor. 63277......... ............ A........... Biopsy/excise

22.26

NA

NA

12.13

12.32

5.03

090 spinal tumor. 63278......... ............ A........... Biopsy/excise

21.99

NA

NA

11.92

12.16

4.56

090 spinal tumor. 63280......... ............ A........... Biopsy/excise

30.14

NA

NA

15.88

16.10

7.29

090 spinal tumor. 63281......... ............ A........... Biopsy/excise

29.84

NA

NA

15.87

16.02

7.19

090 spinal tumor. 63282......... ............ A........... Biopsy/excise

28.00

NA

NA

15.01

15.17

6.78

090 spinal tumor. 63283......... ............ A........... Biopsy/excise

26.61

NA

NA

14.68

14.67

6.28

090 spinal tumor. 63285......... ............ A........... Biopsy/excise

37.90

NA

NA

18.10

19.02

9.21

090 spinal tumor. 63286......... ............ A........... Biopsy/excise

37.47

NA

NA

18.71

19.31

9.24

090 spinal tumor. 63287......... ............ A........... Biopsy/excise

39.93

NA

NA

19.62

20.02

9.42

090 spinal tumor. 63290......... ............ A........... Biopsy/excise

40.67

NA

NA

19.29

19.94

9.05

090 spinal tumor. 63295......... ............ A........... Repair of

5.25

NA

NA

1.95

2.05

1.03

ZZZ laminectomy defect. 63300......... ............ A........... Removal of

26.67

NA

NA

13.80

14.05

5.99

090 vertebral body. 63301......... ............ A........... Removal of

31.42

NA

NA

14.21

14.88

5.41

090 vertebral body. 63302......... ............ A........... Removal of

31.00

NA

NA

13.78

14.82

5.55

090 vertebral body. 63303......... ............ A........... Removal of

33.42

NA

NA

15.00

15.96

4.69

090 vertebral body. 63304......... ............ A........... Removal of

33.70

NA

NA

17.58

17.43

6.43

090 vertebral body. 63305......... ............ A........... Removal of

36.09

NA

NA

16.99

17.52

5.73

090 vertebral body. 63306......... ............ A........... Removal of

35.40

NA

NA

16.65

17.22

8.35

090 vertebral body. 63307......... ............ A........... Removal of

34.81

NA

NA

14.83

15.82

4.47

090 vertebral body. 63308......... ............ A........... Remove vertebral

5.24

NA

NA

1.95

2.28

1.29

ZZZ body add-on. 63600......... ............ A........... Remove spinal cord 15.02

NA

NA

4.03

4.72

1.52

090 lesion. 63610......... ............ A........... Stimulation of

8.72

13.95

36.83

1.49

1.87

0.86

000 spinal cord. 63615......... ............ A........... Remove lesion of

17.22

NA

NA

8.53

8.90

2.85

090 spinal cord. 63650......... ............ A........... Implant

7.57

NA

NA

2.92

3.05

0.53

090 neuroelectrodes. 63655......... ............ A........... Implant

11.43

NA

NA

7.63

7.26

2.44

090 neuroelectrodes. 63660......... ............ A........... Revise/remove

6.87

NA

NA

3.42

3.52

0.78

090 neuroelectrode. 63685......... ............ A........... Insrt/redo spine n

7.87

NA

NA

3.65

3.90

1.05

090 generator. 63688......... ............ A........... Revise/remove

6.10

NA

NA

3.53

3.54

0.89

090 neuroreceiver. 63700......... ............ A........... Repair of spinal

17.32

NA

NA

9.95

10.13

3.53

090 herniation. 63702......... ............ A........... Repair of spinal

19.26

NA

NA

9.98

10.51

4.13

090 herniation. 63704......... ............ A........... Repair of spinal

22.23

NA

NA

11.66

12.29

4.58

090 herniation. 63706......... ............ A........... Repair of spinal

25.15

NA

NA

14.30

13.94

6.25

090 herniation. 63707......... ............ A........... Repair spinal

12.52

NA

NA

7.83

7.77

2.52

090 fluid leakage. 63709......... ............ A........... Repair spinal

15.52

NA

NA

8.97

9.19

3.10

090 fluid leakage. 63710......... ............ A........... Graft repair of

15.27

NA

NA

9.19

9.12

3.41

090 spine defect. 63740......... ............ A........... Install spinal

12.50

NA

NA

8.28

7.81

2.94

090 shunt. 63741......... ............ A........... Install spinal

9.02

NA

NA

4.93

4.84

1.66

090 shunt. 63744......... ............ A........... Revision of spinal

8.86

NA

NA

5.76

5.51

1.90

090 shunt. 63746......... ............ A........... Removal of spinal

7.25

NA

NA

5.69

4.73

1.53

090 shunt. 64400......... ............ A........... N block inj,

1.11

1.42

1.66

0.45

0.44

0.07

000 trigeminal. 64402......... ............ A........... N block inj,

1.25

1.41

1.51

0.50

0.55

0.09

000 facial. 64405......... ............ A........... N block inj,

1.32

1.16

1.31

0.49

0.48

0.08

000 occipital. 64408......... ............ A........... N block inj, vagus

1.41

1.45

1.51

0.71

0.78

0.10

000 64410......... ............ A........... N block inj,

1.43

1.92

2.21

0.56

0.51

0.09

000 phrenic. 64412......... ............ A........... N block inj,

1.18

2.13

2.39

0.59

0.51

0.08

000 spinal accessor. 64413......... ............ A........... N block inj,

1.40

1.31

1.58

0.48

0.49

0.08

000 cervical plexus. 64415......... ............ A........... N block inj,

1.48

1.41

2.11

0.30

0.38

0.09

000 brachial plexus.

[[Page 2642]]

64416......... ............ A........... N block cont

3.85

NA

NA

0.46

0.63

0.31

010 infuse, b plex. 64417......... ............ A........... N block inj,

1.44

1.43

2.23

0.32

0.40

0.11

000 axillary. 64418......... ............ A........... N block inj,

1.32

1.89

2.26

0.52

0.48

0.07

000 suprascapular. 64420......... ............ A........... N block inj,

1.18

2.40

3.14

0.45

0.43

0.08

000 intercost, sng. 64421......... ............ A........... N block inj,

1.68

3.55

4.82

0.53

0.52

0.11

000 intercost, mlt. 64425......... ............ A........... N block inj, ilio-

1.75

1.29

1.47

0.53

0.53

0.13

000 ing/hypogi. 64430......... ............ A........... N block inj,

1.46

2.39

2.45

0.77

0.66

0.10

000 pudendal. 64435......... ............ A........... N block inj,

1.45

2.00

2.26

0.56

0.62

0.16

000 paracervical. 64445......... ............ A........... N block inj,

1.48

1.63

2.15

0.50

0.50

0.10

000 sciatic, sng. 64446......... ............ A........... N blk inj,

3.61

NA

NA

0.48

0.74

0.20

010 sciatic, cont inf. 64447......... ............ A........... N block inj fem,

1.50

NA

NA

0.17

0.30

0.09

000 single. 64448......... ............ A........... N block inj fem,

3.36

NA

NA

0.39

0.60

0.18

010 cont inf. 64449......... ............ A........... N block inj,

3.24

NA

NA

0.42

0.69

0.15

010 lumbar plexus. 64450......... ............ A........... N block, other

1.27

1.28

1.26

0.49

0.48

0.13

000 peripheral. 64470......... ............ A........... Inj paravertebral

1.85

3.83

5.53

0.70

0.70

0.11

000 c/t. 64472......... ............ A........... Inj paravertebral

1.29

1.22

1.78

0.33

0.33

0.08

ZZZ c/t add-on. 64475......... ............ A........... Inj paravertebral

1.41

3.64

5.26

0.58

0.60

0.10

000 l/s. 64476......... ............ A........... Inj paravertebral

0.98

1.10

1.61

0.22

0.23

0.07

ZZZ l/s add-on. 64479......... ............ A........... Inj foramen

2.20

3.75

5.62

0.81

0.85

0.12

000 epidural c/t. 64480......... ............ A........... Inj foramen

1.54

1.55

2.20

0.39

0.43

0.10

ZZZ epidural add-on. 64483......... ............ A........... Inj foramen

1.90

3.82

5.86

0.75

0.79

0.11

000 epidural l/s. 64484......... ............ A........... Inj foramen

1.33

1.63

2.45

0.32

0.35

0.08

ZZZ epidural add-on. 64505......... ............ A........... N block,

1.36

1.13

1.18

0.74

0.70

0.10

000 spenopalatine gangl. 64508......... ............ A........... N block, carotid

1.12

2.04

2.68

0.56

0.65

0.07

000 sinus s/p. 64510......... ............ A........... N block, stellate

1.22

1.90

2.68

0.43

0.47

0.07

000 ganglion. 64517......... ............ A........... N block inj,

2.20

1.72

2.22

0.68

0.78

0.11

000 hypogas plxs. 64520......... ............ A........... N block, lumbar/

1.35

2.57

3.86

0.51

0.53

0.08

000 thoracic. 64530......... ............ A........... N block inj,

1.58

2.79

3.62

0.65

0.65

0.10

000 celiac pelus. 64550......... ............ A........... Apply

0.18

0.20

0.24

0.05

0.05

0.01

000 neurostimulator. 64553......... ............ A........... Implant

2.33

2.65

2.74

1.45

1.65

0.18

010 neuroelectrodes. 64555......... ............ A........... Implant

2.29

2.78

2.94

1.49

1.34

0.19

010 neuroelectrodes. 64560......... ............ A........... Implant

2.38

2.41

2.52

1.26

1.27

0.22

010 neuroelectrodes. 64561......... ............ A........... Implant

7.07

19.61

24.84

3.76

3.27

0.51

010 neuroelectrodes. 64565......... ............ A........... Implant

1.78

2.47

2.88

1.29

1.28

0.13

010 neuroelectrodes. 64573......... ............ A........... Implant

8.15

NA

NA

5.16

5.21

1.60

090 neuroelectrodes. 64575......... ............ A........... Implant

4.37

NA

NA

2.06

2.37

0.61

090 neuroelectrodes. 64577......... ............ A........... Implant

4.64

NA

NA

4.79

4.03

1.04

090 neuroelectrodes. 64580......... ............ A........... Implant

4.14

NA

NA

2.71

3.13

0.36

090 neuroelectrodes. 64581......... ............ A........... Implant

14.15

NA

NA

6.60

5.99

1.05

090 neuroelectrodes. 64585......... ............ A........... Revise/remove

2.08

5.92

8.60

2.29

2.21

0.20

010 neuroelectrode. 64590......... ............ A........... Insrt/redo pn/

2.42

6.41

6.77

2.46

2.37

0.19

010 gastr stimul. 64595......... ............ A........... Revise/rmv pn/

1.75

6.45

8.42

2.18

2.05

0.19

010 gastr stimul. 64600......... ............ A........... Injection

3.46

5.43

7.39

1.63

1.64

0.34

010 treatment of nerve. 64605......... ............ A........... Injection

5.62

7.22

8.39

2.27

2.23

0.79

010 treatment of nerve. 64610......... ............ A........... Injection

7.17

9.18

9.02

3.43

3.57

1.58

010 treatment of nerve. 64612......... ............ A........... Destroy nerve,

1.98

1.58

2.03

1.34

1.33

0.11

010 face muscle. 64613......... ............ A........... Destroy nerve,

1.98

1.37

2.15

1.14

1.18

0.11

010 neck muscle. 64614......... ............ A........... Destroy nerve,

2.20

1.62

2.42

1.31

1.31

0.10

010 extrem musc. 64620......... ............ A........... Injection

2.86

3.30

4.18

1.11

1.22

0.20

010 treatment of nerve. 64622......... ............ A........... Destr paravertebrl

3.02

4.06

5.91

1.26

1.31

0.18

010 nerve l/s. 64623......... ............ A........... Destr

0.99

1.68

2.32

0.22

0.22

0.06

ZZZ paravertebral n add-on. 64626......... ............ A........... Destr paravertebrl

3.82

4.74

6.26

1.87

1.92

0.20

010 nerve c/t. 64627......... ............ A........... Destr

1.16

2.37

3.45

0.25

0.26

0.07

ZZZ paravertebral n add-on. 64630......... ............ A........... Injection

3.02

2.76

2.75

1.84

1.62

0.22

010 treatment of nerve. 64640......... ............ A........... Injection

2.78

2.42

3.30

1.42

1.63

0.29

010 treatment of nerve. 64650......... ............ A........... Chemodenerv

0.70

0.72

0.79

0.16

0.23

0.06

000 eccrine glands. 64653......... ............ A........... Chemodenerv

0.88

0.75

0.83

0.19

0.29

0.08

000 eccrine glands. 64680......... ............ A........... Injection

2.64

4.25

5.48

1.20

1.31

0.18

010 treatment of nerve. 64681......... ............ A........... Injection

3.78

4.82

7.06

1.27

1.67

0.28

010 treatment of nerve. 64702......... ............ A........... Revise finger/toe

6.10

NA

NA

5.19

4.53

0.61

090 nerve. 64704......... ............ A........... Revise hand/foot

4.61

NA

NA

3.28

3.30

0.61

090 nerve. 64708......... ............ A........... Revise arm/leg

6.22

NA

NA

4.20

4.53

0.96

090 nerve. 64712......... ............ A........... Revision of

7.98

NA

NA

4.38

4.67

0.95

090 sciatic nerve. 64713......... ............ A........... Revision of arm

11.29

NA

NA

6.05

5.96

1.83

090 nerve(s). 64714......... ............ A........... Revise low back

10.44

NA

NA

4.37

4.29

1.19

090 nerve(s). 64716......... ............ A........... Revision of

6.86

NA

NA

5.46

5.72

0.63

090 cranial nerve. 64718......... ............ A........... Revise ulnar nerve

7.06

NA

NA

6.20

6.10

1.05

090 at elbow. 64719......... ............ A........... Revise ulnar nerve

4.89

NA

NA

4.14

4.33

0.77

090 at wrist. 64721......... ............ A........... Carpal tunnel

4.84

4.71

5.04

4.65

5.01

0.73

090 surgery. 64722......... ............ A........... Relieve pressure

4.74

NA

NA

3.00

3.02

0.48

090 on nerve(s). 64726......... ............ A........... Release foot/toe

4.21

NA

NA

2.80

2.80

0.54

090 nerve. 64727......... ............ A........... Internal nerve

3.10

NA

NA

1.19

1.34

0.48

ZZZ revision.

[[Page 2643]]

64732......... ............ A........... Incision of brow

4.81

NA

NA

3.66

3.58

0.98

090 nerve. 64734......... ............ A........... Incision of cheek

5.45

NA

NA

4.44

4.24

0.89

090 nerve. 64736......... ............ A........... Incision of chin

5.13

NA

NA

3.72

3.87

0.52

090 nerve. 64738......... ............ A........... Incision of jaw

6.26

NA

NA

4.65

4.63

1.08

090 nerve. 64740......... ............ A........... Incision of tongue

6.12

NA

NA

4.98

5.05

0.69

090 nerve. 64742......... ............ A........... Incision of facial

6.75

NA

NA

4.28

4.49

0.73

090 nerve. 64744......... ............ A........... Incise nerve, back

5.64

NA

NA

4.04

3.91

1.16

090 of head. 64746......... ............ A........... Incise diaphragm

6.46

NA

NA

3.86

4.18

0.82

090 nerve. 64752......... ............ A........... Incision of vagus

7.59

NA

NA

3.79

4.04

0.93

090 nerve. 64755......... ............ A........... Incision of

14.97

NA

NA

5.50

5.57

1.84

090 stomach nerves. 64760......... ............ A........... Incision of vagus

7.49

NA

NA

3.78

3.62

0.81

090 nerve. 64761......... ............ A........... Incision of pelvis

6.94

NA

NA

4.33

3.92

0.53

090 nerve. 64763......... ............ A........... Incise hip/thigh

7.46

NA

NA

3.91

4.55

0.94

090 nerve. 64766......... ............ A........... Incise hip/thigh

9.34

NA

NA

4.74

4.99

1.06

090 nerve. 64771......... ............ A........... Sever cranial

8.02

NA

NA

5.64

5.60

1.23

090 nerve. 64772......... ............ A........... Incision of spinal

7.74

NA

NA

5.12

5.02

1.40

090 nerve. 64774......... ............ A........... Remove skin nerve

5.70

NA

NA

4.03

3.93

0.74

090 lesion. 64776......... ............ A........... Remove digit nerve

5.52

NA

NA

3.73

3.70

0.76

090 lesion. 64778......... ............ A........... Digit nerve

3.11

NA

NA

1.21

1.35

0.46

ZZZ surgery add-on. 64782......... ............ A........... Remove limb nerve

6.76

NA

NA

4.22

4.00

0.86

090 lesion. 64783......... ............ A........... Limb nerve surgery

3.71

NA

NA

1.37

1.60

0.51

ZZZ add-on. 64784......... ............ A........... Remove nerve

10.49

NA

NA

6.41

6.50

1.38

090 lesion. 64786......... ............ A........... Remove sciatic

16.12

NA

NA

8.44

9.14

2.61

090 nerve lesion. 64787......... ............ A........... Implant nerve end.

4.29

NA

NA

1.64

1.88

0.58

ZZZ 64788......... ............ A........... Remove skin nerve

5.14

NA

NA

4.06

3.76

0.73

090 lesion. 64790......... ............ A........... Removal of nerve

11.97

NA

NA

6.98

7.09

2.11

090 lesion. 64792......... ............ A........... Removal of nerve

15.71

NA

NA

8.30

8.57

2.49

090 lesion. 64795......... ............ A........... Biopsy of nerve...

3.01

NA

NA

1.43

1.49

0.52

000 64802......... ............ A........... Remove sympathetic 10.24

NA

NA

3.51

4.32

1.29

090 nerves. 64804......... ............ A........... Remove sympathetic 15.78

NA

NA

5.97

6.57

2.15

090 nerves. 64809......... ............ A........... Remove sympathetic 14.61

NA

NA

7.04

6.40

1.50

090 nerves. 64818......... ............ A........... Remove sympathetic 11.24

NA

NA

4.32

4.80

1.33

090 nerves. 64820......... ............ A........... Remove sympathetic 10.64

NA

NA

6.94

7.03

1.49

090 nerves. 64821......... ............ A........... Remove sympathetic

9.19

NA

NA

6.54

6.94

1.24

090 nerves. 64822......... ............ A........... Remove sympathetic

9.19

NA

NA

6.43

6.83

1.30

090 nerves. 64823......... ............ A........... Remove sympathetic 10.80

NA

NA

6.47

7.30

1.57

090 nerves. 64831......... ............ A........... Repair of digit

10.23

NA

NA

6.62

6.85

1.41

090 nerve. 64832......... ............ A........... Repair nerve add-

5.65

NA

NA

2.32

2.62

0.85

ZZZ on. 64834......... ............ A........... Repair of hand or

10.71

NA

NA

6.45

6.77

1.54

090 foot nerve. 64835......... ............ A........... Repair of hand or

11.60

NA

NA

6.91

7.30

1.74

090 foot nerve. 64836......... ............ A........... Repair of hand or

11.60

NA

NA

7.07

7.37

1.68

090 foot nerve. 64837......... ............ A........... Repair nerve add-

6.25

NA

NA

2.57

2.90

0.97

ZZZ on. 64840......... ............ A........... Repair of leg

13.87

NA

NA

7.52

7.89

1.37

090 nerve. 64856......... ............ A........... Repair/transpose

14.94

NA

NA

8.48

8.84

2.13

090 nerve. 64857......... ............ A........... Repair arm/leg

15.69

NA

NA

8.76

9.20

2.22

090 nerve. 64858......... ............ A........... Repair sciatic

17.69

NA

NA

9.57

10.17

3.34

090 nerve. 64859......... ............ A........... Nerve surgery.....

4.25

NA

NA

1.75

1.97

0.67

ZZZ 64861......... ............ A........... Repair of arm

20.74

NA

NA

10.01

10.89

4.09

090 nerves. 64862......... ............ A........... Repair of low back 20.94

NA

NA

10.14

11.03

4.32

090 nerves. 64864......... ............ A........... Repair of facial

13.31

NA

NA

7.47

8.12

1.26

090 nerve. 64865......... ............ A........... Repair of facial

15.96

NA

NA

11.53

12.53

1.50

090 nerve. 64866......... ............ A........... Fusion of facial/

16.70

NA

NA

11.11

12.14

2.05

090 other nerve. 64868......... ............ A........... Fusion of facial/

14.80

NA

NA

9.79

10.61

1.43

090 other nerve. 64870......... ............ A........... Fusion of facial/

16.95

NA

NA

8.06

8.40

1.30

090 other nerve. 64872......... ............ A........... Subsequent repair

1.99

NA

NA

0.78

0.93

0.29

ZZZ of nerve. 64874......... ............ A........... Repair & revise

2.98

NA

NA

1.26

1.39

0.42

ZZZ nerve add-on. 64876......... ............ A........... Repair nerve/

3.37

NA

NA

1.43

1.59

0.47

ZZZ shorten bone. 64885......... ............ A........... Nerve graft, head

17.50

NA

NA

8.95

10.28

1.63

090 or neck. 64886......... ............ A........... Nerve graft, head

20.72

NA

NA

10.38

11.96

2.09

090 or neck. 64890......... ............ A........... Nerve graft, hand

16.11

NA

NA

8.98

9.49

2.30

090 or foot. 64891......... ............ A........... Nerve graft, hand

17.22

NA

NA

9.67

8.62

1.63

090 or foot. 64892......... ............ A........... Nerve graft, arm

15.61

NA

NA

9.13

9.00

2.48

090 or leg. 64893......... ............ A........... Nerve graft, arm

16.74

NA

NA

9.63

9.75

2.62

090 or leg. 64895......... ............ A........... Nerve graft, hand

20.26

NA

NA

11.04

10.35

2.58

090 or foot. 64896......... ............ A........... Nerve graft, hand

21.81

NA

NA

11.67

11.33

3.17

090 or foot. 64897......... ............ A........... Nerve graft, arm

19.25

NA

NA

10.50

10.60

2.55

090 or leg. 64898......... ............ A........... Nerve graft, arm

20.82

NA

NA

11.46

11.63

2.78

090 or leg. 64901......... ............ A........... Nerve graft add-on 10.20

NA

NA

3.63

4.45

1.37

ZZZ 64902......... ............ A........... Nerve graft add-on 11.81

NA

NA

4.66

5.31

1.55

ZZZ 64905......... ............ A........... Nerve pedicle

14.98

NA

NA

7.00

7.75

2.01

090 transfer. 64907......... ............ A........... Nerve pedicle

19.90

NA

NA

6.35

9.44

3.17

090 transfer. 64910......... ............ A........... Nerve repair w/

11.21

NA

NA

4.66

4.66

1.74

090 allograft.

[[Page 2644]]

64911......... ............ A........... Neurorraphy w/vein 14.21

NA

NA

5.32

5.32

1.91

090 autograft. 64999......... ............ C........... Nervous system

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 65091......... ............ A........... Revise eye........

7.13

NA

NA

6.73

7.54

0.32

090 65093......... ............ A........... Revise eye with

6.93

NA

NA

6.79

7.76

0.34

090 implant. 65101......... ............ A........... Removal of eye....

8.10

NA

NA

7.96

8.75

0.35

090 65103......... ............ A........... Remove eye/insert

8.64

NA

NA

8.12

8.93

0.37

090 implant. 65105......... ............ A........... Remove eye/attach

9.70

NA

NA

8.77

9.62

0.42

090 implant. 65110......... ............ A........... Removal of eye.... 15.42

NA

NA

11.42

12.55

0.81

090 65112......... ............ A........... Remove eye/revise

18.18

NA

NA

13.30

14.72

1.30

090 socket. 65114......... ............ A........... Remove eye/revise

19.32

NA

NA

13.57

14.96

1.02

090 socket. 65125......... ............ A........... Revise ocular

3.18

6.71

7.76

3.17

3.38

0.19

090 implant. 65130......... ............ A........... Insert ocular

8.22

NA

NA

7.68

8.42

0.35

090 implant. 65135......... ............ A........... Insert ocular

8.40

NA

NA

7.74

8.53

0.36

090 implant. 65140......... ............ A........... Attach ocular

9.23

NA

NA

8.38

9.13

0.40

090 implant. 65150......... ............ A........... Revise ocular

6.32

NA

NA

6.29

7.13

0.31

090 implant. 65155......... ............ A........... Reinsert ocular

9.87

NA

NA

8.77

9.63

0.50

090 implant. 65175......... ............ A........... Removal of ocular

7.22

NA

NA

7.04

7.76

0.31

090 implant. 65205......... ............ A........... Remove foreign

0.71

0.57

0.60

0.32

0.30

0.03

000 body from eye. 65210......... ............ A........... Remove foreign

0.84

0.71

0.76

0.39

0.38

0.04

000 body from eye. 65220......... ............ A........... Remove foreign

0.71

0.59

0.62

0.28

0.28

0.05

000 body from eye. 65222......... ............ A........... Remove foreign

0.93

0.78

0.83

0.41

0.40

0.04

000 body from eye. 65235......... ............ A........... Remove foreign

8.78

NA

NA

6.78

6.76

0.37

090 body from eye. 65260......... ............ A........... Remove foreign

12.29

NA

NA

8.74

9.20

0.57

090 body from eye. 65265......... ............ A........... Remove foreign

14.06

NA

NA

9.59

10.11

0.62

090 body from eye. 65270......... ............ A........... Repair of eye

1.92

3.82

4.52

1.20

1.29

0.09

010 wound. 65272......... ............ A........... Repair of eye

4.49

6.30

7.00

3.15

3.22

0.19

090 wound. 65273......... ............ A........... Repair of eye

5.03

NA

NA

3.36

3.47

0.22

090 wound. 65275......... ............ A........... Repair of eye

6.14

6.30

6.31

3.90

3.92

0.26

090 wound. 65280......... ............ A........... Repair of eye

8.87

NA

NA

5.83

6.03

0.38

090 wound. 65285......... ............ A........... Repair of eye

14.43

NA

NA

8.39

8.80

0.64

090 wound. 65286......... ............ A........... Repair of eye

6.45

8.70

9.92

4.38

4.50

0.27

090 wound. 65290......... ............ A........... Repair of eye

6.35

NA

NA

4.43

4.59

0.31

090 socket wound. 65400......... ............ A........... Removal of eye

7.27

7.44

7.88

5.84

5.98

0.30

090 lesion. 65410......... ............ A........... Biopsy of cornea..

1.47

1.66

1.89

0.86

0.91

0.07

000 65420......... ............ A........... Removal of eye

4.24

6.85

7.86

3.96

4.20

0.21

090 lesion. 65426......... ............ A........... Removal of eye

5.93

8.09

9.13

4.50

4.71

0.25

090 lesion. 65430......... ............ A........... Corneal smear.....

1.47

1.09

1.19

0.86

0.92

0.07

000 65435......... ............ A........... Curette/treat

0.92

0.86

0.93

0.64

0.68

0.04

000 cornea. 65436......... ............ A........... Curette/treat

4.72

3.76

3.92

3.43

3.55

0.21

090 cornea. 65450......... ............ A........... Treatment of

3.35

3.67

3.87

3.60

3.77

0.16

090 corneal lesion. 65600......... ............ A........... Revision of cornea

4.07

4.43

4.72

3.38

3.37

0.17

090 65710......... ............ A........... Corneal transplant 14.09

NA

NA

10.14

10.67

0.61

090 65730......... ............ A........... Corneal transplant 15.99

NA

NA

10.96

11.49

0.70

090 65750......... ............ A........... Corneal transplant 16.60

NA

NA

10.61

11.29

0.74

090 65755......... ............ A........... Corneal transplant 16.49

NA

NA

10.58

11.24

0.73

090 65760......... ............ N........... Revision of cornea

0.00

0.00

0.00

0.00

0.00

0.00

XXX 65765......... ............ N........... Revision of cornea

0.00

0.00

0.00

0.00

0.00

0.00

XXX 65767......... ............ N........... Corneal tissue

0.00

0.00

0.00

0.00

0.00

0.00

XXX transplant. 65770......... ............ A........... Revise cornea with 19.41

NA

NA

11.65

12.43

0.87

090 implant. 65771......... ............ N........... Radial keratotomy.

0.00

0.00

0.00

0.00

0.00

0.00

XXX 65772......... ............ A........... Correction of

4.96

4.84

5.19

3.91

4.02

0.21

090 astigmatism. 65775......... ............ A........... Correction of

6.73

NA

NA

5.30

5.63

0.28

090 astigmatism. 65780......... ............ A........... Ocular reconst,

10.43

NA

NA

8.93

9.61

0.44

090 transplant. 65781......... ............ A........... Ocular reconst,

17.84

NA

NA

11.57

12.63

0.44

090 transplant. 65782......... ............ A........... Ocular reconst,

15.16

NA

NA

10.19

11.09

0.44

090 transplant. 65800......... ............ A........... Drainage of eye...

1.91

1.39

1.60

1.02

1.10

0.09

000 65805......... ............ A........... Drainage of eye...

1.91

1.70

1.94

1.02

1.11

0.09

000 65810......... ............ A........... Drainage of eye...

5.67

NA

NA

4.66

4.68

0.24

090 65815......... ............ A........... Drainage of eye...

5.85

7.91

8.96

4.57

4.69

0.25

090 65820......... ............ A........... Relieve inner eye

8.72

NA

NA

7.50

8.28

0.40

090 pressure. 65850......... ............ A........... Incision of eye... 11.24

NA

NA

7.32

7.88

0.52

090 65855......... ............ A........... Laser surgery of

3.90

3.49

3.90

2.62

2.86

0.19

010 eye. 65860......... ............ A........... Incise inner eye

3.56

3.26

3.65

2.07

2.29

0.18

090 adhesions. 65865......... ............ A........... Incise inner eye

5.66

NA

NA

4.69

5.16

0.28

090 adhesions. 65870......... ............ A........... Incise inner eye

7.21

NA

NA

5.70

6.06

0.31

090 adhesions. 65875......... ............ A........... Incise inner eye

7.61

NA

NA

6.13

6.46

0.32

090 adhesions. 65880......... ............ A........... Incise inner eye

8.16

NA

NA

6.30

6.67

0.35

090 adhesions. 65900......... ............ A........... Remove eye lesion. 12.26

NA

NA

8.89

9.58

0.54

090 65920......... ............ A........... Remove implant of

9.74

NA

NA

7.46

7.82

0.41

090 eye. 65930......... ............ A........... Remove blood clot

8.24

NA

NA

5.77

6.30

0.37

090 from eye. 66020......... ............ A........... Injection

1.61

2.42

2.77

1.27

1.36

0.08

010 treatment of eye. 66030......... ............ A........... Injection

1.27

2.29

2.63

1.15

1.21

0.06

010 treatment of eye.

[[Page 2645]]

66130......... ............ A........... Remove eye lesion.

7.74

7.51

8.57

4.86

5.24

0.38

090 66150......... ............ A........... Glaucoma surgery.. 10.18

NA

NA

8.81

9.11

0.46

090 66155......... ............ A........... Glaucoma surgery.. 10.17

NA

NA

8.81

9.08

0.41

090 66160......... ............ A........... Glaucoma surgery.. 12.04

NA

NA

9.47

9.83

0.50

090 66165......... ............ A........... Glaucoma surgery..

9.89

NA

NA

8.77

9.01

0.40

090 66170......... ............ A........... Glaucoma surgery.. 14.57

NA

NA

11.54

11.89

0.60

090 66172......... ............ A........... Incision of eye... 18.26

NA

NA

14.63

14.92

0.74

090 66180......... ............ A........... Implant eye shunt. 16.02

NA

NA

9.69

10.23

0.71

090 66185......... ............ A........... Revise eye shunt..

9.35

NA

NA

7.04

7.21

0.40

090 66220......... ............ A........... Repair eye lesion.

8.98

NA

NA

7.17

7.13

0.40

090 66225......... ............ A........... Repair/graft eye

12.38

NA

NA

8.11

8.43

0.55

090 lesion. 66250......... ............ A........... Follow-up surgery

6.92

9.24

10.47

5.25

5.37

0.30

090 of eye. 66500......... ............ A........... Incision of iris..

3.75

NA

NA

3.95

4.29

0.18

090 66505......... ............ A........... Incision of iris..

4.13

NA

NA

4.30

4.65

0.20

090 66600......... ............ A........... Remove iris and

9.89

NA

NA

8.25

8.24

0.43

090 lesion. 66605......... ............ A........... Removal of iris... 13.99

NA

NA

9.45

9.74

0.77

090 66625......... ............ A........... Removal of iris...

5.19

NA

NA

4.21

4.47

0.26

090 66630......... ............ A........... Removal of iris...

7.10

NA

NA

5.34

5.53

0.31

090 66635......... ............ A........... Removal of iris...

7.19

NA

NA

5.37

5.56

0.31

090 66680......... ............ A........... Repair iris &

6.24

NA

NA

5.06

5.17

0.27

090 ciliary body. 66682......... ............ A........... Repair iris &

7.15

NA

NA

6.71

6.66

0.31

090 ciliary body. 66700......... ............ A........... Destruction,

5.06

4.78

5.01

3.59

3.76

0.24

090 ciliary body. 66710......... ............ A........... Ciliary

5.06

4.60

4.88

3.60

3.72

0.23

090 transsleral therapy. 66711......... ............ A........... Ciliary endoscopic

7.70

NA

NA

6.29

6.38

0.30

090 ablation. 66720......... ............ A........... Destruction,

4.86

5.37

5.58

4.32

4.52

0.26

090 ciliary body. 66740......... ............ A........... Destruction,

5.06

4.53

4.81

3.60

3.79

0.23

090 ciliary body. 66761......... ............ A........... Revision of iris..

4.87

5.02

5.31

4.19

4.25

0.20

090 66762......... ............ A........... Revision of iris..

5.25

5.10

5.38

4.06

4.18

0.23

090 66770......... ............ A........... Removal of inner

5.98

5.53

5.81

4.59

4.69

0.26

090 eye lesion. 66820......... ............ A........... Incision,

3.93

NA

NA

4.62

5.22

0.19

090 secondary cataract. 66821......... ............ A........... After cataract

3.32

3.82

3.96

3.42

3.52

0.11

090 laser surgery. 66825......... ............ A........... Reposition

8.82

NA

NA

7.77

8.42

0.40

090 intraocular lens. 66830......... ............ A........... Removal of lens

9.27

NA

NA

6.37

6.66

0.36

090 lesion. 66840......... ............ A........... Removal of lens

8.98

NA

NA

6.29

6.58

0.39

090 material. 66850......... ............ A........... Removal of lens

10.32

NA

NA

7.06

7.35

0.45

090 material. 66852......... ............ A........... Removal of lens

11.18

NA

NA

7.38

7.74

0.49

090 material. 66920......... ............ A........... Extraction of lens

9.93

NA

NA

6.64

6.97

0.44

090 66930......... ............ A........... Extraction of lens 11.38

NA

NA

7.45

7.80

0.49

090 66940......... ............ A........... Extraction of lens 10.14

NA

NA

7.00

7.30

0.43

090 66982......... ............ A........... Cataract surgery,

14.83

NA

NA

8.95

9.41

0.63

090 complex. 66983......... ............ A........... Cataract surg w/

10.20

NA

NA

6.51

6.31

0.14

090 iol, 1 stage. 66984......... ............ A........... Cataract surg w/

10.36

NA

NA

6.44

6.93

0.39

090 iol, 1 stage. 66985......... ............ A........... Insert lens

9.73

NA

NA

7.12

7.29

0.36

090 prosthesis. 66986......... ............ A........... Exchange lens

12.26

NA

NA

8.05

8.62

0.60

090 prosthesis. 66990......... ............ A........... Ophthalmic

1.51

NA

NA

0.54

0.61

0.07

ZZZ endoscope add-on. 66999......... ............ C........... Eye surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 67005......... ............ A........... Partial removal of

5.77

NA

NA

4.57

4.72

0.28

090 eye fluid. 67010......... ............ A........... Partial removal of

6.94

NA

NA

4.99

5.21

0.34

090 eye fluid. 67015......... ............ A........... Release of eye

7.00

NA

NA

5.70

6.08

0.34

090 fluid. 67025......... ............ A........... Replace eye fluid.

7.91

7.86

8.54

5.91

6.07

0.34

090 67027......... ............ A........... Implant eye drug

11.43

NA

NA

7.37

7.68

0.54

090 system. 67028......... ............ A........... Injection eye drug

2.52

2.15

2.43

1.24

1.35

0.12

000 67030......... ............ A........... Incise inner eye

5.91

NA

NA

5.60

5.73

0.24

090 strands. 67031......... ............ A........... Laser surgery, eye

4.34

4.09

4.35

3.43

3.53

0.18

090 strands. 67036......... ............ A........... Removal of inner

13.09

NA

NA

8.06

8.59

0.58

090 eye fluid. 67039......... ............ A........... Laser treatment of 16.39

NA

NA

10.69

11.44

0.71

090 retina. 67040......... ............ A........... Laser treatment of 19.23

NA

NA

12.00

12.84

0.85

090 retina. 67041......... ............ A........... Vit for macular

19.00

NA

NA

10.37

10.37

0.86

090 pucker. 67042......... ............ A........... Vit for macular

22.13

NA

NA

11.49

11.49

1.00

090 hole. 67043......... ............ A........... Vit for membrane

22.94

NA

NA

12.35

12.35

1.04

090 dissect. 67101......... ............ A........... Repair detached

8.60

8.49

8.81

6.17

6.35

0.37

090 retina. 67105......... ............ A........... Repair detached

8.35

7.41

7.75

5.78

5.97

0.37

090 retina. 67107......... ............ A........... Repair detached

16.35

NA

NA

10.35

10.83

0.73

090 retina. 67108......... ............ A........... Repair detached

22.49

NA

NA

12.93

13.68

1.02

090 retina. 67110......... ............ A........... Repair detached

10.02

8.92

9.58

6.96

7.18

0.44

090 retina. 67112......... ............ A........... Rerepair detached

18.45

NA

NA

10.86

11.33

0.83

090 retina. 67113......... ............ A........... Repair retinal

25.00

NA

NA

13.75

13.75

1.13

090 detach, cplx. 67115......... ............ A........... Release encircling

5.93

NA

NA

4.92

5.00

0.25

090 material. 67120......... ............ A........... Remove eye implant

6.92

7.35

7.97

5.28

5.41

0.29

090 material. 67121......... ............ A........... Remove eye implant 12.00

NA

NA

7.95

8.24

0.53

090 material. 67141......... ............ A........... Treatment of

6.00

5.41

5.63

4.65

4.76

0.26

090 retina. 67145......... ............ A........... Treatment of

6.17

5.34

5.53

4.71

4.82

0.27

090 retina.

[[Page 2646]]

67208......... ............ A........... Treatment of

7.50

5.64

5.89

5.20

5.36

0.33

090 retinal lesion. 67210......... ............ A........... Treatment of

9.35

5.91

6.24

5.44

5.66

0.44

090 retinal lesion. 67218......... ............ A........... Treatment of

20.22

NA

NA

10.61

11.39

0.92

090 retinal lesion. 67220......... ............ A........... Treatment of

14.19

9.22

9.82

8.16

8.59

0.65

090 choroid lesion. 67221......... ............ R........... Ocular

3.45

2.92

3.62

1.38

1.59

0.20

000 photodynamic ther. 67225......... ............ A........... Eye photodynamic

0.47

0.22

0.24

0.17

0.19

0.02

ZZZ ther add-on. 67227......... ............ A........... Treatment of

7.38

6.00

6.29

5.16

5.34

0.33

090 retinal lesion. 67228......... ............ A........... Treatment of

13.67

13.60

12.54

10.19

9.37

0.63

090 retinal lesion. 67229......... ............ A........... Tr retinal les

16.00

NA

NA

9.52

9.52

0.71

090 preterm inf. 67250......... ............ A........... Reinforce eye wall

9.46

NA

NA

7.66

8.42

0.47

090 67255......... ............ A........... Reinforce/graft

9.97

NA

NA

8.43

9.16

0.44

090 eye wall. 67299......... ............ C........... Eye surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 67311......... ............ A........... Revise eye muscle.

7.59

NA

NA

5.50

5.76

0.37

090 67312......... ............ A........... Revise two eye

9.48

NA

NA

6.19

6.47

0.43

090 muscles. 67314......... ............ A........... Revise eye muscle.

8.59

NA

NA

6.15

6.35

0.39

090 67316......... ............ A........... Revise two eye

10.73

NA

NA

6.92

7.21

0.49

090 muscles. 67318......... ............ A........... Revise eye

8.92

NA

NA

6.51

6.72

0.41

090 muscle(s). 67320......... ............ A........... Revise eye

5.40

NA

NA

1.92

1.94

0.22

ZZZ muscle(s) add-on. 67331......... ............ A........... Eye surgery follow- 5.13

NA

NA

1.81

1.82

0.21

ZZZ up add-on. 67332......... ............ A........... Rerevise eye

5.56

NA

NA

1.97

2.00

0.23

ZZZ muscles add-on. 67334......... ............ A........... Revise eye muscle

5.05

NA

NA

1.80

1.80

0.20

ZZZ w/suture. 67335......... ............ A........... Eye suture during

2.49

NA

NA

0.88

1.00

0.13

ZZZ surgery. 67340......... ............ A........... Revise eye muscle

6.00

NA

NA

2.14

2.17

0.25

ZZZ add-on. 67343......... ............ A........... Release eye tissue

8.29

NA

NA

6.06

6.29

0.37

090 67345......... ............ A........... Destroy nerve of

2.98

2.17

2.38

1.69

1.85

0.17

010 eye muscle. 67346......... ............ A........... Biopsy, eye muscle

2.87

NA

NA

1.62

1.75

0.15

000 67399......... ............ C........... Eye muscle surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 67400......... ............ A........... Explore/biopsy eye 10.97

NA

NA

9.42

10.34

0.56

090 socket. 67405......... ............ A........... Explore/drain eye

9.00

NA

NA

8.34

9.06

0.44

090 socket. 67412......... ............ A........... Explore/treat eye

10.17

NA

NA

8.53

9.73

0.48

090 socket. 67413......... ............ A........... Explore/treat eye

10.09

NA

NA

8.70

9.74

0.50

090 socket. 67414......... ............ A........... Explr/decompress

17.78

NA

NA

11.64

11.84

0.65

090 eye socket. 67415......... ............ A........... Aspiration,

1.76

NA

NA

0.62

0.69

0.09

000 orbital contents. 67420......... ............ A........... Explore/treat eye

21.62

NA

NA

14.24

15.82

1.15

090 socket. 67430......... ............ A........... Explore/treat eye

14.99

NA

NA

11.87

13.38

0.86

090 socket. 67440......... ............ A........... Explore/drain eye

14.56

NA

NA

11.88

13.07

0.70

090 socket. 67445......... ............ A........... Explr/decompress

18.96

NA

NA

12.14

13.03

0.90

090 eye socket. 67450......... ............ A........... Explore/biopsy eye 15.11

NA

NA

12.30

13.50

0.68

090 socket. 67500......... ............ A........... Inject/treat eye

1.44

0.57

0.62

0.44

0.37

0.05

000 socket. 67505......... ............ A........... Inject/treat eye

1.27

0.65

0.67

0.50

0.41

0.05

000 socket. 67515......... ............ A........... Inject/treat eye

1.40

0.77

0.68

0.61

0.50

0.03

000 socket. 67550......... ............ A........... Insert eye socket

11.52

NA

NA

9.83

10.57

0.72

090 implant. 67560......... ............ A........... Revise eye socket

11.93

NA

NA

9.78

10.58

0.60

090 implant. 67570......... ............ A........... Decompress optic

14.21

NA

NA

11.01

12.30

0.68

090 nerve. 67599......... ............ C........... Orbit surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 67700......... ............ A........... Drainage of eyelid

1.37

4.31

5.17

1.17

1.22

0.07

010 abscess. 67710......... ............ A........... Incision of eyelid

1.04

3.70

4.54

1.08

1.14

0.05

010 67715......... ............ A........... Incision of eyelid

1.24

3.83

4.61

1.15

1.22

0.06

010 fold. 67800......... ............ A........... Remove eyelid

1.39

1.39

1.50

0.90

0.97

0.07

010 lesion. 67801......... ............ A........... Remove eyelid

1.89

1.67

1.82

1.08

1.17

0.09

010 lesions. 67805......... ............ A........... Remove eyelid

2.24

2.18

2.35

1.41

1.53

0.11

010 lesions. 67808......... ............ A........... Remove eyelid

4.47

NA

NA

3.61

3.69

0.19

090 lesion(s). 67810......... ............ A........... Biopsy of eyelid..

1.48

3.94

3.64

0.68

0.68

0.06

000 67820......... ............ A........... Revise eyelashes..

0.71

0.43

0.52

0.50

0.53

0.04

000 67825......... ............ A........... Revise eyelashes..

1.40

1.40

1.57

1.26

1.33

0.07

010 67830......... ............ A........... Revise eyelashes..

1.72

3.99

4.76

1.32

1.41

0.08

010 67835......... ............ A........... Revise eyelashes..

5.61

NA

NA

4.12

4.37

0.28

090 67840......... ............ A........... Remove eyelid

2.06

3.90

4.69

1.45

1.55

0.10

010 lesion. 67850......... ............ A........... Treat eyelid

1.71

3.29

3.33

1.45

1.46

0.07

010 lesion. 67875......... ............ A........... Closure of eyelid

1.35

2.38

2.84

0.83

0.89

0.07

000 by suture. 67880......... ............ A........... Revision of eyelid

4.47

5.44

6.03

3.57

3.69

0.19

090 67882......... ............ A........... Revision of eyelid

5.87

6.36

6.99

4.46

4.63

0.25

090 67900......... ............ A........... Repair brow defect

6.69

7.37

8.22

4.61

4.93

0.38

090 67901......... ............ A........... Repair eyelid

7.47

8.99

7.20

5.29

5.35

0.54

090 defect. 67902......... ............ A........... Repair eyelid

9.68

NA

NA

6.34

5.90

0.60

090 defect. 67903......... ............ A........... Repair eyelid

6.42

6.63

8.10

4.34

4.93

0.47

090 defect. 67904......... ............ A........... Repair eyelid

7.83

8.17

8.90

5.37

5.30

0.41

090 defect. 67906......... ............ A........... Repair eyelid

6.84

NA

NA

4.47

4.75

0.46

090 defect. 67908......... ............ A........... Repair eyelid

5.19

5.55

6.09

4.12

4.74

0.28

090 defect. 67909......... ............ A........... Revise eyelid

5.46

6.18

7.11

4.17

4.56

0.31

090 defect. 67911......... ............ A........... Revise eyelid

7.38

NA

NA

5.05

4.91

0.31

090 defect. 67912......... ............ A........... Correction eyelid

6.23

13.14

16.04

4.74

5.14

0.28

090 w/implant.

[[Page 2647]]

67914......... ............ A........... Repair eyelid

3.70

4.75

5.55

2.68

2.86

0.19

090 defect. 67915......... ............ A........... Repair eyelid

3.21

4.32

5.15

2.43

2.62

0.16

090 defect. 67916......... ............ A........... Repair eyelid

5.37

6.37

7.21

4.15

4.45

0.28

090 defect. 67917......... ............ A........... Repair eyelid

6.08

6.72

7.59

4.41

4.74

0.36

090 defect. 67921......... ............ A........... Repair eyelid

3.42

4.62

5.41

2.56

2.73

0.17

090 defect. 67922......... ............ A........... Repair eyelid

3.09

4.16

5.04

2.33

2.54

0.15

090 defect. 67923......... ............ A........... Repair eyelid

5.94

6.44

7.28

4.33

4.65

0.30

090 defect. 67924......... ............ A........... Repair eyelid

5.84

6.91

7.92

4.06

4.37

0.30

090 defect. 67930......... ............ A........... Repair eyelid

3.62

4.37

5.04

1.78

1.98

0.19

010 wound. 67935......... ............ A........... Repair eyelid

6.27

6.76

7.64

3.58

4.00

0.39

090 wound. 67938......... ............ A........... Remove eyelid

1.35

3.83

4.61

1.22

1.24

0.06

010 foreign body. 67950......... ............ A........... Revision of eyelid

5.88

6.66

7.65

4.37

4.80

0.36

090 67961......... ............ A........... Revision of eyelid

5.75

6.81

7.75

4.30

4.67

0.33

090 67966......... ............ A........... Revision of eyelid

8.83

8.05

8.59

5.74

5.66

0.37

090 67971......... ............ A........... Reconstruction of

9.87

NA

NA

6.18

6.73

0.53

090 eyelid. 67973......... ............ A........... Reconstruction of

12.96

NA

NA

7.71

8.52

0.75

090 eyelid. 67974......... ............ A........... Reconstruction of

12.93

NA

NA

7.69

8.46

0.75

090 eyelid. 67975......... ............ A........... Reconstruction of

9.21

NA

NA

5.94

6.45

0.50

090 eyelid. 67999......... ............ C........... Revision of eyelid

0.00

0.00

0.00

0.00

0.00

0.00

YYY 68020......... ............ A........... Incise/drain

1.39

1.24

1.32

1.05

1.13

0.06

010 eyelid lining. 68040......... ............ A........... Treatment of

0.85

0.60

0.66

0.35

0.39

0.04

000 eyelid lesions. 68100......... ............ A........... Biopsy of eyelid

1.35

2.36

2.81

0.86

0.90

0.07

000 lining. 68110......... ............ A........... Remove eyelid

1.79

3.07

3.59

1.48

1.56

0.09

010 lining lesion. 68115......... ............ A........... Remove eyelid

2.38

4.33

5.15

1.69

1.80

0.12

010 lining lesion. 68130......... ............ A........... Remove eyelid

4.99

6.64

7.68

4.02

4.31

0.24

090 lining lesion. 68135......... ............ A........... Remove eyelid

1.86

1.58

1.70

1.47

1.56

0.09

010 lining lesion. 68200......... ............ A........... Treat eyelid by

0.49

0.45

0.49

0.29

0.31

0.02

000 injection. 68320......... ............ A........... Revise/graft

6.44

9.16

10.22

5.31

5.42

0.27

090 eyelid lining. 68325......... ............ A........... Revise/graft

8.43

NA

NA

6.10

6.32

0.44

090 eyelid lining. 68326......... ............ A........... Revise/graft

8.22

NA

NA

5.92

6.17

0.35

090 eyelid lining. 68328......... ............ A........... Revise/graft

9.25

NA

NA

6.38

6.84

0.54

090 eyelid lining. 68330......... ............ A........... Revise eyelid

5.63

7.41

8.42

4.44

4.58

0.24

090 lining. 68335......... ............ A........... Revise/graft

8.26

NA

NA

5.92

6.15

0.36

090 eyelid lining. 68340......... ............ A........... Separate eyelid

4.84

6.87

7.88

3.87

3.98

0.21

090 adhesions. 68360......... ............ A........... Revise eyelid

5.04

6.43

7.24

3.96

4.07

0.22

090 lining. 68362......... ............ A........... Revise eyelid

8.41

NA

NA

5.97

6.19

0.36

090 lining. 68371......... ............ A........... Harvest eye

4.97

NA

NA

4.06

4.39

0.44

010 tissue, alograft. 68399......... ............ C........... Eyelid lining

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 68400......... ............ A........... Incise/drain tear

1.71

4.42

5.16

1.21

1.52

0.08

010 gland. 68420......... ............ A........... Incise/drain tear

2.32

4.59

5.39

1.42

1.76

0.11

010 sac. 68440......... ............ A........... Incise tear duct

0.96

1.25

1.67

1.19

1.23

0.05

010 opening. 68500......... ............ A........... Removal of tear

12.49

NA

NA

9.53

9.63

0.55

090 gland. 68505......... ............ A........... Partial removal,

12.41

NA

NA

8.91

9.79

0.55

090 tear gland. 68510......... ............ A........... Biopsy of tear

4.60

5.21

6.27

2.02

2.06

0.23

000 gland. 68520......... ............ A........... Removal of tear

8.58

NA

NA

6.49

6.96

0.37

090 sac. 68525......... ............ A........... Biopsy of tear sac

4.42

NA

NA

1.57

1.80

0.22

000 68530......... ............ A........... Clearance of tear

3.67

5.60

6.89

2.07

2.36

0.18

010 duct. 68540......... ............ A........... Remove tear gland

11.93

NA

NA

8.49

8.94

0.52

090 lesion. 68550......... ............ A........... Remove tear gland

14.86

NA

NA

9.68

10.52

0.80

090 lesion. 68700......... ............ A........... Repair tear ducts.

7.67

NA

NA

5.56

5.77

0.32

090 68705......... ............ A........... Revise tear duct

2.08

3.03

3.60

1.58

1.69

0.10

010 opening. 68720......... ............ A........... Create tear sac

9.78

NA

NA

6.88

7.37

0.44

090 drain. 68745......... ............ A........... Create tear duct

9.70

NA

NA

6.98

7.42

0.52

090 drain. 68750......... ............ A........... Create tear duct

9.87

NA

NA

7.43

7.85

0.43

090 drain. 68760......... ............ A........... Close tear duct

1.75

2.59

3.06

1.45

1.54

0.09

010 opening. 68761......... ............ A........... Close tear duct

1.38

1.83

2.05

1.25

1.28

0.06

010 opening. 68770......... ............ A........... Close tear system

8.09

NA

NA

5.75

4.47

0.35

090 fistula. 68801......... ............ A........... Dilate tear duct

0.96

1.77

1.86

1.41

1.45

0.05

010 opening. 68810......... ............ A........... Probe nasolacrimal

2.63

3.39

3.53

2.68

2.68

0.10

010 duct. 68811......... ............ A........... Probe nasolacrimal

2.39

NA

NA

2.12

2.27

0.13

010 duct. 68815......... ............ A........... Probe nasolacrimal

3.24

6.42

7.33

2.43

2.62

0.17

010 duct. 68816......... ............ A........... Probe nl duct w/

3.00

12.75

12.75

2.51

2.51

0.16

010 balloon. 68840......... ............ A........... Explore/irrigate

1.27

1.51

1.55

1.28

1.20

0.06

010 tear ducts. 68850......... ............ A........... Injection for tear

0.80

0.72

0.80

0.60

0.64

0.04

000 sac x-ray. 68899......... ............ C........... Tear duct system

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 69000......... ............ A........... Drain external ear

1.47

2.89

2.88

1.34

1.35

0.12

010 lesion. 69005......... ............ A........... Drain external ear

2.13

2.99

2.96

1.61

1.73

0.17

010 lesion. 69020......... ............ A........... Drain outer ear

1.50

4.09

4.04

1.90

1.98

0.12

010 canal lesion. 69090......... ............ N........... Pierce earlobes...

0.00

0.00

0.00

0.00

0.00

0.00

XXX 69100......... ............ A........... Biopsy of external

0.81

1.85

1.78

0.39

0.39

0.03

000 ear. 69105......... ............ A........... Biopsy of external

0.85

2.64

2.49

0.71

0.74

0.07

000 ear canal. 69110......... ............ A........... Remove external

3.47

7.84

7.29

4.45

4.46

0.30

090 ear, partial.

[[Page 2648]]

69120......... ............ A........... Removal of

4.08

NA

NA

5.36

5.77

0.38

090 external ear. 69140......... ............ A........... Remove ear canal

8.03

NA

NA

13.23

13.26

0.65

090 lesion(s). 69145......... ............ A........... Remove ear canal

2.65

7.03

6.41

3.37

3.34

0.21

090 lesion(s). 69150......... ............ A........... Extensive ear

13.49

NA

NA

11.46

12.44

1.22

090 canal surgery. 69155......... ............ A........... Extensive ear/neck 23.06

NA

NA

17.00

18.28

1.93

090 surgery. 69200......... ............ A........... Clear outer ear

0.77

2.15

2.27

0.61

0.58

0.06

000 canal. 69205......... ............ A........... Clear outer ear

1.20

NA

NA

1.24

1.30

0.10

010 canal. 69210......... ............ A........... Remove impacted

0.61

0.58

0.60

0.17

0.20

0.05

000 ear wax. 69220......... ............ A........... Clean out mastoid

0.83

2.56

2.46

0.68

0.70

0.07

000 cavity. 69222......... ............ A........... Clean out mastoid

1.42

3.97

3.91

1.90

1.98

0.12

010 cavity. 69300......... ............ R........... Revise external

6.69

10.72

7.47

5.19

4.70

0.72

YYY ear. 69310......... ............ A........... Rebuild outer ear

10.85

NA

NA

15.50

15.90

0.85

090 canal. 69320......... ............ A........... Rebuild outer ear

17.03

NA

NA

20.07

20.96

1.37

090 canal. 69399......... ............ C........... Outer ear surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 69400......... ............ A........... Inflate middle ear

0.83

2.82

2.49

0.68

0.67

0.07

000 canal. 69401......... ............ A........... Inflate middle ear

0.63

1.53

1.38

0.59

0.62

0.05

000 canal. 69405......... ............ A........... Catheterize middle

2.65

3.66

3.58

1.96

2.14

0.21

010 ear canal. 69420......... ............ A........... Incision of

1.35

3.32

3.24

1.56

1.57

0.11

010 eardrum. 69421......... ............ A........... Incision of

1.75

NA

NA

1.85

2.01

0.15

010 eardrum. 69424......... ............ A........... Remove ventilating

0.85

2.34

2.26

0.68

0.68

0.07

000 tube. 69433......... ............ A........... Create eardrum

1.54

3.32

3.21

1.60

1.62

0.13

010 opening. 69436......... ............ A........... Create eardrum

1.98

NA

NA

1.90

2.10

0.19

010 opening. 69440......... ............ A........... Exploration of

7.62

NA

NA

9.12

8.95

0.61

090 middle ear. 69450......... ............ A........... Eardrum revision..

5.61

NA

NA

7.62

7.33

0.45

090 69501......... ............ A........... Mastoidectomy.....

9.12

NA

NA

8.66

8.84

0.73

090 69502......... ............ A........... Mastoidectomy..... 12.44

NA

NA

11.05

11.32

1.00

090 69505......... ............ A........... Remove mastoid

13.05

NA

NA

16.15

16.68

1.05

090 structures. 69511......... ............ A........... Extensive mastoid

13.58

NA

NA

16.34

16.91

1.09

090 surgery. 69530......... ............ A........... Extensive mastoid

20.24

NA

NA

19.67

20.66

1.54

090 surgery. 69535......... ............ A........... Remove part of

37.27

NA

NA

26.78

29.38

2.93

090 temporal bone. 69540......... ............ A........... Remove ear lesion.

1.22

3.90

3.82

1.85

1.92

0.10

010 69550......... ............ A........... Remove ear lesion. 11.04

NA

NA

14.28

14.58

0.89

090 69552......... ............ A........... Remove ear lesion. 19.69

NA

NA

18.20

19.44

1.59

090 69554......... ............ A........... Remove ear lesion. 35.71

NA

NA

24.01

27.18

2.92

090 69601......... ............ A........... Mastoid surgery

13.31

NA

NA

11.93

12.31

1.07

090 revision. 69602......... ............ A........... Mastoid surgery

13.64

NA

NA

12.81

13.03

1.10

090 revision. 69603......... ............ A........... Mastoid surgery

14.08

NA

NA

16.45

17.41

1.14

090 revision. 69604......... ............ A........... Mastoid surgery

14.08

NA

NA

12.79

13.24

1.14

090 revision. 69605......... ............ A........... Mastoid surgery

18.55

NA

NA

19.30

20.13

1.50

090 revision. 69610......... ............ A........... Repair of eardrum.

4.44

4.91

5.24

2.59

2.93

0.36

010 69620......... ............ A........... Repair of eardrum.

5.94

10.92

11.02

5.84

6.07

0.48

090 69631......... ............ A........... Repair eardrum

9.93

NA

NA

11.53

11.37

0.80

090 structures. 69632......... ............ A........... Rebuild eardrum

12.82

NA

NA

13.32

13.40

1.03

090 structures. 69633......... ............ A........... Rebuild eardrum

12.17

NA

NA

13.09

13.08

0.98

090 structures. 69635......... ............ A........... Repair eardrum

13.39

NA

NA

16.30

16.53

1.08

090 structures. 69636......... ............ A........... Rebuild eardrum

15.29

NA

NA

18.21

18.76

1.23

090 structures. 69637......... ............ A........... Rebuild eardrum

15.18

NA

NA

18.12

18.68

1.22

090 structures. 69641......... ............ A........... Revise middle ear

12.77

NA

NA

12.48

12.64

1.03

090 & mastoid. 69642......... ............ A........... Revise middle ear

16.91

NA

NA

15.54

15.92

1.36

090 & mastoid. 69643......... ............ A........... Revise middle ear

15.45

NA

NA

14.17

14.50

1.24

090 & mastoid. 69644......... ............ A........... Revise middle ear

17.09

NA

NA

18.75

19.58

1.37

090 & mastoid. 69645......... ............ A........... Revise middle ear

16.57

NA

NA

18.61

19.32

1.33

090 & mastoid. 69646......... ............ A........... Revise middle ear

18.23

NA

NA

19.12

19.95

1.46

090 & mastoid. 69650......... ............ A........... Release middle ear

9.71

NA

NA

9.54

9.73

0.78

090 bone. 69660......... ............ A........... Revise middle ear

11.94

NA

NA

10.51

10.85

0.96

090 bone. 69661......... ............ A........... Revise middle ear

15.80

NA

NA

13.47

14.09

1.27

090 bone. 69662......... ............ A........... Revise middle ear

15.49

NA

NA

12.51

13.13

1.25

090 bone. 69666......... ............ A........... Repair middle ear

9.80

NA

NA

9.81

9.89

0.79

090 structures. 69667......... ............ A........... Repair middle ear

9.81

NA

NA

9.84

9.92

0.79

090 structures. 69670......... ............ A........... Remove mastoid air 11.62

NA

NA

11.25

11.48

0.93

090 cells. 69676......... ............ A........... Remove middle ear

9.58

NA

NA

10.62

10.69

0.81

090 nerve. 69700......... ............ A........... Close mastoid

8.28

NA

NA

8.68

8.97

0.67

090 fistula. 69710......... ............ N........... Implant/replace

0.00

0.00

0.00

0.00

0.00

0.00

XXX hearing aid. 69711......... ............ A........... Remove/repair

10.50

NA

NA

10.42

10.61

0.83

090 hearing aid. 69714......... ............ A........... Implant temple

14.31

NA

NA

11.80

12.23

1.13

090 bone w/stimul. 69715......... ............ A........... Temple bne implnt

18.80

NA

NA

13.34

14.19

1.48

090 w/stimulat. 69717......... ............ A........... Temple bone

15.29

NA

NA

11.97

13.22

0.90

090 implant revision. 69718......... ............ A........... Revise temple bone 19.05

NA

NA

13.42

14.36

3.22

090 implant. 69720......... ............ A........... Release facial

14.57

NA

NA

14.03

14.28

1.16

090 nerve. 69725......... ............ A........... Release facial

27.44

NA

NA

18.04

19.09

2.45

090 nerve. 69740......... ............ A........... Repair facial

16.18

NA

NA

11.59

12.51

1.27

090 nerve. 69745......... ............ A........... Repair facial

16.91

NA

NA

9.94

12.46

1.14

090 nerve.

[[Page 2649]]

69799......... ............ C........... Middle ear surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 69801......... ............ A........... Incise inner ear..

8.61

NA

NA

9.63

9.55

0.69

090 69802......... ............ A........... Incise inner ear.. 13.39

NA

NA

11.87

12.10

1.06

090 69805......... ............ A........... Explore inner ear. 14.55

NA

NA

10.90

11.39

1.12

090 69806......... ............ A........... Explore inner ear. 12.52

NA

NA

10.40

10.72

1.00

090 69820......... ............ A........... Establish inner

10.40

NA

NA

10.26

10.74

0.90

090 ear window. 69840......... ............ A........... Revise inner ear

10.32

NA

NA

11.38

12.28

0.79

090 window. 69905......... ............ A........... Remove inner ear.. 11.15

NA

NA

11.04

11.20

0.90

090 69910......... ............ A........... Remove inner ear & 13.80

NA

NA

10.89

11.41

1.07

090 mastoid. 69915......... ............ A........... Incise inner ear

22.65

NA

NA

14.83

15.65

1.70

090 nerve. 69930......... ............ A........... Implant cochlear

17.60

NA

NA

13.12

13.94

1.36

090 device. 69949......... ............ C........... Inner ear surgery

0.00

0.00

0.00

0.00

0.00

0.00

YYY procedure. 69950......... ............ A........... Incise inner ear

27.44

NA

NA

16.86

17.89

2.29

090 nerve. 69955......... ............ A........... Release facial

29.22

NA

NA

19.41

20.40

2.49

090 nerve. 69960......... ............ A........... Release inner ear

29.22

NA

NA

17.92

18.99

2.18

090 canal. 69970......... ............ A........... Remove inner ear

32.21

NA

NA

19.54

21.41

2.42

090 lesion. 69979......... ............ C........... Temporal bone

0.00

0.00

0.00

0.00

0.00

0.00

YYY surgery. 69990......... ............ R........... Microsurgery add-

3.46

NA

NA

1.27

1.53

0.89

ZZZ on. 70010......... ............ A........... Contrast x-ray of

1.19

2.82

3.77

NA

NA

0.27

XXX brain. 70010......... TC.......... A........... Contrast x-ray of

0.00

2.40

3.37

NA

NA

0.22

XXX brain. 70010......... 26.......... A........... Contrast x-ray of

1.19

0.42

0.40

0.42

0.40

0.05

XXX brain. 70015......... ............ A........... Contrast x-ray of

1.19

2.92

2.33

NA

NA

0.16

XXX brain. 70015......... TC.......... A........... Contrast x-ray of

0.00

2.49

1.92

NA

NA

0.08

XXX brain. 70015......... 26.......... A........... Contrast x-ray of

1.19

0.43

0.41

0.43

0.41

0.08

XXX brain. 70030......... ............ A........... X-ray eye for

0.17

0.61

0.54

NA

NA

0.03

XXX foreign body. 70030......... TC.......... A........... X-ray eye for

0.00

0.55

0.48

NA

NA

0.02

XXX foreign body. 70030......... 26.......... A........... X-ray eye for

0.17

0.06

0.06

0.06

0.06

0.01

XXX foreign body. 70100......... ............ A........... X-ray exam of jaw.

0.18

0.63

0.61

NA

NA

0.03

XXX 70100......... TC.......... A........... X-ray exam of jaw.

0.00

0.58

0.55

NA

NA

0.02

XXX 70100......... 26.......... A........... X-ray exam of jaw.

0.18

0.05

0.06

0.05

0.06

0.01

XXX 70110......... ............ A........... X-ray exam of jaw.

0.25

0.81

0.75

NA

NA

0.05

XXX 70110......... TC.......... A........... X-ray exam of jaw.

0.00

0.72

0.67

NA

NA

0.04

XXX 70110......... 26.......... A........... X-ray exam of jaw.

0.25

0.09

0.08

0.09

0.08

0.01

XXX 70120......... ............ A........... X-ray exam of

0.18

0.69

0.69

NA

NA

0.05

XXX mastoids. 70120......... TC.......... A........... X-ray exam of

0.00

0.64

0.63

NA

NA

0.04

XXX mastoids. 70120......... 26.......... A........... X-ray exam of

0.18

0.05

0.06

0.05

0.06

0.01

XXX mastoids. 70130......... ............ A........... X-ray exam of

0.34

1.15

1.02

NA

NA

0.07

XXX mastoids. 70130......... TC.......... A........... X-ray exam of

0.00

1.04

0.91

NA

NA

0.05

XXX mastoids. 70130......... 26.......... A........... X-ray exam of

0.34

0.11

0.11

0.11

0.11

0.02

XXX mastoids. 70134......... ............ A........... X-ray exam of

0.34

0.92

0.87

NA

NA

0.07

XXX middle ear. 70134......... TC.......... A........... X-ray exam of

0.00

0.80

0.76

NA

NA

0.05

XXX middle ear. 70134......... 26.......... A........... X-ray exam of

0.34

0.12

0.11

0.12

0.11

0.02

XXX middle ear. 70140......... ............ A........... X-ray exam of

0.19

0.54

0.62

NA

NA

0.05

XXX facial bones. 70140......... TC.......... A........... X-ray exam of

0.00

0.49

0.56

NA

NA

0.04

XXX facial bones. 70140......... 26.......... A........... X-ray exam of

0.19

0.05

0.06

0.05

0.06

0.01

XXX facial bones. 70150......... ............ A........... X-ray exam of

0.26

0.85

0.85

NA

NA

0.06

XXX facial bones. 70150......... TC.......... A........... X-ray exam of

0.00

0.77

0.77

NA

NA

0.05

XXX facial bones. 70150......... 26.......... A........... X-ray exam of

0.26

0.08

0.08

0.08

0.08

0.01

XXX facial bones. 70160......... ............ A........... X-ray exam of

0.17

0.71

0.64

NA

NA

0.03

XXX nasal bones. 70160......... TC.......... A........... X-ray exam of

0.00

0.65

0.58

NA

NA

0.02

XXX nasal bones. 70160......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX nasal bones. 70170......... ............ C........... X-ray exam of tear

0.00

0.00

0.00

NA

NA

0.00

XXX duct. 70170......... TC.......... C........... X-ray exam of tear

0.00

0.00

0.00

NA

NA

0.00

XXX duct. 70170......... 26.......... A........... X-ray exam of tear

0.30

0.10

0.10

0.10

0.10

0.01

XXX duct. 70190......... ............ A........... X-ray exam of eye

0.21

0.72

0.71

NA

NA

0.05

XXX sockets. 70190......... TC.......... A........... X-ray exam of eye

0.00

0.65

0.64

NA

NA

0.04

XXX sockets. 70190......... 26.......... A........... X-ray exam of eye

0.21

0.07

0.07

0.07

0.07

0.01

XXX sockets. 70200......... ............ A........... X-ray exam of eye

0.28

0.87

0.87

NA

NA

0.06

XXX sockets. 70200......... TC.......... A........... X-ray exam of eye

0.00

0.78

0.78

NA

NA

0.05

XXX sockets. 70200......... 26.......... A........... X-ray exam of eye

0.28

0.09

0.09

0.09

0.09

0.01

XXX sockets. 70210......... ............ A........... X-ray exam of

0.17

0.58

0.62

NA

NA

0.05

XXX sinuses. 70210......... TC.......... A........... X-ray exam of

0.00

0.53

0.57

NA

NA

0.04

XXX sinuses. 70210......... 26.......... A........... X-ray exam of

0.17

0.05

0.05

0.05

0.05

0.01

XXX sinuses. 70220......... ............ A........... X-ray exam of

0.25

0.73

0.80

NA

NA

0.06

XXX sinuses. 70220......... TC.......... A........... X-ray exam of

0.00

0.65

0.72

NA

NA

0.05

XXX sinuses. 70220......... 26.......... A........... X-ray exam of

0.25

0.08

0.08

0.08

0.08

0.01

XXX sinuses. 70240......... ............ A........... X-ray exam,

0.19

0.61

0.54

NA

NA

0.03

XXX pituitary saddle. 70240......... TC.......... A........... X-ray exam,

0.00

0.55

0.48

NA

NA

0.02

XXX pituitary saddle. 70240......... 26.......... A........... X-ray exam,

0.19

0.06

0.06

0.06

0.06

0.01

XXX pituitary saddle. 70250......... ............ A........... X-ray exam of

0.24

0.70

0.69

NA

NA

0.05

XXX skull. 70250......... TC.......... A........... X-ray exam of

0.00

0.63

0.62

NA

NA

0.04

XXX skull. 70250......... 26.......... A........... X-ray exam of

0.24

0.07

0.07

0.07

0.07

0.01

XXX skull.

[[Page 2650]]

70260......... ............ A........... X-ray exam of

0.34

0.88

0.94

NA

NA

0.08

XXX skull. 70260......... TC.......... A........... X-ray exam of

0.00

0.78

0.83

NA

NA

0.06

XXX skull. 70260......... 26.......... A........... X-ray exam of

0.34

0.10

0.11

0.10

0.11

0.02

XXX skull. 70300......... ............ A........... X-ray exam of

0.10

0.24

0.27

NA

NA

0.03

XXX teeth. 70300......... TC.......... A........... X-ray exam of

0.00

0.21

0.23

NA

NA

0.02

XXX teeth. 70300......... 26.......... A........... X-ray exam of

0.10

0.03

0.04

0.03

0.04

0.01

XXX teeth. 70310......... ............ A........... X-ray exam of

0.16

0.82

0.65

NA

NA

0.03

XXX teeth. 70310......... TC.......... A........... X-ray exam of

0.00

0.77

0.59

NA

NA

0.02

XXX teeth. 70310......... 26.......... A........... X-ray exam of

0.16

0.05

0.06

0.05

0.06

0.01

XXX teeth. 70320......... ............ A........... Full mouth x-ray

0.22

1.07

0.97

NA

NA

0.06

XXX of teeth. 70320......... TC.......... A........... Full mouth x-ray

0.00

1.00

0.89

NA

NA

0.05

XXX of teeth. 70320......... 26.......... A........... Full mouth x-ray

0.22

0.07

0.08

0.07

0.08

0.01

XXX of teeth. 70328......... ............ A........... X-ray exam of jaw

0.18

0.63

0.59

NA

NA

0.03

XXX joint. 70328......... TC.......... A........... X-ray exam of jaw

0.00

0.57

0.53

NA

NA

0.02

XXX joint. 70328......... 26.......... A........... X-ray exam of jaw

0.18

0.06

0.06

0.06

0.06

0.01

XXX joint. 70330......... ............ A........... X-ray exam of jaw

0.24

1.01

0.96

NA

NA

0.06

XXX joints. 70330......... TC.......... A........... X-ray exam of jaw

0.00

0.93

0.88

NA

NA

0.05

XXX joints. 70330......... 26.......... A........... X-ray exam of jaw

0.24

0.08

0.08

0.08

0.08

0.01

XXX joints. 70332......... ............ A........... X-ray exam of jaw

0.54

1.45

1.88

NA

NA

0.14

XXX joint. 70332......... TC.......... A........... X-ray exam of jaw

0.00

1.29

1.70

NA

NA

0.12

XXX joint. 70332......... 26.......... A........... X-ray exam of jaw

0.54

0.16

0.18

0.16

0.18

0.02

XXX joint. 70336......... ............ A........... Magnetic image,

1.48

12.17

11.94

NA

NA

0.66

XXX jaw joint. 70336......... TC.......... A........... Magnetic image,

0.00

11.67

11.44

NA

NA

0.59

XXX jaw joint. 70336......... 26.......... A........... Magnetic image,

1.48

0.50

0.50

0.50

0.50

0.07

XXX jaw joint. 70350......... ............ A........... X-ray head for

0.17

0.32

0.39

NA

NA

0.03

XXX orthodontia. 70350......... TC.......... A........... X-ray head for

0.00

0.27

0.33

NA

NA

0.02

XXX orthodontia. 70350......... 26.......... A........... X-ray head for

0.17

0.05

0.06

0.05

0.06

0.01

XXX orthodontia. 70355......... ............ A........... Panoramic x-ray of

0.20

0.30

0.47

NA

NA

0.05

XXX jaws. 70355......... TC.......... A........... Panoramic x-ray of

0.00

0.23

0.40

NA

NA

0.04

XXX jaws. 70355......... 26.......... A........... Panoramic x-ray of

0.20

0.07

0.07

0.07

0.07

0.01

XXX jaws. 70360......... ............ A........... X-ray exam of neck

0.17

0.56

0.52

NA

NA

0.03

XXX 70360......... TC.......... A........... X-ray exam of neck

0.00

0.51

0.46

NA

NA

0.02

XXX 70360......... 26.......... A........... X-ray exam of neck

0.17

0.05

0.06

0.05

0.06

0.01

XXX 70370......... ............ A........... Throat x-ray &

0.32

1.65

1.53

NA

NA

0.08

XXX fluoroscopy. 70370......... TC.......... A........... Throat x-ray &

0.00

1.55

1.43

NA

NA

0.07

XXX fluoroscopy. 70370......... 26.......... A........... Throat x-ray &

0.32

0.10

0.10

0.10

0.10

0.01

XXX fluoroscopy. 70371......... ............ A........... Speech evaluation,

0.84

1.48

1.93

NA

NA

0.16

XXX complex. 70371......... TC.......... A........... Speech evaluation,

0.00

1.22

1.66

NA

NA

0.12

XXX complex. 70371......... 26.......... A........... Speech evaluation,

0.84

0.26

0.27

0.26

0.27

0.04

XXX complex. 70373......... ............ A........... Contrast x-ray of

0.44

1.58

1.76

NA

NA

0.13

XXX larynx. 70373......... TC.......... A........... Contrast x-ray of

0.00

1.47

1.63

NA

NA

0.11

XXX larynx. 70373......... 26.......... A........... Contrast x-ray of

0.44

0.11

0.13

0.11

0.13

0.02

XXX larynx. 70380......... ............ A........... X-ray exam of

0.17

0.82

0.78

NA

NA

0.05

XXX salivary gland. 70380......... TC.......... A........... X-ray exam of

0.00

0.76

0.72

NA

NA

0.04

XXX salivary gland. 70380......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX salivary gland. 70390......... ............ A........... X-ray exam of

0.38

2.34

2.13

NA

NA

0.13

XXX salivary duct. 70390......... TC.......... A........... X-ray exam of

0.00

2.21

2.00

NA

NA

0.11

XXX salivary duct. 70390......... 26.......... A........... X-ray exam of

0.38

0.13

0.13

0.13

0.13

0.02

XXX salivary duct. 70450......... ............ A........... Ct head/brain w/o

0.85

4.92

4.96

NA

NA

0.29

XXX dye. 70450......... TC.......... A........... Ct head/brain w/o

0.00

4.62

4.67

NA

NA

0.25

XXX dye. 70450......... 26.......... A........... Ct head/brain w/o

0.85

0.30

0.29

0.30

0.29

0.04

XXX dye. 70460......... ............ A........... Ct head/brain w/

1.13

6.51

6.28

NA

NA

0.35

XXX dye. 70460......... TC.......... A........... Ct head/brain w/

0.00

6.11

5.89

NA

NA

0.30

XXX dye. 70460......... 26.......... A........... Ct head/brain w/

1.13

0.40

0.39

0.40

0.39

0.05

XXX dye. 70470......... ............ A........... Ct head/brain w/o

1.27

7.94

7.71

NA

NA

0.43

XXX & w/dye. 70470......... TC.......... A........... Ct head/brain w/o

0.00

7.49

7.28

NA

NA

0.37

XXX & w/dye. 70470......... 26.......... A........... Ct head/brain w/o

1.27

0.45

0.43

0.45

0.43

0.06

XXX & w/dye. 70480......... ............ A........... Ct orbit/ear/fossa

1.28

8.49

6.81

NA

NA

0.31

XXX w/o dye. 70480......... TC.......... A........... Ct orbit/ear/fossa

0.00

8.04

6.38

NA

NA

0.25

XXX w/o dye. 70480......... 26.......... A........... Ct orbit/ear/fossa

1.28

0.45

0.43

0.45

0.43

0.06

XXX w/o dye. 70481......... ............ A........... Ct orbit/ear/fossa

1.38

9.98

8.05

NA

NA

0.36

XXX w/dye. 70481......... TC.......... A........... Ct orbit/ear/fossa

0.00

9.49

7.58

NA

NA

0.30

XXX w/dye. 70481......... 26.......... A........... Ct orbit/ear/fossa

1.38

0.49

0.47

0.49

0.47

0.06

XXX w/dye. 70482......... ............ A........... Ct orbit/ear/fossa

1.45

11.41

9.48

NA

NA

0.43

XXX w/o&w/dye. 70482......... TC.......... A........... Ct orbit/ear/fossa

0.00

10.90

8.99

NA

NA

0.37

XXX w/o&w/dye. 70482......... 26.......... A........... Ct orbit/ear/fossa

1.45

0.51

0.49

0.51

0.49

0.06

XXX w/o&w/dye. 70486......... ............ A........... Ct maxillofacial w/ 1.14

6.80

5.94

NA

NA

0.30

XXX o dye. 70486......... TC.......... A........... Ct maxillofacial w/ 0.00

6.40

5.56

NA

NA

0.25

XXX o dye. 70486......... 26.......... A........... Ct maxillofacial w/ 1.14

0.40

0.38

0.40

0.38

0.05

XXX o dye. 70487......... ............ A........... Ct maxillofacial w/ 1.30

8.35

7.23

NA

NA

0.36

XXX dye. 70487......... TC.......... A........... Ct maxillofacial w/ 0.00

7.89

6.78

NA

NA

0.30

XXX dye. 70487......... 26.......... A........... Ct maxillofacial w/ 1.30

0.46

0.45

0.46

0.45

0.06

XXX dye.

[[Page 2651]]

70488......... ............ A........... Ct maxillofacial w/ 1.42

10.40

8.97

NA

NA

0.43

XXX o & w/dye. 70488......... TC.......... A........... Ct maxillofacial w/ 0.00

9.91

8.49

NA

NA

0.37

XXX o & w/dye. 70488......... 26.......... A........... Ct maxillofacial w/ 1.42

0.49

0.48

0.49

0.48

0.06

XXX o & w/dye. 70490......... ............ A........... Ct soft tissue

1.28

6.49

5.82

NA

NA

0.31

XXX neck w/o dye. 70490......... TC.......... A........... Ct soft tissue

0.00

6.04

5.38

NA

NA

0.25

XXX neck w/o dye. 70490......... 26.......... A........... Ct soft tissue

1.28

0.45

0.44

0.45

0.44

0.06

XXX neck w/o dye. 70491......... ............ A........... Ct soft tissue

1.38

8.04

7.08

NA

NA

0.36

XXX neck w/dye. 70491......... TC.......... A........... Ct soft tissue

0.00

7.55

6.61

NA

NA

0.30

XXX neck w/dye. 70491......... 26.......... A........... Ct soft tissue

1.38

0.49

0.47

0.49

0.47

0.06

XXX neck w/dye. 70492......... ............ A........... Ct sft tsue nck w/

1.45

10.04

8.79

NA

NA

0.43

XXX o & w/dye. 70492......... TC.......... A........... Ct sft tsue nck w/

0.00

9.53

8.30

NA

NA

0.37

XXX o & w/dye. 70492......... 26.......... A........... Ct sft tsue nck w/

1.45

0.51

0.49

0.51

0.49

0.06

XXX o & w/dye. 70496......... ............ A........... Ct angiography,

1.75

17.10

14.14

NA

NA

0.66

XXX head. 70496......... TC.......... A........... Ct angiography,

0.00

16.47

13.54

NA

NA

0.58

XXX head. 70496......... 26.......... A........... Ct angiography,

1.75

0.63

0.60

0.63

0.60

0.08

XXX head. 70498......... ............ A........... Ct angiography,

1.75

17.24

14.21

NA

NA

0.66

XXX neck. 70498......... TC.......... A........... Ct angiography,

0.00

16.59

13.60

NA

NA

0.58

XXX neck. 70498......... 26.......... A........... Ct angiography,

1.75

0.65

0.61

0.65

0.61

0.08

XXX neck. 70540......... ............ A........... Mri orbit/face/

1.35

14.18

12.91

NA

NA

0.45

XXX neck w/o dye. 70540......... TC.......... A........... Mri orbit/face/

0.00

13.72

12.46

NA

NA

0.39

XXX neck w/o dye. 70540......... 26.......... A........... Mri orbit/face/

1.35

0.46

0.45

0.46

0.45

0.06

XXX neck w/o dye. 70542......... ............ A........... Mri orbit/face/

1.62

15.29

14.64

NA

NA

0.54

XXX neck w/dye. 70542......... TC.......... A........... Mri orbit/face/

0.00

14.73

14.09

NA

NA

0.47

XXX neck w/dye. 70542......... 26.......... A........... Mri orbit/face/

1.62

0.56

0.55

0.56

0.55

0.07

XXX neck w/dye. 70543......... ............ A........... Mri orbt/fac/nck w/ 2.15

18.77

22.18

NA

NA

0.94

XXX o & w/dye. 70543......... TC.......... A........... Mri orbt/fac/nck w/ 0.00

18.03

21.46

NA

NA

0.84

XXX o & w/dye. 70543......... 26.......... A........... Mri orbt/fac/nck w/ 2.15

0.74

0.72

0.74

0.72

0.10

XXX o & w/dye. 70544......... ............ A........... Mr angiography

1.20

15.86

13.73

NA

NA

0.64

XXX head w/o dye. 70544......... TC.......... A........... Mr angiography

0.00

15.44

13.32

NA

NA

0.59

XXX head w/o dye. 70544......... 26.......... A........... Mr angiography

1.20

0.42

0.41

0.42

0.41

0.05

XXX head w/o dye. 70545......... ............ A........... Mr angiography

1.20

15.74

13.67

NA

NA

0.64

XXX head w/dye. 70545......... TC.......... A........... Mr angiography

0.00

15.32

13.26

NA

NA

0.59

XXX head w/dye. 70545......... 26.......... A........... Mr angiography

1.20

0.42

0.41

0.42

0.41

0.05

XXX head w/dye. 70546......... ............ A........... Mr angiograph head

1.80

24.03

23.53

NA

NA

0.67

XXX w/o&w/dye. 70546......... TC.......... A........... Mr angiograph head

0.00

23.41

22.92

NA

NA

0.59

XXX w/o&w/dye. 70546......... 26.......... A........... Mr angiograph head

1.80

0.62

0.61

0.62

0.61

0.08

XXX w/o&w/dye. 70547......... ............ A........... Mr angiography

1.20

15.79

13.69

NA

NA

0.64

XXX neck w/o dye. 70547......... TC.......... A........... Mr angiography

0.00

15.38

13.29

NA

NA

0.59

XXX neck w/o dye. 70547......... 26.......... A........... Mr angiography

1.20

0.41

0.40

0.41

0.40

0.05

XXX neck w/o dye. 70548......... ............ A........... Mr angiography

1.20

16.65

14.13

NA

NA

0.64

XXX neck w/dye. 70548......... TC.......... A........... Mr angiography

0.00

16.23

13.72

NA

NA

0.59

XXX neck w/dye. 70548......... 26.......... A........... Mr angiography

1.20

0.42

0.41

0.42

0.41

0.05

XXX neck w/dye. 70549......... ............ A........... Mr angiograph neck

1.80

24.05

23.53

NA

NA

0.67

XXX w/o&w/dye. 70549......... TC.......... A........... Mr angiograph neck

0.00

23.42

22.92

NA

NA

0.59

XXX w/o&w/dye. 70549......... 26.......... A........... Mr angiograph neck

1.80

0.63

0.61

0.63

0.61

0.08

XXX w/o&w/dye. 70551......... ............ A........... Mri brain w/o dye.

1.48

14.44

13.07

NA

NA

0.66

XXX 70551......... TC.......... A........... Mri brain w/o dye.

0.00

13.93

12.57

NA

NA

0.59

XXX 70551......... 26.......... A........... Mri brain w/o dye.

1.48

0.51

0.50

0.51

0.50

0.07

XXX 70552......... ............ A........... Mri brain w/dye...

1.78

15.59

14.82

NA

NA

0.78

XXX 70552......... TC.......... A........... Mri brain w/dye...

0.00

14.97

14.21

NA

NA

0.70

XXX 70552......... 26.......... A........... Mri brain w/dye...

1.78

0.62

0.61

0.62

0.61

0.08

XXX 70553......... ............ A........... Mri brain w/o & w/

2.36

18.09

21.88

NA

NA

1.41

XXX dye. 70553......... TC.......... A........... Mri brain w/o & w/

0.00

17.27

21.08

NA

NA

1.31

XXX dye. 70553......... 26.......... A........... Mri brain w/o & w/

2.36

0.82

0.80

0.82

0.80

0.10

XXX dye. 70554......... ............ A........... Fmri brain by tech

2.11

15.42

15.42

NA

NA

0.92

XXX 70554......... TC.......... A........... Fmri brain by tech

0.00

14.73

14.73

NA

NA

0.82

XXX 70554......... 26.......... A........... Fmri brain by tech

2.11

0.69

0.69

0.69

0.69

0.10

XXX 70555......... ............ C........... Fmri brain by phys/ 0.00

0.00

0.00

NA

NA

0.00

XXX psych. 70555......... TC.......... C........... Fmri brain by phys/ 0.00

0.00

0.00

NA

NA

0.00

XXX psych. 70555......... 26.......... A........... Fmri brain by phys/ 2.54

0.90

0.90

0.90

0.90

0.11

XXX psych. 70557......... ............ C........... Mri brain w/o dye.

0.00

0.00

0.00

NA

NA

0.00

XXX 70557......... TC.......... C........... Mri brain w/o dye.

0.00

0.00

0.00

NA

NA

0.00

XXX 70557......... 26.......... A........... Mri brain w/o dye.

2.90

1.03

1.08

1.03

1.08

0.08

XXX 70558......... ............ C........... Mri brain w/dye...

0.00

0.00

0.00

NA

NA

0.00

XXX 70558......... TC.......... C........... Mri brain w/dye...

0.00

0.00

0.00

NA

NA

0.00

XXX 70558......... 26.......... A........... Mri brain w/dye...

3.20

1.10

1.17

1.10

1.17

0.10

XXX 70559......... ............ C........... Mri brain w/o & w/

0.00

0.00

0.00

NA

NA

0.00

XXX dye. 70559......... TC.......... C........... Mri brain w/o & w/

0.00

0.00

0.00

NA

NA

0.00

XXX dye. 70559......... 26.......... A........... Mri brain w/o & w/

3.20

1.14

1.19

1.14

1.19

0.12

XXX dye. 71010......... ............ A........... Chest x-ray.......

0.18

0.43

0.48

NA

NA

0.03

XXX 71010......... TC.......... A........... Chest x-ray.......

0.00

0.37

0.42

NA

NA

0.02

XXX 71010......... 26.......... A........... Chest x-ray.......

0.18

0.06

0.06

0.06

0.06

0.01

XXX

[[Page 2652]]

71015......... ............ A........... Chest x-ray.......

0.21

0.58

0.58

NA

NA

0.03

XXX 71015......... TC.......... A........... Chest x-ray.......

0.00

0.51

0.51

NA

NA

0.02

XXX 71015......... 26.......... A........... Chest x-ray.......

0.21

0.07

0.07

0.07

0.07

0.01

XXX 71020......... ............ A........... Chest x-ray.......

0.22

0.57

0.63

NA

NA

0.05

XXX 71020......... TC.......... A........... Chest x-ray.......

0.00

0.50

0.56

NA

NA

0.04

XXX 71020......... 26.......... A........... Chest x-ray.......

0.22

0.07

0.07

0.07

0.07

0.01

XXX 71021......... ............ A........... Chest x-ray.......

0.27

0.71

0.77

NA

NA

0.06

XXX 71021......... TC.......... A........... Chest x-ray.......

0.00

0.62

0.68

NA

NA

0.05

XXX 71021......... 26.......... A........... Chest x-ray.......

0.27

0.09

0.09

0.09

0.09

0.01

XXX 71022......... ............ A........... Chest x-ray.......

0.31

0.90

0.86

NA

NA

0.06

XXX 71022......... TC.......... A........... Chest x-ray.......

0.00

0.80

0.76

NA

NA

0.05

XXX 71022......... 26.......... A........... Chest x-ray.......

0.31

0.10

0.10

0.10

0.10

0.01

XXX 71023......... ............ A........... Chest x-ray and

0.38

1.54

1.23

NA

NA

0.06

XXX fluoroscopy. 71023......... TC.......... A........... Chest x-ray and

0.00

1.40

1.09

NA

NA

0.05

XXX fluoroscopy. 71023......... 26.......... A........... Chest x-ray and

0.38

0.14

0.14

0.14

0.14

0.01

XXX fluoroscopy. 71030......... ............ A........... Chest x-ray.......

0.31

0.92

0.90

NA

NA

0.06

XXX 71030......... TC.......... A........... Chest x-ray.......

0.00

0.82

0.80

NA

NA

0.05

XXX 71030......... 26.......... A........... Chest x-ray.......

0.31

0.10

0.10

0.10

0.10

0.01

XXX 71034......... ............ A........... Chest x-ray and

0.46

2.12

1.85

NA

NA

0.10

XXX fluoroscopy. 71034......... TC.......... A........... Chest x-ray and

0.00

1.91

1.67

NA

NA

0.08

XXX fluoroscopy. 71034......... 26.......... A........... Chest x-ray and

0.46

0.21

0.18

0.21

0.18

0.02

XXX fluoroscopy. 71035......... ............ A........... Chest x-ray.......

0.18

0.78

0.68

NA

NA

0.03

XXX 71035......... TC.......... A........... Chest x-ray.......

0.00

0.72

0.62

NA

NA

0.02

XXX 71035......... 26.......... A........... Chest x-ray.......

0.18

0.06

0.06

0.06

0.06

0.01

XXX 71040......... ............ A........... Contrast x-ray of

0.58

2.06

1.85

NA

NA

0.11

XXX bronchi. 71040......... TC.......... A........... Contrast x-ray of

0.00

1.88

1.67

NA

NA

0.08

XXX bronchi. 71040......... 26.......... A........... Contrast x-ray of

0.58

0.18

0.18

0.18

0.18

0.03

XXX bronchi. 71060......... ............ A........... Contrast x-ray of

0.74

3.11

2.78

NA

NA

0.16

XXX bronchi. 71060......... TC.......... A........... Contrast x-ray of

0.00

2.85

2.53

NA

NA

0.13

XXX bronchi. 71060......... 26.......... A........... Contrast x-ray of

0.74

0.26

0.25

0.26

0.25

0.03

XXX bronchi. 71090......... ............ C........... X-ray & pacemaker

0.00

0.00

0.00

NA

NA

0.00

XXX insertion. 71090......... TC.......... C........... X-ray & pacemaker

0.00

0.00

0.00

NA

NA

0.00

XXX insertion. 71090......... 26.......... A........... X-ray & pacemaker

0.54

0.28

0.24

0.28

0.24

0.02

XXX insertion. 71100......... ............ A........... X-ray exam of ribs

0.22

0.62

0.63

NA

NA

0.05

XXX 71100......... TC.......... A........... X-ray exam of ribs

0.00

0.55

0.56

NA

NA

0.04

XXX 71100......... 26.......... A........... X-ray exam of ribs

0.22

0.07

0.07

0.07

0.07

0.01

XXX 71101......... ............ A........... X-ray exam of ribs/ 0.27

0.77

0.76

NA

NA

0.05

XXX chest. 71101......... TC.......... A........... X-ray exam of ribs/ 0.00

0.68

0.67

NA

NA

0.04

XXX chest. 71101......... 26.......... A........... X-ray exam of ribs/ 0.27

0.09

0.09

0.09

0.09

0.01

XXX chest. 71110......... ............ A........... X-ray exam of ribs

0.27

0.77

0.82

NA

NA

0.06

XXX 71110......... TC.......... A........... X-ray exam of ribs

0.00

0.69

0.73

NA

NA

0.05

XXX 71110......... 26.......... A........... X-ray exam of ribs

0.27

0.08

0.09

0.08

0.09

0.01

XXX 71111......... ............ A........... X-ray exam of ribs/ 0.32

1.06

1.03

NA

NA

0.07

XXX chest. 71111......... TC.......... A........... X-ray exam of ribs/ 0.00

0.96

0.93

NA

NA

0.06

XXX chest. 71111......... 26.......... A........... X-ray exam of ribs/ 0.32

0.10

0.10

0.10

0.10

0.01

XXX chest. 71120......... ............ A........... X-ray exam of

0.20

0.63

0.68

NA

NA

0.05

XXX breastbone. 71120......... TC.......... A........... X-ray exam of

0.00

0.56

0.61

NA

NA

0.04

XXX breastbone. 71120......... 26.......... A........... X-ray exam of

0.20

0.07

0.07

0.07

0.07

0.01

XXX breastbone. 71130......... ............ A........... X-ray exam of

0.22

0.76

0.76

NA

NA

0.05

XXX breastbone. 71130......... TC.......... A........... X-ray exam of

0.00

0.68

0.69

NA

NA

0.04

XXX breastbone. 71130......... 26.......... A........... X-ray exam of

0.22

0.08

0.07

0.08

0.07

0.01

XXX breastbone. 71250......... ............ A........... Ct thorax w/o dye.

1.16

6.45

6.37

NA

NA

0.36

XXX 71250......... TC.......... A........... Ct thorax w/o dye.

0.00

6.04

5.98

NA

NA

0.31

XXX 71250......... 26.......... A........... Ct thorax w/o dye.

1.16

0.41

0.39

0.41

0.39

0.05

XXX 71260......... ............ A........... Ct thorax w/dye...

1.24

8.00

7.74

NA

NA

0.42

XXX 71260......... TC.......... A........... Ct thorax w/dye...

0.00

7.56

7.32

NA

NA

0.37

XXX 71260......... 26.......... A........... Ct thorax w/dye...

1.24

0.44

0.42

0.44

0.42

0.05

XXX 71270......... ............ A........... Ct thorax w/o & w/

1.38

10.04

9.68

NA

NA

0.52

XXX dye. 71270......... TC.......... A........... Ct thorax w/o & w/

0.00

9.56

9.21

NA

NA

0.46

XXX dye. 71270......... 26.......... A........... Ct thorax w/o & w/

1.38

0.48

0.47

0.48

0.47

0.06

XXX dye. 71275......... ............ A........... Ct angiography,

1.92

11.77

12.39

NA

NA

0.48

XXX chest. 71275......... TC.......... A........... Ct angiography,

0.00

11.08

11.73

NA

NA

0.39

XXX chest. 71275......... 26.......... A........... Ct angiography,

1.92

0.69

0.66

0.69

0.66

0.09

XXX chest. 71550......... ............ A........... Mri chest w/o dye.

1.46

16.38

14.03

NA

NA

0.51

XXX 71550......... TC.......... A........... Mri chest w/o dye.

0.00

15.87

13.54

NA

NA

0.45

XXX 71550......... 26.......... A........... Mri chest w/o dye.

1.46

0.51

0.49

0.51

0.49

0.06

XXX 71551......... ............ A........... Mri chest w/dye...

1.73

17.94

15.97

NA

NA

0.60

XXX 71551......... TC.......... A........... Mri chest w/dye...

0.00

17.34

15.39

NA

NA

0.52

XXX 71551......... 26.......... A........... Mri chest w/dye...

1.73

0.60

0.58

0.60

0.58

0.08

XXX 71552......... ............ A........... Mri chest w/o & w/

2.26

22.58

24.10

NA

NA

0.78

XXX dye. 71552......... TC.......... A........... Mri chest w/o & w/

0.00

21.77

23.33

NA

NA

0.68

XXX dye. 71552......... 26.......... A........... Mri chest w/o & w/

2.26

0.81

0.77

0.81

0.77

0.10

XXX dye.

[[Page 2653]]

71555......... ............ R........... Mri angio chest w

1.81

15.31

13.56

NA

NA

0.67

XXX or w/o dye. 71555......... TC.......... R........... Mri angio chest w

0.00

14.65

12.93

NA

NA

0.59

XXX or w/o dye. 71555......... 26.......... R........... Mri angio chest w

1.81

0.66

0.63

0.66

0.63

0.08

XXX or w/o dye. 72010......... ............ A........... X-ray exam of

0.45

1.43

1.30

NA

NA

0.08

XXX spine. 72010......... TC.......... A........... X-ray exam of

0.00

1.30

1.16

NA

NA

0.06

XXX spine. 72010......... 26.......... A........... X-ray exam of

0.45

0.13

0.14

0.13

0.14

0.02

XXX spine. 72020......... ............ A........... X-ray exam of

0.15

0.47

0.47

NA

NA

0.03

XXX spine. 72020......... TC.......... A........... X-ray exam of

0.00

0.42

0.42

NA

NA

0.02

XXX spine. 72020......... 26.......... A........... X-ray exam of

0.15

0.05

0.05

0.05

0.05

0.01

XXX spine. 72040......... ............ A........... X-ray exam of neck

0.22

0.76

0.72

NA

NA

0.05

XXX spine. 72040......... TC.......... A........... X-ray exam of neck

0.00

0.69

0.65

NA

NA

0.04

XXX spine. 72040......... 26.......... A........... X-ray exam of neck

0.22

0.07

0.07

0.07

0.07

0.01

XXX spine. 72050......... ............ A........... X-ray exam of neck

0.31

1.08

1.03

NA

NA

0.07

XXX spine. 72050......... TC.......... A........... X-ray exam of neck

0.00

0.97

0.93

NA

NA

0.06

XXX spine. 72050......... 26.......... A........... X-ray exam of neck

0.31

0.11

0.10

0.11

0.10

0.01

XXX spine. 72052......... ............ A........... X-ray exam of neck

0.36

1.39

1.32

NA

NA

0.08

XXX spine. 72052......... TC.......... A........... X-ray exam of neck

0.00

1.27

1.20

NA

NA

0.06

XXX spine. 72052......... 26.......... A........... X-ray exam of neck

0.36

0.12

0.12

0.12

0.12

0.02

XXX spine. 72069......... ............ A........... X-ray exam of

0.22

0.76

0.66

NA

NA

0.03

XXX trunk spine. 72069......... TC.......... A........... X-ray exam of

0.00

0.68

0.58

NA

NA

0.02

XXX trunk spine. 72069......... 26.......... A........... X-ray exam of

0.22

0.08

0.08

0.08

0.08

0.01

XXX trunk spine. 72070......... ............ A........... X-ray exam of

0.22

0.64

0.68

NA

NA

0.05

XXX thoracic spine. 72070......... TC.......... A........... X-ray exam of

0.00

0.57

0.61

NA

NA

0.04

XXX thoracic spine. 72070......... 26.......... A........... X-ray exam of

0.22

0.07

0.07

0.07

0.07

0.01

XXX thoracic spine. 72072......... ............ A........... X-ray exam of

0.22

0.77

0.78

NA

NA

0.06

XXX thoracic spine. 72072......... TC.......... A........... X-ray exam of

0.00

0.70

0.71

NA

NA

0.05

XXX thoracic spine. 72072......... 26.......... A........... X-ray exam of

0.22

0.07

0.07

0.07

0.07

0.01

XXX thoracic spine. 72074......... ............ A........... X-ray exam of

0.22

0.95

0.96

NA

NA

0.07

XXX thoracic spine. 72074......... TC.......... A........... X-ray exam of

0.00

0.88

0.89

NA

NA

0.06

XXX thoracic spine. 72074......... 26.......... A........... X-ray exam of

0.22

0.07

0.07

0.07

0.07

0.01

XXX thoracic spine. 72080......... ............ A........... X-ray exam of

0.22

0.70

0.71

NA

NA

0.05

XXX trunk spine. 72080......... TC.......... A........... X-ray exam of

0.00

0.62

0.64

NA

NA

0.04

XXX trunk spine. 72080......... 26.......... A........... X-ray exam of

0.22

0.08

0.07

0.08

0.07

0.01

XXX trunk spine. 72090......... ............ A........... X-ray exam of

0.28

1.00

0.89

NA

NA

0.05

XXX trunk spine. 72090......... TC.......... A........... X-ray exam of

0.00

0.90

0.79

NA

NA

0.04

XXX trunk spine. 72090......... 26.......... A........... X-ray exam of

0.28

0.10

0.10

0.10

0.10

0.01

XXX trunk spine. 72100......... ............ A........... X-ray exam of

0.22

0.81

0.77

NA

NA

0.05

XXX lower spine. 72100......... TC.......... A........... X-ray exam of

0.00

0.74

0.70

NA

NA

0.04

XXX lower spine. 72100......... 26.......... A........... X-ray exam of

0.22

0.07

0.07

0.07

0.07

0.01

XXX lower spine. 72110......... ............ A........... X-ray exam of

0.31

1.15

1.07

NA

NA

0.07

XXX lower spine. 72110......... TC.......... A........... X-ray exam of

0.00

1.04

0.97

NA

NA

0.06

XXX lower spine. 72110......... 26.......... A........... X-ray exam of

0.31

0.11

0.10

0.11

0.10

0.01

XXX lower spine. 72114......... ............ A........... X-ray exam of

0.36

1.57

1.43

NA

NA

0.08

XXX lower spine. 72114......... TC.......... A........... X-ray exam of

0.00

1.44

1.31

NA

NA

0.06

XXX lower spine. 72114......... 26.......... A........... X-ray exam of

0.36

0.13

0.12

0.13

0.12

0.02

XXX lower spine. 72120......... ............ A........... X-ray exam of

0.22

1.08

1.01

NA

NA

0.07

XXX lower spine. 72120......... TC.......... A........... X-ray exam of

0.00

1.00

0.94

NA

NA

0.06

XXX lower spine. 72120......... 26.......... A........... X-ray exam of

0.22

0.08

0.07

0.08

0.07

0.01

XXX lower spine. 72125......... ............ A........... Ct neck spine w/o

1.16

6.47

6.38

NA

NA

0.36

XXX dye. 72125......... TC.......... A........... Ct neck spine w/o

0.00

6.06

5.99

NA

NA

0.31

XXX dye. 72125......... 26.......... A........... Ct neck spine w/o

1.16

0.41

0.39

0.41

0.39

0.05

XXX dye. 72126......... ............ A........... Ct neck spine w/

1.22

8.00

7.73

NA

NA

0.42

XXX dye. 72126......... TC.......... A........... Ct neck spine w/

0.00

7.57

7.32

NA

NA

0.37

XXX dye. 72126......... 26.......... A........... Ct neck spine w/

1.22

0.43

0.41

0.43

0.41

0.05

XXX dye. 72127......... ............ A........... Ct neck spine w/o

1.27

10.05

9.66

NA

NA

0.52

XXX & w/dye. 72127......... TC.......... A........... Ct neck spine w/o

0.00

9.61

9.23

NA

NA

0.46

XXX & w/dye. 72127......... 26.......... A........... Ct neck spine w/o

1.27

0.44

0.43

0.44

0.43

0.06

XXX & w/dye. 72128......... ............ A........... Ct chest spine w/o

1.16

6.46

6.37

NA

NA

0.36

XXX dye. 72128......... TC.......... A........... Ct chest spine w/o

0.00

6.05

5.98

NA

NA

0.31

XXX dye. 72128......... 26.......... A........... Ct chest spine w/o

1.16

0.41

0.39

0.41

0.39

0.05

XXX dye. 72129......... ............ A........... Ct chest spine w/

1.22

8.00

7.74

NA

NA

0.42

XXX dye. 72129......... TC.......... A........... Ct chest spine w/

0.00

7.57

7.32

NA

NA

0.37

XXX dye. 72129......... 26.......... A........... Ct chest spine w/

1.22

0.43

0.42

0.43

0.42

0.05

XXX dye. 72130......... ............ A........... Ct chest spine w/o

1.27

9.98

9.63

NA

NA

0.52

XXX & w/dye. 72130......... TC.......... A........... Ct chest spine w/o

0.00

9.54

9.20

NA

NA

0.46

XXX & w/dye. 72130......... 26.......... A........... Ct chest spine w/o

1.27

0.44

0.43

0.44

0.43

0.06

XXX & w/dye. 72131......... ............ A........... Ct lumbar spine w/

1.16

6.43

6.36

NA

NA

0.36

XXX o dye. 72131......... TC.......... A........... Ct lumbar spine w/

0.00

6.03

5.97

NA

NA

0.31

XXX o dye. 72131......... 26.......... A........... Ct lumbar spine w/

1.16

0.40

0.39

0.40

0.39

0.05

XXX o dye. 72132......... ............ A........... Ct lumbar spine w/

1.22

7.98

7.72

NA

NA

0.42

XXX dye. 72132......... TC.......... A........... Ct lumbar spine w/

0.00

7.55

7.31

NA

NA

0.37

XXX dye. 72132......... 26.......... A........... Ct lumbar spine w/

1.22

0.43

0.41

0.43

0.41

0.05

XXX dye.

[[Page 2654]]

72133......... ............ A........... Ct lumbar spine w/

1.27

10.02

9.65

NA

NA

0.52

XXX o & w/dye. 72133......... TC.......... A........... Ct lumbar spine w/

0.00

9.58

9.22

NA

NA

0.46

XXX o & w/dye. 72133......... 26.......... A........... Ct lumbar spine w/

1.27

0.44

0.43

0.44

0.43

0.06

XXX o & w/dye. 72141......... ............ A........... Mri neck spine w/o

1.60

12.46

12.10

NA

NA

0.66

XXX dye. 72141......... TC.......... A........... Mri neck spine w/o

0.00

11.91

11.56

NA

NA

0.59

XXX dye. 72141......... 26.......... A........... Mri neck spine w/o

1.60

0.55

0.54

0.55

0.54

0.07

XXX dye. 72142......... ............ A........... Mri neck spine w/

1.92

15.62

14.85

NA

NA

0.79

XXX dye. 72142......... TC.......... A........... Mri neck spine w/

0.00

14.96

14.20

NA

NA

0.70

XXX dye. 72142......... 26.......... A........... Mri neck spine w/

1.92

0.66

0.65

0.66

0.65

0.09

XXX dye. 72146......... ............ A........... Mri chest spine w/

1.60

12.48

12.73

NA

NA

0.71

XXX o dye. 72146......... TC.......... A........... Mri chest spine w/

0.00

11.93

12.19

NA

NA

0.64

XXX o dye. 72146......... 26.......... A........... Mri chest spine w/

1.60

0.55

0.54

0.55

0.54

0.07

XXX o dye. 72147......... ............ A........... Mri chest spine w/

1.92

13.58

13.83

NA

NA

0.79

XXX dye. 72147......... TC.......... A........... Mri chest spine w/

0.00

12.91

13.18

NA

NA

0.70

XXX dye. 72147......... 26.......... A........... Mri chest spine w/

1.92

0.67

0.65

0.67

0.65

0.09

XXX dye. 72148......... ............ A........... Mri lumbar spine w/ 1.48

12.42

12.68

NA

NA

0.71

XXX o dye. 72148......... TC.......... A........... Mri lumbar spine w/ 0.00

11.91

12.18

NA

NA

0.64

XXX o dye. 72148......... 26.......... A........... Mri lumbar spine w/ 1.48

0.51

0.50

0.51

0.50

0.07

XXX o dye. 72149......... ............ A........... Mri lumbar spine w/ 1.78

15.52

14.79

NA

NA

0.78

XXX dye. 72149......... TC.......... A........... Mri lumbar spine w/ 0.00

14.90

14.18

NA

NA

0.70

XXX dye. 72149......... 26.......... A........... Mri lumbar spine w/ 1.78

0.62

0.61

0.62

0.61

0.08

XXX dye. 72156......... ............ A........... Mri neck spine w/o

2.57

17.79

21.77

NA

NA

1.42

XXX & w/dye. 72156......... TC.......... A........... Mri neck spine w/o

0.00

16.90

20.90

NA

NA

1.31

XXX & w/dye. 72156......... 26.......... A........... Mri neck spine w/o

2.57

0.89

0.87

0.89

0.87

0.11

XXX & w/dye. 72157......... ............ A........... Mri chest spine w/

2.57

16.22

20.98

NA

NA

1.42

XXX o & w/dye. 72157......... TC.......... A........... Mri chest spine w/

0.00

15.32

20.11

NA

NA

1.31

XXX o & w/dye. 72157......... 26.......... A........... Mri chest spine w/

2.57

0.90

0.87

0.90

0.87

0.11

XXX o & w/dye. 72158......... ............ A........... Mri lumbar spine w/ 2.36

17.70

21.69

NA

NA

1.41

XXX o & w/dye. 72158......... TC.......... A........... Mri lumbar spine w/ 0.00

16.88

20.89

NA

NA

1.31

XXX o & w/dye. 72158......... 26.......... A........... Mri lumbar spine w/ 2.36

0.82

0.80

0.82

0.80

0.10

XXX o & w/dye. 72159......... ............ N........... Mr angio spine w/

1.80

14.67

13.80

NA

NA

0.74

XXX o&w/dye. 72159......... TC.......... N........... Mr angio spine w/

0.00

14.25

13.25

NA

NA

0.64

XXX o&w/dye. 72159......... 26.......... N........... Mr angio spine w/

1.80

0.42

0.55

0.42

0.55

0.10

XXX o&w/dye. 72170......... ............ A........... X-ray exam of

0.17

0.50

0.54

NA

NA

0.03

XXX pelvis. 72170......... TC.......... A........... X-ray exam of

0.00

0.44

0.48

NA

NA

0.02

XXX pelvis. 72170......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX pelvis. 72190......... ............ A........... X-ray exam of

0.21

0.84

0.79

NA

NA

0.05

XXX pelvis. 72190......... TC.......... A........... X-ray exam of

0.00

0.77

0.72

NA

NA

0.04

XXX pelvis. 72190......... 26.......... A........... X-ray exam of

0.21

0.07

0.07

0.07

0.07

0.01

XXX pelvis. 72191......... ............ A........... Ct angiograph pelv

1.81

11.34

11.99

NA

NA

0.47

XXX w/o&w/dye. 72191......... TC.......... A........... Ct angiograph pelv

0.00

10.69

11.36

NA

NA

0.39

XXX w/o&w/dye. 72191......... 26.......... A........... Ct angiograph pelv

1.81

0.65

0.63

0.65

0.63

0.08

XXX w/o&w/dye. 72192......... ............ A........... Ct pelvis w/o dye.

1.09

6.04

6.15

NA

NA

0.36

XXX 72192......... TC.......... A........... Ct pelvis w/o dye.

0.00

5.65

5.78

NA

NA

0.31

XXX 72192......... 26.......... A........... Ct pelvis w/o dye.

1.09

0.39

0.37

0.39

0.37

0.05

XXX 72193......... ............ A........... Ct pelvis w/dye...

1.16

7.55

7.39

NA

NA

0.41

XXX 72193......... TC.......... A........... Ct pelvis w/dye...

0.00

7.14

6.99

NA

NA

0.36

XXX 72193......... 26.......... A........... Ct pelvis w/dye...

1.16

0.41

0.40

0.41

0.40

0.05

XXX 72194......... ............ A........... Ct pelvis w/o & w/

1.22

10.13

9.51

NA

NA

0.48

XXX dye. 72194......... TC.......... A........... Ct pelvis w/o & w/

0.00

9.70

9.10

NA

NA

0.43

XXX dye. 72194......... 26.......... A........... Ct pelvis w/o & w/

1.22

0.43

0.41

0.43

0.41

0.05

XXX dye. 72195......... ............ A........... Mri pelvis w/o dye

1.46

14.44

13.06

NA

NA

0.51

XXX 72195......... TC.......... A........... Mri pelvis w/o dye

0.00

13.93

12.57

NA

NA

0.45

XXX 72195......... 26.......... A........... Mri pelvis w/o dye

1.46

0.51

0.49

0.51

0.49

0.06

XXX 72196......... ............ A........... Mri pelvis w/dye..

1.73

15.54

14.78

NA

NA

0.60

XXX 72196......... TC.......... A........... Mri pelvis w/dye..

0.00

14.93

14.19

NA

NA

0.52

XXX 72196......... 26.......... A........... Mri pelvis w/dye..

1.73

0.61

0.59

0.61

0.59

0.08

XXX 72197......... ............ A........... Mri pelvis w/o & w/ 2.26

18.97

22.30

NA

NA

1.02

XXX dye. 72197......... TC.......... A........... Mri pelvis w/o & w/ 0.00

18.18

21.54

NA

NA

0.92

XXX dye. 72197......... 26.......... A........... Mri pelvis w/o & w/ 2.26

0.79

0.76

0.79

0.76

0.10

XXX dye. 72198......... ............ A........... Mr angio pelvis w/

1.80

15.09

13.44

NA

NA

0.67

XXX o & w/dye. 72198......... TC.......... A........... Mr angio pelvis w/

0.00

14.45

12.83

NA

NA

0.59

XXX o & w/dye. 72198......... 26.......... A........... Mr angio pelvis w/

1.80

0.64

0.61

0.64

0.61

0.08

XXX o & w/dye. 72200......... ............ A........... X-ray exam

0.17

0.59

0.59

NA

NA

0.03

XXX sacroiliac joints. 72200......... TC.......... A........... X-ray exam

0.00

0.54

0.53

NA

NA

0.02

XXX sacroiliac joints. 72200......... 26.......... A........... X-ray exam

0.17

0.05

0.06

0.05

0.06

0.01

XXX sacroiliac joints. 72202......... ............ A........... X-ray exam

0.19

0.74

0.71

NA

NA

0.05

XXX sacroiliac joints. 72202......... TC.......... A........... X-ray exam

0.00

0.67

0.65

NA

NA

0.04

XXX sacroiliac joints. 72202......... 26.......... A........... X-ray exam

0.19

0.07

0.06

0.07

0.06

0.01

XXX sacroiliac joints. 72220......... ............ A........... X-ray exam of

0.17

0.58

0.61

NA

NA

0.05

XXX tailbone. 72220......... TC.......... A........... X-ray exam of

0.00

0.52

0.55

NA

NA

0.04

XXX tailbone. 72220......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX tailbone.

[[Page 2655]]

72240......... ............ A........... Contrast x-ray of

0.91

2.58

3.80

NA

NA

0.29

XXX neck spine. 72240......... TC.......... A........... Contrast x-ray of

0.00

2.26

3.50

NA

NA

0.25

XXX neck spine. 72240......... 26.......... A........... Contrast x-ray of

0.91

0.32

0.30

0.32

0.30

0.04

XXX neck spine. 72255......... ............ A........... Contrast x-ray,

0.91

2.24

3.43

NA

NA

0.26

XXX thorax spine. 72255......... TC.......... A........... Contrast x-ray,

0.00

1.96

3.15

NA

NA

0.22

XXX thorax spine. 72255......... 26.......... A........... Contrast x-ray,

0.91

0.28

0.28

0.28

0.28

0.04

XXX thorax spine. 72265......... ............ A........... Contrast x-ray,

0.83

2.54

3.43

NA

NA

0.26

XXX lower spine. 72265......... TC.......... A........... Contrast x-ray,

0.00

2.25

3.16

NA

NA

0.22

XXX lower spine. 72265......... 26.......... A........... Contrast x-ray,

0.83

0.29

0.27

0.29

0.27

0.04

XXX lower spine. 72270......... ............ A........... Contrast x-ray,

1.33

3.99

5.27

NA

NA

0.39

XXX spine. 72270......... TC.......... A........... Contrast x-ray,

0.00

3.52

4.82

NA

NA

0.33

XXX spine. 72270......... 26.......... A........... Contrast x-ray,

1.33

0.47

0.45

0.47

0.45

0.06

XXX spine. 72275......... ............ A........... Epidurography.....

0.76

1.73

2.02

NA

NA

0.26

XXX 72275......... TC.......... A........... Epidurography.....

0.00

1.53

1.82

NA

NA

0.22

XXX 72275......... 26.......... A........... Epidurography.....

0.76

0.20

0.20

0.20

0.20

0.04

XXX 72285......... ............ A........... X-ray c/t spine

1.16

1.44

5.09

NA

NA

0.50

XXX disk. 72285......... TC.......... A........... X-ray c/t spine

0.00

1.14

4.76

NA

NA

0.43

XXX disk. 72285......... 26.......... A........... X-ray c/t spine

1.16

0.30

0.33

0.30

0.33

0.07

XXX disk. 72291......... ............ C........... Perq

0.00

0.00

0.00

NA

NA

0.00

XXX vertebroplasty, fluor. 72291......... TC.......... C........... Perq

0.00

0.00

0.00

NA

NA

0.00

XXX vertebroplasty, fluor. 72291......... 26.......... A........... Perq

1.31

0.48

0.47

0.48

0.47

0.10

XXX vertebroplasty, fluor. 72292......... ............ C........... Perq

0.00

0.00

0.00

NA

NA

0.00

XXX vertebroplasty, ct. 72292......... TC.......... C........... Perq

0.00

0.00

0.00

NA

NA

0.00

XXX vertebroplasty, ct. 72292......... 26.......... A........... Perq

1.38

0.50

0.49

0.50

0.49

0.07

XXX vertebroplasty, ct. 72295......... ............ A........... X-ray of lower

0.83

1.46

4.80

NA

NA

0.46

XXX spine disk. 72295......... TC.......... A........... X-ray of lower

0.00

1.22

4.54

NA

NA

0.40

XXX spine disk. 72295......... 26.......... A........... X-ray of lower

0.83

0.24

0.26

0.24

0.26

0.06

XXX spine disk. 73000......... ............ A........... X-ray exam of

0.16

0.55

0.56

NA

NA

0.03

XXX collar bone. 73000......... TC.......... A........... X-ray exam of

0.00

0.50

0.51

NA

NA

0.02

XXX collar bone. 73000......... 26.......... A........... X-ray exam of

0.16

0.05

0.05

0.05

0.05

0.01

XXX collar bone. 73010......... ............ A........... X-ray exam of

0.17

0.58

0.58

NA

NA

0.03

XXX shoulder blade. 73010......... TC.......... A........... X-ray exam of

0.00

0.52

0.52

NA

NA

0.02

XXX shoulder blade. 73010......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX shoulder blade. 73020......... ............ A........... X-ray exam of

0.15

0.44

0.48

NA

NA

0.03

XXX shoulder. 73020......... TC.......... A........... X-ray exam of

0.00

0.39

0.43

NA

NA

0.02

XXX shoulder. 73020......... 26.......... A........... X-ray exam of

0.15

0.05

0.05

0.05

0.05

0.01

XXX shoulder. 73030......... ............ A........... X-ray exam of

0.18

0.57

0.60

NA

NA

0.05

XXX shoulder. 73030......... TC.......... A........... X-ray exam of

0.00

0.51

0.54

NA

NA

0.04

XXX shoulder. 73030......... 26.......... A........... X-ray exam of

0.18

0.06

0.06

0.06

0.06

0.01

XXX shoulder. 73040......... ............ A........... Contrast x-ray of

0.54

2.25

2.27

NA

NA

0.14

XXX shoulder. 73040......... TC.......... A........... Contrast x-ray of

0.00

2.06

2.08

NA

NA

0.12

XXX shoulder. 73040......... 26.......... A........... Contrast x-ray of

0.54

0.19

0.19

0.19

0.19

0.02

XXX shoulder. 73050......... ............ A........... X-ray exam of

0.20

0.74

0.73

NA

NA

0.05

XXX shoulders. 73050......... TC.......... A........... X-ray exam of

0.00

0.66

0.66

NA

NA

0.04

XXX shoulders. 73050......... 26.......... A........... X-ray exam of

0.20

0.08

0.07

0.08

0.07

0.01

XXX shoulders. 73060......... ............ A........... X-ray exam of

0.17

0.58

0.60

NA

NA

0.05

XXX humerus. 73060......... TC.......... A........... X-ray exam of

0.00

0.52

0.54

NA

NA

0.04

XXX humerus. 73060......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX humerus. 73070......... ............ A........... X-ray exam of

0.15

0.55

0.56

NA

NA

0.03

XXX elbow. 73070......... TC.......... A........... X-ray exam of

0.00

0.50

0.51

NA

NA

0.02

XXX elbow. 73070......... 26.......... A........... X-ray exam of

0.15

0.05

0.05

0.05

0.05

0.01

XXX elbow. 73080......... ............ A........... X-ray exam of

0.17

0.76

0.69

NA

NA

0.05

XXX elbow. 73080......... TC.......... A........... X-ray exam of

0.00

0.70

0.63

NA

NA

0.04

XXX elbow. 73080......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX elbow. 73085......... ............ A........... Contrast x-ray of

0.54

1.84

2.07

NA

NA

0.14

XXX elbow. 73085......... TC.......... A........... Contrast x-ray of

0.00

1.66

1.88

NA

NA

0.12

XXX elbow. 73085......... 26.......... A........... Contrast x-ray of

0.54

0.18

0.19

0.18

0.19

0.02

XXX elbow. 73090......... ............ A........... X-ray exam of

0.16

0.55

0.56

NA

NA

0.03

XXX forearm. 73090......... TC.......... A........... X-ray exam of

0.00

0.50

0.51

NA

NA

0.02

XXX forearm. 73090......... 26.......... A........... X-ray exam of

0.16

0.05

0.05

0.05

0.05

0.01

XXX forearm. 73092......... ............ A........... X-ray exam of arm,

0.16

0.58

0.56

NA

NA

0.03

XXX infant. 73092......... TC.......... A........... X-ray exam of arm,

0.00

0.53

0.51

NA

NA

0.02

XXX infant. 73092......... 26.......... A........... X-ray exam of arm,

0.16

0.05

0.05

0.05

0.05

0.01

XXX infant. 73100......... ............ A........... X-ray exam of

0.16

0.61

0.57

NA

NA

0.03

XXX wrist. 73100......... TC.......... A........... X-ray exam of

0.00

0.55

0.52

NA

NA

0.02

XXX wrist. 73100......... 26.......... A........... X-ray exam of

0.16

0.06

0.05

0.06

0.05

0.01

XXX wrist. 73110......... ............ A........... X-ray exam of

0.17

0.78

0.68

NA

NA

0.03

XXX wrist. 73110......... TC.......... A........... X-ray exam of

0.00

0.72

0.62

NA

NA

0.02

XXX wrist. 73110......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX wrist. 73115......... ............ A........... Contrast x-ray of

0.54

2.33

2.04

NA

NA

0.12

XXX wrist. 73115......... TC.......... A........... Contrast x-ray of

0.00

2.14

1.86

NA

NA

0.10

XXX wrist. 73115......... 26.......... A........... Contrast x-ray of

0.54

0.19

0.18

0.19

0.18

0.02

XXX wrist.

[[Page 2656]]

73120......... ............ A........... X-ray exam of hand

0.16

0.56

0.55

NA

NA

0.03

XXX 73120......... TC.......... A........... X-ray exam of hand

0.00

0.51

0.50

NA

NA

0.02

XXX 73120......... 26.......... A........... X-ray exam of hand

0.16

0.05

0.05

0.05

0.05

0.01

XXX 73130......... ............ A........... X-ray exam of hand

0.17

0.66

0.63

NA

NA

0.03

XXX 73130......... TC.......... A........... X-ray exam of hand

0.00

0.60

0.57

NA

NA

0.02

XXX 73130......... 26.......... A........... X-ray exam of hand

0.17

0.06

0.06

0.06

0.06

0.01

XXX 73140......... ............ A........... X-ray exam of

0.13

0.67

0.57

NA

NA

0.03

XXX finger(s). 73140......... TC.......... A........... X-ray exam of

0.00

0.63

0.53

NA

NA

0.02

XXX finger(s). 73140......... 26.......... A........... X-ray exam of

0.13

0.04

0.04

0.04

0.04

0.01

XXX finger(s). 73200......... ............ A........... Ct upper extremity

1.09

6.40

5.86

NA

NA

0.30

XXX w/o dye. 73200......... TC.......... A........... Ct upper extremity

0.00

6.02

5.49

NA

NA

0.25

XXX w/o dye. 73200......... 26.......... A........... Ct upper extremity

1.09

0.38

0.37

0.38

0.37

0.05

XXX w/o dye. 73201......... ............ A........... Ct upper extremity

1.16

7.92

7.10

NA

NA

0.36

XXX w/dye. 73201......... TC.......... A........... Ct upper extremity

0.00

7.51

6.71

NA

NA

0.31

XXX w/dye. 73201......... 26.......... A........... Ct upper extremity

1.16

0.41

0.39

0.41

0.39

0.05

XXX w/dye. 73202......... ............ A........... Ct uppr extremity

1.22

10.55

9.19

NA

NA

0.44

XXX w/o&w/dye. 73202......... TC.......... A........... Ct uppr extremity

0.00

10.13

8.78

NA

NA

0.39

XXX w/o&w/dye. 73202......... 26.......... A........... Ct uppr extremity

1.22

0.42

0.41

0.42

0.41

0.05

XXX w/o&w/dye. 73206......... ............ A........... Ct angio upr extrm

1.81

10.94

11.24

NA

NA

0.47

XXX w/o&w/dye. 73206......... TC.......... A........... Ct angio upr extrm

0.00

10.26

10.61

NA

NA

0.39

XXX w/o&w/dye. 73206......... 26.......... A........... Ct angio upr extrm

1.81

0.68

0.63

0.68

0.63

0.08

XXX w/o&w/dye. 73218......... ............ A........... Mri upper

1.35

14.65

13.15

NA

NA

0.45

XXX extremity w/o dye. 73218......... TC.......... A........... Mri upper

0.00

14.19

12.70

NA

NA

0.39

XXX extremity w/o dye. 73218......... 26.......... A........... Mri upper

1.35

0.46

0.45

0.46

0.45

0.06

XXX extremity w/o dye. 73219......... ............ A........... Mri upper

1.62

15.41

14.70

NA

NA

0.54

XXX extremity w/dye. 73219......... TC.......... A........... Mri upper

0.00

14.85

14.15

NA

NA

0.47

XXX extremity w/dye. 73219......... 26.......... A........... Mri upper

1.62

0.56

0.55

0.56

0.55

0.07

XXX extremity w/dye. 73220......... ............ A........... Mri uppr extremity

2.15

19.06

22.33

NA

NA

0.94

XXX w/o&w/dye. 73220......... TC.......... A........... Mri uppr extremity

0.00

18.31

21.60

NA

NA

0.84

XXX w/o&w/dye. 73220......... 26.......... A........... Mri uppr extremity

2.15

0.75

0.73

0.75

0.73

0.10

XXX w/o&w/dye. 73221......... ............ A........... Mri joint upr

1.35

13.56

12.60

NA

NA

0.45

XXX extrem w/o dye. 73221......... TC.......... A........... Mri joint upr

0.00

13.09

12.15

NA

NA

0.39

XXX extrem w/o dye. 73221......... 26.......... A........... Mri joint upr

1.35

0.47

0.45

0.47

0.45

0.06

XXX extrem w/o dye. 73222......... ............ A........... Mri joint upr

1.62

14.31

14.15

NA

NA

0.54

XXX extrem w/dye. 73222......... TC.......... A........... Mri joint upr

0.00

13.75

13.60

NA

NA

0.47

XXX extrem w/dye. 73222......... 26.......... A........... Mri joint upr

1.62

0.56

0.55

0.56

0.55

0.07

XXX extrem w/dye. 73223......... ............ A........... Mri joint upr extr

2.15

17.58

21.59

NA

NA

0.94

XXX w/o&w/dye. 73223......... TC.......... A........... Mri joint upr extr

0.00

16.84

20.87

NA

NA

0.84

XXX w/o&w/dye. 73223......... 26.......... A........... Mri joint upr extr

2.15

0.74

0.72

0.74

0.72

0.10

XXX w/o&w/dye. 73225......... ............ N........... Mr angio upr extr

1.73

14.65

13.16

NA

NA

0.69

XXX w/o&w/dye. 73225......... TC.......... N........... Mr angio upr extr

0.00

14.25

12.63

NA

NA

0.59

XXX w/o&w/dye. 73225......... 26.......... N........... Mr angio upr extr

1.73

0.40

0.53

0.40

0.53

0.10

XXX w/o&w/dye. 73500......... ............ A........... X-ray exam of hip.

0.17

0.49

0.51

NA

NA

0.03

XXX 73500......... TC.......... A........... X-ray exam of hip.

0.00

0.43

0.45

NA

NA

0.02

XXX 73500......... 26.......... A........... X-ray exam of hip.

0.17

0.06

0.06

0.06

0.06

0.01

XXX 73510......... ............ A........... X-ray exam of hip.

0.21

0.77

0.71

NA

NA

0.05

XXX 73510......... TC.......... A........... X-ray exam of hip.

0.00

0.70

0.64

NA

NA

0.04

XXX 73510......... 26.......... A........... X-ray exam of hip.

0.21

0.07

0.07

0.07

0.07

0.01

XXX 73520......... ............ A........... X-ray exam of hips

0.26

0.79

0.77

NA

NA

0.05

XXX 73520......... TC.......... A........... X-ray exam of hips

0.00

0.70

0.68

NA

NA

0.04

XXX 73520......... 26.......... A........... X-ray exam of hips

0.26

0.09

0.09

0.09

0.09

0.01

XXX 73525......... ............ A........... Contrast x-ray of

0.54

1.83

2.06

NA

NA

0.15

XXX hip. 73525......... TC.......... A........... Contrast x-ray of

0.00

1.65

1.88

NA

NA

0.12

XXX hip. 73525......... 26.......... A........... Contrast x-ray of

0.54

0.18

0.18

0.18

0.18

0.03

XXX hip. 73530......... ............ C........... X-ray exam of hip.

0.00

0.00

0.00

NA

NA

0.00

XXX 73530......... TC.......... C........... X-ray exam of hip.

0.00

0.00

0.00

NA

NA

0.00

XXX 73530......... 26.......... A........... X-ray exam of hip.

0.29

0.11

0.10

0.11

0.10

0.01

XXX 73540......... ............ A........... X-ray exam of

0.20

0.81

0.72

NA

NA

0.05

XXX pelvis & hips. 73540......... TC.......... A........... X-ray exam of

0.00

0.74

0.65

NA

NA

0.04

XXX pelvis & hips. 73540......... 26.......... A........... X-ray exam of

0.20

0.07

0.07

0.07

0.07

0.01

XXX pelvis & hips. 73542......... ............ A........... X-ray exam,

0.59

1.13

1.70

NA

NA

0.15

XXX sacroiliac joint. 73542......... TC.......... A........... X-ray exam,

0.00

0.99

1.55

NA

NA

0.12

XXX sacroiliac joint. 73542......... 26.......... A........... X-ray exam,

0.59

0.14

0.15

0.14

0.15

0.03

XXX sacroiliac joint. 73550......... ............ A........... X-ray exam of

0.17

0.55

0.59

NA

NA

0.05

XXX thigh. 73550......... TC.......... A........... X-ray exam of

0.00

0.49

0.53

NA

NA

0.04

XXX thigh. 73550......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX thigh. 73560......... ............ A........... X-ray exam of

0.17

0.58

0.58

NA

NA

0.03

XXX knee, 1 or 2. 73560......... TC.......... A........... X-ray exam of

0.00

0.52

0.52

NA

NA

0.02

XXX knee, 1 or 2. 73560......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX knee, 1 or 2. 73562......... ............ A........... X-ray exam of

0.18

0.73

0.68

NA

NA

0.05

XXX knee, 3. 73562......... TC.......... A........... X-ray exam of

0.00

0.66

0.62

NA

NA

0.04

XXX knee, 3. 73562......... 26.......... A........... X-ray exam of

0.18

0.07

0.06

0.07

0.06

0.01

XXX knee, 3.

[[Page 2657]]

73564......... ............ A........... X-ray exam, knee,

0.22

0.86

0.77

NA

NA

0.05

XXX 4 or more. 73564......... TC.......... A........... X-ray exam, knee,

0.00

0.78

0.70

NA

NA

0.04

XXX 4 or more. 73564......... 26.......... A........... X-ray exam, knee,

0.22

0.08

0.07

0.08

0.07

0.01

XXX 4 or more. 73565......... ............ A........... X-ray exam of

0.17

0.65

0.60

NA

NA

0.03

XXX knees. 73565......... TC.......... A........... X-ray exam of

0.00

0.59

0.54

NA

NA

0.02

XXX knees. 73565......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX knees. 73580......... ............ A........... Contrast x-ray of

0.54

2.56

2.68

NA

NA

0.17

XXX knee joint. 73580......... TC.......... A........... Contrast x-ray of

0.00

2.37

2.50

NA

NA

0.14

XXX knee joint. 73580......... 26.......... A........... Contrast x-ray of

0.54

0.19

0.18

0.19

0.18

0.03

XXX knee joint. 73590......... ............ A........... X-ray exam of

0.17

0.54

0.56

NA

NA

0.03

XXX lower leg. 73590......... TC.......... A........... X-ray exam of

0.00

0.48

0.50

NA

NA

0.02

XXX lower leg. 73590......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX lower leg. 73592......... ............ A........... X-ray exam of leg,

0.16

0.58

0.56

NA

NA

0.03

XXX infant. 73592......... TC.......... A........... X-ray exam of leg,

0.00

0.53

0.51

NA

NA

0.02

XXX infant. 73592......... 26.......... A........... X-ray exam of leg,

0.16

0.05

0.05

0.05

0.05

0.01

XXX infant. 73600......... ............ A........... X-ray exam of

0.16

0.56

0.55

NA

NA

0.03

XXX ankle. 73600......... TC.......... A........... X-ray exam of

0.00

0.51

0.50

NA

NA

0.02

XXX ankle. 73600......... 26.......... A........... X-ray exam of

0.16

0.05

0.05

0.05

0.05

0.01

XXX ankle. 73610......... ............ A........... X-ray exam of

0.17

0.68

0.63

NA

NA

0.03

XXX ankle. 73610......... TC.......... A........... X-ray exam of

0.00

0.62

0.57

NA

NA

0.02

XXX ankle. 73610......... 26.......... A........... X-ray exam of

0.17

0.06

0.06

0.06

0.06

0.01

XXX ankle. 73615......... ............ A........... Contrast x-ray of

0.54

2.00

2.14

NA

NA

0.15

XXX ankle. 73615......... TC.......... A........... Contrast x-ray of

0.00

1.82

1.96

NA

NA

0.12

XXX ankle. 73615......... 26.......... A........... Contrast x-ray of

0.54

0.18

0.18

0.18

0.18

0.03

XXX ankle. 73620......... ............ A........... X-ray exam of foot

0.16

0.52

0.54

NA

NA

0.03

XXX 73620......... TC.......... A........... X-ray exam of foot

0.00

0.48

0.49

NA

NA

0.02

XXX 73620......... 26.......... A........... X-ray exam of foot

0.16

0.04

0.05

0.04

0.05

0.01

XXX 73630......... ............ A........... X-ray exam of foot

0.17

0.65

0.63

NA

NA

0.03

XXX 73630......... TC.......... A........... X-ray exam of foot

0.00

0.60

0.57

NA

NA

0.02

XXX 73630......... 26.......... A........... X-ray exam of foot

0.17

0.05

0.06

0.05

0.06

0.01

XXX 73650......... ............ A........... X-ray exam of heel

0.16

0.55

0.53

NA

NA

0.03

XXX 73650......... TC.......... A........... X-ray exam of heel

0.00

0.50

0.48

NA

NA

0.02

XXX 73650......... 26.......... A........... X-ray exam of heel

0.16

0.05

0.05

0.05

0.05

0.01

XXX 73660......... ............ A........... X-ray exam of

0.13

0.64

0.55

NA

NA

0.03

XXX toe(s). 73660......... TC.......... A........... X-ray exam of

0.00

0.60

0.51

NA

NA

0.02

XXX toe(s). 73660......... 26.......... A........... X-ray exam of

0.13

0.04

0.04

0.04

0.04

0.01

XXX toe(s). 73700......... ............ A........... Ct lower extremity

1.09

6.41

5.86

NA

NA

0.30

XXX w/o dye. 73700......... TC.......... A........... Ct lower extremity

0.00

6.03

5.49

NA

NA

0.25

XXX w/o dye. 73700......... 26.......... A........... Ct lower extremity

1.09

0.38

0.37

0.38

0.37

0.05

XXX w/o dye. 73701......... ............ A........... Ct lower extremity

1.16

7.98

7.14

NA

NA

0.36

XXX w/dye. 73701......... TC.......... A........... Ct lower extremity

0.00

7.57

6.74

NA

NA

0.31

XXX w/dye. 73701......... 26.......... A........... Ct lower extremity

1.16

0.41

0.40

0.41

0.40

0.05

XXX w/dye. 73702......... ............ A........... Ct lwr extremity w/ 1.22

10.73

9.28

NA

NA

0.44

XXX o&w/dye. 73702......... TC.......... A........... Ct lwr extremity w/ 0.00

10.29

8.86

NA

NA

0.39

XXX o&w/dye. 73702......... 26.......... A........... Ct lwr extremity w/ 1.22

0.44

0.42

0.44

0.42

0.05

XXX o&w/dye. 73706......... ............ A........... Ct angio lwr extr

1.90

12.35

11.97

NA

NA

0.47

XXX w/o&w/dye. 73706......... TC.......... A........... Ct angio lwr extr

0.00

11.63

11.30

NA

NA

0.39

XXX w/o&w/dye. 73706......... 26.......... A........... Ct angio lwr extr

1.90

0.72

0.67

0.72

0.67

0.08

XXX w/o&w/dye. 73718......... ............ A........... Mri lower

1.35

14.27

12.96

NA

NA

0.45

XXX extremity w/o dye. 73718......... TC.......... A........... Mri lower

0.00

13.81

12.51

NA

NA

0.39

XXX extremity w/o dye. 73718......... 26.......... A........... Mri lower

1.35

0.46

0.45

0.46

0.45

0.06

XXX extremity w/o dye. 73719......... ............ A........... Mri lower

1.62

15.41

14.70

NA

NA

0.54

XXX extremity w/dye. 73719......... TC.......... A........... Mri lower

0.00

14.84

14.15

NA

NA

0.47

XXX extremity w/dye. 73719......... 26.......... A........... Mri lower

1.62

0.57

0.55

0.57

0.55

0.07

XXX extremity w/dye. 73720......... ............ A........... Mri lwr extremity

2.15

19.00

22.29

NA

NA

0.94

XXX w/o&w/dye. 73720......... TC.......... A........... Mri lwr extremity

0.00

18.25

21.57

NA

NA

0.84

XXX w/o&w/dye. 73720......... 26.......... A........... Mri lwr extremity

2.15

0.75

0.72

0.75

0.72

0.10

XXX w/o&w/dye. 73721......... ............ A........... Mri jnt of lwr

1.35

13.88

12.76

NA

NA

0.45

XXX extre w/o dye. 73721......... TC.......... A........... Mri jnt of lwr

0.00

13.41

12.31

NA

NA

0.39

XXX extre w/o dye. 73721......... 26.......... A........... Mri jnt of lwr

1.35

0.47

0.45

0.47

0.45

0.06

XXX extre w/o dye. 73722......... ............ A........... Mri joint of lwr

1.62

14.49

14.24

NA

NA

0.54

XXX extr w/dye. 73722......... TC.......... A........... Mri joint of lwr

0.00

13.92

13.69

NA

NA

0.47

XXX extr w/dye. 73722......... 26.......... A........... Mri joint of lwr

1.62

0.57

0.55

0.57

0.55

0.07

XXX extr w/dye. 73723......... ............ A........... Mri joint lwr extr

2.15

17.56

21.59

NA

NA

0.94

XXX w/o&w/dye. 73723......... TC.......... A........... Mri joint lwr extr

0.00

16.82

20.86

NA

NA

0.84

XXX w/o&w/dye. 73723......... 26.......... A........... Mri joint lwr extr

2.15

0.74

0.73

0.74

0.73

0.10

XXX w/o&w/dye. 73725......... ............ R........... Mr ang lwr ext w

1.82

15.13

13.47

NA

NA

0.67

XXX or w/o dye. 73725......... TC.......... R........... Mr ang lwr ext w

0.00

14.49

12.85

NA

NA

0.59

XXX or w/o dye. 73725......... 26.......... R........... Mr ang lwr ext w

1.82

0.64

0.62

0.64

0.62

0.08

XXX or w/o dye. 74000......... ............ A........... X-ray exam of

0.18

0.46

0.52

NA

NA

0.03

XXX abdomen. 74000......... TC.......... A........... X-ray exam of

0.00

0.40

0.46

NA

NA

0.02

XXX abdomen. 74000......... 26.......... A........... X-ray exam of

0.18

0.06

0.06

0.06

0.06

0.01

XXX abdomen.

[[Page 2658]]

74010......... ............ A........... X-ray exam of

0.23

0.79

0.72

NA

NA

0.05

XXX abdomen. 74010......... TC.......... A........... X-ray exam of

0.00

0.71

0.64

NA

NA

0.04

XXX abdomen. 74010......... 26.......... A........... X-ray exam of

0.23

0.08

0.08

0.08

0.08

0.01

XXX abdomen. 74020......... ............ A........... X-ray exam of

0.27

0.81

0.76

NA

NA

0.05

XXX abdomen. 74020......... TC.......... A........... X-ray exam of

0.00

0.72

0.67

NA

NA

0.04

XXX abdomen. 74020......... 26.......... A........... X-ray exam of

0.27

0.09

0.09

0.09

0.09

0.01

XXX abdomen. 74022......... ............ A........... X-ray exam series,

0.32

0.99

0.91

NA

NA

0.06

XXX abdomen. 74022......... TC.......... A........... X-ray exam series,

0.00

0.88

0.80

NA

NA

0.05

XXX abdomen. 74022......... 26.......... A........... X-ray exam series,

0.32

0.11

0.11

0.11

0.11

0.01

XXX abdomen. 74150......... ............ A........... Ct abdomen w/o dye

1.19

6.07

6.07

NA

NA

0.35

XXX 74150......... TC.......... A........... Ct abdomen w/o dye

0.00

5.65

5.66

NA

NA

0.30

XXX 74150......... 26.......... A........... Ct abdomen w/o dye

1.19

0.42

0.41

0.42

0.41

0.05

XXX 74160......... ............ A........... Ct abdomen w/dye..

1.27

8.82

8.05

NA

NA

0.42

XXX 74160......... TC.......... A........... Ct abdomen w/dye..

0.00

8.37

7.61

NA

NA

0.36

XXX 74160......... 26.......... A........... Ct abdomen w/dye..

1.27

0.45

0.44

0.45

0.44

0.06

XXX 74170......... ............ A........... Ct abdomen w/o & w/ 1.40

12.19

10.57

NA

NA

0.49

XXX dye. 74170......... TC.......... A........... Ct abdomen w/o & w/ 0.00

11.70

10.09

NA

NA

0.43

XXX dye. 74170......... 26.......... A........... Ct abdomen w/o & w/ 1.40

0.49

0.48

0.49

0.48

0.06

XXX dye. 74175......... ............ A........... Ct angio abdom w/o

1.90

12.28

12.46

NA

NA

0.47

XXX & w/dye. 74175......... TC.......... A........... Ct angio abdom w/o

0.00

11.59

11.81

NA

NA

0.39

XXX & w/dye. 74175......... 26.......... A........... Ct angio abdom w/o

1.90

0.69

0.65

0.69

0.65

0.08

XXX & w/dye. 74181......... ............ A........... Mri abdomen w/o

1.46

12.45

12.07

NA

NA

0.51

XXX dye. 74181......... TC.......... A........... Mri abdomen w/o

0.00

11.94

11.57

NA

NA

0.45

XXX dye. 74181......... 26.......... A........... Mri abdomen w/o

1.46

0.51

0.50

0.51

0.50

0.06

XXX dye. 74182......... ............ A........... Mri abdomen w/dye.

1.73

17.45

15.74

NA

NA

0.60

XXX 74182......... TC.......... A........... Mri abdomen w/dye.

0.00

16.84

15.15

NA

NA

0.52

XXX 74182......... 26.......... A........... Mri abdomen w/dye.

1.73

0.61

0.59

0.61

0.59

0.08

XXX 74183......... ............ A........... Mri abdomen w/o &

2.26

19.00

22.31

NA

NA

1.02

XXX w/dye. 74183......... TC.......... A........... Mri abdomen w/o &

0.00

18.21

21.55

NA

NA

0.92

XXX w/dye. 74183......... 26.......... A........... Mri abdomen w/o &

2.26

0.79

0.76

0.79

0.76

0.10

XXX w/dye. 74185......... ............ R........... Mri angio, abdom w

1.80

15.09

13.44

NA

NA

0.67

XXX orw/o dye. 74185......... TC.......... R........... Mri angio, abdom w

0.00

14.45

12.83

NA

NA

0.59

XXX orw/o dye. 74185......... 26.......... R........... Mri angio, abdom w

1.80

0.64

0.61

0.64

0.61

0.08

XXX orw/o dye. 74190......... ............ C........... X-ray exam of

0.00

0.00

0.00

NA

NA

0.00

XXX peritoneum. 74190......... TC.......... C........... X-ray exam of

0.00

0.00

0.00

NA

NA

0.00

XXX peritoneum. 74190......... 26.......... A........... X-ray exam of

0.48

0.17

0.16

0.17

0.16

0.02

XXX peritoneum. 74210......... ............ A........... Contrst x-ray exam

0.36

1.77

1.54

NA

NA

0.08

XXX of throat. 74210......... TC.......... A........... Contrst x-ray exam

0.00

1.64

1.42

NA

NA

0.06

XXX of throat. 74210......... 26.......... A........... Contrst x-ray exam

0.36

0.13

0.12

0.13

0.12

0.02

XXX of throat. 74220......... ............ A........... Contrast x-ray,

0.46

2.01

1.68

NA

NA

0.08

XXX esophagus. 74220......... TC.......... A........... Contrast x-ray,

0.00

1.85

1.52

NA

NA

0.06

XXX esophagus. 74220......... 26.......... A........... Contrast x-ray,

0.46

0.16

0.16

0.16

0.16

0.02

XXX esophagus. 74230......... ............ A........... Cine/vid x-ray,

0.53

1.95

1.72

NA

NA

0.09

XXX throat/esoph. 74230......... TC.......... A........... Cine/vid x-ray,

0.00

1.76

1.54

NA

NA

0.07

XXX throat/esoph. 74230......... 26.......... A........... Cine/vid x-ray,

0.53

0.19

0.18

0.19

0.18

0.02

XXX throat/esoph. 74235......... ............ C........... Remove esophagus

0.00

0.00

0.00

NA

NA

0.00

XXX obstruction. 74235......... TC.......... C........... Remove esophagus

0.00

0.00

0.00

NA

NA

0.00

XXX obstruction. 74235......... 26.......... A........... Remove esophagus

1.19

0.47

0.43

0.47

0.43

0.05

XXX obstruction. 74240......... ............ A........... X-ray exam, upper

0.69

2.30

2.00

NA

NA

0.11

XXX gi tract. 74240......... TC.......... A........... X-ray exam, upper

0.00

2.06

1.76

NA

NA

0.08

XXX gi tract. 74240......... 26.......... A........... X-ray exam, upper

0.69

0.24

0.24

0.24

0.24

0.03

XXX gi tract. 74241......... ............ A........... X-ray exam, upper

0.69

2.57

2.14

NA

NA

0.11

XXX gi tract. 74241......... TC.......... A........... X-ray exam, upper

0.00

2.33

1.91

NA

NA

0.08

XXX gi tract. 74241......... 26.......... A........... X-ray exam, upper

0.69

0.24

0.23

0.24

0.23

0.03

XXX gi tract. 74245......... ............ A........... X-ray exam, upper

0.91

3.96

3.32

NA

NA

0.17

XXX gi tract. 74245......... TC.......... A........... X-ray exam, upper

0.00

3.64

3.01

NA

NA

0.13

XXX gi tract. 74245......... 26.......... A........... X-ray exam, upper

0.91

0.32

0.31

0.32

0.31

0.04

XXX gi tract. 74246......... ............ A........... Contrst x-ray uppr

0.69

2.81

2.34

NA

NA

0.13

XXX gi tract. 74246......... TC.......... A........... Contrst x-ray uppr

0.00

2.56

2.10

NA

NA

0.10

XXX gi tract. 74246......... 26.......... A........... Contrst x-ray uppr

0.69

0.25

0.24

0.25

0.24

0.03

XXX gi tract. 74247......... ............ A........... Contrst x-ray uppr

0.69

3.22

2.57

NA

NA

0.14

XXX gi tract. 74247......... TC.......... A........... Contrst x-ray uppr

0.00

2.98

2.33

NA

NA

0.11

XXX gi tract. 74247......... 26.......... A........... Contrst x-ray uppr

0.69

0.24

0.24

0.24

0.24

0.03

XXX gi tract. 74249......... ............ A........... Contrst x-ray uppr

0.91

4.35

3.61

NA

NA

0.18

XXX gi tract. 74249......... TC.......... A........... Contrst x-ray uppr

0.00

4.03

3.30

NA

NA

0.14

XXX gi tract. 74249......... 26.......... A........... Contrst x-ray uppr

0.91

0.32

0.31

0.32

0.31

0.04

XXX gi tract. 74250......... ............ A........... X-ray exam of

0.47

2.49

1.97

NA

NA

0.09

XXX small bowel. 74250......... TC.......... A........... X-ray exam of

0.00

2.32

1.81

NA

NA

0.07

XXX small bowel. 74250......... 26.......... A........... X-ray exam of

0.47

0.17

0.16

0.17

0.16

0.02

XXX small bowel. 74251......... ............ A........... X-ray exam of

0.69

10.02

5.78

NA

NA

0.10

XXX small bowel. 74251......... TC.......... A........... X-ray exam of

0.00

9.77

5.54

NA

NA

0.07

XXX small bowel. 74251......... 26.......... A........... X-ray exam of

0.69

0.25

0.24

0.25

0.24

0.03

XXX small bowel.

[[Page 2659]]

74260......... ............ A........... X-ray exam of

0.50

8.31

4.98

NA

NA

0.10

XXX small bowel. 74260......... TC.......... A........... X-ray exam of

0.00

8.13

4.81

NA

NA

0.08

XXX small bowel. 74260......... 26.......... A........... X-ray exam of

0.50

0.18

0.17

0.18

0.17

0.02

XXX small bowel. 74270......... ............ A........... Contrast x-ray

0.69

3.59

2.76

NA

NA

0.14

XXX exam of colon. 74270......... TC.......... A........... Contrast x-ray

0.00

3.34

2.52

NA

NA

0.11

XXX exam of colon. 74270......... 26.......... A........... Contrast x-ray

0.69

0.25

0.24

0.25

0.24

0.03

XXX exam of colon. 74280......... ............ A........... Contrast x-ray

0.99

4.95

3.75

NA

NA

0.17

XXX exam of colon. 74280......... TC.......... A........... Contrast x-ray

0.00

4.60

3.42

NA

NA

0.13

XXX exam of colon. 74280......... 26.......... A........... Contrast x-ray

0.99

0.35

0.33

0.35

0.33

0.04

XXX exam of colon. 74283......... ............ A........... Contrast x-ray

2.02

3.49

3.35

NA

NA

0.23

XXX exam of colon. 74283......... TC.......... A........... Contrast x-ray

0.00

2.80

2.68

NA

NA

0.14

XXX exam of colon. 74283......... 26.......... A........... Contrast x-ray

2.02

0.69

0.67

0.69

0.67

0.09

XXX exam of colon. 74290......... ............ A........... Contrast x-ray,

0.32

1.58

1.21

NA

NA

0.06

XXX gallbladder. 74290......... TC.......... A........... Contrast x-ray,

0.00

1.47

1.10

NA

NA

0.05

XXX gallbladder. 74290......... 26.......... A........... Contrast x-ray,

0.32

0.11

0.11

0.11

0.11

0.01

XXX gallbladder. 74291......... ............ A........... Contrast x-rays,

0.20

1.56

1.02

NA

NA

0.03

XXX gallbladder. 74291......... TC.......... A........... Contrast x-rays,

0.00

1.49

0.95

NA

NA

0.02

XXX gallbladder. 74291......... 26.......... A........... Contrast x-rays,

0.20

0.07

0.07

0.07

0.07

0.01

XXX gallbladder. 74300......... ............ C........... X-ray bile ducts/

0.00

0.00

0.00

NA

NA

0.00

XXX pancreas. 74300......... TC.......... C........... X-ray bile ducts/

0.00

0.00

0.00

NA

NA

0.00

XXX pancreas. 74300......... 26.......... A........... X-ray bile ducts/

0.36

0.13

0.12

0.13

0.12

0.02

XXX pancreas. 74301......... ............ C........... X-rays at surgery

0.00

0.00

0.00

NA

NA

0.00

ZZZ add-on. 74301......... TC.......... C........... X-rays at surgery

0.00

0.00

0.00

NA

NA

0.00

ZZZ add-on. 74301......... 26.......... A........... X-rays at surgery

0.21

0.07

0.07

0.07

0.07

0.01

ZZZ add-on. 74305......... ............ C........... X-ray bile ducts/

0.00

0.00

0.00

NA

NA

0.00

XXX pancreas. 74305......... TC.......... C........... X-ray bile ducts/

0.00

0.00

0.00

NA

NA

0.00

XXX pancreas. 74305......... 26.......... A........... X-ray bile ducts/

0.42

0.15

0.15

0.15

0.15

0.02

XXX pancreas. 74320......... ............ A........... Contrast x-ray of

0.54

2.14

2.73

NA

NA

0.19

XXX bile ducts. 74320......... TC.......... A........... Contrast x-ray of

0.00

1.94

2.54

NA

NA

0.17

XXX bile ducts. 74320......... 26.......... A........... Contrast x-ray of

0.54

0.20

0.19

0.20

0.19

0.02

XXX bile ducts. 74327......... ............ A........... X-ray bile stone

0.70

2.97

2.48

NA

NA

0.14

XXX removal. 74327......... TC.......... A........... X-ray bile stone

0.00

2.72

2.24

NA

NA

0.11

XXX removal. 74327......... 26.......... A........... X-ray bile stone

0.70

0.25

0.24

0.25

0.24

0.03

XXX removal. 74328......... ............ C........... X-ray bile duct

0.00

0.00

0.00

NA

NA

0.00

XXX endoscopy. 74328......... TC.......... C........... X-ray bile duct

0.00

0.00

0.00

NA

NA

0.00

XXX endoscopy. 74328......... 26.......... A........... X-ray bile duct

0.70

0.26

0.25

0.26

0.25

0.03

XXX endoscopy. 74329......... ............ C........... X-ray for pancreas

0.00

0.00

0.00

NA

NA

0.00

XXX endoscopy. 74329......... TC.......... C........... X-ray for pancreas

0.00

0.00

0.00

NA

NA

0.00

XXX endoscopy. 74329......... 26.......... A........... X-ray for pancreas

0.70

0.27

0.25

0.27

0.25

0.03

XXX endoscopy. 74330......... ............ C........... X-ray bile/panc

0.00

0.00

0.00

NA

NA

0.00

XXX endoscopy. 74330......... TC.......... C........... X-ray bile/panc

0.00

0.00

0.00

NA

NA

0.00

XXX endoscopy. 74330......... 26.......... A........... X-ray bile/panc

0.90

0.33

0.31

0.33

0.31

0.04

XXX endoscopy. 74340......... ............ C........... X-ray guide for GI

0.00

0.00

0.00

NA

NA

0.00

XXX tube. 74340......... TC.......... C........... X-ray guide for GI

0.00

0.00

0.00

NA

NA

0.00

XXX tube. 74340......... 26.......... A........... X-ray guide for GI

0.54

0.19

0.19

0.19

0.19

0.02

XXX tube. 74355......... ............ C........... X-ray guide,

0.00

0.00

0.00

NA

NA

0.00

XXX intestinal tube. 74355......... TC.......... C........... X-ray guide,

0.00

0.00

0.00

NA

NA

0.00

XXX intestinal tube. 74355......... 26.......... A........... X-ray guide,

0.76

0.28

0.26

0.28

0.26

0.03

XXX intestinal tube. 74360......... ............ C........... X-ray guide, GI

0.00

0.00

0.00

NA

NA

0.00

XXX dilation. 74360......... TC.......... C........... X-ray guide, GI

0.00

0.00

0.00

NA

NA

0.00

XXX dilation. 74360......... 26.......... A........... X-ray guide, GI

0.54

0.24

0.21

0.24

0.21

0.02

XXX dilation. 74363......... ............ C........... X-ray, bile duct

0.00

0.00

0.00

NA

NA

0.00

XXX dilation. 74363......... TC.......... C........... X-ray, bile duct

0.00

0.00

0.00

NA

NA

0.00

XXX dilation. 74363......... 26.......... A........... X-ray, bile duct

0.88

0.32

0.30

0.32

0.30

0.04

XXX dilation. 74400......... ............ A........... Contrst x-ray,

0.49

2.60

2.22

NA

NA

0.13

XXX urinary tract. 74400......... TC.......... A........... Contrst x-ray,

0.00

2.43

2.05

NA

NA

0.11

XXX urinary tract. 74400......... 26.......... A........... Contrst x-ray,

0.49

0.17

0.17

0.17

0.17

0.02

XXX urinary tract. 74410......... ............ A........... Contrst x-ray,

0.49

2.69

2.40

NA

NA

0.13

XXX urinary tract. 74410......... TC.......... A........... Contrst x-ray,

0.00

2.51

2.23

NA

NA

0.11

XXX urinary tract. 74410......... 26.......... A........... Contrst x-ray,

0.49

0.18

0.17

0.18

0.17

0.02

XXX urinary tract. 74415......... ............ A........... Contrst x-ray,

0.49

3.27

2.78

NA

NA

0.14

XXX urinary tract. 74415......... TC.......... A........... Contrst x-ray,

0.00

3.10

2.61

NA

NA

0.12

XXX urinary tract. 74415......... 26.......... A........... Contrst x-ray,

0.49

0.17

0.17

0.17

0.17

0.02

XXX urinary tract. 74420......... ............ C........... Contrst x-ray,

0.00

0.00

0.00

NA

NA

0.00

XXX urinary tract. 74420......... TC.......... C........... Contrst x-ray,

0.00

0.00

0.00

NA

NA

0.00

XXX urinary tract. 74420......... 26.......... A........... Contrst x-ray,

0.36

0.14

0.13

0.14

0.13

0.02

XXX urinary tract. 74425......... ............ C........... Contrst x-ray,

0.00

0.00

0.00

NA

NA

0.00

XXX urinary tract. 74425......... TC.......... C........... Contrst x-ray,

0.00

0.00

0.00

NA

NA

0.00

XXX urinary tract. 74425......... 26.......... A........... Contrst x-ray,

0.36

0.13

0.13

0.13

0.13

0.02

XXX urinary tract. 74430......... ............ A........... Contrast x-ray,

0.32

1.96

1.56

NA

NA

0.08

XXX bladder. 74430......... TC.......... A........... Contrast x-ray,

0.00

1.84

1.45

NA

NA

0.06

XXX bladder. 74430......... 26.......... A........... Contrast x-ray,

0.32

0.12

0.11

0.12

0.11

0.02

XXX bladder.

[[Page 2660]]

74440......... ............ A........... X-ray, male

0.38

2.12

1.68

NA

NA

0.08

XXX genital tract. 74440......... TC.......... A........... X-ray, male

0.00

1.98

1.55

NA

NA

0.06

XXX genital tract. 74440......... 26.......... A........... X-ray, male

0.38

0.14

0.13

0.14

0.13

0.02

XXX genital tract. 74445......... ............ C........... X-ray exam of

0.00

0.00

0.00

NA

NA

0.00

XXX penis. 74445......... TC.......... C........... X-ray exam of

0.00

0.00

0.00

NA

NA

0.00

XXX penis. 74445......... 26.......... A........... X-ray exam of

1.14

0.45

0.41

0.45

0.41

0.07

XXX penis. 74450......... ............ C........... X-ray, urethra/

0.00

0.00

0.00

NA

NA

0.00

XXX bladder. 74450......... TC.......... C........... X-ray, urethra/

0.00

0.00

0.00

NA

NA

0.00

XXX bladder. 74450......... 26.......... A........... X-ray, urethra/

0.33

0.12

0.12

0.12

0.12

0.02

XXX bladder. 74455......... ............ A........... X-ray, urethra/

0.33

2.18

1.94

NA

NA

0.12

XXX bladder. 74455......... TC.......... A........... X-ray, urethra/

0.00

2.06

1.82

NA

NA

0.10

XXX bladder. 74455......... 26.......... A........... X-ray, urethra/

0.33

0.12

0.12

0.12

0.12

0.02

XXX bladder. 74470......... ............ C........... X-ray exam of

0.00

0.00

0.00

NA

NA

0.00

XXX kidney lesion. 74470......... TC.......... C........... X-ray exam of

0.00

0.00

0.00

NA

NA

0.00

XXX kidney lesion. 74470......... 26.......... A........... X-ray exam of

0.54

0.17

0.18

0.17

0.18

0.02

XXX kidney lesion. 74475......... ............ A........... X-ray control,

0.54

2.12

3.19

NA

NA

0.24

XXX cath insert. 74475......... TC.......... A........... X-ray control,

0.00

1.92

3.00

NA

NA

0.22

XXX cath insert. 74475......... 26.......... A........... X-ray control,

0.54

0.20

0.19

0.20

0.19

0.02

XXX cath insert. 74480......... ............ A........... X-ray control,

0.54

2.13

3.19

NA

NA

0.24

XXX cath insert. 74480......... TC.......... A........... X-ray control,

0.00

1.93

3.00

NA

NA

0.22

XXX cath insert. 74480......... 26.......... A........... X-ray control,

0.54

0.20

0.19

0.20

0.19

0.02

XXX cath insert. 74485......... ............ A........... X-ray guide, GU

0.54

2.27

2.80

NA

NA

0.20

XXX dilation. 74485......... TC.......... A........... X-ray guide, GU

0.00

2.07

2.61

NA

NA

0.17

XXX dilation. 74485......... 26.......... A........... X-ray guide, GU

0.54

0.20

0.19

0.20

0.19

0.03

XXX dilation. 74710......... ............ A........... X-ray measurement

0.34

0.64

0.90

NA

NA

0.08

XXX of pelvis. 74710......... TC.......... A........... X-ray measurement

0.00

0.53

0.79

NA

NA

0.06

XXX of pelvis. 74710......... 26.......... A........... X-ray measurement

0.34

0.11

0.11

0.11

0.11

0.02

XXX of pelvis. 74740......... ............ A........... X-ray, female

0.38

1.77

1.60

NA

NA

0.09

XXX genital tract. 74740......... TC.......... A........... X-ray, female

0.00

1.64

1.47

NA

NA

0.07

XXX genital tract. 74740......... 26.......... A........... X-ray, female

0.38

0.13

0.13

0.13

0.13

0.02

XXX genital tract. 74742......... ............ C........... X-ray, fallopian

0.00

0.00

0.00

NA

NA

0.00

XXX tube. 74742......... TC.......... C........... X-ray, fallopian

0.00

0.00

0.00

NA

NA

0.00

XXX tube. 74742......... 26.......... A........... X-ray, fallopian

0.61

0.19

0.20

0.19

0.20

0.03

XXX tube. 74775......... ............ C........... X-ray exam of

0.00

0.00

0.00

NA

NA

0.00

XXX perineum. 74775......... TC.......... C........... X-ray exam of

0.00

0.00

0.00

NA

NA

0.00

XXX perineum. 74775......... 26.......... A........... X-ray exam of

0.62

0.22

0.21

0.22

0.21

0.03

XXX perineum. 75557......... ............ A........... Cardiac mri for

2.35

11.27

11.27

NA

NA

0.97

XXX morph. 75557......... TC.......... A........... Cardiac mri for

0.00

10.33

10.33

NA

NA

0.87

XXX morph. 75557......... 26.......... A........... Cardiac mri for

2.35

0.94

0.94

0.94

0.94

0.10

XXX morph. 75558......... ............ N........... Cardiac mri flow/

2.60

12.39

12.39

NA

NA

1.07

XXX velocity. 75558......... TC.......... N........... Cardiac mri flow/

0.00

11.79

11.79

NA

NA

0.96

XXX velocity. 75558......... 26.......... N........... Cardiac mri flow/

2.60

0.60

0.60

0.60

0.60

0.11

XXX velocity. 75559......... ............ A........... Cardiac mri w/

2.95

17.26

17.26

NA

NA

0.97

XXX stress img. 75559......... TC.......... A........... Cardiac mri w/

0.00

15.99

15.99

NA

NA

0.87

XXX stress img. 75559......... 26.......... A........... Cardiac mri w/

2.95

1.27

1.27

1.27

1.27

0.10

XXX stress img. 75560......... ............ N........... Cardiac mri flow/

3.00

16.84

16.84

NA

NA

1.00

XXX vel/stress. 75560......... TC.......... N........... Cardiac mri flow/

0.00

16.15

16.15

NA

NA

0.89

XXX vel/stress. 75560......... 26.......... N........... Cardiac mri flow/

3.00

0.69

0.69

0.69

0.69

0.11

XXX vel/stress. 75561......... ............ A........... Cardiac mri for

2.60

15.98

15.98

NA

NA

1.07

XXX morph w/dye. 75561......... TC.......... A........... Cardiac mri for

0.00

14.94

14.94

NA

NA

0.96

XXX morph w/dye. 75561......... 26.......... A........... Cardiac mri for

2.60

1.04

1.04

1.04

1.04

0.11

XXX morph w/dye. 75562......... ............ N........... Card mri flow/vel

2.86

16.77

16.77

NA

NA

1.03

XXX w/dye. 75562......... TC.......... N........... Card mri flow/vel

0.00

16.11

16.11

NA

NA

0.92

XXX w/dye. 75562......... 26.......... N........... Card mri flow/vel

2.86

0.66

0.66

0.66

0.66

0.11

XXX w/dye. 75563......... ............ A........... Card mri w/stress

3.00

20.22

20.22

NA

NA

1.08

XXX img & dye. 75563......... TC.......... A........... Card mri w/stress

0.00

18.84

18.84

NA

NA

0.97

XXX img & dye. 75563......... 26.......... A........... Card mri w/stress

3.00

1.38

1.38

1.38

1.38

0.11

XXX img & dye. 75564......... ............ N........... Ht mri w/flo/vel/

3.35

19.73

19.73

NA

NA

1.21

XXX strs & dye. 75564......... TC.......... N........... Ht mri w/flo/vel/

0.00

18.96

18.96

NA

NA

1.08

XXX strs & dye. 75564......... 26.......... N........... Ht mri w/flo/vel/

3.35

0.77

0.77

0.77

0.77

0.13

XXX strs & dye. 75600......... ............ A........... Contrast x-ray

0.49

6.42

9.62

NA

NA

0.67

XXX exam of aorta. 75600......... TC.......... A........... Contrast x-ray

0.00

6.18

9.40

NA

NA

0.65

XXX exam of aorta. 75600......... 26.......... A........... Contrast x-ray

0.49

0.24

0.22

0.24

0.22

0.02

XXX exam of aorta. 75605......... ............ A........... Contrast x-ray

1.14

3.55

8.28

NA

NA

0.70

XXX exam of aorta. 75605......... TC.......... A........... Contrast x-ray

0.00

3.06

7.84

NA

NA

0.65

XXX exam of aorta. 75605......... 26.......... A........... Contrast x-ray

1.14

0.49

0.44

0.49

0.44

0.05

XXX exam of aorta. 75625......... ............ A........... Contrast x-ray

1.14

3.35

8.17

NA

NA

0.71

XXX exam of aorta. 75625......... TC.......... A........... Contrast x-ray

0.00

2.93

7.77

NA

NA

0.65

XXX exam of aorta. 75625......... 26.......... A........... Contrast x-ray

1.14

0.42

0.40

0.42

0.40

0.06

XXX exam of aorta. 75630......... ............ A........... X-ray aorta, leg

1.79

3.76

8.76

NA

NA

0.80

XXX arteries. 75630......... TC.......... A........... X-ray aorta, leg

0.00

3.05

8.10

NA

NA

0.69

XXX arteries. 75630......... 26.......... A........... X-ray aorta, leg

1.79

0.71

0.66

0.71

0.66

0.11

XXX arteries.

[[Page 2661]]

75635......... ............ A........... Ct angio abdominal

2.40

12.94

14.82

NA

NA

0.50

XXX arteries. 75635......... TC.......... A........... Ct angio abdominal

0.00

12.02

13.97

NA

NA

0.39

XXX arteries. 75635......... 26.......... A........... Ct angio abdominal

2.40

0.92

0.85

0.92

0.85

0.11

XXX arteries. 75650......... ............ A........... Artery x-rays,

1.49

3.53

8.31

NA

NA

0.72

XXX head & neck. 75650......... TC.......... A........... Artery x-rays,

0.00

2.95

7.78

NA

NA

0.65

XXX head & neck. 75650......... 26.......... A........... Artery x-rays,

1.49

0.58

0.53

0.58

0.53

0.07

XXX head & neck. 75658......... ............ A........... Artery x-rays, arm

1.31

3.73

8.41

NA

NA

0.72

XXX 75658......... TC.......... A........... Artery x-rays, arm

0.00

3.29

7.95

NA

NA

0.65

XXX 75658......... 26.......... A........... Artery x-rays, arm

1.31

0.44

0.46

0.44

0.46

0.07

XXX 75660......... ............ A........... Artery x-rays,

1.31

3.88

8.47

NA

NA

0.71

XXX head & neck. 75660......... TC.......... A........... Artery x-rays,

0.00

3.39

8.00

NA

NA

0.65

XXX head & neck. 75660......... 26.......... A........... Artery x-rays,

1.31

0.49

0.47

0.49

0.47

0.06

XXX head & neck. 75662......... ............ A........... Artery x-rays,

1.66

5.01

9.11

NA

NA

0.71

XXX head & neck. 75662......... TC.......... A........... Artery x-rays,

0.00

4.31

8.46

NA

NA

0.65

XXX head & neck. 75662......... 26.......... A........... Artery x-rays,

1.66

0.70

0.65

0.70

0.65

0.06

XXX head & neck. 75665......... ............ A........... Artery x-rays,

1.31

4.10

8.58

NA

NA

0.74

XXX head & neck. 75665......... TC.......... A........... Artery x-rays,

0.00

3.62

8.12

NA

NA

0.65

XXX head & neck. 75665......... 26.......... A........... Artery x-rays,

1.31

0.48

0.46

0.48

0.46

0.09

XXX head & neck. 75671......... ............ A........... Artery x-rays,

1.66

5.10

9.13

NA

NA

0.72

XXX head & neck. 75671......... TC.......... A........... Artery x-rays,

0.00

4.46

8.54

NA

NA

0.65

XXX head & neck. 75671......... 26.......... A........... Artery x-rays,

1.66

0.64

0.59

0.64

0.59

0.07

XXX head & neck. 75676......... ............ A........... Artery x-rays,

1.31

3.87

8.46

NA

NA

0.72

XXX neck. 75676......... TC.......... A........... Artery x-rays,

0.00

3.38

8.00

NA

NA

0.65

XXX neck. 75676......... 26.......... A........... Artery x-rays,

1.31

0.49

0.46

0.49

0.46

0.07

XXX neck. 75680......... ............ A........... Artery x-rays,

1.66

4.61

8.88

NA

NA

0.72

XXX neck. 75680......... TC.......... A........... Artery x-rays,

0.00

3.95

8.28

NA

NA

0.65

XXX neck. 75680......... 26.......... A........... Artery x-rays,

1.66

0.66

0.60

0.66

0.60

0.07

XXX neck. 75685......... ............ A........... Artery x-rays,

1.31

3.89

8.47

NA

NA

0.71

XXX spine. 75685......... TC.......... A........... Artery x-rays,

0.00

3.39

8.00

NA

NA

0.65

XXX spine. 75685......... 26.......... A........... Artery x-rays,

1.31

0.50

0.47

0.50

0.47

0.06

XXX spine. 75705......... ............ A........... Artery x-rays,

2.18

4.18

8.75

NA

NA

0.78

XXX spine. 75705......... TC.......... A........... Artery x-rays,

0.00

3.38

7.99

NA

NA

0.65

XXX spine. 75705......... 26.......... A........... Artery x-rays,

2.18

0.80

0.76

0.80

0.76

0.13

XXX spine. 75710......... ............ A........... Artery x-rays, arm/ 1.14

3.95

8.48

NA

NA

0.72

XXX leg. 75710......... TC.......... A........... Artery x-rays, arm/ 0.00

3.53

8.07

NA

NA

0.65

XXX leg. 75710......... 26.......... A........... Artery x-rays, arm/ 1.14

0.42

0.41

0.42

0.41

0.07

XXX leg. 75716......... ............ A........... Artery x-rays,

1.31

4.92

8.98

NA

NA

0.72

XXX arms/legs. 75716......... TC.......... A........... Artery x-rays,

0.00

4.42

8.52

NA

NA

0.65

XXX arms/legs. 75716......... 26.......... A........... Artery x-rays,

1.31

0.50

0.46

0.50

0.46

0.07

XXX arms/legs. 75722......... ............ A........... Artery x-rays,

1.14

3.84

8.43

NA

NA

0.70

XXX kidney. 75722......... TC.......... A........... Artery x-rays,

0.00

3.37

7.99

NA

NA

0.65

XXX kidney. 75722......... 26.......... A........... Artery x-rays,

1.14

0.47

0.44

0.47

0.44

0.05

XXX kidney. 75724......... ............ A........... Artery x-rays,

1.49

5.13

9.15

NA

NA

0.70

XXX kidneys. 75724......... TC.......... A........... Artery x-rays,

0.00

4.39

8.50

NA

NA

0.65

XXX kidneys. 75724......... 26.......... A........... Artery x-rays,

1.49

0.74

0.65

0.74

0.65

0.05

XXX kidneys. 75726......... ............ A........... Artery x-rays,

1.14

3.77

8.37

NA

NA

0.70

XXX abdomen. 75726......... TC.......... A........... Artery x-rays,

0.00

3.35

7.98

NA

NA

0.65

XXX abdomen. 75726......... 26.......... A........... Artery x-rays,

1.14

0.42

0.39

0.42

0.39

0.05

XXX abdomen. 75731......... ............ A........... Artery x-rays,

1.14

4.10

8.54

NA

NA

0.71

XXX adrenal gland. 75731......... TC.......... A........... Artery x-rays,

0.00

3.60

8.10

NA

NA

0.65

XXX adrenal gland. 75731......... 26.......... A........... Artery x-rays,

1.14

0.50

0.44

0.50

0.44

0.06

XXX adrenal gland. 75733......... ............ A........... Artery x-rays,

1.31

5.46

9.26

NA

NA

0.71

XXX adrenals. 75733......... TC.......... A........... Artery x-rays,

0.00

4.81

8.71

NA

NA

0.65

XXX adrenals. 75733......... 26.......... A........... Artery x-rays,

1.31

0.65

0.55

0.65

0.55

0.06

XXX adrenals. 75736......... ............ A........... Artery x-rays,

1.14

3.87

8.44

NA

NA

0.71

XXX pelvis. 75736......... TC.......... A........... Artery x-rays,

0.00

3.44

8.03

NA

NA

0.65

XXX pelvis. 75736......... 26.......... A........... Artery x-rays,

1.14

0.43

0.41

0.43

0.41

0.06

XXX pelvis. 75741......... ............ A........... Artery x-rays,

1.31

3.18

8.11

NA

NA

0.71

XXX lung. 75741......... TC.......... A........... Artery x-rays,

0.00

2.69

7.65

NA

NA

0.65

XXX lung. 75741......... 26.......... A........... Artery x-rays,

1.31

0.49

0.46

0.49

0.46

0.06

XXX lung. 75743......... ............ A........... Artery x-rays,

1.66

3.56

8.36

NA

NA

0.72

XXX lungs. 75743......... TC.......... A........... Artery x-rays,

0.00

2.94

7.78

NA

NA

0.65

XXX lungs. 75743......... 26.......... A........... Artery x-rays,

1.66

0.62

0.58

0.62

0.58

0.07

XXX lungs. 75746......... ............ A........... Artery x-rays,

1.14

3.52

8.26

NA

NA

0.70

XXX lung. 75746......... TC.......... A........... Artery x-rays,

0.00

3.12

7.87

NA

NA

0.65

XXX lung. 75746......... 26.......... A........... Artery x-rays,

1.14

0.40

0.39

0.40

0.39

0.05

XXX lung. 75756......... ............ A........... Artery x-rays,

1.14

4.34

8.70

NA

NA

0.69

XXX chest. 75756......... TC.......... A........... Artery x-rays,

0.00

3.76

8.19

NA

NA

0.65

XXX chest. 75756......... 26.......... A........... Artery x-rays,

1.14

0.58

0.51

0.58

0.51

0.04

XXX chest. 75774......... ............ A........... Artery x-ray, each

0.36

2.51

7.62

NA

NA

0.67

ZZZ vessel. 75774......... TC.......... A........... Artery x-ray, each

0.00

2.37

7.49

NA

NA

0.65

ZZZ vessel. 75774......... 26.......... A........... Artery x-ray, each

0.36

0.14

0.13

0.14

0.13

0.02

ZZZ vessel.

[[Page 2662]]

75790......... ............ A........... Visualize A-V

1.84

3.12

2.54

NA

NA

0.17

XXX shunt. 75790......... TC.......... A........... Visualize A-V

0.00

2.52

1.94

NA

NA

0.08

XXX shunt. 75790......... 26.......... A........... Visualize A-V

1.84

0.60

0.60

0.60

0.60

0.09

XXX shunt. 75801......... ............ C........... Lymph vessel x-

0.00

0.00

0.00

NA

NA

0.00

XXX ray, arm/leg. 75801......... TC.......... C........... Lymph vessel x-

0.00

0.00

0.00

NA

NA

0.00

XXX ray, arm/leg. 75801......... 26.......... A........... Lymph vessel x-

0.81

0.22

0.25

0.22

0.25

0.08

XXX ray, arm/leg. 75803......... ............ C........... Lymph vessel x-

0.00

0.00

0.00

NA

NA

0.00

XXX ray,arms/legs. 75803......... TC.......... C........... Lymph vessel x-

0.00

0.00

0.00

NA

NA

0.00

XXX ray,arms/legs. 75803......... 26.......... A........... Lymph vessel x-

1.17

0.40

0.39

0.40

0.39

0.05

XXX ray,arms/legs. 75805......... ............ C........... Lymph vessel x-

0.00

0.00

0.00

NA

NA

0.00

XXX ray, trunk. 75805......... TC.......... C........... Lymph vessel x-

0.00

0.00

0.00

NA

NA

0.00

XXX ray, trunk. 75805......... 26.......... A........... Lymph vessel x-

0.81

0.27

0.27

0.27

0.27

0.05

XXX ray, trunk. 75807......... ............ C........... Lymph vessel x-

0.00

0.00

0.00

NA

NA

0.00

XXX ray, trunk. 75807......... TC.......... C........... Lymph vessel x-

0.00

0.00

0.00

NA

NA

0.00

XXX ray, trunk. 75807......... 26.......... A........... Lymph vessel x-

1.17

0.39

0.39

0.39

0.39

0.05

XXX ray, trunk. 75809......... ............ A........... Nonvascular shunt,

0.47

2.17

1.54

NA

NA

0.07

XXX x-ray. 75809......... TC.......... A........... Nonvascular shunt,

0.00

2.01

1.39

NA

NA

0.05

XXX x-ray. 75809......... 26.......... A........... Nonvascular shunt,

0.47

0.16

0.15

0.16

0.15

0.02

XXX x-ray. 75810......... ............ C........... Vein x-ray, spleen/ 0.00

0.00

0.00

NA

NA

0.00

XXX liver. 75810......... TC.......... C........... Vein x-ray, spleen/ 0.00

0.00

0.00

NA

NA

0.00

XXX liver. 75810......... 26.......... A........... Vein x-ray, spleen/ 1.14

0.39

0.38

0.39

0.38

0.05

XXX liver. 75820......... ............ A........... Vein x-ray, arm/

0.70

3.01

2.09

NA

NA

0.09

XXX leg. 75820......... TC.......... A........... Vein x-ray, arm/

0.00

2.72

1.83

NA

NA

0.06

XXX leg. 75820......... 26.......... A........... Vein x-ray, arm/

0.70

0.29

0.26

0.29

0.26

0.03

XXX leg. 75822......... ............ A........... Vein x-ray, arms/

1.06

3.18

2.50

NA

NA

0.13

XXX legs. 75822......... TC.......... A........... Vein x-ray, arms/

0.00

2.81

2.14

NA

NA

0.08

XXX legs. 75822......... 26.......... A........... Vein x-ray, arms/

1.06

0.37

0.36

0.37

0.36

0.05

XXX legs. 75825......... ............ A........... Vein x-ray, trunk.

1.14

2.93

7.96

NA

NA

0.72

XXX 75825......... TC.......... A........... Vein x-ray, trunk.

0.00

2.55

7.58

NA

NA

0.65

XXX 75825......... 26.......... A........... Vein x-ray, trunk.

1.14

0.38

0.38

0.38

0.38

0.07

XXX 75827......... ............ A........... Vein x-ray, chest.

1.14

2.95

7.97

NA

NA

0.70

XXX 75827......... TC.......... A........... Vein x-ray, chest.

0.00

2.58

7.60

NA

NA

0.65

XXX 75827......... 26.......... A........... Vein x-ray, chest.

1.14

0.37

0.37

0.37

0.37

0.05

XXX 75831......... ............ A........... Vein x-ray, kidney

1.14

3.05

8.01

NA

NA

0.71

XXX 75831......... TC.......... A........... Vein x-ray, kidney

0.00

2.67

7.64

NA

NA

0.65

XXX 75831......... 26.......... A........... Vein x-ray, kidney

1.14

0.38

0.37

0.38

0.37

0.06

XXX 75833......... ............ A........... Vein x-ray,

1.49

3.68

8.39

NA

NA

0.74

XXX kidneys. 75833......... TC.......... A........... Vein x-ray,

0.00

3.18

7.89

NA

NA

0.65

XXX kidneys. 75833......... 26.......... A........... Vein x-ray,

1.49

0.50

0.50

0.50

0.50

0.09

XXX kidneys. 75840......... ............ A........... Vein x-ray,

1.14

2.96

7.98

NA

NA

0.72

XXX adrenal gland. 75840......... TC.......... A........... Vein x-ray,

0.00

2.60

7.61

NA

NA

0.65

XXX adrenal gland. 75840......... 26.......... A........... Vein x-ray,

1.14

0.36

0.37

0.36

0.37

0.07

XXX adrenal gland. 75842......... ............ A........... Vein x-ray,

1.49

3.75

8.42

NA

NA

0.72

XXX adrenal glands. 75842......... TC.......... A........... Vein x-ray,

0.00

3.20

7.91

NA

NA

0.65

XXX adrenal glands. 75842......... 26.......... A........... Vein x-ray,

1.49

0.55

0.51

0.55

0.51

0.07

XXX adrenal glands. 75860......... ............ A........... Vein x-ray, neck..

1.14

3.40

8.20

NA

NA

0.69

XXX 75860......... TC.......... A........... Vein x-ray, neck..

0.00

2.91

7.76

NA

NA

0.65

XXX 75860......... 26.......... A........... Vein x-ray, neck..

1.14

0.49

0.44

0.49

0.44

0.04

XXX 75870......... ............ A........... Vein x-ray, skull.

1.14

3.29

8.15

NA

NA

0.70

XXX 75870......... TC.......... A........... Vein x-ray, skull.

0.00

2.89

7.75

NA

NA

0.65

XXX 75870......... 26.......... A........... Vein x-ray, skull.

1.14

0.40

0.40

0.40

0.40

0.05

XXX 75872......... ............ A........... Vein x-ray, skull.

1.14

4.04

8.52

NA

NA

0.79

XXX 75872......... TC.......... A........... Vein x-ray, skull.

0.00

3.60

8.11

NA

NA

0.65

XXX 75872......... 26.......... A........... Vein x-ray, skull.

1.14

0.44

0.41

0.44

0.41

0.14

XXX 75880......... ............ A........... Vein x-ray, eye

0.70

3.21

2.20

NA

NA

0.09

XXX socket. 75880......... TC.......... A........... Vein x-ray, eye

0.00

2.94

1.95

NA

NA

0.06

XXX socket. 75880......... 26.......... A........... Vein x-ray, eye

0.70

0.27

0.25

0.27

0.25

0.03

XXX socket. 75885......... ............ A........... Vein x-ray, liver.

1.44

3.18

8.13

NA

NA

0.71

XXX 75885......... TC.......... A........... Vein x-ray, liver.

0.00

2.66

7.64

NA

NA

0.65

XXX 75885......... 26.......... A........... Vein x-ray, liver.

1.44

0.52

0.49

0.52

0.49

0.06

XXX 75887......... ............ A........... Vein x-ray, liver.

1.44

3.42

8.25

NA

NA

0.71

XXX 75887......... TC.......... A........... Vein x-ray, liver.

0.00

2.85

7.73

NA

NA

0.65

XXX 75887......... 26.......... A........... Vein x-ray, liver.

1.44

0.57

0.52

0.57

0.52

0.06

XXX 75889......... ............ A........... Vein x-ray, liver.

1.14

3.07

8.03

NA

NA

0.70

XXX 75889......... TC.......... A........... Vein x-ray, liver.

0.00

2.66

7.64

NA

NA

0.65

XXX 75889......... 26.......... A........... Vein x-ray, liver.

1.14

0.41

0.39

0.41

0.39

0.05

XXX 75891......... ............ A........... Vein x-ray, liver.

1.14

3.07

8.02

NA

NA

0.70

XXX 75891......... TC.......... A........... Vein x-ray, liver.

0.00

2.66

7.63

NA

NA

0.65

XXX 75891......... 26.......... A........... Vein x-ray, liver.

1.14

0.41

0.39

0.41

0.39

0.05

XXX 75893......... ............ A........... Venous sampling by

0.54

2.86

7.83

NA

NA

0.67

XXX catheter. 75893......... TC.......... A........... Venous sampling by

0.00

2.66

7.64

NA

NA

0.65

XXX catheter. 75893......... 26.......... A........... Venous sampling by

0.54

0.20

0.19

0.20

0.19

0.02

XXX catheter.

[[Page 2663]]

75894......... ............ C........... X-rays, transcath

0.00

0.00

0.00

NA

NA

0.00

XXX therapy. 75894......... TC.......... C........... X-rays, transcath

0.00

0.00

0.00

NA

NA

0.00

XXX therapy. 75894......... 26.......... A........... X-rays, transcath

1.31

0.46

0.44

0.46

0.44

0.08

XXX therapy. 75896......... ............ C........... X-rays, transcath

0.00

0.00

0.00

NA

NA

0.00

XXX therapy. 75896......... TC.......... C........... X-rays, transcath

0.00

0.00

0.00

NA

NA

0.00

XXX therapy. 75896......... 26.......... A........... X-rays, transcath

1.31

0.52

0.48

0.52

0.48

0.05

XXX therapy. 75898......... ............ C........... Follow-up

0.00

0.00

0.00

NA

NA

0.00

XXX angiography. 75898......... TC.......... C........... Follow-up

0.00

0.00

0.00

NA

NA

0.00

XXX angiography. 75898......... 26.......... A........... Follow-up

1.65

0.63

0.59

0.63

0.59

0.07

XXX angiography. 75900......... ............ C........... Intravascular cath

0.00

0.00

0.00

NA

NA

0.00

XXX exchange. 75900......... TC.......... C........... Intravascular cath

0.00

0.00

0.00

NA

NA

0.00

XXX exchange. 75900......... 26.......... A........... Intravascular cath

0.49

0.17

0.16

0.17

0.16

0.03

XXX exchange. 75901......... ............ A........... Remove cva device

0.49

4.15

2.81

NA

NA

0.85

XXX obstruct. 75901......... TC.......... A........... Remove cva device

0.00

3.98

2.64

NA

NA

0.83

XXX obstruct. 75901......... 26.......... A........... Remove cva device

0.49

0.17

0.17

0.17

0.17

0.02

XXX obstruct. 75902......... ............ A........... Remove cva lumen

0.39

1.63

1.53

NA

NA

0.85

XXX obstruct. 75902......... TC.......... A........... Remove cva lumen

0.00

1.50

1.40

NA

NA

0.83

XXX obstruct. 75902......... 26.......... A........... Remove cva lumen

0.39

0.13

0.13

0.13

0.13

0.02

XXX obstruct. 75940......... ............ C........... X-ray placement,

0.00

0.00

0.00

NA

NA

0.00

XXX vein filter. 75940......... TC.......... C........... X-ray placement,

0.00

0.00

0.00

NA

NA

0.00

XXX vein filter. 75940......... 26.......... A........... X-ray placement,

0.54

0.18

0.18

0.18

0.18

0.04

XXX vein filter. 75945......... ............ C........... Intravascular us..

0.00

0.00

0.00

NA

NA

0.00

XXX 75945......... TC.......... C........... Intravascular us..

0.00

0.00

0.00

NA

NA

0.00

XXX 75945......... 26.......... A........... Intravascular us..

0.40

0.14

0.14

0.14

0.14

0.04

XXX 75946......... ............ C........... Intravascular us

0.00

0.00

0.00

NA

NA

0.00

ZZZ add-on. 75946......... TC.......... C........... Intravascular us

0.00

0.00

0.00

NA

NA

0.00

ZZZ add-on. 75946......... 26.......... A........... Intravascular us

0.40

0.12

0.13

0.12

0.13

0.05

ZZZ add-on. 75952......... ............ C........... Endovasc repair

0.00

0.00

0.00

NA

NA

0.00

XXX abdom aorta. 75952......... TC.......... C........... Endovasc repair

0.00

0.00

0.00

NA

NA

0.00

XXX abdom aorta. 75952......... 26.......... A........... Endovasc repair

4.49

1.30

1.39

1.30

1.39

0.43

XXX abdom aorta. 75953......... ............ C........... Abdom aneurysm

0.00

0.00

0.00

NA

NA

0.00

XXX endovas rpr. 75953......... TC.......... C........... Abdom aneurysm

0.00

0.00

0.00

NA

NA

0.00

XXX endovas rpr. 75953......... 26.......... A........... Abdom aneurysm

1.36

0.40

0.42

0.40

0.42

0.13

XXX endovas rpr. 75954......... ............ C........... Iliac aneurysm

0.00

0.00

0.00

NA

NA

0.00

XXX endovas rpr. 75954......... TC.......... C........... Iliac aneurysm

0.00

0.00

0.00

NA

NA

0.00

XXX endovas rpr. 75954......... 26.......... A........... Iliac aneurysm

2.25

0.63

0.70

0.63

0.70

0.15

XXX endovas rpr. 75956......... ............ C........... Xray, endovasc

0.00

0.00

0.00

NA

NA

0.00

XXX thor ao repr. 75956......... TC.......... C........... Xray, endovasc

0.00

0.00

0.00

NA

NA

0.00

XXX thor ao repr. 75956......... 26.......... A........... Xray, endovasc

7.00

1.88

2.29

1.88

2.29

0.69

XXX thor ao repr. 75957......... ............ C........... Xray, endovasc

0.00

0.00

0.00

NA

NA

0.00

XXX thor ao repr. 75957......... TC.......... C........... Xray, endovasc

0.00

0.00

0.00

NA

NA

0.00

XXX thor ao repr. 75957......... 26.......... A........... Xray, endovasc

6.00

1.63

1.97

1.63

1.97

0.59

XXX thor ao repr. 75958......... ............ C........... Xray, place prox

0.00

0.00

0.00

NA

NA

0.00

XXX ext thor ao. 75958......... TC.......... C........... Xray, place prox

0.00

0.00

0.00

NA

NA

0.00

XXX ext thor ao. 75958......... 26.......... A........... Xray, place prox

4.00

1.05

1.30

1.05

1.30

0.39

XXX ext thor ao. 75959......... ............ C........... Xray, place dist

0.00

0.00

0.00

NA

NA

0.00

XXX ext thor ao. 75959......... TC.......... C........... Xray, place dist

0.00

0.00

0.00

NA

NA

0.00

XXX ext thor ao. 75959......... 26.......... A........... Xray, place dist

3.50

0.92

1.14

0.92

1.14

0.34

XXX ext thor ao. 75960......... ............ A........... Transcath iv stent

0.82

2.71

8.95

NA

NA

0.82

XXX rs&i. 75960......... TC.......... A........... Transcath iv stent

0.00

2.39

8.65

NA

NA

0.77

XXX rs&i. 75960......... 26.......... A........... Transcath iv stent

0.82

0.32

0.30

0.32

0.30

0.05

XXX rs&i. 75961......... ............ A........... Retrieval, broken

4.24

4.68

8.29

NA

NA

0.73

XXX catheter. 75961......... TC.......... A........... Retrieval, broken

0.00

3.19

6.85

NA

NA

0.55

XXX catheter. 75961......... 26.......... A........... Retrieval, broken

4.24

1.49

1.44

1.49

1.44

0.18

XXX catheter. 75962......... ............ A........... Repair arterial

0.54

3.50

9.72

NA

NA

0.86

XXX blockage. 75962......... TC.......... A........... Repair arterial

0.00

3.30

9.53

NA

NA

0.83

XXX blockage. 75962......... 26.......... A........... Repair arterial

0.54

0.20

0.19

0.20

0.19

0.03

XXX blockage. 75964......... ............ A........... Repair artery

0.36

2.35

5.43

NA

NA

0.46

ZZZ blockage, each. 75964......... TC.......... A........... Repair artery

0.00

2.22

5.31

NA

NA

0.43

ZZZ blockage, each. 75964......... 26.......... A........... Repair artery

0.36

0.13

0.12

0.13

0.12

0.03

ZZZ blockage, each. 75966......... ............ A........... Repair arterial

1.31

4.17

10.19

NA

NA

0.89

XXX blockage. 75966......... TC.......... A........... Repair arterial

0.00

3.60

9.68

NA

NA

0.83

XXX blockage. 75966......... 26.......... A........... Repair arterial

1.31

0.57

0.51

0.57

0.51

0.06

XXX blockage. 75968......... ............ A........... Repair artery

0.36

2.41

5.46

NA

NA

0.45

ZZZ blockage, each. 75968......... TC.......... A........... Repair artery

0.00

2.25

5.32

NA

NA

0.43

ZZZ blockage, each. 75968......... 26.......... A........... Repair artery

0.36

0.16

0.14

0.16

0.14

0.02

ZZZ blockage, each. 75970......... ............ C........... Vascular biopsy...

0.00

0.00

0.00

NA

NA

0.00

XXX 75970......... TC.......... C........... Vascular biopsy...

0.00

0.00

0.00

NA

NA

0.00

XXX 75970......... 26.......... A........... Vascular biopsy...

0.83

0.31

0.29

0.31

0.29

0.04

XXX 75978......... ............ A........... Repair venous

0.54

3.27

9.60

NA

NA

0.85

XXX blockage. 75978......... TC.......... A........... Repair venous

0.00

3.09

9.42

NA

NA

0.83

XXX blockage. 75978......... 26.......... A........... Repair venous

0.54

0.18

0.18

0.18

0.18

0.02

XXX blockage.

[[Page 2664]]

75980......... ............ C........... Contrast xray exam

0.00

0.00

0.00

NA

NA

0.00

XXX bile duct. 75980......... TC.......... C........... Contrast xray exam

0.00

0.00

0.00

NA

NA

0.00

XXX bile duct. 75980......... 26.......... A........... Contrast xray exam

1.44

0.52

0.50

0.52

0.50

0.06

XXX bile duct. 75982......... ............ C........... Contrast xray exam

0.00

0.00

0.00

NA

NA

0.00

XXX bile duct. 75982......... TC.......... C........... Contrast xray exam

0.00

0.00

0.00

NA

NA

0.00

XXX bile duct. 75982......... 26.......... A........... Contrast xray exam

1.44

0.52

0.50

0.52

0.50

0.06

XXX bile duct. 75984......... ............ A........... Xray control

0.72

2.31

2.24

NA

NA

0.14

XXX catheter change. 75984......... TC.......... A........... Xray control

0.00

2.05

2.00

NA

NA

0.11

XXX catheter change. 75984......... 26.......... A........... Xray control

0.72

0.26

0.24

0.26

0.24

0.03

XXX catheter change. 75989......... ............ A........... Abscess drainage

1.19

2.24

2.90

NA

NA

0.22

XXX under x-ray. 75989......... TC.......... A........... Abscess drainage

0.00

1.82

2.49

NA

NA

0.17

XXX under x-ray. 75989......... 26.......... A........... Abscess drainage

1.19

0.42

0.41

0.42

0.41

0.05

XXX under x-ray. 75992......... ............ C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

XXX exam. 75992......... TC.......... C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

XXX exam. 75992......... 26.......... A........... Atherectomy, x-ray

0.54

0.22

0.21

0.22

0.21

0.03

XXX exam. 75993......... ............ C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

ZZZ exam. 75993......... TC.......... C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

ZZZ exam. 75993......... 26.......... A........... Atherectomy, x-ray

0.36

0.14

0.13

0.14

0.13

0.02

ZZZ exam. 75994......... ............ C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

XXX exam. 75994......... TC.......... C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

XXX exam. 75994......... 26.......... A........... Atherectomy, x-ray

1.31

0.54

0.50

0.54

0.50

0.07

XXX exam. 75995......... ............ C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

XXX exam. 75995......... TC.......... C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

XXX exam. 75995......... 26.......... A........... Atherectomy, x-ray

1.31

0.48

0.47

0.48

0.47

0.05

XXX exam. 75996......... ............ C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

ZZZ exam. 75996......... TC.......... C........... Atherectomy, x-ray

0.00

0.00

0.00

NA

NA

0.00

ZZZ exam. 75996......... 26.......... A........... Atherectomy, x-ray

0.36

0.12

0.12

0.12

0.12

0.02

ZZZ exam. 76000......... ............ A........... Fluoroscope

0.17

2.77

2.06

NA

NA

0.08

XXX examination. 76000......... TC.......... A........... Fluoroscope

0.00

2.71

2.01

NA

NA

0.07

XXX examination. 76000......... 26.......... A........... Fluoroscope

0.17

0.06

0.05

0.06

0.05

0.01

XXX examination. 76001......... ............ C........... Fluoroscope exam,

0.00

0.00

0.00

NA

NA

0.00

XXX extensive. 76001......... TC.......... C........... Fluoroscope exam,

0.00

0.00

0.00

NA

NA

0.00

XXX extensive. 76001......... 26.......... A........... Fluoroscope exam,

0.67

0.24

0.23

0.24

0.23

0.05

XXX extensive. 76010......... ............ A........... X-ray, nose to

0.18

0.54

0.56

NA

NA

0.03

XXX rectum. 76010......... TC.......... A........... X-ray, nose to

0.00

0.48

0.50

NA

NA

0.02

XXX rectum. 76010......... 26.......... A........... X-ray, nose to

0.18

0.06

0.06

0.06

0.06

0.01

XXX rectum. 76080......... ............ A........... X-ray exam of

0.54

1.10

1.16

NA

NA

0.08

XXX fistula. 76080......... TC.......... A........... X-ray exam of

0.00

0.90

0.97

NA

NA

0.06

XXX fistula. 76080......... 26.......... A........... X-ray exam of

0.54

0.20

0.19

0.20

0.19

0.02

XXX fistula. 76098......... ............ A........... X-ray exam, breast

0.16

0.32

0.39

NA

NA

0.03

XXX specimen. 76098......... TC.......... A........... X-ray exam, breast

0.00

0.27

0.34

NA

NA

0.02

XXX specimen. 76098......... 26.......... A........... X-ray exam, breast

0.16

0.05

0.05

0.05

0.05

0.01

XXX specimen. 76100......... ............ A........... X-ray exam of body

0.58

3.55

2.50

NA

NA

0.10

XXX section. 76100......... TC.......... A........... X-ray exam of body

0.00

3.35

2.30

NA

NA

0.07

XXX section. 76100......... 26.......... A........... X-ray exam of body

0.58

0.20

0.20

0.20

0.20

0.03

XXX section. 76101......... ............ A........... Complex body

0.58

5.47

3.54

NA

NA

0.11

XXX section x-ray. 76101......... TC.......... A........... Complex body

0.00

5.28

3.35

NA

NA

0.08

XXX section x-ray. 76101......... 26.......... A........... Complex body

0.58

0.19

0.19

0.19

0.19

0.03

XXX section x-ray. 76102......... ............ A........... Complex body

0.58

7.65

4.78

NA

NA

0.14

XXX section x-rays. 76102......... TC.......... A........... Complex body

0.00

7.47

4.60

NA

NA

0.11

XXX section x-rays. 76102......... 26.......... A........... Complex body

0.58

0.18

0.18

0.18

0.18

0.03

XXX section x-rays. 76120......... ............ A........... Cine/video x-rays.

0.38

1.87

1.53

NA

NA

0.08

XXX 76120......... TC.......... A........... Cine/video x-rays.

0.00

1.74

1.40

NA

NA

0.06

XXX 76120......... 26.......... A........... Cine/video x-rays.

0.38

0.13

0.13

0.13

0.13

0.02

XXX 76125......... ............ C........... Cine/video x-rays

0.00

0.00

0.00

NA

NA

0.00

ZZZ add-on. 76125......... TC.......... C........... Cine/video x-rays

0.00

0.00

0.00

NA

NA

0.00

ZZZ add-on. 76125......... 26.......... A........... Cine/video x-rays

0.27

0.12

0.11

0.12

0.11

0.01

ZZZ add-on. 76140......... ............ I........... X-ray consultation

0.00

0.00

0.00

0.00

0.00

0.00

XXX 76150......... ............ A........... X-ray exam, dry

0.00

0.68

0.55

NA

NA

0.02

XXX process. 76350......... ............ C........... Special x-ray

0.00

0.00

0.00

0.00

0.00

0.00

XXX contrast study. 76376......... ............ A........... 3d render w/o

0.20

1.41

2.45

NA

NA

0.10

XXX postprocess. 76376......... TC.......... A........... 3d render w/o

0.00

1.34

2.38

NA

NA

0.08

XXX postprocess. 76376......... 26.......... A........... 3d render w/o

0.20

0.07

0.07

0.07

0.07

0.02

XXX postprocess. 76377......... ............ A........... 3d rendering w/

0.79

1.40

2.54

NA

NA

0.39

XXX postprocess. 76377......... TC.......... A........... 3d rendering w/

0.00

1.12

2.27

NA

NA

0.31

XXX postprocess. 76377......... 26.......... A........... 3d rendering w/

0.79

0.28

0.27

0.28

0.27

0.08

XXX postprocess. 76380......... ............ A........... CAT scan follow-up

0.98

4.72

4.27

NA

NA

0.22

XXX study. 76380......... TC.......... A........... CAT scan follow-up

0.00

4.38

3.94

NA

NA

0.18

XXX study. 76380......... 26.......... A........... CAT scan follow-up

0.98

0.34

0.33

0.34

0.33

0.04

XXX study. 76390......... ............ N........... Mr spectroscopy...

1.40

9.43

10.46

NA

NA

0.66

XXX 76390......... TC.......... N........... Mr spectroscopy...

0.00

9.11

10.06

NA

NA

0.59

XXX 76390......... 26.......... N........... Mr spectroscopy...

1.40

0.32

0.40

0.32

0.40

0.07

XXX

[[Page 2665]]

76496......... ............ C........... Fluoroscopic

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 76496......... TC.......... C........... Fluoroscopic

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 76496......... 26.......... C........... Fluoroscopic

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 76497......... ............ C........... Ct procedure......

0.00

0.00

0.00

NA

NA

0.00

XXX 76497......... TC.......... C........... Ct procedure......

0.00

0.00

0.00

NA

NA

0.00

XXX 76497......... 26.......... C........... Ct procedure......

0.00

0.00

0.00

0.00

0.00

0.00

XXX 76498......... ............ C........... Mri procedure.....

0.00

0.00

0.00

NA

NA

0.00

XXX 76498......... TC.......... C........... Mri procedure.....

0.00

0.00

0.00

NA

NA

0.00

XXX 76498......... 26.......... C........... Mri procedure.....

0.00

0.00

0.00

0.00

0.00

0.00

XXX 76499......... ............ C........... Radiographic

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 76499......... TC.......... C........... Radiographic

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 76499......... 26.......... C........... Radiographic

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 76506......... ............ A........... Echo exam of head.

0.63

2.76

2.21

NA

NA

0.14

XXX 76506......... TC.......... A........... Echo exam of head.

0.00

2.56

1.99

NA

NA

0.08

XXX 76506......... 26.......... A........... Echo exam of head.

0.63

0.20

0.22

0.20

0.22

0.06

XXX 76510......... ............ A........... Ophth us, b &

1.55

2.25

2.55

NA

NA

0.10

XXX quant a. 76510......... TC.......... A........... Ophth us, b &

0.00

1.70

1.94

NA

NA

0.07

XXX quant a. 76510......... 26.......... A........... Ophth us, b &

1.55

0.55

0.61

0.55

0.61

0.03

XXX quant a. 76511......... ............ A........... Ophth us, quant a

0.94

1.35

1.89

NA

NA

0.10

XXX only. 76511......... TC.......... A........... Ophth us, quant a

0.00

1.02

1.53

NA

NA

0.07

XXX only. 76511......... 26.......... A........... Ophth us, quant a

0.94

0.33

0.36

0.33

0.36

0.03

XXX only. 76512......... ............ A........... Ophth us, b w/non-

0.94

1.16

1.69

NA

NA

0.12

XXX quant a. 76512......... TC.......... A........... Ophth us, b w/non-

0.00

0.83

1.32

NA

NA

0.10

XXX quant a. 76512......... 26.......... A........... Ophth us, b w/non-

0.94

0.33

0.37

0.33

0.37

0.02

XXX quant a. 76513......... ............ A........... Echo exam of eye,

0.66

1.52

1.67

NA

NA

0.12

XXX water bath. 76513......... TC.......... A........... Echo exam of eye,

0.00

1.29

1.41

NA

NA

0.10

XXX water bath. 76513......... 26.......... A........... Echo exam of eye,

0.66

0.23

0.26

0.23

0.26

0.02

XXX water bath. 76514......... ............ A........... Echo exam of eye,

0.17

0.16

0.15

NA

NA

0.02

XXX thickness. 76514......... TC.......... A........... Echo exam of eye,

0.00

0.10

0.08

NA

NA

0.01

XXX thickness. 76514......... 26.......... A........... Echo exam of eye,

0.17

0.06

0.07

0.06

0.07

0.01

XXX thickness. 76516......... ............ A........... Echo exam of eye..

0.54

1.15

1.31

NA

NA

0.08

XXX 76516......... TC.......... A........... Echo exam of eye..

0.00

0.97

1.10

NA

NA

0.07

XXX 76516......... 26.......... A........... Echo exam of eye..

0.54

0.18

0.21

0.18

0.21

0.01

XXX 76519......... ............ A........... Echo exam of eye..

0.54

1.29

1.42

NA

NA

0.08

XXX 76519......... TC.......... A........... Echo exam of eye..

0.00

1.10

1.20

NA

NA

0.07

XXX 76519......... 26.......... A........... Echo exam of eye..

0.54

0.19

0.22

0.19

0.22

0.01

XXX 76529......... ............ A........... Echo exam of eye..

0.57

1.15

1.26

NA

NA

0.10

XXX 76529......... TC.......... A........... Echo exam of eye..

0.00

0.95

1.04

NA

NA

0.08

XXX 76529......... 26.......... A........... Echo exam of eye..

0.57

0.20

0.22

0.20

0.22

0.02

XXX 76536......... ............ A........... Us exam of head

0.56

2.68

2.14

NA

NA

0.10

XXX and neck. 76536......... TC.......... A........... Us exam of head

0.00

2.50

1.96

NA

NA

0.08

XXX and neck. 76536......... 26.......... A........... Us exam of head

0.56

0.18

0.18

0.18

0.18

0.02

XXX and neck. 76604......... ............ A........... Us exam, chest....

0.55

1.83

1.66

NA

NA

0.09

XXX 76604......... TC.......... A........... Us exam, chest....

0.00

1.64

1.47

NA

NA

0.07

XXX 76604......... 26.......... A........... Us exam, chest....

0.55

0.19

0.19

0.19

0.19

0.02

XXX 76645......... ............ A........... Us exam, breast(s)

0.54

2.12

1.67

NA

NA

0.08

XXX 76645......... TC.......... A........... Us exam, breast(s)

0.00

1.93

1.49

NA

NA

0.06

XXX 76645......... 26.......... A........... Us exam, breast(s)

0.54

0.19

0.18

0.19

0.18

0.02

XXX 76700......... ............ A........... Us exam, abdom,

0.81

3.02

2.63

NA

NA

0.15

XXX complete. 76700......... TC.......... A........... Us exam, abdom,

0.00

2.75

2.36

NA

NA

0.11

XXX complete. 76700......... 26.......... A........... Us exam, abdom,

0.81

0.27

0.27

0.27

0.27

0.04

XXX complete. 76705......... ............ A........... Echo exam of

0.59

2.36

1.98

NA

NA

0.11

XXX abdomen. 76705......... TC.......... A........... Echo exam of

0.00

2.15

1.78

NA

NA

0.08

XXX abdomen. 76705......... 26.......... A........... Echo exam of

0.59

0.21

0.20

0.21

0.20

0.03

XXX abdomen. 76770......... ............ A........... Us exam abdo back

0.74

2.93

2.57

NA

NA

0.14

XXX wall, comp. 76770......... TC.......... A........... Us exam abdo back

0.00

2.67

2.32

NA

NA

0.11

XXX wall, comp. 76770......... 26.......... A........... Us exam abdo back

0.74

0.26

0.25

0.26

0.25

0.03

XXX wall, comp. 76775......... ............ A........... Us exam abdo back

0.58

2.42

2.01

NA

NA

0.11

XXX wall, lim. 76775......... TC.......... A........... Us exam abdo back

0.00

2.21

1.81

NA

NA

0.08

XXX wall, lim. 76775......... 26.......... A........... Us exam abdo back

0.58

0.21

0.20

0.21

0.20

0.03

XXX wall, lim. 76776......... ............ A........... Us exam k transpl

0.76

3.43

2.83

NA

NA

0.14

XXX w/doppler. 76776......... TC.......... A........... Us exam k transpl

0.00

3.16

2.57

NA

NA

0.11

XXX w/doppler. 76776......... 26.......... A........... Us exam k transpl

0.76

0.27

0.26

0.27

0.26

0.03

XXX w/doppler. 76800......... ............ A........... Us exam, spinal

1.13

2.31

2.03

NA

NA

0.13

XXX canal. 76800......... TC.......... A........... Us exam, spinal

0.00

2.03

1.72

NA

NA

0.08

XXX canal. 76800......... 26.......... A........... Us exam, spinal

1.13

0.28

0.31

0.28

0.31

0.05

XXX canal. 76801......... ............ A........... Ob us /= 14 wks,

0.99

3.05

2.74

NA

NA

0.16

XXX sngl fetus. 76805......... TC.......... A........... Ob us >/= 14 wks,

0.00

2.74

2.42

NA

NA

0.12

XXX sngl fetus. 76805......... 26.......... A........... Ob us >/= 14 wks,

0.99

0.31

0.32

0.31

0.32

0.04

XXX sngl fetus. 76810......... ............ A........... Ob us >/= 14 wks,

0.98

1.65

1.52

NA

NA

0.26

ZZZ addl fetus. 76810......... TC.......... A........... Ob us >/= 14 wks,

0.00

1.35

1.20

NA

NA

0.22

ZZZ addl fetus. 76810......... 26.......... A........... Ob us >/= 14 wks,

0.98

0.30

0.32

0.30

0.32

0.04

ZZZ addl fetus. 76811......... ............ A........... Ob us, detailed,

1.90

3.05

3.64

NA

NA

0.52

XXX sngl fetus. 76811......... TC.......... A........... Ob us, detailed,

0.00

2.51

3.02

NA

NA

0.43

XXX sngl fetus. 76811......... 26.......... A........... Ob us, detailed,

1.90

0.54

0.62

0.54

0.62

0.09

XXX sngl fetus. 76812......... ............ A........... Ob us, detailed,

1.78

3.98

2.84

NA

NA

0.49

ZZZ addl fetus. 76812......... TC.......... A........... Ob us, detailed,

0.00

3.48

2.26

NA

NA

0.41

ZZZ addl fetus. 76812......... 26.......... A........... Ob us, detailed,

1.78

0.50

0.58

0.50

0.58

0.08

ZZZ addl fetus. 76813......... ............ A........... Ob us nuchal meas,

1.18

2.21

2.21

NA

NA

0.19

XXX 1 gest. 76813......... TC.......... A........... Ob us nuchal meas,

0.00

1.81

1.81

NA

NA

0.14

XXX 1 gest. 76813......... 26.......... A........... Ob us nuchal meas,

1.18

0.40

0.40

0.40

0.40

0.05

XXX 1 gest. 76814......... ............ A........... Ob us nuchal meas,

0.99

1.15

1.15

NA

NA

0.19

XXX add-on. 76814......... TC.......... A........... Ob us nuchal meas,

0.00

0.86

0.86

NA

NA

0.14

XXX add-on. 76814......... 26.......... A........... Ob us nuchal meas,

0.99

0.29

0.29

0.29

0.29

0.05

XXX add-on. 76815......... ............ A........... Ob us, limited,

0.65

1.80

1.72

NA

NA

0.11

XXX fetus(s). 76815......... TC.......... A........... Ob us, limited,

0.00

1.60

1.51

NA

NA

0.08

XXX fetus(s). 76815......... 26.......... A........... Ob us, limited,

0.65

0.20

0.21

0.20

0.21

0.03

XXX fetus(s). 76816......... ............ A........... Ob us, follow-up,

0.85

2.38

1.90

NA

NA

0.10

XXX per fetus. 76816......... TC.......... A........... Ob us, follow-up,

0.00

2.13

1.62

NA

NA

0.06

XXX per fetus. 76816......... 26.......... A........... Ob us, follow-up,

0.85

0.25

0.28

0.25

0.28

0.04

XXX per fetus. 76817......... ............ A........... Transvaginal us,

0.75

2.02

1.89

NA

NA

0.09

XXX obstetric. 76817......... TC.......... A........... Transvaginal us,

0.00

1.79

1.65

NA

NA

0.06

XXX obstetric. 76817......... 26.......... A........... Transvaginal us,

0.75

0.23

0.24

0.23

0.24

0.03

XXX obstetric. 76818......... ............ A........... Fetal biophys

1.05

2.22

2.11

NA

NA

0.15

XXX profile w/nst. 76818......... TC.......... A........... Fetal biophys

0.00

1.92

1.76

NA

NA

0.10

XXX profile w/nst. 76818......... 26.......... A........... Fetal biophys

1.05

0.30

0.35

0.30

0.35

0.05

XXX profile w/nst. 76819......... ............ A........... Fetal biophys

0.77

1.63

1.76

NA

NA

0.13

XXX profil w/o nst. 76819......... TC.......... A........... Fetal biophys

0.00

1.40

1.50

NA

NA

0.10

XXX profil w/o nst. 76819......... 26.......... A........... Fetal biophys

0.77

0.23

0.26

0.23

0.26

0.03

XXX profil w/o nst. 76820......... ............ A........... Umbilical artery

0.50

0.56

1.18

NA

NA

0.15

XXX echo. 76820......... TC.......... A........... Umbilical artery

0.00

0.42

1.01

NA

NA

0.12

XXX echo. 76820......... 26.......... A........... Umbilical artery

0.50

0.14

0.17

0.14

0.17

0.03

XXX echo. 76821......... ............ A........... Middle cerebral

0.70

1.87

1.88

NA

NA

0.15

XXX artery echo. 76821......... TC.......... A........... Middle cerebral

0.00

1.67

1.64

NA

NA

0.12

XXX artery echo. 76821......... 26.......... A........... Middle cerebral

0.70

0.20

0.24

0.20

0.24

0.03

XXX artery echo. 76825......... ............ A........... Echo exam of fetal

1.67

4.37

3.47

NA

NA

0.18

XXX heart. 76825......... TC.......... A........... Echo exam of fetal

0.00

3.87

2.92

NA

NA

0.11

XXX heart. 76825......... 26.......... A........... Echo exam of fetal

1.67

0.50

0.55

0.50

0.55

0.07

XXX heart. 76826......... ............ A........... Echo exam of fetal

0.83

2.76

1.88

NA

NA

0.08

XXX heart. 76826......... TC.......... A........... Echo exam of fetal

0.00

2.52

1.61

NA

NA

0.05

XXX heart. 76826......... 26.......... A........... Echo exam of fetal

0.83

0.24

0.27

0.24

0.27

0.03

XXX heart. 76827......... ............ A........... Echo exam of fetal

0.58

1.07

1.50

NA

NA

0.14

XXX heart. 76827......... TC.......... A........... Echo exam of fetal

0.00

0.90

1.31

NA

NA

0.12

XXX heart. 76827......... 26.......... A........... Echo exam of fetal

0.58

0.17

0.19

0.17

0.19

0.02

XXX heart. 76828......... ............ A........... Echo exam of fetal

0.56

0.63

0.98

NA

NA

0.11

XXX heart. 76828......... TC.......... A........... Echo exam of fetal

0.00

0.48

0.79

NA

NA

0.08

XXX heart. 76828......... 26.......... A........... Echo exam of fetal

0.56

0.15

0.19

0.15

0.19

0.03

XXX heart. 76830......... ............ A........... Transvaginal us,

0.69

2.76

2.26

NA

NA

0.13

XXX non-ob. 76830......... TC.......... A........... Transvaginal us,

0.00

2.54

2.03

NA

NA

0.10

XXX non-ob. 76830......... 26.......... A........... Transvaginal us,

0.69

0.22

0.23

0.22

0.23

0.03

XXX non-ob. 76831......... ............ A........... Echo exam, uterus.

0.72

2.74

2.25

NA

NA

0.13

XXX 76831......... TC.......... A........... Echo exam, uterus.

0.00

2.53

2.02

NA

NA

0.10

XXX 76831......... 26.......... A........... Echo exam, uterus.

0.72

0.21

0.23

0.21

0.23

0.03

XXX 76856......... ............ A........... Us exam, pelvic,

0.69

2.80

2.27

NA

NA

0.13

XXX complete. 76856......... TC.......... A........... Us exam, pelvic,

0.00

2.56

2.04

NA

NA

0.10

XXX complete. 76856......... 26.......... A........... Us exam, pelvic,

0.69

0.24

0.23

0.24

0.23

0.03

XXX complete. 76857......... ............ A........... Us exam, pelvic,

0.38

2.49

2.16

NA

NA

0.08

XXX limited. 76857......... TC.......... A........... Us exam, pelvic,

0.00

2.35

2.03

NA

NA

0.06

XXX limited. 76857......... 26.......... A........... Us exam, pelvic,

0.38

0.14

0.13

0.14

0.13

0.02

XXX limited. 76870......... ............ A........... Us exam, scrotum..

0.64

2.83

2.28

NA

NA

0.13

XXX 76870......... TC.......... A........... Us exam, scrotum..

0.00

2.60

2.06

NA

NA

0.10

XXX 76870......... 26.......... A........... Us exam, scrotum..

0.64

0.23

0.22

0.23

0.22

0.03

XXX 76872......... ............ A........... Us, transrectal...

0.69

3.41

2.82

NA

NA

0.14

XXX 76872......... TC.......... A........... Us, transrectal...

0.00

3.14

2.58

NA

NA

0.10

XXX 76872......... 26.......... A........... Us, transrectal...

0.69

0.27

0.24

0.27

0.24

0.04

XXX 76873......... ............ A........... Echograp trans r,

1.55

3.40

3.00

NA

NA

0.25

XXX pros study. 76873......... TC.......... A........... Echograp trans r,

0.00

2.85

2.48

NA

NA

0.16

XXX pros study. 76873......... 26.......... A........... Echograp trans r,

1.55

0.55

0.52

0.55

0.52

0.09

XXX pros study.

[[Continued on page 2667]]

From the Federal Register Online via GPO Access [wais.access.gpo.gov] ]

[[pp. 2667-2710]] Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Amendment of the E- Pr[[Page 2667]]

[[Continued from page 2666]]

[[Page 2667]]

76880......... ............ A........... Us exam, extremity

0.59

3.19

2.40

NA

NA

0.11

XXX 76880......... TC.......... A........... Us exam, extremity

0.00

3.01

2.21

NA

NA

0.08

XXX 76880......... 26.......... A........... Us exam, extremity

0.59

0.18

0.19

0.18

0.19

0.03

XXX 76885......... ............ A........... Us exam infant

0.74

3.26

2.50

NA

NA

0.13

XXX hips, dynamic. 76885......... TC.......... A........... Us exam infant

0.00

3.01

2.26

NA

NA

0.10

XXX hips, dynamic. 76885......... 26.......... A........... Us exam infant

0.74

0.25

0.24

0.25

0.24

0.03

XXX hips, dynamic. 76886......... ............ A........... Us exam infant

0.62

2.28

1.95

NA

NA

0.11

XXX hips, static. 76886......... TC.......... A........... Us exam infant

0.00

2.06

1.74

NA

NA

0.08

XXX hips, static. 76886......... 26.......... A........... Us exam infant

0.62

0.22

0.21

0.22

0.21

0.03

XXX hips, static. 76930......... ............ A........... Echo guide,

0.67

2.08

1.92

NA

NA

0.12

XXX cardiocentesis. 76930......... TC.......... A........... Echo guide,

0.00

1.74

1.63

NA

NA

0.10

XXX cardiocentesis. 76930......... 26.......... A........... Echo guide,

0.67

0.34

0.29

0.34

0.29

0.02

XXX cardiocentesis. 76932......... ............ C........... Echo guide for

0.00

0.00

0.00

NA

NA

0.00

XXX heart biopsy. 76932......... TC.......... C........... Echo guide for

0.00

0.00

0.00

NA

NA

0.00

XXX heart biopsy. 76932......... 26.......... A........... Echo guide for

0.67

0.35

0.30

0.35

0.30

0.02

XXX heart biopsy. 76936......... ............ A........... Echo guide for

1.99

6.13

6.55

NA

NA

0.47

XXX artery repair. 76936......... TC.......... A........... Echo guide for

0.00

5.42

5.86

NA

NA

0.34

XXX artery repair. 76936......... 26.......... A........... Echo guide for

1.99

0.71

0.69

0.71

0.69

0.13

XXX artery repair. 76937......... ............ A........... Us guide, vascular

0.30

0.62

0.55

NA

NA

0.13

ZZZ access. 76937......... TC.......... A........... Us guide, vascular

0.00

0.52

0.45

NA

NA

0.10

ZZZ access. 76937......... 26.......... A........... Us guide, vascular

0.30

0.10

0.10

0.10

0.10

0.03

ZZZ access. 76940......... ............ C........... Us guide, tissue

0.00

0.00

0.00

NA

NA

0.00

XXX ablation. 76940......... TC.......... C........... Us guide, tissue

0.00

0.00

0.00

NA

NA

0.00

XXX ablation. 76940......... 26.......... A........... Us guide, tissue

2.00

0.65

0.65

0.65

0.65

0.31

XXX ablation. 76941......... ............ C........... Echo guide for

0.00

0.00

0.00

NA

NA

0.00

XXX transfusion. 76941......... TC.......... C........... Echo guide for

0.00

0.00

0.00

NA

NA

0.00

XXX transfusion. 76941......... 26.......... A........... Echo guide for

1.34

0.38

0.43

0.38

0.43

0.07

XXX transfusion. 76942......... ............ A........... Echo guide for

0.67

4.80

3.91

NA

NA

0.13

XXX biopsy. 76942......... TC.......... A........... Echo guide for

0.00

4.56

3.68

NA

NA

0.10

XXX biopsy. 76942......... 26.......... A........... Echo guide for

0.67

0.24

0.23

0.24

0.23

0.03

XXX biopsy. 76945......... ............ C........... Echo guide, villus

0.00

0.00

0.00

NA

NA

0.00

XXX sampling. 76945......... TC.......... C........... Echo guide, villus

0.00

0.00

0.00

NA

NA

0.00

XXX sampling. 76945......... 26.......... A........... Echo guide, villus

0.67

0.21

0.21

0.21

0.21

0.03

XXX sampling. 76946......... ............ A........... Echo guide for

0.38

0.45

1.05

NA

NA

0.12

XXX amniocentesis. 76946......... TC.......... A........... Echo guide for

0.00

0.34

0.93

NA

NA

0.10

XXX amniocentesis. 76946......... 26.......... A........... Echo guide for

0.38

0.11

0.12

0.11

0.12

0.02

XXX amniocentesis. 76948......... ............ A........... Echo guide, ova

0.38

0.45

1.04

NA

NA

0.12

XXX aspiration. 76948......... TC.......... A........... Echo guide, ova

0.00

0.35

0.93

NA

NA

0.10

XXX aspiration. 76948......... 26.......... A........... Echo guide, ova

0.38

0.10

0.11

0.10

0.11

0.02

XXX aspiration. 76950......... ............ A........... Echo guidance

0.58

1.21

1.35

NA

NA

0.10

XXX radiotherapy. 76950......... TC.......... A........... Echo guidance

0.00

1.02

1.16

NA

NA

0.07

XXX radiotherapy. 76950......... 26.......... A........... Echo guidance

0.58

0.19

0.19

0.19

0.19

0.03

XXX radiotherapy. 76965......... ............ A........... Echo guidance

1.34

1.20

3.60

NA

NA

0.37

XXX radiotherapy. 76965......... TC.......... A........... Echo guidance

0.00

0.70

3.14

NA

NA

0.29

XXX radiotherapy. 76965......... 26.......... A........... Echo guidance

1.34

0.50

0.46

0.50

0.46

0.08

XXX radiotherapy. 76970......... ............ A........... Ultrasound exam

0.40

1.99

1.58

NA

NA

0.08

XXX follow-up. 76970......... TC.......... A........... Ultrasound exam

0.00

1.88

1.46

NA

NA

0.06

XXX follow-up. 76970......... 26.......... A........... Ultrasound exam

0.40

0.11

0.12

0.11

0.12

0.02

XXX follow-up. 76975......... ............ C........... GI endoscopic

0.00

0.00

0.00

NA

NA

0.00

XXX ultrasound. 76975......... TC.......... C........... GI endoscopic

0.00

0.00

0.00

NA

NA

0.00

XXX ultrasound. 76975......... 26.......... A........... GI endoscopic

0.81

0.30

0.29

0.30

0.29

0.04

XXX ultrasound. 76977......... ............ A........... Us bone density

0.05

0.10

0.48

NA

NA

0.06

XXX measure. 76977......... TC.......... A........... Us bone density

0.00

0.09

0.46

NA

NA

0.05

XXX measure. 76977......... 26.......... A........... Us bone density

0.05

0.01

0.02

0.01

0.02

0.01

XXX measure. 76998......... ............ C........... Us guide, intraop.

0.00

0.00

0.00

NA

NA

0.00

XXX 76998......... TC.......... C........... Us guide, intraop.

0.00

0.00

0.00

NA

NA

0.00

XXX 76998......... 26.......... A........... Us guide, intraop.

1.20

0.35

0.38

0.35

0.38

0.13

XXX 76999......... ............ C........... Echo examination

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 76999......... TC.......... C........... Echo examination

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 76999......... 26.......... C........... Echo examination

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 77001......... ............ A........... Fluoroguide for

0.38

2.73

2.08

NA

NA

0.11

ZZZ vein device. 77001......... TC.......... A........... Fluoroguide for

0.00

2.60

1.95

NA

NA

0.10

ZZZ vein device. 77001......... 26.......... A........... Fluoroguide for

0.38

0.13

0.13

0.13

0.13

0.01

ZZZ vein device. 77002......... ............ A........... Needle

0.54

1.23

1.35

NA

NA

0.09

XXX localization by xray. 77002......... TC.......... A........... Needle

0.00

1.07

1.19

NA

NA

0.07

XXX localization by xray. 77002......... 26.......... A........... Needle

0.54

0.16

0.16

0.16

0.16

0.02

XXX localization by xray. 77003......... ............ A........... Fluoroguide for

0.60

0.76

1.11

NA

NA

0.10

XXX spine inject. 77003......... TC.......... A........... Fluoroguide for

0.00

0.62

0.96

NA

NA

0.07

XXX spine inject. 77003......... 26.......... A........... Fluoroguide for

0.60

0.14

0.15

0.14

0.15

0.03

XXX spine inject. 77011......... ............ A........... Ct scan for

1.21

20.28

14.47

NA

NA

0.47

XXX localization. 77011......... TC.......... A........... Ct scan for

0.00

19.88

14.07

NA

NA

0.42

XXX localization. 77011......... 26.......... A........... Ct scan for

1.21

0.40

0.40

0.40

0.40

0.05

XXX localization.

[[Page 2668]]

77012......... ............ A........... Ct scan for needle

1.16

2.33

5.49

NA

NA

0.47

XXX biopsy. 77012......... TC.......... A........... Ct scan for needle

0.00

1.92

5.09

NA

NA

0.42

XXX biopsy. 77012......... 26.......... A........... Ct scan for needle

1.16

0.41

0.40

0.41

0.40

0.05

XXX biopsy. 77013......... ............ C........... Ct guide for

0.00

0.00

0.00

NA

NA

0.00

XXX tissue ablation. 77013......... TC.......... C........... Ct guide for

0.00

0.00

0.00

NA

NA

0.00

XXX tissue ablation. 77013......... 26.......... A........... Ct guide for

3.99

1.43

1.36

1.43

1.36

0.18

XXX tissue ablation. 77014......... ............ A........... Ct scan for

0.85

4.48

3.86

NA

NA

0.20

XXX therapy guide. 77014......... TC.......... A........... Ct scan for

0.00

4.20

3.58

NA

NA

0.16

XXX therapy guide. 77014......... 26.......... A........... Ct scan for

0.85

0.28

0.28

0.28

0.28

0.04

XXX therapy guide. 77021......... ............ A........... Mr guidance for

1.50

9.71

10.71

NA

NA

0.64

XXX needle place. 77021......... TC.......... A........... Mr guidance for

0.00

9.19

10.20

NA

NA

0.55

XXX needle place. 77021......... 26.......... A........... Mr guidance for

1.50

0.52

0.51

0.52

0.51

0.09

XXX needle place. 77022......... ............ C........... Mri for tissue

0.00

0.00

0.00

NA

NA

0.00

XXX ablation. 77022......... TC.......... C........... Mri for tissue

0.00

0.00

0.00

NA

NA

0.00

XXX ablation. 77022......... 26.......... A........... Mri for tissue

4.24

1.52

1.45

1.52

1.45

0.24

XXX ablation. 77031......... ............ A........... Stereotact guide

1.59

1.87

4.78

NA

NA

0.46

XXX for brst bx. 77031......... TC.......... A........... Stereotact guide

0.00

1.34

4.25

NA

NA

0.37

XXX for brst bx. 77031......... 26.......... A........... Stereotact guide

1.59

0.53

0.53

0.53

0.53

0.09

XXX for brst bx. 77032......... ............ A........... Guidance for

0.56

0.84

1.17

NA

NA

0.09

XXX needle, breast. 77032......... TC.......... A........... Guidance for

0.00

0.64

0.98

NA

NA

0.07

XXX needle, breast. 77032......... 26.......... A........... Guidance for

0.56

0.20

0.19

0.20

0.19

0.02

XXX needle, breast. 77051......... ............ A........... Computer dx

0.06

0.20

0.32

NA

NA

0.02

ZZZ mammogram add-on. 77051......... TC.......... A........... Computer dx

0.00

0.18

0.30

NA

NA

0.01

ZZZ mammogram add-on. 77051......... 26.......... A........... Computer dx

0.06

0.02

0.02

0.02

0.02

0.01

ZZZ mammogram add-on. 77052......... ............ A........... Comp screen

0.06

0.20

0.32

NA

NA

0.02

ZZZ mammogram add-on. 77052......... TC.......... A........... Comp screen

0.00

0.18

0.30

NA

NA

0.01

ZZZ mammogram add-on. 77052......... 26.......... A........... Comp screen

0.06

0.02

0.02

0.02

0.02

0.01

ZZZ mammogram add-on. 77053......... ............ A........... X-ray of mammary

0.36

1.24

1.99

NA

NA

0.16

XXX duct. 77053......... TC.......... A........... X-ray of mammary

0.00

1.11

1.87

NA

NA

0.14

XXX duct. 77053......... 26.......... A........... X-ray of mammary

0.36

0.13

0.12

0.13

0.12

0.02

XXX duct. 77054......... ............ A........... X-ray of mammary

0.45

1.68

2.74

NA

NA

0.21

XXX ducts. 77054......... TC.......... A........... X-ray of mammary

0.00

1.52

2.59

NA

NA

0.19

XXX ducts. 77054......... 26.......... A........... X-ray of mammary

0.45

0.16

0.15

0.16

0.15

0.02

XXX ducts. 77055......... ............ A........... Mammogram, one

0.70

1.65

1.46

NA

NA

0.09

XXX breast. 77055......... TC.......... A........... Mammogram, one

0.00

1.40

1.22

NA

NA

0.06

XXX breast. 77055......... 26.......... A........... Mammogram, one

0.70

0.25

0.24

0.25

0.24

0.03

XXX breast. 77056......... ............ A........... Mammogram, both

0.87

2.15

1.86

NA

NA

0.11

XXX breasts. 77056......... TC.......... A........... Mammogram, both

0.00

1.84

1.57

NA

NA

0.07

XXX breasts. 77056......... 26.......... A........... Mammogram, both

0.87

0.31

0.29

0.31

0.29

0.04

XXX breasts. 77057......... ............ A........... Mammogram,

0.70

1.44

1.46

NA

NA

0.10

XXX screening. 77057......... TC.......... A........... Mammogram,

0.00

1.20

1.22

NA

NA

0.07

XXX screening. 77057......... 26.......... A........... Mammogram,

0.70

0.24

0.24

0.24

0.24

0.03

XXX screening. 77058......... ............ A........... Mri, one breast...

1.63

21.65

19.91

NA

NA

0.99

XXX 77058......... TC.......... A........... Mri, one breast...

0.00

21.09

19.36

NA

NA

0.92

XXX 77058......... 26.......... A........... Mri, one breast...

1.63

0.56

0.55

0.56

0.55

0.07

XXX 77059......... ............ A........... Mri, both breasts.

1.63

21.58

23.02

NA

NA

1.31

XXX 77059......... TC.......... A........... Mri, both breasts.

0.00

21.01

22.47

NA

NA

1.24

XXX 77059......... 26.......... A........... Mri, both breasts.

1.63

0.57

0.55

0.57

0.55

0.07

XXX 77071......... ............ A........... X-ray stress view.

0.41

0.77

0.48

0.77

0.48

0.06

XXX 77072......... ............ A........... X-rays for bone

0.19

0.42

0.42

NA

NA

0.03

XXX age. 77072......... TC.......... A........... X-rays for bone

0.00

0.36

0.36

NA

NA

0.02

XXX age. 77072......... 26.......... A........... X-rays for bone

0.19

0.06

0.06

0.06

0.06

0.01

XXX age. 77073......... ............ A........... X-rays, bone

0.27

0.67

0.78

NA

NA

0.06

XXX length studies. 77073......... TC.......... A........... X-rays, bone

0.00

0.57

0.68

NA

NA

0.05

XXX length studies. 77073......... 26.......... A........... X-rays, bone

0.27

0.10

0.10

0.10

0.10

0.01

XXX length studies. 77074......... ............ A........... X-rays, bone

0.45

1.45

1.30

NA

NA

0.08

XXX survey, limited. 77074......... TC.......... A........... X-rays, bone

0.00

1.29

1.14

NA

NA

0.06

XXX survey, limited. 77074......... 26.......... A........... X-rays, bone

0.45

0.16

0.16

0.16

0.16

0.02

XXX survey, limited. 77075......... ............ A........... X-rays, bone

0.54

2.29

1.96

NA

NA

0.10

XXX survey complete. 77075......... TC.......... A........... X-rays, bone

0.00

2.10

1.77

NA

NA

0.08

XXX survey complete. 77075......... 26.......... A........... X-rays, bone

0.54

0.19

0.19

0.19

0.19

0.02

XXX survey complete. 77076......... ............ A........... X-rays, bone

0.70

2.13

1.55

NA

NA

0.08

XXX survey, infant. 77076......... TC.......... A........... X-rays, bone

0.00

1.90

1.32

NA

NA

0.05

XXX survey, infant. 77076......... 26.......... A........... X-rays, bone

0.70

0.23

0.23

0.23

0.23

0.03

XXX survey, infant. 77077......... ............ A........... Joint survey,

0.31

0.66

0.93

NA

NA

0.08

XXX single view. 77077......... TC.......... A........... Joint survey,

0.00

0.55

0.83

NA

NA

0.06

XXX single view. 77077......... 26.......... A........... Joint survey,

0.31

0.11

0.10

0.11

0.10

0.02

XXX single view. 77078......... ............ A........... Ct bone density,

0.25

4.75

3.88

NA

NA

0.17

XXX axial. 77078......... TC.......... A........... Ct bone density,

0.00

4.66

3.80

NA

NA

0.16

XXX axial. 77078......... 26.......... A........... Ct bone density,

0.25

0.09

0.08

0.09

0.08

0.01

XXX axial. 77079......... ............ A........... Ct bone density,

0.22

0.83

1.92

NA

NA

0.06

XXX peripheral. 77079......... TC.......... A........... Ct bone density,

0.00

0.75

1.85

NA

NA

0.05

XXX peripheral.

[[Page 2669]]

77079......... 26.......... A........... Ct bone density,

0.22

0.08

0.07

0.08

0.07

0.01

XXX peripheral. 77080......... ............ A........... Dxa bone density,

0.20

1.10

2.15

NA

NA

0.18

XXX axial. 77080......... TC.......... A........... Dxa bone density,

0.00

1.04

2.07

NA

NA

0.17

XXX axial. 77080......... 26.......... A........... Dxa bone density,

0.20

0.06

0.08

0.06

0.08

0.01

XXX axial. 77081......... ............ A........... Dxa bone density/

0.22

0.47

0.65

NA

NA

0.06

XXX peripheral. 77081......... TC.......... A........... Dxa bone density/

0.00

0.41

0.58

NA

NA

0.05

XXX peripheral. 77081......... 26.......... A........... Dxa bone density/

0.22

0.06

0.07

0.06

0.07

0.01

XXX peripheral. 77082......... ............ A........... Dxa bone density,

0.17

0.53

0.66

NA

NA

0.06

XXX vert fx. 77082......... TC.......... A........... Dxa bone density,

0.00

0.48

0.61

NA

NA

0.05

XXX vert fx. 77082......... 26.......... A........... Dxa bone density,

0.17

0.05

0.05

0.05

0.05

0.01

XXX vert fx. 77083......... ............ A........... Radiographic

0.20

0.37

0.59

NA

NA

0.06

XXX absorptiometry. 77083......... TC.......... A........... Radiographic

0.00

0.32

0.53

NA

NA

0.05

XXX absorptiometry. 77083......... 26.......... A........... Radiographic

0.20

0.05

0.06

0.05

0.06

0.01

XXX absorptiometry. 77084......... ............ A........... Magnetic image,

1.60

13.57

12.65

NA

NA

0.66

XXX bone marrow. 77084......... TC.......... A........... Magnetic image,

0.00

13.05

12.13

NA

NA

0.59

XXX bone marrow. 77084......... 26.......... A........... Magnetic image,

1.60

0.52

0.52

0.52

0.52

0.07

XXX bone marrow. 77261......... ............ A........... Radiation therapy

1.39

0.48

0.49

0.48

0.49

0.07

XXX planning. 77262......... ............ A........... Radiation therapy

2.11

0.69

0.72

0.69

0.72

0.11

XXX planning. 77263......... ............ A........... Radiation therapy

3.14

1.03

1.07

1.03

1.07

0.16

XXX planning. 77280......... ............ A........... Set radiation

0.70

4.43

4.07

NA

NA

0.22

XXX therapy field. 77280......... TC.......... A........... Set radiation

0.00

4.20

3.84

NA

NA

0.18

XXX therapy field. 77280......... 26.......... A........... Set radiation

0.70

0.23

0.23

0.23

0.23

0.04

XXX therapy field. 77285......... ............ A........... Set radiation

1.05

8.02

6.97

NA

NA

0.35

XXX therapy field. 77285......... TC.......... A........... Set radiation

0.00

7.68

6.63

NA

NA

0.30

XXX therapy field. 77285......... 26.......... A........... Set radiation

1.05

0.34

0.34

0.34

0.34

0.05

XXX therapy field. 77290......... ............ A........... Set radiation

1.56

13.43

10.22

NA

NA

0.43

XXX therapy field. 77290......... TC.......... A........... Set radiation

0.00

12.92

9.72

NA

NA

0.35

XXX therapy field. 77290......... 26.......... A........... Set radiation

1.56

0.51

0.50

0.51

0.50

0.08

XXX therapy field. 77295......... ............ A........... Set radiation

4.56

7.46

18.43

NA

NA

1.71

XXX therapy field. 77295......... TC.......... A........... Set radiation

0.00

5.96

16.95

NA

NA

1.48

XXX therapy field. 77295......... 26.......... A........... Set radiation

4.56

1.50

1.48

1.50

1.48

0.23

XXX therapy field. 77299......... ............ C........... Radiation therapy

0.00

0.00

0.00

NA

NA

0.00

XXX planning. 77299......... TC.......... C........... Radiation therapy

0.00

0.00

0.00

NA

NA

0.00

XXX planning. 77299......... 26.......... C........... Radiation therapy

0.00

0.00

0.00

0.00

0.00

0.00

XXX planning. 77300......... ............ A........... Radiation therapy

0.62

1.18

1.36

NA

NA

0.10

XXX dose plan. 77300......... TC.......... A........... Radiation therapy

0.00

0.98

1.16

NA

NA

0.07

XXX dose plan. 77300......... 26.......... A........... Radiation therapy

0.62

0.20

0.20

0.20

0.20

0.03

XXX dose plan. 77301......... ............ A........... Radiotherapy dose

7.99

57.48

43.99

NA

NA

1.88

XXX plan, imrt. 77301......... TC.......... A........... Radiotherapy dose

0.00

54.86

41.40

NA

NA

1.48

XXX plan, imrt. 77301......... 26.......... A........... Radiotherapy dose

7.99

2.62

2.59

2.62

2.59

0.40

XXX plan, imrt. 77305......... ............ A........... Teletx isodose

0.70

0.90

1.50

NA

NA

0.15

XXX plan simple. 77305......... TC.......... A........... Teletx isodose

0.00

0.67

1.27

NA

NA

0.11

XXX plan simple. 77305......... 26.......... A........... Teletx isodose

0.70

0.23

0.23

0.23

0.23

0.04

XXX plan simple. 77310......... ............ A........... Teletx isodose

1.05

1.24

1.96

NA

NA

0.18

XXX plan intermed. 77310......... TC.......... A........... Teletx isodose

0.00

0.90

1.62

NA

NA

0.13

XXX plan intermed. 77310......... 26.......... A........... Teletx isodose

1.05

0.34

0.34

0.34

0.34

0.05

XXX plan intermed. 77315......... ............ A........... Teletx isodose

1.56

2.08

2.62

NA

NA

0.22

XXX plan complex. 77315......... TC.......... A........... Teletx isodose

0.00

1.57

2.12

NA

NA

0.14

XXX plan complex. 77315......... 26.......... A........... Teletx isodose

1.56

0.51

0.50

0.51

0.50

0.08

XXX plan complex. 77321......... ............ A........... Special teletx

0.95

1.51

2.93

NA

NA

0.26

XXX port plan. 77321......... TC.......... A........... Special teletx

0.00

1.20

2.62

NA

NA

0.21

XXX port plan. 77321......... 26.......... A........... Special teletx

0.95

0.31

0.31

0.31

0.31

0.05

XXX port plan. 77326......... ............ A........... Brachytx isodose

0.93

2.98

2.82

NA

NA

0.18

XXX calc simp. 77326......... TC.......... A........... Brachytx isodose

0.00

2.68

2.52

NA

NA

0.13

XXX calc simp. 77326......... 26.......... A........... Brachytx isodose

0.93

0.30

0.30

0.30

0.30

0.05

XXX calc simp. 77327......... ............ A........... Brachytx isodose

1.39

4.09

4.01

NA

NA

0.25

XXX calc interm. 77327......... TC.......... A........... Brachytx isodose

0.00

3.64

3.56

NA

NA

0.18

XXX calc interm. 77327......... 26.......... A........... Brachytx isodose

1.39

0.45

0.45

0.45

0.45

0.07

XXX calc interm. 77328......... ............ A........... Brachytx isodose

2.09

5.26

5.44

NA

NA

0.36

XXX plan compl. 77328......... TC.......... A........... Brachytx isodose

0.00

4.57

4.76

NA

NA

0.25

XXX plan compl. 77328......... 26.......... A........... Brachytx isodose

2.09

0.69

0.68

0.69

0.68

0.11

XXX plan compl. 77331......... ............ A........... Special radiation

0.87

0.81

0.79

NA

NA

0.06

XXX dosimetry. 77331......... TC.......... A........... Special radiation

0.00

0.52

0.51

NA

NA

0.02

XXX dosimetry. 77331......... 26.......... A........... Special radiation

0.87

0.29

0.28

0.29

0.28

0.04

XXX dosimetry. 77332......... ............ A........... Radiation

0.54

1.55

1.53

NA

NA

0.10

XXX treatment aid(s). 77332......... TC.......... A........... Radiation

0.00

1.37

1.36

NA

NA

0.07

XXX treatment aid(s). 77332......... 26.......... A........... Radiation

0.54

0.18

0.17

0.18

0.17

0.03

XXX treatment aid(s). 77333......... ............ A........... Radiation

0.84

0.52

1.34

NA

NA

0.15

XXX treatment aid(s). 77333......... TC.......... A........... Radiation

0.00

0.24

1.07

NA

NA

0.11

XXX treatment aid(s). 77333......... 26.......... A........... Radiation

0.84

0.28

0.27

0.28

0.27

0.04

XXX treatment aid(s). 77334......... ............ A........... Radiation

1.24

2.72

3.18

NA

NA

0.23

XXX treatment aid(s). 77334......... TC.......... A........... Radiation

0.00

2.31

2.78

NA

NA

0.17

XXX treatment aid(s).

[[Page 2670]]

77334......... 26.......... A........... Radiation

1.24

0.41

0.40

0.41

0.40

0.06

XXX treatment aid(s). 77336......... ............ A........... Radiation physics

0.00

1.14

2.06

NA

NA

0.16

XXX consult. 77370......... ............ A........... Radiation physics

0.00

3.05

3.27

NA

NA

0.18

XXX consult. 77371......... ............ A........... Srs, multisource..

0.00

30.11

30.11

NA

NA

0.13

XXX 77372......... ............ A........... Srs, linear based.

0.00

22.83

22.83

NA

NA

0.13

XXX 77373......... ............ A........... Sbrt delivery.....

0.00

42.67

42.67

NA

NA

0.13

XXX 77399......... ............ C........... External radiation

0.00

0.00

0.00

NA

NA

0.00

XXX dosimetry. 77399......... TC.......... C........... External radiation

0.00

0.00

0.00

NA

NA

0.00

XXX dosimetry. 77399......... 26.......... C........... External radiation

0.00

0.00

0.00

0.00

0.00

0.00

XXX dosimetry. 77401......... ............ A........... Radiation

0.00

0.47

1.12

NA

NA

0.11

XXX treatment delivery. 77402......... ............ A........... Radiation

0.00

4.35

3.06

NA

NA

0.11

XXX treatment delivery. 77403......... ............ A........... Radiation

0.00

3.76

2.77

NA

NA

0.11

XXX treatment delivery. 77404......... ............ A........... Radiation

0.00

4.21

2.99

NA

NA

0.11

XXX treatment delivery. 77406......... ............ A........... Radiation

0.00

4.24

3.01

NA

NA

0.11

XXX treatment delivery. 77407......... ............ A........... Radiation

0.00

5.78

3.94

NA

NA

0.12

XXX treatment delivery. 77408......... ............ A........... Radiation

0.00

5.19

3.64

NA

NA

0.12

XXX treatment delivery. 77409......... ............ A........... Radiation

0.00

5.77

3.93

NA

NA

0.12

XXX treatment delivery. 77411......... ............ A........... Radiation

0.00

5.74

3.92

NA

NA

0.12

XXX treatment delivery. 77412......... ............ A........... Radiation

0.00

6.79

4.56

NA

NA

0.13

XXX treatment delivery. 77413......... ............ A........... Radiation

0.00

6.86

4.60

NA

NA

0.13

XXX treatment delivery. 77414......... ............ A........... Radiation

0.00

7.72

5.03

NA

NA

0.13

XXX treatment delivery. 77416......... ............ A........... Radiation

0.00

7.73

5.03

NA

NA

0.13

XXX treatment delivery. 77417......... ............ A........... Radiology port

0.00

0.36

0.48

NA

NA

0.04

XXX film(s). 77418......... ............ A........... Radiation tx

0.00

13.17

15.60

NA

NA

0.13

XXX delivery, imrt. 77421......... ............ A........... Stereoscopic x-ray

0.39

2.39

2.93

NA

NA

0.12

XXX guidance. 77421......... TC.......... A........... Stereoscopic x-ray

0.00

2.26

2.80

NA

NA

0.10

XXX guidance. 77421......... 26.......... A........... Stereoscopic x-ray

0.39

0.13

0.13

0.13

0.13

0.02

XXX guidance. 77422......... ............ A........... Neutron beam tx,

0.00

5.36

3.53

NA

NA

0.13

XXX simple. 77423......... ............ A........... Neutron beam tx,

0.00

7.47

4.86

NA

NA

0.13

XXX complex. 77427......... ............ A........... Radiation tx

3.70

1.39

1.22

1.39

1.22

0.17

XXX management, x5. 77431......... ............ A........... Radiation therapy

1.81

0.78

0.73

0.78

0.73

0.09

XXX management. 77432......... ............ A........... Stereotactic

7.92

2.59

2.75

2.59

2.75

0.41

XXX radiation trmt. 77435......... ............ A........... Sbrt management... 13.00

4.76

4.76

NA

NA

0.67

XXX 77470......... ............ A........... Special radiation

2.09

1.92

6.88

NA

NA

0.70

XXX treatment. 77470......... TC.......... A........... Special radiation

0.00

1.24

6.20

NA

NA

0.59

XXX treatment. 77470......... 26.......... A........... Special radiation

2.09

0.68

0.68

0.68

0.68

0.11

XXX treatment. 77499......... ............ C........... Radiation therapy

0.00

0.00

0.00

NA

NA

0.00

XXX management. 77499......... TC.......... C........... Radiation therapy

0.00

0.00

0.00

NA

NA

0.00

XXX management. 77499......... 26.......... C........... Radiation therapy

0.00

0.00

0.00

0.00

0.00

0.00

XXX management. 77520......... ............ C........... Proton trmt,

0.00

0.00

0.00

0.00

0.00

0.00

XXX simple w/o comp. 77522......... ............ C........... Proton trmt,

0.00

0.00

0.00

0.00

0.00

0.00

XXX simple w/comp. 77523......... ............ C........... Proton trmt,

0.00

0.00

0.00

0.00

0.00

0.00

XXX intermediate. 77525......... ............ C........... Proton treatment,

0.00

0.00

0.00

0.00

0.00

0.00

XXX complex. 77600......... ............ R........... Hyperthermia

1.56

10.24

6.90

NA

NA

0.24

XXX treatment. 77600......... TC.......... R........... Hyperthermia

0.00

9.74

6.40

NA

NA

0.16

XXX treatment. 77600......... 26.......... R........... Hyperthermia

1.56

0.50

0.50

0.50

0.50

0.08

XXX treatment. 77605......... ............ R........... Hyperthermia

2.09

18.48

11.60

NA

NA

0.38

XXX treatment. 77605......... TC.......... R........... Hyperthermia

0.00

17.93

11.00

NA

NA

0.22

XXX treatment. 77605......... 26.......... R........... Hyperthermia

2.09

0.55

0.60

0.55

0.60

0.16

XXX treatment. 77610......... ............ R........... Hyperthermia

1.56

17.94

10.75

NA

NA

0.24

XXX treatment. 77610......... TC.......... R........... Hyperthermia

0.00

17.58

10.32

NA

NA

0.16

XXX treatment. 77610......... 26.......... R........... Hyperthermia

1.56

0.36

0.43

0.36

0.43

0.08

XXX treatment. 77615......... ............ R........... Hyperthermia

2.09

25.93

15.32

NA

NA

0.33

XXX treatment. 77615......... TC.......... R........... Hyperthermia

0.00

25.29

14.67

NA

NA

0.22

XXX treatment. 77615......... 26.......... R........... Hyperthermia

2.09

0.64

0.65

0.64

0.65

0.11

XXX treatment. 77620......... ............ R........... Hyperthermia

1.56

10.50

7.04

NA

NA

0.36

XXX treatment. 77620......... TC.......... R........... Hyperthermia

0.00

10.10

6.58

NA

NA

0.16

XXX treatment. 77620......... 26.......... R........... Hyperthermia

1.56

0.40

0.46

0.40

0.46

0.20

XXX treatment. 77750......... ............ A........... Infuse radioactive

4.94

4.55

3.73

NA

NA

0.32

090 materials. 77750......... TC.......... A........... Infuse radioactive

0.00

2.93

2.13

NA

NA

0.07

090 materials. 77750......... 26.......... A........... Infuse radioactive

4.94

1.62

1.60

1.62

1.60

0.25

090 materials. 77761......... ............ A........... Apply intrcav

3.82

6.34

4.97

NA

NA

0.33

090 radiat simple. 77761......... TC.......... A........... Apply intrcav

0.00

5.10

3.80

NA

NA

0.14

090 radiat simple. 77761......... 26.......... A........... Apply intrcav

3.82

1.24

1.17

1.24

1.17

0.19

090 radiat simple. 77762......... ............ A........... Apply intrcav

5.73

7.63

6.54

NA

NA

0.48

090 radiat interm. 77762......... TC.......... A........... Apply intrcav

0.00

5.75

4.68

NA

NA

0.19

090 radiat interm. 77762......... 26.......... A........... Apply intrcav

5.73

1.88

1.86

1.88

1.86

0.29

090 radiat interm. 77763......... ............ A........... Apply intrcav

8.60

10.35

8.79

NA

NA

0.66

090 radiat compl. 77763......... TC.......... A........... Apply intrcav

0.00

7.53

6.01

NA

NA

0.23

090 radiat compl. 77763......... 26.......... A........... Apply intrcav

8.60

2.82

2.78

2.82

2.78

0.43

090 radiat compl. 77776......... ............ A........... Apply interstit

4.67

7.46

5.30

NA

NA

0.57

090 radiat simpl. 77776......... TC.......... A........... Apply interstit

0.00

5.79

3.99

NA

NA

0.13

090 radiat simpl.

[[Page 2671]]

77776......... 26.......... A........... Apply interstit

4.67

1.67

1.31

1.67

1.31

0.44

090 radiat simpl. 77777......... ............ A........... Apply interstit

7.49

7.92

7.26

NA

NA

0.61

090 radiat inter. 77777......... TC.......... A........... Apply interstit

0.00

5.47

4.85

NA

NA

0.22

090 radiat inter. 77777......... 26.......... A........... Apply interstit

7.49

2.45

2.41

2.45

2.41

0.39

090 radiat inter. 77778......... ............ A........... Apply interstit

11.23

11.33

10.01

NA

NA

0.84

090 radiat compl. 77778......... TC.......... A........... Apply interstit

0.00

7.63

6.38

NA

NA

0.27

090 radiat compl. 77778......... 26.......... A........... Apply interstit

11.23

3.70

3.63

3.70

3.63

0.57

090 radiat compl. 77781......... ............ A........... High intensity

1.21

4.41

12.62

NA

NA

1.14

XXX brachytherapy. 77781......... TC.......... A........... High intensity

0.00

4.01

12.16

NA

NA

1.06

XXX brachytherapy. 77781......... 26.......... A........... High intensity

1.21

0.40

0.46

0.40

0.46

0.08

XXX brachytherapy. 77782......... ............ A........... High intensity

2.04

12.42

16.76

NA

NA

1.19

XXX brachytherapy. 77782......... TC.......... A........... High intensity

0.00

11.75

16.03

NA

NA

1.06

XXX brachytherapy. 77782......... 26.......... A........... High intensity

2.04

0.67

0.73

0.67

0.73

0.13

XXX brachytherapy. 77783......... ............ A........... High intensity

3.27

24.21

22.86

NA

NA

1.25

XXX brachytherapy. 77783......... TC.......... A........... High intensity

0.00

23.14

21.73

NA

NA

1.06

XXX brachytherapy. 77783......... 26.......... A........... High intensity

3.27

1.07

1.13

1.07

1.13

0.19

XXX brachytherapy. 77784......... ............ A........... High intensity

5.15

45.71

33.91

NA

NA

1.35

XXX brachytherapy. 77784......... TC.......... A........... High intensity

0.00

44.03

32.17

NA

NA

1.06

XXX brachytherapy. 77784......... 26.......... A........... High intensity

5.15

1.68

1.74

1.68

1.74

0.29

XXX brachytherapy. 77789......... ............ A........... Apply surface

1.14

2.02

1.42

NA

NA

0.08

000 radiation. 77789......... TC.......... A........... Apply surface

0.00

1.64

1.04

NA

NA

0.02

000 radiation. 77789......... 26.......... A........... Apply surface

1.14

0.38

0.38

0.38

0.38

0.06

000 radiation. 77790......... ............ A........... Radiation handling

1.05

1.46

1.15

NA

NA

0.07

XXX 77790......... TC.......... A........... Radiation handling

0.00

1.12

0.81

NA

NA

0.02

XXX 77790......... 26.......... A........... Radiation handling

1.05

0.34

0.34

0.34

0.34

0.05

XXX 77799......... ............ C........... Radium/

0.00

0.00

0.00

NA

NA

0.00

XXX radioisotope therapy. 77799......... TC.......... C........... Radium/

0.00

0.00

0.00

NA

NA

0.00

XXX radioisotope therapy. 77799......... 26.......... C........... Radium/

0.00

0.00

0.00

0.00

0.00

0.00

XXX radioisotope therapy. 78000......... ............ A........... Thyroid, single

0.19

1.85

1.44

NA

NA

0.07

XXX uptake. 78000......... TC.......... A........... Thyroid, single

0.00

1.79

1.38

NA

NA

0.06

XXX uptake. 78000......... 26.......... A........... Thyroid, single

0.19

0.06

0.06

0.06

0.06

0.01

XXX uptake. 78001......... ............ A........... Thyroid, multiple

0.26

2.31

1.85

NA

NA

0.08

XXX uptakes. 78001......... TC.......... A........... Thyroid, multiple

0.00

2.22

1.76

NA

NA

0.07

XXX uptakes. 78001......... 26.......... A........... Thyroid, multiple

0.26

0.09

0.09

0.09

0.09

0.01

XXX uptakes. 78003......... ............ A........... Thyroid suppress/

0.33

1.94

1.50

NA

NA

0.07

XXX stimul. 78003......... TC.......... A........... Thyroid suppress/

0.00

1.82

1.39

NA

NA

0.06

XXX stimul. 78003......... 26.......... A........... Thyroid suppress/

0.33

0.12

0.11

0.12

0.11

0.01

XXX stimul. 78006......... ............ A........... Thyroid imaging

0.49

6.23

4.38

NA

NA

0.15

XXX with uptake. 78006......... TC.......... A........... Thyroid imaging

0.00

6.06

4.22

NA

NA

0.13

XXX with uptake. 78006......... 26.......... A........... Thyroid imaging

0.49

0.17

0.16

0.17

0.16

0.02

XXX with uptake. 78007......... ............ A........... Thyroid image,

0.50

3.06

2.90

NA

NA

0.16

XXX mult uptakes. 78007......... TC.......... A........... Thyroid image,

0.00

2.89

2.73

NA

NA

0.14

XXX mult uptakes. 78007......... 26.......... A........... Thyroid image,

0.50

0.17

0.17

0.17

0.17

0.02

XXX mult uptakes. 78010......... ............ A........... Thyroid imaging...

0.39

4.19

3.07

NA

NA

0.13

XXX 78010......... TC.......... A........... Thyroid imaging...

0.00

4.06

2.94

NA

NA

0.11

XXX 78010......... 26.......... A........... Thyroid imaging...

0.39

0.13

0.13

0.13

0.13

0.02

XXX 78011......... ............ A........... Thyroid imaging

0.45

4.55

3.55

NA

NA

0.15

XXX with flow. 78011......... TC.......... A........... Thyroid imaging

0.00

4.39

3.40

NA

NA

0.13

XXX with flow. 78011......... 26.......... A........... Thyroid imaging

0.45

0.16

0.15

0.16

0.15

0.02

XXX with flow. 78015......... ............ A........... Thyroid met

0.67

5.34

4.08

NA

NA

0.17

XXX imaging. 78015......... TC.......... A........... Thyroid met

0.00

5.12

3.85

NA

NA

0.14

XXX imaging. 78015......... 26.......... A........... Thyroid met

0.67

0.22

0.23

0.22

0.23

0.03

XXX imaging. 78016......... ............ A........... Thyroid met

0.82

8.54

6.15

NA

NA

0.21

XXX imaging/studies. 78016......... TC.......... A........... Thyroid met

0.00

8.26

5.87

NA

NA

0.18

XXX imaging/studies. 78016......... 26.......... A........... Thyroid met

0.82

0.28

0.28

0.28

0.28

0.03

XXX imaging/studies. 78018......... ............ A........... Thyroid met

0.86

7.94

6.83

NA

NA

0.33

XXX imaging, body. 78018......... TC.......... A........... Thyroid met

0.00

7.64

6.53

NA

NA

0.29

XXX imaging, body. 78018......... 26.......... A........... Thyroid met

0.86

0.30

0.30

0.30

0.30

0.04

XXX imaging, body. 78020......... ............ A........... Thyroid met uptake

0.60

1.80

1.66

NA

NA

0.16

ZZZ 78020......... TC.......... A........... Thyroid met uptake

0.00

1.60

1.45

NA

NA

0.14

ZZZ 78020......... 26.......... A........... Thyroid met uptake

0.60

0.20

0.21

0.20

0.21

0.02

ZZZ 78070......... ............ A........... Parathyroid

0.82

3.48

4.02

NA

NA

0.15

XXX nuclear imaging. 78070......... TC.......... A........... Parathyroid

0.00

3.20

3.74

NA

NA

0.11

XXX nuclear imaging. 78070......... 26.......... A........... Parathyroid

0.82

0.28

0.28

0.28

0.28

0.04

XXX nuclear imaging. 78075......... ............ A........... Adrenal nuclear

0.74

11.63

8.65

NA

NA

0.32

XXX imaging. 78075......... TC.......... A........... Adrenal nuclear

0.00

11.38

8.40

NA

NA

0.29

XXX imaging. 78075......... 26.......... A........... Adrenal nuclear

0.74

0.25

0.25

0.25

0.25

0.03

XXX imaging. 78099......... ............ C........... Endocrine nuclear

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 78099......... TC.......... C........... Endocrine nuclear

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 78099......... 26.......... C........... Endocrine nuclear

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 78102......... ............ A........... Bone marrow

0.55

4.18

3.21

NA

NA

0.14

XXX imaging, ltd. 78102......... TC.......... A........... Bone marrow

0.00

3.99

3.02

NA

NA

0.12

XXX imaging, ltd.

[[Page 2672]]

78102......... 26.......... A........... Bone marrow

0.55

0.19

0.19

0.19

0.19

0.02

XXX imaging, ltd. 78103......... ............ A........... Bone marrow

0.75

5.44

4.44

NA

NA

0.20

XXX imaging, mult. 78103......... TC.......... A........... Bone marrow

0.00

5.18

4.18

NA

NA

0.17

XXX imaging, mult. 78103......... 26.......... A........... Bone marrow

0.75

0.26

0.26

0.26

0.26

0.03

XXX imaging, mult. 78104......... ............ A........... Bone marrow

0.80

6.23

5.29

NA

NA

0.25

XXX imaging, body. 78104......... TC.......... A........... Bone marrow

0.00

5.94

5.01

NA

NA

0.22

XXX imaging, body. 78104......... 26.......... A........... Bone marrow

0.80

0.29

0.28

0.29

0.28

0.03

XXX imaging, body. 78110......... ............ A........... Plasma volume,

0.19

2.13

1.58

NA

NA

0.07

XXX single. 78110......... TC.......... A........... Plasma volume,

0.00

2.06

1.51

NA

NA

0.06

XXX single. 78110......... 26.......... A........... Plasma volume,

0.19

0.07

0.07

0.07

0.07

0.01

XXX single. 78111......... ............ A........... Plasma volume,

0.22

2.14

2.40

NA

NA

0.15

XXX multiple. 78111......... TC.......... A........... Plasma volume,

0.00

2.07

2.32

NA

NA

0.14

XXX multiple. 78111......... 26.......... A........... Plasma volume,

0.22

0.07

0.08

0.07

0.08

0.01

XXX multiple. 78120......... ............ A........... Red cell mass,

0.23

2.10

1.96

NA

NA

0.12

XXX single. 78120......... TC.......... A........... Red cell mass,

0.00

2.02

1.88

NA

NA

0.11

XXX single. 78120......... 26.......... A........... Red cell mass,

0.23

0.08

0.08

0.08

0.08

0.01

XXX single. 78121......... ............ A........... Red cell mass,

0.32

2.20

2.62

NA

NA

0.15

XXX multiple. 78121......... TC.......... A........... Red cell mass,

0.00

2.10

2.51

NA

NA

0.14

XXX multiple. 78121......... 26.......... A........... Red cell mass,

0.32

0.10

0.11

0.10

0.11

0.01

XXX multiple. 78122......... ............ A........... Blood volume......

0.45

2.25

3.51

NA

NA

0.26

XXX 78122......... TC.......... A........... Blood volume......

0.00

2.10

3.35

NA

NA

0.24

XXX 78122......... 26.......... A........... Blood volume......

0.45

0.15

0.16

0.15

0.16

0.02

XXX 78130......... ............ A........... Red cell survival

0.61

3.50

3.28

NA

NA

0.17

XXX study. 78130......... TC.......... A........... Red cell survival

0.00

3.29

3.07

NA

NA

0.14

XXX study. 78130......... 26.......... A........... Red cell survival

0.61

0.21

0.21

0.21

0.21

0.03

XXX study. 78135......... ............ A........... Red cell survival

0.64

8.68

6.89

NA

NA

0.28

XXX kinetics. 78135......... TC.......... A........... Red cell survival

0.00

8.46

6.67

NA

NA

0.25

XXX kinetics. 78135......... 26.......... A........... Red cell survival

0.64

0.22

0.22

0.22

0.22

0.03

XXX kinetics. 78140......... ............ A........... Red cell

0.61

2.95

3.54

NA

NA

0.24

XXX sequestration. 78140......... TC.......... A........... Red cell

0.00

2.73

3.33

NA

NA

0.21

XXX sequestration. 78140......... 26.......... A........... Red cell

0.61

0.22

0.21

0.22

0.21

0.03

XXX sequestration. 78185......... ............ A........... Spleen imaging....

0.40

5.20

3.85

NA

NA

0.15

XXX 78185......... TC.......... A........... Spleen imaging....

0.00

5.06

3.71

NA

NA

0.13

XXX 78185......... 26.......... A........... Spleen imaging....

0.40

0.14

0.14

0.14

0.14

0.02

XXX 78190......... ............ A........... Platelet survival,

1.09

8.38

7.24

NA

NA

0.38

XXX kinetics. 78190......... TC.......... A........... Platelet survival,

0.00

8.13

6.92

NA

NA

0.30

XXX kinetics. 78190......... 26.......... A........... Platelet survival,

1.09

0.25

0.32

0.25

0.32

0.08

XXX kinetics. 78191......... ............ A........... Platelet survival.

0.61

3.52

5.53

NA

NA

0.40

XXX 78191......... TC.......... A........... Platelet survival.

0.00

3.31

5.32

NA

NA

0.37

XXX 78191......... 26.......... A........... Platelet survival.

0.61

0.21

0.21

0.21

0.21

0.03

XXX 78195......... ............ A........... Lymph system

1.20

8.69

6.58

NA

NA

0.28

XXX imaging. 78195......... TC.......... A........... Lymph system

0.00

8.28

6.17

NA

NA

0.22

XXX imaging. 78195......... 26.......... A........... Lymph system

1.20

0.41

0.41

0.41

0.41

0.06

XXX imaging. 78199......... ............ C........... Blood/lymph

0.00

0.00

0.00

NA

NA

0.00

XXX nuclear exam. 78199......... TC.......... C........... Blood/lymph

0.00

0.00

0.00

NA

NA

0.00

XXX nuclear exam. 78199......... 26.......... C........... Blood/lymph

0.00

0.00

0.00

0.00

0.00

0.00

XXX nuclear exam. 78201......... ............ A........... Liver imaging.....

0.44

4.60

3.56

NA

NA

0.15

XXX 78201......... TC.......... A........... Liver imaging.....

0.00

4.47

3.42

NA

NA

0.13

XXX 78201......... 26.......... A........... Liver imaging.....

0.44

0.13

0.14

0.13

0.14

0.02

XXX 78202......... ............ A........... Liver imaging with

0.51

5.35

4.20

NA

NA

0.16

XXX flow. 78202......... TC.......... A........... Liver imaging with

0.00

5.18

4.03

NA

NA

0.14

XXX flow. 78202......... 26.......... A........... Liver imaging with

0.51

0.17

0.17

0.17

0.17

0.02

XXX flow. 78205......... ............ A........... Liver imaging (3D)

0.71

5.27

5.71

NA

NA

0.34

XXX 78205......... TC.......... A........... Liver imaging (3D)

0.00

5.02

5.47

NA

NA

0.31

XXX 78205......... 26.......... A........... Liver imaging (3D)

0.71

0.25

0.24

0.25

0.24

0.03

XXX 78206......... ............ A........... Liver image (3d)

0.96

8.61

7.42

NA

NA

0.15

XXX with flow. 78206......... TC.......... A........... Liver image (3d)

0.00

8.27

7.09

NA

NA

0.11

XXX with flow. 78206......... 26.......... A........... Liver image (3d)

0.96

0.34

0.33

0.34

0.33

0.04

XXX with flow. 78215......... ............ A........... Liver and spleen

0.49

4.82

3.97

NA

NA

0.16

XXX imaging. 78215......... TC.......... A........... Liver and spleen

0.00

4.65

3.80

NA

NA

0.14

XXX imaging. 78215......... 26.......... A........... Liver and spleen

0.49

0.17

0.17

0.17

0.17

0.02

XXX imaging. 78216......... ............ A........... Liver & spleen

0.57

2.86

3.26

NA

NA

0.20

XXX image/flow. 78216......... TC.......... A........... Liver & spleen

0.00

2.66

3.07

NA

NA

0.18

XXX image/flow. 78216......... 26.......... A........... Liver & spleen

0.57

0.20

0.19

0.20

0.19

0.02

XXX image/flow. 78220......... ............ A........... Liver function

0.49

3.08

3.48

NA

NA

0.21

XXX study. 78220......... TC.......... A........... Liver function

0.00

2.91

3.32

NA

NA

0.19

XXX study. 78220......... 26.......... A........... Liver function

0.49

0.17

0.16

0.17

0.16

0.02

XXX study. 78223......... ............ A........... Hepatobiliary

0.84

8.51

6.23

NA

NA

0.23

XXX imaging. 78223......... TC.......... A........... Hepatobiliary

0.00

8.22

5.94

NA

NA

0.19

XXX imaging. 78223......... 26.......... A........... Hepatobiliary

0.84

0.29

0.29

0.29

0.29

0.04

XXX imaging. 78230......... ............ A........... Salivary gland

0.45

4.17

3.25

NA

NA

0.15

XXX imaging. 78230......... TC.......... A........... Salivary gland

0.00

4.01

3.10

NA

NA

0.13

XXX imaging.

[[Page 2673]]

78230......... 26.......... A........... Salivary gland

0.45

0.16

0.15

0.16

0.15

0.02

XXX imaging. 78231......... ............ A........... Serial salivary

0.52

2.81

3.07

NA

NA

0.19

XXX imaging. 78231......... TC.......... A........... Serial salivary

0.00

2.64

2.90

NA

NA

0.17

XXX imaging. 78231......... 26.......... A........... Serial salivary

0.52

0.17

0.17

0.17

0.17

0.02

XXX imaging. 78232......... ............ A........... Salivary gland

0.47

2.78

3.24

NA

NA

0.20

XXX function exam. 78232......... TC.......... A........... Salivary gland

0.00

2.63

3.08

NA

NA

0.18

XXX function exam. 78232......... 26.......... A........... Salivary gland

0.47

0.15

0.16

0.15

0.16

0.02

XXX function exam. 78258......... ............ A........... Esophageal

0.74

5.52

4.33

NA

NA

0.17

XXX motility study. 78258......... TC.......... A........... Esophageal

0.00

5.25

4.07

NA

NA

0.14

XXX motility study. 78258......... 26.......... A........... Esophageal

0.74

0.27

0.26

0.27

0.26

0.03

XXX motility study. 78261......... ............ A........... Gastric mucosa

0.69

6.01

5.17

NA

NA

0.25

XXX imaging. 78261......... TC.......... A........... Gastric mucosa

0.00

5.77

4.93

NA

NA

0.22

XXX imaging. 78261......... 26.......... A........... Gastric mucosa

0.69

0.24

0.24

0.24

0.24

0.03

XXX imaging. 78262......... ............ A........... Gastroesophageal

0.68

5.96

5.22

NA

NA

0.25

XXX reflux exam. 78262......... TC.......... A........... Gastroesophageal

0.00

5.74

5.00

NA

NA

0.22

XXX reflux exam. 78262......... 26.......... A........... Gastroesophageal

0.68

0.22

0.22

0.22

0.22

0.03

XXX reflux exam. 78264......... ............ A........... Gastric emptying

0.78

7.16

5.78

NA

NA

0.25

XXX study. 78264......... TC.......... A........... Gastric emptying

0.00

6.89

5.51

NA

NA

0.22

XXX study. 78264......... 26.......... A........... Gastric emptying

0.78

0.27

0.27

0.27

0.27

0.03

XXX study. 78267......... ............ X........... Breath tst attain/

0.00

0.00

0.00

0.00

0.00

0.00

XXX anal c-14. 78268......... ............ X........... Breath test

0.00

0.00

0.00

0.00

0.00

0.00

XXX analysis, c-14. 78270......... ............ A........... Vit B-12

0.20

1.95

1.78

NA

NA

0.11

XXX absorption exam. 78270......... TC.......... A........... Vit B-12

0.00

1.88

1.71

NA

NA

0.10

XXX absorption exam. 78270......... 26.......... A........... Vit B-12

0.20

0.07

0.07

0.07

0.07

0.01

XXX absorption exam. 78271......... ............ A........... Vit b-12 absrp

0.20

1.89

1.80

NA

NA

0.11

XXX exam, int fac. 78271......... TC.......... A........... Vit b-12 absrp

0.00

1.84

1.74

NA

NA

0.10

XXX exam, int fac. 78271......... 26.......... A........... Vit b-12 absrp

0.20

0.05

0.06

0.05

0.06

0.01

XXX exam, int fac. 78272......... ............ A........... Vit B-12 absorp,

0.27

2.06

2.24

NA

NA

0.14

XXX combined. 78272......... TC.......... A........... Vit B-12 absorp,

0.00

1.99

2.16

NA

NA

0.13

XXX combined. 78272......... 26.......... A........... Vit B-12 absorp,

0.27

0.07

0.08

0.07

0.08

0.01

XXX combined. 78278......... ............ A........... Acute GI blood

0.99

8.61

6.91

NA

NA

0.29

XXX loss imaging. 78278......... TC.......... A........... Acute GI blood

0.00

8.26

6.57

NA

NA

0.25

XXX loss imaging. 78278......... 26.......... A........... Acute GI blood

0.99

0.35

0.34

0.35

0.34

0.04

XXX loss imaging. 78282......... ............ C........... GI protein loss

0.00

0.00

0.00

NA

NA

0.00

XXX exam. 78282......... TC.......... C........... GI protein loss

0.00

0.00

0.00

NA

NA

0.00

XXX exam. 78282......... 26.......... A........... GI protein loss

0.38

0.13

0.13

0.13

0.13

0.02

XXX exam. 78290......... ............ A........... Meckel[AElig]s

0.68

8.52

5.91

NA

NA

0.19

XXX divert exam. 78290......... TC.......... A........... Meckel[AElig]s

0.00

8.28

5.67

NA

NA

0.16

XXX divert exam. 78290......... 26.......... A........... Meckel[AElig]s

0.68

0.24

0.24

0.24

0.24

0.03

XXX divert exam. 78291......... ............ A........... Leveen/shunt

0.88

6.15

4.76

NA

NA

0.20

XXX patency exam. 78291......... TC.......... A........... Leveen/shunt

0.00

5.85

4.46

NA

NA

0.16

XXX patency exam. 78291......... 26.......... A........... Leveen/shunt

0.88

0.30

0.30

0.30

0.30

0.04

XXX patency exam. 78299......... ............ C........... GI nuclear

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 78299......... TC.......... C........... GI nuclear

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 78299......... 26.......... C........... GI nuclear

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 78300......... ............ A........... Bone imaging,

0.62

4.23

3.46

NA

NA

0.17

XXX limited area. 78300......... TC.......... A........... Bone imaging,

0.00

4.01

3.25

NA

NA

0.14

XXX limited area. 78300......... 26.......... A........... Bone imaging,

0.62

0.22

0.21

0.22

0.21

0.03

XXX limited area. 78305......... ............ A........... Bone imaging,

0.83

5.48

4.71

NA

NA

0.23

XXX multiple areas. 78305......... TC.......... A........... Bone imaging,

0.00

5.20

4.43

NA

NA

0.19

XXX multiple areas. 78305......... 26.......... A........... Bone imaging,

0.83

0.28

0.28

0.28

0.28

0.04

XXX multiple areas. 78306......... ............ A........... Bone imaging,

0.86

6.07

5.32

NA

NA

0.26

XXX whole body. 78306......... TC.......... A........... Bone imaging,

0.00

5.77

5.02

NA

NA

0.22

XXX whole body. 78306......... 26.......... A........... Bone imaging,

0.86

0.30

0.30

0.30

0.30

0.04

XXX whole body. 78315......... ............ A........... Bone imaging, 3

1.02

8.60

6.86

NA

NA

0.29

XXX phase. 78315......... TC.......... A........... Bone imaging, 3

0.00

8.24

6.51

NA

NA

0.25

XXX phase. 78315......... 26.......... A........... Bone imaging, 3

1.02

0.36

0.35

0.36

0.35

0.04

XXX phase. 78320......... ............ A........... Bone imaging (3D).

1.04

5.35

5.82

NA

NA

0.35

XXX 78320......... TC.......... A........... Bone imaging (3D).

0.00

4.99

5.46

NA

NA

0.31

XXX 78320......... 26.......... A........... Bone imaging (3D).

1.04

0.36

0.36

0.36

0.36

0.04

XXX 78350......... ............ N........... Bone mineral,

0.22

0.51

0.67

NA

NA

0.06

XXX single photon. 78350......... TC.......... N........... Bone mineral,

0.00

0.46

0.61

NA

NA

0.05

XXX single photon. 78350......... 26.......... N........... Bone mineral,

0.22

0.05

0.06

0.05

0.06

0.01

XXX single photon. 78351......... ............ N........... Bone mineral, dual

0.30

NA

NA

0.07

0.09

0.01

XXX photon. 78399......... ............ C........... Musculoskeletal

0.00

0.00

0.00

NA

NA

0.00

XXX nuclear exam. 78399......... TC.......... C........... Musculoskeletal

0.00

0.00

0.00

NA

NA

0.00

XXX nuclear exam. 78399......... 26.......... C........... Musculoskeletal

0.00

0.00

0.00

0.00

0.00

0.00

XXX nuclear exam. 78414......... ............ C........... Non-imaging heart

0.00

0.00

0.00

NA

NA

0.00

XXX function. 78414......... TC.......... C........... Non-imaging heart

0.00

0.00

0.00

NA

NA

0.00

XXX function. 78414......... 26.......... A........... Non-imaging heart

0.45

0.17

0.17

0.17

0.17

0.02

XXX function. 78428......... ............ A........... Cardiac shunt

0.78

5.26

3.90

NA

NA

0.16

XXX imaging. 78428......... TC.......... A........... Cardiac shunt

0.00

4.90

3.58

NA

NA

0.13

XXX imaging.

[[Page 2674]]

78428......... 26.......... A........... Cardiac shunt

0.78

0.36

0.32

0.36

0.32

0.03

XXX imaging. 78445......... ............ A........... Vascular flow

0.49

4.49

3.26

NA

NA

0.13

XXX imaging. 78445......... TC.......... A........... Vascular flow

0.00

4.32

3.09

NA

NA

0.11

XXX imaging. 78445......... 26.......... A........... Vascular flow

0.49

0.17

0.17

0.17

0.17

0.02

XXX imaging. 78456......... ............ A........... Acute venous

1.00

8.81

6.57

NA

NA

0.33

XXX thrombus image. 78456......... TC.......... A........... Acute venous

0.00

8.44

6.21

NA

NA

0.29

XXX thrombus image. 78456......... 26.......... A........... Acute venous

1.00

0.37

0.36

0.37

0.36

0.04

XXX thrombus image. 78457......... ............ A........... Venous thrombosis

0.77

4.66

3.79

NA

NA

0.17

XXX imaging. 78457......... TC.......... A........... Venous thrombosis

0.00

4.41

3.54

NA

NA

0.14

XXX imaging. 78457......... 26.......... A........... Venous thrombosis

0.77

0.25

0.25

0.25

0.25

0.03

XXX imaging. 78458......... ............ A........... Ven thrombosis

0.90

4.51

4.43

NA

NA

0.25

XXX images, bilat. 78458......... TC.......... A........... Ven thrombosis

0.00

4.22

4.12

NA

NA

0.21

XXX images, bilat. 78458......... 26.......... A........... Ven thrombosis

0.90

0.29

0.31

0.29

0.31

0.04

XXX images, bilat. 78459......... ............ C........... Heart muscle

0.00

0.00

0.00

NA

NA

0.00

XXX imaging (PET). 78459......... TC.......... C........... Heart muscle

0.00

0.00

0.00

NA

NA

0.00

XXX imaging (PET). 78459......... 26.......... A........... Heart muscle

1.50

0.61

0.59

0.61

0.59

0.05

XXX imaging (PET). 78460......... ............ A........... Heart muscle

0.86

4.66

3.65

NA

NA

0.17

XXX blood, single. 78460......... TC.......... A........... Heart muscle

0.00

4.34

3.35

NA

NA

0.13

XXX blood, single. 78460......... 26.......... A........... Heart muscle

0.86

0.32

0.30

0.32

0.30

0.04

XXX blood, single. 78461......... ............ A........... Heart muscle

1.23

4.07

4.61

NA

NA

0.30

XXX blood, multiple. 78461......... TC.......... A........... Heart muscle

0.00

3.61

4.17

NA

NA

0.25

XXX blood, multiple. 78461......... 26.......... A........... Heart muscle

1.23

0.46

0.44

0.46

0.44

0.05

XXX blood, multiple. 78464......... ............ A........... Heart image (3d),

1.09

5.86

6.66

NA

NA

0.41

XXX single. 78464......... TC.......... A........... Heart image (3d),

0.00

5.36

6.22

NA

NA

0.37

XXX single. 78464......... 26.......... A........... Heart image (3d),

1.09

0.50

0.44

0.50

0.44

0.04

XXX single. 78465......... ............ A........... Heart image (3d),

1.46

11.46

11.88

NA

NA

0.67

XXX multiple. 78465......... TC.......... A........... Heart image (3d),

0.00

10.75

11.27

NA

NA

0.62

XXX multiple. 78465......... 26.......... A........... Heart image (3d),

1.46

0.71

0.61

0.71

0.61

0.05

XXX multiple. 78466......... ............ A........... Heart infarct

0.69

4.58

3.72

NA

NA

0.17

XXX image. 78466......... TC.......... A........... Heart infarct

0.00

4.29

3.46

NA

NA

0.14

XXX image. 78466......... 26.......... A........... Heart infarct

0.69

0.29

0.26

0.29

0.26

0.03

XXX image. 78468......... ............ A........... Heart infarct

0.80

5.88

4.90

NA

NA

0.22

XXX image (ef). 78468......... TC.......... A........... Heart infarct

0.00

5.48

4.57

NA

NA

0.19

XXX image (ef). 78468......... 26.......... A........... Heart infarct

0.80

0.40

0.33

0.40

0.33

0.03

XXX image (ef). 78469......... ............ A........... Heart infarct

0.92

6.29

5.92

NA

NA

0.31

XXX image (3D). 78469......... TC.......... A........... Heart infarct

0.00

5.85

5.54

NA

NA

0.28

XXX image (3D). 78469......... 26.......... A........... Heart infarct

0.92

0.44

0.38

0.44

0.38

0.03

XXX image (3D). 78472......... ............ A........... Gated heart,

0.98

6.03

5.94

NA

NA

0.34

XXX planar, single. 78472......... TC.......... A........... Gated heart,

0.00

5.62

5.57

NA

NA

0.30

XXX planar, single. 78472......... 26.......... A........... Gated heart,

0.98

0.41

0.37

0.41

0.37

0.04

XXX planar, single. 78473......... ............ A........... Gated heart,

1.47

7.76

8.27

NA

NA

0.48

XXX multiple. 78473......... TC.......... A........... Gated heart,

0.00

7.12

7.69

NA

NA

0.42

XXX multiple. 78473......... 26.......... A........... Gated heart,

1.47

0.64

0.58

0.64

0.58

0.06

XXX multiple. 78478......... ............ A........... Heart wall motion

0.50

0.80

1.30

NA

NA

0.12

XXX add-on. 78478......... TC.......... A........... Heart wall motion

0.00

0.56

1.06

NA

NA

0.10

XXX add-on. 78478......... 26.......... A........... Heart wall motion

0.50

0.24

0.24

0.24

0.24

0.02

XXX add-on. 78480......... ............ A........... Heart function add- 0.30

0.70

1.24

NA

NA

0.12

XXX on. 78480......... TC.......... A........... Heart function add- 0.00

0.56

1.06

NA

NA

0.10

XXX on. 78480......... 26.......... A........... Heart function add- 0.30

0.14

0.18

0.14

0.18

0.02

XXX on. 78481......... ............ A........... Heart first pass,

0.98

5.07

5.33

NA

NA

0.31

XXX single. 78481......... TC.......... A........... Heart first pass,

0.00

4.58

4.90

NA

NA

0.28

XXX single. 78481......... 26.......... A........... Heart first pass,

0.98

0.49

0.43

0.49

0.43

0.03

XXX single. 78483......... ............ A........... Heart first pass,

1.47

6.87

7.64

NA

NA

0.46

XXX multiple. 78483......... TC.......... A........... Heart first pass,

0.00

6.09

6.98

NA

NA

0.41

XXX multiple. 78483......... 26.......... A........... Heart first pass,

1.47

0.78

0.66

0.78

0.66

0.05

XXX multiple. 78491......... ............ C........... Heart image (pet),

0.00

0.00

0.00

NA

NA

0.00

XXX single. 78491......... TC.......... C........... Heart image (pet),

0.00

0.00

0.00

NA

NA

0.00

XXX single. 78491......... 26.......... A........... Heart image (pet),

1.50

0.63

0.61

0.63

0.61

0.06

XXX single. 78492......... ............ C........... Heart image (pet),

0.00

0.00

0.00

NA

NA

0.00

XXX multiple. 78492......... TC.......... C........... Heart image (pet),

0.00

0.00

0.00

NA

NA

0.00

XXX multiple. 78492......... 26.......... A........... Heart image (pet),

1.87

0.91

0.82

0.91

0.82

0.07

XXX multiple. 78494......... ............ A........... Heart image, spect

1.19

6.23

6.86

NA

NA

0.35

XXX 78494......... TC.......... A........... Heart image, spect

0.00

5.69

6.38

NA

NA

0.30

XXX 78494......... 26.......... A........... Heart image, spect

1.19

0.54

0.48

0.54

0.48

0.05

XXX 78496......... ............ A........... Heart first pass

0.50

0.88

4.06

NA

NA

0.32

ZZZ add-on. 78496......... TC.......... A........... Heart first pass

0.00

0.65

3.86

NA

NA

0.30

ZZZ add-on. 78496......... 26.......... A........... Heart first pass

0.50

0.23

0.20

0.23

0.20

0.02

ZZZ add-on. 78499......... ............ C........... Cardiovascular

0.00

0.00

0.00

NA

NA

0.00

XXX nuclear exam. 78499......... TC.......... C........... Cardiovascular

0.00

0.00

0.00

NA

NA

0.00

XXX nuclear exam. 78499......... 26.......... C........... Cardiovascular

0.00

0.00

0.00

0.00

0.00

0.00

XXX nuclear exam. 78580......... ............ A........... Lung perfusion

0.74

5.13

4.41

NA

NA

0.21

XXX imaging. 78580......... TC.......... A........... Lung perfusion

0.00

4.87

4.15

NA

NA

0.18

XXX imaging.

[[Page 2675]]

78580......... 26.......... A........... Lung perfusion

0.74

0.26

0.26

0.26

0.26

0.03

XXX imaging. 78584......... ............ A........... Lung V/Q image

0.99

3.02

3.28

NA

NA

0.21

XXX single breath. 78584......... TC.......... A........... Lung V/Q image

0.00

2.67

2.94

NA

NA

0.17

XXX single breath. 78584......... 26.......... A........... Lung V/Q image

0.99

0.35

0.34

0.35

0.34

0.04

XXX single breath. 78585......... ............ A........... Lung V/Q imaging..

1.09

8.63

7.32

NA

NA

0.35

XXX 78585......... TC.......... A........... Lung V/Q imaging..

0.00

8.25

6.95

NA

NA

0.30

XXX 78585......... 26.......... A........... Lung V/Q imaging..

1.09

0.38

0.37

0.38

0.37

0.05

XXX 78586......... ............ A........... Aerosol lung

0.40

4.17

3.44

NA

NA

0.16

XXX image, single. 78586......... TC.......... A........... Aerosol lung

0.00

4.03

3.31

NA

NA

0.14

XXX image, single. 78586......... 26.......... A........... Aerosol lung

0.40

0.14

0.13

0.14

0.13

0.02

XXX image, single. 78587......... ............ A........... Aerosol lung

0.49

5.44

4.21

NA

NA

0.16

XXX image, multiple. 78587......... TC.......... A........... Aerosol lung

0.00

5.27

4.04

NA

NA

0.14

XXX image, multiple. 78587......... 26.......... A........... Aerosol lung

0.49

0.17

0.17

0.17

0.17

0.02

XXX image, multiple. 78588......... ............ A........... Perfusion lung

1.09

8.66

6.11

NA

NA

0.23

XXX image. 78588......... TC.......... A........... Perfusion lung

0.00

8.28

5.74

NA

NA

0.18

XXX image. 78588......... 26.......... A........... Perfusion lung

1.09

0.38

0.37

0.38

0.37

0.05

XXX image. 78591......... ............ A........... Vent image, 1

0.40

4.17

3.58

NA

NA

0.16

XXX breath, 1 proj. 78591......... TC.......... A........... Vent image, 1

0.00

4.03

3.44

NA

NA

0.14

XXX breath, 1 proj. 78591......... 26.......... A........... Vent image, 1

0.40

0.14

0.14

0.14

0.14

0.02

XXX breath, 1 proj. 78593......... ............ A........... Vent image, 1

0.49

4.82

4.21

NA

NA

0.20

XXX proj, gas. 78593......... TC.......... A........... Vent image, 1

0.00

4.65

4.05

NA

NA

0.18

XXX proj, gas. 78593......... 26.......... A........... Vent image, 1

0.49

0.17

0.16

0.17

0.16

0.02

XXX proj, gas. 78594......... ............ A........... Vent image, mult

0.53

5.29

5.23

NA

NA

0.27

XXX proj, gas. 78594......... TC.......... A........... Vent image, mult

0.00

5.11

5.05

NA

NA

0.25

XXX proj, gas. 78594......... 26.......... A........... Vent image, mult

0.53

0.18

0.18

0.18

0.18

0.02

XXX proj, gas. 78596......... ............ A........... Lung differential

1.27

8.68

8.09

NA

NA

0.42

XXX function. 78596......... TC.......... A........... Lung differential

0.00

8.29

7.68

NA

NA

0.37

XXX function. 78596......... 26.......... A........... Lung differential

1.27

0.39

0.41

0.39

0.41

0.05

XXX function. 78599......... ............ C........... Respiratory

0.00

0.00

0.00

NA

NA

0.00

XXX nuclear exam. 78599......... TC.......... C........... Respiratory

0.00

0.00

0.00

NA

NA

0.00

XXX nuclear exam. 78599......... 26.......... C........... Respiratory

0.00

0.00

0.00

0.00

0.00

0.00

XXX nuclear exam. 78600......... ............ A........... Brain image . 88199......... ............ C........... Cytopathology

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 88199......... TC.......... C........... Cytopathology

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 88199......... 26.......... C........... Cytopathology

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 88291......... ............ A........... Cyto/molecular

0.52

0.27

0.22

0.27

0.22

0.02

XXX report. 88299......... ............ C........... Cytogenetic study.

0.00

0.00

0.00

0.00

0.00

0.00

XXX 88300......... ............ A........... Surgical path,

0.08

0.56

0.51

NA

NA

0.02

XXX gross. 88300......... TC.......... A........... Surgical path,

0.00

0.54

0.48

NA

NA

0.01

XXX gross. 88300......... 26.......... A........... Surgical path,

0.08

0.02

0.03

0.02

0.03

0.01

XXX gross. 88302......... ............ A........... Tissue exam by

0.13

1.29

1.16

NA

NA

0.03

XXX pathologist. 88302......... TC.......... A........... Tissue exam by

0.00

1.25

1.11

NA

NA

0.02

XXX pathologist. 88302......... 26.......... A........... Tissue exam by

0.13

0.04

0.05

0.04

0.05

0.01

XXX pathologist. 88304......... ............ A........... Tissue exam by

0.22

1.48

1.39

NA

NA

0.03

XXX pathologist. 88304......... TC.......... A........... Tissue exam by

0.00

1.42

1.32

NA

NA

0.02

XXX pathologist. 88304......... 26.......... A........... Tissue exam by

0.22

0.06

0.07

0.06

0.07

0.01

XXX pathologist. 88305......... ............ A........... Tissue exam by

0.75

2.05

1.97

NA

NA

0.07

XXX pathologist. 88305......... TC.......... A........... Tissue exam by

0.00

1.85

1.71

NA

NA

0.04

XXX pathologist. 88305......... 26.......... A........... Tissue exam by

0.75

0.20

0.26

0.20

0.26

0.03

XXX pathologist. 88307......... ............ A........... Tissue exam by

1.59

4.41

3.79

NA

NA

0.12

XXX pathologist. 88307......... TC.......... A........... Tissue exam by

0.00

3.94

3.21

NA

NA

0.06

XXX pathologist. 88307......... 26.......... A........... Tissue exam by

1.59

0.47

0.58

0.47

0.58

0.06

XXX pathologist. 88309......... ............ A........... Tissue exam by

2.80

6.17

5.28

NA

NA

0.14

XXX pathologist. 88309......... TC.......... A........... Tissue exam by

0.00

5.34

4.38

NA

NA

0.06

XXX pathologist. 88309......... 26.......... A........... Tissue exam by

2.80

0.83

0.90

0.83

0.90

0.08

XXX pathologist. 88311......... ............ A........... Decalcify tissue..

0.24

0.24

0.23

NA

NA

0.02

XXX 88311......... TC.......... A........... Decalcify tissue..

0.00

0.17

0.15

NA

NA

0.01

XXX 88311......... 26.......... A........... Decalcify tissue..

0.24

0.07

0.08

0.07

0.08

0.01

XXX 88312......... ............ A........... Special stains....

0.54

2.30

1.90

NA

NA

0.03

XXX 88312......... TC.......... A........... Special stains....

0.00

2.16

1.72

NA

NA

0.01

XXX 88312......... 26.......... A........... Special stains....

0.54

0.14

0.18

0.14

0.18

0.02

XXX 88313......... ............ A........... Special stains....

0.24

1.95

1.60

NA

NA

0.02

XXX 88313......... TC.......... A........... Special stains....

0.00

1.89

1.52

NA

NA

0.01

XXX 88313......... 26.......... A........... Special stains....

0.24

0.06

0.08

0.06

0.08

0.01

XXX

[[Page 2679]]

88314......... ............ A........... Histochemical

0.45

1.96

2.01

NA

NA

0.04

XXX stain. 88314......... TC.......... A........... Histochemical

0.00

1.82

1.85

NA

NA

0.02

XXX stain. 88314......... 26.......... A........... Histochemical

0.45

0.14

0.16

0.14

0.16

0.02

XXX stain. 88318......... ............ A........... Chemical

0.42

2.95

2.30

NA

NA

0.03

XXX histochemistry. 88318......... TC.......... A........... Chemical

0.00

2.83

2.15

NA

NA

0.01

XXX histochemistry. 88318......... 26.......... A........... Chemical

0.42

0.12

0.15

0.12

0.15

0.02

XXX histochemistry. 88319......... ............ A........... Enzyme

0.53

3.23

3.32

NA

NA

0.04

XXX histochemistry. 88319......... TC.......... A........... Enzyme

0.00

3.08

3.13

NA

NA

0.02

XXX histochemistry. 88319......... 26.......... A........... Enzyme

0.53

0.15

0.19

0.15

0.19

0.02

XXX histochemistry. 88321......... ............ A........... Microslide

1.63

0.71

0.75

0.46

0.51

0.05

XXX consultation. 88323......... ............ A........... Microslide

1.83

2.21

2.00

NA

NA

0.07

XXX consultation. 88323......... TC.......... A........... Microslide

0.00

1.75

1.48

NA

NA

0.02

XXX consultation. 88323......... 26.......... A........... Microslide

1.83

0.46

0.52

0.46

0.52

0.05

XXX consultation. 88325......... ............ A........... Comprehensive

2.50

2.40

2.67

0.69

0.82

0.07

XXX review of data. 88329......... ............ A........... Path consult

0.67

0.66

0.66

0.20

0.24

0.02

XXX introp. 88331......... ............ A........... Path consult

1.19

1.21

1.16

NA

NA

0.08

XXX intraop, 1 bloc. 88331......... TC.......... A........... Path consult

0.00

0.84

0.72

NA

NA

0.04

XXX intraop, 1 bloc. 88331......... 26.......... A........... Path consult

1.19

0.37

0.44

0.37

0.44

0.04

XXX intraop, 1 bloc. 88332......... ............ A........... Path consult

0.59

0.48

0.47

NA

NA

0.04

XXX intraop, add[AElig]l. 88332......... TC.......... A........... Path consult

0.00

0.30

0.25

NA

NA

0.02

XXX intraop, add[AElig]l. 88332......... 26.......... A........... Path consult

0.59

0.18

0.22

0.18

0.22

0.02

XXX intraop, add[AElig]l. 88333......... ............ A........... Intraop cyto path

1.20

1.32

1.20

NA

NA

0.08

XXX consult, 1. 88333......... TC.......... A........... Intraop cyto path

0.00

0.95

0.75

NA

NA

0.04

XXX consult, 1. 88333......... 26.......... A........... Intraop cyto path

1.20

0.37

0.45

0.37

0.45

0.04

XXX consult, 1. 88334......... ............ A........... Intraop cyto path

0.73

0.78

0.69

NA

NA

0.04

XXX consult, 2. 88334......... TC.......... A........... Intraop cyto path

0.00

0.56

0.45

NA

NA

0.02

XXX consult, 2. 88334......... 26.......... A........... Intraop cyto path

0.73

0.22

0.24

0.22

0.24

0.02

XXX consult, 2. 88342......... ............ A........... Immunohistochemist

0.85

2.00

1.72

NA

NA

0.05

XXX ry. 88342......... TC.......... A........... Immunohistochemist

0.00

1.77

1.43

NA

NA

0.02

XXX ry. 88342......... 26.......... A........... Immunohistochemist

0.85

0.23

0.29

0.23

0.29

0.03

XXX ry. 88346......... ............ A........... Immunofluorescent

0.86

1.91

1.74

NA

NA

0.05

XXX study. 88346......... TC.......... A........... Immunofluorescent

0.00

1.68

1.45

NA

NA

0.02

XXX study. 88346......... 26.......... A........... Immunofluorescent

0.86

0.23

0.29

0.23

0.29

0.03

XXX study. 88347......... ............ A........... Immunofluorescent

0.86

1.31

1.29

NA

NA

0.05

XXX study. 88347......... TC.......... A........... Immunofluorescent

0.00

1.13

1.02

NA

NA

0.02

XXX study. 88347......... 26.......... A........... Immunofluorescent

0.86

0.18

0.27

0.18

0.27

0.03

XXX study. 88348......... ............ A........... Electron

1.51

18.26

13.81

NA

NA

0.13

XXX microscopy. 88348......... TC.......... A........... Electron

0.00

17.84

13.28

NA

NA

0.07

XXX microscopy. 88348......... 26.......... A........... Electron

1.51

0.42

0.53

0.42

0.53

0.06

XXX microscopy. 88349......... ............ A........... Scanning electron

0.76

9.40

6.48

NA

NA

0.09

XXX microscopy. 88349......... TC.......... A........... Scanning electron

0.00

9.17

6.20

NA

NA

0.06

XXX microscopy. 88349......... 26.......... A........... Scanning electron

0.76

0.23

0.28

0.23

0.28

0.03

XXX microscopy. 88355......... ............ A........... Analysis, skeletal

1.85

3.22

6.00

NA

NA

0.13

XXX muscle. 88355......... TC.......... A........... Analysis, skeletal

0.00

2.85

5.42

NA

NA

0.06

XXX muscle. 88355......... 26.......... A........... Analysis, skeletal

1.85

0.37

0.58

0.37

0.58

0.07

XXX muscle. 88356......... ............ A........... Analysis, nerve...

3.02

5.36

4.77

NA

NA

0.19

XXX 88356......... TC.......... A........... Analysis, nerve...

0.00

4.78

3.85

NA

NA

0.07

XXX 88356......... 26.......... A........... Analysis, nerve...

3.02

0.58

0.92

0.58

0.92

0.12

XXX 88358......... ............ A........... Analysis, tumor...

0.95

1.10

0.97

NA

NA

0.17

XXX 88358......... TC.......... A........... Analysis, tumor...

0.00

0.94

0.69

NA

NA

0.07

XXX 88358......... 26.......... A........... Analysis, tumor...

0.95

0.16

0.28

0.16

0.28

0.10

XXX 88360......... ............ A........... Tumor

1.10

2.22

1.98

NA

NA

0.08

XXX immunohistochem/ manual. 88360......... TC.......... A........... Tumor

0.00

1.95

1.61

NA

NA

0.02

XXX immunohistochem/ manual. 88360......... 26.......... A........... Tumor

1.10

0.27

0.37

0.27

0.37

0.06

XXX immunohistochem/ manual. 88361......... ............ A........... Tumor

1.18

2.80

2.91

NA

NA

0.17

XXX immunohistochem/ comput. 88361......... TC.......... A........... Tumor

0.00

2.53

2.53

NA

NA

0.07

XXX immunohistochem/ comput. 88361......... 26.......... A........... Tumor

1.18

0.27

0.38

0.27

0.38

0.10

XXX immunohistochem/ comput. 88362......... ............ A........... Nerve teasing

2.17

5.00

4.85

NA

NA

0.15

XXX preparations. 88362......... TC.......... A........... Nerve teasing

0.00

4.43

4.10

NA

NA

0.06

XXX preparations. 88362......... 26.......... A........... Nerve teasing

2.17

0.57

0.75

0.57

0.75

0.09

XXX preparations. 88365......... ............ A........... Insitu

1.20

3.34

2.73

NA

NA

0.05

XXX hybridization (fish). 88365......... TC.......... A........... Insitu

0.00

3.04

2.33

NA

NA

0.02

XXX hybridization (fish). 88365......... 26.......... A........... Insitu

1.20

0.30

0.40

0.30

0.40

0.03

XXX hybridization (fish). 88367......... ............ A........... Insitu

1.30

5.16

4.60

NA

NA

0.12

XXX hybridization, auto. 88367......... TC.......... A........... Insitu

0.00

4.94

4.22

NA

NA

0.06

XXX hybridization, auto. 88367......... 26.......... A........... Insitu

1.30

0.22

0.38

0.22

0.38

0.06

XXX hybridization, auto. 88368......... ............ A........... Insitu

1.40

4.97

3.69

NA

NA

0.12

XXX hybridization, manual. 88368......... TC.......... A........... Insitu

0.00

4.72

3.26

NA

NA

0.06

XXX hybridization, manual. 88368......... 26.......... A........... Insitu

1.40

0.25

0.43

0.25

0.43

0.06

XXX hybridization, manual. 88371......... 26.......... A........... Protein, western

0.37

0.10

0.12

0.10

0.12

0.01

XXX blot tissue. 88372......... 26.......... A........... Protein analysis w/ 0.37

0.12

0.14

0.12

0.14

0.01

XXX probe. 88380......... ............ A........... Microdissection,

1.56

2.66

2.66

NA

NA

0.14

XXX laser.

[[Page 2680]]

88380......... TC.......... A........... Microdissection,

0.00

2.23

2.23

NA

NA

0.07

XXX laser. 88380......... 26.......... A........... Microdissection,

1.56

0.43

0.43

0.43

0.43

0.07

XXX laser. 88381......... ............ A........... Microdissection,

1.18

4.47

4.47

NA

NA

0.08

XXX manual. 88381......... TC.......... A........... Microdissection,

0.00

4.15

4.15

NA

NA

0.02

XXX manual. 88381......... 26.......... A........... Microdissection,

1.18

0.32

0.32

0.32

0.32

0.06

XXX manual. 88384......... ............ C........... Eval molecular

0.00

0.00

0.00

NA

NA

0.00

XXX probes, 11-50. 88384......... TC.......... C........... Eval molecular

0.00

0.00

0.00

NA

NA

0.00

XXX probes, 11-50. 88384......... 26.......... C........... Eval molecular

0.00

0.00

0.00

0.00

0.00

0.00

XXX probes, 11-50. 88385......... ............ A........... Eval molecul

1.50

15.55

11.32

NA

NA

0.12

XXX probes, 51-250. 88385......... TC.......... A........... Eval molecul

0.00

15.28

10.86

NA

NA

0.06

XXX probes, 51-250. 88385......... 26.......... A........... Eval molecul

1.50

0.27

0.46

0.27

0.46

0.06

XXX probes, 51-250. 88386......... ............ A........... Eval molecul

1.88

15.46

11.25

NA

NA

0.16

XXX probes, 251-500. 88386......... TC.......... A........... Eval molecul

0.00

15.12

10.67

NA

NA

0.08

XXX probes, 251-500. 88386......... 26.......... A........... Eval molecul

1.88

0.34

0.58

0.34

0.58

0.08

XXX probes, 251-500. 88399......... ............ C........... Surgical pathology

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 88399......... TC.......... C........... Surgical pathology

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 88399......... 26.......... C........... Surgical pathology

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 89049......... ............ A........... Chct for mal

1.40

3.56

3.56

0.19

0.23

0.06

XXX hyperthermia. 89060......... 26.......... A........... Exam,synovial

0.37

0.12

0.14

0.12

0.14

0.01

XXX fluid crystals. 89100......... ............ A........... Sample intestinal

0.60

7.90

4.87

0.54

0.37

0.03

XXX contents. 89105......... ............ A........... Sample intestinal

0.50

7.85

5.04

0.46

0.32

0.02

XXX contents. 89130......... ............ A........... Sample stomach

0.45

6.55

4.15

0.38

0.25

0.02

XXX contents. 89132......... ............ A........... Sample stomach

0.19

8.39

4.97

0.39

0.22

0.01

XXX contents. 89135......... ............ A........... Sample stomach

0.79

8.83

5.36

0.67

0.46

0.04

XXX contents. 89136......... ............ A........... Sample stomach

0.21

5.95

3.84

0.26

0.18

0.01

XXX contents. 89140......... ............ A........... Sample stomach

0.94

6.22

4.15

0.43

0.35

0.04

XXX contents. 89141......... ............ A........... Sample stomach

0.85

6.36

4.58

0.49

0.41

0.03

XXX contents. 89220......... ............ A........... Sputum specimen

0.00

0.37

0.40

NA

NA

0.02

XXX collection. 89230......... ............ A........... Collect sweat for

0.00

0.07

0.09

NA

NA

0.02

XXX test. 89240......... ............ C........... Pathology lab

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 90281......... ............ I........... Human ig, im......

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90283......... ............ I........... Human ig, iv......

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90284......... ............ X........... Human ig, sc......

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90287......... ............ I........... Botulinum

0.00

0.00

0.00

0.00

0.00

0.00

XXX antitoxin. 90288......... ............ I........... Botulism ig, iv...

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90291......... ............ I........... Cmv ig, iv........

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90296......... ............ E........... Diphtheria

0.00

0.00

0.00

0.00

0.00

0.00

XXX antitoxin. 90371......... ............ E........... Hep b ig, im......

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90375......... ............ E........... Rabies ig, im/sc..

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90376......... ............ E........... Rabies ig, heat

0.00

0.00

0.00

0.00

0.00

0.00

XXX treated. 90378......... ............ X........... Rsv ig, im, 50mg..

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90379......... ............ I........... Rsv ig, iv........

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90384......... ............ I........... Rh ig, full-dose,

0.00

0.00

0.00

0.00

0.00

0.00

XXX im. 90385......... ............ E........... Rh ig, minidose,

0.00

0.00

0.00

0.00

0.00

0.00

XXX im. 90386......... ............ I........... Rh ig, iv.........

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90389......... ............ I........... Tetanus ig, im....

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90393......... ............ E........... Vaccina ig, im....

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90396......... ............ E........... Varicella-zoster

0.00

0.00

0.00

0.00

0.00

0.00

XXX ig, im. 90399......... ............ I........... Immune globulin...

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90465......... ............ A........... Immune admin 1

0.17

0.44

0.38

NA

NA

0.01

XXX inj, . 90657......... ............ X........... Flu vaccine, 3

0.00

0.00

0.00

0.00

0.00

0.00

XXX yrs, im. 90658......... ............ X........... Flu vaccine, 3 yrs

0.00

0.00

0.00

0.00

0.00

0.00

XXX & >, im. 90660......... ............ X........... Flu vaccine, nasal

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90661......... ............ X........... Flu vacc cell cult

0.00

0.00

0.00

0.00

0.00

0.00

XXX prsv free. 90662......... ............ X........... Flu vacc prsv free

0.00

0.00

0.00

0.00

0.00

0.00

XXX inc antig. 90663......... ............ X........... Flu vacc pandemic.

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90665......... ............ E........... Lyme disease

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine, im. 90669......... ............ X........... Pneumococcal vacc,

0.00

0.00

0.00

0.00

0.00

0.00

XXX ped /= 7 im. 90715......... ............ E........... Tdap vaccine >7 im

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90716......... ............ E........... Chicken pox

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine, sc. 90717......... ............ E........... Yellow fever

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine, sc. 90718......... ............ E........... Td vaccine > 7, im

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90719......... ............ E........... Diphtheria

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine, im. 90720......... ............ E........... Dtp/hib vaccine,

0.00

0.00

0.00

0.00

0.00

0.00

XXX im. 90721......... ............ E........... Dtap/hib vaccine,

0.00

0.00

0.00

0.00

0.00

0.00

XXX im. 90723......... ............ I........... Dtap-hep b-ipv

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine, im. 90725......... ............ E........... Cholera vaccine,

0.00

0.00

0.00

0.00

0.00

0.00

XXX injectable. 90727......... ............ E........... Plague vaccine, im

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90732......... ............ X........... Pneumococcal

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine. 90733......... ............ E........... Meningococcal

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine, sc. 90734......... ............ E........... Meningococcal

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine, im. 90735......... ............ E........... Encephalitis

0.00

0.00

0.00

0.00

0.00

0.00

XXX vaccine, sc. 90736......... ............ E........... Zoster vacc, sc...

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90740......... ............ X........... Hepb vacc, ill pat

0.00

0.00

0.00

0.00

0.00

0.00

XXX 3 dose im. 90743......... ............ X........... Hep b vacc, adol,

0.00

0.00

0.00

0.00

0.00

0.00

XXX 2 dose, im. 90744......... ............ X........... Hepb vacc ped/adol

0.00

0.00

0.00

0.00

0.00

0.00

XXX 3 dose im. 90746......... ............ X........... Hep b vaccine,

0.00

0.00

0.00

0.00

0.00

0.00

XXX adult, im. 90747......... ............ X........... Hepb vacc, ill pat

0.00

0.00

0.00

0.00

0.00

0.00

XXX 4 dose im. 90748......... ............ I........... Hep b/hib vaccine,

0.00

0.00

0.00

0.00

0.00

0.00

XXX im. 90749......... ............ E........... Vaccine toxoid....

0.00

0.00

0.00

0.00

0.00

0.00

XXX 90760......... ............ A........... Hydration iv

0.17

1.32

1.37

NA

NA

0.07

XXX infusion, init. 90761......... ............ A........... Hydrate iv

0.09

0.32

0.36

NA

NA

0.04

ZZZ infusion, add-on. 90765......... ............ A........... Ther/proph/diag iv

0.21

1.62

1.69

NA

NA

0.07

XXX inf, init. 90766......... ............ A........... Ther/proph/dg iv

0.18

0.37

0.42

NA

NA

0.04

ZZZ inf, add-on. 90767......... ............ A........... Tx/proph/dg addl

0.19

0.69

0.79

NA

NA

0.04

ZZZ seq iv inf. 90768......... ............ A........... Ther/diag

0.17

0.33

0.39

NA

NA

0.04

ZZZ concurrent inf. 90769......... ............ A........... Sc ther infusion,

0.21

3.93

3.93

NA

NA

0.06

XXX up to 1 hr. 90770......... ............ A........... Sc ther infusion,

0.18

0.22

0.22

NA

NA

0.04

ZZZ addl hr. 90771......... ............ A........... Sc ther infusion,

0.00

1.86

1.86

NA

NA

0.01

ZZZ reset pump. 90772......... ............ A........... Ther/proph/diag

0.17

0.44

0.38

NA

NA

0.01

XXX inj, sc/im. 90773......... ............ A........... Ther/proph/diag

0.17

0.30

0.31

NA

NA

0.02

XXX inj, ia. 90774......... ............ A........... Ther/proph/diag

0.18

1.33

1.32

NA

NA

0.04

XXX inj, iv push. 90775......... ............ A........... Tx/pro/dx inj new

0.10

0.51

0.54

NA

NA

0.04

ZZZ drug addon. 90776......... ............ X........... Tx/pro/dx inj same

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ drug adon. 90779......... ............ C........... Ther/prop/diag inj/ 0.00

0.00

0.00

0.00

0.00

0.00

XXX inf proc. 90801......... ............ A........... Psy dx interview..

2.80

1.49

1.33

0.60

0.76

0.06

XXX 90802......... ............ A........... Intac psy dx

3.01

1.54

1.37

0.68

0.83

0.07

XXX interview. 90804......... ............ A........... Psytx, office, 20-

1.21

0.56

0.52

0.22

0.30

0.03

XXX 30 min. 90805......... ............ A........... Psytx, off, 20-30

1.37

0.60

0.55

0.24

0.33

0.03

XXX min w/e&m. 90806......... ............ A........... Psytx, off, 45-50

1.86

0.53

0.61

0.33

0.46

0.04

XXX min.

[[Page 2682]]

90807......... ............ A........... Psytx, off, 45-50

2.02

0.70

0.70

0.35

0.49

0.05

XXX min w/e&m. 90808......... ............ A........... Psytx, office, 75-

2.79

0.69

0.86

0.49

0.70

0.06

XXX 80 min. 90809......... ............ A........... Psytx, off, 75-80,

2.95

0.86

0.93

0.52

0.72

0.07

XXX w/e&m. 90810......... ............ A........... Intac psytx, off,

1.32

0.54

0.52

0.23

0.33

0.04

XXX 20-30 min. 90811......... ............ A........... Intac psytx, 20-

1.48

0.72

0.64

0.26

0.36

0.04

XXX 30, w/e&m. 90812......... ............ A........... Intac psytx, off,

1.97

0.65

0.72

0.34

0.49

0.04

XXX 45-50 min. 90813......... ............ A........... Intac psytx, 45-50

2.13

0.83

0.80

0.37

0.52

0.05

XXX min w/e&m. 90814......... ............ A........... Intac psytx, off,

2.90

0.81

0.95

0.53

0.75

0.06

XXX 75-80 min. 90815......... ............ A........... Intac psytx, 75-80

3.06

0.99

1.02

0.53

0.74

0.07

XXX w/e&m. 90816......... ............ A........... Psytx, hosp, 20-30

1.25

NA

NA

0.33

0.39

0.03

XXX min. 90817......... ............ A........... Psytx, hosp, 20-30

1.41

NA

NA

0.35

0.40

0.03

XXX min w/e&m. 90818......... ............ A........... Psytx, hosp, 45-50

1.89

NA

NA

0.44

0.56

0.04

XXX min. 90819......... ............ A........... Psytx, hosp, 45-50

2.05

NA

NA

0.46

0.56

0.05

XXX min w/e&m. 90821......... ............ A........... Psytx, hosp, 75-80

2.83

NA

NA

0.60

0.80

0.06

XXX min. 90822......... ............ A........... Psytx, hosp, 75-80

2.99

NA

NA

0.63

0.79

0.08

XXX min w/e&m. 90823......... ............ A........... Intac psytx, hosp,

1.36

NA

NA

0.35

0.41

0.03

XXX 20-30 min. 90824......... ............ A........... Intac psytx, hsp

1.52

NA

NA

0.37

0.43

0.04

XXX 20-30 w/e&m. 90826......... ............ A........... Intac psytx, hosp,

2.01

NA

NA

0.46

0.59

0.05

XXX 45-50 min. 90827......... ............ A........... Intac psytx, hsp

2.16

NA

NA

0.48

0.58

0.05

XXX 45-50 w/e&m. 90828......... ............ A........... Intac psytx, hosp,

2.94

NA

NA

0.62

0.84

0.06

XXX 75-80 min. 90829......... ............ A........... Intac psytx, hsp

3.10

NA

NA

0.64

0.81

0.07

XXX 75-80 w/e&m. 90845......... ............ A........... Psychoanalysis....

1.79

0.39

0.48

0.32

0.43

0.04

XXX 90846......... ............ R........... Family psytx w/o

1.83

0.51

0.58

0.43

0.54

0.04

XXX patient. 90847......... ............ R........... Family psytx w/

2.21

0.74

0.78

0.49

0.63

0.05

XXX patient. 90849......... ............ R........... Multiple family

0.59

0.33

0.30

0.21

0.22

0.02

XXX group psytx. 90853......... ............ A........... Group

0.59

0.26

0.26

0.20

0.21

0.01

XXX psychotherapy. 90857......... ............ A........... Intac group psytx.

0.63

0.38

0.33

0.21

0.23

0.01

XXX 90862......... ............ A........... Medication

0.95

0.62

0.51

0.27

0.29

0.02

XXX management. 90865......... ............ A........... Narcosynthesis....

2.84

1.17

1.26

0.63

0.77

0.12

XXX 90870......... ............ A........... Electroconvulsive

1.88

1.92

1.93

0.38

0.49

0.04

000 therapy. 90875......... ............ N........... Psychophysiologica

1.20

0.53

0.71

0.28

0.37

0.04

XXX l therapy. 90876......... ............ N........... Psychophysiologica

1.90

0.67

0.92

0.44

0.58

0.05

XXX l therapy. 90880......... ............ A........... Hypnotherapy......

2.19

0.58

0.81

0.39

0.54

0.05

XXX 90882......... ............ N........... Environmental

0.00

0.00

0.00

0.00

0.00

0.00

XXX manipulation. 90885......... ............ B........... Psy evaluation of

0.97

0.22

0.30

0.22

0.30

0.02

XXX records. 90887......... ............ B........... Consultation with

1.48

0.61

0.71

0.34

0.45

0.04

XXX family. 90889......... ............ B........... Preparation of

0.00

0.00

0.00

0.00

0.00

0.00

XXX report. 90899......... ............ C........... Psychiatric

0.00

0.00

0.00

0.00

0.00

0.00

XXX service/therapy. 90901......... ............ A........... Biofeedback train,

0.41

0.46

0.56

0.10

0.12

0.02

000 any meth. 90911......... ............ A........... Biofeedback peri/

0.89

1.37

1.47

0.30

0.30

0.06

000 uro/rectal. 90918......... ............ I........... ESRD related

11.16

4.70

5.41

3.74

4.93

0.36

XXX services, month. 90919......... ............ I........... ESRD related

8.53

3.03

3.52

2.55

3.28

0.29

XXX services, month. 90920......... ............ I........... ESRD related

7.26

2.74

3.24

2.27

3.01

0.23

XXX services, month. 90921......... ............ I........... ESRD related

4.46

1.71

2.08

1.61

2.03

0.14

XXX services, month. 90922......... ............ I........... ESRD related

0.37

0.16

0.18

0.13

0.17

0.01

XXX services, day. 90923......... ............ I........... Esrd related

0.28

0.10

0.11

0.08

0.11

0.01

XXX services, day. 90924......... ............ I........... Esrd related

0.24

0.09

0.10

0.07

0.10

0.01

XXX services, day. 90925......... ............ I........... Esrd related

0.15

0.05

0.07

0.05

0.07

0.01

XXX services, day. 90935......... ............ A........... Hemodialysis, one

1.22

NA

NA

0.54

0.60

0.04

000 evaluation. 90937......... ............ A........... Hemodialysis,

2.11

NA

NA

0.77

0.87

0.07

000 repeated eval. 90940......... ............ X........... Hemodialysis

0.00

0.00

0.00

0.00

0.00

0.00

XXX access study. 90945......... ............ A........... Dialysis, one

1.28

NA

NA

0.55

0.62

0.04

000 evaluation. 90947......... ............ A........... Dialysis, repeated

2.16

NA

NA

0.79

0.89

0.07

000 eval. 90989......... ............ X........... Dialysis training,

0.00

0.00

0.00

0.00

0.00

0.00

XXX complete. 90993......... ............ X........... Dialysis training,

0.00

0.00

0.00

0.00

0.00

0.00

XXX incompl. 90997......... ............ A........... Hemoperfusion.....

1.84

NA

NA

0.50

0.58

0.06

000 90999......... ............ C........... Dialysis procedure

0.00

0.00

0.00

0.00

0.00

0.00

XXX 91000......... ............ A........... Esophageal

0.73

2.13

1.23

NA

NA

0.04

000 intubation. 91000......... TC.......... A........... Esophageal

0.00

1.91

0.99

NA

NA

0.01

000 intubation. 91000......... 26.......... A........... Esophageal

0.73

0.22

0.24

0.22

0.24

0.03

000 intubation. 91010......... ............ A........... Esophagus motility

1.25

3.67

4.04

NA

NA

0.12

000 study. 91010......... TC.......... A........... Esophagus motility

0.00

3.12

3.55

NA

NA

0.06

000 study. 91010......... 26.......... A........... Esophagus motility

1.25

0.55

0.49

0.55

0.49

0.06

000 study. 91011......... ............ A........... Esophagus motility

1.50

5.38

5.30

NA

NA

0.13

000 study. 91011......... TC.......... A........... Esophagus motility

0.00

4.66

4.68

NA

NA

0.06

000 study. 91011......... 26.......... A........... Esophagus motility

1.50

0.72

0.62

0.72

0.62

0.07

000 study. 91012......... ............ A........... Esophagus motility

1.46

5.44

5.60

NA

NA

0.13

000 study. 91012......... TC.......... A........... Esophagus motility

0.00

4.76

5.00

NA

NA

0.07

000 study. 91012......... 26.......... A........... Esophagus motility

1.46

0.68

0.60

0.68

0.60

0.06

000 study. 91020......... ............ A........... Gastric motility

1.44

4.82

4.67

NA

NA

0.13

000 studies. 91020......... TC.......... A........... Gastric motility

0.00

4.21

4.12

NA

NA

0.06

000 studies. 91020......... 26.......... A........... Gastric motility

1.44

0.61

0.55

0.61

0.55

0.07

000 studies.

[[Page 2683]]

91022......... ............ A........... Duodenal motility

1.44

3.14

3.76

NA

NA

0.13

000 study. 91022......... TC.......... A........... Duodenal motility

0.00

2.52

3.20

NA

NA

0.06

000 study. 91022......... 26.......... A........... Duodenal motility

1.44

0.62

0.56

0.62

0.56

0.07

000 study. 91030......... ............ A........... Acid perfusion of

0.91

2.90

2.67

NA

NA

0.06

000 esophagus. 91030......... TC.......... A........... Acid perfusion of

0.00

2.48

2.30

NA

NA

0.02

000 esophagus. 91030......... 26.......... A........... Acid perfusion of

0.91

0.42

0.37

0.42

0.37

0.04

000 esophagus. 91034......... ............ A........... Gastroesophageal

0.97

4.15

4.69

NA

NA

0.12

000 reflux test. 91034......... TC.......... A........... Gastroesophageal

0.00

3.73

4.31

NA

NA

0.06

000 reflux test. 91034......... 26.......... A........... Gastroesophageal

0.97

0.42

0.38

0.42

0.38

0.06

000 reflux test. 91035......... ............ A........... G-esoph reflx tst

1.59

11.39

11.10

NA

NA

0.12

000 w/electrod. 91035......... TC.......... A........... G-esoph reflx tst

0.00

10.69

10.47

NA

NA

0.06

000 w/electrod. 91035......... 26.......... A........... G-esoph reflx tst

1.59

0.70

0.63

0.70

0.63

0.06

000 w/electrod. 91037......... ............ A........... Esoph imped

0.97

3.47

3.20

NA

NA

0.12

000 function test. 91037......... TC.......... A........... Esoph imped

0.00

3.03

2.81

NA

NA

0.06

000 function test. 91037......... 26.......... A........... Esoph imped

0.97

0.44

0.39

0.44

0.39

0.06

000 function test. 91038......... ............ A........... Esoph imped funct

1.10

2.81

2.52

NA

NA

0.12

000 test > 1h. 91038......... TC.......... A........... Esoph imped funct

0.00

2.31

2.07

NA

NA

0.06

000 test > 1h. 91038......... 26.......... A........... Esoph imped funct

1.10

0.50

0.45

0.50

0.45

0.06

000 test > 1h. 91040......... ............ A........... Esoph balloon

0.97

7.73

9.43

NA

NA

0.12

000 distension tst. 91040......... TC.......... A........... Esoph balloon

0.00

7.45

9.12

NA

NA

0.06

000 distension tst. 91040......... 26.......... A........... Esoph balloon

0.97

0.28

0.31

0.28

0.31

0.06

000 distension tst. 91052......... ............ A........... Gastric analysis

0.79

2.92

2.68

NA

NA

0.05

000 test. 91052......... TC.......... A........... Gastric analysis

0.00

2.55

2.36

NA

NA

0.02

000 test. 91052......... 26.......... A........... Gastric analysis

0.79

0.37

0.32

0.37

0.32

0.03

000 test. 91055......... ............ A........... Gastric intubation

0.94

2.58

2.76

NA

NA

0.07

000 for smear. 91055......... TC.......... A........... Gastric intubation

0.00

2.29

2.48

NA

NA

0.02

000 for smear. 91055......... 26.......... A........... Gastric intubation

0.94

0.29

0.28

0.29

0.28

0.05

000 for smear. 91065......... ............ A........... Breath hydrogen

0.20

1.34

1.40

NA

NA

0.03

000 test. 91065......... TC.......... A........... Breath hydrogen

0.00

1.28

1.33

NA

NA

0.02

000 test. 91065......... 26.......... A........... Breath hydrogen

0.20

0.06

0.07

0.06

0.07

0.01

000 test. 91100......... ............ A........... Pass intestine

1.08

2.14

2.47

0.32

0.30

0.07

000 bleeding tube. 91105......... ............ A........... Gastric intubation

0.37

1.67

1.89

0.07

0.08

0.03

000 treatment. 91110......... ............ A........... Gi tract capsule

3.64

20.66

21.42

NA

NA

0.16

XXX endoscopy. 91110......... TC.......... A........... Gi tract capsule

0.00

18.99

19.95

NA

NA

0.07

XXX endoscopy. 91110......... 26.......... A........... Gi tract capsule

3.64

1.67

1.47

1.67

1.47

0.09

XXX endoscopy. 91111......... ............ A........... Esophageal capsule

1.00

18.84

18.84

NA

NA

0.05

XXX endoscopy. 91111......... TC.......... A........... Esophageal capsule

0.00

18.39

18.39

NA

NA

0.02

XXX endoscopy. 91111......... 26.......... A........... Esophageal capsule

1.00

0.45

0.45

0.45

0.45

0.03

XXX endoscopy. 91120......... ............ A........... Rectal sensation

0.97

8.89

9.94

NA

NA

0.11

XXX test. 91120......... TC.......... A........... Rectal sensation

0.00

8.62

9.63

NA

NA

0.04

XXX test. 91120......... 26.......... A........... Rectal sensation

0.97

0.27

0.31

0.27

0.31

0.07

XXX test. 91122......... ............ A........... Anal pressure

1.77

4.31

4.70

NA

NA

0.21

000 record. 91122......... TC.......... A........... Anal pressure

0.00

3.69

4.09

NA

NA

0.08

000 record. 91122......... 26.......... A........... Anal pressure

1.77

0.62

0.61

0.62

0.61

0.13

000 record. 91123......... ............ B........... Irrigate fecal

0.00

0.00

0.00

0.00

0.00

0.00

XXX impaction. 91132......... ............ C........... Electrogastrograph

0.00

0.00

0.00

NA

NA

0.00

XXX y. 91132......... TC.......... C........... Electrogastrograph

0.00

0.00

0.00

NA

NA

0.00

XXX y. 91132......... 26.......... A........... Electrogastrograph

0.52

0.25

0.22

0.25

0.22

0.02

XXX y. 91133......... ............ C........... Electrogastrograph

0.00

0.00

0.00

NA

NA

0.00

XXX y w/test. 91133......... TC.......... C........... Electrogastrograph

0.00

0.00

0.00

NA

NA

0.00

XXX y w/test. 91133......... 26.......... A........... Electrogastrograph

0.66

0.32

0.28

0.32

0.28

0.03

XXX y w/test. 91299......... ............ C........... Gastroenterology

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 91299......... TC.......... C........... Gastroenterology

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 91299......... 26.......... C........... Gastroenterology

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 92002......... ............ A........... Eye exam, new

0.88

0.93

0.95

0.25

0.30

0.02

XXX patient. 92004......... ............ A........... Eye exam, new

1.82

1.57

1.63

0.55

0.62

0.04

XXX patient. 92012......... ............ A........... Eye exam

0.92

0.99

1.01

0.31

0.30

0.02

XXX established pat. 92014......... ............ A........... Eye exam &

1.42

1.37

1.39

0.46

0.46

0.03

XXX treatment. 92015......... ............ N........... Refraction........

0.38

0.10

0.79

0.09

0.12

0.01

XXX 92018......... ............ A........... New eye exam &

2.50

NA

NA

0.86

0.96

0.07

XXX treatment. 92019......... ............ A........... Eye exam &

1.31

NA

NA

0.35

0.46

0.03

XXX treatment. 92020......... ............ A........... Special eye

0.37

0.25

0.29

0.13

0.14

0.01

XXX evaluation. 92025......... ............ A........... Corneal topography

0.35

0.49

0.49

NA

NA

0.02

XXX 92025......... TC.......... A........... Corneal topography

0.00

0.37

0.37

NA

NA

0.01

XXX 92025......... 26.......... A........... Corneal topography

0.35

0.12

0.12

0.12

0.12

0.01

XXX 92060......... ............ A........... Special eye

0.69

0.76

0.75

NA

NA

0.03

XXX evaluation. 92060......... TC.......... A........... Special eye

0.00

0.54

0.49

NA

NA

0.01

XXX evaluation. 92060......... 26.......... A........... Special eye

0.69

0.22

0.26

0.22

0.26

0.02

XXX evaluation. 92065......... ............ A........... Orthoptic/pleoptic

0.37

0.86

0.69

NA

NA

0.02

XXX training. 92065......... TC.......... A........... Orthoptic/pleoptic

0.00

0.77

0.57

NA

NA

0.01

XXX training. 92065......... 26.......... A........... Orthoptic/pleoptic

0.37

0.09

0.12

0.09

0.12

0.01

XXX training. 92070......... ............ A........... Fitting of contact

0.70

0.90

0.99

0.22

0.27

0.02

XXX lens.

[[Page 2684]]

92081......... ............ A........... Visual field

0.36

0.95

0.95

NA

NA

0.02

XXX examination(s). 92081......... TC.......... A........... Visual field

0.00

0.84

0.82

NA

NA

0.01

XXX examination(s). 92081......... 26.......... A........... Visual field

0.36

0.11

0.13

0.11

0.13

0.01

XXX examination(s). 92082......... ............ A........... Visual field

0.44

1.32

1.27

NA

NA

0.02

XXX examination(s). 92082......... TC.......... A........... Visual field

0.00

1.18

1.11

NA

NA

0.01

XXX examination(s). 92082......... 26.......... A........... Visual field

0.44

0.14

0.16

0.14

0.16

0.01

XXX examination(s). 92083......... ............ A........... Visual field

0.50

1.51

1.47

NA

NA

0.02

XXX examination(s). 92083......... TC.......... A........... Visual field

0.00

1.35

1.28

NA

NA

0.01

XXX examination(s). 92083......... 26.......... A........... Visual field

0.50

0.16

0.19

0.16

0.19

0.01

XXX examination(s). 92100......... ............ A........... Serial tonometry

0.92

1.24

1.29

0.27

0.32

0.02

XXX exam(s). 92120......... ............ A........... Tonography & eye

0.81

0.97

1.02

0.25

0.28

0.02

XXX evaluation. 92130......... ............ A........... Water provocation

0.81

1.18

1.23

0.27

0.32

0.02

XXX tonography. 92135......... ............ A........... Ophth dx imaging

0.35

0.79

0.79

NA

NA

0.02

XXX post seg. 92135......... TC.......... A........... Ophth dx imaging

0.00

0.67

0.66

NA

NA

0.01

XXX post seg. 92135......... 26.......... A........... Ophth dx imaging

0.35

0.12

0.13

0.12

0.13

0.01

XXX post seg. 92136......... ............ A........... Ophthalmic

0.54

1.42

1.54

NA

NA

0.08

XXX biometry. 92136......... TC.......... A........... Ophthalmic

0.00

1.23

1.32

NA

NA

0.07

XXX biometry. 92136......... 26.......... A........... Ophthalmic

0.54

0.19

0.22

0.19

0.22

0.01

XXX biometry. 92140......... ............ A........... Glaucoma

0.50

0.89

0.94

0.14

0.18

0.01

XXX provocative tests. 92225......... ............ A........... Special eye exam,

0.38

0.24

0.23

0.12

0.14

0.01

XXX initial. 92226......... ............ A........... Special eye exam,

0.33

0.23

0.22

0.11

0.13

0.01

XXX subsequent. 92230......... ............ A........... Eye exam with

0.60

0.68

1.10

0.19

0.19

0.02

XXX photos. 92235......... ............ A........... Eye exam with

0.81

2.26

2.44

NA

NA

0.08

XXX photos. 92235......... TC.......... A........... Eye exam with

0.00

1.97

2.11

NA

NA

0.06

XXX photos. 92235......... 26.......... A........... Eye exam with

0.81

0.29

0.33

0.29

0.33

0.02

XXX photos. 92240......... ............ A........... Icg angiography...

1.10

4.38

5.25

NA

NA

0.09

XXX 92240......... TC.......... A........... Icg angiography...

0.00

3.99

4.80

NA

NA

0.06

XXX 92240......... 26.......... A........... Icg angiography...

1.10

0.39

0.45

0.39

0.45

0.03

XXX 92250......... ............ A........... Eye exam with

0.44

1.30

1.41

NA

NA

0.02

XXX photos. 92250......... TC.......... A........... Eye exam with

0.00

1.16

1.25

NA

NA

0.01

XXX photos. 92250......... 26.......... A........... Eye exam with

0.44

0.14

0.16

0.14

0.16

0.01

XXX photos. 92260......... ............ A........... Ophthalmoscopy/

0.20

0.23

0.24

0.07

0.08

0.01

XXX dynamometry. 92265......... ............ A........... Eye muscle

0.81

1.00

1.24

NA

NA

0.06

XXX evaluation. 92265......... TC.......... A........... Eye muscle

0.00

0.76

0.98

NA

NA

0.02

XXX evaluation. 92265......... 26.......... A........... Eye muscle

0.81

0.24

0.26

0.24

0.26

0.04

XXX evaluation. 92270......... ............ A........... Electro-

0.81

1.32

1.42

NA

NA

0.05

XXX oculography. 92270......... TC.......... A........... Electro-

0.00

1.09

1.14

NA

NA

0.02

XXX oculography. 92270......... 26.......... A........... Electro-

0.81

0.23

0.28

0.23

0.28

0.03

XXX oculography. 92275......... ............ A........... Electroretinograph

1.01

2.42

2.18

NA

NA

0.05

XXX y. 92275......... TC.......... A........... Electroretinograph

0.00

2.07

1.79

NA

NA

0.02

XXX y. 92275......... 26.......... A........... Electroretinograph

1.01

0.35

0.39

0.35

0.39

0.03

XXX y. 92283......... ............ A........... Color vision

0.17

0.99

0.91

NA

NA

0.02

XXX examination. 92283......... TC.......... A........... Color vision

0.00

0.94

0.85

NA

NA

0.01

XXX examination. 92283......... 26.......... A........... Color vision

0.17

0.05

0.06

0.05

0.06

0.01

XXX examination. 92284......... ............ A........... Dark adaptation

0.24

1.13

1.50

NA

NA

0.02

XXX eye exam. 92284......... TC.......... A........... Dark adaptation

0.00

1.06

1.43

NA

NA

0.01

XXX eye exam. 92284......... 26.......... A........... Dark adaptation

0.24

0.07

0.07

0.07

0.07

0.01

XXX eye exam. 92285......... ............ A........... Eye photography...

0.20

0.80

0.89

NA

NA

0.02

XXX 92285......... TC.......... A........... Eye photography...

0.00

0.73

0.81

NA

NA

0.01

XXX 92285......... 26.......... A........... Eye photography...

0.20

0.07

0.08

0.07

0.08

0.01

XXX 92286......... ............ A........... Internal eye

0.66

2.09

2.56

NA

NA

0.04

XXX photography. 92286......... TC.......... A........... Internal eye

0.00

1.87

2.31

NA

NA

0.02

XXX photography. 92286......... 26.......... A........... Internal eye

0.66

0.22

0.25

0.22

0.25

0.02

XXX photography. 92287......... ............ A........... Internal eye

0.81

1.90

2.14

0.27

0.29

0.02

XXX photography. 92310......... ............ N........... Contact lens

1.17

1.06

1.09

0.27

0.36

0.04

XXX fitting. 92311......... ............ A........... Contact lens

1.08

1.27

1.18

0.31

0.33

0.03

XXX fitting. 92312......... ............ A........... Contact lens

1.26

1.45

1.27

0.33

0.42

0.03

XXX fitting. 92313......... ............ A........... Contact lens

0.92

1.42

1.24

0.31

0.30

0.02

XXX fitting. 92314......... ............ N........... Prescription of

0.69

1.14

1.04

0.16

0.21

0.01

XXX contact lens. 92315......... ............ A........... Prescription of

0.45

1.31

1.08

0.13

0.14

0.01

XXX contact lens. 92316......... ............ A........... Prescription of

0.68

1.63

1.27

0.22

0.26

0.02

XXX contact lens. 92317......... ............ A........... Prescription of

0.45

1.31

1.12

0.11

0.13

0.01

XXX contact lens. 92325......... ............ A........... Modification of

0.00

0.83

0.62

NA

NA

0.01

XXX contact lens. 92326......... ............ A........... Replacement of

0.00

0.73

1.18

NA

NA

0.06

XXX contact lens. 92340......... ............ N........... Fitting of

0.37

0.44

0.57

0.09

0.11

0.01

XXX spectacles. 92341......... ............ N........... Fitting of

0.47

0.46

0.60

0.11

0.14

0.01

XXX spectacles. 92342......... ............ N........... Fitting of

0.53

0.48

0.62

0.12

0.17

0.01

XXX spectacles. 92352......... ............ B........... Special spectacles

0.37

0.56

0.62

0.09

0.11

0.01

XXX fitting. 92353......... ............ B........... Special spectacles

0.50

0.59

0.66

0.11

0.15

0.02

XXX fitting. 92354......... ............ B........... Special spectacles

0.00

0.28

4.58

NA

NA

0.10

XXX fitting. 92355......... ............ B........... Special spectacles

0.00

0.44

2.39

NA

NA

0.01

XXX fitting. 92358......... ............ B........... Eye prosthesis

0.00

0.24

0.60

NA

NA

0.05

XXX service.

[[Page 2685]]

92370......... ............ N........... Repair & adjust

0.32

0.39

0.47

0.07

0.10

0.02

XXX spectacles. 92371......... ............ B........... Repair & adjust

0.00

0.24

0.43

NA

NA

0.02

XXX spectacles. 92499......... ............ C........... Eye service or

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 92499......... TC.......... C........... Eye service or

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 92499......... 26.......... C........... Eye service or

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 92502......... ............ A........... Ear and throat

1.51

NA

NA

0.90

1.01

0.05

000 examination. 92504......... ............ A........... Ear microscopy

0.18

0.60

0.55

0.06

0.07

0.01

XXX examination. 92506......... ............ A........... Speech/hearing

0.86

3.50

3.05

0.28

0.34

0.03

XXX evaluation. 92507......... ............ A........... Speech/hearing

0.52

1.23

1.17

0.16

0.19

0.02

XXX therapy. 92508......... ............ A........... Speech/hearing

0.26

0.55

0.53

0.09

0.11

0.01

XXX therapy. 92511......... ............ A........... Nasopharyngoscopy.

0.84

3.12

3.22

0.67

0.72

0.03

000 92512......... ............ A........... Nasal function

0.55

1.00

1.07

0.17

0.18

0.02

XXX studies. 92516......... ............ A........... Facial nerve

0.43

1.23

1.21

0.14

0.18

0.01

XXX function test. 92520......... ............ A........... Laryngeal function

0.75

0.93

0.72

0.24

0.31

0.03

XXX studies. 92526......... ............ A........... Oral function

0.55

1.70

1.67

0.16

0.18

0.02

XXX therapy. 92531......... ............ B........... Spontaneous

0.00

0.00

0.00

0.00

0.00

0.00

XXX nystagmus study. 92532......... ............ B........... Positional

0.00

0.00

0.00

0.00

0.00

0.00

XXX nystagmus test. 92533......... ............ B........... Caloric vestibular

0.00

0.00

0.00

0.00

0.00

0.00

XXX test. 92534......... ............ B........... Optokinetic

0.00

0.00

0.00

0.00

0.00

0.00

XXX nystagmus test. 92541......... ............ A........... Spontaneous

0.40

1.15

1.09

NA

NA

0.04

XXX nystagmus test. 92541......... TC.......... A........... Spontaneous

0.00

1.04

0.94

NA

NA

0.02

XXX nystagmus test. 92541......... 26.......... A........... Spontaneous

0.40

0.11

0.15

0.11

0.15

0.02

XXX nystagmus test. 92542......... ............ A........... Positional

0.33

1.29

1.22

NA

NA

0.03

XXX nystagmus test. 92542......... TC.......... A........... Positional

0.00

1.20

1.09

NA

NA

0.02

XXX nystagmus test. 92542......... 26.......... A........... Positional

0.33

0.09

0.13

0.09

0.13

0.01

XXX nystagmus test. 92543......... ............ A........... Caloric vestibular

0.10

0.65

0.61

NA

NA

0.02

XXX test. 92543......... TC.......... A........... Caloric vestibular

0.00

0.62

0.57

NA

NA

0.01

XXX test. 92543......... 26.......... A........... Caloric vestibular

0.10

0.03

0.04

0.03

0.04

0.01

XXX test. 92544......... ............ A........... Optokinetic

0.26

1.03

0.97

NA

NA

0.03

XXX nystagmus test. 92544......... TC.......... A........... Optokinetic

0.00

0.96

0.87

NA

NA

0.02

XXX nystagmus test. 92544......... 26.......... A........... Optokinetic

0.26

0.07

0.10

0.07

0.10

0.01

XXX nystagmus test. 92545......... ............ A........... Oscillating

0.23

1.00

0.90

NA

NA

0.03

XXX tracking test. 92545......... TC.......... A........... Oscillating

0.00

0.94

0.81

NA

NA

0.02

XXX tracking test. 92545......... 26.......... A........... Oscillating

0.23

0.06

0.09

0.06

0.09

0.01

XXX tracking test. 92546......... ............ A........... Sinusoidal

0.29

1.81

1.90

NA

NA

0.03

XXX rotational test. 92546......... TC.......... A........... Sinusoidal

0.00

1.73

1.80

NA

NA

0.02

XXX rotational test. 92546......... 26.......... A........... Sinusoidal

0.29

0.08

0.10

0.08

0.10

0.01

XXX rotational test. 92547......... ............ A........... Supplemental

0.00

0.11

0.09

0.11

0.09

0.06

ZZZ electrical test. 92548......... ............ A........... Posturography.....

0.50

1.70

1.98

NA

NA

0.15

XXX 92548......... TC.......... A........... Posturography.....

0.00

1.56

1.78

NA

NA

0.13

XXX 92548......... 26.......... A........... Posturography.....

0.50

0.14

0.20

0.14

0.20

0.02

XXX 92551......... ............ N........... Pure tone hearing

0.00

0.25

0.25

NA

NA

0.01

XXX test, air. 92552......... ............ A........... Pure tone

0.00

0.61

0.52

NA

NA

0.04

XXX audiometry, air. 92553......... ............ A........... Audiometry, air &

0.00

0.77

0.71

NA

NA

0.06

XXX bone. 92555......... ............ A........... Speech threshold

0.00

0.41

0.40

NA

NA

0.04

XXX audiometry. 92556......... ............ A........... Speech audiometry,

0.00

0.51

0.54

NA

NA

0.06

XXX complete. 92557......... ............ A........... Comprehensive

0.60

0.29

0.74

0.20

0.69

0.12

XXX hearing test. 92559......... ............ N........... Group audiometric

0.00

0.00

0.00

0.00

0.00

0.00

XXX testing. 92560......... ............ N........... Bekesy audiometry,

0.00

0.00

0.00

0.00

0.00

0.00

XXX screen. 92561......... ............ A........... Bekesy audiometry,

0.00

0.70

0.71

NA

NA

0.06

XXX diagnosis. 92562......... ............ A........... Loudness balance

0.00

0.62

0.51

NA

NA

0.04

XXX test. 92563......... ............ A........... Tone decay hearing

0.00

0.55

0.46

NA

NA

0.04

XXX test. 92564......... ............ A........... Sisi hearing test.

0.00

0.48

0.47

NA

NA

0.05

XXX 92565......... ............ A........... Stenger test, pure

0.00

0.25

0.33

NA

NA

0.04

XXX tone. 92567......... ............ A........... Tympanometry......

0.20

0.13

0.33

0.07

0.29

0.06

XXX 92568......... ............ A........... Acoustic refl

0.29

0.10

0.24

0.09

0.24

0.04

XXX threshold tst. 92569......... ............ A........... Acoustic reflex

0.20

0.07

0.24

0.07

0.24

0.04

XXX decay test. 92571......... ............ A........... Filtered speech

0.00

0.44

0.41

NA

NA

0.04

XXX hearing test. 92572......... ............ A........... Staggered spondaic

0.00

0.59

0.34

NA

NA

0.01

XXX word test. 92575......... ............ A........... Sensorineural

0.00

1.15

0.73

NA

NA

0.02

XXX acuity test. 92576......... ............ A........... Synthetic sentence

0.00

0.58

0.51

NA

NA

0.05

XXX test. 92577......... ............ A........... Stenger test,

0.00

0.26

0.49

NA

NA

0.07

XXX speech. 92579......... ............ A........... Visual audiometry

0.70

0.35

0.54

0.23

0.48

0.06

XXX (vra). 92582......... ............ A........... Conditioning play

0.00

1.17

0.95

NA

NA

0.06

XXX audiometry. 92583......... ............ A........... Select picture

0.00

0.73

0.81

NA

NA

0.08

XXX audiometry. 92584......... ............ A........... Electrocochleograp

0.00

1.36

1.92

NA

NA

0.21

XXX hy. 92585......... ............ A........... Auditor evoke

0.50

2.10

2.08

NA

NA

0.17

XXX potent, compre. 92585......... TC.......... A........... Auditor evoke

0.00

1.95

1.90

NA

NA

0.14

XXX potent, compre. 92585......... 26.......... A........... Auditor evoke

0.50

0.15

0.18

0.15

0.18

0.03

XXX potent, compre. 92586......... ............ A........... Auditor evoke

0.00

1.41

1.64

NA

NA

0.14

XXX potent, limit. 92587......... ............ A........... Evoked auditory

0.13

0.65

1.01

NA

NA

0.12

XXX test. 92587......... TC.......... A........... Evoked auditory

0.00

0.61

0.96

NA

NA

0.11

XXX test.

[[Page 2686]]

92587......... 26.......... A........... Evoked auditory

0.13

0.04

0.05

0.04

0.05

0.01

XXX test. 92588......... ............ A........... Evoked auditory

0.36

1.12

1.38

NA

NA

0.14

XXX test. 92588......... TC.......... A........... Evoked auditory

0.00

1.01

1.24

NA

NA

0.13

XXX test. 92588......... 26.......... A........... Evoked auditory

0.36

0.11

0.14

0.11

0.14

0.01

XXX test. 92590......... ............ N........... Hearing aid exam,

0.00

0.00

0.00

0.00

0.00

0.00

XXX one ear. 92591......... ............ N........... Hearing aid exam,

0.00

0.00

0.00

0.00

0.00

0.00

XXX both ears. 92592......... ............ N........... Hearing aid check,

0.00

0.00

0.00

0.00

0.00

0.00

XXX one ear. 92593......... ............ N........... Hearing aid check,

0.00

0.00

0.00

0.00

0.00

0.00

XXX both ears. 92594......... ............ N........... Electro hearng aid

0.00

0.00

0.00

0.00

0.00

0.00

XXX test, one. 92595......... ............ N........... Electro hearng aid

0.00

0.00

0.00

0.00

0.00

0.00

XXX tst, both. 92596......... ............ A........... Ear protector

0.00

1.02

0.80

NA

NA

0.06

XXX evaluation. 92597......... ............ A........... Oral speech device

0.86

1.99

1.84

0.28

0.37

0.03

XXX eval. 92601......... ............ A........... Cochlear implt f/

2.30

1.09

2.29

0.64

2.07

0.07

XXX up exam . 92604......... ............ A........... Reprogram cochlear

1.25

0.78

1.06

0.41

0.88

0.07

XXX implt 7 >. 92605......... ............ B........... Eval for nonspeech

0.00

0.00

0.00

0.00

0.00

0.00

XXX device rx. 92606......... ............ B........... Non-speech device

0.00

0.00

0.00

0.00

0.00

0.00

XXX service. 92607......... ............ A........... Ex for speech

0.00

4.63

3.86

NA

NA

0.05

XXX device rx, 1hr. 92608......... ............ A........... Ex for speech

0.00

0.88

0.72

NA

NA

0.05

XXX device rx addl. 92609......... ............ A........... Use of speech

0.00

2.45

2.02

NA

NA

0.04

XXX device service. 92610......... ............ A........... Evaluate

0.00

1.70

2.57

NA

NA

0.08

XXX swallowing function. 92611......... ............ A........... Motion fluoroscopy/ 0.00

1.95

2.69

NA

NA

0.08

XXX swallow. 92612......... ............ A........... Endoscopy swallow

1.27

2.97

2.86

0.42

0.54

0.04

XXX tst (fees). 92613......... ............ A........... Endoscopy swallow

0.71

0.24

0.32

0.24

0.31

0.05

XXX tst (fees). 92614......... ............ A........... Laryngoscopic

1.27

2.42

2.46

0.42

0.54

0.04

XXX sensory test. 92615......... ............ A........... Eval laryngoscopy

0.63

0.21

0.28

0.21

0.28

0.05

XXX sense tst. 92616......... ............ A........... Fees w/laryngeal

1.88

3.16

3.28

0.61

0.80

0.06

XXX sense test. 92617......... ............ A........... Interprt fees/

0.79

0.26

0.35

0.26

0.35

0.05

XXX laryngeal test. 92620......... ............ A........... Auditory function,

0.00

1.93

1.54

NA

NA

0.06

XXX 60 min. 92621......... ............ A........... Auditory function,

0.00

0.44

0.34

NA

NA

0.06

ZZZ + 15 min. 92625......... ............ A........... Tinnitus

0.00

1.94

1.53

1.94

1.53

0.06

XXX assessment. 92626......... ............ A........... Eval aud rehab

0.00

2.01

2.10

NA

NA

0.06

XXX status. 92627......... ............ A........... Eval aud status

0.00

0.46

0.50

0.46

0.50

0.02

ZZZ rehab add-on. 92630......... ............ I........... Aud rehab pre-ling

0.00

0.00

0.00

0.00

0.00

0.00

XXX hear loss. 92633......... ............ I........... Aud rehab postling

0.00

0.00

0.00

0.00

0.00

0.00

XXX hear loss. 92640......... ............ A........... Aud brainstem

0.00

1.34

1.34

1.34

1.34

0.01

XXX implt programg. 92700......... ............ C........... Ent procedure/

0.00

0.00

0.00

0.00

0.00

0.00

XXX service. 92950......... ............ A........... Heart/lung

3.79

3.25

3.72

0.77

0.87

0.28

000 resuscitation cpr. 92953......... ............ A........... Temporary external

0.23

NA

NA

0.07

0.07

0.02

000 pacing. 92960......... ............ A........... Cardioversion

2.25

4.37

5.34

1.45

1.31

0.07

000 electric, ext. 92961......... ............ A........... Cardioversion,

4.59

NA

NA

2.43

2.26

0.29

000 electric, int. 92970......... ............ A........... Cardioassist,

3.51

NA

NA

1.46

1.26

0.16

000 internal. 92971......... ............ A........... Cardioassist,

1.77

NA

NA

1.09

0.97

0.06

000 external. 92973......... ............ A........... Percut coronary

3.28

NA

NA

1.76

1.52

0.23

ZZZ thrombectomy. 92974......... ............ A........... Cath place, cardio

3.00

NA

NA

1.62

1.40

0.21

ZZZ brachytx. 92975......... ............ A........... Dissolve clot,

7.24

NA

NA

3.84

3.33

0.50

000 heart vessel. 92977......... ............ A........... Dissolve clot,

0.00

1.73

4.89

NA

NA

0.46

XXX heart vessel. 92978......... ............ C........... Intravasc us,

0.00

0.00

0.00

NA

NA

0.00

ZZZ heart add-on. 92978......... TC.......... C........... Intravasc us,

0.00

0.00

0.00

NA

NA

0.00

ZZZ heart add-on. 92978......... 26.......... A........... Intravasc us,

1.80

0.96

0.84

0.96

0.84

0.06

ZZZ heart add-on. 92979......... ............ C........... Intravasc us,

0.00

0.00

0.00

NA

NA

0.00

ZZZ heart add-on. 92979......... TC.......... C........... Intravasc us,

0.00

0.00

0.00

NA

NA

0.00

ZZZ heart add-on. 92979......... 26.......... A........... Intravasc us,

1.44

0.77

0.67

0.77

0.67

0.06

ZZZ heart add-on. 92980......... ............ A........... Insert

14.82

NA

NA

8.13

7.09

1.03

000 intracoronary stent. 92981......... ............ A........... Insert

4.16

NA

NA

2.23

1.93

0.29

ZZZ intracoronary stent. 92982......... ............ A........... Coronary artery

10.96

NA

NA

6.06

5.29

0.76

000 dilation. 92984......... ............ A........... Coronary artery

2.97

NA

NA

1.58

1.37

0.21

ZZZ dilation. 92986......... ............ A........... Revision of aortic 22.70

NA

NA

15.34

13.59

1.51

090 valve. 92987......... ............ A........... Revision of mitral 23.48

NA

NA

15.96

14.09

1.59

090 valve. 92990......... ............ A........... Revision of

18.12

NA

NA

11.34

10.57

1.20

090 pulmonary valve. 92992......... ............ C........... Revision of heart

0.00

0.00

0.00

0.00

0.00

0.00

090 chamber. 92993......... ............ C........... Revision of heart

0.00

0.00

0.00

0.00

0.00

0.00

090 chamber. 92995......... ............ A........... Coronary

12.07

NA

NA

6.65

5.80

0.84

000 atherectomy. 92996......... ............ A........... Coronary

3.26

NA

NA

1.76

1.51

0.10

ZZZ atherectomy add- on. 92997......... ............ A........... Pul art balloon

11.98

NA

NA

5.61

5.22

0.40

000 repr, percut. 92998......... ............ A........... Pul art balloon

5.99

NA

NA

3.00

2.60

0.28

ZZZ repr, percut. 93000......... ............ A........... Electrocardiogram,

0.17

0.35

0.42

NA

NA

0.03

XXX complete. 93005......... ............ A........... Electrocardiogram,

0.00

0.28

0.36

NA

NA

0.02

XXX tracing. 93010......... ............ A........... Electrocardiogram

0.17

0.07

0.06

0.07

0.06

0.01

XXX report. 93012......... ............ A........... Transmission of

0.00

4.17

5.09

NA

NA

0.18

XXX ecg. 93014......... ............ A........... Report on

0.52

0.22

0.21

0.22

0.21

0.02

XXX transmitted ecg.

[[Page 2687]]

93015......... ............ A........... Cardiovascular

0.75

1.91

1.94

NA

NA

0.14

XXX stress test. 93016......... ............ A........... Cardiovascular

0.45

0.22

0.20

0.22

0.20

0.02

XXX stress test. 93017......... ............ A........... Cardiovascular

0.00

1.54

1.61

NA

NA

0.11

XXX stress test. 93018......... ............ A........... Cardiovascular

0.30

0.15

0.13

0.15

0.13

0.01

XXX stress test. 93024......... ............ A........... Cardiac drug

1.17

2.40

1.98

NA

NA

0.12

XXX stress test. 93024......... TC.......... A........... Cardiac drug

0.00

1.82

1.47

NA

NA

0.08

XXX stress test. 93024......... 26.......... A........... Cardiac drug

1.17

0.58

0.51

0.58

0.51

0.04

XXX stress test. 93025......... ............ A........... Microvolt t-wave

0.75

3.93

5.77

NA

NA

0.14

XXX assess. 93025......... TC.......... A........... Microvolt t-wave

0.00

3.55

5.43

NA

NA

0.11

XXX assess. 93025......... 26.......... A........... Microvolt t-wave

0.75

0.38

0.34

0.38

0.34

0.03

XXX assess. 93040......... ............ A........... Rhythm ECG with

0.16

0.19

0.20

NA

NA

0.02

XXX report. 93041......... ............ A........... Rhythm ECG,

0.00

0.14

0.15

NA

NA

0.01

XXX tracing. 93042......... ............ A........... Rhythm ECG, report

0.16

0.05

0.05

0.05

0.05

0.01

XXX 93224......... ............ A........... ECG monitor/

0.52

2.31

2.97

NA

NA

0.24

XXX report, 24 hrs. 93225......... ............ A........... ECG monitor/

0.00

0.85

1.05

NA

NA

0.08

XXX record, 24 hrs. 93226......... ............ A........... ECG monitor/

0.00

1.19

1.69

NA

NA

0.14

XXX report, 24 hrs. 93227......... ............ A........... ECG monitor/

0.52

0.27

0.23

0.27

0.23

0.02

XXX review, 24 hrs. 93230......... ............ A........... ECG monitor/

0.52

2.30

3.10

NA

NA

0.26

XXX report, 24 hrs. 93231......... ............ A........... Ecg monitor/

0.00

0.72

1.12

NA

NA

0.11

XXX record, 24 hrs. 93232......... ............ A........... ECG monitor/

0.00

1.35

1.77

NA

NA

0.13

XXX report, 24 hrs. 93233......... ............ A........... ECG monitor/

0.52

0.23

0.21

0.23

0.21

0.02

XXX review, 24 hrs. 93235......... ............ C........... ECG monitor/

0.00

0.00

0.00

0.00

0.00

0.00

XXX report, 24 hrs. 93236......... ............ C........... ECG monitor/

0.00

0.00

0.00

0.00

0.00

0.00

XXX report, 24 hrs. 93237......... ............ A........... ECG monitor/

0.45

0.22

0.19

0.22

0.19

0.02

XXX review, 24 hrs. 93268......... ............ A........... ECG record/review.

0.52

5.79

6.61

NA

NA

0.28

XXX 93270......... ............ A........... ECG recording.....

0.00

0.29

0.76

NA

NA

0.08

XXX 93271......... ............ A........... Ecg/monitoring and

0.00

5.28

5.65

NA

NA

0.18

XXX analysis. 93272......... ............ A........... Ecg/review,

0.52

0.22

0.20

0.22

0.20

0.02

XXX interpret only. 93278......... ............ A........... ECG/signal-

0.25

0.62

0.93

NA

NA

0.12

XXX averaged. 93278......... TC.......... A........... ECG/signal-

0.00

0.52

0.83

NA

NA

0.11

XXX averaged. 93278......... 26.......... A........... ECG/signal-

0.25

0.10

0.10

0.10

0.10

0.01

XXX averaged. 93303......... ............ A........... Echo transthoracic

1.30

4.50

4.41

NA

NA

0.27

XXX 93303......... TC.......... A........... Echo transthoracic

0.00

3.97

3.91

NA

NA

0.23

XXX 93303......... 26.......... A........... Echo transthoracic

1.30

0.53

0.50

0.53

0.50

0.04

XXX 93304......... ............ A........... Echo transthoracic

0.75

3.10

2.67

NA

NA

0.15

XXX 93304......... TC.......... A........... Echo transthoracic

0.00

2.80

2.38

NA

NA

0.13

XXX 93304......... 26.......... A........... Echo transthoracic

0.75

0.30

0.29

0.30

0.29

0.02

XXX 93307......... ............ A........... Echo exam of heart

0.92

3.73

3.97

NA

NA

0.26

XXX 93307......... TC.......... A........... Echo exam of heart

0.00

3.28

3.57

NA

NA

0.23

XXX 93307......... 26.......... A........... Echo exam of heart

0.92

0.45

0.40

0.45

0.40

0.03

XXX 93308......... ............ A........... Echo exam of heart

0.53

2.62

2.38

NA

NA

0.15

XXX 93308......... TC.......... A........... Echo exam of heart

0.00

2.35

2.15

NA

NA

0.13

XXX 93308......... 26.......... A........... Echo exam of heart

0.53

0.27

0.23

0.27

0.23

0.02

XXX 93312......... ............ A........... Echo

2.20

7.39

5.98

NA

NA

0.37

XXX transesophageal. 93312......... TC.......... A........... Echo

0.00

6.42

5.10

NA

NA

0.29

XXX transesophageal. 93312......... 26.......... A........... Echo

2.20

0.97

0.88

0.97

0.88

0.08

XXX transesophageal. 93313......... ............ A........... Echo

0.95

NA

NA

0.12

0.17

0.06

XXX transesophageal. 93314......... ............ A........... Echo

1.25

7.22

5.73

NA

NA

0.33

XXX transesophageal. 93314......... TC.......... A........... Echo

0.00

6.66

5.22

NA

NA

0.29

XXX transesophageal. 93314......... 26.......... A........... Echo

1.25

0.56

0.51

0.56

0.51

0.04

XXX transesophageal. 93315......... ............ C........... Echo

0.00

0.00

0.00

NA

NA

0.00

XXX transesophageal. 93315......... TC.......... C........... Echo

0.00

0.00

0.00

NA

NA

0.00

XXX transesophageal. 93315......... 26.......... A........... Echo

2.78

1.31

1.16

1.31

1.16

0.09

XXX transesophageal. 93316......... ............ A........... Echo

0.95

NA

NA

0.26

0.25

0.05

XXX transesophageal. 93317......... ............ C........... Echo

0.00

0.00

0.00

NA

NA

0.00

XXX transesophageal. 93317......... TC.......... C........... Echo

0.00

0.00

0.00

NA

NA

0.00

XXX transesophageal. 93317......... 26.......... A........... Echo

1.83

0.55

0.61

0.55

0.61

0.08

XXX transesophageal. 93318......... ............ C........... Echo

0.00

0.00

0.00

NA

NA

0.00

XXX transesophageal intraop. 93318......... TC.......... C........... Echo

0.00

0.00

0.00

NA

NA

0.00

XXX transesophageal intraop. 93318......... 26.......... A........... Echo

2.20

0.86

0.67

0.86

0.67

0.14

XXX transesophageal intraop. 93320......... ............ A........... Doppler echo exam,

0.38

1.67

1.77

NA

NA

0.13

ZZZ heart. 93320......... TC.......... A........... Doppler echo exam,

0.00

1.49

1.60

NA

NA

0.12

ZZZ heart. 93320......... 26.......... A........... Doppler echo exam,

0.38

0.18

0.17

0.18

0.17

0.01

ZZZ heart. 93321......... ............ A........... Doppler echo exam,

0.15

0.61

0.89

NA

NA

0.09

ZZZ heart. 93321......... TC.......... A........... Doppler echo exam,

0.00

0.54

0.82

NA

NA

0.08

ZZZ heart. 93321......... 26.......... A........... Doppler echo exam,

0.15

0.07

0.07

0.07

0.07

0.01

ZZZ heart. 93325......... ............ A........... Doppler color flow

0.07

0.66

1.80

NA

NA

0.22

ZZZ add-on. 93325......... TC.......... A........... Doppler color flow

0.00

0.63

1.77

NA

NA

0.21

ZZZ add-on. 93325......... 26.......... A........... Doppler color flow

0.07

0.03

0.03

0.03

0.03

0.01

ZZZ add-on. 93350......... ............ A........... Echo transthoracic

1.48

5.09

3.71

NA

NA

0.18

XXX 93350......... TC.......... A........... Echo transthoracic

0.00

4.33

3.05

NA

NA

0.13

XXX 93350......... 26.......... A........... Echo transthoracic

1.48

0.76

0.66

0.76

0.66

0.05

XXX

[[Page 2688]]

93501......... ............ A........... Right heart

3.02

18.71

18.39

NA

NA

1.27

000 catheterization. 93501......... TC.......... A........... Right heart

0.00

17.14

17.03

NA

NA

1.06

000 catheterization. 93501......... 26.......... A........... Right heart

3.02

1.57

1.36

1.57

1.36

0.21

000 catheterization. 93503......... ............ A........... Insert/place heart

2.91

NA

NA

NA

NA

0.20

000 catheter. 93505......... ............ A........... Biopsy of heart

4.37

20.92

12.29

NA

NA

0.46

000 lining. 93505......... TC.......... A........... Biopsy of heart

0.00

18.64

10.31

NA

NA

0.16

000 lining. 93505......... 26.......... A........... Biopsy of heart

4.37

2.28

1.98

2.28

1.98

0.30

000 lining. 93508......... ............ A........... Cath placement,

4.09

28.85

21.78

NA

NA

0.93

000 angiography. 93508......... TC.......... A........... Cath placement,

0.00

26.68

19.65

NA

NA

0.65

000 angiography. 93508......... 26.......... A........... Cath placement,

4.09

2.17

2.13

2.17

2.13

0.28

000 angiography. 93510......... ............ A........... Left heart

4.32

28.15

33.65

NA

NA

2.61

000 catheterization. 93510......... TC.......... A........... Left heart

0.00

25.87

31.42

NA

NA

2.31

000 catheterization. 93510......... 26.......... A........... Left heart

4.32

2.28

2.23

2.28

2.23

0.30

000 catheterization. 93511......... ............ C........... Left heart

0.00

NA

NA

NA

NA

0.00

000 catheterization. 93511......... TC.......... C........... Left heart

0.00

NA

NA

NA

NA

0.00

000 catheterization. 93511......... 26.......... A........... Left heart

5.02

2.65

2.55

2.65

2.55

0.35

000 catheterization. 93514......... ............ C........... Left heart

0.00

NA

NA

NA

NA

0.00

000 catheterization. 93514......... TC.......... C........... Left heart

0.00

NA

NA

NA

NA

0.00

000 catheterization. 93514......... 26.......... A........... Left heart

7.04

2.95

3.04

2.95

3.04

0.49

000 catheterization. 93524......... ............ C........... Left heart

0.00

NA

NA

NA

NA

0.00

000 catheterization. 93524......... TC.......... C........... Left heart

0.00

NA

NA

NA

NA

0.00

000 catheterization. 93524......... 26.......... A........... Left heart

6.94

3.78

3.47

3.78

3.47

0.48

000 catheterization. 93526......... ............ A........... Rt & Lt heart

5.98

35.14

43.04

NA

NA

3.46

000 catheters. 93526......... TC.......... A........... Rt & Lt heart

0.00

31.97

40.05

NA

NA

3.04

000 catheters. 93526......... 26.......... A........... Rt & Lt heart

5.98

3.17

2.99

3.17

2.99

0.42

000 catheters. 93527......... ............ C........... Rt & Lt heart

0.00

NA

NA

NA

NA

0.00

000 catheters. 93527......... TC.......... C........... Rt & Lt heart

0.00

NA

NA

NA

NA

0.00

000 catheters. 93527......... 26.......... A........... Rt & Lt heart

7.27

3.86

3.59

3.86

3.59

0.51

000 catheters. 93528......... ............ C........... Rt & Lt heart

0.00

NA

NA

NA

NA

0.00

000 catheters. 93528......... TC.......... C........... Rt & Lt heart

0.00

NA

NA

NA

NA

0.00

000 catheters. 93528......... 26.......... A........... Rt & Lt heart

8.99

4.43

4.23

4.43

4.23

0.62

000 catheters. 93529......... ............ C........... Rt, lt heart

0.00

NA

NA

NA

NA

0.00

000 catheterization. 93529......... TC.......... C........... Rt, lt heart

0.00

NA

NA

NA

NA

0.00

000 catheterization. 93529......... 26.......... A........... Rt, lt heart

4.79

2.58

2.43

2.58

2.43

0.33

000 catheterization. 93530......... ............ C........... Rt heart cath,

0.00

NA

NA

NA

NA

0.00

000 congenital. 93530......... TC.......... C........... Rt heart cath,

0.00

NA

NA

NA

NA

0.00

000 congenital. 93530......... 26.......... A........... Rt heart cath,

4.22

1.84

1.89

1.84

1.89

0.29

000 congenital. 93531......... ............ C........... R & l heart cath,

0.00

NA

NA

NA

NA

0.00

000 congenital. 93531......... TC.......... C........... R & l heart cath,

0.00

NA

NA

NA

NA

0.00

000 congenital. 93531......... 26.......... A........... R & l heart cath,

8.34

3.57

3.58

3.57

3.58

0.58

000 congenital. 93532......... ............ C........... R & l heart cath,

0.00

NA

NA

NA

NA

0.00

000 congenital. 93532......... TC.......... C........... R & l heart cath,

0.00

NA

NA

NA

NA

0.00

000 congenital. 93532......... 26.......... A........... R & l heart cath,

9.99

3.66

3.95

3.66

3.95

0.69

000 congenital. 93533......... ............ C........... R & l heart cath,

0.00

NA

NA

NA

NA

0.00

000 congenital. 93533......... TC.......... C........... R & l heart cath,

0.00

NA

NA

NA

NA

0.00

000 congenital. 93533......... 26.......... A........... R & l heart cath,

6.69

3.16

2.98

3.16

2.98

0.47

000 congenital. 93539......... ............ A........... Injection, cardiac

0.40

2.47

1.31

0.21

0.19

0.01

000 cath. 93540......... ............ A........... Injection, cardiac

0.43

8.62

4.39

0.23

0.20

0.01

000 cath. 93541......... ............ A........... Injection for lung

0.29

0.15

0.13

0.15

0.13

0.01

000 angiogram. 93542......... ............ A........... Injection for

0.29

5.19

2.65

0.15

0.13

0.01

000 heart x-rays. 93543......... ............ A........... Injection for

0.29

2.62

1.37

0.16

0.13

0.01

000 heart x-rays. 93544......... ............ A........... Injection for

0.25

1.84

0.97

0.13

0.12

0.01

000 aortography. 93545......... ............ A........... Inject for

0.40

5.87

3.01

0.21

0.19

0.01

000 coronary x-rays. 93555......... ............ A........... Imaging, cardiac

0.81

0.60

3.59

NA

NA

0.37

XXX cath. 93555......... TC.......... A........... Imaging, cardiac

0.00

0.17

3.22

NA

NA

0.34

XXX cath. 93555......... 26.......... A........... Imaging, cardiac

0.81

0.43

0.37

0.43

0.37

0.03

XXX cath. 93556......... ............ A........... Imaging, cardiac

0.83

0.88

5.55

NA

NA

0.54

XXX cath. 93556......... TC.......... A........... Imaging, cardiac

0.00

0.44

5.17

NA

NA

0.51

XXX cath. 93556......... 26.......... A........... Imaging, cardiac

0.83

0.44

0.38

0.44

0.38

0.03

XXX cath. 93561......... ............ C........... Cardiac output

0.00

NA

NA

NA

NA

0.00

000 measurement. 93561......... TC.......... C........... Cardiac output

0.00

NA

NA

NA

NA

0.00

000 measurement. 93561......... 26.......... A........... Cardiac output

0.50

0.14

0.15

0.14

0.15

0.02

000 measurement. 93562......... ............ C........... Cardiac output

0.00

NA

NA

NA

NA

0.00

000 measurement. 93562......... TC.......... C........... Cardiac output

0.00

NA

NA

NA

NA

0.00

000 measurement. 93562......... 26.......... A........... Cardiac output

0.16

0.03

0.04

0.03

0.04

0.01

000 measurement. 93571......... ............ C........... Heart flow reserve

0.00

NA

NA

NA

NA

0.00

ZZZ measure. 93571......... TC.......... C........... Heart flow reserve

0.00

NA

NA

NA

NA

0.00

ZZZ measure. 93571......... 26.......... A........... Heart flow reserve

1.80

0.96

0.82

0.96

0.82

0.06

ZZZ measure. 93572......... ............ C........... Heart flow reserve

0.00

NA

NA

NA

NA

0.00

ZZZ measure. 93572......... TC.......... C........... Heart flow reserve

0.00

NA

NA

NA

NA

0.00

ZZZ measure. 93572......... 26.......... A........... Heart flow reserve

1.44

0.74

0.62

0.74

0.62

0.04

ZZZ measure. 93580......... ............ A........... Transcath closure

17.97

NA

NA

9.41

8.40

1.25

000 of asd.

[[Page 2689]]

93581......... ............ A........... Transcath closure

24.39

NA

NA

11.56

10.48

1.72

000 of vsd. 93600......... ............ C........... Bundle of His

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93600......... TC.......... C........... Bundle of His

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93600......... 26.......... A........... Bundle of His

2.12

1.09

0.96

1.09

0.96

0.16

000 recording. 93602......... ............ C........... Intra-atrial

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93602......... TC.......... C........... Intra-atrial

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93602......... 26.......... A........... Intra-atrial

2.12

1.04

0.93

1.04

0.93

0.17

000 recording. 93603......... ............ C........... Right ventricular

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93603......... TC.......... C........... Right ventricular

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93603......... 26.......... A........... Right ventricular

2.12

1.04

0.92

1.04

0.92

0.18

000 recording. 93609......... ............ C........... Map tachycardia,

0.00

0.00

0.00

NA

NA

0.00

ZZZ add-on. 93609......... TC.......... C........... Map tachycardia,

0.00

0.00

0.00

NA

NA

0.00

ZZZ add-on. 93609......... 26.......... A........... Map tachycardia,

4.99

2.61

2.29

2.61

2.29

0.35

ZZZ add-on. 93610......... ............ C........... Intra-atrial

0.00

0.00

0.00

NA

NA

0.00

000 pacing. 93610......... TC.......... C........... Intra-atrial

0.00

0.00

0.00

NA

NA

0.00

000 pacing. 93610......... 26.......... A........... Intra-atrial

3.02

1.47

1.31

1.47

1.31

0.24

000 pacing. 93612......... ............ C........... Intraventricular

0.00

0.00

0.00

NA

NA

0.00

000 pacing. 93612......... TC.......... C........... Intraventricular

0.00

0.00

0.00

NA

NA

0.00

000 pacing. 93612......... 26.......... A........... Intraventricular

3.02

1.43

1.29

1.43

1.29

0.25

000 pacing. 93613......... ............ A........... Electrophys map

6.99

NA

NA

3.69

3.23

0.49

ZZZ 3d, add-on. 93615......... ............ C........... Esophageal

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93615......... TC.......... C........... Esophageal

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93615......... 26.......... A........... Esophageal

0.99

0.54

0.40

0.54

0.40

0.03

000 recording. 93616......... ............ C........... Esophageal

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93616......... TC.......... C........... Esophageal

0.00

0.00

0.00

NA

NA

0.00

000 recording. 93616......... 26.......... A........... Esophageal

1.49

0.26

0.35

0.26

0.35

0.09

000 recording. 93618......... ............ C........... Heart rhythm

0.00

0.00

0.00

NA

NA

0.00

000 pacing. 93618......... TC.......... C........... Heart rhythm

0.00

0.00

0.00

NA

NA

0.00

000 pacing. 93618......... 26.......... A........... Heart rhythm

4.25

2.28

1.97

2.28

1.97

0.30

000 pacing. 93619......... ............ C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

000 evaluation. 93619......... TC.......... C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

000 evaluation. 93619......... 26.......... A........... Electrophysiology

7.31

3.87

3.53

3.87

3.53

0.51

000 evaluation. 93620......... ............ C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

000 evaluation. 93620......... TC.......... C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

000 evaluation. 93620......... 26.......... A........... Electrophysiology

11.57

6.09

5.46

6.09

5.46

0.80

000 evaluation. 93621......... ............ C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

ZZZ evaluation. 93621......... TC.......... C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

ZZZ evaluation. 93621......... 26.......... A........... Electrophysiology

2.10

1.10

0.96

1.10

0.96

0.15

ZZZ evaluation. 93622......... ............ C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

ZZZ evaluation. 93622......... TC.......... C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

ZZZ evaluation. 93622......... 26.......... A........... Electrophysiology

3.10

1.57

1.39

1.57

1.39

0.22

ZZZ evaluation. 93623......... ............ C........... Stimulation,

0.00

0.00

0.00

NA

NA

0.00

ZZZ pacing heart. 93623......... TC.......... C........... Stimulation,

0.00

0.00

0.00

NA

NA

0.00

ZZZ pacing heart. 93623......... 26.......... A........... Stimulation,

2.85

1.50

1.30

1.50

1.30

0.20

ZZZ pacing heart. 93624......... ............ C........... Electrophysiologic

0.00

0.00

0.00

NA

NA

0.00

000 study. 93624......... TC.......... C........... Electrophysiologic

0.00

0.00

0.00

NA

NA

0.00

000 study. 93624......... 26.......... A........... Electrophysiologic

4.80

2.60

2.40

2.60

2.40

0.33

000 study. 93631......... ............ C........... Heart pacing,

0.00

0.00

0.00

NA

NA

0.00

000 mapping. 93631......... TC.......... C........... Heart pacing,

0.00

0.00

0.00

NA

NA

0.00

000 mapping. 93631......... 26.......... A........... Heart pacing,

7.59

2.75

2.76

2.75

2.76

0.97

000 mapping. 93640......... ............ C........... Evaluation heart

0.00

0.00

0.00

NA

NA

0.00

000 device. 93640......... TC.......... C........... Evaluation heart

0.00

0.00

0.00

NA

NA

0.00

000 device. 93640......... 26.......... A........... Evaluation heart

3.51

1.82

1.59

1.82

1.59

0.24

000 device. 93641......... ............ C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

000 evaluation. 93641......... TC.......... C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

000 evaluation. 93641......... 26.......... A........... Electrophysiology

5.92

3.11

2.71

3.11

2.71

0.41

000 evaluation. 93642......... ............ C........... Electrophysiology

0.00

0.00

0.00

NA

NA

0.00

000 evaluation. 93642......... TC.......... A........... Electrophysiology

0.00

4.77

5.97

NA

NA

0.42

000 evaluation. 93642......... 26.......... A........... Electrophysiology

4.88

2.60

2.41

2.60

2.41

0.15

000 evaluation. 93650......... ............ A........... Ablate heart

10.49

NA

NA

5.80

5.12

0.73

000 dysrhythm focus. 93651......... ............ A........... Ablate heart

16.23

NA

NA

8.53

7.43

1.13

000 dysrhythm focus. 93652......... ............ A........... Ablate heart

17.65

NA

NA

9.35

8.12

1.23

000 dysrhythm focus. 93660......... ............ A........... Tilt table

1.89

3.01

2.71

NA

NA

0.08

000 evaluation. 93660......... TC.......... A........... Tilt table

0.00

2.04

1.86

NA

NA

0.02

000 evaluation. 93660......... 26.......... A........... Tilt table

1.89

0.97

0.85

0.97

0.85

0.06

000 evaluation. 93662......... ............ C........... Intracardiac ecg

0.00

0.00

0.00

NA

NA

0.00

ZZZ (ice). 93662......... TC.......... C........... Intracardiac ecg

0.00

0.00

0.00

NA

NA

0.00

ZZZ (ice). 93662......... 26.......... A........... Intracardiac ecg

2.80

1.47

1.29

1.47

1.29

0.09

ZZZ (ice). 93668......... ............ N........... Peripheral

0.00

0.41

0.41

NA

NA

0.01

XXX vascular rehab. 93701......... ............ A........... Bioimpedance,

0.17

0.70

0.84

NA

NA

0.02

XXX thoracic. 93701......... TC.......... A........... Bioimpedance,

0.00

0.64

0.77

NA

NA

0.01

XXX thoracic. 93701......... 26.......... A........... Bioimpedance,

0.17

0.06

0.07

0.06

0.07

0.01

XXX thoracic.

[[Page 2690]]

93720......... ............ A........... Total body

0.17

1.17

0.97

NA

NA

0.07

XXX plethysmography. 93721......... ............ A........... Plethysmography

0.00

1.13

0.92

NA

NA

0.06

XXX tracing. 93722......... ............ A........... Plethysmography

0.17

0.04

0.05

0.04

0.05

0.01

XXX report. 93724......... ............ A........... Analyze pacemaker

4.88

3.23

4.55

NA

NA

0.39

000 system. 93724......... TC.......... A........... Analyze pacemaker

0.00

0.88

2.42

NA

NA

0.24

000 system. 93724......... 26.......... A........... Analyze pacemaker

4.88

2.35

2.13

2.35

2.13

0.15

000 system. 93727......... ............ A........... Analyze ilr system

0.52

0.64

0.42

0.64

0.42

0.02

XXX 93731......... ............ A........... Analyze pacemaker

0.45

0.79

0.72

NA

NA

0.05

XXX system. 93731......... TC.......... A........... Analyze pacemaker

0.00

0.55

0.52

NA

NA

0.04

XXX system. 93731......... 26.......... A........... Analyze pacemaker

0.45

0.24

0.20

0.24

0.20

0.01

XXX system. 93732......... ............ A........... Analyze pacemaker

0.92

1.15

1.01

NA

NA

0.07

XXX system. 93732......... TC.......... A........... Analyze pacemaker

0.00

0.67

0.59

NA

NA

0.04

XXX system. 93732......... 26.......... A........... Analyze pacemaker

0.92

0.48

0.42

0.48

0.42

0.03

XXX system. 93733......... ............ A........... Telephone analy,

0.17

0.93

0.86

NA

NA

0.07

XXX pacemaker. 93733......... TC.......... A........... Telephone analy,

0.00

0.85

0.79

NA

NA

0.06

XXX pacemaker. 93733......... 26.......... A........... Telephone analy,

0.17

0.08

0.07

0.08

0.07

0.01

XXX pacemaker. 93734......... ............ A........... Analyze pacemaker

0.38

0.69

0.60

NA

NA

0.03

XXX system. 93734......... TC.......... A........... Analyze pacemaker

0.00

0.50

0.43

NA

NA

0.02

XXX system. 93734......... 26.......... A........... Analyze pacemaker

0.38

0.19

0.17

0.19

0.17

0.01

XXX system. 93735......... ............ A........... Analyze pacemaker

0.74

0.96

0.84

NA

NA

0.06

XXX system. 93735......... TC.......... A........... Analyze pacemaker

0.00

0.57

0.51

NA

NA

0.04

XXX system. 93735......... 26.......... A........... Analyze pacemaker

0.74

0.39

0.33

0.39

0.33

0.02

XXX system. 93736......... ............ A........... Telephonic analy,

0.15

0.91

0.79

NA

NA

0.07

XXX pacemaker. 93736......... TC.......... A........... Telephonic analy,

0.00

0.84

0.73

NA

NA

0.06

XXX pacemaker. 93736......... 26.......... A........... Telephonic analy,

0.15

0.07

0.06

0.07

0.06

0.01

XXX pacemaker. 93740......... ............ B........... Temperature

0.16

0.04

0.11

NA

NA

0.02

XXX gradient studies. 93740......... TC.......... B........... Temperature

0.00

0.00

0.07

NA

NA

0.01

XXX gradient studies. 93740......... 26.......... B........... Temperature

0.16

0.04

0.04

0.04

0.04

0.01

XXX gradient studies. 93741......... ............ A........... Analyze ht pace

0.80

1.02

0.99

NA

NA

0.07

XXX device sngl. 93741......... TC.......... A........... Analyze ht pace

0.00

0.60

0.63

NA

NA

0.04

XXX device sngl. 93741......... 26.......... A........... Analyze ht pace

0.80

0.42

0.36

0.42

0.36

0.03

XXX device sngl. 93742......... ............ A........... Analyze ht pace

0.91

1.15

1.09

NA

NA

0.07

XXX device sngl. 93742......... TC.......... A........... Analyze ht pace

0.00

0.67

0.67

NA

NA

0.04

XXX device sngl. 93742......... 26.......... A........... Analyze ht pace

0.91

0.48

0.42

0.48

0.42

0.03

XXX device sngl. 93743......... ............ A........... Analyze ht pace

1.03

1.19

1.16

NA

NA

0.07

XXX device dual. 93743......... TC.......... A........... Analyze ht pace

0.00

0.64

0.69

NA

NA

0.04

XXX device dual. 93743......... 26.......... A........... Analyze ht pace

1.03

0.55

0.47

0.55

0.47

0.03

XXX device dual. 93744......... ............ A........... Analyze ht pace

1.18

1.35

1.23

NA

NA

0.08

XXX device dual. 93744......... TC.......... A........... Analyze ht pace

0.00

0.72

0.69

NA

NA

0.04

XXX device dual. 93744......... 26.......... A........... Analyze ht pace

1.18

0.63

0.54

0.63

0.54

0.04

XXX device dual. 93745......... ............ C........... Set-up cardiovert-

0.00

0.00

0.00

NA

NA

0.00

XXX defibrill. 93745......... TC.......... C........... Set-up cardiovert-

0.00

0.00

0.00

NA

NA

0.00

XXX defibrill. 93745......... 26.......... C........... Set-up cardiovert-

0.00

0.00

0.00

0.00

0.00

0.00

XXX defibrill. 93760......... ............ N........... Cephalic

0.00

0.00

0.00

0.00

0.00

0.00

XXX thermogram. 93762......... ............ N........... Peripheral

0.00

0.00

0.00

0.00

0.00

0.00

XXX thermogram. 93770......... ............ B........... Measure venous

0.16

0.04

0.05

NA

NA

0.02

XXX pressure. 93770......... TC.......... B........... Measure venous

0.00

0.00

0.01

NA

NA

0.01

XXX pressure. 93770......... 26.......... B........... Measure venous

0.16

0.04

0.04

0.04

0.04

0.01

XXX pressure. 93784......... ............ A........... Ambulatory BP

0.38

1.39

1.47

NA

NA

0.03

XXX monitoring. 93786......... ............ A........... Ambulatory BP

0.00

0.81

0.86

NA

NA

0.01

XXX recording. 93788......... ............ A........... Ambulatory BP

0.00

0.45

0.48

NA

NA

0.01

XXX analysis. 93790......... ............ A........... Review/report BP

0.38

0.13

0.13

0.13

0.13

0.01

XXX recording. 93797......... ............ A........... Cardiac rehab.....

0.18

0.32

0.31

0.09

0.08

0.01

000 93798......... ............ A........... Cardiac rehab/

0.28

0.44

0.45

0.13

0.12

0.01

000 monitor. 93799......... ............ C........... Cardiovascular

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 93799......... TC.......... C........... Cardiovascular

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 93799......... 26.......... C........... Cardiovascular

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 93875......... ............ A........... Extracranial study

0.22

2.55

2.44

NA

NA

0.12

XXX 93875......... TC.......... A........... Extracranial study

0.00

2.48

2.37

NA

NA

0.11

XXX 93875......... 26.......... A........... Extracranial study

0.22

0.07

0.07

0.07

0.07

0.01

XXX 93880......... ............ A........... Extracranial study

0.60

6.16

5.85

NA

NA

0.39

XXX 93880......... TC.......... A........... Extracranial study

0.00

5.95

5.65

NA

NA

0.35

XXX 93880......... 26.......... A........... Extracranial study

0.60

0.21

0.20

0.21

0.20

0.04

XXX 93882......... ............ A........... Extracranial study

0.40

4.12

3.82

NA

NA

0.26

XXX 93882......... TC.......... A........... Extracranial study

0.00

4.01

3.69

NA

NA

0.22

XXX 93882......... 26.......... A........... Extracranial study

0.40

0.11

0.13

0.11

0.13

0.04

XXX 93886......... ............ A........... Intracranial study

0.94

7.03

6.88

NA

NA

0.45

XXX 93886......... TC.......... A........... Intracranial study

0.00

6.75

6.56

NA

NA

0.39

XXX 93886......... 26.......... A........... Intracranial study

0.94

0.28

0.32

0.28

0.32

0.06

XXX 93888......... ............ A........... Intracranial study

0.62

4.92

4.57

NA

NA

0.32

XXX 93888......... TC.......... A........... Intracranial study

0.00

4.72

4.36

NA

NA

0.27

XXX 93888......... 26.......... A........... Intracranial study

0.62

0.20

0.21

0.20

0.21

0.05

XXX

[[Page 2691]]

93890......... ............ A........... Tcd,

1.00

6.44

5.68

NA

NA

0.45

XXX vasoreactivity study. 93890......... TC.......... A........... Tcd,

0.00

6.13

5.32

NA

NA

0.39

XXX vasoreactivity study. 93890......... 26.......... A........... Tcd,

1.00

0.31

0.36

0.31

0.36

0.06

XXX vasoreactivity study. 93892......... ............ A........... Tcd, emboli detect

1.15

6.85

6.00

NA

NA

0.45

XXX w/o inj. 93892......... TC.......... A........... Tcd, emboli detect

0.00

6.53

5.61

NA

NA

0.39

XXX w/o inj. 93892......... 26.......... A........... Tcd, emboli detect

1.15

0.32

0.39

0.32

0.39

0.06

XXX w/o inj. 93893......... ............ A........... Tcd, emboli detect

1.15

7.00

6.01

NA

NA

0.45

XXX w/inj. 93893......... TC.......... A........... Tcd, emboli detect

0.00

6.67

5.62

NA

NA

0.39

XXX w/inj. 93893......... 26.......... A........... Tcd, emboli detect

1.15

0.33

0.39

0.33

0.39

0.06

XXX w/inj. 93922......... ............ A........... Extremity study...

0.25

3.11

2.90

NA

NA

0.15

XXX 93922......... TC.......... A........... Extremity study...

0.00

3.03

2.82

NA

NA

0.13

XXX 93922......... 26.......... A........... Extremity study...

0.25

0.08

0.08

0.08

0.08

0.02

XXX 93923......... ............ A........... Extremity study...

0.45

4.68

4.35

NA

NA

0.26

XXX 93923......... TC.......... A........... Extremity study...

0.00

4.54

4.21

NA

NA

0.22

XXX 93923......... 26.......... A........... Extremity study...

0.45

0.14

0.14

0.14

0.14

0.04

XXX 93924......... ............ A........... Extremity study...

0.50

5.94

5.36

NA

NA

0.30

XXX 93924......... TC.......... A........... Extremity study...

0.00

5.77

5.19

NA

NA

0.25

XXX 93924......... 26.......... A........... Extremity study...

0.50

0.17

0.17

0.17

0.17

0.05

XXX 93925......... ............ A........... Lower extremity

0.58

8.02

7.40

NA

NA

0.39

XXX study. 93925......... TC.......... A........... Lower extremity

0.00

7.83

7.21

NA

NA

0.35

XXX study. 93925......... 26.......... A........... Lower extremity

0.58

0.19

0.19

0.19

0.19

0.04

XXX study. 93926......... ............ A........... Lower extremity

0.39

5.14

4.60

NA

NA

0.27

XXX study. 93926......... TC.......... A........... Lower extremity

0.00

5.03

4.48

NA

NA

0.23

XXX study. 93926......... 26.......... A........... Lower extremity

0.39

0.11

0.12

0.11

0.12

0.04

XXX study. 93930......... ............ A........... Upper extremity

0.46

6.25

5.80

NA

NA

0.41

XXX study. 93930......... TC.......... A........... Upper extremity

0.00

6.10

5.65

NA

NA

0.37

XXX study. 93930......... 26.......... A........... Upper extremity

0.46

0.15

0.15

0.15

0.15

0.04

XXX study. 93931......... ............ A........... Upper extremity

0.31

4.18

3.83

NA

NA

0.27

XXX study. 93931......... TC.......... A........... Upper extremity

0.00

4.08

3.73

NA

NA

0.24

XXX study. 93931......... 26.......... A........... Upper extremity

0.31

0.10

0.10

0.10

0.10

0.03

XXX study. 93965......... ............ A........... Extremity study...

0.35

3.01

2.90

NA

NA

0.14

XXX 93965......... TC.......... A........... Extremity study...

0.00

2.90

2.79

NA

NA

0.12

XXX 93965......... 26.......... A........... Extremity study...

0.35

0.11

0.11

0.11

0.11

0.02

XXX 93970......... ............ A........... Extremity study...

0.68

6.20

5.73

NA

NA

0.46

XXX 93970......... TC.......... A........... Extremity study...

0.00

5.99

5.51

NA

NA

0.40

XXX 93970......... 26.......... A........... Extremity study...

0.68

0.21

0.22

0.21

0.22

0.06

XXX 93971......... ............ A........... Extremity study...

0.45

4.07

3.83

NA

NA

0.30

XXX 93971......... TC.......... A........... Extremity study...

0.00

3.92

3.68

NA

NA

0.27

XXX 93971......... 26.......... A........... Extremity study...

0.45

0.15

0.15

0.15

0.15

0.03

XXX 93975......... ............ A........... Vascular study....

1.80

8.46

8.04

NA

NA

0.56

XXX 93975......... TC.......... A........... Vascular study....

0.00

7.83

7.43

NA

NA

0.43

XXX 93975......... 26.......... A........... Vascular study....

1.80

0.63

0.61

0.63

0.61

0.13

XXX 93976......... ............ A........... Vascular study....

1.21

4.58

4.45

NA

NA

0.35

XXX 93976......... TC.......... A........... Vascular study....

0.00

4.16

4.04

NA

NA

0.30

XXX 93976......... 26.......... A........... Vascular study....

1.21

0.42

0.41

0.42

0.41

0.05

XXX 93978......... ............ A........... Vascular study....

0.65

6.03

5.28

NA

NA

0.43

XXX 93978......... TC.......... A........... Vascular study....

0.00

5.82

5.06

NA

NA

0.37

XXX 93978......... 26.......... A........... Vascular study....

0.65

0.21

0.22

0.21

0.22

0.06

XXX 93979......... ............ A........... Vascular study....

0.44

4.16

3.69

NA

NA

0.27

XXX 93979......... TC.......... A........... Vascular study....

0.00

4.02

3.54

NA

NA

0.24

XXX 93979......... 26.......... A........... Vascular study....

0.44

0.14

0.15

0.14

0.15

0.03

XXX 93980......... ............ A........... Penile vascular

1.25

3.48

3.16

NA

NA

0.42

XXX study. 93980......... TC.......... A........... Penile vascular

0.00

3.02

2.73

NA

NA

0.34

XXX study. 93980......... 26.......... A........... Penile vascular

1.25

0.46

0.43

0.46

0.43

0.08

XXX study. 93981......... ............ A........... Penile vascular

0.44

2.84

2.86

NA

NA

0.33

XXX study. 93981......... TC.......... A........... Penile vascular

0.00

2.68

2.71

NA

NA

0.31

XXX study. 93981......... 26.......... A........... Penile vascular

0.44

0.16

0.15

0.16

0.15

0.02

XXX study. 93982......... ............ R........... Aneurysm pressure

0.30

0.80

0.80

NA

NA

0.01

XXX sens study. 93990......... ............ A........... Doppler flow

0.25

5.22

4.61

NA

NA

0.26

XXX testing. 93990......... TC.......... A........... Doppler flow

0.00

5.16

4.53

NA

NA

0.23

XXX testing. 93990......... 26.......... A........... Doppler flow

0.25

0.06

0.08

0.06

0.08

0.03

XXX testing. 94002......... ............ A........... Vent mgmt inpat,

1.99

NA

NA

0.35

0.34

0.09

XXX init day. 94003......... ............ A........... Vent mgmt inpat,

1.37

NA

NA

0.32

0.32

0.06

XXX subq day. 94004......... ............ A........... Vent mgmt nf per

1.00

NA

NA

0.23

0.23

0.04

XXX day. 94005......... ............ B........... Home vent mgmt

1.50

0.70

0.70

NA

NA

0.06

XXX supervision. 94010......... ............ A........... Breathing capacity

0.17

0.74

0.71

NA

NA

0.03

XXX test. 94010......... TC.......... A........... Breathing capacity

0.00

0.70

0.66

NA

NA

0.02

XXX test. 94010......... 26.......... A........... Breathing capacity

0.17

0.04

0.05

0.04

0.05

0.01

XXX test. 94014......... ............ A........... Patient recorded

0.52

0.81

0.78

NA

NA

0.03

XXX spirometry. 94015......... ............ A........... Patient recorded

0.00

0.67

0.63

NA

NA

0.01

XXX spirometry. 94016......... ............ A........... Review patient

0.52

0.14

0.15

0.14

0.15

0.02

XXX spirometry. 94060......... ............ A........... Evaluation of

0.31

1.32

1.19

NA

NA

0.07

XXX wheezing.

[[Page 2692]]

94060......... TC.......... A........... Evaluation of

0.00

1.24

1.11

NA

NA

0.06

XXX wheezing. 94060......... 26.......... A........... Evaluation of

0.31

0.08

0.08

0.08

0.08

0.01

XXX wheezing. 94070......... ............ A........... Evaluation of

0.60

1.00

0.90

NA

NA

0.13

XXX wheezing. 94070......... TC.......... A........... Evaluation of

0.00

0.85

0.74

NA

NA

0.10

XXX wheezing. 94070......... 26.......... A........... Evaluation of

0.60

0.15

0.16

0.15

0.16

0.03

XXX wheezing. 94150......... ............ B........... Vital capacity

0.07

0.48

0.47

NA

NA

0.02

XXX test. 94150......... TC.......... B........... Vital capacity

0.00

0.46

0.45

NA

NA

0.01

XXX test. 94150......... 26.......... B........... Vital capacity

0.07

0.02

0.02

0.02

0.02

0.01

XXX test. 94200......... ............ A........... Lung function test

0.11

0.51

0.47

NA

NA

0.03

XXX (MBC/MVV). 94200......... TC.......... A........... Lung function test

0.00

0.48

0.44

NA

NA

0.02

XXX (MBC/MVV). 94200......... 26.......... A........... Lung function test

0.11

0.03

0.03

0.03

0.03

0.01

XXX (MBC/MVV). 94240......... ............ A........... Residual lung

0.26

0.82

0.74

NA

NA

0.06

XXX capacity. 94240......... TC.......... A........... Residual lung

0.00

0.76

0.67

NA

NA

0.05

XXX capacity. 94240......... 26.......... A........... Residual lung

0.26

0.06

0.07

0.06

0.07

0.01

XXX capacity. 94250......... ............ A........... Expired gas

0.11

0.51

0.58

NA

NA

0.02

XXX collection. 94250......... TC.......... A........... Expired gas

0.00

0.48

0.55

NA

NA

0.01

XXX collection. 94250......... 26.......... A........... Expired gas

0.11

0.03

0.03

0.03

0.03

0.01

XXX collection. 94260......... ............ A........... Thoracic gas

0.13

0.76

0.66

NA

NA

0.05

XXX volume. 94260......... TC.......... A........... Thoracic gas

0.00

0.73

0.63

NA

NA

0.04

XXX volume. 94260......... 26.......... A........... Thoracic gas

0.13

0.03

0.03

0.03

0.03

0.01

XXX volume. 94350......... ............ A........... Lung nitrogen

0.26

0.61

0.69

NA

NA

0.05

XXX washout curve. 94350......... TC.......... A........... Lung nitrogen

0.00

0.55

0.62

NA

NA

0.04

XXX washout curve. 94350......... 26.......... A........... Lung nitrogen

0.26

0.06

0.07

0.06

0.07

0.01

XXX washout curve. 94360......... ............ A........... Measure airflow

0.26

0.95

0.82

NA

NA

0.07

XXX resistance. 94360......... TC.......... A........... Measure airflow

0.00

0.89

0.75

NA

NA

0.06

XXX resistance. 94360......... 26.......... A........... Measure airflow

0.26

0.06

0.07

0.06

0.07

0.01

XXX resistance. 94370......... ............ A........... Breath airway

0.26

0.60

0.66

NA

NA

0.03

XXX closing volume. 94370......... TC.......... A........... Breath airway

0.00

0.53

0.59

NA

NA

0.02

XXX closing volume. 94370......... 26.......... A........... Breath airway

0.26

0.07

0.07

0.07

0.07

0.01

XXX closing volume. 94375......... ............ A........... Respiratory flow

0.31

0.73

0.66

NA

NA

0.03

XXX volume loop. 94375......... TC.......... A........... Respiratory flow

0.00

0.65

0.58

NA

NA

0.02

XXX volume loop. 94375......... 26.......... A........... Respiratory flow

0.31

0.08

0.08

0.08

0.08

0.01

XXX volume loop. 94400......... ............ A........... CO2 breathing

0.40

1.03

0.94

NA

NA

0.09

XXX response curve. 94400......... TC.......... A........... CO2 breathing

0.00

0.93

0.83

NA

NA

0.06

XXX response curve. 94400......... 26.......... A........... CO2 breathing

0.40

0.10

0.11

0.10

0.11

0.03

XXX response curve. 94450......... ............ A........... Hypoxia response

0.40

1.01

0.92

NA

NA

0.04

XXX curve. 94450......... TC.......... A........... Hypoxia response

0.00

0.92

0.82

NA

NA

0.02

XXX curve. 94450......... 26.......... A........... Hypoxia response

0.40

0.09

0.10

0.09

0.10

0.02

XXX curve. 94452......... ............ A........... Hast w/report.....

0.31

1.27

1.14

NA

NA

0.04

XXX 94452......... TC.......... A........... Hast w/report.....

0.00

1.20

1.06

NA

NA

0.02

XXX 94452......... 26.......... A........... Hast w/report.....

0.31

0.07

0.08

0.07

0.08

0.02

XXX 94453......... ............ A........... Hast w/oxygen

0.40

1.69

1.60

NA

NA

0.04

XXX titrate. 94453......... TC.......... A........... Hast w/oxygen

0.00

1.59

1.49

NA

NA

0.02

XXX titrate. 94453......... 26.......... A........... Hast w/oxygen

0.40

0.10

0.11

0.10

0.11

0.02

XXX titrate. 94610......... ............ A........... Surfactant admin

1.16

0.34

0.34

0.34

0.34

0.26

XXX thru tube. 94620......... ............ A........... Pulmonary stress

0.64

0.79

1.64

NA

NA

0.13

XXX test/simple. 94620......... TC.......... A........... Pulmonary stress

0.00

0.63

1.46

NA

NA

0.10

XXX test/simple. 94620......... 26.......... A........... Pulmonary stress

0.64

0.16

0.18

0.16

0.18

0.03

XXX test/simple. 94621......... ............ A........... Pulm stress test/

1.42

3.18

2.69

NA

NA

0.16

XXX complex. 94621......... TC.......... A........... Pulm stress test/

0.00

2.73

2.25

NA

NA

0.10

XXX complex. 94621......... 26.......... A........... Pulm stress test/

1.42

0.45

0.44

0.45

0.44

0.06

XXX complex. 94640......... ............ A........... Airway inhalation

0.00

0.38

0.34

NA

NA

0.02

XXX treatment. 94642......... ............ C........... Aerosol inhalation

0.00

0.00

0.00

0.00

0.00

0.00

XXX treatment. 94644......... ............ A........... Cbt, 1st hour.....

0.00

0.96

0.96

NA

NA

0.02

XXX 94645......... ............ A........... Cbt, each addl

0.00

0.35

0.35

NA

NA

0.02

XXX hour. 94660......... ............ A........... Pos airway

0.76

0.81

0.73

0.19

0.21

0.04

XXX pressure, CPAP. 94662......... ............ A........... Neg press

0.76

NA

NA

0.20

0.21

0.03

XXX ventilation, cnp. 94664......... ............ A........... Evaluate pt use of

0.00

0.40

0.36

NA

NA

0.04

XXX inhaler. 94667......... ............ A........... Chest wall

0.00

0.54

0.53

NA

NA

0.05

XXX manipulation. 94668......... ............ A........... Chest wall

0.00

0.51

0.48

NA

NA

0.02

XXX manipulation. 94680......... ............ A........... Exhaled air

0.26

1.06

1.46

NA

NA

0.07

XXX analysis, o2. 94680......... TC.......... A........... Exhaled air

0.00

1.00

1.39

NA

NA

0.06

XXX analysis, o2. 94680......... 26.......... A........... Exhaled air

0.26

0.06

0.07

0.06

0.07

0.01

XXX analysis, o2. 94681......... ............ A........... Exhaled air

0.20

1.07

1.79

NA

NA

0.13

XXX analysis, o2/co2. 94681......... TC.......... A........... Exhaled air

0.00

1.02

1.74

NA

NA

0.12

XXX analysis, o2/co2. 94681......... 26.......... A........... Exhaled air

0.20

0.05

0.05

0.05

0.05

0.01

XXX analysis, o2/co2. 94690......... ............ A........... Exhaled air

0.07

1.04

1.52

NA

NA

0.05

XXX analysis. 94690......... TC.......... A........... Exhaled air

0.00

1.02

1.50

NA

NA

0.04

XXX analysis. 94690......... 26.......... A........... Exhaled air

0.07

0.02

0.02

0.02

0.02

0.01

XXX analysis. 94720......... ............ A........... Monoxide diffusing

0.26

1.15

1.08

NA

NA

0.07

XXX capacity. 94720......... TC.......... A........... Monoxide diffusing

0.00

1.09

1.01

NA

NA

0.06

XXX capacity. 94720......... 26.......... A........... Monoxide diffusing

0.26

0.06

0.07

0.06

0.07

0.01

XXX capacity.

[[Page 2693]]

94725......... ............ A........... Membrane diffusion

0.26

0.98

1.94

NA

NA

0.13

XXX capacity. 94725......... TC.......... A........... Membrane diffusion

0.00

0.91

1.87

NA

NA

0.12

XXX capacity. 94725......... 26.......... A........... Membrane diffusion

0.26

0.07

0.07

0.07

0.07

0.01

XXX capacity. 94750......... ............ A........... Pulmonary

0.23

1.77

1.55

NA

NA

0.05

XXX compliance study. 94750......... TC.......... A........... Pulmonary

0.00

1.71

1.49

NA

NA

0.04

XXX compliance study. 94750......... 26.......... A........... Pulmonary

0.23

0.06

0.06

0.06

0.06

0.01

XXX compliance study. 94760......... ............ T........... Measure blood

0.00

0.06

0.05

NA

NA

0.02

XXX oxygen level. 94761......... ............ T........... Measure blood

0.00

0.11

0.09

NA

NA

0.06

XXX oxygen level. 94762......... ............ A........... Measure blood

0.00

0.84

0.66

NA

NA

0.10

XXX oxygen level. 94770......... ............ A........... Exhaled carbon

0.15

0.81

0.78

NA

NA

0.08

XXX dioxide test. 94770......... TC.......... A........... Exhaled carbon

0.00

0.77

0.74

NA

NA

0.07

XXX dioxide test. 94770......... 26.......... A........... Exhaled carbon

0.15

0.04

0.04

0.04

0.04

0.01

XXX dioxide test. 94772......... ............ C........... Breath recording,

0.00

0.00

0.00

NA

NA

0.00

XXX infant. 94772......... TC.......... C........... Breath recording,

0.00

0.00

0.00

NA

NA

0.00

XXX infant. 94772......... 26.......... C........... Breath recording,

0.00

0.00

0.00

0.00

0.00

0.00

XXX infant. 94774......... ............ C........... Ped home apnea

0.00

0.00

0.00

0.00

0.00

0.00

YYY rec, compl. 94775......... ............ C........... Ped home apnea

0.00

0.00

0.00

0.00

0.00

0.00

YYY rec, hk-up. 94776......... ............ C........... Ped home apnea

0.00

0.00

0.00

0.00

0.00

0.00

YYY rec, downld. 94777......... ............ C........... Ped home apnea

0.00

0.00

0.00

0.00

0.00

0.00

YYY rec, report. 94799......... ............ C........... Pulmonary service/

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 94799......... TC.......... C........... Pulmonary service/

0.00

0.00

0.00

NA

NA

0.00

XXX procedure. 94799......... 26.......... C........... Pulmonary service/

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 95004......... ............ A........... Percut allergy

0.01

0.15

0.13

NA

NA

0.01

XXX skin tests. 95010......... ............ A........... Percut allergy

0.15

0.31

0.32

NA

NA

0.01

XXX titrate test. 95012......... ............ A........... Exhaled nitric

0.00

0.49

0.49

NA

NA

0.01

XXX oxide meas. 95015......... ............ A........... Id allergy titrate- 0.15

0.21

0.18

NA

NA

0.01

XXX drug/bug. 95024......... ............ A........... Id allergy test,

0.01

0.17

0.16

NA

NA

0.01

XXX drug/bug. 95027......... ............ A........... Id allergy titrate- 0.01

0.10

0.12

NA

NA

0.01

XXX airborne. 95028......... ............ A........... Id allergy test-

0.00

0.31

0.27

NA

NA

0.01

XXX delayed type. 95044......... ............ A........... Allergy patch

0.00

0.15

0.18

NA

NA

0.01

XXX tests. 95052......... ............ A........... Photo patch test..

0.00

0.16

0.20

NA

NA

0.01

XXX 95056......... ............ A........... Photosensitivity

0.00

1.25

0.71

NA

NA

0.01

XXX tests. 95060......... ............ A........... Eye allergy tests.

0.00

0.73

0.54

0.73

0.54

0.02

XXX 95065......... ............ A........... Nose allergy test.

0.00

0.70

0.45

0.70

0.45

0.01

XXX 95070......... ............ A........... Bronchial allergy

0.00

0.81

1.55

NA

NA

0.02

XXX tests. 95071......... ............ A........... Bronchial allergy

0.00

0.98

1.95

NA

NA

0.02

XXX tests. 95075......... ............ A........... Ingestion

0.95

0.68

0.75

0.26

0.32

0.03

XXX challenge test. 95115......... ............ A........... Immunotherapy, one

0.00

0.23

0.31

NA

NA

0.02

XXX injection. 95117......... ............ A........... Immunotherapy

0.00

0.28

0.39

NA

NA

0.02

XXX injections. 95120......... ............ I........... Immunotherapy, one

0.00

0.00

0.00

0.00

0.00

0.00

XXX injection. 95125......... ............ I........... Immunotherapy,

0.00

0.00

0.00

0.00

0.00

0.00

XXX many antigens. 95130......... ............ I........... Immunotherapy,

0.00

0.00

0.00

0.00

0.00

0.00

XXX insect venom. 95131......... ............ I........... Immunotherapy,

0.00

0.00

0.00

0.00

0.00

0.00

XXX insect venoms. 95132......... ............ I........... Immunotherapy,

0.00

0.00

0.00

0.00

0.00

0.00

XXX insect venoms. 95133......... ............ I........... Immunotherapy,

0.00

0.00

0.00

0.00

0.00

0.00

XXX insect venoms. 95134......... ............ I........... Immunotherapy,

0.00

0.00

0.00

0.00

0.00

0.00

XXX insect venoms. 95144......... ............ A........... Antigen therapy

0.06

0.27

0.23

0.02

0.02

0.01

XXX services. 95145......... ............ A........... Antigen therapy

0.06

0.36

0.34

0.02

0.02

0.01

XXX services. 95146......... ............ A........... Antigen therapy

0.06

0.68

0.56

0.02

0.02

0.01

XXX services. 95147......... ............ A........... Antigen therapy

0.06

0.66

0.54

0.02

0.02

0.01

XXX services. 95148......... ............ A........... Antigen therapy

0.06

0.98

0.78

0.02

0.02

0.01

XXX services. 95149......... ............ A........... Antigen therapy

0.06

1.30

1.05

0.02

0.02

0.01

XXX services. 95165......... ............ A........... Antigen therapy

0.06

0.26

0.23

0.02

0.02

0.01

XXX services. 95170......... ............ A........... Antigen therapy

0.06

0.20

0.17

0.02

0.02

0.01

XXX services. 95180......... ............ A........... Rapid

2.01

1.66

1.85

0.77

0.85

0.04

XXX desensitization. 95199......... ............ C........... Allergy immunology

0.00

0.00

0.00

0.00

0.00

0.00

XXX services. 95250......... ............ A........... Glucose

0.00

3.50

3.80

NA

NA

0.01

XXX monitoring, cont. 95251......... ............ A........... Gluc monitor,

0.85

0.26

0.22

0.26

0.22

0.02

XXX cont, phys i&r. 95805......... ............ A........... Multiple sleep

1.88

7.02

12.14

NA

NA

0.43

XXX latency test. 95805......... TC.......... A........... Multiple sleep

0.00

6.51

11.56

NA

NA

0.34

XXX latency test. 95805......... 26.......... A........... Multiple sleep

1.88

0.51

0.58

0.51

0.58

0.09

XXX latency test. 95806......... ............ A........... Sleep study,

1.66

3.93

3.64

NA

NA

0.39

XXX unattended. 95806......... TC.......... A........... Sleep study,

0.00

3.46

3.13

NA

NA

0.31

XXX unattended. 95806......... 26.......... A........... Sleep study,

1.66

0.47

0.51

0.47

0.51

0.08

XXX unattended. 95807......... ............ A........... Sleep study,

1.66

12.31

12.08

NA

NA

0.50

XXX attended. 95807......... TC.......... A........... Sleep study,

0.00

11.90

11.61

NA

NA

0.42

XXX attended. 95807......... 26.......... A........... Sleep study,

1.66

0.41

0.47

0.41

0.47

0.08

XXX attended. 95808......... ............ A........... Polysomnography, 1- 2.65

15.76

14.48

NA

NA

0.55

XXX 3. 95808......... TC.......... A........... Polysomnography, 1- 0.00

15.06

13.67

NA

NA

0.42

XXX 3. 95808......... 26.......... A........... Polysomnography, 1- 2.65

0.70

0.81

0.70

0.81

0.13

XXX 3. 95810......... ............ A........... Polysomnography, 4

3.52

17.70

17.60

NA

NA

0.59

XXX or more. 95810......... TC.......... A........... Polysomnography, 4

0.00

16.80

16.56

NA

NA

0.42

XXX or more.

[[Page 2694]]

95810......... 26.......... A........... Polysomnography, 4

3.52

0.90

1.04

0.90

1.04

0.17

XXX or more. 95811......... ............ A........... Polysomnography w/

3.79

19.70

19.45

NA

NA

0.61

XXX cpap. 95811......... TC.......... A........... Polysomnography w/

0.00

18.74

18.34

NA

NA

0.43

XXX cpap. 95811......... 26.......... A........... Polysomnography w/

3.79

0.96

1.11

0.96

1.11

0.18

XXX cpap. 95812......... ............ A........... Eeg, 41-60 minutes

1.08

5.90

4.97

NA

NA

0.17

XXX 95812......... TC.......... A........... Eeg, 41-60 minutes

0.00

5.60

4.59

NA

NA

0.11

XXX 95812......... 26.......... A........... Eeg, 41-60 minutes

1.08

0.30

0.38

0.30

0.38

0.06

XXX 95813......... ............ A........... Eeg, over 1 hour..

1.73

6.52

5.77

NA

NA

0.20

XXX 95813......... TC.......... A........... Eeg, over 1 hour..

0.00

6.04

5.18

NA

NA

0.11

XXX 95813......... 26.......... A........... Eeg, over 1 hour..

1.73

0.48

0.59

0.48

0.59

0.09

XXX 95816......... ............ A........... Eeg, awake and

1.08

5.28

4.49

NA

NA

0.16

XXX drowsy. 95816......... TC.......... A........... Eeg, awake and

0.00

4.98

4.11

NA

NA

0.10

XXX drowsy. 95816......... 26.......... A........... Eeg, awake and

1.08

0.30

0.38

0.30

0.38

0.06

XXX drowsy. 95819......... ............ A........... Eeg, awake and

1.08

6.13

4.56

NA

NA

0.16

XXX asleep. 95819......... TC.......... A........... Eeg, awake and

0.00

5.83

4.18

NA

NA

0.10

XXX asleep. 95819......... 26.......... A........... Eeg, awake and

1.08

0.30

0.38

0.30

0.38

0.06

XXX asleep. 95822......... ............ A........... Eeg, coma or sleep

1.08

5.52

5.06

NA

NA

0.19

XXX only. 95822......... TC.......... A........... Eeg, coma or sleep

0.00

5.22

4.68

NA

NA

0.13

XXX only. 95822......... 26.......... A........... Eeg, coma or sleep

1.08

0.30

0.38

0.30

0.38

0.06

XXX only. 95824......... ............ C........... Eeg, cerebral

0.00

0.00

0.00

NA

NA

0.00

XXX death only. 95824......... TC.......... C........... Eeg, cerebral

0.00

0.00

0.00

NA

NA

0.00

XXX death only. 95824......... 26.......... A........... Eeg, cerebral

0.74

0.21

0.26

0.21

0.26

0.04

XXX death only. 95827......... ............ A........... Eeg, all night

1.08

11.54

7.12

NA

NA

0.19

XXX recording. 95827......... TC.......... A........... Eeg, all night

0.00

11.24

6.77

NA

NA

0.14

XXX recording. 95827......... 26.......... A........... Eeg, all night

1.08

0.30

0.35

0.30

0.35

0.05

XXX recording. 95829......... ............ A........... Surgery

6.20

24.77

27.90

NA

NA

0.50

XXX electrocorticogra m. 95829......... TC.......... A........... Surgery

0.00

23.01

25.86

NA

NA

0.02

XXX electrocorticogra m. 95829......... 26.......... A........... Surgery

6.20

1.76

2.04

1.76

2.04

0.48

XXX electrocorticogra m. 95830......... ............ A........... Insert electrodes

1.70

2.97

3.13

0.41

0.57

0.11

XXX for EEG. 95831......... ............ A........... Limb muscle

0.28

0.40

0.43

0.09

0.11

0.01

XXX testing, manual. 95832......... ............ A........... Hand muscle

0.29

0.37

0.35

0.10

0.11

0.02

XXX testing, manual. 95833......... ............ A........... Body muscle

0.47

0.50

0.54

0.14

0.18

0.02

XXX testing, manual. 95834......... ............ A........... Body muscle

0.60

0.54

0.58

0.17

0.23

0.03

XXX testing, manual. 95851......... ............ A........... Range of motion

0.16

0.26

0.31

0.04

0.06

0.01

XXX measurements. 95852......... ............ A........... Range of motion

0.11

0.24

0.25

0.04

0.04

0.01

XXX measurements. 95857......... ............ A........... Tensilon test.....

0.53

0.58

0.59

0.16

0.19

0.02

XXX 95860......... ............ A........... Muscle test, one

0.96

1.16

1.29

NA

NA

0.07

XXX limb. 95860......... TC.......... A........... Muscle test, one

0.00

0.84

0.92

NA

NA

0.02

XXX limb. 95860......... 26.......... A........... Muscle test, one

0.96

0.32

0.37

0.32

0.37

0.05

XXX limb. 95861......... ............ A........... Muscle test, 2

1.54

1.66

1.53

NA

NA

0.13

XXX limbs. 95861......... TC.......... A........... Muscle test, 2

0.00

1.15

0.94

NA

NA

0.06

XXX limbs. 95861......... 26.......... A........... Muscle test, 2

1.54

0.51

0.59

0.51

0.59

0.07

XXX limbs. 95863......... ............ A........... Muscle test, 3

1.87

1.92

1.82

NA

NA

0.15

XXX limbs. 95863......... TC.......... A........... Muscle test, 3

0.00

1.35

1.14

NA

NA

0.06

XXX limbs. 95863......... 26.......... A........... Muscle test, 3

1.87

0.57

0.68

0.57

0.68

0.09

XXX limbs. 95864......... ............ A........... Muscle test, 4

1.99

2.14

2.40

NA

NA

0.21

XXX limbs. 95864......... TC.......... A........... Muscle test, 4

0.00

1.53

1.66

NA

NA

0.12

XXX limbs. 95864......... 26.......... A........... Muscle test, 4

1.99

0.61

0.74

0.61

0.74

0.09

XXX limbs. 95865......... ............ A........... Muscle test,

1.57

1.39

1.42

NA

NA

0.11

XXX larynx. 95865......... TC.......... A........... Muscle test,

0.00

0.90

0.79

NA

NA

0.03

XXX larynx. 95865......... 26.......... A........... Muscle test,

1.57

0.49

0.63

0.49

0.63

0.08

XXX larynx. 95866......... ............ A........... Muscle test,

1.25

1.32

1.03

NA

NA

0.10

XXX hemidiaphragm. 95866......... TC.......... A........... Muscle test,

0.00

0.93

0.56

NA

NA

0.03

XXX hemidiaphragm. 95866......... 26.......... A........... Muscle test,

1.25

0.39

0.47

0.39

0.47

0.07

XXX hemidiaphragm. 95867......... ............ A........... Muscle test cran

0.79

1.15

1.04

NA

NA

0.07

XXX nerv unilat. 95867......... TC.......... A........... Muscle test cran

0.00

0.91

0.75

NA

NA

0.04

XXX nerv unilat. 95867......... 26.......... A........... Muscle test cran

0.79

0.24

0.29

0.24

0.29

0.03

XXX nerv unilat. 95868......... ............ A........... Muscle test cran

1.18

1.47

1.35

NA

NA

0.10

XXX nerve bilat. 95868......... TC.......... A........... Muscle test cran

0.00

1.11

0.91

NA

NA

0.05

XXX nerve bilat. 95868......... 26.......... A........... Muscle test cran

1.18

0.36

0.44

0.36

0.44

0.05

XXX nerve bilat. 95869......... ............ A........... Muscle test, thor

0.37

1.03

0.70

NA

NA

0.04

XXX paraspinal. 95869......... TC.......... A........... Muscle test, thor

0.00

0.91

0.56

NA

NA

0.02

XXX paraspinal. 95869......... 26.......... A........... Muscle test, thor

0.37

0.12

0.14

0.12

0.14

0.02

XXX paraspinal. 95870......... ............ A........... Muscle test,

0.37

0.99

0.68

NA

NA

0.04

XXX nonparaspinal. 95870......... TC.......... A........... Muscle test,

0.00

0.87

0.54

NA

NA

0.02

XXX nonparaspinal. 95870......... 26.......... A........... Muscle test,

0.37

0.12

0.14

0.12

0.14

0.02

XXX nonparaspinal. 95872......... ............ A........... Muscle test, one

2.88

1.64

1.43

NA

NA

0.13

XXX fiber. 95872......... TC.......... A........... Muscle test, one

0.00

0.76

0.68

NA

NA

0.05

XXX fiber. 95872......... 26.......... A........... Muscle test, one

2.88

0.88

0.75

0.88

0.75

0.08

XXX fiber. 95873......... ............ A........... Guide nerv destr,

0.37

1.02

0.69

NA

NA

0.04

ZZZ elec stim. 95873......... TC.......... A........... Guide nerv destr,

0.00

0.88

0.54

NA

NA

0.02

ZZZ elec stim. 95873......... 26.......... A........... Guide nerv destr,

0.37

0.14

0.15

0.14

0.15

0.02

ZZZ elec stim.

[[Page 2695]]

95874......... ............ A........... Guide nerv destr,

0.37

0.95

0.67

NA

NA

0.04

ZZZ needle emg. 95874......... TC.......... A........... Guide nerv destr,

0.00

0.83

0.52

NA

NA

0.02

ZZZ needle emg. 95874......... 26.......... A........... Guide nerv destr,

0.37

0.12

0.15

0.12

0.15

0.02

ZZZ needle emg. 95875......... ............ A........... Limb exercise test

1.10

1.48

1.46

NA

NA

0.11

XXX 95875......... TC.......... A........... Limb exercise test

0.00

1.09

1.03

NA

NA

0.06

XXX 95875......... 26.......... A........... Limb exercise test

1.10

0.39

0.43

0.39

0.43

0.05

XXX 95900......... ............ A........... Motor nerve

0.42

0.92

1.09

NA

NA

0.04

XXX conduction test. 95900......... TC.......... A........... Motor nerve

0.00

0.78

0.93

NA

NA

0.02

XXX conduction test. 95900......... 26.......... A........... Motor nerve

0.42

0.14

0.16

0.14

0.16

0.02

XXX conduction test. 95903......... ............ A........... Motor nerve

0.60

1.00

1.10

NA

NA

0.05

XXX conduction test. 95903......... TC.......... A........... Motor nerve

0.00

0.83

0.88

NA

NA

0.02

XXX conduction test. 95903......... 26.......... A........... Motor nerve

0.60

0.17

0.22

0.17

0.22

0.03

XXX conduction test. 95904......... ............ A........... Sense nerve

0.34

0.84

0.97

NA

NA

0.04

XXX conduction test. 95904......... TC.......... A........... Sense nerve

0.00

0.74

0.84

NA

NA

0.02

XXX conduction test. 95904......... 26.......... A........... Sense nerve

0.34

0.10

0.13

0.10

0.13

0.02

XXX conduction test. 95920......... ............ A........... Intraop nerve test

2.11

1.72

1.99

NA

NA

0.23

ZZZ add-on. 95920......... TC.......... A........... Intraop nerve test

0.00

1.10

1.21

NA

NA

0.07

ZZZ add-on. 95920......... 26.......... A........... Intraop nerve test

2.11

0.62

0.78

0.62

0.78

0.16

ZZZ add-on. 95921......... ............ A........... Autonomic nerv

0.90

1.16

0.94

NA

NA

0.06

XXX function test. 95921......... TC.......... A........... Autonomic nerv

0.00

0.91

0.65

NA

NA

0.02

XXX function test. 95921......... 26.......... A........... Autonomic nerv

0.90

0.25

0.29

0.25

0.29

0.04

XXX function test. 95922......... ............ A........... Autonomic nerv

0.96

1.61

1.19

NA

NA

0.07

XXX function test. 95922......... TC.......... A........... Autonomic nerv

0.00

1.35

0.86

NA

NA

0.02

XXX function test. 95922......... 26.......... A........... Autonomic nerv

0.96

0.26

0.33

0.26

0.33

0.05

XXX function test. 95923......... ............ A........... Autonomic nerv

0.90

2.33

2.14

NA

NA

0.07

XXX function test. 95923......... TC.......... A........... Autonomic nerv

0.00

2.08

1.82

NA

NA

0.02

XXX function test. 95923......... 26.......... A........... Autonomic nerv

0.90

0.25

0.32

0.25

0.32

0.05

XXX function test. 95925......... ............ A........... Somatosensory

0.54

3.07

2.10

NA

NA

0.10

XXX testing. 95925......... TC.......... A........... Somatosensory

0.00

2.92

1.91

NA

NA

0.06

XXX testing. 95925......... 26.......... A........... Somatosensory

0.54

0.15

0.19

0.15

0.19

0.04

XXX testing. 95926......... ............ A........... Somatosensory

0.54

3.00

2.07

NA

NA

0.09

XXX testing. 95926......... TC.......... A........... Somatosensory

0.00

2.85

1.88

NA

NA

0.06

XXX testing. 95926......... 26.......... A........... Somatosensory

0.54

0.15

0.19

0.15

0.19

0.03

XXX testing. 95927......... ............ A........... Somatosensory

0.54

3.13

2.15

NA

NA

0.10

XXX testing. 95927......... TC.......... A........... Somatosensory

0.00

2.97

1.94

NA

NA

0.06

XXX testing. 95927......... 26.......... A........... Somatosensory

0.54

0.16

0.21

0.16

0.21

0.04

XXX testing. 95928......... ............ A........... C motor evoked,

1.50

3.94

3.48

NA

NA

0.09

XXX uppr limbs. 95928......... TC.......... A........... C motor evoked,

0.00

3.50

2.94

NA

NA

0.03

XXX uppr limbs. 95928......... 26.......... A........... C motor evoked,

1.50

0.44

0.54

0.44

0.54

0.06

XXX uppr limbs. 95929......... ............ A........... C motor evoked,

1.50

4.26

3.74

NA

NA

0.09

XXX lwr limbs. 95929......... TC.......... A........... C motor evoked,

0.00

3.82

3.19

NA

NA

0.03

XXX lwr limbs. 95929......... 26.......... A........... C motor evoked,

1.50

0.44

0.55

0.44

0.55

0.06

XXX lwr limbs. 95930......... ............ A........... Visual evoked

0.35

2.64

2.45

NA

NA

0.03

XXX potential test. 95930......... TC.......... A........... Visual evoked

0.00

2.54

2.32

NA

NA

0.01

XXX potential test. 95930......... 26.......... A........... Visual evoked

0.35

0.10

0.13

0.10

0.13

0.02

XXX potential test. 95933......... ............ A........... Blink reflex test.

0.59

1.11

1.07

NA

NA

0.10

XXX 95933......... TC.......... A........... Blink reflex test.

0.00

0.94

0.86

NA

NA

0.06

XXX 95933......... 26.......... A........... Blink reflex test.

0.59

0.17

0.21

0.17

0.21

0.04

XXX 95934......... ............ A........... H-reflex test.....

0.51

0.85

0.64

NA

NA

0.04

XXX 95934......... TC.......... A........... H-reflex test.....

0.00

0.70

0.45

NA

NA

0.02

XXX 95934......... 26.......... A........... H-reflex test.....

0.51

0.15

0.19

0.15

0.19

0.02

XXX 95936......... ............ A........... H-reflex test.....

0.55

0.59

0.52

NA

NA

0.05

XXX 95936......... TC.......... A........... H-reflex test.....

0.00

0.43

0.32

NA

NA

0.02

XXX 95936......... 26.......... A........... H-reflex test.....

0.55

0.16

0.20

0.16

0.20

0.03

XXX 95937......... ............ A........... Neuromuscular

0.65

0.92

0.76

NA

NA

0.10

XXX junction test. 95937......... TC.......... A........... Neuromuscular

0.00

0.72

0.53

NA

NA

0.02

XXX junction test. 95937......... 26.......... A........... Neuromuscular

0.65

0.20

0.23

0.20

0.23

0.08

XXX junction test. 95950......... ............ A........... Ambulatory eeg

1.51

4.93

4.43

NA

NA

0.51

XXX monitoring. 95950......... TC.......... A........... Ambulatory eeg

0.00

4.50

3.90

NA

NA

0.43

XXX monitoring. 95950......... 26.......... A........... Ambulatory eeg

1.51

0.43

0.53

0.43

0.53

0.08

XXX monitoring. 95951......... ............ C........... EEG monitoring/

0.00

0.00

0.00

NA

NA

0.00

XXX videorecord. 95951......... TC.......... C........... EEG monitoring/

0.00

0.00

0.00

NA

NA

0.00

XXX videorecord. 95951......... 26.......... A........... EEG monitoring/

5.99

1.68

2.12

1.68

2.12

0.32

XXX videorecord. 95953......... ............ A........... EEG monitoring/

3.30

7.22

7.43

NA

NA

0.60

XXX computer. 95953......... TC.......... A........... EEG monitoring/

0.00

6.29

6.32

NA

NA

0.43

XXX computer. 95953......... 26.......... A........... EEG monitoring/

3.30

0.93

1.11

0.93

1.11

0.17

XXX computer. 95954......... ............ A........... EEG monitoring/

2.45

4.38

4.30

NA

NA

0.19

XXX giving drugs. 95954......... TC.......... A........... EEG monitoring/

0.00

3.96

3.57

NA

NA

0.06

XXX giving drugs. 95954......... 26.......... A........... EEG monitoring/

2.45

0.42

0.73

0.42

0.73

0.13

XXX giving drugs. 95955......... ............ A........... EEG during surgery

1.01

2.76

2.54

NA

NA

0.22

XXX 95955......... TC.......... A........... EEG during surgery

0.00

2.48

2.22

NA

NA

0.17

XXX 95955......... 26.......... A........... EEG during surgery

1.01

0.28

0.32

0.28

0.32

0.05

XXX

[[Page 2696]]

95956......... ............ A........... Eeg monitoring,

3.08

16.30

15.86

NA

NA

0.59

XXX cable/radio. 95956......... TC.......... A........... Eeg monitoring,

0.00

15.44

14.78

NA

NA

0.43

XXX cable/radio. 95956......... 26.......... A........... Eeg monitoring,

3.08

0.86

1.08

0.86

1.08

0.16

XXX cable/radio. 95957......... ............ A........... EEG digital

1.98

5.85

4.20

NA

NA

0.23

XXX analysis. 95957......... TC.......... A........... EEG digital

0.00

5.30

3.50

NA

NA

0.12

XXX analysis. 95957......... 26.......... A........... EEG digital

1.98

0.55

0.70

0.55

0.70

0.11

XXX analysis. 95958......... ............ A........... EEG monitoring/

4.24

6.70

5.10

NA

NA

0.34

XXX function test. 95958......... TC.......... A........... EEG monitoring/

0.00

5.47

3.61

NA

NA

0.13

XXX function test. 95958......... 26.......... A........... EEG monitoring/

4.24

1.23

1.49

1.23

1.49

0.21

XXX function test. 95961......... ............ A........... Electrode

2.97

3.05

2.84

NA

NA

0.55

XXX stimulation, brain. 95961......... TC.......... A........... Electrode

0.00

2.18

1.74

NA

NA

0.07

XXX stimulation, brain. 95961......... 26.......... A........... Electrode

2.97

0.87

1.10

0.87

1.10

0.48

XXX stimulation, brain. 95962......... ............ A........... Electrode stim,

3.21

2.21

2.45

NA

NA

0.39

ZZZ brain add-on. 95962......... TC.......... A........... Electrode stim,

0.00

1.30

1.30

NA

NA

0.07

ZZZ brain add-on. 95962......... 26.......... A........... Electrode stim,

3.21

0.91

1.15

0.91

1.15

0.32

ZZZ brain add-on. 95965......... ............ C........... Meg, spontaneous..

0.00

0.00

0.00

NA

NA

0.00

XXX 95965......... TC.......... C........... Meg, spontaneous..

0.00

0.00

0.00

NA

NA

0.00

XXX 95965......... 26.......... A........... Meg, spontaneous..

7.99

2.39

2.91

2.39

2.91

0.46

XXX 95966......... ............ C........... Meg, evoked,

0.00

0.00

0.00

NA

NA

0.00

XXX single. 95966......... TC.......... C........... Meg, evoked,

0.00

0.00

0.00

NA

NA

0.00

XXX single. 95966......... 26.......... A........... Meg, evoked,

3.99

1.19

1.45

1.19

1.45

0.19

XXX single. 95967......... ............ C........... Meg, evoked, each

0.00

0.00

0.00

NA

NA

0.00

ZZZ add[AElig]l. 95967......... TC.......... C........... Meg, evoked, each

0.00

0.00

0.00

NA

NA

0.00

ZZZ add[AElig]l. 95967......... 26.......... A........... Meg, evoked, each

3.49

1.01

1.09

1.01

1.09

0.16

ZZZ add[AElig]l. 95970......... ............ A........... Analyze neurostim,

0.45

0.90

0.87

0.13

0.13

0.03

XXX no prog. 95971......... ............ A........... Analyze neurostim,

0.78

0.58

0.63

0.18

0.20

0.07

XXX simple. 95972......... ............ A........... Analyze neurostim,

1.50

1.15

1.18

0.44

0.46

0.14

XXX complex. 95973......... ............ A........... Analyze neurostim,

0.92

0.49

0.55

0.22

0.28

0.07

ZZZ complex. 95974......... ............ A........... Cranial neurostim,

3.00

1.44

1.57

0.78

1.04

0.16

XXX complex. 95975......... ............ A........... Cranial neurostim,

1.70

0.73

0.81

0.47

0.60

0.12

ZZZ complex. 95978......... ............ A........... Analyze neurostim

3.50

1.86

1.90

1.02

1.16

0.18

XXX brain/1h. 95979......... ............ A........... Analyz neurostim

1.64

0.72

0.80

0.46

0.58

0.08

ZZZ brain addon. 95980......... ............ A........... Io anal gast n-

0.80

NA

NA

0.25

0.25

0.07

XXX stim init. 95981......... ............ A........... Io anal gast n-

0.30

0.44

0.44

0.12

0.12

0.02

XXX stim subsq. 95982......... ............ A........... Io ga n-stim subsq

0.65

0.47

0.47

0.18

0.18

0.05

XXX w/reprog. 95990......... ............ A........... Spin/brain pump

0.00

1.62

1.56

NA

NA

0.06

XXX refil & main. 95991......... ............ A........... Spin/brain pump

0.77

1.61

1.55

0.17

0.17

0.06

XXX refil & main. 95999......... ............ C........... Neurological

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 96000......... ............ A........... Motion analysis,

1.80

NA

NA

0.44

0.48

0.11

XXX video/3d. 96001......... ............ A........... Motion test w/ft

2.15

NA

NA

0.56

0.61

0.10

XXX press meas. 96002......... ............ A........... Dynamic surface

0.41

NA

NA

0.10

0.13

0.02

XXX emg. 96003......... ............ A........... Dynamic fine wire

0.37

NA

NA

0.09

0.10

0.02

XXX emg. 96004......... ............ A........... Phys review of

2.14

0.65

0.79

0.65

0.79

0.11

XXX motion tests. 96020......... ............ C........... Functional brain

0.00

0.00

0.00

NA

NA

0.00

XXX mapping. 96020......... TC.......... C........... Functional brain

0.00

0.00

0.00

NA

NA

0.00

XXX mapping. 96020......... 26.......... A........... Functional brain

3.43

1.07

1.07

1.07

1.07

0.17

XXX mapping. 96040......... ............ B........... Genetic

0.00

0.98

0.98

NA

NA

0.01

XXX counseling, 30 min. 96101......... ............ A........... Psycho testing by

1.86

0.35

0.50

0.33

0.48

0.05

XXX psych/phys. 96102......... ............ A........... Psycho testing by

0.50

1.10

0.88

0.09

0.13

0.01

XXX technician. 96103......... ............ A........... Psycho testing

0.51

0.92

0.56

0.10

0.14

0.02

XXX admin by comp. 96105......... ............ A........... Assessment of

0.00

1.66

1.71

NA

NA

0.18

XXX aphasia. 96110......... ............ A........... Developmental

0.00

0.19

0.18

NA

NA

0.18

XXX test, lim. 96111......... ............ A........... Developmental

2.60

0.69

0.87

0.58

0.81

0.18

XXX test, extend. 96116......... ............ A........... Neurobehavioral

1.86

0.53

0.68

0.40

0.52

0.18

XXX status exam. 96118......... ............ A........... Neuropsych tst by

1.86

0.84

1.11

0.33

0.48

0.18

XXX psych/phys. 96119......... ............ A........... Neuropsych testing

0.55

1.53

1.27

0.10

0.14

0.18

XXX by tec. 96120......... ............ A........... Neuropsych tst

0.51

1.69

1.21

0.10

0.13

0.02

XXX admin w/comp. 96125......... ............ A........... Cognitive test by

1.70

0.76

0.76

0.37

0.37

0.16

XXX hc pro. 96150......... ............ A........... Assess hlth/

0.50

0.10

0.14

0.09

0.13

0.01

XXX behave, init. 96151......... ............ A........... Assess hlth/

0.48

0.10

0.14

0.09

0.13

0.01

XXX behave, subseq. 96152......... ............ A........... Intervene hlth/

0.46

0.09

0.13

0.08

0.12

0.01

XXX behave, indiv. 96153......... ............ A........... Intervene hlth/

0.10

0.02

0.03

0.02

0.02

0.01

XXX behave, group. 96154......... ............ A........... Interv hlth/behav,

0.45

0.09

0.13

0.08

0.12

0.01

XXX fam w/pt. 96155......... ............ N........... Interv hlth/behav

0.44

0.10

0.14

0.10

0.14

0.02

XXX fam no pt. 96401......... ............ A........... Chemo, anti-neopl,

0.21

1.86

1.51

NA

NA

0.01

XXX sq/im. 96402......... ............ A........... Chemo hormon

0.19

0.78

0.89

NA

NA

0.01

XXX antineopl sq/im. 96405......... ............ A........... Chemo

0.52

3.69

3.06

0.24

0.24

0.03

000 intralesional, up to 7. 96406......... ............ A........... Chemo

0.80

3.62

3.31

0.32

0.31

0.03

000 intralesional over 7. 96409......... ............ A........... Chemo, iv push,

0.24

2.80

2.86

NA

NA

0.06

XXX sngl drug. 96411......... ............ A........... Chemo, iv push,

0.20

1.50

1.55

NA

NA

0.06

ZZZ addl drug. 96413......... ............ A........... Chemo, iv

0.28

3.64

3.91

NA

NA

0.08

XXX infusion, 1 hr. 96415......... ............ A........... Chemo, iv

0.19

0.66

0.71

NA

NA

0.07

ZZZ infusion, addl hr.

[[Page 2697]]

96416......... ............ A........... Chemo prolong

0.21

4.09

4.34

NA

NA

0.08

XXX infuse w/pump. 96417......... ............ A........... Chemo iv infus

0.21

1.73

1.84

NA

NA

0.07

ZZZ each addl seq. 96420......... ............ A........... Chemo, ia, push

0.17

2.78

2.72

NA

NA

0.08

XXX tecnique. 96422......... ............ A........... Chemo ia infusion

0.17

4.50

4.66

NA

NA

0.08

XXX up to 1 hr. 96423......... ............ A........... Chemo ia infuse

0.17

1.99

1.94

NA

NA

0.02

ZZZ each addl hr. 96425......... ............ A........... Chemotherapy,infus

0.17

4.67

4.57

NA

NA

0.08

XXX ion method. 96440......... ............ A........... Chemotherapy,

2.37

5.56

6.84

0.98

1.10

0.17

000 intracavitary. 96445......... ............ A........... Chemotherapy,

2.20

5.42

6.73

0.96

1.07

0.14

000 intracavitary. 96450......... ............ A........... Chemotherapy, into

1.53

4.99

5.97

0.83

1.06

0.09

000 CNS. 96521......... ............ A........... Refill/maint,

0.21

3.16

3.46

NA

NA

0.06

XXX portable pump. 96522......... ............ A........... Refill/maint pump/

0.21

2.78

2.71

NA

NA

0.06

XXX resvr syst. 96523......... ............ T........... Irrig drug

0.04

0.64

0.67

NA

NA

0.01

XXX delivery device. 96542......... ............ A........... Chemotherapy

0.75

3.56

3.90

0.32

0.49

0.07

XXX injection. 96549......... ............ C........... Chemotherapy,

0.00

0.00

0.00

0.00

0.00

0.00

XXX unspecified. 96567......... ............ A........... Photodynamic tx,

0.00

3.74

2.85

NA

NA

0.04

XXX skin. 96570......... ............ A........... Photodynamic tx,

1.10

0.40

0.38

0.40

0.38

0.11

ZZZ 30 min. 96571......... ............ A........... Photodynamic tx,

0.55

0.19

0.19

0.19

0.19

0.03

ZZZ addl 15 min. 96900......... ............ A........... Ultraviolet light

0.00

0.57

0.50

NA

NA

0.02

XXX therapy. 96902......... ............ B........... Trichogram........

0.41

0.11

0.15

0.09

0.13

0.01

XXX 96904......... ............ R........... Whole body

0.00

1.90

1.90

NA

NA

0.01

XXX photography. 96910......... ............ A........... Photochemotherapy

0.00

2.01

1.50

NA

NA

0.04

XXX with UV-B. 96912......... ............ A........... Photochemotherapy

0.00

2.58

1.92

NA

NA

0.05

XXX with UV-A. 96913......... ............ A........... Photochemotherapy,

0.00

3.47

2.57

NA

NA

0.10

XXX UV-A or B. 96920......... ............ A........... Laser tx, skin 2.10

4.64

4.06

1.04

0.83

0.04

000 500 sq cm. 96999......... ............ C........... Dermatological

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 97001......... ............ A........... Pt evaluation.....

1.20

0.65

0.70

NA

NA

0.05

XXX 97002......... ............ A........... Pt re-evaluation..

0.60

0.41

0.42

NA

NA

0.02

XXX 97003......... ............ A........... Ot evaluation.....

1.20

0.76

0.82

NA

NA

0.06

XXX 97004......... ............ A........... Ot re-evaluation..

0.60

0.54

0.61

NA

NA

0.02

XXX 97005......... ............ I........... Athletic train

0.00

0.00

0.00

0.00

0.00

0.00

XXX eval. 97006......... ............ I........... Athletic train

0.00

0.00

0.00

0.00

0.00

0.00

XXX reeval. 97010......... ............ B........... Hot or cold packs

0.06

0.07

0.06

NA

NA

0.01

XXX therapy. 97012......... ............ A........... Mechanical

0.25

0.14

0.14

NA

NA

0.01

XXX traction therapy. 97014......... ............ I........... Electric

0.18

0.18

0.18

NA

NA

0.01

XXX stimulation therapy. 97016......... ............ A........... Vasopneumatic

0.18

0.24

0.21

NA

NA

0.01

XXX device therapy. 97018......... ............ A........... Paraffin bath

0.06

0.17

0.13

NA

NA

0.01

XXX therapy. 97022......... ............ A........... Whirlpool therapy.

0.17

0.33

0.27

NA

NA

0.01

XXX 97024......... ............ A........... Diathermy eg,

0.06

0.08

0.07

NA

NA

0.01

XXX microwave. 97026......... ............ A........... Infrared therapy..

0.06

0.07

0.06

NA

NA

0.01

XXX 97028......... ............ A........... Ultraviolet

0.08

0.08

0.08

NA

NA

0.01

XXX therapy. 97032......... ............ A........... Electrical

0.25

0.20

0.18

NA

NA

0.01

XXX stimulation. 97033......... ............ A........... Electric current

0.26

0.44

0.36

NA

NA

0.01

XXX therapy. 97034......... ............ A........... Contrast bath

0.21

0.20

0.17

NA

NA

0.01

XXX therapy. 97035......... ............ A........... Ultrasound therapy

0.21

0.10

0.10

NA

NA

0.01

XXX 97036......... ............ A........... Hydrotherapy......

0.28

0.44

0.38

NA

NA

0.01

XXX 97039......... ............ C........... Physical therapy

0.00

0.00

0.00

0.00

0.00

0.00

XXX treatment. 97110......... ............ A........... Therapeutic

0.45

0.32

0.29

NA

NA

0.02

XXX exercises. 97112......... ............ A........... Neuromuscular

0.45

0.34

0.33

NA

NA

0.01

XXX reeducation. 97113......... ............ A........... Aquatic therapy/

0.44

0.53

0.46

NA

NA

0.01

XXX exercises. 97116......... ............ A........... Gait training

0.40

0.27

0.26

NA

NA

0.01

XXX therapy. 97124......... ............ A........... Massage therapy...

0.35

0.27

0.25

NA

NA

0.01

XXX 97139......... ............ C........... Physical medicine

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 97140......... ............ A........... Manual therapy....

0.43

0.29

0.27

NA

NA

0.01

XXX 97150......... ............ A........... Group therapeutic

0.27

0.22

0.20

NA

NA

0.01

XXX procedures. 97530......... ............ A........... Therapeutic

0.44

0.38

0.35

NA

NA

0.01

XXX activities. 97532......... ............ A........... Cognitive skills

0.44

0.22

0.21

NA

NA

0.01

XXX development. 97533......... ............ A........... Sensory

0.44

0.27

0.25

NA

NA

0.01

XXX integration. 97535......... ............ A........... Self care mngment

0.45

0.37

0.35

NA

NA

0.01

XXX training. 97537......... ............ A........... Community/work

0.45

0.28

0.27

NA

NA

0.01

XXX reintegration. 97542......... ............ A........... Wheelchair mngment

0.45

0.29

0.28

NA

NA

0.01

XXX training. 97545......... ............ R........... Work hardening....

0.00

0.00

0.00

0.00

0.00

0.00

XXX 97546......... ............ R........... Work hardening add- 0.00

0.00

0.00

0.00

0.00

0.00

ZZZ on. 97597......... ............ A........... Active wound care/

0.58

1.10

0.88

0.12

0.39

0.05

XXX 20 cm or 20 cm. 97602......... ............ B........... Wound(s) care non-

0.00

0.00

0.00

0.00

0.00

0.00

XXX selective. 97605......... ............ A........... Neg press wound

0.55

0.40

0.37

0.11

0.17

0.02

XXX tx, 50 cm. 97750......... ............ A........... Physical

0.45

0.33

0.32

NA

NA

0.02

XXX performance test. 97755......... ............ A........... Assistive

0.62

0.27

0.28

NA

NA

0.02

XXX technology assess. 97760......... ............ A........... Orthotic mgmt and

0.45

0.42

0.38

NA

NA

0.03

XXX training.

[[Page 2698]]

97761......... ............ A........... Prosthetic

0.45

0.33

0.30

NA

NA

0.02

XXX training. 97762......... ............ A........... C/o for orthotic/

0.25

0.73

0.58

NA

NA

0.02

XXX prosth use. 97799......... ............ C........... Physical medicine

0.00

0.00

0.00

0.00

0.00

0.00

XXX procedure. 97802......... ............ A........... Medical nutrition,

0.45

0.14

0.30

0.11

0.29

0.01

XXX indiv, in. 97803......... ............ A........... Med nutrition,

0.37

0.12

0.29

0.09

0.28

0.01

XXX indiv, subseq. 97804......... ............ A........... Medical nutrition,

0.25

0.08

0.13

0.07

0.12

0.01

XXX group. 97810......... ............ N........... Acupunct w/o

0.60

0.26

0.32

0.14

0.18

0.03

XXX stimul 15 min. 97811......... ............ N........... Acupunct w/o

0.50

0.15

0.20

0.11

0.15

0.03

ZZZ stimul addl 15m. 97813......... ............ N........... Acupunct w/stimul

0.65

0.27

0.33

0.15

0.20

0.03

XXX 15 min. 97814......... ............ N........... Acupunct w/stimul

0.55

0.19

0.24

0.13

0.17

0.03

ZZZ addl 15m. 98925......... ............ A........... Osteopathic

0.45

0.29

0.30

0.12

0.13

0.02

000 manipulation. 98926......... ............ A........... Osteopathic

0.65

0.37

0.39

0.17

0.21

0.03

000 manipulation. 98927......... ............ A........... Osteopathic

0.87

0.45

0.48

0.22

0.26

0.03

000 manipulation. 98928......... ............ A........... Osteopathic

1.03

0.51

0.55

0.26

0.30

0.04

000 manipulation. 98929......... ............ A........... Osteopathic

1.19

0.57

0.62

0.30

0.33

0.05

000 manipulation. 98940......... ............ A........... Chiropractic

0.45

0.21

0.22

0.12

0.12

0.01

000 manipulation. 98941......... ............ A........... Chiropractic

0.65

0.27

0.29

0.17

0.17

0.01

000 manipulation. 98942......... ............ A........... Chiropractic

0.87

0.33

0.35

0.24

0.23

0.02

000 manipulation. 98943......... ............ N........... Chiropractic

0.40

0.17

0.21

0.09

0.13

0.01

XXX manipulation. 98960......... ............ B........... Self-mgmt educ &

0.00

0.58

0.58

NA

NA

0.01

XXX train, 1 pt. 98961......... ............ B........... Self-mgmt educ/

0.00

0.28

0.28

NA

NA

0.01

XXX train, 2-4 pt. 98962......... ............ B........... Self-mgmt educ/

0.00

0.20

0.20

NA

NA

0.01

XXX train, 5-8 pt. 98966......... ............ N........... Hc pro phone call

0.25

0.09

0.09

0.06

0.06

0.01

XXX 5-10 min. 98967......... ............ N........... Hc pro phone call

0.50

0.14

0.14

0.11

0.11

0.02

XXX 11-20 min. 98968......... ............ N........... Hc pro phone call

0.75

0.20

0.20

0.17

0.17

0.03

XXX 21-30 min. 98969......... ............ N........... Online service by

0.00

0.00

0.00

0.00

0.00

0.00

XXX hc pro. 99000......... ............ B........... Specimen handling.

0.00

0.00

0.00

0.00

0.00

0.00

XXX 99001......... ............ B........... Specimen handling.

0.00

0.00

0.00

0.00

0.00

0.00

XXX 99002......... ............ B........... Device handling...

0.00

0.00

0.00

0.00

0.00

0.00

XXX 99024......... ............ B........... Postop follow-up

0.00

0.00

0.00

0.00

0.00

0.00

XXX visit. 99026......... ............ N........... In-hospital on

0.00

0.00

0.00

0.00

0.00

0.00

XXX call service. 99027......... ............ N........... Out-of-hosp on

0.00

0.00

0.00

0.00

0.00

0.00

XXX call service. 99050......... ............ B........... Medical services

0.00

0.00

0.00

0.00

0.00

0.00

XXX after hrs. 99051......... ............ B........... Med serv, eve/

0.00

0.00

0.00

0.00

0.00

0.00

XXX wkend/holiday. 99053......... ............ B........... Med serv 10pm-8am,

0.00

0.00

0.00

0.00

0.00

0.00

XXX 24 hr fac. 99056......... ............ B........... Med service out of

0.00

0.00

0.00

0.00

0.00

0.00

XXX office. 99058......... ............ B........... Office emergency

0.00

0.00

0.00

0.00

0.00

0.00

XXX care. 99060......... ............ B........... Out of office

0.00

0.00

0.00

0.00

0.00

0.00

XXX emerg med serv. 99070......... ............ B........... Special supplies..

0.00

0.00

0.00

0.00

0.00

0.00

XXX 99071......... ............ B........... Patient education

0.00

0.00

0.00

0.00

0.00

0.00

XXX materials. 99075......... ............ N........... Medical testimony.

0.00

0.00

0.00

0.00

0.00

0.00

XXX 99078......... ............ B........... Group health

0.00

0.00

0.00

0.00

0.00

0.00

XXX education. 99080......... ............ B........... Special reports or

0.00

0.00

0.00

0.00

0.00

0.00

XXX forms. 99082......... ............ C........... Unusual physician

0.00

0.00

0.00

0.00

0.00

0.00

XXX travel. 99090......... ............ B........... Computer data

0.00

0.00

0.00

0.00

0.00

0.00

XXX analysis. 99091......... ............ B........... Collect/review

1.10

0.25

0.25

NA

NA

0.04

XXX data from pt. 99100......... ............ B........... Special anesthesia

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ service. 99116......... ............ B........... Anesthesia with

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ hypothermia. 99135......... ............ B........... Special anesthesia

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ procedure. 99140......... ............ B........... Emergency

0.00

0.00

0.00

0.00

0.00

0.00

ZZZ anesthesia. 99143......... ............ C........... Mod cs by same

0.00

0.00

0.00

0.00

0.00

0.00

XXX phys, 30 min. G3001......... ............ X........... Admin + supply,

0.00

0.00

0.00

0.00

0.00

0.00

XXX tositumomab. G9001......... ............ X........... MCCD, initial rate

0.00

0.00

0.00

0.00

0.00

0.00

XXX G9002......... ............ X........... MCCD,maintenance

0.00

0.00

0.00

0.00

0.00

0.00

XXX rate. G9003......... ............ X........... MCCD, risk adj hi,

0.00

0.00

0.00

0.00

0.00

0.00

XXX initial. G9004......... ............ X........... MCCD, risk adj lo,

0.00

0.00

0.00

0.00

0.00

0.00

XXX initial. G9005......... ............ X........... MCCD, risk adj,

0.00

0.00

0.00

0.00

0.00

0.00

XXX maintenance. G9006......... ............ X........... MCCD, Home

0.00

0.00

0.00

0.00

0.00

0.00

XXX monitoring. G9007......... ............ X........... MCCD, sch team

0.00

0.00

0.00

0.00

0.00

0.00

XXX conf. G9008......... ............ X........... Mccd,phys coor-

0.00

0.00

0.00

0.00

0.00

0.00

XXX care ovrsght. G9009......... ............ X........... MCCD, risk adj,

0.00

0.00

0.00

0.00

0.00

0.00

XXX level 3. G9010......... ............ X........... MCCD, risk adj,

0.00

0.00

0.00

0.00

0.00

0.00

XXX level 4. G9011......... ............ X........... MCCD, risk adj,

0.00

0.00

0.00

0.00

0.00

0.00

XXX level 5. G9012......... ............ X........... Other Specified

0.00

0.00

0.00

0.00

0.00

0.00

XXX Case Mgmt. G9013......... ............ N........... ESRD demo bundle

0.00

0.00

0.00

0.00

0.00

0.00

XXX level I. G9014......... ............ N........... ESRD demo bundle-

0.00

0.00

0.00

0.00

0.00

0.00

XXX level II. G9016......... ............ N........... Demo-smoking

0.00

0.00

0.00

0.00

0.00

0.00

XXX cessation coun. G9017......... ............ X........... Amantadine HCL

0.00

0.00

0.00

0.00

0.00

0.00

XXX 100mg oral. G9018......... ............ X........... Zanamivir,inhalati

0.00

0.00

0.00

0.00

0.00

0.00

XXX on pwd 10m. G9019......... ............ X........... Oseltamivir

0.00

0.00

0.00

0.00

0.00

0.00

XXX phosphate 75mg. G9020......... ............ X........... Rimantadine HCL

0.00

0.00

0.00

0.00

0.00

0.00

XXX 100mg oral. G9033......... ............ X........... Amantadine HCL

0.00

0.00

0.00

0.00

0.00

0.00

XXX oral brand. G9034......... ............ X........... Zanamivir, inh

0.00

0.00

0.00

0.00

0.00

0.00

XXX pwdr, brand. G9035......... ............ X........... Oseltamivir phosp,

0.00

0.00

0.00

0.00

0.00

0.00

XXX brand. G9036......... ............ X........... Rimantadine HCL,

0.00

0.00

0.00

0.00

0.00

0.00

XXX brand. G9041......... ............ A........... Low vision rehab

0.44

0.10

0.20

0.10

0.20

0.01

XXX occupationa. G9042......... ............ A........... Low vision rehab

0.10

0.02

0.16

0.02

0.16

0.01

XXX orient/mobi. G9043......... ............ A........... Low vision

0.10

0.02

0.16

0.02

0.16

0.01

XXX lowvision therapi. G9044......... ............ A........... Low vision

0.10

0.02

0.13

0.02

0.13

0.01

XXX rehabilate teache. G9140......... ............ X........... Frontier extended

0.00

0.00

0.00

0.00

0.00

0.00

XXX stay demo. M0064......... ............ A........... Visit for drug

0.37

0.91

0.62

0.07

0.09

0.01

XXX monitoring. P3001......... ............ A........... Screening pap

0.42

0.38

0.26

0.38

0.26

0.02

XXX smear by phys. Q0035......... ............ A........... Cardiokymography..

0.17

0.30

0.37

NA

NA

0.03

XXX Q0035......... TC.......... A........... Cardiokymography..

0.00

0.25

0.32

NA

NA

0.02

XXX Q0035......... 26.......... A........... Cardiokymography..

0.17

0.05

0.05

0.05

0.05

0.01

XXX Q0091......... ............ A........... Obtaining screen

0.37

0.75

0.71

0.10

0.12

0.02

XXX pap smear. Q0092......... ............ A........... Set up port xray

0.00

0.47

0.40

0.47

0.40

0.01

XXX equipment. Q3001......... ............ C........... Brachytherapy

0.00

0.00

0.00

0.00

0.00

0.00

XXX Radioelements. Q3014......... ............ X........... Telehealth

0.00

0.00

0.00

0.00

0.00

0.00

XXX facility fee. R0070......... ............ C........... Transport portable

0.00

0.00

0.00

0.00

0.00

0.00

XXX x-ray. R0075......... ............ C........... Transport port x-

0.00

0.00

0.00

0.00

0.00

0.00

XXX ray multipl. R0076......... ............ B........... Transport portable

0.00

0.00

0.00

0.00

0.00

0.00

XXX EKG. V5299......... ............ R........... Hearing service...

0.00

0.00

0.00

0.00

0.00

0.00

XXX

\1\ CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. \2\ If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.

[[Page 2704]]

2. On pages 66543 through 66545, Addendum C, Codes with Interim RVUs, the table is corrected to read as follows:

\1\ CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.

\2\ If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.

Addendum C.--Codes With Interim RVUS

Fully Year 2008 Physician implemented transitional Fully Year 2008 Mal- CPT \1\/ HCPCS Mod Status

Description work RVUs non-

non- implemented transitional practice

Global \2\ facility facility PE facility facility RVUs \2\ PE RVUs \2\ RVUs \2\ PE RVUs \2\ PE RVUs \2\

20555......... ....... A

Place ndl musc/tis

6.00

NA

NA

2.18

2.18

0.43 000 for rt. 20660......... ....... A

Apply, rem

4.00

2.28

2.28

1.55

1.55

0.59 000 fixation device. 20690......... ....... A

Apply bone

8.65

NA

NA

3.71

3.71

0.59 090 fixation device. 20692......... ....... A

Apply bone

16.00

NA

NA

6.79

6.79

1.05 090 fixation device. 20985......... ....... A

Cptr-asst dir ms

2.50

0.99

0.99

0.99

0.99

0.48 ZZZ px. 20986......... ....... C

Cptr-asst dir ms

0.00

0.00

0.00

0.00

0.00

0.00 ZZZ px io img. 20987......... ....... C

Cptr-asst dir ms

0.00

0.00

0.00

0.00

0.00

0.00 ZZZ px pre img. 21073......... ....... A

Mnpj of tmj w/

3.33

5.50

5.50

2.31

2.31

0.43 090 anesth. 22206......... ....... A

Cut spine 3 col,

37.00

NA

NA

17.73

17.73

6.23 090 thor. 22207......... ....... A

Cut spine 3 col,

36.50

NA

NA

17.61

17.61

6.07 090 lumb. 22208......... ....... A

Cut spine 3 col,

9.66

3.73

3.73

3.73

3.73

2.07 ZZZ addl seg. 23515......... ....... A

Treat clavicle

9.53

NA

NA

6.78

6.78

1.28 090 fracture. 23585......... ....... A

Treat scapula

14.07

NA

NA

8.08

8.08

1.54 090 fracture. 23615......... ....... A

Treat humerus

12.12

NA

NA

8.45

8.45

1.62 090 fracture. 23616......... ....... A

Treat humerus

18.19

NA

NA

12.30

12.30

3.70 090 fracture. 23630......... ....... A

Treat humerus

10.39

NA

NA

7.00

7.00

1.27 090 fracture. 23670......... ....... A

Treat dislocation/ 12.12

NA

NA

7.38

7.38

1.36 090 fracture. 23680......... ....... A

Treat dislocation/ 12.99

NA

NA

8.17

8.17

1.76 090 fracture. 24357......... ....... A

Repair elbow, perc

5.32

NA

NA

5.15

5.15

0.87 090 24358......... ....... A

Repair elbow w/

6.54

NA

NA

5.73

5.73

1.07 090 deb, open. 24359......... ....... A

Repair elbow deb/

8.86

NA

NA

6.20

6.20

1.41 090 attch open. 24545......... ....... A

Treat humerus

12.99

NA

NA

8.37

8.37

1.83 090 fracture. 24546......... ....... A

Treat humerus

14.73

NA

NA

10.22

10.22

2.74 090 fracture. 24575......... ....... A

Treat humerus

9.53

NA

NA

7.69

7.69

1.87 090 fracture. 24579......... ....... A

Treat humerus

11.26

NA

NA

8.29

8.29

2.03 090 fracture. 24635......... ....... A

Treat elbow

8.64

NA

NA

10.31

10.31

2.29 090 fracture. 24685......... ....... A

Treat ulnar

8.21

NA

NA

7.02

7.02

1.52 090 fracture. 25515......... ....... A

Treat fracture of

8.64

NA

NA

6.97

6.97

1.59 090 radius. 25525......... ....... A

Treat fracture of

10.37

NA

NA

8.71

8.71

2.13 090 radius. 25526......... ....... A

Treat fracture of

12.96

NA

NA

11.10

11.10

2.20 090 radius. 25545......... ....... A

Treat fracture of

7.78

NA

NA

6.95

6.95

1.53 090 ulna. 25574......... ....... A

Treat fracture

8.64

NA

NA

6.88

6.88

1.21 090 radius & ulna. 25575......... ....... A

Treat fracture

12.10

NA

NA

8.94

8.94

1.82 090 radius/ulna. 25628......... ....... A

Treat wrist bone

9.51

NA

NA

7.34

7.34

1.37 090 fracture. 26615......... ....... A

Treat metacarpal

6.91

NA

NA

5.66

5.66

0.86 090 fracture. 26650......... ....... A

Treat thumb

5.19

NA

NA

5.79

5.79

0.94 090 fracture. 26665......... ....... A

Treat thumb

7.78

NA

NA

6.47

6.47

0.90 090 fracture. 26685......... ....... A

Treat hand

6.91

NA

NA

6.06

6.06

1.09 090 dislocation. 26715......... ....... A

Treat knuckle

6.87

NA

NA

5.76

5.76

0.91 090 dislocation. 26735......... ....... A

Treat finger

7.26

NA

NA

5.84

5.84

0.95 090 fracture, each. 26746......... ....... A

Treat finger

9.59

NA

NA

6.38

6.38

0.91 090 fracture, each. 26765......... ....... A

Treat finger

5.70

NA

NA

4.93

4.93

0.66 090 fracture, each. 26785......... ....... A

Treat finger

6.44

NA

NA

5.15

5.15

0.68 090 dislocation. 27248......... ....... A

Treat thigh

10.64

NA

NA

7.30

7.30

1.82 090 fracture. 27267......... ....... A

Cltx thigh fx.....

5.38

NA

NA

4.40

4.40

0.89 090 27268......... ....... A

Cltx thigh fx w/

7.00

NA

NA

5.02

5.02

1.16 090 mnpj. 27269......... ....... A

Optx thigh fx..... 18.75

NA

NA

9.89

9.89

2.93 090 27416......... ....... A

Osteochondral knee 14.00

NA

NA

8.39

8.39

2.32 090 autograft. 27511......... ....... A

Treatment of thigh 14.97

NA

NA

9.66

9.66

2.38 090 fracture. 27513......... ....... A

Treatment of thigh 19.11

NA

NA

11.82

11.82

3.13 090 fracture. 27514......... ....... A

Treatment of thigh 14.46

NA

NA

10.62

10.62

3.01 090 fracture. 27519......... ....... A

Treat thigh fx

13.11

NA

NA

9.49

9.49

2.56 090 growth plate. 27535......... ....... A

Treat knee

13.27

NA

NA

8.78

8.78

2.01 090 fracture. 27540......... ....... A

Treat knee

11.16

NA

NA

8.45

8.45

2.28 090 fracture. 27556......... ....... A

Treat knee

12.86

NA

NA

9.46

9.46

2.51 090 dislocation. 27557......... ....... A

Treat knee

15.76

NA

NA

10.79

10.79

2.98 090 dislocation. 27558......... ....... A

Treat knee

18.25

NA

NA

11.17

11.17

3.09 090 dislocation. 27726......... ....... A

Repair fibula

14.20

NA

NA

7.68

7.68

1.43 090 nonunion. 27766......... ....... A

Optx medial ankle

7.73

NA

NA

6.68

6.68

1.44 090 fx. 27767......... ....... A

Cltx post ankle fx

2.50

3.62

3.62

3.65

3.65

0.30 090 27768......... ....... A

Cltx post ankle fx

5.00

NA

NA

4.30

4.30

0.79 090 w/mnpj. 27769......... ....... A

Optx post ankle fx 10.00

NA

NA

6.08

6.08

1.45 090 27784......... ....... A

Treatment of

9.51

NA

NA

6.66

6.66

1.23 090 fibula fracture. 27792......... ....... A

Treatment of ankle

9.55

NA

NA

6.89

6.89

1.32 090 fracture. 27814......... ....... A

Treatment of ankle 10.46

NA

NA

7.90

7.90

1.86 090 fracture. 27822......... ....... A

Treatment of ankle 11.03

NA

NA

9.43

9.43

1.92 090 fracture. 27823......... ....... A

Treatment of ankle 12.98

NA

NA

10.21

10.21

2.26 090 fracture. 27826......... ....... A

Treat lower leg

10.92

NA

NA

8.52

8.52

1.47 090 fracture. 27827......... ....... A

Treat lower leg

14.56

NA

NA

11.48

11.48

2.44 090 fracture. 27828......... ....... A

Treat lower leg

18.20

NA

NA

12.76

12.76

2.82 090 fracture.

[[Page 2705]]

27829......... ....... A

Treat lower leg

8.64

NA

NA

6.88

6.88

0.95 090 joint. 27832......... ....... A

Treat lower leg

10.01

NA

NA

6.50

6.50

1.03 090 dislocation. 28415......... ....... A

Treat heel

15.96

NA

NA

11.77

11.77

2.67 090 fracture. 28420......... ....... A

Treat/graft heel

17.29

NA

NA

11.60

11.60

2.81 090 fracture. 28445......... ....... A

Treat ankle

15.53

NA

NA

10.26

10.26

2.59 090 fracture. 28446......... ....... A

Osteochondral

17.50

NA

NA

10.36

10.36

2.45 090 talus autogrft. 28465......... ....... A

Treat midfoot

8.64

NA

NA

6.19

6.19

1.10 090 fracture, each. 28485......... ....... A

Treat metatarsal

7.28

NA

NA

5.51

5.51

0.83 090 fracture. 28505......... ....... A

Treat big toe

7.28

8.28

8.28

4.36

4.36

0.56 090 fracture. 28525......... ....... A

Treat toe fracture

5.46

7.82

7.82

3.88

3.88

0.49 090 28555......... ....... A

Repair foot

9.49

10.36

10.36

5.99

5.99

1.04 090 dislocation. 28585......... ....... A

Repair foot

10.92

9.45

9.45

6.41

6.41

1.25 090 dislocation. 28615......... ....... A

Repair foot

10.46

NA

NA

8.09

8.09

1.30 090 dislocation. 28645......... ....... A

Repair toe

7.28

6.65

6.65

3.95

3.95

0.57 090 dislocation. 28675......... ....... A

Repair of toe

5.46

7.69

7.69

3.90

3.90

0.45 090 dislocation. 29828......... ....... A

Arthroscopy biceps 13.00

NA

NA

8.18

8.18

2.17 090 tenodesis. 29904......... ....... A

Subtalar arthro w/

8.50

NA

NA

5.89

5.89

1.25 090 fb rmvl. 29905......... ....... A

Subtalar arthro w/

9.00

NA

NA

6.52

6.52

1.32 090 exc. 29906......... ....... A

Subtalar arthro w/

9.47

NA

NA

6.88

6.88

1.39 090 deb. 29907......... ....... A

Subtalar arthro w/ 12.00

NA

NA

7.87

7.87

1.90 090 fusion. 31500......... ....... A

Insert emergency

2.33

NA

NA

0.48

0.48

0.17 000 airway. 33257......... ....... A

Ablate atria,

9.63

NA

NA

5.47

5.47

0.89 ZZZ lmtd, add-on. 33258......... ....... A

Ablate atria,

11.00

NA

NA

5.99

5.99

1.09 ZZZ x10sv, add-on. 33259......... ....... A

Ablate atria w/

14.14

NA

NA

7.80

7.80

1.78 ZZZ bypass add-on. 33864......... ....... A

Ascending aortic

60.00

NA

NA

20.11

20.11

6.73 090 graft. 34806......... ....... A

Aneurysm press

2.06

0.51

0.51

0.51

0.51

0.30 ZZZ sensor add-on. 35523......... ....... A

Artery bypass

24.00

NA

NA

9.22

9.22

2.14 090 graft. 36591......... ....... T

Draw blood off

0.00

0.54

0.54

NA

NA

0.01 XXX venous device. 36592......... ....... T

Collect blood from

0.00

0.67

0.67

NA

NA

0.01 XXX picc. 36593......... ....... A

Declot vascular

0.00

0.60

0.60

NA

NA

0.37 XXX device. 36620......... ....... A

Insertion

1.15

NA

NA

0.19

0.19

0.07 000 catheter, artery. 41019......... ....... A

Place needles h&n

8.84

NA

NA

3.28

3.28

0.59 000 for rt. 43760......... ....... A

Change gastrostomy

0.90

4.04

4.04

0.39

0.39

0.09 000 tube. 49203......... ....... A

Exc abd tum 5 cm

20.00

NA

NA

7.66

7.66

2.27 090 or less. 49204......... ....... A

Exc abd tum over 5 26.00

NA

NA

9.27

9.27

2.94 090 cm. 49205......... ....... A

Exc abd tum over

30.00

NA

NA

10.35

10.35

3.40 090 10 cm. 49440......... ....... A

Place gastrostomy

4.18

25.06

25.06

1.81

1.81

0.49 010 tube perc. 49441......... ....... A

Place duod/jej

4.77

30.13

30.13

2.01

2.01

0.29 010 tube perc. 49442......... ....... A

Place cecostomy

4.00

24.46

24.46

1.63

1.63

0.24 010 tube perc. 49446......... ....... A

Change g-tube to g- 3.31

25.78

25.78

1.15

1.15

0.18 000 j perc. 49450......... ....... A

Replace g/c tube

1.36

18.97

18.97

0.44

0.44

0.08 000 perc. 49451......... ....... A

Replace duod/jej

1.84

19.71

19.71

0.64

0.64

0.11 000 tube perc. 49452......... ....... A

Replace g-j tube

2.86

23.51

23.51

1.00

1.00

0.18 000 perc. 49460......... ....... A

Fix g/colon tube w/ 0.96

20.59

20.59

0.31

0.31

0.05 000 device. 49465......... ....... A

Fluoro exam of g/

0.62

3.89

3.89

0.22

0.22

0.03 000 colon tube. 50385......... ....... A

Change stent via

4.44

30.64

30.64

2.05

2.05

0.27 000 transureth. 50386......... ....... A

Remove stent via

3.30

19.38

19.38

1.61

1.61

0.20 000 transureth. 50593......... ....... A

Perc cryo ablate

9.08 114.62 114.62

3.45

3.45

0.58 010 renal tum. 51797......... 26 A

Intraabdominal

0.80

0.41

0.41

0.41

0.41

0.12 ZZZ pressure test. 52649......... ....... A

2Prostate laser

17.16

NA

NA

9.32

9.32

1.11 090 enucleation. 55920......... ....... A

Place needles

8.31

NA

NA

3.14

3.14

0.58 000 pelvic for rt. 57284......... ....... A

Repair paravag

14.25

NA

NA

6.57

6.57

1.41 090 defect, open. 57285......... ....... A

Repair paravag

11.52

NA

NA

5.16

5.16

0.63 090 defect, vag. 57423......... ....... A

Repair paravag

16.00

NA

NA

6.52

6.52

1.65 090 defect, lap. 58570......... ....... A

Tlh, uterus 250 g

15.75

NA

NA

6.46

6.46

1.82 090 or less. 58571......... ....... A

Tlh w/t/o 250 g or 17.56

NA

NA

6.95

6.95

1.81 090 less. 58572......... ....... A

Tlh, uterus over

19.96

NA

NA

7.60

7.60

2.31 090 250 g. 58573......... ....... A

Tlh w/t/o uterus

22.98

NA

NA

8.42

8.42

2.28 090 over 250 g. 67041......... ....... A

Vit for macular

19.00

NA

NA

10.37

10.37

0.86 090 pucker. 67042......... ....... A

Vit for macular

22.13

NA

NA

11.49

11.49

1.00 090 hole. 67043......... ....... A

Vit for membrane

22.94

NA

NA

12.35

12.35

1.04 090 dissect. 67113......... ....... A

Repair retinal

25.00

NA

NA

13.75

13.75

1.13 090 detach, cplx. 67229......... ....... A

Tr retinal les

16.00

NA

NA

9.52

9.52

0.71 090 preterm inf. 68816......... ....... A

Probe nl duct w/

3.00

12.75

12.75

2.51

2.51

0.16 010 balloon. 75557......... 26 A

Cardiac mri for

2.35

0.94

0.94

0.94

0.94

0.10 XXX morph. 75558......... 26 N

Cardiac mri flow/

2.60

0.60

0.60

0.60

0.60

0.11 XXX velocity. 75559......... 26 A

Cardiac mri w/

2.95

1.27

1.27

1.27

1.27

0.10 XXX stress img. 75560......... 26 N

Cardiac mri flow/

3.00

0.69

0.69

0.69

0.69

0.11 XXX vel/stress. 75561......... 26 A

Cardiac mri for

2.60

1.04

1.04

1.04

1.04

0.11 XXX morph w/dye. 75562......... 26 N

Card mri flow/vel

2.86

0.66

0.66

0.66

0.66

0.11 XXX w/dye. 75563......... 26 A

Card mri w/stress

3.00

1.38

1.38

1.38

1.38

0.11 XXX img & dye. 75564......... 26 N

Ht mri w/flo/vel/

3.35

0.77

0.77

0.77

0.77

0.13 XXX strs & dye. 78811......... 26 A

Pet image, ltd

1.54

0.53

0.53

0.53

0.53

0.11 XXX area.

[[Page 2706]]

78812......... 26 A

Pet image, skull-

1.93

0.66

0.66

0.66

0.66

0.11 XXX thigh. 78813......... 26 A

Pet image, full

2.00

0.69

0.69

0.69

0.69

0.11 XXX body. 78814......... 26 A

Pet image w/ct,

2.20

0.75

0.75

0.75

0.75

0.11 XXX lmtd. 78815......... 26 A

Pet image w/ct,

2.44

0.84

0.84

0.84

0.84

0.11 XXX skull-thigh. 78816......... 26 A

Pet image w/ct,

2.50

0.86

0.86

0.86

0.86

0.11 XXX full body. 86486......... ....... A

Skin test, nos

0.00

0.13

0.13

NA

NA

0.02 XXX antigen. 88380......... 26 A

Microdissection,

1.56

0.43

0.43

0.43

0.43

0.07 XXX laser. 88381......... 26 A

Microdissection,

1.18

0.32

0.32

0.32

0.32

0.06 XXX manual. 90769......... ....... A

Sc ther infusion,

0.21

3.93

3.93

NA

NA

0.06 XXX up to 1 hr. 90770......... ....... A

Sc ther infusion,

0.18

0.22

0.22

NA

NA

0.04 ZZZ addl hr. 90771......... ....... A

Sc ther infusion,

0.00

1.86

1.86

NA

NA

0.01 ZZZ reset pump. 93503......... ....... A

Insert/place heart

2.91

NA

NA

NA

NA

0.20 000 catheter. 93982......... ....... R

Aneurysm pressure

0.30

0.80

0.80

NA

NA

0.01 XXX sens study. 95004......... ....... A

Percut allergy

0.01

0.13

0.13

NA

NA

0.01 XXX skin tests. 95024......... ....... A

Id allergy test,

0.01

0.16

0.16

NA

NA

0.01 XXX drug/bug. 95027......... ....... A

Id allergy titrate- 0.01

0.12

0.12

NA

NA

0.01 XXX airborne. 95980......... ....... A

Io anal gast n-

0.80

NA

NA

0.25

0.25

0.07 XXX stim init. 95981......... ....... A

Io anal gast n-

0.30

0.44

0.44

0.12

0.12

0.02 XXX stim subsq. 95982......... ....... A

Io ga n-stim subsq

0.65

0.47

0.47

0.18

0.18

0.05 XXX w/reprog. 96125......... ....... A

Cognitive test by

1.70

0.76

0.76

0.37

0.37

0.16 XXX hc pro. 98966......... ....... N

Hc pro phone call

0.25

0.09

0.09

0.06

0.06

0.01 XXX 5-10 min. 98967......... ....... N

Hc pro phone call

0.50

0.14

0.14

0.11

0.11

0.02 XXX 11-20 min. 98968......... ....... N

Hc pro phone call

0.75

0.20

0.20

0.17

0.17

0.03 XXX 21-30 min. 98969......... ....... N

Online service by

0.00

0.00

0.00

0.00

0.00

0.00 XXX hc pro. 99174......... ....... N

Ocular

0.00

0.00

0.00

0.00

0.00

0.00 XXX photoscreening. 99366......... ....... B

Team conf w/pat by

0.82

0.20

0.20

0.19

0.19

0.06 XXX hc pro. 99367......... ....... B

Team conf w/o pat

1.10

0.25

0.25

0.25

0.25

0.05 XXX by phys. 99368......... ....... B

Team conf w/o pat

0.72

0.16

0.16

0.16

0.16

0.03 XXX by hc pro. 99406......... ....... A

Behav chng smoking

0.24

0.10

0.10

0.08

0.08

0.01 XXX 3-10 min. 99407......... ....... A

Behav chng smoking

0.50

0.18

0.18

0.15

0.15

0.01 XXX 30 min.

\1\ CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. \2\ If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment.

3. On pages 66545 through 66546, Addendum D, 2008 Geographic Adjustment Factors (GAFs), the table is corrected to read as follows:

Addendum D.--2008 Geographic Adjustment Factors (GAFs) by Medicare Locality

Carrier

Locality

Locality name

GAF

31140............... 06............... San Mateo, CA......... 1.231 31140............... 05............... San Francisco, CA..... 1.228 31140............... 09............... Santa Clara, CA....... 1.207 00803............... 01............... Manhattan, NY......... 1.174 00803............... 02............... NYC Suburbs/Long I., 1.171 NY. 31140............... 07............... Oakland/Berkeley, CA.. 1.154 31143............... 01............... Metropolitan Boston... 1.143 14330............... 04............... Queens, NY............ 1.137 31140............... 03............... Marin/Napa/Solano, CA. 1.133 00805............... 01............... Northern NJ........... 1.130 00903............... 01............... DC + MD/VA Suburbs.... 1.126 31146............... 26............... Anaheim/Santa Ana, CA. 1.124 31146............... 17............... Ventura, CA........... 1.102 31146............... 18............... Los Angeles, CA....... 1.100 00591............... 00............... Connecticut........... 1.096 00952............... 16............... Chicago, IL........... 1.093 00590............... 04............... Miami, FL............. 1.092 00953............... 01............... Detroit, MI........... 1.090 00805............... 99............... Rest of New Jersey.... 1.078 00952............... 15............... Suburban Chicago, IL.. 1.074 00865............... 01............... Metropolitan

1.072 Philadelphia, PA. 00833............... 01............... Hawaii/Guam........... 1.050 00831............... 01............... Alaska................ 1.045

[[Page 2707]]

00836............... 02............... Seattle (King Cnty), 1.045 WA. 31143............... 99............... Rest of Massachusetts. 1.042 00803............... 03............... Poughkpsie/N NYC

1.040 Suburbs, NY. 00901............... 01............... Baltimore/Surr. Cntys, 1.037 MD. 00590............... 03............... Fort Lauderdale, FL... 1.033 00524............... 01............... Rhode Island.......... 1.031 00511............... 01............... Atlanta, GA........... 1.024 00900............... 11............... Dallas, TX............ 1.022 00900............... 18............... Houston, TX........... 1.021 00834............... 00............... Nevada................ 1.019 31140............... 99............... Rest of California *.. 1.014 31146............... 99............... Rest of California *.. 1.014 00902............... 01............... Delaware.............. 1.012 00900............... 31............... Austin, TX............ 1.001 00835............... 01............... Portland, OR.......... 0.996 31144............... 40............... New Hampshire......... 0.994 00900............... 09............... Brazoria, TX.......... 0.994 00528............... 01............... New Orleans, LA....... 0.993 00952............... 12............... East St. Louis, IL.... 0.992 00900............... 28............... Fort Worth, TX........ 0.989 00973............... 50............... Virgin Islands........ 0.989 00900............... 15............... Galveston, TX......... 0.986 00824............... 01............... Colorado.............. 0.983 31142............... 03............... Southern Maine........ 0.981 00901............... 99............... Rest of Maryland...... 0.981 03102............... 00............... Arizona............... 0.980 00740............... 02............... Metropolitan Kansas 0.980 City, MO. 00590............... 99............... Rest of Florida....... 0.977 00953............... 99............... Rest of Michigan...... 0.976 00836............... 99............... Rest of Washington.... 0.973 00523............... 01............... Metropolitan St Louis, 0.971 MO. 00883............... 00............... Ohio.................. 0.970 00954............... 00............... Minnesota............. 0.967 00865............... 99............... Rest of Pennsylvania.. 0.956 31145............... 50............... Vermont............... 0.953 00904............... 00............... Virginia.............. 0.950 03502............... 09............... Utah.................. 0.948 00900............... 20............... Beaumont, TX.......... 0.946 00801............... 99............... Rest of New York...... 0.945 00951............... 00............... Wisconsin............. 0.943 00952............... 99............... Rest of Illinois...... 0.941 05535............... 00............... North Carolina........ 0.937 00521............... 05............... New Mexico............ 0.936 00630............... 00............... Indiana............... 0.935 00511............... 99............... Rest of Georgia....... 0.931 00900............... 99............... Rest of Texas......... 0.931 00835............... 99............... Rest of Oregon........ 0.930 00884............... 16............... West Virginia......... 0.925 00528............... 99............... Rest of Louisiana..... 0.923 05440............... 35............... Tennessee............. 0.923 00880............... 01............... South Carolina........ 0.920 00650............... 00............... Kansas *.............. 0.917 00740............... 04............... Kansas *.............. 0.917 31142............... 99............... Rest of Maine......... 0.915 00660............... 00............... Kentucky.............. 0.912 00510............... 00............... Alabama............... 0.910 05130............... 00............... Idaho................. 0.909 03602............... 21............... Wyoming............... 0.907 00826............... 00............... Iowa.................. 0.906 00512............... 00............... Mississippi........... 0.902 00655............... 00............... Nebraska.............. 0.902 03202............... 01............... Montana............... 0.898 00522............... 00............... Oklahoma.............. 0.898 00523............... 99............... Rest of Missouri *.... 0.889 00740............... 99............... Rest of Missouri *.... 0.889 03402............... 02............... South Dakota.......... 0.889 00520............... 13............... Arkansas.............. 0.888 03302............... 01............... North Dakota.......... 0.887 00973............... 20............... Puerto Rico........... 0.789

* Indicates multiple carriers.

[[Page 2708]]

4. On pages 66546 through 66547, Addendum E, 2008*** Geographic Practice Cost Indices by State and Medicare Locality, the table is corrected to read as follows:

Addendum E.--2008\**\ Geographic Practice Cost Indices by State and Medicare Locality

2008 GPCIs

Carrier Locality Locality name -------------------------- Work PE MP

00510......... 00......... Alabama......... 0.982 0.850 0.617 00831......... 01......... Alaska.......... 1.017 1.098 0.828 03102......... 00......... Arizona......... 0.988 0.975 0.936 00520......... 13......... Arkansas........ 0.961 0.839 0.439 31146......... 26......... Anaheim/Santa 1.034 1.254 0.874 Ana, CA. 31146......... 18......... Los Angeles, CA. 1.041 1.192 0.871 31140......... 03......... Marin/Napa/

1.034 1.304 0.535 Solano, CA. 31140......... 07......... Oakland/

1.053 1.330 0.531 Berkeley, CA. 31140......... 05......... San Francisco, 1.059 1.494 0.526 CA. 31140......... 06......... San Mateo, CA... 1.072 1.486 0.510 31140......... 09......... Santa Clara, CA. 1.083 1.419 0.485 31146......... 17......... Ventura, CA..... 1.027 1.223 0.749 31140......... 99......... Rest of

1.007 1.056 0.634 California *. 31146......... 99......... Rest of

1.007 1.056 0.634 California *. 00824......... 01......... Colorado........ 0.986 1.004 0.715 00591......... 00......... Connecticut..... 1.038 1.179 0.934 00903......... 01......... DC + MD/VA

1.047 1.235 0.972 Suburbs. 00902......... 01......... Delaware........ 1.011 1.033 0.777 00590......... 03......... Fort Lauderdale, 0.989 1.004 1.965 FL. 00590......... 04......... Miami, FL....... 1.000 1.059 2.703 00590......... 99......... Rest of Florida. 0.973 0.937 1.489 00511......... 01......... Atlanta, GA..... 1.009 1.053 0.892 00511......... 99......... Rest of Georgia. 0.979 0.878 0.889 00833......... 01......... Hawaii/Guam..... 1.001 1.137 0.726 05130......... 00......... Idaho........... 0.967 0.876 0.500 00952......... 12......... East St. Louis, 0.989 0.929 1.757 IL. 00952......... 15......... Suburban

1.017 1.093 1.628 Chicago, IL. 00952......... 16......... Chicago, IL..... 1.025 1.104 1.888 00952......... 99......... Rest of Illinois 0.975 0.877 1.196 00630......... 00......... Indiana......... 0.986 0.912 0.514 00826......... 00......... Iowa............ 0.966 0.869 0.506 00650......... 00......... Kansas *........ 0.968 0.881 0.632 00740......... 04......... Kansas *........ 0.968 0.881 0.632 00660......... 00......... Kentucky........ 0.969 0.857 0.754 00528......... 01......... New Orleans, LA. 0.986 0.995 1.066 00528......... 99......... Rest of

0.970 0.863 0.965 Louisiana. 31142......... 03......... Southern Maine.. 0.980 1.020 0.558 31142......... 99......... Rest of Maine... 0.962 0.889 0.558 00901......... 01......... Baltimore/Surr. 1.012 1.069 1.010 Cntys, MD. 00901......... 99......... Rest of Maryland 0.994 0.981 0.812 31143......... 01......... Metropolitan

1.029 1.311 0.787 Boston. 31143......... 99......... Rest of

1.007 1.106 0.787 Massachusetts. 00953......... 01......... Detroit, MI..... 1.036 1.048 2.300 00953......... 99......... Rest of Michigan 0.998 0.922 1.287 00954......... 00......... Minnesota....... 0.992 0.994 0.324 00512......... 00......... Mississippi..... 0.959 0.847 0.760 00523......... 01......... Metropolitan St 0.993 0.943 1.001 Louis, MO. 00740......... 02......... Metropolitan

0.990 0.960 1.061 Kansas City, MO. 00523......... 99......... Rest of Missouri 0.949 0.812 0.938 *. 00740......... 99......... Rest of Missouri 0.949 0.812 0.938 *. 03202......... 01......... Montana......... 0.950 0.846 0.780 00655......... 00......... Nebraska........ 0.959 0.882 0.345 00834......... 00......... Nevada.......... 1.002 1.036 1.067 31144......... 40......... New Hampshire... 0.982 1.034 0.693 00805......... 01......... Northern NJ..... 1.057 1.225 1.038 00805......... 99......... Rest of New

1.042 1.124 1.038 Jersey. 00521......... 05......... New Mexico...... 0.973 0.888 0.989 00803......... 01......... Manhattan, NY... 1.064 1.299 1.243 00803......... 02......... NYC Suburbs/Long 1.051 1.286 1.493 I., NY. 00803......... 03......... Poughkpsie/N NYC 1.014 1.077 0.983 Suburbs, NY. 14330......... 04......... Queens, NY...... 1.032 1.235 1.449 00801......... 99......... Rest of New York 0.997 0.919 0.544 05535......... 00......... North Carolina.. 0.972 0.923 0.632 03302......... 01......... North Dakota.... 0.946 0.852 0.490 00883......... 00......... Ohio............ 0.993 0.930 1.097 00522......... 00......... Oklahoma........ 0.964 0.853 0.503

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00835......... 01......... Portland, OR.... 1.002 1.037 0.453 00835......... 99......... Rest of Oregon.. 0.968 0.926 0.453 00865......... 01......... Metropolitan

1.016 1.102 1.492 Philadelphia, PA. 00865......... 99......... Rest of

0.993 0.914 0.938 Pennsylvania. 00973......... 20......... Puerto Rico..... 0.905 0.696 0.254 00524......... 01......... Rhode Island.... 1.029 1.040 0.946 00880......... 01......... South Carolina.. 0.975 0.899 0.417 03402......... 02......... South Dakota.... 0.942 0.870 0.390 05440......... 35......... Tennessee....... 0.978 0.884 0.615 00900......... 31......... Austin, TX...... 0.991 1.016 0.969 00900......... 20......... Beaumont, TX.... 0.984 0.868 1.311 00900......... 09......... Brazoria, TX.... 1.019 0.942 1.250 00900......... 11......... Dallas, TX...... 1.009 1.033 1.077 00900......... 28......... Fort Worth, TX.. 0.998 0.971 1.077 00900......... 15......... Galveston, TX... 0.991 0.956 1.250 00900......... 18......... Houston, TX..... 1.016 1.001 1.310 00900......... 99......... Rest of Texas... 0.968 0.872 1.092 03502......... 09......... Utah............ 0.977 0.922 0.841 31145......... 50......... Vermont......... 0.968 0.976 0.497 00904......... 00......... Virginia........ 0.982 0.941 0.614 00973......... 50......... Virgin Islands.. 0.982 0.996 0.998 00836......... 02......... Seattle (King 1.014 1.109 0.755 Cnty), WA. 00836......... 99......... Rest of

0.987 0.976 0.748 Washington. 00951......... 00......... Wisconsin....... 0.988 0.920 0.592 00884......... 16......... West Virginia... 0.973 0.823 1.436 03602......... 21......... Wyoming......... 0.956 0.848 0.904

* Indicates multiple carriers. ** 2008 GPCIs are the first year of the update transition.

5. On page 66551, Addendum F, CPT/HCPCS Imaging Codes Defined by DRA 5102(B), the descriptors for the following CPT codes are corrected to read as follows:

Addendum F.--CPT/HCPCS Imaging Codes Defined by DRA 5102(B)

HCPCS/CPT*

Short descriptor

92135..................................... Ophth dx imaging post seg. 92235..................................... Eye exam with photos. 92240..................................... Icg angiography. 92250..................................... Eye exam with photos. 92285..................................... Eye photography. 92286..................................... Internal eye photography.

6. On pages 66575 through 66578, Addendum I, List of CPT \1\/HCPCS Codes Used to Describe Certain Designated Health Service Categories \2\ Under Section 1877 of the Social Security Act, the table is corrected by--

a. Correcting the following entries:

Radiology and Certain Other Imaging Services

0146T............................... Ccta w/wo dye. 0147T............................... Ccta w/wo, quan calcium. 71010............................... Chest x-ray. 71015............................... Chest x-ray. 76801............................... Ob us

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